You are on page 1of 10

LAPORAN STOK OBAT PUSKESMAS KELILING

POSBINDU

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN DESEMBER 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 60 60 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 50 50 Apr-19
5 Amoxicillin 250 mg tablet 70 70 Apr-19
6 Amoxicillin 125 mg syr botol 3 3 May-19
7 Allupurinol tablet 90 90 Oct-19
8 Ambroxol 30 mg tab tablet 0 0
9 Ambroxol syr botol 6 6 Sep-19
10 Amlodipin 10 mg tablet 20 20 Aug-20
11 Betamethason salf kulit tube 4 4 Mar-21
12 CTM tablet 30 30
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 4 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 80 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 50 50 Feb-19
21 Dexamethason 0,5 mg tablet 22 22 Jul-20
22 Fe tablet tablet 100 100 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 840 840 Jul-19
27 Glibenclamide 5 mg tablet 180 180 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 252 252 Mar-21
30 Hidrocortison salf kulit tube 44 44 Jul-19
31 Ibuprofen 400 mg tablet 0 0
32 Ketoconazole 200 mg tablet 40 40 Aug-18
33 Lansoprazole tablet 0 0
34 Metronidazole 500 mg tablet 80 80
35 Meloxicam 15 mg tablet 40 40 Jul-19
36 Natrium Diclofenac 25 mg tablet 30 30 Apr-20
37 Oralit sachet 85 85 Jul-19
38 Oxitetraxycline salf kulit 3% tube 21 21 Aug-20
39 OBH syr botol 13 13 Aug-20
40 Paracetamol 500 mg tab tablet 0 0
41 Paracetamol syr botol 6 6 Sep-19
42 Pyridol drop botol 5 5 Jul-21
43 Piroxicam 20 mg tablet 70 70 Aug-21
44 Ranitidin 150 mg tablet 8 8 Jul-20
45 Salbutamol 2 mg tablet 100 100 May-20
46 Simvastatin 10 mg tablet 0 0
47 Vit B Complex tablet 10 10 Mar-20
48 Vit B 1 50 mg tablet 960 960 Dec-18
49 Vit B1 tablet 80 80 Aug-20
50 Vit C tablet 20 20 Sep-19
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN NOVEMBER 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 80 20 60 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 60 10 50 Apr-19
5 Amoxicillin 250 mg tablet 70 70 Apr-19
6 Amoxicillin 125 mg syr botol 3 3 May-19
7 Allupurinol tablet 100 10 90 Oct-19
8 Ambroxol 30 mg tab tablet 60 60 0
9 Ambroxol syr botol 10 4 6 Sep-19
10 Amlodipin 10 mg tablet 120 100 20 Aug-20
11 Betamethason salf kulit tube 4 4 Mar-21
12 CTM tablet 100 70 30
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 4 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 80 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 50 50 Feb-19
21 Dexamethason 0,5 mg tablet 100 78 22 Jul-20
22 Fe tablet tablet 100 100 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 840 840 Jul-19
27 Glibenclamide 5 mg tablet 190 10 180 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 252 252 Mar-21
30 Hidrocortison salf kulit tube 44 44 Jul-19
31 Ibuprofen 400 mg tablet 10 10 0
32 Ketoconazole 200 mg tablet 40 40 Aug-18
33 Lansoprazole tablet 6 6 0
34 Metronidazole 500 mg tablet 100 20 80
35 Meloxicam 15 mg tablet 50 10 40 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 40 30 Apr-20
37 Oralit sachet 85 85 Jul-19
38 Oxitetraxycline salf kulit 3% tube 21 21 Aug-20
39 OBH syr botol 13 13 Aug-20
40 Paracetamol 500 mg tab tablet 220 220 0
41 Paracetamol syr botol 9 3 6 Sep-19
42 Pyridol drop botol 5 5 Jul-21
43 Piroxicam 20 mg tablet 90 20 70 Aug-21
44 Ranitidin 150 mg tablet 65 57 8 Jul-20
45 Salbutamol 2 mg tablet 100 100 May-20
46 Simvastatin 10 mg tablet 30 30 0
47 Vit B Complex tablet 200 190 10 Mar-20
48 Vit B 1 50 mg tablet 980 20 960 Dec-18
49 Vit B1 tablet 90 10 80 Aug-20
50 Vit C tablet 70 50 20 Sep-19
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN OKTOBER 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 110 30 80 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 80 20 60 Apr-19
5 Amoxicillin 250 mg tablet 70 70 Apr-19
6 Amoxicillin 125 mg syr botol 3 3 May-19
7 Allupurinol tablet 100 100 Oct-19
8 Ambroxol 30 mg tab tablet 60 60 Aug-20
9 Ambroxol syr botol 0 0 Sep-19
10 Amlodipin 10 mg tablet 2 2 0 Aug-20
11 Betamethason salf kulit tube 4 4 Mar-21
12 CTM tablet 820 820 Nov-18
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 4 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 80 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 50 50 Feb-19
21 Dexamethason 0,5 mg tablet 100 100 Jul-20
22 Fe tablet tablet 120 20 100 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 840 840 Jul-19
27 Glibenclamide 5 mg tablet 200 10 190 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 300 48 252 Mar-21
30 Hidrocortison salf kulit tube 44 44 Jul-19
31 Ibuprofen 400 mg tablet 10 10 Aug-21
32 Ketoconazole 200 mg tablet 50 10 40 Aug-18
33 Lansoprazole tablet 6 6 Aug-20
34 Metronidazole 500 mg tablet 100 100 Jun-18
35 Meloxicam 15 mg tablet 50 50 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 70 Apr-20
37 Oralit sachet 85 85 Jul-19
38 Oxitetraxycline salf kulit 3% tube 22 1 21 Aug-20
39 OBH syr botol 5 2 3 Aug-20
40 Paracetamol 500 mg tab tablet 60 40 20 Aug-20
41 Paracetamol syr botol 10 1 9 Sep-19
42 Pyridol drop botol 5 5 Jul-21
43 Piroxicam 20 mg tablet 90 90 Aug-21
44 Ranitidin 150 mg tablet 75 10 65 Jul-20
45 Salbutamol 2 mg tablet 100 100 May-20
46 Simvastatin 10 mg tablet 30 30 May-20
47 Vit B Complex tablet 200 200 Mar-20
48 Vit B 1 50 mg tablet 990 10 980 Dec-18
49 Vit B1 tablet 90 90 Aug-20
50 Vit C tablet 80 10 70 Sep-19
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN SEPTEMBER 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 120 10 110 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 80 80 Apr-19
5 Amoxicillin 250 mg tablet 80 10 70 Apr-19
6 Amoxicillin 125 mg syr botol 3 3 May-19
7 Allupurinol tablet 100 100 Oct-19
8 Ambroxol 30 mg tab tablet 80 20 60 Aug-20
9 Ambroxol syr botol 2 2 0 Sep-19
10 Amlodipin 10 mg tablet 32 30 2 Aug-20
11 Betamethason salf kulit tube 7 3 4 Mar-21
12 CTM tablet 820 820 Nov-18
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 4 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 80 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 50 50 Feb-19
21 Dexamethason 0,5 mg tablet 100 100 Jul-20
22 Fe tablet tablet 120 120 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 870 30 840 Jul-19
27 Glibenclamide 5 mg tablet 200 200 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 300 300 Mar-21
30 Hidrocortison salf kulit tube 44 44 Jul-19
31 Ibuprofen 400 mg tablet 20 10 10 Aug-21
32 Ketoconazole 200 mg tablet 50 50 Aug-18
33 Lansoprazole tablet 30 6 24 Aug-20
34 Metronidazole 500 mg tablet 100 100 Jun-18
35 Meloxicam 15 mg tablet 50 50 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 70 Apr-20
37 Oralit sachet 90 5 85 Jul-19
38 Oxitetraxycline salf kulit 3% tube 22 22 Aug-20
39 OBH syr botol 5 5 Aug-20
40 Paracetamol 500 mg tab tablet 100 40 60 Aug-20
41 Paracetamol syr botol 10 10 Sep-19
42 Pyridol drop botol 5 5 Jul-21
43 Piroxicam 20 mg tablet 90 90 Aug-21
44 Ranitidin 150 mg tablet 75 75 Jul-20
45 Salbutamol 2 mg tablet 100 100 May-20
46 Simvastatin 10 mg tablet 30 30 May-20
47 Vit B Complex tablet 230 30 200 Mar-20
48 Vit B 1 50 mg tablet 990 990 Dec-18
49 Vit B1 tablet 90 90 Aug-20
50 Vit C tablet 90 10 80 Sep-19
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN AGUSTUS 2018

NO NAMA OBAT SATUAN STOK AWAL PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 130 10 120 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 80 80 Apr-19
5 Amoxicillin 250 mg tablet 90 10 80 Apr-19
6 Amoxicillin 125 mg syr botol 3 3 May-19
7 Allupurinol tablet 100 100 Oct-19
8 Ambroxol 30 mg tab tablet 100 20 80 Aug-20
9 Ambroxol syr botol 5 3 2 Sep-19
10 Amlodipin 10 mg tablet 50 18 32 Aug-20
11 Betamethason salf kulit tube 10 3 7 Mar-21
12 CTM tablet 820 820 Nov-18
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 4 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 80 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 50 50 Feb-19
21 Dexamethason 0,5 mg tablet 100 100 Jul-20
22 Fe tablet tablet 120 120 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 900 30 870 Jul-19
27 Glibenclamide 5 mg tablet 200 200 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 300 300 Mar-21
30 Hidrocortison salf kulit tube 44 44 Jul-19
31 Ibuprofen 400 mg tablet 30 10 20 Aug-21
32 Ketoconazole 200 mg tablet 50 50 Aug-18
33 Lansoprazole tablet 40 10 30 Aug-20
34 Metronidazole 500 mg tablet 100 100 Jun-18
35 Meloxicam 15 mg tablet 50 50 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 70 Apr-20
37 Oralit sachet 100 10 90 Jul-19
38 Oxitetraxycline salf kulit 3% tube 22 22 Aug-20
39 OBH syr botol 5 5 Aug-20
40 Paracetamol 500 mg tab tablet 129 29 100 Aug-20
41 Paracetamol syr botol 10 10 Sep-19
42 Pyridol drop botol 5 5 Jul-21
43 Piroxicam 20 mg tablet 90 90 Aug-21
44 Ranitidin 150 mg tablet 75 75 Jul-20
45 Salbutamol 2 mg tablet 100 100 May-20
46 Simvastatin 10 mg tablet 30 30 May-20
47 Vit B Complex tablet 260 30 230 Mar-20
48 Vit B 1 50 mg tablet 990 990 Dec-18
49 Vit B1 tablet 90 90 Aug-20
50 Vit C tablet 100 10 90 Sep-19
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN JULI 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 130 130 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 130 50 80 Apr-19
5 Amoxicillin 250 mg tablet 90 90 Apr-19
6 Amoxicillin 125 mg syr botol 5 2 3 May-19
7 Allupurinol tablet 100 100 Oct-19
8 Ambroxol 30 mg tab tablet 100 100 Aug-20
9 Ambroxol syr botol 6 1 5 Sep-19
10 Amlodipin 10 mg tablet 20 20 Aug-20
11 Betamethason salf kulit tube 25 25 Apr-18
12 CTM tablet 900 80 820 Nov-18
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 10 6 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 100 20 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 60 10 50 Feb-19
21 Dexamethason 0,5 mg tablet 44 44 Mar-18
22 Fe tablet tablet 120 120 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 940 40 900 Jul-19
27 Glibenclamide 5 mg tablet 200 200 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 300 300 Mar-21
30 Hidrocortison salf kulit tube 45 1 44 Jul-19
31 Ibuprofen 400 mg tablet 30 30 Aug-21
32 Ketoconazole 200 mg tablet 50 50 Aug-18
33 Lansoprazole tablet 40 40 Aug-20
34 Metronidazole 500 mg tablet 100 100 Jun-18
35 Meloxicam 15 mg tablet 50 50 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 70 Apr-20
37 Oralit sachet 100 100 Jul-19
38 Oxitetraxycline salf kulit 3% tube 28 3 25 Aug-20
39 Paracetamol 500 mg tab tablet 65 36 29 Aug-20
40 Paracetamol syr botol 11 1 10 Sep-19
41 Pyridol drop botol 5 5 Jul-21
42 Piroxicam 20 mg tablet 100 10 90 Aug-21
43 Ranitidin 150 mg tablet 75 75 Jul-20
44 Salbutamol 2 mg tablet 100 100 May-20
45 Simvastatin 10 mg tablet 30 30 Aug-18
46 Vit B Complex tablet 280 20 260 Mar-20
47 Vit B 1 50 mg tablet 1000 10 990 Dec-18
48 Vit B1 tablet 100 10 90 Aug-20
49 Vit C tablet 129 129 Feb-18
LAPORAN STOK OBAT PUSKESMAS KELILING
BULAN JULI 2018

NO NAMA OBAT SATUAN STOK OBAT PEMAKAIAN SISA OBAT EXP DATE
1 Antasida syr botol 5 5 Sep-19
2 Antasida tab tablet 130 130 Nov-19
3 Antasida tab tablet 100 100 Sep-19
4 Amoxicillin 500 mg tablet 130 50 80 Apr-19
5 Amoxicillin 250 mg tablet 90 90 Apr-19
6 Amoxicillin 125 mg syr botol 5 2 3 May-19
7 Allupurinol tablet 100 100 Oct-19
8 Ambroxol 30 mg tab tablet 100 100 Aug-20
9 Ambroxol syr botol 6 1 5 Sep-19
10 Amlodipin 10 mg tablet 20 20 Aug-20
11 Betamethason salf kulit tube 25 25 Apr-18
12 CTM tablet 900 80 820 Nov-18
13 Carbo glyserin tts telinga botol 5 5 Sep-19
14 Calcium Lactate tab tablet 80 80 May-19
15 Captopril 12,5 mg tablet 10 6 4 Mar-19
16 Captopril 25 mg tablet 80 80 Jun-18
17 Chloramphenicol 1% salf mata tube 5 5 May-20
18 Cotrimoxazole tab tablet 100 20 80 Mar-19
19 Cotrimoxazole syr botol 3 3 Aug-20
20 Diaform tablet 60 10 50 Feb-19
21 Dexamethason 0,5 mg tablet 44 44 Mar-18
22 Fe tablet tablet 120 120 Nov-19
23 Gentian violet botol 4 4 Jun-18
24 Gentamycin tts mata botol 2 2 Apr-19
25 Guaifenesin 100 mg tablet 100 100 Aug-21
26 GG tablet 940 40 900 Jul-19
27 Glibenclamide 5 mg tablet 200 200 Nov-21
28 Genoint 0,3% salf mata tube 2 2 Nov-18
29 Hustab tablet tablet 300 300 Mar-21
30 Hidrocortison salf kulit tube 45 1 44 Jul-19
31 Ibuprofen 400 mg tablet 30 30 Aug-21
32 Ketoconazole 200 mg tablet 50 50 Aug-18
33 Lansoprazole tablet 40 40 Aug-20
34 Metronidazole 500 mg tablet 100 100 Jun-18
35 Meloxicam 15 mg tablet 50 50 Jul-19
36 Natrium Diclofenac 25 mg tablet 70 70 Apr-20
37 Oralit sachet 100 100 Jul-19
38 Oxitetraxycline salf kulit 3% tube 28 3 25 Aug-20
39 Paracetamol 500 mg tab tablet 65 36 29 Aug-20
40 Paracetamol syr botol 11 1 10 Sep-19
41 Pyridol drop botol 5 5 Jul-21
42 Piroxicam 20 mg tablet 100 10 90 Aug-21
43 Ranitidin 150 mg tablet 75 75 Jul-20
44 Salbutamol 2 mg tablet 100 100 May-20
45 Simvastatin 10 mg tablet 30 30 Aug-18
46 Vit B Complex tablet 280 20 260 Mar-20
47 Vit B 1 50 mg tablet 1000 10 990 Dec-18
48 Vit B1 tablet 100 10 90 Aug-20
49 Vit C tablet 129 129 Feb-18
SURVEY KEPUASAN PELANGGAN

Nama Lengkap : Tanggal/Jam :


Ruangan : Alamat :
No. Hp :

Bapak/Ibu YTH,
Terimakasih atas keparcayaan Anda terhadap PUSKESMAS SIMPANG BARU.
Demi meningkatkan kualitas pelayanan, Kami mohon kesediannya untuk mengisi Kuisioner
berikut ini :
Silahkan lingkari pada gambar yang tersedia sesuai dengan pelayanan yang Anda dapatkan :
Sangat
Baik Baik Cukup Kurang

Petugas Ruang Pemeriksaan Umum

Petugas Ruang Pemeriksaan Usila

Petugas Ruang Pemeriksaan Anak

Petugas UGD

Petugas Gizi

Petugas Ruang Pemeriksaan Gigi

Petugas KIA

Petugas Ruang Sanitasi

Petugas KB / Imunisasi

Petugas Klinik Khusus ( TB + HIV )

Petugas Ruang petugas Surveilans / Promkes / UKS

Petugas Apotik

Petugas TU

Petugas Laboratorium
Petugas Loket / Pendaftaran

Petugas kasir

Kebersihan Dan Kenyamanan Ruangan

Pelayanan dan Keseluruhan

Saran Dan Masukan :

You might also like