Professional Documents
Culture Documents
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol 1 1 1
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul 1
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 9
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube 1 1 1
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 2 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul 6
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 6
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol 1 1
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube 1 1
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 8 8
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul 6 6
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 1 1 1
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet 2
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
oksigen
8 9 10 11 12 13 14 15 16 17 18 19 20
nova retno tri frida dika ahmad sumini lagiyanto nova wagiyem KO
10
6 6 6 6
10
1
1
6
14
4
6 6
6 10
1
8 8 8 6 12 10
6 12 6
6 6
3 3
1 1 7 6
1
8
1
150
25
2
40
1 1 1 1
3 2 3
1 2
30
1
30
1
2
60
1
41
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
3
16
1
0
0
0
0
0
36
0
0
3
0
19
6
2
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
1
32
0
0
0
0
0
0
0
0
0
0
14
0
4
0
0
6
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
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
46
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
3
0
2
0
0
2
0
0
1
0
84
0
0
0
30
24
0
0
0
0
6
0
0
0
0
0
0
0
6
0
0
0
0
15
0
0
0
0
0
0
0
0
4
6
14
0
0
0
0
0
0
0
0
0
0
0
6
0
2
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
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
150
25
0
0
0
0
2
40
0
4
0
8
3
0
30
1
0
0
30
0
1
2
0
0
0
60
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
41
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 9
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 9
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol 1 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 2
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 8 4 8
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
riskita dwi aulia reva suryanto sri muklis ika fitri eko sonto kasinem firdani
6 12
3 9 9 14
9
6 6 8
1 1 1
6
3 6 2
6 8
6
3 2
10 13
2
1 1
8
2
1 1
6 2 6 6 9
11
6 6
1 1
2 4 6 4 2
6
1 1
6
6 6
1
6
4 4 4 4
1
1 1 1 1 1
2 3 2 3
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
suwarti
18
1
6
12
12
4
1
4
1
2
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
24
0
4
0
0
0
0
62
0
1
0
0
18
26
7
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
29
0
0
0
14
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
2
0
0
0
0
0
0
0
6
23
0
0
0
0
0
0
0
0
38
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
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
2
0
77
0
11
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
22
6
0
0
0
0
0
0
0
3
6
16
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
6
1
6
0
0
0
0
32
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
4
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
6
0
12
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 9 9
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 9
19 Antasida Doen tab Tablet 6 6 6
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul 6
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube 1 1
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube 1 1
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 8 8 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul 6 6 6
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 1 1 1
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 4 4
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6 6 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet 6 6
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
sanem vino sesya ramadani ranti
4
6 6
4 6 6
4 6
6 4 6 6
1
2
1
2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
6
0
0
0
6
0
0
27
0
1
0
0
9
22
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
6
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
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46
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
60
0
0
0
0
18
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
3
0
8
0
0
0
0
0
0
0
0
0
0
0
24
0
12
0
0
0
24
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
1
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 4 9 9
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 9
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 4 3
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 4 6 6 3
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1 1 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul 6 6
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet 4 3
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
painem sri dina puji karto semi vino suginem joyo kiki sati satiyem sukarno
9 9 9 9 10 9
6 19
6 6 12 10 6 12
1 1 1 1 1 1 1 1
1
6 6 6 6
6 10
6 18
6 6 10 8
12
4
8
1 1
8 8 6 6 6 8 16 14
6 6
1 3 4
9 3 1 1 3 3 6 6 5
6 12 6
4 10
6 6 6 6 6 6
6 6 6 6
1 1
6
8 4
1
1 1 1 1 1 1 1 1
2 2 3 2 1 2 2 3
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
joyo
6
1
5
13
1
1
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
6
0
4
0
1
77
0
0
1
0
34
64
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
36
0
0
0
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
37
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
12
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
8
0
0
5
0
94
0
8
0
12
18
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
42
13
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
14
0
36
0
7
0
0
0
24
2
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
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
1
9
0
18
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 9 2 10
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul 1
38 Deksametason tab 0,5 mg Tablet 6 2
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 10
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube 1 1
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6 6 6 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 8 14
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6 6
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
fauzan efan ardan ika novita ratno andika indri asnur meisya parmi saliyo
9 9 9 9
1
3
6
6 6 6 6
1
6
6 2 6 7 6 6
6
6 6 6 6
6 6 6 6
6 12 6 10
10
2
6 2 6 6 6 14 12 12
11 3 5
8 12 14
6 6 6 6
10
1 1 1
2 1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
8
0
12
0
0
0
0
0
0
57
0
1
3
0
6
24
1
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
1
41
0
0
0
6
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
24
0
0
0
0
0
0
0
2
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
64
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
2
0
0
2
0
102
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
0
12
34
0
0
0
0
0
0
0
0
0
7
0
36
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
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
3
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
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0
0
0
0
0
0
0
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0
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0
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0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6 9
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul 1
38 Deksametason tab 0,5 mg Tablet 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet 6
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet 6 6 6
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet 4
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6 6 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
darmo salma
6 6
1
6
6
6 6
4
3
6
6
1
2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
18
0
0
0
6
0
0
30
0
0
0
0
23
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
12
0
0
0
0
0
0
0
0
0
0
6
0
0
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0
0
0
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6
0
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12
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0
0
18
0
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0
0
0
0
0
30
0
0
0
0
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0
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0
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0
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0
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4
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36
0
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6
0
0
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0
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0
0
0
0
0
4
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
6
0
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0
0
0
6
0
30
0
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0
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0
0
0
0
0
0
0
0
4
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
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
0
0
0
0
0
0
0
0
0
0
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
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0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol 1
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 6 6 6 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul 6
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet 6
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 3 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 8 8 8 8
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
antena jarwanto aisyah wakinah samiyem pawiro
1
14
8
6 6 6
9
1
6 6 6 6
9
2
6 2
1 1
8
1
6 15
5 2 4
6
6
6
4
1 1 1
2 1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
2
14
0
6
0
0
0
0
8
0
1
0
0
8
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
1
48
0
0
0
9
0
0
7
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
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
4
0
0
2
0
61
0
0
0
6
0
0
0
0
0
6
0
0
0
0
0
0
0
4
0
0
0
0
11
6
0
0
0
0
0
0
0
0
6
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
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
3
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol 1
6 Ambroxol tab Tablet 12
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 9
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial 3
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 12 6
19 Antasida Doen tab Tablet 6 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol 1
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 4
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet 6
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet 6 6 6
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6 6 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul 2
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 2
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4 6
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 8 4 8 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 4
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 6 4
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 4 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 3
18 IV Cateter No. 24 ( Anak ) Biji 2
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
marambu umi sumarni arif kaniman
9 6 8
6 6 6 6
1 1 1
4
6
4
1
6
6
4 4
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
12
0
0
0
0
0
0
32
0
1
3
0
42
12
3
0
0
0
0
0
4
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
1
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
6
0
18
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
2
0
0
0
2
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
10
0
0
1
0
32
0
0
0
12
0
0
0
0
0
6
0
0
0
0
0
0
0
4
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
16
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
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
2
0
3
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial 1
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 6 6
20 Antasida sirup Botol 1 1 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol 1
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul 6
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 10
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet 6 6 6
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 10 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 1 2 1
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 6 8 4
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 10 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 10
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 4 4
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 3 6 4 5
182 Salbutamol tab 2 mg Tablet 6
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul 6
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 2
18 IV Cateter No. 24 ( Anak ) Biji 2 3 3
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
julva saminem siti slamet aida rebi suradi refa stria alifia anisa poni ardan
4 6 6 2 6 6 3 4 6 6
1 1
6 4
4 6 2 6 3 2 4 6
6
2 3 2 6 6
4 6 3 4 6
1
1 1 1
4 3 3 6 6
6
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
lia
6
4
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
12
0
0
0
0
0
0
55
0
2
1
0
6
16
4
0
0
0
0
0
10
0
0
0
0
0
0
0
12
0
0
0
51
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
35
0
0
0
0
0
0
0
0
0
0
24
0
0
0
6
6
0
0
0
0
0
0
0
0
51
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
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
4
0
0
4
0
44
0
0
0
6
0
0
0
0
0
16
0
0
0
0
0
0
0
8
0
0
0
0
18
10
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
6
0
6
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
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
3
0
2
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 12
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet 6
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 10 12
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol 1 1 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 12 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 7 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 10 4
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 10 12
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 4 2 4 4
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 12 12 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet 12
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 3 2 2 2
18 IV Cateter No. 24 ( Anak ) Biji 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
riski muqit sutiyem satinah rizal alviatus ika
1 1
4 6
6
6 4
4
4 6
6
6 6 6 1 4
6
6
4 6 6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
12
0
0
0
6
0
0
6
0
3
0
0
22
16
4
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
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
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
24
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
1
0
45
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
14
0
0
0
0
0
0
0
0
0
6
46
0
0
0
0
0
0
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
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
4
0
9
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet 10
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 12
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 8 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial 2
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 6 1 4
20 Antasida sirup Botol 1 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 6 4 4
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 8
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 10
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 12
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol 12
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 10
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 5
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 12 6 4 4
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 14
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 4
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 4 2 3 2 4
182 Salbutamol tab 2 mg Tablet 10
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6 10 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul 6
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 2 2 2 3
18 IV Cateter No. 24 ( Anak ) Biji 1 1 1 2
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
wahyuni catur suparni sri melani pawiro adila harti
6 8
6 6
6
6 4
1
4 6
10
6 6 6
6
1
6 6 4 6
6
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
10
0
12
0
0
0
6
0
0
22
0
2
2
0
14
23
3
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
42
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
1
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
10
0
0
0
10
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
12
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
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
2
0
48
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
15
10
0
0
0
0
0
0
0
0
6
22
0
0
0
0
0
0
0
0
0
6
0
6
0
0
0
0
0
0
0
0
0
13
0
0
6
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
5
0
9
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 10
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial 3
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6 15
19 Antasida Doen tab Tablet 1 1
20 Antasida sirup Botol 1 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 1
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet 6
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 6 4 1
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 8 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet 1
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 4 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 8
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6 12
163 Piroksikam tab 10 mg Kapsul 4
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 4
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 4
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 2 2 1 4 4 4 1
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol 1 1
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji 1 1 1 1 1
14 Infus Set dewasa Biji 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 2 1 1 2 1
18 IV Cateter No. 24 ( Anak ) Biji 1 1 2 2 1 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
paidi
10
11
9
8
6
16
6
9
1
2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
6
0
21
13
3
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
24
0
0
0
0
0
0
6
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
0
14
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
40
0
0
0
18
4
0
0
0
0
4
0
0
0
0
0
0
0
4
0
0
0
0
24
0
0
2
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
6
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
5
3
0
10
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 8 8
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 10
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet 4 2
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 2 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol 1
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 10
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 4
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 10 10 6 2 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 2 3 4
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul 6
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 2
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1 1
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
aurania joyo suparti karni bintang retno sugino tri warsono suci
10 6
6 6 6
6
6
4
6 6 6 6
6
6
6 6 6 6 6
8
6
1
6 8 6 6 8 6 6
10
6 6
6 6
4
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
22
0
0
0
0
0
0
34
0
0
0
0
6
6
2
0
0
0
0
0
0
0
0
0
4
0
0
0
10
0
0
0
24
0
0
0
6
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
20
0
0
0
0
0
0
0
0
0
0
6
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
1
0
8
0
0
0
0
0
0
10
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
1
0
0
0
4
0
0
0
0
80
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
2
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
6
0
14
0
0
0
0
0
18
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
1
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
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol 1
6 Ambroxol tab Tablet 12 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 4 7 10
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet 6
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 9
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 1
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 12 7 7
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 6
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol 1
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 12 15 10 15
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 4
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2 1 1 1
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 4 6 4 5 3 6 2
182 Salbutamol tab 2 mg Tablet 2
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 12 6 10
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul 6
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji 1
14 Infus Set dewasa Biji 1 1 1 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 2 2 1 2 1 1
18 IV Cateter No. 24 ( Anak ) Biji 1 1 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
rama sinah tri giyem paimin jarot sri mardinem huda marinem ika sifa aga
6 6
6 6 2 6
6 6
6 6 6 6 2 6 2 6
1
6
4
6 2
6 2 6 6
1 1 1
6 6
6
1
4 6 6 6 6 6
6 2 6
4
3 2
4
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
30
0
0
0
0
0
0
41
0
0
0
0
12
40
3
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
6
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
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
35
0
0
0
0
0
0
0
0
0
0
0
3
0
12
0
6
0
0
1
0
32
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
2
0
0
0
0
4
0
0
1
0
86
0
0
0
14
0
0
0
0
0
4
0
0
0
0
0
0
0
5
0
0
0
0
30
2
0
0
0
0
0
0
0
0
0
32
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
2
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
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
6
0
9
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6 4 12
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet 8
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 10 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6
19 Antasida Doen tab Tablet 12 6
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul 3
38 Deksametason tab 0,5 mg Tablet 6 6 6 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet 6
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet 8
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet 8
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet 6
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 1 1
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 6
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 2
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 12 16 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2 2 3
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 4 2 6 6 3 3 3
182 Salbutamol tab 2 mg Tablet 6 2
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 9 16 6 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji 1
14 Infus Set dewasa Biji 1 1 1 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 2 2 2
18 IV Cateter No. 24 ( Anak ) Biji 2 1 2 1 2 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
subardi desi yusuf sukartini setu marsudi jumadi anase aqila siti suwoyo semiyati ati
3 6 6 6 2 6
6 6 6 6 6
3 6
6
6 6 6 6 6
10
2 2 6
6 6
2 2 2 6
10
2
1
6 6 3 2 10 6
2 1
6
10
6
4 4
1
1 1
3 2
1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
mada
3
3
1
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
22
0
8
0
0
0
0
45
0
1
0
0
36
27
2
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
3
69
0
0
0
6
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
8
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
4
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
4
0
91
0
6
0
12
0
0
0
0
0
2
0
0
0
0
0
0
0
7
0
0
0
0
30
8
0
0
0
0
0
0
0
0
6
37
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
10
2
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
20
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
1
8
0
12
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6 6 14
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet 6
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 10
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 12 12
19 Antasida Doen tab Tablet 6 20 6
20 Antasida sirup Botol 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 6 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet 4
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet 4
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet 6
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 1
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 6
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 6 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 4 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 3
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 1
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 2 1 7 5 6
182 Salbutamol tab 2 mg Tablet 8
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6 6 15
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul 6
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 3
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1 1 1
18 IV Cateter No. 24 ( Anak ) Biji 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
ika okta eca prasetyo suprapti jarwo juminem mardi hadi endang
6 6 6 6 6 6
6 6 6
6 6 6
6 4 6 6 6 6 6 6 6
1
4 6 6
6 4 6
6
6 4 6 6 6 6
6
6
4
4 4 4
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
26
0
6
0
0
0
0
46
0
1
0
0
42
50
1
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
94
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
4
0
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
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
1
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
4
0
0
13
0
50
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
21
8
0
0
0
0
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
6
0
15
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
16
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
5
0
4
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet 3
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial 6
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 10
19 Antasida Doen tab Tablet 7
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 20 6 6 6 2
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 4 6 2 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6 6
91 Kaptopril tab 25 mg Tablet 6
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6 2
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 6
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 4
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 10 6 6 6 2 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 1
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 11 3 5
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1
18 IV Cateter No. 24 ( Anak ) Biji 2
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
rifai
6
9
1
1
6
16
6 6
10
16
1
1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
3
0
6
12
0
2
0
0
16
16
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
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
24
0
0
0
0
0
0
0
0
16
0
0
0
0
0
12
6
0
0
0
0
0
0
0
0
20
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
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
29
0
0
0
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
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
4
0
3
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 2 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6
19 Antasida Doen tab Tablet 6 4 6
20 Antasida sirup Botol 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet 6
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul 6
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 2
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 2
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 4
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol 1
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 4 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6 2
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 2 2 3
182 Salbutamol tab 2 mg Tablet 6
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 1
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 4
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1
18 IV Cateter No. 24 ( Anak ) Biji 1 2 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
parinem afda setu alvini asih parti sofyan alimusa sutarni retno nur tri
6 6
6 3 6
6 6 6
6 6 6 6 3
6 4 6 6 6 3 3 6
6 3
6 6 3 3 3
6 4 3 6
1 1
4 6 6 6 3 6 6 6 6
6
4
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
24
0
0
0
0
0
0
29
0
0
0
0
24
43
1
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
40
0
0
0
6
0
0
0
0
0
0
10
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29
0
0
0
0
0
0
0
0
0
0
6
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
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
1
0
0
0
0
0
0
0
3
0
65
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
7
6
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
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
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
3
0
2
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet 10
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet 6
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 4
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 10
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 10
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 10
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 10 12 8 8 8
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul 4
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 1
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 5 5 4
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet 6 10
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1 1
18 IV Cateter No. 24 ( Anak ) Biji 2 2 2
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
10
0
0
0
0
0
6
0
0
6
0
0
0
0
0
4
2
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
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
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
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
46
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
14
0
0
0
0
0
0
0
0
0
6
16
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
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
3
0
3
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol 1
6 Ambroxol tab Tablet 4 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 2 4 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 4 6
19 Antasida Doen tab Tablet 4 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 2
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol 1
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul 1
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 4 4 8 8
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 2
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 1
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 8 2
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 2 2
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
rizal bilal yanti kana sainah jumiyem puji kaniman joko fatma rama abel amanah
6 6 6 6 4
6
6 6 6 6 6 6 6 4 2
6 6 6 4 2 6
6
1
8 6 6 6 6 4 6
6 6
6
6 6
6
1
4 4
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
sukadi surtini sukiman samiyem keila suwarni aditya ratna warsini
1
6 6
6 6
20
6 6
1 2
6
6 6 4
2
2 3
1
1
8 8 6 3 6
10
7
1
6 20
4
4
1
1
1
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
3
22
0
0
0
0
0
0
52
0
0
0
0
36
22
3
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
69
0
0
0
5
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
34
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
2
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
1
0
0
0
0
0
0
2
0
103
0
0
0
16
12
0
0
0
0
2
0
0
0
0
0
0
0
2
0
0
0
0
17
0
0
0
0
0
0
0
0
1
6
44
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
6
0
0
1
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
1
21
0
0
0
0
6
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
3
0
5
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 12 6 12
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6 6 3
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 3
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet 6
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 3 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 12 8
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet 8
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet 8
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 8 6
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet 6
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 10 8 9 3 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 5 3 3
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul 1
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6 11 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1 1 1
18 IV Cateter No. 24 ( Anak ) Biji 2 2 2
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
marsudi tawanto kolis novi
14
6
6
6
6
12
6 6
8
6
10
4
1
1
2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
6
0
0
0
0
0
0
12
0
1
0
0
0
44
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
0
0
0
0
0
3
0
0
0
0
0
0
0
0
6
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
8
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
54
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
0
1
0
29
0
0
0
0
0
0
0
0
0
10
0
6
0
0
0
0
0
18
0
0
0
0
0
0
4
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
4
0
4
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 10 6 4
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6 6
19 Antasida Doen tab Tablet 9 12 3 6 4 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 3 4
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 4 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 4
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 9 12 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 10
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 9 12 2 4
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 4 4 3
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji 1 1 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji 1 1 1
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
suwarno rebi aska dari sutinem ismanto gimin
6 6 6
6
6
6
6
6
6
6 6 3 6
4
6 6 3 12
4 5
6
3 6
4
6
1 1
1 1
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
38
0
0
0
0
18
46
0
0
0
0
0
0
6
0
0
0
0
0
0
0
6
0
0
0
13
0
0
0
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
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
54
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
4
0
0
0
0
54
0
0
0
0
0
0
0
0
0
3
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
6
0
6
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
4
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
2
3
0
2
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 4
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6
19 Antasida Doen tab Tablet 14
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 4
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 4
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 12
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet 3
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul 4
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 10 4
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 10
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul 2
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot 11 1
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 16
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji 1
14 Infus Set dewasa Biji 1
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji 1
18 IV Cateter No. 24 ( Anak ) Biji 4
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
jesika
6
6
6
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
6
14
0
0
0
0
0
0
4
0
0
0
0
0
0
0
4
0
0
0
6
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
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
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
4
0
0
1
0
26
0
0
0
10
0
0
0
0
0
6
0
0
0
0
0
0
0
2
0
0
0
0
12
0
0
0
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
5
0
0
0
0
0
0
0
0
0
0
0
0
0
1
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
1
1
0
1
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6 6
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 6
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet 4
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
reni karti jarwanto nuraini feri ramadani aji karno wasimin diana umri ari lien
1
18 10
4 6
6
15 6
6
2 6 6
6 5 6
1
6 6
2 6 6
6
1
6
1
6 6 4 6 6 12 6
2 1
13 7
1 1
3
16 8
6 10
6 6
6 6
1 1
1
2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
sri sani saka sudarto kanaya umprik
6 6 12
6 6
4
6
6
4
12
6 6 6 12
5
12
1
2
1
1
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
34
0
0
0
0
0
0
28
0
0
1
0
18
51
0
0
0
0
0
0
6
0
0
0
0
0
0
0
6
0
0
0
38
0
0
0
0
0
0
0
0
0
0
17
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
10
1
0
0
0
1
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
4
0
0
0
0
94
0
0
0
18
0
0
0
0
0
12
0
0
0
0
0
0
0
3
0
0
0
0
25
0
0
0
0
0
0
0
0
2
3
24
0
0
0
0
0
0
0
0
0
28
0
12
0
12
0
0
0
12
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
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
1
2
0
2
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet 6 2 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 2
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 6
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol 1
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 3
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 6
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6 3
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 6
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6 6 6 6 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet 6
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
sulastri nyami warsini wagimin arsya ngatini alviah sugito sayem broto imam afi dewi
1
6
6 6 6
6 6
6 6
6 6
6 2 6 6 6
6
6 6 6 6 6
6 2 6
1
6
6 2 6 6 6 6 6
6
1
6
4
6
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
12
0
4
0
0
0
0
24
0
2
0
0
12
26
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
6
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
14
0
0
0
0
1
0
0
0
0
0
0
0
0
6
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
1
0
59
0
0
0
6
6
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
1
6
6
0
0
0
0
0
0
0
0
0
0
0
6
0
6
0
0
0
0
0
6
0
0
0
0
8
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet 6
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol 1
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 2 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 2 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet 2
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet 6 6 6 6 6
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
handayanieris virga fadli rebo maridi
12
6 6 10
6 10
12 10
6
3
1
6 6
10
6
6
6 6 6 10
4 2
6
4
1 1
1
2 2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
18
0
0
0
0
0
0
34
0
0
0
0
16
22
2
0
0
0
0
0
6
0
0
0
6
0
0
0
3
0
0
1
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
20
0
0
0
0
0
0
0
0
10
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
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
1
0
42
0
0
0
2
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
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
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
2
0
1
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet 6
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol 1
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 10
19 Antasida Doen tab Tablet 6
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 4
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 4 6 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 4 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet 6 6
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
ramadani warinem suliyem anisa arjo jumiati arum paimin kasidi sarila sunarno
6 6
1 1
6 6 6
1 1 1 1
4 4
6 6
4 6 6 3 6 6 4
3 6 4
6
1
4 6 6 3 6 6
6 6 6 6 6 6
2 3 1 2 2 1 5
6 6
10 6 6
10
6 4
2
4
1 1 1 1 1 1 1
1 1 1 1
1 1 3 2 2 2 2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
1
6
0
4
0
0
0
0
18
0
3
0
0
10
24
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
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
51
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
0
0
0
0
0
0
0
0
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
1
0
49
0
0
0
6
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
12
22
0
0
0
0
0
0
0
0
0
10
0
6
0
10
0
0
0
6
0
6
1
0
0
0
2
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
7
0
4
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6 6 6
19 Antasida Doen tab Tablet
20 Antasida sirup Botol 1 1
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 6
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet 6
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet 4
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet 6
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol 1
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet 6
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
yolanda ranem erlangga rebi suparyo yuni kimtan fajar rebi jami senen misrawati rina
6 6 6
6 6
6
6 12
1 1 1 1 1 1 1
4
2 6
6
6 12 12
2 6 6
8 5 6
15
4
6 6 2 6 12 12 12 6
12
2 5 3 6 3
6 6
6 6 6 8 6
6 6 4
6
1
1 1 1 1 1
1 1
2 1 2 1 3
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
18
0
0
0
0
0
0
24
0
1
3
0
24
18
9
0
0
0
0
0
6
0
0
0
0
0
0
0
10
0
0
0
14
0
0
0
4
0
0
0
0
0
0
7
0
0
0
0
6
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
6
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
19
0
0
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
4
0
0
1
0
74
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
19
0
0
0
0
0
0
0
0
0
18
32
0
0
0
0
0
0
0
0
0
6
0
22
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
8
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
5
0
2
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet 6 6 6 6 6 6
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet 6
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet 6 6
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet 6
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet 6 6 6
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet 6 6
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet 6 6 6 6 6 6
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet 6
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
imam wagiman mulyani wiryo riminto novi rumanto
6 8
11
6 6
6
4
1
6 4
6 8
6
6
6 6 6 10 12
1 3
3 2 2 4 5
8
1
6
4 6
12
6 4
1
1
1
1 1 1 1 1
1 1 1 1
2 2 3 2 2
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
0
0
0
0
14
0
11
0
0
0
0
48
0
0
6
0
6
6
0
0
0
0
0
0
12
0
0
0
0
0
0
0
4
0
0
1
16
0
0
0
4
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
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
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
76
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
16
8
0
0
0
0
0
0
0
1
12
10
0
0
0
0
0
0
0
0
0
12
0
10
0
0
0
0
0
6
1
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
0
0
0
0
0
0
0
0
0
0
0
0
5
0
4
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
0
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
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0
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0
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0
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0
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0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
A Obat Generik
1 Acetosal 500 mg tab Tablet
Kotak 24
2 ACT tab
tab
3 Albendasol Tablet
4 Allopurinol 100 mg tab Tablet
5 Ambroxol sirup Botol
6 Ambroxol tab Tablet
7 Aminofilin inj. Ampul
8 Aminofilin tab 200 mg Tablet
9 Amitriptilin tab 25 mg Tablet
10 Amlodipin 5mg Tablet
Amoksisilin + As. Klavunalat 625
11 Tablet
mg
12 Amoksisilin injeksi Vial
13 Amoksisilin kab 500 mg Tablet
14 Amoksisilin kap 250 mg Kapsul
15 Amoksisilin Sirup 125 mg Botol
16 Ampisilin injeksi 1 gram Vial
17 Antalgin injeksi Ampul
18 Antalgin tab 500 mg Tablet
19 Antasida Doen tab Tablet
20 Antasida sirup Botol
21 Anti Bacteri Doen salep kulit Tube
22 Anti Hemoroid suppo Suppo
23 Antifungi Kombinasi salep kulit Pot
24 Artemeter inj 80 mg Ktk 6 amp
25 Artesunate Inj ktk 8 amp
26 Asam Askorbat tab 50 mg tab Tablet
27 Asam Mefenamat kap 500 mg Kaplet
28 Asam traneksamat inj 250 mg Ampul
29 Asiklovir salep kulit Tube
30 Asiklovir tab 200 mg Tablet
31 Atropin Sulfas inj Ampul
Benzatin Benzyl Penisilin Inj 2,4jt
32 Flacon
UI
33 Besi II Sulfat Tablet + asam folat Tablet
34 Betahistin mesilat tab Tablet
35 Betamethason salep kulit Tube
36 Bisakodil tab Tablet
37 Deksametason inj Ampul
38 Deksametason tab 0,5 mg Tablet
39 Dekstromethorpan sirup Botol
40 Dekstromethorpan tab Tablet
41 Diazepam inj. 5mg/2ml Ampul
42 Diazepam tab 2 mg Tablet
43 Diazepam tab 5 mg Tablet
44 Difenhydramin HCl inj Ampul
45 Digoxin tab 0,25 mg Tablet
46 Dimenhydrinat tab Tablet
47 Doksisiklin 100 Tablet
48 Domperidon suspensi Botol
49 Domperidon tab 10 mg Tablet
50 Efedrin tab 25 mg Tablet
51 Efinefrin ( Adrenalin inj ) Ampul
52 Ekstrak Belladon tab 10 mg Tablet
53 Erytromicin kap 250 mg Kapsul
54 Erytromicin kap 500 mg Kapsul
55 Erytromicin sirup Botol
56 Etakridin Lakt. ( Rivanol ) Botol
57 Ethambutol tab 250 mg Tablet
58 Fenitoin Na. kap 100 mg Kapsul
59 Fenobarbital inj 50mg/ml Ampul
60 Fenobarbital tab30 mg Tablet
61 Fenol Gliserol Botol
62 Fitomenadion inj Ampul
63 Fitomenadion tab 10 mg Tablet
64 Furosemide tab 40 mg Tablet
65 Furosemide injeksi Ampul
66 Gameksan salep kulit Tube
67 Garam Oralit 200ml Sak
68 Gentamicin tetes mata 0,3 % Botol
69 Gentamicin injeksi Ampul
70 Gentamisin salep kulit Tube
71 Gentian Violet Botol
72 Glibenklamide tab 5 mg Tablet
73 Gliseril guaiakolat tab Tablet
74 Glukonas kalsikus Ampul
75 Glukose 40 % larutan infus Ampul
76 Glukose 10 % larutan infus Ampul
77 Glukose 5 % larutan infus Flabot
78 Griseofulvin tab 125 mg Tablet
79 Haloperidol tab 0,5 mg Tablet
80 Haloperidol tab 1,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
81 Tablet
mg
82 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
83 Tablet
mg
84 Ibuprofen tab 200 mg Tablet
85 Ibuprofen tab 400 mg Tablet
86 Isoniazide tab ( INH ) Tablet
87 Isosorbid Dinitrat Tablet
88 Kalium Diklofenak 25 mg Tablet
89 Kalium Diklofenak 50 mg Tablet
90 Kalsium Laktat tab 500 mg Tablet
91 Kaptopril tab 25 mg Tablet
92 Karbamazepin tab 200 mg Tablet
93 Ketokonazole 200 mg Tablet
94 Ketokonazole krim tube
95 Ketoprofen inj Ampul
96 Kinina Dihydroklorid inj Ampul
97 Kinina HCl. Tab Tablet
98 Klobazam tab Tablet
99 Klonidin tab Tablet
100 Klorafeniramin ( CTM ) tab Tablet
101 Kloramfenikol inj Vial
102 Kloramfenikol salep mata 1 % Tube
103 Kloramfenikol sirup Botol
104 Kloramfenikol tetes mata 0,5 % Tube
105 Kloramfenikol tetes telinga Kapsul
106 Kloramfenikol kap 250 mg Botol
107 Klorokuin tab 150 mg Tablet
108 Klorpromasin injeksi Ampul
109 Klorpromasin tab 25 mg Tablet
110 Kontrasepsi implant set
111 Kontrasepsi inj depo prog 3 bln vial
112 Kotrimoksazol suspensi Botol
113 Kotrimoksazol tab 120 mg Tablet
114 Kotrimoksazol tab 480 mg Tablet
115 Lidokain comp injeksi Ampul
116 Loperamid Tablet
117 Mebendazol tab100 mg Tablet
118 Metformin 500 Tablet
119 Methoklopramide injeksi Ampul
120 Methoklopramide sirup Botol
121 Methoklopramide tab10 mg Tablet
122 Metilergomet injeksi 0,2 mg Ampul
123 Metilergomet tab 0,125 mg Tablet
124 Metilprednisolon 4 Tablet
125 Metronidazol inf Ampul
126 Metronidazol tab 250 mg Tablet
127 Metronidazol tab 500 mg Tablet
128 MgSO4 20 % Vial
129 MgSO4 40 % Vial
130 Mineral mix Sak
131 Misoprostol Tablet
132 Myconazol salep kulit Tube
133 Na tiroksin Tablet
134 Na. Bic. Tab 500 mg Tablet
135 Na. Cl. Infus Flabot
136 Natrium Dikofenak 50 Tablet
137 Natrium Tiosulfas inj Ampul
138 Nifedipin Tablet
139 O A T Anak Paket
140 O A T - FDC anak Paket
141 O A T - FDC kat 1 & 3 Paket
142 O A T - FDC kat 2 Paket
143 O A T - FDC sisipan Paket
144 O A T Katagori - 1 Paket
145 O A T Katagori - 2 Paket
146 O A T Katagori - 3 Paket
147 O A T Sisipan Paket
148 Obat Batuk Hitam sirup Botol
149 Oksitetrasiklin salep kulit 3 % Tube
150 Oksitetrasiklin salep mata Tube
151 Oksitetrasiklin 50mg/ml inj Flacon
152 Oksitocin 10mg/ml inj Ampul
153 Omeprazol kaps Kapsul
154 Papaverin inj Ampul
155 Papaverin tab 40 mg Tablet
156 Parasetamol sirup Botol
157 Parasetamol tab 100 mg Tablet
158 Parasetamol tab 500 mg Tablet
159 Perhidrol 2 % Botol
160 Piracetam 400 Kapsul
161 Pirazinamid tab 500 mg Tablet
162 Piridoksin tab 10 mg Tablet
163 Piroksikam tab 10 mg Kapsul
164 Piroksikam tab 20 mg Kapsul
165 Polykrusulen ( Albothyl ) Botol
166 Povidon Iodium 10% 30 ml Botol
167 Povidon Iodium 10% 300 ml Botol
168 Prednison tab 5 mg Tablet
169 Primakuin tab 15 mg Tablet
170 Proc. Pen. 3 juta inj Vial
171 Prokain Benzil Penisilin Vial
172 Propanolol tab 40 mg Tablet
Propylthioracil ( PTU ) tab 100
173 Tablet
mg
174 Pyrantel tab 125 mg Tablet
175 Ranitidine 150 mg Tablet
176 Ranitidine inj ampul
177 Reserpin tab 0,25 mg Tablet
178 Retinol 100.000 iu Kab Btl @50
179 Retinol 200.000 iu Kab Btl @50
180 Rifampisin kap 300 mg Kapsul
181 Ringer Laktat Infus Flabot
182 Salbutamol tab 2 mg Tablet
183 Salep 2 - 4 kombinasi Pot
184 Salysil bedak 2 % Botol
185 Sefadroksil 500 cps Kapsul
186 Sefotaxim 1g inj Vial
187 Seftriaxon inj Vial
188 Serum ABU 5 ml inj. Flacon
189 Serum ATS 1.500 iu inj Ampul
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul
Sianokobalamin tab ( Vit. B12 )
191 Tablet
tab
192 Simetidin tab Tablet
193 Simvastatin 10 Tablet
194 Siprofloxacin tab 500 mg Tablet
195 Streptomicin 1.500 mg inj Vial
196 Sulfacetamid tetes mata Botol
197 Sulfadimidin 500 mg tab Tablet
198 Sulfadoksin + Piritamin tab Tablet
199 Tetracyklin kap 250 mg Kapsul
200 Tetracyklin kap 500 mg Kapsul
201 Thiamin HCl / B1 tab 100 mg Tablet
202 Tiamfenikol kap 500 mg Kapsul
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul
204 Tiamin HCl / B1 Tab 50 mg Tablet
205 Triheksifenidil tab 2 mg Tablet
206 Vitamin B Komplek tab Tablet
207 Zink Tablet
C Obat Gigi
1 Air raksa dental use Botol
2 Bahan bonding botol
3 Bahan Etsa botol
4 Devitalisasi Pasta Botol
5 Etil Klorida semprot Botol
6 Eugenol sol Pot
7 Flour tablet Tablet
8 Glass Ionomer Cement Pot
9 Kalsium hydroksi pasta dos
Monokror Kamfer Menthol
10 Pot
( CHKM )
11 Mumiying Pasta Biji
12 Semen Seng Fosfat p+liq Botol
13 Silver Amalgam Botol
14 Solare Tube
15 Spons Gelatin Cubices Dos
16 Temp+Stopp Fletc p+liq Set
17 Trikresol Formalin ( TKF ) Botol
18 Yodium Gliserin Cc
D Alkes Pakai Habis
1 ADS 0,05 ml Biji
2 ADS 0,5 ml Biji
3 ADS 5 ml Biji
4 Alat suntik 1 ml Biji
5 Alat suntik 2,5 ml / 3ml Biji
6 Alat Suntik 5 ml Biji
7 Antiseptik/Bayclin Botol
8 Aqua Pro injeksi Flacon
9 Aquadest steril 500ml Botol
10 Cat Gut Biji
11 Etanol 70 % Botol
12 Hand Scoen Biji
13 Infus Set anak Biji
14 Infus Set dewasa Biji
15 IV Cateter No. 18 Biji
16 IV Cateter No. 20 ( Dewasa ) Biji
17 IV Cateter No. 22 ( Dewasa ) Biji
18 IV Cateter No. 24 ( Anak ) Biji
19 Jarum Bengkok / Jahit Biji
20 Jarum Suntik Biji
21 Kapas Adsorben 250 gr Roll
22 Kasa panjang 40 cmx80 yard Roll
23 Kasa Pemb 4 m x 10 cm Roll
24 Kasa Pemb Hydro 4 m x 15 cm Roll
25 Kasa Pemb Hydro 4 x 80 cm Biji
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
27 Biji
10%
28 Kasa uk 36 m x 80 cm Roll
29 Kertas Puyer Pak
30 Lisol Botol
31 Masker Biji
32 Masker N95 Biji
33 Mess Biji
34 Penjernih Air Cepat ( PAC ) Set
35 Plastik obat pak
36 Plester 5 yardx2inch Roll
37 Poly Cateter No. 14 Biji
38 Poly Cateter No. 16 Biji
39 Poly Cateter No. 18 Biji
40 Selang oksigen anak Biji
41 Selang Oksigen dws Biji
42 Silk Biji
43 Tranfusi set Biji
44 Urine Bag Biji
45 Wing Needle No 23 Biji
46 Wing Needle No 25 Biji
47 Pot dahak Biji
F Obat Tambahan
8 9 10 11 12 13 14 15 16 17 18 19 20
LAPORA
21 22 23 24 25 26 27 28 29 30 31 32 33
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JUNI 2014
Nama
34 35 36 37 38 39 40 41 42 43 44 45 46
47 48 49 50 51 52 53 54 55 56 57 58 59
60 61 62 63 64 65 66 67 68 69 70 71 72
Jumlah
73 74 75 76 77 78 79 80 81
Akhir
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
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0
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0
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0
0
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0
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0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
MARET 2016
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
TANGGAL
NO NAMA OBAT SAT Stok terima jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Awal
A Obat Generik
1 Acetosal 500 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotak 24
2 ACT tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
tab
3 Albendasol Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Asifit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 D 1/2NS Flabot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Flunarizin 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Neprolit Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C Obat Gigi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Solare Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Yodium Gliserin Cc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 ADS 5 ml Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Antiseptik/Bayclin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Etanol 70 % Botol 0 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Lisol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Masker Biji 50 25 75 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Mess Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Silk Biji 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TANGGAL
NO NAMA OBAT SAT Stok terima jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Awal
43 Tranfusi set Biji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Cholinesterase botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Oksigen m3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Poch-D box 5 lt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Reagen Zn Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
F Obat Tambahan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Oksigen 0 41 41 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
AN LEMBAR PERMINTAAN OBAT
USKESMAS
ARET 2016
0 0 0 0 0 0 0 0 0 0 0 0 0 T6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 28 122 0.00
3 0 0 0 1 1 0 1 0 0 0 0 13 8 0.00
22 6 0 0 34 12 18 6 18 14 0 0 412 19 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 23 0.00
0 0 0 0 0 4 0 4 0 11 0 0 49 14 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 37 60 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 7 61 0.00
52 12 38 10 28 24 34 18 24 48 0 0 913 224 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 1 0 0 0 2 0 3 1 0 0 0 23 16 0.00
0 0 0 0 1 0 0 0 3 6 0 0 29 28 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
36 0 18 6 18 12 16 10 24 6 0 0 504 165 0.00
22 44 46 14 51 26 22 24 18 6 0 0 723 100 0.00
3 0 0 0 0 0 2 4 9 0 0 0 70 14 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 6 4 6 14 6 0 6 12 0 0 86 11 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 4 2 0.00
0 0 0 0 0 0 6 0 0 0 0 0 10 65 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
12 0 6 4 6 0 3 0 10 4 0 0 122 66 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 16 0.00
0 0 0 0 0 0 1 0 0 1 0 0 11 16 0.00
69 27 13 6 38 26 0 12 14 16 0 0 909 309 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 26 0.00
5 0 0 0 0 0 0 0 4 4 0 0 70 30 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 21 0.00
0 0 0 0 0 0 0 0 0 0 0 0 13 62 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 15 0.00
16 0 16 12 17 12 0 12 7 14 0 0 264 77 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 77 0.00
0 0 0 0 0 0 0 0 0 0 0 0 4 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 6 0 0 6 0 0 0 57 103 0.00
0 0 0 0 1 1 1 0 0 0 0 0 6 18 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 42 0.00
0 0 0 6 0 0 0 0 0 0 0 0 20 68 0.00
0 0 0 0 0 0 0 0 0 6 0 0 25 107 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 4 0.00
0 0 0 0 4 0 0 0 0 0 0 0 12 66 0.00
34 3 10 6 18 39 20 51 30 24 0 0 553 581 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 68 0.00
0 0 0 0 0 0 0 0 0 0 0 0 5 3 0.00
0 6 0 0 0 0 10 0 0 0 0 0 45 30 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 82 97 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 37 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 0 6 12 0 0 0 6 0 0 0 136 139 0.00
4 0 0 0 0 0 0 0 0 0 0 0 67 145 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
11 15 54 6 26 14 24 29 14 12 0 0 805 960 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 3 0.00
0 0 0 0 0 1 0 0 0 0 0 0 1 4 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 12 43 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
2 0 0 0 0 0 0 0 0 0 0 0 6 18 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 20 10 0 10 6 0 18 0 0 0 0 128 100 0.00
0 0 0 0 1 0 0 0 0 0 0 0 4 42 0.00
0 8 0 3 0 0 0 0 0 0 0 0 23 55 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 198 0.00
1 0 0 0 1 0 0 0 0 0 0 0 18 53 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 9 0.00
0 14 0 0 5 0 6 0 19 0 0 0 138 33 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 6 0 0 15 0 0 0 21 41 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 26 0 0 22 0 0 0 0 0 0 0 106 182 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 1 0 0 0 0 0 0 0 7 8 0.00
1 0 0 0 0 0 0 0 0 0 0 0 2 4 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 7 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 4 4 4 0 0 0 4 0 0 0 79 91 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 0 0 0 0 0 0 0 0 0 0 6 60 0.00
2 0 0 1 0 1 1 1 1 0 0 0 48 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
103 54 54 26 94 59 42 49 74 76 0 0 1,820 333 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 25 159 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
16 6 0 10 18 6 2 6 12 0 0 0 267 233 0.00
12 0 0 0 0 6 0 0 0 0 0 0 86 42 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00
2 0 3 6 12 36 30 36 0 0 0 0 185 149 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
2 0 0 2 3 0 0 0 3 4 0 0 83 59 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
17 19 20 12 25 0 6 16 19 16 0 0 484 78 0.00
0 0 0 0 0 0 0 0 0 8 0 0 77 35 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
1 1 0 0 2 1 0 0 0 1 0 0 17 37 0.00
6 0 0 0 3 6 6 12 18 12 0 0 117 516 0.00
44 29 0 16 24 6 6 22 32 10 0 0 560 99 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 166 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 10 6 0 28 0 0 10 6 12 0 0 129 100 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
12 6 6 0 12 6 0 6 22 10 0 0 293 16 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 9 0 12 6 0 10 0 0 0 0 70 846 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 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 18 0 5 12 0 0 6 0 6 0 0 144 0 0.00
0 0 0 0 0 0 0 0 0 1 0 0 9 0 0.00
0 0 0 0 0 6 0 6 6 0 0 0 63 0 0.00
1 0 0 0 1 0 0 1 0 0 0 0 4 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 13 11 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
4 4 0 0 0 8 0 2 0 0 0 0 88 132 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 1 0 0 0 0 0 0 0 0 1 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
1 0 0 0 0 0 0 0 0 1 0 0 5 15 0.00
21 4 4 0 10 0 8 4 8 0 0 0 200 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 6 4 4 6 0 0 0 0 0 0 28 80 0.00
6 0 0 0 0 0 0 0 0 0 0 0 16 104 0.00
1 0 0 0 0 0 0 0 1 1 0 0 8 36 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 150 30 0.00
0 0 0 0 0 0 0 0 0 0 0 0 25 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 40 0 0.00
0 0 2 1 1 0 0 0 0 0 0 0 16 4 0.00
3 4 3 1 2 0 2 7 5 5 0 0 104 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
5 4 2 1 2 0 1 4 2 4 0 0 142 40 0.00
1 8 3 4 2 0 4 13 9 11 0 0 113 49 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 6 0.00
0 0 0 0 0 0 0 0 0 0 0 0 30 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 30 45 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0 2 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 60 15 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 5 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 1 5 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 1 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 7 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
TANGGAL Harga Jumlah
Jumlah
20 21 22 23 24 25 26 27 28 29 30 31 Stok Satuan Harga
Akhir Akhir ( Rp ) ( Rp )
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 41 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( UGD )
PUSKESMAS
PUSKESMAS : SAMBUNGMACAN I
KECAMATAN : SAMBUNGMACAN PELAPORAN BULAN / PERIODE : MARET 2016
KABUPATEN : SRAGEN PERMINTAAN BULAN / PERIODE :
JUMLAH TOTAL
JKN
Jumlah Kunjungan Resep Bayar Gratis Saraswati Jumlah
( Askes & JPS )
Rawat Inap
UGD
Sragen,
Mengetahui
Kepala UPTD Pusk. Sambungmacan I Petugas Farmasi Puskesmas Petugas UGD
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
10,492.00
26,376.00
2,375.00
87,929.00
1,260.00
0.00
11,220.00
0.00
457,012.00
60,928.00
0.00
39,120.00
142,800.00
0.00
24,585.00
7,500.00
30,240.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
1,045.00
0.00
0.00
5,994.00
15,405.00
0.00
0.00
0.00
60,918.00
0.00
9,504.00
25,280.00
26,574.00
0.00
0.00
60,944.00
1,110.00
0.00
22,050.00
6,014.00
0.00
0.00
49,995.00
12,859.00
1,596.98
0.00
0.00
0.00
95,790.00
Jumlah
KET
Harga(Rp)
138,600.00
0.00
0.00
0.00
0.00
0.00
0.00
143,514.00
42,840.00
9,095.00
0.00
0.00
0.00
0.00
0.00
0.00
3,580.00
3,696.00
16,268.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,468.40
8,394.00
11,850.00
0.00
Jumlah
KET
Harga(Rp)
14,550.00
0.00
3,256.00
0.00
0.00
9,730.00
12,180.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
22,080.00
0.00
0.00
0.00
14,850.00
7,400.00
10,320.00
0.00
0.00
0.00
0.00
0.00
42,300.00
0.00
15,200.00
Jumlah
KET
Harga(Rp)
57,246.00
4,895.00
0.00
22,275.00
233,200.00
23,400.00
2,805.00
0.00
0.00
0.00
0.00
0.00
6,560.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
36,400.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
17,600.00
7,640.00
11,200.00
0.00
0.00
19,201.00
0.00
6,900.00
0.00
0.00
29,637.00
0.00
30,846.00
0.00
4,660.00
3,318.00
0.00
0.00
0.00
18,000.00
13,112.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
67,260.00
0.00
0.00
0.00
0.00
405,600.00
2,065.00
4,000.00
2,500.00
0.00
0.00
0.00
0.00
0.00
39,849.00
7,740.00
12,771.00
29,880.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
50,400.00
0.00
608.00
Jumlah
KET
Harga(Rp)
0.00
33,840.00
0.00
3,034,495.38
0.00
0.00
0.00
0.00
17,050.00
0.00
0.00
203,280.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
90,750.00
0.00
0.00
0.00
0.00
57,600.00
Jumlah
KET
Harga(Rp)
226,024.24
198,000.00
0.00
792,704.24
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
19,500.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
14,000.00
0.00
0.00
0.00
152,000.00
186,200.00
13,750.02
0.00
0.00
0.00
0.00
94,500.00
0.00
7,900.00
30,000.00
0.00
0.00
0.00
4,950.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
40,000.00
0.00
34,996.50
0.00
3,055.55
0.00
21,000.00
0.00
0.00
0.00
621,852.07
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Jumlah
KET
Harga(Rp)
0.00
0.00
0.00
0.00
4,449,051.69
………………………………..