LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT PUSKESMAS

UPT PUSKESMAS : BAKAL GAJAH

BULAN : JANUARI

SALDO SISA
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN PEMAKAIAN
AWAL STOK
1 2 3 4 5 6 7 8

1 Alkohol Swab Onemed box 0 6 6 2 4

2 Alopurinol tablet 100 mg tablet 0 1000 1000 850 150
3 Alprazolam tablet 0,25 mg tablet 0 1000 1000 0 1000
4 Amitriptiline tablet 25 mg tablet 0 1000 1000 0 1000
5 Amlodipin tablet 5 mg tablet 0 600 600 520 80
6 Amoksisillin kaplet scored 500 mg kaplet 0 5000 5000 3890 1110
7 Amoksisillin syrup kering forte 250 mg/5 botol 0 30 30 25 5
8 Antasida Doen I tablet kunyah tablet 0 3000 3000 2480 520
9 Antasida Suspensi 200 mg/5ml botol 22 0 22 19 3
10 Asam Ascorbat (Vit C) Tab 50 mg tablet 2280 7000 9280 7490 1790
11 Aseptic Gel 500 cc + Dispenser Onemed botol 0 5 5 0 5
12 Asiklovir tablet 200 mg tablet 120 500 620 590 30
13 Benzatin Penisilin 2,4 UI/ml vial 0 20 20 15 5
14 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm box 0 2 2 2 0
15 Catgut Plain 2/0 + jarum 1/2 Gt 35 mm box 0 2 2 2 0
16 Deksametason Inj ampul 15 0 15 15 0
17 Deksametason tablet 0,5 mg tablet 580 3000 3580 3010 570
18 Difenhidramin Inj ampul 0 120 120 102 18
19 Domperidon suspensi 5 mg/5ml botol 0 50 50 45 5
20 Domperidon tablet 10 mg tablet 0 2000 2000 1960 40
21 Epinefrin (Adrenalin) inj 1 mg/ml (0,1%) ampul 0 10 10 10 0
22 Eritromisin kaplet 500 mg kaplet 0 1000 1000 980 20
23 Erytromisin 250 mg kapsul kapsul 460 0 460 170 290
24 E-care antiseptik hand rub 10 btl @ 500 ml botol 3 0 3 1 2
25 E-care surgical mask earloop kotak 7 0 7 1 6
26 Etanol 70% cairan botol 4 50 54 45 9
27 Fluoksetin kapsul 20 mg kapsul 0 2000 2000 0 2000
28 Fitominadiom TAB 10 mg tablet 820 0 820 170 650
29 Furosemid tablet 40 mg tablet 0 2000 2000 1680 320
30 Gentamisin salep mata 0,3% tube 0 48 48 45 3
31 Glimepirid Tab 4 mg tablet 0 1000 1000 0 1000
32 Glukosa larutan infus 5% steril botol 0 20 20 15 5
33 Griseovuplin tab 125 mg tablet 480 0 480 440 40
34 Haloperidol Tablet 1,5 mg tablet 0 1000 1000 30 970
35 Hidrokortison krim 2,5% tube 0 48 48 47 1
36 Ibuprofen 400 mg tablet tablet 0 3000 3000 1790 1210
37 Ibuprofen suspensi 100 mg/5 ml botol 0 50 50 45 5
38 Kaptopril tablet scored 25 mg tablet 690 2000 2690 1720 970
39 Kasa Pembalut Hidrofil 4mx15cm Onem rol 0 50 50 45 5
40 Klobazam tab 10 mg tablet 0 1000 1000 0 1000
41 Kloramfenikol suspensi 125 mg/5ml botol 0 50 50 45 5
42 Klorfeniramin Maleat (CTM) tablet 0 4000 4000 3190 810
43 Kodein Tab 10 mg tablet 0 200 200 80 120
44 Kotrimoksazol suspensi botol 0 50 50 45 5
45 Kotrimoksazol tablet tablet 2050 2000 4050 3060 990
46 Lidokain Inj 2% ampul 24 0 24 2 22
47 Metilergometrin inj 0,2 mg/ml ampul 0 10 10 2 8
48 Metilergometrin maleat tab tablet 1100 0 1100 720 380
49 Metoklopramide 10ml/gravistal botol 16 0 16 3 13
50 Metoklopramide tab 5 mg tablet 310 0 310 60 250
51 Metronidazol tab 500 mg tablet 560 3000 3560 3090 470
52 Miconazole Cream 2% tube 2 48 50 44 6
53 NaCl 0,9% botol 0 20 20 17 3
54 Nifedipin tab/kapsul 10 mg tablet 1070 1000 2070 1540 530
55 Nistatin Vaginal tab 100.000 IU/g tablet 510 0 510 30 480
56 Oksitosin inj UI/ml ampul 0 10 10 3 7
57 Omeprazol kapsul 20 mg kapsul 0 3000 3000 2420 580
58 Parasetamol sirup 120 mh/5 ml botol 0 100 100 83 17
59 Parasetamol tablet 500 mg tablet 2850 3000 5850 4590 1260
60 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 0 3000 3000 2420 580
61 Povidon lodida larutan 10% 60 ml botol 15 30 45 43 2
62 Pirantel pamoat syrup botol 4 0 4 2 2
63 Pirantel tablet tablet 120 0 120 20 100
64 Ranitidin Inj. 25 mg/ml ampul 5 0 5 2 3
65 Ranitidin tablet 150 mg tablet 90 3000 3090 2930 160
66 Ringer Laktat botol 0 20 20 17 3
67 Risperidon 2 mg tablet 0 1000 1000 0 1000
68 Salbutamol 2 mg tablet 0 1000 1000 830 170
69 Salbutamol tablet 4 mg tablet 560 2000 2560 1690 870
70 Sianokobalamin Inj. 500 mg ampul 68 0 68 42 26
71 Setrizin tab 10 mg tablet 1350 4000 5350 4520 830
72 Silk 2/0 + jarum 1/2 Gt 35 mm Onemed box 0 1 1 1 0
73 Siprofloksasin tab scored 500 mg tablet 0 2000 2000 180 1820
74 Stera Infusion Set Anak pcs 0 5 5 0 5
75 Stera Infusion Set Dewasa pcs 0 5 5 0 5
76 Steracath IV Catheter 18Gx11/4" pcs 0 5 5 0 5
77 Steracath IV Catheter
:Diketahui 20Gx11/4"
Oleh pcs 0 5 Gajah, 5
Bakal 0 2018 5
KEPALA UPT–PUSKESMAS BAKAL GAJAH PENGELOLA OBAT
78 Steracath IV Catheter 22Gx1" pcs 0 5:UPT-PUSKESMAS
5 0
BAKAL GAJAH
5
KECAMATAN SILIMA PUNGGA-PUNGGA
79 Steracath IV Catheter 24Gx3/4" pcs 0 5 5 0 5
80 Steracath IV Catheter 26Gx3/4" pcs 0 5 5 0 5
81 Tetrasiklin kaps 250 mg kapsul 0 1000 1000 700 300
MANEREP
82 Tiamin SIHOMBING,
(Vit. B1) SKM
tablet 50 mg tablet 0 3000 ERIKA SIHOMBING,
3000 2470
AMKeb 530
NIP. 19661014 198903 2 004 NIP. 1968062 0199203 2 003
83 Vitamin B Kompleks tablet tablet 0 4000 4000 3130 870
 LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT PUSKESMAS
UPT PUSKESMAS : BAKAL GAJAH
BULAN : FEBRUARI 2018

SALDO SISA
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN PEMAKAIAN
AWAL STOK
1 Albendazole 400 mg 300
2 Alkohol 70% 1 L botol 8
3 Alkohol Swab Onemed box 10
4 Alopurinol tablet 100 mg tablet 500
5 Alprazolam tablet 0,25 mg tablet 580 100
6 Amitriptiline tablet 25 mg tablet 850 500
7 Amlodipin tablet 10 mg tablet 600
8 Amlodipin tablet 5 mg tablet 80
9 Amoksisillin kaplet scored 500 mg kaplet 1080 10000
10 Amoksisillin syrup kering forte 250 mg/5 botol 48
11 Antasida Doen I tablet kunyah tablet 2000
12 Antasida Suspensi 200 mg/5ml botol 30
13 Asam Ascorbat (Vit C) Tab 50 mg tablet 830 7000
14 Asam Mefenamat tablet 3000
15 Aseptic Gel 500 cc + Dispenser Onemed botol 2
16 Asiklovir tablet 200 mg tablet 180 500
17 Atropin 0,25mg/ml ampul 20
18 Attapulgit 600 mg tablet 1000
19 Bedak Salisil 2 % dus 10
20 Benzatin Penisilin 2,4 UI/ml vial 20
21 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm box 1
22 Catgut Plain 2/0 + jarum 1/2 Gt 35 mm box 1
23 Deksametason Inj ampul 100
24 Deksametason tablet 0,5 mg tablet 140 500
25 Dermafix T 5x7cm pieces 100
26 Difenhidramin Inj ampul 210
27 Domperidon suspensi 5 mg/5ml botol
28 Domperidon tablet 10 mg tablet
29 Epinefrin (Adrenalin) inj 1 mg/ml (0,1%) ampul 10
30 Eritromisin kaplet 500 mg kaplet
31 Erytromisin 250 mg kapsul kapsul 1000
32 Etyl Klorida / Aerosol botol 2
33 Fluoksetin kapsul 20 mg kapsul 2000
34 Furosemid tablet 40 mg tablet 20 500
35 Gentamisin salep mata 0,3% tube 48
36 Glimepirid Tab 4 mg tablet 720
37 Glukosa larutan infus 5% steril botol 20
38 Griseovuplin tab 125 mg tablet 500
39 Haloperidol Tablet 1,5 mg tablet 760 300
40 Hidrokortison krim 2,5% tube 48
41 Ibuprofen 200 mg tablet tablet 1000
42 Ibuprofen suspensi 100 mg/5 ml botol 50
43 Iliadin tetes Hidung box 25
44 Kalsium Lactat tablet 1000
45 Kapas Pembalut/Absorben 250 gr bungkus 10
46 Kaptopril 25 mg tablet 320 500
47 Kasa Pembalut 2mx80cm rol 10
48 Kasa Pembalut Hidrofil 4mx15cm Onem rol 50
49 Ketokenazole 200mg tablet 100
50 Klobazam tab 10 mg tablet 1000
51 Kloramfenikol salap kulit 2% tube 24
52 Kloramfenikol suspensi 125 mg/5ml botol 50
 53 Klorfeniramin Maleat (CTM) tablet 200 5000
54 Kodein Tab 10 mg tablet
55 Kotrimoksazol suspensi botol 50
56 Kotrimoksazol tablet tablet 2000
57 Lidokain Inj 2% ampul 30
58 Loratadine tab tablet 100
59 Lysol 1 L botol 5
60 Magnesium Sulfat inj 20% ampul 60
61 Metilergometrin inj 0,2 mg/ml ampul 30
62 Metilergometrin maleat tab tablet 140
63 Miconazole Cream 2% tube 30
64 NaCl 0,9% botol 40
65 Nifedipin tab/kapsul 10 mg tablet 160
66 Nistatin Vaginal tab 100.000 IU/g tablet 70
67 OBH syr botol 180
68 Oksitosin inj UI/ml ampul 30
69 Omeprazol kapsul 20 mg kapsul 3000
70 Onescrub 500cc + Dispenser botol 12
71 Parasetamol sirup 120 mh/5 ml botol 50
72 Parasetamol tablet 500 mg tablet 3000
73 Pirantel pamoat syrup botol 50
74 Pirantel tablet tablet
75 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 5000
76 Pitominadiom inj 2 mg ampul 30
77 Pitominadiom TAB 10 mg tablet
78 Povidon lodida larutan 10% 60 ml botol 15
79 Prednison 5mg tablet 2000
80 Ranitidin Inj. 25 mg/ml ampul
81 Ranitidin tablet 150 mg tablet 120 4000
82 Ringer Laktat botol 40
83 Risperidon 2 mg tablet 1000
84 Salbutamol 2 mg tablet 150 1000
85 Salbutamol tablet 4 mg tablet 660 1000
86 Setrizin tab 10 mg tablet Bakal Gajah, 2018
:Diketahui Oleh
87 Sianokobalamin
KEPALA UPT–PUSKESMAS Inj. 500BAKAL
mg GAJAH ampul PENGELOLA OBAT
88KECAMATAN SILIMA1/2
Silk 2/0 + jarum PUNGGA-PUNGGA
Gt 35 mm Onemed box 1:UPT-PUSKESMAS BAKAL GAJAH
89 Simvastatin 10mg tablet 300
90 Siprofloksasin tab scored 500 mg tablet 4000
91 Skizon/ Betametason Cream 5gr
MANEREP SIHOMBING, SKM
tube 30
ERIKA SIHOMBING, AMKeb
92 Spuit 3 19661014
NIP. ml 198903 2 004 100 NIP. 1968062 0199203 2 003
93 Stera Infusion Set Anak pcs 4
94 Stera Infusion Set Dewasa pcs 2
95 Steracath IV Catheter 18Gx11/4" pcs 3
96 Steracath IV Catheter 20Gx11/4" pcs
97 Steracath IV Catheter 22Gx1" pcs 1
98 Steracath IV Catheter 24Gx3/4" pcs 1
99 Steracath IV Catheter 26Gx3/4" pcs 3
100 Tablet Tambah Darah tablet 2160
101 Tetrasiklin kaps 250 mg kapsul
102 Tiamin (Vit. B1) tablet 50 mg tablet 550 3000
103 Vitamin B 12 tab tablet 3000
104 Vitamin B Kompleks inj ampul 30
105 Vitamin B Kompleks tablet tablet 9400
 LAPORAN PENDISTRIBUSIAN OBAT PUSTU/POSKESDES

PUSTU/ POSKESDES :
BULAN :

JUMLAH DI
NO NAMA OBAT SATUAN KET.
DISTRIBUSIKAN
1 2 3 4 5

1 Alkohol Swab Onemed box

2 Alopurinol tablet 100 mg tablet 50
3 Alprazolam tablet 0,25 mg tablet
4 Amitriptiline tablet 25 mg tablet
5 Amlodipin tablet 5 mg tablet 30
6 Amoksisillin kaplet scored 500 mg kaplet 250
7 Amoksisillin syrup kering forte 250 mg/5 botol 1
8 Antasida Doen I tablet kunyah tablet 150
9 Antasida Suspensi 200 mg/5ml botol 1
10 Asam Ascorbat (Vit C) Tab 50 mg tablet 500
11 Aseptic Gel 500 cc + Dispenser Onemed botol
12 Asiklovir tablet 200 mg tablet 40
13 Benzatin Penisilin 2,4 UI/ml vial 1
14 Catgut Chromic 3/0 + jarum 1/2 GT 35 mm box 1
15 Catgut Plain 2/0 + jarum 1/2 Gt 35 mm box 1
16 Deksametason Inj ampul 1
17 Deksametason tablet 0,5 mg tablet 200
18 Difenhidramin Inj ampul 5
19 Domperidon suspensi 5 mg/5ml botol 3
20 Domperidon tablet 10 mg tablet 140
21 Epinefrin (Adrenalin) inj 1 mg/ml (0,1%) ampul
22 Eritromisin kaplet 500 mg kaplet 70
23 Erytromisin 250 mg kapsul kapsul
24 E-care antiseptik hand rub 10 btl @ 500 ml botol
25 E-care surgical mask earloop kotak
26 Etanol 70% cairan botol 3
27 Fluoksetin kapsul 20 mg kapsul
28 Fitominadiom TAB 10 mg tablet
29 Furosemid tablet 40 mg tablet 100
30 Gentamisin salep mata 0,3% tube 3
31 Glimepirid Tab 4 mg tablet
32 Glukosa larutan infus 5% steril botol 1
33 Griseovuplin tab 125 mg tablet 30
34 Haloperidol Tablet 1,5 mg tablet
35 Hidrokortison krim 2,5% tube 3
36 Ibuprofen 400 mg tablet tablet 100
37 Ibuprofen suspensi 100 mg/5 ml botol 3
38 Kaptopril tablet scored 25 mg tablet 100
39 Kasa Pembalut Hidrofil 4mx15cm Onem rol 3
40 Klobazam tab 10 mg tablet
41 Kloramfenikol suspensi 125 mg/5ml botol
42 Klorfeniramin Maleat (CTM) tablet 200
43 Kodein Tab 10 mg tablet
44 Kotrimoksazol suspensi botol 3
45 Kotrimoksazol tablet tablet 200

1 2 3 4 8

46 Lidokain Inj 2% ampul

47 Metilergometrin inj 0,2 mg/ml ampul
48 Metilergometrin maleat tab tablet 50
49 Metoklopramide 10ml/gravistal botol
50 Metoklopramide tab 5 mg tablet
51 Metronidazol tab 500 mg tablet 200
52 Miconazole Cream 2% tube 3
53 NaCl 0,9% botol 1
54 Nifedipin tab/kapsul 10 mg tablet 100
55 Nistatin Vaginal tab 100.000 IU/g tablet
56 Oksitosin inj UI/ml ampul
57 Omeprazol kapsul 20 mg kapsul 150
58 Parasetamol sirup 120 mh/5 ml botol 5
59 Parasetamol tablet 500 mg tablet 300
60 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet
61 Povidon lodida larutan 10% 60 ml botol 3
62 Pirantel pamoat syrup botol
63 Pirantel tablet tablet
64 Ranitidin Inj. 25 mg/ml ampul
65 Ranitidin tablet 150 mg tablet 200
66 Ringer Laktat botol 1
67 Risperidon 2 mg tablet
68 Salbutamol 2 mg tablet 50
69 Salbutamol tablet 4 mg tablet 100
70 Sianokobalamin Inj. 500 mg ampul 300
71 Setrizin tab 10 mg tablet
72 Silk 2/0 + jarum 1/2 Gt 35 mm Onemed box
73 Siprofloksasin tab scored 500 mg tablet
74 Stera Infusion Set Anak pcs
75 Stera Infusion Set Dewasa pcs
76 Steracath IV Catheter 18Gx11/4" pcs
77 Steracath IV Catheter 20Gx11/4" pcs
78 Steracath IV Catheter 22Gx1" pcs
79 Steracath IV Catheter 24Gx3/4" pcs
80 Steracath IV Catheter 26Gx3/4" pcs
81 Tetrasiklin kaps 250 mg kapsul 50
82 Tiamin (Vit. B1) tablet 50 mg tablet 150
83 Vitamin B Kompleks tablet tablet 200

:Diketahui Oleh Bakal Gajah, 2017

KEPALA UPT–PUSKESMAS BAKAL GAJAH PENGELOLA OBAT
KECAMATAN SILIMA PUNGGA-PUNGGA :UPT-PUSKESMAS BAKAL GAJAH

MANEREP SIHOMBING, SKM

ERIKA SIHOMBING, AMKeb
NIP. 19661014 198903 2 004 NIP. 1968062 0199203 2 003
 2017
OLA OBAT
AS BAKAL GAJAH

BING, AMKeb
0199203 2 003
 LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT PUSKESMAS
UPT PUSKESMAS : BAKAL GAJAH
BULAN : Juli 2019

SALDO SISA
NO NAMA OBAT SATUAN PENERIMAAN
P ERSEDIAAN
P EMAKAIAN
AWAL STOK
1 Albendazole 400 mg
2 Alkohol 70% 1 L botol
3 Alkohol Swab Onemed box
4 Alopurinol tablet 100 mg tablet
5 Alprazolam tablet 0,25 mg tablet
6 Amitriptiline tablet 25 mg tablet
7 Amlodipin tablet 10 mg tablet
8 Amlodipin tablet 5 mg tablet
9 Amoksisillin kaplet scored 500 mg kaplet
10 Amoksisillin syrup kering forte 250 mg/5 botol
11 Antasida Doen I tablet kunyah tablet
12 Antasida Suspensi 200 mg/5ml botol
13 Asam Ascorbat (Vit C) Tab 50 mg tablet
14 Asam Mefenamat tablet
15 Aseptic Gel 500 cc + Dispenser Onemed botol
16 Asiklovir tablet 200 mg tablet
17 Atropin 0,25mg/ml ampul
18 Attapulgit 600 mg tablet
19 Bedak Salisil 2 % dus
20 Benzatin Penisilin 2,4 UI/ml vial
21 Catgut Chromic 3/0 + jarum 1/2 GT 35 m box
22 Catgut Plain 2/0 + jarum 1/2 Gt 35 mm box
23 Deksametason Inj ampul
24 Deksametason tablet 0,5 mg tablet
25 Dermafix T 5x7cm pieces
26 Difenhidramin Inj ampul
27 Domperidon suspensi 5 mg/5ml botol
28 Domperidon tablet 10 mg tablet
29 Epinefrin (Adrenalin) inj 1 mg/ml (0,1%) ampul
30 Eritromisin kaplet 500 mg kaplet
31 Erytromisin 250 mg kapsul kapsul
32 Etyl Klorida / Aerosol botol
33 Fluoksetin kapsul 20 mg kapsul
34 Furosemid tablet 40 mg tablet
35 Gentamisin salep mata 0,3% tube
36 Glimepirid Tab 4 mg tablet
37 Glukosa larutan infus 5% steril botol
38 Griseovuplin tab 125 mg tablet
39 Haloperidol Tablet 1,5 mg tablet
40 Hidrokortison krim 2,5% tube
41 Ibuprofen 200 mg tablet tablet
42 Ibuprofen suspensi 100 mg/5 ml botol
43 Iliadin tetes Hidung box
44 Kalsium Lactat tablet
45 Kapas Pembalut/Absorben 250 gr bungkus
46 Kaptopril 25 mg tablet
47 Kasa Pembalut 2mx80cm rol
48 Kasa Pembalut Hidrofil 4mx15cm Onem rol
49 Ketokenazole 200mg tablet
50 Klobazam tab 10 mg tablet
51 Kloramfenikol salap kulit 2% tube
52 Kloramfenikol suspensi 125 mg/5ml botol
 53 Klorfeniramin Maleat (CTM) tablet
54 Kodein Tab 10 mg tablet
55 Kotrimoksazol suspensi botol
56 Kotrimoksazol tablet tablet
57 Lidokain Inj 2% ampul
58 Loratadine tab tablet
59 Lysol 1 L botol
60 Magnesium Sulfat inj 20% ampul
61 Metilergometrin inj 0,2 mg/ml ampul
62 Metilergometrin maleat tab tablet
63 Miconazole Cream 2% tube
64 NaCl 0,9% botol
65 Nifedipin tab/kapsul 10 mg tablet
66 Nistatin Vaginal tab 100.000 IU/g tablet
67 OBH syr botol
68 Oksitosin inj UI/ml ampul
69 Omeprazol kapsul 20 mg kapsul
70 Onescrub 500cc + Dispenser botol
71 Parasetamol sirup 120 mh/5 ml botol
72 Parasetamol tablet 500 mg tablet
73 Pirantel pamoat syrup botol
74 Pirantel tablet tablet
75 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet
76 Pitominadiom inj 2 mg ampul
77 Pitominadiom TAB 10 mg tablet
78 Povidon lodida larutan 10% 60 ml botol
79 Prednison 5mg tablet
80 Ranitidin Inj. 25 mg/ml ampul
81 Ranitidin tablet 150 mg tablet
82 Ringer Laktat botol
83 Risperidon 2 mg tablet
84 Salbutamol 2 mg tablet
85 Salbutamol tablet 4 mg tablet
86 Setrizin tab 10 mg tablet
87 Sianokobalamin Inj. 500 mg ampul
88 Silk 2/0 + jarum 1/2 Gt 35 mm Onemed box
89 Simvastatin 10mg tablet
90 Siprofloksasin tab scored 500 mg tablet
91 Skizon/ Betametason Cream 5gr tube
92 Spuit 3 ml pcs
93 Stera Infusion Set Anak pcs
94 Stera Infusion Set Dewasa pcs
95 Steracath IV Catheter 18Gx11/4" pcs
96 Steracath IV Catheter 20Gx11/4" pcs
97 Steracath IV Catheter 22Gx1" pcs
98 Steracath IV Catheter 24Gx3/4" pcs
99 Steracath IV Catheter 26Gx3/4" pcs
100 Tablet Tambah Darah tablet
101 Tetrasiklin kaps 250 mg kapsul
102 Tiamin (Vit. B1) tablet 50 mg tablet
103 Vitamin B 12 tab tablet
104 Vitamin B Kompleks inj ampul
105 Vitamin B Kompleks tablet tablet

:Diketahui Oleh
KEPALA UPT–PUSKESMAS BAKAL GAJAH Bakal Gajah, 2018
KECAMATAN SILIMA PUNGGA-PUNGGA PENGELOLA OBAT
UPT-PUSKESMAS BAKAL
:GAJAH

MANEREP SIHOMBING, SKM Roito Sigalingging,A.Md

NIP. 19661014 198903 2 004 NIP. 19940108 201903 2 019
MANEREP SIHOMBING, SKM Roito Sigalingging,A.Md
NIP. 19661014 198903 2 004 NIP. 19940108 201903 2 019