REKAPAN Pemakaian Obat

BUKU BESAR PEMAKAIAN OBAT
APOTIK, PUSTU, IGD DAN LABOR
BULAN: Januari 2023

STOK OBAT MASUK PERSE
NO NAMA OBAT Satuan AWAL NO DIAAN APOTEK IGD KIA GIGI LAB IMUN AMPALU
JML TGL SUMBER EXP PUSKEL
ISASI
BATCH
OBAT / ALKES P K D
1 Acetosal Tab 80 mg tab 0 0

2 Acetyl Sistein tab 3429 3429 351 62
3 Acyclovir Tab 200 mg tab 0 0
4 Acyclovir Tab 400 mg tab 0 200 20/01/2023 IFK 200
5 Acyclovir Krim tube 13 13 5
6 Alprazolam tab 0.5 mg tab 0 0
7 Allopurinol tab 100 mg tab 770 770 90 40
8 Allopurinol tab 300 mg tab 0 0
9 Ambroxol tab tab 0 0
10 Ambroxol syr btl 0 0
11 Aminophylin inj ampul 0 0
12 Aminophylin tab tab 1310 1000 20/01/2023 IFK 2310 151 20 50
13 Amitriptilin tab tab 80 80
14 Amlodipin tab 5 mg tab 660 1500 20/01/2023 IFK 2160 600 40
15 Amlodipin tab 10 mg tab 2450 2450 250
16 Amoxicilin dry sir btl; 68 100 20/01/2023 IFK 168 9 1 2
17 Amoxicilin kap 500 mg kaplet 3502 3502 390 5 110
18 Antasida DOEN sirup btl 0 0
19 Antasida DOEN tab tab 2975 2000 20/01/2023 IFK 4975 356 160 90
20 Anti Bakteri salf pot 0 0
21 Anti Fungi Doen [WF]slp Pot/30g
35 35
22 Anti Haemorhoid Suppos suppos 0 0
23 Anti Migren D komb tab 50 50
24 As.Ascorbic Tap 50 mg (Vit C) tab 242 3000 20/01/2023 IFK 3242 288 83
25 Asam Folat Tab 1 mg tab 0 0
26 Asam Mefenamat 500 mg tab 3437 3437 365 60 100
27 Asam Traneksamat Injeksi ampul 0 0
28 Asam Traneksamat Tablet tab 0 0
29 Attapulgit Tab tab 0 0
30 Atropin Sulfat Tab tab 0 0
31 Atropin Sulfat Injeksi ampul 0 0
32 Betahistin Tab tube 0 0
33 Betametason slp tube 44 44 4 3 1
34 Bisakodil Suppos suppos 0 0
35 Carbamazepin 200 mg tab 220 300 20/01/2023 IFK 520 70
36 Cetirizin Tab tab 1550 2000 20/01/2023 IFK 3550 536 101
37 Cetirizin Sirup btl 0 0
38 Combivent 2.5 ml vial 0 0
39 Dexametason inj ampul 8 8
40 Dexametason tab 0,5 mg tab 610 3000 20/01/2023 IFK 3610 220 20
41 Diazepam tab 2 mg tab 200 200 4
42 Diazepam inj 10 mg ampul 0 0
43 Diazepam Rectal 5 mg buah 0 0
45 Difenhidramin inj ampul 0 0
46 Digoxin tab 0,25mg tab 90 200 20/01/2023 IFK 290 30
47 Diltiazem Tab tab 0 0
48 Dimenhidrinat Tab tab 0 0
49 Domperidon Tab tab 322 322 46 50
50 Domperidon Suspensi btl 0 0
BATCH ISASI
51 Doksisiklin Tablet tab 0 0

52 Efedrin tab 25 mg tab 0 0
53 Epinefrin inj ampul 0 0
54 Erytromisin Kap 250 mg kap 0 0
56 Erytromisin Sirup btl 0 0
57 Etambutol 500 mg tab 0 0
58 Etil Klorida botol 2 2
59 Ergotamin Coffein 1 mg tab 0 0
60 Eugenol Cairan btl 0 0
61 Extrac Belad 10 mg tab 0 0
62 Fenitoin Na kap 100 mg kap 0 0
63 Fenobarbital tab 30 mg tab 220 220 130
64 Fenobarbital Injeksi ampul 0 0
65 Fenol Glyserol Lrt TT btl 9 9
66 Fitomenadion inj ampul 25 25
67 Fitomenadion tab 10 mg tab 788 788 20 15
68 Fluphenazine decanoat inj ampul 0 0
69 Furosemid tab 40 mg tab 83 83
70 Furosemid Injeksi ampul 0 0
71 G Guayakolat tab 100 mg tab 0 0
72 Garam Inggris (Mg So4) Bks/50 0 0
73 Garam Oralit 200ml sace 490 490 28 15
74 Gentian Violet lrt btl 25 25 1
75 Gentamicyn injeksi ampul 0 0
76 Glass Ionomer (ART) set 1 1
77 Glibenklamid tab 5 mg tab 450 450 130
78 Glimepiride Tab 1 mg tab 0
79 Glimepiride Tab 2 mg tab 1150 1150 190
80 Glukosa 5% infus btl 0 0
82 Griseofulvin tab 125 mg tab 0 0
83 Griseofulvin tab 500 mg tab 314 314 40
84 H C T tab 25 mg tab 127 127 60
85 Halloperidol tab 1,5 mg tab 2000 2000 390
86 Halloperidol tab 5 mg tab 0 0
87 Halloperidol Injeksi ampul 2 2
88 Halloperidol Decanoat inj ampul 0 0
89 Hidrokortison slp 2,5 % tube 44 44 4
90 Ichtyol Salep pot 13 13
91 INH Tab 100 mg tab 300 300
92 I N H Tab 300 mg tab 130 130 60
93 Ibuprofen 200 mg tab 2723 2723 96 110 100
94 Ibuprofen 400 mg tab 2276 2276 78
95 Ibuprofen Suspensi btl 4 4
96 Isosorbid DNT tab 5 mg tab 0 0
97 K O D E I N Tab 10mg tab 0 0
98 K O D E I N Tab 20 mg tab 0 0
99 Kal Permngnas kristal pot 17 17 1
100 Kals Hidroksida Pasta tube 0 0
101 Kals lactas tab 500 mg tab 2514 2514 330 25 50
102 Kaptopril tab 25 mg tab 0 0
103 Kaptopril tab 12,5 mg tab 200 200 200
104 Ketokonazol Tab tab 1160 1160 60 10 20
105 Ketokonazol krim tube 10 50 20/01/2023 IFK 60 4 1
106 Kinin tab tab 0 0
107 Kloramfenicol kap 250 mg kap 0 0
BATCH ISASI
108 Kloramfenicol SK tube 20 20 7 1

109 Kloramfenicol SM 1% tube 0 0
110 Kloramfenikol TM 0.5 % btl 0 0
111 Kloramfenicol TT 3% btl 16 16 1
112 Kloramfenicol Suspensi btl 0 0
113 Klorfeniramin Mal Tab 4mg tab 4271 2000 20/01/2023 IFK 6271 122 68 200
114 Klorpromazin inj 25mg/ml ampul 0 0
115 Klorpromazin tab 100 mg tab 2000 2000 380
116 Kotri tab 480 mg tab 2290 2290 10 20
117 Kotri suspensi btl 0 0
118 Levetran Zalf pot 0 0
119 Lidocain comp inj ampul 63 63 5 5 1
120 Loratadin Tablet tab 467 467 16
121 Megotrin inj 0,2mg-1ml ampul 0 0
122 Megotrin tab 0,125 mg tab 0 0
123 Metformin Tab tab 1865 1865 540 20
124 Metoklopramid Tab tab 0 0
125 Metronidazol 250 mg tab 0 0
127 Mg SO4 40 % btl 0 0
128 Mg SO4 20 % btl 0 1 20/01/2023 IFK 1
129 Mikonazol Krim tube 5 48 20/01/2023 IFK 53 4
130 Na Bicarbonas tab 500 mg tab 1154 1154 40 50 60
131 NaCl 0,9% infus btl 34 34
132 Na. Diklofenak Tab 25 mg tab 0 0
133 Na. Diklofenak Tab 50 mg tab 780 1000 20/01/2023 IFK 1780 620 110
134 Nifedipin tab 0 0
135 Nistatin tab tab 0 0
136 Norit tab tab 0 0
137 O B H Sirup btl 0 0
138 Oksitetra SK 3% tube 20 20 3
139 Oksitetra SM 1% tube 0 0
140 Oksitosin inj ampul 23 23
141 Omeprazol Kap kap 420 500 20/01/2023 IFK 920 75
142 P T U tab 100 mg tab 0 0
143 Papaverin tab 40 mg tab 0 0
144 Parasetamol tab 500 mg tab 12410 12410 962 120 230
145 Parasetamol Sirup btl 50 100 20/01/2023 IFK 150 9 1 5
146 Pirantel Pamoat tab 125 mg tab 36 36
147 Piridoxin [B6] tab 10 mg tab 3166 3166 145 30 120
148 Piroksikam 20 mg kap 526 526 25
149 Prednison tab 5 mg tab 2747 2747 210 50 70
150 Primaquin Tab tab 0 0
151 Propranolol tab 10 mg tab 0 0
153 Pyrazinamid tab 500 mg tab 0 0
154 Ranitidin Tab tab 500 500 150
155 Rifampisin 300 mg kap 0 0
158 Ringer Lactat infus btl 34 34 1
159 Risperidon tablet tab 700 700 90
160 Salbutamol Tab 2 mg tab 617 617 20
161 Salbutamol Tab 4 mg tab 0 0
162 Salep 2 - 4 Komb pot 18 18
163 Salisil Bedak 2% buah 17 17 2
164 Serum A B U inj vial 0 0
BATCH ISASI
165 Serum Anti Tetanus inj1500 IU ampul 4 4

166 Sianokobalamin Tab tab 0 0
167 Simetidin tab 200 mg tab 1614 1614 240 16 20
168 Simvastatin Tab 10 mg tab 625 625 116 30
169 Simvastatin tab 20 mg tab 0 0
170 Siprofloxasin kap 500 mg tab 2900 2900 154
171 Spironolacton Tab 25 mg tab 744 744 16 48
172 Spon Gelatin buah 0 0
173 Sulfa setamid TM 5% btl 0 0
174 Tablet + DARAH / Hemafort tab 5050 5050 550 10 90
175 Temporary Flecher [ Caviton ] set 0 0
176 Tetra kap 250mg kap 0 0
178 Tiamin (B1) tab 50mg tab 2980 2980 110 50 120
179 Trihexi Fenidil tab 2mg tab 1800 1800 390
180 Vaksin Rabies Vero set 0 0
181 Verapamil Tab 80 mg tab 0 0
182 Vitamin A 200 000 kap 1640 1640 6
183 Vitamin A 100 000 kap 50 50
184 Vitamin B komplex tab tab 3914 3000 20/01/2023 IFK 6914 740 170 60
185 Zinc Tab tab 1040 1040 20
186 Zinc Sirup btl 3 3
187 Biomereux 1/ 2 buah 0 0
188 Oncoprobe buah 0 0
189 FDC I paket 0 4 20/01/2023 IFK 4
190 FDC kategori II paket 0 0
191 FDC Anak paket 0 1 20/01/2023 IFK 1
192 Reagen TB paket 1 1
193 RDT Malaria buah 0 0
194 Reagen Malaria buah 0 0
195 SD HIV buah 139 139 24
196 Vaksin BCG ampul 9 9
197 Vaksin Campak vial 0 0
198 Vaksin DT vial 2 2
199 Vaksin DPT HB HIB vial 18 18
200 Vaksin HB Unijeck buah 23 23
201 Vaksin Polio vial 24 24
202 Vaksin Td vial 9 9
203 Vaksin Polio IPV vial 12 12
204 Vaksin HB Ig buah 0 1 4/1/2023 IFK 1
205 Vaksin Campak Rubella vial 16 16
206 Pelarut Campak Rubella vial 16 16
207 Safety Box 2.5 L buah 0 0
208 Safety Box 5 L buah 20 20
209 Albendazol 400 tab 3200 3200
210 Vagina Spekulum pcs 484 484
211 Mineral Mik kotak 0 0
212 VTM Stik pcs 0 0
213 Albendazol Sirup botol 0 0
214 Vit C 500 MG Tab 0 0
215 Mosnon Tab 2000 2000
BHP
216 AC Swab pcs 656 656 114
217 Alat Suntik skl pakai 0.5 ml set 700 700
219 Alat suntik skl pakai 1 ml set 195 195 5
220 Alat suntik skl pakai 3 ml set 293 293 10 17
BATCH ISASI
221 Alat suntik skl pakai 5 ml set 265 265

222 Air raksa dental use btl 0 0
223 Anti Sera Gol Darah set 0 0
224 Asam Urat Test Strips strip 201 201 27
225 Aquadest 1000 ML btl 1 1
226 Aqua Pro Injeksi vial 0 0
227 Aqua Gel Steril Jelly (82) Ecolab tube 0 0
228 Aqua Sonic Gel tube 0 0
229 Cat gut chromic 24 mm pcs 47 47 2 1
230 Cat gut chromic 26 mm pcs 0 0
231 Cat gut plain 24 mm pcs 0 0
233 Cat gut 2/0 plain pcs 0 0
234 Cat gut 2/0 chromic 3/0 pcs 0 0
235 CBS ST Plus Control vial 1 1
236 CHKM (monochlor kamfer) buah 0 0
237 Cover Glas buah 30 30
238 Cybow Reagen Strips buah 0 0
239 Dengue Antigen Cassete buah 0 0
240 Dengue IgM & IgG Cassete buah 0 0
241 Devitalisasi Pasta pot 0 0
242 Diluent btl 0 0
243 Etakridin btl 2 2
244 Etanol 70 % btl 1 1
245 Endotracheal tube 3 pcs 0 0
246 Endotracheal tube 3.5 pcs 0 0
248 Eugenol cairan btl 0 0
249 Folley Catheter buah 0 0
250 Glucosa Test Strips strip 600 600 42
251 Hand Scoon maxter pcs 0 0
252 Hand Scoon superlife pcs 0 0
253 Hand Scoon Aximed pcs 0 0
254 Hand Scoon Safe glove no 6.5 pasang 0 0
255 Hand Scoon Safe Glove no 7.0 pasang 90 90
256 H2O2 Larutan btl 0 0
257 Infusion set anak Set 11 11 1
258 Infusion set dws Set 29 29 1
259 IV Catheter 18 pcs 4 4
263 Kapas 250 gr roll 3 3
264 Kasa 4x 3 cm roll 0 0
265 Kassa 4 m x 15cm roll 50 50 2
266 Kassa Pembalut 2 m x 80cm roll 5 5
267 Kasa Steril 40/40 roll 0 0
268 Kotak Slide buah 1 1
269 Kertas Saring helai 0 0
270 Kertas Lakmus helai 0 0
271 Kertas Ph helai 0 0
272 Kolesterol test Strips strip 77 100 20/01/2023 IFK 177 31
273 Lancet Darah buah 267 267 71
274 Lisol Btl/100 2 2
275 Lrt Amonium Oxalat Btl/100 0 0
276 Lrt Asam Asetat Btl/100 0 0
277 Lrt Asam Sulfosalisilat 20 % Btl/100 0 0
BATCH ISASI
278 Lrt Asam klorida 0,1N Btl/100 0 0

279 Lrt BaCl 2 Btl/100 0 0
280 Lrt Benedict Btl/100 0 0
281 Lrt Etanol Asam Btl/100 0 0
282 Lrt Eosin 2% Btl/100 1 1
283 Lrt Faucet Btl/100 0 0
284 Lrt Gabbet Btl/100 0 0
285 Lrt Giemsa Stain Btl/100 0 0
286 Lrt Hayem Btl/100 0 0
287 Lrt Imersion Oil Btl/100 1 1
288 Lrt Karbo Fuksin Btl/100 0 0
289 Lrt Lugol Btl/100 0 0
290 Lrt Metanol Btl/100 0 0
291 Lrt Metilen Blue Btl/100 0 0
292 Lrt Na Sitrat Btl/100 0 0
293 Lrt Sodium Citrate Btl/100 0 0
294 Lrt Turk Btl/100 1 1
295 Lart.Xylol Btl/100 0 0
296 Lyse Btl/100 0 0
297 Mag Slang buah 1 1
298 Masker buah 0 0
299 Masker Nebulizer anak set 0 0
300 Masker Nebulizer dewasa set 0 0
301 Masker N 95 buah 9 9
302 Micro Pipet I (200 UI) buah 521 521 112
303 Micro Pipet II (1000 UI) buah 0 0
304 Nasal Oxygen Bayi pcs 0 0
305 Nasal Oxygen Anak pcs 3 3
306 Objeck Glass pcs 151 151 32
307 Nasal Oxygen Dewasa pcs 3 3 1
308 Pembalut Elastis 7.5 cmx 4.55 m rol 0 0
309 Pembalut Elastis 10 cmx 4.55 m rol 0 0
310 Pengikat Tali Pusat buah 4 4
311 Plester 5 x 5 rol 1 1
312 Plester 5 x 4.5 rol 0 0
313 Pipet Tetes buah 0 0
314 Poli clean Handrub 500 ml btl 4 4
315 Poli wash Handrub 500 ml btl 0 0
316 Pot Sputum Steril buah 620 620
317 Povidon Iodida 60ml btl 5 5
318 Povidon Iodida 300 ml. btl 0 0
319 PPD2TU vial 0 1 20/01/2023 IFK 1
320 Probe Cleanser kit 0 0
321 Reagen Asam Urat kit 0 0
322 Reagen Bilirubun kit 0 0
323 Reagen Creatinin kit 0 0
324 Reagen Hemoglobin kit 0 0
325 Reagen HDL kit 0 0
326 Reagen LDL kit 0 0
327 Reagen SGOT kit 0 0
328 Reagen SGPT kit 0 0
329 Reagen Urium kit 0 0
330 Reagen Glukosa kit 0 0
331 Reagen Kolesterol kit 0 0
332 Reagen Trigelisirida kit 0 0
333 Scaple Blades no 10 buah 0 0
BATCH ISASI

336 Semen seng Fosfat set 0 0
337 Silk (benang bedah + JJ)26 mm pcs 0 0
339 Stik Uriliksa Diruii buah 0 0
340 Surgical Glove Steril Gynecolog 7 pcs 0 0
341 Surgical Glove Steril Gynecolog 7.5 pcs 13 13
342 Tabung EDTA buah 0 200 20/01/2023 IFK 200 24
343 Tabung kapiler buah 0 0
344 Tabung reaksi buah 0 0
345 Tabung Sentrifus buah 0 0
346 Tissue Gulung buah 0 0
347 Tissue Lensa buah 0 0
348 Test Kehamilan strip 0 0
349 Test Iodin btl 0 0
350 Test Malaria buh 0 0
351 Test DBD buah 25 25
352 Test Protein Glucosa strip 0 0
353 Test Spilis buah 79 79 23
354 SD HB Sag buah 73 73 23
355 Anti HCV strip 0 0
356 Under Pad stril 60x90 buah 0 0
357 Urine Bag buah 0 0
358 Wadah Urin buah 0 0
359 Kertas Print Photometer rol 0 0
360 Cylindrical Tube buah 4 4
361 Reader Kalibrasi Cyboew srip 0 0
362 Tabung Sampel darah tutup merah buah 0 0
363 Alkazyme pouch 0 0
364 Alkacaside btl 4 4
366 Container box 15 L btl 1 1
367 Container box 20 L ktk 1 1
368 Hand Scoon Safe Glove 6.5 pcs 0 0
369 Hazmat Level 3 pcs 0 0
371 Hand Scoon Cosmomed pcs 0 0
372 Spatel pcs 5 5
373 Para Film ktk 0 0
374 Hazmat pcs 12 12
375 Masker Bedah pcs 30 30
376 Masker TB pcs 1400 1400
377 Hand Scoond Star Glove pcs 0 0
378 Hand Scoond Protos pcs 0 0
379 Palsemeter pcs 0 0
380 Masker Anak pcs 2550 2550
381 Face Shield pcs 5 5
382 Kaca Mata pcs 20 20
383 Rapit Test Antigen pcs 0 0
384 B6 - Pro Test Glukosa pcs 1 1
Bayar 8 15 23
BPJS 386 63 34
Total Karcis 972 172 57
Kepala Puskesmas Halaban

BATCH ISASI
Ermalifia Nora,Str.Keb
NIP.19731104 200212 2 003
PEMAKAIAN
GUGUK MNG TGR PR. PAUH Atas Pdg. STOK
KABUN LOMPEK TARATAK TOTAL KET
TGG LBG TINGGI Laban Mgn AKHIR
- -
20 20 80 50 20 20 20 643 2,786
- -
- 200
5 8
- -
130 640
- -
- -
- -
- -
60 10 10 70 371 1,939
- 80
640 1,520
250 2,200
2 1 15 153
50 110 125 70 50 30 150 1,090 2,412
- -
50 10 60 129 20 40 20 935 4,040
- -
3 1 4 31
- -
- 50
50 150 571 2,671
- -
50 20 50 52 20 50 767 2,670
- -
- -
- -
- -
- -
- -
2 1 11 33
- -
70 450
637 2,913
- -
- -
- 8
240 3,370
4 196
- -
- -
- -
- -
30 260
- -
- -
96 226
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
130 90
- -
1 1 8
2 2 1 5 20
20 20 20 95 693
- -
- 83
- -
- -
- -
4 10 24 10 12 2 105 385
1 1 3 22
- -
- 1
130 320
- -
190 960
- -
- -
- -
30 70 244
60 67
390 1,610
- -
- 2
- -
2 2 8 36
- 13
- 300
60 70
30 40 376 2,347
50 30 40 20 30 40 60 348 1,928
- 4
- -
- -
- -
3 1 5 12
- -
20 50 66 20 50 40 651 1,863
- -
200 -
40 50 20 20 220 940
2 2 9 51
- -
- -
PEMAKAIAN
3 11 9
- -
- -
1 2 14
- -
160 70 80 200 80 90 100 1,170 5,101
- -
380 1,620
70 20 120 2,170
- -
- -
1 2 2 2 2 20 43
16 451
- -
- -
560 1,305
- -
- -
20 10 30 270
- -
- 1
3 7 46
30 20 40 240 914
1 1 2 32
- -
20 10 760 1,020
- -
- -
- -
- -
3 17
- -
2 1 2 5 18
75 845
- -
- - exp
160 100 150 269 100 10 50 110 2,261 10,149
7 4 1 27 123
- 36
90 20 50 49 10 20 20 554 2,612
40 65 461
90 30 30 155 40 675 2,072
- -
- -
- -
- -
150 350
- -
- 60
- -
1 1 3 31
90 610
70 20 50 20 50 230 387
- -
1 2 1 4 14
1 1 1 5 12
- -
PEMAKAIAN
- 4
- -
10 110 20 416 1,198
146 479
- -
154 2,746
64 680
- -
- -
40 100 130 20 200 280 90 1,510 3,540
- -
- -
- -
40 10 90 70 40 30 10 20 590 2,390
390 1,410
- -
- -
6 1,634
- 50
140 40 80 109 30 40 80 1,489 5,425
10 30 55 10 125 915
1 1 2
- -
- -
- 4
- -
- 1
- 1
- -
- -
24 115
- 9
- -
- 2
- 18
- 23
- 24
- 9
- 12
- 1
- 16
- 16
- -
- 20
- 3,200
- 484
- -
- -
- -
- -
- 2,000
- -
114 542
- 700
- 300
2 1 8 187
15 3 4 3 7 15 74 219
PEMAKAIAN
2 2 263
- -
- -
27 174
- 1
- -
- -
- -
1 1 1 6 41
- -
- -
- -
- -
- -
- 1
- -
- 30
- -
- -
- -
- -
- -
- 2
- 1
- -
- -
- -
- -
- -
42 558
- -
- -
- -
- -
- 90
- -
1 10
1 1 1 4 25
1 1 2 2
- 2
- -
- 10
1 1 2
- -
4 2 1 1 1 11 39
1 1 4
- -
- 1
- -
- -
- -
31 146
71 196
- 2
- -
- -
- -
PEMAKAIAN
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
112 409
- -
- -
- 3
32 119
1 2
- -
- -
1 1 3
1 1 -
- -
- -
- 4
- -
- 620
1 1 2 3
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- -
- -
1 1 2 12
- -
- -
- 13
24 176
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
23 56
23 50
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
- 1,400
- -
- -
- - 0
- 2,550
- 5
- 20
- -
- 1
-
12 5 13 29 11 16 13 10 155
24 10 34 52 18 36 18 15 690
36 15 47 81 39 52 31 25 1527
`
Halaban, 31 Desember 2022
Pengelola Obat
PEMAKAIAN
Ira,Amd.Farm
NIP. 19810912 201408 2 003
BULAN: Februari 2023

ISASI
BATCH
OBAT / ALKES P K D

2 Acetyl Sistein tab 2786 600 22/02/2023 IFK 3386 497 65 100
5 Acyclovir Krim tube 8 25 22/02/2023 IFK 33 2
12 Aminophylin tab tab 1939 1000 22/02/2023 IFK 2939 160 10 60
14 Amlodipin tab 5 mg tab 1520 600 22/02/2023 IFK 2120 695
15 Amlodipin tab 10 mg tab 2200 2200 500 180
16 Amoxicilin dry sir btl; 153 153 12 3
17 Amoxicilin kap 500 mg kaplet 2412 1000 22/02/2023 IFK 3412 568 20 120
19 Antasida DOEN tab tab 4040 4040 380 100 80
31 31
22 Anti Haemorhoid Suppos suppos 0 0
24 As.Ascorbic Tap 50 mg (Vit C) tab 2671 1000 22/02/2023 IFK 3671 539 90 170
26 Asam Mefenamat 500 mg tab 2670 2670 348 50 100
33 Betametason slp tube 33 25 22/02/2023 IFK 58 11 1
35 Carbamazepin 200 mg tab 450 450 90
36 Cetirizin Tab tab 2913 2913 596 86
39 Dexametason inj ampul 8 8
40 Dexametason tab 0,5 mg tab 3370 3370 494 40 100
46 Digoxin tab 0,25mg tab 260 260 100
49 Domperidon Tab tab 226 226 40
BATCH ISASI

63 Fenobarbital tab 30 mg tab 90 500 22/02/2023 IFK 590 80
65 Fenol Glyserol Lrt TT btl 8 24 22/02/2023 IFK 32 1 1
67 Fitomenadion tab 10 mg tab 693 693 27
69 Furosemid tab 40 mg tab 83 83 50
77 Glibenklamid tab 5 mg tab 320 500 22/02/2023 IFK 820 10
79 Glimepiride Tab 2 mg tab 960 960 240 90
83 Griseofulvin tab 500 mg tab 244 1000 22/02/2023 IFK 1244 20
84 H C T tab 25 mg tab 67 67 70
89 Hidrokortison slp 2,5 % tube 36 36 2 1
91 INH Tab 100 mg tab 300 300 60
92 I N H Tab 300 mg tab 70 70 30
93 Ibuprofen 200 mg tab 2347 2347 152 70
94 Ibuprofen 400 mg tab 1928 1000 22/02/2023 IFK 2928 176 160
101 Kals lactas tab 500 mg tab 1863 1000 22/02/2023 IFK 2863 395 65 60
103 Kaptopril tab 12,5 mg tab 0 0
104 Ketokonazol Tab tab 940 940 51 20
105 Ketokonazol krim tube 51 51 5 1
108 Kloramfenicol SK tube 9 24 22/02/2023 IFK 33 9 1
109 Kloramfenicol SM 1% tube 0 20 22/02/2023 IFK 20 1
110 Kloramfenikol TM 0.5 % btl 0 25 22/02/2023 IFK 25
111 Kloramfenicol TT 3% btl 14 14 3 1
113 Klorfeniramin Mal Tab 4mg tab 5101 5101 273 30 220
BATCH ISASI

116 Kotri tab 480 mg tab 2170 2170 80 80
119 Lidocain comp inj ampul 43 43 4 2 2
123 Metformin Tab tab 1305 1305 390
127 Mg SO4 40 % btl 0 0
128 Mg SO4 20 % btl 1 1
129 Mikonazol Krim tube 46 46 8
130 Na Bicarbonas tab 500 mg tab 914 914 20 10 80
133 Na. Diklofenak Tab 50 mg tab 1020 500 22/02/2023 IFK 1520 560 90
140 Oksitosin inj ampul 18 18 1
141 Omeprazol Kap kap 845 845 55 10
142 P T U tab 100 mg tab 0 0
145 Parasetamol Sirup btl 123 123 9 130 5
146 Pirantel Pamoat tab 125 mg tab 36 36 140
147 Piridoxin [B6] tab 10 mg tab 2612 2612 115 120
148 Piroksikam 20 mg kap 461 500 22/02/2023 IFK 961 70
149 Prednison tab 5 mg tab 2072 2072 278 50 70
154 Ranitidin Tab tab 350 350 176 10
158 Ringer Lactat infus btl 31 31 1 2
160 Salbutamol Tab 2 mg tab 387 500 22/02/2023 IFK 887 30
162 Salep 2 - 4 Komb pot 14 14 4
168 Simvastatin Tab 10 mg tab 479 479 140 20
170 Siprofloxasin kap 500 mg tab 2746 2746 222 20
171 Spironolacton Tab 25 mg tab 680 680 20 30
174 Tablet + DARAH / Hemafort tab 3540 3540 747 90
BATCH ISASI

178 Tiamin (B1) tab 50mg tab 2390 2390 220 160 100
182 Vitamin A 200 000 kap 1634 1150 2/2/2023 IFK 2784 2225
183 Vitamin A 100 000 kap 50 100 02/0/2023 IFK 150 115
184 Vitamin B komplex tab tab 5425 5425 745 90 110
185 Zinc Tab tab 915 915 10
186 Zinc Sirup btl 2 12 22/02/2023 IFK 14
189 FDC I paket 4 4
191 FDC Anak paket 0 0
193 RDT Malaria buah 0 20 2/2/2023 IFK 20
195 SD HIV buah 115 115 24
197 Vaksin Campak vial 0 0
204 Vaksin HB Ig buah 0 0
209 Albendazol 400 tab 3200 3600 2/2/2023 IFK 6800 4400
214 Vit C 500 MG Tab 0 0
215 Mosnon Tab 2000 2000
216 Suplemen Gravita tab 0 1000 22/02/2023 IFK 1000
BHP
216 AC Swab pcs 542 542 240
219 Alat suntik skl pakai 1 ml set 187 187 5
220 Alat suntik skl pakai 3 ml set 220 300 22/02/2023 IFK 520 5 45 7
224 Asam Urat Test Strips strip 174 200 22/02/2023 IFK 374 95
229 Cat gut chromic 24 mm pcs 41 41 2 1
BATCH ISASI

242 Diluent btl 0 0
243 Etakridin btl 2 2 1
244 Etanol 70 % btl 1 1
250 Glucosa Test Strips strip 558 200 22/02/2023 IFK 758 161
257 Infusion set anak Set 10 10
258 Infusion set dws Set 25 25 1 1
260 IV Catheter 20 pcs 2 2 1
263 Kapas 250 gr roll 3 6 22/02/2023 IFK 9 1
264 Kasa 4x 3 cm roll 0 0 3
265 Kassa 4 m x 15cm roll 39 100 22/02/2023 IFK 139
266 Kassa Pembalut 2 m x 80cm roll 4 30 22/02/2023 IFK 34
272 Kolesterol test Strips strip 146 50 22/02/2023 IFK 196 134
273 Lancet Darah buah 196 300 22/02/2023 IFK 496 184
274 Lisol Btl/100 2 2
279 Lrt BaCl 2 Btl/100 0 0
282 Lrt Eosin 2% Btl/100 1 1
BATCH ISASI

296 Lyse Btl/100 0 0
298 Masker buah 0 0
306 Objeck Glass pcs 119 172 2/22/2023 IFK 291 19
307 Nasal Oxygen Dewasa pcs 3 5 22/02/2023 IFK 8
310 Pengikat Tali Pusat buah 3 20 22/02/2023 IFK 23
311 Plester 5 x 5 rol 0 20 22/02/2023 IFK 20
314 Poli clean Handrub 500 ml btl 4 12 22/02/2023 IFK 16
316 Pot Sputum Steril buah 620 620 18
317 Povidon Iodida 60ml btl 3 20 22/02/2023 IFK 23 1
319 PPD2TU vial 1 1
338 Silk (benang bedah + JJ)24 mm pcs 12 12 1
342 Tabung EDTA buah 176 176 176
BATCH ISASI

372 Spatel pcs 5 5
376 Masker TB pcs 1400 1000 2/2/2023 IFK 2400 80
Bayar 16 16 20
BPJS 428 56 40
NIP.19731104 200212 2 003
PEMAKAIAN
- -
50 40 40 60 40 20 50 962 2,424
- -
- 200
2 31
- -
320 320
- -
- -
- -
- -
40 20 20 20 50 40 420 2,519
- 80
695 1,425
680 1,520
3 4 2 1 25 128
70 80 90 165 40 40 30 60 1,283 2,129
- -
60 10 20 116 20 50 20 50 906 3,134
- -
2 1 3 28
- -
- 50
140 20 60 48 10 30 30 1,137 2,534
- -
50 20 40 20 20 40 30 50 768 1,902
- -
- -
- -
- -
- -
- -
1 13 45
- -
90 360
682 2,231
- -
- -
- 8
20 40 30 100 50 874 2,496
22 174
- -
- -
- -
- -
100 160
- -
- -
40 186
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- -
- -
- 2
- -
- -
- -
- -
80 510
- -
2 30
1 1 2 18
10 10 20 67 626
- -
50 33
- -
- -
- -
4 8 24 5 15 3 73 312
1 2 4 18
- -
- 1
10 810
- -
330 630
- -
- -
- -
25 45 1,199
70 - 3
400 1,210
- -
- 2
- -
1 1 1 6 30
1 1 2 11
60 240
30 40
60 10 20 312 2,035
60 10 30 40 40 50 30 596 2,332
- 4
- -
- -
- -
2 1 4 8
- -
40 30 70 70 10 60 10 810 2,053
- -
- -
60 10 50 20 211 729
1 1 2 10 41
- -
- -
1 11 22
1 19
- 25
1 1 6 8
- -
140 73 40 118 80 90 50 100 1,214 3,887
- -
PEMAKAIAN
340 1,280
60 40 30 290 1,880
- -
- -
2 2 1 1 14 29
10 441
- -
- -
390 915
- -
- -
10 30 40 230
- -
- 1
1 1 10 36
20 5 40 175 739
1 1 31
- -
650 870
- -
- -
- -
- -
1 6 11
- -
1 1 3 15
65 780
- -
- -
110 133 80 193 100 100 80 100 2,877 7,272
5 6 3 158 - 35
140 - 104
40 20 20 70 20 50 30 60 545 2,067
20 10 100 861
60 23 30 100 10 50 20 691 1,381
- -
- -
- -
- -
186 164
- -
- 60
- -
1 1 1 6 25
170 440
20 50 20 120 767
- -
1 1 6 8
1 1 4 8
- -
- 4
- -
20 50 50 386 812
160 319
- -
242 2,504
50 630
- -
- -
80 80 110 10 200 100 20 1,437 2,103
PEMAKAIAN
- -
- -
- -
40 10 60 90 90 40 30 10 850 1,540
400 1,010
- -
- -
2,225 559
115 35
130 40 100 30 20 60 60 100 1,485 3,940
10 50 25 10 30 135 780
- 14
- -
- -
- 4
- -
- -
- 1
- 20
- -
24 91
- 9
- -
- 2
- 18
- 23
- 24
- 9
- 12
- -
- 16
- 16
- -
- 20
4,400 2,400
- 484
- -
- -
- -
- -
- 2,000
- 1,000
- -
240 302
- 700
300 - exp
2 2 9 178
10 6 5 4 5 5 92 428
- 263
- -
- -
95 279
- 1
- -
- -
- -
1 1 5 36
- -
- -
- -
PEMAKAIAN
- -
- -
- 1
- -
- 30
- -
- -
- -
- -
- -
1 1
- 1
- -
- -
- -
- -
- -
161 597
- -
- -
- -
- -
- 90
- -
- 10
2 1 1 6 19
- 2
1 1
- -
- 10
1 8
3 - 3
2 3 1 3 9 130
- 34
- -
- 1
- -
- -
- -
134 62
184 312
- 2
- -
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
116 293
- -
- -
- 3
19 272
- 8
- -
- -
- 23
- 20
- -
- -
- 16
- -
18 602
1 22
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 2 10
- -
- -
- 13
176 -
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
PEMAKAIAN
22 34
24 26
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
80 2,320
- -
- -
- - 0
- 2,550
- 5
- 20
- -
- 1
-
12 5 13 28 12 20 8 10 160
19 12 28 37 22 32 28 15 717
31 17 41 65 32 52 36 25 4837
`
Pengelola Obat
Ira,Amd.Farm
NIP. 19810912 201408 2 003
BULAN: Maret 2023

ISASI
BATCH
OBAT / ALKES P K D

2 Acetyl Sistein tab 2424 2424 401 100
5 Acyclovir Krim tube 31 31
7 Allopurinol tab 100 mg tab 320 500 3/13/2023 IFK 820 180
12 Aminophylin tab tab 2519 2519 115 50
16 Amoxicilin dry sir btl; 128 128 3 1
17 Amoxicilin kap 500 mg kaplet 2129 1000 3/13/2023 IFK 3129 448 180
19 Antasida DOEN tab tab 3134 2000 3/13/2023 IFK 5134 540 100
28 28
22 Anti Haemorhoid Suppos suppos 0 10 3/13/2023 IFK 10
24 As.Ascorbic Tap 50 mg (Vit C) tab 2534 2000 3/13/2023 IFK 4534 327 170
26 Asam Mefenamat 500 mg tab 1902 1000 3/13/2023 IFK 2902 275 70
33 Betametason slp tube 45 45 7
36 Cetirizin Tab tab 2231 2231 397
39 Dexametason inj ampul 8 5 3-Jan IFK 13
40 Dexametason tab 0,5 mg tab 2496 2496 429
46 Digoxin tab 0,25mg tab 160 160 60
BATCH ISASI

65 Fenol Glyserol Lrt TT btl 30 30 2 1
66 Fitomenadion inj ampul 18 18 1
73 Garam Oralit 200ml sace 312 200 3/13/2023 IFK 512 12 15
78 Glimepiride Tab 1 mg tab 630 500 3/13/2023 IFK 1130
83 Griseofulvin tab 500 mg tab 1199 1199 70 20
84 H C T tab 25 mg tab 0 0
85 Halloperidol tab 1,5 mg tab 1210 1000 3/13/2023 IFK 2210 390
91 INH Tab 100 mg tab 240 240 60
92 I N H Tab 300 mg tab 40 40 30
93 Ibuprofen 200 mg tab 2035 1000 3/13/2023 IFK 3035 110 60
94 Ibuprofen 400 mg tab 2332 2332 150
101 Kals lactas tab 500 mg tab 2052 1000 3/13/2023 IFK 3052 279 60
BATCH ISASI
108 Kloramfenicol SK tube 22 22 7

109 Kloramfenicol SM 1% tube 19 19
110 Kloramfenikol TM 0.5 % btl 25 25 5
111 Kloramfenicol TT 3% btl 8 8 2
113 Klorfeniramin Mal Tab 4mg tab 3887 3887 235 210
116 Kotri tab 480 mg tab 1880 1880 40
119 Lidocain comp inj ampul 29 29 5 1
123 Metformin Tab tab 915 1000 3/13/2023 IFK 1915 410
126 Metronidazol 500 mg tab 230 230 20
127 Mg SO4 40 % btl 1 1
128 Mg SO4 20 % btl 0
130 Na Bicarbonas tab 500 mg tab 739 739 100
131 NaCl 0,9% infus btl 31 31 1
133 Na. Diklofenak Tab 50 mg tab 870 870 500
139 Oksitetra SM 1% tube 0 0 1
140 Oksitosin inj ampul 15 15
141 Omeprazol Kap kap 780 780 46
142 P T U tab 100 mg tab 0 0
144 Parasetamol tab 500 mg tab 7272 7272 835 180
145 Parasetamol Sirup btl 95 95 5 3
148 Piroksikam 20 mg kap 861 861 110
149 Prednison tab 5 mg tab 1381 1381 210 30
154 Ranitidin Tab tab 164 164 164
158 Ringer Lactat infus btl 25 25 1 1
160 Salbutamol Tab 2 mg tab 767 767 40 20
BATCH ISASI

167 Simetidin tab 200 mg tab 812 1000 3/13/2023 IFK 1812 272 20
168 Simvastatin Tab 10 mg tab 319 1000 3/13/2023 IFK 1319 110
171 Spironolacton Tab 25 mg tab 630 630 22
174 Tablet + DARAH / Hemafort tab 2103 5000 3/13/2023 IFK 7103 4014 90
178 Tiamin (B1) tab 50mg tab 1540 2000 3/13/2023 IFK 3540 70 130
179 Trihexi Fenidil tab 2mg tab 1010 500 3/13/2023 IFK 1510 380
180 Vaksin Rabies Vero set 0 2 7/3/2023 IFK 2
182 Vitamin A 200 000 kap 559 559
183 Vitamin A 100 000 kap 35 35
184 Vitamin B komplex tab tab 3940 3940 625 100
185 Zinc Tab tab 780 780
189 FDC I paket 0 0
192 Reagen TB paket 1 1 1
195 SD HIV buah 91 91 14
196 Vaksin BCG ampul 11 20 31 11
197 Vaksin Campak / pcv vial 0 15 15
200 Vaksin HB Unijeck buah 17 17 2
201 Vaksin Polio vial 17 120 137 97
202 Vaksin Td vial 11 10 21 4
203 Vaksin Polio IPV vial 4 190 194 170
205 Vaksin Campak Rubella vial 17 15 32 1
206 Pelarut Campak Rubella vial 17 15 32 1
208 Safety Box 5 L buah 12 30 42 16
214 Vit C 500 MG Tab 0 0
215 Mosnon Tab 2000 2000
216 Suplemen Gravita tab 1000 1000 35
BHP
216 AC Swab pcs 302 500 1/3/2023 IFK 802 87 500
217 Alat Suntik skl pakai 0.5 ml set 445 1000 1445 945
218 Alat Suntik skl pakai 0.05 ml set 0 100 100
BATCH ISASI
220 Alat suntik skl pakai 3 ml set 428 428 10 12 16

229 Cat gut chromic 24 mm pcs 36 36 1 1 1
237 Cover Glas buah 30 100 3/13/2023 IFK 130
242 Diluent btl 0 0
244 Etanol 70 % btl 1 1
265 Kassa 4 m x 15cm roll 130 130 2
266 Kassa Pembalut 2 m x 80cm roll 34 34
272 Kolesterol test Strips strip 62 62 28
274 Lisol Btl/100 2 2
BATCH ISASI

279 Lrt BaCl 2 Btl/100 0 0
282 Lrt Eosin 2% Btl/100 1 1
296 Lyse Btl/100 0 0
298 Masker buah 0 0
307 Nasal Oxygen Dewasa pcs 8 8
311 Plester 5 x 5 rol 20 20 1
314 Poli clean Handrub 500 ml btl 16 16 1
319 PPD2TU vial 1 1
BATCH ISASI

338 Silk (benang bedah + JJ)24 mm pcs 10 10 1
342 Tabung EDTA buah 0 100 13/03/2023 IFK 100 6
372 Spatel pcs 5 5
Bayar 17
BPJS 37
Total Karcis 54

BATCH ISASI
NIP.19731104 200212 2 003
PEMAKAIAN
- -
30 30 80 170 50 30 70 20 981 1,443
- -
- 200
- 31
- -
180 640
- -
- -
- -
- -
60 20 60 30 335 2,184
- 80
850 575
400 1,120
3 3 10 118
30 80 20 153 30 60 60 150 1,211 1,918
- -
50 20 20 150 40 60 50 40 1,070 4,064
- -
4 1 5 23
- 10
- -
60 40 80 115 70 20 882 3,652
- -
30 60 20 80 20 100 655 2,247
- -
- -
- -
- -
- -
- -
2 9 36
- -
80 280
397 1,834
- -
- -
- 13
20 60 40 50 30 629 1,867
7 167
- -
- -
- -
- -
60 100 exp
- -
- -
40 146
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
130 380
- -
1 1 5 25
1 17 exp
20 10 10 85 541
- -
6 27
- -
- -
- -
4 3 10 38 12 10 104 408
1 2 16
- -
- 1
10 800
- 1,130
240 720
- -
- -
- -
10 40 40 180 1,019
- -
390 1,820
- -
- 2
- -
1 2 1 7 23
1 1 2 9
60 180
30 10
60 230 2,805
10 20 20 10 70 50 330 2,002
- 4
- -
- -
- -
1 2 6
- -
60 30 60 60 20 70 50 10 699 2,353
- -
- -
30 20 40 20 190 539
2 1 1 11 30
- -
- -
PEMAKAIAN
7 15
1 1 18
5 20
2 6
- -
140 50 60 182 60 110 100 100 1,247 2,640
- -
330 950
20 40 20 120 1,760
- -
- -
1 1 1 1 10 19
10 431
- -
- -
410 1,505
- -
- -
20 10 10 10 70 160
- 1
- -
1 2 1 8 28
10 50 160 579
1 1 3 28
- -
10 510 360
- -
- -
- -
- -
1 10
1 - 1
1 1 14
46 734
- -
- -
120 100 100 288 160 120 120 110 2,133 5,139
4 4 16 79
- 36
100 30 40 90 20 50 30 40 570 1,357
30 20 30 190 671
40 40 109 10 10 30 479 902
- -
- -
- -
- -
164 -
- -
- 60
- -
1 3 22
150 290
10 20 50 140 627
- -
1 1 7
2 6
- -
PEMAKAIAN
- 4
- -
40 80 40 70 522 1,290
110 1,209
- -
173 2,331
22 608
- -
- -
60 100 110 20 250 40 4,684 2,419
- -
- -
- -
20 40 80 30 60 60 70 30 590 2,950
380 1,130
- 2
- -
- 559
- 35
30 20 70 10 60 80 50 90 1,135 2,805
10 10 20 20 20 80 700
3 3 11
- -
- -
- -
- -
- -
1 -
- 20
- -
14 77
11 20
- 15
- 2
- 21
2 15
97 40
4 17
170 24
- -
1 31
1 31
- -
16 26
- 2,400
- 484
- -
- -
- -
- -
- 2,000
35 965
- -
587 215
945 500
100
3 3 6 172
PEMAKAIAN
14 5 3 4 15 79 349
- 263
- -
- -
26 253
- 1
- -
- -
- -
3 33
- -
- -
- -
- -
- -
- -
- -
- 130
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- -
- -
38 559
- -
- -
- -
- -
- 90
- -
- 10
1 2 17
- 2
- 1
- -
- 10
- 8
- -
2 2 1 1 1 9 121
1 1 2 32
- -
- 1
- -
- -
- -
28 34
66 246
- 2
- -
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
46 247
- -
- -
- 3
17 255
- 8
- -
- -
1 1 22
1 19
- -
- -
1 15
- -
- 602
1 1 2 20
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- -
- -
- -
1 1 3 7
- -
- -
- 13
6 94
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
12 22
14 12
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
- 2,320
- -
- -
- - 0
- 2,550
- 5
- 20
- -
- 1
-
7 5 12 29 9 20 10 8 117
19 11 25 36 18 35 23 15 219
26 16 37 65 27 55 33 23 336
`
Pengelola Obat
PEMAKAIAN
Ira,Amd.Farm
NIP. 19810912 201408 2 003
BULAN: April 2023

ISASI
BATCH
OBAT / ALKES P K D

2 Acetyl Sistein tab 1442 1442 409 90 20
8 Allopurinol tab 300 mg tab 0 0 80
12 Aminophylin tab tab 2184 2184 90 25 30
14 Amlodipin tab 5 mg tab 575 575 320 10
16 Amoxicilin dry sir btl; 118 118 7
17 Amoxicilin kap 500 mg kaplet 1981 1981 355 30 110
19 Antasida DOEN tab tab 4064 4064 541 170
23 23
22 Anti Haemorhoid Suppos suppos 10 10 3
24 As.Ascorbic Tap 50 mg (Vit C) tab 3652 3652 362 52 60
26 Asam Mefenamat 500 mg tab 2247 1000 29/04/2023 IFK 3247 290 10 30
33 Betametason slp tube 36 36 12 2
39 Dexametason inj ampul 13 13 1
40 Dexametason tab 0,5 mg tab 1867 2000 29/04/2023 IFK 3867 391
46 Digoxin tab 0,25mg tab 0 0
BATCH ISASI

69 Furosemid tab 40 mg tab 27 27
74 Gentian Violet lrt btl 16 12 29/04/2023 IFK 28 1
78 Glimepiride Tab 1 mg tab 1130 1130
79 Glimepiride Tab 2 mg tab 720 720 220 20
83 Griseofulvin tab 500 mg tab 1019 1019 60 10 20
89 Hidrokortison slp 2,5 % tube 23 48 29/04/2023 IFK 71 3 1
91 INH Tab 100 mg tab 180 180
92 I N H Tab 300 mg tab 10 10
93 Ibuprofen 200 mg tab 2805 2805 253 130 100
94 Ibuprofen 400 mg tab 2002 2002 160
99 Kal Permngnas kristal pot 6 12 29/04/2023 IFK 18
101 Kals lactas tab 500 mg tab 2353 2353 215 15 70
104 Ketokonazol Tab tab 539 500 29/04/2023 IFK 1039 20
BATCH ISASI

109 Kloramfenicol SM 1% tube 18 18 4
110 Kloramfenikol TM 0.5 % btl 20 20
111 Kloramfenicol TT 3% btl 6 6
116 Kotri tab 480 mg tab 1760 1760 20
119 Lidocain comp inj ampul 19 19 1
120 Loratadin Tablet tab 431 431
123 Metformin Tab tab 1505 1505 340 40
127 Mg SO4 40 % btl 1 1
128 Mg SO4 20 % btl 0
130 Na Bicarbonas tab 500 mg tab 579 579 20 90
133 Na. Diklofenak Tab 50 mg tab 360 360 90
138 Oksitetra SK 3% tube 10 10
140 Oksitosin inj ampul 14 20 29/04/2023 IFK 34
141 Omeprazol Kap kap 734 734 70 20
142 P T U tab 100 mg tab 0 0
144 Parasetamol tab 500 mg tab 5139 5000 29/04/2023 IFK 10139 1281 83 230
145 Parasetamol Sirup btl 79 79 8 5
148 Piroksikam 20 mg kap 671 500 29/04/2023 IFK 1171 200
154 Ranitidin Tab tab 0 0
156 Rifampisin 450 mg kap 60 60 60
160 Salbutamol Tab 2 mg tab 627 627 20 20
163 Salisil Bedak 2% buah 6 24 29/04/2023 IFK 30
BATCH ISASI

167 Simetidin tab 200 mg tab 1290 500 29/04/2023 IFK 1790 266 20
168 Simvastatin Tab 10 mg tab 1209 1209 120
170 Siprofloxasin kap 500 mg tab 2331 2331 142 20
174 Tablet + DARAH / Hemafort tab 2419 2000 29/04/2023 IFK 4419 130 10 60
178 Tiamin (B1) tab 50mg tab 2950 1000 29/04/2023 IFK 3950 120 20 80
182 Vitamin A 200 000 kap 559 559 2
183 Vitamin A 100 000 kap 35 35
184 Vitamin B komplex tab tab 2805 2000 29/04/2023 IFK 4805 593 130 120
185 Zinc Tab tab 700 700
189 FDC I paket 0 3 29/04/2023 IFK 3
195 SD HIV buah 77 77 7
197 Vaksin Campak / pcv vial 15 15
214 Vit C 500 MG Tab 0 0
215 Mosnon Tab 2000 2000
216 Suplemen Gravita tab 965 965 250
BHP
216 AC Swab pcs 215 215
BATCH ISASI
220 Alat suntik skl pakai 3 ml set 349 349 7 9

228 Aqua Sonic Gel tube 0 1 29/04/2023 IFK 1
242 Diluent btl 0 0
244 Etanol 70 % btl 1 1
257 Infusion set anak Set 10 10 1
259 IV Catheter 18 pcs 2 2 1
263 Kapas 250 gr roll 8 8 1
265 Kassa 4 m x 15cm roll 121 121 3
266 Kassa Pembalut 2 m x 80cm roll 32 32 7
273 Lancet Darah buah 246 100 29/04/2023 IFK 346 29
274 Lisol Btl/100 2 2
BATCH ISASI

279 Lrt BaCl 2 Btl/100 0 0
282 Lrt Eosin 2% Btl/100 1 1
296 Lyse Btl/100 0 0
298 Masker buah 0 0
306 Objeck Glass pcs 255 100 29/04/2023 IFK 355 21
311 Plester 5 x 5 rol 19 19 1
315 Poli wash Handrub 500 ml btl 0 12 29/04/2023 IFK 12
319 PPD2TU vial 1 1
BATCH ISASI

372 Spatel pcs 5 5
Bayar 22 8 20
BPJS 297 30 37

BATCH ISASI
NIP.19731104 200212 2 003
PEMAKAIAN
- -
20 10 40 60 10 30 40 80 809 633
- -
- 200
3 28
- -
265 375
80 - 80
- -
- -
- -
40 10 10 80 20 305 1,879
- 80
330 245
575 545
2 4 2 4 3 22 96
100 20 50 81 30 40 60 40 916 1,065
- -
100 10 60 30 110 30 80 1,131 2,933
- -
2 1 3 20
3 7
- -
200 40 57 20 60 60 911 2,741
- -
90 30 30 30 70 580 2,667
- -
- -
- -
- -
- -
- -
14 22
- -
50 230
625 1,709
- -
- -
1 12
10 30 50 70 551 3,316
3 164
- -
- -
- -
- -
- -
- -
- -
105 41
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
140 240
- -
2 1 7 18
- -
30 511
- -
- 27
- -
- -
- -
5 14 5 10 58 350
2 3 25
- -
- 1
70 730
- 1,130
240 480
- -
- -
- -
10 10 50 160 859
- -
275 1,545
- -
- 2
- -
2 6 65
1 1 8
- 180
- 10
40 20 10 553 2,252
80 10 30 30 60 20 390 1,612
- 4
- -
- -
- -
1 1 17
- -
40 50 10 20 60 20 500 1,853
- -
- -
10 20 30 40 120 919
1 1 6 24
- -
- -
PEMAKAIAN
10 5
1 5 13
- 20
- 6
- -
140 20 40 20 30 50 100 710 2,930
- -
245 705
30 50 100 1,660
- -
- -
1 1 3 16
- 431
- -
- -
380 1,125
- -
- -
20 20 140
- 1
- -
3 1 2 9 19
10 20 10 150 429
- 28
- -
90 270
- -
- -
- -
- -
- 10
- -
1 1 2 32
90 644
- -
- -
100 50 60 70 60 120 50 80 2,184 7,955
5 3 3 24 55
- 36
60 30 10 10 350 1,007
60 40 300 871
10 30 30 281 621
- -
- -
- -
- -
- -
- -
60 - exp
- -
2 20
160 130
20 26 60 146 481
- -
1 1 6
- 30
- -
PEMAKAIAN
- -
- -
20 50 20 10 60 446 1,344
50 170 1,039
- -
162 2,169
6 602
- -
- -
120 50 220 180 770 3,649
- -
- -
- -
40 10 70 50 10 400 3,550
295 835
- -
- -
2 557
- 35
100 10 30 48 20 40 70 1,161 3,644
10 50 20 80 620
- 11
- -
- -
- 3
- -
- -
- -
- 20
- -
7 70
- 20
- 15
- 2
- 21
- 15
- 40
- 17
- 24
- -
- 31
- 31
- -
- 26
- 2,400
- 484
- -
- -
- -
- -
- 2,000
250 715
- -
- 215
- 500
100
2 2 170
PEMAKAIAN
3 3 3 2 5 32 317
- 263
- -
- -
14 239
- 1
- -
- -
- 1
1 1 1 3 30
- -
- -
- -
- -
- -
- -
- -
- 130
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- -
- -
178 372
- -
- -
- -
- -
- 90
- -
1 9
1 16
1 1
- 1
- -
- 10
1 2 6
- -
1 1 1 6 115
1 1 9 23
- -
- 1
- -
- -
- -
13 21
29 317
- 2
- -
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
31 216
- -
- -
- 3
21 334
- 8
- -
- -
1 1 21
1 18
- -
- -
1 1 14
- 12
- 602
- 20
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- -
- -
- -
1 1 6
- -
- -
- 13
7 87
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
7 15
7 5
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
- 2,320
- -
- -
- - 0
- 2,550
- 5
- 20
- -
- 1
-
10 11 17 10 20 8 6 132
21 6 29 37 9 32 25 14 537
31 6 39 54 19 52 33 20 1307
`
Halaban, 29 April 2023
Pengelola Obat
PEMAKAIAN
Ira,Amd.Farm
NIP. 19810912 201408 2 003
BULAN: Mei 2023

ISASI
BATCH
OBAT / ALKES P K D

2 Acetyl Sistein tab 633 633 325
7 Allopurinol tab 100 mg tab 375 500 5/8/2023 IFK 875 175 20
12 Aminophylin tab tab 1879 1879 112 10 20
14 Amlodipin tab 5 mg tab 245 500 5/8/2023 IFK 745 460
16 Amoxicilin dry sir btl; 119 119 8
17 Amoxicilin kap 500 mg kaplet 1002 1000 5/8/2023 IFK 2002 492 170
19 Antasida DOEN tab tab 2933 2000 5/8/2023 IFK 4933 592 50 90
20 20
22 Anti Haemorhoid Suppos suppos 7 7 7
24 As.Ascorbic Tap 50 mg (Vit C) tab 2741 2741 470 75 250
26 Asam Mefenamat 500 mg tab 2667 2667 460 90
33 Betametason slp tube 22 22
39 Dexametason inj ampul 12 12 1
40 Dexametason tab 0,5 mg tab 3316 3316 362
46 Digoxin tab 0,25mg tab 0 0
BATCH ISASI

63 Fenobarbital tab 30 mg tab 240 500 5/8/2023 IFK 740 230
67 Fitomenadion tab 10 mg tab 511 511 10 10
78 Glimepiride Tab 1 mg tab 500 500
83 Griseofulvin tab 500 mg tab 859 859 30 30
91 INH Tab 100 mg tab 180 180
92 I N H Tab 300 mg tab 10 10
93 Ibuprofen 200 mg tab 2252 2252 278 80 60
94 Ibuprofen 400 mg tab 1208 1208 170 50 10
101 Kals lactas tab 500 mg tab 1854 1000 5/8/2023 IFK 2854 255 35 70
105 Ketokonazol krim tube 24 50 5/8/2023 IFK 74 6 2
BATCH ISASI

109 Kloramfenicol SM 1% tube 13 13 2
110 Kloramfenikol TM 0.5 % btl 20 20 2
111 Kloramfenicol TT 3% btl 6 6
115 Klorpromazin tab 100 mg tab 705 705 370 50
116 Kotri tab 480 mg tab 1660 500 5/8/2023 IFK 2160 10
119 Lidocain comp inj ampul 6 6 1
120 Loratadin Tablet tab 431 431
123 Metformin Tab tab 625 500 5/8/2023 IFK 1125 490 20
127 Mg SO4 40 % btl 0 0
128 Mg SO4 20 % btl 1 1
130 Na Bicarbonas tab 500 mg tab 429 429 10
131 NaCl 0,9% infus btl 28 28 2
138 Oksitetra SK 3% tube 9 9
140 Oksitosin inj ampul 29 29 2
141 Omeprazol Kap kap 644 644 20
142 P T U tab 100 mg tab 0 0
145 Parasetamol Sirup btl 74 100 5/8/2023 IFK 174 16 5
147 Piridoxin [B6] tab 10 mg tab 1007 1000 5/8/2023 IFK 2007 177 160
148 Piroksikam 20 mg kap 871 871 80 40
154 Ranitidin Tab tab 0 0
160 Salbutamol Tab 2 mg tab 481 500 5/8/2023 IFK 981 20 20
162 Salep 2 - 4 Komb pot 6 6 1
BATCH ISASI

168 Simvastatin Tab 10 mg tab 1049 1049 210
174 Tablet + DARAH / Hemafort tab 3649 3649 460 210
178 Tiamin (B1) tab 50mg tab 3550 3550 130 170
182 Vitamin A 200 000 kap 557 557 2
183 Vitamin A 100 000 kap 35 35
184 Vitamin B komplex tab tab 3644 3644 1010 200 200
185 Zinc Tab tab 620 500 5/8/2023 IFK 1120 175
189 FDC I paket 0 0
195 SD HIV buah 70 70 29
196 Vaksin BCG ampul 15 10 2/5/2023 IFK 25
197 Vaksin Campak / pcv vial 14 14
199 Vaksin DPT HB HIB vial 6 20 2/5/2023 IFK 26
200 Vaksin HB Unijeck buah 14 10 2/5/2023 IFK 24
214 Vit C 500 MG Tab 0 0
215 Mosnon Tab 2000 2000
216 Suplemen Gravita tab 715 715
BHP
216 AC Swab pcs 715 715 120
218 Alat Suntik skl pakai 0.05 ml set 75 100 2/5/2023 IFK 175
BATCH ISASI
220 Alat suntik skl pakai 3 ml set 317 317 5 27 17

229 Cat gut chromic 24 mm pcs 30 48 5/8/2023 IFK 78 1
237 Cover Glas buah 130 130 6
242 Diluent btl 0 0
244 Etanol 70 % btl 1 1
258 Infusion set dws Set 16 23 5/8/2023 IFK 39 2
265 Kassa 4 m x 15cm roll 115 115 3 3
266 Kassa Pembalut 2 m x 80cm roll 23 23 4
274 Lisol Btl/100 2 2
BATCH ISASI

279 Lrt BaCl 2 Btl/100 0 0
282 Lrt Eosin 2% Btl/100 1 1
296 Lyse Btl/100 0 0
298 Masker buah 0 0
310 Pengikat Tali Pusat buah 21 21 2
311 Plester 5 x 5 rol 18 18 1
316 Pot Sputum Steril buah 570 570 10
319 PPD2TU vial 1 1
BATCH ISASI

338 Silk (benang bedah + JJ)24 mm pcs 7 24 5/8/2023 IFK 31 2
353 Test Spilis buah 15 50 5/8/2023 IFK 65 27
354 SD HB Sag buah 5 50 5/8/2023 IFK 55 27
372 Spatel pcs 5 5
376 Masker TB pcs 260 260 50
Bayar 18 16 20
BPJS 532 32 45

BATCH ISASI
NIP.19731104 200212 2 003
PEMAKAIAN
- -
50 20 20 20 20 455 178
- -
- 200
2 26
- -
195 680
- -
- -
- -
- -
60 20 40 50 312 1,567
- 80
460 285
475 70
3 2 2 2 2 19 100
50 74 100 141 50 60 50 100 1,287 715
- -
100 30 60 225 10 80 30 40 1,307 3,626
- -
3 1 4 16
7 -
- -
200 20 60 118 60 80 100 1,433 1,308
- -
100 32 50 60 60 30 882 1,785
- -
- -
- -
- -
- -
- -
- 22
- -
80 150
641 2,068
- -
- -
1 2 10
16 100 95 40 50 663 2,653
40 124
- -
- -
- -
- -
- -
- -
- -
64 - 23
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
230 510
- -
1 5 13
- -
10 10 20 60 451
- -
6 21
- -
- -
- -
4 29 5 12 3 174 176
1 1 1 7 18
- -
- 1
80 650
- 500
90 60
- -
- -
- -
10 15 40 125 734
- -
430 1,115
- -
- 2
- -
1 1 19 46
- 7
- 180
- 10
40 10 10 478 1,774
120 20 40 20 10 70 30 540 668
- 4
- -
- -
- -
3 1 5 12
- -
90 100 20 80 90 740 2,114
- -
- -
80 20 20 50 210 709
2 1 11 63
- -
- -
PEMAKAIAN
2 3
1 3 10
1 3 17
- 6
- -
200 56 80 35 110 60 90 1,366 2,564
- -
420 285
60 10 80 2,080
- -
- -
1 2 4
- 431
- -
- -
510 615
- -
- -
20 20 120
- -
- 1
2 1 2 6 13
20 10 40 389
1 1 4 24
- -
- 50
- -
- -
- -
- -
- 9
- -
1 1 4 25
20 624
- -
- -
200 126 200 220 70 110 120 80 3,491 4,464
5 4 1 3 5 39 135
- 36
100 36 90 77 80 60 780 1,227
40 70 230 641
14 20 10 193 428
- -
- -
- -
- -
- -
- -
- - exp
- -
2 1 5 15
80 50
20 13 50 20 20 163 818
- -
1 5
1 9 21
- -
PEMAKAIAN
- -
- -
30 120 16 10 70 525 819
210 839
- -
154 2,015
115 487
- -
- -
90 200 30 180 100 10 1,280 2,369
- -
- -
- -
60 10 100 66 40 60 100 736 2,814
450 385
- -
- -
2 555
- 35
56 20 50 20 90 20 1,666 1,978
20 10 205 915
3 1 4 10
- -
- -
- -
- -
- -
- -
- 20
- -
29 41
- 25
- 14
- 2
- 26
- 24
- 36
- 13
- 21
- -
- 28
- 28
- -
- 25
- 2,700
- 484
- -
- -
- -
- -
- 2,000
- 715
- -
120 595
- 474
175
3 3 6 162
PEMAKAIAN
18 4 4 4 10 89 228
- 255
- -
- -
42 197
- 1
- -
- -
- 1
1 1 3 75
- -
- -
- -
- -
- -
- -
- -
6 124
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- -
- -
52 329
- -
- -
- -
- -
- 90
- -
- 9
1 3 36
- -
- 1
- -
- 10
- 4
- -
2 1 3 1 13 102
2 1 1 8 15
- -
- 1
- -
- -
- -
21 -
81 236
- 2
- -
- -
PEMAKAIAN
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
105 111
- -
- -
- 3
32 302
- 7
- -
- -
1 1 4 17
1 17
- -
- -
- 14
- 12
10 560
1 1 19
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PEMAKAIAN
- -
- -
- -
- -
2 29
- -
- -
- 13
27 60
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
27 38
27 28
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
50 210
- -
- -
- - 0
- 2,550
- 5
- 20
- -
- 1
-
13 5 12 25 10 24 4 8 155
34 12 31 28 14 35 28 14 805
47 17 43 53 24 59 32 22 1689
Halaban, 31 Mei 2023

Pengelola Obat
PEMAKAIAN
Ira,Amd.Farm
NIP. 19810912 201408 2 003
BUKU BE
APOTIK, P
BULAN: Juni 2023

STOK OBAT MASUK
NO NAMA OBAT Satuan AWAL NO
JML TGL SUMBER EXP
BATCH
OBAT / ALKES P K D
1 Acetosal Tab 80 mg tab 0

2 Acetyl Sistein tab 178 2640 6/26/2023 IFK
3 Acyclovir Tab 200 mg tab 0
4 Acyclovir Tab 400 mg tab 200
5 Acyclovir Krim tube 26
6 Alprazolam tab 0.5 mg tab 0
7 Allopurinol tab 100 mg tab 680
8 Allopurinol tab 300 mg tab 0
9 Ambroxol tab tab 0
10 Ambroxol syr btl 0
11 Aminophylin inj ampul 0
12 Aminophylin tab tab 1567
13 Amitriptilin tab tab 80
14 Amlodipin tab 5 mg tab 285
15 Amlodipin tab 10 mg tab 70 1200 6/26/2023 IFK
16 Amoxicilin dry sir btl; 100
17 Amoxicilin kap 500 mg kaplet 715 3000 6/26/2023 IFK
18 Antasida DOEN sirup btl 0
19 Antasida DOEN tab tab 3626
20 Anti Bakteri salf pot 0
16 10 26-Jun IFK
22 Anti Haemorhoid Suppos suppos 0 20 6/26/2023 IFK
23 Anti Migren D komb tab 0
24 As.Ascorbic Tap 50 mg (Vit C) tab 1308 3000 6/26/2023 IFK
25 Asam Folat Tab 1 mg tab 0
26 Asam Mefenamat 500 mg tab 1785 1000 6/26/2023 IFK
27 Asam Traneksamat Injeksi ampul 0
28 Asam Traneksamat Tablet tab 0
29 Attapulgit Tab tab 0
30 Atropin Sulfat Tab tab 0
31 Atropin Sulfat Injeksi ampul 0
32 Betahistin Tab tube 0
33 Betametason slp tube 22 25 6/26/2023 IFK
34 Bisakodil Suppos suppos 0
35 Carbamazepin 200 mg tab 150 500 6/26/2023 IFK
36 Cetirizin Tab tab 2068
37 Cetirizin Sirup btl 0
38 Combivent 2.5 ml vial 0
39 Dexametason inj ampul 10
40 Dexametason tab 0,5 mg tab 2653
41 Diazepam tab 2 mg tab 124 200 6/26/2023 IFK
42 Diazepam inj 10 mg ampul 0
43 Diazepam Rectal 5 mg buah 0
44 Diazepam Rectal 10 mg buah 0
45 Difenhidramin inj ampul 0
46 Digoxin tab 0,25mg tab 0
47 Diltiazem Tab tab 0
48 Dimenhidrinat Tab tab 0
49 Domperidon Tab tab 0
50 Domperidon Suspensi btl 0
51 Doksisiklin Tablet tab 0
52 Efedrin tab 25 mg tab 0
53 Epinefrin inj ampul 0
54 Erytromisin Kap 250 mg kap 0
55 Erytromisin Kap 500 mg kap 0
56 Erytromisin Sirup btl 0
57 Etambutol 500 mg tab 0
58 Etil Klorida botol 2
59 Ergotamin Coffein 1 mg tab 0
60 Eugenol Cairan btl 0
61 Extrac Belad 10 mg tab 0
62 Fenitoin Na kap 100 mg kap 0
63 Fenobarbital tab 30 mg tab 510
64 Fenobarbital Injeksi ampul 0
65 Fenol Glyserol Lrt TT btl 13 24 6/26/2023 IFK
66 Fitomenadion inj ampul 0 10 26-Jun IFK
67 Fitomenadion tab 10 mg tab 451 200 6/26/2023 IFK
68 Fluphenazine decanoat inj ampul 0
69 Furosemid tab 40 mg tab 21
70 Furosemid Injeksi ampul 0
71 G Guayakolat tab 100 mg tab 0
72 Garam Inggris (Mg So4) Bks/50 0
73 Garam Oralit 200ml sace 176 500 6/26/2023 IFK
74 Gentian Violet lrt btl 18
75 Gentamicyn injeksi ampul 0
76 Glass Ionomer (ART) set 1
77 Glibenklamid tab 5 mg tab 650
80 Glukosa 5% infus btl 0
81 Glukosa 10% infus btl 0
82 Griseofulvin tab 125 mg tab 0
83 Griseofulvin tab 500 mg tab 734
84 H C T tab 25 mg tab 0
85 Halloperidol tab 1,5 mg tab 1115
86 Halloperidol tab 5 mg tab 0
87 Halloperidol Injeksi ampul 2
88 Halloperidol Decanoat inj ampul 0
89 Hidrokortison slp 2,5 % tube 46
90 Ichtyol Salep pot 7
91 INH Tab 100 mg tab 180
92 I N H Tab 300 mg tab 10
93 Ibuprofen 200 mg tab 1774 1000 6/26/2023 IFK
94 Ibuprofen 400 mg tab 668
95 Ibuprofen Suspensi btl 4
96 Isosorbid DNT tab 5 mg tab 0
97 K O D E I N Tab 10mg tab 0
98 K O D E I N Tab 20 mg tab 0
99 Kal Permngnas kristal pot 12 12 6/26/2023 IFK
100 Kals Hidroksida Pasta tube 0
101 Kals lactas tab 500 mg tab 2114
102 Kaptopril tab 25 mg tab 0 1000 6/26/2023 IFK
103 Kaptopril tab 12,5 mg tab 0
104 Ketokonazol Tab tab 709
105 Ketokonazol krim tube 63
106 Kinin tab tab 0
107 Kloramfenicol kap 250 mg kap 0
108 Kloramfenicol SK tube 3 24 6/26/2023 IFK
109 Kloramfenicol SM 1% tube 10
110 Kloramfenikol TM 0.5 % btl 17
111 Kloramfenicol TT 3% btl 6
112 Kloramfenicol Suspensi btl 0
113 Klorfeniramin Mal Tab 4mg tab 2564
114 Klorpromazin inj 25mg/ml ampul 0
115 Klorpromazin tab 100 mg tab 285 1000 6/26/2023 IFK
116 Kotri tab 480 mg tab 2080
117 Kotri suspensi btl 0
118 Levetran Zalf pot 0
119 Lidocain comp inj ampul 4
120 Loratadin Tablet tab 431
121 Megotrin inj 0,2mg-1ml ampul 0
122 Megotrin tab 0,125 mg tab 0
123 Metformin Tab tab 615
124 Metoklopramid Tab tab 0
125 Metronidazol 250 mg tab 0
126 Metronidazol 500 mg tab 120
127 Mg SO4 40 % btl 0
128 Mg SO4 20 % btl 1
129 Mikonazol Krim tube 13 24 6/26/2023 IFK
130 Na Bicarbonas tab 500 mg tab 389
131 NaCl 0,9% infus btl 24
132 Na. Diklofenak Tab 25 mg tab 0
133 Na. Diklofenak Tab 50 mg tab 50 1000 6/26/2023 IFK
134 Nifedipin tab 0
135 Nistatin tab tab 0
136 Norit tab tab 0
137 O B H Sirup btl 0
138 Oksitetra SK 3% tube 9
139 Oksitetra SM 1% tube 0
140 Oksitosin inj ampul 25
141 Omeprazol Kap kap 624
142 P T U tab 100 mg tab 0
143 Papaverin tab 40 mg tab 0
144 Parasetamol tab 500 mg tab 4464 5000 6/26/2023 IFK
145 Parasetamol Sirup btl 135
146 Pirantel Pamoat tab 125 mg tab 36
147 Piridoxin [B6] tab 10 mg tab 1227 1000 6/26/2023 IFK
148 Piroksikam 20 mg kap 641 1000 6/26/2023 IFK
149 Prednison tab 5 mg tab 428
150 Primaquin Tab tab 0
151 Propranolol tab 10 mg tab 0
152 Propranolol tab 40 mg tab 0
153 Pyrazinamid tab 500 mg tab 0
154 Ranitidin Tab tab 0
155 Rifampisin 300 mg kap 0
158 Ringer Lactat infus btl 15
159 Risperidon tablet tab 50 1000 6/26/2023 IFK
160 Salbutamol Tab 2 mg tab 818
161 Salbutamol Tab 4 mg tab 0
162 Salep 2 - 4 Komb pot 5
163 Salisil Bedak 2% buah 21
164 Serum A B U inj vial 0
165 Serum Anti Tetanus inj1500 IU ampul 0
166 Sianokobalamin Tab tab 0
167 Simetidin tab 200 mg tab 819
168 Simvastatin Tab 10 mg tab 839
169 Simvastatin tab 20 mg tab 0
170 Siprofloxasin kap 500 mg tab 2015
171 Spironolacton Tab 25 mg tab 487
172 Spon Gelatin buah 0
173 Sulfa setamid TM 5% btl 0
174 Tablet + DARAH / Hemafort tab 2369 1000 6/26/2023 IFK
175 Temporary Flecher [ Caviton ] set 0
176 Tetra kap 250mg kap 0
177 Tetra kap 500mg kap 0
178 Tiamin (B1) tab 50mg tab 2814 2000 6/26/2023 IFK
179 Trihexi Fenidil tab 2mg tab 385
180 Vaksin Rabies Vero set 0
181 Verapamil Tab 80 mg tab 0
182 Vitamin A 200 000 kap 555
183 Vitamin A 100 000 kap 35
184 Vitamin B komplex tab tab 1978 3000 6/26/2023 IFK
185 Zinc Tab tab 915 1000 6/26/2023 IFK
186 Zinc Sirup btl 10
187 Biomereux 1/ 2 buah 0
188 Oncoprobe buah 0
189 FDC I paket 0 3 6/24/2023 IFK
190 FDC kategori II paket 0
191 FDC Anak paket 0
192 Reagen TB paket 0
193 RDT Malaria buah 20
194 Reagen Malaria buah 0
195 SD HIV buah 41 50 6/26/2023 IFK
196 Vaksin BCG ampul 25 10 6/8/2023 IFK
197 Vaksin Campak / pcv vial 14
198 Vaksin DT vial 2
199 Vaksin DPT HB HIB vial 26 20 6/8/2023 IFK
200 Vaksin HB Unijeck buah 24
201 Vaksin Polio vial 36 20 6/8/2023 IFK
202 Vaksin Td vial 13 10 6/8/2023 IFK
203 Vaksin Polio IPV vial 21
204 Vaksin HB Ig buah 0
205 Vaksin Campak Rubella vial 28 10 6/8/2023 IFK
206 Pelarut Campak Rubella vial 28
207 Safety Box 2.5 L buah 0
208 Safety Box 5 L buah 25
209 Albendazol 400 tab 2700
210 Vagina Spekulum pcs 484
211 Mineral Mik kotak 0
212 VTM Stik pcs 0
213 Albendazol Sirup botol 0
214 Vit C 500 MG Tab 0
215 Mosnon Tab 2000
216 Suplemen Gravita tab 715
BHP
216 AC Swab pcs 595 300 6/8/2023 IFK
217 Alat Suntik skl pakai 0.5 ml set 474
218 Alat Suntik skl pakai 0.05 ml set 175
219 Alat suntik skl pakai 1 ml set 162
220 Alat suntik skl pakai 3 ml set 228 290 6/26/2023 IFK
221 Alat suntik skl pakai 5 ml set 255
222 Air raksa dental use btl 0
223 Anti Sera Gol Darah set 0
224 Asam Urat Test Strips strip 197
225 Aquadest 1000 ML btl 1
226 Aqua Pro Injeksi vial 0
227 Aqua Gel Steril Jelly (82) Ecolab tube 0
228 Aqua Sonic Gel tube 1
229 Cat gut chromic 24 mm pcs 75
230 Cat gut chromic 26 mm pcs 0
231 Cat gut plain 24 mm pcs 0
232 Cat gut plain 26 mm pcs 0
233 Cat gut 2/0 plain pcs 0
234 Cat gut 2/0 chromic 3/0 pcs 0
235 CBS ST Plus Control vial 0
236 CHKM (monochlor kamfer) buah 0
237 Cover Glas buah 124
238 Cybow Reagen Strips buah 0
239 Dengue Antigen Cassete buah 0
240 Dengue IgM & IgG Cassete buah 0
241 Devitalisasi Pasta pot 0
242 Diluent btl 0
243 Etakridin btl 1
244 Etanol 70 % btl 1
245 Endotracheal tube 3 pcs 0
246 Endotracheal tube 3.5 pcs 0
247 Endotracheal tube 4 pcs 0
248 Eugenol cairan btl 0
249 Folley Catheter buah 0
250 Glucosa Test Strips strip 329 200 6/8/2023 IFK
251 Hand Scoon maxter pcs 0
252 Hand Scoon superlife pcs 0
253 Hand Scoon Aximed pcs 0
254 Hand Scoon Safe glove no 6.5 pasang 0
255 Hand Scoon Safe Glove no 7.0 pasang 90
256 H2O2 Larutan btl 0
257 Infusion set anak Set 9
258 Infusion set dws Set 36
259 IV Catheter 18 pcs 0
263 Kapas 250 gr roll 4 5 6/26/2023 IFK
264 Kasa 4x 3 cm roll 0
265 Kassa 4 m x 15cm roll 102
266 Kassa Pembalut 2 m x 80cm roll 15
267 Kasa Steril 40/40 roll 0
268 Kotak Slide buah 1
269 Kertas Saring helai 0
270 Kertas Lakmus helai 0
271 Kertas Ph helai 0
272 Kolesterol test Strips strip 0 100 6/26/2023 IFK
273 Lancet Darah buah 236 600 6/8/2023 IFK
274 Lisol Btl/100 2
275 Lrt Amonium Oxalat Btl/100 0
276 Lrt Asam Asetat Btl/100 0
277 Lrt Asam Sulfosalisilat 20 % Btl/100 0
278 Lrt Asam klorida 0,1N Btl/100 0
279 Lrt BaCl 2 Btl/100 0
280 Lrt Benedict Btl/100 0
281 Lrt Etanol Asam Btl/100 0
282 Lrt Eosin 2% Btl/100 1
283 Lrt Faucet Btl/100 0
284 Lrt Gabbet Btl/100 0
285 Lrt Giemsa Stain Btl/100 0
286 Lrt Hayem Btl/100 0
287 Lrt Imersion Oil Btl/100 1
288 Lrt Karbo Fuksin Btl/100 0
289 Lrt Lugol Btl/100 0
290 Lrt Metanol Btl/100 0
291 Lrt Metilen Blue Btl/100 0
292 Lrt Na Sitrat Btl/100 0
293 Lrt Sodium Citrate Btl/100 0
294 Lrt Turk Btl/100 1
295 Lart.Xylol Btl/100 0
296 Lyse Btl/100 0
297 Mag Slang buah 1
298 Masker buah 0
299 Masker Nebulizer anak set 0
300 Masker Nebulizer dewasa set 0
301 Masker N 95 buah 9
302 Micro Pipet I (200 UI) buah 111
303 Micro Pipet II (1000 UI) buah 0
304 Nasal Oxygen Bayi pcs 0
305 Nasal Oxygen Anak pcs 3
306 Objeck Glass pcs 302
307 Nasal Oxygen Dewasa pcs 7
308 Pembalut Elastis 7.5 cmx 4.55 m rol 0
309 Pembalut Elastis 10 cmx 4.55 m rol 0
310 Pengikat Tali Pusat buah 17
311 Plester 5 x 5 rol 17
312 Plester 5 x 4.5 rol 0
313 Pipet Tetes buah 0
314 Poli clean Handrub 500 ml btl 14
315 Poli wash Handrub 500 ml btl 12
316 Pot Sputum Steril buah 560
317 Povidon Iodida 60ml btl 19
318 Povidon Iodida 300 ml. btl 0
319 PPD2TU vial 1
320 Probe Cleanser kit 0
321 Reagen Asam Urat kit 0
322 Reagen Bilirubun kit 0
323 Reagen Creatinin kit 0
324 Reagen Hemoglobin kit 0
325 Reagen HDL kit 0
326 Reagen LDL kit 0
327 Reagen SGOT kit 0
328 Reagen SGPT kit 0
329 Reagen Urium kit 0
330 Reagen Glukosa kit 0
331 Reagen Kolesterol kit 0
332 Reagen Trigelisirida kit 0
333 Scaple Blades no 10 buah 0
336 Semen seng Fosfat set 0
337 Silk (benang bedah + JJ)26 mm pcs 0
338 Silk (benang bedah + JJ)24 mm pcs 29
339 Stik Uriliksa Diruii buah 0
340 Surgical Glove Steril Gynecolog 7 pcs 0
341 Surgical Glove Steril Gynecolog 7.5 pcs 13
342 Tabung EDTA buah 60
343 Tabung kapiler buah 0
344 Tabung reaksi buah 0
345 Tabung Sentrifus buah 0
346 Tissue Gulung buah 0
347 Tissue Lensa buah 0
348 Test Kehamilan strip 0
349 Test Iodin btl 0
350 Test Malaria buh 0
351 Test DBD buah 25
352 Test Protein Glucosa strip 0
353 Test Spilis buah 38 50 6/26/2023 IFK
354 SD HB Sag buah 28 50 6/26/2023 IFK
355 Anti HCV strip 0
356 Under Pad stril 60x90 buah 0
357 Urine Bag buah 0
358 Wadah Urin buah 0
359 Kertas Print Photometer rol 0
360 Cylindrical Tube buah 4
361 Reader Kalibrasi Cyboew srip 0
362 Tabung Sampel darah tutup merah buah 0
363 Alkazyme pouch 0
364 Alkacaside btl 4
366 Container box 15 L btl 1
367 Container box 20 L ktk 1
368 Hand Scoon Safe Glove 6.5 pcs 0
369 Hazmat Level 3 pcs 0
370 Surgical Glove Steril Gynecolog 6.5 pcs 0
371 Hand Scoon Cosmomed pcs 0
372 Spatel pcs 5
373 Para Film ktk 0
374 Hazmat pcs 12
375 Masker Bedah pcs 30
376 Masker TB pcs 210
377 Hand Scoond Star Glove pcs 0
378 Hand Scoond Protos pcs 0
379 Palsemeter pcs 0
380 Masker Anak pcs 2550
381 Face Shield pcs 5
382 Kaca Mata pcs 20
383 Rapit Test Antigen pcs 0
384 B6 - Pro Test Glukosa pcs 1 2 6/8/2023 IFK
385 Hand Sanitizer ( Softabag ) buah 0 20 6/26/2023 IFK
Bayar
BPJS
Total Karcis

NIP.19731104 200212 2 003
PERSE PEMAKAIAN
DIAAN APOTEK IGD KIA GIGI LAB IMUN AMPALU GUGUK MNG TGR PR. PAUH Atas Pdg.
PUSKEL
ISASI
TGG LBG TINGGI Laban Mgn
0
2818 40 20
0
200
26
0
680
0
0
0
0
1567 10
80
285
1270
100
3715 60 60
0
3626 30 60
0
26
20
0
4308 40 20
0
2785 50
0
0
0
0
0
0
47
0
650
2068
0
0
10
2653 30 20
324
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
510
0
37
10
651 10 10
0
21
0
0
0
676 3
18
0
1
650
500
60
0
0
0
734 10
0
1115
0
2
0
46
7
180
10
2774 10 50
668 20
4
0
0
0
24
0
2114 40
1000
0
709 20
63
0
0
27
10
17
6
0
2564 40 40
0
1285
2080
0
0
4 3 1
431
0
0
615
0
0
120
0
1
37 1
389
24
0
1050 10
0
0
0
0
9
0
25 1
624
0
0
9464 60 100
135 1
36
2227 30
1641 20 30
428 30
0
0
0
0
0
0
0
0
15
1050
818 40
0
5
21 1
0
0
0
819 20 10
839
0
2015
487 487
0
0
3369 30
0
0
0
4814 20 50
385
0
0
555
35
4978 40 50
1915
10
0
0
3
0
0
0
20
0
91
35
14
2
46
24
56
23
21
0
38
28
0
25
2700
484
0
0
0
0
2000
715
895
474
175
162 5
518 6 3
255
0
0
197
1
0
0
1
75
0
0
0
0
0
0
0
124
0
0
0
0
0
1
1
0
0
0
0
0
529
0
0
0
0
90
0
9 1
36 1
0
1
0
10
9
0
102 1 1
15 1
0
1
0
0
0
100
836
2
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
1
0
0
1
0
0
0
9
111
0
0
3
302
7
0
0
17 1
17
0
0
14
12
560
19
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
29 1
0
0
13
60
0
0
0
0
0
0
0
0
25
0
88
78
0
0
0
0
0
4
0
0
0
4
1
1
0
0
0
0
5
0
12
30
210
0
0
0
2550
5
20
0
3
20
13 7
27 19
40 26
Halaban, 30 Juni 2023

Pengelola Obat
Ira,Amd.Farm
NIP. 19810912 201408 2 003
STOK
AKHIR
- -
20 80 2,738
- -
- 200
- 26
- -
- 680
- -
- -
- -
- -
10 60 80 1,487
- 80
- 285
- 1,270
3 3 97
150 270 3,445
- -
70 60 220 3,406
- -
- 26
- 20
- -
90 150 4,158
- -
80 130 2,655
- -
- -
- -
- -
- -
- -
- 47
- -
- 650
- 2,068
- -
- -
- 10
50 2,603
- 324
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 2
- -
- -
- -
- -
- 510
- -
- 37
- 10
20 631
- -
- 21
- -
- -
- -
17 20 656
- 18
- -
- 1
- 650
- 500
- 60
- -
- -
- -
10 724
- -
- 1,115
- -
- 2
- -
2 2 44
- 7
- 180
- 10
80 140 2,634
70 90 578
- 4
- -
- -
- -
3 3 21
- -
100 100 240 1,874
- 1,000
- -
20 689
2 2 61
- -
- -
- 27
- 10
- 17
- 6
- -
150 10 240 2,324
- -
- 1,285
60 60 2,020
- -
- -
4 -
- 431
- -
- -
- 615
- -
- -
- 120
- -
- 1
2 3 34
- 389
- 24
- -
10 1,040
- -
- -
- -
- -
- 9
- -
1 24
- 624
- -
- -
180 20 360 9,104
2 3 132
- 36
80 90 200 2,027
70 120 1,521
30 398
- -
- -
- -
- -
- -
- -
- - exp
- -
- 15
- 1,050
20 60 758
- -
3 3 2
1 20
- -
- -
- -
20 50 769
- 839
- -
- 2,015
487 -
- -
- -
200 60 290 3,079
- -
- -
- -
180 10 260 4,554
- 385
- -
- -
- 555
- 35
150 10 250 4,728
- 1,915
- 10
- -
- -
- 3
- -
- -
- -
- 20
- -
- 91
- 35
- 14
- 2
- 46
- 24
- 56
- 23
- 21
- -
- 38
- 28
- -
- 25
- 2,700
- 484
- -
- -
- -
- -
- 2,000
- 715
- -
- 895
- 474
175
5 157
10 19 499
- 255
- -
- -
- 197
- 1
- -
- -
- 1
1 1 74
- -
- -
- -
- -
- -
- -
- -
- 124
- -
- -
- -
- -
- -
- 1
- 1
- -
- -
- -
- -
- -
- 529
- -
- -
- -
- -
- 90
- -
1 8
1 35
- -
- 1
- -
- 10
1 1 8
- -
1 3 99
1 2 13
- -
- 1
- -
- -
- -
- 100
- 836
- 2
- -
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- 1
- -
- -
- -
- 9
- 111
- -
- -
- 3
- 302
- 7
- -
- -
1 16
- 17
- -
- -
- 14
- 12
- 560
- 19
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 28
- -
- -
- 13
- 60
- -
- -
- -
- -
- -
- -
- -
- -
- 25
- -
- 88
- 78
- -
- -
- -
- -
- -
- 4
- -
- -
- -
- 4
- 1
- 1
- -
- -
- -
- -
- 5
- -
- 12
- 30
- 210
- -
- -
- -
- 2,550
- 5
- 20
- -
- 3
20
9 10 39
27 12 85
36 22 124
ban, 30 Juni 2023

Pengelola Obat
Ira,Amd.Farm
810912 201408 2 003
0

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BUKU BESAR PEMAKAIAN OBAT

APOTIK, PUSTU, IGD DAN LABOR

BULAN: Januari 2023

1 Acetosal Tab 80 mg tab 0 0

51 Doksisiklin Tablet tab 0 0

108 Kloramfenicol SK tube 20 20 7 1

165 Serum Anti Tetanus inj1500 IU ampul 4 4

221 Alat suntik skl pakai 5 ml set 265 265

278 Lrt Asam klorida 0,1N Btl/100 0 0

335 Scaple Blades no 15 buah 0 0

Kepala Puskesmas Halaban

BULAN: Februari 2023

1 Acetosal Tab 80 mg tab 0 0

55 Erytromisin Kap 500 mg kap 0 0

115 Klorpromazin tab 100 mg tab 1620 1620 340

175 Temporary Flecher [ Caviton ] set 0 0

233 Cat gut 2/0 plain pcs 0 0

293 Lrt Sodium Citrate Btl/100 0 0

353 Test Spilis buah 56 56 22

Kepala Puskesmas Halaban

BULAN: Maret 2023

1 Acetosal Tab 80 mg tab 0 0

51 Doksisiklin Tablet tab 0 0

108 Kloramfenicol SK tube 22 22 7

165 Serum Anti Tetanus inj1500 IU ampul 4 4

220 Alat suntik skl pakai 3 ml set 428 428 10 12 16

277 Lrt Asam Sulfosalisilat 20 % Btl/100 0 0

334 Scaple Blades no 11 buah 0 0

Kepala Puskesmas Halaban

BULAN: April 2023

1 Acetosal Tab 80 mg tab 0 0

51 Doksisiklin Tablet tab 0 0

108 Kloramfenicol SK tube 15 15 10

165 Serum Anti Tetanus inj1500 IU ampul 0 0

220 Alat suntik skl pakai 3 ml set 349 349 7 9

277 Lrt Asam Sulfosalisilat 20 % Btl/100 0 0

334 Scaple Blades no 11 buah 0 0

Kepala Puskesmas Halaban

BULAN: Mei 2023

1 Acetosal Tab 80 mg tab 0 0

51 Doksisiklin Tablet tab 0 0

108 Kloramfenicol SK tube 5 5 2

165 Serum Anti Tetanus inj1500 IU ampul 0 0

220 Alat suntik skl pakai 3 ml set 317 317 5 27 17

277 Lrt Asam Sulfosalisilat 20 % Btl/100 0 0

334 Scaple Blades no 11 buah 0 0

Kepala Puskesmas Halaban

Halaban, 31 Mei 2023

BULAN: Juni 2023

1 Acetosal Tab 80 mg tab 0

Kepala Puskesmas Halaban

Halaban, 30 Juni 2023

ban, 30 Juni 2023

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