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PUSKESMAS
PUSKESMAS : PENUSUPAN
KECAMATAN : PANGKAH PELAPORAN BULAN : JULI 2018
KABUPATEN : TEGAL
PENERIMAAN
NO NAMA OBAT SATUANSTOK AWAL
BON PROGRAMUMUM
1 2 3 4 5 6 7
REAGENSIA
196 LARUTAN ASAM KLORIDA BTL 2
197 LARUTAN BENEDICT BTL 3
OBAT GIGI
198 ALBOTHYL CONCENTRAT BOTOL 0
199 APTIL SOLUTION BTL 0
200 DEVITALISASI PASTA BTL 1
201 ETIL KLORIDA SEMPROT BTL 4
202 EUGENOL CAIRAN BTL 4
203 GLASS IONOMER CEMENT SET 0
204 KALSIUM HIDROKSIDA PASTA BTL 0
205 LIDOKAIN INJEKSI 2% AMP 107
206 LIDOKAIN KOMP. INJ. AMP 85
207 MONOKLORKAMFER MENTOL CAIR BTL 0
208 MUMMYFYING PASTA BTL 0
209 SEMEN SENG FOSFAT BTL 0
210 TEMPORARY STOPPING FLETCHER BTL 0
ALAT KESEHATAN
211 ABBOCATH NO. 18 SET 7 100
212 ABBOCATH NO. 20 SET 82
213 ABBOCATH NO. 22 SET 0
214 ABBOCATH NO. 24 SET 0
215 ABBOCATH NO. 26 SET 13
216 ALAT SUNTIK DISPOSIBLE 1 ML SET 136
217 ALAT SUNTIK DISPOSIBLE 2,5 ML SET 336
218 ALAT SUNTIK DISPOSIBLE 5 ML SET 320
219 ALAT SUNTIK DISPOSIBLE 10 ML SET 221
220 ALAT SUNTIK DISPOSIBLE 20 ML SET 308
221 CATGUT SACHET 0 1
222 FOLLEY CATHETER NO. 14 SET 7
223 FOLLEY CATHETER NO. 16 SET 20
224 FOLLEY CATHETER NO. 18 SET 11
225 HANDSCHOEN NON STERIL SET 0 300
226 HANDSCHOEN STERIL SET 600
227 INFUSION SET ANAK SET 15
228 INFUSION SET DEWASA SET 123
229 KAPAS PEMBALUT 250 GRAM BKS 10
230 KASA HIDROFIL STERIL 16 X 16 ROL 57
231 KASA HIDROFIL 36 M X 80 CM ROL 0 1
232 KASA PEMBALUT 2 M X 80 CM ROL 7 10
233 KASA PEMBALUT 4 M X 10 CM ROL 60
234 KASA PEMBALUT 4 M X 5 CM ROL 65
235 MASKER SET 600 300
236 NEEDLE 23 G SET 0
237 PLESTER ROL 6
238 SAFETY BOX SET 0
239 SARUNG TANGAN OBGYN STERIL PASANG 50
240 SILK KTK 0
241 TRANFUSI SET SET 105
242 URINE BAG SET 35
OBAT TUBERCULOSIS
243 FDC KATEGORI I PAKET 13
244 FDC KATEGORI II PAKET 1
245 FDC KATEGORI ANAK PAKET 0
246 OAT KOMBIPAK KATEGORI 1 PAKET 0
OBAT KUSTA
247 MDT MB ANAK BLISTER 0
248 MDT MB DEWASA BLISTER 18
249 MDT PB ANAK BLISTER 0
250 MDT PB DEWASA BLISTER 12
OBAT GIZI
259 HEMAFORT TABLET TAB 0
260 IODIUM TEST SET 90
261 MINERAL MIX SACHET 0
262 RETINOL KAPSUL 100.000 IU KAPS 900
263 RETINOL KAPSUL 200.000 IU KAPS 3,500
264 SAMCOBION KAPSUL KAPS 0
265 SANGOVITIN KAPS 13,500
266 TABLET TAMBAH DARAH ( Fe ) TAB 20,000
267 TABURIA SACHET 0
268 VITABION KAPSUL KAPS 0
Mengetahui/Menyetujui
a.n Kepala Dinas Kesehatan Kab. Tegal Yang Menyerahkan
Kepala Gudang Farmasi Petugas GFK
...................................................... ................................................
NIP. NIP.
R PELAPORAN OBAT (LPLPO)
RIMAAN JUMLAH
PENGELUAR
PERSEDIAA SISA KETERANGAN
TOTAL AN
N
8 9 ( 4+8 ) 10 11 ( 9-10 ) 12
0 1 1
0 2 2
0 0 0
50 83 3 80
0 791 27 764
0 0 0 0
600 600 80 520
0 0 0 0
0 0 0 0
0 223 0 223
200 200 18 182
0 0 0 0
120 120 0 120
0 40 0 40
5,000 19,310 1,025 18,285
0 237 0 237
0 65 25 40
2,000 12,988 693 12,295
30 65 5 60
0 200 10 190
0 0 0 0
0 0 0 0
0 139 0 139
0 0 0 0
3,000 9,577 0 9,577
0 140 0 140
0 0 0 0
0 0 0 0
500 1,192 0 1,192
0 0 0 0
0 4 0 4
0 0 0 0
0 0 0 0
240 370 80 290
0 0 0 0
48 228 16 212
0 110 0 110
0 0 0 0
600 2,485 280 2,205
200 200 0 200
400 804 36 768
0 0 0 0
0 0 0 0
200 200 10 190
0 40 0 40
0 0 0 0
500 790 30 760
200 290 50 240
0 124 0 124
0 17 0 17
3,000 12,089 356 11,733
0 5 0 5
0 100 14 86
0 0 0 0
0 0 0 0
0 0 0 0
0 200 10 190
100 251 9 242
0 36 0 36
0 318 0 318
0 0 25 -25
0 205 0 205
0 0 0 0
0 10 0 10
0 0 0 0
0 11 0 11
0 124 0 124
0 10 0 10
0 0 0 0
0 0 0 0
0 0 0 0
200 496 33 463
0 3,900 0 3,900
0 0 0 0
0 0 0 0
0 0 1 -1
0 49 2 47
300 300 70 230
5,000 12,989 892 12,097
0 43 0 43
0 3 0 3
200 300 0 300
0 0 0 0
0 0 0 0
60 78 0 78
0 0 0 0
0 0 0 0
0 228 3 225
0 5 0 5
200 200 0 200
1,000 1,430 580 850
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 103 3 100
0 0 0 0
0 0 0 0
6,000 14,951 637 14,314
0 147 0 147
400 825 0 825
100 310 0 310
72 236 0 236
0 77 4 73
0 150 0 150
30 206 0 206
45 45 0 45
5,000 12,869 0 12,869
0 0 0 0
0 0 0 0
0 0 0 0
0 308 13 295
400 1,238 22 1,216
0 454 0 454
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 127 1 126
0 100 25 75
100 100 40 60
0 90 0 90
0 184 0 184
0 0 0 0
0 0 0 0
0 0 0 0
0 400 41 359
0 0 0 0
0 1,122 30 1,092
200 545 75 470
0 131 1 130
0 20 0 20
0 0 30 -30
0 0 0 0
0 0 0 0
100 100 0 100
0 22 0 22
60 245 10 235
0 0 0 0
0 152 5 147
0 148 2 146
0 196 0 196
0 0 0 0
150 325 19 306
0 0 0 0
0 0 0 0
100 169 0 169
0 0 0 0
90 106 76 30
0 105 2 103
300 767 41 726
10,000 34,068 2,851 31,217
0 32 0 32
15 20 1 19
0 159 0 159
2,000 8,259 0 8,259
0 350 0 350
400 1,330 146 1,184
300 300 224 76
0 0 0 0
23 45 0 45
0 0 0 0
0 0 0 0
0 2,695 65 2,630
0 200 0 200
0 54 0 54
0 0 0 0
60 180 0 180
0 7 0 7
400 656 50 606
0 100 0 100
0 5 0 5
0 406 113 293
0 0 0 0
0 86 2 84
100 293 0 293
0 0 0 0
0 0 0 0
2,000 11,599 0 11,599
0 250 56 194
0 0 0 0
0 108 16 92
0 553 0 553
0 725 10 715
0 10,615 0 10,615
0 0 25 -25
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1,000 5,006 207 4,799
0 4,855 80 4,775
0 2 0 2
0 3 0 3
0 0 0 0
0 0 0 0
0 1 0 1
0 4 0 4
0 4 0 4
0 0 0 0
0 0 0 0
0 107 0 107
0 85 0 85
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 13 0 13
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 18 0 18
0 0 0 0
0 12 0 12
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 90 0 90
0 0 0 0
0 900 0 900
0 3,500 0 3,500
0 0 0 0
0 13,500 0 13,500
0 20,000 0 20,000
0 0 0 0
0 0 0 0
0 0 0 0
0 6 0 6
0 15 0 15
0 62 0 62
0 0 0 0
0 0 0 0
0 197 0 197
0 0 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0