LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO) UNIT

KODE PUSKESMAS POSKESKEL

PUSKESMAS ULAK KARANG
KECAMATAN PADANG UTARA
KAB/KOTA PADANG
PROVINSI SUMATERA BARAT

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAn PERSEDIAAN

1 Acetylcysein tab 200 mg capsul 300 300

2 Ambroksol 30 mg tablet tablet 0 0
3 Ambroksol sirup botol 5 5
4 Aminofillin tab 200mg tablet 0 0
5 Amoksisilin sirker 125mg/5ml botol 5 5
6 Amoksisilan tab 200mg tablet 500 500
7 Antasida doen tab tablet 300 300
8 Antifungi doen salep pot 6 6
9 Antihaemoroid suppos suppos 10 10
10 Asam askorbat (vit c ) tab 50mg tablet 500 500
11 Asam folat tab 1mg tablet 200 200
12 Asam mefenamat tab 500mg tablet 300 300
13 Betadin salep tube 12 12
14 Betahistin mesilat 6mg tablet tablet 200 200
15 Betamethasone o,1% cream tube 0 0
16 Bisacodyl tab 5 mg tablet 0 0
17 Chloramfenikol S.M 1% tube 5 5
18 chloramfenikol Sk 2%(bufacetin) tube 6 6
19 Chloramfenikol tetes telinga botol 5 5
20 Chlorphenirahim tab 4mg (CTM) tablet 500 500
21 Cyanacobalamin (B12) tab 50mg tablet 200 200
22 Dexamethasone tab 0.5mg tablet 500 500
23 Domperidon tablet 10mg tablet 0 0
24 Etanol 70% tablet 0 0
25 Fenalgliserol tetes telinga 10% botol 6 6
26 Fitomedanion (vit k1) tablet 10 mg botol 100 100
27 Garam oralit untuk 200ml tablet 100 100
28 Gliseril guayacolat tab 100mg sachet 0 0
29 Hidrokortison krim 2,5% tablet 0 0
30 Hustab syrup tube 0 0
31 Ibuprofen tab 200 mg botol 200 200
32 Kalsium lactat ( kalk) tab 500 mg tablet 500 500
33 Kotrimoxazol 480 mg tablet 200 200
34 Kotrimoxazol suspensi botol 5 5
35 Lidocaininjeksi ampul 0 0
36 Natrium diklofenak tab 25mg tablet 200 200
37 Oksitetrasiklin salep 3% tube 0 0
38 Omeprazol kapsul 20mg kapsul 0 0
39 Paracetamol sirup botol 5 5
40 Paracetamol tab 500mg tablet 500 500
41 Piridoksin (b6) tab 10mg tablet 500 500
42 Povidon iodida 10% 60ml botol 0 0
43 Ranitidin tab 150mg tablet 0 0
44 Salbutamol tab 2mg tablet 100 100
45 Salep 2-4 kombinasi tube 6 6
46 Salisil bedak 2% bks 8 8
47 Tablet tambah darah ( program ) tablet 300 300
48 Thiamin HCI (BI) tab 50 mg tablet 500 500
49 Vit B komplek tab tablet 500 500
50 Zink tablet tablet 100 100
ERMINTAAN OBAT

BULAN : FEBRUARI
TAHUN : 2021

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

80 220
0 0
2 3
0 0
2 3
165 335
50 250
0 6
0 10
50 450
0 200
30 270
0 12
50 150
0 0
0 0
0 5
0 6
0 5
145 355
0 200
50 450
0 0
0 0
0 6
0 100
0 100
0 0
0 0
0 0
30 170
500
200
 2 3
0 0
30 170
0 0
0 0
2 3
190 310
30 370
0 0
0 0
10 90
6
8
300
30 30
40 460
100 100
NO BAHAN MEDIS HABIS PAKAI

1 Alat suntik 3 ml pcs

2 Alkohol swab ktk/100
3 Catcut Gut 3/0 set
4 Handschoon Non Steril Skifa M pcs
5 Kapas Pembalut 250 mg roll
6 Kasa 4 mx 5 cm roll
7 Masker 3 Ply ear loop box/50
8 Polifix 5 cmx 1 cm ktk/100
9 Silk No.3/0 pcs
10 Usg gel btl
11
12
13
14
15

KA . PUSKESMAS PJ. FARMASI

Dr. Chelsi krisanti darsun YUSMAFAUZAR,S.FARM.APT

NIP : 198103132010012011 NIP : 196607081994032003
Padang, 2021

ENDRA DEWITA , Amd.kep

NIP: 1975042420062014