LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

KODE PUSKESMAS : P3402010101

PUSKESMAS : : PANGKALPINANG
KECAMATAN : PANGKALPINANG LPLPO BULAN 7
KABUPATEN : BENGKULU PERMINTAAN BULAN SEPTEMBER
PROPINSI : BENGKULU TAHUN 2017

SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN

NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
0
1 Acyclovir tab 400 mg Tablet -
2 Albendazole 400 mg Tablet -
3 Allopurinol tablet 100 mg Tablet 2,000 200 2,200 1,000 1,200 3,000 1,800
4 Aminofilina Tablet 200 mg Tablet 3,000 3,000 1,500 1,500 4,500 3,000
5 Amitriptilina HCl tab salut 25 mg Tablet - -
6 Amlodipin tablet 5 mg Tablet 8,340 100 8,440 3,480 4,960 10,440 5,480
7 Amoksilina kaplet 500 mg Kaplet 17,000 2,000 19,000 5,700 13,300 17,100 3,800
8 Amoksilina Syrup Kering 125 mg/ 5ml, 250 mg/5 ml Botol 100 100 20 80 60 (20)
9 Antasida DOEN Tablet, Kombinasi Tablet 3,000 3,000 3,600 (600) 10,800 11,400
10 Asam Askorbat (vit C) tablet 250 mg Tablet -
11 Asam Askorbat (vit C) tablet 50 mg Tablet 5,600 5,600 2,700 2,900 8,100 5,200
12 Asam Folat 1 mg Tablet 2,000 2,000 700 1,300 2,100 800
13 Asam Mefenamat kaplet 500 mg Kaplet 4,200 2,000 6,200 1,800 4,400 5,400 1,000
14 Asetosal tablet 80 mg/ 100 mg Tablet 2,700 500 3,200 1,200 2,000 3,600 1,600
15 Atenolol tablet 50 mg Tablet -
16 Attapulgit tablet 600 mg Tablet 1,000 agustus 1,000 500 500 1,500 1,000
17 Azytromycin tablet Tablet - -
18 Besi (II) sulfas tablet salut, kombinasi Sachet - -
19 Betahistin Mesilat 6 mg Tablet - - -
20 Bisakodil tablet 5 mg Tablet - -
21 Bisoprolol tablet 5 mg Tablet - -
22 Bromhexin tablet 8 mg Tablet - -
23 Captopril tablet 12,5 mg Tablet 7,000 2,000 9,000 3,400 5,600 10,200 4,600
24 Captopril tablet 25 mg Tablet 10,200 10,200 3,600 6,600 10,800 4,200
25 Cefadroxil kapsul 500 mg Kapsul - - - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
26 Cefixim 400 mg + Azytromycin 1000 mg (IMS) amplop - -
27 Cefixim kapsul 100 mg Kapsul 950 (950) 2,850 3,800
28 Cetirizine tab 10 mg Tablet - -
29 Cetirizine Syrup Botol 200 200 31 169 93 (76)
30 Cimetidine tablet 200 mg Tablet - -
31 Ciprofloxacin 500 mg Tablet 100 (100) 300
32 Clobazam tablet 10 mg Tablet - -
33 Clonidine tablet 0,15 mg Tablet - - -
34 Deksametason tablet 0,5 mg Tablet 3,700 2,500 6,200 2,200 4,000 6,600 2,600
35 Diazepam tablet 2 mg Tablet 700 700 400 300 1,200 900
36 Diazepam tablet 5 mg Tablet -
37 Digoksin tablet 0,25 mg Tablet 300 300 600 200 400 600 200
38 Dihidroartemisin+Piperaquin (Darplex)(program) box - - -
39 Diltiazem HCl tablet 30 mg Tablet -
40 Dimenhidrinat tablet 50 mg Tablet 500 500 100 400 300 (100)
41 Doksisiklin 100 mg Kapsul - -
42 Domperidon 10 mg Tablet -
43 Ergotamina tartrat 1 mg + Kofeina 50 mg tab Komb Tablet - -
44 Erythromycin kapsul 500 mg Kapsul -
45 Etambutol HCl tablet 500 mg Tablet - - -
46 Fenobarbital tablet 100 mg Tablet 100 (100) 300 400
47 Fenobarbital tablet 30 mg Tablet - -
48 Fitomenadion ( Vit K ) tablet salut 10 mg Tablet 500 500 150 350 450 100
49 Flukonazol tablet 150 mg Tablet - -
50 Furosemida tablet 40 mg Tablet 1,000 1,000 400 600 1,200 600
51 Garam Oralit untuk 200 ml air Sachet 100 (100) 300 400
52 Gemfibrozil kapsul 300 mg Kapsul 120 (120) 360 480
53 Glibenklamid tablet 5 mg Tablet 300 (300) 900 1,200
54 Glimepiride 2 mg Tablet 3,000 1,500 4,500 1,500 3,000 4,500 1,500
55 Gliquidon tablet 30 mg Tablet - -
56 Griseofulvin tablet 125 mg, micronized Tablet 600 100 700 200 500 600 100
57 Haloperidol tablet 0,5 mg Tablet - - -
58 Haloperidol tablet 1,5 mg Tablet 2,000 2,000 1,400 600 4,200 3,600
59 Haloperidol tablet 5 mg Tablet 200 (200) 600 800
60 Hidroklortiazida ( HCT ) tablet 25 mg Tablet - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
61 Hyosin N Buthyl B tablet 10 mg Tablet - -
62 Ibuprofen Tablet 200 mg Tablet 3,300 2,000 5,300 1,500 3,800 4,500 700
63 Ibuprofen tablet 400 mg Tablet 1,000 1,000 300 700 900 200
64 Isoniazida ( INH ) tablet 300 mg Tablet 500 500 200 300 600 300
65 Isosorbid Dinitrat tab sublingual 5 mg Tablet 1,200 1,200 500 700 1,500 800
66 Kalium Aspartat 300 mg Tablet 1,200 400 1,600 400 1,200 1,200 -
67 Kalsium Laktat (Kalk) tablet 500 mg Tablet 2,700 1,000 3,700 2,200 1,500 6,600 5,100
68 Karbamazepin tablet 200 mg Tablet -
69 Ketoconazol tablet 200 mg Tablet - -
70 Kinina Sulfas tablet 222 mg Tablet -
71 Kloramfenikol kapsul 250 mg Kapsul - -
72 Klorfeniramine Maleat (CTM) tablet 4 mg Tablet 6,500 6,500 1,900 4,600 5,700 1,100
73 Klorokina Fosfat (klorokina) tablet 250 mg Tablet - -
74 Klorpromazina HCl tablet salut 100 mg Tablet 2,100 2,100 300 1,800 900 (900)
75 Klorpromazina HCl tablet salut 25 mg Tablet 1,500 1,500 300 1,200 900 (300)
76 Kotrimoksazol suspensi 240 mg Botol 255 255 70 185 210 25
77 Kotrimoksazol tablet 480 mg Tablet - -
78 Lisinopril tablet 10 mg Tablet - -
79 Loratadine tab 10 mg Tablet - - -
80 Mebendazol syr 100 mg/ 5 ml Botol - -
81 Mebendazol tablet 100 mg Tablet - - -
82 Metformin HCl tablet 500 mg Tablet 15,700 5,000 20,700 6,400 14,300 19,200 4,900
83 Metilergometrina maleat tablet salut 0,125 mg Tablet 1,000 1,000 350 650 1,050 400
84 Metilprednisolon 4 mg, 8 mg Tablet 500 500 200 300 600 300
85 Metoklopramida HCl tablet 5 mg Tablet -
86 Metronidazol tablet 250 mg Tablet - - -
87 Metronidazole 500 mg Tablet 1,000 500 1,500 500 1,000 1,500 500
88 Multivitamin Bumil + Fe Kapsul 3,300 3,300 2,000 1,300 6,000 4,700
89 Multivitamin Neurotropik kaplet Kaplet - -
90 Multivitamin Suplemen TB Kaps/tab - - -
91 Multivitamin Syrup Botol -
92 Natrium bikarbonat tablet 500 mg Tablet - -
93 Natrium Diklofenak 25 mg Tablet - -
94 Natrium Diklofenak 50 mg Tablet 2,200 2,200 750 1,450 2,250 800
95 Natrium fenitoin kapsul 30 mg Kapsul - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
96 Natrium fenitoin kapsul 100 mg Kapsul 800 400 1,200 400 800 1,200 400
97 Nifedipin tablet 10 mg Tablet 5,000 5,000 - -
98 Nistatin 100.000 iu/g tablet vaginal Tablet 7 (7) 21 28
99 Nistatin 500.000 IU tab salut gula Tablet - -
100 OAT FDC Anak Paket - -
101 OAT Kombipak Anak Paket 2 2 -
102 OAT Kombipak Kategori I Paket - - -
103 OAT-FDC Kategori I Paket 1 1 -
104 OAT-FDC Kategori II Paket - -
105 OAT-FDC Sisipan Paket - -
106 Obat Batuk Hitam Botol - -
107 Omeprazol kapsul 20 mg Kapsul 1,560 1,560 660 900 1,980 1,080
108 Parasetamol sirup 120 mg/5ml Botol 336 84 336 119 217 357 140
109 Parasetamol tablet 500 mg Tablet 24,200 5,000 29,200 12,100 17,100 36,300 19,200
110 Pirantel pamoat (pirantel) tablet 125 mg Tablet - -
111 Piridoksin HCl (vit B6) tablet 10 mg Tablet 6,600 300 6,900 2,200 4,700 6,600 1,900
112 Piroksikam 20 mg Tablet - - -
113 Prednison tablet 5 mg Tablet -
114 Primakina tablet 15 mg Tablet - -
115 Propanolol HCl (propanolol) tablet 40 mg, 10 mg Tablet -
116 Propiltiourasil (PTU) tablet 100 mg Tablet - -
117 Pyrazinamida tablet 500 mg Tablet -
118 Ranitidin 150 mg Tablet 5,000 2,000 7,000 2,700 4,300 8,100 3,800
119 Retinol (Vit A) kapsul lunak 100.000 iu Kapsul -
120 Retinol (Vit A) kapsul lunak 200.000 iu Kapsul -
121 Rifampisin Kapsul 300 mg Kapsul - -
122 Risperidon Kapsul 1,100 1,100 500 600 1,500 900
123 Salbutamol tablet 2 mg Tablet - -
124 Salbutamol tablet 4 mg Tablet - - (5,000)
125 Sianocobalamin ( Vitamin B12) tab 50 mcg Tablet 6,300 2,000 8,300 3,200 5,100 9,600 4,500
126 Simvastatin tab 10 mg Tablet 5,000 2,000 7,000 2,000 5,000 6,000 1,000
127 Spironolakton tablet 100 mg Tablet 500 500 150 350 450 100
128 Spironolakton tablet 25 mg Tablet - -
129 Thiamina HCl monohidrat (vit B1) tab 50 mg Tablet 1,000 (1,000) 3,000 4,000
130 Trifluoperazine tablet 5 mg Tablet 100 (100) 300 400

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
131 Trihexylphenidil HCl tablet 2 mg Tablet 6,000 6,000 2,000 4,000 6,000 2,000
132 Vitamin B kompleks Tablet 13,600 13,600 4,500 9,100 13,500 4,400
133 Zink tablet 20 mg Tablet 400 200 (200) 600 800
OBAT YANKESTRAD 200 - -
134 Anti Hipertensi Herbal Kapsul 120 120 30 90 90 -
135 Anti Keputihan Herbal Kapsul - -
136 Anti Kolesterol Herbal Kapsul 30 (30) 90 120
137 Anti Nyeri Haid Herbal Kapsul 30 (30) 90 120
138 Anti Nyeri Sendi Herbal Kapsul - -
139 Ekstrak Serat Herbal Sacchet - - -
140 Ekstrak Standar Saw Palmetto 160 mg Kapsul - -
141 Immunomodulator Kapsul Herbal Kapsul - -
142 Immunomodulator Syrup Herbal Botol - - -
143 Pelancar ASI Herbal Kapsul - - -
144 Salep Luka Bakar Herbal Tube - -
145 Sonchi/Nephrolit kapsul/Calcusol kapsul Kapsul 100 (100) 300 400
OBAT LUAR 0 - -
146 Acyclovir Krim SK Tube - -
147 Antibakteri DOEN salep, kombinasi Tube 125 125 75 50 225 175
148 Antifungi DOEN salep Pot - -
149 Antihemmoroid Suppositoria Supp 50 20 70 24 46 72 26
150 As. Salisilat 2% + Belerang endap 4% (2-4 salep) Pot - -
151 Perak Sulfadiazin Tube - -
152 Betametason krim 0,1% Tube 150 150 75 75 225 150
153 Betametason valerat + Neomisina sulfat cream Tube 50 50 20 30 60 30
154 Diazepam Rectal 5 mg Tube 5 (5) 15 20
155 Etanol 70% 100 ml Botol - -
156 Etanol 70% 1000 ml Botol 5 5 2 3 6 3
157 Etil Klorida semprot Botol - -
158 Extract Placenta 10% Tube 50 50 10 40 30 (10)
159 Fenol Gliserol TT 10% Botol 48 48 24 24 72 48
160 Flucinolon + Neomisin cream Tube - -
161 Flucinolon Cream Tube 50 50 20 30 60 30
162 Framycetine sulfat 1 % Lembar - -
163 Gentamicin salep kulit 0,1% Tube - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
164 Gentamisin Sulfat tetes mata 0,3% Botol - -
165 Gentian Violet Botol 50 50 -
166 Hidrokortison Cream 2,5% Tube 72 72 24 48 72 24
167 Ketokonazol cream Tube 50 50 - -
168 Kloramfenikol 0,5% Tetes Mata Botol 50 50 - -
169 Kloramfenikol salep kulit Tube - -
170 Kloramfenikol salep mata 1% Tube 50 50 - -
171 Kloramfenikol tetes telinga Botol - - -
172 Licocain Jelly Tube -
173 Licocain Spray Botol 3 (3) 9 12
174 Metakresol sulfonat /Policresuken/Aptil Botol -
175 Miconasol krim 2% Tube 72 48 120 42 78 126 48
176 Oksitetra Salep Kulit 3% Tube 50 50 -
177 Oksitetra Salep Mata 1% Tube - -
178 Salbutamol 2,5 mg/2,5 ml Nebulizer Ampul 20 20 40 (20) 120 140
179 Salisil bedak 2 % Kotak 10 (10) 30 40
180 Yodium Povidon lar 10 % 30 ml Botol 148 148 52 96 156 60
181 Yodium Povidon lar 10 % 300 ml Botol - -
BAHAN MEDIS HABIS PAKAI 31 - -
182 Alat suntik sekali pakai 1 ml Set -
183 Alat suntik sekali pakai 3/ 2,5 ml Set 500 (500) 1,500 2,000
184 Alat suntik sekali pakai 5 ml Set - -
185 Alkohol swab Box 50 4 54 5 49 15 (34)
186 Antiseptik Bilas (Surgical Scrub) Botol - 1 (1) 3 4
187 Antiseptik Pencuci Tangan (Hand Rub) Botol 4 (4) 12 16
188 Aqua Jelly Tube - -
189 Box Slide box - -
190 Cat Ziehl Nellsen box - -
191 Catgut/ benang bedah no. 2/0 Sachet 138 138 166 (28) 498 526
192 Catgut/ benang bedah no. 3/0 Sachet 30 30 34 (4) 102 106
193 Foley Catheter No.16 Pcs 30 (30) 90 120
194 Foley Catheter No.18 Pcs - - -
195 Infusion Set Anak Set - -
196 Infusion Set Dewasa Set - - -
197 Intravena Catheter anak (no.24) Set 50 (50) 150 200

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
198 Intravena Catheter dewasa (no. 20) Set -
199 Intravena Catheter dewasa (no. 22) Set 150 (150) 450 600
200 Kapas Pembalut/ adsorbent 250 gram Bungkus 3 (3) 9 12
201 Kasa Pembalut Hidrofil 4 m x 5 cm Roll - -
202 Kasa Pembalut Hidrofil 4 m x 10 cm Roll - -
203 Kasa Pembalut Hidrofil 4 m x 15 cm Roll - -
204 Kassa gulung 40 yard x 80 cm Roll 2 (2) 6 8
205 Kassa Hidrofil Steril 16/16 steril Roll - - -
206 Kassa Hidrofil Steril 18/22 steril Roll - - -
207 Pembalut Elastis 7,5 Roll 1 (1) 3 4
208 Pembalut Elastis 10 Roll -
209 Pembalut Elastis 15 Roll - -
210 Umbilical Cord Klem Steril pcs - -
211 Urine bag pcs -
212 Kertas Saring box - -
213 Masker Biasa Pcs 200 (200) 600 800
214 Masker N95 Pcs - -
215 Masker Jilbab Pcs - 1,300 (1,300) 3,900 5,200
216 Obyek Glass box -
217 Plester 5 yards x 2 inch Roll - -
218 Plester Non Woven Roll - - -
219 Pot Sputum pcs -
220 Rapid Test 1 HIV box -
221 Rapid Test 2 HIV box 200 200 90 110 270 160
222 Rapid Test 3 HIV box 100 100 125 (25) 375 400
223 Rapid Test RPR Shyphillis box 100 100 -
224 Rapid Test Shyphillis box 100 100 - -
225 Sarung Tangan Biasa Pcs 5,600 5,600 2,200 3,400 6,600 3,200
226 Sarung Tangan Steril Pcs 50 (50) 150 200
227 Silk (benang sutera) no 3/0 Sach 62 (62) 186 248
228 Spiritus 1000 ml Botol - 1 (1) 3 4
229 Wing Needle No. 21 Pcs - -
230 Wing Needle No. 23 Pcs -
231 Wing Needle No. 25 Pcs -
232 Wing Needle No. 27 Pcs -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
SEDIAAN INJEKSI / CAIRAN / SERUM 12 - -
233 Aminofilina injeksi 24 mg/ml - 10 mml Ampul 10 10 -
234 Ampisiilin 1000mg/ vial inj Vial -
235 Aqua Pro Injeksi steril, bebas pirogen 20 ml Ampul - - -
236 Atropin Sulfas injeksi 0,25 mg/ ml - 1 ml Ampul 22 (22) 66 88
237 Benzatin benzil-penisilina injeksi 2,4 juta iu/ vial Vial -
238 Ceftriaxon serbuk inj 1g/vial Vial - -
239 Deksametason injeksi 5 mg/ml - 1 ml Ampul -
240 Diazepam injeksi 5mg/ml - 2 ml Ampul -
241 Difenhidramin HCl injeksi 10 mg/ml - 1 ml Ampul -
242 Epinefrina HCl (adrenalina) inj. 0,1% - 1 ml Ampul -
243 Fenobarbital injeksi 50 mg/ml - 2 ml Ampul 14 (14) 42 56
244 Fitomenadion ( Vit K ) injeksi 10 mg/ml - 1 ml Ampul 60 60 -
245 Gentamycin inj Ampul 5 (5) 15 20
246 Glukosa larutan infus 10% steril Botol - -
247 Glukosa larutan infus 5% steril Botol -
248 Haloperidol injeksi i.m 5 mg/ml Ampul -
249 Human Anti tetanus inj Ampul 3 (3) 9 12
250 Hyosin N Buthyl B inj 20 mg/ml Ampul 35 36 15 21 45 24
251 Kalsium Glukonas Injeksi Ampul -
252 Kinina Dihidroklotida (kinina) injeksi 25% - 2ml Ampul - -
253 Klorpromazina HCl injeksi 5 mg/ml - 1 ml, 5 mg Ampul - -
254 Lidokaina 2% HCl (Lidocain murni) injeksi Ampul 100 agustus 100 100 - (100)
255 Lidokaina com (Lidocain HCl 2 %+ epinefrin) injeksi Ampul - -
256 Magnesium Sulfat inj 20% Ampul - -
257 Magnesium Sulfat inj (IV) 40%-25ml Vial -
258 Metilergometrina maleat injeksi 0,200 mg/ml - 1 ml Ampul - - -
259 Metoklopramid inj. 5mg/ml Ampul - -
260 Natrium Klorida larutan infus 0,9% steril Botol 60 60 40 20 120 100
261 Natrium Tiosulfat injeksi 25% - 10 ml Ampul - -
262 Oksitosina injeksi 10 i.u/ml - 1 ml Ampul -
263 Ranitidin injeksi 25 mg/2 ml Ampul 30 (30) 90 120
264 Ringer Laktat Larutan infus steril Botol 40 (40) 120 160
265 Serum anti bisa ular polivalen inj 5 ml (ABU I) Ampul - -
266 Serum Anti Tetanus inj 1.500 i.u/ampul (ATS) Ampul 3 3 15 (12) 45 57

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain
267 Sianokobalamin (vit B12) inj 500 mcg/ml -1 ml Ampul -
268 Streptomisin sulfat serbuk inj 1.000 mg/vial Vial - -
269 Thiamina HCl (vit B1) inj 100 mg/ml - 1 ml Ampul - -
270 Tramadol inj 50 mg/ml Ampul - -
TAMBAHAN - -
271 Mineral Mix sacch - -
272 Fenoksi Penisillina tablet 250 mg Tablet - -
273 Fenoksi Penisillina tablet 500 mg Tablet - -
274 Osetalmivir tablet kotak 10 10 -
275 Sikat Pembersih Pcs -
276 Termometer Pcs - -
277 Tetrasiklin HCl kapsul 250 mg Kapsul - -
278 Tetrasiklin HCl kapsul 500 mg Kapsul - -
279 Taburia box -
280 Acethysistein Tablet 1,200 1,200 250 950 750 (200)

JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR JUMLAH

BULAN Juli 2016 Jamkesos Jamkesda JKN Lain Lain

139 1942
49 63 1681 10

Mengetahui / Menyetujui Yang Menyerahkan Yang Meminta Yang Menerima

Kepala Dinas Kesehatan Kabupaten Petugas GFK a/n Pimpinan Puskesmas Petugas Puskesmas

TUGAS:

BUATLAH LPLPO MENGGUNAKAN DATA

BULAN JULI 2017

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
AN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

7
SEPTEMBER
2017

PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
PEMBERIAN
KET

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

KODE PUSKESMAS : P3402010101

PUSKESMAS : : PANGKALPINANG
KECAMATAN : PANGKALPINANG LPLPO BULAN 7
KABUPATEN : BENGKULU PERMINTAAN BULAN AGUSTUS
PROPINSI : BENGKULU TAHUN 2017

SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN

NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
0
1 Acyclovir tab 400 mg Tablet - - -
2 Albendazole 400 mg Tablet - - - -
3 Allopurinol tablet 100 mg Tablet 1,200 800 2,000 500 1,500 1,500 2,000
4 Aminofilina Tablet 200 mg Tablet 1,900 1,900 1,000 900 3,000 3,000
5 Amitriptilina HCl tab salut 25 mg Tablet 600 600 - 600 -
6 Amlodipin tablet 5 mg Tablet 4,080 1,500 5,580 3,480 2,100 10,440 8,340
7 Amoksilina kaplet 500 mg Kaplet 3,700 2,000 5,700 5,700 - 17,100 17,000
8 Amoksilina Syrup Kering 125 mg/ 5ml, 250 mg/5 ml Botol 100 100 200 20 180 60
9 Antasida DOEN Tablet, Kombinasi Tablet 11,500 11,500 3,600 7,900 10,800 3,000
10 Asam Askorbat (vit C) tablet 250 mg Tablet 1,000 1,000 - 1,000 -
11 Asam Askorbat (vit C) tablet 50 mg Tablet 5,200 5,200 2,700 2,500 8,100 5,600
12 Asam Folat 1 mg Tablet 1,600 2,000 3,600 700 2,900 2,100
13 Asam Mefenamat kaplet 500 mg Kaplet 1,000 2,000 3,000 1,800 1,200 5,400 4,200
14 Asetosal tablet 80 mg/ 100 mg Tablet 1,600 500 2,100 1,200 900 3,600 2,700
15 Atenolol tablet 50 mg Tablet - - - -
16 Attapulgit tablet 600 mg Tablet 1,800 agustus 1,800 500 1,300 1,500 1,000
17 Azytromycin tablet Tablet 870 870 - 870 -
18 Besi (II) sulfas tablet salut, kombinasi Sachet - - - -
19 Betahistin Mesilat 6 mg Tablet - - - -
20 Bisakodil tablet 5 mg Tablet - - - -
21 Bisoprolol tablet 5 mg Tablet - - - -
22 Bromhexin tablet 8 mg Tablet - - - -
23 Captopril tablet 12,5 mg Tablet 4,600 2,000 6,600 3,400 3,200 10,200 7,000
24 Captopril tablet 25 mg Tablet 4,200 4,200 3,600 600 10,800 10,200
25 Cefadroxil kapsul 500 mg Kapsul - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
26 Cefixim 400 mg + Azytromycin 1000 mg (IMS) amplop - - - -
27 Cefixim kapsul 100 mg Kapsul 5,600 5,600 950 4,650 2,850
28 Cetirizine tab 10 mg Tablet - - - -
29 Cetirizine Syrup Botol 200 200 31 169 93
30 Cimetidine tablet 200 mg Tablet - - - -
31 Ciprofloxacin 500 mg Tablet 1,900 1,900 100 1,800 300
32 Clobazam tablet 10 mg Tablet - - - -
33 Clonidine tablet 0,15 mg Tablet - - - -
34 Deksametason tablet 0,5 mg Tablet 2,600 2,500 5,100 2,200 2,900 6,600 3,700
35 Diazepam tablet 2 mg Tablet 900 900 400 500 1,200 700
36 Diazepam tablet 5 mg Tablet 500 500 - 500 -
37 Digoksin tablet 0,25 mg Tablet 200 300 500 200 300 600 300
38 Dihidroartemisin+Piperaquin (Darplex)(program) box - - - -
39 Diltiazem HCl tablet 30 mg Tablet 500 500 - 500 -
40 Dimenhidrinat tablet 50 mg Tablet 300 500 800 100 700 300
41 Doksisiklin 100 mg Kapsul 200 200 - 200 -
42 Domperidon 10 mg Tablet - - -
43 Ergotamina tartrat 1 mg + Kofeina 50 mg tab Komb Tablet - - - -
44 Erythromycin kapsul 500 mg Kapsul 200 200 - 200 -
45 Etambutol HCl tablet 500 mg Tablet - - - -
46 Fenobarbital tablet 100 mg Tablet 800 800 100 700 300
47 Fenobarbital tablet 30 mg Tablet - - - -
48 Fitomenadion ( Vit K ) tablet salut 10 mg Tablet 200 200 100 100 300 500
49 Flukonazol tablet 150 mg Tablet 80 80 - 80 -
50 Furosemida tablet 40 mg Tablet 1,500 1,000 2,500 400 2,100 1,200
51 Garam Oralit untuk 200 ml air Sachet 900 900 100 800 300
52 Gemfibrozil kapsul 300 mg Kapsul 8,280 8,280 120 8,160 360
53 Glibenklamid tablet 5 mg Tablet 12,200 12,200 300 11,900 900
54 Glimepiride 2 mg Tablet 1,500 1,500 3,000 1,500 1,500 4,500 3,000
55 Gliquidon tablet 30 mg Tablet - - - -
56 Griseofulvin tablet 125 mg, micronized Tablet 100 100 200 200 - 600 600
57 Haloperidol tablet 0,5 mg Tablet - - - - -
58 Haloperidol tablet 1,5 mg Tablet 5,400 5,400 1,400 4,000 4,200 2,000
59 Haloperidol tablet 5 mg Tablet 1,000 1,000 200 800 600
60 Hidroklortiazida ( HCT ) tablet 25 mg Tablet - - - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
61 Hyosin N Buthyl B tablet 10 mg Tablet - - - -
62 Ibuprofen Tablet 200 mg Tablet 700 2,000 2,700 1,500 1,200 4,500 3,300
63 Ibuprofen tablet 400 mg Tablet 1,400 1,000 2,400 300 2,100 900
64 Isoniazida ( INH ) tablet 300 mg Tablet 500 500 200 300 600
65 Isosorbid Dinitrat tab sublingual 5 mg Tablet 800 800 500 300 1,500 1,200
66 Kalium Aspartat 300 mg Tablet 400 400 400 - 1,200 1,200
67 Kalsium Laktat (Kalk) tablet 500 mg Tablet 5,100 1,000 6,100 2,200 3,900 6,600 2,700
68 Karbamazepin tablet 200 mg Tablet - - - -
69 Ketoconazol tablet 200 mg Tablet - - - -
70 Kinina Sulfas tablet 222 mg Tablet - - - -
71 Kloramfenikol kapsul 250 mg Kapsul - - - -
72 Klorfeniramine Maleat (CTM) tablet 4 mg Tablet 6,000 6,500 12,500 1,900 10,600 5,700
73 Klorokina Fosfat (klorokina) tablet 250 mg Tablet - - - -
74 Klorpromazina HCl tablet salut 100 mg Tablet 500 2,100 2,600 300 2,300 900
75 Klorpromazina HCl tablet salut 25 mg Tablet 800 1,500 2,300 300 2,000 900
76 Kotrimoksazol suspensi 240 mg Botol 85 85 85 255 255
77 Kotrimoksazol tablet 480 mg Tablet 1,900 1,900 - 1,900 -
78 Lisinopril tablet 10 mg Tablet - - - - -
79 Loratadine tab 10 mg Tablet - - - -
80 Mebendazol syr 100 mg/ 5 ml Botol - - - -
81 Mebendazol tablet 100 mg Tablet - - - -
82 Metformin HCl tablet 500 mg Tablet 4,900 5,000 9,900 6,400 3,500 19,200 15,700
83 Metilergometrina maleat tablet salut 0,125 mg Tablet 400 400 200 200 600 1,000
84 Metilprednisolon 4 mg, 8 mg Tablet 800 500 1,300 200 1,100 600
85 Metoklopramida HCl tablet 5 mg Tablet 800 800 - 800 -
86 Metronidazol tablet 250 mg Tablet - - - -
87 Metronidazole 500 mg Tablet 400 500 900 200 700 600 1,000
88 Multivitamin Bumil + Fe Kapsul 8,300 8,300 2,000 6,300 6,000 3,300
89 Multivitamin Neurotropik kaplet Kaplet - - - -
90 Multivitamin Suplemen TB Kaps/tab - - - -
91 Multivitamin Syrup Botol - - -
92 Natrium bikarbonat tablet 500 mg Tablet - - - -
93 Natrium Diklofenak 25 mg Tablet - - - -
94 Natrium Diklofenak 50 mg Tablet 800 800 750 50 2,250 2,200
95 Natrium fenitoin kapsul 30 mg Kapsul - - - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
96 Natrium fenitoin kapsul 100 mg Kapsul 400 400 800 400 400 1,200 800
97 Nifedipin tablet 10 mg Tablet 2,600 5,000 7,600 - 7,600 -
98 Nistatin 100.000 iu/g tablet vaginal Tablet 83 83 7 76 21
99 Nistatin 500.000 IU tab salut gula Tablet - - - -
100 OAT FDC Anak Paket - - - - -
101 OAT Kombipak Anak Paket 1 - - - - 2
102 OAT Kombipak Kategori I Paket - - - - -
103 OAT-FDC Kategori I Paket 1 - - - - 1
104 OAT-FDC Kategori II Paket - - - -
105 OAT-FDC Sisipan Paket - - - -
106 Obat Batuk Hitam Botol - - - -
107 Omeprazol kapsul 20 mg Kapsul 1,080 1,080 660 420 1,980 1,560
108 Parasetamol sirup 120 mg/5ml Botol 35 84 119 119 357 336
109 Parasetamol tablet 500 mg Tablet 19,200 5,000 24,200 12,100 12,100 36,300 24,200
110 Pirantel pamoat (pirantel) tablet 125 mg Tablet - - - -
111 Piridoksin HCl (vit B6) tablet 10 mg Tablet 1,900 300 2,200 2,200 - 6,600 6,600
112 Piroksikam 20 mg Tablet - - - -
113 Prednison tablet 5 mg Tablet 2,000 2,000 - 2,000 -
114 Primakina tablet 15 mg Tablet - - - -
115 Propanolol HCl (propanolol) tablet 40 mg, 10 mg Tablet 300 300 - 300 -
116 Propiltiourasil (PTU) tablet 100 mg Tablet 200 200 - 200 -
117 Pyrazinamida tablet 500 mg Tablet 200 200 - 200 -
118 Ranitidin 150 mg Tablet 3,900 2,000 5,900 2,700 3,200 8,100 5,000
119 Retinol (Vit A) kapsul lunak 100.000 iu Kapsul 250 250 - 250 -
120 Retinol (Vit A) kapsul lunak 200.000 iu Kapsul 100 100 - 100 -
121 Rifampisin Kapsul 300 mg Kapsul - - - -
122 Risperidon Kapsul 900 900 500 400 1,500 1,100
123 Salbutamol tablet 2 mg Tablet - - - -
124 Salbutamol tablet 4 mg Tablet - - - -
125 Sianocobalamin ( Vitamin B12) tab 50 mcg Tablet 4,500 2,000 6,500 3,200 3,300 9,600 6,300
126 Simvastatin tab 10 mg Tablet 1,000 2,000 3,000 2,000 1,000 6,000 5,000
127 Spironolakton tablet 100 mg Tablet 300 300 100 200 300 500
128 Spironolakton tablet 25 mg Tablet - - - -
129 Thiamina HCl monohidrat (vit B1) tab 50 mg Tablet 6,000 6,000 1,000 5,000 3,000
130 Trifluoperazine tablet 5 mg Tablet 600 600 100 500 300

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
131 Trihexylphenidil HCl tablet 2 mg Tablet 2,000 2,000 2,000 - 6,000 6,000
132 Vitamin B kompleks Tablet 6,000 13,600 19,600 1,600 18,000 4,800
133 Zink tablet 20 mg Tablet 400 400 200 200 600 400
OBAT YANKESTRAD 200 - - - -
134 Anti Hipertensi Herbal Kapsul 240 120 360 30 330 90
135 Anti Keputihan Herbal Kapsul - - - -
136 Anti Kolesterol Herbal Kapsul 450 450 30 420 90
137 Anti Nyeri Haid Herbal Kapsul 270 270 30 240 90
138 Anti Nyeri Sendi Herbal Kapsul - - - -
139 Ekstrak Serat Herbal Sacchet - - - -
140 Ekstrak Standar Saw Palmetto 160 mg Kapsul - - - -
141 Immunomodulator Kapsul Herbal Kapsul - - - -
142 Immunomodulator Syrup Herbal Botol - - - -
143 Pelancar ASI Herbal Kapsul - - - -
144 Salep Luka Bakar Herbal Tube - - - -
145 Sonchi/Nephrolit kapsul/Calcusol kapsul Kapsul 1,000 1,000 100 900 300
OBAT LUAR 0 - - - -
146 Acyclovir Krim SK Tube - - - -
147 Antibakteri DOEN salep, kombinasi Tube 175 175 75 100 225 125
148 Antifungi DOEN salep Pot - - - -
149 Antihemmoroid Suppositoria Supp 50 20 70 24 46 72 50
150 As. Salisilat 2% + Belerang endap 4% (2-4 salep) Pot - - - -
151 Perak Sulfadiazin Tube - - - -
152 Betametason krim 0,1% Tube 150 150 75 75 225 150
153 Betametason valerat + Neomisina sulfat cream Tube 90 90 20 70 60 50
154 Diazepam Rectal 5 mg Tube 55 55 5 50 15
155 Etanol 70% 100 ml Botol - - - -
156 Etanol 70% 1000 ml Botol 8 8 2 6 6 5
157 Etil Klorida semprot Botol - - - -
158 Extract Placenta 10% Tube 40 40 10 30 30 50
159 Fenol Gliserol TT 10% Botol 96 96 24 72 72 48
160 Flucinolon + Neomisin cream Tube - - - -
161 Flucinolon Cream Tube 30 30 20 10 60 50
162 Framycetine sulfat 1 % Lembar - - - -
163 Gentamicin salep kulit 0,1% Tube - - - -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
164 Gentamisin Sulfat tetes mata 0,3% Botol - - - -
165 Gentian Violet Botol - - - 50
166 Hidrokortison Cream 2,5% Tube 24 24 24 - 72 72
167 Ketokonazol cream Tube - - - 50
168 Kloramfenikol 0,5% Tetes Mata Botol - - - 50
169 Kloramfenikol salep kulit Tube 120 120 - 120 -
170 Kloramfenikol salep mata 1% Tube - - - 50
171 Kloramfenikol tetes telinga Botol - - - -
172 Licocain Jelly Tube 15 15 - 15 -
173 Licocain Spray Botol 21 21 3 18 9
174 Metakresol sulfonat /Policresuken/Aptil Botol 50 50 - 50 -
175 Miconasol krim 2% Tube 42 48 90 42 48 126 72
176 Oksitetra Salep Kulit 3% Tube - - - 50
177 Oksitetra Salep Mata 1% Tube - - - -
178 Salbutamol 2,5 mg/2,5 ml Nebulizer Ampul 140 140 40 100 120 20
179 Salisil bedak 2 % Kotak 61 61 10 51 30
180 Yodium Povidon lar 10 % 30 ml Botol 60 60 52 8 156 148
181 Yodium Povidon lar 10 % 300 ml Botol - - - -
BAHAN MEDIS HABIS PAKAI 31 - - - -
182 Alat suntik sekali pakai 1 ml Set 1,300 1,300 - 1,300 -
183 Alat suntik sekali pakai 3/ 2,5 ml Set 9,800 9,800 500 9,300 1,500
184 Alat suntik sekali pakai 5 ml Set - - - -
185 Alkohol swab Box 14 4 18 5 13 15 50
186 Antiseptik Bilas (Surgical Scrub) Botol 4 4 1 3 3 -
187 Antiseptik Pencuci Tangan (Hand Rub) Botol 67 67 4 63 12
188 Aqua Jelly Tube - - - -
189 Box Slide box - - - -
190 Cat Ziehl Nellsen box - - - -
191 Catgut/ benang bedah no. 2/0 Sachet 526 526 166 360 498 138
192 Catgut/ benang bedah no. 3/0 Sachet 106 106 34 72 102 30
193 Foley Catheter No.16 Pcs 330 330 30 300 90
194 Foley Catheter No.18 Pcs - - - -
195 Infusion Set Anak Set 400 400 - 400 -
196 Infusion Set Dewasa Set - - - -
197 Intravena Catheter anak (no.24) Set 650 650 50 600 150

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
198 Intravena Catheter dewasa (no. 20) Set 600 600 - 600 -
199 Intravena Catheter dewasa (no. 22) Set 1,300 1,300 150 1,150 450
200 Kapas Pembalut/ adsorbent 250 gram Bungkus 96 96 3 93 9
201 Kasa Pembalut Hidrofil 4 m x 5 cm Roll 1,320 1,320 - 1,320 -
202 Kasa Pembalut Hidrofil 4 m x 10 cm Roll - - - -
203 Kasa Pembalut Hidrofil 4 m x 15 cm Roll - - - -
204 Kassa gulung 40 yard x 80 cm Roll 73 73 2 71 6
205 Kassa Hidrofil Steril 16/16 steril Roll - - - -
206 Kassa Hidrofil Steril 18/22 steril Roll - - - -
207 Pembalut Elastis 7,5 Roll 32 32 1 31 3
208 Pembalut Elastis 10 Roll 36 36 - 36 -
209 Pembalut Elastis 15 Roll 60 60 - 60 -
210 Umbilical Cord Klem Steril pcs 100 100 - 100 -
211 Urine bag pcs 175 175 - 175 -
212 Kertas Saring box - - - -
213 Masker Biasa Pcs 8,450 8,450 200 8,250 600
214 Masker N95 Pcs - - - -
215 Masker Jilbab Pcs 5,200 5,200 1,300 3,900 3,900 -
216 Obyek Glass box 3 3 - 3 -
217 Plester 5 yards x 2 inch Roll - - -
218 Plester Non Woven Roll - - - -
219 Pot Sputum pcs 150 150 - 150 -
220 Rapid Test 1 HIV box 400 400 - 400 -
221 Rapid Test 2 HIV box 90 90 90 - 270 200
222 Rapid Test 3 HIV box 125 125 125 - 375 100
223 Rapid Test RPR Shyphillis box - - - 100
224 Rapid Test Shyphillis box - - - 100
225 Sarung Tangan Biasa Pcs 3,200 3,200 2,200 1,000 6,600 5,600
226 Sarung Tangan Steril Pcs 450 450 50 400 150
227 Silk (benang sutera) no 3/0 Sach 566 566 62 504 186
228 Spiritus 1000 ml Botol 4 4 1 3 3 -
229 Wing Needle No. 21 Pcs - - - -
230 Wing Needle No. 23 Pcs 4 4 - 4 -
231 Wing Needle No. 25 Pcs 4 4 - 4 -
232 Wing Needle No. 27 Pcs 2 2 - 2 -

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
SEDIAAN INJEKSI / CAIRAN / SERUM 12 - - - -
233 Aminofilina injeksi 24 mg/ml - 10 mml Ampul - - - - 10
234 Ampisiilin 1000mg/ vial inj Vial 90 90 - 90 -
235 Aqua Pro Injeksi steril, bebas pirogen 20 ml Ampul - - - -
236 Atropin Sulfas injeksi 0,25 mg/ ml - 1 ml Ampul 52 52 22 30 66
237 Benzatin benzil-penisilina injeksi 2,4 juta iu/ vial Vial 12 12 - 12 -
238 Ceftriaxon serbuk inj 1g/vial Vial - - - -
239 Deksametason injeksi 5 mg/ml - 1 ml Ampul 136 136 - 136 -
240 Diazepam injeksi 5mg/ml - 2 ml Ampul 32 32 - 32 -
241 Difenhidramin HCl injeksi 10 mg/ml - 1 ml Ampul 22 22 - 22 -
242 Epinefrina HCl (adrenalina) inj. 0,1% - 1 ml Ampul 30 30 - 30 -
243 Fenobarbital injeksi 50 mg/ml - 2 ml Ampul 60 60 14 46 42
244 Fitomenadion ( Vit K ) injeksi 10 mg/ml - 1 ml Ampul 60 60 - 60 -
245 Gentamycin inj Ampul 5 5 5 15
246 Glukosa larutan infus 10% steril Botol - - - -
247 Glukosa larutan infus 5% steril Botol 30 30 - 30 -
248 Haloperidol injeksi i.m 5 mg/ml Ampul 24 24 - 24 -
249 Human Anti tetanus inj Ampul 41 41 3 38 9
250 Hyosin N Buthyl B inj 20 mg/ml Ampul 25 25 15 10 45 35
251 Kalsium Glukonas Injeksi Ampul 7 7 - 7 -
252 Kinina Dihidroklotida (kinina) injeksi 25% - 2ml Ampul - - - -
253 Klorpromazina HCl injeksi 5 mg/ml - 1 ml, 5 mg Ampul 30 30 - 30 -
254 Lidokaina 2% HCl (Lidocain murni) injeksi Ampul 100 agustus 100 - 100
255 Lidokaina com (Lidocain HCl 2 %+ epinefrin) injeksi Ampul - - - -
256 Magnesium Sulfat inj 20% Ampul - - - -
257 Magnesium Sulfat inj (IV) 40%-25ml Vial 6 6 - 6 -
258 Metilergometrina maleat injeksi 0,200 mg/ml - 1 ml Ampul - - - - -
259 Metoklopramid inj. 5mg/ml Ampul - - - -
260 Natrium Klorida larutan infus 0,9% steril Botol 40 60 100 40 60 120
261 Natrium Tiosulfat injeksi 25% - 10 ml Ampul - - - -
262 Oksitosina injeksi 10 i.u/ml - 1 ml Ampul 230 230 - 230 -
263 Ranitidin injeksi 25 mg/2 ml Ampul 390 390 30 360 90
264 Ringer Laktat Larutan infus steril Botol 460 460 40 420 120
265 Serum anti bisa ular polivalen inj 5 ml (ABU I) Ampul - - - -
266 Serum Anti Tetanus inj 1.500 i.u/ampul (ATS) Ampul 57 57 15 42 45 3

file:///conversion/tmp/activity_task_scratch/549971272.xlsx
 SA STOK PENERI- PERSE- PEMA- KOSONG SISA STOK PERMIN- PEMBERIAN
NO NAMA OBAT ED
TUAN AWAL MAAN DIAAN KAIAN (HARI) STOK OPT TAAN DAK DAU BS ASKES Lain-lain KET
267 Sianokobalamin (vit B12) inj 500 mcg/ml -1 ml Ampul 400 400 - 400 -
268 Streptomisin sulfat serbuk inj 1.000 mg/vial Vial - - - -
269 Thiamina HCl (vit B1) inj 100 mg/ml - 1 ml Ampul - - - -
270 Tramadol inj 50 mg/ml Ampul - - - -
TAMBAHAN - - - -
271 Mineral Mix sacch - - - -
272 Fenoksi Penisillina tablet 250 mg Tablet - - - -
273 Fenoksi Penisillina tablet 500 mg Tablet - - - -
274 Osetalmivir tablet kotak 10 10 - 10 -
275 Sikat Pembersih Pcs 12 12 - 12 -
276 Termometer Pcs - - - -
277 Tetrasiklin HCl kapsul 250 mg Kapsul - - - -
278 Tetrasiklin HCl kapsul 500 mg Kapsul - - - -
279 Taburia box 6 6 - 6 -
280 Acethysistein Tablet 1,000 1,200 2,200 100 2,100 300

JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR JUMLAH

BULAN Juli 2016 Jamkesos Jamkesda JKN Lain Lain

139 1942
49 63 1681 10

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file:///conversion/tmp/activity_task_scratch/549971272.xlsx
file:///conversion/tmp/activity_task_scratch/549971272.xlsx
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file:///conversion/tmp/activity_task_scratch/549971272.xlsx