REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS

BULAN JANUARI

STOK PEMASUKAN
NO NAMA OBAT KEMASAN TOTAL
AWAL PKD ASKES DAK LAIN 2 1 2 3 4 5 6 7 8 9 10 11 12 13

I RESEP KESELURUHAN 0 0 0 0 0 0 0 0 0 0 0 0 0

II RESEP ANTIBIOTIK 0 0 0 0 0 0 0 0 0 0 0 0 0

III RESEP GENERIK 0 0 0 0 0 0 0 0 0 0 0 0 0

IV RESEP RACIKAN 0 0 0 0 0 0 0 0 0 0 0 0 0

I TABLET
1 Acetosal 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Acetosal 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Acyclovir 400 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Acyclovir tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Acyfar 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Acyfar 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Albendazol 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Alludonna D Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Allupurinol tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ambroxol tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminophilyn tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Amitriptilin 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Antalgin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Antasida DOEN tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Antimigran DOEN kombonasi Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Armovit Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Asam askorbat tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Asam mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Asmacare 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Aspilets Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Bacbutol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Becefort Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Becom C Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Betahistin Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Bromhexin Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Calcix D tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Captopril 12,5 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Cimetidin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Clonidin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Coronipin 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Dasabion Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Deksametason tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Dektrometorfan tablet 15 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Diazepam tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Diltiazem tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Domperidom tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Efedrin HCL 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 Ekstrak Belladon tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Eltason Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Ethambutol 500 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Fargetic Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Fenitoin Nat. 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Fenobarbital tablet 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Fitomenadion tab 500 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Fitomenadion tablet salut gula 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Fundifar Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Furosemide tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Garam Oralit untuk 200 ml Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Glibenklamide tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Gliserin Guayakolat tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Glucodex Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Griseofulvin tablet 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Haloperidol 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Haloperidol 1,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Haloperidol 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 Hidroklorotiasida tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 Histigo tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Ibuprofen 200 mg tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 Ibuprofen 400 mg tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Ifasma Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 INH 300 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Kalium laktat tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Klorfeniramin Maleat tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Klorokuin tablet 150 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 Klorpromazin Hcl 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 Klorpromazin Hcl 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 Komb. Primetamin + Sulfadoxin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Kuinin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 Lanzoprazol 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Loratadin 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Mebendazol 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Mertigo Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Metilergometrin maleat tab salut 0,125 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Metoclopramide tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Metronidazol tablet 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Metronidazol tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Natrium bikarbonat tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 Natrium Diclofenac 50 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Neurodex tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 New Diaform Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 Nifedipin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 Nistatin tablet salut 500.000IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 Nistatin Vaginal supp Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Nitrokaf Retard Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 Nodiar tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Norvom Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 Novadex 0,5 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Nutrifar Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 Omeprazol 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 Papaverin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Paracetamol 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 Parasetamol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Pehavral Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 Pirantel tablet 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 Piridoksin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 Piroxicam 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 Piroxicam 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Prednison tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 Primakuin 15 mg tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 Propanolol Hcl 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 Propiltiourasil tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 Pyrazinamid 500 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Ranitidin 150 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Remacort Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 Reserpin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 Rifampicin 450 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Roverton Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Salbutamol 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Salbutamol 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Selestidin 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Seremig Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 Tambah darah Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Tensigard Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Thiamin HCL tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Tidifar 200 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Tramadol tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Trihexyphenidil Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Vesperum Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 Vitamin A 100.000 UI Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 Vitamin A 200.000 UI Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 Vitamin B 12 Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Vitamin B komplek Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 Voltadex 50 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 Zink Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Oseltamivir Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
II ANTIBIOTIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Amoksisilin kaplet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Amoksisilin kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Ampisilin 500 mg tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Cefadroxil 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Cephalexin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ciprofloxacin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Corsatrozine 500 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Doksisilin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Erythromycin 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Erytromysin 500 mg tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Farsicol Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Farsyclin 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Floxifar 500 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Hufamycetin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kifarox 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Kimoxil 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Klindamycin 150 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kloramfenikol kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kotrimoksasol 140 mg tablet ( Ped ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kotrimoksasol 480 mg tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Lanacetin cap Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Selescol Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Tetrasanbe 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Tetrasiklin kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
III SYRUP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Amoksisilin sirup kering 125 mg/ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Ampisilina sirup kering 125 mg/ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Antasida syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Bionick Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Colfin syr Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Dektrometorfan sirup 10 mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Erythromycin syrup botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Flutop C syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Kotrimokzazol suspensi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Mebendazol Syrup 100 mg/15 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Mirapect Syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Mirasic drop Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Obat batuk hitam cairan Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Obat batuk putih Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Parasetamol sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Trianta Syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Musanol Syrup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV INJEKSI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Aminophilyn inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Antalgin injeksi 250 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Antalgin injeksi 500 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Anti Bisa Ular I Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Anti Tetanus Serum Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Aqua Destilata Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Atropin Sulfat Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Cefotaxim inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Clopramel Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Deksametason injeksi 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Diazepam Injeksi 5mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Diazepam Injeksi 5mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Difenhidramin HCL injeksi 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Epinefrin HCL injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Fenobarbital Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Fitomenadion injeksi 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Ketamin Injeksi 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Lidokain Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Lidokain komp.injeksi kombinasi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Magnesium Sulfat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Magnesium Sulfat serbuk 30 gram Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Metilergometrin maleat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Metoclopramid injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 Oksitetrasiklin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Oksitosin injeksi 10 IU/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Papaverin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Pehacain inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Primperan inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Ranitidin Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Sanpicilin Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Serum anti bisa ular 5 ml (ABU I) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Serum Anti Diphteri inj 20.000 IU/Vial Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Setriakson injeksi 1 gr Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Sianokobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Sotatic Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Thiamin HCL injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Tradosik Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Tramadol injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Vaksin Rabies Vero Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
V LARUTAN INFUS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Dekstran 70 - larutan infus 6 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Glukosa larutan infus 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Glukosa larutan infus 40 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Glukosa larutan infus 5% Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Natrium klorida larutan infus 0,9 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Ringer laktat larutan infus steril Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VI OBAT GIGI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Air raksa dental use botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Devitalisasi btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Etil klorida semprot botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Eugenol cairan botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Formokresol kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Glass Ionomer Cement kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Kalsium hidroksida pasta kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Klorfenol kamfer mentol kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Mumifying pasta kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Semen seng fosfor serbuk dan cair kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Silver amalgam serbuk 65-75 % kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Spon gelatin cubides 1x1x1 cm kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Temporary stopping fletcber kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Trikresol formalin (TKF) cairan botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Captopril 25 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Carbamazepin tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Carsida Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VII Alat Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Alat suntik sekali pakai 1 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Alat suntik sekali pakai 2,5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alat suntik sekali pakai 3 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Alat suntik sekali pakai 5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Catgut 2/0 - 3/0 kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Folley Cateter Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Infuset Anak buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Infuset Dewasa buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 IV Cateter No 20 G bungkus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 IV Cateter No 22 G bungkus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 IV Cateter No 24 G bungkus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Kapas pembalut 250 mg Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kapas pembalut 500 mg Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kasa 4 cm x 3 cm Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Kasa kompres steril 40 X 40 cm Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Kasa Pembalut 2 m X 80 cm Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Kasa pembalut 4m x 15 cm Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Masker Psg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Pembalut Gips buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Plester 5 Yards x 2 incih buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Silk No. 3/0 buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Surgical / Sarung Tangan set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 Wing Needle No 21 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Wing Needle No 22 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Wing Needle No 23 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Wing Needle No 24 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Urine Bag Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
VIII OBAT LUAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 Acyclovir SK Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Anti bakteri DOEN salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Anti hemoroid DOEN kombinasi Sup 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Antifungi DOEN Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Betadine Gargle Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Betametason krim 0.1 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Cinolon Cream Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Erlamycetin tetes mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Erlamycetin tetes telinga Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Etanol 70 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Fenol Glicerol TT 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Fungoral 10 gr Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Genalten Cream Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Gentamycin Saleb Kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Gentamycin Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
0
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0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
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0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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0
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0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
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
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0
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0
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0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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0
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0
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0
0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Metronidazol tab. 250 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
IV Cateter No 20 G Buah
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
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0
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0
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REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

NO NAMA OBAT KEMASAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
I RESEP KESELURUHAN
II RESEP ANTIBIOTIK
III RESEP GENERIK
IV RESEP RACIKAN

I TABLET
AntimigrenTab Tablet
Acyclovir 200 mg Tablet
Acyclovir 400 mg Tablet
Asiklovir tablet 400 mg Tablet
Alopurinol tablet 100 mg Tablet
Ambroxol Tab Tablet
Aminofilin tablet 200 mg Tablet
Amlodipin tablet 10 mg Tablet
Antasida tablet Tablet
Asetosal 100 Tablet
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet
Asam Mefenamat 500 mg Tablet
Betahistin Mesilat tablet 6 mg Tablet
Cimetidin Tablet
Deksametason tablet 0,5 mg Tablet
Dekstrometorfan tablet Tablet
Digoksin tablet 0,25 mg Tablet
Domperidom 10 mg Tab Tablet
Ekstraks belladona tablet 10 mg Tablet
Etambutol tablet salut 500 mg ( HCL ) Tablet
Fitomenadion (Vit K1 ) tablet 10 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Gliseril Gualakolat tablet 100 mg Tablet
Griseofulvin tablet 125 mg , micronized Tablet
Haloperidol tablet 0,5 mg Tablet
Haloperidol tablet 1.5 mg Tablet
Haloperidol tablet 5 mg Tablet
Hidroklortiazidea tablet 25 mg Tablet
Ibuprofen tab 200 mg Tablet
Ibuprofen tab 400 mg Tablet
Isosorbid Dinitrat tablet sublingual 5 mg Tablet
Kalsium Laktat (Kalk) tablet 500 mg Tablet
Kaptopril tablet 12,5 mg Tablet
Kaptopril tablet 25 mg Tablet
Ketokonazol tab 200 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Klorfeniramin Maleat tablet 4 mg Tablet
Klorpromazin HCL tablet salut 100 mg Tablet
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet
Lanzoprazolle kapsul 30 mg Tablet
Loperamid tablet 2 mg Tablet
Metampiron tablet 500 mg/ Antalgin Tablet
Metformin HCL tablet 500 mg Tablet
Metilergometrin Maleat tab.salut 0,125 Tablet
Metoklopramide tablet 10 mg Tablet
Mineral Mix Tablet
Natrium Bikarbonat tab. 500 mg Tablet
Natrium Diklofenak 50 mg Tablet
Nifedipin tablet 10 mg Tablet
Nistatin tab. Salut 500.000 IU Tablet
Nistatin tab. vaginal 100.000 IU/g Tablet
Omeprazol 20 Cap Tablet
Papaverin tablet 40 mg Tablet
Parasetamol 500 mg Tablet
Parasetamol tab.100 mg Tablet
Piracetam 400 mg Tablet
Pirantel tab.Score ( base ) 125 mg Tablet
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
Piroksikam 10 mg Tablet
Piroksikam 20 mg Tablet
Prednison Tablet
Ranitidin Tab Tablet
Retinol (vit A) 100.000 IU Tablet
Retinol (vit A) 200.000 IU Tablet
Salbutamol tablet 2 mg Tablet
Salbutamol tablet 4 mg Tablet
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet
Simvastatin 20 mg Tablet
Thiamin (Vitamin B1 ) tablet 50 mg Tablet
Tramadol kapsul 50 mg Tablet
Triheksifenidil tablet 2 mg Tablet
Vitamin B komplek tab Tablet
Vitamin B Kompleks tablet Tablet
Tablet Fe / Tambah Darah Tablet

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet
Amoksisilin tab 500 mg Tablet
Doksisiklin kapsul 100 mg Tablet
Eritromisin kapsul 500 mg Tablet
Klindamycin 150 mg Tab Tablet
Kloramfenicol 250 mg Tablet
Kloramfenicol 250 mg Cap Tablet
Kotrimoksazol DOEN II ( pediatrik ) Tablet
Kotrimoxazol Tab 480 mg Tablet
Levofloksasin tablet 500 mg Tablet
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
Metronidazol tab. 250 mg Tablet
Metronidazol tab. 500 mg Tablet
Sefadroksil kapsul 500 mg Tablet
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet
Tetrasiklin kapsul 250 mg Tablet
Tetrasiklin kapsul 500 mg Tablet

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol
Antasida DOEN II suspensi Botol
Dekstrometorfan sirup Botol
Domperidom suspensi 5 mg/5ml Botol
Eritromisin sirup 200 mg/5 ml Botol
Gralysin syrup ( Multivitamin ) Botol
Ibupropen suspensi 100 mg/5 ml Botol
Kotrimoksazol syr Botol
Obat Batuk Hitam Botol
OBP Botol
Parasetamol sirup 120 mg / 5 ml Botol
Zacoldine syrup ( Obat Flu Anak ) Botol

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak
Ethil Clorida spray Botol
Eugenol cairan Botol
Glass Iomomer Cement ART/Fuji Kotak
Kalsium Hidroksida Pasta Kotak
Klorfenol kamfer mentol Kotak
Mumifying pasta Kotak
Semen seng fosfor serbuk dan cair Paket
Temporary Stopping Fletcher serbuk/cair Paket

LARUTAN INFUS
Glukosa larutan infus 10 % Botol
Glukosa larutan infus 5 % Botol
Natrium Klorida larutan infus 0,9 % Botol
Ringer Laktas infus Botol
Natrium Klorida infus 0.9 % Botol

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah
Alat suntik sekali pakai 2,5 ml Buah
Alat suntik sekali pakai 5 ml Buah
Catgut 2/0 - 3/0 Buah
Folley Catheter Buah
Handscoon No 6.5 Buah
Handscoon No 7 Buah
Handscoon No 7 1/2 Buah
Handscoon No 8 Buah
Infusion set anak Buah
Infusion set dewasa Buah
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
IV Cateter No 20 G Buah
IV Cateter No 22 G Buah
IV Cateter No 24 G Buah
Kapas pembalut 250 gr Buah
Kasa Hidrofil Steril uk 16 x 16 Kotak
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah
Masker Buah
Masker Buah
Plester 5 yard x 2 inch Buah
Silk No. 3/0 Buah

OBAT LUAR
Anti Bakteri DOEN Salep Tube
Antifungi Tube
Antihemoroid DOEN Sup
Asiklovir SK Tube
Etakridin larutan 0,1 % Botol
Fenol Gliserol tetes telinga 10 % Botol
Gentamycin Tetes Mata Botol
Gentamisin salep kulit Tube
Hidrokortison krim 2.5 % Tube
Khloramfenicol tetes mata 0.5 % Botol
Khloramfenicol tetes telinga 3% Botol
Kloramfenicol SM Tube
Lysol Botol
Oksitetrasiklin HCL salep mata 1 % Tube
Povidon Iodida 10 % Botol
Povidon Iodida 10 % Botol
Rivanol Botol
Saleb 24 Tube
Salisil bedak 2 % Kotak

INJEKSI
Aminophilin inj 24 mg / ml Ampul
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul
Aqua Pro Injeksi Steril, bebas pirogen Ampul
Deksametason inj I.V 5 mg/ml Ampul
Difenhidramin injeksi Ampul
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul
Ketorolac inj 10 mg/12 ml Ampul
Lidocain com inj 2 % Ampul
Lidocain inj 2 % Ampul
Methoklorpamide injeksi 5 mg/ml Ampul
Metilergometrin Maleat Inj Ampul
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul
Ranitidin injeksi 25 mg/2 ml Ampul
Sefotaksim injeksi 1 gr Ampul
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul
Tramadol inj 50 mg/ml Ampul
Furosemid tablet 40 mg Tablet
Garam Oralit Tablet
Glibenclamid tablet 5 mg Tablet
REAGEN LABORATORIUM
Larutan Benedict Botol
Larutan Eosin Botol
Larutan Etanol asam Botol
Larutan Giemsa Stain Botol
Larutan Turk Botol
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
 NO RESEP
50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77
78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 JUMLAH
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0

0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS

TANGGAL :
BULAN :

STOK PEMASUKAN
NO NAMA OBAT KEMASAN AWAL
TOTAL
PKD ASKES DAK LAIN 2 1 2 3 4 5 6 7 8 9 10 11 12 13

I RESEP KESELURUHAN 0 0 0 0 0 0 0 0 0 0 0 0 0

II RESEP ANTIBIOTIK 0 0 0 0 0 0 0 0 0 0 0 0 0

III RESEP GENERIK 0 0 0 0 0 0 0 0 0 0 0 0 0

IV RESEP RACIKAN 0 0 0 0 0 0 0 0 0 0 0 0 0

I TABLET
AntimigrenTab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asiklovir tablet 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alopurinol tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ambroxol Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Aminofilin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Amlodipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antasida tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asetosal 100 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cimetidin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Deksametason tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Domperidom 10 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemid tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Garam Oralit Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glibenclamid tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 12,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketokonazol tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Loperamid tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metformin HCL tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metoklopramide tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mineral Mix Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Diklofenak 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Omeprazol 20 Cap Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Papaverin tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol tab.100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piracetam 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prednison Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ranitidin Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 100.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 200.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Simvastatin 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tramadol kapsul 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Triheksifenidil tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vitamin B komplek tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vitamin B Kompleks tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tablet Fe / Tambah Darah Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ANTIBIOTIK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin cap 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Doksisiklin kapsul 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eritromisin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klindamycin 150 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Cap Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Levofloksasin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sefadroksil kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antasida DOEN II suspensi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol syr Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Obat Batuk Hitam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OBP Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ethil Clorida spray Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eugenol cairan Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalsium Hidroksida Pasta Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorfenol kamfer mentol Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mumifying pasta Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Semen seng fosfor serbuk dan cair Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

LARUTAN INFUS
Glukosa larutan infus 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glukosa larutan infus 5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ringer Laktas infus Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida infus 0.9 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Catgut 2/0 - 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Folley Catheter Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 6.5 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 1/2 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 8 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infusion set anak Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infusion set dewasa Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 20 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 22 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 24 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kapas pembalut 250 gr Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Plester 5 yard x 2 inch Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Silk No. 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

OBAT LUAR
Anti Bakteri DOEN Salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antifungi Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antihemoroid DOEN Sup 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asiklovir SK Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Etakridin larutan 0,1 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamycin Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamisin salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidrokortison krim 2.5 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes telinga 3% Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol SM Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lysol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rivanol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Saleb 24 Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salisil bedak 2 % Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

INJEKSI
Aminophilin inj 24 mg / ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Difenhidramin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lidocain com inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lidocain inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sefotaksim injeksi 1 gr Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tramadol inj 50 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

REAGEN LABORATORIUM
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Benedict Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Eosin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Etanol asam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Giemsa Stain Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Turk Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 TANGGAL PENGELUAR
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

STOK PEMAKAIAN PUSTU JUMLA

NO NAMA OBAT KEMASAN SISA STOK
AWAL A B C D E H

I RESEP KESELURUHAN 0 0
II RESEP ANTIBIOTIK 0 0
III RESEP GENERIK 0 0
IV RESEP RACIKAN 0 0
0 0
I TABLET 0 0
AntimigrenTab Tablet 0 0
Acyclovir 200 mg Tablet 0 0
Acyclovir 400 mg Tablet 0 0
Asiklovir tablet 400 mg Tablet 0 0
Alopurinol tablet 100 mg Tablet 0 0
Ambroxol Tab Tablet 0 0
Aminofilin tablet 200 mg Tablet 0 0
Amlodipin tablet 10 mg Tablet 0 0
Antasida tablet Tablet 0 0
Asetosal 100 Tablet 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0
Asam Mefenamat 500 mg Tablet 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0
Cimetidin Tablet 0 0
Deksametason tablet 0,5 mg Tablet 0 0
Dekstrometorfan tablet Tablet 0 0
Digoksin tablet 0,25 mg Tablet 0 0
Domperidom 10 mg Tab Tablet 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0
Furosemid tablet 40 mg Tablet 0 0
Garam Oralit Tablet 0 0
Glibenclamid tablet 5 mg Tablet 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0
Haloperidol tablet 0,5 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Ibuprofen tab 200 mg Tablet 0 0
Ibuprofen tab 400 mg Tablet 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0
Kaptopril tablet 12,5 mg Tablet 0 0
Kaptopril tablet 25 mg Tablet 0 0
Ketokonazol tab 200 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0
Loperamid tablet 2 mg Tablet 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0
Metformin HCL tablet 500 mg Tablet 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0
Metoklopramide tablet 10 mg Tablet 0 0
Mineral Mix Tablet 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0
Natrium Diklofenak 50 mg Tablet 0 0
Nifedipin tablet 10 mg Tablet 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0
Omeprazol 20 Cap Tablet 0 0
Papaverin tablet 40 mg Tablet 0 0
Parasetamol 500 mg Tablet 0 0
Parasetamol tab.100 mg Tablet 0 0
Piracetam 400 mg Tablet 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0
Piroksikam 10 mg Tablet 0 0
Piroksikam 20 mg Tablet 0 0
Prednison Tablet 0 0
Ranitidin Tab Tablet 0 0
Retinol (vit A) 100.000 IU Tablet 0 0
Retinol (vit A) 200.000 IU Tablet 0 0
Salbutamol tablet 2 mg Tablet 0 0
Salbutamol tablet 4 mg Tablet 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0
Simvastatin 20 mg Tablet 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0
Tramadol kapsul 50 mg Tablet 0 0
Triheksifenidil tablet 2 mg Tablet 0 0
Vitamin B komplek tab Tablet 0 0
Vitamin B Kompleks tablet Tablet 0 0
Tablet Fe / Tambah Darah Tablet 0 0
0 0
ANTIBIOTIK 0 0
Amoksisilin cap 250 mg Tablet 0 0
Amoksisilin tab 500 mg Tablet 0 0
Doksisiklin kapsul 100 mg Tablet 0 0
Eritromisin kapsul 500 mg Tablet 0 0
Klindamycin 150 mg Tab Tablet 0 0
Kloramfenicol 250 mg Tablet 0 0
Kloramfenicol 250 mg Cap Tablet 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0
Levofloksasin tablet 500 mg Tablet 0 0
Metronidazol tab. 250 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Metronidazol tab. 500 mg Tablet 0 0
Sefadroksil kapsul 500 mg Tablet 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0
0 0
SYRUP 0 0
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0
Antasida DOEN II suspensi Botol 0 0
Dekstrometorfan sirup Botol 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0
Kotrimoksazol syr Botol 0 0
Obat Batuk Hitam Botol 0 0
OBP Botol 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0
0 0
OBAT GIGI 0 0
Devitalisasi pasta (non arsen) Kotak 0 0
Ethil Clorida spray Botol 0 0
Eugenol cairan Botol 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0
Kalsium Hidroksida Pasta Kotak 0 0
Klorfenol kamfer mentol Kotak 0 0
Mumifying pasta Kotak 0 0
Semen seng fosfor serbuk dan cair Paket 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0
0 0
LARUTAN INFUS 0 0
Glukosa larutan infus 10 % Botol 0 0
Glukosa larutan infus 5 % Botol 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0
Ringer Laktas infus Botol 0 0
Natrium Klorida infus 0.9 % Botol 0 0
0 0
Alat Kesehatan 0 0
Alat suntik sekali pakai 1 ml Buah 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0
Alat suntik sekali pakai 5 ml Buah 0 0
Catgut 2/0 - 3/0 Buah 0 0
Folley Catheter Buah 0 0
Handscoon No 6.5 Buah 0 0
Handscoon No 7 Buah 0 0
Handscoon No 7 1/2 Buah 0 0
Handscoon No 8 Buah 0 0
Infusion set anak Buah 0 0
Infusion set dewasa Buah 0 0
IV Cateter No 20 G Buah 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
IV Cateter No 22 G Buah 0 0
IV Cateter No 24 G Buah 0 0
Kapas pembalut 250 gr Buah 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0
Masker Buah 0 0
Masker Buah 0 0
Plester 5 yard x 2 inch Buah 0 0
Silk No. 3/0 Buah 0 0
0 0
OBAT LUAR 0 0
Anti Bakteri DOEN Salep Tube 0 0
Antifungi Tube 0 0
Antihemoroid DOEN Sup 0 0
Asiklovir SK Tube 0 0
Etakridin larutan 0,1 % Botol 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0
Gentamycin Tetes Mata Botol 0 0
Gentamisin salep kulit Tube 0 0
Hidrokortison krim 2.5 % Tube 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0
Khloramfenicol tetes telinga 3% Botol 0 0
Kloramfenicol SM Tube 0 0
Lysol Botol 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0
Povidon Iodida 10 % Botol 0 0
Povidon Iodida 10 % Botol 0 0
Rivanol Botol 0 0
Saleb 24 Tube 0 0
Salisil bedak 2 % Kotak 0 0
0 0
INJEKSI 0 0
Aminophilin inj 24 mg / ml Ampul 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0
Difenhidramin injeksi Ampul 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0
Lidocain com inj 2 % Ampul 0 0
Lidocain inj 2 % Ampul 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0
Metilergometrin Maleat Inj Ampul 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0
Sefotaksim injeksi 1 gr Ampul 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0
Tramadol inj 50 mg/ml Ampul 0 0
0 0
REAGEN LABORATORIUM 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Larutan Benedict Botol 0 0
Larutan Eosin Botol 0 0
Larutan Etanol asam Botol 0 0
Larutan Giemsa Stain Botol 0 0
Larutan Turk Botol 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

STOK PEMAKAIAN POSKESKEL JUMLA

NO NAMA OBAT KEMASAN SISA STOK
AWAL A B C D E H

I RESEP KESELURUHAN 0 0
II RESEP ANTIBIOTIK 0 0
III RESEP GENERIK 0 0
IV RESEP RACIKAN 0 0
0 0
I TABLET 0 0
AntimigrenTab Tablet 0 0
Acyclovir 200 mg Tablet 0 0
Acyclovir 400 mg Tablet 0 0
Asiklovir tablet 400 mg Tablet 0 0
Alopurinol tablet 100 mg Tablet 0 0
Ambroxol Tab Tablet 0 0
Aminofilin tablet 200 mg Tablet 0 0
Amlodipin tablet 10 mg Tablet 0 0
Antasida tablet Tablet 0 0
Asetosal 100 Tablet 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0
Asam Mefenamat 500 mg Tablet 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0
Cimetidin Tablet 0 0
Deksametason tablet 0,5 mg Tablet 0 0
Dekstrometorfan tablet Tablet 0 0
Digoksin tablet 0,25 mg Tablet 0 0
Domperidom 10 mg Tab Tablet 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0
Furosemid tablet 40 mg Tablet 0 0
Garam Oralit Tablet 0 0
Glibenclamid tablet 5 mg Tablet 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0
Haloperidol tablet 0,5 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Ibuprofen tab 200 mg Tablet 0 0
Ibuprofen tab 400 mg Tablet 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0
Kaptopril tablet 12,5 mg Tablet 0 0
Kaptopril tablet 25 mg Tablet 0 0
Ketokonazol tab 200 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0
Loperamid tablet 2 mg Tablet 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0
Metformin HCL tablet 500 mg Tablet 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0
Metoklopramide tablet 10 mg Tablet 0 0
Mineral Mix Tablet 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0
Natrium Diklofenak 50 mg Tablet 0 0
Nifedipin tablet 10 mg Tablet 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0
Omeprazol 20 Cap Tablet 0 0
Papaverin tablet 40 mg Tablet 0 0
Parasetamol 500 mg Tablet 0 0
Parasetamol tab.100 mg Tablet 0 0
Piracetam 400 mg Tablet 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0
Piroksikam 10 mg Tablet 0 0
Piroksikam 20 mg Tablet 0 0
Prednison Tablet 0 0
Ranitidin Tab Tablet 0 0
Retinol (vit A) 100.000 IU Tablet 0 0
Retinol (vit A) 200.000 IU Tablet 0 0
Salbutamol tablet 2 mg Tablet 0 0
Salbutamol tablet 4 mg Tablet 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0
Simvastatin 20 mg Tablet 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0
Tramadol kapsul 50 mg Tablet 0 0
Triheksifenidil tablet 2 mg Tablet 0 0
Vitamin B komplek tab Tablet 0 0
Vitamin B Kompleks tablet Tablet 0 0
Tablet Fe / Tambah Darah Tablet 0 0
0 0
ANTIBIOTIK 0 0
Amoksisilin cap 250 mg Tablet 0 0
Amoksisilin tab 500 mg Tablet 0 0
Doksisiklin kapsul 100 mg Tablet 0 0
Eritromisin kapsul 500 mg Tablet 0 0
Klindamycin 150 mg Tab Tablet 0 0
Kloramfenicol 250 mg Tablet 0 0
Kloramfenicol 250 mg Cap Tablet 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0
Levofloksasin tablet 500 mg Tablet 0 0
Metronidazol tab. 250 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Metronidazol tab. 500 mg Tablet 0 0
Sefadroksil kapsul 500 mg Tablet 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0
0 0
SYRUP 0 0
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0
Antasida DOEN II suspensi Botol 0 0
Dekstrometorfan sirup Botol 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0
Kotrimoksazol syr Botol 0 0
Obat Batuk Hitam Botol 0 0
OBP Botol 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0
0 0
OBAT GIGI 0 0
Devitalisasi pasta (non arsen) Kotak 0 0
Ethil Clorida spray Botol 0 0
Eugenol cairan Botol 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0
Kalsium Hidroksida Pasta Kotak 0 0
Klorfenol kamfer mentol Kotak 0 0
Mumifying pasta Kotak 0 0
Semen seng fosfor serbuk dan cair Paket 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0
0 0
LARUTAN INFUS 0 0
Glukosa larutan infus 10 % Botol 0 0
Glukosa larutan infus 5 % Botol 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0
Ringer Laktas infus Botol 0 0
Natrium Klorida infus 0.9 % Botol 0 0
0 0
Alat Kesehatan 0 0
Alat suntik sekali pakai 1 ml Buah 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0
Alat suntik sekali pakai 5 ml Buah 0 0
Catgut 2/0 - 3/0 Buah 0 0
Folley Catheter Buah 0 0
Handscoon No 6.5 Buah 0 0
Handscoon No 7 Buah 0 0
Handscoon No 7 1/2 Buah 0 0
Handscoon No 8 Buah 0 0
Infusion set anak Buah 0 0
Infusion set dewasa Buah 0 0
IV Cateter No 20 G Buah 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
IV Cateter No 22 G Buah 0 0
IV Cateter No 24 G Buah 0 0
Kapas pembalut 250 gr Buah 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0
Masker Buah 0 0
Masker Buah 0 0
Plester 5 yard x 2 inch Buah 0 0
Silk No. 3/0 Buah 0 0
0 0
OBAT LUAR 0 0
Anti Bakteri DOEN Salep Tube 0 0
Antifungi Tube 0 0
Antihemoroid DOEN Sup 0 0
Asiklovir SK Tube 0 0
Etakridin larutan 0,1 % Botol 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0
Gentamycin Tetes Mata Botol 0 0
Gentamisin salep kulit Tube 0 0
Hidrokortison krim 2.5 % Tube 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0
Khloramfenicol tetes telinga 3% Botol 0 0
Kloramfenicol SM Tube 0 0
Lysol Botol 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0
Povidon Iodida 10 % Botol 0 0
Povidon Iodida 10 % Botol 0 0
Rivanol Botol 0 0
Saleb 24 Tube 0 0
Salisil bedak 2 % Kotak 0 0
0 0
INJEKSI 0 0
Aminophilin inj 24 mg / ml Ampul 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0
Difenhidramin injeksi Ampul 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0
Lidocain com inj 2 % Ampul 0 0
Lidocain inj 2 % Ampul 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0
Metilergometrin Maleat Inj Ampul 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0
Sefotaksim injeksi 1 gr Ampul 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0
Tramadol inj 50 mg/ml Ampul 0 0
0 0
REAGEN LABORATORIUM 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Larutan Benedict Botol 0 0
Larutan Eosin Botol 0 0
Larutan Etanol asam Botol 0 0
Larutan Giemsa Stain Botol 0 0
Larutan Turk Botol 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

STOK PEMAKAIAN RANAP JUMLA

NO NAMA OBAT KEMASAN SISA STOK
AWAL A B C D E H

I RESEP KESELURUHAN 0 0
II RESEP ANTIBIOTIK 0 0
III RESEP GENERIK 0 0
IV RESEP RACIKAN 0 0
0 0
I TABLET 0 0
AntimigrenTab Tablet 0 0
Acyclovir 200 mg Tablet 0 0
Acyclovir 400 mg Tablet 0 0
Asiklovir tablet 400 mg Tablet 0 0
Alopurinol tablet 100 mg Tablet 0 0
Ambroxol Tab Tablet 0 0
Aminofilin tablet 200 mg Tablet 0 0
Amlodipin tablet 10 mg Tablet 0 0
Antasida tablet Tablet 0 0
Asetosal 100 Tablet 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0
Asam Mefenamat 500 mg Tablet 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0
Cimetidin Tablet 0 0
Deksametason tablet 0,5 mg Tablet 0 0
Dekstrometorfan tablet Tablet 0 0
Digoksin tablet 0,25 mg Tablet 0 0
Domperidom 10 mg Tab Tablet 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0
Furosemid tablet 40 mg Tablet 0 0
Garam Oralit Tablet 0 0
Glibenclamid tablet 5 mg Tablet 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0
Haloperidol tablet 0,5 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Ibuprofen tab 200 mg Tablet 0 0
Ibuprofen tab 400 mg Tablet 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0
Kaptopril tablet 12,5 mg Tablet 0 0
Kaptopril tablet 25 mg Tablet 0 0
Ketokonazol tab 200 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0
Loperamid tablet 2 mg Tablet 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0
Metformin HCL tablet 500 mg Tablet 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0
Metoklopramide tablet 10 mg Tablet 0 0
Mineral Mix Tablet 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0
Natrium Diklofenak 50 mg Tablet 0 0
Nifedipin tablet 10 mg Tablet 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0
Omeprazol 20 Cap Tablet 0 0
Papaverin tablet 40 mg Tablet 0 0
Parasetamol 500 mg Tablet 0 0
Parasetamol tab.100 mg Tablet 0 0
Piracetam 400 mg Tablet 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0
Piroksikam 10 mg Tablet 0 0
Piroksikam 20 mg Tablet 0 0
Prednison Tablet 0 0
Ranitidin Tab Tablet 0 0
Retinol (vit A) 100.000 IU Tablet 0 0
Retinol (vit A) 200.000 IU Tablet 0 0
Salbutamol tablet 2 mg Tablet 0 0
Salbutamol tablet 4 mg Tablet 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0
Simvastatin 20 mg Tablet 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0
Tramadol kapsul 50 mg Tablet 0 0
Triheksifenidil tablet 2 mg Tablet 0 0
Vitamin B komplek tab Tablet 0 0
Vitamin B Kompleks tablet Tablet 0 0
Tablet Fe / Tambah Darah Tablet 0 0
0 0
ANTIBIOTIK 0 0
Amoksisilin cap 250 mg Tablet 0 0
Amoksisilin tab 500 mg Tablet 0 0
Doksisiklin kapsul 100 mg Tablet 0 0
Eritromisin kapsul 500 mg Tablet 0 0
Klindamycin 150 mg Tab Tablet 0 0
Kloramfenicol 250 mg Tablet 0 0
Kloramfenicol 250 mg Cap Tablet 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0
Levofloksasin tablet 500 mg Tablet 0 0
Metronidazol tab. 250 mg Tablet 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Metronidazol tab. 500 mg Tablet 0 0
Sefadroksil kapsul 500 mg Tablet 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0
0 0
SYRUP 0 0
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0
Antasida DOEN II suspensi Botol 0 0
Dekstrometorfan sirup Botol 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0
Kotrimoksazol syr Botol 0 0
Obat Batuk Hitam Botol 0 0
OBP Botol 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0
0 0
OBAT GIGI 0 0
Devitalisasi pasta (non arsen) Kotak 0 0
Ethil Clorida spray Botol 0 0
Eugenol cairan Botol 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0
Kalsium Hidroksida Pasta Kotak 0 0
Klorfenol kamfer mentol Kotak 0 0
Mumifying pasta Kotak 0 0
Semen seng fosfor serbuk dan cair Paket 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0
0 0
LARUTAN INFUS 0 0
Glukosa larutan infus 10 % Botol 0 0
Glukosa larutan infus 5 % Botol 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0
Ringer Laktas infus Botol 0 0
Natrium Klorida infus 0.9 % Botol 0 0
0 0
Alat Kesehatan 0 0
Alat suntik sekali pakai 1 ml Buah 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0
Alat suntik sekali pakai 5 ml Buah 0 0
Catgut 2/0 - 3/0 Buah 0 0
Folley Catheter Buah 0 0
Handscoon No 6.5 Buah 0 0
Handscoon No 7 Buah 0 0
Handscoon No 7 1/2 Buah 0 0
Handscoon No 8 Buah 0 0
Infusion set anak Buah 0 0
Infusion set dewasa Buah 0 0
IV Cateter No 20 G Buah 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
IV Cateter No 22 G Buah 0 0
IV Cateter No 24 G Buah 0 0
Kapas pembalut 250 gr Buah 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0
Masker Buah 0 0
Masker Buah 0 0
Plester 5 yard x 2 inch Buah 0 0
Silk No. 3/0 Buah 0 0
0 0
OBAT LUAR 0 0
Anti Bakteri DOEN Salep Tube 0 0
Antifungi Tube 0 0
Antihemoroid DOEN Sup 0 0
Asiklovir SK Tube 0 0
Etakridin larutan 0,1 % Botol 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0
Gentamycin Tetes Mata Botol 0 0
Gentamisin salep kulit Tube 0 0
Hidrokortison krim 2.5 % Tube 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0
Khloramfenicol tetes telinga 3% Botol 0 0
Kloramfenicol SM Tube 0 0
Lysol Botol 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0
Povidon Iodida 10 % Botol 0 0
Povidon Iodida 10 % Botol 0 0
Rivanol Botol 0 0
Saleb 24 Tube 0 0
Salisil bedak 2 % Kotak 0 0
0 0
INJEKSI 0 0
Aminophilin inj 24 mg / ml Ampul 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0
Difenhidramin injeksi Ampul 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0
Lidocain com inj 2 % Ampul 0 0
Lidocain inj 2 % Ampul 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0
Metilergometrin Maleat Inj Ampul 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0
Sefotaksim injeksi 1 gr Ampul 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0
Tramadol inj 50 mg/ml Ampul 0 0
0 0
REAGEN LABORATORIUM 0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
Larutan Benedict Botol 0 0
Larutan Eosin Botol 0 0
Larutan Etanol asam Botol 0 0
Larutan Giemsa Stain Botol 0 0
Larutan Turk Botol 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Haloperidol tablet 1.5 mg Tablet 0 0
Haloperidol tablet 5 mg Tablet 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
REKAPAN HARIAN PEMAKAIAN OBAT PUSKESMAS
TANGGAL :
BULAN :

PEMASUKAN PENGELUARAN TOTAL

STOK
NO NAMA OBAT KEMASAN TOTAL PENGELUARA
AWAL PKD ASKES DAK LAIN 2 PKM PUSTU POSKESKEL RANAP ED N
I RESEP KESELURUHAN 0 0 0 0 0
II RESEP ANTIBIOTIK 0 0 0 0 0
III RESEP GENERIK 0 0 0 0 0
IV RESEP RACIKAN 0 0 0 0 0

I TABLET
AntimigrenTab Tablet 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Asiklovir tablet 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Alopurinol tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Ambroxol Tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Aminofilin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Amlodipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Antasida tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
Asetosal 100 Tablet 0 0 0 0 0 0 0 0 0 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Asam Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Cimetidin Tablet 0 0 0 0 0 0 0 0 0 0 0
Deksametason tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Domperidom 10 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Furosemid tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Garam Oralit Tablet 0 0 0 0 0 0 0 0 0 0 0
Glibenclamid tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 12,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Ketokonazol tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Loperamid tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0 0 0 0 0 0 0 0 0 0
Metformin HCL tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0 0 0 0 0 0 0 0 0 0
Metoklopramide tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Mineral Mix Tablet 0 0 0 0 0 0 0 0 0 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Natrium Diklofenak 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Nifedipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0 0 0 0 0 0 0 0 0 0
Omeprazol 20 Cap Tablet 0 0 0 0 0 0 0 0 0 0 0
Papaverin tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Parasetamol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Parasetamol tab.100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Piracetam 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Prednison Tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidin Tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 100.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 200.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Simvastatin 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Tramadol kapsul 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Triheksifenidil tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Vitamin B komplek tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Vitamin B Kompleks tablet Tablet 0 0 0 0 0 0 0 0 0 0 0
Tablet Fe / Tambah Darah Tablet 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
ANTIBIOTIK 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin cap 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Doksisiklin kapsul 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Eritromisin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Klindamycin 150 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Cap Tablet 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0 0 0 0 0 0 0 0 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Levofloksasin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Sefadroksil kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
SYRUP 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0
Antasida DOEN II suspensi Botol 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan sirup Botol 0 0 0 0 0 0 0 0 0 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0 0 0 0 0 0 0 0 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol syr Botol 0 0 0 0 0 0 0 0 0 0 0
Obat Batuk Hitam Botol 0 0 0 0 0 0 0 0 0 0 0
OBP Botol 0 0 0 0 0 0 0 0 0 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0 0 0 0 0 0 0 0 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
OBAT GIGI 0 0 0 0 0 0 0 0 0 0 0
Devitalisasi pasta (non arsen) Kotak 0 0 0 0 0 0 0 0 0 0 0
Ethil Clorida spray Botol 0 0 0 0 0 0 0 0 0 0 0
Eugenol cairan Botol 0 0 0 0 0 0 0 0 0 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0 0 0 0 0 0 0 0 0 0
Kalsium Hidroksida Pasta Kotak 0 0 0 0 0 0 0 0 0 0 0
Klorfenol kamfer mentol Kotak 0 0 0 0 0 0 0 0 0 0 0
Mumifying pasta Kotak 0 0 0 0 0 0 0 0 0 0 0
Semen seng fosfor serbuk dan cair Paket 0 0 0 0 0 0 0 0 0 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
LARUTAN INFUS 0 0 0 0 0 0 0 0 0 0 0
Glukosa larutan infus 10 % Botol 0 0 0 0 0 0 0 0 0 0 0
Glukosa larutan infus 5 % Botol 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0 0 0 0 0 0 0 0 0 0
Ringer Laktas infus Botol 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida infus 0.9 % Botol 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
Alat Kesehatan 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 1 ml Buah 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 5 ml Buah 0 0 0 0 0 0 0 0 0 0 0
Catgut 2/0 - 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0
Folley Catheter Buah 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 6.5 Buah 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 Buah 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 1/2 Buah 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 8 Buah 0 0 0 0 0 0 0 0 0 0 0
Infusion set anak Buah 0 0 0 0 0 0 0 0 0 0 0
Infusion set dewasa Buah 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 20 G Buah 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 22 G Buah 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 24 G Buah 0 0 0 0 0 0 0 0 0 0 0
Kapas pembalut 250 gr Buah 0 0 0 0 0 0 0 0 0 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0 0 0 0 0 0 0 0 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0
Plester 5 yard x 2 inch Buah 0 0 0 0 0 0 0 0 0 0 0
Silk No. 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
OBAT LUAR 0 0 0 0 0 0 0 0 0 0 0
Anti Bakteri DOEN Salep Tube 0 0 0 0 0 0 0 0 0 0 0
Antifungi Tube 0 0 0 0 0 0 0 0 0 0 0
Antihemoroid DOEN Sup 0 0 0 0 0 0 0 0 0 0 0
Asiklovir SK Tube 0 0 0 0 0 0 0 0 0 0 0
Etakridin larutan 0,1 % Botol 0 0 0 0 0 0 0 0 0 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0 0 0 0 0 0 0 0 0 0
Gentamycin Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0
Gentamisin salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0
Hidrokortison krim 2.5 % Tube 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes telinga 3% Botol 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol SM Tube 0 0 0 0 0 0 0 0 0 0 0
Lysol Botol 0 0 0 0 0 0 0 0 0 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0
Rivanol Botol 0 0 0 0 0 0 0 0 0 0 0
Saleb 24 Tube 0 0 0 0 0 0 0 0 0 0 0
Salisil bedak 2 % Kotak 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
INJEKSI 0 0 0 0 0 0 0 0 0 0 0
Aminophilin inj 24 mg / ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0 0 0 0 0 0 0 0 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Difenhidramin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0 0 0 0 0 0 0 0 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Lidocain com inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0
Lidocain inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat Inj Ampul 0 0 0 0 0 0 0 0 0 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0 0 0 0 0 0 0 0 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Sefotaksim injeksi 1 gr Ampul 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0 0 0 0 0 0 0 0 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0
Tramadol inj 50 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
REAGEN LABORATORIUM 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
Larutan Benedict Botol 0 0 0 0 0 0 0 0 0 0 0
Larutan Eosin Botol 0 0 0 0 0 0 0 0 0 0 0
Larutan Etanol asam Botol 0 0 0 0 0 0 0 0 0 0 0
Larutan Giemsa Stain Botol 0 0 0 0 0 0 0 0 0 0 0
Larutan Turk Botol 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

KODE PUSKESMAS :
PUSKESMAS : PELAPORAN BULAN :
KECAMATAN : PERMINTAAN BULAN :
KAB/KOTA : TAHUN :
PROPINSI :

STOK PENERIMAAN PEMAKAIAN/PENGELUARAN

TOTAL TOTAL AKHIR
NO NAMA OBAT SATUAN AWAL JUMLAH TOTAL PERMINTAAN
PKD ASKES DAK LAIN 2 PERSEDIAAN PKM PUSTU POSKESKEL BPS EXP PERSEDIAAN
PKM PENERIMAAN PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
TABLET
AntimigrenTab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Acyclovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asiklovir tablet 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alopurinol tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ambroxol Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Aminofilin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Amlodipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antasida tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asetosal 100 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam askorbat ( Vitamin C ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Betahistin Mesilat tablet 6 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cimetidin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Deksametason tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Domperidom 10 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ekstraks belladona tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Etambutol tablet salut 500 mg ( HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fitomenadion (Vit K1 ) tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Furosemid tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Garam Oralit Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glibenclamid tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gliseril Gualakolat tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Griseofulvin tablet 125 mg , micronized Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 1.5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Haloperidol tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidroklortiazidea tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibuprofen tab 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 12,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kaptopril tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketokonazol tab 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorfeniramin Maleat tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCL tablet salut 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorpromazin HCl tablet salut 100 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lanzoprazolle kapsul 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Loperamid tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metampiron tablet 500 mg/ Antalgin Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metformin HCL tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat tab.salut 0,125 Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metoklopramide tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mineral Mix Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Bikarbonat tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Diklofenak 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nifedipin tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. Salut 500.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nistatin tab. vaginal 100.000 IU/g Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Omeprazol 20 Cap Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Papaverin tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol tab.100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piracetam 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pirantel tab.Score ( base ) 125 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Piroksikam 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prednison Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ranitidin Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 100.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Retinol (vit A) 200.000 IU Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salbutamol tablet 4 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin ( Vitamin B12 ) 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Simvastatin 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Thiamin (Vitamin B1 ) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tramadol kapsul 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Triheksifenidil tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vitamin B komplek tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Vitamin B Kompleks tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tablet Fe / Tambah Darah Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ANTIBIOTIK
Amoksisilin cap 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Amoksisilin tab 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Doksisiklin kapsul 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eritromisin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klindamycin 150 mg Tab Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol 250 mg Cap Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol DOEN II ( pediatrik ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoxazol Tab 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Levofloksasin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metronidazol tab. 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sefadroksil kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Siprofloksasin tablet 500 mg ( segai HCL ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tetrasiklin kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SYRUP
Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antasida DOEN II suspensi Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dekstrometorfan sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Domperidom suspensi 5 mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eritromisin sirup 200 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gralysin syrup ( Multivitamin ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ibupropen suspensi 100 mg/5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kotrimoksazol syr Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Obat Batuk Hitam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
OBP Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol sirup 120 mg / 5 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Zacoldine syrup ( Obat Flu Anak ) Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0

OBAT GIGI
Devitalisasi pasta (non arsen) Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ethil Clorida spray Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Eugenol cairan Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glass Iomomer Cement ART/Fuji Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kalsium Hidroksida Pasta Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Klorfenol kamfer mentol Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mumifying pasta Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Semen seng fosfor serbuk dan cair Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Temporary Stopping Fletcher serbuk/cair Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0

LARUTAN INFUS
Glukosa larutan infus 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Glukosa larutan infus 5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida larutan infus 0,9 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ringer Laktas infus Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Natrium Klorida infus 0.9 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Alat Kesehatan
Alat suntik sekali pakai 1 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 2,5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Alat suntik sekali pakai 5 ml Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Catgut 2/0 - 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0
Folley Catheter Buah 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 6.5 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 7 1/2 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Handscoon No 8 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infusion set anak Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Infusion set dewasa Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 20 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 22 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IV Cateter No 24 G Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kapas pembalut 250 gr Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasa Hidrofil Steril uk 16 x 16 Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasa Pembalut Hidrofil 4 m x 15 cm elastic Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Masker Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Plester 5 yard x 2 inch Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Silk No. 3/0 Buah 0 0 0 0 0 0 0 0 0 0 0 0 0 0

OBAT LUAR
Anti Bakteri DOEN Salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antifungi Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antihemoroid DOEN Sup 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asiklovir SK Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Etakridin larutan 0,1 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fenol Gliserol tetes telinga 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamycin Tetes Mata Botol 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamisin salep kulit Tube 0 0 0 0 0 0 0 0 0 0 0 0 0
Hidrokortison krim 2.5 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes mata 0.5 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Khloramfenicol tetes telinga 3% Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenicol SM Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lysol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Oksitetrasiklin HCL salep mata 1 % Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rivanol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Saleb 24 Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salisil bedak 2 % Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0

INJEKSI
Aminophilin inj 24 mg / ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ampicillin serbuk injeksi IM/IV1000 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Aqua Pro Injeksi Steril, bebas pirogen Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Deksametason inj I.V 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Difenhidramin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
Efinefrina Hcl ( Adrenalin ) injeksi 0,1 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
Ketorolac inj 10 mg/12 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lidocain com inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lidocain inj 2 % Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Methoklorpamide injeksi 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Metilergometrin Maleat Inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Phytomenadion inj/2 mg@1ml ( Vitka Infant ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Ranitidin injeksi 25 mg/2 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sefotaksim injeksi 1 gr Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sianokobalamin (Vit B 12) injeksi 500 mcg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Thiamin ( Vitamin B1 ) injeksi 100 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tramadol inj 50 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0

REAGEN LABORATORIUM
Larutan Benedict Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Eosin Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Etanol asam Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Giemsa Stain Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Larutan Turk Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MENGETAHUI YANG MENERIMA YANG MELAPOR Metro , 2014

KEPALA DINAS KESEHATAN KEPALA SEKSI FARMAKMIN & ALKES KEPALA PUSKESMAS PENGELOLA OBAT
KOTA METRO DAN PERBEKALAN KESEHATAN YOSODADI

YELLI MA'ARIFA,S.Si,Apt __BAHRIL, A.Md Kep _ Dwi Yunia Hidayah, A.Md.F__

NIP 19800725 200609 2 009 NIP 19621008 198512 1 003 NIP 19880621 201001 2 007
KET

19