LAPORAN PENERIMAAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : MANDALA MEKAR PELAPORAN : Februari 2021

KECAMATAN : MANDALAJATI PERMINTAAN : Maret 2021
KOTA : KOTA BANDUNG

NO KODE NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN

OBAT

1 2 3 4 5 6 7 8
LIFE SAVING
1 OBT001 Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml Ampul 0 0 0 0
2 OBT006 Diazepam Lar Rektal 10 mg/ml Tube 0 0 0 0
3 OBT002 Epinefrin HCL Inj Ampul 0 2 2 0
4 OBT003 Mg Sulfat Inj 20 % - IV/10 vial Ampul 0 0 0 0
5 OBT004 Mg Sulfat Inj 40 % - IV/10 vial Ampul 0 0 0 0
6 OBT005 Oksitosin Inj 10 lU/ml 1 ml Ampul 0 0 0 0
DARAH,AS URAT,KOLESTEROL
7 OBT109 Alopurinol 100 mg Tablet 177 0 177 42
8 OBT110 Fitomenadion /Vit K 10 mg Tablet 81 0 81 0
9 OBT111 Fitomenadion /Vit K Inj 10 mg/ 2ml Ampul 0 0 0 0
10 OBT112 Gemfibrozil 300 mg Tablet 0 0 0 0
11 OBT113 Metilergometrin Maleat 0,125 mg Tablet 130 0 130 0
12 OBT114 Metilergometrin Maleat 0,200 mg 1ml inj Ampul 0 0 0 0
13 OBT115 Simvastatin 10 mg Tablet 223 0 223 10
MULUT,THT
14 OBT116 Fenol Gliserol TT Botol 0 0 0 0
ALERGI,KORTIKOSTEROID
15 OBT117 Deksametason 0,5 mg tablet Tablet 0 0 0 0
16 OBT118 Deksametason inj 5 mg / ml (i.v / i.m) Ampul 0 0 0 0
17 OBT119 Difenhidramin inj 10 mg / ml (i.v / i.m) Ampul 0 0 0 0
18 OBT120 Klorfeniramin Maleat/CTM 4 mg Tablet 1543 700 2243 873
19 OBT121 Loratadine Tab 10 mg Tablet 697 0 697 73
20 OBT122 Prednison Tab 5 mg Tablet 484 100 584 122
21 OBT123 Setirizin sir 5 mg / 5 ml Botol 0 0 0 0
HORMON
22 OBT124 Glibenklamid 5 mg tablet Tablet 459 0 459 57
23 OBT125 Metformin tab 500 mg Tablet 897 0 897 437
INFUS,LAR STERIL
24 OBT126 Aqua pro inj steril 20 ml Vial 10 0 10 0
25 OBT127 Natrium Klorida Larutan Infus 0,9 % Labu 5 0 5 0
26 OBT128 Ringer Laktat Larutan Infus Steril Labu 0 0 0 0
NARKOTIKA, PSIKOTROPIKA & KESEHATAN JIWA
27 OBT129 Amitriptilin 25 mg Tab 0 0 0 0
28 OBT130 Carbamazepin 200 mg Tablet 0 0 0 0
29 OBT131 Clobazam 10 mg Tablet 0 0 0 0
30 OBT132 Clozapine 25 mg Tablet 0 0 0 0
31 OBT133 Diazepam 5 mg Tablet 0 0 0 0
32 OBT135 Fenobarbital tab 30 mg Tablet 100 0 100 0
33 OBT136 Flufenazine Decanoat Injeksi 25 mg/ml Ampul 0 0 0 0
34 OBT296 Haloperidol decanoat Injeksi 50 mg/ml Ampul 0 0 0 0
35 OBT137 Haloperidol Injeksi i.m.5mg/ml Ampul 0 0 0 0
36 OBT138 Haloperidol tab 0.5 mg Tablet 0 0 0 0
37 OBT139 Haloperidol tab 1.5 mg Tablet 0 0 0 0
38 OBT140 Haloperidol tab 2 mg Tablet 0 0 0 0
39 OBT134 Haloperidol tab 2 mg Tablet 0 0 0 0
40 OBT141 Haloperidol tab 5 mg Tablet 0 0 0 0
41 OBT142 Karbamazepin tab 200 mg Tablet 0 0 0 0
42 OBT144 Klorpromazin tab sal 100 mg Tablet
Sallet 0 0 0 0
43 OBT143 Klorpromazin tab sal 25 mg 0 0 0 0
44 OBT145 Kodein HCL 10 mg Tablet 0 0 0 0
45 OBT146 Risperidon tab 2 mg Tablet 0 0 0 0
46 OBT297 Trifluoperazine HCl 5 Tablet 0 0 0 0
47 OBT147 Trihexylpenidil tab Tablet 0 0 0 0
REAGENT HIV
48 OBT298 Rapid Test HIV ( Fokus) 1+2 KHB Test 0 0 0 0
49 OBT148 Rapid Test HIV (Combo) Test 0 0 0 0
50 OBT150 Rapid Test HIV (Focus) Test 0 0 0 0
51 OBT152 Rapid Test HIV ( Biomeriux ) Test 0 0 0 0
52 OBT151 Rapid Test HIV ( Intec ) Test 0 0 0 0
53 OBT153 SD HIV Test 0 0 0 0
54 OBT149 TPHA Sypillis (Hexagon) Test 0 0 0 0
REAGENT IMS
55 OBT160 Kontrol CD4 Kitt 0 0 0 0
56 OBT161 Pewarna Giemsa Botol 0 0 0 0
57 OBT156 Pewarnaan gram Kit 0 0 0 0
58 OBT157 Rapid Test Sypillis (Intec) Test 0 0 0 0
59 OBT159 Reagen CD4 Kitt 0 0 0 0
60 OBT158 RPR (Focus) Test 0 0 0 0
61 OBT154 TPHA Sypillis (Hexagon) Test 0 0 0 0
62 OBT155 TPHA Sypillis (Standart Q) Test 0 0 0 0
REAGEN TB & HEPATITIS
 63 OBT167 HCV Viral Load Test 0 0 0 0
64 OBT164 Oli Imersi Botol 0 0 0 0
65 OBT163 PPD/ Test Mantoux Vial 0 0 0 0
66 OBT165 Reagent Rapid Test HBsAg (Intec) Test 0 0 0 0
67 OBT166 Reagent Rapid Test HBsAg (WB) Test 0 0 0 0
68 OBT162 Reagent ZN Kit 4 0 4 0
REAGENT LABORATORIUM
69 OBT168 ALT (SGPT) Kitt 0 0 0 0
70 OBT169 AST (SGOT) Kitt 0 0 0 0
71 OBT171 EDTA 10% Botol 0 0 0 0
72 OBT170 Reagen Amphetamin Box 0 0 0 0
ANTIINFEKSI
73 OBT009 Acyclovir Tab 400 mg Tablet 539 0 539 34
74 OBT007 Albendazol 400 mg Tablet 401 2400 2801 0
75 OBT008 Albendazol Suspensi Botol 84 0 84 11
76 OBT011 Amoksilin Kap. 250 mg Kapsul 0 0 0 0
77 OBT010 Amoksilin Kap.500 mg Tablet 1183 0 1183 241
78 OBT013 Amoksilin syr kering 125 mg/ ml Botol 0 0 0 0
79 OBT012 Amoksilin syr kering 250 mg/ ml Botol 89 0 89 7
80 OBT014 Amoksisilin Drops 100 mg/ml Botol 13 0 13 1
81 OBT015 Azitromisin 500 mg Kaplet 0 0 0 0
82 OBT016 Benzatin Benzil P 2,4 Vial 0 0 0 0
83 OBT017 Ciprofloxacin 500 mg Tablet 0 0 0 0
84 OBT018 Doxyciclin 100 mg Tablet 0 0 0 0
85 OBT020 Erytromicin 250 mg Tablet 0 0 0 0
86 OBT019 Erytromicin 250 mg syrup Botol 0 0 0 0
87 OBT021 Erytromicin 500 mg Capsul 0 0 0 0
88 OBT023 Flukonazol kaps 150 mg Capsul 0 0 0 0
89 OBT022 Flukonazol kaps 50 mg Capsul 0 0 0 0
90 OBT024 Griseofulfin 125 mg Tablet 100 0 100 0
91 OBT025 Isoniazide 100 mg Tablet 50 0 50 0
92 OBT026 Isoniazide 300 mg Tablet 0 0 0 0
93 OBT027 Ketoconazole 200 mg Tablet 0 0 0 0
94 OBT028 Klindamisin 150 mg Capsul 0 0 0 0
95 OBT029 Klindamisin 300 mg Capsul 0 0 0 0
96 OBT030 Kloramfenikol 500 mg capsul Capsul 0 0 0 0
97 OBT031 Kloramfenikol susp 125 mg / 5 ml Botol 0 0 0 0
98 OBT035 Kombinasi Cefixim 400 mg + Azitromisin 100 mg Paket 0 0 0 0
99 OBT032 Kotrimoksazol Adult 480 mg Tablet 616 0 616 15
100 OBT033 Kotrimoksazol Adult 960 mg Tablet 0 0 0 0
101 OBT034 Kotrimoksazol Suspensi 240 mg/5 ml Botol 0 0 0 0
102 OBT036 Metronidazol 500 mg Tablet 0 0 0 0
103 OBT287 Metronidazole 250 mg tablet 0 0 0 0
104 OBT037 Natrium Tiroksin Tablet 0 0 0 0
105 OBT038 Nistatin 100.000 IU/g tablet vagina Tablet 18 100 118 17
106 OBT039 Nistatin susp 100.000 UI / ml Botol 11 0 11 1
107 OBT043 OAT Kombipak Kat I Paket 0 0 0 0
108 OBT040 Obat Anti TBC Anak FDC Paket 6 0 6 1
109 OBT041 Obat Anti TBC Kat I FDC Paket 7 0 7 0
110 OBT042 Obat Anti TBC Kat II FDC Paket 0 0 0 0
111 OBT045 Pyrazinamide 500 mg Tablet 0 0 0 0
112 OBT044 Pyrimethamine 25 mg Tablet 0 0 0 0
LARVASIDA
113 OBT295 Biolarvasida Botol 30 ml 0 0 0 0
114 OBT172 Insektisida Liter 0 0 0 0
115 OBT173 Larvasida Kg 0 0 0 0
Obat-obatan Program Penanggulangan COVID
116 OBT174 Kloroquine 150 mg Tablet 0 0 0 0
117 OBT175 Oseltamivir 75 mg Tablet 0 0 0 0
Obat - Obatan Program Hepatitis
118 OBT182 Daclastavir 30 mg Botol 0 0 0 0
119 OBT181 Daclastavir 60 mg Botol 0 0 0 0
120 OBT180 Hepatitis B Immunoglobulin (HbIg) Syringe 0 0 0 0
121 OBT179 RDD Anti HCV Test 0 0 0 0
122 OBT176 Ribavirin 200 mg (Rebetol) Kapsul 0 0 0 0
123 OBT177 Simeprevir 150 mg (Olysio) Kapsul 0 0 0 0
124 OBT178 Sofosbufir 400 mg (Myhep) Kapsul 0 0 0 0
MALARIA
125 OBT185 Artesunat Inj. 60 mg Ampul 0 0 0 0
126 OBT183 Dehidroartemisin + Piperaquine (DHP) Tablet 0 0 0 0
127 OBT184 Primaquin tab 15 mg Tablet 0 0 0 0
KUSTA
128 OBT187 Obat Kusta (Anak) Blister 0 0 0 0
129 OBT186 Obat Kusta (Dewasa) Blister 0 0 0 0
VAKSIN
130 OBT188 BCG Vial 24 0 24 0
131 OBT191 CAMPAK Vial 0 0 0 0
132 OBT195 DPTHB-Hib Vial 24 0 24 0
133 OBT196 DT Vial 2 0 2 0
134 OBT192 HB UNIJEK Pouch 29 0 29 0
135 OBT197 MEASLES RUBELLA (MR)GAVI Vial 11 0 11 0
136 OBT189 POLIO (bOPV) Vial 10 0 10 0
 137 OBT190 POLIO IPV 5 ds Vial 15 0 15 0
138 OBT194 Td Vial 7 0 7 0
139 OBT193 TT Vial 0 0 0 0
140 OBT199 Vaksin Anti Rabies Vial 0 0 0 0
141 OBT198 Vaksin Meningitis Vial 0 0 0 0
ANTISEPTIK,DISINFEKTAN
142 OBT200 Alkohol Swab Buah 200 0 200 100
143 OBT201 Etakridin 0,1 % Rivanol 300 ml Botol 0 0 0 0
144 OBT202 Etanol 70 % 100 ml Botol 0 0 0 0
145 OBT204 Kalium Permanganat (PK) 5 gram Botol 55 0 55 0
146 OBT203 Kaporit 60% Tablet 150 0 150 0
147 OBT205 Lisol 50 % 1000 ml Botol 0 0 0 0
148 OBT206 Polikresulen 10 ml Botol 0 0 0 0
149 OBT207 Povidon Iodin lar 10 mg/ml Botol 30 ml 0 0 0 0
150 OBT208 Povidon Iodin lar 10 mg/ml Botol 300 ml 0 0 0 0
ALKES HABIS PAKAI
151 OBT212 ADS 0,05 ml Buah 0 0 0 0
152 OBT213 ADS 0,5 ml Buah 0 0 0 0
153 OBT214 ADS 5 ml Buah 0 0 0 0
154 OBT215 Alat Suntik 1 ml Buah 100 0 100 0
155 OBT218 Alat Suntik 20 ml Buah 0 0 0 0
156 OBT289 Alat suntik 3 ml buah 200 0 200 0
157 OBT216 Alat Suntik 3 ml Buah 0 0 0 0
158 OBT217 Alat Suntik 5 ml Buah 148 0 148 2
159 OBT219 Alat Suntik 50 ml Buah 0 0 0 0
160 OBT262 Aquabidest 20 liter Jerigen 0 0 0 0
161 OBT261 Aquabidest 500 ml Botol 0 0 0 0
162 OBT220 Blood Lancet Buah 0 0 0 0
163 OBT221 Boor jet inverted Buah 0 0 0 0
164 OBT222 Cat Gut Chromic/Benang Bedah No. 3.2 Buah 0 0 0 0
165 OBT223 Endotrakeal No 3 Buah 0 0 0 0
166 OBT224 Endotrakeal No 3.5 Buah 0 0 0 0
167 OBT225 Endotrakeal No 4 Buah 0 0 0 0
168 OBT226 Etanol 70% Botol 100 ml 0 0 0 0
169 OBT227 Etanol 70% Botol 1000 ml 0 0 0 0
170 OBT230 Foley Kateter No 18 Buah 0 0 0 0
171 OBT231 Foley Kateter No 20 Buah 0 0 0 0
172 OBT228 Framisetin sulfat tulle 1% Lembar 0 0 0 0
173 OBT229 Hand Rub Liter 0 0 0 0
174 OBT232 Hecting Nald/ Jarum Hecting Pack 0 0 0 0
175 OBT233 Infuset anak Buah 0 0 0 0
176 OBT234 Infuset dewasa Buah 0 0 0 0
177 OBT209 IV Catheter No. 18 Buah 0 0 0 0
178 OBT210 IV Catheter No. 20 Buah 0 0 0 0
179 OBT211 IV Catheter No. 22 Buah 0 0 0 0
180 OBT236 Jarum Cytojek Buah 0 0 0 0
181 OBT237 Jarum vacutainer Buah 0 0 0 0
182 OBT240 Kaca Penutup / Dek glass Kotak 100 0 0 0 0
183 OBT241 Kapas Lidi Kotak 0 0 0 0
184 OBT242 Kapas Pembalut Absorben 250 g Bks 3 0 3 0
185 OBT243 Kassa Kompres 40 x 40 steril Bks 24 0 24 6
186 OBT290 Kassa pembalut 2 m x 80 cm buah 8 0 8 0
187 OBT244 Kassa pembalut Hidrofil 4 cm x 3 cm Roll 48 0 48 5
188 OBT291 Kassa pembalut hidrofil 4cm x 15 cm buah 0 0 0 0
189 OBT235 Kassa Steril 16x16 Kotak 0 0 0 0
190 OBT239 Kateter penghisap lendir No 10 Buah 0 0 0 0
191 OBT245 Kertas Perkamen Bks 5 0 5 0
192 OBT246 Kondom buah 0 0 0 0
193 OBT238 Lubricant Gel Buah 0 0 0 0
194 OBT247 Masker Medis Lembar 0 0 0 0
195 OBT248 Masker N.95 Buah 0 0 0 0
196 OBT249 Masker Oksigen dewasa Buah 0 0 0 0
197 OBT255 Pelicin Kondom Buah 0 0 0 0
198 OBT253 Peneng Bayi Buah 0 0 0 0
199 OBT250 Plastic Bandages Kotak 0 0 0 0
200 OBT251 Plester Roll 0 0 0 0
201 OBT252 Plester kertas Roll 6 0 6 1
202 OBT286 Plester Non Woven Roll 0 0 0 0
203 OBT254 Pot Sputum Buah 160 0 160 0
204 OBT292 Safety box buah 0 0 0 0
205 OBT258 Saru Tangan Steril Psng 0 0 0 0
206 OBT260 Sarung Tangan Karet Tebal Psng 0 0 0 0
207 OBT257 Sarung Tangan Non Steril Psng 0 0 0 0
208 OBT259 Sarung Tangan Panjang ginekolog Psng 0 0 0 0
209 OBT256 Slide Box 0 0 0 0
210 OBT264 Tip pipet kuning Pak 0 0 0 0
211 OBT263 Tissue gulung Roll 0 0 0 0
212 OBT265 Ultrasound gel 250 cc Botol 0 0 0 0
213 OBT266 Umbilical Cord Clam Biru Buah 0 0 0 0
214 OBT267 Vacutainer/Tabung spesimen darah + tutup Buah 0 0 0 0
BAHAN OBAT GIGI
215 OBT268 Amalgam Fls 0 0 0 0
 216 OBT269 Articulating paper (kertas warna penanda oklusi) Buah 0 0 0 0
217 OBT293 Bahan tumpatan sementara buah 0 0 0 0
218 OBT273 Celluloid Strip Lembar 0 0 0 0
219 OBT272 Cement Zn Phospat Set 0 0 0 0
220 OBT270 Devitalisasi Pasta (arsenik) Fls 0 0 0 0
221 OBT271 Devitalisasi Pasta (Non arsen) Buah 0 0 0 0
222 OBT274 Eugenol Fls 3 0 3 0
223 OBT275 Formokresol / TKF Btl 0 0 0 0
224 OBT276 Glass Ionomer ART (Atraumatic Restorative Treatment) Ante Buah 1 0 1 0
225 OBT277 Glass Ionomer ART (Atraumatic Restorative Treatment) Post Buah 1 0 1 0
226 OBT278 Kalsium Hidroksida Pasta (CaOH) Tube 0 0 0 0
227 OBT279 Klorfenol Kamfer Mentol (CHKM) Fls 1 0 1 0
228 OBT280 Matrix Band Roll 0 0 0 0
229 OBT282 Panasray Buah 0 0 0 0
230 OBT281 Pasta Pengisi Saluran Akar Fls 0 0 0 0
231 OBT283 Pembersih noda gigi (TSR/OCO) Buah 0 0 0 0
232 OBT284 Vaseline Pot 15gr 0 0 0 0
Cetakan dan Embalage
233 OBT294 Kantong obat plastik 20x15x0,5 bungkus 0 0 0 0
SALURAN PERNAPASAN
234 OBT048 Budesonid Turbuhaler Buah 0 0 0 0
235 OBT046 Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg nebules Vial 10 0 10 0
236 OBT047 N-asetil sistein kaps 200 mg Kapsul 1622 0 1622 353
237 OBT049 Salbutamol 2 mg Tablet 246 0 246 16
ANALGETIK,ANTIPIRETIK,ANTIINFLAMASI,AINS
238 OBT050 Asam Mefenamat 500 mg Tablet 558 100 658 302
239 OBT051 Betahistine mysilat 6 mg Tablet 0 0 0 0
240 OBT288 Etil klorida semprot 100 ml botol 5 0 5 0
241 OBT285 Etil Klorida Semprot 100 ml Botol 0 0 0 0
242 OBT052 Ibuprofen 400 mg Tablet 0 0 0 0
243 OBT053 Ibuprofen sirup 200 mg/ 5 ml Botol 34 0 34 0
244 OBT055 Komb : Lidokain HCl 2% + Epinefrin 1 : 80.000 inj 2 ml Ampul 0 0 0 0
245 OBT054 Lidokain inj 2 % (infltr/p.v) Ampul 23 0 23 0
246 OBT056 Na.Diklofenak 50 mg Tablet 0 0 0 0
247 OBT058 Parasetamol 500 mg Tablet 2256 2700 4956 2034
248 OBT057 Parasetamol drop 100 mg/ ml Botol 0 0 0 0
249 OBT059 Parasetamol syr 120 mg/5 ml 60 ml Botol 81 0 81 65
250 OBT060 Piroksikam 10 mg Tablet 0 0 0 0
SISTEM PENCERNAAN
251 OBT061 Antasida DOEN Tablet 2472 1000 3472 868
252 OBT062 Antasida DOEN susp Botol 39 0 39 13
253 OBT063 Antihemoroid suppositoria Supp 31 0 31 7
254 OBT064 Atapulgit tab 600 mg Tablet 506 0 506 108
255 OBT065 Bisakodil sup 5 mg Supp 17 0 17 0
256 OBT066 Dimenhidrinat 50 mg Tablet 100 0 100 0
257 OBT067 Domperidon 10 mg Tablet 251 0 251 11
258 OBT068 Domperidon sirup 5 mg/5 ml Botol 18 0 18 11
259 OBT069 Garam Oralit 200 ml Sase 322 100 422 123
260 OBT070 Hiosina Butilbromida 10 mg Tablet 0 0 0 0
261 OBT071 Omeprazole 20 mg Tablet 0 0 0 0
262 OBT072 Ranitidin tab 150 mg Tablet 0 0 0 0
263 OBT073 Zinc dispersibel Tablet 537 500 1037 160
JANTUNG DAN PEMBULUH DARAH
264 OBT075 Amlodipin 10 mg Tablet 0 0 0 0
265 OBT074 Amlodipine 5 mg Tablet 1853 600 2453 1146
266 OBT076 Atenolol 50 mg Tablet 0 0 0 0
267 OBT077 Captopril 12,5 mg Tablet 559 0 559 14
268 OBT078 Captopril 25 mg Tablet 0 0 0 0
269 OBT079 Digoksin 0,25 mg Tablet 0 0 0 0
270 OBT080 Furosemid 40 mg Tablet 178 0 178 0
271 OBT081 Nifedipin tab 10 mg Tablet 0 0 0 0
272 OBT082 Spironolactone 25 mg Tablet 0 0 0 0
OBAT MATA
273 OBT083 Klorampenicol S.M 1 % Tube 68 0 68 8
OBAT KULIT
274 OBT086 Acyclovir cream 5 % Tube 0 0 0 0
275 OBT084 Anti Bacteri DOEN SK Tube 0 0 0 0
276 OBT085 Antifungi SK Pot 53 0 53 0
277 OBT088 Bedak Salisil serbuk 2 % Dus 0 0 0 0
278 OBT087 Betametason Crem 0,1 % Tube 49 25 74 13
279 OBT089 Hidrokortison Crem 2,5 % Tube 88 0 88 11
280 OBT090 Ichtyol Sk Pot 0 0 0 0
281 OBT091 Ketokonazol krim 2% Tube 24 0 24 0
282 OBT092 Kloramfenikol SK 2% Tube 39 48 87 26
283 OBT094 Mikonazol krim 2% Tube 46 0 46 7
284 OBT093 Perak Sulfadiazin krim 1% Tube 4 2 6 2
285 OBT095 Permetrin Krim 5 % Tube 44 0 44 1
286 OBT096 Salep 2-4 Pot 48 0 48 7
VITAMIN DAN MINERAL
287 OBT098 Asam Askorbat (Vit C) tab 250 mg Tablet 0 0 0 0
288 OBT097 Asam Askorbat (Vit C) tab 50 mg Tablet 1632 0 1632 243
289 OBT099 Kalsium laktat (kalk) tab 500 mg Tablet 726 0 726 340
290 OBT100 Mineral Mix Sase 0 0 0 0
291 OBT101 Piridoksin HCL 10 mg tablet Tablet 0 0 0 0
292 OBT102 Piridoksin HCL 25 mg tablet Tablet 0 100 100 26
293 OBT103 Retinol (Vit. A) 100,000 IU Kap Lunak Capsul 200 0 200 0
294 OBT104 Retinol (Vit. A) 200,000 IU Kap Lunak Capsul 2991 0 2991 0
295 OBT105 Sianokobalamin (Vitamin B12) tab 50 mcg Tablet 1713 900 2613 758
296 OBT106 Tablet Tambah Darah/FE Tablet 0 10500 10500 330
297 OBT107 Thiamin HCL 50 mg Tablet 558 0 558 210
298 OBT108 Vit. B. Complex Tablet 435 0 435 435
N OBAT (LPLPO)

NO DOKUMEN : -/LPLPO/I/2021
TANGGAL LAPORAN MASUK : 2021

PEMBERIAN
SISA AKHIR STOK OPTIMUM PERMINTAAN KET
APBD I APBD II DAK / APBN
9 10 11 12 13 14 15

0 0 0
0 0 0
2 0 -2
0 0 0
0 0 0
0 0 0

135 84 -51
81 0 -81
0 0 0
0 0 0
130 0 -130
0 0 0
213 20 -193

0 0 0

0 0 0
0 0 0
0 0 0
1370 1746 376
624 146 -478
462 244 -218
0 0 0

402 114 -288

460 874 414

10 0 -10
5 0 -5
0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 -100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

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

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 -4

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

505 68 -437
2801 0 -2801
73 22 -51
0 0 0
942 482 -460
0 0 0
82 14 -68
12 2 -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
100 0 -100
50 0 -50
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
601 30 -571
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
101 34 -67
10 2 -8
0 0 0
5 2 -3
7 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

24 0 -24
0 0 0
24 0 -24
2 0 -2
29 0 -29
11 0 -11
10 0 -10
15 0 -15
7 0 -7
0 0 0
0 0 0
0 0 0

100 200 100

0 0 0
0 0 0
55 0 -55
150 0 -150
0 0 0
0 0 0
0 0 0
0 0 0

0 0 0
0 0 0
0 0 0
100 0 -100
0 0 0
200 0 -200
0 0 0
146 4 -142
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 -3
18 12 -6
8 0 -8
43 10 -33
0 0 0
0 0 0
0 0 0
5 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
5 2 -3
0 0 0
160 0 -160
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 -3
0 0 0
1 0 -1
1 0 -1
0 0 0
1 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 -10
1269 706 -563
230 32 -198

356 604 248

0 0 0
5 0 -5
0 0 0
0 0 0
34 0 -34
0 0 0
23 0 -23
0 0 0
2922 4068 1146
0 0 0
16 130 114
0 0 0

2604 1736 -868

26 26 0
24 14 -10
398 216 -182
17 0 -17
100 0 -100
240 22 -218
7 22 15
299 246 -53
0 0 0
0 0 0
0 0 0
877 320 -557

0 0 0
1307 2292 985
0 0 0
545 28 -517
0 0 0
0 0 0
178 0 -178
0 0 0
0 0 0

60 16 -44

0 0 0
0 0 0
53 0 -53
0 0 0
61 26 -35
77 22 -55
0 0 0
24 0 -24
61 52 -9
39 14 -25
4 4 0
43 2 -41
41 14 -27

0 0 0
1389 486 -903
386 680 294
 0 0 0
0 0 0
74 52 -22
200 0 -200
2991 0 -2991
1855 1516 -339
10170 660 -9510
348 420 72
0 870 870
 LAPORAN PENGGUNAAN RESEP GENERIK

PUSKESMAS : MANDALA MEKAR

BULAN : Februari
TAHUN : 2021

PENULISAN RESEP PENULISAN RESEP JUMLAH

KUNJUNGAN
NO PASIEN GENERIK NON GENERIK PENULISA
UMUM BPJS JUMLAH UMUM BPJS UMUM BPJS N RESEP
1 BALITA 90 22 112 189 26 27 3 245
2 ANAK 25 8 33 54 9 6 1 70
3 DEWASA 247 256 503 497 455 23 28 1003
Jumlah 362 286 648 740 490 56 32 1318