LAPORAN LPLPO SUB UNIT

POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN JANUARI

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 210 0 210
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 570 0 570
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 100 0 100
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 70 0 70
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 0 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 0 0
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 6 0 6
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 250 0 250
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 260 0 260
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0 0
21 A021 ASERING 500 ML BOTOL 0 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 250 0 250
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 8 0 8
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 80 0 80
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 260 0 260
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 0 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 1 0 1
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 1 0 1
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 230 0 230
60 A060 GLIMEPIRID TABLET 2 MG TABLET 510 0 510
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 330 0 330
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 10 0 10
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 0 0 0
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 340 0 340
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 24 0 24
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 0 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 5 0 5
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 260 0 260
88 A088 KODEIN TABLET 10 MG TABLET 0 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 300 0 300
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 0 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 0 0 0
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 0 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 200 0 200
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 0 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 0 0
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 430 0 430
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 13 0 13
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 310 0 310
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 0 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 140 0 140
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 80 0 80
119 A119 PIROKSIKAM TABLET 10 MG TABLET 250 0 250
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 0 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 310 0 310
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 360 0 360
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 30 0 30
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0 0
133 A133 SALEP 2-4 POT 30 G POT 10 0 10
134 A134 SALISIL BEDAK 2% -100 G KOTAK 4 0 4
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 150 0 150
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 0 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 50 0 50
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 170 0 170
0
Program Gigi 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0 0
0
Program KEJIWAAN 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0 0
0
Program KIA dan GIZI 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 530 0 530
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0 0
187 D009 MINERAL MIX SACHET 0 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 150 0 150
0
Program Diare 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0 0
234 H002 ZINK TABLET 20 MG TABLET 200 0 200
0
0
Bahan Medis Habis Pakai 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 50 0 50
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 160 0 160
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0 0
260 K017 MASKER BEDAH BIJI 50 0 50
261 K018 MASKER KN 95 BIJI 0 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 0 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0 0
265 K023 STEROFORM BIJI 0 0 0
0
BMHP 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0 0
289 N002 ALKOHOL SWAB BOX 0 0 0
290 N003 APD BA-BUN PCS 0 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0 0
292 N005 APD TRACING PCS 0 0 0
293 N006 APRON PLASTIK PCS 0 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0 0
297 N010 BLOOD LANCET BOX 100 0 100
298 N011 CELEMEK PCS 0 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0 0
301 N014 COVERALL (KODACHI) PCS 0 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0 0
307 N020 FACE SHIELD PCS 0 0 0
308 N021 FACE SHIELD HELM PCS 0 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0 0
310 N023 GOWN PCS 1 0 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 1 0 1
314 N027 HANDSANITIZER 85 ML BOTOL 0 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 50 0 50
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0 0
321 N034 MASKER BEDAH BOX 1 0 1
322 N035 MASKER BEDAH BOX 1 0 1
323 N036 MASKER FFPNR BOX 0 0 0
324 N037 MASKER KAIN PCS 0 0 0
325 N038 MASKER KN95 PCS 0 0 0
326 N039 MASKER N95 PCS 20 0 20
327 N040 NURSE CUP PCS 0 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0 0
335 N048 SEPATU BOOT PCS 1 0 1
336 N049 SPUIT 0,5 ML PCS 0 0 0
337 N050 SPUIT 3 ML PCS 0 0 0
338 N051 SPUIT 5 ML PCS 0 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR
BPJS /KIS

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

10 200 100 100

0 0 0
0 570 0
0 0 0
0 0 0
0 100 0
30 40 100 200
0 7 0
0 0 0
0 0 0
0 0 0
0 0 500 500
0 6 0
0 0 0
0 0 0
0 0 0
0 0 0
50 200 100 100
60 200 200 200
0 0 0
0 0 0
40 210 0
0 8 0
0 0 0
0 0 0
0 0 0
0 0 0
10 70 100 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 260 0
0 0 0
0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 140 0
0 1 0
0 0 0
0 1 5
0 230 0
0 510 0
30 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 310 0
0 0 0
0 0 0
0 0 0
0 24 0
0 0 0
0 0 0
0 50 0
0 0 0
0 0 0
0 5 0
0 0 0
30 230 0
 0 0 0
10 290 0
0 1 0
0 0 0
0 0 0
0 0 10 10
0 0 0
0 100 0
0 200 0
0 0 0
0 0 0
0 0 0
0 300 0
0 0 0
100 330 200 200
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 13 0
0 0 0
10 300 0
0 9 0
130 10 500 500
0 0 0
0 0 0
0 0 0
70 10 100
0 250 0
0 0 0
0 2 0
0 0 0
30 280 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 300 0
0 0 0
10 20 100
0 0 0
1 9 0
0 4 10
0 0 0
 0 0 0
0 0 0
0 0 0
0 150 100 100
0 0 0
0 0 0
0 0 0
0 190 0
50 0 200
140 30 200 200
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
 0 0
0 0 0
110 420 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 120 200 200
0
0
0 0 0
0 200 0
0 0
0 0
0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 50 0
0 0 0
0 160 0
0 0 0
0 50 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0
0 0
0 0 0
0 0 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 50 0
0 0 0
0 1 0
0 1 0
0 0 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
 0 0 0

PERESEPAN (R/)
OBAT GENERIK
OBAT NON GENERIK

Yang meminta
Petugas Sub Unit
 LAPORAN LPLPO SUB UNIT
POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN FEBRUARI

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 200 100 300
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 570 570
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 100 100
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 40 200 240
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 500 500
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 6 6
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 200 100 300
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 200 200 400
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0
21 A021 ASERING 500 ML BOTOL 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 210 210
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 8 8
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 70 100 170
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 260 260
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 1 1
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 1 1
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 230 230
60 A060 GLIMEPIRID TABLET 2 MG TABLET 510 510
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 300 300
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 10 10
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 0 0
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 310 310
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 24 24
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 5 5
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 230 230
88 A088 KODEIN TABLET 10 MG TABLET 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 290 290
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 0 10 10
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 200 200
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 0
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 330 200 530
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 13 13
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 300 300
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 10 500 510
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 10 10
119 A119 PIROKSIKAM TABLET 10 MG TABLET 250 250
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 280 280
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 300 300
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 20 20
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0
133 A133 SALEP 2-4 POT 30 G POT 9 9
134 A134 SALISIL BEDAK 2% -100 G KOTAK 4 4
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 150 100 250
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 0 0
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 30 200 230
0 0
Program Gigi 0 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0
0 0
Program KEJIWAAN 0 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0
0 0
Program KIA dan GIZI 0 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 420 420
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0
187 D009 MINERAL MIX SACHET 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 120 200 320
0 0
Program Diare 0 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0
234 H002 ZINK TABLET 20 MG TABLET 200 200
0 0
0 0
Bahan Medis Habis Pakai 0 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 50 50
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 160 160
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0
260 K017 MASKER BEDAH BIJI 50 50
261 K018 MASKER KN 95 BIJI 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0
265 K023 STEROFORM BIJI 0 0
0 0
BMHP 0 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0
289 N002 ALKOHOL SWAB BOX 0 1 1
290 N003 APD BA-BUN PCS 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0
292 N005 APD TRACING PCS 0 0
293 N006 APRON PLASTIK PCS 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0
297 N010 BLOOD LANCET BOX 100 100
298 N011 CELEMEK PCS 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0
301 N014 COVERALL (KODACHI) PCS 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0
307 N020 FACE SHIELD PCS 0 0
308 N021 FACE SHIELD HELM PCS 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0
310 N023 GOWN PCS 1 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 1 1
314 N027 HANDSANITIZER 85 ML BOTOL 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 50 50
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0
321 N034 MASKER BEDAH BOX 1 1
322 N035 MASKER BEDAH BOX 1 1
323 N036 MASKER FFPNR BOX 0 0
324 N037 MASKER KAIN PCS 0 0
325 N038 MASKER KN95 PCS 0 0
326 N039 MASKER N95 PCS 20 20
327 N040 NURSE CUP PCS 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0
335 N048 SEPATU BOOT PCS 1 1
336 N049 SPUIT 0,5 ML PCS 0 0
337 N050 SPUIT 3 ML PCS 0 0
338 N051 SPUIT 5 ML PCS 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR 0
BPJS /KIS 100

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

70 230
0
50 520
0
0
50 50
90 150
7
0
0
0
150 350 100 100
6
0
0
0
0
90 210
130 270
0
0
30 180
8
0
0
0
0
20 150
0
0
0
0
0
0
0
0
260
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
140
1
0
1
50 180
10 500
70 230
0
0
0
0
0
0
0
1 9
0
0
0
0
0
40 270
0
0
0
24
0
0
50
0
0
5
0
40 190
 0
10 280
1
0
0
6 4
0
100
70 130
0
0
0
300
0
180 350
0
0
0
0 0
0
0
0
1 12
0
300
9
310 200 300 300
0
0
0
10 0 300 250
30 220
0
2
0
80 200
0
0
0
0
0
30 270
0
10 10
0
9
1 3 5 5
0
 0
0
0
30 220
0
0
0
190
0 300 0
190 40 300 300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
190 230 300 300
0
0
0
0
0
0
0
0
0
0
60 260
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 49
0
160
0
50
0
1
0
0
0
0
0
0
1
0
 0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
1 49
0
1
1
0
0
0
20
0
0
0
0
0
0
0
0
1
0
0
 0

PERESEPAN (R/)
OBAT GENERIK 100
OBAT NON GENERIK 0

Yang meminta
Petugas Sub Unit
 LAPORAN LPLPO SUB UNIT
POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN MARET

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 230 230
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 520 520
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 50 50
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 150 150
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 350 100 450
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 6 6
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 210 210
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 270 270
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0
21 A021 ASERING 500 ML BOTOL 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 180 180
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 8 8
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 150 150
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 260 260
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 1 1
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 1 1
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 180 180
60 A060 GLIMEPIRID TABLET 2 MG TABLET 500 500
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 230 230
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 9 9
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 0 0
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 270 270
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 24 24
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 5 5
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 190 190
88 A088 KODEIN TABLET 10 MG TABLET 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 280 280
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 4 4
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 130 130
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 0
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 350 350
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 12 12
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 300 300
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 200 300 500
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 0 250 250
119 A119 PIROKSIKAM TABLET 10 MG TABLET 220 220
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 200 200
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 270 270
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 10 10
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0
133 A133 SALEP 2-4 POT 30 G POT 9 9
134 A134 SALISIL BEDAK 2% -100 G KOTAK 3 5 8
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 220 220
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 0 0 0
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 40 300 340
0 0
Program Gigi 0 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0
0 0
Program KEJIWAAN 0 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0
0 0
Program KIA dan GIZI 0 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 230 300 530
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0
187 D009 MINERAL MIX SACHET 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 260 260
0 0
Program Diare 0 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0
234 H002 ZINK TABLET 20 MG TABLET 200 200
0 0
0 0
Bahan Medis Habis Pakai 0 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 49 49
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 160 160
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0
260 K017 MASKER BEDAH BIJI 50 50
261 K018 MASKER KN 95 BIJI 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0
265 K023 STEROFORM BIJI 0 0
0 0
BMHP 0 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0
289 N002 ALKOHOL SWAB BOX 1 1
290 N003 APD BA-BUN PCS 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0
292 N005 APD TRACING PCS 0 0
293 N006 APRON PLASTIK PCS 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0
297 N010 BLOOD LANCET BOX 100 100
298 N011 CELEMEK PCS 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0
301 N014 COVERALL (KODACHI) PCS 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0
307 N020 FACE SHIELD PCS 0 0
308 N021 FACE SHIELD HELM PCS 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0
310 N023 GOWN PCS 1 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 1 1
314 N027 HANDSANITIZER 85 ML BOTOL 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 49 49
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0
321 N034 MASKER BEDAH BOX 1 1
322 N035 MASKER BEDAH BOX 1 1
323 N036 MASKER FFPNR BOX 0 0
324 N037 MASKER KAIN PCS 0 0
325 N038 MASKER KN95 PCS 0 0
326 N039 MASKER N95 PCS 20 20
327 N040 NURSE CUP PCS 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0
335 N048 SEPATU BOOT PCS 1 1
336 N049 SPUIT 0,5 ML PCS 0 0
337 N050 SPUIT 3 ML PCS 0 0
338 N051 SPUIT 5 ML PCS 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR 0
BPJS /KIS 89

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

20 210
0
40 480
0
0
30 20
70 80 100 100
7
0
0
0
350 100 300
1 5
0
0
0
0
60 150 100 200
270 0 200 200
0
0
100 80 300 300
2 6
0
0
0
0
20 130
0
0
0
0
0
0
0
0
260
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
140
1 0
0
1 0 10 10
30 150
500
130 100
0
0
0
0
0
0
0
4 5
0
0
0
0
0
50 220
0
0
0
1 23
0
0
50
0
0
5
0
90 100
 0
280
1
0
0
3 1 5 10
0
100
130
0
0
0
300
0
160 190 200 200
0
0
0
0
0
0
0
12
0
30 270
9
380 120 300 300
0
0
0
10 240
40 180
0
2
0
40 160
0
0
0
0
0
10 260
0
10 0
0
1 8
1 7
0
 0
0
0
20 200
0
0
0
190
0
140 200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
100 430
0
0
0
0
0
0
0
0
0
0
160 100 500
0
0
0
200

0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 39
0
16 144
0
50
0
1
0
0
0
0
0
0
1
0
 0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1 0 1
0
0
0
0
0
49
0
1
1
0
0
0
20
0
0
0
0
0
0
0
0
1
0
0
 0

PERESEPAN (R/)
OBAT GENERIK 89
OBAT NON GENERIK 0

Yang meminta
Petugas Sub Unit
 LAPORAN LPLPO SUB UNIT
POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN APRIL

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 210 210
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 480 480
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 20 20
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 80 100 180
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 100 100
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 5 5
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 150 200 350
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 0 200 200
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0
21 A021 ASERING 500 ML BOTOL 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 80 300 380
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 6 6
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 130 130
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 260 260
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 0 0
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 0 10 10
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 150 150
60 A060 GLIMEPIRID TABLET 2 MG TABLET 500 500
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 100 100
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 5 5
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 0 0
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 220 220
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 23 23
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 5 5
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 100 100
88 A088 KODEIN TABLET 10 MG TABLET 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 280 280
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 1 10 11
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 130 130
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 0
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 190 200 390
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 12 12
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 270 270
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 120 300 420
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 240 240
119 A119 PIROKSIKAM TABLET 10 MG TABLET 180 180
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 160 160
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 260 260
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 0 0
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0
133 A133 SALEP 2-4 POT 30 G POT 8 8
134 A134 SALISIL BEDAK 2% -100 G KOTAK 7 7
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 200 200
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 0 0
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 200 200
0 0
Program Gigi 0 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0
0 0
Program KEJIWAAN 0 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0
0 0
Program KIA dan GIZI 0 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 430 430
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0
187 D009 MINERAL MIX SACHET 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 100 100
0 0
Program Diare 0 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0
234 H002 ZINK TABLET 20 MG TABLET 200 200
0
0 0
Bahan Medis Habis Pakai 0 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 39 39
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 144 144
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0
260 K017 MASKER BEDAH BIJI 50 50
261 K018 MASKER KN 95 BIJI 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0
265 K023 STEROFORM BIJI 0 0
0 0
BMHP 0 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0
289 N002 ALKOHOL SWAB BOX 1 1
290 N003 APD BA-BUN PCS 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0
292 N005 APD TRACING PCS 0 0
293 N006 APRON PLASTIK PCS 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0
297 N010 BLOOD LANCET BOX 100 100
298 N011 CELEMEK PCS 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0
301 N014 COVERALL (KODACHI) PCS 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0
307 N020 FACE SHIELD PCS 0 0
308 N021 FACE SHIELD HELM PCS 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0
310 N023 GOWN PCS 1 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 0 0
314 N027 HANDSANITIZER 85 ML BOTOL 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 49 49
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0
321 N034 MASKER BEDAH BOX 1 1
322 N035 MASKER BEDAH BOX 1 1
323 N036 MASKER FFPNR BOX 0 0
324 N037 MASKER KAIN PCS 0 0
325 N038 MASKER KN95 PCS 0 0
326 N039 MASKER N95 PCS 20 20
327 N040 NURSE CUP PCS 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0
335 N048 SEPATU BOOT PCS 1 1
336 N049 SPUIT 0,5 ML PCS 0 0
337 N050 SPUIT 3 ML PCS 0 0
338 N051 SPUIT 5 ML PCS 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR 0
BPJS /KIS 54

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

20 190
0
20 460
0
0
20
50 130
7
0
0
0
100 0 200 100
5
0
0
0
0
40 310
50 150 100 200
0
0
380
6
0
0
0
0
10 120
0
0
0
0
0
0
0
0
10 250
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
140
0
0
1 9
10 140
500
30 70 100 200
0
0
0
0
0
0
0
5
0
0
0 100
0
0
90 130
0
0
0
1 22
0
0
50
0
0
5
0
60 40 100 100
 0
10 270
1
0
0
1 10
0
100
130
0
0
0
300
0
60 330
0
0
0
0
0
0
0
12
0
30 240
9
190 230 200 0
0
0
0
80 160
20 160
0
2
0
100 60 200 200
0
0
0
0
0
50 210
0
0
0
8
1 6
0
 0
0
0
200
0
0
0
190
0
20 180
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
70 360
0
0
0
0
0
0
0
0
0
0
20 80 300 300
0
0
0
10 190

0
0
0
0
0
0
0
0
0
0
0
0
0
0
39
0
144
0
50
0
1
0
0
0
0
0
0
1
0
 0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
49
0
1
1
0
0
0
20
0
0
0
0
0
0
0
0
1
0
0
 0

PERESEPAN (R/)
OBAT GENERIK 54
OBAT NON GENERIK 0

Yang meminta
Petugas Sub Unit
 LAPORAN LPLPO SUB UNIT
POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN MEI

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 190 190
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 460 460
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 20 20
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 130 130
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 100 100
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 5 5
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 310 310
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 150 200 350
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0
21 A021 ASERING 500 ML BOTOL 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 380 380
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 6 6
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 120 120
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 250 250
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 0 0
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 9 9
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 140 140
60 A060 GLIMEPIRID TABLET 2 MG TABLET 500 500
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 70 200 270
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 5 5
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 0 100 100
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 130 130
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 22 22
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 5 5
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 40 100 140
88 A088 KODEIN TABLET 10 MG TABLET 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 270 270
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 10 10
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 130 130
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 0
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 330 330
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 12 12
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 240 240
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 230 0 230
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 160 160
119 A119 PIROKSIKAM TABLET 10 MG TABLET 160 160
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 60 200 260
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 210 210
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 0 0
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0
133 A133 SALEP 2-4 POT 30 G POT 8 8
134 A134 SALISIL BEDAK 2% -100 G KOTAK 6 6
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 200 200
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 0 0
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 180 180
0 0
Program Gigi 0 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0
0 0
Program KEJIWAAN 0 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0
0 0
Program KIA dan GIZI 0 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 360 360
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0
187 D009 MINERAL MIX SACHET 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 80 500 580
0 0
Program Diare 0 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0
234 H002 ZINK TABLET 20 MG TABLET 190 190
0
0 0
Bahan Medis Habis Pakai 0 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 39 39
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 144 144
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0
260 K017 MASKER BEDAH BIJI 50 50
261 K018 MASKER KN 95 BIJI 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0
265 K023 STEROFORM BIJI 0 0
0 0
BMHP 0 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0
289 N002 ALKOHOL SWAB BOX 1 1
290 N003 APD BA-BUN PCS 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0
292 N005 APD TRACING PCS 0 0
293 N006 APRON PLASTIK PCS 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0
297 N010 BLOOD LANCET BOX 100 100
298 N011 CELEMEK PCS 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0
301 N014 COVERALL (KODACHI) PCS 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0
307 N020 FACE SHIELD PCS 0 0
308 N021 FACE SHIELD HELM PCS 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0
310 N023 GOWN PCS 1 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 0 0
314 N027 HANDSANITIZER 85 ML BOTOL 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 49 49
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0
321 N034 MASKER BEDAH BOX 1 1
322 N035 MASKER BEDAH BOX 1 1
323 N036 MASKER FFPNR BOX 0 0
324 N037 MASKER KAIN PCS 0 0
325 N038 MASKER KN95 PCS 0 0
326 N039 MASKER N95 PCS 20 20
327 N040 NURSE CUP PCS 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0
335 N048 SEPATU BOOT PCS 1 1
336 N049 SPUIT 0,5 ML PCS 0 0
337 N050 SPUIT 3 ML PCS 0 0
338 N051 SPUIT 5 ML PCS 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR 0
BPJS /KIS 95

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

20 170
0
60 400
0
0
20 0
40 90 100 200
7
0
0
0
100 0 300 0
1 4
0
0
0
0
80 230
80 270 100 200
0
0
70 310 300 300 ED
6
0
0
0
0
120 100 100 ED
0
0 10 0
0
0
0
0
0
0
10 240
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
140
0
0
9
140
500
40 230
0
0
0
0
0
0
0
3 2 5 5
0
0
50 50
0
0
60 70 100 0
0
0
0
1 21 10 5
0
0
50
0
0
1 4
0
90 50 200 200
 0
20 250
1
0
0
4 6
0
100
40 90
0
0
0
300
0 10 5
120 210
0
0
0
0
0
0
0
3 9
0
20 220
9
230 0 300 300
0
0
0
80 80
50 110
0
2
0
30 230
0
0
0
0
0
30 180
0
0
0
3 5
2 4
0
 0
0
0
30 170
0
0
0
190
0
180
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
260 100 300 200
0
0
0
0
0
0
0
0
0
0
100 480
0
0
0
40 150

0
0
0
0
0
0
0
0
0
0
0
0
0
0
39
0
144
0
50
0
1
0
0
0
0
0
0
1
0
 0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
49
0
1
1
0
0
0
20
0
0
0
0
0
0
0
0
1
0
0
 0

PERESEPAN (R/)
OBAT GENERIK 300
OBAT NON GENERIK 0

Yang meminta
Petugas Sub Unit
 LAPORAN LPLPO SUB UNIT
POLINDES/PUSTU/PONKESDES KUMPULREJO
BULAN MEI

Kode STOK
NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN
Obat AWAL
1 2 3 4 5 6 7
Generik PKD
1 A001 ALOPURINOL TABLET 300 MG TABLET 170 170
2 A002 AMBROXOL SIRUP 15 MG/ML - 60 ML BOTOL 0 0
3 A003 AMBROXOL TABLET 30 MG TABLET 400 400
4 A004 AMINOFILIN INJEKSI 24 MG/ML - 10 ML AMPUL 0 0
5 A005 AMINOFILIN TABLET 200 MG TABLET 0 0
6 A006 AMLODIPIN TABLET 5 MG TABLET 0 0
7 A007 AMOKSISILIN KAPLET 500 MG KAPLET 90 200 290
8 A008 AMOKSISILIN SIRUP KERING 125 MG/5 ML - 60 ML BOTOL 7 7
9 A009 AMPISILIN INJEKSI 1 GRAM VIAL 0 0
10 A010 ANTALGIN 500 MG/ML /METAMIZOL INJ - 2 ML AMPUL 0 0
11 A011 ANTASIDA DOEN SUSPENSI - 60 ML BOTOL 0 0
12 A012 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 200 200
13 A013 ANTI BAKTERI SALEP KOMB (Basitasin 500 IU/g: Polimiksin TUBE 4 4
14 A014 ANTI FUNGI SALEP KOMB (asam benzoat 6% : asam salisila POT 0 0
15 A015 ANTI HEMOROID DOEN KOMBINASI SUPPOSITORIA 0 0
16 A016 ANTI MIGRAIN KOMB (Ergotamin 1 mg : Kafein 5 mg) TABLET 0 0
17 A017 AQUA PRO INJ 25 ML BOTOL 0 0
18 A018 ASAM ASKORBAT TABLET 50 MG TABLET 230 230
19 A019 ASAM MEFENAMAT KAPLET 500 MG KAPLET 270 200 470
20 A020 ASAM TRANEKSAMAT INJEKSI 50 MG/ML-5 ML AMPUL 0 0
21 A021 ASERING 500 ML BOTOL 0 0
22 A022 ASETOSAL TABLET 80 MG / MINIASPI 80 MG TABLET 0 300 300
23 A023 ASIKLOVIR KRIM 5% - 5 G TUBE 6 6
24 A024 ASIKLOVIR TABLET 400 MG TABLET 0 0
25 A025 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 2ML AMPUL 0 0
26 A026 ATROPIN SULFAT TABLET 0,5 MG TABLET 0 0
27 A027 ATROPIN SULFAT TETES MATA 0,5 % BOTOL 0 0
28 A028 ATAPULGIT TAB / ANTIDES TAB TABLET 0 100 100
29 A029 BETAHISTIN MESILAT TABLET 6 MG TABLET 0 0
30 A030 BETAMETASON KRIM 0,1% - 5 G TUBE 0 0 0
31 A031 BISAKODIL TABLET 5 MG TABLET 0 0
32 A032 BISOKODIL SUPP ANAK 5 MG / DULCOLAX 5 MG SUPPOSITORIA 0 0
33 A033 BISOKODIL SUPP DEWASA 10 MG / DULCOLAX 10 MG SUPPOSITORIA 0 0
34 A034 BROMHEKSIN TABLET 8 MG TABLET 0 0
35 A035 CITHICOLIN INJEKSI 125 MG / ML-2 ML AMPUL 0 0
36 A036 DEKSAMETASON INJEKSI I.V 5 MG/ML - 2 ML AMPUL 0 0
37 A037 DEKSAMETASON TABLET 0,5 MG TABLET 240 240
38 A038 DIAZEPAM ENEMA 5 MG/2,5 ML (STESOLID) TUBE 0 0
39 A039 DIFENHIDRAMIN INJEKSI I.M 10 MG/ML (HCL) - 2 ML AMPUL 0 0
40 A040 DIGOKSIN TABLET 0,25 MG TABLET 0 0
41 A041 DIMENHIDRINAT TABLET 50 MG TABLET 0 0
42 A042 DOMPERIDON TABLET 10 MG TABLET 0 0
43 A043 DOMPERIDON SIRUP 5 MG /5 ML BOTOL 0 0
44 A044 EPINEFRIN (ADRENALIN) INJEKSI 0,1% AMPUL 0 0
45 A045 ERITROMISIN KAPSUL 500 MG KAPSUL 0 0
46 A046 ERITROMISIN SIRUP 200 MG/5 ML - 60 ML BOTOL 0 0
47 A047 ETANOL 70%-100 ML BOTOL 0 0
48 A048 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL 0 0
49 A049 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML AMPUL 0 0
50 A050 FENOBARBITAL TABLET 30 MG TABLET 0 0
51 A051 FENOL GLISEROL TETES TELINGA 10% - 5 ML BOTOL 0 0
52 A052 FITOMENADION (VIT.K1) TABLET 10 MG TABLET 0 0
53 A053 FRAMISETIN SULFAT 1 % BIJI 0 0
54 A054 FUROSEMID INJEKSI 10 MG/ML - 2 ML AMPUL 0 0
55 A055 FUROSEMID TABLET 40 MG TABLET 140 140
56 A056 GENTAMISIN SALEP KULIT 0,1% TUBE 0 0
57 A057 GENTAMISIN TETES MATA 0,3% TUBE 0 0
58 A058 GENTIAN VIOLET LARUTAN 1% BOTOL 9 9
59 A059 GLIBENKLAMID TABLET 5 MG TABLET 140 140
60 A060 GLIMEPIRID TABLET 2 MG TABLET 500 500
61 A061 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET 230 230
62 A062 GLUKOSA 5 % + 0,225 % NaCl - 500 ML (D5 1/4 NS) BOTOL 0 0
63 A063 GLUKOSA 5 % + 0,45 % NaCl - 500 ML (D5 1/2 NS) BOTOL 0 0
64 A064 GLUKOSA LARUTAN INFUS 10 % STERIL - 500 ML (D 10 % BOTOL 0 0
65 A065 GLUKOSA LARUTAN INFUS 40 % STERIL - 25 ML (D 40 %) BOTOL 0 0
66 A066 GLUKOSA LARUTAN INFUS 5 % STERIL - 500 ML (D 5 %) BOTOL 0 0
67 A067 GRISEOFULVIN TABLET 125 MG TABLET 0 0
68 A068 HIDROKLOROTHIAZID (HCT) TABLET 25 MG TABLET 0 0
69 A069 HIDROKORTISON KRIM 2,5% TUBE 2 5 7
70 A070 HIOSIN BUTILBROMIDA INJEKSI 20 MG/ML AMPUL 0 0
71 A071 HIOSIN BUTILBROMIDA TABLET 10 MG TABLET 0 0
72 A072 IBUPROFEN TABLET 200 MG TABLET 50 50
73 A073 IBUPROFEN SYRUP 200 MG/ 5 ML BOTOL 0 0
74 A074 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 0 0
75 A075 KAPTOPRIL TABLET 25 MG TABLET 70 0 70
76 A076 KARBAMAZEPIN TABLET 200 MG TABLET 0 0
77 A077 KA EN 3 A INFUS BOTOL 0 0
78 A078 KA EN 3 B INFUS BOTOL 0 0
79 A079 KETOKONAZOL KRIM 2 % TUBE 21 5 26
80 A080 KETOKONAZOL TABLET 200 MG TABLET 0 0
81 A081 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0
82 A082 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 50 50
83 A083 KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 0 0
84 A084 KLORAMFENIKOL SUSPENSI 125 MG/ 5 ML - 60 ML BOTOL 0 0
85 A085 KLORAMFENIKOL TETES TELINGA 1 % BOTOL 4 4
86 A086 KLORAMFENIKOL TETES MATA 0,5 % BOTOL 0 0
87 A087 KLORFENIRAMINA MALEAT TABLET 4 MG ( CTM) TABLET 50 200 250
88 A088 KODEIN TABLET 10 MG TABLET 0 0
89 A089 KOTRIMOKSAZOL DEWASA TABLET 480 MG TABLET 250 250
90 A090 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 1 1
91 A091 LIDOKAIN INJEKSI KOMP (Lidokain inj2% + Epinefrin 1: 80.0 AMPUL 0 0
92 A092 LIDOKAIN INJEKSI 2% - 2 ML AMPUL 0 0
93 A093 LITROL TETES MATA/ ALLETROL BOTOL 6 6
94 A094 LOPERAMID TABLET 2 MG TABLET 0 0
95 A095 LORATADIN TABLET 10 MG TABLET 100 100
96 A096 METFORMIN HCL TABLET 500 MG TABLET 90 90
97 A097 METFORMIN HCL TABLET 850 MG TABLET 0 0
98 A098 METOKLOPRAMID INJEKSI 5 MG/ML- 2 ML AMPUL 0 0
99 A099 METOKLOPRAMID TABLET 10 MG TABLET 0 0
100 A100 METRONIDAZOL TABLET 500 MG TABLET 300 300
101 A101 MIKONAZOL KRIM 2% TUBE 0 5 5
102 A102 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 210 210
103 A103 NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 0 0
104 A104 NEPHROLIT KAPSUL KAPSUL 0 0
105 A105 NEUROTROPIK INJEKSI AMPUL 0 0
106 A106 NIFEDIPIN TABLET 10 MG TABLET 0 0
107 A107 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0
108 A108 NISTATIN TABLET VAGINAL 100.000 IU TAB VAG 0 0
109 A109 OBAT BATUK HITAM (OBH) CAIRAN 100 ML BOTOL 0 0
110 A110 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 9 9
111 A111 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 0 0
112 A112 OMEPERAZOL KAPSUL 20 MG KAPSUL 220 220
113 A113 PARASETAMOL SIRUP 120 MG/ 5 ML BOTOL 9 9
114 A114 PARASETAMOL TABLET 500 MG TABLET 0 300 300
115 A115 PERAK SULFADIAZIN 1 % KRIM TUBE 0 0
116 A116 PIRASETAM INJEKSI 1 G / 5 ML AMPUL 0 0
117 A117 PIRASETAM TABLET 800 MG TABLET 0 0
118 A118 PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 80 80
119 A119 PIROKSIKAM TABLET 10 MG TABLET 110 110
120 A120 POVIDON IODIN 10% 30 ML BOTOL 0 0
121 A121 POVIDON IODIN 10% 60 ML BOTOL 2 2
122 A122 POVIDON IODIN 10% 300 ML BOTOL 0 0
123 A123 PREDNISON TABLET 5 MG TABLET 230 230
124 A124 PERMETRIN 5 % (SCABIMITE KRIM - 10 G) TUBE 0 0
125 A125 PROPRANOLOL TABLET 10 MG TABLET 0 0
126 A126 PROPRANOLOL TABLET 40 MG TABLET 0 0
127 A127 PROPILTIOURASIL TABLET 100 MG TABLET 0 0
128 A128 RANITIDIN INJEKSI 25 MG/ML - 2ML AMPUL 0 0
129 A129 RANITIDIN TABLET 150 MG TABLET 180 180
130 A130 RINGER LAKTAT - 500 ML BOTOL 0 0
131 A131 SALBUTAMOL TABLET 2 MG TABLET 0 0
132 A132 SALBUTAMOL NEBULIZER (VENTOLIN 2,5 MG/ 2,5 ML) AMPUL 0 0
133 A133 SALEP 2-4 POT 30 G POT 5 5
134 A134 SALISIL BEDAK 2% -100 G KOTAK 4 4
135 A135 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0
 136 A136 SEFTRIAKSON SERBUK INJEKSI 1 G / VIAL VIAL 0 0
137 A137 SERUM ANTI BISA ULAR POLIVALEN INJ 5 ML ( ABU I ) VIAL 0 0
138 A138 SERUM ANTI TETANUS INJ. 1.500 IU/ML ( A.T.S ) AMPUL 0 0
139 A139 SIMVASTATIN TABLET 10 MG TABLET 170 170
140 A140 SIPROFLOKSASIN TABLET SALUT 500 MG TABLET 0 0
141 A141 TERBUTALIN TABLET 2,5 MG TABLET 0 0
142 A142 TETRAKAIN HCL TETES MATA 0,5 % (CENDO PANTOKAIN BOTOL 0 0
143 A143 TETRASIKLIN KAPSUL 500 MG KAPSUL 190 190
144 A144 TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 0 0
145 A145 VITAMIN B KOMPLEKS TABLET TABLET 180 180
0 0
Program Gigi 0 0
146 B001 ETILKLORIDA SEMPROT - 200 ML BOTOL 0 0
147 B002 EUGENOL CAIRAN 10 ML BOTOL 0 0
148 B003 GLASS IONOMER CEMENT ART BOTOL 0 0
149 B004 KALSIUM HIDROKSIDA PASTA KOTAK 0 0
150 B005 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BOTOL 0 0
151 B006 TUMPATAN SEMENTARA POT 0 0
152 B007 AQUABIDEST 1 L BOTOL 0 0
0 0
Program KEJIWAAN 0 0
153 C001 AMITRIPTILIN TABLET SALUT 25 MG TABLET 0 0
154 C002 ALPRAZOLAM TABLET 1 MG TABLET 0 0
155 C003 ASAM VALPROAT 250 MG (DEPAKOTE 250 MG ER) TABLET 0 0
156 C004 DIAZEPAM INJEKSI 5 MG/ML - 2 ML AMPUL 0 0
157 C005 DIAZEPAM TABLET 2 MG TABLET 0 0
158 C006 DIAZEPAM TABLET 5 MG TABLET 0 0
159 C007 ESCITALOPRAM OKSALAT TABLET 10 MG TABLET 0 0
160 C008 FLUOKSETIN KAPSUL 10 MG KAPSUL 0 0
161 C009 FLUOKSETIN KAPSUL 20 MG KAPSUL 0 0
162 C010 FLUPHENAZINE DECANOATE / SIKZONOATE 25 MG/ ML AMPUL 0 0
163 C011 HALOPERIDOL TABLET 1,5 MG TABLET 0 0
164 C012 HALOPERIDOL TABLET 5 MG TABLET 0 0
165 C013 HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL 0 0
166 C014 KLOBAZAM TABLET 10 MG TABLET 0 0
167 C015 KLORPROMAZIN INJEKSI I.M 25 MG/ML AMPUL 0 0
168 C016 KLORPROMAZIN TABLET SALUT 100 MG TABLET 0 0
169 C017 KLOZAPIN TABLET 25 MG TABLET 0 0
170 C018 KLOZAPIN TABLET 100 MG TABLET 0 0
171 C019 LAMOTRIGIN TABLET 50 MG TABLET 0 0
172 C020 LITIUM KARBONAT TABLET 400 MG TABLET 0 0
173 C021 LORAZEPAM TABLET 2 MG TABLET 0 0
174 C022 OLANZEPIN TABLET SALUT 10 MG TABLET 0 0
175 C023 RISPERIDON TABLET 2 MG TABLET 0 0
176 C024 SERTRALIN TABLET SALUT 5 MG TABLET 0 0
177 C025 TRIHEKSIFENIDIL TABLET 2 MG TABLET 0 0
178 C026 TRIFLUOPERAZIN TABLET SALUT 5 MG TABLET 0 0
0 0
Program KIA dan GIZI 0 0
179 D001 FITOMENADION (VIT.K1) INJ. 2 MG/ML - 1 ML AMPUL 0 0
180 D002 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 100 200 300
181 D003 KALSIUM GLUKONAS IV 10% ( 100 MG/ML) -10 ML AMPUL 0 0
182 D004 MAGNESIUM SULFAT INJEKSI 20 % - 25 ML AMPUL 0 0
183 D005 MAGNESIUM SULFAT INJEKSI 40 % - 25 ML AMPUL 0 0
184 D006 METILDOPA TABLET 250 MG TABLET 0 0
185 D007 METILERGOMETRIN MALEAT INJEKSI 200 MCG/ML AMPUL 0 0
186 D008 METILERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 0 0
187 D009 MINERAL MIX SACHET 0 0
188 D010 OKSITOSIN INJEKSI 10 IU/ML - 2 ML AMPUL 0 0
189 D011 RETINOL (VITAMIN A) 100.000 IU KAPSUL LUNAK KAPSUL 0 0
190 D012 RETINOL (VITAMIN A) 200.000 IU KAPSUL LUNAK KAPSUL 0 0
191 D013 TABLET TAMBAH DARAH KOMBINASI TABLET 480 480
0 0
Program Diare 0 0
233 H001 GARAM ORALIT SERBUK SACHET 0 0
234 H002 ZINK TABLET 20 MG TABLET 150 150
0
0 0
Bahan Medis Habis Pakai 0 0
244 K001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BIJI 0 0
245 K002 ALAT SUNTIK SEKALI PAKAI 0,5 ML BIJI 0 0
246 K003 ALAT SUNTIK SEKALI PAKAI 1 ML BIJI 0 0
247 K004 ALAT SUNTIK SEKALI PAKAI 3 ML BIJI 0 0
248 K005 ALAT SUNTIK SEKALI PAKAI 5 ML BIJI 0 0
249 K006 ALAT SUNTIK SEKALI PAKAI 10 ML BIJI 0 0
250 K007 BLOOD SET / TRANFUSI SET BIJI 0 0
251 K008 FOLEY CATHETER 2 WAY NO. 16 BIJI 0 0
252 K009 FOLEY CATHETER 2 WAY NO. 18 BIJI 0 0
253 K010 HANDSCHOON NONSTERIL M KOTAK 0 0
254 K011 HANDSCHOON NONSTERIL L KOTAK 0 0
255 K012 HANDSCHOON STERIL NO. 7 PASANG 0 0
256 K013 HANDSCHOON STERIL NO. 7,5 PASANG 39 39
257 K014 KAPAS PEMBALUT 250 G BIJI 0 0
258 K015 KASA HIDROFIL STERIL 16 X 16 CM BIJI 144 144
259 K016 KASA HIDROFIL 4 M X 10 CM BIJI 0 0
260 K017 MASKER BEDAH BIJI 50 50
261 K018 MASKER KN 95 BIJI 0 0
262 K019 PLESTER (HANSAPLAST) 7,5 CM BIJI 1 1
263 K021 SAFETY BOX 2,5 LITER BIJI 0 0
264 K022 SAFETY BOX 5 LITER BIJI 0 0
265 K023 STEROFORM BIJI 0 0
0 0
BMHP 0 0
288 N001 ALKOHOL 70% 1 LITER BOTOL 0 0
289 N002 ALKOHOL SWAB BOX 1 1
290 N003 APD BA-BUN PCS 0 0
291 N004 APD SET TANPA SEPATU PCS 0 0
292 N005 APD TRACING PCS 0 0
293 N006 APRON PLASTIK PCS 0 0
294 N007 ASEPTIC AEROSOL SPRAY BOTOL 0 0
295 N008 ASEPTIC GEL 5 LITER BOTOL 0 0
296 N009 ASEPTIC GEL 500 ML BOTOL 0 0
297 N010 BLOOD LANCET BOX 100 100
298 N011 CELEMEK PCS 0 0
299 N012 COVERALL (BOHO;KALTECH) PCS 0 0
300 N013 COVERALL (INCOME;AETAKA) PCS 0 0
301 N014 COVERALL (KODACHI) PCS 0 0
302 N015 COVERALL (PERTAMINA) PCS 0 0
303 N016 COVERALL (REAL FOOD) PCS 0 0
304 N017 COVERALL RE-USE-ABLE (BISA DICUCI) PCS 0 0
305 N018 DISINFEKTAN 1 LITER (STERIONE) BOTOL 0 0
306 N019 DISINFEKTAN SPRAY 350 ML (SIPPOL) BOTOL 0 0
307 N020 FACE SHIELD PCS 0 0
308 N021 FACE SHIELD HELM PCS 0 0
309 N022 FACE SHIELD KACA MATA PCS 0 0
310 N023 GOWN PCS 1 1
311 N024 HANDSANITIZER 1 LITER BOTOL 0 0
312 N025 HANDSANITIZER 5 LITER GALON 0 0
313 N026 HANDSANITIZER 50 ML BOTOL 0 0
314 N027 HANDSANITIZER 85 ML BOTOL 0 0
315 N028 HANDSCHOON NON STERIL BOX 0 0
316 N029 HANDSCHOON OBGYN PCS 0 0
317 N030 HANDSCHOON PANJANG PCS 0 0
318 N031 HANDSCHOON STERIL 7 PCS 0 0
319 N032 HANDSCHOON STERIL 7,5 PCS 49 49
320 N033 KAPAS PEMBALUT 100 GR PCS 0 0
321 N034 MASKER BEDAH BOX 1 1
322 N035 MASKER BEDAH BOX 1 1
323 N036 MASKER FFPNR BOX 0 0
324 N037 MASKER KAIN PCS 0 0
325 N038 MASKER KN95 PCS 0 0
326 N039 MASKER N95 PCS 20 20
327 N040 NURSE CUP PCS 0 0
328 N041 RDT COVID 19 ANTIBODY (LITUO) TEST 0 0
329 N042 RDT COVID 19 ANTIBODY (LUNGENE) TEST 0 0
330 N043 RDT COVID 19 ANTIGEN (LUNGENE) TEST 0 0
331 N044 RDT COVID 19 ANTIGEN (PANBIO) TEST 0 0
332 N045 RDT COVID 19 ANTIGEN (SD BIOSENSOR) TEST 0 0
333 N046 RDT COVID 19 INDEC DIAGNOSTIC TEST 0 0
334 N047 SAFETY BOX 5 LITER PCS 0 0
335 N048 SEPATU BOOT PCS 1 1
336 N049 SPUIT 0,5 ML PCS 0 0
337 N050 SPUIT 3 ML PCS 0 0
338 N051 SPUIT 5 ML PCS 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

BAYAR 0
BPJS /KIS 57

BOJONEGORO, 25 NOPEMBER 2022 Yang menyerahkan

KEPALA PUSKESMAS TANJUNGHARJO Pengelola Obat Puskesmas

dr. YOGI SETYA WARDANA

NIP. 19751208 201001 1 003
IT
MPULREJO

PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN

8 9 11 12

30 140
0
10 390
0
0
0 300
20 270
7
0
0
0
200 0 500
4
0
0
0
0
230
100 370
0
0
90 210
6
0
0
0
0
100
0
0 5
0
0
0
0
0
0
240
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
140
0
0
1 8
20 120 300
500
20 210
0
0
0
0
0
0
0
1 6
0
0
50 0 100
0
0
70 0 100
0
0
0
26
0
0
50
0
0
4
0
120 130 100
 0
10 240
1
0
0
6 0 10
0
100
30 60 200
0
0
0
300
5
140 70 200
0
0
0
0
0
0
0
9
0
40 180
9
60 240 100
0
0
0
80 0 200
10 100
0
2
0
10 220
0
0
0
0
0
10 170
0
0
0
5
4
0
 0
0
0
170
0
0
0
190
0 300
180 200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
250 50 500
0
0
0
0
0
0
0
0
0
0
90 390
0
0
0
150

0
0
0
0
0
0
0
0
0
0
0
0
0
0
39
0
144
0
50
0
1
0
0
0
0
0
0
1 0 1
0
 0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
49
0
1
1
0
0
0
20
0
0
0
0
0
0
0
0
1
0
0
 0

PERESEPAN (R/)
OBAT GENERIK 450
OBAT NON GENERIK 0

Yang meminta
Petugas Sub Unit