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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

Unit Penerima TUMBANG LAHUNG Bulan


Kecamatan Permata Intan Tahun
Kabupaten MURUNG RAYA
Provinsi KALIMANTAN TENGAH

Kode ObatNama Obat Sediaan Stok Awal PenerimaaPersediaanPemakaian


51 ACETYLCYSTEINE TABLET 200 MG TABLET 500 1020 1520 0
119 ACYCLOVIR TABLET 200 MG TABLET 1400 0 1400 200
120 ACYCLOVIR TABLET 400 MG TABLET 300 0 300 0
13306 ALAT SUNTIK SEKALI PAKAI 1 ML PIECES 0 200 200 50
13198 ALAT SUNTIK SEKALI PAKAI 3 ML PIECES 800 100 900 300
12666 ALAT SUNTIK SEKALI PAKAI 5 ML PIECES 400 0 400 0
175 ALBENDAZOLE TABLET 400 MG TABLET 500 0 500 0
13349 ALKOHOL 70% 1 LITER BOTOL 12 0 12 0
12460 ALKOHOL SWAB PIECES 1100 0 1100 600
247 ALLOPURINOL TABLET 100 MG TABLET 4300 1000 5300 1200
261 ALPRAZOLAM TABLET 1 MG TABLET 0 0 0 0
377 AMBROXOL SIRUP 15 MG/5 ML SIRUP 0 0 0 0
415 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI 6 0 6 6
427 AMINOPHYLLINE TABLET 150 MG TABLET 1800 0 1800 0
444 AMITRIPTYLINE TABLET 25 MG TABLET 280 0 100 0
444 AMITRIPTYLINE TABLET 25 MG TABLET 100 0 100 100
445 AMLODIPINE TABLET 10 MG TABLET 1000 0 1000 0
446 AMLODIPINE TABLET 5 MG TABLET 800 1500 700 0
540 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP 390 150 540 100
523 AMOXYCILLIN SIRUP 250 MG\/5 ML SIRUP 200 0 200 200
511 AMOXYCILLIN TABLET 500 MG TABLET 5800 2000 7800 3000
AK900061 ANPROLENE REFILL KIT CATRIDGE 0 0 0 0 0
12417 ANTACIDA DOEN II SUSPENSI (ALLUMUNIU SUSPENSI 245 100 345 150
809 ANTACIDA TABLET 400 MG TABLET 2700 2500 5200 1700
12633 ANTIFUNGI POT 50 0 50 0
13422 AQUA PRO INJEKSI 25 ML BOTOL 30 0 30 0
13447 ARM SLING TYPE A DENGAN GESPER SIZE L PIECES 3 0 3 0
13446 ARM SLING TYPE A DENGAN GESPER SIZE M PIECES 3 0 3 0
12425 ASAM FOLAT 400 MCG TABLET 2600 2500 5100 1000
966 ASAM MEFENAMAT TABLET 500 MG TABLET 2800 4500 7300 2400
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET 3600 3000 6600 1700
13138 ASEPTAN 500 ML BOTOL 8 0 8 0
37 ASPIRIN (ASETOSAL) TABLET 100 MG TABLET 800 0 800 0
1214 ATAPULGIT TABLET 600 MG TABLET 1000 0 1000 0
13199 AUTO DISABLE SYRINGE 0,5 ML PIECES 200 200 400 0
1365 BACITRACIN|POLYMYXIN B SULPHATE SALEP SALEP 100 0 100 0
1438 BEDAK SALISIL SERBUK 2 % SERBUK 24 20 44 10
12908 BENZATIN BENZIL PENISILIN INJEKSI 2,4 JUTAVIAL 0 0 0 0
1471 BENZOCAINE LIQUID LIQUID 0 0 0 0
1560 BETAHISTINE TABLET 6 MG TABLET 1000 0 1000 0
1599 BETAMETHASONE SALEP 0.1% SALEP 200 100 300 100
1689 BIPHASIC ISOPHANE INSULIN (HUMAN INSULIINJEKSI 15 0 15 0
1690 BISACODYL SUPPOSITORIA 10 MG SUPPOSITO 0 0 0 0
1702 BISMUTH SUBGALLATE|ZINC OXIDE|LIDOCA SUPPOSITO 100 0 100 0
12513 BLOOD LANCET PIECES 10 0 10 0
2005 CALCIUM LACTATE TABLET 500 MG TABLET 3900 500 4400 0
2073 CAPTOPRIL TABLET 12.5 MG TABLET 5000 0 1500 0
2075 CAPTOPRIL TABLET 25 MG TABLET 5000 5000 10000 6500
2084 CARBAMAZEPINE TABLET 200 MG TABLET 0 0 0 0
12441 CAT GUT 2\/0 PIECES 100 0 100 0
12605 CAVIPLEX: Vitamin A 3.000 IU, Vitamin D 400SYRUP 0 0 0 0
2166 CEFADROXIL SIRUP 250 MG/5 ML SIRUP 200 0 200 0
2176 CEFADROXIL TABLET 500 MG TABLET 3000 2000 5000 1200
10435 CEFOTAXIME INJEKSI 1000 MG INJEKSI 90 0 90 0
10438 CEFTRIAXONE INJEKSI 1000 MG INJEKSI 80 0 80 0
AK900281 CERVICAL COLLAR NECK 5 0 5 0
2518 CETIRIZINE SIRUP 1 MG/ML SIRUP 100 0 100 0
2546 CETIRIZINE TABLET 10 MG TABLET 4000 2000 6000 800
2600 CHLORAMPHENICOL SALEP MATA 1% SALEP 2100 0 2100 2048
2601 CHLORAMPHENICOL SALEP KULIT 2% SALEP 262 0 262 22
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP 95 50 145 34
2621 CHLORAMPHENICOL TABLET 500 MG TABLET 1500 500 2000 1000
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET 3600 3000 6600 3200
2762 CHLORPROMAZINE HCL TABLET 100 MG TABLET 1450 500 1150 135
2763 CHLORPROMAZINE TABLET 25 MG TABLET 300 0 300 300
2813 CIMETIDINE TABLET 200 MG TABLET 0 0 0 0
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCTABLET 0 0 0 0
3136 CLOZAPINE TABLET 25 MG TABLET 880 1000 1880 30
3202 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP 197 150 347 110
3207 COTRIMOXAZOLE TABLET 480 MG TABLET 3900 1000 4900 1800
3208 COTRIMOXAZOLE TABLET 960 MG TABLET 500 1000 1500 700
12383 DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN TABLET 0 0 0 0
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX 0 0 0 0
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI 200 0 200 0
3443 DEXAMETHASONE TABLET 0.5 MG TABLET 3800 3000 6800 1400
3570 DEXTROMETHORPHAN|GUAIFENESIN|CHLORTABLET 0 0 0 0
3625 DIAZEPAM ENEMA 10 MG/2.5 ML ENEMA 20 0 20 0
3628 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA 20 0 20 0
3642 DIAZEPAM TABLET 5 MG TABLET 1723 0 1563 58
3688 DICLOFENAC SODIUM TABLET 25 MG TABLET 500 1000 1500 100
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET 3250 500 3750 500
3794 DIMENHYDRINATE TABLET 50 MG TABLET 800 0 800 400
3859 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI 0 300 300 70
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP 61 150 211 55
3983 DOMPERIDONE TABLET 10 MG TABLET 2000 0 2000 500
4303 EPINEPHRINE INJEKSI 0.1 % INJEKSI 50 0 50 0
12406 ERITROMISIN 500 MG TABLET 1400 2000 3400 1000
4445 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP 0 0 0 0
4458 ERYTHROMYCIN TABLET 250 MG TABLET 3000 5000 8000 6100
4560 ETHANOL 100 ML 17 20 37 5
4627 ETHYL CHLORIDE SPRAY SPRAY 2 0 2 0
12379 EXAMINATION GLOVES SIZE L 9 0 9 0
12380 EXAMINATION GLOVES SIZE M 10 0 10 0
12381 EXAMINATION GLOVES SIZE S 8 0 8 0
4767 FERROUS FUMARATE TABLET TABLET 16230 0 16230 3000
9260 FITOMENADION (VITAMIN K) INJEKSI 2 MG\ INJEKSI 210 0 210 0
12388 FLUFENAZINE INJEKSI 25 MG\/ML AMPUL 0 0 0 0
4932 FLUOXETINE TABLET 20 MG TABLET 200 0 200 0
AK900468 FM CREPE 7.5 CM 0 9 0 9 0
AK900470 FOLEY CATHETER 2 WAY NO 16 0 11 0 11 0
AK900470 FOLEY CATHETER 2 WAY NO 18 0 11 0 11 0
AK900470 FOLEY CATHETER 2 WAY NO 22 0 10 0 10 0
5074 FUROSEMIDE TABLET 40 MG TABLET 1800 1600 3400 0
5126 GARAM ORALIT SERBUK SERBUK 50 2000 2050 1175
5154 GEMFIBROZIL TABLET 300 MG TABLET 540 0 540 0
5160 GENTAMYCIN DROPS 0.3 % DROPS 96 0 96 10
AK901218 Glass Ionomer Cement ART Fuji IX 0 0 0 0 0
5252 GLIBENCLAMIDE TABLET 5 MG TABLET 4000 0 4000 0
5280 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 0 0 0 0
5300 GLUCOSE INFUS 5 % INFUS 74 20 94 20
5444 GLYCEROL|PHENOLPHTHALEIN|PARAFFIN SIRSIRUP 70 0 70 0
12382 HALOPERIDOL 5 MG 0 1000 1000 60
5635 HALOPERIDOL INJEKSI 5 MG\/ML INJEKSI 0 0 0 0
5641 HALOPERIDOL TABLET 2 MG TABLET 620 500 500 180
12462 HAND SCRUB 500 CC (ONESCRUB) CHLORHE PIECES 20 0 20 7
12462 HAND SCRUB 500 CC (ONESCRUB) CHLORHE PIECES 20 0 20 20
12580 HYDCAL CALCIUM HYDROXIDE LINER SET 1 0 1 0
5843 HYDROCORTISONE SALEP 2.5 % SALEP 50 0 50 0
5949 IBUPROFEN SIRUP 200 MG/5 ML SIRUP 0 500 500 84
5964 IBUPROFEN TABLET 200 MG TABLET 1400 1000 2400 500
5966 IBUPROFEN TABLET 400 MG TABLET 2500 3000 5500 2300
12358 INFUSET ANAK SET 29 50 79 0
12357 INFUSET DEWASA SET 30 50 80 0
6084 INSULIN ASPART INJEKSI 100 U/ML INJEKSI 17 0 17 0
6084 INSULIN ASPART INJEKSI 100 U/ML INJEKSI 20 0 20 0
6238 IPRATROPIUM BROMIDE|SALBUTAMOL SULPH LIQUID 90 0 90 0
12484 IV CATHETER NO. 24 PIECES 50 0 50 50
12434 IV CATHETER NO.20 PCS 50 0 50 50
12435 IV CATHETER NO.22 PCS 40 0 40 40
12943 JELLY DOPPLER (ONEMED ULTRASONIC GEL) BOTOL 2 0 2 0
6468 KANAMYCIN INJEKSI 1 GR INJEKSI 20 0 20 0
AK900594 KAPAS PUTIH 250 G 0 6 0 6 0
AK900594 KAPAS PUTIH 500 G 0 6 0 6 0
12377 KASA HIDROFIL 2m x 80cm 20 0 20 0
AK901210 KASA HYDROFIL 4 M X 15 CM 0 50 0 50 0
12398 KASA PEMBALUT HYDROFIL 2 M x 80 CM LEMBAR 5 0 5 0
12627 KASA STERIL 16 X 16 CM PIECES 50 0 50 0
6535 KETOCONAZOLE SALEP 2% SALEP 125 100 225 20
6546 KETOCONAZOLE TABLET 200 MG TABLET 1500 0 1500 0
6568 KETOROLAC INJEKSI 30 MG/ML INJEKSI 0 0 0 0
AK900618 KONDOM 0 40 0 40 0
13188 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0
12351 LARUTAN HCL 0,1 N LARUTAN 0 0 0 0
12509 LARUTAN TURK BOTOL 0 0 0 0
6906 LIDOCAINE INJEKSI 2% INJEKSI 200 0 200 0
6899 LIDOCAINE|EPINEPHRINE INJEKSI INJEKSI 100 0 100 35
6956 LISIN, MULTIVITAMIN, MULTIMINERAL SIRUPSIRUP 0 0 0 0
7013 LORATADINE TABLET 10 MG TABLET 500 0 500 0
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI 10 0 10 0
7159 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI 10 0 10 0
13459 MASKER OKSIGEN DEWASA WITH TUBING 10PIECES 2 5 7 0
7491 METFORMIN HCL TABLET 500 MG TABLET 2800 2000 4800 1300
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI 150 0 150 0
7605 METHYLERGOMETRINE TABLET 0.125 MG TABLET 1000 0 1000 0
7585 METHYLPREDNISOLONE TABLET 4 MG TABLET 1900 400 2300 600
7651 METOCLOPRAMIDE TABLET 10 MG TABLET 0 0 0 0
7695 METRONIDAZOLE TABLET 250 MG TABLET 0 0 0 0
7697 METRONIDAZOLE TABLET 500 MG TABLET 2400 2000 4400 1400
7727 MICONAZOLE SALEP 2% SALEP 148 0 148 0
7839 MOMETASONE SALEP 0.1 % SALEP 100 0 100 0
8160 NIFEDIPINE TABLET 10 MG TABLET 1500 0 1500 0
8256 NYSTATIN OVULA 10000 IU OVULA 200 0 200 0
12332 NYSTATIN TABLET SALUT 500.000 IU TABLET 0 0 0 0
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL 600 510 1110 330
13536 ONEMED SABUN ANTIBAKTERI 500 ML : Triclosa
BOTOL 7 0 7 0
8464 OXYTETRACYCLINE SALEP MATA 1 % (HCL) TUBE 0 100 100 0
8481 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI 200 0 200 0
8573 PARACETAMOL DROPS 100 MG/ML DROPS 0 200 200 88
8606 PARACETAMOL SIRUP 120 MG/ML SIRUP 315 100 415 123
8593 PARACETAMOL TABLET 500 MG TABLET 2700 4000 6700 2900
AK090302 Patient lubricant 0 3 0 3 0
12739 PEMBALUT ELASTIS 10 CM X 4,55 M PIECES 10 0 10 0
9086 PERMETHRIN SALEP 5 % SALEP 0 100 100 30
9120 PHENOBARBITAL INJEKSI 50 MG\/ML INJEKSI 0 0 0 0
9125 PHENOBARBITAL TABLET 30 MG TABLET 510 0 200 0
12327 PHENOL GLYCEROL 10% (TETES TELINGA) CAIRAN 200 0 200 22
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 TABLET 700 0 210 0
9301 PIPEMIDIC ACID TABLET 400 MG TABLET 700 0 700 0
9356 PIRACETAM TABLET 400 MG TABLET 0 0 0 0
9389 PIROXICAM TABLET 10 MG TABLET 0 0 0 0
9392 PIROXICAM TABLET 20 MG TABLET 0 0 0 0
12456 PLESTER 5 YARD X 2,5 INCH ROLL 9 0 9 0
12480 POLIFIX 5 CM X 5 CM ROLL 0 0 0 0
12559 POT SPUTUM PIECES 0 20 20 20
12324 POVIDONE IODINE 10% 300ML CAIRAN 22 0 22 0
12325 POVIDONE IODINE 10% 30ML CAIRAN 40 0 40 0
12463 POVIDONE IODINE 10% 60 ML CAIRAN 30 0 30 0
9583 PREDNISONE TABLET 5 MG TABLET 2500 2000 4500 0
9597 PRIMAQUINE TABLET 15 MG TABLET 0 0 0 0
9689 PROPRANOLOL TABLET 10 MG TABLET 1000 0 400 0
9789 PYRANTEL PAMOATE SIRUP SIRUP 120 0 120 20
9790 PYRANTEL PAMOATE TABLET 125 MG TABLET 0 0 0 0
1684 PYRIDOXINE TABLET 10 MG TABLET 5000 3000 8000 2400
9999 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI 0 0 0 0
10014 RANITIDINE TABLET 150 MG TABLET 0 0 0 0
12499 RAPID 1 HIV (SD) KIT 50 0 50 50
13435 Rapid HIV 2 TEST PIECES 0 0 0 0
12619 RAPID TEST MALARIA PIECES 25 0 25 25
12507 REAGEN GIEMSA 100 ML BOTOL 0 0 0 0
12329 REAGEN GOLONGAN DARAH ( ANTI A ) LARUTAN 2 0 2 2
12576 REAGEN GOLONGAN DARAH ( ANTI AB ) 10 CAIRAN 2 0 2 2
12330 REAGEN GOLONGAN DARAH ( ANTI B ) LARUTAN 2 0 2 2
12577 REAGEN GOLONGAN DARAH ( ANTI D ) 10 MCAIRAN 2 0 2 2
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL 3 0 3 3
12508 REES ECKER BOTO 0 0 0 0
11896 RETINOL PALMITATE TABLET 100000 IU TABLET 20 0 20 2
11900 RETINOL PALMITATE TABLET 200000 IU TABLET 5 5 10 0
10173 RISPERIDONE TABLET 2 MG TABLET 0 1110 1110 60
13239 RIVANOL \/ ETAKRIDIN 300 ML BOTOL 8 5 13 2
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFATABLET 2500 1000 3500 800
10260 SALBUTAMOL SIRUP 2 MG/5 ML SIRUP 72 30 102 14
12954 SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% TUBE 100 0 100 0
13303 SALMONELLA PARATYPHI AO WIDAL TEST 5 VIAL 4 0 4 0
13304 SALMONELLA PARATYPHI BO TEST 5 ML VIAL 4 0 4 0
13301 SALMONELLA TYPHI H WIDAL TEST 5 ML VIAL 4 0 4 0
13302 SALMONELLA TYPHI O WIDAL TEST 5 ML VIAL 4 0 4 0
AK900896 SARUNG TANGAN STERIL NO 6.5 0 100 50 150 0
AK900896 SARUNG TANGAN STERIL NO 7 0 200 0 200 0
AK900897 SARUNG TANGAN STERIL NO 7.5 0 150 0 150 0
AK900897 SARUNG TANGAN STERIL NO 8 0 100 0 100 0
AK900898 SCALPEL BLADES NO 15 0 80 0 80 0
12538 SELANG OKSIGEN ANAK PIECES 2 10 12 0
12537 SELANG OKSIGEN DEWASA PIECES 0 5 5 0
AK900937 SILK 3 - 0 0 250 0 250 0
10484 SIMVASTATIN TABLET 20 MG TABLET 3000 0 3000 0
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS 61 40 101 24
10562 SODIUM CHLORIDE|CALCIUM CHLORIDE DIHINFUS 44 100 144 44
12590 STRIP ASAM URAT PIECES 0 0 0 0
12590 STRIP ASAM URAT PIECES 0 0 0 0
12591 STRIP GLUKOSA PIECES 0 0 0 0
12591 STRIP GLUKOSA PIECES 0 0 0 0
12599 STRIP HbsAg PIECES 20 0 20 20
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE)PIECES 300 0 300 0
12592 STRIP TOTAL KOLESTEROL PIECES 15 0 15 0
12592 STRIP TOTAL KOLESTEROL PIECES 15 0 15 15
13292 SUCRALFATE SUSPENSI 100 ML BOTOL 80 0 80 0
11115 TETRACYCLINE TABLET 250 MG TABLET 0 0 0 0
11116 TETRACYCLINE TABLET 500 MG TABLET 0 0 0 0
11277 THIAMINE TABLET 50 MG TABLET 0 5000 5000 500
11524 TRANEXAMIC ACID INJEKSI 50 MG INJEKSI 25 0 25 0
13186 TRICRESOL FORMALIN (TKF) 10 ML BOTOL 0 0 0 0
12386 TRIHEKSIFENIDIL 2 MG TABLET 860 0 860 30
12386 TRIHEKSIFENIDIL 2 MG TABLET 210 0 210 210
12777 UNDERPAD 60 X 90 CM PIECES 18 0 18 10
AK901180 URIN STICK 3P 0 2 0 2 0
AK901180 URINE BAG 0 4 0 4 0
11922 VITAMIN B COMPOUND TABLET TABLET 5200 1500 6700 2000
11952 VITAMIN B12 INJEKSI 500 MG/ML INJEKSI 550 0 550 0
13249 ZINC SULFATE SIRUP 20 MG BOTOL 60 ML BOTOL 114 100 214 89
12192 ZINC SULPHATE TABLET 20 MG TABLET 0 3000 3000 1100

AMPRAHAN TAMBAHAN
SALBUTAMOL TABLET 4 MG TABLET
LOPERAMIDE HCL TABLET 2 MG TABLET
ADHESIVE TAPE 5 CM X 1M TAPE
METRONIDAZOLE SYRUP 60 ML SYRUP
MASKER KOTAK
CLINDAMYCIN CAPSUL 150 MG CAPSUL
DIAZEPAM CAIRAN INJEKSI 5 MG/ML CAIRAN INJEKSI
CODEINE TABLET 10 MG TABLET
ONESCRUB 100 ML CAIRAN DISINFECTANT
OBJECK GLASS
SAFETY BOX

UMUM
TDK KMS/KIS JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR BAYAR
8 15 722 745
November
2019

Rusak/Ed Sisa Stok Stok Opti Permintaa PemberianKeterangan


0 0 0 0 0-
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0 0 0 300 0-
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0 0 0 2500 0-

PERMINTAAN
2000
1000
10
100
30
1000
10
200
12
72
5

JUMLAH

745

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