KLINIK PRATAMA RATNA MEDIKA

Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung

BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

LPLPO PERIODE JANUARI 2021 - DESEMBER 2022

Nama Fasilitas: Klinik Pratama Ratna Medika Periode pemakaian : januari 2021 - Desember 2022
Periode permintaan: Januari 2022 - Desember 2023

STOK STOK PERMINTAAN RATA-RATA

No NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN PEMAKAIAN
AWAL AKHIR PERBULAN
1 2 3 4 5 6 = (4+5) 7 8 = (6-7) 10
1 ABOCATH NO. 24 pcs 21 21 18 3 2
2 ACETYLCYSTEINE 200 tablet 200 600 800 725 75 60
3 ACIFAR CR tube 46 46 36 10 3
4 ACYCLOVIR 200 MG TAB tablet 435 435 238 197 20
5 ACYCLOVIR 400 MG tablet 345 345 200 145 17
6 AMBROXOL SYR botol 1232 1232 927 305 77
7 AMBROXOL TAB tablet 12445 19000 31445 30963 482 2580
8 AMLODIPINE 10 MG tablet 1242 2000 3242 3075 167 256
9 AMLODIPINE 5 MG tablet 2234 8500 10734 10338 396 862
10 ANTASIDA DOEN TAB tablet 11323 11323 10544 779 879
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

11 Betahistine Mesilate tablet 3897 3897 3673 224 306

12 BETAMETASON CREAM 5 GR tube 523 523 413 110 34
13 BIROPYRON TAB tablet 76 76 50 26 4
14 BISOPROLOL TAB tablet 48 50 98 45 53 4
15 CAPTOPRIL 25 MG tablet 1912 1912 1813 99 151
16 CATGUT CHROMIC 3/0 pcs 3 3 1 2 1
17 CIPROPLOXACIN TAB tablet 2321 2321 2235 86 186
18 CLINDAMYCIN CAP kapsul 485 485 475 10 40
19 CORTISONE INJ pcs 8 10 18 6 12 1
20 CTM tablet 12124 12124 11840 284 987
21 DANASONE tablet 799 799 791 8 66
22 DEXAMETHASONE tablet 17251 17251 16772 479 1398
23 DEXAMETHASONE 0.5 MG tablet 9996 9996 9978 18 832
24 DOMPERIDONE TAB tablet 10862 10862 10640 222 887
25 EPERISONE tablet 2921 2921 2832 89 236
26 EPINEPHRIN INJ pcs 4 10 14 1 13 1
27 ERLA TETES TELINGA botol 84 84 78 6 7
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

28 FLUNARIZINE 5Mg tablet 46 46 40 6 3

29 GENCEF 500 tablet 3758 3758 3685 73 307
30 GENFLAM tablet 8632 8632 8504 128 709
31 GENTAMICIN CREAM tube 6214 6214 577 5637 48
32 GG tablet 1326 1326 1282 44 107
33 H2O2 botol 2 2 1 1 0
34 HANDSCOON M box 6 6 6 0 1
35 HECTING pcs 13 13 11 2 1
36 HYDROCORTISONE 2.5% tube 153 153 126 27 11
37 IMUNISASI ( SEMUA JENIS ) unit 82 82 78 4 7
38 IMUNISASI TETANUS TOXOID unit 12 12 11 1 1
39 INCIDAL CAP kapsul 46 46 40 6 3
40 INFUS NACL botol 7 24 31 4 27 0
41 INFUS RL botol 17 24 41 14 27 1
42 INFUS SET DEWASA pcs 16 16 14 2 1
43 Injeksi Dexamethasone pcs 16 16 12 4 1
44 ISOSORBIDE DINITRATE 5MG tablet 15 15 10 5 1
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

45 KANAMYCIN INJ pcs 31 31 27 4 2

46 KENDI pcs 16 16 12 4 1
47 KETOCONAZOLE CREAM tube 197 197 184 13 15
48 LANSOPRAZOLE tablet 1621 1621 1590 31 133
49 LIDOCAIN INJ pcs 52 52 47 5 4
50 LOPERAMID tablet 2124 2124 2073 51 173
51 LORATADIN TAB tablet 4412 4412 4316 96 360
52 LYSCAVIT SYR botol 58 58 42 16 4
53 MASK NEBU pcs 8 5 13 3 10 0
54 MEFENAMIC ACID tablet 13123 13123 12984 139 1082
55 METFORMIN 500 MG tablet 1521 1521 1487 34 124
56 METHYL PREDNISOLONE 4 MG tablet 19312 19312 19280 32 1607
57 METHYLERGOMETRIN INJ pcs 3 10 13 1 12 0
58 NEBULIZER ( UAP ) pcs 4 20 24 2 22 0
59 NEEDLE 27 pcs 4 5 9 2 7 0
60 NIFEDIPINE TAB tablet 276 276 263 13 22
61 OMEGZOLE tablet 865 865 844 21 70
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

62 OMEMOX 60 ML botol 582 582 571 11 48

63 OMEMOX 500 MG tablet 12654 12654 12362 292 1030
64 OMEPRAZOLE INJ pcs 5 5 10 2 8 0
65 OMEPRAZOLE TAB tablet 9101 9101 8985 116 749
66 OMEPROKSIL tablet 4612 4612 4507 105 376
67 OMERANIN tablet 4958 4958 4913 45 409
68 OMERIC 100 MG tablet 192 192 175 17 15
69 OMERIC 300 MG tablet 19 100 119 15 104 1
70 ONDANSENTRON TAB tablet 2412 2412 2372 40 198
71 ORALITE sachet 673 200 873 663 210 55
72 OXICOBAL tablet 23 50 73 20 53 2
73 OXYTOCIN INJ pcs 28 10 38 22 16 2
74 PARACETAMOL SYRUP botol 894 100 994 880 114 73
75 PARACETAMOL TAB tablet 36316 1000 37316 36209 1107 3017
76 PARATUSIN TAB tablet 15 200 215 5 210 0
77 PEHACAIN INJEKSI pcs 4 20 24 1 23 0
78 POT DAHAK TB pcs 15 15 9 6 1
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

79 PROSTANAC TABLET tablet 2854 2854 2842 12 237

80 PYRATIBI tablet 35 100 135 28 107 2
81 RANITIDINE TAB tablet 10924 200 11124 10821 303 902
82 RAPID TES HIV 1 pcs 7 7 5 2 0
83 RAPID TES SYPHILIS pcs 5 5 4 1 0
84 RAPID TEST ANTIGEN pcs 594 594 579 15 48
85 RECO SALEP MATA tube 32 10 42 27 15 2
86 RIFAMPICIN 150 MG + ISONIAZID 150 MG tablet 178 178 168 10 14
87 RIFAMPICIN 150 MG + ISONIAZID 75MG +PYRAZINAMIDE HCL 400 MG tablet 89 89 80 9 7
88 SALBUTAMOL 2 MG tablet 281 100 381 272 109 23
89 SALBUTAMOL 4MG tablet 1389 200 1589 1360 229 113
90 SIMVASTATIN 10 MG tablet 681 200 881 639 242 53
91 SIMVASTATIN 20 MG tablet 199 200 399 190 209 16
92 Spasminal tablet 1128 200 1328 1084 244 90
93 Spuit 3 Cc pcs 26 200 226 18 208 2
94 SUCRALFATE SYR botol 152 20 172 141 31 12
95 TABLET TAMBAH DARAH tablet 2785 100 2885 2665 220 222
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

96 UP HECTING pcs 8 8 6 2 1
97 VAKSIN HBO pcs 4 10 14 2 12 0
98 VAKSIN TETANUS pcs 3 10 13 1 12 0
99 VIDABION tablet 3695 3695 3644 51 304
100 VIT B.COMPLEX AURAN tablet 182 182 161 21 13
101 VITAMIN A botol 61 12 73 57 16 5
102 Voltadex tablet 981 500 1481 960 521 80
103 KASSA STERIL pcs 38 24 62 32 30 3
104 SPUIT 1 ML pcs 15 100 115 4 111 0
105 SPUIT 5 ML pcs 45 100 145 40 105 3
106 TES ASAM URAT pcs 9 25 34 4 30 0
107 TES GULA DARAH pcs 26 25 51 19 32 2
108 TES KOLESTROL pcs 8 20 28 5 23 0
109 UNDERPAD pcs 48 10 58 41 17 3

Dilaporakn oleh, Disetujui Oleh

APJ Farmasi Klinik Pratama Ratna Medika PJ Klinik Pratama Ratna Medika
 KLINIK PRATAMA RATNA MEDIKA
Jl. Metrolite Blok SQ2 NO.3 Jatake, Jatiuwung
BPJS Kesehatan: 0223U132, BPJS TK: KK170743
Telp: 021-55666352 HP/WA: 0813-10419-624
Kota Tangerang - 15136

apt. Asep Suparman, M.Farm drg. Bayu Herlambang, MARS