01-Mei 02-Mei 03-Mei 04-Mei 05-Mei

ant 9 bisop 14 ambrxl 9

amlo5 7 amlo5 14 amlo10 7
amlo5 14 amok 15 amlo5 14
amlo 7 amok sir 1 amlo5 14
amlo5 14 amok sir 1 amlo5 14
amok 15 antsd 9 amlo5 14
amok 15 asfol 30 amlo5 14
asmef 9 b1 4 ant 9
b1 14 b1 5 antsd 9
b6 14 b1 14 antsd 9
b6 28 bc 10 antsd 9
b6 28 bromhex 5 asmef 9
b6 10 ctm 5 b1 14
c 10 dema 9 b1 14
capt 25 1 dz2 3 b1 28
capt12,5 14 gg 9 b1 14
ctm 9 kalk 30 b1 10
dema 9 pml 9 b6 28
dexa 9 pml 10 bc 10
fe 10 rani 6 bc 6
fe 30 reco sir 1 biopla 1
genta sm 1 reco sir 1 ctm 9
gg 9 salbu2 5 dexa 10
kalk 20 fenol 1
khloram tm 1 genta sm 1
mico 1 gg 9
ome 6 gg 9
pml 9 glime 14
pml 5 ibu4 9
pml 9 kalium 6
pml 9 kasa4x5 1
pml 9 lora 3
pml drop 1 metfor 28
pml drop 1 mola 4
pml drop 1 mola 6
pml sir 1 molagit 6
simvas 14 pml 9
pml 9
pml 9
pml 9
pml 9
povi30 1
pred 9
rani 6
rani 6
 06-Mei 07-Mei 08-Mei 09-Mei
amlo5 14 14 khloram tm 1 amlo5 14
amlo5 14 amlo5 7 amok 15 b1 28
amlo5 14 amlo5 14 ctm 9 acy 25
amlo5 14 antsd 9 ibu4 9 c 9
amlo5 14 antsd 9 b1 14 pml 9
amlo5 14 antsd 9 amlo5 14 pml sir 1
amok250 sir 1 asmef 9 fe 30 ctm 5
antsd 9 asmef 9 kalk 20 gg 5
antsd sir 1 b1 28 bc 20 bc 5
b1 14 b1 14 amlo5 14 ctm 3
b1 10 b1 28 b1 14 gg 3
b1 14 b1 14 metfor 28 bc 3
b6 10 bisop 14 ibu4 9 pml 5
b6 6 bromhex 9 amlo5 14 ctm 5
b6 14 c 10 salbu2 9 gg 5
bc 2 c 10 obh 1 bc 5
bc 5 c 9 pml 9 pml sir 1
cap12,5 14 dema 9 b1 14 amlo5 14
ctm 2 gg 9 kalk 5 b1 14
ctm 5 gg 9 amlo5 14 metfor 28
dema 9 gg 9 molagit 10 pml sir 1
dema 9 gliben 14 garam 5 amlo5 14
dema 9 glime 14 pml 9 metfor 28
dema 9 glime 14 bc 5 b1 20
dz5 2 ibu4 9 betahis 9 kalk 10
gg 2 ibu4 9 domperi 9 pml sir 1
gg 9 kalk 5 pml 9 kalk 5
gg 9 lexa 4 b1 10 kalium 6
gg 5 lora 6 ibu4 9 b1 14
gliben 7 metfor 28 b1 14
ibu4 9 ome 6 amlo5 14
kalium 6 pml 9 antsd 9
kalium 6 pml 9 fe 30
kalk 14 pml 9 kalk 20
lexa 4 simvas 14 bc 20
metfor 14 amlo5 14
mola 4 b1 14
mola 7 antsd 9
mola 6 molagit 10
obh 1 cipro 10
obh 1 amlo5 14
ome 6 b1 14
pml 9 gg 9
pml 9 amok 15
pml sir 1 amlo5 14
rani 6 pml 9
rani 6 alopu 28
vitro 1 b1 20
 10-Mei 11-Mei 12-Mei 13-Mei 14-Mei
antsd 9 ibu4 9 betahis 9 dextral 8
rani 6 bromhex 9 diaz2 6 pred 10
b6 10 mola 4 domperi 9 pml 5
ctm 3 cap12,5 28 cap12,5 14 amok 5
gg 3 dema 9 dextral 5 amlo5 14
bc 3 bromhex 9 dexa 5 b1 28
pml sir 1 b1 14 pml 3 lora 5
amlo5 14 pml 9 amok 3 amlo10 14
b1 14 dextral 9 amok 15 ibu4 10
cap12,5 28 dexa 9 b1 10
b1 14 bromhex 9 ibu4 9
valved 6 salbu4 9 b1 4
pml 9 amok 15 dz2 3
gg 9 bromhex 9 dema 9
bc 6 ctm 9 obh 1
kalium 6 cod10 14 c 6
ctm 9
dexa 9
amok 15
cap12,5 28
b1 14
amlo10 14
b1 28
natri 6
melox 3
dexa 9
bc 10
rani 6
cap12,5 14
b1 28
asmef 9
pml 9
amok 15
b1 10
amok 15
asmef 9
amlo5 14
b1 28
cod10 14
b1 10
valved 9
amok 15
simvas 10
natri 6
rani 6
cenfres 3
 15-Mei 16-Mei 17-Mei 18-Mei 19-Mei
amok 15 amlo5 14 bisop 14 pml650 73
cap12,5 14 metfor 28 antsd 9 domper sir 1
cod10 9 dextral 9 ome 6 gg 5
dexa 9 ant 9 gom 1 ctm 5
lora 6 bc 28 bc 28 reco sir 1
amlo5 14 dextral 9 dimen 9 pml 5
metfor 28 dexa 9 amok 15 salbu2 6
bc 14 glime 14 methil 14 bromhex 10
natri 6 pml 9 cetirizin 6 pred 10
antsd 9 antsd 9 genta tm 1 cipro 10
ome 6 ome 6 ome 3 baby 1
bc 10 bc 28 antsd 9 amlo5 14
gom 1 antsd 9 domper sir 1 b1 28
amok250sir 1 ome 6 amlo5 14 kalium 6
natri 6 dextral 9 pml 9 bromhex 3
pml 9 ant 6 cetirizin 3 ctm 3
lexa 20 amok 15 methil 9 bc 3
molagit 12 pml sir 1 pml sir 1
amok 15 keto 10 amlo5 14
garam 6 pml 1 metfor 28
betahis 9 amlo5 14 antsd 9
amlo5 14 spasmi 9 b1 28
b1 14 ome 6
lora 3 pml 2
pml 9 pml sir 1
velved 9 pml 2
 20-Mei 21-Mei 22-Mei 23-Mei
alopu 14 amlo5 14 amlo 14 amlo5 14
amlo5 14 amlo5 14 amok 5 amlo5 14
amok 15 amok 8 amok 15 amlo5 14
amok 15 amok 15 amok 15 amlo5 14
amok250sir 1 amok 15 amok 15 amok 15
ant 9 amok sir 1 amok 15 amok 15
asmef 9 antsd 9 ant 9 amok 15
bc 28 bc 6 antsd 9 amok 15
bc 28 betahis 9 antsd 9 ant 9
cetirizin 6 cetirizin 6 antsd 9 ant 9
cetirizin sir 1 ctm 5 b1 28 ant 9
cod10 9 ctm 6 bc 10 asmef 9
ctm 9 dextral 8 bisop 14 asmef 9
dexa 9 dextral 9 bromhex 9 b1 28
dexa 9 dz5 3 cazet 1 bc 10
dextral 9 genta sk 1 cetirizin 6 beva 1
genta sk 1 gliben 14 cod10 14 bromhex 9
glime 14 methil 9 dexa 9 cetirizin 6
metfor 28 methil 14 dexa 9 dexa 9
natri 6 molagit 12 dexa 9 dexa 9
pml 9 natri 6 dextral 5 dextral 9
pml sir 1 natri 6 dextral 9 dz2 6
simvas 14 natri 6 dextral 9 dz2 6
ome 6 dextral 9 dz2 6
pml 5 dz2 6 glime 14
pml 5 garam 6 glime 14
pml 9 hct 7 kalk 14
pred 3 khloram tm 1 keto 20
pred 10 mola 6 keto sk 1
molagit 12 lora 6
ome 6 lora 6
ome 6 metfor 20
pml 5 metfor 14
pml 9 mola 14
pml 9 natri 6
pml 9 natri 6
pml 9 obh 1
pml 9 pml sir 1
pml 9 pml sir 1
pml sir 1 simvas 14
pred 5 valved 9
pred 3
salbu4 9
Sali 1
velved 2
 24-Mei 25-Mei 26-Mei 27-Mei 28-Mei
amlo5 14 amlo5 14 amlo5 14 amlo5
amok 15 amlo5 14 amlo5 14 amlo5
amok 8 amok 8 amok 15 amlo5
ant 9 amok sir 1 amok 15 amlo5
dextral 9 b1 28 amok 6 amlo5
dextral 8 b1 28 ant 9 amlo5
methil 9 b1 28 b1 14 amok
mola 6 betahis 9 b1 28 amok
natri 6 bisop 14 baby 1 ant
pred 10 dextral 8 cazet 1 antsd
dextral 9 cetirizin 6 asmef
genta tm 1 dexa 9 b1
pml 5 dexa 8 b1
pml 10 dextral 8 b1
pred 7 glime 14 bc
ibu2 9 cetirizin
keto 10 cipro
keto sk 1 ctm
lora 3 dextral
metfor 28 dextral
pml 6 dextral
dextral
dextral
garam
glime
kalk
metfor
metfor
methil
methil
methil
molagit
pml
pml
pml
pml
pml
salbu2
salbu4
simvas
28-Mei 29-Mei 30-Mei 31-Mei
14 amlo 14 amlo5 14
14 amlo5 14 amlo5 14
14 amok 6 amlo5 14
14 amok 15 amlo5 14
14 amok 8 amok 15
14 ant 9 amok 15
15 ant 3 antsd 10
15 asmef 9 antsd 9
9 b1 14 asmef 9
10 dextral 5 b1 28
9 dextral 9 b1 28
14 dextral 8 b1 28
14 dz2 6 b1 28
28 genta tm 1 bc 10
14 ibu4 9 bisop 14
6 methil 5 bromhex 9
10 mola 10 dema 9
5 mola 10 dextral 9
9 pml 4 dextral 5
7 pml 4 domperi 9
9 pml 5 dz2 3
9 pml 10 garam 6
8 rani 6 glime 14
6 Sali 1 lora 3
14 valved 4 lora 3
14 metfor 28
28 metfor 28
14 mola 10
8 molagit 10
9 natri 6
5 ome 6
10 simvas 14
10
9
9
10
5
10
9
14
01-Mei 02-Mei 03-Mei 04-Mei 05-Mei
ant 9 bisop 14 ambrxl 9
amlo5 7 amlo5 14 amlo10 7
amlo5 14 amok 15 amlo5 14
amlo 7 amok sir 1 amlo5 14
amlo5 14 amok sir 1 amlo5 14
amok 15 antsd 9 amlo5 14
amok 15 asfol 30 amlo5 14
asmef 9 b1 4 ant 9
b1 14 b1 5 antsd 9
b6 14 b1 14 antsd 9
b6 28 bc 10 antsd 9
b6 28 bromhex 5 asmef 9
b6 10 ctm 5 b1 14
c 10 dema 9 b1 14
capt 25 1 dz2 3 b1 28
capt12,5 14 gg 9 b1 14
ctm 9 kalk 30 b1 10
dema 9 pml 9 b6 28
dexa 9 pml 10 bc 10
fe 10 rani 6 bc 6
fe 30 reco sir 1 biopla 1
genta sm 1 reco sir 1 ctm 9
gg 9 salbu2 5 dexa 10
kalk 20 fenol 1
khloram tm 1 genta sm 1
mico 1 gg 9
ome 6 gg 9
pml 9 glime 14
pml 5 ibu4 9
pml 9 kalium 6
pml 9 kasa4x5 1
pml 9 lora 3
pml drop 1 metfor 28
pml drop 1 mola 4
pml drop 1 mola 6
pml sir 1 molagit 6
simvas 14 pml 9
pml 9
pml 9
pml 9
pml 9
povi30 1
pred 9
rani 6
rani 6
 06-Mei 07-Mei 08-Mei 09-Mei
amlo5 14 amlo5 14 khloram tm 1 amlo5 14
amlo5 14 amlo5 7 amok 15 b1 28
amlo5 14 amlo5 14 ctm 9 acy 25
amlo5 14 antsd 9 ibu4 9 c 9
amlo5 14 antsd 9 b1 14 pml 9
amlo5 14 antsd 9 amlo5 14 pml sir 1
amok250 sir 1 asmef 9 fe 30 ctm 5
antsd 9 asmef 9 kalk 20 gg 5
antsd sir 1 b1 28 bc 20 bc 5
b1 14 b1 14 amlo5 14 ctm 3
b1 10 b1 28 b1 14 gg 3
b1 14 b1 14 metfor 28 bc 3
b6 10 bisop 14 ibu4 9 pml 5
b6 6 bromhex 9 amlo5 14 ctm 5
b6 14 c 10 salbu2 9 gg 5
bc 2 c 10 obh 1 bc 5
bc 5 c 9 pml 9 pml sir 1
cap12,5 14 dema 9 b1 14 amlo5 14
ctm 2 gg 9 kalk 5 b1 14
ctm 5 gg 9 amlo5 14 metfor 28
dema 9 gg 9 molagit 10 pml sir 1
dema 9 gliben 14 garam 5 amlo5 14
dema 9 glime 14 pml 9 metfor 28
dema 9 glime 14 bc 5 b1 20
dz5 2 ibu4 9 betahis 9 kalk 10
gg 2 ibu4 9 domperi 9 pml sir 1
gg 9 kalk 5 pml 9 kalk 5
gg 9 lexa 4 b1 10 kalium 6
gg 5 lora 6 ibu4 9 b1 14
gliben 7 metfor 28 b1 14
ibu4 9 ome 6 amlo5 14
kalium 6 pml 9 antsd 9
kalium 6 pml 9 fe 30
kalk 14 pml 9 kalk 20
lexa 4 simvas 14 bc 20
metfor 14 amlo5 14
mola 4 b1 14
mola 7 antsd 9
mola 6 molagit 10
obh 1 cipro 10
obh 1 amlo5 14
ome 6 b1 14
pml 9 gg 9
pml 9 amok 15
pml sir 1 amlo5 14
rani 6 pml 9
rani 6 alopu 28
vitro 1 b1 20
 10-Mei 11-Mei 12-Mei 13-Mei 14-Mei
antsd 9 ibu4 9 betahis 9 dextral 8
rani 6 bromhex 9 diaz2 6 pred 10
b6 10 mola 4 domperi 9 pml 5
ctm 3 cap12,5 28 cap12,5 14 amok 5
gg 3 dema 9 dextral 5 amlo5 14
bc 3 bromhex 9 dexa 5 b1 28
pml sir 1 b1 14 pml 3 lora 5
amlo5 14 pml 9 amok 3 amlo10 14
b1 14 dextral 9 amok 15 ibu4 10
cap12,5 28 dexa 9 b1 10
b1 14 bromhex 9 ibu4 9
valved 6 salbu4 9 b1 4
pml 9 amok 15 dz2 3
gg 9 bromhex 9 dema 9
bc 6 ctm 9 obh 1
kalium 6 cod10 14 c 6
ctm 9
dexa 9
amok 15
cap12,5 28
b1 14
amlo10 14
b1 28
natri 6
melox 3
dexa 9
bc 10
rani 6
cap12,5 14
b1 28
asmef 9
pml 9
amok 15
b1 10
amok 15
asmef 9
amlo5 14
b1 28
cod10 14
b1 10
valved 9
amok 15
simvas 10
natri 6
rani 6
cenfres 3
 15-Mei 16-Mei 17-Mei 18-Mei 19-Mei
amok 15 amlo5 14 bisop 14 pml650 73
cap12,5 14 metfor 28 antsd 9 domper sir 1
cod10 9 dextral 9 ome 6 gg 5
dexa 9 ant 9 gom 1 ctm 5
lora 6 bc 28 bc 28 reco sir 1
amlo5 14 dextral 9 dimen 9 pml 5
metfor 28 dexa 9 amok 15 salbu2 6
bc 14 glime 14 methil 14 bromhex 10
natri 6 pml 9 cetirizin 6 pred 10
antsd 9 antsd 9 genta tm 1 cipro 10
ome 6 ome 6 ome 3 baby 1
bc 10 bc 28 antsd 9 amlo5 14
gom 1 antsd 9 domper sir 1 b1 28
amok250sir 1 ome 6 amlo5 14 kalium 6
natri 6 dextral 9 pml 9 bromhex 3
pml 9 ant 6 cetirizin 3 ctm 3
lexa 20 amok 15 methil 9 bc 3
molagit 12 pml sir 1 pml sir 1
amok 15 keto 10 amlo5 14
garam 6 pml 1 metfor 28
betahis 9 amlo5 14 antsd 9
amlo5 14 spasmi 9 b1 28
b1 14 ome 6
lora 3 pml 2
pml 9 pml sir 1
velved 9 pml 2
 20-Mei 21-Mei 22-Mei 23-Mei
alopu 14 amlo5 14 amlo 14 amlo5 14
amlo5 14 amlo5 14 amok 5 amlo5 14
amok 15 amok 8 amok 15 amlo5 14
amok 15 amok 15 amok 15 amlo5 14
amok250sir 1 amok 15 amok 15 amok 15
ant 9 amok sir 1 amok 15 amok 15
asmef 9 antsd 9 ant 9 amok 15
bc 28 bc 6 antsd 9 amok 15
bc 28 betahis 9 antsd 9 ant 9
cetirizin 6 cetirizin 6 antsd 9 ant 9
cetirizin sir 1 ctm 5 b1 28 ant 9
cod10 9 ctm 6 bc 10 asmef 9
ctm 9 dextral 8 bisop 14 asmef 9
dexa 9 dextral 9 bromhex 9 b1 28
dexa 9 dz5 3 cazet 1 bc 10
dextral 9 genta sk 1 cetirizin 6 beva 1
genta sk 1 gliben 14 cod10 14 bromhex 9
glime 14 methil 9 dexa 9 cetirizin 6
metfor 28 methil 14 dexa 9 dexa 9
natri 6 molagit 12 dexa 9 dexa 9
pml 9 natri 6 dextral 5 dextral 9
pml sir 1 natri 6 dextral 9 dz2 6
simvas 14 natri 6 dextral 9 dz2 6
ome 6 dextral 9 dz2 6
pml 5 dz2 6 glime 14
pml 5 garam 6 glime 14
pml 9 hct 7 kalk 14
pred 3 khloram tm 1 keto 20
pred 10 mola 6 keto sk 1
molagit 12 lora 6
ome 6 lora 6
ome 6 metfor 20
pml 5 metfor 14
pml 9 mola 14
pml 9 natri 6
pml 9 natri 6
pml 9 obh 1
pml 9 pml sir 1
pml 9 pml sir 1
pml sir 1 simvas 14
pred 5 valved 9
pred 3
salbu4 9
Sali 1
velved 2
 24-Mei 25-Mei 26-Mei 27-Mei 28-Mei
amlo5 14 amlo5 14 amlo5 14 amlo5
amok 15 amlo5 14 amlo5 14 amlo5
amok 8 amok 8 amok 15 amlo5
ant 9 amok sir 1 amok 15 amlo5
dextral 9 b1 28 amok 6 amlo5
dextral 8 b1 28 ant 9 amlo5
methil 9 b1 28 b1 14 amok
mola 6 betahis 9 b1 28 amok
natri 6 bisop 14 baby 1 ant
pred 10 dextral 8 cazet 1 antsd
dextral 9 cetirizin 6 asmef
genta tm 1 dexa 9 b1
pml 5 dexa 8 b1
pml 10 dextral 8 b1
pred 7 glime 14 bc
ibu2 9 cetirizin
keto 10 cipro
keto sk 1 ctm
lora 3 dextral
metfor 28 dextral
pml 6 dextral
dextral
dextral
garam
glime
kalk
metfor
metfor
methil
methil
methil
molagit
pml
pml
pml
pml
pml
salbu2
salbu4
simvas
28-Mei 29-Mei 30-Mei 31-Mei
14 amlo 14 amlo5 14
14 amlo5 14 amlo5 14
14 amok 6 amlo5 14
14 amok 15 amlo5 14
14 amok 8 amok 15
14 ant 9 amok 15
15 ant 3 antsd 10
15 asmef 9 antsd 9
9 b1 14 asmef 9
10 dextral 5 b1 28
9 dextral 9 b1 28
14 dextral 8 b1 28
14 dz2 6 b1 28
28 genta tm 1 bc 10
14 ibu4 9 bisop 14
6 methil 5 bromhex 9
10 mola 10 dema 9
5 mola 10 dextral 9
9 pml 4 dextral 5
7 pml 4 domperi 9
9 pml 5 dz2 3
9 pml 10 garam 6
8 rani 6 glime 14
6 Sali 1 lora 3
14 valved 4 lora 3
14 metfor 28
28 metfor 28
14 mola 10
8 molagit 10
9 natri 6
5 ome 6
10 simvas 14
10
9
9
10
5
10
9
14
1-Jan 2-Jan 3-Jan 4-Jan 5-Jan 6-Jan
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amok 15 amlo5 14
amok 15 amok 8 amok 15 amok 15
antsd 9 amok 5 amok 15 asmef 9
molagit 10 antsd 9 amok sir 1 b1 14
b1 10 antsd sir 1 antsd sir 1 b1 28
b1 28 antsd sir 1 asmef 9 cefa 10
b1 28 molagit 5 asmef 9 cetirizin 5
b12 10 b1 14 asmef 9 dema 9
bc 2 b1 14 bc 9 dextral 9
bc 9 b1 14 betahis 9 genta sk 1
betahis 9 bc 5 c 2 kalk 14
cefa 10 cap12,5 28 cetirizin 5 lexa 5
cipro 10 cenfres 3 ctm 3 metfor 28
ctm 10 ctm 5 ctm 10 pml 10
ctm 2 ctm 5 dema 9 pml 10
garam 5 ctm 10 genta sk 1 povi 1
genta sk 1 ctm 10 gg 3
ibu4 9 ctm 5 gg 9
kalium 6 ctm 5 gg 9
kalium 6 garam 6 lexa 5
kalk 5 gg 5 pred 6
kotrim 20 gg 5
lexa 5 gg 9
lexa 5 gg 9
lexa 5 lacto 3
pml 10 lora 5
pml 10 mico 1
pml 10 pml 5
pml 10 pml 5
pml 10 pml 10
pml sir 1 pml 10
valved 9 pml 10
zink 10 pml 10
pml 5
pml sir 1
pml sir 1
pml sir 1
Sali 1
 7-Jan 8-Jan 9-Jan 10-Jan 11-Jan
amok 8 amlo5 14 amlo5 14 antsd sir 1 amok
amok 15 amok 15 amlo5 14 antsd sir 1 asmef
asmef 9 ant 9 amok 15 b1 14 b1
bc 4 b1 14 antsd 9 b1 28 ctm
ctm 4 b1 14 asmef 9 b1 28 ctm
ctm 10 b1 9 b1 14 bc 6 garam
ctm 5 b1 14 b1 14 beva 1 genta sk
ctm 10 bc 9 b1 14 cap12,5 28 gg
ctm 10 ctm 10 b1 14 cap12,5 28 molagit
garam 6 dimen 9 b1 14 cenfres 5 pml
gg 9 dimen 9 bc 9 domper sir 1 pml
gg 9 garam 6 bc 30 dulco 2
gg 9 gg 9 betahis 9 dz2 2
molagit 5 metfor 28 bisop 14 garam 6
pml 10 molagit 10 borax 1 glime 14
pml 5 ctm 10 glime 14
pml 10 ctm 10 ibu4 9
pml 10 dextral 9 kalium 6
dimen 9 kalium 6
fe 30 kalk 5
kalk 30 kalk 5
pml 10 lexa 5
pml 10 metfor 28
pml 10 metfor 28
pml 10 pml 1
pml 1
pml 1
pml sir 1
pml sir 1
pml sir 1
pml sir 1
pml sir 1
pml sir 1
rani 6
zink 10
11-Jan 12-Jan 13-Jan 14-Jan 15-Jan 16-Jan
15 amlo5 14 amlo5 14 amlo5 14 amlo5
9 amok 15 amlo5 14 antsd 9 amlo5
14 amok 15 amlo5 14 b1 14 amlo5
10 antsd 9 amok 15 b1 14 amok
10 antsd 9 ant 9 bc 9 amok
6 asmef 9 antsd sir 1 dz2 3 ant
1 asmef 9 antsd sir 9 garam 6 antsd
9 b1 14 asmef 9 ibu4 9 b1
10 b1 14 b1 14 kalk 7 b1
10 b1 10 b1 14 kotrim 20 bc
10 bc 4 b1 14 lexa 7 bc
cap12,5 28 b6 6 pml 10 betahis
ctm 4 bc 9 pml 10 ctm
dimen 9 bc 9 dema
gg 4 bc 9 garam
pml 10 domper sir 1 garam
pml 3 dz2 3 gg
pml 10 dz2 3 gg
glime 14 kalk
ibu4 9 molagit
ibu4 9 pml
kalium 10 pml sir
kalium 6 pml sir
lexa 5 reco sir
metfor 28 zink
metfor 28
metfor 28
pml 10
pml 10
pml 10
16-Jan 17-Jan 18-Jan 19-Jan 20-Jan 21-Jan
14 amok 8 antsd 9 amlo5 14 amlo5 14
15 amok 15 antsd sir 1 amok sir 1 amlo5 14
14 antsd 9 bc 5 b1 28 amlo5 14
15 asmef 9 garam 6 cetirizin 4 amok 15
15 b1 14 molagit 10 cipro 10 amok 15
9 b1 14 ctm 3 amok 15
9 b1 14 gg 3 amok sir 1
28 bc 9 keto 7 antsd 5
28 bc 9 mico 1 antsd 4
9 betahis 9 reco sir 1 antsd 9
9 cap12,5 28 antsd sir 1
9 ctm 5 b1 14
10 dz2 3 b1 14
10 gg 5 b1 14
6 glime 14 bc 9
6 kalium 6 bc 9
9 kalk 7 bc 6
10 lexa 5 bc 2
5 metfor 28 borax 1
10 natri 6 c 10
10 pml 10 cefa 10
1 pml 5 ctm 10
1 pml 10 ctm 10
1 pml sir 1 ctm 10
10 spasmi 9 ctm 10
dextral 9
dextral 9
garam 6
genta sk 1
gg 9
gg 2
glime 14
ibu4 9
kalk 7
kalk 7
kotrim 20
lexa 7
lexa 7
matri 6
metfor 28
metfor 14
natri 6
ome 6
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 5
pml 10
pml 10
pml sir 1
valved 2
zink 10
 22-Jan 23-Jan 24-Jan 25-Jan 26-Jan
amlo5 14 amlo5 14 amlo5 14 amlo5 14 amlo5 14
ctm 10 amok 8 amlo5 7 amlo5 14 amok 15
ctm 10 amok 15 amok 15 amlo5 14 antsd 5
gg 9 amok sir 1 antsd 9 antsd sir 1 b1 10
gg 9 asmef 9 antsd sir 1 asmef 9 b1 28
b1 14 asmef 10 b1 28 b1 28
b1 14 asmef 9 b1 28 bc 9
b1 14 b1 14 b1 28 bc 6
bc 4 b1 14 b1 14 bc 6
bisop 14 b1 10 bc 9 bisop 14
cap12,5 28 cenfres 3 bc 4 dextral 9
ctm 10 dz2 5 dema 9 domperi 5
ctm 5 kalium 10 gg 4 metfor 28
ctm 10 keto 10 gg 9 pml 10
ctm 4 lora 7 ibu4 9 pml 5
genta sk 1 mico 1 kalk 5 pml 10
gg 9 natri 6 melox 3 pml 10
gg 4 pml 10 natri 6
kalk 14 pml 10 pml sir 1
lexa 5 pml sir 1 salbu2 9
lora 5 pml sir 1 valved 4
pml 10 sabun 1
pml 5 Sali 1
pml 10 simvas 7
pml 10
pml 4
valved 9
27-Jan 28-Jan 29-Jan 30-Jan 31-Jan
amlo5 14 amlo5 14 amlo5 28 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amlo5 28
amlo5 14 amlo5 14 amlo5 14 anti 3
amok 15 amok 15 amlo5 14 antsd 9
antsd 9 amok 15 asmef 10 antsd 9
antsd 9 amok 8 b1 28 asmef 9
antsd 9 amok 15 b1 10 asmef 9
antsd 5 amok sir 1 b1 28 b1 14
asmef 9 amok sir 1 b1 28 b1 14
asmef 9 antsd 9 bc 9 bc 9
asmef 9 antsd 9 betahis 9 bc 4
b1 14 b1 28 betahis 9 bc 9
b1 14 b1 14 dema 9 betahis 9
b1 14 b1 14 dextral 9 bromhex 9
bc 2 b1 10 dimen 9 c 6
bc 9 bc 6 gg 9 cap12,5 28
cap12,5 28 bc 6 ibu4 10 ctm 10
ctm 10 bc 6 metfor 10 ctm 4
ctm 10 betahis 10 mola 10 dextral 9
ctm 10 cap12,5 28 pml 10 gg 4
ctm 3 ctm 4 pml 10 glime 14
ctm 5 dema 9 k 6
ctm 5 dextral 9 lexa 5
domper sir 1 dextral 9 metfor 28
gg 9 garam 6 mico 1
gg 9 gg 4 mola 5
gg 9 gg 8 pml 10
gg 3 kalk 3 pml 10
gg 9 metfor 28 pml 10
gg 5 metfor 28 pml 10
gg 5 mola 3 pml sir 1
glime 14 natri 6 pml sir 1
glime 14 neo 1 thiam 20
khloram tm 1 pml 5
metfor 28 pml 10
pml 10 pml 3
pml 10 pml 8
pml 10 pml 10
pml 10 pml 10
pml 10 pml 10
pml 10 pml sir 1
pml 10 reco sir 1
pml 10 zink 6
pml 5
pml sir 1
rani 6
Sali 1
 REKAPAN PEMAKAIAN

BULADESEMBER 2018

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg 0 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 28 28 14 28 0
22 amlo AMLODIPIN 10 mg 0 0 0 0 0
23 amok AMOXICILLIN 500mg 15 13 45 15 23
24 amok sir AMOXICILLIN SYR 0 0 1 0 0
25 ant ANTALGIN 500mg 0 0 0 0 0
26 antsd ANTASID 9 9 0 0 0
27 antsd sir ANTASIDA SYR 0 2 1 0 0
28 anti ANTIHEMOROID SUPP 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 2 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 0 0 27 9 9
35 ATROPIN INJ 0 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0 0
37 baci BACITRACIN 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0
39 betahis BETAHISTIN 9 0 9 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 0 0
44 bisa supp BISACODYL SUPP 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 0 0
47 BUSCOPAN INJ 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 28 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0
55 cefa CEFADROXIL 500mg 10 0 0 10 0
56 cefa sir CEFADROXIL SYR 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 3 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0
67 cetirizin CETIRIZIN 0 0 5 5 0
68 cimet CIMETIDIN 200mg 0 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 10 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0 0
75 calusol CALLUSOL 0 0 0 0 0
76 dema DEMACOLIN 0 0 9 9 0
77 dexa DEXAMETASON 0,5mg 0 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0 0
79 dextral DEXTRAL 0 0 0 9 0
80 dz2 DIAZEPAM 2mg 0 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0
 85 dimen DIMENHIDRINAT 0 0 0 0 0
86 domperi DOMPERIDON 0 0 0 0 0
87 domper sir DOMPERIDON SYR 0 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0
95 ethyl ETHYLCHLORIDE 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0
103 garam GARAM ORALIT 200ml 5 6 0 0 6
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0
106 genta sk GENTAMICIN SK 1 0 1 1 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0 0
112 glime GLIMEPIRID 2mg 0 0 0 0 0
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 0 28 21 0 27
115 GLUKOSA 10% 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 9 0 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 12 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 5 0 0 14 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 12 40 13 0 39
138 khloram sm KLORAMFENIKOL SM 0 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0
143 KLORIN 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 20 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0
148 lacto LACTO B 0 3 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0
152 lora LORATADIN 10mg 0 5 0 0 0
153 lyteer LYTEER TM 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0
155 metfor METFORMIN 500mg 0 0 0 28 0
156 methil METHILPREDNISOLON 4mg 0 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0
163 mico MIKONAZOL cr 0 1 0 0 0
164 MINERAL MIX 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0
166 molagit MOLAGIT 10 5 0 0 5
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 0 0 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 15 0 5 5 0
169 myta MYTADERM SALP 0 0 0 0 0
170 mola MOLANEURON 0 0 0 0 0
171 nacl NACl INFUS 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 0 0 0
173 neo NEOKAOMINAL SYR 0 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0
177 norit NORIT 0 0 0 0 0
178 obh OBH SYR 0 0 0 0 0
179 obp OBP SYR 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0 0
182 OTTOPAIN TT 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0
188 pml PARASETAMOL 500mg 50 55 0 20 35
189 pml sir PARASETAMOL SYR 120mg/5ml 1 3 0 0 0
190 pml drop PARACETAMOL DROP 0 0 0 0 0
191 pedi PEDITOK 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 1 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0 0
200 pred PREDNISSON 5mg 0 0 6 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0
203 rani RANITIDIN 150mg 0 0 0 0 0
204 RANITIDIN INJ 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 1 0 0 0
216 scabi SCABICID CREAM 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 10 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 0 0 0
219 indra SIRUP INDRA 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 66 42 0 42 0
225 THIAMPHENIKOL SYR 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 11 5 9 0 4
233 valved VALVED 9 0 0 0 0
234 zink ZINC 20 mg 10 0 0 0 0
235 zink syr rekjan18 0 0 0 0 0
236 ksr KSR 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 0 0
248 band BAND AID / HANSAPLAST 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0
270 silk SILK 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP 10 16 8 6 6
2 JUMLAH RESEP PUYER 1 0 1 0 1
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 28 0 0 14 42 14 43 0 0 14 42 14 14 21 42 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 15 0 15 30 15 0 30 23 0 0 45 0 23 15 0 15
0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0
9 0 0 0 0 9 0 9 0 0 0 0 0 0 0 0 0
0 9 0 0 18 0 9 9 9 9 0 18 0 0 9 0 5
0 0 2 0 0 10 0 0 0 1 0 1 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 9 18 9 0 0 9 0 0 0 0 9 19 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 0 0 0 9 9 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0 0 14 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 56 0 28 0 0 0 28 0 0 0 0 28 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 5 0 0 0 0 0 0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 0 0 0 0 0 0 0 18 0 0 0 0 9
0 0 2 0 0 6 3 0 3 0 0 0 0 0 5 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 9 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5
0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 6 6 0 0 6 12 0 6 0 6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 0 0 14 0 0 14 0 0 14 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 9 4 0 0 19 5 0 3 11 18 13 0 13 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 0 0 18 9 0 0 0 0 9 0 0 0 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 0 16 0 0 6 0 0 0 0 0 10 0 0
0 30 10 0 0 0 7 5 7 0 0 14 0 14 0 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 7 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 20 0 20 4 0 0 10 5 0 3 40 20 29 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 20 0 0 0 0 20 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 5 7 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0
28 0 56 0 0 84 0 0 28 0 0 42 0 0 0 0 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 10 0 0 0 10 0 10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0
0 0 5 0 0 5 7 0 5 0 0 14 0 5 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 6 0 0 6 0 0 6 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 40 3 20 23 30 20 10 25 0 0 85 0 39 20 0 35
0 0 6 0 0 0 0 2 1 0 0 1 0 0 2 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 70 70 14 38 42 28 56 42 0 28 42 0 42 38 98 66
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 39 6 0 4 27 9 18 18 5 0 26 0 4 0 13 21
0 0 0 0 0 0 0 0 0 0 0 2 0 9 0 4 0
0 0 10 0 0 0 0 10 0 0 0 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

AGUSTUS
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
6 9 17 4 7 10 4 10 8 2 3 14 2 10 9 7 6
0 0 0 0 1 0 0 0 0 0 1 1 0 1 0 1 0
0 0 1 0 0 2 1 0 1 0 0 0 0 0 1 0 0
 JUML KETERANGAN
27 28 29 30 31 AH
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
42 42 70 42 610
0 0 0 0 0
15 53 0 0 420
0 2 0 0 6
0 0 0 0 27
32 18 0 18 181
0 0 0 0 19
0 0 0 3 3
0 0 0 0 0
0 0 0 0 0
0 0 0 6 18
0 0 0 0 0
0 0 0 0 0
27 0 10 18 191
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 10 18 9 82
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 42
0 0 0 0 0
0 0 0 0 0
0 0 0 9 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
28 28 0 28 252
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 30
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 11
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 14
0 0 0 0 0
0 0 0 0 0
0 0 0 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 9 9 0 55
0 0 0 0 0
0 0 0 0 0
0 18 9 9 81
0 0 0 0 19
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 0 45
0 0 0 0 5
1 0 0 0 3
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 6 6
0 0 0 0 0
0 6 0 0 71
0 0 0 0 0
0 0 0 0 0
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
28 0 0 14 112
0 0 0 0 0
49 12 9 4 254
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 0 73
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 56
0 3 0 0 114
0 0 0 0 0
0 0 0 0 17
0 0 0 0 0
43 4 0 14 326
0 0 0 0 0
1 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 60
0 0 0 0 0
0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 17
0 0 0 0 0
0 0 0 0 3
28 56 10 28 416
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1 4
0 0 0 0 0
0 0 0 0 0
0 0 0 0 60
0 1 0 0 3
0 0 0 5 71
0 0 0 0 0
0 3 10 5 18
0 0 0 0 0
0 6 0 0 30
0 1 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
85 56 20 40 711
1 1 0 2 21
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
6 0 0 0 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 9
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 0 0 0 3
0 0 0 0 0
0 0 0 0 10
0 0 0 0 7
0 0 0 0 0
0 0 0 0 9
0 0 0 0 0
0 0 0 0 30
0 0 0 20 20
42 66 94 28 1105
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
11 18 9 22 288
0 0 0 0 24
0 6 0 0 46
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

total
27 28 29 30 31
14 12 6 10 216
1 1 0 1 11
0 0 0 0 6
 LAPORAN PE

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE

NO NAMA OBAT/ALKES SAT

AWAL MAAN DIAAN

1 ACETOSAL 100mg/80 mg TAB 0 0

2 ACIKLOVIR 400mg TAB 107 107
3 ACIKLOVIR KRIM TUBE 7 20 27
4 ADONA INJ AMP 0 0
5 ADONA TAB TAB 0 0
6 ALBENDAZOL TAB 0 0
7 ALBENDAZOL SYR BTL 0 0
8 ALBOTYL CONC BTL 0 0
9 ALINAMIN F INJ AMP 0 0
10 ALINAMIN F TAB TAB 80 80
11 ALKOHOL 70% BTL 0 0
12 ALKOHOL 95% BTL 0 0
13 LITROL TM BTL 5 5
14 ALLOPURINOL 100mg TAB 115 115
15 ALPRAZOLAM 0,5 mg TAB 0 0
16 ALPRAZOLAM 1 MG TAB 0 0
17 AMBROXOL TAB 0 0
18 AMBROXOL SYR BTL 1 1
19 AMINOFILIN 200mg TAB 0 0
20 AMITRIPTILIN 25mg TAB 0 0
21 AMLODIPIN 5 MG TAB 300 900 1200
22 AMLODIPIN 10 mg TAB 0 0
23 AMOXICILLIN 500mg TAB 663 500 1163
24 AMOXICILLIN SYR BTL 6 6
25 ANTALGIN 500mg TAB 791 791
26 ANTASID TAB 680 680
27 ANTASIDA SYR BTL 31 31
28 ANTIHEMOROID SUPP SUPP 13 13
29 ANTRAIN INJ AMP 0 0
30 AQUA PRO INJ BTL 0 0
31 ASAM ASCORBAT 50mg TAB 236 236
32 ASAM ASKORBAT 500mg TAB 0 0
33 ASAM FOLAT 100mg TAB 200 200
34 ASAM MEFENAMAT 500mg TAB 189 400 589
35 ATROPIN INJ AMP 0 0
36 BABY COUGH SYR BTL 10 10
37 BACITRACIN TUBE 0 0
38 BAYCLIN BTL 0 0
39 BETAHISTIN TAB 37 300 337
40 BETAMETASON 0,1% TUBE 0 0
41 BEVALEX CREAM TUBE 8 8
42 BIOPLACENTON TUBE 0 8 8
43 BISOPROLOL 5mg TAB 64 300 364
44 BISACODYL SUPP/ dulcolax supp SUPP 0 0
45 BORAX GLISERIN/GOM BTL 23 23
46 BROMHEXIN 8mg TAB 100 100
47 BUSCOPAN INJ AMP 0 0
48 BETASON N CREAM TUBE 0 0
49 BURNAZINE CREAM TUBE 0 0
50 CALADIN POWDER BTL 0 0
51 CAPTOPRIL 12,5mg TAB 444 444
52 CAPTOPRIL 25mg TAB 74 100 174
53 CATARLENT TM BTL 0 5 5
54 CAZETIN DROP BTL 5 5
55 CEFADROXIL 500mg KAPS 135 100 235
56 CEFADROXIL SYR BTL 17 17
57 CEFIXIM KAPS 0 0
58 CENDO ASTENOF BTL 3 3
59 CENDO AUGENTONIC BTL 3 3
60 CENDO CENFRESH BTL 48 48
61 CENDO HOMATROPIN BTL 0 0
62 CENDO TROPIN 0,5% BTL 0 0
63 CENDO TROPIN 1% BTL 0 0
64 CENDO VITROLENTA BTL 5 5
65 CENDO XITROL SM TUBE 0 0
66 CENDO XITROL TM BTL 0 0
67 CETIRIZIN TAB 155 155
68 CIMETIDIN 200mg TAB 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0
70 CIPROFLOXACIN 500mg TAB 60 60
71 CLINDAMICYN 150mg KAPS 100 100
72 CLINDAMICYN 300mg KAPS 130 130
73 CLOBAZAM 10mg TAB 0 0
74 CODEIN 10 MG TAB 60 60
75 CALLUSOL BTL 0 0
 76 DEMACOLIN TAB 182 182
77 DEXAMETASON 0,5mg TAB 83 100 183
78 DEXAMETASON INJ AMP 0 0
79 DEXTRAL TAB 294 294
80 DIAZEPAM 2mg TAB 66 100 166
81 DIAZEPAM 5mg TAB 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0
84 DIGOXIN 0,25mg TAB 100 100
85 DIMENHIDRINAT TAB 100 100
86 DOMPERIDON TAB 234 234
87 DOMPERIDON SYR BTL 15 15
88 DULKOLAC TAB TAB 20 20
89 EFEDRIN 25mg TAB 3 3
90 EPINEFRIN INJ AMP 0 0
91 ERGOTAMIN MALEAT TAB 0 0
92 ERYTROMICIN 500mg TAB 0 0
93 ERYTROMICIN SYR 125mg/5ml BTL 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0
95 ETHYL CHLORIDE BTL 0 0
96 FASIDOL FORTE TAB 0 100 100
97 FENOBARBITAL 30mg TAB 0 0
98 FENOBARBITAL INJ AMP 0 0
99 FENOL GLISEROL 10% TT BTL 8 8
100 FITOMENADION (VIT K) INJ AMP 0 0
101 FITOMENADION (VIT K) TAB TAB 90 90
102 FUROSEMID 40mg TAB 100 100
103 GARAM ORALIT 200ml SACH 376 376
104 GEMFIBROZIL 300mg KAPS 134 134
105 GEMFIBROZIL 600 mg TAB 0 0
106 GENTAMICIN SK TUBE 23 23
107 GENTAMICIN SM/GENOINT SM BTL 0 10 10
108 GENTAMICIN TM BTL 0 10 10
109 GENTIAN VIOLET 1% BTL 0 0
110 GLAUCON TAB 40 40
111 GLIBENKLAMID 5mg TAB 155 155
112 GLIMEPIRID 2mg TAB 459 459
113 GLIMEPIRID 4 MG TAB 0 0
114 GLISERIL GUAIAKOLAT TAB 417 1000 1417
115 GLUKOSA 10% BTL 0 0
116 GLUKOSA 5% BTL 0 0
117 GRISEOVULVIN 125mg TAB 0 0
118 H2O2 3% BTL 0 0
119 HALDOL INJ AMP 0 0
120 HALOPERIDOL 0,5mg TAB 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0
122 HALOPERIDOL 5mg TAB 175 175
123 HIBISCRUP BTL 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 105 105
125 HIDROKORTISON KRIM 2% TUBE 15 15
126 IBUPROFEN 200mg TAB 64 64
127 IBUPROFEN 400mg TAB 171 171
128 ICHTIOL SALP POT 7 7
129 ISDN 5mg TAB 86 86
130 ISONIAZIDE 100 mg TAB 0 0
131 IBUPROFEN SIRUP BTL 0 0
132 KALIUM DIKLOFENAK 50mg TAB 76 76
133 KALSIUM LAKTAT /KALK TAB 863 863
134 KARMABAZEPIN 200mg TAB 0 100 100
135 KETOKENAZOL 200mg TAB 58 58
136 KETOKONAZOL CREAM TUBE 26 26
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 430 430
138 KLORAMFENIKOL SM TUBE 0 24 24
139 KLORAMFENIKOL TM BTL 8 8
140 KLORAMFENIKOL 250mg TAB 0 0
141 KLORAMFENIKOL SYR BTL 9 9
142 KLORAMFENIKOL TT BTL 0 0
143 KLORIN BTL 0 0
144 KLORPROMAZIN 100mg TAB 50 50
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0
146 KOTRIMOXAZOL 480mg TAB 104 104
147 KOTRIMOXAZOL SUSP BTL 25 25
148 LACTO B SACH 33 33
149 LIDOCAIN 2% AMP 0 0
150 LIDOCAIN COMP AMP 0 0
151 LOPERAMID 2mg TAB 0 0
152 LORATADIN 10mg TAB 96 96
153 LYTEER TM BTL 0 0
154 MELOXICAM 15mg TAB 0 0
155 METFORMIN 500mg TAB 588 900 1488
156 METHILPREDNISOLON 4mg TAB 94 94
157 METOKLORPRAMID 10mg TAB 81 81
158 METOKLORPRAMID INJ AMP 0 0
159 METOKLORPRAMID SYR BTL 0 0
160 METRONIDAZOl 500mg TAB 17 17
161 METYLERGOMETRIN MALEAT 125mg TAB 31 31
162 MIDRIASIL TM BTL 0 0
163 MIKONAZOL cr TUBE 6 24 30
164 MINERAL MIX SACH 0 0
165 MODEKATE INJ AMP 0 0
166 MOLAGIT TAB 146 146
167 RECOVIT SYR BTL 4 10 14
168 LEXAVIT TAB 294 294
169 MYTADERM SALP TUBE 0 0
170 MOLANEURON TAB 0 120 120
171 NACl INFUS BTL 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 240 100 340
173 NEOKAOMINAL SYR BTL 9 9
174 NIFEDIPIN 10mg TAB 0 100 100
175 NISTATIN 100.000 TAB VAG TAB 0 0
176 NISTATIN 500.000 TAB TAB 0 100 100
177 NORIT TAB 0 0
178 OBH SYR BTL 0 60 60
179 OBP SYR BTL 0 0
180 OKSITETRASIKLIN SK TUBE 0 0
181 OMEPRAZOL 20mg TAB 87 87
182 OTTOPAIN TT BTL 0 0
183 OXITETRASIKLIN SM TUBE 0 0
184 ONDANSENTRON INJ AMP 0 0
185 PRENAMIA TAB 0 0
186 PANTOCAIN TM BTL 0 0
187 PAPAVERIN HCL 40mg TAB 0 0
188 PARASETAMOL 500mg TAB 583 1500 2083
189 PARASETAMOL SYR 120mg/5ml BTL 168 168
190 PARACETAMOL DROP BTL 0 10 10
191 PEDITOK BTL 0 0
192 PHENITOIN 100mg TAB 0 0
193 PIRACETAM 400mg TAB 93 93
194 PIRANTEL 125mg TAB 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 442 442
196 PIROXICAM 10mg TAB 0 0
197 PIROXICAM 20mg TAB 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0
199 POVIDON IODIUM 10% 30ml BTL 9 9
200 PREDNISON 5mg TAB 0 100 100
201 PROPANOLOL 40mg TAB 0 0
202 PULMICORT RESPULES AMP 0 0
203 RANITIDIN 150mg TAB 188 188
204 RANITIDIN INJ AMP 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0
207 RINGER LAKTAT BTL 0 0
208 RISPERIDON 2mg TAB 20 20
209 SABUN HIJAU BIJI 19 19
210 SALBUTAMOL 2mg TAB 154 154
211 SALBUTAMOL 4mg TAB 151 151
212 SALEP 2-4 POT 0 24 24
213 SALEP 88 POT 5 5
214 SALEP WF POT 0 0
215 SALISIL BEDAK 2% KTK 2 20 22
216 SCABICID CREAM TUBE 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0
218 SIMVASTATIN 10mg TAB 230 100 330
219 SIRUP INDRA BTL 0 0
220 SPASMINAL TAB TAB 53 53
221 SULFASETAMID TM BTL 0 0
222 TABLET TAMBAH DARAH /FE TAB 1790 1790
223 THIAMFENIKOL 500mg TAB 190 190
224 THIAMIN HCL 50mg (VIT B1) TAB 857 2000 2857
225 THIAMPHENIKOL SYR BTL 0 20 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0
227 TRANSAMIN INJ AMP 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150
229 TRIHEXIPHENIDIL 2mg TAB 100 100
230 TRIVEXAN SYR BTL 0 0
231 VENTOLIN NEBULIZER AMP 0 0
232 VITAMIN B KOMPLEX TAB 812 812
233 VALVED TAB 21 21
234 ZINC 20 mg TAB 230 230
235 ZINC SYR BTL 5 5
236 KSR TAB 0 0
237 SIKZONOATE INJ AMP 0 0
238 CETIRIZIN SIRUP BTL 10 10
239 HIDROCORTISON 1% TUBE 0 0
240 ACYCLOVIR 200 MG TAB 100 100
241 DUVADILAN TAB TAB 0 0
242 CAVIPLEX SYR BTL 0 0
243 CALADINE LOTION BTL 0 0
244 GRANTUSIF TAB 0 0
245 meloxicam 7,5mg TAB 0 0
246 Lanzoprazole KAPS 0 0
247 Amoxicillin Forte Sirup BTL 48 48
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PEMA SISA PEMBERIAN

PERMINTAA PEMBERIAN Expired Date No Batch PKD

KAIAN STOK N PKD PKD 2017 DANA
DAU 2017

0 0
0 107
0 27
0 0
0 0
0 0
0 0
0 0
0 0
0 80
0 0
0 0
0 5
0 115
0 0
0 0
0 0
0 1
0 0
0 0
610 590
0 0
420 743
6 0
27 764
181 499
19 12
3 10
0 0
0 0
18 218
0 0
 0 200
191 398
0 0
0 10
0 0
0 0
82 255
0 0
1 7
0 8
42 322
0 0
0 23
9 91
0 0
0 0
0 0
0 0
252 192
0 174
0 5
0 5
30 205
0 17
0 0
0 3
0 3
11 37
0 0
0 0
0 0
0 5
0 0
0 0
14 141
0 0
0 0
20 40
0 100
0 130
0 0
0 60
0 0
 55 127
0 183
0 0
81 213
19 147
0 0
0 0
0 0
0 100
45 55
5 229
3 12
2 18
0 3
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 8
0 0
6 84
0 100
71 305
0 134
0 0
6 17
0 10
0 10
0 0
0 40
0 155
112 347
0 0
254 1163
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 175
0 0
0 105
0 15
0 64
73 98
0 7
0 86
0 0
0 0
56 20
114 749
0 100
17 41
0 26
326 104
0 24
1 7
0 0
0 9
0 0
0 0
0 50
0 0
60 44
0 25
3 30
0 0
0 0
0 0
17 79
0 0
0 0
416 1072
0 94
0 81
0 0
0 0
0 17
0 31
 0 0
4 26
0 0
0 0
60 86
3 11
71 223
0 0
18 102
0 0
30 310
1 8
0 100
0 0
0 100
0 0
0 60
0 0
0 0
6 81
0 0
0 0
0 0
0 0
0 0
0 0
711 1372
21 147
0 10
0 0
0 0
0 93
0 0
6 436
0 0
0 0
0 0
0 9
6 94
0 0
0 0
12 176
0 0
 0 0
0 0
0 0
0 20
1 18
9 145
0 151
0 24
0 5
0 0
3 19
0 0
0 0
7 323
0 0
9 44
0 0
30 1760
20 170
1105 1752
0 20
0 0
0 0
0 150
0 100
0 0
0 0
288 524
24 -3
46 184
0 5
0 0
0 0
0 10
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 48
 PELAPORAN BULAN : JANUARI 2019
PERMINTAAN BULAN : FEBRUARI 2019

PEMBERIAN

KET
PKDN PKD 2018 BMHP BLUD BSP
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAA
SUB UNIT PELAYANAN

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE PEMA SISA

NO NAMA OBAT/ALKES SAT
AWAL MAAN DIAAN KAIAN STOK
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 100 100 100 0
9 TISSUE GYNAEC ROL 0 0 0 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB
UPT.PUSKESMAS WATES

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt

NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015
AN DAN LEMBAR PERMINTAAN OBAT
B UNIT PELAYANAN

PELAPORAN BULAN : JANUARI 2019

PERMINTAAN BULAN : FEBRUARI 2019

PERMINTAA PEMBERIAN PEMBERIAN

N KET
PKD PKD 2018 BSP SARPRAS BLUD BMHP

Mojokerto, 8 Februari 2019

PETUGAS GUDANG YANG MELAPOR

UPT.PUSKESMAS WATES

LULUK.ARYANTI,Amd.Far DITA PRISTYTANIA

NIP. 19841209 201403 2 003
 1-Feb 2-Feb 3-Feb 4-Feb 5-Feb 6-Feb
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amok 15 amok 8 amok 15 amlo5 14
antsd 9 amok 15 amok 15 amlo5 14
bc 6 amok 15 amok 15 amlo5 14
bc 3 amok 15 amok 15 amlo5 14
bc 10 amok 15 amok 15 amok 15
ctm 3 antsd 15 amok 15 amok 8
dextral 9 antsd sir 1 antsd 9 antsd 9
dextral 9 asfol 20 antsd 5 antsd 9
gg 3 asmef 10 antsd sir 1 antsd 15
pml 10 b1 14 asmef 9 antsd 9
pml 10 b1 14 b1 14 antsd 9
pml sir 1 bc 5 b1 14 antsd 9
cefa 10 b1 28 asmef 9
ctm 5 b1 28 b1 14
ctm 10 bc 9 b1 14
ctm 10 bc 9 b1 14
ctm 10 bc 9 b1 14
dema 10 bc 9 b1 14
dextral 9 bc 5 b1 14
gg 5 cap12,5 28 bc 9
gg 10 ctm 10 bc 9
gg 9 ctm 5 bc 3
gg 9 ctm 10 bisop 14
gg 9 ctm 10 borax 1
gg 9 dextral 9 bromhex 9
glime 14 domperi 9 cenfres 3
kalk 30 garam 6 ctm 10
metfor 28 gg 9 ctm 10
mico 1 gg 9 ctm 10
oksi sk 1 gg 9 ctm 10
pml 5 gg 5 ctm 10
pml 10 gg 9 ctm 5
pml 10 gg 9 ctm 3
pml 10 gg 9 dimen 9
pml 10 kotrim 10 dulco 4
pml 10 natri 6 garam 6
pml 10 natri 6 garam 6
pml 10 obh 1 garam 6
Sali 1 pml 10 gg 9
thiam 15 pml 10 gg 3
thiam 20 pml 10 kalk 14
valved 9 pml 5 lexa 20
pml 10 lora 5
pml 10 metfor 28
pml 10 metfor 28
pml 5 mico 1
pml 10 molagit 10
pml 10 molagit 10
pml 10 molagit 10
rani 6 pml 10
simvas 7 pml 10
pml 10
pml 10
pml 10
pml 10
pml 5
pml 10
 7-Feb 8-Feb 9-Feb 10-Feb 11-Feb
metfor
glime
pml
amlo5
dimen
pml
antsd
dimen
b1
pml
molagit
garam
antsd
pml sir
asmef
b1
glime
metfor
b1
pml
metylergo
asmef
khloram tm
pml
pml sir
amlo5
dema
gg
b1
amok
gg
ctm
domper sir
bc
12-Feb 13-Feb 14-Feb 15-Feb 16-Feb
17-Feb 18-Feb 19-Feb 20-Feb 21-Feb 22-Feb
pml
pml
pml
pml
pml
pml sir
valved
zink
22-Feb 23-Feb 24-Feb 25-Feb 26-Feb 27-Feb
27-Feb 28-Feb
 REKAPAN PEMAKAIAN OBAT PE
PUSKE

BULAFEBRUARI 2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0
5 adona ADONA TAB 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0
12 ALKOHOL 95% 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 14 14 14 70
22 amlo AMLODIPIN 10 mg 0 0 0 0
23 amok AMOXICILLIN 500mg 15 68 90 23
24 amok sir AMOXICILLIN SYR 0 0 0 0
25 ant ANTALGIN 500mg 0 0 0 0
26 antsd ANTASID 9 15 14 60
27 antsd sir ANTASIDA SYR 0 1 1 0
28 anti ANTIHEMOROID SUPP 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 20 0 0
34 asmef ASAM MEFENAMAT 500mg 0 10 9 9
35 ATROPIN INJ 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0
37 baci BACITRACIN 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0
39 betahis BETAHISTIN 0 0 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 14
44 bisa supp BISACODYL SUPP 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 9
47 BUSCOPAN INJ 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0
50 CALADIN POWDER 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 28 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0
53 catar CATARLENT TM 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0
55 cefa CEFADROXIL 500mg 0 10 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 3
61 homa CENDO HOMATROPIN 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0
75 calusol CALLUSOL 0 0 0 0
76 dema DEMACOLIN 0 10 0 0
77 dexa DEXAMETASON 0,5mg 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0
79 dextral DEXTRAL 18 9 9 0
80 dz2 DIAZEPAM 2mg 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0
 85 dimen DIMENHIDRINAT 0 0 0 9
86 domperi DOMPERIDON 0 0 9 0
87 domper sir DOMPERIDON SYR 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 4
89 efed EFEDRIN 25mg 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0
95 ethyl ETHYLCHLORIDE 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 6 18
104 gemfi GEMFIBROZIL 300mg 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0
110 glaucon GLAUCON 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0
112 glime GLIMEPIRID 2mg 0 14 0 0
113 glime4 GLIMEPIRID 4 MG 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 3 51 59 12
115 GLUKOSA 10% 0 0 0 0
116 GLUKOSA 5% 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 0 30 0 14
134 karbama KARMABAZEPIN 200mg 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 3 35 35 58
138 khloram sm KLORAMFENIKOL SM 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0
143 KLORIN 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 10 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0
148 lacto LACTO B 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0
152 lora LORATADIN 10mg 0 0 0 5
153 lyteer LYTEER TM 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0
155 metfor METFORMIN 500mg 0 28 0 56
156 methil METHILPREDNISOLON 4mg 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
162 MIDRIASIL TM 0 0 0 0
163 mico MIKONAZOL cr 0 1 0 1
164 MINERAL MIX 0 0 0 0
165 MODEKATE INJ 0 0 0 0
166 molagit MOLAGIT 0 0 0 30
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 0 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 0 0 20
169 myta MYTADERM SALP 0 0 0 0
170 mola MOLANEURON 0 0 0 0
171 nacl NACl INFUS 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 12 0
173 neo NEOKAOMINAL SYR 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0
177 norit NORIT 0 0 0 0
178 obh OBH SYR 0 0 1 0
179 obp OBP SYR 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 1 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0
182 OTTOPAIN TT 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0
185 prena PRENAMIA 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0
188 pml PARASETAMOL 500mg 20 75 100 75
189 pml sir PARASETAMOL SYR 120mg/5ml 1 0 0 0
190 pml drop PARACETAMOL DROP 0 0 0 0
191 pedi PEDITOK 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0
203 rani RANITIDIN 150mg 0 0 6 0
204 RANITIDIN INJ 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0
214 sk wf SALEP WF 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 1 0 0
216 scabi SCABICID CREAM 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 7 0
219 indra SIRUP INDRA 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 0 28 84 84
225 THIAMPHENIKOL SYR 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0
232 bc VITAMIN B KOMPLEX 19 5 41 21
233 valved VALVED 0 9 0 0
234 zink ZINC 20 mg 0 0 0 0
235 zink syr rekjan18 0 0 0 0
236 ksr KSR 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0
244 gran GRANTUSIF 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 0
248 band BAND AID / HANSAPLAST 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0
257 masker MASKER +tali 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0
263 loematul LOEMATUL 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0
268 handl HANDSCON L 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0
270 silk SILK 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP 3 13 19 10
2 JUMLAH RESEP PUYER 1 0 0 1
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0
APAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
 AGUSTUS
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
 JUML KETERANGAN
27 28 AH
0
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0
0
0
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112
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196
0
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98
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0
0
0
0
0
 0
0
0
0
0
0
0
0

total
27 28
42
1
0
 LAPORAN PE

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE

NO NAMA OBAT/ALKES SAT

AWAL MAAN DIAAN

1 ACETOSAL 100mg/80 mg TAB 0 0

2 ACIKLOVIR 400mg TAB 107 107
3 ACIKLOVIR KRIM TUBE 27 27
4 ADONA INJ AMP 0 0
5 ADONA TAB TAB 0 0
6 ALBENDAZOL TAB 0 0
7 ALBENDAZOL SYR BTL 0 0
8 ALBOTYL CONC BTL 0 0
9 ALINAMIN F INJ AMP 0 0
10 ALINAMIN F TAB TAB 80 80
11 ALKOHOL 70% BTL 0 0
12 ALKOHOL 95% BTL 0 0
13 LITROL TM BTL 5 5
14 ALLOPURINOL 100mg TAB 115 115
15 ALPRAZOLAM 0,5 mg TAB 0 0
16 ALPRAZOLAM 1 MG TAB 0 0
17 AMBROXOL TAB 0 0
18 AMBROXOL SYR BTL 1 5 6
19 AMINOFILIN 200mg TAB 0 0
20 AMITRIPTILIN 25mg TAB 0 0
21 AMLODIPIN 5 MG TAB 590 600 1190
22 AMLODIPIN 10 mg TAB 0 300 300
23 AMOXICILLIN 500mg TAB 743 400 1143
24 AMOXICILLIN SYR BTL 0 0
25 ANTALGIN 500mg TAB 764 764
26 ANTASID TAB 499 499
27 ANTASIDA SYR BTL 12 12
28 ANTIHEMOROID SUPP SUPP 10 10
29 ANTRAIN INJ AMP 0 0
30 AQUA PRO INJ BTL 0 0
31 ASAM ASCORBAT 50mg TAB 218 218
32 ASAM ASKORBAT 500mg TAB 0 0
33 ASAM FOLAT 100mg TAB 200 200
34 ASAM MEFENAMAT 500mg TAB 398 300 698
35 ATROPIN INJ AMP 0 0
36 BABY COUGH SYR BTL 10 10
37 BACITRACIN TUBE 0 0
38 BAYCLIN BTL 0 0
39 BETAHISTIN TAB 255 255
40 BETAMETASON 0,1% TUBE 0 25 25
41 BEVALEX CREAM TUBE 7 7
42 BIOPLACENTON TUBE 8 8
43 BISOPROLOL 5mg TAB 322 322
0 BISACODYL SUPP/ dulcolax supp SUPP 0 20 20
45 BORAX GLISERIN/GOM BTL 23 23
46 BROMHEXIN 8mg TAB 91 100 191
47 BUSCOPAN INJ AMP 0 0
48 BETASON N CREAM TUBE 0 0
49 BURNAZINE CREAM TUBE 0 0
50 CALADIN POWDER BTL 0 0
51 CAPTOPRIL 12,5mg TAB 192 500 692
52 CAPTOPRIL 25mg TAB 174 174
53 CATARLENT TM BTL 5 5
54 CAZETIN DROP BTL 5 5
55 CEFADROXIL 500mg KAPS 205 205
56 CEFADROXIL SYR BTL 17 17
57 CEFIXIM KAPS 0 30 30
58 CENDO ASTENOF BTL 3 3
59 CENDO AUGENTONIC BTL 3 3
60 CENDO CENFRESH BTL 37 37
61 CENDO HOMATROPIN BTL 0 0
62 CENDO TROPIN 0,5% BTL 0 0
63 CENDO TROPIN 1% BTL 0 0
64 CENDO VITROLENTA BTL 5 5
65 CENDO XITROL SM TUBE 0 0
66 CENDO XITROL TM BTL 0 0
67 CETIRIZIN TAB 141 141
68 CIMETIDIN 200mg TAB 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0
70 CIPROFLOXACIN 500mg TAB 40 100 140
71 CLINDAMICYN 150mg KAPS 100 100
72 CLINDAMICYN 300mg KAPS 130 130
73 CLOBAZAM 10mg TAB 0 0
74 CODEIN 10 MG TAB 60 60
75 CALLUSOL BTL 0 0
 76 DEMACOLIN TAB 127 500 627
77 DEXAMETASON 0,5mg TAB 183 183
78 DEXAMETASON INJ AMP 0 0
79 DEXTRAL TAB 213 213
80 DIAZEPAM 2mg TAB 147 147
81 DIAZEPAM 5mg TAB 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0
84 DIGOXIN 0,25mg TAB 100 100
85 DIMENHIDRINAT TAB 55 200 255
86 DOMPERIDON TAB 229 229
87 DOMPERIDON SYR BTL 12 12
88 DULKOLAC TAB TAB 18 18
89 EFEDRIN 25mg TAB 3 3
90 EPINEFRIN INJ AMP 0 0
91 ERGOTAMIN MALEAT TAB 0 0
92 ERYTROMICIN 500mg TAB 0 0
93 ERYTROMICIN SYR 125mg/5ml BTL 0 100 100
94 ETAKRIDIN (REVANOL) BTL 0 0
95 ETHYL CHLORIDE BTL 0 0
96 FASIDOL FORTE TAB 100 100
97 FENOBARBITAL 30mg TAB 0 0
98 FENOBARBITAL INJ AMP 0 0
99 FENOL GLISEROL 10% TT BTL 8 8
100 FITOMENADION (VIT K) INJ AMP 0 0
101 FITOMENADION (VIT K) TAB TAB 84 84
102 FUROSEMID 40mg TAB 100 100
103 GARAM ORALIT 200ml SACH 305 305
104 GEMFIBROZIL 300mg KAPS 134 134
105 GEMFIBROZIL 600 mg TAB 0 0
106 GENTAMICIN SK TUBE 17 17
107 GENTAMICIN SM/GENOINT SM BTL 10 10
108 GENTAMICIN TM BTL 10 10
109 GENTIAN VIOLET 1% BTL 0 0
110 GLAUCON TAB 40 40
111 GLIBENKLAMID 5mg TAB 155 155
112 GLIMEPIRID 2mg TAB 347 500 847
113 GLIMEPIRID 4 MG TAB 0 0
114 GLISERIL GUAIAKOLAT TAB 1163 1163
115 GLUKOSA 10% BTL 0 0
116 GLUKOSA 5% BTL 0 0
117 GRISEOVULVIN 125mg TAB 0 0
118 H2O2 3% BTL 0 0
119 HALDOL INJ AMP 0 0
120 HALOPERIDOL 0,5mg TAB 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0
122 HALOPERIDOL 5mg TAB 175 175
123 HIBISCRUP BTL 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 105 105
125 HIDROKORTISON KRIM 2% TUBE 15 15
126 IBUPROFEN 200mg TAB 64 64
127 IBUPROFEN 400mg TAB 98 200 298
128 ICHTIOL SALP POT 7 7
129 ISDN 5mg TAB 86 86
130 ISONIAZIDE 100 mg TAB 0 0
131 IBUPROFEN SIRUP BTL 0 0
132 KALIUM DIKLOFENAK 50mg TAB 20 200 220
133 KALSIUM LAKTAT /KALK TAB 749 500 1249
134 KARMABAZEPIN 200mg TAB 100 100
135 KETOKENAZOL 200mg TAB 41 41
136 KETOKONAZOL CREAM TUBE 26 26
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 104 500 604
138 KLORAMFENIKOL SM TUBE 24 24
139 KLORAMFENIKOL TM BTL 7 7
140 KLORAMFENIKOL 250mg TAB 0 100 100
141 KLORAMFENIKOL SYR BTL 9 9
142 KLORAMFENIKOL TT BTL 0 0
143 KLORIN BTL 0 0
144 KLORPROMAZIN 100mg TAB 50 50
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0
146 KOTRIMOXAZOL 480mg TAB 44 200 244
147 KOTRIMOXAZOL SUSP BTL 25 25
148 LACTO B SACH 30 30
149 LIDOCAIN 2% AMP 0 0
150 LIDOCAIN COMP AMP 0 0
151 LOPERAMID 2mg TAB 0 0
152 LORATADIN 10mg TAB 79 79
153 LYTEER TM BTL 0 0
154 MELOXICAM 15mg TAB 0 0
155 METFORMIN 500mg TAB 1072 1072
156 METHILPREDNISOLON 4mg TAB 94 94
157 METOKLORPRAMID 10mg TAB 81 81
158 METOKLORPRAMID INJ AMP 0 0
159 METOKLORPRAMID SYR BTL 0 0
160 METRONIDAZOl 500mg TAB 17 17
161 METYLERGOMETRIN MALEAT 125mg TAB 31 31
162 MIDRIASIL TM BTL 0 0
163 MIKONAZOL cr TUBE 26 26
164 MINERAL MIX SACH 0 0
165 MODEKATE INJ AMP 0 0
166 MOLAGIT TAB 86 150 236
167 RECOVIT SYR BTL 11 5 16
168 LEXAVIT TAB 223 100 323
169 MYTADERM SALP TUBE 0 0
170 MOLANEURON TAB 102 102
171 NACl INFUS BTL 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 310 310
173 NEOKAOMINAL SYR BTL 8 8
174 NIFEDIPIN 10mg TAB 100 100
175 NISTATIN 100.000 TAB VAG TAB 0 0
176 NISTATIN 500.000 TAB TAB 100 100
177 NORIT TAB 0 0
178 OBH SYR BTL 60 60
179 OBP SYR BTL 0 0
180 OKSITETRASIKLIN SK TUBE 0 0
181 OMEPRAZOL 20mg TAB 81 81
182 OTTOPAIN TT BTL 0 0
183 OXITETRASIKLIN SM TUBE 0 0
184 ONDANSENTRON INJ AMP 0 0
185 PRENAMIA TAB 0 0
186 PANTOCAIN TM BTL 0 0
187 PAPAVERIN HCL 40mg TAB 0 0
188 PARASETAMOL 500mg TAB 1372 1372
189 PARASETAMOL SYR 120mg/5ml BTL 147 147
190 PARACETAMOL DROP BTL 10 10
191 PEDITOK BTL 0 0
192 PHENITOIN 100mg TAB 0 0
193 PIRACETAM 400mg TAB 93 93
194 PIRANTEL 125mg TAB 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 436 436
196 PIROXICAM 10mg TAB 0 0
197 PIROXICAM 20mg TAB 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0
199 POVIDON IODIUM 10% 30ml BTL 9 9
200 PREDNISON 5mg TAB 94 94
201 PROPANOLOL 40mg TAB 0 0
202 PULMICORT RESPULES AMP 0 0
203 RANITIDIN 150mg TAB 176 500 676
204 RANITIDIN INJ AMP 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0
207 RINGER LAKTAT BTL 0 0
208 RISPERIDON 2mg TAB 20 20
209 SABUN HIJAU BIJI 18 18
210 SALBUTAMOL 2mg TAB 145 145
211 SALBUTAMOL 4mg TAB 151 151
212 SALEP 2-4 POT 24 24
213 SALEP 88 POT 5 5
214 SALEP WF POT 0 0
215 SALISIL BEDAK 2% KTK 19 19
216 SCABICID CREAM TUBE 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0
218 SIMVASTATIN 10mg TAB 323 323
219 SIRUP INDRA BTL 0 0
220 SPASMINAL TAB TAB 44 44
221 SULFASETAMID TM BTL 0 0
222 TABLET TAMBAH DARAH /FE TAB 1760 1760
223 THIAMFENIKOL 500mg TAB 170 170
224 THIAMIN HCL 50mg (VIT B1) TAB 1752 1752
225 THIAMPHENIKOL SYR BTL 20 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0
227 TRANSAMIN INJ AMP 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150
229 TRIHEXIPHENIDIL 2mg TAB 100 100
230 TRIVEXAN SYR BTL 0 0
231 VENTOLIN NEBULIZER AMP 0 0
232 VITAMIN B KOMPLEX TAB 524 500 1024
233 VALVED TAB -3 180 177
234 ZINC 20 mg TAB 184 184
235 ZINC SYR BTL 5 6 11
236 KSR TAB 0 0
237 SIKZONOATE INJ AMP 0 0
238 CETIRIZIN SIRUP BTL 10 10
239 HIDROCORTISON 1% TUBE 0 0
240 ACYCLOVIR 200 MG TAB 100 100
241 DUVADILAN TAB TAB 0 0
242 CAVIPLEX SYR BTL 0 0
243 CALADINE LOTION BTL 0 0
244 GRANTUSIF TAB 0 0
245 meloxicam 7,5mg TAB 0 0
246 Lanzoprazole KAPS 0 0
247 Amoxicillin Forte Sirup BTL 48 48
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PEMA SISA PEMBERIAN

PERMINTAA PEMBERIAN Expired Date No Batch PKD

KAIAN STOK N PKD PKD 2017 DANA
DAU 2017

0 0
0 107
0 27
0 0
0 0
0 0
0 0
0 0
0 0
0 80
0 0
0 0
0 5
7 108
0 0
0 0
0 0
0 6
0 0
0 0
529 661
49 251
568 575
0 0
54 710
341 158
10 2
3 7
0 0
0 0
108 110
0 0
 40 160
106 592
0 0
10 0
0 0
0 0
6 249
1 24
2 5
0 8
42 280
0 20
0 23
83 108
0 0
0 0
0 0
0 0
310 382
14 160
0 5
0 5
50 155
1 16
0 30
0 3
0 3
3 34
0 0
0 0
0 0
0 5
0 0
0 0
4 137
0 0
0 0
0 140
0 100
0 130
0 0
0 60
0 0
166 461
19 164
0 0
167 46
16 131
0 0
0 0
0 0
0 100
54 201
15 214
3 9
6 12
0 3
0 0
0 0
0 0
0 100
0 0
0 0
0 100
0 0
0 0
1 7
0 0
15 69
0 100
54 251
0 134
0 0
7 10
0 10
0 10
0 0
0 40
14 141
124 723
0 0
385 778
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 175
0 0
0 105
0 15
0 64
118 180
0 7
0 86
0 0
0 0
6 214
163 1086
0 100
5 36
1 25
325 279
2 22
1 6
0 100
9 0
0 0
0 0
0 50
0 0
30 214
0 25
0 30
0 0
0 0
0 0
29 50
0 0
0 0
338 734
6 88
81 0
0 0
0 0
0 17
20 11
 0 0
5 21
0 0
0 0
80 156
9 7
96 227
0 0
5 97
0 0
46 264
0 8
0 100
0 0
0 100
0 0
8 52
0 0
0 0
45 36
0 0
0 0
0 0
0 0
0 0
0 0
952 420
15 132
0 10
0 0
0 0
0 93
0 0
70 366
0 0
0 0
0 0
0 9
0 94
0 0
0 0
54 622
0 0
 0 0
0 0
0 0
0 20
0 18
15 130
0 151
0 24
5 0
0 0
4 15
0
0 0
55 268
0 0
9 35
0 0
60 1700
0 170
1054 698
0 20
0 0
0 0
0 150
0 100
0 0
0 0
446 578
37 140
5 179
0 11
0 0
0 0
0 10
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
8 40
 PELAPORAN BULAN : FEBRUARI 2019
PERMINTAAN BULAN :MARET 2019

PEMBERIAN

KET
PKDN PKD 2018 BMHP BLUD BSP
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAA
SUB UNIT PELAYANAN

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE PEMA SISA

NO NAMA OBAT/ALKES SAT
AWAL MAAN DIAAN KAIAN STOK
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 0 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB
UPT.PUSKESMAS WATES

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt

NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015
AN DAN LEMBAR PERMINTAAN OBAT
B UNIT PELAYANAN

PELAPORAN BULAN : JANUARI 2019

PERMINTAAN BULAN : FEBRUARI 2019

PERMINTAA PEMBERIAN PEMBERIAN

N KET
PKD PKD 2018 BSP SARPRAS BLUD BMHP

Mojokerto, 8 Februari 2019

PETUGAS GUDANG YANG MELAPOR

UPT.PUSKESMAS WATES

LULUK.ARYANTI,Amd.Far DITA PRISTYTANIA

NIP. 19841209 201403 2 003
 1-Mar 2-Mar 3-Mar 4-Mar 5-Mar
amok 15 amlo5 14 amok 15 amok 8
bromhex 9 amok 15 ant 9 bc 6
ctm 10 amok250 sir 1 antsd 10 bc 9
ctm 10 antsd 5 bc 6 bromhex 9
ctm 10 antsd sir 1 bc 4 bromhex 5
dema 9 antsd sir 1 bc 10 bromhex 9
gg 9 antsd sir 1 bc 6 cimet 15
lexa 5 asmef 9 cetirizin 6 ctm 3
mola 10 b1 10 cipro 10 dema 5
pml 10 b6 10 ctm 4 dema 9
pml 10 b6 10 dema 9 dema 9
pml 10 betahis 10 dema 9 dimen 9
bromhex 9 garam 6 dz2 3
bromhex 9 gg 4 gg 3
bromhex 9 khloram sm 1 ibu4 9
c 10 mico 1 ibu4 9
ctm 3 mola 5 metro 15
ctm 6 mola 5 obh 1
ctm 6 molagit 10 pml sir 1
domper sir 1 obh 1 reco sir 1
garam 6 obh 1 salbu2 9
gg 9 pml 10 valved 2
gg 5 pml 10
gliben 14 rani 6
ibu4 9 reco sir 1
ibu4 9 spasmi 9
ibu4 9
ibu4 6
ibu4 9
ibu4 9

lexa 10
lexa 10
lexa 10
molagit 6
ome 6
ome 6
ome 6
ome 6
pml 5
pml 6
rani 10
reco sir 1
reco sir 1
simvas 14
 6-Mar 7-Mar 8-Mar 9-Mar 10-Mar 11-Mar
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 antsd 9 amlo5 14 amlo5
amlo5 14 asmef 9 amlo5 14 amlo5
amlo5 14 bc 6 amok 15 amlo5
amlo5 14 bc 3 amok 15 amlo5
amlo5 14 bc 6 amok 15 amok
amlo5 14 bc 6 b1 28 amok
amlo5 14 bisop 14 b1 28 amok
amok 15 bromhex 9 b1 28 amok
antsd 9 cipro 10 bc 7 amok
antsd sir 1 ctm 10 dema 9 antsd
b1 14 ctm 10 dema 9 asmef
b1 14 ctm 3 dextral 10 b1
b1 28 ctm 10 domperi 9 b1
b1 28 ctm 10 gg 9 b1
b1 28 dema 10 gg 9 b1
b1 28 dema 9 gg 9 bc
b1 28 dexa 10 lexa 5 bc
bc 9 dextral 9 mola 5 bc
cap12,5 28 gg 9 pml 10 betamet
ctm 10 gg 3 pml 10 bromhex
dema 9 gg 9 c
dextral 9 gg 9 cap12,5
dulco 2 keto 7 ctm
garam 6 lora 3 dema
gg 9 lora 3 dema
gg 9 mico 1 dema
glime 14 myta 1 dexa
ibu4 9 obh 1 dimen
metfor 28 obh 1 dz2
metfor 28 pml 10 fe
metfor 28 pml 10 genta tm
molagit 10 pml 10 gg
natri 6 pml 10 gg
pml 10 pml sir 1 gg
pml 10 Sali 1 gg
pml 10 gg
pml 10 kalium
salbu2 9
Sali 1 kotrim sir
lexa
obh
pml
pml
pml
pml
valved
valved
valved
11-Mar 12-Mar 13-Mar 14-Mar 15-Mar
14 amlo5 14 amlo5 14 amlo5 14 amlo5 14
14 amlo5 14 amlo5 14 amlo5 14 antsd 9
14 amok 15 amok 15 amok 15 asmef 9
14 b1 14 amok 15 amok 8 asmef 9
14 b1 14 antsd 9 asmef 9 b1 14
15 bc 6 antsd 5 b1 10 b1 28
9 bc 2 antsd 6 b1 28 b1 14
15 bc 4 antsd 9 bc 3 b1 14
15 bromhex 9 antsd sir 1 bromhex 9 b1 28
15 bromhex 2 bc 3 bromhex 5 bc 2
9 bromhex 9 bc 15 cenfres 3 c 5
9 bromhex 3 c 10 ctm 5 ctm 2
14 ctm 10 c 10 dema 9 dimen 9
28 ctm 2 c 10 dema 9 gg 2
28 ctm 4 c 10 gg 9 gg 5
28 ctm 10 c 10 gg 2 glime 14
9 dextral 9 cefi 10 mola 5 kalk 5
3 gliben 14 ctm 10 obh 1 metfor 28
9 lora 3 ctm 10 pml drop 1 natri 6
1 lora 3 ctm 10 pml sir 1 pml 10
2 mola 7 ctm 10 pml sir 5 valved 5
10 natri 6 ctm 2 pml sir 1
28 obh 1 ctm 10 pml sir 1
3 pml 10 ctm 10 reco sir 1
9 pml 10 dema 9 valved 2
9 pml 10 domperi 5
9 pml 10 garam 5
6 pml 10 genta sk 1
9 pml 10 gg 9
3 pml drop 1 gg 9
10 pml sir 1 gg 9
1 sabun 1 gg 9
9 salbu2 9 gg 9
9 salbu2 9 gg 9
9 Sali 1 gg 5
9 simvas 7 gg 3
9 gg 9
6 gg 9
ibu4 9
1 khloram sm 1
5 lacto 6
1 lexa 10
10 lexa 10
10 lexa 10
10 molagit 10
10 ome 6
6 pml 10
6 pml 10
2 pml 10
pml 10
pml 10
pml 5
pml 10
pml 10
pml sir 1
reco sir 1
salbu2 9
salbu2 9
salbu2 9
salbu2 3
salbu2 9
 16-Mar 17-Mar 18-Mar 19-Mar 20-Mar
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amok 15 amlo5 14
amlo5 14 amlo5 14 amok 8 amlo5 14
amlo5 14 amlo5 14 amok 15 amlo5 14
antsd 10 amok 15 antsd 10 antsd 10
antsd 9 antsd 10 antsd 10 asmef 9
b1 10 antsd 10 antsd 10 asmef 9
b1 10 b1 28 b1 28 b1 14
b1 10 b1 28 b1 28 b1 14
b1 10 b1 28 b1 28 b1 14
b6 10 b1 28 bc 9 b6 20
bc 2 betahis 9 bc 3 bc 9
c 10 borax 1 bromhex 9 bromhex sir 1
cap12,5 28 bromhex 9 bromhex 9 ctm 10
cenfres 3 bromhex 9 bromhex 1 ctm 10
ctm 2 bromhex 2 c 10 dimen 9
ctm 10 c 10 cap12,5 28 dz2 3
ctm 10 c 10 cap12,5 28 kalium 6
ctm 2 c 10 ctm 10 kalk 10
ctm 2 c 10 ctm 5 kotrim sir 1
gg 2 cap12,5 28 dema 9 lexa 10
gg 9 cetirizin 6 garam 6 metfor 28
gg 9 ctm 3 genta sk 1 mola 5
gg 9 dema 9 genta sk 1 obh 1
gg 2 dema 9 gg 2 obh 1
gg 2 dema 9 gg 5 pml 10
glime 14 dema 9 gg 9 pml 10
glime 14 dimen 9 kalium 6 pml 10
glime 14 domperi 9 lexa 5 pml sir 1
ibu4 9 genta tm 1 metfor 28 pml650 9
ibu4 9 gg 9 molagit 10 rani 6
kalk 10 gg 9 pml sir 1 salbu2 9
metfor 28 kalium 6 pml sir 5
metfor 28 pml 10 pml sir 10
ome 6 pml 10 pml sir 10
ome 6 reco sir 1 pml sir 10
pml 5 sabun 1 rani 6
pml 10 valved 2 reco sir 1
pml 10 valved 2
pml sir 1
pml sir 1
reco sir 1
reco sir 1
salbu2 2
salbu2 2
salbu2 2
 21-Mar 22-Mar 23-Mar 24-Mar 25-Mar
amlo5 14 gg 9 amlo5 14 amlo 14
amok 15 amok 15 amlo5 14 amlo 14
asmef 9 pml 10 amok 15 amlo5 14
b1 28 bc 5 amok 15 amlo5 14
b1 14 bisop 14 b1 14 amlo5 14
baby 1 dema 9 bc 20 amok 15
baby 1 b1 28 bc 9 amok250 sir 1
c 10 antsd sir 1 bn1 24 antsd 10
dema 9 rani 6 c 6 asmef 9
garam 6 amlo5 14 ctm 10 b1 28
gg 9 b1 28 ctm 10 b1 28
gg 9 dema 9 b1 28
ibu4 9 fe 10 b1 28
kalk 5 fe 20 b1 14
kotrim 20 gg 9 b1 28
lexa 5 gg 9 bc 6
molagit 10 ibu4 9 bc 6
pml 10 ibu4 9 bc 4
pml 10 kalk 20 bc 10
pml sir 1 lora 6 cap12,5 28
pml sir 1 metfor 14 cefi 10
pml sir 1 mola 7 ctm 4
valved 6 pml 10 dema 9
valved 6 pml 5 dema 9
pml 5 dema 9
pml 10 garam 5
pml 10 gg 9
Sali 1 gg 9
gg 9
gg 9
gg 4
gg 9
kalium 6
kalium 6
kalium 6
kotrim sir 1
lexa 10
litrol 1
mola 4
mola 4
natri 6
natri 6
ome 6
pml sir 1
pml sir 1
reco sir 1
salbu2 9
zink sir 1
 26-Mar 27-Mar 28-Mar 29-Mar 30-Mar
amlo5 14 amlo5 14 amlo5 14 amlo5 14 amlo5 14
amok250 sir 1 amlo5 14 amok 8 asmef 9 amlo5 14
antsd 10 amok 15 antsd 10 b1 28 amok 15
antsd 10 asfol 30 antsd 5 b1 28 antsd 9
b1 10 b1 28 antsd 10 bisop 14 b1 14
bc 2 b1 14 asmef 9 kalk 10 b1 14
bc 4 b1 14 b1 14 pml sir 1 b1 14
c 10 b6 20 b1 14 bc 5
ctm 1 bc 7 bc 3 ctm 5
ctm 4 bc 30 bc 9 ctm 10
fe 10 bisop 7 bc 9 genta sk 1
gg 2 borax 1 cap12,5 28 gg 5
gg 4 dema 9 cap12,5 28 gg 9
gg 9 dz2 3 ctm 3 glime 14
kalk 10 furo 3 ctm 10 kalium 6
keto sk 1 gg 9 ctm 5 metfor 28
lexa 10 gg 9 ctm 10 pml 10
lexa 10 glime 14 ctm 10 pml 10
lexa 10 hct 4 ctm 10 valved 6
lora 6 ibu4 9 gg 3
metfor 28 kalium 6 gg 9
ome 6 kalium 6 gliben 14
pml 10 lora 3 gliben 14
pml sir 1 metfor 28 lora 5
pml sir 10 mola 7 metfor 28
reco sir 1 mola 7 pml 10
salbu2 2 mola 7 pml 10
Sali 1 mola 7 pml 5
pml 10 pml 10
rani 6 pml 10
salbu2 9 rani 6
Sali 1 Sali 1
31-Mar
 REKAPAN PEMAKAIAN

BULAMARET 2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg 0 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 0 14 0 0 112
22 amlo AMLODIPIN 10 mg 0 0 0 0 0
23 amok AMOXICILLIN 500mg 15 15 15 8 15
24 amok sir AMOXICILLIN SYR 0 0 0 0 0
25 ant ANTALGIN 500mg 0 0 9 0 0
26 antsd ANTASID 0 5 10 0 9
27 antsd sir ANTASIDA SYR 0 3 0 0 1
28 anti ANTIHEMOROID SUPP 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 10 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 0 9 0 0 0
35 ATROPIN INJ 0 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0 0
37 baci BACITRACIN 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0
39 betahis BETAHISTIN 0 10 0 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 0 0
44 bisa supp BISACODYL SUPP 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0 0
46 bromhex BROMHEXIN 8mg 9 27 0 23 0
47 BUSCOPAN INJ 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0 28
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0
67 cetirizin CETIRIZIN 0 0 6 0 0
68 cimet CIMETIDIN 200mg 0 0 0 15 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 10 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0 0
75 calusol CALLUSOL 0 0 0 0 0
76 dema DEMACOLIN 9 0 18 23 9
77 dexa DEXAMETASON 0,5mg 0 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0 0
79 dextral DEXTRAL 0 0 0 0 9
80 dz2 DIAZEPAM 2mg 0 0 0 3 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0
 85 dimen DIMENHIDRINAT 0 0 0 9 0
86 domperi DOMPERIDON 0 0 0 0 0
87 domper sir DOMPERIDON SYR 0 1 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0 2
89 efed EFEDRIN 25mg 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0
95 ethyl ETHYLCHLORIDE 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0
103 garam GARAM ORALIT 200ml 0 6 6 0 6
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 14 0 0 0
112 glime GLIMEPIRID 2mg 0 0 0 0 14
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 9 14 4 3 18
115 GLUKOSA 10% 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 51 0 18 9
128 ichtiol ICHTIOL SALP 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 0 0 0 0 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 30 15 4 3 10
138 khloram sm KLORAMFENIKOL SM 0 0 1 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0
143 KLORIN 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0
148 lacto LACTO B 0 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0
152 lora LORATADIN 10mg 0 0 0 0 0
153 lyteer LYTEER TM 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0
155 metfor METFORMIN 500mg 0 0 0 0 84
156 methil METHILPREDNISOLON 4mg 0 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 15 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0
163 mico MIKONAZOL cr 0 0 1 0 0
164 MINERAL MIX 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0
166 molagit MOLAGIT 0 6 10 0 10
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 2 1 1 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 5 30 0 0 0
169 myta MYTADERM SALP 0 0 0 0 0
170 mola MOLANEURON 10 0 10 0 0
171 nacl NACl INFUS 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 0 0 6
173 neo NEOKAOMINAL SYR 0 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0
177 norit NORIT 0 0 0 0 0
178 obh OBH SYR 0 0 2 1 0
179 obp OBP SYR 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0
181 ome OMEPRAZOL 20mg 0 24 0 0 0
182 OTTOPAIN TT 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0
188 pml PARASETAMOL 500mg 30 11 20 0 40
189 pml sir PARASETAMOL SYR 120mg/5ml 0 0 0 1 0
190 pml drop PARACETAMOL DROP 0 0 0 0 0
191 pedi PEDITOK 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 20 0 0 0
196 PIROXICAM 10mg 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0
203 rani RANITIDIN 150mg 0 10 6 0 0
204 RANITIDIN INJ 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 9 9
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0 1
216 scabi SCABICID CREAM 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 14 0 0 0
219 indra SIRUP INDRA 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 9 0 0
221 sulfa SULFASETAMID TM 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 0 10 0 0 168
225 THIAMPHENIKOL SYR 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 0 0 26 15 9
233 valved VALVED 0 0 0 2 0
234 zink ZINC 20 mg 0 0 0 0 0
235 zink syr rekjan18 0 0 0 0 0
236 ksr KSR 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 1 0 0 0
248 band BAND AID / HANSAPLAST 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0
270 silk SILK 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP 5 10 9 6 12
2 JUMLAH RESEP PUYER 0 0 1 1 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 1 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

MARET
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 42 70 28 28 28 14 56 56 14 56 14 14 28 42 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0
0 45 69 15 30 23 0 0 15 38 0 15 15 30 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 9 0 29 0 9 19 20 30 10 0 0 0 10 20
0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 50 0 5 10 40 10 0 10 0 6 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 9 0 0 9 18 0 0 0 18 9 0 0 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0
 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 2 23 0 14 0 0 20 19 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 0 0 0 0 28 28 56 0 0 0 0 28 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 3 0 3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 18 27 0 9 18 0 0 36 9 0 9 9 9 27 0
10 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 10 0 9 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0 0 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 9 0 0 0 9 0 9 0 9 0 0 0 0 0
0 9 0 0 5 0 0 0 9 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 5 0 0 0 0 6 0 6 0 0 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 14 42 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 27 45 0 80 11 7 33 18 16 0 18 9 18 49 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 9 0 0 18 0 0 0 9 0 18 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6 0 0 0 0 0 6 6 6 0 0 0 18 0
0 0 0 0 0 0 5 10 0 0 10 5 0 20 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
43 0 3 26 62 5 2 26 3 15 20 0 0 20 4 5
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0
0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0
0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 6 0 0 0 0 0 0 0 0 0 6 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 28 56 0 28 28 0 0 14 0 28
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 10 0 0 0 0 10 0 10 0 0 0 0
0 0 0 0 1 1 0 2 1 1 0 0 0 0 1 1
0 5 5 0 30 0 0 0 0 5 10 5 0 0 10 30
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 5 0 7 0 5 0 0 0 0 5 0 0 7 8 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 6 0 0 6 0 0 0 0 0 0 0 12 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 1 1 0 1 0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 6 0 0 12 0 0 0 0 0 0 6 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 20 40 60 75 0 10 25 20 0 30 20 10 40 0 10
1 0 0 1 1 8 0 2 0 36 1 3 0 0 2 11
0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 0 0 20 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 6 6 0 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 18 39 0 0 6 0 0 9 0 0 0 9 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 0 0 0 0 0 0 0 0 0 30 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 84 98 28 0 38 98 40 112 84 42 42 56 14 154 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 7 21 12 18 3 2 2 0 12 9 0 5 29 26 6
0 0 14 0 0 2 5 0 2 2 0 12 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MARET
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
11 5 14 10 12 8 7 10 10 11 10 13 3 10 18 6
0 0 1 1 1 1 1 3 1 1 0 0 0 0 1 2
0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0
 JUML KETERANGAN
27 28 29 30 31 AH
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
28 14 14 28 728
0 0 0 0 28
15 8 0 15 416
0 0 0 0 0
0 0 0 0 9
0 25 0 9 223
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 161
0 0 0 0 0
30 0 0 0 30
0 9 9 0 108
0 0 0 0 0
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 19
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
7 0 14 0 49
0 0 0 0 0
0 0 0 0 0
0 0 0 0 146
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 56 0 0 252
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 6
0 0 0 0 15
0 0 0 0 0
0 0 0 0 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
9 0 0 0 258
0 0 0 0 16
0 0 0 0 0
0 0 0 0 37
3 0 0 0 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 45
0 0 0 0 23
0 0 0 0 1
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 0 0 0 3
0 0 0 0 40
0 0 0 0 0
0 0 0 0 0
0 0 0 1 4
0 0 0 0 0
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 28 0 0 56
14 0 0 14 98
0 0 0 0 0
18 12 0 14 468
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 0 0 4
0 0 0 0 0
0 0 0 0 0
9 0 0 0 141
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
12 0 0 6 60
0 0 10 0 70
0 0 0 0 0
0 0 0 0 7
0 0 0 0 1
0 48 0 15 359
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 20
0 0 0 0 3
0 0 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 5 0 0 32
0 0 0 0 0
0 0 0 0 0
28 28 0 28 350
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 56
0 0 0 0 12
0 0 0 0 135
0 0 0 0 1
28 0 0 0 85
0 0 0 0 0
0 0 0 0 30
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 54
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
10 45 0 20 576
0 0 1 0 68
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
20 0 0 0 70
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 6 0 0 46
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 2
9 0 0 0 110
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1 1 0 0 7
0 0 0 0 0
0 0 0 0 0
0 0 0 0 21
0 0 0 0 0
 0 0 0 0 9
0 0 0 0 0
0 0 0 0 50
0 0 0 0 0
56 28 56 42 1260
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
37 21 0 5 286
0 0 0 6 45
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

total
27 28 29 30 31
10 9 3 6 223
0 1 0 0 16
1 0 0 0 4
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE PEMA SISA

PERMINTAA
NO NAMA OBAT/ALKES SAT N PEMBERIAN Expired Date
AWAL MAAN DIAAN KAIAN STOK

1 ACETOSAL 100mg/80 mg TAB 0 0 0 0

2 ACIKLOVIR 400mg TAB 107 107 0 107
3 ACIKLOVIR KRIM TUBE 27 27 27 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 80 80 0 80
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 5 5 0 5
14 ALLOPURINOL 100mg TAB 108 108 0 108
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 6 6 0 6
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 661 600 1261 728 533
22 AMLODIPIN 10 mg TAB 251 251 28 223
23 AMOXICILLIN 500mg TAB 575 500 1075 416 659
24 AMOXICILLIN SYR BTL 0 0 0 0
25 ANTALGIN 500mg TAB 710 710 9 701
26 ANTASID TAB 158 500 658 223 435
27 ANTASIDA SYR BTL 2 2 2 0
28 ANTIHEMOROID SUPP SUPP 7 7 0 7
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 110 200 310 161 149
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 160 160 30 130
34 ASAM MEFENAMAT 500mg TAB 592 592 108 484
35 ATROPIN INJ AMP 0 2 2 0 2
36 BABY COUGH SYR BTL 0 30 30 2 28
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 249 249 19 230
40 BETAMETASON 0,1% TUBE 24 24 1 23
41 BEVALEX CREAM TUBE 5 5 0 5
42 BIOPLACENTON TUBE 8 8 0 8
43 BISOPROLOL 5mg TAB 280 280 49 231
0 BISACODYL SUPP/ dulcolax supp SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 23 23 0 23
46 BROMHEXIN 8mg TAB 108 100 208 146 62
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 382 500 882 252 630
52 CAPTOPRIL 25mg TAB 160 160 0 160
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 5 5 0 5
55 CEFADROXIL 500mg KAPS 155 100 255 0 255
56 CEFADROXIL SYR BTL 16 16 16 0
57 CEFIXIM KAPS 30 30 0 30
58 CENDO ASTENOF BTL 3 3 3 0
59 CENDO AUGENTONIC BTL 3 3 0 3
60 CENDO CENFRESH BTL 34 34 6 28
61 CENDO HOMATROPIN BTL 0 0 0 0
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 5 5 0 5
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 137 137 6 131
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 140 140 20 120
71 CLINDAMICYN 150mg KAPS 100 100 0 100
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 60 60 60 0
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 461 461 258 203
77 DEXAMETASON 0,5mg TAB 164 164 16 148
78 DEXAMETASON INJ AMP 0 9 9 0 9
79 DEXTRAL TAB 46 46 46 0
80 DIAZEPAM 2mg TAB 131 131 12 119
 81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 100 100 0 100
85 DIMENHIDRINAT TAB 201 201 45 156
86 DOMPERIDON TAB 214 214 23 191
87 DOMPERIDON SYR BTL 9 9 1 8
88 DULKOLAC TAB TAB 12 12 2 10
89 EFEDRIN 25mg TAB 3 3 0 3
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 0 0 0 0
93 ERYTROMICIN SYR 125mg/5ml BTL 100 100 0 100
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 100 100 0 100
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 7 7 0 7
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 69 69 0 69
102 FUROSEMID 40mg TAB 100 100 3 97
103 GARAM ORALIT 200ml SACH 251 251 40 211
104 GEMFIBROZIL 300mg KAPS 134 134 0 134
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 10 10 4 6
107 GENTAMICIN SM/GENOINT SM BTL 10 10 0 10
108 GENTAMICIN TM BTL 10 10 2 8
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 40 40 0 40
111 GLIBENKLAMID 5mg TAB 141 141 56 85
112 GLIMEPIRID 2mg TAB 723 723 98 625
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 778 778 468 310
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 175 175 0 175
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 105 105 4 101
125 HIDROKORTISON KRIM 2% TUBE 15 15 15 0
126 IBUPROFEN 200mg TAB 64 64 0 64
127 IBUPROFEN 400mg TAB 180 200 380 141 239
128 ICHTIOL SALP POT 7 7 7 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 214 214 60 154
133 KALSIUM LAKTAT /KALK TAB 1086 1086 70 1016
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 36 36 7 29
136 KETOKONAZOL CREAM TUBE 25 25 1 24
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 279 500 779 359 420
138 KLORAMFENIKOL SM TUBE 22 22 2 20
139 KLORAMFENIKOL TM BTL 6 6 0 6
140 KLORAMFENIKOL 250mg TAB 100 100 0 100
141 KLORAMFENIKOL SYR BTL 0 15 15 0 15
142 KLORAMFENIKOL TT BTL 0 0 0 0
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 50 50 0 50
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 214 214 20 194
147 KOTRIMOXAZOL SUSP BTL 25 25 3 22
148 LACTO B SACH 30 30 6 24
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 50 50 100 32 68
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 734 734 350 384
156 METHILPREDNISOLON 4mg TAB 88 88 0 88
157 METOKLORPRAMID 10mg TAB 0 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 17 17 15 2
161 METYLERGOMETRIN MALEAT 125mg TAB 11 11 0 11
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 21 21 2 19
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 156 156 56 100
167 RECOVIT SYR BTL 7 55 62 12 50
168 LEXAVIT TAB 227 227 135 92
169 MYTADERM SALP TUBE 0 0 0 0
170 MOLANEURON TAB 97 30 127 85 42
171 NACl INFUS BTL 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 264 264 30 234
173 NEOKAOMINAL SYR BTL 8 8 0 8
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 52 52 10 42
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 36 120 156 54 102
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 420 1000 1420 576 844
189 PARASETAMOL SYR 120mg/5ml BTL 132 132 68 64
190 PARACETAMOL DROP BTL 10 10 2 8
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 366 366 70 296
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 9 9 9 0
200 PREDNISON 5mg TAB 94 94 0 94
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 622 622 94 528
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 0 20
209 SABUN HIJAU BIJI 18 18 2 16
210 SALBUTAMOL 2mg TAB 130 130 110 20
211 SALBUTAMOL 4mg TAB 151 151 0 151
212 SALEP 2-4 POT 24 24 0 24
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 15 15 7 8
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 268 268 21 247
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 35 35 9 26
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1700 1700 50 1650
223 THIAMFENIKOL 500mg TAB 170 170 0 170
224 THIAMIN HCL 50mg (VIT B1) TAB 698 1000 1698 1260 438
225 THIAMPHENIKOL SYR BTL 20 20 0 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150 0 150
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 578 578 286 292
233 VALVED TAB 140 140 45 95
234 ZINC 20 mg TAB 179 179 0 179
235 ZINC SYR BTL 11 11 11 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 10 10 0 10
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 meloxicam 7,5mg TAB 0 0 0 0
246 Lanzoprazole KAPS 0 0 0 0
247 Amoxicillin Forte Sirup BTL 40 40 3 37
AR PERMINTAAN OBAT
NAN

PELAPORAN BULAN : MARET 2019

PERMINTAAN BULAN : APRIL 2019

PEMBERIAN

No Batch PKD KET

PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAA
SUB UNIT PELAYANAN

PUSKESMAS WATES
PELAYANAN PUSTU BANCANG

STOK PENERI PERSE PEMA SISA

NO NAMA OBAT/ALKES SAT
AWAL MAAN DIAAN KAIAN STOK
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 0 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB
UPT.PUSKESMAS WATES

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt

NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015
AN DAN LEMBAR PERMINTAAN OBAT
B UNIT PELAYANAN

PELAPORAN BULAN : MARET 2019

PERMINTAAN BULAN : APRIL 2019

PERMINTAA PEMBERIAN PEMBERIAN

N KET
PKD PKD 2018 BSP SARPRAS BLUD BMHP

Mojokerto, 8 April 2019

PETUGAS GUDANG YANG MELAPOR

UPT.PUSKESMAS WATES

LULUK.ARYANTI,Amd.Far DITA PRISTYTANIA

NIP. 19841209 201403 2 003
 1-Apr 2-Apr 3-Apr 4-Apr 5-Apr
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amlo5 14 antsd 15
amok 15 amlo5 14 amok 15
amok 15 amok 15 amok 15
ant 9 amok 8 b1 14
antsd 10 asmef 9 antsd 7 b1 14
asfol 20 b1 14 antsd 10 b1 14
asmef 9 bc 9 asmef 9 b1 14
b1 6 ctm 5 b1 20 b1 14
b1 14 ctm 10 b1 28 b6 10
b6 6 ctm 10 b1 14 bc 9
bc 20 ctm 10 bc 20 bisop 14
bc 6 dimen 10 bc 9 cap12,5 28
bc 6 gg 5 bc 9 dimen 7
betahis 9 gg 9 bc 9 glime 14
c 6 keto 10 bc 15 kalk 7
ctm 10 lexa 5 bc 9 lacto 3
ctm 10 metro 2 bc 10 metfor 28
ctm 10 natri 6 betahis 9 metfor 28
ctm 5 obh 1 betamet 1 metfor 28
ctm 10 obh 1 bisop 14 natri 6
dema 9 obh 1 borax 1 pml 10
gg 9 pml 5 c 10 rani 6
gg 9 pml 10 cenfres 2 salbu2 9
gg 9 pml 10 cenfres 3
gg 5 pml 10 ctm 10
ibu4 9 pml 10 dema 9
kalium 6 pml 10 fe 10
kalk 20 pml 10 fe 10
khloram tm 1 pml sir 1 gg 9
khloram tm 1 salbu2 9 gg 5
lora 3 gg 9
mola 5 k 9
pml 10 kalk 5
pml 10 lacto 2
pml 10 lora 3
pml 10 mola 7
pml 5 obh 1
pml 10 pml 10
rani 6 pml 10
Sali 1 pml 5
pml 10
pml 10
pml 10
pml drop 1
pml drop 1
reco sir 1
reco sir 1
valved 6
valved 5
zink sir 1
 6-Apr 7-Apr 8-Apr 9-Apr 10-Apr
alopu 7 alopu 28 amlo 7 amlo5 20
amlo5 14 amlo5 14 amlo5 7 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amok 15 amok 15
amok 15 amlo5 14 amok 15 antsd 10
amok 15 amlo5 14 antsd 10 antsd 15
amok250 sir 1 amlo5 14 antsd 10 asmef 9
antsd 10 antsd 4 asmef 9 b1 10
asmef 9 b1 14 b1 10
b1 28 b1 14 b1 10 b1 14
b1 14 b1 14 b6 3 b1 14
b1 14 b1 14 bc 6 b6 20
baby 1 b1 14 bc 3 baby 1
baby 1 b1 14 bc 5 bc 20
bc 7 b1 28 bc 3 betahis 9
bc 5 b1 28 bc 6 betahis 9
bc 5 bc 9 bc 6 betahis 9
bc 7 bc 3 bc 9 bromhex 9
cefa 10 bc 9 betamet 1 bromhex 9
ctm 10 cap12,5 28 bromhex 9 cetirizin 5
dema 9 cenfres 1 c 10 ctm 10
dema 9 ctm 3 cazet 1 ctm 10
dema 9 dema 9 ctm 3 fe 30
dema 9 garam 6 ctm 5 gg 9
dexa 9 gg 9 ctm 10 glime 14
dimen 9 kalk 7 ctm 3 kalium 6
gg 9 lora 6 dema 9 kalk 20
gg 9 metfor 28 dema 9 kalk 5
gg 5 molagit 10 dimen 9 kalk 20
gg 9 pml 10 gg 9 metfor 28
gg 9 pml 10 gg 3 metfor 28
lora 3 pml 3 gg 5 pml 10
metfor 28 pml 10 gg 3 pml 10
mola 8 pml 10 gg 9 pml 10
natri 6 sabun 1 gg 9 pml 10
pml sir 1 gg 9
rani 10 glime 14
reco sir 1 hidro 1
ibu4 9
kalium 6
lacto 3
lora 4
metfor 28
mola 4
mola 7
natri 6
pml sir 1
pml sir 1
pml 10
rani 6
valevd 6
valved 6
 11-Apr 12-Apr 13-Apr 14-Apr 15-Apr
amlo 14 amlo5 14 amlo 3 amlo5 14
amlo5 14 amlo5 14 antsd 10 amlo5 14
amlo5 14 amlo5 14 antsd 10 amok 15
antsd 10 amlo5 14 b1 20 asmef 9
antsd 10 amlo5 14 b1 20 asmef 9
asmef 9 b1 28 b6 10 b1 28
b1 20 b1 28 b6 10 bc 6
b1 20 b1 28 betahis 6 bc 6
b1 20 b1 28 c 10 bc 10
b1 20 cipro 10 ctm 10 bromhex 9
b1 28 dimen 9 ctm 10 c 10
bc 3 lora 4 gg 9 cefa 10
bisop 14 lora 3 gg 9 dema 9
c 10 metfor 28 glime 14 dema 9
cap12,5 14 metfor 28 ibu4 9 dema 9
ctm 10 pml 10 ibu4 9 dema 9
ctm 1 pml drop 4 ibu4 9 gg 9
ctm 3 lexa 10 pml 10 gg 9
gg 1 lexa 10 pml 10 gg 9
gg 3 lexa 10 rani 6 gg 9
kalk 10 lexa 20 sabun 1 gliben 7
pml sir 1 lexa 10 salbu2 9 mola 7
pml 10 bc 5 salbu2 9 natri 6
pml 10 bc 10 lexa 10 sabun 1
pml sir 1 lexa 10 valved 6
reco sir 1 lexa 3
salbu2 1
salbu2 3
Sali 1
 16-Apr 17-Apr 18-Apr 19-Apr 20-Apr 21-Apr
amlo5 14 amlo5 14 amok 15
amlo5 14 amlo5 7 amok 15
amlo5 14 amlo5 14 amok250 sir 1
amlo5 14 amok 8 antsd 10
amok 20 amok 15 antsd 10
asmef 9 amok 15 b1 28
b1 14 asmef 9 baby 1
b1 14 b1 20 bc 4
b1 14 b1 10 biopla 1
b1 14 baby 1 bisop 14
b1 10 baby 1 c 6
b1 28 baby 1 c 6
b1 14 beva 1 c 5
bc 7 beva 1 ctm 4
bc 7 c 10 ctm 3
betahis 9 ctm 10 dema 9
cap12,5 28 ctm 10 dema 9
cap12,5 28 fe 30 dema 9
cap12,5 28 genta sm 1 dema 9
cefa 10 gg 9 gg 9
dema 9 gg 5 gg 4
garam 5 gg 9 gg 9
gg 9 gg 9 gg 9
gg 9 gg 9 gg 9
gg 9 gg 9 gg 3
glime 14 kalk 20 gg 9
glime 14 pml 10 lexa 4
ibu4 9 pml 10 lora 5
khloram sm 1 pml 10 mola 4
metfor 28 pml 10 pml 10
metfor 28 pml 10 pml sir 1
metfor 28 pml 5 pml sir 1
mola 7 pml drop 1 pml650 10
natri 6 pml drop 1 pred 18
pml 10 reco sir 1
pml 10
pml 10
pml 10
pred 15
valved 9
valved 9
zink sir 1
 22-Apr 23-Apr 24-Apr 25-Apr 26-Apr
amlo5 14 amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 15 amlo5 14 amlo5 14 amok 15
amlo5 14 amlo5 14 amlo5 14 amlo5 14 asmef 9
amlo5 14 amlo5 14 amok 15 amlo5 14 b1 28
amok 15 amlo5 14 b1 28 amok 15 b1 28
amok 15 b1 14 antsd 10 bisop 14
asfol 10 antsd 10 b1 28 antsd 10 pml 10
asmef 9 antsd 15 b1 14 antsd 10 Sali 1
asmef 9 betahis 9 b1 28 ome 6
asmef 9 b1 28 bromhex 9 b1 28 ome 6
asmef 9 b1 14 c 10 b1 14 ome 6
b1 28 b1 28 ctm 10 b1 28 ome 6
b1 28 b1 28 ctm 10 b6 6 ome 6
b1 5 b1 28 ctm 10 b6 10
b1 14 b1 14 dema 9 c 10
b1 14 b1 28 fe 20 c 10
bc 3 betahis 9 gg 9 ctm 10
betamet 1 bisop 14 gg 9 ctm 10
bromhex 9 bromhex 9 ibu4 9 gg 5
c 10 cap12,5 28 kalk 20 gg 9
ctm 3 ctm 10 metfor 28 gg 9
ctm 10 ctm 10 pml 10 hidro 1
dema 9 dimen 9 hidro 1
domperi 9 dz2 3 ibu4 9
dulco 4 fe 30 k 6
fe 10 garam 6 lora 3
garam 5 genta sk 1 metfor 28
genta sk 1 glime 14 pml 10
gg 9 kalk 20 pml 5
gg 9 kalk 5 pml 10
gg 3 kalk 5 rani 6
gg 9 kalk 5 reco sir 1
glime 14 molagit 10 sk 24 1
ibu4 9 natri 6 valved 6
kalium 6 pml 10 valved 5
kalk 7 pml 10
metfor 28 pml 10
metfor 28 pml 10
mola 7 pml 10
mola 5 pml 10
molagit 12 pml 10
pml 10 rani 6
pml 10 rani 6
pml 10 sabun 1
pml 10
pml sir 1
rani 6
 27-Apr 28-Apr 29-Apr 30-Apr
amlo 14 amlo5 14 amlo5 14
amlo 7 amlo5 28 amlo5 14
amlo5 14 anti 3 amlo5 14
amlo5 14 antsd 10 amlo5 14
amlo5 14 asmef 9 amok 8
amok 15 b1 10 b1 14
amok 15 b1 10 b1 14
b1 10 b1 28 b1 14
b1 10 betamet 1 bc 2
b1 10 c 10 c 5
b1 14 c 10 cenfres 3
b1 20 c 10 ctm 2
b1 10 cap12,5 28 dema 9
b1 10 cipro 10 glime 14
c 10 ctm 10 ibu4 9
cap12,5 1 ctm 10 ibu4 9
ctm 10 ctm 10 k 10
gg 9 ctm 10 metfor 28
gliben 14 gg 9 mola 7
glime 14 kalk 10 mola 7
ibu4 9 obh 1 pml 10
ibu4 9 pml 10 pml 5
ibu4 9 pml 10 Sali 1
ibu4 9 pml 10
ibu4 9
ibu4 9
kalk 10
metfor 28
metfor 28
simvas 14
 REKAPAN PEMAKAIAN OB
P

BULA Apr-19

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg caz 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0 7
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 28 42 28 14 42
22 amlo AMLODIPIN 10 mg 0 0 0 0 0
23 amok AMOXICILLIN 500mg 30 15 38 0 30
24 amok sir AMOXICILLIN SYR 0 0 0 0 0
25 ant ANTALGIN 500mg 9 0 0 0 0
26 antsd ANTASID 10 0 17 15 10
27 antsd sir ANTASIDA SYR 0 0 0 0 0
28 anti ANTIHEMOROID SUPP 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 6 0 10 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 20 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 9 9 9 0 9
35 ATROPIN INJ 0 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0 2
37 baci BACITRACIN 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0
39 betahis BETAHISTIN 9 0 9 0 0
40 betamet BETAMETASON 0,1% 0 0 1 0 0
41 beva BEVALEX CREAM 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 14 14 0
44 bisa supp BISACODYL SUPP 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 0 0
47 BUSCOPAN INJ 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 28 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0 10
56 cefa sir CEFADROXIL SYR 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 5 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0 0
75 calusol CALLUSOL 0 0 0 0 0
76 dema DEMACOLIN 9 0 9 0 36
77 dexa DEXAMETASON 0,5mg 0 0 0 0 9
78 DEXAMETASON INJ 0 0 0 0 0
79 dextral DEXTRAL 0 0 0 0 0
80 dz2 DIAZEPAM 2mg 0 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0
 85 dimen DIMENHIDRINAT 0 10 0 7 9
86 domperi DOMPERIDON 0 0 0 0 0
87 domper sir DOMPERIDON SYR 0 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0
95 ethyl ETHYLCHLORIDE 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 9 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0 0
112 glime GLIMEPIRID 2mg 0 0 0 14 0
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 32 14 23 0 41
115 GLUKOSA 10% 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 9 0 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 6 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 20 0 5 7 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 10 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 45 35 10 0 10
138 khloram sm KLORAMFENIKOL SM 0 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 2 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0
143 KLORIN 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0
148 lacto LACTO B 0 0 2 3 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0
152 lora LORATADIN 10mg 3 0 3 0 3
153 lyteer LYTEER TM 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0
155 metfor METFORMIN 500mg 0 0 0 84 28
156 methil METHILPREDNISOLON 4mg 0 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 2 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0 0
164 MINERAL MIX 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0
166 molagit MOLAGIT 0 0 0 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 2 0 1
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 5 0 0 0
169 myta MYTADERM SALP 0 0 0 0 0
170 mola MOLANEURON 5 0 7 0 8
171 nacl NACl INFUS 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 6 0 6 6
173 neo NEOKAOMINAL SYR 0 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0
177 norit NORIT 0 0 0 0 0
178 obh OBH SYR 0 3 1 0 0
179 obp OBP SYR 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0 0
182 OTTOPAIN TT 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0
188 pml PARASETAMOL 500mg 55 65 55 10 0
189 pml sir PARASETAMOL SYR 120mg/5ml 0 1 0 0 1
190 pml drop PARACETAMOL DROP 0 0 2 0 0
191 pedi PEDITOK 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 6 0 0 10 0
196 PIROXICAM 10mg 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0
203 rani RANITIDIN 150mg 6 0 0 6 10
204 RANITIDIN INJ 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 9 0 9 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 1 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 0 0 0
219 indra SIRUP INDRA 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 20 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 20 14 62 70 56
225 THIAMPHENIKOL SYR 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 32 9 81 9 24
233 valved VALVED 0 0 11 0 0
234 zink ZINC 20 mg 0 0 0 0 0
235 zink syr rekjan18 0 0 0 0 0
236 ksr KSR 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 0 1
248 band BAND AID / HANSAPLAST 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0
270 silk SILK 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP 14 10 18 8 12
2 JUMLAH RESEP PUYER 0 0 0 0 1
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

APRIL
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 21 48 28 70 0 28 56 35 0 56 71 42 56 14
0 7 0 14 0 3 0 0 0 0 0 0 0 0 0
0 30 15 0 0 0 15 20 38 30 15 15 15 15 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 20 25 20 0 20 0 0 0 20 0 25 0 30 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 0 10 0 10 10 0 10 17 10 0 10 20 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 10 0 0 0 0
0 9 9 9 0 0 18 9 9 0 36 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 3 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 27 0 0 6 0 9 0 0 0 9 9 0 0
 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 14 0 0 0 0 0 14 0 14 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 18 0 0 0 9 0 0 0 9 9 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 0 0 14 0 0 0 84 0 0 0 28 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 10 10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 5 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 10 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 18 0 0 0 0 36 9 0 36 9 0 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 9 0 0 0 0 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 4 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 5 0 0 5 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 7 0 0 0 0 0 0 0 0
0 14 14 0 0 14 0 28 0 0 14 14 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 47 9 4 0 18 36 27 50 52 30 0 18 23 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 0 27 0 9 0 0 9 0 9 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 6 0 0 0 0 0 0 0 6 0 0 0 0
7 0 45 10 0 0 0 0 20 0 7 35 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 21 20 14 0 20 0 0 20 7 13 20 30 20 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 4 0 0 7 0 0 0 0 5 0 0 0 3 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 28 56 0 56 0 0 84 0 0 56 0 28 28 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 12 10 0 0 0
0 0 0 1 0 0 0 0 0 1 0 0 0 1 0
0 0 0 0 60 23 0 0 0 4 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 11 0 0 0 0 7 7 0 4 12 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 0 0 0 0 6 6 0 0 0 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 10 40 20 10 20 0 40 55 10 40 70 10 25 10
0 2 0 2 0 0 0 0 0 2 1 0 0 0 0
0 0 0 0 4 0 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 20 0 0 20 0 0 0 0 0 0 0 16 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 15 0 18 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 0 0 0 6 0 0 0 0 6 12 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 1 1 0 0 0 0 1 0 0 0
0 0 0 4 0 18 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 0 0 0 30 0 10 30 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 24 48 108 112 40 28 108 30 28 89 168 84 98 56
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 38 20 3 15 0 22 14 0 4 3 0 0 0 0
0 6 0 0 0 0 6 18 0 0 0 0 0 11 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

APRIL
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
11 15 12 9 5 5 8 13 13 9 14 14 8 11 3
1 3 0 2 0 0 0 0 0 2 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
 JUML KETERANGAN
27 28 29 30 AH
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 35
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
42 42 56 903
21 0 0 45
30 0 8 374
0 0 0 0
0 0 0 9
0 10 0 226
0 0 0 0
0 3 0 3
0 0 0 0
0 0 0 0
10 30 5 168
0 0 0 0
0 0 0 30
0 9 0 153
0 0 0 0
0 0 0 7
0 0 0 0
0 0 0 0
0 0 0 78
0 1 0 4
0 0 0 2
0 0 0 1
0 0 0 84
0 0 0 0
0 0 0 0
0 0 0 63
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 28 0 211
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 3 9
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 5
0 0 0 0
0 0 0 0
0 10 0 20
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 9 189
0 0 0 9
0 0 0 0
0 0 0 0
0 0 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 53
0 0 0 9
0 0 0 0
0 0 0 4
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10 25
0 0 0 0
0 0 0 22
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
14 0 0 21
14 0 14 140
0 0 0 0
9 9 0 451
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 3
0 0 0 0
54 0 18 153
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 24
10 10 0 196
0 0 0 0
0 0 0 10
0 0 0 0
10 40 2 340
0 0 0 1
0 0 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 8
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 34
0 0 0 0
0 0 0 0
56 0 28 560
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 32
0 0 0 6
0 0 0 92
0 0 0 0
0 0 14 75
0 0 0 0
0 0 0 42
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 5
0 0 0 0
0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 30 15 633
0 0 0 9
0 0 0 8
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 75
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 33
0 0 0 0
0 0 0 0
0 0 0 58
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 4
0 0 0 40
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 1 4
0 0 0 0
0 0 0 0
14 0 0 14
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 140
0 0 0 0
84 48 42 1543
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 2 297
0 0 0 52
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

total
27 28 29 30
8 8 9 223
0 0 1 11
0 0 0 1
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN

STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

1 ACETOSAL 100mg/80 mg TAB 0 0 0 0

2 ACIKLOVIR 400mg TAB 107 107 0 107
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 80 80 0 80
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 5 5 0 5
14 ALLOPURINOL 100mg TAB 108 108 35 73
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 6 6 0 6
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 533 900 1433 903 530 900
22 AMLODIPIN 10 mg TAB 223 223 45 178
23 AMOXICILLIN 500mg TAB 659 500 1159 374 785
24 AMOXICILLIN SYR BTL 0 0 0 0
25 ANTALGIN 500mg TAB 701 701 9 692
26 ANTASID TAB 435 435 226 209 400
27 ANTASIDA SYR BTL 0 0 0 0 30
28 ANTIHEMOROID SUPP SUPP 7 7 3 4 10
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

31 ASAM ASCORBAT 50mg TAB 149 300 449 168 281 300
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 130 130 30 100
34 ASAM MEFENAMAT 500mg TAB 484 484 153 331 200
35 ATROPIN INJ AMP 2 2 0 2
36 BABY COUGH SYR BTL 28 28 7 21
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 230 230 78 152 100
40 BETAMETASON 0,1% TUBE 23 23 4 19
41 BEVALEX CREAM TUBE 5 5 2 3 10
42 BIOPLACENTON TUBE 8 8 1 7
43 BISOPROLOL 5mg TAB 231 231 84 147 100
0 BISACODYL SUPP/ dulcolax supp SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 23 23 0 23
46 BROMHEXIN 8mg TAB 62 400 462 63 399
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 630 630 211 419 100
52 CAPTOPRIL 25mg TAB 160 160 0 160
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 5 5 1 4 5
55 CEFADROXIL 500mg KAPS 255 255 30 225
56 CEFADROXIL SYR BTL 0 0 0 0 30
57 CEFIXIM KAPS 30 30 0 30
58 CENDO ASTENOF BTL 0 0 0 0 5
59 CENDO AUGENTONIC BTL 3 5 8 0 8
60 CENDO CENFRESH BTL 28 28 9 19
61 CENDO HOMATROPIN BTL 0 0 0 0
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 5 5 0 5
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 131 131 5 126
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 120 120 20 100
71 CLINDAMICYN 150mg KAPS 100 100 0 100
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

74 CODEIN 10 MG TAB 0 100 100 0 100

75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 203 500 703 189 514 200
77 DEXAMETASON 0,5mg TAB 148 148 9 139
78 DEXAMETASON INJ AMP 9 9 0 9
79 DEXTRAL TAB 0 0 0 0
80 DIAZEPAM 2mg TAB 119 119 3 116
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 100 100 0 100
85 DIMENHIDRINAT TAB 156 156 53 103
86 DOMPERIDON TAB 191 191 9 182
87 DOMPERIDON SYR BTL 8 8 0 8
88 DULKOLAC TAB TAB 10 10 4 6 100
89 EFEDRIN 25mg TAB 3 3 0 3
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 0 0 0 0
93 ERYTROMICIN SYR 125mg/5ml BTL 100 100 0 100
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 100 100 0 100
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 7 7 0 7
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 69 69 25 44
102 FUROSEMID 40mg TAB 97 97 0 97
103 GARAM ORALIT 200ml SACH 211 211 22 189
104 GEMFIBROZIL 300mg KAPS 134 134 0 134
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 6 6 2 4 10
107 GENTAMICIN SM/GENOINT SM BTL 10 10 1 9
108 GENTAMICIN TM BTL 8 8 0 8
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 40 40 0 40
111 GLIBENKLAMID 5mg TAB 85 100 185 21 164
112 GLIMEPIRID 2mg TAB 625 625 140 485
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 310 500 810 451 359 600
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

117 GRISEOVULVIN 125mg TAB 0 0 0 0

118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 175 175 0 175
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 101 101 0 101
125 HIDROKORTISON KRIM 2% TUBE 0 24 24 3 21
126 IBUPROFEN 200mg TAB 64 64 0 64
127 IBUPROFEN 400mg TAB 239 239 153 86 400
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 154 154 24 130
133 KALSIUM LAKTAT /KALK TAB 1016 1016 196 820
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 29 29 10 19 100
136 KETOKONAZOL CREAM TUBE 24 24 0 24
137 KHLORPHENIRAMIN MALEAT (CTM)4 TAB 420 500 920 340 580 400
138 KLORAMFENIKOL SM TUBE 20 20 1 19
139 KLORAMFENIKOL TM BTL 6 6 2 4
140 KLORAMFENIKOL 250mg TAB 100 100 0 100
141 KLORAMFENIKOL SYR BTL 15 15 0 15
142 KLORAMFENIKOL TT BTL 0 0 0 0 10
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 50 50 0 50
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 194 194 0 194
147 KOTRIMOXAZOL SUSP BTL 22 22 0 22
148 LACTO B SACH 24 24 8 16 10
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 68 68 34 34 90
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 384 500 884 560 324 1000
156 METHILPREDNISOLON 4mg TAB 88 88 0 88
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

160 METRONIDAZOl 500mg TAB 2 2 2 0 100

161 METYLERGOMETRIN MALEAT 125mg TAB 11 11 0 11
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 19 19 0 19
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 100 100 32 68 100
167 RECOVIT SYR BTL 50 50 6 44
168 LEXAVIT TAB 92 92 92 0
169 MYTADERM SALP TUBE 0 0 0 0
170 MOLANEURON TAB 42 300 342 75 267
171 NACl INFUS BTL 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 234 234 42 192
173 NEOKAOMINAL SYR BTL 8 8 0 8
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 42 42 5 37
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 102 102 30 72
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 844 600 1444 633 811 1000
189 PARASETAMOL SYR 120mg/5ml BTL 64 100 164 9 155
190 PARACETAMOL DROP BTL 8 8 8 0 20
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 296 296 75 221
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 0 10 10 0 10
200 PREDNISON 5mg TAB 94 94 33 61
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

203 RANITIDIN 150mg TAB 528 528 58 470

204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 0 20
209 SABUN HIJAU BIJI 16 16 4 12
210 SALBUTAMOL 2mg TAB 20 200 220 40 180
211 SALBUTAMOL 4mg TAB 151 151 0 151
212 SALEP 2-4 POT 24 24 1 23
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 8 20 28 4 24
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 247 247 14 233
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 26 26 0 26
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1650 1650 140 1510
223 THIAMFENIKOL 500mg TAB 170 170 0 170
224 THIAMIN HCL 50mg (VIT B1) TAB 438 1000 1438 1438 0 2000
225 THIAMPHENIKOL SYR BTL 20 20 0 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150 0 150
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 292 292 292 0 500
233 VALVED TAB 95 90 185 52 133
234 ZINC 20 mg TAB 179 179 0 179
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 10 10 0 10
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 meloxicam 7,5mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIAN Expired Date No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN PKD PKD 2017 DANA PKDN PKD 2018 BMHP
DAU 2017

246 Lanzoprazole KAPS 0 0 0 0

247 Amoxicillin Forte Sirup BTL 37 37 2 35
 DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN

: APRIL 2019
: MEI 2019

PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
PEMBERIAN

KET
BLUD BSP
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : APRIL 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : MEI 2019

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN

NO NAMA OBAT/ALKES SAT
N
PEMBERIAN
AWAL MAAN DIAAN KAIAN STOK PKD PKD 2018 BSP SARPRAS BLUD BMHP
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 0 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

Mojokerto, 8 Mei 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,Amd.Far DITA PRISTYTANIA

NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003
MAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

: APRIL 2019
: MEI 2019

KET

YANG MELAPOR

DITA PRISTYTANIA
01-Mei 02-Mei 03-Mei 04-Mei 05-Mei
amlo5 9 bisop 14 amlo10 7
amlo5 7 amlo5 14 amlo5 14
amlo5 14 amok 15 amlo5 14
amlo 7 amok sir 1 amlo5 14
amlo5 14 amok sir 1 amlo5 14
amok 15 antsd 9 amlo5 14
amok 15 asfol 30 ant 9
asmef 9 b1 4 antsd 9
b1 14 b1 5 antsd 9
b6 14 b1 14 antsd 9
b6 28 bc 10 asmef 9
b6 28 bromhex 5 b1 14
b6 10 ctm 5 b1 14
c 10 dema 9 b1 28
capt 25 1 dz2 3 b1 14
capt12,5 14 gg 9 b1 10
ctm 9 kalk 30 b6 28
dema 9 pml 9 bc 10
dexa 9 pml 10 bc 6
fe 10 rani 6 biopla 1
fe 30 reco sir 1 bromhex 9
genta sm 1 reco sir 1 ctm 9
gg 9 salbu2 5 dexa 10
kalk 20 fenol 1
khloram tm 1 genta sm 1
mico 1 gg 9
ome 6 gg 9
pml 9 glime 14
pml 5 ibu4 9
pml 9 kalium 6
pml 9 kasa4x5 1
pml 9 lora 3
pml drop 1 metfor 28
pml drop 1 mola 4
pml drop 1 mola 6
pml sir 1 molagit 6
simvas 14 pml 9
pml 9
pml 9
pml 9
pml 9
povi30 1
pred 9
rani 6
rani 6
 06-Mei 07-Mei 08-Mei 09-Mei
amlo5 14 amlo5 14 alopu 28 acy 25
amlo5 14 amlo5 7 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 antsd 9 amlo5 14 amlo5 14
amlo5 14 antsd 9 amlo5 14 b1 28
amlo5 14 antsd 9 amlo5 14 b1 14
amok250 sir 1 asmef 9 amlo5 14 b1 20
antsd 9 asmef 9 amlo5 14 b1 14
antsd sir 1 b1 28 amlo5 14 bc 5
b1 14 b1 14 amok 15 bc 3
b1 10 b1 28 amok 15 bc 5
b1 14 b1 14 antsd 9 c 9
b6 10 bisop 14 antsd 9 ctm 5
b6 6 bromhex 9 b1 14 ctm 3
b6 14 c 10 b1 14 ctm 5
bc 2 c 10 b1 14 gg 5
bc 5 c 9 b1 10 gg 3
cap12,5 14 dema 9 b1 14 gg 5
ctm 2 gg 9 b1 14 kalium 6
ctm 5 gg 9 b1 14 kalk 10
dema 9 gg 9 b1 20 kalk 5
dema 9 gliben 14 bc 20 metfor 28
dema 9 glime 14 bc 5 metfor 28
dema 9 glime 14 bc 20 pml 9
dz2 2 ibu4 9 betahis 9 pml 5
gg 2 ibu4 9 cipro 10 pml sir 1
gg 9 kalk 5 ctm 9 pml sir 1
gg 9 lexa 4 domperi 9 pml sir 1
gg 5 lora 6 fe 30 pml sir 1
gliben 7 metfor 28 fe 30
ibu4 9 ome 6 garam 5
kalium 6 pml 9 gg 9
kalium 6 pml 9 ibu4 9
kalk 14 pml 9 ibu4 9
lexa 4 simvas 14 ibu4 9
metfor 14 kalk 20
mola 4 kalk 5
mola 7 kalk 20
mola 6 khloram tm 1
obh 1 metfor 28
obh 1 molagit 10
ome 6 molagit 10
pml 9 obh 1
pml 9 pml 9
pml sir 1 pml 9
rani 6 pml 9
rani 6 pml 9
vitro 1 salbu2 9
 10-Mei 11-Mei 12-Mei 13-Mei 14-Mei
amlo5 14 b1 14 amlo 14 amlo 14
antsd 9 b1 14 amlo5 14 amlo5 14
b1 14 bc 6 amok 3 amok 5
b6 10 bromhex 9 amok 15 b1 28
bc 3 bromhex 9 amok 15 b1 10
ctm 3 cap12,5 28 amok 15 b1 4
gg 3 cap12,5 28 amok 15 c 6
pml sir 1 dema 9 amok 15 dema 9
rani 6 dextral 9 amok 15 dextral 8
gg 9 asmef 9 dz2 3
ibu4 9 asmef 9 ibu4 10
kalium 6 b1 14 ibu4 9
mola 4 b1 28 lora 5
pml 9 b1 28 obh 1
pml 9 b1 10 pml 5
valved 6 b1 28 pred 10
b1 10
bc 10
betahis 9
bromhex 9
bromhex 9
cap12,5 14
cap12,5 28
cap12,5 14
cenfres 3
cod10 14
cod10 14
ctm 9
ctm 9
dexa 5
dexa 9
dexa 9
dexa 9
dextral 5
diaz2 6
domperi 9
melox 3
natri 6
natri 6
pml 3
pml 9
rani 6
rani 6
salbu4 9
simvas 10
valved 9
 15-Mei 16-Mei 17-Mei 18-Mei 19-Mei
amlo5 14 amlo5 14 amlo5 14 reco sir 1
amlo5 14 amlo5 14 amok 15 amlo5 14
amok 15 amok 15 antsd 9 amlo5 14
amok 15 ant 9 antsd 9 antsd 9
amok250sir 1 ant 6 bc 28 b1 28
antsd 9 antsd 9 bisop 14 b1 28
b1 14 antsd 9 cetirizin 6 baby 1
bc 14 bc 28 cetirizin 3 bc 3
bc 10 bc 28 dimen 9 bromhex 10
betahis 9 dexa 9 domper sir 1 bromhex 3
cap12,5 14 dextral 9 genta tm 1 cipro 10
cod10 9 dextral 9 gom 1 ctm 5
dexa 9 dextral 9 methil 14 ctm 3
garam 6 glime 14 methil 9 domper sir 1
gom 1 keto 10 ome 6 gg 5
lexa 20 metfor 28 ome 3 kalium 6
lora 6 ome 6 pml 9 metfor 28
lora 3 ome 6 pml 5
metfor 28 ome 6 pml sir 1
molagit 12 pml 9 pml650 73
natri 6 pml 1 pred 10
natri 6 pml 2 salbu2 6
ome 6 pml 2
pml 9 pml sir 1
pml 9 pml sir 1
velved 9 spasmi 9
 20-Mei 21-Mei 22-Mei 23-Mei
alopu 14 amlo5 14 amlo 14 amlo5 14
amlo5 14 amlo5 14 amok 5 amlo5 14
amok 15 amok 8 amok 15 amlo5 14
amok 15 amok 15 amok 15 amlo5 14
amok250sir 1 amok 15 amok 15 amok 15
ant 9 amok sir 1 amok 15 amok 15
asmef 9 antsd 9 ant 9 amok 15
bc 28 bc 6 antsd 9 amok 15
bc 28 betahis 9 antsd 9 ant 9
cetirizin 6 cetirizin 6 antsd 9 ant 9
cetirizin sir 1 ctm 5 b1 28 ant 9
cod10 9 ctm 6 bc 10 asmef 9
ctm 9 dextral 8 bisop 14 asmef 9
dexa 9 dextral 9 bromhex 9 b1 28
dexa 9 dz2 3 cazet 1 bc 10
dextral 9 genta sk 1 cetirizin 6 beva 1
genta sk 1 gliben 14 cod10 14 bromhex 9
glime 14 methil 9 dexa 9 cetirizin 6
metfor 28 methil 14 dexa 9 dexa 9
natri 6 molagit 12 dexa 9 dexa 9
pml 9 natri 6 dextral 5 dextral 9
pml sir 1 natri 6 dextral 9 dz2 6
simvas 14 natri 6 dextral 9 dz2 6
ome 6 dextral 9 dz2 6
pml 5 dz2 6 glime 14
pml 5 garam 6 glime 14
pml 9 hct 7 kalk 14
pred 3 khloram tm 1 keto 20
pred 10 mola 6 keto sk 1
molagit 12 lora 6
ome 6 lora 6
ome 6 metfor 20
pml 5 metfor 14
pml 9 mola 14
pml 9 natri 6
pml 9 natri 6
pml 9 obh 1
pml 9 pml sir 1
pml 9 pml sir 1
pml sir 1 simvas 14
pred 5 valved 9
pred 3
salbu4 9
Sali 1
velved 2
 24-Mei 25-Mei 26-Mei 27-Mei 28-Mei
amlo5 14 amlo5 14 amlo5 14 amlo5
amok 15 amlo5 14 amlo5 14 amlo5
amok 8 amok 8 amok 15 amlo5
ant 9 amok sir 1 amok 15 amlo5
dextral 9 b1 28 amok 6 amlo5
dextral 8 b1 28 ant 9 amlo5
methil 9 b1 28 b1 14 amok
mola 6 betahis 9 b1 28 amok
natri 6 bisop 14 baby 1 ant
pred 10 dextral 8 cazet 1 antsd
dextral 9 cetirizin 6 asmef
genta tm 1 dexa 9 b1
pml 5 dexa 8 b1
pml 10 dextral 8 b1
pred 7 glime 14 bc
ibu2 9 cetirizin
keto 10 cipro
keto sk 1 ctm
lora 3 dextral
metfor 28 dextral
pml 6 dextral
dextral
dextral
garam
glime
kalk
metfor
metfor
methil
methil
methil
molagit
pml
pml
pml
pml
pml
salbu2
salbu4
simvas
28-Mei 29-Mei 30-Mei 31-Mei
14 amlo 14 amlo5 14
14 amlo5 14 amlo5 14
14 amok 6 amlo5 14
14 amok 15 amlo5 14
14 amok 8 amok 15
14 ant 9 amok 15
15 ant 3 antsd 10
15 asmef 9 antsd 9
9 b1 14 asmef 9
10 dextral 5 b1 28
9 dextral 9 b1 28
14 dextral 8 b1 28
14 dz2 6 b1 28
28 genta tm 1 bc 10
14 ibu4 9 bisop 14
6 methil 5 bromhex 9
10 mola 10 dema 9
5 mola 10 dextral 9
9 pml 4 dextral 5
7 pml 4 domperi 9
9 pml 5 dz2 3
9 pml 10 garam 6
8 rani 6 glime 14
6 Sali 1 lora 3
14 valved 4 lora 3
14 metfor 28
28 metfor 28
14 mola 10
8 molagit 10
9 natri 6
5 ome 6
10 simvas 14
10 atropin 4
9 fasi 100
9
10
5
10
9
14
 REKAPAN PEMAKAIAN

BULAN: MEI 2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg 0 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 44 14 70 84 35
22 amlo AMLODIPIN 10 mg 7 0 0 0 0
23 amok AMOXICILLIN 500mg 30 0 0 0 0
24 amok sir AMOXICILLIN SYR 0 2 0 0 0
25 ant ANTALGIN 500mg 0 0 9 0 0
26 antsd ANTASID 0 9 27 9 27
27 antsd sir ANTASIDA SYR 0 0 0 1 0
28 anti ANTIHEMOROID SUPP 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 10 0 0 0 29
32 ASAM ASKORBAT 500mg 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 30 0 0 0
34 asmef ASAM MEFENAMAT 500mg 9 0 9 0 18
35 atropin ATROPIN INJ 0 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0 0
37 baci BACITRACIN 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0
39 betahis BETAHISTIN 0 0 0 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 1 0 0
43 bisop BISOPROLOL 5mg 0 14 0 0 14
44 bisa supp BISACODYL SUPP 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 5 9 0 9
47 BUSCOPAN INJ 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 14 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0 0
75 calusol CALLUSOL 0 0 0 0 0
76 dema DEMACOLIN 9 9 0 36 9
77 dexa DEXAMETASON 0,5mg 9 0 10 0 0
78 DEXAMETASON INJ 0 0 0 0 0
79 dextral DEXTRAL 0 0 0 0 0
80 dz2 DIAZEPAM 2mg 0 3 0 2 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0
 85 dimen DIMENHIDRINAT 0 0 0 0 0
86 domperi DOMPERIDON 0 0 0 0 0
87 domper sir DOMPERIDON SYR 0 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0
95 ethyl ETHYLCHLORIDE 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 1 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 1 0 1 0 0
108 genta tm GENTAMICIN TM 0 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 7 14
112 glime GLIMEPIRID 2mg 0 0 14 0 28
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 9 9 18 25 27
115 GLUKOSA 10% 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 0 9 9 18
128 ichtiol ICHTIOL SALP 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 6 12 0
133 kalk KALSIUM LAKTAT /KALK 20 30 0 14 5
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 9 5 9 7 0
138 khloram sm KLORAMFENIKOL SM 0 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 1 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0
143 KLORIN 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0
148 lacto LACTO B 0 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0
152 lora LORATADIN 10mg 0 0 3 0 6
153 lyteer LYTEER TM 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0
155 metfor METFORMIN 500mg 0 0 28 14 28
156 methil METHILPREDNISOLON 4mg 0 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0
163 mico MIKONAZOL cr 1 0 0 0 0
164 MINERAL MIX 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0
166 molagit MOLAGIT 0 0 6 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 2 0 0 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 0 0 4 4
169 myta MYTADERM SALP 0 0 0 0 0
170 mola MOLANEURON 0 0 10 17 0
171 nacl NACl INFUS 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 0 0 0
173 neo NEOKAOMINAL SYR 0 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0
177 norit NORIT 0 0 0 0 0
178 obh OBH SYR 0 0 0 2 0
179 obp OBP SYR 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0
181 ome OMEPRAZOL 20mg 6 0 0 6 6
182 OTTOPAIN TT 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0
188 pml PARASETAMOL 500mg 41 19 45 18 27
189 pml sir PARASETAMOL SYR 120mg/5ml 1 0 0 1 0
190 pml drop PARACETAMOL DROP 3 0 0 0 0
191 pedi PEDITOK 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 80 0 28 30 0
196 PIROXICAM 10mg 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 1 0 0
200 pred PREDNISSON 5mg 0 0 9 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0
203 rani RANITIDIN 150mg 0 6 12 0 0
204 RANITIDIN INJ 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 5 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0 0
218 simvas SIMVASTATIN 10mg 14 0 0 0 14
219 indra SIRUP INDRA 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 40 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 14 23 80 38 84
225 THIAMPHENIKOL SYR 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 0 10 16 7 0
233 valved VALVED 0 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0 0
235 zink syr rekjan18 0 0 0 0 0
236 ksr KSR 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 1 0
248 band BAND AID / HANSAPLAST 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 1 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0
270 silk SILK 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP 15 6 14 13 10
2 JUMLAH RESEP PUYER 0 0 0 2 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

MEI
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
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0 25 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 10 0 0 0 0 0 14 0 0 14 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 76 14 28 118 42 14 0 0 56 0 0 28 28 0 84
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 13 3 6 10 0 24 56 28 3 56 6 10 10 0 0
0 0 0 6 9 0 0 0 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
10 11 3 5 14 5 9 11 5 6 5 7 13 12 3 5
0 3 1 0 0 1 0 3 1 1 0 2 1 0 1 1
0 0 0 0 2 0 1 0 0 0 1 0 1 0 0 0
 JUML KETERANGAN
27 28 29 30 31 AH
0 0 0 0 0
0 0 0 0 25
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 42
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
28 84 14 56 863
0 0 14 0 63
36 30 29 30 567
0 0 0 0 4
9 9 12 0 108
0 10 0 19 218
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 54
0 0 0 0 0
0 0 0 0 30
0 9 9 9 108
0 0 0 4 4
1 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 45
 0 0 0 0 0
0 0 0 0 1
0 0 0 0 1
0 0 0 14 84
0 0 0 0 0
0 0 0 0 2
0 0 0 9 99
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 140
0 0 0 0 0
0 0 0 0 0
1 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 6 0 0 45
0 0 0 0 0
0 0 0 0 0
0 10 0 0 30
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 60
0 0 0 0 0
0 0 0 9 90
17 0 0 0 149
0 0 0 0 0
8 0 22 14 194
0 0 6 3 44
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 9
0 0 0 9 27
0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 100 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 6 0 6 29
0 0 0 0 0
0 0 0 0 0
0 0 0 0 2
0 0 0 0 2
0 0 1 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 35
14 14 0 14 140
0 0 0 0 0
0 0 0 0 127
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 7
0 0 0 0 0
9 0 0 0 9
0 0 9 0 100
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 36
0 14 0 0 157
0 0 0 0 0
10 0 0 0 40
1 0 0 0 2
0 5 0 0 106
0 0 0 0 0
0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
3 0 0 6 44
0 0 0 0 0
0 0 0 0 3
28 42 0 56 426
0 22 5 0 82
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 10 0 10 82
0 0 0 0 2
0 0 0 0 28
0 0 0 0 0
0 0 20 10 87
0 0 0 0 0
0 0 0 6 72
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 5
0 0 0 0 0
0 0 0 0 0
0 0 0 6 75
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
6 43 23 0 455
0 0 0 0 14
0 0 0 0 3
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 148
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 67
0 0 0 0 0
0 0 0 0 0
0 0 6 0 42
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 10 0 0 30
0 9 0 0 27
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 2
0 0 0 0 0
0 0 0 0 0
0 14 0 14 94
0 0 0 0 0
 0 0 0 0 9
0 0 0 0 0
0 0 0 0 100
0 0 0 0 0
42 56 14 112 1065
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 14 0 10 327
0 0 4 0 28
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

total
27 28 29 30 31
7 12 8 11 220
1 2 3 1 24
0 0 0 0 5
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : MEI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JUNI 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AAN AN Date No Batch PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD DANA PKDN PKD 2018 BMHP BLUD BSP
2017
DAU 2017

1 ACETOSAL 100mg/80 mg TAB 0 0 0 0

2 ACIKLOVIR 400mg TAB 107 107 25 82
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 80 80 0 80
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 5 5 0 5
14 ALLOPURINOL 100mg TAB 73 73 42 31 100
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 6 6 0 6
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 530 900 1430 863 567 900
22 AMLODIPIN 10 mg TAB 178 178 63 115 300
23 AMOXICILLIN 500mg TAB 785 785 567 218 1000
24 AMOXICILLIN SYR BTL 0 10 10 4 6 20
25 ANTALGIN 500mg TAB 692 692 108 584
26 ANTASID TAB 209 200 409 218 191 500
27 ANTASIDA SYR BTL 0 0 1 -1
28 ANTIHEMOROID SUPP SUPP 4 10 14 0 14
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AAN AN Date No Batch PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

31 ASAM ASCORBAT 50mg TAB 281 281 54 227

32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 100 100 30 70 100
34 ASAM MEFENAMAT 500mg TAB 331 200 531 108 423
35 ATROPIN INJ AMP 2 2 4 4 0
36 BABY COUGH SYR BTL 21 21 2 19
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 152 152 45 107
40 BETAMETASON 0,1% TUBE 19 19 0 19
41 BEVALEX CREAM TUBE 3 3 1 2
42 BIOPLACENTON TUBE 7 1 8 1 7
43 BISOPROLOL 5mg TAB 147 200 347 84 263
0 BISACODYL SUPP/ dulcolax supp SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 23 23 2 21
46 BROMHEXIN 8mg TAB 399 399 99 300
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 419 100 519 140 379
52 CAPTOPRIL 25mg TAB 160 160 0 160
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 4 5 9 2 7
55 CEFADROXIL 500mg KAPS 225 225 0 225
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 30 30 0 30
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 8 8 0 8
60 CENDO CENFRESH BTL 19 19 3 16
61 CENDO HOMATROPIN BTL 0 0 0 0
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 5 5 0 5
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 126 126 45 81 50
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 100 100 30 70
71 CLINDAMICYN 150mg KAPS 100 100 0 100
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 100 100 60 40 100
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 514 200 714 90 624
77 DEXAMETASON 0,5mg TAB 139 139 139 0 300
78 DEXAMETASON INJ AMP 9 6 15 0 15
79 DEXTRAL TAB 0 300 300 194 106 400
80 DIAZEPAM 2mg TAB 116 116 44 72
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 100 100 0 100
85 DIMENHIDRINAT TAB 103 103 9 94
86 DOMPERIDON TAB 182 182 27 155
87 DOMPERIDON SYR BTL 8 8 2 6 10
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 3 3 0 3
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AAN AN Date No Batch PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

92 ERYTROMICIN 500mg TAB 0 0 0 0

93 ERYTROMICIN SYR 125mg/5ml BTL 100 100 0 100
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 100 100 100 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 7 7 1 6
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 44 44 0 44
102 FUROSEMID 40mg TAB 97 97 0 97
103 GARAM ORALIT 200ml SACH 189 189 29 160
104 GEMFIBROZIL 300mg KAPS 134 134 0 134
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 4 24 28 2 26
107 GENTAMICIN SM/GENOINT SM BTL 9 9 2 7
108 GENTAMICIN TM BTL 8 8 3 5 5
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 40 40 0 40
111 GLIBENKLAMID 5mg TAB 164 164 35 129
112 GLIMEPIRID 2mg TAB 485 485 140 345 200
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 359 359 127 232 300
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 175 175 0 175
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 101 101 7 94
125 HIDROKORTISON KRIM 2% TUBE 21 21 0 21
126 IBUPROFEN 200mg TAB 64 64 9 55
127 IBUPROFEN 400mg TAB 86 400 486 100 386
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 130 130 36 94 100
133 KALSIUM LAKTAT /KALK TAB 820 820 157 663
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 19 100 119 40 79 50
136 KETOKONAZOL CREAM TUBE 24 24 2 22
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 580 400 980 106 874
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 4 4 3 1 5
140 KLORAMFENIKOL 250mg TAB 100 100 0 100
141 KLORAMFENIKOL SYR BTL 15 15 0 15
142 KLORAMFENIKOL TT BTL 0 8 8 0 8
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 50 50 0 50
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 194 194 0 194
147 KOTRIMOXAZOL SUSP BTL 22 22 0 22
148 LACTO B SACH 16 10 26 0 26
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 34 100 134 44 90 100
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AAN AN Date No Batch PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

153 LYTEER TM BTL 0 0 0 0

154 MELOXICAM 15mg TAB 0 0 0 0 100
155 METFORMIN 500mg TAB 324 324 324 0 700
156 METHILPREDNISOLON 4mg TAB 88 88 82 6 100
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
161 METYLERGOMETRIN MALEAT 125mg TAB 11 11 0 11
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 19 19 1 18
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 68 68 68 0 150
167 RECOVIT SYR BTL 44 44 2 42
168 LEXAVIT TAB 0 200 200 28 172
169 MYTADERM SALP TUBE 0 10 10 0 10
170 MOLANEURON TAB 267 267 87 180
171 NACl INFUS BTL 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 192 192 72 120 100
173 NEOKAOMINAL SYR BTL 8 8 0 8
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 37 37 5 32
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 72 90 162 75 87 150
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 811 1000 1811 455 1356
189 PARASETAMOL SYR 120mg/5ml BTL 155 155 14 141
190 PARACETAMOL DROP BTL 0 0 0 0 30
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 221 221 148 73 300
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 10 10 1 9
200 PREDNISON 5mg TAB 61 61 61 0 200
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 470 470 42 428
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 0 20
209 SABUN HIJAU BIJI 12 12 0 12
210 SALBUTAMOL 2mg TAB 180 180 30 150
211 SALBUTAMOL 4mg TAB 151 151 27 124
212 SALEP 2-4 POT 23 23 0 23
213 SALEP 88 POT 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AAN AN Date No Batch PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD DANA PKDN PKD 2018 BMHP BLUD BSP
2017 DAU 2017

214 SALEP WF POT 0 0 0 0

215 SALISIL BEDAK 2% KTK 24 24 2 22
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 233 233 94 139 90
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 26 100 126 9 117
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1510 1510 100 1410
223 THIAMFENIKOL 500mg TAB 170 170 0 170
224 THIAMIN HCL 50mg (VIT B1) TAB 0 2000 2000 1065 935 2000
225 THIAMPHENIKOL SYR BTL 20 20 0 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150 0 150
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 0 1000 1000 327 673
233 VALVED TAB 133 133 28 105
234 ZINC 20 mg TAB 179 179 0 179
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 10 10 0 10
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 meloxicam 7,5mg TAB 0 0 0 0
246 Lanzoprazole KAPS 0 0 0 0
247 Amoxicillin Forte Sirup BTL 35 35 1 34
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : MEI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JUNI 2019

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN PEMBERIAN

NO NAMA OBAT/ALKES SAT
N KET
AWAL MAAN DIAAN KAIAN STOK PKD PKD 2018 BSP SARPRAS BLUD BMHP
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STER LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0 4
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 0 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

Mojokerto, 13 Juni 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,Amd.Far IRRA REPELITA,A.Md.Kesgi SANDRA ROFIKASARI,A.Md.Farm
NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
01-juni 02-juni 03-juni 04-juni 05-juni 06-juni 07-juni 08-juni 09-juni
 10-juni 11-juni 12-juni 13-juni
amlo5 14 amlo5 14 amlo 14 amlo5 14
amlo5 14 amlo5 14 amlo 14 amlo5 14
amok 8 amlo5 14 amlo 14 amlo5 14
b1 28 amlo5 14 amlo5 14 amok sir 1
cenfres 3 amlo5 14 amlo5 14 b1 28
dextral 8 amlo5 14 amok 15 b1 28
dextral 9 amok sir 1 amok 15 b1 28
glime 14 antsd 9 amok 15 baby 1
litrol 1 antsd 10 ant 9 bc 10
metfor 28 b1 14 ant 9 bc 20
methil 9 b1 14 ant 9 betahis 9
methil 8 b1 14 ant 9 beva 1
obh 1 b1 28 antsd 10 cazet 1
pml 10 b1 14 antsd 10 cetirizin 6
pml sir 1 b1 14 b1 14 dexa 9
simvas 14 b1 28 b1 28 fe 30
halo5 170 bc 9 b1 28 genta sk 1
bc 9 bc 28 kalk 10
bc 2 bc 28 kalk 20
bc 9 bisop 14 keto 10
bisop 14 bromhex 9 keto sk 1
cotrim 20 c 15 metfor 18
ctm 9 cetirizin 6 mico 1
ctm 3 cod10 14 mola 6
ctm 9 ctm 9 natri 6
ctm 9 ctm 9 pml 10
ctm 9 ctm 9 pml 9
ctm 2 dexa 9 pml sir 1
dema 9 dexa 9 pml sir 1
dema 9 dextral 9 pml sir 1
gg 9 dextral 9 pml sir 1
gg 3 dextral 9 pml sir 1
gg 9 domperi 9 pml sir 1
gg 9 fe 30 pml sir 14
gg 9 fe 30 pml sir 1
glime 14 glime 14 pml sir 1
glime 14 kalk 20 pml sir 1
glime 14 kalk 20
glime 14 mola 6
kalium 6 mola 6
kalk 7 ome 6
kalk 7 ome 6
keto 6 pml 10
lora 3 pml 10
metfor 28 pml 10
natri 6 pml 10
obh 1 sabun 1
obh 1
pml 9
pml 4
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml sir 1
sabun 1
simvas 14
valved 3
 14-juni 15-juni 16-juni 17-juni 18-juni
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
antsd 9 amok 15 amlo5 14 amlo5
b1 6 ant 9 amlo5 14 amok
b1 28 betahis 9 amok 15 b1
bisop 14 dextral 9 amok 15 b1
dz2 3 gg 9 amok 15 b1
kalium 6 glime 14 amok 15 bc
mola 6 glime 14 amok 15 ceti sir
mola 6 metfor 28 amok 6 dema
ome 6 metfor 28 ant 9 dexa
pml 9 natri 6 ant 9 dz2
cpz 50 pml 10 asmef 9 furo
simvas 14 asmef 9 genta sk
b1 28 kalium
beva 1 lora
cefa 10 metfor
cetirizin 10 mola
ctm 9 natri
dextral 9 natri
dz2 5 ome
genta tm 1 pml
keto 14
keto sk 1
lexa 6
methil 9
methil 18
methil 5
mola 6
mola 6
natri 6
natri 6
obh 1
pml 10
pml 9
pml 4
valved 9
valved 5
18-juni 19-juni 20-juni 21-juni 22-juni
14 amlo5 14 amlo5 14 amlo5 14 dema
14 bc 20 amlo5 14 amok 8 lexa
14 cetirizin 6 amlo5 14 amok 6 domperi
15 dexa 9 amlo5 14 antsd 10 amlo5
28 dimen 9 amok 15 bc 28 glime
28 dz2 3 amok 15 dexa 5 simvas
28 fe 30 amok sir 1 dextral 8 asmef
6 kalium 6 antsd 10 dextral 5 ibu4
1 kalk 20 antsd 10 dz2 3 dz2
9 mola 6 asmef 9 gliben 14 bc
9 natri 6 b1 6 kalium 6 pml
3 simvas 14 b1 28 kalium 6 dz2
7 tfp 155 b1 6 kalium 6 keto
1 betahis 9 kalk 14 thd
6 cazet 1 mola 6
3 cetirizin 3 pml 5
28 cod10 14 pml 4
6 dexa 9
6 dexa 9
6 dz2 3
6 glime 14
10 lora 3
metfor 28
ome 6
pml 10
pml sir 1
pml sir 1
pml sir 1
pml sir 1
simvas 14
22-juni 23-juni 24-juni 25-juni 26-juni
9 antsd 10 amlo5 14 amok 15
10 ome 6 lora 3 asmef 9
9 domperi 9 molagit 10 antsd 10
14 amok 15 domperi 9 ome 6
14 dextral 9 cipro 10 ant 9
14 pml 10 amok 15 dz2 3
9 amlo5 14 asmef 9 dextral 9
9 ant 9 lora 3
6 dz2 3 pml 10
6 ctm 9 amok 15
10 obh 1 amlo5 14
3 valved 9 betahis 9
10 bc 10 simvas 10
100 amok 15 alopu 10
valved 9 dextral 9
lora 3 glime 14
pml 9 metfor 28
amlo5 14 ome 6
mola 6 pml 10
amok 15 simvas 14
obh 1 dextral 9
amlo 14 pml 10
b1 28 amok 15
natri 6 amlo5 14
mola 6 amlo 14
dexa 9 obh 1
dextral 5 salbu2 9
pml 3 amok 15
dextral 9 amlo5 14
pml 10 dextral 9
amok 15 b1 28
dema 9 amok 15
cod10 14 glime 14
amok 15 metfor 14
salbu2 9 b1 28
bromhex 9
methil 9
 27-juni 28-juni 29-juni 30-juni
amlo5 14 alopu 14 amlo5 14
amlo5 14 amlo5 14 amok 15
amok 15 amlo5 14 amok 15
amok 15 amlo5 14 ant 9
bc 10 amok 15 ant 9
bc 6 amok sir 1 b1 28
dema 9 antsd 10 b1 28
dextral 9 antsd 10 bisop 14
dextral 9 b1 28 bromhex 9
dextral 9 b1 28 dexa 9
dz2 3 baby 1 dextral 9
glime 14 baby 1 dz2 3
metfor 28 bc 9 lora 3
mola 6 bisop 14 mola 10
natri 6 bromhex 9 pml 10
pml 10 bromhex 9 pml 10
pml 10 dz2 5 pml sir 1
pml 10 gg 9 simvas 14
sabun 2 kalium 6
simvas 14 kalium 6
lora 3
metfor 28
metfor 28
methil 10
mola 6
natri 6
ome 6
ome 6
pml 10
pml 10
pml 10
pml 6
salbu2 9
simvas 14
valved 5
 REKAPAN PEMAKAIAN O

BULAN: JUNI2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6 7
1 aceto ACETOSAL 100mg
2 acy ACIKLOVIR 400mg
3 acy sk ACIKLOVIR KRIM
4 adona inj ADONA INJ
5 adona ADONA TAB
6 alben ALBENDAZOL
7 albe syr ALBENDAZOL SYR
8 albo ALBOTYL CONC
9 ALINAMIN F INJ
10 af ALINAMIN F TAB
11 alko70 ALKOHOL 70%
12 ALKOHOL 95%
13 oregan ALLETROL TM/OREGAN TM
14 alopu ALLOPURINOL 100mg
15 alpra ALPRAZOLAM 0,5 mg
16 alpra1 ALPRAZOLAM 1 MG
17 ambrxl AMBROXOL
18 ambrxl sir AMBROXOL SYR
19 amino AMINOFILIN 200mg
20 amitrip AMITRIPTILIN 25mg
21 amlo5 AMLODIPIN 5 MG
22 amlo AMLODIPIN 10 mg
23 amok AMOXICILLIN 500mg
24 amok sir AMOXICILLIN SYR
25 ant ANTALGIN 500mg
26 antsd ANTASID
27 antsd sir ANTASIDA SYR
28 anti ANTIHEMOROID SUPP
29 antra inj ANTRAIN INJ
30 aquapro AQUA PRO INJ
31 c ASAM ASCORBAT 50mg
32 ASAM ASKORBAT 500mg
33 asfol ASAM FOLAT 100mg
34 asmef ASAM MEFENAMAT 500mg
35 ATROPIN INJ
36 baby BABY COUGH SYR
37 baci BACITRACIN
38 bayclin BAYCLIN
39 betahis BETAHISTIN
40 betamet BETAMETASON 0,1%
41 beva BEVALEX CREAM
42 biopla BIOPLACENTON/BISMECON
43 bisop BISOPROLOL 5mg
44 bisa supp BISACODYL SUPP
45 gom BORAX GLISERIN/GOM
46 bromhex BROMHEXIN 8mg
47 BUSCOPAN INJ
48 betason BETASON N CREAM
49 burna BURNAZINE CREAM
50 CALADIN POWDER
51 cap12,5 CAPTOPRIL 12,5mg
52 cap25 CAPTOPRIL 25mg
53 catar CATARLENT TM
54 cazet CAZETIN DROP
55 cefa CEFADROXIL 500mg
56 cefa sir CEFADROXIL SYR
57 cefixim CEFIXIM
58 astenof CENDO ASTENOF
59 augen CENDO AUGENTONIC
60 cenfres CENDO CENFRESH
61 homa CENDO HOMATROPIN
62 CENDO TROPIN 0,5%
63 tropin1 CENDO TROPIN 1%
64 vitro CENDO VITROLENTA
65 xitrol sm CENDO XITROL SM
66 xitrol tm CENDO XITROL TM
67 cetirizin CETIRIZIN
68 cimet CIMETIDIN 200mg
69 CIMETIDIN INJ /ULSIKUR INJ
70 cipro CIPROFLOXACION 500mg
71 clin150 CLINDAMICYN 150mg
72 clin300 CLINDAMICYN 300mg
73 cloba CLOBAZAM 10mg
74 cod10 CODEIN 10 MG
75 calusol CALLUSOL
76 dema DEMACOLIN
77 dexa DEXAMETASON 0,5mg
78 DEXAMETASON INJ
79 dextral DEXTRAL
80 dz2 DIAZEPAM 2mg
81 dz5 DIAZEPAM 5mg
82 DIAZEPAM RECTAL/STESOLID
83 DIFENHIDRAMINJ INJ
84 digox DIGOXIN 0,25mg
 85 dimen DIMENHIDRINAT
86 domperi DOMPERIDON
87 domper sir DOMPERIDON SYR
88 dulco DULKOLAC TAB
89 efed EFEDRIN 25mg
90 EPINEFRIN INJ
91 ERGOTAMIN MALEAT
92 ery ERYTROMICIN 500mg
93 ery sir ERYTROMICIN SYR 125mg/5ml
94 rivanol ETAKRIDIN (REVANOL)
95 ethyl ETHYLCHLORIDE
96 fasi FASIDOL FORTE
97 fenobar FENOBARBITAL 30mg
98 FENOBARBITAL INJ
99 fenol FENOL GLISEROL 10% TT
100 k inj FITOMENADION (VIT K) INJ
101 k FITOMENADION (VIT K) TAB
102 furo FUROSEMID 40mg
103 garam GARAM ORALIT 200ml
104 gemfi GEMFIBROZIL 300mg
105 gemfi6 GEMFIBROXIL 600 MG
106 genta sk GENTAMICIN SK
107 genta sm GENTAMICIN SM/GENOINT SM
108 genta tm GENTAMICIN TM
109 gv GENTIAN VIOLET 1%
110 glaucon GLAUCON
111 gliben GLIBENKLAMID 5mg
112 glime GLIMEPIRID 2mg
113 glime4 GLIMEPIRID 4 MG
114 gg GLISERIL GUAIAKOLAT
115 GLUKOSA 10%
116 GLUKOSA 5%
117 GRISEOVULVIN 125mg
118 h2o2 H2O2 3%
119 haloinj HALDOL INJ
120 halo0,5 HALOPERIDOL 0,5mg
121 halo1,5 HALOPERIDOL 1,5 mg
122 halo5 HALOPERIDOL 5mg
123 hibi HIBISCRUP
124 hct HIDROKLORPOTIAZID (HCT)
125 hidro HIDROKORTISON KRIM 2%
126 ibu2 IBUPROFEN 200mg
127 ibu4 IBUPROFEN 400mg
128 ichtiol ICHTIOL SALP
129 isdn ISDN 5mg
130 inh ISONIAZIDE 100 MG
131 ibu sir IBUPROFEN SIRUP
132 kalium KALIUM DIKLOFENAK 50mg
133 kalk KALSIUM LAKTAT /KALK
134 karbama KARMABAZEPIN 200mg
135 keto KETOKENAZOL 200mg
136 keto sk KETOKONAZOL CREAM
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg
138 khloram sm KLORAMFENIKOL SM
139 khloram tm KLORAMFENIKOL TM
140 khloram250 KLORAMFENIKOL 250mg
141 khloram sir KLORAMFENIKOL SYR
142 khloram t KLORAMFENIKOL TT
143 KLORIN
144 cpz KLORPROMAZIN 100mg
145 KLORPROMAZIN HCL INJ 5mg/2ml
146 kotrim KOTRIMOXAZOL 480mg
147 kotrim sir KOTRIMOXAZOL SUSP
148 lacto LACTO B
149 lido2 LIDOCAIN 2%
150 lidocomp LIDOCAIN COMP
151 lope LOPERAMID 2mg
152 lora LORATADIN 10mg
153 lyteer LYTEER TM
154 melox MELOXICAM 15mmg
155 metfor METFORMIN 500mg
156 methil METHILPREDNISOLON 4mg
157 meto METOKLORPRAMID 10mg
158 METOKLORPRAMID INJ
159 meto sir METOKLORPRAMID SYR
160 metro METRONIDAZOl 500mg
161 metylergo METYLERGOMETRIN MALEAT 125mg
162 MIDRIASIL TM
163 mico MIKONAZOL cr
164 MINERAL MIX
165 MODEKATE INJ
166 molagit MOLAGIT
167 reco sir MULTIVITAMIN SYR (RECOVIT)
168 lexa MULTIVITAMIN TAB (LEXAVIT)
169 myta MYTADERM SALP
170 mola MOLANEURON
171 nacl NACl INFUS
172 natri NATRIUM DIKLOFENAK 50mg
173 neo NEOKAOMINAL SYR
174 nife NIFEDIPIN 10mg
175 nista vag NISTATIN 100.000 TAB VAG
176 nista NISTATIN 500.000 TAB
177 norit NORIT
178 obh OBH SYR
179 obp OBP SYR
180 oksi sk OKSITETRASIKLIN SK
181 ome OMEPRAZOL 20mg
182 OTTOPAIN TT
183 OXITETRASIKLIN SM
184 ondan inj ONDANSENTRON INJ
185 prena PRENAMIA
186 panto PANTOCAIN TM
187 papa PAPAVERIN HCL 40mg
188 pml PARASETAMOL 500mg
189 pml sir PARASETAMOL SYR 120mg/5ml
190 pml drop PARACETAMOL DROP
191 pedi PEDITOK
192 pheni PHENITOIN 100mg
193 pira4 PIRACETAM 400mg
194 PIRANTEL 125mg
195 b6 PIRIDOKSIN 10mg/VIT B6
196 PIROXICAM 10mg
197 pirox PIROXICAM 20mg
198 povi POVIDON IODIUM 10% 300ml
199 povi30 POVIDON IODIUM 10% 30ml
200 pred PREDNISSON 5mg
201 propa PROPANOLOL 40mg
202 PULMICORT RESPULES
203 rani RANITIDIN 150mg
204 RANITIDIN INJ
205 RETINOL (VIT A) 100.000 IU
206 RETINOL (VIT A) 200.000 IU
207 rl RINGER LAKTAT
208 risper RISPERIDON 2mg
209 sabun SABUN HIJAU
210 salbu2 SALBUTAMOL 2mg
211 salbu4 SALBUTAMOL 4mg
212 sk 24 SALEP 2-4
213 sk 88 SALEP 88
214 sk wf SALEP WF
215 Sali SALISIL BEDAK 2%
216 scabi SCABICID CREAM
217 b12 SIANOCOBALAMIN 50mg (VIT B12)
218 simvas SIMVASTATIN 10mg
219 indra SIRUP INDRA
220 spasmi SPASMINAL TAB
221 sulfa SULFASETAMID TM
222 fe TABLET TAMBAH DARAH /FE
223 thiam THIAMFENIKOL 500mg
224 b1 THIAMIN HCL 50mg (VIT B1)
225 THIAMPHENIKOL SYR
226 timol TIMOLOL 0,5% TM/OPHTYL TM
227 TRANSAMIN INJ
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN
229 thd TRIHEXIPHENIDIL 2mg
230 TRIVEXAN SYR
231 VENTOLIN NEBULIZER
232 bc VITAMIN B KOMPLEX
233 valved VALVED
234 zink ZINC 20 mg
235 zink syr rekjan18
236 ksr KSR
237 sikzo SIKZONOATE INJ
238 ceti sir CETIRIZIN SIRUP
239 hidro1 HIDROCORTISON 1%
240 acy2 ACYCLOVIR 200 MG
241 duva DUVADILAN TAB
242 cavi sir CAVIPLEX SYR
243 caladin lot CALADINE LOTION
244 gran GRANTUSIF
245 melox7,5 meloxicam 7,5mg
246 lanzo Lanzoprazole
247 amok250 sir Amoxicillin Forte Syrup
248 band BAND AID / HANSAPLAST
252 kasa40x40 KASA KOMPRES 40/40 STERIL
253 kasa4x5 KASA 4X5
254 kasa16x16 KASA 16x16 STERIL
256 kasa4x15 KASA HIDROFIL 4x15
257 masker MASKER +tali
259 plester PLESTER 5YARDx 2 INCH
260 sp3 SPUIT 3 CC
261 tissue TISSUE GYNAE
263 loematul LOEMATUL
264 kasa40x80 KASA 40X80
265 hand gy HANDSCON GYNAE
266 sp5 SPUIT 5 CC
267 hypa10x5 HYPAVIX 10 X 5
268 handl HANDSCON L
269 needle23 NEEDLE 23 G
270 silk SILK
271 ultra5x5 ULTRAVIT 5X5
272 kapas pembalut KAPAS PEMBALUT 250
273 iv 18 IV CATH NO 18
274 iv 20 IV CATH NO 20
iv 22 IV CATH NO 22
275 iv 24 IV CATH NO 24
276 infus dewasa INFUSET DEWASA
277 asep ASEPTIC GEL

NO JENIS RESEP
1 2 3 4 5 6 7
1 JUMLAH TOTAL RESEP
2 JUMLAH RESEP PUYER
3 JUMLAH RESEP PSIKOTROPIK
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

JUNI
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
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8 0 45 0 0 15 81 15 0 30 14 0 75 15 75
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0 0 36 0 0 9 18 0 0 0 0 0 9 0 9
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0 41 27 0 0 0 9 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 50 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 3 0 3 0 0 3 3 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 28 0 18 0 56 0 28 0 28 0 0 0 0 42
17 0 0 0 0 0 32 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 10 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 6 0 0 0 0 10 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 6 12 0 12 6 6 0 6 0 12 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 0 6 0 6 12 12 6 0 0 0 6 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 2 0 0 0 0 1 0 0 0 0 0 2 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 0 6 0 0 6 0 6 0 0 6 0 12
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 83 40 0 9 10 23 10 0 10 9 10 32 0 30
1 1 0 23 0 0 0 0 0 4 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 9 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 14 0 0 0 14 0 0 14 14 0 14 0 0 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 60 30 0 0 0 0 30 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 126 70 84 34 0 28 84 0 40 0 0 28 0 56
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 155 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 100 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 29 56 30 0 0 0 6 20 0 28 6 10 0 0
0 3 0 0 0 0 14 0 0 0 0 0 18 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
4 17 13 19 4 3 11 9 5 13 5 4 12 2 9
1 2 0 0 0 0 1 0 0 0 2 0 1 0 0
0 0 1 0 0 0 0 0 0 1 0 0 1 0 0
 KETERANGAN
JUML
27 28 29 30
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 14 0 24
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
28 42 14 602
0 0 0 70
30 15 30 448
0 1 0 4
0 0 18 99
0 20 0 118
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 15
0 0 0 0
0 0 0 0
0 0 0 54
0 0 0 0
0 2 0 3
0 0 0 0
0 0 0 0
0 0 0 36
 0 0 0 0
0 0 0 2
0 0 0 0
0 14 14 70
0 0 0 0
0 0 0 0
0 18 9 45
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 10
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 31
0 0 0 0
0 0 0 0
0 0 0 10
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 42
0 0 0 0
9 0 0 54
0 0 9 86
0 0 0 0
27 0 9 111
3 5 3 46
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 0 0 0 9
0 0 0 36
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 7
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 14
14 0 0 182
0 0 0 0
0 9 0 57
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 170
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 9
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 12 0 54
0 0 0 118
0 0 0 0
0 0 0 40
0 0 0 2
0 0 0 86
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 50
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 3 21
0 0 0 0
0 0 0 0
28 56 0 312
0 10 0 68
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 10
0 0 0 0
0 0 0 16
0 0 0 0
6 6 10 94
0 0 0 0
6 6 0 66
0 0 0 0
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 7
0 0 0 0
0 0 0 0
0 12 0 60
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 36 20 362
0 0 1 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 0 0 4
0 9 0 27
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
14 14 14 150
0 0 0 0
 0 0 0 0
0 0 0 0
0 0 0 120
0 0 0 0
0 56 56 690
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 155
0 0 0 100
0 0 0 0
0 0 0 0
16 9 0 210
0 5 0 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

27 28 29 30
6 10 6
0 1 0
0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JUNI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JULI 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT
AN AN Date
No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0
2 ACIKLOVIR 400mg TAB 82 82 0 82
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 80 80 0 80
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 5 5 0 5
14 ALLOPURINOL 100mg TAB 31 100 131 24 107
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 6 6 0 6
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 567 900 1467 602 865 600
22 AMLODIPIN 10 mg TAB 115 300 415 70 345
23 AMOXICILLIN 500mg TAB 218 1000 1218 448 770 500
24 AMOXICILLIN SYR BTL 6 6 4 2 10
25 ANTALGIN 500mg TAB 584 584 99 485
26 ANTASID TAB 191 500 691 118 573
27 ANTASIDA SYR BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
28 ANTIHEMOROID SUPP SUPP 14 14 0 14
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 227 227 15 212
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 70 100 170 0 170
34 ASAM MEFENAMAT 500mg TAB 423 423 54 369
35 ATROPIN INJ AMP 0 2 2 2 0
36 BABY COUGH SYR BTL 19 19 3 16
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 107 107 36 71 100
40 BETAMETASON 0,1% TUBE 19 19 0 19
41 BEVALEX CREAM TUBE 2 2 2 0 5
42 BIOPLACENTON TUBE 7 7 1 6
43 BISOPROLOL 5mg TAB 263 263 70 193
0 BISACODYL SUPP/ dulcolax supp SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 21 21 0 21
46 BROMHEXIN 8mg TAB 300 300 45 255
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 379 379 0 379
52 CAPTOPRIL 25mg TAB 160 160 0 160
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 7 7 2 5 5
55 CEFADROXIL 500mg KAPS 225 225 10 215
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 30 30 0 30
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 8 8 0 8
60 CENDO CENFRESH BTL 16 16 3 13
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 5 5 0 5
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 81 81 31 50 60
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 70 70 10 60
71 CLINDAMICYN 150mg KAPS 100 100 0 100
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 43 43 42 1 100
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 624 624 54 570
77 DEXAMETASON 0,5mg TAB 0 300 300 86 214 300
78 DEXAMETASON INJ AMP 15 6 21 21 0
79 DEXTRAL TAB 106 450 556 111 445 150
80 DIAZEPAM 2mg TAB 72 72 46 26 100
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 100 100 0 100
85 DIMENHIDRINAT TAB 94 94 9 85
86 DOMPERIDON TAB 155 155 36 119
87 DOMPERIDON SYR BTL 6 10 16 0 16
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 3 3 0 3
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 0 0 0 0
93 ERYTROMICIN SYR 125mg/5ml BTL 100 100 0 100
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 6 6 0 6
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 44 44 0 44
102 FUROSEMID 40mg TAB 97 97 7 90
103 GARAM ORALIT 200ml SACH 160 160 0 160
104 GEMFIBROZIL 300mg KAPS 134 134 0 134
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 26 26 2 24
107 GENTAMICIN SM/GENOINT SM BTL 7 7 0 7
108 GENTAMICIN TM BTL 5 5 10 1 9
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 40 40 0 40
111 GLIBENKLAMID 5mg TAB 129 129 14 115
112 GLIMEPIRID 2mg TAB 345 200 545 182 363 100
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 232 232 57 175
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 175 175 175 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 94 94 0 94
125 HIDROKORTISON KRIM 2% TUBE 21 21 0 21
126 IBUPROFEN 200mg TAB 55 55 0 55
127 IBUPROFEN 400mg TAB 386 386 9 377
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 94 94 54 40 100
133 KALSIUM LAKTAT /KALK TAB 663 663 118 545
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 79 50 129 40 89 100
136 KETOKONAZOL CREAM TUBE 22 22 2 20
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 874 874 86 788
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 1 5 6 0 6
140 KLORAMFENIKOL 250mg TAB 100 100 0 100
141 KLORAMFENIKOL SYR BTL 15 15 0 15
142 KLORAMFENIKOL TT BTL 8 8 0 8
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 50 50 50 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 194 194 0 194
147 KOTRIMOXAZOL SUSP BTL 22 22 0 22
148 LACTO B SACH 26 26 0 26
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 90 100 190 21 169
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 0 500 500 312 188 500 pelayanan
156 METHILPREDNISOLON 4mg TAB 6 100 106 68 38 200
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
161 METYLERGOMETRIN MALEAT 125mg TAB 11 11 0 11
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 18 18 1 17
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 0 150 150 30 120
167 RECOVIT SYR BTL 42 42 0 42
168 LEXAVIT TAB 172 172 16 156
169 MYTADERM SALP TUBE 10 10 0 10
170 MOLANEURON TAB 180 180 94 86 90
171 NACl INFUS BTL 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 120 100 220 66 154 100
173 NEOKAOMINAL SYR BTL 8 8 0 8
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 32 32 7 25
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 87 150 237 60 177 90
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 1356 1356 362 994
189 PARASETAMOL SYR 120mg/5ml BTL 141 141 30 111
190 PARACETAMOL DROP BTL 0 30 30 0 30
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 73 73 0 73
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 9 9 0 9
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 428 428 0 428
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 0 20
209 SABUN HIJAU BIJI 12 12 4 8 12
210 SALBUTAMOL 2mg TAB 150 150 27 123
211 SALBUTAMOL 4mg TAB 124 124 0 124
212 SALEP 2-4 POT 23 23 0 23
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 22 22 0 22
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 139 90 229 150 79 210
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 117 117 0 117
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1410 1410 120 1290
223 THIAMFENIKOL 500mg TAB 170 170 0 170
224 THIAMIN HCL 50mg (VIT B1) TAB 935 2000 2935 690 2245
225 THIAMPHENIKOL SYR BTL 20 20 0 20
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINTA PEMBERI Expired PKD

NO NAMA OBAT/ALKES SAT AN AN Date No Batch PKD DANA PKD KET
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP APBD2019
2017 DAU 2018
2017
227 TRANSAMIN INJ AMP 0 0 0 0
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 150 150 150 0
229 TRIHEXIPHENIDIL 2mg TAB 100 100 100 0
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 673 673 210 463
233 VALVED TAB 105 105 40 65 60
234 ZINC 20 mg TAB 179 179 0 179
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 10 10 1 9
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 15mg TAB 0 0 0 0
246 LANSOPRAZOLE KAPS 0 0 0 0
247 AMOXICILLIN FORTE SIRUP BTL 34 34 0 34
248 AMINOPHYLLIN INJ AMP 0 4 4 4 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JUNI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JULI 2019

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN PEMBERIAN

NO NAMA OBAT/ALKES SAT
N KET
AWAL MAAN DIAAN KAIAN STOK PKD PKD 2018 BSP SARPRAS BLUD BMHP APBD 2019
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 4 0 4 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 4 0 4 0
10 LOEMATUL BIJI 0 0 0 0 2
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

Mojokerto, 9 JULI 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,Amd.Kesgi SANDRA ROFIKASARI,AMd.Farm
NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
 01-juli 02-juli 03-juli 04-juli
valved 9 dema 9 amlo 14 amlo5 14
alopu 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amok 15
amlo5 14 amlo5 14 amlo5 14 amok 15
amlo5 14 amlo5 14 amlo5 14 amok 15
amok 15 amok 9 amlo5 14 ant 9
amok 15 amok 5 amlo5 14 antsd 10
ant 9 antsd 5 amok 6 antsd 9
b1 28 asmef 9 ant 9 cetirizin 6
b1 28 b1 28 ant 9 dexa 9
dextral 9 b1 28 antsd 10 dextral 9
dz2 3 b1 28 antsd 10 dextral 9
mola 6 b1 28 antsd 10 domperi 9
natri 6 dextral 5 asfol 30 genta tm 1
simvas 14 domperi 5 asmef 9 glime 14
dz2 3 b1 28 gom 1
garam 6 b1 28 kalium 6
genta tm 1 baby 1 kalium 6
glime 14 bc 20 kalium 6
glime 14 betahis 9 kalk 14
keto 14 betahis 9 metfor 28
lexa 6 betahis 9 mola 10
metfor 28 bisop 14 ome 6
metfor 28 cap12,5 14 pml 10
metfor 28 cefa 10 pml 10
mola 6 dexa 9 simvas 14
mola 6 dextral 9 simvas 14
molagit 10 dz2 3
natri 6 dz2 3
natri 6 dz2 3
ome 3 fe 30
pml 10 genta tm 1
glime 14
glime 14
hct 7
ibu4 9
kalium 6
kalium 6
kalk 14
kalk 20
lexa 6
metfor 28
metfor 28
metfor 28
mola 6
ome 6
ome 6
pml 10
pml 10
pml 10
pml 10
simvas 14
simvas 14
 05-juli 06-juli 07-juli 08-juli 09-juli
af 80 amlo5 14 alopu 28 amok
amlo5 14 amlo5 14 amlo 14 amok
amok 15 amok 15 amlo5 15 amok
amok 15 amok 15 asfol 15 amok
ant 46 ant 9 betahis 9 amok
antsd 32 asmef 9 betahis 9 betahis
betahis 9 b1 28 bromhex 19 bromhex
bromhex 9 bromhex 9 cetirizin 6 dextral
cefixim 20 cetirizin 3 clin150 50 dextral
cetirizin 6 dexa 9 dexa 9 dextral
dexa 9 dexa 9 dextral 9 dextral
dexa 9 dextral 9 dextral 90 glime
dextral 9 dextral 5 furo 7 kalium
genta tm 1 gg 9 glime 40 kalium
glime 14 kalium 6 hct 4 lexa
lora 3 keto 10 keto 15 lora
metfor 28 keto sk 1 lora 3 lora
natri 6 metfor 28 methil 9 lora
sabun 2 methil 9 mola 6 lora
simvas 14 mola 6 myta 1 metfor
myta 1 myta 1 methil
pml 10 natri 6 methil
pml 10 simvas 14 myta
salbu2 10 pml
pml
pml
pml
pml
pml
rani
simvas
valved
09-juli 10-juli 11-juli 12-juli 13-juli
8 amlo5 14 amlo5 14 amlo 14 alopu
15 amlo5 14 amlo5 14 amok 15 amlo5
15 amok 15 amok 15 antsd 10 amlo5
15 amok 15 b1 28 antsd 10 amok
15 amok 15 b1 28 antsd 10 amok
9 amok250 sir 1 cetirizin 28 bisop 14 amok250 sir
9 antsd 10 dema 7 bromhex 9 ant
8 baby 1 dexa 11 dimen 9 dema
9 bc 10 dextral 9 dimen 9 dexa
9 bc 20 digox 100 domperi 9 dextral
9 bc 20 glime 14 domperi 9 dz2
14 betahis 7 ibu4 9 lexa 6 fenol
6 betahis 9 mola 6 lora 3 genta tm
6 ctm 9 natri 6 ome 6 glime
6 ctm 9 natri 6 ome 6 kalium
3 dexa 6 pml 10 ome 6 kalium
3 dexa 9 pml drop 1 pml 10 metfor
3 dextral 9 pml drop 1 pml 10 metfor
3 dextral 9 pml sir 1 rani 6 methil
10 fe 15 pml sir 1 spasmi 9 natri
9 fe 30 simvas 2 spasmi 9 simvas
9 fe 15 valved 9 valved 9 simvas
1 genta tm 1
5 gg 9
10 kalk 15
10 kalk 30
10 kalk 15
10 keto 14
10 keto sk 1
6 lora 3
8 lora 3
9 methil 3
pml 10
pml 7
pml 10
salbu2 9
13-juli 14-juli 15-juli 16-juli 17-juli
14 alopu 6 amlo5 14 amlo5 14
14 amlo 14 amlo5 14 amlo5 14
14 amlo5 14 amok 15 amlo5 14
15 amlo5 14 amok 15 amok 15
5 amlo5 14 ant 9 antsd 5
1 amlo5 14 ant 9 antsd 9
9 amok 15 b1 28 b1 28
9 amok 15 ceti sir 1 b1 28
9 amok 8 dextral 9 betamet 1
5 amok 15 dz2 3 bisop 14
6 amok 15 dz2 3 ctm 5
1 amok 15 glime 14 dextral 9
1 antsd 10 glime 14 domperi 5
14 antsd 10 ibu4 9 dz2 3
6 antsd 5 metfor 28 dz2 3
6 antsd 10 natri 6 glime 14
28 antsd 10 obh 1 kalk 14
28 antsd 10 pml 10 keto 15
5 asmef 9 simvas 14 keto sk 1
6 b1 28 lora 3
14 b1 28 methil 9
14 b1 28 mola 6
b1 28 mola 6
bromhex 9 myta 1
cap12,5 28 ome 3
cipro 10 pml 10
dema 5 pml 10
dema 9 pml 10
dexa 5 pml 6
dexa 9 simvas 14
dimen 9 simvas 14
dz2 8
garam 6
garam 6
glime 14
ibu4 9
kalk 14
kalk 5
keto 15
litrol 1
metfor 14
molagit 10
molagit 10
molagit 10
molagit 6
natri 6
natri 6
natri 6
ome 6
ome 6
ome 3
ome 6
ome 6
ome 6
pml 10
pml 10
pml 10
spasmi 9
 18-juli 19-juli 20-juli 21-juli 22-juli
amlo 14 amlo5 14 amlo5 1 amok
amlo5 14 amlo5 14 amlo5 9 amok
amlo5 14 amlo5 14 amlo5 3 asmef
amok 15 antsd 10 amlo5 28 cap12,5
amok 15 b1 28 amlo5 14 dimen
amok 15 b1 28 amok 6 dz2
amok 15 cipro 10 amok 6 ibu4
amok 15 dema 9 amok 5 keto
amok 15 domperi 9 amok 3 keto
antsd 10 garam 6 amok 6 lexa
antsd 10 lora 6 amok 8 mola
antsd 10 molagit 10 amok250 sir 9
antsd 5 natri 6 ant 14
b1 28 ome 6 ant 1
b1 28 ant 14
bisop 14 antsd 9
dextral 9 antsd 10
domperi 5 antsd 6
dz2 3 antsd 1
genta tm 1 b1 6
glime 14 b1 28
glime 14 baby 10
glime 14 bc 9
hct 10 bromhex 9
lora 3 ctm 9
lora 3 ctm 4
lora 3 dexa 28
methil 9 dextral 5
mola 10 dextral 3
mola 6 dextral 8
mola 6 dimen 9
natri 6 domperi 6
natri 6 dz2 14
obh 1 dz2 8
obh 1 dz2 9
ome 6 gg 5
ome 6 glime 14
ome 6 glime 14
ome 4 ibu4 1
pml 10 lexa 3
pml 10 lora 10
pml 10 lora 6
pml 10 lora 9
pml 10 methil 15
pml 10 methil 14
pml drop 1 mola 14
pml drop 1 mola 6
pml drop 1 mola 8
pml drop 1 mola 6
pml drop 1 mola 9
pml sir 1 myta 9
pml sir 1 myta 9
salbu2 6 myta 9
simvas 14 natri 6
natri 28
ome 9
ome 15
pml 6
pml 15
pml 1
pml sir 1
reco sir 1
simvas 14
simvas 10
simvas 14
sk24 1
22-juli 23-juli 24-juli 25-juli 26-juli
15 amlo5 14 amlo5 14 alopu 28 acy
15 amok 15 amlo5 14 amlo5 14 acy sk
9 amok 15 amlo5 14 amok 8 amlo5
28 amok 15 amlo5 14 amok 15 amlo5
9 amok250 sir 1 amlo5 14 amok 15 amlo5
6 ant 9 amlo5 14 amok 15 amlo5
9 ant 9 amlo5 14 amok 5 amok
10 antsd 5 amok 9 amok 15 amok
20 b1 28 amok 15 amok250 sir 1 amok
3 baby 1 ant 9 ant 9 amok
14 bromhex 9 antsd 10 antsd 10 amok
cipro 10 antsd 9 asmef 10 amok
dema 9 antsd 10 asmef 9 amok
dexa 9 asfol 10 ctm 5 ant
dimen 9 asmef 9 dexa 9 ant
dimen 9 b1 28 dextral 7 ant
domperi 5 b1 28 dextral 9 antsd
dz2 3 b1 28 dextral 8 antsd
dz2 3 dema 9 dextral 5 asmef
dz2 6 dexa 8 dextral 9 b1
dz2 3 dextral 8 dimen 9 b1
garam 6 dextral 9 domperi 9 b1
garam 6 dimen 9 dz2 4 bc
genta tm 1 dimen 9 dz2 6 biopla
glime 14 dimen 9 garam 6 bisop
khloram tm 1 domperi 9 genta sk 1 bromhex
kotrim sir 1 dz2 6 glime 7 c
lora 3 dz2 3 glime 14 ctm
metfor 28 dz2 3 gom 1 dema
metfor 28 fe 15 k 10 dema
mola 6 fe 20 lacto 3 dexa
molagit 10 k 15 metfor 28 dextral
molagit 10 kalk 20 metfor 28 dextral
natri 6 keto 15 methil 5 dextral
natri 6 keto sk 2 methil 5 dextral
natri 6 lexa 10 mola 14 dextral
natri 6 lexa 6 mola 14 dz2
ome 6 lora 6 natri 6 dz2
ome 4 lora 3 neo 1 fe
pml 10 metfor 28 ome 6 genta sk
pml 3 metfor 28 pml 5 glime
rani 6 methil 9 pml drop 1 kalk
salbu4 9 metylergo 10 pml drop 1 khloram tm
simvas 14 mola 6 pml drop 1 lexa
simvas 14 ntri 6 pml sir 1 lora
spasmi 9 obh 1 pml sir 1 metfor
thiam sir 1 obh 1 pml sir 1 metfor
ome 6 reco sir 1 methil
pml 10 simvas 14 mola
rani 6 myta
salbu2 9 natri
simvas 14 ome
pml
pml
pml
pml
pml
salbu2
26-juli 27-juli 28-juli 29-juli 30-juli
30 amlo5 14 amlo5 14 amlo5 14
1 amlo5 14 amlo5 14 amlo5 14
14 amlo5 14 amlo5 14 amok 15
14 amlo5 14 amok 15 amok 15
14 amlo5 14 amok 6 amok 15
14 amok 15 amok 6 antsd 10
15 amok 15 amok 15 antsd 10
8 b1 28 amok 15 antsd 10
15 b1 28 ant 9 asmef 9
15 cap12,5 28 antsd 5 dextral 9
15 ctm 9 antsd 10 dextral 9
8 dema 9 antsd 9 domperi 9
15 dz2 3 antsd 10 domperi 9
9 glime 14 cap12,5 14 dz2 6
9 lora 6 dexa 9 glime 14
9 metfor 28 dexa 9 k 10
10 methil 9 dextral 9 khloram250 40
10 mola 6 dextral 5 lexa 4
9 mola 6 dextral 7 lexa 4
28 mola 6 dextral 9 mola 6
28 natri 6 dextral 9 natri 6
6 natri 6 dimen 9 natri 6
20 pml 10 domperi 5 natri 6
1 pml 10 domperi 9 natri 6
14 pml 10 domperi 10 ome 6
9 simvas 14 lora 6 ome 6
9 spasmi 9 methil 5 ome 6
5 litrol 4 methil 5 pml 10
9 methil 10 pml 10
9 mola 5 pml 10
8 ome 6 simvas 14
8 ome 6 spasmi 9
5 ome 4
8 pml 10
9 pml 4
6 reco sir 1
6 salbu4 9
6
15
1
28
15
1
4
5
28
28
 5
6
1
6
6
5
10
5
10
10
10
 31-juli
alopu 14
amlo5 14
amok 15
amok 15
amok 15
amok 15
amok 15
amok 15
ant 9
antsd 10
antsd 10
antsd 5
b1 28
b1 15
baby 1
cefa 10
dema 9
dexa 9
dextral 9
dextral 12
dextral 9
dextral 9
dextral 9
dextral 9
domperi 5
fe 10
ibu4 9
kalk 10
lora 3
lora 3
lora 3
mola 5
mola 5
molagit 10
natri 6
ome 6
ome 6
pml 10
pml 10
pml 10
simvas 14
spasmi 5
 REKAPAN PEMAK

BULAN: JULI 2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6
1 aceto ACETOSAL 100mg 0 0 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 80 0
11 alko70 ALKOHOL 70% 0 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 14 0 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 42 56 84 28 14 28
22 amlo AMLODIPIN 10 mg 0 0 14 0 0 0
23 amok AMOXICILLIN 500mg 30 14 6 45 30 30
24 amok sir AMOXICILLIN SYR 0 0 0 0 0 0
25 ant ANTALGIN 500mg 9 0 18 9 46 9
26 antsd ANTASID 0 5 30 19 32 0
27 antsd sir ANTASIDA SYR 0 0 0 0 0 0
28 anti ANTIHEMOROID SUPP 0 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 30 0 0 0
34 asmef ASAM MEFENAMAT 500mg 0 9 9 0 0 9
35 ATROPIN INJ 0 0 0 0 0 0
36 baby BABY COUGH SYR 0 0 1 0 0 0
37 baci BACITRACIN 0 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0 0
39 betahis BETAHISTIN 0 0 27 0 9 0
40 betamet BETAMETASON 0,1% 0 0 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 14 0 0 0
44 bisa supp BISACODYL SUPP 0 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 1 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 0 9 9
47 BUSCOPAN INJ 0 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 14 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 10 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 20 0
58 astenof CENDO ASTENOF 0 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 6 6 3
68 cimet CIMETIDIN 200mg 0 0 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0 0 0
75 calusol CALLUSOL 0 0 0 0 0 0
76 dema DEMACOLIN 0 9 0 0 0 0
77 dexa DEXAMETASON 0,5mg 0 0 9 9 18 18
78 DEXAMETASON INJ 0 0 0 0 0 0
79 dextral DEXTRAL 9 5 9 18 9 14
80 dz2 DIAZEPAM 2mg 3 3 9 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0 0
85 dimen DIMENHIDRINAT 0 0 0 0 0 0
86 domperi DOMPERIDON 0 5 0 9 0 0
87 domper sir DOMPERIDON SYR 0 0 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0 0
103 garam GARAM ORALIT 200ml 0 6 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0 0 0
108 genta tm GENTAMICIN TM 0 1 1 1 1 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0 0 0
112 glime GLIMEPIRID 2mg 0 28 28 14 14 0
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 0 0 0 0 0 9
115 GLUKOSA 10% 0 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 7 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 0 9 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 12 18 0 6
133 kalk KALSIUM LAKTAT /KALK 0 0 34 14 0 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 14 0 0 0 10
136 keto sk KETOKONAZOL CREAM 0 0 0 0 0 1
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 0 0 0 0 0 0
138 khloram sm KLORAMFENIKOL SM 0 0 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0 0
143 KLORIN 0 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0 0
148 lacto LACTO B 0 0 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0 0
152 lora LORATADIN 10mg 0 0 0 0 3 0
153 lyteer LYTEER TM 0 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0 0
155 metfor METFORMIN 500mg 0 84 84 28 28 28
156 methil METHILPREDNISOLON 4mg 0 0 0 0 0 9
157 meto METOKLORPRAMID 10mg 0 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0 0 0
164 MINERAL MIX 0 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0 0
166 molagit MOLAGIT 0 10 0 0 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 0 0 0 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 6 6 0 0 0
169 myta MYTADERM SALP 0 0 0 0 0 1
170 mola MOLANEURON 6 12 6 10 0 6
171 nacl NACl INFUS 0 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 6 12 0 0 6 0
173 neo NEOKAOMINAL SYR 0 0 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0 0
177 norit NORIT 0 0 0 0 0 0
178 obh OBH SYR 0 0 0 0 0 0
179 obp OBP SYR 0 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0 0
181 ome OMEPRAZOL 20mg 0 3 12 6 0 0
182 OTTOPAIN TT 0 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0 0
188 pml PARASETAMOL 500mg 0 10 40 20 0 20
189 pml sir PARASETAMOL SYR 120mg/5ml 0 0 0 0 0 0
190 pml drop PARACETAMOL DROP 0 0 0 0 0 0
191 pedi PEDITOK 0 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0 0
203 rani RANITIDIN 150mg 0 0 0 0 0 0
204 RANITIDIN INJ 0 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 2 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0 0 10
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0 0 0
218 simvas SIMVASTATIN 10mg 14 0 28 28 14 0
219 indra SIRUP INDRA 0 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 30 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 56 112 56 0 0 28
225 thiam sir THIAMPHENIKOL SYR 0 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 0 0 20 0 0 0
233 valved VALVED 9 0 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0 0 0
235 zink syr rekjan18 0 0 0 0 0 0
236 ksr KSR 0 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 0 0 0
248 band BAND AID / HANSAPLAST 0 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0 0
270 silk SILK 0 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0 0

NO JENIS RESEP
NO JENIS RESEP
1 2 3 4 5 6
1 JUMLAH TOTAL RESEP 6 10 16 7 4 8
2 JUMLAH RESEP PUYER 0 1 0 0 0 1
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

JULI
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
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 JUML KETERANGAN
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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 1
0 0 0 0 0 0 0
10 0 0 0 10 0 35
0 0 0 0 0 0 7
6 0 0 0 0 0 42
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 1 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 8
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
21 28 14 0 14 0 383
0 0 0 0 0 0 0
0 0 0 0 0 0 23
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 21
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 9 55
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 60
0 15 0 0 0 10 186
0 0 0 0 0 0 0
0 0 0 0 0 0 128
0 0 0 0 0 0 5
5 5 9 0 0 0 55
0 0 0 0 0 0 0
0 1 0 0 0 0 2
0 0 0 0 40 0 40
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
3 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 5 6 6 0 9 108
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 360 -360
10 5 9 20 0 0 144
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 10 86
1 0 0 1 0 0 2
0 4 0 0 8 0 58
0 1 0 0 0 0 33
28 6 18 5 6 10 228
0 0 0 0 0 0 0
6 6 12 0 24 6 202
1 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6 6 0 16 18 12 201
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
5 40 30 14 30 30 531
3 0 0 0 0 0 7
3 0 0 0 0 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 24
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 2
0 10 0 0 0 0 44
0 0 0 9 0 0 18
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
14 0 14 0 14 14 290
0 0 0 0 0 0 0
0 0 9 0 9 5 59
0 0 0 0 0 0 0
0 15 0 0 0 10 150
0 0 0 0 0 0 0
0 62 56 0 0 43 923
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 20 0 0 0 0 99
0 0 0 0 0 0 36
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 0 12
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

total
 total
25 26 27 28 29 30 31
18 15 9 9 9 12
4 3 0 3 0 1
2 2 0 0 1 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JULI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : AGUST 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0
2 ACIKLOVIR 400mg TAB 82 100 182 30 152
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 80 80 80 0 100
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 5 5 4 1 10
14 ALLOPURINOL 100mg TAB 107 107 104 3 300
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 6 6 1 5
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 865 600 1465 925 540 1500
22 AMLODIPIN 10 mg TAB 345 345 19 326
23 AMOXICILLIN 500mg TAB 770 600 1370 1036 334 2000
24 AMOXICILLIN SYR BTL 2 2 0 2
25 ANTALGIN 500mg TAB 485 485 244 241 300
26 ANTASID TAB 573 573 413 160 800
27 ANTASIDA SYR BTL 0 0 0 0
28 ANTIHEMOROID SUPP SUPP 14 14 0 14
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 212 212 9 203
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 170 170 55 115
34 ASAM MEFENAMAT 500mg TAB 369 369 93 276 100
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 16 16 16 0
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 71 71 71 0
40 BETAMETASON 0,1% TUBE 19 19 2 17
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 6 6 3 3
43 BISOPROLOL 5mg TAB 193 193 70 123
44 BISACODYL SUPP/ dulcolax s SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 21 21 14 7
46 BROMHEXIN 8mg TAB 255 255 91 164 100
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 379 379 73 306
52 CAPTOPRIL 25mg TAB 160 160 1 159
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 5 5 1 4
55 CEFADROXIL 500mg KAPS 215 215 10 205
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 30 30 20 10
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 8 8 3 5
60 CENDO CENFRESH BTL 13 13 0 13
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 5 5 1 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 50 50 49 1 100
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 60 60 10 50 100
71 CLINDAMICYN 150mg KAPS 100 100 50 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 1 1 0 1
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 570 570 102 468
77 DEXAMETASON 0,5mg TAB 214 300 514 181 333 200
78 DEXAMETASON INJ AMP 0 0 0 0
79 DEXTRAL TAB 445 150 595 485 110 750
80 DIAZEPAM 2mg TAB 26 200 226 139 87 300
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STES SUPP 0 1 1 1 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 100 100 100 0
85 DIMENHIDRINAT TAB 85 85 85 0 400
86 DOMPERIDON TAB 119 119 101 18 300
87 DOMPERIDON SYR BTL 16 16 0 16
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 3 3 3 0
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5m BTL 0 0 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 6 6 1 5
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 44 44 36 8 200
102 FUROSEMID 40mg TAB 90 90 7 83
103 GARAM ORALIT 200ml SACH 160 160 21 139
104 GEMFIBROZIL 300mg KAPS 134 134 0 134
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 24 24 2 22
107 GENTAMICIN SM/GENOINT BTL 7 7 0 7
108 GENTAMICIN TM BTL 9 9 9 0 30
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 115 115 0 115
112 GLIMEPIRID 2mg TAB 363 100 463 383 80 800
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 175 175 23 152
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 94 94 14 80
125 HIDROKORTISON KRIM 2% TUBE 21 21 0 21
126 IBUPROFEN 200mg TAB 55 55 0 55
127 IBUPROFEN 400mg TAB 377 377 63 314
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 40 40 40 0
133 KALSIUM LAKTAT /KALK TAB 545 545 198 347 200
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 89 100 189 138 51 200
136 KETOKONAZOL CREAM TUBE 20 20 20 0 20
137 KHLORPHENIRAMIN MALEAT TAB 788 788 55 733
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 6 6 2 4 6
140 KLORAMFENIKOL 250mg TAB 100 100 40 60 100
141 KLORAMFENIKOL SYR BTL 15 15 0 15
142 KLORAMFENIKOL TT BTL 8 8 0 8
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg TAB 0 0 0 0
1 KOTRIMOXAZOL 480mg TAB 194 194 194 0
147 KOTRIMOXAZOL SUSP BTL 22 22 18 4
148 LACTO B SACH 26 26 3 23
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 169 169 80 89 200
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 188 200 388 360 28 2000
156 METHILPREDNISOLON 4mg TAB 38 100 138 138 0 300
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN IAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
161 METYLERGOMETRIN MALEAT TAB 11 11 10 1 100
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 17 17 0 17
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 120 120 80 40 200
167 RECOVIT SYR BTL 42 42 2 40
168 LEXAVIT TAB 156 156 58 98 100
169 MYTADERM SALP TUBE 10 10 10 0
170 MOLANEURON TAB 86 150 236 161 75 300
171 NACl INFUS BTL 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 154 100 254 218 36 500
173 NEOKAOMINAL SYR BTL 8 8 1 7
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 25 25 4 21
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 177 90 267 159 108 240
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 3 3 3 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 994 994 436 558 500
189 PARASETAMOL SYR 120mg/5 BTL 111 111 7 104
190 PARACETAMOL DROP BTL 30 30 10 20 20
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT TAAN IAN Date Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 73 73 0 73
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300m BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 9 9 9 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 428 428 58 370
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 0 20
209 SABUN HIJAU BIJI 8 12 20 2 18
210 SALBUTAMOL 2mg TAB 123 123 22 101 100
211 SALBUTAMOL 4mg TAB 124 124 7 117
212 SALEP 2-4 POT 23 23 1 22
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 22 22 8 14
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 79 270 349 321 28 540
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 117 117 70 47 100
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1290 1290 150 1140
223 THIAMFENIKOL 500mg TAB 170 170 53 117
224 THIAMIN HCL 50mg (VIT B1) TAB 2245 2245 899 1346 600
225 THIAMPHENIKOL SYR BTL 20 20 1 19
226 TIMOLOL 0,5% TM/OPHTYL BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBER Expired No PKD

NO NAMA OBAT/ALKES SAT TAAN IAN Date Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
228 TRIFLORPEARZIN 5mg/STELL TAB 0 0 0 0
229 TRIHEXIPHENIDIL 2mg TAB 0 0 0 0
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 463 1000 1463 87 1376
233 VALVED TAB 65 65 65 0
234 ZINC 20 mg TAB 179 179 179 0
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 9 9 3 6
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 meloxicam 7,5mg TAB 0 0 0 0
246 Lanzoprazole KAPS 0 0 0 0
247 Amoxicillin Forte Sirup BTL 34 34 3 31
AIAN DAN LEMBAR PERMINTAAN OBAT
UB UNIT PELAYANAN

: JULI 2019
: AGUST 2019

KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019

15(ED)

194 (ED)

pelayanan
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JULI 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : AGUST 2019

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN PEMBERIAN

NO NAMA OBAT/ALKES SAT
N KET
AWAL MAAN DIAAN KAIAN STOK PKD PKD 2018 BSP SARPRAS BLUD BMHP APBD 2019
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERI LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0 100
9 TISSUE GYNAEC ROL 0 0 0 0 4
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0 2
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

Mojokerto,8 Agustus 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm
NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 19700110 199103 2 006 NIP.19860614 201903 2 011
 01-agust 02-agust 03-agust 04-agust 05-agust
amlo5 14 amok 15 amlo5 14 amlo
alopu 3 amlo 15 amlo5 14 amlo5
amlo 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amok
amok 3 amok 15 amok 8 amok
amok 15 amok 15 amok 15 amok
b1 28 ant 9 amok 15 amok
bc 10 antsd 5 amok 15 amok
ctm 2 asmef 9 amok 15 ant
dextral 9 cazet 1 amok 8 ant
dextral 9 ctm 5 ant 9 ant
dimen 9 dextral 9 ant 9 antsd
domperi 9 dextral 9 antsd 10 antsd
dz2 6 dimen 9 antsd 5 antsd
gg 2 dimen 9 asmef 9 antsd
ibu4 9 domperi 5 b1 28 antsd
kalk 14 dz2 3 b1 28 dema
pml 10 dz2 3 bisop 14 dema
pml 10 glime 14 ctm 5 dema
pml drop 1 glime 15 ctm 8 dema
pml drop 1 litrol tm 1 dexa 9 dexa
simvas 14 lora 3 dextral 5 dextral
simvas 14 metfor 28 dextral 8 dextral
rani 6 metfor 30 dextral 9 dextral
mola 5 dextral 9 dimen
mola 5 dextral 8 dimen
natri 6 domperi 5 domperi
ome 6 dz2 6 dz2
pml 10 dz2 6 dz2
pml 10 dz2 5 glime
pml 10 ibu4 9 keto
pml 10 khloram tm 1 lexa
simvas 3 methil 5 lora
simvas 15 methil 10 lora
sk 24 1 mola 5 methil
spasmi 5 ome 6 obh
pml 10 ome
pml 10 ome
pml 10 ome
pml 10 ome
pml 4 pml
pml
pml
pml
spasmi
spasmi
05-agust 06-agust 07-agust 08-agust 09-agust
14 amlo5 14 amlo 14 amlo 14 amlo5
14 amok 15 amlo5 14 amlo5 14 amok
14 amok 15 amlo5 14 amlo5 14 amok
11 amok 15 amok 15 amok250 sir 1 amok
15 amok 15 amok 5 amok250 sir 1 amok
15 amok 15 amok 15 amok250 sir 1 amok
15 amok 15 amok250 sir 1 ant 9 ant
15 antsd 10 amok250 sir 1 ant 9 ant
9 antsd 9 ant 9 ant 9 ant
9 antsd 9 ant 9 ant 9 antsd
9 asmef 9 antsd 10 b1 28 antsd
8 b1 28 antsd 10 b1 28 betamet
10 cazet 1 antsd 10 b1 28 bisop
9 dema 9 asfol 20 bromhex 5 bromhex
10 dexa 9 asmef 9 bromhex 9 cipro
10 dexa 9 b1 10 bromhex 10 ctm
8 dextral 7 b1 28 cefa 10 dema
9 dz2 3 b6 20 cipro 10 dema
9 genta sk 1 baby 1 ctm 5 dexa
9 ibu4 9 bc 20 ctm 5 dimen
9 litrol tm 1 bc 20 ctm 9 domper sir
9 lora 6 bisop 14 ctm 10 domper sir
12 lora 3 bromhex 3 dema 9 dz2
9 lora 6 bromhex 3 dema 9 garam
9 methil 9 bromhex 9 dexa 9 garam
9 mola 5 c 5 dz2 5 garam
9 mola 5 cap12,5 14 garam 6 kotrim sir
5 natri 6 cefa 10 glime 14 lacto
3 natri 6 cefa 10 khloram tm 1 lexa
14 obh 1 ctm 3 lora 3 lora
14 ome 6 ctm 9 lora 9 lora
4 pml 10 ctm 3 methil 10 lora
6 pml 10 dema 3 mola 10 mola
3 pml 10 dema 9 mola 5 molagit
9 bromhex sir dema 3 molagit 10 molagit
1 dema 9 myta 1 natri
6 dema 9 natri 6 ome
6 dz2 3 obh 1 ome
6 fe 30 obh 1 ome
6 fe 30 pml sir 1 pml
10 fe 15 pml sir 4 pml
10 genta sm 1 pml sir 1 pml
10 glime 14 simvas 14 pml
10 hct 7 spasmi 9
8 kalk 20
9 kalk 20
kalk 20
kalk 15
lexa 10
lexa 4
lexa 3
metfor 28
methil 3
natri 6
natri 6
obh 10
ome 6
pml 10
pml 10
pml 10
pml 10
pml 10
reco sir 20
risper 20
salbu2 9
simvas 14
09-agust 10-agust 11-agust 12-agust 13-agust
14 amlo5 14 amlo 14 amlo 14
15 amlo5 14 amlo5 14 amlo5 14
15 amok 15 amlo5 14 amlo5 14
15 amok 15 amlo5 14 amlo5 14
8 amok250 sir 1 amok 15 amlo5 14
15 ant 9 amok 15 amlo5 14
9 ant 9 amok 15 amlo5 14
9 antsd sir 1 ant 9 amlo5 14
9 b1 28 antsd 10 amok 15
10 b1 28 antsd sir 1 amok 15
10 baby 1 asfol 30 amok 15
2 ctm 5 asmef 9 amok250 sir 1
14 ctm 9 asmef 9 ant 9
7 dexa 9 b1 28 asfol 10
10 dexa 9 b1 28 b1 28
5 dimen 9 b1 28 bromhex 9
5 dimen 12 bc 20 ctm 5
9 domperi 1 cap12,5 28 dexa 9
12 keto 14 domper sir 1 dimen 9
9 keto sk 2 dz2 3 dimen 9
1 litrol tm 1 ibu4 9 dimen 9
1 lora 5 kalk 14 domper sir 1
3 lora 6 kalk 30 dz2 6
6 metfor 28 lexa 4 dz2 3
6 methil 9 metfor 28 garam 6
6 methil 9 metfor 14 glime 14
1 mola 5 metfor 28 glime 14
3 mola 5 mola 5 glime 14
4 natri 6 mola 5 ibu4 9
6 pml 10 natri 6 lexa 4
3 rani 6 ome 6 lora 6
3 ome 6 metfor 28
5 pml 10 metfor 28
10 pml 10 metfor 28
10 pml 10 methil 3
6 spasmi 9 mola 5
6 spasmi 10 mola 10
2 molagit 10
3 molagit 5
10 natri 6
10 natri 10
3 obh 1
10 ome 6
pml 10
pml 10
pml sir 1
spasmi 9
 14-agust 15-agust 16-agust 17-agust 18-agust
amok 15 amlo5 14 acy 30
amok 9 amlo5 14 acy sk 2
bc 20 amok 15 amlo5 14
ctm 5 amok 15 antsd 10
dema 9 amok 15 b1 28
fe 15 amok 15 bromhex 10
gg 9 amok 15 ctm 8
kalk 15 amok 4 ctm 8
lexa 4 amok 15 domper sir 1
lexa 4 ant 9 dz2 6
methil 10 ant 10 glime 14
neo 1 ant 9 metfor 28
obh 1 antsd sir 1 mola 10
salbu4 9 asmef 9 mola 10
asmef 9 natri 6
bromhex 9 natri 6
bromhex 4 obh 1
bromhex 9 ome 6
ctm 3 ome 6
dema 9 pml 9
domper sir 1 pml 10
dz2 3 simvas 14
dz2 6
dz2 3
garam 6
genta sk 1
glime 14
ibu4 9
litrol tm 1
lora 3
lora 6
lora 6
methil 9
mola 5
natri 6
neo 1
ome 6
ome 6
ome 6
pml 9
pml 10
pml 3
pml 9
pml 9
pml drop 1
 19-agust 20-agust 21-agust 22-agust
amlo5 14 amlo5 14 amlo 14 amlo5 14
amlo5 14 amok250 sir 1 amlo5 14 amlo5 14
amlo5 14 antsd 10 amlo5 14 amlo5 14
amlo5 14 antsd sir 1 amok 15 amok 5
amlo5 14 b1 28 antsd 10 ant 9
amok 15 b1 28 antsd 9 molagit 10
amok 15 baby 1 asmef 9 asmef 9
ant 9 betamet 1 bc 3 b1 28
antsd 10 bisop 14 c 10 b1 28
antsd 10 bromhex 9 dema 5 baby 1
asmef 9 domper sir 1 gg 5 bc 10
b1 14 dz2 3 glime 14 bc 600
b1 14 lora 3 ibu4 9 cefa 10
b1 14 lora 3 metfor 28 ceti sir 1
b1 14 metfor 28 mola 5 ctm 3
b1 14 pml 10 mola 5 dema 9
b1 14 simvas 14 mola 5 dimen 9
bc 3 mola 5 dimen 9
bc 4 pml 9 domper sir 1
ctm 9 pml 5 dz2 3
ctm 5 pml 10 dz2 3
ctm 9 pml 10 garam 6
ctm 9 pml 9 genta tm 1
ctm 9 gg 3
ctm 9 glime 14
ctm 3 ibu2 18
ctm 4 lexa 4
garam 6 metfor 28
gg 9 mola 5
gg 5 mola 5
gg 9 pml 9
gg 9 pml drop 1
gg 9 pml drop 1
gg 4 pml drop 1
khloram tm 1 pml drop 1
khloram tm 1 pml drop 1
khloram250 40 pml sir 1
lexa 4 pml sir 1
lora 3 spasmi 9
metfor 28 zink 10
metfor 28
mola 7
natri 6
neo 1
pml 10
pml 9
pml 5
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 2
pml sir 1
sabun 1
simvas 14
zink 10
 23-agust 24-agust 25-agust 26-agust 27-agust
amlo5 14 amlo5 14 amlo5 14 amlo
amlo5 14 amlo5 14 amlo5 14 amlo5
amok 15 amok 15 amlo5 14 amlo5
amok 15 b1 28 amlo5 14 amlo5
amok 8 b1 28 amlo5 14 amlo5
molagit 10 b1 28 amok 15 amlo5
antsd 9 bc 6 antsd 9 amok250 sir
antsd sir 1 betamet 1 antsd 10 amok250 sir
antsd sir 1 bromhex 5 antsd 10 ant
asmef 9 c 9 antsd 10 molagit
b1 28 ctm 5 antsd 10 antsd
b1 28 ctm 9 b1 14 antsd
bisop 14 dimen 9 b1 14 antsd
bromhex 9 fe 10 b1 14 antsd
cazet 1 gg 9 b1 14 antsd sir
ctm 9 keto sk 1 b1 14 antsd sir
ctm 9 keto sk 10 b1 14 asmef
ctm 5 lexa 4 bc 9 asmef
ctm 5 lora 3 bc 9 asmef
ctm 5 lora 3 bc 9 b1
dema 9 methil 9 bc 9 betamet
garam 3 natri 6 bc 10 bromhex
gg 5 obh 1 bc 9 bromhex
gg 5 pml 10 bc 3 ctm
gg 9 pml 10 bisop 14 dema
lexa 4 pml 10 bromhex 10 dema
methil 5 simvas 14 ctm 3 dema
mola 5 sk 24 1 dema 9 dema
natri 6 dema 9 dimen
natri 6 gemfi 7 domper sir
obh 1 gg 9 domper sir
obh 1 gg 3 dz2
pml 10 glime 14 dz2
pml 9 ibu4 9 gg
pml 3 kalk 7 gg
pml 10 kalk 7 ibu4
pml 10 metfor 28 lexa
pml 9 metfor 28 lora
spasmi 9 natri 6 mola
pml 9 mola
pml 10 mola
pml 10 mola
pml 9 mola
pml 9 mola
pml 10 obh
pml 10 pml
pml 3 pml
rani 6 pml
rani
spasmi
27-agust 28-agust 29-agust 30-agust 31-agust
14 amlo5 14 amlo5 14 amlo5 14 amlo5
14 amlo5 14 amlo5 14 amok 15 amlo5
14 amok250 sir 1 antsd 10 amok 15 amok
14 antsd sir 1 antsd 9 amok sir 1 amok
14 antsd sir 1 b1 28 antsd sir 1 antsd
14 baby 1 baby 1 b1 28 asmef
1 bc 20 bromhex 9 baby 1 bromhex
1 bc 10 bromhex 9 dema 9 bromhex
9 bromhex 9 ctm 5 domper sir 1 cap12,5
10 bromhex 9 dimen 9 gg 9 dema
10 bromhex 9 gg 5 gg 9 dema
10 bromhex 9 gg 9 lexa 4 dema
10 bromhex 9 glime 14 pml 10 dz2
10 ceti sir 1 lora 3 pml 10 gg
1 ctm 7 metfor 28 ibu4
1 ctm 2 metfor 28 lexa
9 ctm 4 mola 5 lexa
9 ctm 9 mola 5 lexa
9 dema 9 mola 5 lexa
28 dema 9 natri 6 lora
1 dema 9 pml 10 metfor
9 dema 9 pml drop 1 metfor
9 dema 9 pml drop 1 methil
5 dimen 9 pml drop 1 mola
9 dimen 9 pml sir 1 mola
9 fe 10 pml sir 1 mola
9 garam 4 pml sir 1 natri
9 gg 7 sabun 2 pml
9 gg 3 spasmi 9 pml
1 gg 4 Sali
1 gg 9 simvas
3 glime 14 simvas
3 glime 14
5 ibu4 9
5 kalk 10
9 lacto 3
5 metfor 28
3 metfor 28
5 mola 5
5 mola 5
5 mola 5
5 mola 5
5 mola 5
5 natri 6
1 pml 10
3 pml 10
10 pml 10
10 pml 10
6 pml sir 1
9 pml sir 1
pml sir 1
salbu2 9
31-agust
14
14
15
15
10
9
9
9
28
9
9
9
3
9
9
4
4
4
4
3
28
28
9
5
5
5
6
10
10
1
14
14
 REKAPAN PEM

BULAN: AGUST 2019

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0
5 adona ADONA TAB 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0
12 ALKOHOL 95% 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0
14 alopu ALLOPURINOL 100mg 3 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 28 28 56 28
22 amlo AMLODIPIN 10 mg 14 15 0 14
23 amok AMOXICILLIN 500mg 18 45 76 71
24 amok sir AMOXICILLIN SYR 0 0 0 0
25 ant ANTALGIN 500mg 0 9 18 27
26 antsd ANTASID 0 5 15 47
27 antsd sir ANTASIDA SYR 0 0 0 0
28 anti ANTIHEMOROID SUPP 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 0 9 9 0
35 ATROPIN INJ 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 0
37 baci BACITRACIN 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0
39 betahis BETAHISTIN 0 0 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 14 0
44 bisa supp BISACODYL SUPP 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 0
47 BUSCOPAN INJ 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0
50 CALADIN POWDER 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0
53 catar CATARLENT TM 0 0 0 0
54 cazet CAZETIN DROP 0 1 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0
75 calusol CALLUSOL 0 0 0 0
76 dema DEMACOLIN 0 0 0 35
77 dexa DEXAMETASON 0,5mg 0 0 9 9
78 DEXAMETASON INJ 0 0 0 0
79 dextral DEXTRAL 18 18 39 30
80 dz2 DIAZEPAM 2mg 6 6 17 8
81 dz5 DIAZEPAM 5mg 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0
85 dimen DIMENHIDRINAT 9 18 0 18
86 domperi DOMPERIDON 9 5 5 9
87 domper sir DOMPERIDON SYR 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0
110 glaucon GLAUCON 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0
112 glime GLIMEPIRID 2mg 0 29 0 14
113 glime4 GLIMEPIRID 4 MG 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 2 0 0 0
115 GLUKOSA 10% 0 0 0 0
116 GLUKOSA 5% 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0
127 ibu4 IBUPROFEN 400mg 9 0 9 0
128 ichtiol ICHTIOL SALP 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 14 0 0 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 14
136 keto sk KETOKONAZOL CREAM 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 2 5 13 0
138 khloram sm KLORAMFENIKOL SM 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 1 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0
143 KLORIN 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0
148 lacto LACTO B 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0
152 lora LORATADIN 10mg 0 3 0 9
153 lyteer LYTEER TM 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0
155 metfor METFORMIN 500mg 0 58 0 0
156 methil METHILPREDNISOLON 4mg 0 0 15 9
157 meto METOKLORPRAMID 10mg 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
162 MIDRIASIL TM 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0
164 MINERAL MIX 0 0 0 0
165 MODEKATE INJ 0 0 0 0
166 molagit MOLAGIT 0 0 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 0 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 0 0 4
169 myta MYTADERM SALP 0 0 0 0
170 mola MOLANEURON 0 10 5 0
171 nacl NACl INFUS 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 6 0 0
173 neo NEOKAOMINAL SYR 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0
177 norit NORIT 0 0 0 0
178 obh OBH SYR 0 0 0 1
179 obp OBP SYR 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0
181 ome OMEPRAZOL 20mg 0 6 6 24
182 OTTOPAIN TT 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0
185 prena PRENAMIA 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0
188 pml PARASETAMOL 500mg 20 40 44 40
189 pml sir PARASETAMOL SYR 120mg/5ml 0 0 0 0
190 pml drop PARACETAMOL DROP 2 0 0 0
191 pedi PEDITOK 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0
203 rani RANITIDIN 150mg 6 0 0 0
204 RANITIDIN INJ 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0
212 sk 24 SALEP 2-4 0 1 0 0
213 sk 88 SALEP 88 0 0 0 0
214 sk wf SALEP WF 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
218 simvas SIMVASTATIN 10mg 28 18 0 0
219 indra SIRUP INDRA 0 0 0 0
220 spasmi SPASMINAL TAB 0 5 0 17
221 sulfa SULFASETAMID TM 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 28 0 56 0
225 THIAMPHENIKOL SYR 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0
232 bc VITAMIN B KOMPLEX 10 0 0 0
233 valved VALVED 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0
235 zink syr ZINK SIRUP 0 0 0 0
236 ksr KSR 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0
244 gran GRANTUSIF 0 0 0 0
245 melox7,5 MELOXICAM 15mg 0 0 0 0
246 lanzo LANSOPRAZOLE 0 0 0 0
247 amok250 sir AMOXICILLIN FORTE SYRUP 0 0 0 0
248 band BAND AID / HANSAPLAST 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0
257 masker MASKER +tali 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0
263 loematul LOEMATUL 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0
268 handl HANDSCON L 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0
270 silk SILK 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0
278 litrol tm LITROL TM 0 1 0 0
279 bromhex sir BROMHEXIN SYR 4mg/5ml 0 0 0 0
280 antides NEW ANTIDES 0 0 0 0

NO JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 6 8 12 13
2 JUMLAH RESEP PUYER 1 1 3 1
3 JUMLAH RESEP PSIKOTROPIK 1 2 3 2
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

AGUSTUS
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 30 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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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30 50 0 33 10 30 20 0 40 19 86 10 43 9 51
0 0 6 0 0 0 1 0 0 0 1 0 0 2 0
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6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
9 19 12 9 11 11 14 4 13 7 20 6 9 16 13
0 2 3 2 1 1 1 1 1 2 2 1 1 1 2
1 2 1 1 0 1 2 0 3 1 0 1 0 2 0
 JUML KETERANGAN
24 25 26 27 28 29 30 31 AH
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 2
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0 0 0 0 0 0 0 0
28 70 70 28 28 14 28 882
0 0 14 0 0 0 0 127
15 15 0 0 0 30 30 819 -819
0 0 0 0 0 1 0 1
0 0 9 0 0 0 0 226
0 49 40 0 19 0 10 341
0 0 2 2 0 1 0 11
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 24
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 60
0 0 27 0 0 0 9 144
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1 0 1 0 0 0 0 5
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0 14 0 0 0 0 0 84
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5 10 18 45 18 0 18 219
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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 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 18 36 45 0 9 27 285
0 0 0 0 0 0 0 84
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 105
0 0 6 0 0 0 3 99
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
9 0 9 18 9 0 0 165
0 0 0 0 0 0 0 29
0 0 2 0 0 1 0 11
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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 4 0 0 0 55
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0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
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0 14 0 28 14 0 0 225
0 0 0 0 0 0 0 0
9 12 10 23 14 18 9 178 -178
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 14 0 10 0 0 0 172
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6 0 3 0 3 0 3 107
0 0 0 0 0 0 0 0
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9 0 0 0 0 0 9 109
0 0 0 0 0 0 0 0
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0 0 10 0 0 0 0 75 -75
0 0 0 0 0 0 0 20
4 0 5 0 0 4 16 82
0 0 0 0 0 0 0 1
0 0 30 25 15 0 15 232
0 0 0 0 0 0 0 0
6 6 0 6 6 0 6 136
0 0 0 0 0 0 0 3
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0 0 0 0 0 0 0 0
1 0 1 0 0 0 0 21
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 107
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
30 70 23 40 10 20 20 788
0 0 0 3 3 0 0 16
0 0 0 0 3 0 0 11
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
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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 20
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1 0 0 0 0 0 0 2
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0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
14 0 0 0 0 0 28 158
0 0 0 0 0 0 0 0
0 0 9 0 9 0 0 95
0 0 0 0 0 0 0 0
10 0 0 10 0 0 0 110
0 0 0 0 0 0 0 0
84 84 28 0 28 28 0 934
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 58 0 30 0 0 0 804
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 2 1 0 0 0 11
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0

total
24 25 26 27 28 29 30 31
9 17 17 19 15 4 10 303
0 1 2 3 1 0 0 34
0 0 2 0 0 0 1 26
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : AGUST 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : SEPT 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0
2 ACIKLOVIR 400mg TAB 152 152 30 122
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 0 0 0 0
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 1 10 11 3 8
14 ALLOPURINOL 100mg TAB 3 300 303 3 300
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0 300
18 AMBROXOL SYR BTL 5 5 1 4
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 540 1500 2040 882 1158 900
22 AMLODIPIN 10 mg TAB 326 326 113 213 300
23 AMOXICILLIN 500mg TAB 334 334 334 0 500
24 AMOXICILLIN SYR BTL 2 2 0 2
25 ANTALGIN 500mg TAB 241 241 234 7 1000
26 ANTASID TAB 160 400 560 338 222 500
27 ANTASIDA SYR BTL 0 0 0 0
28 ANTIHEMOROID SUPP SUPP 14 14 0 14
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 203 203 8 195
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 115 115 60 55 200
34 ASAM MEFENAMAT 500mg TAB 276 100 376 144 232 500
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 0 0 0 0 20
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 0 0 0 0 300
40 BETAMETASON 0,1% TUBE 17 17 5 12 25
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 3 3 0 3
43 BISOPROLOL 5mg TAB 123 123 123 0 200
44 BISACODYL SUPP/ dulcolax supp SUPP 20 20 0 20
45 BORAX GLISERIN/GOM BTL 7 7 0 7
46 BROMHEXIN 8mg TAB 164 300 464 214 250 300
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 306 306 70 236
52 CAPTOPRIL 25mg TAB 159 159 0 159
53 CATARLENT TM BTL 5 5 0 5
54 CAZETIN DROP BTL 4 4 4 0 10
55 CEFADROXIL 500mg KAPS 205 205 40 165
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 10 10 0 10
58 CENDO ASTENOF BTL 0 0 0 0 5
59 CENDO AUGENTONIC BTL 5 5 0 5
60 CENDO CENFRESH BTL 13 13 0 13
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 4 4 0 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 1 1 0 1 100
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 50 100 150 20 130
71 CLINDAMICYN 150mg KAPS 50 50 0 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 1 1 0 1 100
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 468 468 284 184 500
77 DEXAMETASON 0,5mg TAB 333 200 533 84 449
78 DEXAMETASON INJ AMP 0 0 0 0
79 DEXTRAL TAB 110 110 110 0 300
80 DIAZEPAM 2mg TAB 87 500 587 99 488
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0 2
84 DIGOXIN 0,25mg TAB 0 0 0 0
85 DIMENHIDRINAT TAB 0 400 400 165 235 200
86 DOMPERIDON TAB 18 18 18 0 300
87 DOMPERIDON SYR BTL 16 16 12 4 30
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 0 0 0 0
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5ml BTL 0 0 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 5 5 0 5
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 8 8 0 8 200
102 FUROSEMID 40mg TAB 83 83 0 83
103 GARAM ORALIT 200ml SACH 139 139 55 84 100
104 GEMFIBROZIL 300mg KAPS 134 134 8 126
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 22 22 2 20
107 GENTAMICIN SM/GENOINT SM BTL 7 7 1 6
108 GENTAMICIN TM BTL 0 24 24 1 23
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 115 115 0 115
112 GLIMEPIRID 2mg TAB 80 1000 1080 170 910
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 152 152 152 0
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 80 80 7 73
125 HIDROKORTISON KRIM 2% TUBE 21 21 0 21
126 IBUPROFEN 200mg TAB 55 55 18 37
127 IBUPROFEN 400mg TAB 314 314 99 215 200
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 0 0 0 0 200
133 KALSIUM LAKTAT /KALK TAB 347 200 547 172 375 300
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 51 200 251 38 213
136 KETOKONAZOL CREAM TUBE 0 25 25 13 12 25
137 KHLORPHENIRAMIN MALEAT (CTM TAB 733 733 254 479
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 4 4 4 0 20
140 KLORAMFENIKOL 250mg TAB 60 100 160 40 120
141 KLORAMFENIKOL SYR BTL 15 15 0 15
142 KLORAMFENIKOL TT BTL 8 8 1 7
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 0 0 0 0 200
147 KOTRIMOXAZOL SUSP BTL 4 50 54 1 53
148 LACTO B SACH 23 23 6 17
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 89 200 289 103 186 100
153 LYTEER TM BTL 0 0 0 0 10
154 MELOXICAM 15mg TAB 0 0 0 0 200
155 METFORMIN 500mg TAB 28 28 28 0 500
156 METHILPREDNISOLON 4mg TAB 0 200 200 109 91 200
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0 100
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
161 METYLERGOMETRIN MALEAT 125 TAB 1 100 101 0 101
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 17 17 0 17
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 40 40 40 0
167 RECOVIT SYR BTL 40 40 20 20 20
168 LEXAVIT TAB 98 98 82 16 200
169 MYTADERM SALP TUBE 0 0 0 0 25
170 MOLANEURON TAB 75 300 375 234 141 300
171 NACl INFUS BTL 0 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 36 500 536 136 400
173 NEOKAOMINAL SYR BTL 7 7 3 4 10
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 21 21 21 0 25
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 108 108 108 0 300
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0 2
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 558 500 1058 811 247 1500
189 PARASETAMOL SYR 120mg/5ml BTL 104 104 10 94
190 PARACETAMOL DROP BTL 20 22 42 11 31
191 PEDITOK BTL 0 0 0 0 5
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 73 73 20 53
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 370 370 24 346
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 20 20 20 0
209 SABUN HIJAU BIJI 18 18 3 15
210 SALBUTAMOL 2mg TAB 101 101 18 83
211 SALBUTAMOL 4mg TAB 117 117 9 108
212 SALEP 2-4 POT 22 22 2 20
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 14 14 1 13
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12 TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 28 540 568 158 410
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 47 100 147 95 52 300
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1140 1140 110 1030
223 THIAMFENIKOL 500mg TAB 117 117 0 117
224 THIAMIN HCL 50mg (VIT B1) TAB 1346 1000 2346 934 1412 1000
225 THIAMPHENIKOL SYR BTL 19 19 0 19
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 0 100 100 0 100
229 TRIHEXIPHENIDIL 2mg TAB 0 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0 5
232 VITAMIN B KOMPLEX TAB 1376 1376 804 572
233 VALVED TAB 0 0 0 0 200
234 ZINC 20 mg TAB 0 800 800 20 780
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 6 6 2 4 10
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 0 100
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 7,5mg TAB 0 0 0 0
246 LANSOPRAZOLE KAPS 0 0 0 0
247 AMOXICILLIN FORTE SIRUP BTL 31 31 11 20
 DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN

: AGUST 2019
: SEPT 2019

KET
APBD 2019
 KET
APBD 2019

ED 39
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : AGUST 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : SEPT 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI
NO NAMA OBAT/ALKES SAT AWAL MAAN DIAAN KAIAN STOK AAN AN PKD KET
PKD 2018 BSP SARPRAS BLUD BMHP APBD 2019
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +TALI BIJI 0 0 4 0 50
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 100 100 100 0
9 TISSUE GYNAEC ROL 0 0 0 0 4
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 3 3 3 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 0 0 0 2
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0
26 COMBIVEN BIJI 0 3 3 3 0

Mojokerto,5 September 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

Drg. CITRA MAYANGSARI RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm
NIP. 19820101 200604 2 046 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
1-Sep 2-Sep 3-Sep 4-Sep 5-Sep
asmef 9 obh 1 amlo 14 amlo
amlo5 14 antsd sir 1 amlo5 14 amlo5
amlo5 14 betamet 1 amlo5 14 amlo5
amlo5 14 bromhex 9 amlo5 14 amlo5
ant 7 dema 9 amok 15 amlo5
antsd sir 1 dimen 9 amok250 sir 2 amok
antsd sir 1 domper sir 1 antsd 10 amok sir
b1 14 garam 6 antsd 9 amok250 sir
ctm 5 gg 9 antsd 10 antsd
ctm 9 gg 9 asmef 9 antsd
dimen 9 lacto 3 asmef 9 antsd sir
metfor 28 lexa 5 bc 20 asmef
mico 1 lora 3 bc 20 asmef
mola 5 lora 3 bromhex 9 b1
pml 10 methil 9 bromhex 9 b1
pml 5 neo 1 bromhex 9 b1
pml 10 pml sir 1 cenfres 3 baby
rani 6 pml sir 9 ceti sir 1 baby
sk 24 1 rani 6 ctm 4 bc
ctm 9 cenfres
ctm 5 dema
dema 9 dema
dema 9 domper sir
dema 9 domperi
dema 9 fe
dimen 9 gg
fe 7 glime
fe 30 kalk
fe 30 lexa
gg 4 metfor
gg 9 pml
gg 9 pml
gg 9 pml drop
gg 5 pml drop
glime 14 pml sir
ibu4 9 pml sir
kalk 20 pml sir
kalk 20 rani
metfor 28 rani
mola 5 rani
pml 10 reco sir
pml 5
pml 10
pml sir 1
5-Sep 6-Sep 7-Sep 8-Sep 9-Sep
14 amlo5 14 amlo5 14 amlo5 10
14 amlo5 14 amlo5 14 amlo5 14
14 amlo5 14 amok 5 amlo5 14
14 amok 15 amok 15 amlo5 14
14 amok 15 amok 15 amok 9
15 antsd 10 antsd 10 amok 15
1 antsd 9 antsd 9 antsd sir 2
1 b1 10 antsd 9 antsd sir 1
9 betamet 1 antsd sir 1 antsd sir 1
9 ceti sir 1 antsd sir 1 asmef 9
1 ceti sir 1 asmef 9 b1 15
9 dema 9 b1 28 b1 14
9 dema 9 bromhex 9 b1 14
28 domperi 9 ctm 5 b1 14
28 gg 9 dema 5 b1 14
28 gg 9 dema 9 baby 2
1 lexa 5 domper sir 1 bc 9
1 lora 3 domper sir 1 cap12,5 14
20 mola 5 domperi 9 ctm 4
1 mola 10 garam 6 ctm 9
9 mola 5 garam 6 ctm 9
9 natri 6 garam 6 ctm 9
1 natri 6 gg 5 ctm 9
9 natri 6 gg 5 dema 9
15 pml 9 lacto 3 gg 4
9 Sali 1 lexa 5 gg 10
14 sali 1 lexa 5 gg 9
15 lora 3 gg 9
5 mola 5 gg 9
28 mola 10 glime 14
10 molagit 10 kotrim sir 1
10 molagit 10 metfor 14
1 molagit 10 pml 1
1 natri 6 pml 14
1 pml 10 pml 10
9 pml 5 pml 10
1 pml 10 pml 10
6 rani 6 pml 10
6 rani 6 pml 10
6 rani 6 pml sir 1
1 rani 6 pml sir 10
salbu2 9 pml sir 10
spasmi 9 reco sir 1
spasmi 9
 10-Sep 11-Sep 12-Sep 13-Sep
amlo5 14 amlo5 14 ambrxl 9 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amok 15 amlo5 14 amlo5 14 amlo5 14
amok 15 amlo5 14 amok 15 amlo5 14
antsd 10 amlo5 14 bc 10 amok 15
asmef 9 amok sir 2 bc 20 amok 15
b1 28 anti 3 ctm 9 amok sir 1
b1 28 antsd 9 ctm 9 ant 9
dema 9 mola 1 dema 9 ant 9
dema 9 bc 3 dema 9 b1 28
dema 9 bc 4 dema 9 b1 28
dimen 9 bc 3 fe 10 b1 28
domperi 9 bc 6 gg 9 ceti sir 1
domperi 9 bc 10 gg 9 ctm 9
gg 9 bc 20 gg 9 dz2 6
glime 14 bromhex 9 gg 9 gg 9
lexa 4 bromhex 9 metfor 28 kalk 14
lora 3 cetirizin 3 mola 5 lora 3
metfor 28 ctm 3 mola 5 metfor 28
metfor 14 ctm 4 pml 9 mola 5
mola 5 dema 9 pml 9 mola 5
mola 5 dema 9 pml 9 mola 5
mola 5 dema 9 pml 9 myta 1
mola 5 fe 7 pml drop 1 natri 6
mola 5 fe 30 pml drop 1 obh 1
natri 6 gg 3 pml drop 1 pml 10
natri 6 gg 5 pml drop 1 pml 9
natri 6 gg 9 pml sir 1 pml sir 1
rani 6 glime 14 pml sir 1 simvas 14
Sali 1 glime 14 pml sir 1
simvas 14 ibu2 4
simvas 14 ibu4 9
ibu4 9
ibu4 9
ibu4 9
kalk 30
lexa 7
metfor 28
mico 1
mola 5
mola 5
mola 5
mola 5
natri 6
pml 5
pml 9
pml 10
pml 10
salbu2 9
 14-Sep 15-Sep 16-Sep 17-Sep 18-Sep
ambrxl 9 amlo5 14 amlo5 14 ambrxl
amlo 14 amok 15 antsd 10 amlo5
amlo5 14 amok 15 asmef 9 amlo5
amlo5 14 antsd 10 b1 28 amlo5
ant 9 antsd sir 1 bc 5 amok
ant 9 asmef 9 bc 10 antsd
asmef 9 b1 14 bisop 14 antsd
asmef 9 b1 14 cetirizin 3 antsd
bc 20 b1 14 ctm 5 baby
bc 28 b1 14 dimen 9 bromhex
cod10 9 bisop 14 domper sir 1 bromhex
ctm 9 cap12,5 28 domper sir 1 cap12,5
ctm 9 ctm 9 garam 6 cenfres
dimen 9 ctm 9 gg 9 dema
dimen 9 ctm 9 gg 9 dema
domperi 4 ctm 9 gg 5 genta sk
dz2 3 ctm 9 methil 5 ibu4
gg 9 ctm 9 mola 5 litrol tm
gg 9 ctm 9 molagit 20 pml
glime 14 genta tm 1 myta 1 pml sir
glime 14 gg 9 pml 9
glime 14 gg 9 pml 10
glime 14 gg 9 pml 10
ibu4 9 gg 9 pml sir 1
lora 3 gg 9 rani 6
lora 3 gg 9 Sali 1
lora 3 gg 9 spasmi 9
metfor 28 metfor 28
metfor 28 molagit 10
mola 3 pml 10
mola 5 pml 10
mola 5 pml 10
myta 1 pml 10
obh 1 pml 10
pml 10 rani 6
pml 10
rani 6
rani 6
salbu4 9
simvas 14
simvas 14
simvas 14
simvas 14
18-Sep 19-Sep 20-Sep 21-Sep 22-Sep
9 amok 15 ambrxl 9 amlo5 14
14 amok250 sir 1 amlo5 14 amlo5 14
14 antsd 9 antsd sir 1 amlo5 14
14 bc 10 antsd 10 amok 15
15 ceti sir 1 bc 10 antsd 10
10 ceti sir 1 bc 28 antsd 9
9 cetirizin 3 bisop 14 b1 28
10 ctm 5 bromhex 9 b1 28
1 dema 9 c 10 biopla 1
9 dexa 9 ctm 9 gg 9
9 garam 6 ctm 9 ibu4 9
9 gg 5 dimen 9 lora 3
2 gg 9 genta tm 1 metfor 28
9 lacto 3 gg 9 mola 5
9 lora 3 gg 9 pml 10
1 neo 1 lacto 3 pml 10
9 pml 9 lora 3 rani 6
1 pml 9 mola 5
10 pml 9 pml 10
1 pml drop 1 pml 10
pml drop 1 rani 4
pml drop 1 salbu2 9
pml drop 1
pml sir 1
pml sir 1
pml sir 1
rani 6
spasmi 9
 23-Sep 24-Sep 25-agust 26-Sep
ambrxl 2 alopu 14 amlo 14 alopu 14
amlo5 14 amlo5 14 amlo5 14 amlo 14
amlo5 14 amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amlo5 14 amok 15
amok 15 amlo5 14 amlo5 14 amok250 sir 1
amok 15 amlo5 14 antsd sir 1 amok250 sir 1
amok 15 ant 9 antsd sir 1 antsd sir 1
amok250 sir 1 antsd sir 1 b1 10 b1 10
amok250 sir 1 b1 10 b1 10 b1 10
antsd 10 b1 10 b1 10 bc 5
antsd 9 b1 10 b1 14 biopla 1
antsd sir 1 b1 10 bc 10 ceti sir 1
antsd sir 1 b1 28 bc 14 ctm 5
asmef 9 b1 28 bc 10 dema 9
asmef 9 b1 28 catar 1 dimen 9
b1 14 ceti sir 1 cenfres 3 dimen 9
b1 14 dz2 3 dema 9 domper sir 1
b1 14 gg 9 dema 9 genta sm 1
b1 14 ibu4 9 dimen 9 gg 5
b1 14 ibu4 9 fe 7 glime 14
bc 3 ibu4 9 gg 9 ibu4 9
bc 3 metfor 28 gg 9 metfor 28
bc 4 metfor 28 glime 14 natri 6
bc 10 metfor 14 pml 10 obh 1
bc 10 mola 5 pml 10 pml 10
bc 9 natri 6 pml 10 pml 10
bc 10 natri 6 pml 10
cod10 9 simvas 14 pml drop 1
ctm 9 simvas 14 pml drop 1
ctm 2 simvas 14 pml drop 1
ctm 3 pml drop 1
ctm 4 pml sir 1
ctm 9 pml sir 1
ctm 9 rani 6
ctm 9 rani 6
dexa 9 reco 1
fe 30 simvas 14
garam 6 sk 24 1
gg 3 spasmi 9
gg 9
gg 9
gg 9
gg 9
ibu4 9
lora 3
mico 1
mola 5
mola 5
molagit 10
natri 6
pml 10
pml 2
pml 4
pml 10
pml 10
pml 10
pml 9
rani 6
Sali 1
 27-Sep 28-Sep 29-Sep 30-Sep
amok 8 ambrxl 9 amlo5 14
antsd sir 1 amlo5 14 amlo5 14
antsd sir 1 amlo5 14 amlo5 14
antsd sir 1 amlo5 14 antsd 9
bc 5 amok 15 antsd sir 1
ctm 5 amok 9 asfol 30
genta sk 1 amok 15 b1 14
methil 5 amok 15 b1 20
natri 6 asmef 9 b1 14
pml 9 b1 28 b1 14
pml 10 b1 28 b1 14
rani 6 b1 28 b1 14
rani 6 bc 10 b1 14
rani 6 bc 10 b1 14
spasmi 9 ctm 5 bc 4
ctm 9 bisop 14
dema 9 ctm 4
dema 9 dema 9
genta sk 1 gg 4
gg 5 gg 9
gg 9 kalk 30
glime 14 lora 3
ibu4 9 pml 10
ibu4 9 pml 10
metfor 28 pml 10
natri 6 sabun 1
pml 10
Sali 1
simvas 14
 REKAPAN PEMAKA

BULAN: Sep-19

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0
5 adona ADONA TAB 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0
12 ALKOHOL 95% 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 42 0 42 56
22 amlo AMLODIPIN 10 mg 0 0 14 14
23 amok AMOXICILLIN 500mg 0 0 15 15
24 amok sir AMOXICILLIN SYR 0 0 0 1
25 ant ANTALGIN 500mg 7 0 0 0
26 antsd ANTASID 0 0 29 18
27 antsd sir ANTASIDA SYR 2 1 0 1
28 anti ANTIHEMOROID SUPP 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 9 0 18 18
35 ATROPIN INJ 0 0 0 0
36 baby BABY COUGH SYR 0 0 0 2
37 baci BACITRACIN 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0
39 betahis BETAHISTIN 0 0 0 0
40 betamet BETAMETASON 0,1% 0 1 0 0
41 beva BEVALEX CREAM 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 0
44 bisa supp BISACODYL SUPP 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 9 27 0
47 BUSCOPAN INJ 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0
50 CALADIN POWDER 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0
53 catar CATARLENT TM 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 3 1
61 homa CENDO HOMATROPIN 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0
75 calusol CALLUSOL 0 0 0 0
76 dema DEMACOLIN 0 9 36 18
77 dexa DEXAMETASON 0,5mg 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0
79 dextral DEXTRAL 0 0 0 0
80 dz2 DIAZEPAM 2mg 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0
85 dimen DIMENHIDRINAT 9 9 9 0
86 domperi DOMPERIDON 0 0 0 9
87 domper sir DOMPERIDON SYR 0 1 0 1
88 dulco DULKOLAC TAB 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0
103 garam GARAM ORALIT 200ml 0 6 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0
110 glaucon GLAUCON 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0
112 glime GLIMEPIRID 2mg 0 0 14 14
113 glime4 GLIMEPIRID 4 MG 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 0 18 36 9
115 GLUKOSA 10% 0 0 0 0
116 GLUKOSA 5% 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 0 9 0
128 ichtiol ICHTIOL SALP 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 0 0 40 15
134 karbama KARMABAZEPIN 200mg 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 14 0 18 0
138 khloram sm KLORAMFENIKOL SM 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0
143 KLORIN 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0
148 lacto LACTO B 0 3 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0
152 lora LORATADIN 10mg 0 6 0 0
153 lyteer LYTEER TM 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0
155 metfor METFORMIN 500mg 28 0 28 28
156 methil METHILPREDNISOLON 4mg 0 9 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
162 MIDRIASIL TM 0 0 0 0
163 mico MIKONAZOL cr 1 0 0 0
164 MINERAL MIX 0 0 0 0
165 MODEKATE INJ 0 0 0 0
166 molagit MOLAGIT 0 0 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT)/TRUVIT 0 0 0 1
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 5 0 5
169 myta MYTADERM SALP 0 0 0 0
170 mola MOLANEURON 5 0 5 0
171 nacl NACl INFUS 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 0 0
173 neo NEOKAOMINAL SYR 0 1 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0
177 norit NORIT 0 0 0 0
178 obh OBH SYR 0 1 0 0
179 obp OBP SYR 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0
182 OTTOPAIN TT 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0
185 prena PRENAMIA 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0
188 pml PARASETAMOL 500mg 25 0 25 20
189 pml sir PARASETAMOL SYR 120mg/5ml 0 10 1 11
190 pml drop PARACETAMOL DROP 0 0 0 2
191 pedi PEDITOK 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0
203 rani RANITIDIN 150mg 6 6 0 18
204 RANITIDIN INJ 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0
212 sk 24 SALEP 2-4 1 0 0 0
213 sk 88 SALEP 88 0 0 0 0
214 sk wf SALEP WF 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 0 0
219 indra SIRUP INDRA 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 67 15
223 thiam THIAMFENIKOL 500mg 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 14 0 0 84
225 THIAMPHENIKOL SYR 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0
232 bc VITAMIN B KOMPLEX 0 0 40 20
233 valved VALVED 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0
235 zink syr rekjan18 0 0 0 0
236 ksr KSR 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 1 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0
244 gran GRANTUSIF 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0
247 amok250 sir AMOXICILLIN FORTE SIRUP 0 0 2 1
248 band BAND AID / HANSAPLAST 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0
257 masker MASKER +tali 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0
263 loematul LOEMATUL 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0
268 handl HANDSCON L 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0
270 silk SILK 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0

NO JENIS RESEP
NO JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 6 7 17 16
2 JUMLAH RESEP PUYER 0 0 1 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

SEPTEMBER
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 9 0 9 0 0 9 0 9 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 28 52 28 70 28 56 28 14 14 42 0 14 42 42
0 0 0 0 0 0 0 14 0 0 0 0 0 0 0
30 35 24 30 0 15 30 0 30 0 15 15 0 15 45
0 0 0 0 2 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 18 18 0 0 0 0 0 0 0
19 28 0 10 9 0 0 0 10 10 29 9 10 19 19
0 2 4 0 0 0 0 0 1 0 0 0 1 0 2
0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 9 9 0 0 0 18 9 9 0 0 0 0 18
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 14 14 0 0 14 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 18 0 0 0 0 0 18 0 9 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 0 0 0 0 0 28 0 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 0 0 0 0 3 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 9 0 0 0 0 0 0 9
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 14 9 27 27 27 0 0 0 0 18 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 9 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 6 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 0 0 18 0 9 0 0 9 0 0
9 9 0 18 0 0 0 4 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 0 0 0 0 0 0 0 6 0 6 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 14 28 0 0 56 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 10 41 9 17 36 9 18 63 23 0 14 18 9 39
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 36 0 0 9 0 0 9 0 0 9 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 30 0 14 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 5 40 0 7 18 9 18 63 5 0 5 18 0 45
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 3 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 0 3 0 0 3 9 0 0 0 3 3 3 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 14 42 28 28 28 56 28 0 0 0 0 28 0
0 0 0 0 0 0 0 0 0 5 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 30 0 0 0 0 0 0 10 20 0 0 0 0 10
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0
5 10 0 4 7 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 0 1 0 0 0 0 0
20 15 0 25 21 10 15 13 0 5 0 0 5 5 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 6 0 18 6 0 6 0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 25 65 0 34 36 19 20 50 29 10 27 20 20 55
0 0 21 0 0 3 1 0 0 1 1 3 0 0 0
0 0 0 0 0 4 0 0 0 0 0 4 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 24 0 6 0 0 0 12 6 6 0 6 4 6 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 9 0 0 0 0 0 0 0 9 0 0
0 0 0 0 0 0 0 9 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 2 0 0 1 0 0 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 28 0 0 14 56 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 0 0 0 0 0 0 0 9 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 37 10 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 28 71 56 0 0 84 0 56 28 0 0 0 56 70
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 0 46 30 0 48 0 15 0 10 38 0 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 1 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
11 12 15 10 17 15 8 11 13 9 10 14 6 5 20
0 1 1 0 3 0 0 0 0 1 0 1 0 0 3
0 0 0 0 0 0 1 2 0 0 0 0 0 0 1
 JUML KETERANGAN
24 25 26 27 28 29 30 AH
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
14 0 14 0 0 0 28
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 9 0 47 -47
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
70 56 14 0 42 42 864
0 14 14 0 0 0 70
0 0 15 8 54 0 391 -391
0 0 0 0 0 0 4
9 0 0 0 0 0 52 -52
0 0 0 0 0 0 219
1 2 1 3 0 1 22 -22
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 10 -10
0 0 0 0 0 0 0
0 0 0 0 0 30 30
0 0 0 0 9 0 135
0 0 0 0 0 0 0
0 0 0 0 0 0 5 -5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 1 0 0 0 2
0 0 0 0 0 14 56
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 90
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 51
0 0 0 0 0 0 0
0 1 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 3 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 18 -18
0 0 0 0 0 0 0
0 18 9 0 18 9 266
0 0 0 0 0 0 18
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 0 0 0 0 0 12
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 9 18 0 0 0 99
0 0 0 0 0 0 49
0 0 1 0 0 0 7
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 42
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 1 0 3
0 0 1 0 0 0 1
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 14 14 0 14 0 182
0 0 0 0 0 0 0
9 18 5 0 14 13 446
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 4
27 0 9 0 18 0 135 -135
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 30 129
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 5 5 14 4 293
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 12
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 3 42
0 0 0 0 0 0 0
0 0 0 0 0 0 0
70 0 28 0 28 0 462 -462
0 0 0 5 0 0 19
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 70
0 0 0 0 0 0 2
0 0 0 0 0 0 36
0 0 0 0 0 0 3
5 0 0 0 0 0 159
0 0 0 0 0 0 0
12 0 6 6 6 0 90
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 1 0 0 0 4 -4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 30 30 19 10 30 608
0 0 2 0 0 0 54
0 0 4 0 0 0 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 12 18 0 0 136
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 1 1
0 0 0 0 0 0 27
0 0 0 0 0 0 9
0 0 1 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 1 0 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0
42 0 14 0 14 0 168
0 0 0 0 0 0 0
0 0 9 9 0 0 54
0 0 0 0 0 0 0
0 7 0 0 0 0 166
0 0 0 0 0 0 0
124 44 20 0 84 118 947
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 34 5 5 20 4 373 -373
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 0 0 8
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 2 0 0 0 8
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0

total
 total
24 25 26 27 28 29 30
10 8 14 4 10 10 278
1 0 0 0 1 1 14
1 0 0 0 0 0 5
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : SEPTEMBER

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : OKTOBER 20

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT NTAAN ERIAN Date Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0 0
2 ACIKLOVIR 400mg TAB 122 122 0 122
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 0 0 0 0
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 8 8 0 8
14 ALLOPURINOL 100mg TAB 300 300 28 272
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0 50
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 4 4 0 4
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 1158 900 2058 864 1194 600
22 AMLODIPIN 10 mg TAB 213 300 513 70 443
23 AMOXICILLIN 500mg TAB 0 0 0 0
24 AMOXICILLIN SYR BTL 2 2 2 0
25 ANTALGIN 500mg TAB 7 7 7 0
26 ANTASID TAB 222 222 219 3 500
27 ANTASIDA SYR BTL 0 0 0 0 50
28 ANTIHEMOROID SUPP SUPP 14 14 3 11
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 195 195 10 185
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 55 200 255 30 225
34 ASAM MEFENAMAT 500mg TAB 232 500 732 135 597
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 0 0 0 0
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 0 0 0 0
40 BETAMETASON 0,1% TUBE 12 25 37 2 35
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 3 3 2 1
43 BISOPROLOL 5mg TAB 0 0 0 0 200
44 BISACODYL SUPP/ dulcolax supp SUPP 20 20 20 0
45 BORAX GLISERIN/GOM BTL 7 7 0 7
46 BROMHEXIN 8mg TAB 250 250 90 160 100
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 236 236 51 185
52 CAPTOPRIL 25mg TAB 159 159 0 159
53 CATARLENT TM BTL 5 5 1 4
54 CAZETIN DROP BTL 0 0 0 0 10
55 CEFADROXIL 500mg KAPS 165 165 0 165
56 CEFADROXIL SYR BTL 0 0 0 0 5
57 CEFIXIM KAPS 10 10 0 10
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 5 5 0 5
60 CENDO CENFRESH BTL 13 13 9 4 20
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 4 4 0 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 1 100 101 9 92
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 130 130 0 130
71 CLINDAMICYN 150mg KAPS 50 50 0 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 1 1 1 0
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 184 200 384 266 118 400
77 DEXAMETASON 0,5mg TAB 449 449 18 431
78 DEXAMETASON INJ AMP 0 0 0 0
79 DEXTRAL TAB 0 0 0 0
80 DIAZEPAM 2mg TAB 488 488 488 0
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 0 0 0 0
85 DIMENHIDRINAT TAB 235 235 99 136
86 DOMPERIDON TAB 0 50 50 49 1 200
87 DOMPERIDON SYR BTL 4 40 44 7 37
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 0 0 0 0
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5ml BTL 0 0 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 5 5 0 5
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 8 8 0 8 100
102 FUROSEMID 40mg TAB 83 83 0 83
103 GARAM ORALIT 200ml SACH 84 100 184 42 142
104 GEMFIBROZIL 300mg KAPS 126 126 0 126
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 20 20 3 17
107 GENTAMICIN SM/GENOINT SM BTL 6 6 1 5
108 GENTAMICIN TM BTL 23 23 2 21
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 115 115 0 115
112 GLIMEPIRID 2mg TAB 910 910 182 728
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 0 0 0 0
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 73 73 0 73
125 HIDROKORTISON KRIM 2% TUBE 21 21 0 21
126 IBUPROFEN 200mg TAB 37 37 4 33
127 IBUPROFEN 400mg TAB 215 215 135 80
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 0 0 0 0 100
133 KALSIUM LAKTAT /KALK TAB 375 375 129 246 100
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 213 213 0 213
136 KETOKONAZOL CREAM TUBE 12 25 37 0 37
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 479 479 293 186 400
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 0 0 0 0 10
140 KLORAMFENIKOL 250mg TAB 120 120 0 120
141 KLORAMFENIKOL SYR BTL 0 0 0 0
142 KLORAMFENIKOL TT BTL 7 7 0 7
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 0 0 0 0
147 KOTRIMOXAZOL SUSP BTL 53 53 1 52
148 LACTO B SACH 17 17 12 5
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 186 100 286 42 244
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 0 0 0 0
156 METHILPREDNISOLON 4mg TAB 91 91 19 72
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
161 METYLERGOMETRIN MALEAT 125mg TAB 101 101 0 101
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 17 17 3 14
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 0 0 0 0
167 RECOVIT SYR BTL 20 20 2 18
168 LEXAVIT TAB 16 16 16 0
169 MYTADERM SALP TUBE 0 20 20 3 17
170 MOLANEURON TAB 141 30 171 159 12 200
171 NACl INFUS BTL 0 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 400 400 90 310
173 NEOKAOMINAL SYR BTL 4 4 2 2
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 0 0 0 0
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 0 0 0 0
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 247 1500 1747 608 1139
189 PARASETAMOL SYR 120mg/5ml BTL 94 94 54 40
190 PARACETAMOL DROP BTL 31 31 14 17 20
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 53 53 0 53
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 346 346 136 210
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 0 0 0 0
209 SABUN HIJAU BIJI 15 15 1 14
210 SALBUTAMOL 2mg TAB 83 83 27 56 100
211 SALBUTAMOL 4mg TAB 108 108 9 99
212 SALEP 2-4 POT 20 20 2 18
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 13 13 6 7 10
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 410 410 168 242 90
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 52 300 352 54 298
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 1030 1030 166 864
223 THIAMFENIKOL 500mg TAB 117 117 0 117
224 THIAMIN HCL 50mg (VIT B1) TAB 1412 1000 2412 947 1465 500
225 THIAMPHENIKOL SYR BTL 19 19 0 19
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 100 100 0 100
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 572 572 373 199 600
233 VALVED TAB 0 0 0 0
234 ZINC 20 mg TAB 780 780 0 780
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 4 10 14 8 6
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 100 100 100 0
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 7,5mg TAB 0 0 0 0
246 LANSOPRAZOLE 30mg KAPS 0 0 0 0 300
247 AMOXICILLIN FORTE SIRUP BTL 20 20 8 12 10

NB: JUMLAH TOTAL RESEP = 278

 LEMBAR PERMINTAAN OBAT
PELAYANAN

: SEPTEMBER 2019
: OKTOBER 2019

KET
APBD 2019
 KET
APBD 2019

ED 20
 KET
APBD 2019

pelayanan

ED (488 )

pelayanan
 KET
APBD 2019
 KET
APBD 2019

ED (20)
 KET
APBD 2019

pelayanan
 KET
APBD 2019
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : SEPTEMBER 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : OKTOBER 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINT PEMBERI KET
AWAL MAAN DIAAN KAIAN STOK AAN AN PKD
PKD BSP SARPRAS BLUD BMHP APBD 2019
2018
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 100 100 100 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 4 4 4 0 4
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 2 2 2 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

Mojokerto,5 Oktober 2019

MENGETAHUI/MENYETUJUI
An.KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
DINAS KESEHATAN KOTA MOJOKERTO UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG
Ka.Subag TU

LUKITANINGSIH,S.Kep.Ns RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm

NIP. 19651002 199103 2 009 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
 1-Oct 2-Oct 3-Oct 4-Oct
khloram tm 1 cod10 9 amlo5 14 amlo5 14
bromhex 9 amlo 14 amlo5 14 amlo5 14
ceti sir 1 amlo 14 amlo5 14 amlo5 14
cetirizin 3 amlo5 14 amok 15 amlo5 14
ctm 9 amlo5 7 asfol 10 amok 6
ctm 9 amok 15 b1 28 amok 15
gg 9 amox250 sir 1 baby 1 amok250 sir 1
hidro 1 baby 1 bc 6 amok250 sir 1
pml 9 bc 10 bc 10 ant 9
pml sir 1 bromhex 5 cenfres 3 antsd sir 1
pml sir 9 ctm 9 dema 9 asmef 9
reco sir 2 ctm 9 dema 9 b1 10
ctm 5 dimen 9 b1 28
dema 9 dimen 9 bc 28
dema 9 domper sir 1 bc 28
dexa 9 domper sir 1 bc 28
fe 30 domper sir 1 bc 10
genta sk 1 fe 10 bc 10
gg 9 genta tm 1 cetirizin 3
gg 9 glime 14 ctm 5
glime 14 ibu4 9 dema 9
kalk 30 ibu4 9 dexa 5
keto 14 ibu4 9 dexa 9
keto sk 1 metfor 28 domper sir 1
litrol tm 1 natri 6 genta sm 1
lora 3 obh 1 gg 5
methil 9 pml 9 glime 14
methil 5 pml 10 glime 14
myta 1 pml drop 1 glime 14
natri 6 pml sir 1 gom 1
neo 1 rani 6 ibu4 9
pml 10 rani 6 ibu4 9
pml 10 rani 6 metfor 28
pml 10 rani 6 metfor 28
pml 10 simvas 14 myta 1
rani 6 simvas 14 pml sir 1
rani 6 spasmi 9 pml sir 1
rani 6 pml sir 9
rani 6 rani 6
rani 6 rani 6
simvas 14 reco sir 1
simvas 14 simvas 14
simvas 14
 5-Oct 6-Oct 7-Oct 8-Oct 9-Oct
amlo5 14 ambrxl 5 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amok 15 amlo5 14 amlo5
amlo5 14 amok 15 b1 28 amlo5
amok 15 ant 9 b1 28 amok
amok 15 b1 14 b1 28 antsd sir
amok 15 b1 14 b1 28 antsd sir
antsd sir 1 b1 28 b1 28 antsd sir
antsd sir 1 b1 28 bc 5 asfol
asmef 9 b1 14 bc 10 asmef
asmef 9 bc 10 bisop 14 b1
b1 28 bc 3 ctm 9 b1
b1 28 bc 2 ctm 5 b1
b1 28 bc 10 ctm 9 b1
bc 10 ctm 3 dema 9 b1
bc 28 ctm 3 dimen 9 bc
bc 28 ctm 10 dimen 9 bc
bisop 14 ctm 2 gg 9 bc
ctm 9 ctm 5 gg 5 bc
ctm 9 ctm 9 gg 9 bc
dema 9 dema 9 glime 14 bc
dimen 9 genta sk 1 metfor 28 bromhex
domper sir 1 gg 9 metfor 28 ctm
gg 9 gg 3 metfor 28 dimen
glime 14 gg 2 myta 1 fe
lora 3 gg 9 pml 10 fe
lora 3 gg 9 pml 10 fe
metfor 28 ibu4 9 pml 10 fe
metfor 28 ibu4 9 pml sir 1 garam
myta 1 kalk 5 pml sir 10 genta sk
obh 1 kalk 5 salbu2 9 gg
obh 1 kalk 6 kalk
obh 1 lora 3 kalk
pml 10 myta 1 kalk
pml 10 pml 1 kalk
pml 10 pml 10 kalk
rani 6 pml 6 metfor
spasmi 9 pml 10 metfor
reco sir 1 molagit
reco sir 1 pml
pml
pml
pml
pml
pml
pml
pml sir
reco sir
simvas
9-Oct 10-Oct 11-Oct 12-Oct 13-Oct
14 amlo5 14 amlo5 14 amlo5 14
14 amlo5 14 amlo5 14 amlo5 14
14 ant 9 antsd 10 amok250 sir 1
14 ant 9 antsd 10 ant 9
14 asmef 9 antsd 10 antsd 10
15 b1 28 bc 1 b1 28
1 b1 14 bc 3 b1 28
1 b1 28 bc 10 b1 28
1 bc 3 bc 9 b1 28
30 bc 10 bc 10 baby 1
9 bc 10 ctm 2 cap12,5 28
28 ctm 3 ctm 4 cap12,5 28
28 dimen 9 ctm 9 ctm 9
28 gg 3 ctm 9 domperi 9
28 ibu4 9 gg 2 genta tm 1
28 lacto 3 gg 4 metfor 28
10 lora 3 gg 9 pml 10
20 obh 1 myta 1 simvas 14
20 pml 1 pml 10 simvas 14
20 pml drop 1 pml 9
20 pml sir 1 pml 10
20 pml sir 10 pml 10
9 pml sir 1 pml sir 1
3 pml sir 1 pml sir 1
9 reco sir 1 pml sir 10
30 sabun 1
30 Sali 1
15
30
6
1
3
30
20
20
15
30
28
28
9
10
10
10
10
9
10
10
 1
1
14
 14-Oct 15-Oct 16-Oct 17-Oct
alpra 5 amlo5 14 amok 15 amlo5 14
ambrxl 9 amlo5 14 antsd 10 amlo5 14
amlo5 14 amok 15 antsd 10 amlo5 14
amlo5 14 amok 15 antsd 10 antsd 10
amlo5 14 amok 15 antsd 10 antsd 10
amlo5 14 amok 15 asmef 9 antsd 9
amok 15 amok250 sir 1 dema 9 antsd 10
amok 15 amok250 sir 1 domperi 9 b1 28
amok 15 antsd 10 garam 6 b1 28
amok 15 antsd 10 garam 6 b6 6
amok250 sir 1 antsd 10 genta sk 1 dimen 9
ant 9 asmef 9 gg 9 dimen 9
ant 9 b1 28 gg 9 domperi 9
antsd 10 b1 28 ibu4 9 domperi 9
antsd 10 b1 28 keto sk 1 domperi 9
antsd sir 1 baby 1 keto sk 1 garam 6
asmef 9 bc 10 lanzo 3 glime 14
bc 10 ctm 9 lexa 5 glime 14
bc 6 ctm 9 lora 3 lanzo 3
bc 28 dema 9 molagit 10 metfor 28
cd10 9 dextral 9 molagit 10 mola 10
ctm 3 dextral 9 natri 6 molagit 5
ctm 9 dextral 9 pml 9 obh 1
dema 9 dextral 9 spasmi 9 pml 10
dema 9 garam 6 pml 10
dimen 9 genta sk 1 pml drop 1
dimen 9 genta sk 1 zink sir 1
dimen 9 gg 9
domperi 9 gom 1
domperi 9 hct 14
domperi 9 ibu4 9
garam 6 lanzo 3
gg 3 lexa 5
glime 14 lexa 5
glime 14 metfor 28
ibu4 9 neo 1
ibu4 9 pml 10
lanzo 3 pml 10
lanzo 3 pml 10
metfor 14 pml 10
metfor 28 pml 10
metfor 28 pml sir 1
molagit 10 spasmi 9
pml 9
pml 10
simvas 14
 18-Oct 19-Oct 20-Oct 21-Oct 22-Oct
amlo5 14 amlo5 14 amlo5 14 amlo
amlo5 14 amok 15 amlo5 14 amlo5
amok 15 amok 15 amlo5 14 amlo5
ant 9 antsd 10 amlo5 14 amlo5
antsd sir 1 asmef 9 amok 15 amok
asmef 9 asmef 9 antsd 9 antsd
b1 14 betahis 8 asmef 9 b1
bc 10 c 5 b1 28 b1
bisop 14 dema 9 b1 28 b1
ctm 9 fe 7 b1 28 b1
ibu4 9 gg 9 b1 28 baby
ibu4 9 glime 14 baby 1 bc
keto 7 lanzo 3 bc 10 genta sk
mico 1 lora 4 betahis 9 lanzo
mola 7 metfor 28 ceti sir 1 metfor
pml 10 pml 10 ctm 9 metfor
pml 10 dema 9 metfor
pml 10 dextral 9 pml
sk24 1 dextral 9 simvas
domperi 9 simvas
domperi 9
genta sk 1
gg 9
gg 9
glime 14
ibu4 9
ibu4 9
lanzo 3
lexa 5
lexa 5
metfor 28
metfor 28
pml 10
simvas 14
simvas 14
simvas 14
22-Oct 23-Oct 24-Oct 25-Oct 26-Oct
14 alpra 5 amlo5 14 amlo5 14 antsd
14 amlo5 14 amok 15 amlo5 14 b1
14 amlo5 14 amok 15 antsd 10 bisop
14 amlo5 14 amok 15 antsd 10 fenol
15 amlo5 14 ant 9 b1 14 pml
10 amok 15 ant 9 b1 14 pml
28 ant 9 anti 3 bc 5 spasmi
28 ant 9 antsd 10 c 6
28 antsd 10 antsd 10 cipro 10
28 asmef 9 antsd 10 cipro 10
1 b1 28 antsd 10 ctm 5
28 b1 28 antsd 10 garam 6
1 betahis 9 antsd 10 gg 5
3 betahis 9 b1 28 gom 1
14 betahis 9 baby 1 kotrim sir 1
28 betahis 9 bc 28 pml 10
28 cetirizin 3 betahis 9 pml 10
10 dextral 9 cenfres 3 pml 10
14 dextral 9 cetirizin 3 zinc 5
14 domperi 9 cod10 9
domperi 9 ctm 9
genta tm 1 ctm 9
glime 14 ctm 9
glime 14 dexa 9
kalk 14 dexa 9
lanzo 3 dextral 9
metfor 28 dextral 9
natri 6 domperi 9
obh 1 domperi 9
pml 10 domperi 9
pml 10 domperi 9
pml 10 garam 6
pml 10 genta sk 1
pml 9 ibu4 9
pml 9 lanzo 3
Sali 1 lanzo 3
simvas 14 lanzo 3
simvas 14 melox 3
metfor 28
mola 5
mola 3
molagit 10
myta 1
myta 1
natri 6
pml 10
pml 10
pml 10
pml 10
pml 10
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml sir 1
sabun 2
Sali 1
simvas 14
spasmi 9
spasmi 9
26-Oct 27-Oct 28-Oct 29-Oct 30-Oct
10 ambrxl 9 amlo 14 amlo5 14
14 amlo5 14 amlo5 14 amlo5 14
14 amlo5 14 amlo5 14 amok 15
1 amlo5 14 amlo5 14 antsd sir 1
10 amok 15 amok 15 antsd sir 10
10 amok 15 antsd 10 asmef 9
9 amok250 sir 1 antsd 10 b1 28
antsd 10 antsd 10 b1 28
antsd 9 antsd 10 bc 10
antsd 9 antsd 10 betahis 9
antsd 10 asmef 9 ctm 9
asmef 9 baby 1 dema 9
b1 28 bc 10 dextral 9
b1 28 betahis 9 domper sir 1
b1 28 betahis 9 fe 30
b1 28 betahis 9 garam 6
bc 10 betahis 9 gg 5
cap12,5 28 cetirizin 3 gg 9
cod10 9 dema 9 gom 1
ctm 9 dema 9 ibu4 9
dextral 9 domperi 9 kalk 20
dextral 9 domperi 9 kalk 20
garam 6 genta tm 1 lexa 5
genta tm 1 gg 9 methil 5
glime 21 glime 14 molagit 5
lexa 5 ibu4 9 pml 10
metfor 28 ibu4 9 pml sir 1
metfor 28 ibu4 9
metfor 28 lanzo 4
mola 10 litrol tm 1
molagit 10 metfor 28
natri 6 mola 10
pml 10 mola 5
pml 10 mola 10
pml 10 obh 1
simvas 14 pml 9
pml 10
pml 10
pml 10
spasmi 9
 31-Oct
ibu4 8-Jan
amlo 14
amlo5 14
amlo5 14
amlo5 14
ant 9
ant 9
antsd 10
antsd 10
antsd 10
antsd 10
antsd 10
asmef 9
b1 28
b1 28
b1 28
bc 10
betahis 9
betahis 9
cetirizin 3
dema 9
dextral 9
domperi 9
domperi 9
domperi 9
domperi 9
garam 6
gg 9
glime 14
lexa 10
metfor 28
methil 9
molagit 10
natri 6
pml 10
pml 10
pml 10
pml drop 1
pml drop 1
Sali 1
spasmi 9
spasmi 9
spasmi 9
thiam 20
 REKAPAN PEMA

BULAN: Oct-19

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0 0
5 adona ADONA TAB 0 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 0 21 42 56 70
22 amlo AMLODIPIN 10 mg 0 28 0 0 0
23 amok AMOXICILLIN 500mg 0 15 15 21 45
24 amok sir AMOXICILLIN SYR 0 0 0 0 0
25 ant ANTALGIN 500mg 0 0 0 9 0
26 antsd ANTASID 0 0 0 0 0
27 antsd sir ANTASIDA SYR 0 0 0 1 2
28 anti ANTIHEMOROID SUPP 0 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 10 0 0
34 asmef ASAM MEFENAMAT 500mg 0 0 0 9 18
35 ATROPIN INJ 0 0 0 0 0
36 baby BABY COUGH SYR 0 1 1 0 0
37 baci BACITRACIN 0 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0 0
39 betahis BETAHISTIN 0 0 0 0 0
40 betamet BETAMETASON 0,1% 0 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 0 14
44 bisa supp BISACODYL SUPP 0 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 1 0
46 bromhex BROMHEXIN 8mg 9 5 0 0 0
47 BUSCOPAN INJ 0 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0 0
53 catar CATARLENT TM 0 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 3 0 0
61 homa CENDO HOMATROPIN 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0 0
67 cetirizin CETIRIZIN 3 0 0 3 0
68 cimet CIMETIDIN 200mg 0 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0 0
74 cod10 CODEIN 10 MG 0 9 0 0 0
75 calusol CALLUSOL 0 0 0 0 0
76 dema DEMACOLIN 0 18 18 9 9
77 dexa DEXAMETASON 0,5mg 0 9 0 14 0
78 DEXAMETASON INJ 0 0 0 0 0
79 dextral DEXTRAL 0 0 0 0 0
80 dz2 DIAZEPAM 2mg 0 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0 0
85 dimen DIMENHIDRINAT 0 0 18 0 9
86 domperi DOMPERIDON 0 0 0 0 0
87 domper sir DOMPERIDON SYR 0 0 3 1 1
88 dulco DULKOLAC TAB 0 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0 0
106 genta sk GENTAMICIN SK 0 1 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 1 0
108 genta tm GENTAMICIN TM 0 0 1 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0 0
110 glaucon GLAUCON 0 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0 0
112 glime GLIMEPIRID 2mg 0 14 14 42 14
113 glime4 GLIMEPIRID 4 MG 0 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 9 18 0 5 9
115 GLUKOSA 10% 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0 0
125 hidro HIDROKORTISON KRIM 2% 1 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0 0
127 ibu4 IBUPROFEN 400mg 0 0 27 18 0
128 ichtiol ICHTIOL SALP 0 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 0 30 0 0 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0 0
135 keto KETOKENAZOL 200mg 0 14 0 0 0
136 keto sk KETOKONAZOL CREAM 0 1 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 18 23 0 5 18
138 khloram sm KLORAMFENIKOL SM 0 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 1 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0 0
143 KLORIN 0 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0 0
148 lacto LACTO B 0 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0 0
152 lora LORATADIN 10mg 0 3 0 0 6
153 lyteer LYTEER TM 0 0 0 0 0
154 melox MELOXICAM 15mmg 0 0 0 0 0
155 metfor METFORMIN 500mg 0 0 28 56 56
156 methil METHILPREDNISOLON 4mg 0 14 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0 0
162 MIDRIASIL TM 0 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0 0
164 MINERAL MIX 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0
166 molagit MOLAGIT 0 0 0 0 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 2 0 0 1 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 0 0 0 0
169 myta MYTADERM SALP 0 1 0 1 1
170 mola MOLANEURON 0 0 0 0 0
171 nacl NACl INFUS 0 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 6 6 0 0
173 neo NEOKAOMINAL SYR 0 1 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0 0
177 norit NORIT 0 0 0 0 0
178 obh OBH SYR 0 0 1 0 3
179 obp OBP SYR 0 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0 0
182 OTTOPAIN TT 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0 0
185 prena PRENAMIA 0 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0 0
188 pml PARASETAMOL 500mg 9 40 19 0 30
189 pml sir PARASETAMOL SYR 120mg/5ml 10 0 1 11 0
190 pml drop PARACETAMOL DROP 0 0 1 0 0
191 pedi PEDITOK 0 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0
203 rani RANITIDIN 150mg 0 30 24 12 6
204 RANITIDIN INJ 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0 0
214 sk wf SALEP WF 0 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 28 28 28 0
219 indra SIRUP INDRA 0 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 9 0 9
221 sulfa SULFASETAMID TM 0 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 30 10 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 0 0 28 38 84
225 THIAMPHENIKOL SYR 0 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0
232 bc VITAMIN B KOMPLEX 0 10 16 104 66
233 valved VALVED 0 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0 0
235 zink sir ZINC SIRUP 0 0 0 0 0
236 ksr KSR 0 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 1 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0 0
244 gran GRANTUSIF 0 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 0 2 0
248 band BAND AID / HANSAPLAST 0 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0 0
257 masker MASKER +tali 0 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0 0
263 loematul LOEMATUL 0 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0 0
268 handl HANDSCON L 0 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0 0
270 silk SILK 0 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0 0

NO JENIS RESEP
NO JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 4 12 15 14 12
2 JUMLAH RESEP PUYER 0 0 0 2 0
3 JUMLAH RESEP PSIKOTROPIK 0 1 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

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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 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 0 0 10 0 5 10 79
0 0 0 0 0 0 0 7
0 0 0 5 0 5 10 45
2 0 0 0 0 0 0 8
8 0 0 10 25 0 0 60
0 0 0 0 0 0 0 0
6 0 0 6 0 0 6 42
0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 8
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
50 30 20 30 39 0 30 679
1 0 0 0 0 1 0 62
5 0 0 0 0 0 2 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 72
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 3
0 0 0 0 0 0 0 9
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 1 0 0 0 0 0 1 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
14 0 0 14 0 0 0 266
0 0 0 0 0 0 0 0
18 0 9 0 9 0 27 99
0 0 0 0 0 0 0 0
0 0 0 0 0 30 0 182
0 0 0 0 0 0 20 20
28 28 14 112 0 56 84 1466
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
28 5 0 10 10 10 10 577
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
9 0 0 0 4 0 0 40
0 0 0 1 0 0 0 7
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

total
 total
24 25 26 27 28 29 30 31
24 7 4 13 15 10 15 306
1 0 0 0 0 2 0 13
1 0 0 1 0 0 0 5
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : OKTOBER2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : NOPEMBER 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0
2 ACIKLOVIR 400mg TAB 122 122 0 122
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 0 0 0 0
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 8 8 0 8
14 ALLOPURINOL 100mg TAB 272 272 0 272
15 ALPRAZOLAM 0,5 mg TAB 0 100 100 10 90
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 4 4 0 4
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 1194 600 1794 945 849 900
22 AMLODIPIN 10 mg TAB 443 443 70 373
23 AMOXICILLIN 500mg TAB 0 2400 2400 1346 1054
24 AMOXICILLIN SYR BTL 0 0 0 0
25 ANTALGIN 500mg TAB 0 0 0 0 300
26 ANTASID TAB 3 3 13 -10 500
27 ANTASIDA SYR BTL 0 0 0 0
28 ANTIHEMOROID SUPP SUPP 11 11 3 8
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 185 185 11 174
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 225 225 40 185
34 ASAM MEFENAMAT 500mg TAB 597 597 153 444
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 0 0 0 0
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 0 0 0 0 300
40 BETAMETASON 0,1% TUBE 35 35 0 35
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 1 1 0 1
43 BISOPROLOL 5mg TAB 0 400 400 112 288
44 BISACODYL SUPP/ dulcolax supp SUPP 0 0 0 0
45 BORAX GLISERIN/GOM BTL 7 7 4 3
46 BROMHEXIN 8mg TAB 160 160 23 137
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 185 185 84 101 100
52 CAPTOPRIL 25mg TAB 159 159 0 159
53 CATARLENT TM BTL 4 4 0 4
54 CAZETIN DROP BTL 0 0 0 0
55 CEFADROXIL 500mg KAPS 165 165 0 165
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 10 10 0 10
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 5 5 0 5
60 CENDO CENFRESH BTL 4 100 104 6 98
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 4 4 0 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 92 92 1 91
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 130 130 20 110
71 CLINDAMICYN 150mg KAPS 50 50 0 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 0 0 0 0
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 118 118 118 0 300
77 DEXAMETASON 0,5mg TAB 431 431 41 390
78 DEXAMETASON INJ AMP 0 0 0 0
79 DEXTRAL TAB 0 0 0 0
80 DIAZEPAM 2mg TAB 0 0 0 0
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 0 0 0 0
85 DIMENHIDRINAT TAB 136 136 136 0
86 DOMPERIDON TAB 1 1 1 0 300
87 DOMPERIDON SYR BTL 37 37 6 31
88 DULKOLAC TAB TAB 6 6 0 6
89 EFEDRIN 25mg TAB 0 0 0 0
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5ml BTL 0 0 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 5 5 1 4
100 FITOMENADION (VIT K) INJ AMP 0 6 6 6 0
101 FITOMENADION (VIT K) TAB TAB 8 8 0 8
102 FUROSEMID 40mg TAB 83 83 0 83
103 GARAM ORALIT 200ml SACH 142 142 66 76 100
104 GEMFIBROZIL 300mg KAPS 126 126 0 126
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 17 17 9 8 24
107 GENTAMICIN SM/GENOINT SM BTL 5 5 1 4
108 GENTAMICIN TM BTL 21 21 5 16
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 115 115 0 115
112 GLIMEPIRID 2mg TAB 728 728 259 469 100
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 0 0 0 0
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 73 73 14 59
125 HIDROKORTISON KRIM 2% TUBE 21 21 1 20
126 IBUPROFEN 200mg TAB 33 33 0 33
127 IBUPROFEN 400mg TAB 80 80 80 0 300
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 0 0 0 0
133 KALSIUM LAKTAT /KALK TAB 246 246 215 31 400
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 213 213 21 192
136 KETOKONAZOL CREAM TUBE 37 37 3 34
137 KHLORPHENIRAMIN MALEAT (CTM TAB 186 500 686 256 430 100
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 0 0 0 0 10
140 KLORAMFENIKOL 250mg TAB 120 120 0 120
141 KLORAMFENIKOL SYR BTL 0 0 0 0
142 KLORAMFENIKOL TT BTL 7 7 0 7
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 0 0 0 0
147 KOTRIMOXAZOL SUSP BTL 52 52 1 51
148 LACTO B SACH 5 5 3 2
149 LIDOCAIN 2% AMP 0 0 0 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 244 244 22 222
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 0 4000 4000 3004 996 1000
156 METHILPREDNISOLON 4mg TAB 72 72 28 44
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
161 METYLERGOMETRIN MALEAT 125 TAB 101 101 0 101
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 14 14 1 13
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 0 0 0 0 200
167 RECOVIT SYR BTL 18 18 7 11
168 LEXAVIT TAB 0 0 0 0
169 MYTADERM SALP TUBE 17 17 8 9 10
170 MOLANEURON TAB 12 12 12 0
171 NACl INFUS BTL 0 5 5 5 0
172 NATRIUM DIKLOFENAK 50mg TAB 310 310 42 268
173 NEOKAOMINAL SYR BTL 2 2 2 0 10
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 0 0 0 0
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 0 0 0 0 300
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 1139 2800 3939 679 3260
189 PARASETAMOL SYR 120mg/5ml BTL 40 40 4 36
190 PARACETAMOL DROP BTL 17 40 57 10 47
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 0 93
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK TAAN RIAN Date PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 53 53 6 47
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 210 210 210 0
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 0 0 0 0
209 SABUN HIJAU BIJI 14 14 3 11
210 SALBUTAMOL 2mg TAB 56 56 9 47
211 SALBUTAMOL 4mg TAB 99 99 0 99
212 SALEP 2-4 POT 18 18 0 18
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 7 7 4 3 10
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 242 90 332 266 66 450
219 SIRUP INDRA BTL 0 0 0 0
220 SPASMINAL TAB TAB 298 298 99 199 100
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 864 864 182 682
223 THIAMFENIKOL 500mg TAB 117 117 20 97
224 THIAMIN HCL 50mg (VIT B1) TAB 1465 1465 1465 0
225 THIAMPHENIKOL SYR BTL 19 19 0 19
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMIN PEMBE Expired PKD

NO NAMA OBAT/ALKES SAT TAAN RIAN Date No Batch PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 100 100 0 100
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 199 199 199 0
233 VALVED TAB 0 0 0 0
234 ZINC 20 mg TAB 780 780 0 780
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 6 6 2 4 6
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 0 0 0 0
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 7,5mg TAB 0 0 0 0
246 LANSOPRAZOLE KAPS 0 40 40 40 0 100
247 AMOXICILLIN FORTE SIRUP BTL 12 12 7 5

NB: JUMLAH TOTAL RESEP = 306

N DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN

: OKTOBER2019
: NOPEMBER 2019

KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019

ditarik 138
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : OKTOBER 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : NOPEMBER 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI
NO NAMA OBAT/ALKES SAT AWAL MAAN DIAAN KAIAN STOK AAN AN PKD KET
PKD BSP SARPRAS BLUD BMHP APBD 2019
2018
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0 5
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 100 100 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 0 0 4
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 2 2 2 0
22 IV CATH NO 22 BIJI 0 4 4 4 0
23 IV CATH NO 24 BIJI 0 2 2 2 0
24 INFUSET DEWASA BIJI 0 2 2 2 0
25 ASEPTIC GEL BIJI 0 0 0 0

MOJOKERTO,8 NOPEMBER 2019

MENGETAHUI/MENYETUJUI
An.KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
DINAS KESEHATAN KOTA MOJOKERTO UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG
Ka.Subag TU

LUKITANINGSIH,S.Kep.Ns RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm

NIP. 19651002 199103 2 009 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
 1-Nov 2-Nov 3-Nov 4-Nov 5-Nov
amlo5 14 pml 5 ambrxl 2 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
ant 9 amok 10 amlo5 14 antsd sir
antsd 10 amok 9 amlo5 14 b1
b1 14 antsd 5 amlo5 14 b1
bc 28 antsd 9 amlo5 14 bc
bc 28 asmef 9 amlo5 14 betahis
bisop 14 bc 10 amlo5 14 betahis
dextral 9 ctm 5 amlo5 14 betahis
ibu4 9 domper sir 1 amok250 sir 1 c
litrol tm 1 garam 6 amok250 sir 1 ctm
pml 10 gg 5 antsd 10 domper sir
lacto 3 antsd 10 glime
molagit 3 antsd 10 metfor
antsd 10 pml
antsd 10 pml sir
antsd sir 1 reco sir
antsd sir 1 spasmi
asmef 9
asmef 9
b1 14
b1 28
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
b1 14
baby 1
baby 1
bc 3
bc 3
bc 9
bc 10
bc 10
bc 10
bc 10
bisop 7
ctm 2
ctm 2
ctm 9
ctm 9
ctm 9
ctm 9
ctm 5
ctm 9
ctm 9
ctm 9
ctm 9
ctm 9
ctm 9
ctm 9
garam 6
gg 9
gg 9
gg 9
gg 5
gg 9
gg 9
gg 9
glime 14
glime 14
glime 14
hct 5
lora 3
metfor 28
metfor 28
metfor 28
molagit 10
pml 2
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 5
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml drop 1
reco sir 1
5-Nov 6-Nov 7-Nov 8-Nov 9-Nov
14 amlo5 14 amlo 14 alopu 14
14 amlo5 14 amlo5 14 amok 8
1 amok 15 amlo5 14 amok 15
28 amok 15 amlo5 14 amok 15
28 ant 9 amok 15 asmef 9
10 antsd sir 1 amok 15 asmef 9
9 b1 28 asmef 9 bc 2
9 b1 28 asmef 9 bc 10
9 b1 28 b1 28 bc 10
9 bc 10 b1 28 ctm 3
9 bc 10 b1 28 ctm 9
1 bc 20 dextral 9 dema 5
14 betahis 9 dextral 9 gg 5
28 bisop 14 domper sir 1 gg 9
10 dema 9 lyteer 1 ibu4 9
1 domper sir 1 melox 3 lora 3
1 fe 30 metfor 14 pml 10
9 genta sk 1 pml 10 pml 10
kalk 5 pml 10 spasmi 10
kalk 20 pml 10
lexa 5 pml 10
metfor 28 pml drop 1
obh 1 pml drop 1
pml 10 pml drop 1
pml 10 pml drop 1
pml 10 simvas 14
pml sir 1
10-Nov 11-Nov 12-Nov 13-Nov 14-Nov
ambrxl 9 ambrxl 9 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amok
amlo5 14 antsd 10 amlo5 14 anti
amlo5 14 antsd 10 amlo5 14 antsd
amlo5 14 antsd sir 1 amok 15 antsd
amok 15 b1 14 amok 15 antsd
amok 15 baby 1 amok 15 baby
amok 15 bc 3 antsd 10 cetirizin
antsd sir 1 bc 5 antsd 10 cetirizin
antsd sir 1 bisop 14 antsd 10 dema
b1 28 ceti sir 1 antsd 10 gg
b1 28 cetirizin 3 antsd 10 gom
b1 28 dema 9 antsd 9 ibu4
b1 28 dema 9 antsd 9 kalium
b1 28 gg 9 antsd sir 1 kalk
b1 28 gg 9 asmef 9 litrol tm
b1 28 hidro 1 asmef 9 mico
b6 4 kalk 5 b1 28 mola
b6 6 lacto 3 b1 28 pml
bc 10 lexa 5 bc 10 pml drop
cap12,5 28 metfor 28 betahis 9 pml sir
cipro 10 natri 6 catar 1 sabun
ctm 4 natri 6 cetirizin 3 salbu2
ctm 9 pml 10 cod10 9 Sali
dema 9 pml 10 domper sir 1 spasmi
genta sk 1 Sali 1 domperi 9 spasmi
glime 14 spasmi 9 domperi 9
ibu4 9 domperi 9
metfor 28 domperi 9
metfor 28 garam 6
metfor 28 genta sk 1
pml 10 genta sm 1
pml 10 kotrim 20
pml 10 liteer 1
pml sir 1 mola 5
reco sir 1 molagit 10
natri 6
pml 10
pml 10
pml 10
sabun 1
sabun 1
simvas 14
spasmi 9
14-Nov 15-Nov 16-Nov 17-Nov 18-Nov
14 amlo5 14 amlo5 14 acy 40
14 amok 15 amok 15 amlo5 14
8 antsd 10 amok 15 amok 15
3 antsd 10 cetirizin 3 amok 15
10 b1 14 cetirizin 3 amok 15
9 b1 14 ctm 9 antsd 10
10 bc 10 dextral 9 antsd 10
1 betahis 9 genta sk 1 antsd 10
3 bisop 7 gg 9 asmef 9
3 bisop 14 gg 9 asmef 9
9 ctm 9 glime 14 asmef 9
9 ctm 9 gom 1 b1 14
1 dexa 9 lexa 5 b1 14
9 gg 9 metfor 28 bc 3
6 gg 9 methil 9 bc 10
10 glime 14 mola 5 bc 20
1 lora 3 pml 10 bc 10
1 metfor 28 pml 10 ctm 3
5 pml 10 pml 10 ctm 9
5 pml 10 sabun 1 ctm 9
1 pml 10 valved 9 ctm 9
1 Sali 1 ctm 9
2 genta sk 1
9 genta tm 1
1 gg 9
9 gg 9
9 gg 9
kalk 20
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
 19-Nov 20-Nov 21-Nov 22-Nov
amlo5 14 ambrxl 9 amlo 14 amlo5 14
amlo5 14 amlo5 14 amok 15 amok 15
amlo5 14 amok 15 amok 15 asmef 9
amlo5 14 antsd 3 amok250 sir 1 lexa 10
amok 15 antsd 10 antsd 10 mola 5
amok 15 antsd 10 antsd 10
antsd 10 asmef 9 antsd sir 1
asmef 9 dema 9 b1 28
b1 14 dextral 9 cazet 1
b1 28 domper sir 1 cetirizin 3
b1 14 fe 30 ctm 5
b1 14 ibu4 9 ctm 5
b1 14 kalk 20 ctm 9
bc 4 litrol tm 2 ctm 9
bc 10 mico 1 domper sir 1
ctm 4 mola 3 domperi 9
ctm 9 obh 1 gg 5
ctm 9 pml 10 gg 5
dz2 3 gg 9
gg 4 glime 14
gg 9 mola 5
gg 9 mola 5
ibu4 9 myta 1
kalk 14 natri 6
metfor 28 pml 10
metfor 28 pml drop 1
mola 10 pml drop 1
natri 6 pml drop 1
pml 3 pml sir 1
pml 10 pml sir 1
pml 10 sabun 1
pml 10 simvas 14
pml 10 spasmi 9
spasmi 9
 23-Nov 24-Nov 25-Nov 26-Nov 27-Nov
amlo5 14 ambrxl 9 ambrxl 1 amlo5
amlo5 14 amlo5 14 amlo5 14 antsd
amlo5 14 amlo5 14 amlo5 14 antsd
amlo5 14 amlo5 14 amlo5 14 antsd
amlo5 14 amok 15 ant 9 b1
ant 9 amok 15 antsd 10 bc
antsd 10 asmef 9 antsd 10 bc
antsd 10 b1 28 b1 14 cap12,5
b1 28 b1 28 b1 14 cipro
b1 14 b1 28 b1 14 dema
b1 14 bc 10 b1 14 gg
b1 28 bc 10 b1 14 glime
bc 6 ctm 9 bc 1 metfor
bc 10 dema 9 bc 10 mola
bisop 14 dulco 2 bisop 14 obh
bromhex sir 1 dulco 4 cap25 14 pml
garam 6 garam 6 ctm 1 pml
gliben 14 genta tm 1 ctm 9 pml
glime 14 glime 14 ctm 9 sabun
lacto 3 ibu2 19 gg 9 spasmi
litrol tm 2 keto 5 glime 14
metfor 28 lexa 5 kalk 1
metfor 28 lexa 5 metfor 28
metfor 28 metfor 28 metfor 28
metfor 28 metro 10 mola 14
mola 10 mico 1 pml 10
molagit 10 molagit 10 pml 10
obh 1 pml 10 pml 10
pml 10 pml 10 pml 10
pml 10 pml 10 pml 10
pml 10 pml 10
reco sir 1
valved 4
27-Nov 28-Nov 29-Nov 30-Nov
14 amok 15 ambrxl 2 amlo5 14
10 amok 15 antsd 10 amlo5 14
10 amok 8 bc 3 amlo5 14
10 antsd 10 bisop 14 antsd 10
28 bromhex 9 ctm 2 b1 14
6 bromhex 5 ctm 9 b1 14
10 bromhex 9 ctm 9 b1 14
28 ceti sir 1 ctm 9 cap12,5 10
10 ctm 9 dexa 9 ctm 9
9 ctm 5 fenol 1 glime 14
9 dema 9 gg 9 hidro 1
14 mola 5 gg 9 lora 5
28 mola 5 kalk 1 metfor 28
5 mola 5 pml 10 metfor 28
1 mola 3 pml 10 mico 1
10 mola 5 sabun 1 mola 10
10 natri 6 Sali 1 pml 10
10 pml 10 pml 10
1 pml 5 Sali 1
9 pml 10
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml sir 1
pml sir 1
pml sir 1
pml sir 1
reco sir 1
 REKAPAN PEMAKA

BULAN: Nov-19

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0
5 adona ADONA TAB 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0
12 ALKOHOL 95% 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 2 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 28 14 112 28
22 amlo AMLODIPIN 10 mg 0 0 0 0
23 amok AMOXICILLIN 500mg 0 19 0 0
24 amok sir AMOXICILLIN SYR 0 0 0 0
25 ant ANTALGIN 500mg 9 0 0 0
26 antsd ANTASID 10 14 50 0
27 antsd sir ANTASIDA SYR 0 0 2 1
28 anti ANTIHEMOROID SUPP 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 9
32 ASAM ASKORBAT 500mg 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 0 9 18 0
35 ATROPIN INJ 0 0 0 0
36 baby BABY COUGH SYR 0 0 2 0
37 baci BACITRACIN 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0
39 betahis BETAHISTIN 0 0 0 27
40 betamet BETAMETASON 0,1% 0 0 0 0
41 beva BEVALEX CREAM 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0
43 bisop BISOPROLOL 5mg 14 0 7 0
44 bisa supp BISACODYL SUPP 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 0 0
47 BUSCOPAN INJ 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0
50 CALADIN POWDER 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0
53 catar CATARLENT TM 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0
55 cefa CEFADROXIL 500mg 0 0 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 0
71 clin150 CLINDAMICYN 150mg 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0
75 calusol CALLUSOL 0 0 0 0
76 dema DEMACOLIN 0 0 0 0
77 dexa DEXAMETASON 0,5mg 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0
79 dextral DEXTRAL 9 0 0 0
80 dz2 DIAZEPAM 2mg 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0
85 dimen DIMENHIDRINAT 0 0 0 0
86 domperi DOMPERIDON 0 0 0 0
87 domper sir DOMPERIDON SYR 0 1 0 1
88 dulco DULKOLAC TAB 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0
103 garam GARAM ORALIT 200ml 0 6 6 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0
110 glaucon GLAUCON 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0
112 glime GLIMEPIRID 2mg 0 0 42 14
113 glime4 GLIMEPIRID 4 MG 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 0 5 59 0
115 GLUKOSA 10% 0 0 0 0
116 GLUKOSA 5% 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 5 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0
127 ibu4 IBUPROFEN 400mg 9 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 0 0
133 kalk KALSIUM LAKTAT /KALK 0 0 0 0
134 karbama KARMABAZEPIN 200mg 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 0 5 108 9
138 khloram sm KLORAMFENIKOL SM 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0
143 KLORIN 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0
148 lacto LACTO B 0 3 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0
152 lora LORATADIN 10mg 0 0 3 0
153 lyteer LYTEER TM 0 0 0 0
154 melox MELOXICAM 15mg 0 0 0 0
155 metfor METFORMIN 500mg 0 0 84 28
156 methil METHILPREDNISOLON 4mg 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
162 MIDRIASIL TM 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0
164 MINERAL MIX 0 0 0 0
165 MODEKATE INJ 0 0 0 0
166 molagit MOLAGIT 0 3 10 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 0 1
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 0 0 0
169 myta MYTADERM SALP 0 0 0 0
170 mola MOLANEURON 0 0 0 0
171 nacl NACl INFUS 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 0 0 0 0
173 neo NEOKAOMINAL SYR 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0
177 norit NORIT 0 0 0 0
178 obh OBH SYR 0 0 0 0
179 obp OBP SYR 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0
182 OTTOPAIN TT 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0
185 prena PRENAMIA 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0
188 pml PARASETAMOL 500mg 10 5 237 10
189 pml sir PARASETAMOL SYR 120mg/5ml 0 0 0 1
190 pml drop PARACETAMOL DROP 0 0 0 0
191 pedi PEDITOK 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0
203 rani RANITIDIN 150mg 0 0 0 0
204 RANITIDIN INJ 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 0 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0
214 sk wf SALEP WF 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 0 0 0
216 scabi SCABICID CREAM 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 0 0
219 indra SIRUP INDRA 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 9
221 sulfa SULFASETAMID TM 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 0 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 14 0 196 56
225 THIAMPHENIKOL SYR 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0
232 bc VITAMIN B KOMPLEX 56 10 55 10
233 valved VALVED 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0
235 zink syr ZINK SYRUP 0 0 0 0
236 ksr KSR 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 0 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0
244 gran GRANTUSIF 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0
246 lanzo Lanzoprazole 0 0 0 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 2 0
248 band BAND AID / HANSAPLAST 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0
257 masker MASKER +tali 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0
263 loematul LOEMATUL 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0
268 handl HANDSCON L 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0
270 silk SILK 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0
278 bromhex sir BROMHEXIN SYRUP 0 0 0 0
279 litrol tm LITROL TM 1 0 0 0
NO JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 3 5 35 6
2 JUMLAH RESEP PUYER 0 2 2 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

NOVEMBER
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 9 0 0 0 0 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 42 0 70 28 70 28 14 14 14 56 14 0 14 70
0 14 0 0 0 0 0 0 0 0 0 0 14 0 0
30 30 38 45 0 45 8 15 30 45 30 15 30 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 9
0 0 0 0 20 68 29 20 0 30 10 23 20 0 20
1 0 0 2 1 1 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 18 0 0 18 0 0 0 27 9 9 0 9 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 9 0 9 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 0 0 0 14 0 0 21 0 0 0 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 28 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 3 6 0 6 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 9 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 5 9 18 0 9 0 0 0 0 9 0 0 0
0 0 0 0 0 0 0 9 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 18 0 0 0 0 0 0 9 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 36 0 0 0 0 0 0 9 0 0
1 1 0 0 0 1 0 0 0 0 0 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 6 0 0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 1 0 0 1 1 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 14
0 0 0 14 0 0 0 14 14 0 0 0 14 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 0 18 0 9 18 18 27 22 0 19 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 9 9 0 0 9 0 0 0 9 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 6 0 0 0 0 0 0 0 0
25 0 0 0 5 0 10 0 0 20 14 20 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12 13 0 0 0 18 9 39 22 0 28 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 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 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 20 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3 0 0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 3 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
28 14 0 84 28 0 0 28 28 0 56 0 0 0 112
0 0 0 0 0 0 0 0 9 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 10 0 0 0 0 0 0 0 0 10
0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
5 0 0 0 5 0 0 0 5 0 0 0 0 10 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 5 5 0 5 0 10 3 10 5 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 12 6 0 0 0 0 6 0 6 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 40 20 30 20 30 5 30 30 70 43 10 10 0 30
1 0 0 1 0 0 1 0 0 0 0 0 2 0 0
0 4 0 0 0 0 1 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 2 0 1 0 0 0 1 0 0
0 0 0 0 0 0 9 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 14 0 0 0 0 0 0 14 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 9 9 18 0 0 0 0 0 18 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0 0 30 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 84 0 196 14 56 0 28 0 28 84 0 28 0 84
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 0 22 10 8 10 0 10 0 43 14 0 0 0 16
0 0 0 0 0 0 0 0 9 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 1 0 0 0 0 2 0 0 2
 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
9 15 6 13 12 13 13 6 6 14 12 7 12 2 11
0 0 1 1 0 0 0 0 0 1 1 0 2 0 0
0 0 0 0 0 1 0 0 0 0 1 0 0 0 0
 JUML KETERANGAN
24 25 26 27 28 29 30 AH
0 0 0 0 0 0 0
0 0 0 0 0 0 40
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 14
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9 1 0 0 2 0 41 -41
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
42 42 14 0 0 42 784
0 0 0 0 0 0 28
30 0 0 38 0 0 463
0 0 0 0 0 0 0
0 9 0 0 0 0 36 -36
0 20 30 10 10 10 394 -394
0 0 0 0 0 0 9 -9
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9 0 0 0 0 0 144
0 0 0 0 0 0 0
0 0 0 0 0 0 4 -4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 54 -54
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 14 0 0 14 0 112
0 0 0 0 0 0 0
0 0 0 0 0 0 2
0 0 0 23 0 0 23
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 28 0 0 10 66
0 14 0 0 0 0 14
0 0 0 0 0 0 1
0 0 0 0 0 0 1 -1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 21
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 10 0 0 0 20
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 9 -9
0 0 0 0 0 0 0
9 0 9 9 0 0 86
0 0 0 0 9 0 18
0 0 0 0 0 0 0
0 0 0 0 0 0 45
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 45 -45
0 0 0 0 0 0 7
6 0 0 0 0 0 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 1 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6 0 0 0 0 0 30
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5
0 0 0 0 0 0 1
1 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 14
14 14 14 0 0 14 182
0 0 0 0 0 0 0
0 9 9 0 18 0 245 -245
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 5
0 0 0 0 0 1 2
19 0 0 0 0 0 19
0 0 0 0 0 0 54 -54
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 6 -6
0 1 0 0 1 0 96 -65
0 0 0 0 0 0 0
5 0 0 0 0 0 5
0 0 0 0 0 0 0
9 19 0 14 29 9 343
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 20 -20
0 0 0 0 0 0 0
0 0 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 5 14
0 0 0 0 0 0 1 -1
0 0 0 0 0 0 3 -3
28 56 28 0 0 56 658
0 0 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10 0 0 0 0 0 10 -10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 0 0 1 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10 0 0 0 0 0 43 -43
0 0 0 1 0 0 4
10 0 0 0 0 0 35
0 0 0 0 0 0 1
0 14 5 23 0 10 105
0 0 0 0 0 0 0
0 0 0 6 0 0 36
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 1 0 0 0 4 -4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
30 60 30 25 20 20 845
0 0 0 4 0 0 10
0 0 0 5 0 0 13
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 10
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 1 0 1 0 8
0 0 0 0 0 0 9
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 1 1 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 42
0 0 0 0 0 0 0
0 0 9 0 0 0 82
0 0 0 0 0 0 0
0 0 0 0 0 0 60
0 0 0 0 0 0 0
84 70 28 0 0 42 1176
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
20 11 16 0 3 0 354 -354
0 0 0 0 0 0 13
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
0 0 0 0 0 0 6
 total
24 25 26 27 28 29 30
10 10 8 15 4 7 254
0 1 0 0 1 0 12
0 0 0 0 0 0 2
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD
2017 DAU 2018
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0 0
2 ACIKLOVIR 400mg TAB 122 122 40 82 100
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 0 0 0 0
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 8 8 6 2 10
14 ALLOPURINOL 100mg TAB 272 272 14 258
15 ALPRAZOLAM 0,5 mg TAB 90 90 90 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 0 0 0
18 AMBROXOL SYR BTL 0 0 0 0
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 849 900 1749 784 965 600
22 AMLODIPIN 10 mg TAB 373 373 28 345
23 AMOXICILLIN 500mg TAB 1054 1054 463 591 500
24 AMOXICILLIN SYR BTL 0 0 0 0
25 ANTALGIN 500mg TAB 0 0 0 0
26 ANTASID TAB 0 0 0 0 500
27 ANTASIDA SYR BTL 0 50 50 50 0 50
28 ANTIHEMOROID SUPP SUPP 8 8 3 5
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 174 174 9 165
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 185 185 0 185
34 ASAM MEFENAMAT 500mg TAB 444 444 144 300 200
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 0 0 0 0
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 0 0 0 0
40 BETAMETASON 0,1% TUBE 35 35 0 35
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 1 6 7 1 6
43 BISOPROLOL 5mg TAB 288 288 112 176 100
44 BISACODYL SUPP/ dulcolax supp SUPP 0 0 0 0 10
45 BORAX GLISERIN/GOM BTL 3 3 3 0 10
46 BROMHEXIN 8mg TAB 137 137 23 114
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 101 101 66 35 100
52 CAPTOPRIL 25mg TAB 159 159 14 145
53 CATARLENT TM BTL 4 4 1 3
54 CAZETIN DROP BTL 0 0 0 0
55 CEFADROXIL 500mg KAPS 165 165 0 165
56 CEFADROXIL SYR BTL 0 0 0 0
57 CEFIXIM KAPS 10 10 0 10
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 5 5 0 5
60 CENDO CENFRESH BTL 98 98 0 98
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 4 4 0 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 91 91 21 70
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 110 110 20 90
71 CLINDAMICYN 150mg KAPS 50 50 0 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 0 0 0 0
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 0 1000 1000 248 752
77 DEXAMETASON 0,5mg TAB 390 390 18 372
78 DEXAMETASON INJ AMP 0 0 0 0
79 DEXTRAL TAB 0 2250 2250 171 2079
80 DIAZEPAM 2mg TAB 0 100 100 3 97
81 DIAZEPAM 5mg TAB 0 0 0 0
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0
84 DIGOXIN 0,25mg TAB 0 0 0 0
85 DIMENHIDRINAT TAB 0 0 0 0
86 DOMPERIDON TAB 0 0 0 0
87 DOMPERIDON SYR BTL 31 31 7 24
88 DULKOLAC TAB TAB 6 6 6 0 20
89 EFEDRIN 25mg TAB 0 0 0 0
90 EPINEFRIN INJ AMP 0 0 0 0
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5ml BTL 0 0 0 0
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
95 ETHYL CHLORIDE BTL 0 0 0 0
96 FASIDOL FORTE TAB 0 0 0 0
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 4 4 1 3
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 8 8 0 8
102 FUROSEMID 40mg TAB 83 83 0 83
103 GARAM ORALIT 200ml SACH 76 200 276 30 246
104 GEMFIBROZIL 300mg KAPS 126 126 0 126
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 8 8 5 3 10
107 GENTAMICIN SM/GENOINT SM BTL 4 4 1 3
108 GENTAMICIN TM BTL 16 16 2 14
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 115 115 14 101
112 GLIMEPIRID 2mg TAB 469 469 182 287 100
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 0 0 0 0
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 59 59 5 54
125 HIDROKORTISON KRIM 2% TUBE 20 20 2 18
126 IBUPROFEN 200mg TAB 33 33 19 14
127 IBUPROFEN 400mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 0 0 0
132 KALIUM DIKLOFENAK 50mg TAB 0 0 0 0
133 KALSIUM LAKTAT /KALK TAB 31 31 31 0
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 192 192 5 187
136 KETOKONAZOL CREAM TUBE 34 34 0 34
137 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 430 300 730 343 387 300
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 0 0 0 0
140 KLORAMFENIKOL 250mg TAB 120 120 0 120
141 KLORAMFENIKOL SYR BTL 0 50 50 0 50
142 KLORAMFENIKOL TT BTL 7 7 0 7
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 0 0 0 0
147 KOTRIMOXAZOL SUSP BTL 51 51 0 51
148 LACTO B SACH 2 40 42 9 33
149 LIDOCAIN 2% AMP 0 0 0 0 10
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 222 222 14 208
153 LYTEER TM BTL 0 0 0 0
154 MELOXICAM 15mg TAB 0 0 0 0
155 METFORMIN 500mg TAB 996 1000 1996 658 1338
156 METHILPREDNISOLON 4mg TAB 44 44 9 35
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
161 METYLERGOMETRIN MALEAT 125mg TAB 101 101 0 101
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 13 13 4 9
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 0 0 0 0
167 RECOVIT SYR BTL 11 11 4 7
168 LEXAVIT TAB 0 1000 1000 35 965
169 MYTADERM SALP TUBE 9 9 1 8
170 MOLANEURON TAB 0 1500 1500 105 1395
171 NACl INFUS BTL 0 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 268 268 36 232
173 NEOKAOMINAL SYR BTL 0 0 0 0
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 0 0 0 0
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 0 0 0 0
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 3260 3260 845 2415
189 PARASETAMOL SYR 120mg/5ml BTL 36 36 10 26
190 PARACETAMOL DROP BTL 47 47 13 34
191 PEDITOK BTL 0 0 0 0
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 93 93 93 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 47 47 10 37
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0
199 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 0 0 0 0
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 0 0 0 0
209 SABUN HIJAU BIJI 11 11 8 3 12
210 SALBUTAMOL 2mg TAB 47 47 9 38
211 SALBUTAMOL 4mg TAB 99 99 0 99
212 SALEP 2-4 POT 18 18 0 18
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 3 3 3 0
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 66 450 516 42 474
219 SIRUP INDRA BTL 0 0 0 0 10
220 SPASMINAL TAB TAB 199 100 299 82 217
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 682 682 60 622
223 THIAMFENIKOL 500mg TAB 97 97 0 97
224 THIAMIN HCL 50mg (VIT B1) TAB 0 1500 1500 1176 324 2000
225 THIAMPHENIKOL SYR BTL 19 19 0 19
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD
2017 DAU 2018
2017
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 100 100 0 100
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 0 0 0
232 VITAMIN B KOMPLEX TAB 0 0 0 0
233 VALVED TAB 0 300 300 13 287
234 ZINC 20 mg TAB 780 780 0 780
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 4 10 14 2 12
239 HIDROCORTISON 1% TUBE 0 0 0 0
240 ACYCLOVIR 200 MG TAB 0 0 0 0
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 7,5mg TAB 0 0 0 0
246 LANSOPRAZOLE KAPS 0 0 0 0
247 AMOXICILLIN FORTE SIRUP BTL 5 5 3 2
248 BROMHEXIN SYRUP BTL 4 4 1 3

NB: JUMLAH TOTAL RESEP = 254

 AN LEMBAR PERMINTAAN OBAT
NIT PELAYANAN

: NOPEMBER 2019
: DESEMBER 2019

PEMBERIAN

KET
BSP APBD 2019

ED 90
PEMBERIAN

KET
BSP APBD 2019

ED 1
PEMBERIAN

KET
BSP APBD 2019
PEMBERIAN

KET
BSP APBD 2019
PEMBERIAN

KET
BSP APBD 2019
PEMBERIAN

KET
BSP APBD 2019

ED 93
PEMBERIAN

KET
BSP APBD 2019
PEMBERIAN

KET
BSP APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : NOPEMBER 2019

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : DESEMBER 2019

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMINT PEMBERI
NO NAMA OBAT/ALKES SAT AWAL MAAN DIAAN KAIAN STOK AAN AN PKD KET
PKD BSP SARPRAS BLUD BMHP APBD 2019
2018
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 5 5 5 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 0 0 0 200
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 4 4 4 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 2 2 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 ASEPTIC GEL BIJI 0 0 0 0

MOJOKERTO,5 DESEMBER 2019

MENGETAHUI/MENYETUJUI
KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

dr.MAR'ATUS SHOLIKHAH RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm
NIP. 19890104 201403 2 003 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
1-Dec 2-Dec 3-Dec 4-Dec 5-Dec
pml sir 1 gg 9 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 amlo5 14 amlo5
amok 15 amlo5 14 amlo5 14 amlo5
asmef 9 amok 15 amlo5 14 amlo5
b1 28 asmef 9 amok250 sir 1 b1
b1 28 asmef 9 antsd 10 b1
b1 14 b1 28 antsd 10 b1
bc 10 b1 28 b1 28 bc
bc 10 b1 28 b1 28 bc
betamet 1 b1 14 baby 1 betahis
ceti sir 1 b1 14 bc 3 cipro
ctm 2 betahis 9 bc 10 cipro
dema 9 cefa 10 bc 20 dema
dextral 9 ctm 9 bc 20 dema
dextral 9 ctm 9 bc 10 gg
gg 2 gg 9 bromhex 9 gg
ibu4 9 lexa 10 ctm 3 kalk
mola 5 metfor 28 ctm 9 kalk
natri 6 pml 10 dema 9 metfor
pml sir 10 pml 10 fe 30 pml
pml sir 1 Sali 1 fe 15 pml
gg 3 pml
gg 9 pml drop
glime 14 pml drop
glime 14
glime 14
glime 14
glime 14
glime 14
hct 5
kalium 6
kalk 20
kalk 15
lanzo 3
lanzo 3
lora 3
metfor 28
metfor 28
metfor 28
metfor 28
metfor 28
metfor 28
mola 10
mola 5
mola 5
mola 10
mola 10
mola 10
mola 10
molagit 10
molagit 10
obh 1
pml 10
pml 10
pml 10
pml 10
pml 10
pml 2
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 5
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml drop 1
pml sir 1
pml sir 10
reco sir 1
reco sir 1
salbu2 9
simvas 14
5-Dec 6-Dec 7-Dec 8-Dec 9-Dec
14 amlo5 14 amok 15 ambrxl 9
14 amlo5 14 ant 9 amlo5 14
7 amlo5 14 antsd 10 amlo5 14
14 amlo5 14 antsd 9 amlo5 14
14 antsd 10 asmef 9 anti 3
28 bc 4 bc 28 antsd 3
28 bc 10 bc 28 antsd 10
28 bc 10 biopla 1 antsd 10
10 cazet 1 bisop 14 antsd 10
10 ctm 4 domperi 9 antsd 3
9 ctm 9 dz2 6 b1 14
10 gg 4 gg 9 bc 2
10 gg 9 glime 14 bisop 3
9 mola 5 lanzo 3 ctm 3
9 mola 5 lanzo 3 ctm 9
9 mola 5 metfor 28 ctm 5
9 pml 10 methil 9 dema 9
5 pml 10 pml 10 domperi 9
5 pml 10 spasmi 9 furo 3
28 pml 10 indra 1
10 kalium 6
10 kalk 10
10 metfor 28
1 mola 5
1 mola 5
pml 10
pml 10
pml 10
pml 5
pml 10
pml sir 1
 10-Dec 11-Dec 12-Dec 13-Dec
amlo5 14 amlo5 14 amlo5 14 amok 15
amlo5 14 amlo5 14 amlo5 14 antsd 10
b1 14 amok 15 amlo5 14 antsd 10
b1 14 antsd 9 amlo5 14 bc 10
bc 3 antsd 10 amok 8 bc 10
ctm 2 antsd 10 amok250 sir 1 bc 10
ctm 9 b1 14 b1 28 bc 10
ctm 9 bc 10 b1 28 bisop 14
ctm 9 bc 20 b1 28 ceti sir 1
lyteer 1 bc 10 b1 28 domper sir 1
metfor 28 bc 10 bc 4 genta sk 1
mola 5 cap12,5 28 bc 5 lacto 3
pml 10 ctm 3 ctm 3 pml 10
pml 10 dema 9 ctm 4 pml 10
pml 10 dema 9 ctm 5 pml 10
pml 10 garam 6 dextral 9 pml 10
pml drop 1 gg 3 gg 4 pml sir 1
Sali 1 kalium 6 kalium 6 reco sir 1
kalk 14 lyteer 1
kotrim sir 1 metfor 28
lexa 14 pml 1
metfor 28 pml 5
mico 1 pml drop 1
molagit 10 pml drop 1
obh 1 reco sir 1
pml 10 Sali 1
pml 10 sali 1
pml 10
pml 10
pml sir 1
 14-Dec 15-Dec 16-Dec 17-Dec 18-Dec
amlo5 14 amlo5 14 amlo5 14 ambrxl
amlo5 14 amlo5 14 amlo5 14 amlo5
amlo5 14 amlo5 14 antsd 10 amlo5
amlo5 14 amlo5 14 antsd 10 amlo5
amok 15 amlo5 14 b1 14 amlo5
antsd 10 amok 15 b1 14 amok
b1 14 asfol 20 b1 14 antsd
b1 14 asmef 9 bc 10 antsd
b1 14 b1 28 bc 20 b1
bc 3 b1 28 betahis 9 b1
betahis 9 b1 28 fe 30 b1
ctm 3 b6 15 kalk 20 cetirizin
ctm 9 ceti sir 1 lexa 5 cetirizin
gg 3 fe 30 lexa 5 cetirizin
khloram tm 1 gg 9 pml 10 ctm
khloram tm 1 gg 9 pml 10 dextral
metfor 28 glime 14 Sali 1 domperi
pml 10 kalium 6 gemfi
pml 10 kalium 6 gg
truvit drop 1 kotrim sir 1 keto sk
lora 3 lexa
metfor 28 lyteer
metfor 28 metfor
metfor 28 mola
mola 10 mola
molagit 10 mola
pml 10 mola
pml 10 mola
pml sir 1 pml
reco sir 1 pml
reco sir 1 pml
pml
pml
pml
sabun
salbu2
Sali
18-Dec 19-Dec 20-Dec 21-Dec 22-Dec
9 amlo5 14 acy sk 1 amlo5 14
14 amok 8 amlo5 14 amlo5 14
14 b1 14 amlo5 14 amlo5 14
14 b1 14 amok 15 asfol 20
14 betahis 9 asmef 9 baby 1
15 cc 9 asmef 9 bromhex sir 1
10 ctm 5 b1 14 ctm 9
10 gg 9 b1 20 lexa 5
10 gg 5 baby 1 lexa 10
28 pml 10 bc 10 pml 10
28 pml 5 bc 10
3 pml drop 1 fe 30
3 pml sir 1 kalk 20
3 khloram tm 1
9 pml 10
9 pml 10
9 pml sir 1
14 reco sir 1
9
1
5
1
28
10
10
10
10
5
9
10
9
10
10
10
1
9
1
 23-Dec 24-Nov 25-Nov 26-Dec 27-Dec
amlo5 14
amlo5 14
amlo5 14
amlo5 14
amlo5 14
amlo5 14
amlo5 14
amlo5 14
antsd 10
antsd 10
b1 14
b1 10
b1 14
b1 14
b1 14
bc 10
betahis 9
betahis 9
bisop 14
cetirizin 3
cetirizin 3
dema 9
genta tm 1
glime 14
glime 14
ibu4 9
kalium 6
kalk 6
lanzo 3
lyteer 1
melox 3
metfor 28
metfor 28
mola 5
mola 5
mola 5
mola 5
mola 5
pml 10
pml 10
pml 10
pml 10
pml 10
spasmi 9
28-Dec 29-Dec 30-Dec 31-Dec
ambrxl 9 ambrxl 9
amlo5 14 amlo5 14
amlo5 14 amlo5 14
amlo5 14 amlo5 14
amlo5 14 antsd 9
amlo5 14 b1 28
amlo5 14 b1 28
amlo5 14 catar 1
amok 15 cetirizin 3
amok250 sir 1 ctm 9
antsd 9 dexa 9
asmef 9 dz2 6
b1 28 kalk 14
b1 28 mola 10
b1 28 myta 1
b1 28 natri 6
b1 28 ome 6
b1 28
b1 28
bc 4
bisop 14
ctm 5
dema 9
dextral 9
genta tm 1
glime 14
glime 14
ibu4 9
lexa 5
lora 3
lora 3
metfor 28
metfor 28
metfor 28
metro 15
mola 10
mola 10
mola 5
pml 5
pml 10
pml 10
pml 10
pml 10
pml 10
reco sir 1
sabun 1
 REKAPAN PEMA

BULAN: Dec-19

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 adona inj ADONA INJ 0 0 0 0
5 adona ADONA TAB 0 0 0 0
6 alben ALBENDAZOL 0 0 0 0
7 albe syr ALBENDAZOL SYR 0 0 0 0
8 albo ALBOTYL CONC 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0
10 af ALINAMIN F TAB 0 0 0 0
11 alko70 ALKOHOL 70% 0 0 0 0
12 ALKOHOL 95% 0 0 0 0
13 oregan ALLETROL TM/OREGAN TM 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo5 AMLODIPIN 5 MG 28 42 70 63
22 amlo AMLODIPIN 10 mg 0 0 0 0
23 amok AMOXICILLIN 500mg 15 15 0 0
24 amok sir AMOXICILLIN SYR 0 0 0 0
25 ant ANTALGIN 500mg 0 0 0 0
26 antsd ANTASID 0 0 20 0
27 antsd sir ANTASIDA SYR 0 0 0 0
28 anti ANTIHEMOROID SUPP 0 0 0 0
29 antra inj ANTRAIN INJ 0 0 0 0
30 aquapro AQUA PRO INJ 0 0 0 0
31 c ASAM ASCORBAT 50mg 0 0 0 0
32 ASAM ASKORBAT 500mg 0 0 0 0
33 asfol ASAM FOLAT 100mg 0 0 0 0
34 asmef ASAM MEFENAMAT 500mg 9 18 0 0
35 ATROPIN INJ 0 0 0 0
36 baby BABY COUGH SYR 0 0 1 0
37 baci BACITRACIN 0 0 0 0
38 bayclin BAYCLIN 0 0 0 0
39 betahis BETAHISTIN 0 9 0 9
40 betamet BETAMETASON 0,1% 1 0 0 0
41 beva BEVALEX CREAM 0 0 0 0
42 biopla BIOPLACENTON/BISMECON 0 0 0 0
43 bisop BISOPROLOL 5mg 0 0 0 0
44 bisa supp BISACODYL SUPP 0 0 0 0
45 gom BORAX GLISERIN/GOM 0 0 0 0
46 bromhex BROMHEXIN 8mg 0 0 9 0
47 BUSCOPAN INJ 0 0 0 0
48 betason BETASON N CREAM 0 0 0 0
49 burna BURNAZINE CREAM 0 0 0 0
50 CALADIN POWDER 0 0 0 0
51 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
52 cap25 CAPTOPRIL 25mg 0 0 0 0
53 catar CATARLENT TM 0 0 0 0
54 cazet CAZETIN DROP 0 0 0 0
55 cefa CEFADROXIL 500mg 0 10 0 0
56 cefa sir CEFADROXIL SYR 0 0 0 0
57 cefixim CEFIXIM 0 0 0 0
58 astenof CENDO ASTENOF 0 0 0 0
59 augen CENDO AUGENTONIC 0 0 0 0
60 cenfres CENDO CENFRESH 0 0 0 0
61 homa CENDO HOMATROPIN 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0
63 tropin1 CENDO TROPIN 1% 0 0 0 0
64 vitro CENDO VITROLENTA 0 0 0 0
65 xitrol sm CENDO XITROL SM 0 0 0 0
66 xitrol tm CENDO XITROL TM 0 0 0 0
67 cetirizin CETIRIZIN 0 0 0 0
68 cimet CIMETIDIN 200mg 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
70 cipro CIPROFLOXACION 500mg 0 0 0 20
71 clin150 CLINDAMICYN 150mg 0 0 0 0
72 clin300 CLINDAMICYN 300mg 0 0 0 0
73 cloba CLOBAZAM 10mg 0 0 0 0
74 cod10 CODEIN 10 MG 0 0 0 0
75 calusol CALLUSOL 0 0 0 0
76 dema DEMACOLIN 9 0 9 18
77 dexa DEXAMETASON 0,5mg 0 0 0 0
78 DEXAMETASON INJ 0 0 0 0
79 dextral DEXTRAL 18 0 0 0
80 dz2 DIAZEPAM 2mg 0 0 0 0
81 dz5 DIAZEPAM 5mg 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0
84 digox DIGOXIN 0,25mg 0 0 0 0
85 dimen DIMENHIDRINAT 0 0 0 0
86 domperi DOMPERIDON 0 0 0 0
87 domper sir DOMPERIDON SYR 0 0 0 0
88 dulco DULKOLAC TAB 0 0 0 0
89 efed EFEDRIN 25mg 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0
92 ery ERYTROMICIN 500mg 0 0 0 0
93 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
94 rivanol ETAKRIDIN (REVANOL) 0 0 0 0
 95 ethyl ETHYLCHLORIDE 0 0 0 0
96 fasi FASIDOL FORTE 0 0 0 0
97 fenobar FENOBARBITAL 30mg 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0
99 fenol FENOL GLISEROL 10% TT 0 0 0 0
100 k inj FITOMENADION (VIT K) INJ 0 0 0 0
101 k FITOMENADION (VIT K) TAB 0 0 0 0
102 furo FUROSEMID 40mg 0 0 0 0
103 garam GARAM ORALIT 200ml 0 0 0 0
104 gemfi GEMFIBROZIL 300mg 0 0 0 0
105 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
106 genta sk GENTAMICIN SK 0 0 0 0
107 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
108 genta tm GENTAMICIN TM 0 0 0 0
109 gv GENTIAN VIOLET 1% 0 0 0 0
110 glaucon GLAUCON 0 0 0 0
111 gliben GLIBENKLAMID 5mg 0 0 0 0
112 glime GLIMEPIRID 2mg 0 0 84 0
113 glime4 GLIMEPIRID 4 MG 0 0 0 0
114 gg GLISERIL GUAIAKOLAT 2 18 12 18
115 GLUKOSA 10% 0 0 0 0
116 GLUKOSA 5% 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0
118 h2o2 H2O2 3% 0 0 0 0
119 haloinj HALDOL INJ 0 0 0 0
120 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
121 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
122 halo5 HALOPERIDOL 5mg 0 0 0 0
123 hibi HIBISCRUP 0 0 0 0
124 hct HIDROKLORPOTIAZID (HCT) 0 0 5 0
125 hidro HIDROKORTISON KRIM 2% 0 0 0 0
126 ibu2 IBUPROFEN 200mg 0 0 0 0
127 ibu4 IBUPROFEN 400mg 9 0 0 0
128 ichtiol ICHTIOL SALP 0 0 0 0
129 isdn ISDN 5mg 0 0 0 0
130 inh ISONIAZIDE 100 MG 0 0 0 0
131 ibu sir IBUPROFEN SIRUP 0 0 0 0
132 kalium KALIUM DIKLOFENAK 50mg 0 0 6 0
133 kalk KALSIUM LAKTAT /KALK 0 0 35 10
134 karbama KARMABAZEPIN 200mg 0 0 0 0
135 keto KETOKENAZOL 200mg 0 0 0 0
136 keto sk KETOKONAZOL CREAM 0 0 0 0
137 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 2 18 12 0
138 khloram sm KLORAMFENIKOL SM 0 0 0 0
139 khloram tm KLORAMFENIKOL TM 0 0 0 0
140 khloram250 KLORAMFENIKOL 250mg 0 0 0 0
141 khloram sir KLORAMFENIKOL SYR 0 0 0 0
142 khloram t KLORAMFENIKOL TT 0 0 0 0
143 KLORIN 0 0 0 0
144 cpz KLORPROMAZIN 100mg 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
146 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
147 kotrim sir KOTRIMOXAZOL SUSP 0 0 0 0
148 lacto LACTO B 0 0 0 0
149 lido2 LIDOCAIN 2% 0 0 0 0
150 lidocomp LIDOCAIN COMP 0 0 0 0
151 lope LOPERAMID 2mg 0 0 0 0
152 lora LORATADIN 10mg 0 0 3 0
153 lyteer LYTEER TM 0 0 0 0
154 melox MELOXICAM 15mg 0 0 0 0
155 metfor METFORMIN 500mg 0 28 168 28
156 methil METHILPREDNISOLON 4mg 0 0 0 0
157 meto METOKLORPRAMID 10mg 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0
159 meto sir METOKLORPRAMID SYR 0 0 0 0
160 metro METRONIDAZOl 500mg 0 0 0 0
161 metylergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
162 MIDRIASIL TM 0 0 0 0
163 mico MIKONAZOL cr 0 0 0 0
164 MINERAL MIX 0 0 0 0
165 MODEKATE INJ 0 0 0 0
166 molagit MOLAGIT 0 0 20 0
167 reco sir MULTIVITAMIN SYR (RECOVIT) 0 0 2 0
168 lexa MULTIVITAMIN TAB (LEXAVIT) 0 10 0 0
169 myta MYTADERM SALP 0 0 0 0
170 mola MOLANEURON 5 0 60 0
171 nacl NACl INFUS 0 0 0 0
172 natri NATRIUM DIKLOFENAK 50mg 6 0 0 0
173 neo NEOKAOMINAL SYR 0 0 0 0
174 nife NIFEDIPIN 10mg 0 0 0 0
175 nista vag NISTATIN 100.000 TAB VAG 0 0 0 0
176 nista NISTATIN 500.000 TAB 0 0 0 0
177 norit NORIT 0 0 0 0
178 obh OBH SYR 0 0 1 0
179 obp OBP SYR 0 0 0 0
180 oksi sk OKSITETRASIKLIN SK 0 0 0 0
181 ome OMEPRAZOL 20mg 0 0 0 0
182 OTTOPAIN TT 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0
184 ondan inj ONDANSENTRON INJ 0 0 0 0
185 prena PRENAMIA 0 0 0 0
186 panto PANTOCAIN TM 0 0 0 0
187 papa PAPAVERIN HCL 40mg 0 0 0 0
188 pml PARASETAMOL 500mg 0 20 287 30
189 pml sir PARASETAMOL SYR 120mg/5ml 12 0 11 0
190 pml drop PARACETAMOL DROP 0 0 1 2
191 pedi PEDITOK 0 0 0 0
192 pheni PHENITOIN 100mg 0 0 0 0
193 pira4 PIRACETAM 400mg 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0
195 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
196 PIROXICAM 10mg 0 0 0 0
197 pirox PIROXICAM 20mg 0 0 0 0
198 povi POVIDON IODIUM 10% 300ml 0 0 0 0
199 povi30 POVIDON IODIUM 10% 30ml 0 0 0 0
200 pred PREDNISSON 5mg 0 0 0 0
201 propa PROPANOLOL 40mg 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0
203 rani RANITIDIN 150mg 0 0 0 0
204 RANITIDIN INJ 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0
207 rl RINGER LAKTAT 0 0 0 0
208 risper RISPERIDON 2mg 0 0 0 0
209 sabun SABUN HIJAU 0 0 0 0
210 salbu2 SALBUTAMOL 2mg 0 0 9 0
211 salbu4 SALBUTAMOL 4mg 0 0 0 0
212 sk 24 SALEP 2-4 0 0 0 0
213 sk 88 SALEP 88 0 0 0 0
214 sk wf SALEP WF 0 0 0 0
215 Sali SALISIL BEDAK 2% 0 1 0 0
216 scabi SCABICID CREAM 0 0 0 0
217 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
218 simvas SIMVASTATIN 10mg 0 0 14 0
219 indra SIRUP INDRA 0 0 0 0
220 spasmi SPASMINAL TAB 0 0 0 0
221 sulfa SULFASETAMID TM 0 0 0 0
222 fe TABLET TAMBAH DARAH /FE 0 0 45 0
223 thiam THIAMFENIKOL 500mg 0 0 0 0
224 b1 THIAMIN HCL 50mg (VIT B1) 70 112 56 84
225 THIAMPHENIKOL SYR 0 0 0 0
226 timol TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0
228 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
229 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
230 TRIVEXAN SYR 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0
232 bc VITAMIN B KOMPLEX 20 0 63 20
233 valved VALVED 0 0 0 0
234 zink ZINC 20 mg 0 0 0 0
235 zink syr rekjan18 0 0 0 0
236 ksr KSR 0 0 0 0
237 sikzo SIKZONOATE INJ 0 0 0 0
238 ceti sir CETIRIZIN SIRUP 1 0 0 0
239 hidro1 HIDROCORTISON 1% 0 0 0 0
240 acy2 ACYCLOVIR 200 MG 0 0 0 0
241 duva DUVADILAN TAB 0 0 0 0
242 cavi sir CAVIPLEX SYR 0 0 0 0
243 caladin lot CALADINE LOTION 0 0 0 0
244 gran GRANTUSIF 0 0 0 0
245 melox7,5 meloxicam 7,5mg 0 0 0 0
246 lanzo Lanzoprazole 0 0 6 0
247 amok250 sir Amoxicillin Forte Syrup 0 0 1 0
248 band BAND AID / HANSAPLAST 0 0 0 0
252 kasa40x40 KASA KOMPRES 40/40 STERIL 0 0 0 0
253 kasa4x5 KASA 4X5 0 0 0 0
254 kasa16x16 KASA 16x16 STERIL 0 0 0 0
256 kasa4x15 KASA HIDROFIL 4x15 0 0 0 0
257 masker MASKER +tali 0 0 0 0
259 plester PLESTER 5YARDx 2 INCH 0 0 0 0
260 sp3 SPUIT 3 CC 0 0 0 0
261 tissue TISSUE GYNAE 0 0 0 0
263 loematul LOEMATUL 0 0 0 0
264 kasa40x80 KASA 40X80 0 0 0 0
265 hand gy HANDSCON GYNAE 0 0 0 0
266 sp5 SPUIT 5 CC 0 0 0 0
267 hypa10x5 HYPAVIX 10 X 5 0 0 0 0
268 handl HANDSCON L 0 0 0 0
269 needle23 NEEDLE 23 G 0 0 0 0
270 silk SILK 0 0 0 0
271 ultra5x5 ULTRAVIT 5X5 0 0 0 0
272 kapas pembalut KAPAS PEMBALUT 250 0 0 0 0
273 iv 18 IV CATH NO 18 0 0 0 0
274 iv 20 IV CATH NO 20 0 0 0 0
iv 22 IV CATH NO 22 0 0 0 0
275 iv 24 IV CATH NO 24 0 0 0 0
276 infus dewasa INFUSET DEWASA 0 0 0 0
277 asep ASEPTIC GEL 0 0 0 0

NO JENIS RESEP
NO JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 10 8 15 8
2 JUMLAH RESEP PUYER 1 0 1 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 0 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

DECEMBER
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
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0 0 0
196 56 1104
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 354
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 15
1 0 3
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

total
 total
24 25 26 27 28 29 30 31
16 5 188
1 0 11
0 1 2
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN
PUSKESMAS WATES PELAPORAN BULAN : DESEMBER 201
PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JANUARI 2020

STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
1 ACETOSAL 100mg/80 mg TAB 0 0 0
2 ACIKLOVIR 400mg TAB 82 100 182 0 182
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ADONA INJ AMP 0 0 0 0
5 ADONA TAB TAB 0 0 0 0
6 ALBENDAZOL TAB 0 0 0 0
7 ALBENDAZOL SYR BTL 0 0 0 0
8 ALBOTYL CONC BTL 0 0 0 0
9 ALINAMIN F INJ AMP 0 0 0 0
10 ALINAMIN F TAB TAB 0 0 0 0
11 ALKOHOL 70% BTL 0 0 0 0
12 ALKOHOL 95% BTL 0 0 0 0
13 LITROL TM BTL 2 2 0 2
14 ALLOPURINOL 100mg TAB 258 258 0 258
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 0 600 600 155 445
18 AMBROXOL SYR BTL 0 0 0 0
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMITRIPTILIN 25mg TAB 0 0 0 0
21 AMLODIPIN 5 MG TAB 965 1500 2465 959 1506 300
22 AMLODIPIN 10 mg TAB 345 345 0 345
23 AMOXICILLIN 500mg TAB 591 500 1091 166 925
24 AMOXICILLIN SYR BTL 0 50 50 0 50
25 ANTALGIN 500mg TAB 0 1000 1000 270 730
26 ANTASID TAB 0 2000 2000 1052 948 1000
27 ANTASIDA SYR BTL 0 50 50 0 50
28 ANTIHEMOROID SUPP SUPP 5 20 25 4 21
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
29 ANTRAIN INJ AMP 0 0 0 0
30 AQUA PRO INJ BTL 0 0 0 0
31 ASAM ASCORBAT 50mg TAB 165 500 665 205 460
32 ASAM ASKORBAT 500mg TAB 0 0 0 0
33 ASAM FOLAT 100mg TAB 185 185 40 145
34 ASAM MEFENAMAT 500mg TAB 300 200 500 103 397
35 ATROPIN INJ AMP 0 0 0 0
36 BABY COUGH SYR BTL 0 30 30 20 10 10
37 BACITRACIN TUBE 0 0 0 0
38 BAYCLIN BTL 0 0 0 0
39 BETAHISTIN TAB 0 600 600 243 357 200
40 BETAMETASON 0,1% TUBE 35 35 1 34
41 BEVALEX CREAM TUBE 0 0 0 0
42 BIOPLACENTON TUBE 6 6 1 5
43 BISOPROLOL 5mg TAB 176 100 276 59 217
44 BISACODYL SUPP/ dulcolax supp SUPP 0 0 0 0
45 BORAX GLISERIN/GOM BTL 0 0 0 0
46 BROMHEXIN 8mg TAB 114 114 9 105
47 BUSCOPAN INJ AMP 0 0 0 0
48 BETASON N CREAM TUBE 0 0 0 0
49 BURNAZINE CREAM TUBE 0 0 0 0
50 CALADIN POWDER BTL 0 0 0 0
51 CAPTOPRIL 12,5mg TAB 35 200 235 28 207
52 CAPTOPRIL 25mg TAB 145 145 0 145
53 CATARLENT TM BTL 3 3 1 2 5
54 CAZETIN DROP BTL 0 5 5 2 3 5
55 CEFADROXIL 500mg KAPS 165 165 15 150
56 CEFADROXIL SYR BTL 0 50 50 0 50
57 CEFIXIM KAPS 10 10 0 10
58 CENDO ASTENOF BTL 0 0 0 0
59 CENDO AUGENTONIC BTL 5 5 0 5
60 CENDO CENFRESH BTL 98 98 0 98
61 CENDO HOMATROPIN BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
62 CENDO TROPIN 0,5% BTL 0 0 0 0
63 CENDO TROPIN 1% BTL 0 0 0 0
64 CENDO VITROLENTA BTL 4 4 0 4
65 CENDO XITROL SM TUBE 0 0 0 0
66 CENDO XITROL TM BTL 0 0 0 0
67 CETIRIZIN TAB 70 70 39 31 100
68 CIMETIDIN 200mg TAB 0 0 0 0
69 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
70 CIPROFLOXACIN 500mg TAB 90 90 20 70
71 CLINDAMICYN 150mg KAPS 50 50 0 50
72 CLINDAMICYN 300mg KAPS 130 130 0 130
73 CLOBAZAM 10mg TAB 0 0 0 0
74 CODEIN 10 MG TAB 0 100 100 67 33
75 CALLUSOL BTL 0 0 0 0
76 DEMACOLIN TAB 752 752 81 671
77 DEXAMETASON 0,5mg TAB 372 372 9 363
78 DEXAMETASON INJ AMP 0 0 0 0 10
79 DEXTRAL TAB 2079 2079 45 2034
80 DIAZEPAM 2mg TAB 97 97 12 85
81 DIAZEPAM 5mg TAB 0 100 100 0 100
82 DIAZEPAM RECTAL 5 mg/STESOLID SUPP 0 0 0 0
83 DIFENHIDRAMINJ INJ AMP 0 0 0 0 6
84 DIGOXIN 0,25mg TAB 0 0 0 0
85 DIMENHIDRINAT TAB 0 0 0 0
86 DOMPERIDON TAB 0 600 600 270 330
87 DOMPERIDON SYR BTL 24 24 1 23
88 DULKOLAC TAB TAB 0 0 0 0
89 EFEDRIN 25mg TAB 0 0 0 0
90 EPINEFRIN INJ AMP 0 0 0 0 5
91 ERGOTAMIN MALEAT TAB 0 0 0 0
92 ERYTROMICIN 500mg TAB 100 100 0 100
93 ERYTROMICIN SYR 125mg/5ml BTL 0 5 5 0 5
94 ETAKRIDIN (REVANOL) BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
95 ETHYL CHLORIDE BTL 0 1 1 1 0
96 FASIDOL FORTE TAB 0 200 200 0 200
97 FENOBARBITAL 30mg TAB 0 0 0 0
98 FENOBARBITAL INJ AMP 0 0 0 0
99 FENOL GLISEROL 10% TT BTL 3 3 2 1 5
100 FITOMENADION (VIT K) INJ AMP 0 0 0 0
101 FITOMENADION (VIT K) TAB TAB 8 8 0 8
102 FUROSEMID 40mg TAB 83 83 3 80
103 GARAM ORALIT 200ml SACH 246 246 6 240
104 GEMFIBROZIL 300mg KAPS 126 126 17 109
105 GEMFIBROZIL 600 mg TAB 0 0 0 0
106 GENTAMICIN SK TUBE 3 3 0 3
107 GENTAMICIN SM/GENOINT SM BTL 3 3 0 3
108 GENTAMICIN TM BTL 14 14 5 9
109 GENTIAN VIOLET 1% BTL 0 0 0 0
110 GLAUCON TAB 0 0 0 0
111 GLIBENKLAMID 5mg TAB 101 101 0 101
112 GLIMEPIRID 2mg TAB 287 400 687 350 337
113 GLIMEPIRID 4 MG TAB 0 0 0 0
114 GLISERIL GUAIAKOLAT TAB 0 2000 2000 1000 1000
115 GLUKOSA 10% BTL 0 0 0 0
116 GLUKOSA 5% BTL 0 0 0 0
117 GRISEOVULVIN 125mg TAB 0 0 0 0
118 H2O2 3% BTL 0 0 0 0
119 HALDOL INJ AMP 0 0 0 0
120 HALOPERIDOL 0,5mg TAB 0 0 0 0
121 HALOPERIDOL 1,5 mg TAB 0 0 0 0
122 HALOPERIDOL 5mg TAB 0 0 0 0
123 HIBISCRUP BTL 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) TAB 54 54 5 49
125 HIDROKORTISON KRIM 2% TUBE 18 18 0 18
126 IBUPROFEN 200mg TAB 14 14 14 0
127 IBUPROFEN 400mg TAB 0 500 500 189 311
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
128 ICHTIOL SALP POT 0 0 0 0
129 ISDN 5mg TAB 86 86 0 86
130 ISONIAZIDE 100 mg TAB 0 0 0 0
131 IBUPROFEN SIRUP BTL 0 50 50 0 50
132 KALIUM DIKLOFENAK 50mg TAB 0 1000 1000 58 942
133 KALSIUM LAKTAT /KALK TAB 0 600 600 194 406
134 KARMABAZEPIN 200mg TAB 100 100 0 100
135 KETOKENAZOL 200mg TAB 187 187 14 173
136 KETOKONAZOL CREAM TUBE 34 34 1 33
137 KHLORPHENIRAMIN MALEAT (CTM TAB 387 300 687 55 632
138 KLORAMFENIKOL SM TUBE 19 19 0 19
139 KLORAMFENIKOL TM BTL 0 10 10 3 7
140 KLORAMFENIKOL 250mg TAB 120 120 0 120
141 KLORAMFENIKOL SYR BTL 50 50 0 50
142 KLORAMFENIKOL TT BTL 7 7 0 7
143 KLORIN BTL 0 0 0 0
144 KLORPROMAZIN 100mg TAB 0 0 0 0
145 KLORPROMAZIN HCL INJ 5mg/2ml TAB 0 0 0 0
146 KOTRIMOXAZOL 480mg TAB 0 200 200 20 180
147 KOTRIMOXAZOL SUSP BTL 51 51 8 43
148 LACTO B SACH 33 40 73 3 70
149 LIDOCAIN 2% AMP 0 10 10 10 0
150 LIDOCAIN COMP AMP 0 0 0 0
151 LOPERAMID 2mg TAB 0 0 0 0
152 LORATADIN 10mg TAB 208 208 12 196
153 LYTEER TM BTL 0 10 10 6 4 5
154 MELOXICAM 15mg TAB 0 200 200 9 191
155 METFORMIN 500mg TAB 1338 1338 560 778 300
156 METHILPREDNISOLON 4mg TAB 35 100 135 9 126
157 METOKLORPRAMID 10mg TAB 100 100 0 100
158 METOKLORPRAMID INJ AMP 0 0 0 0
159 METOKLORPRAMID SYR BTL 0 0 0 0
160 METRONIDAZOl 500mg TAB 0 100 100 25 75
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
161 METYLERGOMETRIN MALEAT 125 TAB 101 101 0 101
162 MIDRIASIL TM BTL 0 0 0 0
163 MIKONAZOL cr TUBE 9 9 1 8
164 MINERAL MIX SACH 0 0 0 0
165 MODEKATE INJ AMP 0 0 0 0
166 MOLAGIT TAB 0 700 700 407 293
167 RECOVIT SYR/TRUVIT SYR BTL 7 60 67 10 57
168 LEXAVIT TAB 965 965 114 851
169 MYTADERM SALP TUBE 8 10 18 1 17
170 MOLANEURON TAB 1395 1395 270 1125
171 NACl INFUS BTL 0 0 0 0
172 NATRIUM DIKLOFENAK 50mg TAB 232 232 46 186
173 NEOKAOMINAL SYR BTL 0 10 10 0 10
174 NIFEDIPIN 10mg TAB 100 100 0 100
175 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
176 NISTATIN 500.000 TAB TAB 100 100 0 100
177 NORIT TAB 0 0 0 0
178 OBH SYR BTL 0 25 25 17 8 10
179 OBP SYR BTL 0 0 0 0
180 OKSITETRASIKLIN SK TUBE 0 0 0 0
181 OMEPRAZOL 20mg TAB 0 150 150 6 144
182 OTTOPAIN TT BTL 0 0 0 0
183 OXITETRASIKLIN SM TUBE 0 0 0 0
184 ONDANSENTRON INJ AMP 0 0 0 0
185 PRENAMIA TAB 0 0 0 0
186 PANTOCAIN TM BTL 0 0 0 0
187 PAPAVERIN HCL 40mg TAB 0 0 0 0
188 PARASETAMOL 500mg TAB 2415 2415 826 1589
189 PARASETAMOL SYR 120mg/5ml BTL 26 26 5 21
190 PARACETAMOL DROP BTL 34 34 10 24
191 PEDITOK BTL 0 5 5 0 5
192 PHENITOIN 100mg TAB 0 0 0 0
193 PIRACETAM 400mg TAB 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD 2017 DAU PKDN 2018 BMHP BLUD BSP
2017
194 PIRANTEL 125mg TAB 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 TAB 37 37 15 22
196 PIROXICAM 10mg TAB 0 0 0 0
197 PIROXICAM 20mg TAB 0 0 0 0
198 POVIDON IODIUM 10% 300ml BTL 0 0 0 0 2
199 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
200 PREDNISON 5mg TAB 0 0 0 0
201 PROPANOLOL 40mg TAB 0 0 0 0
202 PULMICORT RESPULES AMP 0 0 0 0
203 RANITIDIN 150mg TAB 0 0 0 0
204 RANITIDIN INJ AMP 0 0 0 0
205 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
206 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
207 RINGER LAKTAT BTL 0 0 0 0
208 RISPERIDON 2mg TAB 0 0 0 0
209 SABUN HIJAU BIJI 3 24 27 4 23
210 SALBUTAMOL 2mg TAB 38 100 138 18 120
211 SALBUTAMOL 4mg TAB 99 99 0 99
212 SALEP 2-4 POT 18 18 1 17
213 SALEP 88 POT 0 0 0 0
214 SALEP WF POT 0 0 0 0
215 SALISIL BEDAK 2% KTK 0 30 30 8 22
216 SCABICID CREAM TUBE 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
218 SIMVASTATIN 10mg TAB 474 474 14 460
219 SIRUP INDRA BTL 0 12 12 1 11
220 SPASMINAL TAB TAB 217 217 19 198
221 SULFASETAMID TM BTL 0 0 0 0
222 TABLET TAMBAH DARAH /FE TAB 622 622 135 487
223 THIAMFENIKOL 500mg TAB 97 97 0 97
224 THIAMIN HCL 50mg (VIT B1) TAB 324 1400 1724 1118 606 1500
225 THIAMPHENIKOL SYR BTL 19 19 0 19
226 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
227 TRANSAMIN INJ AMP 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

PERMI PEMB Expired No PKD

NO NAMA OBAT/ALKES SAT PKD DANA PKD
AWAL MAAN DIAAN KAIAN STOK NTAAN ERIAN Date Batch PKD PKDN BMHP BLUD BSP
2017 DAU 2018
2017
228 TRIFLORPEARZIN 5mg/STELLAZIN TAB 100 100 100 0
229 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
230 TRIVEXAN SYR BTL 0 0 0 0
231 VENTOLIN NEBULIZER AMP 0 5 5 5 0
232 VITAMIN B KOMPLEX TAB 0 1500 1500 579 921
233 VALVED/NICHOFED TAB 287 287 0 287
234 ZINC 20 mg TAB 780 780 10 770
235 ZINC SYR BTL 0 0 0 0
236 KSR TAB 0 0 0 0
237 SIKZONOATE INJ AMP 0 0 0 0
238 CETIRIZIN SIRUP BTL 12 12 3 9
239 HIDROCORTISON 1% TUBE 0 8 8 0 8
240 ACYCLOVIR 200 MG TAB 0 0 0 0
241 DUVADILAN TAB TAB 0 0 0 0
242 CAVIPLEX SYR BTL 0 0 0 0
243 CALADINE LOTION BTL 0 0 0 0
244 GRANTUSIF TAB 0 0 0 0
245 MELOXICAM 7,5mg TAB 0 0 0 0
246 LANSOPRAZOLE KAPS 0 100 100 15 85
247 AMOXICILLIN FORTE SIRUP BTL 2 60 62 7 55
248 BROMHEXIN SIRUP BTL 3 3 1 2

NB: JUMLAH TOTAL RESEP = 188

 DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN
: DESEMBER 2019
: JANUARI 2020

KET
APBD 2019
 KET
APBD 2019

ED 195
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019

ED100
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN
PUSKESMAS WATES PELAPORAN BULAN : DESEMBER 2019
PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : JANUARI 2020

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN

NO NAMA OBAT/ALKES SAT
N
PEMBERIAN KET
AWAL MAAN DIAAN KAIAN STOK PKD PKD 2018 BSP SARPRAS BLUD BMHP APBD 2019
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 2 2 2 0 2
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 4 4 4 0 4
10 LOEMATUL BIJI 0 5 5 5 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0 2
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0 4
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 2 2 0
24 INFUSET DEWASA BIJI 0 0 0 0 4
26 ASEPTIC GEL BIJI 0 0 0 0

MOJOKERTO,10 DESEMBER 2019

MENGETAHUI/MENYETUJUI
An.KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
DINAS KESEHATAN KOTA MOJOKERTO UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG

dr.MAR'ATUS SHOLIKHAH RURY KRISDIAN O,S.Si,Apt LULUK.ARYANTI,AMd.Far IRRA REPELITA,AMd,Kesgi SANDRA ROFIKASARI,AMd.Farm
NIP. 19890104 201403 2 003 NIP. 19800311 200501 2 015 NIP. 19841209 201403 2 003 NIP.19700110 199103 2 006 NIP.19860614 201903 2 011
REKAPAN PEMAKAIAN OBAT PER BULAN PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

BULAN
NO NAMA OBAT/ALKES
JAN FEB MAR APRL MEI JUNI JULI AGST SEPT OKT NOP DES JUMLAH
1 ACETOSAL 100mg 0 0 0 0 0 0 0 0 0 0 0 0 0
2 ACIKLOVIR 400mg 0 0 0 0 25 0 30 30 0 0 40 0 125
3 ACIKLOVIR KRIM 0 0 0 0 0 0 1 2 0 0 0 1 4
4 ADONA INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
5 ADONA TAB 0 0 0 0 0 0 0 0 0 0 0 0 0
6 ALBENDAZOL 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ALBENDAZOL SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
8 ALBOTYL CONC 0 0 0 0 0 0 0 0 0 0 0 0 0
9 ALINAMIN F INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
10 ALINAMIN F TAB 0 0 0 0 0 0 80 0 0 0 0 0 80
11 ALKOHOL 70% 0 0 0 0 0 0 0 0 0 0 0 0 0
12 ALKOHOL 95% 0 0 0 0 0 0 0 0 0 0 0 0 0
13 ALLETROL TM/OREGAN TM 0 0 0 0 0 0 0 0 0 0 0 0 0
14 ALLOPURINOL 100mg 0 0 0 35 42 24 104 3 28 0 14 0 250
15 ALPRAZOLAM 0,5 mg 0 0 0 0 0 0 0 0 0 10 0 0 10
16 ALPRAZOLAM 1 MG 0 0 0 0 0 0 0 0 0 0 0 0 0
17 AMBROXOL 0 0 0 0 0 0 0 0 47 23 41 36 147
18 AMBROXOL SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
19 AMINOFILIN 200mg 0 0 0 0 0 0 0 0 0 0 0 0 0
20 AMITRIPTILIN 25mg 0 0 0 0 0 0 0 0 0 0 0 0 0
21 AMLODIPIN 5 MG 610 112 728 903 863 602 938 882 864 945 784 959 9190
22 AMLODIPIN 10 mg 0 0 28 45 63 70 70 127 70 70 28 0 571
23 AMOXICILLIN 500mg 420 196 416 374 567 448 1055 819 391 471 463 166 5786
24 AMOXICILLIN SYR 6 0 0 0 4 4 0 1 4 0 0 0 19
25 ANTALGIN 500mg 27 0 9 9 108 99 228 226 52 126 36 9 929
26 ANTASID 181 98 223 226 218 118 419 341 219 436 394 222 3095
27 ANTASIDA SYR 19 2 6 0 1 0 0 11 22 19 9 0 89
28 ANTIHEMOROID SUPP 3 0 0 3 0 0 0 0 3 3 3 3 18
29 ANTRAIN INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
30 AQUA PRO INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
31 ASAM ASCORBAT 50mg 18 0 161 168 54 15 9 24 10 11 9 0 479
32 ASAM ASKORBAT 500mg 0 0 0 0 0 0 0 0 0 0 0 0 0
33 ASAM FOLAT 100mg 0 20 30 30 30 0 55 60 30 40 0 40 335
34 ASAM MEFENAMAT 500mg 191 28 108 153 108 54 91 144 135 153 144 72 1381
35 ATROPIN INJ 0 0 0 0 4 0 0 0 0 0 0 0 4
36 BABY COUGH SYR 0 0 2 7 2 3 14 7 5 8 4 3 55
37 BACITRACIN 0 0 0 0 0 0 0 0 0 0 0 0 0
38 BAYCLIN 0 0 0 0 0 0 0 0 0 0 0 0 0
39 BETAHISTIN 82 0 19 78 45 36 79 0 0 125 54 63 581
40 BETAMETASON 0,1% 0 0 1 4 0 0 1 5 2 0 0 1 14
41 BEVALEX CREAM 1 0 0 2 1 2 0 0 0 0 0 0 6
42 BIOPLACENTON/BISMECON 0 0 0 1 1 0 1 0 2 0 0 1 6
43 BISOPROLOL 5mg 42 14 49 84 84 70 70 84 56 56 112 59 780
44 BISACODYL SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BORAX GLISERIN/GOM 0 0 0 0 2 0 2 0 0 4 2 0 10
46 BROMHEXIN 8mg 9 9 146 63 99 45 91 219 90 23 23 9 826
47 BUSCOPAN INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
48 BETASON N CREAM 0 0 0 0 0 0 0 0 0 0 0 0 0
49 BURNAZINE CREAM 0 0 0 0 0 0 0 0 0 0 0 0 0
50 CALADIN POWDER 0 0 0 0 0 0 0 0 0 0 0 0 0
51 CAPTOPRIL 12,5mg 252 28 252 211 140 0 112 70 51 84 66 28 1294
52 CAPTOPRIL 25mg 0 0 0 0 0 0 0 0 0 0 14 0 14
53 CATARLENT TM 0 0 0 0 0 0 0 0 1 0 1 1 3
54 CAZETIN DROP 0 0 0 1 2 2 0 3 0 0 1 1 10
55 CEFADROXIL 500mg 30 10 0 30 0 10 20 40 0 0 0 10 150
56 CEFADROXIL SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
57 CEFIXIM 0 0 0 0 0 0 20 0 0 0 0 0 20
58 CENDO ASTENOF 0 0 0 0 0 0 0 0 0 0 0 0 0
59 CENDO AUGENTONIC 0 0 0 0 0 0 0 0 0 0 0 0 0
60 CENDO CENFRESH 11 3 6 9 3 3 0 0 9 6 0 0 50
61 CENDO HOMATROPIN 0 0 0 0 0 0 0 0 0 0 0 0 0
62 CENDO TROPIN 0,5% 0 0 0 0 0 0 0 0 0 0 0 0 0
63 CENDO TROPIN 1% 0 0 0 0 0 0 0 0 0 0 0 0 0
64 CENDO VITROLENTA 0 0 0 0 0 0 0 0 0 0 0 0 0
65 CENDO XITROL SM 0 0 0 0 0 0 0 0 0 0 0 0 0
66 CENDO XITROL TM 0 0 0 0 0 0 0 0 0 0 0 0 0
67 CETIRIZIN 14 0 6 5 45 31 49 0 9 18 21 18 216
68 CIMETIDIN 200mg 0 0 15 0 0 0 0 0 0 0 0 0 15
69 CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
70 CIPROFLOXACION 500mg 20 0 20 20 30 10 30 20 0 20 20 20 210
71 CLINDAMICYN 150mg 0 0 0 0 0 0 50 0 0 0 0 0 50
72 CLINDAMICYN 300mg 0 0 0 0 0 0 0 0 0 0 0 0 0
73 CLOBAZAM 10mg 0 0 0 0 0 0 0 0 0 0 0 0 0
74 CODEIN 10 MG 0 0 0 0 60 42 0 0 18 27 9 0 156
75 CALLUSOL 0 0 0 0 0 0 0 0 0 0 0 0 0
76 DEMACOLIN 55 10 258 189 90 54 102 285 266 162 86 81 1638
77 DEXAMETASON 0,5mg 0 0 16 9 149 86 201 84 18 41 18 9 631
78 DEXAMETASON INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
79 DEXTRAL 81 36 37 0 194 111 442 105 0 126 45 45 1222
80 DIAZEPAM 2mg 19 0 12 3 44 46 139 99 12 0 3 12 389
81 DIAZEPAM 5mg 0 0 0 0 0 0 0 0 0 0 0 0 0
82 DIAZEPAM RECTAL/STESOLID 0 0 0 0 0 0 0 0 0 0 0 0 0
83 DIFENHIDRAMINJ INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
84 DIGOXIN 0,25mg 0 0 0 0 0 0 100 0 0 0 0 0 100
85 DIMENHIDRINAT 45 9 45 53 9 9 108 165 99 108 0 0 650
86 DOMPERIDON 5 9 23 9 27 36 127 29 49 198 45 27 584
87 DOMPERIDON SYR 3 0 1 0 2 0 0 11 7 6 7 1 38
88 DULKOLAC TAB 2 4 2 4 0 0 0 0 0 0 6 0 18
89 EFEDRIN 25mg 0 0 0 0 0 0 0 0 0 0 0 0 0
90 EPINEFRIN INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
91 ERGOTAMIN MALEAT 0 0 0 0 0 0 0 0 0 0 0 0 0
92 ERYTROMICIN 500mg 0 0 0 0 0 0 0 0 0 0 0 0 0
93 ERYTROMICIN SYR 125mg/5ml 0 0 0 0 0 0 0 0 0 0 0 0 0
94 ETAKRIDIN (REVANOL) 0 0 0 0 0 0 0 0 0 0 0 0 0
 95 ETHYLCHLORIDE 0 0 0 0 0 0 0 0 0 0 0 0 0
96 FASIDOL FORTE 0 0 0 0 100 0 0 0 0 0 0 0 100
97 FENOBARBITAL 30mg 0 0 0 0 0 0 0 0 0 0 0 0 0
98 FENOBARBITAL INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
99 FENOL GLISEROL 10% TT 0 0 0 0 1 0 1 0 0 1 1 0 4
100 FITOMENADION (VIT K) INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
101 FITOMENADION (VIT K) TAB 6 0 0 25 0 0 35 0 0 0 0 0 66
102 FUROSEMID 40mg 0 0 3 0 0 7 7 0 0 0 0 3 20
103 GARAM ORALIT 200ml 71 24 40 22 29 0 42 55 42 66 30 6 427
104 GEMFIBROZIL 300mg 0 0 0 0 0 0 0 7 0 0 0 14 21
105 GEMFIBROXIL 600 MG 0 0 0 0 0 0 0 0 0 0 0 0 0
106 GENTAMICIN SK 6 0 4 2 2 2 2 2 3 9 5 1 38
107 GENTAMICIN SM/GENOINT SM 0 0 0 1 2 0 0 1 1 1 1 0 7
108 GENTAMICIN TM 0 0 2 0 3 1 8 1 2 5 2 2 26
109 GENTIAN VIOLET 1% 0 0 0 0 0 0 0 0 0 0 0 0 0
110 GLAUCON 0 0 0 0 0 0 0 0 0 0 0 0 0
111 GLIBENKLAMID 5mg 0 0 56 21 35 14 0 0 0 0 14 0 140
112 GLIMEPIRID 2mg 112 14 98 140 140 182 383 225 182 259 182 168 2085
113 GLIMEPIRID 4 MG 0 0 0 0 0 0 0 0 0 0 0 0 0
114 GLISERIL GUAIAKOLAT 254 125 468 451 127 57 23 178 446 211 245 123 2708
115 GLUKOSA 10% 0 0 0 0 0 0 0 0 0 0 0 0 0
116 GLUKOSA 5% 0 0 0 0 0 0 0 0 0 0 0 0 0
117 GRISEOVULVIN 125mg 0 0 0 0 0 0 0 0 0 0 0 0 0
118 H2O2 3% 0 0 0 0 0 0 0 0 0 0 0 0 0
119 HALDOL INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
120 HALOPERIDOL 0,5mg 0 0 0 0 0 0 0 0 0 0 0 0 0
121 HALOPERIDOL 1,5 mg 0 0 0 0 0 0 0 0 0 0 0 0 0
122 HALOPERIDOL 5mg 0 0 0 0 0 170 0 0 0 0 0 0 170
123 HIBISCRUP 0 0 0 0 0 0 0 0 0 0 0 0 0
124 HIDROKLORPOTIAZID (HCT) 0 0 4 0 7 0 21 7 0 14 5 5 63
125 HIDROKORTISON KRIM 2% 0 0 0 3 0 0 0 0 0 1 2 0 6
126 IBUPROFEN 200mg 0 0 0 0 9 0 0 18 4 0 19 0 50
127 IBUPROFEN 400mg 73 0 141 153 100 9 55 99 135 198 54 27 1044
128 ICHTIOL SALP 0 0 0 0 0 0 0 0 0 0 0 0 0
129 ISDN 5mg 0 0 0 0 0 0 0 0 0 0 0 0 0
130 ISONIAZIDE 100 MG 0 0 0 0 0 0 0 0 0 0 0 0 0
131 IBUPROFEN SIRUP 0 0 0 0 0 0 0 0 0 0 0 0 0
132 KALIUM DIKLOFENAK 50mg 56 0 60 24 36 54 60 0 0 0 6 42 338
133 KALSIUM LAKTAT /KALK 114 44 70 196 157 118 186 172 129 215 96 129 1626
134 KARMABAZEPIN 200mg 0 0 0 0 0 0 0 0 0 0 0 0 0
135 KETOKENAZOL 200mg 17 0 7 10 40 40 128 28 0 21 5 0 296
136 KETOKONAZOL CREAM 0 0 1 0 2 2 5 13 0 3 0 1 27
137 KHLORPHENIRAMIN MALEAT (C 326 131 359 340 106 86 55 254 293 256 343 155 2704
138 KLORAMFENIKOL SM 0 0 2 1 0 0 0 0 0 0 0 0 3
139 KLORAMFENIKOL TM 1 0 0 2 3 0 2 4 0 1 0 3 16
140 KLORAMFENIKOL 250mg 0 0 0 0 0 0 40 40 0 0 0 0 80
141 KLORAMFENIKOL SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
142 KLORAMFENIKOL TT 0 0 0 0 0 0 0 0 0 0 0 0 0
143 KLORIN 0 0 0 0 0 0 0 0 0 0 0 0 0
144 KLORPROMAZIN 100mg 0 0 0 0 0 50 0 0 0 0 0 0 50
145 KLORPROMAZIN HCL INJ 5mg/2m 0 0 0 0 0 0 0 0 0 0 0 0 0
146 KOTRIMOXAZOL 480mg 60 10 20 0 0 0 0 0 0 0 20 0 110
147 KOTRIMOXAZOL SUSP 0 0 3 0 0 0 1 1 1 1 0 2 9
148 LACTO B 3 0 6 8 0 0 3 6 12 3 9 3 53
149 LIDOCAIN 2% 0 0 0 0 0 0 0 0 0 0 0 0 0
150 LIDOCAIN COMP 0 0 0 0 0 0 0 0 0 0 0 0 0
151 LOPERAMID 2mg 0 0 0 0 0 0 0 0 0 0 0 0 0
152 LORATADIN 10mg 17 5 32 34 44 21 108 107 42 22 14 12 458
153 LYTEER TM 0 0 0 0 0 0 0 0 0 0 1 4 5
154 MELOXICAM 15mg 3 0 0 0 3 0 0 0 0 3 3 3 15
155 METFORMIN 500mg 416 84 350 560 426 312 360 660 462 784 658 644 5716
156 METHILPREDNISOLON 4mg 0 0 0 0 82 68 144 109 19 28 9 9 468
157 METOKLORPRAMID 10mg 0 0 0 0 0 0 0 0 0 0 0 0 0
158 METOKLORPRAMID INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
159 METOKLORPRAMID SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
160 METRONIDAZOl 500mg 0 0 15 2 0 0 0 0 0 0 10 15 42
161 METYLERGOMETRIN MALEAT 12 0 0 0 0 0 0 10 0 0 0 0 0 10
162 MIDRIASIL TM 0 0 0 0 0 0 0 0 0 0 0 0 0
163 MIKONAZOL cr 4 2 2 0 1 1 0 0 3 1 4 1 19
164 MINERAL MIX 0 0 0 0 0 0 0 0 0 0 0 0 0
165 MODEKATE INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
166 MOLAGIT 60 30 56 32 82 10 86 75 70 79 43 40 663
167 MULTIVITAMIN SYR (RECOVIT) 3 0 12 6 2 0 2 20 2 7 4 8 66
168 MULTIVITAMIN TAB (LEXAVIT) 71 20 135 92 28 16 58 82 36 45 35 59 677
169 MYTADERM SALP 0 0 1 0 0 0 33 1 3 8 1 1 48
170 MOLANEURON 18 0 85 75 87 94 228 232 159 60 105 210 1353
171 NACl INFUS 0 0 0 0 0 0 0 0 0 0 0 0 0
172 NATRIUM DIKLOFENAK 50mg 30 12 30 42 72 66 202 136 90 42 36 12 770
173 NEOKAOMINAL SYR 1 0 0 0 0 0 1 3 2 2 0 0 9
174 NIFEDIPIN 10mg 0 0 0 0 0 0 0 0 0 0 0 0 0
175 NISTATIN 100.000 TAB VAG 0 0 0 0 0 0 0 0 0 0 0 0 0
176 NISTATIN 500.000 TAB 0 0 0 0 0 0 0 0 0 0 0 0 0
177 NORIT 0 0 0 0 0 0 0 0 0 0 0 0 0
178 OBH SYR 0 1 10 5 5 7 5 21 4 8 4 2 72
179 OBP SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
180 OKSITETRASIKLIN SK 0 1 0 0 0 0 0 0 0 0 0 0 1
181 OMEPRAZOL 20mg 6 0 54 30 75 60 201 107 0 0 0 6 539
182 OTTOPAIN TT 0 0 0 0 0 0 0 0 0 0 0 0 0
183 OXITETRASIKLIN SM 0 0 0 0 0 0 0 0 0 0 0 0 0
184 ONDANSENTRON INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
185 PRENAMIA 0 0 0 0 0 0 0 0 0 0 0 0 0
186 PANTOCAIN TM 0 0 0 0 0 0 0 0 0 0 0 0 0
187 PAPAVERIN HCL 40mg 0 0 0 0 0 0 0 0 0 0 0 0 0
188 PARASETAMOL 500mg 711 270 576 633 455 362 531 788 608 679 845 826 7284
189 PARASETAMOL SYR 120mg/5ml 21 1 68 9 14 30 7 16 54 62 10 29 321
190 PARACETAMOL DROP 0 0 2 8 3 0 10 11 14 10 13 7 78
191 PEDITOK 0 0 0 0 0 0 0 0 0 0 0 0 0
192 PHENITOIN 100mg 0 0 0 0 0 0 0 0 0 0 0 0 0
193 PIRACETAM 400mg 0 0 0 0 0 0 0 0 0 0 0 0 0
194 PIRANTEL 125mg 0 0 0 0 0 0 0 0 0 0 0 0 0
195 PIRIDOKSIN 10mg/VIT B6 6 0 70 75 148 0 0 20 0 6 10 15 350
196 PIROXICAM 10mg 0 0 0 0 0 0 0 0 0 0 0 0 0
197 PIROXICAM 20mg 0 0 0 0 0 0 0 0 0 0 0 0 0
198 POVIDON IODIUM 10% 300ml 1 0 0 0 0 0 0 0 0 0 0 0 1
199 POVIDON IODIUM 10% 30ml 0 0 0 0 1 0 0 0 0 0 0 0 1
200 PREDNISSON 5mg 6 0 0 33 67 0 0 0 0 0 0 0 106
201 PROPANOLOL 40mg 0 0 0 0 0 0 0 0 0 0 0 0 0
202 PULMICORT RESPULES 0 0 0 0 0 0 0 0 0 0 0 0 0
203 RANITIDIN 150mg 12 6 46 58 42 0 24 24 136 72 0 0 420
204 RANITIDIN INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
205 RETINOL (VIT A) 100.000 IU 0 0 0 0 0 0 0 0 0 0 0 0 0
206 RETINOL (VIT A) 200.000 IU 0 0 0 0 0 0 0 0 0 0 0 0 0
207 RINGER LAKTAT 0 0 0 0 0 0 0 0 0 0 0 0 0
208 RISPERIDON 2mg 0 0 0 0 0 0 0 20 0 0 0 0 20
209 SABUN HIJAU 1 0 2 4 0 4 2 3 1 3 8 2 30
210 SALBUTAMOL 2mg 9 0 110 40 30 27 44 18 27 9 9 18 341
211 SALBUTAMOL 4mg 0 0 0 0 27 0 18 9 9 0 0 0 63
212 SALEP 2-4 0 0 0 1 0 0 0 2 2 0 0 0 5
213 SALEP 88 0 0 0 0 0 0 0 0 0 0 0 0 0
214 SALEP WF 0 0 0 0 0 0 0 0 0 0 0 0 0
215 SALISIL BEDAK 2% 3 1 7 4 2 0 0 1 6 4 5 6 39
216 SCABICID CREAM 0 0 0 0 0 0 0 0 0 0 0 0 0
217 SIANOCOBALAMIN 50mg (VIT B1 10 0 0 0 0 0 0 0 0 0 0 0 10
218 SIMVASTATIN 10mg 7 7 21 14 94 150 290 158 168 266 42 14 1231
219 SIRUP INDRA 0 0 0 0 0 0 0 0 0 0 0 1 1
220 SPASMINAL TAB 9 0 9 0 9 0 59 95 54 99 82 18 434
221 SULFASETAMID TM 0 0 0 0 0 0 0 0 0 0 0 0 0
222 TABLET TAMBAH DARAH /FE 30 0 50 140 100 120 150 110 166 182 60 135 1243
223 THIAMFENIKOL 500mg 20 0 0 0 0 0 0 0 0 20 0 0 40
224 THIAMIN HCL 50mg (VIT B1) 1105 196 1260 1543 1065 690 923 934 947 1466 1176 1104 12409
225 THIAMPHENIKOL SYR 0 0 0 0 0 0 1 0 0 0 0 0 1
226 TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0 0 0 0 0 0 0 0 0 0
227 TRANSAMIN INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
228 TRIFLORPEARZIN 5mg/STELLAZI 0 0 0 0 0 155 0 0 0 0 0 0 155
229 TRIHEXIPHENIDIL 2mg 0 0 0 0 0 100 0 0 0 0 0 0 100
230 TRIVEXAN SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
231 VENTOLIN NEBULIZER 0 0 0 0 0 0 0 0 0 0 0 0 0
232 VITAMIN B KOMPLEX 288 86 286 297 327 210 99 804 373 577 354 354 4055
233 VALVED 24 9 45 52 28 40 36 0 0 0 13 0 247
234 ZINC 20 mg 46 0 0 0 0 0 0 20 0 0 0 0 66
235 rekjan18 0 0 0 0 0 0 0 0 0 1 0 0 1
236 KSR 0 0 0 0 0 0 0 0 0 0 0 0 0
237 SIKZONOATE INJ 0 0 0 0 0 0 0 0 0 0 0 0 0
238 CETIRIZIN SIRUP 0 0 0 0 0 1 1 2 8 2 2 3 19
239 HIDROCORTISON 1% 0 0 0 0 0 0 0 0 0 0 0 0 0
240 ACYCLOVIR 200 MG 0 0 0 0 0 0 0 0 0 0 0 0 0
241 DUVADILAN TAB 0 0 0 0 0 0 0 0 0 0 0 0 0
242 CAVIPLEX SYR 0 0 0 0 0 0 0 0 0 0 0 0 0
243 CALADINE LOTION 0 0 0 0 0 0 0 0 0 0 0 0 0
244 GRANTUSIF 0 0 0 0 0 0 0 0 0 0 0 0 0
245 meloxicam 7,5mg 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Lanzoprazole 0 0 0 0 0 0 0 0 0 40 0 15 55
247 Amoxicillin Forte Syrup 0 0 3 2 1 0 12 11 8 7 3 3 50
248 BAND AID / HANSAPLAST 0 0 0 0 0 0 0 0 0 0 0 0 0
252 KASA KOMPRES 40/40 STERIL 0 0 0 0 0 0 0 0 0 0 0 0 0
253 KASA 4X5 0 0 0 0 1 0 0 0 0 0 0 0 1
254 KASA 16x16 STERIL 0 0 0 0 0 0 0 0 0 0 0 0 0
256 KASA HIDROFIL 4x15 0 0 0 0 0 0 0 0 0 0 0 0 0
257 MASKER +tali 0 0 0 0 0 0 0 0 0 0 0 0 0
259 PLESTER 5YARDx 2 INCH 0 0 0 0 0 0 0 0 0 0 0 0 0
260 SPUIT 3 CC 0 0 0 0 0 0 0 0 0 0 0 0 0
261 TISSUE GYNAE 0 0 0 0 0 0 0 0 0 0 0 0 0
263 LOEMATUL 0 0 0 0 0 0 0 0 0 0 0 0 0
264 KASA 40X80 0 0 0 0 0 0 0 0 0 0 0 0 0
265 HANDSCON GYNAE 0 0 0 0 0 0 0 0 0 0 0 0 0
266 SPUIT 5 CC 0 0 0 0 0 0 0 0 0 0 0 0 0
267 HYPAVIX 10 X 5 0 0 0 0 0 0 0 0 0 0 0 0 0
268 HANDSCON L 0 0 0 0 0 0 0 0 0 0 0 0 0
269 NEEDLE 23 G 0 0 0 0 0 0 0 0 0 0 0 0 0
270 SILK 0 0 0 0 0 0 0 0 0 0 0 0 0
271 ULTRAVIT 5X5 0 0 0 0 0 0 0 0 0 0 0 0 0
272 KAPAS PEMBALUT 250 0 0 0 0 0 0 0 0 0 0 0 0 0
273 IV CATH NO 18 0 0 0 0 0 0 0 0 0 0 0 0 0
274 IV CATH NO 20 0 0 0 0 0 0 0 0 0 0 0 0 0
IV CATH NO 22 0 0 0 0 0 0 0 0 0 0 0 0 0
275 IV CATH NO 24 0 0 0 0 0 0 0 0 0 0 0 0 0
276 INFUSET DEWASA 0 0 0 0 0 0 0 0 0 0 0 0 0
277 ASEPTIC GEL 0 0 0 0 0 0 0 0 0 0 0 0 0
REKAPAN STOK OPNAME PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

JUMLAH STOK OPNAME

NO NAMA OBAT/ALKES

1 ACETOSAL 100mg 0
2 ACIKLOVIR 400mg 182
3 ACIKLOVIR KRIM 16
4 ADONA INJ 0
5 ADONA TAB 0
6 ALBENDAZOL 0
7 ALBENDAZOL SYR 0
8 ALBOTYL CONC 0
9 ALINAMIN F INJ 0
10 ALINAMIN F TAB 0
11 ALKOHOL 70% 0
12 ALKOHOL 95% 0
13 ALLETROL TM/OREGAN TM 0
14 ALLOPURINOL 100mg 258
15 ALPRAZOLAM 0,5 mg 0
16 ALPRAZOLAM 1 MG 0
17 AMBROXOL 445
18 AMBROXOL SYR 0
19 AMINOFILIN 200mg 0
20 AMITRIPTILIN 25mg 0
21 AMLODIPIN 5 MG 1497
22 AMLODIPIN 10 mg 345
23 AMOXICILLIN 500mg 1931
24 AMOXICILLIN SYR 50
25 ANTALGIN 500mg 730
26 ANTASID 951
27 ANTASIDA SYR 50
28 ANTIHEMOROID SUPP 21
29 ANTRAIN INJ 0
30 AQUA PRO INJ 0
31 ASAM ASCORBAT 50mg 460
32 ASAM ASKORBAT 500mg 0
33 ASAM FOLAT 100mg 145
34 ASAM MEFENAMAT 500mg 397
35 ATROPIN INJ 0
36 BABY COUGH SYR 13
37 BACITRACIN 0
38 BAYCLIN 0
39 BETAHISTIN 357
40 BETAMETASON 0,1% 34
41 BEVALEX CREAM 17
42 BIOPLACENTON/BISMECON 5
43 BISOPROLOL 5mg 217
44 BISACODYL SUPP 0
45 BORAX GLISERIN/GOM 0
46 BROMHEXIN 8mg 111
47 BUSCOPAN INJ 0
48 BETASON N CREAM 0
49 BURNAZINE CREAM 0
50 CALADIN POWDER 0
51 CAPTOPRIL 12,5mg 207
52 CAPTOPRIL 25mg 145
53 CATARLENT TM 2
54 CAZETIN DROP 3
55 CEFADROXIL 500mg 150
56 CEFADROXIL SYR 50
57 CEFIXIM 10
58 CENDO ASTENOF 0
59 CENDO AUGENTONIC 5
60 CENDO CENFRESH 120
61 CENDO HOMATROPIN 0
62 CENDO TROPIN 0,5% 0
63 CENDO TROPIN 1% 0
64 CENDO VITROLENTA 4
65 CENDO XITROL SM 0
66 CENDO XITROL TM 0
67 CETIRIZIN 31
68 CIMETIDIN 200mg 0
69 CIMETIDIN INJ /ULSIKUR INJ 0
70 CIPROFLOXACION 500mg 70
71 CLINDAMICYN 150mg 50
72 CLINDAMICYN 300mg 130
73 CLOBAZAM 10mg 0
74 CODEIN 10 MG 33
75 CALLUSOL 0
76 DEMACOLIN 740
77 DEXAMETASON 0,5mg 363
78 DEXAMETASON INJ 0
79 DEXTRAL 2034
80 DIAZEPAM 2mg 85
81 DIAZEPAM 5mg 100
82 DIAZEPAM RECTAL/STESOLID 1
83 DIFENHIDRAMINJ INJ 0
84 DIGOXIN 0,25mg 0
85 DIMENHIDRINAT 0
86 DOMPERIDON 330
87 DOMPERIDON SYR 23
88 DULKOLAC TAB 0
89 EFEDRIN 25mg 0
90 EPINEFRIN INJ 0
 91 ERGOTAMIN MALEAT 0
92 ERYTROMICIN 500mg 100
93 ERYTROMICIN SYR 125mg/5ml 5
94 ETAKRIDIN (REVANOL) 0
95 ETHYLCHLORIDE 0
96 FASIDOL FORTE 200
97 FENOBARBITAL 30mg 0
98 FENOBARBITAL INJ 0
99 FENOL GLISEROL 10% TT 1
100 FITOMENADION (VIT K) INJ 0
101 FITOMENADION (VIT K) TAB 8
102 FUROSEMID 40mg 80
103 GARAM ORALIT 200ml 244
104 GEMFIBROZIL 300mg 109
105 GEMFIBROXIL 600 MG 0
106 GENTAMICIN SK 3
107 GENTAMICIN SM/GENOINT SM 3
108 GENTAMICIN TM 9
109 GENTIAN VIOLET 1% 0
110 GLAUCON 0
111 GLIBENKLAMID 5mg 115
112 GLIMEPIRID 2mg 561
113 GLIMEPIRID 4 MG 0
114 GLISERIL GUAIAKOLAT 1000
115 GLUKOSA 10% 0
116 GLUKOSA 5% 0
117 GRISEOVULVIN 125mg 0
118 H2O2 3% 0
119 HALDOL INJ 0
120 HALOPERIDOL 0,5mg 0
121 HALOPERIDOL 1,5 mg 0
122 HALOPERIDOL 5mg 0
123 HIBISCRUP 0
124 HIDROKLORPOTIAZID (HCT) 54
125 HIDROKORTISON KRIM 2,5% 41
126 IBUPROFEN 200mg 14
127 IBUPROFEN 400mg 311
128 ICHTIOL SALP 0
129 ISDN 5mg 86
130 ISONIAZIDE 100 MG 0
131 IBUPROFEN SIRUP 50
132 KALIUM DIKLOFENAK 50mg 942
133 KALSIUM LAKTAT /KALK 406
134 KARMABAZEPIN 200mg 100
135 KETOKENAZOL 200mg 173
136 KETOKONAZOL CREAM 42
137 KHLORPHENIRAMIN MALEAT (CTM 1096
138 KLORAMFENIKOL SM 20
139 KLORAMFENIKOL TM 7
140 KLORAMFENIKOL 250mg 120
141 KLORAMFENIKOL SYR 50
142 KLORAMFENIKOL TT 7
143 KLORIN 0
144 KLORPROMAZIN 100mg 0
145 KLORPROMAZIN HCL INJ 5mg/2ml 0
146 KOTRIMOXAZOL 480mg 180
147 KOTRIMOXAZOL SUSP 43
148 LACTO B 83
149 LIDOCAIN 2% 0
150 LIDOCAIN COMP 0
151 LOPERAMID 2mg 0
152 LORATADIN 10mg 198
153 LYTEER TM 4
154 MELOXICAM 15mg 191
155 METFORMIN 500mg 828
156 METHILPREDNISOLON 4mg 244
157 METOKLORPRAMID 10mg 100
158 METOKLORPRAMID INJ 0
159 METOKLORPRAMID SYR 0
160 METRONIDAZOl 500mg 75
161 METYLERGOMETRIN MALEAT 125m 115
162 MIDRIASIL TM 0
163 MIKONAZOL cr 8
164 MINERAL MIX 0
165 MODEKATE INJ 0
166 MOLAGIT 297
167 MULTIVITAMIN SYR (RECOVIT) 57
168 MULTIVITAMIN TAB (LEXAVIT) 851
169 MYTADERM SALP 17
170 MOLANEURON 1125
171 NACl INFUS 0
172 NATRIUM DIKLOFENAK 50mg 186
173 NEOKAOMINAL SYR 10
174 NIFEDIPIN 10mg 100
175 NISTATIN 100.000 TAB VAG 0
176 NISTATIN 500.000 TAB 100
177 NORIT 0
178 OBH SYR 8
179 OBP SYR 0
180 OKSITETRASIKLIN SK 0
181 OMEPRAZOL 20mg 144
182 OTTOPAIN TT 0
183 OXITETRASIKLIN SM 0
184 ONDANSENTRON INJ 0
185 PRENAMIA 0
186 PANTOCAIN TM 0
187 PAPAVERIN HCL 40mg 0
188 PARASETAMOL 500mg 1635
189 PARASETAMOL SYR 120mg/5ml 112
190 PARACETAMOL DROP 24
191 PEDITOK 5
192 PHENITOIN 100mg 0
193 PIRACETAM 400mg 0
194 PIRANTEL 125mg 0
195 PIRIDOKSIN 10mg/VIT B6 37
196 PIROXICAM 10mg 0
197 PIROXICAM 20mg 0
198 POVIDON IODIUM 10% 300ml 0
199 POVIDON IODIUM 10% 30ml 0
200 PREDNISSON 5mg 0
201 PROPANOLOL 40mg 0
202 PULMICORT RESPULES 0
203 RANITIDIN 150mg 0
204 RANITIDIN INJ 0
205 RETINOL (VIT A) 100.000 IU 0
206 RETINOL (VIT A) 200.000 IU 0
207 RINGER LAKTAT 0
208 RISPERIDON 2mg 0
209 SABUN HIJAU 23
210 SALBUTAMOL 2mg 121
211 SALBUTAMOL 4mg 99
212 SALEP 2-4 17
213 SALEP 88 0
214 SALEP WF 0
215 SALISIL BEDAK 2% 22
216 SCABICID CREAM 4
217 SIANOCOBALAMIN 50mg (VIT B12) 0
218 SIMVASTATIN 10mg 478
219 SIRUP INDRA 11
220 SPASMINAL TAB 198
221 SULFASETAMID TM 0
222 TABLET TAMBAH DARAH /FE 502
223 THIAMFENIKOL 500mg 97
224 THIAMIN HCL 50mg (VIT B1) 606
225 THIAMPHENIKOL SYR 19
226 TIMOLOL 0,5% TM/OPHTYL TM 0
227 TRANSAMIN INJ 0
228 TRIFLORPEARZIN 5mg/STELLAZIN 0
229 TRIHEXIPHENIDIL 2mg 100
230 TRIVEXAN SYR 0
231 VENTOLIN NEBULIZER 0
232 VITAMIN B KOMPLEX 921
233 VALVED 287
234 ZINC 20 mg 775
235 ZINC SIRUP 2
236 KSR 0
237 SIKZONOATE INJ 0
238 CETIRIZIN SIRUP 9
239 HIDROCORTISON 1% 8
240 ACYCLOVIR 200 MG 0
241 DUVADILAN TAB 0
242 CAVIPLEX SYR 0
243 CALADINE LOTION 0
244 GRANTUSIF 0
245 meloxicam 7,5mg 0
246 Lanzoprazole 85
247 Amoxicillin Forte Syrup 55
248 BAND AID / HANSAPLAST 0
249 KASA KOMPRES 40/40 STERIL 0
250 KASA 4X5 0
251 KASA 16x16 STERIL 0
252 KASA HIDROFIL 4x15 0
253 MASKER +tali 0
254 PLESTER 5YARDx 2 INCH 0
255 SPUIT 3 CC 0
256 TISSUE GYNAE 0
257 LOEMATUL 0
258 KASA 40X80 0
259 HANDSCON GYNAE 0
260 SPUIT 5 CC 0
261 HYPAVIX 10 X 5 0
262 HANDSCON L 0
263 NEEDLE 23 G 0
264 SILK 0
265 ULTRAVIT 5X5 0
266 KAPAS PEMBALUT 250 0
267 IV CATH NO 18 0
268 IV CATH NO 20 0
269 IV CATH NO 22 0
270 IV CATH NO 24 0
271 INFUSET DEWASA 0
272 ASEPTIC GEL 0
OPNAME
1-Jan 2-Jan 3-Jan 4-Jan 5-Jan
pml drop 1 ctm 4 amlo5 14
amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 amlo5 14
amlo5 14 amlo5 14 antsd 9
amlo5 14 amlo5 14 b1 28
amlo5 14 amlo5 14 catar 1
amlo5 14 amlo5 14 cetirizin 3
amlo5 14 amok sir 1 dz2 3
antsd 10 antsd 10 genta tm 1
antsd 10 antsd 10 metfor 28
antsd 10 antsd sir 1 mola 5
b1 14 b1 14 mola 5
b1 14 b1 14 pml 10
b1 14 b1 14 pml 9
b1 10 b1 14 pml 10
bc 10 b1 14 pml 10
bc 10 bc 4 pml 9
betahis 9 bc 10 simvas 14
betahis 9 betahis 9 spasmi 9
cazet 1 dema 9
cenfres 3 dema 9
ceti sir 1 garam 6
cetirizin 3 garam 6
dextral 9 gliben 14
glime 14 kotrim sir 1
glime 14 metfor 28
kalium 6 metfor 28
kalium 6 metfor 28
kalk 10 mola 10
kalk 10 molagit 10
kalk 10 molagit 5
kalk 10 pml 10
metfor 28 pml 10
mola 5 pml 3
mola 5 pml sir 1
natri 6 zink 10
ome 6
ome 6
pml 10
pml 10
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml sir 1
sabun 1
salbu2 9
truvit drop 1

salbu2 9
simvas 14
 6-Jan 7-Jan 8-Jan 9-Jan
amlo5 14 amok sir 1 amlo5 14 amlo 14
amlo5 14 antsd sir 1 amok sir 20 amlo5 14
amlo5 14 bc 4 baby 1 amlo5 14
amlo5 14 bc 10 bc 20 amlo5 14
antsd 10 catar 1 betahis 9 amlo5 14
antsd 10 ctm 4 betahis 9 antsd 10
b1 28 ctm 5 cazet 1 antsd 10
b6 10 molagit 5 cetirizin 3 antsd sir 1
bc 10 pml 10 dema 9 b1 14
bc 6 pml 5 garam 6 b1 10
betahis 9 pml sir 1 kalk 30 b1 28
betahis 9 mola 10 ctm 9
cenfres 3 molafe 5 ibu4 9
cenfres 3 molagit 9 ibu4 9
ceti sir 1 natri 6 kalk 10
cetirizin 3 simvas 14 lexa 5
ctm 9 metfor 28
dema 9 mola 10
dextral 9 mola 10
garam 6 mola 10
glime 14 mola 5
indra 1 obh 1
keto 7 pml drop 1
lanzo 3 pml drop 1
metfor 28 pml drop 5
mico 1 pml drop 1
molagit 10 pml drop 1
natri 6 pml drop 1
obh 1 pml drop 1
pml 10 zink 10
pml sir 1
 10-Jan 11-Jan 12-Jan 13-Jan 14-Jan
antsd 10 amlo5 14 amlo5 14 ambrxl
asfol 30 amlo5 14 amlo5 14 amlo5
asmef 9 amlo5 14 amlo5 14 amlo5
b1 14 amlo5 14 amlo5 14 amlo5
b6 10 amlo5 14 amlo5 14 amlo5
bc 5 antsd 10 amlo5 14 amlo5
glime 14 b1 10 antsd 10 antsd
lora 4 betahis 9 antsd 10 asmef
metfor 28 betamet 1 antsd 10 b1
Sali 1 bisop 14 b1 14 b1
cetirizin 3 b1 28 b1
kalium 6 b1 28 b1
lexa 5 b1 28 b1
metfor 28 b1 28 b1
metfor 28 bc 10 bc
mola 10 bc 10 bc
mola 10 bc 10 bc
mola 5 bisop 14 bc
mola 5 cenfres 3 bc
mola 5 cetirizin 4 betahis
mola 5 metfor 28 betahis
mola 5 bromhex sir
obh 1 fe
garam
garam
gg
kalk
keto sk
kotrim sir
lora
metfor
metfor
molagit
molagit
natri
natri
pml
pml
pml
pml
pml
pml
pml
pml drop
valved
14-Jan 15-Jan 16-Jan 17-Jan 18-Jan
2 amlo5 14 amlo 14 asmef 9 amlo5
14 amlo5 14 asmef 9 bc 5 amlo5
14 amlo5 14 b1 20 cavi 10 amlo5
14 amlo5 14 baby 1 dema 9 amlo5
14 amok sir 1 cenfres 1 dema 9 amlo5
14 amok250 sir 1 ceti sir 1 garam 6 amlo5
10 ant 9 cetirizin 3 genta sk 1 ant
9 antsd 10 cetirizin 3 gg 9 antsd
14 b1 28 dema 9 gg 5 antsd
14 b1 28 dexa 9 gg 9 antsd
10 b1 28 fe 30 gg 9 b1
14 bc 20 garam 6 gg 9 b1
14 betahis 9 glime 14 kalium 6 betahis
14 betahis 9 glime 14 kalk 10 betahis
3 cavi 5 kalium 6 mola 5 betahis
4 cetirizin 3 kalk 20 molagit 5 dextral
3 dema 9 kalk 10 natri 6 domperi
6 dextral 9 lacto 3 pml 10 domperi
20 domperi 9 metfor 28 salbu2 9 garam
9 domperi 9 metfor 28 zink 10 garam
9 fe 30 metfor 28 gg
1 gg 9 metfor 28 gg
30 kalk 20 mico 1 glime
6 litrol 1 mola 5 metfor
6 metfor 14 mola 5 metfor
9 mola 5 mola 5 mola
20 mola 5 natri 6 molagit
1 mola 5 neo 1 molagit
1 pml 9 pml drop 1 molagit
3 spasmi 3 pml drop 1 ome
28 pml drop 1 spasmi
28 pml drop 1 spasmi
5
10
6
6
5
10
10
10
10
10
10
1
5
18-Jan 19-Jan 20-Jan 21-Jan 22-Jan
14 amlo5 14 ambrxl 9 amlo5 14
14 amlo5 14 amlo5 14 antsd 9
14 amlo5 14 amlo5 14 antsd 9
14 antsd 9 amlo5 14 antsd 9
14 antsd sir 1 antsd sir 1 cavi 10
14 asmef 9 bc 3 cavi 5
9 cap12,5 28 bc 10 cavi 5
10 cetirizin 3 betahis 9 cavi 5
9 cetirizin 4 betamet 1 cavi 5
9 cetirizin 3 bromhex 3 ceti sir 1
14 cipro 10 bromhex 9 dema 9
14 dextral 9 bromhex 9 dema 9
9 furo 7 cavi 5 dema 9
9 gg 2 cavi 5 dextral 9
9 gg 6 cetirizin 3 domperi 9
9 gg 9 dema 9 fasi 10
9 gg 9 dema 9 fasi 10
9 ibu4 9 domper sir 1 fe 30
6 kalium 6 fasi 10 gg 5
6 kalk 10 fasi 10 gg 9
9 khloram t 1 fasi 10 gg 9
9 metfor 28 fasi 10 kalk 20
14 mico 1 fasi 9 mola 10
28 mico 1 fsi 10 pml 9
28 mola 10 gg 9 pml 10
5 mola 10 litrol 1 Sali 1
10 neo 1 mola 10
10 ome 6 mola 5
10 pedi 1 mola 5
6 pml 10 mola 5
9 pml 10 mola 5
9 pml 10 mola 5
pml 10 pml 10
pml 10 salbu2 9
valved 9 truvit sir 1
 23-Jan 24-Jan 25-Jan 26-Jan 27-Jan
ambrxl 9 amlo5 14 amlo5 14
amlo5 1 amlo5 14 amlo5 14
amlo5 28 amlo5 14 amlo5 14
amlo5 28 amlo5 14 amlo5 14
antsd 10 amlo5 14 amlo5 14
antsd 10 amok sir 1 amlo5 14
b1 3 antsd 10 amlo5 14
cenfres 1 antsd 10 antsd 10
cetirizin 28 antsd 10 antsd 10
dema 9 antsd 10 antsd 10
dextral 9 b1 14 b1 28
dextral 9 b1 28 b1 10
dextral 14 bc 3 b1 10
gg 2 bc 6 b1 28
gg 3 bc 5 b1 28
gliben 3 bc 10 b1 28
metfor 14 betamet 1 baby 1
metfor 14 bromhex 4 bc 3
pml 9 bromhex 5 bisop 14
pml 10 bromhex 9 cenfres 3
pml 10 bromhex 5 cetirizin 3
pml 10 dextral 9 cetirizin 3
pml drop 3 dextral 9 cetirizin 3
pml drop 1 domperi 9 cipro 10
Sali 1 garam 6 dema 5
glime 14 dextral 9
kalk 7 dz2 3
kotrim 20 gg 2
lora 3 gg 4
metfor 28 gg 5
metfor 28 gg 9
mola 5 glime 7
mola 5 glime 14
molagit 10 kalium 6
ome 6 kalk 10
pml 10 kalk 10
pml 10 kalk 10
pml 10 keto 7
pml 10 khloram t 1
pml 10 metfor 28
pml 10 metfor 28
pml 10 metfor 28
pml 10 mico 1
pml 10 mico 1
simvas 14 mola 5
mola 5
natri 6
natri 6
pml 10
pml 10
pml 10
valved 9
 28-Jan 29-Jan 30-Jan 31-Jan
antsd 10 amlo5 14 ambrxl 1 ambrxl 9
antsd 10 amlo5 14 amlo5 14 amlo5 14
bc 10 amlo5 14 amlo5 14 amlo5 14
bc 10 amlo5 14 amlo5 14 amlo5 14
bc 10 amlo5 14 amlo5 14 amlo5 14
bc 10 amlo5 14 antsd 10 antsd 10
dema 9 amlo5 14 antsd 10 b1 28
dz2 3 amok sir 1 antsd 10 b1 10
gg 9 amok sir 1 antsd 10 betahis 9
gg 9 antsd 10 b1 14 cenfres 3
khloram tm 1 antsd 9 b1 14 cenfres 3
khloram tm 1 antsd 10 b1 14 cetirizin 3
obh 1 antsd 10 b1 14 dema 9
pml 10 antsd 10 b6 7 dema 9
pml 10 asmef 9 baby 1 dema 9
pml 10 asmef 9 bc 2 dexa 9
pml 10 b1 28 bc 5 domper sir 1
pml 10 b1 28 bc 10 genta tm 1
thiam 20 b1 28 bc 10 gg 9
b1 28 bc 10 glime 14
b1 28 dexa 9 glime 14
baby 1 garam 6 kalium 6
bc 1 garam 6 lyteer 1
bc 2 gg 9 metfor 28
bc 10 indra 1 metfor 28
bc 10 lacto 3 zink 10
bc 10 metfor 28
bc 10 mola 10
bc 10 molagit 10
bc 20 pml 10
bisop 14 pml 10
cetirizin 3 pml 10
dema 9 pml 10
fe 30 pml drop 1
garam 6 pml drop 1
gg 2 pml drop 1
gg 3 pml drop 1
gg 9 Sali 1
kalk 20 zink 10
kalk 6
metfor 28
metfor 28
molagit 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
sabun 1
 REKAPAN PEMA

BULAN: JANUARI 2020

NO CODE NAMA OBAT/ALKES

1 2 3 4 5 6
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 acy2 ACYCLOVIR 200 mg 0 0 0 0
5 adona inj ADONA INJ 0 0 0 0
6 adona ADONA TAB 0 0 0 0
7 alben ALBENDAZOL 0 0 0 0
8 alben sir ALBENDAZOL SYR 0 0 0 0
9 albo ALBOTYL CONC 0 0 0 0
10 af inj ALINAMIN F INJ 0 0 0 0
11 af ALINAMIN F TAB 0 0 0 0
12 alko70 ALKOHOL 70% 0 0 0 0
13 alko95 ALKOHOL 95% 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 AMINOFILIN INJ 0 0 0 0
21 amitrip AMITRIPTILIN 25mg 0 0 0 0
22 amlo AMLODIPIN 10 mg 0 0 0 0
23 amlo5 AMLODIPIN 5 MG 98 84 42 56
24 amok AMOXICILLIN 500mg 0 0 0 0
25 amok250 sir AMOXICILLIN FORTE SYRUP 0 0 0 0
26 amok sir AMOXICILLIN SYR 0 1 0 0
27 ant ANTALGIN 500mg 0 0 0 0
28 antsd ANTASID 30 20 9 20
29 antsd sir ANTASIDA SYR 0 1 0 0
30 anti ANTIHEMOROID SUPP 0 0 0 0
31 antrain inj ANTRAIN INJ 0 0 0 0
32 aquapro AQUA PRO INJ 0 0 0 0
33 c ASAM ASCORBAT 50mg 0 0 0 0
34 c500 ASAM ASKORBAT 500mg 0 0 0 0
35 asfol ASAM FOLAT 100mg 0 0 0 0
36 asmef ASAM MEFENAMAT 500mg 0 0 0 0
37 astran ASAM TRANEKSAMAT 0 0 0 0
38 atropin inj ATROPIN INJ 0 0 0 0
39 baby BABY COUGH SYR 0 0 0 0
40 baci BACITRACIN 0 0 0 0
41 bayclin BAYCLIN 0 0 0 0
42 betahis BETAHISTIN 18 9 0 18
43 betamet BETAMETASON 0,1% 0 0 0 0
44 betason BETASON N CREAM 0 0 0 0
45 beva BEVALEX CREAM 0 0 0 0
46 biopla BIOPLACENTON/BISMECON 0 0 0 0
47 bisa supp BISACODYL SUPP 0 0 0 0
48 bisop BISOPROLOL 5mg 0 0 0 0
49 borax BORAX GLISERIN/GOM 0 0 0 0
50 bromhex BROMHEXIN 8mg 0 0 0 0
51 bromhex sir BROMHEXIN SYRUP 0 0 0 0
52 burna BURNAZINE CREAM 0 0 0 0
53 busco inj BUSCOPAN INJ 0 0 0 0
54 caladin CALADIN POWDER 0 0 0 0
55 caladi lot CALADINE LOTION 0 0 0 0
56 calusol CALLUSOL 0 0 0 0
57 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
58 cap25 CAPTOPRIL 25mg 0 0 0 0
59 catar CATARLENT TM 0 0 1 0
60 cavi sir CAVIPLEX SYR 0 0 0 0
61 cazet CAZETIN DROP 1 0 0 0
62 cefad CEFADROXIL 500mg 0 0 0 0
63 cefad sir CEFADROXIL SYR 0 0 0 0
64 cefixim CEFIXIM 0 0 0 0
65 astenof CENDO ASTENOF 0 0 0 0
66 augen CENDO AUGENTONIC 0 0 0 0
67 cenfres CENDO CENFRESH 3 0 0 6
68 homa CENDO HOMATROPIN 0 0 0 0
69 tropin0,5 CENDO TROPIN 0,5% 0 0 0 0
70 tropin1 CENDO TROPIN 1% 0 0 0 0
71 vitro CENDO VITROLENTA 0 0 0 0
72 xitrol sm CENDO XITROL SM 0 0 0 0
73 xitrol tm CENDO XITROL TM 0 0 0 0
74 cetirizin CETIRIZIN 3 0 3 3
75 ceti sir CETIRIZIN SIRUP 1 0 0 1
76 cimet CIMETIDIN 200mg 0 0 0 0
77 cimet inj CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
78 cipro CIPROFLOXACION 500mg 0 0 0 0
79 clin150 CLINDAMICYN 150mg 0 0 0 0
80 clin300 CLINDAMICYN 300mg 0 0 0 0
81 cloba CLOBAZAM 10mg 0 0 0 0
82 cod10 CODEIN 10 MG 0 0 0 0
83 dema DEMACOLIN 0 18 0 9
84 dexa DEXAMETASON 0,5mg 0 0 0 0
85 dexa inj DEXAMETASON INJ 0 0 0 0
86 dextral DEXTRAL 9 0 0 9
87 dz2 DIAZEPAM 2mg 0 0 3 0
88 dz5 DIAZEPAM 5mg 0 0 0 0
89 dz rectal DIAZEPAM RECTAL/STESOLID 0 0 0 0
90 difen DIFENHIDRAMINJ INJ 0 0 0 0
91 digoxin DIGOXIN 0,25mg 0 0 0 0
92 dimen DIMENHIDRINAT 0 0 0 0
93 domperi DOMPERIDON 0 0 0 0
94 domper sir DOMPERIDON SYR 0 0 0 0
 95 dulco DULKOLAC TAB 0 0 0 0
96 duva DUVADILAN TAB 0 0 0 0
97 efed EFEDRIN 25mg 0 0 0 0
98 epi inj EPINEFRIN INJ 0 0 0 0
99 ergo ERGOTAMIN MALEAT 0 0 0 0
100 erytro ERYTROMICIN 500mg 0 0 0 0
101 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
102 etakridin ETAKRIDIN (REVANOL) 0 0 0 0
103 ethyl ETHYLCHLORIDE 0 0 0 0
104 fasi FASIDOL FORTE 0 0 0 0
105 feno FENOBARBITAL 30mg 0 0 0 0
106 feno inj FENOBARBITAL INJ 0 0 0 0
107 fenol FENOL GLISEROL 10% TT 0 0 0 0
108 fito inj FITOMENADION (VIT K) INJ 0 0 0 0
109 fito FITOMENADION (VIT K) TAB 0 0 0 0
110 furo FUROSEMID 40mg 0 0 0 0
111 garam GARAM ORALIT 200ml 0 12 0 6
112 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
113 gemfi3 GEMFIBROZIL 300mg 0 0 0 0
114 genta sk GENTAMICIN SK 0 0 0 0
115 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
116 genta tm GENTAMICIN TM 0 0 1 0
117 gentian GENTIAN VIOLET 1% 0 0 0 0
118 glaucon GLAUCON 0 0 0 0
119 gliben GLIBENKLAMID 5mg 0 14 0 0
120 glime GLIMEPIRID 2mg 28 0 0 14
121 glime4 GLIMEPIRID 4 MG 0 0 0 0
122 gg GLISERIL GUAIAKOLAT 0 0 0 0
123 glu10 GLUKOSA 10% 0 0 0 0
124 glu5 GLUKOSA 5% 0 0 0 0
125 gran GRANTUSIF 0 0 0 0
126 gv GRISEOVULVIN 125mg 0 0 0 0
127 h2o2 H2O2 3% 0 0 0 0
128 halo inj HALOPERIDOL INJ 0 0 0 0
129 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
130 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
131 halo5 HALOPERIDOL 5mg 0 0 0 0
132 hibi HIBISCRUP 0 0 0 0
133 hidro1 HIDROCORTISON 1% 0 0 0 0
134 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0
135 hidro2,5 HIDROCORTISON 2,5% 0 0 0 0
136 ibu2 IBUPROFEN 200mg 0 0 0 0
137 ibu4 IBUPROFEN 400mg 0 0 0 0
138 ibu sir IBUPROFEN SIRUP 0 0 0 0
139 ichtiol ICHTIOL SALP 0 0 0 0
140 isdn ISDN 5mg 0 0 0 0
141 inh ISONIAZIDE 100 MG 0 0 0 0
142 kalium KALIUM DIKLOFENAK 50mg 12 0 0 0
143 kalk KALSIUM LAKTAT /KALK 40 0 0 0
144 karbama KARMABAZEPIN 200mg 0 0 0 0
145 keto KETOKENAZOL 200mg 0 0 0 7
146 keto sk KETOKONAZOL CREAM 0 0 0 0
147 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 0 4 0 9
148 kloram sm KLORAMFENIKOL SM 0 0 0 0
149 kloram tm KLORAMFENIKOL TM 0 0 0 0
150 kloram KLORAMFENIKOL 250mg 0 0 0 0
151 khloram sir KLORAMFENIKOL SYR 0 0 0 0
152 khloram t KLORAMFENIKOL TT 0 0 0 0
153 klorin KLORIN 0 0 0 0
154 cpz KLORPROMAZIN 100mg 0 0 0 0
155 cpz inj KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
156 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
157 kotrim sir KOTRIMOXAZOL SUSP 0 1 0 0
158 ksr KSR 0 0 0 0
159 lacto LACTO B 0 0 0 0
160 lanzo LANSOPRAZOLE 0 0 0 3
161 lido2 LIDOCAIN 2% 0 0 0 0
162 lidicomp LIDOCAIN COMP 0 0 0 0
163 litrol LITROL TM 0 0 0 0
164 lopera LOPERAMID 2mg 0 0 0 0
165 lora LORATADIN 10mg 0 0 0 0
166 lyteer LYTEER TM 0 0 0 0
167 melox15 MELOXICAM 15mg 0 0 0 0
168 melox7,5 MELOXICAM 7,5mg 0 0 0 0
169 metfor METFORMIN 500mg 28 84 28 28
170 methil METHILPREDNISOLON 4mg 0 0 0 0
171 metoclo METOKLORPRAMID 10mg 0 0 0 0
172 metoclo inj METOKLORPRAMID INJ 0 0 0 0
173 metoclo sir METOKLORPRAMID SYR 0 0 0 0
174 metro METRONIDAZOl 500mg 0 0 0 0
175 methilergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
176 midri MIDRIASIL TM 0 0 0 0
177 mico MIKONAZOL cr 0 0 0 1
178 mineral MINERAL MIX 0 0 0 0
179 modekate inj MODEKATE INJ 0 0 0 0
180 molagit MOLAGIT 0 15 0 10
181 mola MOLANEURON 10 10 10 0
182 truvit drop MULTIVITAMIN DROP (TRUVIT) 1 0 0 0
183 truvit sir MULTIVITAMIN SYR (TRUVIT) 0 0 0 0
184 cavi MULTIVITAMIN TAB (CAVIPLEX) 0 0 0 0
185 myta MYTADERM SALP 0 0 0 0
186 nacl NACl INFUS 0 0 0 0
187 natri NATRIUM DIKLOFENAK 50mg 6 0 0 6
188 neo NEOKAOMINAL SYR 0 0 0 0
189 nife NIFEDIPIN 10mg 0 0 0 0
190 nista100 NISTATIN 100.000 TAB VAG 0 0 0 0
191 nista500 NISTATIN 500.000 TAB 0 0 0 0
192 norit NORIT 0 0 0 0
193 obh OBH SYR 0 0 0 1
194 obp OBP SYR 0 0 0 0
195 oksi sk OKSITETRASIKLIN SK 0 0 0 0
196 ome OMEPRAZOL 20mg 12 0 0 0
197 ondan inj ONDANSENTRON INJ 0 0 0 0
198 oto t OTTOPAIN TT 0 0 0 0
199 oksi sm OXITETRASIKLIN SM 0 0 0 0
200 panto tm PANTOCAIN TM 0 0 0 0
201 papav PAPAVERIN HCL 40mg 0 0 0 0
202 pml drop PARACETAMOL DROP 5 0 0 0
203 pml PARASETAMOL 500mg 20 23 48 10
204 pml sir PARASETAMOL SYR 120mg/5ml 1 1 0 1
205 pedi PEDITOK 0 0 0 0
206 pheni PHENITOIN 100mg 0 0 0 0
207 pira4 PIRACETAM 400mg 0 0 0 0
208 pira PIRANTEL 125mg 0 0 0 0
209 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 10
210 pirox10 PIROXICAM 10mg 0 0 0 0
211 pirox20 PIROXICAM 20mg 0 0 0 0
212 povi100 POVIDON IODIUM 10% 300ml 0 0 0 0
213 povi300 POVIDON IODIUM 10% 30ml 0 0 0 0
214 pred PREDNISSON 5mg 0 0 0 0
215 prenamia PRENAMIA 0 0 0 0
216 propa PROPANOLOL 40mg 0 0 0 0
217 pulmicort PULMICORT RESPULES 0 0 0 0
218 rani RANITIDIN 150mg 0 0 0 0
219 rani inj RANITIDIN INJ 0 0 0 0
220 reti100 RETINOL (VIT A) 100.000 IU 0 0 0 0
221 reti200 RETINOL (VIT A) 200.000 IU 0 0 0 0
222 rl RINGER LAKTAT 0 0 0 0
223 risperi RISPERIDON 2mg 0 0 0 0
224 sabun SABUN HIJAU 1 0 0 0
225 salbu2 SALBUTAMOL 2mg 9 0 9 0
226 salbu4 SALBUTAMOL 4mg 0 0 0 0
227 sk 24 SALEP 2-4 0 0 0 0
228 sk 88 SALEP 88 0 0 0 0
229 sk wf SALEP WF 0 0 0 0
230 sali SALISIL BEDAK 2% 0 0 0 0
231 scabi SCABICID CREAM 0 0 0 0
232 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
233 sikzo SIKZONOATE INJ 0 0 0 0
234 simvas SIMVASTATIN 10mg 0 0 28 0
235 indra SIRUP INDRA 0 0 0 1
236 spasmi SPASMINAL TAB 0 0 9 0
237 sulfa tm SULFASETAMID TM 0 0 0 0
238 fe TABLET TAMBAH DARAH /FE 0 0 0 0
239 thiam THIAMFENIKOL 500mg 0 0 0 0
240 b1 THIAMIN HCL 50mg (VIT B1) 52 70 28 28
241 thiam sir THIAMPHENIKOL SYR 0 0 0 0
242 timol tm TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
243 transamin inj TRANSAMIN INJ 0 0 0 0
244 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
245 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
246 trive sir TRIVEXAN SYR 0 0 0 0
247 valved VALVED/NICHOFED 0 0 0 0
248 ventolin VENTOLIN NEBULIZER 0 0 0 0
249 bc VITAMIN B KOMPLEX 20 14 0 16
250 zink ZINC 0 10 0 0
251 zink sir ZINC SYRUP 0 0 0 0
252 BAND AID / HANSAPLAST 0 0 0 0
253 KASA KOMPRES 40/40 STERIL 0 0 0 0
254 KASA 4X5 0 0 0 0
255 KASA 16x16 STERIL 0 0 0 0
256 KASA HIDROFIL 4x15 0 0 0 0
257 MASKER +tali 0 0 0 0
258 PLESTER 5YARDx 2 INCH 0 0 0 0
259 SPUIT 3 CC 0 0 0 0
260 TISSUE GYNAEC 0 0 0 0
261 LOEMATUL 0 0 0 0
262 KASA 40X80 0 0 0 0
263 HANDSCON GYNAE 0 0 0 0
264 SPUIT 5 CC 0 0 0 0
265 HYPAVIX 10 X 5 0 0 0 0
266 HANDSCON L / M / S / XS 0 0 0 0
267 NEEDLE 23 G 0 0 0 0
268 SILK 0 0 0 0
269 ULTRAVIT 5X5 0 0 0 0
270 KAPAS PEMBALUT 250 0 0 0 0
271 IV CATH NO 18 0 0 0 0
272 IV CATH NO 20 0 0 0 0
273 IV CATH NO 22 0 0 0 0
274 IV CATH NO 24 0 0 0 0
275 INFUSET DEWASA 0 0 0 0
276 INFUSET ANAK 0 0 0 0
277 ASEPTIC GEL 0 0 0 0

NO JENIS RESEP
1 2 3 4 5 6
1 JUMLAH TOTAL RESEP 22 11 6 11
2 JUMLAH RESEP PUYER 0 1 0 0
3 JUMLAH RESEP PSIKOTROPIK 0 0 1 0
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

JANUARI
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 0 0 0 0 9 0 9 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14 0 0 0 0 0 14 0 0 0 0 0 0 0
0 14 56 0 70 84 70 56 0 0 84 42 42 14 57 70
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 20 0 0 0 0 0 1 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 9 0 0 9 0 0 0 0 0
0 0 20 10 10 30 10 10 0 0 28 9 0 27 20 40
1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 0 0 9 0 9 9 0 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 1 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 3 0 0 3 4 0 3 6 0 0 10 3 0 28 0
0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0
0 0 0 0 0 0 0 0 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 0 0 0 9 9 18 0 0 18 27 9 0
0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 9 0 0 9 9 0 9 32 18
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 18 0 0 18 0 0 9 0 9
0 0 0 0 0 0 0 0 0 0 0 0 1 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
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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 49 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0
0 6 0 0 0 0 12 0 6 6 12 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 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 3 0
0 0 0 14 0 0 0 0 28 0 14 0 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 9 9 0 41 18 26 9 23 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 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 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 18 0 0 0 0 0 0 0 0 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 6 0 0 0 6 6 0 6 0 0 0 0
0 30 10 0 0 0 20 20 30 10 0 10 0 20 0 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
9 0 9 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 20
0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 0 0 3 0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 28 28 56 28 56 14 112 0 56 28 0 0 28 56
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 9 0 0 0 0 15 0 0 5 30 0 0 0 0 10
0 10 35 0 45 0 0 15 15 5 5 20 35 10 0 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 5 0 10 0 0 10 30 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 6 0 0 0 0 12 0 6 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 6 6 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11 0 0 0 1 0 4 0 0 0 0 0 4 0
15 0 0 0 0 0 65 9 0 10 0 50 10 19 39 90
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 9 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 14
 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0 0 18 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 30 30 30 0 0 0 0 30 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 52 14 10 126 80 84 20 0 28 0 0 0 3 42
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 0 0 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 20 0 5 0 30 36 20 0 5 0 0 13 0 0 24
0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
4 5 21 7 9 8 20 14 16 11 9 15 13 10 14 14
1 0 0 0 0 0 3 2 1 0 0 2 1 2 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 JUML KETERANGAN
25 26 27 28 29 30 31 AH
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 9 30
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 28
98 0 98 56 56 1247
0 0 0 0 0 0
0 0 0 0 0 0
0 0 2 0 0 26
0 0 0 0 0 18
30 20 49 40 10 442
0 0 0 0 0 5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 30
0 0 18 0 0 63
0 0 0 0 0 0
0 0 0 0 0 0
1 0 1 1 0 5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 9 153
0 0 0 0 0 3
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
14 0 14 0 0 56
0 0 0 0 0 0
0 0 0 0 0 44
0 0 0 0 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 28
0 0 0 0 0 0
0 0 0 0 0 2
0 0 0 0 0 0
0 0 0 0 0 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 0 0 0 6 23
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9 0 3 0 3 84
 0 0 0 0 0 4
0 0 0 0 0 0
0 0 0 0 0 0
10 0 0 0 0 20
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5 9 9 0 27 176
0 0 0 9 9 27
0 0 0 0 0 0
9 0 0 0 0 113
3 3 0 0 0 9
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 54
0 0 0 0 1 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 69
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 7
0 0 6 12 0 84
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 1
 0 0 0 0 0 0
0 0 0 0 1 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 17
21 0 0 0 28 161
0 0 0 0 0 0
20 18 14 9 9 210
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 27
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
6 0 0 0 6 48
30 0 26 0 0 253
0 0 0 0 0 0
7 0 0 0 0 14
0 0 0 0 0 1
0 0 0 0 0 31
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1 0 0 0 0 2
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 20
0 0 0 0 0 2
0 0 0 0 0 0
0 0 0 3 0 6
0 0 0 0 0 3
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 10
0 0 0 0 1 1
0 0 0 0 0 0
0 0 0 0 0 0
84 0 56 28 56 882
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
2 0 0 0 0 5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 10 10 0 119
10 0 0 10 0 255
0 0 0 0 0 1
0 0 0 0 0 1
0 0 0 0 0 55
0 0 0 0 0 0
0 0 0 0 0 0
12 0 0 0 0 54
0 0 0 0 0 2
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1 0 0 0 4
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 30
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 4 0 29
30 50 70 30 0 588
0 0 0 0 0 4
0 0 0 0 0 1
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 7 0 27
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 1 0 0 2
0 0 0 0 0 36
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1 0 4
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 56
 0 0 0 1 0 2
0 0 0 0 0 30
0 0 0 0 0 0
0 0 30 0 0 150
0 20 0 0 0 20
132 0 140 56 38 1003
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
9 0 0 0 0 23
0 0 0 0 0 0
3 40 73 37 0 370
0 0 0 10 10 50
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

total
25 26 27 28 29 30 31
15 8 19 21 9 312
2 0 2 1 0 20
1 1 0 0 0 3
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JANUARI 2020

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : FEBRUARI 2020

STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

1 ACETOSAL 100mg TAB 0 0 0 0

2 ACIKLOVIR 400mg TAB 182 182 0 182
3 ACIKLOVIR KRIM TUBE 0 0 0 0
4 ACYCLOVIR 200 mg TAB 0 0 0 0
5 ADONA INJ AMP 0 0 0 0
6 ADONA TAB TAB 0 0 0 0
7 ALBENDAZOL TAB 0 0 0 0
8 ALBENDAZOL SYR BTL 0 0 0 0
9 ALBOTYL CONC BTL 0 0 0 0
10 ALINAMIN F INJ AMP 0 0 0 0
11 ALINAMIN F TAB TAB 0 0 0 0
12 ALKOHOL 70% BTL 0 0 0 0
13 ALKOHOL 95% BTL 0 0 0 0
14 ALLOPURINOL 100mg TAB 258 258 0 258
15 ALPRAZOLAM 0,5 mg TAB 0 0 0 0
16 ALPRAZOLAM 1 MG TAB 0 0 0 0
17 AMBROXOL TAB 445 445 30 415
18 AMBROXOL SYR BTL 0 0 0 0
19 AMINOFILIN 200mg TAB 0 0 0 0
20 AMINOFILIN INJ AMP 0 0 0 0
21 AMITRIPTILIN 25mg TAB 0 0 0 0
22 AMLODIPIN 10 mg TAB 345 345 28 317
23 AMLODIPIN 5 MG TAB 1506 900 2406 2029 377 2100
24 AMOXICILLIN 500mg TAB 925 925 30 895
25 AMOXICILLIN FORTE SYRUP BTL 55 55 0 55
26 AMOXICILLIN SYR BTL 50 50 26 24
27 ANTALGIN 500mg TAB 730 730 18 712
28 ANTASID TAB 948 1000 1948 442 1506
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

29 ANTASIDA SYR BTL 50 50 5 45

30 ANTIHEMOROID SUPP SUPP 21 21 0 21
31 ANTRAIN INJ AMP 0 0 0 0
32 AQUA PRO INJ BTL 0 0 0 0
33 ASAM ASCORBAT 50mg TAB 460 460 0 460
34 ASAM ASKORBAT 500mg TAB 0 0 0 0
35 ASAM FOLAT 100mg TAB 145 145 30 115
36 ASAM MEFENAMAT 500mg TAB 397 397 63 334
37 ASAM TRANEKSAMAT TAB 100 100 0 100
38 ATROPIN INJ AMP 0 0 0 0
39 BABY COUGH SYR BTL 10 10 20 5 15
40 BACITRACIN TUBE 0 0 0 0
41 BAYCLIN BTL 0 0 0 0
42 BETAHISTIN TAB 357 200 557 153 404 100
43 BETAMETASON 0,1% TUBE 34 34 3 31
44 BETASON N CREAM TUBE 0 0 0 0
45 BEVALEX CREAM TUBE 0 0 0 0
46 BIOPLACENTON/BISMECON TUBE 5 5 0 5
47 BISACODYL SUPP SUPP 0 0 0 0
48 BISOPROLOL 5mg TAB 217 217 56 161
49 BORAX GLISERIN/GOM BTL 0 0 0 0
50 BROMHEXIN 8mg TAB 105 105 44 61 100
51 BROMHEXIN SYRUP BTL 2 2 1 1
52 BURNAZINE CREAM TUBE 0 0 0 0
53 BUSCOPAN INJ AMP 0 0 0 0
54 CALADIN POWDER BTL 0 0 0 0
55 CALADINE LOTION BTL 0 0 0 0
56 CALLUSOL BTL 0 0 0 0
57 CAPTOPRIL 12,5mg TAB 207 207 28 179
58 CAPTOPRIL 25mg TAB 145 145 0 145
59 CATARLENT TM BTL 2 2 2 0
60 CAVIPLEX SYR BTL 0 0 0 0
61 CAZETIN DROP BTL 3 3 2 1 5
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

62 CEFADROXIL 500mg TAB 150 150 0 150

63 CEFADROXIL SYR BTL 50 50 0 50
64 CEFIXIM TAB 10 10 0 10
65 CENDO ASTENOF BTL 0 0 0 0
66 CENDO AUGENTONIC BTL 5 5 5 0
67 CENDO CENFRESH BTL 98 98 23 75
68 CENDO HOMATROPIN BTL 0 0 0 0
69 CENDO TROPIN 0,5% BTL 0 0 0 0
70 CENDO TROPIN 1% BTL 0 0 0 0
71 CENDO VITROLENTA BTL 4 4 4 0
72 CENDO XITROL SM TUBE 0 0 0 0
73 CENDO XITROL TM BTL 0 0 0 0
74 CETIRIZIN TAB 31 100 131 31 100
75 CETIRIZIN SIRUP BTL 9 9 4 5 5
76 CIMETIDIN 200mg TAB 0 0 0 0
77 CIMETIDIN INJ /ULSIKUR INJ AMP 0 0 0 0
78 CIPROFLOXACION 500mg TAB 70 70 20 50 100
79 CLINDAMICYN 150mg KAPS 50 50 0 50
80 CLINDAMICYN 300mg KAPS 130 130 0 130
81 CLOBAZAM 10mg TAB 0 0 0 0
82 CODEIN 10 MG TAB 33 33 0 33
83 DEMACOLIN TAB 671 671 176 495
84 DEXAMETASON 0,5mg TAB 363 363 27 336
85 DEXAMETASON INJ AMP 0 0 0 0
86 DEXTRAL TAB 2034 2034 113 1921
87 DIAZEPAM 2mg TAB 85 85 9 76
88 DIAZEPAM 5mg TAB 100 100 0 100
89 DIAZEPAM RECTAL/STESOLID SUPP 0 0 0 0
90 DIFENHIDRAMINJ INJ AMP 0 0 0 0
91 DIGOXIN 0,25mg TAB 0 0 0 0
92 DIMENHIDRINAT TAB 0 0 0 0
93 DOMPERIDON TAB 330 330 54 276
94 DOMPERIDON SYR BTL 23 23 2 21
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

95 DULKOLAC TAB TAB 0 0 0 0

96 DUVADILAN TAB TAB 0 0 0 0
97 EFEDRIN 25mg TAB 0 0 0 0
98 EPINEFRIN INJ AMP 0 0 0 0
99 ERGOTAMIN MALEAT TAB 0 0 0 0
100 ERYTROMICIN 500mg TAB 0 0 0 0
101 ERYTROMICIN SYR 125mg/5ml BTL 5 5 0 5
102 ETAKRIDIN (REVANOL) BTL 0 0 0 0
103 ETHYLCHLORIDE BTL 0 0 0 0
104 FASIDOL FORTE TAB 200 200 69 131 200
105 FENOBARBITAL 30mg TAB 0 0 0 0
106 FENOBARBITAL INJ AMP 0 0 0 0
107 FENOL GLISEROL 10% TT BTL 1 5 6 0 6
108 FITOMENADION (VIT K) INJ AMP 0 0 0 0
109 FITOMENADION (VIT K) TAB TAB 8 8 0 8
110 FUROSEMID 40mg TAB 80 80 7 73
111 GARAM ORALIT 200ml SACH 240 240 84 156
112 GEMFIBROXIL 600 MG TAB 0 0 0 0
113 GEMFIBROZIL 300mg KAPS 109 109 0 109
114 GENTAMICIN SK TUBE 3 3 1 2
115 GENTAMICIN SM/GENOINT SM TUBE 3 3 0 3
116 GENTAMICIN TM BTL 9 9 2 7
117 GENTIAN VIOLET 1% BTL 0 0 0 0
118 GLAUCON TAB 0 0 0 0
119 GLIBENKLAMID 5mg TAB 101 101 17 84
120 GLIMEPIRID 2mg TAB 337 337 161 176 200
121 GLIMEPIRID 4 MG TAB 0 0 0 0
122 GLISERIL GUAIAKOLAT TAB 1000 1000 210 790
123 GLUKOSA 10% BTL 0 0 0 0
124 GLUKOSA 5% BTL 0 0 0 0
125 GRANTUSIF TAB 0 0 0 0
126 GRISEOVULVIN 125mg TAB 0 0 0 0
127 H2O2 3% BTL 0 0 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

128 HALOPERIDOL INJ AMP 0 0 0 0

129 HALOPERIDOL 0,5mg TAB 0 0 0 0
130 HALOPERIDOL 1,5 mg TAB 0 0 0 0
131 HALOPERIDOL 5mg TAB 0 0 0 0
132 HIBISCRUP BTL 0 0 0 0
133 HIDROCORTISON 1% TUBE 8 8 0 8
134 HIDROKLORPOTIAZID (HCT) TAB 49 49 0 49
135 HIDROCORTISON 2,5% TUBE 18 18 0 18
136 IBUPROFEN 200mg TAB 0 0 0 0
137 IBUPROFEN 400mg TAB 311 311 27 284
138 IBUPROFEN SIRUP BTL 50 50 0 50
139 ICHTIOL SALP POT 0 0 0 0
140 ISDN 5mg TAB 86 86 0 86
141 ISONIAZIDE 100 MG TAB 0 0 0 0
142 KALIUM DIKLOFENAK 50mg TAB 942 942 48 894
143 KALSIUM LAKTAT /KALK TAB 406 406 253 153 400
144 KARMABAZEPIN 200mg TAB 100 100 0 100
145 KETOKENAZOL 200mg TAB 173 173 14 159
146 KETOKONAZOL CREAM TUBE 33 33 1 32
147 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 632 632 31 601
148 KLORAMFENIKOL SM TUBE 19 19 0 19
149 KLORAMFENIKOL TM BTL 7 7 0 7
150 KLORAMFENIKOL 250mg TAB 120 120 0 120
151 KLORAMFENIKOL SYR BTL 50 50 0 50
152 KLORAMFENIKOL TT BTL 7 7 2 5
153 KLORIN BTL 0 0 0 0
154 KLORPROMAZIN 100mg TAB 0 0 0 0
155 KLORPROMAZIN HCL INJ 5mg/2ml AMP 0 0 0 0
156 KOTRIMOXAZOL 480mg TAB 180 180 20 160
157 KOTRIMOXAZOL SUSP BTL 43 43 2 41
158 KSR TAB 0 0 0 0
159 LACTO B SACH 70 70 6 64
160 LANSOPRAZOLE KAPS 75 75 3 72
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

161 LIDOCAIN 2% AMP 0 0 0 0

162 LIDOCAIN COMP AMP 0 0 0 0
163 LITROL TM BTL 2 2 0 2
164 LOPERAMID 2mg TAB 0 0 0 0
165 LORATADIN 10mg TAB 196 196 10 186
166 LYTEER TM BTL 4 4 1 3 5
167 MELOXICAM 15mg TAB 191 191 0 191
168 MELOXICAM 7,5mg TAB 0 0 0 0
169 METFORMIN 500mg TAB 778 300 1078 882 196 1000
170 METHILPREDNISOLON 4mg TAB 126 126 0 126
171 METOKLORPRAMID 10mg TAB 100 100 0 100
172 METOKLORPRAMID INJ AMP 0 0 0 0
173 METOKLORPRAMID SYR BTL 0 0 0 0
174 METRONIDAZOl 500mg TAB 75 75 0 75
175 METYLERGOMETRIN MALEAT 125mg TAB 101 101 0 101
176 MIDRIASIL TM BTL 0 0 0 0
177 MIKONAZOL cr TUBE 8 8 5 3
178 MINERAL MIX SACH 0 0 0 0
179 MODEKATE INJ AMP 0 0 0 0
180 MOLAGIT TAB 293 293 119 174 200
181 MOLANEURON TAB 1125 1125 255 870
182 MULTIVITAMIN DROP (TRUVIT) BTL 20 20 1 19
183 MULTIVITAMIN SYR (TRUVIT) BTL 19 19 1 18
184 MULTIVITAMIN TAB (CAVIPLEX) TAB 851 851 55 796
185 MYTADERM SALP TUBE 17 17 0 17
186 NACl INFUS BTL 0 0 0 0
187 NATRIUM DIKLOFENAK 50mg TAB 186 186 54 132
188 NEOKAOMINAL SYR BTL 10 10 2 8
189 NIFEDIPIN 10mg TAB 100 100 0 100
190 NISTATIN 100.000 TAB VAG TAB 0 0 0 0
191 NISTATIN 500.000 TAB TAB 100 100 0 100
192 NORIT TAB 0 0 0 0
193 OBH SYR BTL 8 8 4 4
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

194 OBP SYR BTL 0 0 0 0

195 OKSITETRASIKLIN SK TUBE 0 0 0 0
196 OMEPRAZOL 20mg KAPS 144 144 30 114
197 ONDANSENTRON INJ AMP 0 0 0 0
198 OTTOPAIN TT BTL 0 0 0 0
199 OXITETRASIKLIN SM TUBE 0 0 0 0
200 PANTOCAIN TM BTL 0 0 0 0
201 PAPAVERIN HCL 40mg TAB 0 0 0 0
202 PARACETAMOL DROP BTL 24 24 20 4
203 PARASETAMOL 500mg TAB 1589 1589 588 1001
204 PARASETAMOL SYR 120mg/5ml BTL 21 21 4 17
205 PEDITOK BTL 5 5 1 4
206 PHENITOIN 100mg KAPS 0 0 0 0
207 PIRACETAM 400mg TAB 0 0 0 0
208 PIRANTEL 125mg BIJI 0 0 0 0
209 PIRIDOKSIN 10mg/VIT B6 TAB 22 22 22 0 100
210 PIROXICAM 10mg TAB 0 0 0 0
211 PIROXICAM 20mg KAPS 0 0 0 0
212 POVIDON IODIUM 10% 300ml BTL 0 2 2 2 0
213 POVIDON IODIUM 10% 30ml BTL 0 0 0 0
214 PREDNISSON 5mg TAB 0 0 0 0
215 PRENAMIA TAB 0 0 0 0
216 PROPANOLOL 40mg TAB 0 0 0 0
217 PULMICORT RESPULES AMP 0 0 0 0
218 RANITIDIN 150mg TAB 0 0 0 0
219 RANITIDIN INJ AMP 0 0 0 0
220 RETINOL (VIT A) 100.000 IU TAB 0 0 0 0
221 RETINOL (VIT A) 200.000 IU TAB 0 0 0 0
222 RINGER LAKTAT BTL 0 0 0 0
223 RISPERIDON 2mg TAB 0 0 0 0
224 SABUN HIJAU BIJI 23 23 2 21
225 SALBUTAMOL 2mg TAB 120 120 36 84
226 SALBUTAMOL 4mg TAB 99 99 0 99
227 SALEP 2-4 POT 17 17 0 17
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

228 SALEP 88 POT 0 0 0 0

229 SALEP WF BIJI 0 0 0 0
230 SALISIL BEDAK 2% BIJI 22 22 4 18
231 SCABICID CREAM TUBE 0 0 0 0
232 SIANOCOBALAMIN 50mg (VIT B12) TAB 0 0 0 0
233 SIKZONOATE INJ AMP 0 0 0 0
234 SIMVASTATIN 10mg TAB 460 460 56 404
235 SIRUP INDRA BTL 11 11 2 9
236 SPASMINAL TAB TAB 198 198 30 168
237 SULFASETAMID TM BTL 0 0 0 0
238 TABLET TAMBAH DARAH /FE TAB 487 487 150 337
239 THIAMFENIKOL 500mg KAPS 97 97 20 77
240 THIAMIN HCL 50mg (VIT B1) TAB 606 1500 2106 1003 1103 1000
241 THIAMPHENIKOL SYR BTL 19 19 0 19
242 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 0 0 0
243 TRANSAMIN INJ AMP 0 0 0 0
244 TRIFLORPEARZIN 5mg/STELLAZIN TAB 0 100 100 0 100
245 TRIHEXIPHENIDIL 2mg TAB 100 100 0 100
246 TRIVEXAN SYR BTL 0 0 0 0
247 VALVED/NICHOFED TAB 287 287 23 264
248 VENTOLIN NEBULIZER AMP 0 0 0 0
249 VITAMIN B KOMPLEX TAB 921 921 370 551
250 ZINC TAB 770 770 50 720
251 ZINC SYRUP BTL 0 0 0 0

NB: JUMLAH RESEP TOTAL= 312

N DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN

: JANUARI 2020
: FEBRUARI 2020

KET
APBD 2019

ED 782
 KET
APBD 2019
 KET
APBD 2019

ED 5

ED 4
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JANUARI 2020

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : FEBRUARI 2020

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN PEMBERIAN

NO NAMA OBAT/ALKES SAT
N KET
AWAL MAAN DIAAN KAIAN STOK PKD 2018 PKD 2019 BMHP BSP PKDN BLUD
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 100 100 100 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 4 4 4 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 500 500 500 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 4 4 4 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 2 2 0
24 INFUSET DEWASA BIJI 0 4 4 4 0
25 INFUSET ANAK BIJI 0 0 0 0 0
26 ASEPTIC GEL BIJI 0 0 0 0

MOJOKERTO,3 FEBRUARI 2020

MENGETAHUI/MENYETUJUI
An.KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
DINAS KESEHATAN KOTA MOJOKERTO UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG
 1-Jan 2-Jan 3-Jan 4-Jan
ant 9 pml drop 1 ctm 4 amlo5 14
antsd 10 amlo5 14 amlo5 14 amlo5 14
dextral 9 amlo5 14 amlo5 14 amlo5 14
domperi 9 amlo5 14 amlo5 14 antsd 9
domperi 9 amlo5 14 amlo5 14 b1 28
dz2 6 amlo5 14 amlo5 14 catar 1
fasi 10 amlo5 14 amlo5 14 cetirizin 3
mola 5 amlo5 14 amok sir 1 dz2 3
pml 10 antsd 10 antsd 10 genta tm 1
pml 10 antsd 10 antsd 10 metfor 28
antsd 10 antsd sir 1 mola 5
b1 14 b1 14 mola 5
b1 14 b1 14 pml 10
b1 14 b1 14 pml 9
b1 10 b1 14 pml 10
bc 10 b1 14 pml 10
bc 10 bc 4 pml 9
betahis 9 bc 10 simvas 14
betahis 9 betahis 9 spasmi 9
cazet 1 dema 9
cenfres 3 dema 9
ceti sir 1 garam 6
cetirizin 3 garam 6
dextral 9 gliben 14
glime 14 kotrim sir 1
glime 14 metfor 28
kalium 6 metfor 28
kalium 6 metfor 28
kalk 10 mola 10
kalk 10 molagit 10
kalk 10 molagit 5
kalk 10 pml 10
metfor 28 pml 10
mola 5 pml 3
mola 5 pml sir 1
natri 6 zink 10
ome 6
ome 6
pml 10
pml 10
pml drop 1
pml drop 1
pml drop 1
pml drop 1
pml sir 1
sabun 1
salbu2 9
truvit drop 1

salbu2 9
simvas 14
5-Jan 6-Jan 7-Jan 8-Jan 9-Jan
amlo5 14 amok sir 1 amlo5 14 amlo
amlo5 14 antsd sir 1 amok sir 20 amlo5
amlo5 14 bc 4 baby 1 amlo5
amlo5 14 bc 10 bc 20 amlo5
antsd 10 catar 1 betahis 9 amlo5
antsd 10 ctm 4 betahis 9 antsd
b1 28 ctm 5 cazet 1 antsd
b6 10 molagit 5 cetirizin 3 antsd sir
bc 10 pml 10 dema 9 b1
bc 6 pml 5 garam 6 b1
betahis 9 pml sir 1 kalk 30 b1
betahis 9 mola 10 ctm
cenfres 3 molafe 5 ibu4
cenfres 3 molagit 9 ibu4
ceti sir 1 natri 6 kalk
cetirizin 3 simvas 14 lexa
ctm 9 metfor
dema 9 mola
dextral 9 mola
garam 6 mola
glime 14 mola
indra 1 obh
keto 7 pml drop
lanzo 3 pml drop
metfor 28 pml drop
mico 1 pml drop
molagit 10 pml drop
natri 6 pml drop
obh 1 pml drop
pml 10 zink
pml sir 1
9-Jan 10-Jan 11-Jan 12-Jan 13-Jan
14 antsd 10 amlo5 14 amlo5 14
14 asfol 30 amlo5 14 amlo5 14
14 asmef 9 amlo5 14 amlo5 14
14 b1 14 amlo5 14 amlo5 14
14 b6 10 amlo5 14 amlo5 14
10 bc 5 antsd 10 amlo5 14
10 glime 14 b1 10 antsd 10
1 lora 4 betahis 9 antsd 10
14 metfor 28 betamet 1 antsd 10
10 Sali 1 bisop 14 b1 14
28 cetirizin 3 b1 28
9 kalium 6 b1 28
9 lexa 5 b1 28
9 metfor 28 b1 28
10 metfor 28 bc 10
5 mola 10 bc 10
28 mola 10 bc 10
10 mola 5 bisop 14
10 mola 5 cenfres 3
10 mola 5 cetirizin 4
5 mola 5 metfor 28
1 mola 5
1 obh 1
1
5
1
1
1
1
10
 14-Jan 15-Jan 16-Jan 17-Jan
ambrxl 2 amlo5 14 amlo 14 asmef 9
amlo5 14 amlo5 14 asmef 9 bc 5
amlo5 14 amlo5 14 b1 20 cavi 10
amlo5 14 amlo5 14 baby 1 dema 9
amlo5 14 amok sir 1 cenfres 1 dema 9
amlo5 14 amok250 sir 1 ceti sir 1 garam 6
antsd 10 ant 9 cetirizin 3 genta sk 1
asmef 9 antsd 10 cetirizin 3 gg 9
b1 14 b1 28 dema 9 gg 5
b1 14 b1 28 dexa 9 gg 9
b1 10 b1 28 fe 30 gg 9
b1 14 bc 20 garam 6 gg 9
b1 14 betahis 9 glime 14 kalium 6
b1 14 betahis 9 glime 14 kalk 10
bc 3 cavi 5 kalium 6 mola 5
bc 4 cetirizin 3 kalk 20 molagit 5
bc 3 dema 9 kalk 10 natri 6
bc 6 dextral 9 lacto 3 pml 10
bc 20 domperi 9 metfor 28 salbu2 9
betahis 9 domperi 9 metfor 28 zink 10
betahis 9 fe 30 metfor 28
bromhex sir 1 gg 9 metfor 28
fe 30 kalk 20 mico 1
garam 6 litrol 1 mola 5
garam 6 metfor 14 mola 5
gg 9 mola 5 mola 5
kalk 20 mola 5 natri 6
keto sk 1 mola 5 neo 1
kotrim sir 1 pml 9 pml drop 1
lora 3 spasmi 3 pml drop 1
metfor 28 pml drop 1
metfor 28 pml drop 1
molagit 5
molagit 10
natri 6
natri 6
pml 5
pml 10
pml 10
pml 10
pml 10
pml 10
pml 10
pml drop 1
valved 5
 18-Jan 19-Jan 20-Jan 21-Jan 22-Jan
amlo5 14 amlo5 14 ambrxl 9 amlo5
amlo5 14 amlo5 14 amlo5 14 antsd
amlo5 14 amlo5 14 amlo5 14 antsd
amlo5 14 antsd 9 amlo5 14 antsd
amlo5 14 antsd sir 1 antsd sir 1 cavi
amlo5 14 asmef 9 bc 3 cavi
ant 9 cap12,5 28 bc 10 cavi
antsd 10 cetirizin 3 betahis 9 cavi
antsd 9 cetirizin 4 betamet 1 cavi
antsd 9 cetirizin 3 bromhex 3 ceti sir
b1 14 cipro 10 bromhex 9 dema
b1 14 dextral 9 bromhex 9 dema
betahis 9 furo 7 cavi 5 dema
betahis 9 gg 2 cavi 5 dextral
betahis 9 gg 6 cetirizin 3 domperi
dextral 9 gg 9 dema 9 fasi
domperi 9 gg 9 dema 9 fasi
domperi 9 ibu4 9 domper sir 1 fe
garam 6 kalium 6 fasi 10 gg
garam 6 kalk 10 fasi 10 gg
gg 9 khloram t 1 fasi 10 gg
gg 9 metfor 28 fasi 10 kalk
glime 14 mico 1 fasi 9 mola
metfor 28 mico 1 fsi 10 pml
metfor 28 mola 10 gg 9 pml
mola 5 mola 10 litrol 1 Sali
molagit 10 neo 1 mola 10
molagit 10 ome 6 mola 5
molagit 10 pedi 1 mola 5
ome 6 pml 10 mola 5
spasmi 9 pml 10 mola 5
spasmi 9 pml 10 mola 5
pml 10 pml 10
pml 10 salbu2 9
valved 9 truvit sir 1
22-Jan 23-Jan 24-Jan 25-Jan 26-Jan 27-Jan
14 ambrxl 9 amlo5 14 amlo5
9 amlo5 1 amlo5 14 amlo5
9 amlo5 28 amlo5 14 amlo5
9 amlo5 28 amlo5 14 amlo5
10 antsd 10 amlo5 14 amlo5
5 antsd 10 amok sir 1 amlo5
5 b1 3 antsd 10 amlo5
5 cenfres 1 antsd 10 antsd
5 cetirizin 28 antsd 10 antsd
1 dema 9 antsd 10 antsd
9 dextral 9 b1 14 b1
9 dextral 9 b1 28 b1
9 dextral 14 bc 3 b1
9 gg 2 bc 6 b1
9 gg 3 bc 5 b1
10 gliben 3 bc 10 b1
10 metfor 14 betamet 1 baby
30 metfor 14 bromhex 4 bc
5 pml 9 bromhex 5 bisop
9 pml 10 bromhex 9 cenfres
9 pml 10 bromhex 5 cetirizin
20 pml 10 dextral 9 cetirizin
10 pml drop 3 dextral 9 cetirizin
9 pml drop 14 domperi 9 cipro
10 Sali 1 garam 6 dema
1 glime 14 dextral
kalk 7 dz2
kotrim 20 gg
lora 3 gg
metfor 28 gg
metfor 28 gg
mola 5 glime
mola 5 glime
molagit 10 kalium
ome 6 kalk
pml 10 kalk
pml 10 kalk
pml 10 keto
pml 10 khloram t
pml 10 metfor
pml 10 metfor
pml 10 metfor
pml 10 mico
pml 10 mico
simvas 14 mola
mola
natri
natri
pml
pml
pml
valved
27-Jan 28-Jan 29-Jan 30-Jan 31-Jan
14 antsd 10 amlo5 14 ambrxl 1 ambrxl
14 antsd 10 amlo5 14 amlo5 14 amlo5
14 bc 10 amlo5 14 amlo5 14 amlo5
14 bc 10 amlo5 14 amlo5 14 amlo5
14 bc 10 amlo5 14 amlo5 14 amlo5
14 bc 10 amlo5 14 antsd 10 antsd
14 dema 9 amlo5 14 antsd 10 b1
10 dz2 3 amok sir 1 antsd 10 b1
10 gg 9 amok sir 1 antsd 10 betahis
10 gg 9 antsd 10 b1 14 cenfres
28 khloram tm 1 antsd 9 b1 14 cenfres
10 khloram tm 1 antsd 10 b1 14 cetirizin
10 obh 1 antsd 10 b1 14 dema
28 pml 10 antsd 10 b6 7 dema
28 pml 10 asmef 9 baby 1 dema
28 pml 10 asmef 9 bc 2 dexa
1 pml 10 b1 28 bc 5 domper sir
3 pml 10 b1 28 bc 10 genta tm
14 thiam 20 b1 28 bc 10 gg
3 b1 28 bc 10 glime
3 b1 28 dexa 9 glime
3 baby 1 garam 6 kalium
3 bc 1 garam 6 lyteer
10 bc 2 gg 9 metfor
5 bc 10 indra 1 metfor
9 bc 10 lacto 3 zink
3 bc 10 metfor 28
2 bc 10 mola 10
4 bc 10 molagit 10
5 bc 20 pml 10
9 bisop 14 pml 10
7 cetirizin 3 pml 10
14 dema 9 pml 10
6 fe 30 pml drop 1
10 garam 6 pml drop 1
10 gg 2 pml drop 1
10 gg 3 pml drop 1
7 gg 9 Sali 1
1 kalk 20 zink 10
28 kalk 6
28 metfor 28
28 metfor 28
1 molagit 10
1 pml 10
5 pml 10
5 pml 10
6 pml 10
 6 pml 10
10 pml 10
10 pml 10
10 sabun 1
9
31-Jan
9
14
14
14
14
10
28
10
9
3
3
3
9
9
9
9
1
1
9
14
14
6
1
28
28
10
 REKAPAN PEMA

BULAN: Jan-20

NO CODE NAMA OBAT/ALKES

1 2 3 4 5
1 aceto ACETOSAL 100mg 0 0 0 0
2 acy ACIKLOVIR 400mg 0 0 0 0
3 acy sk ACIKLOVIR KRIM 0 0 0 0
4 acy2 ACYCLOVIR 200 mg 0 0 0 0
5 adona inj ADONA INJ 0 0 0 0
6 adona ADONA TAB 0 0 0 0
7 alben ALBENDAZOL 0 0 0 0
8 alben sir ALBENDAZOL SYR 0 0 0 0
9 albo ALBOTYL CONC 0 0 0 0
10 af inj ALINAMIN F INJ 0 0 0 0
11 af ALINAMIN F TAB 0 0 0 0
12 alko70 ALKOHOL 70% 0 0 0 0
13 alko95 ALKOHOL 95% 0 0 0 0
14 alopu ALLOPURINOL 100mg 0 0 0 0
15 alpra ALPRAZOLAM 0,5 mg 0 0 0 0
16 alpra1 ALPRAZOLAM 1 MG 0 0 0 0
17 ambrxl AMBROXOL 0 0 0 0
18 ambrxl sir AMBROXOL SYR 0 0 0 0
19 amino AMINOFILIN 200mg 0 0 0 0
20 AMINOFILIN INJ
20 amitrip AMITRIPTILIN 25mg 0 0 0 0
21 amlo AMLODIPIN 10 mg 0 0 0 0
22 amlo5 AMLODIPIN 5 MG 0 98 84 42
23 amok AMOXICILLIN 500mg 0 0 0 0
24 amok250 sir AMOXICILLIN FORTE SYRUP 0 0 0 0
25 amok sir AMOXICILLIN SYR 0 0 1 0
26 ant ANTALGIN 500mg 9 0 0 0
27 antsd ANTASID 10 30 20 9
28 antsd sir ANTASIDA SYR 0 0 1 0
29 anti ANTIHEMOROID SUPP 0 0 0 0
30 antrain inj ANTRAIN INJ 0 0 0 0
31 aquapro AQUA PRO INJ 0 0 0 0
32 c ASAM ASCORBAT 50mg 0 0 0 0
33 c500 ASAM ASKORBAT 500mg 0 0 0 0
34 asfol ASAM FOLAT 100mg 0 0 0 0
35 asmef ASAM MEFENAMAT 500mg 0 0 0 0
ASAM TRANEKSAMA
36 atropin inj ATROPIN INJ 0 0 0 0
37 baby BABY COUGH SYR 0 0 0 0
38 baci BACITRACIN 0 0 0 0
39 bayclin BAYCLIN 0 0 0 0
40 betahis BETAHISTIN 0 18 9 0
41 betamet BETAMETASON 0,1% 0 0 0 0
42 betason BETASON N CREAM 0 0 0 0
43 beva BEVALEX CREAM 0 0 0 0
44 biopla BIOPLACENTON/BISMECON 0 0 0 0
45 bisa supp BISACODYL SUPP 0 0 0 0
46 bisop BISOPROLOL 5mg 0 0 0 0
47 borax BORAX GLISERIN/GOM 0 0 0 0
48 bromhex BROMHEXIN 8mg 0 0 0 0
49 bromhex sir BROMHEXIN SYRUP 0 0 0 0
50 burna BURNAZINE CREAM 0 0 0 0
51 busco inj BUSCOPAN INJ 0 0 0 0
52 caladin CALADIN POWDER 0 0 0 0
53 caladi lot CALADINE LOTION 0 0 0 0
54 calusol CALLUSOL 0 0 0 0
55 cap12,5 CAPTOPRIL 12,5mg 0 0 0 0
56 cap25 CAPTOPRIL 25mg 0 0 0 0
57 catar CATARLENT TM 0 0 0 1
58 cavi sir CAVIPLEX SYR 0 0 0 0
59 cazet CAZETIN DROP 0 1 0 0
60 cefad CEFADROXIL 500mg 0 0 0 0
61 cefad sir CEFADROXIL SYR 0 0 0 0
62 cefixim CEFIXIM 0 0 0 0
63 astenof CENDO ASTENOF 0 0 0 0
64 augen CENDO AUGENTONIC 0 0 0 0
65 cenfres CENDO CENFRESH 0 3 0 0
66 homa CENDO HOMATROPIN 0 0 0 0
67 tropin0,5 CENDO TROPIN 0,5% 0 0 0 0
68 tropin1 CENDO TROPIN 1% 0 0 0 0
69 vitro CENDO VITROLENTA 0 0 0 0
70 xitrol sm CENDO XITROL SM 0 0 0 0
71 xitrol tm CENDO XITROL TM 0 0 0 0
72 cetirizin CETIRIZIN 0 3 0 3
73 ceti sir CETIRIZIN SIRUP 0 1 0 0
74 cimet CIMETIDIN 200mg 0 0 0 0
75 cimet inj CIMETIDIN INJ /ULSIKUR INJ 0 0 0 0
76 cipro CIPROFLOXACION 500mg 0 0 0 0
77 clin150 CLINDAMICYN 150mg 0 0 0 0
78 clin300 CLINDAMICYN 300mg 0 0 0 0
79 cloba CLOBAZAM 10mg 0 0 0 0
80 cod10 CODEIN 10 MG 0 0 0 0
81 dema DEMACOLIN 0 0 18 0
82 dexa DEXAMETASON 0,5mg 0 0 0 0
83 dexa inj DEXAMETASON INJ 0 0 0 0
84 dextral DEXTRAL 9 9 0 0
85 dz2 DIAZEPAM 2mg 6 0 0 3
86 dz5 DIAZEPAM 5mg 0 0 0 0
87 dz rectal DIAZEPAM RECTAL/STESOLID 0 0 0 0
88 difen DIFENHIDRAMINJ INJ 0 0 0 0
89 digoxin DIGOXIN 0,25mg 0 0 0 0
90 dimen DIMENHIDRINAT 0 0 0 0
91 domperi DOMPERIDON 18 0 0 0
92 domper sir DOMPERIDON SYR 0 0 0 0
 93 dulco DULKOLAC TAB 0 0 0 0
94 duva DUVADILAN TAB 0 0 0 0
95 efed EFEDRIN 25mg 0 0 0 0
96 epi inj EPINEFRIN INJ 0 0 0 0
97 ergo ERGOTAMIN MALEAT 0 0 0 0
98 erytro ERYTROMICIN 500mg 0 0 0 0
99 ery sir ERYTROMICIN SYR 125mg/5ml 0 0 0 0
100 etakridin ETAKRIDIN (REVANOL) 0 0 0 0
101 ethyl ETHYLCHLORIDE 0 0 0 0
102 fasi FASIDOL FORTE 10 0 0 0
103 feno FENOBARBITAL 30mg 0 0 0 0
104 feno inj FENOBARBITAL INJ 0 0 0 0
105 fenol FENOL GLISEROL 10% TT 0 0 0 0
106 fito inj FITOMENADION (VIT K) INJ 0 0 0 0
107 fito FITOMENADION (VIT K) TAB 0 0 0 0
108 furo FUROSEMID 40mg 0 0 0 0
109 garam GARAM ORALIT 200ml 0 0 12 0
110 gemfi6 GEMFIBROXIL 600 MG 0 0 0 0
111 gemfi3 GEMFIBROZIL 300mg 0 0 0 0
112 genta sk GENTAMICIN SK 0 0 0 0
113 genta sm GENTAMICIN SM/GENOINT SM 0 0 0 0
114 genta tm GENTAMICIN TM 0 0 0 1
115 gentian GENTIAN VIOLET 1% 0 0 0 0
116 glaucon GLAUCON 0 0 0 0
117 gliben GLIBENKLAMID 5mg 0 0 14 0
118 glime GLIMEPIRID 2mg 0 28 0 0
119 glime4 GLIMEPIRID 4 MG 0 0 0 0
120 gg GLISERIL GUAIAKOLAT 0 0 0 0
121 glu10 GLUKOSA 10% 0 0 0 0
122 glu5 GLUKOSA 5% 0 0 0 0
123 gran GRANTUSIF 0 0 0 0
124 gv GRISEOVULVIN 125mg 0 0 0 0
125 h2o2 H2O2 3% 0 0 0 0
126 halo inj HALOPERIDOL INJ 0 0 0 0
127 halo0,5 HALOPERIDOL 0,5mg 0 0 0 0
128 halo1,5 HALOPERIDOL 1,5 mg 0 0 0 0
129 halo5 HALOPERIDOL 5mg 0 0 0 0
130 hibi HIBISCRUP 0 0 0 0
131 hidro1 HIDROCORTISON 1% 0 0 0 0
132 hct HIDROKLORPOTIAZID (HCT) 0 0 0 0
133 hidro2,5 HIDROCORTISON 2,5% 0 0 0 0
134 ibu2 IBUPROFEN 200mg 0 0 0 0
135 ibu4 IBUPROFEN 400mg 0 0 0 0
136 ibu sir IBUPROFEN SIRUP 0 0 0 0
137 ichtiol ICHTIOL SALP 0 0 0 0
138 isdn ISDN 5mg 0 0 0 0
139 inh ISONIAZIDE 100 MG 0 0 0 0
140 kalium KALIUM DIKLOFENAK 50mg 0 12 0 0
141 kalk KALSIUM LAKTAT /KALK 0 40 0 0
142 karbama KARMABAZEPIN 200mg 0 0 0 0
143 keto KETOKENAZOL 200mg 0 0 0 0
144 keto sk KETOKONAZOL CREAM 0 0 0 0
145 ctm KHLORPHENIRAMIN MALEAT (CTM)4mg 0 0 4 0
146 kloram sm KLORAMFENIKOL SM 0 0 0 0
147 kloram tm KLORAMFENIKOL TM 0 0 0 0
148 kloram KLORAMFENIKOL 250mg 0 0 0 0
149 khloram sir KLORAMFENIKOL SYR 0 0 0 0
150 khloram t KLORAMFENIKOL TT 0 0 0 0
151 klorin KLORIN 0 0 0 0
152 cpz KLORPROMAZIN 100mg 0 0 0 0
153 cpz inj KLORPROMAZIN HCL INJ 5mg/2ml 0 0 0 0
154 kotrim KOTRIMOXAZOL 480mg 0 0 0 0
155 kotrim sir KOTRIMOXAZOL SUSP 0 0 1 0
156 ksr KSR 0 0 0 0
157 lacto LACTO B 0 0 0 0
158 lanzo LANSOPRAZOLE 0 0 0 0
159 lido2 LIDOCAIN 2% 0 0 0 0
160 lidicomp LIDOCAIN COMP 0 0 0 0
161 litrol LITROL TM 0 0 0 0
162 lopera LOPERAMID 2mg 0 0 0 0
163 lora LORATADIN 10mg 0 0 0 0
164 lyteer LYTEER TM 0 0 0 0
165 melox15 MELOXICAM 15mg 0 0 0 0
166 melox7,5 MELOXICAM 7,5mg 0 0 0 0
167 metfor METFORMIN 500mg 0 28 84 28
168 methil METHILPREDNISOLON 4mg 0 0 0 0
169 metoclo METOKLORPRAMID 10mg 0 0 0 0
170 metoclo inj METOKLORPRAMID INJ 0 0 0 0
171 metoclo sir METOKLORPRAMID SYR 0 0 0 0
172 metro METRONIDAZOl 500mg 0 0 0 0
173 methilergo METYLERGOMETRIN MALEAT 125mg 0 0 0 0
174 midri MIDRIASIL TM 0 0 0 0
175 mico MIKONAZOL cr 0 0 0 0
176 mineral MINERAL MIX 0 0 0 0
177 modekate inj MODEKATE INJ 0 0 0 0
178 molagit MOLAGIT 0 0 15 0
179 mola MOLANEURON 5 10 10 10
180 truvit drop MULTIVITAMIN DROP (TRUVIT) 0 1 0 0
181 truvit sir MULTIVITAMIN SYR (TRUVIT) 0 0 0 0
182 cavi MULTIVITAMIN TAB (CAVIPLEX) 0 0 0 0
183 myta MYTADERM SALP 0 0 0 0
184 nacl NACl INFUS 0 0 0 0
185 natri NATRIUM DIKLOFENAK 50mg 0 6 0 0
186 neo NEOKAOMINAL SYR 0 0 0 0
187 nife NIFEDIPIN 10mg 0 0 0 0
188 nista100 NISTATIN 100.000 TAB VAG 0 0 0 0
189 nista500 NISTATIN 500.000 TAB 0 0 0 0
190 norit NORIT 0 0 0 0
191 obh OBH SYR 0 0 0 0
192 obp OBP SYR 0 0 0 0
193 oksi sk OKSITETRASIKLIN SK 0 0 0 0
194 ome OMEPRAZOL 20mg 0 12 0 0
195 ondan inj ONDANSENTRON INJ 0 0 0 0
196 oto t OTTOPAIN TT 0 0 0 0
197 oksi sm OXITETRASIKLIN SM 0 0 0 0
198 panto tm PANTOCAIN TM 0 0 0 0
199 papav PAPAVERIN HCL 40mg 0 0 0 0
200 pml drop PARACETAMOL DROP 0 5 0 0
201 pml PARASETAMOL 500mg 20 20 23 48
202 pml sir PARASETAMOL SYR 120mg/5ml 0 1 1 0
203 pedi PEDITOK 0 0 0 0
204 pheni PHENITOIN 100mg 0 0 0 0
205 pira4 PIRACETAM 400mg 0 0 0 0
206 pira PIRANTEL 125mg 0 0 0 0
207 b6 PIRIDOKSIN 10mg/VIT B6 0 0 0 0
208 pirox10 PIROXICAM 10mg 0 0 0 0
209 pirox20 PIROXICAM 20mg 0 0 0 0
210 povi100 POVIDON IODIUM 10% 300ml 0 0 0 0
211 povi300 POVIDON IODIUM 10% 30ml 0 0 0 0
212 pred PREDNISSON 5mg 0 0 0 0
213 prenamia PRENAMIA 0 0 0 0
214 propa PROPANOLOL 40mg 0 0 0 0
215 pulmicort PULMICORT RESPULES 0 0 0 0
216 rani RANITIDIN 150mg 0 0 0 0
217 rani inj RANITIDIN INJ 0 0 0 0
218 reti100 RETINOL (VIT A) 100.000 IU 0 0 0 0
219 reti200 RETINOL (VIT A) 200.000 IU 0 0 0 0
220 rl RINGER LAKTAT 0 0 0 0
221 risperi RISPERIDON 2mg 0 0 0 0
222 sabun SABUN HIJAU 0 1 0 0
223 salbu2 SALBUTAMOL 2mg 0 9 0 9
224 salbu4 SALBUTAMOL 4mg 0 0 0 0
225 sk 24 SALEP 2-4 0 0 0 0
226 sk 88 SALEP 88 0 0 0 0
227 sk wf SALEP WF 0 0 0 0
228 sali SALISIL BEDAK 2% 0 0 0 0
229 scabi SCABICID CREAM 0 0 0 0
230 b12 SIANOCOBALAMIN 50mg (VIT B12) 0 0 0 0
231 sikzo SIKZONOATE INJ 0 0 0 0
232 simvas SIMVASTATIN 10mg 0 0 0 28
233 indra SIRUP INDRA 0 0 0 0
234 spasmi SPASMINAL TAB 0 0 0 9
235 sulfa tm SULFASETAMID TM 0 0 0 0
236 fe TABLET TAMBAH DARAH /FE 0 0 0 0
237 thiam THIAMFENIKOL 500mg 0 0 0 0
238 b1 THIAMIN HCL 50mg (VIT B1) 0 52 70 28
239 thiam sir THIAMPHENIKOL SYR 0 0 0 0
240 timol tm TIMOLOL 0,5% TM/OPHTYL TM 0 0 0 0
241 transamin inj TRANSAMIN INJ 0 0 0 0
242 tfp TRIFLORPEARZIN 5mg/STELLAZIN 0 0 0 0
243 thd TRIHEXIPHENIDIL 2mg 0 0 0 0
244 trive sir TRIVEXAN SYR 0 0 0 0
245 valved VALVED/NICHOFED 0 0 0 0
246 ventolin VENTOLIN NEBULIZER 0 0 0 0
247 bc VITAMIN B KOMPLEX 0 20 14 0
248 zink ZINC 0 0 10 0
249 zink sir ZINC SYRUP 0 0 0 0

JENIS RESEP
1 2 3 4 5
1 JUMLAH TOTAL RESEP 4 22 11 6
2 JUMLAH RESEP PUYER 0 0 1 0
3 JUMLAH RESEP PSIKOTROPIK 1 0 0 1
REKAPAN PEMAKAIAN OBAT PER HARI PELAYANAN PUSTU BANCANG
PUSKESMAS WATES

JANUARI
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
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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 5 0 0 0 0 9 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 14 20 0 5 0 30 36 20 0 5 0 0 13 0 0
0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
11 4 5 21 7 9 8 20 14 16 11 9 15 13 10 14
0 1 0 0 0 0 0 3 2 1 0 0 2 1 2 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 JUML KETERANGAN
24 25 26 27 28 29 30 31 AH
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 1 9 30
0 0 0 0 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0
0 0 0 0 0 0 28
70 98 0 98 56 56 1247
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 2 0 0 26
0 0 0 0 0 0 27
40 30 20 49 40 10 452
0 0 0 0 0 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 30
0 0 0 18 0 0 63

0 0 0 0 0 0 0
0 1 0 1 1 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 9 153
1 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 14 0 14 0 0 56
0 0 0 0 0 0 0
23 0 0 0 0 0 44
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 28
0 0 0 0 0 0 0
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 3 0 0 0 6 23
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 9 0 3 0 3 84
 0 0 0 0 0 0 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 10 0 0 0 0 20
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 5 9 9 0 27 176
0 0 0 0 9 9 27
0 0 0 0 0 0 0
18 9 0 0 0 0 122
0 3 3 0 0 0 15
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9 0 0 0 0 0 72
0 0 0 0 0 1 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 79
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 7
6 0 0 6 12 0 84
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 1
 0 0 0 0 0 0 0
0 0 0 0 0 1 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 17
14 21 0 0 0 28 161
0 0 0 0 0 0 0
0 20 18 14 9 9 210
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 27
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 6 0 0 0 6 48
7 30 0 26 0 0 253
0 0 0 0 0 0 0
0 7 0 0 0 0 14
0 0 0 0 0 0 1
0 0 0 0 0 0 31
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 1 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
20 0 0 0 0 0 20
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 3 0 6
0 0 0 0 0 0 3
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3 0 0 0 0 0 10
0 0 0 0 0 1 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
56 84 0 56 28 56 882
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 2 0 0 0 0 5
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10 0 0 10 10 0 119
10 10 0 0 10 0 260
0 0 0 0 0 0 1
0 0 0 0 0 0 1
0 0 0 0 0 0 55
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 12 0 0 0 0 54
0 0 0 0 0 0 2
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 1 0 0 0 4
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
6 0 0 0 0 0 30
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 4 0 29
90 30 50 70 30 0 608
0 0 0 0 0 0 4
0 0 0 0 0 0 1
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 7 0 27
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 1 0 0 2
0 0 0 0 0 0 36
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 1 0 4
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
14 0 0 0 0 0 56
 0 0 0 0 1 0 2
0 0 0 0 0 0 30
0 0 0 0 0 0 0
0 0 0 30 0 0 150
0 0 20 0 0 0 20
42 132 0 140 56 38 1003
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 9 0 0 0 0 23
0 0 0 0 0 0 0
24 3 40 73 37 0 370
0 0 0 0 10 10 50
0 0 0 0 0 0 0

total
24 25 26 27 28 29 30 31
14 15 8 19 21 9 316
1 2 0 2 1 0 20
0 1 1 0 0 0 4
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JANUARI 2020

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : FEBRUARI 2020

STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

1 ACETOSAL 100mg/80 mg TAB 0 0 0 0

2 ACIKLOVIR 400mg TAB 182 0
3 ACIKLOVIR KRIM TUBE 0 0
4 ACYCLOVIR 200 MG AMP 0 0
5 ADONA INJ TAB 0 0
6 ADONA TAB TAB 0 0
7 ALBENDAZOL BTL 0 0
8 ALBENDAZOL SYR BTL 0 0
9 ALBOTYL CONC AMP 0 0
10 ALINAMIN F INJ TAB 0 0
11 ALINAMIN F TAB BTL 0 0
12 ALKOHOL 70% BTL 0 0
13 ALKOHOL 95% BTL 2 0
14 ALLOPURINOL 100mg TAB 258 0
15 ALPRAZOLAM 0,5 mg TAB 0 0
16 ALPRAZOLAM 1 MG TAB 0 0
17 AMBROXOL TAB 445 30
18 AMBROXOL SYR BTL 0 0
19 AMINOFILIN 200mg TAB 0 0
20 AMINOFILIN INJ TAB 0 0
21 AMITRIPTILIN 25mg TAB 1506 0
22 AMLODIPIN 10 mg TAB 345 28
23 AMLODIPIN 5 MG TAB 925 1247
24 AMOXICILLIN 500mg BTL 50 0
25 AMOXICILLIN FORTE SIRUP TAB 730 0
26 AMOXICILLIN SYR TAB 948 26
27 ANTALGIN 500mg BTL 50 18
28 ANTASID SUPP 21 442
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

29 ANTASIDA SYR AMP 0 5

30 ANTIHEMOROID SUPP BTL 0 0
31 ANTRAIN INJ TAB 460 0
32 AQUA PRO INJ TAB 0 0
33 ASAM ASCORBAT 50mg TAB 145 0
34 ASAM ASKORBAT 500mg TAB 397 0
35 ASAM FOLAT 100mg AMP 0 30
36 ASAM MEFENAMAT 500mg BTL 10 63
37 ASAM TRANEKSAMAT 500mg TUBE 0 0
38 ASAM TRANEKSAMAT INJ BTL 0 0
39 ATROPIN INJ TAB 357 5
40 BABY COUGH SYR TUBE 34 #REF!
41 BACITRACIN TUBE 0 0
42 BAYCLIN TUBE 5 0
43 BETAHISTIN TAB 217 153
44 BETAMETASON 0,1% SUPP 0 3
45 BETASON N CREAM BTL 0 0
46 BEVALEX CREAM TAB 105 0
47 BIOPLACENTON AMP 0 0
48 BISACODYL SUPP/ dulcolax supp TUBE 0 0
49 BISOPROLOL 5mg TUBE 0 56
50 BORAX GLISERIN/GOM BTL 0 0
51 BROMHEXIN 8mg TAB 207 44
52 BROMHEXIN SIRUP TAB 145 1
53 BURNAZINE CREAM BTL 2 0
54 BUSCOPAN INJ BTL 3 0
55 CA GLUCONAS KAPS 150 0
56 CALADIN POWDER BTL 50 0
57 CALADINE LOTION KAPS 10 0
58 CALLUSOL BTL 0 28
59 CAPTOPRIL 12,5mg BTL 5 0
60 CAPTOPRIL 25mg BTL 98 2
61 CATARLENT TM BTL 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

62 CAVIPLEX SYR BTL 0 2

63 CAZETIN DROP BTL 0 0
64 CEFADROXIL 500mg BTL 4 0
65 CEFADROXIL SYR TUBE 0 0
66 CEFIXIM BTL 0 0
67 CENDO ASTENOF TAB 31 0
68 CENDO AUGENTONIC TAB 0 23
69 CENDO CENFRESH AMP 0 0
70 CENDO HOMATROPIN TAB 70 0
71 CENDO TROPIN 0,5% KAPS 50 0
72 CENDO TROPIN 1% KAPS 130 0
73 CENDO VITROLENTA TAB 0 0
74 CENDO XITROL SM TAB 33 0
75 CENDO XITROL TM BTL 0 84
76 CETIRIZIN TAB 671 4
77 CETIRIZIN SIRUP TAB 363 0
78 CIMETIDIN 200mg AMP 0 0
79 CIMETIDIN INJ /ULSIKUR INJ TAB 2034 20
80 CIPROFLOXACIN 500mg TAB 85 0
81 CLINDAMICYN 150mg TAB 100 0
82 CLINDAMICYN 300mg SUPP 0 0
83 CLOBAZAM 10mg AMP 0 0
84 CODEIN 10 MG TAB 0 176
85 DEMACOLIN TAB 0 27
86 DEXAMETASON 0,5mg TAB 330 0
87 DEXAMETASON INJ BTL 23 113
88 DEXTRAL TAB 0 9
89 DIAZEPAM 2mg TAB 0 0
90 DIAZEPAM 5mg AMP 0 0
91 DIAZEPAM INJ TAB 0 0
92 DIAZEPAM RECTAL 5 mg/STESOLID TAB 100 0
93 DIFENHIDRAMINJ INJ BTL 5 0
94 DIGOXIN 0,25mg BTL 0 54
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

95 DIMENHIDRINAT BTL 0 2
96 DOMPERIDON TAB 200 0
97 DOMPERIDON SYR TAB 0 0
98 DULKOLAC TAB AMP 0 0
99 DUVADILAN TAB BTL 1 0
100 EFEDRIN 25mg AMP 0 0
101 EPINEFRIN INJ TAB 8 0
102 ERGOTAMIN MALEAT TAB 80 0
103 ERYTROMICIN 500mg SACH 240 0
104 ERYTROMICIN SYR 125mg/5ml KAPS 109 0
105 ETAKRIDIN (REVANOL) TAB 0 69
106 ETHYL CHLORIDE TUBE 3 0
107 FASIDOL FORTE BTL 3 0
108 FENOBARBITAL 30mg BTL 9 0
109 FENOBARBITAL INJ BTL 0 0
110 FENOL GLISEROL 10% TT TAB 0 0
111 FITOMENADION (VIT K) INJ TAB 101 7
112 FITOMENADION (VIT K) TAB TAB 337 84
113 FUROSEMID 40mg TAB 0 0
114 GARAM ORALIT 200ml TAB 1000 0
115 GEMFIBROZIL 300mg BTL 0 1
116 GEMFIBROZIL 600 mg BTL 0 0
117 GENTAMICIN SK TAB 0 2
118 GENTAMICIN SM/GENOINT SM BTL 0 0
119 GENTAMICIN TM AMP 0 0
120 GENTIAN VIOLET 1% TAB 0 17
121 GLAUCON TAB 0 161
122 GLIBENKLAMID 5mg TAB 0 0
123 GLIMEPIRID 2mg BTL 0 210
124 GLIMEPIRID 4 MG TAB 49 0
125 GLISERIL GUAIAKOLAT TUBE 18 0
126 GLUKOSA 10% TAB 0 0
127 GLUKOSA 5% TAB 311 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

128 GRANTUSIF POT 0 0

129 GRISEOVULVIN 125mg TAB 86 0
130 H2O2 3% TAB 0 0
131 HALDOL INJ BTL 50 0
132 HALOPERIDOL 0,5mg TAB 942 0
133 HALOPERIDOL 1,5 mg TAB 406 #REF!
134 HALOPERIDOL 5mg TAB 100 0
135 HIBISCRUP TAB 173 0
136 HIDROCORTISON 1% TUBE 33 0
137 HIDROKLORPOTIAZID (HCT) TAB 632 0
138 HIDROKORTISON KRIM 2% TUBE 19 #REF!
139 IBUPROFEN 200mg BTL 7 0
140 IBUPROFEN 400mg TAB 120 27
141 IBUPROFEN SIRUP BTL 50 0
142 ICHTIOL SALP BTL 7 0
143 ISDN 5mg BTL 0 #REF!
144 ISONIAZIDE 100 mg TAB 0 #REF!
145 KALIUM DIKLOFENAK 50mg TAB 0 0
146 KALSIUM LAKTAT /KALK TAB 180 0
147 KARMABAZEPIN 200mg BTL 43 #REF!
148 KETOKENAZOL 200mg SACH 70 #REF!
149 KETOKONAZOL CREAM AMP 0 #REF!
150 KETOROLAC INJ AMP 0 #REF!
151 KHLORPHENIRAMIN MALEAT (CTM)4mg TAB 0 48
152 KLORAMFENIKOL SM TAB 196 253
153 KLORAMFENIKOL TM BTL 4 #REF!
154 KLORAMFENIKOL 250mg TAB 191 0
155 KLORAMFENIKOL SYR TAB 778 #REF!
156 KLORAMFENIKOL TT TAB 126 #REF!
157 KLORIN TAB 100 #REF!
158 KLORPROMAZIN 100mg AMP 0 #REF!
159 KLORPROMAZIN HCL INJ 5mg/2ml BTL 0 #REF!
160 KOTRIMOXAZOL 480mg TAB 75 14
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

161 KOTRIMOXAZOL SUSP TAB 101 1

162 KSR BTL 0 31
163 LACTO B TUBE 8 0
164 LANSOPRAZOLE SACH 0 0
165 LEXAVIT AMP 0 0
166 LIDOCAIN 2% TAB 293 0
167 LIDOCAIN COMP BTL 57 2
168 LITROL TM TAB 851 0
169 LOPERAMID 2mg TUBE 17 0
170 LORATADIN 10mg TAB 1125 0
171 LYTEER TM BTL 0 20
172 MELOXICAM 15mg TAB 186 2
173 MELOXICAM 7,5mg BTL 10 0
174 METFORMIN 500mg TAB 100 6
175 METHILPREDNISOLON 4mg TAB 0 3
176 METHYLPREDNISOLON INJ 125mg TAB 100 0
177 METOKLORPRAMID 10mg TAB 0 0
178 METOKLORPRAMID INJ BTL 8 0
179 METOKLORPRAMID SYR BTL 0 #REF!
180 METRONIDAZOl 500mg TUBE 0 0
181 METYLERGOMETRIN MALEAT 125mg TAB 144 10
182 MgSO4 20% BTL 0 1
183 MIDRIASIL TM TUBE 0 #REF!
184 MIKONAZOL cr AMP 0 0
185 MINERAL MIX TAB 0 0
186 MODEKATE INJ BTL 0 882
187 MOLAGIT TAB 0 0
188 MOLANEURON TAB 1589 0
189 MYTADERM SALP BTL 21 0
190 NACl INFUS BTL 24 0
191 NATRIUM DIKLOFENAK 50mg TAB 5 0
192 NEOKAOMINAL SYR TAB 0 0
193 NIFEDIPIN 10mg TAB 0 0
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

194 NISTATIN 100.000 TAB VAG TAB 0 5

195 NISTATIN 500.000 TAB TAB 22 0
196 NORIT TAB 0 0
197 OBH SYR BTL 0 119
198 OBP SYR BTL 0 255
199 OKSITETRASIKLIN SK TAB 0 1
200 OMEPRAZOL 20mg TAB 0 1
201 ONDANSENTRON INJ AMP 0 55
202 OTTOPAIN TT TAB 0 0
203 OXITETRASIKLIN SM AMP 0 0
204 OXITOCIN INJ TAB 0 54
205 PANTOCAIN TM TAB 0 #REF!
206 PAPAVERIN HCL 40mg BTL 0 2
207 PARACETAMOL DROP TAB 0 0
208 PARASETAMOL 500mg BIJI 0 0
209 PARASETAMOL SYR 120mg/5ml TAB 23 0
210 PEDITOK TAB 120 0
211 PHENITOIN 100mg POT 99 4
212 PIRACETAM 400mg POT 17 0
213 PIRANTEL 125mg POT 0 0
214 PIRIDOKSIN 10mg/VIT B6 KTK 0 30
215 PIROXICAM 10mg TUBE 22 0
216 PIROXICAM 20mg TAB 0 0
217 POVIDON IODIUM 10% 300ml TAB 0 0
218 POVIDON IODIUM 10% 30ml BTL 460 0
219 PREDNISON 5mg TAB 11 0
220 PRENAMIA BTL 198 29
221 PROPANOLOL 40mg TAB 0 588
222 PULMICORT RESPULES TAB 487 4
223 RANITIDIN 150mg TAB 97 1
224 RANITIDIN INJ BTL 606 0
225 RECOVIT SYR BTL 19 0
226 RETINOL (VIT A) 100.000 IU AMP 0 0
227 RETINOL (VIT A) 200.000 IU TAB 0 27
 STOK PENERI PERSE PEMA SISA PEMBERIAN

NO NAMA OBAT/ALKES SAT PERMINTA PEMBERIA Expired No Batch PKD

AWAL MAAN DIAAN KAIAN STOK AN N Date PKD PKD 2017 DANA PKDN PKD 2018 BMHP BLUD BSP
DAU 2017

228 RINGER LAKTAT TAB 0 0

229 RISPERIDON 2mg BTL 100 0
230 SABUN HIJAU AMP 0 #REF!
231 SALBUTAMOL 2mg TAB 0 0
232 SALBUTAMOL 4mg TAB 921 0
233 SALEP 2-4 TAB 287 0
234 SALEP 88 BTL 770 0
235 SALEP WF TAB 0 0
236 SALISIL BEDAK 2% AMP 0 0
237 SCABICID CREAM BTL 0 0
238 SIANOCOBALAMIN 50mg (VIT B12) TUBE 9 0
239 SIKZONOATE INJ TAB 8 0
240 SIMVASTATIN 10mg TAB 0 0
241 SIRUP INDRA BTL 0 0
242 SPASMINAL TAB BTL 0 0
243 STESOLID SUPP 5mg TAB 0 2
244 SULFASETAMID TM TAB 0 36
245 TABLET TAMBAH DARAH /FE KAPS 0 0
246 THIAMFENIKOL 500mg BTL 85 0
247 THIAMIN HCL 50mg (VIT B1) BTL 55 0
248 THIAMPHENIKOL SYR TAB 2 0
249 TIMOLOL 0,5% TM/OPHTYL TM BTL 0 100 100 4
250 TRANSAMIN INJ AMP 0 20 20 0
251 TRIFLORPEARZIN 5mg/STELLAZIN AMP 0 0 0 0
252 TRIHEXIPHENIDIL 2mg AMP 0 0 0 0
253 TRIVEXAN SYR AMP 0 0 0 #REF!
254 TRUVIT DROP AMP 0 0 0 56
255 VALVED BTL 0 0 0 2
256 VENTOLIN NEBULIZER VIAL 0 0 0 30
257 VITAMIN B KOMPLEX AMP 0 0 0 #REF!
258 ZINC 20 mg TUBE 0 0 0 #REF!
259 ZINC SYR BTL 0 0 0 0
260 ZINC SYRUP BTL 0 150

NB: JUMLAH RESEP TOTAL= 312

N DAN LEMBAR PERMINTAAN OBAT
UNIT PELAYANAN

: JANUARI 2020
: FEBRUARI 2020

KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 KET
APBD 2019
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
SUB UNIT PELAYANAN

PUSKESMAS WATES PELAPORAN BULAN : JANUARI 2020

PELAYANAN PUSTU BANCANG PERMINTAAN BULAN : FEBRUARI 2020

STOK PENERI PERSE PEMA SISA PERMINTAA PEMBERIAN PEMBERIAN

NO NAMA OBAT/ALKES SAT
N KET
AWAL MAAN DIAAN KAIAN STOK PKD 2018 PKD 2019 BMHP BSP PKDN BLUD
1 BAND AID / HANSAPLAST KTK 0 0 0 0
2 KASA KOMPRES 40/40 STERIL LBR 0 0 0 0
3 KASA 4X5 ROL 0 0 0 0
4 KASA 16x16 STERIL ROL 0 0 0 0
5 KASA HIDROFIL 4x15 LBR 0 0 0 0
6 MASKER +tali BIJI 0 100 100 0
7 PLESTER 5YARDx 2 INCH ROL 0 0 0 0
8 SPUIT 3 CC BIJI 0 0 0 0
9 TISSUE GYNAEC ROL 0 0 4 0
10 LOEMATUL BIJI 0 0 0 0
11 KASA 40X80 ROL 0 0 0 0
12 HANDSCON GYNAE KTK 0 0 0 0
13 SPUIT 5 CC BIJI 0 0 0 0
14 HYPAVIX 10 X 5 KTK 0 0 0 0
15 HANDSCON L / M / S / XS KTK 0 0 0 0
16 NEEDLE 23 G PAC 0 0 0 0
17 SILK BIJI 0 0 0 0
18 ULTRAVIT 5X5 ROL 0 0 0 0
19 KAPAS PEMBALUT 250 BIJI 0 0 0 0
20 IV CATH NO 18 BIJI 0 0 0 0
21 IV CATH NO 20 BIJI 0 0 0 0
22 IV CATH NO 22 BIJI 0 0 0 0
23 IV CATH NO 24 BIJI 0 2 2 0
24 INFUSET DEWASA BIJI 0 0 0 0
25 INFUSET ANAK BIJI
26 ASEPTIC GEL BIJI 0 0 0 0

MOJOKERTO,10 FEBRUARI 2020

MENGETAHUI/MENYETUJUI
An.KEPALA UPT. PUSKESMAS WATES APOTEKER PENANGGUNG JAWAB PETUGAS GUDANG PENANGGUNG JAWAB YANG MELAPOR
DINAS KESEHATAN KOTA MOJOKERTO UPT.PUSKESMAS WATES UPT.PUSKESMAS WATES PUSTU BANCANG