LAPORAN PEMAKAIAN BULANAN OBAT SUB UNIT

UPTD PUSKESMAS RAWAT INAP CONGGEANG

Sub Unit : Polindes Cacaban

Laporan/Periode : Juni 2023
Tanggal :

STOK PENERI PERSED PEMAK STOK

NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)
1 Acyclovir
Acetylcysteine 200 mg
200 mg Tablet 10 10 10 -
2 Acyclovir 400 mg Tablet - -
3 Acyclovir Cream Tablet - -
4 Alat Suntik Sekali Pakai 0,05 ml Tube - -
5 Alat Suntik Sekali Pakai 0,5 ml Syringe - -
6 Alat Suntik Sekali Pakai 1 ml Syringe - -
7 Alat Suntik Sekali Pakai 1 ml Syringe - -
8 Alat Suntik Sekali Pakai 1 ml Syringe - -
9 Alat Suntik Sekali Pakai 10 ml Syringe - -
10 Alat Suntik Sekali Pakai 10 ml Syringe - -
11 Alat Suntik Sekali Pakai 2,5 ml Syringe - -
12 Alat Suntik Sekali Pakai 2,5 ml Syringe - -
13 Syringe - -
14 Alat
Alat Suntik
Suntik Sekali
Sekali Pakai
Pakai 320ml
ml Syringe - -
15 Alat Suntik Sekali Pakai 3 ml Syringe 3 3 3 -
16 Alat Suntik Sekali Pakai 5 ml Syringe - -
17 Syringe - -
18 Alat Suntik Tuberculin
Albendazol 400 mg 1 ml Set - -
19 Tablet - -
20 Alkohol
Albendazole
SwabSusp
CHG 0,5% (EMPAC) Botol - -
21 Alkohol Swab CHG 0,5% (EMPAC) Buah 70 70 20 50
22 Alkohol Swab CHG 0,5% (EMPAC) Pcs - -
23 Alkohol Swab CHG 0,5% (EMPAC) Pcs - -
24 Allopurinol 100 mg Pcs - -
25 Allopurinol 300 mg Tablet - -
26 Ambroxol 30 mg Tablet - -
27 Ambroxol Syrup Tablet - -
28 Aminofilin 200 mg Botol - -
29 Aminofilin Inj 24 mg/ml-10 mg Tablet - -
30 Aminofluid 500 ml Ampul - -
31 Amitriptilin HCL Tablet Salut 25 mg Botol - -
32 Amlodipin 10 mg Tablet - -
33 Amlodipin 5 mg Tablet - -
34 Amoxisilin 500 mg Tablet 30 30 20 10
35 Amoxisilin 500 mg Tablet 50 50 30 20
36 Amoxisilin Kapsul 250 mg Tablet - -
37 Amoxisilin Syrup 125 mg/ml Kapsul - -
38 Amoxisilin Syrup Forte 250 mg Botol 1 1 1 -
39 Botol - -
40 Amoxisilin syrup Forte 250mg/ml Botol - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Ampisilin 500 mg 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)

41 Ampisilin Serbuk Inj 1000 mg Tablet - -
42 Anestesi Citoject Vial - -
43 Anstrep Syrup Buah - -
44 Antalgin (Metampiron) 500 mg Botol - -
45 Antasida Doen Suspensi Tablet - -
46 Antasida Doen Tablet Buah - -
47 Anti Hemoroid Suppositorida Tablet 50 50 30 20
48 Anti Hemoroid Suppositorida Suppo - -
49 Anti Migrain Doen Suppo - -
50 Antifungi Doen Kombinasi Tablet - -
51 Antiseptic Hand Rub 5 Lt Pot - -
52 Antiseptic Hand Rub 500 ml Botol - -
53 Antiseptic Surgical Hand Scrub 5 Lt Botol - -
54 Antiseptic Surgical Hand Scrub 500 ml Botol - -
55 Aqua Pro Injeksi 20 ml Botol - -
56 Aquadest Steril 500 ml Vial - -
57 Asam folat Tablet/Kaplet/Kapsul Botol - -
58 Asam Mefenamat 500 mg Tablet - -
59 Asering Tablet - -
60 Asetosal 500 mg Botol - -
61 Asetosal 80 mg Tablet - -
62 Atafulgit tablet 600 mg Tablet - -
63 Atorvastatin 10 mg Tablet - -
64 Atrofin Sulfat inj 0,2 mg/ml-1 mg Tablet - -
65 Azitromisin 500 mg Ampul - -
66 Bethametasone Cream 0,1% Tablet - -
67 Bioplacenton Tulle Tube - -
68 Pcs - -
69 Bisakodil
Bisturi No.Sup
10 Suppo - -
70 Bloodset Pcs - -
71 Pcs - -
72 Bundavin
Calsidor Tablet - -
73 Captopril 12,5 mg Pcs - -
74 Captopril 25 mg Tablet - -
75 Catgut Chromic 2/0 100m Tablet - -
76 Catgut Chromic 2/0 75 C 30 MR Pcs - -
77 Catgut Chromic 3/0 75 C 22 MR Pcs - -
78 Catgut Plain 2/0 70 C 36 MR Pcs - -
79 Catgut Plain 3/0 70 C 19 MR Pcs - -
80 Pcs - -
81 Cavit/
CefiximTemporary
100 mg Filing Material Botol - -
82 Cetirizine 10 mg Tablet - -
83 Citoject Tablet - -
84 Clindamycin 300 mg Pcs - -
85 Clorfenol Kamper Menthol (CHKM) Kapsul - -
86 Co-Amoxiclav 625 mg Botol - -
87 Tablet - -
88 Coltosol F/Temporary Filing Material Botol - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Curviplex 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)

89 Botol - -
90 Dekstrofen
DevitalisasiSirup
Pasta (Non Arsen) Botol - -
91 Dexamethason 0,5 mg Botol - -
92 Dexamethason Inj 5 mg/ml-1 ml Tablet - -
93 Ampul - -
94 Dextaco Tablet inj 10 mg/ml
Difenhidramin Tablet - -
95 Digoxin 0,25 mg Ampul - -
96 Dimenhidrinat 50 mg Tablet - -
97 Domperidon 10 mg Tablet - -
98 Domperidon Suspensi Tablet - -
99 Botol - -
100 Dopamet/ Metildopa Tablet - -
101 Doxycyclin
Epinefrina Hcl inj 0,1%-1ml Kapsul - -
102 Epinefrina Hcl inj 0,1%-1ml Ampul - -
103 Erytromicin 250 mg Ampul - -
104 Erytromicin 500 mg Tablet - -
105 Erytromicin Syrup mg Tablet - -
106 Ethambutol Hcl 250 mg Botol - -
107 Ethambutol Hcl 500 mg Tablet - -
108 Ethanol 70% 1 Liter Tablet - -
109 Ethanol 70% 100 ml Botol - -
110 Ethil Clorida 100 ml Botol - -
111 Eugenol Botol - -
112 Botol - -
113 Faceshield
FDC Anak Pcs - -
114 FDC I Paket - -
115 FDC II Paket - -
116 FDC Sisipan Paket - -
117 Female Chateter No. 16 Paket - -
118 Female Chateter No. 18 Pcs - -
119 Fenitoin Kapsul 100 mg Pcs - -
120 Fenobarbital 30 mg Kapsul - -
121 Fenobarbital inj Tablet - -
122 Ampul - -
123 Fermin
Film IV Dressing 67P Pcs - -
124 Fluconazole 150 mg Pcs - -
125 Folley Cathether No. 16 Kapsul - -
126 Folley Cathether No. 18 Pcs - -
127 Folley Cathether No. 20 Pcs - -
128 Fortusin Syrup Pcs - -
129 Furosemide 40 mg Botol - -
130 Garam Oralite Tablet - -
131 Garam Oralite Sachet - -
132 Gentamicin inj 40 mg Sachet - -
133 Gentamicin Salep Kulit Ampul - -
134 Gentamicin Salep Mata Tube - -
135 Gentamicin Tetes Mata 0,3% Tube - -
136 Botol - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Gentian Violet Larutan 1%-102 ml 3 4 5 6 (4+5) 7 8 8 (6-7-8)

137 Gigadril Botol - -
138 Glass Ionomer Botol - -
139 Glibenclamide 5 mg Botol - -
140 Glimepirid 1 mg Tablet - -
141 Glimepirid 2 mg Tablet - -
142 Gliseril Guayakolat 100 mg Tablet - -
143 Glukosa Larutan Infus 10%-500 ml Tablet - -
144 Glukosa Larutan Infus 5%-500 ml Botol - -
145 Griseofulvin 125 mg Botol - -
146 Halloperidol 0,5 mg Tablet - -
147 Halloperidol 1,5 mg Tablet - -
148 Halloperidol 2 mg Tablet - -
149 Halloperidol 5 mg Tablet - -
150 Halloperidol inj 5 mg/ml Tablet - -
151 Hansaplast 2,5 cm x 4,5 m Ampul - -
152 Hansaplast 7,5 cm x 4,5 m Pcs - -
153 Hemafort Pcs - -
154 Tablet - -
155 Herbakof
Hidroclortiazid (HCT) 25 mg Botol - -
156 Hidrocortison Acetat (Solacort/Armacort) Tablet - -
157 Hidrogen Peroksida 3% Tube - -
158 Hidrokortison Cream 2,5% Botol - -
159 Ibuprofen 200 mg Tube - -
160 Ibuprofen 400 mg Tablet - -
161 Ibuprofen syrup Tablet - -
162 Infusion Set anak Botol - -
163 Infusion Set anak Pcs - -
164 Infusion Set Dewasa Pcs - -
165 Infusion Set Dewasa Pcs - -
166 Pcs - -
167 Isoniazida
Isoniazid 300mg/Rifampentin
(INH) 100 mg 300mg Kit - -
168 Isoniazida (INH) 300 mg Tablet - -
169 Isosorbit 5 mg Tablet - -
170 IV Cateter No. 16 Tablet - -
171 IV Cateter No. 18 Pcs - -
172 IV Cateter No. 20 Pcs - -
173 IV Cateter No. 22 Pcs - -
174 IV Cateter No. 22 Pcs - -
175 IV Cateter No. 24 Pcs - -
176 IV Cateter No. 26 WG Pcs - -
177 Jarum citoject Pcs - -
178 Jarum Jahit Kulit No. 12 Pcs - -
179 Jarum Jahit Otot No. 12 Pcs - -
180 Pcs - -
181 Kalium
Jumantik Kit
Permanganat Kit - -
182 Kalsium Glukonas Botol - -
183 Kalsium Hidroksida Pasta/Kalsidor Ampul - -
184 Botol - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Kalsium Laktat (Kalk) 500 mg 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)

185 Tablet 20 20 20 -
186 Kapas
Kantung Jenazah
Pembalut/Absorben 100 mg Buah - -
187 Kapas Pembalut/Absorben 250 mg Pcs - -
188 Karbamazepin 200 mg Pcs - -
189 Karbogliserin tetes Telinga Tablet - -
190 Botol - -
191 Kasa
Kasa Hydrofil
hidrofile 3yard
36 m xX8010cm
m Pcs - -
192 Kasa Kompres 16x16 Steril Pcs - -
193 Kasa Pembalut Hidrofil 4 m x 10 cm Pcs - -
194 Ketokonazol 200 mg Pcs - -
195 Ketokonazol Cream Tablet - -
196 Tube - -
197 Kloramfenicol
Klindamisin 300 mg
250 mg Kapsul - -
198 Kloramfenicol 500 mg Kapsul - -
199 Kloramfenicol Salep Kulit Kapsul - -
200 Kloramfenicol Salep Mata 1% Tube - -
201 Kloramfenicol Susp 125 mg Botol - -
202 Kloramfenicol Tetes Telinga Botol - -
203 Klorfeniramin Maleat (CTM) 4 mg Botol - -
204 Klorine Tablet - -
205 Klorpromazin 100 mg Botol - -
206 Klorpromazin 25 mg Tablet - -
207 Klorpromazin inj 5 mg/amp-2ml Tablet - -
208 Ampul - -
209 Kondom
Kotrimoksazol Anak Pcs - -
210 Kotrimoksazol Doen 480 mg Tablet - -
211 Kotrimoksazol Doen 600 mg Tablet - -
212 Kotrimoksazol Susp Tablet - -
213 Botol - -
214 Kotrimoxazole Doen 960 mg Tablet - -
215 Leukoplast
Leukomed IV Film 2,5 cm x 4,5 m
Hospital Pcs - -
216 Leukoplast Hospital 7,5 cm x 4,5 m Pcs - -
217 Lidocain Compositum inj Pcs - -
218 Lidocain HCL inj 2% Ampul - -
219 Lidocain Jelly 2% Ampul - -
220 Pcs - -
221 Lisol
Lidokain Spray oral 10% Pcs - -
222 Lodecon Farte Botol - -
223 Lodecon Tablet - -
224 Lodomer inj Tablet - -
225 Loratadine 10 mg Ampul - -
226 Tablet - -
227 Lubrican Cupid Pcs - -
228 Lytacur
Magnesium Sulfat inj 20% Botol - -
229 Magnesium Sulfat inj 40% Botol - -
230 Botol - -
231 Masker kn95 Pcs - -
232 Masker Medis Buah - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)
233 Masker
Masker Medis
Medis Buah - -
234 Masker Medis Pcs - -
235 Pcs - -
236 Masker N95 Pcs - -
237 Masker N95500 mg
Metformin Pcs - -
238 Metilergometrin Maleat inj Tablet - -
239 Metilergometrin Maleat Ampul - -
240 Tablet - -
241 Metilprednisolon 16 mg Tablet - -
242 Metilprednisolon
Metoclopramide inj4 mg Tablet - -
243 Metoclopramide tab Ampul - -
244 Metronidazol 250 mg Tablet - -
245 Metronidazol 500 mg Tablet - -
246 Tablet - -
247 Miconazole
Metronidazol Sirup Botol - -
248 Tube - -
249 Mineral Mix Serbuk 8 G Sachet - -
250 Multivitamin
Mummying PastaSIVIT-ZINK Tablet - -
251 Nasal Oksigen, Canula "XS" Botol - -
252 Nasal Oksigen, Canula "S" Pcs - -
253 Nasal Oksigen, Canula "M" Pcs - -
254 Nasal Oksigen, Canula "L" Pcs - -
255 Natrium Bikarbonat 500 mg Pcs - -
256 Natrium Bikarbonat 500 mg Tablet - -
257 Natrium Diklopenat 25 mg Tablet - -
258 Natrium Klorida Lar. Infus 0,9% Tablet - -
259 Natrium Klorida Lar. Infus 0,9% Botol - -
260 Botol - -
261 Nifedipin 10 mg Tablet - -
262 Nistatin Suspensi100.000 IU/g
Nistatin vaginal Botol - -
263 Nistatin vaginal 500.000 IU/g Tablet - -
264 Tablet - -
265 Novadryl Tablet - -
266 NRM Adult Pcs - -
267 NRM Adult (L) Pcs - -
268 NRM Adult (XL) Pcs - -
269 NRM Child Pcs - -
270 NRM Child (M) Pcs - -
271 Nurse Cap Geen Pcs - -
272 OAT KDT Dosisi harian Paket - -
273 OAT KDT Dosisi harian Paket - -
274 OAT KDT Dosisi harian Paket - -
275 OAT KDT Dosisi harian Paket - -
276 Obat
OAT Batuk
Kombipak
HitamKategori
(OBH) I100 ml Paket - -
277 OBH Plus Botol - -
278 Botol - -
279 Oksigen Nasal cannula (CHILD) Pcs - -
280 Oksigen Nasal cannula L (Adult) Pcs - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)
281 Oksitetrasiklin
Oksigen Nasal cannula
HCL 3%M (Infant/child)
Salep Kulit Pcs - -
282 Oksitetrasiklin HCL inj 50 mg/ml-10 ml Tube - -
283 Oksitetrasiklin HCL Salep Mata Vial - -
284 Oksitosin inj 10 ml Tube - -
285 Omeprazole inj Ampul - -
286 Omeprazole Kapsul/Kaplet 20 mg Ampul - -
287 Kapsul - -
288 Oseltamifir 75 mg Kapsul - -
289 Oxyflow
Papaverin Pcs - -
290 Tablet - -
291 Paper Tape
Paraformaldehyde (Formalin) Roll - -
292 Parasetamol 100 mg Botol - -
293 Parasetamol 500 mg Tablet - -
294 Parasetamol 500 mg Tablet - -
295 Parasetamol 500 mg Tablet 20 20 20 -
296 Parasetamol Drops Tablet - -
297 Parasetamol Syrup 120 mg Botol - -
298 Pehacain inj Botol - -
299 Permetrin Krim 5% (Scabimite) Ampul - -
300 PGA 2 75 C + Jarum 1/2 40 M (Demesorb) Tube - -
301 Phenoxymethyl Penicillin 250 mg Pcs - -
302 Phenoxymethyl Penicillin 500 mg Tablet - -
303 Phytomenadione (Vit K) 10 mg Tablet - -
304 Phytomenadione (Vit K) Inj Tablet - -
305 Piroxicam 10 mg Ampul - -
306 Piroxicam 20 mg Tablet - -
307 Tablet - -
308 Plastik
Plester Limbah
5 yard x 2 inc Buah - -
309 Plester 7,5 yard x 5 inc Pcs - -
310 Pcs - -
311 Plesterin
Polypropylene 2/0 75C + jarum 3/8 26m (Demelene) Buah - -
312 Pcs - -
313 Povidone
Povidon 10%- 60 10%
Iodine ml - 30 ml Botol - -
314 Povidone Iodine 10% - 300 ml Botol - -
315 Prednison 5 mg Botol - -
316 Tablet - -
317 Primetamine
Probenesid Tablet - -
318 Propanolol Hcl 10 mg Tablet - -
319 Propanolol Hcl 40 mg Tablet - -
320 Propiltiourasil 100 mg Tablet - -
321 Pyrantel 125 mg Tablet - -
322 Pyrazinamide 500 mg Tablet - -
323 Ranitidine 150 mg Tablet - -
324 Ranitidine inj Tablet - -
325 Reserpine 0,25 mg Ampul - -
326 Retinol (Vit A) Kapsul 100.000 IU Tablet - -
327 Retinol (Vit A) Kapsul 100.000 IU Kapsul - -
328 Kapsul - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Retinol (Vit A) Kapsul 200.000 2 IU 3 4 5 6 (4+5) 7 8 8 (6-7-8)

329 Retinol (Vit A) Kapsul 200.000 IU Kapsul - -
330 Rifampisin 300 mg Kapsul - -
331 Rifampisin 450 mg Tablet - -
332 Ringer Laktat Larutan Infus Tablet - -
333 Rivanol 300 ml Botol - -
334 Botol - -
335 Salbutamol
Safety box 2 mg Pcs - -
336 Salbutamol Inhalasi Tablet - -
337 Salep 24 Kombinasi 2% Pcs - -
338 Salisil Bedak 2% - 50 gr POT - -
339 Pcs - -
340 Sarung
Sarung Tangan
tangan kain
No. 6,5 Steril Pasang - -
341 Sarung Tangan No. 7 non Steril Pcs - -
342 Sarung Tangan No. 7 Steril Pcs - -
343 Sarung Tangan No. 7,5 non Steril Pcs - -
344 Sarung Tangan No. 7,5 Steril Pcs - -
345 Pcs - -
346 Sarung tangan non steril Psg - -
347 Sarung
Sarung Tangan
tangan non
Nonsteril
Steril Psg - -
348 Pcs - -
349 Sarung Tangan Obgyn Steril Pcs - -
350 Sarung tangan
Scandonest steril
(Mepivacain Hydrochloride) 2% Psg - -
351 Ampul - -
352 Sefadroksil
Seledril 125mg/5ml Botol - -
353 Semen Seng Fosfat Serbuk dan Cair Tablet - -
354 Semillas Non Woven Medical Tape 5x500 Botol - -
355 Serum Anti Bisa Ular inj (SABU) Pcs - -
356 Vial - -
357 Serum AntiTetanus
Silk (Benang ATS No 3/0 DS 26 M
Bedah Sutera) Ampul - -
358 Silk 2/0 750 30 m Pcs - -
359 Silk 3/0 750 26 m Pcs - -
360 Pcs - -
361 Silk
Silk Black
3/0 75C2/017M
DS 100 mm Pcs - -
362 Silk Black 2/0 DS 24 mm Pcs - -
363 Silk Black 2/0 HR 26 mm Pcs - -
364 Silk Black 3/0 HR 26 mm Pcs - -
365 Silk Black PFM 2/0 Pcs - -
366 Simvastatin scored 10 mg Pcs - -
367 Simvastatin scored 20 mg Tablet - -
368 Siprofloksasin 500 mg Tablet - -
369 Tablet - -
370 SOFTANOL 5 ltr-antimicrobial Botol - -
371 Solafluz
SOFTANOL 500ml-antimicrobial Botol - -
372 Soldextam Maleat 2 mg Tablet - -
373 Tablet - -
374 Solvitral
Solvitron Tablet - -
375 Spironolakton 25 mg Tablet - -
376 Tablet - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 Stesolid 5 mg supp 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)

377 Suppo - -
378 Stimuno Forte Kapsul - -
379 Streptomycin
Stimuno Sirupinj Botol - -
380 Sulfasetamid Tetes Mata Ampul - -
381 Botol - -
382 Syringe 10 cc Syringe - -
383 Tablet
SyringeTambah
20 cc Darah (CAMABION) Syringe - -
384 Tablet Tambah Darah Komb Ferro Fumarat Tablet - -
385 Temporary Stopping Fletcher Serbuk & Cair Tablet 20 20 20 -
386 Tetagam (Human Tetanus Imunoglobulin) Botol - -
387 Tetracain Tetes Mata Vial - -
388 Tetrasiklin 250 mg Botol - -
389 Tetrasiklin 500 mg Tablet - -
390 Tranfusion set Tablet - -
391 Triheksifenidil 2 mg Pcs - -
392 Trikesol Formalin (TKF) Tablet - -
393 Truvit Botol - -
394 Umbilical Cord Clamp Botol - -
395 Urine Bag Pcs - -
396 Urine Bag Pcs - -
397 Ventolin Pcs - -
398 Ampul - -
399 VIOREX 5 ltr-antimicrobial Botol - -
400 VIOREX
Vitamin B500 ml-antimicrobial
Complek Botol - -
401 Vitamin B1 (Thiamin) Tablet 20 20 20 -
402 Vitamin B12 (Cyanocobalamine) Tablet 20 20 20 -
403 Vitamin B6 (Pyridoxine) Tablet - -
404 Tablet - -
405 Vitamin
Vitamin CB6(Asam
25 mg Askorbat) 50 mg Tablet - -
406 Tablet - -
407 Vitamin C 250 mg Tablet - -
408 Vitromega
Vitamin C 500 MG Tablet - -
409 Tablet - -
410 Wida
Wing BES
Needle No. 25 Botol - -
411 Wing Needle No. 25 Pcs - -
412 Pcs - -
413 Zegavit
Zink Tablet - -
414 Zink Tablet - -
415 Tablet - -
416 Bisturi No. 11 Pcs - -
417 Bisturi No. 12 Pcs - -
418 Bisturi No. 22 Pcs - -
419 Cooler Box Buah - -
420 Desinfektan 5 Liter Galon - -
421 Lancet Pcs - -
422 Maxima Antiseptik Handsanitizer 100 ml Botol - -
423 Oxigen Regulatir Buah - -
424 - -
 STOK PENERI PERSED PEMAK STOK
NO NAMA OBAT SATUAN ED
AWAL MAAN IAAN AIAN AKHIR

1 2 3 4 5 6 (4+5) 7 8 8 (6-7-8)
425 - -
426 - -
427 - -
428 - -
429 - -
430 - -

UMUM
BPJS JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK
3 22 25

Yang Meminta, Yang Melaporkan,

Pengelola Obat Puskesmas Petugas Sub Unit

HENDRI SETIA PERMANA, S.FARM., APT ......................................................

NIP. 19870215 201903 1 006 NIP ..............................................

Mengetahui,
Kepala UPTD Puskesmas
Rawat Inap Conggeang,

dr. Hj. UNING ROHAYATI., MHKes

NIP. 19640711 200212 2 002