LAPORAN PEMAKAIAN DAN PERMINTAAN OBA

UPT PUSKESMAS RANTAU PANJANG KIRI

KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : JANUARI
NO NAMA OBAT / ALKES SATUAN STOK AWAL
1 2 3 4
1 Alopurinol tablet 100 mg tab 600
2 Alopurinol tablet 300 mg tab 0
3 Albebendazol tablet tab 0
4 Amlodipin tab 5 mg tab 300
5 Amoksisilin kapsul 250 mg kap 0
6 Amoksisilin kaplet 500 mg tab 3900
7 Amoksisilin Syrup 250 mg btl 80
8 Aminophyllin inj amp 5
9 Antasida doen tablet kombinasi tab 3000
10 Antasida doen syrup tab 30
11 Antalgin 500 mg inj amp 0
12 Anemolat tab 0
13 Antihemorroid suppos suppos 6
14 Asam Ascorbat tab 50 mg tab 8280
15 Asam Traneksamat Inj amp 0
16 Asam Mefenamat tab 0
17 Acyclovir tab 400 mg tab 250
18 Attapulgite (new antides) tab 200
19 Acyclovir cream tube 0
20 Atropin sulfas inj amp 100
21 Atropin sulfat tablet tab 20
22 Azithromicyn Tab tab 50
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0
24 Betahistin tablet tab 0
25 Betametason Krim 0,1 % tube 377
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0
28 Bisoprolol tab 5 mg tab 60
29 Bronsolvon tab tab 1300
30 Catopril 12,5 mg tab 995
32 Catopril 25 mg tab 0
33 Calporisis Tablet tab 0
34 Cyanocobalamin inj amp 5
35 Chlorfeniramine Maleat/CTM tab 1220
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0
37 Dexametason inj 5 mg/ml-1ml amp 195
38 Dexametason tablet 0,5 mg tab 0
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290
40 Dimenhidrinate tab 300
41 Diltiazem tab 400
42 Digoksin tablet 0,25 mg tab 0
43 Doksisiklin tab 100 mg tab 0
44 Domperidon tablet 10 mg tab 227
45 Domperidon Sirup btl 260
46 Epinefrin inj 0,1 % - 1ml amp 114
47 Eugenol cairan btl 0
48 Fenitoin tablet 100 mg tab 0
49 Fenobarbital tablet tab 200
50 Fenobarbital inj amp 30
51 Fenol Gliserol Tts Telinga btl 28
52 Fitomenadion (vit K) inj 2 mg amp 140
53 Fitomenadion Tablet tab 600
54 Furosemid injeksi amp 0
55 Furosemid tablet 40 mg tab 600
56 Genoint 0,3 % tube 16
57 Garam oralit sac 1300
58 Gentamisin inj amp 0
59 Glibenklamide tablet tab 1000
60 Glukosa lar. Infus 5 % btl 75
61 Glukosa lar. Infus 10 % btl 0
62 Griseofulvin tab 125 mg tab 900
63 Haloperidol 5 mg tab 0
64 Haloperidol 1,5 mg tab 1200
65 Hydrochlorothiazide tab 25 mg tab 683
66 Hidrokortison krim 2,5 % tube 88
67 Ibuprofen Sirup btl 46
68 Iliadin dewasa btl 8
69 Iliadin anak btl 8
70 Isosorbid dinitrat SL tab 5 mg tab 0
71 Kalsium Glukonat 10 % ampul 0
72 Kalsium Laktat tab 1600
73 Karbamazepin tab 0
74 Ketorolac inj amp 60
75 Ketokonazol Tablet 200 mg tab 480
76 Ketokonazol SK tube 91
77 Kloramfenicol Capsul 250 mg cap 900
78 Kloramfenicol suspensi 125 mg/5 ml btl 65
79 Kloramfenicol SM tube 0
80 Klorpromazin tab tab 0
81 Kodein tab 10 mg tab 0
82 Kotrimoksazol suspensi btl 161

NO NAMA OBAT / ALKES SATUAN SISA STOK

1 2 3 8
83 Kotrimoksazol dewasa tab 100 mg tab 1400
84 Klobazam tab 10 mg tab 0
85 Kuinin tab 200 mg tab 0
86 Lansoprazol Capsul cap 40
87 Lidocain inj amp 120
88 Magnesium sulfas inj 40 % - 25 ml btl 0
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 70
90 Metilergometrin maleat tablet tab 880
91 Metilprednisolon Tablet tab 0
92 Metformin HCl tab 500 mg tab 1500
93 Metronidazol sirup btl 0
94 Metronidazol Infus btl 0
95 Metoklopramide tab 10 mg tab 5000
96 Metoklorpramid Inj amp 40
97 Miconazol Cream tube 156
98 Mikoryn Powder btl 3
99 Molasma tab 2,5 mg tab 0
100 Natrium klorida infus 0,9 % steril btl 160
101 Natrium Diklofenak Tablet tab 0
102 Nistatin Tablet Vaginal tab 650
103 Ofloxacin tab 200 mg tab 50
104 Oksiytetra SM tube 68
105 Oksitosin inj amp 45
106 Omeprazol capsul 20 mg cap 0
107 OTSU-KCL7,46% Kalium Klorida btl 0
108 OTSU-WI Air inj 25 ml btl 35
109 Paracetamol Drip (infus) btl 0
110 Paracetamol tablet 500 mg tab 2900
111 Paracetamol drop btl 0
112 Parasetamol sirup 120 mg/5 ml btl 515
113 Perak Sulfadiazin Krim 1 % tube 12
114 Pirantel tablet 125 mg tab 930
115 Pirantel Suspensi 125 mg/5ml btl 0
116 Piridoksin HCl tablet 10 mg tab 1400
117 Prednison tab 5 mg tab 700
118 Profolat (Asam Folat) Tab 0,4 mg tab 740
119 Prokain benzil penisilin tab 0
120 Propanolol HCl tablet 10 mg tab 970
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0
123 Quinint tab 0
124 Risperidon 2 mg tab 0
125 Ranitidin inj amp 200
126 Ringer laktat lar infus steril btl 225
127 Salbutamol tab 2 mg btl 1200
128 Salbutamol tab 4 mg tab 0
129 Sefadroksil syr tab 145
130 Sefadroxil Tablet 500 mg tab 0
131 Sefotaxime inj btl 48
132 Seterizine sirup vial 95
133 Seterizine tab 10 mg btl 1100
134 Simvastatin tablet 10 mg tab 150
135 Simvastatin tablet 20 mg tab 1150
136 Sulfadoksin tab 800
137 Stesolid 5 mg/2,5 mg tube 31
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0
139 Scabimite salf tube 0
140 Synarcus krim tube 30
141 Thiamin tab 50 mg tab 2600
142 Tramadol inj amp 88
143 Triheksipenidil hidroklorida tablet 2 mg tab 640
144 Tetracyclin 500 mg Kapsul 900
145 Ulsafat Syrup btl 105
146 Vitamin B Kompleks tab 7400
147 Zink Tablet tab 1040
148 Zink Syrup btl 245
149 Simbicort Resp 0
150 Ambroxol syrp btl 0
151 Diazepam tab 2 mg tab 17
152 Diazepam inj 5mg/ml amp 6
153 Miniaspi tab 5150
154 Sodium Volproat Syr btl 93

NO NAMA BMHP SATUAN STOK AWAL

1 2 3 8
1 Alat suntik 1 cc set 250
2 Alat suntik 2,5/ 3 cc set 200
3 Alat suntik 5 cc set 300
4 Aseptic Gel ( Hand Hygene ) btl 6
5 Catgut Chromic 3/0 ( 3 metric) pcs 153
6 Daryant Tulle 1 % pcs 14
7 Etanol 70% 1000 cc btl 15
8 Gelang Nama Pasien Child Blue / Pink pcs 58
9 Gelang Nama Pasien Adult Blue / Pink pcs 69
10 Infuset Dewasa pcs 80
11 Infuset anak pcs 180
12 IV Chateter No. 18 G pcs 48
13 IV Chateter No. 20 G pcs 150
14 IV Chateter No. 22 G pcs 50
15 IV Chateter No. 24 G pcs 244
16 Jarum jahit No.9 12 pcs/bgks 15
17 Jarum jahit No.10 12 pcs/bgks 0
18 Jarum jahit No.11 12 pcs/bgks 0
19 Jarum jahit No.12 12 pcs/bgks 24
20 Kapas bgks 5
21 Kapas Alkohol sac 500
22 Kasa hidrofil 40 y x 80 rol 10
23 Kasa hidrofil 3 yard x 5 cm rol 10
24 Masker kotak 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 4
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 0
29 Nasal Oxigen Canula Adult set 10
30 Nasal Oxigen Canula Child set 13
31 NGT Feeding tube 5 Fr set 11
32 NGT Stomach Tube 16 Fr set 8
33 Nice Care ( Underpad ) pcs 12
34 Plester 1,25 cm rol 0
35 Plester 2 cm rol 79
36 Povidon 30 ml btl 0
37 Povidon 300 ml btl 2
38 Povidon 60 ml btl 40
39 Rivanol/Etakridin btl 133
40 Sarung tangan non steril (L) ktk 100 glv 0
41 Sarung tangan non steril (M) ktk 100 glv 0
42 Sarung tangan non steril (S) ktk 100 glv 0
43 Sarung tangan steril pairs 0
43 Silk 3/0 pcs 88
44 Urine bag set 40
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 9
46 Umbilical pcs 0

UMUM
jumlah kunjungan BPJS KIS

Mengetahui
Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi

NIP 19800722 201412 1 003
AN DAN PERMINTAAN OBAT
S RANTAU PANJANG KIRI
BU BABUSSALAM
AHUN 2021

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 9
0 600 100 500 0
0 0 0 0 0
0 0 0 0 0
0 300 200 100 0
0 0 0 0 0
0 3900 1900 2000 0
0 80 80 0 0
0 5 2 3 0
0 3000 1200 1800 0
0 30 30 0 0
0 0 0 0 0
0 0 0 0 0
0 6 6 0 0
0 8280 3000 5280 0
0 0 0 0 0
0 0 0 0 0
0 250 0 250 0
0 200 50 150 0
0 0 0 0 0
0 100 0 100 0
0 20 0 20 0
0 50 0 50 0
0 0 0 0 0
0 0 0 0 0
0 377 252 125 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 60 0 60 0
0 1300 100 1200 0
0 995 100 895 0
0 0 0 0 0
0 0 0 0 0
0 5 5 0 0
0 1220 200 1020 0
0 0 0 0 0
0 195 30 165 0
0 0 0 0 0
0 290 0 290 0
0 300 0 300 0
0 400 0 400 0
0 0 0 0 0
0 0 0 0 0
0 227 0 227 0
0 260 5 255 0
0 114 0 114 0
0 0 0 0 0
0 0 0 0 0
0 200 0 200 0
0 30 0 30 0
0 28 0 28 0
0 140 0 140 0
0 600 0 600 0
0 0 0 0 0
0 600 0 600 0
0 16 0 16 0
0 1300 50 1250 0
0 0 0 0 0
0 1000 200 800 0
0 75 5 70 0
0 0 0 0 0
0 900 100 800 0
0 0 0 0 0
0 1200 100 1100 0
0 683 0 683 0
0 88 20 68 0
0 46 31 15 0
0 8 0 8 0
0 8 0 8 0
0 0 0 0 0
0 0 0 0 0
0 1600 100 1500 0
0 0 0 0 0
0 60 40 20 0
0 480 480 0 0
0 91 10 81 0
 0 900 200 700 0
0 65 0 65 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 161 20 141 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK 0

5 6 7 8 0
0 1400 200 1200 0
0 0 0 0 0
0 0 0 0 0
0 40 40 0 0
90 210 30 180 0
0 0 0 0 0
0 70 0 70 0
0 880 0 880 0
0 0 0 0 0
0 1500 300 1200 0
0 0 0 0 0
0 0 0 0 0
0 5000 0 5000 0
0 40 40 0 0
0 156 30 156 0
0 3 0 3 0
0 0 0 0 0
0 160 20 140 0
0 0 0 0 0
0 650 0 650 0
0 50 0 50 0
0 68 10 58 0
0 45 5 40 0
0 0 0 0 0
0 0 0 0 0
0 35 25 10 0
0 0 0 0 0
0 2900 1000 1900 0
0 0 0 0 0
0 515 70 445 0
0 12 5 7 0
0 930 20 910 0
 0 0 0 0 0
0 1400 500 900 0
0 700 200 500 0
0 740 0 740 0
0 0 0 0 0
0 970 0 970 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 400 240 160 0
200 455 315 140 0
0 1200 100 1100 0
0 0 0 0 0
0 145 0 145 0
0 0 0 0 0
0 48 28 20 0
0 100 5 95 0
0 1100 700 1100 0
0 150 0 150 0
0 1150 500 650 0
0 800 0 800 0
0 31 8 23 0
0 0 0 0 0
0 0 0 0 0
0 30 2 28 0
0 2600 200 2400 0
0 88 0 88 0
0 640 30 610 0
0 900 100 800 0
0 105 50 55 0
0 7400 1000 6400 0
0 1040 100 940 0
0 245 5 240 0
0 0 0 0 0
0 0 0 0 0
0 17 0 17 0
0 6 1 5 0
0 5150 0 5150 0
0 93 10 83 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK 0

 5 6 7 8 0
0 250 100 150 0
500 700 300 400 0
500 800 400 400 0
0 6 6 0 0
0 153 15 138 0
0 14 3 11 0
0 15 12 3 0
0 58 0 58 0
0 69 0 69 0
0 80 30 50 0
0 180 20 160 0
0 48 48 0 0
0 150 150 0 0
100 150 150 0 0
0 244 20 224 0
0 15 0 15 0
0 0 0 0 0
0 0 0 0 0
0 24 0 24 0
0 5 5 0 20
0 500 0 500 0
0 10 4 6 0
0 10 0 10 0
0 0 0 0 0
0 0 0 0 0
0 28 28 0 0
0 4 4 0 0
0 0 0 0 0
0 10 0 10 0
0 13 0 13 0
0 11 0 11 0
0 8 0 8 0
0 12 5 7 20
0 0 0 0 0
0 79 52 27 0
0 0 0 0 0
0 2 0 2 0
0 40 5 35 0
0 133 5 128 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 88 35 53 100
0 40 3 37 0
0 9 0 9 0
0 0 0 0 0

UMUM
UMUM ASKES JUMLAH

Penanggung Jawab Laporan

NORMASARI, Amd. Farm

NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
UPT PUSKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : FEBRUARI
NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN
1 2 3 4 5 6 7 8 9
1 Alopurinol tablet 100 mg tab 500 0 500 200 300 1000
2 Alopurinol tablet 300 mg tab 0 0 0 0 0 1000
3 Albebendazol tablet tab 0 0 0 0 0 0
4 Amlodipin tab 5 mg tab 100 0 100 100 0 1000
5 Amoksisilin kapsul 250 mg kap 0 0 0 0 0 3000
6 Amoksisilin kaplet 500 mg tab 2000 0 2000 1700 300 5000
7 Amoksisilin Syrup 250 mg btl 0 0 0 0 0 300
8 Aminophyllin inj amp 3 0 3 2 1 100
9 Antasida doen tablet kombinasi tab 1800 0 1800 1600 200 4000
10 Antasida doen syrup tab 0 0 0 0 0 200
11 Antalgin 500 mg inj amp 0 0 0 0 0 0
12 Anemolat tab 0 0 0 0 0 0
13 Antihemorroid suppos suppos 0 0 0 0 0 50
14 Asam Ascorbat tab 50 mg tab 5280 0 5280 2500 2780 5000
15 Asam Traneksamat Inj amp 0 0 0 0 0 100
16 Asam Mefenamat tab 0 0 0 0 0 0
17 Acyclovir tab 400 mg tab 250 0 250 0 0 1000
18 Attapulgite (new antides) tab 150 0 150 50 100 1000
19 Acyclovir cream tube 0 0 0 0 0 200
20 Atropin sulfas inj amp 100 0 100 0 100 0
21 Atropin sulfat tablet tab 20 0 20 0 20 0
22 Azithromicyn Tab tab 50 0 50 0 50 0
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0 0 0 0 0 0
24 Betahistin tablet tab 0 0 0 0 0 0
25 Betametason Krim 0,1 % tube 125 0 125 50 75 200
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0 0 0 0 0 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0 0 0 0 0 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0 0 0 0 0 100
28 Bisoprolol tab 5 mg tab 60 0 60 0 60 1000
29 Bronsolvon tab tab 1200 0 1200 100 1100 0
30 Catopril 12,5 mg tab 895 0 895 200 695 1000
32 Catopril 25 mg tab 0 0 0 0 0 0
33 Calporisis Tablet tab 0 0 0 0 0 0
34 Cyanocobalamin inj amp 0 0 0 0 0 100
35 Chlorfeniramine Maleat/CTM tab 1020 0 1020 450 570 1000
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0 0 0 0 0 100
37 Dexametason inj 5 mg/ml-1ml amp 165 0 165 15 150 0
38 Dexametason tablet 0,5 mg tab 0 0 0 0 0 0
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290 0 290 0 290 0
40 Dimenhidrinate tab 300 0 300 0 300 0
41 Diltiazem tab 400 0 400 0 400 0
42 Digoksin tablet 0,25 mg tab 0 0 0 0 0 1000
43 Doksisiklin tab 100 mg tab 0 0 0 0 0 1000
44 Domperidon tablet 10 mg tab 227 0 227 50 177 1000
45 Domperidon Sirup btl 255 0 255 7 248 0
46 Epinefrin inj 0,1 % - 1ml amp 114 0 114 0 114 0
47 Eugenol cairan btl 0 0 0 0 0 0
48 Fenitoin tablet 100 mg tab 0 0 0 0 0 0
49 Fenobarbital tablet tab 200 0 200 0 200 0
50 Fenobarbital inj amp 30 0 30 0 30 0
51 Fenol Gliserol Tts Telinga btl 28 0 28 5 23 100
52 Fitomenadion (vit K) inj 2 mg amp 140 0 140 0 140 0
53 Fitomenadion Tablet tab 600 0 600 200 400 1000
54 Furosemid injeksi amp 0 0 0 0 0 100
55 Furosemid tablet 40 mg tab 600 0 600 100 500 500
56 Genoint 0,3 % tube 16 0 16 16 0 100
57 Garam oralit sac 1250 0 1250 200 1050 0
58 Gentamisin inj amp 0 0 0 0 0 0
59 Glibenklamide tablet tab 800 0 800 400 400 1500
60 Glukosa lar. Infus 5 % btl 70 0 70 7 63 0
61 Glukosa lar. Infus 10 % btl 0 0 0 0 0 50
62 Griseofulvin tab 125 mg tab 800 0 800 100 700 0
63 Haloperidol 5 mg tab 0 0 0 0 0 0
64 Haloperidol 1,5 mg tab 1100 0 1100 700 400 2000
65 Hydrochlorothiazide tab 25 mg tab 683 0 683 0 683 0
66 Hidrokortison krim 2,5 % tube 68 0 68 30 38 200
67 Ibuprofen Sirup btl 15 0 15 4 11 100
68 Iliadin dewasa btl 8 0 8 0 8 0
69 Iliadin anak btl 8 0 8 0 8 0
70 Isosorbid dinitrat SL tab 5 mg tab 0 0 0 0 0 1000
71 Kalsium Glukonat 10 % ampul 0 0 0 0 0 50
72 Kalsium Laktat tab 1500 0 1500 400 1100 500
73 Karbamazepin tab 0 0 0 0 0 0
74 Ketorolac inj amp 20 0 20 20 0 100
75 Ketokonazol Tablet 200 mg tab 0 0 0 0 0 1000
76 Ketokonazol SK tube 81 0 81 20 61 100
77 Kloramfenicol Capsul 250 mg cap 700 0 700 400 300 1500
78 Kloramfenicol suspensi 125 mg/5 ml btl 65 0 65 0 65 0
79 Kloramfenicol SM tube 0 0 0 0 0 100
80 Klorpromazin tab tab 0 0 0 0 0 2000
81 Kodein tab 10 mg tab 0 0 0 0 0 100
82 Kotrimoksazol suspensi btl 141 0 141 30 111 0

NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK 0
1 2 3 8 5 6 7 8 0
83 Kotrimoksazol dewasa tab 100 mg tab 1200 0 1200 100 1100 1000
84 Klobazam tab 10 mg tab 0 0 0 0 0 0
85 Kuinin tab 200 mg tab 0 0 0 0 0 0
86 Lansoprazol Capsul cap 0 0 0 0 0 2000
87 Lidocain inj amp 180 0 180 110 70 300
88 Magnesium sulfas inj 40 % - 25 ml btl 0 0 0 0 0 100
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 70 0 70 0 70 0
90 Metilergometrin maleat tablet tab 880 0 880 25 855 0
91 Metilprednisolon Tablet tab 0 0 0 0 0 0
92 Metformin HCl tab 500 mg tab 1200 0 1200 400 800 1000
93 Metronidazol sirup btl 0 0 0 0 0 0
94 Metronidazol Infus btl 0 0 0 0 0 0
95 Metoklopramide tab 10 mg tab 5000 0 5000 4400 600 0
96 Metoklorpramid Inj amp 0 0 0 40 0 0
97 Miconazol Cream tube 156 0 156 30 156 0
98 Mikoryn Powder btl 3 0 3 0 3 0
99 Molasma tab 2,5 mg tab 0 0 0 0 0 0
100 Natrium klorida infus 0,9 % steril btl 140 0 140 30 110 200
101 Natrium Diklofenak Tablet tab 0 0 0 0 0 2000
102 Nistatin Tablet Vaginal tab 650 0 650 0 650 0
103 Ofloxacin tab 200 mg tab 50 0 50 0 50 0
104 Oksiytetra SM tube 58 0 58 5 53 100
105 Oksitosin inj amp 40 0 40 5 35 0
106 Omeprazol capsul 20 mg cap 0 0 0 0 0 0
107 OTSU-KCL7,46% Kalium Klorida btl 0 0 0 0 0 0
108 OTSU-WI Air inj 25 ml btl 10 0 10 10 0 100
109 Paracetamol Drip (infus) btl 0 0 0 0 0 0
110 Paracetamol tablet 500 mg tab 1900 0 1900 1900 0 5000
111 Paracetamol drop btl 0 0 0 0 0 100
112 Parasetamol sirup 120 mg/5 ml btl 445 0 445 100 345 0
113 Perak Sulfadiazin Krim 1 % tube 7 0 7 7 0 20
114 Pirantel tablet 125 mg tab 910 0 910 20 890 0
115 Pirantel Suspensi 125 mg/5ml btl 0 0 0 0 0 0
116 Piridoksin HCl tablet 10 mg tab 900 0 900 500 400 0
117 Prednison tab 5 mg tab 500 0 500 100 400 0
118 Profolat (Asam Folat) Tab 0,4 mg tab 740 0 740 40 700 0
119 Prokain benzil penisilin tab 0 0 0 0 0 0
120 Propanolol HCl tablet 10 mg tab 970 0 970 0 970 0
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0 0 0 0 0 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0 0 0 0 0 0
123 Quinint tab 0 0 0 0 0 0
124 Risperidon 2 mg tab 0 0 0 0 0 0
125 Ranitidin inj amp 160 0 160 160 0 300
126 Ringer laktat lar infus steril btl 140 200 340 140 200 300
127 Salbutamol tab 2 mg btl 1100 0 1100 100 1000 0
128 Salbutamol tab 4 mg tab 0 0 0 0 0 0
129 Sefadroksil syr tab 145 0 145 0 145 0
130 Sefadroxil Tablet 500 mg tab 0 0 0 0 0 0
131 Sefotaxime inj btl 20 0 20 10 10 100
132 Seterizine sirup vial 95 0 95 5 90 0
133 Seterizine tab 10 mg btl 1100 0 1100 1100 0 2000
134 Simvastatin tablet 10 mg tab 150 0 150 100 50 0
135 Simvastatin tablet 20 mg tab 650 0 650 500 150 2000
136 Sulfadoksin tab 800 0 800 0 800 0
137 Stesolid 5 mg/2,5 mg tube 23 0 23 4 19 0
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0 0 0 0 0 50
139 Scabimite salf tube 0 0 0 0 0 50
140 Synarcus krim tube 28 0 28 5 23 20
141 Thiamin tab 50 mg tab 2400 0 2400 500 1900 1000
142 Tramadol inj amp 88 0 88 0 88 0
143 Triheksipenidil hidroklorida tablet 2 mg tab 610 0 610 610 0 2000
144 Tetracyclin 500 mg Kapsul 800 0 800 100 700 0
145 Ulsafat Syrup btl 55 0 55 30 25 100
146 Vitamin B Kompleks tab 6400 0 6400 3000 3400 5000
147 Zink Tablet tab 940 0 940 200 740 0
148 Zink Syrup btl 240 0 240 5 235 0
149 Simbicort Resp 0 0 0 0 0 0
150 Ambroxol syrp btl 0 0 0 0 0 0
151 Diazepam tab 2 mg tab 17 0 17 0 17 0
152 Diazepam inj 5mg/ml amp 5 0 5 0 5 0
153 Miniaspi tab 5150 0 5150 4450 700 0
154 Sodium Volproat Syr btl 83 0 83 15 68 50

NO NAMA BMHP SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK 0
1 2 3 8 5 6 7 8 0
1 Alat suntik 1 cc set 150 0 150 50 100 300
2 Alat suntik 2,5/ 3 cc set 400 0 400 400 0 400
3 Alat suntik 5 cc set 400 0 400 100 300 100
4 Aseptic Gel ( Hand Hygene ) btl 0 24 24 6 18 0
5 Catgut Chromic 3/0 ( 3 metric) pcs 138 0 138 20 118 0
6 Daryant Tulle 1 % pcs 11 0 11 5 6 20
7 Etanol 70% 1000 cc btl 3 20 23 12 11 0
8 Gelang Nama Pasien Child Blue / Pink pcs 58 0 58 0 58 0
9 Gelang Nama Pasien Adult Blue / Pink pcs 69 0 69 0 69 0
10 Infuset Dewasa pcs 50 50 100 50 50 200
11 Infuset anak pcs 160 0 160 20 140 0
12 IV Chateter No. 18 G pcs 0 0 0 0 0 0
13 IV Chateter No. 20 G pcs 120 0 120 120 0 200
14 IV Chateter No. 22 G pcs 90 0 90 90 0 200
15 IV Chateter No. 24 G pcs 224 0 224 25 199 0
16 Jarum jahit No.9 12 pcs/bgks 15 0 15 0 15 0
17 Jarum jahit No.10 12 pcs/bgks 0 0 0 0 0 0
18 Jarum jahit No.11 12 pcs/bgks 0 0 0 0 0 0
19 Jarum jahit No.12 12 pcs/bgks 24 0 24 0 24 0
20 Kapas bgks 2 0 2 2 0 20
21 Kapas Alkohol sac 500 0 500 0 500 0
22 Kasa hidrofil 40 y x 80 rol 7 0 7 3 4 0
23 Kasa hidrofil 3 yard x 5 cm rol 10 0 10 0 10 0
24 Masker kotak 0 20 20 3 17 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0 0 0 0 0 10
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28 0 28 0 28 10
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 4 0 4 0 4 10
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 0 0 0 0 0 10
29 Nasal Oxigen Canula Adult set 10 0 10 0 10 0
30 Nasal Oxigen Canula Child set 13 0 13 0 13 0
31 NGT Feeding tube 5 Fr set 11 0 11 0 11 0
32 NGT Stomach Tube 16 Fr set 8 0 8 0 8 0
33 Nice Care ( Underpad ) pcs 10 0 10 5 5 20
34 Plester 1,25 cm rol 0 0 0 0 0 0
35 Plester 2 cm rol 25 0 25 12 13 50
36 Povidon 30 ml btl 0 0 0 0 0 0
37 Povidon 300 ml btl 2 0 2 0 2 50
38 Povidon 60 ml btl 40 0 40 5 35 0
39 Rivanol/Etakridin btl 128 0 128 5 123 0
40 Sarung tangan non steril (L) ktk 100 glv 0 0 0 0 0 0
41 Sarung tangan non steril (M) ktk 100 glv 0 0 0 0 0 0
42 Sarung tangan non steril (S) ktk 100 glv 0 0 0 0 0 0
43 Sarung tangan steril pairs 0 0 0 0 0 0
43 Silk 3/0 pcs 68 0 68 20 48 100
44 Urine bag set 37 0 37 3 34 0
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7 0 7 0 7 0
46 Umbilical pcs 0 0 0 0 0 0

UMUM
jumlah kunjungan BPJS KIS UMUM ASKES JUMLAH

Mengetahui Penanggung Jawab Laporan

Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi NORMASARI, Amd. Farm

NIP 19800722 201412 1 003 NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
UPT PUSKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : MARET
NO NAMA OBAT / ALKES SATUAN STOK AWAL
1 2 3 4
1 Alopurinol tablet 100 mg tab 300
2 Alopurinol tablet 300 mg tab 0
3 Albebendazol tablet tab 0
4 Amlodipin tab 5 mg tab 0
5 Amoksisilin kapsul 250 mg kap 0
6 Amoksisilin kaplet 500 mg tab 300
7 Amoksisilin Syrup 250 mg btl 0
8 Aminophyllin inj amp 1
9 Antasida doen tablet kombinasi tab 200
10 Antasida doen syrup tab 0
11 Antalgin 500 mg inj amp 0
12 Anemolat tab 0
13 Antihemorroid suppos suppos 0
14 Asam Ascorbat tab 50 mg tab 2780
15 Asam Traneksamat Inj amp 0
16 Asam Mefenamat tab 0
17 Acyclovir tab 400 mg tab 0
18 Attapulgite (new antides) tab 100
19 Acyclovir cream tube 0
20 Atropin sulfas inj amp 100
21 Atropin sulfat tablet tab 20
22 Azithromicyn Tab tab 50
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0
24 Betahistin tablet tab 0
25 Betametason Krim 0,1 % tube 75
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0
28 Bisoprolol tab 5 mg tab 60
29 Bronsolvon tab tab 1100
30 Catopril 12,5 mg tab 695
32 Catopril 25 mg tab 0
33 Calporisis Tablet tab 0
34 Cyanocobalamin inj amp 0
35 Chlorfeniramine Maleat/CTM tab 570
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0
37 Dexametason inj 5 mg/ml-1ml amp 150
38 Dexametason tablet 0,5 mg tab 0
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290
40 Dimenhidrinate tab 300
41 Diltiazem tab 400
42 Digoksin tablet 0,25 mg tab 0
43 Doksisiklin tab 100 mg tab 0
44 Domperidon tablet 10 mg tab 177
45 Domperidon Sirup btl 248
46 Epinefrin inj 0,1 % - 1ml amp 114
47 Eugenol cairan btl 0
48 Fenitoin tablet 100 mg tab 0
49 Fenobarbital tablet tab 200
50 Fenobarbital inj amp 30
51 Fenol Gliserol Tts Telinga btl 23
52 Fitomenadion (vit K) inj 2 mg amp 140
53 Fitomenadion Tablet tab 400
54 Furosemid injeksi amp 0
55 Furosemid tablet 40 mg tab 500
56 Genoint 0,3 % tube 0
57 Garam oralit sac 1050
Glimepirid tab tab 0
58 Gentamisin inj amp 0
Gliklazid tab 0
59 Glibenklamide tablet tab 400
60 Glukosa lar. Infus 5 % btl 63
61 Glukosa lar. Infus 10 % btl 0
62 Griseofulvin tab 125 mg tab 700
63 Haloperidol 5 mg tab 0
64 Haloperidol 1,5 mg tab 400
65 Hydrochlorothiazide tab 25 mg tab 683
66 Hidrokortison krim 2,5 % tube 38
67 Ibuprofen Sirup btl 11
68 Iliadin dewasa btl 8
69 Iliadin anak btl 8
70 Isosorbid dinitrat SL tab 5 mg tab 0
71 Kalsium Glukonat 10 % ampul 0
72 Kalsium Laktat tab 1100
73 Karbamazepin tab 0
74 Ketorolac inj amp 0
75 Ketokonazol Tablet 200 mg tab 0
76 Ketokonazol SK tube 61
77 Kloramfenicol Capsul 250 mg cap 300
78 Kloramfenicol suspensi 125 mg/5 ml btl 65
79 Kloramfenicol SM tube 0
80 Klorpromazin tab tab 0
81 Kodein tab 10 mg tab 0
82 Kotrimoksazol suspensi btl 111

NO NAMA OBAT / ALKES SATUAN STOK AWAL

1 2 3 8
83 Kotrimoksazol dewasa tab 100 mg tab 1100
84 Klobazam tab 10 mg tab 0
85 Kuinin tab 200 mg tab 0
Kompolax tab 0
86 Lansoprazol Capsul cap 0
87 Lidocain inj amp 70
Magnesium sulfas inj 20 % - 25 ml btl 0
88 Magnesium sulfas inj 40 % - 25 ml btl 0
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 70
90 Metilergometrin maleat tablet tab 855
91 Metilprednisolon Tablet tab 0
92 Metformin HCl tab 500 mg tab 800
93 Metronidazol sirup btl 0
94 Metronidazol Infus btl 0
95 Metoklopramide tab 10 mg tab 600
96 Metoklorpramid Inj amp 0
97 Miconazol Cream tube 156
98 Mikoryn Powder btl 3
99 Molasma tab 2,5 mg tab 0
100 Natrium klorida infus 0,9 % steril btl 110
101 Natrium Diklofenak Tablet tab 0
102 Nistatin Tablet Vaginal tab 650
103 Ofloxacin tab 200 mg tab 50
104 Oksiytetra SM tube 53
105 Oksitosin inj amp 35
106 Omeprazol capsul 20 mg cap 0
107 OTSU-KCL7,46% Kalium Klorida btl 0
108 OTSU-WI Air inj 25 ml btl 0
109 Paracetamol Drip (infus) btl 0
110 Paracetamol tablet 500 mg tab 0
111 Paracetamol drop btl 0
112 Parasetamol sirup 120 mg/5 ml btl 345
113 Perak Sulfadiazin Krim 1 % tube 0
114 Pirantel tablet 125 mg tab 890
115 Pirantel Suspensi 125 mg/5ml btl 0
116 Piridoksin HCl tablet 10 mg tab 400
117 Prednison tab 5 mg tab 400
118 Profolat (Asam Folat) Tab 0,4 mg tab 700
119 Prokain benzil penisilin tab 0
120 Propanolol HCl tablet 10 mg tab 970
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0
123 Quinint tab 0
124 Risperidon 2 mg tab 0
125 Ranitidin inj amp 0
126 Ringer laktat lar infus steril btl 200
127 Salbutamol tab 2 mg btl 1000
128 Salbutamol tab 4 mg tab 0
129 Sefadroksil syr tab 145
Sefixim tab tab 0
130 Sefadroxil Tablet 500 mg tab 0
131 Sefotaxime inj btl 10
132 Seterizine sirup vial 90
133 Seterizine tab 10 mg btl 0
134 Simvastatin tablet 10 mg tab 50
Sianocobalamin inj amp 0
Sianocobalamin tab tab 0
135 Simvastatin tablet 20 mg tab 150
136 Sulfadoksin tab 800
137 Stesolid 5 mg/2,5 mg tube 19
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0
139 Scabimite salf tube 0
140 Synarcus krim tube 23
141 Thiamin tab 50 mg tab 1900
142 Tramadol inj amp 88
143 Triheksipenidil hidroklorida tablet 2 mg tab 0
144 Tetracyclin 500 mg Kapsul 700
145 Ulsafat Syrup btl 25
146 Vitamin B Kompleks tab 3400
147 Zink Tablet tab 740
148 Zink Syrup btl 235
149 Simbicort Resp 0
150 Ambroxol syrp btl 0
151 Diazepam tab 2 mg tab 17
152 Diazepam inj 5mg/ml amp 5
153 Miniaspi tab 700
154 Sodium Volproat Syr btl 68

NO NAMA BMHP SATUAN STOK AWAL

1 2 3 8
1 Alat suntik 1 cc set 100
2 Alat suntik 2,5/ 3 cc set 0
3 Alat suntik 5 cc set 300
4 Aseptic Gel ( Hand Hygene ) btl 18
5 Catgut Chromic 3/0 ( 3 metric) pcs 118
6 Daryant Tulle 1 % pcs 6
7 Etanol 70% 1000 cc btl 11
8 Gelang Nama Pasien Child Blue / Pink pcs 58
9 Gelang Nama Pasien Adult Blue / Pink pcs 69
10 Infuset Dewasa pcs 50
11 Infuset anak pcs 140
12 IV Chateter No. 18 G pcs 40
13 IV Chateter No. 20 G pcs 0
14 IV Chateter No. 22 G pcs 0
15 IV Chateter No. 24 G pcs 199
16 Jarum jahit No.9 12 pcs/bgks 15
17 Jarum jahit No.10 12 pcs/bgks 0
18 Jarum jahit No.11 12 pcs/bgks 0
19 Jarum jahit No.12 12 pcs/bgks 24
20 Kapas bgks 0
21 Kapas Alkohol sac 500
22 Kasa hidrofil 40 y x 80 rol 4
23 Kasa hidrofil 3 yard x 5 cm rol 10
24 Masker kotak 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 4
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 0
29 Nasal Oxigen Canula Adult set 10
30 Nasal Oxigen Canula Child set 13
31 NGT Feeding tube 5 Fr set 11
32 NGT Stomach Tube 16 Fr set 8
33 Nice Care ( Underpad ) pcs 5
34 Plester 1,25 cm rol 0
35 Plester 2 cm rol 13
36 Povidon 30 ml btl 0
37 Povidon 300 ml btl 2
38 Povidon 60 ml btl 35
39 Rivanol/Etakridin btl 123
40 Sarung tangan non steril (L) ktk 100 glv 0
41 Sarung tangan non steril (M) ktk 100 glv 0
42 Sarung tangan non steril (S) ktk 100 glv 0
43 Sarung tangan steril pairs 0
43 Silk 3/0 pcs 48
44 Urine bag set 34
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7
46 Umbilical pcs 0

UMUM
jumlah kunjungan BPJS KIS

Mengetahui
Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi

NIP 19800722 201412 1 003
AIAN DAN PERMINTAAN OBAT
AS RANTAU PANJANG KIRI
UBU BABUSSALAM
TAHUN 2021

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 9
1000 1300 300 1000 0
0 0 0 0 0
0 0 0 0 0
1500 1500 200 1300 0
0 0 0 0 0
5000 5300 1300 4000 0
200 200 50 150 0
0 1 1 0 0
5000 5200 1600 3600 0
200 200 30 170 0
0 0 0 0 0
0 0 0 0 0
100 100 0 100 0
7000 9780 2500 7280 0
0 0 0 0 0
1000 1000 800 200 500
500 500 0 0 0
500 600 50 550 0
0 0 0 0 0
0 100 0 100 0
0 20 0 20 0
0 50 0 50 0
0 0 0 0 0
0 0 0 0 0
0 75 50 25 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 60 0 60 0
0 1100 100 1000 0
0 695 100 595 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
5000 5570 500 5070 0
0 0 0 0 0
240 390 10 380 0
0 0 0 0 0
0 290 0 290 0
0 300 0 300 0
0 400 0 400 0
0 0 0 0 0
0 0 0 0 0
0 177 50 127 0
1000 1248 50 1198 0
200 314 0 314 0
5 5 1 4 0
0 0 0 0 0
0 200 0 200 0
0 30 0 30 0
24 47 7 40 0
60 200 0 200 0
500 900 300 600 0
0 0 0 0 0
0 500 100 400 0
0 0 16 -16 0
0 1050 200 850 0
100 100 100 0 0
0 0 0 0 0
50 50 0 50
1000 1400 100 1300 0
0 63 7 56 0
0 0 0 0 0
1000 1700 200 1500 0
0 0 0 0 0
0 400 0 400 0
0 683 0 683 0
32 70 20 50 0
32 43 5 38 0
0 8 0 8 0
0 8 0 8 0
0 0 0 0 0
24 24 0 24 0
1000 2100 200 1900 0
0 0 0 0 0
100 100 15 85 0
 0 0 0 0 0
50 111 10 101 0
0 300 0 300 0
0 65 0 65 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 311 10 301 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 0
1000 2100 100 2000 0
0 0 0 0 0
0 0 0 0 0
96 96 3 93 0
500 500 200 300 0
0 70 50 20 200
10 10 1 9 0
10 10 1 9 0
0 70 0 70 0
100 955 25 930 0
1000 1000 800 200 1000
0 800 400 400 0
100 100 0 100 0
100 100 0 100 0
1000 1600 150 1450 0
100 100 88 12 0
48 204 20 156 0
0 3 0 3 0
0 0 0 0 0
60 170 30 140 0
2800 2800 500 2300 0
100 750 0 750 0
0 50 0 50 0
48 101 5 96 0
100 135 10 125 0
0 0 0 0 0
0 0 0 0 0
75 75 5 70 0
0 0 0 0 0
5000 5000 3000 2000 0
 0 0 0 0 0
0 345 100 245 0
5 5 1 4 0
0 890 20 870 0
0 0 0 0 0
1000 1400 500 900 0
2000 2400 100 2300 0
0 700 40 660 0
0 0 0 0 0
0 970 0 970 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 200 200 0 100
200 400 400 0 200
1000 2000 100 1900 0
0 0 0 0 0
60 205 3 202 0
150 150 0 150 0
0 0 0 0 0
50 60 25 35 0
50 140 5 135 0
1000 1000 800 200 1000
0 50 0 50 0
100 100 0 100 0
500 500 20 480 0
1000 1150 500 650 0
0 800 0 800 0
25 44 5 39 0
0 0 0 0 0
0 0 0 0 0
0 23 5 18 0
0 1900 500 1400 0
0 88 0 88 0
0 0 610 -610 0
0 700 100 600 0
50 75 50 25 0
0 3400 3000 400 0
0 740 200 540 0
0 235 5 230 0
0 0 0 0 0
0 0 0 0 0
 0 17 0 17 0
0 5 0 5 0
0 700 30 670 0
0 68 62 6 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 9
500 600 70 530 0
500 500 300 200 0
500 800 100 700 0
24 42 8 34 0
24 142 20 122 0
0 6 5 1 0
0 11 5 5 0
0 58 0 58 0
0 69 0 69 0
200 250 120 130 0
0 140 10 130 0
0 40 0 40 0
0 0 0 0 100
200 200 75 125 0
0 199 25 174 0
0 15 0 15 0
0 0 0 0 0
0 0 0 0 0
0 24 0 24 0
20 20 3 17 0
0 500 0 500 0
0 4 3 1 0
0 10 0 10 0
0 0 0 0 0
0 0 0 0 0
0 28 0 28 0
0 4 0 4 0
0 0 0 0 0
0 10 0 10 0
0 13 0 13 0
0 11 0 11 0
0 8 0 8 0
0 5 5 0 0
0 0 0 0 0
0 13 12 1 0
 0 0 0 0 0
0 2 0 2 0
0 35 5 30 0
0 123 5 118 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
144 192 20 172 0
0 34 3 31 0
0 7 0 7 0
0 0 0 0 0

UMUM
UMUM ASKES JUMLAH

Penanggung Jawab Laporan

NORMASARI, Amd. Farm

NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAA
UPT PUSKESMAS RANTAU PANJANG
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : APRIL
NO NAMA OBAT / ALKES SATUAN STOK AWAL
1 2 3 4
1 Alopurinol tablet 100 mg tab 1000
2 Alopurinol tablet 300 mg tab 0
3 Albebendazol tablet tab 0
4 Amlodipin tab 5 mg tab 1300
5 Amoksisilin kapsul 250 mg kap 0
6 Amoksisilin kaplet 500 mg tab 4000
7 Amoksisilin Syrup 250 mg btl 150
8 Aminophyllin inj amp 0
9 Antasida doen tablet kombinasi tab 3600
10 Antasida doen syrup tab 170
11 Antalgin 500 mg inj amp 0
12 Anemolat tab 0
13 Antihemorroid suppos suppos 100
14 Asam Ascorbat tab 50 mg tab 7280
15 Asam Traneksamat Inj amp 0
16 Asam Mefenamat tab 200
17 Acyclovir tab 400 mg tab 0
18 Attapulgite (new antides) tab 550
19 Acyclovir cream tube 0
20 Atropin sulfas inj amp 100
21 Atropin sulfat tablet tab 20
22 Azithromicyn Tab tab 50
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0
24 Betahistin tablet tab 0
25 Betametason Krim 0,1 % tube 25
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0
28 Bisoprolol tab 5 mg tab 60
29 Bronsolvon tab tab 1000
30 Catopril 12,5 mg tab 595
32 Catopril 25 mg tab 0
33 Calporisis Tablet tab 0
34 Cyanocobalamin inj amp 0
35 Chlorfeniramine Maleat/CTM tab 5070
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0
37 Dexametason inj 5 mg/ml-1ml amp 380
38 Dexametason tablet 0,5 mg tab 0
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290
40 Dimenhidrinate tab 300
41 Diltiazem tab 400
42 Digoksin tablet 0,25 mg tab 0
43 Doksisiklin tab 100 mg tab 0
44 Domperidon tablet 10 mg tab 1198
45 Domperidon Sirup btl 127
46 Epinefrin inj 0,1 % - 1ml amp 314
47 Eugenol cairan btl 4
48 Fenitoin tablet 100 mg tab 0
49 Fenobarbital tablet tab 200
50 Fenobarbital inj amp 30
51 Fenol Gliserol Tts Telinga btl 40
52 Fitomenadion (vit K) inj 2 mg amp 200
53 Fitomenadion Tablet tab 600
54 Furosemid injeksi amp 0
55 Furosemid tablet 40 mg tab 1400
56 Genoint 0,3 % tube 0
57 Garam oralit sac 850
Glimepirid tab tab 0
58 Gentamisin inj amp 0
Gliklazid tab 50
59 Glibenklamide tablet tab 1300
60 Glukosa lar. Infus 5 % btl 56
61 Glukosa lar. Infus 10 % btl 0
62 Griseofulvin tab 125 mg tab 1500
63 Haloperidol 5 mg tab 0
64 Haloperidol 1,5 mg tab 400
65 Hydrochlorothiazide tab 25 mg tab 683
66 Hidrokortison krim 2,5 % tube 50
67 Ibuprofen Sirup btl 38
68 Iliadin dewasa btl 8
69 Iliadin anak btl 8
70 Isosorbid dinitrat SL tab 5 mg tab 0
71 Kalsium Glukonat 10 % ampul 24
72 Kalsium Laktat tab 1900
73 Karbamazepin tab 0
74 Ketorolac inj amp 85
75 Ketokonazol Tablet 200 mg tab 0
76 Ketokonazol SK tube 101
77 Kloramfenicol Capsul 250 mg cap 300
78 Kloramfenicol suspensi 125 mg/5 ml btl 65
79 Kloramfenicol SM tube 0
80 Klorpromazin tab tab 0
81 Kodein tab 10 mg tab 0
82 Kotrimoksazol suspensi btl 301

NO NAMA OBAT / ALKES SATUAN STOK AWAL

1 2 3 8
83 Kotrimoksazol dewasa tab 100 mg tab 2000
84 Klobazam tab 10 mg tab 0
85 Kuinin tab 200 mg tab 0
Kompolax tab 93
86 Lansoprazol Capsul cap 300
87 Lidocain inj amp 20
Magnesium sulfas inj 20 % - 25 ml btl 9
88 Magnesium sulfas inj 40 % - 25 ml btl 9
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 70
90 Metilergometrin maleat tablet tab 930
91 Metilprednisolon Tablet tab 200
92 Metformin HCl tab 500 mg tab 400
93 Metronidazol sirup btl 100
94 Metronidazol Infus btl 100
95 Metoklopramide tab 10 mg tab 1450
96 Metoklorpramid Inj amp 12
97 Miconazol Cream tube 156
98 Mikoryn Powder btl 3
99 Molasma tab 2,5 mg tab 0
100 Natrium klorida infus 0,9 % steril btl 140
101 Natrium Diklofenak Tablet tab 2300
102 Nistatin Tablet Vaginal tab 750
103 Ofloxacin tab 200 mg tab 50
104 Oksiytetra SM tube 96
105 Oksitosin inj amp 125
106 Omeprazol capsul 20 mg cap 0
107 OTSU-KCL7,46% Kalium Klorida btl 0
108 OTSU-WI Air inj 25 ml btl 70
109 Paracetamol Drip (infus) btl 0
110 Paracetamol tablet 500 mg tab 2000
111 Paracetamol drop btl 0
112 Parasetamol sirup 120 mg/5 ml btl 245
113 Perak Sulfadiazin Krim 1 % tube 4
114 Pirantel tablet 125 mg tab 870
115 Pirantel Suspensi 125 mg/5ml btl 0
116 Piridoksin HCl tablet 10 mg tab 900
117 Prednison tab 5 mg tab 2300
118 Profolat (Asam Folat) Tab 0,4 mg tab 660
119 Prokain benzil penisilin tab 0
120 Propanolol HCl tablet 10 mg tab 970
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0
123 Quinint tab 0
124 Risperidon 2 mg tab 0
125 Ranitidin inj amp 0
126 Ringer laktat lar infus steril btl 0
127 Salbutamol tab 2 mg btl 1900
128 Salbutamol tab 4 mg tab 0
129 Sefadroksil syr tab 202
Sefixim tab tab 150
130 Sefadroxil Tablet 500 mg tab 0
131 Sefotaxime inj btl 35
132 Seterizine sirup vial 135
133 Seterizine tab 10 mg btl 200
134 Simvastatin tablet 10 mg tab 50
Sianocobalamin inj amp 100
Sianocobalamin tab tab 480
135 Simvastatin tablet 20 mg tab 650
136 Sulfadoksin tab 800
137 Stesolid 5 mg/2,5 mg tube 39
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0
139 Scabimite salf tube 0
140 Synarcus krim tube 18
141 Thiamin tab 50 mg tab 1400
142 Tramadol inj amp 88
143 Triheksipenidil hidroklorida tablet 2 mg tab 1000
144 Tetracyclin 500 mg Kapsul 600
145 Ulsafat Syrup btl 25
146 Vitamin B Kompleks tab 400
147 Zink Tablet tab 540
148 Zink Syrup btl 230
149 Simbicort Resp 0
150 Ambroxol syrp btl 0
151 Diazepam tab 2 mg tab 17
152 Diazepam inj 5mg/ml amp 5
153 Miniaspi tab 670
154 Tablet Tambah Darah Tab 0
155 Sodium Volproat Syr btl 6

NO NAMA BMHP SATUAN STOK AWAL

1 2 3 8
1 Alat suntik 1 cc set 530
2 Alat suntik 2,5/ 3 cc set 200
3 Alat suntik 5 cc set 700
4 Aseptic Gel ( Hand Hygene ) btl 34
5 Catgut Chromic 3/0 ( 3 metric) pcs 122
6 Daryant Tulle 1 % pcs 1
7 Etanol 70% 1000 cc btl 0
8 Gelang Nama Pasien Child Blue / Pink pcs 58
9 Gelang Nama Pasien Adult Blue / Pink pcs 69
10 Infuset Dewasa pcs 130
11 Infuset anak pcs 130
12 IV Chateter No. 18 G pcs 40
13 IV Chateter No. 20 G pcs 0
14 IV Chateter No. 22 G pcs 125
15 IV Chateter No. 24 G pcs 174
16 Jarum jahit No.9 12 pcs/bgks 15
17 Jarum jahit No.10 12 pcs/bgks 0
18 Jarum jahit No.11 12 pcs/bgks 0
19 Jarum jahit No.12 12 pcs/bgks 24
20 Kapas bgks 17
21 Kapas Alkohol sac 500
22 Kasa hidrofil 40 y x 80 rol 1
23 Kasa hidrofil 3 yard x 5 cm rol 10
24 Masker kotak 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 4
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 0
29 Nasal Oxigen Canula Adult set 10
30 Nasal Oxigen Canula Child set 13
31 NGT Feeding tube 5 Fr set 11
32 NGT Stomach Tube 16 Fr set 8
33 Nice Care ( Underpad ) pcs 10
34 Plester 1,25 cm rol 0
35 Plester 2 cm rol 1
36 Povidon 30 ml btl 0
37 Povidon 300 ml btl 24
38 Povidon 60 ml btl 60
39 Rivanol/Etakridin btl 118
40 Sarung tangan non steril (L) ktk 100 glv 0
41 Sarung tangan non steril (M) ktk 100 glv 0
42 Sarung tangan non steril (S) ktk 100 glv 0
43 Sarung tangan steril pairs 0
43 Silk 3/0 pcs 172
44 Urine bag set 31
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7
46 Umbilical pcs 0

UMUM
jumlah kunjungan BPJS KIS

Mengetahui
Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi

NIP 19800722 201412 1 003
PEMAKAIAN DAN PERMINTAAN OBAT
USKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET

5 6 7 8 9 10
0 1000 500 500 1000
0 0 0 0 0
0 0 0 0 0
0 1300 400 900 1000 exp MEI 21
0 0 0 0 2000
0 4000 1500 2500 2000
0 150 30 120 0
0 0 0 0 100
0 3600 1900 1700 3500
0 170 25 145 0
0 0 0 0 100
0 0 0 0 0
0 100 10 90 0
0 7280 2000 5280 3000 exp MEI 21
0 0 0 0 100
1000 1200 400 800 500
0 0 0 0 0
0 550 50 500 0
0 0 0 0 0
0 100 0 100 0 exp juni 20
0 20 0 20 0
0 50 30 20 100
0 0 0 0 0
0 0 0 0 0
0 25 5 20 100
0 0 0 0 0 EXP APR 20
0 0 0 0 0 exp juli 20
0 0 0 0 0
0 60 60 0 1000
0 1000 0 1000 1000 EXP APR 21
0 595 100 495 0
0 0 0 0 1000
0 0 0 0 0
 0 0 0 0 0
0 5070 1000 4070 0
0 0 0 0 50
0 380 60 320 0
0 0 0 0 1000
0 290 0 290 0
0 300 100 200 0
0 400 0 400 0
0 0 0 0 1000
0 0 0 0 1000
0 1198 120 1078 0
0 127 10 117 0
0 314 10 304 0
0 4 0 4 0
0 0 0 0 0
0 200 0 200 0
0 30 0 30 0
0 40 40 0 100
0 200 30 170 0
0 600 50 550 0
0 0 0 0 100
0 1400 200 1200 0
0 0 0 0 0
0 850 200 650 0
0 0 0 0 1000
0 0 0 0 0
0 50 0 50 0
0 1300 500 800 0
0 56 5 51 0
0 0 0 0 0
0 1500 500 1000 0
1000 1000 0 1000 0
0 400 0 400 0
0 683 0 683 0
0 50 15 35 100
0 38 2 36 0
0 8 0 8 0
0 8 0 8 0
0 0 0 0 1000
0 24 0 24 0
0 1900 200 1700 0
0 0 0 0 0
0 85 53 32 100
 0 0 0 0 1000
0 101 15 86 0
0 300 200 100 1000
0 65 0 65 0
0 0 0 0 50
0 0 0 0 1000
0 0 0 0 500
0 301 20 281 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET

5 6 7 8 0 10
0 2000 400 1600 0
0 0 0 0 0
0 0 0 0 0
0 93 5 88 0
0 300 210 90 3000
60 80 20 60 200
0 9 0 9 0
0 9 0 9 0
0 70 40 110 100
0 930 25 905 0
0 200 200 0 2000
0 400 400 200 1000
0 100 0 100 0
0 100 0 100 50
0 1450 500 950 0
0 12 12 0 100
0 156 30 186 0
0 3 0 3 0
0 0 0 0 0
0 140 70 70 120
0 2300 500 1800 0
0 750 100 650 0
0 50 0 50 0
0 96 20 76 0
0 125 30 95 0
0 0 0 0 1000
0 0 0 0 0
0 70 35 35 100
0 0 0 0 0
0 2000 1300 700 4000
 0 0 0 0 100
0 245 70 175 0
0 4 0 4 0
0 870 50 820 0
0 0 0 0 0
0 900 400 500 3000 EXP APR 21
0 2300 500 1800 0
0 660 0 660 0
0 0 0 0 0
0 970 370 600 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100 100 100 0 300
100 100 100 0 300
0 1900 700 1200 0
0 0 0 0 0
0 202 0 202 0
0 150 60 90 0
0 0 0 0 1000
0 35 10 25 50
0 135 6 129 0
0 200 200 0 2000
0 50 30 20 1000
0 100 70 30 0
0 480 200 280 0
0 650 500 150 0
0 800 0 800 0
0 39 10 29 0
0 0 0 0 50
0 0 0 0 50
0 18 18 0 50
0 1400 300 1100 0
0 88 0 88 100 EXP MARET 21
0 1000 200 800 0
0 600 100 500 0
0 25 5 20 0
0 400 400 0 3000
0 540 0 540 0
0 230 10 220 0
0 0 0 0 0
0 0 0 0 100
 0 17 0 17 0
0 5 0 5 0
0 670 30 640 0
0 0 0 0 10000
0 6 6 0 100

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET

5 6 7 8 9 10
0 530 150 380 0 0
100 300 200 100 500 0
0 700 300 400 0 0
0 34 5 29 0 0
0 122 5 117 0 0
0 1 1 0 20 0
0 0 0 0 10 0
0 58 0 58 0 0
0 69 0 69 0 0
0 130 50 80 200 0
0 130 15 115 0 0
0 40 5 35 0 0
50 50 20 30 150 0
0 125 75 50 150 0
0 174 20 154 0 0
0 15 0 15 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 24 0 24 0 0
0 17 2 15 0 0
0 500 300 200 0 0
0 1 0 1 0 0
0 10 7 3 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 28 0 28 0 0
0 4 1 3 10 0
0 0 0 0 10 0
0 10 0 10 0 0
0 13 0 13 0 0
0 11 0 11 0 0
0 8 0 8 0 0
0 10 3 7 20 0
 0 0 0 0 0 0
24 25 8 17 100 0
0 0 0 0 0 0
0 24 0 24 0 0
0 60 0 60 0 0
0 118 5 113 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 172 0 172 0 0
0 31 0 31 0 0
0 7 0 7 0 0
0 0 0 0 0 0

UMUM
UMUM ASKES JUMLAH

Penanggung Jawab Laporan

NORMASARI, Amd. Farm

NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
UPT PUSKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : MEI
NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 4 5 6 7 8 9 10
1 Alopurinol tablet 100 mg tab 500 1000 1500 300 1200 0
2 Alopurinol tablet 300 mg tab 0 0 0 0 0 0
3 Albebendazol tablet tab 0 0 0 0 0 0
4 Amlodipin tab 5 mg tab 0 900 900 500 400 2000
5 Amoksisilin kapsul 250 mg kap 0 0 0 0 0 0
6 Amoksisilin kaplet 500 mg tab 2500 2000 4500 2900 1600 2000
7 Amoksisilin Syrup 250 mg btl 120 0 120 20 100 200
8 Aminophyllin inj amp 0 24 0 0 0 0
9 Antasida doen tablet kombinasi tab 1700 3500 5200 2700 2500 2000
10 Antasida doen syrup tab 145 0 145 30 115 100
11 Antalgin 500 mg inj amp 0 0 0 0 0 0
12 Anemolat tab 0 0 0 0 0 0
13 Antihemorroid suppos suppos 90 0 90 5 85 0
14 Asam Ascorbat tab 50 mg tab 5280 4000 9280 3000 6280 2000 exp juni 21
15 Asam Traneksamat Inj amp 0 0 0 0 0 0
16 Asam Mefenamat tab 800 500 1300 680 620 1000
17 Acyclovir tab 400 mg tab 0 0 0 0 0 0
18 Attapulgite (new antides) tab 500 0 500 200 300 1000
19 Acyclovir cream tube 0 0 0 0 0 100
20 Atropin sulfas inj amp 100 0 100 0 100 0 exp juni 20
21 Atropin sulfat tablet tab 20 0 20 0 20 0
22 Azithromicyn Tab tab 20 200 200 120 80 0
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0 0 0 0 0 0
24 Betahistin tablet tab 0 0 0 0 0 0
25 Betametason Krim 0,1 % tube 20 100 120 18 102 0
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0 0 0 0 0 0 EXP APR 20
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0 0 0 0 0 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0 0 0 0 0 0
28 Bisoprolol tab 5 mg tab 0 0 0 0 0 1000
29 Bronsolvon tab tab 1000 0 1000 0 1000 1000 EXP APR 21
30 Catopril 12,5 mg tab 495 1000 1495 100 1395 0
32 Catopril 25 mg tab 0 0 0 0 0 0
33 Calporisis Tablet tab 0 0 0 0 0 0
34 Cyanocobalamin inj amp 0 0 0 0 0 0
35 Chlorfeniramine Maleat/CTM tab 4070 0 4070 650 3420 0
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0 0 0 0 0 0
37 Dexametason inj 5 mg/ml-1ml amp 320 0 320 30 290 100 exp juni 21
38 Dexametason tablet 0,5 mg tab 0 0 0 0 0 2000
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290 0 290 0 290 0
40 Dimenhidrinate tab 200 0 200 0 200 0
41 Diltiazem tab 400 0 400 0 400 0
42 Digoksin tablet 0,25 mg tab 0 0 0 0 0 1000
43 Doksisiklin tab 100 mg tab 0 0 0 0 0 1000
44 Domperidon tablet 10 mg tab 1078 0 1078 100 978 0
45 Domperidon Sirup btl 117 0 117 5 112 0
46 Epinefrin inj 0,1 % - 1ml amp 304 0 304 0 304 0
47 Eugenol cairan btl 4 0 4 0 4 0
48 Fenitoin tablet 100 mg tab 0 0 0 0 0 0
49 Fenobarbital tablet tab 200 0 200 0 200 0
50 Fenobarbital inj amp 30 0 30 0 30 0
51 Fenol Gliserol Tts Telinga btl 0 48 48 10 38 0
52 Fitomenadion (vit K) inj 2 mg amp 170 0 170 0 170 0
53 Fitomenadion Tablet tab 550 0 550 250 300 500
54 Furosemid injeksi amp 0 0 0 0 0 100
55 Furosemid tablet 40 mg tab 1200 0 1200 0 1200 1000 exp juni 21
56 Genoint 0,3 % tube 0 0 0 0 0 0
57 Garam oralit sac 650 0 650 50 600 0
Glimepirid tab tab 0 1000 1000 100 900 0
58 Gentamisin inj amp 0 0 0 0 0 0
Gliklazid tab 50 0 50 0 50 0
59 Glibenklamide tablet tab 800 0 800 500 300 2000
60 Glukosa lar. Infus 5 % btl 51 0 51 5 46 0
61 Glukosa lar. Infus 10 % btl 0 0 0 0 0 0
62 Griseofulvin tab 125 mg tab 1000 0 1000 100 900 0
63 Haloperidol 5 mg tab 1000 0 1000 200 800 0
64 Haloperidol 1,5 mg tab 0 0 0 0 0 0
65 Hydrochlorothiazide tab 25 mg tab 683 0 683 0 683 0
66 Hidrokortison krim 2,5 % tube 35 48 83 10 73 0
67 Ibuprofen Sirup btl 36 0 36 5 31 0
68 Iliadin dewasa btl 8 0 8 0 8 0
69 Iliadin anak btl 8 0 8 0 8 0
70 Isosorbid dinitrat SL tab 5 mg tab 0 0 0 0 0 1000
71 Kalsium Glukonat 10 % ampul 24 0 24 0 24 0
72 Kalsium Laktat tab 1700 0 1700 200 1500 0
73 Karbamazepin tab 0 0 0 0 0 0
74 Ketorolac inj amp 32 100 132 10 122 0
75 Ketokonazol Tablet 200 mg tab 0 0 0 0 0 1000
76 Ketokonazol SK tube 86 0 86 15 71 0
77 Kloramfenicol Capsul 250 mg cap 100 1000 1100 50 1050 0
78 Kloramfenicol suspensi 125 mg/5 ml btl 65 0 65 0 65 0
79 Kloramfenicol SM tube 0 0 0 0 0 0
80 Klorpromazin tab tab 0 0 0 0 0 0
81 Kodein tab 10 mg tab 0 0 0 0 0 0
82 Kotrimoksazol suspensi btl 281 0 281 10 271 0

NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 8 5 6 7 8 0 10
83 Kotrimoksazol dewasa tab 100 mg tab 1500 0 1500 100 1400 0
84 Klobazam tab 10 mg tab 0 0 0 0 0 0
85 Kuinin tab 200 mg tab 0 0 0 0 0 0
Kompolax tab 85 0 85 3 82 0
86 Lansoprazol Capsul cap -330 500 170 420 -250 2000
87 Lidocain inj amp 40 180 220 20 200 0
Magnesium sulfas inj 20 % - 25 ml btl 9 0 9 0 9 0
88 Magnesium sulfas inj 40 % - 25 ml btl 9 0 9 0 9 0
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 50 0 50 60 50 100
90 Metilergometrin maleat tablet tab 905 0 905 0 905 0
91 Metilprednisolon Tablet tab -900 2000 1100 900 200 0
92 Metformin HCl tab 500 mg tab 200 900 1100 100 1000 0
93 Metronidazol sirup btl 100 0 100 0 100 0
94 Metronidazol Infus btl 100 0 100 0 100 0
95 Metoklopramide tab 10 mg tab 850 0 850 100 750 0
96 Metoklorpramid Inj amp -20 100 80 20 60 0
97 Miconazol Cream tube 216 0 216 30 246 0
98 Mikoryn Powder btl 3 0 3 0 3 0
99 Molasma tab 2,5 mg tab 0 0 0 0 0 0
100 Natrium klorida infus 0,9 % steril btl -180 380 200 250 -50 0
101 Natrium Diklofenak Tablet tab 1000 0 1000 800 200 0
102 Nistatin Tablet Vaginal tab 550 0 550 100 450 0
103 Ofloxacin tab 200 mg tab 50 0 50 0 50 0
104 Oksiytetra SM tube 76 0 76 0 76 0
105 Oksitosin inj amp 85 0 85 10 75 0
106 Omeprazol capsul 20 mg cap 0 0 0 0 0 1000
107 OTSU-KCL7,46% Kalium Klorida btl 0 0 0 0 0 0
108 OTSU-WI Air inj 25 ml btl -10 100 90 45 45 0
109 Paracetamol Drip (infus) btl 0 0 0 0 0 0
110 Paracetamol tablet 500 mg tab 3700 4000 7700 4000 3700 4000
111 Paracetamol drop btl 0 0 0 0 0 100
112 Parasetamol sirup 120 mg/5 ml btl 255 0 255 20 235 100
113 Perak Sulfadiazin Krim 1 % tube 4 0 4 0 4 0
114 Pirantel tablet 125 mg tab 770 0 770 50 720 0
115 Pirantel Suspensi 125 mg/5ml btl 0 0 0 0 0 0
116 Piridoksin HCl tablet 10 mg tab 500 3000 3500 300 3200 0
117 Prednison tab 5 mg tab 1300 0 1300 500 800 0
118 Profolat (Asam Folat) Tab 0,4 mg tab 560 0 560 0 560 0
119 Prokain benzil penisilin tab 0 0 0 0 0 0
120 Propanolol HCl tablet 10 mg tab 500 0 500 0 500 0
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0 0 0 0 0 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0 0 0 0 0 0
123 Quinint tab 0 0 0 0 0 0
124 Risperidon 2 mg tab 0 0 0 0 0 0
125 Ranitidin inj amp 0 0 0 0 0 0
126 Ringer laktat lar infus steril btl 80 500 580 370 210 200
127 Salbutamol tab 2 mg btl 1000 0 1000 0 1000 0
128 Salbutamol tab 4 mg tab 0 0 0 0 0 0
129 Sefadroksil syr tab 202 0 202 0 202 0
Sefixim tab tab 70 0 70 20 50 0
130 Sefadroxil Tablet 500 mg tab 0 0 0 0 0 1000
seftriaxone inj vial 0 40 40 40 0 100
131 Sefotaxime inj vial 90 50 140 35 105 100
132 Seterizine sirup btl 124 0 124 5 119 0
133 Seterizine tab 10 mg btl -900 2000 1100 900 200 0
134 Simvastatin tablet 10 mg tab 0 0 0 20 -20 0
Sianocobalamin inj amp -20 200 180 50 130 0
Sianocobalamin tab tab 180 1000 1180 100 1080 0
135 Simvastatin tablet 20 mg tab 1900 1000 2900 250 2650 2000
136 Sulfadoksin tab 800 0 800 0 800 0
137 Stesolid 5 mg/2,5 mg tube 21 0 21 8 13 0
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0 0 0 0 0 100
139 Scabimite salf tube 0 0 0 0 0 50
140 Synarcus krim tube -2 50 48 2 46 0
141 Thiamin tab 50 mg tab 800 0 800 300 500 0
142 Tramadol inj amp 88 0 88 0 88 50 EXP MARET 21
143 Triheksipenidil hidroklorida tablet 2 mg tab 600 0 600 200 400 0
144 Tetracyclin 500 mg Kapsul 500 0 500 0 500 0
145 Ulsafat Syrup btl 15 0 15 5 10 0
146 Vitamin B Kompleks tab -200 3000 2800 1200 1600 1000
147 Zink Tablet tab 540 0 540 0 540 1000 exp juli 20
148 Zink Syrup btl 220 0 220 0 220 0
149 Simbicort Resp 0 0 0 0 0 0
150 Ambroxol syrp btl 0 0 0 0 0 100
151 Diazepam tab 2 mg tab 17 0 17 0 17 0
152 Diazepam inj 5mg/ml amp 0 20 20 0 20 0
153 Miniaspi tab 590 0 590 50 540 0
154 Tablet Tambah Darah Tab 0 0 0 0 0 0
155 Sodium Volproat Syr btl 0 0 0 0 0 0

NO NAMA BMHP SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 8 5 6 7 8 9 10
1 Alat suntik 1 cc set 380 0 380 150 230 100 0
2 Alat suntik 2,5/ 3 cc set 100 700 800 500 300 200 0
3 Alat suntik 5 cc set 400 0 400 200 200 200 0
4 Aseptic Gel ( Hand Hygene ) btl 29 0 29 7 22 0 0
5 Catgut Chromic 3/0 ( 3 metric) pcs 117 0 117 10 107 0 0
6 Daryant Tulle 1 % pcs 0 0 0 0 0 0 0
7 Etanol 70% 1000 cc btl 0 10 0 3 0 0 0
8 Gelang Nama Pasien Child Blue / Pink pcs 58 0 58 0 58 0 0
9 Gelang Nama Pasien Adult Blue / Pink pcs 69 0 69 0 69 0 0
10 Infuset Dewasa pcs 80 350 430 50 380 0 0
11 Infuset anak pcs 115 0 115 20 95 0 0
12 IV Chateter No. 18 G pcs 35 0 35 10 25 0 0
13 IV Chateter No. 20 G pcs 30 150 180 50 130 100 0
14 IV Chateter No. 22 G pcs 50 200 250 120 130 100 0
15 IV Chateter No. 24 G pcs 154 0 154 35 119 0 0
16 Jarum jahit No.9 12 pcs/bgks 15 0 15 0 15 0 0
17 Jarum jahit No.10 12 pcs/bgks 0 0 0 0 0 0 0
18 Jarum jahit No.11 12 pcs/bgks 0 0 0 0 0 0 0
19 Jarum jahit No.12 12 pcs/bgks 24 0 24 0 24 0 0
20 Kapas bgks 15 0 15 8 7 100 0
21 Kapas Alkohol sac 200 0 200 200 0 100 0
22 Kasa hidrofil 40 y x 80 rol 1 0 1 1 0 10 0
23 Kasa hidrofil 3 yard x 5 cm rol 3 0 3 3 0 10 0
24 Masker kotak 0 0 0 0 0 10 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0 0 0 0 0 0 0
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28 0 28 0 28 0 0
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 3 10 13 1 12 0 0
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 0 10 10 0 10 0 0
29 Nasal Oxigen Canula Adult set 10 0 10 0 10 50 0
30 Nasal Oxigen Canula Child set 13 0 13 0 13 0 0
31 NGT Feeding tube 5 Fr set 11 0 11 0 11 0 0
32 NGT Stomach Tube 16 Fr set 8 0 8 0 8 0 0
33 Nice Care ( Underpad ) pcs 7 0 7 0 7 0 0
34 Plester 1,25 cm rol 0 0 0 0 0 0 0
35 Plester 2 cm rol 17 60 77 20 57 50 0
36 Povidon 30 ml btl 0 0 0 0 0 0 0
37 Povidon 300 ml btl 24 0 24 0 24 50 0
38 Povidon 60 ml btl 60 0 60 0 60 50 0
39 Rivanol/Etakridin btl 113 0 113 7 106 0 0
40 Sarung tangan non steril (L) ktk 100 glv 0 0 0 0 0 0 0
41 Sarung tangan non steril (M) ktk 100 glv 0 0 0 0 0 0 0
42 Sarung tangan non steril (S) ktk 100 glv 0 0 0 0 0 0 0
43 Sarung tangan steril pairs 0 0 0 0 0 0 0
43 Silk 3/0 pcs 172 0 172 0 172 0 0
44 Urine bag set 31 0 31 0 31 0 0
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7 0 7 0 7 0 0
46 Umbilical pcs 0 0 0 0 0 0 0

UMUM
jumlah kunjungan BPJS KIS UMUM ASKES JUMLAH

Mengetahui Penanggung Jawab Laporan

Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi NORMASARI, Amd. Farm

NIP 19800722 201412 1 003 NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
UPT PUSKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : JUNI
NO NAMA OBAT / ALKES SATUAN STOK AWAL
1 2 3 4
1 Alopurinol tablet 100 mg tab 1200
2 Alopurinol tablet 300 mg tab 0
3 Albebendazol tablet tab 0
4 Amlodipin tab 5 mg tab 400
5 Amoksisilin kapsul 250 mg kap 0
6 Amoksisilin kaplet 500 mg tab 1600
7 Amoksisilin Syrup 250 mg btl 100
8 Aminophyllin inj amp 0
9 Antasida doen tablet kombinasi tab 2500
10 Antasida doen syrup tab 115
11 Antalgin 500 mg inj amp 0
12 Anemolat tab 0
13 Antihemorroid suppos suppos 85
14 Asam Ascorbat tab 50 mg tab 0
15 Asam Traneksamat Inj amp 0
16 Asam Mefenamat tab 620
17 Acyclovir tab 400 mg tab 0
18 Attapulgite (new antides) tab 300
19 Acyclovir cream tube 0
20 Atropin sulfas inj amp 100
21 Atropin sulfat tablet tab 20
22 Azithromicyn Tab tab 80
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0
24 Betahistin tablet tab 0
25 Betametason Krim 0,1 % tube 102
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0
28 Bisoprolol tab 5 mg tab 0
29 Bronsolvon tab tab 1000
30 Catopril 12,5 mg tab 1395
32 Catopril 25 mg tab 0
33 Calporisis Tablet tab 0
34 Cyanocobalamin inj amp 0
35 Chlorfeniramine Maleat/CTM tab 3420
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0
37 Dexametason inj 5 mg/ml-1ml amp 290
38 Dexametason tablet 0,5 mg tab 0
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290
40 Dimenhidrinate tab 200
41 Diltiazem tab 400
42 Digoksin tablet 0,25 mg tab 0
43 Doksisiklin tab 100 mg tab 0
44 Domperidon tablet 10 mg tab 978
45 Domperidon Sirup btl 112
46 Epinefrin inj 0,1 % - 1ml amp 304
47 Eugenol cairan btl 4
48 Fenitoin tablet 100 mg tab 0
49 Fenobarbital tablet tab 200
50 Fenobarbital inj amp 30
51 Fenol Gliserol Tts Telinga btl 38
52 Fitomenadion (vit K) inj 2 mg amp 170
53 Fitomenadion Tablet tab 300
54 Furosemid injeksi amp 0
55 Furosemid tablet 40 mg tab 1200
56 Genoint 0,3 % tube 0
57 Garam oralit sac 600
Glimepirid tab tab 900
58 Gentamisin inj amp 0
Gliklazid tab 50
59 Glibenklamide tablet tab 300
60 Glukosa lar. Infus 5 % btl 46
61 Glukosa lar. Infus 10 % btl 0
62 Griseofulvin tab 125 mg tab 900
63 Haloperidol 5 mg tab 800
64 Haloperidol 1,5 mg tab 0
65 Hydrochlorothiazide tab 25 mg tab 683
66 Hidrokortison krim 2,5 % tube 73
67 Ibuprofen Sirup btl 31
68 Iliadin dewasa btl 8
69 Iliadin anak btl 8
70 Isosorbid dinitrat SL tab 5 mg tab 0
71 Kalsium Glukonat 10 % ampul 24
72 Kalsium Laktat tab 1500
73 Karbamazepin tab 0
74 Ketorolac inj amp 122
75 Ketokonazol Tablet 200 mg tab 0
76 Ketokonazol SK tube 71
77 Kloramfenicol Capsul 250 mg cap 1050
78 Kloramfenicol suspensi 125 mg/5 ml btl 65
79 Kloramfenicol SM tube 0
80 Klorpromazin tab tab 0
81 Kodein tab 10 mg tab 0
82 Kotrimoksazol suspensi btl 271

NO NAMA OBAT / ALKES SATUAN STOK AWAL

1 2 3 8
83 Kotrimoksazol dewasa tab 100 mg tab 1600
84 Klobazam tab 10 mg tab 0
85 Kuinin tab 200 mg tab 0
Kompolax tab 88
86 Lansoprazol Capsul cap 90
87 Lidocain inj amp 60
Magnesium sulfas inj 20 % - 25 ml btl 9
88 Magnesium sulfas inj 40 % - 25 ml btl 9
89 Metilergometrin maleat inj 0,2 mg - 1 ml amp 110
90 Metilergometrin maleat tablet tab 905
91 Metilprednisolon Tablet tab 0
92 Metformin HCl tab 500 mg tab 1000
93 Metronidazol sirup btl 100
94 Metronidazol Infus btl 100
95 Metoklopramide tab 10 mg tab 950
96 Metoklorpramid Inj amp 0
97 Miconazol Cream tube 186
98 Mikoryn Powder btl 3
99 Molasma tab 2,5 mg tab 0
100 Natrium klorida infus 0,9 % steril btl 70
101 Natrium Diklofenak Tablet tab 1800
102 Nistatin Tablet Vaginal tab 650
103 Ofloxacin tab 200 mg tab 50
104 Oksiytetra SM tube 76
105 Oksitosin inj amp 95
106 Omeprazol capsul 20 mg cap 0
107 OTSU-KCL7,46% Kalium Klorida btl 0
108 OTSU-WI Air inj 25 ml btl 35
109 Paracetamol Drip (infus) btl 0
110 Paracetamol tablet 500 mg tab 700
111 Paracetamol drop btl 0
112 Parasetamol sirup 120 mg/5 ml btl 175
113 Perak Sulfadiazin Krim 1 % tube 4
114 Pirantel tablet 125 mg tab 820
115 Pirantel Suspensi 125 mg/5ml btl 0
116 Piridoksin HCl tablet 10 mg tab 3200
117 Prednison tab 5 mg tab 1800
118 Profolat (Asam Folat) Tab 0,4 mg tab 660
119 Prokain benzil penisilin tab 0
120 Propanolol HCl tablet 10 mg tab 600
121 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0
122 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0
123 Quinint tab 0
124 Risperidon 2 mg tab 0
125 Ranitidin inj amp 0
126 Ringer laktat lar infus steril btl 0
127 Salbutamol tab 2 mg btl 1200
128 Salbutamol tab 4 mg tab 0
129 Sefadroksil syr tab 202
Sefixim tab tab 90
130 Sefadroxil Tablet 500 mg tab 0
seftriaxone inj vial 0
131 Sefotaxime inj vial 25
132 Seterizine sirup btl 129
133 Seterizine tab 10 mg btl 0
134 Simvastatin tablet 10 mg tab 20
Sianocobalamin inj amp 30
Sianocobalamin tab tab 280
135 Simvastatin tablet 20 mg tab 150
136 Sulfadoksin tab 800
137 Stesolid 5 mg/2,5 mg tube 29
138 Suprafenid-Ketoprofen suppos 100 mg suppos 0
139 Scabimite salf tube 0
140 Synarcus krim tube 0
141 Thiamin tab 50 mg tab 1100
142 Tramadol inj amp 88
143 Triheksipenidil hidroklorida tablet 2 mg tab 800
144 Tetracyclin 500 mg Kapsul 500
145 Ulsafat Syrup btl 20
146 Vitamin B Kompleks tab 0
147 Zink Tablet tab 540
148 Zink Syrup btl 220
149 Simbicort Resp 0
150 Ambroxol syrp btl 0
151 Diazepam tab 2 mg tab 17
152 Diazepam inj 5mg/ml amp 0
153 Miniaspi tab 640
154 Tablet Tambah Darah Tab 0
155 Sodium Volproat Syr btl 0

NO NAMA BMHP SATUAN STOK AWAL

1 2 3 8
1 Alat suntik 1 cc set 230
2 Alat suntik 2,5/ 3 cc set 300
3 Alat suntik 5 cc set 200
4 Aseptic Gel ( Hand Hygene ) btl 22
5 Catgut Chromic 3/0 ( 3 metric) pcs 107
6 Daryant Tulle 1 % pcs 0
7 Etanol 70% 1000 cc btl 0
8 Gelang Nama Pasien Child Blue / Pink pcs 58
9 Gelang Nama Pasien Adult Blue / Pink pcs 69
10 Infuset Dewasa pcs 380
11 Infuset anak pcs 95
12 IV Chateter No. 18 G pcs 25
13 IV Chateter No. 20 G pcs 130
14 IV Chateter No. 22 G pcs 130
15 IV Chateter No. 24 G pcs 119
16 Jarum jahit No.9 12 pcs/bgks 15
17 Jarum jahit No.10 12 pcs/bgks 0
18 Jarum jahit No.11 12 pcs/bgks 0
19 Jarum jahit No.12 12 pcs/bgks 24
20 Kapas bgks 7
21 Kapas Alkohol sac 0
22 Kasa hidrofil 40 y x 80 rol 0
23 Kasa hidrofil 3 yard x 5 cm rol 0
24 Masker kotak 0
25 MMP Chroma Balloon Catheter 2 Way Fr 10 set 0
26 MMP Chroma Balloon Catheter 2 Way Fr 14 set 28
27 MMP Chroma Balloon Catheter 2 Way Fr 16 set 12
28 MMP Chroma Balloon Catheter 2 Way Fr 18 set 10
29 Nasal Oxigen Canula Adult set 10
30 Nasal Oxigen Canula Child set 13
31 NGT Feeding tube 5 Fr set 11
32 NGT Stomach Tube 16 Fr set 8
33 Nice Care ( Underpad ) pcs 7
34 Plester 1,25 cm rol 0
35 Plester 2 cm rol 57
36 Povidon 30 ml btl 0
37 Povidon 300 ml btl 24
38 Povidon 60 ml btl 60
39 Rivanol/Etakridin btl 106
40 Sarung tangan non steril (L) ktk 100 glv 0
41 Sarung tangan non steril (M) ktk 100 glv 0
42 Sarung tangan non steril (S) ktk 100 glv 0
43 Sarung tangan steril pairs 0
43 Silk 3/0 pcs 172
44 Urine bag set 31
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7
46 Umbilical pcs 0

UMUM
jumlah kunjungan BPJS KIS

Mengetahui
Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi

NIP 19800722 201412 1 003
AIAN DAN PERMINTAAN OBAT
AS RANTAU PANJANG KIRI
UBU BABUSSALAM
TAHUN 2021

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 9
1000 2200 300 1900 0
0 0 0 0 0
0 0 0 0 0
1500 1900 500 1400 0
0 0 0 0 0
5000 6600 3500 3100 0
120 220 50 170 0
24 24 15 9 0
5000 7500 1500 6000 0
50 165 30 135 0
0 0 0 0 0
0 0 0 0 0
0 85 0 85 0
2000 2000 1000 1000 0
0 0 0 0 0
1000 1620 1100 520 0
0 0 0 0 0
0 300 150 150 0
0 0 0 0 0
0 100 0 100 0
0 20 0 20 0
0 20 0 20 0
0 0 0 0 0
0 0 0 0 0
0 120 15 105 0
0 0 0 0 0
5 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1000 0 1000 0
0 1495 300 1195 0
0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 3420 320 3100 0
0 0 0 0 0
0 290 20 270 0
0 0 0 0 0
0 290 0 290 0
0 200 0 200 0
0 400 0 400 0
0 0 0 0 0
0 0 0 0 0
0 978 200 778 0
0 112 6 106 0
0 304 0 304 0
0 4 0 4 0
0 0 0 0 0
0 200 0 200 0
0 30 0 30 0
0 38 0 38 0
0 170 20 150 0
0 300 2500 -2200 0
0 0 0 0 0
0 1200 150 1050 0
0 0 0 0 0
0 600 50 550 0
0 900 100 800 0
0 0 0 0 0
0 50 0 50 0
2000 2300 2000 300 0
0 46 0 46 0
0 0 0 0 0
0 900 100 800 0
0 800 600 200 0
0 0 0 0 0
0 683 0 683 0
0 73 10 63 0
0 31 3 28 0
0 8 0 8 0
0 8 0 8 0
0 0 0 0 0
0 24 0 24 0
0 1500 200 1300 0
0 0 0 0 0
0 122 12 110 0
 0 0 0 0 0
0 71 15 56 0
0 1050 40 1010 0
0 65 0 65 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 271 10 261 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 0
0 1600 700 900 0
0 0 0 0 0
0 0 0 0 0
0 88 3 85 0
0 90 90 0 0
0 60 10 50 0
0 9 0 9 0
0 9 0 9 0
100 210 50 50 0
0 905 600 305 0
0 0 0 0 0
0 1000 200 800 0
0 100 0 100 0
0 100 0 100 0
0 950 0 950 0
0 0 0 0 0
0 186 30 216 0
0 3 0 3 0
0 0 0 0 0
0 70 20 50 0
0 1800 100 1700 0
0 650 0 650 0
0 50 0 50 0
0 76 0 76 0
0 95 10 85 0
0 0 0 0 0
0 0 0 0 0
0 35 10 25 0
0 0 0 0 0
7000 7700 2900 4800 0
 0 0 0 0 0
100 275 30 245 0
0 4 0 4 0
0 820 0 820 0
0 0 0 0 0
0 3200 400 2800 0
0 1800 0 1800 0
0 660 100 560 0
0 0 0 0 0
0 600 100 500 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
400 400 200 200 0
0 1200 200 1000 0
0 0 0 0 0
0 202 0 202 0
0 90 70 20 0
0 0 0 0 0
40 40 40 0 0
100 125 25 100 0
0 129 5 124 0
0 0 0 0 0
0 20 20 0 0
0 30 10 20 0
0 280 80 200 0
2000 2150 300 1850 0
0 800 0 800 0
0 29 0 29 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 1100 170 930 0
0 88 0 88 0
0 800 500 300 0
0 500 0 500 0
0 20 5 15 0
1000 1000 300 700 0
0 540 0 540 0
0 220 10 210 0
0 0 0 0 0
 0 0 0 0 0
0 17 0 17 0
0 0 0 0 0
0 640 50 590 0
0 0 0 0 0
0 0 0 0 0

PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN

5 6 7 8 9
300 530 150 380 0
600 800 500 300 0
500 700 200 500 0
0 22 8 14 0
0 107 10 97 0
0 0 0 0 0
0 0 0 0 0
0 58 0 58 0
0 69 0 69 0
0 380 250 130 0
0 95 30 65 0
0 25 10 15 0
100 230 65 165 0
100 230 130 100 0
0 119 50 69 0
0 15 0 15 0
0 0 0 0 0
0 0 0 0 0
0 24 0 24 0
13 20 6 14 0
100 100 0 100 0
10 10 2 8 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 28 0 28 0
0 12 0 12 0
0 10 0 10 0
0 10 0 10 0
0 13 0 13 0
0 11 0 11 0
0 8 0 8 0
 0 7 0 7 0
0 0 0 0 0
96 153 23 130 0
60 60 20 40 0
20 44 2 42 0
50 110 0 110 0
0 106 6 100 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 172 30 142 0
0 31 0 31 0
0 7 0 7 0
0 0 0 0 0

UMUM
UMUM ASKES JUMLAH

Penanggung Jawab Laporan

NORMASARI, Amd. Farm

NIP 19970101 201903 2 001
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
UPT PUSKESMAS RANTAU PANJANG KIRI
KEC.KUBU BABUSSALAM
TAHUN 2021

BULAN : JULI
NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 4 5 6 7 8 9 10
1 Alopurinol tablet 100 mg tab 1900 0 1900 200 1700 0
2 Alopurinol tablet 300 mg tab 0 0 0 0 0 0
3 Albebendazol tablet tab 0 0 0 0 0 0
4 Amlodipin tab 5 mg tab 1400 0 1400 800 600 2000
5 Amoksisilin kapsul 250 mg kap 0 0 0 0 0 0
6 Amoksisilin kaplet 500 mg tab 3100 0 3100 1100 2000 2000
7 Amoksisilin Syrup 250 mg btl 170 0 170 69 101 200
8 Aminophyllin inj amp 9 0 9 9 0 60
9 Antasida doen tablet kombinasi tab 6000 0 6000 2700 3300 2000
10 Antasida doen syrup tab 135 0 135 91 44 200
11 Antalgin 500 mg inj amp 0 0 0 0 0 0
12 Anemolat tab 0 0 0 0 0 0
13 Antihemorroid suppos suppos 85 0 85 6 79 0
14 Asam Ascorbat tab 50 mg tab 1000 0 1000 550 450 3000
15 Asam Traneksamat Inj amp 0 0 0 0 0 50
16 Asam Mefenamat tab 520 1000 1520 800 720 1000
17 Acyclovir tab 400 mg tab 0 0 0 0 0 0
18 Attapulgite (new antides) tab 150 0 150 150 0 2000
19 Acyclovir cream tube 0 0 0 0 0 0
20 Atropin sulfas inj amp 0 0 0 0 0
21 Atropin sulfat tablet tab 20 0 20 0 20 0
22 Azithromicyn Tab tab 20 0 20 20 0 0
23 Benzatin Penicillin 2,4 UI/ml / PP vial 0 0 0 0 0 0
24 Betahistin tablet tab 0 0 0 0 0 0
25 Betametason Krim 0,1 % tube 105 0 105 27 78 100
26 Biosat 1,5 (ATS) inj 1500 IU/amp (i.m) amp 0 0 0 0 0 0
27 Biosave (ABU) Cairan inj (i.m/ i.v) amp 0 0 0 0 0 0
28 Bisakodil suppositoria (Dulcolax anak) suppos 0 0 0 0 0 0
29 Bisoprolol tab 5 mg tab 0 0 0 0 0 1000
30 Bronsolvon tab tab 0 0 0 0 0 0
31 Catopril 12,5 mg tab 1195 0 1195 100 1095 0
32 Catopril 25 mg tab 0 0 0 0 0 0
33 Calporisis Tablet tab 0 0 0 0 0 0
34 Cyanocobalamin inj amp 0 0 0 0 0 0
35 Chlorfeniramine Maleat/CTM tab 4300 0 4300 300 4000 0
36 Decacetin (kloramfenikol) TM 0,5 % Btl 0 0 0 0 0 0
37 Dexametason inj 5 mg/ml-1ml amp 270 0 270 20 250 100 exp juni 21
38 Dexametason tablet 0,5 mg tab 0 0 0 0 0 1000
39 Difenhidramin HCl inj 10 mg/ml-1ml amp 290 0 290 0 290 0
40 Dimenhidrinate tab 200 0 200 100 100 0
41 Diltiazem tab 400 0 400 0 400 0
42 Digoksin tablet 0,25 mg tab 0 0 0 0 0 1000
43 Doksisiklin tab 100 mg tab 0 0 0 0 0 0
44 Domperidon tablet 10 mg tab 778 0 778 100 678 0
45 Domperidon Sirup btl 106 0 106 10 96 0
46 Epinefrin inj 0,1 % - 1ml amp 304 0 304 4 300 0
47 Eugenol cairan btl 4 0 4 0 4 0
48 Fenitoin tablet 100 mg tab 0 0 0 0 0 0
49 Fenobarbital tablet tab 200 0 200 0 200 0
50 Fenobarbital inj amp 30 0 30 0 30 0
51 Fenol Gliserol Tts Telinga btl 38 0 38 3 35 0
52 Fitomenadion (vit K) inj 2 mg amp 150 0 150 150 0 200
53 Fitomenadion Tablet tab 0 0 0 0 0 1000
54 Furosemid injeksi amp 0 0 0 0 0 100
55 Furosemid tablet 40 mg tab 1050 0 1050 0 1050 1000 exp juni 21
56 Genoint 0,3 % tube 0 0 0 0 0 100
57 Garam oralit sac 550 0 550 30 520 0
58 Glimepirid tab tab 3100 0 3100 100 3000 0
59 Gentamisin inj amp 0 0 0 0 0 100
60 Gliklazid tab 50 0 50 0 50 0
61 Glibenklamide tablet tab 300 0 300 300 1000 0
62 Glukosa lar. Infus 5 % btl 46 0 46 6 40 0
63 Glukosa lar. Infus 10 % btl 0 0 0 0 0 50
64 Griseofulvin tab 125 mg tab 800 0 800 100 700 0
65 Haloperidol 5 mg tab 200 0 200 60 140 0
66 Haloperidol 1,5 mg tab 0 0 0 0 0 0
67 Hydrochlorothiazide tab 25 mg tab 683 0 683 0 683 0
68 Hidrokortison krim 2,5 % tube 63 0 63 20 43 100
69 Ibuprofen Sirup btl 75 0 75 7 68 0
70 Iliadin dewasa btl 8 0 8 0 8 0
71 Iliadin anak btl 8 0 8 0 8 0
72 Isosorbid dinitrat SL tab 5 mg tab 0 0 0 0 0 1000
73 Kalsium Glukonat 10 % ampul 24 0 24 0 24 0
74 Kalsium Laktat tab 1300 0 1300 500 800 1000
75 Karbamazepin tab 0 0 0 0 0 0
76 Ketorolac inj amp 110 0 110 38 72 100
77 Ketokonazol Tablet 200 mg tab 0 0 0 0 0 1000
78 Ketokonazol SK tube 56 0 56 18 38 100
79 Kloramfenicol Capsul 250 mg cap 1010 0 1050 40 1010 0
80 Kloramfenicol suspensi 125 mg/5 ml btl 65 0 65 0 65 0
81 Kloramfenicol SM tube 0 0 0 0 0 100
82 Klorpromazin tab tab 0 0 0 0 0 0
83 Kodein tab 10 mg tab 0 0 0 0 0 0
84 Kotrimoksazol suspensi btl 261 0 261 140 121 100

NO NAMA OBAT / ALKES SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 8 5 6 7 8 0 10
84 Kotrimoksazol dewasa tab 100 mg tab 900 0 900 300 600 500
85 Klobazam tab 10 mg tab 0 0 0 0 0 0
86 Kuinin tab 200 mg tab 0 0 0 0 0 0
87 Kompolax tab 85 0 85 5 80 0
88 Lansoprazol Capsul cap 0 0 0 90 0 2000
89 Lidocain inj amp 50 0 50 50 0 200
90 Magnesium sulfas inj 20 % - 25 ml btl 9 0 9 0 9 0
91 Magnesium sulfas inj 40 % - 25 ml btl 9 0 9 0 9 0
92 Metilergometrin maleat inj 0,2 mg - 1 ml amp 50 0 50 50 50 100
93 Metilergometrin maleat tablet tab 305 0 305 305 0 1000
94 Metilprednisolon Tablet tab 0 0 0 0 0 1500
95 Metformin HCl tab 500 mg tab 800 0 800 600 200 1500
96 Metronidazol sirup btl 100 0 100 0 100 0
97 Metronidazol Infus btl 0 0 0 0 0 50
98 Metoklopramide tab 10 mg tab 950 0 950 0 950 0
99 Metoklorpramid Inj amp 0 0 0 0 0 200
100 Miconazol Cream tube 216 0 216 15 231 0
101 Mikoryn Powder btl 3 0 3 0 3 0
102 Molasma tab 2,5 mg tab 0 0 0 0 0 0
103 Natrium klorida infus 0,9 % steril btl 50 0 50 30 20 200
104 Natrium Diklofenak Tablet tab 1700 0 1700 700 1000 1000
105 Nistatin Tablet Vaginal tab 650 0 650 0 650 0
106 Ofloxacin tab 200 mg tab 50 0 50 0 50 0
107 Oksiytetra SM tube 76 0 76 0 76 0
108 Oksitosin inj amp 85 0 85 10 75 0
109 Omeprazol capsul 20 mg cap 0 0 0 0 0 2000
110 OTSU-KCL7,46% Kalium Klorida btl 0 0 0 0 0 50
111 OTSU-WI Air inj 25 ml btl 25 0 25 25 0 100
112 Paracetamol Drip (infus) btl 0 0 0 0 0 50
113 Paracetamol tablet 500 mg tab 4800 0 4800 3600 1200 5000
114 Paracetamol drop btl 0 0 0 0 0 100
115 Parasetamol sirup 120 mg/5 ml btl 245 0 245 135 110 100
116 Perak Sulfadiazin Krim 1 % tube 0 0 0 0 0 10
117 Pirantel tablet 125 mg tab 820 0 820 400 420 500
118 Pirantel Suspensi 125 mg/5ml btl 0 0 0 0 0 0
119 Piridoksin HCl tablet 10 mg tab 2800 0 2800 300 2500 0
120 Prednison tab 5 mg tab 1800 0 1800 0 1800 0
121 Profolat (Asam Folat) Tab 0,4 mg tab 560 0 560 0 560 0
122 Prokain benzil penisilin tab 0 0 0 0 0 0
123 Propanolol HCl tablet 10 mg tab 500 0 500 0 500 0
124 Pulmicort ( Budosenid ) 0,25 mg/ml Resp 0 0 0 0 0 5
125 Pulmicort ( Budosenid ) 200 ug/dose turbuhaler 0 0 0 0 0 5
126 Quinint tab 0 0 0 0 0 0
127 Risperidon 2 mg tab 0 0 0 0 0 0
128 Ranitidin inj amp 0 0 0 0 0 200
129 Ringer laktat lar infus steril btl 200 100 300 240 60 200
130 Salbutamol tab 2 mg btl 1000 0 1000 700 300 1000
131 Salbutamol tab 4 mg tab 0 0 0 0 0 1000
132 Sefadroksil syr tab 202 0 202 20 182 0
133 Sefixim tab tab 20 0 20 0 20 100
134 Sefadroxil Tablet 500 mg tab 0 0 0 0 0 1000
135 seftriaxone inj vial 0 0 0 0 0 100
136 Sefotaxime inj vial 100 0 100 40 60 100
137 Seterizine sirup btl 124 0 124 5 119 0
138 Seterizine tab 10 mg btl 0 0 0 0 0 2000
139 Simvastatin tablet 10 mg tab 0 0 0 0 0 0
140 Sianocobalamin inj amp 400 0 400 10 390 0
141 Sianocobalamin tab tab 200 0 200 200 0 1000
142 Simvastatin tablet 20 mg tab 1850 0 1850 270 1580 0
143 Sulfadoksin tab 800 0 800 0 800 0
144 Stesolid 5 mg/2,5 mg tube 29 0 29 5 24 0
145 Suprafenid-Ketoprofen suppos 100 mg suppos 0 0 0 0 0 100
146 Scabimite salf tube 0 0 0 0 0 50
147 Synarcus krim tube 0 0 0 0 0 0
148 Thiamin tab 50 mg tab 930 0 930 100 830 0
149 Tramadol inj amp 0 0 0 0 0 50
150 Triheksipenidil hidroklorida tablet 2 mg tab 300 0 300 300 0 1000
151 Tetracyclin 500 mg Kapsul 500 0 500 0 500 0
152 Ulsafat Syrup btl 15 0 15 15 0 200
153 Vitamin B Kompleks tab 700 0 700 200 500 2000
154 Zink Tablet tab 0 0 0 0 0 1000
155 Zink Syrup btl 210 0 210 10 200 0
156 Simbicort Resp 0 0 0 0 0 0
157 Ambroxol syrp btl 0 0 0 0 0 0
158 Diazepam tab 2 mg tab 17 0 17 0 17 0
159 Diazepam inj 5mg/ml amp 0 0 0 0 0 0
160 Miniaspi tab 590 0 590 0 590 0
161 Tablet Tambah Darah Tab 0 0 0 0 0 0
162 Sodium Volproat Syr btl 0 0 0 0 0 100

NO NAMA BMHP SATUAN STOK AWAL PENERIMAAN KETERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KET
1 2 3 8 5 6 7 8 9 10
1 Alat suntik 1 cc set 380 0 380 353 27 300 0
2 Alat suntik 2,5/ 3 cc set 300 150 450 300 150 200 0
3 Alat suntik 5 cc set 500 0 500 280 120 200 0
4 Aseptic Gel ( Hand Hygene ) btl 14 24 38 14 24 0 0
5 Catgut Chromic 3/0 ( 3 metric) pcs 97 0 97 10 80 200 0
6 Daryant Tulle 1 % pcs 0 0 0 0 0 0 0
7 Etanol 70% 1000 cc btl 0 10 10 5 5 0 0
8 Gelang Nama Pasien Child Blue / Pink pcs 58 0 58 0 58 0 0
9 Gelang Nama Pasien Adult Blue / Pink pcs 69 0 69 0 69 0 0
10 Infuset Dewasa pcs 130 100 230 150 80 100 0
11 Infuset anak pcs 65 0 65 30 35 100 0
12 IV Chateter No. 18 G pcs 15 0 15 10 5 100 0
13 IV Chateter No. 20 G pcs 165 0 165 135 30 100 0
14 IV Chateter No. 22 G pcs 100 0 100 130 0 100 0
15 IV Chateter No. 24 G pcs 69 0 69 69 0 100 0
16 Jarum jahit No.9 12 pcs/bgks 15 0 15 0 15 0 0
17 Jarum jahit No.10 12 pcs/bgks 0 0 0 0 0 0 0
18 Jarum jahit No.11 12 pcs/bgks 0 0 0 0 0 0 0
19 Jarum jahit No.12 12 pcs/bgks 24 0 24 0 24 0 0
20 Kapas bgks 14 0 14 6 8 0 0
21 Kapas Alkohol sac 100 0 100 0 100 0 0
22 Kasa hidrofil 40 y x 80 rol 8 0 8 2 6 0 0
23 Kasa hidrofil 3 yard x 5 cm rol 0 0 0 0 0 0 0
24 Masker kotak 0 0 0 0 0 0 0
25 MMP Chroma Balloon Catheter 2 Way Fr 1 set 0 0 0 0 0 0 0
26 MMP Chroma Balloon Catheter 2 Way Fr 1 set 28 0 28 0 28 0 0
27 MMP Chroma Balloon Catheter 2 Way Fr 1 set 12 0 12 0 8 20 0
28 MMP Chroma Balloon Catheter 2 Way Fr 1 set 10 0 10 0 5 15 0
29 Nasal Oxigen Canula Adult set 10 0 10 0 10 10 0
30 Nasal Oxigen Canula Child set 13 0 13 0 13 10 0
31 NGT Feeding tube 5 Fr set 11 0 11 0 11 0 0
32 NGT Stomach Tube 16 Fr set 8 0 8 0 8 0 0
33 Nice Care ( Underpad ) pcs 7 0 7 0 7 0 0
34 Plester 1,25 cm rol 0 0 0 0 0 0 0
35 Plester 2 cm rol 130 0 130 40 90 10 0
36 Povidon 30 ml btl 40 0 40 30 10 10 0
37 Povidon 300 ml btl 42 0 42 2 40 0 0
38 Povidon 60 ml btl 110 0 110 0 110 0 0
39 Rivanol/Etakridin btl 100 0 100 6 94 0 0
40 Sarung tangan non steril (L) ktk 100 glv 0 0 0 0 0 0 0
41 Sarung tangan non steril (M) ktk 100 glv 0 0 0 0 0 0 0
42 Sarung tangan non steril (S) ktk 100 glv 0 0 0 0 0 0 0
43 Sarung tangan steril pairs 0 0 0 0 0 0 0
43 Silk 3/0 pcs 142 0 142 62 80 160 0
44 Urine bag set 31 0 31 14 17 10 0
45 Pro crep Pembalut elastis 15 cm x 4,55M Rol 7 0 7 0 7 0 0
46 Umbilical pcs 0 0 0 0 0 0 0

UMUM
jumlah kunjungan BPJS KIS UMUM ASKES JUMLAH

Mengetahui Penanggung Jawab Laporan

Kepala UPT Puskesmas Rantau Panjang Kiri

dr. Hendri Siswadi NORMASARI, Amd. Farm

NIP 19800722 201412 1 003 NIP 19970101 201903 2 001