LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

DESA UBRUG
PUSKESMAS
KECAMATAN
ALAMAT
NO NAMA OBAT SATUAN STOK PENERIMA PERSEDIA PEMAKAIA STOK STOK PERMINTA PEM
AWAL AN AN N AKHIR OPTIMUM AN BPJS
OBAT
1 Albendazol tablet 400 mg Tab 0 0 0 0 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0 0 0 0 0
3 Aloclair plus gel BOTOL 0 0 0 0 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0 0 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0 0 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0 0 0 0 0
7 Amlodipin 5 mg Tab 0 0 0 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0 0 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0 0 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0 0 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0 0 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0 0 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0 0 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0 0 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0 0 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0 0 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0 0 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0 0 0 0 0
20 Antiparkinson DOEN Tab 0 0 0 0 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0 0 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0 0 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0 0 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0 0 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0 0 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0 0 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0 0 0 0 0
28 Asiklovir Krem 5% tube 0 0 0 0 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0 0 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0 0 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0 0 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0 0 0 0 0
35 Betahistin maleat Tab 0 0 0 0 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0 0 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0 0 0 0 0
38 Captopril 12,5 mg Tab 0 0 0 0 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0 0 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0 0 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0 0 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0 0 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0 0 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0 0 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0 0 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0 0 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0 0 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0 0 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0 0 0 0 0
50 Domperidon Syrup BOTOL 0 0 0 0 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0 0 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0 0 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0 0 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0 0 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0 0 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0 0 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0 0 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0 0 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0 0 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0 0 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0 0 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0 0 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0 0 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0 0 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0 0 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0 0 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0 0 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0 0 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0 0 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0 0 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0 0 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0 0 0 0 0
74 Haloperidol 5 mg Tab 0 0 0 0 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0 0 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0 0 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0 0 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0 0 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0 0 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0 0 0 0 0
82 Kalsium alginate gel tube 0 0 0 0 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0 0 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0 0 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0 0 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0 0 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0 0 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0 0 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0 0 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0 0 0 0 0
 91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0 0 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0 0 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0 0 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0 0 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0 0 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0 0 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0 0 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0 0 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0 0 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0 0 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0 0 0 0 0
104 Lidokain inj. 2% ampul 0 0 0 0 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0 0 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0 0 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0 0 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0 0 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0 0 0 0 0
111 Metilergometrin Maleat injeksi 0,200 mg - 1ml ampul 0 0 0 0 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0 0 0 0
113 Metilprednisolon tablet Tab 0 0 0 0 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0 0 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0 0 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0 0 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0 0 0 0 0
118 Miconazol SK tube 0 0 0 0 0 0 0
119 Multivitamin sirup BOTOL 0 0 0 0 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0 0 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0 0 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0 0 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0 0 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0 0 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0 0 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0 0 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0 0 0 0 0
129 Omeprazol 20mg Tab 0 0 0 0 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0 0 0 0 0
131 parasetamol drop BOTOL 0 0 0 0 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0 0 0 0 0
133 Parasetamol sirup BOTOL 10 0 10 10 0 37 37
134 Permetrin/scabimite krim 5 % tube 0 0 0 0 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0 0 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0 0 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0 0 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0 0 0 0 0
139 Probiokid kapsul 0 0 0 0 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0 0 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0 0 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0 0 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0 0 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0 0 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0 0 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0 0 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0 0 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0 0 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0 0 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0 0 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0 0 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0 0 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0 0 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0 0 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0 0 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0 0 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0 0 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0 0 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0 0 0 0 0
160 Simvastatin 20 mg Tab 0 0 0 0 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0 0 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0 0 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0 0 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0 0 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0 0 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0 0 0 0 0
168 Vitamin B 6 tablet Tab 0 0 0 0 0 0 0
169 Vitamin B komplek tablet Tab 0 0 0 0 0 0 0
170 Zink syrup 20 mg/5 ml BOTOL 0 0 0 0 0 0 0
171 Zink tablet disp 20 mg Tab 170 0 170 90 80 333 253
0BAT PROGRAM HIV
1 EFAVIRENS tablet 0 0 0 0 0 0 0
2 HIVIRAL 0 0 0 0 0 0 0
3 NEVIRAL 0 0 0 0 0 0 0
4 ATRIPLA 0 0 0 0 0 0 0
5 TENOFAVIR 0 0 0 0 0 0 0
6 DUVIRAL 0 0 0 0 0 0 0
7 ZIDOVUDINE/ 0 0 0 0 0 0 0
PROGRAM KUSTA
1 MB DEWASA Tab 0 0 0 0 0 0 0
2 PB DEWASA Tab 0 0 0 0 0 0 0
3 MB ANAK Tab 0 0 0 0 0 0 0
PROGRAM TBC
1 OAT FDC Anak Tab 0 0 0 0 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0 0 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0 0 0 0 0
PROGRAM IMUNISASI
 1 VAKSIN BCG 0 0 0 0 0 0 0
2 vaksin DPT-HB-Hib 0 0 0 0 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0 0 0 0 0
4 Vaksin CAMPAK 0 0 0 0 0 0 0
5 vaksin HB-O 0 0 0 0 0 0 0
6 Vaksin Td 0 0 0 0 0 0 0
7 Vaksin IPV 0 0 0 0 0 0 0
SERUM
1 ABU 0 0 0 0 0 0 0
2 ADS 0 0 0 0 0 0 0
3 ATS 0 0 0 0 0 0 0
4 RABIES 0 0 0 0 0 0 0
CAIRAN
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0 0 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0 0 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0 0 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0 0 0 0 0
BHP
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0 0 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0 0 0 0 0
4 Alkohol Swab box 0 0 0 0 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0 0 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0 0 0 0 0
7 Bioplasenton tulle Pcs 0 0 0 0 0 0 0
8 bloodset Pcs 0 0 0 0 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0 0 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0 0 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0 0 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0 0 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0 0 0 0 0
 Handscoon Non Steril 0 0 0 0 0 0 0
15 Ukuran L Pcs 0 0 0 0 0 0 0
16 Ukuran M Pcs 0 0 0 0 0 0 0
17 Ukuran S Pcs 0 0 0 0 0 0 0
Handscoon steril 0 0 0 0 0 0 0
18 Ukuran 6.5 Pcs 0 0 0 0 0 0 0
19 Ukuran 7.0 Pcs 5 0 5 5 0 18.5 18.5
20 Ukuran 7.5 Pcs 0 0 0 0 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0 0 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0 0 0 0 0
23 Infusion set anak Pcs 0 0 0 0 0 0 0
24 Infusion set dewasa Pcs 0 0 0 0 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0 0 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0 0 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0 0 0 0 0
28 Kapas 250 gr Pcs 0 0 0 0 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0 0 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0 0 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0 0 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0 0 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0 0 0 0 0
34 Masker Pcs 0 0 0 0 0 0 0
35 Plester Pcs 0 0 0 0 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0 0 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0 0 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0 0 0 0 0
40 Urine bag Pcs 0 0 0 0 0 0 0
BHP GIGI
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0 0 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0 0 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0 0 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0 0 0 0 0
 5 Formokresol Cairan BOTOL 0 0 0 0 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0 0 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0 0 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0 0 0 0 0
9 Lidokain gel BOTOL 0 0 0 0 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0 0 0 0 0
11 Mummifying Pasta Botol 0 0 0 0 0 0 0
12 Polikresulen cairan POT 0 0 0 0 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0 0 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0 0 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0 0 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0 0 0 0 0
DESINFECTAN
1 Alkohol 70% - 1000 ml Btl 0 0 0 0 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0 0 0 0 0
3 Gel untuk cateter Btl 0 0 0 0 0 0 0
4 Lisol 1 liter Btl 0 0 0 0 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0 0 0 0 0
6 Povidon Iodida 60 ml Btl 1 0 1 1 0 3.7 3.7
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0 0 0 0 0
LPLPO)
PELAPORAN BULAN DESEMBER
TAHUN : 2019

PEMBERIAN
APBD PROGRAM LAIN2 JUMLAH
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 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
 52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
 Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN februari
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN maret
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
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0 0 0 0

0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN april
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
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0 0 0 0
80 0 -80 0
0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN mei
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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80 0 -80 0
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0 0 0 0
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0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN juni
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN juli
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN agustus
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN september
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
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0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
111 Metilergometrin Maleat injeksi 0,200 mg - 1ml ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN oktober
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
PUSKESMAS #REF!
KECAMATAN #REF!
ALAMAT #REF!
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
1 Albendazol tablet 400 mg Tab 0 0 0
2 Allupurinol 100 mg Tablet Tab 0 0 0
3 Aloclair plus gel BOTOL 0 0 0
4 Aminofillin inj 24 mg /ml-10ml ampul 0 0 0
5 Aminophylin tablet 200mg Tab 0 0 0
6 Amitriptilin HCl tablet salut 25 mg Tab 0 0 0
7 Amlodipin 5 mg Tab 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 0 0 0
9 Amoksisilin kapsul 250 mg KAPSUL 0 0 0
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0
11 Amoksisilin sirup kering Forte 250 mg/5 ml BOTOL 0 0 0
12 ampisilin inj IM/IV 1000 mg/ml ampul 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 0 0 0
14 Antasida Suspensi 60 ml BOTOL 0 0 0
15 Antasida DOEN tablet kombinasi Tab 0 0 0
16 Anti Bakteri DOEN salep kombinasi tube 0 0 0
17 Anti fungi DOEN komb sk tube 0 0 0
18 Anti Hemoroid DOEN kombinasi supp 0 0 0
19 Antimigren DOEN kombinasi Tab 0 0 0
20 Antiparkinson DOEN Tab 0 0 0
21 Artesunat serb inj 60 mg/ml ampul 0 0 0
22 Artesunate tablet (ACT) Tab 0 0 0
23 Asam Asetil Salisilat (Asetosal) tablet 80 mg Tab 0 0 0
24 Asam Askorbat (Vit.C) tablet 50 mg Tab 0 0 0
25 asam folat tablet 1 mg Tab 0 0 0
26 Asam mefenamat 500 mg kaplet 0 0 0
27 Asam Mefenamat Kapsul 250 mg KAPSUL 0 0 0
28 Asiklovir Krem 5% tube 0 0 0
29 Asiklovir tablet 200 mg Tab 0 0 0
30 Asiklovir Tablet 400 mg Tab 0 0 0
31 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0
32 Atropin Sulfat tablet 0,5 mg Tab 0 0 0
33 Attalpugite tab 600 mg Tab 0 0 0
34 Benzatin Benzil Penisilin inj.1.2 juta IU/vial ampul 0 0 0
35 Betahistin maleat Tab 0 0 0
36 Betametasone Krim 0.1% tube 0 0 0
37 Bisakodil Supp 10 mg supp 0 0 0
38 Captopril 12,5 mg Tab 0 0 0
39 Captopril tablet 25 mg Tab 0 0 0
40 Ciprofloksasin 500 mg tablet Tab 0 0 0
41 Deksametason injeksi 5 mg/ml - 1 ml ampul 0 0 0
42 Deksametasone tablet 0.5mg Tab 0 0 0
43 Diasepam 5 mg tablet Tab 0 0 0
44 Diazepam Inj 5 ml/2ml ampul 0 0 0
45 Diazepam lar rektal 5mg/2,5ml tube 0 0 0
46 Dietilkarbamazin sitrat tablet 100 mg Tab 0 0 0
47 Difenhidramin HCl injeksi 10 mg/ml - 1 ml ampul 0 0 0
48 Digoksin tablet 0,25 mg Tab 0 0 0
49 Doksisiklin 100 mg ampul 0 0 0
50 Domperidon Syrup BOTOL 0 0 0
51 Domperidon tablet 10 mg Tab 0 0 0
52 Epinefrina (adrenalin) injeksi 0,1% - 1 ml ampul 0 0 0
53 Erytromycin 250 mg KAPSUL 0 0 0
54 Erytromycin syr 200mg/5 ml BOTOL 0 0 0
55 Etambutol HCL 250 mg Tab 0 0 0
56 Fenitoin Na kaps 100 mg KAPSUL 0 0 0
57 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0
58 Fenobarbital tablet 30 mg Tab 0 0 0
59 Fenofibrat kaps 100 mg KAPSUL 0 0 0
60 Fenoksimetil Penisilina tablet 250 mg Tab 0 0 0
61 Fenoksimetil Penisilina tablet 500 mg Tab 0 0 0
62 Fitomenadion (Vit.K1) tablet salut 10 mg Tab 0 0 0
63 Fitomenadion injeksi 2 mg/ml ampul 0 0 0
64 Furosemid tablet 40 mg Tab 0 0 0
65 Garam oralit 200 ml air sachet 0 0 0
66 Gentamicin inj 40 mg//ml ampul 0 0 0
67 Gentamisin tetes mata BOTOL 0 0 0
68 Glibenklamid tablet 5 mg Tab 0 0 0
69 Gliseril Guayakolat tablet 100 mg Tab 0 0 0
70 Gliserin guayakolat syrup BOTOL 0 0 0
71 Griseofulvin tablet 125 mg, micronized Tab 0 0 0
72 Haloperidol 0,5 mg tablet Tab 0 0 0
73 Haloperidol 1,5 mg tablet Tab 0 0 0
74 Haloperidol 5 mg Tab 0 0 0
75 Hidroklorotiazid (HCT) tablet 25 mg Tab 0 0 0
76 Hidrokortison krim 2,5 % tube 0 0 0
77 Ibuprofen tablet 200 mg Tab 0 0 0
78 Ibuprofen tablet 400 mg Tab 0 0 0
79 Isoniazid tablet 100 mg Tab 0 0 0
80 Isoniazid tablet 300 mg Tab 0 0 0
81 Isosorbid Dinitrat 5 mg tablet sublingual Tab 0 0 0
 82 Kalsium alginate gel tube 0 0 0
83 Kalsium Glukonat Inj 100 mg/ml ampul 0 0 0
84 Kalsium lakate (kalk) tablet Tab 0 0 0
85 Karbamazepin tablet 200 mg Tab 0 0 0
86 Karbogliserin Tetes Telinga 10% BOTOL 0 0 0
87 Ketokonazol krim 2 % tube 0 0 0
88 Ketokonazol Tablet 200 mg Tab 0 0 0
89 Klindamicin 300 mg KAPSUL 0 0 0
90 Klopidogrel tab 75 mg Tab 0 0 0
91 Kloramfenikol kapsul 500 mg KAPSUL 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 0 0 0
94 Kloramfenikol Tetes Telinga 3% - 5 ml BOTOL 0 0 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 0 0 0
96 Klorpromazin HCL tablet 100 mg Tab 0 0 0
97 Klorpromazin inj. 25 mg/ml ampul 0 0 0
98 Kodein HCl tablet 10 mg Tab 0 0 0
99 Kotrimoksazol forte tablet Tab 0 0 0
100 Kotrimoksazol suspensi kombinasi BOTOL 0 0 0
101 Kuinin (Kina) tablet 200 mg Tab 0 0 0
102 Kuinin dihidroklorida inj 25 %-2 ml ampul 0 0 0
103 Lansoprazol 30 mg Tab 0 0 0
104 Lidokain inj. 2% ampul 0 0 0
105 Lidokain komp. injeksi kombinasi ampul 0 0 0
106 Loratadin tab 10 mg Tab 0 0 0
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0
108 Mebendazol tablet 100 mg Tab 0 0 0
109 Metformin tablet 500 mg Tab 0 0 0
110 metil dopa tab 250 mg Tab 0 0 0
Metilergometrin Maleat injeksi 0,200 mg - 1ml
111 ampul 0 0 0
112 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0
113 Metilprednisolon tablet Tab 0 0 0
114 Metoklorpropamid tablet 5 mg Tab 0 0 0
115 Metronidazol sirup 125mg/5ml BOTOL 0 0 0
116 Metronidazol tablet 250 mg Tab 0 0 0
117 Metronidazol tablet 500 mg Tab 0 0 0
118 Miconazol SK tube 0 0 0
119 Multivitamin sirup BOTOL 0 0 0
120 Multivitamin Tablet Dewasa Tab 0 0 0
121 Natrium bikarbonat tablet 500 mg Tab 0 0 0
122 Natrium Diklofenac 25 mg Tab 0 0 0
123 Nifedifin tablet 10 mg Tab 0 0 0
124 Nistatin 100.000 IU/gram tablet vaginal supp 0 0 0
125 Nistatin tablet salut gula 500.000 IU/g Tab 0 0 0
126 Obat batuk Hitam (OBH) BOTOL 0 0 0
127 Oksitetrasiklin HCl salep 3% - 5 gram tube 0 0 0
128 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 0 0
129 Omeprazol 20mg Tab 0 0 0
130 Ondansentron tab 8 mg Tab 0 0 0
131 parasetamol drop BOTOL 0 0 0
132 Parasetamol kaplet 500 mg Tab 0 0 0
133 Parasetamol sirup BOTOL 0 0 0
134 Permetrin/scabimite krim 5 % tube 0 0 0
135 Pirantel Pamoat tablet 125 mg Tab 0 0 0
136 Pirazinamid tablet 500 mg Tab 0 0 0
137 Piridoksin HCl (Vit.B6) tablet 10 mg Tab 0 0 0
138 Prednison tablet 5 mg Tab 0 0 0
139 Probiokid kapsul 0 0 0
140 Propiltiourasil tablet 100 mg Tab 0 0 0
141 Propranolol HCl tablet 10 mg Tab 0 0 0
142 Pyrazinamid tablet 500 mg Tab 0 0 0
143 Ranitidin Injeksi 25 mg/ml ampul 0 0 0
144 Ranitidin tablet 150 mg Tab 0 0 0
145 Retinol (Vit.A) 100.000 IU kapsul KAPSUL 0 0 0
146 Retinol (Vit.A) 200.000 IU kapsul KAPSUL 0 0 0
147 Rifampisin kapsul 300 mg KAPSUL 0 0 0
148 Rifampisin kapsul 450 mg KAPSUL 0 0 0
149 Rifampisin kapsul 600 mg KAPSUL 0 0 0
150 Salbutamol Cairan ih 0,1% BOTOL 0 0 0
151 Salbutamol tablet 4 mg Tab 0 0 0
152 Salep 2 - 4 kombinasi tube 0 0 0
153 Salisil Bedak 2% - 50 gram tube 0 0 0
154 Sefadroksil Kapsul 500 mg KAPSUL 0 0 0
155 Sefadroksil Syrup 250 mg BOTOL 0 0 0
156 Sefiksim kapsul 100 mg KAPSUL 0 0 0
157 Sertirizin tablet 10 mg Tab 0 0 0
158 Setirizin sir 5 mg/ 5 ml BOTOL 0 0 0
159 Sianokobalamin (Vitamin B12) 50 mg Tab 0 0 0
160 Simvastatin 20 mg Tab 0 0 0
161 Tablet ferro fumarat 60mg as folat 0.400mg Tab 0 0 0
162 Teofilin tab 150 mg Tab 0 0 0
163 Tetrasiklin HCl kapsul 250 mg KAPSUL 0 0 0
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0
165 Tiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Tab 0 0 0
166 Triheksifenidil HCl 2 mg tablet Tab 0 0 0
167 Vermox tablet (obat cacing) Tab 0 0 0
168 Vitamin B komplek tablet Tab 0 0 0
169 Zink syrup 20 mg/5 ml BOTOL 0 0 0
170 Zink tablet disp 20 mg Tab 80 0 80
 0BAT PROGRAM HIV 0 0 0
1 EFAVIRENS tablet 0 0 0
2 HIVIRAL 0 0 0
3 NEVIRAL 0 0 0
4 ATRIPLA 0 0 0
5 TENOFAVIR 0 0 0
6 DUVIRAL 0 0 0
7 ZIDOVUDINE/ 0 0 0
PROGRAM KUSTA 0 0 0
1 MB DEWASA Tab 0 0 0
2 PB DEWASA Tab 0 0 0
3 MB ANAK Tab 0 0 0
PROGRAM TBC 0 0 0
1 OAT FDC Anak Tab 0 0 0
2 OAT FDC Kategori 1 Tab 0 0 0
3 OAT/FDC KATEGORI II Tab 0 0 0
PROGRAM IMUNISASI 0 0 0
1 VAKSIN BCG 0 0 0
2 vaksin DPT-HB-Hib 0 0 0
3 VAKSIN POLIO (b OPV) 0 0 0
4 Vaksin CAMPAK 0 0 0
5 vaksin HB-O 0 0 0
6 Vaksin Td 0 0 0
7 Vaksin IPV 0 0 0
SERUM 0 0 0
1 ABU 0 0 0
2 ADS 0 0 0
3 ATS 0 0 0
4 RABIES 0 0 0
CAIRAN 0 0 0
1 Air untuk injeksi (Aqua pro injeksi) 20 ml BOTOL 0 0 0
2 Glukosa Larutan infus 5% steril 500 ml BOTOL 0 0 0
3 Natrium Klorida lart.infus 0,9% steril - 500 ml BOTOL 0 0 0
4 Ringer Laktat larutan infus steril - 500 ml BOTOL 0 0 0
BHP 0 0 0
1 Alat suntik sekali pakai 1 ml Pcs 0 0 0
2 Alat suntik sekali pakai 3 ml Pcs 0 0 0
3 Alat suntik sekali pakai 5 ml Pcs 0 0 0
4 Alkohol Swab box 0 0 0
5 autodisable no 0,05 ml Pcs 0 0 0
6 autodisable no. 0,5 ml Pcs 0 0 0
7 Bioplasenton tulle Pcs 0 0 0
8 bloodset Pcs 0 0 0
 9 Catgut Chromic 2/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
10 Catgut Chromic 3/0 + jarum 1/2 HR 26 mm Pcs 0 0 0
11 Cuticell Classic 10 cm x 10 cm Pcs 0 0 0
12 ECG/USG jelly 82gr Pcs 0 0 0
13 Folley Catheter 2 way no 16 Pcs 0 0 0
14 Folley Catheter 2 way no 18 Pcs 0 0 0
Handscoon Non Steril 0 0 0
15 Ukuran L Pcs 0 0 0
16 Ukuran M Pcs 0 0 0
17 Ukuran S Pcs 0 0 0
Handscoon steril 0 0 0
18 Ukuran 6.5 Pcs 0 0 0
19 Ukuran 7.0 Pcs 0 0 0
20 Ukuran 7.5 Pcs 0 0 0
21 ID Patient Adult/Dewasa Biru Pcs 0 0 0
22 ID Patient Adult/Dewasa Pink Pcs 0 0 0
23 Infusion set anak Pcs 0 0 0
24 Infusion set dewasa Pcs 0 0 0
25 IV Catheter G - 18 Pcs 0 0 0
26 IV Catheter G - 20 Pcs 0 0 0
27 IV Catheter G - 22 Pcs 0 0 0
28 Kapas 250 gr Pcs 0 0 0
29 Kapas Pembalut Absorben 1000 gr Pcs 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 0 0 0
31 Kasa Kompres 40/40 steril Pcs 0 0 0
32 Kasa Pembalut 2 m x 80 cm Pcs 0 0 0
33 kasa pembalut hydrofil 40 cm x 80 cm Pcs 0 0 0
34 Masker Pcs 0 0 0
35 Plester Pcs 0 0 0
36 Plester Polifix 5 cm x 1 m Pcs 0 0 0
37 Policrepe Pembalut Elastis 7,5 cm x 4,55 m Pcs 0 0 0
38 Silk 2/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
39 Silk 3/0 + jarum 1/2 GT 35 mm Pcs 0 0 0
40 Urine bag Pcs 0 0 0
BHP GIGI 0 0 0
1 Devitalisasi pasta (Non Arsen) BOTOL 0 0 0
2 Etil Klorida Semprot BOTOL 0 0 0
3 Eugenol cairan - 10 ml BOTOL 0 0 0
4 Fluor tablet 0,5 mg TAB 0 0 0
5 Formokresol Cairan BOTOL 0 0 0
6 Gentian Violet larutan 1% - 10 ml BOTOL 0 0 0
7 Glass Ionomer Cement (GC IX) BOTOL 0 0 0
8 Kalsium Hidroksida Pasta BOTOL 0 0 0
9 Lidokain gel BOTOL 0 0 0
10 Monoklorkamfer Mentol cairan (CHKM) BOTOL 0 0 0
11 Mummifying Pasta Botol 0 0 0
12 Polikresulen cairan POT 0 0 0
13 Semen Seng Fosfat serbuk dan cairan BUAH 0 0 0
14 Spons Gelatin Cubicles 1 x 1 x 1 cm POT 0 0 0
15 Temporary Stopping Fletcher serbuk & cairan BOTOL 0 0 0
16 Trikresol Formalin TKF Cairan 10ml BOTOL 0 0 0
DESINFECTAN 0 0 0
1 Alkohol 70% - 1000 ml Btl 0 0 0
2 Antiseptik Hand Scrub Btl 0 0 0
3 Gel untuk cateter Btl 0 0 0
4 Lisol 1 liter Btl 0 0 0
5 Povidon Iodida 500 ml Btl 0 0 0
6 Povidon Iodida 60 ml Btl 0 0 0
7 Rivanol larutan 0,1% - 330 cc Btl 0 0 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN november
TAHUN #REF!
REF!
STOK STOK PERMINT PEMBERIAN
OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 0 -80 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAA
UMUM DAN JKN
PUSKESMAS WARUNGKIARA
KECAMATAN WARUNGKIARA
ALAMAT JLN.PELABUHANRATU KM 30
NO NAMA OBAT SATUAN STOK PENERIM PERSEDIA PEMAKAI
AWAL AAN AN AN
OBAT 0 0 0
3 Aciclofir 400 mg tab 0 0 0 0
8 Amoksisilin kaplet 500 mg kaplet 100 0 100 60
10 Amoksisilin sirup kering 125 mg/5 ml BOTOL 0 0 0 0
13 Antalgin (Metampiron) tablet 500 mg Tab 200 0 200 10
14 Antasida Suspensi 60 ml BOTOL 4 0 4 2
17 Anti fungi DOEN komb sk tube 20 0 20 3
27 Asam Mefenamat Kapsul 250 mg KAPSUL 75 0 75 50
30 Asiklovir Tablet 400 mg Tab 100 0 100 10
33 Attalpugite tab 600 mg Tab 100 0 100 50
36 Betametasone Krim 0.1% tube 0 0 0 0
38 cefadroxil syirup botol 3 0 3 2
42 Deksametasone tablet 0.5mg Tab 100 0 100 30
50 Domperidon Syrup BOTOL 4 0 4 3
69 Gliseril Guayakolat tablet 100 mg Tab 200 0 200 100
76 Hidrokortison krim 2,5 % tube 2 0 2 2
78 Ibuprofen tablet 400 mg Tab 0 0 0 0
92 Kloramfenikol salep kulit 2% (bufacetin) tube 0 0 0 0
93 Kloramfenikol Salep Mata 1% - 3,5 gr BOTOL 3 0 3 0
95 Klorfeniramin Maleat (CTM) tablet 4 mg Tab 300 0 300 200
107 Magnesium Sulfat injeksi (IV) 40% - 25 ml ampul 0 0 0 0
122 Natrium Diklofenac 25 mg Tab 230 0 300 50
126 Obat batuk Hitam (OBH) BOTOL 3 0 3 2
129 oralit bungkus 300 0 300 20
132 Parasetamol kaplet 500 mg Tab 0 0 0 0
133 Parasetamol sirup BOTOL 4 0 4 4
138 Prednison tablet 5 mg Tab 125 0 125 50
151 Salbutamol tablet 4 mg Tab 50 0 50 40
164 Tetrasiklin HCl kapsul 500 mg KAPSUL 0 0 0 0
168 Vitamin B komplek tablet Tab 90 0 90 45
170 Zink tablet disp 20 mg Tab 60 0 60 30
BHP 0 0 0
30 Kasa hidrofil 16x16 (steril) Pcs 2 0 2 2
35 Plester Pcs 2 0 2 2
36 kapas 250 gr pcs 1 0 1 1
37 alkohol botol 0 0 1 0
BAR PERMINTAAN OBAT (LPLPO)
PELAPORAN BULAN MARET
TAHUN 2018

STOK STOK PERMINT PEMBERIAN

OPTIMU
AKHIR M AAN BPJS APBD PROGRAM LAIN2 JUMLAH
0 0 0 0
0 0 0 0
40 222 182 0
0 0 0 0
190 37 -153 0
2 7.4 5.4 0
17 11.1 -5.9 0
25 185 160 0
90 37 -53 0
50 185 135 0
0 0 0 0
1 7.4 6.4 0
70 111 41 0
1 11.1 10.1 0
100 370 270 0
0 7.4 7.4 0
0 0 0 0
0 0 0 0
3 0 -3 0
100 740 640 0
0 0 0 0
250 185 -65 0
1 7.4 6.4 0
280 74 -206 0
0 0 0 0
0 14.8 14.8 0
75 185 110 0
10 148 138 0
0 0 0 0
45 166.5 121.5 0
30 111 81 0
0 0 0 0
0 7.4 7.4 0
0 7.4 7.4 0
0 3.7 BPJS
0 0 BPJS
Warungkiara, 25 FEBRUARI 2018
Bidan Desa Girijaya

Lia L.M Am.Keb