LAPORAN PEMAKAIAN BULANAN OBAT SUB UNIT

UPTD PUSKESMAS RAWAT INAP CONGGEANG

Sub Unit : Pustu Babakanasem

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 6 6 6 -
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 15 15 - 15
16 Alat Suntik Sekali Pakai 5 ml Syringe 19 19 - 19
17 Syringe 5 5 - 5
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 372 372 - 372
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 100 100 10 90
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 200 200 - 200
34 Amoxisilin 500 mg Tablet 290 290 120 170
35 Amoxisilin 500 mg Tablet 630 630 30 600
36 Amoxisilin Kapsul 250 mg Tablet - -
37 Amoxisilin Syrup 125 mg/ml Kapsul - -
38 Amoxisilin Syrup Forte 250 mg Botol 17 17 - 17
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 350 350 100 250
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 1 1 - 1
54 Antiseptic Surgical Hand Scrub 500 ml Botol - -
55 Aqua Pro Injeksi 20 ml Botol - -
56 Aquadest Steril 500 ml Vial 2 2 - 2
57 Asam folat Tablet/Kaplet/Kapsul Botol - -
58 Asam Mefenamat 500 mg Tablet - -
59 Asering Tablet 320 320 10 310
60 Asetosal 500 mg Botol - -
61 Asetosal 80 mg Tablet - -
62 Atafulgit tablet 600 mg Tablet - -
63 Atorvastatin 10 mg Tablet 100 100 30 70
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 5 5 3 2
68 Pcs - -
69 Bisakodil
Bisturi No.Sup
10 Suppo 4 4 - 4
70 Bloodset Pcs - -
71 Pcs - -
72 Bundavin
Calsidor Tablet - -
73 Captopril 12,5 mg Pcs - -
74 Captopril 25 mg Tablet 80 80 10 70
75 Catgut Chromic 2/0 100m Tablet 210 210 10 200
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 12 12 - 12
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 300 300 - 300
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 75 75 20 55
132 Gentamicin inj 40 mg Sachet - -
133 Gentamicin Salep Kulit Ampul - -
134 Gentamicin Salep Mata Tube - -
135 Gentamicin Tetes Mata 0,3% Tube 10 10 1 9
136 Botol 4 4 3 1
 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 2 2 1 1
160 Ibuprofen 400 mg Tablet - -
161 Ibuprofen syrup Tablet 70 70 30 40
162 Infusion Set anak Botol 17 17 - 17
163 Infusion Set anak Pcs 3 3 - 3
164 Infusion Set Dewasa Pcs - -
165 Infusion Set Dewasa Pcs 4 4 - 4
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 10 10 - 10
173 IV Cateter No. 22 Pcs 11 11 - 11
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 3 3 - 3
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 470 470 120 350
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 9 9 1 8
191 Kasa
Kasa Hydrofil
hidrofile 3yard
36 m xX8010cm
m Pcs 35 35 - 35
192 Kasa Kompres 16x16 Steril Pcs - -
193 Kasa Pembalut Hidrofil 4 m x 10 cm Pcs 74 74 - 74
194 Ketokonazol 200 mg Pcs - -
195 Ketokonazol Cream Tablet - -
196 Tube 6 6 2 4
197 Kloramfenicol
Klindamisin 300 mg
250 mg Kapsul - -
198 Kloramfenicol 500 mg Kapsul - -
199 Kloramfenicol Salep Kulit Kapsul - -
200 Kloramfenicol Salep Mata 1% Tube 5 5 4 1
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 130 130 10 120
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 2 2 - 2
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 30 30 - 30
225 Loratadine 10 mg Ampul - -
226 Tablet - -
227 Lubrican Cupid Pcs - -
228 Lytacur
Magnesium Sulfat inj 20% Botol - -
229 Magnesium Sulfat inj 40% Botol 5 5 - 5
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 35 35 4 31
234 Masker Medis Pcs - -
235 Pcs - -
236 Masker N95 Pcs - -
237 Masker N95500 mg
Metformin Pcs - -
238 Metilergometrin Maleat inj Tablet 240 240 - 240
239 Metilergometrin Maleat Ampul 10 10 - 10
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 130 130 20 110
247 Miconazole
Metronidazol Sirup Botol - -
248 Tube 2 2 2 -
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 186 186 10 176
257 Natrium Diklopenat 25 mg Tablet - -
258 Natrium Klorida Lar. Infus 0,9% Tablet 230 230 40 190
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 1 1 - 1
 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 4 4 - 4
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 400 400 135 265
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 200 200 20 180
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 3 3 - 3
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 110 110 70 40
325 Reserpine 0,25 mg Ampul 3 3 - 3
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 30 30 - 30
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 48 48 - 48
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 12 12 - 12
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 170 170 - 170
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 10 10 2 8
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 1,840 1,840 120 1,720
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 2 2 - 2
397 Ventolin Pcs - -
398 Ampul - -
399 VIOREX 5 ltr-antimicrobial Botol - -
400 VIOREX
Vitamin B500 ml-antimicrobial
Complek Botol - -
401 Vitamin B1 (Thiamin) Tablet 490 490 130 360
402 Vitamin B12 (Cyanocobalamine) Tablet 500 500 60 440
403 Vitamin B6 (Pyridoxine) Tablet 490 490 20 470
404 Tablet 460 460 - 460
405 Vitamin
Vitamin CB6(Asam
25 mg Askorbat) 50 mg Tablet - - -
406 Tablet 370 370 - 370
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 290 290 - 290
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
19 34 53

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