LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PUSKESMAS : BERE-BERE
KECAMATAN : MOROTAI UTARA Pelaporan Bulanan / Periode : JULI
KABUPATEN : PULAU MOROTAI Permintaan Bulanan / Periode :
PROVINSI : MALUKU UTARA

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK HARGA JUMLAH SUMBER EXP NO.BATCH KET
SATUAN HARAGA
1 2 3 4 5 6 7 8 9 10 11 12 13 14
I TABLET
1 Allopurinol 100 mg Tablet Tab 270 0 270 50 220 171.6 37,752 APBD 2018 Apr-22 E80876B
2 Asiklovir 200 mg Tab 0 0 0 0 0 12727 -
3 Asiklovir 400 mg Tab 500 0 500 0 500 742.2 371,100 APBD 2018 JULI 2023 681955J1
4 Ambroxol 50 mg Tab 0 0 0 0 0 202 - DAK 2019 Sep-21 192480B
5 Aminophyllin 200 mg Tablet Tab 0 0 0 0 0 -
6 Amlodipin 5 mg tab Tab 190 0 190 30 160 83 13,280 APBD 2018 Feb-23 C80510B
7 Amlodipin 5 mg tab Tab 0 0 0 0 0 1274 - DAK 2019 Feb-24 C90426B
8 Amlodipin 10 mg tab Tab 0 0 0 0 0 2201 - DAK 2018 Feb-23 C90437B
9 Amlodipin 10 mg tab Tab 0 0 0 0 0 960 - DAK 2018 Mei 2023 C80516B1
10 Amitriptilin Hcl Salut Gula 25 mg Tablet Tab 0 0 0 0 0 - DAK 2018 mei 2023
11 Amoxicillin 500 mg Tab 0 100 100 50 0 288 - DAK 2017 Jun-21 250522
12 Antalgin Tab 0 0 0 0 0 256.74 - APBD 2018 Dec-22 L71862t
13 Ampicillin 500 mg Tab 0 0 0 0 0 -
14 Amocicilin 250 mg Tab 100 0 100 100 0 212 - APBD 2018 AGU 20 1808-65-51
15 Alergin Tab 10 mg Tab 20 0 20 10 10 5348 53,480 DAK 2019 Feb-22 B90331J
16 Antasida Doen Tab 60 0 60 0 60 58 3,480 APBD 2016 Sep-20 170904109
17 Antasid Doen Tab Tab 0 0 0 0 0 414 - DAK 2019 Feb-22 C9001B1
18 Asam Askorbat (Vit C) 50 mg Tab 0 0 0 0 0 131 - DAK 2019 MEI 2022 B80023B1
19 Asam Mefenamat 500 mg Tab 0 50 50 30 20 394 7,880 DAK 2019 170658
20 Asam Folac 1 mg Tab 0 0 0 0 0 88 - DAK 2018 JULI 2020 18TF026
21 Atorvastatin 10 mg Tab 0 0 0 0 0 1914 - APBD 2019 Dec-19 48L0321
22 Albendazole tab Tab 0 0 0 0 0 -
23 AZITHROMYCIN 500 MG Tab 20 0 20 0 20 1778 35,560 APBD 2018 AGU 22 H72329J
24 Azithromycin 500 mg Tab 120 0 120 0 120 14300 1,716,000 DAK 2019 Sep-21 IG2506
25 Atropin Sulfat (Atropina) 0,5 mg Tablet Tab 0 0 0 0 0 -
26 Bio ATP Tab 0 0 0 0 0 0 -
27 Becefort Tab Tab 0 0 0 0 0 0 -
28 Betahistin Mesylate Tab 0 0 0 0 0 37.8 - APBD 2018 Oct-20 A82040
29 Buscopan Tablet Tab 0 0 0 0 0 -
30 Captopril 12,5 mg Tablet Tab 150 0 150 0 150 79 11,850 DAK 2019 JUNI 2024 85323005ZN
31 Captopril 25 mg Tablet Tab 0 0 0 0 0 187 - DAK 2019 Mei 2024 491406B
32 Candersata 16 mg Tab 0 0 0 0 0 1848 - APBD 2018 Jun-20 4304204
33 Cetrizine 10 mg Tab 0 0 0 0 0 103 - APBD 2018 Mei 2020 T05021AH
34 Cetrizine Tab 10 mg Tab 0 0 0 0 0 601 - DAK 2019 Juni 2021 G819585
35 Cimetidine 200 mg Tablet Tab 190 0 190 0 190 210 39,900 APBD 2017 Agus 21 95331001R
36 Ciprofloxacin 500 mg Tablet Tab 200 0 200 0 200 305 61,000 APBD 2018 AGU 20 180846-108
37 Cefixime 100 mg Cap 0 0 0 0 0 3113 - DAK 2019 Feb-22 B90063J
38 Cefadroxil 500 mg Tab 0 0 0 0 0 1092 - DAK 2019 mei 2023
39 Cefadroxil 500 mg Cap 100 0 100 20 80 1201 96,080 DAK 2019 Juni 2021 F91521J
40 Clopidogrel 75 mg Tab 0 0 0 0 0 12275 - DAK 2019 Mar-21 D90824B
41 Cymafort 1 mg Capsul Cap 0 0 0 0 0 1756 - DAK 2019 Mart 2021 CY
42 Corsamed Tab Tab 0 0 0 0 0 -
43 Dexamethasone 0,5 mg Tab 330 300 630 150 480 37 17,760 APBD 2018 Sep-20 180918150
44 Dextromethorphan Hbr 15 mg Tablet Tab 0 0 0 0 0 0 -
45 Diazepam 2 mg Tablet Tab 0 0 0 0 0 0 -
46 Dulcolax Tab Salut Enterik 5 mg Tab 0 0 0 0 0 1820 - DAK 2019 Apr-22 !
47 Donperidon 10 mg Tablet Tab 60 0 60 20 40 96 3,840 DAK 2019
48 Diltiazem 40 mg Tablet Tab 100 0 100 0 100 153 15,300 APBD 2018
49 Dimenhydrinate 50 mg tab Tab 0 0 0 0 0 131 - APBD 2018 Jan-23 A80015B
50 Digoksin 0,25 mg Tablet Tab 0 0 0 0 0 108 -
51 Doksisiklin 100 mg Kapsul Tab 0 0 0 0 0 280 - DAK 2019 julm2020
52 Efedrin Tablet Tab 0 0 0 0 0 -
53 Ergotamin Tartrat 1mg+Kofein tab, Komb Tab 0 0 0 0 0 -
54 Ethambutol Hcl (Etambutil) 250 mg Tablet Kaps 0 0 0 0 0 -
55 Ethambutol Hcl (Etambutil) 500 mg Tablet Kaps 0 0 0 0 0 -
56 Erythromicyn 500 mg Kaps 0 0 0 0 0 -
57 Erythromicyn 250 mg Tab 280 0 280 0 280 693 194,040 APBD 2018 Jun-21 F81675J
58 Fituno Caps CAP 0 0 0 0 0 5412 - DAK 2019 Ags 2022 H92318B
59 Fenobarbital 30 mg Tab 0 0 0 0 0 0 -
60 Fenobarbital 100 mg Tab 0 0 0 0 0 0 -
61 Fenoksimetil Penicillin 250 mg Tab 0 0 0 0 0 0 -
62 Fenoksimetil Penicillin 500 mg Tab 0 0 0 0 0 0 -
63 Ferro Sulfat Tab 45 200 245 100 145 945 137,025 APBN PROV
64 Fitomenadion (Vit K) 10 mg Tablet Salut Tab 0 0 0 0 0 761 - APBD 2016 Nov-19 95381013
65 Fluconazole 150 mg Tab 0 0 0 0 0 0 -
66 Fungoral Tab200 mg Tab 0 0 0 0 0 5005 - DAK 2019 Dec-22 A80068B
67 Furosemide 40 mg Tablet Tab 0 0 0 0 0 88 - APBD 2018 Aug-20 172012B
68 Furosemide 40 mg Tablet Tab 150 0 150 0 150 346 51,900 DAK 2019 Sep-21 J81986B
69 Garam Oralit 200 ml Sacc 0 0 0 0 0 0 - J81986B
70 Garam Oralit 200 ml Sacc 0 0 0 0 0 0 -
71 Garam Oralit 1000 ml Sacc 0 0 0 0 0 -
72 Gentian Violet Btl 0 0 0 0 0 -
73 Gemfibrozil capsul Kaps 0 0 0 0 0 700 - APBD 2016 Jun-21 6441001
74 Glibenclamid Tablet Tab 0 0 0 0 0 129 -
75 Glibencelamie 5 mg Tab 0 0 0 0 0 311 - DAK 2019 JUNI 2024 F91645J
76 Gliceril Guayacolat 100 mg Tablet Tab 20 100 120 100 20 306 6,120 DAK 2019 Mar-21 C90083T
77 Glimepiride 1 mg Tab 0 0 0 0 0 991 - DAK 2019 Mar-23 D91006J
78 Glimepiride 2 mg Tab 500 0 500 0 500 216 108,000 APBD 2018 Mar-22 D91004B
79 Glimepiride 2 mg Tab 0 0 0 0 0 1857 - DAK 2019 Apr-23 D90988J
80 Glimepiride 3 mg Tab 0 0 0 0 0 2657 - DAK 2019 Mar-23 C90506J
81 Glimepiride 4 mg Tab 0 0 0 0 0 3727 - DAK 2019 Mar-23 D90912J
82 Griseofulvin 125 mg Tab 440 0 440 100 340 242 82,280 APBD 2018 juni 2020 180607
83 Harnal 0,4 mg Tab 0 0 0 0 0 0 -
84 Halloperidol 0,5 mg Tablet Tab 0 0 0 0 0 0 -
85 Halloperidol 1,5 mg Tablet Tab 0 0 0 0 0 0 -
86 Hemafort Caplet Tab 0 0 0 0 0 892.65 - APBD 2016 juni 2020 9506027
87 Hidroklortiazida (Hct) 25 mg Tablet Tab 0 0 0 0 0 0 - APBD 2018 Oct-22 K72730
88 Inclovir Capts Salut 500 mg Tab 0 0 0 0 0 0 - DAK 2019 Jan-22 T1331001
89 Ibuprofen 200 mg Tablet Tab 0 0 0 0 0 121 - APBD 2019 Oct-20 1810-34-177
90 Ibuprofen 400 mg Tablet Tab 0 0 0 0 0 -
91 Isosorbid Dinitrat 5 mg Tablet Tab 0 0 0 0 0 131 - APBD 2016 Mei 2021 1704018
92 Iodiol Kapsul Lunak Tab 0 0 0 0 0 -
93 Isoniazid tab Tab 0 0 0 0 0 78 - APBD 2016 Feb-20 AB91201 BUFFER
94 Kalsium Laktat 500 mg Tablet Tab 280 200 480 100 380 196.9 74,822 APBD 2018 AGU 22 H71044T
95 Kimoxil Tab Tab 0 0 0 0 0 5112 - DAK 2019 Mei 2021 E90683J
96 Kinina Sulfat 222 mg Tablet Tab 0 0 0 0 0 -
97 Kloramphenicol 250 mg Kapsul Tab 0 0 0 0 0 0 -
98 Klopheniramin Maleat 4 mg (CTM) Tab 0 0 0 0 0 26 - APBD 2018 Sep-22 1809-34-152
99 Klorkina Fosfat 250 mg Tablet Tab 0 0 0 0 0 -
100 Klorpromazine 25 mg Tablet Salut Tab 0 0 0 0 0 -
101 Klindamisin 150 mg Tab 0 0 0 0 0 -
102 Klindamisin 300 mg Tab 0 0 0 0 0 -
103 Klorpromazine 100 mg Tablet Salut Tab 0 0 0 0 0 -
104 Klorpropamid 100 mg Tab 0 0 0 0 0 -
105 Kodein 5 mg Tab 0 0 0 0 0 -
106 Kodein 10 mg Tab 0 0 0 0 0 -
107 Ketokonazol tab Tab 170 0 170 10 160 311 49,760 APBD 2016 MEI 20 1805-11-103
108 Kotrimoxazole Tablet Pediatrik Tab 0 0 0 0 0 124.9 -
109 Kotrimoxazole Tablet Kombibasi 480 mg Tab 290 200 490 10 480 132 63,360 APBD 2018 Jan-23 B80276B
110 Kamaflam 50 mg Tab 0 0 0 0 0 6135 - DAK 2019 Juni 2022 F91963J
111 Kamaflam 50 mg Tab 0 0 0 0 0 6135 - DAK 2019 Ags 2022 H92811J
112 Klotaren Tab Salut 25 mg Tab 30 0 30 0 30 1353 40,590 DAK 2019 Maret 2024 H82268J
113 Klotaren Tab Salut 25 mg Tab 0 0 0 0 0 1353 - DAK 2019 Maret 2024 C90528J
114 Klotaren Tab Salut 50 mg Tab 0 0 0 0 0 3108 - DAK 2019 Juli 2024 692348J
115 Lansoprazol 30 mg Cap 50 0 50 0 50 359 17,950 APBD 2018 AGU 21 80208
116 Loperamid Tab Tab 0 0 0 0 0 200 - DAK 2019 mei 2023
117 Livron Tab Tab 0 0 0 0 0 443 - DAK 2019 Sep-21 26172032
118 Levoquin 500 mg Tab Tab 0 0 0 0 0 12870 - DAK 2019 Juli 2021 H81702B
119 Levofloxacin Tab 500 mg Tab 0 0 0 0 0 1500 - DAK 2019 Mei 2021 F81202B1
120 Loprezol cap 30 mg Tab 0 0 0 0 0 16545 - DAK 2019 Mei 2022 E9147J
121 Lupred 5 mg Tab 60 0 60 0 60 2750 165,000 DAK 2019 mei 2021
122 Medcortam Cap 0 0 0 0 0 4389 - DAK 2019 Juli 2021
123 Medcold Tab 0 0 0 0 0 2195 - DAK 2019
124 Metformin Tab Tab 300 0 300 0 300 250.4 75,120 APBD 2016 Nov-20 85431018R
125 Methylprednisolon 4 mg Tab 0 0 0 0 0 631 - DAK 2019 Agustus 2020 95455004
126 Methylprednisolon 4 mg Tab 0 0 0 0 0 153 - DAK 2019 Jan-21
127 Meloxicam 15 mg Tab 80 0 80 0 80 1842 147,360 DAK 2019 Jan-21 b90236b
128 Meloxicam 7,5 mg Tab 20 0 20 0 20 1034 20,680 DAK 2019 Jan-21 H2014B
129 Mineral Mix Sacc 0 0 0 0 0 -
130 Miniaspi 80 mg Tab 0 0 0 0 0 104 - APBD 2018 Agu 20 A81635
131 Metoclopramide Tab 200 0 200 0 200 93 18,600 APBD 2018 Sep-22 J72536B
132 Metoclopiramide 5 mg Tab 0 0 0 0 0 94 - DAK 2019 Sep-23
133 Metoclopiramide 10 mg Tab 0 0 0 0 0 139 - DAK 2019 Juni 2022
134 Mefentan 500 mg Tab 0 0 0 0 0 458 - DAK 2019
135 Methylergometrin Maleat 0,125 mg Tablet Tab 0 0 0 0 0 - APBD 2019 MEI 21 18CE010
136 Metronidazole 250 mg Tab 0 0 0 0 0 -
137 Metronidazole 500 mg Tab 0 0 0 0 0 372 - DAK 2019
138 Moxifloxacin Tab 400 mg Tab 0 0 0 0 0 51205 - DAK 2019 Nov-20 INFIMOXBTSMO
139 Natrium Bikarbonat 500 mg Tablet Tab 0 0 0 0 0 -
140 Natrium Diklofenak 25 mg Tab 0 0 0 0 0 476 - DAK 2019 Sep-23
141 Natrium Diklofenak 50 mg Tab 0 0 0 0 0 552 - DAK 2019 JUNI 2024 F91775J
142 Natrium Fenitoin 30 mg Kapsul Tab 0 0 0 0 0 -
143 Natrium Fenitoin 100 mg Kapsul Tab 0 0 0 0 0 -
144 Nifedipine Tablet Tab 0 0 0 0 0 -
145 Nistatin 100.000 IU Tablet Vaginal Tab 0 0 0 0 0 -
146 Nistatin 500.000 IU Tablet Vaginal Tab 0 0 0 0 0 -
147 New Diatabs Tab 0 0 0 0 0 725 - DAK 2019 mei 2022 ATAPULGIT
148 Omeprazole 20 mg Tab 120 0 120 0 120 150 18,000 APBD 2018 Sep-20 1809-09-53
149 Oracef Capsul 100 mg Cap 0 0 0 0 0 34685 - DAK 2019 Feb-21 B90067J
150 Oracef Capsul 100 mg Cap 0 0 0 0 0 34685 - DAK 2019 Apr-21 B900675
151 ONDANSETRON Tab Tab 150 0 150 0 150 440 66,000 DAK 2019 Apr-21 B900675
152 Papaverin Tablet Tab 0 0 0 0 0 -
153 Paracetamol 500 mg Tablet Tab 0 100 100 50 50 373 18,650 DAK 2019 Mei 2021 E90494T
154 Perfenazin 4 mg Tablet Tab 0 0 0 0 0 -
155 Perfenazin 16 mg Tablet Tab 0 0 0 0 0 -
156 Pehavral Tab Tab 0 0 0 0 0 -
157 Pircetam 400 Tab 0 0 0 0 0 -
158 Piracetam 800 Tab 0 0 0 0 0 -
159 Piperazine 500 mg Tablet Tab 0 0 0 0 0 -
160 Pirantel Pamoat (Pyrantel) 125 mg Basa Tab 40 0 44 4 40 361 14,440 APBD 2018 Jun-23 G81348B
161 Piridoxin Hcl (Vit B6) 10 mg Tablet Tab 250 0 250 30 220 154 33,880 APBD 2018 Jan-21 B80224B
162 Prednison 5 mg Tablet Tab 50 0 50 50 0 33 - DAK 2019 Jun-20 1806097
163 Primaquein Tab 0 0 0 0 0 0 -
164 Propanolol Hcl 40 mg Tablet Tab 0 0 0 0 0 0 -
165 Pehamoxil 500 mg Tab 0 0 0 0 0 810 - DAK 2017
166 Piroxicam 10 mg Kapsul Tab 0 0 0 0 0 173 -
167 Piroxicam 20 mg Kapsul Tab 40 0 40 10 30 191 5,730 DAK 2019 JULI 2022 G71217B1
168 Rahistin Tab 10 mg Tab 0 0 0 0 0 6130 - DAK 2019 Jan-21 A160021B
169 Rahistin Tab 10 mg Tab 40 0 40 0 40 6489 259,560 DAK 2019 Juli 2021 H92061B
170 Ranitidine Tab 0 0 0 0 0 -
171 Reserpina 0,25 mg Tablet Tab 0 0 0 0 0 -
172 Retinol (Vit A) 100.000 IU Kapsul Lunak Tab 0 0 0 0 0 361 - APBD 2018 Oct-20 J72856W
173 Retinol (Vit A) 200.000 IU Kapsul Lunak Kaps 0 0 0 0 0 361 - APBD 2018 Agustus 2018 15KH007
174 Ratinol (Vit A) 200.000 Iu Kapul Kaps 0 0 0 0 0 45259 -
175 Salbutamol 2 mg Tablet Tab 0 0 0 0 0 109 - DAK 2019 Mei 2023 F91657B
176 Salbutamol 4 mg Tablet Tab 0 0 0 0 0 130 - DAK 2019 Apr-23 E911208
177 Salbutamol 4 mg Tablet Tab 280 0 280 0 280 81 22,680 APBD 2018 MEI 22 YE535A
178 Sianocobalamin (Vit B12) 10 mg Tablet Tab 690 300 990 150 840 53 44,520 APBD 2019 mei 23 18TE040
179 Simvastatin 10 mg Tab 0 0 0 0 0 686 - DAK 2019 Jan-22 B90240B
180 Simvastatin 20 mg Tab 0 0 0 0 0 1334 - DAK 2019 Feb-22 C90703B
181 Simvastatin 20 mg Tab 150 0 150 10 140 240 33,600 APBD 2018 Apr-21 YD2576
182 Starfolat Tab 0 0 0 0 0 169 - DAK 2019 juni 2021
183 Topgesik Tab Tab 0 0 0 0 0 1766 - DAK 2019 Sep-24 193219J1
184 Tetrasiklin 500 mg Kapsul Tab 0 0 0 0 0 348 - APBD 2018
185 Tiamin Hcl (Vit B1) 50 mg Tablet Tab 0 0 0 0 0 98 - APBD 2016 Sep-20 1509-04-03
186 Trihexylphenidil Tablet Tab 0 0 0 0 0 -
187 Vitamin B Komp Tablet Tab 0 0 0 0 0 190 - DAK 2019 Apr-20 D90261T
188 Vipalbumin Capsul 500 mg Cap 0 0 0 0 0 7315 - DAK 2019 Okt 2021 FIBUMINTABLET
189 Vitalex cap Cap 0 0 0 0 0 865.15 - DAK 2019 Okt 2021 V03BD028
190 Verampil Tab Tab 0 0 0 0 0 393 - APBD 2018 Feb-23 C8054B
191 Vitomed Tab Cap 0 0 0 0 0 2633 - DAK 2019 maret 2021 CALCAR
192 Zink Sulfat Tablet Tab 10 0 10 10 0 658 - DAK 2019 Juni 2021
193 Zidovudin 100 mg Tab 0 0 0 0 0 2210 - APBD 2019
194 Tramadol Tab 0 0 0 0 0 0 -
195 Tenofofir 300 mg Tab 0 0 0 0 0 10530 - APBD 2018
196 quinin Tab 0 0 0 0 0 804 - APBD 2016 D140379B
II INJEKSI -
197 Adona AC injeksi Amp 0 0 0 0 0 -
198 Adimidon injeksi Vial 0 0 0 0 0 -
199 Adidril injeksi Vial 0 0 0 0 0 -
200 Aminophyllin 24 mg/ml-10 injeksi Amp 0 0 0 0 0 -
201 Ampicillin injeksi Vial 0 0 0 0 0 5563 - APBD 2016 85436020
202 Asam Tranexamat Inj 250 mg/5 ml Vial 0 0 0 0 0 14443 - DAK 2019 Juni 2024 PIG75248
203 Asam Tranexamat Inj 50 mg/5 ml Vial 0 0 0 0 0 14443 - DAK 2019 AGS 2022 H1077603
204 Aqua Proinjeksi Steril 20 ml Vial 0 0 0 0 0 9040 - APBD 2017 83C46A
205 Combivent Udv Flash Vial 0 0 0 0 0 19019 - DAK 2019 maret 2021
206 Clorpromazine Injeksi Amp 0 0 0 0 0 -
207 Cefobactam Inj 1000mg Vial 0 0 0 0 0 280566 - DAK 2019 AGS 2020 WH4481B
208 Cefotaxim 1 gr injeksi Amp 0 0 0 0 0 12155 - DAK 2019 Mei 2021 ICFTA90218
209 Ceftiaxon 1gr injeksi Amp 0 0 0 0 0 5143 - APBD 2018 Oct-20 I10031AH
210 Ceftriaxone 1 G Vial 0 0 0 0 0 20166 - DAK 2019 Jan-21 ICFRA90787
211 Calcii Gluconas Amp 0 0 0 0 0 0 -
212 CiticolinInj 250 mg Amp 0 0 0 0 0 25025 - DAK 2019 Juli 2022 G10266903
213 Cition 125 mg Inj Amp 0 0 0 0 0 36575 - DAK 2019 Apr-21 C
214 Epineprim Injeksi Amp 0 0 0 0 0 7800 - APBD 2016 Mar-20 06344002-2
215 Etofion Inj 30 mg / 1 ml Amp 0 0 0 0 0 43890 - DAK 2019 Feb-22 E
216 Dexamethasone 0,5 mg/ml-1 injeksi Amp 0 0 0 0 0 2750 - APBD 2016 Mar-20 06337048BF
217 Dexamethasone 5 mg/ml injeksi Amp 0 0 0 0 0 1378 - APBD 2018 Apr-20 F8D334
218 Fiopraz Inj 40 mg Vial 0 0 0 0 0 146300 - DAK 2019 Okt 2022 BPSL01648
219 Na.Phyntopenat/penitoin inj Amp 0 0 0 0 0 221270 - APBD 2016 Mei 2020 6366001
220 Difenhidramin 10 mg/ml-1 injeksi Amp 0 0 0 0 0 1265 - APBD 2016 Jul-20 95342022-3
221 Fenobarbital 50 mg/ml-2 injeksi Amp 0 0 0 0 0 -
222 Fitomenadion (Vit K) 10 mg/ml-1 ml injeksi Amp 0 0 0 0 0 5695 - APBD 2017 D6382014-1 Bufffer
223 Gentamisin injeksi Amp 0 0 0 0 0 -
224 Kinina Hidroklorida (Kina) 25% - 2 ml injeksi Amp 0 0 0 0 0 0 -
225 Keterolac Injeksi Amp 0 0 0 0 0 2141 - APBD 2016 Apr-20 6459024
226 SGSO4 20% 25 ml Vial 0 0 0 0 0 -
227 MGSO4 40% 25 ml Vial 0 0 0 0 0 3650 -
228 Infibiotik inj 1 G Vial 0 0 0 0 0 248710 - DAK 2019 Apr-23 BPSE00448
229 Infimycin Inj 0,5G Vial 0 0 0 0 0 182875 - DAK 2019 Okt 2020 Inf
230 Lidokain 2 % Amp 0 0 0 0 0 3371 - DAK 2019 Sep-22 K103668011
231 Lidokain 2 % Amp 0 0 0 0 0 2288 - DAK 2019 Juli 2023 G10366
232 Miomergin Amp 0 0 0 0 0 -
233 MEROPENEM 0,5 GR 1 VIAL INJ Vial 0 0 0 0 0 27160 - APBD 2018 AGU 20 D8H397
234 Meropenem inj 1 G Vial 0 0 0 0 0 293150 - DAK 2019 Feb-21 MEROP
235 Metilergometrin Maleat 0,0002 mg/ml injeksi Amp 0 0 0 0 0 3360 -
236 Methylprednisolon Injeksi Amp 0 0 0 0 0 -
237 Methylprednisolon 125 Inj Amp 0 0 0 0 0 67210 - DAK 2019 Juli 2021 G10576904
238 Norepinephrine Inj 1 Mg/4 ml Amp 0 0 0 0 0 117040 - DAK 2019 Juli 2021 NORFION
239 Neurosanbe Inj 3 ml Amp 0 0 0 0 0 7107 - DAK 2019 Jan-21 B1
240 Oxytetracycline Hcl 50 mg/ml-10 injeksi Amp 0 0 0 0 0 -
241 Oxytosin 10 IU/ml-1 injeksi Amp 0 0 0 0 0 6878 - DAK 2019 Ags 2021 OXY
242 Omeprazole Serbuk Injeksi Amp 0 0 0 0 0 121550 - DAK 2019 JULI 2021 310466915
243 Ondansetron Inj 2 mg Amp 0 0 0 0 0 14300 - DAK 2019 JUNI 2021 ONDAN
244 Pitogin injeksi Amp 0 0 0 0 0 -
245 Phcain inj Amp 37 0 37 1 36 3250 117,000
246 Piracetam 200MG/ML Vial 0 0 0 0 0 4700 -
247 Piracetam 1G/5ML Vial 0 0 0 0 0 4700 -
248 Phyfion inj 10 mg/ 1 ml Amp 0 0 0 0 0 14630 - DAK 2019 Juli 2021 BP1H07448
249 Pumpitor Inj 40 mg Amp 0 0 0 0 0 209209 - DAK 2019 Maret 2021 WC3815
250 Sianocobalamin (Vit B12) 500 mg/ml injeksi Amp 15 0 15 0 15 1335 20,025
251 Sansulin Pen Pcs 0 0 0 0 0 338038 - DAK 2019
252 Salbumax Turbuhaler inhaler Btl 0 0 0 0 0 87780 - DAK 2019 Mei 2021
253 Tomit Inj n5 mg Amp 0 0 0 0 0 15587 - DAK 2019 Apr-22 100410011
254 Vitamin B12 Inj 1000mcg Amp 0 0 0 0 0 29260 - DAK 2019 Maret 2021 BPIF05148
255 Streptomycin inj Amp 0 0 0 0 0 0 -
256 Tiamin Hcl (Vit B1) 100 mg/ml-1 injeksi Amp 0 0 0 0 0 0 -
257 Vitamin B Komp injeksi Vial 0 0 0 0 0 0 -
258 Viamin K3 injeksi Amp 0 0 0 0 0 0 -
259 Ventolin Nebu0,1% Amp 0 0 0 0 0 13495 - DAK 2019 Apr-22 VENTOIN
260 Ranitidine injeksi Amp 0 0 0 0 0 0 -
261 KB Suntik 3 Bulanan Vial 0 0 0 0 0 0 -
III SYRUP -
262 Amoxicillin 125 mg/5 ml Syrup Kering Btl 0 0 0 0 0 0 -
263 Amoxicillin 125 mg/5 ml Syrup Kering Btl 0 0 0 0 0 0 -
264 Alcet Syrup Btl 0 0 0 0 0 73150 - DAK 2019 Feb-21
265 Becefort syr Btl 0 0 0 0 0 0 -
266 Becefort syr Btl 0 0 0 0 0 0 -
267 Amoxan Syrup Btl 0 0 0 0 0 0 -
268 Ambroxol Syrup Btl 0 10 10 5 5 6516 32,580 DAK 2019 181962B
269 Antasida Suspensi Btl 24 10 34 8 26 2257 58,682 APBD 2018 Sep-21 509023AH
270 Ampicillin 125 mg/5 ml Syrup kering Btl 0 0 0 0 0 0 -
271 Batugin Syr Btl 0 0 0 0 0 23166 - APBD 2018 Apr-20 E70753B
272 Batugin syr 120 ml Btl 0 0 0 0 0 30701 - DAK 2019 juni 2022 G91715B
273 Batugin syr 300 ml Btl 0 0 0 0 0 53352 - MARET 2022 D91004B
274 CETIRIZINE HCL SIRUP 5MG/5ML (RAMA) Btl 0 0 0 0 0 3192 - APBD 2019 Oct-20 S10048 AH
275 Cotrimoxazole Syrup Btl 1 0 1 1 0 2155 - APBD 2018 MEI 20 A81091
276 Cefixime syr Btl 0 0 0 0 0 7015 - APBD 2017 Jun-20 80206
277 Cefadroxil Syrup Btl 4 5 9 6 3 10661 31,983 DAK 2019
278 Curmunos Syr Btl 0 0 0 0 0 57200 - DAK 2019 Mei 2021
279 Elkana syr Btl 0 0 0 0 0 66495 - DAK 2019 juli 2024 W69862
280 Epexol drops15 mg / 20 ml Btl 0 0 0 0 0 47710 - DAK 2019 AGS 2021 WH1866
281 Epexol Syr 15 mg / 60 ml Btl 0 0 0 0 0 21840 - DAK 2019 JULI 2022 WG1992
282 Ibuprofen syrup Btl 22 0 22 15 7 2856 19,992 APBD 2018 AGU 20 S 08025 AH
283 Infimycin Syr 200 mg Btl 0 0 0 0 0 182875 - DAK 2019 JULI 2022 BSKH03348
284 Kloramfenikol syr Btl 0 0 0 0 0 5413 - APBD 2018 Sep-20 1809-05-82
285 Erythromicyn Syrup Btl 0 0 0 0 0 8495 -
286 Donperidone Syrup Btl 12 0 12 3 9 3105 27,945 APBD 2018 Oct-20 1809-16-186
287 OBH Syrup Btl 0 0 0 0 0 1560 -
288 OBH Tropica syr 60 ml Btl 0 0 0 0 0 22884 - DAK 2019 OKT 2021 HJ0031
289 Metronidazole syr Btl 0 0 0 0 0 3950 - APBD 2018 MEI 20 E8E188
290 Paracetamol Syrup Btl 0 0 0 0 0 1675 - APBD 2016 Mei 2020 1605-35-86
291 Sanmol Drops 60 mg/0,6 ml (botol 15 ml) Btl 0 0 0 0 0 21879 - DAK 2019 AGS 2022 KHIG36
292 Sanmol Drops 60 mg/0,6 ml (botol 15 ml) Btl 0 0 0 0 0 21879 - DAK 2019 OKT 2021 WN1636
293 Sanmol Syrup Btl 0 0 0 0 0 12594 -
294 Sukralfat syrup 100 ML Btl 2 5 7 0 7 25354 177,478 DAK 2019 AGS 2021 9DH168
295 Termoven Suspensi 200 mg/ 5 ml (60 ml) Btl 0 0 0 0 0 36575 - DAK 2019 Sep-22 BSCK03648
296 Vomiper Suspensi 5 mg/5 ml Btl 0 0 0 0 0 43890 - DAK 2019 Sep-21 BSCK03748
297 Valproat syr 250 mg/5 ml Btl 0 0 0 0 0 66066 - DAK 2019 Sep-21 Jan-64
298 Widoxil FDS 5 mg/ 250 ml Btl 0 0 0 0 0 87780 - DAK 2019 JUNI 2021 WIDOXILFDS
299 widoxil syr kering 125 mg/ 60 ml Btl 0 0 0 0 0 55594 - DAK 2019 Apr-21 BSKE01848
IV ZALF/KRIM/TETES -
300 Anti Hemoroid Suppo Supp 0 0 0 0 0 3959 -
301 Asiklovir Salep Tube 0 0 0 0 0 3436 -
302 Atropin Sulfat (Atropina) 0,5 % Tetes Mata Tube 0 0 0 0 0 -
303 Bethamethasone Kriem Tube 72 0 72 10 62 1520 94,240 APBD 2018 Apr-21 D80663T
304 Betason Combi Cream 5 gram Tube 0 0 0 0 0 11369 - DAK 2019 Nov-20 K82447J
305 Betason N cream 0,1% Tube 0 0 0 0 0 17518 - DAK 2019 Nov-20 171312T
306 Burnazin Cream 10 mg Tube 0 0 0 0 0 76505 - DAK 2019 Juni 2022 1023Y0
307 Bioplacenton Kriem 15 G Tube 0 0 0 0 0 24310 - DAK 2019 Maret 2021 KCBPCA92212
308 Bufacetin salep kulit Tube 0 0 0 0 0 4024 -
309 Cendo Xitrol tetes Mata Botol Plastik 5 ml Btl 0 0 0 0 0 38968 - DAK 2019 MARET 2022
310 Cendo Xitrol Tetes Mata Catch Cover 5 btl strip 2 0 2 0 2 49793 99,586 DAK 2019 MARET 2022 MINIDOSE
311 Cendo Lyteers Tetes Mata 15 ml Btl 0 0 0 0 0 32175 - DAK 2019 Dec-21 8L1206
312 Dexocort cream 0,25% Tube 0 0 0 0 0 37180 - DAK 2019 AGS 2021 H92883J
313 Erlamycetin Ear Tetes Telinga Btl 0 0 0 0 0 11234 - DAK 2019 Apr-22 D0654063
314 Fungoral Cream 20 mg Tube 0 0 0 0 0 5005 - DAK 2019 Mei 2023 KETO
315 Fenol Glicerol Tetes Telinga Tube 0 0 0 0 0 0 -
316 Gentamisin Salep Kulit Tube 0 0 0 0 0 4746 - DAK 2019
317 Gentamicin Sulfat 1 mg/5 G Tube 0 0 0 0 0 5215 - DAK 2019 Ags 2021 B900071
318 Gentian Violet 1% Larutan Tube 0 0 0 0 0 -
319 Gentamisin TETES Mata 5 ml 0,3% Btl 0 0 0 0 0 0 -
320 Gentamisin Salep Mata 0,3% Tube 0 0 0 0 0 0 -
321 Hydrocortisone Kriem Tube 85 0 85 0 85 2846 241,910 APBD 2018 Feb-22 BB0265T
322 Salisil Bedak 2 % Pcs 0 0 0 0 0 5555 - APBD 2019 Jan-23 A803665
323 Bedak Salicyl Botol 60 GR Botol 0 0 0 0 0 17703 - DAK 2019 Nov-24
324 Ketoconazole kriem Tube 94 0 94 2 92 2893 266,156 APBD 2018 Jan-22 95489029
325 Kloramphenicol 1% Salep Mata Tube 0 0 0 0 0 2305 - DAK 2019 Apr-24
326 Kloramphenicol 3% Salep Kulit Tube 0 0 0 0 0 -
327 Microlax Enema Blister 0 0 0 0 0 31360 - DAK 2019 Juni 2021 C9F951
328 Miconazol Kriem Tube 70 0 70 0 70 4268 298,760 Dec-21 L73362W
329 Mometasone Tube 0 0 0 0 0 87780 - DAK 2019 Mei 2023 MOMEFION
330 Dumin Supp Tube 0 0 0 0 0 23639 -
331 Otopain tetes telinga Btl 0 0 0 0 0 79300 - DAK 2019 Des 2020 POLIMYXIN
332 Oxytetracycline 1% Salep Mata Tube 20 0 20 1 19 2600 49,400 APBD 2018 Jul-21 681842Y
333 Oxytetracycline Salep Kulit Tube 0 0 0 0 0 0 -
334 Protofen Supp Supp 0 0 0 0 0 2420 - APBD 2018
335 Protofen Supp Supp 0 0 0 0 0 6678 - DAK 2019 Apr-22 D90530W
336 Pamol Supp 125 mg Supp 0 0 0 0 0 15340 - DAK 2019 Mei 2021 PCTSUPP
337 Pamol Supp 250 mg Supp 0 0 0 0 0 22230 - DAK 2019 juni 2021 PCTSUP250
338 Bedak Salicyl 2 % Pcs 0 0 0 0 0 7808 - DAK 2019 Jan-24 G923255
339 Vital Ear Oil Tets Telings Btl 0 0 0 0 0 21793 - DAK 2019 AGS 2024 RF18136
340 Visien Tetes Mata Tube 0 0 0 0 0 -
341 Zalp 2-4 Pot 0 0 0 0 0 3274 -
V CAIRAN -
342 Alkohol 70% 100 ml Botol 0 0 0 0 0 6256 - DAK 2017
343 Alkohol 70% 1 Liter Botol 0 0 0 0 0 0 -
344 Alkohol Swab Kotak 0 0 0 0 0 0 -
345 Ethyl Clorida Spray Botol 0 0 0 0 0 0 -
346 Floramol Infus 1G / 100 ml Botol 0 0 0 0 0 73691 - DAK 2019 Feb-21 BPIC02247
347 Glukosa Larutan Infus 5% Flc 0 0 0 0 0 0 -
348 Glukosa Larutan Infus 10% Flc 0 0 0 0 0 0 -
349 Lisol Botol 0 0 0 0 0 0 -
350 Metronidazole infus Botol 0 0 0 0 0 25410 - APBD 2018
351 Metronidazole Infus 5 mg / 100 ml Botol 0 0 0 0 0 57200 - DAK 2019 AGS 2023 METROINFS
352 Natrium Klorida 0,9% Flc 0 0 0 0 0 6410 - APBD 2016 Mar-21 260412
353 Oxoid Moxifloxacin Infus Botol 0 0 0 0 0 438900 - DAK 2019 Ags 2020 BPIJI10747
354 Otsu -D5, 1/4 NS INFUS 500 ml Botol 0 0 0 0 0 28544 - DAK 2019 Mar-21 49C94A
355 Paracetamol Infus 1 G / 100 Ml Btl 0 0 0 0 0 28600 - DAK 2019 AGS 2021 HI0626905
356 Povidon Iodida 10% 5 L Botol 0 0 0 0 0 0 -
357 Povidon Iodida 10% 300 ml Botol 0 0 0 0 0 19877 - APBD 2018 Dec-19 161201209 BUFFER
358 Povidon Iodida 10% 1 L Botol 0 0 0 0 0 135000 - APBD 2018 Sep-20 1709012020
359 Rivanol 300 cc Botol 0 0 0 0 0 2999 -
360 Infus Ringer Lactat Flc 0 0 0 0 0 9918 - DAK 2019 Juli 2021
361 Ringer Laktat Flc 0 0 0 0 0 7150 - APBD 2016 Apr-21 360509
VI PREPARAT GIGI -
362 Devitalisasi Pasta (Non Arsen) Botol 0 0 0 0 0 0 -
363 Eugenol Cair Botol 0 0 0 0 0 0 -
364 Glassionomert Art Botol 0 0 0 0 0 0 -
365 Ethyl Clorida Spray Botol 0 0 0 0 0 0 -
366 Kalsium Hidroxyda Pasta Botol 0 0 0 0 0 0 -
367 Semen Seng Fosfat Serbuk Botol 0 0 0 0 0 0 -
368 Semen Seng Fosfat Cair Botol 0 0 0 0 0 0 -
369 Temporary Stopping Fletcher Serbuk Pot 0 0 0 0 0 0 -
370 Temporary Stopping Fletcher Cair Botol 0 0 0 0 0 0 -
VII BAHAN HABIS PAKAI -
371 Abobocath No. 16 pieces 0 0 0 0 0 0 -
372 Abbocath No. 18 pieces 0 0 0 0 0 9345 - APBD 2016 Apr-21 3191188
373 Abbocath No. 20 pieces 0 0 0 0 0 9060 - APBD 2016 Oct-21 3297227
374 Abbocath No. 22 pieces 22 0 22 0 22 9060 199,320 APBD 2016 Jul-21 3247045
375 Abbocath No. 24 JELCO 24 G pieces 0 0 0 0 0 9410 - APBD 2016 Sep-20 3254882
376 Alat Suntik 0,05 ml pieces 0 0 0 0 0 646 -
377 Alat Suntik 1 ml pieces 0 0 0 0 0 646 -
378 Alat Suntik 2,5 ml ONMED SYRINGE 2,5 ML pieces 0 0 0 0 0 1038 -
379 Alat Suntik 3 ml pieces 0 0 0 0 0 1038 - APBD 2018 Jul-21 1602201
380 Alat Suntik 5 ml pieces 80 0 80 10 70 777 54,390 APBD 2018 Mei 2021 1604201
381 Alat Suntik 10 ml pieces 0 0 0 0 0 0 -
382 Aximed IV Cath NP Pen Type 20 pieces 0 0 0 0 0 6000 - DAK 2018 juni 2023
383 Catgut/Benang Bedah No.3/0 pieces 0 0 0 0 0 0 -
384 Catgut/Benang Bedah No.2/0 pieces 0 0 0 0 0 32800 - APBD 2018
385 Catgut/Benang Bedah No.0 pieces 0 0 0 0 0 -
386 Catgut Plain No 01 HR 37 pieces 0 0 0 0 0 11700 -
387 Cosmomed syiringe 1 cc pieces 0 0 0 0 0 693 - DAK 2017
388 Cosmomed syiringe 3 cc pieces 0 0 0 0 0 1091 - DAK 2019
389 Cosmomed syiringe 5 cc pieces 0 0 0 0 0 763 - DAK 2019
390 Cosmomed IV Canula Wings 18 pieces 0 0 0 0 0 8591 - DAK 2019
391 Cosmomed Glove Non steril 'M' pieces 0 0 0 0 0 66671 - DAK 2019
392 Cosmomed Face Mask Ear Loop pieces 0 0 0 0 0 30250 - DAK 2019
393 Foleey Cateter No. 18 pieces 0 0 0 0 0 11799 -
394 Foleey Cateter No. 19 pieces 0 0 0 0 0 11799 -
395 Foleey Cateter No. 20 pieces 0 0 0 0 0 11799 -
396 Foleey Cateter No. 22 pieces 0 0 0 0 0 11799 -
397 Foleey Cateter No. 24 pieces 0 0 0 0 0 11799 -
398 Foleey Cateter No. 16 pieces 0 0 0 0 0 11799 -
399 Jarum Jahit (Bedah) No. 9 s/d pieces 0 0 0 0 0 -
400 IV Catheter 20 Short Terumo pieces 0 0 0 0 0 7787 -
401 IVCatheter 22 Terumo pieces 0 0 0 0 0 7787 -
402 Hanscoon Non Steril Kotak 0 0 0 0 0 58300 - APBD 2018
403 Hanscoon Steril Fair 0 0 0 0 0 20000 -
404 Plesterin Non Woven 10 cmx5(hypavix) Rol 0 0 0 0 0 0 -
405 IdealCare Intravena Admin Set pieces 0 0 0 0 0 11920 - APBD 2016
406 Infuset Anak pieces 0 0 0 0 0 3500 - APBD 2018
407 Infuset Dewasa pieces 0 0 0 0 0 4099 - APBD 2018
408 Kantong Darah pieces 0 0 0 0 0 -
409 Kapas Berlemak 250 mg Rol 0 0 0 0 0 -
410 Kapas Berlemak 500 mg Rol 0 0 0 0 0 -
411 Kapas Putih Rol 0 0 0 0 0 7500 - APBD 2016 Oct-21 1610091
412 Kasa Pembalut Yd 40 x 80 Roll Rol 0 0 0 0 0 105000 - APBD 2018
413 Kasa Pembalut Hydrofil 2 x 80 cm Rol 0 0 0 0 0 -
414 Kasa Pembalut Hydrofil 4 x 3 cm Rol 0 0 0 0 0 -
415 Kasa Pembalut Hydrofil 4 x 15 cm Rol 0 0 0 0 0 -
416 Kasa Pembalut Hydrofil 4 x 6 cm Rol 0 0 0 0 0 -
417 Kasa Pembalut Hydrofil 18 x 22 cm Rol 0 0 0 0 0 -
418 Kasa Pembalut Hydrofil 16 x 16 cm( kasa s) KOTAK 0 0 0 0 0 8000 -
419 Kasa Kompres YD 40 x 80 cm Rol 0 0 0 0 0 -
420 Lanset Kotak 0 0 0 0 0 - APBN PROV
421 Masker Oksigen Bayi pieces 0 0 0 0 0 14520 - APBD 2018
422 Masker Oksigen Anak pieces 0 0 0 0 0 24640 - APBD 2018
423 Masker Oksigen Dewasa pieces 0 0 0 0 0 24640 - APBD 2018
424 Plester 5 Yar x 2 Inch Rol 0 0 0 0 0 28950 -
425 Plester Roll Kain Rol 0 0 0 0 0 42350 -
426 Sarung Tangan No. 7,5 Pcs 0 0 0 0 0 254696 -
427 Surgical e-Cape tapel box 0 0 0 0 0 -
428 Surgical e-Cape tapel box 0 0 0 0 0 -
429 Silk (Bng Bdh Sutra) No. 3/0 dgn Jarum Pcs 0 0 0 0 0 -
430 Sensi Alkohol Swabs Pcs 0 0 0 0 0 - APBN PROV
431 Transfusion Set Rol 0 0 0 0 0 -
432 Urine Bag 2000 cc Pcs 0 0 0 0 0 2999 - APBD 2018
433 Wing Needle 21 Pcs 0 0 0 0 0 -
434 Wing Needle 23 Pcs 0 0 0 0 0 -
435 Wing Needle 25 Pcs 0 0 0 0 0 -
436 Wing Needle 27 Pcs 0 0 0 0 0 -
437 Wing Needle 28 Pcs 0 0 0 0 0 -
438 Masker Tie On Pcs 0 0 0 0 0 17900 - APBD 2018
439 Masker Earlop Pcs 0 0 0 0 0 0 -
440 Pembalut Elastis 7,5x4,55 M Pcs 0 0 0 0 0 -
441 Pembalut Elastis 10x4,55 M Pcs 0 0 0 0 0 -
442 Pembalut Elastis 15x4,55 M Pcs 0 0 0 0 0 -
443 Polycrap 7,5 Pcs 0 0 0 0 0 - APBD 2016 Feb-22 1702115
444 Polygitt 7,5 Pcs 0 0 0 0 0 18628 - APBD 2016 Mei 2019 1605026
445 Polygitt 10 Pcs 0 0 0 0 0 26126 - APBD 2016 Mei 2019 1605028
446 Polygitt 15 Pcs 0 0 0 0 0 42000 - APBD 2016 Mei 2019 1605025
447 Slide Box 0 0 0 0 0 - aAPBN PROV
448 Serbuk Abate Pcs 0 0 0 0 0 3146 - DAK 019 Sep-21 1901100007
6,043,376

JUMLAH KUNJUNGAN R/ UMUM ASKES

52 12 40

JUMLAH R/ 12 40

MENGETAHUI YANG MENYERAHKAN YANG MEMINTA/MELAPORKAN YANG MENERIMA

KEPALA DINAS KESEHATAN PENGELOLA OBAT KEPALA PUSKESMAS PENGELOLA OBAT PUSKESMAS
KAB. PULAU MOROTAI KAB. PULAU MOROTAI

dr.Victor Palimbong Asril Damiyanto, S.Si.,Apt Muhammad Isnan Safar,SKM Nurfitriyani Maradjabessy,Amd.Far
NIP. 19670513 198801 1 001 NIP. 19880404 201403 1 001 NIP. 19811220 200012 1 003 NIP. 199001022014032002
 STOK OBAT PUSKESMAS BERE-BERE PER 31 JANUARI

NO NAMA OBAT
JUMLAH SUMBER EXP NO.BATCH
I TABLET
1 Allopurinol 100 mg Tablet APBD 2018 Apr-22 E80876B
2 Asiklovir 200 mg
3 Asiklovir 400 mg APBD 2018 JULI 2023 681955J1
4 Ambroxol 50 mg APBD 2017 Nov-20 6483007
6 Amlodipin 5 mg tab APBD 2018 Feb-23 C80510B
7 Amlodipin 10 mg tab APBD 2018 Feb-23 C80516B1
9 Amoxicillin 500 mg APBD 2016 Nov-19 250522
10 Antalgin APBD 2018 Dec-22 L71862t
12 Amocicilin 250 mg APBD 2018 AGU 20 1808-65-51
13 Antasida Doen APBD 2016 Sep-20 170904109
14 Asam Askorbat (Vit C) 50 mg APBD 2018 Feb-21 B80023B1
15 Asam Mefenamat 500 mg APBD 2017 Mei 2019 170658
16 Asam Folac 1 mg APBD 2018 JULI 2020 18TF026
17 Atorvastatin 10 mg APBD 2019 Dec-19 48L0321
19 AZITHROMYCIN 500 MG APBD 2018 AGU 22 H72329J
23 Betahistin Mesylate APBD 2018 Oct-20 A82040
25 Captopril 12,5 mg Tablet APBD 2015 Nov-20 85323005ZN
27 Candersata 16 mg APBD 2018 Jun-20 4304204
28 Cetrizine 10 mg APBD 2018 Mei 2020 T05021AH
29 Cimetidine 200 mg Tablet APBD 2017 Agus 21 95331001R
30 Ciprofloxacin 500 mg Tablet APBD 2018 AGU 20 180846-108
31 Cefixime 100 mg APBD 2019 0ct 20 J82812J
32 Cefadroxil 500 mg APBD 2018 Dec-19 L73988J
34 Dexamethasone 0,5 mg APBD 2018 Sep-20 180918150
38 Diltiazem 40 mg Tablet APBD 2018
39 Dimenhydrinate 50 mg tab APBD 2018 Jan-23 A80015B
47 Erythromicyn 250 mg APBD 2018 Jun-21 F81675J
48 Fituno Caps APBD 2018 Jul-21 HB1502B
53 Ferro Sulfat APBD 2016 Oct-19 06818098CC
54 Fitomenadion (Vit K) 10 mg Tablet Salut APBD 2016 Nov-19 95381013
55 Fluconazole 150 mg APBD 2018 MEI 19 EE1216
56 Furosemide 40 mg Tablet APBD 2018 Aug-20 172012B
61 Gemfibrozil capsul APBD 2016 Jun-21 6441001
62 Glibenclamid Tablet APBD 2014 Sep-19 1406054
64 Glimepiride 2 mg APBD 2018 Mar-22 C80658J
65 Griseofulvin 125 mg APBD 2018 juni 2020 180607
66 Harnal 0,4 mg APBD 2019 Feb-19 17046YI
69 Hemafort Caplet APBD 2016 juni 2020 9506027
70 Hidroklortiazida (Hct) 25 mg Tablet APBD 2018 Oct-22 K72730
71 Ibuprofen 200 mg Tablet APBD 2019 Oct-20 1810-34-177
73 Isosorbid Dinitrat 5 mg Tablet APBD 2016 Mei 2021 1704018
75 Isoniazid tab APBD 2016 Feb-20 AB91201
76 Kalsium Laktat 500 mg Tablet APBD 2018 AGU 22 H71044T
79 Klopheniramin Maleat 4 mg (CTM) APBD 2018 Sep-22 1809-34-152
83 Klindamisin 300 mg APBD 2016 Mar-19 170147

88 Ketokonazol tab APBD 2016 MEI 20 1805-11-103

89 Kotrimoxazole Tablet Pediatrik APBD 2016 Oct-19 95336003
90 Kotrimoxazole Tablet Kombibasi 480 mg APBD 2018 Feb-20 A80226
91 Lansoprazol 30 mg APBD 2018 AGU 21 80208
93 Metformin Tab APBD 2016 Nov-20 85431018R
94 Methylprednisolon 4 mg APBD 2016 Agustus 2020 95455004
98 Miniaspi 80 mg APBD 2018 Agu 20 A81635
99 Metoclopramide APBD 2018 Sep-22 J72536B
100 Methylergometrin Maleat 0,125 mg Tablet APBD 2019 MEI 21 18CE010
102 Metronidazole 500 mg APBD 2016 Apr-20 AD91268
105 Natrium Diklofenak 50 mg APBD 2018 Jul-23 G82136J
109 Nistatin 100.000 IU Tablet Vaginal APBD 2016 Sep-19 85372012
111 Omeprazole 20 mg APBD 2018 Sep-20 1809-09-53
112 Papaverin Tablet APBD 2016 Sep-19 1609114
113 Paracetamol 500 mg Tablet APBD 2017 Apr-19 170530
116 Pehavral Tab APBD 2016 Oct-19 6071010
117 Pircetam 400 APBD 2016 Mei 2019 47F0084
118 Piracetam 800 APBD 2016 Apr-19 47C0329
120 Pirantel Pamoat (Pyrantel) 125 mg Basa APBD 2018 Jun-23 G81348B
121 Piridoxin Hcl (Vit B6) 10 mg Tablet APBD 2018 Jan-21 B80224B
122 Prednison 5 mg Tablet APBD 2018 Jun-20 1806097
123 Primaquein APBD 2017
125 Pehamoxil 500 mg APBD 2016 Agus 2020 95061010
126 Piroxicam 10 mg Kapsul APBD 2018 JULI 2022 G71220B
127 Piroxicam 20 mg Kapsul APBD 2018
128 Ranitidine
130 Retinol (Vit A) 100.000 IU Kapsul Lunak APBD 2018 Oct-20 J72856W
131 Retinol (Vit A) 200.000 IU Kapsul Lunak 15KH007
132 Salbutamol 2 mg Tablet APBD 2016 Oct-19 A8246JS
134 Salbutamol 4 mg Tablet APBD 2018 MEI 22 YE535A
135 Sianocobalamin (Vit B12) 10 mg Tablet APBD 2019 mei 23 18TE040
136 Simvastatin 20 mg APBD 2018 Apr-21 YD2576
137 Tetrasiklin 500 mg Kapsul APBD 2018
138 Tiamin Hcl (Vit B1) 50 mg Tablet APBD 2016 Sep-19 1509-04-03
140 Vitamin B Komp Tablet APBD 2018 MEI 21 18TE048
141 Verampil Tab APBD 2018 Feb-23 C8054B
142 Zink Sulfat Tablet APBD 2018 Oct-19
143 Zidovudin 100 mg APBD 2019
145 Tenofofir 300 mg APBD 2018
146 quinin APBD 2016 Apr-19 D140379B
II INJEKSI
151 Ampicillin injeksi APBD 2016 Apr-19 85436020
153 Aqua Proinjeksi Steril 20 ml APBD 2017 Mar-19 83C46A
154 Cefotaxim 1 gr injeksi APBD 2016 Mei 2019 95444084BF

155 Ceftiaxon 1gr injeksi APBD 2018 Oct-20 I10031AH

156 Epineprim Injeksi APBD 2016 Mar-20 06344002-2
157 Dexamethasone 0,5 mg/ml-1 injeksi APBD 2016 Mar-20 06337048BF
158 Dexamethasone 5 mg/ml injeksi APBD 2018 Apr-20 F8D334
159 Na.Phyntopenat/penitoin inj APBD 2016 Mei 2020 6366001
160 Difenhidramin 10 mg/ml-1 injeksi APBD 2016 Jul-20 95342022-3
161 Fitomenadion (Vit K) 10 mg/ml-1 ml injeksi APBD 2017 Sep-20 D6382014-1
162 Gentamisin injeksi Jul-19 Jul-19 BF160076
163 Keterolac Injeksi APBD 2016 Apr-20 6459024
165 MGSO4 40% 25 ml APBD 2016 Jul-19 92G44
166 Lidokain APBD 2016 Mar-21 66362010-2
167 MEROPENEM 0,5 GR 1 VIAL INJ APBD 2018 AGU 20 D8H397
168 Metilergometrin Maleat 0,0002 mg/ml injeksi
169 Methylprednisolon Injeksi
170 Neurobion Inj
171 Ondanstron Inj
172 Pitogin injeksi
173 Phcain inj APBD 2017 AGU 20 06052032MF
174 Piracetam 200MG/ML APBD 2016 Mar-19 212002-1
175 Piracetam 1G/5ML APBD 2017 Feb-21 B10406802
176 Sianocobalamin (Vit B12) 500 mg/ml injeksi APBD 2018 Apr-22 181D017
III SYRUP
184 Amoxicillin 125 mg/5 ml Syrup Kering APBD 2016 Apr-19 270095
185 Ambroxol Syrup APBD 2018 Oct-20 1810-14-86
186 Antasida Suspensi APBD 2018 Sep-21 509023AH
187 Batugin Syr APBD 2018 Apr-20 E70753B
188 CETIRIZINE HCL SIRUP 5MG/5ML (RAMA) APBD 2019 Oct-20 S10048 AH
189 Cotrimoxazole Syrup APBD 2018 MEI 20 A81091
190 Cefixime syr APBD 2017 Jun-20 80206
191 Cefadroxil Syrup APBD 2018 Apr-19 6510045
192 Ibuprofen syrup APBD 2018 AGU 20 S 08025 AH
193 Kloramfenikol syr APBD 2018 Sep-20 1809-05-82
194 Donperidone Syrup APBD 2018 Oct-20 1809-16-186
195 OBH Syrup APBD 2016 Oct-19 J39604
196 Metronidazole syr APBD 2018 MEI 20 E8E188
197 Paracetamol Syrup APBD 2016 Mei 2020 1605-35-86
198 Sukralfat syrup 5 ml/500 mg APBD 2018 May-20 E8E159
IV ZALF/KRIM/TETES
210 Anti Hemoroid Suppo APBD 2018
213 Bethamethasone Kriem APBD 2018 Apr-21 D80663T
214 Bioplacenton Kriem
215 Bufacetin salep kulit APBD 2018 Jul-21 1007801
216 Fenol Glicerol Tetes Telinga
219 Gentamisin TETES Mata 5 ml 0,3%
220 Gentamisin Salep Mata 0,3%
221 Hydrocortisone Kriem APBD 2018 Feb-22 BB0265T
222 Salisil Bedak APBD 2019 Jan-23 A803665
223 Ketoconazole kriem APBD 2018 Oct-19 95489029
224 Kloramphenicol 1% Salep Mata APBD 2018 Jan-21 A80205W
226 Miconazol Kriem Dec-21 L73362W
227 Dumin Supp APBD 2018
228 Oxytetracycline 1% Salep Mata APBD 2018 Jul-21 681842Y
230 Protofen Supp APBD 2018
232 Zalp 2-4 APBD 2014 Oct-19 14057014
V CAIRAN DAN BMHP
233 Alkohol 70% 1 Liter APBD 2016 Nov-18 41110205
237 Glukosa Larutan Infus 5% APBD 2016 Mar-19 260421
238 Glukosa Larutan Infus 10% APBD 2016 Mar-19 260419
240 Metronidazole infus APBD 2018
241 Natrium Klorida 0,9% APBD 2016 Mar-21 260412
243 Povidon Iodida 10% 300 ml APBD 2018 Dec-19 161201209
244 Povidon Iodida 10% 1 L APBD 2018 Sep-20 1709012020
245 Rivanol 300 cc APBD 2016 Oct-18 1410-11207
246 Ringer Laktat APBD 2016 Apr-21 360509
256 Abobocath No. 16
257 Abbocath No. 18 APBD 2016 Apr-21 3191188
258 Abbocath No. 20 APBD 2016 Oct-21 3297227
259 Abbocath No. 22 APBD 2016 Jul-21 3247045
260 Abbocath No. 24 JELCO 24 G APBD 2016 Sep-20 3254882
261 Alat Suntik 0,05 ml APBD 2016 Jul-18 810
262 Alat Suntik 1 ml APBD 2018 Sep-19 810
263 Alat Suntik 2,5 ml ONMED SYRINGE 2,5 ML APBD 2017 Jul-21 1602201
264 Alat Suntik 3 ml APBD 2018 Jul-21 1602201
265 Alat Suntik 5 ml APBD 2018 Mei 2021 1604201
268 Catgut/Benang Bedah No.2/0 APBD 2018 Oct-19 30102013
270 Catgut Plain No 01 HR 37 APBD 2019
272 Foleey Cateter No. 19
278 IV Catheter 20 Short Terumo
279 IVCatheter 22 Terumo
280 Hanscoon Non Steril APBD 2018
281 Hanscoon Steril APBD 2018
284 Infuset Anak APBD 2018
285 Infuset Dewasa APBD 2018
289 Kapas Putih APBD 2016 Oct-21 1610091
290 Kasa Pembalut Roll APBD 2018
296 Kasa Pembalut Hydrofil 16 x 16 cm( kasa s) APBD 2018
298 Masker Oksigen Bayi APBD 2018
299 Masker Oksigen Anak APBD 2018
300 Masker Oksigen Dewasa APBD 2018
301 Plester 5 Yar x 2 Inch APBD 2016 Jan-19 60644209
302 Plester Roll Kain APBD 2018
303 Sarung Tangan No. 7,5 APBD 2016 Jul-19 2030065925P2A
304 Surgical e-Cape tapel APBD 2016
306 Silk (Bng Bdh Sutra) No. 3/0 dgn Jarum
308 Urine Bag 2000 cc APBD 2018
314 Masker Tie On
315 Masker Earlop
319 Polycrap 7,5 APBD 2016 Feb-22 1702115
320 Polygitt 7,5 APBD 2016 Mei 2019 1605026
321 Polygitt 10 APBD 2016 Mei 2019 1605028
322 Polygitt 15 APBD 2016 Mei 2019 1605025

PENGELOLA OBAT PUSKESMAS

Nurfitriyani Maradjabessy,Amd.Far
NIP. 199001022014032002
0065925P2A
 PERMINTAAN OBAT
BULAN : JULI 2020

NO NAMA OBAT PERMINTAAN PENERIMAAN SISA STOK

I TABLET
1 Ambroxol tab 200 0
2 Paracetanol Tab 200 0
3 Gliceril Guayacolat 100 mg Tablet 200 0
4 Amox 500 mg 200 0
5 Pehamoxil 500 mg 300 0
6 Antalgin 200 0
7 Natrium Diklofenak 50 mg 200 0
8 Asam Folat 200 0
9 Oralit 200 0
10 Klotaren 200 30
11 Amox Syr 10 0
12 Ambroxol syr 10 0
13 Cefadroxil Syr 10 0
14 PCT Syr 10
15 Ibuprofen Syr 10
16 Sanmol SYR 5
17 Efexol Syr 2
18 Efexol drop 2
19 Sanmol drop 2
20 Ibuprofen Tab 200 0