Register Harian Baru 2024 (TGL 24)

UPT PUSKESMAS SANANKULON
LIDIAN HARIAN JANUARI 2024
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PEMAKAIAN TOTAL RESEP SISA STOK
1 2 WAY FOLEY CATHETER NO.16 PCS 0 0 0
4 ACETYLCYSTEINE CAPSULE 200 MG CAPSULE 0 0 0
5 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 40 0 40
10 ALKOHOL SWAB PCS 0 0 0
11 ALLOPURINOL TABLET 100 MG TABLET 0 0 0
12 ALPRAZOLAM 1 MG TABLET TABLET 0 0 0
13 AMBROXOL SIRUP 5MG/ML BOTOL 0 0 0
14 AMBROXOL TABLET 30 MG TABLET 1,499 0 1,499

AMINOPHYLLINE INJEKSI 24 MG/ML 10
15
ML
AMPUL 0 0 0
16 AMITRIPTYLLINE HCL TABLET 25 MG TABLET 0 0 0
17 AMLODIPINE TABLET 10 MG TABLET 0 0 0
18 AMLODIPINE TABLET 5 MG TABLET 0 0 0

AMOKSISILIN DRY SYRUP 125 MG/5 ML
19
60 ML
BOTOL 23 0 23
STOK DES 23 APOTEK
NAMA OBAT STOK AKHIR DES 23
2 WAY FOLEY CATHETER NO.16 0

TRUE

TRUE

TRUE
ACETYLCYSTEINE CAPSULE 200 MG 0

TRUE
ALAT SUNTIK SEKALI PAKAI 1 ML 40

TRUE

TRUE

TRUE

TRUE

TRUE
ALKOHOL SWAB 0
TRUE
ALLOPURINOL TABLET 100 MG 0

TRUE
ALPRAZOLAM 1 MG TABLET 0
TRUE
AMBROXOL SIRUP 5MG/ML 0

TRUE
AMBROXOL TABLET 30 MG 1499

TRUE
AMINOPHYLLINE INJEKSI 24 MG/ML 10 ML 0

TRUE AMINOPHYLLINE TA 0
AMITRIPTYLLINE HCL TABLET 25 MG 0

TRUE
AMLODIPINE TABLET 10 MG 0
TRUE
AMLODIPINE TABLET 5 MG 0
TRUE
AMOKSISILIN DRY SYRUP 125 MG/5 ML 60 ML 23

TRUE
FALSE
20 AMOKSISILIN SERBUK INJEKSI 1000 MG VIAL 0 0 0
21 AMOKSISILIN TABLET 500 MG KAPLET 759 0 759

AMOXCICILIN FORTE SYRUP KERING
22
250MG/5ML
BOTOL 0 0 0
AMPICILLIN SERBUK INJEKSI 1.000 MG
23
MG/VIAL
VIAL 0 0 0
ANTALGIN 500 MG TABLET
24
(METAMIZOL)
TABLET 0 0 0
25 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 0 0
26 ANTASIDA SUSPENSI 60 ML BOTOL 20 0 20

ANTI BAKTERI DOEN SALEP KOMBINASI
27
5 GR
POT 31 0 31
ANTI FUNGI DOEN SALEP KOMBINASI
28
30 GR
POT 11 0 11
29 ANTI HAEMOROID DOEN KOMBINASI SUPP. 1 0 1

ANTI MIGRAIN DOEN TABLET
30
KOMBINASI
TABLET 0 0 0
ANTI SPASMODIK TABLET
31
(DORMICOMP)
TABLET 0 0 0
AQUA PRO INJEKSI STERIL BEBAS
32
PIROGEN 20 ML
BOTOL 0 0 0
ASAM ASKORBAT ( VIT C ) TABLET 50
33
MG
TABLET 4,529 0 4,529
34 ASAM FOLAT 1MG TABLET TABLET 0 0 0
35 ASAM MEFENAMAT TABLET 500 MG TABLET 0 0 0

ASAM TRANEKSAMAT 100 MG/ML
36
INJEKSI
AMPUL 0 0 0
37 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0 0 0

ASAM VALPROAT 250 MG TABLET /
38
DEPAKOTE ER
TABLET 0 0 0
39 ASEPTAN 500CC + PUMP BOTOL 0 0 0
40 ASEPTIC GEL 500CC + DISPENSER BOTOL 0 0 0
41 ASERING (ASETAT RINGER) SOFT BAG BOTOL 0 0 0

AMOKSISILIN SERBUK INJEKSI 1000 MG 0
TRUE
AMOKSISILIN TABLET 500 MG 759

TRUE
AMOXCICILIN FORTE SYRUP KERING 250MG/5 0

TRUE
AMPICILLIN SERBUK INJEKSI 1.000 MG MG/VI 0

TRUE
ANTALGIN 500 MG TABLET (METAMIZOL) 0

TRUE
ANTASIDA DOEN TABLET KOMBINASI 0

TRUE
ANTASIDA SUSPENSI 60 ML 20
TRUE
ANTI BAKTERI DOEN SALEP KOMBINASI 5 GR 31

TRUE
ANTI FUNGI DOEN SALEP KOMBINASI 30 GR 11

TRUE
ANTI HAEMOROID DOEN KOMBINASI 1

TRUE ANTI SPASMODIK INJ 0
ANTI MIGRAIN DOEN TABLET KOMBINASI 0

TRUE
ANTI SPASMODIK TABLET (DORMICOMP) 0

TRUE
AQUA PRO INJEKSI STERIL BEBAS PIROGEN 20 0

TRUE
ASAM ASKORBAT ( VIT C ) TABLET 50 MG 4529

TRUE
ASAM FOLAT 1MG TABLET 0

TRUE
ASAM MEFENAMAT TABLET 500 MG 0

TRUE
ASAM TRANEKSAMAT 100 MG/ML INJEKSI 0

TRUE
ASAM TRANEKSAMAT 500 MG TABLET 0

TRUE
ASAM VALPROAT 250 MG TABLET / DEPAKOTE 0

TRUE
ASEPTAN 500CC + PUMP 0

TRUE
ASEPTIC GEL 500CC + DISPENSER 0

TRUE
ASERING (ASETAT RINGER) SOFT BAG 0

TRUE
FALSE
42 ASETOSAL TABLET 100 (80) MG TABLET 80 0 80
43 ASIKLOVIR KREAM 5 % 5 GR TUBE 9 0 9
44 ASIKLOVIR TABLET 400 MG TABLET 114 0 114

ATROPIN SULFAT INJEKSI 0,25 MG/ML 1
45
ML
AMPUL 0 0 0
46 ATTAPULGIT + PECTIN TABLET TABLET 0 0 0
47 BETAHISTINMESILAT 6 MG TABLET TABLET 147 0 147
48 BETAMETHASONE CREAM 0,1 % 5 GR TUBE 39 0 39
49 BISAKODIL TABLET 5 MG TABLET 0 0 0
50 BISAKODIL SUPPOSITORIA 10 MG SUPP. 20 0 20
51 BISAKODIL SUPPOSITORIA 5 MG SUPP. 0 0 0

BISOPROLOL 2,5 MG TABLET
52
(CONCOR)
TABLET 80 0 80
53 BISOPROLOL 5 MG TABLET TABLET 0 0 0
54 CAT GUT NO. 3/0 CHROMIC PCS 4 0 4
55 CAT GUT NO. 3/0 PLAIN PCS 0 0 0
56 CITICHOLIN 250 MG/ML-2ML INJEKSI AMPUL 0 0 0
57 CLONIDINE 0.15 MG TABLET TABLET 0 0 0
58 COMBIVENT UDV INHALASI VIAL 12 0 12

DEKSAMETHASONE INJEKSI 5 MG/ML 1
59
ML
AMPUL 0 0 0
60 DEKSAMETHASONE TABLET 0,5 MG TABLET 0 0 0
61 DEVITALISASI PASTA ( NON ARSEN ) POT 0 0 0
62 DIAZEPAM INJEKSI 5 MG/ML 2 ML AMPUL 0 0 0

DIAZEPAM LARUTAN RECTAL 5MG/
63
2,5ML-STESOLID
TUBE 1 0 1
ASETOSAL TABLET 100 (80) MG 80
TRUE
ASIKLOVIR KREAM 5 % 5 GR 9
TRUE
ASIKLOVIR TABLET 400 MG 114

TRUE
ATROPIN SULFAT INJEKSI 0,25 MG/ML 1 ML 0

TRUE
ATTAPULGIT + PECTIN TABLET 0

TRUE
BETAHISTINMESILAT 6 MG TABLET 147

TRUE
BETAMETHASONE CREAM 0,1 % 5 GR 39

TRUE
BIONICOM ZINC TABLET 0

FALSE
BISAKODIL SUPPOSITORIA 10 MG 20
TRUE
BISAKODIL SUPPOSITORIA 5 MG 0
TRUE
BISOPROLOL 2,5 MG TABLET (CONCOR) 80

TRUE
BISOPROLOL 5 MG TABLET 0
TRUE
CAT GUT NO. 3/0 CHROMIC 4

TRUE
CAT GUT NO. 3/0 PLAIN 0

TRUE
CITICHOLIN 250 MG/ML-2ML INJEKSI 0

TRUE
CLONIDINE 0.15 MG TABLET 0

TRUE
COMBIVENT UDV INHALASI 12

TRUE
DEKSAMETHASONE INJEKSI 5 MG/ML 1 ML 0

TRUE
DEKSAMETHASONE TABLET 0,5 MG 0

TRUE
DEVITALISASI PASTA ( NON ARSEN ) 0

TRUE
DIAZEPAM INJEKSI 5 MG/ML 2 ML 0

TRUE
DIAZEPAM LARUTAN RECTAL 5MG/ 2,5ML-STE 1

TRUE
64 DIAZEPAM TABLET 2 MG TABLET 324 0 324

DIFENHIDRAMINE HCL INJEKSI 10
66
MG/ML 1 ML
AMPUL 0 0 0
67 DIGOXIN TABLET 0,25 MG TABLET 0 0 0
68 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0
69 DOKSISIKLIN TABLET 100 MG KAPSUL 0 0 0
70 DOMPERIDON SUSPENSI 5MG/ML BOTOL 0 0 0
71 DOMPERIDON TABLET 10 MG TABLET 1,000 0 1,000

EKSTRACT PLASENTA + NEOMYSIN
72
SALEP 15 GR
TUBE 21 0 21
EPINEFRIN (ADRENALIN) HCL INJ.0,1 % 1
73
ML
AMPUL 0 0 0
74 ERITROMISIN KAPSUL 250 MG KAPSUL 0 0 0

ERITROMISIN SIRUP KERING 200
75
MG/5ML
BOTOL 0 0 0
76 ERITROMISIN TABLET 500 MG KAPSUL 0 0 0

ETAKRIDIN ( RIVANOL ) LARUTAN 0,1 %
77
300 ML
BOTOL 0 0 0
78 ETANOL [ ALKOHOL ] 70 % 1000 ML BOTOL 0 0 0
79 ETIL KLORIDA SEMPROT 100 ML BOTOL 0 0 0
80 EUGENOL CAIRAN 10 ML BOTOL 0 0 0
81 FENITOIN NATRIUM TABLET 100 MG KAPSUL 100 0 100

FENOBARBITAL INJEKSI 50 MG/ML 2
82
ML
AMPUL 0 0 0
83 FENOBARBITAL TABLET 30 MG TABLET 0 0 0

FENOL GLISEROL TETES TELINGA 10 %
84
5 ML
BOTOL 19 0 19
FITOMENADION ( VIT K1 ) INJEKSI 10
85
MG/ML 1 ML
AMPUL 4 0 4
DIAZEPAM TABLET 2 MG 324
TRUE
DIAZEPAM TABLET 5 MG 317

TRUE
DIFENHIDRAMINE HCL INJEKSI 10 MG/ML 1 M 0

TRUE
DIGOXIN TABLET 0,25 MG 0

TRUE
DIMENHYDRINATE TABLET 50 MG 0
TRUE
DOKSISIKLIN TABLET 100 MG 0

TRUE
DOMPERIDON SUSPENSI 5MG/ML 0

TRUE
DOMPERIDON TABLET 10 MG 1000

TRUE
EKSTRACT PLASENTA + NEOMYSIN SALEP 15 G 21

TRUE
EPINEFRIN (ADRENALIN) HCL INJ.0,1 % 1 ML 0

TRUE
ERITROMISIN KAPSUL 250 MG 0

TRUE
ERITROMISIN SIRUP KERING 200 MG/5ML 0

TRUE
ERITROMISIN TABLET 500 MG 0

TRUE
ETAKRIDIN ( RIVANOL ) LARUTAN 0,1 % 300 M 0

TRUE
ETANOL [ ALKOHOL ] 70 % 1000 ML 0

TRUE
ETIL KLORIDA SEMPROT 100 ML 0

TRUE
EUGENOL CAIRAN 10 ML 0
TRUE
FENITOIN NATRIUM TABLET 100 MG 100

TRUE
FENOBARBITAL INJEKSI 50 MG/ML 2 ML 0

TRUE
FENOBARBITAL TABLET 30 MG 0
TRUE
FENOL GLISEROL TETES TELINGA 10 % 5 ML 19

TRUE
FITOMENADION ( VIT K1 ) INJEKSI 10 MG/ML 4

TRUE
FITOMENADION ( VIT K1 ) TABLET
86
SALUT 10 MG
TABLET 50 0 50
FITOMENADION (VIT K) INFANT INJ.
87
2MG/ML
AMPUL 0 0 0
FLUPHENASINE DEKANOAT INJEKSI 25
88
MG 1 ML
AMPUL 0 0 0
89 FUROSEMID INJEKSI 10 mg VIAL 0 0 0
90 FUROSEMID TABLET 40 MG TABLET 396 0 396
91 GEMFIBROZIL 300 MG KAPSUL KAPSUL 500 0 500
92 GENTAMISIN SALEP KULIT 0,1 % 5 GR TUBE 54 0 54
93 GENTAMISIN SALEP MATA 0,3% TUBE 0 0 0
94 GENTAMISIN TETES MATA 0,3% BOTOL 0 0 0
95 GLASS IONOMER CEMENT ( GC IX ) BOTOL 0 0 0
96 GLIBENCLAMIDE TABLET 5 MG TABLET 0 0 0
97 GLICERIL GUAIACOLAT TABLET 100 MG TABLET 0 0 0
98 GLIMEPIRIDE 1 MG TABLET TABLET 0 0 0
99 GLIMEPIRIDE 2 MG TABLET TABLET 159 0 159

GLUKOSA 40% DEXTROSE INJECTION
100
U.S.P CAIRAN INJEKSI
VIAL 0 0 0
101 GLUKOSA LARUTAN INFUS 10 % STERIL BOTOL 0 0 0
102 GLUKOSA LARUTAN INFUS 5 % STERIL BOTOL 0 0 0
103 GRISEOFULVIN TABLET 125 MG TABLET 0 0 0
104 HALOPERIDOL 2 MG TABLET 0 0 0
105 HALOPERIDOL DEKANOAT INJ 50 MG VIAL 0 0 0

HALOPERIDOL INJ. 5 MG/ML
106
(LODOMER)
AMPUL 0 0 0
107 HALOPERIDOL TABLET 1,5 MG TABLET 383 0 383

FITOMENADION ( VIT K1 ) TABLET SALUT 10 50
TRUE
FITOMENADION INFANT INJ. 2MG/ML 0

FALSE
FLUPHENASINE DEKANOAT INJEKSI 25 MG 1 M 0

TRUE GAMEKSAN (SCABICI 0 FALSE
FUROSEMID INJEKSI 10 mg 0
TRUE GARAM ORALIT 100 FALSE
FUROSEMID TABLET 40 MG 396

TRUE
GEMFIBROZIL 300 MG KAPSUL 500

TRUE
GENTAMISIN SALEP KULIT 0,1 % 5 GR 54

TRUE
GENTAMISIN SALEP MATA 0,3% 0

TRUE
GENTAMISIN TETES MATA 0,3% 0

TRUE
GLASS IONOMER CEMENT ( GC IX ) 0

TRUE
GLIBENCLAMIDE TABLET 5 MG 0
TRUE
GLICERIL GUAIACOLAT TABLET 100 MG 0

TRUE
GLIMEPIRIDE 1 MG TABLET 0
TRUE
GLIMEPIRIDE 2 MG TABLET 159

TRUE
GLUKOSA 40% DEXTROSE INJECTION U.S.P CAI 0

TRUE
GLUKOSA LARUTAN INFUS 10 % STERIL 0

TRUE
GLUKOSA LARUTAN INFUS 5 % STERIL 0

TRUE
GRISEOFULVIN TABLET 125 MG 0

TRUE
HALOPERIDOL 2 MG 0
TRUE
HALOPERIDOL DEKANOAT INJ 50 MG 0

TRUE
HALOPERIDOL INJ. 5 MG/ML (LODOMER) 0

TRUE
HALOPERIDOL TABLET 1,5 MG 383

TRUE
108 HALOPERIDOL TABLET 5 MG TABLET 205 0 205
109 HERBAKOF SYRUP 60ML BOTOL 40 0 40

HES-HYDROXYETHYL STARCH 6
110
%/VOLUVEN INFUS 500 ML
BOTOL 0 0 0
111 HIDROCORTISON CR 1% TUBE 0 0 0
112 HIDROCORTISONE CREAM 2,5 % 5 GR TUBE 26 0 26
113 HYDROCHLORTHIAZIDE 25 MG TABLET 465 0 465

I.V CATHETER NO.16 WITH INJECTION
114
PORT
PCS 0 0 0
115
PORT
PCS 53 0 53
116
PORT
PCS 30 0 30
117
PORT
PCS 0 0 0
118
PORT
PCS 0 0 0
119
PORT
PCS 0 0 0
120 IBUPROFEN FORTE SYRUP 200MG/5ML BOTOL 0 0 0

IBUPROFEN SUSPENSI 100 MG/5 ML 60
121
ML
BOTOL 0 0 0
122 IBUPROFEN TABLET 400 MG TABLET 490 0 490
123 INFUSION SET ANAK PCS 0 0 0
124 INFUSION SET DEWASA PCS 13 0 13

ISOSORBIDE DINITRATE SUBLINGUAL 5
125
MG
TABLET 0 0 0
126 KAEN 3B BOTOL 0 0 0
127 KALIUM DIKLOFENAK 50 MG TABLET TABLET 0 0 0

KALSIUM GLUCONAS INJEKSI 100
128
MG/ML 10 ML
AMPUL 0 0 0
KALSIUM LAKTAT (KALK) TABLET 500
129
MG
TABLET 3,714 0 3,714
HALOPERIDOL TABLET 5 MG 205
TRUE
HERBAKOF SYRUP 60ML 40

TRUE
HES-HYDROXYETHYL STARCH 6 %/VOLUVEN IN 0

TRUE
HIDROCORTISON CR 1% 0
TRUE
HIDROCORTISONE CREAM 2,5 % 5 GR 26

TRUE
HYDROCHLORTHIAZIDE 25 MG 465
TRUE
I.V CATHETER NO.16 WITH INJECTION PORT 0

TRUE

TRUE

TRUE

TRUE

TRUE

TRUE
IBUPROFEN FORTE SYRUP 200MG/5ML 0

TRUE
IBUPROFEN SUSPENSI 100 MG/5 ML 60 ML 0

TRUE
IBUPROFEN TABLET 400 MG 490

TRUE
INFUSION SET ANAK 0

TRUE
INFUSION SET DEWASA 13

TRUE
ISOSORBIDE DINITRATE SUBLINGUAL 5 MG 0

TRUE
KAEN 3B 0
TRUE
KALIUM DIKLOFENAK 50 MG TABLET 0

TRUE
KALSIUM GLUCONAS INJEKSI 100 MG/ML 10 0

TRUE
KALSIUM LAKTAT (KALK) TABLET 500 MG 3714

TRUE
130 KANTONG URINE DEWASA PCS 0 0 0
131 KAPAS PEMBALUT/ABSORBEN 250 GR BKS 0 0 0
132 KAPTOPRIL TABLET 25 MG TABLET 667 0 667
133 KARBAMAZEPIN TABLET 200 MG TABLET 430 0 430
134 KASA KOMPRES 40/40 STERIL BKS 0 0 0

KASA PEMBALUT HIDROFIL 16 X 16 CM
135
STRIL
ROL 0 0 0
KASA PEMBALUT HIDROFIL 2 M X 80
136
CM
ROL 0 0 0
137 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 4 0 4
138 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 10 0 10

KASA STERIL (DARYAN TOLLE)YG
139
DIRESAPI FRAMISETIN
PCS 0 0 0
140 KETOKONAZOLE TABLET 200 MG TABLET 333 0 333
141 KLINDAMISIN KAPSUL 150 MG TABLET 0 0 0
142 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0 0
143 KLOBAZAM 10 MG TABLET TABLET 64 0 64
144 KLORAMFENIKOL KAPSUL 500 MG KAPSUL 133 0 133
145 KLORAMFENIKOL SALEP KULIT 2 % TUBE 0 0 0
146 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0 0

KLORAMFENIKOL SUSPENSI 125 MG/5
147
ML
BOTOL 0 0 0
148 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 0 0 0

KLORFENIRAMINE MALEAT (CTM)
149
TABLET 4 MG
TABLET 3,693 0 3,693
KLORPROMAZIN HCL INJEKSI 25
150
MG/ML 1 ML
AMPUL 0 0 0
151
MG/ML 1 ML
AMPUL 0 0 0
KANTONG URINE DEWASA 0
TRUE
KAPAS PEMBALUT/ABSORBEN 250 GR 0

TRUE
KAPTOPRIL TABLET 25 MG 667

TRUE
KARBAMAZEPIN TABLET 200 MG 430

TRUE
KASA KOMPRES 40/40 STERIL 0

TRUE
KASA PEMBALUT HIDROFIL 16 X 16 CM STRIL 0

TRUE
KASA PEMBALUT HIDROFIL 2 M X 80 CM 0

TRUE

TRUE

TRUE
KASA STERIL (DARYAN TOLLE)YG DIRESAPI FR 0

TRUE
KETOKONAZOLE TABLET 200 MG 333

TRUE
KLINDAMISIN KAPSUL 150 MG 0

TRUE
KLINDAMISIN KAPSUL 300 MG 0

TRUE
KLOBAZAM 10 MG TABLET 64
TRUE
KLORAMFENIKOL KAPSUL 500 MG 133

TRUE
KLORAMFENIKOL SALEP KULIT 2 % 0

TRUE
KLORAMFENIKOL SALEP MATA 1 % 0

TRUE
KLORAMFENIKOL SUSPENSI 125 MG/5 ML 0

TRUE
KLORAMFENIKOL TETES TELINGA 3 % 0

TRUE
KLORFENIRAMINE MALEAT (CTM) TABLET 4 M 3693

TRUE
KLORPROMAZIN HCL INJEKSI 25 MG/ML 1 ML 0

TRUE
KLORPROMAZIN HCL INJEKSI 50 MG/ML 1 ML 0

TRUE
152 KLORPROMAZIN HCL TABLET 100 MG TABLET 554 0 554
153 KLOZAPIN 100 MG TABLET TABLET 235 0 235
154 KLOZAPIN 25 MG TABLET TABLET 170 0 170
155 KODEIN HCL TABLET 10 MG TABLET 34 0 34
156 KOTRIMOKSAZOL DEWASA TABLET TABLET 0 0 0
157 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 0 0 0
158 LEVOFLOXACIN TABLET 500 MG TABLET 0 0 0
159 LIDOCAIN 2% INJ AMPUL 0 0 0
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 30 0 30
161 LISOL CONCENTRATE 1000 ML BOTOL 0 0 0
162 LOPERAMIDE TABLET 2 MG TABLET 84 0 84
163 LORATADIN TABLET 10 MG TABLET 0 0 0
164 LORAZEPAM 2 MG TABLET 80 0 80

MAGNESIUM SULFAT INJEKSI (IV) 40 %
165
25 ML
AMPUL 0 0 0
166 MASKER EARLOOP PLUS PCS 0 0 0
167 MASKER KERTAS 3 PLY EAR LOOP PCS 0 0 0
168 MASKER KERTAS 3 PLY TIE ON PCS 0 0 0
169 MASKER N95 PCS 0 0 0

METAMIZOL (NORAGES) INJEKSI 500
170
MG/2ML
AMPUL 0 0 0
171 METFORMIN TABLET 500 MG TABLET 137 0 137

METILERGOMETRIN MALEAT INJEKSI
172
0,200 MG 1 ML
AMPUL 23 0 23
METILERGOMETRIN MALEAT TABLET
173
0,125 MG
TABLET 203 0 203
KLORPROMAZIN HCL TABLET 100 MG 554
TRUE
KLOZAPIN 100 MG TABLET 235

TRUE
KLOZAPIN 25 MG TABLET 170

TRUE
KODEIN HCL TABLET 10 MG 34

TRUE
KOTRIMOKSAZOL DEWASA TABLET 0

TRUE
KOTRIMOKSAZOL SUSPENSI 60 ML 0
TRUE
LEVOFLOXACIN TABLET 500 MG 0

TRUE
LIDOCAIN 2% INJ 0
TRUE
LIDOCAIN COMPOSITUM INJEKSI 2 ML 30

TRUE
LISOL CONCENTRATE 1000 ML 0

TRUE
LOPERAMIDE TABLET 2 MG 84
TRUE
LORATADIN TABLET 10 MG 0
TRUE
LORAZEPAM 2 MG 80
TRUE
MAGNESIUM SULFAT INJEKSI (IV) 40 % 25 ML 0

TRUE
MASKER EARLOOP PLUS 0

TRUE
MASKER KERTAS 3 PLY EAR LOOP 0

TRUE
MASKER KERTAS 3 PLY TIE ON 0

TRUE
MASKER N95 0
TRUE
METAMIZOL (NORAGES) INJEKSI 500 MG/2ML 0

TRUE
METFORMIN TABLET 500 MG 137

TRUE
METILERGOMETRIN MALEAT INJEKSI 0,200 MG 23

TRUE
METILERGOMETRIN MALEAT TABLET 0,125 M 203

TRUE
174 METILPREDNISOLON TABLET 4 MG TABLET 30 0 30
175 METOKLOPRAMIDE 10 MG TABLET TABLET 0 0 0
176 METOKLOPRAMIDE 5 MG TABLET TABLET 280 0 280

METOKLOPROMIDE (SOTATIC) INJEKSI
177
5 MG/ML 2 ML
AMPUL 0 0 0
178 METOKLOPROMIDE SIRUP BOTOL 0 0 0

METRONIDAZOL + NYSTATIN VAG.
179
(PROVAGIN) OVULA
VIAL 0 0 0
180 METRONIDAZOL TABLET 250 MG TABLET 0 0 0
181 METRONIDAZOL TABLET 500 MG TABLET 430 0 430

METRONIDAZOLE INFUS 5 MG/ML 100
182
ML
BOTOL 0 0 0
183 MIKONAZOL KREAM 10 GR TUBE 12 0 12
184 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 0 0 0
186 NATRIUM KLORIDA INFUS 0,9 % STERIL BOTOL 3 0 3
187 NIFEDIPINE TABLET 10 MG TABLET 0 0 0
188 NISTATIN TABLET 500.000 UI TABLET 150 0 150
189 NISTATIN VAGINAL TABLET 100.000 UI VAGTAB 95 0 95

OBAT BATUK HITAM (OBH) CAIRAN 100
190
ML
BOTOL 0 0 0
191 OKSIGEN NASAL CANNULA ADULT PCS 0 0 0
192 OKSIGEN NASAL CANNULA INFANT PCS 0 0 0

OKSITETRACYCLIN SALEP KULIT 3 % 5
193
GR
TUBE 0 0 0
OKSITETRACYCLIN SALEP MATA 1 % 3,5
194
GR
TUBE 0 0 0
195 OKSITOSIN INJEKSI 10 IU/ML 1 ML AMPUL 88 0 88

METILPREDNISOLON TABLET 4 MG 30
TRUE
METOKLOPRAMIDE 10 MG TABLET 0
TRUE
METOKLOPRAMIDE 5 MG TABLET 280

TRUE
METOKLOPROMIDE (SOTATIC) INJEKSI 5 MG/M 0

TRUE
METOKLOPROMIDE SIRUP 0
TRUE
METRONIDAZOL + NYSTATIN VAG. (PROVAGIN) 0

FALSE
METRONIDAZOL TABLET 250 MG 0

TRUE
METRONIDAZOL TABLET 500 MG 430

TRUE
METRONIDAZOLE INFUS 5 MG/ML 100 ML 0

TRUE
MIKONAZOL KREAM 10 GR 12
TRUE
NATRIUM DIKLOFENAK TABLET 25 MG 0

TRUE
NATRIUM DIKLOFENAK TABLET 50 MG 189

TRUE
NATRIUM KLORIDA INFUS 0,9 % STERIL 3

TRUE
NIFEDIPINE TABLET 10 MG 0
TRUE
NISTATIN TABLET 500.000 UI 150

TRUE
NISTATIN VAGINAL TABLET 100.000 UI 95

TRUE
OBAT BATUK HITAM (OBH) CAIRAN 100 ML 0

TRUE
OKSIGEN NASAL CANNULA ADULT 0

TRUE
OKSIGEN NASAL CANNULA INFANT 0

TRUE
OKSITETRACYCLIN SALEP KULIT 3 % 5 GR 0

TRUE
OKSITETRACYCLIN SALEP MATA 1 % 3,5 GR 0

TRUE
OKSITOSIN INJEKSI 10 IU/ML 1 ML 88

TRUE
196 OMEPRAZOLE TABLET 20 MG KAPSUL 0 0 0
197 ONDANSENTRON 4 MG/2 ML INJEKSI AMPUL 0 0 0

PARACETAMOL SYRUP 120 MG/5 ML 60
198
ML
BOTOL 24 0 24
199 PARACETAMOL TABLET 500 MG TABLET 4,621 0 4,621

PARACETAMOL TETES 100 MG/ML 15
200
ML
BOTOL 0 0 0
201 PEHAVRAL TABLET TABLET 1,217 0 1,217
202 PERAK SULFADIAZIN KRIM 1 % TUBE 0 0 0
203 PERHYDROL [ H2O2 ] 3 % 800 ML BOTOL 0 0 0
204 PERMETHRINE 5% CR 15 GRAM TUBE 20 0 20
205 PIRACETAM TABLET 800 MG TABLET 0 0 0
206 PIRANTEL PAMOAT TABLET TABLET 0 0 0
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 1,234 0 1,234
208 PIROKSIKAM KAPSUL 10 MG KAPSUL 0 0 0
209 PLESTER 10 CM X 2 M ROL 0 0 0
210 PREDNISON TABLET 5 MG TABLET 127 0 127
211 PROPRANOLOL HCL TABLET 40 MG TABLET 245 0 245
212 RANITIDIN INJEKSI 25 MG/ ML AMPUL 0 0 0
213 RISPERIDON 2 MG TABLET TABLET 485 0 485

RINGER LAKTATE LARUTAN INFUS
214
STERIL
BOTOL 15 0 15
215 SALBUTAMOL TABLET 2 MG TABLET 0 0 0
216 SALBUTAMOL TABLET 4 MG TABLET 1,229 0 1,229
217 SALEP 2-4 KOMBINASI 30 GR POT 12 0 12

OMEPRAZOLE TABLET 20 MG 0
TRUE
ONDANSENTRON 4 MG/2 ML INJEKSI 0

TRUE
PARACETAMOL SYRUP 120 MG/5 ML 60 ML 24

TRUE
PARACETAMOL TABLET 500 MG 4621

TRUE
PARACETAMOL TETES 100 MG/ML 15 ML 0

TRUE
PEHAVRAL TABLET 1217

TRUE
PERAK SULFADIAZIN KRIM 1 % 0

TRUE
PERHYDROL [ H2O2 ] 3 % 800 ML 0

TRUE
PERMETHRINE 5% CR 15 GRAM 20
TRUE
PIRACETAM TABLET 800 MG 0

TRUE
PIRANTEL PAMOAT TABLET 0

TRUE
PIRIDOKSIN HCL (VIT B6) TABLET 10 MG 1234

TRUE
PIROKSIKAM KAPSUL 10 MG 0
TRUE
PLESTER 10 CM X 2 M 0
TRUE
PREDNISON TABLET 5 MG 127

TRUE
PROPRANOLOL HCL TABLET 40 MG 245

TRUE
RANITIDIN INJEKSI 25 MG/ ML 0

TRUE
RESPERIDON 2 MG TABLET 485

FALSE
RINGER LAKTATE LARUTAN INFUS STERIL 15

TRUE
SALBUTAMOL TABLET 2 MG 0
TRUE
SALBUTAMOL TABLET 4 MG 1229

TRUE
SALEP 2-4 KOMBINASI 30 GR 12

TRUE
218 SALICYL BEDAK 2 % KOTAK 0 0 0
219 SARUNG TANGAM NON STERIL L PCS 0 0 0
220 SARUNG TANGAN NON STERIL M PCS 0 0 0
221 SARUNG TANGAN NON STERIL S PCS 0 0 0
222 SARUNG TANGAN STERIL NO 6 PSG 0 0 0
223 SARUNG TANGAN STERIL NO. 7,5 PSG 5 0 5
224 SARUNG TANGAN STERILE NO.6,5 PSG 0 0 0
225 SARUNG TANGAN STERILE NO.7 PSG 0 0 0
226 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0 0

SERUM ANTI BISA ULAR POLIVALEN
227
INJ.5 ML (ABU I)
VIAL 2 0 2
SERUM ANTI TETANUS INJEKSI 1.500
228
IU/AMP (ATS)
VIAL 8 0 8
229 SETIRIZINE TABLET 10 MG TABLET 0 0 0

SIANOKOBALAMIN ( VIT B12 ) INJEKSI
230
500 MCG/ML 1 ML
AMPUL 0 0 0
SIANOKOBALAMIN ( VIT B12 ) TABLET
231
50 MCG
TABLET 1,000 0 1,000
232 SILK (BENANG BEDAH SUTERA) NO.3/0 PCS 25 0 25
233 SIMVASTATIN TABLET 10 MG TABLET 655 0 655
234 SIPROFLOXACIN INFUS 2% BOTOL 0 0 0
235 SIPROFLOXACIN TABLET 500 MG TABLET 0 0 0
236 SPONS GELATIN CUBICLES 1x1x1 CM PCS 0 0 0

SULFASETAMID NATRIUM TETES MATA
237
15 % 5 ML
BOTOL 0 0 0
TEMPORARY CAVITY SEALER
238
[TUMPATAN SEMENTARA] (CAVIT G)
PCS 0 0 0
239 TETRAKAIN HCL TETES MATA 5 ML BOTOL 0 0 0

SALICYL BEDAK 2 % 0
TRUE
SARUNG TANGAM NON STERIL L 0

TRUE
SARUNG TANGAN NON STERIL M 0

TRUE
SARUNG TANGAN NON STERIL S 0

TRUE
SARUNG TANGAN STERIL NO 6 0

TRUE
SARUNG TANGAN STERIL NO. 7,5 5

TRUE
SARUNG TANGAN STERILE NO.6,5 0

TRUE
SARUNG TANGAN STERILE NO.7 0

TRUE
SEFADROKSIL KAPSUL 500 MG 0

TRUE
SERUM ANTI BISA ULAR POLIVALEN INJ.5 ML (A 2

TRUE
SERUM ANTI TETANUS INJEKSI 1.500 IU/AMP ( 8

TRUE
SETIRIZINE TABLET 10 MG 0
TRUE
SIANOKOBALAMIN ( VIT B12 ) INJEKSI 500 MC 0

TRUE
SIANOKOBALAMIN ( VIT B12 ) TABLET 50 MCG 1000

TRUE
SILK (BENANG BEDAH SUTERA) NO.3/0 25

TRUE
SIMVASTATIN TABLET 10 MG 655

TRUE
SIPROFLOXACIN INFUS 2% 0
TRUE
SIPROFLOXACIN TABLET 500 MG 0

TRUE
SPONS GELATIN CUBICLES 1x1x1 CM 0

TRUE TABLET TAMBAH D 223 FALSE
SULFASETAMID NATRIUM TETES MATA 15 % 5 0

TRUE
TEMPORARY CAVITY SEALER [TUMPATAN SEME 0

TRUE
TETRAKAIN HCL TETES MATA 5 ML 0

TRUE
240 TETRASIKLIN HCL TABLET 500 MG KAPSUL 33 0 33
THIAMIN HCL MONONITRAT (VIT B1)
241
TABLET 50 MG
TABLET 990 0 990
TRANFUSION SET ADULT WITH Y
242
INJECTION
PCS 0 0 0
243 TRIFLOUPERASIN TABLET 5 MG TABLET 5 0 5

TRIHEKSIFENIDIL HIDROKLORIDA
244
TABLET 2 MG
TABLET 190 0 190
245 VITAMIN B COMPLEX TABLET TABLET 2,227 0 2,227

YODIUM POVIDON LARUTAN 10 % 30
246
ML
BOTOL 0 0 0
247 YODIUM POVIDON LARUTAN 10% 60 ML BOTOL 0 0 0

ZENTRA (TRIPROLIDINE|
248
PSEUDOEPHEDRINE)
TABLET 481 0 481
249 ZINK 20 MG TABLET TABLET 395 0 395
250 ALPARA TABLET TABLET 1,451 0 1,451
251 ALPARA SYRUP BOTOL 60 0 60
252 CURLYSINE SIRUP BOTOL 26 0 26
253 BUFACOMB CREAM TUBE 7 0 7
254 SARUNG TANGAN STERIL S PCS 0 0 0
255 SARUNG TANGAN STERIL M PCS 0 0 0
256 SARUNG TANGAN STERIL L PCS 0 0 0
257 SUPRAFENID SUPP BOTOL 0 0 0
258 FASFIT D 1000 IU TABLET 0 0 0
259 POLIFIX PLESTER PCS 0 0 0
260 LEUKOPLAST PLESTER PCS 0 0 0
261 LISINOPRIL 5 MG TABLET 354 0 354

TETRASIKLIN HCL TABLET 500 MG 33
TRUE
THIAMIN HCL MONONITRAT (VIT B1) TABLET 990

TRUE
TRANFUSION SET ADULT WITH Y INJECTION 0

TRUE
TRIFLOUPERASIN TABLET 5 MG 5
TRUE
TRIHEKSIFENIDIL HIDROKLORIDA TABLET 2 MG 190

TRUE
VITAMIN B COMPLEX TABLET 2227

TRUE
YODIUM POVIDON LARUTAN 10 % 30 ML 0

TRUE
YODIUM POVIDON LARUTAN 10% 60 ML 0

TRUE
ZENTRA (TRIPROLIDINE|PSEUDOEPHEDRINE) 481

TRUE
ZINK 20 MG TABLET 395

TRUE
ALPARA TABLET 1451

TRUE
ALPARA SYRUP 60
TRUE
CURLYSINE SIRUP 26
TRUE
BUFACOMB CREAM 7
TRUE
SARUNG TANGAN STERIL S 0

TRUE
SARUNG TANGAN STERIL M 0

TRUE
SARUNG TANGAN STERIL L 0

TRUE
SUPRAFENID SUPP 0
TRUE
FASFIT D 1000 IU 0
TRUE
POLIFIX PLESTER 0
TRUE
LEUKOPLAST PLESTER 0
TRUE
LISINOPRIL 5 MG 354
TRUE
262 HERBA ASIMOR BOX 0 0 0
263 LYTACUR SYRUP 60 ML BOTOL 0 0 0

HIOPAR (HYOSCINE-N-BUTILBROMIDE
264
10 MG, PARACETAMOL 500 MG)
BOX 0 0
NOZA (TRIPROLIDIN HCL 2,5 MG,
265 TRIPROLIDINE HCL 30 MG, BOX 0 0
PARACETAMOL 500 MG)
266 IMIBOND F (ZINC PHOSPHATE) BOX 0 0
267 NOVA COMPO C BOX 0 0
268 NOVA COMPO B PLUS BOX 0 0
269 PARAMONOCLOROFENOL BOX 0 0
270 TRICRESOLFORMALINA BOX 0 0
271 ATTAQUE GEL PCS 0 0
272 XIMEX (OPTIXITROL) BOTOL 0 0
273 RANITIDIN TABLET 150 MG TABLET 0 0

RINDOBION 5000 (THIAMIN 100 MG,
274 PYRIDOXIBE 100 MG, TABLET 0 0
CYANOCOBALAMIN 5000 MCG)
275 ZINC SYRUP 20 MG/5MG BOTOL 0 0
276 SILK (BENANG BEDAH SUTERA) NO.2/0 PCS 0 0
OBAT PROGRAM / HIBAH
1 KESWA-AMITRIPTYLINE 25 MG TABLET 115 0 115
2 KESWA-DIAZEPAM 5 MG TABLET 0 0
3 KESWA-DIAZEPAM INJEKSI 5 MG/2ML AMPUL 0 0
4 KESWA-SIKZONOAT 25 MG AMPUL 0 0
5 KESWA-HALOPERIDOL 5 MG TABLET 0 0
6 KESWA-HALDOL DECANOAT INJEKSI AMPUL 0 0

HERBA ASIMOR 0
TRUE
LYTACUR SYRUP 60 ML 0
TRUE
7 KESWA-CLOZAPIN 25 MG TABLET 0 0
8 KESWA-RISPERIDON 2 MG TABLET 0 0
9 KESWA-TRIFLUOPERAZINE 5 MG TABLET 0 0
10 KESWA TRIHEKSIPHENIDIL 2 MG TABLET 0 0
11 DBD-SD BIOLINE CHIKUNGUNYA IgM TEST 0 0

DBD-VIROTEC DENGUE COMBO
12
(IgG\/IgM dan NS1)
TEST 0 0
13 DBD-ABATE POWDER 1 KG KG 0 0
14 DBD-ABATE POWDER SACHET SACHET 0 0
15 DIARE-ORALIT SERBUK SACHET 0 0
16 DIARE-ZINC TABLET 20 MG TABLET 0 0

FILARIASIS-ALBENDAZOLE TABLET 400
17
MG
TABLET 0 0
FILARIASIS-ALBENDAZOLE SYRUP 200
18
MG/5ML
BOTOL 0 0
GIZI-VITAMIN A CAPSUL LUNAK 100.000
19
IU
KAPSUL 0 0
20
IU
KAPSUL 0 0
21 GIZI-MINERAL MIX SACHET 0 0
22 GIZI-TABLET TAMBAH DARAH TABLET 0 0
23 HEPATITIS-VIROCHECK HBsAG TEST 0 0

HEPATITIS-HYPERHEP B S/D CAIRAN
24
INJEKSI (HBIg)
SYRINGE 0 0
25 HEPATITIS-ANTI HBs HEPATITIS B TEST 0 0
26 HEPATITIS-STARTES HCV TEST 0 0
27 HIV-ABACAVIR TABLET 300 MG BOTOL 0 0
28 HIV-AQUAGEL LUBRICATING JELLY SACHET 0 0

HIV-BENZATIN BENZIL PENICILIN
29
INJEKSI 2.4 UI/ML
VIAL 0 0
HIV-COTRIMOKSAZOLE 800 MG + 160
30
MG
TABLET 0 0
HIV-DETEKSI RAPIDAN TESTER ANTI
31
HIV 1/2 TEST 3 LINES
TEST 0 0
HIV-DIAGNOSTAR HIV 1/2 ONE STEP
32
RAPID DIAGNOSTIC TEST GCHIV-402A
TEST 0 0
33 HIV-DOLUTEGRAVIR CAPLET 50 MG BOTOL 0 0

HIV-DOLUTEGRAVIR 50 MG;
34 LAMIFUDINE 300 MG; TENOFOVIR 300 BOTOL 0 0
MG (TLD)
35 HIV-EVAFIRENZ TABLET 600 MG BOTOL 0 0
36 HIV-FASTCLEAR Q HIV 1/2 TRI-LINE TEST 0 0
HIV-INDEC HIV 1/2 & SYPHILLIS COMBO
37
TEST
TEST 0 0
HIV-KHB DIAGNOSTIC KIT FOR HIV (1+2)
38 ANTIBODY COLLOIDAL GOLD V2 RAPID TEST 0 0
TEST
39 HIV-KONDOM SIMPLEX BOX@144 PIECES 0 0
40 HIV-KONDOM SUTRA ISI 12 PIECES 0 0
41 HIV-LAMIVUDINE TABLET 100 MG BOTOL 0 0
42 HIV-LAMIVUDINE TABLET 150 MG BOTOL 0 0
43 HIV-NEVIRAPINE 200 MG BOTOL 0 0

HIV-RAPIDAN TESTER WB/S/P ANTI HIV
44
1/2 TEST
TEST 0 0
HIV-STANDARD Q HIV 1/2 AB 3 LINES
45
TEST
TEST 0 0
46 HIV-TENOFOVIR TABLET 300 MG BOTOL 0 0

HIV-TENOFOVIR 300 MG; LAMIVUDINE
47
300 MG; EVAFIRENS 600 MG (TLE)
BOTOL 0 0
48 HIV-TREPOCHECK SYPHILLIS TEST TEST 0 0
49 HIV-VIROCHECK HIV 1/2 TEST TEST 0 0

HIV-ZIDOVUDINE 300 MG +
50
LAMIVUDINE 150 MG
BOTOL 0 0
51 HIV-ZIDOVUDINE TABLET 150 MG BOTOL 0 0
52 HIV-FOKUS RPR ANTIGEN TEST TEST 0 0
53 IMUN-VAKSIN POLIO (BOPV) VIAL 0 0
54 IMUN-VAKSIN PENTABIO (DPT-HB-Hib) VIAL 0 0
55 IMUN-VAKSIN PCV (PREVENAR) VIAL 0 0
56 IMUN-VAKSIN ROTAVIRUS (ROTAVAC) VIAL 0 0
57 IMUN-VAKSIN BCG VIAL 0 0
58 IMUN-VAKSIN HEPATITIS B VIAL 0 0
59 IMUN-VAKSIN IPV CAIRAN INJEKSI VIAL 0 0

60 IMUN-VAKSIN JERAP DT VIAL 0 0
61 IMUN-VAKSIN JERAP Td VIAL 0 0
62 IMUN-VAKSIN MEASLES RUBELLA VIAL 0 0

IMUN-ONEJCT AUTO DISABLE
63
SYRINGE 0,05 ML
SYRINGE 0 0
IMUN-ONEJECT AUTO DISABLE
64
SYRINGE 0,5 ML
SYRINGE 0 0
65
SYRINGE 0,3 ML
SYRINGE 0 0
66
SYRINGE 3 ML
SYRINGE 0 0
IMUN-ONEJECT AUTODISABLE
67
SYRINGE 5 ML
SYRINGE 0 0
IMUN-DISPOSABLE SAFETY BOX 5
68
LITER
PIECES 0 0
69 IMUN-ALCOHOL SWAB PIECES 0 0
70 KIA-AMPICILLIN SERBUK INJEKSI 1 G VIAL 0 0
71 KIA-CA GLUCONAS INJEKSI 10 ML AMPUL 0 0

KIA-GENTAMICIN SULFATE CAIRAN
72
INJEKSI 40 MG
AMPUL 0 0
KIA-MAGNESIUM SULFAT CAIRAN
73
INJEKSI 40%
AMPUL 0 0
KIA-MAGENSIUM SULFAT CAIRAN
74
INJEKSI 20%
AMPUL 0 0
75 KIA-METRONIDAZOLE INFUS 5 MG/ML BOTOL 0 0

KIA-PYTOMENADION CAIRAN INJEKSI 2
76
MG/ML
AMPUL 0 0
77 KIA-DIAZEPAM INJEKSI 5 MG/2ML AMPUL 0 0

KIA-PHENOBARBITAL INJEKSI 50
78
MG/ML
AMPUL 0 0
79 KIA-OXYTETRACYCLINE SALEP MATA TUBE 0 0
80 KUSTA-MDT MB ADULT (RED) BLISTER 0 0
81 KUSTA-MDA PB ADULT (GREEN) BLISTER 0 0
82 KUSTA-MDT MB CHILD (ORANGE) BLISTER 0 0
83 KUSTA-TREPOCHECK SIPHILIS TEST 0 0
84 MALARIA-DHP FRIMAL TABLET 0 0
85 MALARIA-PRIMAQUIN TABLET 15 MG TABLET 0 0
86 TBC-ISONIAZID TABLET 100 MG TABLET 0 0
87 TBC-ISONIAZID TABLET 300 MG TABLET 0 0
88 TBC-ETHAMBUTOL TABLET 100 MG TABLET 0 0
89 TBC-ETHAMBUTOL TABLET 400 MG TABLET 0 0

TBC-PAKET STOP TB DOSIS HARIAN
90
RHZE 150/75/400/275 + RH 150/75
PAKET 0 0
TBC-PAKET STOP TB KATEGORI I RHZE
91
150/75/400/175 + RH 150/150
PAKET 0 0
TBC-PAKET STOP TB ANAK RHZ
92
75/50/150 + RH 75/50
PAKET 0 0
93 TBC-LEVOFLOXACIN 100 MG TABLET 0 0
94 TBC-PIRAZINAMIDE 500 MG TABLET 0 0

95 TBC-RIFAMPICIN 600 MG TABLET 0 0
96 TBC-RIFTIN RIFAPENTIN 150 MG TABLET 0 0

TBC-3HP ISONIAZID RIFAPENTIN
97
300/300
PAKET 0 0
98 TBC-3HR ISONIAZID RIFAMPISIN 50/75 PAKET 0 0
99 TBC-PIRIDOKSIN VITAMIN B6 25 MG TABLET 0 0
100 TBC-TUBERCULIN PPD RT 23 SSI VIAL 0 0
101 TBC-REAGEN ZIEHL NEELSEN PAKET 0 0
102 TBC-POT SPUTUM POT 0 0
103 TBC-KACA SLIDE PIECES 0 0
104 TBC-MASKER BEDAH PROGRAM TB PIECES 0 0
105 TBC-MASKER N95 WEGEN PIECES 0 0
106 TBC-MASKER N95 AERO PIECES 0 0
107 TBC-MASKER N95 DREAMCAN PIECES 0 0
108 TBC-GENEXPERT MTB RIF 50 CATRIDGE PIECES 0 0
109 TBC-PROTEN GOLD SUMBER PROTEIN SACHET 0 0
110 SURVEILEN-ANTI DIFTERI SERUM VIAL 0 0
111 SURVEILEN-VAKSIN MENINGITIS VIAL 0 0
112 PTM-STIK GULA DARAH PIECES 0 0
113 PTM-STIK CHOLESTEROL PIECES 0 0
114 PTM-STIK ASAM URAT PIECES 0 0
115 PTM-VAGINAL SPECULUM UKURAN S PIECES 0 0
116 PTM-VAGINAL SPECULUM UKURAN M PIECES 0 0

117 PTM-VAGINAL SPECULUM UKURAN L PIECES 0 0
PTM-OCCULT BLOOD STRIP ONE STEP
118
RAPID TEST
TEST 0 0
119 PTM-ALCOHOL SWAB PIECES 0 0
120 PTM-BLOOD LANCET PIECES 0 0
121 PTM-PROLINE TRIGLISERIDE REAGEN BOTOL 0 0
122 PTM-PROLINE CHOLESTEROL REAGEN BOTOL 0 0
123 PTM-SARUNG TANGAN STERIL 6.5 PASANG 0 0
124 PTM-SARUNG TANGAN STERIL 7 PASANG 0 0
125 PTM-SARUNG TANGAN STERIL 7.5 PASANG 0 0

PTM-RAPID DIAGNOSTIC TEST MULTI
126
DRUG 7 IN 1
TEST 0 0
127 PTM-ACON URINALYSIS STRIP BOTOL 0 0
128 PTM-KERTAS EKG 110 X 30 mm ROLL 0 0
131 PTM-MOUTH PIECES PIECES 0 0
132 PTM-D-PIECES PIECES 0 0
133 PTM-SPUIT 5 ML SYRINGE 0 0
134 PTM-STOOL CONTAINER POT 0 0
135 PTM-COTTON SWAB PIECES 0 0

KESGA-STRIP PEMERIKSAAN
136
CHOLESTEROL
PIECES 0 0
137
HEMOGLOBIN
PIECES 0 0
138 KESGA-ALCOHOL SWAB PIECES 0 0

139 KESGA-LANCET PIECES 0 0
OBAT TAMBAHAN
1 ALLOPURINOL (BLUD) TABLET 53 0 53
2 AMBROXOL TABLET 30 MG (BLUD) TABLET 0 0
3 AMLODIPINE 5MG (BLUD) TABLET 366 0 366
4 AMLODIPINE 10 MG (BLUD) TABLET 0 0
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 2871 0 2,871
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET 0 0
7 AQUA PRO INJEKSI (BLUD) PIECES 0 0
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 2632 0 2,632
9 ASAM TRANEKSAMAT (BLUD) TABLET 190 0 190
10 ASETILSISTEIN (BLUD) KAPSUL 0 0
11 ASETOSAL TABLET 100 (80) MG (BLUD) TABLET 120 0 120
12 ASIKLOVIR SALEP KULIT (BLUD) TUBE 0 0
13 ASIKLOVIR TABLET (BLUD) TABLET 0 0
14 BATUK FLU SIRUP/ ETAFLUSIN (BLUD) SIRUP 0 0
15 BATUK FLU TABLET/ETAFLUSIN (BLUD) TABLET 0 0
16 BEDAK SALISIL (BLUD) SACHET 9 0 9
17 BETADINE GARGLE (BLUD) BOTOL 0 0
18 BETAHISTIN TABLET (BLUD) TABLET 0 0
19 BETAMETHASONE SALEP KULIT (BLUD) TUBE 0 0
20 BIOPLACENTON (BLUD) TUBE 0 0
21 BISAKODIL TABLET 5 MG (BLUD) TABLET 0 0

ALKOHOL SWAB 0
ALLOPURINOL 53
AMLODIPINE 5MG (BLUD) 366
ANTISEPTIK GEL (DINKES) 0
APD VAKSIN 0
APRON (DINKES) 0
AQUA PRO INJEKSI (BLUD) 0
ASAM MEFENAMAT TABLET 500 MG (BLUD) 2632
ASIKLOVIR TABLET 0
BETAMETHASONE SALEP KULIT (BLUD) 0
BIOPLACENTON (BLUD) 0
BISAKODIL TABLET 5 MG (BLUD) 0
CIPROFLOXACIN (BLUD) 0
CLINDAMISIN KAPS (BLUD) 684
DEKSAMETHASONE HARSEN TABLET 0,5 MG ((B 1138
DOMPERIDONE TABLET 10 MG ( (BLUD)) 416
EPINEFRIN INJEKSI (BLUD) 0
FENITOIN KAPS (BLUD) 0
FITOMENADION INJ (BLUD) 0
FITOMENADION TABLET (BLUD) 0
FUROSEMIDE TABLET 0
22 BUFACOMB SALEP (BLUD) TUBE 0 0
23 BUFACORT - N (BLUD) TUBE 0 0
24 CIPROFLOXACIN (BLUD) TABLET 0 0
25 CLINDAMISIN KAPS (BLUD) KAPSUL 684 0 684
26 CTM (BLUD) TABLET 0 0
27 DARYANTULLE (BLUD) PIECES 0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 1138 0 1,138
29 DIMENHIDRINATE (BLUD) TABLET 0 0
30 DOMPERIDONE TABLET 10 MG ( (BLUD)) TABLET 416 0 416
31 DUK LUBANG PIECES 0 0
32 EPINEFRIN INJEKSI (BLUD) AMPUL 0 0
33 ETIL KLORIDA SPRAY (BLUD) BOTOL 0 0
35 FITOMENADION INJ (BLUD) AMPUL 0 0
36 FITOMENADION TABLET (BLUD) TABLET 0 0
37 FUROSEMIDE TABLET (BLUD) TABLET 0 0
38 GEMFIBROZIL (BLUD) KAPSUL 7 0 7
39 GENTAMICIN TETES MATA (BLUD) FLASK 7 0 7
40 GENTAMISIN SALEP KULIT /GENOINT (BLUD TUBE 0 0
41 GENTIAN VIOLET LARUTAN 1 % (BLUD) BOTOL 0 0
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET 0 0
43 GLIMEPIRID 1 MG (BLUD) TABLET 0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 2962 0 2,962
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 1220 0 1,220

GEMFIBROZIL (BLUD) 7
GENTAMISIN SALEP KULIT /GENOINT (BLUD) 0
GENTAMICIN TETES MATA (BLUD) 7
GENTIAN VIOLET LARUTAN 1 % (BLUD) 0
GLISERIL GUAIKOLAT/GUAIFENESIN BLUD 1220
HIDROKORTISON CREAM KULIT (BLUD) 0
HYOSCINE BUTYLBROMIDE (ANTI SPASMODIK 238
HYPAFIX (BLUD) 0
INFUSET (BLUD) 0
IV CATHETER (BLUD) 0
KAPTOPRIL TABLET 12,5 MG (BLUD) 0
KLORAMFENIKOL SIRUP (BLUD) 20
KLORAMFENIKOL TETES TELINGA (BLUD) 5
KOTRIMOKSAZOL TAB (BLUD) 776
LOPERAMIDE TABLET 2 MG (BLUD) 0
MASKER (DINKES) 0
MASKER N9 0
METFORMIN (BLUD) 3200
METILERGOMETRINE INJ (BLUD) 0
MULTIVITAMIN KOMB 0
NEW DIATABS (BLUD) 257
NIFEDIPINE TAB (BLUD) 592
NURSE CAP 0
46 GLUKOSA INFUS (BLUD) FLASK 0 0
48 HIDROKORTISON CREAM KULIT (BLUD) TUBE 0 0
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET 238 0 238
50 HYPAFIX (BLUD) PIECES 0 0
51 IBUPROFEN 4OO MG (TABLET) TABLET 0 0
52 ISDN (BLUD) TABLET 38 0 38
53 KAOLIN PEKTIN SIRUP (NOVADIAR) BOTOL 9 0 9
54 KAPTOPRIL TABLET 12,5 MG (BLUD) TABLET 0 0
55 KAPTOPRIL TABLET 25 MG (BLUD) TABLET 0 0
56 KASSA STERIL 16X16 (BLUD) KOTAK 0 0
57 KETOKONAZOLE TABLET 200MG (BLUD) TABLET 0 0
58 KLORAMFENIKOL SIRUP (BLUD) BOTOL 20 0 20
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL 5 0 5
60 KOTRIMOKSAZOL TAB (BLUD) TABLET 776 0 776
61 LOPERAMIDE TABLET 2 MG (BLUD) TABLET 0 0
62 LORATADINE (BLUD) TABLET 0 0
63 METFORMIN (BLUD) TABLET 0 0
64 METILERGOMETRINE INJ (BLUD) AMPUL 0 0
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET 115 0 115
66 METRONIDAZOL (BLUD) TABLET 19 0 19
67 MULTIVITAMIN KOMBINASI TABLET (BLUD) TABLET 0 0
68 MULTIVITAMIN KOMBINASI SIRUP (BLUD) BOTOL 0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0 0

OMEPRAZOLE 20MG 1639
ONDANSETRONE INJEKSI (BLUD) 0
PARACETAMOL TABLET 500 MG (BLUD) 0
PEHAVRAL 0
PIRIDOKSIN HCL (VIT B6) TABLET 10 MG (BLUD) 0
PIROXICAM 29
SALBUTAMOL TABLET 2 MG (BLUD) 0
SARUNG TANGAN OBGYN 0
SARUNG TANGAN OBGYN 0
SEFADROKSIL KAPSUL 500 MG (BLUD) 0
VGEL (BLUD) 0
VITAMIN C 50 MG (BLUD) 0
ZIVIT ZINC 0
ASETIL (DINKES) 0
DEXAMETHASONE (DINKES) 0
OBH (DINKES) 0
AMBROXOL 0
BATUK FLU SIRUP/ ETAFLUSIN (BLUD) 0
BATUK FLU TABLET/ETAFLUSIN (BLUD) 0
BETADINE GARGLE (BLUD) 0
BUFACOMB SALEP (BLUD) 0
BUFACORT - N (BLUD) 0
DARYANTULLE (BLUD) 0
70 NEW DIATABS (BLUD) TABLET 257 0 257
71 NIFEDIPINE TAB (BLUD) TABLET 592 0 592
72 OKSITETRASIKLIN SALEP KULIT (BLUD) TUBE 25 0 25
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 1639 0 1,639
74 ONDANSETRONE INJEKSI (BLUD) AMPUL 0 0
75 PARACETAMOL TABLET 500 MG (BLUD) TABLET 0 0
76 PIRACETAM KAPSUL (BLUD) TABLET 172 0 172
77 PIROXICAM (BLUD) TABLET 29 0 29
78 POVIDONE IODINE 60ML (BLUD) BOTOL 0 0
79 RANITIDIN TABLET (BLUD) TABLET 56 0 56
80 SALBUTAMOL TABLET 2 MG (BLUD) TABLET 0 0
81 SEFADROKSIL KAPSUL 500 MG (BLUD) KAPSUL 0 0
82 SETERIZIN TABLET (BLUD) TABLET 1560 0 1,560
83 SIMVASTATIN 10MG (BLUD) TABLET 0 0
84 TIAMFENIKOL KAPSUL (BLUD) KAPSUL 0 0
85 VGEL (BLUD) TUBE 0 0
86 VITAMIN B KOMPLEKS (BLUD) TABLET 0 0
87 VITAMIN B1/THIAMIN (BLUD) TABLET 647 0 647
88 VITAMIN B6/PIRIDOKSIN HCL10 MG (BLUD) TABLET 0 0
89 VITAMIN C/ASAM ASKORBAT 50 MG (BLUD) TABLET 0 0
90 ZINK SIRUP (PROGRAM) BOTOL 0 0
91 ZIVIT ZINC (PROGRAM) TABLET 0 0
92 0 0
ETIL KLORIDA SPRAY (BLUD) 0
GLIBENCLAMIDE TABLET 5 MG (BLUD) 0
GLIMEPIRIDE 2 MG TABLET (BLUD) 2962
KAOLIN PEKTIN SIRUP (NOVADIAR) 9
PIRACETAM KAPSUL (BLUD) 172
TIAMFENIKOL KAPSUL (BLUD) 0
VITAMIN ANAK SIRUP (SAMCOVIT) 0
ANTIHEMOROID/BORRAGINOL (BLUD) 0
ASAM TRANEKSAMAT (BLUD) 190
ASETILSISTEIN (BLUD) 0
ASETOSAL TABLET 100 (80) MG (BLUD) 120
ASIKLOVIR SALEP KULIT (BLUD) 0
BEDAK SALISIL (BLUD) 9
BETAHISTIN TABLET (BLUD) 0
CTM (BLUD) 0
GLIMEPIRID 1 MG (BLUD) 0
GLUKOSA INFUS (BLUD) 0
ISDN (BLUD) 38
METILPREDNISOLON TABLET 4 MG (BLUD) 115
METRONIDAZOL (BLUD) 19
OKSITETRASIKLIN SALEP KULIT (BLUD) 25
POVIDONE IODINE 60ML (BLUD) 0
RANITIDIN TABLET (BLUD) 56

93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Mengetahui / Menyetujui
Yang Menyerahkan,
Kepala Puskesmas Petugas Pengelola Obat
0 Pustu/Polindes/Ponkesdes
dr. ENDAH ROSITANINGSIH, SE., MM. ______________________

NIP. 19691230 201001 2 002 NIP.
SETERIZIN TABLET (BLUD) 1560
VITAMIN B KOMPLEKS (BLUD) 0
VITAMIN B1 (BLUD) 647
IBUPROFEN 4OO MG 0
KASSA 16X16 CUPLIK 3
AMLODIPINE 10 MG 0
ANTASIDA DOEN TABLET KOMBINASI 2871
HANSANITIZER 5 L 0
LORATADINE 0
NATRIUM DIKLOV 189
ZINK SIRUP 0
DIMENHIDRINATE 0
KETOKONAZOLE TABLET 200MG 0
SIMVASTATIN 10MG 0
DUK LUBANG 97
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
1 2 WAY FOLEY CATHETER NO.16 PCS 0
4 ACETYLCYSTEINE CAPSULE 200 MG CAPSULE 0
5 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 40
10 ALKOHOL SWAB PCS 0
11 ALLOPURINOL TABLET 100 MG TABLET 0
12 ALPRAZOLAM 1 MG TABLET TABLET 0
13 AMBROXOL SIRUP 5MG/ML BOTOL 0
14 AMBROXOL TABLET 30 MG TABLET 1,499

15 AMPUL 0
ML
16 AMITRIPTYLLINE HCL TABLET 25 MG TABLET 0
17 AMLODIPINE TABLET 10 MG TABLET 0

19 BOTOL 23
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
3 10 10
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 26
0 78
0 0
0 0
0 0
0 0
23 1,476
0 0
0 0
0 0
0 0
0 23
20 AMOKSISILIN SERBUK INJEKSI 1000 MG VIAL 0

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)
25 ANTASIDA DOEN TABLET KOMBINASI TABLET 0
26 ANTASIDA SUSPENSI 60 ML BOTOL 20

27 POT 31
5 GR
28 POT 11
30 GR
29 ANTI HAEMOROID DOEN KOMBINASI SUPP. 1

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 4,529 6 20 20 20 20 3 20 10 20
34 ASAM FOLAT 1MG TABLET TABLET 0
35 ASAM MEFENAMAT TABLET 500 MG TABLET 0

36 AMPUL 0
INJEKSI
37 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0

38 TABLET 0
DEPAKOTE ER
39 ASEPTAN 500CC + PUMP BOTOL 0
40 ASEPTIC GEL 500CC + DISPENSER BOTOL 0
41 ASERING (ASETAT RINGER) SOFT BAG BOTOL 0

9 10
6 3 20 10 30 10 10 20 20 30 20
0 0
10 10 10 69 690
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
6 10 10 10 354 4,175
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
42 ASETOSAL TABLET 100 (80) MG TABLET 80
43 ASIKLOVIR KREAM 5 % 5 GR TUBE 9
44 ASIKLOVIR TABLET 400 MG TABLET 114

45 AMPUL 0
ML
46 ATTAPULGIT + PECTIN TABLET TABLET 0
47 BETAHISTINMESILAT 6 MG TABLET TABLET 147
48 BETAMETHASONE CREAM 0,1 % 5 GR TUBE 39
49 BISAKODIL TABLET 5 MG TABLET 0
50 BISAKODIL SUPPOSITORIA 10 MG SUPP. 20

52 TABLET 80
(CONCOR)
53 BISOPROLOL 5 MG TABLET TABLET 0
54 CAT GUT NO. 3/0 CHROMIC PCS 4
55 CAT GUT NO. 3/0 PLAIN PCS 0
56 CITICHOLIN 250 MG/ML-2ML INJEKSI AMPUL 0
57 CLONIDINE 0.15 MG TABLET TABLET 0
58 COMBIVENT UDV INHALASI VIAL 12

59 AMPUL 0
ML
60 DEKSAMETHASONE TABLET 0,5 MG TABLET 0
61 DEVITALISASI PASTA ( NON ARSEN ) POT 0
62 DIAZEPAM INJEKSI 5 MG/ML 2 ML AMPUL 0

63 TUBE 1
2,5ML-STESOLID
0 80
0 9
0 114
0 0
0 0
0 147
1 1 38
0 0
0 20
0 0
0 80
0 0
0 4
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1
64 DIAZEPAM TABLET 2 MG TABLET 324

66 AMPUL 0
MG/ML 1 ML
67 DIGOXIN TABLET 0,25 MG TABLET 0
68 DIMENHYDRINATE TABLET 50 MG TABLET 0
69 DOKSISIKLIN TABLET 100 MG KAPSUL 0
70 DOMPERIDON SUSPENSI 5MG/ML BOTOL 0
71 DOMPERIDON TABLET 10 MG TABLET 1,000 10 10

72
SALEP 15 GR
TUBE 21 1
73 AMPUL 0
ML
74 ERITROMISIN KAPSUL 250 MG KAPSUL 0

75 BOTOL 0
MG/5ML
76 ERITROMISIN TABLET 500 MG KAPSUL 0

77 BOTOL 0
300 ML
78 ETANOL [ ALKOHOL ] 70 % 1000 ML BOTOL 0
79 ETIL KLORIDA SEMPROT 100 ML BOTOL 0
80 EUGENOL CAIRAN 10 ML BOTOL 0
81 FENITOIN NATRIUM TABLET 100 MG KAPSUL 100

82 AMPUL 0
ML
83 FENOBARBITAL TABLET 30 MG TABLET 0

84
5 ML
BOTOL 19 1 1
85 AMPUL 4
MG/ML 1 ML
6 20 10 20
0 324
0 317
0 0
0 0
0 0
0 0
0 0
76 924
1 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
2 17
0 4
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
89 FUROSEMID INJEKSI 10 mg VIAL 0
90 FUROSEMID TABLET 40 MG TABLET 396
91 GEMFIBROZIL 300 MG KAPSUL KAPSUL 500
92 GENTAMISIN SALEP KULIT 0,1 % 5 GR TUBE 54
93 GENTAMISIN SALEP MATA 0,3% TUBE 0
94 GENTAMISIN TETES MATA 0,3% BOTOL 0
95 GLASS IONOMER CEMENT ( GC IX ) BOTOL 0
96 GLIBENCLAMIDE TABLET 5 MG TABLET 0
97 GLICERIL GUAIACOLAT TABLET 100 MG TABLET 0
98 GLIMEPIRIDE 1 MG TABLET TABLET 0
99 GLIMEPIRIDE 2 MG TABLET TABLET 159 20

100 VIAL 0
101 GLUKOSA LARUTAN INFUS 10 % STERIL BOTOL 0
103 GRISEOFULVIN TABLET 125 MG TABLET 0
104 HALOPERIDOL 2 MG TABLET 0
105 HALOPERIDOL DEKANOAT INJ 50 MG VIAL 0

106 AMPUL 0
(LODOMER)
107 HALOPERIDOL TABLET 1,5 MG TABLET 383

20
0 50
0 0
0 0
0 0
0 396
0 500
1 1 53
1 1 -1
0 0
0 0
0 0
0 0
0 0
40 119
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 60 323
108 HALOPERIDOL TABLET 5 MG TABLET 205
109 HERBAKOF SYRUP 60ML BOTOL 40 1

110 BOTOL 0
111 HIDROCORTISON CR 1% TUBE 0
112 HIDROCORTISONE CREAM 2,5 % 5 GR TUBE 26
113 HYDROCHLORTHIAZIDE 25 MG TABLET 465

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT
120 IBUPROFEN FORTE SYRUP 200MG/5ML BOTOL 0

121 BOTOL 0
ML
122 IBUPROFEN TABLET 400 MG TABLET 490
123 INFUSION SET ANAK PCS 0
124 INFUSION SET DEWASA PCS 13

125 TABLET 0
MG
126 KAEN 3B BOTOL 0
127 KALIUM DIKLOFENAK 50 MG TABLET TABLET 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,714 20 20 20 20 3 20 10 20
1 1 2
10
10 10 20 10 30 10 20 20 30 10 10
0 205
5 35
0 0
0 0
0 26
0 465
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
10 480
0 0
0 13
0 0
0 0
0 0
0 0
10 10 333 3,381
130 KANTONG URINE DEWASA PCS 0
131 KAPAS PEMBALUT/ABSORBEN 250 GR BKS 0
132 KAPTOPRIL TABLET 25 MG TABLET 667 5
133 KARBAMAZEPIN TABLET 200 MG TABLET 430
134 KASA KOMPRES 40/40 STERIL BKS 0

135 ROL 0
STRIL
136 ROL 0
CM
137 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 4

139 PCS 0
DIRESAPI FRAMISETIN
140 KETOKONAZOLE TABLET 200 MG TABLET 333
141 KLINDAMISIN KAPSUL 150 MG TABLET 0
142 KLINDAMISIN KAPSUL 300 MG KAPSUL 0
143 KLOBAZAM 10 MG TABLET TABLET 64
144 KLORAMFENIKOL KAPSUL 500 MG KAPSUL 133
145 KLORAMFENIKOL SALEP KULIT 2 % TUBE 0
146 KLORAMFENIKOL SALEP MATA 1 % TUBE 0

147 BOTOL 0
ML
148 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 0

149
TABLET 4 MG
TABLET 3,693 10 2
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
6
10
0 0
0 0
11 656
0 430
0 0
0 0
0 0
0 4
0 10
0 0
0 333
0 0
0 0
0 64
0 133
0 0
0 0
0 0
0 0
22 3,671
0 0
0 0
152 KLORPROMAZIN HCL TABLET 100 MG TABLET 554
153 KLOZAPIN 100 MG TABLET TABLET 235
155 KODEIN HCL TABLET 10 MG TABLET 34
156 KOTRIMOKSAZOL DEWASA TABLET TABLET 0
157 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 0
158 LEVOFLOXACIN TABLET 500 MG TABLET 0
159 LIDOCAIN 2% INJ AMPUL 0
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 30
161 LISOL CONCENTRATE 1000 ML BOTOL 0
162 LOPERAMIDE TABLET 2 MG TABLET 84
163 LORATADIN TABLET 10 MG TABLET 0
164 LORAZEPAM 2 MG TABLET 80

165 AMPUL 0
25 ML
166 MASKER EARLOOP PLUS PCS 0
167 MASKER KERTAS 3 PLY EAR LOOP PCS 0
168 MASKER KERTAS 3 PLY TIE ON PCS 0
169 MASKER N95 PCS 0

170 AMPUL 0
MG/2ML
171 METFORMIN TABLET 500 MG TABLET 137 20

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 203
0,125 MG
30 20 60
0 554
30 30 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
130 7
0 23
0 203
174 METILPREDNISOLON TABLET 4 MG TABLET 30
175 METOKLOPRAMIDE 10 MG TABLET TABLET 0

177 AMPUL 0
5 MG/ML 2 ML
178 METOKLOPROMIDE SIRUP BOTOL 0

179 VIAL 0
(PROVAGIN) OVULA
180 METRONIDAZOL TABLET 250 MG TABLET 0

182 BOTOL 0
ML
183 MIKONAZOL KREAM 10 GR TUBE 12
184 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 0
186 NATRIUM KLORIDA INFUS 0,9 % STERIL BOTOL 3
187 NIFEDIPINE TABLET 10 MG TABLET 0
188 NISTATIN TABLET 500.000 UI TABLET 150
189 NISTATIN VAGINAL TABLET 100.000 UI VAGTAB 95

190 BOTOL 0
ML
191 OKSIGEN NASAL CANNULA ADULT PCS 0
192 OKSIGEN NASAL CANNULA INFANT PCS 0

193 TUBE 0
GR
194 TUBE 0
GR
195 OKSITOSIN INJEKSI 10 IU/ML 1 ML AMPUL 88

6 6 10 6
9 10 19 11
0 0
0 280
0 0
0 0
0 0
0 0
0 430
0 0
0 12
0 0
10 38 151
0 3
0 0
0 150
0 95
0 0
0 0
0 0
0 0
0 0
0 88
196 OMEPRAZOLE TABLET 20 MG KAPSUL 0
197 ONDANSENTRON 4 MG/2 ML INJEKSI AMPUL 0

198 BOTOL 24
ML
199 PARACETAMOL TABLET 500 MG TABLET 4,621 6 9 6 6

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 1,217 5
202 PERAK SULFADIAZIN KRIM 1 % TUBE 0
203 PERHYDROL [ H2O2 ] 3 % 800 ML BOTOL 0
204 PERMETHRINE 5% CR 15 GRAM TUBE 20
205 PIRACETAM TABLET 800 MG TABLET 0
206 PIRANTEL PAMOAT TABLET TABLET 0
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 1,234 10 10
208 PIROKSIKAM KAPSUL 10 MG KAPSUL 0
209 PLESTER 10 CM X 2 M ROL 0
210 PREDNISON TABLET 5 MG TABLET 127 10
211 PROPRANOLOL HCL TABLET 40 MG TABLET 245
212 RANITIDIN INJEKSI 25 MG/ ML AMPUL 0
213 RISPERIDON 2 MG TABLET TABLET 485

214 BOTOL 15
STERIL
215 SALBUTAMOL TABLET 2 MG TABLET 0
216 SALBUTAMOL TABLET 4 MG TABLET 1,229
217 SALEP 2-4 KOMBINASI 30 GR POT 12

3 10 10 10 10
10 4 5 10 5
10 10 10
56
2
0 0
0 0
0 24
9 10 10 9 9 9 10 136 4,485
0 0
10 4 53 1,164
0 0
0 0
0 20
0 0
0 0
50 1,184
0 0
0 0
66 61
0 245
0 0
0 485
0 15
0 0
2 1,227
0 12
218 SALICYL BEDAK 2 % KOTAK 0
219 SARUNG TANGAM NON STERIL L PCS 0
220 SARUNG TANGAN NON STERIL M PCS 0
221 SARUNG TANGAN NON STERIL S PCS 0
222 SARUNG TANGAN STERIL NO 6 PSG 0
223 SARUNG TANGAN STERIL NO. 7,5 PSG 5
224 SARUNG TANGAN STERILE NO.6,5 PSG 0
225 SARUNG TANGAN STERILE NO.7 PSG 0
226 SEFADROKSIL KAPSUL 500 MG KAPSUL 0

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)
229 SETIRIZINE TABLET 10 MG TABLET 0

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG
232 SILK (BENANG BEDAH SUTERA) NO.3/0 PCS 25
233 SIMVASTATIN TABLET 10 MG TABLET 655
234 SIPROFLOXACIN INFUS 2% BOTOL 0
235 SIPROFLOXACIN TABLET 500 MG TABLET 0
236 SPONS GELATIN CUBICLES 1x1x1 CM PCS 0

237 BOTOL 0
15 % 5 ML
238 PCS 0
239 TETRAKAIN HCL TETES MATA 5 ML BOTOL 0

10 10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 0
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
20 635
0 0
0 0
0 0
0 0
0 0
0 0
240 TETRASIKLIN HCL TABLET 500 MG KAPSUL 33
241 TABLET 990
TABLET 50 MG
242 PCS 0
INJECTION
243 TRIFLOUPERASIN TABLET 5 MG TABLET 5

244 TABLET 190
TABLET 2 MG
245 VITAMIN B COMPLEX TABLET TABLET 2,227

246 BOTOL 0
ML
247 YODIUM POVIDON LARUTAN 10% 60 ML BOTOL 0

248 TABLET 481
PSEUDOEPHEDRINE)
249 ZINK 20 MG TABLET TABLET 395
250 ALPARA TABLET TABLET 1,451
251 ALPARA SYRUP BOTOL 60
252 CURLYSINE SIRUP BOTOL 26
253 BUFACOMB CREAM TUBE 7
254 SARUNG TANGAN STERIL S PCS 0
255 SARUNG TANGAN STERIL M PCS 0
256 SARUNG TANGAN STERIL L PCS 0
257 SUPRAFENID SUPP BOTOL 0
258 FASFIT D 1000 IU TABLET 0
259 POLIFIX PLESTER PCS 0
260 LEUKOPLAST PLESTER PCS 0
261 LISINOPRIL 5 MG TABLET 354 20

10
10 10
1
0 33
10 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 395
20 1,431
1 59
0 26
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 334
262 HERBA ASIMOR BOX 0
263 LYTACUR SYRUP 60 ML BOTOL 0

264 BOX 0
265 TRIPROLIDINE HCL 30 MG, BOX 0
PARACETAMOL 500 MG)
266 IMIBOND F (ZINC PHOSPHATE) BOX 0
267 NOVA COMPO C BOX 0
268 NOVA COMPO B PLUS BOX 0
269 PARAMONOCLOROFENOL BOX 0
270 TRICRESOLFORMALINA BOX 0
271 ATTAQUE GEL PCS 0
272 XIMEX (OPTIXITROL) BOTOL 0
273 RANITIDIN TABLET 150 MG TABLET 0

274 PYRIDOXIBE 100 MG, TABLET 0
275 ZINC SYRUP 20 MG/5MG BOTOL 0
1 KESWA-AMITRIPTYLINE 25 MG TABLET 115
2 KESWA-DIAZEPAM 5 MG TABLET 0
3 KESWA-DIAZEPAM INJEKSI 5 MG/2ML AMPUL 0
4 KESWA-SIKZONOAT 25 MG AMPUL 0
5 KESWA-HALOPERIDOL 5 MG TABLET 0
6 KESWA-HALDOL DECANOAT INJEKSI AMPUL 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
0 115
0 0
0 0
0 0
0 0
0 0
7 KESWA-CLOZAPIN 25 MG TABLET 0
8 KESWA-RISPERIDON 2 MG TABLET 0
9 KESWA-TRIFLUOPERAZINE 5 MG TABLET 0
10 KESWA TRIHEKSIPHENIDIL 2 MG TABLET 0
11 DBD-SD BIOLINE CHIKUNGUNYA IgM TEST 0

12 TEST 0
(IgG\/IgM dan NS1)
13 DBD-ABATE POWDER 1 KG KG 0
14 DBD-ABATE POWDER SACHET SACHET 0
15 DIARE-ORALIT SERBUK SACHET 0
16 DIARE-ZINC TABLET 20 MG TABLET 0

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
21 GIZI-MINERAL MIX SACHET 0
22 GIZI-TABLET TAMBAH DARAH TABLET 0 20 20 20 20 20 10 20
23 HEPATITIS-VIROCHECK HBsAG TEST 0

24 SYRINGE 0
INJEKSI (HBIg)
25 HEPATITIS-ANTI HBs HEPATITIS B TEST 0
26 HEPATITIS-STARTES HCV TEST 0
27 HIV-ABACAVIR TABLET 300 MG BOTOL 0
28 HIV-AQUAGEL LUBRICATING JELLY SACHET 0

20 10 30 10 20 20 30 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
0 0
0 0
10 10 310 -310
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0
33 HIV-DOLUTEGRAVIR CAPLET 50 MG BOTOL 0

34 LAMIFUDINE 300 MG; TENOFOVIR 300 BOTOL 0
MG (TLD)
35 HIV-EVAFIRENZ TABLET 600 MG BOTOL 0
36 HIV-FASTCLEAR Q HIV 1/2 TRI-LINE TEST 0
37 TEST 0
TEST
38 ANTIBODY COLLOIDAL GOLD V2 RAPID TEST 0
TEST
39 HIV-KONDOM SIMPLEX BOX@144 PIECES 0
40 HIV-KONDOM SUTRA ISI 12 PIECES 0
41 HIV-LAMIVUDINE TABLET 100 MG BOTOL 0
43 HIV-NEVIRAPINE 200 MG BOTOL 0

44 TEST 0
1/2 TEST
45 TEST 0
TEST
46 HIV-TENOFOVIR TABLET 300 MG BOTOL 0

47 BOTOL 0
48 HIV-TREPOCHECK SYPHILLIS TEST TEST 0
49 HIV-VIROCHECK HIV 1/2 TEST TEST 0

50 BOTOL 0
LAMIVUDINE 150 MG
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
51 HIV-ZIDOVUDINE TABLET 150 MG BOTOL 0
52 HIV-FOKUS RPR ANTIGEN TEST TEST 0
53 IMUN-VAKSIN POLIO (BOPV) VIAL 0
54 IMUN-VAKSIN PENTABIO (DPT-HB-Hib) VIAL 0
55 IMUN-VAKSIN PCV (PREVENAR) VIAL 0
56 IMUN-VAKSIN ROTAVIRUS (ROTAVAC) VIAL 0
57 IMUN-VAKSIN BCG VIAL 0
58 IMUN-VAKSIN HEPATITIS B VIAL 0
59 IMUN-VAKSIN IPV CAIRAN INJEKSI VIAL 0

60 IMUN-VAKSIN JERAP DT VIAL 0
61 IMUN-VAKSIN JERAP Td VIAL 0
62 IMUN-VAKSIN MEASLES RUBELLA VIAL 0

63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER
69 IMUN-ALCOHOL SWAB PIECES 0
70 KIA-AMPICILLIN SERBUK INJEKSI 1 G VIAL 0
71 KIA-CA GLUCONAS INJEKSI 10 ML AMPUL 0

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%
75 KIA-METRONIDAZOLE INFUS 5 MG/ML BOTOL 0

76 AMPUL 0
MG/ML
77 KIA-DIAZEPAM INJEKSI 5 MG/2ML AMPUL 0

78 AMPUL 0
MG/ML
79 KIA-OXYTETRACYCLINE SALEP MATA TUBE 0
80 KUSTA-MDT MB ADULT (RED) BLISTER 0
81 KUSTA-MDA PB ADULT (GREEN) BLISTER 0
82 KUSTA-MDT MB CHILD (ORANGE) BLISTER 0
83 KUSTA-TREPOCHECK SIPHILIS TEST 0
84 MALARIA-DHP FRIMAL TABLET 0
85 MALARIA-PRIMAQUIN TABLET 15 MG TABLET 0
86 TBC-ISONIAZID TABLET 100 MG TABLET 0
88 TBC-ETHAMBUTOL TABLET 100 MG TABLET 0

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50
93 TBC-LEVOFLOXACIN 100 MG TABLET 0
94 TBC-PIRAZINAMIDE 500 MG TABLET 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
95 TBC-RIFAMPICIN 600 MG TABLET 0
96 TBC-RIFTIN RIFAPENTIN 150 MG TABLET 0

97 PAKET 0
300/300
98 TBC-3HR ISONIAZID RIFAMPISIN 50/75 PAKET 0
99 TBC-PIRIDOKSIN VITAMIN B6 25 MG TABLET 0
100 TBC-TUBERCULIN PPD RT 23 SSI VIAL 0
101 TBC-REAGEN ZIEHL NEELSEN PAKET 0
102 TBC-POT SPUTUM POT 0
103 TBC-KACA SLIDE PIECES 0
104 TBC-MASKER BEDAH PROGRAM TB PIECES 0
105 TBC-MASKER N95 WEGEN PIECES 0
106 TBC-MASKER N95 AERO PIECES 0
107 TBC-MASKER N95 DREAMCAN PIECES 0
108 TBC-GENEXPERT MTB RIF 50 CATRIDGE PIECES 0
109 TBC-PROTEN GOLD SUMBER PROTEIN SACHET 0
110 SURVEILEN-ANTI DIFTERI SERUM VIAL 0
111 SURVEILEN-VAKSIN MENINGITIS VIAL 0
112 PTM-STIK GULA DARAH PIECES 0
113 PTM-STIK CHOLESTEROL PIECES 0
114 PTM-STIK ASAM URAT PIECES 0
115 PTM-VAGINAL SPECULUM UKURAN S PIECES 0
116 PTM-VAGINAL SPECULUM UKURAN M PIECES 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
117 PTM-VAGINAL SPECULUM UKURAN L PIECES 0
118 TEST 0
RAPID TEST
119 PTM-ALCOHOL SWAB PIECES 0
120 PTM-BLOOD LANCET PIECES 0
121 PTM-PROLINE TRIGLISERIDE REAGEN BOTOL 0
122 PTM-PROLINE CHOLESTEROL REAGEN BOTOL 0
123 PTM-SARUNG TANGAN STERIL 6.5 PASANG 0
124 PTM-SARUNG TANGAN STERIL 7 PASANG 0

126 TEST 0
DRUG 7 IN 1
127 PTM-ACON URINALYSIS STRIP BOTOL 0
128 PTM-KERTAS EKG 110 X 30 mm ROLL 0
131 PTM-MOUTH PIECES PIECES 0
132 PTM-D-PIECES PIECES 0
133 PTM-SPUIT 5 ML SYRINGE 0
134 PTM-STOOL CONTAINER POT 0
135 PTM-COTTON SWAB PIECES 0

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN
138 KESGA-ALCOHOL SWAB PIECES 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
139 KESGA-LANCET PIECES 0
1 ALLOPURINOL (BLUD) TABLET 53 10
2 AMBROXOL TABLET 30 MG (BLUD) TABLET 0
3 AMLODIPINE 5MG (BLUD) TABLET 366 6
4 AMLODIPINE 10 MG (BLUD) TABLET 0 10 10 20 30
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 2,871 10 10 10 10
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET 0
7 AQUA PRO INJEKSI (BLUD) PIECES 0
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 2,632 15
9 ASAM TRANEKSAMAT (BLUD) TABLET 190
10 ASETILSISTEIN (BLUD) KAPSUL 0
11 ASETOSAL TABLET 100 (80) MG (BLUD) TABLET 120
12 ASIKLOVIR SALEP KULIT (BLUD) TUBE 0
13 ASIKLOVIR TABLET (BLUD) TABLET 0
14 BATUK FLU SIRUP/ ETAFLUSIN (BLUD) SIRUP 0
15 BATUK FLU TABLET/ETAFLUSIN (BLUD) TABLET 0
16 BEDAK SALISIL (BLUD) SACHET 9
17 BETADINE GARGLE (BLUD) BOTOL 0
18 BETAHISTIN TABLET (BLUD) TABLET 0
19 BETAMETHASONE SALEP KULIT (BLUD) TUBE 0
20 BIOPLACENTON (BLUD) TUBE 0

OBAT TAMBAHAN
10
10 10 6
10 10
10 10
8 10 10 10 10
0 0
20 33
0 0
26 340
30 50 -50
10 70 2,801
0 0
0 0
10 7 80 2,552
0 190
0 0
0 120
0 0
0 0
0 0
0 0
0 9
0 0
0 0
0 0
0 0
21 BISAKODIL TABLET 5 MG (BLUD) TABLET 0
22 BUFACOMB SALEP (BLUD) TUBE 0
23 BUFACORT - N (BLUD) TUBE 0
24 CIPROFLOXACIN (BLUD) TABLET 0
25 CLINDAMISIN KAPS (BLUD) KAPSUL 684
26 CTM (BLUD) TABLET 0
27 DARYANTULLE (BLUD) PIECES 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 1,138 6 9 10
29 DIMENHIDRINATE (BLUD) TABLET 0
30 DOMPERIDONE TABLET 10 MG ( (BLUD)) TABLET 416
31 DUK LUBANG PIECES 0
32 EPINEFRIN INJEKSI (BLUD) AMPUL 0
33 ETIL KLORIDA SPRAY (BLUD) BOTOL 0
35 FITOMENADION INJ (BLUD) AMPUL 0
36 FITOMENADION TABLET (BLUD) TABLET 0
37 FUROSEMIDE TABLET (BLUD) TABLET 0
38 GEMFIBROZIL (BLUD) KAPSUL 7
39 GENTAMICIN TETES MATA (BLUD) FLASK 7
40 GENTAMISIN SALEP KULIT /GENOINT (BLUD TUBE 0
41 GENTIAN VIOLET LARUTAN 1 % (BLUD) BOTOL 0
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET 0
43 GLIMEPIRID 1 MG (BLUD) TABLET 0

10 10
10 9
1
0 0
0 0
0 0
10 10 -10
20 664
0 0
0 0
9 10 9 6 6 84 1,054
0 0
0 416
0 0
0 0
0 0
0 0
0 0
0 0
0 7
1 6
0 0
0 0
0 0
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 2,962
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 1,220
46 GLUKOSA INFUS (BLUD) FLASK 0
48 HIDROKORTISON CREAM KULIT (BLUD) TUBE 0
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET 238
50 HYPAFIX (BLUD) PIECES 0
51 IBUPROFEN 4OO MG (TABLET) TABLET 0
52 ISDN (BLUD) TABLET 38
53 KAOLIN PEKTIN SIRUP (NOVADIAR) BOTOL 9
54 KAPTOPRIL TABLET 12,5 MG (BLUD) TABLET 0
55 KAPTOPRIL TABLET 25 MG (BLUD) TABLET 0
56 KASSA STERIL 16X16 (BLUD) KOTAK 0
57 KETOKONAZOLE TABLET 200MG (BLUD) TABLET 0
58 KLORAMFENIKOL SIRUP (BLUD) BOTOL 20
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL 5 1
60 KOTRIMOKSAZOL TAB (BLUD) TABLET 776 6
61 LOPERAMIDE TABLET 2 MG (BLUD) TABLET 0
62 LORATADINE (BLUD) TABLET 0
64 METILERGOMETRINE INJ (BLUD) AMPUL 0
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET 115
66 METRONIDAZOL (BLUD) TABLET 19

10 3 10 10 9 2 20 10
6
0 2,962
10 9 93 1,127
0 0
0 0
9 229
0 0
0 0
0 38
0 9
0 0
0 0
0 0
0 0
0 20
1 4
12 764
0 0
0 0
60 -60
0 0
0 115
0 19
67 MULTIVITAMIN KOMBINASI TABLET (BLUD) TABLET 0
68 MULTIVITAMIN KOMBINASI SIRUP (BLUD) BOTOL 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0
70 NEW DIATABS (BLUD) TABLET 257 10
71 NIFEDIPINE TAB (BLUD) TABLET 592
72 OKSITETRASIKLIN SALEP KULIT (BLUD) TUBE 25
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 1,639
74 ONDANSETRONE INJEKSI (BLUD) AMPUL 0
75 PARACETAMOL TABLET 500 MG (BLUD) TABLET 0
76 PIRACETAM KAPSUL (BLUD) TABLET 172
77 PIROXICAM (BLUD) TABLET 29
78 POVIDONE IODINE 60ML (BLUD) BOTOL 0
79 RANITIDIN TABLET (BLUD) TABLET 56
80 SALBUTAMOL TABLET 2 MG (BLUD) TABLET 0
81 SEFADROKSIL KAPSUL 500 MG (BLUD) KAPSUL 0
82 SETERIZIN TABLET (BLUD) TABLET 1,560
83 SIMVASTATIN 10MG (BLUD) TABLET 0
84 TIAMFENIKOL KAPSUL (BLUD) KAPSUL 0
85 VGEL (BLUD) TUBE 0
86 VITAMIN B KOMPLEKS (BLUD) TABLET 0
87 VITAMIN B1/THIAMIN (BLUD) TABLET 647
88 VITAMIN B6/PIRIDOKSIN HCL10 MG (BLUD) TABLET 0

6
9 9
6 6
0 0
0 0
6 -6
10 247
0 592
0 25
4 1,635
0 0
0 0
0 172
0 29
0 0
18 38
0 0
0 0
6 10 6 6 40 1,520
0 0
0 0
0 0
0 0
0 647
0 0
89 VITAMIN C/ASAM ASKORBAT 50 MG (BLUD) TABLET 0
90 ZINK SIRUP (PROGRAM) BOTOL 0
91 ZIVIT ZINC (PROGRAM) TABLET 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 Err:509
98 0 Err:509
99 0 Err:509
100 0 Err:509
Blitar ,
Kepala Puskesmas
0
dr. ENDAH ROSITANINGSIH, SE., MM.

NIP. 19691230 201001 2 002
Yang Menerima,
Petugas Pengelola Obat
Puskesmas
AINA MUJTAHIDA A S.Farm., Apt

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 Err:509
0 Err:509
0 Err:509
0 Err:509
Yang Menerima, Yang Menyerahkan,

Petugas Pengelola Obat Petugas Pengelola Obat
Puskesmas Pustu/Polindes/Ponkesdes
AINA MUJTAHIDA A S.Farm., Apt ______________________

NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
5 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 40 3

15 AMPUL 0
ML

19 BOTOL 23
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
3 37
0 0
0 3
3 23
0 78
0 0
0 0
0 0
0 0
0 1,476
0 0
0 0
0 0
0 0
0 23
21 AMOKSISILIN TABLET 500 MG KAPLET 690 10 6 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 4,175 10 9 10 3 3 20

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10
20 10 10 10 10 6 10
0 0
56 634
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
131 4,044
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)
54 CAT GUT NO. 3/0 CHROMIC PCS 4 1

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
1
12
10
0 80
1 8
12 102
0 0
0 0
10 137
0 38
0 0
0 20
0 0
0 80
0 0
1 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML
71 DOMPERIDON TABLET 10 MG TABLET 924 10

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85
MG/ML 1 ML
AMPUL 4 1
10 10
0 324
0 317
0 0
0 0
0 0
0 0
0 0
30 894
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
1 3
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
93 GENTAMISIN SALEP MATA 0,3% TUBE -1

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
0 396
0 500
0 53
0 -1
0 0
0 0
0 0
0 0
0 0
0 119
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323
109 HERBAKOF SYRUP 60ML BOTOL 35

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,381 20 10
1
10 10
10 20 10 10 10 10 10 20 20
0 205
1 34
0 0
0 0
0 26
0 465
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
40 440
0 0
0 13
0 0
0 0
0 0
0 0
150 3,231
132 KAPTOPRIL TABLET 25 MG TABLET 656

135 ROL 0
STRIL
136 ROL 0
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,671 6 2 3 5
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
10
0 0
0 0
0 656
0 430
0 0
0 0
0 0
0 4
0 10
0 0
10 323
0 0
0 0
0 64
0 133
0 0
0 0
0 0
0 0
26 3,645
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
171 METFORMIN TABLET 500 MG TABLET 7

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 203
0,125 MG
10
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 23
10 193

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML
185 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 151 10 10 10 10

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR
195 OKSITOSIN INJEKSI 10 IU/ML 1 ML AMPUL 88 1

10
10 10 10 10 6
0 11
0 0
0 280
0 0
0 0
0 0
0 0
10 420
0 0
0 12
0 0
86 65
0 3
0 0
0 150
0 95
0 0
0 0
0 0
0 0
0 0
1 87

198
ML
BOTOL 24 1
199 PARACETAMOL TABLET 500 MG TABLET 4,485 10 10 9 9 10 9

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 1,164 10 4 10 10
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 1,184 6

214 BOTOL 15
STERIL

3 10 9 10 10 10
10 10 10 10 4 6 5
10 10
0 0
0 0
1 23
109 4,376
0 0
89 1,075
0 0
0 0
0 20
0 0
0 0
26 1,158
0 0
0 0
3 58
0 245
0 0
0 485
0 15
0 0
0 1,227
0 12
225 SARUNG TANGAN STERILE NO.7 PSG 0 4

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10 10 10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
4 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
30 605
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
249 ZINK 20 MG TABLET TABLET 395 10
261 LISINOPRIL 5 MG TABLET 334

10 10 10
20
0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
10 385
30 1,401
0 59
2 24
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 314

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET 17 10 20

24 SYRINGE 0
INJEKSI (HBIg)

20 10 10 10
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
80 -63
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
1 ALLOPURINOL (BLUD) TABLET 2
3 AMLODIPINE 5MG (BLUD) TABLET 4
4 AMLODIPINE 10 MG (BLUD) TABLET 7 10 10
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 7 10 10
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 8 10 10 8 10
16 BEDAK SALISIL (BLUD) SACHET 0 1

OBAT TAMBAHAN
10
10 20 10 10 10
10 10 10
0 0
0 2
0 0
0 4
10 20 60 -53
80 -73
0 0
0 0
68 -60
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
0 0
0 0
0 0
0 0
24 CIPROFLOXACIN (BLUD) TABLET 1 10 10
25 CLINDAMISIN KAPS (BLUD) KAPSUL 2 10
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 10 9

10
10 9
30
0 0
0 0
0 0
30 -29
10 -8
0 0
0 0
28 -18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
30 -30
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 10
60 KOTRIMOKSAZOL TAB (BLUD) TABLET 2
63 METFORMIN (BLUD) TABLET 1
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET 0 6

20 20 10 20
10 3 10 10
10
20 30 20 30
3 10
70 -70
33 -23
0 0
0 0
10 -9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7 -6
0 2
0 0
0 0
100 -99
0 0
19 -19
0 0
70 NEW DIATABS (BLUD) TABLET 1
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 1 10 10
82 SETERIZIN TABLET (BLUD) TABLET 6 6

20
9 10
6
0 0
0 0
20 -19
0 1
0 0
0 0
20 -19
0 0
0 0
0 0
0 0
0 0
37 -35
0 0
0 0
12 -6
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
14 AMBROXOL TABLET 30 MG TABLET 1,476 4

15 AMPUL 0
ML

19
60 ML
BOTOL 23 1
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 37
0 0
0 3
0 23
0 78
0 0
0 0
0 0
0 0
4 1,472
0 0
0 0
0 0
0 0
1 22
21 AMOKSISILIN TABLET 500 MG KAPLET 634 3

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 4,044 3 10 6

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

30 5
3
0 0
38 596
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
22 4,022
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML
48 BETAMETHASONE CREAM 0,1 % 5 GR TUBE 38 1

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 80
0 8
0 102
0 0
0 0
0 137
1 37
0 0
0 20
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML
71 DOMPERIDON TABLET 10 MG TABLET 894 10 6 10

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 3
MG/ML 1 ML
10 10 10
0 324
0 317
0 0
0 0
0 0
0 0
0 0
56 838
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
0 3
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
90 FUROSEMID TABLET 40 MG TABLET 396 10
99 GLIMEPIRIDE 2 MG TABLET TABLET 119 10 20 20 20 20

100 VIAL 0

106 AMPUL 0
(LODOMER)

10 10 10
0 50
0 0
0 0
0 0
40 356
0 500
0 53
0 -1
0 0
0 0
0 0
0 0
0 0
90 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,231 10 10
1
10
0 205
1 33
0 0
0 0
0 26
0 465
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
0 440
0 0
0 13
0 0
0 0
0 0
0 0
30 3,201

135 ROL 0
STRIL
136 ROL 0
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,645 6 4
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
0 0
0 0
10 646
0 430
0 0
0 0
0 0
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 133
0 0
0 0
0 0
0 0
10 3,635
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 193
0,125 MG
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 23
0 193

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

10
0 11
0 0
0 280
0 0
0 0
0 0
0 0
0 420
0 0
0 12
0 0
26 39
0 3
0 0
0 150
0 95
0 0
0 0
0 0
0 0
0 0
0 87

198
ML
BOTOL 23 1
199 PARACETAMOL TABLET 500 MG TABLET 4,376 10 10 10 4 3 10 10 9 10 10 10

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 1,075 10 5 9
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 1,158 6 10 10
210 PREDNISON TABLET 5 MG TABLET 58

214 BOTOL 15
STERIL

3 10 10 10 10 3 10 5
5 10 10
10 10
10
0 0
0 0
1 22
157 4,219
0 0
49 1,026
0 0
0 0
0 20
0 0
0 0
46 1,112
0 0
0 0
0 58
0 245
0 0
0 485
0 15
0 0
10 1,217
0 12
225 SARUNG TANGAN STERILE NO.7 PSG -4

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
40 565
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
251 ALPARA SYRUP BOTOL 59 1

10
10
0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 385
10 1,391
1 58
0 24
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 304

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -63

24 SYRINGE 0
INJEKSI (HBIg)

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 -63
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
4 AMLODIPINE 10 MG (BLUD) TABLET -53 10 20 30 20 10
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -73 10 10 9
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -60 8 10 10
16 BEDAK SALISIL (BLUD) SACHET -1

OBAT TAMBAHAN
10 10
20 10 10
10
10 10 8 8
20
0 0
0 2
0 0
20 -16
130 -183
39 -112
0 0
0 0
64 -124
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
24 CIPROFLOXACIN (BLUD) TABLET -29
25 CLINDAMISIN KAPS (BLUD) KAPSUL -8
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -18 10
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET -30

10
10 10
0 0
0 0
0 0
0 -29
10 -18
0 0
0 0
30 -48
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 -30
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -70
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -23 10
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET -9
58 KLORAMFENIKOL SIRUP (BLUD) BOTOL 0 1
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL -6
63 METFORMIN (BLUD) TABLET -99 10 20 30 20 20
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET -19 9 6

3 10
0 -70
23 -46
0 0
0 0
0 -9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
0 -6
0 2
0 0
0 0
100 -199
0 0
15 -34
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -19
73 OMEPRAZOLE 20MG (BLUD) KAPSUL -19 10
79 RANITIDIN TABLET (BLUD) TABLET -35 10
82 SETERIZIN TABLET (BLUD) TABLET -6 6 6 10

10 10
3
0 0
0 0
0 -19
0 1
0 0
0 0
30 -49
0 0
0 0
0 0
0 0
0 0
10 -45
0 0
0 0
25 -31
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 22
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
1
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 37
0 0
0 3
0 23
0 78
0 0
0 0
0 0
0 0
20 1,452
0 0
0 0
0 0
0 0
1 21

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 4,022 20 10 6 10 2

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

30 15
6 6 3 6
0 0
65 531
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
69 3,953
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML
50 BISAKODIL SUPPOSITORIA 10 MG SUPP. 20 3

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
12
0 80
0 8
0 102
0 0
0 0
12 125
0 37
0 0
3 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML
71 DOMPERIDON TABLET 10 MG TABLET 838 10 10

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 3
MG/ML 1 ML
0 324
0 317
0 0
0 0
0 0
0 0
0 0
20 818
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
0 3
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
10 346
0 500
0 53
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,201 10 20
2
20 10
0 205
2 31
0 0
0 0
0 26
0 465
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
0 440
0 0
0 13
0 0
0 0
0 0
0 0
60 3,141

135 ROL 0
STRIL
136 ROL 0
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,635 6
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
6
10 3
0 0
0 0
16 630
0 430
0 0
0 0
0 0
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 133
0 0
0 0
0 0
0 0
19 3,616
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 193
0,125 MG
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 23
0 193

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML
183 MIKONAZOL KREAM 10 GR TUBE 12 1

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

10
5
0 11
0 0
0 280
0 0
0 0
0 0
0 0
10 410
0 0
1 11
0 0
26 13
0 3
0 0
0 150
5 90
0 0
0 0
0 0
0 0
0 0
0 87

198 BOTOL 22
ML

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 1,026 4 5 10 6 10 10

214 BOTOL 15
STERIL

1
10 9 9 10
5 6
3 30 10
0 0
0 0
1 21
89 4,130
0 0
56 970
0 0
0 0
0 20
0 0
0 0
30 1,082
0 0
0 0
0 58
0 245
0 0
0 485
0 15
0 0
43 1,174
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
10 555
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
250 ALPARA TABLET TABLET 1,391 10

10
0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 385
20 1,371
0 58
0 24
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 304

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -63 20

24 SYRINGE 0
INJEKSI (HBIg)

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
20 -83
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
3 AMLODIPINE 5MG (BLUD) TABLET -16 20
4 AMLODIPINE 10 MG (BLUD) TABLET -183 10 10
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -112 10 10 9
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET 0 3
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -124 10 10
10 ASETILSISTEIN (BLUD) KAPSUL -20

OBAT TAMBAHAN
10
10
10
0 0
0 2
0 0
20 -36
26 -209
39 -151
3 -3
0 0
30 -154
0 0
10 -30
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -48 10 9

6 10f
1
0 0
0 0
0 0
0 -29
0 -18
0 0
0 0
25 -73
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 -30
0 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -46 10 10 10 10 2 9
58 KLORAMFENIKOL SIRUP (BLUD) BOTOL -1
63 METFORMIN (BLUD) TABLET -199 30
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET -34

9 10 10
0 -70
80 -126
0 0
0 0
0 -9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -1
0 -6
60 -58
0 0
0 0
30 -229
0 0
0 -34
0 0
73 OMEPRAZOLE 20MG (BLUD) KAPSUL -49 10 10
79 RANITIDIN TABLET (BLUD) TABLET -45 10 10

6 6 10
0 0
0 0
0 -19
10 -9
0 0
0 0
20 -69
0 0
0 0
0 0
0 0
0 0
20 -65
0 0
0 0
52 -83
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
14 AMBROXOL TABLET 30 MG TABLET 1,452 20 10

15 AMPUL 0
ML

19
60 ML
BOTOL 21 1 1
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 37
0 0
0 3
0 23
0 78
0 0
0 0
0 0
0 0
30 1,422
0 0
0 0
0 0
0 0
2 19

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,953 20 10 6

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10
10 6
0 0
50 481
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
52 3,901
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
42 ASETOSAL TABLET 100 (80) MG TABLET 80 15

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
6
1
15 65
0 8
0 102
0 0
0 0
6 119
2 35
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML
71 DOMPERIDON TABLET 10 MG TABLET 818

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 3
MG/ML 1 ML
0 324
0 317
0 0
0 0
0 0
0 0
0 0
0 818
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
0 3
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
92 GENTAMISIN SALEP KULIT 0,1 % 5 GR TUBE 53 1

100 VIAL 0

106 AMPUL 0
(LODOMER)

10
0 50
0 0
0 0
0 0
10 336
0 500
1 52
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0
113 HYDROCHLORTHIAZIDE 25 MG TABLET 465 15

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,141 20
0 205
0 31
0 0
0 0
0 26
15 450
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
0 440
0 0
0 13
0 0
0 0
0 0
0 0
20 3,121

135 ROL 0
STRIL
136 ROL 0
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,616 6
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
0 0
0 0
0 630
0 430
0 0
0 0
0 0
0 4
0 10
0 0
0 323
0 0
0 0
0 64
10 123
0 0
0 0
0 0
0 0
6 3,610
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 193
0,125 MG
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 23
0 193

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA
181 METRONIDAZOL TABLET 500 MG TABLET 410 10

182 BOTOL 0
ML
189 NISTATIN VAGINAL TABLET 100.000 UI VAGTAB 90 10

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 11
0 0
0 280
0 0
0 0
0 0
0 0
10 400
0 0
2 9
0 0
0 13
0 3
0 0
0 150
10 80
0 0
0 0
0 0
0 0
0 0
0 87

198
ML
BOTOL 21 1 1 1

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 970 10 10 4

214 BOTOL 15
STERIL

6 8 10 9 9 10 10
10 5
10 10 6 10
0 0
0 0
3 18
131 3,999
0 0
39 931
0 0
0 0
0 20
0 0
0 0
46 1,036
0 0
0 0
0 58
0 245
0 0
0 485
0 15
0 0
0 1,174
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10 10 10 10 20
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
80 475
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
252 CURLYSINE SIRUP BOTOL 24 1

1
0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 385
0 1,371
0 58
2 22
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 304

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

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
20 -103
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
3 AMLODIPINE 5MG (BLUD) TABLET -36 20 10
4 AMLODIPINE 10 MG (BLUD) TABLET -209 10 10 10 15
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -151
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET -3

OBAT TAMBAHAN
20
20 10 10
10 9 10
10 8 10
0 0
10 -8
0 0
50 -86
85 -294
29 -180
0 -3
0 0
54 -208
0 0
0 -30
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
24 CIPROFLOXACIN (BLUD) TABLET -29 10F

6 8
0 0
0 0
0 0
0 -29
0 -18
0 0
0 0
34 -107
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
0 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -126 10 10 10 10
60 KOTRIMOKSAZOL TAB (BLUD) TABLET -58

20 20 20
10 6 8 10
20 20
60 -130
74 -200
0 0
0 0
0 -9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -1
0 -6
0 -58
0 0
0 0
60 -289
0 0
0 -34
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -19 10
70 NEW DIATABS (BLUD) TABLET -9
73 OMEPRAZOLE 20MG (BLUD) KAPSUL -69
79 RANITIDIN TABLET (BLUD) TABLET -65
82 SETERIZIN TABLET (BLUD) TABLET -83 10 10

10 10 8
10
10 8 6
0 0
0 0
38 -57
0 -9
0 0
0 0
0 -69
0 0
0 0
0 0
0 0
0 0
10 -75
0 0
0 0
44 -127
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML
16 AMITRIPTYLLINE HCM TABLET 25 MG TABLET 0

19 BOTOL 19
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 37
0 0
0 3
0 23
0 78
0 0
0 0
0 0
0 0
0 1,422
0 0
0 0
0 0
0 0
0 19
21 AMOKSISILIN TABLET 500 MG KAPLET 481

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 3,901
MG

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

0 0
0 481
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
0 3,901
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)
57 CMONIDINE 0.15 MG TABLET TABLET 0

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 8
0 102
0 0
0 0
0 119
0 35
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

DIFENHIDRAMINE HCM INJEKSI 10
66 AMPUL 0
MG/ML 1 ML

72 TUBE 20
SALEP 15 GR
EPINEFRIN (ADRENALIN) HCM INJ.0,1 % 1
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 3
MG/ML 1 ML
0 324
0 317
0 0
0 0
0 0
0 0
0 0
0 818
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
0 3
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
96 GLIBENCMAMIDE TABLET 5 MG TABLET 0

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
0 336
0 500
0 52
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129 TABLET 3,121
MG
0 205
0 31
0 0
0 0
0 26
0 450
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
0 440
0 0
0 13
0 0
0 0
0 0
0 0
0 3,121

135 ROL 0
STRIL
136 ROL 0
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149 TABLET 3,610
TABLET 4 MG
KLORPROMAZIN HCM INJEKSI 25
150 AMPUL 0
MG/ML 1 ML
KLORPROMAZIN HCM INJEKSI 50
151 AMPUL 0
MG/ML 1 ML
0 0
0 0
0 630
0 430
0 0
0 0
0 0
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 123
0 0
0 0
0 0
0 0
0 3,610
0 0
0 0
152 KLORPROMAZIN HCM TABLET 100 MG TABLET 554
155 KODEIN HCM TABLET 10 MG TABLET 34

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 23
0,200 MG 1 ML
173 TABLET 193
0,125 MG
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 30
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 23
0 193

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

OKSITETRACYCMIN SALEP KULIT 3 % 5
193 TUBE 0
GR
OKSITETRACYCMIN SALEP MATA 1 %
194 TUBE 0
3,5 GR

0 11
0 0
0 280
0 0
0 0
0 0
0 0
0 400
0 0
0 9
0 0
0 13
0 3
0 0
0 150
0 80
0 0
0 0
0 0
0 0
0 0
0 87

198 BOTOL 18
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,999

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 931
207 PIRIDOKSIN HCM (VIT B6) TABLET 10 MG TABLET 1,036
211 PROPRANOLOL HCM TABLET 40 MG TABLET 245

214 BOTOL 15
STERIL

0 0
0 0
0 18
0 3,999
0 0
0 931
0 0
0 0
0 20
0 0
0 0
0 1,036
0 0
0 0
0 58
0 245
0 0
0 485
0 15
0 0
0 1,174
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG
236 SPONS GELATIN CUBICMES 1x1x1 CM PCS 0

237 BOTOL 0
15 % 5 ML
238 PCS 0
239 TETRAKAIN HCM TETES MATA 5 ML BOTOL 0

0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
0 475
0 0
0 0
0 0
0 0
0 0
0 0
240 TETRASIKLIN HCM TABLET 500 MG KAPSUL 33
THIAMIN HCM MONONITRAT (VIT B1)
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)

0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 385
0 1,371
0 58
0 22
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 304

264 BOX 0
NOZA (TRIPROLIDIN HCM 2,5 MG,
265 TRIPROLIDINE HCM 30 MG, BOX 0
PARACETAMOL 500 MG)
269 PARAMONOCMOROFENOL BOX 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
7 KESWA-CMOZAPIN 25 MG TABLET 0

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

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 -103
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
36 HIV-FASTCMEAR Q HIV 1/2 TRI-LINE TEST 0
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML
79 KIA-OXYTETRACYCMINE SALEP MATA TUBE 0

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
1 ALLOPURINOL (BLUD) TABLET -8
3 AMLODIPINE 5MG (BLUD) TABLET -86
4 AMLODIPINE 10 MG (BLUD) TABLET -294
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -208

OBAT TAMBAHAN
0 0
0 -8
0 0
0 -86
0 -294
0 -180
0 -3
0 0
0 -208
0 0
0 -30
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
25 CMINDAMISIN KAPS (BLUD) KAPSUL -18
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -107
42 GLIBENCMAMIDE TABLET 5 MG (BLUD) TABLET -30

0 0
0 0
0 0
0 -29
0 -18
0 0
0 0
0 -107
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
0 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -200
63 METFORMIN (BLUD) TABLET -289

0 -130
0 -200
0 0
0 0
0 -9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -1
0 -6
0 -58
0 0
0 0
0 -289
0 0
0 -34
0 0
82 SETERIZIN TABLET (BLUD) TABLET -127
88 VITAMIN B6/PIRIDOKSIN HCM10 MG (BLUD) TABLET 0

0 0
0 0
0 -57
0 -9
0 0
0 0
0 -69
0 0
0 0
0 0
0 0
0 0
0 -75
0 0
0 0
0 -127
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 19
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
10
10
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
2 35
0 0
0 3
5 18
2 76
0 0
0 0
0 0
0 0
10 1,412
0 0
10 -10
0 0
0 0
0 19

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,901 10 20 6 10

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10 20 20 10
10 20 10
0 0
80 401
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
86 3,815
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
6
0 65
0 8
0 102
0 0
0 0
6 113
0 35
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85
MG/ML 1 ML
AMPUL 3 1
10
10
10 314
0 317
0 0
0 0
0 0
0 0
0 0
20 798
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
1 2
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
10 326
0 500
1 51
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML
122 IBUPROFEN TABLET 400 MG TABLET 440 10

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,121 10 10
10
10
0 205
1 30
0 0
0 0
0 26
0 450
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
20 420
0 0
0 13
0 0
0 0
0 0
0 0
30 3,091

135 ROL 0
STRIL
136
CM
ROL 0 1

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,610 10 6 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
0 0
0 0
0 630
0 430
0 0
0 0
1 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 123
0 0
0 0
0 0
0 0
26 3,584
0 0
0 0
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 30 2

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172
0,200 MG 1 ML
AMPUL 23 4 1
173 TABLET 193
0,125 MG
6 10
0 554
0 205
0 170
0 34
0 0
0 0
0 0
0 0
2 28
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
5 18
16 177

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML
185 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 13 10

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR
195 OKSITOSIN INJEKSI 10 IU/ML 1 ML AMPUL 87 4 1

0 11
0 0
0 280
0 0
0 0
0 0
0 0
0 400
0 0
0 9
0 0
10 3
0 3
0 0
0 150
0 80
0 0
0 0
0 0
0 0
0 0
5 82

198 BOTOL 18
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,999 10 10 6 10 10 10 6 10 8 10

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 931 10
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 1,036 10 10 20 10 10

214 BOTOL 15
STERIL

6 8 6 10 8
10 10 10
10
0 0
0 0
0 18
128 3,871
0 0
40 891
0 0
0 0
0 20
0 0
0 0
70 966
0 0
0 0
0 58
0 245
0 0
0 485
0 15
0 0
0 1,174
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
0 475
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
261 LISINOPRIL 5 MG TABLET 304 10 10

10
10
0 33
0 980
0 0
0 5
0 190
0 2,227
0 0
0 0
0 481
0 385
10 1,361
0 58
1 21
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 274

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

10 20 10 10
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 -173
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
4 AMLODIPINE 10 MG (BLUD) TABLET -294 10 10 10 10
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -180 6 10 10 10 10 10 10
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET -3 6

OBAT TAMBAHAN
20
10 10
6 10 10 10
10 8 10
0 0
0 -8
0 0
20 -106
60 -354
102 -282
6 -9
0 0
54 -262
0 0
0 -30
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -107 6 10 6

10
20
0 0
0 0
0 0
0 -29
0 -18
0 0
0 0
32 -139
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 -50
0 0
56 KASSA STERIL 16X16 (BLUD) KOTAK 0 10

10 8
10
0 -130
18 -218
0 0
0 0
10 -19
0 0
0 0
0 0
0 0
0 0
0 0
10 -10
0 0
0 -1
0 -6
0 -58
0 0
0 0
0 -289
0 0
0 -34
0 0
73 OMEPRAZOLE 20MG (BLUD) KAPSUL -69 20 10
82 SETERIZIN TABLET (BLUD) TABLET -127 6

10 10 10
10 10 8
0 0
0 0
30 -87
0 -9
0 0
0 0
30 -99
0 0
0 0
0 0
0 0
0 0
20 -95
0 0
0 0
34 -161
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML
16 AMITRIPTYLLINE HCL TABLET 25 MG TABLET -10

19 BOTOL 19
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
1
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 35
0 0
0 3
0 18
0 76
0 0
0 0
0 0
0 0
0 1,412
0 0
0 -10
0 0
0 0
1 18

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,815 20 10 10 10 10 2 20 10 20 10 6

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

15 10 10
20 20 20 20 20 20 20 20 20 20 20 20 4 4 20 10
0 0
45 356
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
406 3,409
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 8
0 102
0 0
0 0
0 113
0 35
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 2
MG/ML 1 ML
0 314
0 317
0 0
0 0
0 0
0 0
0 0
6 792
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 17
0 2
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

4
1 2
0 50
0 0
0 0
0 0
4 322
0 500
3 48
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 3,091 10 10 10 10 10 10 10 10 6
3
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
3 202
0 30
0 0
0 0
1 25
0 450
0 0
0 53
0 30
0 0
0 0
0 0
0 0
0 0
12 408
0 0
0 13
0 0
0 0
0 0
0 0
236 2,855

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,584 5 15 5
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
6 10 10 5 10
0 0
0 0
10 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 123
0 0
0 0
0 0
0 0
66 3,518
0 0
0 0
152 KLORPROMAZIN HCL TABLET 100 MG TABLET 554 30

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 18
0,200 MG 1 ML
173 TABLET 177
0,125 MG
3
33 521
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 28
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 18
0 177

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 11
0 0
0 280
0 0
0 0
0 0
0 0
0 400
0 0
0 9
0 0
0 3
0 3
0 0
0 150
0 80
0 0
0 0
0 0
0 0
0 0
0 82

198 BOTOL 18
ML

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 891 5 10
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 966 10 14
213 RISPERIDON 2 MG TABLET TABLET 485 60

214 BOTOL 15
STERIL

1
10 10 10 5 10 9 4 10 4
4 5 5 5 5
10 10 10 30
10
0 0
0 0
1 17
113 3,758
0 0
39 852
0 0
0 0
0 20
0 0
0 0
84 882
0 0
0 0
84 -26
0 245
0 0
60 425
0 15
0 0
10 1,164
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG
233 SIMVASTATIN TABLET 10 MG TABLET 475 10

237 BOTOL 0
15 % 5 ML
238 PCS 0

10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
20 455
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 980
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 190
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)

30
10
10
1
0 33
0 980
0 0
0 5
30 160
10 2,217
0 0
0 0
0 481
0 385
20 1,341
1 57
1 20
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 274

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -173 20 20 20 20 20 20 10 20

24 SYRINGE 0
INJEKSI (HBIg)

20 20 20 20 20 20 20 20 20 20 20 20 20 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
0 0
0 0
10 440 -613
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
30
0 0
0 0
0 0
0 0
0 0
0 0
30 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -262 10

OBAT TAMBAHAN
10 3
10
10 10
6 10 10 8 10
10 10
0 0
0 -8
0 0
13 -119
40 -394
20 -302
0 -9
0 0
54 -316
0 0
20 -50
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -139 8 10 5 6 5

10
6 10 4 4
1
0 0
0 0
0 0
0 -29
10 -28
0 0
0 0
58 -197
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 -50
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -130 30
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -218 10 2 10
56 KASSA STERIL 16X16 (BLUD) KOTAK -10

30
10 10 10 10 10
6 30
20 10
60 -190
72 -290
0 0
0 0
0 -19
0 0
0 0
0 0
0 0
0 0
0 0
0 -10
0 0
0 -1
0 -6
0 -58
0 0
0 0
36 -325
0 0
30 -64
0 0
71 NIFEDIPINE TAB (BLUD) TABLET 0 20

10 8
6 16 6 6
0 0
0 0
33 -120
0 -9
20 -20
0 0
6 -105
0 0
0 0
0 0
0 0
0 0
0 -95
0 0
0 0
40 -201
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
20
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
1 39
5 -5
0 3
4 14
2 74
0 0
0 0
0 0
0 0
20 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET 356 8 10 10 5 5

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,409 10 4 5 10

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

30 30
10
0 0
98 258
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
39 3,370
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML
47 BETAHISTINMESILAT 6 MG TABLET TABLET 113 10

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
10
0 65
0 8
0 102
0 0
0 0
20 93
0 35
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 20
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 17
5 ML
85 AMPUL 2
MG/ML 1 ML
10 30
1
0 314
0 317
0 0
0 0
0 0
0 0
0 0
40 752
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
1 16
0 2
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
0 322
0 500
0 48
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 53
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,855 10 10
1
10 10 10 8
0 202
0 30
0 0
0 0
0 25
0 450
0 0
1 52
0 30
0 0
0 0
0 0
0 0
0 0
18 390
0 0
1 12
0 0
0 0
0 0
0 0
58 2,797

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,518 5 10 6
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
0 0
0 0
0 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 123
0 0
0 0
0 0
0 0
21 3,497
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 18
0,200 MG 1 ML
173 TABLET 177
0,125 MG
2
30
0 521
0 205
0 170
0 34
0 0
0 0
0 0
0 0
2 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
2 16
30 147

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

2
0 11
0 0
0 280
0 0
0 0
0 0
0 0
0 400
0 0
0 9
0 0
0 3
0 3
0 0
0 150
0 80
0 0
0 0
0 0
0 0
0 0
2 80

198 BOTOL 17
ML

200 BOTOL 0
ML
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 882 10
210 PREDNISON TABLET 5 MG TABLET -26

214 BOTOL 15
STERIL

10 10 10 10 30
10 10 5 4 3 6
10 10 10 8 10
20
0 0
0 0
0 17
119 3,639
0 0
38 814
0 0
0 0
0 20
0 0
0 0
58 824
0 0
0 0
0 -26
0 245
0 0
0 425
3 12
0 0
20 1,144
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
10 445
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 980 10
242 PCS 0
INJECTION

244 TABLET 160
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 481
PSEUDOEPHEDRINE)
261 LISINOPRIL 5 MG TABLET 274 10 10 10

10
10
10 10 10
1
0 33
10 970
0 0
0 5
0 160
0 2,217
0 0
0 0
10 471
10 375
30 1,311
1 56
0 20
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 244

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

10 30
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 -663
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
35 HIV-EVAFIRENZ TABLET 600 MG BOTOL -30
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
1 ALLOPURINOL (BLUD) TABLET -8 10
4 AMLODIPINE 10 MG (BLUD) TABLET -394 10 10 10 10 30
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -316 8 8 10 5 6

OBAT TAMBAHAN
10
10 10 10 30
10 10 10 30
0 0
10 -18
0 0
5 -124
80 -474
60 -362
0 -9
3 -3
97 -413
0 0
0 -50
0 0
0 0
0 0
0 0
0 0
0 -1
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -197 10 5 8 5
39 GENTAMICIN TETES MATA (BLUD) FLASK -1 1

20
1
0 0
0 0
0 0
0 -29
0 -28
0 0
0 0
48 -245
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -3
0 0
0 0
0 -50
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -190 30 30
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL -6 1

10 30
30
60 -250
40 -330
0 0
0 0
0 -19
0 0
0 0
0 0
0 0
0 0
0 0
5 -15
0 0
0 -1
1 -7
0 -58
0 0
0 0
60 -385
0 0
0 -64
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -120 10 10 10 10
71 NIFEDIPINE TAB (BLUD) TABLET -20

10
10 10 10 30
0 0
10 -10
46 -166
0 -9
0 -20
0 0
0 -105
0 0
0 0
0 0
0 0
0 0
0 -95
0 0
0 0
68 -269
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
6 ALAT SUNTIK SEKALI PAKAI 10 ML PCS -5

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 14
0 74
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,370 10 6 6 4 4 10 3 10 10

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10
10 10 8 10
0 0
65 193
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
101 3,269
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
10
0 65
0 8
0 102
0 0
0 0
10 83
1 34
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72
SALEP 15 GR
TUBE 20 1
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 2
MG/ML 1 ML
6
0 314
0 317
0 0
0 0
0 0
0 0
0 0
6 746
1 19
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 16
0 2
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

1
0 50
0 0
0 0
0 0
0 322
0 500
1 47
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 52
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,797 10 10 10 10 10
10 10 10 10 10
0 202
0 30
0 0
0 0
0 25
0 450
0 0
0 52
0 30
0 0
0 0
0 0
0 0
0 0
0 390
0 0
0 12
0 0
0 0
0 0
0 0
100 2,697

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,497 6 2
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
0 0
0 0
0 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 64
0 123
0 0
0 0
0 0
0 0
18 3,479
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 147
0,125 MG
0 521
0 205
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
0 147

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

10
10 1
0 0
0 280
0 0
0 0
0 0
0 0
10 390
0 0
0 9
0 0
0 3
0 3
0 0
0 150
0 80
0 0
0 0
0 0
0 0
0 0
0 80

198 BOTOL 17
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,639 10 3

200 BOTOL 0
ML
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 824

214 BOTOL 12
STERIL

10 6 1 8 10
4 4 4 8
10 10
10
0 0
0 0
0 17
48 3,591
0 0
24 790
0 0
0 0
0 20
0 0
0 0
20 804
0 0
0 0
0 -26
0 245
0 0
0 425
0 12
0 0
10 1,134
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10
0 0
0 0
0 0
0 0
0 0
0 5
0 0
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
20 425
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 970
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 160
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 471
PSEUDOEPHEDRINE)
250 ALPARA TABLET TABLET 1,311 10 10

10
10 10
0 33
0 970
0 0
0 5
0 160
0 2,217
0 0
0 0
10 461
0 375
40 1,271
0 56
0 20
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 244

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -663 10 10 10 10

24 SYRINGE 0
INJEKSI (HBIg)

10 10 8 10
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
78 -741
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
4 AMLODIPINE 10 MG (BLUD) TABLET -474 10 20 15
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -362 10
7 AQUA PRO INJEKSI (BLUD) PIECES -3
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -413 10 6 8 8
16 BEDAK SALISIL (BLUD) SACHET -1 1

OBAT TAMBAHAN
10 20 10
10
6 10
10
0 0
10 -28
0 0
6 -130
85 -559
20 -382
0 -9
0 -3
48 -461
0 0
10 -60
0 0
0 0
0 0
0 0
0 0
1 -2
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -245 4
39 GENTAMICIN TETES MATA (BLUD) FLASK -3

10
4 10 8
0 0
0 0
0 0
10 -39
0 -28
0 0
0 0
26 -271
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -3
0 0
0 0
0 -50
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -250 20 40
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -330 3 30
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET -19 10

10
10 10 10 10 10
10 10 20
70 -320
83 -413
0 0
0 0
10 -29
0 0
0 0
0 0
0 0
0 0
0 0
0 -15
0 0
0 -1
0 -7
0 -58
0 0
0 0
40 -425
0 0
0 -64
0 0
68 MULTIVITAMIN KOMBINASI SIRUP (BLUD) BOTOL -10
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -166 10 10

10 10 10
0 0
0 -10
50 -216
0 -9
0 -20
0 0
10 -115
0 0
0 0
0 0
0 0
0 0
0 -95
0 0
0 0
26 -295
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
1 13
1 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET 193 10 30 10 10 10 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 3,269
MG

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10 9
10 10 3
0 0
119 74
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
23 3,246
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 8
0 102
0 0
0 0
0 83
1 33
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 19
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85
MG/ML 1 ML
AMPUL 2 1
30
30 284
0 317
0 0
0 0
0 0
0 0
0 0
0 746
0 19
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 16
1 1
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
0 322
0 500
0 47
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323
108 HALOPERIDOL TABLET 5 MG TABLET 202 30

110 BOTOL 0

114 PCS 0
PORT
115
PORT
PCS 52 1
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML
124 INFUSION SET DEWASA PCS 12 1

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,697 10
10
30 172
4 26
0 0
0 0
0 25
0 450
0 0
1 51
0 30
0 0
0 0
0 0
0 0
0 0
30 360
0 0
1 11
0 0
0 0
0 0
0 0
10 2,687

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN
144 KLORAMFENIKOL KAPSUL 500 MG KAPSUL 123 1

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,479 6 6 6 6
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
4 10
0 0
0 0
0 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 64
1 122
0 0
0 0
0 0
0 0
38 3,441
0 0
0 0
153 KLOZAPIN 100 MG TABLET TABLET 205 30

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173
0,125 MG
TABLET 147 10
30 491
30 175
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
10 137

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML
189 NISTATIN VAGINAL TABLET 100.000 UI VAGTAB 80 10

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

10 10
5
0 1
0 0
0 280
0 0
0 0
0 0
0 0
20 370
0 0
1 8
0 0
0 3
0 3
0 0
0 150
15 65
0 0
0 0
0 0
0 0
0 0
1 79

198 BOTOL 17
ML

200 BOTOL 0
ML

214 BOTOL 12
STERIL

10 10 10 10 10 10 9 3
10 6 10
30
0 0
0 0
0 17
120 3,471
0 0
10 780
0 0
0 0
0 20
0 0
0 0
26 778
0 0
0 0
0 -26
0 245
0 0
60 365
0 12
0 0
0 1,134
0 12
224 SARUNG TANGAN STERILE NO.6,5 PSG 0 3

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

8 10 10
0 0
0 0
0 0
0 0
0 0
0 5
3 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
48 377
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 970 10
242 PCS 0
INJECTION

244
TABLET 2 MG
TABLET 160 30 30

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10 10
0 33
10 960
0 0
0 5
60 100
0 2,217
0 0
0 0
0 461
0 375
20 1,251
0 56
0 20
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 244

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

5
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
15 -756
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -461 10 8 8 10 10 8

OBAT TAMBAHAN
10 10
0 0
18 -46
0 0
45 -175
20 -579
0 -382
0 -9
0 -3
54 -515
0 0
0 -60
0 0
0 0
0 0
0 0
0 0
0 -2
0 0
0 0
0 0
0 0
24 CIPROFLOXACIN (BLUD) TABLET -39 10
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -271 6 10 6

10 9
0 0
0 0
0 0
10 -49
0 -28
0 0
0 0
41 -312
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -3
0 0
0 0
0 -50
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -320 30 30 10
60 KOTRIMOKSAZOL TAB (BLUD) TABLET -58 60
63 METFORMIN (BLUD) TABLET -425 30 60

3
60
70 -390
3 -416
0 0
0 0
9 -38
0 0
0 0
0 0
0 0
0 0
0 0
0 -15
0 0
0 -1
0 -7
60 -118
0 0
0 0
150 -575
0 0
0 -64
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -216 10 10

6 10
10 3
0 0
0 -10
36 -252
0 -9
0 -20
0 0
0 -115
0 0
0 0
0 0
0 0
0 0
0 -95
0 0
0 0
59 -354
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 13
0 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,246 6 10 6 10 10 10 4

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10
0 0
50 24
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
56 3,190
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 8
0 102
0 0
0 0
0 83
0 33
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72
SALEP 15 GR
TUBE 19 1
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 1
MG/ML 1 ML
60
0 284
0 317
0 0
0 0
0 0
0 0
0 0
10 736
1 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 40
0 0
0 0
0 16
0 1
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
10 312
0 500
0 47
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,687
MG
0 172
0 26
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
20 340
0 0
0 11
0 0
0 0
0 0
0 0
0 2,687

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,441 6 6 10 10 3
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
30
0 0
0 0
0 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
30 34
0 122
0 0
0 0
0 0
0 0
35 3,406
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 137
0,125 MG
0 491
0 175
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
0 137

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 370
0 0
0 8
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
0 79

198 BOTOL 17
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,471 10 10 4

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 780 4 5 4 4

214 BOTOL 12
STERIL

8 4
0 0
0 0
0 17
24 3,447
0 0
29 751
0 0
0 0
0 20
0 0
0 0
20 758
0 0
0 0
0 -26
0 245
0 0
0 365
0 12
0 0
0 1,134
0 12
224 SARUNG TANGAN STERILE NO.6,5 PSG -3

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10
0 0
0 0
0 0
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
10 367
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 960 6 10
242 PCS 0
INJECTION

244 TABLET 100
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10
0 33
16 944
0 0
0 5
0 100
0 2,217
0 0
0 0
0 461
0 375
20 1,231
0 56
1 19
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 244

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

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
10 -766
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -382 10 10
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -515 8 10 10 6 10 10
10 ASETILSISTEIN (BLUD) KAPSUL -60 10 10

OBAT TAMBAHAN
15
10
8
0 0
0 -46
0 0
25 -200
10 -589
20 -402
0 -9
0 -3
62 -577
0 0
20 -80
0 0
0 0
0 0
0 0
0 0
0 -2
0 0
0 0
0 0
0 0
25 CLINDAMISIN KAPS (BLUD) KAPSUL -28 10
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -312 10 10 10 4

0 0
0 0
0 0
0 -49
10 -38
0 0
0 0
34 -346
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -3
0 0
0 0
0 -50
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -390 30
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -416 10 10 6 10 4

60
10
90 -480
40 -456
0 0
0 0
10 -48
0 0
0 0
0 0
0 0
0 0
0 0
0 -15
0 0
0 -1
0 -7
0 -118
0 0
0 0
30 -605
0 0
0 -64
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET -252 10 10 6

6 10
0 0
0 -10
42 -294
0 -9
0 -20
0 0
0 -115
0 0
0 0
0 0
0 0
0 0
20 -115
0 0
0 0
6 -360
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 13
0 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET 24

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 3,190
MG

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

0 0
0 24
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
0 3,190
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 8
0 102
0 0
0 0
0 83
0 33
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 18
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 1
MG/ML 1 ML
0 284
0 317
0 0
0 0
0 0
0 0
0 0
0 736
0 18
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 16
0 1
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

0 50
0 0
0 0
0 0
0 312
0 500
0 47
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 323

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,687
MG
0 172
0 26
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
0 340
0 0
0 11
0 0
0 0
0 0
0 0
0 2,687

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149 TABLET 3,406
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
0 0
0 0
0 620
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 323
0 0
0 0
0 34
0 122
0 0
0 0
0 0
0 0
0 3,406
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 137
0,125 MG
0 491
0 175
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
0 137

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 370
0 0
0 8
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
0 79

198 BOTOL 17
ML

200 BOTOL 0
ML

214 BOTOL 12
STERIL

0 0
0 0
0 17
0 3,447
0 0
0 751
0 0
0 0
0 20
0 0
0 0
0 758
0 0
0 0
0 -26
0 245
0 0
0 365
0 12
0 0
0 1,134
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

0 0
0 0
0 0
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
0 367
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 944
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET 100
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 33
0 944
0 0
0 5
0 100
0 2,217
0 0
0 0
0 461
0 375
0 1,231
0 56
0 19
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 244

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

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 -766
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -577

OBAT TAMBAHAN
0 0
0 -46
0 0
0 -200
0 -589
0 -402
0 -9
0 -3
0 -577
0 0
0 -80
0 0
0 0
0 0
0 0
0 0
0 -2
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET -346

0 0
0 0
0 0
0 -49
0 -38
0 0
0 0
0 -346
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -3
0 0
0 0
0 -50
0 0

0 -480
0 -456
0 0
0 0
0 -48
0 0
0 0
0 0
0 0
0 0
0 0
0 -15
0 0
0 -1
0 -7
0 -118
0 0
0 0
0 -605
0 0
0 -64
0 0
82 SETERIZIN TABLET (BLUD) TABLET -360

0 0
0 -10
0 -294
0 -9
0 -20
0 0
0 -115
0 0
0 0
0 0
0 0
0 0
0 -115
0 0
0 0
0 -360
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 13
0 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET 24 20 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,190 10 4 20 20 20

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10
20 15 20 20 16 10 10
0 0
60 -36
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
185 3,005
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
9
10
0 65
0 8
0 102
0 0
0 0
9 74
1 32
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
10 -10
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 18
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 1
MG/ML 1 ML
8
1
0 284
0 317
0 0
0 0
0 0
0 0
0 0
18 718
1 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 16
0 1
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

10
10
0 50
0 0
0 0
0 0
10 302
0 500
0 47
0 -1
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 313

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,687 10 10
15
10
10 10 10
15 157
2 24
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
20 320
0 0
0 11
0 0
0 0
0 0
0 0
50 2,637

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN
140 KETOKONAZOLE TABLET 200 MG TABLET 323 10
144 KLORAMFENIKOL KAPSUL 500 MG KAPSUL 122 10

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,406 10 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
10 9 10
0 0
0 0
10 610
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
10 313
0 0
0 0
0 34
10 112
0 0
0 0
0 0
0 0
49 3,357
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 137
0,125 MG
30
30 461
0 175
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
0 137

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 370
0 0
1 7
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
0 79

198 BOTOL 17
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,447 10 10 10 10 10

200 BOTOL 0
ML
210 PREDNISON TABLET 5 MG TABLET -26 4

214 BOTOL 12
STERIL
216 SALBUTAMOL TABLET 4 MG TABLET 1,134 10

10
10 10 10 10 10 20 10 10 10
5 5 5 4
10 10 20 10 10 10
30 15
0 0
0 0
10 7
150 3,297
0 0
27 724
0 0
0 0
0 20
0 0
0 0
85 673
0 0
0 0
4 -30
0 245
0 0
45 320
0 12
0 0
10 1,124
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

10 10 10
0 0
0 0
0 0
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
30 337
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 944 10
242 PCS 0
INJECTION

244 TABLET 100
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10
30 30 30
10 10 1
10
0 33
20 924
0 0
0 5
90 10
0 2,217
0 0
0 0
0 461
0 375
21 1,210
1 55
2 17
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 234

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -766 10 10

24 SYRINGE 0
INJEKSI (HBIg)

10 10 10
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 -816
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET -402 10 10
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET -577 10 10 10 10

OBAT TAMBAHAN
10
60 10 20 60
10 15 20
10 10 20 6 10
8 8 8
0 0
10 -56
0 0
200 -400
65 -654
76 -478
0 -9
0 -3
64 -641
0 0
0 -80
0 0
0 0
0 0
0 0
0 0
0 -2
0 0
0 0
0 0
0 0
24 CIPROFLOXACIN (BLUD) TABLET -49 10
39 GENTAMICIN TETES MATA (BLUD) FLASK -3 1
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET -50 15

9 6
10 10
1
0 0
0 0
0 0
10 -59
0 -38
0 0
0 0
35 -381
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -5
0 0
0 0
15 -65
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET -480 10 30 30
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET -456 4
63 METFORMIN (BLUD) TABLET -605 30 30

30 30 20 15
10 10 10 10
10
60 30 20
165 -645
44 -500
0 0
0 0
10 -58
0 0
0 0
0 0
0 0
0 0
0 0
0 -15
0 0
0 -1
0 -7
0 -118
0 0
0 0
170 -775
0 0
0 -64
0 0
82 SETERIZIN TABLET (BLUD) TABLET -360 10 8

10 10 10 10 8
10
8
0 0
0 -10
58 -352
0 -9
0 -20
0 0
20 -135
0 0
0 0
0 0
0 0
0 0
0 -115
0 0
0 0
26 -386
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 13
0 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET -36 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 3,005 10 20 20 20 15

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10 6 20 10 10 20 10
10 6 10 6 10 10
0 0
116 -152
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
137 2,868
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
43 ASIKLOVIR KREAM 5 % 5 GR TUBE 8 1

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML
62 DIAZEPAM INJEKSI 5 MG/ML 2 ML AMPUL -10

63 TUBE 1
2,5ML-STESOLID
1
0 65
1 7
0 102
0 0
0 0
0 74
1 31
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 -10
0 1

66 AMPUL 0
MG/ML 1 ML
71 DOMPERIDON TABLET 10 MG TABLET 718 10 15

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 1
MG/ML 1 ML
10
0 284
0 317
0 0
0 0
0 0
0 0
0 0
35 683
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 16
0 1
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

106 AMPUL 0
(LODOMER)

1
0 50
0 0
0 0
0 0
0 302
0 500
1 46
1 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 313

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,637 10 10
10 10 10 10
0 157
1 23
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
6 314
0 0
0 11
0 0
0 0
0 0
0 0
60 2,577

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN
140 KETOKONAZOLE TABLET 200 MG TABLET 313 10

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,357 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
6
10
0 0
0 0
0 610
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
10 303
0 0
0 0
0 34
6 106
0 0
0 0
0 0
0 0
20 3,337
0 0
0 0

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 137
0,125 MG
0 461
0 175
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
0 137

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 370
0 0
1 6
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
0 79

198 BOTOL 7
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,297 10 10 10 10 10 10 10

200 BOTOL 0
ML
201 PEHAVRAL TABLET TABLET 724 6 4 10 4
204 PERMETHRINE 5% CR 15 GRAM TUBE 20 1

214 BOTOL 12
STERIL

10 16 6 10 10 10 10 10 10 10 10 10
5 5
16 10 10
0 0
0 0
0 7
192 3,105
0 0
34 690
0 0
0 0
1 19
0 0
0 0
36 637
0 0
0 0
0 -30
0 245
0 0
0 320
0 12
0 0
0 1,124
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG
233 SIMVASTATIN TABLET 10 MG TABLET 337 10 10 10 15

237 BOTOL 0
15 % 5 ML
238 PCS 0

10 10 10 10
0 0
0 0
0 0
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
85 252
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 924 10 10 10 10
242 PCS 0
INJECTION

244 TABLET 10
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10 10 10
10
0 33
70 854
0 0
0 5
0 10
0 2,217
0 0
0 0
0 461
0 375
0 1,210
0 55
1 16
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 214

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -816 10 10 10

24 SYRINGE 0
INJEKSI (HBIg)

10
10 6 10 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
76 -892
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
3 AMLODIPINE 5MG (BLUD) TABLET 0 20 10 10 10
4 AMLODIPINE 10 MG (BLUD) TABLET 0
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 0 15
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 10 10 10

OBAT TAMBAHAN
10
20 20 10 20 20 15 20 20 20 20
10 10 10
10 10 10 10
0 0
20 0
0 0
235 -235
0 0
45 -45
0 0
0 0
70 -70
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 10 6 10 6 10
30 DOMPERIDONE TABLET 10 MG ( (BLUD)) TABLET 0 10
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET 0 30

6 10 10 10
10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
78 -78
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 -30
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 15
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 0 10
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL 0

10 15 10 30
10 10 20 10
10
10
10
20 10 30
10 6
80 -80
70 -70
0 0
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
1 -1
0 0
0 0
0 0
80 -80
0 0
16 -16
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0 10 10 10 10
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 0 10 10
82 SETERIZIN TABLET (BLUD) TABLET 0 10 10

10 10 10 10 10
12
10
10 6
0 0
0 0
90 -90
12 -12
0 0
0 0
30 -30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
36 -36
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
DINAS KESEHATAN KABUPATEN BLITAR
REGISTER HARIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19 BOTOL 18
60 ML
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 39
0 -5
0 3
0 13
0 73
0 0
0 0
0 0
0 0
0 1,392
0 0
0 -10
0 0
0 0
0 18
21 AMOKSISILIN TABLET 500 MG KAPLET -152

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 31
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,868 2 10 3 4

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10 10
10 10 10 10 10
0 0
30 -182
0 0
0 0
0 0
0 0
0 20
0 31
0 11
0 1
0 0
0 0
0 0
69 2,799
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 7
0 102
0 0
0 0
0 74
0 31
0 0
0 17
0 0
0 80
0 0
0 3
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 -10
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 1
MG/ML 1 ML
10 10
1
0 284
0 317
0 0
0 0
0 0
0 0
0 0
20 663
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 16
1 0
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0
104 HALOPERIDOL 2 MG TABLET 0 30

106 AMPUL 0
(LODOMER)
107 HALOPERIDOL TABLET 1,5 MG TABLET 313 10

10
0 50
0 0
0 0
0 0
10 292
0 500
0 46
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
30 -30
0 0
0 0
10 303

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,577 10 10 10 6
1 1
10 10
10 10
0 157
2 21
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
20 294
0 0
0 11
0 0
0 0
0 0
0 0
56 2,521

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,337 10 2
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10
10
0 0
0 0
10 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 34
0 106
0 0
0 0
0 0
0 0
22 3,315
0 0
0 0
152 KLORPROMAZIN HCL TABLET 100 MG TABLET 461 30 15
153 KLOZAPIN 100 MG TABLET TABLET 175 10 10 30

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172 AMPUL 16
0,200 MG 1 ML
173 TABLET 137
0,125 MG
60
5
105 356
50 125
0 170
0 34
0 0
0 0
0 0
0 0
0 26
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
0 16
5 132

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

2
2
0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 370
0 0
2 4
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
2 77

198 BOTOL 7
ML
199 PARACETAMOL TABLET 500 MG TABLET 3,105 10 2 10 8 10 10 3 4

200 BOTOL 0
ML
213 RISPERIDON 2 MG TABLET TABLET 320 5 30 10

214 BOTOL 12
STERIL

10 10 10 10 10 10
10 30
10
0 0
0 0
0 7
117 2,988
0 0
9 681
0 0
0 0
0 19
0 0
0 0
40 597
0 0
0 0
0 -30
0 245
0 0
45 275
0 12
0 0
10 1,114
0 12

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 8
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 1,000
50 MCG

237 BOTOL 0
15 % 5 ML
238 PCS 0

1
20 10
0 0
0 0
1 -1
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
0 8
0 0
0 0
0 1,000
0 25
40 212
0 0
0 0
0 0
0 0
0 0
0 0
241
TABLET 50 MG
TABLET 854 10 10 10
242 PCS 0
INJECTION

244
TABLET 2 MG
TABLET 10 30 60

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 33
30 824
0 0
0 5
90 -80
0 2,217
0 0
0 0
0 461
0 375
10 1,200
0 55
0 16
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 214

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)
15 DIARE-ORALIT SERBUK SACHET -10

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

10
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
10 -902
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
3 AMLODIPINE 5MG (BLUD) TABLET 0 10 60 10
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 10 10

OBAT TAMBAHAN
10
30 20 20 10 20 20 40
10 10 10
8 10 10 10
0 0
30 0
0 0
240 -240
0 0
38 -38
0 0
0 0
58 -58
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 10

10
10
ir
30
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
10 -10
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
0 0
0 0
30 -30
0 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 0 2 10 8 10 4

10 10 10 10 10
10
60
0 0
84 -84
0 0
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 -60
0 0
0 0
0 0
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 0
82 SETERIZIN TABLET (BLUD) TABLET 0 10 4

10 10f 10 10
10 10
10
10
10
10 10
0 0
0 0
70 -70
0 0
0 0
0 0
20 -20
0 0
10 -10
0 0
0 0
0 0
10 -10
10 -10
0 0
34 -34
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
REGISTER HARIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

19
60 ML
BOTOL 18 1
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
2 37
0 -5
0 3
3 10
1 72
0 0
0 0
0 0
0 0
10 1,382
0 0
0 -10
0 0
0 0
1 17
21 AMOKSISILIN TABLET 500 MG KAPLET -182 10 20 10 10 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27
5 GR
POT 31 1
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,799 20

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER

10 10 10
1 1
10 10 3 5 10 10
0 0
100 -282
0 0
0 0
0 0
0 0
2 18
1 30
0 11
0 1
0 0
0 0
0 0
68 2,731
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)
54 CAT GUT NO. 3/0 CHROMIC PCS 3 1

59 AMPUL 0
ML

63 TUBE 1
2,5ML-STESOLID
0 65
0 7
0 102
0 0
0 0
0 74
0 31
0 0
0 17
0 0
0 80
0 0
1 2
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 -10
0 1

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML

84 BOTOL 16
5 ML
85 AMPUL 0
MG/ML 1 ML
4
0 284
0 317
0 0
0 0
0 0
0 0
0 0
4 659
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 16
0 0
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0
104 HALOPERIDOL 2 MG TABLET -30

106 AMPUL 0
(LODOMER)

10
0 50
0 0
0 0
0 0
20 272
0 500
0 46
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
0 0
0 0
0 303

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,521
MG
10
0 157
0 21
0 0
0 0
0 25
0 450
0 0
0 51
0 30
0 0
0 0
0 0
0 0
0 0
10 284
0 0
0 11
0 0
0 0
0 0
0 0
10 2,511

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

149
TABLET 4 MG
TABLET 3,315 6 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
10 10 10 2 10 5
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 34
0 106
0 0
0 0
0 0
0 0
63 3,252
0 0
0 0
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 26 1 1

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML

172
0,200 MG 1 ML
AMPUL 16 1
173 TABLET 132
0,125 MG
10
0 356
0 125
0 170
0 34
0 0
0 0
0 0
0 0
2 24
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
0 7
1 15
10 122

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

193 TUBE 0
GR
194 TUBE 0
GR

1 1 1
0 1
0 0
0 280
0 0
0 0
0 0
0 0
10 360
0 0
3 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
0 0
0 0
2 75

198
ML
BOTOL 7 1
199 PARACETAMOL TABLET 500 MG TABLET 2,988 10 10 10

200 BOTOL 0
ML

214 BOTOL 12
STERIL

10 10 10 10 10 5 10
10 6
2
0 0
0 0
1 6
95 2,893
0 0
11 670
0 0
0 0
0 19
0 0
0 0
16 581
0 0
0 0
2 -32
0 245
0 0
0 275
0 12
0 0
0 1,114
0 12
220 SARUNG TANGAN NON STERIL M PCS -1

227 VIAL 2
INJ.5 ML (ABU I)
228
IU/AMP (ATS)
VIAL 8 1

230 AMPUL 0
500 MCG/ML 1 ML
231
50 MCG
TABLET 1,000 10

237 BOTOL 0
15 % 5 ML
238 PCS 0

10 10
10 10
0 0
0 0
0 -1
0 0
0 0
0 5
0 -3
0 -4
0 0
0 2
1 7
0 0
0 0
30 970
0 25
30 182
0 0
0 0
0 0
0 0
0 0
0 0
241 TABLET 824
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

6 10
10 10 10
0 33
0 824
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
16 359
0 1,200
0 55
1 15
0 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 174

264 BOX 0
PARACETAMOL 500 MG)


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

12 TEST 0
(IgG\/IgM dan NS1)
15 DIARE-ORALIT SERBUK SACHET -10 10

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -902 10 10

24 SYRINGE 0
INJEKSI (HBIg)

3
10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
13 -23
0 0
0 0
0 0
0 0
0 0
0 0
30 -932
0 0
0 0
0 0
0 0
0 0
0 0
29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0

50 BOTOL 0
LAMIVUDINE 150 MG
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

72 AMPUL 0
INJEKSI 40 MG
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
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
92 PAKET 0
75/50/150 + RH 75/50

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

97 PAKET 0
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
0 0
0 0
118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

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
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 10 8 10 10 10 8 8

OBAT TAMBAHAN
10 10 10 10 10 10 30 15 10
15 10
10 10 10
0 0
6 0
0 0
190 -190
0 0
35 -35
0 0
0 0
94 -94
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 10 10
35 FITOMENADION INJ (BLUD) AMPUL 0 1

6 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
36 -36
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
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET 0 10

10 30 60 20
10 10 10 10
10 60 10 30 20 30
6
120 -120
40 -40
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 -1
0 0
0 0
0 0
160 -160
0 0
16 -16
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0 10 8 10
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 0 10
82 SETERIZIN TABLET (BLUD) TABLET 0

6 10 10 10 10
10
10
6 6 10
0 0
0 0
74 -74
8 -8
0 0
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
30 -30
0 0
0 0
22 -22
0 0
0 0
0 0
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
1 1 1
1 1 1
1 1 1
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
3 34
0 -5
0 3
4 6
3 69
0 0
0 0
0 0
0 0
10 1,372
0 0
0 -10

19 BOTOL 17
60 ML
21 AMOKSISILIN TABLET 500 MG KAPLET -282 10 10 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 30
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,731 10 10 10 10 10 3

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER
10 10 10 6 10 5
0 0
0 0
0 17
0 0
91 -373
0 0
0 0
0 0
0 0
0 18
0 30
0 11
0 1
0 0
0 0
0 0
53 2,678
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

1 1 1
0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 74
0 31
0 0
0 17
0 0
0 80
0 0
3 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 284
0 317
0 0
0 0
0 0
0 0
0 0
2 657
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 16
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

1
0 0
0 16
0 0
0 50
0 0
0 0
0 0
10 262
0 500
1 45
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)
109 HERBAKOF SYRUP 60ML BOTOL 21 1 1

110 BOTOL 0

114 PCS 0
PORT
115 PCS 51
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

1
1 1
10
1 1
0 0
0 0
0 303
0 157
3 18
0 0
0 0
0 25
0 450
0 0
2 49
0 30
0 0
0 0
0 0
0 0
0 0
10 274
0 0
2 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,511 10 10

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

10
0 0
0 0
30 2,481
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 34
0 106
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,252 2
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 24 1

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
10
1 1 1
12 3,240
0 0
0 0
0 356
0 125
0 170
0 34
0 0
0 0
0 0
0 0
4 20
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173
0,125 MG
TABLET 122 6 6

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
12 110
0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 360
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 6
ML
199 PARACETAMOL TABLET 500 MG TABLET 2,893 10 2 10 10 10 10 10 3

200 BOTOL 0
ML

214 BOTOL 12
STERIL
1 1 1
6 10 6 10 5 10
10
6 10
1 1
0 0
0 0
3 72
0 0
0 0
0 6
112 2,781
0 0
13 657
0 0
0 0
0 19
0 0
0 0
26 555
0 0
0 0
0 -32
0 245
0 0
0 275
2 10
216 SALBUTAMOL TABLET 4 MG TABLET 1,114 10

227 VIAL 2
INJ.5 ML (ABU I)
228
IU/AMP (ATS)
VIAL 7 1

230 AMPUL 0
500 MCG/ML 1 ML
231
50 MCG
TABLET 970 10 3

1
1 1
2 2
0 0
10 1,104
0 12
0 0
0 0
0 -1
0 0
1 -1
2 3
4 -7
0 -4
0 0
0 2
1 6
0 0
0 0
13 957
0 25
10 172
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241
TABLET 50 MG
TABLET 824 10
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10
1
0 0
0 0
0 0
0 33
20 804
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
5 354
0 1,200
0 55
0 15
1 6
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


0 0
0 0
10 164
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

12 TEST 0
(IgG\/IgM dan NS1)
15 DIARE-ORALIT SERBUK SACHET -23 6

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU
22 GIZI-TABLET TAMBAH DARAH TABLET -932 10 10 10

24 SYRINGE 0
INJEKSI (HBIg)

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 -29
0 0
0 0
0 0
0 0
0 0
0 0
30 -962
0 0
0 0
0 0

29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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 BOTOL 0
LAMIVUDINE 150 MG


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

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

72 AMPUL 0
INJEKSI 40 MG
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
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
92 PAKET 0
75/50/150 + RH 75/50

97 PAKET 0
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
0 0
0 0

118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

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
136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 10 10 10 10 10

OBAT TAMBAHAN
10 20
10
10 10 10 10
0 0
0 0
0 0
0 0
10 0
0 0
80 -80
0 0
20 -20
0 0
0 0
90 -90
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0

6 10
1 1 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
16 -16
0 0
0 0
0 0
0 0
0 0
3 -3
0 0
0 0
0 0
0 0
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 30
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 0 10 10
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET 0 10
63 METFORMIN (BLUD) TABLET 0 30 20 20

10
1 1
0 0
0 0
0 0
30 -30
30 -30
0 0
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -2
0 0
0 0
0 0
70 -70
79 RANITIDIN TABLET (BLUD) TABLET 0 10
82 SETERIZIN TABLET (BLUD) TABLET 0 10 10 10 4

10
10 10
6 10
0 0
10 -10
0 0
0 0
0 0
58 -58
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 -26
0 0
0 0
34 -34
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
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


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 34
0 -5
0 3
0 6
0 69
0 0
0 0
0 0
0 0
20 1,352
0 0
0 -10

19 BOTOL 17
60 ML
21 AMOKSISILIN TABLET 500 MG KAPLET -373 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 30
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,678 10 10 10 10 10

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER
0 0
0 0
0 17
0 0
10 -383
0 0
0 0
0 0
0 0
0 18
0 30
0 11
0 1
0 0
0 0
0 0
50 2,628
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)
54 CAT GUT NO. 3/0 CHROMIC PCS -1

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 74
0 31
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 284
0 317
0 0
0 0
0 0
0 0
0 0
0 657
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 16
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 16
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 45
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)
109 HERBAKOF SYRUP 60ML BOTOL 18 1 1 1

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 303
0 157
3 15
0 0
0 0
0 25
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 274
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,481
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,481
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 34
0 106
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,240 10 6 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
26 3,214
0 0
0 0
0 356
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 360
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 6
ML
199 PARACETAMOL TABLET 500 MG TABLET 2,781 8 10 10 8 10 3 10

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 6
59 2,722
0 0
10 647
0 0
0 0
0 19
0 0
0 0
0 555
0 0
0 0
0 -32
0 245
0 0
0 275
0 10
216 SALBUTAMOL TABLET 4 MG TABLET 1,104 10 20
222 SARUNG TANGAN STERIL NO 6 PSG -1

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 957
50 MCG
233 SIMVASTATIN TABLET 10 MG TABLET 172 10 10 10

0 0
30 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 957
0 25
30 142
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 804
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 804
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
10 344
10 1,190
0 55
0 15
0 6
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


0 0
0 0
10 154
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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -29
0 0
0 0
0 0
0 0
0 0
0 0
10 -972
0 0
0 0
0 0

29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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 BOTOL 0
LAMIVUDINE 150 MG


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

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

72 AMPUL 0
INJEKSI 40 MG
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
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
92 PAKET 0
75/50/150 + RH 75/50

97 PAKET 0
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
0 0
0 0

118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

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
136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN

OBAT TAMBAHAN
10
10
0 0
0 0
0 0
0 0
10 0
0 0
65 -65
0 0
30 -30
0 0
0 0
24 -24
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
1 -1
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 10 10 6
30 DOMPERIDONE TABLET 10 MG ( (BLUD)) TABLET 0 10

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 -26
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 30 20

0 0
0 0
0 0
50 -50
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 -1
0 0
0 0
0 0
0 0
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0 8 10
82 SETERIZIN TABLET (BLUD) TABLET 0 10 10 10

10
0 0
0 0
0 0
0 0
0 0
18 -18
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 -10
0 0
0 0
30 -30
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
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


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 34
0 -5
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,352
0 0
0 -10

19 BOTOL 17
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 30
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,628
MG

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER
0 0
0 0
0 17
0 0
0 -383
0 0
0 0
0 0
0 0
0 18
0 30
0 11
0 1
0 0
0 0
0 0
0 2,628
0 0
0 0
0 0
0 0
0 0

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 74
0 31
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 284
0 317
0 0
0 0
0 0
0 0
0 0
0 657
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 16
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 16
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 45
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 303
0 157
0 15
0 0
0 0
0 25
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 274
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,481
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,481
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 34
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,214
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,214
0 0
0 0
0 356
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 84
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 280
0 0
0 0
0 0
0 0
0 360
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 6
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 6
0 2,722
0 0
0 647
0 0
0 0
0 19
0 0
0 0
0 555
0 0
0 0
0 -32
0 245
0 0
0 275
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 957
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 957
0 25
0 142
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 804
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 804
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 344
0 1,190
0 55
0 15
0 6
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


0 0
0 0
0 154
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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -29
0 0
0 0
0 0
0 0
0 0
0 0
0 -972
0 0
0 0
0 0

29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 -30
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 BOTOL 0
LAMIVUDINE 150 MG


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

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

72 AMPUL 0
INJEKSI 40 MG
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
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
92 PAKET 0
75/50/150 + RH 75/50

97 PAKET 0
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
0 0
0 0

118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

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
136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 0
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0

OBAT TAMBAHAN
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
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
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
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


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,352
0 0
0 -10

19 BOTOL 17
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 30
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,628 4 10 10 10 3

36 AMPUL 0
INJEKSI

38 TABLET 0
DEPAKOTE ER
1
10 10 10 10
5 10
40
0 0
0 0
1 16
0 0
40 -423
0 0
0 0
0 0
0 0
0 18
0 30
0 11
0 1
0 0
0 0
0 0
52 2,576
0 0
0 0
0 0
0 0
40 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

1 1
0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 74
2 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
6
0 0
0 -10
0 1
25 259
0 317
0 0
0 0
0 0
0 0
0 0
6 651
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84
5 ML
BOTOL 16 1
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

1
0 0
1 15
0 0
0 50
0 0
0 0
0 0
0 262
0 500
2 43
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)
108 HALOPERIDOL TABLET 5 MG TABLET 157 60 10

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

15
10 10
0 0
0 0
0 303
85 72
1 14
0 0
0 0
0 25
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
30 244
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,481 10 10 6 10

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

6
20
0 0
0 0
42 2,439
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
20 14
0 106
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,214 8 6 10 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
15
8
34 3,180
0 0
0 0
15 341
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
8 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG
176 METOKLOPRAMIDE 5 MG TABLET TABLET 280 10

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

10
10
0 7
0 15
0 110
0 1
0 0
20 260
0 0
0 0
0 0
0 0
10 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 6
ML
199 PARACETAMOL TABLET 500 MG TABLET 2,722 6 10 10 10

200 BOTOL 0
ML
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 555 20 30 10 20 20

214 BOTOL 10
STERIL
1
5 10 10
6 10
0 0
0 0
0 72
0 0
0 0
1 5
61 2,661
0 0
4 643
0 0
0 0
0 19
0 0
0 0
116 439
0 0
0 0
3 -35
0 245
0 0
0 275
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231
50 MCG
TABLET 957 10 6 10

10 6 10 10 6 10 10
10 10 20
0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
88 869
0 25
50 92
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241
TABLET 50 MG
TABLET 804 10 10
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

5
10
1 1
1
0 0
0 0
0 0
0 33
25 779
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 344
10 1,180
3 52
2 13
1 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


0 0
0 0
0 154
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

12 TEST 0
(IgG\/IgM dan NS1)

17 TABLET 0
MG
18 BOTOL 0
MG/5ML
19 KAPSUL 0
IU
20 KAPSUL 0
IU

24 SYRINGE 0
INJEKSI (HBIg)

5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 -34
0 0
0 0
0 0
0 0
0 0
0 0
10 -982
0 0
0 0
0 0

29 VIAL 0
INJEKSI 2.4 UI/ML
30 TABLET 0
MG
31 TEST 0
32 TEST 0

MG (TLD)
37 TEST 0
TEST
TEST

44 TEST 0
1/2 TEST
45 TEST 0
TEST

47 BOTOL 0
1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
0 -30
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 BOTOL 0
LAMIVUDINE 150 MG


63 SYRINGE 0
SYRINGE 0,05 ML
64 SYRINGE 0
SYRINGE 0,5 ML
65 SYRINGE 0
SYRINGE 0,3 ML
66 SYRINGE 0
SYRINGE 3 ML
67 SYRINGE 0
SYRINGE 5 ML
68 PIECES 0
LITER

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

72 AMPUL 0
INJEKSI 40 MG
73 AMPUL 0
INJEKSI 40%
74 AMPUL 0
INJEKSI 20%

76 AMPUL 0
MG/ML

78 AMPUL 0
MG/ML

90 PAKET 0
RHZE 150/75/400/275 + RH 150/75
91 PAKET 0
150/75/400/175 + RH 150/150
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
92 PAKET 0
75/50/150 + RH 75/50

97 PAKET 0
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
0 0
0 0

118 TEST 0
RAPID TEST

126 TEST 0
DRUG 7 IN 1

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
136 PIECES 0
CHOLESTEROL
137 PIECES 0
HEMOGLOBIN
3 AMLODIPINE 5MG (BLUD) TABLET 0 10
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 8 10

OBAT TAMBAHAN
10 10 10
10 20 10
10
10 10 10
0 0
0 0
0 0
0 0
40 0
0 0
50 -50
0 0
10 -10
3 -3
0 0
48 -48
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -2
0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 6 6 10 10

10
10 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 -10
0 0
0 0
62 -62
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 0 3

20
5 10
60
30
0 0
20 -20
0 0
0 0
18 -18
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
66 -66
0 0
0 0
30 -30

10 10 8 10 8 10 10 8 10
10
5 10 10
0 0
0 0
0 0
0 0
0 0
107 -107
0 0
0 0
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 -25
0 0
0 0
0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
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


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
10
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
10 1,342
0 0
0 -10

19 BOTOL 16
60 ML
21 AMOKSISILIN TABLET 500 MG KAPLET -423 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27
5 GR
POT 30 1
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,576 4 6

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
20 10
3 3 2
0 0
0 0
0 16
0 0
50 -473
0 0
0 0
0 0
0 0
0 18
1 29
0 11
0 1
0 0
0 0
0 0
18 2,558
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML
47 BETAHISTINMESILAT 6 MG TABLET TABLET 74 10

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
10 64
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
30
4 6
0 0
0 -10
0 1
30 229
0 317
0 0
0 0
0 0
0 0
0 0
10 641
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 15
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

1
0 0
1 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 43
0 -2
0 0
0 0
0 0
0 0
0 0
0 29
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

30
10
0 0
0 0
30 273
0 72
0 14
0 0
0 0
0 25
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
10 234
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129
MG
TABLET 2,439 10 10

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

10 10 10
0 0
0 0
50 2,389
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 14
0 106
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,180 6 10 10 10 6
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
10 2 10 10 6 10 10 10 10
120 3,060
0 0
0 0
0 341
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML
199 PARACETAMOL TABLET 500 MG TABLET 2,661 10 10 10 10 1o 10 6 10

200 BOTOL 0
ML
204 PERMETHRINE 5% CR 15 GRAM TUBE 19 1

214 BOTOL 10
STERIL
10 8 3 20 10 6 3 2 10 10 10 10 10
6 6
28 10 10 4 10 10 6 10 10
56 2
0 0
0 0
0 72
0 0
0 0
0 5
178 2,483
0 0
16 627
0 0
0 0
2 17
0 0
0 0
108 331
0 0
0 0
68 -103
0 245
0 0
0 275
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231
50 MCG
TABLET 869 10
233 SIMVASTATIN TABLET 10 MG TABLET 92 10 5 10

10 10 10 10
0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
10 859
0 25
65 27
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241
TABLET 50 MG
TABLET 779 10 10 10
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10 6 10
10 10
0 0
0 0
0 0
0 33
56 723
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 344
30 1,150
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


15
OBAT TAMBAHAN
10
5 30 20 20 10
0 0
0 0
15 139
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
40 0
0 0
145 -145
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 10 8 8 10 8 10
25 CLINDAMISIN KAPS (BLUD) KAPSUL 0 10 10

10
10 10 10
20 10 8 10 8
10 -10
30 -30
0 0
0 0
110 -110
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
20 -20
39 GENTAMICIN TETES MATA (BLUD) FLASK 0 1
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 30 30

10 10
10 3 10 3 10
0 0
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -2
0 0
0 0
0 0
0 0
60 -60
51 -51
0 0
0 0
0 0

6
6 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 -6
0 0
0 0
60 -60
0 0
0 0
0 0
0 0
0 0
56 -56
20 -20
0 0
92 0 0
93 0 0
10
0 0
6 -6
0 0
0 0
0 0
0 0
0 0
20 -20
0 0
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML
21 AMOKSISILIN TABLET 500 MG KAPLET -473 10 10 10

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33
MG
TABLET 2,558 10 10

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
10 10 10 8 3
10 6 4 3
0 0
0 0
0 16
0 0
71 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
43 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

6
0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
6 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
10
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
10 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML
99 GLIMEPIRIDE 2 MG TABLET TABLET 29 10

100 VIAL 0

1
0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
2 41
0 -2
0 0
0 0
0 0
0 0
0 0
10 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0
112 HIDROCORTISONE CREAM 2,5 % 5 GR TUBE 25 1

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

10
0 0
0 0
0 273
0 72
1 13
0 0
0 0
1 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
10 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,389
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

3 10 10
60
0 0
0 0
23 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
60 -46
0 106
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,060 10
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
3 6 6
25 3,035
0 0
0 0
30 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML
199 PARACETAMOL TABLET 500 MG TABLET 2,483 10 10 6 10 10 10 10 10 3 10

200 BOTOL 0
ML

214 BOTOL 10
STERIL
10 10 10 10 10 10
5 5 5 5
30 10
0 0
0 0
0 72
0 0
0 0
0 5
149 2,334
0 0
25 602
0 0
0 0
0 17
0 0
0 0
60 271
0 0
0 0
0 -103
0 245
0 0
15 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231
50 MCG
TABLET 859 10

10 10 10 10
10
0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
50 809
0 25
30 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241
TABLET 50 MG
TABLET 723 10 10 15 10
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

10 10
10
0 0
0 0
0 0
0 33
65 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
10 334
10 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)

3 AMLODIPINE 5MG (BLUD) TABLET 0 10 10 10 20 10

OBAT TAMBAHAN
10
20 60 8 10 20
0 0
0 0
0 139
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
20 0
0 0
178 -178
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 0 10 10 10 10

10 20 10
10 10 10 10 10 6
0 0
80 -80
0 0
0 0
86 -86
0 0
10 -10
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
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 10 10
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 20 30 10

10 4
1 1
20
10 10
0 0
0 0
34 -34
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -2
0 0
0 0
0 0
0 0
80 -80
40 -40
0 0
0 0
0 0
63 METFORMIN (BLUD) TABLET 0 60 20

1 1
10 20 20 19
10 10 6 10 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 -2
0 0
0 0
0 0
149 -149
0 0
0 0
0 0
0 0
0 0
76 -76
0 0
0 0
92 0 0
93 0 0
10
0 0
10 -10
0 0
0 0
0 0
0 0
0 0
16 -16
0 0
0 0
20 -20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN
143 KLOBAZAM 10 MG TABLET TABLET -46

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG
233 SIMVASTATIN TABLET 10 MG TABLET -3

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

15 AMPUL 0
ML

REGISTER HARIAN
RESEP
24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67
PEMAKAIAN SISA STOK
68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
0 3
0 0
0 0
0 40
0 0
0 3
0 6
0 69
0 0
0 0
0 0
0 0
0 1,342
0 0
0 -10

19 BOTOL 16
60 ML

22 BOTOL 0
250MG/5ML
23 VIAL 0
MG/VIAL
24 TABLET 0
(METAMIZOL)

27 POT 29
5 GR
28 POT 11
30 GR

30 TABLET 0
KOMBINASI
31 TABLET 0
(DORMICOMP)
32 BOTOL 0
PIROGEN 20 ML
33 TABLET 2,515
MG

36 AMPUL 0
INJEKSI

38 TABLET -40
DEPAKOTE ER
0 0
0 0
0 16
0 0
0 -544
0 0
0 0
0 0
0 0
0 18
0 29
0 11
0 1
0 0
0 0
0 0
0 2,515
0 0
0 0
0 0
0 0
0 -40

45 AMPUL 0
ML

52 TABLET 80
(CONCOR)

59 AMPUL 0
ML

0 0
0 0
0 0
0 65
0 7
0 102
0 0
0 0
0 58
0 29
0 0
0 17
0 0
0 80
0 0
0 -1
0 0
0 0
0 0
0 12
0 0
0 0

63 TUBE 1
2,5ML-STESOLID

66 AMPUL 0
MG/ML 1 ML

72 TUBE 17
SALEP 15 GR
73 AMPUL 0
ML

75 BOTOL 0
MG/5ML

77 BOTOL 0
300 ML

82 AMPUL 0
ML
0 0
0 -10
0 1
0 229
0 317
0 0
0 0
0 0
0 0
0 0
0 631
0 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
84 BOTOL 14
5 ML
85 AMPUL 0
MG/ML 1 ML
86 TABLET 50
SALUT 10 MG
87 AMPUL 0
2MG/ML
88 AMPUL 0
MG 1 ML

100 VIAL 0

0 0
0 14
0 0
0 50
0 0
0 0
0 0
0 262
0 500
0 41
0 -2
0 0
0 0
0 0
0 0
0 0
0 19
0 0
0 0
0 0
0 0
0 -30
106 AMPUL 0
(LODOMER)

110 BOTOL 0

114 PCS 0
PORT
115 PCS 49
PORT
116 PCS 30
PORT
117 PCS 0
PORT
118 PCS 0
PORT
119 PCS 0
PORT

121 BOTOL 0
ML

125 TABLET 0
MG
126 KAEN 3B BOTOL 0

0 0
0 0
0 273
0 72
0 13
0 0
0 0
0 24
0 450
0 0
0 49
0 30
0 0
0 0
0 0
0 0
0 0
0 224
0 0
0 9
0 0
0 0
128 AMPUL 0
MG/ML 10 ML
129 TABLET 2,366
MG

135 ROL 0
STRIL
136 ROL -1
CM

139 PCS 0
DIRESAPI FRAMISETIN

147 BOTOL 0
ML

0 0
0 0
0 2,366
0 0
0 0
0 600
0 430
0 0
0 0
0 -1
0 4
0 10
0 0
0 303
0 0
0 0
0 -46
0 106
0 0
0 0
0 0
0 0
149 TABLET 3,035
TABLET 4 MG
150 AMPUL 0
MG/ML 1 ML
151 AMPUL 0
MG/ML 1 ML

165 AMPUL 0
25 ML

170 AMPUL 0
MG/2ML
0 3,035
0 0
0 0
0 311
0 125
0 170
0 34
0 0
0 0
0 0
0 0
0 20
0 0
0 76
0 0
0 80
0 0
0 0
0 0
0 0
0 0
0 0
172 AMPUL 15
0,200 MG 1 ML
173 TABLET 110
0,125 MG

177 AMPUL 0
5 MG/ML 2 ML

179 VIAL 0
(PROVAGIN) OVULA

182 BOTOL 0
ML

190 BOTOL 0
ML

0 7
0 15
0 110
0 1
0 0
0 260
0 0
0 0
0 0
0 0
0 350
0 0
0 1
0 0
0 3
0 3
0 0
0 150
0 65
0 0
0 0
0 0
193 TUBE 0
GR
194 TUBE 0
GR

198 BOTOL 5
ML

200 BOTOL 0
ML

214 BOTOL 10
STERIL
0 0
0 0
0 72
0 0
0 0
0 5
0 2,334
0 0
0 602
0 0
0 0
0 17
0 0
0 0
0 271
0 0
0 0
0 -103
0 245
0 0
0 260
0 10

227 VIAL 2
INJ.5 ML (ABU I)
228 VIAL 6
IU/AMP (ATS)

230 AMPUL 0
500 MCG/ML 1 ML
231 TABLET 809
50 MCG

0 0
0 1,074
0 12
0 0
0 0
0 -1
0 0
0 -1
0 3
0 -7
0 -4
0 0
0 2
0 6
0 0
0 0
0 809
0 25
0 -3
0 0
0 0
0 0
237 BOTOL 0
15 % 5 ML
238 PCS 0

241 TABLET 658
TABLET 50 MG
242 PCS 0
INJECTION

244 TABLET -80
TABLET 2 MG

246 BOTOL 0
ML

248 TABLET 461
PSEUDOEPHEDRINE)

0 0
0 0
0 0
0 33
0 658
0 0
0 5
0 -80
0 2,217
0 0
0 0
0 461
0 334
0 1,140
0 52
0 13
0 5
0 0
0 0
0 0
0 0
0 0

264 BOX 0
PARACETAMOL 500 MG)


OBAT TAMBAHAN
0 0
0 0
0 139
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
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
92 0 0
93 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
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
Yang Menerima,
Puskesmas

NIP.
0 0
0 0
0 0
0 0
0 0
0 0
0 0


NIP.
1 2 3 4 5 6 7 8 9 10 11 12 13 14
1 2 WAY FOLEY CATHETER NO.16 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 ACETYLCYSTEINE CAPSULE 200 MG CAPSULE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 40 40 0 37 37 37 37 37 35 35 39 39 39 39 39
6 ALAT SUNTIK SEKALI PAKAI 10 ML PCS 0 0 0 0 0 0 0 0 0 0 -5 -5 -5 -5 -5
10 ALKOHOL SWAB PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 ALLOPURINOL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 ALPRAZOLAM 1 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 AMBROXOL SIRUP 5MG/ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 AMBROXOL TABLET 30 MG TABLET 1,342 1,499 23 1,476 1,472 1,452 1,422 1,422 1,412 1,412 1,392 1,392 1,392 1,392 1,392
15
ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 AMITRIPTYLLINE HCL TABLET 25 MG TABLET -10 0 0 0 0 0 0 0 -10 -10 -10 -10 -10 -10 -10
REGISTER HARIAN
TANGGAL
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
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
39 39 39 37 34 34 34 40 40 40 40 40 40 40 40 40 40
-5 -5 -5 -5 -5 -5 -5 0 0 0 0 0 0 0 0 0 0
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
13 13 13 10 6 6 6 6 6 6 6 6 6 6 6 6 6
73 73 73 72 69 69 69 69 69 69 69 69 69 69 69 69 69
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
1,392 1,392 1,392 1,382 1,372 1,352 1,352 1,352 1,342 1,342 1,342 1,342 1,342 1,342 1,342 1,342 1,342
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10
PEMAKAIAN SISA STOK
49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
0 0
90 -87
0 0
0 0
1,146 -1,106
-60 60
90 -87
371 -365
2,175 -2,106
0 0
0 0
0 0
0 0
41,614 -40,272
0 0
-240 230
17 AMLODIPINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 AMLODIPINE TABLET 5 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

19
60 ML
BOTOL 16 23 0 23 22 21 19 19 19 18 18 18 18 18 18
20 AMOKSISILIN SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 AMOKSISILIN TABLET 500 MG KAPLET -544 759 69 634 596 531 481 481 401 356 258 193 74 24 24
22
250MG/5ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23
MG/VIAL
VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24
(METAMIZOL)
TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
26 ANTASIDA SUSPENSI 60 ML BOTOL 18 20 0 20 20 20 20 20 20 20 20 20 20 20 20

27
5 GR
POT 29 31 0 31 31 31 31 31 31 31 31 31 31 31 31
28
30 GR
POT 11 11 0 11 11 11 11 11 11 11 11 11 11 11 11
29 ANTI HAEMOROID DOEN KOMBINASI SUPP. 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1

30
KOMBINASI
TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31
(DORMICOMP)
TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32
PIROGEN 20 ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33
MG
TABLET 2,515 ### 354 ### ### ### 3,901 3,901 3,815 ### 3,370 3,269 ### 3,190 3,190
34 ASAM FOLAT 1MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 ASAM MEFENAMAT TABLET 500 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

36
INJEKSI
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

38
DEPAKOTE ER
TABLET -40 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
18 18 18 17 17 17 17 16 16 16 16 16 16 16 16 16 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-36 -152 -182 -282 -373 -383 -383 -423 -473 -544 -544 -544 -544 -544 -544 -544 -544
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
20 20 20 18 18 18 18 18 18 18 18 18 18 18 18 18 18
31 31 31 30 30 30 30 30 29 29 29 29 29 29 29 29 29
11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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
### ### 2,799 2,731 2,678 2,628 2,628 ### ### 2,515 2,515 2,515 2,515 2,515 2,515 2,515 2,515
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 -40 -40 -40 -40 -40 -40 -40 -40 -40 -40
0 0
0 0
536 -520
0 0
-2,158 1,614
0 0
0 0
0 0
0 0
572 -554
907 -878
330 -319
30 -29
0 0
0 0
0 0
92,784 -90,269
0 0
0 0
0 0
0 0
-400 360
39 ASEPTAN 500CC + PUMP BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 ASEPTIC GEL 500CC + DISPENSER BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 ASERING (ASETAT RINGER) SOFT BAG BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 ASETOSAL TABLET 100 (80) MG TABLET 65 80 0 80 80 80 65 65 65 65 65 65 65 65 65
43 ASIKLOVIR KREAM 5 % 5 GR TUBE 7 9 0 8 8 8 8 8 8 8 8 8 8 8 8
44 ASIKLOVIR TABLET 400 MG TABLET 102 114 0 102 102 102 102 102 102 102 102 102 102 102 102
45
ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 ATTAPULGIT + PECTIN TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 BETAHISTINMESILAT 6 MG TABLET TABLET 58 147 0 137 137 125 119 119 113 113 93 83 83 83 83
48 BETAMETHASONE CREAM 0,1 % 5 GR TUBE 29 39 1 38 37 37 35 35 35 35 35 34 33 33 33
49 BISAKODIL TABLET 5 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 BISAKODIL SUPPOSITORIA 10 MG SUPP. 17 20 0 20 20 17 17 17 17 17 17 17 17 17 17
51 BISAKODIL SUPPOSITORIA 5 MG SUPP. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

52
(CONCOR)
TABLET 80 80 0 80 80 80 80 80 80 80 80 80 80 80 80
53 BISOPROLOL 5 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 CAT GUT NO. 3/0 CHROMIC PCS -1 4 0 3 3 3 3 3 3 3 3 3 3 3 3
55 CAT GUT NO. 3/0 PLAIN PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 CITICHOLIN 250 MG/ML-2ML INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 CLONIDINE 0.15 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 COMBIVENT UDV INHALASI VIAL 12 12 0 12 12 12 12 12 12 12 12 12 12 12 12

59
ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 DEKSAMETHASONE TABLET 0,5 MG TABLET 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
65 65 65 65 65 65 65 65 65 65 65 65 65 65 65 65 65
8 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
102 102 102 102 102 102 102 102 102 102 102 102 102 102 102 102 102
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
74 74 74 74 74 74 74 74 64 58 58 58 58 58 58 58 58
32 31 31 31 31 31 31 29 29 29 29 29 29 29 29 29 29
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 2 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
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
12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
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
2,010 -1,945
225 -218
3,072 -2,970
0 0
0 0
2,555 -2,497
968 -939
0 0
519 -502
0 0
2,400 -2,320
0 0
38 -39
0 0
0 0
0 0
360 -348
0 0
0 0
61 DEVITALISASI PASTA ( NON ARSEN ) POT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 DIAZEPAM INJEKSI 5 MG/ML 2 ML AMPUL -10 0 0 0 0 0 0 0 0 0 0 0 0 0 0

63
2,5ML-STESOLID
TUBE 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1
64 DIAZEPAM TABLET 2 MG TABLET 229 324 0 324 324 324 324 324 314 314 314 314 284 284 284
65 DIAZEPAM TABLET 5 MG TABLET 317 317 0 317 317 317 317 317 317 317 317 317 317 317 317
66
MG/ML 1 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 DIGOXIN TABLET 0,25 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 DIMENHYDRINATE TABLET 50 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 DOKSISIKLIN TABLET 100 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 DOMPERIDON SUSPENSI 5MG/ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 DOMPERIDON TABLET 10 MG TABLET 631 1,000 76 894 838 818 818 818 798 792 752 746 746 736 736
72
SALEP 15 GR
TUBE 17 21 1 20 20 20 20 20 20 20 20 19 19 18 18
73
ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 ERITROMISIN KAPSUL 250 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

75
MG/5ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 ERITROMISIN TABLET 500 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

77
300 ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 ETANOL [ ALKOHOL ] 70 % 1000 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 ETIL KLORIDA SEMPROT 100 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 EUGENOL CAIRAN 10 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 FENITOIN NATRIUM TABLET 100 MG KAPSUL 40 100 0 100 100 100 100 100 100 100 100 100 100 40 40
82
ML
AMPUL 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
-10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10 -10
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
284 284 284 284 284 284 284 259 229 229 229 229 229 229 229 229 229
317 317 317 317 317 317 317 317 317 317 317 317 317 317 317 317 317
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
718 683 663 659 657 657 657 651 641 631 631 631 631 631 631 631 631
17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17
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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 40 40 40 40 40 40 40 40 40 40 40 40 40 40 40 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
-170 160
30 -29
8,360 -8,131
9,510 -9,193
0 0
0 0
0 0
0 0
0 0
21,602 -20,971
545 -528
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1,860 -1,820
0 0
83 FENOBARBITAL TABLET 30 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84
5 ML
BOTOL 14 19 2 17 17 17 17 17 17 17 16 16 16 16 16
85
MG/ML 1 ML
AMPUL 0 4 0 3 3 3 3 3 2 2 2 2 1 1 1
86
SALUT 10 MG
TABLET 50 50 0 50 50 50 50 50 50 50 50 50 50 50 50
87
2MG/ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88
MG 1 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 FUROSEMID INJEKSI 10 mg VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 FUROSEMID TABLET 40 MG TABLET 262 396 0 396 356 346 336 336 326 322 322 322 322 312 312
91 GEMFIBROZIL 300 MG KAPSUL KAPSUL 500 500 0 500 500 500 500 500 500 500 500 500 500 500 500
92 GENTAMISIN SALEP KULIT 0,1 % 5 GR TUBE 41 54 1 53 53 53 52 52 51 48 48 47 47 47 47
93 GENTAMISIN SALEP MATA 0,3% TUBE -2 0 1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
94 GENTAMISIN TETES MATA 0,3% BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 GLASS IONOMER CEMENT ( GC IX ) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 GLIBENCLAMIDE TABLET 5 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 GLICERIL GUAIACOLAT TABLET 100 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 GLIMEPIRIDE 1 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 GLIMEPIRIDE 2 MG TABLET TABLET 19 159 40 119 29 29 29 29 29 29 29 29 29 29 29

100
VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 GLUKOSA LARUTAN INFUS 10 % STERIL BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 GLUKOSA LARUTAN INFUS 5 % STERIL BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 GRISEOFULVIN TABLET 125 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 HALOPERIDOL 2 MG TABLET -30 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
16 16 16 16 16 16 16 15 14 14 14 14 14 14 14 14 14
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50 50
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
302 302 292 272 262 262 262 262 262 262 262 262 262 262 262 262 262
500 500 500 500 500 500 500 500 500 500 500 500 500 500 500 500 500
47 46 46 46 45 45 45 43 43 41 41 41 41 41 41 41 41
-1 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2 -2
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
29 29 29 29 29 29 29 29 29 19 19 19 19 19 19 19 19
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 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30 -30
0 0
473 -459
32 -32
1,500 -1,450
0 0
0 0
0 0
8,978 -8,716
15,000 -14,500
1,387 -1,346
-44 42
0 0
0 0
0 0
0 0
0 0
1,050 -1,031
0 0
0 0
0 0
0 0
-450 420
105 HALOPERIDOL DEKANOAT INJ 50 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106
(LODOMER)
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 HALOPERIDOL TABLET 1,5 MG TABLET 273 383 60 323 323 323 323 323 323 323 323 323 323 323 323
108 HALOPERIDOL TABLET 5 MG TABLET 72 205 0 205 205 205 205 205 205 202 202 202 172 172 172
109 HERBAKOF SYRUP 60ML BOTOL 13 40 5 34 33 31 31 31 30 30 30 30 26 26 26

110
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 HIDROCORTISON CR 1% TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 HIDROCORTISONE CREAM 2,5 % 5 GR TUBE 24 26 0 26 26 26 26 26 26 25 25 25 25 25 25
113 HYDROCHLORTHIAZIDE 25 MG TABLET 450 465 0 465 465 465 450 450 450 450 450 450 450 450 450
114
PORT
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115
PORT
PCS 49 53 0 53 53 53 53 53 53 53 52 52 51 51 51
116
PORT
PCS 30 30 0 30 30 30 30 30 30 30 30 30 30 30 30
117
PORT
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118
PORT
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119
PORT
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 IBUPROFEN FORTE SYRUP 200MG/5ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

121
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 IBUPROFEN TABLET 400 MG TABLET 224 490 10 440 440 440 440 440 420 408 390 390 360 340 340
123 INFUSION SET ANAK PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 INFUSION SET DEWASA PCS 9 13 0 13 13 13 13 13 13 13 12 12 11 11 11

125
MG
TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 KAEN 3B BOTOL 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
313 313 303 303 303 303 303 303 273 273 273 273 273 273 273 273 273
157 157 157 157 157 157 157 72 72 72 72 72 72 72 72 72 72
24 23 21 21 18 15 15 14 14 13 13 13 13 13 13 13 13
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
25 25 25 25 25 25 25 25 25 24 24 24 24 24 24 24 24
450 450 450 450 450 450 450 450 450 450 450 450 450 450 450 450 450
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 51 51 51 49 49 49 49 49 49 49 49 49 49 49 49 49
30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
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
320 314 294 284 274 274 274 244 234 224 224 224 224 224 224 224 224
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 11 11 11 9 9 9 9 9 9 9 9 9 9 9 9 9
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
9,220 -8,947
4,376 -4,304
672 -659
0 0
0 0
749 -725
13,560 -13,110
0 0
1,522 -1,473
900 -870
0 0
0 0
0 0
0 0
0 0
9,652 -9,428
0 0
322 -313
0 0
0 0
127 KALIUM DIKLOFENAK 50 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128
MG/ML 10 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129
MG
TABLET 2,366 3,714 333 3,231 3,201 3,141 3,121 3,121 3,091 ### 2,797 2,697 2,687 2,687 2,687
130 KANTONG URINE DEWASA PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 KAPAS PEMBALUT/ABSORBEN 250 GR BKS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 KAPTOPRIL TABLET 25 MG TABLET 600 667 11 656 646 630 630 630 630 620 620 620 620 620 620
133 KARBAMAZEPIN TABLET 200 MG TABLET 430 430 0 430 430 430 430 430 430 430 430 430 430 430 430
134 KASA KOMPRES 40/40 STERIL BKS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

135
STRIL
ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136
CM
ROL -1 0 0 0 0 0 0 0 -1 -1 -1 -1 -1 -1 -1
137 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 4 4 0 4 4 4 4 4 4 4 4 4 4 4 4
138 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 10 10 0 10 10 10 10 10 10 10 10 10 10 10 10

139
DIRESAPI FRAMISETIN
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
140 KETOKONAZOLE TABLET 200 MG TABLET 303 333 0 323 323 323 323 323 323 323 323 323 323 323 323
141 KLINDAMISIN KAPSUL 150 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 KLINDAMISIN KAPSUL 300 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 KLOBAZAM 10 MG TABLET TABLET -46 64 0 64 64 64 64 64 64 64 64 64 64 34 34
144 KLORAMFENIKOL KAPSUL 500 MG KAPSUL 106 133 0 133 133 133 123 123 123 123 123 123 122 122 122
145 KLORAMFENIKOL SALEP KULIT 2 % TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
146 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

147
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 KLORAMFENIKOL TETES TELINGA 3 % BOTOL 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
2,637 2,577 2,521 2,511 2,481 2,481 2,481 ### 2,389 2,366 2,366 2,366 2,366 2,366 2,366 2,366 2,366
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
610 610 600 600 600 600 600 600 600 600 600 600 600 600 600 600 600
430 430 430 430 430 430 430 430 430 430 430 430 430 430 430 430 430
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 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 303 303 303 303 303 303 303 303 303 303 303 303 303 303 303 303
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
34 34 34 34 34 34 34 14 14 -46 -46 -46 -46 -46 -46 -46 -46
112 106 106 106 106 106 106 106 106 106 106 106 106 106 106 106 106
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
80,808 -78,442
0 0
0 0
18,440 -17,840
12,900 -12,470
0 0
0 0
-24 23
120 -116
300 -290
0 0
9,370 -9,067
0 0
0 0
670 -716
3,444 -3,338
0 0
0 0
0 0
0 0
149
TABLET 4 MG
TABLET 3,035 3,693 22 ### ### 3,616 3,610 3,610 ### 3,518 ### ### 3,441 ### ###
150
MG/ML 1 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151
MG/ML 1 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 KLORPROMAZIN HCL TABLET 100 MG TABLET 311 554 0 554 554 554 554 554 554 521 521 521 491 491 491
153 KLOZAPIN 100 MG TABLET TABLET 125 235 30 205 205 205 205 205 205 205 205 205 175 175 175
154 KLOZAPIN 25 MG TABLET TABLET 170 170 0 170 170 170 170 170 170 170 170 170 170 170 170
155 KODEIN HCL TABLET 10 MG TABLET 34 34 0 34 34 34 34 34 34 34 34 34 34 34 34
156 KOTRIMOKSAZOL DEWASA TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 KOTRIMOKSAZOL SUSPENSI 60 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 LEVOFLOXACIN TABLET 500 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 LIDOCAIN 2% INJ AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 LIDOCAIN COMPOSITUM INJEKSI 2 ML AMPUL 20 30 0 30 30 30 30 30 28 28 26 26 26 26 26
161 LISOL CONCENTRATE 1000 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
162 LOPERAMIDE TABLET 2 MG TABLET 76 84 0 84 84 84 84 84 84 84 84 84 84 84 84
163 LORATADIN TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 LORAZEPAM 2 MG TABLET 80 80 0 80 80 80 80 80 80 80 80 80 80 80 80

165
25 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 MASKER EARLOOP PLUS PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 MASKER KERTAS 3 PLY EAR LOOP PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 MASKER KERTAS 3 PLY TIE ON PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

170
MG/2ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
### 3,337 3,315 ### ### 3,214 3,214 3,180 3,060 ### ### ### ### ### ### ### ###
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
461 461 356 356 356 356 356 341 341 311 311 311 311 311 311 311 311
175 175 125 125 125 125 125 125 125 125 125 125 125 125 125 125 125
170 170 170 170 170 170 170 170 170 170 170 170 170 170 170 170 170
34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34 34
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
26 26 26 24 20 20 20 20 20 20 20 20 20 20 20 20 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 84 84 84 84 84 84 76 76 76 76 76 76 76 76 76 76
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80
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
99,611 -96,576
0 0
0 0
12,786 -12,475
4,860 -4,735
5,100 -4,930
1,020 -986
0 0
0 0
0 0
0 0
728 -708
0 0
2,440 -2,364
0 0
2,400 -2,320
0 0
0 0
0 0
0 0
0 0
0 0
171 METFORMIN TABLET 500 MG TABLET 7 137 130 7 7 7 7 7 7 7 7 7 7 7 7
172
0,200 MG 1 ML
AMPUL 15 23 0 23 23 23 23 23 18 18 16 16 16 16 16
173
0,125 MG
TABLET 110 203 0 193 193 193 193 193 177 177 147 147 137 137 137
174 METILPREDNISOLON TABLET 4 MG TABLET 1 30 19 11 11 11 11 11 11 11 11 1 1 1 1
175 METOKLOPRAMIDE 10 MG TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 METOKLOPRAMIDE 5 MG TABLET TABLET 260 280 0 280 280 280 280 280 280 280 280 280 280 280 280
177
5 MG/ML 2 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 METOKLOPROMIDE SIRUP BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

179
(PROVAGIN) OVULA
VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 METRONIDAZOL TABLET 250 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 METRONIDAZOL TABLET 500 MG TABLET 350 430 0 420 420 410 400 400 400 400 400 390 370 370 370
182
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 MIKONAZOL KREAM 10 GR TUBE 1 12 0 12 12 11 9 9 9 9 9 9 8 8 8
184 NATRIUM DIKLOFENAK TABLET 25 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 3 189 38 65 39 13 13 13 3 3 3 3 3 3 3
186 NATRIUM KLORIDA INFUS 0,9 % STERIL BOTOL 3 3 0 3 3 3 3 3 3 3 3 3 3 3 3
187 NIFEDIPINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 NISTATIN TABLET 500.000 UI TABLET 150 150 0 150 150 150 150 150 150 150 150 150 150 150 150
189 NISTATIN VAGINAL TABLET 100.000 UI VAGTAB 65 95 0 95 95 90 80 80 80 80 80 80 65 65 65

190
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 OKSIGEN NASAL CANNULA ADULT PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
192 OKSIGEN NASAL CANNULA INFANT PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
16 16 16 15 15 15 15 15 15 15 15 15 15 15 15 15 15
137 137 132 122 110 110 110 110 110 110 110 110 110 110 110 110 110
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
280 280 280 280 280 280 280 260 260 260 260 260 260 260 260 260 260
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 370 370 360 360 360 360 350 350 350 350 350 350 350 350 350 350
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 6 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 150 150 150 150 150 150 150 150 150 150 150 150 150 150 150 150
65 65 65 65 65 65 65 65 65 65 65 65 65 65 65 65 65
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
470 -463
512 -497
4,185 -4,075
158 -157
0 0
8,200 -7,940
0 0
0 0
0 0
0 0
11,230 -10,880
0 0
156 -155
0 0
442 -439
90 -87
0 0
4,500 -4,350
2,155 -2,090
0 0
0 0
0 0
193
GR
TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194
GR
TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 OKSITOSIN INJEKSI 10 IU/ML 1 ML AMPUL 72 88 0 87 87 87 87 87 82 82 80 80 79 79 79
196 OMEPRAZOLE TABLET 20 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 ONDANSENTRON 4 MG/2 ML INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

198
ML
BOTOL 5 24 0 23 22 21 18 18 18 17 17 17 17 17 17
199 PARACETAMOL TABLET 500 MG TABLET 2,334 4,621 136 ### 4,219 4,130 3,999 3,999 3,871 ### 3,639 3,591 3,471 ### ###
200
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 PEHAVRAL TABLET TABLET 602 1,217 53 1,075 1,026 970 931 931 891 852 814 790 780 751 751
202 PERAK SULFADIAZIN KRIM 1 % TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 PERHYDROL [ H2O2 ] 3 % 800 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 PERMETHRINE 5% CR 15 GRAM TUBE 17 20 0 20 20 20 20 20 20 20 20 20 20 20 20
205 PIRACETAM TABLET 800 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 PIRANTEL PAMOAT TABLET TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 PIRIDOKSIN HCL (VIT B6) TABLET 10 MG TABLET 271 1,234 50 1,158 1,112 1,082 1,036 1,036 966 882 824 804 778 758 758
208 PIROKSIKAM KAPSUL 10 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 PLESTER 10 CM X 2 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 PREDNISON TABLET 5 MG TABLET -103 127 66 58 58 58 58 58 58 -26 -26 -26 -26 -26 -26
211 PROPRANOLOL HCL TABLET 40 MG TABLET 245 245 0 245 245 245 245 245 245 245 245 245 245 245 245
212 RANITIDIN INJEKSI 25 MG/ ML AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 RISPERIDON 2 MG TABLET TABLET 260 485 0 485 485 485 485 485 485 425 425 425 365 365 365
214
STERIL
BOTOL 10 15 0 15 15 15 15 15 15 15 12 12 12 12 12
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
79 79 77 75 72 72 72 72 72 72 72 72 72 72 72 72 72
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
7 7 7 6 6 6 6 5 5 5 5 5 5 5 5 5 5
3,297 3,105 ### 2,893 2,781 2,722 2,722 2,661 ### ### ### ### ### ### ### ### ###
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
724 690 681 670 657 647 647 643 627 602 602 602 602 602 602 602 602
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
20 19 19 19 19 19 19 19 17 17 17 17 17 17 17 17 17
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
673 637 597 581 555 555 555 439 331 271 271 271 271 271 271 271 271
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
-30 -30 -30 -32 -32 -32 -32 -35 -103 -103 -103 -103 -103 -103 -103 -103 -103
245 245 245 245 245 245 245 245 245 245 245 245 245 245 245 245 245
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
320 320 275 275 275 275 275 275 275 260 260 260 260 260 260 260 260
12 12 12 12 10 10 10 10 10 10 10 10 10 10 10 10 10
0 0
0 0
2,330 -2,258
0 0
0 0
341 -336
95,028 -92,694
0 0
22,634 -22,032
0 0
0 0
566 -549
0 0
0 0
19,569 -19,298
0 0
0 0
-795 692
7,350 -7,105
0 0
10,410 -10,150
358 -348
215 SALBUTAMOL TABLET 2 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
216 SALBUTAMOL TABLET 4 MG TABLET 1,074 1,229 2 1,227 1,217 1,174 1,174 1,174 1,174 1,164 1,144 1,134 1,134 1,134 1,134
217 SALEP 2-4 KOMBINASI 30 GR POT 12 12 0 12 12 12 12 12 12 12 12 12 12 12 12
218 SALICYL BEDAK 2 % KOTAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 SARUNG TANGAM NON STERIL L PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 SARUNG TANGAN NON STERIL M PCS -1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 SARUNG TANGAN NON STERIL S PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 SARUNG TANGAN STERIL NO 6 PSG -1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 SARUNG TANGAN STERIL NO. 7,5 PSG 3 5 0 5 5 5 5 5 5 5 5 5 5 5 5
224 SARUNG TANGAN STERILE NO.6,5 PSG -7 0 0 0 0 0 0 0 0 0 0 0 -3 -3 -3
225 SARUNG TANGAN STERILE NO.7 PSG -4 0 0 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4
226 SEFADROKSIL KAPSUL 500 MG KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

227
INJ.5 ML (ABU I)
VIAL 2 2 0 2 2 2 2 2 2 2 2 2 2 2 2
228
IU/AMP (ATS)
VIAL 6 8 0 8 8 8 8 8 8 8 8 8 8 8 8
229 SETIRIZINE TABLET 10 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

230
500 MCG/ML 1 ML
AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231
50 MCG
TABLET 809 1,000 0 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000
232 SILK (BENANG BEDAH SUTERA) NO.3/0 PCS 25 25 0 25 25 25 25 25 25 25 25 25 25 25 25
233 SIMVASTATIN TABLET 10 MG TABLET -3 655 20 605 565 555 475 475 475 455 445 425 377 367 367
234 SIPROFLOXACIN INFUS 2% BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 SIPROFLOXACIN TABLET 500 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
236 SPONS GELATIN CUBICLES 1x1x1 CM PCS 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
1,124 1,124 1,114 1,114 1,104 1,074 1,074 1,074 1,074 1,074 1,074 1,074 1,074 1,074 1,074 1,074 1,074
12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12
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 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3
-3 -3 -3 -3 -7 -7 -7 -7 -7 -7 -7 -7 -7 -7 -7 -7 -7
-4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4 -4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
8 8 8 7 6 6 6 6 6 6 6 6 6 6 6 6 6
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
1,000 1,000 1,000 970 957 957 957 869 859 809 809 809 809 809 809 809 809
25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25 25
337 252 212 182 172 142 142 92 27 -3 -3 -3 -3 -3 -3 -3 -3
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
33,683 -32,609
360 -348
0 0
0 0
-15 14
0 0
-13 12
124 -121
-112 105
-116 112
0 0
60 -58
213 -207
0 0
0 0
28,041 -27,232
750 -725
7,795 -7,798
0 0
0 0
0 0
237
15 % 5 ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 TETRAKAIN HCL TETES MATA 5 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 TETRASIKLIN HCL TABLET 500 MG KAPSUL 33 33 0 33 33 33 33 33 33 33 33 33 33 33 33

241
TABLET 50 MG
TABLET 658 990 10 980 980 980 980 980 980 980 970 970 960 944 944
242
INJECTION
PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 TRIFLOUPERASIN TABLET 5 MG TABLET 5 5 0 5 5 5 5 5 5 5 5 5 5 5 5

244
TABLET 2 MG
TABLET -80 190 0 190 190 190 190 190 190 160 160 160 100 100 100
245 VITAMIN B COMPLEX TABLET TABLET 2,217 2,227 0 2,227 2,227 2,227 2,227 2,227 2,227 2,217 2,217 2,217 2,217 2,217 2,217
246
ML
BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
247 YODIUM POVIDON LARUTAN 10% 60 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

248
PSEUDOEPHEDRINE)
TABLET 461 481 0 481 481 481 481 481 481 481 471 461 461 461 461
249 ZINK 20 MG TABLET TABLET 334 395 0 385 385 385 385 385 385 385 375 375 375 375 375
250 ALPARA TABLET TABLET 1,140 1,451 20 1,401 1,391 1,371 1,371 1,371 1,361 1,341 1,311 1,271 1,251 1,231 1,231
251 ALPARA SYRUP BOTOL 52 60 1 59 58 58 58 58 58 57 56 56 56 56 56
252 CURLYSINE SIRUP BOTOL 13 26 0 24 24 24 22 22 21 20 20 20 20 19 19
253 BUFACOMB CREAM TUBE 5 7 0 7 7 7 7 7 7 7 7 7 7 7 7
254 SARUNG TANGAN STERIL S PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
255 SARUNG TANGAN STERIL M PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
256 SARUNG TANGAN STERIL L PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 SUPRAFENID SUPP BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 FASFIT D 1000 IU TABLET 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
33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33
924 854 824 824 804 804 804 779 723 658 658 658 658 658 658 658 658
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
10 10 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80 -80
2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217 2,217
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
461 461 461 461 461 461 461 461 461 461 461 461 461 461 461 461 461
375 375 375 359 354 344 344 344 344 334 334 334 334 334 334 334 334
1,210 1,210 1,200 1,200 1,200 1,190 1,190 1,180 1,150 1,140 1,140 1,140 1,140 1,140 1,140 1,140 1,140
55 55 55 55 55 55 55 52 52 52 52 52 52 52 52 52 52
17 16 16 15 15 15 15 13 13 13 13 13 13 13 13 13 13
7 7 7 7 6 6 6 5 5 5 5 5 5 5 5 5 5
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
990 -957
25,252 -24,594
0 0
150 -145
930 -1,010
66,580 -64,363
0 0
0 0
14,000 -13,539
10,851 -10,517
37,223 -36,083
1,652 -1,600
520 -507
187 -182
0 0
0 0
0 0
0 0
0 0
259 POLIFIX PLESTER PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 LEUKOPLAST PLESTER PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 LISINOPRIL 5 MG TABLET 139 354 20 314 304 304 304 304 274 274 244 244 244 244 244
262 HERBA ASIMOR BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 LYTACUR SYRUP 60 ML BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

264
BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 TRIPROLIDINE HCL 30 MG, BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PARACETAMOL 500 MG)
266 IMIBOND F (ZINC PHOSPHATE) BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
267 NOVA COMPO C BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
268 NOVA COMPO B PLUS BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
269 PARAMONOCLOROFENOL BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
270 TRICRESOLFORMALINA BOX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 ATTAQUE GEL PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
272 XIMEX (OPTIXITROL) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 RANITIDIN TABLET 150 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

274 PYRIDOXIBE 100 MG, TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 ZINC SYRUP 20 MG/5MG BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 SILK (BENANG BEDAH SUTERA) NO.2/0 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 ALLOPURINOL (BLUD) TABLET 0 53 20 2 2 2 -8 -8 -8 -8 -18 -28 -46 -46 -46
2 AMBROXOL TABLET 30 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 AMLODIPINE 5MG (BLUD) TABLET 0 366 26 4 -16 -36 -86 -86 -106 -119 -124 -130 -175 -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
234 214 214 174 164 154 154 154 139 139 139 139 139 139 139 139 139
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 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 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
OBAT TAMBAHAN
-56 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
-400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
0 0
6,385 -6,246
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
-1,282 1,282
4 AMLODIPINE 10 MG (BLUD) TABLET 0 0 50 -53 -183 -209 -294 -294 -354 -394 -474 -559 -579 -589 -589
5 ANTASIDA DOEN TABLET KOMBINASI (BLUD TABLET 0 2,871 70 -73 -112 -151 -180 -180 -282 -302 -362 -382 -382 -402 -402
6 ANTIHEMOROID/BORRAGINOL (BLUD) TABLET 0 0 0 0 0 -3 -3 -3 -9 -9 -9 -9 -9 -9 -9
7 AQUA PRO INJEKSI (BLUD) PIECES 0 0 0 0 0 0 0 0 0 0 -3 -3 -3 -3 -3
8 ASAM MEFENAMAT TABLET 500 MG (BLUD) TABLET 0 2,632 80 -60 -124 -154 -208 -208 -262 -316 -413 -461 -515 -577 -577
9 ASAM TRANEKSAMAT (BLUD) TABLET 0 190 0 0 0 0 0 0 0 0 0 0 0 0 0
10 ASETILSISTEIN (BLUD) KAPSUL 0 0 0 0 -20 -30 -30 -30 -30 -50 -50 -60 -60 -80 -80
11 ASETOSAL TABLET 100 (80) MG (BLUD) TABLET 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0
12 ASIKLOVIR SALEP KULIT (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 ASIKLOVIR TABLET (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 BATUK FLU SIRUP/ ETAFLUSIN (BLUD) SIRUP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 BATUK FLU TABLET/ETAFLUSIN (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 BEDAK SALISIL (BLUD) SACHET 0 9 0 -1 -1 -1 -1 -1 -1 -1 -1 -2 -2 -2 -2
17 BETADINE GARGLE (BLUD) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 BETAHISTIN TABLET (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 BETAMETHASONE SALEP KULIT (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 BIOPLACENTON (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 BISAKODIL TABLET 5 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 BUFACOMB SALEP (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 BUFACORT - N (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 CIPROFLOXACIN (BLUD) TABLET 0 0 10 -29 -29 -29 -29 -29 -29 -29 -29 -39 -49 -49 -49
25 CLINDAMISIN KAPS (BLUD) KAPSUL 0 684 20 -8 -18 -18 -18 -18 -18 -28 -28 -28 -28 -38 -38
-654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-641 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
-80 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
-2 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-5,175 5,175
-747 747
-81 81
-18 18
-1,804 1,804
190 -190
-600 600
120 -120
0 0
0 0
0 0
0 0
-9 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
-467 467
380 -380
26 CTM (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 DARYANTULLE (BLUD) PIECES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 DEKSAMETHASONE TABLET 0,5 MG ((BLUD) TABLET 0 1,138 84 -18 -48 -73 -107 -107 -139 -197 -245 -271 -312 -346 -346
29 DIMENHIDRINATE (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 DOMPERIDONE TABLET 10 MG ( (BLUD)) TABLET 0 416 0 0 0 0 0 0 0 0 0 0 0 0 0
31 DUK LUBANG PIECES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 EPINEFRIN INJEKSI (BLUD) AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 ETIL KLORIDA SPRAY (BLUD) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 FITOMENADION INJ (BLUD) AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 FITOMENADION TABLET (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 FUROSEMIDE TABLET (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 GEMFIBROZIL (BLUD) KAPSUL 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0
39 GENTAMICIN TETES MATA (BLUD) FLASK 0 7 1 1 1 0 0 0 0 -1 -3 -3 -3 -3 -3
40 GENTAMISIN SALEP KULIT /GENOINT (BLUD TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 GENTIAN VIOLET LARUTAN 1 % (BLUD) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 GLIBENCLAMIDE TABLET 5 MG (BLUD) TABLET 0 0 0 -30 -30 -30 -30 -30 -50 -50 -50 -50 -50 -50 -50
43 GLIMEPIRID 1 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 GLIMEPIRIDE 2 MG TABLET (BLUD) TABLET 0 2,962 0 -70 -70 -70 -130 -130 -130 -190 -250 -320 -390 -480 -480
45 GLISERIL GUAIKOLAT/GUAIFENESIN BLUD TABLET 0 1,220 93 -23 -46 -126 -200 -200 -218 -290 -330 -413 -416 -456 -456
46 GLUKOSA INFUS (BLUD) FLASK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 HIDROKORTISON CREAM KULIT (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 HYOSCINE BUTYLBROMIDE (ANTI SPASMOD TABLET 0 238 9 -9 -9 -9 -9 -9 -19 -19 -19 -29 -38 -48 -48
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
-381 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
-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 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
-5 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
-65 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
-645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-500 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
-58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0
0 0
-1,368 1,368
0 0
396 -396
0 0
0 0
0 0
0 0
0 0
0 0
7 -7
-11 11
0 0
0 0
-565 565
0 0
-393 393
-2,361 2,361
0 0
0 0
-76 76
50 HYPAFIX (BLUD) PIECES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 IBUPROFEN 4OO MG (TABLET) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 ISDN (BLUD) TABLET 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0
53 KAOLIN PEKTIN SIRUP (NOVADIAR) BOTOL 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0
54 KAPTOPRIL TABLET 12,5 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 KAPTOPRIL TABLET 25 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 KASSA STERIL 16X16 (BLUD) KOTAK 0 0 0 0 0 0 0 0 -10 -10 -15 -15 -15 -15 -15
57 KETOKONAZOLE TABLET 200MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 KLORAMFENIKOL SIRUP (BLUD) BOTOL 0 20 0 0 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1 -1
59 KLORAMFENIKOL TETES TELINGA (BLUD) BOTOL 0 5 1 -6 -6 -6 -6 -6 -6 -6 -7 -7 -7 -7 -7
60 KOTRIMOKSAZOL TAB (BLUD) TABLET 0 776 12 2 2 -58 -58 -58 -58 -58 -58 -58 -118 -118 -118
61 LOPERAMIDE TABLET 2 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 LORATADINE (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 METFORMIN (BLUD) TABLET 0 0 60 -99 -199 -229 -289 -289 -289 -325 -385 -425 -575 -605 -605
64 METILERGOMETRINE INJ (BLUD) AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 METILPREDNISOLON TABLET 4 MG (BLUD) TABLET 0 115 0 -19 -34 -34 -34 -34 -34 -64 -64 -64 -64 -64 -64
66 METRONIDAZOL (BLUD) TABLET 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0
67 MULTIVITAMIN KOMBINASI TABLET (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 MULTIVITAMIN KOMBINASI SIRUP (BLUD) BOTOL 0 0 0 0 0 0 0 0 0 0 -10 -10 -10 -10 -10
69 NATRIUM DIKLOFENAK 25/50 MG (BLUD) TABLET 0 0 6 -19 -19 -19 -57 -57 -87 -120 -166 -216 -252 -294 -294
70 NEW DIATABS (BLUD) TABLET 0 257 10 1 1 -9 -9 -9 -9 -9 -9 -9 -9 -9 -9
71 NIFEDIPINE TAB (BLUD) TABLET 0 592 0 0 0 0 0 0 0 -20 -20 -20 -20 -20 -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 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
-15 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 0 0 0 0 0 0 0 0
-7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-118 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
-775 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
-64 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
-10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-352 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-9 0 0 0 0 0 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
38 -38
9 -9
0 0
0 0
-110 110
0 0
8 -8
-78 78
-86 86
0 0
0 0
-5,029 5,029
0 0
-522 522
19 -19
0 0
-60 60
-1,946 1,946
170 -170
452 -452
72 OKSITETRASIKLIN SALEP KULIT (BLUD) TUBE 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0
73 OMEPRAZOLE 20MG (BLUD) KAPSUL 0 1,639 4 -19 -49 -69 -69 -69 -99 -105 -105 -115 -115 -115 -115
74 ONDANSETRONE INJEKSI (BLUD) AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 PARACETAMOL TABLET 500 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 PIRACETAM KAPSUL (BLUD) TABLET 0 172 0 0 0 0 0 0 0 0 0 0 0 0 0
77 PIROXICAM (BLUD) TABLET 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0
78 POVIDONE IODINE 60ML (BLUD) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 RANITIDIN TABLET (BLUD) TABLET 0 56 18 -35 -45 -65 -75 -75 -95 -95 -95 -95 -95 -115 -115
80 SALBUTAMOL TABLET 2 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 SEFADROKSIL KAPSUL 500 MG (BLUD) KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 SETERIZIN TABLET (BLUD) TABLET 0 1,560 40 -6 -31 -83 -127 -127 -161 -201 -269 -295 -354 -360 -360
83 SIMVASTATIN 10MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 TIAMFENIKOL KAPSUL (BLUD) KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 VGEL (BLUD) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 VITAMIN B KOMPLEKS (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 VITAMIN B1/THIAMIN (BLUD) TABLET 0 647 0 0 0 0 0 0 0 0 0 0 0 0 0
88 VITAMIN B6/PIRIDOKSIN HCL10 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 VITAMIN C/ASAM ASKORBAT 50 MG (BLUD) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 ZINK SIRUP (PROGRAM) BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 ZIVIT ZINC (PROGRAM) TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 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
-135 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
-115 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
-386 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 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
25 -25
464 -464
0 0
0 0
172 -172
29 -29
0 0
-1,041 1,041
0 0
0 0
-1,160 1,160
0 0
0 0
0 0
0 0
647 -647
0 0
0 0
0 0
0 0
0 0
0 0
94 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 0 0 ### 0 0 0 0 0 0 0 0 0 0 0 0 0
98 0 0 ### 0 0 0 0 0 0 0 0 0 0 0 0 0
99 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
Blitar ,
Kepala Puskesmas
0

NIP. 19691230 201001 2 002
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 0 0 0 0 0 0 0
NIP.
0 0
0 0
0 0
Err:509 Err:509
Err:509 Err:509
Err:509 Err:509
Err:509 Err:509


NIP.

Register Harian Baru 2024 (TGL 24)

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Register Harian Baru 2024 (TGL 24)

Uploaded by

Copyright:

Available Formats

UPT PUSKESMAS SANANKULON

LIDIAN HARIAN JANUARI 2024

1 2 WAY FOLEY CATHETER NO.16 PCS 0 0 0

2 2 WAY FOLEY CATHETER NO.18 PCS 3 0 3

3 2 WAY FOLEY CATHETER NO.20 PCS 0 0 0

4 ACETYLCYSTEINE CAPSULE 200 MG CAPSULE 0 0 0

5 ALAT SUNTIK SEKALI PAKAI 1 ML PCS 40 0 40

6 ALAT SUNTIK SEKALI PAKAI 10 ML PCS 0 0 0

7 ALAT SUNTIK SEKALI PAKAI 20 ML PCS 3 0 3

8 ALAT SUNTIK SEKALI PAKAI 3 ML PCS 26 0 26

9 ALAT SUNTIK SEKALI PAKAI 5 ML PCS 78 0 78

10 ALKOHOL SWAB PCS 0 0 0

11 ALLOPURINOL TABLET 100 MG TABLET 0 0 0

12 ALPRAZOLAM 1 MG TABLET TABLET 0 0 0

13 AMBROXOL SIRUP 5MG/ML BOTOL 0 0 0

14 AMBROXOL TABLET 30 MG TABLET 1,499 0 1,499

16 AMITRIPTYLLINE HCL TABLET 25 MG TABLET 0 0 0

17 AMLODIPINE TABLET 10 MG TABLET 0 0 0

18 AMLODIPINE TABLET 5 MG TABLET 0 0 0

NAMA OBAT STOK AKHIR DES 23

2 WAY FOLEY CATHETER NO.16 0

2 WAY FOLEY CATHETER NO.18 3

2 WAY FOLEY CATHETER NO.20 0

ACETYLCYSTEINE CAPSULE 200 MG 0

ALAT SUNTIK SEKALI PAKAI 1 ML 40

ALAT SUNTIK SEKALI PAKAI 10 ML 0

ALAT SUNTIK SEKALI PAKAI 20 ML 3

ALAT SUNTIK SEKALI PAKAI 3 ML 26

ALAT SUNTIK SEKALI PAKAI 5 ML 78

ALLOPURINOL TABLET 100 MG 0

AMBROXOL SIRUP 5MG/ML 0

AMBROXOL TABLET 30 MG 1499

AMINOPHYLLINE INJEKSI 24 MG/ML 10 ML 0

AMITRIPTYLLINE HCL TABLET 25 MG 0

AMOKSISILIN DRY SYRUP 125 MG/5 ML 60 ML 23

21 AMOKSISILIN TABLET 500 MG KAPLET 759 0 759

25 ANTASIDA DOEN TABLET KOMBINASI TABLET 0 0 0

26 ANTASIDA SUSPENSI 60 ML BOTOL 20 0 20

29 ANTI HAEMOROID DOEN KOMBINASI SUPP. 1 0 1

34 ASAM FOLAT 1MG TABLET TABLET 0 0 0

35 ASAM MEFENAMAT TABLET 500 MG TABLET 0 0 0

37 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0 0 0

39 ASEPTAN 500CC + PUMP BOTOL 0 0 0

40 ASEPTIC GEL 500CC + DISPENSER BOTOL 0 0 0

41 ASERING (ASETAT RINGER) SOFT BAG BOTOL 0 0 0

AMOKSISILIN TABLET 500 MG 759

AMOXCICILIN FORTE SYRUP KERING 250MG/5 0

AMPICILLIN SERBUK INJEKSI 1.000 MG MG/VI 0

ANTALGIN 500 MG TABLET (METAMIZOL) 0

ANTASIDA DOEN TABLET KOMBINASI 0

ANTI BAKTERI DOEN SALEP KOMBINASI 5 GR 31

ANTI FUNGI DOEN SALEP KOMBINASI 30 GR 11

ANTI HAEMOROID DOEN KOMBINASI 1

ANTI MIGRAIN DOEN TABLET KOMBINASI 0

ANTI SPASMODIK TABLET (DORMICOMP) 0

AQUA PRO INJEKSI STERIL BEBAS PIROGEN 20 0

ASAM ASKORBAT ( VIT C ) TABLET 50 MG 4529

ASAM FOLAT 1MG TABLET 0

ASAM MEFENAMAT TABLET 500 MG 0

ASAM TRANEKSAMAT 100 MG/ML INJEKSI 0

ASAM TRANEKSAMAT 500 MG TABLET 0

ASAM VALPROAT 250 MG TABLET / DEPAKOTE 0