Januari 2020

PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
NO NAMA OBAT SAT 1 2 3 4 5 6 7

saliyem cipto parti sunarto ngadimah samiyem sumarton
A Obat Generik 4 4 4 4 5 4 4
A1 Acetosal 80 mg tab Tablet
A2 ACT tab Tablet
A3 Albendasol Tablet
A4 Allopurinol 100 mg tab Tablet
A5 Aminofilin inj. Ampul
A6 Aminofilin tab 200 mg Tablet
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet 9
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet
A15 Antasida Doen tab Tablet 6 6 6
A16 Antasida sirup Botol 1
A17 Anti Bacteri Doen salep kulit Tube
A18 Anti Hemoroid suppo Suppo
A19 Antifungi Kombinasi salep kulit Pot
A20 Artemeter inj 80 mg Ktk 6 amp
A21 Artesunate Inj ktk 8 amp
ARV FDC Dewasa : Tenofovir
A22 300mg + Lamivudine 300mg + Tablet
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet
A24 Asam Mefenamat kap 500 mg Kaplet
A25 Asam Amino Infus 500 cc Bag 500 cc
A26 Asetilsistein 200 mg Tablet
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A30 Atropin Sulfas inj Ampul
A31 Attapulgit ( Anti Diare Tablet ) Tablet
Benzatin Benzyl Penisilin Inj 2,4jt
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet
A34 Betahistin mesilat tab Tablet 6
A35 Betamethason salep kulit Tube
A36 Bisakodil tab Tablet
A37 Cefixime Azithromycin 1000 mg Paket
A38 Clindamycin 150 mg Dus
A39 Deksametason inj Ampul
A40 Deksametason tab 0,5 mg Tablet 6 6
A41 Diazepam inj. 5mg/2ml Ampul
A42 Diazepam rectal Tube
A43 Diazepam tab 2 mg Tablet
A44 Difenhydramin HCl inj Ampul
A45 Digoxin tab 0,25 mg Tablet
Dihydro Artemisin 40mg +
A46 Tablet
Piperaquin 320mg ( DHP ) MERSI
A47 Dimenhydrinat tab Tablet
A48 Doksisiklin 100 Tablet
A49 Domperidon suspensi Botol
A50 Domperidon tab 10 mg Tablet
A51 Efavirenz 200 mg Tablet
A53 Efinefrin ( Adrenalin inj ) Ampul
A54 Erytromicin kap 500 mg Kapsul
A55 Erytromicin sirup Botol
A56 Etakridin Lakt. ( Rivanol ) Botol
A57 Fenitoin Na. kap 100 mg Kapsul
A58 Fenobarbital inj 50mg/ml Ampul
A59 Fenobarbital tab30 mg Tablet
A60 Fenol Gliserol Botol
A61 Fitomenadion inj Ampul
A62 Fitomenadion tab 10 mg Tablet
Dus @ 10
A63 Fluoconazol 150 mg
Kap
A64 Furosemide tab 40 mg Tablet
A65 Furosemide injeksi Ampul
A66 Garam Oralit 200ml Sak
A67 Gentamicin tetes mata 0,3 % Botol
A68 Gentamicin injeksi Ampul
A69 Gentamisin salep kulit Tube
A70 Gentian Violet Botol
A71 Glibenklamide tab 5 mg Tablet
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
A79 Tablet
mg
A80 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
A81 Tablet
mg
A82 Ibuprofen tab 200 mg Tablet 6 6
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet
A90 Karbamazepin tab 200 mg Tablet
A91 Ketokonazole 200 mg Tablet
A92 Ketokonazole krim tube
A93 Ketoprofen inj Ampul
A94 Kinina Dihydroklorid inj Ampul
A95 Kinina HCl. Tab Tablet
A96 Klobazam tab Tablet
A97 Klonidin tab Tablet
A98 Klorafeniramin ( CTM ) tab Tablet 6 6
A99 Kloramfenikol salep mata 1 % Tube
A10
Kloramfenikol sirup Botol
0
A10
Kloramfenikol tetes mata 0,5 % Tube
1
A10
Kloramfenikol tetes telinga Kapsul
2
A10
Kloramfenikol kap 250 mg Botol
3
A10
Klorokuin tab 150 mg Tablet
4
A10
Klorpromasin injeksi Ampul
5
A10
Klorpromasin tab 25 mg Tablet
6
A10
Kotrimoksazol suspensi Botol
7
A10
Kotrimoksazol tab 120 mg Tablet
8
A10
9
A11
Lamivudine (3TC) 150 mg Tablet
0
A11
Lidokain comp injeksi Ampul
1
A11
Loperamid Tablet
2
A11 Lopinavir 200 mg, Ritonavir
Tablet
3 ( LPV/r ) 50 mg ( ALUVIA )
A11
Mebendazol tab100 mg Tablet
4
A11
Metformin 500 Tablet
5
A11
Methoklopramide injeksi Ampul
6
A11
Methoklopramide sirup Botol
7
A11
Methoklopramide tab10 mg Tablet
8
A11
Metilergomet injeksi 0,2 mg Ampul
9
A12
Metilergomet tab 0,125 mg Tablet
0
A12
Metilprednisolon 4 Tablet
1
A12
Metronidazol tab 500 mg Tablet
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
Myconazol salep kulit Tube
6
A12
Na tiroksin Tablet
7
A12
Na. Bic. Tab 500 mg Tablet
8
A12
Na. Cl. Infus Flabot
9
A13
Natrium Dikofenak 50 Tablet
0
A13
1 Nevirapine 200 mg Tablet
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
O A T - FDC anak Paket
4
A13
O A T - FDC kat 1 & 3 Paket
5
A13
O A T - FDC kat 2 Paket
6
A13
O A T - FDC sisipan Paket
7
A13
O A T Katagori - 1 Paket
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol 1
2
A14
Oksitetrasiklin salep kulit 3 % Tube
3
A14
Oksitetrasiklin salep mata Tube
4
A14
Oksitetrasiklin 50mg/ml inj Flacon
5
A14
Oksitocin 10mg/ml inj Ampul
6
A14
Omeprazol kaps Kapsul
7
A14
Oseltamivir Kapsul Kapsul
8
A14
Paket Kusta MB Anak Blister
9
A15
Paket Kusta MB Dewasa Blister
0
A15
Paket Kusta PB Anak Blister
1
A15
Paket Kusta PB Dewasa Blister
2
A15
Parasetamol Drops Botol
3
A15
Parasetamol sirup Botol
4
A15
Parasetamol tab 500 mg Tablet 6 6 6 6 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul 4 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
0
A16
Prednison tab 5 mg Tablet
1
A16
Primakuin tab 15 mg Tablet
2
A16
Proc. Pen. 3 juta inj Vial
3
A16
Prokain Benzil Penisilin Vial
4
A16
Propanolol tab 40 mg Tablet
5
A16 Propylthioracil ( PTU ) tab 100
Tablet
6 mg
A16
Pyrantel tab 125 mg Tablet
7
A16
Ranitidine 150 mg Tablet
8
A16
Ranitidine inj ampul
9
A17
Retinol 100.000 iu Kab Btl @50
0
A17
1
A17
Ringer Asetat Infus Flabot
2
A17
Ringer Laktat Infus Flabot
3
A17
Salbutamol Cairan ih 0,1% Nebule
4
A17
Salbutamol tab 2 mg Tablet 6
5
A17
6 Salep 2 - 4 kombinasi Pot
A17
Salysil bedak 2 % Botol
7
A17
Sefadroksil 500 cps Kapsul
8
A17
Sefotaxim 1g inj Vial
9
A18
Seftriaxon inj Vial
0
A18
Serum ABU 5 ml inj. Flacon
1
A18
Serum ATS 1.500 iu inj Ampul
2
A18
Setirizin 10 mg Tablet 6
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 6 6 6
6 tab
A18
Simetidin tab Tablet
7
A18
Simvastatin 10 Tablet
8
A18
Siprofloxacin tab 500 mg Tablet
9
A19
Sulfacetamid tetes mata Botol
0
A19
Tenofovir (TDF) 300 mg Tablet
1
A19 Tenofovir 300 mg + Emtricitabine
Tablet
2 200 mg
A19
Tiamfenikol kap 500 mg Kapsul
3
A19
Tiamin HCl / B1 injeksi 100mg /ml Ampul
4
A19
Tiamin HCl / B1 tab 100 mg Tablet
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6 6 6
6
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet
8
A19
Zidovudine Tablet
9
A20 Zidovudine + Lamivudine ( 300 mg
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B1 Antasida + Simetikon Tablet
B2 Antasida + simetikon sirup Botol
Anti Diare kombinasi sirup ( Anak
B3 Botol
)
B4 Anti Hemorhoid kapsul Kapsul
B5 Anti Hipertensi Herbal Kapsul
Anti radang topikal mengandung
B6 Tube
triamsinolon acetonide 1 mg
B7 Anti spasmodik inj / spasi inj Ampul
B8 Asam Askorbat tab 500 + Vitamin Tablet
Betamethason + Antibiotik salep
B9 Tube
kulit
B10 D 1/2NS Flabot
B11 Flunarizin 5 mg Tablet
B12 Kombinasi Lutein 6 mg, Ekstrak Kapsul
buah Bilberry 80 mg
B13 Methyl Cobalamin 500 Kapsul
B14 Minyak kayu putih Botol
B15 Minyak telon Botol
B16 Multivitamin sirup ( Anak ) Botol
B17 Multivitamin tab ( Dewasa ) Tablet
B18 Peluruh Batu Ginjal Botol
B19 Salep Luka Bakar Tube
B20 Sirup Flu dan Batuk Kombinasi Botol
B21 Tablet Tambah Darah + Vitamin Tablet
B22 Vitamin Neurotropik inj Ampul
0 0 0
C OBAT GIGI 0
C1 Air raksa dental use Botol
C2 Bahan bonding botol
C3 Bahan Etsa botol
C4 Devitalisasi Pasta Botol
C5 Etil Klorida semprot Botol
C6 Eugenol sol Pot
C7 Flour tablet Tablet
C8 Glass Ionomer Cement ( Fuji IX ) Pot
C9 Glass Ionomer Cement ( Fuji VII ) Pot
C10 Kalsium hydroksi pasta dos
C11 Komposit Tube
C12 Lidokain Spray Botol
Monokror Kamfer Menthol
C13 Pot
( CHKM )
C14 Mumiying Pasta Biji
C15 Semen Seng Fosfat p+liq Botol
C16 Silver Amalgam Botol
C17 Spons Gelatin Cubices Dos
C18 Temp+Stopp Fletc p+liq Set
C19 Trikresol Formalin ( TKF ) Botol
C20 Yodium Gliserin Cc
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D4 Alat suntik 1 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji
D6 Alat Suntik 5 ml Biji
D7 Anti Septik Handrub Box@10
D8 Antiseptik Botol
D9 Aqua Pro injeksi Flacon
D10 Cat Gut Roll
D11 Cotton Aplikator Buah
D12 Etanol 70 % Botol
D13 Expert Check Kit Unit
D14 Hand Scoen Biji
D15 Hand Scoen Steril Pasang
D16 Infus Set anak Biji
D17 Infus Set dewasa Biji
D18 IV Cateter No. 18 Biji
D19 IV Cateter No. 20 ( Dewasa ) Biji
D21 IV Cateter No. 24 ( Anak ) Biji
D22 IV Dresing Biji
D23 Jarum Bengkok / Jahit Biji
D24 Jarum Suntik Biji
D25 Kapas Adsorben 250 gr Roll
D26 Kasa panjang 40 yard x 80 cm Roll
D27 Kasa Pemb Hydro 4 m x 15 cm Roll
D28 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D32 Masker N 95 Biji
D33 Masker N 95 + Aura Biji
D34 Masker Nebulizer Biji
D35 Mess Biji
D36 Plester 5 yardx2inch Roll
D37 Poly Cateter No. 14 Biji
D40 Pot dahak Biji
D41 Rotator Buah
D42 Safeglove PF Pasang
D43 Safety box Buah
D44 Selang oksigen anak Biji
D45 Selang Oksigen dws Biji
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E3 Iodida Test Botol
E4 Iodium Test Botol
E5 KOH 10% Botol
E6 Larutan Asam Klorida 1 % Botol
E7 Lugol Botol 100 ml
E8 Methylen Blue 0.3% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E12 pH Paper Cat 9555 Merck Roll
E13 Rapid Tes HIV Ke-1 Test
E16 Rapid Tes Shipilis ( SD ) Test
E17 RDT Anti HCV ( Hepatitis C ) Test
RDT DBD Combo ( NS1 + IgG/IgM
E18 Test
)
E19 RDT Leptospirosis Test
E20 RDT Malaria Test
E21 Reagen Zn Botol
E22 TCM Cartridge Xpert MTB/Rif Buah
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F1 BCG + Pelarut Ampul
F2 Campak + Pelarut Vial
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
F5 HBIG ( Hiperhep-B )
0,5 ml
F6 HEP.B (PID) / HB 0 Buah
F7 MR Vial
F8 Polio bOPV + Dropper Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
F12 Vaksin Anti Rabies ( VAR ) Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sariyem sumardiyotriutami srilestari parmin sutrisno andika muryatmi marmin sulastri dapit sutinah muryani
4 4 3 4 4 2 3 4 4 4 3 4 1
9 9 9
6 6
6 6 6 6
6
10 6 6 6
6
10
10 6
1
6 6 6 6 6 6
6 6 6
4
6 6
6 6 6 6
6 6 6 6 6 6
4
21 22 23 24 25 26 27 28 29 30 31 32 33
srikusmiyaatmo gimah agus kardi ngatmiatu suyono annisa slamet sunarti eneng angimayascassanov
4 4 4 3 4 5 4 3 4 3 2 3 3
9 9 9 3
6
6
6 6
6
6 6 6 3
1
6 6 6 6
6 6
1
6 6 6 6 6 6 6 3
6
4 4 4 4
6 6 6 6 6 6
6 6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
nugroho zahra naswha kenzie sumiani zahra ragil suti wijayanti fais sriwahyun septiana sosuko
3 1 4 2 2 2 3 2 3 2 3 3 4
3 2 9 9 6 6
6 6
3
3 6
6 6
3
3 2 3 3
3 6
1
6
3 2 3 6 3 6
1
1 1
6
3 6 2 3 3 6
3
3
1
LAPORAN PEMAKAIAN
47 48 49 50 51 52 53 54 55 56 57 58 59
anjani ahmad sasabella sunarno quensha aulia sriwahyun etik ciptowiyo dewi ade fasih halima
1 3 1 3 2 2 2
6
3
10
6 2 2
2
2 6
2 2
1 1
1
2 3 2 2
3 2
3
RAN PEMAKAIAN KAMAR OBAT BULAN JANUARI 2020 / 30 desember 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
dzakia atmo sutrismi riski dewilestar linda ari payem prapti wulan elsa feni afandi
73 74 75 76 77 78 79 80 81 82 83 84 85
asmunah nurul sunarto roy nardi
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
167
0
0
0
0
0
0
0
12
0
110
0
0
0
30
51
1
0
0
0
0
0
0
21
18
0
0
0
0
0
0
12
0
16
6
0
0
0
0
0
82
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
23
0
0
6
0
0
0
1
6
42
0
0
0
0
0
17
0
10
0
0
0
0
0
0
0
67
1
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
1
143
0
38
28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
6
0
0
78
0
0
0
0
0
0
0
0
0
81
0
3
0
0
9
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sumi sugi tuminah suyatmi rebo ngadimah samini
A2 ACT tab Tablet
A8 Amlodipin 5mg Tablet 6
A14 Antalgin tab 500 mg Tablet 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 6 6
A32 Flacon
UI
A34 Betahistin mesilat tab Tablet
A40 Deksametason tab 0,5 mg Tablet 6 6 6 6 6
A46 Tablet
Dus @ 10
Kap
A71 Glibenklamide tab 5 mg Tablet 10 10 10
A73 Gliseril guaiakolat tab Tablet
A79 Tablet
mg
A80 Hidrokortison salep kulit Tube 1
A81 Tablet
mg
A82 Ibuprofen tab 200 mg Tablet 6
A88 Kalsium Laktat tab 500 mg Tablet 6 6
A98 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
Metformin 500 Tablet 5
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 6 6
5
A15
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
Salbutamol tab 2 mg Tablet
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
Setirizin 10 mg Tablet
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suyanti eliana aggria rumiyati evi rehan zidan warini sony sabingan anggun yahmen giniyatun
4 3 1 4 2 2 2 4 4 4 1 4 1
6 2 9
6 6 6 6
1
6
10 10 10 10
6 2 6 6 6
6
6
6 6 6
6
6
6 6 6 6 6
6 6
6
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
slamet sutiyem wiwik suripti sarah paliyem prapti pawiro nayla zahwa tukimin sukinem viping
2 3 3 3 2 3 3 5 2 1 3 3 2
6
1
6 6 6 6
1
6
10
6 6
2
8
6 6 6 6
6
6
4
6 6
1
6 6 2
6
3
6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
ngatini srihartini lina davita naura pebriyani srilestari suginem indah poniyem susanti siti tri
2 4 2 1
6
6
1
2
2
3
6 3
6 3
6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
martini nur sriyatun keki wiyono oki sugiharni sukiyem catur ginem septi sutarno eka
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JANUARI 2020
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
107
0
0
0
12
0
0
0
6
0
34
1
0
0
18
54
3
0
0
0
0
0
0
14
12
0
0
0
0
0
0
0
0
50
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
2
0
0
0
0
0
0
30
0
0
0
0
8
0
0
0
1
0
30
0
0
0
0
0
24
9
0
0
0
0
0
0
0
0
51
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
4
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
1
71
0
21
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
6
0
0
0
0
0
0
0
9
0
0
18
0
6
0
0
0
0
0
0
0
18
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

parti filzah sukadi darsono suginem cipto siti
A2 ACT tab Tablet
A15 Antasida Doen tab Tablet 6 6
Efavirenz 600mg
A24 Asam Mefenamat kap 500 mg Kaplet 6
A26 Asetilsistein 200 mg Tablet 6 6
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6 6 6 6
A46 Tablet
Dus @ 10
Kap
A76 Griseofulvin tab 125 mg Tablet 6
A79 Tablet
mg
A81 Tablet
mg
A89 Kaptopril tab 25 mg Tablet 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
Metronidazol tab 500 mg Tablet 6
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 2 6 6 6
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
padiyo sutarno tayem kasidi fatimah clemira kia rafano mia unung marinah rendra hafiz
3 4 4 3 2 1 1 2 4 2 3 2 1
6
1 1
6
6 6
6
6
10 30
6 6 2 6 6 3
6
2 3
6 6
2 6 3
6 6
6
6 6 2 6 3 2
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
supardi warsih ichsan dwiyuli suyatni amelisa sumiyati ngatini hafiz siti marni gibran putriayu
3 3 4 3 3 5 3 3 2 2 3 2 2
9 9
1 1
6 6 6
6
1 1
6 6
10
6 6 3 2 3
6
6
2 3
6 6
3 6
6 6 6 3 2 3
1
6 4
6
6 6 3 2 3
6
9
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
supriyadi evita eni afifah suparyonosumiarsih suharsi erpianawadewi waginem anggrahin suparni nurpita
2 3 4 1 4 2 4 2 2 3 2
9 9 9 9 9
4 6 6
6
10 10 10
1
6 6
6 6
6 6
4 6 2 6 6
6 6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
qoirul gami ristika totok anik
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
122
0
0
0
12
0
0
0
0
0
78
4
0
0
24
46
2
0
0
0
0
0
0
0
12
0
18
0
0
0
0
18
0
80
0
0
0
0
0
0
79
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
12
0
10
0
0
6
0
0
0
0
0
48
0
0
0
0
0
27
6
0
0
0
0
0
0
0
0
61
0
0
0
0
0
0
0
0
1
0
22
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
89
0
6
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

zazna poni andi purwanti sumarsih marno suyatmi
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet
Efavirenz 600mg
A24 Asam Mefenamat kap 500 mg Kaplet 6 6
A26 Asetilsistein 200 mg Tablet 6
A31 Attapulgit ( Anti Diare Tablet ) Tablet 8
A32 Flacon
UI
A34 Betahistin mesilat tab Tablet 6
A40 Deksametason tab 0,5 mg Tablet 6 6 6
A46 Tablet
A54 Erytromicin kap 500 mg Kapsul 5 5 5
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
Methoklopramide tab10 mg Tablet 6
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 6 6
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 6
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
Ranitidine 150 mg Tablet 6 6 6
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
Sefadroksil 500 cps Kapsul 6
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
Tiamfenikol kap 500 mg Kapsul 8 8
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
taminem mitro arif ginah djamin ali suyatmi wiryo sumarti sukiyem shafa naura nurul
4 4 4 4 4 4 4 3 5 4 2 1 2
3 3 3
6
6
6
6 6 6 6 6
5 5 5 5
6
5 5
6 6
6 6 6 6 10
1 1 1 1
6 2
6 6 6 6 6 6
10
3
8
21 22 23 24 25 26 27 28 29 30 31 32 33
pebriyani citra rama sukino azka podho paniyem aurellio parti purwanti ice arwan faizal
2 4 5 4 2 3 3 2 2 3 3 2
6 4 6 6 6 9
1 1
6
6
6
1
6
10
6 4 2 6 3 6
4
6 6
4 6 6
6
6 6
6 4 6 2 6 3
3
34 35 36 37 38 39 40 41 42 43 44 45 46
suwartini oqi aulias parni
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
108
0
0
0
9
0
0
0
0
0
37
2
0
0
12
6
0
0
0
0
0
0
0
0
12
0
12
1
0
0
0
14
0
16
12
0
0
0
0
0
75
0
0
0
0
6
0
0
0
0
0
0
0
0
35
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
4
0
0
12
0
0
0
0
0
18
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
18
0
0
0
5
0
0
0
0
0
0
0
58
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
47
0
0
0
0
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
6
0
0
16
0
0
0
0
3
0
0
0
0
0
6
0
0
0
24
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wariyem sukiyem rusmiyati suyadi suwanto sukinem ngatmi
A2 ACT tab Tablet
A8 Amlodipin 5mg Tablet 6 6
A15 Antasida Doen tab Tablet 6 6 6 6 6
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol 1 1 1
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 6 6 6 6 6
5
A15
6
A15
Piridoksin tab 10 mg Tablet 6 6 6
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
Ranitidine 150 mg Tablet 6
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suyatmi kardi siti vicki karni alun yayang aisyah ferman dika sulastri ginem vickielsa
3 4 4 1 2 2 1 1 1 1 4 2 2
9 9 9
1
6 3 6
6
3
6 3 6
1
6 10
6
6 6
6 6 2 2 2 6
10
4
6
21 22 23 24 25 26 27 28 29 30 31 32 33
suparni ginah suwarni sugeng nur umi suwarno tugimin srimulyani tugini niko sutimin taminem
5 3 3 3 4 1 4 4 4 3 4 3 4
9 9 9 9 9
6 6 6 6 6
6 6
10
6 6 6 6 6 6 6 6
1
6 6
6 6
6 6 6 6
1
6
6 6 6
6
6 6 6 6
6 6 6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
tutik setyando ninik keyla nizam dika cipto kamso hesti wining iis
3 4 4 3 1
9 3
6
3
3
6 6 3 3
1
6 3 3
1
3
6 3 3 3
1
LAPORAN PEMAKAIAN
47 48 49 50 51 52 53 54 55 56 57 58 59
AN PEMAKAIAN KAMAR OBAT BULAN JANUARI 2020 / 31 desember 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
117
0
0
0
0
0
0
0
12
0
93
1
0
0
51
33
1
0
0
0
0
0
0
18
3
0
0
0
0
0
0
3
0
10
0
0
0
0
0
0
81
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
18
0
0
0
0
0
19
18
0
0
0
0
0
0
0
0
66
1
0
0
0
0
0
0
0
1
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
93
0
34
4
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugito rukinem parti eliana suwarsi sukiyem parjo
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6
A46 Tablet
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 6
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
B21 Tablet Tambah Darah + Vitamin Tablet 5
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
alfiah wagiyem samintri sumiyem sarimin srisumarn partiyem maryani tumino slamet rebi sutrisno yamini
4 4 4 4 4 4 4 3 4 5 4 4 5
9 9 9 9
6 6 6 6 6
6 6 6 6
1
6
6 6 6 6 6 6 6 6
6
6
6 6 6 6 6 6 6 6 6 6 6
6
4 4
6 4 6
6
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
eka suyatmi slamet slamt dwisri rebo tariyo gimah setyaning supardi srinarti narti sumiyati
4 3 4 4 4 4 4 4 4 3 3 4 5
6 6 6
9 9 9 9 9
6 6
1 1 1
6 6
6
1
10
6 6
5
6 6
6 6 6 6 6 6 6 6 6 6 6 6
6 6 6 6
4 4
6 6 6 6
3
34 35 36 37 38 39 40 41 42 43 44 45 46
sulistriya priyanto joko zidan rendi galang triwuryani nadira dafa azhara shinta ragil aldi
3 3 2 5 5 5 2 2 2 5 2 4 4
9 6 4 4 4 4
1 1 1 1
6 6
2
6
10
6 4 4 2 2 3 4 4
6 4 4 2 4 3
4 4 2 2 4 3
1
6 6
6 6 6 4 4 2 2 4 3 4 4
4
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
oktavia melati siti deni nata sukarti yulianti dzaki dzakiyya asih nanik rehan sunarni
4 2 2 2 5 3 2 1 1 2 2 4 2
6 2
10 20 10 10 10 10 6 10
2 4 4
1
6 2 4 6
6 6 6 6 6 6
2 4 4
1
6 4 2 2
1
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
mulyani purwanti kudyaima maryam giyono gilang aditya nunung setyo paniyem partini suharni ngadiono
2 1 2
10 10
6 6
6
73 74 75 76 77 78 79 80 81 82 83 84 85
srirohyati suwarni nunuk partini kamsi budi aries budicahyo reny
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
207
0
0
0
3
0
10
0
30
0
129
4
0
0
0
66
3
0
0
0
0
0
0
14
6
0
0
0
0
0
0
6
0
116
0
0
0
0
0
0
75
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
10
0
59
0
0
0
0
0
0
0
0
24
0
0
0
0
0
60
0
0
0
0
0
0
0
0
0
89
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
30
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
221
0
34
24
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
54
0
0
6
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
3
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

yeni fatimah sriwahyun sariman siti nova suwartini
A Obat Generik 2 3 2 3 3 4
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 6 10 6
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A88 Kalsium Laktat tab 500 mg Tablet 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 10
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 10
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
Setirizin 10 mg Tablet 3 10
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube 1
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suparman umi poniyem parjo suwarti putri arvila neng salwa suwarni tugimin rohwati marlina
3 3 2 3 1 2 2 3 3 2 2
10 9
1
10 6 6 6 6
6
20 10 6 6
3 6 6
3
6 6 6
6
3
10
10 3
10
6 6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
gibran andini kenzi sukiyem sukiyem sudarni martini dwi rikhi salimin suwarti sunarto indah
2 3 2 3 3 4 2 2 2
2 9
6 6
6
1
6
2 2
2
6 6 6
2
1
6
2 10
6
6
1
10
10
34 35 36 37 38 39 40 41 42 43 44 45 46
cipto oki sani sukinem suyatni saban juminem sati sariyah nila watik zainal suginem
5 4 3 3 2 3
6
6 10
1
4
6 4
9
6
6
1
4 10
6
6 6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
nagita fadli srisuparti akhmad nur anis wajiman sarmi sugiyarto mulyani khoirun ngadawi samsul
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
sutarmin sumiyem supriyanto
6
6
6
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
90
0
0
0
0
0
6
0
0
0
49
1
0
0
58
50
2
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
64
6
0
0
0
0
0
35
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
1
0
30
0
0
0
0
0
36
12
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
6
0
0
0
0
0
0
0
55
0
6
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
6
0
0
0
0
0
0
0
23
0
0
24
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
10
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

waginem susanti surti sukiyem tuminah heru wiryo
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 9 9 9 9 10
A16 Antasida sirup Botol 1 1
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A67 Gentamicin tetes mata 0,3 % Botol 1
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol 1 1
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
Piridoksin tab 10 mg Tablet 6 6
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
B17 Multivitamin tab ( Dewasa ) Tablet 4
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
wahyu supardi daryatni suyono paniyem senen warini ginah suyati sabingan wakiyem karni vega
4 4 3 5 4 4 3 4 4 4 2 2 2
6 6
9 9 9 9 9
1
6
6
1 1 1
6 6
6 6 3
3
6 6
6 6 6 6 6 3
1 1 1
6 6 6 6 6 6 6 3
6 6
4 4
6 6 6 6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
ali sansi aurel fajri heni dewi adiba kinasih pariyem agus pratiwi sutiyah ira
1 1 4 3 2 2 2 2 2 2 2
4 9
6
4 2
4 4
7
2 6
6 6 6
2
1
6
2 4 4 2
6
4
10 10 10
34 35 36 37 38 39 40 41 42 43 44 45 46
mitro nurani sutarmi aldo pariyem sakinem suwarni suyatno yuda sukino septi suryanto ragil
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
98
0
0
0
0
0
0
0
12
0
104
1
0
0
6
6
5
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
43
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
7
11
0
0
0
0
0
0
1
0
18
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
59
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
81
0
24
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
6
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

hayuk sasmo suginem anah ngadimah sriwidowatlilis
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 9 8 9
A15 Antasida Doen tab Tablet 6 6 6
Efavirenz 600mg
A24 Asam Mefenamat kap 500 mg Kaplet 6
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
Metronidazol tab 500 mg Tablet 5 4
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
B17 Multivitamin tab ( Dewasa ) Tablet 3 3
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
aning inara sri trisanda suyatmi alfian sutinem ragil parjo aqila astatik hargiyant nina
4 2 2 2 3 2 3 1 4 1 2 3 2
9 9 9 9 9
1 1
6 6 6 6
6
10 10 10
2 3 6
3
10 10 6 6
6
6 3
1
6 2 3 2 6
6
6
4
10
21 22 23 24 25 26 27 28 29 30 31 32 33
wagiyem suryadi sukimin kardi sarwadi sami agus umar satiyo mithakul alam alfina siti
3 3 2 3 3 3 3 4 4 5 3 4 3
9 9 4
6 6 6
4 6
1
6
6
6 6 6 4
6
4
6 6 6 4
6
6
6 6 6 4 4 6
6 6
1
6 6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
suwarsi hanifah dwi zaydan orlin mulyo sukarni sofyan sugiarti abdul fadli hilal ramadani
3 2 2 2 2 3 3 2 3 2 3 2 3
9 9 5
1
6 6 6 6
6
1 1
6
6 2 2 6 2
1
6
1
6
2 2 2
2 2
1 1
2 2 2 4 3 4
6
6
6 4 4
10
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
poni sumadi ghathfan harni umi raina paniyem sriyanti titin suyanti nur emil hastuti
2 2 3 2
6
1
6 6 6
1
4
10 10
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
sunarti aprilina rini ummi zahra sri ririn sugat anik parjiyem wardiyem paiman anita
73 74 75 76 77 78 79 80 81 82 83 84 85
florenz sumiyati
6
6
6
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
142
0
0
0
0
0
0
0
0
0
116
3
0
0
72
34
3
0
0
0
0
0
0
0
24
0
0
0
0
0
0
6
0
30
6
0
0
0
0
0
57
0
0
0
0
0
0
0
0
2
6
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
6
1
0
0
0
6
0
13
0
0
8
0
0
0
1
0
6
0
0
0
0
0
56
18
0
0
0
0
0
0
0
0
41
0
0
0
0
0
0
0
0
2
0
6
0
0
0
0
0
0
0
0
6
0
0
0
9
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
98
0
18
4
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
12
1
0
0
0
0
0
0
7
0
0
42
0
0
12
0
0
0
0
0
0
6
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

bagus martono warsi jundan sinem retno asidik
A2 ACT tab Tablet
A14 Antalgin tab 500 mg Tablet 6 6
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
A49 Domperidon suspensi Botol 1
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A88 Kalsium Laktat tab 500 mg Tablet 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
B21 Tablet Tambah Darah + Vitamin Tablet 20
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
mulyani wulan astatik rois raffa gimah suswatun srilestari sukadi radiyem yatmi maryam rakem
3 2 2 3 2 3 1 3 4 3 4 3 4
6 6
6 6 6 6
6 6 6
1
6
10 10
6 6 6 6 6
6 6 4
6 6 6 6
6 6
6
6 6
1
4
6 6 6
6
20
21 22 23 24 25 26 27 28 29 30 31 32 33
alfindo sumarni asih sunardi ahmad abdullah sunarti aga wantiningshadi barnes sulton sutar
5 2 2 3 2 2 3 2 4 4 2 4 3
4 6 9 4
6 6 6
6 6
6
10
4 6 3 6 2 4 6
1
4 2
4 2 6 4
1
6
4 6 3 6 2
6
6 6
1
34 35 36 37 38 39 40 41 42 43 44 45 46
sarah sulastri deni sukarti sukinem arjo sulastri suginem novitasari alfatik suminah hayuk ida
1 2 3 3 3 3 2 3 1
6 6
6 6 6 6 6
20 30
6 6
6
6
6
1
6 6
6 6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
aris erlin septi nurani
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
113
0
0
0
12
0
0
0
0
0
54
0
0
0
66
70
1
0
0
1
0
0
0
6
18
0
0
0
0
0
0
0
0
80
0
1
0
0
0
0
79
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34
12
0
0
0
0
0
0
0
0
46
0
0
0
0
0
0
0
0
1
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
45
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
1
0
0
0
0
0
0
4
0
0
36
0
6
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sukini karno joyo satiyo lagiyem sulasmi siyem
A2 ACT tab Tablet
A4 Allopurinol 100 mg tab Tablet 3
A6 Aminofilin tab 200 mg Tablet 6
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
Piridoksin tab 10 mg Tablet 6 6 6
7
A15
Piroksikam tab 10 mg Kapsul 4 4 4 4
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
Ranitidine 150 mg Tablet 6
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6 6 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
mulyo siti rebo suminem ita sriyono ali senen muryani darmi harto patmo sumiyem
4 4 4 4 2 4 4 7 1 4 3 4 5
3 3 3 3 3
6 6
9
8
6 6 6 6 6 6 6 6
1
6
10
6
6 6 6 6 6 6 6 6
6 6 6 6
6 6 6 6 6 6 6 6
6
3
8 8
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
suryadi sumadi wahyu paniyem rumiyati sadimin jarot parinem kardi karsi poniyem banem hafis
5 4 4 4 5 4 3 4 4 5 4 4 3
3 6 3
10
1 1
6 6 6 6 6 6 6 6 6 6
5 5 5
1
6 6
12 12 12 12
5 3 5
1
6 6
6 6 6 6 5
6
3 3
8 8 8
1 1
34 35 36 37 38 39 40 41 42 43 44 45 46
nabila nova monik adam friska nadia arrasya nurani memet aina sakila gilang rifan
2 2 2 5 5 2 5 3 2 1 2 2 4
9 6 9 3
6
6 6
8
6 3 4 3 3
1
2 6 3 4 3 3 3
2 6 3 4 3 3
1 1 1
4
2 3 6 6 3 4 2 3 3 3
2 6
3
3
1
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
karno suwarni septi ratmi devanka trimulyani
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
169
0
0
0
30
0
6
0
12
0
36
0
0
0
0
3
0
0
0
0
0
0
0
6
12
0
0
0
0
0
0
26
0
6
0
2
0
0
0
0
139
0
0
0
0
0
0
0
0
1
0
0
0
0
15
1
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
30
0
0
18
0
0
0
0
0
48
0
0
0
0
0
6
0
10
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
4
0
10
0
0
0
0
0
0
0
0
12
0
0
0
5
0
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
118
0
26
16
0
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
3
0
0
12
0
0
0
0
9
0
0
30
0
6
0
0
0
0
40
0
0
6
0
3
0
0
6
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
21
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugito parti suwarsi arjo suwanto alfiah kardi
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A71 Glibenklamide tab 5 mg Tablet 14
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
cipto suginem painah sati mariah sunarto partini tukimin sulasi rizki winarsih suwarti tramin
4 3 4 4 4 3 4 4 4 4 2 4 4
9 9
6 6
1
6
9 6 6 6
6
6 6 6 6
6
6 6 6 6 6 6 6 6 6 6 6 6
6 6 6
6 4 4 4 4
6
9
6 6 6 6 4
21 22 23 24 25 26 27 28 29 30 31 32 33
suyadi sukamti ratna rebo ponirah sutami rois sukinem wiji kamiyem sumiyati zaydan sri
3 4 5 4 1 4 3 4 4 4 5 2 2
6 6
9 9
1
6
6 6 6 6
6
20
6 2
10
6 6
10
6 6 6 2
5
6 6 6 6 6 6 6 6 2
6 6 6 6 6 6
4 4
34 35 36 37 38 39 40 41 42 43 44 45 46
gilang lusi rafi farel siti wagiyem fitri dani sugiharni umliyah nurlita nafiatuh akbar
2 2 2 2 2 2 1 4 2 2 1 4 2
6 4
1 1 1
4
20 20 20 20 20
3 2 2 6 4
3 2 2 6
6 6 6 6
3 2 2
2
2 2 6 2 4 2
3
1
4
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
gunanti suwarsi siti puryani dyah mido sri lilis rantiyem winarti suhardi warsono sudiyati
2
20
6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
murningsi eko sumiyati patmowiy ismi laras resi indah nur lia narwanto suyatmi asri
73 74 75 76 77 78 79 80 81 82 83 84 85
suwartini pani warti triman anwar kusmanto joyo srilestari sugiyem randiyem cipto sunarno suharyant
3 3 3 3 3 3 3 2 3 2 2 3
6
3 3 3 3
3 6
6
6 6
1 1
6 4
6 6 6
4
6 6 6 6 6 6 6 6
6
6
86 87 88 89 90 91 92 93 94 95 96 97 98
parti sukarti parjo pariyem sudarti giyah sumarno paryono farida padmosuwginem yatmi winarsih
3 3 3 3 2 3 1 2 3 2 3 2 2
3 3 3
6 3
6
6
1 1
6 3 6 2 5 3
6 3 3 2 5
6 6 6 6 6 6
3
6
99 100 101 102 103 104 105 106 107 108 109 110 111
kasmilah sumarsi warseno partini rusmiyati waliyem paniyem sumardiyothohar suwita jokosutrisno
4 3 3 3 3 3 3 3 3 3 3
6 6 6
6
6
5 5
1
4
6
6
6 6 6 6 6 6
1
3
6
6 6
6 6 6 6 6
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
250
24
0
0
21
0
0
0
36
0
54
4
0
0
18
48
1
0
0
0
0
0
0
4
0
0
0
0
0
0
0
12
0
140
6
0
0
0
0
0
94
0
0
3
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
6
0
0
5
0
0
0
24
39
27
0
0
8
0
0
0
0
0
6
0
0
0
0
0
42
27
16
0
0
0
0
0
0
0
63
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
41
0
0
0
0
0
0
6
0
0
0
0
0
0
0
120
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
176
0
62
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
1
0
0
0
0
0
0
12
0
0
40
0
6
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
53
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wagiyem semi gunawan mulyo susi sugiyanti desi
A2 ACT tab Tablet
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 6
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 6 10
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
Siprofloxacin tab 500 mg Tablet 6
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sahrul triani wulandari afifah supini dedek herdika jami rifki sami rikhi pariyati padmo
3 2 3 3 1 2 2 3
4 8 9
6 6
3 6
6
6 10
4
6
6
6
3
6
4
3 6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
tarmi sadinem rakidin suwardi samidi taminem yan cipto suliyem narti samiyem suciarti wiwin
3 1 3 4 3 3 3 3 3 3 2
9 9
6 6 6 6 6 6
6
6 6 6 6 6 6
6
6 6
6 6
6
6 6
6 6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
lusi sukimin sukarno soleh yani wagiyanti latifa sarmi evi sukinah zaki dewi subiyanti
3 3 3 3 2 3 2 3 2 3 2 3 3
6
1
6 6 6
6 6 6
6 6 6
6
6 6 6 6 6
6 3
3
6 6 6 6
3
6
6 3 6 3
6 6 3 6
6
4 6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
watinem aghita tutik hadi sutrisno widodo diran ridwan ririn mardika randim siti sriaryani
3 4 3 3 3 4 2 4 3 3
6 6 6
6 6
6
6
20 6
6
6 6
4 6
4 6 6 6 6
6
6
4 6 6 6
6
6 6
6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
pajiyem ririn rini
5 2 2
6
20 30
6
6
3 6 10
6
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
141
0
0
0
0
0
6
0
0
0
58
1
0
0
96
39
1
0
0
0
0
0
0
30
18
0
12
0
0
0
0
0
0
138
6
0
0
0
0
0
73
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
6
19
0
0
0
0
0
0
1
0
6
0
0
0
0
0
61
12
0
0
0
0
0
0
0
0
49
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
68
0
48
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
6
0
0
0
0
0
0
24
0
18
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

jayanti sintya satria selvia dewi alfiah mitri
A2 ACT tab Tablet
A11 Amoksisilin Sirup 125 mg Botol 1 1
Efavirenz 600mg
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 20 10
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
Vitamin B Komplek tab Tablet 3
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sumarti fatimah sani abidzar sudarwati dafiq farid arjo yuda sutarmini kasiem farida painem
3 4 4 2 4 2 4 2 3
3 6
1
6 6 4
4 4 6
6 4 6 4
1 1 1
3
6 4 6 3 6 4 6 6
6
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
sutarti sunarto pandu mujimun rebo rifa wakinem suharni marmi jumiyati suparmi indri winarti
4 4 4 1 2 4 4 4 4 2 2
9 9 9
6
1 1
6
20
6 6 6
1
6 6
6 6 6
6 6 6 2 6 6 6 6
6
4
6 6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
srirahayu puji trias surti dwiindri suwarni suyanto sheris sukarti marinem kenzi putri azkiya
3 3 4 5 4 2 4 4 3 5 1
6
1 1 1
2 2
6
20
6 6
1
6 2
6 2 6 2
6 6 6 6 2 6 6 6 6 2
6 6 6
4 4 4
6 6 6 6
3
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
senen sugimin heru supriyantosudarni hesti deasty kevin michelle zuliati parmi parinem sunardi
5 4 4 3 5 2 4 4 2 3 4 3
9 4 6
6 4 6
1 1
6
6
20 20
4
1
6 6
6
3
6
6 3 6 9 4 6 6 6
9 6
4
6 6 9 6
6 9 6 6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
ahmad winarno alfia
5 4 4
1 1 1
4
10
6 4
6 6 4
6
6
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
170
0
0
0
0
0
6
0
4
0
52
3
0
0
0
37
11
0
0
0
0
0
0
4
6
0
6
0
0
0
0
12
0
110
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
10
0
17
0
0
0
0
0
0
1
0
0
0
0
0
0
0
44
0
0
0
0
0
0
0
0
0
75
0
0
0
0
0
0
0
0
3
0
3
0
0
0
0
0
0
0
0
13
0
0
0
5
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
217
0
51
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
33
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

mitro felix abdi sudarsonosuwarsi lasmi nurul
A2 ACT tab Tablet
A4 Allopurinol 100 mg tab Tablet 3
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
A50 Domperidon tab 10 mg Tablet 6
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A82 Ibuprofen tab 200 mg Tablet 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
diyah painem wagiman suciati pardi fitria suponiyah nanik titik anggit rafi riztina karnoto
3 3 2 3 2 4 5
8 8
1
6 6
6
6
10
6 6 2 6
1
10
6 6
6 2
5
6
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
santi arya sonto sunarti jehan sulis suyatmi purwani mueyatmi kasmi saminem abidzar watiyem
3 2 3 2 2 3 2
1 1 1
3
6
6
3 2 6 3
2 3
6 6
6 2 3
6
3 2 3
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
ngadimah karmini rikhi sinar sri siti anik suparmi suwarti ariyanti erwin lilik latifa
3 4 1 4
6
6
6 6
1
6 6 6
6
6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
ningsih sumiyati srisumarn tutut dwisri agha sismini suwanti friska pingkan ninis mitro sumadi
2 2 3 4 1 3 3 3
6
6
6
6 6 6
6
6
6 6
6 6 6
6 6 2
9
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
minto sriyanti hartini mitro triwahyuni srirahayu srilestari jumadi parmi sutini sutardi ika agung
3 3 4 3 2 3 3 4 1
9 8 9 9
6
6 6
6 6 6 6
2
6 6
6 6
6 6 6
6
6
73 74 75 76 77 78 79 80 81 82 83 84 85
hadi rajendra alya yoga rawuh sadirah paikem
4 2 2 4 4 3
6 6 6
6
1
6
6 6
6
6
6 6
6 6
9
1 1
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
137
0
0
0
6
0
0
0
0
0
66
4
0
0
36
48
0
0
0
0
0
0
0
21
6
0
12
0
0
0
0
0
0
34
12
0
0
0
0
0
106
0
0
0
0
0
0
0
0
1
12
0
0
0
0
0
0
0
0
0
0
0
6
0
2
0
0
1
0
0
0
16
0
19
0
0
0
0
0
0
3
0
96
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
73
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
6
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
58
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
6
0
0
0
0
0
0
18
0
0
24
0
0
0
0
5
0
0
0
0
2
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sukadi samintri mulyo suliyem rajiyem ahmad sukarti
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A82 Ibuprofen tab 200 mg Tablet 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
Siprofloxacin tab 500 mg Tablet 6
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B8 Asam Askorbat tab 500 + Vitamin Tablet 6
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
marni atmo muh nur paiyem padmo karni parmi srilestari sudarti siti dimas sadiyem suwardi
4 3 3 4 3 3 2 4 3 3
8 8
6 6 6
6 6
6
20 20
6 6 6 6 6
6
4
6 6
6 6
6 6
6
6 6
6
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sutinah supriyanti dedi sukarti triyono mariyem sukino harni jumiyati rendi roqi gunardi laila
4 2 3 3 3 4 4 1 3 2
8 8 3
6 6 6 6
6 6 6
1
20
6 6 6 6 3
2
6 6
6 3
2 3
6
6 6
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
titin suwarni ngadiman atik saminem karnoto bariyem sri dwi sastro yunita timisih parmi
2 2 3 3 3 4 4 3
6 6
6
1
6
20
2 6 6 6
6
6 6 6
2 6 6
2
1
6
6 6 6 6 6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
yan dwisunar sridarwati tuminem susi dina sulasih chiva lilik sumini rizka yan samino
4 3 3 3 1 4 2 4 4 3
6 6 6
6 6 6
1
6
10 20
6 6 6 6
6 6 6
6 6
6
6
6 6
6 6 6 6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
sumarti sunarti demawari wabil
3 3 3 2
6 6
6 6 3
3
6
6
6 6 3
3
6
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
145
0
0
0
6
0
0
0
0
0
52
1
0
0
84
66
2
0
0
1
0
0
0
6
12
0
6
0
0
0
0
0
0
110
0
0
0
0
0
0
128
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
14
0
3
0
0
6
0
0
0
0
0
72
0
0
0
0
0
44
12
0
0
0
0
0
0
0
0
56
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
26
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
30
0
6
6
0
0
0
0
0
0
96
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

poni saminem purwanti putri bariyem minem bagas
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 6 6 9 9
A15 Antasida Doen tab Tablet 6
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
Vitamin B Komplek tab Tablet 6
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
marni mesya tayem timah sumarti pebriyani diyah nunung karnoto tariyo parmi widya ninit
4 5 4 4 4 3 2 4 2 2
6 6
6 6 6
5 5
6
6
6 6 6 6
6 6
6 6 5 4 6
6
3
1
20
21 22 23 24 25 26 27 28 29 30 31 32 33
iksan suyekti dara wijayanti sariyono ngadimah zakkiyah narsih dhimas darso rebo aichiro yeni
2 3 3 5 5 4 5 3 3 3
6
1
6
20
3 6 6 6 6
5 5
1
6
3 4 5 5
2
6
3 5
3 6 6 6 2
6
3
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
supriyanti supriyanti sumarni sriandaya rizki riska ngatmi srisukarti cipto karsinah kinasih sukarno sutrino
4 4 2 4 3 2 3 3
3 3 6
1
6 20
6 6 6 6
1
12
6 6
6 6 6 6
3 2
1
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
indah senen nur sumarti rasyid agus lutfiah fatma sangadi sultan wagiyem
2 6 2 3 4 4 3 4 5 3
3 3 3
6
20 20 20
6 6 4 6 6 10 6 6
5
6
4 5 5
1
6 6 6
10
6 4
10
3
10
10
1
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
153
0
0
0
21
0
0
0
0
0
40
1
0
0
12
12
1
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
106
0
0
0
0
0
0
137
0
0
0
0
8
0
0
0
0
6
0
0
0
30
0
0
0
0
0
0
0
6
0
0
0
0
2
0
0
0
0
0
18
0
0
20
0
0
0
0
0
54
0
0
0
0
0
36
6
0
0
0
0
0
0
0
0
70
1
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
69
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
9
0
0
12
0
0
0
0
0
0
10
0
0
16
0
12
0
0
0
0
0
0
0
1
0
0
0
0
12
2
0
0
0
0
0
0
1
12
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

parti parti parmi samintri suwarsi suparti wawan
A Obat Generik 4 4 3
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
siti karnoto didik eko paikem sitifatimah wahyuni ninit shifa dafa agus eni minem
3 3 2 3 2 2 2 3 3 3
8 9 9
1 1
6 6
6
20
6 6
6
6
6 6
6
4
6 6 6 6 6 6
6 6
4
3 4
21 22 23 24 25 26 27 28 29 30 31 32 33
sukinah hermi dini sumini bagas sri sukijem alvito isnaini aris tutik wiryo subiyanti
4 3 2 4 2 4 4 3 4
9 9 8
1
2
20
6 6 2 6 6
1
10
5
6
6 2 6 6
5
6 6 2 6 6 6
4 4
5
5 3 6
34 35 36 37 38 39 40 41 42 43 44 45 46
sudarsonofitri ngadinem abdi dwiretno rumiyati jumadi hastuti jumiyati satiyo suminah yatini sukartini
1 3 3 3 3 2 3 4 2 4
9 9
6 6 6
1 1 1
6
6
3
6
6
6 6 6 6 6 6 6 6
6 6 6 6
4
6 4
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
miskinem arjo sukarno sunarmi sugiyanti susanto istiqomah harjo wiwin sugiono sanem nurma siswo
4 3 2 2 4 2 2
6 6
6
20 20
6 6
6 6
6 6 6
6
4
4 4
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
cahaya lasini farida suharti giyatmi sopyan saminem rohmadi wuri susi mulyo marmi nanik
4 5 4 2 4 3 3 4 3
9 6 9 9
6
6
4 6 6
3
6 6
6 6 6
4
4 6 9 6 6 6
4
4
6
9
3 3 3 3 3
73 74 75 76 77 78 79 80 81 82 83 84 85
sulasi wariyem fitriah joko mariam abud tini hadi tugimin zidan karsini inge somo
3 4 2 4 3 3 2 2 2 3
4 6 6
4
6 6
9
6 6 3 2
6 3 2
6 6 6
6 3 2
1
6
9 6 4 6 3 2 6
6 6
9
3
86 87 88 89 90 91 92 93 94 95 96 97 98
tumisih joko sudarno santoso supranoto bela ari sumiyati cory
3 3 3 4 3
6
6
10
6 6
4
6 6 6
6 6 6 6
6 6 6
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
190
0
0
0
0
0
0
0
0
0
112
2
0
0
0
52
5
0
0
0
0
0
0
20
24
0
0
0
0
0
0
20
0
92
9
0
0
0
0
0
73
0
0
3
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
1
0
0
0
30
8
35
0
0
0
0
0
0
0
0
18
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
79
0
0
0
0
0
0
0
0
1
0
10
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
243
0
58
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
6
0
0
0
0
0
0
0
24
0
5
0
0
0
0
9
0
0
18
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
65
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wagiyem sriyono sutimin azril eka suminem parmi
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 9 9
A11 Amoksisilin Sirup 125 mg Botol 1
Efavirenz 600mg
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 6
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
Omeprazol kaps Kapsul 4
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
tutik afrilia jami ngadimah ela karnoto budi neril suparmi riris sugimin kamini sukarmi
4 3 4 4 3 4 4 3 3 4
9 9
6 6 6 6
6 6
6 6
6 6
6 6 6
6
6 6
6 6 6
4 6 3
6 6 6 6 6 6
6 6
9 9
21 22 23 24 25 26 27 28 29 30 31 32 33
mardlijah idha pati srilestari fauzan ginem laksana partini sarni ariel estina suwarni parmi
2 3 3 4 4 2 1 3 4
9 8
1
6 6
6 6
1
6
6 6 2
2
6 6 6
6 2
3 3
6 2 8
6 6 6
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
giyo sutami sutrisno murningsi endah suparti poniyem sumarni surti hadi zahra jarwanto sumadi
4 3 3 3 3 4 3 3 3 1 4
6 6 6 6 6 6
6 6
6 6 6
6 6
6 6 6 6 6 6
6
6 6
6 2 6
6
6
6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
zainal harso sainem yati fadli ali farel
3 2 3 3 2
9
1
6 6
6
6 6 2
2
6 2
4 2
4
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
130
0
0
0
0
0
0
0
0
0
71
3
0
0
66
54
2
0
0
1
0
0
0
18
12
0
6
0
0
0
0
12
0
18
0
0
0
0
0
0
78
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
6
0
0
0
1
0
36
0
0
0
0
0
24
6
0
0
0
0
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
35
0
0
0
0
0
0
0
86
0
42
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
18
0
0
22
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sulastri sugito bayu agus sudarsonosandi sutarmini
A Obat Generik 4 1 3 2 1
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A72 Glimepiride 1 mg Tablet 7 7
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
karno erpinawati dimin siswo dwi wahyu yudha pujiastuti srimulyani melly gimanto riko kila
4 3 3 2 2 5 5 1
8
1
6 6 6
6
3 3
6 3 3 6
3 3
1
6 6 6 3 3 6 6 2
6
6
6 6
6 6
3
21 22 23 24 25 26 27 28 29 30 31 32 33
siti keyla desi suwarni pranyoto sukinem novriyan anwar rahayu sutarsih yeni sulastri witnyo
2 3 4 4 2 2 4 4 4
9
1
6
6 6
20
3 6
1
3
3
4
3 6 6 6 6 6 6
6 6 6
4 4
6 6 6
6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
tasya abdul tuti sitiaisah samekto ngatini bariyem ambarwatisiti sitirahayu suminah suparno dika
1 5 2 2 4 4 2 4 4 3
4 9
6
20 20 20
4 6 6
10
6 6 6 6
4 6 6
5
4 6 6 6
6
4 4
6 6
1
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
darmin senen eka simey suwarti sarman meiana iksan gilang nanik sukarti meysa jihan
4 4 2 4 4 4 1 2 3 5
9 9 6
1
6
6
3 6
6 3 6
6 3 6
4
6 6 6 6 6 3 6 6
4 4 4
6 6 6 6
6 6 6 6
5
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
pariyem watinem
4 4
6
6
1
6
6
6
6
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
137
0
0
0
0
0
0
0
16
0
63
3
0
0
12
36
0
0
0
0
0
0
0
12
6
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
58
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
10
14
46
0
0
0
0
0
0
2
4
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
59
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
164
0
30
34
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72
0
0
0
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
5
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

satiyo ari karnoto sutarni ngatini aska suwarsi
A Obat Generik 4 3 2 4
A2 ACT tab Tablet
A11 Amoksisilin Sirup 125 mg Botol 1
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6 6
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suginem wakinem jesica darmi tumini wijayanti arjo kunti ginah agus sudarmi ika untarso
2 4 4 3 2 4 3 3
9 4
6
12 6
4
6
4
6
9 9
6
6
5
4
3
4 6 6 6
4
3
6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
tuti dias eni jumiyati reyhan sungkono fitriani sukimin toijoyo endah sriwahyun asmini sumini
2 3 3 3
6
6
20
6 6
6 6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
kholifah harsini karmini kelvin sodho murti sumarsih lia sugiyem suyanti sumarti lastri alviansya
5 3 3 4 3 1
6 6
6
4 6
4
9
6 6 6
3 4
4 4 2
2
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
dega aning susi sriwahyun surahmi cahyono tukinah suryati naura sutinah ngasri sutimin marinem
4 2 2 4 1 4 3 4 4
6 9 9 9
6 6
6 6
6 6
6
20
5 6
6
9
6 6
6
6
6
4
5 2 6
6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
enes kinasih minem maysaroh sujiyem sunem novita eni aprilia ulfah abubakar suliyem aurel
4 3 4 5 1 4 4
9 6
6
6 6
6
6 6
1
9
6 6
6 6
6
5 6
6 6 6
6
6
6
10
73 74 75 76 77 78 79 80 81 82 83 84 85
vicky sulistyo erlangga sastro
4 2
4
1
4 2
1
4 2
2
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
127
0
0
0
6
0
6
0
6
0
78
2
0
0
30
66
0
0
0
0
0
0
0
22
6
0
6
0
0
0
0
6
0
40
0
0
0
0
0
0
58
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
8
0
0
0
1
45
60
0
0
0
0
0
12
18
0
0
0
0
0
0
0
0
28
1
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31
0
0
0
0
0
0
0
84
0
25
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
3
0
0
18
0
0
0
0
0
0
0
0
0
36
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

mulyo dwiretno rukinah marni umi saminah ambar
A2 ACT tab Tablet
A14 Antalgin tab 500 mg Tablet 10 8 8
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
A62 Fitomenadion tab 10 mg Tablet 6
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A89 Kaptopril tab 25 mg Tablet 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suprih parsiti afifah marsinah parmi trisukartin sumini sadinem dafita srierni fani karti darmini
2 4 2 3 3 1 2 2
9 9
1
10 10 8
6
3 6 3
1
6
3 3
6 6
3 3
3 3
6
6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
rofano cahya marmi maharani wahyu sriyanti riadwi sulis winda pranyoto sukinah suparni alifa
2 1 3 2 3 4 3 2 2 4 3 4 1
9 9
8 8 8
6 6
6
20 20
3 6 3 6 6 6 6
1 1
3 3
6 6
3 3 6 6 6 6
6
6
3 2 3 6 6 6 2
6
34 35 36 37 38 39 40 41 42 43 44 45 46
ngadimah josmu dika fairus oki hadi nurhidaya nurhasan tusiyamah supartini nanik suwarni sugiyanto
4 1 4 4 2 1 2 4 2 3 2 4
9 4 9 9
10 8 10
6 6
10 30
6 4 3 6 6 6
1
3 6
6 6
6
6 4 3
1
2 6 4 3 6
6
6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
indah surati parti rindi yunita
1 3 3
10 10
6 6
6
2
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
112
0
0
0
12
0
0
0
0
0
102
1
0
0
126
30
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
103
0
0
0
0
0
0
0
0
0
6
0
0
0
0
3
0
0
0
0
0
0
6
0
0
0
0
1
0
0
0
8
0
33
0
0
0
0
0
0
0
0
30
0
0
0
0
0
24
18
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
69
0
6
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
12
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

Yalis weny dika parti suwarsi arjo sukarmi
A Obat Generik 4 3 5 4
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
warini karnoto rini sriwahyun suwanto tugimin kasidi trisukartin adzika sumingat parmini sukinah muji
3 2 4 3 4 4 4 4 4
6 6
6
20
6 6 6 6
6 6 6
6 6 6 6
10
1
6 6 6 6 6 6 6
6 6 6
6
4 3
21 22 23 24 25 26 27 28 2 30 31 32 33
bariyem watik supardi sriwahyun kasinem sriyanto sugiman siti sellyana hadi hardo titin marwan
4 3 3 4 4 4 4 1 4
9 6 6
6
6 6
20
6 6 6 6
10
6 6 6 6 6 6 6
6 4
6
6 6
4
34 35 36 37 38 39 40 41 42 43 44 45 46
parinem parmi parmi paimin sumini arya sumarni etik trirahma joyo ridwan tutik elyta
4 3 2 1 2 2 3 2 2 2 4
5 6
1
15 15
6
20 20 20 20
6 6 3 6
6
6 6 3 6
6 6 3
6 3 6 3 6
6 6
6
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
ngadi wagino davin sumirah sriwahyun farel zakkiyah sunarni wagyem warsini parti pursiti parini
5 4 2 4 3 2 4 3 5
4 8 9
15
3
6 6
6 4 6 6
4
10
6 6 6 6
6 6
2
5
4 2 6 4 6
6
6 6
5
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
ginah yunitasari abel jumiati pariyem herusenja eni rahma ruswanto anik sudarmini dwipurwansumarti
3 1 2 4 5 3 5 2 3 3 4 4
9 8 6
6 6
6 6 4 6 6
6 6 4 6 6
6 6 6 4 6 6 6 6
6
6 2 6 6 6 6 4 6 6
6
4
73 74 75 76 77 78 79 80 81 82 83 84 85
irsat liyaa karlina hermaean cinta nanik srisawinin triyanto hesti davit
4 2 1 5 2 4
6 6 9
20 10
6 6
6 6
6
6 6 6 6
6
6
6
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
195
0
0
0
0
0
0
0
9
0
115
1
0
0
54
33
0
0
0
0
0
0
0
24
0
0
6
0
0
0
0
3
0
142
0
0
0
0
0
0
119
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
44
0
80
0
0
6
0
0
0
1
0
6
0
0
0
0
0
69
0
0
0
0
0
0
0
0
0
133
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
32
0
0
9
0
0
0
6
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
220
0
30
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
42
0
0
10
0
0
0
0
0
0
30
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sukini karno mulyo karnoto darso juan semi
A2 ACT tab Tablet
A6 Aminofilin tab 200 mg Tablet 6
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 6 6
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
alimahfud yuli siti rebiyanti lasdiyanto estina sami habsyi srirahayu anita dwi ngadimah sarni
4 3 4 4 4 2 2 5 4
6 6
9 9 9 9
1
15
6 6
20
6
20
6 4
6 4
6 6 6 4 6 6 6
6 6 6
6 6 6
3
21 22 23 24 25 26 27 28 29 30 31 32 33
sukini ragil suwanti suminem samini suminem nur andika desta eri sukarno aulia vatmawati
4 4 4 4 2 4 4 2 3 2
6 5
15
1
20 20
6 6
6 6
6 6 6
6 6 6
6 6 6 6 4 3
4
4 4
6 6
6 6 4
34 35 36 37 38 39 40 41 42 43 44 45 46
naswarini samiyem rida triutami riski rohmadi suwarno pariyani sumini srihartini cipto fransiska suparni
2 3 2 2 3 3 2 3 2 3
6 6
1
15 15
6
1
6 6
20 20 20 20
6 6
2
6 6 6 6
2 6
6 2 6 6
6
47 48 49 50 51 52 53 54 55 56 57 58 59
tusiyamah nurpita latifah wulandari ismail mariyem siti edi tuminem jari sayem saniati aska
4 4 3 1 3 3 4 3 3 3 2
6 20
8
1
15 15 15
6 6 6 6
6
10
6 6 3
10
6 3
6 6 6 6 6 3
6 6
6
6 6
6 10
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JA
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
nova suliyem alfa
1 3
6
6
6
6
R OBAT BULAN JANUARI 2020
Nama
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
125 126 127 128 129 130 131
Jumlah
Akhir
145
0
0
0
6
0
6
0
38
0
86
3
0
0
105
42
2
0
0
0
0
0
0
6
0
0
12
0
0
0
0
0
0
140
10
1
0
0
0
0
63
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
48
0
0
0
0
0
0
0
0
24
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
63
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
139
0
22
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
34
0
12
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
31
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugito ngadiyanti sarmi wiji nursita sellyana parjo
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 6 6
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
heri yuda sudarsonosutarmini arjo darno juminem sulastri patmo pariyem sumarno khalista maryani
1 4 3 4 5 3 4 3 1
6 6
6 6 12
6 6
6 6 6
7 6
6 6 6 6 6 6 6
6
6 6 6
5
21 22 23 24 25 26 27 28 29 30 31 32 33
parni sumarti pantes catur gannes sumarti anggi eko giyanto suparmi wahyu saminem izam
4 3 1 2 2 3 4 3
9 9 9
15
6 6
10
6
6
6
6 6 6 6 6
6 6 6
6
4
34 35 36 37 38 39 40 41 42 43 44 45 46
warginengsanem jovino fitri titik sukarti sukinah anisa ahmad suratno mariyam hendra sani
3 1 2 3 4 3 6 2 4
9 9
15
6 6
6
6
6 6
1
6
6 6 6
6
4
6 2 6 6 6 6 6
6
4
4
6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
dwi susi sukiman asmini aufa
4 4 4 1
9 9
6
6
6 6
6 6
1
6 6 6
6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
110
0
0
0
0
0
0
0
18
0
72
0
0
0
30
54
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
6
0
36
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
60
0
0
0
0
0
0
0
0
6
0
0
0
0
0
38
0
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
152
0
42
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
30
0
0
8
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

anis sugiyanto siti karnoto sukarti ismangun pariyem
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
ratnadewi erni suwarsi shinta suwarni sriyatun samiyem sopyan desi satiyo ismaroh duwi muryani
3 3 3 2 4 2 3 4 2 1
6 6 10
1
1
20
3 6
3
6 10
10
3 6
5 5 5
4 4
6 3 6 6
6
3 6 3
3
21 22 23 24 25 26 27 28 29 30 31 32 33
darmi linda srihastuti sinta trisnawati sukinem paniyem ngatiyem agnovita giman suhardi sifa rebo
4 2 3 4 3 4 3 4 3 3
10 10
6
6 6 6 6
6 6 6 6 6
6 6 6 6
5 6 6
6 6 6 6 6 6
6
3
4
34 35 36 37 38 39 40 41 42 43 44 45 46
azril suwarti wantiningssukadi sunar bariyem sriyani rahma nurhidaya somo namira edi sriyatun
3 3 4 4 4 3 2 2 2 3 4 3 3
9 4
1
1 1
20
20
6 6
6 4 4
6 6 6
6 6 4 4
6
4
1 6 6 6 6 4 6 4 6 6
2 3 4
6 6
3 4
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
sriwahyun rumiyati gimanto supriyantoegha intan darmini yatini herfian sudarti paniyem
2 3 1 4 4 3 4 2 3 4
15
6
1
20 20
1
6
10
6 6
6
6
4
6 6 6 6 6
6 6
4
3
6 6
6 6
1
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
149
0
0
0
0
0
0
0
6
0
64
2
0
0
15
24
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
20
0
0
0
0
0
63
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
59
0
0
38
0
0
0
1
0
0
0
0
0
0
0
42
0
10
0
0
0
0
0
0
0
65
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
48
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
144
0
33
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
21
0
0
30
0
0
10
0
0
0
9
0
0
30
0
0
0
0
4
0
0
0
0
1
0
0
0
0
0
2
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

arjo rajhu mardiyonosalwa sati cipto ngatmini
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
Kotrimoksazol tab 480 mg Tablet 2
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol 1
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
mulyo ngatmi srisulastri sukinem davita rebiyati sutarto karnoto kasmilah darno sriyatmi agtia ega
3 3 4 4 3 4 2
6 6 6
6
10
6 4 6
4
6 6 6 6
10
6
4 3
4
6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
bariyem dimas sriyatun sriyanti hadi sukinah savero loso sumini irfan ngadinah sriparyati hadi
2 2 3 1 4 2 2 4
6
1
6 2 6
6
6 6
4
6
6
2 6 2 6
6
6
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
ariel karsinah mulyani kasi rina suwarni winarti riko kelvin erika defran nardi sarni
2 3 2 4 3 3 3 4 3 1 4 4
8 6 6
6 6
20
2 6 6 6 6 6 6
1
2
6 6
6 6 6 6
6 6
6 6
2 6 6 6 6 6
6 6
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
surati
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
98
0
0
0
6
0
0
0
0
0
33
1
0
0
0
42
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
36
0
0
0
0
0
0
80
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
18
0
0
6
0
0
0
1
0
54
0
0
0
0
0
16
4
0
0
0
0
0
0
0
0
28
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
72
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A Obat Generik
A1 Acetosal 80 mg tab Tablet 58
A2 ACT tab Tablet 0
A3 Albendasol Tablet 0
A4 Allopurinol 100 mg tab Tablet 38 500
A5 Aminofilin inj. Ampul 0
A6 Aminofilin tab 200 mg Tablet 39 500
A7 Amitriptilin tab 25 mg Tablet 0
A9 Amoksisilin injeksi Vial 0
A11 Amoksisilin Sirup 125 mg Botol 0 19
A12 Ampisilin injeksi 1 gram Vial 0
A13 Antalgin injeksi Ampul 0
A16 Antasida sirup Botol 0 4
A17 Anti Bacteri Doen salep kulit Tube 0
A18 Anti Hemoroid suppo Suppo 0
A19 Antifungi Kombinasi salep kulit Pot 21
A20 Artemeter inj 80 mg Ktk 6 amp 0
A21 Artesunate Inj ktk 8 amp 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A22 300mg + Lamivudine 300mg + Tablet 0
Efavirenz 600mg
A25 Asam Amino Infus 500 cc Bag 500 cc 0
A27 Asiklovir salep kulit Tube 12
A28 Asiklovir tab 200 mg Tablet 0
A29 Asiklovir tab 400 mg Tablet 14
A30 Atropin Sulfas inj Ampul 0
A31 Attapulgit ( Anti Diare Tablet ) Tablet 87 500
Benzatin Benzyl Penisilin Inj
A32 Flacon 0
2,4jt UI
Besi II Sulfat Tablet + asam
A33 Tablet 0
folat
A34 Betahistin mesilat tab Tablet 24 500
A35 Betamethason salep kulit Tube 4 25
A36 Bisakodil tab Tablet 0
A37 Cefixime Azithromycin 1000 mg Paket 0
A38 Clindamycin 150 mg Dus 0
A39 Deksametason inj Ampul 0
A41 Diazepam inj. 5mg/2ml Ampul 0
A42 Diazepam rectal Tube 0
A43 Diazepam tab 2 mg Tablet 0
A44 Difenhydramin HCl inj Ampul 0
A45 Digoxin tab 0,25 mg Tablet 61
A46 Piperaquin 320mg ( DHP ) Tablet 0
MERSI
A47 Dimenhydrinat tab Tablet 0
A48 Doksisiklin 100 Tablet 0
A49 Domperidon suspensi Botol 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11

A51 Efavirenz 200 mg Tablet 0
A52 Efavirenz 600 mg Tablet 0
A53 Efinefrin ( Adrenalin inj ) Ampul 0
A54 Erytromicin kap 500 mg Kapsul 137 500
A55 Erytromicin sirup Botol 2
A56 Etakridin Lakt. ( Rivanol ) Botol 0
A57 Fenitoin Na. kap 100 mg Kapsul 0
A58 Fenobarbital inj 50mg/ml Ampul 0
A59 Fenobarbital tab30 mg Tablet 0
A60 Fenol Gliserol Botol 0
A61 Fitomenadion inj Ampul 0
A62 Fitomenadion tab 10 mg Tablet 11
Dus @ 10
A63 Fluoconazol 150 mg 0
Kap
A64 Furosemide tab 40 mg Tablet 25
A65 Furosemide injeksi Ampul 0
A66 Garam Oralit 200ml Sak 0
A67 Gentamicin tetes mata 0,3 % Botol 0 24
A68 Gentamicin injeksi Ampul 0
A69 Gentamisin salep kulit Tube 0
A70 Gentian Violet Botol 0
A72 Glimepiride 1 mg Tablet 6
A74 Glukonas kalsikus Ampul 0
A75 Glukose 5 % larutan infus Flabot 0
A77 Haloperidol tab 0,5 mg Tablet 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A78 Haloperidol tab 1,5 mg Tablet 0

A79 Tablet 8
mg
A80 Hidrokortison salep kulit Tube 0 24
Hiosine-N- butilbromide tablet
A81 Tablet 55
10 mg
A84 Isoniazide tab ( INH ) Tablet 0
A85 Isosorbid Dinitrat Tablet 0
A86 Kalium Diklofenak 25 mg Tablet 0
A87 Kalium Diklofenak 50 mg Tablet 0
A90 Karbamazepin tab 200 mg Tablet 120
A91 Ketokonazole 200 mg Tablet 0
A92 Ketokonazole krim tube 0
A93 Ketoprofen inj Ampul 0
A94 Kinina Dihydroklorid inj Ampul 0
A95 Kinina HCl. Tab Tablet 0
A96 Klobazam tab Tablet 0
A97 Klonidin tab Tablet 0
A98 Klorafeniramin ( CTM ) tab Tablet 8 1,100
A99 Kloramfenikol salep mata 1 % Tube 0 24
A10
Kloramfenikol sirup Botol 0
0
A10
Kloramfenikol tetes mata 0,5 % Tube 0
1
A10
Kloramfenikol tetes telinga Kapsul 0
2
A10
Kloramfenikol kap 250 mg Botol 0
3
A10
Klorokuin tab 150 mg Tablet 0
4
A10
Klorpromasin injeksi Ampul 0
5
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A10
Klorpromasin tab 25 mg Tablet 0
6
A10
Kotrimoksazol suspensi Botol 0 10
7
A10
Kotrimoksazol tab 120 mg Tablet 0
8
A10
Kotrimoksazol tab 480 mg Tablet 37 100
9
A11
Lamivudine (3TC) 150 mg Tablet 0
0
A11
Lidokain comp injeksi Ampul 0
1
A11
Loperamid Tablet 0
2
Tablet 0
A11
Mebendazol tab100 mg Tablet 0
4
A11
5
A11
Methoklopramide injeksi Ampul 0
6
A11
Methoklopramide sirup Botol 0
7
A11
Methoklopramide tab10 mg Tablet 68 100
8
A11
Metilergomet injeksi 0,2 mg Ampul 0
9
A12
Metilergomet tab 0,125 mg Tablet 0
0
A12
Metilprednisolon 4 Tablet 0
1
A12
Metronidazol tab 500 mg Tablet 59 400
2
A12
MgSO4 20 % Vial 0
3
A12
MgSO4 40 % Vial 0
4
A12
Mineral mix Sak 0
5
A12
Myconazol salep kulit Tube 8
6
A12
Na tiroksin Tablet 0
7
A12
Na. Bic. Tab 500 mg Tablet 0
8
A12
Na. Cl. Infus Flabot 0
9
A13
Natrium Dikofenak 50 Tablet 9 500
0
A13
1
Nevirapine 200 mg Tablet 0
A13
Nifedipin Tablet 0
2
A13
O A T Anak Paket 0
3
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A13
O A T - FDC anak Paket 0
4
A13
O A T - FDC kat 1 & 3 Paket 0
5
A13
O A T - FDC kat 2 Paket 0
6
A13
O A T - FDC sisipan Paket 0
7
A13
O A T Katagori - 1 Paket 0
8
A13
9
A14
0
A14
O A T Sisipan Paket 0
1
A14
Obat Batuk Hitam sirup Botol 0 20
2
A14
Oksitetrasiklin salep kulit 3 % Tube 0
3
A14
Oksitetrasiklin salep mata Tube 0
4
A14
Oksitetrasiklin 50mg/ml inj Flacon 0
5
A14
Oksitocin 10mg/ml inj Ampul 0
6
A14
Omeprazol kaps Kapsul 22 300
7
A14
Oseltamivir Kapsul Kapsul 0
8
A14
Paket Kusta MB Anak Blister 0
9
A15
Paket Kusta MB Dewasa Blister 0
0
A15
Paket Kusta PB Anak Blister 0
1
A15
Paket Kusta PB Dewasa Blister 0
2
A15
Parasetamol Drops Botol 0
3
A15
Parasetamol sirup Botol 0
4
A15
5
A15
Piracetam 400 Kapsul 0
6
A15
7
A15
8
A15
Povidon Iodium 10% 30 ml Botol 0
9
A16
Povidon Iodium 10% 300 ml Botol 0
0
A16
Prednison tab 5 mg Tablet 0
1
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A16
Primakuin tab 15 mg Tablet 0
2
A16
Proc. Pen. 3 juta inj Vial 0
3
A16
Prokain Benzil Penisilin Vial 0
4
A16
Propanolol tab 40 mg Tablet 0
5
Tablet 0
6 mg
A16
Pyrantel tab 125 mg Tablet 0
7
A16
Ranitidine 150 mg Tablet 84 100
8
A16
Ranitidine inj ampul 0
9
A17
Retinol 100.000 iu Kab Btl @50 0
0
A17
Retinol 200.000 iu Kab Btl @50 0
1
A17
Ringer Asetat Infus Flabot 0
2
A17
Ringer Laktat Infus Flabot 0
3
A17
Salbutamol Cairan ih 0,1% Nebule 0
4
A17
Salbutamol tab 2 mg Tablet 71 400
5
A17
6 Salep 2 - 4 kombinasi Pot 0 3
A17
Salysil bedak 2 % Botol 0
7
A17
Sefadroksil 500 cps Kapsul 28
8
A17
Sefotaxim 1g inj Vial 0
9
A18
Seftriaxon inj Vial 0
0
A18
Serum ABU 5 ml inj. Flacon 0
1
A18
Serum ATS 1.500 iu inj Ampul 0
2
A18
3
A18
Setirizin Sirup Botol 0
4
A18 Sianokobalamin inj ( Vit. B12 )
Ampul 0
5 inj
Tablet 29 500
6 tab
A18
Simetidin tab Tablet 0
7
A18
Simvastatin 10 Tablet 11
8
A18
Siprofloxacin tab 500 mg Tablet 0 100
9
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A19
Sulfacetamid tetes mata Botol 0
0
A19
Tenofovir (TDF) 300 mg Tablet 0
1
A19 Tenofovir 300 mg +
Tablet 0
2 Emtricitabine 200 mg
A19
Tiamfenikol kap 500 mg Kapsul 46
3
A19 Tiamin HCl / B1 injeksi
Ampul 0
4 100mg /ml
A19
Tiamin HCl / B1 tab 100 mg Tablet 0
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 0 500
6
A19
Triheksifenidil tab 2 mg Tablet 0
7
A19
Vitamin B Komplek tab Tablet 206 200
8
A19
Zidovudine Tablet 0
9
A20 Zidovudine + Lamivudine ( 300
Tablet 0
0 mg / 150 mg )
A20
1 Zink Tablet 45
0 0 0 0
B OBAT KOMBINASI 0 0
B1 Antasida + Simetikon Tablet 0
B2 Antasida + simetikon sirup Botol 0
Anti Diare kombinasi sirup
B3 Botol 0
( Anak )
B4 Anti Hemorhoid kapsul Kapsul 0
B5 Anti Hipertensi Herbal Kapsul 0
B6 Tube 0
B7 Anti spasmodik inj / spasi inj Ampul 0
Asam Askorbat tab 500 +
B8 Tablet 141
Vitamin
B9 Tube 0 10
kulit
B10 D 1/2NS Flabot 0
B11 Flunarizin 5 mg Tablet 0
B12 Kombinasi Lutein 6 mg, Ekstrak Kapsul 21
buah Bilberry 80 mg
B13 Methyl Cobalamin 500 Kapsul 0
B14 Minyak kayu putih Botol 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
B15 Minyak telon Botol 0

B16 Multivitamin sirup ( Anak ) Botol 0
B18 Peluruh Batu Ginjal Botol 0
B19 Salep Luka Bakar Tube 0
B20 Sirup Flu dan Batuk Kombinasi Botol 0
Tablet Tambah Darah +
B21 Tablet 55 100
Vitamin
B22 Vitamin Neurotropik inj Ampul 0
0 0 0 0
C OBAT GIGI 0 0
C1 Air raksa dental use Botol 0
C2 Bahan bonding botol 0
C3 Bahan Etsa botol 0
C4 Devitalisasi Pasta Botol 0
C5 Etil Klorida semprot Botol 0
C6 Eugenol sol Pot 0
C7 Flour tablet Tablet 0
Glass Ionomer Cement ( Fuji
C8 Pot 0
IX )
Glass Ionomer Cement ( Fuji VII
C9 Pot 0
)
C10 Kalsium hydroksi pasta dos 0
C11 Komposit Tube 0
C12 Lidokain Spray Botol 0
C13 Pot 0
( CHKM )
C14 Mumiying Pasta Biji 0
C15 Semen Seng Fosfat p+liq Botol 0
C16 Silver Amalgam Botol 0
C17 Spons Gelatin Cubices Dos 0
C18 Temp+Stopp Fletc p+liq Set 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11

0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D17 Infus Set dewasa Biji 0
D18 IV Cateter No. 18 Biji 0
D19 IV Cateter No. 20 ( Dewasa ) Biji 0
D20 IV Cateter No. 22 ( Dewasa ) Biji 0
D21 IV Cateter No. 24 ( Anak ) Biji 0
D22 IV Dresing Biji 0
D23 Jarum Bengkok / Jahit Biji 0
D24 Jarum Suntik Biji 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
D25 Kapas Adsorben 250 gr Roll 0

D26 Kasa panjang 40 yard x 80 cm Roll 0
D27 Kasa Pemb Hydro 4 m x 15 cm Roll 0
D28 Kasa Steril 16 x 16 ( 16 lmb ) Dos 0
D29 Biji 0
10%
D30 Lisol Botol 0
D31 Masker Biji 0
D32 Masker N 95 Biji 0
D33 Masker N 95 + Aura Biji 0
D34 Masker Nebulizer Biji 0
D35 Mess Biji 0
D36 Plester 5 yardx2inch Roll 0
D37 Poly Cateter No. 14 Biji 0
D40 Pot dahak Biji 0
D41 Rotator Buah 0
D42 Safeglove PF Pasang 0
D43 Safety box Buah 0
D44 Selang oksigen anak Biji 0
D45 Selang Oksigen dws Biji 0
D46 Silk Biji 0
D47 Urine Bag Biji 0
0 0 0 0
E LABORATORIUM 0 0
E1 Box Slide Box 0
E2 HbsAg test Biji 0
E3 Iodida Test Botol 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
E4 Iodium Test Botol 0

E5 KOH 10% Botol 0
E6 Larutan Asam Klorida 1 % Botol 0
Botol 100
E7 Lugol 0
ml
E9 NaCl 0.9% Botol
E10 Obyek glass set 0
E11 Oksigen m3 0
E12 pH Paper Cat 9555 Merck Roll 0
E13 Rapid Tes HIV Ke-1 Test 0
E16 Rapid Tes Shipilis ( SD ) Test 0
E17 RDT Anti HCV ( Hepatitis C ) Test 0
RDT DBD Combo ( NS1 +
E18 Test 0
IgG/IgM )
E19 RDT Leptospirosis Test 0
E20 RDT Malaria Test 0
E21 Reagen Zn Botol 0
E22 TCM Cartridge Xpert MTB/Rif Buah 0
E23 Urine Test Biji 0
E24 Xylol Botol 0
0 0 0 0
F VAKSIN 0 0
F1 BCG + Pelarut Ampul 0
F2 Campak + Pelarut Vial 0
F3 DPT-HB-Hib Vial 0
F4 DT Vial 0
Syringe @
F5 HBIG ( Hiperhep-B ) 0
0,5 ml
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
F6 HEP.B (PID) / HB 0 Buah 0

F7 MR Vial 0
F8 Polio bOPV + Dropper Vial 0
F9 Polio IPV Vial 0
F10 Td Vial 0
F11 TT Vial 0
F12 Vaksin Anti Rabies ( VAR ) Vial 0
0 0 0 0
G TAMBAHAN 0
0
0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
BULAN JANUARI 2020
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
500
10
500
5 20 10
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
200
100
600
1,000
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
24
100 100
100
300 400
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
300
200
500
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
100
100
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
800 500
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
100
200
100
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
100
300
9
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
3
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
BAT
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
167 107 122 108 117 207 90 98 142 113 169 0 250 141 170 137 145 153 190 0 130 137
0 58 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
500 538 0 12 12 9 0 3 0 0 0 12 30 0 21 0 0 6 6 21 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
500 539 0 0 0 0 0 10 6 0 0 0 6 0 0 6 6 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 320 12 6 0 0 12 30 0 12 0 0 12 0 36 0 4 0 0 0 0 0 0 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
900 1,900 1,974 110 34 78 37 93 129 49 104 116 54 36 0 54 58 52 66 52 40 112 0 71 63
10 10 49 49 0 1 4 2 1 4 1 1 3 0 0 0 4 1 3 4 1 1 2 0 3 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 100 1,000 1,073 30 18 24 12 51 0 58 6 72 66 0 0 18 96 0 36 84 12 0 0 66 12
100 1,100 1,161 51 54 46 6 33 66 50 6 34 70 3 0 48 39 37 48 66 12 52 0 54 36
15 54 54 1 3 2 0 1 3 2 5 3 1 0 0 1 1 11 0 2 1 5 0 2 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 21 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 294 21 14 0 0 18 14 4 0 0 6 6 0 4 30 4 21 6 0 20 0 18 12
200 225 18 12 12 12 3 6 0 18 24 18 12 0 0 18 6 6 12 0 24 0 12 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 231 0 0 18 12 0 0 0 0 0 0 0 0 0 12 6 12 6 18 0 0 6 0
0 12 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
500 587 12 0 18 14 3 6 0 0 6 0 26 0 12 0 12 0 0 0 20 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
1,260 1,860 1,860 16 50 80 16 10 116 64 0 30 80 6 0 140 138 110 34 110 106 92 0 18 80
500 524 6 0 0 12 0 0 6 0 6 0 0 0 6 6 0 12 0 0 9 0 0 0
25 29 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1,000 2,600 2,601 82 70 79 75 81 75 35 43 57 79 139 0 94 73 66 106 128 137 73 0 78 58
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 6 6 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 61 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 9 9 0 0 1 0 0 0 0 0 2 2 1 0 0 0 0 1 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
100 100 134 0 0 0 0 0 0 9 8 6 0 0 0 0 0 0 12 6 6 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
500 637 0 0 0 35 0 0 0 0 0 0 15 0 10 0 0 0 0 30 0 0 0 0
3 3 5 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 24 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 31 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 25 0 2 0 0 0 0 0 0 0 0 0 0 6 0 0 2 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 20 0 0 6 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0
24 48 48 1 0 0 0 0 2 0 1 1 0 3 0 5 0 2 1 0 2 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 250 277 0 30 12 6 0 10 0 0 6 0 0 0 24 6 10 16 14 0 30 0 0 10
100 106 0 0 0 0 0 0 0 7 0 0 0 0 39 6 0 0 0 0 8 0 0 14
200 900 1,017 23 0 10 4 0 59 5 11 13 6 30 0 27 19 17 19 3 18 35 0 18 46
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 100 185 6 8 6 12 0 0 0 0 8 0 18 0 8 0 0 0 6 20 0 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 24 1 1 0 0 3 0 1 1 1 0 0 0 0 1 1 3 0 0 0 0 1 2
0 55 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4
200 1,000 1,095 42 30 48 18 18 24 30 18 6 0 48 0 6 6 0 96 72 54 18 0 36 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 900 987 17 24 27 12 19 60 36 30 56 34 6 0 42 61 44 18 44 36 48 0 24 30
100 100 178 0 9 6 0 18 0 12 0 18 12 0 0 27 12 0 0 12 6 0 0 6 0
0 120 10 0 0 0 0 0 0 0 0 0 10 0 16 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1,600 1,608 67 51 61 36 66 89 11 59 41 46 40 0 63 49 75 73 56 70 79 0 90 59
24 24 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 21 21 4 0 1 0 1 0 1 1 2 1 4 0 0 0 3 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 137 0 0 22 6 3 0 0 0 6 3 10 0 2 15 3 0 12 2 10 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 119 0 5 0 0 0 5 0 0 0 0 0 0 41 0 0 5 0 0 10 0 0 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 168 0 0 0 18 0 30 0 0 6 0 12 0 0 6 13 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 459 6 4 6 5 0 0 0 0 9 0 5 0 6 0 5 6 6 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
600 609 0 18 0 58 6 6 20 6 6 24 66 0 120 12 6 18 12 48 8 0 0 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 3 0 0 5 3 0 1 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 322 0 6 12 0 0 0 6 0 0 0 0 0 3 0 0 6 0 13 4 0 35 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 6 6 1 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0
500 300 300 3,000 3,077 143 71 89 47 93 221 55 81 98 45 118 0 176 68 217 58 26 69 243 0 86 164
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 650 764 38 21 6 0 34 34 6 24 18 30 26 0 62 48 51 30 24 12 58 0 42 30
400 420 28 0 0 0 4 24 0 16 4 0 16 0 30 18 26 0 0 0 24 0 6 34
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 184 0 12 24 54 6 16 12 0 6 0 54 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 471 18 6 0 6 0 12 6 0 12 6 3 0 15 0 3 0 0 0 9 0 6 0
3 3 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 128 0 0 0 16 0 0 0 0 0 0 12 0 0 0 0 6 0 16 6 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 100 169 6 9 0 3 0 0 23 0 7 4 9 0 12 0 0 0 3 9 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 800 829 78 18 0 0 48 54 24 36 42 36 30 0 40 12 87 6 30 12 24 0 6 72
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 111 0 6 0 0 0 0 0 0 0 6 6 0 6 0 0 0 6 0 5 0 0 0
100 100 0 0 0 6 0 6 6 6 12 0 0 0 12 6 0 0 6 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 146 0 0 9 24 0 0 0 0 0 0 40 0 0 0 0 18 0 10 9 0 18 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
800 800 81 18 0 0 30 0 0 0 6 12 6 0 0 24 33 24 96 16 18 0 22 66
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 406 3 6 18 3 0 6 0 4 16 0 3 0 0 18 9 0 0 12 0 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 45 9 0 0 0 0 0 0 0 0 0 6 0 0 0 0 5 0 0 4 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 9 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 2 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 12 0 0 0 0
5 15 15 1 0 0 0 1 1 2 0 0 1 2 0 1 0 0 0 0 2 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 6 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0
500 556 4 0 6 0 0 3 10 10 10 0 21 0 53 0 3 0 0 12 65 0 0 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 155 0 0 0 0 0 5 10 30 40 40 0 0 0 0 0 0 0 20 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
23 24 25 26 27 28 29 30 31
Pengeluaran Akhir ( Rp ) ( Rp )
127 112 0 0 195 145 110 149 98 3,829 -3,829

0 0 0 0 0 0 0 0 0 24 34 0
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 12 0 0 0 6 0 0 6 162 376 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 0 6 0 0 0 46 493 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 9 38 18 6 0 217 103 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
78 102 0 0 115 86 72 64 33 1,958 16 0.00
2 1 0 0 1 3 0 2 1 49 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
30 126 0 0 54 105 30 15 0 1,021 52 0.00
66 30 0 0 33 42 54 24 42 1,102 59 0.00
0 0 0 0 0 2 0 5 1 52 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 3 18 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
22 18 0 0 24 6 26 0 0 294 0 0.00
6 0 0 0 0 0 0 0 0 225 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 6 12 0 0 0 114 117 0.00
0 0 0 0 0 0 0 0 0 1 11 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 14 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 3 0 6 0 6 162 425 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
40 80 0 0 142 140 36 80 36 1,850 10 0.00
0 0 0 0 0 10 0 20 0 93 431 0.00
0 0 0 0 0 1 0 0 0 4 25 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
58 103 0 0 119 63 48 63 80 2,162 439 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 6 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 14 47 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 1 0 0 0 1 9 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
0 6 0 0 0 0 0 0 2 61 73 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 90 547 0.00
0 3 0 0 0 0 0 0 0 5 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 1 23 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 0 0 0 0 0 0 0 30 1 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 4 0 0 0 0 16 9 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 12 8 0.00
0 1 0 0 0 0 1 1 1 24 24 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 8 0 0 44 30 0 0 0 256 21 0.00
0 0 0 0 0 0 0 0 0 74 32 0.00
16 33 0 0 80 48 60 59 18 677 340 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
8 0 0 0 6 0 0 38 6 156 29 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 8 0.00
1 0 0 0 1 0 0 1 1 20 4 0.00
45 0 0 0 0 0 0 0 0 55 0 0.00
60 30 0 0 6 24 6 0 54 750 345 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
12 24 0 0 69 48 38 42 16 917 70 0.00
18 18 0 0 0 0 0 0 4 178 0 0.00
0 0 0 0 0 0 0 10 0 46 74 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
28 55 0 0 133 63 55 65 28 1,608 0 0.00
1 0 0 0 0 0 0 0 0 5 19 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 1 0 0 0 0 0 0 0 21 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
6 0 0 0 2 0 0 0 14 122 15 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 32 0 0 0 0 103 16 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 9 0 0 6 0 100 68 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
5 6 0 0 6 0 0 48 6 129 330 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 1 0 0 0 0 1 7 0.00
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0 0 0 0 0 0 0 0 0 0 0 0.00
4 0 0 0 0 0 4 16 12 478 131 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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0 0 0 0 0 0 0 0 0 20 0 0.00
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0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
31 6 0 0 0 0 0 0 19 141 181 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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0 0 0 0 0 0 0 0 0 0 0 0.00
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0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 1 0 0 6 0 0.00
84 69 0 0 220 139 152 144 72 3,048 29 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
25 6 0 0 30 22 42 33 12 764 0 0.00
8 6 0 0 18 14 4 4 0 284 136 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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0 0 0 0 0 0 0 0 0 184 0 0.00
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8 0 0 0 18 6 6 12 6 158 313 0.00
0 0 0 0 0 0 0 0 0 3 0 0.00
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0 0 0 0 0 0 0 0 0 56 72 0.00
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3 0 0 0 0 0 0 21 0 109 60 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
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18 12 0 0 42 30 30 30 12 829 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 35 76 0.00
0 12 0 0 10 0 8 10 0 100 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
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Januari 2020

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PUSKESMAS : SAMBUNGMACAN 1

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A50 Domperidon tab 10 mg Tablet 34

A78 Haloperidol tab 1,5 mg Tablet 0

B15 Minyak telon Botol 0

C19 Trikresol Formalin ( TKF ) Botol

D25 Kapas Adsorben 250 gr Roll 0

E4 Iodium Test Botol 0

F6 HEP.B (PID) / HB 0 Buah 0

900 1,900 1,974 110 34 78 37 93 129 49 104 116 54 36 0 54 58 52 66 52 40 112 0 71 63

400 100 1,000 1,073 30 18 24 12 51 0 58 6 72 66 0 0 18 96 0 36 84 12 0 0 66 12

100 1,100 1,161 51 54 46 6 33 66 50 6 34 70 3 0 48 39 37 48 66 12 52 0 54 36

1,260 1,860 1,860 16 50 80 16 10 116 64 0 30 80 6 0 140 138 110 34 110 106 92 0 18 80

1,000 2,600 2,601 82 70 79 75 81 75 35 43 57 79 139 0 94 73 66 106 128 137 73 0 78 58

200 900 1,017 23 0 10 4 0 59 5 11 13 6 30 0 27 19 17 19 3 18 35 0 18 46

100 100 185 6 8 6 12 0 0 0 0 8 0 18 0 8 0 0 0 6 20 0 0 6 0

200 1,000 1,095 42 30 48 18 18 24 30 18 6 0 48 0 6 6 0 96 72 54 18 0 36 0

200 900 987 17 24 27 12 19 60 36 30 56 34 6 0 42 61 44 18 44 36 48 0 24 30

100 100 178 0 9 6 0 18 0 12 0 18 12 0 0 27 12 0 0 12 6 0 0 6 0

600 609 0 18 0 58 6 6 20 6 6 24 66 0 120 12 6 18 12 48 8 0 0 8

150 650 764 38 21 6 0 34 34 6 24 18 30 26 0 62 48 51 30 24 12 58 0 42 30

100 100 169 6 9 0 3 0 0 23 0 7 4 9 0 12 0 0 0 3 9 0 0 0 0

100 800 829 78 18 0 0 48 54 24 36 42 36 30 0 40 12 87 6 30 12 24 0 6 72

127 112 0 0 195 145 110 149 98 3,829 -3,829

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