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PUSKESMAS : SAMBUNGMACAN 1

KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


karnoto chika sri.h suparni bakdi sugiman sastro

A Obat Generik 1 2 2 2 3
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
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
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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 6
A34 Betahistin mesilat tab Tablet
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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 8 6
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 2 8
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet 8
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 6 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
trisnawati sulasi eni kusmiati paniyatun tusiyamah tumino riqma marinem satiyo sainem anisa panikem

3 3 2 2 1 2 2 3 3 3 2 2

8 8 8 8 8
8 8 3
6 6

8 6 8 3
1
8

6
6 8 6

8
6 6 4 6
21 22 23 24 25 26 27 28 29 30 31 32 33
heni deni lutfi suwar maheta sri.s nurulita nunuk gimah umi yatini sumini siti

2 1 2 3 3 2 2 3 3

5 9

15

10
20 20

8 8 6
6 6

8
6

6 3 10 10 8

10 6
34 35 36 37 38 39 40 41 42 43 44 45 46
lakayza riki sriwahyun suyati wijiati sriyanti lestari srijono sugimin sukimin watiyem sulasih sindi

4 2 2 4 2 4

15
6 8
4 6
6

6 6

4 8
1
4 8 6

8
6

6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
karti citra mitro triningsih hesti sadiyo bariyem nurpita wagiyem arfan karsini

3 3 3 3 3 2

6 6 6
6 2
2

2
6
6 6 6 2

6 6 6
6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
94
0
0
0
0
0
0
0
0
0
27
0
0
0
30
32
0
0
0
0
0
0
0
0
0
0
56
0
0
0
0
0
0
46
0
1
0
0
0
0
59
0
0
0
0
0
0
0
0
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
44
0
0
0
0
0
24
6
0
0
0
0
0
0
0
0
47
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
1
0
0
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
93
0
24
28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
6
0
8
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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 PE

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


parjiyem sugiyarti puji wagiyem parti dwisusant fitri

A Obat Generik 4 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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
yatmi juliyah marto karnoto siti ria ngadimah sukarni suparni paimin siti simin warsi

3 5 1 4 4 3 4 3

6 6

6 6 6 6
10
6

6 6
6 6 6 6 6 6 6

6 6
4 4

6
6

6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
arjo sri warsini ismiyati andika bella guntur wulandari kalila jami dwi sumini raisa

4 3 2 3 2 2 2 5 3 4

6 6 6

6
6 20 20

3 3 4

6
3 3 4

6 6 6

3 3
6 6 3 3 6 6 4

6 6

6
6 6

6
34 35 36 37 38 39 40 41 42 43 44 45 46
sumarmi gami siti mariyo parlan siti alfian marwiyah parmi luluk billal trinur eko

1 4 2 2 4 4 4 2 1

6 6

6
6

1
10 20 10

3 6 3

1
3

6 3 6

6 3 6 6 3
6 6 6 3

6
3
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
suparno wandi paniyem darsono desta kardi fatimah tiara atik muslim badil ngadiono parni

4 3 2 1 4 4 4 4 1 3

9 9 4 9

3
6

3 4 6

1
6 6 6 6 4 6

6 6 6 6
6 6 6 6 3 4 6 6

6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
satriyo siti srisudarm elisa lilik tri sani egi paryono slamet sutarni diyah setyando

4 2 2 4 3 4 1 4 3 3 4 4

6 9 6 9 4

6
6

6
6
20

6 4 6 6

1
4 6 6 4

6
3

4 6 6 4
6 6 6 2 6 6 6 4

4
6

6 6
73 74 75 76 77 78 79 80 81 82 83 84 85
septian sumadi supriyantosukiyanti diana ismardi saminem arfan suminem dafita yeni halimatu sunarto

4 4 4 4 3 4 2 5 4 4

4 9

6 6

6 6
6 4
4 6 6 6 4 6 6

4 6 4 6 6
2 4
4 6 6 6 6 6 2 4 6 6

6 6 2
6 6

4
86 87 88 89 90 91 92 93 94 95 96 97 98
sriaryani nur eni utami marinten

4 4 2 4

9 9

6
6 6

1
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
213
0
0
0
0
0
0
0
36
0
109
0
0
0
12
72
0
0
0
0
0
0
0
30
12
0
0
1
0
0
0
0
0
116
6
0
0
0
0
0
79
0
0
0
0
0
0
0
0
0
6
0
0
0
0
2
0
0
0
0
1
0
0
0
0
0
0
1
0
0
0
19
0
135
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
9
0
0
0
0
0
0
0
0
124
0
0
0
0
0
0
0
0
0
0
6
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
270
0
44
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


Karno sukini karnoto riya suwarsi sumi sridaryant

A Obat Generik 4 4 3 4 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 6
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet 6 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
A16 Antasida sirup Botol
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 6
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul 4 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 6 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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
soenarso siti awliya alfiah jos sati aril mulyani faiz satinem suyanti sadiyem kalisa

5 4 3 1 5 2 2 4 4 4 3

6 9

6
6

6 6

1
6 6 6

6 6 6 6 6
1
1
6 6 6 6 6 6 6 6 6

4 4 4
6 6

6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
mulyo supar trisnawati chika sumirah felisa endang atif sutar rebiyanti paniyem reynand nining

4 4 2 1 4 1 3 1 4 3 4 2

9 9 9

15
6 6
6

1
6 6 3

6 6 3
6 6 2 6 6 6 6 6 3

6 6
4
6 6

6 6 6

1
34 35 36 37 38 39 40 41 42 43 44 45 46
sugat yogi ibnu sukadi regita nur ujang sari sulasih samin supardi sugimin riyanto

4 2 4 1 3 2 3 4 5 4

9 9 9 9 9

6
10

3 6 6 6

1
6 3 6

6 3 6 6 6
1
6 3 6 6 6 6

4
6

6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
yusup salma seni tika tuminah cipto dina suro sutini sunar fandi sunardi jensen

3 4 4 4 4 4 4 4 4 4

6 6

4 4 9

6
4 4 6 6
6 6 6 6

6 6 6 6 6
4 4 6 6 6 6 6 6 6

6
6 6 6

6 6 6

4
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
164
0
0
0
0
0
6
0
12
0
119
0
0
0
21
24
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
6
0
16
0
0
0
0
0
0
65
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
72
0
0
6
0
0
0
1
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
108
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
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
0
0
0
0
0
0
0
1
220
0
12
32
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
72
0
0
0
0
0
0
0
0
0
72
0
7
0
0
0
0
0
0
0
1
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


arjo dewi rayhan gilang endang parmi atika

A Obat Generik 5 2 2 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
A16 Antasida sirup Botol
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 2
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
A29 Asiklovir tab 400 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
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 2 3
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
A52 Efavirenz 600 mg Tablet
A53 Efinefrin ( Adrenalin inj ) Ampul
A54 Erytromicin kap 500 mg Kapsul
A55 Erytromicin sirup Botol 1
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 1
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 2 3 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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 2 3 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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 3 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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 2
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
firda mariyem sarmi endangtaningadimah sandi djamin ria sumiarsih sutarsih jidan anggi marwiyah

1 2 4 4 3 4 2 4 2 4 4

6 6

9 6

6
6

6
20

1 1
7

3 6

7 3 6
2 6 6 6 6 6 3 6 6

6 6
4 4
6 6 6

6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
faizah suminah wagiman tuti yudha sudarsononinik hadi srihartini tumino nurhidaya farida lia

2 3 1 4 3 2 2

6
20 20

2
2

6 6

2 7
1
2 6 6 6

6
4
6

6
34 35 36 37 38 39 40 41 42 43 44 45 46
ngadiyant ali ikafitri alma qusa simin aji suparmi marinem suwarti lagiyati sukarti suparmi

4 3 2 4 4 4 3 3 2 2 4

6 6 6

6 6

6
3

20 20
6

6 6

1
10

6 6

6 6

6 6 4
1
1

4
6 3 6 4 6 6

3 6
6 3
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
joko bintang nada kaifa watik anggun nirmala sindo sumarjo karsini sriwahyun aisyah tricahyo

4 2 2 2 2 3 4 4 4

6 9

6 6
6

20 20

3 3 6 6

1
6 3 3 6

6 3 3 6 6
1

6
6 3 2 6 6 6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
raji yunita suryanti dwiyulian febria dedik alfat ifan eni suparni sonia

1 1 4 3 2

6
6 20
6

6 6

6
2
2
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
9
0
6
0
30
0
54
0
0
0
6
48
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
9
0
166
6
0
0
0
0
0
40
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
5
0
0
0
10
7
58
0
0
0
0
0
0
0
0
18
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
82
1
0
0
0
0
0
0
0
3
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
150
0
33
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
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
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


sugiarti rumiyati ima sujiati sri siti suparni

A Obat Generik 4 2 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 6
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 10 6
A15 Antasida Doen tab Tablet 6
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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 20
A34 Betahistin mesilat tab Tablet
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
desi sumarsih salim sadiyem sabar karnoto jumiyati warsito diah ngatiyem padmo suryanto alfina

4 1 3 4 4

6 9 6

10 9 6 6
6
10

6
6

6
6 6

6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sunarni ismanto sari alif naura sumiyem jaryani ngadikem sriutami septi titin laila winarti

3 2 4 2 3 2 4 4 1 2 4

9 6

6 6

6
20

2 6 6 2 3 6

1 1
6 2 3 6

1 1

6 6 6

6 6 6 2 3
4
2 2 3 6
3

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
puji rajendra sukini yulianto siti suparno gemi mulyani abihu nining parini sani saliyem

2 2 4 4 4 2 3 4 4 4

6 6 6 10 10 6 6

6 6
3 2 6

1 1
3 2 6

6 6 6 6 6

3 2
3 2 6 6
6 6 6 6

6 6 6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
erna dina siti suyanti jami sukrisno yatmini rusmini nining ari suti sutarni pariyem

2 2 4 3 4 3 1 4 4 3

9 6 6

9 6 6 6
6 6 6
6

20 6

6
6 6

6 6 6

6 6 6
6

6
6

6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
ilham jaitun parinem diah suwarni yatmi

3 3 4 3

6 6 6
6 6

6
6
6
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
133
0
0
0
0
0
0
0
0
0
113
0
0
0
104
48
0
0
0
0
0
0
0
18
6
0
0
0
0
0
0
6
0
76
0
0
0
0
0
0
48
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
46
0
0
8
0
0
0
2
0
48
0
0
0
0
0
30
4
0
0
0
0
0
0
0
0
64
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
0
0
0
0
0
0
0
0
0
36
0
12
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
3
0
0
48
0
0
0
0
0
0
21
0
0
72
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


karnoto arjo rukminah sulasmi tuminah maya srimurni

A Obat Generik 5 4 4 4 3
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 6 6 6 6
A15 Antasida Doen tab Tablet 6 6
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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 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
A52 Efavirenz 600 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 1
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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 3
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6 6
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
tri fitri asri khaira sukinem srilestari raisa eka ninik lamiyem samiyem tukiran wagiyem

3 3 2 3 4 3 3 3 3 3

6 6 6 15 6
6 6 15 6
6 6 2 4 6 6
2

6 6 2 4
6
6 2 4 6

6
6 15 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
marwiyah qeila mitro suwarni karti fransiska sriwahyuti dwiretno rusmiyati nurul reynaldi suprapto sayem

3 3 3 2 4 3 5 2 3

6 6 15 10 15 6 6

6
6 6 6 6
6

10 6
1
6 2

2
6

10

6 6 6 6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
paryono sriyani qusa bayu alif abdul sandriyani trisnanto lia nurlita alfa bellinda

3 2 4 1 2 3

9 6
2 6
6 6

6 2 6
6 6 2 6
6

6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
93
0
0
0
0
0
0
0
0
0
24
0
0
0
127
45
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
0
0
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
20
0
0
0
0
0
0
0
0
6
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
54
1
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
3
0
0
0
0
0
0
0
52
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
6
0
0
12
0
6
0
0
0
0
0
0
0
6
0
6
0
0
0
0
0
0
0
1
0
0
0
0
10
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


suginem karnoto muryani darmi sugini sofphie parti

A Obat Generik 3 1 3 4 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 6 8 6 8
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 8
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 mg Tablet 6
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
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
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
A52 Efavirenz 600 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 6 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet
A90 Karbamazepin tab 200 mg Tablet 10
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 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
Kotrimoksazol tab 480 mg Tablet
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 6
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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 3
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
mulyo wiwik tutik sikin asnurul sugi sri sumini agus rini iswanti ghozy marenta

3 4 4 4 3 3 5 2 4 3

6 6 6

6
20 6

6 6
6
10

6 6 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
sadiman henny giyem rebo sriwidodo tutik tio suko parjo wahyunik irwanto kamiyem pariyem

3 4 2 2 4 3 3 3 3

8 8 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
suparno suliyem kharisma agus iis rodhita samini aina izan ita yusi wijianto pratiwi

3 1 4 4 1 4 3

6 6 6

6
6 6 6 6

6 4

1
6 6 6

6
4 2

6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
suhartini delfi rini sami nina suwarni suminem trihastuti andri pawiro rebo sindi kursimah

1 2 4 2 3 3 1 3 3 3

6 6 6 8
6
6 6 10

6 6 6
6

6 6

6 6 6
6 6
2

6
6

6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
126
0
0
0
9
0
6
0
6
0
56
0
0
0
62
6
1
0
0
0
0
0
0
24
0
0
12
0
0
6
0
0
0
78
0
0
0
0
0
0
64
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
0
0
0
0
0
6
10
60
0
0
0
0
0
0
0
0
6
0
0
0
0
0
54
0
10
0
0
0
0
0
0
0
84
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
74
0
24
12
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
36
0
0
0
0
0
0
0
0
0
12
0
6
0
0
0
0
0
0
0
0
0
0
0
0
3
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


Parti dika mendoza warsini cipto sati sarmini

A Obat Generik 4 2 2 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
A16 Antasida sirup Botol
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 9
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
A29 Asiklovir tab 400 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
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 2
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet 2 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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 2
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
Kotrimoksazol tab 480 mg Tablet
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 10
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 2 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
sartono suminem mutiara samiyem kisimin parti asih khairul deni siti ridwan yatmi sutinah

3 4 1 4 4 3 2 3 4 2 3 3

6 6

6
1
6

6
6

6 6
2

9 6 6 6
4 4 4

6 6
6 6 6

3 3
21 22 23 24 25 26 27 28 29 30 31 32 33
wulan darmi daffa suparni yanem siyem sumarsih triwuryanti parmi kasinah sutrisno tumiyem painem

2 4 2 4 4 2 4 2 3 4 3 4 3

9 9

6
6 6 6

6
6 6

3 6 6
1

6 6 6

6 6 6
6 6 6 6 6
4 4
6 6 6 6

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
suti siti ridwan partinem adinda rina azzah sugiyanti rofiah sugeng sinem sriwidodo harni

4 3 1 1 2 4 4 2 2

9 6

8
6

6
6

6 20 20

6
1
6 6 6

6
2 6

6
6

10

1
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
supriyanti istanti sampi wahyu yola durotun suyatmi rizky alikha adriani sitirofiah vatmawati susanti

4 2 4 1 2 2 3 2 2 1 3 2

8 8
6

6 3

6
20 20 20

6 3 2 6
6 3 3 2

6 6

3 3 2 6
1 1 1

6
6 6 2 3 3 2
1

3 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
fifin sri saminem sulasih shofi miyanti

2 3 3 3

6
4

6 6
6
6
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
155
0
0
0
0
0
0
0
6
0
48
0
0
0
36
52
0
0
0
0
0
0
0
21
15
0
30
1
0
0
0
6
0
124
6
0
0
0
0
0
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
6
1
0
0
0
10
0
28
0
0
0
0
0
0
1
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
58
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
10
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
58
0
63
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
12
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
0
6
0
6
0
0
10
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


miyem alvito suginem weni suwarsi siti harjo

A Obat Generik 2 3 2 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 8 10
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
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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 10
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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 2
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 1
)
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
habib siti maula arjo eliyana zidan tuminah dwiwinars daffa srilestari ria ela dwi

3 4 3 4 6 4 2 1 3 2

6 6

10

6 6 6
6 6
20 20

6
10 6

6 6

6 6

6 6
6
6

6 6 6 6 6
4

4
6 6 6

1
21 22 23 24 25 26 27 28 29 30 31 32 33
novitasari suliyem ngadinah beby mujiani fatimah zainal fatimah sari sumarsi siti darsono inas

2 4 4 2 3 4 1 4 4 1

6 6

6 6 6
2

20 10

6 6
6 6 6 6 6

6 6 6 6
1
2 6

2 6
6

4 3
34 35 36 37 38 39 40 41 42 43 44 45 46
neni karsiyem setiyo arfa parminto nining tutik joko ragil armita jujuk supartini fasih

4 4 4 2 2 3 2 1 4

6 6

6 6 6
20 6

2 2 6
2

6 6 6 6 4

2 2 6
1
2

6 6
6 6 6

1
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
endah sri suwarni fajar salma karti wisnu salim

2 3 2 4 3

4
6
1

3
3

4 5

3 3
3
6

4
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
116
0
0
0
0
0
0
0
24
0
39
0
0
0
22
48
0
0
0
0
0
0
0
6
0
0
24
0
0
0
0
2
0
96
0
2
0
0
0
0
37
0
0
0
0
0
0
0
0
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
91
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
58
0
0
0
0
0
0
0
0
1
0
6
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
1
25
0
56
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
0
0
0
60
0
0
0
0
0
0
0
0
0
0
0
6
0
0
2
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
2
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


dika wartini pariyem kardi farida yudho tugimin

A Obat Generik 2 4 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 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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 10
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 1
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
sulasi sani daffa samingan khoirul sutiyem karnoto dwilestari anggita kasiyem ghathfaan sudarsonosumiyatun

5 4 4 4 3 2 2 4 1 3

10 4

6 6 10 6
6

6 3

1
3 4

6 6 6 6 6

6 6 3 4 7
1
10
3 4

6 6

6
6

10
21 22 23 24 25 26 27 28 29 30 31 32 33
karno pratama samiyem sarti radiyem yeni ita todikromo suminem ninik apriyani suwarti zuliati

2 4 3 3 4 2 2 3

5 9

6
6 6 6
6
6 6

6
5

6 6

6 6

5 6
5

6 6 6
6
10
34 35 36 37 38 39 40 41 42 43 44 45 46
puji aqil salsabila jumiyem widodo saji endras wining siti watinem suyani veby sri

2 2 4 3 4 3 4 3 4 4

2 6

6 6
6 6

2 6 6
2 5

6 6 6 6 6

2 2 6 6 5 6
1

6
2 2 5

6 6
4 4
6 6

6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
muchrima emi siti

3 3
6 6
4 4
6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
108
0
0
0
0
0
4
0
6
0
46
0
0
0
12
24
0
0
0
0
0
0
0
14
0
0
40
0
0
0
0
0
0
18
18
0
0
0
0
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
1
0
0
0
10
0
19
0
0
0
0
0
0
0
0
96
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
2
0
6
0
0
0
0
0
10
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
10
21
0
48
20
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
42
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
16
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


titik ikem sami david abdi mulyo sutini

A Obat Generik 3 4 4 3 4 2
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 6 6
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet 5
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet 6 6
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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 5
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
A52 Efavirenz 600 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 5
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6 6 6
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
srimulyani wardoyo painem sumarni tumiyem dafa sukarti sriyatun kasmi kartowiyo fadli yeni hadi

5 4 3 2 2 4 5 2 2 2

6 6

8 8 6 6 8 8
6 6

6 3

6
6 6

3
1 1
1

6 6

4 4
6 6 6 6

6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
indriati nunik kiran saliyo minarti sayem siti andini wagiyem rofifah watik eneng indrawati

2 4 1 3 2 2 4 4 3 2

8 6

8 8 8 6
6

6
6 6

6
6 6

6 6

6 6
6
6

6
3

6
34 35 36 37 38 39 40 41 42 43 44 45 46
sukariyo akbar aris tuti suliyem mariyem bakdi ninis sulasmi lila enes sriyanti sarah

4 3 1 4 4 4 2 2 2 4 4

8 6 6 6 6 6
6 6

6 6
20 20 20

6 6 6
6

6 6

6 6
6

6 6
6 6 6 6

6 6 6 6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
hartini rini suyati maratina mira sukidi sriwahyun rahayu fathkul sugiyono dwisusilo sukiyem giyem

4 2 4 3 3 4 2 4 4 4

6 6 6 6 6 6
6 6
6

6 6 6 6
10

6 6

6 6 6

6 6 6 6
6

6 6
6
3

6 6 6

6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
146
0
0
0
0
0
0
0
36
0
42
0
0
0
160
42
0
0
0
0
0
0
0
6
0
0
24
0
0
0
0
0
0
90
0
0
0
0
0
0
62
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
10
0
29
0
0
0
0
0
0
0
0
18
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
57
0
0
0
0
0
0
0
0
2
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
1
27
0
48
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
6
0
0
72
0
0
0
0
0
0
0
0
0
66
0
6
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


sati cipto trihartini waginah sukinah aditya fitri

A Obat Generik 3 4 4 2
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
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 8
A15 Antasida Doen tab Tablet 6 3
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet 4
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
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 1
7
A10
Kotrimoksazol tab 120 mg Tablet
8
A10
Kotrimoksazol tab 480 mg Tablet
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 4
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 6
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 3
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 3
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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 4
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
trisukartin waspodo wasono partinings setyo alvina samiyem retno sunarwantsumarsi kasmi sadinem devanka

3 3 3 3 3 1 4 3 4

6 6

6
6 6 6 6

6 6 6
6 4 4
6

4 6

6
4
6 6 6 6

6
3

6 6

4
21 22 23 24 25 26 27 28 29 30 31 32 33
sumiyatun pini santi parinem sarah tutik marsudi suwoto eni khoirul suyati felisia pariyem

3 3 2 3 3 3 1 3

6 6
6 6

6 6 6
3 4
3
1
6 6 6 3 6

6
6 6 6

1
34 35 36 37 38 39 40 41 42 43 44 45 46
giyono suyanti ismangun margini agus saliyem heni roisian

3 3 4 3 4 3 4

8 6

6 6
4 4 4 4
10

6
6 6 10 6

4 4

10
5 4 3

5
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
85
0
0
0
0
0
0
0
0
0
26
0
0
0
32
45
0
0
0
0
0
0
0
6
12
0
54
0
0
0
0
0
0
0
0
0
0
0
0
0
37
0
0
0
0
0
0
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
10
0
0
0
0
0
0
1
0
6
0
0
0
0
0
10
4
0
0
0
0
0
0
0
0
15
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
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
88
0
15
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
10
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
1
9
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


sugito sutini suwarsi wardoyo sunarno muazam sukimin

A Obat Generik 3 4 3 3 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 6 6
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
A16 Antasida sirup Botol
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 6 6 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 6
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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 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
Kotrimoksazol tab 480 mg Tablet
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 6 6
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
suminem abizar dwi sunardi samini salsabilla etik fahra parmi hafis dewi peni ainah

3 2 2 1 2 3 4 4 4 3

3 6 20 20

6
6 20 20
6

3 6 6 6

6
1

6 10 20

6 6 6
1 1
3 2 6 6

10
21 22 23 24 25 26 27 28 29 30 31 32 33
brian meylin sriutami puji syahril handoko maheta anang beti ridwan rebiyati sukini rodhita

1 2 3 3 1 3 2

10

3
6

3 8 4
4

8 8 4
1 1

1
2 3 10 4
8 6
34 35 36 37 38 39 40 41 42 43 44 45 46
sriwahyun sudarti siti suwarni latifah marimin yowan parjono mita widodo nadine dwiki rini

3 2 2 2 2 5 1 4

6 20
8
6 20

4
20

4
6 8 8 4 2

6
6

6
6

1
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
81
0
0
0
6
0
0
0
0
0
16
0
0
0
6
18
0
0
0
0
0
0
0
78
8
0
24
0
0
0
0
0
0
78
6
0
0
0
0
0
46
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
6
0
4
0
0
0
0
0
0
1
0
6
0
0
0
0
0
62
0
0
0
0
0
0
0
0
0
60
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
1
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
76
0
16
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
14
0
0
6
0
0
0
0
0
0
0
0
0
12
0
6
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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 PEM

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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 PEM

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


karnoto jamiati suranto upit giyem ngadinah alfiah

A Obat Generik 1 4 5 3
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 4
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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 10
A34 Betahistin mesilat tab Tablet
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
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
A52 Efavirenz 600 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 1
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 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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 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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul 6
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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 3
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
meliana sutrisna meisa jumiyati sarwoto supini somo suparti sulis alvis triutami anik warsini

3 3 3 3 5 3 2 4 4 3

4 6 6 9

6 6 6 6
6 6

6
6

6 6

6 4 6 6
6

6 6

6 6 6
6 4 6 6

6
21 22 23 24 25 26 27 28 29 30 31 32 33
zaki sukiyem david puji sri hartono adelio suwarni ngadiyem abid kasidi winarno mitro

4 4 4 4 2 4 4

6 6 6 6 6 6
6

6
6 3 6
3 6

6 3
1
3

4 6 4 4

6
6 6 6

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
sunarto ninis hartono widodo cahaya belatova sutami parmi wiji juminem adita mujimun ngatinem

3 4 3 4 3 3 4 1 4 4

6 9

6 6 6
6

6
6

6 6
6

6 6 6

5
6

6
6 6 6

4 4 4
6

6 6

6 6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
eko agus cipto mitro sokinten rini tri sayem saliyem sumiyati novia alsifa sasmo

2 4 4

6 6 6
6 6
6
6

6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
sunarni qomariyat giyono ginem sugiharni suciati lusi supami parinem sri fadhila novi liyaa

3 3 4 4 2 4 4 4 2

6 6 6

6 6 6
6

6 6
10 6

1
6

6 6

6 6
6
6 6 6

6
4
6 6 6

6 6 6
73 74 75 76 77 78 79 80 81 82 83 84 85
listiyo sikun harjanti sugito eka muryani joyo srilestari triman sadinem warti farida padmo

3 4 4 4 3 4 3 3 3 3 3

9 10

6
6

10 6
6 10 6
6 4 4

4 6

6 6
4 4

6 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
pariyem parti suharyant tohar kusmanto wijiati yatmi giyah randiyem sukarti pajiyem sudarti winarsih

3 4 1 3 2 3 3 2 4 3 3 2 2
1
4 6 4 4 4 4 4

10 6 4 6
4 6 4 4 4 4 4

4 6 6 4 4 4
6 4

4
99 100 101 102 103 104 105 106 107 108 109 110 111
suwarsi pariyem rusmiyati ginem

3 3 2 3
4 4

6
4 4

6 4
6
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
228
0
0
0
0
0
0
0
46
0
65
0
0
0
132
48
0
0
0
0
0
0
0
24
0
0
40
0
0
0
0
6
0
44
18
0
0
0
0
0
83
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
3
0
0
0
0
52
33
0
0
6
0
0
0
1
0
0
0
0
0
0
0
36
36
0
0
0
0
0
0
0
0
75
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
46
0
0
0
0
0
0
6
0
0
0
0
0
0
0
68
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
85
0
18
46
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
54
0
0
0
0
0
0
0
0
0
88
0
4
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


pawiro sukini sutarsih sukinem parmi tray dwi

A Obat Generik 3 3 3 4 2
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 6
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet 10
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet 6
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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 4 6
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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 4 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
yudha sandi joko suwarsi samintri syukri susanti aril ayuk riris sunarwantpadmo siti

3 1 4 4 4 3 3 4 2

9 9 9

6
6
1

6
7 10
6 6

15

6 6 6
5
6 6 6 6 6

6
6

3
21 22 23 24 25 26 27 28 29 30 darso 32 33
indira agus meyvila etika kristanta soenarso sridaryant hanif jamal sutiyah darso suparni yatmi

2 4 2 1 4 4 4 3 4 4 3

6 6

9 9 9

6
6

6 6 6 6
3 6 3 6 6 6

3 6

3 6 3 6 6 6 6
1 1
6 3 6 6 6 6 6 6

6
34 35 36 37 38 39 40 41 42 43 44 45 46
zaydan menik romawati sukino partini srilestari yuni joko tini khoirul sulastri arif linggawati

2 3 4 2 1 4 3 4 2

2 9 9 6

6 4

6 6
6
20

1
6

15

2
1
6 6 6 6 4

6 4
6 6

6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
minah sumarni agus citra rijal yatmini ridwan sulastri wijayanti paiman taris edi andi

3 4 4 4 2 4

6 6
6 6
20

6
6

4
1
6 4 6

4
6 6

6 6

4
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
eko muryati karmini tantri

3 2

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
129
0
0
0
6
0
12
0
34
0
89
0
0
0
42
34
1
0
0
0
0
0
0
24
6
0
0
0
0
0
0
0
0
46
0
0
0
0
0
0
36
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
17
42
0
0
0
0
0
0
0
0
6
0
0
0
0
0
21
0
30
0
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
5
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
1
131
0
20
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
12
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
42
0
8
0
0
0
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


muji erdio sriyatun arjo murniwati supartina parni

A Obat Generik 4 4 4 2 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 6
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet 6
A16 Antasida sirup Botol
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 6
A24 Asam Mefenamat kap 500 mg Kaplet
A25 Asam Amino Infus 500 cc Bag 500 cc
A26 Asetilsistein 200 mg Tablet 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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 9
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
sumirah cika sitinur sayem suyanti tariyo suwardi wastiah ibal sellyana watinem warsini abihu

4 2 2 4 2 4

6 6

6
6 6
20

6 6
10

6
6 6 6
6

5
21 22 23 24 25 26 27 28 29 30 31 32 33
rani rudi mulyo giyono srimulyani amir eni suharno winarti ngadiyem mulyani sunarti mugino

1 4 3 4 4 1

6 6

6 6
10
6 6 6

4 4 6
6 6 6

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
dian siti rebo srirahayu dwi slamet sumiyem winarno pariyem titik sunarti tribudi elpi

4 4 4 3 4 3 3 3 4 3

6 6 6
6 6 6 6 6
6 3

6 6

1
6

6 6
3
6 6 3 6 6 6

6 6 3
4

6
6 6

6 6

3 6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
sudarsonosumarno siti ngatini jiyem tugimin

4 5 4 4

6
6 6
6 6

6 6 6
1
6 6 6
6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
105
0
0
0
0
0
0
0
12
0
33
0
0
0
48
54
0
0
0
0
0
0
0
18
0
0
6
0
0
0
0
9
0
30
0
0
0
0
0
0
42
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
10
0
36
0
0
0
0
0
0
1
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
0
3
0
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
99
0
21
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


srimulyani darmi sukinem giyem tutik nurul agus

A Obat Generik 4 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 6
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
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
A16 Antasida sirup Botol
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 6 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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 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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
ria panorama shinta riya diyah hanifah felia yanti pawiro setiyo prapti sunarwantlinggawati

3 4 2 3 4 3 4 2 3 2 3 2

6 9 9 6

6 6 6 6

6 6

6
6
20 20

3 6
6 3 6

6 6

6 3 4
1
6 6 3 4 6 6

4
6

6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
laila winarti ovan dani nanda joko siti hilyatul aan sulistyawariyanto parniningssutiyah

2 2 3 4 5 2 5 3 4 2

6
6 6

3
6 6

6
20

3 6 6 4
6 6

3 6

3 6 6 6 6
1 1
3 6 6 6 6 6

6 6
3
34 35 36 37 38 39 40 41 42 43 44 45 46
sriyani tri tatag suparni siti agus novita kaminem ristika kasmi suwito warsini sri

2 2 4 2 2 3 4 4 1

6 6 6 6
6 6
20 20

6
6 6

6
6 6

6
4 4

6
6 6

6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
wisnu bagus riyan tori sri angga nur

3
6

10
6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
106
0
0
0
0
0
0
0
24
0
48
0
0
0
54
42
0
0
0
0
0
0
0
9
18
0
18
0
0
0
0
0
0
100
0
1
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
27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
33
0
0
0
0
0
0
0
0
0
64
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
6
0
0
0
0
0
0
0
104
0
10
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
18
0
6
0
0
0
0
0
0
0
39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


fitri arwa yatmi agnes ariyanti darsono bagiyo

A Obat Generik 2 4 3 2 3 4 1
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 6
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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 10
A34 Betahistin mesilat tab Tablet
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 4
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
A52 Efavirenz 600 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 4
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 2
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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 4 2 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 1 1
7
A10
Kotrimoksazol tab 120 mg Tablet
8
A10
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 4 6 2 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
5
A17
6 Salep 2 - 4 kombinasi Pot
A17
Salysil bedak 2 % Botol
7
A17
Sefadroksil 500 cps Kapsul 6
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
dewi sutrisno sainem siti sarmi sainem sumarmi ngatmin melani farel tarmini amelia ngadiyem

4 5 2 5 5 3 5 3 2 5 1 4

3 3 3

6 6 6
6

6 6 6 6 6 6 2 6 6

5 5 5 5

1
2 6

5 5 5 2 5
1

6 6 6
3

6 6 6 2 2

6
3

6
21 22 23 24 25 26 27 28 29 30 31 32 33
mariyem siti nurmawatiawliya sri juwita wawan trisnawati poni bakdi handriant susi partini

5 3 2 3 5 3 4 4 4 4 5

9 6

6 6 6

6 6 6
1
10 10

6 6 6 6 6 6 6

4 5 5 5
6

4 5 6 6
6

6 6
4 3

6 6 6

6
8

1
34 35 36 37 38 39 40 41 42 43 44 45 46
sriwahyun suyanto mei sriandani evan rian anik sriyani suwarni sarmi sumini sumiyati nurul

2 3 3 1 5 4 4 3 3

3 3 3

6
6

6 6 6 6

4 5

1
6 3

4 5
6 6

6 6 6
4

1
6 6
6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
verline verline
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
133
0
0
0
21
0
0
0
0
0
35
0
0
0
30
0
0
0
0
0
0
0
0
6
0
0
48
1
0
0
0
0
0
42
0
0
0
0
0
0
120
0
0
0
0
0
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
0
0
4
0
0
2
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
27
0
0
0
0
0
0
0
0
0
64
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
18
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
14
0
0
0
0
0
0
1
70
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
12
0
0
0
0
3
0
0
6
0
0
0
0
0
0
8
0
0
18
0
6
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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 PE

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


parti harjo sudarto cipto shinta fia sutrisno

A Obat Generik 4 3 4 2 3
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
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6
A15 Antasida Doen tab Tablet 6 6 6
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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 10
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet 6 3
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet 6
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 3
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 1
7
A10
Kotrimoksazol tab 120 mg Tablet
8
A10
Kotrimoksazol tab 480 mg Tablet
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 10
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 3 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6 3
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
tukini srilestari belutova nanik paimin saiman cipto suyatno srirahayu hardjo mira wiryo supini

4 2 3 4 4 5 2 3 4 4

6 6 6

6 6

6 6
6 6 6 6 6
10

6 6

6 6

6 6 6 6
6

10
6 6 6

6
6

4 4
21 22 23 24 25 26 27 28 29 30 31 32 33
sri mitro paniyem sunarsi sutini sunarwantwarso dwinurul tri bintang kasidi emi jarwati

2 3 4 3 4 2 2 4 4 4

6 9 6

6 6
6 6 6

6
6
20 20

6
1

6 6

6 6
1
6 6 6

4 4
6 6 6

6 6 6

3
34 35 36 37 38 39 40 41 42 43 44 45 46
anah taminem mulyati mardiyonoadi andrian tuminem suti sriono karmini rafika fajar fiqih

4 3 4 4 3 4 4 2 5

9 9 5

6 6 6
6 6

6
6 6 5 6
6 6

6 6 6 6
6 6 6 6 5 6 6

6
6 4 4 4

6
6 6 6

6 6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
burhanudi midi parmini suminah akqil sumiyati jehan fatmawati wuri tutik surip kaminem darmi

4 4 4 2 4 2 3 3 4

6 6 6
6 6

6 6 6
6

2 6 2

1
2

2 6 6
1
6 2 6 2 6

6
4 4

6 6
6

6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
tarti wijiyanto cahya wagiyem wijayanti sayem srimulyani rina siti rizal giyem suharsi peno

2 4 4 3 4 4 4

6 6 6

6
6

6
1
3 6
3

3 6 6 6
1
3 6 6 6 6

6
6

6 6
73 74 75 76 77 78 79 80 81 82 83 84 85
siti amring ayundya

2 1
6
6
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
174
0
0
0
0
0
0
0
42
0
74
0
0
0
66
66
0
0
0
0
0
0
0
6
18
0
36
1
0
0
0
6
0
46
0
0
0
0
0
0
78
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
20
0
38
0
0
0
0
0
0
2
0
0
0
0
0
0
0
36
6
0
0
0
0
0
0
0
0
98
1
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
10
0
0
6
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
143
0
27
38
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
0
0
6
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
72
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


arjo sugito trimo suwarsi siti khoirul

A Obat Generik 4 4 3 2 1
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
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6
A15 Antasida Doen tab Tablet 6 6
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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 20
A34 Betahistin mesilat tab Tablet
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
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
A52 Efavirenz 600 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
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 2
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul 4
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
yatmi andila yuniawan abdi nurul arifin arif qori giyono ngadimah amanda

3 3 4 3 4 4 1 1 3 3 4

6 6 6

6
6 6

6
6 6 6
4

6 6 6
6

6
6 6 6 6 6 3 2 6 6 6

6
21 22 23 24 25 26 27 28 29 30 31 32 33
iqbal sumarti sutarmi meidela sunarni hestu syafa elvano darwati partini ngadiyem sukarti erna

4 3 2 4 2 1 2 4 4

6 9 6 2

6
6 6

6
6 2

1
6

6 2
6

6
6 6 6 6 6

6
6

6 6

1 1
34 35 36 37 38 39 40 41 42 43 44 45 46
suharto danial arni waluyo sriwahyun katiyem liya ahmad lucki endah ninik anik semi

1 4 2 4 4 4 1 4 4 4 4

9 9

6 6 6 6 6

6
30 30 20 20 10

1
6

10 10 6 6 6

6 6
2 6 6 6

10 10 6 6 6
4
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
aji lila rodhita mio nuryanto daryati ismail daifa sariman triningsih nurhayati

4 2 3 3 3 4 4 4

9 9 9 9

6 6 6
6 6 6

6 6
6

4
6 4

6 4
1

6
6 4 6 6 6

6
6

6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
136
0
0
0
6
0
0
0
6
0
95
0
0
0
42
54
0
0
0
0
0
0
0
48
0
0
18
0
0
0
0
6
0
130
0
0
0
0
0
0
36
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
0
1
0
0
0
4
0
28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50
4
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
1
0
6
0
0
0
0
0
0
0
0
18
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
139
0
50
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
10
0
0
18
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
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


harni sukinah samin kardi sutarno siti painem

A Obat Generik 4 3 4 4 3 3
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 6 6 6
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet 6 6
A16 Antasida sirup Botol
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 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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 10
A34 Betahistin mesilat tab Tablet
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
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
A52 Efavirenz 600 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
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
sudarni tukinah aris bahtiar sudarsonoyuda sutarmini ayu juwanto sumirah muryani pingkan sriparyati

4 4 4 2 1 3 1 1 3

9 6 6

6
6 6

9
10

6
7
6

10

9 6 7 6
9 6 6 2 6
21 22 23 24 25 26 27 28 29 30 31 32 33
anis afrida sukiyo sriwarsini wafi kila sutarni salma sukini supriyanti tridela parmini srilestari

2 4 4 1 4 2 4 2 4 3

9 9

6 6
6

6
10

6 3
6 6 3

6 6 3
1 1
6 6 2 6 3 3 6

3
4 4
6 6

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
sriutami tricahyonorakem sunarwantabdur karnoto jaitun sangidah sulasmi yuanita indah dina wasono

2 3 3 3 3 2 2 5

9 9 6 9

6 6
10 20

6 6 4
4

6 6

6 4
1
6 6 6 4

6
6

6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
anas titik senen suminah tutut fitri paiman raji bela suminem

3 3 4 4 3 4 4 4

6 9

6 6 6

6 6
1
6 6 6
1

6 6 6 6
6 6 6

6
4 4

6
6 6

6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
126
0
0
0
0
0
0
0
30
0
87
0
0
0
54
30
1
0
0
0
0
0
0
18
0
0
27
1
0
0
0
0
0
60
0
0
0
0
0
0
49
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
31
0
0
0
0
0
0
1
0
0
0
0
0
0
0
30
0
10
0
0
0
0
0
0
0
83
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
119
0
21
16
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
36
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


marinem mitro sarip sukiyem sugiyarti joko kasidi

A Obat Generik 4 3 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 6
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 6 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
A52 Efavirenz 600 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 6 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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 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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
arjo dwimaryat siswo semi sumadi harjo tray sriyatun sunarno tutik bakdi dafa tumiyem

4 3 4 2 4 1 2

6
6
10

6 6
10

6 6

10

6
1
6 6 6

6
6

6
21 22 23 24 25 26 27 28 29 30 31 32 33
yeni sulastri afifah bondan indah pipit dzaki jarwanti sriwining tumiyem partini vanesa rahma

3 2 4 2 4 2 2 4 5 2 1

8 8

6
6

6
6

3 6 3 6

1
3 3

3 6 3
1 1

4 4
3 6 6 3 6 2

6 6
4
6

6 6

6 6

1
34 35 36 37 38 39 40 41 42 43 44 45 46
sri gunawan alifah sriono sriyatun harjanti suharni rini sarmi ismirah ajeng tarto suliyem

2 2 2 4 2 6 2 4 3 4 4

6 6 6

6 6 6 6
2 6
6

1
6 6

6 6
5
10

6 3 6 6

3 6
4

9
6 6

10

6 6
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
suwanti lia sutiyem emil sugiyanto sismini eka tukimin bilal thohar kasmi haniah widya

2 1 4 4 4

6
6 10

6 6
6

6 6

6 6 6
6 6
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2020

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
dodik wakidi timinar grasio suyati alisa rofa poniyati rini daryati ngatmi mugiyati ngatmini

1 1 5 2 2 3 3 3 4 3 4

10 9 6 9

6 6 6 6
6

6
10

6 6
6

6 2

5
2

6 2 6
1
2 6 2 6

6
10

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
147
0
0
0
6
0
0
0
24
0
73
0
0
0
72
26
0
0
0
0
0
0
0
6
10
0
24
0
0
0
0
0
0
38
6
0
0
0
0
0
68
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
5
0
0
1
0
0
0
10
0
44
0
0
0
0
0
0
2
0
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
0
68
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
10
0
0
0
0
0
0
1
105
0
33
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
21
0
0
0
0
6
0
0
36
0
10
0
0
0
0
0
0
0
36
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


sukini karno sulastri sati setyo darmi sunarwant

A Obat Generik 4 3 4 4 4 2
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 6
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet 6
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6
A15 Antasida Doen tab Tablet 6
A16 Antasida sirup Botol
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 6
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
A29 Asiklovir tab 400 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
A35 Betamethason salep kulit Tube 1
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 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
A52 Efavirenz 600 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 6
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet 6 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul 6
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 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
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
elviana helen pati aga sarmi darsi marsono siti abdul puji rayhan karsinah marsinah

2 3 3 2 1 1 4 3 1 4 3

3
10

3 6 2 6 6
2 6

3 3
1 1

6
3 6 6 3 2 6 2

6 6
6 6

6 6 6

6
21 22 23 24 25 26 27 28 29 30 31 32 33
denta agus siti puji sugiyem mujiono srirahayu mantono nina suwarni eksa rini sukarti

4 3 3 4 2 3 2 4

6 6

2
20

6 6 6 6 2
6

6 6 2
1
6 6 6 2 6

6 6
6
6

6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
kasmi sri erlin sinem salma elva riztina ginah ngatmin ajeng

3 3 3 2 2 4

6
6 6

6
6 3 3 6
3 6
1 1
6 6 3 2 6

6 6
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEB

Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
OBAT BULAN FEBRUARI 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
90
0
0
0
6
0
6
0
0
0
30
0
0
0
12
30
0
0
0
0
0
0
0
11
0
0
6
0
0
0
0
0
0
30
0
1
0
0
0
0
85
0
0
0
0
0
0
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
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
35
0
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
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
101
0
24
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
24
0
0
0
0
0
0
0
0
0
36
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7


handoko sukiyem sellyana sukinah harni srilestari bakdi

A Obat Generik 4 4 2 3 4 2 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 6
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet
A16 Antasida sirup Botol
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 6 10 6
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A29 Asiklovir tab 400 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 6
A34 Betahistin mesilat tab Tablet
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 6 5
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
A52 Efavirenz 600 mg Tablet
A53 Efinefrin ( Adrenalin inj ) Ampul
A54 Erytromicin kap 500 mg Kapsul 5 5
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 6
A73 Gliseril guaiakolat tab Tablet
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet 6
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 5
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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 6 4 4
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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 5
5
A17
6 Salep 2 - 4 kombinasi Pot
A17
Salysil bedak 2 % Botol
7
A17
Sefadroksil 500 cps Kapsul 10
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet 6
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
jumiyati mulyani devan partini betris bambang tukinem ngadiyem rehan adara siti dewi samiyem

3 2 2 6 5 3 4 4 3 1 4

3 3 3

6 6
6
6

6 2 6 6

5 5

1
6

6 3

2 5
1

12

6 6 6 6
3 2

2 6 6
2 6 6

1
21 22 23 24 25 26 27 28 29 30 31 32 33
kenzo sutrisno harjanti abdullah sunarti zulaiha sugiyem daryanti egi dani maita ananda andy

2 4 2 2 5 2 5 4 2 3 4 1

2 3

3 6
6

6 6 6
6 6 10

2 6 3 6 6 6 3 6

5 5
3

2 10 6 6

2 3 6 5
1

6 6
1
1 6

6
10
34 35 36 37 38 39 40 41 42 43 44 45 46
lusi zahra marwining dhiya sri syaifudin fimarasyidwulan burhan anang suparni

4 1 1 4 1 3 4

4 8

1
10 10

4 6
6 6
4 2 6 4

4
6
6

1
LAPORAN PEMA

47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 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
114
0
0
0
15
0
12
0
0
0
17
0
0
0
18
0
2
0
0
0
0
0
0
15
6
0
52
1
0
0
0
0
0
54
6
0
0
0
0
0
91
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
12
3
0
0
0
0
0
0
1
0
0
0
0
0
0
0
39
0
0
0
0
0
0
0
0
0
46
0
0
0
0
0
0
0
0
2
0
12
0
0
0
0
0
6
0
0
6
0
0
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
2
37
0
4
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
0
0
16
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
1
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A Obat Generik
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
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
A16 Antasida sirup Botol
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
A29 Asiklovir tab 400 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
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
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
A52 Efavirenz 600 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
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
A78 Haloperidol tab 1,5 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
A83 Ibuprofen tab 400 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A87 Kalium Diklofenak 50 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
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
Kotrimoksazol tab 480 mg Tablet
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
O A T Katagori - 2 Paket
9
A14
O A T Katagori - 3 Paket
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
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
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
Povidon Iodium 10% 300 ml Botol
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
Retinol 200.000 iu Kab Btl @50
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
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
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
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
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
D20 IV Cateter No. 22 ( 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
D38 Poly Cateter No. 16 Biji
D39 Poly Cateter No. 18 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
E14 Rapid Tes HIV Ke-2 Test
E15 Rapid Tes HIV Ke-3 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
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
PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
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 34
A2 ACT tab Tablet 0
A3 Albendasol Tablet 0
A4 Allopurinol 100 mg tab Tablet 376
A5 Aminofilin inj. Ampul 0
A6 Aminofilin tab 200 mg Tablet 493
A7 Amitriptilin tab 25 mg Tablet 0
A8 Amlodipin 5mg Tablet 103
A9 Amoksisilin injeksi Vial 0
A10 Amoksisilin kab 500 mg Tablet 16
A11 Amoksisilin Sirup 125 mg Botol 0
A12 Ampisilin injeksi 1 gram Vial 0
A13 Antalgin injeksi Ampul 0
A14 Antalgin tab 500 mg Tablet 52
A15 Antasida Doen tab Tablet 59
A16 Antasida sirup Botol 2
A17 Anti Bacteri Doen salep kulit Tube 0
A18 Anti Hemoroid suppo Suppo 0
A19 Antifungi Kombinasi salep kulit Pot 18
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
ARV FDC Dewasa : Tenofovir
A22 300mg + Lamivudine 300mg + Tablet 0
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 0
A24 Asam Mefenamat kap 500 mg Kaplet 0
A25 Asam Amino Infus 500 cc Bag 500 cc 0
A26 Asetilsistein 200 mg Tablet 117
A27 Asiklovir salep kulit Tube 11
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 425
Benzatin Benzyl Penisilin Inj
A32 Flacon 0
2,4jt UI
Besi II Sulfat Tablet + asam
A33 Tablet 10
folat
A34 Betahistin mesilat tab Tablet 431
A35 Betamethason salep kulit Tube 25
A36 Bisakodil tab Tablet 0
A37 Cefixime Azithromycin 1000 mg Paket 0
A38 Clindamycin 150 mg Dus 0
A39 Deksametason inj Ampul 0
A40 Deksametason tab 0,5 mg Tablet 439
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 47
Dihydro Artemisin 40mg +
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

A50 Domperidon tab 10 mg Tablet 73


A51 Efavirenz 200 mg Tablet 0
A52 Efavirenz 600 mg Tablet 0
A53 Efinefrin ( Adrenalin inj ) Ampul 0
A54 Erytromicin kap 500 mg Kapsul 547
A55 Erytromicin sirup Botol 0
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 23
A61 Fitomenadion inj Ampul 0
A62 Fitomenadion tab 10 mg Tablet 1
Dus @ 10
A63 Fluoconazol 150 mg 0
Kap
A64 Furosemide tab 40 mg Tablet 9
A65 Furosemide injeksi Ampul 0
A66 Garam Oralit 200ml Sak 8
A67 Gentamicin tetes mata 0,3 % Botol 24
A68 Gentamicin injeksi Ampul 0
A69 Gentamisin salep kulit Tube 0
A70 Gentian Violet Botol 0
A71 Glibenklamide tab 5 mg Tablet 21
A72 Glimepiride 1 mg Tablet 32
A73 Gliseril guaiakolat tab Tablet 340
A74 Glukonas kalsikus Ampul 0
A75 Glukose 5 % larutan infus Flabot 0
A76 Griseofulvin tab 125 mg Tablet 29
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


Hidrokhlorotiazide (HCT) tab 25
A79 Tablet 8
mg
A80 Hidrokortison salep kulit Tube 4
Hiosine-N- butilbromide tablet
A81 Tablet 0
10 mg
A82 Ibuprofen tab 200 mg Tablet 345
A83 Ibuprofen tab 400 mg Tablet 0
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
A88 Kalsium Laktat tab 500 mg Tablet 70
A89 Kaptopril tab 25 mg Tablet 0
A90 Karbamazepin tab 200 mg Tablet 74
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 0
A99 Kloramfenikol salep mata 1 % Tube 19
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
7
A10
Kotrimoksazol tab 120 mg Tablet 0
8
A10
Kotrimoksazol tab 480 mg Tablet 15
9
A11
Lamivudine (3TC) 150 mg Tablet 0
0
A11
Lidokain comp injeksi Ampul 0
1
A11
Loperamid Tablet 0
2
A11 Lopinavir 200 mg, Ritonavir
Tablet 0
3 ( LPV/r ) 50 mg ( ALUVIA )
A11
Mebendazol tab100 mg Tablet 0
4
A11
Metformin 500 Tablet 16
5
A11
Methoklopramide injeksi Ampul 0
6
A11
Methoklopramide sirup Botol 0
7
A11
Methoklopramide tab10 mg Tablet 68
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 330
2
A12
MgSO4 20 % Vial 0
3
A12
MgSO4 40 % Vial 0
4
A12
Mineral mix Sak 0
5
A12
Myconazol salep kulit Tube 7
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 131
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
O A T Katagori - 2 Paket 0
9
A14
O A T Katagori - 3 Paket 0
0
A14
O A T Sisipan Paket 0
1
A14
Obat Batuk Hitam sirup Botol 0
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 181
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
Parasetamol tab 500 mg Tablet 29
5
A15
Piracetam 400 Kapsul 0
6
A15
Piridoksin tab 10 mg Tablet 0
7
A15
Piroksikam tab 10 mg Kapsul 136
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
A16 Propylthioracil ( PTU ) tab 100
Tablet 0
6 mg
A16
Pyrantel tab 125 mg Tablet 0
7
A16
Ranitidine 150 mg Tablet 0
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 313
5
A17
6 Salep 2 - 4 kombinasi Pot 0
A17
Salysil bedak 2 % Botol 0
7
A17
Sefadroksil 500 cps Kapsul 72
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
Setirizin 10 mg Tablet 60
3
A18
Setirizin Sirup Botol 0
4
A18 Sianokobalamin inj ( Vit. B12 )
Ampul 0
5 inj
A18 Sianokobalamin tab ( Vit. B12 )
Tablet 0
6 tab
A18
Simetidin tab Tablet 0
7
A18
Simvastatin 10 Tablet 76
8
A18
Siprofloxacin tab 500 mg Tablet 0
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 9
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 152
6
A19
Triheksifenidil tab 2 mg Tablet 0
7
A19
Vitamin B Komplek tab Tablet 288
8
A19
Zidovudine Tablet 0
9
A20 Zidovudine + Lamivudine ( 300
Tablet 0
0 mg / 150 mg )
A20
1 Zink Tablet 12
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 2
( Anak )
B4 Anti Hemorhoid kapsul Kapsul 0
B5 Anti Hipertensi Herbal Kapsul 0
Anti radang topikal mengandung
B6 Tube 0
triamsinolon acetonide 1 mg
B7 Anti spasmodik inj / spasi inj Ampul 0
Asam Askorbat tab 500 +
B8 Tablet 113
Vitamin
Betamethason + Antibiotik salep
B9 Tube 0
kulit
B10 D 1/2NS Flabot 0
B11 Flunarizin 5 mg Tablet 0
B12 Kombinasi Lutein 6 mg, Ekstrak Kapsul 0
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
B17 Multivitamin tab ( Dewasa ) Tablet 283
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 0
Vitamin
B22 Vitamin Neurotropik inj Ampul 0
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
Glass Ionomer Cement ( Fuji
C8 Pot
IX )
Glass Ionomer Cement ( Fuji VII
C9 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
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11

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 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
Kasa steril mengand:Framasetin
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
D38 Poly Cateter No. 16 Biji 0
D39 Poly Cateter No. 18 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
E8 Methylen Blue 0.3% Botol
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
E14 Rapid Tes HIV Ke-2 Test 0
E15 Rapid Tes HIV Ke-3 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 FEBRUARI 2020

PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
PENERIMAAN PENERIMAAN
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
94 0 213 164 137 133 93 126 0 155 116 108 146 85 81 0 0 228 129 105 106 133

0 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

0 376 0 0 0 0 9 0 0 9 0 0 0 0 0 0 6 0 0 0 6 0 0 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

0 493 0 0 0 6 6 0 0 6 0 0 0 4 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 0 0 0

300 300 403 0 0 36 12 30 0 0 6 0 6 24 6 36 0 0 0 0 46 34 12 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

1400 1,400 1,416 27 0 109 119 54 113 24 56 0 48 39 46 42 26 16 0 0 65 89 33 48 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

1,200 1,200 1,252 30 0 12 21 6 104 127 62 0 36 22 12 160 32 6 0 0 132 42 48 54 30

900 900 959 32 0 72 24 48 48 45 6 0 52 48 24 42 45 18 0 0 48 34 54 42 0

3 3 5 0 0 0 0 0 0 0 1 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 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 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

500 500 500 0 0 30 6 20 18 6 24 0 21 6 14 6 6 78 0 0 24 24 18 9 6

200 200 200 0 0 12 0 0 6 0 0 0 15 0 0 0 12 8 0 0 0 6 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

500 500 617 56 0 0 0 0 0 0 12 0 30 24 40 24 54 24 0 0 40 0 6 18 48

0 11 0 0 1 0 0 0 0 0 0 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 14 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

0 425 0 0 0 6 9 6 0 0 0 6 2 0 0 0 0 0 0 6 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

1,530 1,530 1,540 46 0 116 16 166 76 0 78 0 124 96 18 90 0 78 0 0 44 46 30 100 42

0 431 0 0 6 0 6 0 0 0 0 6 0 18 0 0 6 0 0 18 0 0 0 0

0 25 1 0 0 0 0 0 0 0 0 0 2 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

1,000 1,000 1,439 59 0 79 65 40 48 80 64 0 46 37 35 62 37 46 0 0 83 36 42 40 120

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 73 0 0 6 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

0 547 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48

12 12 12 0 0 2 1 3 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 23 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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150 150 171 0 0 19 10 10 0 0 6 0 10 0 10 10 10 6 0 0 0 0 10 0 0

100 100 132 0 0 0 0 7 0 0 10 0 0 0 0 0 0 0 0 0 52 17 0 0 0

500 500 840 8 0 135 72 58 46 20 60 0 28 21 19 29 10 4 0 0 33 42 36 27 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

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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

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0 19 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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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

44 44 44 0 0 0 0 3 0 0 0 0 3 1 2 2 2 4 0 0 1 3 0 3 3

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100 100 115 0 0 6 0 10 0 6 0 0 0 6 6 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

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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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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

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18 18 18 0 0 0 1 0 0 0 0 0 0 1 10 1 0 0 0 0 0 1 0 0 1

2,300 2,300 2,329 93 0 270 220 150 36 52 74 0 58 25 21 27 88 76 0 0 85 131 99 104 70

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

700 700 700 24 0 44 12 33 12 20 24 0 63 56 48 48 15 16 0 0 18 20 21 10 6

300 300 436 28 0 12 32 12 0 0 12 0 20 8 20 30 6 6 0 0 46 4 22 12 0

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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

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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

900 900 900 0 0 54 72 30 48 12 36 0 60 60 42 72 0 6 0 0 54 30 42 18 6

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0 76 0 0 0 0 0 0 6 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
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

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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 6 6 0 0 0 1 0 0 0 0 0 1 2 0 0 1 0 0 0 0 0 0 0 0

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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

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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

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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

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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

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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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 )

0 174 136 126 147 90 114 0 0 3,139 -3,139


0 0 0 0 0 0 0 0 0 0 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
0 0 6 0 6 6 15 0 0 84 292 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 6 12 0 0 52 441 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 42 6 30 24 0 0 0 0 374 29 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 74 95 87 73 30 17 0 0 1,365 51 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 66 42 54 72 12 18 0 0 1,200 52 0.00
0 66 54 30 26 30 0 0 0 888 71 0.00
0 0 0 1 0 0 2 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 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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 48 18 6 11 15 0 0 420 80 0.00
0 18 0 0 10 0 6 0 0 111 89 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 36 18 27 24 6 52 0 0 539 78 0.00
0 1 0 1 0 0 1 0 0 6 5 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 8 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 6 0 0 0 0 0 0 56 369 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 46 130 60 38 30 54 0 0 1,524 16 0.00
0 0 0 0 6 0 6 0 0 72 359 0.00
0 0 0 0 0 1 0 0 0 5 20 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 78 36 49 68 85 91 0 0 1,426 13 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 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 0 0 0 0 0 2 0 0.00
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 12 61 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 30 0 0 78 469 0.00
0 1 0 0 1 0 0 0 0 12 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 1 0 1 0 0 0 0 4 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 11 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 5 0 0 0 0 9 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 2 0.00
0 0 1 0 1 0 1 0 0 19 5 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 20 4 0 10 6 0 0 0 141 30 0.00
0 0 0 7 0 0 12 0 0 105 27 0.00
0 38 28 31 44 26 3 0 0 828 12 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 20 9 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
0 2 0 1 2 0 1 0 0 14 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 345 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 36 50 30 34 6 39 0 0 758 12 0.00
0 6 4 0 0 0 0 0 0 69 31 0.00
0 0 0 10 0 0 0 0 0 50 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 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 98 54 83 68 35 46 0 0 1,576 24 0.00
0 1 0 0 0 0 0 0 0 4 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 0 0 0 0 0 0 0 0.00
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 3 1 3 3 5 2 0 0 44 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 6 0 0 0 12 0 0 55 60 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 10 0 0 0 0 6 0 0 97 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 6 18 0 0 0 6 0 0 54 14 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 10 0 0 13 0 0 0 0 39 291 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 6 1 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 6 0 0 6 36 0 0 234 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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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 10 0 19 0 0 64 117 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 1 0 2 0 0 18 0 0.00
0 143 139 119 105 101 37 0 0 2,323 6 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 27 50 21 33 24 4 0 0 649 51 0.00
0 38 10 16 18 24 6 0 0 382 54 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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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 24 0 6 18 0 11 0 0 144 169 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 6 6 0 21 0 16 0 0 155 17 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 10 0 6 0 0 0 0 75 5 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 54 18 36 36 24 6 0 0 816 84 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 10 0 0 0 0 22 54 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 29 80 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 72 12 30 36 36 0 0 0 787 65 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 6 0 0 0 12 20 0 0 107 181 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 12 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 4 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 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 25 88 0.00
0 0 2 0 1 0 1 0 0 9 1 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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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 1 0 0 6 0 0.00
0 11 0 0 0 0 0 0 0 283 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 10 0 0 26 4 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
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 0 0 0 0 0 0 0 0 0 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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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 0 0 0 0 0 0 0 0 0 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
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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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
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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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 0 0 0 0 0 0 0 0 0 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
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
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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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
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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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
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
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
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
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
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
Pengeluaran Akhir ( Rp ) ( Rp )
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 0 0 0 0 0 0 0 0 0 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
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
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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