Catatat Obat Dan BMHP 2022

CATATAN HARIAN OBAT
Bulan / Tahun :
TANGGAL
NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
LIFE SAVING
Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml

1
Epinefrin HCL Inj
2
Kalsium Glukonat inj 100 mg / ml
3
Mg Sulfat Inj 40 % - IV/10 vial
4
Oksitosin Inj 10 lU/ml 1 ml
5
Diazepam Lar Rektal 10 mg/ml
6
ANTIINFEKSI
Acyclovir tab 400 mg

7
ACT ( arthesunat )
8
Albendazol susp 200 mg/5 ml
9
Albendazol 400 mg
10
Amoksilin Kap.500 mg
11
Amoksilin Kap. 250 mg
12
Amoksilin syr kering 250 mg/ ml
13
14
Amoksisilin Drops 100 mg/ml
15
Azitromisin 500 mg
16
Benzatin Benzil P 2,4
17
Cefixim tab 100 mg
18
Ciprofloxacin 500 mg
19
Doxyciclin 100 mg
20
Ethambutol 250 mg
21
Erytromicin 250 mg
22
Flukonazol kaps 50 mg
23
Framisetin sulfat tulle 1%
24
Griseofulvin125 mg
25
Gentamisin 80 mg / 2ml inj
26
Isoniazide 300 mg
27
Isoniazide 100 mg
28
Ketoconazole tab
29
Klindamisin 150 mg
30
Klindamisin 300 mg
31
Kloramfenikol 250 mg capsul
32
Kloramfenicol 500 mg
33
Kloramfenikol susp 125 mg / 5 ml
34
Kotrimoksazol Adult 480 mg
35
Kotrimoksazol Suspensi 240 mg/5 ml
36
Metronidazol 250 mg
37
Metronidazol 500 mg
38
Nistatin 100.000 IU/g tablet vagina
39
Nistatin susp 100.000 UI / ml
40
Obat Anti TBC Anak FDC awal
41
Obat Anti TBC Anak FDC lanjutan
42
Obat Anti TBC Kat I FDC awal
43
Obat Anti TBC Kat I FDC lanjutan
44
Obat Anti TBC Kat II FDC awal
45
Obat Anti TBC Kat II FDC lanjutan
46
Obat Anti TBC Kat II FDC etambutol
47
Obat Anti TBC Sisipan
48
Pyrimethamine 25 mg
49
Pyrazinamide 500 mg
50
Pyrantel Pamoat 125 mg
51
Rifampicin 300 mg
52
Rifampicin 450 mg
53
Rifampicin 600 mg
54
Sefadroxil kapsul 500 mg
55
Sefadroxil syr kering 125 mg/ml
56
Streptomicin Inj.
57
Tetracyclin 250 mg
58
Tiampenicol
59
Dietilkarbamazin
60
Kombipak IMS
61
FDC TLE
62
FDC TLD
63
Tenofovir
64
Lamivudin
65
Evafirenz
66
SALURAN PERNAPASAN
Ambroxol tab 30 mg
66
Ambroxol Syrup 15 mg
67
Aminopilina 200 mg
68
Gliseril Guayakolat 100 mg
69
Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg nebules
70
N-asetil sistein kaps 200 mg
71
Obat Batuk Anak Syrup / Daganak
72
Obat Batuk Flu Anak Syrup / Pramolta
73
OBH
74
Pulmicort
75
Salbutamol 2.5 mg nebules
76
Oksimetazolin tts hidung 0,025%
77
Salbutamol 2 mg
78
Salbutamol 4 mg
79
Flutamol Tablet
80
ANALGETIK,ANTIPIRETIK,ANTIINFLAMASI,AINS
Antimigren (komb : ergotamin 1 mg, kafein 50 mg)

80
Asam Mefenamat 500 mg
81
Betahistine mysilat 6 mg
82
Etil Klorida Semprot 100 ml
83
Ibupropen 200 mg
84
Ibuprofen 400 mg
85
Ibuprofen sirup 200 mg/ 5 ml
86
Ketorolak Inj
87
Lidokain inj 2 % (infltr/p.v)
88
Ketoprofen Supo
89
Lidocain Kompositum
90
Na.Diklofenak 50 mg
91
Parasetamol tts 60 mg / 0.6 ml
92
Parasetamol 500 mg
93
Parasetamol syr 120 mg/5 ml 60 ml
94
Piroksikam 10 mg
95
SISTEM PENCERNAAN
Antasida, (komb : Aluminium Hidroksida 200 mg,

Magnesium Hidroksida 200 mg) tab kunyah
96
Magnesium Hidroksida 200 mg) susp
97
Antihemoroid sup, (komb : bismut subgalat 150 mg,

heksaklorofen 2.5 mg, lidokain 10 mg, seng oksida 120
mg, sup ad 2 g)
98
Atapulgit tab 600 mg
99
Bisakodil sup 5 mg
100
Bisakodil 5 mg
101
Dimenhidrinat tab 50 mg
102
Domperidon 10 mg
103
Domperidon sirup 5 mg/5 ml
104
Garam Oralit 200 ml
105
Hiosina Butilbromida 10 mg
106
Karbo Adsorben 250 mg
107
Metoklopramide sirup 5 mg/ml
108
Misoprostol
109
Natrium Bicarbonat 500 mg
110
Komb Kaolin 550 mg + pektin 20 mg
111
Omeprazol 20 mg
112
Omeprazol inj 40 mg / 10 ml
113
Ranitidin tab 150 mg
114
Ranitidin Inj
115
Zinc dispersibel
116
Zinc Syrup
117
JANTUNG DAN PEMBULUH DARAH
Amlodipine 5 mg
117
Amlodipin tab 10 mg
118
Atenolol 50 mg
119
Captopril 12,5 mg
120
Captopril 25 mg
121
Digoksin 0,25 mg
122
Diltiazem 30 mg
123
Furosemid 40 mg
124
Hidrokortiazid HCT tab 25 mg
125
Isosorbid Dinitrat 5 mg tablet
126
Metyldopa tab 10 mg
127
Nifedipin tab 10 mg
128
Reserpin 0,25 mg
129
Spironolakton 25 mg
130
OBAT MATA
Gentamisin S.M
131
Klorampenicol S.M 1 %
132
Koramfenikol TM 1 %
133
Oxytetrasiklin salep Mata
134
OBAT KULIT
Anti Bacteri DOEN/ Basitracin SK

135
Antifungi (komb : As. Benzoat 6%, As. Salisilat 3 %) SK
136
Acyclovir cream 5 %
137
Betametason Crem 0,1 %
138
Bedak Salisil serbuk 2 %
139
Gentamisin Salep
140
Hidrokortison Crem 2,5 %
141
Ichtyol Sk
142
Ketokonazol krim 2%
143
Kloramfenikol SK 2%
144
Perak Sulfadiazin krim 1%
145
Mikonazol krim 2%
146
Oxytetrasiklin salep
147
Permetrin Krim 5 %
148
Salep 2-4, Kom : As. salisilat 2%, Belerang endap 4% salep
149
Minyak Telon
150
VITAMIN DAN MINERAL
Asam Askorbat (Vit C) tab 50 mg

151
152
Asam Folat 1 mg
153
Kalsium laktat (kalk) tab 500 mg
154
Multivitamin dan Mineral /Pehavral
155
Mineral Mix
156
Piridoksin HCL 10 mg tablet /Vit. B6
157
Retinol (Vit. A) 100,000 IU Kap Lunak
158
159
Sianokobalamin (Vitamin B12) tab 50 mcg
160
Tablet Tambah Darah/FE
161
Thiamin HCL 50 mg / Vit B1
162
Vit. B. Complex
163
Vit. Syrup Anak 60 ml
164
Nerofa
165
Vitamin D3
166
DARAH, AS URAT, KOLESTEROL
Asam traneksamat Inj

165
Asam traneksamat tab
166
Alopurinol 100 mg
167
Fitomenadion /Vit K 10 mg
168
Fitomenadion /Vit K Inj 2 mg/ml
169
Gemfibrozil 300 mg
170
Metilergometrin Maleat 0,125 mg
171
Metilergometrin Maleat 0,200 mg 1ml inj
172
Simvastatin 10 mg
173
Metilprednisolon tablet
174
MULUT,THT
Borax Glicerin
173
Fenol Glicerol Tetes Telinga 10 %
174
Gentian Violet Lart 1 % 10 ml
175
Kloramfenikol tetes Telinga 3 % 10 ml
176
ALERGI,KORTIKOSTEROID
Deksametason 0,5 mg tablet

177
Deksametason inj 5 mg / ml (i.v / i.m)
178
Difenhidramin inj 10 mg / ml (i.v / i.m)
179
Klorfeniramin Maleat/CTM 4 mg
180
Loratadine Tab 10 mg
181
Prednison 5 mg
182
Setirizin sir 5 mg / 5 ml
183
HORMON
Glibenklamid 5 mg tablet
184
Propiltiourasil tab 100 mg (PTU)
185
Metformin tab 500 mg
186
Glimepiride 2 mg
187
ANTISEPTIK,DISINFEKTAN
Alkohol Swab
187
Chlorin 10 %
188
Etakridin 0,1 % Rivanol 300 ml
189
Etanol 70 % 100 ml
190
Kaporit 60%
191
Kalium Permanganat (PK) 5 gram
192
Lisol 50 % 1000 ml
193
Polikresulen 10 ml
194
Framisetin
195
Povidon Iodin lar 30ml
196
197
198
INFUS,LAR STERIL
Aqua pro inj steril 20 ml

199
Glukosa Lar infus 5 % steril 500 ml
200
Natrium Klorida Larutan Infus 0,9%
201
Ringer Laktat Larutan Infus Steril
202
Aqua Bidestilata
203
ALKES HABIS PAKAI
Abbocat No. 18
204
Abbocat No. 20
205
Abbocat No. 22
206
Abbocat No. 24
207
Abbocat No. 26
208
Alat Suntik 0,5 ml
209
Alat Suntik 1 ml
210
Alat Suntik 3 ml
211
Alat Suntik 5 ml
212
Alat Suntik 10 ml
213
Alat Suntik 20 ml
214
Bisturi
215
Blood Lancet
216
Cat Gut Chromic 2/0
217
Cat Gut Chromic 3/0 diameter 23
218
219
Cat Gut Plain/Benang Bedah No. 3.2
220
Endotrakeal No 3
221
Endotrakeal No 3.5
222
Endotrakeal No 4
223
Foley Kateter No 18
224
Foley Kateter No 20
225
Hand Rub
226
Hecting Nald
227
Infuset anak
228
Infuset dewasa
229
Iodina Test
230
Jarum Cytojek
231
Jarum vacutainer
232
Kateter penghisap lendir No 8
233
234
Kaca Mulut
235
Kaca Penutup / Dek glass
236
Kantong Jenazah
237
Kapas Pembalut Absorben 250 g
238
239
Kassa steril
240
Kassa Kompres 40 x 40 steril
241
Kassa Pembalut 2 m x 80 cm
242
Kassa pembalut Hidrofil 4 cm x 15 cm
243
244
Kertas Perkamen
245
Leukomed i.v
246
Masker
247
Masker N.95
248
Masker Oksigen dewasa
249
Masker Oksigen Anak
250
Needle 23
251
Oksigen can
252
Plastic Bandages / OK Plast
253
Plastik Alat Steril
254
Plester 5 yard x 2 inch
255
Plester kertas
256
Peneng Bayi Pink
257
Peneng Bayi Biru
258
Peneng Kuning
259
Perban elastis
260
Pot Sputum
261
RTD Malaria
262
Rotator
263
Slide
264
Sarung tangan Ginekolog / Steril Panjang
265
Sarung tangan Steril Pendek
266
Sarung Tangan Non Steril
267
Sarung Tangan Karet Tebal
268
Sarung Tangan Nitril
269
Selang oksigen Bayi
270
Selang oksigen Anak
271
Selang oksigen Dewasa
272
Sendok Obat
273
Silk 3/0
274
Silk 4/0
275
Suction Kateter
276
Three way stop cock
277
Tip pipet kuning
278
Tongue Spatel Kayu
279
Urine Bag
280
Ultrasound gel 250 cc
281
Umbilical Cord Clam Biru
282
Vacutainer/Tabung spesimen darah + tutup
283
Wing Needle no.27 G
284
Alat Kontrasepsi
Depo
285
IUD
286
Kondom Artika
287
Susuk / Implan set
288
Pil
289
Spuit 3cc skifa
290
Lubrikan
291
Kondom Sutra
292
Vaksin
293 HB-0
NARKOTIKA, PSIKOTROPIKA & KESEHATAN JIWA
294 Amitriptilin tab sal 25 mg
295 Diazepam 2 mg tablet
296 Fenobarbital tab 30 mg
297 Haloperidol tab 1.5 mg
298 Karbamazepin tab 200 mg
299 Klorpromazin tab sal 25 mg
300 Kodein HCL 10 mg
301 Risperidon tab 2 mg
Mengetahui,
Kepala UPT Puskesmas Ibrahim Adjie
dr. Adnan Affandi Sofyan
NIP.19821103 201212 1 002

SISA/SO JUMLAH
19 20 21 22 23 24 25 26 27 28 29 30 31
Apoteker Penanggung Jawab
UPT Puskesmas Ibrahim Adjie
Iis Rukmawati Ssi,Apt
NIP.19650421 199103 2 007

CATATAN HARIAN OBAT
Bulan / Tahun : JANUARI 2022
TANGGAL
NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
LIFE SAVING
1 Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml
2 Epinefrin HCL Inj 1
3 Kalsium Glukonat inj 100 mg / ml
4 Mg Sulfat Inj 40 % - IV/10 vial
5 Oksitosin Inj 10 lU/ml 1 ml 30 13
6 Diazepam Lar Rektal 10 mg/ml
ANTIINFEKSI
7 Acyclovir tab 400 mg 50 70 40 50 40
8 ACT ( arthesunat )
9 Albendazol susp 200 mg/5 ml
10 Albendazol 400 mg 8
11 Amoksilin Kap.500 mg 105 105 150 105 75 45 90 45 70 105 165 60 112 30 150 30 105 350 120
12 Amoksilin Kap. 250 mg
13 Amoksilin syr kering 250 mg/ ml 1 4 3 5 4 3 4 4 3 5 1 3 2 1 4 1 3 2 2
14 Amoksilin syr kering 125 mg/ ml 1
15 Amoksisilin Drops 100 mg/ml 1 1 1 1
16 Azitromisin 500 mg
17 Benzatin Benzil P 2,4 3 1
18 Cefixim tab 100 mg 10
19 Ciprofloxacin 500 mg 30 30 20 10 20 40 10 10 10 15 10 20 40
20 Doxyciclin 100 mg
21 Ethambutol 250 mg
22 Erytromicin 250 mg
23 Flukonazol kaps 50 mg
24 Framisetin sulfat tulle 1% 3
25 Griseofulvin125 mg
26 Gentamisin 80 mg / 2ml inj
27 Isoniazide 300 mg
28 Isoniazide 100 mg
29 Ketoconazole tab
30 Klindamisin 150 mg 60 15 30 30 30 175
31 Klindamisin 300 mg 30
32 Kloramfenikol 250 mg capsul
33 Kloramfenicol 500 mg
34 Kloramfenikol susp 125 mg / 5 ml 3
35 Kotrimoksazol Adult 480 mg 40
36 Kotrimoksazol Suspensi 240 mg/5 ml 1 1
37 Metronidazol 250 mg
38 Metronidazol 500 mg 15 15 10 30 30 15 45 15 7 15 15
39 Nistatin 100.000 IU/g tablet vagina 6
40 Nistatin susp 100.000 UI / ml
41 Obat Anti TBC Anak FDC awal
42 Obat Anti TBC Anak FDC lanjutan 120
43 Obat Anti TBC Kat I FDC awal 60 60 232
44 Obat Anti TBC Kat I FDC Harian Rutin 28 144 240 228
45 Obat Anti TBC Kat I FDC lanjutan 24
46 Obat Anti TBC Kat II FDC awal 48 66 52
47 Obat Anti TBC Kat II FDC lanjutan
48 Obat Anti TBC Kat II FDC etambutol
49 Obat Anti TBC Sisipan
50 Pyrimethamine 25 mg
51 Pyrazinamide 500 mg
52 Pyrantel Pamoat 125 mg
53 Rifampicin 300 mg
56 Sefadroxil kapsul 500 mg
57 Sefadroxil syr kering 125 mg/ml
58 Streptomicin Inj.
59 Tetracyclin 250 mg
60 Tiampenicol
61 Dietilkarbamazin
62 Kombipak IMS 2
63 FDC TLE 480 180 150 150 200 240 90 210 150 90
64 FDC TLD 60 1 120 104 30 135 60 30 150 60
65 Tenofovir
66 Lamivudin
67 Evafirenz
SALURAN PERNAPASAN
66 Ambroxol tab 30 mg 170 50 28 20 40 50 40 50 41 40 60 50 52 45 90 93 30 4
67 Ambroxol Syrup 15 mg 6 2 2 8 3 3 3 8 3 5 6 6 3 2 3 2 2 1
68 Aminopilina 200 mg
69 Gliseril Guayakolat 100 mg 12 10 10 10 75 12 20 30 10 106 26
70 Komb : Ipatropium Br 0.5 mg, salbutamol 2,5 mg nebules
71 N-asetil sistein kaps 200 mg 50 50 45 20 70 10 20 40 10 10 30 20 53 10 30 80 70 60
72 Obat Batuk Anak Syrup / Daganak 1
73 Obat Batuk Flu Anak Syrup / Pramolta 2 1 4 1 3 4 1 1 1 3 2 5 2 3 5 2 3 3 7
74 OBH 1 1 3 1
75 Pulmicort
76 Salbutamol 2.5 mg nebules
77 Oksimetazolin tts hidung 0,025%
78 Salbutamol 2 mg 20 20 10 10 10 10 16 30 20
79 Salbutamol 4 mg
80 Flutamol Tablet 10 10 32 30 70 6 4
80 Antimigren (komb : ergotamin 1 mg, kafein 50 mg)
81 Asam Mefenamat 500 mg 96 52 66 90 60 54 45 66 18 26 17 17 84 39 48 53 42 52 72
82 Betahistine mysilat 6 mg 12 6 10 20 15
83 Etil Klorida Semprot 100 ml
84 Ibupropen 200 mg 6
85 Ibuprofen 400 mg 4
86 Ibuprofen sirup 200 mg/ 5 ml 2 3 1 1 1 1 3
87 Ketorolak Inj
88 Lidokain inj 2 % (infltr/p.v) 1 1 4
89 Ketoprofen Supo
90 Lidocain Kompositum
91 Na.Diklofenak 50 mg 12 48 26 12 12 42 24 54 24 25 32 39 10 36 20 19 18 12 12 75
92 Parasetamol tts 60 mg / 0.6 ml 1 7 1 1 5 2 6 1 4 2
93 Parasetamol 500 mg 55 26 36 16 12 6 38 32 15 18 18 16 86 26 46 202 60
94 Parasetamol syr 120 mg/5 ml 60 ml 28 43 41 50 44 26 51 43 29 40 46 56 67 38 25 39 40 50 33 28
95 Piroksikam 10 mg
SISTEM PENCERNAAN
Antasida, (komb : Aluminium Hidroksida 200 mg, Magnesium

Hidroksida 200 mg) tab kunyah
96 6 16 10 10 10 30 40 10 20 50 24 20 10 30 10
Antasida, (komb : Aluminium Hidroksida 200 mg, Magnesium

Hidroksida 200 mg) susp
97 6 6 10 10 13 9 8 6 10 5 8 5 2 5 2 2 4 5 1 3
Antihemoroid sup, (komb : bismut subgalat 150 mg, heksaklorofen

2.5 mg, lidokain 10 mg, seng oksida 120 mg, sup ad 2 g)
98 8
99 6 16 14 10 10 10 30 20 10 10 18
100 Bisakodil sup 5 mg
101 Bisakodil 5 mg
102 Dimenhidrinat tab 50 mg 6 5 6 4
103 Domperidon 10 mg 6 6 6 6 6 10 10 5 12 20 4 5 12 5 4
104 Domperidon sirup 5 mg/5 ml 3 3 3 1 2 2 4 1 1 2 6 3 2 2
105 Garam Oralit 200 ml 12 25 3 18 13 6 25 35 6 8 14 5 29 27 30 72

106 Hiosina Butilbromida 10 mg 10
107 Karbo Adsorben 250 mg
108 Metoklopramide sirup 5 mg/ml
109 Misoprostol 2
110 Natrium Bicarbonat 500 mg
111 Komb Kaolin 550 mg + pektin 20 mg
112 Omeprazol 20 mg 5 5 8 5 8
113 Omeprazol inj 40 mg / 10 ml
114 Ranitidin tab 150 mg 48 36 48 72 60 66 18 48 42 30 48 6 40 37 23 36 43 42 66 54
115 Ranitidin Inj
116 Zinc dispersibel 20 35 50 20 20 65 10 10 10 30 10 24 37 30 65 10 10
117 Zinc Syrup 1 2

117 Amlodipine 5 mg 170 30 70 20 110 110 80 60 60 10 60 30 60 40 20 40 50 60
118 Amlodipin tab 10 mg 70 40 20 50 10 20 30 20 20 25 50 26 10 30 10 20 60
119 Atenolol 50 mg
120 Captopril 12,5 mg 40 20 40 40 30 20 20 20 20 20 60 20 30 80
121 Captopril 25 mg
122 Digoksin 0,25 mg
123 Diltiazem 30 mg
124 Furosemid 40 mg 6 10 4 10 10 15 4 36 10 7
125 Hidrokortiazid HCT tab 25 mg
126 Isosorbid Dinitrat 5 mg tablet 2 3
127 Metyldopa tab 10 mg
128 Nifedipin tab 10 mg
129 Reserpin 0,25 mg
130 Spironolakton 25 mg
OBAT MATA
131 Gentamisin S.M 2 1
132 Klorampenicol S.M 1 % 1 2 1 1 2 1 9

133 Koramfenikol TM 1 % 1 2 2 1 1
134 Oxytetrasiklin salep Mata
OBAT KULIT
135 Anti Bacteri DOEN/ Basitracin SK
136 Antifungi (komb : As. Benzoat 6%, As. Salisilat 3 %) SK
137 Acyclovir cream 5 % 1 1 1 1 2 1 1
138 Betametason Crem 0,1 % 2 1 2 1 1 1 1 1 3 1 1 1
139 Bedak Salisil serbuk 2 %
140 Gentamisin Salep 3
141 Hidrokortison Crem 2,5 % 1 1 3 1 1 1 1
142 Ichtyol Sk
143 Ketokonazol krim 2% 1 1 1
144 Kloramfenikol SK 2% 7 5 4 3 4 4 4 11 1 4 3 1 7 2 6 3 3 5 7
145 Perak Sulfadiazin krim 1%
146 Mikonazol krim 2% 1 2 1 1 2 3 2 2 1 1 2 1 1 3 2 3
147 Oxytetrasiklin salep
148 Permetrin Krim 5 % 1 5 6 2 2 2 2 2 1 1 1 2 1 2
149 Salep 2-4, Kom : As. salisilat 2%, Belerang endap 4% salep 2 2 1 2 2 1 1 1 2
150 Minyak Telon
VITAMIN DAN MINERAL
151 Asam Askorbat (Vit C) tab 500 mg 135 120 50 25 105 80 80 107 80 50 80 90 110 150 50 50 122 130 115 40
152 Asam Askorbat (Vit C) tab 250 mg 15 13 5 10 5 5 16 5 12 5 12 5
153 Asam Folat 1 mg 10 20 30 10 40
154 Kalsium laktat (kalk) tab 500 mg 30 30 55 105 20 20 105 35 40 80 20 25 50 15 10 90 15 60 30
155 Multivitamin dan Mineral /Pehavral 4 3 1 30
156 Mineral Mix 10
157 Piridoksin HCL 10 mg tablet /Vit. B6 5 12 25 151 60 46 120 13 6 20 115
158 Retinol (Vit. A) 100,000 IU Kap Lunak 2 4 16
159 Retinol (Vit. A) 200,000 IU Kap Lunak 7

160 Sianokobalamin (Vitamin B12) tab 50 mcg 15 16 10 5 21 25 25 15 15 6 10 25 10 5 5 26 15 10
161 Tablet Tambah Darah/FE 70 10 60 340 40 210 90 300 30 30 150 40 270 106 390
162 Thiamin HCL 50 mg / Vit B1 5 6 20 6 30 9
163 Vit. B. Complex 61 105 50 91 105 135 150 220 150 95 140 180 260 160 86 150 120 135 210 130
164 Vit. Syrup Anak 60 ml 5 3 9 5 2 1 3 7 20 6 3 11 2 2 7
165 Nerofa 30 10 10 5 30 10 20 10
166 Vitamin D3 17 5 5 30 5
165 Asam traneksamat Inj
166 Asam traneksamat tab
167 Alopurinol 100 mg
168 Fitomenadion /Vit K 10 mg
169 Fitomenadion /Vit K Inj 2 mg/ml
170 Gemfibrozil 300 mg
171 Metilergometrin Maleat 0,125 mg
172 Metilergometrin Maleat 0,200 mg 1ml inj
173 Simvastatin 10 mg
174 Metilprednisolon tablet

MULUT,THT
173 Borax Glicerin
174 Fenol Glicerol Tetes Telinga 10 %
175 Gentian Violet Lart 1 % 10 ml
176 Kloramfenikol tetes Telinga 3 % 10 ml
177 Deksametason 0,5 mg tablet
178 Deksametason inj 5 mg / ml (i.v / i.m)
179 Difenhidramin inj 10 mg / ml (i.v / i.m)
180 Klorfeniramin Maleat/CTM 4 mg
181 Loratadine Tab 10 mg
182 Prednison 5 mg
183 Setirizin sir 5 mg / 5 ml
HORMON
184 Glibenklamid 5 mg tablet
185 Propiltiourasil tab 100 mg (PTU)
186 Metformin tab 500 mg
187 Glimepiride 2 mg
187 Alkohol Swab
188 Chlorin 10 %
189 Etakridin 0,1 % Rivanol 300 ml
190 Etanol 70 % 100 ml
191 Kaporit 60%
192 Kalium Permanganat (PK) 5 gram
193 Lisol 50 % 1000 ml
194 Polikresulen 10 ml
195 Framisetin
196 Povidon Iodin lar 30ml
INFUS,LAR STERIL
199 Aqua pro inj steril 20 ml
200 Glukosa Lar infus 5 % steril 500 ml
201 Natrium Klorida Larutan Infus 0,9%
202 Ringer Laktat Larutan Infus Steril
203 Aqua Bidestilata
ALKES HABIS PAKAI
204 Abbocat No. 18
205 Abbocat No. 20
206 Abbocat No. 22

207 Abbocat No. 24
208 Abbocat No. 26
209 Alat Suntik 0,5 ml
210 Alat Suntik 1 ml
215 Bisturi
216 Blood Lancet
217 Cat Gut Chromic 2/0
218 Cat Gut Chromic 3/0 diameter 23
219 Cat Gut Chromic 3/0 diameter 32
220 Cat Gut Plain/Benang Bedah No. 3.2
221 Endotrakeal No 3
222 Endotrakeal No 3.5
223 Endotrakeal No 4
224 Foley Kateter No 18
225 Foley Kateter No 20
226 Hand Rub
227 Hecting Nald
228 Infuset anak
229 Infuset dewasa
230 Iodina Test
231 Jarum Cytojek
232 Jarum vacutainer
233 Kateter penghisap lendir No 8
234 Kateter penghisap lendir No 10
235 Kaca Mulut
236 Kaca Penutup / Dek glass
237 Kantong Jenazah

238 Kapas Pembalut Absorben 250 g
239 Kapas Pembalut Absorben 1000 g
240 Kassa steril
241 Kassa Kompres 40 x 40 steril
242 Kassa Pembalut 2 m x 80 cm
243 Kassa pembalut Hidrofil 4 cm x 15 cm
244 Kassa pembalut Hidrofil 4 cm x 3 cm
245 Kertas Perkamen
246 Leukomed i.v
247 Masker
248 Masker N.95
249 Masker Oksigen dewasa
250 Masker Oksigen Anak
251 Needle 23
252 Oksigen can
253 Plastic Bandages / OK Plast
254 Plastik Alat Steril
255 Plester 5 yard x 2 inch
256 Plester kertas
257 Peneng Bayi Pink
258 Peneng Bayi Biru
259 Peneng Kuning
260 Perban elastis
261 Pot Sputum
262 RTD Malaria
263 Rotator
264 Slide
265 Sarung tangan Ginekolog / Steril Panjang
266 Sarung tangan Steril Pendek
267 Sarung Tangan Non Steril
268 Sarung Tangan Karet Tebal

269 Sarung Tangan Nitril
270 Selang oksigen Bayi
271 Selang oksigen Anak
272 Selang oksigen Dewasa
273 Sendok Obat
274 Silk 3/0
275 Silk 4/0
276 Suction Kateter
277 Three way stop cock
278 Tip pipet kuning
279 Tongue Spatel Kayu
280 Urine Bag
281 Ultrasound gel 250 cc
282 Umbilical Cord Clam Biru
283 Vacutainer/Tabung spesimen darah + tutup
284 Wing Needle no.27 G
Alat Kontrasepsi
285 Depo
286 IUD
287 Kondom Artika
288 Susuk / Implan set
289 Pil
290 Spuit 3cc skifa
291 Lubrikan
292 Kondom Sutra
Vaksin
293 HB-0

Mengetahui, Apot
Kepala UPT Puskesmas Ibrahim Adjie UPT P
dr. Adnan Affandi Sofyan Ii

NIP.19821103 201212 1 002 NIP.1
SISA/SO JUMLAH
26 27 28 29 30 31
43
250
90 60 2167
2 57
3 1 8
10
20 285
0
3
340
90 120
20 60
5 217
120
352
36 676
24
166
0
0
240 210 2390
148 60 958
953
4 72
252 10 60 10 653
70 50 40 40 878
3 6 8 2 72
146
162
0
0
216 38 18 1269
6 10 20 99
2 14
24 36 62 674
30
10 36 18 42 814
41 7 39 26 930
73 6 20 40 435
4 3 5 132
36 6 196
21
1 118
3 7 2 47
15 15 5 363
10
11 42
168 18 24 64 1137
70 20 15 20 581
1 4
100 30 40 1250
30 20 20 581
60 20 50 590
112
3 8
1 18
1 8
16
1 4
2 86
2 30
30
3 17
550 110 60 110 2599
15 42 5 5 175
20 130
60 105 10 35 1045
38
10
12 585
22
7
15 510 10 45 839
180 250 2566
5 4 215 300
664 115 145 200 3857
1 7 2 96
5 10 140
50 112
0
0
0
0
0
0
0
0
0
0
NIP.19650421 199103 2 007

CATATAN HARIAN OBAT
Bulan / Tahun :
TANGGAL
NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
LIFE SAVING

1
Epinefrin HCL Inj
2
3
4
5
6
ANTIINFEKSI

7 40 50 40
ACT ( arthesunat )
8
9
Albendazol 400 mg
10
11 90 40 40 30 90 70 115 135 45 75 10 30 75 15
12
13 7 2 3 2 2 1 7 1 3 3 1 3 1
14
15 1 2 2
Azitromisin 500 mg
16 2 2 2
17 2 1 1 1 2 3 1 1 2 3
Cefixim tab 100 mg
18 10 2 2 2 10
19 20 10 30 10 30 10
Doxyciclin 100 mg
20 10
Ethambutol 250 mg
21
Erytromicin 250 mg
22
23
24
Griseofulvin125 mg
25
26
Isoniazide 300 mg
27
Isoniazide 100 mg
28
Ketoconazole tab
29
Klindamisin 150 mg
30 40
Klindamisin 300 mg
31 30 30
32 20
33 50 12
34
35 10
36
Metronidazol 250 mg
37
Metronidazol 500 mg
38 15 16 10 15
39 3
40
41
42
43 156 45 1
44 60 288
45 150
46 120 28
47
48
Pyrimethamine 25 mg
49
Pyrazinamide 500 mg
50
51
Rifampicin 300 mg
52
Rifampicin 450 mg
53
Rifampicin 600 mg
54
55
56
Streptomicin Inj.
57
Tetracyclin 250 mg
58
Tiampenicol
59
Dietilkarbamazin
60
Kombipak IMS
61 1 2 1
FDC TLE
62 556 330 6 150 270 2 150
FDC TLD
63 210 74 30 6 120 60 2 14
Tenofovir
64
Lamivudin
65
Evafirenz
66
SALURAN PERNAPASAN
Ambroxol tab 30 mg
66 19
67 5 3 2 4 1 6 4 3 5 2 1 3 8
Aminopilina 200 mg
68
69 10 16 53 10 6 115 120 30 140 52 60 30
70
71 50 113 112 80 108 70 30 185 58 50 170 145 165 59 141
72
73 2 1 2 2 3 6 2 1 3 4 6 1
OBH
74 1 3 1
Pulmicort
75
76 6
77
Salbutamol 2 mg
78 3 10 4
Salbutamol 4 mg
79
Flutamol Tablet
80

80
81 71 87 60 27 36 60 39 58 42 34 58 60 54 60 54
82 6 10 32 10 16 40 23 20 20 40 25
83
Ibupropen 200 mg
84
Ibuprofen 400 mg
85 5 10 6
86 1 1 2 1 1 1
Ketorolak Inj
87
88
Ketoprofen Supo
89
Lidocain Kompositum
90
Na.Diklofenak 50 mg
91 38 18 15 42 6 54 24 24 22 30 12 6 6 6 30
92 2 3 130 2 2 4
Parasetamol 500 mg
93 139 130 160 109 138 180 168 152 212 232 90 220 184 148
94 3 9 6 5 4 7 4 5 1 5 6 5 1 3 5
Piroksikam 10 mg
95
SISTEM PENCERNAAN

96 31 44 35 25 15 38 14 44 24 14 10 54 14 14 28
97 1 9 3 1 2 3 10 6 12 6 10 6 6 5 1

mg, sup ad 2 g)
98
99 10 10 10 6 30 10 10 20 16
Bisakodil sup 5 mg
100
Bisakodil 5 mg
101
102 4
Domperidon 10 mg
103 32 6 14 6 18 10 30 6 6
104 1 2 2 1 1 2
Garam Oralit 200 ml
105 9 21 22 9 11 10 23 20 5 8 5 5 5
106
107 1
108
Misoprostol
109
110
111
Omeprazol 20 mg
112 10 17 6 25 5 6 5 6 10 6 12
113
114 46 62 18 12 30 60 60 18 30 42 66 54 18 36 18
Ranitidin Inj
115 1
Zinc dispersibel
116 20 35 14 25 40 80 30 11 65 25 5
Zinc Syrup
117 1 1
6
Amlodipine 5 mg
117 25 140 60 80 35 60 20 40 20 70 50 90 50 10
Amlodipin tab 10 mg
118 20 30 30 95 60 10 30 40 30 30 20
Atenolol 50 mg
119
Captopril 12,5 mg
120 50 60 60 30 20 20 60 40 14 30 20
Captopril 25 mg
121
Digoksin 0,25 mg
122
Diltiazem 30 mg
123
Furosemid 40 mg
124 10 6 10 5
125
126 4
Metyldopa tab 10 mg
127
Nifedipin tab 10 mg
128
Reserpin 0,25 mg
129
Spironolakton 25 mg
130
OBAT MATA
Gentamisin S.M
131 1
132 1 1 2 1 1 3
Koramfenikol TM 1 %
133 2 1 2 1 1
134
OBAT KULIT

135
136
Acyclovir cream 5 %
137 1 1 2 2 3
138 2 5 1 1 5 1 2 3 2
139 1
Gentamisin Salep
140 1
141 1 1
Ichtyol Sk
142
Ketokonazol krim 2%
143 2 2 1
Kloramfenikol SK 2%
144 1 4 6 3 4 5 2 3 2 1 2
145 1 1 1 1
Mikonazol krim 2%
146 1 5 1 2 1 1 1 1 1 1
147 1
Permetrin Krim 5 %
148 1 4 2 1 1 4 3 2 1
149 1 2 1 2 1 2 2
Minyak Telon
150
VITAMIN DAN MINERAL

151 48 53 142 90 138 20 100 250 240 140 240 270 210 176 275
152 10 10 8 21 6 15 20 18 6
Asam Folat 1 mg
153 36 10 40 50
154 55 198 5 10 25 28 25 145 25 30 40 5 10 90 15
155
Mineral Mix
156
157 30 10 149 15 10 30 40 50 10
158 2
159 2 2
160 5 15 29 21 20 15 10 15 20 35 30
161 30 158 30 30 60 50 370 10 180 170
162 25
Vit. B. Complex
163 125 233 152 129 146 172 130 170 183 210 266 220 360 206 270
164 7 4 6 4 5 1 2 12 3 7 6 2 2 3 3
Nerofa
165 5 3 10
Vitamin D3
166 20 20 15 130 48 181 60 50 20
10 35 5 110 25

165 6
166 6 6 12
Alopurinol 100 mg
167 20 10 10 10 10 30 10 20 20 10 10 10
168 15 61
169
Gemfibrozil 300 mg
170 20
171
172
Simvastatin 10 mg
173 20 30 40 10 80 30 20 35 30 20 20 20 10 10
174 6
MULUT,THT
Borax Glicerin
173 1 1
174
175
176 1

177 6 10 3 10 6
178 6
179
180 28 45 79 68 34 44 98 38 10 92 40 149 15 36 12
181 37 33 36 53 29 39 17 69 48 40 82 80 41 84
Prednison 5 mg
182
183 1 1 5 3 3 1 3
HORMON
184 10
185
186 30 30 120 65 120 20 70 150 80 30 50 50 40 50
Glimepiride 2 mg
187 10 15 10 10 30 30 20 10
Alkohol Swab
187 5 2
Chlorin 10 %
188
189
Etanol 70 % 100 ml
190
Kaporit 60%
191
192
Lisol 50 % 1000 ml
193
Polikresulen 10 ml
194
Framisetin
195
196
197 1
198
INFUS,LAR STERIL

199
200
201
202 4 20
Aqua Bidestilata
203
Aquadest
2
ALKES HABIS PAKAI
Abbocat No. 18
204
Abbocat No. 20
205 20
Abbocat No. 22
206
Abbocat No. 24
207
Abbocat No. 26
208
Alat Suntik 0,5 ml
209
Alat Suntik 1 ml
210 1
Alat Suntik 3 ml
211 5 1
Alat Suntik 5 ml
212
Alat Suntik 10 ml
213 4 10 2 4 6 1 2 1 6
Alat Suntik 20 ml
214
Bisturi
215
Blood Lancet
216
Cat Gut Chromic 2/0
217
218
219
220
Endotrakeal No 3
221
Endotrakeal No 3.5
222
Endotrakeal No 4
223
Foley Kateter No 18
224
Foley Kateter No 20
225
Hand Rub
226
Hecting Nald
227
Infuset anak
228
Infuset dewasa
229 20
Iodina Test
230
Jarum Cytojek
231
Jarum vacutainer
232
233
234
Kaca Mulut
235
236
Kantong Jenazah
237
238
239
Kassa steril
240
241
242 10
243
244
Kertas Perkamen
245
Leukomed i.v
246
Masker
247
Masker N.95
248
249
Masker Oksigen Anak
250
Needle 23
251
Oksigen can
252
253
Plastik Alat Steril
254
255
Plester kertas
256
Peneng Bayi Pink
257
Peneng Bayi Biru
258
Peneng Kuning
259 50
Perban elastis
260
Pot Sputum
261
RTD Malaria
262
Rotator
263
Slide
264
265
266
267 1 1
268
269
Selang oksigen Bayi
270 4
Selang oksigen Anak
271
272 5
Sendok Obat
273
Silk 3/0
274
Silk 4/0
275
Suction Kateter
276
Three way stop cock
277
Tip pipet kuning
278
Tongue Spatel Kayu
279
Urine Bag
280
281
282
283
Wing Needle no.27 G
284
Alat Kontrasepsi
Depo
285 5
IUD
286
Kondom Artika
287 288 6 288 36 72 180 20
Susuk / Implan set
288
Pil
289
Spuit 3cc skifa
290 5
Lubrikan
291
Kondom Sutra
292
Vaksin
293 HB-0
Favifiravir 80 80 80 160 200 120
Mengetahui,
NIP.19821103 201212 1 002

SISA/SO JUMLAH
19 20 21 22 23 24 25 26
15 92 30 30 45
1 3 1
20
30
1 15 15 15 10
349 45
241
270 240 120
180 90 75
140 146 100 60
175 97 205 124 30
5 1 5 4 3
2 1
13 10 5
42 215 68 54 60 22
6 36 6 6
6 32 32 18 30 6
2 2
224 215 258 206 165 84
1 4 5 4 1 2
42 34 118 10 24
2 4 4 2 5
10 18 10 20
23 14 5
10 2 20 5
24 60 48 18 24
105 75 75 30 10
50 60 10 50 10
20 90 20 30 30
40 40
4
1 1
3 1 1
12 5 4 2 1
1 1 1
2 2 2
280 230 290 250 60
50 10 5 14
15 60 10 25 90
154 10 15
23 40 10
120 30 150
220 220 260 280 86
2 3 6 3 1
70 30 10 170
10 10 10
20 10 10 10
12
105 156 33 30
50 35 45 65 20
1 6 4
10
30 90 40 60 110
20 10 10
20
1 100
6 1 100 100
4 2
3
5 5
36 1 144 72
1 5
120 40 40
NIP.19650421 199103 2 007

CATATAN HARIAN OBAT
Bulan / Tahun :
TANGGAL
NO NAMA OBAT
1 2 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22
LIFE SAVING

1
Epinefrin HCL Inj
2
3
4
5
6
ANTIINFEKSI

7
ACT ( arthesunat )
8
9
Albendazol 400 mg
10
11
12
13
14
15
Azitromisin 500 mg
16
17
Cefixim tab 100 mg
18
19
Doxyciclin 100 mg
20
Ethambutol 250 mg
21
Erytromicin 250 mg
22
23
24
Griseofulvin125 mg
25
26
Isoniazide 300 mg
27
Isoniazide 100 mg
28
Ketoconazole tab
29
Klindamisin 150 mg
30
Klindamisin 300 mg
31
32
33
34
35
36
Metronidazol 250 mg
37
Metronidazol 500 mg
38
39
40
41
42
43
44
45
46
47
48
Pyrimethamine 25 mg
49
Pyrazinamide 500 mg
50
51
Rifampicin 300 mg
52
Rifampicin 450 mg
53
Rifampicin 600 mg
54
55
56
Streptomicin Inj.
57
Tetracyclin 250 mg
58
Tiampenicol
59
Dietilkarbamazin
60
Kombipak IMS
61
FDC TLE
62
FDC TLD
63
Tenofovir
64
Lamivudin
65
Evafirenz
66
SALURAN PERNAPASAN
Ambroxol tab 30 mg
66
67
Aminopilina 200 mg
68
69
70
71
72
73
OBH
74
Pulmicort
75
76
77
Salbutamol 2 mg
78
Salbutamol 4 mg
79
Flutamol Tablet
80

80
81
82
83
Ibupropen 200 mg
84
Ibuprofen 400 mg
85
86
Ketorolak Inj
87
88
Ketoprofen Supo
89
Lidocain Kompositum
90
Na.Diklofenak 50 mg
91
92
Parasetamol 500 mg
93
94
Piroksikam 10 mg
95
SISTEM PENCERNAAN

96
97

mg, sup ad 2 g)
98
99
Bisakodil sup 5 mg
100
Bisakodil 5 mg
101
102
Domperidon 10 mg
103
104
Garam Oralit 200 ml
105
106
107
108
Misoprostol
109
110
111
Omeprazol 20 mg
112
113
114
Ranitidin Inj
115
Zinc dispersibel
116
Zinc Syrup
117
Amlodipine 5 mg
117
Amlodipin tab 10 mg
118
Atenolol 50 mg
119
Captopril 12,5 mg
120
Captopril 25 mg
121
Digoksin 0,25 mg
122
Diltiazem 30 mg
123
Furosemid 40 mg
124
125
126
Metyldopa tab 10 mg
127
Nifedipin tab 10 mg
128
Reserpin 0,25 mg
129
Spironolakton 25 mg
130
OBAT MATA
Gentamisin S.M
131
132
Koramfenikol TM 1 %
133
134
OBAT KULIT

135
136
Acyclovir cream 5 %
137
138
139
Gentamisin Salep
140
141
Ichtyol Sk
142
Ketokonazol krim 2%
143
Kloramfenikol SK 2%
144
145
Mikonazol krim 2%
146
147
Permetrin Krim 5 %
148
149
Minyak Telon
150
VITAMIN DAN MINERAL

151
152
Asam Folat 1 mg
153
154
155
Mineral Mix
156
157
158
159
160
161
162
Vit. B. Complex
163
164
Nerofa
165
Vitamin D3
166

165
166
Alopurinol 100 mg
167
168
169
Gemfibrozil 300 mg
170
171
172
Simvastatin 10 mg
173
174
MULUT,THT
Borax Glicerin
173
174
175
176

177
178
179
180
181
Prednison 5 mg
182
183
HORMON
184
185
186
Glimepiride 2 mg
187
Alkohol Swab
187
Chlorin 10 %
188
189
Etanol 70 % 100 ml
190
Kaporit 60%
191
192
Lisol 50 % 1000 ml
193
Polikresulen 10 ml
194
Framisetin
195
196
197
198
INFUS,LAR STERIL

199
200
201
202
Aqua Bidestilata
203
ALKES HABIS PAKAI
Abbocat No. 18
204
Abbocat No. 20
205
Abbocat No. 22
206
Abbocat No. 24
207
Abbocat No. 26
208
Alat Suntik 0,5 ml
209
Alat Suntik 1 ml
210
Alat Suntik 3 ml
211
Alat Suntik 5 ml
212
Alat Suntik 10 ml
213
Alat Suntik 20 ml
214
Bisturi
215
Blood Lancet
216
Cat Gut Chromic 2/0
217
218
219
220
Endotrakeal No 3
221
Endotrakeal No 3.5
222
Endotrakeal No 4
223
Foley Kateter No 18
224
Foley Kateter No 20
225
Hand Rub
226
Hecting Nald
227
Infuset anak
228
Infuset dewasa
229
Iodina Test
230
Jarum Cytojek
231
Jarum vacutainer
232
233
234
Kaca Mulut
235
236
Kantong Jenazah
237
238
239
Kassa steril
240
241
242
243
244
Kertas Perkamen
245
Leukomed i.v
246
Masker
247
Masker N.95
248
249
Masker Oksigen Anak
250
Needle 23
251
Oksigen can
252
253
Plastik Alat Steril
254
255
Plester kertas
256
Peneng Bayi Pink
257
Peneng Bayi Biru
258
Peneng Kuning
259
Perban elastis
260
Pot Sputum
261
RTD Malaria
262
Rotator
263
Slide
264
265
266
267
268
269
Selang oksigen Bayi
270
Selang oksigen Anak
271
272
Sendok Obat
273
Silk 3/0
274
Silk 4/0
275
Suction Kateter
276
Three way stop cock
277
Tip pipet kuning
278
Tongue Spatel Kayu
279
Urine Bag
280
281
282
283
Wing Needle no.27 G
284
Alat Kontrasepsi
Depo
285
IUD
286
Kondom Artika
287
Susuk / Implan set
288
Pil
289
Spuit 3cc skifa
290
Lubrikan
291
Kondom Sutra
292
Vaksin
293 HB-0
Mengetahui,
NIP.19821103 201212 1 002

SISA/SO JUMLAH
23 24 25 26 28 29 30 31
NIP.19650421 199103 2 007

Catatat Obat Dan BMHP 2022

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CATATAN HARIAN OBAT

Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml

Acyclovir tab 400 mg

Antimigren (komb : ergotamin 1 mg, kafein 50 mg)

Antasida, (komb : Aluminium Hidroksida 200 mg,

Antihemoroid sup, (komb : bismut subgalat 150 mg,

JANTUNG DAN PEMBULUH DARAH

Anti Bacteri DOEN/ Basitracin SK

VITAMIN DAN MINERAL

Asam Askorbat (Vit C) tab 50 mg

DARAH, AS URAT, KOLESTEROL

Asam traneksamat Inj

Deksametason 0,5 mg tablet

Aqua pro inj steril 20 ml

ALKES HABIS PAKAI

NARKOTIKA, PSIKOTROPIKA & KESEHATAN JIWA

294 Amitriptilin tab sal 25 mg

295 Diazepam 2 mg tablet

296 Fenobarbital tab 30 mg

297 Haloperidol tab 1.5 mg

298 Karbamazepin tab 200 mg

299 Klorpromazin tab sal 25 mg

300 Kodein HCL 10 mg

301 Risperidon tab 2 mg

dr. Adnan Affandi Sofyan

NIP.19821103 201212 1 002

UPT Puskesmas Ibrahim Adjie

Iis Rukmawati Ssi,Apt

NIP.19650421 199103 2 007

Bulan / Tahun : JANUARI 2022

1 Atropin Inj. Im/Iv/s.k.0,25 mg/ml-1ml

2 Epinefrin HCL Inj 1

3 Kalsium Glukonat inj 100 mg / ml

4 Mg Sulfat Inj 40 % - IV/10 vial

5 Oksitosin Inj 10 lU/ml 1 ml 30 13

6 Diazepam Lar Rektal 10 mg/ml

7 Acyclovir tab 400 mg 50 70 40 50 40

9 Albendazol susp 200 mg/5 ml

12 Amoksilin Kap. 250 mg

13 Amoksilin syr kering 250 mg/ ml 1 4 3 5 4 3 4 4 3 5 1 3 2 1 4 1 3 2 2

14 Amoksilin syr kering 125 mg/ ml 1

15 Amoksisilin Drops 100 mg/ml 1 1 1 1

17 Benzatin Benzil P 2,4 3 1

18 Cefixim tab 100 mg 10

26 Gentamisin 80 mg / 2ml inj

30 Klindamisin 150 mg 60 15 30 30 30 175

32 Kloramfenikol 250 mg capsul

34 Kloramfenikol susp 125 mg / 5 ml 3

35 Kotrimoksazol Adult 480 mg 40

36 Kotrimoksazol Suspensi 240 mg/5 ml 1 1

39 Nistatin 100.000 IU/g tablet vagina 6

40 Nistatin susp 100.000 UI / ml

41 Obat Anti TBC Anak FDC awal

42 Obat Anti TBC Anak FDC lanjutan 120

43 Obat Anti TBC Kat I FDC awal 60 60 232

45 Obat Anti TBC Kat I FDC lanjutan 24

46 Obat Anti TBC Kat II FDC awal 48 66 52

47 Obat Anti TBC Kat II FDC lanjutan

48 Obat Anti TBC Kat II FDC etambutol

49 Obat Anti TBC Sisipan

52 Pyrantel Pamoat 125 mg

56 Sefadroxil kapsul 500 mg

57 Sefadroxil syr kering 125 mg/ml