Rekap. Obat Sub Unit

REKAPITULASI PEMAKAIAN OBAT SUB UNIT
UPTD PUSKESMAS GILIRENG
BULAN : JANUARI 2017
PEMAKAIAN SUB UNIT

NO. NAMA OBAT/ALKES SATUAN POSKES POSKES POSKES PUSTU POSKES PUSTU PUSTU POSKES PUSTU KAMAR
PSLR ARJ POLEW ALAU ABBAT ABBAT MAMIN POLEON LMT OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13
1 ACT Tab tablet
2 Obat Suntik KB I : inj depo
Medroxyprogesteron Acetat 150 mg 150 mg
3 Air untuk irigasi 1000 ml botol 1000ml
4 Albendazol tablet 400 mg tablet
5 Alopurinol Tablet 100 mg tablet
7 Ambroxol tablet 30mg tablet
8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml
9 Aminofilin injeksi 24 mg/ml ampul
10 Aminofilin tablet 200 mg tablet
11 Amitriptilin tablet salut 25 mg (HCl) tablet
12 Amlodipin tablet 5 mg tablet
14 Amoksisilin kapsul 250 mg kapsul
15 Amoksisilin kaplet 500 mg kaplet
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml
17 Amoksisilin sirup kering forte 250 mg/5 ml btl 60 ml
18 Ampisillin serbuk inj. i.v. 1000 mg/vial ktk 10 vial
19 Ampisilin sirup kering 125 mg/ 5 ml btl 60 ml
20 Antasida DOEN Tab tablet
21 Antasida DOEN II suspensi btl 60 ml
22 Anti Bakteri DOEN salep (Basitrasin-neomicin tube @ 5 g

23 Antifungi DOEN pot @ 30 g
24 Antihemoroid DOEN supp @ 2 g
25 Antimigren tablet
26 Antiparkinson DOEN tablet tablet
27 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml
28 Artemether injeksi 1 ml : 80 ml ampul
29 Asam asetilsalisilat tablet 80 mg tablet
32 Asam askorbat (Vit.C) tablet 50 mg tablet
35 Asam Mefenamat kaplet 500 mg tablet
36 Attapulgite tablet 600 mg tablet
37 Asiklovir krim 5 % tube 5 g
38 Asiklovir tablet 200 mg tablet
39 Asiklovir tablet 400 mg tablet
40 Atropin injeksi 0,25 mg/ml ampul
41 Betametason krim 0,1 % tube @ 5 g
42 Betametason tetes mata 1 mg/ml botol @ 5 ml
43 Bisakodil suppositoria 5 mg Suppositoria
44 Bisakodil suppositoria 10 mg Suppositoria
45 Dehidro Atemisin + Piperakuin (DHP) tablet
46 Deksametason injeksi i.v 0,5 mg/ml ampul
47 Deksametason tablet 0,5 mg tablet
48 Dekstrometorfan sirup 10 mg/5 ml btl 60 ml
49 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml
50 Dekstrometorfan tablet 15 mg (HBr) tablet
51 Diazepam injeksi 5 mg/ml ampul
52 Diazepam larutan rektal 5 mg/2,5 ml tube @ 2,5 ml
53 Diazepam tablet 2 mg tablet
54 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul
55 Digoksin tablet 0,25 mg tablet
56 Diltiazem HCl tablet 30 mg tablet
57 Dimenhidrinat tablet 50 mg tablet
58 Doksisiklin 100 mg kapsul
59 Domperidon tablet 10 mg tablet
60 Efedrin tablet 25 mg (HCl) tablet
61 Ekstraks Belladona tablet 10 mg tablet
62 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ampul
63 Eritromisin kapsul 250 mg kapsul
64 Eritromisin kapsul 500 mg tablet
65 Eritromisin sirup kering 200 mg/ 5 ml btl 60 ml
66 Etanol 70 % btl 100 ml
67 Fenilbutason tablet 200 mg tablet

68 Fenobarbital injeksi i.m/i.v 50 mg/ml ampul
69 Fenobarbital tablet 30 mg tablet
70 Fenol Gliserol tetes telinga 10% botol 5 ml
71 Fitomenadion (Vit K) tablet salut gula 10 mg tablet

72 Fitomenadion (Vit K) injeksi 10 mg/ml ampul
73 Fitomenadion (Vit K) injeksi i.m.2 mg/ml ampul
74 Furosemid tab 40 mg tablet
75 Garam Oralit serbuk 200 ml sachet
76 Gentamisin inj.40 mg/ml ampul
77 Gentian violet larutan 1 % btl 10 ml
78 Glibenklamida tablet 5 mg tablet
79 Glimepiride tablet 1 mg tablet
81 Gliseril Guaiakolat tablet 100 mg tablet
82 Glukosa larutan infus 10% steril btl 500 ml
83 Glukosa larutan infus 5% btl 500 ml
84 Griseofulvin tablet 125mg Micorinized tablet
85 Haloperidol tablet 1,5 mg tablet
86 Haloperidol tablet 5 mg tablet
87 Haloperidol inj 50 mg/ml ampul @ 1 ml
88 Hidroklortiazid tablet 25 mg tablet
89 Hidrokortison krim 2,5% tube @ 5 g
90 Hyosicine-N-Butilbromide tablet 10mg tablet
91 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml
92 Ibuprofen tablet 200 mg tablet
94 Iodiol kapsul lunak kapsul
95 Isoniazid tablet 100 mg tablet
96 Isoniazid tablet 300 mg tablet
97 Isosorbid Dinitrat tablet sublingual 5mg tablet
98 Kalsium Laktat (Kalk) tablet 500 mg tablet
99 Kalsium Glukonat injeksi i.v. 10% (100mg/ml) ampul
100 Kaptopril 25 mg tablet
101 Karbamazepin tablet 200 mg tablet
102 Ketokonazol tablet 200mg tablet

103 Kloramfenikol kapsul 250 mg kapsul
104 Kloramfenikol salep kulit 2 % tube @ 15 g
105 Kloramfenikol salep mata 1 % tube @ 5 g
106 Kloramfenikol suspensi 125 mg/5 ml btl 60 ml

107 Kloramfenikol tetes telinga 3% btl @ 10 ml
108 Klorfeniramin Maleat (CTM) tablet 4 mg tablet
109 Klorpromazin injeksi i.m 5 mg/ml - 2 ml ampul
110 Klorpromazin tablet salut 25 mg (HCl) tablet
111 Klorpromazin tablet salut 100 mg (HCl) tablet
112 Kodein tablet 10 mg tablet
113 Kodein tablet 20 mg tablet
114 Kotrimoksazol DOEN (dewasa) tablet
115 Kotrimoksazol DOEN (Pediatrik) tablet
116 Kotrimoksazol suspensi btl 60 ml
117 Kuinin dihidroklorida injeksi 25% - 2ml ampul
118 Kuinin (kina) tablet 222 mg tablet
119 Lidokain injeksi 2% ampul @ 2 ml
120 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2 ml ampul
121 Loratadin tablet 10 mg tablet
122 Magnesium sulfat inj 20% vial 25 ml
123 Magnesium sulfat inj 40% vial 25 ml
124 Mebendazol sirup 100 mg/ 5ml btl 30 ml
125 Mebendazol tablet 500 mg tablet
126 Metampiron injeksi 250 mg/ml ampul
127 Metampiron tablet 500 mg tablet
128 Metformin HCl tablet 500 mg tablet

Metil Ergometrin Maleat (Metilergometrin) tablet salut
129 tablet
0,125 mg
130 Metilergometrin Maleat injeksi 0.200 mg/ml ampul
131 Metoklopramide tablet 5 mg tablet
133 Metronidazol tablet 500 mg tablet
134 Metronidazol infus 500 mg/100 ml botol @ 100 ml
135 Metronidazol sirup 125 mg/5 ml botol @ 60 ml
136 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g
137 Mineral Mix sachet
Multivitamin sirup
_ Corovit sirup botol @ 60 ml
138
_ Becefort sirup botol @ 60 ml
_ Anagens sirup botol @ 60 ml
Multivitamin Tablet
_ Corovit tablet tablet
139
_ Corobion tablet tablet
_ Bioron tablet tablet
140 Natrium Bikarbonat tablet 500 mg tablet
141 Natrium Bikarbonat injeksi i.v. 8,4% ampul 25 ml
142 Natrium Diklofenak tablet 50 mg tablet
144 Natrium Diklofenak Gel emulsi Tube
145 Natrium Klorida larutan infus 0,9% btl 500 ml

146 Natrium Tiroksin 100 mcg tablet
147 N.B Topical Oint tube 5 g
148 Nifedipin tablet 10 mg tablet

149 Nistatin tablet salut 100.000 IU/g tablet
150 Nistatin tablet 500.000 IU/g tablet
151 N-asetil sistein kapsul 200 mg tablet
152 Obat antituberkulosis kategori 1 dewasa paket
153 Obat antituberkulosis kategori 2 dewasa paket
154 Kombipak Kategori 1 paket
155 Obat antituberkulosis kategori anak paket
156 Obat antituberkulosis sisipan dewasa paket
157 Obat Batuk Hitam ( O.B.H ) cairan btl 100 ml
158 Obat Batuk Hitam ( OBH Itra) btl 120 ml
Obat gigi :
159 Bahan Tumpatan sementara (Ceivitron) pot @ 30 g
160 Etil Klorida Spray btl 100 ml
161 Eugenol cairan Botol @ 10 ml
162 Glass Ionomer Cement ART set
163 Hemospon set
164 Kalsium Hidroksida Pasta set
165 Klorfenol kamfer Menthol (CHKM) set
166 Mummiffying pasta set
167 Semen seng Fosfat serbuk dan cairan set
168 Silver Amalgam set
169 Temporary Stopping Fletcher serbuk dan cairan set
170 Oksimetazolin tetes hidung 0,025% Botol @ 10 ml
171 Oksitetrasiklin salep mata 1% (HCl) tube @ 3,5 g
172 Oksitetrasiklin salep kulit 3% tube @ 5 g
173 Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml
174 Omeprazol kapsul 20 mg kapsul
175 Omeprazol injeksi 40 mg/10 ml vial
176 Paracetamol drops 100 mg/ml btl 15 ml
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml
178 Parasetamol tablet 100 mg tablet
180 Perak sulfadiazin krim 1% tube @ 35 g
181 Permetrin krim 5% tube @ 10 g
182 Pirantel suspensi 125 mg/ 5 ml btl 60 ml
183 Pirantel tab.Score (base) 125 mg tablet
184 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet
185 Piroksikam tablet 10 mg tablet
186 Piroksikam tablet 20 mg tablet
187 Polikresulen cairan btl 10 ml
188 Povidon Iodida larutan 10% btl @ 300 ml
189 Prednison tablet 5 mg tablet
190 Primakuin tablet 15 mg tablet
191 Prokain Benzil Penisilin injeksi 3 jt IU vial
192 Propanolol tablet 10 mg (HCl) tablet
193 Propranolol 40 mg tablet
194 Propiltiourasil tablet 100 mg tablet
195 Ranitidin tablet 150 mg tablet
196 Reserpin tablet 0,25 mg tablet
197 Retinol (Vit.A) 100.000 IU kapsul lunak kapsul
198 Retinol (Vit.A) 200.000 IU kapsul lunak kapsul
199 Ringer Laktat larutan infus btl 500 ml
200 Salbutamol tablet 2 mg (sebagai sulfat) tablet
201 Salbutamol tablet 4 mg (sebagai sulfat) tablet
202 Salbutamol cairan ih 0,1% botol @ 2,5 ml
Salep 2-4,kombinasi : Asam sulfat 2 % + Belerang endap
203 pot @ 30 g
4%
204 Salisil bedak serbuk 2 % ktk 50 gram
205 Setirizin sirup 5 mg/5 ml Botol @ 60 ml
206 Sianokobalamin (Vit.B 12) tablet 50 mcg tablet
207 Sianokobalamin (Vit.B 12) tablet 10 mcg tablet
208 Sianokobalamin (Vit.B 12) injeksi 500 mcg ampul
209 Simetidine tablet 200 mg tablet
210 Simvastatin tablet 10 mg tablet
212 Siprofloksasin tablet 500 mg (HCl) tablet
213 Spironolakton tablet 25 mg tablet
214 Tablet tambah darah : tablet
_ Besi (II) sulfat 200 mg, asam folat 0,25 mcg tablet
_ Livron B plex tablet
_ Ferrous Fumarate 180 mg, Folic Acid 400 mcg tablet
215 Taburia sachet
216 Tetrakain HCl tetes mata 0,5% botol 5 ml
217 Tetrasiklin kapsul 250 mg kapsul
218 Tiamin (Vit.B1) tablet 50 mg tablet
219 Tiamin (Vit.B1) injeksi 100 mg/ml ampul
220 Triheksifenidil tablet 2 mg tablet
221 Triheksifenidil tablet 2 mg (Arkine) tablet
222 Vaksin BCG serb inj. 0,75 mg/ml + pelarut vial
223 Vaksin campak serb inj. + pelarut vial
224 Vaksin kombinasi DPT-HB-Hib inj vial
225 Vaksin jerap difteri tetanus (DT) inj. 40/15 If per ml vial
226 Vaksin jerap difteri tetanus pertusis (DPT) inj. vial
227 Vaksin jerap tetanus (tetanus adsorbed toxoid) vial
228 Vaksin polio t-OPV drops 10 dosis vial
229 Vaksin polio IPV inj. 0,5 ml vial
230 Vaksin rabies serb inj. 2,5 IU vial
231 Vaksin rabies serb inj +booster vial
232 Vitamin B Kompleks tablet tablet
233 Zinc Tab 20 mg tablet
234 Zinc drop 10 mg/ml botol @ 15 ml
235 Zinc sirup 10 mg/ml botol 100 ml
236 Zinc sirup 20 mg/5 ml botol 60 ml
237
238
239
240
241
1 Alat suntik 1 ml set

2 Alat suntik 2,5 ml set
5 Alat suntik 10 ml Set
8 Alkohol swab ktk 100 lbr
9 Aquades steril btl 1000 ml
10 Aquades gallon 20 L
11 Aquagel Steril Jelly 82 gram Tube
12 Asam Klorida (HCl) 0,1 N btl 1000 ml
13 Asam sulfosalisilat 20 % btl 100 ml
14 Aseptic Gel btl 500 ml
15 Bioline Syphilis 3,0 Rapid Twest Ktk 30 test
16 Blood Lancet ktk 100 pcs
Blood Lancet (BD Microtainer Contact Actived Lancet 21 G
17 Pcs
x 1.8 m)
18 Blood Collection Tube (BD Vacutainer) Tube
19 Boule cleaning kit set (4 x 150 ml)
20 Control Hematologi Normal vial
21 Cover glass 22x22 ktk 10 pak @ 10 pcs
22 CutGut No. 3/0 dengan jarum bedah set
23 CutGut Cromic SMI 3/0 HR 26 MM set
24 CutGut Cromic SMI 3/0 HR 30 MM set
25 Cutgut Cromic SMI 4/0 HR 30 MM set
Kit 25 tes
26 Dengue Test/RDT Ns1
Ktk 10 tes
27 Etakridin larutan 0,1 % btl 300 ml
28 Etanol 70 % 1 Liter btl 1000 ml
29 Folley Catheher 12 Set
35 HbsAg Fast Test ktk 100 tes
36 HIV Test 1/2 3.0 ktk 100 tes
37 ID Band Baby Pink ktk 100 pcs
38 ID Band Baby Blue ktk 100 pcs
39 ID Dws Baby Pink ktk 100 pcs
40 ID Dws Baby Blue ktk 100 pcs
41 Infuset Anak set
42 Infuset Dewasa set
43 IV Catheter No. 16 G set
IV Catheter No. 20 G set
45
IV Canula without inj. Port & wings (20) set
46
47
IV Cannula with inj.port, snap fit cap, and suture wings
48 set
(22)
49 Immersion oil btl 100 ml
50 Iodinat Test btl 10 ml
51 Kapas pembalut 250 g roll
52 Kapas Pembalut 500 g roll
53 Kartu golongan darah lbr
54 Kasa kompres 40/40 steril roll
55 Kasa 2 x 80 cm roll
60 Kasa hidrofil uk. 36 m x 80 cm roll
61 Kasa Hydrophil 40 x 80 cm roll
62 Kapas pembalut 1000 gram Roll
63 Kasa steril 16x16 Lbr
64 Kasa steril 18x22 Lbr
65 Kertas Perkamen bks 200 lbr
66 Kantong urine steril 2L Pcs
67 Labstrip U11 Plus Urine Test Tube 150 strip
btl 1000 ml
68 Larutan Turk
btl 100 ml
btl 100 ml
69 Larutan Giemsa Stain
btl 500 ml
70 Larutan Karbol Fucsin btl 100 ml
71 Larutan HCl- Alkohol btl 100 ml
72 Larutan Metilen Blue btl 100 ml
73 Larutan Benedict btl 1000 ml
74 Larutan EDTA btl 100 ml
75 Larutan Eosin btl 100 ml
76 Larutan Hayem btl 1000 ml
77 Larutan Natrium Sitrat 3,8 % btl 500 ml
78 Larutan Rees Ekker btl 100 ml
79 Larutan Spiritus btl 1000 ml
80 Lisol btl 1000 ml
Dos 25 tes
81 Malaria Test tes (Dos 10
tes)
82 Masker 3 ply E/L Lbr
83 Masker 3 ply plus E/L Lbr
84 Masker 3 ply T/O Lbr
85 My Jelly 82 g btl
86 Nasal Oxygen canula child pcs
87 Nasal Oxygen canula adult pcs
88 Object glass pcs
89 Oxygen mask pediatric pcs
90 Oxygen mask adult pcs
91 Paraformaldehid tab tablet
92 Penjepit tali pusat Buah
93 Plester 2" x 5 yard roll
94 Plester hospital 2,5 cm x 4,5 m roll
95 Pot sputum buah
96 Povidon iodida larutan 10 % btl 300 ml
97 Reagensia Ziehl Neelsen 100 ml/btl paket
98 Refil strip asam urat btl 25 strip
99 Refil strip glukosa btl 25 strip
100 Refil strip Hb btl 25 strip
101 Refil strip kolesterol btl 10 strip
102 Reagen Dual Pack Hematologi set
103 Reagen kimia cholesterol set (6 x 100 ml)
104 Reagen kimia creatinine set (2 x 125 ml)
105 Reagen kimia glukosa set (2 x 100 ml)
106 Reagen kimia SGOT (AST) set (2 x 62,5 ml)
107 Reagen kimia SGPT (ALT) set (2 x 62,5 ml)
108 Reagen kimia triglyserides set (4 x 50 ml)
109 Reagen kimia urea set (2 x 62,5 ml)
110 Reagen kimia uric acid set (4 x 50 ml)
111 Safety Box 2,5 Lt ktk
112 Safety Box 5 Lt kuning ktk
113 Salmonella Test/Widal Test Set (4x5 ml)
114 Sarung tangan uk. 6 Psg
115 Sarung tangan uk. 6,5 Psg
119 Sarung tangan S pcs
120 Sarung tangan M pcs
121 Sarung tangan L pcs
122 Sarung tangan XL pcs
123 Silk (benang bedah sutera) no.3/0 dengan jarum bedah set
124 Silk Black 3/0 HR 26 MM set
125 Silk 4-0 100M roll
126 Silk braided black 6/0 DS 12 mm roll
127 Stomach tube FR 18 Set
128 Suction Catheter No. 6 Set
133 Surgical Blade No. 10 ktk 100 pcs
136 Surgical Scrub (hydrex) btl 500ml
137 Surgical glove sterile gynecolog No. 6,5 (Remedi) pasang
138 Surgical glove sterile gynecolog No. 7 (Remedi) pasang
139 Surgical glove sterile gynecolog No. 7,5 (Remedi) pasang
140 Tes golongan darah A, B, AB set
141 Tes kehamilan (Ultraone) Strip
142 Transfusi set Set
143 Three way stopcock Pcs
144 Plastik klip 4 x 6 cm bks 100 lbr
145 Plastik klip 5x8 cm bks 100 lbr
146 Plastik klip beretiket 5 x 8 cm bks 100 lbr
147 Plastik klip 10 x 7 cm bks 100 lbr
148 Plastik klip beretiket 10 x 7 cm bks 100 lbr
149 Tip warna putih Pcs
150 Tip warna putih (kecil) Pcs
151 Tip warna biru Pcs
152 Tip warna kuning Pcs
153 Suture needle (jarum hecting) BT bks 12 pcs
154 Suture needle (jarum hecting) BR bks 12 pcs
155 Suture needle (jarum hecting) GT bks 12 pcs
156 Suture needle (jarum hecting) GR bks 12 pcs
157
158
159
IT
JUMLAH
KIA/ RAWAT KAMAR
LAB
KB INAP OK
14 15 16 17 18
0
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REKAPITULASI PEMAKAIAN OBAT SUB UNIT
BULAN : FEBRUARI 2017

PEMAKAIAN SUB UNIT
JUMLAH
NO. NAMA OBAT/ALKES SATUAN POSKESPUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWATKAMAR
LAB
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMINPOLEON LMT OBAT KB INAP OK
5 Alopurinol Tablet 100 mg tablet 10 50 30 10 125 225

12 Amlodipin tablet 5 mg tablet 80 80
14 Amoksisilin kapsul 250 mg kapsul 20 10 50 0 40 20 70 40 250
15 Amoksisilin kaplet 500 mg kaplet 70 20 200 10 100 80 100 996 1576
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 4 2 2 8 7 23
20 Antasida DOEN Tab tablet 53 100 40 30 120 69 412
21 Antasida DOEN II suspensi btl 60 ml 3 5 52 60
32 Asam askorbat (Vit.C) tablet 50 mg tablet 80 4 100 20 50 130 200 342 926
35 Asam Mefenamat kaplet 500 mg tablet 30 90 20 100 140 380
37 Asiklovir krim 5 % tube 5 g 2 3 5
38 Asiklovir tablet 200 mg tablet 10 10
41 Betametason krim 0,1 % tube @ 5 g 8 5 19 32
47 Deksametason tablet 0,5 mg tablet 10 4 90 10 70 452 636
66 Etanol 70 % btl 100 ml 1 1
71 Fitomenadion (Vit K) tablet salut gula 10 mg tablet 70 70
73 Fitomenadion (Vit K) injeksi i.m.2 mg/ml ampul 2 2
75 Garam Oralit serbuk 200 ml sachet 4 8 5 10 5 5 37
78 Glibenklamida tablet 5 mg tablet 10 10
79 Glimepiride tablet 1 mg tablet 30 30
81 Gliseril Guaiakolat tablet 100 mg tablet 82 28 80 60 40 80 200 407 977
84 Griseofulvin tablet 125mg Micorinized tablet 30 70 30 130
92 Ibuprofen tablet 200 mg tablet 10 10
93 Ibuprofen tablet 400 mg tablet 10 30 50 70 90 250
98 Kalsium Laktat (Kalk) tablet 500 mg tablet 30 50 30 30 10 80 60 290
100 Kaptopril 25 mg tablet 10 10 30 50
104 Kloramfenikol salep kulit 2 % tube @ 15 g 6 6
105 Kloramfenikol salep mata 1 % tube @ 5 g 2 1 1 4
108 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 59 41 90 35 180 200 872 1477
114 Kotrimoksazol DOEN (dewasa) tablet 10 50 10 20 120 100 310
116 Kotrimoksazol suspensi btl 60 ml 2 3 3 14 22
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2
120 ampul
ml 1 2 2 5
Metil Ergometrin Maleat (Metilergometrin) tablet
129 tablet
salut 0,125 mg 10 10
132 Metoklopramide tablet 10 mg tablet 2 20 10 32
133 Metronidazol tablet 500 mg tablet 30 10 72 112
136 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g 1 1
_ Becefort sirup botol @ 60 ml 5 5
_ Bioron tablet tablet 20 20
143 Natrium Diklofenak tablet 25 mg tablet 20 30 50 100
145 Natrium Klorida larutan infus 0,9% btl 500 ml 3 3
148 Nifedipin tablet 10 mg tablet 20 20
157 Obat Batuk Hitam ( O.B.H ) cairan btl 100 ml 3 4 7
173 Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml 2 2
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 1 2 4 10 13 30
179 Parasetamol tablet 500 mg tablet 138 50 120 80 60 200 80 1431 2159
183 Pirantel tab.Score (base) 125 mg tablet 2 12 4 18
184 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 13 50 80 30 173
189 Prednison tablet 5 mg tablet 70 30 120 30 250
195 Ranitidin tablet 150 mg tablet 10 10 50 560 630
198 Retinol (Vit.A) 200.000 IU kapsul lunak kapsul 4 15 19
199 Ringer Laktat larutan infus btl 500 ml 2 86 88
201 Salbutamol tablet 4 mg (sebagai sulfat) tablet 20 40 60
204 Salisil bedak serbuk 2 % ktk 50 gram 1 2 3
206 Sianokobalamin (Vit.B 12) tablet 50 mcg tablet 10 10
210 Simvastatin tablet 10 mg tablet 60 30 10 10 210 320
212 Siprofloksasin tablet 500 mg (HCl) tablet 10 10
_ Livron B plex tablet 60 116 176
_ Ferrous Fumarate 180 mg, Folic Acid 400 mcg tablet 210 30 240 140 620
218 Tiamin (Vit.B1) tablet 50 mg tablet 100 50 20 100 270
232 Vitamin B Kompleks tablet tablet 35 51 100 10 45 10 210 728 1189
233 Zinc Tab 20 mg tablet 20 20
1 Alat suntik 1 ml set 2 2
2 Alat suntik 2,5 ml set 6 6
3 Alat suntik 3 ml set 1 10 2 2 15
42 Infuset Dewasa set 2 2
44 IV Catheter No. 18 G set 1 1
137 Surgical glove sterile gynecolog No. 6,5 (Remedi) pasang 14 20 34
Mengetahui Gilireng, 28 Februari 2017

Kepala UPTD Pusk. Gilireng, Pengelola Obat,
PEMAKAIAN SUB UNIT
JUMLAH
NO. NAMA OBAT/ALKES SATUAN POSKESPUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWATKAMAR
LAB
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMINPOLEON LMT OBAT KB INAP OK
dr. Hj. Karmiladi, M. Kes H. Harpenas, S.ST, M. Kes

NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
REKAP PEMAKAIAN OBAT SUB UNIT
BULAN : MARET 2017
PUSTU PUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWATKAMAR POLIK PROG PROG JUM
NO. NAMA OBAT/ALKES SATUAN LAB
LAH
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMINPOLEON LMT OBAT KB INAP OK GIGI GIZI TB
5 Alopurinol Tablet 100 mg tablet 70 0 0 10 30 0 0 20 0 40 305 475

14 Amoksisilin kapsul 250 mg kapsul 20 40 0 0 10 30 30 80 10 20 240
15 Amoksisilin kaplet 500 mg kaplet 142 50 80 40 100 40 100 20 90 80 1692 2434
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 5 0 0 1 3 1 6 5 9 30
20 Antasida DOEN Tab tablet 75 40 20 20 70 50 30 20 80 20 792 1217
21 Antasida DOEN II suspensi btl 60 ml 3 0 2 35 40
22 Anti Bakteri DOEN salep (Basitrasin-neomicin tube @ 5 g 3 3
23 Antifungi DOEN pot @ 30 g
24 Antihemoroid DOEN supp @ 2 g 1 1

32 Asam askorbat (Vit.C) tablet 50 mg tablet 110 44 30 70 66 50 130 500
35 Asam Mefenamat kaplet 500 mg tablet 50 10 10 40 50 30 50 30 270 540
37 Asiklovir krim 5 % tube 5 g 1 1
38 Asiklovir tablet 200 mg tablet 10 30 30 70
41 Betametason krim 0,1 % tube @ 5 g 3 7 1 3 16 30
47 Deksametason tablet 0,5 mg tablet 10 15 50 20 50 30 20 90 420 705
49 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml 2 2
53 Diazepam tablet 2 mg tablet 30 30
64 Eritromisin kapsul 500 mg tablet 70 70
66 Etanol 70 % btl 100 ml 1 1 2
71 Fitomenadion (Vit K) tablet salut gula 10 mg tablet 10 40 50
73 Fitomenadion (Vit K) injeksi i.m.2 mg/ml ampul 4 4
75 Garam Oralit serbuk 200 ml sachet 2 10 5 10 27
77 Gentian violet larutan 1 % btl 10 ml 1 1
78 Glibenklamida tablet 5 mg tablet 30 10 40
81 Gliseril Guaiakolat tablet 100 mg tablet 54 29 40 30 30 40 70 10 120 130 698 1251
83 Glukosa larutan infus 5% btl 500 ml 7 2 9
84 Griseofulvin tablet 125mg Micorinized tablet 40 20 10 10 50 80 210
85 Haloperidol tablet 1,5 mg tablet 360 360
90 Hyosicine-N-Butilbromide tablet 10mg tablet 170 170
92 Ibuprofen tablet 200 mg tablet 40 30 50 30 10 120 0 280
93 Ibuprofen tablet 400 mg tablet 236 236
100 Kaptopril 25 mg tablet 60 40 40 30 170
102 Ketokonazol tablet 200mg tablet 10 10 20
103 Kloramfenikol kapsul 250 mg kapsul 20 100 120
104 Kloramfenikol salep kulit 2 % tube @ 15 g 2 2
105 Kloramfenikol salep mata 1 % tube @ 5 g 2 7 9
108 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 80 79 0 0 100 70 110 30 100 120 1106 1795
111 Klorpromazin tablet salut 100 mg (HCl) tablet 180 180
114 Kotrimoksazol DOEN (dewasa) tablet 30 20 10 20 10 40 20 120 270
116 Kotrimoksazol suspensi btl 60 ml 3 3 2 7 15
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000
120 ampul
- 2 ml 1 2 2 3 17 25
128 Metformin HCl tablet 500 mg tablet 30 30
Metil Ergometrin Maleat (Metilergometrin) tablet
129 tablet
salut 0,125 mg 10 40 50
133 Metronidazol tablet 500 mg tablet 10 235 245
136 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g 7 7
_ Becefort sirup botol @ 60 ml 9 9
143 Natrium Diklofenak tablet 25 mg tablet 50 10 10 30 50 40 190
145 Natrium Klorida larutan infus 0,9% btl 500 ml 1 1
148 Nifedipin tablet 10 mg tablet 20 20
152 Obat antituberkulosis kategori 1 dewasa paket 3 3
158 Obat Batuk Hitam ( OBH Itra) btl 120 ml 4 4
160 Etil Klorida Spray btl 100 ml 1 1
161 Eugenol cairan Botol @ 10 ml 1 1
162 Glass Ionomer Cement ART set 1 1
174 Omeprazol kapsul 20 mg kapsul 20 20
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 8 3 1 2 2 3 1 17 37
179 Parasetamol tablet 500 mg tablet 185 95 100 20 90 70 90 80 70 170 2031 3001
183 Pirantel tab.Score (base) 125 mg tablet 6 10 20 36
184 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 0 0 15 0 0 0 130 145
189 Prednison tablet 5 mg tablet 20 10 30 40 50 150
194 Propiltiourasil tablet 100 mg tablet 70 70
195 Ranitidin tablet 150 mg tablet 20 10 10 80 20 550 690
199 Ringer Laktat larutan infus btl 500 ml 4 87 37 128
201 Salbutamol tablet 4 mg (sebagai sulfat) tablet 30 80 110
Salep 2-4,kombinasi : Asam sulfat 2 % +
203 pot @ 30 g
Belerang endap 4 % 1 1
204 Salisil bedak serbuk 2 % ktk 50 gram 1 1 3 1 1 1 8
210 Simvastatin tablet 10 mg tablet 70 10 10 10 70 394 564
212 Siprofloksasin tablet 500 mg (HCl) tablet 20 20
214 Tablet tambah darah : tablet 60 30 30 150 60 330
_ Livron B plex tablet 200 200
_ Ferrous Fumarate 180 mg, Folic Acid 400
mcg
tablet 20 50 156 226
218 Tiamin (Vit.B1) tablet 50 mg tablet 30 50 70 90 100 100 440
220 Triheksifenidil tablet 2 mg tablet 360 360
232 Vitamin B Kompleks tablet tablet 100 95 90 100 70 20 120 20 1148 1763
3 Alat suntik 3 ml set 1 10 6 5 7 4 33
4 Alat suntik 5 ml set 1 2 3
14 Aseptic Gel btl 500 ml 1 1
16 Blood Lancet ktk 100 pcs 21 21
19 Boule cleaning kit set (4 x 150 ml) 1 1
22 CutGut No. 3/0 dengan jarum bedah set 1 2 3 6
32 Folley Catheher 18 Set 1 2 3
36 HIV Test 1/2 3.0 ktk 100 tes 7 7
41 Infuset Anak set 2 2
42 Infuset Dewasa set 4 31 22 57
45 IV Catheter No. 20 G set 4 7 9 20
IV Catheter No. 22 G set 22 7 29
46
IV Canula without inj. Port & wings (22) set 0
47 IV Catheter No. 24 G set 2 6 8
51 Kapas pembalut 250 g roll 1 1
56 Kasa 4 x 15 cm roll 1 1
60 Kasa hidrofil uk. 36 m x 80 cm roll 1 1
66 Kantong urine steril 2L Pcs 1 2 3
67 Labstrip U11 Plus Urine Test Tube 150 strip 2 2
80 Lisol btl 1000 ml 2 2
81 Malaria Test Dos 25 tes 2 2
88 Object glass pcs 33 33
92 Penjepit tali pusat Buah 4 4
94 Plester hospital 2,5 cm x 4,5 m roll 1 1 1 3
96 Povidon iodida larutan 10 % btl 300 ml 1 1
97 Reagensia Ziehl Neelsen 100 ml/btl paket 6 6
115 Sarung tangan uk. 6,5 Psg 4 21 14 19 64 122
Silk (benang bedah sutera) no.3/0 dengan
123 set
jarum bedah 1 1 2
Mengetahui Gilireng, 30 Maret 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
BULAN : APRIL 2017
LAH
5 Alopurinol Tablet 100 mg tablet 40 0 10 30 30 10 409 529

12 Amlodipin tablet 5 mg tablet 20 406 426
14 Amoksisilin kapsul 250 mg kapsul 10 10 10 10 30 70
15 Amoksisilin kaplet 500 mg kaplet 100 40 100 30 60 60 20 60 150 1269 1889
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 1 1 1 5 17 25
20 Antasida DOEN Tab tablet 42 70 30 30 150 70 30 80 180 1071 1753
21 Antasida DOEN II suspensi btl 60 ml 1 7 8
27 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml 0 1 1
32 Asam askorbat (Vit.C) tablet 50 mg tablet 75 25 100 30 20 20 20 100 50 169 609
35 Asam Mefenamat kaplet 500 mg tablet 60 10 40 30 80 60 80 290 650
41 Betametason krim 0,1 % tube @ 5 g 2 4 2 18 26
43 Bisakodil suppositoria 5 mg Suppositoria 1 1
47 Deksametason tablet 0,5 mg tablet 50 25 30 30 30 90 419 674
49 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml 1 1
54 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul 1 0 1
64 Eritromisin kapsul 500 mg tablet 80 0 80
66 Etanol 70 % btl 100 ml 0 1 5 4 10
71 Fitomenadion (Vit K) tablet salut gula 10 mg tablet 10 55 65
77 Gentian violet larutan 1 % btl 10 ml 1 0 1
78 Glibenklamida tablet 5 mg tablet 10 25 35
81 Gliseril Guaiakolat tablet 100 mg tablet 35 20 60 10 10 70 11 70 70 386 742
83 Glukosa larutan infus 5% btl 500 ml 0 3 1 4
84 Griseofulvin tablet 125mg Micorinized tablet 60 40 50 150
89 Hidrokortison krim 2,5% tube @ 5 g 1 1 4 6
90 Hyosicine-N-Butilbromide tablet 10mg tablet 2 131 133
91 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 1 1
92 Ibuprofen tablet 200 mg tablet 30 10 10 80 20 30 20 120 276 596
93 Ibuprofen tablet 400 mg tablet 0 0 0 0 14 14
100 Kaptopril 25 mg tablet 10 20 20 15 20 30 40 35 190
105 Kloramfenikol salep mata 1 % tube @ 5 g 1 1 5 5 12
108 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 25 55 10 30 60 50 100 60 1131 1521
111 Klorpromazin tablet salut 100 mg (HCl) tablet 220 220
114 Kotrimoksazol DOEN (dewasa) tablet 20 10 30 10 10 30 20 230 200 560
116 Kotrimoksazol suspensi btl 60 ml 3 1 3 2 3 17 29
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2
120 ampul
ml 2 1 1 0 16 11 31
128 Metformin HCl tablet 500 mg tablet 30 65 95
132 Metoklopramide tablet 10 mg tablet 10 10 40 120 85 265
133 Metronidazol tablet 500 mg tablet 30 20 20 10 10 320 410
_ Becefort sirup botol @ 60 ml 1 12 13
143 Natrium Diklofenak tablet 25 mg tablet 80 10 10 30 60 190
145 Natrium Klorida larutan infus 0,9% btl 500 ml 1 1 0 2 4
147 N.B Topical Oint tube 5 g 1 1
148 Nifedipin tablet 10 mg tablet 150 0 150
152 Obat antituberkulosis kategori 1 dewasa paket 3 3
158 Obat Batuk Hitam ( OBH Itra) btl 120 ml 1 1
160 Etil Klorida Spray btl 100 ml 0 2 2
174 Omeprazol kapsul 20 mg kapsul 10 0 10
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 3 1 1 1 2 1 3 13 29 54
179 Parasetamol tablet 500 mg tablet 50 40 100 50 80 80 120 80 310 2126 3036
183 Pirantel tab.Score (base) 125 mg tablet 1 12 4 16 33
195 Ranitidin tablet 150 mg tablet 10 10 50 110 480 660
198 Retinol (Vit.A) 200.000 IU kapsul lunak kapsul 6 6
199 Ringer Laktat larutan infus btl 500 ml 0 170 72 242
201 Salbutamol tablet 4 mg (sebagai sulfat) tablet 15 30 110 155
Salep 2-4,kombinasi : Asam sulfat 2 % + Belerang
203 pot @ 30 g
endap 4 % 1 2 3
204 Salisil bedak serbuk 2 % ktk 50 gram 2 2 3 9 16
210 Simvastatin tablet 10 mg tablet 90 30 30 20 10 30 534 744
_ Livron B plex tablet 80 420 70 570
_ Ferrous Fumarate 180 mg, Folic Acid 400 mcg tablet 4 0 30 0 0 0 0 34
218 Tiamin (Vit.B1) tablet 50 mg tablet 10 20 110 100 100 70 370 780
221 Triheksifenidil tablet 2 mg (Arkine) tablet 390 390
232 Vitamin B Kompleks tablet tablet 50 100 100 80 120 70 60 70 100 1210 1960
233 Zinc Tab 20 mg tablet 10 40 30 50 130
3 Alat suntik 3 ml set 4 1 1 2 5 10 24 14 61
41 Infuset Anak set 4 10 14
42 Infuset Dewasa set 9 25 34
50 Iodinat Test btl 10 ml 3 3
67 Labstrip U11 Plus Urine Test Tube 150 strip 20 20
74 Larutan EDTA btl 100 ml 19 19
94 Plester hospital 2,5 cm x 4,5 m roll 3 3
96 Povidon iodida larutan 10 % btl 300 ml 1 1
114 Sarung tangan uk. 6 Psg 62 62
115 Sarung tangan uk. 6,5 Psg 2 28 50 80
149 Tip warna putih Pcs 2 2
150 Tip warna putih (kecil) Pcs 2 2
Mengetahui Gilireng, 30 April 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
BULAN : MEI 2017
PUSTU PUSTU POSKES POSKES PUSTU POSKES PUSTU PUSTU POSKES PUSTU KAMAR KIA/ RAWAT POLIK PROG PROG
NO. NAMA OBAT/ALKES SATUAN LAB UGD
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMIN POLEON LMT OBAT KB INAP GIGI imsasi TB
5 Alopurinol Tablet 100 mg tablet 10 10 30 10 30 60 492

14 Amoksisilin kapsul 250 mg kapsul 20 20 10 50 82
15 Amoksisilin kaplet 500 mg kaplet 100 30 110 70 50 30 80 260 1276
16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 1 4 2 1 5 7 10
21 Antasida DOEN II suspensi btl 60 ml 0 1 1 3 5 7 122

35 Asam Mefenamat kaplet 500 mg tablet 10 10 40 20 30 10 90 40 205
Becefort sir 12
Basitrasin salf 1
Suppositori
43 Bisakodil suppositoria 5 mg a
47 Deksametason tablet 0,5 mg tablet 40 70 40 10 10 30 50 330
Dekstrometorfan sirup 10 mg/5 ml
49 btl 60 ml
kombinasi
53 Diazepam tablet 2 mg tablet 50
Domperidon tablet 10 mg 181
Difenhidramin injeksi i.m 10 mg/ml
54 ampul
(HCl)
64 Eritromisin kapsul 500 mg tablet 70
66 Etanol 70 % btl 100 ml 1 1 3
Fitomenadion (Vit K) tablet salut gula
71 tablet 52
10 mg
77 Gentian violet larutan 1 % btl 10 ml 1 2
78 Glibenklamida tablet 5 mg tablet 10 10 10 10
81 Gliseril Guaiakolat tablet 100 mg tablet 20 5 50 40 110 20 80 90 486

83 Glukosa larutan infus 5% btl 500 ml 2 1
84 Griseofulvin tablet 125mg Micorinized tablet 20 20 160
85 Haloperidol tablet 1,5 mg tablet 270
89 Hidrokortison krim 2,5% tube @ 5 g 2 1
90 Hyosicine-N-Butilbromide tablet 10mg tablet 334
91 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 0
Kalsium laktat tablet 30 10 10 295

100 Kaptopril 25 mg tablet 20 20 10 15 20 90 55
102 Ketokonazol tablet 200mg tablet 20 10
103 Kloramfenikol kapsul 250 mg kapsul 80
Klorfeniramin Maleat (CTM) tablet 4
108 tablet 5 80 70 130 30 100 90 1198
mg
Klorpromazin tablet salut 100 mg
111 tablet 120
(HCl)
114 Kotrimoksazol DOEN (dewasa) tablet 20 10 40 10 20 50 70 362
116 Kotrimoksazol suspensi btl 60 ml 1 1 1 5 1 23
Lidokain injeksi 2% (HCl) + Epinefrin 1
120 ampul 2 3 10 11
: 80.000 - 2 ml
128 Metformin HCl tablet 500 mg tablet 140
Metilergometrin tab salut 0,125 mg tablet 30 15
Mikonazol krim/salep 2 % (Nitrat) 7
Loratadin tablet 10 mg 10
Livron B.Plex 320
143 Natrium Diklofenak tablet 25 mg tablet 10 10 10 10 70 70
Natrium Diklofenak Gel emulsi tube 13
145 Natrium Klorida larutan infus 0,9% btl 500 ml 1
147 N.B Topical Oint tube 5 g 1
Obat antituberkulosis kategori 1
152 paket
dewasa
174 Omeprazol kapsul 20 mg kapsul 270

Oksimetazolin tetes hidung btl 2
0,025%
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 1 2 2 1 6 2 29
183 Pirantel tab.Score (base) 125 mg tablet 12
Piridoksin (Vit B6) tablet 10 mg tablet 20 80 50 100 80
189 Prednison tablet 5 mg tablet 50 10 20 40 30 5
194 Propiltiourasil tablet 100 mg tablet 130
Polikresulen btl 1 1
195 Ranitidin tablet 150 mg tablet 20 10 50 30 815
Retinol (Vit.A) 100.000 IU kapsul
lunak 3
198 kapsul 11
lunak
199 Ringer Laktat larutan infus btl 500 ml 193 92
Salbutamol tablet 4 mg (sebagai
201 tablet 10 30 30 70 140
sulfat)
Salep 2-4,kombinasi : Asam sulfat 2
203 pot @ 30 g 3 0
% + Belerang endap 4 %
210 Simvastatin tablet 10 mg tablet 10 10 10 20 20 10 30 20 718
_ Livron B plex tablet 30 50
_ Ferrous Fumarate 180 mg, Folic
Acid 400 mcg
tablet 20 20 20 20 140
218 Tiamin (Vit.B1) tablet 50 mg tablet 60 30 70 430
221 Triheksifenidil tablet 2 mg (Arkine) tablet 300
232 Vitamin B Kompleks tablet tablet 40 40 100 100 70 30 70 110 70 1442
233 Zinc Tab 20 mg tablet 20 50 140
Alat suntik 2,5 ml set
3 Alat suntik 3 ml set 4 6 30 5 22

4 Alat suntik 5 ml set 2
Alat suntik 10 ml set 3
16 Blood Lancet ktk 100 pcs 57
41 Infuset Anak set 16
45 IV Catheter No. 20 G set 20
Kasa 4 x 5 cm roll 1
Masker set 21 24 16
CutGut Cromic SMI 3/0 HR 26 MM set 1 4
Kantong urine steril 2L set 1
Folley Catheher 18 set 1
94 Plester hospital 2,5 cm x 4,5 m roll 1 1 1 1 1
115 Sarung tangan uk. 6,5 Psg 2 3 22 1 50 20 20

Sarung tangan uk. 7 Psg 23
Oxygen refill 1m3 1

Etil Klorida Spray btl 100 ml 1
Eugenol cairan Botol @ 10 ml 1
Glass Ionomer Cement ART set 1
Silk (benang bedah sutera) no.3/0
dengan jarum bedah 3
Mengetahui Gilireng, 30 Mei 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
JUM
LAH
642
300
182
2006
30
1156
139
0
1126
455
0
12
1
21
0
580
0
50
181
0
70
5
52
163
3
40
0
901
3
200
270
3
334
0
510
0
345 40
230
30
80
11
1703
120
582
32
26
140
132
45
228
7
5
0
10
320
180
13
1
1
0
0
0
0
270
2
43
3686
12
155
130
3
925
11
285
280
3
10
848
80
220
590 1
300
2072
210
0
67
2
3
57
16
49
20
35
32
0
0
0
0
61
5
1
1
5
0
0
118
23
0
0
BULAN : JUNI 2017
PUSTU PUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWAT POLIK PROG PROG IMUNI JUM
NO. NAMA OBAT/ALKES SATUAN LAB UGD
LAH
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMINPOLEON LMT OBAT KB INAP GIGI GIZI TB SASI
1 Alopurinol Tablet 100 mg tablet 40 50 0 10 20 20 50 171 361

2 Amlodipin tablet 5 mg tablet 20 30 30 10 265 355
3 Ambroxol sirup 15 mg/5 ml btl 60 ml 2 3 1 6
5 Amoksisilin kaplet 500 mg kaplet 70 50 120 50 50 80 200 120 715 1455
6 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 1 1 3 1 4 1 6 17
8 Antasida DOEN II suspensi btl 60 ml 1 5 1 5 1 49 62
9 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml 0
11 Asam Mefenamat kaplet 500 mg tablet 10 10 20 10 10 70 230 360
Anagens sirup btl 60 ml 4 4
Antihemoroid DOEN supp @ 2 g 6 6
14 Betametason krim 0,1 % tube @ 5 g 1 1 5 1 2 2 12
Becefort syrup btl 60 ml 1 12 13
Basitrasin Salf tube 4 4
Suppositori
15 Bisakodil suppositoria 5 mg a 0
Ciprofloxacin 500 mg tablet tablet 160 160
16 Deksametason tablet 0,5 mg tablet 30 10 30 20 20 30 60 194 394
17 btl 60 ml
kombinasi 1 1
19 ampul
(HCl) 0
20 Domperidon tablet 10 mg tablet 15 170 185
21 Epinefrin (Adrenalin) inj 0,1 % ampul 1 1
23 Etanol 70 % btl 100 ml 3 1 4
Fenol gliserol tts telinga btl 5 5
24 tablet
10 mg 10 10 30 50
26 Gentian violet larutan 1 % btl 10 ml 3 1 1 5
28 Glimepiride tablet 2 mg tablet 0
29 Gliseril Guaiakolat tablet 100 mg tablet 0
31 Griseofulvin tablet 125mg Micorinized tablet 20 10 40 10 10 30 120
33 Hidrokortison krim 2,5% tube @ 5 g 2 1 7 10
34 Hyosicine-N-Butilbromide tablet 10mg tablet 5 10 87 102
37 Ibuprofen tablet 400 mg tablet 0
39 Kalsium Laktat 500 mg tablet 0
40 Ketokonazol tablet 200mg tablet 10 10
43 tablet 60 58 100 30 40 120 30 200 50 706 1394
mg
44 tablet 60 60
(HCl)
45 Kotrimoksazol DOEN (dewasa) tablet 30 10 20 10 120 60 200 450
47 ampul
: 80.000 - 2 ml 2 2 4 22 2 32
Livron B-Pleks tablet 395 395
48 Metformin HCl tablet 500 mg tablet 20 40 60
49 Metoklopramide tablet 10 mg tablet 20 33 53
51 Metil Ergometrin Maleat 0,125 mg tablet 20 1 65 86
52 Mikonazole krim 2% nitrat tube 1 1 6 8
56 Natrium Diklofenak Gel emulsi Tube 2 21 23
57 Natrium Klorida larutan infus 0,9% btl 500 ml 2 4 6
58 N.B Topical Oint tube 5 g 1 1
59 Nifedipin tablet 10 mg tablet 0
60 paket
dewasa 3 3
61 Obat Batuk Hitam ( OBH Itra) btl 120 ml 0
62 Etil Klorida Spray btl 100 ml 0
63 Oxytocin ampul 4 4
Oksimetazolin tetes hidung 0,025% Botol @ 10 ml 1 1
64 Omeprazol kapsul 20 mg kapsul 10 170 180
65 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 3 1 1 26 31
67 Pirantel tab.Score (base) 125 mg tablet 8 8
68 Piridoksin (vit B6) tablet 10 mg tablet 0
71 Polikresulen btl 1 1 2
72 Ranitidin tablet 150 mg tablet 40 10 50 30 30 40 30 20 50 590 890
73 kapsul 26 26
lunak
74 Ringer Laktat larutan infus btl 500 ml 0 5 165 59 229
75 Salbutamol tablet 4 mg tablet 30 30 10 123 193
76 pot @ 30 g
% + Belerang endap 4 % 0
79 Tablet tambah darah tablet 40 10 50 90 30 60 170 450
80 _ Livron B plex tablet 10 20 100 10 60 395 595
81 tablet
Acid 400 mcg 0
82 Tiamin (Vit.B1) tablet 50 mg tablet 30 10 40 10 50 50 80 330 600
Vaksin BCG serb inj. 0,75 mg/ml +
vial
pelarut
Vaksin campak serb inj. + pelarut vial
Vaksin kombinasi DPT-HB-Hib inj vial
Vaksin jerap difteri tetanus (DT) inj.
vial
40/15 If per ml
Vaksin jerap difteri tetanus pertusis
vial
(DPT) inj.
Vaksin jerap tetanus (tetanus
vial
adsorbed toxoid)
Vaksin polio t-OPV drops 10 dosis vial
Vaksin polio IPV inj. 0,5 ml vial
Vaksin rabies serb inj. 2,5 IU vial
Vaksin rabies serb inj +booster vial
85 Zinc Tab 20 mg tablet 10 10 10 40 10 65 145
87 Alat suntik 3 ml set 1 7 1 12 7 29 2 19 78
89 Aquagel steril jelly 82 gram tube 1 1
91 Cut gut np 3/0 dgn jarum bedah set 1 6 8 15
92 Etil Klorida Spray btl 100 ml 1 1
93 Eugenol cairan Botol @ 10 ml 1 1
94 Glass Ionomer Cement ART set 1 1
95 Infuset Anak set 3 9 12
97 IV Catheter No. 20 G set 6 2 9 17
100 Iodinat Test btl 10 ml 0
104 Labstrip U11 Plus Urine Test Tube 150 strip 0
105 Larutan EDTA btl 100 ml 22 22
106 Masker 3 ply T/O Lbr 7 9 16
107 Penjepit tali pusat 4 4
108 Plester hospital 2,5 cm x 4,5 m roll 2 2
109 Povidon iodida larutan 10 % btl 300 ml 0
110 Sarung tangan uk. 6 Psg 0
111 Sarung tangan uk. 6,5 Psg 2 17 28 4 70 16 20 157
112 Sarung tangan uk 7 Psg 2 2
113 Strip kolesterol strip 25 25
114 Tip warna putih Pcs 0
115 Tip warna putih (kecil) Pcs 0
Mengetahui Gilireng, 30 Juni 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
BULAN : JULI 2017
PUSTU PUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWATKAMAR POLIK PROG PROG


Suppositori

49 btl 60 ml
kombinasi

54 ampul
(HCl)

71 tablet
10 mg

108 tablet
mg
111 tablet
(HCl)

120 ampul
: 80.000 - 2 ml

152 paket
dewasa

198 kapsul
lunak

201 tablet
sulfat)
203 pot @ 30 g

_ Ferrous Fumarate 180 mg, Folic tablet

Acid 400 mcg
41 Infuset Anak set
Mengetahui Gilireng, 30 Juli 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
JUM
LAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BULAN : AGUSTUS 2017
IMUNI
SASI LAH
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMINPOLEON LMT OBAT KB INAP OK GIGI GIZI PTM

Ambroxol sirup 15 mg/ 5 ml btl 60 ml 5 4 26 35
12 Amlodipin tablet 5 mg tablet 20 10 304 334
Amoksisilin sirup kering 125 mg/5
16 btl 60 ml
ml 5 5 3 4 4 1 1 2 5 20 50
21 Antasida DOEN II suspensi btl 60 ml 5 3 1 2 1 3 41 56
Antihemoroid DOEN supp @ 2 g 22 22
Aqua pro injeksi steril, bebas
27 vial @ 20 ml
pirogen 0
32 Asam askorbat (Vit.C) tablet 50 mg tablet 201 80 70 40 40 60 100 20 524 1135
Asam askorbat (Vit.C) tablet 250 tablet
mg 15 15
35 Asam Mefenamat kaplet 500 mg tablet 80 10 70 50 200 150 560
Asiklovir tablet 200 mg tablet 10 20 30
Suppositori
47 Deksametason tablet 0,5 mg tablet 65 20 30 30 20 40 130 353 688
Deksametason injeksi i.v 0,5 mg/ml ampul

2 2
Domperidon tablet 10 mg tablet 20 30 132 182
49 btl 60 ml
kombinasi (Dextrofen) 1 1 1 8 11
54 ampul
(HCl) 0
Doksisiklin 100 mg kapsul 10 10
Etanol 70 % 1000 ml 0.5 0.5
66 Etanol 70 % btl 100 ml 1 2 3
Etil Klorida Spray btl 100 ml 1 1
Fenol Gliserol tetes telinga 10% botol 5 ml 1 2 3
Fitomenadion (Vit K) tablet salut
71 tablet
gula 10 mg 40 40
Furosemida tablet 40 mg tablet 10 10
77 Gentian violet larutan 1 % btl 10 ml 2 2 1 2 7
81 Gliseril Guaiakolat tablet 100 mg tablet 50 50
Griseofulvin tablet 125mg
84 tablet
Micorinized 20 20 50 20 20 10 140
Hyosicine-N-Butilbromide tablet
90 tablet
10mg 10 80 90
93 Ibuprofen tablet 400 mg tablet 0
100 Kaptopril 25 mg tablet 10 10 30 120 30 200
Kloramfenikol salep kulit 2 % tube @ 15 g 2 1 3 6
108 tablet
mg 165 80 100 10 80 110 20 1046 1611
Klorpromazin tablet salut 25 mg tablet
(HCl) 4 4
111 tablet
(HCl) 120 120
114 Kotrimoksazol DOEN (dewasa) tablet 50 10 30 20 10 40 20 182 362
Loratadin tablet 10 mg tablet 10 20 120 115 265
Lidokain injeksi 2% ampul 1 4 2 12 19
Lidokain injeksi 2% (HCl) +
120 ampul
Epinefrin 1 : 80.000 - 2 ml 1 2 3
Metilergometrin tablet salut 0,125
tablet
mg 10 30 40
133 Metronidazol tablet 500 mg tablet 10 10 40 10 200 270
Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g 1 3 4 8
_ Anagens sirup botol @ 60 ml 3 1 2 2 23 31
Corobion tablet tablet 30 60 90
Corovit tablet tablet 170 170
Natrium Diklofenak Gel emulsi Tube 1 6 7
147 N.B Topical Oint tube 5 g 4 1 2 6 13
N-asetil sistein kapsul 200 mg tablet 10 20 50 10 120 479 689
Oksitosin injeksi 10 IU/ml - ml ampul @ 1 ml 1 1
Oksimetazolin tetes hidung 0,025% Botol @ 10 ml 1 1
152 paket
dewasa 0
177 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 7 5 3 4 2 2 3 37 63
179 Parasetamol tablet 500 mg tablet 155 150 100 50 80 50 70 40 75 110 2246 150 3276
183 Pirantel tab.Score (base) 125 mg tablet 10 28 38
Piridoksin (Vit. B6) tablet 10 mg
tablet
(HCl) 0
Polikresulen cairan btl 10 ml 1 2 3
189 Prednison tablet 5 mg tablet 10 10 10 30 20 53 133
194 Propiltiourasil tablet 100 mg tablet 40 180 220
195 Ranitidin tablet 150 mg tablet 80 10 40 50 500 680
198 kapsul
lunak 13 13
199 Ringer Laktat larutan infus btl 500 ml 0 6 91 69 166
201 tablet
sulfat) 5 30 30 110 50 225
Salep 2-4,kombinasi : Asam sulfat
203 pot @ 30 g
2 % + Belerang endap 4 % 0
204 Salisil bedak serbuk 2 % ktk 50 gram 3 1 1 1 9 15
210 Simvastatin tablet 10 mg tablet 60 30 50 30 10 30 20 10 989 1229
_ Livron B plex tablet 20 80 30 70 40 10 110 490 850
Acid 400 mcg 70 180 20 30 90 390
Siprofloksasin tablet 500 mg (HCl) tablet 30 70 100
218 Tiamin (Vit.B1) tablet 50 mg tablet 50 30 30 30 20 20 50 120 530 880
Tiamin (Vit.B1) injeksi 100 mg/ml ampul 1 0 1
Zinc sirup 10 mg btl 1 1
Alat suntik 0,05 ml set 14 14
Alat suntik 0,5 ml set 97 97
Alat suntik 1 ml set 1 3 4
Alat suntik 2,5 ml set 3 1 4
3 Alat suntik 3 ml set 2 2 1 8 5 26 46 90
4 Alat suntik 5 ml set 1 4 15 20
Alat suntik 10 ml set 2 1 3
CutGut No. 3/0 dengan jarum
set 2 1 7 10
bedah
Safety box buah 1 1
Folley Catheher 18 Set 2 2
HbAsg test set 32 32
Kasa 4 x 15 cm roll 2 1 3
Kasa 4 x 3 cm roll 1 1
Kantong urine steril 2L Pcs 2 2
My Jelly 82 g btl 1 1
Penjepit tali pusat buah 1 1
Etakridin larutan 0,1% btl 1 1
74 Larutan EDTA btl 100 ml 0
Masker 3 ply E/L Lbr 3 24 27
Masker 3 ply T/O Lbr 5 5 24 34
94 Plester hospital 2,5 cm x 4,5 m roll 0.5 0.5
Silk (benang bedah sutera) no.3/0 set
dengan jarum bedah 1 1
RDT Test set 6 6
Surgical Blade No. 11 set 1 1
114 Sarung tangan uk. 7 Psg 3 73 76
Refil strip asam urat btl 25 strip 11 11
Refil strip glukosa btl 25 strip 10 10
Refil strip Hb btl 25 strip 0
Refil strip kolesterol btl 10 strip 53 10 63
Tes kehamilan (Ultraone) Strip 4 4
Urine strip 3 parameter btl/50 strip 8 8
HIV Test 1/2 3.0 ktk 100 tes 7 7
Aquagel Steril Jelly 82 gram Tube 1
Mengetahui Gilireng, 30 Agustus 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
BULAN : SEPTEMBER 2017

PUSTU PUSTUPOSKESPOSKESPUSTUPOSKESPUSTU PUSTUPOSKESPUSTU KAMAR KIA/ RAWATKAMAR POLIK PROG PROG

Suppositori

49 btl 60 ml
kombinasi

54 ampul
(HCl)

71 tablet
10 mg

108 tablet
mg
111 tablet
(HCl)

120 ampul
: 80.000 - 2 ml

152 paket
dewasa

198 kapsul
lunak

201 tablet
sulfat)
203 pot @ 30 g

Acid 400 mcg
41 Infuset Anak set
Mengetahui Gilireng, 30 Juni 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
95 Oksitetraciklin 3 % 1 1 2 3 7 14
96 Oksitosin inj. 0
97 Omeprazole 30 20 100 150
98 Paracetamol sirup 3 1 5 27 36
99 Paracetamol 500 mg 250 150 40 100 180 200 60 100 860 ###
100 Paracetamol drops 0
101 Phenilbutason
102 Pirantel Pamoat 125 mg 30 12 42
103 Piridoksin HCL 10 mg 10 10 40 100 20 201 381
104 Piroksikam 10 mg 10 10
105 Piroksikam 20 mg 0
106 Plester 0.5 0.5 1 2 4
107 Polikresulen 4 4
108 Povidon Iodida 0.5 0.5 2 3
109 Prednison 5 mg 40 20 90 40 70 260
110 Propilthiuracil ( PTU ) 100 mg 0
111 Papaverin 0
112 Ranitidin tablet 150 mg 30 30 375 435
113 Ringer Lactat Lar. Infus 67 67
114 Rivanol 0.5 0.5
115 Retinol 100.000 IU Kapsul 21 21
116 Retinol 200.000 IU Kapsul 11 11
117 Salbutamol 4 mg 50 40 20 50 20 20 100 300
118 Salep 2 - 4 kombinasi 2 2
119 Salicil Talk 4 1 1 5 4 2 17
120 Sianokobalamin tablet 50 mcg 140 140
121 Silk 6 6
122 Simetidin 200 mg 0
123 Simvastatin 60 40 20 40 30 198 388
124 Siprofloksasin tab. 500 mg 0
Superhoid suppositoria 14 14
125 Tablet tambah Darah 300 90 900 300 60 60 ###
126 Thiamin HCL 50 mg 40 40 160 10 60 285 595
127 Thiamin HCL inj. 1 1
128 Triheksifenidil 0
129 Taburia 0
130 Vit.B Kompleks tab. 150 150 70 40 100 180 10 70 872 ###
131 Vit A Merah 0
132 Vit A Biru 0
133 Zink 0
JUM
LAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
BULAN : OKTOBER 2017
PUSTU PUSTU POSKES POSKES PUSTU POSKES PUSTU PUSTU POSKES
NO. NAMA OBAT/ALKES SATUAN
PSLR BEKKAE ARJ POLEW ALAU ABBAT ABBAT MAMIN POLEON

Suppositori

49 btl 60 ml
kombinasi

54 ampul
(HCl)

71 tablet
10 mg

108 tablet
mg
111 tablet
(HCl)

120 ampul
: 80.000 - 2 ml

152 paket
dewasa

198 kapsul
lunak

201 tablet
sulfat)
203 pot @ 30 g

Acid 400 mcg
41 Infuset Anak set

Mengetahui
Kepala UPTD Pusk. Gilireng,
dr. Hj. Karmiladi, M. Kes

NIP. 19761231 200502 2 002
96 Obat Batuk Hitam 60 ml
97 Oksitetraciklin 1 %
98 Oksitetraciklin 3 % 8
99 Oksitosin inj.
100 Omeprazole 20 60 10
101 Paracetamol sirup 10 1 1 2 21
102 Paracetamol 500 mg 191 110 10 80 300 200 90 1735
103 Paracetamol drops
104 Phenilbutason
105 Pirantel Pamoat 125 mg 10 10 15 9
106 Piridoksin HCL 10 mg 10 60 80 10 188
107 Piroksikam 10 mg
108 Piroksikam 20 mg
109 Plester 1 1 1 1
110 Polikresulen
111 Povidon Iodida 1 1
112 Prednison 5 mg 10 30 20 30 40 268
113 Propilthiuracil ( PTU ) 100 mg 20
114 Papaverin
115 Ranitidin tablet 150 mg 20 70 10 530
116 Ringer Lactat Lar. Infus 2
117 Rivanol
118 Retinol 100.000 IU Kapsul
119 Retinol 200.000 IU Kapsul 4
120 Salbutamol 4 mg 20 30 20 150 30
121 Salep 2 - 4 kombinasi
122 Salicil Talk 3 3 6 4
123 Sianokobalamin tablet 50 mcg 50 40
124 Silk
125 Simetidin 200 mg 20
126 Simvastatin 100 10 30 60 40 178
127 Siprofloksasin tab. 500 mg 10
128 Superhoid suppositoria 20
129 Tablet tambah Darah 150 20 90 300 2 440
130 Thiamin HCL 50 mg 20 20 20 200 50 380
131 Thiamin HCL inj. 3
132 Triheksifenidil 60
133 Taburia
134 Vit.B Kompleks tab. 250 100 80 50 40 140 30 1180
135 Vit A Merah 10
136 Vit A Biru
137 Zink 20
PUSTU KAMAR KIA/ RAWAT KAMAR POLIK PROG PROG JUM
LAB
LMT OBAT KB INAP OK GIGI GIZI TB LAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Gilireng, 30 Juni 2017

Pengelola Obat,
H. Harpenas, S.ST, M. Kes

NIP. 19740504 199403 1 005
0
0
9 17
0
90
35
2716
0
44
348
0
0
1 5
0
1 3
398
20
0
630
97 99
1 1
0
4
250
0
16
90
5 5
20
418
10
20
1002
690
3
60
0
1870
10
0
20
BULAN : NOPEMBER 2017
LAH
1 Albendazol tablet 400 mg tablet
2 Alopurinol Tablet 100 mg tablet 30 10 30 30 30 20 30 60 487 727

3 Ambroxol tablet 30mg tablet 45 50 509 604
4 Ambroxol sirup 15 mg/ 5 ml btl 60 ml 6 6 4 1 2 2 2 3 23 49
5 Amlodipin tablet 5 mg tablet 40 10 20 30 10 45 40 235 430
7 Amoksisilin kapsul 250 mg kapsul 60 10 15 10 200 50 345
8 Amoksisilin kaplet 500 mg kaplet 190 70 150 110 230 70 90 50 80 100 1900 3040
9 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 4 1 3 1 2 1 1 2 9 7 13 44
10 Antasida DOEN Tab tablet 80 75 40 20 65 20 50 60 40 110 519 1079
11 Antasida DOEN II suspensi btl 60 ml 1 2 6 2 2 2 1 91 107
12 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml 0
16 Asiklovir tablet 400 mg tablet 10
17 Asiklovir krim 5 % tube 5 g 0
18 Antihemoroid DOEN supp @ 2 g 4 4
19 Betametason krim 0,1 % tube @ 5 g 1 3 5 3 1 2 5 20
Suppositori
21 Deksametason injeksi i.v 0,5 mg/ml ampul 1 1
22 Deksametason tablet 0,5 mg tablet 15 80 40 100 21 40 20 20 40 390 766
23 kombinasi
btl 60 ml
5 3 2 5 2 17
25 (HCl)
ampul
0
26 Domperidon tablet 10 mg tablet 5 20 10 184 219
27 Dextrose 5% btl 500 ml 12 12
28 Eritromisin kapsul 500 mg tablet 30 20 50
29 Etanol 70 % btl 100 ml 0.5 0.5
30 Etanol 70 % btl 1000 ml 1 1
31 Fenobarbital tablet 30 mg tablet 20 20
32 tablet
10 mg 10 20 100 130
33 fenol gliserol btl 1 1
35 Gentian violet larutan 1 % btl 10 ml 1 3 ; 4
36 Glibenklamida tablet 5 mg tablet 10 30 10 30 80
38 Gliseril Guaiakolat tablet 100 mg tablet 0
39 Glukosa larutan infus 5% btl 500 ml 0
40 Griseofulvin tablet 125mg Micorinized tablet 20 30 40 20 30 140
42 Hidrokortison krim 2,5% tube @ 5 g 1 1 2 1 2 7
43 Hyosicine-N-Butilbromide tablet 10mg tablet 20 10 180 210
44 Ibuprofen sirup 100 mg/ 5 ml btl 60 ml 2 2
45 Ibuprofen tablet 200 mg tablet 30 10 170 210
46 Ibuprofen tablet 400 mg tablet 20 70 30 10 20 20 60 150 380
47 Kalsium Laktat (Kalk) tablet 500 mg tablet 40 70 40 10 30 10 20 40 80 443 783
48 Kaptopril 25 mg tablet 20 20 4 10 50 0 30 10 144
49 Ketokonazol tablet 200 mg tablet 20 20 50 90
52 Kloramfenikol salep kulit 2 % tube @ 15 g 1 3 4
53 mg
tablet 86 125 90 50 40 39 80 40 150 80 1547 2327
54 tablet 0
(HCl)
55 Kotrimoksazol DOEN (dewasa) tablet 10 20 50 20 20 20 60 10 288 498
56 Kotrimoksazol suspensi btl 60 ml 4 4 4 2 2 1 1 2 37 57
57 : 80.000 - 2 ml
ampul
1 2 12 5 9 1 30
58 Loratadin tablet 10 mg tablet 49 90 139
61 Metilergometrin tablet 125 mg tablet 50 50
62 Metronidazol tablet 500 mg tablet 10 20 10 10 10 20 232 312
63 Mikonazol krim/salep 2 % (Nitrat) tube @ 10 g 3 1 2 1 7
64 Anagens sirup botol @ 60 ml 6 2 1 3 1 1 5 2 32 53
65 _ Becefort sirup botol @ 60 ml 1 3 7 11
66 _ Corobion tablet tablet 50 10 100 100 50 310
67 _ Bioron tablet tablet 20 90 110
68 Natrium Diklofenak tablet 25 mg tablet 30 30 20 40 20 160 20 320
69 Natrium Diklofenak Gel emulsi Tube 1 2 3
71 N.B Topical Oint tube 5 g 1 1 2 4
73 N-asetil sistein kapsul 200 mg tablet 50 40 50 30 20 60 398 648
75 dewasa
paket
0
79 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 4 3 2 1 3 22 35
81 Pirantel tab.Score (base) 125 mg tablet 7 5 8 12 32
82 Piridoksin (Vit. B6) tablet 10 mg (HCl) tablet 10 10 10 30 20 40 205 325
83 Prednison tablet 5 mg tablet 100 20 45 165
84 Propranolol 40 mg tablet 20 20
85 Propiltiourasil tablet 100 mg tablet 20 260 280
86 Polikresulen cairan btl 10 ml 1 4 5
87 Ranitidin tablet 150 mg tablet 30 20 50 30 10 10 845 995
88 kapsul 9 9
lunak
89 Ringer Laktat larutan infus btl 500 ml 341 341
90 tablet
sulfat) 30 55 20 10 10 10 40 140 315
91 % + Belerang endap 4 % pot @ 30 g
1 1 2 4
92 Salisil bedak serbuk 2 % ktk 50 gram 8 1 1 3 1 1 1 2 18
Btl @ 60
93 Setirizin sirup 5 mg/5 ml ml 5 5
94 Siprofloksasin tablet 500 mg (HCl) tablet 20 115 135
95 Simvastatin tablet 10 mg tablet 40 50 50 10 10 30 50 10 30 734 1014
96 _ Livron B plex tablet 50 60 80 200 10 20 10 60 90 580 1160
97 Acid 400 mcg
tablet
40 70 20 260 390
98 Sianocobalamin tablet 50 mcg tablet 20 10 30
99 Sianocobalamin injeksi 500 mcg 2 2
100 Tiamin (Vit.B1) tablet 50 mg tablet 30 40 30 20 30 40 60 80 390 720
104 Zink sirup 10 mg/ml btl 1 1
106 Alat suntik 2,5 ml set 3 8 11
107 Alat suntik 3 ml set 1 1 1 4 13 12 3 35
110 CutGut No. 3/0 dengan jarum bedah set 1 3 3 1 8
117 Kapas pembalut 250 g roll 0
119 Larutan EDTA btl 100 ml 0
120 Plester hospital 2,5 cm x 4,5 m roll 1 1 2 5 9
122 Safety box 5 lt kuning ktk 2 2
123 Sarung tangan uk. 7 Psg 2 17 70 89
125 Silk set 1 1
128 Masker 3 ply T/O Lbr 5 4 6 33 3 51
129 Masker 3 ply E/L Lbr 9 9
130 Penjepit tali pusat set 3 3
131 Kantong urine steril 2L Pcs 1 1
132 Foley catether 18 Pcs 1 1
133 Iliadin tetes hidung btl 1 1
Mengetahui Gilireng, 30 Nopember 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
BULAN : DESEMBER 2017
PUSTUPUSTU
POSKES
POSKESPUSTU
POSKESPUSTUPUSTU
POSKES
PUSTUKAMAR KIA/ RAWATKAMARPOLIK PROG PROG
IMUNI
SASI
PSLRBEKKAE ARJ POLEWALAU ABBATABBATMAMIN
POLEON LMT OBAT KB INAP OK GIGI GIZI TB

2 Ambroxol tablet 30 mg tablet 60 100 40 432
3 Ambroxol sirup 15 mg/ 5 ml btl 60 ml 1 1 1 1 2 10
4 Amlodipin tablet 5 mg tablet 50 10 10 30 50 120
5 Amlodipin tablet 10 mg tablet 40 60 91
Amoksisilin sirup kering 125
8 btl 60 ml
mg/5 ml 1 5 2 3 1 4 3 11
9 Antasida DOEN Tab tablet 100 50 10 110 40 50 50 40 90 312
10 Antasida DOEN II suspensi btl 60 ml 1 3 1 3 2 2 1 3 4 70
Aqua pro injeksi steril, bebas
11 vial @ 20 ml
pirogen 0
Asam askorbat (Vit.C) tablet 50
12 tablet
mg 100 30 100 60 60 40 30 120 30 390
15 Asiklovir tablet 200 mg tablet 30 10 150
16 Asiklovir tablet 400 mg tablet 0
17 Antihemorroid suppositoria Suppositoria . 4
18 Betametason krim 0,1 % tube @ 5 g 1 2 2 2 2 1
Suppositori
20 Burnazin salf tube
21 Deksametason tablet 0,5 mg tablet 23 30 20 95 54 40 20 20 20 409

Dekstrometorfan sirup 10 mg/5
22 btl 60 ml
ml kombinasi 1 1 1 5
24 Diazepam injeksi 5 mg/ml ampul 7
Difenhidramin injeksi i.m 10
25 ampul
mg/ml (HCl)
26 Domperidon tablet 10 mg tablet 40 30 20 110
27 Eritromisin kapsul 500 mg tablet 150
28 Etanol 70 % btl 100 ml 1 1 1
29 Etanol 70 % btl 1000 ml 1
Fitomenadion (Vit K) tablet salut
30 tablet
gula 10 mg 40
31 Furosemida tablet 40 mg tablet 10
33 Gentian violet larutan 1 % btl 10 ml 1 1 1
34 Glibenklamida tablet 5 mg tablet 20 20
35 Glimepiride tablet 2 mg tablet 40
37 Glukosa larutan infus 5% btl 500 ml 2

38 Griseofulvin tablet 125mg tablet 20 20 75
39 Haloperidol tablet 1,5 mg tablet 420
Hyosicine-N-Butilbromide
41 tablet
tab.10mg 15 110
43 Ibuprofen tablet 200 mg tablet 40 20 30 120
Kalsium lactat (Kalk) tablet 500
45 tablet
mg 10 20 30 30 20 40 10 80 125
48 Kloramfenikol kapsul 250 mg kapsul 50
49 Kloramfenikol salep mata 1 % tube @ 5 g 1 4 3 1 1 7
50 Kloramfenikol salep mata 3 % tube @ 5 g 2
51 Klorfeniramin Maleat tablet 4 mg tablet 108 30 140 195 74 70 30 145 60 1198
Klorpromazin tablet salut 100
52 tablet 120
mg
53 Klorpromazin tablet salut 25 mg tablet 60
54 Kotrimoksazol DOEN (dewasa) tablet 20 30 20 60 10 224
55 Kotrimoksazol suspensi btl 60 ml 3 1 1 4 2 5 4 15
56 Lidokain injeksi 2% ampul @ 2 ml 2 3 2 4 17
PUSTUPUSTU
POSKES
POSKESPUSTU
POSKESPUSTUPUSTU
POSKES
IMUNI
SASI
Lidokain injeksi 2% (HCl) +

57 ampul
Epinefrin 1 : 80.000 - 2 ml 0
58 Loratadin tablet 10 mg tablet 0
59 Metformin HCl tablet 500 mg tablet 50
60 Metil ergometrin 125 mg tablet tablet 70
62 Metronidazol tablet 500 mg tablet 10 40 20 10 160
63 Mikonazol krim/salep 2% nitrat tube @ 10 g 1 1 5
64 - Anagens sirup botol @ 60 ml 2 1 3 1 1 3 26
65 _ Becefort sirup botol @ 60 ml 1 30
66 - Corobion tablet tablet 50 20 100 60 50
67 _ Bioron tablet tablet 20 100 100 50
68 Natrium Diklofenak tablet 25 mg tablet 60 20 10 10
69 Natrium Diklofenak gel emulsi tube 5 g 2 1 1 24
Natrium Klorida larutan infus
70 btl 500 ml
0,9% 1 1
71 N.B Topical Oint tube 5 g 1 3 5
73 N-asetil sistein kapsul 200 mg tablet 50 30 110 30 10 20 80 70
75 paket
dewasa

79 paket
dewasa 3
80 Obat antituberkulosis kat. anak paket 2
81 Parasetamol sirup 120 mg/ 5 ml btl 60 ml 4 1 4 2 1 1 2 46
83 Pirantel tab.Score 125 mg tablet 4 8 20 8
84 Piridoksin tablet 10 mg (HCl) 20 10 30 30 150
85 Prednison tablet 5 mg tablet 10 20 20 155
86 Propiltiourasil tablet 100 mg tablet 170
87 Propanolol tablet 40 mg tablet 10
88 Polikresulen cairan btl 10 ml 1 1 1
89 Ranitidin tablet 150 mg tablet 40 10 50 20 20 10 556
90 Retinol 100.000 IU kapsul lunak kapsul 4
91 Retinol 200.000 IU kapsul lunak kapsul 12 14
92 Ringer Laktat larutan infus btl 500 ml 209
93 Salbutamol tablet 4 mg tablet 10 40 10 40 10 20 20 105
94 Salep 2-4,kombinasi : pot @ 30 g 1 1
Botol @ 60
95 Setirizin sirup 5 mg/5 ml ml 1 1
96 Sianokobalamin tablet 50 mcg tablet 20
97 Salisil bedak serbuk 2 % ktk 50 gram 1 1 1 4 2 1 1 24
99 Sianokobalamin tablet 50 mcg tablet 10
Siprofloksasin tablet 500 mg
100 tablet
(HCl) 20 30
101 _ Livron B plex tablet 20 70 100 40 20 10 60 40 425 2528
_ Ferrous Fumarate 180 mg,
102 tablet
Folic Acid 400 mcg 60 50 30 30 30 210
103 Tiamin (Vit.B1) tablet 50 mg tablet 70 30 40 20 10 20 60 345
Triheksifenidil tablet 2 mg
104 tablet
(Arkine) 420
107 Zinc sirup 10 mg/ml botol 100 ml 1 7
Zinc sirup 20 mg/ml botol 100 ml 7
108 Nasal drop botol 1
110 Alat suntik 2,5 ml set 7 4
111 Alat suntik 3 ml set 1 1 7 2 1 4 16 8 3 37 16
113 Aseptic gel btl 1 1
114 Alkohol swab ktk 100 lbr 114
PUSTUPUSTU
POSKES
POSKESPUSTU
POSKESPUSTUPUSTU
POSKES
IMUNI
SASI
116 Cut gut set 1 3 3

117 HbsAg fast test ktk 100 tes 19
118 HIV test 1/2 3.0 ktk 100 tes 16
119 Infuset Anak set 4
120 Infuset Dewasa set 38
125 Kapas pembalut 250 g roll 1 1 1 1

126 Kasa 4 x 5 cm roll 1
129 Masker 3 ply E/L lbr 10 100

130 Masker 3 ply T/O lbr 5 2 2 5 24 5 3 23
131 My Jelly 82 g btl 1

134 Penjepit tali pusat set 4
135 Tes kehamilan (Ultraone) Strip 3
136 Syphilis test Strip 17
137 Safety box 5 liter ktk 1 1 5
Reagentia Ziehl Neelsen 100
138 paket
ml/btl 5
139 Refill strip asam urat btl 25 strip 42
140 Refill strip glukosa btl 25 strip 23
141 Refill strip Hb btl 25 strip 23
142 Refill strip Kolesterol btl 10 strip 34
143 Sarung tangan uk. 7 Psg 3 18 21 40 61 23
144 Sarung tangan uk. 6,5 Psg 5 3 3
Mengetahui Gilireng, 30 Desember 2017


NIP. 19761231 200502 2 002 NIP. 19740504 199403 1 005
JUM
LAH
419
632
16
270
191
460
2354
30
852
90
960
630
6
190
0
4
10
2
0
731
8
203
7
0
200
150
3
1
40
10
64
3
40
40
0
2
115
420
3
125
4
210
240
365
135
110
50
17
2
2050
120
60
364
35
28
JUM
LAH
0
0
50
70
45
240
7
37
31
280
270
100
28
2
9
5
400
3
0
0
0
10
3
2
61
3250
40
240
205
170
10
3
706
4
26
209
255
2
2
20
35
677
10
50
3313
410
595
420
1877
50
8
7
1
15
11
96
16
2
114
70
JUM
LAH
7
19
16
4
38
19
32
28
0
4
1
18
0
110
69
1
0
1
4
3
17
7
5
42
23
23
34
166
11
0
0

Rekap. Obat Sub Unit

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Rekap. Obat Sub Unit

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REKAPITULASI PEMAKAIAN OBAT SUB UNIT

UPTD PUSKESMAS GILIRENG

BULAN : JANUARI 2017

PEMAKAIAN SUB UNIT

2 Obat Suntik KB I : inj depo

Medroxyprogesteron Acetat 150 mg 150 mg

3 Air untuk irigasi 1000 ml botol 1000ml

4 Albendazol tablet 400 mg tablet

5 Alopurinol Tablet 100 mg tablet

6 Alopurinol Tablet 300 mg tablet

7 Ambroxol tablet 30mg tablet

8 Ambroxol sirup 15 mg/ 5 ml btl 60 ml

9 Aminofilin injeksi 24 mg/ml ampul

10 Aminofilin tablet 200 mg tablet

11 Amitriptilin tablet salut 25 mg (HCl) tablet

12 Amlodipin tablet 5 mg tablet

13 Amlodipin tablet 10 mg tablet

14 Amoksisilin kapsul 250 mg kapsul

15 Amoksisilin kaplet 500 mg kaplet

16 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml

17 Amoksisilin sirup kering forte 250 mg/5 ml btl 60 ml

18 Ampisillin serbuk inj. i.v. 1000 mg/vial ktk 10 vial

19 Ampisilin sirup kering 125 mg/ 5 ml btl 60 ml

20 Antasida DOEN Tab tablet

21 Antasida DOEN II suspensi btl 60 ml

22 Anti Bakteri DOEN salep (Basitrasin-neomicin tube @ 5 g

24 Antihemoroid DOEN supp @ 2 g

26 Antiparkinson DOEN tablet tablet

27 Aqua pro injeksi steril, bebas pirogen vial @ 20 ml

28 Artemether injeksi 1 ml : 80 ml ampul

29 Asam asetilsalisilat tablet 80 mg tablet

30 Asam asetilsalisilat tablet 100 mg tablet

31 Asam asetilsalisilat tablet 500 mg tablet

32 Asam askorbat (Vit.C) tablet 50 mg tablet

33 Asam askorbat (Vit.C) tablet 100 mg tablet

34 Asam askorbat (Vit.C) tablet 250 mg tablet

35 Asam Mefenamat kaplet 500 mg tablet

36 Attapulgite tablet 600 mg tablet

37 Asiklovir krim 5 % tube 5 g

38 Asiklovir tablet 200 mg tablet

39 Asiklovir tablet 400 mg tablet

40 Atropin injeksi 0,25 mg/ml ampul

41 Betametason krim 0,1 % tube @ 5 g

42 Betametason tetes mata 1 mg/ml botol @ 5 ml

43 Bisakodil suppositoria 5 mg Suppositoria

44 Bisakodil suppositoria 10 mg Suppositoria

45 Dehidro Atemisin + Piperakuin (DHP) tablet

46 Deksametason injeksi i.v 0,5 mg/ml ampul

47 Deksametason tablet 0,5 mg tablet

48 Dekstrometorfan sirup 10 mg/5 ml btl 60 ml

49 Dekstrometorfan sirup 10 mg/5 ml kombinasi btl 60 ml

50 Dekstrometorfan tablet 15 mg (HBr) tablet

51 Diazepam injeksi 5 mg/ml ampul

52 Diazepam larutan rektal 5 mg/2,5 ml tube @ 2,5 ml

53 Diazepam tablet 2 mg tablet

54 Difenhidramin injeksi i.m 10 mg/ml (HCl) ampul

55 Digoksin tablet 0,25 mg tablet

56 Diltiazem HCl tablet 30 mg tablet

57 Dimenhidrinat tablet 50 mg tablet

58 Doksisiklin 100 mg kapsul

59 Domperidon tablet 10 mg tablet

60 Efedrin tablet 25 mg (HCl) tablet

61 Ekstraks Belladona tablet 10 mg tablet

62 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) ampul