RENCANA l<HUTUHi'N OaAT DAN lllMH P PUSKESMAS 1023

PUSl<£SMAS : lllONTO PERAIC

PEMAKAIAN RENuv u,
SISA STOIC 31 TOT AL JUMLAH
NO NAMAOBAT SATUAN
RAT A-RAT A ICRUTHAN KHUTUHAN
DIESEMlllEII PEMAICAIAN l< EBUTUHAN HAIIGA TOTAL HAAGA
Pl R BULAN TAHUN 10H
2022 TAHUNWU f AHUN Z02J
l 0 2l l/112

. b C d
•
I/
kete1Mdlun
a • h ll
bulan
h • (1 · d l I I ..
1 A,r un lu k ln leksi 1mou l/ vlal /bot ol l O ml 0 0 0 a
2 Air u n tu k lrurksl Bo tol 100 ml 0 0 0 J 0
3 A,r untu k in1 ek, I Bot ol 2,0 ml 0 0 0 0
4 Air unt u k ,n, eksl nmµ 20 m l am oul/ vr,1I/ bo t ol 0 0 0 r ()
s A11 untuk lru eksi amo 15 m l an, 011I/v rJl/ bn l ol ,~ m l 34 66 I l JJ 98 100 ,, 0
6 Alb en d azol su , o 200 mll/ 5 ml Bot ol 90 860 96 I 120 I 6JCJ 2 000 0
7 Alb ffl dazol tab 400 m Q t ab l~t / kao, ul l k•u let l 27 4 S 6 10 621 ll 220 9 946 9 .000 r 0
8 Alo ounn ol tab 100 m ~ l ab 1 74 5 9 300 l 0 13 18 600 16 855 20 000 0
9 Alo uun nol t a b 3 00 m il t ab let / k,111',1!, kaol~t 0 0 0 I 0
10 Arnln o fliin Int 24 m a/ml am oul /v,al JO m l 0 0 0 0
Jl Am ,n o filin t ab 15 0 m R t ab lPt /ka u sul , k•11 let D a 0 I 0
12 Am111 o f1h n T4 b 200 m o t,1blPlik,,u, 11 I kJo let 0 0 a I 0
13 Armt not, hn t ab sal 25 m il t ,1b let / ka11 ,u l/ L11 1l,,t 1 JO no 26 460 l ~O soo 0
14 Amlo d 1pl n t ab 10 m R t c1 bl e llk ,1 □ , ul ka1J let S Q5 ', 66 2 11 .9 10 11 910 12.000 0
JS Amlod lptn t ab 5 m i; t ab let / Lrn , u l ' • • □ l e t : 04 ~ 34 000 3 778 68 000 65 9~5 70 000 ,, 0
16 Am u k~lsi lln dr op s 100 m e/ ml Bot o l ,.;) J'., ml o 0 100 0
17 Am o uis tlln dro os 100 m 2/ ml Be t o / ,..i)20 ml 0 0 a u
18 Amoks lsd, n d r o o s 100 m p./ ml Bo tol ,a, 10 m l o 0 0 0

19 Am o h ,srl.,, "'fo r t e 250 m ;,J ~ ml botol 60 111 1 277 11 554 554 bOO 0
20 .l\mol<s, , il ,n sir kerin j! J 15 m ;,}5 m l Botol '9 458 Sl 9 16 837 900 I 0
t ablet . ,a o, ul , aole t 0 0 0 I (j
2J /l mo ks ,s, I111 t " l, 250 rn ~
22 Am ri k"si l,n t ab 500 m .: la bl et , ka os ul ,a c kt 2 1&2 17 8 38 1 98 2 35.676 33 5 14 3S 000 0
l3 Am n i<din , ,. , b rn J 1000 rm'/v1dl Jm o ul v1JI 0 0 0 n
14 <l.n 111 1.d111 ,t, rb m J :so m t: \ na l
1 V1d l s 1 10 lO 10 0

~., An,·' l et •~ lo , ol gig , ko rnbtn as , li do,atn hcl 2•, •

,.o, ri .- lr 111 l • 1 111)0 ,nr 1 m l
ampu l/v ,a l 69 584 65
1168 l 099 1 000 0

An t.u1 Uci1 kc1 rn b1nln 1 alu m, n ,um h1rl r o ks 1d a 2(10 m g t a blet / • •ps u I/ k d plet 5 493 17.337 1 926
.I 34 674 29 181 30 000 Q
• m ,, '"'""'" h rt1 nk<id~ >on m •
90 10
,, An t .u 1d i1 k o rnb 111 t1'>I alumin iu m h,dr o ks, da 20 0 m g botol 60 ml
180 180 200 0
t m..a.:- \# m h .. lrnk \lrl., 1 nn ma
- I
I
11,l)
I
I NAMA O BAT
SISASTOIC 31
DESEMBER
TOTAL
PEMAKAIAN

PEMAKAIAN
RATA•RATA
JUMLAH
KEBUTUHAN

RENCANA
KEBUTHAN KEBUTUHAN
HARGA TOTAL HAAGA
SATUAN TAHUN 2023
PER BUI.AN
2022 TAHUN 2022 TAHUN 2023
'022 20 23
• b
C d e
f/ 1 = hll
h=(1 - d) I I
"
k.terse dl ■■n bulan
j 1 ◄
\' • :n d:c, ser b )"-:, 0 0 0 I) 0
bo t ol / sachet
~ • nPral '-1,, tB1>muth \ ubc1trare Tripotu ,um 5.ichet 40 40 4
◄ j ~
'2ppl'r , utt ate. MagnPs,um Chlo ride Anhyd rous,
80 (' 0
,, o .... , " ·-••• m -n1_..., .,,.....,. 7 - - - ~,. ...... 1 ..,,
1'4 · .ise•T d s st~in ka o s 200 m ~
:i
tab ll't/k a o su Ilka o let 1 473 14 268 1 585 28.536
80
27.063'° 30.000 II 0
., : ►,
'\ia'.:1 C, ,;Ft, La ru t a n 90 70 80 r, 0
Soto/ /lil lOOml 20 40 5
l • 'H(I O ':1 , l,Hutan . 0 0 0 0 I)
Bot ol (lil l .000 ml
3. ,s •iaCI J ~-, Laru rar, Sot o / 1@250 ml . . 0 0 0 0 0
;~ 0 0 0 [l 0
';d( ' J 'J''. larutan Am ou l/botol @ 10 ml
.. 'Ja: I fl 9° La ,uta n Botol /lil25 ml
. 0 0 0 u 0
200 22 400 380 400 0 0
• J ,.,:, 0 9', La r utan Botol /li>SOO ml 20
.. - .
"} ") . 0 0 0 tJ 0
•.~Cl 3'o Laru to1n Botol olastl k /li>SOO ml
1.510 1.510 2.000 0 0
'- • -1
~ ·,~ Lr•um d rk lofenak t.ib 25 m 11
•, .. tnum d 1klofen ak tab 50 ml!
tablet salut enterlk/kaolet
tablet salut enterlk/kaolet 2.190
755
3.810
84
423 7.620 S.430 5.000 0 0
_; :, Na tr ,um DJ~/o f en ak T~es Mata l m v m l bot ol 5 ml . . . 0 0 0 0 0
. 0 0 0 0 0
, '6 Natr·urn h ro o klor lt ca,ran koment rat 5% Botol
>P Amoul . . . 0 0 0 0 0
N.at num tro suffat lni 2 5'h II v. l
tablet /kaosul/kaolet . - . 0 0 0 0 0
3i! l'Hi, orao•n til b .200 m11
2.160 2.000 0 0
3_9 N~ed1oln i{aos 10 m 11 tablet/k.aosul/kaolet - 1.080 120 2.160
. - 0 0 0 u 0
HO N•s1a l ,n S USD 100 000 Ul/ml bot ol/vlal
. 0 0 0 u 0
3 .H N1• tar,n ta b s.a/u t SOO 000 UI tablet salut 11.ula /kaolet sal•
0 -100 0 0 0
N•st.11,n ta b va1?1n a/ 100 000 UI tablet/ kaolet 100
◄ I l
0 0 0 0 0
l•3 Noreo,ne fn n 1n l l m 11./ m l am oul/ v,al
oaket
. 0 0 0 0 0
!4 0 1.Jat Anl1 Tuberculosrs FDC Katel1o ri Ana k 0
5 62 7 124 119 120 I)
j ◄', C'b.i1 Antr f uberculos1s FDC Kate11ori I oaket
o aket l 0 2 2 2 a 0
0
36 Oba r ~ntr Tu b er culosis FDC Kat e11o ri II I] 0
. 0 0 0
, ~ I Obar An 11 Tu b~r cu los ,s FDC ~a t el!ori S,s, oan o aket ,,
. . 0 0 0 u
Uba t tint , Tuber cu /osrs l<'omb,oak A n ak Paket
➔ .ill . 0 0 0
oaket 0 0
3:.i9 Cbdt /\ri t, Tuber culo sis Ko mb10ak Dewa, a
Botol
. 0 0 0 0 0
41J • , , er, ,h li(as d im ta bu n'1 I; 0
0 0 0
41 '.!•~• "'"''azo l,n rts h1d u n11 0 0 25% b otol (cv 10 m l
0 0 0 /I 0
'.JL r , • rr, o• ~r,lin !ts h,dung 0,05/J°~ b otol @) 10 m l
107 12 214 176 200 rJ 0
1ube 38
'.l j • • ••er, •. ,, 11,, J ,; Sa lee Ma t a 0
am o ul/vral 120 380 42 760 640 700 I)
!4 ~ • , 1,,~ 11 ,n , JIJ IJl/ m l
. 0 0 0 .J 0
~, ,. .,...,or .JtJ r. rt \ mata O 1''1, Boto l
. . . 0 0 0 ri 0
~': mepdl' , , ., <IIJ m,Jl'J m l am oul/ vla l
16.466 13.713 1S.000 0
ta ble t / ka o su l/kao let 2.7 53 8 233 91S
~ ' .. -~p ra :'> ,,.µs,'Jm11
-
 PEMAICAIAN RENCANA
SISA STOI< 31 TOTAL JUMLAH
►
I ~o
NAMA OBAT SATUAN D£SEMBER
2022
PEMAICAIAN
TAHUN 2022

RATA-RATA
PER BULAN
2022

KEBUTUHAN
TAHUN 2023

KEBUTHAN
TAHUN
2023

KEBUTUHAN
2023
HA..G.A TOTAlHU GA
I
• b C d e
f/ 1•fxll h=(1-dl I J .
keterMdl■■n bulan
0
SJ K.is a pembalut 2 m x 80 cm Pcs . . . 0 0 0 0
0
108 100 0
S4 Ka~a pem b .i lut h1drof1I 40 x 80 roll . 48 6 108
0
108 100 0
ss Kas .i 16 cm ,c 16 cm kotak . 20 6 108
(1 0
. . . 0 0 0
56 t<.as a 18 cm x 22 cm PCS 0
2.880 3 .000 0
57 Ko lest er o l test stri p Pcs . 1.120 160 2.880
30 0 0
SB l 1rnl Botol 1000 ml . . . 0 0
0
. 0 3 0
59 Ma lari a !t'St Kotak . . 0
0 0
580 580 1.000
60 Ma sker Hqd b Box 290 32 0
1.420 1.000 0
. 710 79 1.420
61 M ;;i~ ker fa 1loop Box 50 0 0
360 600 67 1.200 840
52 M .» i-N N95 Box 50 0 0
. 20 2 40 40
63 MJ ,ker Ok shzen An.ik Buah so 0 0
Buah
. . 0 0
64 M.isker Oks111en Bavi 44 44 50 0 0
Buah - 22 2
E,S M11 sker Oksl&1en Oewua 0 0 0
66 Ob 1ek j;!lau frosted Box/ 72 DCS . - - 0 0
100 0 0
. 20 3 60 60
67 Q,cygen u nula Anak Buah 0 0
. 4 66 66 100
Buah 22
68 OicY11.en Ca nula Oewasa 1.200 1.200 600 0 0
Pcs . 600 67
69 Penle o lt ta lu Pusat (Umblllcal Clamp) 64 S4 50 0 0
roll 10 32 4
70 Ple \ ter . 600 0 0-
Box/200 . - 0 0
71 Plesterln Bulat . . . 0 0 0 0 0
Pot Oahak 7 cm x S cm lpcs
72 360 40 720 560 400 0 0
Pcs 160
73 Pot soutum st en l . . 0 0 0 0 0
Paket -
74 Rea2en ZN 88 100 0 0
IDCS 44 5 88
7!, St1 lfltV box 216 200 a 0
pcs - 36 12 216
Silk 3/0 75 cm . l / 8CC, 19 mm
76
set - - . 0 0 0 a 0
71 S.oons 11e l,,t ln
Tamli ,l ~n g ig se m entara set - . . 0 0 0 v 0
711
79 I JonbA ldn GIRi set - - 0 0 0 0 0
'ocs - 500 56 1.000 1 .000 1.000 0 0
RO Tr<! C.u ln ng,m darah ( l set = 100 ocs )
pcs - 800 89 1.600 1 .600 1.500 \I 0
81 Tt's t Kt" hdmila11 ( l set = SO pcs)
82 l• fo ,d tt- , t !pcs - - - 0 0 300 ~ 0
IH Ullr~ \o nic Gel 2', 0 ml (U SG ) Bot ol - 13 1 26 26 so 0 0
84 Und t- r p~ d 60 • 90 cm bungkus 26 3 52 S2 600 0 0
R'> Uron ~ bd ll P CS - 19 3 57 57 20 0 0
P.6 W•d~I l t>\t ( 1 s~! z 100 pc~) lo cs - 500 56 1.000 1.000 600 r_l 0
. - 0 0 0 u 0
KOLOM TAMBAHAN . . - 0 0 0 I,) 0
- . - 0 0 0 ,) 0
 -
SISA STOIC 31 PEMAKAIAN RENCANA
!VO NAMAOBAT TOTAL JUMLAH
SATUAN DESEMIER PEMAKAIAN RATA-RATA ICEBUTHAN
I 2022 TAHUN 2022
PERBUlAN
ICEBUTUHAN
TAHUN 2023
TAHUN
kEIUTUHAN
2023
HARGA TOTALHAIIGA
2022 2013
f• OB.AT NON FORNAS

b
C d e
f/
kl!tersedl■■n
I" h 18
bulan
h=(1-d) I I It
r' l ► 0ba;am
1
- - - 0 0 0 ,, 0
I : Tr tlo u roe r az, ne ~ ll'H1 - - - 0 0 500 0 0
I
3 T· heh,fen ,d ,I ta b 2 m ~ - 170 60 1.080 1.080 LOOO 0 0
r -I S,~:c-n.Jat ,n1 ek s1 312 1.633 181 3.266 2.954 3.000 0 0
S Pa r ~,-:-tam o l 1n fu s - - - 0 0 20 0 0
' E,.i>13h, ; t ,n mt> s1l at 5 m g
- - - 0 0 so 0 0
· ~12- r.imft:- n ,~o l , 3\e o kuht 2%
- - - 0 0 1.000 0 0
72 245 27 490 418 500 0 0
B C ,:,,1n r a,1• li n kri m k ul rt 3%
q B,.: ,;.,L~~UH O N Rel
- - 0 0 200 0 0
.- - 48 5 96 96 100 (' 0
., - , .• r .· ,o nol o n t o1ca l or aba~e ( IC ENALOG)" so
- 24 3 48 48 0 0
11 Ft> r,c,I Gil serol Tet es Telln11a Botol 40 10 5 90 so so 0 0
: 2 Ht rb a A.s,m or Kaoll!t 0 360 360 6.480 6 .480 600 0 0
Kom btl" U I . 15on l.itld 300 mg + Ripafentlne 300 mg Tab 0 363 121 2.000
13 2.178 2.178
14 M e<' ifore d n l~olo ne 4 m l! Tab 0 1238 3095 5.571 5.571 5 .000
Klora m fen 1k ot 500 m1 374 42 748 748 1.000
Vita mi n D3 1000 0 10800 1.200 21.600 21.600 20.000
Bet ah1sti n mei llat ublet 24 mg - 0 0
INH-C\ •fape ntin TPT 368 41 736 736 736
Tl. berc uhn TB 7 1 14 14 14
M DT Mb Dewasa 4 1 18 18 18
Kto rhe k.s 1d 1n Gel Sar iawan 1 1 9 9 10
8MHP DAN BAHAN GIGI - - - 0 0 0 0
: ':, •u.i '/ 11 f l p in k, 1 pi nk A3 ) Bo x - 0 2 2 0 0
2 S .fu11 1/ I N a rna A3 ) Box - - 0 2 2 0 0
3 --:..i 1~1n o l / H ( d ea l Box - - 0 1 1 1, 0
4 '_ H ~M Boto/ - - 0 1 1 II 0
5 Ce~t! rr; n / rs Bot o l - - 0 2 2 0 0
6 C,e~1,n (r;n d 111 0ne r Lt ri u 1d 25 11 Bot o l - - - 0 1 1 ,., 0
7 l•e ,,1 ;;l•s-~, Pulp . Tube - 0 1 1 (; 0
II t.lr,,_li r ~o ra , Botol - - . 0 s s 0 0
~
r,
T1j r, ~~, tl"lil 'i t "'s.1
~

Gel
,moo111 LJ11h t Cur ed Ant enor A2
Botol - - 0 1 1 'J 0
Tube - - 0 1 1 0 0