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NAMA OBAT SATUAN
NO
1 2 3 4 5 6 7
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
10 AMLODIPINE TAB 10 MG TAB
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
13 AMOKSISILIN KAPSUL 250 MG TAB
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
17 ANTASIDA DOEN TAB. KOMB. TAB
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
47 CIPROFLOKSASIN KAPLET 500 MG TAB
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
90 ISONIAZIDA TAB. 100 MG TAB
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
111 KODEIN HCL TAB. 10 MG TAB
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
166 PREDNISON TAB 5 MG TAB
167 PROPANOLOL HCL TAB 10 MG TAB
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
178 SALEP 2-4 KOMB TAB
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
203 ZINC TABLET TAB
204 ZIRKUM KIDS SIRUP BTL
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
265 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
313 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
R
Pemakaian Apotek / Tanggal
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
REKAPITULASI PEMAKAIAN
JANUARI 2021
24 25 26 27 28 29 30 31 apotik ugd gigi labor kia gizi
1 2 3 4 5 6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Unit2/Pustu/Polindes
imunsa
PTM Lansia
si
7 8 9 10 11 12 13 14 1 2 3 4 5
Jumlah
6 7 8 9 10 11 12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
KECAMATAN
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
0 0 0 0
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
0 0 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
0 0 0 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
0 0 0 0
10 AMLODIPINE TAB 10 MG TAB
0 0 0 0
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
0 0 0 0
13 AMOKSISILIN KAPSUL 250 MG TAB
0 0 0 0
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 0 0 0 0
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 0 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB
0 0 0 0
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
0 0 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
0 0 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
0 0 0 0
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
26 ASAM MEFENAMAT KAPLET 500 MG TAB
0 0 0 0
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 0 0 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
0 0 0 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
0 0 0 0
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
0 0 0 0
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0
40 BISAKODIL TABLET TAB
0 0 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
0 0 0 0
47 CIPROFLOKSASIN KAPLET 500 MG TAB
0 0 0 0
48 CURCUMA TABLET 200 MG TAB
0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
0 0 0 0
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
0 0 0 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
0 0 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
0 0 0 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
0 0 0 0
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 0 0 0 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 0 0 0 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
0 0 0 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
0 0 0 0
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
0 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
0 0 0 0
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
0 0 0 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
0 0 0 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
0 0 0 0
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 0 0 0 0
87 IBUPROFEN SUSPENSI BTL
0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
0 0 0 0
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 0 0 0 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
0 0 0 0
95 KAPTOPRIL KAP 12,5 MG TAB
0 0 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
0 0 0 0
99 KETOKONAZOL KRIM TUBE
0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
0 0 0 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
0 0 0 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 0 0 0
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
0 0 0 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 0 0 0 0
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 0 0 0 0
111 KODEIN HCL TAB. 10 MG TAB
0 0 0 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
0 0 0 0
117 LAKTULOSA SIRUP BTL
0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
0 0 0 0
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 0 0 0 0
129 METIL PREDNISOLON TAB 4 MG TAB
0 0 0 0
130 METILDOPA TABLET TAB
0 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
0 0 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
0 0 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
0 0 0 0
142 NATRIUM BIKARBONAT TAB 500 MG TAB
0 0 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
0 0 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 0 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
0 0 0 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
0 0 0 0
162 PEKA KRISTAL POT
0 0 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
0 0 0 0
166 PREDNISON TAB 5 MG TAB
0 0 0 0
167 PROPANOLOL HCL TAB 10 MG TAB
0 0 0 0
168 PROPIL TIOURASIL TAB 100 ML TAB
0 0 0 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0
170 RANITIDIN TAB 150 MG TAB
0 0 0 0
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
0 0 0 0
178 SALEP 2-4 KOMB TAB
0 0 0 0
179 SALISIL BEDAK 2 % SACCH
0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
0 0 0 0
187 SIMVASTATIN TABLET 10 MG TAB
0 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0
195 TEOFILIN SR TAB
0 0 0 0
196 TETAGAM INJ AMP
0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 0 0 0 0
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
0 0 0 0
201 VAKSIN RABIES VERO AMP
0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
0 0 0 0
203 ZINC TABLET TAB
0 0 0 0
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
206 VAKSIN CAMPAK VIAL
0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0
220 ANTI SERA A BTL
0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0
222 ANTI SERA B BTL
0 0 0 0
223 AQUA DEST BTL
0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0
230 BRACKET ABS PCS
0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0
235 DARYANTULLE LBR
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0
244 GIEMSA BTL
0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0
247 HANDSCOON PCS
0 0 0 0
248 HANDSCOON NON STERIL PCS
0 0 0 0
249 HB TEST STRIP PCS
0 0 0 0
250 HBig PCS
0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0
252 IMERSION OIL BTL
0 0 0 0
253 IMERSION OIL BTL
0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0
256 IV NO.18 G SET
0 0 0 0
257 IV NO.20 G SET
0 0 0 0
258 IV NO.22 G SET
0 0 0 0
259 IV NO.24 G SET
0 0 0 0
260 KACA SLIDE PCS
0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0
269 KERTAS SARING LBR
0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0
274 LISOL BTL
0 0 0 0
275 MASKER PCS
0 0 0 0
276 MASKER N 95 PCS
0 0 0 0
277 METANOL PA BTL
0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 0 0 0
281 OAT KATEGORI I PAKET
0 0 0 0
282 OAT KATEGORI II PAKET
0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0
290 POT SPUTUM PCS
0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
296 SAFETY BOX 2,5 L PCS
0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0
298 SD HBsAG PCS
0 0 0 0
299 SD HIV PCS
0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0
317 UNDERPAD PCS
0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0
323 AZITROMISIN TAB
TAB 0 0 0 0
324 OSELTAMIVIR TAB
TAB 0 0 0 0
325 KLOROQUIN TAB
TAB 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
326 VITAMIN C 500 MG
TAB 0 0 0 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
LEMBAR PERMINTAAN OBAT ( LPLPO )
BULAN : JANUARI
TAHUN : 2021
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
NAMA OBAT SATUAN
NO
26 27 28 29 30 1 2 3
OBAT
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
10
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
16
10 AMLODIPINE TAB 10 MG TAB
11 AMLODIPINE TAB 5 MG TAB
80 40 80
12 AMOKSISILIN KAPLET 500 MG TAB
120 100 65
13 AMOKSISILIN KAPSUL 250 MG TAB
10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
4 1
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
1 1 2
17 ANTASIDA DOEN TAB. KOMB. TAB
40 20 20
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
20 30 50
25 ASAM FOLAT TABLET 1 MG TAB
15
26 ASAM MEFENAMAT KAPLET 500 MG TAB
10 20
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
10
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
30 10 40
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
2 1
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
10
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
15 15 15
47 CIPROFLOKSASIN KAPLET 500 MG TAB
40 16 30
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
10
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
50 10 10
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
10
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
25
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG 10
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
5
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
3 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
10
74 GLIMEPIRID TABLET 1 MG TAB
35 15
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
30 60
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
7
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG 10
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
74 10 50
95 KAPTOPRIL KAP 12,5 MG TAB
50
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
30
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 80 25 6
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
60
111 KODEIN HCL TAB. 10 MG TAB
12 10 10
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
10
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
50 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
10
130 METILDOPA TABLET TAB
20
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
20
137 MIKONAZOL SALEP 2 % TUBE
1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
20 20 22
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
116 20 70
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
30 10 20
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
1 2 1
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
243 122 116
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
166 PREDNISON TAB 5 MG TAB
17 30 12
167 PROPANOLOL HCL TAB 10 MG TAB
60 30
168 PROPIL TIOURASIL TAB 100 ML TAB
60 30
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
50 32 48
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
60
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
25 10 10
178 SALEP 2-4 KOMB TAB
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
10 10 10
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
60 20
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
26
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
194 TABLET TAMBAH DARAH KOMB TAB
80 10 60
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 80
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
86 10 50
203 ZINC TABLET TAB
204 ZIRKUM KIDS SIRUP BTL
1
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
10 10 10 10
10 3
4 25 20 10 25 15 5 10
10 10 10 44 10 10
10 40 68 70 30 20 40 40 55 40 20 10 75
40 60 30 70 50 95 115 30 78 70 50
10 10 10 10 48 10 30 40
1 2 2 1 1 3 1 1 4 2 2
3 2 1 2 1 2 2 2 1 2 1 2 3
20 10 20 30 20 60 51 50 30 30 50 10
50 40 10 16 40 20 40 40 20 35
15 30 15 30 15 15
39 20 40 20 10 20 20 30
5 20 10 10
20 28 10 10 10 10
10 10 10 20 8 30 30 10 18
2 1 1 2 2 3 5 1
10 10 18
10 15 15 43 30 40 36 18 5
10 10 10 30 10 10 10 20 8
10 50 10 20 15 50 10 20 29
30 5 3 18 8
10 10 20 34 46 10 30 20 30 40
30
28
30 30 60 30 60
10
3 15 10 19 10
5 4 5 5 3 2
10 10 5 10
30 30 60 10 60 15 28
30
30 80 20
2 2 2
29
5 10
50 30 40 50 84 31 50 60 50 40 10 50
30
10 10 18
1 2 1 1 1 1
1 1 1 1 3
19 26 111 29 15 32 16 24 44 53 43 20 101
50 30 120 30 30
12 10 12 12 10 10 10
10 10 3
10 10 10 10 6 40 20 50 30
20 10 20 90 10 10 90 30
10 20 26 12 10 20 20 10 14 10
30
20 20 10
10 10
1 1 1 1 2
10 24 54 30 26 14 38 20 46 10 44 20 30
35 15 34 105 50 48 86 38 59 32 20 40 20
16 13 10 18
1
1 3 5 1 4 4 2 4 5
103 76 100 79 126 102 124 109 209 83 90 90 85
5 5 5
17 10 47 74 6 10 10 20 8 20 20
20 30 30 30
20 45 30 30
34 22 52 54 46 50 50 108 48 96 34 49 54
30 30 90 30 30
30 30 30
10 10 30 65 25 102 15 30 50 35 20
1 2
10 20 40 20 10 30 10 40 10 30 20
40 10 30 40 60 20 30 20 30 10
14 20 10
60 20 30 60 90 100 30 70 60 100 50
10
10 10 10
60 60 30 30 30 30 30
10 22 30 55 12 38 40 50 20 20 10 19
20 20 28 30
1 1 1 1 1 1
REKAPITULASI PEMAKAIAN
FEBRUARI 2021
20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
10 8 10 20 88
23
8 30 3 15 5 191
10 13 117
20 40 26 30 114 948
45 60 40 1118
50 80 50 50 408
2 2 2 3 3 37
2 3 2 2 1 38
80 40 50 40 671
1 1
0
0
20 10 10 451
9 25 20 189
30 50 70 379
55
20 108
50 50 26 352
1 21
48
12 269
10 30 10 254
0
0
20 50 50 20 2 356
4 4 11 93
40 30 40 24 30 484
40
30 58
30 30 295
1 1 2
10 30
10 10 10 10 102
3 35
10 55
10 45 20 10 368
0
0
30
30 250
2 1 2 11
24 40 100
25
16 50 70 20 6 841
50
60
10 10 58
0
0
2 1 10
1 1 11
1 2
64 106 10 115 51 990
60 150 55 60 645
6 12 126
3 6
10 10 43
6 202
10 90 30 490
10 20 192
50
10 60
10 40 90
2 9
30 50 50 37 47 642
36 55 70 20 58 1027
117
0
2 3
2 3 1 1 4 44
172 294 132 164 83 2702
15
12 12 28 2 355
10 210
10 225
70 72 83 20 42 1114
270
30 30 150
60 80 30 15 55 677
2 1 6
50 320
0
0
40 48 458
20 20 110
20 75 60 10 985
10
15 6 61
30 60 470
27 40 56 50 645
26 124
0
0
0
0
0
0
0
0
0
0
0
0
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
88
23
191
117
948
1118
408
37
38
671
0
0
451
189
379
55
108
352
21
48
269
254
0
0
356
93
484
40
58
295
30
102
35
55
368
0
0
30
250
11
100
25
841
50
60
58
0
0
10
11
990
645
126
43
202
490
192
50
60
90
642
1027
117
0
3
44
2702
15
355
210
225
1114
270
150
677
320
0
0
458
110
985
10
61
470
645
124
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
316 316 88 228 132 200
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
182 182 23 159 35 100
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
80 80 0 80 0 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
110 200 310 191 119 287 300
10 AMLODIPINE TAB 10 MG TAB
6 120 126 117 9 175 200
11 AMLODIPINE TAB 5 MG TAB
560 1500 2060 948 1112 1422 1500
12 AMOKSISILIN KAPLET 500 MG TAB
819 400 1219 1118 101 1677 1600
13 AMOKSISILIN KAPSUL 250 MG TAB
1563 1563 408 1155 612 600
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 54 54 37 17 55 100
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
41 50 91 38 53 57 130
17 ANTASIDA DOEN TAB. KOMB. TAB
258 800 1058 671 387 1006 1000
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
21 21 1 20 2 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
15 15 0 15 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
0 0 0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
401 200 601 451 150 676 600
25 ASAM FOLAT TABLET 1 MG TAB
197 197 189 8 284 300
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
26 ASAM MEFENAMAT KAPLET 500 MG TAB
382 382 379 3 568 500
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 0 0 0 0 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
88 88 55 33 83 100
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
107 107 0 107 0 0
34 ATAPULGIT TABLET 630 MG TAB
50 200 250 108 142 162 200
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
109 700 809 352 457 528 500
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 21 21 21 0 32 25
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
0 90 90 0 90 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
78 78 48 30 72 100
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
269 269 269 0 403 400
47 CIPROFLOKSASIN KAPLET 500 MG TAB
254 254 254 0 381 400
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
470 300 770 356 414 534 500
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
112 112 93 19 140 100
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
250 500 750 484 266 726 700
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML AMP
0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
106 106 40 66 60 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
80 200 280 58 222 87 100
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
185 500 685 295 390 443 500
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 11 11 2 9 3 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 95 95 30 65 45 100
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
155 155 102 53 153 100
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
70 70 35 35 53 50
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
76 100 176 55 121 83 100
74 GLIMEPIRID TABLET 1 MG TAB
138 600 738 368 370 552 500
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
173 173 30 143 45 50
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
8 8 0 8 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
270 270 250 20 375 400
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
200 200 0 200 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
40 40 11 29 17 20
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 198 198 0 198 0 0
87 IBUPROFEN SUSPENSI BTL
10 10 0 10 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
397 397 100 297 150 100
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 97 97 25 72 38 100
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
384 900 1284 841 443 1261 1200
95 KAPTOPRIL KAP 12,5 MG TAB
106 106 50 56 75 100
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
215 215 60 155 90 100
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
148 50 198 58 140 87 100
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
187 187 0 187 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
2 24 26 10 16 15 15
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
13 13 11 2 17 17
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 0 0 0 0
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
9 9 2 7 3 3
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 460 600 1060 990 70 1485 1400
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 495 200 695 645 50 967 800
111 KODEIN HCL TAB. 10 MG TAB
12 200 212 126 86 189 200
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
19 19 6 13 9 10
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
87 100 187 43 144 65 100
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
170 170 0 170 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
204 204 202 2 303 300
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
167 700 867 490 377 735 700
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB
62 62 0 62 0 0
129 METIL PREDNISOLON TAB 4 MG TAB
197 100 297 192 105 288 300
130 METILDOPA TABLET TAB
90 90 50 40 75 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
288 288 60 228 90 100
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 200 200 90 110 135 100
137 MIKONAZOL SALEP 2 % TUBE
31 8 39 9 30 14 14
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
5 5 0 5 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
675 800 1475 642 833 963 900
142 NATRIUM BIKARBONAT TAB 500 MG TAB
100 100 0 100 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
767 600 1367 1027 340 1540 1500
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
53 53 0 53 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 25 25 0 25 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
147 147 117 30 175 300
155 ONDANSETRON KAPSUL 8 MG KAP
40 40 0 40 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
26 26 3 23 5 10
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
43 20 63 44 19 66 100
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
747 4500 5247 2702 2545 4053 4000
162 PEKA KRISTAL POT
8 8 0 8 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
222 222 15 207 23 0
166 PREDNISON TAB 5 MG TAB
475 500 975 355 620 532 0
167 PROPANOLOL HCL TAB 10 MG TAB
151 200 351 210 141 315 300
168 PROPIL TIOURASIL TAB 100 ML TAB
430 430 225 205 337 300
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
228 2300 2528 1114 1414 1671 1600
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
177 100 277 270 7 405 400
175 RISPERIDON TABLET 2 MG TAB
350 350 150 200 225 250
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
475 600 1075 677 398 1015 1000
178 SALEP 2-4 KOMB TAB
9 9 6 3 9 24
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
320 320 320 0 480 500
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
98 700 798 458 340 687 600
187 SIMVASTATIN TABLET 10 MG TAB
110 110 0 110 0 0
188 SIMVASTATIN TABLET 20 MG TAB
172 172 110 62 165 200
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
194 TABLET TAMBAH DARAH KOMB TAB
3142 3142 985 2157 1477 0
195 TEOFILIN SR TAB
95 95 10 85 15 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 259 259 61 198 92 100
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
80 500 580 470 110 705 500
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
36 900 936 645 291 967 900
203 ZINC TABLET TAB
104 100 204 124 80 186 200
204 ZIRKUM KIDS SIRUP BTL
19 19 7 12 11 0
205 VAKSIN BCG VIAL
0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
206 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 300 300 0 450 500
249 HB TEST STRIP PCS
0 0 0 0 0 0
250 HBig PCS
0 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
274 LISOL BTL
0 0 0 0 0 0
275 MASKER PCS
0 1000 1000 0 1500 1500
276 MASKER N 95 PCS
0 0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 0 0 0 0 0
281 OAT KATEGORI I PAKET
1 2 3 1 2 2 2
282 OAT KATEGORI II PAKET
0 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
0 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0 0
323 AZITROMISIN TAB
TAB 30 30 0 30 0 0
324 OSELTAMIVIR TAB
TAB 155 155 0 155 0 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
326 VITAMIN C 500 MG
TAB 50 50 0 50 0 0
327 BAJU APD PCS
0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0
330 GOWN PCS
0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0
LEMBAR PERMINTAAN OBAT ( LPLPO )
BULAN : FEBRUARI
TAHUN : 2021
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
RE
NO NAMA OBAT SATUAN
apotik ugd gigi labor kia gizi
OBAT 1 2 3 4 5 6
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
10 AMLODIPINE TAB 10 MG TAB
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG KAP
13 AMOKSISILIN KAPSUL 250 MG KAP
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
17 ANTASIDA DOEN TAB. KOMB. BTL
18 ANTI BAKTERI DOEN SALEP KOMB. TUBE
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. TAB
21 AQUA PRO INJEKSI STERIL AMP
22 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
23 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
24 ASAM FOLAT TABLET 1 MG TAB
25 ASAM MEFENAMAT KAPLET 500 MG KAP
26 ASAM TRANEKSAMAT INJEKSI AMP
27 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
28 ASAM VALPROAT TAB 250 MG TAB
29 ASETOSAL TAB. 100 MG TAB
30 ASETOSAL TAB. 80 MG TAB
31 ASIKLOVIR KRIM 5 % TUBE
32 ASIKLOVIR TAB. 400 MG TAB
33 ATAPULGIT TABLET 630 MG TAB
34 ATRIPLA / TENOLAM E BTL 30
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML AMP
36 AZITROMISIN 500 MG TAB
37 BENZATIL BENZIL PENICILIN VIAL
38 BETAHISTIN TAB 6 MG TAB
39 BETAMETASON DOPROPIONATE KRIM TUBE
40 BETAMETASON KRIM 0,1% TUBE
41 BISAKODIL TABLET TAB
42 BISOPROLOL FUMARAT TABLET 5 MG TAB
43 CANDESARTAN TABLET 16 MG TAB
44 CEFIXIME KAPSUL 200 MG TAB
45 CENDO LYTEER TETES MATA BTL
46 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
47 CETIRIZIN TABLET 10 MG TAB
48 CIPROFLOKSASIN KAPLET 500 MG TAB
49 CURCUMA TABLET 200 MG AMP
50 DEKSAMETASON INJ. 5 MG/ML - 1 ML TAB
51 DEKSAMETASON TAB. 0,5 MG TAB
52 DEVIRAL KTK 60
53 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
54 DIAZEPAM TAB. 2 MG TAB
55 DIAZEPAM TABLET 5 Mg KTK 100
56 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
57 DIGOKSIN TAB. 0,25 MG TAB
58 DOMPERIDON TABLET 10 MG TAB
59 DONPERIDON SUSPENSI 5 MG/ ML BTL
60 DULCOLAX 10 MG SUP SUPPO
61 EFAVIRENS 600 KTK 30
62 EFEDRIN HCL TAB 25 MG TAB
EPINEFRIN HCL BITARTRAT (ADRENALIN)
63 AMP
INJ. 0,1% ML
64 ERITHROMISIN KAPSUL 500 MG TAB
65 ERITHROMISIN SIRUP BTL
66 EUGENOL CAIRAN BTL
67 FDC ANAK TAB
68 FENITOIN NATRIUM KAP.100 MG TAB
69 FENOBARBITAL INJ.50 MG/ML-1ML AMP
70 FENOBARBITAL TAB. 30 MG TAB
71 FENOL GLISEROL TETES TELINGA 10 % BTL
72 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
73 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
74 TAB
MG
75 FLUCONAZOL KAPSUL TAB
76 FUROSEMID TAB. 40 MG TAB
77 GABAPENTIN KAPSUL 300 MG TAB
78 GARAM ORALIT UNTUK 200 ML AIR SACHE
79 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
80 GENTIAN VIOLET LARUTAN 1 % BTL
81 GLIBENCLAMIDE TAB. 5 MG TAB
82 GLIMEPIRID TABLET 1 MG TAB
83 GLIMEPIRID TABLET 2 MG TAB
84 GLUKOSA LARUTAN INFUS 10 % STERIL KOLF
85 GLUKOSA LARUTAN INFUS 5 % STERIL KOLF
86 GRISEOFULVIN TAB. 125 MG TAB
87 GRISEOVULFIN TABLET 500 MG TAB
88 HALOPERIDOL 5 mg/ml AMP
89 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
90 HALOPERIDOL TAB. 1,5 MG TAB
91 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
92 HIDROKORTISON KRIM 2,5 % TUBE
93 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
94 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
95 IBUPROFEN SUSPENSI BTL
96 IBUPROFEN TAB. 200 MG TAB
97 IBUPROFEN TAB. 400 MG TAB
98 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL 5
99 TAB
MG
100 KALSIUM GLUCONAS INJ AMP
101 KALSIUM HIDROKSIDA PASTA TAB
102 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
103 KAPTOPRIL KAP 12,5 MG TAB
104 KAPTOPRIL KAP 25 MG TAB
105 KAPTOPRIL KAP 50 MG TAB
106 KARBAMAZEPIN TAB. 200 MG TAB
107 KETOKONAZOL KRIM TUBE
108 KETOKONAZOL TAB 200 MG TAB
109 KETOPROVEN SUPPOSITORIA SUPPO
110 KLINDAMYCIN 150 MG KAP
111 KLINDAMYCIN KAP 300 MG KAP
112 KLORAMFENIKOL KAP. 250 MG KAP
113 KLORAMFENIKOL SALEP KULIT 2 % TUBE
114 KLORAMFENIKOL SALEP MATA 1 % TUBE
115 KLORAMFENIKOL TETES MATA 0,5 % BTL
116 KLORAMFENIKOL TETES TELINGA 3 % BTL
117 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB
118 KLOROQUIN 250 MG TAB
119 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
120 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
121 KODEIN HCL TAB. 10 MG TAB
122 KODEIN HCL TAB. 20 MG TAB
123 KOLKISIN TAB 500 MCG TAB
124 KOTRIMOKSAZOL DEWASA TAB. TAB
125 KOTRIMOKSAZOL PEDRIATIK TAB. TAB
126 KOTRIMOKSAZOL SUSPENSI BTL
127 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
128 LAKTULOSA SIRUP BTL
129 LAMIVEIDINE KTK 60
130 LEVODOPA TABLET TAB
131 LIDOKAIN COMP.INJ AMP
132 LOPERAMID TABLET 2 MG TAB
133 LORATADIN TABLET 10 MG TAB
134 MAGNESIUM SULFAT INJEKSI 40 % AMP
135 MDT MD DEWASA BOK
136 MERLOPAM TABLET 0,5 MG TAB
137 METFORMIN HCL TAB 500 MG TAB
METIL ERGOMETRIN MALEAT INJ 0,200 MG
138 AMP
- 1 ML
METIL ERGOMETRIN MALEAT TAB. SALUT
139 TAB
0,125 MG
140 METIL PREDNISOLON TAB 4 MG TAB
141 METILDOPA TABLET TAB
142 METOKLOPRAMID DROP 2 MG / ML BTL
143 METOKLOPRAMID INJ 10/2ML AMP
144 METOKLOPRAMID TAB.10 MG TAB
145 METRONIDAZOL BENZOAT SUSPENSI BTL
146 METRONIDAZOL TAB 250 MG TAB
147 METRONIDAZOL TAB 500 MG TAB
148 MIKONAZOL SALEP 2 % TUBE
149 MINERAL MIX Ktk
150 MOMETASON FUROATE 0,1 % KRIM TUBE
151 MP ASI BALITA KTK
152 MULTIVITAMIN SIRUP BTL
153 MULTIVITAMIN TABLET TAB
154 N.ASETIL SISTEIN TAB 200 MG KAP
155 NATRIUM BIKARBONAT TAB 500 MG TAB
156 NATRIUM DIKLOFENAK TAB 25 MG TAB
157 NATRIUM DIKLOFENAK TAB 50 MG TAB
NATRIUM KLORIDA LAR INFUS 0,9 %
158 KOLF
STERIL
159 NEVIRAL / NEVIRAPHINE KTK 60
160 NIFEDIPIN TAB 10 MG TAB
161 NISTATIN 100.000 IU / G TAB VAGINAL SUPPO
162 NISTATIN SUSPENSI 100.000 IU BTL
163 NITROGLISERIN RETARD TAB
164 OAT I ( KOMBIPAK ) PAKET
165 OAT KATEGORI ANAK TAB
166 OAT KATEGORI I TAB
167 OAT KATEGORI II TAB
168 OBAT ANTI MALARIA TAB
169 OBAT BATUK HITAM BTL
170 OKSITETRASIKLIN HCL 1% SALEP MATA TUBE
171 OKSITETRASIKLIN HCL SALEP 3 % TUBE
172 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
173 OMEPRAZOL TAB KAP
174 ONDANSETRON KAPSUL 8 MG KAP
175 OSELTAMIVIR 75 MG TAB
176 PAPAVERIN HCL TAB 40 MG TAB
177 PARASETAMOL DROPS 100 MG / ML BTL
178 PARASETAMOL RECTAL 125 MG/2,5 ML SUPPO
179 PARASETAMOL SIRUP 120 MG / 5 ML BTL
180 PARASETAMOL TAB 100 MG TAB
181 PARASETAMOL TAB 500 MG TAB
182 PEHACAIN INJ AMP
183 PEKA KRISTAL POT
184 PERMETRIN 1 % TUBE
185 PIRANTEL PAMOAT TAB 125 MG TAB
186 PIRIDOKSIN HCL TAB 10 MG TAB
187 PIRIDOKSIN HCL TAB 10 MG TAB
188 POLIREKSULEN BTL
189 PREDNISON TAB 5 MG TAB
190 PRIMAKUIN TAB 15 MG TAB
191 PRIMAQUIN KTK 100
192 PROPANOLOL HCL TAB 10 MG TAB
193 PROPIL TIOURASIL TAB 100 ML TAB
194 RANITIDIN 50 MG / 2 ML INJ AMP
195 RANITIDIN TAB 150 MG TAB
196 RETINOL (VIT.A) KAP 100.000 IU KAP
197 RETINOL (VIT.A) KAP 200.000 IU KAP
198 RINGER LAKTAT LAR INFUS STERIL KOLF
199 RISPERIDON TABLET 1 MG TAB
200 RISPERIDON TABLET 2 MG TAB
201 SALBUTAMOL CAIRAN IH 0,1% AMP
202 SALBUTAMOL TAB 2 MG TAB
203 SALEP 2-4 KOMB POT
204 SALEP ANALGESIK TAB
205 SALISIL BEDAK 2 % SACHE
206 SAR 1 ML VIAL
207 SCABIMITE KRIM 5 % TUBE
208 SEFADROKSIL KAPSUL 500 MG KAP
209 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
210 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
211 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
212 SERUM ANTI RABIES 2 ML VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
213 AMP
(ATS)
214 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
SIANOKOBALAMIN INJ (VIT B12) 500 MCG /
215 AMP
ML
216 SIMVASTATIN TABLET 10 MG TAB
217 SIMVASTATIN TABLET 20 MG TAB
218 SPIRONOLAKTON TABLET 25 MG TAB
219 STESOLID RECTAL 10 MG TUBE
220 STESOLID RECTAL 5 MG TUBE
221 SULFADIAZIN SILVER KRIM TUBE
222 TABLET TAMBAH DARAH KOMB TAB
223 TENOFOVIR 300 KTK 30
224 TEOFILIN SR TAB
225 TETAGAM INJ AMP
226 TETRACAIN 0,5 % TETES MATA BTL
227 TETRASIKLIN HCL KAP 500 MG TAB
THIAMIN HCL MONONITRAT (VIT BI) TAB 50
228 TAB
MG
229 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
230 TUBERCULIN ( MANTOUX TEST ) VIAL
231 VAKSIN BCG VIAL
232 VAKSIN CAMPAK VIAL
233 VAKSIN DPT HB VIAL
234 VAKSIN DT VIAL
235 VAKSIN HB PID VIAL
236 VAKSIN HEPATITIS B RECOMBINAN DWS POUCH
237 VAKSIN MENINGITIS ( MENIVAX ) VIAL
238 VAKSIN MR VIAL
239 VAKSIN POLIO VIAL
240 VAKSIN POLIO INJEKSI VIAL
241 VAKSIN RABIES VERO VIAL
242 VAKSIN TD VIAL
243 VAKSIN TT VIAL
244 VITAMIN B KOMPLEKS TAB TAB
245 VITAMIN C 500 MG TAB
246 ZINC TABLET TAB
247 ZIRKUM KIDS SIRUP BTL
BMHP
1 ALAT SUNTIK SEKALI PAKAI 1 ML SET
2 ALAT SUNTIK SEKALI PAKAI 10 ML SET
3 ALAT SUNTIK SEKALI PAKAI 3 ML SET
4 ALAT SUNTIK SEKALI PAKAI 5 ML SET
5 ALKOHOL SWAB PCS
6 ANTI SERA A BOTOL
7 ANTI SERA AB BOTOL
8 ANTI SERA B BOTOL
9 ANTI SERA D BOTOL
10 AQUA DEST BOTOL
11 ASEPTIC GEL BTL
12 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
13 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
14 BAJU APD PCS
15 BLOOD LANSET PCS
16 BOOTS SET
17 BOX OBJECT GLAS BUAH
18 CAMPHENOL BTL
19 CARTIDGE GENEXPERT KTK 50
20 CATGUT CROMIC NO. 2/0 PCS
21 CATGUT CROMIC NO. 3/0 PCS
22 CATGUT PLAIN NO. 3/0 PCS
23 CATGUT/BENANG BEDAH NO. 2/0 PCS
24 CATGUT/BENANG BEDAH NO. 3/0 PCS
25 CAVIDAGEL GEL TUBE
26 CENTRIFUGE UNIT
27 DARYANTULLE PCS
28 DEVITALISASI PASTA KTK BTL
29 DMT BUMIL KTK
30 ENTOMOLOGI KIT PAKET
31 ETANOL 70 % BTL 100 ML
32 ETANOL 70 % BTL 1000 ML
33 ETER ALKOHOL BTL 100 ML
34 ETIL KLORIDA SEMPROT BTL 100 ML
35 FACE SHIELD pcs
36 FOLEY CATHETER 16 PCS
37 FOLEY CATHETER 18 PCS
38 GIEMSA BTL 100 ML
39 GLASS IONOMER CEMENT (GC IX) BTL SET
40 GOOGLE pcs
41 GOWN PCS
42 H2O2 BTL
43 HANDRUB LIQUID BTL 500 CC
44 HANDSANITIZER 100ml BTL
45 HANDSANITIZER 500ml BTL
46 HANDSCOON STERIL PSG
47 HANDSCOON NON STERIL PSG
48 HANDSCOON NON STERIL ( NITRILE ) PSG
49 HANDSCOON PANJANG PSG
50 HANDSCOON SENSI PSG
51 HANDSOON HANDSEAL PSG
52 HB TEST STRIP STRIP
53 HBig Vial
54 IMERSION OIL BTL 50 ML
55 IMERSION OIL BTL 100 ML
56 INFUSION SET ANAK KTG SET
57 INFUSION SET DEWASA KTG SET
58 IV NO.18 G BUAH
59 IV NO.20 G BUAH
60 IV NO.22 G BUAH
61 IV NO.24 G BUAH
62 KACA MULUT BH
63 KACA SLIDE PCS
64 KANTONG LIMBAH BIOHAZARD PCK
65 KAPAS BOLA MINI BKS 1000
66 KAPAS GIGI KTK 600
67 KAPAS PEMBALUT / ABSORBEN 250 GR BUNGKUS
68 KASA KOMPRES STERIL 40X40 BUAH
69 KASA PEMBALUT HIDROFIL 18 CM X 22 CM KTK 12
70 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
71 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
72 KASA STERIL DRC 16 CM X 16 CM KTK 16
73 KERTAS GOLONGAN DARAH PACK
74 KERTAS SARING PCS
75 KONDOM ( PROGRAM HIV ) PCS
76 LARUTAN BENEDICT BTL 100 ML
77 LARUTAN HCL 0,1N BTL 100 ML
78 LARUTAN TURK BTL 100 ML
79 LARUTAN ZIELH NELSEN BTL 100 ML
80 LISOL BTL 1000 ML
81 LUBRICAN ( PROGRAM HIV ) PCS
82 MASKER PCS
83 MASKER N 95 PCS
84 MASKER NEBU DEWASA PCS
85 MASKER NEBU PEDIATRIK PCS
86 MATA BUR GIGI SET
87 METANOL PA BTL 2500 ML
88 MIKROPIPET I PCS
89 MIKROPIPET II PCS
90 MONOKLOR KAMFER MENTOL CAIRAN BTL 10 ML
91 MUMMIFYING PASTA KTK BTL
92 NEEDLE 23 G PCS
93 NEEDLE 27 G PCS
94 ONCOPROBE PCS
95 ORAFIL PLUS BTL
96 PARAFORMALDEHID TAB 1 G BTL 100
97 PIPET TETES PENDEK KTK 100
98 PLESTER 1 INCI KTK 12
99 PLESTER 7,5 CM x 5 M
100 PLESTER KERTAS KTK 6
101 PLESTER PUTIH 10 CM X 5 M ROL
102 POT FESES TRANSPARAN PCS
103 POT SPUTUM BUAH
104 PROVEIN 6 / 0 SACHE
105 PULP X BTL
106 RAPID TES NARKOBA 3 PAKET 25
107 RDT MALARIA PCS
108 RDT SIPILIS PCS
109 REAGEN SIPILIS PCS
110 RPR SIFILIS PCS
111 SAFETY BOX 2,5 L BUAH
112 SAFETY BOX 5 L BUAH
113 SAR 10 ML VIAL
114 SARUNG TANGAN OBGYN STERIL PSG
115 SD HBsAG PCS
116 SD HIV PCS
117 SD SYPHILIS PCS
118 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL SET
119 SILK (BENANG BEDAH SUTRA) NO.2/0 SACHE
120 SILK (BENANG BEDAH SUTRA) NO.3/0 SACHE
121 SILVER AMALGAM SERBUK 65 - 75 % BTL
122 SLANG OKSIGEN ANAK BUAH
123 SLANG OKSIGEN DEWASA BUAH
124 SPECULUM VAGINA DISPOSIBLE PCS
125 SPIRITUS BAKAR BTL
126 STIK ASAM URAT STRIP
127 STIK GLUKOSA STRIP
128 STIK KOLESTEROL STRIP
129 SURGICAL BLADE STERIL NO.12 PCS
130 SURGICAL BLADE STERIL NO.15 PCS
131 TABUNG VACUTAINER NON EDTA Buah
TEMPORARY STOPPING FLETCHER
132 BTL SET
SERBUK & CAIRAN
133 TEST HAMIL PCS
134 TISSUE LENSA PACK
135 TUTUP KEPALA PCS
136 UMBILICAL CORD KLEM STERIL PCS
137 UNDERPAD PCS
138 URINE BAG STERIL BUAH
139 URINE CONTAINER 60 ML BUAH
140 USG GEL BLUE BTL
141 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
142 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
143 YODIUM POVIDON LARUTAN 10 % 60 ML BTL
144 ZINC F KTK BTL
REKAPITULASI STOK AWAL
Unit2/Pustu/Polindes
imnsasi PTM Lansia GUDG
7 8 9 10 11 12 13 14 1 2 3 4 5
Jumlah
6 7 8 9 10 11 12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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0
0
0
REKAPITULASI PEMAKAIAN
MARET 2021
2
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik labor
ugd
1 ###
###
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0
0
3 ALOPURINOL TAB. 100 MG TAB 135
10 20 10 15 10 10 20 10 10 20 135
4 ALPRAZOLAM TAB 0,25 MG TAB 0
0
5 ALPRAZOLAM TAB 0,5 MG TAB 26
10 5 6 5 26
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0
0
7 AMINOFILIN TAB. 150 MG TAB 0
0
8 AMINOFILIN TAB. 200 MG TAB 30
30 30
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 134
9 6 4 11 3 15 30 10 41 5 134
10 AMLODIPINE TAB 10 MG TAB 30
10 10 10 30
11 AMLODIPINE TAB 5 MG TAB 1088
110 30 70 50 30 36 30 40 20 10 70 55 93 85 40 60 60 25 24 40 20 60 30 1088
12 AMOKSISILIN KAPLET 500 MG TAB 390
70 60 80 50 10 40 30 30 20 390
13 AMOKSISILIN KAPSUL 250 MG TAB 2539
174 140 140 100 170 120 120 190 190 100 40 20 55 50 20 150 140 150 180 160 80 50 2539
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 38
7 1 2 4 1 1 2 1 1 2 1 1 2 2 5 1 1 3 38
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0
0
16 ANTASIDA DOEN SUSPENSI BTL 57
3 3 3 2 1 5 2 4 3 4 4 2 5 1 1 1 3 5 2 3 57
17 ANTASIDA DOEN TAB. KOMB. TAB 586
80 40 26 30 10 30 20 10 80 20 10 10 20 10 40 30 30 20 30 30 10 586
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0
0
19 ANTI FUNGI DOEN KOMB. POT 0
0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 1
1 1
21 ANTI MIGRAIN DOEN KOMB. TAB 0
0
22 AQUA PRO INJEKSI STERIL BTL 0
0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0
0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 317
10 30 20 10 16 10 19 20 20 10 60 10 10 20 12 10 30 317
25 ASAM FOLAT TABLET 1 MG TAB 30
30 30
26 ASAM MEFENAMAT KAPLET 500 MG TAB 334
20 20 20 60 10 30 20 10 10 10 10 60 24 10 10 10 334
27 ASAM TRANEKSAMAT INJEKSI AMP 0
0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 0
0
29 ASAM VALPROAT TAB 250 MG TAB 0
0
30 ASETOSAL TAB. 100 MG TAB 0
0
31 ASETOSAL TAB. 80 MG TAB 60
30 30 60
32 ASIKLOVIR KRIM 5 % AMP 0
0
33 ASIKLOVIR TAB. 400 MG TAB 25
25 25
34 ATAPULGIT TABLET 630 MG TAB 126
30 10 10 10 10 10 10 10 6 10 10 126
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0
0
36 BETAHISTIN TAB 6 MG TAB 424
50 10 20 40 20 30 30 10 30 24 20 20 20 20 20 10 40 10 424
37 BETAMETASON DOPROPIONATE KRIM TUBE 13
2 1 1 1 4 2 2 13
38 BETAMETASON KRIM 0,1% TUBE 2
2 2
39 BISAKODIL 10 MG SUP TAB 0
0
40 BISAKODIL TABLET TAB 16
16 16
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0
0
42 CANDESARTAN TABLET 16 MG TAB 0
0
43 CEFIXIME KAPSUL 200 MG TAB 86
10 10 10 46 10 86
44 CENDO LYTEER TETES MATA STRIP 0
0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0
0
46 CETIRIZIN TABLET 10 MG TAB 580
51 27 10 25 5 35 10 50 10 65 40 28 25 15 15 20 41 25 20 15 20 28 580
47 CIPROFLOKSASIN KAPLET 500 MG TAB 592
60 40 30 20 10 10 40 74 20 30 40 50 48 20 10 10 10 30 10 30 592
48 CURCUMA TABLET 200 MG TAB 0
0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0
0
50 DEKSAMETASON TAB. 0,5 MG TAB 497
4 20 35 10 30 10 50 15 50 20 20 42 20 20 20 60 18 10 30 10 3 497
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0
0
52 DIAZEPAM TAB. 2 MG TAB 69
5 4 30 2 5 3 5 9 6 69
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0
0
54 DIGOKSIN TAB. 0,25 MG TAB 0
0
55 DOMPERIDON TABLET 10 MG TAB 526
88 40 16 30 20 50 20 50 10 10 2 20 22 10 46 22 30 40 526
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0
0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 AMP 0
0,1% ML 0
58 ERITHROMISIN KAPSUL 500 MG TAB 60
30 30 60
59 ERITHROMISIN SIRUP BTL 0
0
60 EUGENOL CAIRAN BTL 0
0
61 FENITOIN NATRIUM KAP.100 MG KAP 60
30 30 60
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0
0
63 FENOBARBITAL TAB. 30 MG TAB 370
60 20 20 30 30 30 30 30 30 30 30 30 370
64 FENOL GLISEROL TETES TELINGA 10 % BTL 0
0
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0
0
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 0
66 AMP 0
ML
FITOMENADION (VIT. K1) TAB. SALUT 10 30
67 TAB
MG 10 10 10 30
68 FLUCONAZOL KAPSUL KAP 0
0
69 FUROSEMID TAB. 40 MG TAB 113
20 10 5 5 10 10 10 10 6 8 10 9 113
70 GABAPENTIN KAPSUL 300 MG KAP 0
0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 53
3 3 19 5 5 5 3 5 5 53
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0
0
73 GLIBENCLAMIDE TAB. 5 MG TAB 80
15 20 15 20 10 80
74 GLIMEPIRID TABLET 1 MG TAB 463
28 30 15 15 20 50 15 25 15 10 30 40 60 30 25 10 15 30 463
75 GLIMEPIRID TABLET 2 MG TAB 0
0
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0
0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0
0
78 GRISEOFULVIN TAB. 125 MG TAB 56
10 16 10 20 56
79 GRISEOVULFIN TABLET 500 MG TAB 0
0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0
0
81 HALOPERIDOL 5 MG/ML AMP 0
0
82 HALOPERIDOL TAB. 1,5 MG TAB 30
30 30
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 0
0
84 HIDROKORTISON KRIM 2,5 % TUBE 10
2 2 1 1 1 1 2 10
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0
0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 146
10 9 5 15 5 15 4 16 3 25 19 16 4 146
87 IBUPROFEN SUSPENSI BTL 0
0
88 IBUPROFEN TAB. 200 MG TAB 0
0
89 IBUPROFEN TAB. 400 MG TAB 142
10 10 10 12 10 10 10 10 10 10 10 10 10 10 142
90 ISONIAZIDA TAB. 100 MG TAB 0
0
ISOSORBID DINITRAT TAB. SUB LINGUAL 21
91 TAB 10 21
5 MG 1 10
92 KALSIUM GLUCONAS INJ AMP 0
0
93 KALSIUM HIDROKSIDA PASTA POT 0
0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 1066
58 10 40 100 30 60 20 68 110 50 50 6 50 110 110 65 52 22 30 20 5 1066
95 KAPTOPRIL KAP 12,5 MG TAB 0
0
96 KAPTOPRIL KAP 25 MG TAB 0
0
97 KAPTOPRIL KAP 50 MG TAB 0
0
98 KARBAMAZEPIN TAB. 200 MG TAB 30
30 30
99 KETOKONAZOL KRIM TUBE 0
0
100 KETOKONAZOL TAB 200 MG TAB 92
10 10 10 22 20 10 10 92
101 KETOPROVEN SUPPOSITORIA SUPPO 0
0
102 KLINDAMYCIN KAP 300 MG KAP 0
0
103 KLORAMFENIKOL KAP. 250 MG KAP 10
10 10
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 3
1 1 1 3
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 2
1 1 2
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 0
0
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 4
1 1 1 1 4
KLORFENIRAMIN MALEAT (CTM) TAB. 4 727
108 TAB
MG 63 65 9 36 16 30 35 44 22 3 101 74 23 19 39 10 18 14 22 29 20 9 26 727
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0
0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 440
30 20 30 30 30 60 15 30 30 30 30 15 30 30 30 440
111 KODEIN HCL TAB. 10 MG TAB 110
10 12 30 10 24 24 110
112 KODEIN HCL TAB. 20 MG TAB 0
0
113 KOLKISIN TAB 500 MCG TAB 0
0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 52
10 10 12 20 52
115 KOTRIMOKSAZOL SUSPENSI BTL 6
1 1 1 1 1 1 6
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 41
10 16 15 41
117 LAKTULOSA SIRUP BTL 0
0
118 LEVODOPA TABLET TAB 0
0
119 LIDOKAIN 10 % SPRAY BTL 0
0
120 LIDOKAIN COMP.INJ AMP 0
0
121 LIDOKAIN JELLY 2 % BTL 0
0
122 LOPERAMID TABLET 2 MG TAB 0
0
123 LORATADIN TABLET 10 MG TAB 163
8 15 20 10 10 10 10 10 10 10 10 20 10 10 163
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0
0
125 MDT MD DEWASA TAB 0
0
126 METFORMIN HCL TAB 500 MG TAB 555
30 90 90 30 50 30 30 30 20 30 20 30 45 30 555
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0
0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 10
10 10
129 METIL PREDNISOLON TAB 4 MG TAB 197
10 20 10 22 10 10 30 10 10 10 35 20 197
130 METILDOPA TABLET TAB 10
10 10
131 METOKLOPRAMID DROP 2 MG / ML BTL 0
0
132 METOKLOPRAMID INJ 10/2ML AMP 0
0
133 METOKLOPRAMID TAB.10 MG TAB 20
10 10 20
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0
0
135 METRONIDAZOL TAB 250 MG TAB 0
0
136 METRONIDAZOL TAB 500 MG TAB 50
10 10 10 10 10 50
137 MIKONAZOL SALEP 2 % TUBE 12
1 1 2 4 2 1 1 12
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0
0
139 MULTIVITAMIN SIRUP BTL 0
0
140 MULTIVITAMIN TABLET TAB 0
0
141 N.ASETIL SISTEIN TAB 200 MG KAP 834
44 30 26 16 20 16 26 20 50 10 108 36 48 82 60 28 56 64 14 30 20 6 24 834
142 NATRIUM BIKARBONAT TAB 500 MG TAB 3
3 3
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0
0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 943
24 30 50 40 30 40 24 20 72 75 100 30 24 40 30 40 60 48 24 70 30 30 12 943
NATRIUM KLORIDA LAR INFUS 0,9 % 0
145 BTL 0
STERIL
146 NIFEDIPIN TAB 10 MG TAB 0
0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 1
1 1
148 NISTATIN SUSPENSI 100.000 IU BTL 0
0
149 NITROGLISERIN RETARD TAB 0
0
150 OBAT ANTI MALARIA TAB 0
0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0
0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 14
1 2 1 1 1 2 1 1 1 1 1 1 14
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0
0
154 OMEPRAZOL TAB KAP 20
10 10 20
155 ONDANSETRON KAPSUL 8 MG KAP 0
0
156 PAPAVERIN HCL TAB 40 MG TAB 0
0
157 PARASETAMOL DROPS 100 MG / ML BTL 12
1 11 12
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0
0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 33
5 2 1 1 3 4 3 2 2 3 1 2 1 1 1 1 33
160 PARASETAMOL TAB 100 MG TAB 0
0
161 PARASETAMOL TAB 500 MG TAB 2826
199 155 103 148 116 100 113 138 85 63 169 123 187 119 64 50 131 122 98 121 160 159 103 2826
162 PEKA KRISTAL POT 1
1 1
163 PERMETRIN 1 % /PEDITOX BTL 0
0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0
0
165 PIRIDOKSIN HCL TAB 10 MG TAB 76
6 10 40 20 76
166 PREDNISON TAB 5 MG TAB 128
11 6 2 10 12 6 6 16 12 10 26 10 1 128
167 PROPANOLOL HCL TAB 10 MG TAB 160
30 30 40 30 30 160
168 PROPIL TIOURASIL TAB 100 ML TAB 120
30 30 30 30 120
169 RANITIDIN 50 MG / 2 ML INJ AMP 0
0
170 RANITIDIN TAB 150 MG TAB 1662
172 80 44 66 60 64 48 114 84 68 92 66 78 80 48 66 60 84 60 90 24 78 36 1662
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0
0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0
0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0
0
174 RISPERIDON TABLET 1 MG TAB 240
60 30 30 30 60 30 240
175 RISPERIDON TABLET 2 MG TAB 60
30 30 60
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0
0
177 SALBUTAMOL TAB 2 MG TAB 823
53 35 30 15 45 10 55 20 60 20 40 37 44 15 70 25 60 60 44 20 25 40 823
178 SALEP 2-4 KOMB TAB 8
3 2 2 1 8
179 SALISIL BEDAK 2 % SACCH 0
0
180 SCABIMITE KRIM 5 % TUBE 0
0
181 SEFADROKSIL KAPSUL 500 MG KAP 10
10 10
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0
0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0
0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0
0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP 0
0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 415
60 5 10 30 40 20 40 50 20 110 20 10 415
187 SIMVASTATIN TABLET 10 MG TAB 0
0
188 SIMVASTATIN TABLET 20 MG TAB 145
15 10 40 30 25 5 10 10 145
189 SPIRONOLAKTON TABLET 25 MG TAB 0
0
190 STESOLID RECTAL 10 MG TUBE 0
0
191 STESOLID RECTAL 5 MG TUBE 0
0
192 SULFADIAZIN SILVER KRIM TUBE 0
0
193 TABLET TAMBAH DARAH KOMB TAB 1305
80 60 70 95 30 40 80 190 30 90 30 60 240 70 60 60 10 10 1305
194 TABLET TAMBAH DARAH KOMB TAB 0
0
195 TEOFILIN SR TAB 10
10 10
196 TETAGAM INJ AMP 0
0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0
0
198 TETRASIKLIN HCL KAP 500 MG KAP 0
0
THIAMIN HCL MONONITRAT (VIT BI) TAB 328
199 TAB 40 40 3 30 10 20 60 10 65 10 328
50 MG 20 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 360
30 30 60 30 30 30 30 60 60 360
201 VAKSIN RABIES VERO AMP 0
0
202 VITAMIN B KOMPLEKS TAB TAB 754
55 40 40 30 35 50 40 44 30 30 36 40 71 81 12 40 20 50 10 754
203 ZINC TABLET TAB 65
10 10 10 20 5 10 65
204 ZIRKUM KIDS SIRUP BTL 9
2 1 2 1 1 1 1 9
205 VAKSIN BCG VIAL 0
0
206 VAKSIN CAMPAK VIAL 0
0
207 VAKSIN DPT HB VIAL 0
0
208 VAKSIN DT VIAL 0
0
209 VAKSIN HB PID VIAL 0
0
210 VAKSIN MR VIAL 0
0
211 VAKSIN POLIO VIAL 0
0
212 VAKSIN POLIO INJEKSI VIAL 0
0
213 VAKSIN TD VIAL 0
0
214 VAKSIN TT VIAL 0
0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0
0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
0
219 ALKOHOL SWAB PCS 0
0
220 ANTI SERA A BTL 0
0
221 ANTI SERA AB BTL 0
0
222 ANTI SERA B BTL 0
0
223 AQUA DEST BTL 0
0
224 ASEPTIC GEL BTL 0
0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0
0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0
0
227 BD VACUTAINER PCS 0
0
228 BLOOD LANSET PCS 0
0
229 BOX OBJECT GLAS PCS 0
0
230 BRACKET ABS PCS 0
0
231 CATGUT CROMIC NO. 3/0 SACCH 0
0
232 CATGUT PLAIN NO. 3/0 SACCH 0
0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0
0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0
0
235 DARYANTULLE LBR 0
0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0
0
237 ETANOL 70 % BTL 0
0
238 ETANOL 70 % BTL 0
0
239 ETER ALKOHOL BTL 0
0
240 ETIL KLORIDA SEMPROT BTL 0
0
241 FOCUS HIV 2 PCS 0
0
242 FOLEY CATHETER 16 PCS 0
0
243 FOLEY CATHETER 18 PCS 0
0
244 GIEMSA BTL 0
0
245 GLASS IONOMER CEMENT (GC IX) BTL 0
0
246 HANDRUB LIQUID BTL 0
0
247 HANDSCOON PCS 0
0
248 HANDSCOON NON STERIL PCS 950
950 950
249 HB TEST STRIP PCS 0
0
250 HBig PCS 0
0
251 HUMAN HEXAGON SIPILIS PCS 0
0
252 IMERSION OIL BTL 0
0
253 IMERSION OIL BTL 0
0
254 INFUSION SET ANAK SET 0
0
255 INFUSION SET DEWASA SET 0
0
256 IV NO.18 G SET 0
0
257 IV NO.20 G SET 0
0
258 IV NO.22 G SET 0
0
259 IV NO.24 G SET 0
0
260 KACA SLIDE PCS 0
0
261 KAPAS BOLA MINI PCS 0
0
262 KAPAS GIGI PCS 0
0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0
0
264 KASA KOMPRES STERIL 40X40 BKS 0
0
KASA PEMBALUT HIDROFIL 18 CM X 22 0
265 BKS
CM 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0
0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0
0
268 KERTAS GOLONGAN DARAH LBR 0
0
269 KERTAS SARING LBR 0
0
270 LARUTAN BENEDICT BTL 0
0
271 LARUTAN HCL 0,1N BTL 0
0
272 LARUTAN TURK BTL 0
0
273 LARUTAN ZIELH NELSEN BTL 0
0
274 LISOL BTL 0
0
275 MASKER PCS 3000
3000 3000
276 MASKER N 95 PCS 0
0
277 METANOL PA BTL 0
0
278 NEEDLE 27 G SET 0
0
279 OAT I (KOMBIPAK) PAKET 0
0
280 OAT KATEGORI ANAK PAKET 0
0
281 OAT KATEGORI I PAKET 0
0
282 OAT KATEGORI II PAKET 0
0
283 PARAFORMALDEHID TAB 1 G TAB 0
0
284 PIPET TETES PENDEK PCS 0
0
285 PLESTER 1 INCI ROL 0
0
286 PLESTER 7,5 CM x 4,5 M ROL 0
0
287 PLESTER KERTAS PCS 0
0
288 PLESTER PUTIH 10 CM X 5 M ROL 0
0
289 POT FESES TRANSPARAN PCS 0
0
290 POT SPUTUM PCS 0
0
291 PROVEIN 6/0 PCS 0
0
292 RAPID TES NARKOBA 3 PCS 0
0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0
0
294 RDT SIPILIS PCS 0
0
295 REAGEN SIPILIS PCS 0
0
296 SAFETY BOX 2,5 L PCS 0
0
297 SAFETY BOX 5 L PCS 0
0
298 SD HBsAG PCS 0
0
299 SD HIV PCS 0
0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0
0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0
0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0
0
303 SLANG OKSIGEN ANAK SET 0
0
304 SLANG OKSIGEN DEWASA SET 0
0
305 SPECULUM VAGINA DISPOSIBLE PCS 0
0
306 SPIRITUS BAKAR BTL 0
0
307 STIK ASAM URAT PCS 0
0
308 STIK GLUKOSA PCS 0
0
309 STIK KOLESTEROL PCS 0
0
310 SURGICAL BLADE STERIL NO.12 PCS 0
0
311 SURGICAL BLADE STERIL NO.15 PCS 0
0
312 TABUNG VACUTAINER NON EDTA PCS 0
0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL 0
CAIRAN 0
314 TEST HAMIL PCS 0
0
315 TISSUE LENSA PCS 0
0
316 UMBILICAL CORD KLEM STERIL PCS 0
0
317 UNDERPAD PCS 0
0
318 URINE BAG STERIL PCS 0
0
319 USG GEL BLUE BTL 0
0
320 VIKIA ( HIV 3 ) PCS 0
0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0
0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0
0
323 AZITROMISIN TAB 0
TAB 0
324 OSELTAMIVIR TAB 0
TAB 0
325 KLOROQUIN TAB 0
TAB 0
326 VITAMIN C 500 MG 0
TAB 0
327 BAJU APD PCS 0
0
328 BOOTS PSG 0
0
329 FACE SHIELD PCS 0
0
330 GOWN PCS 0
0
331 GOOGLE PCS 0
0
332 TUTUP KEPALA PCS 0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS:LINTAU BUO BULAN : MARET
KECAMATAN:LINTAU BUO TAHUN : 2021
KABUPATEN:TANAH DATAR
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN AN APBD II APBD I JML NO BATCH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
132 200 332 135 197 202.5 200
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
35 100 135 26 109 39 100
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 100 100 30 70 45
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 287 300 587 134 453 201 200
10 AMLODIPINE TAB 10 MG TAB
175 240 415 30 385 45 50
11 AMLODIPINE TAB 5 MG TAB
1422 600 2022 1088 934 1632 1500
12 AMOKSISILIN KAPLET 500 MG TAB
1677 500 2177 390 1787 585 1000
13 AMOKSISILIN KAPSUL 250 MG TAB 612 2000 2612 2539 73 3808.5 3000
AMOKSISILIN SIRUP KERING 125
14 BTL 55 60 115 38 77 57 50
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL 0 0 0 0 0
MG/ML
16 ANTASIDA DOEN SUSPENSI BTL 57 50 107 57 50 85.5 85
17 ANTASIDA DOEN TAB. KOMB. TAB 1006 1000 2006 586 1420 879 800
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
2 2 0 2 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
27 27 1 26 1.5
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 676 600 1276 317 959 475.5 500
25 ASAM FOLAT TABLET 1 MG TAB 284 284 30 254 45 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
568 500 1068 334 734 501 500
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 10 10 0 10 0
29 ASAM VALPROAT TAB 250 MG TAB 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB 83 100 183 60 123 90 100
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
83 83 25 58 37.5
34 ATAPULGIT TABLET 630 MG TAB
162 300 462 126 336 189 100
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB 528 500 1028 424 604 636 600
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE 32 25 57 15 42 22.5 23
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
39 BISAKODIL 10 MG SUP TAB 0 0 0 0 0
40 BISAKODIL TABLET TAB 90 90 16 74 24
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
72 120 192 86 106 129 200
44 CENDO LYTEER TETES MATA STRIP 0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 403 1000 1403 580 823 870 800
47 CIPROFLOKSASIN KAPLET 500 MG TAB 381 1000 1381 592 789 888 800
48 CURCUMA TABLET 200 MG TAB 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
534 700 1234 497 737 745.5 700
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 140 100 240 69 171 103.5 100
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP 0 0 0 0 0
ML
54 DIGOKSIN TAB. 0,25 MG TAB 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 726 300 1026 526 500 789 700
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
60 60 60 0 90
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 87 87 60 27 90 100
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB 443 500 943 370 573 555 500
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 3 3 0 3 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB 45 200 245 30 215 45 100
10 MG
68 FLUCONAZOL KAPSUL KAP 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB 153 170 323 113 210 169.5 200
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 53 100 153 53 100 79.5 70
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
83 150 233 80 153 120 200
74 GLIMEPIRID TABLET 1 MG TAB
552 100 652 463 189 694.5 700
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 45 100 145 56 89 84 100
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
375 375 30 345 45 300
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 0 0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE 17 15 32 10 22 15 15
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 198 198 146 52 219 300
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB 150 100 250 142 108 213 300
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB 38 100 138 21 117 31.5 100
LINGUAL 5 MG
92 KALSIUM GLUCONAS INJ AMP 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
1261 900 2161 1066 1095 1599 1500
95 KAPTOPRIL KAP 12,5 MG TAB
75 100 175 0 175 0
96 KAPTOPRIL KAP 25 MG TAB 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 90 300 390 30 360 45
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
87 100 187 92 95 138 200
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
187 187 10 177 15
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 15 15 3 12 4.5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 17 17 2 15 3
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0 0 0 0
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 3 3 3 0 4.5 10
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 1485 1500 2985 727 2258 1090.5 1000
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 967 800 1767 440 1327 660 600
111 KODEIN HCL TAB. 10 MG TAB 189 200 389 110 279 165 100
112 KODEIN HCL TAB. 20 MG TAB 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 9 10 19 6 13 9
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
65 100 165 41 124 61.5 100
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
303 300 603 163 440 244.5
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
735 300 1035 555 480 832.5 800
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 62 62 10 52 15
129 METIL PREDNISOLON TAB 4 MG TAB
288 300 588 197 391 295.5
130 METILDOPA TABLET TAB
75 75 10 65 15
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 90 100 190 20 170 30
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB 135 100 235 50 185 75 100
137 MIKONAZOL SALEP 2 % TUBE
14 14 28 12 16 18
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0
140 MULTIVITAMIN TABLET TAB 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 963 1000 1963 834 1129 1251 1000
142 NATRIUM BIKARBONAT TAB 500 MG TAB 100 100 3 97 4.5
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
1540 1500 3040 943 2097 1414.5 1000
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
53 53 1 52 1.5
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB 0 0 0 0 0
150 OBAT ANTI MALARIA TAB 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
25 25 14 11 21 20
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0
154 OMEPRAZOL TAB KAP
175 175 20 155 30 100
155 ONDANSETRON KAPSUL 8 MG KAP 0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 5 56 61 12 49 18
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 66 50 116 33 83 49.5 50
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
4053 2400 6453 2826 3627 4239 4000
162 PEKA KRISTAL POT
8 8 1 7 1.5
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 76 76 76 0 114 100
166 PREDNISON TAB 5 MG TAB 532 532 128 404 192
167 PROPANOLOL HCL TAB 10 MG TAB
315 300 615 160 455 240
168 PROPIL TIOURASIL TAB 100 ML TAB
337 337 120 217 180 200
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
1671 1200 2871 1662 1209 2493 1000
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
405 200 605 240 365 360
175 RISPERIDON TABLET 2 MG TAB
225 300 525 60 465 90 300
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 1015 1000 2015 823 1192 1234.5 500
178 SALEP 2-4 KOMB TAB 9 24 33 8 25 12 12
179 SALISIL BEDAK 2 % SACCH 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
480 480 10 470 15
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL 0 0 0 0 0
I)
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 687 800 1487 415 1072 622.5 500
187 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB
165 300 465 145 320 217.5
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB 0 0 0 0
194 TABLET TAMBAH DARAH KOMB TAB 1477 1477 1305 172 1957.5
195 TEOFILIN SR TAB 15 15 10 5 15
196 TETAGAM INJ AMP
0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB 92 300 392 328 64 492 400
TAB 50 MG
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 705 400 1105 360 745 540
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 967 1000 1967 754 1213 1131 1000
203 ZINC TABLET TAB 186 100 286 65 221 97.5
204 ZIRKUM KIDS SIRUP BTL
11 11 9 2 13.5
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL
0 0 0 0 0
207 VAKSIN DPT HB VIAL 0 0 0 0 0
208 VAKSIN DT VIAL 0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL 0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL 0 0 0 0 0
223 AQUA DEST BTL 0 0 0 0 0
224 ASEPTIC GEL BTL 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS 0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0 0 0 0
237 ETANOL 70 % BTL 0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS 0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS 0 0 0 0 0
248 HANDSCOON NON STERIL PCS
450 500 950 950 0 1425 1400
249 HB TEST STRIP PCS
0 0 0 0 0
250 HBig PCS
0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS 0 0 0 0 0
252 IMERSION OIL BTL 0 0 0 0 0
253 IMERSION OIL BTL 0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS 0 0 0 0 0
CM
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL 0 0 0 0 0
CM
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR 0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL 0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 1500 1500 3000 3000 0 4500 3000
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET 0 0 0 0 0
281 OAT KATEGORI I PAKET 2 2 4 0 4 0
282 OAT KATEGORI II PAKET 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS 0 0 0 0 0
291 PROVEIN 6/0 PCS 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS 0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS 0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0
NO NAMA OBAT SATUAN STOK PERSEDIA PERMINTA PEMBERIAN
PENERIMAAN
AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL AN APBD II APBD I JML NO BATCH
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS 0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS 0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS 0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL 0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0
323 AZITROMISIN TAB
TAB 30 30 0 30 0
324 OSELTAMIVIR TAB TAB 155 0 155 0
155
325 KLOROQUIN TAB TAB 100 0 100 0
100
326 VITAMIN C 500 MG TAB 50 0 50 0
50
327 BAJU APD PCS
0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0
330 GOWN PCS
0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0
N LEMBAR PERMINTAAN OBAT ( LPLPO )
: MARET
: 2021
ED KET
16 17
15 16
ED KET
ED KET
ED KET
ED KET
ED KET
ED KET
ED KET
NAMA OBAT SATUAN
NO
26 27 28 29 30 31 1 2
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
20 10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
21 30
10 AMLODIPINE TAB 10 MG TAB
11 AMLODIPINE TAB 5 MG TAB
70 50 10 20 40 70
12 AMOKSISILIN KAPLET 500 MG TAB
10
13 AMOKSISILIN KAPSUL 250 MG TAB
50 80 110 150 100 227
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
5 5 2 3 2
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
2 1 2 7 1 1
17 ANTASIDA DOEN TAB. KOMB. TAB
10 10 10 40 30 60
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
10 20 25 10
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
20 60 10 30 42
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
16
34 ATAPULGIT TABLET 630 MG TAB
20
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
30 10 20
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
1
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
4 6 3
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
30 10
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
1
46 CETIRIZIN TABLET 10 MG TAB
6 10 35 20 15 66
47 CIPROFLOKSASIN KAPLET 500 MG TAB
10 52 10 20 20 102
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
12 11 40 12
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
5 11 9 15
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
10
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
45 20 60
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG 10
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
6 10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
20 10 50 30
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
10 10
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
5 5 21 8
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
14 30 10
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG 1
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
96 52 60 50 28
95 KAPTOPRIL KAP 12,5 MG TAB
20
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
10 10
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
1 1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 22 39 19 20 15 43
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
60 30
111 KODEIN HCL TAB. 10 MG TAB
15 22 40
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
10
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
10
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
20 60 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
10
129 METIL PREDNISOLON TAB 4 MG TAB
16
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
10 20 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
15 10 30
137 MIKONAZOL SALEP 2 % TUBE
1 1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
32 14 20 64 10 101
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
34 12 48 30 50 54
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
1 1 1 1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
1 46
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
2 4 1 1 3 1
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
59 70 135 196 100 268
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
22 10 30
166 PREDNISON TAB 5 MG TAB
10 17 12 10 20
167 PROPANOLOL HCL TAB 10 MG TAB
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
48 52 60 102 72 84
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
40 30
175 RISPERIDON TABLET 2 MG TAB
30 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
35 35 38 10 30 40
178 SALEP 2-4 KOMB TAB
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
40 20
187 SIMVASTATIN TABLET 10 MG TAB
10 20
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
90 100 20
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 40 20 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 60 30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
32 44 34 40 30 42
203 ZINC TABLET TAB
204 ZIRKUM KIDS SIRUP BTL
1
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
10 20 10 10 20
6 10 3 5
5 60 15
10 3 11 6 9 48 10 10 21
10 6
124 66 30 100 30 82 110 20 50 80 20 56
10
214 180 235 110 60 120 160 100 180 202 80 230 90
4 1 1 7 2 2 2 2 3
17 4 4 2 1 7 3 1 1 3 3
60 10 10 50 40 10 40 22 10 26
46 10 10 10 40 36 10 10 10 10
20 40 60 20 10 20 30 20 20 10
20 5
10 20 20 6 10 10
50 20 20 30 20 62 20 10 20 10 10
1 2 2 4 2 1 1 2 1 2 1
10
52 20 25 21 40 20 26 30 15 56 20 25 25
86 10 10 10 50 20 10 40
10 30 10 12 41 40 10 50 23
3 5 6 5
10 30 30 25 20 10 4 10
80 60 30 30 30
1 1 1
20 10 10
6 10 1
4 5 3 3
20 15 15
54 45 30 34 20 60 20 30 14
10
30 30 30 15
14 11 10 5 24 41 4 12
14 10 20 10 12 30 10 50 10
1 10
58 70 40 60 30 80 76 70 60 60 20 40
10
30
10 10 10 10 10
1 1 1
1 1
62 5 30 19 31 23 10 52 36 58 15 28
90 30 60
10 14 20 10
1 1
10 10 10
10 10
40 60 20 60 60
20
10 10 10 20 10 20 10
22 10 15 15 20 10 10 14
25 40 30 10 10 10 10 10 10
2 1 1 1 1 1 1 1
16 36 20 30 34 38 6 30 50 66 48 10 10
10
84 80 30 10 12 24 64 50 30 60 79 20 12
1 1 1 2
1 1
8 2 3 3 2 1 1 2 2
214 128 147 95 145 106 184 112 116 158 94 124 136
20 20 20 10 20
36 26 20 36 18 16
30 30
30 30
170 66 48 30 68 66 145 84 36 54 116 24 64
30 60 30 30 30
90 60 50 70 20 80 50 25 60 25 40 15
1
30 10 60 50 50 50 20 10 20
20 20 12 10 10
60 90 30 90 100 180 90 150 30 30 40 90 10
40 20 20 10
30 60 30 30
112 50 10 10 52 46 66 10 10 40 62 10 20
10 10
1 1 1
REKAPITULASI PEMAKAIAN
Apr-21
19 20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
30 130
24
80
5 184
16
65 30 10 45 80 1258
20
60 120 120 80 3058
4 3 5 1 54
3 2 3 3 1 72
40 10 10 10 22 530
0
0
20 6 283
10 10 20 10 462
10 35
25 41
5 10 111
26 10 10 20 398
1 1 1 2 25
13
50
27 40 40 57 11 702
20 30 30 50 20 600
0
0
20 10 20 3 354
3 20 82
10 10 10 10 189
30
60 30 30 30 505
10 60
10 10 4 57
20
50
30 30 10 487
0
0
10 20 60
15 15 15 15 30 195
22 16 11 4 213
70 30 320
12
120 20 10 50 10 1160
30
30
10 10 20 110
0
0
1 1 7
1 3
1 3
1 2
39 13 17 64 10 670
60 30 30 30 60 480
10 42 183
1 3
10 6 56
20 10 40 100
60 30 440
30
10 10 126
0
14 170
20 15 245
1 2 1 15
46 56 56 10 24 827
10
30 20 20 34 36 923
0
49
3 2 2 2 45
123 100 87 164 144 3205
152
3 10 6 240
30 90
60
78 48 48 46 36 1645
30 280
60
50 15 20 30 888
1 2 4
0
0
80 10 40 10 500
20 122
160 10 90 40 1500
10 10 10 200
30 30 30 30 60 450
40 40 56 32 888
10 45 75
1 1 1 7
0
0
0
0
1000 1000
0
0
1000 1000
0
0
0
0
40 40
70 70
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
130
24
80
184
16
1258
20
3058
54
72
530
0
0
283
462
35
41
111
398
25
13
50
702
600
0
0
354
82
189
30
505
60
57
20
50
487
0
0
60
195
213
320
12
1160
30
30
110
0
0
670
480
183
56
100
440
30
126
0
170
245
15
827
10
923
0
49
45
3205
152
240
90
60
1645
280
60
888
0
0
500
122
1500
200
450
888
75
0
0
0
0
1000
0
0
1000
0
0
0
0
40
70
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
197 150 347 130 217
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
109 100 209 24 185
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
70 400 470 80 390
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
453 100 553 184 369
10 AMLODIPINE TAB 10 MG TAB
385 150 535 16 519
11 AMLODIPINE TAB 5 MG TAB
934 1500 2434 1258 1176
12 AMOKSISILIN KAPLET 500 MG TAB
1787 1000 2787 20 2767
13 AMOKSISILIN KAPSUL 250 MG TAB
73 3000 3073 3058 15
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 77 60 137 54 83
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
50 100 150 72 78
17 ANTASIDA DOEN TAB. KOMB. TAB
1420 800 2220 530 1690
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
2 2 0 2
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
26 26 0 26
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
959 500 1459 283 1176
25 ASAM FOLAT TABLET 1 MG TAB
254 254 0 254
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
26 ASAM MEFENAMAT KAPLET 500 MG TAB
734 500 1234 462 772
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
10 10 0 10
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
123 100 223 35 188
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
58 58 41 17 0
34 ATAPULGIT TABLET 630 MG TAB
336 100 436 111 325
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
604 600 1204 398 806
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
42 25 67 25 42
39 BISAKODIL 10 MG SUP TAB
0 0 0 0
40 BISAKODIL TABLET TAB
74 74 13 61
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
106 106 50 56
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0
46 CETIRIZIN TABLET 10 MG TAB
823 900 1723 702 1021
47 CIPROFLOKSASIN KAPLET 500 MG TAB
789 1000 1789 600 1189
48 CURCUMA TABLET 200 MG TAB
0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
737 400 1137 354 783
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
171 200 371 82 289
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
500 1000 1500 189 1311
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML AMP
0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
0 0 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
27 27 27 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
573 500 1073 505 568
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 3 12 15 3 12
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 215 215 60 155
68 FLUCONAZOL KAPSUL KAP
0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
210 100 310 57 253
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
100 100 200 20 180
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
153 250 403 50 353
74 GLIMEPIRID TABLET 1 MG TAB
189 1000 1189 487 702
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
89 100 189 60 129
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0
82 HALOPERIDOL TAB. 5 MG TAB
345 500 845 195 650
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
22 19 41 2 39
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 52 300 352 213 139
87 IBUPROFEN SUSPENSI BTL
0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
108 300 408 320 88
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 117 100 217 12 205
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
1095 1500 2595 1160 1435
95 KAPTOPRIL KAP 12,5 MG TAB
175 175 30 145
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
360 360 30 330
99 KETOKONAZOL KRIM TUBE
0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
95 200 295 110 185
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
177 177 0 177
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
12 12 7 5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
15 19 34 3 31
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 25 25 3 22
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
0 10 10 2 8
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 2258 1000 3258 670 2588
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 1327 600 1927 480 1447
111 KODEIN HCL TAB. 10 MG TAB
279 300 579 183 396
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
13 13 3 10
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
124 150 274 56 218
117 LAKTULOSA SIRUP BTL
0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0
123 LORATADIN TABLET 10 MG TAB
440 440 100 340
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
480 1000 1480 440 1040
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 52 52 30 22
129 METIL PREDNISOLON TAB 4 MG TAB
391 391 126 265
130 METILDOPA TABLET TAB
65 65 0 65
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
170 170 170 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
185 150 335 245 90
137 MIKONAZOL SALEP 2 % TUBE
16 16 15 1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
1129 1000 2129 827 1302 0
142 NATRIUM BIKARBONAT TAB 500 MG TAB
97 97 10 87
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
2097 1000 3097 923 2174 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
52 52 0 52
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
11 11 9 2
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0
154 OMEPRAZOL TAB KAP
155 155 0 155
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
49 49 49 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
83 50 133 45 88
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
3627 4000 7627 3205 4422
162 PEKA KRISTAL POT
7 7 0 7
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
0 350 350 152 198
166 PREDNISON TAB 5 MG TAB
404 404 240 164
167 PROPANOLOL HCL TAB 10 MG TAB
455 455 90 365
168 PROPIL TIOURASIL TAB 100 ML TAB
217 217 60 157
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0
170 RANITIDIN TAB 150 MG TAB
1209 1000 2209 1645 564
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
365 600 965 280 685
175 RISPERIDON TABLET 2 MG TAB
465 465 60 405
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
1192 500 1692 888 804
178 SALEP 2-4 KOMB TAB
25 18 43 4 39
179 SALISIL BEDAK 2 % SACCH
0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1072 500 1572 500 1072
187 SIMVASTATIN TABLET 10 MG TAB
0 300 300 0 300
188 SIMVASTATIN TABLET 20 MG TAB
320 320 122 198
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
0 3780 3780 1500 2280
194 TABLET TAMBAH DARAH KOMB TAB
0 0
195 TEOFILIN SR TAB
5 5 0 5
196 TETAGAM INJ AMP
0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 64 400 464 200 264
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
745 1000 1745 450 1295
201 VAKSIN RABIES VERO AMP
0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
1213 1000 2213 888 1325
203 ZINC TABLET TAB
221 221 75 146
204 ZIRKUM KIDS SIRUP BTL
2 18 20 7 13
205 VAKSIN BCG VIAL
0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
206 VAKSIN CAMPAK VIAL
0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0
220 ANTI SERA A BTL
0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0
222 ANTI SERA B BTL
0 0 0 0
223 AQUA DEST BTL
0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0
230 BRACKET ABS PCS
0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0
235 DARYANTULLE LBR
0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0
244 GIEMSA BTL
0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0
247 HANDSCOON PCS
0 0 0 0
248 HANDSCOON NON STERIL PCS
0 1000 1000 1000 0
249 HB TEST STRIP PCS
0 0 0 0
250 HBig PCS
0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0
252 IMERSION OIL BTL
0 0 0 0
253 IMERSION OIL BTL
0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0
256 IV NO.18 G SET
0 0 0 0
257 IV NO.20 G SET
0 0 0 0
258 IV NO.22 G SET
0 0 0 0
259 IV NO.24 G SET
0 0 0 0
260 KACA SLIDE PCS
0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0
269 KERTAS SARING LBR
0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0
274 LISOL BTL
0 0 0 0
275 MASKER PCS
0 1000 1000 1000 0
276 MASKER N 95 PCS
0 0 0 0
277 METANOL PA BTL
0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 0 0 0
281 OAT KATEGORI I PAKET
4 4 0 4
282 OAT KATEGORI II PAKET
0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0
290 POT SPUTUM PCS
0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
296 SAFETY BOX 2,5 L PCS
0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0
298 SD HBsAG PCS
0 0 0 0
299 SD HIV PCS
0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0
317 UNDERPAD PCS
0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0
323 AZITROMISIN TAB
TAB 30 50 80 40 40
324 OSELTAMIVIR TAB
TAB 155 100 255 70 185
325 KLOROQUIN TAB
TAB 100 100 0 100
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK
AWAL N AN
326 VITAMIN C 500 MG
TAB 50 100 150 0 150
327 BAJU APD PCS
0 0 0
328 BOOTS PSG
0 0 0
329 FACE SHIELD PCS
0 0 0
330 GOWN PCS
0 0 0
331 GOOGLE PCS
0 0 0
332 TUTUP KEPALA PCS
0 0 0
AN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PERMINTA
STOK OPT KET
AN
10 11 17
0 0
0 0
195 0
0 0
36 0
0 0
0 0
120 0
276 0
24 0
1887 711
30 0
4587 4572
81 0
0 0
108 30
795 0
0 0
0 0
0 0
0 0
0 0
0 0
424.5 0
0 300
PERMINTA
STOK OPT KET
AN
693 300
0 0
0 0
0 0
0 0
52.5 0
0 0
61.5 100
166.5 0
0 0
597 0
0 0
37.5 25
0 0
19.5 0
0 0
0 0
75 100
0 0
0 0
1053 300
900 0
0 0
0 0
531 0
0 0
123 0
0 0
0 0
283.5 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
40.5 100
0 0
757.5 200
4.5 0
0 0
0 0
90 0
0 0
85.5 0
0 0
30 0
0 0
75 0
730.5 0
0 0
0 0
0 0
90 100
0 0
0 0
0 0
292.5 0
0 0
3 0
0 0
PERMINTA
STOK OPT KET
AN
319.5 200
0 0
0 0
480 400
0 0
18 0
0 0
0 0
1740 400
45 0
0 0
0 0
45 200
0 0
165 100
0 0
0 0
0 100
10.5 10
4.5 0
4.5 0
3 0
1005 400
0 0
720 0
274.5 0
0 0
0 0
0 0
4.5 25
PERMINTA
STOK OPT KET
AN
84 0
0 0
0 0
0 0
0 0
0 0
0 0
150 0
0 0
0 0
660 0
0 0
45 200
189 200
0 0
0 0
0 0
255 300
0 0
0 0
367.5 300
22.5 22
0 0
0 0
0 0
1240.5 1000
15 0
0 0
1384.5 1300
0 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
0 0
13.5 11
0 0
0 400
0 0
0 0
73.5 40
0 0
67.5 40
0 0
4807.5 800
0 0
0 0
0 0
228 100
360 100
135 300
90 300
0 0
2467.5 2000
0 0
0 0
0 0
420 0
90 0
PERMINTA
STOK OPT KET
AN
0 0
1332 1000
6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
750 0
0 0
183 0
0 0
0 0
0 0
0 0
2250 0
0 0
0 0
0 0
0 0
0 0
300 300
675 0
0 0
1332 7
112.5 200
10.5 0
0 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1500 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1500 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PERMINTA
STOK OPT KET
AN
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 100
105 100
0 0
PERMINTA
STOK OPT KET
AN
0 100
0 0
0 0
0 0
0 0
0 0
0 0
NAMA OBAT SATUAN
NO
26 27 28 29 30 1 2 3
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
15 3 30 5
10 AMLODIPINE TAB 10 MG TAB
10
11 AMLODIPINE TAB 5 MG TAB
30 10 30 50 70
12 AMOKSISILIN KAPLET 500 MG TAB
14
13 AMOKSISILIN KAPSUL 250 MG TAB
140 80 80 20 180 60
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
4 2 2 2
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
2 1 2 3 5
17 ANTASIDA DOEN TAB. KOMB. TAB
20 10
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
20 6 10
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 10 20 10 30 10
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
14
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
20 20 20 20
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
2 2
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
47 10 20 25 44 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB
10 20 20 70 30 20
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
16 20 23 11 20
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
3
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
20 14 30
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30 20 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
5
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
5 8 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
20
74 GLIMEPIRID TABLET 1 MG TAB
10 20
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
15 15
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
31
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
10
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
10 30 20 40 110
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
10 10
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 38 6 22 47 25 10
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30 15
111 KODEIN HCL TAB. 10 MG TAB
14 30 6 26
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
10
115 KOTRIMOKSAZOL SUSPENSI BTL
2 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
10
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
30 20
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
10
129 METIL PREDNISOLON TAB 4 MG TAB
25 26 10
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
30 20
137 MIKONAZOL SALEP 2 % TUBE
1 2
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
20 30 22 56
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
10 10 30 44 14
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
10
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
5 2 2 1
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
114 86 62 60 115 50
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
166 PREDNISON TAB 5 MG TAB
10
167 PROPANOLOL HCL TAB 10 MG TAB
30 30 10
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
52
170 RANITIDIN TAB 150 MG TAB
36 30 48 69
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
60 30
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
20 15 20 31 15
178 SALEP 2-4 KOMB TAB
1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
20 30 34 70
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
30 10 40 90 210
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 10 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
40 16 20 46 34 10
203 ZINC TABLET TAB
10
204 ZIRKUM KIDS SIRUP BTL
1 1 1
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB 11
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
10 10 30 10 10
10 8 4
60
15 11 15 10 15 10 4 11
15 10 10
50 50 20 45 20 20 50 42 30 75 40 80
50 68 50 10 70 60 160 104 65 80 104
40 10 10
1 1 2 1 2 2 1
1 1 1 3 1 5 5 2 5 3 1
20 20 10 10 10 50 20 21 20
5
20 36 10 10 10 20 30 73
20 20 30 14
25
10 42 20
20 36 20 20 10 10 20 36 46 20 10 67
1 1 1 2 1 1
15 35 21 30 10 15 45 45 39 50 65 46
10 40 10 20 10 20 10 62 40 10 30
50 18 3 20 10 10 20 20 30
5 5 10
20 10 10 5 30 10 60 20 30 26
30
30 30 30 60 60
10 10 10
16 6
10 5
10 20
15 50 10 20 15 10 60 30 30
45 30 30 15 60 30 15 30
1 1 1
9 4 10 11 15 22 5 4 10 8
40 15 10 50 10 20 40
30 50 40 38 10 30 50 10 50 20 40
20 10
1 2
1 1 1
60 10 17 25 3 47 20 10 22
90 30 30 120 30 30 60 15
20 20 16 20 15 12 25 24
1 1 1
10 6 20 10
30 60 20 30 30 90 60
10 10 10 20 10 10
10 10
10 20 10
1 2 2
10 30 30 20 50
10 30 30 34
1
2 1 1 4 3 2 1 1
90 128 90 99 53 112 92 200 144 102 128 131
20 10
10 10 32 6 20 10 10 30
20 30
42 92 24 74 34 80 58 60 30 68 68
10 30
60 30
15 30 80 60 40 15 35 10 18 70 10 70
20 60 40 10 40 40 30 40
20 10 10 20 10
30 110 60 80 20 90 30 10 60 50 76
20
60 30 30 30 30 60
10 28 16 54 10 30 10 30 30 42 67
1 1
REKAPITULASI PEMAKAIAN
MEI 2021
20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
10 15 10 105
22
6 76
15 15 174
10 55
90 45 45 50 60 1002
69 116 110 102 10 1242
620
3 3 3 5 34
3 2 4 2 52
20 10 30 271
0
0
8 35 10 30 40 368
10 38 36 10 10 298
5 5
50 75
10 10 40 10 156
40 20 10 10 10 485
2 13
25 54 35 50 746
10 40 80 20 60 642
0
0
6 52 56 385
20 43
10 10 22 10 337
60
30 350
10 40
8 10 45
4 2 5 44
50
30 50 15 365
0
0
30 30 345
1 6
5 15 149
15 5 6 10 231
10 30 40 20 70 748
10 60
0
0
1 1 7
1 2
13 13 10 12 410
60 30 540
12 18 28 286
10 20
1 7
20 66
5 15
30 30 430
10
20 151
0
10 30
15 15 10 130
41 64 62 56 44 535
12 12 32 40 70 378
5 1 6
10
0
0
6 1 4 1 37
124 146 140 126 98 2490
10 10 50
20 6 164
30 150
52
42 42 73 100 100 1170
60 60 30 280
90
10 10 44 29 55 702
0
0
30 10 60 534
10 80
60 60 10 100 1226
40
60 60 30 420
41 30 104 30 36 734
10
1 6
0
0
0
0
0
0
2 2
0
0
0
0
11
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
105
22
76
174
55
1002
1242
620
34
52
271
0
0
368
298
75
156
485
13
746
642
0
0
385
43
337
60
350
40
45
44
50
365
0
0
345
149
231
748
60
0
0
410
540
286
20
66
15
430
10
151
0
30
130
535
378
10
0
0
37
2490
50
164
150
52
1170
280
90
702
0
0
534
80
1226
40
420
734
10
0
0
0
0
0
0
0
0
0
0
11
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( L
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
217 217 105 112 157.5
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
185 185 22 163 33
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
390 390 76 314 114
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
369 369 174 195 261
10 AMLODIPINE TAB 10 MG TAB
519 519 55 464 82.5
11 AMLODIPINE TAB 5 MG TAB
1176 900 2076 1002 1074 1503
12 AMOKSISILIN KAPLET 500 MG TAB
2767 400 3167 1242 1925 1863
13 AMOKSISILIN KAPSUL 250 MG TAB
15 15 15 0 22.5
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 83 83 34 49 51
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
78 50 128 52 76 78
17 ANTASIDA DOEN TAB. KOMB. TAB
1690 1690 271 1419 406.5
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
2 2 0 2 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
26 26 5 21 7.5
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
0 0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
1176 1176 368 808 552
25 ASAM FOLAT TABLET 1 MG TAB
254 254 0 254 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB
772 300 1072 298 774 447
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
10 10 0 10 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
188 188 5 183 7.5
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
0 100 100 75 25 112.5
34 ATAPULGIT TABLET 630 MG TAB
325 325 156 169 234
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
806 806 485 321 727.5
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
13 25 38 13 25 19.5
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
61 61 0 61 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
56 56 0 56 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
1021 300 1321 746 575 1119
47 CIPROFLOKSASIN KAPLET 500 MG TAB
1189 1189 642 547 963
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
783 783 385 398 577.5
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
289 289 43 246 64.5
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
1311 1311 337 974 505.5
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML AMP
0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
0 0 0 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
60 60 60 0 90
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
568 200 768 350 418 525
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 12 12 1 11 1.5
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 155 155 40 115 60
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
253 253 45 208 67.5
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
180 180 44 136 66
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
353 353 50 303 75
74 GLIMEPIRID TABLET 1 MG TAB
702 702 365 337 547.5
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
129 100 229 0 229 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 345 -345 517.5
82 HALOPERIDOL TAB. 1,5 MG TAB
650 650 0 650 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
39 39 6 33 9
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 139 200 339 149 190 223.5
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
88 400 488 231 257 346.5
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 205 205 0 205 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
1435 400 1835 748 1087 1122
95 KAPTOPRIL KAP 12,5 MG TAB
145 145 0 145 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
330 200 530 0 530 0
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
185 50 235 60 175 90
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
177 177 0 177 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
5 24 29 3 26 4.5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
31 31 7 24 10.5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
22 22 2 20 3
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
8 8 1 7 1.5
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 2588 500 3088 410 2678 615
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 1447 1447 540 907 810
111 KODEIN HCL TAB. 10 MG TAB
396 396 286 110 429
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 20 -20 30
115 KOTRIMOKSAZOL SUSPENSI BTL
10 25 35 7 28 10.5
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
218 218 66 152 99
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
340 340 15 325 22.5
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
1040 1040 430 610 645
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 22 150 172 10 162 15
129 METIL PREDNISOLON TAB 4 MG TAB
265 200 465 151 314 226.5
130 METILDOPA TABLET TAB
65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
0 600 600 30 570 45
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
90 200 290 130 160 195
137 MIKONAZOL SALEP 2 % TUBE
1 12 13 8 5 12
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 1 -1 1.5
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
0 1000 1000 535 465 802.5
142 NATRIUM BIKARBONAT TAB 500 MG TAB
87 87 0 87 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 1300 1300 378 922 567
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
52 52 6 46 9
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
2 25 27 1 26 1.5
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0
154 OMEPRAZOL TAB KAP
155 155 0 155 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 10 -10 15
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
88 88 37 51 55.5
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
4422 1000 5422 2490 2932 3735
162 PEKA KRISTAL POT
7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
198 100 298 50 248 75
166 PREDNISON TAB 5 MG TAB
164 100 264 164 100 246
167 PROPANOLOL HCL TAB 10 MG TAB
365 200 565 150 415 225
168 PROPIL TIOURASIL TAB 100 ML TAB
157 157 0 157 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0
170 RANITIDIN TAB 150 MG TAB
564 2000 2564 1170 1394 1755
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
685 500 1185 280 905 420
175 RISPERIDON TABLET 2 MG TAB
405 405 90 315 135
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
804 1000 1804 702 1102 1053
178 SALEP 2-4 KOMB TAB
39 39 1 38 1.5
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1072 1072 534 538 801
187 SIMVASTATIN TABLET 10 MG TAB
300 300 0 300 0
188 SIMVASTATIN TABLET 20 MG TAB
198 198 80 118 120
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2280 2280 1226 1054 1839
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
5 5 0 5 0
196 TETAGAM INJ AMP
0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 264 500 764 40 724 60
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
1295 1295 420 875 630
201 VAKSIN RABIES VERO AMP
0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
1325 1000 2325 734 1591 1101
203 ZINC TABLET TAB
146 100 246 10 236 15
204 ZIRKUM KIDS SIRUP BTL
13 13 6 7 9
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL
0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 0 0 0 0
249 HB TEST STRIP PCS
0 0 0 0 0
250 HBig PCS
0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0
274 LISOL BTL
0 0 0 0 0
275 MASKER PCS
0 500 500 0 500 0
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 0 0 0 0
281 OAT KATEGORI I PAKET
4 4 2 2 3
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0
323 AZITROMISIN TAB
TAB 40 40 0 40 0
324 OSELTAMIVIR TAB
TAB 185 1200 1385 0 1385 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 150 1200 1350 11 1339 16.5
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
333 MERLOPAM PCS
200 200 0 200 0
AN OBAT ( LPLPO )
BULAN : MEI
TAHUN : 2021
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
REKAPITULASI PEMAKAIAN
JUNI 2021
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0
0
3 ALOPURINOL TAB. 100 MG TAB 165
20 10 10 10 30 15 30 10 30 165
4 ALPRAZOLAM TAB 0,25 MG TAB 0
0
5 ALPRAZOLAM TAB 0,5 MG TAB 18
5 5 5 3 18
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0
0
7 AMINOFILIN TAB. 150 MG TAB 0
0
8 AMINOFILIN TAB. 200 MG TAB 44
4 30 10 44
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 117
8 10 10 20 10 15 20 5 4 15 117
10 AMLODIPINE TAB 10 MG TAB 45
10 10 10 15 45
11 AMLODIPINE TAB 5 MG TAB 1411
80 60 50 100 65 20 43 61 65 30 26 30 75 46 70 40 25 70 30 70 90 50 65 50 100 1411
12 AMOKSISILIN KAPLET 500 MG TAB 1496
100 40 70 150 40 10 80 132 70 79 50 60 25 20 30 70 70 30 30 50 50 40 90 40 70 1496
13 AMOKSISILIN KAPSUL 250 MG TAB 130
20 10 20 10 10 10 20 20 10 130
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 58
1 4 2 4 3 3 3 3 2 2 1 6 3 4 1 2 1 2 1 5 2 2 1 58
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0
0
16 ANTASIDA DOEN SUSPENSI BTL 81
10 2 7 6 3 2 3 4 4 6 2 3 2 3 1 5 2 5 3 1 4 3 81
17 ANTASIDA DOEN TAB. KOMB. TAB 416
40 20 60 10 20 12 20 20 20 12 20 10 10 32 20 20 10 20 10 30 416
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0
0
19 ANTI FUNGI DOEN KOMB. POT 1
1 1
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0
0
21 ANTI MIGRAIN DOEN KOMB. TAB 0
0
22 AQUA PRO INJEKSI STERIL BTL 0
0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0
0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 385
30 10 30 30 30 10 20 35 20 20 30 10 20 20 5 30 10 25 385
25 ASAM FOLAT TABLET 1 MG TAB 0
0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 366
20 30 20 20 10 10 22 46 10 40 20 38 10 10 20 20 10 10 366
27 ASAM TRANEKSAMAT INJEKSI AMP 0
0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 0
0
29 ASAM VALPROAT TAB 250 MG TAB 0
0
30 ASETOSAL TAB. 100 MG TAB 0
0
31 ASETOSAL TAB. 80 MG TAB 55
10 30 15 55
32 ASIKLOVIR KRIM 5 % AMP 0
0
33 ASIKLOVIR TAB. 400 MG TAB 25
25 25
34 ATAPULGIT TABLET 630 MG TAB 152
10 10 10 30 12 14 10 10 10 20 10 6 152
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0
0
36 BETAHISTIN TAB 6 MG TAB 580
90 10 40 64 32 10 10 32 10 10 22 10 10 10 10 30 50 20 20 20 10 30 10 20 580
37 BETAMETASON DOPROPIONATE KRIM TUBE 0
38 BETAMETASON KRIM 0,1% TUBE 16
1 1 2 1 1 1 2 1 1 3 2 16
39 BISAKODIL 10 MG SUP TAB 0
0
40 BISAKODIL TABLET TAB 10
4 6 10
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0
0
42 CANDESARTAN TABLET 16 MG TAB 0
0
43 CEFIXIME KAPSUL 200 MG TAB 4
4 4
44 CENDO LYTEER TETES MATA STRIP 0
0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0
0
46 CETIRIZIN TABLET 10 MG TAB 429
81 88 20 55 5 52 12 25 5 10 20 21 35 429
47 CIPROFLOKSASIN KAPLET 500 MG TAB 910
70 50 20 60 50 40 10 70 40 50 20 30 30 48 10 60 20 82 10 20 40 20 20 20 20 910
48 CURCUMA TABLET 200 MG TAB 0
0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0
0
50 DEKSAMETASON TAB. 0,5 MG TAB 449
20 10 30 6 30 20 30 40 10 20 20 14 13 10 40 3 2 46 15 30 20 20 449
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0
0
52 DIAZEPAM TAB. 2 MG TAB 107
6 10 10 5 10 30 5 14 6 5 6 107
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0
0
54 DIGOKSIN TAB. 0,25 MG TAB 0
0
55 DOMPERIDON TABLET 10 MG TAB 522
30 10 50 20 10 20 10 10 10 10 10 22 22 10 20 20 30 46 36 20 30 36 20 20 522
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0
0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 AMP 0
0,1% ML 0
58 ERITHROMISIN KAPSUL 500 MG TAB 0
0
59 ERITHROMISIN SIRUP BTL 0
0
60 EUGENOL CAIRAN BTL 0
0
61 FENITOIN NATRIUM KAP.100 MG KAP 0
0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0
0
63 FENOBARBITAL TAB. 30 MG TAB 370
50 50 30 60 30 60 30 60 370
64 FENOL GLISEROL TETES TELINGA 10 % BTL 5
1 2 1 1 5
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0
0
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 0
66 AMP 0
ML
FITOMENADION (VIT. K1) TAB. SALUT 10 11
67 TAB
MG 10 1 11
68 FLUCONAZOL KAPSUL KAP 0
0
69 FUROSEMID TAB. 40 MG TAB 25
10 5 10 25
70 GABAPENTIN KAPSUL 300 MG KAP 0
0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 36
5 5 5 5 5 5 6 36
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0
0
73 GLIBENCLAMIDE TAB. 5 MG TAB 40
20 20 40
74 GLIMEPIRID TABLET 1 MG TAB 585
15 30 10 50 5 15 15 35 15 70 20 20 30 45 15 30 35 10 45 15 15 45 585
75 GLIMEPIRID TABLET 2 MG TAB 0
0
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0
0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0
0
78 GRISEOFULVIN TAB. 125 MG TAB 0
0
79 GRISEOVULFIN TABLET 500 MG TAB 0
0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0
0
81 HALOPERIDOL 5 MG/ML AMP 0
0
82 HALOPERIDOL TAB. 1,5 MG TAB 345
15 30 15 30 15 30 15 15 30 15 15 30 15 30 15 15 15 345
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 0
0
84 HIDROKORTISON KRIM 2,5 % TUBE 9
2 3 1 1 1 1 9
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0
0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 206
32 5 10 5 10 20 15 5 5 14 10 10 4 13 31 12 5 206
87 IBUPROFEN SUSPENSI BTL 0
0
88 IBUPROFEN TAB. 200 MG TAB 0
0
89 IBUPROFEN TAB. 400 MG TAB 260
10 35 20 25 20 30 10 10 20 40 10 10 20 260
90 ISONIAZIDA TAB. 100 MG TAB 0
0
ISOSORBID DINITRAT TAB. SUB LINGUAL 13
91 TAB 13
5 MG 10 3
92 KALSIUM GLUCONAS INJ AMP 0
0
93 KALSIUM HIDROKSIDA PASTA POT 0
0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 1351
130 110 110 50 50 30 70 120 20 50 30 110 90 50 36 75 30 30 80 40 40 1351
95 KAPTOPRIL KAP 12,5 MG TAB 0
0
96 KAPTOPRIL KAP 25 MG TAB 0
0
97 KAPTOPRIL KAP 50 MG TAB 0
0
98 KARBAMAZEPIN TAB. 200 MG TAB 60
30 30 60
99 KETOKONAZOL KRIM TUBE 0
0
100 KETOKONAZOL TAB 200 MG TAB 60
20 10 10 10 10 60
101 KETOPROVEN SUPPOSITORIA SUPPO 0
0
102 KLINDAMYCIN KAP 300 MG KAP 0
0
103 KLORAMFENIKOL KAP. 250 MG KAP 0
0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 9
3 1 1 1 1 1 1 9
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 1
1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 8
2 1 1 1 1 1 1 8
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 4
1 1 1 1 4
KLORFENIRAMIN MALEAT (CTM) TAB. 4 1027
108 TAB 49 27 62 10 40 24 23 40 37 18 43 5 1027
MG 21 12 46 103 106 30 39 103 81 23 50 35
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0
0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 602
30 30 45 90 30 60 30 30 30 60 30 60 15 30 2 30 602
111 KODEIN HCL TAB. 10 MG TAB 110
10 15 10 15 15 15 15 15 110
112 KODEIN HCL TAB. 20 MG TAB 0
0
113 KOLKISIN TAB 500 MCG TAB 0
0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0
0
115 KOTRIMOKSAZOL SUSPENSI BTL 7
1 2 1 1 1 1 7
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 90
10 10 10 10 10 10 20 10 90
117 LAKTULOSA SIRUP BTL 0
0
118 LEVODOPA TABLET TAB 0
0
119 LIDOKAIN 10 % SPRAY BTL 0
0
120 LIDOKAIN COMP.INJ AMP 0
0
121 LIDOKAIN JELLY 2 % BTL 0
0
122 LOPERAMID TABLET 2 MG TAB 0
0
123 LORATADIN TABLET 10 MG TAB 325
10 10 100 50 50 50 50 5 325
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0
0
125 MDT MD DEWASA TAB 0
0
126 METFORMIN HCL TAB 500 MG TAB 630
60 30 60 30 30 10 60 70 30 30 30 20 80 30 30 30 630
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0
0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 10
10 10
129 METIL PREDNISOLON TAB 4 MG TAB 120
30 10 20 10 20 10 20 120
130 METILDOPA TABLET TAB 0
0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0
0
132 METOKLOPRAMID INJ 10/2ML AMP 0
0
133 METOKLOPRAMID TAB.10 MG TAB 20
10 10 20
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0
0
135 METRONIDAZOL TAB 250 MG TAB 0
0
136 METRONIDAZOL TAB 500 MG TAB 140
10 10 20 50 30 10 10 140
137 MIKONAZOL SALEP 2 % TUBE 7
1 2 1 1 2 7
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0
0
139 MULTIVITAMIN SIRUP BTL 0
0
140 MULTIVITAMIN TABLET TAB 0
0
141 N.ASETIL SISTEIN TAB 200 MG KAP 1134
56 10 112 40 54 30 96 60 34 50 36 52 32 60 72 114 70 46 10 20 60 20 1134
142 NATRIUM BIKARBONAT TAB 500 MG TAB 80
10 60 10 80
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0
0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 793
40 30 10 85 20 10 20 50 40 10 40 30 10 22 60 30 20 20 46 40 80 10 40 30 793
NATRIUM KLORIDA LAR INFUS 0,9 % 0
145 BTL
STERIL 0
146 NIFEDIPIN TAB 10 MG TAB 0
0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0
0
148 NISTATIN SUSPENSI 100.000 IU BTL 0
0
149 NITROGLISERIN RETARD TAB 0
0
150 OBAT ANTI MALARIA TAB 0
0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0
0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0
0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0
0
154 OMEPRAZOL TAB KAP 0
0
155 ONDANSETRON KAPSUL 8 MG KAP 0
0
156 PAPAVERIN HCL TAB 40 MG TAB 0
0
157 PARASETAMOL DROPS 100 MG / ML BTL 0
0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 1
1 1
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 38
2 1 3 3 2 1 3 3 1 2 2 4 1 1 2 2 2 1 1 1 38
160 PARASETAMOL TAB 100 MG TAB 0
0
161 PARASETAMOL TAB 500 MG TAB 3637
221 126 196 234 120 100 159 273 127 166 90 87 125 74 157 72 125 146 121 374 110 93 138 93 110 3637
162 PEKA KRISTAL POT 0
0
163 PERMETRIN 1 % /PEDITOX BTL 0
0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0
0
165 PIRIDOKSIN HCL TAB 10 MG TAB 105
10 10 10 40 20 10 5 105
166 PREDNISON TAB 5 MG TAB 318
16 26 10 42 10 14 6 50 6 23 10 12 22 46 10 15 318
167 PROPANOLOL HCL TAB 10 MG TAB 124
30 30 4 30 30 124
168 PROPIL TIOURASIL TAB 100 ML TAB 0
0
169 RANITIDIN 50 MG / 2 ML INJ AMP 0
0
170 RANITIDIN TAB 150 MG TAB 2633
166 106 70 162 92 128 70 196 84 147 60 84 84 98 206 86 20 134 118 122 144 64 106 86 2633
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0
0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0
0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0
0
174 RISPERIDON TABLET 1 MG TAB 210
30 60 60 60 210
175 RISPERIDON TABLET 2 MG TAB 0
0
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0
0
177 SALBUTAMOL TAB 2 MG TAB 841
45 30 10 116 15 55 100 70 20 30 20 30 35 15 10 30 60 55 10 20 10 55 841
178 SALEP 2-4 KOMB TAB 3
1 2 3
179 SALISIL BEDAK 2 % SACCH 0
0
180 SCABIMITE KRIM 5 % TUBE 0
0
181 SEFADROKSIL KAPSUL 500 MG KAP 0
0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0
0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0
0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0
0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP 0
0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 480
20 90 30 40 20 50 10 40 20 40 20 20 10 10 20 40 480
187 SIMVASTATIN TABLET 10 MG TAB 150
20 10 10 10 10 10 30 40 10 150
188 SIMVASTATIN TABLET 20 MG TAB 0
0
189 SPIRONOLAKTON TABLET 25 MG TAB 0
0
190 STESOLID RECTAL 10 MG TUBE 0
0
191 STESOLID RECTAL 5 MG TUBE 0
0
192 SULFADIAZIN SILVER KRIM TUBE 0
0
193 TABLET TAMBAH DARAH KOMB TAB 0
50 90 70 50 60 10 30 90 50 60 60 80 60 30 40 60 63 10 30 993
194 TABLET TAMBAH DARAH KOMB TAB 0
195 TEOFILIN SR TAB 20
10 10 20
196 TETAGAM INJ AMP 0
0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0
0
198 TETRASIKLIN HCL KAP 500 MG KAP 0
0
THIAMIN HCL MONONITRAT (VIT BI) TAB 70
199 TAB
50 MG 5 10 5 5 5 5 10 10 5 10 70
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 540
30 30 30 30 60 30 30 30 60 30 60 30 30 60 540
201 VAKSIN RABIES VERO AMP 0
0
202 VITAMIN B KOMPLEKS TAB TAB 900
55 40 42 50 20 30 60 50 40 50 32 52 40 40 75 54 40 30 10 20 30 40 900
203 ZINC TABLET TAB 90
20 20 10 10 10 20 90
204 ZIRKUM KIDS SIRUP BTL 7
1 1 1 1 1 1 1 7
205 VAKSIN BCG VIAL 0
0
206 VAKSIN CAMPAK VIAL 0
0
207 VAKSIN DPT HB VIAL 0
0
208 VAKSIN DT VIAL 0
0
209 VAKSIN HB PID VIAL 0
0
210 VAKSIN MR VIAL 0
0
211 VAKSIN POLIO VIAL 0
0
212 VAKSIN POLIO INJEKSI VIAL 0
0
213 VAKSIN TD VIAL 0
0
214 VAKSIN TT VIAL 0
0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0
0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
0
219 ALKOHOL SWAB PCS 0
0
220 ANTI SERA A BTL 0
0
221 ANTI SERA AB BTL 0
0
222 ANTI SERA B BTL 0
0
223 AQUA DEST BTL 0
0
224 ASEPTIC GEL BTL 0
0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0
0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0
0
227 BD VACUTAINER PCS 0
0
228 BLOOD LANSET PCS 0
0
229 BOX OBJECT GLAS PCS 0
0
230 BRACKET ABS PCS 0
0
231 CATGUT CROMIC NO. 3/0 SACCH 0
0
232 CATGUT PLAIN NO. 3/0 SACCH 0
0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0
0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0
0
235 DARYANTULLE LBR 0
0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0
0
237 ETANOL 70 % BTL 0
0
238 ETANOL 70 % BTL 0
0
239 ETER ALKOHOL BTL 0
0
240 ETIL KLORIDA SEMPROT BTL 0
0
241 FOCUS HIV 2 PCS 0
0
242 FOLEY CATHETER 16 PCS 0
0
243 FOLEY CATHETER 18 PCS 0
0
244 GIEMSA BTL 0
0
245 GLASS IONOMER CEMENT (GC IX) BTL 0
0
246 HANDRUB LIQUID BTL 0
0
247 HANDSCOON PCS 0
0
248 HANDSCOON NON STERIL PCS 0
0
249 HB TEST STRIP PCS 0
0
250 HBig PCS 0
0
251 HUMAN HEXAGON SIPILIS PCS 0
0
252 IMERSION OIL BTL 0
0
253 IMERSION OIL BTL 0
0
254 INFUSION SET ANAK SET 0
0
255 INFUSION SET DEWASA SET 0
0
256 IV NO.18 G SET 0
0
257 IV NO.20 G SET 0
0
258 IV NO.22 G SET 0
0
259 IV NO.24 G SET 0
0
260 KACA SLIDE PCS 0
0
261 KAPAS BOLA MINI PCS 0
0
262 KAPAS GIGI PCS 0
0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0
0
264 KASA KOMPRES STERIL 40X40 BKS 0
0
KASA PEMBALUT HIDROFIL 18 CM X 22 0
265 BKS
CM 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0
0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0
0
268 KERTAS GOLONGAN DARAH LBR 0
0
269 KERTAS SARING LBR 0
0
270 LARUTAN BENEDICT BTL 0
0
271 LARUTAN HCL 0,1N BTL 0
0
272 LARUTAN TURK BTL 0
0
273 LARUTAN ZIELH NELSEN BTL 0
0
274 LISOL BTL 0
0
275 MASKER PCS 0
0
276 MASKER N 95 PCS 0
0
277 METANOL PA BTL 0
0
278 NEEDLE 27 G SET 0
0
279 OAT I (KOMBIPAK) PAKET 0
0
280 OAT KATEGORI ANAK PAKET 0
0
281 OAT KATEGORI I PAKET 2
1 1 2
282 OAT KATEGORI II PAKET 0
0
283 PARAFORMALDEHID TAB 1 G TAB 0
0
284 PIPET TETES PENDEK PCS 0
0
285 PLESTER 1 INCI ROL 0
0
286 PLESTER 7,5 CM x 4,5 M ROL 0
0
287 PLESTER KERTAS PCS 0
0
288 PLESTER PUTIH 10 CM X 5 M ROL 0
0
289 POT FESES TRANSPARAN PCS 0
0
290 POT SPUTUM PCS 0
0
291 PROVEIN 6/0 PCS 0
0
292 RAPID TES NARKOBA 3 PCS 0
0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0
0
294 RDT SIPILIS PCS 0
0
295 REAGEN SIPILIS PCS 0
0
296 SAFETY BOX 2,5 L PCS 0
0
297 SAFETY BOX 5 L PCS 0
0
298 SD HBsAG PCS 0
0
299 SD HIV PCS 0
0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0
0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0
0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0
0
303 SLANG OKSIGEN ANAK SET 0
0
304 SLANG OKSIGEN DEWASA SET 0
0
305 SPECULUM VAGINA DISPOSIBLE PCS 0
0
306 SPIRITUS BAKAR BTL 0
0
307 STIK ASAM URAT PCS 0
0
308 STIK GLUKOSA PCS 0
0
309 STIK KOLESTEROL PCS 0
0
310 SURGICAL BLADE STERIL NO.12 PCS 0
0
311 SURGICAL BLADE STERIL NO.15 PCS 0
0
312 TABUNG VACUTAINER NON EDTA PCS 0
0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL 0
CAIRAN 0
314 TEST HAMIL PCS 0
0
315 TISSUE LENSA PCS 0
0
316 UMBILICAL CORD KLEM STERIL PCS 0
0
317 UNDERPAD PCS 0
0
318 URINE BAG STERIL PCS 0
0
319 USG GEL BLUE BTL 0
0
320 VIKIA ( HIV 3 ) PCS 0
0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0
0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0
0
323 AZITROMISIN TAB 10
TAB 10 10
324 OSELTAMIVIR TAB 40
TAB 15 15 5 5 40
325 KLOROQUIN TAB 0
TAB 0
326 VITAMIN C 500 MG 20
TAB 15 5 20
327 BAJU APD PCS 0
0
328 BOOTS PSG 0
0
329 FACE SHIELD PCS 0
0
330 GOWN PCS 0
0
331 GOOGLE PCS 0
0
332 TUTUP KEPALA PCS 0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN
STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
112 500 612 165 447 247.5
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
163 163 18 145 27
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
314 314 44 270 66
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
195 195 117 78 175.5
10 AMLODIPINE TAB 10 MG TAB
464 464 45 419 67.5
11 AMLODIPINE TAB 5 MG TAB
1074 1200 2274 1411 863 2116.5
12 AMOKSISILIN KAPLET 500 MG TAB
1925 1500 3425 1496 1929 2244
13 AMOKSISILIN KAPSUL 250 MG TAB
0 300 300 130 170 195
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 49 51 100 58 42 87
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
76 50 126 81 45 121.5
17 ANTASIDA DOEN TAB. KOMB. TAB
1419 1419 416 1003 624
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
2 2 1 1 1.5
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 21 0 21 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
0 0 0 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
808 500 1308 385 923 577.5
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB
774 500 1274 366 908 549
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
10 10 0 10 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
183 183 55 128 82.5
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
25 25 25 0 37.5
34 ATAPULGIT TABLET 630 MG TAB
169 500 669 152 517 228
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
321 500 821 580 241 870
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
25 25 16 9 24
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
61 61 10 51 15
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
56 56 4 52 6
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
575 500 1075 429 646 643.5
47 CIPROFLOKSASIN KAPLET 500 MG TAB
547 500 1047 910 137 1365
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
398 500 898 449 449 673.5
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
246 200 446 107 339 160.5
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
974 500 1474 522 952 783
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML AMP
0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
0 0 0 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
0 0 0 0 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
418 500 918 370 548 555
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 11 11 5 6 7.5
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 115 115 11 104 16.5
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
208 208 25 183 37.5
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
136 136 36 100 54
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
303 303 40 263 60
74 GLIMEPIRID TABLET 1 MG TAB
337 500 837 585 252 877.5
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
229 229 0 229 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
20 20 0 20 0
82 HALOPERIDOL TAB. 1,5 MG TAB
345 345 345 0 517.5
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
33 33 9 24 13.5
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 190 300 490 206 284 309
87 IBUPROFEN SUSPENSI BTL
0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
257 500 757 260 497 390
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 205 205 13 192 19.5
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
1087 1000 2087 1351 736 2026.5
95 KAPTOPRIL KAP 12,5 MG TAB
145 145 0 145 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
530 530 60 470 90
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
175 175 60 115 90
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
177 177 0 177 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
26 26 9 17 13.5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
24 24 1 23 1.5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
20 20 8 12 12
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
7 7 4 3 6
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 2678 1000 3678 1027 2651 1540.5
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 907 500 1407 602 805 903
111 KODEIN HCL TAB. 10 MG TAB
110 100 210 110 100 165
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
28 28 7 21 10.5
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
152 152 90 62 135
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
325 325 325 0 487.5
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
610 500 1110 630 480 945
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 162 162 10 152 15
129 METIL PREDNISOLON TAB 4 MG TAB
314 314 120 194 180
130 METILDOPA TABLET TAB
65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
570 570 20 550 30
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
160 160 140 20 210
137 MIKONAZOL SALEP 2 % TUBE
5 5 5 0 7.5
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
4 4 0 4 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
465 1000 1465 1134 331 1701
142 NATRIUM BIKARBONAT TAB 500 MG TAB
87 87 80 7 120
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
922 922 793 129 1189.5
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
46 46 0 46 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
26 26 0 26 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
51 47 98 38 60 57
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2932 3000 5932 3637 2295 5455.5
162 PEKA KRISTAL POT
7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
248 248 105 143 157.5
166 PREDNISON TAB 5 MG TAB
100 500 600 318 282 477
167 PROPANOLOL HCL TAB 10 MG TAB
415 415 124 291 186
168 PROPIL TIOURASIL TAB 100 ML TAB
0 0 0 0 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
1394 1900 3294 2633 661 3949.5
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
905 905 210 695 315
175 RISPERIDON TABLET 2 MG TAB
315 315 0 315 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
1102 500 1602 841 761 1261.5
178 SALEP 2-4 KOMB TAB
38 38 3 35 4.5
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
538 500 1038 480 558 720
187 SIMVASTATIN TABLET 10 MG TAB
0 0 0
188 SIMVASTATIN TABLET 20 MG TAB
300 300 150 150 225
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
1054 1054 993 61 1489.5
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
5 200 205 20 185 30
196 TETAGAM INJ AMP
0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 724 724 70 654 105
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
875 400 1275 540 735 810
201 VAKSIN RABIES VERO AMP
0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
1591 600 2191 900 1291 1350
203 ZINC TABLET TAB
236 200 436 90 346 135
204 ZIRKUM KIDS SIRUP BTL
7 7 7 0 10.5
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL
0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 0 0 0 0
249 HB TEST STRIP PCS
0 0 0 0 0
250 HBig PCS
0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0
274 LISOL BTL
0 0 0 0 0
275 MASKER PCS
500 800 1300 1300 0 1950
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 0 0 0 0
281 OAT KATEGORI I PAKET
2 4 6 2 4 3
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0
323 AZITROMISIN TAB
TAB 40 40 10 30 15
324 OSELTAMIVIR TAB
TAB 1385 1385 40 1345 60
325 KLOROQUIN TAB
TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 1339 1339 20 1319 30
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
O)
: JUNI
: 2021
PERMINTA
ED KET
AN
11 16 17
200
200
800
100
45
50
200
0
0
100
300
15
60
200
1200
300
0
0
500
100
300
25
0
0
200
500
100
10
500
200
100
10
100
0
0
465
100
200
20
2000
100
1000
0
0
50
3000
100
100
100
200
3000
300
500
0
0
200
75
1500
200
300
0
0
0
0
0
0
1300
0
0
0
NAMA OBAT SATUAN
NO
26 27 28 29 30 1 2 3
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
5 5
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
10 4 4
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
39 4 15 5 4
10 AMLODIPINE TAB 10 MG TAB
60
11 AMLODIPINE TAB 5 MG TAB
95 60 80 60 40 30
12 AMOKSISILIN KAPLET 500 MG TAB
185 200 110 140 162 130 135
13 AMOKSISILIN KAPSUL 250 MG TAB
10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
3 5 5 4 5 4
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
2 4 5 4 1 5 5
17 ANTASIDA DOEN TAB. KOMB. TAB
20 30 80 60
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
30 25 35 40 30 70 36
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 50 10 10 10 10
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
27
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
10 20 20 10
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
10
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
2 1 1
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
9
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
56 45 30 50 20 40 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB
40 60 40 30 38 68
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
63 45 30 10 20 80 30
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
3 8 4
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
20 10 56 52
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30 30 60 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
6
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
15 45 15 55
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
15 30 15 45
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
13 10 20 21 5 17
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
10
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
70 60 60 30 60 50 96
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
2
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 120 140 144 140 130 130 140
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
45 45 40 30 90 30
111 KODEIN HCL TAB. 10 MG TAB
10 10 10 10 26 20
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
1 1 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
20 10 19 20
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
90 100 60
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
60 60 49
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
10
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
1
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
80 50 30 80 50
142 NATRIUM BIKARBONAT TAB 500 MG TAB
10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
40 20 20 20 20 20
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
2 2 3 3 3 2 5
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
234 275 236 252 224 267 258
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
10
166 PREDNISON TAB 5 MG TAB
10 10 10 10 3 6
167 PROPANOLOL HCL TAB 10 MG TAB
10 30 30
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
56 182 90 42 74 76 84
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
60
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
65 81 92 85 60 25 30
178 SALEP 2-4 KOMB TAB
1 1 1 1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
30 30 73 120 60
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
60 30 60 60 60 10
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 5 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 30 60 15
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
90 64 80 70 70 130 16
203 ZINC TABLET TAB
30 30
204 ZIRKUM KIDS SIRUP BTL
1
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
1
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
5 10 5 5 10 5 10
30 10 30
15 4 5 15 9 10 4 15 6
10 50 20 20 50 20 50 10
75 60 29 40 35 70 20 60 80 95 40
165 160 180 170 180 166 170 174 170 185 160 150 185
4 4 5 5 4 6
5 1 7 4 7 3 4 6 2 4 6
90 80 75 60 80 100 60 87 10 70 30 30 80
15 51 40 135 110 120 30 20 65 90 56 60 54
30 90 80 100 30 60 29 90 80 40 160
30 30
10 10 10 36 40 10 50
6 10 10 10 10 10 10
2 4 2 2 2 1 2
30 15 30 45 50 60 80 15 60 60 65 80
50 70 30 10 40 40 60 70 57 120 60
20 30 70 10 60 80 30 30 60 30
4 5 3 30 3 3
85 75 90 106 90 85 52 75 30 67 72 50
60 30 30 30
10 12 10 10
10
15 9 10 13 5 16
18 40 15 30 30
50 35 65 15 22 45 55 30 45 45 40
40 30 30 50 10
10
6 16 4 10 5 21 6 6 5 16
19 10 10 30 20
10 10 20 20 25 15 20
150 60 30 60 60 80 60 70 80 80 160 60 30
20
30
10 10
4 2 1 2 1 1
1 1 2
1 1
125 83 40 90 60 130 157 140 138 149 120 150
30 15 30 50 60 30 60 30
10 15 15 10
1 1 1 1
10 30 10 10 10
60 60 90 60 60 90 30
16
20 10 10 20 10 20 30
9
106 73 54 80 30 50 86 76 30 112 75 157 144
50 30 20 14 30 20 60 20 30 20 50 30 30
5 4
1 1 1
6 2 5 3 5 5 5 3 5 3 4
194 272 222 210 285 205 255 252 296 295 153 252 234
5 3 5 5 5 5 5
30 30 30 60 60 39
140 100 80 70 80 62 170 94 142 108 106 182 153
30 30 30 30
109 25 25 35 100 100 60 80 45 80 35 85 90
1 2 2 2 1 1 2 1 2
80 90 80 90 120 120 10 10 80 110 20
20 10 10 10 10 30
30 30 60 30 30 60 10 30 60 210 31
5 10 5
30 30 60 60 30 30 60 30 60
110 100 80 56 50 100 90 192 60 54 60 80
49 31 50 20 20 6 14 46
2 1 1 2 2
1
10 5 20
REKAPITULASI PEMAKAIAN
JULI
20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
5 5 70
22
70
20 10 180
50 60 9 409
63 40 50 85 1207
180 180 170 190 3997
10 26
4 5 6 69
1 6 3 8 93
40 65 40 1187
3 3
0
0
60 60 116 16 1364
120 100 30 32 1191
11 98
29 10 265
10 10 96
2 2 1 24
55 45 55 60 1066
60 30 40 124 1137
0
0
31 25 20 774
63
88 40 40 30 1213
30 330
42
20
5 10 89
133
50 25 45 25 722
0
0
160
10 125
8 4 40 233
10 20 10 139
20 27 167
30 30 70 20 1556
20
30
10 30
0
0
1 1 15
2 3
107 83 80 76 2672
30 60 20 695
20 32 40 228
1 8
10 10 159
90 50 120 960
16
10 299
0
19
20 20
1 1 2
62 72 66 160 1723
10
30 10 30 10 624
1 10
1 4
0
0
2 3 2 2 75
225 202 268 265 5831
5 20
5 5 92
30 10 359
166 114 140 141 2652
30 210
70 65 60 61 1563
18
0
0
10 40 20 1193
10 20 120
60 60 40 70 1091
5 4 10 54
60 60 645
70 64 140 30 1856
30 52 10 388
1 1 11
0
0
0
0
0
0
0
0
0
0
10 45
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
70
22
70
180
409
1207
3997
26
69
93
1187
0
0
1364
1191
98
265
96
24
1066
1137
0
0
774
63
1213
330
42
20
89
133
722
0
0
160
125
233
139
167
1556
20
30
30
0
0
15
2672
695
228
159
960
16
299
0
19
20
1723
10
624
10
0
0
75
5831
20
92
359
2652
210
1563
18
0
0
1193
120
1091
54
645
1856
388
11
0
0
0
0
0
0
0
0
0
0
45
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN
STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB
477 477 70 407 210
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 257 257 22 235 66
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
270 270 70 200 210
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
78 200 278 180 98 540
10 AMLODIPINE TAB 10 MG TAB 419 419 409 10 1227
11 AMLODIPINE TAB 5 MG TAB
863 600 1463 1207 256 3621
12 AMOKSISILIN KAPLET 500 MG TAB
1929 2500 4429 3997 432 11991
13 AMOKSISILIN KAPSUL 250 MG TAB 170 170 26 144 78
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 42 51 93 69 24 207
AMOKSISILIN SIRUP KERING 250
15 BTL 0 0 0 0 0
MG/ML
16 ANTASIDA DOEN SUSPENSI BTL
45 50 95 93 2 279
17 ANTASIDA DOEN TAB. KOMB. TAB
1003 700 1703 1187 516 3561
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 1 22 23 3 20 0 9
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 13 13 0 13 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
100 100 0 100 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 923 550 1473 1364 109 4092
25 ASAM FOLAT TABLET 1 MG TAB 0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB
908 300 1208 1191 17 3573
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 10 10 0 10 0
29 ASAM VALPROAT TAB 250 MG TAB 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
128 128 98 30 294
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
0 0 0 0 0
34 ATAPULGIT TABLET 630 MG TAB 517 517 265 252 795
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
241 241 96 145 288
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE 9 25 34 24 10 72
39 BISAKODIL 10 MG SUP TAB 0 0 0 0 0
40 BISAKODIL TABLET TAB
51 51 9 42 27
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP 0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
646 700 1346 1066 280 3198
47 CIPROFLOKSASIN KAPLET 500 MG TAB
137 1000 1137 1137 0 3411
48 CURCUMA TABLET 200 MG TAB 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
449 400 849 774 75 2322
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 192 192 63 129 189
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP 0 0 0 0 0
ML
54 DIGOKSIN TAB. 0,25 MG TAB 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 952 500 1452 1213 239 3639
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB 0 0 0 0 0
59 ERITHROMISIN SIRUP BTL 0 0 0 0 0
60 EUGENOL CAIRAN BTL 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
0 0 0 0 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
515 515 330 185 990
FENOL GLISEROL TETES TELINGA 10
64 BTL 6 6 0 6 0
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB 104 104 42 62 126
10 MG
68 FLUCONAZOL KAPSUL KAP 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB 65 65 20 45 60
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
100 100 89 11 267
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 263 263 133 130 399
74 GLIMEPIRID TABLET 1 MG TAB 252 600 852 722 130 2166
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 229 229 160 69 480
79 GRISEOVULFIN TABLET 500 MG TAB 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
30 30 0 30 0
82 HALOPERIDOL TAB. 1,5 MG TAB 135 135 125 10 375
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 0 0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE 33 33 2 31 6
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 284 284 233 51 699
87 IBUPROFEN SUSPENSI BTL
8 8 0 8 0
88 IBUPROFEN TAB. 200 MG TAB 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB 497 497 139 358 417
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 192 192 167 25 501
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 736 1150 1886 1556 330 4668
95 KAPTOPRIL KAP 12,5 MG TAB
145 145 20 125 60
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 538 538 30 508 90
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
180 100 280 30 250 90
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 177 177 0 177 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 17 17 15 2 45
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0 0 0 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
12 12 3 9 9
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
3 3 2 1 6
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB 2651 500 3151 2672 479 8016
MG
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 1383 1000 2383 1695 688 5085
111 KODEIN HCL TAB. 10 MG TAB
38 300 338 228 110 684
112 KODEIN HCL TAB. 20 MG TAB 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 21 21 8 13 24
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
62 200 262 159 103 477
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
480 500 980 960 20 2880
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 152 152 16 136 48
129 METIL PREDNISOLON TAB 4 MG TAB 194 300 494 299 195 897
130 METILDOPA TABLET TAB
65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 550 550 19 531 57
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
20 20 20 0 60
137 MIKONAZOL SALEP 2 % TUBE
8 11 19 2 17 6
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 4 4 1 3 3
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
331 1700 2031 1723 308 5169
142 NATRIUM BIKARBONAT TAB 500 MG TAB 79 79 10 69 30
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 129 1000 1129 624 505 1872
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL 0 0 0 0 0
STERIL
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
46 46 10 36 30
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB 0 0 0 0 0
150 OBAT ANTI MALARIA TAB 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
26 26 4 22 12
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0
154 OMEPRAZOL TAB KAP 10 10 0 10 0
155 ONDANSETRON KAPSUL 8 MG KAP
28 28 0 28 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 60 39 99 75 24 225
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2295 4300 6595 5831 764 17493
162 PEKA KRISTAL POT
7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 189 100 289 20 269 60
166 PREDNISON TAB 5 MG TAB
282 100 382 92 290 276
167 PROPANOLOL HCL TAB 10 MG TAB
291 100 391 359 32 1077
168 PROPIL TIOURASIL TAB 100 ML TAB 0 0 0 0 0
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
661 2500 3161 2652 509 7956
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB 315 700 1015 210 805 0 630
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
761 950 1711 1563 148 4689
178 SALEP 2-4 KOMB TAB 35 35 18 17 54
179 SALISIL BEDAK 2 % SACCH 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL 0 0 0 0 0
I)
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
558 1000 1558 1193 365 3579
187 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB 150 150 120 30 0 360
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB 61 3780 3841 1091 2750 3273
194 TABLET TAMBAH DARAH KOMB TAB 0 0 0 0 0
195 TEOFILIN SR TAB 255 255 0 255 0
196 TETAGAM INJ AMP
0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB 714 714 54 660 162
TAB 50 MG
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
735 700 1435 1105 330 3315
201 VAKSIN RABIES VERO AMP
0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 1291 800 2091 1856 235 5568
203 ZINC TABLET TAB 346 300 646 388 258 1164
204 ZIRKUM KIDS SIRUP BTL 0 18 18 11 7 33
205 MERLOPAM TAB 200 200 200
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL
0 0 0 0 0
207 VAKSIN DPT HB VIAL 0 0 0 0 0
208 VAKSIN DT VIAL 0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL 0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0
222 ANTI SERA B BTL 0 0 0 0 0
223 AQUA DEST BTL 0 0 0 0 0
224 ASEPTIC GEL BTL 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0
227 BD VACUTAINER PCS 0 0 0 0 0
228 BLOOD LANSET PCS 0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH 0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL 0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS 0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS 0 0 0 0 0
248 HANDSCOON NON STERIL PCS 0 0 0 0 0
249 HB TEST STRIP PCS
0 0 0 0 0
250 HBig PCS
0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL 0 0 0 0 0
253 IMERSION OIL BTL 0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET 0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0
261 KAPAS BOLA MINI PCS 0 0 0 0 0
262 KAPAS GIGI PCS 0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR 0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL
0 0 0 0 0
275 MASKER PCS
0 1000 1000 1000 0 3000
276 MASKER N 95 PCS 0 0 0 0 0
277 METANOL PA BTL 0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
0 2 2 0 2 0
281 OAT KATEGORI I PAKET
4 4 2 2 6
282 OAT KATEGORI II PAKET 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS 0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0
297 SAFETY BOX 5 L PCS 0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL 0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
314 TEST HAMIL PCS 0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL 0 0 0 0 0
ML
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB TAB 12 12 0 12 0
324 OSELTAMIVIR TAB TAB 160 160 45 115 135
325 KLOROQUIN TAB
TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 4 4 0 4 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
AN OBAT ( LPLPO )
BULAN : JULI
TAHUN : 2021
PEMBERIAN
PERMINTA
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
100
300
200
1800
5000
100
140
1700
0
2000
1700
200
300
200
36
1500
1700
1100
0
0
1800
500
100
100
200
1000
200
200
0
3
300
200
100
2300
100
22
10
4000
1000
300
0
0
12
200
1400
500
30
2500
0
900
15
100
8000
100
200
500
4000
0
0
300
2300
27
1700
180
1600
100
700
2700
600
16
0
0
0
0
1000
0
0
0
0
100
0
NAMA OBAT SATUAN
NO
26 27 28 29 30 31 1 2
OBAT
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
10 10 10 20
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
20 4 5 30 4
10 AMLODIPINE TAB 10 MG TAB
5 6 15
11 AMLODIPINE TAB 5 MG TAB
40 25 20 34 30 46 45
12 AMOKSISILIN KAPLET 500 MG TAB
170 50 180 30 70 225 80
13 AMOKSISILIN KAPSUL 250 MG TAB
10 40 10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
2 1 3
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
2 5 6 5 8 7
17 ANTASIDA DOEN TAB. KOMB. TAB
10 60 10 10 60
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
3 1
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
42 50 40 10 10 42 76
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
10 10 10 60 20
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
3
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
25
34 ATAPULGIT TABLET 630 MG TAB
10 20 10
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
20 10 20 30 10 60 30
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
2 2 2 3
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
20 35 41
47 CIPROFLOKSASIN KAPLET 500 MG TAB
20 30 20 50 30 80 40
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
70 5 10 14 20 10 20
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
4 2 9
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
10 20 22 10 20
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30 30 20 60 20
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG 7
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
5 4 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 2 MG TAB
30 30 30 20 55
75 GLIMEPIRID TABLET1 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
10 12 22 16 12 8
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
50 10 21
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
25 70 30 30 50 100
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
10
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
2 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 86 10 100 83 20 90 40
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
90 75 60 30 30 30
111 KODEIN HCL TAB. 10 MG TAB
10 22 10 15 24 20
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
10 10 18 10
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
90 20 60 60
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
10 10 20
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
1
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
106 20 140 74 90 140 100
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
10 20 30 20 40 20 30
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
1 1 2
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
4
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
3 1 1 3
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
176 110 210 149 82 340 196
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
10 20
166 PREDNISON TAB 5 MG TAB
20 15
167 PROPANOLOL HCL TAB 10 MG TAB
30
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
76 110 58 104 125 91
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
50 10 35 30 10 45 15
178 SALEP 2-4 KOMB TAB
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
30 50 10 30 30 10 60
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
60 130 70 40 40 150
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 10 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 30 30 30 30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
78 110 22 30 60 42 80
203 ZINC TABLET TAB
28 48 20 6 31
204 ZIRKUM KIDS SIRUP BTL
1 1
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
1
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB 5
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
10 10 30 10
6 4 6 4
30 30
8 5 7 4 18 7 10 10 20 10
10 8 10 15 30 30 5 15 35 25 47 25
13
120 90 80 102 100 82 104 70 10 115 148 140
10 10 10 10
1 1 1 2 2 2
2 1 1 3 5 3 5 2 3 3 2 4
30 10 20 25 10 20 10 20 10
34
20 20 10 30 20 40 10 70 30 5 50
10 10 30 20 10 10 10 10
5 30
10 10 30 30 10 10
20 10 50 30 20 56 20 30 10 110 20
30 10 10 6
60 40 26 30 70 40 20 20 30
30 20 40 30 40 6 20 10 30 10 30
6 5 15 3 5
30 20 30 20 20 30 52 10 14 34 10
30 30 90
10
10 10 6
5 4
20
35 30 25 30 35 15 15 15 50
10
1 1 1
14 22 4 19 25 7 5 5 10
20 20 10
10
50 56 40 20 15 70 70 10 70 60
30
10 20 20
1 1 1
46 36 96 40 70 51 30 40 30 60 90 136
30 30 30 30 52 60
54 10 30 10 14 10 14 24 28
1 1 2 1
10 10 32 8 10 10
50 30 30 40
10 10 6 10 10 10
10
2 1 1 3 1 2
132 82 70 90 92 184 46 84 20 50 92 50
20 32 15 10 58 22 50 20 30 44 30
1 1 1
3 1 1 2 1 1
160 190 178 260 201 154 164 210 145 140 274 199
20
6 6 6 20 22 28 32
30 30
86 85 84 106 108 193 56 90 142 16 142 88
30 20
25 55 50 45 45 16 50 60 15 46 102 35
1 3 1 3
40 1 40 50 10 10 40 50 60 30
90 60 120 30 70 130 130
10 10
30 30 30 30 30 60
10 10 52 30 40 51 26 60 40 50 71 70
10 6 30 10 28 10
1 1 1
5
1
REKAPITULASI PEMAKAIAN
AGUSTUS 2021
19 20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
10 10 130
6 26
60
15 8 12 10 207
35 52 17 30 15 20 450
253
45 25 50 80 133 62 2361
10 10 120
1 4 2 19
4 3 3 6 4 5 92
20 20 10 20 375
3 7
0
0
34
20 20 20 635
10 20 24 20 10 304
15 53
25 50
10 10 10 170
30 10 40 20 20 676
1 10
6 6
10 162
10 20 20 20 30 10 716
0
0
10 10 10 46 10 501
5 3 57
25 30 30 10 447
60 370
1 1
10 27
6 3 10 55
5 9 37
20
20 15 15 30 15 510
0
0
10
1 2 7
10 23 10 20 20 274
10 141
10
40 30 10 40 80 20 986
30
10 10 80
0
0
1 5
1 1
2 1 1 4
70 45 16 60 94 10 1449
60 60 667
10 30 10 345
10 20 10 10 178
10 30 420
10 10
10 10 116
0
10
1 12
20 52 12 60 80 52 1938
30 20 30 30 20 631
1 8
0
0
1 2 1 21
110 129 106 224 149 40 4296
10 60
7 162
90
54 62 110 156 48 56 2246
30 80
30 30
20 10 38 15 822
1 9
0
0
20 30 20 40 20 681
60 30 90 150 1450
40
60 60 480
20 35 66 30 52 45 1180
20 10 257
0
0
0
0
0
0
1 2
0
0
0
0
10
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
130
26
60
207
450
253
2361
120
19
92
375
0
0
34
635
304
53
50
170
676
10
162
716
0
0
501
57
447
370
27
55
37
20
510
0
0
10
274
141
10
986
30
80
0
0
1449
667
345
178
420
10
116
0
10
12
1938
631
0
0
21
4296
60
162
90
2246
80
30
822
0
0
681
1450
40
480
1180
257
0
0
0
0
0
0
0
0
0
0
10
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OB
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB 407 407 130 277 195
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 235 235 26 209 39
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 200 100 300 60 240 90
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 98 300 398 207 191 310
10 AMLODIPINE TAB 10 MG TAB 10 900 910 450 460 675
11 AMLODIPINE TAB 5 MG TAB
256 256 253 3 380
12 AMOKSISILIN KAPLET 500 MG TAB
432 2650 3082 2361 721 3541
13 AMOKSISILIN KAPSUL 250 MG TAB 144 144 120 24 180
AMOKSISILIN SIRUP KERING 125
14 BTL 24 52 76 19 57 28
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
2 100 102 92 10 138
17 ANTASIDA DOEN TAB. KOMB. TAB 516 650 1166 375 791 562
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 0 0 0 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
13 30 43 7 36 10
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 100 100 34 66 51
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
109 1850 1959 635 1324 952
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 17 1000 1017 304 713 456
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 10 10 0 10 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
30 200 230 53 177 80
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
0 300 300 50 250 75
34 ATAPULGIT TABLET 630 MG TAB
252 300 552 170 382 255
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
145 1000 1145 676 469 1014
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
10 10 10 0 15
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
42 42 6 36 9
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 280 280 162 118 243
47 CIPROFLOKSASIN KAPLET 500 MG TAB 0 800 800 716 84 1074
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
75 800 875 501 374 752
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 129 129 57 72 86
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 239 1000 1239 447 792 671
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML
AMP 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
0 300 300 0 300 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 0 0 0 0 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
185 500 685 370 315 555
FENOL GLISEROL TETES TELINGA 10
64 BTL 6 17 23 1 22 2
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP 0 0 0 0 0
1 ML
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 62 100 162 27 135 40
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
45 70 115 55 60 82
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 11 200 211 37 174 55
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
130 200 330 20 310 30
74 GLIMEPIRID TABLET 1 MG TAB
130 1000 1130 510 620 765
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
69 69 10 59 15
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0 0 0 0 0
MG/ML
81 HALOPERIDOL 5 MG/ML AMP 30 30 0 30 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 0 0 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE 31 15 46 7 39 10
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 51 300 351 274 77 411
MG
87 IBUPROFEN SUSPENSI BTL
8 8 0 8 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
358 200 558 141 417 211
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 25 100 125 10 115 15
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
330 1800 2130 986 1144 1479
95 KAPTOPRIL KAP 12,5 MG TAB 125 125 0 125 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
508 508 30 478 45
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB 250 250 80 170 120
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 2 24 26 5 21 8
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 15 15 1 14 2
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
9 20 29 5 24 8
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
1 10 11 4 7 6
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 479 1600 2079 1449 630 2173
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB 688 500 1188 667 521 1000
MG
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
111 KODEIN HCL TAB. 10 MG TAB
110 200 310 250 60 375
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 13 30 43 6 37 9
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
103 200 303 178 125 267
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
20 1000 1020 420 600 630
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 136 136 10 126 15
129 METIL PREDNISOLON TAB 4 MG TAB 195 100 295 116 179 174
130 METILDOPA TABLET TAB 65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 531 531 10 521 15
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
17 17 12 5 18
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 3 12 15 2 13 3
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
308 1800 2108 1938 170 2907
142 NATRIUM BIKARBONAT TAB 500 MG TAB 69 69 0 69 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 505 900 1405 631 774 946
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
36 80 116 0 116 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
22 22 8 14 12
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0 0 0 0
154 OMEPRAZOL TAB KAP
10 10 10 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
28 28 0 28 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 24 50 74 21 53 31
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
764 7000 7764 4296 3468 6444
162 PEKA KRISTAL POT 7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
269 100 369 60 309 90
166 PREDNISON TAB 5 MG TAB
290 200 490 162 328 243
167 PROPANOLOL HCL TAB 10 MG TAB 32 200 232 90 142 135
168 PROPIL TIOURASIL TAB 100 ML TAB 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
509 2500 3009 2246 763 3369
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 500 500 110 390 165
175 RISPERIDON TABLET 2 MG TAB
0 0 0 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 148 1000 1148 822 326 1233
178 SALEP 2-4 KOMB TAB
17 24 41 9 32 13
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0 0 0 0 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 365 2000 2365 681 1684 1021
187 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2750 2750 1450 1300 2175
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 660 100 760 40 720 60
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 330 700 1030 480 550 720
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 235 1250 1485 1180 305 1770
203 ZINC TABLET TAB
258 258 257 1 385
204 ZIRKUM KIDS SIRUP BTL
7 7 5 2 0 8
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 700 700 0 700 700
249 HB TEST STRIP PCS 0 0 0 0 0
250 HBig PCS 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 0 0 0 0 0
276 MASKER N 95 PCS
0 1000 1000 0 1000 1000
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0
281 OAT KATEGORI I PAKET
2 2 2 0 3
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 115 115 10 105 15
325 KLOROQUIN TAB TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 4 4 1 3 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
EMBAR PERMINTAAN OBAT ( LPLPO )
BULAN : AGUSTUS
TAHUN : 2021
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
100
200
400
2800
200
100
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
500
25
200
1000
400
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
200
145
100
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
300
300
300
100
10
1543
500
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
300
200
100
13
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
2737
200
1000
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
2600
900
875
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
200
1500
384
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
700
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
1000
-2
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
26 27 28 29 30 31 1 2
OBAT
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
30 10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
10 AMLODIPINE TAB 10 MG TAB
50 10 42 27 5 15
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
170 70 50 62 120 134 90
13 AMOKSISILIN KAPSUL 250 MG TAB
20
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
4 2 1 2 2
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
4 3 1 2 1
17 ANTASIDA DOEN TAB. KOMB. TAB
20 30 70 50 40 30 50
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
12
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
50 10 26 20
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 20 10 20 20 30
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
10
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
10 20 20 20 20 10
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
3 4
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
6
47 CIPROFLOKSASIN KAPLET 500 MG TAB
10 20 20 20
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
20 33 10 10 10 50 20
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
30
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
10 10 54 10 20
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30 30 50
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG 10
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10 10 6 3 6
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
2
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
40 15 15 90
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
2 1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
5 4 10 6 24
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
10 10 10 10
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
50 110 20 10 30 12 50
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
30
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
20
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
1 1
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 25 34 26 36 125 50 80
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30 75 60
111 KODEIN HCL TAB. 10 MG TAB
20 10 12
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
6
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
30 30 150
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
10 10
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
20 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
2
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
1
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
82 40 50 52 10
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
50 20 20 20 60 10
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
1 4 3 2 3
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
245 114 120 132 100 111 130
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
16 10 10
166 PREDNISON TAB 5 MG TAB
10
167 PROPANOLOL HCL TAB 10 MG TAB
30
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
92 34 132 70 76 54 92
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
90
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
40 15 35 40 35 60 36
178 SALEP 2-4 KOMB TAB
1 1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
10 80 10 40 50 20 30
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
40 150 10 30 30 70
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 20 10 10 30
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 60 60
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
20 70 30 40 30 60 52
203 ZINC TABLET TAB
8
204 ZIRKUM KIDS SIRUP BTL
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB
TAB
324 OSELTAMIVIR TAB
TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
333 Vitamin C 250 mg 12
REK
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
20 5 10 10 10 40 10
35 30
25 4 5 15 15 20
17 20 10 15 13 37 38 20 10 22 45 20 5 10
60 90 52 45 161 20 125 80 93 100 60 40 50
14 10 10 10
1 1 1 2 1 1 2 1 2 1
4 3 3 3 3 2 2 1 4
60 100 40 88 80 10 20 40 10 30 20 20
1 1 3
10 51 30 6 15 38 50 10 22 20 10
10 20 30 42 70 20 20 10
32
10 6 5 16 10 10
50 10 20 20 10 30 50 16 30 10 10 10
10
10 10
10 30 30 10 10 10
40 70 19 30 10 13 30 13 50 46 46 20 3 11
5 20 2 5 5 3
30 10 20 34 10 22 20 10
60 30 30 30 30 30 60 30
10 5 6
3 3 5 5
15 30 40 30 15 30 30 55 45 40 20 35
15 15 15 15 15
10
1 1 1 1 1 1 3 1 4 1 1 1
6 4 6 5 21 5 4 10 6
1 20 30
1 8 10
20 20 100 60 40 85 20 10 90 40 50 21
10 10 20 10 10
1 1 1
1 1 1 2
2 1
1 1 1 1
70 75 49 30 69 34 44 31 36 33 49 40 55 53
30 30 75 60 30 30 30 60 30
10 5 10
1 2 1
10 22 10 10 20 10 10
30 30 10
10 10 10 10 10 10 10
10
1 2 4 1
70 30 22 20 82 10 38 10 30 56 16 30 20 30
10
20 40 30 20 50 50 20 30 25 10 40
1 1 2 5
140 160 116 95 129 74 186 122 82 91 142 90 122 126
26 4 20 10 30
15 12 10 20 12 2
30
54 68 74 76 72 100 148 79 108 138 110 100 26 106
30 30 30
30 80 35 65 40 15 20 11 15 45 30 20 38
20 10 85 70 40 20 70 20 30 60 80 50 10 10
20 20 40
60 150 100 30 40 120 40 30 160 80 30 40
20 20 10 20 20 10 70 40
30 30 50 20 60 30 30 30 30 30
35 10 10 20 10 38 20 10 22 40 40 20 100 60
32 6 10
1
REKAPITULASI PEMAKAIAN
Sep-21
20 19 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
20 165
75
5 5 94
20 5 15 40 90 30 631
60 60 35 60 50 1937
20 84
2 2 1 1 1 31
7 5 3 2 5 4 62
10 40 858
12
10 20 398
20 21 30 423
42
10 10 10 87
20 11 10 20 10 10 447
2 19
26
28 30 228
40 12 3 3 20 35 667
0
15 85
20 10 20 310
30 20 460
1 1 3
31
15 56
2 10 30
30 20 30 80 705
0
10 10
75
1 20 20 51
2 3 1 27
5 19 15 155
10 101
20 39
100 30 20 40 70 30 1128
30
10 10 100
3
1 1 8
1 5
1 7
25 23 56 57 106 85 1396
30 570
20 87
2 6
10 13 121
60 40 60 20 460
10 10 110
0
0
40
1 11
32 10 12 40 36 26 854
10 20
10 20 30 10 60 30 675
0
1 1 1 1 1 27
136 132 90 115 136 136 3372
20 10 10 10 10 186
5 3 5 94
10 70
88 58 81 40 128 82 2286
30 210
50 55 30 35 20 895
1 1 1 5
0
90 30 20 30 140 20 1145
80
140 50 30 190 50 1670
20 10 10 20 30 370
20 510
20 20 30 30 90 50 977
20 11 87
0
0
0
0
0
0
0
0
0
0
0
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
165
75
94
631
1937
84
31
62
858
12
398
423
42
87
447
19
26
228
667
0
85
310
460
31
56
30
705
0
10
75
51
27
155
101
39
1128
30
100
3
8
1396
570
87
121
460
110
0
0
40
11
854
20
675
0
27
3372
186
94
70
2286
210
895
0
1145
80
1670
370
510
977
87
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB 277 277 165 112 247
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 209 209 3 206 5
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 240 240 75 165 112
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 191 100 291 94 197 141
10 AMLODIPINE TAB 10 MG TAB 460 300 760 631 129 946
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
721 3000 3721 1937 1784 2905
13 AMOKSISILIN KAPSUL 250 MG TAB 24 200 224 84 140 126
AMOKSISILIN SIRUP KERING 125
14 BTL 57 57 31 26 46
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
10 50 60 60 0 90
17 ANTASIDA DOEN TAB. KOMB. TAB 791 791 789 2 1183
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 23 23 1 22 2
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
36 36 5 31 8
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 66 66 12 54 18
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
1324 1324 398 926 597
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 713 713 423 290 634
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 10 10 1 9 2
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
177 177 42 135 63
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
250 250 0 250 0
34 ATAPULGIT TABLET 630 MG TAB
382 382 87 295 0 131
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
469 469 447 22 670
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
36 36 19 17 28
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 118 200 318 26 292 39
47 CIPROFLOKSASIN KAPLET 500 MG TAB 84 1000 1084 228 856 342
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
374 400 774 667 107 1000
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 72 200 272 85 187 128
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 792 792 310 482 465
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML
AMP 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
300 300 0 300 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 0 200 200 0 200 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
315 200 515 460 55 690
FENOL GLISEROL TETES TELINGA 10
64 BTL 22 22 3 19 5
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP 0 0 0 0 0
1 ML
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 135 135 31 104 47
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
60 200 260 56 204 84
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 174 174 30 144 45
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
310 310 0 310 0
74 GLIMEPIRID TABLET 2 MG TAB
620 200 820 705 115 1057
75 GLIMEPIRID TABLET 1 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
59 100 159 10 149 15
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0 0 0 0 0
MG/ML
81 HALOPERIDOL 5 MG TAB 30 500 530 75 455 112
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 150 150 51 99 76
84 HIDROKORTISON KRIM 2,5 % TUBE 39 39 27 12 40
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 77 300 377 155 222 232
MG
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
417 417 101 316 151
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 115 115 39 76 58
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
1144 300 1444 1128 316 1692
95 KAPTOPRIL KAP 12,5 MG TAB 125 125 0 125 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
478 478 30 448 45
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB 170 100 270 100 170 150
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 21 21 3 18 5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 14 14 8 6 12
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
24 24 5 19 8
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
7 10 17 7 10 11
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 630 1500 2130 1396 734 2094
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB 521 500 1021 570 451 855
MG
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
111 KODEIN HCL TAB. 10 MG TAB
60 500 560 87 473 130
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 37 37 6 31 9
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
125 200 325 121 204 182
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
600 100 700 460 240 690
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 126 126 0 126 0
129 METIL PREDNISOLON TAB 4 MG TAB 179 179 110 69 165
130 METILDOPA TABLET TAB 65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 521 521 40 481 60
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
5 13 18 11 7 17
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 13 13 1 12 2
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
170 2800 2970 854 2116 1281
142 NATRIUM BIKARBONAT TAB 500 MG TAB 69 69 20 49 30
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 774 200 974 675 299 1012
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
116 116 0 116 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
14 14 0 14 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 53 53 27 26 40
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
3468 1000 4468 3372 1096 5058
162 PEKA KRISTAL POT 7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
309 309 186 123 279
166 PREDNISON TAB 5 MG TAB
328 328 94 234 141
167 PROPANOLOL HCL TAB 10 MG TAB 142 142 70 72 105
168 PROPIL TIOURASIL TAB 100 ML TAB 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
763 2600 3363 2286 1077 3429
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
390 390 210 180 315
175 RISPERIDON TABLET 2 MG TAB
0 0 0 0 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 326 900 1226 895 331 1342
178 SALEP 2-4 KOMB TAB
32 32 5 27 8
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0 0 0 0 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1684 1684 1145 539 1717
187 SIMVASTATIN TABLET 10 MG TAB 0 600 600 80 520 120
188 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
1300 3780 5080 1670 3410 2505
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 720 720 370 350 555
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 550 200 750 510 240 765
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 305 1500 1805 977 828 1465
203 ZINC TABLET TAB
1 500 501 87 414 131
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
700 700 1400 1400 0 2100
249 HB TEST STRIP PCS 0 0 0 0 0
250 HBig PCS 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 1000 1000 2000 2000 0 3000
276 MASKER N 95 PCS
0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0
281 OAT KATEGORI I PAKET
2 2 1 1 2
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 105 105 0 105 0
325 KLOROQUIN TAB TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
AN OBAT ( LPLPO )
BULAN : SEPTEMBER
TAHUN : 2021
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
135
817
1121
20
90
1181
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
300
200
600
11
800
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
600
500
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
28
1300
12
1300
400
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
100
500
100
25
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
700
14
4000
100
100
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
2300
200
1000
1000
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
200
500
637
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
2100
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
3000
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
REKAPITULASI PEMAKAIAN
OKTOBER 2021
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
27 28 29 30 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### apotik
OBAT 1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0
0
3 ALOPURINOL TAB. 100 MG TAB 35
10 10 15 35
4 ALPRAZOLAM TAB 0,25 MG TAB 0
0
5 ALPRAZOLAM TAB 0,5 MG TAB 5
5 5
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0
0
7 AMINOFILIN TAB. 150 MG TAB 0
0
8 AMINOFILIN TAB. 200 MG TAB 50
30 20 50
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 195
25 30 15 25 15 20 20 25 20 195
10 AMLODIPINE TAB 10 MG TAB 874
70 40 35 10 65 26 50 30 20 10 40 30 17 15 60 30 50 70 56 35 75 40 874
11 AMLODIPINE TAB 5 MG TAB 0
0
12 AMOKSISILIN KAPLET 500 MG TAB 1715
90 40 20 65 80 75 130 50 60 35 60 80 80 40 70 40 40 100 150 160 40 140 70 2O 1715
13 AMOKSISILIN KAPSUL 250 MG TAB 70
10 10 10 30 10 70
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 35
2 4 1 1 1 3 3 1 2 2 4 2 2 2 1 2 3 35
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0
0
16 ANTASIDA DOEN SUSPENSI BTL 80
1 2 1 7 6 5 5 2 2 5 4 1 3 2 3 2 4 5 3 2 10 5 80
17 ANTASIDA DOEN TAB. KOMB. TAB 616
60 30 40 20 20 10 30 30 20 30 20 40 10 40 20 36 20 90 20 10 20 616
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0
0
19 ANTI FUNGI DOEN KOMB. POT 0
0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0
0
21 ANTI MIGRAIN DOEN KOMB. TAB 0
0
22 AQUA PRO INJEKSI STERIL BTL 0
0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0
0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 567
30 10 10 50 20 50 10 46 40 30 50 29 40 60 32 30 10 20 567
25 ASAM FOLAT TABLET 1 MG TAB 0
0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 430
30 10 10 10 20 20 10 10 10 20 20 10 20 20 30 30 30 20 10 50 20 20 430
27 ASAM TRANEKSAMAT INJEKSI AMP 0
0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 1
1 1
29 ASAM VALPROAT TAB 250 MG TAB 0
0
30 ASETOSAL TAB. 100 MG TAB 0
0
31 ASETOSAL TAB. 80 MG TAB 105
30 15 15 10 25 5 5 105
32 ASIKLOVIR KRIM 5 % AMP 0
0
33 ASIKLOVIR TAB. 400 MG TAB 147
30 20 20 20 37 20 147
34 ATAPULGIT TABLET 630 MG TAB 0
0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0
0
36 BETAHISTIN TAB 6 MG TAB 90
4 10 6 30 20 20 90
37 BETAMETASON DOPROPIONATE KRIM TUBE 0
0
38 BETAMETASON KRIM 0,1% TUBE 0
0
39 BISAKODIL 10 MG SUP TAB 0
0
40 BISAKODIL TABLET TAB 4
4 4
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0
0
42 CANDESARTAN TABLET 16 MG TAB 0
0
43 CEFIXIME KAPSUL 200 MG TAB 0
0
44 CENDO LYTEER TETES MATA STRIP 0
0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0
0
46 CETIRIZIN TABLET 10 MG TAB 0
0
47 CIPROFLOKSASIN KAPLET 500 MG TAB 230
10 10 30 10 20 20 10 30 10 10 10 30 10 20 230
48 CURCUMA TABLET 200 MG TAB 0
0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0
0
50 DEKSAMETASON TAB. 0,5 MG TAB 574
36 20 10 40 10 63 10 20 26 10 36 30 10 20 60 20 30 30 40 53 574
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0
0
52 DIAZEPAM TAB. 2 MG TAB 35
5 15 3 3 5 4 35
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0
0
54 DIGOKSIN TAB. 0,25 MG TAB 0
0
55 DOMPERIDON TABLET 10 MG TAB 63
10 10 10 10 10 3 10 63
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0
0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 AMP 0
0,1% ML 0
58 ERITHROMISIN KAPSUL 500 MG TAB 25
15 10 25
59 ERITHROMISIN SIRUP BTL 0
0
60 EUGENOL CAIRAN BTL 0
0
61 FENITOIN NATRIUM KAP.100 MG KAP 60
30 30 60
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0
0
63 FENOBARBITAL TAB. 30 MG TAB 430
20 30 40 50 30 30 60 30 20 30 30 30 30 430
64 FENOL GLISEROL TETES TELINGA 10 % BTL 7
1 1 1 3 1 7
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0
0
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 0
66 AMP 0
ML
FITOMENADION (VIT. K1) TAB. SALUT 10 25
67 TAB 25
MG 15 10
68 FLUCONAZOL KAPSUL KAP 0
0
69 FUROSEMID TAB. 40 MG TAB 65
15 20 10 10 10 65
70 GABAPENTIN KAPSUL 300 MG KAP 0
0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 36
6 3 2 10 5 10 36
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0
0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0
0
74 GLIMEPIRID TABLET 1 MG TAB 720
20 10 20 35 50 60 40 20 20 15 15 30 40 20 60 110 20 15 90 30 720
75 GLIMEPIRID TABLET 2 MG TAB 0
0
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0
0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0
0
78 GRISEOFULVIN TAB. 125 MG TAB 0
0
79 GRISEOVULFIN TABLET 500 MG TAB 0
0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0
0
81 HALOPERIDOL 5 MG/ML AMP 260
50 35 15 40 45 30 30 15 260
82 HALOPERIDOL TAB. 1,5 MG TAB 0
0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 199
70 10 10 15 6 60 18 10 199
84 HIDROKORTISON KRIM 2,5 % TUBE 24
4 2 3 3 1 1 2 1 1 3 2 1 24
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0
0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 71
5 5 5 10 5 15 5 5 10 6 71
87 IBUPROFEN SUSPENSI BTL 0
0
88 IBUPROFEN TAB. 200 MG TAB 0
0
89 IBUPROFEN TAB. 400 MG TAB 151
10 6 10 10 5 10 10 10 20 20 10 10 20 151
90 ISONIAZIDA TAB. 100 MG TAB 0
0
ISOSORBID DINITRAT TAB. SUB LINGUAL 0
91 TAB 0
5 MG
92 KALSIUM GLUCONAS INJ AMP 0
0
93 KALSIUM HIDROKSIDA PASTA POT 0
0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 945
55 40 35 20 40 10 70 70 10 40 30 20 15 120 20 60 50 120 20 10 20 20 50 945
95 KAPTOPRIL KAP 12,5 MG TAB 0
0
96 KAPTOPRIL KAP 25 MG TAB 0
0
97 KAPTOPRIL KAP 50 MG TAB 0
0
98 KARBAMAZEPIN TAB. 200 MG TAB 75
30 20 15 10 75
99 KETOKONAZOL KRIM TUBE 0
0
100 KETOKONAZOL TAB 200 MG TAB 80
10 10 10 10 10 10 20 80
101 KETOPROVEN SUPPOSITORIA SUPPO 0
0
102 KLINDAMYCIN KAP 300 MG KAP 0
0
103 KLORAMFENIKOL KAP. 250 MG KAP 0
0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 9
1 1 1 1 1 1 3 9
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 5
1 1 1 1 1 5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 9
2 1 1 1 1 1 2 9
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 6
1 1 2 1 1 6
KLORFENIRAMIN MALEAT (CTM) TAB. 4 2018
108 TAB
MG 150 69 40 60 145 80 103 60 72 78 40 104 70 101 37 39 75 150 160 112 30 90 66 87 2018
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0
0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 600
80 50 20 20 15 25 50 90 40 90 60 30 30 600
111 KODEIN HCL TAB. 10 MG TAB 50
10 10 10 10 10 50
112 KODEIN HCL TAB. 20 MG TAB 0
0
113 KOLKISIN TAB 500 MCG TAB 0
0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0
0
115 KOTRIMOKSAZOL SUSPENSI BTL 3
2 1 3
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 66
20 6 10 10 10 10 66
117 LAKTULOSA SIRUP BTL 0
0
118 LEVODOPA TABLET TAB 0
0
119 LIDOKAIN 10 % SPRAY BTL 0
0
120 LIDOKAIN COMP.INJ AMP 0
0
121 LIDOKAIN JELLY 2 % BTL 0
0
122 LOPERAMID TABLET 2 MG TAB 0
0
123 LORATADIN TABLET 10 MG TAB 0
0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0
0
125 MDT MD DEWASA TAB 0
0
126 METFORMIN HCL TAB 500 MG TAB 570
20 30 50 30 30 20 60 20 30 30 60 60 40 60 30 570
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0
0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 0
0
129 METIL PREDNISOLON TAB 4 MG TAB 69
10 10 10 10 9 10 10 69
130 METILDOPA TABLET TAB 0
0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0
0
132 METOKLOPRAMID INJ 10/2ML AMP 0
0
133 METOKLOPRAMID TAB.10 MG TAB 60
10 10 10 10 10 10 60
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0
0
135 METRONIDAZOL TAB 250 MG TAB 0
0
136 METRONIDAZOL TAB 500 MG TAB 0
0
137 MIKONAZOL SALEP 2 % TUBE 13
1 2 1 1 2 1 1 1 1 1 1 13
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0
0
139 MULTIVITAMIN SIRUP BTL 0
0
140 MULTIVITAMIN TABLET TAB 0
0
141 N.ASETIL SISTEIN TAB 200 MG KAP 850
36 10 20 30 50 100 20 20 50 10 66 46 20 20 20 50 150 50 20 36 26 850
142 NATRIUM BIKARBONAT TAB 500 MG TAB 10
10 10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0
0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 581
20 30 20 10 30 30 20 41 10 20 10 20 20 50 20 10 10 70 30 20 10 10 30 40 581
NATRIUM KLORIDA LAR INFUS 0,9 % 0
145 BTL 0
STERIL
146 NIFEDIPIN TAB 10 MG TAB 0
0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0
0
148 NISTATIN SUSPENSI 100.000 IU BTL 0
0
149 NITROGLISERIN RETARD TAB 0
0
150 OBAT ANTI MALARIA TAB 0
0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0
0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 1
1 1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0
0
154 OMEPRAZOL TAB KAP 0
0
155 ONDANSETRON KAPSUL 8 MG KAP 0
0
156 PAPAVERIN HCL TAB 40 MG TAB 0
0
157 PARASETAMOL DROPS 100 MG / ML BTL 0
0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0
0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 39
2 1 1 1 2 2 1 2 2 6 2 3 2 3 2 1 2 2 2 39
160 PARASETAMOL TAB 100 MG TAB 0
0
161 PARASETAMOL TAB 500 MG TAB 2888
148 79 80 100 130 108 180 125 86 72 110 123 145 137 43 118 64 15 212 280 120 160 136 117 2888
162 PEKA KRISTAL POT 0
0
163 PERMETRIN 1 % /PEDITOX BTL 0
0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0
0
165 PIRIDOKSIN HCL TAB 10 MG TAB 197
10 4 10 10 10 10 20 20 3 40 10 20 30 197
166 PREDNISON TAB 5 MG TAB 332
2 10 10 20 20 20 10 4 6 50 10 10 45 30 10 75 332
167 PROPANOLOL HCL TAB 10 MG TAB 25
10 15 25
168 PROPIL TIOURASIL TAB 100 ML TAB 0
0
169 RANITIDIN 50 MG / 2 ML INJ AMP 0
0
170 RANITIDIN TAB 150 MG TAB 1713
30 10 32 76 126 46 80 144 56 60 30 31 90 40 40 46 56 100 90 128 150 112 140 1713
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0
0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0
0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0
0
174 RISPERIDON TABLET 1 MG TAB 180
20 30 30 30 40 30 180
175 RISPERIDON TABLET 2 MG TAB 0
0
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0
0
177 SALBUTAMOL TAB 2 MG TAB 987
40 70 30 10 80 42 20 30 40 60 70 30 40 20 50 85 60 45 30 35 25 75 987
178 SALEP 2-4 KOMB TAB 6
1 1 1 1 2 6
179 SALISIL BEDAK 2 % SACCH 0
0
180 SCABIMITE KRIM 5 % TUBE 0
0
181 SEFADROKSIL KAPSUL 500 MG KAP 0
0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0
0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0
0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0
0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP 0
0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 960
90 60 50 30 10 90 40 40 40 40 10 50 40 30 30 50 80 20 50 60 10 40 960
187 SIMVASTATIN TABLET 10 MG TAB 0
0
188 SIMVASTATIN TABLET 20 MG TAB 0
0
189 SPIRONOLAKTON TABLET 25 MG TAB 0
0
190 STESOLID RECTAL 10 MG TUBE 0
0
191 STESOLID RECTAL 5 MG TUBE 0
0
192 SULFADIAZIN SILVER KRIM TUBE 0
0
193 TABLET TAMBAH DARAH KOMB TAB 1200
180 40 40 40 70 20 100 60 60 40 10 50 120 30 30 30 60 30 70 120 1200
194 TABLET TAMBAH DARAH KOMB TAB 0
0
195 TEOFILIN SR TAB 0
0
196 TETAGAM INJ AMP 0
0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0
0
198 TETRASIKLIN HCL KAP 500 MG KAP 0
0
THIAMIN HCL MONONITRAT (VIT BI) TAB 210
199 TAB 10 10 40 20 210
50 MG 10 20 10 10 30 10 10 30
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 520
130 50 10 50 90 20 30 60 30 30 20 520
201 VAKSIN RABIES VERO AMP 0
0
202 VITAMIN B KOMPLEKS TAB TAB 1021
50 60 10 25 30 16 20 50 30 90 60 40 50 30 80 40 120 80 30 50 10 50 1021
203 ZINC TABLET TAB 103
10 10 10 10 10 20 3 10 20 103
204 ZIRKUM KIDS SIRUP BTL 0
0
205 VAKSIN BCG VIAL 0
0
206 VAKSIN CAMPAK VIAL 0
0
207 VAKSIN DPT HB VIAL 0
0
208 VAKSIN DT VIAL 0
0
209 VAKSIN HB PID VIAL 0
0
210 VAKSIN MR VIAL 0
0
211 VAKSIN POLIO VIAL 0
0
212 VAKSIN POLIO INJEKSI VIAL 0
0
213 VAKSIN TD VIAL 0
0
214 VAKSIN TT VIAL 0
0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0
0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
0
219 ALKOHOL SWAB PCS 0
0
220 ANTI SERA A BTL 0
0
221 ANTI SERA AB BTL 0
0
222 ANTI SERA B BTL 0
0
223 AQUA DEST BTL 0
0
224 ASEPTIC GEL BTL 0
0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0
0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0
0
227 BD VACUTAINER PCS 0
0
228 BLOOD LANSET PCS 0
0
229 BOX OBJECT GLAS PCS 0
0
230 BRACKET ABS PCS 0
0
231 CATGUT CROMIC NO. 3/0 SACCH 0
0
232 CATGUT PLAIN NO. 3/0 SACCH 0
0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0
0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0
0
235 DARYANTULLE LBR 0
0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0
0
237 ETANOL 70 % BTL 0
0
238 ETANOL 70 % BTL 0
0
239 ETER ALKOHOL BTL 0
0
240 ETIL KLORIDA SEMPROT BTL 0
0
241 FOCUS HIV 2 PCS 0
0
242 FOLEY CATHETER 16 PCS 0
0
243 FOLEY CATHETER 18 PCS 0
0
244 GIEMSA BTL 0
0
245 GLASS IONOMER CEMENT (GC IX) BTL 0
0
246 HANDRUB LIQUID BTL 0
0
247 HANDSCOON PCS 0
0
248 HANDSCOON NON STERIL PCS 0
0
249 HB TEST STRIP PCS 0
0
250 HBig PCS 0
0
251 HUMAN HEXAGON SIPILIS PCS 0
0
252 IMERSION OIL BTL 0
0
253 IMERSION OIL BTL 0
0
254 INFUSION SET ANAK SET 0
0
255 INFUSION SET DEWASA SET 0
0
256 IV NO.18 G SET 0
0
257 IV NO.20 G SET 0
0
258 IV NO.22 G SET 0
0
259 IV NO.24 G SET 0
0
260 KACA SLIDE PCS 0
0
261 KAPAS BOLA MINI PCS 0
0
262 KAPAS GIGI PCS 0
0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0
0
264 KASA KOMPRES STERIL 40X40 BKS 0
0
KASA PEMBALUT HIDROFIL 18 CM X 22 0
265 BKS
CM 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0
0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0
0
268 KERTAS GOLONGAN DARAH LBR 0
0
269 KERTAS SARING LBR 0
0
270 LARUTAN BENEDICT BTL 0
0
271 LARUTAN HCL 0,1N BTL 0
0
272 LARUTAN TURK BTL 0
0
273 LARUTAN ZIELH NELSEN BTL 0
0
274 LISOL BTL 0
0
275 MASKER PCS 0
0
276 MASKER N 95 PCS 0
0
277 METANOL PA BTL 0
0
278 NEEDLE 27 G SET 0
0
279 OAT I (KOMBIPAK) PAKET 0
0
280 OAT KATEGORI ANAK PAKET 1
1 1
281 OAT KATEGORI I PAKET 1
1 1
282 OAT KATEGORI II PAKET 0
0
283 PARAFORMALDEHID TAB 1 G TAB 0
0
284 PIPET TETES PENDEK PCS 0
0
285 PLESTER 1 INCI ROL 0
0
286 PLESTER 7,5 CM x 4,5 M ROL 0
0
287 PLESTER KERTAS PCS 0
0
288 PLESTER PUTIH 10 CM X 5 M ROL 0
0
289 POT FESES TRANSPARAN PCS 0
0
290 POT SPUTUM PCS 0
0
291 PROVEIN 6/0 PCS 0
0
292 RAPID TES NARKOBA 3 PCS 0
0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0
0
294 RDT SIPILIS PCS 0
0
295 REAGEN SIPILIS PCS 0
0
296 SAFETY BOX 2,5 L PCS 0
0
297 SAFETY BOX 5 L PCS 0
0
298 SD HBsAG PCS 0
0
299 SD HIV PCS 0
0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0
0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0
0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0
0
303 SLANG OKSIGEN ANAK SET 0
0
304 SLANG OKSIGEN DEWASA SET 0
0
305 SPECULUM VAGINA DISPOSIBLE PCS 0
0
306 SPIRITUS BAKAR BTL 0
0
307 STIK ASAM URAT PCS 0
0
308 STIK GLUKOSA PCS 0
0
309 STIK KOLESTEROL PCS 0
0
310 SURGICAL BLADE STERIL NO.12 PCS 0
0
311 SURGICAL BLADE STERIL NO.15 PCS 0
0
312 TABUNG VACUTAINER NON EDTA PCS 0
0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL 0
CAIRAN 0
314 TEST HAMIL PCS 0
0
315 TISSUE LENSA PCS 0
0
316 UMBILICAL CORD KLEM STERIL PCS 0
0
317 UNDERPAD PCS 0
0
318 URINE BAG STERIL PCS 0
0
319 USG GEL BLUE BTL 0
0
320 VIKIA ( HIV 3 ) PCS 0
0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0
0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0
0
323 AZITROMISIN TAB 0
TAB 0
324 OSELTAMIVIR TAB 0
TAB 0
325 KLOROQUIN TAB 0
TAB 0
326 VITAMIN C 500 MG 0
TAB 0
327 BAJU APD PCS 0
0
328 BOOTS PSG 0
0
329 FACE SHIELD PCS 0
0
330 GOWN PCS 0
0
331 GOOGLE PCS 0
0
332 TUTUP KEPALA PCS 0
0
333 LORAZEPAM TAB 15
15 15
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS BULAN : OKTOBER
KECAMATAN TAHUN : 2021
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 0 0 0 0
3 ALOPURINOL TAB. 100 MG TAB 112 200 312 35 277 52
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 206 206 5 201 8
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 165 165 50 115 75
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 197 100 297 195 102 292
10 AMLODIPINE TAB 10 MG TAB 129 900 1029 874 155 1311
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
1784 1200 2984 1715 1269 2572
13 AMOKSISILIN KAPSUL 250 MG TAB 140 140 70 70 105
AMOKSISILIN SIRUP KERING 125
14 BTL 26 60 86 35 51 52
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 100 100 80 20 120
17 ANTASIDA DOEN TAB. KOMB. TAB 2 800 802 616 186 924
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 22 22 0 22 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
31 31 0 31 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 54 54 0 54 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
926 926 567 359 850
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 290 300 590 430 160 645
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 9 9 1 8 2
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
135 135 105 30 157
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
250 250 147 103 220
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
22 100 122 90 32 135
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
17 17 4 13 6
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 292 292 0 292 0
47 CIPROFLOKSASIN KAPLET 500 MG TAB 856 856 230 626 345
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
107 800 907 574 333 861
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 187 187 35 152 52
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 482 482 63 419 95
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML
AMP 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
300 300 25 275 37
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 200 200 60 140 90
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
55 600 655 430 225 645
FENOL GLISEROL TETES TELINGA 10
64 BTL 19 19 7 12 11
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP 0 0 0 0 0
1 ML
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 104 104 25 79 37
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
204 200 404 65 339 97
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 144 144 36 108 54
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
310 310 0 310 0
74 GLIMEPIRID TABLET 1 MG TAB
115 900 1015 720 295 1080
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
149 149 0 149 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0 0 0 0 0
MG/ML
81 HALOPERIDOL 5 MG/ML AMP 455 455 260 195 390
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
99 100 199 199 0 298
84 HIDROKORTISON KRIM 2,5 % TUBE 12 22 34 24 10 36
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 222 222 71 151 107
MG
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
316 316 151 165 226
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 76 76 0 76 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
316 1300 1616 945 671 1417
95 KAPTOPRIL KAP 12,5 MG TAB 125 125 0 125 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
448 448 75 373 113
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB 170 170 80 90 120
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 18 18 9 9 14
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 6 19 25 5 20 8
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
19 19 9 10 14
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
10 10 6 4 9
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 734 2300 3034 2018 1016 3027
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB 451 400 851 600 251 900
MG
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
111 KODEIN HCL TAB. 10 MG TAB
473 473 50 423 75
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 31 31 3 28 5
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
204 100 304 66 238 99
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
240 500 740 570 170 855
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 126 126 0 126 0
129 METIL PREDNISOLON TAB 4 MG TAB 69 69 69 0 103
130 METILDOPA TABLET TAB 65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 481 481 60 421 90
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
7 25 32 13 19 20
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 12 12 0 12 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
2116 2116 850 1266 1275
142 NATRIUM BIKARBONAT TAB 500 MG TAB 49 49 10 39 15
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 299 700 999 581 418 871
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
116 116 0 116 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
14 14 1 13 2
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 26 50 76 39 37 59
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1096 4000 5096 2888 2208 4332
162 PEKA KRISTAL POT 7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
123 600 723 197 526 295
166 PREDNISON TAB 5 MG TAB
234 200 434 332 102 498
167 PROPANOLOL HCL TAB 10 MG TAB 72 72 25 47 38
168 PROPIL TIOURASIL TAB 100 ML TAB 0 100 100 0 100 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
1077 2300 3377 1713 1664 2569
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
180 180 180 0 270
175 RISPERIDON TABLET 2 MG TAB
0 0 0 0 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 331 1000 1331 987 344 1480
178 SALEP 2-4 KOMB TAB
27 27 6 21 9
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0 0 0 0 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 539 1000 1539 960 579 1440
187 SIMVASTATIN TABLET 10 MG TAB 520 520 0 520 0 0
188 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
3410 3410 1200 2210 1800
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 350 200 550 210 340 315
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 240 500 740 520 220 780
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 828 200 1028 1021 7 1531
203 ZINC TABLET TAB
414 414 103 311 154
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 500 500 500 0 750
249 HB TEST STRIP PCS 0 0 0 0 0
250 HBig PCS 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 0 1000 1000 1000 0 1500
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 0 2 1 1 2
281 OAT KATEGORI I PAKET
1 1 1 0 2
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 105 105 0 105 0
325 KLOROQUIN TAB TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
333 LORAZEPAM TAB
0 0 0 0
EMBAR PERMINTAAN OBAT ( LPLPO )
PERMINTA
KET
AN
11 17
200
200
1300
2500
200
30
120
900
PERMINTA
KET
AN
500
600
100
200
150
500
PERMINTA
KET
AN
600
1000
400
PERMINTA
KET
AN
200
25
100
200
1400
100
120
15
10
10
3000
900
PERMINTA
KET
AN
800
200
20
PERMINTA
KET
AN
1200
100
800
50
4000
500
PERMINTA
KET
AN
2500
300
1500
1400
100
800
PERMINTA
KET
AN
200
700
1500
PERMINTA
KET
AN
500
PERMINTA
KET
AN
1000
2
PERMINTA
KET
AN
PERMINTA
KET
AN
NAMA OBAT SATUAN
NO
26 27 28 29 30 1 2 3
OBAT
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
40 10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
30
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
5 35
10 AMLODIPINE TAB 10 MG TAB
55 30 51 85 30 20 70
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
60 20 50 50 96 60 50
13 AMOKSISILIN KAPSUL 250 MG TAB
10 10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
2 6 4 6 3 1
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
6 2 4 5 5 7
17 ANTASIDA DOEN TAB. KOMB. TAB
10 30
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
2
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
10 21 13 40 10 10
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 10 20 10
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
1
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
45
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
30 30 25 8 15
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
10 10 10
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
4
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
20
47 CIPROFLOKSASIN KAPLET 500 MG TAB
10 20 10 20 10 20 10
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
10 17 10 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
15 5
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
10 10 30
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
20 30 60
64 FENOL GLISEROL TETES TELINGA 10 % BTL
1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
2 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
15
74 GLIMEPIRID TABLET 1 MG TAB
60 30 10 20 45 45 15
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
30 10 10 20
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
15 15 15
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
12 5 15
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
20 20 10 30 20
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG 1
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
120 90 60 70 120 50 100
95 KAPTOPRIL KAP 12,5 MG TAB
10
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
1 1 1 3
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
1 1
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 99 72 101 81 123 58 86
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30 30 31 15 10
111 KODEIN HCL TAB. 10 MG TAB
10 10
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
2
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
10
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
45 40 10 40
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
20 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
1 1 1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
30 30 50 30 60 40 40
142 NATRIUM BIKARBONAT TAB 500 MG TAB
10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
20 50 50 40 45 20 55
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
1 4 1 2 3
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
110 110 136 159 134 100 116
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
30
166 PREDNISON TAB 5 MG TAB
60 54 15 43 113 14 50
167 PROPANOLOL HCL TAB 10 MG TAB
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
80 104 40 72 116 90 126
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
55 15 90 50 30 45
178 SALEP 2-4 KOMB TAB
2 1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
145 110 60 40 120 20 90
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
180 150 60 60 150 30 60
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG 20 50 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 30 30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
30 20 30 30
203 ZINC TABLET TAB
10 20 10
204 ZIRKUM KIDS SIRUP BTL
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
500
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
1000
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
20
5 10 20 20
30 20
5 30 5 5 18
146 40 80 40 50 10 40 40 28 93 60 70 50 70
20 30 70 70 80 65 100 50 60 100 80 70
10 20 10
3 2 6 1 4 2 5 2 3 1 4 1 2 3
5 8 5 1 7 2 2 4 5 11 1 4 3 4
160 30 80 10 30 60 40 10 50 30 20 10
20 13 30 16 10 24 10 20 30 20 13 10
40 10 20 20 30 20 10 10 10 10
71 20 10 10
40 20 6 30 20 40 30 10 10 20 20
15
21
5 10 35 20 15 50 5 10 12 20 5 30 20
24 10 10 10 10 18 10 20 30 10 10 20
10 10 10 23 10 10 43 30 20
51 3 2 3 25 5 6 5
5 10 10 6 20
30
30 30 30 30 30 30
1 1 1
10 10
15
30 15 60 50 50 20 10 75 30 15 30
10 10 10
30 15 15 30 30
14 5 10 10
12 5 10 20 5 18 5
15 20 10 10 10 40 10
72 10 20 80 80 30 20 60 30 30 40 40
30
90
1 1 2 1 1 1 1
1 1 1
11 2 1 1
1 1 1 1 1 1
62 29 40 180 46 16 26 64 10 10 69 34 17 32
30 45 30 30 30 60 15 15 60
10 10 10
6 10 22 10 22 10 10
30 120 90 20 60 30 30 30
10
1 1 1
30 50 90 60 30 30 10 46 66 82 50 36
10 3 10
92 10 20 50 60 30 30 20 10 70 10 20 10 20
1
5 2 5 1 4 2 1 3 1 3
226 65 136 180 191 33 108 134 160 110 155 134 163 189
10 115 10 10 20 20 10 10
49 50 23 15 30 10 20 15 40 3 10 3 40
7 10 10
220 40 78 45 96 40 52 34 104 190 70 96 56 78
30
60 40 30 115 45 27 20 15 70 70 45 42 65
1 1 1
10 30 40 70 10 100 10 60 20 110 20 40 40 40
17 10
30 30 70 100 150 120 90 30 30 60 30 70 30
85 40 10 10 20
25 30 30 30 30 30 60 60
120 10 6 60 40 10 50 30 40 20 60 40 40 20
10 10 10
1 1
REKAPITULASI PEMAKAIAN
Nov-21
20 21 22 23 24 25 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
20
10 20 15 150
80
30 133
63 88 15 70 40 1434
110 90 70 60 75 1586
20 10 90
3 6 3 73
4 4 4 6 109
20 30 20 30 670
0
0
30 40 18 10 10 428
40 20 10 10 330
20 10 186
6 10 60 192
16 10 302
15
21
20 15 292
10 60 10 362
0
0
10 16 20 40 299
5 125
10 10 10 10 91
10 60
60
50 30 370
20
20 45
6 5 5 30
15
43 30 45 728
0
0
10 20 130
15 15 195
39
21 5 23 156
20 10 245
10 70 45 50 40 1337
10
30
90
0
0
1 2 17
1 1 7
1 18
1 1 10
10 74 88 79 133 1639
60 28 519
10 10 70
1 1 4
12 10 122
30 575
0
0
40
1 1 1 1 10
30 40 20 20 30 1000
33
20 70 10 10 50 892
1 2
0
0
1 4 4 47
150 322 215 137 193 3866
10 245
50 41 23 50 18 839
20 47
99 144 41 88 100 2299
30
50 54 30 45 20 1128
2 1 9
0
0
30 120 40 40 40 1455
10 37
40 120 40 60 60 1850
10 10 275
45 430
60 40 10 10 50 826
10 10 20 10 120
0
0
0
0
500
0
0
1000
1 1
0
0
0
0
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
20
150
80
133
1434
1586
90
73
109
670
0
0
428
330
186
192
302
15
21
292
362
0
0
299
125
91
60
60
370
20
45
30
15
728
0
0
130
195
39
156
245
1337
10
30
90
0
0
17
18
10
1639
519
70
122
575
0
0
40
10
1000
33
892
0
0
47
3866
245
839
47
2299
30
1128
0
0
1455
37
1850
275
430
826
120
0
0
0
0
500
0
0
1000
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OB
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
0 250 250 20 230 30
3 ALOPURINOL TAB. 100 MG TAB 277 277 150 127 225
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 201 201 201 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 115 115 80 35 120
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 102 200 302 133 169 199.5
10 AMLODIPINE TAB 10 MG TAB 155 1500 1655 1434 221 2151
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
1269 2500 3769 1586 2183 2379
13 AMOKSISILIN KAPSUL 250 MG TAB 70 200 270 90 180 135
AMOKSISILIN SIRUP KERING 125
14 BTL 51 44 95 73 22 109.5
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
20 100 120 109 11 163.5
17 ANTASIDA DOEN TAB. KOMB. TAB 186 1000 1186 670 516 1005
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 22 22 2 20 3
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
31 31 0 31 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 54 54 0 54 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
359 500 859 428 431 642
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 160 600 760 330 430 495
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 8 8 2 6 3
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
30 500 530 186 344 279
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
103 200 303 192 111 288
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
32 300 332 302 30 453
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
13 13 4 9 6
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 30 30 15 15 22.5
42 CANDESARTAN TABLET 16 MG TAB 0 30 30 21 9 31.5
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 292 292 292 0 438
47 CIPROFLOKSASIN KAPLET 500 MG TAB 626 626 362 264 543
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
333 300 633 299 334 448.5
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 152 200 352 125 227 187.5
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 419 419 91 328 136.5
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML
AMP 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
275 275 60 215 90
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 140 140 60 80 90
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
225 200 425 370 55 555
FENOL GLISEROL TETES TELINGA 10
64 BTL 12 12 4 8 6
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP 0 0 0 0 0
1 ML
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 79 79 20 59 30
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
339 339 45 294 67.5
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 108 108 30 78 45
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
310 310 15 295 22.5
74 GLIMEPIRID TABLET 1 MG TAB
295 900 1195 728 467 1092
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
149 149 130 19 195
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0 0 0 0 0
MG/ML
81 HALOPERIDOL 5 MG/ML AMP 195 195 195 0 292.5
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
0 200 200 39 161 58.5
84 HIDROKORTISON KRIM 2,5 % TUBE 10 10 2 8 3
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 151 200 351 156 195 234
MG
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
165 200 365 245 120 367.5
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 76 76 2 74 3
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
671 1100 1771 1337 434 2005.5
95 KAPTOPRIL KAP 12,5 MG TAB 125 125 10 115 15
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
373 100 473 30 443 45
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB 90 90 90 0 135
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 9 24 33 17 16 25.5
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 20 20 7 13 10.5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
10 25 35 18 17 27
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
4 8 12 10 2 15
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 1016 1100 2116 1639 477 2458.5
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB 251 600 851 519 332 778.5
MG
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
111 KODEIN HCL TAB. 10 MG TAB
423 200 623 70 553 105
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 28 28 4 24 6
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
238 238 122 116 183
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
170 500 670 575 95 862.5
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 126 126 0 126 0
129 METIL PREDNISOLON TAB 4 MG TAB 0 0 0 0 0
130 METILDOPA TABLET TAB 65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 421 421 40 381 60
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
19 19 10 9 15
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 12 12 0 12 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
1266 1200 2466 1000 1466 1500
142 NATRIUM BIKARBONAT TAB 500 MG TAB 39 39 33 6 49.5
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 418 700 1118 892 226 1338
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
116 116 0 116 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
13 13 2 11 3
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 37 69 106 47 59 70.5
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2208 2900 5108 3866 1242 5799
162 PEKA KRISTAL POT 7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
526 526 245 281 367.5
166 PREDNISON TAB 5 MG TAB
102 1300 1402 839 563 1258.5
167 PROPANOLOL HCL TAB 10 MG TAB 47 47 47 0 70.5
168 PROPIL TIOURASIL TAB 100 ML TAB 100 100 0 100 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
1664 1100 2764 2299 465 3448.5
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
0 300 300 30 270 45
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 344 800 1144 1128 16 1692
178 SALEP 2-4 KOMB TAB
21 21 9 12 13.5
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0 0 0 0 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 579 1400 1979 1455 524 2182.5
187 SIMVASTATIN TABLET 10 MG TAB 0 120 120 37 83 55.5
188 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2210 3780 5990 1850 4140 2775
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 340 200 540 275 265 412.5
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 220 300 520 430 90 645
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 7 900 907 826 81 1239
203 ZINC TABLET TAB
311 311 120 191 180
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 500 500 500 0 750
249 HB TEST STRIP PCS 0 0 0 0 0
250 HBig PCS 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 0 1000 1000 1000 0 1500
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
1 2 3 0 3 0
281 OAT KATEGORI I PAKET
0 6 6 2 4 3
282 OAT KATEGORI II PAKET
0 1 1 1 0 1.5
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 105 105 0 105 0
325 KLOROQUIN TAB TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
EMBAR PERMINTAAN OBAT ( LPLPO )
BULAN : NOVEMBER
TAHUN : 2021
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
200
100
200
2000
500
100
80
100
700
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
200
300
100
400
30
400
400
300
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
100
500
100
100
600
200
200
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
24
100
200
2000
200
10
1500
300
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
100
800
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
500
100
1300
4000
200
800
200
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
3500
100
1600
2100
60
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
400
600
1200
100
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
PERMINTA PEMBERIAN
ED KET
AN APBD II APBD I JML NO BATCH
0
NAMA OBAT SATUAN
NO
26 27 28 29 30 1 2 3
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
20 10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
10 13 60
10 AMLODIPINE TAB 10 MG TAB
95 120 95 40 62 40 30
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
70 140 140 140 80 30 130
13 AMOKSISILIN KAPSUL 250 MG TAB
10 10 10 20
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
3 4 2 1 1 1 1
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
6 10 9 2 6 1 7
17 ANTASIDA DOEN TAB. KOMB. TAB
20 50 22 55 60 60
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
2
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
60 30 30 66
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 30 20 20 20
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
1
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
9 50
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
30 10 10 10 20 30
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
2
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
36 20 41 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB
30 50 10 30 30 20
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
10 30 6 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
20
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
10 20 5 10 15
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ.
57 0,1% ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
10 5
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
40
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
50 20 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1
66 AMP
ML
FITOMENADION (VIT. K1) TAB. SALUT 10
67 TAB
MG 5 5 10
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10 10 5
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
10 8
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
19
74 GLIMEPIRID TABLET 1 MG TAB
90 30 30 50 15
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
10 10 10 10
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
15 5
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
5 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
5 6 11 10 5 15
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
20 10 5 25
90 ISONIAZIDA TAB. 100 MG TAB
ISOSORBID DINITRAT TAB. SUB LINGUAL
91 TAB
5 MG
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
60 30 10 70 50 60 120
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
2 2 1 1 2
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
1 1 2 1
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 86 35 60 83 43 34 89
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30 30 50 20 30 30
111 KODEIN HCL TAB. 10 MG TAB
10 10 13
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
1 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
10
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
60 30 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
10
129 METIL PREDNISOLON TAB 4 MG TAB
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
6
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
1
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
70 100 92 72 76 16 48
142 NATRIUM BIKARBONAT TAB 500 MG TAB
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
90 40 45 50 10 50 30
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
3 4 3 9 3
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
234 224 221 169 229 200 209
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
10
166 PREDNISON TAB 5 MG TAB
58 69 70 43 30 13 43
167 PROPANOLOL HCL TAB 10 MG TAB
30
168 PROPIL TIOURASIL TAB 100 ML TAB
100 30
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
126 120 110 118 280 78 84
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
30 30 50 60
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
55 50 60 96 45 20 60
178 SALEP 2-4 KOMB TAB
1 1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
80 40 40 50 50 70 60
187 SIMVASTATIN TABLET 10 MG TAB
10 10
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
90 30 30 130 60 90 50
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
THIAMIN HCL MONONITRAT (VIT BI) TAB
199 TAB
50 MG
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 30 50 30 30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
66 50 20 30 60 10 30
203 ZINC TABLET TAB
47 30
204 ZIRKUM KIDS SIRUP BTL
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
REK
Pemakaian Apotek / Tanggal
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
10 10 10 10 30
30
40 60 5 5 30 20
57 85 8 65 65 73 78 38 45 60 36 85 30 10
180 100 60 170 80 100 170 185 150 170 150 120 80 160
10 40 10
1 1 2 1 1 5 2 6 5 12 9 1
6 2 4 2 4 6 10 100 9 4 4 2 1
60 70 60 70 70 55 30 90 50 40 240 100 90
40 11 27 24 60 62 60 60 50 20
10 40 50 40 30 40 30
60 5 10
15 30 16
10 16 40 22 10 14 20
30 10 61 20 20 10 20 6 10 30 40 40 30
30 15 10 15 10 20 10 35 21 15 20 21
10 30 10 10 20 10 20 54 10
10 60 60 20 34 30 10 10 6
3 30
15 10 6 15 20 82 20
10
30 60 60 30 30
2 10
30 20 30 18 51
10 6 10 9 9 5
30 25 92 20 10 30 10 60 20 70 15 40 30 30
10 10 10 10 20
5 1 2
16 10 16 5 40 21 10 6 15 30 15
20 20 20 10 22 10
40 110 30 60 89 50 130 110 40 30 110 100
10
30 30 30
1 1 1 2 1 4
4 1 1 1 1
35 123 20 143 46 86 73 52 50 27 107 64 60
2 30 60 75 30 30 30
10 16 10 10 20
40 30 10 30 30 62
10 10
1 1 2 3
40 80 30 50 36 26 120 56 70 60 70 36 120
10 10
40 70 50 40 30 50 90 30 90 66 10 80 50 20
1
11 3 1 4 3 1 1 4 2 1 2
190 133 180 190 130 183 195 302 259 113 174 143 180 266
10 46
23 100 23 55 68 36 70 3 13 23 34 30 80
10
10
80 108 46 60 100 90 102 54
115 85 20 10 35 15 30 65 20 50 31 10 25
1 2 1 1 1
55 140 120 60 60 104 110 10 60 50 120 80 10 10
10 10 20 10 2 10
30 120 40 90 90 60 140 40 60 30 190
30 40 10 60 83
60 90 30 50
56 50 40 20 10 10 40 40 20 10 40 30 30
10 10 10 10 10 10 30 20
1
REKAPITULASI PEMAKAIAN
DESEMBER 2021
20 21 22 23 24 25 26 apotik ugd gigi labor kia gizi imnsasi
1 2 3 4 5 6 7
0
10 110
40
15 15 273
20 50 50 35 1372
90 120 90 96 3001
10 10 130
5 3 4 69
10 24 12 7 248
20 20 140 1472
0
0
60 30 76 36 802
30 10 30 430
10 144
61
132
20 10 467
20 11 20 30 420
10 30 10 394
0
0
10 10 20 10 346
53
10 10 248
25
40
30 50 420
32
10 184
3 70
19
45 30 45 15 832
0
10 10 120
20
3 1 18
5 241
10 10 40 10 232
110 80 50 70 1609
10
90
0
0
18
10
120 127 63 65 1691
3 10 460
33
10 86
60 30 412
10
0
0
26
84 42 50 22 1466
20
75 50 30 40 1226
0
0
4 6 4 69
153 209 214 187 4887
3 30 99
53 44 15 996
30 70
30 170
1556
170
21 45 10 973
2 1 11
0
0
80 100 60 100 1719
10 92
190 70 130 1760
10 20 253
400
26 41 20 20 769
10 10 10 217
0
0
0
0
0
0
0
0
0
0
0
Unit2/Pustu/Polindes
PTM Lansia
8 9 10 11 12 13 14 1 2 3 4 5 6
Jumlah
7 8 9 10 11 12
0
110
40
273
1372
3001
130
69
248
1472
0
0
802
430
144
61
132
467
420
394
0
0
346
53
248
25
40
420
32
184
70
19
832
0
0
120
20
18
241
232
1609
10
90
0
0
18
10
1691
460
33
86
412
10
0
0
26
1466
20
1226
0
0
69
4887
99
996
70
170
1556
170
973
11
0
0
1719
92
1760
253
400
769
217
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA
PUSKESMAS
KECAMATAN
KABUPATEN
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0
3 ALOPURINOL TAB. 100 MG TAB 307 100 407 110 297 165
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 201 201 0 201 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB 35 100 135 40 95 60
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 169 200 369 273 96 409.5
10 AMLODIPINE TAB 10 MG TAB 221 1500 1721 1372 349 2058
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
2183 1000 3183 3001 182 4501.5
13 AMOKSISILIN KAPSUL 250 MG TAB 180 100 280 130 150 195
AMOKSISILIN SIRUP KERING 125
14 BTL 22 60 82 69 13 103.5
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
11 150 161 161 0 241.5
17 ANTASIDA DOEN TAB. KOMB. TAB 516 1200 1716 1472 244 2208
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT 20 20 0 20 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
31 31 2 29 3
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 54 54 0 54 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
431 500 931 802 129 1203
25 ASAM FOLAT TABLET 1 MG TAB
0 0 0 0 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 430 300 730 430 300 645
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 6 6 3 3 4.5
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
344 344 144 200 216
32 ASIKLOVIR KRIM 5 % AMP 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
111 100 211 61 150 91.5
34 ATAPULGIT TABLET 630 MG TAB
0 300 300 132 168 198
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
30 700 730 467 263 700.5
37 BETAMETASON DOPROPIONATE KRIM TUBE 0 0 0 0 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
9 9 0 9 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 15 15 0 15 0
42 CANDESARTAN TABLET 16 MG TAB 9 9 2 7 3
43 CEFIXIME KAPSUL 200 MG TAB 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 0 0 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB 0 800 800 420 380 630
47 CIPROFLOKSASIN KAPLET 500 MG TAB 264 400 664 394 270 591
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
334 300 634 346 288 519
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB 227 227 53 174 79.5
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB 328 328 248 80 372
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML
AMP 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
215 215 25 190 37.5
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 80 100 180 40 140 60
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
55 500 555 420 135 630
FENOL GLISEROL TETES TELINGA 10
64 BTL 8 8 8 0 12
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP 0 0 0 0 0
1 ML
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 59 100 159 32 127 48
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
294 294 184 110 276
70 GABAPENTIN KAPSUL 300 MG KAP 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 78 100 178 70 108 105
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
295 295 19 276 28.5
74 GLIMEPIRID TABLET 1 MG TAB
467 600 1067 832 235 1248
75 GLIMEPIRID TABLET 2 MG TAB 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0 0 0 0 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
19 200 219 120 99 180
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0 0 0 0 0
MG/ML
81 HALOPERIDOL 5 MG/ML tab 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
161 161 0 161 0
84 HIDROKORTISON KRIM 2,5 % TUBE 8 24 32 18 14 27
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 195 100 295 241 54 361.5
MG
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
120 200 320 232 88 348
90 ISONIAZIDA TAB. 100 MG TAB 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 340 340 0 340 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
434 1400 1834 1609 225 2413.5
95 KAPTOPRIL KAP 12,5 MG TAB 115 115 10 105 15
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
443 443 90 353 135
99 KETOKONAZOL KRIM TUBE 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB 0 0 0 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 16 16 16 0 24
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 13 24 37 1 36 1.5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
17 17 10 7 15
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
2 2 2 0 3
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 477 2000 2477 1691 786 2536.5
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0 0 0 0 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB 332 300 632 460 172 690
MG
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
111 KODEIN HCL TAB. 10 MG TAB
553 553 33 520 49.5
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 24 24 2 22 3
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
116 100 216 86 130 129
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
95 700 795 412 383 618
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 126 126 10 116 15
129 METIL PREDNISOLON TAB 4 MG TAB 0 0 0 0 0
130 METILDOPA TABLET TAB 65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB 381 381 26 355 39
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
9 9 8 1 12
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL 12 12 0 12 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
1466 500 1966 1466 500 2199
142 NATRIUM BIKARBONAT TAB 500 MG TAB 6 100 106 20 86 30
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 226 1700 1926 1226 700 1839
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
116 116 1 115 1.5
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
11 11 1 10 1.5
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 59 20 79 69 10 103.5
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1242 4500 5742 4887 855 7330.5
162 PEKA KRISTAL POT 7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
281 200 481 99 382 148.5
166 PREDNISON TAB 5 MG TAB
563 500 1063 996 67 1494
167 PROPANOLOL HCL TAB 10 MG TAB 0 200 200 70 130 105
168 PROPIL TIOURASIL TAB 100 ML TAB 100 300 400 170 230 255
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
465 1000 1465 1465 0 2197.5
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
270 270 170 100 255
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB 16 1300 1316 973 343 1459.5
178 SALEP 2-4 KOMB TAB
12 12 11 1 16.5
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0 0 0 0 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 524 2100 2624 1719 905 2578.5
187 SIMVASTATIN TABLET 10 MG TAB 83 60 143 92 51 138
188 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
4140 4140 1760 2380 2640
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 265 400 665 253 412 379.5
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 90 500 590 400 190 600
201 VAKSIN RABIES VERO AMP 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB 81 1200 1281 769 512 1153.5
203 ZINC TABLET TAB
191 100 291 217 74 325.5
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0
206 VAKSIN CAMPAK VIAL 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL 0 0 0 0 0
221 ANTI SERA AB BTL 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS 0 0 0 0 0
230 BRACKET ABS PCS 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0 0 0 0
246 HANDRUB LIQUID BTL 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 500 500 500 0 750
249 HB TEST STRIP PCS 0 0 0 0 0
250 HBig PCS 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET 0 0 0 0 0
255 INFUSION SET DEWASA SET 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET 0 0 0 0 0
259 IV NO.24 G SET 0 0 0 0 0
260 KACA SLIDE PCS 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL 0 0 0 0 0
CM
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0 0 0 0
274 LISOL BTL 0 0 0 0 0
275 MASKER PCS 0 1000 1000 1000 0 1500
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
3 3 1 2 1.5
281 OAT KATEGORI I PAKET
4 4 0 4 0 0
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0 0 0 0
284 PIPET TETES PENDEK PCS 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0 0 0 0
289 POT FESES TRANSPARAN PCS 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0 0 0 0 0
NSI
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
296 SAFETY BOX 2,5 L PCS 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS 0 0 0 0 0
308 STIK GLUKOSA PCS 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0 0 0 0 0
NO NAMA OBAT SATUAN STOK PENERIMAA PERSEDIA
PEMAKAI AN ED SISA STOK STOK OPT
AWAL N AN
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0 0 0 0
317 UNDERPAD PCS 0 0 0 0 0
318 URINE BAG STERIL PCS 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL 0 0 0 0 0
ML
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 100 100 0 100 0
325 KLOROQUIN TAB TAB 100 100 0 100 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0
327 BAJU APD PCS
0 0 0 0
328 BOOTS PSG
0 0 0 0
329 FACE SHIELD PCS
0 0 0 0
330 GOWN PCS
0 0 0 0
331 GOOGLE PCS
0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0
AN OBAT ( LPLPO )
BULAN : DESEMBER
TAHUN : 2021
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
11 12 13 14 15 16 17
10 10
300 78 38
1500
0 70 85
4000
100 2 6
100
0 10 100
200 55 30
1900
10
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
1000
0 30
300
22
0 10 20
400
0 10 35
300 10 20
300
300
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
0 15 20
300
0 10
495
12
0 10 10
800 10 60
0 20
100
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
24
0 40 21
300
0 20 10
300
0 30
2000
24 1
12
12 73 52
1700
0 60 75
500
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
10
0 30
300
12
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
0 20 56
1600
0 40 30
1000
0 1
0 1 1
100
0 195 202
5000
36 70
1400
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
0 102 54
2000
200
0 30 65
1100 2
16
0 10 10
1600 20
100
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
60
90
400
0 15 40
600 10 10
300
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
750
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
1500
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
0
PERMINTA PEMBERIAN BULAN
KET
AN APBD II APBD I JML NO BATCH EXP.DATE
0
10 30 10
5 30 20 15 15
45 60 36 85 30 10 20 50 50 35
150 70 50 120 80 160 90 120 70 96
10 10 10
5 2 2 1 5 3 4
9 4 4 2 1 10 24 12 7
90 50 40 240 100 90 20 20 140
62 10 50 20 60 30 26 36
40 30 30 10 30
5 10 10
30 15
10 6 20
6 10 30 40 40 30 20 10
25 15 40 41 20 11 20 30
10 10 30 10
3 30 10 10 6 10 10 20 10
30
10 20 10 10
30 30 30 50
5 10
51 10
9 5 5 3
20 70 15 40 30 30 45 30 45 15
10 20 10 10
2 1
10 6 15 30 15 5
10 10 10 10 40 10
110 40 30 10 100 110 80 50 70
1 2 1 4
1 1 1 1
50 27 3 64 60 20 26 63 65
30 30 30 3 10
1
10 20 10
30 60 30
20
1 2 1
70 60 70 36 20 40 42 50 22
10 10
40 20 10 80 50 20 75 50 30 40
4 2 1 2 4 6 4
259 113 74 143 180 266 153 209 114 187
60 3 30
3 13 23 34 30 80 53 44 15
10 30
10 30
20 50 100 10 25 21 45 10
1 1 1 2 1
60 50 20 80 10 10 80 100 60 100
10 10 10
140 40 60 30 190 190 70 130
10 20
30 80
40 20 10 40 30 30 26 41 20 20
10 30 20 10 10 10
Stok Persediaan per 31 Des
NAMA OBAT SATUAN Penambahan tahun 2021
NO 2020
Harga Harga
Volume Jumlah Volume
Satuan Satuan
OBAT
1 2 3 4 5 6 7 8
1 ACYCLOVIR SALEP MATA 3 % TUBE
0
2 ALBENDAZOL TAB. 400 MG TAB 250
3 ALOPURINOL TAB. 100 MG TAB 1150
4 ALPRAZOLAM TAB 0,25 MG TAB
0
5 ALPRAZOLAM TAB 0,5 MG TAB
200
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0
7 AMINOFILIN TAB. 150 MG TAB 0
8 AMINOFILIN TAB. 200 MG TAB 700
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
1700
10 AMLODIPINE TAB 10 MG TAB
5610
11 AMLODIPINE TAB 5 MG TAB
6300
12 AMOKSISILIN KAPLET 500 MG TAB 16650
13 AMOKSISILIN KAPSUL 250 MG TAB
5800
AMOKSISILIN SIRUP KERING 125
14 BTL 438
MG/ML
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0
16 ANTASIDA DOEN SUSPENSI BTL
850
17 ANTASIDA DOEN TAB. KOMB. TAB 6950
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0
19 ANTI FUNGI DOEN KOMB. POT
22
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
30
21 ANTI MIGRAIN DOEN KOMB. TAB 0
22 AQUA PRO INJEKSI STERIL BTL 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
5200
25 ASAM FOLAT TABLET 1 MG TAB
0
26 ASAM MEFENAMAT KAPLET 500 MG TAB 4300
27 ASAM TRANEKSAMAT INJEKSI AMP 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 10
29 ASAM VALPROAT TAB 250 MG TAB
0
30 ASETOSAL TAB. 100 MG TAB
0
31 ASETOSAL TAB. 80 MG TAB
900
32 ASIKLOVIR KRIM 5 % AMP 0
33 ASIKLOVIR TAB. 400 MG TAB
700
34 ATAPULGIT TABLET 630 MG TAB
1700
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0
36 BETAHISTIN TAB 6 MG TAB 4400
37 BETAMETASON DOPROPIONATE KRIM TUBE 0
38 BETAMETASON KRIM 0,1% TUBE
121
39 BISAKODIL 10 MG SUP TAB
0
40 BISAKODIL TABLET TAB
90
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 30
42 CANDESARTAN TABLET 16 MG TAB 30
43 CEFIXIME KAPSUL 200 MG TAB 120
44 CENDO LYTEER TETES MATA STRIP
0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0
46 CETIRIZIN TABLET 10 MG TAB 4400
47 CIPROFLOKSASIN KAPLET 500 MG TAB 5700
48 CURCUMA TABLET 200 MG TAB
0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0
50 DEKSAMETASON TAB. 0,5 MG TAB 4900
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0
52 DIAZEPAM TAB. 2 MG TAB
900
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP 0
ML
54 DIGOKSIN TAB. 0,25 MG TAB 0
55 DOMPERIDON TABLET 10 MG TAB 3800
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 INJ. 0,1% ML AMP
0
58 ERITHROMISIN KAPSUL 500 MG TAB
300
59 ERITHROMISIN SIRUP BTL 0
60 EUGENOL CAIRAN BTL
0
61 FENITOIN NATRIUM KAP.100 MG KAP
500
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0
63 FENOBARBITAL TAB. 30 MG TAB 4200
FENOL GLISEROL TETES TELINGA 10
64 BTL 29
%
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 400
68 FLUCONAZOL KAPSUL KAP 0
69 FUROSEMID TAB. 40 MG TAB 740
70 GABAPENTIN KAPSUL 300 MG KAP 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
500
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0
73 GLIBENCLAMIDE TAB. 5 MG TAB 700
74 GLIMEPIRID TABLET 1 MG TAB 6400
75 GLIMEPIRID TABLET 2 MG TAB
0
GLUKOSA LARUTAN INFUS 10 %
76 BTL 0
STERIL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0
78 GRISEOFULVIN TAB. 125 MG TAB
600
79 GRISEOVULFIN TABLET 500 MG TAB
0
HALOPERIDOL DECANOAT INJ 50
80 AMP 0
MG/ML
81 HALOPERIDOL 5 MG/ML AMP 500
82 HALOPERIDOL TAB. 1,5 MG TAB 500
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
450
84 HIDROKORTISON KRIM 2,5 % TUBE
95
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB 1700
MG
87 IBUPROFEN SUSPENSI BTL
0
88 IBUPROFEN TAB. 200 MG TAB
0
89 IBUPROFEN TAB. 400 MG TAB 1900
90 ISONIAZIDA TAB. 100 MG TAB 0
ISOSORBID DINITRAT TAB. SUB
91 TAB 300
LINGUAL 5 MG
92 KALSIUM GLUCONAS INJ AMP
0
93 KALSIUM HIDROKSIDA PASTA POT
0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
11750
95 KAPTOPRIL KAP 12,5 MG TAB 100
96 KAPTOPRIL KAP 25 MG TAB 0
97 KAPTOPRIL KAP 50 MG TAB 0
98 KARBAMAZEPIN TAB. 200 MG TAB
600
99 KETOKONAZOL KRIM TUBE
0
100 KETOKONAZOL TAB 200 MG TAB 600
101 KETOPROVEN SUPPOSITORIA SUPPO 0
102 KLINDAMYCIN KAP 300 MG KAP
0
103 KLORAMFENIKOL KAP. 250 MG KAP 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 96
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
77
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
70
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 38
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB 13600
MG
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP 0
ML
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 5400
111 KODEIN HCL TAB. 10 MG TAB
2000
112 KODEIN HCL TAB. 20 MG TAB
0
113 KOLKISIN TAB 500 MCG TAB 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0
115 KOTRIMOKSAZOL SUSPENSI BTL
65
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 1150
117 LAKTULOSA SIRUP BTL 0
118 LEVODOPA TABLET TAB 0
119 LIDOKAIN 10 % SPRAY BTL
0
120 LIDOKAIN COMP.INJ AMP
0
121 LIDOKAIN JELLY 2 % BTL
0
122 LOPERAMID TABLET 2 MG TAB 0
123 LORATADIN TABLET 10 MG TAB 300
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0
125 MDT MD DEWASA TAB
0
126 METFORMIN HCL TAB 500 MG TAB
5800
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 MG TAB 150
129 METIL PREDNISOLON TAB 4 MG TAB
1000
130 METILDOPA TABLET TAB 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0
132 METOKLOPRAMID INJ 10/2ML AMP
0
133 METOKLOPRAMID TAB.10 MG TAB
700
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0
135 METRONIDAZOL TAB 250 MG TAB 0
136 METRONIDAZOL TAB 500 MG TAB 650
137 MIKONAZOL SALEP 2 % TUBE
83
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0
139 MULTIVITAMIN SIRUP BTL
12
140 MULTIVITAMIN TABLET TAB 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
12800
142 NATRIUM BIKARBONAT TAB 500 MG TAB
100
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 9600
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL 0
STERIL
146 NIFEDIPIN TAB 10 MG TAB
0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
80
148 NISTATIN SUSPENSI 100.000 IU BTL
0
149 NITROGLISERIN RETARD TAB 0
150 OBAT ANTI MALARIA TAB 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
50
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0
154 OMEPRAZOL TAB KAP 0
155 ONDANSETRON KAPSUL 8 MG KAP 0
156 PAPAVERIN HCL TAB 40 MG TAB
0
157 PARASETAMOL DROPS 100 MG / ML BTL 56
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
395
160 PARASETAMOL TAB 100 MG TAB
0
161 PARASETAMOL TAB 500 MG TAB 38600
162 PEKA KRISTAL POT 0
163 PERMETRIN 1 % /PEDITOX BTL 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0
165 PIRIDOKSIN HCL TAB 10 MG TAB
1450
166 PREDNISON TAB 5 MG TAB
3400
167 PROPANOLOL HCL TAB 10 MG TAB 1200
168 PROPIL TIOURASIL TAB 100 ML TAB
400
169 RANITIDIN 50 MG / 2 ML INJ AMP
0
170 RANITIDIN TAB 150 MG TAB 20400
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0
174 RISPERIDON TABLET 1 MG TAB
1900
175 RISPERIDON TABLET 2 MG TAB
1300
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0
177 SALBUTAMOL TAB 2 MG TAB 9550
178 SALEP 2-4 KOMB TAB 66
179 SALISIL BEDAK 2 % SACCH
0
180 SCABIMITE KRIM 5 % TUBE
0
181 SEFADROKSIL KAPSUL 500 MG KAP 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL 0
ML
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL 0
I)
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
10000
187 SIMVASTATIN TABLET 10 MG TAB
1080
188 SIMVASTATIN TABLET 20 MG TAB 300
189 SPIRONOLAKTON TABLET 25 MG TAB 0
190 STESOLID RECTAL 10 MG TUBE 0
191 STESOLID RECTAL 5 MG TUBE
0
192 SULFADIAZIN SILVER KRIM TUBE
0
193 TABLET TAMBAH DARAH KOMB TAB
15120
194 TABLET TAMBAH DARAH KOMB TAB 0
195 TEOFILIN SR TAB
200
196 TETAGAM INJ AMP
0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB 2100
TAB 50 MG
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
5200
201 VAKSIN RABIES VERO AMP
0
202 VITAMIN B KOMPLEKS TAB TAB
10350
203 ZINC TABLET TAB 1400
204 ZIRKUM KIDS SIRUP BTL 36
205 VAKSIN BCG VIAL 0
206 VAKSIN CAMPAK VIAL
0
207 VAKSIN DPT HB VIAL
0
208 VAKSIN DT VIAL 0
209 VAKSIN HB PID VIAL 0
210 VAKSIN MR VIAL
0
211 VAKSIN POLIO VIAL 0
212 VAKSIN POLIO INJEKSI VIAL 0
213 VAKSIN TD VIAL
0
214 VAKSIN TT VIAL
0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0
219 ALKOHOL SWAB PCS
0
220 ANTI SERA A BTL
0
221 ANTI SERA AB BTL 0
222 ANTI SERA B BTL
0
223 AQUA DEST BTL
0
224 ASEPTIC GEL BTL 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0
227 BD VACUTAINER PCS
0
228 BLOOD LANSET PCS
0
229 BOX OBJECT GLAS PCS
0
230 BRACKET ABS PCS 0
231 CATGUT CROMIC NO. 3/0 SACCH 0
232 CATGUT PLAIN NO. 3/0 SACCH 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0
235 DARYANTULLE LBR 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0
237 ETANOL 70 % BTL
0
238 ETANOL 70 % BTL 0
239 ETER ALKOHOL BTL 0
240 ETIL KLORIDA SEMPROT BTL
0
241 FOCUS HIV 2 PCS
0
242 FOLEY CATHETER 16 PCS 0
243 FOLEY CATHETER 18 PCS 0
244 GIEMSA BTL 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0
246 HANDRUB LIQUID BTL
0
247 HANDSCOON PCS
0
248 HANDSCOON NON STERIL PCS 4400
249 HB TEST STRIP PCS
0
250 HBig PCS
0
251 HUMAN HEXAGON SIPILIS PCS 0
252 IMERSION OIL BTL 0
253 IMERSION OIL BTL 0
254 INFUSION SET ANAK SET
0
255 INFUSION SET DEWASA SET
0
256 IV NO.18 G SET
0
257 IV NO.20 G SET 0
258 IV NO.22 G SET 0
259 IV NO.24 G SET 0
260 KACA SLIDE PCS
0
261 KAPAS BOLA MINI PCS
0
262 KAPAS GIGI PCS 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0
264 KASA KOMPRES STERIL 40X40 BKS
0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS 0
CM
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL 0
CM
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0
268 KERTAS GOLONGAN DARAH LBR
0
269 KERTAS SARING LBR 0
270 LARUTAN BENEDICT BTL 0
271 LARUTAN HCL 0,1N BTL 0
272 LARUTAN TURK BTL
0
273 LARUTAN ZIELH NELSEN BTL
0
274 LISOL BTL
0
275 MASKER PCS 8800
276 MASKER N 95 PCS
1000
277 METANOL PA BTL
0
278 NEEDLE 27 G SET 0
279 OAT I (KOMBIPAK) PAKET 0
280 OAT KATEGORI ANAK PAKET 4
281 OAT KATEGORI I PAKET
14
282 OAT KATEGORI II PAKET
1
283 PARAFORMALDEHID TAB 1 G TAB
0
284 PIPET TETES PENDEK PCS 0
285 PLESTER 1 INCI ROL 0
286 PLESTER 7,5 CM x 4,5 M ROL 0
287 PLESTER KERTAS PCS
0
288 PLESTER PUTIH 10 CM X 5 M ROL
0
289 POT FESES TRANSPARAN PCS 0
290 POT SPUTUM PCS 0
291 PROVEIN 6/0 PCS
0
292 RAPID TES NARKOBA 3 PCS 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS 0
NSI
294 RDT SIPILIS PCS
0
295 REAGEN SIPILIS PCS
0
296 SAFETY BOX 2,5 L PCS 0
297 SAFETY BOX 5 L PCS 0
298 SD HBsAG PCS 0
299 SD HIV PCS
0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0
303 SLANG OKSIGEN ANAK SET
0
304 SLANG OKSIGEN DEWASA SET
0
305 SPECULUM VAGINA DISPOSIBLE PCS 0
306 SPIRITUS BAKAR BTL 0
307 STIK ASAM URAT PCS 0
308 STIK GLUKOSA PCS
0
309 STIK KOLESTEROL PCS
0
310 SURGICAL BLADE STERIL NO.12 PCS
0
311 SURGICAL BLADE STERIL NO.15 PCS 0
312 TABUNG VACUTAINER NON EDTA PCS 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 CAIRAN BTL 0
314 TEST HAMIL PCS
0
315 TISSUE LENSA PCS
0
316 UMBILICAL CORD KLEM STERIL PCS 0
317 UNDERPAD PCS 0
318 URINE BAG STERIL PCS
0
319 USG GEL BLUE BTL 0
320 VIKIA ( HIV 3 ) PCS 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0
323 AZITROMISIN TAB TAB 50
324 OSELTAMIVIR TAB TAB 1300
325 KLOROQUIN TAB TAB 0
326 VITAMIN C 500 MG
TAB 1300
327 BAJU APD PCS
0
328 BOOTS PSG
0
329 FACE SHIELD PCS
0
330 GOWN PCS
0
331 GOOGLE PCS
0
332 TUTUP KEPALA PCS
0
mbahan tahun 2021 Kadaluarsa Tahun 2021 Penggunaan Tahun 2021 Pengeluaran lain2 Tahun 2021
Harga Harga Harga
Jumlah Volume Jumlah Volume Jumlah Volume Jumlah
Satuan Satuan Satuan
9 10 11 12 13 14 15 16 17 18
0 0
0 20
228 1283
0 0
159 169
0 0
0 0
80 605
119 1882
9 5433
1112 7167
101 18863
1155 6670
17 517
0 0
53 895
387 7583
0 0
40 8
15 20
0 0
0 0
0 46
150 5998
8 219
3 4947
0 0
0 7
0 0
0 0
33 838
0 0
124 616
437 1307
0 0
457 4317
0 0
0 124
0 0
90 81
0 15
0 23
30 188
0 0
0 0
0 4692
0 6065
0 0
0 0
414 5202
0 0
19 812
0 0
0 0
266 4430
0 0
0 0
66 210
0 0
0 0
222 365
0 0
390 4270
9 34
0 0
0 0
65 348
0 0
53 767
0 0
35 480
0 0
121 462
370 6485
0 0
0 0
0 0
143 576
0 0
0 0
8 875
20 945
200 289
29 118
0 0
198 1844
18 0
0 0
297 2062
0 0
72 289
0 0
0 0
443 12727
56 120
0 0
0 0
155 465
0 0
140 760
0 0
0 0
364 10
16 97
2 46
0 63
7 43
70 14689
0 0
50 7218
86 1533
0 0
0 0
0 20
13 58
144 1028
0 0
170 0
0 0
0 0
0 0
0 0
2 805
0 0
0 0
377 5942
0 0
62 96
105 1380
40 60
0 0
0 0
228 495
0 0
0 0
110 675
30 105
0 0
17 5
0 0
2135 11803
100 186
0 0
2514 8693
0 0
0 0
53 18
0 0
0 0
0 0
0 0
25 40
0 0
30 147
40 10
0 0
23 64
0 0
19 475
0 0
2545 40000
8 1
0 0
0 0
207 1205
620 3720
141 1395
205 575
0 0
1414 20885
0 0
0 0
0 0
7 1780
1005 770
0 0
398 10299
3 80
0 0
0 0
0 330
0 0
0 0
0 0
0 0
340 9540
630 209
92 727
0 0
0 0
0 0
0 0
0 12740
2157 2290
85 40
0 0
0 0
100 0
198 1901
110 5685
0 0
291 10550
80 1536
14 52
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 5150
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 12300
0 0
0 0
0 0
0 0
0 2
6 13
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 50
155 165
100 0
50 32
0 0
0 0
0 0
0 0
0 0
0 0
Sisa/Stok Persediaan per 31 Des
2021 RERATA KEBUTUH Usulan RKO
PEMAKAIA AN 18 RKO FINAL
Harga RKO REKON
Volume Jumlah N/BL BULAN
Satuan
19 20 21
0 0 0 0
230 1.6666667 30 -200
-361 106.91667 1924.5 2285.5
0 0 0 0
-128 14.083333 253.5 381.5
0 0 0 0
0 0 0 0
15 50.416667 907.5 892.5
-301 156.83333 2823 3124
168 452.75 8149.5 7981.5
-1979 597.25 10750.5 12729.5
-2314 1571.9167 28294.5 30608.5
-2025 555.83333 10005 12030
-96 43.083333 775.5 871.5
0 0 0 0
-98 74.583333 1342.5 1440.5
-1020 631.91667 11374.5 12394.5
0 0 0 0
-26 0.6666667 12 38
-5 1.6666667 30 35
0 0 0 0
0 0 0 0
-46 3.8333333 69 115
-948 499.83333 8997 9945
-227 18.25 328.5 555.5
-650 412.25 7420.5 8070.5
0 0 0 0
3 0.5833333 10.5 7.5
0 0 0 0
0 0 0 0
29 69.833333 1257 1228
0 0 0 0
-40 51.333333 924 964
-44 108.91667 1960.5 2004.5
0 0 0 0
-374 359.75 6475.5 6849.5
0 0 0 0
-3 10.333333 186 189
0 0 0 0
-81 6.75 121.5 202.5
15 1.25 22.5 7.5
7 1.9166667 34.5 27.5
-98 15.666667 282 380
0 0 0 0
0 0 0 0
-292 391 7038 7330
-365 505.41667 9097.5 9462.5
0 0 0 0
0 0 0 0
-716 433.5 7803 8519
0 0 0 0
69 67.666667 1218 1149
0 0 0 0
0 0 0 0
-896 369.16667 6645 7541
0 0 0 0
0 0 0 0
24 17.5 315 291
0 0 0 0
0 0 0 0
-87 30.416667 547.5 634.5
0 0 0 0
-460 355.83333 6405 6865
-14 2.8333333 51 65
0 0 0 0
0 0 0 0
-13 29 522 535
0 0 0 0
-80 63.916667 1150.5 1230.5
0 0 0 0
-15 40 720 735
0 0 0 0
117 38.5 693 576
-455 540.41667 9727.5 10182.5
0 0 0 0
0 0 0 0
0 0 0 0
-119 48 864 983
0 0 0 0
0 0 0 0
-383 72.916667 1312.5 1695.5
-465 78.75 1417.5 1882.5
-39 24.083333 433.5 472.5
-52 9.8333333 177 229
0 0 0 0
-342 153.66667 2766 3108
-18 0 0 18
0 0 0 0
-459 171.83333 3093 3552
0 0 0 0
-61 24.083333 433.5 494.5
0 0 0 0
0 0 0 0
-1420 1060.5833 19090.5 20510.5
-76 10 180 256
0 0 0 0
0 0 0 0
-20 38.75 697.5 717.5
0 0 0 0
-300 63.333333 1140 1440
0 0 0 0
0 0 0 0
-374 0.8333333 15 389
-17 8.0833333 145.5 162.5
29 3.8333333 69 40
7 5.25 94.5 87.5
-12 3.5833333 64.5 76.5
-1159 1224.0833 22033.5 23192.5
0 0 0 0
-1868 601.5 10827 12695
381 127.75 2299.5 1918.5
0 0 0 0
0 0 0 0
-20 1.6666667 30 50
-6 4.8333333 87 93
-22 85.666667 1542 1564
0 0 0 0
-170 0 0 170
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-507 67.083333 1207.5 1714.5
0 0 0 0
0 0 0 0
-519 495.16667 8913 9432
0 0 0 0
-8 8 144 152
-485 115 2070 2555
-100 5 90 190
0 0 0 0
0 0 0 0
-23 41.25 742.5 765.5
0 0 0 0
0 0 0 0
-135 56.25 1012.5 1147.5
-52 8.75 157.5 209.5
0 0 0 0
-10 0.4166667 7.5 17.5
0 0 0 0
-1138 983.58333 17704.5 18842.5
-186 15.5 279 465
0 0 0 0
-1607 724.41667 13039.5 14646.5
0 0 0 0
0 0 0 0
9 1.5 27 18
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-15 3.3333333 60 75
0 0 0 0
-177 12.25 220.5 397.5
-50 0.8333333 15 65
0 0 0 0
-31 5.3333333 96 127
0 0 0 0
-99 39.583333 712.5 811.5
0 0 0 0
-3945 3333.3333 60000 63945
-9 0.0833333 1.5 10.5
0 0 0 0
0 0 0 0
38 100.41667 1807.5 1769.5
-940 310 5580 6520
-336 116.25 2092.5 2428.5
-380 47.916667 862.5 1242.5
0 0 0 0
-1899 1740.4167 31327.5 33226.5
0 0 0 0
0 0 0 0
0 0 0 0
113 148.33333 2670 2557
-475 64.166667 1155 1630
0 0 0 0
-1147 858.25 15448.5 16595.5
-17 6.6666667 120 137
0 0 0 0
0 0 0 0
-330 27.5 495 825
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
120 795 14310 14190
241 17.416667 313.5 72.5
-519 60.583333 1090.5 1609.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2380 1061.6667 19110 16730
-4447 190.83333 3435 7882
75 3.3333333 60 -15
0 0 0 0
0 0 0 0
-100 0 0 100
1 158.41667 2851.5 2850.5
-595 473.75 8527.5 9122.5
0 0 0 0
-491 879.16667 15825 16316
-216 128 2304 2520
-30 4.3333333 78 108
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-750 429.16667 7725 8475
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-3500 1025 18450 21950
1000 0 0 -1000
0 0 0 0
0 0 0 0
0 0 0 0
2 0.1666667 3 1
-5 1.0833333 19.5 24.5
0 0.0833333 1.5 1.5
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-30 4.1666667 75 105
980 13.75 247.5 -732.5
-100 0 0 100
1218 2.6666667 48 -1170
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
NAMA OBAT SATUAN
NO
26 27 28 29 30 31 1
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
45 10 10 10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
20 5
10 AMLODIPINE TAB 10 MG TAB
10 80 70 20 40 100
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
70 80 110 60 80 200
13 AMOKSISILIN KAPSUL 250 MG TAB
10 10 10 10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
1 1 42 5 5
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
3 18 12 13 12
17 ANTASIDA DOEN TAB. KOMB. TAB
80 160 90 20 20 152
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
20 60 10 30 10 59
25 ASAM FOLAT TABLET 1 MG TAB
26 ASAM MEFENAMAT KAPLET 500 MG TAB
30 10 10 10 16
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
10 20 5 5
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
70 20 40 20 10
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
5 10 50 10 10
47 CIPROFLOKSASIN KAPLET 500 MG TAB
40 40 10 20 10
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
2 13 92 16 50 95
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
3 9
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
30 10 50 30
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
10
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL
1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB
13
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10 10 10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
2 3 5 10
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
60 80 15 35
75 GLIMEPIRID TABLET 2 MG TAB
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
10 20 10 10
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
1 2
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
10 10
90 ISONIAZIDA TAB. 100 MG TAB
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB
1
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
20 10 60 60 56
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB
44 130 41 6 42 164
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30 60 30
111 KODEIN HCL TAB. 10 MG TAB
10
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
1 1 1 2
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
20 30 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
10 34
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
137 MIKONAZOL SALEP 2 % TUBE
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
42 82 146 50 70 54
142 NATRIUM BIKARBONAT TAB 500 MG TAB
10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
70 60 20 30 22
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
10
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
3 1 3 2 8
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
100 152 228 149 122 396
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
20 10
166 PREDNISON TAB 5 MG TAB
167 PROPANOLOL HCL TAB 10 MG TAB
30
168 PROPIL TIOURASIL TAB 100 ML TAB
30
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
10 85 85 50 10 60
178 SALEP 2-4 KOMB TAB
4 2 1
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
5 70 50 50 90
187 SIMVASTATIN TABLET 10 MG TAB
30 10
188 SIMVASTATIN TABLET 20 MG TAB
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
60 90 40
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB
10 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30 30 30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
20 30 20 40 20 30
203 ZINC TABLET TAB
204 ZIRKUM KIDS SIRUP BTL
205 VAKSIN BCG VIAL
206 VAKSIN CAMPAK VIAL
207 VAKSIN DPT HB VIAL
208 VAKSIN DT VIAL
209 VAKSIN HB PID VIAL
210 VAKSIN MR VIAL
211 VAKSIN POLIO VIAL
212 VAKSIN POLIO INJEKSI VIAL
213 VAKSIN TD VIAL
214 VAKSIN TT VIAL
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
219 ALKOHOL SWAB PCS
220 ANTI SERA A BTL
221 ANTI SERA AB BTL
222 ANTI SERA B BTL
223 AQUA DEST BTL
224 ASEPTIC GEL BTL
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
227 BD VACUTAINER PCS
228 BLOOD LANSET PCS
229 BOX OBJECT GLAS PCS
230 BRACKET ABS PCS
231 CATGUT CROMIC NO. 3/0 SACCH
232 CATGUT PLAIN NO. 3/0 SACCH
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
235 DARYANTULLE LBR
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
237 ETANOL 70 % BTL
238 ETANOL 70 % BTL
239 ETER ALKOHOL BTL
240 ETIL KLORIDA SEMPROT BTL
241 FOCUS HIV 2 PCS
242 FOLEY CATHETER 16 PCS
243 FOLEY CATHETER 18 PCS
244 GIEMSA BTL
245 GLASS IONOMER CEMENT (GC IX) BTL
246 HANDRUB LIQUID BTL
247 HANDSCOON PCS
248 HANDSCOON NON STERIL PCS
249 HB TEST STRIP PCS
250 HBig PCS
251 HUMAN HEXAGON SIPILIS PCS
252 IMERSION OIL BTL
253 IMERSION OIL BTL
254 INFUSION SET ANAK SET
255 INFUSION SET DEWASA SET
256 IV NO.18 G SET
257 IV NO.20 G SET
258 IV NO.22 G SET
259 IV NO.24 G SET
260 KACA SLIDE PCS
261 KAPAS BOLA MINI PCS
262 KAPAS GIGI PCS
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
264 KASA KOMPRES STERIL 40X40 BKS
265 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
268 KERTAS GOLONGAN DARAH LBR
269 KERTAS SARING LBR
270 LARUTAN BENEDICT BTL
271 LARUTAN HCL 0,1N BTL
272 LARUTAN TURK BTL
273 LARUTAN ZIELH NELSEN BTL
274 LISOL BTL
275 MASKER PCS
276 MASKER N 95 PCS
277 METANOL PA BTL
278 NEEDLE 27 G SET
279 OAT I (KOMBIPAK) PAKET
280 OAT KATEGORI ANAK PAKET
281 OAT KATEGORI I PAKET
282 OAT KATEGORI II PAKET
283 PARAFORMALDEHID TAB 1 G TAB
284 PIPET TETES PENDEK PCS
285 PLESTER 1 INCI ROL
286 PLESTER 7,5 CM x 4,5 M ROL
287 PLESTER KERTAS PCS
288 PLESTER PUTIH 10 CM X 5 M ROL
289 POT FESES TRANSPARAN PCS
290 POT SPUTUM PCS
291 PROVEIN 6/0 PCS
292 RAPID TES NARKOBA 3 PCS
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
294 RDT SIPILIS PCS
295 REAGEN SIPILIS PCS
296 SAFETY BOX 2,5 L PCS
297 SAFETY BOX 5 L PCS
298 SD HBsAG PCS
299 SD HIV PCS
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
303 SLANG OKSIGEN ANAK SET
304 SLANG OKSIGEN DEWASA SET
305 SPECULUM VAGINA DISPOSIBLE PCS
306 SPIRITUS BAKAR BTL
307 STIK ASAM URAT PCS
308 STIK GLUKOSA PCS
309 STIK KOLESTEROL PCS
310 SURGICAL BLADE STERIL NO.12 PCS
311 SURGICAL BLADE STERIL NO.15 PCS
312 TABUNG VACUTAINER NON EDTA PCS
313 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL
314 TEST HAMIL PCS
315 TISSUE LENSA PCS
316 UMBILICAL CORD KLEM STERIL PCS
317 UNDERPAD PCS
318 URINE BAG STERIL PCS
319 USG GEL BLUE BTL
320 VIKIA ( HIV 3 ) PCS
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
323 AZITROMISIN TAB TAB
324 OSELTAMIVIR TAB TAB
325 KLOROQUIN TAB TAB
326 VITAMIN C 500 MG
TAB
327 BAJU APD PCS
328 BOOTS PSG
329 FACE SHIELD PCS
330 GOWN PCS
331 GOOGLE PCS
332 TUTUP KEPALA PCS
R
Pemakaian Apotek / Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
15 20 10 10 20 10
30 30 30
20 5 30 5 25 30 30 30 30
50 45 50 23 61 58 8 68 5 38 85 50 75
110 60 70 80 50 146 80 70 90 80 50 30
10 20 50 10 220
3 2 3 1 1 2 2 1 2 3 1 4
3 10 12 4 7 11 13 14 7
130
20 80 20 48 30 40 50 25 15 30 32
20
10 10 10 10 26 20 30 10 20 20
10 15 20 10
15 15
10 6 6 10 6
70 42 66 56 10 10 10 30 10
1 2 1
20 15 20 5 10 15 50 5 10 30 56 48
10 10 10 20 10 20 20 10 50 20
49 43 48 30 20 40 31 32 15 12 15 60 60
10 1 2
65 20 20 10 6 10
10
30
30 30 60 30 30
1 1
10 10
5 5 5 8 8
75 10 50 15 30 25 20 40 70 10 30
40 10 10 20 20 10 20
1 1 1 5 1 1
5 6
10 10 20 10 10 20
140 40 50 10 80 20 80 79 60 40 60 50
30
1
1 1
84 17 56 63 30 99 16 127 65 134 34 49 30
30 30 1 1 52 30 30 50 30 30 50
10
1 1
10 20 10
140 10 50 40 50
10 30
58 30 48 16 36 36 48 52 30 76 36 84 80
6 2 10
50 35 30 20 20 40 10 20 10 32 10 10
1 1
3 3 1 1 1 2 1 2 4
268 148 161 70 130 272 120 239 95 134 181 183 240
10 10 10 40 10 60 10
10 10 6 20 29 10 30 22
30 30
30 30
6 44 32 20 38
30 20 30 30
52 20 15 10 35 55 60 20 10 10 20 65 90
4 1 1 1 1 1
110 20 100 40 110 10 70 80 60 70 50 20
10 20
180 30 10 60 120 60 120 30 60 30 60 90
20 20 10 50 10 60 10
30 30 30 15 30 5 30 20
50 50 20 40 20 20 30 40 50 50 30 10 70
1 10 10 10 10 4 10 11
REKAPITULASI PEMAKAIAN
JANUARI 2021
18 19 20 21 22 23 24 25 apotik ugd gigi labor kia gizi
1 2 3 4 5 6
0
15 10 185
90
15 10 255
64 40 10 25 70 54 24 1223
1516
185 140 80 220 290 260 140 1665
3 5 3 3 2 2 3 62
10 7 4 1 15 5 10 191
652
0
0
10 16 6 20 46 20 697
20
40 10 10 20 20 10 20 372
10 105
36 66
10 48
40 10 6 20 50 590
1 2 1 1 9
20 20 20 15 20 464
50 20 40 60 470
0
0
66 30 44 80 40 20 1003
5 5 10 3 3 7 58
20 10 10 29 10 330
10 30
60
30 30 300
1 4
13
10 20 80
6 57
75 15 20 30 45 40 30 820
0
20 10 210
1 14
10 5 26
10 10 10 130
1 1 3
100 40 10 90 60 40 20 1275
30
0
0
2 4
2 1 1 1 2 8
74 60 59 47 78 80 97 1726
30 10 30 30 554
20
1 8
10 10 60
30 20 90 50 560
10 10
0
0
84
2 2
66 44 23 26 100 106 40 1479
28
25 20 20 40 20 50 20 684
10
0
0
1 1 1 2 2 42
136 154 86 112 221 272 163 4532
6 20 10 3 219
10 13 3 8 2 10 183
90
90
32 106 36 58 203 94 66 735
110
15 15 10 15 70 45 30 962
1 1 1 1 20
0
0
80 20 60 10 20 45 1240
10 80
60 30 30 150 40 30 55 1435
10 10 10 20 260
30 30 30 370
35 30 50 70 30 80 935
20 10 5 101
0
0
0
0
0
0
0
0
0
0
0
Unit2/Pustu/Polindes
imunsa
PTM Lansia
si
7 8 9 10 11 12 13 14 1 2 3 4 5
Jumlah
6 7 8 9 10 11 12
0
185
90
255
1223
1516
1665
62
191
652
0
0
697
20
372
105
66
48
590
464
470
0
0
1003
58
330
30
60
300
13
80
57
820
0
210
14
26
130
1275
30
0
0
1726
554
20
60
560
10
0
0
84
1479
28
684
10
0
0
42
4532
219
183
90
90
735
110
962
20
0
0
1240
80
1435
260
370
935
101
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
KECAMATAN
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
OBAT
1 2 3 4 5 6 7 8 9 10
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0
3 ALOPURINOL TAB. 100 MG TAB
297 297 185 112 277.5
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
95 95 90 5 135
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
96 300 396 255 141 382.5
10 AMLODIPINE TAB 10 MG TAB
349 1500 1849 1223 626 1834.5
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
182 1350 1532 1516 16 2274
13 AMOKSISILIN KAPSUL 250 MG TAB
150 3100 3250 1665 1585 2497.5
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 13 55 68 62 6 93
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 200 200 191 9 286.5
17 ANTASIDA DOEN TAB. KOMB. TAB
244 450 694 652 42 978
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
20 20 0 20 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
687 500 1187 697 490 1045.5
25 ASAM FOLAT TABLET 1 MG TAB
0 300 300 20 280 30
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
26 ASAM MEFENAMAT KAPLET 500 MG TAB
300 250 550 372 178 558
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
3 3 2 1 3
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0
31 ASETOSAL TAB. 80 MG TAB
200 200 105 95 157.5
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
150 150 66 84 99
34 ATAPULGIT TABLET 630 MG TAB
168 168 48 120 72
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
263 800 1063 590 473 885
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 25 25 9 16 13.5
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0
40 BISAKODIL TABLET TAB
9 9 0 9 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
15 15 0 15 0
42 CANDESARTAN TABLET 16 MG TAB
7 7 0 7 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
0 5 5 0 5 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
380 300 680 464 216 696
47 CIPROFLOKSASIN KAPLET 500 MG TAB
270 300 570 470 100 705
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
288 1000 1288 1003 285 1504.5
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
174 100 274 58 216 87
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
80 500 580 330 250 495
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
190 190 30 160 45
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
140 140 60 80 90
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
135 500 635 300 335 450
FENOL GLISEROL TETES TELINGA 10
64 BTL
% 0 19 19 4 15 6
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 127 127 13 114 19.5
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
110 110 80 30 120
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
108 108 57 51 85.5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
276 276 0 276 0
74 GLIMEPIRID TABLET 1 MG TAB
235 900 1135 820 315 1230
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
99 200 299 210 89 315
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
161 161 0 161 0
84 HIDROKORTISON KRIM 2,5 % TUBE
14 14 14 0 21
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 54 200 254 26 228 39
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
88 300 388 130 258 195
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 340 340 3 337 4.5
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
225 1500 1725 1275 450 1912.5
95 KAPTOPRIL KAP 12,5 MG TAB
105 105 5 100 7.5
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
353 353 30 323 45
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
0 24 24 0 24 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
36 36 1 35 1.5
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
7 25 32 4 28 6
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
0 10 10 8 2 12
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 786 1500 2286 1726 560 2589
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 172 700 872 554 318 831
111 KODEIN HCL TAB. 10 MG TAB
520 520 20 500 30
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
22 22 8 14 12
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
130 130 60 70 90
117 LAKTULOSA SIRUP BTL
0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
383 400 783 560 223 840
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 116 116 10 106 15
129 METIL PREDNISOLON TAB 4 MG TAB
0 0 0 0 0
130 METILDOPA TABLET TAB
65 65 0 65 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
355 355 84 271 126
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
1 24 25 2 23 3
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
1079 900 1979 1479 500 2218.5
142 NATRIUM BIKARBONAT TAB 500 MG TAB
86 86 28 58 42
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
700 850 1550 684 866 1026
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
115 115 10 105 15
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
10 10 3 7 4.5
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
10 50 60 42 18 63
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
855 5250 6105 4532 1573 6798
162 PEKA KRISTAL POT
7 7 0 7 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
382 382 219 163 328.5
166 PREDNISON TAB 5 MG TAB
67 1000 1067 183 884 274.5
167 PROPANOLOL HCL TAB 10 MG TAB
130 130 90 40 135
168 PROPIL TIOURASIL TAB 100 ML TAB
230 230 90 140 135
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
0 1000 1000 735 265 1102.5
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
100 200 300 110 190 165
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
343 1000 1343 962 381 1443
178 SALEP 2-4 KOMB TAB
12 12 24 20 4 30
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
905 1600 2505 1240 1265 1860
187 SIMVASTATIN TABLET 10 MG TAB
51 300 351 80 271 120
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2380 2380 1435 945 2152.5
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0
196 TETAGAM INJ AMP
0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 412 412 260 152 390
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
190 500 690 370 320 555
201 VAKSIN RABIES VERO AMP
0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
512 1000 1512 935 577 1402.5
203 ZINC TABLET TAB
74 200 274 101 173 151.5
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
206 VAKSIN CAMPAK VIAL
0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0
241 FOCUS HIV 2 PCS
0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 500 500 500 0 750
249 HB TEST STRIP PCS
0 0 0 0 0
250 HBig PCS
0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0
274 LISOL BTL
0 0 0 0 0
275 MASKER PCS
0 1000 1000 1000 0 1500
276 MASKER N 95 PCS
0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0
281 OAT KATEGORI I PAKET
0 1 1 0 1 0
282 OAT KATEGORI II PAKET
0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0
323 AZITROMISIN TAB
TAB 12 12 0 12 0
324 OSELTAMIVIR TAB
TAB 100 100 0 100 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA
N AN
PEMAKAI AN ED SISA STOK STOK OPT
AWAL
326 VITAMIN C 500 MG
TAB 3 3 0 3 0
327 BAJU APD PCS
0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0
330 GOWN PCS
0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0
LEMBAR PERMINTAAN OBAT ( LPLPO )
BULAN : JANUARI
TAHUN : 2022
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
11 12 13 14 15 16 17
200
130
200
1200
2000
1000
87
100
900
300
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
380
100
15
400
400
600
1200
200
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
100
200
100
35
900
200
21
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
1400
10
200
500
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
300
600
1700
500
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
10
45
5000
200
95
700
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
1000
26
600
1000
300
300
800
100
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
750
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
1500
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
0
PEMBERIAN
PERMINTA
ED KET
AN
APBD II APBD I JML NO BATCH
0
REKAPITULASI PEMAKAIAN
FEBRUARI 2022
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 120 120
50 20 20 20 10
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 50 50
10 30 10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 210 210
15 30 45 30 5 30 15 15 10 15
10 AMLODIPINE TAB 10 MG TAB 1067 1067
50 51 98 5 51 28 70 21 10 30 25 76 40 52 25 165 12 23 24 31 56 25 32 44 23
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 960 960
30 130 30 140 210 170 130 120
13 AMOKSISILIN KAPSUL 250 MG TAB 2961 2961
180 180 200 130 314 100 100 100 262 100 100 190 100 170 120 230 150 110 40 20 30 20 15
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 59 59
2 52 3 4 1 4 1 5 2 2 1 3 4 3 7 1 4 2 4 1
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 138 138
8 3 9 8 13 2 3 4 8 8 5 6 1 5 9 10 2 4 3 6 1 5 7 5 3
17 ANTASIDA DOEN TAB. KOMB. TAB 20 20
20
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 657 657
60 30 17 20 60 20 20 10 40 20 32 20 10 30 10 47 24 40 20 10 32 55 30
25 ASAM FOLAT TABLET 1 MG TAB 95 95
20 15 30 10 10 10
26 ASAM MEFENAMAT KAPLET 500 MG TAB 511 511
30 21 20 20 40 10 10 10 10 20 20 10 10 40 40 20 10 30 10 30 10 40 30 20
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 1 1
1
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 20 20
20
31 ASETOSAL TAB. 80 MG TAB 25 25
5 5 5 10
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 90 90
15 30 15 30
34 ATAPULGIT TABLET 630 MG TAB 140 140
20 16 10 10 20 10 10 6 16 6 6 10
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 585 585
26 40 30 20 20 20 30 16 20 15 26 20 30 10 80 56 34 10 20 32 30
37 BETAMETASON DOPROPIONATE KRIM TUBE 16 16
1 2 2 1 1 1 1 1 2 1 1 1 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 2 2
2
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 7 7
7
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 1 1
1
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 802 802
26 15 15 25 10 33 25 25 60 45 25 16 25 35 55 10 45 35 45 50 16 60 20 41 20 25
47 CIPROFLOKSASIN KAPLET 500 MG TAB 550 550
50 50 10 40 10 10 40 30 70 20 30 10 10 20 60 20 10 10 50
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 658 658
50 3 46 16 50 20 10 13 50 40 40 20 20 10 69 40 78 73 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 91 91
10 5 20 10 8 3 5 30
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 219 219
16 10 20 5 10 15 16 10 20 10 26 25 6 10 10 10
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 30 30
10 20
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 120 120
30 30 30 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 400 400
30 30 60 90 30 60 30 60 10
64 FENOL GLISEROL TETES TELINGA 10 % BTL 2 2
1 1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 35 35
10 10 10 5
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 126 126
16 5 30 5 10 5 10 20 5 10 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 39 39
5 5 5 5 9 5 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 0 0
75 GLIMEPIRID TABLET 2 MG TAB 896
20 75 45 15 60 80 20 45 35 60 15 20 110 30 71 30 30 75 15 45
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 110 110
10 10 20 10 10 10 20 10 10
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 0 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 156 156
1 15 20 120
84 HIDROKORTISON KRIM 2,5 % TUBE 10 10
1 1 1 1 1 1 1 2 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 309 309
6 5 12 36 16 10 10 5 21 12 28 10 30 26 30 10 27 10 5
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 240 240
10 20 10 10 20 20 20 10 10 10 10 20 10 10 40 10
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 9 9
1 1 6 1
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 1870 1870
10 40 40 30 90 60 40 40 30 190 40 70 100 145 40 230 110 70 100 40 170 70 50 30 35
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 80 80
60 10 10
99 KETOKONAZOL KRIM TUBE 0 0
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 7 7
1 1 1 1 1 2
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 1 1
1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 6 6
1 1 2 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 3 3
1 1 1
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 1552 1552
70 110 87 132 70 36 35 39 46 60 58 55 45 14 74 122 69 13 37 24 123 42 52 22 87 30
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 545 545
65 60 30 30 30 30 30 30 15 60 30 60 45 30
111 KODEIN HCL TAB. 10 MG TAB 0 0
112 KODEIN HCL TAB. 20 MG TAB 106 106
20 10 10 20 20 6 10 10
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 10 10
10
115 KOTRIMOKSAZOL SUSPENSI BTL 4 4
1 1 2
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 50 50
10 10 20 10
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 800 800
180 120 30 20 30 30 30 90 90 30 60 30 60
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 10 10
10
129 METIL PREDNISOLON TAB 4 MG TAB 0 0
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 20 20
10 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 0 0
137 MIKONAZOL SALEP 2 % TUBE 7 7
1 2 2 1 1
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 1815 1815
50 60 46 56 122 10 42 36 82 30 46 46 40 108 80 112 36 106 133 70 90 154 112 62 86
142 NATRIUM BIKARBONAT TAB 500 MG TAB 26 26
6 10 10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 810 810
70 20 70 40 40 10 30 10 10 55 85 10 60 30 10 30 10 25 55 30 40 30 40
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 1 1
1
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 1 1
1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 40 40
2 1 2 2 3 1 2 2 1 1 3 1 1 3 1 3 3 2 2 2 2
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 4655 4655
171 159 251 216 275 46 103 74 272 182 89 140 155 139 227 228 224 64 223 196 195 173 237 146 290 180
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 243 243
70 10 10 10 60 20 3 20 10 10 20
166 PREDNISON TAB 5 MG TAB 1034 1034
20 3 30 6 10 10 20 30 25 23 35 30 78 10 20 5 22 54 93 77 136 100 130 47 20
167 PROPANOLOL HCL TAB 10 MG TAB 140 140
30 30 30 30 20
168 PROPIL TIOURASIL TAB 100 ML TAB 150 150
30 30 30 30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 2331 2331
40 72 82 82 60 36 36 50 90 95 72 140 86 118 69 40 130 87 144 182 60 100 118 142 128 72
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 200 200
30 90 50 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 978 978
40 10 25 25 60 20 30 10 100 70 10 40 35 30 65 50 60 25 63 55 50 65 30 10
178 SALEP 2-4 KOMB TAB 15 15
1 1 1 3 1 1 2 1 2 1 1
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1982 1982
50 40 90 90 20 20 40 160 50 130 120 142 10 190 100 10 70 140 70 210 30 70 80 50
187 SIMVASTATIN TABLET 10 MG TAB 235 235
60 50 30 10 20 15 10 10 20 10
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1708 1708
30 30 90 90 90 30 205 80 90 120 30 210 93 60 30 20 240 70 70 30
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 270 270
60 40 20 20 40 40 30 10 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 330 330
30 30 30 30 30 30 30 30 60 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 1254 1254
40 80 75 10 140 62 20 25 30 30 50 80 96 26 95 40 55 100 30 80 30 60
203 ZINC TABLET TAB 235 235
10 5 20 10 10 170 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 VAKSIN BCG VIAL 0 0
206 VAKSIN CAMPAK VIAL 0 0
207 VAKSIN DPT HB VIAL 0 0
208 VAKSIN DT VIAL 0 0
209 VAKSIN HB PID VIAL 0 0
210 VAKSIN MR VIAL 0 0
211 VAKSIN POLIO VIAL 0 0
212 VAKSIN POLIO INJEKSI VIAL 0 0
213 VAKSIN TD VIAL 0 0
214 VAKSIN TT VIAL 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
219 ALKOHOL SWAB PCS 0 0
220 ANTI SERA A BTL 0 0
221 ANTI SERA AB BTL 0 0
222 ANTI SERA B BTL 0 0
223 AQUA DEST BTL 0 0
224 ASEPTIC GEL BTL 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
227 BD VACUTAINER PCS 0 0
228 BLOOD LANSET PCS 0 0
229 BOX OBJECT GLAS PCS 0 0
230 BRACKET ABS PCS 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0
232 CATGUT PLAIN NO. 3/0 SACCH 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
235 DARYANTULLE LBR 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
237 ETANOL 70 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETER ALKOHOL BTL 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0
241 FOCUS HIV 2 PCS 0 0
242 FOLEY CATHETER 16 PCS 0 0
243 FOLEY CATHETER 18 PCS 0 0
244 GIEMSA BTL 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0
246 HANDRUB LIQUID BTL 0 0
247 HANDSCOON PCS 0 0
248 HANDSCOON NON STERIL PCS 0 0
249 HB TEST STRIP PCS 0 0
250 HBig PCS 0 0
251 HUMAN HEXAGON SIPILIS PCS 0 0
252 IMERSION OIL BTL 0 0
253 IMERSION OIL BTL 0 0
254 INFUSION SET ANAK SET 0 0
255 INFUSION SET DEWASA SET 0 0
256 IV NO.18 G SET 0 0
257 IV NO.20 G SET 0 0
258 IV NO.22 G SET 0 0
259 IV NO.24 G SET 0 0
260 KACA SLIDE PCS 0 0
261 KAPAS BOLA MINI PCS 0 0
262 KAPAS GIGI PCS 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0
265 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
268 KERTAS GOLONGAN DARAH LBR 0 0
269 KERTAS SARING LBR 0 0
270 LARUTAN BENEDICT BTL 0 0
271 LARUTAN HCL 0,1N BTL 0 0
272 LARUTAN TURK BTL 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0
274 LISOL BTL 0 0
275 MASKER PCS 0 0
276 MASKER N 95 PCS 0 0
277 METANOL PA BTL 0 0
278 NEEDLE 27 G SET 0 0
279 OAT I (KOMBIPAK) PAKET 0 0
280 OAT KATEGORI ANAK PAKET 0 0
281 OAT KATEGORI I PAKET 2 2
1 1
282 OAT KATEGORI II PAKET 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0
284 PIPET TETES PENDEK PCS 0 0
285 PLESTER 1 INCI ROL 0 0
286 PLESTER 7,5 CM x 4,5 M ROL 0 0
287 PLESTER KERTAS PCS 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0
289 POT FESES TRANSPARAN PCS 0 0
290 POT SPUTUM PCS 0 0
291 PROVEIN 6/0 PCS 0 0
292 RAPID TES NARKOBA 3 PCS 0 0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
294 RDT SIPILIS PCS 0 0
295 REAGEN SIPILIS PCS 0 0
296 SAFETY BOX 2,5 L PCS 0 0
297 SAFETY BOX 5 L PCS 0 0
298 SD HBsAG PCS 0 0
299 SD HIV PCS 0 0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
303 SLANG OKSIGEN ANAK SET 0 0
304 SLANG OKSIGEN DEWASA SET 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS 0 0
306 SPIRITUS BAKAR BTL 0 0
307 STIK ASAM URAT PCS 0 0
308 STIK GLUKOSA PCS 0 0
309 STIK KOLESTEROL PCS 0 0
310 SURGICAL BLADE STERIL NO.12 PCS 0 0
311 SURGICAL BLADE STERIL NO.15 PCS 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0
313 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
314 TEST HAMIL PCS 0 0
315 TISSUE LENSA PCS 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0
317 UNDERPAD PCS 0 0
318 URINE BAG STERIL PCS 0 0
319 USG GEL BLUE BTL 0 0
320 VIKIA ( HIV 3 ) PCS 0 0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
323 AZITROMISIN TAB 0 0
TAB
324 OSELTAMIVIR TAB 0 0
TAB
325 KLOROQUIN TAB 0 0
TAB
326 VITAMIN C 500 MG 0 0
TAB
327 BAJU APD PCS 0 0
328 BOOTS PSG 0 0
329 FACE SHIELD PCS 0 0
330 GOWN PCS 0 0
331 GOOGLE PCS 0 0
332 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : Februari
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
112 112 112 0 168 300
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
5 200 205 50 155 75 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
141 200 341 210 131 315 200
10 AMLODIPINE TAB 10 MG TAB
626 1200 1826 1067 759 1600.5 800
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
16 2000 2016 960 1056 1440 1000
13 AMOKSISILIN KAPSUL 250 MG TAB
1585 1500 3085 2961 124 4441.5 4000
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 6 80 86 59 27 88.5 60
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
41 150 191 138 53 207 150
17 ANTASIDA DOEN TAB. KOMB. TAB
42 900 942 20 922 30 0
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
20 20 0 20 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
490 300 790 657 133 985.5 800
25 ASAM FOLAT TABLET 1 MG TAB
280 280 95 185 142.5 0
26 ASAM MEFENAMAT KAPLET 500 MG TAB
178 400 578 511 67 766.5 600
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
1 1 1 0 1.5 10
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
95 100 195 45 150 67.5 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
84 100 184 90 94 135 41
34 ATAPULGIT TABLET 630 MG TAB
120 200 320 140 180 210 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
473 400 873 585 288 877.5 500
37 BETAMETASON DOPROPIONATE KRIM TUBE
16 16 16 0 24 24
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
9 9 2 7 3 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
15 15 0 15 0 0
42 CANDESARTAN TABLET 16 MG TAB
7 7 7 0 10.5 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
5 5 1 4 1.5 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
216 900 1116 802 314 1203 900
47 CIPROFLOKSASIN KAPLET 500 MG TAB
100 600 700 550 150 825 600
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
285 350 635 635 0 952.5 800
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
216 216 91 125 136.5 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
250 200 450 219 231 328.5 100
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
160 160 30 130 45 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
80 100 180 120 60 180 100
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
335 200 535 400 135 600 500
64 FENOL GLISEROL TETES TELINGA 10 % BTL
15 15 2 13 3 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 114 114 35 79 52.5 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
30 200 230 126 104 189 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
51 100 151 39 112 58.5 0
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
276 276 0 276 0 0
74 GLIMEPIRID TABLET 1 MG TAB
315 900 1215 896 319 1344 1000
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
89 200 289 110 179 165 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
161 500 661 156 505 234 0
84 HIDROKORTISON KRIM 2,5 % TUBE
0 24 24 10 14 15 15
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 228 400 628 309 319 463.5 200
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
258 258 240 18 360 300
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 337 337 9 328 13.5 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
450 1400 1850 1850 0 2775 3000
95 KAPTOPRIL KAP 12,5 MG TAB
100 100 0 100 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
323 323 80 243 120 0
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
24 24 7 17 10.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
35 35 1 34 1.5 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
28 28 6 22 9 0
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
20 20 3 17 4.5 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 560 2000 2560 1552 1008 2328 1300
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 318 500 818 545 273 817.5 500
111 KODEIN HCL TAB. 10 MG TAB
500 500 106 394 159 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
14 14 4 10 6 0
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
70 200 270 60 210 90 0
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
223 600 823 800 23 1200 1000
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 106 106 10 96 15 0
129 METIL PREDNISOLON TAB 4 MG TAB
0 500 500 0 500 0 0
130 METILDOPA TABLET TAB
65 65 0 65 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
271 271 20 251 30 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
23 23 7 16 10.5 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
500 1700 2200 1815 385 2722.5 2000
142 NATRIUM BIKARBONAT TAB 500 MG TAB
58 58 26 32 39 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
866 866 810 56 1215 1100
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
105 105 1 104 1.5 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 25 25 0 25 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
7 7 1 6 1.5 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
66 110 176 40 136 60 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1573 5000 6573 4655 1918 6982.5 5000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
163 200 363 243 120 364.5 200
166 PREDNISON TAB 5 MG TAB
884 500 1384 1034 350 1551 1200
167 PROPANOLOL HCL TAB 10 MG TAB
40 300 340 140 200 210 100
168 PROPIL TIOURASIL TAB 100 ML TAB
140 140 140 0 210 300
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
331 2000 2331 2000 331 3000 2669
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
190 190 190 0 285 400
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
381 1000 1381 978 403 1467 1000
178 SALEP 2-4 KOMB TAB
4 18 22 15 7 22.5 15
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1265 1600 2865 1982 883 2973 2000
187 SIMVASTATIN TABLET 10 MG TAB
271 271 235 36 352.5 300
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
945 3780 4725 1708 3017 2562 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 152 500 652 270 382 405 0
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
320 300 620 330 290 495 200
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
577 850 1427 1254 173 1881 1700
203 ZINC TABLET TAB
173 100 273 235 38 352.5 200
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 FOCUS HIV 2 PCS
0 0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 500 500 500 0 750 500
249 HB TEST STRIP PCS
0 0 0 0 0 0
250 HBig PCS
0 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
274 LISOL BTL
0 0 0 0 0 0
275 MASKER PCS
0 1000 1000 1000 0 1500 1000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER N 95 PCS
0 0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0 0
281 OAT KATEGORI I PAKET
1 3 4 2 2 3 1
282 OAT KATEGORI II PAKET
0 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0 0
323 AZITROMISIN TAB
TAB 12 12 0 12 0 0
324 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0 0
327 BAJU APD PCS
0 0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0 0
330 GOWN PCS
0 0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0 0
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
MARET 2022
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 70 70
10 20 20 20
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 30 30
30
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 155 155
30 10 10 5 30 30 10 30
10 AMLODIPINE TAB 10 MG TAB 1007 1007
36 98 28 32 100 100 50 65 20 65 15 43 22 40 20 32 95 52 18 16 43 17
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 2719 2719
210 60 260 170 200 150 85 130 20 186 170 160 90 70 100 70 217 120 75 50 56 70
13 AMOKSISILIN KAPSUL 250 MG TAB 30 30
10 10 10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 41 41
3 3 1 2 3 1 3 5 4 3 1 4 1 2 1 2 2
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 91 91
11 3 5 2 12 1 2 6 3 4 1 2 3 4 3 2 14 8 1 2 1 1
17 ANTASIDA DOEN TAB. KOMB. TAB 454 454
40 20 104 40 10 60 30 20 20 10 10 20 10 10 10 10 20 10
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 695 695
50 40 56 65 35 40 25 13 15 32 30 34 20 30 40 66 20 26 32 6 20
25 ASAM FOLAT TABLET 1 MG TAB 115 115
20 10 20 10 20 10 10 15
26 ASAM MEFENAMAT KAPLET 500 MG TAB 430 430
10 20 30 30 10 20 10 20 10 20 40 10 20 40 50 60 20 10
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 2 2
2
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 20 20
20
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 0 0
34 ATAPULGIT TABLET 630 MG TAB 90 90
16 6 10 10 6 22 10 10
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 670 670
56 20 50 34 46 26 42 70 20 30 70 30 20 40 16 58 10 22 10
37 BETAMETASON DOPROPIONATE KRIM TUBE 11 11
2 1 2 1 1 1 1 1 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 4 4
2 2
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 7 7
4 3
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 1 1
1
46 CETIRIZIN TABLET 10 MG TAB 645 645
30 20 40 31 10 30 15 40 20 10 31 30 26 15 35 15 60 57 30 20 45 35
47 CIPROFLOKSASIN KAPLET 500 MG TAB 290 290
60 50 10 10 20 10 10 10 10 10 10 10 20 30 10 10
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 0 0
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 53 53
3 1 5 1 6 2 9 20 3 3
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 129 129
30 10 4 20 10 30 10 10 5
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 10 10
10
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 60 60
30 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 340 340
20 30 30 20 60 60 30 30 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL 7 7
1 1 1 1 1 1 1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 25 25
15 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 50 50
5 15 10 10 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 38 38
6 7 6 3 11 5
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 0 0
75 GLIMEPIRID TABLET 2 MG TAB 610
30 40 15 80 45 50 40 45 30 30 20 80 15 30 60
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 106 106
10 10 20 6 20 10 10 10 10
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 0 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 65 65
10 20 10 15 10
84 HIDROKORTISON KRIM 2,5 % TUBE 27 27
1 1 1 1 1 5 3 10 2 2
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 416 416
51 3 15 6 25 30 15 20 38 31 15 15 10 10 10 32 60 25 5
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 556 556
30 30 40 10 60 50 20 60 20 15 30 50 36 20 30 35 20
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 10 10
10
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 751 751
20 50 40 96 20 40 30 55 40 50 30 36 22 20 16 120 20 31 15
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 10 10
10
99 KETOKONAZOL KRIM TUBE 0 0
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 6 6
1 4 1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 7 7
1 1 1 1 1 1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 8 8
3 1 1 1 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 1131 1131
66 250 40 41 150 68 40 44 10 42 45 36 4 97 20 10 72 10 15 43 28
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 370 370
30 30 90 30 30 30 50 20 30 30
111 KODEIN HCL TAB. 10 MG TAB 10 10
10
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 12 12
1 1 10
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 72 72
10 12 10 10 10 20
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 305 305
30 75 30 60 20 60 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 0 0
129 METIL PREDNISOLON TAB 4 MG TAB 90 90
60 10 10 10
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 80 80
10 10 10 10 10 10 10 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 100 100
15 15 30 15 10 15
137 MIKONAZOL SALEP 2 % TUBE 12 12
1 1 1 1 1 1 2 1 1 1 1
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 56 56
56
141 N.ASETIL SISTEIN TAB 200 MG KAP 1835 1835
146 170 158 88 132 126 101 50 88 100 86 82 76 70 48 96 72 26 40 64 16
142 NATRIUM BIKARBONAT TAB 500 MG TAB 38 38
6 6 6 20
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 6 6
6
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 40 40
1 3 2 3 2 1 2 1 4 3 1 1 7 1 3 1 2 1 1
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 4614 4614
316 320 325 273 390 224 164 284 110 270 179 191 94 187 180 150 280 268 126 120 79 84
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 206 206
20 50 10 10 6 10 100
166 PREDNISON TAB 5 MG TAB 926 926
80 10 142 90 23 23 30 50 20 20 60 23 33 60 60 30 30 82 60
167 PROPANOLOL HCL TAB 10 MG TAB 60 60
30 30
168 PROPIL TIOURASIL TAB 100 ML TAB 60 60
30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 1779 1779
140 26 162 28 84 42 86 34 82 174 97 142 82 26 30 116 72 97 103 16 98 42
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 150 150
40 30 30 20 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 860 860
30 100 80 20 75 50 20 15 55 35 20 80 20 50 105 15 30 50 10
178 SALEP 2-4 KOMB TAB 5 5
1 2 1 1
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1544 1544
10 140 75 116 100 120 86 116 46 50 75 95 60 60 80 40 130 25 20 70 30
187 SIMVASTATIN TABLET 10 MG TAB 40 40
10 20 10
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1285 1285
10 90 100 70 160 140 30 40 90 180 60 30 70 10 170 30 5
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 450 450
30 20 20 20 100 10 80 40 10 20 30 50 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 290 290
30 30 90 30 50 30 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 732 732
105 30 10 50 12 20 10 50 60 45 80 60 70 50 50 30
203 ZINC TABLET TAB 150 150
20 10 5 10 10 25 10 10 5 25 10 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 VAKSIN BCG VIAL 0 0
206 VAKSIN CAMPAK VIAL 0 0
207 VAKSIN DPT HB VIAL 0 0
208 VAKSIN DT VIAL 0 0
209 VAKSIN HB PID VIAL 0 0
210 VAKSIN MR VIAL 0 0
211 VAKSIN POLIO VIAL 0 0
212 VAKSIN POLIO INJEKSI VIAL 0 0
213 VAKSIN TD VIAL 0 0
214 VAKSIN TT VIAL 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
219 ALKOHOL SWAB PCS 0 0
220 ANTI SERA A BTL 0 0
221 ANTI SERA AB BTL 0 0
222 ANTI SERA B BTL 0 0
223 AQUA DEST BTL 0 0
224 ASEPTIC GEL BTL 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
227 BD VACUTAINER PCS 0 0
228 BLOOD LANSET PCS 0 0
229 BOX OBJECT GLAS PCS 0 0
230 BRACKET ABS PCS 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0
232 CATGUT PLAIN NO. 3/0 SACCH 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
235 DARYANTULLE LBR 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
237 ETANOL 70 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETER ALKOHOL BTL 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0
241 FOCUS HIV 2 PCS 0 0
242 FOLEY CATHETER 16 PCS 0 0
243 FOLEY CATHETER 18 PCS 0 0
244 GIEMSA BTL 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0
246 HANDRUB LIQUID BTL 0 0
247 HANDSCOON PCS 0 0
248 HANDSCOON NON STERIL PCS 0 0
249 HB TEST STRIP PCS 0 0
250 HBig PCS 0 0
251 HUMAN HEXAGON SIPILIS PCS 0 0
252 IMERSION OIL BTL 0 0
253 IMERSION OIL BTL 0 0
254 INFUSION SET ANAK SET 0 0
255 INFUSION SET DEWASA SET 0 0
256 IV NO.18 G SET 0 0
257 IV NO.20 G SET 0 0
258 IV NO.22 G SET 0 0
259 IV NO.24 G SET 0 0
260 KACA SLIDE PCS 0 0
261 KAPAS BOLA MINI PCS 0 0
262 KAPAS GIGI PCS 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0
265 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
268 KERTAS GOLONGAN DARAH LBR 0 0
269 KERTAS SARING LBR 0 0
270 LARUTAN BENEDICT BTL 0 0
271 LARUTAN HCL 0,1N BTL 0 0
272 LARUTAN TURK BTL 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0
274 LISOL BTL 0 0
275 MASKER PCS 0 0
276 MASKER N 95 PCS 0 0
277 METANOL PA BTL 0 0
278 NEEDLE 27 G SET 0 0
279 OAT I (KOMBIPAK) PAKET 0 0
280 OAT KATEGORI ANAK PAKET 0 0
281 OAT KATEGORI I PAKET 0 0
282 OAT KATEGORI II PAKET 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0
284 PIPET TETES PENDEK PCS 0 0
285 PLESTER 1 INCI ROL 0 0
286 PLESTER 7,5 CM x 4,5 M ROL 0 0
287 PLESTER KERTAS PCS 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0
289 POT FESES TRANSPARAN PCS 0 0
290 POT SPUTUM PCS 0 0
291 PROVEIN 6/0 PCS 0 0
292 RAPID TES NARKOBA 3 PCS 0 0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
294 RDT SIPILIS PCS 0 0
295 REAGEN SIPILIS PCS 0 0
296 SAFETY BOX 2,5 L PCS 0 0
297 SAFETY BOX 5 L PCS 0 0
298 SD HBsAG PCS 0 0
299 SD HIV PCS 0 0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
303 SLANG OKSIGEN ANAK SET 0 0
304 SLANG OKSIGEN DEWASA SET 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS 0 0
306 SPIRITUS BAKAR BTL 0 0
307 STIK ASAM URAT PCS 0 0
308 STIK GLUKOSA PCS 0 0
309 STIK KOLESTEROL PCS 0 0
310 SURGICAL BLADE STERIL NO.12 PCS 0 0
311 SURGICAL BLADE STERIL NO.15 PCS 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0
313 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
314 TEST HAMIL PCS 0 0
315 TISSUE LENSA PCS 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0
317 UNDERPAD PCS 0 0
318 URINE BAG STERIL PCS 0 0
319 USG GEL BLUE BTL 0 0
320 VIKIA ( HIV 3 ) PCS 0 0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
323 AZITROMISIN TAB 0 0
TAB
324 OSELTAMIVIR TAB 0 0
TAB
325 KLOROQUIN TAB 0 0
TAB
326 VITAMIN C 500 MG 0 0
TAB
327 BAJU APD PCS 0 0
328 BOOTS PSG 0 0
329 FACE SHIELD PCS 0 0
330 GOWN PCS 0 0
331 GOOGLE PCS 0 0
332 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : Maret
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
0 300 300 70 230 105 0
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
155 155 30 125 45 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
131 200 331 155 176 232.5 100
10 AMLODIPINE TAB 10 MG TAB
759 900 1659 1007 652 1510.5 800
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
1056 2000 3056 2719 337 4078.5 3700
13 AMOKSISILIN KAPSUL 250 MG TAB
124 124 30 94 45 100
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 27 60 87 41 46 61.5 25
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
53 100 153 91 62 136.5 70
17 ANTASIDA DOEN TAB. KOMB. TAB
922 922 454 468 681 300
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
20 20 0 20 0 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
133 850 983 695 288 1042.5 700
25 ASAM FOLAT TABLET 1 MG TAB
185 185 115 70 172.5 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
67 600 667 430 237 645 400
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 8 8 2 6 3 0
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
150 150 20 130 30 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
94 100 194 0 194 0 0
34 ATAPULGIT TABLET 630 MG TAB
180 180 90 90 135 100
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
288 600 888 670 218 1005 700
37 BETAMETASON DOPROPIONATE KRIM TUBE
0 25 25 11 14 16.5 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
7 7 4 3 6 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
15 15 0 15 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
7 7 7 0 10.5 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
314 800 1114 645 469 967.5 400
47 CIPROFLOKSASIN KAPLET 500 MG TAB
150 600 750 290 460 435 0
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
0 0 0 0 0 0
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
125 125 53 72 79.5 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
231 100 331 129 202 193.5 0
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
130 130 10 120 0 15 100
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
60 100 160 60 100 90 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
135 500 635 340 295 510 200
64 FENOL GLISEROL TETES TELINGA 10 % BTL
13 13 7 6 10.5 5
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 79 300 379 25 354 37.5 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
104 104 50 54 75 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
112 112 38 74 57 0
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
276 276 0 276 0 0
74 GLIMEPIRID TABLET 1 MG TAB
0 0 0 0 0
75 GLIMEPIRID TABLET 2 MG TAB
319 600 919 610 309 915 600
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
179 100 279 106 173 159 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
10 10 0 10 0 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
505 505 65 440 97.5 0
84 HIDROKORTISON KRIM 2,5 % TUBE
14 17 31 27 4 40.5 25
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 319 200 519 416 103 624 300
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
18 1000 1018 556 462 834 400
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 328 328 10 318 15 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
176 750 926 751 175 1126.5 900
95 KAPTOPRIL KAP 12,5 MG TAB
100 100 0 100 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
243 243 10 233 15 0
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
17 17 6 11 9 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
34 34 7 27 10.5 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
22 22 8 14 0 12 12
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
17 10 27 0 27 0 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 1008 600 1608 1131 477 1696.5 1200
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 273 500 773 370 403 555 0
111 KODEIN HCL TAB. 10 MG TAB
394 394 10 384 15 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
18 18 12 6 18 12
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
210 210 72 138 108 0
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
23 600 623 305 318 457.5 200
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 96 96 0 96 0 0
129 METIL PREDNISOLON TAB 4 MG TAB
500 500 90 410 135 0
130 METILDOPA TABLET TAB
65 65 0 65 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
251 251 80 171 120 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
0 200 200 100 100 150 200
137 MIKONAZOL SALEP 2 % TUBE
16 16 12 4 18 14
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 1650 1650 56 1594 84 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
385 2450 2835 1835 1000 2752.5 1500
142 NATRIUM BIKARBONAT TAB 500 MG TAB
32 32 32 0 48 48
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
104 104 0 104 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
25 25 0 25 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
6 6 0 6 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
22 22 6 16 9 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
136 136 40 96 60 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1918 5000 6918 4614 2304 6921 3000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
120 300 420 206 214 309 100
166 PREDNISON TAB 5 MG TAB
350 1000 1350 926 424 1389 900
167 PROPANOLOL HCL TAB 10 MG TAB
200 200 60 140 90 0
168 PROPIL TIOURASIL TAB 100 ML TAB
0 300 300 60 240 90 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
331 1500 1831 1779 52 2668.5 2500
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
0 300 300 150 150 225 100
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
403 850 1253 860 393 1290 800
178 SALEP 2-4 KOMB TAB
7 20 27 5 22 7.5 0
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
883 2000 2883 1544 1339 2316 900
187 SIMVASTATIN TABLET 10 MG TAB
36 360 396 40 356 60 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
3017 3017 1285 1732 1927.5 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
100 100 0 100 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 382 500 882 450 432 675 200
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
290 200 490 290 200 435 200
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
173 1000 1173 732 441 1098 600
203 ZINC TABLET TAB
38 150 188 150 38 225 200
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 FOCUS HIV 2 PCS
0 0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0 0
248 HANDSCOON NON STERIL PCS
0 0 0 0 0 0
249 HB TEST STRIP PCS
0 0 0 0 0 0
250 HBig PCS
0 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
274 LISOL BTL
0 0 0 0 0 0
275 MASKER PCS
0 1000 1000 1000 0 1500 1000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER N 95 PCS
0 0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0 0
281 OAT KATEGORI I PAKET
2 2 0 2 0 0
282 OAT KATEGORI II PAKET
0 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0 0
323 AZITROMISIN TAB
TAB 12 12 0 12 0 0
324 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0 0
327 BAJU APD PCS
0 0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0 0
330 GOWN PCS
0 0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0 0
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
Apr-22
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 160 160
20 20 10 15 10 10 10 20 10 10 15 10
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 100 100
30 30 10 30
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 203 203
35 15 5 10 5 30 35 5 38 5 5 15
10 AMLODIPINE TAB 10 MG TAB 896 896
40 55 29 7 26 131 32 40 42 29 47 41 35 38 28 45 50 15 23 22 10 45 54 12
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 1686 1686
60 160 70 60 145 91 55 85 60 90 40 50 70 80 40 10 80 70 20 90 60 40 60 60 40
13 AMOKSISILIN KAPSUL 250 MG TAB 20 20
10 10
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 27 27
3 2 1 2 3 3 2 1 1 2 1 1 1 1 2 1
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 85 85
3 3 3 2 3 6 5 1 4 6 2 2 2 9 6 8 2 1 7 5 5
17 ANTASIDA DOEN TAB. KOMB. TAB 230 230
20 30 30 10 30 20 20 10 10 10 20 10 10
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 1 1
1
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 424 424
40 40 25 35 20 32 16 60 10 20 10 10 16 10 30 20 20 10
25 ASAM FOLAT TABLET 1 MG TAB 170 170
30 70 10 30 10 10 10
26 ASAM MEFENAMAT KAPLET 500 MG TAB 290 290
30 20 10 40 10 10 10 20 20 10 10 10 50 10 20 10
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 3 3
3
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 0 0
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 45 45
20 25
34 ATAPULGIT TABLET 630 MG TAB 64 64
26 6 6 10 10 6
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 507 507
10 51 30 16 26 40 10 16 6 16 16 22 22 16 20 30 10 30 40 30 20 30
37 BETAMETASON DOPROPIONATE KRIM TUBE 24 24
1 2 1 1 3 5 1 1 1 1 4 3
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 4 4
2 2
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 666 666
20 35 20 20 30 20 60 30 25 50 10 20 15 25 15 5 45 20 25 45 11 40 30 30 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB 235 235
20 25 10 10 10 10 20 10 10 10 10 20 10 10 10 20 20
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 0 0
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 67 67
33 4 30
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 144 144
10 10 6 6 6 6 10 20 6 26 22 16
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 0 0
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 70 70
10 30 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 240 240
30 30 90 30 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL 1 1
1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 20 20
10 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 10 10
10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 32 32
5 3 3 6 12 3
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 0 0
75 GLIMEPIRID TABLET 2 MG TAB 775
40 90 60 40 45 30 30 45 15 45 15 30 45 45 30 50 30 15 15 45 15
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 150 150
20 10 10 20 10 10 20 10 10 20 10
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 60 60
15 15 15 15
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 20 20
20
84 HIDROKORTISON KRIM 2,5 % TUBE 9 9
1 3 1 1 1 2
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 361 361
25 15 15 10 40 10 20 15 10 31 15 5 5 10 15 21 21 21 5 11 30 11
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 486 486
10 30 20 10 40 30 15 50 31 25 40 15 5 25 20 35 10 5 30 10 15 10 5
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 0 0
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 320 320
10 40 25 15 90 60 80
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 30 30
30
99 KETOKONAZOL KRIM TUBE 0 0
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 7 7
1 1 1 1 1 2
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 5 5
1 2 1 1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 16 16
1 2 1 1 1 1 1 1 1 3 1 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 3 3
1 2
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 594 594
33 44 29 20 15 32 21 43 3 11 30 40 10 25 10 40 14 25 31 54 6 24 34
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 495 495
10 60 60 30 30 30 45 30 30 20 60 30 30 30
111 KODEIN HCL TAB. 10 MG TAB 20 20
10 10
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 2 2
1 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 60 60
10 10 10 10 20
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 550 550
40 60 60 30 30 30 30 30 60 60 30 30 30 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 0 0
129 METIL PREDNISOLON TAB 4 MG TAB 60 60
10 10 3 7 10 10 10
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 10 10
10
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 85 85
10 10 10 40 15
137 MIKONAZOL SALEP 2 % TUBE 1 1
1
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 869 869
35 46 32 32 42 28 38 42 28 16 33 28 26 51 30 6 68 16 10 72 46 66 10 36 32
142 NATRIUM BIKARBONAT TAB 500 MG TAB 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 1 1
1
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 35 35
1 2 1 3 2 1 2 2 2 3 3 1 3 1 1 1 3 1 1 1
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 2653 2653
73 182 110 100 70 171 139 116 93 84 100 120 120 120 10 130 110 40 150 106 104 165 160 80
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 86 86
10 10 20 6 20 10 10
166 PREDNISON TAB 5 MG TAB 995 995
10 74 40 42 60 30 63 31 50 63 60 10 40 20 30 10 50 53 30 54 36 23 50 43 23
167 PROPANOLOL HCL TAB 10 MG TAB 90 90
30 30 30
168 PROPIL TIOURASIL TAB 100 ML TAB 90 90
30 30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 1978 1978
31 77 66 38 76 120 132 94 59 114 60 145 74 52 100 52 112 74 43 120 64 51 98 104 22
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 120 120
30 30 30 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 687 687
20 35 20 40 55 40 30 24 15 30 40 10 60 43 30 45 10 70 10 60
178 SALEP 2-4 KOMB TAB 11 11
2 2 1 1 2 1 1 1
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1256 1256
20 100 35 85 115 100 50 65 40 35 56 20 100 5 45 30 30 95 5 100 60 65
187 SIMVASTATIN TABLET 10 MG TAB 50 50
10 10 30
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1375 1375
120 60 120 130 60 60 60 90 30 60 130 30 50 40 30 90 5 120 60 30
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 225 225
10 20 10 30 20 30 20 20 20 10 5 15 5 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 320 320
30 60 30 30 30 20 30 30 30 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 547 547
20 15 30 20 11 5 50 20 35 45 20 10 40 6 25 50 10 15 30 10 15 55 10
203 ZINC TABLET TAB 90 90
30 10 5 15 20 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 VAKSIN BCG VIAL 0 0
206 VAKSIN CAMPAK VIAL 0 0
207 VAKSIN DPT HB VIAL 0 0
208 VAKSIN DT VIAL 0 0
209 VAKSIN HB PID VIAL 0 0
210 VAKSIN MR VIAL 0 0
211 VAKSIN POLIO VIAL 0 0
212 VAKSIN POLIO INJEKSI VIAL 0 0
213 VAKSIN TD VIAL 0 0
214 VAKSIN TT VIAL 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
219 ALKOHOL SWAB PCS 0 0
220 ANTI SERA A BTL 0 0
221 ANTI SERA AB BTL 0 0
222 ANTI SERA B BTL 0 0
223 AQUA DEST BTL 0 0
224 ASEPTIC GEL BTL 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
227 BD VACUTAINER PCS 0 0
228 BLOOD LANSET PCS 0 0
229 BOX OBJECT GLAS PCS 0 0
230 BRACKET ABS PCS 0 0
231 CATGUT CROMIC NO. 3/0 SACCH 0 0
232 CATGUT PLAIN NO. 3/0 SACCH 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
235 DARYANTULLE LBR 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
237 ETANOL 70 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETER ALKOHOL BTL 0 0
240 ETIL KLORIDA SEMPROT BTL 0 0
241 FOCUS HIV 2 PCS 0 0
242 FOLEY CATHETER 16 PCS 0 0
243 FOLEY CATHETER 18 PCS 0 0
244 GIEMSA BTL 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL 0 0
246 HANDRUB LIQUID BTL 0 0
247 HANDSCOON PCS 0 0
248 HANDSCOON NON STERIL PCS 0 0
249 HB TEST STRIP PCS 0 0
250 HBig PCS 0 0
251 HUMAN HEXAGON SIPILIS PCS 0 0
252 IMERSION OIL BTL 0 0
253 IMERSION OIL BTL 0 0
254 INFUSION SET ANAK SET 0 0
255 INFUSION SET DEWASA SET 0 0
256 IV NO.18 G SET 0 0
257 IV NO.20 G SET 0 0
258 IV NO.22 G SET 0 0
259 IV NO.24 G SET 0 0
260 KACA SLIDE PCS 0 0
261 KAPAS BOLA MINI PCS 0 0
262 KAPAS GIGI PCS 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
264 KASA KOMPRES STERIL 40X40 BKS 0 0
265 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
266 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
267 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
268 KERTAS GOLONGAN DARAH LBR 0 0
269 KERTAS SARING LBR 0 0
270 LARUTAN BENEDICT BTL 0 0
271 LARUTAN HCL 0,1N BTL 0 0
272 LARUTAN TURK BTL 0 0
273 LARUTAN ZIELH NELSEN BTL 0 0
274 LISOL BTL 0 0
275 MASKER PCS 0 0
276 MASKER N 95 PCS 0 0
277 METANOL PA BTL 0 0
278 NEEDLE 27 G SET 0 0
279 OAT I (KOMBIPAK) PAKET 0 0
280 OAT KATEGORI ANAK PAKET 0 0
281 OAT KATEGORI I PAKET 1 1
1
282 OAT KATEGORI II PAKET 0 0
283 PARAFORMALDEHID TAB 1 G TAB 0 0
284 PIPET TETES PENDEK PCS 0 0
285 PLESTER 1 INCI ROL 0 0
286 PLESTER 7,5 CM x 4,5 M ROL 0 0
287 PLESTER KERTAS PCS 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL 0 0
289 POT FESES TRANSPARAN PCS 0 0
290 POT SPUTUM PCS 0 0
291 PROVEIN 6/0 PCS 0 0
292 RAPID TES NARKOBA 3 PCS 0 0
293 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
294 RDT SIPILIS PCS 0 0
295 REAGEN SIPILIS PCS 0 0
296 SAFETY BOX 2,5 L PCS 0 0
297 SAFETY BOX 5 L PCS 0 0
298 SD HBsAG PCS 0 0
299 SD HIV PCS 0 0
300 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
303 SLANG OKSIGEN ANAK SET 0 0
304 SLANG OKSIGEN DEWASA SET 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS 0 0
306 SPIRITUS BAKAR BTL 0 0
307 STIK ASAM URAT PCS 0 0
308 STIK GLUKOSA PCS 0 0
309 STIK KOLESTEROL PCS 0 0
310 SURGICAL BLADE STERIL NO.12 PCS 0 0
311 SURGICAL BLADE STERIL NO.15 PCS 0 0
312 TABUNG VACUTAINER NON EDTA PCS 0 0
313 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
314 TEST HAMIL PCS 0 0
315 TISSUE LENSA PCS 0 0
316 UMBILICAL CORD KLEM STERIL PCS 0 0
317 UNDERPAD PCS 0 0
318 URINE BAG STERIL PCS 0 0
319 USG GEL BLUE BTL 0 0
320 VIKIA ( HIV 3 ) PCS 0 0
321 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
322 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
323 AZITROMISIN TAB 0 0
TAB
324 OSELTAMIVIR TAB 0 0
TAB
325 KLOROQUIN TAB 0 0
TAB
326 VITAMIN C 500 MG 0 0
TAB
327 BAJU APD PCS 0 0
328 BOOTS PSG 0 0
329 FACE SHIELD PCS 0 0
330 GOWN PCS 0 0
331 GOOGLE PCS 0 0
332 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : APRIL
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
230 230 160 70 240 300
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
125 125 100 25 150 100
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
176 200 376 203 173 304.5 300
10 AMLODIPINE TAB 10 MG TAB
652 900 1552 896 656 1344 1300
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
337 3700 4037 1686 2351 2529 2500
13 AMOKSISILIN KAPSUL 250 MG TAB
94 100 194 20 174 30 100
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 46 50 96 27 69 40.5 25
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
62 100 162 85 77 127.5 70
17 ANTASIDA DOEN TAB. KOMB. TAB
468 300 768 230 538 345 0
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
20 20 1 19 1.5 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
288 700 988 424 564 636 400
25 ASAM FOLAT TABLET 1 MG TAB
70 100 170 170 0 255 200
26 ASAM MEFENAMAT KAPLET 500 MG TAB
237 400 637 290 347 435 200
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
6 6 3 3 4.5 6
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
130 200 330 0 330 0 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
194 194 45 149 67.5 0
34 ATAPULGIT TABLET 630 MG TAB
90 200 290 64 226 96 100
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
218 700 918 507 411 760.5 700
37 BETAMETASON DOPROPIONATE KRIM TUBE
34 34 24 10 36 25
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
3 3 0 3 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
15 15 0 15 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
18 18 4 14 6 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
469 500 969 666 303 999 400
47 CIPROFLOKSASIN KAPLET 500 MG TAB
460 460 235 225 352.5 300
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
0 0 0 0 0 0
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
72 200 272 67 205 100.5 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
202 200 402 144 258 216 0
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
50 0 50 0 50 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
100 100 70 30 105 100
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
295 500 795 240 555 360 200
64 FENOL GLISEROL TETES TELINGA 10 % BTL
6 13 19 1 18 1.5 5
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 354 354 20 334 30 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
54 54 10 44 15 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
74 74 32 42 0 48 100
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
276 276 0 276 0 0
74 GLIMEPIRID TABLET 1 MG TAB
0 0 0 0 0 0
75 GLIMEPIRID TABLET 2 MG TAB
309 600 909 775 134 1162.5 800
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
173 173 150 23 225 200
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
10 300 310 60 250 90 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
440 440 20 420 30 0
84 HIDROKORTISON KRIM 2,5 % TUBE
4 24 28 9 19 13.5 0
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 103 300 403 361 42 541.5 500
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
462 400 862 486 376 729 400
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 318 318 0 318 0 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
175 175 175 0 262.5 900
95 KAPTOPRIL KAP 12,5 MG TAB
100 100 0 100 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
233 233 30 203 45 0
99 KETOKONAZOL KRIM TUBE
0 0 0 0 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
11 11 7 4 10.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
27 27 5 22 7.5 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 25 25 16 9 24 15
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
27 27 3 24 4.5 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 477 300 777 594 183 891 800
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 403 300 703 495 208 742.5 500
111 KODEIN HCL TAB. 10 MG TAB
0 0 0 0 0 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
6 12 18 2 16 3 0
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
138 200 338 60 278 90 0
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
318 600 918 550 368 825 800
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 96 96 0 96 0 0
129 METIL PREDNISOLON TAB 4 MG TAB
410 410 60 350 90 0
130 METILDOPA TABLET TAB
65 65 0 65 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
171 171 10 161 15 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
100 100 100 0 150 200
137 MIKONAZOL SALEP 2 % TUBE
4 4 1 3 1.5 25
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
1594 1594 0 1594 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
1000 550 1550 869 681 0 1303.5 1500
142 NATRIUM BIKARBONAT TAB 500 MG TAB
0 100 100 0 100 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 0 0 0 0 0
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
104 104 1 103 1.5 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
25 25 0 25 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
6 6 0 6 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
16 16 0 16 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
96 96 35 61 52.5 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2304 3000 5304 2653 2651 3979.5 3000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
214 100 314 86 228 129 100
166 PREDNISON TAB 5 MG TAB
424 1500 1924 995 929 1492.5 900
167 PROPANOLOL HCL TAB 10 MG TAB
140 140 90 50 135 150
168 PROPIL TIOURASIL TAB 100 ML TAB
240 240 90 150 135 100
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
52 1900 1952 1758 194 2637 2500
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
150 300 450 120 330 180 200
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
393 800 1193 687 506 1030.5 1000
178 SALEP 2-4 KOMB TAB
22 22 11 11 16.5 16
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1339 1000 2339 1256 1083 1884 1800
187 SIMVASTATIN TABLET 10 MG TAB
356 356 50 306 75 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
1732 3780 5512 1375 4137 2062.5 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 432 200 632 225 407 337.5 300
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
200 500 700 320 380 480 400
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
441 600 1041 547 494 820.5 800
203 ZINC TABLET TAB
38 200 238 90 148 135 100
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 VAKSIN BCG VIAL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
207 VAKSIN DPT HB VIAL
0 0 0 0 0 0
208 VAKSIN DT VIAL
0 0 0 0 0 0
209 VAKSIN HB PID VIAL
0 0 0 0 0 0
210 VAKSIN MR VIAL
0 0 0 0 0 0
211 VAKSIN POLIO VIAL
0 0 0 0 0 0
212 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
213 VAKSIN TD VIAL
0 0 0 0 0 0
214 VAKSIN TT VIAL
0 0 0 0 0 0
215 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
219 ALKOHOL SWAB PCS
0 0 0 0 0 0
220 ANTI SERA A BTL
0 0 0 0 0 0
221 ANTI SERA AB BTL
0 0 0 0 0 0
222 ANTI SERA B BTL
0 0 0 0 0 0
223 AQUA DEST BTL
0 0 0 0 0 0
224 ASEPTIC GEL BTL
0 0 0 0 0 0
225 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
227 BD VACUTAINER PCS
0 0 0 0 0 0
228 BLOOD LANSET PCS
0 0 0 0 0 0
229 BOX OBJECT GLAS PCS
0 0 0 0 0 0
230 BRACKET ABS PCS
0 0 0 0 0 0
231 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
232 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
235 DARYANTULLE LBR
0 0 0 0 0 0
236 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
237 ETANOL 70 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETER ALKOHOL BTL
0 0 0 0 0 0
240 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 FOCUS HIV 2 PCS
0 0 0 0 0 0
242 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
244 GIEMSA BTL
0 0 0 0 0 0
245 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
246 HANDRUB LIQUID BTL
0 0 0 0 0 0
247 HANDSCOON PCS
0 0 0 0 0 0
248 HANDSCOON NON STERIL PCS
1000 1000 1000 0 1500 1000
249 HB TEST STRIP PCS
0 0 0 0 0 0
250 HBig PCS
0 0 0 0 0 0
251 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
252 IMERSION OIL BTL
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 INFUSION SET ANAK SET
0 0 0 0 0 0
255 INFUSION SET DEWASA SET
0 0 0 0 0 0
256 IV NO.18 G SET
0 0 0 0 0 0
257 IV NO.20 G SET
0 0 0 0 0 0
258 IV NO.22 G SET
0 0 0 0 0 0
259 IV NO.24 G SET
0 0 0 0 0 0
260 KACA SLIDE PCS
0 0 0 0 0 0
261 KAPAS BOLA MINI PCS
0 0 0 0 0 0
262 KAPAS GIGI PCS
0 0 0 0 0 0
263 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
264 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
265 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
266 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
267 ROL
CM 0 0 0 0 0 0
268 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
269 KERTAS SARING LBR
0 0 0 0 0 0
270 LARUTAN BENEDICT BTL
0 0 0 0 0 0
271 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
272 LARUTAN TURK BTL
0 0 0 0 0 0
273 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
274 LISOL BTL
0 0 0 0 0 0
275 MASKER PCS
1000 1000 1000 0 1500 1000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER N 95 PCS
0 0 0 0 0 0
277 METANOL PA BTL
0 0 0 0 0 0
278 NEEDLE 27 G SET
0 0 0 0 0 0
279 OAT I (KOMBIPAK) PAKET
0 0 0 0 0
280 OAT KATEGORI ANAK PAKET
2 2 0 2 0 0
281 OAT KATEGORI I PAKET
2 3 5 1 4 1.5 0
282 OAT KATEGORI II PAKET
0 0 0 0 0 0
283 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
284 PIPET TETES PENDEK PCS
0 0 0 0 0 0
285 PLESTER 1 INCI ROL
0 0 0 0 0 0
286 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
287 PLESTER KERTAS PCS
0 0 0 0 0 0
288 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
289 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
290 POT SPUTUM PCS
0 0 0 0 0 0
291 PROVEIN 6/0 PCS
0 0 0 0 0 0
292 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
293 PCS
NSI 0 0 0 0 0 0
294 RDT SIPILIS PCS
0 0 0 0 0 0
295 REAGEN SIPILIS PCS
0 0 0 0 0 0
296 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
297 SAFETY BOX 5 L PCS
0 0 0 0 0 0
298 SD HBsAG PCS
0 0 0 0 0 0
299 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
300 BTL
CAIRAN 0 0 0 0 0 0
301 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
302 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
303 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
304 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
305 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
306 SPIRITUS BAKAR BTL
0 0 0 0 0 0
307 STIK ASAM URAT PCS
0 0 0 0 0 0
308 STIK GLUKOSA PCS
0 0 0 0 0 0
309 STIK KOLESTEROL PCS
0 0 0 0 0 0
310 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
312 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
313 BTL
CAIRAN 0 0 0 0 0 0
314 TEST HAMIL PCS
0 0 0 0 0 0
315 TISSUE LENSA PCS
0 0 0 0 0 0
316 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
317 UNDERPAD PCS
0 0 0 0 0 0
318 URINE BAG STERIL PCS
0 0 0 0 0 0
319 USG GEL BLUE BTL
0 0 0 0 0 0
320 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
321 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
322 BTL
ML 0 0 0 0 0 0
323 AZITROMISIN TAB
TAB 12 12 0 12 0 0
324 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
325 KLOROQUIN TAB
TAB 100 100 0 100 0 0
326 VITAMIN C 500 MG
TAB 3 3 0 3 0 0
327 BAJU APD PCS
0 0 0 0 0 0
328 BOOTS PSG
0 0 0 0 0 0
329 FACE SHIELD PCS
0 0 0 0 0 0
330 GOWN PCS
0 0 0 0 0 0
331 GOOGLE PCS
0 0 0 0 0 0
332 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
May-22
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 125 125
30 10 20 25 10 10 10 10
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 65 65
5 30 30
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 278 278
10 65 3 15 30 30 5 5 15 35 25 35 5
10 AMLODIPINE TAB 10 MG TAB 793 793
47 60 30 55 26 18 75 10 65 28 14 37 75 51 10 40 45 31 58 18
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 1974 1974
40 80 30 114 190 164 80 100 125 76 70 120 90 60 120 80 130 125 90 90
13 AMOKSISILIN KAPSUL 250 MG TAB 174 174
20 10 10 10 124
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 57 57
2 3 2 3 9 2 2 6 6 1 6 1 3 1 1 2 1 6
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 135 135
14 9 8 18 18 19 24 9 5 11
17 ANTASIDA DOEN TAB. KOMB. TAB 740 740
10 5 50 100 20 20 120 105 70 50 40 50 40 20 40
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 1 1
1
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 436 436
10 20 20 55 40 20 49 30 10 52 10 31 35 10 33 1 10
25 ASAM FOLAT TABLET 1 MG TAB 35 35
15 10 10
26 ASAM MEFENAMAT KAPLET 500 MG TAB 288 288
10 20 20 30 6 20 20 10 20 10 30 10 52 20 10
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 3 3
3
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 55 55
30 10 5 10
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 60 60
30 30
34 ATAPULGIT TABLET 630 MG TAB 93 93
10 6 20 10 5 6 6 20 10
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 438 438
10 20 44 56 36 20 40 10 10 20 6 10 50 30 36 10 30
37 BETAMETASON DOPROPIONATE KRIM TUBE 8 8
3 1 1 2 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 3 3
3
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 15 15
15
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 1 1
1
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 824 824
50 25 75 60 99 35 50 65 20 15 55 37 56 15 40 30 32 30 20 15
47 CIPROFLOKSASIN KAPLET 500 MG TAB 285 285
10 10 15 30 70 10 20 10 10 10 20 30 10 10 10 10
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 118 118
57 5 26 20 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 63 63
4 35 8 3 3 5 5
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 239 239
10 16 12 20 2 19 20 20 46 22 6 26 20
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 0 0
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 60 60
30 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 395 395
65 30 60 30 30 30 30 30 30 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL 4 4
1 1 2
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 55 55
5 10 30 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 35 35
10 5 10 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 55 55
9 5 3 9 10 8 3 5 3
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 0 0
75 GLIMEPIRID TABLET 2 MG TAB 735 735
70 90 30 10 15 90 20 140 30 30 50 105 15 10 15 15
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 100 100
20 20 10 20 10 20
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 105 105
15 15 15 30 15 15
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE 4 4
1 1 2
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 416 416
22 15 15 77 45 62 11 5 6 16 25 16 21 21 11 48
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 541 541
30 35 20 20 30 35 70 40 45 66 30 30 10 20 20 10 10 10 10
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 24 24
1 5 10 3 5
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 680 680
30 80 50 150 5 50 65 70 100 40 40
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 60 60
30 30
99 KETOKONAZOL KRIM TUBE 0 0
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 9 9
1 1 1 1 1 1 1 2
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 1 1
1
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 9 9
1 1 2 1 2 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 683 683
58 38 60 51 38 40 20 52 45 31 39 16 23 39 41 3 49 2 38
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 510 510
30 60 90 30 60 60 150 30
111 KODEIN HCL TAB. 10 MG TAB 10 10
10
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 9 9
1 3 1 1 2 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 130 130
10 20 20 10 10 20 10 10 10 10
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 590 590
100 30 30 80 60 70 120 30 10 30 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 10 10
10
129 METIL PREDNISOLON TAB 4 MG TAB 60 60
10 20 30
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 33 33
20 3 10
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 0 0
137 MIKONAZOL SALEP 2 % TUBE 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 1594 1594
1594
141 N.ASETIL SISTEIN TAB 200 MG KAP 600 600
26 28 78 101 36 42 76 106 6 32 20 30 88 40 22 48 32 26 26
142 NATRIUM BIKARBONAT TAB 500 MG TAB 10 10
10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 271 271
20 20 55 10 20 40 25 20 35 26
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 6 6
4 1 1
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 6 6
6
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 57 57
1 3 2 4 8 3 3 3 3 5 4 1 3 5 4 1 4
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 3766 3766
100 130 150 317 330 255 350 180 173 83 110 171 186 208 171 172 100 163 257 160
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 183 183
10 10 20 20 3 10 10 10 30 40 20
166 PREDNISON TAB 5 MG TAB 943 943
22 70 89 59 77 80 6 70 30 66 86 56 80 50 33 26 20 23
167 PROPANOLOL HCL TAB 10 MG TAB 105 105
30 15 30 30
168 PROPIL TIOURASIL TAB 100 ML TAB 135 135
30 30 15 30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 1145 1145
22 63 120 28 35 146 113 78 33 108 107 142 150
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0
175 RISPERIDON TABLET 2 MG TAB 140 140
30 30 30 30 20
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 782 782
10 3 70 52 30 33 91 45 54 15 71 75 30 30 70 15 30 58
178 SALEP 2-4 KOMB TAB 4 4
1 1 2
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1441 1441
60 75 30 76 50 140 40 80 130 130 30 190 25 30 60 55 85 90 65
187 SIMVASTATIN TABLET 10 MG TAB 75 75
30 10 10 10 15
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1450 1450
30 60 50 20 300 60 40 110 90 30 150 10 80 90 65 120 60 85
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 220 220
20 10 10 70 10 30 70
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 285 285
30 30 60 15 30 30 60 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 622 622
5 20 53 11 50 65 10 50 20 5 20 30 40 60 25 40 35 35 48
203 ZINC TABLET TAB 185 185
10 55 10 5 10 15 15 5 10 10 5 15 10 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 OBAT BATUK HERBAL BTL 12 12
2 1 4 1 4
206 VAKSIN BCG VIAL 0 0
207 VAKSIN CAMPAK VIAL 0 0
208 VAKSIN DPT HB VIAL 0 0
209 VAKSIN DT VIAL 0 0
210 VAKSIN HB PID VIAL 0 0
211 VAKSIN MR VIAL 0 0
212 VAKSIN POLIO VIAL 0 0
213 VAKSIN POLIO INJEKSI VIAL 0 0
214 VAKSIN TD VIAL 0 0
215 VAKSIN TT VIAL 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
220 ALKOHOL SWAB PCS 0 0
221 ANTI SERA A BTL 0 0
222 ANTI SERA AB BTL 0 0
223 ANTI SERA B BTL 0 0
224 AQUA DEST BTL 0 0
225 ASEPTIC GEL BTL 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
228 BD VACUTAINER PCS 0 0
229 BLOOD LANSET PCS 0 0
230 BOX OBJECT GLAS PCS 0 0
231 BRACKET ABS PCS 0 0
232 CATGUT CROMIC NO. 3/0 SACCH 0 0
233 CATGUT PLAIN NO. 3/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
236 DARYANTULLE LBR 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETANOL 70 % BTL 0 0
240 ETER ALKOHOL BTL 0 0
241 ETIL KLORIDA SEMPROT BTL 0 0
242 FOCUS HIV 2 PCS 0 0
243 FOLEY CATHETER 16 PCS 0 0
244 FOLEY CATHETER 18 PCS 0 0
245 GIEMSA BTL 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL 0 0
247 HANDRUB LIQUID BTL 0 0
248 HANDSCOON PCS 0 0
249 HANDSCOON NON STERIL PCS 0 0
250 HB TEST STRIP PCS 0 0
251 HBig PCS 0 0
252 HUMAN HEXAGON SIPILIS PCS 0 0
253 IMERSION OIL BTL 0 0
254 IMERSION OIL BTL 0 0
255 INFUSION SET ANAK SET 0 0
256 INFUSION SET DEWASA SET 0 0
257 IV NO.18 G SET 0 0
258 IV NO.20 G SET 0 0
259 IV NO.22 G SET 0 0
260 IV NO.24 G SET 0 0
261 KACA SLIDE PCS 0 0
262 KAPAS BOLA MINI PCS 0 0
263 KAPAS GIGI PCS 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
265 KASA KOMPRES STERIL 40X40 BKS 0 0
266 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
267 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
268 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
269 KERTAS GOLONGAN DARAH LBR 0 0
270 KERTAS SARING LBR 0 0
271 LARUTAN BENEDICT BTL 0 0
272 LARUTAN HCL 0,1N BTL 0 0
273 LARUTAN TURK BTL 0 0
274 LARUTAN ZIELH NELSEN BTL 0 0
275 LISOL BTL 0 0
276 MASKER PCS 1000 1000
1000
277 MASKER N 95 PCS 0 0
278 METANOL PA BTL 0 0
279 NEEDLE 27 G SET 0 0
280 OAT I (KOMBIPAK) PAKET 0 0
281 OAT KATEGORI ANAK PAKET 0 0
282 OAT KATEGORI I PAKET 0 0
283 OAT KATEGORI II PAKET 0 0
284 PARAFORMALDEHID TAB 1 G TAB 0 0
285 PIPET TETES PENDEK PCS 0 0
286 PLESTER 1 INCI ROL 0 0
287 PLESTER 7,5 CM x 4,5 M ROL 0 0
288 PLESTER KERTAS PCS 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL 0 0
290 POT FESES TRANSPARAN PCS 0 0
291 POT SPUTUM PCS 0 0
292 PROVEIN 6/0 PCS 0 0
293 RAPID TES NARKOBA 3 PCS 0 0
294 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
295 RDT SIPILIS PCS 0 0
296 REAGEN SIPILIS PCS 0 0
297 SAFETY BOX 2,5 L PCS 0 0
298 SAFETY BOX 5 L PCS 0 0
299 SD HBsAG PCS 0 0
300 SD HIV PCS 0 0
301 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
304 SLANG OKSIGEN ANAK SET 0 0
305 SLANG OKSIGEN DEWASA SET 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS 0 0
307 SPIRITUS BAKAR BTL 0 0
308 STIK ASAM URAT PCS 0 0
309 STIK GLUKOSA PCS 0 0
310 STIK KOLESTEROL PCS 0 0
311 SURGICAL BLADE STERIL NO.12 PCS 0 0
312 SURGICAL BLADE STERIL NO.15 PCS 0 0
313 TABUNG VACUTAINER NON EDTA PCS 0 0
314 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
315 TEST HAMIL PCS 0 0
316 TISSUE LENSA PCS 0 0
317 UMBILICAL CORD KLEM STERIL PCS 0 0
318 UNDERPAD PCS 0 0
319 URINE BAG STERIL PCS 0 0
320 USG GEL BLUE BTL 0 0
321 VIKIA ( HIV 3 ) PCS 0 0
322 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
323 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
324 AZITROMISIN TAB 0 0
TAB
325 OSELTAMIVIR TAB 0 0
TAB
326 KLOROQUIN TAB 0 0
TAB
327 VITAMIN C 500 MG 0 0
TAB
328 BAJU APD PCS 0 0
329 BOOTS PSG 0 0
330 FACE SHIELD PCS 0 0
331 GOWN PCS 0 0
332 GOOGLE PCS 0 0
333 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : MEI
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
70 200 270 125 145 187.5 100
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
25 100 125 65 60 97.5 50
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
173 300 473 278 195 417 222
10 AMLODIPINE TAB 10 MG TAB
656 1200 1856 793 1063 1189.5 126.5
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
2351 0 2351 1974 377 2961 2584
13 AMOKSISILIN KAPSUL 250 MG TAB
174 0 174 174 0 261 200
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 69 0 69 57 12 85.5 73.5
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
77 100 177 135 42 202.5 160.5
17 ANTASIDA DOEN TAB. KOMB. TAB
538 1000 1538 740 798 1110 312
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
19 19 1 18 1.5 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
564 564 436 128 654 526
25 ASAM FOLAT TABLET 1 MG TAB
0 200 200 35 165 52.5 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
347 500 847 288 559 432 0
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
3 3 3 0 4.5 3
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
330 330 55 275 82.5 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
149 149 60 89 90 1
34 ATAPULGIT TABLET 630 MG TAB
226 226 93 133 139.5 6.5
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
411 300 711 438 273 657 384
37 BETAMETASON DOPROPIONATE KRIM TUBE
10 25 35 8 27 12 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
3 3 3 0 4.5 4.5
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
15 15 15 0 22.5 22.5
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
14 14 1 13 1.5 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
303 1000 1303 824 479 1236 757
47 CIPROFLOKSASIN KAPLET 500 MG TAB
225 500 725 285 440 427.5 100
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
0 500 500 118 382 177 200
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
205 205 63 142 94.5 100
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
258 200 458 239 219 358.5 150
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
50 50 0 50 0 63
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
30 100 130 60 70 90 20
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
555 555 395 160 592.5 450
64 FENOL GLISEROL TETES TELINGA 10 % BTL
18 18 4 14 6 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 334 334 55 279 82.5 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
44 44 35 9 52.5 43.5
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
0 200 200 55 42 103 82.5 0
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
276 276 0 276 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
0 0 0 0 0 0
75 GLIMEPIRID TABLET 2 MG TAB
134 1500 1634 735 899 1102.5 203.5
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
23 200 223 100 123 150 27
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
250 250 105 145 157.5 12.5
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
420 420 0 420 0 0
84 HIDROKORTISON KRIM 2,5 % TUBE
19 19 4 15 6 0
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 42 700 742 416 326 624 298
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
376 500 876 541 335 811.5 476.5
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 318 318 24 294 36 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
0 1000 1000 680 320 1020 700
95 KAPTOPRIL KAP 12,5 MG TAB
100 100 0 100 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
203 203 60 143 90 0
99 KETOKONAZOL KRIM TUBE
0 25 25 0 25 0 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
4 24 28 9 19 13.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
22 22 1 21 1.5 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
9 9 9 0 13.5 13.5
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
24 24 0 24 0 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 183 500 683 683 0 1024.5 1024.5
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 208 700 908 510 398 765 367
111 KODEIN HCL TAB. 10 MG TAB
0 200 200 10 190 15 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
16 16 9 7 13.5 6.5
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
278 278 130 148 195 47
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
368 600 968 590 378 885 507
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 96 96 10 86 15 0
129 METIL PREDNISOLON TAB 4 MG TAB
350 350 60 290 90 0
130 METILDOPA TABLET TAB
65 65 0 65 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
161 161 33 128 49.5 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
3 3 0 3 0 -3
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
1594 1594 1594 0 2391 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
0 600 600 600 0 900 900
142 NATRIUM BIKARBONAT TAB 500 MG TAB
100 100 10 90 15 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
0 1000 1000 271 729 406.5 -322.5
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
103 103 0 103 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 0 0 0 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
25 25 0 25 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
6 6 6 0 9 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
16 60 76 6 70 9 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
61 100 161 57 104 85.5 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2651 2000 4651 3766 885 5649 4764
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
228 228 183 45 274.5 229.5
166 PREDNISON TAB 5 MG TAB
929 1000 1929 943 986 1414.5 428.5
167 PROPANOLOL HCL TAB 10 MG TAB
50 200 250 105 145 0 157.5 157.5
168 PROPIL TIOURASIL TAB 100 ML TAB
150 150 135 15 202.5 187.5
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
194 1000 1194 1145 49 1717.5 1668.5
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
330 330 140 190 210 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
506 500 1006 782 224 1173 949
178 SALEP 2-4 KOMB TAB
11 11 4 7 6 0
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1083 2000 3083 1441 1642 2161.5 519.5
187 SIMVASTATIN TABLET 10 MG TAB
306 306 75 231 112.5 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
4137 4137 1450 2687 2175 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 407 407 220 187 330 143
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
380 380 285 95 427.5 332.5
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
494 500 994 622 372 933 561
203 ZINC TABLET TAB
148 100 248 185 63 277.5 214.5
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 OBAT BATUK HERBAL BTL
0 12 12 12 0 18 18
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN BCG VIAL
0 0 0 0 0 0
207 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
208 VAKSIN DPT HB VIAL
0 0 0 0 0 0
209 VAKSIN DT VIAL
0 0 0 0 0 0
210 VAKSIN HB PID VIAL
0 0 0 0 0 0
211 VAKSIN MR VIAL
0 0 0 0 0 0
212 VAKSIN POLIO VIAL
0 0 0 0 0 0
213 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
214 VAKSIN TD VIAL
0 0 0 0 0 0
215 VAKSIN TT VIAL
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
220 ALKOHOL SWAB PCS
0 0 0 0 0 0
221 ANTI SERA A BTL
0 0 0 0 0 0
222 ANTI SERA AB BTL
0 0 0 0 0 0
223 ANTI SERA B BTL
0 0 0 0 0 0
224 AQUA DEST BTL
0 0 0 0 0 0
225 ASEPTIC GEL BTL
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
228 BD VACUTAINER PCS
0 0 0 0 0 0
229 BLOOD LANSET PCS
0 0 0 0 0 0
230 BOX OBJECT GLAS PCS
0 0 0 0 0 0
231 BRACKET ABS PCS
0 0 0 0 0 0
232 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
236 DARYANTULLE LBR
0 0 0 0 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETANOL 70 % BTL
0 0 0 0 0 0
240 ETER ALKOHOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
242 FOCUS HIV 2 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
244 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
245 GIEMSA BTL
0 0 0 0 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
247 HANDRUB LIQUID BTL
0 0 0 0 0 0
248 HANDSCOON PCS
0 0 0 0 0 0
249 HANDSCOON NON STERIL PCS
0 0 0 0 0 0
250 HB TEST STRIP PCS
0 0 0 0 0 0
251 HBig PCS
0 0 0 0 0 0
252 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 IMERSION OIL BTL
0 0 0 0 0 0
255 INFUSION SET ANAK SET
0 0 0 0 0 0
256 INFUSION SET DEWASA SET
0 0 0 0 0 0
257 IV NO.18 G SET
0 0 0 0 0 0
258 IV NO.20 G SET
0 0 0 0 0 0
259 IV NO.22 G SET
0 0 0 0 0 0
260 IV NO.24 G SET
0 0 0 0 0 0
261 KACA SLIDE PCS
0 0 0 0 0 0
262 KAPAS BOLA MINI PCS
0 0 0 0 0 0
263 KAPAS GIGI PCS
0 0 0 0 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
265 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
266 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
267 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
268 ROL
CM 0 0 0 0 0 0
269 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
270 KERTAS SARING LBR
0 0 0 0 0 0
271 LARUTAN BENEDICT BTL
0 0 0 0 0 0
272 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
273 LARUTAN TURK BTL
0 0 0 0 0 0
274 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
275 LISOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER PCS
0 1000 1000 1000 0 1500 1500
277 MASKER N 95 PCS
0 0 0 0 0 0
278 METANOL PA BTL
0 0 0 0 0 0
279 NEEDLE 27 G SET
0 0 0 0 0 0
280 OAT I (KOMBIPAK) PAKET
2 2 0 2 0 0
281 OAT KATEGORI ANAK PAKET
4 4 0 4 0 0
282 OAT KATEGORI I PAKET
0 0 0 0 0 0
283 OAT KATEGORI II PAKET
0 0 0 0 0 0
284 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
285 PIPET TETES PENDEK PCS
0 0 0 0 0 0
286 PLESTER 1 INCI ROL
0 0 0 0 0 0
287 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
288 PLESTER KERTAS PCS
0 0 0 0 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
290 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
291 POT SPUTUM PCS
0 0 0 0 0 0
292 PROVEIN 6/0 PCS
0 0 0 0 0 0
293 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
294 PCS
NSI 0 0 0 0 0 0
295 RDT SIPILIS PCS
0 0 0 0 0 0
296 REAGEN SIPILIS PCS
0 0 0 0 0 0
297 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
298 SAFETY BOX 5 L PCS
0 0 0 0 0 0
299 SD HBsAG PCS
0 0 0 0 0 0
300 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
301 BTL
CAIRAN 0 0 0 0 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
304 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
305 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
307 SPIRITUS BAKAR BTL
0 0 0 0 0 0
308 STIK ASAM URAT PCS
0 0 0 0 0 0
309 STIK GLUKOSA PCS
0 0 0 0 0 0
310 STIK KOLESTEROL PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
312 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
313 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
314 BTL
CAIRAN 0 0 0 0 0 0
315 TEST HAMIL PCS
0 0 0 0 0 0
316 TISSUE LENSA PCS
0 0 0 0 0 0
317 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
318 UNDERPAD PCS
0 0 0 0 0 0
319 URINE BAG STERIL PCS
0 0 0 0 0 0
320 USG GEL BLUE BTL
0 0 0 0 0 0
321 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
322 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
323 BTL
ML 12 12 0 12 0 0
324 AZITROMISIN TAB
TAB 100 100 0 100 0 0
325 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
326 KLOROQUIN TAB
TAB 3 3 0 3 0 0
327 VITAMIN C 500 MG
TAB 0 0 0 0 0 0
328 BAJU APD PCS
0 0 0 0 0 0
329 BOOTS PSG
0 0 0 0 0 0
330 FACE SHIELD PCS
0 0 0 0 0 0
331 GOWN PCS
0 0 0 0 0 0
332 GOOGLE PCS
0 0 0 0 0 0
333 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
juni 2022
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 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 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 80 80
10 10 10 30 20
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 10 10
10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 195 195
10 10 60 5 30 5 30 5 10 5 20 5
10 AMLODIPINE TAB 10 MG TAB 1296 1296
78 113 63 37 100 92 10 35 77 28 25 90 30 10 41 82 30 91 22 44 20 30 58 54 36
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 2354 2354
90 170 130 90 76 55 110 86 80 65 130 40 90 150 50 210 50 125 95 110 100 90 100 52 10
13 AMOKSISILIN KAPSUL 250 MG TAB 0 0
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 52 52
1 5 1 4 2 3 3 2 3 2 2 3 3 1 3 2 1 2 4 3 2
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 42 42
17 ANTASIDA DOEN TAB. KOMB. TAB 1617 1617
30 80 50 20 160 50 46 30 40 80 90 30 20 36 50 60 170 140 100 145 20 110 60
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 3 3
1 2
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 488 488
10 50 10 70 10 16 20 36 20 30 36 14 20 30 30 16 20 20 30
25 ASAM FOLAT TABLET 1 MG TAB 130 130
10 35 20 20 10 10 15 10
26 ASAM MEFENAMAT KAPLET 500 MG TAB 450 450
20 20 40 40 20 20 20 20 10 20 20 30 10 20 10 20 10 30 10 30 20 10
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 3 3
3
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 39 39
10 10 2 12 5
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 114 114
20 12 25 20 12 25
34 ATAPULGIT TABLET 630 MG TAB 88 88
36 10 10 6 6 20
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 446 446
20 40 10 20 10 10 10 10 20 46 10 20 20 10 40 12 32 40 40 6 20
37 BETAMETASON DOPROPIONATE KRIM TUBE 3 3
1 1 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 2 2
1 1
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 810 810
5 31 20 34 15 35 20 55 40 30 30 45 5 45 40 45 20 35 65 40 35 15 45 40 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB 250 250
10 30 10 15 20 30 10 10 10 25 10 10 20 20 10 10
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 100 100
10 10 10 10 10 10 20 10 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 72 72
30 5 6 3 25 3
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 448 448
35 40 10 44 4 16 20 6 18 20 14 10 56 5 10 5 6 10 21 22 20 26 30
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 0 0
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 50 50
10 10 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 345 345
30 30 30 30 60 30 30 15 30 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL 5 5
1 1 1 1 1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 60 60
10 10 10 10 10 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 95 95
30 15 10 10 10 10 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 58 58
16 3 5 4 5 5 5 6 6 3
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 0 0
75 GLIMEPIRID TABLET 2 MG TAB 935 935
45 120 60 65 40 30 15 15 15 40 30 15 75 15 90 45 75 10 30 15 75 15
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 220 220
10 10 30 20 20 20 20 20 20 10 20 20
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 315 315
30 30 15 30 60 90 30 15 15
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 50 50
10 10 30
84 HIDROKORTISON KRIM 2,5 % TUBE 3 3
1 1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 499 499
16 31 30 27 5 15 19 10 5 30 11 40 25 16 21 17 30 45 16 10 20 11 43 6
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 220 220
20 10 10 20 30 30 10 10 10 20 10 20 10 10
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 1 1
1
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 1625 1625
55 80 30 55 20 110 10 80 110 10 30 100 70 90 60 80 140 30 110 120 120 10 45 60
95 KAPTOPRIL KAP 12,5 MG TAB 35 35
15 10 10
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 80 80
30 20 30
99 KETOKONAZOL KRIM TUBE 8 8
2 1 1 1 2 1
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 17 17
1 1 5 1 1 1 1 2 3 1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 15 15
3 2 2 3 3 2
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 17 17
1 1 1 1 1 1 1 1 1 1 3 2 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 8 8
1 1 1 1 1 1 2
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 0 0
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 591 591
60 90 30 30 60 120 30 30 15 30 6 30 30 30
111 KODEIN HCL TAB. 10 MG TAB 100 100
10 10 10 30 10 10 10 10
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 17 17
3 1 1 1 10 1
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 70 70
10 20 10 10 10 10
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 740 740
30 70 60 20 20 30 30 30 30 30 30 60 60 120 30 30 30 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 0 0
129 METIL PREDNISOLON TAB 4 MG TAB 110 110
20 20 10 30 10 20
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 0 0
137 MIKONAZOL SALEP 2 % TUBE 3 3
3
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 791 791
15 40 42 16 21 60 46 66 56 16 20 20 70 20 55 16 30 30 10 50 22 30 10 30
142 NATRIUM BIKARBONAT TAB 500 MG TAB 26 26
10 6 10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 725 725
30 20 55 30 20 70 15 45 20 40 20 35 35 30 10 40 20 25 60 35 15 15 40
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL 1 1
1
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 9 9
1 2 2 3 1
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 70 70
1 7 2 4 6 2 2 1 4 2 3 1 2 4 3 2 4 7 1 2 5 1 2 2
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 3844 3844
172 184 140 120 89 232 133 115 150 118 166 120 164 170 159 240 80 236 262 133 96 145 125 225 70
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 182 182
20 50 20 6 16 40 20 10
166 PREDNISON TAB 5 MG TAB 1083 1083
40 84 70 69 46 20 30 20 48 23 70 28 20 47 76 42 63 90 40 77 40 40
167 PROPANOLOL HCL TAB 10 MG TAB 0 0
168 PROPIL TIOURASIL TAB 100 ML TAB 80 80
30 20 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 1677 1677
134 178 64 26 46 56 6 66 54 110 90 30 26 118 92 118 64 138 86 10 40 46 49 30
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 150 150
30 30 30 30 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 786 786
30 46 40 35 50 15 60 45 40 10 40 15 10 20 35 50 25 35 25 20 80 60
178 SALEP 2-4 KOMB TAB 11 11
1 1 3 1 1 1 1 1 1
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1860 1860
120 160 125 110 40 50 30 80 90 40 35 60 80 70 10 120 20 250 30 115 50 65 10 80 20
187 SIMVASTATIN TABLET 10 MG TAB 100 100
10 10 10 20 30 20
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1850 1850
60 120 40 120 30 45 100 115 20 30 90 65 130 70 125 10 185 5 150 120 130 20 60 10
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 140 140
10 70 10 20 10 20
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 360 360
60 30 30 30 90 30 30 30 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 722 722
45 60 20 21 40 100 10 90 25 20 25 40 70 50 30 40 36
203 ZINC TABLET TAB 63 63
5 35 30 5 20 10 6 10 10 5 20 20 10 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 OBAT BATUK HERBAL BTL 15 15
2 1 1 1 1 1 2 1 1 1 1 1 1
206 VAKSIN BCG VIAL 0 0
207 VAKSIN CAMPAK VIAL 0 0
208 VAKSIN DPT HB VIAL 0 0
209 VAKSIN DT VIAL 0 0
210 VAKSIN HB PID VIAL 0 0
211 VAKSIN MR VIAL 0 0
212 VAKSIN POLIO VIAL 0 0
213 VAKSIN POLIO INJEKSI VIAL 0 0
214 VAKSIN TD VIAL 0 0
215 VAKSIN TT VIAL 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
220 ALKOHOL SWAB PCS 0 0
221 ANTI SERA A BTL 0 0
222 ANTI SERA AB BTL 0 0
223 ANTI SERA B BTL 0 0
224 AQUA DEST BTL 0 0
225 ASEPTIC GEL BTL 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
228 BD VACUTAINER PCS 0 0
229 BLOOD LANSET PCS 0 0
230 BOX OBJECT GLAS PCS 0 0
231 BRACKET ABS PCS 0 0
232 CATGUT CROMIC NO. 3/0 SACCH 0 0
233 CATGUT PLAIN NO. 3/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
236 DARYANTULLE LBR 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETANOL 70 % BTL 0 0
240 ETER ALKOHOL BTL 0 0
241 ETIL KLORIDA SEMPROT BTL 0 0
242 FOCUS HIV 2 PCS 0 0
243 FOLEY CATHETER 16 PCS 0 0
244 FOLEY CATHETER 18 PCS 0 0
245 GIEMSA BTL 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL 0 0
247 HANDRUB LIQUID BTL 0 0
248 HANDSCOON PCS 0 0
249 HANDSCOON NON STERIL PCS 0 0
250 HB TEST STRIP PCS 0 0
251 HBig PCS 0 0
252 HUMAN HEXAGON SIPILIS PCS 0 0
253 IMERSION OIL BTL 0 0
254 IMERSION OIL BTL 0 0
255 INFUSION SET ANAK SET 0 0
256 INFUSION SET DEWASA SET 0 0
257 IV NO.18 G SET 0 0
258 IV NO.20 G SET 0 0
259 IV NO.22 G SET 0 0
260 IV NO.24 G SET 0 0
261 KACA SLIDE PCS 0 0
262 KAPAS BOLA MINI PCS 0 0
263 KAPAS GIGI PCS 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
265 KASA KOMPRES STERIL 40X40 BKS 0 0
266 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
267 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
268 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
269 KERTAS GOLONGAN DARAH LBR 0 0
270 KERTAS SARING LBR 0 0
271 LARUTAN BENEDICT BTL 0 0
272 LARUTAN HCL 0,1N BTL 0 0
273 LARUTAN TURK BTL 0 0
274 LARUTAN ZIELH NELSEN BTL 0 0
275 LISOL BTL 0 0
276 MASKER PCS 0 0
277 MASKER N 95 PCS 0 0
278 METANOL PA BTL 0 0
279 NEEDLE 27 G SET 0 0
280 OAT I (KOMBIPAK) PAKET 0 0
281 OAT KATEGORI ANAK PAKET 1 1
1
282 OAT KATEGORI I PAKET 3 3
1 1 1
283 OAT KATEGORI II PAKET 0 0
284 PARAFORMALDEHID TAB 1 G TAB 0 0
285 PIPET TETES PENDEK PCS 0 0
286 PLESTER 1 INCI ROL 0 0
287 PLESTER 7,5 CM x 4,5 M ROL 0 0
288 PLESTER KERTAS PCS 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL 0 0
290 POT FESES TRANSPARAN PCS 0 0
291 POT SPUTUM PCS 0 0
292 PROVEIN 6/0 PCS 0 0
293 RAPID TES NARKOBA 3 PCS 0 0
294 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
295 RDT SIPILIS PCS 0 0
296 REAGEN SIPILIS PCS 0 0
297 SAFETY BOX 2,5 L PCS 0 0
298 SAFETY BOX 5 L PCS 0 0
299 SD HBsAG PCS 0 0
300 SD HIV PCS 0 0
301 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
304 SLANG OKSIGEN ANAK SET 0 0
305 SLANG OKSIGEN DEWASA SET 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS 0 0
307 SPIRITUS BAKAR BTL 0 0
308 STIK ASAM URAT PCS 0 0
309 STIK GLUKOSA PCS 0 0
310 STIK KOLESTEROL PCS 0 0
311 SURGICAL BLADE STERIL NO.12 PCS 0 0
312 SURGICAL BLADE STERIL NO.15 PCS 0 0
313 TABUNG VACUTAINER NON EDTA PCS 0 0
314 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
315 TEST HAMIL PCS 0 0
316 TISSUE LENSA PCS 0 0
317 UMBILICAL CORD KLEM STERIL PCS 0 0
318 UNDERPAD PCS 0 0
319 URINE BAG STERIL PCS 0 0
320 USG GEL BLUE BTL 0 0
321 VIKIA ( HIV 3 ) PCS 0 0
322 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
323 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
324 AZITROMISIN TAB 0 0
TAB
325 OSELTAMIVIR TAB 0 0
TAB
326 KLOROQUIN TAB 0 0
TAB
327 VITAMIN C 500 MG 0 0
TAB
328 BAJU APD PCS 0 0
329 BOOTS PSG 0 0
330 FACE SHIELD PCS 0 0
331 GOWN PCS 0 0
332 GOOGLE PCS 0 0
333 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : JUNI
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
145 145 80 65 120 100
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
60 60 10 50 15 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
195 300 495 195 300 292.5 0
10 AMLODIPINE TAB 10 MG TAB
1063 300 1363 1296 67 1944 1877
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
377 2500 2877 2354 523 3531 3008
13 AMOKSISILIN KAPSUL 250 MG TAB
0 0 0 0 0 200
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 12 40 52 52 0 78 78
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
42 42 42 0 63 0
17 ANTASIDA DOEN TAB. KOMB. TAB
798 1000 1798 1617 181 2425.5 2244.5
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
18 18 3 15 4.5 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
29 29 0 29 0 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
128 800 928 488 440 732 292
25 ASAM FOLAT TABLET 1 MG TAB
165 200 365 130 235 195 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
559 300 859 450 409 675 0
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 3 3 3 0 4.5 3
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
275 275 39 233 3 58.5 0
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
89 200 289 114 175 171 -4
34 ATAPULGIT TABLET 630 MG TAB
133 133 88 45 0 132 132
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
273 500 773 446 327 669 342
37 BETAMETASON DOPROPIONATE KRIM TUBE
27 27 3 24 4.5 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
0 0 0 0 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
13 13 2 11 3 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
479 700 1179 810 369 1215 846
47 CIPROFLOKSASIN KAPLET 500 MG TAB
440 440 250 190 375 100
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
382 382 100 282 150 200
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
142 142 72 70 108 100
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
219 600 819 448 371 672 150
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
50 50 0 50 0 63
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
70 200 270 50 220 75 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
160 500 660 345 315 517.5 450
64 FENOL GLISEROL TETES TELINGA 10 % BTL
14 14 5 9 7.5 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 279 279 60 219 90 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
9 500 509 95 414 0 142.5 142.5
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
103 103 58 45 87 0
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
0 0 0 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
899 900 1799 845 954 0 1267.5 1267.5
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
123 200 323 220 103 330 227
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
145 300 445 315 130 472.5 342.5
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
420 420 50 370 75 0
84 HIDROKORTISON KRIM 2,5 % TUBE
15 15 3 12 4.5 0
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 326 300 626 499 127 748.5 621.5
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
335 335 220 115 330 215
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 294 294 1 293 1.5 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
320 1500 1820 1625 195 2437.5 2242.5
95 KAPTOPRIL KAP 12,5 MG TAB
100 100 35 65 52.5 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
143 200 343 80 263 120 0
99 KETOKONAZOL KRIM TUBE
25 25 8 17 12 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
19 19 17 2 25.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
21 21 15 6 22.5 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 25 25 17 8 25.5 17.5
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
24 10 34 8 26 12 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 0 0 0 0 0 0
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 398 600 998 591 407 886.5 479.5
111 KODEIN HCL TAB. 10 MG TAB
190 190 100 90 0 150 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
7 10 17 17 0 25.5 25.5
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
148 100 248 70 178 105
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
378 600 978 740 238 1110 872
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 86 86 0 86 0 0
129 METIL PREDNISOLON TAB 4 MG TAB
290 290 110 180 165 0
130 METILDOPA TABLET TAB
0 0 0 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
128 128 0 128 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
0 0 0 0 0 0
137 MIKONAZOL SALEP 2 % TUBE
3 3 3 0 4.5 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
0 900 900 791 109 1186.5 1077.5
142 NATRIUM BIKARBONAT TAB 500 MG TAB
90 90 26 64 39 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
729 500 1229 725 504 1087.5 583.5
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
103 103 0 103 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
0 3 3 1 2 1.5 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
25 25 9 16 0 13.5 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 0 0 0 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
70 70 0 70 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
104 104 70 34 105 0
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
885 5000 5885 3844 2041 5766 3725
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
45 300 345 182 163 273 110
166 PREDNISON TAB 5 MG TAB
986 1000 1986 1083 903 1624.5 721.5
167 PROPANOLOL HCL TAB 10 MG TAB
0 0 0 0 0 0
168 PROPIL TIOURASIL TAB 100 ML TAB
15 300 315 80 235 120 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
49 2000 2049 1677 372 2515.5 2143.5
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
190 190 150 40 225 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
224 1150 1374 786 588 1179 591
178 SALEP 2-4 KOMB TAB
7 20 27 11 16 16.5 0
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1642 1400 3042 1860 1182 2790 1608
187 SIMVASTATIN TABLET 10 MG TAB
231 231 100 131 150 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2687 3780 6467 1850 4617 2775 0
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 187 400 587 140 447 210 -237
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
95 500 595 360 235 540 305
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
372 500 872 722 150 1083 933
203 ZINC TABLET TAB
63 63 63 0 94.5 94.5
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 OBAT BATUK HERBAL BTL
0 15 15 15 0 22.5 22.5
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN BCG VIAL
0 0 0 0 0 0
207 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
208 VAKSIN DPT HB VIAL
0 0 0 0 0 0
209 VAKSIN DT VIAL
0 0 0 0 0 0
210 VAKSIN HB PID VIAL
0 0 0 0 0 0
211 VAKSIN MR VIAL
0 0 0 0 0 0
212 VAKSIN POLIO VIAL
0 0 0 0 0 0
213 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
214 VAKSIN TD VIAL
0 0 0 0 0 0
215 VAKSIN TT VIAL
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
220 ALKOHOL SWAB PCS
0 0 0 0 0 0
221 ANTI SERA A BTL
0 0 0 0 0 0
222 ANTI SERA AB BTL
0 0 0 0 0 0
223 ANTI SERA B BTL
0 0 0 0 0 0
224 AQUA DEST BTL
0 0 0 0 0 0
225 ASEPTIC GEL BTL
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
228 BD VACUTAINER PCS
0 0 0 0 0 0
229 BLOOD LANSET PCS
0 0 0 0 0 0
230 BOX OBJECT GLAS PCS
0 0 0 0 0 0
231 BRACKET ABS PCS
0 0 0 0 0 0
232 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
236 DARYANTULLE LBR
0 0 0 0 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETANOL 70 % BTL
0 0 0 0 0 0
240 ETER ALKOHOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
242 FOCUS HIV 2 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
244 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
245 GIEMSA BTL
0 0 0 0 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
247 HANDRUB LIQUID BTL
0 0 0 0 0 0
248 HANDSCOON PCS
0 0 0 0 0 0
249 HANDSCOON NON STERIL PCS
0 0 0 0 0 0
250 HB TEST STRIP PCS
0 0 0 0 0 0
251 HBig PCS
0 0 0 0 0 0
252 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 IMERSION OIL BTL
0 0 0 0 0 0
255 INFUSION SET ANAK SET
0 0 0 0 0 0
256 INFUSION SET DEWASA SET
0 0 0 0 0 0
257 IV NO.18 G SET
0 0 0 0 0 0
258 IV NO.20 G SET
0 0 0 0 0 0
259 IV NO.22 G SET
0 0 0 0 0 0
260 IV NO.24 G SET
0 0 0 0 0 0
261 KACA SLIDE PCS
0 0 0 0 0 0
262 KAPAS BOLA MINI PCS
0 0 0 0 0 0
263 KAPAS GIGI PCS
0 0 0 0 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
265 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
266 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
267 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
268 ROL
CM 0 0 0 0 0 0
269 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
270 KERTAS SARING LBR
0 0 0 0 0 0
271 LARUTAN BENEDICT BTL
0 0 0 0 0 0
272 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
273 LARUTAN TURK BTL
0 0 0 0 0 0
274 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
275 LISOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER PCS
0 0 0 0 0 0
277 MASKER N 95 PCS
0 0 0 0 0 0
278 METANOL PA BTL
0 0 0 0 0 0
279 NEEDLE 27 G SET
0 0 0 0 0 0
280 OAT I (KOMBIPAK) PAKET
2 2 0 2 0 0
281 OAT KATEGORI ANAK PAKET
4 4 1 3 1.5 0
282 OAT KATEGORI I PAKET
0 3 3 3 0 4.5 4.5
283 OAT KATEGORI II PAKET
0 0 0 0 0 0
284 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
285 PIPET TETES PENDEK PCS
0 0 0 0 0 0
286 PLESTER 1 INCI ROL
0 0 0 0 0 0
287 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
288 PLESTER KERTAS PCS
0 0 0 0 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
290 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
291 POT SPUTUM PCS
0 0 0 0 0 0
292 PROVEIN 6/0 PCS
0 0 0 0 0 0
293 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
294 PCS
NSI 0 0 0 0 0 0
295 RDT SIPILIS PCS
0 0 0 0 0 0
296 REAGEN SIPILIS PCS
0 0 0 0 0 0
297 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
298 SAFETY BOX 5 L PCS
0 0 0 0 0 0
299 SD HBsAG PCS
0 0 0 0 0 0
300 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
301 BTL
CAIRAN 0 0 0 0 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
304 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
305 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
307 SPIRITUS BAKAR BTL
0 0 0 0 0 0
308 STIK ASAM URAT PCS
0 0 0 0 0 0
309 STIK GLUKOSA PCS
0 0 0 0 0 0
310 STIK KOLESTEROL PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
312 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
313 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
314 BTL
CAIRAN 0 0 0 0 0 0
315 TEST HAMIL PCS
0 0 0 0 0 0
316 TISSUE LENSA PCS
0 0 0 0 0 0
317 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
318 UNDERPAD PCS
0 0 0 0 0 0
319 URINE BAG STERIL PCS
0 0 0 0 0 0
320 USG GEL BLUE BTL
0 0 0 0 0 0
321 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
322 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
323 BTL
ML 12 12 0 12 0 0
324 AZITROMISIN TAB
TAB 100 100 0 100 0 0
325 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
326 KLOROQUIN TAB
TAB 3 3 0 3 0 0
327 VITAMIN C 500 MG
TAB 0 0 0 0 0 0
328 BAJU APD PCS
0 0 0 0 0 0
329 BOOTS PSG
0 0 0 0 0 0
330 FACE SHIELD PCS
0 0 0 0 0 0
331 GOWN PCS
0 0 0 0 0 0
332 GOOGLE PCS
0 0 0 0 0 0
333 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
JULI 2022
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 17 19 20 21 22 23 24 25 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 60 60
10 10 20 10 10
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 0 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 190 190
10 20 5 5 5 70 30 10 20 15
10 AMLODIPINE TAB 10 MG TAB 1265 1265
15 57 41 28 39 29 10 110 27 20 59 82 23 27 63 17 82 35 113 47 40 85 85 76 55
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 2144 2144
80 77 70 70 80 90 156 75 80 45 85 140 150 90 60 50 80 100 110 80 60 36 60 70 150
13 AMOKSISILIN KAPSUL 250 MG TAB 60 60
20 10 10 20
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 52 52
6 11 2 2 2 1 6 2 1 5 3 2 4 4 4 7
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB 2941 2941
70 170 140 60 110 140 140 100 110 65 130 260 140 160 30 80 260 216 150 80 60 60 10 130 70
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 6 6
2 2 1 1
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 493 493
10 56 5 30 10 40 14 13 26 36 40 40 40 20 3 10 20 35 15 30
25 ASAM FOLAT TABLET 1 MG TAB 170 170
10 20 10 10 10 30 30 40 10
26 ASAM MEFENAMAT KAPLET 500 MG TAB 585 585
10 30 30 30 20 30 50 35 10 10 40 60 30 20 40 20 20 20 40 10 10 20
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 0 0
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 34 34
10 6 3 15
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 48 48
8 20 20
34 ATAPULGIT TABLET 630 MG TAB 0 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 660 660
20 40 70 40 30 60 20 20 20 50 60 20 30 20 10 10 40 30 10 20 10 30
37 BETAMETASON DOPROPIONATE KRIM TUBE 10 10
1 1 1 2 2 1 1 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 906 906
35 40 25 15 10 65 15 35 15 10 20 85 60 75 15 20 10 46 45 40 40 40 85 60
47 CIPROFLOKSASIN KAPLET 500 MG TAB 390 390
30 20 15 30 10 20 15 20 20 20 10 10 20 20 40 20 30 20 10 10
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 265 265
30 11 60 44 20 30 30 30 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 93 93
2 10 20 20 5 3 30 3
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 484 484
16 10 10 10 10 10 10 20 40 60 30 10 30 16 66 20 10 6 20 60 20
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 20 20
10 10
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 60 60
30 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 390 390
60 30 30 30 90 90 30 30
64 FENOL GLISEROL TETES TELINGA 10 % BTL 3 3
1 1 1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 30 30
5 10 5 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 97 97
30 2 10 10 5 15 15 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 42 42
3 6 3 3 11 5 11
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 385 385
20 75 60 60 25 40 20 10 75
75 GLIMEPIRID TABLET 2 MG TAB 0 0
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 120 120
20 10 10 10 30 20 10 10
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 175 175
30 10 15 15 15 15 15 30 30
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 30 30
10 10 10
84 HIDROKORTISON KRIM 2,5 % TUBE 3 3
1 1 1
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 471 471
47 18 32 12 22 15 21 11 15 6 22 30 9 28 31 16 40 15 35 5 20 15 6
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 190 190
10 10 10 10 20 10 10 10 10 50 10 30
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 5 5
3 2
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 1430 1430
20 40 50 30 60 30 120 40 20 60 110 40 70 40 60 100 20 100 70 60 80 80 50 80
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 100 100
10 30 30 30
99 KETOKONAZOL KRIM TUBE 5 5
1 1 1 2
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 13 13
1 3 1 1 2 1 1 1 1 1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 6 6
2 2 2
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 8 8
1 1 1 1 1 1 1 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 8 8
2 1 1 1 1 2
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 500 500
21 17 6 23 10 20 54 18 13 17 36 27 17 32 19 19 21 19 17 26 17 32 19
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 482 482
60 15 30 10 30 30 47 30 60 80 30 30 30
111 KODEIN HCL TAB. 10 MG TAB 0 0
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 10 10
1 1 2 2 4
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 140 140
10 10 10 10 30 20 20 20 10
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 550 550
20 50 30 30 30 40 60 30 90 20 10 30 80 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 10 10
10
129 METIL PREDNISOLON TAB 4 MG TAB 40 40
30 10
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 60 60
10 10 10 15 15
137 MIKONAZOL SALEP 2 % TUBE 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 586 586
10 20 10 30 50 60 26 26 10 60 10 40 50 46 26 20 30 62
142 NATRIUM BIKARBONAT TAB 500 MG TAB 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 740 740
15 50 20 15 20 70 20 25 30 65 25 20 20 10 25 40 30 50 50 70 10 60
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 56 56
1 2 1 1 2 2 3 3 1 1 4 1 6 5 3 3 2 5 5 5
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 3581 3581
139 165 66 93 70 170 148 145 125 35 230 268 4 196 121 100 140 160 234 215 130 134 147 346
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 134 134
24 20 20 40 20 10
166 PREDNISON TAB 5 MG TAB 1101 1101
63 50 30 70 40 106 33 31 30 112 54 50 40 10 20 53 35 20 68 16 52 16 102
167 PROPANOLOL HCL TAB 10 MG TAB 60 60
30 30
168 PROPIL TIOURASIL TAB 100 ML TAB 60 60
30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 975 975
12 24 26 18 12 10 18 6 38 54 126 90 17 42 28 42 36 12 24 28 92 74 146
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 140 140
30 30 20 30 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 731 731
25 50 15 25 15 35 56 40 35 15 20 80 25 30 20 15 10 48 35 27 10 20 80
178 SALEP 2-4 KOMB TAB 9 9
1 2 1 2 3
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1535 1535
80 20 30 20 90 35 210 60 55 60 180 30 100 40 60 150 40 80 20 10 30 20 115
187 SIMVASTATIN TABLET 10 MG TAB 60 60
10 10 30 10
188 SIMVASTATIN TABLET 20 MG TAB 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1970 1970
90 70 60 5 90 30 200 60 35 60 190 40 90 60 80 180 40 130 70 60 60 115 65 90
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 310 310
20 20 10 50 40 10 10 30 10 40 60 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 300 300
60 15 30 30 15 60 30 30 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 676 676
90 20 40 61 40 50 50 100 40 40 50 55 10 30
203 ZINC TABLET TAB 100 100
30 10 10 10 20 20
204 ZIRKUM KIDS SIRUP BTL 0 0
205 OBAT BATUK HERBAL BTL 18 18
2 1 1 3 1 1 2 2 2 1 2
206 VAKSIN BCG VIAL 0 0
207 VAKSIN CAMPAK VIAL 0 0
208 VAKSIN DPT HB VIAL 0 0
209 VAKSIN DT VIAL 0 0
210 VAKSIN HB PID VIAL 0 0
211 VAKSIN MR VIAL 0 0
212 VAKSIN POLIO VIAL 0 0
213 VAKSIN POLIO INJEKSI VIAL 0 0
214 VAKSIN TD VIAL 0 0
215 VAKSIN TT VIAL 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
220 ALKOHOL SWAB PCS 0 0
221 ANTI SERA A BTL 0 0
222 ANTI SERA AB BTL 0 0
223 ANTI SERA B BTL 0 0
224 AQUA DEST BTL 0 0
225 ASEPTIC GEL BTL 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
228 BD VACUTAINER PCS 0 0
229 BLOOD LANSET PCS 0 0
230 BOX OBJECT GLAS PCS 0 0
231 BRACKET ABS PCS 0 0
232 CATGUT CROMIC NO. 3/0 SACCH 0 0
233 CATGUT PLAIN NO. 3/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
236 DARYANTULLE LBR 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETANOL 70 % BTL 0 0
240 ETER ALKOHOL BTL 0 0
241 ETIL KLORIDA SEMPROT BTL 0 0
242 FOCUS HIV 2 PCS 0 0
243 FOLEY CATHETER 16 PCS 0 0
244 FOLEY CATHETER 18 PCS 0 0
245 GIEMSA BTL 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL 0 0
247 HANDRUB LIQUID BTL 0 0
248 HANDSCOON PCS 0 0
249 HANDSCOON NON STERIL PCS 0 0
250 HB TEST STRIP PCS 0 0
251 HBig PCS 0 0
252 HUMAN HEXAGON SIPILIS PCS 0 0
253 IMERSION OIL BTL 0 0
254 IMERSION OIL BTL 0 0
255 INFUSION SET ANAK SET 0 0
256 INFUSION SET DEWASA SET 0 0
257 IV NO.18 G SET 0 0
258 IV NO.20 G SET 0 0
259 IV NO.22 G SET 0 0
260 IV NO.24 G SET 0 0
261 KACA SLIDE PCS 0 0
262 KAPAS BOLA MINI PCS 0 0
263 KAPAS GIGI PCS 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
265 KASA KOMPRES STERIL 40X40 BKS 0 0
266 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
267 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
268 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
269 KERTAS GOLONGAN DARAH LBR 0 0
270 KERTAS SARING LBR 0 0
271 LARUTAN BENEDICT BTL 0 0
272 LARUTAN HCL 0,1N BTL 0 0
273 LARUTAN TURK BTL 0 0
274 LARUTAN ZIELH NELSEN BTL 0 0
275 LISOL BTL 0 0
276 MASKER PCS 0 0
277 MASKER N 95 PCS 0 0
278 METANOL PA BTL 0 0
279 NEEDLE 27 G SET 0 0
280 OAT I (KOMBIPAK) PAKET 0 0
281 OAT KATEGORI ANAK PAKET 0 0
282 OAT KATEGORI I PAKET 0 0
283 OAT KATEGORI II PAKET 0 0
284 PARAFORMALDEHID TAB 1 G TAB 0 0
285 PIPET TETES PENDEK PCS 0 0
286 PLESTER 1 INCI ROL 0 0
287 PLESTER 7,5 CM x 4,5 M ROL 0 0
288 PLESTER KERTAS PCS 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL 0 0
290 POT FESES TRANSPARAN PCS 0 0
291 POT SPUTUM PCS 0 0
292 PROVEIN 6/0 PCS 0 0
293 RAPID TES NARKOBA 3 PCS 0 0
294 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
295 RDT SIPILIS PCS 0 0
296 REAGEN SIPILIS PCS 0 0
297 SAFETY BOX 2,5 L PCS 0 0
298 SAFETY BOX 5 L PCS 0 0
299 SD HBsAG PCS 0 0
300 SD HIV PCS 0 0
301 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
304 SLANG OKSIGEN ANAK SET 0 0
305 SLANG OKSIGEN DEWASA SET 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS 0 0
307 SPIRITUS BAKAR BTL 0 0
308 STIK ASAM URAT PCS 0 0
309 STIK GLUKOSA PCS 0 0
310 STIK KOLESTEROL PCS 0 0
311 SURGICAL BLADE STERIL NO.12 PCS 0 0
312 SURGICAL BLADE STERIL NO.15 PCS 0 0
313 TABUNG VACUTAINER NON EDTA PCS 0 0
314 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
315 TEST HAMIL PCS 0 0
316 TISSUE LENSA PCS 0 0
317 UMBILICAL CORD KLEM STERIL PCS 0 0
318 UNDERPAD PCS 0 0
319 URINE BAG STERIL PCS 0 0
320 USG GEL BLUE BTL 0 0
321 VIKIA ( HIV 3 ) PCS 0 0
322 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
323 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
324 AZITROMISIN TAB 0 0
TAB
325 OSELTAMIVIR TAB 0 0
TAB
326 KLOROQUIN TAB 0 0
TAB
327 VITAMIN C 500 MG 0 0
TAB
328 BAJU APD PCS 0 0
329 BOOTS PSG 0 0
330 FACE SHIELD PCS 0 0
331 GOWN PCS 0 0
332 GOOGLE PCS 0 0
333 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : JULI
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
65 300 365 60 305 90 100
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 0 201 0 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
50 50 0 50 0 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
300 300 190 110 285 200
10 AMLODIPINE TAB 10 MG TAB
67 1200 1267 1265 2 1897.5 2000
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
523 2000 2523 2144 379 3216 3000
13 AMOKSISILIN KAPSUL 250 MG TAB
0 200 200 60 140 90 200
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 0 62 62 52 10 78 68
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 0 0 0 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB
181 3000 3181 2941 240 4411.5 4000
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
15 15 6 9 9 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
0 0 0 0 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
440 500 940 493 447 739.5 300
25 ASAM FOLAT TABLET 1 MG TAB
235 235 170 65 255 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
409 500 909 585 324 877.5 500
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 0 0 0 0 6
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
3 100 103 34 69 51 100
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
175 175 48 127 72 0
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0 0 500
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
327 800 1127 660 467 990 500
37 BETAMETASON DOPROPIONATE KRIM TUBE
24 24 48 10 38 15 15
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
0 0 0 0 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
11 11 0 11 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
369 900 1269 906 363 1359 900
47 CIPROFLOKSASIN KAPLET 500 MG TAB
190 400 590 390 200 585 200
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
282 500 782 265 517 397.5 300
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
70 200 270 93 177 139.5 100
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
371 500 871 484 387 726 700
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
50 50 20 30 30 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
220 220 60 160 90 100
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
315 300 615 390 225 0 585 500
64 FENOL GLISEROL TETES TELINGA 10 % BTL
9 24 33 3 30 4.5 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 219 219 30 189 45 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
0 100 100 97 3 145.5 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
45 45 42 3 63 60
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
0 0 0 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
0 500 500 385 115 577.5 400
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
103 200 303 120 183 180 0
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
130 300 430 175 255 262.5 0
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
370 370 30 340 45 0
84 HIDROKORTISON KRIM 2,5 % TUBE
12 12 3 9 4.5 0
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 127 400 527 471 56 706.5 400
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
115 500 615 190 425 285 0
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 293 293 5 288 7.5 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
195 1500 1695 1430 265 2145 1800
95 KAPTOPRIL KAP 12,5 MG TAB
65 65 0 65 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
263 263 100 163 150 100
99 KETOKONAZOL KRIM TUBE
17 17 5 12 7.5 0
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
2 24 26 13 13 19.5 24
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
6 6 6 0 9 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
8 8 8 0 12 12
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
26 14 40 8 32 12 0
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 0 500 500 500 0 750 750
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 407 300 707 482 225 723 500
111 KODEIN HCL TAB. 10 MG TAB
0 0 0 0 0 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
0 10 10 10 0 15 15
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
178 150 328 140 188 210 22
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
238 600 838 550 288 825 500
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 86 86 10 76 0 15 100
129 METIL PREDNISOLON TAB 4 MG TAB
180 180 40 140 60 0
130 METILDOPA TABLET TAB
0 0 0 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
128 128 0 128 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
0 200 200 60 140 90 100
137 MIKONAZOL SALEP 2 % TUBE
0 0 0 0 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
109 600 709 586 123 879 756
142 NATRIUM BIKARBONAT TAB 500 MG TAB
64 64 0 64 0 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
504 500 1004 740 264 1110 800
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
103 103 0 103 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
2 2 0 2 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 0 0 0 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
70 70 0 70 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
34 57 91 56 35 84 49
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
2041 3000 5041 3581 1460 5371.5 4000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
163 163 134 29 201 200
166 PREDNISON TAB 5 MG TAB
903 1000 1903 1101 802 1651.5 800
167 PROPANOLOL HCL TAB 10 MG TAB
0 300 300 60 240 90 0
168 PROPIL TIOURASIL TAB 100 ML TAB
235 235 60 175 90 0
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
372 1000 1372 975 397 1462.5 1000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
40 300 340 140 200 210 0
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
588 500 1088 731 357 1096.5 700
178 SALEP 2-4 KOMB TAB
16 16 9 7 13.5 24
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1182 2000 3182 1535 1647 2302.5 500
187 SIMVASTATIN TABLET 10 MG TAB
131 131 60 71 0 90 100
188 SIMVASTATIN TABLET 20 MG TAB
0 0 0 0 0 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
4617 4617 1970 2647 2955 308
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 447 200 647 310 337 465 200
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
235 600 835 300 535 450 0
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
150 1000 1150 676 474 1014 500
203 ZINC TABLET TAB
0 100 100 100 0 150 150
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 OBAT BATUK HERBAL BTL
0 33 33 18 15 27 12
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN BCG VIAL
0 0 0 0 0 0
207 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
208 VAKSIN DPT HB VIAL
0 0 0 0 0 0
209 VAKSIN DT VIAL
0 0 0 0 0 0
210 VAKSIN HB PID VIAL
0 0 0 0 0 0
211 VAKSIN MR VIAL
0 0 0 0 0 0
212 VAKSIN POLIO VIAL
0 0 0 0 0 0
213 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
214 VAKSIN TD VIAL
0 0 0 0 0 0
215 VAKSIN TT VIAL
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
220 ALKOHOL SWAB PCS
0 0 0 0 0 0
221 ANTI SERA A BTL
0 0 0 0 0 0
222 ANTI SERA AB BTL
0 0 0 0 0 0
223 ANTI SERA B BTL
0 0 0 0 0 0
224 AQUA DEST BTL
0 0 0 0 0 0
225 ASEPTIC GEL BTL
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
228 BD VACUTAINER PCS
0 0 0 0 0 0
229 BLOOD LANSET PCS
0 0 0 0 0 0
230 BOX OBJECT GLAS PCS
0 0 0 0 0 0
231 BRACKET ABS PCS
0 0 0 0 0 0
232 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
236 DARYANTULLE LBR
0 0 0 0 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETANOL 70 % BTL
0 0 0 0 0 0
240 ETER ALKOHOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
242 FOCUS HIV 2 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
244 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
245 GIEMSA BTL
0 0 0 0 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
247 HANDRUB LIQUID BTL
0 0 0 0 0 0
248 HANDSCOON PCS
0 0 0 0 0 0
249 HANDSCOON NON STERIL PCS
0 0 0 0 0 0
250 HB TEST STRIP PCS
0 0 0 0 0 0
251 HBig PCS
0 0 0 0 0 0
252 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 IMERSION OIL BTL
0 0 0 0 0 0
255 INFUSION SET ANAK SET
0 0 0 0 0 0
256 INFUSION SET DEWASA SET
0 0 0 0 0 0
257 IV NO.18 G SET
0 0 0 0 0 0
258 IV NO.20 G SET
0 0 0 0 0 0
259 IV NO.22 G SET
0 0 0 0 0 0
260 IV NO.24 G SET
0 0 0 0 0 0
261 KACA SLIDE PCS
0 0 0 0 0 0
262 KAPAS BOLA MINI PCS
0 0 0 0 0 0
263 KAPAS GIGI PCS
0 0 0 0 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
265 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
266 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
267 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
268 ROL
CM 0 0 0 0 0 0
269 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
270 KERTAS SARING LBR
0 0 0 0 0 0
271 LARUTAN BENEDICT BTL
0 0 0 0 0 0
272 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
273 LARUTAN TURK BTL
0 0 0 0 0 0
274 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
275 LISOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER PCS
0 0 0 0 0 0
277 MASKER N 95 PCS
0 0 0 0 0 0
278 METANOL PA BTL
0 0 0 0 0 0
279 NEEDLE 27 G SET
0 0 0 0 0 0
280 OAT I (KOMBIPAK) PAKET
2 2 0 2 0 0
281 OAT KATEGORI ANAK PAKET
3 3 0 3 0 0
282 OAT KATEGORI I PAKET
0 0 0 0 0 0
283 OAT KATEGORI II PAKET
0 0 0 0 0 0
284 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
285 PIPET TETES PENDEK PCS
0 0 0 0 0 0
286 PLESTER 1 INCI ROL
0 0 0 0 0 0
287 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
288 PLESTER KERTAS PCS
0 0 0 0 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
290 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
291 POT SPUTUM PCS
0 0 0 0 0 0
292 PROVEIN 6/0 PCS
0 0 0 0 0 0
293 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
294 PCS
NSI 0 0 0 0 0 0
295 RDT SIPILIS PCS
0 0 0 0 0 0
296 REAGEN SIPILIS PCS
0 0 0 0 0 0
297 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
298 SAFETY BOX 5 L PCS
0 0 0 0 0 0
299 SD HBsAG PCS
0 0 0 0 0 0
300 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
301 BTL
CAIRAN 0 0 0 0 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
304 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
305 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
307 SPIRITUS BAKAR BTL
0 0 0 0 0 0
308 STIK ASAM URAT PCS
0 0 0 0 0 0
309 STIK GLUKOSA PCS
0 0 0 0 0 0
310 STIK KOLESTEROL PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
312 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
313 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
314 BTL
CAIRAN 0 0 0 0 0 0
315 TEST HAMIL PCS
0 0 0 0 0 0
316 TISSUE LENSA PCS
0 0 0 0 0 0
317 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
318 UNDERPAD PCS
0 0 0 0 0 0
319 URINE BAG STERIL PCS
0 0 0 0 0 0
320 USG GEL BLUE BTL
0 0 0 0 0 0
321 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
322 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
323 BTL
ML 12 12 0 12 0 0
324 AZITROMISIN TAB
TAB 100 100 0 100 0 0
325 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
326 KLOROQUIN TAB
TAB 3 3 0 3 0 0
327 VITAMIN C 500 MG
TAB 0 0 0 0 0 0
328 BAJU APD PCS
0 0 0 0 0 0
329 BOOTS PSG
0 0 0 0 0 0
330 FACE SHIELD PCS
0 0 0 0 0 0
331 GOWN PCS
0 0 0 0 0 0
332 GOOGLE PCS
0 0 0 0 0 0
333 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
AGUSTUS 2022
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 16 18 19 20 21 22 23 24 25 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE 0 0
2 ALBENDAZOL TAB. 400 MG TAB 0 0
3 ALOPURINOL TAB. 100 MG TAB 344 344
10 10 10 40 41 30 10 70 10 40 13 10 10 30 10
4 ALPRAZOLAM TAB 0,25 MG TAB 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB 15 15
15
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP 0 0
7 AMINOFILIN TAB. 150 MG TAB 0 0
8 AMINOFILIN TAB. 200 MG TAB 10 10
10
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB 220 220
5 30 30 30 5 30 30 45 10 5
10 AMLODIPINE TAB 10 MG TAB 2227 2227
94 76 52 76 135 92 65 15 125 96 57 45 120 73 63 143 65 162 150 155 171 131 7 47 12
11 AMLODIPINE TAB 5 MG TAB 0 0
12 AMOKSISILIN KAPLET 500 MG TAB 2897 2897
90 60 70 160 70 130 110 70 65 120 170 125 90 100 80 150 60 112 130 100 210 200 170 175 80
13 AMOKSISILIN KAPSUL 250 MG TAB 175 175
10 10 10 10 10 30 30 30 10 20 5
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL 52 52
4 4 8 2 4 9 2 3 2 2 7 4 1 2 3 3
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL 0 0
16 ANTASIDA DOEN SUSPENSI BTL 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB 2908 2908
10 90 60 90 110 50 40 70 80 40 10 60 80 30 286 110 20 370 70 396 330 180 158 168
18 ANTI BAKTERI DOEN SALEP KOMB. POT 0 0
19 ANTI FUNGI DOEN KOMB. POT 1 1
1
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB 0 0
22 AQUA PRO INJEKSI STERIL BTL 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB 518 518
20 20 30 20 10 10 20 40 20 40 6 10 25 13 52 31 20 35 10 30 46 10
25 ASAM FOLAT TABLET 1 MG TAB 210 210
15 40 15 15 20 15 15 10 15 15 15 20
26 ASAM MEFENAMAT KAPLET 500 MG TAB 765 765
10 30 30 30 40 80 50 10 30 40 40 40 10 10 10 45 10 70 10 40 30 70 10 20
27 ASAM TRANEKSAMAT INJEKSI AMP 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL 3 3
3
29 ASAM VALPROAT TAB 250 MG TAB 0 0
30 ASETOSAL TAB. 100 MG TAB 0 0
31 ASETOSAL TAB. 80 MG TAB 53 53
10 10 30 3
32 ASIKLOVIR KRIM 5 % AMP 0 0
33 ASIKLOVIR TAB. 400 MG TAB 112 112
45 20 20 20 7
34 ATAPULGIT TABLET 630 MG TAB 0 0
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB 0 0
36 BETAHISTIN TAB 6 MG TAB 990 990
66 10 30 30 20 10 10 20 70 110 66 46 20 20 40 10 72 30 86 72 60 56 36
37 BETAMETASON DOPROPIONATE KRIM TUBE 13 13
1 2 4 1 1 1 1 1 1
38 BETAMETASON KRIM 0,1% TUBE 0 0
39 BISAKODIL 10 MG SUP TAB 0 0
40 BISAKODIL TABLET TAB 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB 0 0
42 CANDESARTAN TABLET 16 MG TAB 0 0
43 CEFIXIME KAPSUL 200 MG TAB 0 0
44 CENDO LYTEER TETES MATA STRIP 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL 0 0
46 CETIRIZIN TABLET 10 MG TAB 1497 1497
60 45 46 60 55 30 30 35 40 45 70 75 70 80 50 50 65 95 116 95 115 25 75 50 20
47 CIPROFLOKSASIN KAPLET 500 MG TAB 650 650
30 10 10 70 66 20 30 50 20 30 10 10 30 20 40 20 50 10 40 84
48 CURCUMA TABLET 200 MG TAB 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB 547 547
10 21 36 20 70 30 20 20 33 28 7 20 72 20 50 10 40 30 10
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP 0 0
52 DIAZEPAM TAB. 2 MG TAB 66 66
5 21 3 20 15 2
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP 0 0
54 DIGOKSIN TAB. 0,25 MG TAB 0 0
55 DOMPERIDON TABLET 10 MG TAB 666 666
14 20 16 62 20 10 10 10 60 20 40 36 20 10 16 50 10 50 10 66 30 20 30 36
56 DONPERIDON SUSPENSI 5 MG/ ML BTL 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 AMP 0 0
ML
58 ERITHROMISIN KAPSUL 500 MG TAB 0 0
59 ERITHROMISIN SIRUP BTL 0 0
60 EUGENOL CAIRAN BTL 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP 75 75
30 15 30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP 0 0
63 FENOBARBITAL TAB. 30 MG TAB 210 210
30 30 30 30 30 60
64 FENOL GLISEROL TETES TELINGA 10 % BTL 7 7
1 1 1 1 2 1
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP 0 0
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP 0 0
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB 70 70
10 5 5 10 20 10 10
68 FLUCONAZOL KAPSUL KAP 0 0
69 FUROSEMID TAB. 40 MG TAB 125 125
15 10 10 10 10 10 15 15 10 10 10
70 GABAPENTIN KAPSUL 300 MG KAP 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH 37 37
12 5 5 12 3
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB 0 0
74 GLIMEPIRID TABLET 1 MG TAB 980 980
110 60 45 115 15 15 30 15 35 60 5 15 15 105 25 35 30 40 65 40 15 90
75 GLIMEPIRID TABLET 2 MG TAB 0 0
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0
78 GRISEOFULVIN TAB. 125 MG TAB 170 170
15 10 10 10 10 30 10 30 10 10 5 20
79 GRISEOVULFIN TABLET 500 MG TAB 0 0
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP 0 0
81 HALOPERIDOL 5 MG/ML AMP 0
82 HALOPERIDOL TAB. 1,5 MG TAB 260 260
15 30 15 30 15 20 15 15 30 60 15
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB 5 5
5
84 HIDROKORTISON KRIM 2,5 % TUBE 5 5
1 1 1 2
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP 0 0
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB 524 524
6 6 6 51 5 6 10 16 49 17 30 29 38 26 33 21 31 6 47 29 25 20 17
87 IBUPROFEN SUSPENSI BTL 0 0
88 IBUPROFEN TAB. 200 MG TAB 0 0
89 IBUPROFEN TAB. 400 MG TAB 1017 1017
20 30 20 40 10 180 110 30 75 40 90 70 126 46 100 20 10
90 ISONIAZIDA TAB. 100 MG TAB 0 0
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB 11 11
10 1
92 KALSIUM GLUCONAS INJ AMP 0 0
93 KALSIUM HIDROKSIDA PASTA POT 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB 2612 2612
80 90 70 120 110 120 30 60 100 110 80 70 42 130 95 165 142 80 115 170 173 100 170 70 120
95 KAPTOPRIL KAP 12,5 MG TAB 0 0
96 KAPTOPRIL KAP 25 MG TAB 0 0
97 KAPTOPRIL KAP 50 MG TAB 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB 90 90
30 30 30
99 KETOKONAZOL KRIM TUBE 8 8
1 2 1 1 1 2
100 KETOKONAZOL TAB 200 MG TAB 0 0
101 KETOPROVEN SUPPOSITORIA SUPPO 0 0
102 KLINDAMYCIN KAP 300 MG KAP 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE 13 13
3 1 3 1 1 1 2 1
105 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL 22 22
2 1 2 1 2 2 2 2 3 2 3
107 KLORAMFENIKOL TETES TELINGA 3 % BTL 32 32
3 3 1 2 3 1 1 1 1 3 3 3 2 1 1 2 1
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB 735 735
8 25 29 64 30 62 62 10 68 21 46 23 17 10 26 36 2 5 41 29 34 38 16 7 26
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP 0 0
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB 600 600
30 30 30 90 30 30 30 30 30 90 90 30 60
111 KODEIN HCL TAB. 10 MG TAB 0 0
112 KODEIN HCL TAB. 20 MG TAB 0 0
113 KOLKISIN TAB 500 MCG TAB 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL 13 13
1 10 2
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB 90 90
20 10 10 10 10 10 10 10
117 LAKTULOSA SIRUP BTL 0 0
118 LEVODOPA TABLET TAB 0 0
119 LIDOKAIN 10 % SPRAY BTL 0 0
120 LIDOKAIN COMP.INJ AMP 0 0
121 LIDOKAIN JELLY 2 % BTL 0 0
122 LOPERAMID TABLET 2 MG TAB 0 0
123 LORATADIN TABLET 10 MG TAB 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP 0 0
125 MDT MD DEWASA TAB 0 0
126 METFORMIN HCL TAB 500 MG TAB 755 755
30 30 80 30 60 30 30 20 30 10 50 30 30 60 70 30 45 60 30
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP 0 0
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB 6 6
6
129 METIL PREDNISOLON TAB 4 MG TAB 25 25
10 5 10
130 METILDOPA TABLET TAB 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL 0 0
132 METOKLOPRAMID INJ 10/2ML AMP 0 0
133 METOKLOPRAMID TAB.10 MG TAB 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL 0 0
135 METRONIDAZOL TAB 250 MG TAB 0 0
136 METRONIDAZOL TAB 500 MG TAB 190 190
10 45 20 15 10 10 55 25
137 MIKONAZOL SALEP 2 % TUBE 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE 0 0
139 MULTIVITAMIN SIRUP BTL 0 0
140 MULTIVITAMIN TABLET TAB 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP 1345 1345
50 26 40 32 75 76 20 82 40 80 56 16 70 56 30 38 70 90 56 56 106 42 40 52 46
142 NATRIUM BIKARBONAT TAB 500 MG TAB 6 6
6
143 NATRIUM DIKLOFENAK TAB 25 MG TAB 1014 1014
70 70 30 50 110 60 30 30 60 108 50 50 50 35 40 40 50 60 21
144 NATRIUM DIKLOFENAK TAB 50 MG TAB 0 0
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL 0 0
146 NIFEDIPIN TAB 10 MG TAB 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL 0 0
149 NITROGLISERIN RETARD TAB 0 0
150 OBAT ANTI MALARIA TAB 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP 0 0
154 OMEPRAZOL TAB KAP 0 0
155 ONDANSETRON KAPSUL 8 MG KAP 0 0
156 PAPAVERIN HCL TAB 40 MG TAB 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL 83 83
5 1 3 11 1 1 3 1 5 5 8 1 3 1 6 3 2 2 8 3 1 6 2 1
160 PARASETAMOL TAB 100 MG TAB 0 0
161 PARASETAMOL TAB 500 MG TAB 5079 5079
160 155 120 230 150 172 140 160 166 223 263 170 220 155 147 303 313 216 351 133 360 198 164 180 230
162 PEKA KRISTAL POT 0 0
163 PERMETRIN 1 % /PEDITOX BTL 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB 161 161
3 6 10 6 6 10 10 10 20 40 40
166 PREDNISON TAB 5 MG TAB 1949 1949
27 53 43 93 100 50 40 75 94 162 110 60 100 80 26 66 60 119 25 84 106 116 110 96 54
167 PROPANOLOL HCL TAB 10 MG TAB 60 60
30 30
168 PROPIL TIOURASIL TAB 100 ML TAB 60 60
30 30
169 RANITIDIN 50 MG / 2 ML INJ AMP 0 0
170 RANITIDIN TAB 150 MG TAB 1797 1797
178 76 102 138 78 24 48 26 48 149 91 88 108 50 92 92 40 104 50 98 105 12
171 RETINOL (VIT.A) KAP 100.000 IU KAP 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL 0 0
174 RISPERIDON TABLET 1 MG TAB 0 0
175 RISPERIDON TABLET 2 MG TAB 260 260
50 30 30 30 30 30 30 30
176 SALBUTAMOL CAIRAN IH 0,1% AMP 0 0
177 SALBUTAMOL TAB 2 MG TAB 831 831
44 25 45 30 30 20 20 30 70 45 70 60 25 35 35 20 70 10 25 40 15 42 25
178 SALEP 2-4 KOMB TAB 9 9
1 1 3 1 2 1
179 SALISIL BEDAK 2 % SACCH 0 0
180 SCABIMITE KRIM 5 % TUBE 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP 0 0
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL 0 0
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL 0 0
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL 0 0
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB 1733 1733
100 70 70 40 60 20 60 96 80 30 38 48 60 40 40 20 155 125 136 75 150 115 105
187 SIMVASTATIN TABLET 10 MG TAB 0 0
188 SIMVASTATIN TABLET 20 MG TAB 210 210
10 10 10 10 20 30 50 5 15 10 30 10
189 SPIRONOLAKTON TABLET 25 MG TAB 0 0
……………………………
190 STESOLID RECTAL 10 MG TUBE 0 0
191 STESOLID RECTAL 5 MG TUBE 0 0
192 SULFADIAZIN SILVER KRIM TUBE 0 0
193 TABLET TAMBAH DARAH KOMB TAB 1582 1582
60 30 2 60 30 120 30 60 60 70 85 30 30 60 60 60 180 40 190 160 45 120
194 TABLET TAMBAH DARAH KOMB TAB 0 0
195 TEOFILIN SR TAB 0 0
196 TETAGAM INJ AMP 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP 0 0
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB 101 101
20 5 10 10 6 40 10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB 285 285
30 30 30 60 15 30 30 30 30
201 VAKSIN RABIES VERO AMP 0 0
202 VITAMIN B KOMPLEKS TAB TAB 1216 1216
10 40 20 60 50 40 30 60 40 50 90 55 46 75 40 150 75 45 50 50 40 70 20 10
203 ZINC TABLET TAB 80 80
5 5 10 10 5 20 15 10
204 ZIRKUM KIDS SIRUP BTL 0 0
205 OBAT BATUK HERBAL BTL 0 0
206 VAKSIN BCG VIAL 0 0
207 VAKSIN CAMPAK VIAL 0 0
208 VAKSIN DPT HB VIAL 0 0
209 VAKSIN DT VIAL 0 0
210 VAKSIN HB PID VIAL 0 0
211 VAKSIN MR VIAL 0 0
212 VAKSIN POLIO VIAL 0 0
213 VAKSIN POLIO INJEKSI VIAL 0 0
214 VAKSIN TD VIAL 0 0
215 VAKSIN TT VIAL 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0
220 ALKOHOL SWAB PCS 0 0
221 ANTI SERA A BTL 0 0
222 ANTI SERA AB BTL 0 0
223 ANTI SERA B BTL 0 0
224 AQUA DEST BTL 0 0
225 ASEPTIC GEL BTL 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET 0 0
228 BD VACUTAINER PCS 0 0
229 BLOOD LANSET PCS 0 0
230 BOX OBJECT GLAS PCS 0 0
231 BRACKET ABS PCS 0 0
232 CATGUT CROMIC NO. 3/0 SACCH 0 0
233 CATGUT PLAIN NO. 3/0 SACCH 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH 0 0
236 DARYANTULLE LBR 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL 0 0
238 ETANOL 70 % BTL 0 0
239 ETANOL 70 % BTL 0 0
240 ETER ALKOHOL BTL 0 0
241 ETIL KLORIDA SEMPROT BTL 0 0
242 FOCUS HIV 2 PCS 0 0
243 FOLEY CATHETER 16 PCS 0 0
244 FOLEY CATHETER 18 PCS 0 0
245 GIEMSA BTL 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL 0 0
247 HANDRUB LIQUID BTL 0 0
248 HANDSCOON PCS 0 0
249 HANDSCOON NON STERIL PCS 500 500
500
250 HB TEST STRIP PCS 0 0
251 HBig PCS 0 0
252 HUMAN HEXAGON SIPILIS PCS 0 0
253 IMERSION OIL BTL 0 0
254 IMERSION OIL BTL 0 0
255 INFUSION SET ANAK SET 0 0
256 INFUSION SET DEWASA SET 0 0
257 IV NO.18 G SET 0 0
258 IV NO.20 G SET 0 0
259 IV NO.22 G SET 0 0
260 IV NO.24 G SET 0 0
261 KACA SLIDE PCS 0 0
262 KAPAS BOLA MINI PCS 0 0
263 KAPAS GIGI PCS 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS 0 0
265 KASA KOMPRES STERIL 40X40 BKS 0 0
266 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS 0 0
267 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0
268 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL 0 0
269 KERTAS GOLONGAN DARAH LBR 0 0
270 KERTAS SARING LBR 0 0
271 LARUTAN BENEDICT BTL 0 0
272 LARUTAN HCL 0,1N BTL 0 0
273 LARUTAN TURK BTL 0 0
274 LARUTAN ZIELH NELSEN BTL 0 0
275 LISOL BTL 0 0
276 MASKER PCS 1000 1000
1000
277 MASKER N 95 PCS 0 0
278 METANOL PA BTL 0 0
279 NEEDLE 27 G SET 0 0
280 OAT I (KOMBIPAK) PAKET 0 0
281 OAT KATEGORI ANAK PAKET 0 0
282 OAT KATEGORI I PAKET 1 1
1
283 OAT KATEGORI II PAKET 0 0
284 PARAFORMALDEHID TAB 1 G TAB 0 0
285 PIPET TETES PENDEK PCS 0 0
286 PLESTER 1 INCI ROL 0 0
287 PLESTER 7,5 CM x 4,5 M ROL 0 0
288 PLESTER KERTAS PCS 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL 0 0
290 POT FESES TRANSPARAN PCS 0 0
291 POT SPUTUM PCS 0 0
292 PROVEIN 6/0 PCS 0 0
293 RAPID TES NARKOBA 3 PCS 0 0
294 RDT MALARIA / ID BIOSENS DANGUE NSI PCS 0 0
295 RDT SIPILIS PCS 0 0
296 REAGEN SIPILIS PCS 0 0
297 SAFETY BOX 2,5 L PCS 0 0
298 SAFETY BOX 5 L PCS 0 0
299 SD HBsAG PCS 0 0
300 SD HIV PCS 0 0
301 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL 0 0
304 SLANG OKSIGEN ANAK SET 0 0
305 SLANG OKSIGEN DEWASA SET 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS 0 0
307 SPIRITUS BAKAR BTL 0 0
308 STIK ASAM URAT PCS 0 0
309 STIK GLUKOSA PCS 0 0
310 STIK KOLESTEROL PCS 0 0
311 SURGICAL BLADE STERIL NO.12 PCS 0 0
312 SURGICAL BLADE STERIL NO.15 PCS 0 0
313 TABUNG VACUTAINER NON EDTA PCS 0 0
314 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL 0 0
315 TEST HAMIL PCS 0 0
316 TISSUE LENSA PCS 0 0
317 UMBILICAL CORD KLEM STERIL PCS 0 0
318 UNDERPAD PCS 0 0
319 URINE BAG STERIL PCS 0 0
320 USG GEL BLUE BTL 0 0
321 VIKIA ( HIV 3 ) PCS 0 0
322 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0
323 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0
324 AZITROMISIN TAB 0 0
TAB
325 OSELTAMIVIR TAB 0 0
TAB
326 KLOROQUIN TAB 0 0
TAB
327 VITAMIN C 500 MG 0 0
TAB
328 BAJU APD PCS 0 0
329 BOOTS PSG 0 0
330 FACE SHIELD PCS 0 0
331 GOWN PCS 0 0
332 GOOGLE PCS 0 0
333 TUTUP KEPALA PCS 0 0
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : AGUSTUS
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
305 350 655 344 311 516 500
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 15 186 22.5 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
50 50 10 40 15 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
110 400 510 220 290 330 200
10 AMLODIPINE TAB 10 MG TAB
2 2400 2402 2227 175 3340.5 3000
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
379 3000 3379 2897 482 4345.5 4000
13 AMOKSISILIN KAPSUL 250 MG TAB
140 200 340 175 165 262.5 200
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 10 53 63 52 11 78 67
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 0 0 0 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB
240 4000 4240 2908 1332 4362 3000
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
9 9 1 8 1.5 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
0 0 0 0 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
447 600 1047 518 529 777 300
25 ASAM FOLAT TABLET 1 MG TAB
65 400 465 210 255 315 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
324 800 1124 765 359 1147.5 1000
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 3 3 3 0 4.5 6
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
69 69 53 16 79.5 100
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
127 250 377 112 265 168 100
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0 0 500
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
467 800 1267 990 277 1485 1000
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 20 58 13 45 19.5 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
0 0 0 0 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
11 11 0 11 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
363 1700 2063 1497 566 2245.5 2000
47 CIPROFLOKSASIN KAPLET 500 MG TAB
200 450 650 650 0 975 800
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
517 300 817 547 270 820.5 500
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
177 100 277 66 211 99 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
387 500 887 666 221 999 700
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
30 30 0 30 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
160 100 260 75 185 112.5 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
0 500 500 210 225 65 315 300
64 FENOL GLISEROL TETES TELINGA 10 % BTL
30 30 7 23 10.5 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 189 189 70 119 105 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
3 400 403 125 278 187.5 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
3 100 103 37 66 55.5 30
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
0 0 0 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
115 1000 1115 980 135 1470 1400
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
183 200 383 170 213 255 100
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
255 400 655 260 395 390 100
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
340 340 5 335 7.5 0
84 HIDROKORTISON KRIM 2,5 % TUBE
9 9 5 4 7.5 24
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 56 700 756 524 232 786 400
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
425 850 1275 1017 258 1525.5 1300
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 288 288 11 277 16.5 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
265 2800 3065 2612 453 3918 3000
95 KAPTOPRIL KAP 12,5 MG TAB
65 65 0 65 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
163 100 263 90 173 135 100
99 KETOKONAZOL KRIM TUBE
12 12 8 4 12 24
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
13 24 37 13 24 19.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
0 0 0 0 0 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 50 50 22 28 33 30
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
32 32 32 0 48 30
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 0 750 750 735 15 1102.5 1000
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 225 500 725 600 125 900 700
111 KODEIN HCL TAB. 10 MG TAB
0 0 0 0 0 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
0 20 20 13 7 19.5 20
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
188 150 338 90 248 135 0
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
288 1000 1288 755 533 1132.5 1000
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 0 50 50 6 44 9 100
129 METIL PREDNISOLON TAB 4 MG TAB
140 140 25 115 37.5 0
130 METILDOPA TABLET TAB
0 0 0 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
128 128 0 128 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
140 200 340 190 150 285 200
137 MIKONAZOL SALEP 2 % TUBE
0 0 0 0 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
123 1380 1503 1345 158 2017.5 2000
142 NATRIUM BIKARBONAT TAB 500 MG TAB
64 64 6 58 9 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
264 750 1014 1014 0 1521 1400
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
103 103 0 103 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
2 2 0 2 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 0 0 0 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
35 90 125 83 42 124.5 100
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1460 5000 6460 5079 1381 7618.5 5000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
29 200 229 161 68 241.5 200
166 PREDNISON TAB 5 MG TAB
802 2400 3202 1949 1253 2923.5 2600
167 PROPANOLOL HCL TAB 10 MG TAB
240 240 60 180 90 100
168 PROPIL TIOURASIL TAB 100 ML TAB
175 175 60 115 90 100
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
397 1400 1797 1797 0 2695.5 2000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
200 300 500 260 240 390 200
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
357 1350 1707 831 876 1246.5 1000
178 SALEP 2-4 KOMB TAB
7 10 17 9 8 13.5 15
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1647 1000 2647 1733 914 2599.5 2000
187 SIMVASTATIN TABLET 10 MG TAB
0 0 0 71 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB
0 500 500 210 290 315 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2647 1000 3647 1582 2065 2373 500
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 337 200 537 101 436 151.5 0
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
535 535 285 250 427.5 200
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
474 800 1274 1216 58 1824 1000
203 ZINC TABLET TAB
0 100 100 80 20 120 100
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 OBAT BATUK HERBAL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN BCG VIAL
0 0 0 0 0 0
207 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
208 VAKSIN DPT HB VIAL
0 0 0 0 0 0
209 VAKSIN DT VIAL
0 0 0 0 0 0
210 VAKSIN HB PID VIAL
0 0 0 0 0 0
211 VAKSIN MR VIAL
0 0 0 0 0 0
212 VAKSIN POLIO VIAL
0 0 0 0 0 0
213 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
214 VAKSIN TD VIAL
0 0 0 0 0 0
215 VAKSIN TT VIAL
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
220 ALKOHOL SWAB PCS
0 0 0 0 0 0
221 ANTI SERA A BTL
0 0 0 0 0 0
222 ANTI SERA AB BTL
0 0 0 0 0 0
223 ANTI SERA B BTL
0 0 0 0 0 0
224 AQUA DEST BTL
0 0 0 0 0 0
225 ASEPTIC GEL BTL
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
228 BD VACUTAINER PCS
0 0 0 0 0 0
229 BLOOD LANSET PCS
0 0 0 0 0 0
230 BOX OBJECT GLAS PCS
0 0 0 0 0 0
231 BRACKET ABS PCS
0 0 0 0 0 0
232 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
236 DARYANTULLE LBR
0 0 0 0 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETANOL 70 % BTL
0 0 0 0 0 0
240 ETER ALKOHOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
242 FOCUS HIV 2 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
244 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
245 GIEMSA BTL
0 0 0 0 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
247 HANDRUB LIQUID BTL
0 0 0 0 0 0
248 HANDSCOON PCS
0 0 0 0 0 0
249 HANDSCOON NON STERIL PCS
0 500 500 500 0 750 750
250 HB TEST STRIP PCS
0 0 0 0 0 0
251 HBig PCS
0 0 0 0 0 0
252 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 IMERSION OIL BTL
0 0 0 0 0 0
255 INFUSION SET ANAK SET
0 0 0 0 0 0
256 INFUSION SET DEWASA SET
0 0 0 0 0 0
257 IV NO.18 G SET
0 0 0 0 0 0
258 IV NO.20 G SET
0 0 0 0 0 0
259 IV NO.22 G SET
0 0 0 0 0 0
260 IV NO.24 G SET
0 0 0 0 0 0
261 KACA SLIDE PCS
0 0 0 0 0 0
262 KAPAS BOLA MINI PCS
0 0 0 0 0 0
263 KAPAS GIGI PCS
0 0 0 0 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
265 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
266 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
267 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
268 ROL
CM 0 0 0 0 0 0
269 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
270 KERTAS SARING LBR
0 0 0 0 0 0
271 LARUTAN BENEDICT BTL
0 0 0 0 0 0
272 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
273 LARUTAN TURK BTL
0 0 0 0 0 0
274 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
275 LISOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER PCS
0 1000 1000 1000 0 1500 1000
277 MASKER N 95 PCS
0 0 0 0 0 0
278 METANOL PA BTL
0 0 0 0 0 0
279 NEEDLE 27 G SET
0 0 0 0 0 0
280 OAT I (KOMBIPAK) PAKET
2 2 0 2 0 0
281 OAT KATEGORI ANAK PAKET
3 3 0 3 0 0
282 OAT KATEGORI I PAKET
1 1 1 0 1.5 1.5
283 OAT KATEGORI II PAKET
0 0 0 0 0 0
284 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
285 PIPET TETES PENDEK PCS
0 0 0 0 0 0
286 PLESTER 1 INCI ROL
0 0 0 0 0 0
287 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
288 PLESTER KERTAS PCS
0 0 0 0 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
290 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
291 POT SPUTUM PCS
0 0 0 0 0 0
292 PROVEIN 6/0 PCS
0 0 0 0 0 0
293 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
294 PCS
NSI 0 0 0 0 0 0
295 RDT SIPILIS PCS
0 0 0 0 0 0
296 REAGEN SIPILIS PCS
0 0 0 0 0 0
297 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
298 SAFETY BOX 5 L PCS
0 0 0 0 0 0
299 SD HBsAG PCS
0 0 0 0 0 0
300 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
301 BTL
CAIRAN 0 0 0 0 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
304 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
305 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
307 SPIRITUS BAKAR BTL
0 0 0 0 0 0
308 STIK ASAM URAT PCS
0 0 0 0 0 0
309 STIK GLUKOSA PCS
0 0 0 0 0 0
310 STIK KOLESTEROL PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
312 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
313 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
314 BTL
CAIRAN 0 0 0 0 0 0
315 TEST HAMIL PCS
0 0 0 0 0 0
316 TISSUE LENSA PCS
0 0 0 0 0 0
317 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
318 UNDERPAD PCS
0 0 0 0 0 0
319 URINE BAG STERIL PCS
0 0 0 0 0 0
320 USG GEL BLUE BTL
0 0 0 0 0 0
321 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
322 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
323 BTL
ML 12 12 0 12 0 0
324 AZITROMISIN TAB
TAB 100 100 0 100 0 0
325 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
326 KLOROQUIN TAB
TAB 3 3 0 3 0 0
327 VITAMIN C 500 MG
TAB 0 0 0 0 0 0
328 BAJU APD PCS
0 0 0 0 0 0
329 BOOTS PSG
0 0 0 0 0 0
330 FACE SHIELD PCS
0 0 0 0 0 0
331 GOWN PCS
0 0 0 0 0 0
332 GOOGLE PCS
0 0 0 0 0 0
333 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
REKAPITULASI PEMAKAIAN
Sep-22
NO
NAMA OBAT SATUAN Pemakaian Apotek / Tanggal Unit2/Pustu/Polindes
Jumlah
26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 16 18 19 20 21 22 23 24 25 apotik
1
1 ACYCLOVIR SALEP MATA 3 % TUBE
2 ALBENDAZOL TAB. 400 MG TAB
3 ALOPURINOL TAB. 100 MG TAB
10
4 ALPRAZOLAM TAB 0,25 MG TAB
5 ALPRAZOLAM TAB 0,5 MG TAB
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
7 AMINOFILIN TAB. 150 MG TAB
8 AMINOFILIN TAB. 200 MG TAB
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
10 AMLODIPINE TAB 10 MG TAB
41 73
11 AMLODIPINE TAB 5 MG TAB
12 AMOKSISILIN KAPLET 500 MG TAB
110 146
13 AMOKSISILIN KAPSUL 250 MG TAB
14 AMOKSISILIN SIRUP KERING 125 MG/ML BTL
15 AMOKSISILIN SIRUP KERING 250 MG/ML BTL
16 ANTASIDA DOEN SUSPENSI BTL
17 ANTASIDA DOEN TAB. KOMB. TAB
176 156
18 ANTI BAKTERI DOEN SALEP KOMB. POT
19 ANTI FUNGI DOEN KOMB. POT
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
21 ANTI MIGRAIN DOEN KOMB. TAB
22 AQUA PRO INJEKSI STERIL BTL
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
20 30
25 ASAM FOLAT TABLET 1 MG TAB
10 20
26 ASAM MEFENAMAT KAPLET 500 MG TAB
10 10
27 ASAM TRANEKSAMAT INJEKSI AMP
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
29 ASAM VALPROAT TAB 250 MG TAB
30 ASETOSAL TAB. 100 MG TAB
31 ASETOSAL TAB. 80 MG TAB
10
32 ASIKLOVIR KRIM 5 % AMP
33 ASIKLOVIR TAB. 400 MG TAB
30
34 ATAPULGIT TABLET 630 MG TAB
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
36 BETAHISTIN TAB 6 MG TAB
30 40
37 BETAMETASON DOPROPIONATE KRIM TUBE
3 4
38 BETAMETASON KRIM 0,1% TUBE
39 BISAKODIL 10 MG SUP TAB
40 BISAKODIL TABLET TAB
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
42 CANDESARTAN TABLET 16 MG TAB
43 CEFIXIME KAPSUL 200 MG TAB
44 CENDO LYTEER TETES MATA STRIP
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
46 CETIRIZIN TABLET 10 MG TAB
60 73
47 CIPROFLOKSASIN KAPLET 500 MG TAB
48 CURCUMA TABLET 200 MG TAB
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
50 DEKSAMETASON TAB. 0,5 MG TAB
36 20
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
52 DIAZEPAM TAB. 2 MG TAB
53 DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1 ML AMP
54 DIGOKSIN TAB. 0,25 MG TAB
55 DOMPERIDON TABLET 10 MG TAB
40 66
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
EPINEFRIN HCL BITARTRAT (ADRENALIN) INJ. 0,1%
57 ML AMP
58 ERITHROMISIN KAPSUL 500 MG TAB
10
59 ERITHROMISIN SIRUP BTL
60 EUGENOL CAIRAN BTL
61 FENITOIN NATRIUM KAP.100 MG KAP
30
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
63 FENOBARBITAL TAB. 30 MG TAB
30
64 FENOL GLISEROL TETES TELINGA 10 % BTL
65 FITOMENADION ( VIT.K1) INJ 10 MG-1 ML AMP
66 FITOMENADION (VIT. K1) INJ. 2 MG/ML - 1 ML AMP
67 FITOMENADION (VIT. K1) TAB. SALUT 10 MG TAB
5
68 FLUCONAZOL KAPSUL KAP
69 FUROSEMID TAB. 40 MG TAB
10
70 GABAPENTIN KAPSUL 300 MG KAP
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
73 GLIBENCLAMIDE TAB. 5 MG TAB
74 GLIMEPIRID TABLET 1 MG TAB
75 GLIMEPIRID TABLET 2 MG TAB
35 75
76 GLUKOSA LARUTAN INFUS 10 % STERIL BTL
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
78 GRISEOFULVIN TAB. 125 MG TAB
10 10
79 GRISEOVULFIN TABLET 500 MG TAB
80 HALOPERIDOL DECANOAT INJ 50 MG/ML AMP
81 HALOPERIDOL 5 MG/ML AMP
82 HALOPERIDOL TAB. 1,5 MG TAB
15
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
84 HIDROKORTISON KRIM 2,5 % TUBE
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
86 HIOSIN N.BUTIL BROMIDA TABLET 10 MG TAB
53 48
87 IBUPROFEN SUSPENSI BTL
88 IBUPROFEN TAB. 200 MG TAB
89 IBUPROFEN TAB. 400 MG TAB
10 40
90 ISONIAZIDA TAB. 100 MG TAB
91 ISOSORBID DINITRAT TAB. SUB LINGUAL 5 MG TAB
92 KALSIUM GLUCONAS INJ AMP
93 KALSIUM HIDROKSIDA PASTA POT
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
50
95 KAPTOPRIL KAP 12,5 MG TAB
96 KAPTOPRIL KAP 25 MG TAB
97 KAPTOPRIL KAP 50 MG TAB
98 KARBAMAZEPIN TAB. 200 MG TAB
99 KETOKONAZOL KRIM TUBE
1
100 KETOKONAZOL TAB 200 MG TAB
101 KETOPROVEN SUPPOSITORIA SUPPO
102 KLINDAMYCIN KAP 300 MG KAP
103 KLORAMFENIKOL KAP. 250 MG KAP
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
3 1
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
108 KLORFENIRAMIN MALEAT (CTM) TAB. 4 MG TAB
66 92
109 KLORPROMAZIN HCL INJ. 25 MG/ML - 1 ML AMP
110 KLORPROMAZIN HCL TAB. SALUT 100 MG TAB
30
111 KODEIN HCL TAB. 10 MG TAB
112 KODEIN HCL TAB. 20 MG TAB
113 KOLKISIN TAB 500 MCG TAB
114 KOTRIMOKSAZOL DEWASA TAB. TAB
115 KOTRIMOKSAZOL SUSPENSI BTL
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
30 10
117 LAKTULOSA SIRUP BTL
118 LEVODOPA TABLET TAB
119 LIDOKAIN 10 % SPRAY BTL
120 LIDOKAIN COMP.INJ AMP
121 LIDOKAIN JELLY 2 % BTL
122 LOPERAMID TABLET 2 MG TAB
123 LORATADIN TABLET 10 MG TAB
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
125 MDT MD DEWASA TAB
126 METFORMIN HCL TAB 500 MG TAB
50
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
128 METIL ERGOMETRIN MALEAT TAB. SALUT 0,125 MG TAB
129 METIL PREDNISOLON TAB 4 MG TAB
130 METILDOPA TABLET TAB
131 METOKLOPRAMID DROP 2 MG / ML BTL
132 METOKLOPRAMID INJ 10/2ML AMP
133 METOKLOPRAMID TAB.10 MG TAB
134 METRONIDAZOL BENZOAT SUSPENSI BTL
135 METRONIDAZOL TAB 250 MG TAB
136 METRONIDAZOL TAB 500 MG TAB
15 60
137 MIKONAZOL SALEP 2 % TUBE
138 MOMETASON FUROATE 0,1 % KRIM TUBE
139 MULTIVITAMIN SIRUP BTL
140 MULTIVITAMIN TABLET TAB
141 N.ASETIL SISTEIN TAB 200 MG KAP
20 82
142 NATRIUM BIKARBONAT TAB 500 MG TAB
10
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
145 NATRIUM KLORIDA LAR INFUS 0,9 % STERIL BTL
146 NIFEDIPIN TAB 10 MG TAB
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
148 NISTATIN SUSPENSI 100.000 IU BTL
149 NITROGLISERIN RETARD TAB
150 OBAT ANTI MALARIA TAB
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
152 OKSITETRASIKLIN HCL SALEP MATA TAB
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
154 OMEPRAZOL TAB KAP
155 ONDANSETRON KAPSUL 8 MG KAP
156 PAPAVERIN HCL TAB 40 MG TAB
157 PARASETAMOL DROPS 100 MG / ML BTL
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
3 3
160 PARASETAMOL TAB 100 MG TAB
161 PARASETAMOL TAB 500 MG TAB
240 238
162 PEKA KRISTAL POT
163 PERMETRIN 1 % /PEDITOX BTL
164 PIRANTEL PAMOAT TAB 125 MG TAB
165 PIRIDOKSIN HCL TAB 10 MG TAB
166 PREDNISON TAB 5 MG TAB
40 69
167 PROPANOLOL HCL TAB 10 MG TAB
168 PROPIL TIOURASIL TAB 100 ML TAB
169 RANITIDIN 50 MG / 2 ML INJ AMP
170 RANITIDIN TAB 150 MG TAB
171 RETINOL (VIT.A) KAP 100.000 IU KAP
172 RETINOL (VIT.A) KAP 200.000 IU KAP
173 RINGER LAKTAT LAR INFUS STERIL BTL
174 RISPERIDON TABLET 1 MG TAB
175 RISPERIDON TABLET 2 MG TAB
30
176 SALBUTAMOL CAIRAN IH 0,1% AMP
177 SALBUTAMOL TAB 2 MG TAB
53
178 SALEP 2-4 KOMB TAB
179 SALISIL BEDAK 2 % SACCH
180 SCABIMITE KRIM 5 % TUBE
181 SEFADROKSIL KAPSUL 500 MG KAP
182 SEFADROKSIL SIRUP KRG 125 MG/ 5 ML BTL
183 SEFADROKSIL SIRUP KRG 250 MG/ 5 ML BTL
184 SERUM ABU POLIVALEN INJ 5 ML (ABU I) VIAL
185 SERUM ANTI TETANUS INJ 1.500 IU / VIAL (ATS) AMP
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
105 130
187 SIMVASTATIN TABLET 10 MG TAB
188 SIMVASTATIN TABLET 20 MG TAB
35
189 SPIRONOLAKTON TABLET 25 MG TAB
190 STESOLID RECTAL 10 MG TUBE
191 STESOLID RECTAL 5 MG TUBE
192 SULFADIAZIN SILVER KRIM TUBE
193 TABLET TAMBAH DARAH KOMB TAB
30
194 TABLET TAMBAH DARAH KOMB TAB
195 TEOFILIN SR TAB
196 TETAGAM INJ AMP
197 TETRACAIN 0,5 % TETES MATA BOTOL
198 TETRASIKLIN HCL KAP 500 MG KAP
199 THIAMIN HCL MONONITRAT (VIT BI) TAB 50 MG TAB
10
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
30
201 VAKSIN RABIES VERO AMP
202 VITAMIN B KOMPLEKS TAB TAB
203 ZINC TABLET TAB
20 10
204 ZIRKUM KIDS SIRUP BTL
205 OBAT BATUK HERBAL BTL
206 VAKSIN BCG VIAL
207 VAKSIN CAMPAK VIAL
208 VAKSIN DPT HB VIAL
209 VAKSIN DT VIAL
210 VAKSIN HB PID VIAL
211 VAKSIN MR VIAL
212 VAKSIN POLIO VIAL
213 VAKSIN POLIO INJEKSI VIAL
214 VAKSIN TD VIAL
215 VAKSIN TT VIAL
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
220 ALKOHOL SWAB PCS
221 ANTI SERA A BTL
222 ANTI SERA AB BTL
223 ANTI SERA B BTL
224 AQUA DEST BTL
225 ASEPTIC GEL BTL
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
228 BD VACUTAINER PCS
229 BLOOD LANSET PCS
230 BOX OBJECT GLAS PCS
231 BRACKET ABS PCS
232 CATGUT CROMIC NO. 3/0 SACCH
233 CATGUT PLAIN NO. 3/0 SACCH
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
236 DARYANTULLE LBR
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
238 ETANOL 70 % BTL
239 ETANOL 70 % BTL
240 ETER ALKOHOL BTL
241 ETIL KLORIDA SEMPROT BTL
242 FOCUS HIV 2 PCS
243 FOLEY CATHETER 16 PCS
244 FOLEY CATHETER 18 PCS
245 GIEMSA BTL
246 GLASS IONOMER CEMENT (GC IX) BTL
247 HANDRUB LIQUID BTL
248 HANDSCOON PCS
249 HANDSCOON NON STERIL PCS
250 HB TEST STRIP PCS
251 HBig PCS
252 HUMAN HEXAGON SIPILIS PCS
253 IMERSION OIL BTL
254 IMERSION OIL BTL
255 INFUSION SET ANAK SET
256 INFUSION SET DEWASA SET
257 IV NO.18 G SET
258 IV NO.20 G SET
259 IV NO.22 G SET
260 IV NO.24 G SET
261 KACA SLIDE PCS
262 KAPAS BOLA MINI PCS
263 KAPAS GIGI PCS
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
265 KASA KOMPRES STERIL 40X40 BKS
266 KASA PEMBALUT HIDROFIL 18 CM X 22 CM BKS
267 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL
268 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL
269 KERTAS GOLONGAN DARAH LBR
270 KERTAS SARING LBR
271 LARUTAN BENEDICT BTL
272 LARUTAN HCL 0,1N BTL
273 LARUTAN TURK BTL
274 LARUTAN ZIELH NELSEN BTL
275 LISOL BTL
276 MASKER PCS
277 MASKER N 95 PCS
278 METANOL PA BTL
279 NEEDLE 27 G SET
280 OAT I (KOMBIPAK) PAKET
281 OAT KATEGORI ANAK PAKET
282 OAT KATEGORI I PAKET
283 OAT KATEGORI II PAKET
284 PARAFORMALDEHID TAB 1 G TAB
285 PIPET TETES PENDEK PCS
286 PLESTER 1 INCI ROL
287 PLESTER 7,5 CM x 4,5 M ROL
288 PLESTER KERTAS PCS
289 PLESTER PUTIH 10 CM X 5 M ROL
290 POT FESES TRANSPARAN PCS
291 POT SPUTUM PCS
292 PROVEIN 6/0 PCS
293 RAPID TES NARKOBA 3 PCS
294 RDT MALARIA / ID BIOSENS DANGUE NSI PCS
295 RDT SIPILIS PCS
296 REAGEN SIPILIS PCS
297 SAFETY BOX 2,5 L PCS
298 SAFETY BOX 5 L PCS
299 SD HBsAG PCS
300 SD HIV PCS
301 SEMEN SENG FOSFAT SERBUK & CAIRAN BTL
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
304 SLANG OKSIGEN ANAK SET
305 SLANG OKSIGEN DEWASA SET
306 SPECULUM VAGINA DISPOSIBLE PCS
307 SPIRITUS BAKAR BTL
308 STIK ASAM URAT PCS
309 STIK GLUKOSA PCS
310 STIK KOLESTEROL PCS
311 SURGICAL BLADE STERIL NO.12 PCS
312 SURGICAL BLADE STERIL NO.15 PCS
313 TABUNG VACUTAINER NON EDTA PCS
314 TEMPORARY STOPPING FLETCHER SERBUK & CAIRAN BTL
315 TEST HAMIL PCS
316 TISSUE LENSA PCS
317 UMBILICAL CORD KLEM STERIL PCS
318 UNDERPAD PCS
319 URINE BAG STERIL PCS
320 USG GEL BLUE BTL
321 VIKIA ( HIV 3 ) PCS
322 YODIUM POVIDON LARUTAN 10 % 30 ML BTL
323 YODIUM POVIDON LARUTAN 10 % 300 ML BTL
324 AZITROMISIN TAB
TAB
325 OSELTAMIVIR TAB
TAB
326 KLOROQUIN TAB
TAB
327 VITAMIN C 500 MG
TAB
328 BAJU APD PCS
329 BOOTS PSG
330 FACE SHIELD PCS
331 GOWN PCS
332 GOOGLE PCS
333 TUTUP KEPALA PCS
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )
PUSKESMAS : SEPTEMBE
KECAMATAN : 2022
KABUPATEN : TANAH DATAR
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
OBAT
1 2 3 4 5 6 7 8 9 10 11 16
1 ACYCLOVIR SALEP MATA 3 % TUBE
0 0 0 0 0 0
2 ALBENDAZOL TAB. 400 MG TAB
230 230 0 230 0 0
3 ALOPURINOL TAB. 100 MG TAB
305 305 344 -39 516 500
4 ALPRAZOLAM TAB 0,25 MG TAB
0 0 0 0 0 0
5 ALPRAZOLAM TAB 0,5 MG TAB
201 201 15 186 22.5 0
6 AMINOFILIN INJ. 24 MG/ML - 10 ML AMP
0 0 0 0 0 0
7 AMINOFILIN TAB. 150 MG TAB
0 0 0 0 0 0
8 AMINOFILIN TAB. 200 MG TAB
50 50 10 40 15 0
9 AMITRIPTILIN HCL TAB. SALUT 25 MG TAB
110 110 220 -110 330 200
10 AMLODIPINE TAB 10 MG TAB
2 2 2227 -2225 3340.5 3000
11 AMLODIPINE TAB 5 MG TAB
0 0 0 0 0 0
12 AMOKSISILIN KAPLET 500 MG TAB
379 379 2897 -2518 4345.5 4000
13 AMOKSISILIN KAPSUL 250 MG TAB
140 140 175 -35 262.5 200
AMOKSISILIN SIRUP KERING 125
14 BTL
MG/ML 10 10 52 -42 78 120
AMOKSISILIN SIRUP KERING 250
15 BTL
MG/ML 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL
0 0 0 0 0 0
17 ANTASIDA DOEN TAB. KOMB. TAB
240 240 2908 -2668 4362 3000
18 ANTI BAKTERI DOEN SALEP KOMB. POT
0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMB. POT
9 9 1 8 1.5 0
20 ANTI HAEMORHOID DOEN KOMB. SUPPOS
0 0 0 0 0 0
21 ANTI MIGRAIN DOEN KOMB. TAB
0 0 0 0 0 0
22 AQUA PRO INJEKSI STERIL BTL
0 0 0 0 0 0
23 ASAM ASCORBAT (VIT. C) TAB 250 MG TAB
54 54 0 54 0 0
24 ASAM ASCORBAT (VIT. C) TAB 50 MG TAB
447 447 518 -71 777 300
25 ASAM FOLAT TABLET 1 MG TAB
65 65 210 -145 315 100
26 ASAM MEFENAMAT KAPLET 500 MG TAB
324 324 765 -441 1147.5 1000
27 ASAM TRANEKSAMAT INJEKSI AMP
0 0 0 0 0 0
28 ASAM VALPROAT SIRUP 250 MG /5 ML BTL
0 0 3 -3 4.5 6
29 ASAM VALPROAT TAB 250 MG TAB
0 0 0 0 0 0
30 ASETOSAL TAB. 100 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
31 ASETOSAL TAB. 80 MG TAB
69 69 53 16 79.5 100
32 ASIKLOVIR KRIM 5 % AMP
0 0 0 0 0 0
33 ASIKLOVIR TAB. 400 MG TAB
127 127 112 15 168 100
34 ATAPULGIT TABLET 630 MG TAB
0 0 0 0 0 500
35 ATROPIN SULFAT INJ. 0,25 MG/ML-1 ML TAB
0 0 0 0 0 0
36 BETAHISTIN TAB 6 MG TAB
467 467 990 -523 1485 1000
37 BETAMETASON DOPROPIONATE KRIM TUBE
38 38 13 25 19.5 0
38 BETAMETASON KRIM 0,1% TUBE
0 0 0 0 0 0
39 BISAKODIL 10 MG SUP TAB
0 0 0 0 0 0
40 BISAKODIL TABLET TAB
0 0 0 0 0 0
41 BISOPROLOL FUMARAT TABLET 5 MG TAB
0 0 0 0 0 0
42 CANDESARTAN TABLET 16 MG TAB
0 0 0 0 0 0
43 CEFIXIME KAPSUL 200 MG TAB
0 0 0 0 0 0
44 CENDO LYTEER TETES MATA STRIP
11 11 0 11 0 0
45 CETIRIZIN HCL SIRUP 5 MG / 5 ML BTL
0 0 0 0 0 0
46 CETIRIZIN TABLET 10 MG TAB
363 363 1497 -1134 2245.5 2000
47 CIPROFLOKSASIN KAPLET 500 MG TAB
200 200 650 -450 975 800
48 CURCUMA TABLET 200 MG TAB
0 0 0 0 0 0
49 DEKSAMETASON INJ. 5 MG/ML - 1 ML AMP
0 0 0 0 0 0
50 DEKSAMETASON TAB. 0,5 MG TAB
517 517 547 -30 820.5 500
51 DIAZEPAM INJ. 5 MG/ML - 2 ML AMP
0 0 0 0 0 0
52 DIAZEPAM TAB. 2 MG TAB
177 177 66 111 99 0
DIFENHIDRAMIN HCL INJ. 10 MG/ML - 1
53 AMP
ML 0 0 0 0 0 0
54 DIGOKSIN TAB. 0,25 MG TAB
0 0 0 0 0 0
55 DOMPERIDON TABLET 10 MG TAB
387 387 666 -279 999 700
56 DONPERIDON SUSPENSI 5 MG/ ML BTL
0 0 0 0 0 0
EPINEFRIN HCL BITARTRAT (ADRENALIN)
57 AMP
INJ. 0,1% ML 0 0 0 0 0 0
58 ERITHROMISIN KAPSUL 500 MG TAB
30 30 0 30 0 0
59 ERITHROMISIN SIRUP BTL
0 0 0 0 0 0
60 EUGENOL CAIRAN BTL
0 0 0 0 0 0
61 FENITOIN NATRIUM KAP.100 MG KAP
160 160 75 85 112.5 0
62 FENOBARBITAL INJ.50 MG/ML-1ML AMP
0 0 0 0 0 0
63 FENOBARBITAL TAB. 30 MG TAB
0 0 210 225 -435 315 300
64 FENOL GLISEROL TETES TELINGA 10 % BTL
30 30 7 23 10.5 0
FITOMENADION ( VIT.K1) INJ 10 MG-1
65 AMP
ML 0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
FITOMENADION (VIT. K1) INJ. 2 MG/ML -
66 AMP
1 ML 0 0 0 0 0 0
FITOMENADION (VIT. K1) TAB. SALUT
67 TAB
10 MG 189 189 70 119 105 0
68 FLUCONAZOL KAPSUL KAP
0 0 0 0 0 0
69 FUROSEMID TAB. 40 MG TAB
3 3 125 -122 187.5 0
70 GABAPENTIN KAPSUL 300 MG KAP
0 0 0 0 0 0
71 GARAM ORALIT UNTUK 200 ML AIR SACCH
3 3 37 -34 55.5 30
72 GENTAMISIN TETES MATA 5 ML 0,3 % BTL
0 0 0 0 0 0
73 GLIBENCLAMIDE TAB. 5 MG TAB
0 0 0 0 0 0
74 GLIMEPIRID TABLET 1 MG TAB
115 115 980 -865 1470 1400
75 GLIMEPIRID TABLET 2 MG TAB
0 0 0 0 0 0
GLUKOSA LARUTAN INFUS 10 %
76 BTL
STERIL 0 0 0 0 0 0
77 GLUKOSA LARUTAN INFUS 5 % STERIL BTL
0 0 0 0 0 0
78 GRISEOFULVIN TAB. 125 MG TAB
183 183 170 13 255 100
79 GRISEOVULFIN TABLET 500 MG TAB
0 0 0 0 0 0
HALOPERIDOL DECANOAT INJ 50
80 AMP
MG/ML 0 0 0 0 0 0
81 HALOPERIDOL 5 MG/ML AMP
0 0 0 0 0 0
82 HALOPERIDOL TAB. 1,5 MG TAB
255 255 260 -5 390 100
83 HIDROKLORTIAZID (HCT) TAB. 25 MG TAB
340 340 5 335 7.5 0
84 HIDROKORTISON KRIM 2,5 % TUBE
9 9 5 4 7.5 24
85 HIOSIN N,BUTIL BROMIDA INJEKSI AMP
0 0 0 0 0 0
HIOSIN N.BUTIL BROMIDA TABLET 10
86 TAB
MG 56 56 524 -468 786 400
87 IBUPROFEN SUSPENSI BTL
0 0 0 0 0 0
88 IBUPROFEN TAB. 200 MG TAB
0 0 0 0 0 0
89 IBUPROFEN TAB. 400 MG TAB
425 425 1017 -592 1525.5 1300
90 ISONIAZIDA TAB. 100 MG TAB
0 0 0 0 0 0
ISOSORBID DINITRAT TAB. SUB
91 TAB
LINGUAL 5 MG 288 288 11 277 16.5 0
92 KALSIUM GLUCONAS INJ AMP
0 0 0 0 0 0
93 KALSIUM HIDROKSIDA PASTA POT
0 0 0 0 0 0
94 KALSIUM LAKTAT (KALK) TAB. 500 MG TAB
265 265 2612 -2347 3918 3000
95 KAPTOPRIL KAP 12,5 MG TAB
65 65 0 65 0 0
96 KAPTOPRIL KAP 25 MG TAB
0 0 0 0 0 0
97 KAPTOPRIL KAP 50 MG TAB
0 0 0 0 0 0
98 KARBAMAZEPIN TAB. 200 MG TAB
163 163 90 73 135 100
99 KETOKONAZOL KRIM TUBE
12 12 8 4 12 24
100 KETOKONAZOL TAB 200 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
101 KETOPROVEN SUPPOSITORIA SUPPO
0 0 0 0 0 0
102 KLINDAMYCIN KAP 300 MG KAP
0 0 0 0 0 0
103 KLORAMFENIKOL KAP. 250 MG KAP
0 0 0 0 0 0
104 KLORAMFENIKOL SALEP KULIT 2 % TUBE
13 13 13 0 19.5 0
105 KLORAMFENIKOL SALEP MATA 1 % TUBE
0 0 0 0 0 0
106 KLORAMFENIKOL TETES MATA 0,5 % BTL
0 0 22 -22 33 30
107 KLORAMFENIKOL TETES TELINGA 3 % BTL
32 32 32 0 48 30
KLORFENIRAMIN MALEAT (CTM) TAB. 4
108 TAB
MG 0 0 735 -735 1102.5 1000
KLORPROMAZIN HCL INJ. 25 MG/ML - 1
109 AMP
ML 0 0 0 0 0 0
KLORPROMAZIN HCL TAB. SALUT 100
110 TAB
MG 225 225 600 -375 900 700
111 KODEIN HCL TAB. 10 MG TAB
0 0 0 0 0 0
112 KODEIN HCL TAB. 20 MG TAB
0 0 0 0 0 0
113 KOLKISIN TAB 500 MCG TAB
0 0 0 0 0 0
114 KOTRIMOKSAZOL DEWASA TAB. TAB
0 0 0 0 0 0
115 KOTRIMOKSAZOL SUSPENSI BTL
0 0 13 -13 19.5 20
116 KOTRIMOKSAZOLE FORTE KAP 960 MG TAB
188 188 90 98 135 0
117 LAKTULOSA SIRUP BTL
0 0 0 0 0 0
118 LEVODOPA TABLET TAB
0 0 0 0 0 0
119 LIDOKAIN 10 % SPRAY BTL
0 0 0 0 0 0
120 LIDOKAIN COMP.INJ AMP
0 0 0 0 0 0
121 LIDOKAIN JELLY 2 % BTL
0 0 0 0 0 0
122 LOPERAMID TABLET 2 MG TAB
0 0 0 0 0 0
123 LORATADIN TABLET 10 MG TAB
0 0 0 0 0 0
124 MAGNESIUM SULFAT INJEKSI 20 % AMP
0 0 0 0 0 0
125 MDT MD DEWASA TAB
0 0 0 0 0 0
126 METFORMIN HCL TAB 500 MG TAB
288 288 755 -467 1132.5 1000
127 METIL ERGOMETRIN MALEAT INJ 0,200 MG - 1 ML AMP
0 0 0 0 0 0
METIL ERGOMETRIN MALEAT TAB. SALUT 0,125
128 TAB
MG 0 0 6 -6 9 100
129 METIL PREDNISOLON TAB 4 MG TAB
140 140 25 115 37.5 0
130 METILDOPA TABLET TAB
0 0 0 0 0 0
131 METOKLOPRAMID DROP 2 MG / ML BTL
0 0 0 0 0 0
132 METOKLOPRAMID INJ 10/2ML AMP
0 0 0 0 0 0
133 METOKLOPRAMID TAB.10 MG TAB
128 128 0 128 0 0
134 METRONIDAZOL BENZOAT SUSPENSI BTL
0 0 0 0 0 0
135 METRONIDAZOL TAB 250 MG TAB
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
136 METRONIDAZOL TAB 500 MG TAB
140 140 190 -50 285 200
137 MIKONAZOL SALEP 2 % TUBE
0 0 0 0 0 0
138 MOMETASON FUROATE 0,1 % KRIM TUBE
0 0 0 0 0 0
139 MULTIVITAMIN SIRUP BTL
0 0 0 0 0 0
140 MULTIVITAMIN TABLET TAB
0 0 0 0 0 0
141 N.ASETIL SISTEIN TAB 200 MG KAP
123 123 1345 -1222 2017.5 2000
142 NATRIUM BIKARBONAT TAB 500 MG TAB
64 64 6 58 9 0
143 NATRIUM DIKLOFENAK TAB 25 MG TAB
264 264 1014 -750 1521 1400
144 NATRIUM DIKLOFENAK TAB 50 MG TAB
0 0 0 0 0 0
NATRIUM KLORIDA LAR INFUS 0,9 %
145 BTL
STERIL 0 0 0 0 0 0
146 NIFEDIPIN TAB 10 MG TAB
0 0 0 0 0 0
147 NISTATIN 100.000 IU / G TAB VAGINAL TAB
103 103 0 103 0 0
148 NISTATIN SUSPENSI 100.000 IU BTL
2 2 0 2 0 0
149 NITROGLISERIN RETARD TAB
0 0 0 0 0 0
150 OBAT ANTI MALARIA TAB
0 0 0 0 0 0
151 OKSITETRASIKLIN HCL SALEP 3 % TUBE
0 0 0 0 0 0
152 OKSITETRASIKLIN HCL SALEP MATA TAB
0 0 0 0 0 0
153 OKSITOSIN INJ 10 IU / ML - 1 ML AMP
0 0 0 0 0 0
154 OMEPRAZOL TAB KAP
0 0 0 0 0 0
155 ONDANSETRON KAPSUL 8 MG KAP
0 0 0 0 0 0
156 PAPAVERIN HCL TAB 40 MG TAB
0 0 0 0 0 0
157 PARASETAMOL DROPS 100 MG / ML BTL
0 0 0 0 0 0
158 PARASETAMOL RECTAL 125 MG/2,5 ML TUBE
0 0 0 0 0 0
159 PARASETAMOL SIRUP 120 MG / 5 ML BTL
35 35 83 -48 124.5 100
160 PARASETAMOL TAB 100 MG TAB
0 0 0 0 0 0
161 PARASETAMOL TAB 500 MG TAB
1460 1460 5079 -3619 7618.5 5000
162 PEKA KRISTAL POT
7 7 0 7 0 0
163 PERMETRIN 1 % /PEDITOX BTL
0 0 0 0 0 0
164 PIRANTEL PAMOAT TAB 125 MG TAB
0 0 0 0 0 0
165 PIRIDOKSIN HCL TAB 10 MG TAB
29 29 161 -132 241.5 200
166 PREDNISON TAB 5 MG TAB
802 802 1949 -1147 2923.5 2600
167 PROPANOLOL HCL TAB 10 MG TAB
240 240 60 180 90 100
168 PROPIL TIOURASIL TAB 100 ML TAB
175 175 60 115 90 100
169 RANITIDIN 50 MG / 2 ML INJ AMP
0 0 0 0 0 0
170 RANITIDIN TAB 150 MG TAB
397 397 1797 -1400 2695.5 2000
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
171 RETINOL (VIT.A) KAP 100.000 IU KAP
0 0 0 0 0 0
172 RETINOL (VIT.A) KAP 200.000 IU KAP
0 0 0 0 0 0
173 RINGER LAKTAT LAR INFUS STERIL BTL
0 0 0 0 0 0
174 RISPERIDON TABLET 1 MG TAB
0 0 0 0 0 0
175 RISPERIDON TABLET 2 MG TAB
200 200 260 -60 390 200
176 SALBUTAMOL CAIRAN IH 0,1% AMP
0 0 0 0 0 0
177 SALBUTAMOL TAB 2 MG TAB
357 357 831 -474 1246.5 1000
178 SALEP 2-4 KOMB TAB
7 7 9 -2 13.5 15
179 SALISIL BEDAK 2 % SACCH
0 0 0 0 0 0
180 SCABIMITE KRIM 5 % TUBE
0 0 0 0 0 0
181 SEFADROKSIL KAPSUL 500 MG KAP
0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 125 MG/ 5
182 BTL
ML 0 0 0 0 0 0
SEFADROKSIL SIRUP KRG 250 MG/ 5
183 BTL
ML 0 0 0 0 0 0
SERUM ABU POLIVALEN INJ 5 ML (ABU
184 VIAL
I) 0 0 0 0 0 0
SERUM ANTI TETANUS INJ 1.500 IU / VIAL
185 (ATS) AMP
0 0 0 0 0 0
186 SIANOKOBALAMIN ( VIT.B 12 ) 50 MG TAB
1647 1647 1733 -86 2599.5 2000
187 SIMVASTATIN TABLET 10 MG TAB
0 0 0 71 0 0 0
188 SIMVASTATIN TABLET 20 MG TAB
0 0 210 -210 315 0
189 SPIRONOLAKTON TABLET 25 MG TAB
0 0 0 0 0 0
190 STESOLID RECTAL 10 MG TUBE
0 0 0 0 0 0
191 STESOLID RECTAL 5 MG TUBE
0 0 0 0 0 0
192 SULFADIAZIN SILVER KRIM TUBE
0 0 0 0 0 0
193 TABLET TAMBAH DARAH KOMB TAB
2647 2647 1582 1065 2373 500
194 TABLET TAMBAH DARAH KOMB TAB
0 0 0 0 0 0
195 TEOFILIN SR TAB
255 255 0 255 0 0
196 TETAGAM INJ AMP
0 0 0 0 0 0
197 TETRACAIN 0,5 % TETES MATA BOTOL
0 0 0 0 0 0
198 TETRASIKLIN HCL KAP 500 MG KAP
0 0 0 0 0
THIAMIN HCL MONONITRAT (VIT BI)
199 TAB
TAB 50 MG 337 337 101 236 151.5 0
200 TRIHEKSIPENIDIL HCL TAB 2 MG TAB
535 535 285 250 427.5 200
201 VAKSIN RABIES VERO AMP
0 0 0 0 0 0
202 VITAMIN B KOMPLEKS TAB TAB
474 474 1216 -742 1824 1000
203 ZINC TABLET TAB
0 0 80 -80 120 200
204 ZIRKUM KIDS SIRUP BTL
0 0 0 0 0 0
205 OBAT BATUK HERBAL BTL
15 15 0 15 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
206 VAKSIN BCG VIAL
0 0 0 0 0 0
207 VAKSIN CAMPAK VIAL
0 0 0 0 0 0
208 VAKSIN DPT HB VIAL
0 0 0 0 0 0
209 VAKSIN DT VIAL
0 0 0 0 0 0
210 VAKSIN HB PID VIAL
0 0 0 0 0 0
211 VAKSIN MR VIAL
0 0 0 0 0 0
212 VAKSIN POLIO VIAL
0 0 0 0 0 0
213 VAKSIN POLIO INJEKSI VIAL
0 0 0 0 0 0
214 VAKSIN TD VIAL
0 0 0 0 0 0
215 VAKSIN TT VIAL
0 0 0 0 0 0
216 ALAT SUNTIK SEKALI PAKAI 1 ML SET
0 0 0 0 0 0
217 ALAT SUNTIK SEKALI PAKAI 10 ML SET
0 0 0 0 0 0
218 ALAT SUNTIK SEKALI PAKAI 3 ML SET
0 0 0 0 0 0
219 ALAT SUNTIK SEKALI PAKAI 5 ML SET
0 0 0 0 0 0
220 ALKOHOL SWAB PCS
0 0 0 0 0 0
221 ANTI SERA A BTL
0 0 0 0 0 0
222 ANTI SERA AB BTL
0 0 0 0 0 0
223 ANTI SERA B BTL
0 0 0 0 0 0
224 AQUA DEST BTL
0 0 0 0 0 0
225 ASEPTIC GEL BTL
0 0 0 0 0 0
226 AUTO DISPOSIBLE SYRINGE 0,05 ML SET
0 0 0 0 0 0
227 AUTO DISPOSIBLE SYRINGE 0,5 ML SET
0 0 0 0 0 0
228 BD VACUTAINER PCS
0 0 0 0 0 0
229 BLOOD LANSET PCS
0 0 0 0 0 0
230 BOX OBJECT GLAS PCS
0 0 0 0 0 0
231 BRACKET ABS PCS
0 0 0 0 0 0
232 CATGUT CROMIC NO. 3/0 SACCH
0 0 0 0 0 0
233 CATGUT PLAIN NO. 3/0 SACCH
0 0 0 0 0 0
234 CATGUT/BENANG BEDAH NO. 2/0 SACCH
0 0 0 0 0 0
235 CATGUT/BENANG BEDAH NO. 3/0 SACCH
0 0 0 0 0 0
236 DARYANTULLE LBR
0 0 0 0 0 0
237 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL
0 0 0 0 0 0
238 ETANOL 70 % BTL
0 0 0 0 0 0
239 ETANOL 70 % BTL
0 0 0 0 0 0
240 ETER ALKOHOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
241 ETIL KLORIDA SEMPROT BTL
0 0 0 0 0 0
242 FOCUS HIV 2 PCS
0 0 0 0 0 0
243 FOLEY CATHETER 16 PCS
0 0 0 0 0 0
244 FOLEY CATHETER 18 PCS
0 0 0 0 0 0
245 GIEMSA BTL
0 0 0 0 0 0
246 GLASS IONOMER CEMENT (GC IX) BTL
0 0 0 0 0 0
247 HANDRUB LIQUID BTL
0 0 0 0 0 0
248 HANDSCOON PCS
0 0 0 0 0 0
249 HANDSCOON NON STERIL PCS
0 0 500 -500 750 1250
250 HB TEST STRIP PCS
0 0 0 0 0 0
251 HBig PCS
0 0 0 0 0 0
252 HUMAN HEXAGON SIPILIS PCS
0 0 0 0 0 0
253 IMERSION OIL BTL
0 0 0 0 0 0
254 IMERSION OIL BTL
0 0 0 0 0 0
255 INFUSION SET ANAK SET
0 0 0 0 0 0
256 INFUSION SET DEWASA SET
0 0 0 0 0 0
257 IV NO.18 G SET
0 0 0 0 0 0
258 IV NO.20 G SET
0 0 0 0 0 0
259 IV NO.22 G SET
0 0 0 0 0 0
260 IV NO.24 G SET
0 0 0 0 0 0
261 KACA SLIDE PCS
0 0 0 0 0 0
262 KAPAS BOLA MINI PCS
0 0 0 0 0 0
263 KAPAS GIGI PCS
0 0 0 0 0 0
264 KAPAS PEMBALUT / ABSORBEN 250 GR BKS
0 0 0 0 0 0
265 KASA KOMPRES STERIL 40X40 BKS
0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 18 CM X 22
266 BKS
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 4 M X 10
267 ROL
CM 0 0 0 0 0 0
KASA PEMBALUT HIDROFIL 40 M X 80
268 ROL
CM 0 0 0 0 0 0
269 KERTAS GOLONGAN DARAH LBR
0 0 0 0 0 0
270 KERTAS SARING LBR
0 0 0 0 0 0
271 LARUTAN BENEDICT BTL
0 0 0 0 0 0
272 LARUTAN HCL 0,1N BTL
0 0 0 0 0 0
273 LARUTAN TURK BTL
0 0 0 0 0 0
274 LARUTAN ZIELH NELSEN BTL
0 0 0 0 0 0
275 LISOL BTL
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
276 MASKER PCS
0 0 1000 -1000 1500 1000
277 MASKER N 95 PCS
0 0 0 0 0 0
278 METANOL PA BTL
0 0 0 0 0 0
279 NEEDLE 27 G SET
0 0 0 0 0 0
280 OAT I (KOMBIPAK) PAKET
2 2 0 2 0 0
281 OAT KATEGORI ANAK PAKET
3 3 0 3 0 0
282 OAT KATEGORI I PAKET
1 1 1 0 1.5 1.5
283 OAT KATEGORI II PAKET
0 0 0 0 0 0
284 PARAFORMALDEHID TAB 1 G TAB
0 0 0 0 0 0
285 PIPET TETES PENDEK PCS
0 0 0 0 0 0
286 PLESTER 1 INCI ROL
0 0 0 0 0 0
287 PLESTER 7,5 CM x 4,5 M ROL
0 0 0 0 0 0
288 PLESTER KERTAS PCS
0 0 0 0 0 0
289 PLESTER PUTIH 10 CM X 5 M ROL
0 0 0 0 0 0
290 POT FESES TRANSPARAN PCS
0 0 0 0 0 0
291 POT SPUTUM PCS
0 0 0 0 0 0
292 PROVEIN 6/0 PCS
0 0 0 0 0 0
293 RAPID TES NARKOBA 3 PCS
0 0 0 0 0 0
RDT MALARIA / ID BIOSENS DANGUE
294 PCS
NSI 0 0 0 0 0 0
295 RDT SIPILIS PCS
0 0 0 0 0 0
296 REAGEN SIPILIS PCS
0 0 0 0 0 0
297 SAFETY BOX 2,5 L PCS
0 0 0 0 0 0
298 SAFETY BOX 5 L PCS
0 0 0 0 0 0
299 SD HBsAG PCS
0 0 0 0 0 0
300 SD HIV PCS
0 0 0 0 0 0
SEMEN SENG FOSFAT SERBUK &
301 BTL
CAIRAN 0 0 0 0 0 0
302 SILK (BENANG BEDAH SUTRA) NO.3/0 SACCH
0 0 0 0 0 0
303 SILVER AMALGAM SERBUK 65 - 75 % BTL
0 0 0 0 0 0
304 SLANG OKSIGEN ANAK SET
0 0 0 0 0 0
305 SLANG OKSIGEN DEWASA SET
0 0 0 0 0 0
306 SPECULUM VAGINA DISPOSIBLE PCS
0 0 0 0 0 0
307 SPIRITUS BAKAR BTL
0 0 0 0 0 0
308 STIK ASAM URAT PCS
0 0 0 0 0 0
309 STIK GLUKOSA PCS
0 0 0 0 0 0
310 STIK KOLESTEROL PCS
0 0 0 0 0 0
NAMA OBAT SATUAN
NO STOK PENERIMAA PERSEDIA PERMINTA
PEMAKAI AN ED SISA STOK STOK OPT ED
AWAL N AN AN
311 SURGICAL BLADE STERIL NO.12 PCS
0 0 0 0 0 0
312 SURGICAL BLADE STERIL NO.15 PCS
0 0 0 0 0 0
313 TABUNG VACUTAINER NON EDTA PCS
0 0 0 0 0 0
TEMPORARY STOPPING FLETCHER SERBUK &
314 BTL
CAIRAN 0 0 0 0 0 0
315 TEST HAMIL PCS
0 0 0 0 0 0
316 TISSUE LENSA PCS
0 0 0 0 0 0
317 UMBILICAL CORD KLEM STERIL PCS
0 0 0 0 0 0
318 UNDERPAD PCS
0 0 0 0 0 0
319 URINE BAG STERIL PCS
0 0 0 0 0 0
320 USG GEL BLUE BTL
0 0 0 0 0 0
321 VIKIA ( HIV 3 ) PCS
0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 30
322 BTL
ML 0 0 0 0 0 0
YODIUM POVIDON LARUTAN 10 % 300
323 BTL
ML 12 12 0 12 0 0
324 AZITROMISIN TAB
TAB 100 100 0 100 0 0
325 OSELTAMIVIR TAB
TAB 100 100 0 100 0 0
326 KLOROQUIN TAB
TAB 3 3 0 3 0 0
327 VITAMIN C 500 MG
TAB 0 0 0 0 0 0
328 BAJU APD PCS
0 0 0 0 0 0
329 BOOTS PSG
0 0 0 0 0 0
330 FACE SHIELD PCS
0 0 0 0 0 0
331 GOWN PCS
0 0 0 0 0 0
332 GOOGLE PCS
0 0 0 0 0 0
333 TUTUP KEPALA PCS
0 0 0 0 0 0
Petugas, Kepala Puskesmas
Metaria Ulva A.md.Farm Dr.Fauzia Firsianti
NIP. 19940309 201902 2 005 19821125 201101 2 003
N LEMBAR PERMINTAAN OBAT ( LPLPO )
KET
17
KET
KET
KET
KET
KET
KET
KET
KET
KET
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