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Laporan Psikotropika Bulan Januari 2017

Unit Layanan: PUSKESMAS BUHU


PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 100 0 0 Resep 100 0
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 1 0 0 0 0 1
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 100 0 0 0 0 100
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 100 0 0 0 0 100
haloperidol 5 mg TABLET 800 0 0 0 0 800
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 ml TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 600 0 0 0 0 600
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Januari 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Februari 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 1 0 0 0 0 1
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 100 G. Farmasi 200 0 0 300
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 100 0 0 0 0 100
haloperidol 5 mg TABLET 800 0 0 0 0 800
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 ml TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 600 0 0 Resep 100 500
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Februari 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Maret 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 1 0 0 0 0 1
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 300 0 0 Resep 100 200
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 100 0 0 0 0 100
haloperidol 5 mg TABLET 800 0 0 0 0 800
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 ml TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 500 0 0 Resep 100 400
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Maret 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan April 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 1 0 0 0 0 1
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 300 IFK 100 Resep 100 300
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 100 0 0 0 0 100
haloperidol 5 mg TABLET 800 APOTIK 0 0 0 1300
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 m TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 300 0 0 0 0 300
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0
Halloperidol 0,5 TABLET 0 IFK 100 0 0 100

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan April 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0
Laporan Psikotropika Bulan Mei 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 100 0 0 0 0 100
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 9 IFK 10 0 0 19
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 300 IFK 400 Resep 100 600
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 100 IFK 200 0 0 300
haloperidol 5 mg TABLET 1300 0 0 0 0 1300
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 ml TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 200 IFK 300 0 0 500
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0
Halloperidol 0,5 TABLET 100 IFK 200 0 0 300

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Juni 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Juni 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 100 0 0 0 0 100
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 19 0 0 0 0 19
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 600 0 0 Resep 100 500
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Hedix TABLET 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 300 0 0 0 0 300
haloperidol 5 mg TABLET 1300 0 0 Resep 100 1200
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 10 mg TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal 5 mg tube TUBE 0 0 0 0 0 0
stesolid syrup BOTOL 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 m TUBE 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 500 0 0 Resep 100 400
Tranquam 5 mg TABLET 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0
Halloperidol 0,5 TABLET 300 0 0 0 0 300

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Agustus 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Mentalium 10 mg TABLET 0 0 0 0 0 0
Alganax 0,25 mg TABLET 0 0 0 0 0 0
Alganax 0,5 mg TABLET 0 0 0 0 0 0
Alganax 1 mg TABLET 0 0 0 0 0 0
Alprazolam 0,25 mg TABLET 0 0 0 0 0 0
Alprazolam 0,5 mg TABLET 0 0 0 0 0 0
Alprazolam 1 mg TABLET 0 0 0 0 0 0
Alviz 0,25 mg TABLET 0 0 0 0 0 0
Alviz 0,5 mg TABLET 0 0 0 0 0 0
Alviz 1 mg TABLET 0 0 0 0 0 0
Analsik Tab TABLET 0 0 0 0 0 0
Apisate Tab TABLET 0 0 0 0 0 0
Asabium 10 mg Tab TABLET 0 0 0 0 0 0
Atarax 0,5 mg Tab TABLET 0 0 0 0 0 0
Ativan 0,5 mg TABLET 0 0 0 0 0 0
Ativan 1 mg TABLET 0 0 0 0 0 0
Ativan 2 mg TABLET 0 0 0 0 0 0
Atrax 0,25 TABLET 0 0 0 0 0 0
Bellaphen Tablet TABLET 0 0 0 0 0 0
Braxidin Tab TABLET 0 0 0 0 0 0
Calmlet 0,25 MG TAB TABLET 0 0 0 0 0 0
Calmlet 0,5 mg TABLET 0 0 0 0 0 0
Calmlet 1 mg TABLET 0 0 0 0 0 0
Calmlet 2 mg TABLET 0 0 0 0 0 0
Ce Tabrium 10 mg TABLET 0 0 0 0 0 0
Ce Tabrium 5 mg TABLET 0 0 0 0 0 0
Cetalgin TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 IFKG 100 0 0 100
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Cliad TABLET 0 0 0 0 0 0
Clobazam 10 mg TABLET 0 0 0 0 0 0
Danalgin Tab TABLET 0 0 0 0 0 0
Decazepam 5 mg Tab TABLET 0 0 0 0 0 0
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 500 0 0 Apotik 100 400
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml AMPUL 19 0 0 0 0 19
Diobrium 10 mg Caps KAPSUL 0 0 0 0 0 0
Diobrium 5 mg Caps KAPSUL 0 0 0 0 0 0
Ditalin Tab TABLET 0 0 0 0 0 0
Dormicum 15 mg/Ampul Inj AMPUL 0 0 0 0 0 0
Dormicum 5 mg/Ampul inj AMPUL 0 0 0 0 0 0
Dumolid 5 Mg Tab TABLET 0 0 0 0 0 0
Esilgan 1 mg TABLET 0 0 0 0 0 0
Esilgan 2 mg TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 300 0 0 Apotik 100 200
Fortanest 15 mg AMPUL 0 0 0 0 0 0
Fortanest 5 mg AMPUL 0 0 0 0 0 0
Frisium 10 mg TABLET 0 0 0 0 0 0
Frixitas 0,25mg TABLET 0 0 0 0 0 0
Frixitas 0,5 mg TABLET 0 0 0 0 0 0
Frixitas 1 mg AMPUL 0 0 0 0 0 0
Halloperidol 0,5 TABLET 300 0 0 0 0 300
Haloperidol 1,5 mg TABLET 300 0 0 0 0 300
haloperidol 5 mg TABLET 1200 0 0 Apotik 100 1100
Hedix TABLET 0 0 0 0 0 0
Hufralgin TABLET 0 0 0 0 0 0
Klidibrax TABLET 0 0 0 0 0 0
Lexotan 1,5 mg TABLET 0 0 0 0 0 0
Lexotan 3 mg TABLET 0 0 0 0 0 0
lexotan 6 mg TABLET 0 0 0 0 0 0
Librax TABLET 0 0 0 0 0 0
Librium 10 mg TABLET 0 0 0 0 0 0
Librium 5 mg TABLET 0 0 0 0 0 0
Limbritol TABLET 0 0 0 0 0 0
Luminal 100 mg TABLET 0 0 0 0 0 0
Luminal 30 mg TABLET 0 0 0 0 0 0
Luminal 50 mg TABLET 0 0 0 0 0 0
Luminal 60 mg/ ml inj AMPUL 0 0 0 0 0 0
Melidox TABLET 0 0 0 0 0 0
Mentalium 2 mg TABLET 0 0 0 0 0 0
Mentalium 5 mg TABLET 0 0 0 0 0 0
Merlopam 0,5 mg Tab TABLET 0 0 0 0 0 0
Merlopam 2 mg Tab TABLET 0 0 0 0 0 0
Metaneuron TABLET 0 0 0 0 0 0
Midazolam 15 mg inj AMPUL 0 0 0 0 0 0
Midazolam 5 mg inj AMPUL 0 0 0 0 0 0
Miloz 15 mg/ 3 ml inj AMPUL 0 0 0 0 0 0
Miloz 5 mg/5 ml inj AMPUL 0 0 0 0 0 0
Neo Protal Tab TABLET 0 0 0 0 0 0
Neoroval TABLET 0 0 0 0 0 0
Neurodial 5 mg Tab TABLET 0 0 0 0 0 0
Neurogen Tab TABLET 0 0 0 0 0 0
Neuropyron Tab TABLET 0 0 0 0 0 0
Omegastri TABLET 0 0 0 0 0 0
Pehaspas TABLET 0 0 0 0 0 0
Piptal Pet drops 0,5 ml BOTOL 0 0 0 0 0 0
Preneuron TABLET 0 0 0 0 0 0
Proclozam 10 mg Tab TABLET 0 0 0 0 0 0
Prozepam 2 mg Tab TABLET 0 0 0 0 0 0
Prozepam 5 mg Tab TABLET 0 0 0 0 0 0
Renagas 6 mg Tab TABLET 0 0 0 0 0 0
Renaquil 1 mg tab TABLET 0 0 0 0 0 0
Riklona 2 mg TABLET 0 0 0 0 0 0
Ritalin 10 mg tab TABLET 0 0 0 0 0 0
Ritalin 30 mg tab TABLET 0 0 0 0 0 0
Ritalin 40 mg Tab TABLET 0 0 0 0 0 0
Ritalin LA 20 mg TABLET 0 0 0 0 0 0
Ritalin SR 20 Mg Tab TABLET 0 0 0 0 0 0
Rivotril 2 mg TABLET 0 0 0 0 0 0
Sedacum inj 5 mg Ampul AMPUL 0 0 0 0 0 0
Sibital inj AMPUL 0 0 0 0 0 0
soxietas 0,5 mg TABLET 0 0 0 0 0 0
Spasmium 5 mg Tab TABLET 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml AMPUL 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TUBE 0 IFKG 10 0 0 10
stesolid syrup BOTOL 0 0 0 0 0 0
Stilnox TABLET 0 0 0 0 0 0
Teronac Tab TABLET 0 0 0 0 0 0
Tranquam 5 mg TABLET 0 0 0 0 0 0
Trazep Rectal Tube 5 mg/ 2,5 ml TUBE 0 0 0 0 0 0
Unagen with AMR UAP TABLET 0 0 0 0 0 0
Valdimex 10 mg/ 2ml inj AMPUL 0 0 0 0 0 0
Valdimex 5 mg Tab TABLET 0 0 0 0 0 0
Valinzanbe 5 mg Tab TABLET 0 0 0 0 0 0
Valium 10 mg TABLET 0 0 0 0 0 0
Valium 10 mg inj AMPUL 0 0 0 0 0 0
Valium 2 mg TABLET 0 0 0 0 0 0
Valium 5 mg TABLET 0 0 0 0 0 0
Valizanbe 2 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,25 mg Tab TABLET 0 0 0 0 0 0
Xanax 0,5 mg tab TABLET 0 0 0 0 0 0
Xanax 1 mg Tab TABLET 0 0 0 0 0 0
Yekalgin Kaplrt KAPLET 0 0 0 0 0 0
Zolastin 1 mg Tab TABLET 0 0 0 0 0 0
Zolmia 10 mg Tab TABLET 0 0 0 0 0 0
Zyparon TABLET 0 0 0 0 0 0
Zyprax 1 mg Tab TABLET 0 0 0 0 0 0
Zypraz 0,25 mg tab TABLET 0 0 0 0 0 0
Zypraz 0,5 mg Tab TABLET 0 0 0 0 0 0
Karbamazepin 200mg TABLET 0 IFKG 500 0 0 500

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Agustus 2017
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Agustus 2018
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : ISNAWATI BUKA, SKM

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 400 0 0 0 0 400
Chlorpromazine Hcl 100 mg TABLET 100 0 0 0 0 0
Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 200 0 0 0 0 200
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 0 0 0 0 0 0
Halloperidol 0,5 TABLET 500 0 0 0 0 500
Halloperidol Inj AMPUL 24 0 0 0 0 24
Haloperidol 1,5 mg TABLET 400 0 0 0 0 400
haloperidol 5 mg TABLET 1200 0 0 0 0 1200
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 200 0 0 Apotik 100 100

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Agustus 2018
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : ISNAWATI BUKA, SKM

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Juli 2018
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : ISNAWATI BUKA, SKM

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 400 0 0 0 0 0

Chlorpromazine Hcl 100 mg TABLET 100 0 0 0 0 0

Chlorpromazine Hcl 25 Mg TABLET 0 0 0 0 0 0

Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0

Diazepam 2 mg TABLET 200 0 0 0 0 0

Diazepam 5 mg TABLET 0 0 0 0 0 0

Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0

Fenobarbital 30 mg TABLET 0 0 0 0 0 0

Halloperidol 0,5 TABLET 500 0 0 0 0 0

Halloperidol Inj AMPUL 36 0 0 Apotik 12 24

Haloperidol 1,5 mg TABLET 400 0 0 0 0 0

haloperidol 5 mg TABLET 1200 0 0 0 0 0

Stesolid 2 mg TABLET 0 0 0 0 0 0

Stesolid 5 mg TABLET 0 0 0 0 0 0

Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0

Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0

Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0

stesolid syrup TABLET 0 0 0 0 0 0

Trihexifenidil TABLET 300 0 0 Apotik 100 200

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Juli 2018
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : ISNAWATI BUKA, SKM

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU


H.MUHTAR RAHIM, S. Kep.Ns
NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Januari 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 G.PKM 100 Resep 20 80
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 0 G.PKM 100 Resep 26 74
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 50 0 0 Resep 30 20
Halloperidol 0,5 TABLET 60 0 0 0 0 60 EXP
Halloperidol Inj AMPUL 9 0 0 Resep 2 7
Haloperidol 1,5 mg TABLET 50 0 0 0 0 50 EXP
haloperidol 5 mg TABLET 0 0 0 0 0 0
Risperidone TABLET 100 0 0 0 0 100
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 20 G.PKM 100 Resep 100 20

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Januari 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Februari 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 80 0 0 0 0 80
Diazepam 10 Ml Inj AMPUL 0 0 0 0 0 0
Diazepam 2 mg TABLET 74 0 0 Resep 4 70
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 20 0 0 Resep 20 0
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 7 0 0 0 0 7
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 0 0 0 0 0 0
Risperidone TABLET 100 0 0 0 0 100
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 20 G.PKM 200 Resep 140 80

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Februari 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Maret 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 80 G.PKM 100 Resep/ED 10/80 90
Diazepam inj 5 mg AMPUL 0 G.PKM 5 Resep 1 4
Diazepam 2 mg TABLET 70 0 0 0 0 70
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 0 G.PKM 100 Resep 20 80
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 7 0 0 Resep 1 6
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 0 G.PKM 100 Resep 45 55
Risperidone TABLET 100 0 0 0 0 100
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 80 G.PKM 200 Resep 205 75

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Maret 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan April 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 90 0 0 Resep 10 80
Diazepam inj 5 mg AMPUL 4 0 0 Resep 1 3
Diazepam 2 mg TABLET 70 0 0 Resep 10 60
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 80 0 0 Resep 20 60
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 6 0 0 0 0 6
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 55 0 0 Resep 55 0
Risperidone TABLET 100 0 0 0 0 100
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 75 G.PKM 100 Resep 135 40

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan April 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Mei 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 80 0 0 Resep 50 30
Diazepam inj 5 mg AMPUL 3 0 0 Resep 0 3
Diazepam 2 mg TABLET 60 0 0 Resep 40 20
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 60 G.PKM 100 Resep 90 70
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 6 0 0 Resep 4 2
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 0 G.PKM 100 Resep 30 70
Risperidone TABLET 100 0 0 0 0 100
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 40 G.PKM 100 Resep 120 20

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Mei 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Juni 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 30 G.PKM 100 Resep 50 80
Clozapine 25 mg TABLET 0 G.PKM 50 0 0 50
Diazepam inj 5 mg AMPUL 3 0 0 Resep 0 3
Diazepam 2 mg TABLET 20 G.PKM 100 Resep 26 94
Diazepam 5 mg TABLET 0 G.PKM 100 Resep 100 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 70 0 0 Resep 60 10
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 2 0 0 Resep 1 1
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 70 0 0 Resep 30 40
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 0 G.PKM 5 0 0 5
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 0 0 0 0 0
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 20 G.PKM 200 Resep 180 40

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Juni 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Juli 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 80 0 0 Resep 60 20 EXP/07-20
Clozapine 25 mg TABLET 50 0 0 0 0 50
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 94 0 0 Resep 73 21
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 10 G.PKM 100 Resep 35 75
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 1 0 0 0 0 1
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 40 0 0 0 0 40
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 5 0 0 Resep 2 3
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 0 G.PKM 2 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 40 G.PKM 100 Resep 70 70

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Juli 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Agustus 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 Resep 0
Clozapine 25 mg TABLET 50 0 0 0 0 50
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 21 G.PKM 100 Resep 78 43
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 75 G.PKM 100 Resep 80 95
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 1 G.PKM 5 Resep 1 5
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 40 G.PKM 100 Resep 45 95
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 3 0 0 Resep 3 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 70 G.PKM 100 Resep 125 45

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Agustus 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan September 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Clozapine 25 mg TABLET 50 0 0 0 0 50
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 43 0 0 Resep 43 0
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 95 0 0 Resep 45 50
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 5 0 0 Resep 1 4
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 95 0 0 Resep 35 60
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 0 0 0 0 0 0
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 45 G.PKM 100 Resep 85 60

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan September 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Oktober 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Clozapine 25 mg TABLET 50 0 0 Resep 5 45
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg/2 ml TABLET 0 G.PKM 100 Resep 94 6
Fenobarbital 30 mg TABLET 50 0 0 Resep 20 30
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 4 0 0 Resep 2 2
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 60 0 0 Resep 60 0
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 0 G.PKM 5 Resep 2 3
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 60 G.PKM 100 Resep 70 90

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Oktober 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan November 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Clozapine 25 mg TABLET 45 0 0 Resep 25 20
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg TABLET 6 G.PKM 100 Resep 43 63
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 30 G.PKM 100 Resep 30 100
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 2 G.PKM 5 Resep 0 7
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 0 G.PKM 100 Resep 10 90
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 3 0 0 Resep 0 3
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 90 0 0 Resep 70 20

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Oktober 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Desember 2020
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Clozapine 25 mg TABLET 20 0 0 0 0 20
Diazepam inj 5 mg AMPUL 3 0 0 0 0 3
Diazepam 2 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg TABLET 63 G.PKM 100 Resep 30 133
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 100 0 0 Resep 30 70
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 7 0 5 0 0 12 EXP
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 90 0 0 Resep 10 80
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 3 0 0 0 0 3
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 20 G.PKM 200 Resep 140 80

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008

Laporan Narkotika Bulan Desember 2020


Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN AWAL AKHIR
DARI JUMLAH UNTUK JUMLAH
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Psikotropika Bulan Januari 2021
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Carbamazepin 200mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 25 mg TABLET 0 0 0 0 0 0
Chlorpromazine Hcl 100 mg TABLET 0 0 0 0 0 0
Clozapine 25 mg TABLET 20 0 0 0 0 20
Diazepam inj 5 mg AMPUL 3 0 0 Resep 1 2
Diazepam 2 mg TABLET 0 0 0 0 0 0
Diazepam 5 mg TABLET 133 0 0 Resep 40 93
Diazepam 5 mg/2 ml TABLET 0 0 0 0 0 0
Fenobarbital 30 mg TABLET 70 0 0 Resep 60 10
Halloperidol 0,5 TABLET 0 0 0 0 0 0
Halloperidol Inj AMPUL 0 0 0 0 0 0
Haloperidol 1,5 mg TABLET 0 0 0 0 0 0
haloperidol 5 mg TABLET 80 0 0 Resep 70 10
Risperidone TABLET 100 0 0 0 0 100
Sikzonoate Inj AMPUL 3 0 0 0 0 3
Stesolid 2 mg TABLET 0 0 0 0 0 0
Stesolid 5 mg TABLET 0 0 0 0 0 0
Stesolid Inj. 20 ml TABLET 0 0 0 0 0 0
Stesolid rectal 10 mg Tube TUBE 2 0 0 0 0 2
Stesolid rectal tube 5 mg/ 2,5 ml TABLET 0 0 0 0 0 0
stesolid syrup TABLET 0 0 0 0 0 0
Trihexifenidil TABLET 80 G.PKM 200 Resep 200 80

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008
Laporan Narkotika Bulan Januari 2021
Unit Layanan: PUSKESMAS BUHU
PENANGGUNG JAWAB GUDANG OBAT : YUTYA SOFYARISTA DUHONU, S.Farm

SALDO PEMASUKAN PENGGUNAAN SALDO


NAMA SATUAN
AWAL DARI JUMLAH UNTUK JUMLAH AKHIR
Codein 10 mg Tablet TABLET 0 0 0 0 0 0
Codein 15 mg Tablet TABLET 0 0 0 0 0 0
Codein 20 mg tablet TABLET 0 0 0 0 0 0
Codein Pulvis mg 0 0 0 0 0 0
Codipront Capsul KAPSUL 0 0 0 0 0 0
Codipront Cum Exp kapsul KAPSUL 0 0 0 0 0 0
Codipront Cum Syrup BOTOL 0 0 0 0 0 0
Codipront Syrup BOTOL 0 0 0 0 0 0
Doveri 100 mg Tablet TABLET 0 0 0 0 0 0
Doveri 150 mg tablet TABLET 0 0 0 0 0 0
Doveri 200 mg tablet TABLET 0 0 0 0 0 0
Doveri Pulvis MG 0 0 0 0 0 0
Durogesic 25 MU AMPUL 0 0 0 0 0 0
Durogesic 50 MU AMPUL 0 0 0 0 0 0
Fentanyl 0,05 mg/ml inj AMPUL 0 0 0 0 0 0
Fentanyl 0,5 mg/ml inj AMPUL 0 0 0 0 0 0
Morphine HCL 10 mg/ ml inj AMPUL 0 0 0 0 0 0
Morphin Syrup BOTOL 0 0 0 0 0 0
Pethidin HCL 50 mg /ml inj AMPUL 0 0 0 0 0 0
Sufenta 0,005 mg inj AMPUL 0 0 0 0 0 0
MST Continous 10 mg TABLET 0 0 0 0 0 0
MST Continous 15mg TABLET 0 0 0 0 0 0
MST Continous 30 mg TABLET 0 0 0 0 0 0
Coditam tab. ( Askes) TABLET 0 0 0 0 0 0
Durogesic matrix 12,5 MU AMPUL 0 0 0 0 0 0
Fentanyl inj (Abbot) VIAL 0 0 0 0 0 0
Morphin 20 mg TABLET 0 0 0 0 0 0
MST Continoes 60 mg TABLET 0 0 0 0 0 0
MST Contonous 100 mg TABLET 0 0 0 0 0 0
Sufenta 0,005 mg inj (forte) AMPUL 0 0 0 0 0 0

KEPALA PUSKESMAS BUHU

H.MUHTAR RAHIM, S. Kep.Ns


NIP. 19730525 199903 1 008

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