LPLPO DAN AMRAH APOTIK 2018

JANUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 189 189 0 189
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 228 228 60 168
12 Amoksisilin sirup kering 125 mg/5ml 25 25 25 0
13 Amoksisilin kapsul 250mg 443 500 943 525 418
14 Amoksisilin 500 mg 8043 8043 3236 4807
15 Amoksisilin SYR FORTE 0 0
16 Antasida DOEN tablet, kombinasi 1280 1280 1280 0
17 Antibakteri DOEN Salep Kombinasi 0 0
18 Anti Hemoroid DOEN Kombinasi 48 48 12 36
19 Antifungi DOEN salep Kombinasi 0 0 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1898 1898 1898 0
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 10 10 10 0
27 Asiklovir 5% salep 25 25 1 24
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 8928 8928 914 8014
33 Amlodipin 10 mg tablet 1062 1062 1062 0
34 Amlodipin 5 mg tablet 100 100 100 0
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 744 744 390 354
38 Asam Folat 1 mg tablet 275 1000 1275 443 832
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream 4 4 2 2
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1%
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 2319 2319 953 1366
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi 51 51 41 10
76 Domperidon tablet 10 mg 195 195 195 0
77 Dulkolak sup
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1% 4 20 24 24
85 Etanol 70% 100 ML 4 4 0 4
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 2 2 2 0
92 Fitomenadion (Vitamin K1) injeksi 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 300 300 300 0
94 Fouchet 100 ml 0 0
95 Furosemid tablet 40mg 32 32 10 22
96 Garam Oralit untuk 200 ml air 471 471 9 462
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 2090 2090 605 1485
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125mg, micronized 408 408 170 238
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg 120 120 120 0
113 Hidroklortiazid (HCT) tablet 25mg
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 26 26 26 0
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg 299 299 0 299
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 1779 1779 975 804
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 140 140 60 80
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg 100 100 100
143 Kloramfenikol tetes Mata 1% 10 10 10 0
144 Kloramfenikol Tetes Telinga 3 % 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 2737 2737 2737 0
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg 310 310 235 75
148 Kodein HCl tab 10mg 50 50 50 0
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 42 42 42 0
152 Kotrimoksazol dewasa tablet 320 320 180 140
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 18 18 18
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 200 200 60 140
162 Katekonazol cream 15 gr 15 15 15 0
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % SALAP mata
165 KSR tablet
166 Katopril 12,5mg tablet 210 210 210 0
167 Katopril 25 mg tablet 2355 1000 3355 3355 0
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 116 116 10 106
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 2670 2670 1880 790
185 Methergin injeksi 0 0
186 Metilprednisolon tablet 0 0
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 24 24 3 21
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 3320 3320 1320 2000
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 900 900 32 868
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 70 70 20 50
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 900 900 89 811
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 6 6 6
215 Parasetamol drop 8 8 8
216 Parasetamol tablet 500 mg 4435 3500 7935 3733 4202
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 500 500 500 0
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg 123 123 123 0
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 3800 3800 2478 1322
231 Risperidon tablet 2 mg 90 90 90 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg 2337 2337 240 2097
236 Salep 2-4 kombinasi 17 17 0 17
237 Salisil bedak 2% 0 0 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 1614 1614 1402 212
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 900 900 20 880
251 Sabutamol 4 mg tablet 652 652 0 652
252 Simvastatin tablet salut 10 mg 3050 3050 420 2630
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
 258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 684 684 50 634
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 4689 4689 150 4539
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 4004 4004 4004 0
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 7 7 2 5
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 840 840 150 690
284 Zink sirup

padang, januari 2018

diket: yang membuat laporan
Pimpinan Puskesmas

dr. Lisa Hikmah Risdal Mayanti Amd. Farm

Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018

FEBRUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK TAAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 189 189 160 29
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 168 168 130 38
12 Amoksisilin sirup kering 125 mg/5ml 0 0 0
13 Amoksisilin kapsul 250mg 418 418 418 0
14 Amoksisilin 500 mg 4807 4807 2814 1993
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 0 4000 4000 0 4000
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 36 36 10 26
19 Antifungi DOEN salep Kombinasi 0 0 0 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 0 3000 3000 932 2068
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 0 300 300 300 0
27 Asiklovir 5% salep 24 24 7 17
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 8014 2800 10814 5762 5052
33 Amlodipin 10 mg tablet
34 Amlodipin 5 mg tablet
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 354 400 754 665 89
38 Asam Folat 1 mg tablet 832 832 540 292
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream 2 2 2
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1%
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 1366 1366 795 571
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi 10 10 10 0
76 Domperidon tablet 10 mg
77 Dulkolak sup
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML 4 4 4 0
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10%
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg
94 Fouchet 100 ml
95 Furosemid tablet 40mg 22 22 10 12
96 Garam Oralit untuk 200 ml air 462 462 190 272
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 1485 1485 550 935
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125mg, micronized 238 238 238 0
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5%
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg 299 299 299 0
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 804 1800 2604 1074 1530
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 80 80 60 20
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol tetes Mata 1% 0 10 10 8 2
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 0 7000 7000 2547 4453
146 Klorpromazin HCl tablet salut 100mg 0 0 0 0
147 Klorpromazin HCl tablet salut 25mg 75 75 75 0
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi
152 Kotrimoksazol dewasa tablet 140 500 640 391 249
153 Kandesartan 8 mg tablet 0 720 720 175 545
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 140 300 440 60 380
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % SALAP mata
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 106 106 90 16
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 790 790 480 310
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 21 21 19 2
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 2000 2000 1820 180
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 868 868 10 858
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 50 50 15 35
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 811 811 526 285
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 4202 6800 11002 10622 380
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 1322 1322 832 490
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg 2097 2097 344 1753
236 Salep 2-4 kombinasi 17 17 17
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 212 212 212 0
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 880 880 140 740
251 Sabutamol 4 mg tablet 652 652 0 652
252 Simvastatin tablet salut 10 mg 2630 2630 2630 0
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
 270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 634 634 50 584
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 4539 4539 4040 499
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 0 3000 3000 1237 1763
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 5 30 35 23 12
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 690 690 110 580
284 Zink sirup

padang, Februari 2018

diket: yang membuat laporan
Pimpinan Puskesmas

dr. Lisa Hikmah Risdal Mayanti Amd. Farm

Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018

MARET

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 29 29 0 29
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 38 38 38 0
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg 600 600 600 0
14 Amoksisilin 500 mg 1993 1993 1670 323
15 Amoksisilin SYR FORTE
16 Antasida DOEN tablet, kombinasi 4000 4000 1019 2981
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 26 26 0 26
19 Antifungi DOEN salep Kombinasi
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 2068 2068 1196 872
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 400 400 150 250
27 Asiklovir 5% salep 17 17 10 7
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 5052 5052 1563 3489
33 Amlodipin 10 mg tablet
34 Amlodipin 5 mg tablet 3000 3000 875 2125
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 89 89 24 65
38 Asam Folat 1 mg tablet 292 292 256 36
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 300 300 41 259
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1%
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 571 571 571 0
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg
77 Dulkolak sup
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1% 16 16 16 0
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 12 12 3 9
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 100 100 100 0
94 Fouchet 100 ml
95 Furosemid tablet 40mg 12 12 12 0
96 Garam Oralit untuk 200 ml air 272 272 46 226
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 935 935 440 495
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125mg, micronized
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 48 48 7 41
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 24 24 2 22
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 1530 1530 920 610
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 20 20 0 20
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 2 2 2 0
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 4453 4453 3501 952
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi
152 Kotrimoksazol dewasa tablet 249 249 159 90
153 Kandesartan 8 mg tablet 545 545 545 0
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 380 380 40 340
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % SALAP mata
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 16 500 516 116 400
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 310 4200 4510 2620 1890
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 2 2 0 2
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 180 1700 1880 1380 500
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 858 858 0 858
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 35 35 1 34
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 285 285 285 0
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 380 7500 7880 7544 336
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
 230 Ranitidin 150mg tablet 490 490 490 0
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg 1753 1753 1753 0
236 Salep 2-4 kombinasi
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 740 740 115 625
251 Sabutamol 4 mg tablet 652 652 0 652
252 Simvastatin tablet salut 10 mg
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 584 584 54 530
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 499 499 419 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 1763 9400 11163 2898 8265
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 12 12 7 5
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 580 580 94 486
284 Zink sirup

padang, maret 2018

diket: yang membuat laporan
Pimpinan Puskesmas
dr. Lisa Hikmah Risdal Mayanti Amd. Farm
Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018
APRIL

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 29 29 10 19
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 323 3000 3323 3060 263
15 Amoksisilin SYR FORTE
16 Antasida DOEN tablet, kombinasi 2981 500 3481 3001 480
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 26 26 21 5
19 Antifungi DOEN salep Kombinasi 0 24 24 5 19
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50m 872 2700 3572 1781 1791
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 250 250 250 0
27 Asiklovir 5% salep 7 7 7 0
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 3489 3489 2844 645
33 Amlodipin 10 mg tablet 0 300 300 283 17
34 Amlodipin 5 mg tablet 2125 3000 5125 5125 0
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 65 1000 1065 605 460
38 Asam Folat 1 mg tablet 36 36 36 0
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 259 259 20 239
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1%
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg
77 Dulkolak sup
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1% 0 14 14 7 7
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 9 9 4 5
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet sal 0 0 -315 315
94 Fouchet 100 ml
95 Furosemid tablet 40mg
96 Garam Oralit untuk 200 ml air 226 226 116 110
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 495 3000 3495 690 2805
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125mg, micronized
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 41 41 16 25
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg 0 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 22 24 46 35 11
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet subli 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 610 1000 1610 1254 356
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 20 20 20 0
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1%
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4m 952 6000 6952 3847 3105
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 0 50 50 2 48
152 Kotrimoksazol dewasa tablet 90 1000 1090 245 845
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 340 340 290 50
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % TETES mata 0 10 10 10 0
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 400 400 50 350
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 1890 1890 1620 270
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 2 2 2 0
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 500 2800 3300 1450 1850
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 858 858 0 858
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 34 34 0 34
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 0 40 40 10 30
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 336 5800 6136 6136 0
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10 0 2000 2000 1203 797
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 625 625 0 625
251 Sabutamol 4 mg tablet 652 652 0 652
252 Simvastatin tablet salut 10 mg
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tab 530 530 50 480
 273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 8265 8265 2919 5346
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 5 5 4 1
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 486 486 70 416
284 Zink sirup

padang, April 2018

diket: yang membuat laporan
Pimpinan Puskesmas

dr. Lisa Hikmah Risdal Mayanti Amd. Farm

Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018
MAI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 19 100 119 119 0
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg 0 400 400 155 245
14 Amoksisilin 500 mg 263 3000 3263 2892 371
15 Amoksisilin SYR FORTE 0 60 60 60 0
16 Antasida DOEN tablet, kombinasi 480 2000 2480 1235 1245
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 5 48 53 51 2
19 Antifungi DOEN salep Kombinasi 19 24 43 34 9
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 1791 6800 8591 8289 302
22 Acetil sistein 0
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 0 300 300 235 65
27 Asiklovir 5% salep
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 645 3000 3645 2341 1304
33 Amlodipin 10 mg tablet 17 3000 3017 748 2269
34 Amlodipin 5 mg tablet 0 3000 3000 2525 475
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 460 1000 1460 545 915
38 Asam Folat 1 mg tablet 0 100 100 0 100
39 Aspilet 80 mg tablet
40 ASETIL SISTEIN 0 2500 2500 2500 0
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler 0 2 2 0 2
44 Betahistin Mesilat 6 mg tablet 239 300 539 475 64
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1%
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 0 3000 3000 3000 0
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 0 100 100 100 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg
77 Dulkolak sup
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1% 7 24 31 24 7
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 5 72 77 61 16
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 315 315 120 195
94 Fouchet 100 ml
95 Furosemid tablet 40mg
96 Garam Oralit untuk 200 ml air 110 200 310 310 0
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 2805 2805 605 2200
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125mg, micronized
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 25 25 20 5
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg 0 200 200 10 190
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 11 48 59 40 19
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 356 1000 1356 769 587
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 0 24 24 7 17
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 3105 3000 6105 3105 3000
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 48 48 4 44
152 Kotrimoksazol dewasa tablet 845 845 190 655
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 50 200 250 245 5
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % TETES mata 0 10 10 10 0
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet 0 3000 3000 1535 1465
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 350 350 85 265
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 270 1500 1770 1770 0
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 0 24 24 8 16
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 1850 1850 1494 356
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 858 858 10 848
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 34 34 7 27
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 0 300 300 180 120
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 30 30 60 51 9
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 0 7000 7000 7000 0
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 797 2000 2797 1080 1717
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 0 2500 2500 2225 275
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi
237 Salisil bedak 2% 0 98 98 33 65
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
 243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 0 500 500 150 350
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 625 625 300 325
251 Sabutamol 4 mg tablet 652 652 -438 1090
252 Simvastatin tablet salut 10 mg 0 300 300 20 280
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 480 480 288 192
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 5346 6400 11746 3148 8598
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 1 10 11 8 3
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 416 500 916 80 836
284 Zink sirup

padang, Mai 2018

diket: yang membuat laporan
Pimpinan Puskesmas

dr. Lisa Hikmah Risdal Mayanti Amd. Farm

Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018
JUNI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 0 200 200 51 149
9 Aminofilin tablet 200mg
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 0 1500 1500 100 1400
12 Amoksisilin sirup kering 125 mg/5ml 0 39 39 39 0
13 Amoksisilin kapsul 250mg 245 245 245 0
14 Amoksisilin 500 mg 371 2000 2371 1953 418
15 Amoksisilin SYR FORTE 0 26 26 0 26
16 Antasida DOEN tablet, kombinasi 1245 1245 875 370
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 2 30 32 8 24
19 Antifungi DOEN salep Kombinasi 9 24 33 31 2
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 302 302 0 302
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 65 300 365 115 250
27 Asiklovir 5% salep
28 Asiklovir salep mata
29 Azitromisin 500 mg
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 1304 3000 4304 3755 549
33 Amlodipin 10 mg tablet 2269 2269 2269 0
34 Amlodipin 5 mg tablet 475 475 475 0
35 Alkohol aweb
36 Antasida Suspensi
37 Asam Mefenamat 500 mg kaplet 915 915 605 310
38 Asam Folat 1 mg tablet 100 100 100 0
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler 2 2 0 2
44 Betahistin Mesilat 6 mg tablet 64 64 50 14
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream 0 5 5 2 3
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 0 25 25 6 19
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 0 1500 1500 0 1500
77 Dulkolak sup 0 0 0
78 Eritromisin 500 mg kapsul 0 100 100 20 80
79 Eritromisin 250 mg tablet 0 30 30 0 30
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 16 16 0 16
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 195 195 190 5
94 Fouchet 100 ml
95 Furosemid tablet 40mg
96 Garam Oralit untuk 200 ml air
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 2200 2200 310 1890
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 0 200 200 62 138
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 5 48 53 9 44
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg 190 190 55 135
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 19 48 67 67 0
117 Hidrokortison 1 % krim 0 43 43 15 28
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg 0 300 300 300 0
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 587 1000 1587 1006 581
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 17 17 3 14
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 3000 4300 7300 4086 3214
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 44 44 3 41
152 Kotrimoksazol dewasa tablet 655 655 515 140
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 5 1500 1505 1469 36
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % TETES mata 0 10 10 10 0
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet 1465 1465 1113 352
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 265 265 57 208
176 Loratadin 10 mg tablet 0 1000 1000 1000 0
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 0 1500 1500 700 800
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 16 16 15 1
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 356 2800 3156 1916 1240
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 848 848 0 848
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 27 27 24 3
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 120 1170 1290 1225 65
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 9 40 49 28 21
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 0 3000 3000 1895 1105
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 1717 1717 658 1059
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 275 275 275 0
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi
237 Salisil bedak 2% 65 65 45 20
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 350 350 0 350
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 325 325 325 0
251 Sabutamol 4 mg tablet 1090 1090 100 990
252 Simvastatin tablet salut 10 mg 280 3060 3340 460 2880
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
 258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 192 192 192 0
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 8598 8598 3062 5536
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 836 836 518 318
284 Zink sirup

padang, juni 2018

diket: yang membuat laporan
Pimpinan Puskesmas

dr. Lisa Hikmah Risdal Mayanti Amd. Farm

Nip:19821229 200803 2 001 Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018
JULI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 149 149 29 120
9 Aminofilin tablet 200mg 0 500 500 0 500
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 1400 1400 0 1400
12 Amoksisilin sirup kering 125 mg/5ml 0 60 60 60
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 418 6000 6418 3418 3000
15 Amoksisilin SYR FORTE 26 26 1 25
16 Antasida DOEN tablet, kombinasi 370 3000 3370 1710 1660
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 24 24 24
19 Antifungi DOEN salep Kombinasi 2 24 26 8 18
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 302 7000 7302 5687 1615
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 250 250 0 250
27 Asiklovir 5% salep
28 Asiklovir salep mata
29 Azitromisin 500 mg 0 240 240 10 230
30 Albothyl Konsentrat
31 Ambroksol sirup
32 Ambroksol 30 mg tablet 549 2000 2549 1599 950
33 Amlodipin 10 mg tablet 0 3000 3000 210 2790
34 Amlodipin 5 mg tablet 0 3000 3000 660 2340
35 Alkohol aweb
36 Antasida Suspensi 0 50 50 0 50
37 Asam Mefenamat 500 mg kaplet 310 310 0 310
38 Asam Folat 1 mg tablet 0 300 300 300
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler 2 2 2 0
44 Betahistin Mesilat 6 mg tablet 14 30 44 0 44
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream 3 2 5 2 3
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet 0 30 30 0 30
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 19 19 7 12
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 0 100 100 55 45
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 1500 1500 200 1300
77 Dulkolak sup 0 6 6 0 6
78 Eritromisin 500 mg kapsul 80 80 0 80
79 Eritromisin 250 mg tablet 30 30 0 30
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 16 16 0 16
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 5 200 205 205 0
94 Fouchet 100 ml
95 Furosemid tablet 40mg 0 200 200 0 200
96 Garam Oralit untuk 200 ml air 0 300 300 110 190
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 1890 2000 3890 1490 2400
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 138 200 338 138 200
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 44 44 12 32
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 0 500 500 0 500
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg 135 48 183 83 100
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5%
117 Hidrokortison 1 % krim 28 28 28 0
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 581 2500 3081 696 2385
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 0 200 200 0 200
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 14 14 0 14
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 3214 4700 7914 4878 3036
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 41 41 0 41
152 Kotrimoksazol dewasa tablet 140 500 640 140 500
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 36 1500 1536 1386 150
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % SALAP mata 0 24 24 24
165 KSR tablet
166 Katopril 12,5mg tablet 0 1700 1700 1700
167 Katopril 25 mg tablet 352 300 652 567 85
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 208 1000 1208 138 1070
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg 0 500 500 500
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 800 2000 2800 910 1890
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 1 24 25 16 9
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 1240 1240 800 440
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg 848 848 848
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 3 100 103 103 0
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3%
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 65 1440 1505 125 1380
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 21 80 101 69 32
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 1105 7000 8105 4420 3685
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 1059 1059 754 305
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg 0 500 500 0 500
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 0 500 500 215 285
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi 0 24 24 1 23
237 Salisil bedak 2% 20 20 20 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 0 500 500 10 490
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 350 300 650 455 195
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 0 1500 1500 50 1450
251 Sabutamol 4 mg tablet 990 990 0 990
252 Simvastatin tablet salut 10 mg 2880 2880 390 2490
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
 258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 0 2000 2000 0 2000
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 5536 5536 1966 3570
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 0 30 30 4 26
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 318 318 318 0
284 Zink sirup

padang, juli 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040

NB; kotri syr 10 btl retur dari pustu tlk byur

domperidon syr 19 btl retur dari p. tk byr
 LPLPO DAN AMRAH APOTIK 2018
AGUSTUS

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 120 120 71 49
9 Aminofilin tablet 200mg 500 500 0 500
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 1400 1400 90 1310
12 Amoksisilin sirup kering 125 mg/5ml 0 41 41 41 0
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 3000 3000 2871 129
15 Amoksisilin SYR FORTE 25 60 85 85 0
16 Antasida DOEN tablet, kombinasi 1660 1660 305 1355
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 0 48 48 28 20
19 Antifungi DOEN salep Kombinasi 18 18 2 16
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 1615 1615 0 1615
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 250 300 550 350 200
27 Asiklovir 5% salep 0 24 24 0 24
28 Asiklovir salep mata
29 Azitromisin 500 mg 230 230 15 215
30 Albothyl Konsentrat
31 Ambroksol sirup 0 100 100 74 26
32 Ambroksol 30 mg tablet 950 1000 1950 1950 0
33 Amlodipin 10 mg tablet 2790 2790 2490 300
34 Amlodipin 5 mg tablet 2340 3000 5340 3465 1875
35 Alkohol aweb
36 Antasida Suspensi 50 50 5 45
37 Asam Mefenamat 500 mg kaplet 310 1000 1310 89 1221
38 Asam Folat 1 mg tablet 0 200 200 100 100
39 Aspilet 80 mg tablet
40 Asam Asetat 0 2800 2800 2800 0
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 44 300 344 69 275
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream 3 3 3 0
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet 30 30 30 0
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 12 25 37 20 17
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 45 100 145 145 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 1300 1300 350 950
77 Dulkolak sup 6 6 0 6
78 Eritromisin 500 mg kapsul 80 80 0 80
79 Eritromisin 250 mg tablet 30 30 0 30
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 16 16 16 0
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg
94 Fouchet 100 ml
95 Furosemid tablet 40mg 200 200 20 180
96 Garam Oralit untuk 200 ml air 190 190 24 166
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 2400 2400 0 2400
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 200 200 185 15
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 32 32 11 21
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 500 500 0 500
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg 0 500 500 150 350
113 Hidroklortiazid (HCT) tablet 25mg 100 100 35 65
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 0 48 48 38 10
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg 0 600 600 270 330
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 2385 2385 1645 740
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 200 200 60 140
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 14 14 3 11
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 3036 3000 6036 4381 1655
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 41 41 1 40
152 Kotrimoksazol dewasa tablet 500 500 375 125
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 0 16 16 16 0
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 m x 10 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 150 300 450 240 210
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % TTS mata 0 15 15 14 1
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet 85 85 85 0
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 1070 1070 290 780
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 1890 1890 805 1085
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 9 29 38 25 13
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 440 3600 4040 1880 2160
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3% 0 25 25 4 21
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 1380 1380 510 870
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 32 30 62 44 18
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 3685 7000 10685 7140 3545
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 305 2000 2305 715 1590
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg 500 500 0 500
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 285 2500 2785 2411 374
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi 23 23 7 16
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 490 490 415 75
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet 195 195 195 0
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 1450 1450 940 510
251 Sabutamol 4 mg tablet 990 990 20 970
252 Simvastatin tablet salut 10 mg 2490 2490 1100 1390
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
 258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 2000 500 2500 670 1830
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 3570 3570 1400 2170
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 26 26 26 0
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet
284 Zink sirup

padang, agustus 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2018

SEPTEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 49 300 349 109 240
9 Aminofilin tablet 200mg 500 500 10 490
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 1310 1310 250 1060
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 129 4000 4129 3729 400
15 Amoksisilin SYR FORTE 0 120 120 102 18
16 Antasida DOEN tablet, kombinasi 1355 2000 3355 1850 1505
17 Antibakteri DOEN Salep Kombinasi
18 Anti Hemoroid DOEN Kombinasi 20 20 20 0
19 Antifungi DOEN salep Kombinasi 16 16 6 10
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 1615 1615 0 1615
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 200 300 500 120 380
27 Asiklovir 5% salep 24 24 13 11
28 Asiklovir salep mata
29 Azitromisin 500 mg 215 215 49 166
30 Albothyl Konsentrat
31 Ambroksol sirup 26 50 76 54 22
32 Ambroksol 30 mg tablet
33 Amlodipin 10 mg tablet 300 3000 3300 2010 1290
34 Amlodipin 5 mg tablet 1875 1875 1625 250
35 Alkohol aweb
36 Antasida Suspensi 45 45 8 37
37 Asam Mefenamat 500 mg kaplet 1221 1221 1221 0
38 Asam Folat 1 mg tablet 100 100 80 20
39 Aspilet 80 mg tablet
40 Asam Asetat
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 275 275 75 200
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 17 17 17 0
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Dektrometorfan HBr tab 15mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 950 950 107 843
77 Dulkolak sup 6 6 0 6
78 Eritromisin 500 mg kapsul 80 80 80 0
79 Eritromisin 250 mg tablet 30 30 0 30
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 0 24 24 3 21
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 0 100 100 0 100
94 Fouchet 100 ml
95 Furosemid tablet 40mg 180 180 0 180
96 Garam Oralit untuk 200 ml air 166 166 0 166
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 2400 2400 1020 1380
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 125 mg, micronized 15 300 315 315 0
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata 21 21 5 16
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 500 500 60 440
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg 350 1500 1850 1850 0
113 Hidroklortiazid (HCT) tablet 25mg 65 252 317 317 0
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 10 48 58 35 23
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg
123 Ibuprofen tablet 400 mg 330 330 260 70
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 0 500
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 740 2000 2740 1060 1680
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 140 140 30 110
138 Kasa Kompres 40/40 steril 0 5 5 5 0
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 11 24 35 35 0
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 1655 3000 4655 4646 9
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 40 40 7 33
152 Kotrimoksazol dewasa tablet 125 500 625 380 245
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 0 32 32 32
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 0m x 40 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 210 210 125 85
162 Katekonazol cream 15 gr
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % tts mata 1 1 0 1
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 780 780 210 570
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 1085 1000 2085 515 1570
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 13 13 13 0
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 2160 2160 1575 585
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3% 21 21 6 15
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg 870 600 1470 1300 170
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 18 126 144 123 21
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 3545 6000 9545 4685 4860
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 1590 1590 1449 141
220 Plester 5 yard x 2 inch
221 Prednison tablet 5 mg 500 100 600 110 490
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 374 374 0 374
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi 16 16 0 16
237 Salisil bedak 2% 0 100 100 100 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 75 500 575 360 215
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 510 510 420 90
251 Sabutamol 4 mg tablet 970 970 20 950
252 Simvastatin tablet salut 10 mg 1390 1390 510 880
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
 255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 1830 1830 110 1720
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 2170 3500 5670 5565 105
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 0 30 30 30 0
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 0 500 500 110 390
284 Zink sirup

padang, 21 september 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMRAH APOTIK 2018

OKTOBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0 0
3 Alat Suntik sekali pakai 1ml 0 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0 0
5 Alat Suntik sekali pakai 3ml 0 0 0
6 Alat Suntik sekali pakai 5ml 0 0 0
7 Alat Suntik sekali pakai10 5ml 0 0 0
8 Alopurinol tablet 100mg 240 240 45 195
9 Aminofilin tablet 200mg 490 490 50 440
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 1060 1060 115 945
12 Amoksisilin sirup kering 125 mg/5ml 0 0 0
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 400 3000 3400 2730 670
15 Amoksisilin SYR FORTE 18 18 9 9
16 Antasida DOEN tablet, kombinasi 1505 1505 1440 65
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 0 18 18 6 12
19 Antifungi DOEN salep Kombinasi 10 10 10 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1615 1615 0 1615
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 380 380 102 278
27 Asiklovir 5% salep 11 11 2 9
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 166 166 22 144
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 22 50 72 72 0
32 Ambroksol 30 mg tablet 0 0 0
33 Amlodipin 10 mg tablet 1290 1290 1290 0
34 Amlodipin 5 mg tablet 250 7200 7450 7190 260
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 37 37 37
37 Asam Mefenamat 500 mg kaplet 0 1000 1000 995 5
38 Asam Folat 1 mg tablet 20 200 220 194 26
39 Aspilet 80 mg tablet 0 0 0
40 Asam Asetat 0 1800 1800 1800 0
41 Becefort sirup 0 0 0
42 Becefort tablet 0 0 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 200 200 110 90
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil suppos 5 mg 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 Catgut / Benang Bedah No.3/0 TAMBAH JAR 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 0 1000 1000 535 465
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 0 100 100 100 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 0 100 100 100 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Diovan 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 843 843 261 582
77 Dulkolak sup 6 6 0 6
78 Eritromisin 500 mg kapsul 0 0 0
79 Eritromisin 250 mg tablet 30 30 0 30
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 21 21 9 12
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 100 100 50 50
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 180 180 10 170
96 Garam Oralit untuk 200 ml air 166 166 159 7
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 1380 1380 0 1380
99 Gliseril Guayakolat tablet 100 mg 0 0 0
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 0 300 300 145 155
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 16 16 16 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 440 440 0 440
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 Haloperidol tablet 0,5mg 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 300 300 300 0
114 Hancoond L 0 0 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 23 48 71 68 3
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond pp 6,5 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 0 1000 1000 490 510
123 Ibuprofen tablet 400 mg 70 70 70 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 INJ SIKZONOAT 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5m 500 500 500 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 1680 1680 1090 590
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 110 110 0 110
138 Kasa Kompres 40/40 steril 0 7 7 7 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 9 3000 3009 2274 735
146 Klorpromazin HCl tablet salut 100mg 0 0 0
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 0 0 0
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 33 33 10 23
152 Kotrimoksazol dewasa tablet 245 245 180 65
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 16 16 16 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 85 200 285 250 35
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 0 0 0
164 Kloramfenikol 0.5 % tts mata 1 35 36 31 5
165 KSR tablet 0 0 0
166 Katopril 12,5mg tablet 0 0 0
167 Katopril 25 mg tablet 0 0 0
168 Klobazam 10 mg tablet 0 0 0
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 570 570 230 340
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 0 0 0
183 Masker 3 Ply 0 0 0
184 Metformin HCl 500 mg Tablet 1570 1570 1200 370
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 0 24 24 5 19
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 585 2800 3385 1845 1540
194 Natrium Diklofenak 50 mg tablet 0 0 0
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 0 0 0
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 15 15 8 7
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 170 870 1040 1040 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 21 64 85 85 0
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 4860 4860 4740 120
217 Pembalut gips 0 0 0
218 Pirantel Pamoat tablet 125mg 0 0 0
219 Piridoksin HCl (Vitamin B6) tablet 10mg 141 141 0 141
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 490 490 230 260
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 374 374 0 374
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 0 0 0
236 Salep 2-4 kombinasi 16 16 2 14
237 Salisil bedak 2% 0 0 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 215 215 114 101
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 0 0 0
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 90 500 590 510 80
251 Sabutamol 4 mg tablet 950 950 20 930
252 Simvastatin tablet salut 10 mg 880 1680 2560 1055 1505
253 Stesolid 10 mg tablet 0 0 0
254 Stesolid rectal 5 mg 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
 257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 0 0 0
262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 Tramadol tablet 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 1720 1720 160 1560
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 105 4000 4105 3590 515
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 300 ml 0 0 0
282 Zinc drops 0 0 0
283 Zink tablet 390 390 143 247
284 Zink sirup 0 0 0

padang, 21 OKTOBER 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2018

NOVEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 195 195 45 150
9 Aminofilin tablet 200mg 440 440 150 290
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 945 945 235 710
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 670 3000 3670 460 3210
15 Amoksisilin SYR FORTE 9 60 69 30 39
16 Antasida DOEN tablet, kombinasi 65 65 0 65
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 12 12 12 0
19 Antifungi DOEN salep Kombinasi 18 18 8 10
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 1615 1615 0 1615
22 Acetil sistein
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 278 400 678 528 150
27 Asiklovir 5% salep 9 48 57 9 48
28 Asiklovir salep mata
29 Azitromisin 500 mg 144 144 139 5
30 Albothyl Konsentrat
31 Ambroksol sirup 50 50 13 37
32 Ambroksol 30 mg tablet 5000 5000 1558 3442
33 Amlodipin 10 mg tablet 600 600 600 0
34 Amlodipin 5 mg tablet 260 7200 7460 3860 3600
35 Alkohol aweb
36 Antasida Suspensi 50 50 18 32
37 Asam Mefenamat 500 mg kaplet 5 1000 1005 355 650
38 Asam Folat 1 mg tablet 26 200 226 226 0
39 Aspilet 80 mg tablet
40 ASETILSISTEIN 4400 4400 4400 0
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 90 90 0 90
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 25 25 4 21
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 465 1000 1465 535 930
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Diazepam tablet 5 mg
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 200 200 45
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 582 582 522 60
77 Dulkolak sup 6 6 6 0
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet 30 30 30 0
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 12 12 0 12
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 50 50 50 0
94 Fouchet 100 ml
95 Furosemid tablet 40mg 170 170 40 130
96 Garam Oralit untuk 200 ml air 7 7 2 5
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 1380 1380 115 1265
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 155 155 155 0
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 440 440 350 90
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 Haloperidol tablet 0,5mg
112 Haloperidol tablet 1,5mg
113 Hidroklortiazid (HCT) tablet 25mg
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 3 48 51 36 15
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg 510 510 110 400
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 590 1000 1590 1320 270
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 110 110 70 40
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 24 24 22 2
144 Kloramfenikol Tetes Telinga 3 %
145 Klorfeniramini Maleat (CTM) tablet 4mg 735 6800 7535 6694 841
146 Klorpromazin HCl tablet salut 100mg
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 23 23 6 17
152 Kotrimoksazol dewasa tablet 65 700 765 465 300
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 16 16 16 0
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 0m x 40 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 35 35 25 10
162 Katekonazol cream 15 gr 25 25 25 0
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % tts mata 5 5 5 0
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 340 340 340 0
176 Loratadin 10 mg tablet
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg 100 100 0 100
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 370 3000 3370 2230 1140
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg
188 Mikonazol 2 % Krim 19 24 43 32 11
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 1540 1540 1340 200
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3% 7 25 32 10 22
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 216 216 144 72
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 120 10900 11020 7570 3450
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg
219 Piridoksin HCl (Vitamin B6) tablet 10mg 141 1300 1441 641 800
220 Plester 5 yard x 2 inch 1 1 1 0
221 Prednison tablet 5 mg 260 260 60 200
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 374 2000 2374 2324 50
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg
236 Salep 2-4 kombinasi 14 14 2 12
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 101 150 251 211 40
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 80 1000 1080 260 820
251 Sabutamol 4 mg tablet 930 930 553 377
252 Simvastatin tablet salut 10 mg 1505 1505 555 950
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 Tramadol tablet
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 1560 1560 360 1200
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 80 80 0 80
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 515 2000 2515 1905 610
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 247 1000 1247 1247 0
284 Zink sirup

padang, 21 NOFEMBER 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2018

DESEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 5ml
8 Alopurinol tablet 100mg 150 300 450 350 100
9 Aminofilin tablet 200mg 290 290 40 250
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 710 710 146 564
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 3210 3000 6210 3545 2665
15 Amoksisilin SYR FORTE 39 60 99 85 14
16 Antasida DOEN tablet, kombinasi 65 65 65 0
17 Antibakteri DOEN Salep Kombinasi 0 0
18 Anti Hemoroid DOEN Kombinasi 0 0
19 Antifungi DOEN salep Kombinasi 10 36 46 36 10
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 1615 7000 8615 515 8100
22 Acetil sistein 650 650 0 650
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 195 195 0 195
27 Asiklovir 5% salep 48 24 72 57 15
28 Asiklovir salep mata
29 Azitromisin 500 mg 5 240 245 245 0
30 Albothyl Konsentrat
31 Ambroksol sirup 37 50 87 52 35
32 Ambroksol 30 mg tablet 3442 3442 492 2950
33 Amlodipin 10 mg tablet 0 0
34 Amlodipin 5 mg tablet 3600 3600 3280 320
35 Alkohol aweb
36 Antasida Suspensi 32 32 21 11
37 Asam Mefenamat 500 mg kaplet 650 1000 1650 475 1175
38 Asam Folat 1 mg tablet 200 200 200 0
39 Aspilet 80 mg tablet
40 ASETILSISTEIN 1000 1000 1000 0
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 120 120 0 120
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 21 21 8 13
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 Catgut / Benang Bedah No.3/0 TAMBAH JARUM
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 930 2000 2930 930 2000
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Diazepam tablet 5 mg 70 70 0 70
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 45 500 545 80 465
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Diovan
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops
75 Domperidom 5 mg / 5 ml suspensi 1500 1500 0 1500
76 Domperidon tablet 10 mg 60 60 60 0
77 Dulkolak sup 0 0
78 Eritromisin 500 mg kapsul
79 Eritromisin 250 mg tablet 0 0
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1%
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 22 24 46 0 46
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 200 200 0 200
94 Fouchet 100 ml
95 Furosemid tablet 40mg 130 200 330 220 110
96 Garam Oralit untuk 200 ml air 255 255 0 255
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 1265 1265 365 900
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 0 0
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 870 870 0 870
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 HUSTAP SYR 135 135 135
112 Haloperidol tablet 1,5mg 490 490 490
113 Hidroklortiazid (HCT) tablet 25mg 341 341 341
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 15 24 39 38 1
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg 400 200 600 355 245
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 420 420 0 420
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 270 1000 1270 780 490
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 40 40 0 40
138 Kasa Kompres 40/40 steril
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 21 21 0 21
144 Kloramfenikol Tetes Telinga 3 % 30 30 20 10
145 Klorfeniramini Maleat (CTM) tablet 4mg 841 4000 4841 841 4000
146 Klorpromazin HCl tablet salut 100mg 300 300 0 300
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg 270 270 0 270
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 17 17 0 17
152 Kotrimoksazol dewasa tablet 300 300 100 200
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 48 48 48 0
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 0m x 40 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 10 10 10 0
162 Katekonazol cream 15 gr 75 75 63 12
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % tts mata 0 0
165 KSR tablet
166 Katopril 12,5mg tablet
167 Katopril 25 mg tablet
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 500 500 0 500
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg 100 100 15 85
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 1140 2500 3640 2300 1340
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg 500 500 0 500
188 Mikonazol 2 % Krim 11 19 30 22 8
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 200 2800 3000 820 2180
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 50 50 0 50
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3% 22 22 10 12
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 80 4 84 4 80
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 3450 8300 11750 6450 5300
217 Pembalut gips
218 Pirantel Pamoat tablet 125mg 200 200 0 200
219 Piridoksin HCl (Vitamin B6) tablet 10mg 800 800 160 640
220 Plester 5 yard x 2 inch 0 0
221 Prednison tablet 5 mg 200 300 500 410 90
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 50 4000 4050 2050 2000
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg 203 203 0 203
236 Salep 2-4 kombinasi 12 12 0 12
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 40 350 390 240 150
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 820 300 1120 95 1025
251 Sabutamol 4 mg tablet 377 100 477 477 0
252 Simvastatin tablet salut 10 mg 950 950 950 0
253 Stesolid 10 mg tablet
254 Stesolid rectal 5 mg
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1500 1500 301 1199
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 TRAMBOPOP 3 3 1 2
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 1265 1265 0 1265
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 2190 2190 0 2190
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 610 7000 7610 5342 2268
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 30 30 27 3
281 Yodium Povidon Larutan 10% 300 ml
282 Zinc drops
283 Zink tablet 1000 1000 0 1000
284 Zink sirup

padang, 21 DESEMBER 2018

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

JANUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 2 2 2 0
8 Alopurinol tablet 100mg 100 100 100 0
9 Aminofilin tablet 200mg 250 250 50 200
10 Aseptan
11 Amitriptilin HCl tablet salut 25mg 564 564 0 564
12 Amoksisilin sirup kering 125 mg/5ml
13 Amoksisilin kapsul 250mg
14 Amoksisilin 500 mg 2665 2665 2665 0
15 Amoksisilin SYR FORTE 14 60 74 40 34
16 Antasida DOEN tablet, kombinasi 0 0 0
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 36 36 28 8
19 Antifungi DOEN salep Kombinasi 10 10 2 8
20 Asam Askorbat (Vitamin C) tablet 250mg
21 Asam Askorbat (Vitamin C) tablet 50mg 8100 8100 6324 1776
22 Acetil sistein 650 650 650 0
23 Anti A
24 Anti B
25 Asiklovir 200mg tablet
26 Asiklovir 400mg tablet 195 195 190 5
27 Asiklovir 5% salep 15 15 0 15
28 Asiklovir salep mata
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat
31 Ambroksol sirup 35 35 31 4
32 Ambroksol 30 mg tablet 2950 2950 1970 980
33 Amlodipin 10 mg tablet 1200 1200 1200 0
34 Amlodipin 5 mg tablet 320 600 920 910 10
35 Alkohol aweb
36 Antasida Suspensi 11 11 11 0
37 Asam Mefenamat 500 mg kaplet 1175 2000 3175 3175 0
38 Asam Folat 1 mg tablet 0 0 0
39 Aspilet 80 mg tablet
40 ASETILSISTEIN 0 0 0
41 Becefort sirup
42 Becefort tablet
43 Berotec inhaler
44 Betahistin Mesilat 6 mg tablet 120 120 0 120
45 Bicolax tablet
46 Bioron tablet
47 Bioplacenton Cream
48 Bisakodil suppos 5 mg
49 Bisoprolol 5 mg tablet
50 BaC12 10%
51 Blood lancet
52 Borak Gliserin
53 BENEDIK
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial
55 Betametason krim 0,1% 13 13 13 0
56 chkm
57 Co Amoxiclav 625 mg tablet
58 Catgut / Benang Bedah No.3/0(2 MATRIK
59 Catgut / Benang Bedah No.3/0 GEA
60 CENDO LITER 1 1 1 0
61 Catgut / Benang Bedah No.2/0
62 Cup serum
63 Deksametason injeksi 5 mg/ml - 1 ml
64 Deksametason tab 0,5mg 2000 2000 874 1126
65 Dektrometorfan HBr sirup 10 mg/5ml
66 Diazepam tablet 5 mg 70 70 0 70
67 Diazepam injeksi 5 mg/ml - 2 ml
68 Diazepam tablet 2mg 465 350 815 0 815
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml
70 Digoksin tablet 0,25 mg
71 Dumin Supos 125 mg/ 5 ml
72 Difenhidramin 10 mg/ml Injeksi
73 Dimenhidrinat 50 mg tablet
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi
76 Domperidon tablet 10 mg 1500 1500 310 1190
77 Dulkolak sup 0 0 0
78 Eritromisin 500 mg kapsul 200 200
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml
81 Efedrin HCl tablet 25 mg
82 Ekstrak Belladon tablet 10mg
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1ml
84 Etakridin (Rivanol) larutan 0,1% 5 5 5 0
85 Etanol 70% 100 ML
86 Etanol 70% 1 LITER
87 Etil Klorida semprot
88 Eugenol cairan
89 Fenoksimetil Penisilina tablet 250mg
90 Fenoksimetil Penisilina tablet 500mg
91 Fenol Gliserol Tetes Telinga 10% 46 46 0 46
92 Fitomenadion (Vitamin K1) injeksi
93 Fitomenadion (Vitamin K1) tablet salut 10mg 200 300 500 340 160
94 Fouchet 100 ml
95 Furosemid tablet 40mg 110 110 45 65
96 Garam Oralit untuk 200 ml air 255 300 555 441 114
97 Gentian Violet larutan 1%
98 Glibenklamid tablet 5mg 900 900 120 780
99 Gliseril Guayakolat tablet 100 mg
100 Glukosa Larutan Infus 10% Steril
101 Glukosa Larutan Infus 5% Steril
102 Griseofulvin tablet 500 mg, micronized 200 200 200 0
103 Gentamicin 0,1 % salep
104 Gentamicin 0,3% salap mata
105 Gentamicin 0,3% tetes mata
106 Glimepirid 2 mg tablet 870 870 670 200
107 Glimepirid 3 mg tablet
108 Glucobay 50 mg tablet
109 Hemafort tablet
110 Hyscopan 10 mg tablet
111 HUSTAP SYR 135 135 91 44
112 Haloperidol tablet 1,5mg 490 490 230 260
113 Hidroklortiazid (HCT) tablet 25mg 341 341 0 341
114 Hancoond L
115 Hcl 0,1 n 100 ml
116 Hidrokortison krim 2,5% 1 1 1 0
117 Hidrokortison 1 % krim
118 Hifafik
119 Hancond pp 6,5
120 Hancond pp 7
121 Hancond pp 7,5
122 Ibuprofen tablet 200 mg 245 1000 1245 985 260
123 Ibuprofen tablet 400 mg
124 Infusion set anak
125 Infusion set dewasa
126 INJ SIKZONOAT
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 420 420 0 420
128 Ichtyol Salep
129 Isoniazid (INH) tab 100mg
130 IV Cateter no.18
131 IV Catether No 20
132 IV Catether No 22
133 Jarum Jahit (Bedah) No.9 s/d 14
134 Kalsium Laktat (Kalk) tablet 500 mg 490 1200 1690 1690 0
135 Kapas Berlemak 500 Gram
136 Kapas Pembalut / Absorben 250 Gram
137 Karbamazepin tablet 200mg 40 40 0 40
138 Kasa Kompres 40/40 steril 7 7 7 0
139 Kasa Pembalut 2 M x 80 cm
140 Kasa Pembalut 4 M x 15 cm
141 Kasa Pembalut 4 M x 3cm
142 Kloramfenikol kapsul 250 mg
143 Kloramfenikol Salep Mata 1% 21 21 21 0
144 Kloramfenikol Tetes Telinga 3 % 10 10 10 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 4000 2000 6000 4816 1184
146 Klorpromazin HCl tablet salut 100mg 300 300 220 80
147 Klorpromazin HCl tablet salut 25mg
148 Kodein HCl tab 10mg 270 270 85 185
149 Kertas perkamen
150 Kotrimoksazol pediatrik tablet
151 Kotrimoksazol suspensi 17 17 2 15
152 Kotrimoksazol dewasa tablet 200 1000 1200 1160 40
153 Kandesartan 8 mg tablet
154 Kasa Steril 16 x 16 steril 48 48 48 0
155 Kasa 4 m X 5 cm
156 Kasa 4 m x 10 cm
157 Kasa 4 0m x 40 cm
158 Kasa pembalut elastis 3 inch
159 Kasa pembalut elastis 4 inch
161 Keteconazole 200 mg tablet 0 0
162 Katekonazol cream 15 gr 12 12 12 0
163 Klindamisin 150 mg kapsul
164 Kloramfenikol 0.5 % tts mata 10 10 4 6
165 Klorom Fenicol Salaf Kulit
166 Katopril 12,5mg tablet 0 0 0
167 Katopril 25 mg tablet 0 0 0
168 Klobazam 10 mg tablet
169 Lidokain Kompositum Injeksi
170 Lisol
171 Levetran salep
172 Leukoplas
173 Lincomycin 500 mg tablet
174 Livron B Plek
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 500 500 0 500
177 Lysmin sirup
178 Lytacur sirup
179 Mebendazol tablet 100 mg
180 Metil Ergometrin Maleat tablet salut 0.125mg 85 85 0 85
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml
182 Metronidazol tablet 500 mg
183 Masker 3 Ply
184 Metformin HCl 500 mg Tablet 1340 1340 985 355
185 Methergin injeksi
186 Metilprednisolon tablet
187 Metronidazol tablet 250 mg 500 500 0 500
188 Mikonazol 2 % Krim 8 8 8 0
189 Mineral mix
190 Methergin injeksi
191 Metilprednisolon tablet
192 Mineral mix
193 Natrium Diklofenak 25 mg tablet 2180 2180 2180 0
194 Natrium Diklofenak 50 mg tablet
195 Nalheting otot no 24
196 Nifedipin 10mg tablet
197 Noza tablet
198 Natrium Bikarbonat tablet 500mg
199 Natrium Fluoresein Tetes Mata 2%
200 Natrium Klorida larutan infus 0,9% steril
201 Nistatin 100.000 IU/G Tablet Vaginal 50 50 27 23
202 Obat Batuk Hitam (OBH) cairan
203 Oksitetrasiklin HCl Salep Kulit 3% 12 12 12 0
204 Oksitetrasiklin HCl Salep Mata 1%
205 Obat Anti Tuberkulosis Kategori Anak
206 Obat Anti Tuberkulosis Kategori Sisipan
207 Omeprazol kapsul 20 mg
208 Paracetamol drop 60 mg / 0,6 ml
209 polifik
210 Piroksikam 10mg kapsul
211 Piroksikam 20mg kapsul
212 Propanolol tablet 10 mg
213 Pularex activated tablet
214 Parasetamol sirup 120 mg/5ml 80 90 170 153 17
215 Parasetamol tablet 100 mg
216 Parasetamol tablet 500 mg 5300 8000 13300 7145 6155
217 Plastik obat 14 14 14 0
218 Pirantel Pamoat tablet 125mg 200 200 16 184
219 Piridoksin HCl (Vitamin B6) tablet 10mg 640 3000 3640 3533 107
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 90 90 90 0
222 Propiltiourasil (PTU) tablet 100mg
223 plasterin
224 Reco TTS TEWLINGA
225 Reserpin tablet 0,25 mg
226 Retinol (Vitamin A) kapul 200.000 IU
227 Rifampisin kaplet 600mg
228 Rifampisin kapsul 300mg
229 Ringer Laktat (RL) larutan infus steril
230 Ranitidin 150mg tablet 2000 1500 3500 2817 683
231 Risperidon tablet 2 mg
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak
233 REAGEN MAMIN
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak
235 Salbutamol tablet 2 mg 203 203 133 70
236 Salep 2-4 kombinasi 12 12 3 9
237 Salisil bedak 2%
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S)
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S)
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik)
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm
244 Sefadroksil 500 mg tablet
245 Sefiksim 100 mg tablet 150 500 650 570 80
246 Sefiksime 100 mg / 5 ml sirup
247 Setirizin 10 mg tablet
248 Setirizin 5 mg / 5 ml sirup
249 Simetidin 200mg tablet
250 Siprofloksasin 500 mg tablet 1025 1025 115 910
251 Sabutamol 4 mg tablet 0 0 0
252 Simvastatin tablet salut 10 mg 0 0 0
253 Stesolid 10 mg Rektal Tub
254 Stesolid 5 mg Rektal Tub
255 Stik asam urat
256 Stik kolesterol
257 Stik glukosa
258 Stimuno forte tablet
259 Stimuno sirup
260 Supra livion tablet
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1199 1199 489 710
262 Surginal Glove Non Steril
263 Slang oksigen anak
264 Slang oksigen dewasa
265 Tablet Tambah darah (progam)
266 Tes Kehamilan
267 TRAMBOPOP 2 2 1 1
268 Tetrakain HCl Tetes Mata 0,5%
269 Tetrasiklin HCl kapsul 250mg
270 Tetrasiklin HCl kapsul 500mg
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 1265 1265 245 1020
273 VAR
274 Triheksifenidil Hidroklorida tablet 2mg 2190 2190 250 1940
275 Trikresol Formalin (TKF) cairan
276 Vitamin B Komplek tablet 2268 3000 5268 3725 1543
277 Valsartan 160 mg tablet
278 Vagizol
279 Wing neadele 25 g
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 1 1 1 0
282 Zinc drops
283 Zink tablet 1000 1000 45 955
284 Zink sirup
Pasein BPJS 996
Pasien Umum 275
Total Pasien 1271

NB: selesih pencatatan 1 diazepam 2 mg 350 tablet

 padang, 21 JANUARI 2019
diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

FEBRUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 0 300 300 130 170
9 Aminofilin tablet 200mg 200 200 100 100
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 564 564 34 530
12 Amoksisilin sirup kering 125 mg/5ml 0
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 0 3000 3000 2100 900
15 Amoksisilin SYR FORTE 34 60 94 53 41
16 Antasida DOEN tablet, kombinasi 0 1000 1000 175 825
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 8 50 58 32 26
19 Antifungi DOEN salep Kombinasi 8 48 56 21 35
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1776 1776 0 1776
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 5 300 305 45 260
27 Asiklovir 5% salep 15 24 39 1 38
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 4 50 54 54 0
32 Ambroksol 30 mg tablet 980 4000 4980 3080 1900
33 Amlodipin 10 mg tablet 0 0 0 0
34 Amlodipin 5 mg tablet 10 360 370 0 370
35 Alkohol aweb 0
36 Antasida Suspensi 0 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 0 0 0
38 Asam Folat 1 mg tablet 0 500 500 430 70
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 120 300 420 420 0
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil suppos 5 mg 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 0 25 25 7 18
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 1126 1126 985 141
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 70 70 0 70
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 815 815 81 734
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 1190 1190 355 835
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 0 10 10 3 7
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 46 24 70 28 42
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 160 160 35 125
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 65 65 27 38
96 Garam Oralit untuk 200 ml air 114 300 414 214 200
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 780 780 190 590
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 200 200 135 65
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 0
111 HUSTAP SYR 44 44 26 18
112 Haloperidol tablet 1,5mg 260 1000 1260 1160 100
113 Hidroklortiazid (HCT) tablet 25mg 341 34 375 5 370
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 0 24 24 5 19
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 260 3500 3760 2190 1570
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 420 420 10 410
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 40 200 240 140 100
138 Kasa Kompres 40/40 steril 0 12 12 12 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 0 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 1184 3500 4684 3000 1684
146 Klorpromazin HCl tablet salut 100mg 80 1000 1080 280 800
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 185 185 110 75
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 15 15 6 9
152 Kotrimoksazol dewasa tablet 40 40 0 40
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 0 0 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 6 12 18 18 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 0 500 500 0 500
167 Katopril 25 mg tablet 0 500 500 120 380
168 Klobazam 10 mg tablet 0
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 300 300 100 200
176 Loratadin 10 mg tablet 500 500 155 345
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 85 85 85 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0
183 Masker 3 Ply 0 50
184 Metformin HCl 500 mg Tablet 355 2000 2355 1905 450
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 500 500 140 360
188 Mikonazol 2 % Krim 0 24 24 12 12
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 0 0 0 0
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 23 23 20 3
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 0 0 0 0
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0
208 Paracetamol drop 60 mg / 0,6 ml 0 56 56 10 46
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 17 17 0 17
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 6155 7000 13155 5985 7170
217 Plastik obat 0 5 5 5 0
218 Pirantel Pamoat tablet 125mg 184 184 9 175
219 Piridoksin HCl (Vitamin B6) tablet 10mg 107 107 0 107
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 0 1000 1000 213 787
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 0
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 683 2500 3183 2809 374
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 70 1000 1070 338 732
236 Salep 2-4 kombinasi 9 24 33 8 25
237 Salisil bedak 2% 0 24 24 13 11
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 80 80 10 70
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 910 910 200 710
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 0 0 0 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 710 710 409 301
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 1 1 1 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 1020 1020 170 850
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 1940 1940 180 1760
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 1543 3500 5043 3647 1396
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 1 1 1 0
282 Zinc drops 0
283 Zink tablet 955 955 90 865
284 Zink sirup 0
Pasein BPJS 1218
Pasien Umum 237
Total Pasien 1455

NB : Selisih Pencatatan 1 HCT 34 Tablet

2 karbamazepin 200 mg 200 tablet

padang, 21 FEBRUARI 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

MARET

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 170 170 65 105
9 Aminofilin tablet 200mg 100 500 600 145 455
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 530 530 0 530
12 Amoksisilin sirup kering 125 mg/5ml 0 40 40 34 6
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 900 4000 4900 3100 1800
15 Amoksisilin SYR FORTE 41 41 41 0
16 Antasida DOEN tablet, kombinasi 825 825 545 280
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 26 26 18 8
19 Antifungi DOEN salep Kombinasi 35 24 59 50 9
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1776 1776 1315 461
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 260 260 245 15
27 Asiklovir 5% salep 38 38 0 38
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 50 50 33 17
32 Ambroksol 30 mg tablet 1900 1900 1603 297
33 Amlodipin 10 mg tablet 0 900 900 243 657
34 Amlodipin 5 mg tablet 370 370 370 0
35 Alkohol aweb 0
36 Antasida Suspensi 0 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 1830 1830 450 1380
38 Asam Folat 1 mg tablet 70 70 70 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 0 1050 1050 610 440
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil suppos 5 mg 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 18 18 16 2
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 1 1 1 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 141 2000 2141 1436 705
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 70 70 32 38
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 734 734 94 640
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 835 835 345 490
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 520 520 520 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 7 7 7 0
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 42 42 2 40
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 125 600 725 665 60
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 38 200 238 68 170
96 Garam Oralit untuk 200 ml air 200 200 0 200
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 590 590 385 205
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 65 65 30 35
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 0
111 HUSTAP SYR 18 50 68 46 22
112 Haloperidol tablet 1,5mg 100 100 0 100
113 Hidroklortiazid (HCT) tablet 25mg 370 370 0 370
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 19 24 43 23 20
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 1570 2000 3570 2510 1060
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 410 410 0 410
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 100 500 600 135 465
138 Kasa Kompres 40/40 steril 0 4 4 4 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 0 24 24 10 14
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 1684 4600 6284 4126 2158
146 Klorpromazin HCl tablet salut 100mg 800 800 150 650
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 75 75 75 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 9 9 2 7
152 Kotrimoksazol dewasa tablet 40 765 805 605 200
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 32 32 32 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 500 500 1000 20 980
167 Katopril 25 mg tablet 380 500 880 530 350
168 Klobazam 10 mg tablet 0
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 200 200 62 138
176 Loratadin 10 mg tablet 345 500 845 307 538
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 450 2000 2450 2060 390
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 360 360 195 165
188 Mikonazol 2 % Krim 12 24 36 28 8
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 0 0 0 0
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0 1 1 1 0
201 Nistatin 100.000 IU/G Tablet Vaginal 3 100 103 102 1
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 0 0 0 0
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0
208 Paracetamol drop 60 mg / 0,6 ml 46 46 18 28
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 17 43 60 34 26
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 7170 7170 5621 1549
217 Plastik obat 0 0 0 0
218 Pirantel Pamoat tablet 125mg 175 175 3 172
219 Piridoksin HCl (Vitamin B6) tablet 10mg 107 1893 2000 1670 330
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 787 787 138 649
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 0 15 15 1 14
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 374 2600 2974 2544 430
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 732 732 266 466
236 Salep 2-4 kombinasi 25 25 14 11
237 Salisil bedak 2% 11 24 35 30 5
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 70 70 70 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 710 1000 1710 420 1290
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 0 1680 1680 290 1390
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 301 3000 3301 511 2790
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 850 850 145 705
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 1760 1760 420 1340
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 1396 3000 4396 3714 682
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 10 10 6 4
282 Zinc drops 0
283 Zink tablet 865 865 38 827
284 Zink sirup 0
Pasein BPJS 1203
Pasien Umum 200
Total Pasien 1403

NB : Selisih Pencatatan 1 asam mefenamat 500 mg 830 tablet

2 kotrimoksazol dewasa 765 tablet
3 parasetamol syr 43 botol
4 Reco tts telinga 15 botol

padang, 21 MARET 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

APRIL

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 105 400 505 45 460
9 Aminofilin tablet 200mg 455 455 55 400
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 530 530 61 469
12 Amoksisilin sirup kering 125 mg/5ml 6 60 66 39 27
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 1800 4000 5800 3265 2535
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 280 1000 1280 650 630
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 8 50 58 26 32
19 Antifungi DOEN salep Kombinasi 9 24 33 19 14
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 461 461 461 0
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 15 300 315 180 135
27 Asiklovir 5% salep 38 38 0 38
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 17 50 67 67 0
32 Ambroksol 30 mg tablet 297 4000 4297 2872 1425
33 Amlodipin 10 mg tablet 657 657 657 0
34 Amlodipin 5 mg tablet 0 14100 14100 3818 10282
35 Alkohol aweb 0
36 Antasida Suspensi 0 50 50 5 45
37 Asam Mefenamat 500 mg kaplet 1380 1380 600 780
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 440 450 890 610 280
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 0 25 25 5 20
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 2 25 27 20 7
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 6 6 6 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 705 1800 2505 1479 1026
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 38 38 38 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 640 500 1140 136 1004
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 490 1000 1490 305 1185
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 300 300 300 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 0 10 10 3 7
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 40 24 64 25 39
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 60 60 35 25
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 170 170 50 120
96 Garam Oralit untuk 200 ml air 200 200 0 200
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 205 1000 1205 280 925
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 35 800 835 125 710
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 0 190 190 0 190
111 HUSTAP SYR 22 50 72 32 40
112 Haloperidol tablet 1,5mg 100 100 70 30
113 Hidroklortiazid (HCT) tablet 25mg 370 370 295 75
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 20 20 12 8
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 1060 1500 2560 2036 524
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 410 410 310 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 465 465 65 400
138 Kasa Kompres 40/40 steril 0 2 2 2 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 14 24 38 16 22
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 2158 4000 6158 4493 1665
146 Klorpromazin HCl tablet salut 100mg 650 650 70 580
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 7 7 7 0
152 Kotrimoksazol dewasa tablet 200 500 700 176 524
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 48 48 48 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 980 980 0 980
167 Katopril 25 mg tablet 350 350 250 100
168 Ketokonazole 10 mg salap 0 25 25 25 0
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 138 138 94 44
176 Loratadin 10 mg tablet 538 538 107 431
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 390 1000 1390 940 450
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 165 165 108 57
188 Mikonazol 2 % Krim 8 8 8 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 0 2800 2800 120 2680
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 1 1 0 1
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 0 0 0 0
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0 600 600 270 330
208 Paracetamol drop 60 mg / 0,6 ml 28 28 10 18
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 26 50 76 46 30
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 1549 6000 7549 6624 925
217 Plastik obat 0 3 3 3 0
218 Pirantel Pamoat tablet 125mg 172 172 4 168
219 Piridoksin HCl (Vitamin B6) tablet 10mg 330 4000 4330 3330 1000
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 649 649 30 619
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 14 14 6 8
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 430 2400 2830 2230 600
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 466 466 306 160
236 Salep 2-4 kombinasi 11 24 35 32 3
237 Salisil bedak 2% 5 24 29 29 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 1290 1290 540 750
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 1390 1390 440 950
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 2790 3000 5790 0 5790
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 2 2 2 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 705 705 330 375
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 1340 1340 210 1130
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 682 6000 6682 3922 2760
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 4 4 4 0
282 Zinc drops 0
283 Zink tablet 827 827 120 707
284 Zink sirup 0
Pasein BPJS 1215
Pasien Umum 213
Total Pasien 1428

NB: Selisih Pencatatan 1 bisokodil tablet 25 tablet

2 hiscopan 190 tablet

padang, 21 APRIL 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

MAI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 460 460 70 390
9 Aminofilin tablet 200mg 400 400 160 240
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 469 469 0 469
12 Amoksisilin sirup kering 125 mg/5ml 27 50 77 42 35
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 2535 4000 6535 2995 3540
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 630 900 1530 1460 70
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 32 32 14 18
19 Antifungi DOEN salep Kombinasi 14 14 11 3
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 0 0 0 0
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 135 135 115 20
27 Asiklovir 5% salep 38 38 0 38
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 1425 3900 5325 2005 3320
33 Amlodipin 10 mg tablet 0 0 0 0
34 Amlodipin 5 mg tablet 10282 10282 722 9560
35 Alkohol aweb 0
36 Antasida Suspensi 45 45 25 20
37 Asam Mefenamat 500 mg kaplet 780 1000 1780 915 865
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 280 600 880 780 100
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 20 20 16 4
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 7 25 32 27 5
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 1026 1000 2026 1448 578
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 1004 1004 97 907
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 1185 1185 295 890
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 7 7 3 4
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 39 39 8 31
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 25 800 825 65 760
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 120 120 10 110
96 Garam Oralit untuk 200 ml air 200 200 200 0
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 925 925 900 25
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 710 710 225 485
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 190 190 0 190
111 HUSTAP SYR 40 50 90 84 6
112 Haloperidol tablet 1,5mg 30 30 0 30
113 Hidroklortiazid (HCT) tablet 25mg 75 75 0 75
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 8 14 22 8 14
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 524 1000 1524 994 530
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 0 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 400 400 0 400
138 Kasa Kompres 40/40 steril 0 1 1 1 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 22 16 38 23 15
144 Kloramfenikol Tetes Telinga 3 % 0 20 20 20 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 1665 6000 7665 3485 4180
146 Klorpromazin HCl tablet salut 100mg 580 580 120 460
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 524 524 492 32
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 16 16 16 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 980 980 0 980
167 Katopril 25 mg tablet 100 100 100 0
168 Ketokonazole 10 mg salap 0 25 25 8 17
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 44 44 44 0
176 Loratadin 10 mg tablet 431 431 238 193
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 450 1000 1450 980 470
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 57 57 32 25
188 Mikonazol 2 % Krim 0 0 0 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 2680 2680 1390 1290
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 1 74 75 0 75
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 0 25 25 13 12
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 330 2910 3240 1806 1434
208 Paracetamol drop 60 mg / 0,6 ml 18 18 3 15
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 30 30 60 8 52
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 925 6000 6925 3765 3160
217 Plastik obat 0 7 7 7 0
218 Pirantel Pamoat tablet 125mg 168 168 24 144
219 Piridoksin HCl (Vitamin B6) tablet 10mg 1000 7000 8000 2092 5908
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 619 619 107 512
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 8 8 0 8
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 600 600 600 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 160 1000 1160 260 900
236 Salep 2-4 kombinasi 3 24 27 13 14
237 Salisil bedak 2% 0 48 48 34 14
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 750 1000 1750 900 850
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 950 950 950 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 5790 1500 7290 1310 5980
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 375 375 0 375
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 1130 1130 1130 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 2760 3000 5760 4265 1495
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0 0
282 Zinc drops 0
283 Zink tablet 707 707 47 660
284 Zink sirup 0
Pasein BPJS 1147
Pasien Umum 246
Total Pasien 1393

NB : Selisih Pencatatan 1 Nistatin Vaginal tab 74 tablet

2 viatamin B12 1500 tablet

padang, 21 MAI 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

JUNI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 390 390 70 320
9 Aminofilin tablet 200mg 240 240 95 145
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 469 469 29 440
12 Amoksisilin sirup kering 125 mg/5ml 35 60 95 45 50
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 3540 4000 7540 6947 593
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 70 70 0 70
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 18 50 68 23 45
19 Antifungi DOEN salep Kombinasi 3 19 22 5 17
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 0 7000 7000 1300 5700
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 20 500 520 219 301
27 Asiklovir 5% salep 38 38 8 30
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 3320 3320 1676 1644
33 Amlodipin 10 mg tablet 0 0 0 0
34 Amlodipin 5 mg tablet 9560 9560 4535 5025
35 Alkohol aweb 0
36 Antasida Suspensi 20 45 65 50 15
37 Asam Mefenamat 500 mg kaplet 865 865 745 120
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 100 900 1000 555 445
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 4 4 4 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 5 25 30 26 4
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 578 1100 1678 1157 521
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 907 907 212 695
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 890 890 435 455
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 300 300 300 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 4 4 3 1
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 31 31 10 21
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 760 760 50 710
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 110 110 0 110
96 Garam Oralit untuk 200 ml air 0 400 400 400 0
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 25 25 0 25
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 485 485 121 364
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 190 190 0 190
111 HUSTAP SYR 6 150 156 152 4
112 Haloperidol tablet 1,5mg 30 1000 1030 130 900
113 Hidroklortiazid (HCT) tablet 25mg 75 75 0 75
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 14 24 38 22 16
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 530 530 480 50
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 0 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 400 400 10 390
138 Kasa Kompres 40/40 steril 0 1 1 1
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 15 24 39 24 15
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 4180 4180 3333 847
146 Klorpromazin HCl tablet salut 100mg 460 460 90 370
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 32 1000 1032 380 652
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 0 0 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 980 980 570 410
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 17 25 42 30 12
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 193 500 693 242 451
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 470 1000 1470 1264 206
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 25 25 13 12
188 Mikonazol 2 % Krim 0 0 0 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 1290 2800 4090 1505 2585
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 75 75 17 58
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 12 25 37 27 10
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 1434 900 2334 1634 700
208 Paracetamol drop 60 mg / 0,6 ml 15 15 13 2
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 52 52 52 0
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 3160 7000 10160 5635 4525
217 Plastik obat 0 3 3 3 0
218 Pirantel Pamoat tablet 125mg 144 144 0 144
219 Piridoksin HCl (Vitamin B6) tablet 10mg 5908 5908 5338 570
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 512 512 167 345
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 8 8 16 2 14
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 0 0 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 900 900 302 598
236 Salep 2-4 kombinasi 14 14 11 3
237 Salisil bedak 2% 14 24 38 32 6
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 850 850 435 415
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 0 1680 1680 470 1210
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 5980 5980 804 5176
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0 2160 2160 2160 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 375 220 595 55 540
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 1495 3000 4495 3810 685
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0 0
282 Zinc drops 0
283 Zink tablet 660 660 190 470
284 Zink sirup 0
Pasein BPJS 1036
Pasien Umum 196
Total Pasien 1232

NB :Selisih Pencatatan 1 reco tetes telinga 8 botol

2 vitamin B1 220 tablet

padang, 21 JUNI 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

JULI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 320 320 70 250
9 Aminofilin tablet 200mg 145 600 745 165 580
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 440 440 10 430
12 Amoksisilin sirup kering 125 mg/5ml 50 50 46 4
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 593 593 14 579
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 70 70 70 0
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 45 45 25 20
19 Antifungi DOEN salep Kombinasi 17 24 41 27 14
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 5700 5700 2915 2785
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 301 301 0 301
27 Asiklovir 5% salep 30 30 12 18
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 1644 4000 5644 2556 3088
33 Amlodipin 10 mg tablet 0 0 0 0
34 Amlodipin 5 mg tablet 5025 7200 12225 2610 9615
35 Alkohol aweb 0
36 Antasida Suspensi 15 100 115 115 0
37 Asam Mefenamat 500 mg kaplet 120 1000 1120 1120 0
38 Asam Folat 1 mg tablet 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 445 600 1045 780 265
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0 0 0 0
48 Bisakodil tablet 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 4 25 29 25 4
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 521 521 521 0
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 695 1000 1695 195 1500
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 455 1000 1455 391 1064
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 1 1 0 1
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 21 24 45 28 17
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 710 710 50 660
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 110 110 7 103
96 Garam Oralit untuk 200 ml air 0 300 300 300 0
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 25 1000 1025 1025 0
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 364 364 179 185
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 190 190 14 176
111 HUSTAP SYR 4 150 154 154 0
112 Haloperidol tablet 1,5mg 900 900 110 790
113 Hidroklortiazid (HCT) tablet 25mg 75 75 75 0
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 16 48 64 64 0
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 50 1000 1050 970 80
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 0 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 0 0 0
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 390 390 0 390
138 Kasa Kompres 40/40 steril 0 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 15 24 39 33 6
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 847 6000 6847 4636 2211
146 Klorpromazin HCl tablet salut 100mg 370 370 140 230
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 652 652 319 333
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 32 32 32 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 410 410 410 0
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 12 25 37 20 17
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 451 900 1351 801 550
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0 500
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 206 1000 1206 1060 146
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 12 12 0 12
188 Mikonazol 2 % Krim 0 0 0 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 2585 2585 1845 740
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 58 58 9 49
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 10 50 60 50 10
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 700 600 1300 1300 0
208 Paracetamol drop 60 mg / 0,6 ml 2 56 58 34 24
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 0 0 0 0
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 4525 3000 7525 7525 0
217 Plastik obat 0 4 4 4 0
218 Pirantel Pamoat tablet 125mg 144 144 8 136
219 Piridoksin HCl (Vitamin B6) tablet 10mg 570 570 0 570
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 345 345 203 142
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 14 14 10 4
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 0 0 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 598 598 548 50
236 Salep 2-4 kombinasi 3 3 3 0
237 Salisil bedak 2% 6
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 415 1000 1415 492 923
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 1210 1210 755 455
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 5176 5176 1179 3997
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 540 540 95 445
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 685 3600 4285 4285 0
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0 0
282 Zinc drops 0
283 Zink tablet 470 470 140 330
284 Zink sirup 0
Pasein BPJS 1307
Pasien Umum 260
Total Pasien 1567

padang, 21 JULI 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

AGUSTUS

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 250 250 55 195
9 Aminofilin tablet 200mg 580 580 200 380
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 430 430 0 430
12 Amoksisilin sirup kering 125 mg/5ml 4 60 64 20 44
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 579 8300 8879 4319 4560
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 0 1000 1000 433 567
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 20 20 15 5
19 Antifungi DOEN salep Kombinasi 14 14 9 5
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 2785 2785 2590 195
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 301 300 601 396 205
27 Asiklovir 5% salep 18 18 7 11
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 3088 5900 8988 3874 5114
33 Amlodipin 10 mg tablet 0 6000 6000 1322 4678
34 Amlodipin 5 mg tablet 9615 9615 6685 2930
35 Alkohol aweb 0
36 Antasida Suspensi 0 150 150 117 33
37 Asam Mefenamat 500 mg kaplet 0 1800 1800 630 1170
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 265 900 1165 805 360
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 0 0 0 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 4 25 29 27 2
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 0 0 0 0
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 1500 1500 142 1358
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 1064 1064 364 700
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 0 200
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 1 3 4 4 0
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 17 17 17 0
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 660 660 120 540
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 103 103 103 0
96 Garam Oralit untuk 200 ml air 0 300 300 273 27
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 0 0 0 0
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 185 185 45 140
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 176 176 0 176
111 HUSTAP SYR 0 100 100 100 0
112 Haloperidol tablet 1,5mg 790 790 700 90
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0 0
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 0 24 24 14 10
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 80 3500 3580 2100 1480
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 0 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 0 4000 4000 95 3905
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 390 390 110 280
138 Kasa Kompres 40/40 steril 0 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 6 24 30 30 0
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 2211 6000 8211 4541 3670
146 Klorpromazin HCl tablet salut 100mg 230 230 76 154
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 333 333 313 20
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 32 32 32 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 0 0 0
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 0 0 0 0
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 17 25 42 29 13
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 550 550 439 111
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 0 453 453 183 270
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 146 2000 2146 1216 930
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 12 12 12 0
188 Mikonazol 2 % Krim 0 0 0 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 740 2800 3540 1480 2060
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 49 49 46 3
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 10 25 35 16 19
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0
208 Paracetamol drop 60 mg / 0,6 ml 24 24 14 10
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 0 20 20 15 5
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 0 8000 8000 8000 0
217 Plastik obat 0 3 3 3 0
218 Pirantel Pamoat tablet 125mg 136 136 0 136
219 Piridoksin HCl (Vitamin B6) tablet 10mg 570 4516 5086 1525 3561
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 142 500 642 267 375
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TEWLINGA 4 4 0 4
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 1900 1900 1900 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 50 1000 1050 310 740
236 Salep 2-4 kombinasi 0 0 0 0
237 Salisil bedak 2% 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 923 923 465 458
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 455 455 455 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 3997 3997 865 3132
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 445 445 170 275
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 0 7000 7000 3286 3714
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 15 15 15 0
282 Zinc drops 0
283 Zink tablet 330 1000 1330 280 1050
284 Zink sirup 0
Pasein BPJS 1395
Pasien Umum 325
Total Pasien 1720

NB: Selisih Pencatatan 1 metronidazole 500 mg 453 tablet

2 vitamin b 6 4516 tablet

padang, 21 AGUSTUS 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

SEPTEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 195 500 695 245 450
9 Aminofilin tablet 200mg 380 380 40 340
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 430 430 35 395
12 Amoksisilin sirup kering 125 mg/5ml 44 60 104 59 45
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 4560 4560 4272 288
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 567 567 567 0
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 5 70 75 36 39
19 Antifungi DOEN salep Kombinasi 5 5 1 4
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 195 7000 7195 2443 4752
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 205 1000 1205 905 300
27 Asiklovir 5% salep 11 19 30 30 0
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 5114 6000 11114 5652 5462
33 Amlodipin 10 mg tablet 4678 4678 1818 2860
34 Amlodipin 5 mg tablet 2930 2930 1631 1299
35 Alkohol aweb 0
36 Antasida Suspensi 33 45 78 64 14
37 Asam Mefenamat 500 mg kaplet 1170 3300 4470 1635 2835
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 360 600 960 770 190
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 0 0 0 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 2 2 2 0
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 0 0 0 0
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 1358 1358 358 1000
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 700 700 496 204
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 200 200 20 180
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0 0
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 0 0 0 0
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 540 540 56 484
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 0 0 0 0
96 Garam Oralit untuk 200 ml air 27 600 627 627 0
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 0 500 500 240 260
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 140 140 140 0
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 176 176 46 130
111 HUSTAP SYR 0 0 0 0
112 Haloperidol tablet 1,5mg 90 90 0 90
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0 0
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 10 57 67 67 0
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 1480 1480 1100 380
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 0 100
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 3905 3905 967 2938
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 280 280 0 280
138 Kasa Kompres 40/40 steril 0 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 0 24 24 23 1
144 Kloramfenikol Tetes Telinga 3 % 0 0 0 0
145 Klorfeniramini Maleat (CTM) tablet 4mg 3670 6200 9870 6197 3673
146 Klorpromazin HCl tablet salut 100mg 154 154 0 154
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 0 0 0
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 20 1000 1020 775 245
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 0 0 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 0 1000 1000 0 1000
162 Katekonazol cream 15 gr 0 0 0 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0
166 Katopril 12,5mg tablet 0 0 0 0
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 13 50 63 43 20
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 111 500 611 331 280
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 270 270 85 185
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 930 3000 3930 1560 2370
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 0 0 0 0
188 Mikonazol 2 % Krim 0 0 0 0
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 2060 2060 1700 360
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 3 100 103 21 82
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 19 25 44 30 14
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0
208 Paracetamol drop 60 mg / 0,6 ml 10 56 66 15 51
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 5 80 85 65 20
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 0 6000 6000 3495 2505
217 Plastik obat 0 6 6 6 0
218 Pirantel Pamoat tablet 125mg 136 136 0 136
219 Piridoksin HCl (Vitamin B6) tablet 10mg 3561 3561 351 3210
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 375 375 375 0
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 4 4 3 1
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 1500 1500 1500 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 740 740 265 475
236 Salep 2-4 kombinasi 0 0 0 0
237 Salisil bedak 2% 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 458 1000 1458 1308 150
251 Sabutamol 4 mg tablet 0 0 0 0
252 Simvastatin tablet salut 10 mg 0 0 0 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 3132 3000 6132 3112 3020
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 275 500 775 494 281
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 3714 3714 3714 0
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 4 4 0 4
282 Zinc drops 0
283 Zink tablet 1050 1050 220 830
284 Zink sirup 0
Pasein BPJS 1480
Pasien Umum 310
Total Pasien 1790

NB : Selisih penctatan 1 Glibenklamid 5 mg 500 tablet

padang, 21 SEPTEMBER 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

OKTOBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 1 1 1 0
8 Alopurinol tablet 100mg 450 450 365 85
9 Aminofilin tablet 200mg 340 340 40 300
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 395 395 5 390
12 Amoksisilin sirup kering 125 mg/5ml 45 45 40 5
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 288 5000 5288 4643 645
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 0 2000 2000 850 1150
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 39 39 12 27
19 Antifungi DOEN salep Kombinasi 4 4 4 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 4752 4752 2337 2415
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 300 500 800 490 310
27 Asiklovir 5% salep 0 0 0 0
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 5462 4700 10162 9642 520
33 Amlodipin 10 mg tablet 2860 2860 2060 800
34 Amlodipin 5 mg tablet 1299 7200 8499 2144 6355
35 Alkohol aweb 0
36 Antasida Suspensi 14 14 14 0
37 Asam Mefenamat 500 mg kaplet 2835 2835 2835 0
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 0 0 0
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 190 1050 1240 760 480
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 0 0 0 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 0 25 25 11 14
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 0 0 0 0
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 1000 1000 500 500
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 204 1000 1204 354 850
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 180 180 0 180
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 0 2 2 2 0
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 0 0 0 0
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 484 484 184 300
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 0 0 0 0
96 Garam Oralit untuk 200 ml air 0 550 550 550 0
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 260 1000 1260 476 784
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 0 0 0
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 0 0 0 0
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 130 130 0 130
111 HUSTAP SYR 0 50 50 50 0
112 Haloperidol tablet 1,5mg 90 90 90 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0 0 0
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 0 48 48 48 0
117 Hidrokortison 1 % krim 0
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 380 1000 1380 1015 365
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 100 100 100 0
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 2938 2938 688 2250
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 280 280 0 280
138 Kasa Kompres 40/40 steril 0 10 10 10 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 1 24 25 25 0
144 Kloramfenikol Tetes Telinga 3 % 0 20 20 4 16
145 Klorfeniramini Maleat (CTM) tablet 4mg 3673 6000 9673 5303 4370
146 Klorpromazin HCl tablet salut 100mg 154 154 154 0
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 0 500 500 0 500
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 0 0 0
152 Kotrimoksazol dewasa tablet 245 245 245 0
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 0 0 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 1000 1000 0 1000
162 Katekonazol cream 15 gr 0 25 25 25 0
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 0 0 0
165 Klorom Fenicol Salaf Kulit 0 24 24 1 23
166 Katopril 12,5mg tablet 0 0 0 0
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 20 25 45 20 25
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 280 500 780 405 375
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 185 185 100 85
183 Masker 3 Ply 0 50 50 50 0
184 Metformin HCl 500 mg Tablet 2370 2370 1315 1055
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 0 0 0 0
188 Mikonazol 2 % Krim 0 19 19 13 6
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 360 2800 3160 1600 1560
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 82 82 0 82
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 14 22 36 29 7
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0 1230 1230 1230
208 Paracetamol drop 60 mg / 0,6 ml 51 51 32 19
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 20 20 20 0
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 2505 8000 10505 8965 1540
217 Plastik obat 0 4 4 4 0
218 Pirantel Pamoat tablet 125mg 136 136 4 132
219 Piridoksin HCl (Vitamin B6) tablet 10mg 3210 3210 1954 1256
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 0 2000 2000 2000 0
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TELINGA 1 1 1 0
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 2000 2000 2000 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 475 475 240 235
236 Salep 2-4 kombinasi 0 0 0 0
237 Salisil bedak 2% 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 150 150 150 0
251 Sabutamol 4 mg tablet 0 200 200 70 130
252 Simvastatin tablet salut 10 mg 0 0 0 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 3020 3020 3020 0
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0 510 510 510 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 281 1000 1281 1121 160
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 0 2000 2000 2000 0
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 4 4 4 0
282 Zinc drops 0
283 Zink tablet 830 830 260 570
284 Zink sirup 0
Pasein BPJS 1431
Pasien Umum 273
Total Pasien 1704

padang, 21 OKTOBER 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2019

NOVEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 1 1 1 0
8 Alopurinol tablet 100mg 85 300 385 155 230
9 Aminofilin tablet 200mg 300 300 100 200
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 390 390 105 285
12 Amoksisilin sirup kering 125 mg/5ml 5 60 65 40 25
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 645 5000 5645 4470 1175
15 Amoksisilin SYR FORTE 0 0 0 0
16 Antasida DOEN tablet, kombinasi 1150 4000 5150 1015 4135
17 Antibakteri DOEN Salep Kombinasi 0 0 0 0
18 Anti Hemoroid DOEN Kombinasi 27 27 14 13
19 Antifungi DOEN salep Kombinasi 0 0 0 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 2415 7000 9415 3670 5745
22 Acetil sistein 0 0 0 0
23 Anti A 0 0
24 Anti B 0 0
25 Asiklovir 200mg tablet 0 0
26 Asiklovir 400mg tablet 310 500 810 330 480
27 Asiklovir 5% salep 0 0 0 0
28 Asiklovir salep mata 0
29 Azitromisin 500 mg 0 0 0 0
30 Albothyl Konsentrat 0
31 Ambroksol sirup 0 0 0 0
32 Ambroksol 30 mg tablet 520 520 0 520
33 Amlodipin 10 mg tablet 800 800 0 800
34 Amlodipin 5 mg tablet 6355 6355 5465 890
35 Alkohol aweb 0
36 Antasida Suspensi 0 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 1000 1000 796 204
38 Asam Folat 1 mg tablet 0 0 0 0
39 Aspilet 80 mg tablet 0
40 ASETILSISTEIN 0 2800 2800 1000 1800
41 Becefort sirup 0
42 Becefort tablet 0
43 Berotec inhaler 0
44 Betahistin Mesilat 6 mg tablet 480 480 460 20
45 Bicolax tablet 0
46 Bioron tablet 0
47 Bioplacenton Cream 0
48 Bisakodil tablet 0 0 0 0
49 Bisoprolol 5 mg tablet 0
50 BaC12 10% 0
51 Blood lancet 0
52 Borak Gliserin 0
53 BENEDIK 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / via 0
55 Betametason krim 0,1% 14 14 14 0
56 chkm 0
57 Co Amoxiclav 625 mg tablet 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0
59 Catgut / Benang Bedah No.3/0 GEA 0
60 CENDO LITER 0 0 0 0
61 Catgut / Benang Bedah No.2/0 0
62 Cup serum 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0
64 Deksametason tab 0,5mg 0 3000 3000 548 2452
65 Dektrometorfan HBr sirup 10 mg/5ml 0
66 Diazepam tablet 5 mg 0 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0
68 Diazepam tablet 2mg 500 500 500 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0
70 Digoksin tablet 0,25 mg 0
71 Dumin Supos 125 mg/ 5 ml 0
72 Difenhidramin 10 mg/ml Injeksi 0
73 Dimenhidrinat 50 mg tablet 0
74 Domperidon 5 mg / ml drops 0 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0
76 Domperidon tablet 10 mg 850 850 428 422
77 Dulkolak sup 0 0 0 0
78 Eritromisin 500 mg kapsul 180 180 0 180
79 Eritromisin 250 mg tablet 0 0 0 0
80 Eritromisin 200 mg / 5 ml 0
81 Efedrin HCl tablet 25 mg 0
82 Ekstrak Belladon tablet 10mg 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0. 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0 0
85 Etanol 70% 100 ML 0
86 Etanol 70% 1 LITER 0
87 Etil Klorida semprot 0
88 Eugenol cairan 0
89 Fenoksimetil Penisilina tablet 250mg 0
90 Fenoksimetil Penisilina tablet 500mg 0
91 Fenol Gliserol Tetes Telinga 10% 0 24 24 2 22
92 Fitomenadion (Vitamin K1) injeksi 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 300 300 0 300
94 Fouchet 100 ml 0
95 Furosemid tablet 40mg 0 0 0 0
96 Garam Oralit untuk 200 ml air 0 300 300 96 204
97 Gentian Violet larutan 1% 0
98 Glibenklamid tablet 5mg 784 784 503 281
99 Gliseril Guayakolat tablet 100 mg 0
100 Glukosa Larutan Infus 10% Steril 0
101 Glukosa Larutan Infus 5% Steril 0
102 Griseofulvin tablet 500 mg, micronized 0 500 500 40 460
103 Gentamicin 0,1 % salep 0
104 Gentamicin 0,3% salap mata 0
105 Gentamicin 0,3% tetes mata 0
106 Glimepirid 2 mg tablet 0 0 0 0
107 Glimepirid 3 mg tablet 0
108 Glucobay 50 mg tablet 0
109 Hemafort tablet 0
110 Hyscopan 10 mg tablet 130 130 0 130
111 HUSTAP SYR 0 100 100 100 0
112 Haloperidol tablet 1,5mg 0 1000 1000 10 990
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0 0
114 Hancoond L 0
115 Hcl 0,1 n 100 ml 0
116 Hidrokortison krim 2,5% 0 48 48 48 0
117 Hidrokortison 1 % krim 0 24
118 Hifafik 0
119 Hancond pp 6,5 0
120 Hancond pp 7 0
121 Hancond pp 7,5 0
122 Ibuprofen tablet 200 mg 365 1600 1965 1505 460
123 Ibuprofen tablet 400 mg 0
124 Infusion set anak 0
125 Infusion set dewasa 0
126 INJ SIKZONOAT 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0 0
128 Ichtyol Salep 0
129 Isoniazid (INH) tab 100mg 0
130 IV Cateter no.18 0
131 IV Catether No 20 0
132 IV Catether No 22 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0
134 Kalsium Laktat (Kalk) tablet 500 mg 2250 2250 1530 720
135 Kapas Berlemak 500 Gram 0
136 Kapas Pembalut / Absorben 250 Gram 0
137 Karbamazepin tablet 200mg 280 280 0 280
138 Kasa Kompres 40/40 steril 0 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0
140 Kasa Pembalut 4 M x 15 cm 0
141 Kasa Pembalut 4 M x 3cm 0
142 Kloramfenikol kapsul 250 mg 0
143 Kloramfenikol Salep Mata 1% 0 45 45 44 1
144 Kloramfenikol Tetes Telinga 3 % 16 16 9 7
145 Klorfeniramini Maleat (CTM) tablet 4mg 4370 7000 11370 5845 5525
146 Klorpromazin HCl tablet salut 100mg 0 0 0 0
147 Klorpromazin HCl tablet salut 25mg 0
148 Kodein HCl tab 10mg 500 500 148 352
149 Kertas perkamen 0
150 Kotrimoksazol pediatrik tablet 0
151 Kotrimoksazol suspensi 0 100 100 3 97
152 Kotrimoksazol dewasa tablet 0 0 0 0
153 Kandesartan 8 mg tablet 0
154 Kasa Steril 16 x 16 steril 0 0 0 0
155 Kasa 4 m X 5 cm 0
156 Kasa 4 m x 10 cm 0
157 Kasa 4 0m x 40 cm 0
158 Kasa pembalut elastis 3 inch 0
159 Kasa pembalut elastis 4 inch 0
161 Keteconazole 200 mg tablet 1000 1000 390 610
162 Katekonazol cream 15 gr 0 25 25 16 9
163 Klindamisin 150 mg kapsul 0
164 Kloramfenikol 0.5 % tts mata 0 5 5 3 2
165 Klorom Fenicol Salaf Kulit 23 23 10 13
166 Katopril 12,5mg tablet 0 500 500 230 270
167 Katopril 25 mg tablet 0 0 0 0
168 Ketokonazole 10 mg salap 25 25 50 27 23
169 Lidokain Kompositum Injeksi 0
170 Lisol 0
171 Levetran salep 0
172 Leukoplas 0
173 Lincomycin 500 mg tablet 0
174 Livron B Plek 0
175 Loperamid 10 mg tablet 0 0 0 0
176 Loratadin 10 mg tablet 375 375 375 0
177 Lysmin sirup 0
178 Lytacur sirup 0
179 Mebendazol tablet 100 mg 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 0 0 0 0
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0
182 Metronidazol tablet 500 mg 85 85 0 85
183 Masker 3 Ply 0
184 Metformin HCl 500 mg Tablet 1055 2000 3055 1395 1660
185 Methergin injeksi 0
186 Metilprednisolon tablet 0
187 Metronidazol tablet 250 mg 0 0 0 0
188 Mikonazol 2 % Krim 6 6 0 6
189 Mineral mix 0
190 Methergin injeksi 0
191 Metilprednisolon tablet 0
192 Mineral mix 0
193 Natrium Diklofenak 25 mg tablet 1560 2800 4360 2200 2160
194 Natrium Diklofenak 50 mg tablet 0
195 Nalheting otot no 24 0
196 Nifedipin 10mg tablet 0
197 Noza tablet 0
198 Natrium Bikarbonat tablet 500mg 0
199 Natrium Fluoresein Tetes Mata 2% 0
200 Natrium Klorida larutan infus 0,9% steril 0
201 Nistatin 100.000 IU/G Tablet Vaginal 82 82 25 57
202 Obat Batuk Hitam (OBH) cairan 0
203 Oksitetrasiklin HCl Salep Kulit 3% 7 25 32 23 9
204 Oksitetrasiklin HCl Salep Mata 1% 0
205 Obat Anti Tuberkulosis Kategori Anak 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0
207 Omeprazol kapsul 20 mg 0 2100 2100 1500 600
208 Paracetamol drop 60 mg / 0,6 ml 19
209 polifik 0
210 Piroksikam 10mg kapsul 0
211 Piroksikam 20mg kapsul 0
212 Propanolol tablet 10 mg 0
213 Pularex activated tablet 0
214 Parasetamol sirup 120 mg/5ml 0 100 100 38 62
215 Parasetamol tablet 100 mg 0
216 Parasetamol tablet 500 mg 1540 9000 10540 8309 2231
217 Plastik obat 0 6 6 6 0
218 Pirantel Pamoat tablet 125mg 132 132 0 132
219 Piridoksin HCl (Vitamin B6) tablet 10mg 1256 1256 1256 0
220 Plester 5 yard x 2 inch 0 0 0 0
221 Prednison tablet 5 mg 0 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0
223 plasterin 0
224 Reco TTS TEWLINGA 0
225 Reserpin tablet 0,25 mg 0
226 Retinol (Vitamin A) kapul 200.000 IU 0
227 Rifampisin kaplet 600mg 0
228 Rifampisin kapsul 300mg 0
229 Ringer Laktat (RL) larutan infus steril 0
230 Ranitidin 150mg tablet 0 0 0 0
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 235 1000 1235 130 1105
236 Salep 2-4 kombinasi 0 24 24 20 4
237 Salisil bedak 2% 0 30 30 15 15
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 0 0 0 0
251 Sabutamol 4 mg tablet 130 130 130 0
252 Simvastatin tablet salut 10 mg 0 0 0 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 0 0 0 0
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 m 0
 272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 m 160 3000 3160 1910 1250
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 0 8000 8000 3560 4440
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0 0
282 Zinc drops 0
283 Zink tablet 570 570 460 110
284 Zink sirup 0
Pasein BPJS 1644
Pasien Umum 237
Total Pasien 1881

padang, 21 NOVEMBER 2019

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
DESEMBER

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml
2 Alat Suntik sekali pakai 0,05ml
3 Alat Suntik sekali pakai 1ml
4 Alat Suntik sekali pakai 2,5ml
5 Alat Suntik sekali pakai 3ml
6 Alat Suntik sekali pakai 5ml
7 Alat Suntik sekali pakai10 ml 0 0 0 0
8 Alopurinol tablet 100mg 230 230 129 101
9 Aminofilin tablet 200mg 200 200 60 140
10 Aseptan 0
11 Amitriptilin HCl tablet salut 25mg 285 285 0 285
12 Amoksisilin sirup kering 125 mg/5ml 25 50 75 30 45
13 Amoksisilin kapsul 250mg 0
14 Amoksisilin 500 mg 1175 5000 6175 3871 2304
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 4135 4135 1130 3005
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 13 50 63 18 45
19 Antifungi DOEN salep Kombinasi 0 16 16 5 11
20 Asam Askorbat (Vitamin C) tablet 250mg 0
21 Asam Askorbat (Vitamin C) tablet 50mg 5745 5745 2145 3600
22 Acetil sistein 0 0 0 0
23 Anti A 0
24 Anti B 0
25 Asiklovir 200mg tablet 0
26 Asiklovir 400mg tablet 480 400 880 170 710
27 Asiklovir 5% salep 0 0 0 0
 230 Ranitidin 150mg tablet 0 3000 3000 30 2970
231 Risperidon tablet 2 mg 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0
233 REAGEN MAMIN 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0
235 Salbutamol tablet 2 mg 465 465 265 200
236 Salep 2-4 kombinasi 11 24 35 15 20
237 Salisil bedak 2% 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T. 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mc 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0
244 Sefadroksil 500 mg tablet 0
245 Sefiksim 100 mg tablet 0 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0
247 Setirizin 10 mg tablet 0
248 Setirizin 5 mg / 5 ml sirup 0
249 Simetidin 200mg tablet 0
250 Siprofloksasin 500 mg tablet 720 720 350 370
251 Sabutamol 4 mg tablet 100 100 40 60
252 Simvastatin tablet salut 10 mg 0 0 0 0
253 Stesolid 10 mg Rektal Tub 0
254 Stesolid 5 mg Rektal Tub 0
255 Stik asam urat 0
256 Stik kolesterol 0
257 Stik glukosa 0
258 Stimuno forte tablet 0
259 Stimuno sirup 0
260 Supra livion tablet 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 10 10 0 10
262 Surginal Glove Non Steril 0
263 Slang oksigen anak 0
264 Slang oksigen dewasa 0
265 Tablet Tambah darah (progam) 0
266 Tes Kehamilan 0
267 TRAMBOPOP 0 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0
269 Tetrasiklin HCl kapsul 250mg 0
270 Tetrasiklin HCl kapsul 500mg 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 1200 1500 2700 1700 1000
273 VAR 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0 0
275 Trikresol Formalin (TKF) cairan 0
276 Vitamin B Komplek tablet 1500 5000 6500 1576 4924
277 Valsartan 160 mg tablet 0
278 Vagizol 0
279 Wing neadele 25 g 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0 0
282 Zinc drops 0
283 Zink tablet 1010 1010 105 905
284 Zink sirup 0
Pasein BPJS 1273
Pasien Umum 145
total 1418

padang, 20 JANUARI 2020

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 230 Ranitidin 150mg tablet 2970 2970 992 1978
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 200 1900 2100 337 1763
236 Salep 2-4 kombinasi 20 24 44 28 16
237 Salisil bedak 2% 0 20 20 11 9
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 0 0 0
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 370 1700 2070 195 1875
251 Sabutamol 4 mg tablet 60 60 20 40
252 Simvastatin tablet salut 10 mg 0 0 0
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 10 3000 3010 1209 1801
262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 1000 1000 496 504
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 4924 4924 1772 3152
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 3 3 2 1
282 Zinc drops 0 0 0
283 Zink tablet 905 905 70 835
284 Zink sirup 0 0 0
Pasein BPJS 1448
Pasien Umum 166
total 1614

padang, 20 FEBRUAARI 2020

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 230 Ranitidin 150mg tablet 1978 1978 1048 930
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 1763 1763 303 1460
236 Salep 2-4 kombinasi 16 16 11 5
237 Salisil bedak 2% 9 30 39 28 11
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 0 0 0
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 1875 1875 200 1675
251 Sabutamol 4 mg tablet 40 40 0 40
252 Simvastatin tablet salut 10 mg 0 0 0
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1801 1801 871 930
262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 0 5 5 1 4
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 504 504 158 346
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 3152 3152 3152 0
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 1 10 11 3 8
282 Zinc drops 0 0 0
283 Zink tablet 835 835 155 680
284 Zink sirup 0 0 0
Pasein BPJS 1608
Pasien Umum 183
total 1791

padang, 20 maret 2020

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2020

APRIL

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 0 0
9 Aminofilin tablet 200mg 410 410 85 325
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 200 200 0 200
12 Amoksisilin sirup kering 125 mg/5ml 12 60 72 19 53
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 4020 4020 2960 1060
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 2805 2805 801 2004
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 63 63 15 48
19 Antifungi DOEN salep Kombinasi 10 10 3 7
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 2695 3000 5695 3025 2670
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 280 1200 1480 140 1340
27 Asiklovir 5% salep 23 23 9 14
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 0 6000 6000 2533 3467
33 Amlodipin 10 mg tablet 1325 6000 7325 1800 5525
34 Amlodipin 5 mg tablet 7190 7190 1555 5635
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 0 0
38 Asam Folat 1 mg tablet 480 480 480 0
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 0 0 0
41 Becefort sirup 0 0 0
42 Becefort tablet 316 316 316 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 1060 1060 530 530
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 0 4000 4000 256 3744
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

mai

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 0 0
9 Aminofilin tablet 200mg 325 325 0 325
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 200 200 30 170
12 Amoksisilin sirup kering 125 mg/5ml 53 53 8 45
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 1060 4900 5960 1505 4455
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 2004 2004 605 1399
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 48 48 13 35
19 Antifungi DOEN salep Kombinasi 7 7 1 6
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 2670 2670 1745 925
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 1340 1340 140 1200
27 Asiklovir 5% salep 14 14 7 7
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 3467 3467 1015 2452
33 Amlodipin 10 mg tablet 5525 5525 1380 4145
34 Amlodipin 5 mg tablet 5635 5635 1040 4595
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 0 0
38 Asam Folat 1 mg tablet 0 0 0
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 0 0 0
41 Becefort sirup 0 0 0
42 Becefort tablet 0 200 200 200 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 530 530 255 275
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 3744 3744 650 3094
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
 230 Ranitidin 150mg tablet 4079 4079 1020 3059
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 1080 1080 110 970
236 Salep 2-4 kombinasi 20 20 2 18
237 Salisil bedak 2% 0 0 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 0 0 0
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 1365 1365 160 1205
251 Sabutamol 4 mg tablet 40 40 0 40
252 Simvastatin tablet salut 10 mg 0 0 0
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1900 1900 545 1355
262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 420 420 40 380
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 4 4 1 3
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 2050 2050 110 1940
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 1003 4000 5003 2356 2647
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 1 10 11 2 9
282 Zinc drops 0 0 0
283 Zink tablet 440 440 30 410
284 Zink sirup 0 0 0
Pasein BPJS
Pasien Umum
total 0

padang, 20 JUNI 2020

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 LPLPO DAN AMPRAH APOTIK 2020

JULI

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 0 0
9 Aminofilin tablet 200mg 325 325 76 249
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 170 170 30 140
12 Amoksisilin sirup kering 125 mg/5ml 42 42 15 27
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 2295 5000 7295 2440 4855
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 869 869 506 363
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 22 22 12 10
19 Antifungi DOEN salep Kombinasi 29 29 3 26
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 6000 6000 1511 4489
22 Acetil sistein 1000 1000 0 1000
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 2180 2180 1020 1160
27 Asiklovir 5% salep 32 32 2 30
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 2857 2857 1128 1729
33 Amlodipin 10 mg tablet 2397 2397 1797 600
34 Amlodipin 5 mg tablet 3055 3055 1265 1790
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 0 0
38 Asam Folat 1 mg tablet 0 0 0
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 0 0 0
41 Becefort sirup 0 0 0
42 Becefort tablet 0 0 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 0 0 0
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

AGUSTUS

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 0 500 500 200 300
9 Aminofilin tablet 200mg 249 400 649 205 444
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 27 50 77 13 64
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 4855 4855 2878 1977
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 363 1700 2063 605 1458
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 10 20 30 10 20
19 Antifungi DOEN salep Kombinasi 26 26 1 25
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 4489 4489 1189 3300
22 Acetil sistein 1000 1000 1000
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 1160 1160 95 1065
27 Asiklovir 5% salep 30 30 1 29
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 1729 3000 4729 765 3964
33 Amlodipin 10 mg tablet 600 6000 6600 1355 5245
34 Amlodipin 5 mg tablet 1790 7200 8990 1885 7105
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 0 3000 3000 260 2740
38 Asam Folat 1 mg tablet 0 2000 2000 130 1870
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 1000 1000 80 920
41 Becefort sirup 0 0 0
42 Becefort tablet 0 300 300 100 200
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 0 0 0
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

September

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 300 300 70 230
9 Aminofilin tablet 200mg 444 444 390 54
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 64 64 5 59
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 1977 1977 1450 527
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 1458 1458 623 835
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 20 20 20
19 Antifungi DOEN salep Kombinasi 25 25 3 22
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 3300 3300 1722 1578
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 1065 1065 195 870
27 Asiklovir 5% salep 29 29 5 24
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 3964 3964 995 2969
33 Amlodipin 10 mg tablet 5245 5245 1690 3555
34 Amlodipin 5 mg tablet 7105 7105 1565 5540
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 2740 2740 270 2470
38 Asam Folat 1 mg tablet 1870 1870 20 1850
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 920 920 275 645
41 Becefort sirup 0 0 0
42 Becefort tablet 200 200 110 90
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 0 0 0
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

oktober

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 230 230 105 125
9 Aminofilin tablet 200mg 54 54 54 0
10 Aseptan 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 59 59 2 57
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 527 4800 5327 1310 4017
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 835 2000 2835 765 2070
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 0 0 0
19 Antifungi DOEN salep Kombinasi 22 22 1 21
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1578 7000 8578 1413 7165
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 870 870 115 755
27 Asiklovir 5% salep 24 24 8 16
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 2969 1000 3969 670 3299
33 Amlodipin 10 mg tablet 3555 3555 1605 1950
34 Amlodipin 5 mg tablet 5540 5540 2080 3460
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 2470 2470 515 1955
38 Asam Folat 1 mg tablet 1850 1850 0 1850
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 645 645 145 500
41 Becefort sirup 0 0 0
42 Becefort tablet 90 500 590 382 208
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 0 3600 3600 110 3490
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

november

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 125 125 100 25
9 Aminofilin tablet 200mg 0 0 0
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 57 57 5 52
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 4017 4017 1548 2469
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 2070 2070 664 1406
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 0 50 50 10 40
19 Antifungi DOEN salep Kombinasi 21 21 2 19
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 7165 7165 2345 4820
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 755 755 75 680
27 Asiklovir 5% salep 16 16 8 8
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 3299 3299 1295 2004
33 Amlodipin 10 mg tablet 1950 1950 1950 0
34 Amlodipin 5 mg tablet 3460 3460 1755 1705
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 1955 1955 1120 835
38 Asam Folat 1 mg tablet 1850 1850 0 1850
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 500 500 50 450
41 Becefort sirup 0 0 0
42 Becefort tablet 208 200 408 328 80
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 3490 3490 419 3071
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
 LPLPO DAN AMPRAH APOTIK 2020

Desember

NO. NAMA OBAT STOK PENE JMH PEMA SISA PERMIN PEM KET
AWAL RIMAAN SEDIAAN KAIAN STOK AAN BERIAAN

1 2 3 4 5 6 7 8 9 10
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 25 1300 1325 70 1255
9 Aminofilin tablet 200mg 0 0 0
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 52 52 6 46
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 2469 5000 7469 1045 6424
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 1406 2200 3606 485 3121
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 40 40 20 20
19 Antifungi DOEN salep Kombinasi 19 19 1 18
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 4820 4820 1245 3575
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 680 680 65 615
27 Asiklovir 5% salep 8 25 33 5 28
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 2004 2000 4004 649 3355
33 Amlodipin 10 mg tablet 0 0 0
34 Amlodipin 5 mg tablet 1705 7200 8905 1110 7795
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 835 2000 2835 500 2335
38 Asam Folat 1 mg tablet 1850 1850 10 1840
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 450 2800 3250 80 3170
41 Becefort sirup 0 0 0
42 Becefort tablet 80 200 280 54 226
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 3071 3071 290 2781
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
 LPLPO DAN AMPRAH APOTIK 2021

JANUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 1255 1255 90 1165
9 Aminofilin tablet 200mg 0 0 0
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 0 140
12 Amoksisilin sirup kering 125 mg/5ml 46 46 10 36
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 6424 6424 2005 4419
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 3121 3121 515 2606
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 20 20 10 10
19 Antifungi DOEN salep Kombinasi 18 18 6 12
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 3575 3575 2518 1057
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 615 615 135 480
27 Asiklovir 5% salep 28 28 7 21
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 0 0
32 Ambroksol 30 mg tablet 3355 3355 1306 2049
33 Amlodipin 10 mg tablet 4790 4790 2465 2325
34 Amlodipin 5 mg tablet 7795 7795 1700 6095
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 2335 2335 897 1438
38 Asam Folat 1 mg tablet 1840 1840 170 1670
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 3170 3170 585 2585
41 Becefort sirup 0 0 0
42 Becefort tablet 226 226 226 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 2781 2781 440 2341
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 3324 3324 685 2639
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 200 200 180 20
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 0 0 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 1382 1382 250 1132
77 Dulkolak sup 15 15 0 15
78 Eritromisin 500 mg kapsul 0 0 0
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 1 1 1 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 32 32 6 26
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 403 403 50 353
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 85 85 7 78
96 Garam Oralit untuk 200 ml air 456 456 139 317
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 790 790 670 120
99 Gliseril Guayakolat tablet 100 mg 955 955 0 955
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 241 241 7 234
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 940 940 30 910
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 1 1 1 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 72 72 72 0
117 Hidrokortison 1 % krim 11 11 11 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 750 750 320 430
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 2065 2065 1550 515
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 32 32 6 26
145 Klorfeniramini Maleat (CTM) tablet 4mg 6210 6210 3020 3190
146 Klorpromazin HCl tablet salut 100mg 550 550 15 535
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 298 298 106 192
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 23 23 2 21
152 Kotrimoksazol dewasa tablet 738 738 20 718
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 172 172 90 82
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 0 0 0
164 Kloramfenikol 0.5 % tts mata 13 13 13 0
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1570 1570 0 1570
167 Katopril 25 mg tablet 1120 1120 360 760
168 Ketokonazole 10 mg salap 23 23 16 7
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 630 630 0 630
183 Masker 3 Ply 0 1200 1200 1200 0
184 Metformin HCl 500 mg Tablet 1000 1000 1000 0
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 37 37 6 31
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 3910 3910 1282 2628
194 Natrium Diklofenak 50 mg tablet 0 0 0
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 24 24 20 4
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 30 30 25 5
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 2548 2548 1814 734
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 58 58 17 41
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 7531 7531 3550 3981
217 Plastik obat 4 4 4 0
218 Pirantel Pamoat tablet 125mg 115 115 115
219 Piridoksin HCl (Vitamin B6) tablet 10mg 4545 4545 250 4295
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 570 570 570 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 1571 1571 350 1221
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 460 460 100 360
236 Salep 2-4 kombinasi 24 24 8 16
237 Salisil bedak 2% 15 24 39 39 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 195 195 195 0
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 1259 1259 110 1149
251 Sabutamol 4 mg tablet 40 40 0 40
252 Simvastatin tablet salut 10 mg 1640 1640 465 1175
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 925 925 430 495
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 60 60 60 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 1 1 0 1
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 984 984 110 874
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 4489 4489 3058 1431
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 3 3 3 0
282 Zinc drops 0 0 0
283 Zink tablet 631 631 248 383
284 Zink sirup 0 0 0
Pasein BPJS 1028
Pasien Umum 69
total 1097

padang, 20 JANUARI 2021

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 PERMIN PEM KET
AAN BERIAAN

8 9 10
 LPLPO DAN AMPRAH APOTIK 2021

FEBRUARI

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 1165 1165 175 990
9 Aminofilin tablet 200mg 0 0 0
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 140 140 20 120
12 Amoksisilin sirup kering 125 mg/5ml 36 36 25 11
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 4419 4419 2005 2414
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 2606 2606 806 1800
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 10 50 60 35 25
19 Antifungi DOEN salep Kombinasi 12 12 5 7
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 1057 7000 8057 1982 6075
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 480 480 130 350
27 Asiklovir 5% salep 21 21 12 9
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 0 48 48 19 29
32 Ambroksol 30 mg tablet 2049 1600 3649 944 2705
33 Amlodipin 10 mg tablet 2325 2325 2325 0
34 Amlodipin 5 mg tablet 6095 6095 2275 3820
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 1438 1438 658 780
38 Asam Folat 1 mg tablet 1670 1670 305 1365
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 2585 2585 485 2100
41 Becefort sirup 0 0 0
42 Becefort tablet 0 300 300 222 78
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 2341 2341 491 1850
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 2639 2000 4639 1664 2975
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 20 20 20 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 0 200 200 36 164
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 1132 1132 582 550
77 Dulkolak sup 15 15 7 8
78 Eritromisin 500 mg kapsul 0 200 200 10 190
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 26 26 2 24
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 353 353 98 255
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 78 78 55 23
96 Garam Oralit untuk 200 ml air 317 317 174 143
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 120 1000 1120 520 600
99 Gliseril Guayakolat tablet 100 mg 955 955 95 860
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 234 234 13 221
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 910 910 225 685
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 1 1 1 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 0 72 72 43 29
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 430 1000 1430 340 1090
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 515 2000 2515 1400 1115
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 26 26 10 16
145 Klorfeniramini Maleat (CTM) tablet 4mg 3190 5000 8190 3158 5032
146 Klorpromazin HCl tablet salut 100mg 535 535 195 340
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 192 192 10 182
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 21 21 5 16
152 Kotrimoksazol dewasa tablet 718 718 0 718
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 82 1000 1082 22 1060
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 0 500 500 95 405
164 Kloramfenikol 0.5 % tts mata 0 25 25 18 7
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1570 1570 0 1570
167 Katopril 25 mg tablet 760 2000 2760 720 2040
168 Ketokonazole 10 mg salap 7 7 3 4
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 630 630 0 630
183 Masker 3 Ply 0 14 14 14 0
184 Metformin HCl 500 mg Tablet 0 3000 3000 1590 1410
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 31 31 13 18
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 2628 2628 1225 1403
194 Natrium Diklofenak 50 mg tablet 0 4300 4300 0 4300
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 4 4 4 0
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 5 50 55 24 31
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 734 734 734 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 41 85 126 47 79
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 3981 5000 8981 4267 4714
217 Plastik obat 0 4 4 0 4
218 Pirantel Pamoat tablet 125mg 115 115 2 113
219 Piridoksin HCl (Vitamin B6) tablet 10mg 4295 4295 265 4030
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 1221 2000 3221 515 2706
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 360 360 40 320
236 Salep 2-4 kombinasi 16 24 40 17 23
237 Salisil bedak 2% 0 24 24 24 0
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 0 2000 2000 35 1965
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 1149 1149 289 860
251 Sabutamol 4 mg tablet 40 40 0 40
252 Simvastatin tablet salut 10 mg 1175 1175 355 820
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 495 2000 2495 380 2115
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 1 1 0 1
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 874 874 150 724
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 1431 3600 5031 3571 1460
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0
282 Zinc drops 0 0 0
283 Zink tablet 383 1000 1383 276 1107
284 Zink sirup 0 0 0
Pasein BPJS 449
Pasien Umum 29
total 478

padang, 21 februari 2021

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 PERMIN PEM KET
AAN BERIAAN

8 9 10
 LPLPO DAN AMPRAH APOTIK 2021

maret

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 990 990 60 930
9 Aminofilin tablet 200mg 0 100 100 60 40
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 120 120 0 120
12 Amoksisilin sirup kering 125 mg/5ml 11 11 10 1
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 2414 2414 2006 408
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 1800 1800 575 1225
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 25 25 0 25
19 Antifungi DOEN salep Kombinasi 7 24 31 11 20
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 6075 6075 1106 4969
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 350 350 5 345
27 Asiklovir 5% salep 9 9 1 8
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 29 29 28 1
32 Ambroksol 30 mg tablet 2705 2705 953 1752
33 Amlodipin 10 mg tablet 0 0 0
34 Amlodipin 5 mg tablet 3820 7200 11020 7230 3790
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 780 780 455 325
38 Asam Folat 1 mg tablet 1365 1365 565 800
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 2100 2100 295 1805
41 Becefort sirup 0 0 0
42 Becefort tablet 78 78 78 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 1850 1850 290 1560
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 2975 2975 1007 1968
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 164 164 151 13
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 550 550 270 280
77 Dulkolak sup 8 8 0 8
78 Eritromisin 500 mg kapsul 190 190 0 190
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 24 48 72 24 48
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 255 255 30 225
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 23 23 23 0
96 Garam Oralit untuk 200 ml air 143 143 115 28
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 600 600 570 30
99 Gliseril Guayakolat tablet 100 mg 860 860 16 844
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 221 221 10 211
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 685 685 90 595
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 0 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 29 29 23 6
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 1090 1090 200 890
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 1115 2000 3115 1355 1760
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 16 16 2 14
145 Klorfeniramini Maleat (CTM) tablet 4mg 5032 5032 2587 2445
146 Klorpromazin HCl tablet salut 100mg 340 340 120 220
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 182 182 12 170
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 16 16 5 11
152 Kotrimoksazol dewasa tablet 718 718 78 640
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 1060 1060 100 960
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 405 405 130 275
164 Kloramfenikol 0.5 % tts mata 7 7 7 0
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1570 1570 0 1570
167 Katopril 25 mg tablet 2040 2040 480 1560
168 Ketokonazole 10 mg salap 4 4 4 0
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 630 630 30 600
183 Masker 3 Ply 0 0 0
184 Metformin HCl 500 mg Tablet 1410 1410 1200 210
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 18 18 17 1
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 1403 1403 1403 0
194 Natrium Diklofenak 50 mg tablet 4300 4300 1020 3280
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 0 100 100 9 91
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 31 31 17 14
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 0 0 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 79 79 31 48
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 4714 4714 3257 1457
217 Plastik obat 4 4 4 0
218 Pirantel Pamoat tablet 125mg 113 113 21 92
219 Piridoksin HCl (Vitamin B6) tablet 10mg 4030 4030 365 3665
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 2706 2706 640 2066
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 320 320 320 0
236 Salep 2-4 kombinasi 23 23 18 5
237 Salisil bedak 2% 0 24 24 20 4
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 1965 1965 20 1945
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 860 860 670 190
251 Sabutamol 4 mg tablet 40 40 40 0
252 Simvastatin tablet salut 10 mg 820 820 430 390
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 2115 2115 395 1720
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 1 1 1 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 724 724 0 724
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 1460 5000 6460 2659 3801
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0
282 Zinc drops 0 0 0
283 Zink tablet 1107 1107 251 856
284 Zink sirup 0 0 0
Pasein BPJS 524
Pasien Umum 28
total 552

padang, 21 maret 2021

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 PERMIN PEM KET
AAN BERIAAN

8 9 10
 LPLPO DAN AMPRAH APOTIK 2021

april

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 930 930 235 695
9 Aminofilin tablet 200mg 40 200 240 90 150
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 120 120 0 120
12 Amoksisilin sirup kering 125 mg/5ml 1 60 61 23 38
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 408 5000 5408 2090 3318
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 1225 2000 3225 1024 2201
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 25 25 20 5
19 Antifungi DOEN salep Kombinasi 20 20 19 1
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 4969 4969 1505 3464
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 345 345 170 175
27 Asiklovir 5% salep 8 15 23 12 11
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 1 96 97 68 29
32 Ambroksol 30 mg tablet 1752 2000 3752 1112 2640
33 Amlodipin 10 mg tablet 0 0 0
34 Amlodipin 5 mg tablet 3790 7200 10990 6327 4663
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 325 2000 2325 485 1840
38 Asam Folat 1 mg tablet 800 800 145 655
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 1805 1805 520 1285
41 Becefort sirup 0 0 0
42 Becefort tablet 0 200 200 200 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 1560 1560 665 895
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 1968 1968 1120 848
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 13 200 213 133 80
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 1 1 1 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 280 280 280 0
77 Dulkolak sup 8 8 2 6
78 Eritromisin 500 mg kapsul 190 190 0 190
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 48 48 11 37
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 225 225 25 200
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 0 200 200 97 103
96 Garam Oralit untuk 200 ml air 28 300 328 143 185
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 30 30 30 0
99 Gliseril Guayakolat tablet 100 mg 844 844 63 781
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 211 211 0 211
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 595 595 180 415
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 200 200 200 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 6 48 54 47 7
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 890 890 350 540
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 1760 1760 1150 610
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 14 14 7 7
145 Klorfeniramini Maleat (CTM) tablet 4mg 2445 3000 5445 3111 2334
146 Klorpromazin HCl tablet salut 100mg 220 220 40 180
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 170 170 0 170
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 11 11 2 9
152 Kotrimoksazol dewasa tablet 640 640 90 550
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 960 960 255 705
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 275 275 175 100
164 Kloramfenikol 0.5 % tts mata 0 0 0
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1570 1570 0 1570
167 Katopril 25 mg tablet 1560 1560 310 1250
168 Ketokonazole 10 mg salap 0 50 50 7 43
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 600 600 40 560
183 Masker 3 Ply 0 750 750 750 0
184 Metformin HCl 500 mg Tablet 210 2000 2210 1070 1140
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 1 48 49 13 36
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 0 0 0
194 Natrium Diklofenak 50 mg tablet 3280 3280 1170 2110
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 91 91 5 86
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 14 50 64 21 43
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 0 0 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 48 90 138 52 86
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 1457 5000 6457 4451 2006
217 Plastik obat 0 4 4 4 0
218 Pirantel Pamoat tablet 125mg 92 92 4 88
219 Piridoksin HCl (Vitamin B6) tablet 10mg 3665 3665 215 3450
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 2066 2000 4066 1760 2306
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 235 235 95 140
236 Salep 2-4 kombinasi 5 43 48 11 37
237 Salisil bedak 2% 4 24 28 25 3
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 1945 1945 85 1860
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 490 500 990 435 555
251 Sabutamol 4 mg tablet 0 0 0
252 Simvastatin tablet salut 10 mg 390 1980 2370 600 1770
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1720 1720 165 1555
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 724 724 224 500
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 3801 3801 3151 650
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 3 3 3 0
282 Zinc drops 0 0 0
283 Zink tablet 856 856 416 440
284 Zink sirup 0 0 0
Pasein BPJS 496
Pasien Umum 30
total 526

padang, 21 april 2021

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 PERMIN PEM KET
AAN BERIAAN

8 9 10
 LPLPO DAN AMPRAH APOTIK 2021

mai

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 695 695 95 600
9 Aminofilin tablet 200mg 150 150 30 120
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 120 120 0 120
12 Amoksisilin sirup kering 125 mg/5ml 38 38 10 28
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 3318 3800 7118 1838 5280
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 2201 2201 921 1280
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 5 5 5 0
19 Antifungi DOEN salep Kombinasi 1 1 1 0
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 3464 3464 1139 2325
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 175 500 675 175 500
27 Asiklovir 5% salep 11 11 7 4
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 29 48 77 58 19
32 Ambroksol 30 mg tablet 2640 2000 4640 1095 3545
33 Amlodipin 10 mg tablet 0 0 0
34 Amlodipin 5 mg tablet 4663 4663 4498 165
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 1840 1840 540 1300
38 Asam Folat 1 mg tablet 655 655 250 405
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 1285 1285 520 765
41 Becefort sirup 0 0 0
42 Becefort tablet 0 200 200 38 162
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 895 3600 4495 495 4000
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 0 0
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 848 2500 3348 1058 2290
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 80 80 80 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 0 1000 1000 495 505
77 Dulkolak sup 6 6 3 3
78 Eritromisin 500 mg kapsul 190 190 0 190
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 59 59 16 43
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 200 200 35 165
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 103 103 80 23
96 Garam Oralit untuk 200 ml air 185 185 85 100
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 0 0 0
99 Gliseril Guayakolat tablet 100 mg 781 781 20 761
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 211 211 31 180
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 415 415 325 90
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 400 400 400 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 7 72 79 45 34
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 540 540 140 400
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 610 2000 2610 705 1905
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 7 7 1 6
145 Klorfeniramini Maleat (CTM) tablet 4mg 2334 4000 6334 3034 3300
146 Klorpromazin HCl tablet salut 100mg 180 180 0 180
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 170 170 75 95
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 9 9 5 4
152 Kotrimoksazol dewasa tablet 550 550 50 500
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 705 705 405 300
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 100 100 50 50
164 Kloramfenikol 0.5 % tts mata 0 0 0
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1570 1570 70 1500
167 Katopril 25 mg tablet 1250 1250 450 800
168 Ketokonazole 10 mg salap 43 43 15 28
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 560 560 60 500
183 Masker 3 Ply 0 0 0
184 Metformin HCl 500 mg Tablet 1140 2000 3140 1440 1700
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 36 36 13 23
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 0 0 0
194 Natrium Diklofenak 50 mg tablet 2110 2110 1410 700
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 86 86 5 81
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 43 43 23 20
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 0 0 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 86 86 32 54
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 2006 4100 6106 3781 2325
217 Plastik obat 0 0 0
218 Pirantel Pamoat tablet 125mg 88 88 0 88
219 Piridoksin HCl (Vitamin B6) tablet 10mg 3450 3450 325 3125
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 2306 2306 1655 651
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 140 140 110 30
236 Salep 2-4 kombinasi 37 37 8 29
237 Salisil bedak 2% 3 48 51 31 20
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 1860 1860 160 1700
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 555 555 220 335
251 Sabutamol 4 mg tablet 0 0 0
252 Simvastatin tablet salut 10 mg 1770 1770 300 1470
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1555 1555 185 1370
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 500 500 80 420
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 0 0
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 650 5000 5650 2483 3167
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 2 2 2 0
282 Zinc drops 0 0 0
283 Zink tablet 440 440 240 200
284 Zink sirup 0 0 0
Pasein BPJS 452
Pasien Umum 25
total 477

padang, 21 mai 2021

diket: yang membuat laporan
Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

Nip:19830329 201001 2 040
 PERMIN PEM KET
AAN BERIAAN

8 9 10
 LPLPO DAN AMPRAH APOTIK 2021

juni

NO. NAMA OBAT STOK PENE JMH PEMA SISA

AWAL RIMAAN SEDIAAN KAIAN STOK

1 2 3 4 5 6 7
1 Alat Suntik sekali pakai 0,5 ml 0 0
2 Alat Suntik sekali pakai 0,05ml 0 0
3 Alat Suntik sekali pakai 1ml 0 0
4 Alat Suntik sekali pakai 2,5ml 0 0
5 Alat Suntik sekali pakai 3ml 0 0
6 Alat Suntik sekali pakai 5ml 0 0
7 Alat Suntik sekali pakai10 ml 0 0
8 Alopurinol tablet 100mg 600 600 90 510
9 Aminofilin tablet 200mg 120 120 0 120
10 Aseptan 0 0 0
11 Amitriptilin HCl tablet salut 25mg 120 120 0 120
12 Amoksisilin sirup kering 125 mg/5ml 28 28 12 16
13 Amoksisilin kapsul 250mg 0 0 0
14 Amoksisilin 500 mg 5280 3000 8280 2107 6173
15 Amoksisilin SYR FORTE 0 0 0
16 Antasida DOEN tablet, kombinasi 1280 1500 2780 900 1880
17 Antibakteri DOEN Salep Kombinasi 0 0 0
18 Anti Hemoroid DOEN Kombinasi 0 50 50 5 45
19 Antifungi DOEN salep Kombinasi 1 24 25 3 22
20 Asam Askorbat (Vitamin C) tablet 250mg 0 0 0
21 Asam Askorbat (Vitamin C) tablet 50mg 2325 3000 5325 1410 3915
22 Acetil sistein 0 0 0
23 Anti A 0 0 0
24 Anti B 0 0 0
25 Asiklovir 200mg tablet 0 0 0
26 Asiklovir 400mg tablet 500 500 100 400
27 Asiklovir 5% salep 4 25 29 2 27
28 Asiklovir salep mata 0 0 0
29 Azitromisin 500 mg 0 0 0
30 Albothyl Konsentrat 0 0 0
31 Ambroksol sirup 19 48 67 40 27
32 Ambroksol 30 mg tablet 3545 1500 5045 1678 3367
33 Amlodipin 10 mg tablet 0 6000 6000 120 5880
34 Amlodipin 5 mg tablet 165 7200 7365 5075 2290
35 Alkohol aweb 0 0 0
36 Antasida Suspensi 0 0 0
37 Asam Mefenamat 500 mg kaplet 1300 1000 2300 400 1900
38 Asam Folat 1 mg tablet 405 500 905 245 660
39 Aspilet 80 mg tablet 0 0 0
40 ASETILSISTEIN 765 765 535 230
41 Becefort sirup 0 0 0
42 Becefort tablet 162 162 162 0
43 Berotec inhaler 0 0 0
44 Betahistin Mesilat 6 mg tablet 4000 4000 530 3470
45 Bicolax tablet 0 0 0
46 Bioron tablet 0 0 0
47 Bioplacenton Cream 0 0 0
48 Bisakodil tablet 0 0 0
49 Bisoprolol 5 mg tablet 0 0 0
50 BaC12 10% 0 0 0
51 Blood lancet 0 0 0
52 Borak Gliserin 0 0 0
53 BENEDIK 0 0 0
54 Benzatin Benzil Penisilin Injeksi 1,2juta IU / vial 0 0 0
55 Betametason krim 0,1% 0 20 20 12 8
56 chkm 0 0 0
57 Co Amoxiclav 625 mg tablet 0 0 0
58 Catgut / Benang Bedah No.3/0(2 MATRIK 0 0 0
59 Catgut / Benang Bedah No.3/0 GEA 0 0 0
60 CENDO LITER 0 0 0
61 Catgut / Benang Bedah No.2/0 0 0 0
62 Cup serum 0 0 0
63 Deksametason injeksi 5 mg/ml - 1 ml 0 0 0
64 Deksametason tab 0,5mg 2290 1600 3890 865 3025
65 Dektrometorfan HBr sirup 10 mg/5ml 0 0 0
66 Diazepam tablet 5 mg 0 0 0
67 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
68 Diazepam tablet 2mg 0 0 0
69 Difenhidramin HCl injeksi 10 mg/ml - 1ml 0 0 0
70 Digoksin tablet 0,25 mg 0 0 0
71 Dumin Supos 125 mg/ 5 ml 0 0 0
72 Difenhidramin 10 mg/ml Injeksi 0 0 0
73 Dimenhidrinat 50 mg tablet 0 0 0
74 Domperidon 5 mg / ml drops 0 0 0
75 Domperidom 5 mg / 5 ml suspensi 0 0 0
76 Domperidon tablet 10 mg 505 500 1005 440 565
77 Dulkolak sup 3 3 3 0
78 Eritromisin 500 mg kapsul 190 190 0 190
79 Eritromisin 250 mg tablet 0 0 0
80 Eritromisin 200 mg / 5 ml 0 0 0
81 Efedrin HCl tablet 25 mg 0 0 0
82 Ekstrak Belladon tablet 10mg 0 0 0
83 Epinefrin HCl / Hitartrat (Adrenalin) injeksi 0.1 % -1m 0 0 0
84 Etakridin (Rivanol) larutan 0,1% 0 0 0
85 Etanol 70% 100 ML 0 0 0
86 Etanol 70% 1 LITER 0 0 0
87 Etil Klorida semprot 0 0 0
88 Eugenol cairan 0 0 0
89 Fenoksimetil Penisilina tablet 250mg 0 0 0
90 Fenoksimetil Penisilina tablet 500mg 0 0 0
91 Fenol Gliserol Tetes Telinga 10% 43 43 13 30
92 Fitomenadion (Vitamin K1) injeksi 0 0 0
93 Fitomenadion (Vitamin K1) tablet salut 10mg 165 165 100 65
94 Fouchet 100 ml 0 0 0
95 Furosemid tablet 40mg 23 23 23 0
96 Garam Oralit untuk 200 ml air 100 190 290 150 140
97 Gentian Violet larutan 1% 0 0 0
98 Glibenklamid tablet 5mg 0 0 0
99 Gliseril Guayakolat tablet 100 mg 761 761 0 761
100 Glukosa Larutan Infus 10% Steril 0 0 0
101 Glukosa Larutan Infus 5% Steril 0 0 0
102 Griseofulvin tablet 500 mg, micronized 180 180 22 158
103 Gentamicin 0,1 % salep 0 0 0
104 Gentamicin 0,3% salap mata 0 0 0
105 Gentamicin 0,3% tetes mata 0 0 0
106 Glimepirid 2 mg tablet 90 500 590 520 70
107 Glimepirid 3 mg tablet 0 0 0
108 Glucobay 50 mg tablet 0 0 0
109 Hemafort tablet 0 0 0
110 Hyscopan 10 mg tablet 0 0 0
111 HUSTAP SYR 0 0 0
112 Haloperidol tablet 1,5mg 0 0 0
113 Hidroklortiazid (HCT) tablet 25mg 0 0 0
114 Hancoond L 0 0 0
115 Hcl 0,1 n 100 ml 0 0 0
116 Hidrokortison krim 2,5% 34 48 82 38 44
117 Hidrokortison 1 % krim 0 0 0
118 Hifafik 0 0 0
119 Hancond non steril m 0 0 0
120 Hancond pp 7 0 0 0
121 Hancond pp 7,5 0 0 0
122 Ibuprofen tablet 200 mg 400 1000 1400 660 740
123 Ibuprofen tablet 400 mg 0 0 0
124 Infusion set anak 0 0 0
125 Infusion set dewasa 0 0 0
126 Hancond non steril s 0 0 0
127 Isosorbid Dinitrat (ISDN) tablet sublingual 5mg 0 0 0
128 Ichtyol Salep 0 0 0
129 Isoniazid (INH) tab 100mg 0 0 0
130 IV Cateter no.18 0 0 0
131 IV Catether No 20 0 0 0
132 IV Catether No 22 0 0 0
133 Jarum Jahit (Bedah) No.9 s/d 14 0 0 0
134 Kalsium Laktat (Kalk) tablet 500 mg 1905 1000 2905 1255 1650
135 Kapas Berlemak 500 Gram 0 0 0
136 Kapas Pembalut / Absorben 250 Gram 0 0 0
137 Karbamazepin tablet 200mg 0 0 0
138 Kasa Kompres 40/40 steril 0 0 0
139 Kasa Pembalut 2 M x 80 cm 0 0 0
140 Kasa Pembalut 4 M x 15 cm 0 0 0
141 Kasa Pembalut 4 M x 3cm 0 0 0
142 Kloramfenikol kapsul 250 mg 0 0 0
143 Kloramfenikol Salep Mata 1% 0 0 0
144 Kloramfenikol Tetes Telinga 3 % 6 6 6
145 Klorfeniramini Maleat (CTM) tablet 4mg 3300 3000 6300 3614 2686
146 Klorpromazin HCl tablet salut 100mg 180 180 0 180
147 Klorpromazin HCl tablet salut 25mg 0 0 0
148 Kodein HCl tab 10mg 95 95 30 65
149 Kertas perkamen 0 0 0
150 Kotrimoksazol pediatrik tablet 0 0 0
151 Kotrimoksazol suspensi 4 4 4 0
152 Kotrimoksazol dewasa tablet 500 500 55 445
153 Kandesartan 8 mg tablet 0 0 0
154 Kasa Steril 16 x 16 steril 0 0 0
155 Kasa 4 m X 5 cm 0 0 0
156 Kasa 4 m x 10 cm 0 0 0
157 Kasa 4 0m x 40 cm 0 0 0
158 Kasa pembalut elastis 3 inch 0 0 0
159 Kasa pembalut elastis 4 inch 0 0 0
161 Keteconazole 200 mg tablet 300 300 300 0
162 Katekonazol cream 15 gr 0 0 0
163 Klindamisin 150 mg kapsul 50 200 250 190 60
164 Kloramfenikol 0.5 % tts mata 0 0 0
165 Klorom Fenicol Salaf Kulit 0 0 0
166 Katopril 12,5mg tablet 1500 1500 190 1310
167 Katopril 25 mg tablet 800 800 800
168 Ketokonazole 10 mg salap 28 25 53 6 47
169 Lidokain Kompositum Injeksi 0 0 0
170 Lisol 0 0 0
171 Levetran salep 0 0 0
172 Leukoplas 0 0 0
173 Lincomycin 500 mg tablet 0 0 0
174 Livron B Plek 0 0 0
175 Loperamid 10 mg tablet 0 0 0
176 Loratadin 10 mg tablet 0 0 0
177 Lysmin sirup 0 0 0
178 Lytacur sirup 0 0 0
179 Mebendazol tablet 100 mg 0 0 0
180 Metil Ergometrin Maleat tablet salut 0.125mg 40 40 0 40
181 Metil Ergometrin Maleat injeksi 0.200 mg - 1ml 0 0 0
182 Metronidazol tablet 500 mg 500 500 65 435
183 Masker 3 Ply 0 0 0
184 Metformin HCl 500 mg Tablet 1700 1500 3200 1210 1990
185 Methergin injeksi 0 0 0
186 Metilprednisolon tablet 0 0 0
187 Metronidazol tablet 250 mg 0 0 0
188 Mikonazol 2 % Krim 23 23 19 4
189 Mineral mix 0 0 0
190 Methergin injeksi 0 0 0
191 Metilprednisolon tablet 0 0 0
192 Mineral mix 0 0 0
193 Natrium Diklofenak 25 mg tablet 0 2800 2800 365 2435
194 Natrium Diklofenak 50 mg tablet 700 700 700 0
195 Nalheting otot no 24 0 0 0
196 Nifedipin 10mg tablet 0 0 0
197 Noza tablet 0 0 0
198 Natrium Bikarbonat tablet 500mg 0 0 0
199 Natrium Fluoresein Tetes Mata 2% 0 0 0
200 Natrium Klorida larutan infus 0,9% steril 0 0 0
201 Nistatin 100.000 IU/G Tablet Vaginal 81 81 4 77
202 Obat Batuk Hitam (OBH) cairan 0 0 0
203 Oksitetrasiklin HCl Salep Kulit 3% 20 20 20 0
204 Oksitetrasiklin HCl Salep Mata 1% 0 0 0
205 Obat Anti Tuberkulosis Kategori Anak 0 0 0
206 Obat Anti Tuberkulosis Kategori Sisipan 0 0 0
207 Omeprazol kapsul 20 mg 0 0 0
208 Paracetamol drop 60 mg / 0,6 ml 0 0 0
209 polifik 0 0 0
210 Piroksikam 10mg kapsul 0 0 0
211 Piroksikam 20mg kapsul 0 0 0
212 Propanolol tablet 10 mg 0 0 0
213 Pularex activated tablet 0 0 0
214 Parasetamol sirup 120 mg/5ml 54 50 104 46 58
215 Parasetamol tablet 100 mg 0 0 0
216 Parasetamol tablet 500 mg 2325 6000 8325 4011 4314
217 Plastik obat 0 4 4 4 0
218 Pirantel Pamoat tablet 125mg 88 88 0 88
219 Piridoksin HCl (Vitamin B6) tablet 10mg 3125 3125 415 2710
220 Plester 5 yard x 2 inch 0 0 0
221 Prednison tablet 5 mg 0 0 0
222 Propiltiourasil (PTU) tablet 100mg 0 0 0
223 plasterin 0 0 0
224 Reco TTS TEWLINGA 0 0 0
225 Reserpin tablet 0,25 mg 0 0 0
226 Retinol (Vitamin A) kapul 200.000 IU 0 0 0
227 Rifampisin kaplet 600mg 0 0 0
228 Rifampisin kapsul 300mg 0 0 0
229 Ringer Laktat (RL) larutan infus steril 0 0 0
230 Ranitidin 150mg tablet 651 3000 3651 1575 2076
231 Risperidon tablet 2 mg 0 0 0
232 Retinol (Vitamin A ) 100.000 UI kapsul lunak 0 0 0
233 REAGEN MAMIN 0 0 0
234 Retinol (Vitamin A ) 200.000 UI kapsul lunak 0 0 0
235 Salbutamol tablet 2 mg 30 30 30 0
236 Salep 2-4 kombinasi 29 29 14 15
237 Salisil bedak 2% 20 16 36 24 12
238 Silk (Benang Bedah Sutera) No.3/0 + JARUM 0 0 0
239 Serum, Anti Tetanus inj 1.500 IU/ampul (A.T.S) 0 0 0
240 Serum, Anti Tetanus inj 20.000 IU/ampul (A.T.S) 0 0 0
241 Sianokobalamin (Vitamin B12) Injeksi 500 mcg/ml 0 0 0
242 Silk (Benang Bedah Sutera) No.3/0(3 matrik) 0 0 0
243 Spons Gelatin Cubicle Cubicles 1x1x1x1cm 0 0 0
244 Sefadroksil 500 mg tablet 0 0 0
245 Sefiksim 100 mg tablet 0 0 0
246 Sefiksime 100 mg / 5 ml sirup 0 0 0
247 Setirizin 10 mg tablet 1700 1700 110 1590
248 Setirizin 5 mg / 5 ml sirup 0 0 0
249 Simetidin 200mg tablet 0 0 0
250 Siprofloksasin 500 mg tablet 335 300 635 425 210
251 Sabutamol 4 mg tablet 0 0 0
252 Simvastatin tablet salut 10 mg 1470 1470 510 960
253 Stesolid 10 mg Rektal Tub 0 0 0
254 Stesolid 5 mg Rektal Tub 0 0 0
255 Stik asam urat 0 0 0
256 Stik kolesterol 0 0 0
257 Stik glukosa 0 0 0
258 Stimuno forte tablet 0 0 0
259 Stimuno sirup 0 0 0
260 Supra livion tablet 0 0 0
261 Sianokobalamin (Vitamin B12) 50mcq tablet 1370 1370 220 1150
 262 Surginal Glove Non Steril 0 0 0
263 Slang oksigen anak 0 0 0
264 Slang oksigen dewasa 0 0 0
265 Tablet Tambah darah (progam) 0 0 0
266 Tes Kehamilan 0 0 0
267 TRAMBOPOP 0 0 0
268 Tetrakain HCl Tetes Mata 0,5% 0 0 0
269 Tetrasiklin HCl kapsul 250mg 0 0 0
270 Tetrasiklin HCl kapsul 500mg 0 0 0
271 Tiamin HCl (Viamin B1) injeksi 100 mg/ml - 1 ml 0 0 0
272 Tiamin HCl Mononitrat (Viamin B1) tablet 50 mg 420 420 150 270
273 VAR 0 0 0
274 Triheksifenidil Hidroklorida tablet 2mg 0 100 100 0 100
275 Trikresol Formalin (TKF) cairan 0 0 0
276 Vitamin B Komplek tablet 3167 3000 6167 2850 3317
277 Valsartan 160 mg tablet 0 0 0
278 Vagizol 0 0 0
279 Wing neadele 25 g 0 0 0
280 Yodium Povidon Larutan 10% 30 ml 0 0 0
281 Yodium Povidon Larutan 10% 60 ml 0 0 0
282 Zinc drops 0 0 0
283 Zink tablet 200 1000 1200 510 690
284 Zink sirup 0 0 0
Pasein BPJS 550
Pasien Umum 28
total 578

padang, 21 juni 2021

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Pimpinan Puskesmas

Risdal Mayanti Amd. Farm

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