LPLPO Pustu Borone 2022

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSTU/ POSKESDES
PUSTU/ POSKESDES : URUNDAKA PELAPORAN BLN :
PUSKESMAS : TETE PERMINTAAN BLN :
Stok Penerim Persedi Pemakai Stok Permint Pemberian

No NAMA OBAT / BMHP Satuan Ket
awal aan aan an akhir aan Dinkes JKN Jml
1 2 3 4 5 6 7 8 9 10 11 12 13
1 Abbocath no. 18 Piece

5 Acyclovir tab 200 mg Tablet
7 Acyclovir krim 5 % Tube
8 Alat suntik 1 ml Piece
13 Albendazol tab 400 mg Tablet
14 Alkohol swab CHG + 0,5 % Piece
15 Allopurinol tab 100 mg Tablet
17 Ambroxol sirup 15 mg/ 5 ml Botol
18 Ambroxol tab 30 mg Tablet
19 Amlodhipin tab 10 mg Tablet
21 Amoxicillin drops 100 mg/mL Botol
22 Amoxicillin sir kering 125 mg/5 mL Botol
24 Amoxicillin tab 250 mg Tablet
26 Antasida doen Susp Tablet
27 Botol
28 Anti fungi Pot
29 Anti hemoroid Suppo
30 Antiseptik E-Care 500 ml (Hand rub) Botol
31 Asam askorbat tab 250 mg (Vit C) Tablet
33 Asam folat tab 0,4 mg Tablet
34 Asam folat tab 1 mg Tablet
36 Asam mefenamat kaps 250 mg Tablet
38 Asam tranexamat inj 50 mg/ ml Ampul
39 Asam tranexamat tab 500 mg Tablet
40 Atorvastatin calcium trihydrate 20 mg Tablet
41 Attapulgit tab (New Antides) Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot

43 Betahistin mesilat tab 6 mg Tablet
44 Betamethasone krim 0,1% Tube
45 Betamethasone tts mata 1 mg/mL Botol
46 Bisacodil suppo 10 mg Suppo
48 Bisacodil tab sal 5 mg Tablet
49 Biocombin inj 5000 Ampul
50 Blood lancet 28 G (twist) Piece
51 Calsium lactat tab 500 mg Tablet
52 Candesartan cilexetil tab 8 mg Tablet
53 Captopril tab 12,5 mg Tablet
54 Captopril tab 25 mg Tablet
Cat gut chromic 2/0 75cm + jarum 1/2
55 Piece
30mm
56 Piece
37mm
Cat gut chromic 4/0 70cm + Jarum 3/8
57 Piece
19mm
58 Cat gut plain 2/0 70cm + jarum 1/2 37mm Piece
59 Cat gut plain 3/0 70cm + Jarum 1/2 25mm Piece
60 Cefadroxil kaps 500 mg Tablet

61 Cefadroxil sir kering 125 mg/5 ml Botol
63 Cendo xitrol tetes mata 5 ml Botol
64 Cetirizin sir 5 mg/5 ml Botol
65 Cetirizin tab 10 mg Tablet
66 Chloramphenikol kaps 250 mg Tablet
68 Chloramphenikol salep mata 1% Tube
69 Chloramphenikol susp 125 mg/5 mL Botol
70 Chloramphenikol tts mata 1% Botol
71 Chloramphenikol tts telinga 1% Botol
72 Chlorpheniramin maleat tab 4 mg Tablet
73 Colcitine tab 500 mcg Tablet
74 Cotrimoxazol tab 480 mg Tablet
75 Cotrimoxazole forte tab 960 mg Tablet
76 Cotrimoxazole kombinasi tiap 5 ml susp Botol
77 Curcuma Tablet
78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul
79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet

80 Cyprofloxacin tab sal selaput 500 mg Tablet
81 Dexamethasone inj 5 mg/mL (i.v./i.m.) Ampul
82 Dexamethasone tab 0,5 mg Tablet
83 Dimenhidrinat tab 50 mg Tablet
84 Diphenhidramin inj 10 mg/mL (i.v./i.m.) Ampul
85 Diphenhidramin inj 150 mg/15 ml Vial
86 Domperidon sir 5 mg/5 ml Botol
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet

88 Doxicycline kaps 100 mg Tablet
89 Eflin Tablet
90 Enbatic Zalf Tube
91 Eritromisin kaps 250 mg Tablet
92 Eritromisin sir kering 200 mg/5 mL Botol
93 Eritromisin tab 500 mg Tablet
94 Etakridin (rivanol Lar 0,1 %) Botol
95 Etanol 70% 1 L Botol
96 Etanol 70% 100 ml Botol
98 Eye fresh tetes mata Botol
99 Folley catheter no. 10 Piece
103 Furosemid tab 40 mg Tablet
104 Garam oralit kombinasi serb Saset
105 Gemfibrozil kaps 300 mg Tablet
106 Gentamisin inj 40 mg/ ml Ampul
107 Gentamisin salep kulit 0,1% Tube
108 Gentian violet lar 1% Botol
109 Glibenklamid tab 5 mg Tablet
110 Glukosa infus 5 % Kolf
111 Griseofulvin tab 125 mg Tablet
113 Guaifenesin tab 100 mg Tablet
114 Handscoon genecolog 50 cm Piece
115 Handscoon non steril (L) Dos
116 Handscoon non steril (M) Dos
117 Handscoon non steril (S) Dos
118 Handscoon steril no. 7 Piece
119 Handscoon steril no. 7,5 Piece
121 Hidrokortison krim 2,5% Tube
122 Hiosin butilbromida Inj 20 mg/ ml Ampul
123 Hiosin butilbromida tab 10 mg Tablet
124 Ibuprofen susp 100 mg/5 ml Botol
125 Ibuprofen susp 200 mg/5 mL Botol
126 Ibuprofen tab 400 mg Tablet
127 Ichtiyol zalf Pot
128 Infusion set macro (dewasa) Piece
129 Infusion set micro (anak) Piece
130 Kaolin pectin susp 1026 mg/ 5 ml Botol
131 Kapas pembalut 250 mg Roll
132 Kasa hydrofil Steril 16x16 cm Dos
133 Kasa pembalut hidrofil 2x80 cm Roll
1 2 3 4 5 6 7 8 9 10 11 12 13
135 Ketokonazol krim 2% Tube

136 Ketokonazol tab 200 mg Tablet
137 Lansoprazole kaps 30 mg Tablet
138 Leukoplast 2,5 cm x 4,5 m Roll
Lidokain 2% + epinefrin 1 : 80.000 inj 2 mL
140 Ampul
(Kompositum)
141 Lidokain inj 2% Ampul
142 Lisol consetrate 1 L Botol
143 Loperamide tab 2 mg (Novadium) Tablet
144 Loratadin tab 10 mg Tablet
145 Magnesium sulfat inj 20% (i.v.) Flacon
147 Masker earloop Piece
148 Masker N95 Piece
149 Masker oksigen Piece
150 Masker tali Piece
151 Metformin tab 500 mg Tablet
152 Metilergometrin inj 0,2 mg/ml Ampul
153 Metilergometrin tab sal selaput 0,125 mg Tablet
154 Metilprednisolon tab 4 mg Tablet

156 Metoklopramid inj 10 mg/ 2 ml Ampul
157 Metoklopramid susp 5 mg/ 5 ml Botol
158 Metoklopramid tab 10 mg Tablet
160 Metronidazol inf 500 mg/ml Botol
161 Metronidazol susp 125 mg/5 ml Botol
162 Metronidazol tab 250 mg Tablet
164 Miconazol krim 2% Tube
165 Mometason foruate krim 0,1 % Tube
166 My jelli krim 82 gr Tube
167 NaCL lar Infus 0,9 % Kolf
168 N-asetil sistein kaps 200 mg Tablet
169 Natrium diklofenak tab sal enterik 25 mg Tablet
171 Needle No. 23 Piece

172 Nifedipin tab 10 mg Tablet
174 Nistatin susp 100.000 IU/mL Botol
175 Nistatin tab sal gula 500.000 IU Tablet
176 Nistatin tab vaginal 100.000 IU Tablet
177 Novadril sirup Botol
178 Novapiron Tablet
179 Obat batuk hitam (OBH) susp Botol
180 Oksitetracycline salep kulit 3% Tube
1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube

182 Omeprazol kaps 20 mg Tablet
183 Omeprazol serb inj 40 mg Vial
184 Ondansentron inj 4 mg/ 2 ml Ampul
185 Oxitosin inj 10 IU/mL Ampul
186 Paracetamol drops 100 mg/mL Botol
187 Paracetamol inf Botol
188 Paracetamol sir 120 mg/5 mL Botol
189 Paracetamol suppo 125 mg/ 4 ml Tube
190 Paracetamol suppo 250 mg/ 4 ml (Dumin) Tube
191 Paracetamol tab 500 mg Tablet

192 Phenol gliserol tts telinga 10% Botol
193 Phitomenadion inj 10 mg/ml i.m (Vit K) Ampul
195 Phitomenadion tab 10 mg (Vit K) Tablet
196 Pirantel pamoat tab 125 mg Tablet
198 Piridoksin tab 10 mg (Vit B6) Tablet
199 Piroxicam tab 10 mg Tablet
201 Pisau bedah Piece
202 Plano test Piece
203 Povidon iodida 10% 1000 ml Botol
207 Prednison tab 5 mg Tablet
208 Primakuin tab 15 mg Tablet
209 Pritagesik Tablet
210 Ranitidin inj 25 mg/ 2 ml Ampul
212 Ranitidin tab 150 mg Tablet
213 Ringer lactat lar infus steril Kolf
214 Salbutamol tab 2 mg Tablet
216 Salep 2-4 Pot
217 Selediar Tablet
218 Seledryl Tablet
219 Selesbion Tablet
220 Selkom C Tablet
221 Selviplex Tablet
222 Seven seas susp Botol
223 Simvastatin tab sal selaput 10 mg Tablet
225 Siobion Tablet
226 Tablet tambah darah Tablet
227 Tetracycline kaps 250 mg Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13
229 Tetracycline salep mata 1% Tube

230 Thiamin inj 100 ml/ 1 ml Ampul
231 Thiamin tab 50 mg (Vit B1) Tablet
232 Truvit sirup Botol
233 Urin bag 1000 ml Piece
234 Vitamin A 100.000 IU Kapsul
236 Vitamin B kompleks inj Vial
237 Vitamin B kompleks tab Tablet
238 Vitamulti DHA Tablet
239 Water for injeksi 25 ml Flacon
240 Zinc drops 10 mg/mL Botol
241 Zinc sir 20 mg/5 mL Botol
242 Zinc tab dispersible 20 mg Tablet
Umum
BPJS Jamkesda Jumlah
JUMLAH KUNJUNGAN RESEP Bayar Tdk Bayar
Yang Menyerahkan Mengetahui Yang Menerima

Pengelola Obat Kepala Puskesmas Tete Petugas Pustu / Poskesdes
apt. Try Mega Utami, S. Farm Mohamad Rizal Sumaga, SKM

Nip.19720123 199402 1 002 Nip.
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN :
PUSKESMAS : TETE PERMINTAAN BLN :

1 2 3 4 5 6 7 8 9 10 11 12 13

7 Acyclovir krim 5 % Tube
17 Ambroxol sirup 15 mg/ 5 ml Botol
18 Ambroxol tab 30 mg Tablet
26 Antasida doen Susp Tablet
27 Botol
28 Anti fungi Pot
41 Attapulgit tab (New Antides) Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot

44 Betamethasone krim 0,1% Tube
49 Biocombin inj 5000 Ampul
51 Calsium lactat tab 500 mg Tablet
53 Captopril tab 12,5 mg Tablet
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm
60 Cefadroxil kaps 500 mg Tablet

64 Cetirizin sir 5 mg/5 ml Botol
65 Cetirizin tab 10 mg Tablet
70 Chloramphenikol tts mata 1% Botol
71 Chloramphenikol tts telinga 1% Botol
72 Chlorpheniramin maleat tab 4 mg Tablet
74 Cotrimoxazol tab 480 mg Tablet
76 Cotrimoxazole kombinasi tiap 5 ml susp Botol
77 Curcuma Tablet
79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet

80 Cyprofloxacin tab sal selaput 500 mg Tablet
82 Dexamethasone tab 0,5 mg Tablet
86 Domperidon sir 5 mg/5 ml Botol
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet

89 Eflin Tablet
90 Enbatic Zalf Tube
104 Garam oralit kombinasi serb Saset
108 Gentian violet lar 1% Botol
109 Glibenklamid tab 5 mg Tablet
113 Guaifenesin tab 100 mg Tablet
119 Handscoon steril no. 7,5 Piece
124 Ibuprofen susp 100 mg/5 ml Botol
126 Ibuprofen tab 400 mg Tablet
127 Ichtiyol zalf Pot
128 Infusion set macro (dewasa) Piece
131 Kapas pembalut 250 mg Roll
132 Kasa hydrofil Steril 16x16 cm Dos
1 2 3 4 5 6 7 8 9 10 11 12 13
135 Ketokonazol krim 2% Tube

136 Ketokonazol tab 200 mg Tablet
140 Ampul
(Kompositum)
141 Lidokain inj 2% Ampul
144 Loratadin tab 10 mg Tablet
151 Metformin tab 500 mg Tablet

164 Miconazol krim 2% Tube
167 NaCL lar Infus 0,9 % Kolf

176 Nistatin tab vaginal 100.000 IU Tablet
177 Novadril sirup Botol
178 Novapiron Tablet
180 Oksitetracycline salep kulit 3% Tube
1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube

182 Omeprazol kaps 20 mg Tablet
188 Paracetamol sir 120 mg/5 mL Botol
191 Paracetamol tab 500 mg Tablet

198 Piridoksin tab 10 mg (Vit B6) Tablet
202 Plano test Piece
207 Prednison tab 5 mg Tablet
212 Ranitidin tab 150 mg Tablet
213 Ringer lactat lar infus steril Kolf
216 Salep 2-4 Pot
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet
225 Siobion Tablet
226 Tablet tambah darah Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

231 Thiamin tab 50 mg (Vit B1) Tablet
237 Vitamin B kompleks tab Tablet
241 Zinc sir 20 mg/5 mL Botol
242 Zinc tab dispersible 20 mg Tablet
Umum

Pengelola Obat Kepala Puskesmas Tete Petugas Pustu / Poskesdes
Nurhayati Alimudin, S.Farm.Apt Mohamad Rizal Sumaga, SKM Mutmainah Pore

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
LPLPO
LAPORAN PEMAKAIAN DAN
LEMBAR PERMINTAAN OBAT
PUSTU BORONE
PUSKESMAS TETE
TAHUN 2022
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : JANUARI 2022
PUSKESMAS : TETE PERMINTAAN BLN : FEBRUARI 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

2 Abbocath no. 20 Piece 5 0 5 0 5
5 Acyclovir tab 200 mg Tablet 100 0 100 0 100
7 Acyclovir krim 5 % Tube 2 0 2 0 2
8 Alat suntik 1 ml Piece 3 0 3 0 3
11 Alat suntik 3 ml Piece 40 0 40 7 33 15
15 Allopurinol tab 100 mg Tablet 200 0 200 180 20 300
17 Ambroxol sirup 15 mg/ 5 ml Botol 9 0 9 7 2 15
18 Ambroxol tab 30 mg Tablet 180 0 180 130 50 300
20 Amlodhipin tab 5 mg Tablet 100 0 100 100 0 300
22 Amoxicillin sir kering 125 mg/5 mL Botol 10 0 10 2 8
24 Amoxicillin tab 250 mg Tablet 140 0 140 20 120
26 Antasida doen Susp Tablet 307 0 307 110 197
27 Botol 0 0 0 0 0 15
28 Anti fungi Pot
32 Asam askorbat tab 50 mg (Vit C) Tablet 614 0 614 226 388 300
37 Asam mefenamat kaps 500 mg Tablet 490 0 490 120 370
41 Attapulgit tab (New Antides) Tablet 225 0 225 20 205
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot 3 0 3 2 1 3

44 Betamethasone krim 0,1% Tube 11 0 11 11 0 25
48 Bisacodil tab sal 5 mg Tablet 120 0 120 0 120
49 Biocombin inj 5000 Ampul 7 0 7 0 7
51 Calsium lactat tab 500 mg Tablet 100 0 100 0 100
53 Captopril tab 12,5 mg Tablet 300 0 300 280 20 300
54 Captopril tab 25 mg Tablet 0 0 0 0 0
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm
60 Cefadroxil kaps 500 mg Tablet 0 0 0 0 0 100

64 Cetirizin sir 5 mg/5 ml Botol 0 0 0 0 0 15
65 Cetirizin tab 10 mg Tablet 0 0 0 0 0 300
66 Chloramphenikol kaps 250 mg Tablet 200 0 200 40 160
68 Chloramphenikol salep mata 1% Tube 0 0 0 0 0
70 Chloramphenikol tts mata 1% Botol 6 0 6 2 4
71 Chloramphenikol tts telinga 1% Botol 2 0 2 1 1 5
72 Chlorpheniramin maleat tab 4 mg Tablet 264 0 264 160 106 200
73 Colcitine tab 500 mcg Tablet 300 0 300 50 250
74 Cotrimoxazol tab 480 mg Tablet 10 0 10 8 2 300
76 Cotrimoxazole kombinasi tiap 5 ml susp Botol 1 0 1 1 0 15
77 Curcuma Tablet
78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul 0 0 0 0 0
79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet 420 0 420 0 420

80 Cyprofloxacin tab sal selaput 500 mg Tablet 40 0 40 20 20
82 Dexamethasone tab 0,5 mg Tablet 49 0 49 49 0 300
86 Domperidon sir 5 mg/5 ml Botol 7 0 7 5 2 15
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet 154 0 154 0 154

89 Eflin Tablet 300 0 300 0 300
90 Enbatic Zalf Tube 3 0 3 2 1 10
97 Etanol 70% 300 ml Botol 1 0 1 0 1
101 Folley catheter no. 18 Piece 5 0 5 0 5
104 Garam oralit kombinasi serb Saset 32 0 32 27 5 100
108 Gentian violet lar 1% Botol 0 0 0 0 0 5
109 Glibenklamid tab 5 mg Tablet 0 0 0 0 0 300
113 Guaifenesin tab 100 mg Tablet 156 0 156 79 77 300
119 Handscoon steril no. 7,5 Piece 6 0 6 2 4 10
121 Hidrokortison krim 2,5% Tube 0 0 0 0 0 15
124 Ibuprofen susp 100 mg/5 ml Botol 8 0 8 7 1 15
126 Ibuprofen tab 400 mg Tablet 300 0 300 170 130 200
127 Ichtiyol zalf Pot 4 0 4 2 2
128 Infusion set macro (dewasa) Piece 3 0 3 0 3
131 Kapas pembalut 250 mg Roll 1 0 1 0 1
132 Kasa hydrofil Steril 16x16 cm Dos 1 0 1 0 1 5
1 2 3 4 5 6 7 8 9 10 11 12 13
135 Ketokonazol krim 2% Tube 0 0 0 0 0 10

136 Ketokonazol tab 200 mg Tablet 0 0 0 0 0 100
140 Ampul
(Kompositum)
141 Lidokain inj 2% Ampul 2 0 2 2 0 5
144 Loratadin tab 10 mg Tablet 300 0 300 110 190
148 Masker N95 Piece 0 0 0 0 0 15
151 Metformin tab 500 mg Tablet 450 0 450 220 230
154 Metilprednisolon tab 4 mg Tablet 300 0 300 250 50 300

163 Metronidazol tab 500 mg Tablet 0 0 0 0 0 100
164 Miconazol krim 2% Tube 7 0 7 7 0 24
167 NaCL lar Infus 0,9 % Kolf 1 0 1 0 1
169 Natrium diklofenak tab sal enterik 25 mg Tablet 0 0 0 0 0 300

172 Nifedipin tab 10 mg Tablet 50 0 50 0 50
175 Nistatin tab sal gula 500.000 IU Tablet 0 0 0 0 0 100
176 Nistatin tab vaginal 100.000 IU Tablet 7 0 7 7 0 10
177 Novadril sirup Botol 4 0 4 4 0 15
178 Novapiron Tablet 0 0 0 0 0 100
180 Oksitetracycline salep kulit 3% Tube 0 0 0 0 0 15
1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube 3 0 3 0 3

182 Omeprazol kaps 20 mg Tablet 200 0 200 110 90 300
188 Paracetamol sir 120 mg/5 mL Botol 4 0 4 4 0 30
191 Paracetamol tab 500 mg Tablet 279 0 279 108 171 300
194 Phitomenadion inj 2 mg/ml i.m (Vit K) Ampul 0 0 0 0 0
195 Phitomenadion tab 10 mg (Vit K) Tablet 0 0 0 0 0
197 Pirantel pamoat tab 250 mg Tablet 14 0 14 0 14
198 Piridoksin tab 10 mg (Vit B6) Tablet 345 0 345 70 275 200
200 Piroxicam tab 20 mg Tablet 200 0 200 200 0 300
202 Plano test Piece 23 0 23 0 23
205 Povidon iodida 10% 300 ml Botol 1 0 1 0 1
207 Prednison tab 5 mg Tablet 300 0 300 167 133 200
210 Ranitidin inj 25 mg/ 2 ml Ampul 10 0 10 2 8
212 Ranitidin tab 150 mg Tablet 0 0 0 0 0 300
213 Ringer lactat lar infus steril Kolf 3 0 3 0 3
214 Salbutamol tab 2 mg Tablet 0 0 0 0 0 100
215 Salbutamol tab 4 mg Tablet 0 0 0 0 0
216 Salep 2-4 Pot 0 0 0 0 0 5
217 Selediar Tablet
218 Seledryl Tablet
219 Selesbion Tablet 0 0 0 0 0
220 Selkom C Tablet 0 0 0 0 0 300
223 Simvastatin tab sal selaput 10 mg Tablet 320 0 320 80 240
225 Siobion Tablet
226 Tablet tambah darah Tablet 160 500 660 30 630
1 2 3 4 5 6 7 8 9 10 11 12 13

231 Thiamin tab 50 mg (Vit B1) Tablet 0 0 0 0 0 300
237 Vitamin B kompleks tab Tablet 290 0 290 90 200 300
238 Vitamulti DHA Tablet 0 0 0 0 0
241 Zinc sir 20 mg/5 mL Botol 0 0 0 0 0 15
242 Zinc tab dispersible 20 mg Tablet 80 0 80 0 80 300
243 Novadiar syr Botol 4 0 4 0 4
244 Silk 3/0 Pcs 0 0 0 0 0 3
245 Blood lancet 26 G Pcs 45 0 45 7 38
246 Vitromega Tablet 370 0 370 100 270 300
247 Calcimega Tablet 190 0 190 20 170 300
248 Livron B.Plex Tablet 0 0 0 0 0 300
249 Curviplex Botol 0 0 0 0 0
250 Etabion Tablet 0 0 0 0 0
251 Comvit C Tablet 0 0 0 0 0 300
252 Bionemi Tablet 0 0 0 0 0
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 5 0 5 1 4
255 Novakid syr Botol 5 0 5 3 2
256 Becefort Tablet 300 0 300 80 220
257 Cavicur Tablet 300 0 300 10 290
Umum
14 0 83 0 97

Pengelola Obat Kepala Puskesmas Tete Petugas Pustu
apt. Try Mega Utami, S. Farm Mohamad Rizal Sumaga, SKM Mutmainah Pore, A.Md.Kep
Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : FEBRUARI 2022
PUSKESMAS : TETE PERMINTAAN BLN : MARET 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

17 Ambroxol sirup 15 mg/ 5 ml Botol 2 15 17 2 15
26 Antasida doen Susp Tablet 197 0 197 110 87 300
27 Botol 0 15 15 0 15
28 Anti fungi Pot
37 Asam mefenamat kaps 500 mg Tablet 370 0 370 110 260 200
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot 1 3 4 0 4

44 Betamethasone krim 0,1% Tube 0 25 25 4 21
51 Calsium lactat tab 500 mg Tablet 100 0 100 60 40 200
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm
60 Cefadroxil kaps 500 mg Tablet 0 100 100 10 90

64 Cetirizin sir 5 mg/5 ml Botol 0 15 15 0 15
68 Chloramphenikol salep mata 1% Tube 0 0 0 0 0 5
70 Chloramphenikol tts mata 1% Botol 4 0 4 4 0 10
71 Chloramphenikol tts telinga 1% Botol 1 4 5 1 4
73 Colcitine tab 500 mcg Tablet 250 0 250 90 160
74 Cotrimoxazol tab 480 mg Tablet 2 300 302 0 302
77 Curcuma Tablet
78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul 0 0 0 0 0

82 Dexamethasone tab 0,5 mg Tablet 0 300 300 0 300
86 Domperidon sir 5 mg/5 ml Botol 2 15 17 3 14
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet 154 0 154 154

89 Eflin Tablet 300 0 300 90 210
90 Enbatic Zalf Tube 1 5 6 2 4
97 Etanol 70% 300 ml Botol 1 0 1 0 1
107 Gentamisin salep kulit 0,1% Tube 0 10 10 0 10
113 Guaifenesin tab 100 mg Tablet 77 0 77 77
121 Hidrokortison krim 2,5% Tube 0 15 15 0 15
124 Ibuprofen susp 100 mg/5 ml Botol 1 15 16 1 15
127 Ichtiyol zalf Pot 2 0 2 1 1 5
132 Kasa hydrofil Steril 16x16 cm Dos 1 5 6 1 5
1 2 3 4 5 6 7 8 9 10 11 12 13
135 Ketokonazol krim 2% Tube 0 9 9 1 8

136 Ketokonazol tab 200 mg Tablet 0 100 100 20 80
140 Ampul
(Kompositum)
148 Masker N95 Piece 0 0 0 0 0
150 Masker tali Piece 0 50 50 1 49
151 Metformin tab 500 mg Tablet 230 0 230 100 130 200

164 Miconazol krim 2% Tube 0 24 24 7 17
169 Natrium diklofenak tab sal enterik 25 mg Tablet 0 300 300 10 290

175 Nistatin tab sal gula 500.000 IU Tablet 0 0 0 0 0
176 Nistatin tab vaginal 100.000 IU Tablet 0 10 10 0 10
177 Novadril sirup Botol 0 15 15 0 15
180 Oksitetracycline salep kulit 3% Tube 0 15 15 0 15
1 2 3 4 5 6 7 8 9 10 11 12 13

188 Paracetamol sir 120 mg/5 mL Botol 0 30 30 3 27
194 Phitomenadion inj 2 mg/ml i.m (Vit K) Ampul 0 0 0 0 0
195 Phitomenadion tab 10 mg (Vit K) Tablet 0 0 0 0 0
205 Povidon iodida 10% 300 ml Botol 1
212 Ranitidin tab 150 mg Tablet 0 300 300 40 260
216 Salep 2-4 Pot 0 5 5 0 5
217 Selediar Tablet
218 Seledryl Tablet
219 Selesbion Tablet 0 0 0 0 0
220 Selkom C Tablet 0 0 0 0 0 300
223 Simvastatin tab sal selaput 10 mg Tablet 240 0 240 170 170 200
225 Siobion Tablet
226 Tablet tambah darah Tablet 630 0 630 210 420 300
1 2 3 4 5 6 7 8 9 10 11 12 13

238 Vitamulti DHA Tablet 0 0 0 0 0
244 Silk 3/0 Pcs 0 3 3 0 3
246 Vitromega Tablet 270 200 470 40 430
248 Livron B.Plex Tablet 0 0 0 0 0 300
249 Curviplex Botol 0 0 0 0 0 5
250 Etabion Tablet 0 0 0 0 0
251 Comvit C Tablet 0 0 0 0 0 300
252 Bionemi Tablet 0 0 0 0 0
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 4 0 4 1 3
256 Becefort Tablet 220 0 220 170 50 300
257 Cavicur Tablet 290 0 290 30 260
258 Hufagripp syr Botol 0 5 5 2 3 10
Umum
5 2 71 0 78

Nurhayati Alimudin, S.Farm.Apt Mohamad Rizal Sumaga, SKM Mutmainah Pore, A.Md.Kep
Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : MARET 2022
PUSKESMAS : TETE PERMINTAAN BLN : APRIL 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

15 Allopurinol tab 100 mg Tablet 260 100 360 100 260
25 Amoxicillin tab 500 mg Tablet 440 0 440 90 350 200
27 Botol 15 0 15 1 14
28 Anti fungi Pot
32 Asam askorbat tab 50 mg (Vit C) Tablet 568 300 868 180 688
1 2 3 4 5 6 7 8 9 10 11 12 13

51 Calsium lactat tab 500 mg Tablet 40 200 240 40 200 300
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

72 Chlorpheniramin maleat tab 4 mg Tablet 244 100 344 71 273
73 Colcitine tab 500 mcg Tablet 160 0 160 120 40 200
76 Cotrimoxazole kombinasi tiap 5 ml susp Botol 7 0 7 2 5
77 Curcuma Tablet

82 Dexamethasone tab 0,5 mg Tablet 300 0 300 100 200
1 2 3 4 5 6 7 8 9 10 11 12 13

89 Eflin Tablet 210 0 210 120 90 100
97 Etanol 70% 300 ml Botol 1 0 1 0 1
104 Garam oralit kombinasi serb Saset 26 20 46 23 23
113 Guaifenesin tab 100 mg Tablet 77 0 77 0 77
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)
141 Lidokain inj 2% Ampul 0 5 5 0 5
144 Loratadin tab 10 mg Tablet 120 0 120 50 70 100
151 Metformin tab 500 mg Tablet 130 200 330 100 230
154 Metilprednisolon tab 4 mg Tablet 224 200 424 130 294

169 Natrium diklofenak tab sal enterik 25 mg Tablet 290 0 290 60 230

1 2 3 4 5 6 7 8 9 10 11 12 13

210 Ranitidin inj 25 mg/ 2 ml Ampul 5 0 5 3 2 5
216 Salep 2-4 Pot 5 0 5 2 3
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet 0 0 0 0 0 300
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

244 Silk 3/0 Pcs 3 0 3 0 3
247 Calcimega Tablet 370 0 370 100 270
248 Livron B.Plex Tablet
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 0 3
256 Becefort Tablet 50 200 250 50 200 300
257 Cavicur Tablet 260 0 260 0 260
258 Hufagripp syr Botol 3 10 13 4 9
259 Cavicur syr Botol 0 5 5 0 5
Umum
12 0 79 0 91

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : APRIL 2022
PUSKESMAS : TETE PERMINTAAN BLN : MEI 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

27 Botol 14 0 14 2 12
28 Anti fungi Pot
41 Attapulgit tab (New Antides) Tablet 135 0 135 10 125 100
1 2 3 4 5 6 7 8 9 10 11 12 13

55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

77 Curcuma Tablet

1 2 3 4 5 6 7 8 9 10 11 12 13

89 Eflin Tablet 90 100 190 50 140 200
97 Etanol 70% 300 ml Botol 1 0 1 0 1
119 Handscoon steril no. 7,5 Piece 8 5 13 1 12
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)

167 NaCL lar Infus 0,9 % Kolf 1 0 1 0 1 1

1 2 3 4 5 6 7 8 9 10 11 12 13

188 Paracetamol sir 120 mg/5 mL Botol 18 0 18 18 0 10 exp.04/22
202 Plano test Piece 16 0 16 5 11 10
216 Salep 2-4 Pot 3 0 3 0 3
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet 0 0 0 0 0 300
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

243 Novadiar syr Botol 4 0 4 0 4 3
244 Silk 3/0 Pcs 3 0 3 0 3
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 0 3
256 Becefort Tablet 200 300 500 160 340 300
257 Cavicur Tablet 260 0 260 0 260
Umum
19 0 62 0 81

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : MEI 2022
PUSKESMAS : TETE PERMINTAAN BLN : JUNI 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

18 Ambroxol tab 30 mg Tablet 152 200 352 20 332
27 Botol 12 0 12 6 6
28 Anti fungi Pot
41 Attapulgit tab (New Antides) Tablet 125 100 225 10 100 115 Exp.05/22
1 2 3 4 5 6 7 8 9 10 11 12 13

48 Bisacodil tab sal 5 mg Tablet 110 0 110 0 0 110 Exp.05/22
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

67 Chloramphenikol kaps 500 mg Tablet 100
77 Curcuma Tablet

80 Cyprofloxacin tab sal selaput 500 mg Tablet 20 0 20 10 10 100
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet 78 0 78 8 70 100

89 Eflin Tablet 140 0 140 10 130
97 Etanol 70% 300 ml Botol 1 0 1 0 1
107 Gentamisin salep kulit 0,1% Tube 6 0 6 3 3 10
126 Ibuprofen tab 400 mg Tablet 230 200 430 70 360
1 2 3 4 5 6 7 8 9 10 11 12 13

136 Ketokonazol tab 200 mg Tablet 50 0 50 50 0 100
140 Ampul
(Kompositum)

1 2 3 4 5 6 7 8 9 10 11 12 13

207 Prednison tab 5 mg Tablet 240 100 340 39 301
213 Ringer lactat lar infus steril Kolf 3 0 3 1 2 1
216 Salep 2-4 Pot 3 0 3 2 1 5
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet 0 0 0 0 0 300
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

237 Vitamin B kompleks tab Tablet 640 100 740 0 740
242 Zinc tab dispersible 20 mg Tablet 70 300 370 0 370
243 Novadiar syr Botol 4 0 4 0 0 5 4 Exp.05/22
244 Silk 3/0 Pcs 3 0 3 0 3
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 0 3
255 Novakid syr Botol 0 0 0 0 0 5
256 Becefort Tablet 340 300 640 170 470 200
257 Cavicur Tablet 260 0 260 10 250
258 Hufagripp syr Botol 4 10 14 4 10
Umum
17 0 49 0 66

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : JUNI 2022
PUSKESMAS : TETE PERMINTAAN BLN : JULI 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

15 Allopurinol tab 100 mg Tablet 290 100 390 90 300
18 Ambroxol tab 30 mg Tablet 332 0 332 90 242
25 Amoxicillin tab 500 mg Tablet 460 0 460 96 364 200
27 Botol 6 0 6 2 4
28 Anti fungi Pot
1 2 3 4 5 6 7 8 9 10 11 12 13

55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

73 Colcitine tab 500 mcg Tablet 200 0 200 200 0 190 Exp.06/22
77 Curcuma Tablet

80 Cyprofloxacin tab sal selaput 500 mg Tablet 10 100 110 10 100 10 Exp.06/22
1 2 3 4 5 6 7 8 9 10 11 12 13

89 Eflin Tablet 130 0 130 110 20 300
97 Etanol 70% 300 ml Botol 1 0 1 0 1
121 Hidrokortison krim 2,5% Tube 12 0 12 12 0 12 Exp.03/22
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)
163 Metronidazol tab 500 mg Tablet 0 100 100 0 100

180 Oksitetracycline salep kulit 3% Tube 13 13 4 9
1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube 9 0 9 9 0 5 8 Exp.06/22

205 Povidon iodida 10% 300 ml Botol 1 0 1 0.5 0.5
207 Prednison tab 5 mg Tablet 301 0 301 39 262
216 Salep 2-4 Pot 1 5 6 1 5
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet 0 0 0 0 0
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

244 Silk 3/0 Pcs 3 0 3 1 2
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 0 3
255 Novakid syr / Solvita syr Botol 0 5 5 0 5
256 Becefort Tablet 470 200 670 180 490 300
257 Cavicur Tablet 250 0 250 10 240
Umum
31 0 75 0 106

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : JULI 2022
PUSKESMAS : TETE PERMINTAAN BLN : AGUSTUS 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

7 Acyclovir krim 5 % Tube 0 0 0 0 0 5
20 Amlodhipin tab 5 mg Tablet 170 200 370 260 110
27 Botol 4 0 4 4 0 10
28 Anti fungi Pot
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot 1 0 1 1 0 5

55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

77 Curcuma Tablet

86 Domperidon sir 5 mg/5 ml Botol 6 0 6 5 1 10
1 2 3 4 5 6 7 8 9 10 11 12 13

89 Eflin Tablet 20 0 20 20 0 300
97 Etanol 70% 300 ml Botol 1 0 1 0 1
127 Ichtiyol zalf Pot 6 0 6 6 0 5 4 Exp. 07/22
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)
154 Metilprednisolon tab 4 mg Tablet 192 300 492 202 290 192 Exp.07/22

178 Novapiron Tablet 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10 11 12 13

205 Povidon iodida 10% 300 ml Botol 0.5 0 0.5 0 0.5
216 Salep 2-4 Pot 5 0 5 1 4
217 Selediar Tablet
218 Seledryl Tablet
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

244 Silk 3/0 Pcs 2 0 2 1 1
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 0 3
256 Becefort Tablet 490 300 790 240 550
257 Cavicur Tablet 240 0 240 0 240
Hand Sanitizer Botol 0 5 5 0 5
Umum
17 0 76 0 93

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : AGUSTUS 2022
PUSKESMAS : TETE PERMINTAAN BLN : SEPTEMBER 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

20 Amlodhipin tab 5 mg Tablet 110 0 110 110 0
24 Amoxicillin tab 250 mg Tablet 30 0 30 30 0 100 30 Exp.08/22
27 Botol 0 10 10 0 10
28 Anti fungi Pot
1 2 3 4 5 6 7 8 9 10 11 12 13

55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

67 Chloramphenikol kaps 500 mg Tablet 100
77 Curcuma Tablet

1 2 3 4 5 6 7 8 9 10 11 12 13

89 Eflin Tablet 0 0 0 0 0 300
97 Etanol 70% 300 ml Botol 1 0 1 0 1
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)


1 2 3 4 5 6 7 8 9 10 11 12 13

202 Plano test Piece 15 0 15 3 12 10
205 Povidon iodida 10% 300 ml Botol 0.5 0 0.5 0.5 0 1
216 Salep 2-4 Pot 4 0 4 0 4
217 Selediar Tablet
218 Seledryl Tablet
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

244 Silk 3/0 Pcs 1 0 1 1 0
245 Blood lancet 26 G Pcs 15 0 15 11 4 100
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 3 0 3 1 2
256 Becefort Tablet 550 0 550 240 310 100
257 Cavicur Tablet 240 0 240 0 240
258 Hufagripp BP syr Botol 7 3 10 10 0 10
259 Cavicur syr Botol 1 0 1 1 0 5
Hand Sanitizer Botol 5 0 5 1 4
Hufagripp Pilek syr Botol 0 3 3 1 2 10
Umum
24 0 69 0 93

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : SEPTEMBER 2022
PUSKESMAS : TETE PERMINTAAN BLN : OKTOBER 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

5 Acyclovir tab 200 mg Tablet 80 0 80 65 15 100
7 Acyclovir krim 5 % Tube 5 0 5 4 1 5
22 Amoxicillin sir kering 125 mg/5 mL Botol 3 0 3 1 2 5
27 Botol 10 0 10 1 9
28 Anti fungi Pot
1 2 3 4 5 6 7 8 9 10 11 12 13

55 Piece
30mm
56 Piece
37mm
57 Piece
19mm

66 Chloramphenikol kaps 250 mg Tablet 110 100 210 150 60 110 Exp.09/22
77 Curcuma Tablet

1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet 60 0 60 20 40 100

89 Eflin Tablet 0 0 0 0 0 300
97 Etanol 70% 300 ml Botol 1 0 1 0 1 1
124 Ibuprofen susp 100 mg/5 ml Botol 9 10 19 12 7
1 2 3 4 5 6 7 8 9 10 11 12 13

140 Ampul
(Kompositum)

163 Metronidazol tab 500 mg Tablet 70 0 70 50 20

1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube 0 0 0 0 0 5

197 Pirantel pamoat tab 250 mg Tablet 12 0 12 12 0 10 12 Exp.09/22
202 Plano test Piece 12 10 22 7 15 10
205 Povidon iodida 10% 300 ml Botol 0 0 0 0 0 1
212 Ranitidin tab 150 mg Tablet 250 100 350 40 310
216 Salep 2-4 Pot 4 0 4 1 3
217 Selediar Tablet
218 Seledryl Tablet
225 Siobion Tablet
1 2 3 4 5 6 7 8 9 10 11 12 13

244 Silk 3/0 Pcs 0 0 0 0 0
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10 0 10
254 Silk 2/0 Pcs 2 0 2 1 1
256 Becefort Tablet 310 100 410 160 250 300
257 Cavicur Tablet 240 0 240 20 220
258 Hufagripp BP syr Botol 0 0 0 0 0 10
260 Hand Sanitizer Botol 4 0 4 0 4
261 Hufagripp Pilek syr Botol 2 0 2 0 2 10
Umum
31 0 78 0 109

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004
PUSTU/ POSKESDES
PUSTU/ POSKESDES : BORONE PELAPORAN BLN : OKTOBER 2022
PUSKESMAS : TETE PERMINTAAN BLN : NOVEMBER 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

2 Abbocath no. 20 Piece 5 0 5
5 Acyclovir tab 200 mg Tablet 15 0 15
6 Acyclovir tab 400 mg Tablet 0 100 100
7 Acyclovir krim 5 % Tube 1 10 11
8 Alat suntik 1 ml Piece 3 0 3
11 Alat suntik 3 ml Piece 37 0 37
15 Allopurinol tab 100 mg Tablet 270 100 370
17 Ambroxol sirup 15 mg/ 5 ml Botol 7 0 7
18 Ambroxol tab 30 mg Tablet 210 100?
19 Amlodhipin tab 10 mg Tablet 80 0 80
20 Amlodhipin tab 5 mg Tablet 0 300 300
22 Amoxicillin sir kering 125 mg/5 mL Botol 2 5 7
24 Amoxicillin tab 250 mg Tablet 100 0 100
25 Amoxicillin tab 500 mg Tablet 333 0 333
26 Antasida doen Susp Tablet 270 100 370
27 Botol 9 0 9
28 Anti fungi Pot
32 Asam askorbat tab 50 mg (Vit C) Tablet 436 100 536
37 Asam mefenamat kaps 500 mg Tablet 110 200 310
41 Attapulgit tab (New Antides) Tablet 84 0 84
1 2 3 4 5 6 7 8 9 10 11 12 13
42 Bedak salisil serb 2% Pot 4 0 4

44 Betamethasone krim 0,1% Tube 0 0 0
49 Biocombin inj 5000 Ampul 7 0 7
51 Calsium lactat tab 500 mg Tablet 670 100 770
53 Captopril tab 12,5 mg Tablet 180 200 380
55 Piece
30mm
56 Piece
37mm
57 Piece
19mm
60 Cefadroxil kaps 500 mg Tablet 30 0 30

64 Cetirizin sir 5 mg/5 ml Botol 3 10 13
65 Cetirizin tab 10 mg Tablet 0 0 0
66 Chloramphenikol kaps 250 mg Tablet 60 0 60
70 Chloramphenikol tts mata 1% Botol 0 0 0
71 Chloramphenikol tts telinga 1% Botol 4 0 4
72 Chlorpheniramin maleat tab 4 mg Tablet 147 100 247
74 Cotrimoxazol tab 480 mg Tablet 292 0 292
76 Cotrimoxazole kombinasi tiap 5 ml susp Botol 8 0 8
77 Curcuma Tablet
79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet 400 0 400

80 Cyprofloxacin tab sal selaput 500 mg Tablet 100 0 100
82 Dexamethasone tab 0,5 mg Tablet 1 100 101
86 Domperidon sir 5 mg/5 ml Botol 10 0 10
1 2 3 4 5 6 7 8 9 10 11 12 13
87 Domperidon tab 10 mg Tablet 40 100 140

89 Eflin Tablet 0 0 0
90 Enbatic Zalf Tube 1 0 1
97 Etanol 70% 300 ml Botol 1 0 1
101 Folley catheter no. 18 Piece 5 0 5
104 Garam oralit kombinasi serb Saset 59 0 59
107 Gentamisin salep kulit 0,1% Tube 0 0 0
108 Gentian violet lar 1% Botol 0 0 0
109 Glibenklamid tab 5 mg Tablet 160 200 360
113 Guaifenesin tab 100 mg Tablet 194 200 394
119 Handscoon steril no. 7,5 Piece 13 0 13
124 Ibuprofen susp 100 mg/5 ml Botol 7 0 7
126 Ibuprofen tab 400 mg Tablet 310 0 310
127 Ichtiyol zalf Pot 0 0 0
128 Infusion set macro (dewasa) Piece 3 0 3
131 Kapas pembalut 250 mg Roll 1 0 1
132 Kasa hydrofil Steril 16x16 cm Dos 4 5 9
1 2 3 4 5 6 7 8 9 10 11 12 13
135 Ketokonazol krim 2% Tube 0 0 0

136 Ketokonazol tab 200 mg Tablet 90 0 90
140 Ampul
(Kompositum)
141 Lidokain inj 2% Ampul 2 0 2
144 Loratadin tab 10 mg Tablet 150 200 350
150 Masker tali Piece 0 0 0
151 Metformin tab 500 mg Tablet 270 200 470
154 Metilprednisolon tab 4 mg Tablet 90 0 90

163 Metronidazol tab 500 mg Tablet 20 0 20
164 Miconazol krim 2% Tube 2 0 2
167 NaCL lar Infus 0,9 % Kolf 1 0 1
169 Natrium diklofenak tab sal enterik 25 mg Tablet 170 200 370

172 Nifedipin tab 10 mg Tablet 50 0 50
176 Nistatin tab vaginal 100.000 IU Tablet 4 0 4
177 Novadril sirup Botol 1 5 6
178 Novapiron Tablet 0 0 0
180 Oksitetracycline salep kulit 3% Tube 3 10 13
1 2 3 4 5 6 7 8 9 10 11 12 13
181 Oksitetracycline salep mata 1% Tube 0 0 0

182 Omeprazol kaps 20 mg Tablet 190 200 390
188 Paracetamol sir 120 mg/5 mL Botol 0 5 5
191 Paracetamol tab 500 mg Tablet 227 0 227

196 Pirantel pamoat tab 125 mg Tablet 0 100 100
198 Piridoksin tab 10 mg (Vit B6) Tablet 0 400 400
200 Piroxicam tab 20 mg Tablet 0 0 0
202 Plano test Piece 15 10 25
205 Povidon iodida 10% 300 ml Botol 0 0 0
207 Prednison tab 5 mg Tablet 168 100 268
210 Ranitidin inj 25 mg/ 2 ml Ampul 1 5 6
212 Ranitidin tab 150 mg Tablet 310 0 310
213 Ringer lactat lar infus steril Kolf 3 0 3
214 Salbutamol tab 2 mg Tablet 0 100 100
216 Salep 2-4 Pot 3 0 3
217 Selediar Tablet
218 Seledryl Tablet
220 Selkom C Tablet 0 0 0
223 Simvastatin tab sal selaput 10 mg Tablet 350 100 450
225 Siobion Tablet
226 Tablet tambah darah Tablet 710 0 710
1 2 3 4 5 6 7 8 9 10 11 12 13

231 Thiamin tab 50 mg (Vit B1) Tablet 0 0 0
237 Vitamin B kompleks tab Tablet 540 0 540
241 Zinc sir 20 mg/5 mL Botol 0 0 0
242 Zinc tab dispersible 20 mg Tablet 125 0 125
243 Novadiar syr Botol 0 0 0
244 Silk 3/0 Pcs 0 0 0
245 Blood lancet 26 G Pcs 99 0 99
246 Vitromega Tablet 390 0 390
247 Calcimega Tablet 110 0 110
249 Curviplex Botol
250 Etabion Tablet
251 Comvit C Tablet
252 Bionemi Tablet
253 APD Pcs 10 0 10
254 Silk 2/0 Pcs 1 0 1
255 Novakid syr / Solvita syr Botol 3 0 3
256 Becefort Tablet 250 300 550
257 Cavicur Tablet 220 0 220
258 Hufagripp BP syr Botol 0 5 5
259 Cavicur syr Botol 3 0 3
260 Hand Sanitizer Botol 4 0 4
261 Rivanol Botol 0 2 2
262 Hufagripp Pilek syr Botol 2 0 2
Umum
0 0

Nip.19720123 199402 1 002 Nip. 19891016 201101 2 004

LPLPO Pustu Borone 2022

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LPLPO Pustu Borone 2022

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSTU/ POSKESDES : URUNDAKA PELAPORAN BLN :

PUSKESMAS : TETE PERMINTAAN BLN :

Stok Penerim Persedi Pemakai Stok Permint Pemberian

1 Abbocath no. 18 Piece

42 Bedak salisil serb 2% Pot

59 Cat gut plain 3/0 70cm + Jarum 1/2 25mm Piece

60 Cefadroxil kaps 500 mg Tablet

76 Cotrimoxazole kombinasi tiap 5 ml susp Botol

78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul

79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet

87 Domperidon tab 10 mg Tablet

135 Ketokonazol krim 2% Tube

153 Metilergometrin tab sal selaput 0,125 mg Tablet

154 Metilprednisolon tab 4 mg Tablet

169 Natrium diklofenak tab sal enterik 25 mg Tablet

170 Natrium diklofenak tab sal enterik 50 mg Tablet

171 Needle No. 23 Piece

181 Oksitetracycline salep mata 1% Tube

190 Paracetamol suppo 250 mg/ 4 ml (Dumin) Tube

191 Paracetamol tab 500 mg Tablet

229 Tetracycline salep mata 1% Tube

Yang Menyerahkan Mengetahui Yang Menerima

apt. Try Mega Utami, S. Farm Mohamad Rizal Sumaga, SKM

PUSTU/ POSKESDES : BORONE PELAPORAN BLN :

PUSKESMAS : TETE PERMINTAAN BLN :

Stok Penerim Persedi Pemakai Stok Permint Pemberian

1 Abbocath no. 18 Piece

42 Bedak salisil serb 2% Pot

59 Cat gut plain 3/0 70cm + Jarum 1/2 25mm Piece

60 Cefadroxil kaps 500 mg Tablet

76 Cotrimoxazole kombinasi tiap 5 ml susp Botol

78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul

79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet

87 Domperidon tab 10 mg Tablet

135 Ketokonazol krim 2% Tube

153 Metilergometrin tab sal selaput 0,125 mg Tablet

154 Metilprednisolon tab 4 mg Tablet

169 Natrium diklofenak tab sal enterik 25 mg Tablet

170 Natrium diklofenak tab sal enterik 50 mg Tablet

171 Needle No. 23 Piece

181 Oksitetracycline salep mata 1% Tube

190 Paracetamol suppo 250 mg/ 4 ml (Dumin) Tube

191 Paracetamol tab 500 mg Tablet

229 Tetracycline salep mata 1% Tube

Yang Menyerahkan Mengetahui Yang Menerima

Nurhayati Alimudin, S.Farm.Apt Mohamad Rizal Sumaga, SKM Mutmainah Pore

PUSTU/ POSKESDES : BORONE PELAPORAN BLN : JANUARI 2022

PUSKESMAS : TETE PERMINTAAN BLN : FEBRUARI 2022

Stok Penerim Persedi Pemakai Stok Permint Pemberian

1 Abbocath no. 18 Piece

42 Bedak salisil serb 2% Pot 3 0 3 2 1 3

59 Cat gut plain 3/0 70cm + Jarum 1/2 25mm Piece

60 Cefadroxil kaps 500 mg Tablet 0 0 0 0 0 100

76 Cotrimoxazole kombinasi tiap 5 ml susp Botol 1 0 1 1 0 15

78 Cyanocobalamin inj 500 mcg/ml (Vit B12) Ampul 0 0 0 0 0

79 Cyanocobalamin tab 50 mcg (Vit B12) Tablet 420 0 420 0 420

87 Domperidon tab 10 mg Tablet 154 0 154 0 154

135 Ketokonazol krim 2% Tube 0 0 0 0 0 10

153 Metilergometrin tab sal selaput 0,125 mg Tablet

154 Metilprednisolon tab 4 mg Tablet 300 0 300 250 50 300

169 Natrium diklofenak tab sal enterik 25 mg Tablet 0 0 0 0 0 300

170 Natrium diklofenak tab sal enterik 50 mg Tablet

171 Needle No. 23 Piece