Laporan Pengadaan Sendiri 2022

PELAPORAN OBAT PENGADAAN SENDIRI
PUSKESMAS BALAPULANG
BULAN : JANUARI 2022
NO NAMA OBAT SATUAN STOK AWAL PEMASUKAN

1 2 3 4 5
OBAT
1 AMLODIPIN 5 MG TABLET TABLET 300
2 AMOKSISILIN 500MG TABLET 4,500
3 AMOKSISILIN INJEKSI VIAL 145
4 AQUABIDEST VIAL 100
5 ASAM ASCORBAT 50MG TABLET 13,700
6 CEFTRIAXONE INJ VIAL 166
7 CIPROFLOXACIN 500MG TABLET -
8 DEXTRAL TABLET 1,175
9 EPINEFRIN INJ AMPUL 20
10 GLUKOSA 5% INFUS BOTOL -
11 GUAIFENESIN TABLET -
12 IBUPROFEN 200MG TABLET 100
13 JELLY DOPLER 1LITER JERIGEN -
14 JELLY DOPLER 250ML BOTOL -
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 154
16 KLORFENIRAMIN MALEAT 4MG TABLET 6,700
17 LIVRON B-PLEK TABLET -
18 METRONIDAZOL 500MG TABLET 100
19 MOLEKFLU TABLET 1,650
20 NACL INFUS BOTOL -
21 OKSITOSIN INJEKSI AMPUL 50
22 OMEPRAZOLE 20MG KAPSUL -
23 OXITETRASIKLIN SALEP MATA TUBE -
24 PARASETAMOL SYR 125MG BOTOL 100
25 PARASETAMOL 500MG TABLET 12,300
26 RL INFUS BOTOL 1,000
27 SIANOKOBALAMIN 50MCG TABLET 4,400
28 SIMVASTATIN 10MG TABLET -
29 THIAMPHENICOL 500MG KAPSUL 1,000
30 THIAMINE HCL 50MG TABLET 5,500
31 VITAMIN K 10MG TABLET -
32 ZINK 20MG TABLET 700
33 KOTRIMOKSAZOL TAB. DEWASA TABLET 800
34 DEXAMETHASONE TABLET 1,900
35 AMBROXOL TABLET 2,760
-
-
-
BAHAN MEDIS HABIS PAKAI -
1 ABBOCATH NO 20 SET 104
2 ABBOCATH NO 24(3/4) SET 40
3 ALKOHOL SWAB BOX 6
4 BETADINE 1000ML BOTOL 3
5 BISTURI PCS 41
6 BLOOD LANCET PCS 68
7 CUT GUT CHROMIC 2/0 PCS 24
8 DEE LEE PCS 37
9 HANDRUB 5LITER JERIGEN -
10 HYPAVIX 5M X 5CM ROLL -
11 INFUSET ANAK SET 70
12 INFUSET DEWASA SET 60
13 JARUM SE-MH 32 PCS 19
16 JARUM SE-MH 3/8 NO 32 PCS 6
18 KASSA BUNDA ROLL 4
19 LEUKOPLAST ROLL 1
20 MASKER PCS -
21 NEEDLE NO 18 PCS 89
22 NEEDLE NO 23 88
23 PLAIN 2/0 -
24 SARUNG TANGAN OBGYN PCS 28
25 SELANG OKSIGEN BAYI PCS 96
26 SELANG OKSIGEN ANAK PCS -
27 SELANG OKSIGEN DEWASA PCS 44
28 SILK 2/0 PCS 60
29 SILK 3/0 PCS 36
30 SLIM SECHER 21
31 SPUIT 1CC PCS 155
32 SPUIT 3CC PCS 3,200
34 UMBILICAL KLEM PCS 168
35 URINE BAG PCS 1
Mengetahui
Kepala Puskesmas
dr. Jaka Suyatna

NIP. 19611103 198711 1 001
ADAAN SENDIRI
PULANG
RI 2022
JUMLAH
PENGELUARAN SISA KETERANGAN
PERSEDIAAN
6 7 8 9
300 300 -
4,500 4,500
145 45 100
100 100
13,700 13,700
166 51 115
- -
1,175 15 1,160
20 20
- -
- -
100 100 -
- -
- -
154 71 83
6,700 6,700
- -
100 100
1,650 300 1,350
- -
50 30 20
- -
- -
100 100
12,300 1,500 10,800
1,000 1,000
4,400 4,400
- -
1,000 1,000
5,500 5,500
- -
700 700
800 37 763
1,900 100 1,800
2,760 74 2,686
- -
- -
- -
- -
104 104
40 40
6 6
3 3
41 5 36
68 68
24 24
37 37
- -
- -
70 70
60 10 50
19 5 14
12 5 7
7 7
6 6
12 12
4 4
1 1 -
- -
89 4 85
88 88
- -
28 4 24
96 2 94
- -
44 44
60 60
36 36
21 21 -
155 155
3,200 3,200
2,200 100 2,100
168 53 115
1 1
Balapulang, 03 Februari 2022
Petugas Obat Puskesmas
Etik Kurniati, S.Farm., Apt.

NIP. -
BULAN : FEBRUARI 2022

1 2 3 4 5
OBAT
1 AMLODIPIN 5 MG TABLET TABLET -
12 IBUPROFEN 200MG TABLET -
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 83 100
19 MOLEKFLU TABLET 1,350
21 OKSITOSIN INJEKSI AMPUL 20
29 THIAMPHENICOL 500MG KAPSUL 1,000
-
-
-
5 BISTURI PCS 36
8 DEE LEE PCS 37
18 KASSA BUNDA ROLL 4 2
19 LEUKOPLAST ROLL -
20 MASKER PCS -
22 NEEDLE NO 23 88
23 PLAIN 2/0 -
28 SILK 2/0 PCS 60
29 SILK 3/0 PCS 36
30 SLIM SECHER -
34 UMBILICAL KLEM PCS 115 150
35 URINE BAG PCS 1
Mengetahui
Kepala Puskesmas
dr. Jaka Suyatna

NIP. 19611103 198711 1 001
ADAAN SENDIRI
PULANG
RI 2022
JUMLAH
PERSEDIAAN
6 7 8 9
- -
4,500 4,500
100 100
100 100
13,700 13,700
115 25 90
- -
1,160 10 1,150
20 20
- -
- -
- -
- -
- -
183 30 153
6,700 6,700
- -
100 100
1,350 512 838
- -
20 10 10
- -
- -
100 100
10,800 2,320 8,480
1,000 1,000
4,400 4,400
- -
1,000 100 900
5,500 5,500
- -
700 700
763 40 723
1,800 100 1,700
2,686 296 2,390
- -
- -
- -
- -
104 104
40 40
6 6
3 3
36 3 33
68 - 68
24 24
37 37
- -
- -
70 70
50 50
14 14
7 7
7 7
6 6
12 12
6 2 4
- -
- -
85 85
88 88
- -
24 24
94 94
- -
44 44
60 60
36 36
- -
155 155
3,200 3,200
2,100 2,100
265 40 225
1 1
Balapulang, 01 Maret 2022

NIP. -
BULAN : MARET 2022

1 2 3 4 5
OBAT
1 AMLODIPIN 5 MG TABLET TABLET -
12 IBUPROFEN 200MG TABLET -
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 153
19 MOLEKFLU TABLET 838
21 OKSITOSIN INJEKSI AMPUL 10 100
29 THIAMPHENICOL 500MG KAPSUL 900
-
-
-
5 BISTURI PCS 33
8 DEE LEE PCS 37
18 KASSA BUNDA ROLL 4
19 LEUKOPLAST ROLL -
20 MASKER PCS -
22 NEEDLE NO 23 88
23 PLAIN 2/0 -
28 SILK 2/0 PCS 60
29 SILK 3/0 PCS 36
30 SLIM SECHER -
34 UMBILICAL KLEM PCS 225
35 URINE BAG PCS 1
Mengetahui
Kepala Puskesmas
dr. Jaka Suyatna

NIP. 19611103 198711 1 001
ADAAN SENDIRI
PULANG
T 2022
JUMLAH
PERSEDIAAN
6 7 8 9
- -
4,500 - 4,500
100 24 76
100 - 100
13,700 200 13,500
90 - 90
- - -
1,150 - 1,150
20 - 20
- - -
- - -
- - -
- - -
- - -
153 68 85
6,700 - 6,700
- - -
100 - 100
838 238 600
- - -
110 10 100
- - -
- - -
100 50 50
8,480 1,480 7,000
1,000 - 1,000
4,400 - 4,400
- - -
900 207 693
5,500 100 5,400
- - -
700 90 610
723 23 700
1,700 - 1,700
2,390 135 2,255
- - -
- - -
- - -
- - -
104 - 104
40 - 40
6 - 6
3 1 2
33 6 27
68 - 68
24 - 24
37 - 37
- - -
- - -
70 - 70
50 - 50
14 - 14
7 - 7
7 - 7
6 - 6
12 - 12
4 1 3
- - -
- - -
85 - 85
88 - 88
- - -
24 - 24
94 - 94
- - -
44 - 44
60 - 60
36 - 36
- - -
155 - 155
3,200 - 3,200
2,100 - 2,100
225 19 206
1 - 1
Balapulang, 01 April 2022

NIP. -
BULAN : APRIL 2022
JUMLAH
NO NAMA OBAT SATUAN STOK AWAL PEMASUKAN PENGELUARAN SISA KETERANGAN
PERSEDIAAN
1 2 3 4 5 6 7 8 9
OBAT
1 AMLODIPIN 5 MG TABLET TABLET - - - -
2 AMOKSISILIN 500MG TABLET 4,500 4,500 200 4,300
3 AMOKSISILIN INJEKSI VIAL 76 100 176 40 136
4 AQUABIDEST VIAL 100 100 - 100
5 ASAM ASCORBAT 50MG TABLET 13,500 13,500 - 13,500
6 CEFTRIAXONE INJ VIAL 90 100 190 30 160
7 CIPROFLOXACIN 500MG TABLET - - - - -
8 DEXTRAL TABLET 1,150 1,150 90 1,060
9 EPINEFRIN INJ AMPUL 20 20 - 20
10 GLUKOSA 5% INFUS BOTOL - - - -
11 GUAIFENESIN TABLET - - - -
12 IBUPROFEN 200MG TABLET - - - -
13 JELLY DOPLER 1LITER JERIGEN - - - -
14 JELLY DOPLER 250ML BOTOL - - - -
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 85 150 235 67 168
16 KLORFENIRAMIN MALEAT 4MG TABLET 6,700 6,700 - 6,700
17 LIVRON B-PLEK TABLET - - - -
18 METRONIDAZOL 500MG TABLET 100 100 - 100
19 MOLEKFLU TABLET 600 600 100 500
20 NACL INFUS BOTOL - - - -
21 OKSITOSIN INJEKSI AMPUL 100 100 22 78
22 OMEPRAZOLE 20MG KAPSUL - - - -
23 OXITETRASIKLIN SALEP MATA TUBE - - - -
24 PARASETAMOL SYR 125MG BOTOL 50 50 - 50
25 PARASETAMOL 500MG TABLET 7,000 7,000 1,000 6,000
26 RL INFUS BOTOL 1,000 1,000 - 1,000
27 SIANOKOBALAMIN 50MCG TABLET 4,400 4,400 - 4,400
28 SIMVASTATIN 10MG TABLET - - - -
29 THIAMPHENICOL 500MG KAPSUL 693 693 93 600
30 THIAMINE HCL 50MG TABLET 5,400 5,400 - 5,400
31 VITAMIN K 10MG TABLET - - - -
32 ZINK 20MG TABLET 610 610 610 -
33 KOTRIMOKSAZOL TAB. DEWASA TABLET 700 700 - 700
34 DEXAMETHASONE TABLET 1,700 1,700 - 1,700
35 AMBROXOL TABLET 2,255 2,255 93 2,162
- - -
- - -
- - -
BAHAN MEDIS HABIS PAKAI - - -
1 ABBOCATH NO 20 SET 104 104 - 104
2 ABBOCATH NO 24(3/4) SET 40 40 - 40
3 ALKOHOL SWAB BOX 6 6 - 6
4 BETADINE 1000ML BOTOL 2 2 - 2
5 BISTURI PCS 27 27 - 27
6 BLOOD LANCET PCS 68 68 - 68
7 CUT GUT CHROMIC 2/0 PCS 24 24 - 24
8 DEE LEE PCS 37 37 - 37
9 HANDRUB 5LITER JERIGEN - - - -
10 HYPAVIX 5M X 5CM ROLL - - - -
11 INFUSET ANAK SET 70 70 - 70
12 INFUSET DEWASA SET 50 50 - 50
13 JARUM SE-MH 32 PCS 14 14 - 14
14 JARUM SE-MH 24 PCS 7 7 - 7
15 JARUM SE-MH 41 PCS 7 7 - 7
16 JARUM SE-MH 3/8 NO 32 PCS 6 6 - 6
17 JARUM SE-MH 3/8 NO 28 PCS 12 12 - 12
18 KASSA BUNDA ROLL 3 3 - 3
19 LEUKOPLAST ROLL - - - -
20 MASKER PCS - - - -
21 NEEDLE NO 18 PCS 85 85 - 85
22 NEEDLE NO 23 88 88 - 88
23 PLAIN 2/0 - - - -
24 SARUNG TANGAN OBGYN PCS 24 24 - 24
25 SELANG OKSIGEN BAYI PCS 94 94 2 92
26 SELANG OKSIGEN ANAK PCS - - - -
27 SELANG OKSIGEN DEWASA PCS 44 44 - 44
28 SILK 2/0 PCS 60 60 - 60
29 SILK 3/0 PCS 36 36 - 36
30 SLIM SECHER - - - -
31 SPUIT 1CC PCS 155 155 - 155
32 SPUIT 3CC PCS 3,200 3,200 - 3,200
33 SPUIT 5CC PCS 2,100 2,100 - 2,100
34 UMBILICAL KLEM PCS 206 206 - 206
35 URINE BAG PCS 1 1 - 1
Balapulang, 10 Mei 2022

Mengetahui
Kepala Puskesmas Petugas Obat Puskesmas
dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

NIP. 19611103 198711 1 001 NIP. -
BULAN : MEI 2022
JUMLAH
PERSEDIAAN
1 2 3 4 5 6
OBAT
1 AMLODIPIN 5 MG TABLET TABLET - 1,500 1,500
2 AMOKSISILIN 500MG TABLET 4,300 4,300
3 AMOKSISILIN INJEKSI VIAL 136 136
4 AQUABIDEST VIAL 100 100
5 ASAM ASCORBAT 50MG TABLET 13,500 13,500
6 CEFTRIAXONE INJ VIAL 160 160
7 CIPROFLOXACIN 500MG TABLET - -
8 DEXTRAL TABLET 1,060 1,060
9 EPINEFRIN INJ AMPUL 20 20
10 GLUKOSA 5% INFUS BOTOL - -
11 GUAIFENESIN TABLET - -
12 IBUPROFEN 200MG TABLET - -
13 JELLY DOPLER 1LITER JERIGEN - -
14 JELLY DOPLER 250ML BOTOL - -
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 168 168
16 KLORFENIRAMIN MALEAT 4MG TABLET 6,700 6,700
17 LIVRON B-PLEK TABLET - -
18 METRONIDAZOL 500MG TABLET 100 100
19 MOLEKFLU TABLET 500 500
20 NACL INFUS BOTOL - -
21 OKSITOSIN INJEKSI AMPUL 78 78
22 OMEPRAZOLE 20MG KAPSUL - -
23 OXITETRASIKLIN SALEP MATA TUBE - -
24 PARASETAMOL SYR 125MG BOTOL 50 50
25 PARASETAMOL 500MG TABLET 6,000 2,000 8,000
26 RL INFUS BOTOL 1,000 1,000
27 SIANOKOBALAMIN 50MCG TABLET 4,400 4,400
28 SIMVASTATIN 10MG TABLET - -
29 THIAMPHENICOL 500MG KAPSUL 600 600
30 THIAMINE HCL 50MG TABLET 5,400 5,400
31 VITAMIN K 10MG TABLET - -
32 ZINK 20MG TABLET - -
33 KOTRIMOKSAZOL TAB. DEWASA TABLET 700 700
34 DEXAMETHASONE TABLET 1,700 1,700
35 AMBROXOL TABLET 2,162 2,162
- -
- -
- -
BAHAN MEDIS HABIS PAKAI - -
1 ABBOCATH NO 20 SET 104 104
2 ABBOCATH NO 24(3/4) SET 40 40
3 ALKOHOL SWAB BOX 6 6
4 BETADINE 1000ML BOTOL 2 2
5 BISTURI PCS 27 27
6 BLOOD LANCET PCS 68 68
7 CUT GUT CHROMIC 2/0 PCS 24 24
8 DEE LEE PCS 37 37
9 HANDRUB 5LITER JERIGEN - -
10 HYPAVIX 5M X 5CM ROLL - -
11 INFUSET ANAK SET 70 70
12 INFUSET DEWASA SET 50 50
13 JARUM SE-MH 32 PCS 14 14
16 JARUM SE-MH 3/8 NO 32 PCS 6 6
17 JARUM SE-MH 3/8 NO 28 PCS 12 12
18 KASSA BUNDA ROLL 3 3
19 LEUKOPLAST ROLL - -
20 MASKER PCS - -
21 NEEDLE NO 18 PCS 85 85
22 NEEDLE NO 23 88 88
23 PLAIN 2/0 - -
24 SARUNG TANGAN OBGYN PCS 24 24
25 SELANG OKSIGEN BAYI PCS 92 92
26 SELANG OKSIGEN ANAK PCS - -
27 SELANG OKSIGEN DEWASA PCS 44 44
28 SILK 2/0 PCS 60 60
29 SILK 3/0 PCS 36 36
30 SLIM SECHER - -
31 SPUIT 1CC PCS 155 155
32 SPUIT 3CC PCS 3,200 3,200
33 SPUIT 5CC PCS 2,100 2,100
34 UMBILICAL KLEM PCS 206 206
35 URINE BAG PCS 1 1
Mengetahui
Kepala Puskesmas
dr. Jaka Suyatna
NIP. 19611103 198711 1 001
RI
7 8 9
1,500 1,500
1,300 3,000 3,000
46 90 90
- 100 100
- 13,500 13,500
- 160 160
- - -
10 1,050 1,150
- 20 20
- - -
- - -
- - -
- - -
- - -
118 50 50
- 6,700 6,700
- - -
100 - 70
- 500 600
- - -
16 62 62
- - -
- - -
- 50 -
746 7,254 7,254
- 1,000 1,000
- 4,400 4,400
- - -
110 490 490
500 4,900 4,900
- - -
- - -
- 700 700
- 1,700 1,700
182 1,980 1,980
- -
- -
- -
- -
- 104 104
- 40 40
- 6 6
- 2 2
- 27 27
- 68 88
- 24 24
- 37 37
- - -
- - -
- 70 70
- 50 50
- 14 14
- 7 7
7 - -
- 6 6
- 12 12
- 3 3
- - -
- - -
- 85 85
- 88 88
- - -
- 24 24
- 92 96
- - -
- 44 44
- 60 60
- 36 36
- - -
- 155 155
- 3,200 3,200
- 2,100 2,100
- 206 206
- 1 -
Balapulang, 2 Juni 2022

NIP. -
BULAN : JUNI 2022
JUMLAH
PERSEDIAAN
1 2 3 4 5 6 7 8 9
OBAT
1 AMLODIPIN 5 MG TABLET TABLET 1,500 1,500 100 1,400
2 AMOKSISILIN 500MG TABLET 3,000 3,000 2,000 1,000
3 AMOKSISILIN INJEKSI VIAL 90 90 40 50
5 ASAM ASCORBAT 50MG TABLET 13,500 13,500 - 13,500
6 CEFTRIAXONE INJ VIAL 160 160 - 160
7 CIPROFLOXACIN 500MG TABLET - - - -
8 DEXTRAL TABLET 1,050 1,050 - 1,050
15 KLORAMPHENICOL INJEKSI (COLSAN INJ) VIAL 50 100 150 - 150
18 METRONIDAZOL 500MG TABLET - - - -
19 MOLEKFLU TABLET 500 500 - 500
21 OKSITOSIN INJEKSI AMPUL 62 200 262 13 249
26 RL INFUS BOTOL 1,000 1,000 - 1,000
30 THIAMINE HCL 50MG TABLET 4,900 4,900 500 4,400
32 ZINK 20MG TABLET - - - -
35 AMBROXOL TABLET 1,980 1,980 200 1,780
- - - -
- - - -
- - - -
BAHAN MEDIS HABIS PAKAI - - - -
1 ABBOCATH NO 20 SET 104 104 - 104
2 ABBOCATH NO 24(3/4) SET 40 40 - 40
4 BETADINE 1000ML BOTOL 2 5 7 3 4
5 BISTURI PCS 27 27 17 10
8 DEE LEE PCS 37 37 - 37
12 INFUSET DEWASA SET 50 50 - 50
13 JARUM SE-MH 32 PCS 14 14 14 -
14 JARUM SE-MH 24 PCS 7 7 7 -
15 JARUM SE-MH 41 PCS - - - -
16 JARUM SE-MH 3/8 NO 32 PCS 6 6 6 -
17 JARUM SE-MH 3/8 NO 28 PCS 12 12 - 12
18 KASSA BUNDA ROLL 3 5 8 3 5
21 NEEDLE NO 18 PCS 85 85 10 75
22 NEEDLE NO 23 88 88 - 88
23 PLAIN 2/0 - - - -
27 SELANG OKSIGEN DEWASA PCS 44 44 15 29
28 SILK 2/0 PCS 60 60 - 60
29 SILK 3/0 PCS 36 36 - 36
31 SPUIT 1CC PCS 155 155 - 155
32 SPUIT 3CC PCS 3,200 3,200 1,600 1,600
33 SPUIT 5CC PCS 2,100 2,100 300 1,800
34 UMBILICAL KLEM PCS 206 206 67 139
35 URINE BAG PCS 1 1 1
Balapulang, 2 Juni 2022

Mengetahui

NIP. 19611103 198711 1 001 NIP. -
BULAN : JULI 2022
JUMLAH
PERSEDIAAN
1 2 3 4 5 6 7 8 9
OBAT
1 AMLODIPIN 5 MG TABLET TABLET 1,400 1,400 - 1,400
2 AMOKSISILIN 500MG TABLET 1,000 1,000 - 1,000
5 ASAM ASCORBAT 50MG TABLET 13,500 13,500 13,500 -
6 CEFTRIAXONE INJ VIAL 160 160 - 160
8 DEXTRAL TABLET 1,050 1,050 - 1,050
19 MOLEKFLU TABLET 500 500 - 500
21 OKSITOSIN INJEKSI AMPUL 249 249 9 240
26 RL INFUS BOTOL 1,000 1,000 - 1,000
30 THIAMINE HCL 50MG TABLET 4,400 4,400 1,700 2,700
34 DEXAMETHASONE TABLET 1,700 1,700 100 1,600
35 AMBROXOL TABLET 1,780 1,780 500 1,280
BAHAN MEDIS HABIS PAKAI

1 ABBOCATH NO 20 SET 104 104 - 104
2 ABBOCATH NO 24(3/4) SET 40 40 - 40
4 BETADINE 1000ML BOTOL 4 4 - 4
5 BISTURI PCS 10 100 110 - 110
6 BLOOD LANCET PCS 68 200 268 30 238
8 DEE LEE PCS 37 37 - 37
12 INFUSET DEWASA SET 50 100 150 37 113
13 JARUM SE-MH 32 PCS - 36 36 - 36
16 JARUM SE-MH 3/8 NO 32 PCS - 36 36 - 36
17 JARUM SE-MH 3/8 NO 28 PCS 12 12 - 12
21 NEEDLE NO 18 PCS 75 75 - 75
22 NEEDLE NO 23 88 88 - 88
23 PLAIN 2/0 - - - -
28 SILK 2/0 PCS 60 60 - 60
29 SILK 3/0 PCS 36 36 - 36
31 SPUIT 1CC PCS 155 155 - 155
32 SPUIT 3CC PCS 1,600 1,600 - 1,600
33 SPUIT 5CC PCS 1,800 1,800 - 1,800
34 UMBILICAL KLEM PCS 139 139 34 105
35 URINE BAG PCS 1 1 1 -
Balapulang, 1 Agustus 2022

Mengetahui

NIP. 19611103 198711 1 001 NIP. -
BULAN : AGUSTUS 2022
JUMLAH
PERSEDIAAN
1 2 3 4 5 6 7 8 9
OBAT
2 AMOKSISILIN 500MG TABLET 1,000 1,000 200 800
5 ASAM ASCORBAT 50MG TABLET - - - -
6 CEFTRIAXONE INJ VIAL 160 160 56 104
8 DEXTRAL TABLET 1,050 1,050 - 1,050
9 EPINEFRIN INJ AMPUL 20 20 15 5
21 OKSITOSIN INJEKSI AMPUL 240 240 - 240
25 PARASETAMOL 500MG TABLET 3,000 5,000 8,000 800 7,200
26 RL INFUS BOTOL 1,000 1,000 - 1,000
29 THIAMPHENICOL 500MG KAPSUL 260 500 760 260 500
30 THIAMINE HCL 50MG TABLET 2,700 2,700 - 2,700
35 AMBROXOL TABLET 1,280 1,280 - 1,280

1 ABBOCATH NO 20 SET 104 104 - 104
2 ABBOCATH NO 24(3/4) SET 40 50 90 60 30
3 ALKOHOL SWAB BOX 6 6 6 -
4 BETADINE 1000ML BOTOL 4 4 1 3
5 BISTURI PCS 110 110 - 110
8 DEE LEE PCS 37 37 - 37
12 INFUSET DEWASA SET 113 113 23 90
13 JARUM SE-MH 32 PCS 36 36 - 36
16 JARUM SE-MH 3/8 NO 32 PCS 36 36 - 36
17 JARUM SE-MH 3/8 NO 28 PCS 12 12 - 12
18 KASSA BUNDA ROLL 3 3 2 1
21 NEEDLE NO 18 PCS 75 75 - 75
22 NEEDLE NO 23 88 88 - 88
23 PLAIN 2/0 - - - -
25 SELANG OKSIGEN BAYI PCS 76 76 - 76
28 SILK 2/0 PCS 60 60 - 60
29 SILK 3/0 PCS 36 36 - 36
31 SPUIT 1CC PCS 155 155 - 155
32 SPUIT 3CC PCS 1,600 1,600 100 1,500
33 SPUIT 5CC PCS 1,800 1,800 300 1,500
35 URINE BAG PCS - - - -
Balapulang, 1 September 2022

Mengetahui

NIP. 19611103 198711 1 001 NIP. -
BULAN : SEPTEMBER 2022
JUMLAH
PERSEDIAAN
1 2 3 4 5 6 7 8 9
OBAT
2 AMOKSISILIN 500MG TABLET 1,000 1,500 2,500 1,500 1,000
4 AQUABIDEST VIAL 100 100 90 10
5 ASAM ASCORBAT 50MG TABLET - - - -
6 CEFTRIAXONE INJ VIAL 160 600 760 391 369
8 DEXTRAL TABLET 1,050 1,050 - 1,050
9 EPINEFRIN INJ AMPUL 20 20 15 5
11 GUAIFENESIN TABLET - 6,000 6,000 3,500 2,500
21 OKSITOSIN INJEKSI AMPUL 240 240 - 240
25 PARASETAMOL 500MG TABLET 3,000 6,000 9,000 5,200 3,800
26 RL INFUS BOTOL 1,000 1,000 - 1,000
27 SIANOKOBALAMIN 50MCG TABLET 4,400 4,400 100 4,300
30 THIAMINE HCL 50MG TABLET 2,700 2,700 1,800 900
35 AMBROXOL TABLET 1,280 1,280 980 300

1 ABBOCATH NO 20 SET 104 104 40 64
2 ABBOCATH NO 24(3/4) SET 40 150 190 150 40
3 ALKOHOL SWAB BOX 6 6 6 -
4 BETADINE 1000ML BOTOL 4 4 1 3
5 BISTURI PCS 110 110 5 105
6 BLOOD LANCET PCS 238 238 38 200
7 CUT GUT CHROMIC 2/0 PCS 24 24 5 19
8 DEE LEE PCS 37 37 - 37
11 INFUSET ANAK SET 70 70 70 -
12 INFUSET DEWASA SET 113 200 313 113 200
13 JARUM SE-MH 32 PCS 36 36 - 36
16 JARUM SE-MH 3/8 NO 32 PCS 36 36 - 36
17 JARUM SE-MH 3/8 NO 28 PCS 12 12 1 11
21 NEEDLE NO 18 PCS 75 75 - 75
22 NEEDLE NO 23 88 88 - 88
23 PLAIN 2/0 - - - -
28 SILK 2/0 PCS 60 60 - 60
29 SILK 3/0 PCS 36 36 - 36
31 SPUIT 1CC PCS 155 155 - 155
32 SPUIT 3CC PCS 1,600 1,600 1,100 500
33 SPUIT 5CC PCS 1,800 1,800 1,000 800
35 URINE BAG PCS - 20 20 10 10
Balapulang, 1 Oktober 2022

Mengetahui

NIP. 19611103 198711 1 001 NIP. -

Laporan Pengadaan Sendiri 2022

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Laporan Pengadaan Sendiri 2022

Uploaded by

Copyright:

Available Formats

PELAPORAN OBAT PENGADAAN SENDIRI

BULAN : JANUARI 2022

NO NAMA OBAT SATUAN STOK AWAL PEMASUKAN

dr. Jaka Suyatna

Balapulang, 03 Februari 2022

Petugas Obat Puskesmas

Etik Kurniati, S.Farm., Apt.

BULAN : FEBRUARI 2022

NO NAMA OBAT SATUAN STOK AWAL PEMASUKAN

dr. Jaka Suyatna

Balapulang, 01 Maret 2022

Petugas Obat Puskesmas

Etik Kurniati, S.Farm., Apt.

BULAN : MARET 2022

NO NAMA OBAT SATUAN STOK AWAL PEMASUKAN

dr. Jaka Suyatna

Balapulang, 01 April 2022

Petugas Obat Puskesmas

Etik Kurniati, S.Farm., Apt.

BULAN : APRIL 2022

Balapulang, 10 Mei 2022

dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

BULAN : MEI 2022

PENGELUARAN SISA KETERANGAN

Balapulang, 2 Juni 2022

Petugas Obat Puskesmas

BULAN : JUNI 2022

Balapulang, 2 Juni 2022

dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

BULAN : JULI 2022

BAHAN MEDIS HABIS PAKAI

Balapulang, 1 Agustus 2022

dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

BULAN : AGUSTUS 2022

BAHAN MEDIS HABIS PAKAI

Balapulang, 1 September 2022

dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

BULAN : SEPTEMBER 2022

BAHAN MEDIS HABIS PAKAI

Balapulang, 1 Oktober 2022

dr. Jaka Suyatna Etik Kurniati, S.Farm., Apt.

You might also like