LPLPO PKM BB 23

L P L P O UMUM/PKD
PUSKESMAS BUTANG BARU KABUPATEN SAROLA
KODE PUSKESMA: BULAN JANUARI

PUSKESMAS : Butang Baru TAHUN 2023
KECAMATAN : Mandiangin
KABUPATEN : Sarolangun
PROPINSI : Jambi
NO Nama Obat TERAPI SATUAN STOK PENE PERSE PEMA SISA STOK
AWAL RIMAAN DIAAN KAIAN STOK OPTIMUM
Obat-Obatan
1 Acyklovir cream tube 0 0 0 0
2 Acyklovir tab 200 mg Tablet 0 0 0 0
4 Allupurinol tab 100 mg Tablet 100 100 100 0
6 Albendazol tab 400 mg Tablet 0 8,000 8000 3300 4700
7 Albendazol sups 200 mg/5ml botol 0 0 0 0
8 Ambroxol tab Tablet 0 0 0 0
9 Amlodipin tab 5 mg Tablet 3000 3000 0 3000
11 Aminophyllin 200 mg Tablet 0 0 0 0
12 Aminophyllin inj 24mg/ml-10 Tablet 0 30 30 0 30
13 Amitriptilin Hcl 25 mg Ampul 0 500 500 0 500
14 Amoxicillin drops 100 mg/ml Tablet 0 0 0 0
15 Amoxicillin dry syr 125mg-5m botol 0 0 0 0
16 Amoxicillin dry syr 250mg-5m Botol 1300 3,000 4300 200 4100
17 Amoxicillin 250 mg Botol 0 0 0 0
18 Amoxicillin 500 mg Kapsul 0 30,000 30000 12600 17400
19 Ampisilin serb inj 250 mg Kapsul 0 0 0 0
20 Ampisilin serb inj 1000 mg Vial 0 0 0 0
21 Antasida Doen Tablet 8700 8700 3000 5700
22 Antasida DOEN II Sups, Komb botol 0 0 0 0
23 Anti Bakteri Salep btl 0 0 0 0
24 Anti Fungi salep (White field Tube 94 94 24 70
25 Anti Hemaroid pot 50 300 350 170 180
26 Anti malaria Komb Pyrimetam suppos 0 0 0 0
27 Aqua Pro inj Tablet 0 0 0 0
28 Asam Asetil Salisilat tab 80 Vial 0 0 0 0
29 Asam Ascorbat 50 mg Tablet 3800 20,000 23800 12600 11200
30 Asam Ascorbat tab 250 mg Tablet 0 0 0 0
31 Asam Folat tab 0.4 mg Tablet 0 0 0 0
32 Asam Folat tab 1 mg Tablet 0 0 0 0
33 Asam Salisilat salep 5% Tablet 0 0 0 0
34 Asam Mefenamat 250 mg tube 0 0 0 0
35 Asam Mefenamat 500 mg Tablet 0 0 0 0
36 Atapulgit tab Tablet 0 0 0 0
37 Atenolol tab 50 mg Tablet 0 0 0 0
38 Atropin Sulfat inj 0.25mg/ml Tablet 100 100 200 0 200
39 Atropin Sulfat 0.5 mg Ampul 0 0 0 0
40 Atropin Sulfat tetes mata 0. Tablet 0 0 0 0
41 Benza Benzil Penicillin inj 1.2 btl 0 0 0 0
42 Benza Benzil Penicillin inj 2.4 Ampul 0 0 0 0
43 betamethason Cream 0.1% Ampul 0 1,200 1200 170 1030
44 Betamethason tetes mata 1 m tube 0 0 0 0
45 Bisakodil tab 5 mg Ampul 0 0 0 0
46 Bisakodil sups 5 mg Tablet 0 0 0 0
47 Bisakodil Sups 10 mg suppos 0 0 0 0
Clozapine tab Tablet 0 6,000 6000 500 5500
48 Dapson tab 100 mg suppos 0 0 0 0
49 Dexamethason inj 5 mg Tablet 0 1,300 1300 355 945
50 Dexamethason 0.5mg Ampul 0 40,000 40000 5600 34400
51 Devitalisasi pasta non arsen Tablet 0 0 0 0
52 Diazepam inj mg-ml-2ml btl 100 180 280 0 280
53 Diazepam 2mg Ampul 1000 1000 65 935
54 Diazepam 5 mg Tablet 0 0 0 0
55 Diazepam lar rektal 5 mg 2,5 Tablet 10 150 160 30 130
56 Diazepam lar rektal 10 mg tube 0 0 0 0
57 Dietilkarbamazin tab 100 mg tube 0 0 0 0
58 Difenhidramin inj 10mg/ml-1m Tablet 0 1,200 1200 220 980
59 Digoxin 0.25mg Ampul 0 0 0 0
60 Digoxin Inj 0.25 mg/ml Tablet 0 0 0 0
61 Dimenhidrinat tab 50 mg Ampul 0 0 0 0
62 Diltiazem tab 30 mg Tablet 0 0 0 0
63 Domperidone Susp 5 mg/5ml Tablet 0 0 0 0
64 Domperidone tablet 10 mg btl 0 0 0 0
65 Doksisiklin kaps 50 mg Tablet 0 0 0 0
66 Efedrin 25 mg Kapsul 0 0 0 0
67 Efinefrin Hcl/Bitatrat inj Tablet 0 0 0 0
68 Eritromisin Kap 250 mg Ampul 0 0 0 0
69 Eritromisin Kap 500 mg Kapsul 0 0 0 0
70 Eritromisin syr kering 200 m kaplet 0 0 0 0
71 Egotamin tab 1 mg botol 0 0 0 0
72 Extrac Belladon 25 mg Tablet 0 0 0 0
73 Etacridina Lactat 0.1% Tablet 0 0 0 0
74 Etambutol tab 250 mg Botol 0 0 0 0
75 Etambutol tab 400 mg Tablet 0 0 0 0
77 Ethanol 70% 1000 ml Tablet 0 0 0 0
78 Ethyl Clorida Spray Botol 0 0 0 0
79 Eugenol Cairan btl 0 22 22 3 19
80 Fenitoin natrium Kaps 30 mg btl 0 0 0 0
81 Fenitoin Natrium 100 mg Kapsul 0 0 0 0
82 Fenitoin Inj 50 mg/ml Kapsul 0 0 0 0
83 Fenobarbital inj 50mg/ml-2m Tablet 0 0 0 0
84 Fenobarbital 30 mg Ampul 0 0 0 0
85 Fenobarbital 100 mg Tablet 0 0 0 0
86 Fenoxymethyl Penicillin 250 Tablet 0 0 0 0
87 Fenoxymethyl Peniciilin 500 Tablet 0 0 0 0
88 Feero Fumarat kap lunak 300 Tablet 0 0 0 0
89 Feero Sulfat tab sal selaput Kapsul 0 0 0 0
90 Ferro Sulfat sir 150 mg/ml Tablet 0 0 0 0
91 Fitomenadion inj 2 mg/ml botol 639 900 1539 330 1209
92 Fitomenadion inj 10mg/ml-1ml Ampul 0 0 0 0
93 Fitomenadion tab sal gula 10 Ampul 0 5,000 5000 200 4800
94 Flufenazin inj 25 mg/ml Tablet 0 0 0 0
95 Fluoresesin tts mata 2.5 mg/ Ampul 0 0 0 0
96 Fluor tab 0.5 mg botol 0 0 0 0
97 Fluor kap 0.1 mg Tablet 0 0 0 0
98 Flour sediaan topikal kap 0 0 0 0
99 Furosemide 40 mg botol 0 0 0 0
100 Furosemid inj 10 mg/ml Tablet 0 0 0 0
101 Framisetin Sulfat tulle 1% Ampul 0 0 0 0
102 Gameksan Emulsi 1% pcs 0 0 0 0
103 Garam Oralit 200 ml Botol 880 880 0 880
104 Gentian Violet 1% sachet 0 0 0 0
105 Gentamisin Inj 40mg/2ml btl 0 0 0 0
106 Gentamisin salep mata 0,3 % Ampul 0 0 0 0
107 Gentamisin tetes mata 0,3% tube 0 0 0 0
108 Gentamisin salep kulit 0,1 % btl 0 0 0 0
109 Glass Ionomer Cement tube 0 0 0 0
110 Glibenklamid tab 2.5 mg btl 0 0 0 0
111 Glibenklamid tab 5 mg Tablet 0 0 0 0
112 Glimepiride 1 mg Tablet 0 0 0 0
114 Glipizid tab 5 mg 0 0 0 0
115 Gliseril Trinitrat tab 0.5 mg Tablet 0 0 0 0
116 Gliserin drops 10 mg/ml Tablet 0 0 0 0
117 Gliserin Cairan obat luar 100 botol 0 0 0 0
118 Glyseryl Guaikolat 100 mg botol 0 0 0 0
119 Glukosa lar infus 10% steril Tablet 0 0 0 0
120 Glukosa lar infus40% steril kolf 0 0 0 0
121 Glukosa lar infus 5% steril kolf 0 0 0 0
122 Griseofulvin 125mg kolf 0 0 0 0
123 Griseofulvin tab 250 mg Tablet 0 0 0 0
124 Haloperidol 0.5 mg Tablet 0 0 0 0
125 Haloperidol tab 1.5 mg 0 0 0 0
126 Haloperidol tab 2 mg Tablet 0 0 0 0
127 Haloperidol 5 mg Tablet 200 200 0 200
128 Haloperidol drops 2 mg/ml Tablet 0 0 0 0
129 Haloperidol inj 50 mg/ml botol 0 0 0 0
130 Hidrogen Peroksida cairan 3% Ampul 0 0 0 0
131 Hidroklortiazid 25 mg botol 0 0 0 0
132 Hidrokortison 2.5% cream tube 0 0 0 0
133 Hidrokortison serb inj 100 m tube 0 0 0 0
134 Hiosin Butilbromid tab 10 mg Ampul 0 0 0 0
135 Hiosin Butilbromid inj 20 mg/ Tablet 0 0 0 0
136 Ibuprofen 200 mg Ampul 0 0 0 0
137 Ibuprofen 400 mg Tablet 6000 80,000 86000 10000 76000
138 Ibuprofen Susp 200mg/5ml Tablet 0 900 900 90 810
139 Ibuprofen susp 400 mg/ml btl 0 0 0 0
140 Iodiol Kapsul lunak btl 0 0 0 0
141 Isoniazid 100 mg tab Kapsul 0 0 0 0
142 Isoniazid 300 mg tab Tablet 0 0 0 0
143 Isosorbid dinitrat 5 mg Tablet 2000 2000 1700 300
144 Kalamin lotio Tablet 0 0 0 0
145 Kalium Permanganat Serbuk botol 0 0 0 0
146 Kalium Hidroksida Pasta pot 0 0 0 0
147 Kalsium Glukonat inj 10% btl 0 0 0 0
148 Kalsium Laktat 500 mg Ampul 0 10,000 10000 800 9200
149 Karbon Aktif tab 0.5 mg Tablet 0 0 0 0
150 Kaptopril tab 12.5 mg Tablet 56800 56800 2900 53900
150 Kaptopril tab 25 mg Tablet 5600 5600 1400 4200
151 karbo gliseril tetes telinga 1 Tube 0 240 240 10 230
152 Kaptopril tab 25 mg btl 0 0 0 0
154 Karbamazepin tab 100 mg Tablet 3750 3750 500 3250
155 Ketamin Inj 50 mg/ml Tablet 0 0 0 0
157 Ketokonazole krim 1% botol 0 0 0 0
158 Ketokonazole Scalp sol 2 % Ampul 0 0 0 0
159 Ketokonazole tab 200 mg Ampul 0 0 0 0
160 Klindamisin Kaps 150 mg tube 0 0 0 0
161 Klindamisin Kaps 300 mg botol 0 0 0 0
162 Klofazimin Kaps dlm minyak 5 Tablet 0 0 0 0
163 Klofazimin Kaps dlm minyak 1 Kapsul 0 0 0 0
164 Klorheksidin lar 0.2% Kapsul 0 0 0 0
165 Klorheksidin lar 15 % Kapsul 0 0 0 0
166 Klortalidon tab 50 mg Kapsul 0 0 0 0
167 Kloramfenikol kaps 250 mg botol 0 0 0 0
168 Kloramfenikol kaps 500 mg kapsul 0 0 0 0
167 Kloramfenikol Sups 125 mg/5 botol 0 0 0 0
169 Kloramfenikol salep mata1% tube 0 0 0 0
170 Kloramfenikol tetes mata 0.5 Kapsul 0 0 0 0
171 Kloramfenikol tetes mata 1 botol 0 0 0 0
172 Kloramphenikol ttl 3 % botol 0 0 0 0
173 Kloramfenikol salep kulit 2% Botol 0 0 0 0
174 Klorfeniramini Maleat 4 mg btl 0 20,000 20000 9500 10500
175 Klorokuin tab 250 mg tube 0 0 0 0
176 Kolkisin tab 500 mcg Tablet 0 0 0 0
177 Komb Artemether 20 mg Lume Tablet 0 0 0 0
178 Komb (DHP): Dehidroartemisi Ampul 0 0 0 0
179 Komb Ergotamin 1 mg, Kafein Ampul 0 0 0 0
180 Komb Benserazid 25 mg, Levo Tablet 0 0 0 0
181 Komb Benserazid 25 mg, levo Tablet 0 0 0 0
182 Komb Ferro Sulfat 20 mg+As F Tablet 0 0 0 0
183 Komb Ferro Fumarat 60 mg+As Tablet 0 0 0 0
184 Komb Ferro Glukonat 60mg +A Tablet 0 0 0 0
185 Komb Kaolin 550mg+Pektin 20 Tablet 0 0 0 0
186 Komb Lidokain 2%+Epinferin 1 Ampul 550 550 150 400
187 Kotrimoksazol Dewasa 480mg Tablet 0 0 0 0
188 Kotrimoksazol Forte Dewasa Tablet 0 0 0 0
189 Kotrimoksazol suspensi Tablet 500 1,500 2000 229 1771
190 Kuinina Sulfat tab 200mg Tablet 0 0 0 0
192 Kuinina Sulfat tab 250 mg Tablet 0 0 0 0
193 Kuinina Hcl inj 25%-2ml Tablet 0 0 0 0
194 Kalium Hidroksida Pasta Botol 0 0 0 0
196 Klorpromazin Hcl inj 25mg/ml Tablet 0 0 0 0
197 Klorfromazin Tab salut 25 mg Ampul 0 0 0 0
198 Klorpromazin tab salut 100 m kap 0 0 0 0
199 Kodein Hcl 10 mg btl 0 0 0 0
200 Lansoprazole kap 30 mg btl 0 1,400 1400 650 650
201 Larutan Anisol btl 0 0 0 0
202 Larutan Asam Asetat 6% btl 0 0 0 0
204 Larutan Asam Klorida 0.1N Botol 0 0 0 0
205 Asam Sulfosalisilat 3 % Botol 0 0 0 0
206 Asam Sulfosalisilat 20% btl 0 0 0 0
207 Larutan Bacl 10% solution Botol 0 0 0 0
208 Larutan Benedict btl 0 0 0 0
209 Larutan Eosin 2% btl 0 0 0 0
210 Larutan Ethanol Asam btl 0 0 0 0
211 Larutan EDTA Powder Botol 0 0 0 0
212 Larutan Emertion Oil btl 0 0 0 0
213 Larutan Fouchet Reagen btl 0 0 0 0
214 Larutan Giemsa Stain btl 0 0 0 0
215 Larutan Giemsa Buffer btl 0 0 0 0
216 Larutan H2O2 3% Botol 0 0 0 0
217 Larutan Hayem Solution btl 0 0 0 0
218 Larutan HCL 0.1N btl 0 0 0 0
219 Larutan HCL Alkohol 3% Zn Botol 0 0 0 0
220 Larutan Hemaglobin Reagen btl 0 0 0 0
221 Larutan Karbol Fuksin btl 0 0 0 0
222 Larutan Methanol btl 0 0 0 0
223 larutan Methylen Blue Botol 0 0 0 0
224 Larutan NaCl 0.9% btl 0 0 0 0
225 Larutan Xylol btl 0 0 0 0
226 Larutan Phospat Buffer Ph 7. btl 0 0 0 0
227 Larutan Rees Ecker Solution btl 0 0 0 0
228 Larutan Reagen Gol Darah Ampul 0 0 0 0
229 Larutan Turk Ampul 0 0 0 0
230 Larutan Pewarna Ziehl Neelsen botol 0 0 0 0
231 Lidokain Inj botol 0 0 0 0
232 Lidokain Gel 2% btl 0 0 0 0
233 Lidokain Spray Oral 10% Tablet 0 0 0 0
234 Lisol Vial 0 0 0 0
235 Loratadine 10 mg tab Vial 0 0 0 0
49 Magnesium sulf inj (4) 20%-2 bks 30 300 330 40 290
237 Magnesium sulf inj (4) 40%-2 Tablet 0 0 0 0
238 Magnesium Sulfat serbuk Tablet 0 0 0 0
239 Mebendazol tab 100 mg botol 0 0 0 0
240 Mebendazol tab 500 mg Tablet 0 0 0 0
241 Mebendazol sir 100 mg/5ml Tablet 0 0 0 0
242 Metformin 500 mg Tablet 0 0 0 0
244 Methylprednisolon tab 4 mg Tablet 0 2,500 2500 200 2300
245 Metoklorpropamide tab 5mg Tablet 0 0 0 0
246 Metoklorpropamide tab 10 mg Ampul 0 3,400 3400 500 2900
247 Methyl Ergometrin 0.125 mg Tablet 6000 6000 0 6000
248 Methyl Ergometrin 0.200 mg/ Tablet 100 1,000 1100 450 650
249 Metronidazol tab 250 mg botol 0 0 0 0
250 Metronidazol 500mg botol 0 15,000 15000 6300 8700
251 Metronidazol Sups 125 mg/ml bks 0 0 0 0
252 Metronidazol Inf 5 mg/ml tube 0 0 0 0
253 Mikonazol Serb 2% btl 0 0 0 0
254 Mikonazol Krim 2% Tablet 24 24 0 24
255 Multivitamin Anak Botol 0 0 0 0
256 Multivitamin Dewasa btl 0 6,000 6000 1300 4700
257 Monoklor kamfer menthol cai Kapsul 0 0 0 0
258 Mumying pasta Tablet 0 0 0 0
259 N-Aseetil Sistein Kaps 200 m tablet 0 0 0 0
260 Natrium Bikarbonat 500mg tablet 0 0 0 0
261 Natrium Diklofenak tab 25 m botol 0 0 0 0
262 Natrium Diklofenak tab 50 m kolf 2700 2700 500 2200
263 Natrium Diklofenak tetes mat Ampul 0 0 0 0
264 Natrium klorida 0,9% infus st Tablet 0 300 300 80 220
265 Natrium Tiosulfat inj 25% Tablet 0 0 0 0
266 Nifedipin 10 mg Tablet 0 0 0 0
267 Nikotinamid tab 20 mg Tablet 0 0 0 0
268 Nystatin tab sal gula 500.00 paket 0 0 0 0
269 Nystatin supp 100.000 IU/ml paket 0 0 0 0
270 OAT Kat 1 dewasa paket 0 0 0 0
271 OAT Kat 2 dewasa tablet 0 0 0 0
272 OAT Kat Anak btl 0 0 0 0
273 Obat Batuk Komb Tab (Herba btl 0 3,390 3390 500 2890
274 Obat Batuk Hitam Botol 0 0 0 0
275 Obat Batuk Komb (Herbakof s Botol 0 960 960 75 885
276 Olopatadin tetes mata 0.1% Ampul 0 0 0 0
277 Omeprazole 20 mg Botol 0 40,000 40000 1300 38700
278 Omeprazole Seb inj 40 mg Vial 0 0 0 0
279 Oksimetazolin tts hidung 0.0 Tube 0 0 0 0
280 Oxytetrasiklin Hcl inj 50mg/ tube 0 0 0 0
281 Oxytetrasiklin 3% alep kulit Ampul 0 0 0 0
282 Oksitetrasiklin slaep mata Tablet 0 0 0 0
283 Oxytosin 10iu/ml inj Ampul 400 1,200 1600 860 740
284 Papaverin tab 40 mg Tablet 0 0 0 0
285 Paraformaldehide tab 1 gr btl 0 0 0 0
286 Parasetamol 500mg Tablet 8300 7,000 15300 3000 12300
287 Parasetamol 120 mg/ml syr Botol 586 900 1486 220 1266
288 Parasetamol drop 100 mg/ml tube 0 0 0 0
289 Perak Nitrat lar 20% tube 0 0 0 0
290 Perak Sulfadiazin krim 1% Ampul 0 0 0 0
291 Permetrin krim 5% btl 0 0 0 0
292 Pethidin Hcl 50mg/ml-2ml Tablet 0 0 0 0
293 Pilokarpin tetes mata 2 % Tablet 0 0 0 0
294 Pyrantel tab Score (base) 1 Botol 1600 1600 100 1500
295 Pyrantel tab Score (base) 5 Tablet 0 0 0 0
296 Pyrantel susp 125 mg/5ml Tablet 0 0 0 0
297 Pyridoksin hcl 10mg Tablet 0 8,000 8000 1500 6500
298 Pyridoksin Hcl tab 25 mg Botol 0 0 0 0
299 Pyridoksin inj 100 mg/ml Botol 0 0 0 0
300 Polikresulen (Albothyl) btl 0 0 0 0
301 Povidon Iodine lar 10%30 ml Tablet 5 5 2 3
302 Povidon Iodine lar 10%-300 m Tablet 15 15 0 15
302 Povidone 30 ml/Erpha Septan btl 0 0 0 0
303 Prazikuantel 600 mg Tablet 0 0 0 0
304 Prednison 5mg Tablet 0 0 0 0
305 Primaquin 15mg Vial 0 0 0 0
306 Probenesid tab 500 mg Tablet 0 0 0 0
307 Prokain penisillin 3juta iu inj Tablet 0 0 0 0
308 Propanolol 10 mg Ampul 300 300 0 300
309 Prophylthiurasyl 100mg Tablet 500 500 0 500
310 Ranitidin inj 25 mg/ml Tablet 0 990 990 220 770
311 Ranitidin tab 150 mg Tablet 0 0 0 0
312 Reserpin 0.10 mg Kapsul 0 0 0 0
313 Reserpin 0,25mg Kapsul 0 0 0 0
314 Retinol 100.000iu Tablet 0 0 0 0
315 Retinol 200.000iu kolf 1600 1600 800 800
316 Rifampicin 300mg Tablet 0 0 0 0
317 Ringer lactat infus steril Tablet 0 300 300 20 280
318 Risperidon tab 2 mg Tablet 200 6,000 6200 60 6140
319 Salbutamol 2 mg botol 19000 19000 0 19000
320 Salbutamol tab 4 mg Pot 0 0 0 0
321 Salbutamol Cairan ih 1 mg/ml Bks 0 0 0 0
322 Salep 2-4 Komb btl 95 95 0 95
323 Salisil bedak 2% btl 0 0 0 0
324 Salisil spiritus 10% Vial 0 0 0 0
325 Sement seng fosfat serbuk da Vial 0 0 0 0
326 Serum Anti bisa ular polivale Vial 0 24 24 0 24
327 Serum anti bisa ular polivalen Ampul 0 0 0 0
328 Serum Anti Difteri 20.000 iu/ Ampul 0 0 0 0
329 Serum anti tetanus 1500 iu a Tablet 0 40 40 0 40
330 Serum anti tetanus 20.000 iu Tablet 0 0 0 0
331 Setirizin tab 10 mg Ampul 0 23,000 23000 3000 20000
332 Sianokobalamin (vit B12 tab Ampul 0 0 0 0
333 Sianokobalamin 500mg/ml-1ml Tablet 0 0 0 0
334 Silver amalgam serbuk 65-75 Tablet 0 0 0 0
335 Simvastatin tab 10 mg Tablet 0 0 0 0
336 Simvastatin tab 20 mg Ampul 0 0 0 0
337 Simvastatin tab 40 mg Bks 0 0 0 0
338 Spons Gelatin cubicies 1x1x1 btl 0 0 0 0
339 Streptomycin serbuk inj 100 Tablet 0 0 0 0
340 Sulfacetamide tts mata 15% botol 0 0 0 0
341 Siprofloxasin 500 mg Tablet 6700 6700 1900 4800
342 Tablet tambah darah Tablet 17000 17000 400 16600
343 Temporay sthoping pletcer btl 0 0 0 0
344 Terbutalin injn 0.5 mg/ml Ampul 0 0 0 0
346 Tetracaine HCL tts mata 0.5 btl 0 0 0 0
347 Tetrasiklin 250mg Kapsul 0 0 0 0
348 Tetrasiklin 500mg Tablet 0 0 0 0
349 Tetrasiklin salep mata 1% tube 0 0 0 0
350 Thiamin Hcl 100mg/ml-1ml inj Ampul 0 0 0 0
351 Thiamin Hcl 50 mg Tablet 0 8,000 8000 2000 6000
352 Timolol Tetes mata 0.25% Botol 0 0 0 0
354 Tramadol Injeksi 50 mg/ml Ampul 0 0 0 0
355 Triheksipenidil Hcl 2 mg btl 720 4,000 4720 0 4720
356 Trikresol Formalin cairan btl 0 0 0 0
357 Urea Krim 20% Tube 0 0 0 0
358 Vitamin B komplek Tablet 0 0 0 0
359 Vaksin anti rabies Vial 0 40 40 0 40
360 Valproat tab sal enterik 250 tablet 0 0 0 0
361 Valproat tab lepas lambat 2 tablet 0 0 0 0
362 Valproat tab lepas lambat 5 Tablet 0 0 0 0
363 Valproat Syrup 250 mg/5ml btl 0 0 0 0
364 Zink tab 20 mg Tablet 0 0 0 0
365 Zink Syr 10 mg/ml btl 0 0 0 0
Alat Kesehatan 0 0 0 0
1 Alat Suntik Sekali Pakai 1 ml set 1900 1900 300 1600
2 Alat Suntik Sekali Pakai 3 ml Set 0 0 0 0
4 Catgut chromic 2/0 +jarum pcs 48 48 0 48
6 Catgut plain 2/0 +jarum 1/2 pcs 168 168 5 163
8 Folley Catheter No.16 pcs 0 0 0 0
10 Handscoen Steril No.6 pcs 0 0 0 0
11 Handscoen Steril 7.0 psg 0 0 0 0
12 Handscoen 7.5 psg 0 0 0 0
Handscoen 8.0 psg 0 0 0 0
13 Handscoen Non Size M psg 0 20 20 5 15
14 Handscoen Non Size L psg 0 20 20 0 20
Handrub btl 0 0 0 0
15 Infus set anak pcs 135 135 0 135
16 Infus set dewasa pcs 50 1000 1050 80 970
17 IV Catheter No.20 pcs 300 300 30 270
20 IV Catheter No. 18 pcs 300 300 0 300
21 Kapas pembalut 250 gr bks 100 100 8 92
22 Kasa Kompres 40/40 steril rol 0 0 0 0
23 Kasa Pembalut 2mx80 cm rol 0 0 0 0
24 Kasa Ppembalut 4mx15 cm rol 100 100 10 90
25 Kasa Pembalut 4mx3cm rol 100 100 0 100
25 Kasa 16 x 16 rol 0 0 0 0
26 Kasa Hidrofil 30yardx80cm rol 0 0 0 0
27 Kasa Hidrofil 3yardx15cm pcs 0 0 0 0
28 Kasa Hidrofil 3 yardx 5 cm pcs 0 0 0 0
29 Nasal Oxygen O2, Size S rol 0 0 0 0
30 Nasal Oxygen O2, Size M pcs 0 0 0 0
31 Nasal Oxygen O2, Size L rol 60 60 0 60
32 Pembalut gips pcs 0 0 0 0
33 Pharmafix pcs 200 200 0 200
34 Plester 5Yardx2inc pcs 0 0 0 0
35 Silk 2/0 pcs 0 0 0 0
36 Silk 3/0 pcs 0 0 0 0
37 Urine bag,T Value, with hange pcs 70 70 0 70
JUMLAH KUNJUNGAN
UMUM GAKIN BPJS JUMLAH JUMLAH RESEP
1380 2156 JUMLAH ITEM RESEP
B/A
JUMLAH KUNJUNGANUMUM
RESEP GAKIN BPJS JUMLAH
2146
MENGETAHUI / MENYETUJUI
YANG MENERIMA / MELAPOR
KEPALA DINAS KESEHATAN
KEPALA PUSKESMAS
KABUPATEN SAROLANGUN
dr.IRWAN MISWAR, MKM

SARODIN, SKM Trisia Mayang Sa
NIP. 19700416 200003
NIP.119680703
003 199103 1 004 NIP. 19930301
M/PKD
BUPATEN SAROLANGUN
JANUARI
PERMIN PEMBERIAN KET

TAAN INPRES ASKES APBD LAIN JUMLAH
JUMLAH RESEP 2146
JUMLAH ITEM RESEP 8584
4
YANG MENERIMA
PENGELOLA OBAT
Trisia Mayang Sari, S.Farm., Apt

NIP. 19930301 202012 1 013
L P L P O UMUM/PKD
PUSKESMAS BUTANG BARU KABUPATEN SAROLA
KODE PUSKESM : BULAN FEBRUARI

PROPINSI : Jambi
Obat-Obatan
6 Albendazol tab 400 mg Tablet 4700 4700 100 4600
12 Aminophyllin inj 24mg/ml-10 Tablet 30 30 0 30
13 Amitriptilin Hcl 25 mg Ampul 500 500 0 500
15 Amoxicillin dry syr 125mg-5m botol 0 0 0 0
16 Amoxicillin dry syr 250mg-5m Botol 4100 4100 50 4050
18 Amoxicillin 500 mg Kapsul 17400 17400 2500 14900
22 Antasida DOEN II Sups, Komb botol 0 0 0 0
24 Anti Fungi salep (White field Tube 70 70 6 64
25 Anti Hemaroid pot 180 180 10 170
26 Anti malaria Komb Pyrimetam suppos 0 0 0 0
28 Asam Asetil Salisilat tab 80 Vial 0 0 0 0
29 Asam Ascorbat 50 mg Tablet 11200 11200 3110 8090
38 Atropin Sulfat inj 0.25mg/ml Tablet 200 200 0 200
40 Atropin Sulfat tetes mata 0. Tablet 0 0 0 0
41 Benza Benzil Penicillin inj 1.2 btl 0 0 0 0
42 Benza Benzil Penicillin inj 2.4 Ampul 0 0 0 0
43 betamethason Cream 0.1% Ampul 1030 1030 10 1020
44 Betamethason tetes mata 1 m tube 0 0 0 0
Clozapine tab Tablet 5500 5500 500 5000
49 Dexamethason inj 5 mg Tablet 945 945 35 910
50 Dexamethason 0.5mg Ampul 34400 34400 900 33500
52 Diazepam inj mg-ml-2ml btl 280 280 30 250
55 Diazepam lar rektal 5 mg 2,5 Tablet 130 130 30 100
58 Difenhidramin inj 10mg/ml-1m Tablet 980 980 60 920
70 Eritromisin syr kering 200 m kaplet 0 0 0 0
79 Eugenol Cairan btl 19 19 2 17
83 Fenobarbital inj 50mg/ml-2m Tablet 0 0 0 0
86 Fenoxymethyl Penicillin 250 Tablet 0 0 0 0
87 Fenoxymethyl Peniciilin 500 Tablet 0 0 0 0
88 Feero Fumarat kap lunak 300 Tablet 0 0 0 0
89 Feero Sulfat tab sal selaput Kapsul 0 0 0 0
91 Fitomenadion inj 2 mg/ml botol 1209 1209 13 1196
93 Fitomenadion tab sal gula 10 Ampul 4800 4800 200 4600
95 Fluoresesin tts mata 2.5 mg/ Ampul 0 0 0 0
117 Gliserin Cairan obat luar 100 botol 0 0 0 0
133 Hidrokortison serb inj 100 m tube 0 0 0 0
135 Hiosin Butilbromid inj 20 mg/ Tablet 0 0 0 0
137 Ibuprofen 400 mg Tablet 76000 76000 6000 70000
138 Ibuprofen Susp 200mg/5ml Tablet 810 810 23 787
148 Kalsium Laktat 500 mg Ampul 9200 9200 700 8500
151 karbo gliseril tetes telinga 1 Tube 230 230 0 230
162 Klofazimin Kaps dlm minyak 5 Tablet 0 0 0 0
163 Klofazimin Kaps dlm minyak 1 Kapsul 0 0 0 0
167 Kloramfenikol Sups 125 mg/5 botol 0 0 0 0
170 Kloramfenikol tetes mata 0.5 Kapsul 0 0 0 0
171 Kloramfenikol tetes mata 1 botol 0 0 0 0
174 Klorfeniramini Maleat 4 mg btl 10500 10500 2500 8000
177 Komb Artemether 20 mg Lume Tablet 0 0 0 0
178 Komb (DHP): Dehidroartemisi Ampul 0 0 0 0
179 Komb Ergotamin 1 mg, Kafein Ampul 0 0 0 0
180 Komb Benserazid 25 mg, Levo Tablet 0 0 0 0
181 Komb Benserazid 25 mg, levo Tablet 0 0 0 0
182 Komb Ferro Sulfat 20 mg+As F Tablet 0 0 0 0
183 Komb Ferro Fumarat 60 mg+As Tablet 0 0 0 0
184 Komb Ferro Glukonat 60mg +A Tablet 0 0 0 0
185 Komb Kaolin 550mg+Pektin 20 Tablet 0 0 0 0
186 Komb Lidokain 2%+Epinferin 1 Ampul 400 400 57 343
188 Kotrimoksazol Forte Dewasa Tablet 0 0 0 0
189 Kotrimoksazol suspensi Tablet 1771 1771 50 1721
196 Klorpromazin Hcl inj 25mg/ml Tablet 0 0 0 0
198 Klorpromazin tab salut 100 m kap 0 0 0 0
200 Lansoprazole kap 30 mg btl 650 650 550 100
226 Larutan Phospat Buffer Ph 7. btl 0 0 0 0
230 Larutan Pewarna Ziehl Neelsen botol 0 0 0 0
49 Magnesium sulf inj (4) 20%-2 bks 290 290 8 282
237 Magnesium sulf inj (4) 40%-2 Tablet 0 0 0 0
244 Methylprednisolon tab 4 mg Tablet 2300 2300 200 2100
246 Metoklorpropamide tab 10 mg Ampul 2900 2900 400 2500
248 Methyl Ergometrin 0.200 mg/ Tablet 650 650 35 615
250 Metronidazol 500mg botol 8700 8700 1100 7600
256 Multivitamin Dewasa btl 4700 4700 1200 3500
257 Monoklor kamfer menthol cai Kapsul 0 0 0 0
259 N-Aseetil Sistein Kaps 200 m tablet 0 0 0 0
261 Natrium Diklofenak tab 25 m botol 0 0 0 0
262 Natrium Diklofenak tab 50 m kolf 2200 2200 700 1500
263 Natrium Diklofenak tetes mat Ampul 0 0 0 0
264 Natrium klorida 0,9% infus st Tablet 220 220 80 140
268 Nystatin tab sal gula 500.00 paket 0 0 0 0
273 Obat Batuk Komb Tab (Herba btl 2890 2890 370 2520
275 Obat Batuk Komb (Herbakof s Botol 885 885 73 812
277 Omeprazole 20 mg Botol 38700 38700 1200 37500
279 Oksimetazolin tts hidung 0.0 Tube 0 0 0 0
280 Oxytetrasiklin Hcl inj 50mg/ tube 0 0 0 0
283 Oxytosin 10iu/ml inj Ampul 740 740 60 680
286 Parasetamol 500mg Tablet 12300 12300 2900 9400
287 Parasetamol 120 mg/ml syr Botol 1266 1266 41 1225
294 Pyrantel tab Score (base) 1 Botol 1500 1500 0 1500
295 Pyrantel tab Score (base) 5 Tablet 0 0 0 0
297 Pyridoksin hcl 10mg Tablet 6500 6500 400 6100
302 Povidon Iodine lar 10%-300 m Tablet 15 15 0 15
302 Povidone 30 ml/Erpha Septan btl 0 0 0 0
310 Ranitidin inj 25 mg/ml Tablet 300 300 100 200
315 Retinol 200.000iu kolf 800 800 100 700
317 Ringer lactat infus steril Tablet 280 280 20 260
318 Risperidon tab 2 mg Tablet 6140 6140 60 6080
322 Salep 2-4 Komb btl 95 95 0 95
325 Sement seng fosfat serbuk da Vial 0 0 0 0
326 Serum Anti bisa ular polivale Vial 24 24 0 24
327 Serum anti bisa ular polivalen Ampul 0 0 0 0
328 Serum Anti Difteri 20.000 iu/ Ampul 0 0 0 0
329 Serum anti tetanus 1500 iu a Tablet 40 40 1 39
330 Serum anti tetanus 20.000 iu Tablet 0 0 0 0
331 Setirizin tab 10 mg Ampul 20000 20000 3500 16500
332 Sianokobalamin (vit B12 tab Ampul 0 0 0 0
333 Sianokobalamin 500mg/ml-1ml Tablet 0 0 0 0
334 Silver amalgam serbuk 65-75 Tablet 0 0 0 0
338 Spons Gelatin cubicies 1x1x1 btl 0 0 0 0
339 Streptomycin serbuk inj 100 Tablet 0 0 0 0
346 Tetracaine HCL tts mata 0.5 btl 0 0 0 0
351 Thiamin Hcl 50 mg Tablet 6000 6000 200 5800
355 Triheksipenidil Hcl 2 mg btl 4720 4720 0 4720
359 Vaksin anti rabies Vial 40 40 0 40
360 Valproat tab sal enterik 250 tablet 0 0 0 0
361 Valproat tab lepas lambat 2 tablet 0 0 0 0
362 Valproat tab lepas lambat 5 Tablet 0 0 0 0
13 Handscoen Non Size M psg 15 15 0 15
14 Handscoen Non Size L psg 20 20 0 20
Handrub btl 0 0 0 0
16 Infus set dewasa pcs 900 900 0 900
25 Kasa 16 x 16 rol 0 0 0 0
33 Pharmafix pcs 200 200 0 200
35 Silk 2/0 pcs 0 0 0 0
36 Silk 3/0 pcs 0 0 0 0
37 Urine bag,T Value, with hange pcs 70 70 0 70
JUMLAH KUNJUNGAN
B/A
JUMLAH KUNJUNGANUMUM
RESEP GAKIN BPJS JUMLAH
2807
KEPALA DINAS KESEHATAN
KEPALA PUSKESMAS
dr.IRWAN MISWAR, MKM

SARODIN, SKM Trisia Mayang Sari
NIP. 19700416 200003
NIP.119680703
003 199103 1 004 NIP. 19930301 20
UM/PKD
ABUPATEN SAROLANGUN
FEBRUARI

JUMLAH RESEP 2807
4
YANG MENERIMA
PENGELOLA OBAT

NIP. 19930301 202012 1 013
L P L P O UMUM/PKD
PUSKESMAS BUTANG BARU KABUPATEN SAROL
KODE PUSKESMA: BULAN MARET

PROPINSI : Jambi
Obat-Obatan
12 Aminophyllin inj 24mg/ml-10 ml Tablet 30 30 0 30
15 Amoxicillin dry syr 125mg-5ml botol 0 0 0 0
16 Amoxicillin dry syr 250mg-5ml Botol 4050 4050 50 4000
22 Antasida DOEN II Sups, Komb : botol 0 0 0 0
24 Anti Fungi salep (White field zalf) Tube 64 64 0 64
26 Anti malaria Komb Pyrimetamin 25 m suppos 0 0 0 0
28 Asam Asetil Salisilat tab 80 mg Vial 0 0 0 0
38 Atropin Sulfat inj 0.25mg/ml-1ml Tablet 200 200 0 200
40 Atropin Sulfat tetes mata 0.5% Tablet 0 0 0 0
41 Benza Benzil Penicillin inj 1.2 juta IU btl 0 0 0 0
42 Benza Benzil Penicillin inj 2.4 juta I Ampul 0 0 0 0
44 Betamethason tetes mata 1 mg/ml tube 0 0 0 0
58 Difenhidramin inj 10mg/ml-1ml Tablet 920 920 30 890
70 Eritromisin syr kering 200 mg/5ml kaplet 0 0 0 0
83 Fenobarbital inj 50mg/ml-2mg Tablet 0 0 0 0
86 Fenoxymethyl Penicillin 250 mg Tablet 0 0 0 0
87 Fenoxymethyl Peniciilin 500 mg Tablet 0 0 0 0
88 Feero Fumarat kap lunak 300 mg Tablet 0 0 0 0
89 Feero Sulfat tab sal selaput 300 mg Kapsul 0 0 0 0
93 Fitomenadion tab sal gula 10 mg Ampul 4600 4600 200 4400
95 Fluoresesin tts mata 2.5 mg/ml Ampul 0 0 0 0
117 Gliserin Cairan obat luar 100 mg/ml botol 0 0 0 0
133 Hidrokortison serb inj 100 mg tube 0 0 0 0
135 Hiosin Butilbromid inj 20 mg/ml Tablet 0 0 0 0
151 karbo gliseril tetes telinga 10% Tube 230 230 0 230
162 Klofazimin Kaps dlm minyak 50 mg Tablet 0 0 0 0
163 Klofazimin Kaps dlm minyak 100 mg Kapsul 0 0 0 0
167 Kloramfenikol Sups 125 mg/5 ml botol 0 0 0 0
170 Kloramfenikol tetes mata 0.5% Kapsul 0 0 0 0
171 Kloramfenikol tetes mata 1 % botol 0 0 0 0
177 Komb Artemether 20 mg Lumefantrin Tablet 0 0 0 0
178 Komb (DHP): Dehidroartemisin 40 m Ampul 0 0 0 0
179 Komb Ergotamin 1 mg, Kafein tab 50 Ampul 0 0 0 0
180 Komb Benserazid 25 mg, Levodopa 1 Tablet 0 0 0 0
181 Komb Benserazid 25 mg, levodopa 10 Tablet 0 0 0 0
182 Komb Ferro Sulfat 20 mg+As Folat 0 Tablet 0 0 0 0
183 Komb Ferro Fumarat 60 mg+As Folat Tablet 0 0 0 0
184 Komb Ferro Glukonat 60mg +Asam Fol Tablet 0 0 0 0
185 Komb Kaolin 550mg+Pektin 20 mg ta Tablet 0 0 0 0
186 Komb Lidokain 2%+Epinferin 1:80.000 Ampul 343 343 30 313
188 Kotrimoksazol Forte Dewasa tab 96 Tablet 0 0 0 0
196 Klorpromazin Hcl inj 25mg/ml (Hcl)a Tablet 0 0 0 0
198 Klorpromazin tab salut 100 mg kap 0 0 0 0
226 Larutan Phospat Buffer Ph 7.2 btl 0 0 0 0
230 Larutan Pewarna Ziehl Neelsen 1:1:3 botol 0 0 0 0
49 Magnesium sulf inj (4) 20%-25ml bks 282 282 2 280
237 Magnesium sulf inj (4) 40%-25ml Tablet 0 0 0 0
248 Methyl Ergometrin 0.200 mg/ml Tablet 615 615 30 585
257 Monoklor kamfer menthol cairan Kapsul 0 0 0 0
259 N-Aseetil Sistein Kaps 200 mg tablet 0 0 0 0
261 Natrium Diklofenak tab 25 mg botol 0 0 0 0
262 Natrium Diklofenak tab 50 mg kolf 1500 1500 300 1200
263 Natrium Diklofenak tetes mata 1 mg Ampul 0 0 0 0
264 Natrium klorida 0,9% infus steril Tablet 140 140 0 140
268 Nystatin tab sal gula 500.000IU paket 0 0 0 0
273 Obat Batuk Komb Tab (Herbakof tab btl 2520 2520 0 2520
275 Obat Batuk Komb (Herbakof syr) Botol 812 812 0 812
279 Oksimetazolin tts hidung 0.025 % Tube 0 0 0 0
280 Oxytetrasiklin Hcl inj 50mg/ml-10ml tube 0 0 0 0
294 Pyrantel tab Score (base) 125mg Botol 1500 1500 0 1500
295 Pyrantel tab Score (base) 500mg Tablet 0 0 0 0
302 Povidon Iodine lar 10%-300 ml Tablet 15 15 0 15
302 Povidone 30 ml/Erpha Septan 15 ml btl 0 0 0 0
315 Retinol 200.000iu kolf 700 700 100 600
322 Salep 2-4 Komb btl 95 95 0 95
325 Sement seng fosfat serbuk dan cair Vial 0 0 0 0
326 Serum Anti bisa ular polivalen (ABU Vial 24 24 2 22
327 Serum anti bisa ular polivalen (ABU I Ampul 0 0 0 0
328 Serum Anti Difteri 20.000 iu/vial Ampul 0 0 0 0
329 Serum anti tetanus 1500 iu ampul (A Tablet 39 39 1 38
330 Serum anti tetanus 20.000 iu ampul Tablet 0 0 0 0
332 Sianokobalamin (vit B12 tab 50 mcg) Ampul 0 0 0 0
333 Sianokobalamin 500mg/ml-1ml inj Tablet 0 0 0 0
334 Silver amalgam serbuk 65-75% Tablet 0 0 0 0
338 Spons Gelatin cubicies 1x1x1cm btl 0 0 0 0
xz Streptomycin serbuk inj 1000mg Tablet 0 0 0 0
346 Tetracaine HCL tts mata 0.5 % btl 0 0 0 0
360 Valproat tab sal enterik 250 mg tablet 0 0 0 0
361 Valproat tab lepas lambat 250 mg tablet 0 0 0 0
362 Valproat tab lepas lambat 500 mg Tablet 0 0 0 0
4 Catgut chromic 2/0 +jarum 1/2 GT pcs 48 48 0 48
5 Catgut chromic 3/0 +jarum 1/2 GT pcs 432 432 24 408
6 Catgut plain 2/0 +jarum 1/2 GT 35m pcs 168 168 10 158
7 Catgut plain 3/0 +jarum 1/2 GT 35m pcs 190 190 0 190
Handrub btl 0 0 0 0
25 Kasa 16 x 16 rol 0 0 0 0
33 Pharmafix pcs 200 200 10 190
35 Silk 2/0 pcs 0 0 0 0
36 Silk 3/0 pcs 0 0 0 0
37 Urine bag,T Value, with hanger pcs 70 70 0 70
JUMLAH KUNJUNGAN
B/A
JUMLAH KUNJUNGAN RESEP

UMUM GAKIN BPJS JUMLAH
2201
KEPALA DINAS KESEHATAN KEPALA PUSKESMAS
dr.IRWAN MISWAR, MKM SARODIN, SKM Trisia Mayang

NIP. 19700416 200003 1NIP.
00319680703 199103 1 004 NIP. 199303
M/PKD
BUPATEN SAROLANGUN

10000
150
10000
8000
2000
300
3000
300
500
300
5000
1000
5000
3000
8000
8000
10000
3000
300
5000
3000
300
300
8000
300
600
5000
5000
3000
300
5000
8000
300
300
5000
500
150
150
300
300
3000
500
3000
500
300
8000
8000
5000
5000
10000
3000
100
100
50
300
500
300
300
100
JUMLAH RESEP 2201

4
YANG MENERIMA
PENGELOLA OBAT

NIP. 19930301 202012 1 013
L P L P O UMUM/PKD
PUSKESMAS BUTANG BARU KABUPATEN SA
KODE PUSKESMAS : BULAN

PUSKESMAS : Butang Baru TAHUN
PROPINSI : Jambi
NO Nama Obat TERAPI SATUAN STOK PENE PERSE PEMA SISA

AWAL RIMAAN DIAAN KAIAN STOK
Obat-Obatan
12 Aminophyllin inj 24mg/ml-10 ml Tablet 30 30 0 30
15 Amoxicillin dry syr 125mg-5ml botol 0 0 0 0
16 Amoxicillin dry syr 250mg-5ml Botol 4000 4000 0 4000
22 Antasida DOEN II Sups, Komb : botol 0 0 0 0
24 Anti Fungi salep (White field zalf) Tube 64 64 14 50
26 Anti malaria Komb Pyrimetamin 25 mg + Sulfadoxin suppos 0 0 0 0
28 Asam Asetil Salisilat tab 80 mg Vial 0 0 0 0
38 Atropin Sulfat inj 0.25mg/ml-1ml Tablet 200 200 0 200
40 Atropin Sulfat tetes mata 0.5% Tablet 0 0 0 0
41 Benza Benzil Penicillin inj 1.2 juta IU btl 0 0 0 0
42 Benza Benzil Penicillin inj 2.4 juta IU Ampul 0 0 0 0
44 Betamethason tetes mata 1 mg/ml tube 0 0 0 0
58 Difenhidramin inj 10mg/ml-1ml Tablet 890 890 85 805
70 Eritromisin syr kering 200 mg/5ml kaplet 0 0 0 0
83 Fenobarbital inj 50mg/ml-2mg Tablet 0 0 0 0
86 Fenoxymethyl Penicillin 250 mg Tablet 0 0 0 0
87 Fenoxymethyl Peniciilin 500 mg Tablet 0 0 0 0
88 Feero Fumarat kap lunak 300 mg Tablet 0 0 0 0
89 Feero Sulfat tab sal selaput 300 mg Kapsul 0 0 0 0
93 Fitomenadion tab sal gula 10 mg Ampul 4400 4400 1800 2600
95 Fluoresesin tts mata 2.5 mg/ml Ampul 0 0 0 0
117 Gliserin Cairan obat luar 100 mg/ml botol 0 0 0 0
133 Hidrokortison serb inj 100 mg tube 0 0 0 0
135 Hiosin Butilbromid inj 20 mg/ml Tablet 0 0 0 0
151 karbo gliseril tetes telinga 10% Tube 230 230 80 150
162 Klofazimin Kaps dlm minyak 50 mg Tablet 0 0 0 0
163 Klofazimin Kaps dlm minyak 100 mg Kapsul 0 0 0 0
167 Kloramfenikol Sups 125 mg/5 ml botol 0 0 0 0
170 Kloramfenikol tetes mata 0.5% Kapsul 0 0 0 0
171 Kloramfenikol tetes mata 1 % botol 0 0 0 0
177 Komb Artemether 20 mg Lumefantrin 120 mg tab Tablet 0 0 0 0
178 Komb (DHP): Dehidroartemisin 40 mg+peperakuin 3 Ampul 0 0 0 0
179 Komb Ergotamin 1 mg, Kafein tab 50 mg Ampul 0 0 0 0
180 Komb Benserazid 25 mg, Levodopa 100 mg tab Tablet 0 0 0 0
181 Komb Benserazid 25 mg, levodopa 100mg tab disp Tablet 0 0 0 0
182 Komb Ferro Sulfat 20 mg+As Folat 0.25 mg tab sal Tablet 0 0 0 0
183 Komb Ferro Fumarat 60 mg+As Folat 0.4 mg tab sal Tablet 0 0 0 0
184 Komb Ferro Glukonat 60mg +Asam Folat 0.4 mg tab Tablet 0 0 0 0
185 Komb Kaolin 550mg+Pektin 20 mg tab Tablet 0 0 0 0
186 Komb Lidokain 2%+Epinferin 1:80.000 Inj 2 ml Ampul 313 313 0 313
188 Kotrimoksazol Forte Dewasa tab 960 mg Tablet 0 0 0 0
196 Klorpromazin Hcl inj 25mg/ml (Hcl)ampul Tablet 0 0 0 0
198 Klorpromazin tab salut 100 mg kap 0 0 0 0
226 Larutan Phospat Buffer Ph 7.2 btl 0 0 0 0
230 Larutan Pewarna Ziehl Neelsen 1:1:3 botol 0 0 0 0
49 Magnesium sulf inj (4) 20%-25ml bks 280 280 8 272
237 Magnesium sulf inj (4) 40%-25ml Tablet 0 0 0 0
248 Methyl Ergometrin 0.200 mg/ml Tablet 585 585 350 235
257 Monoklor kamfer menthol cairan Kapsul 0 0 0 0
259 N-Aseetil Sistein Kaps 200 mg tablet 0 0 0 0
261 Natrium Diklofenak tab 25 mg botol 0 0 0 0
262 Natrium Diklofenak tab 50 mg kolf 1200 1200 300 900
263 Natrium Diklofenak tetes mata 1 mg/ml Ampul 0 0 0 0
264 Natrium klorida 0,9% infus steril Tablet 140 140 30 110
268 Nystatin tab sal gula 500.000IU paket 0 0 0 0
273 Obat Batuk Komb Tab (Herbakof tab) btl 2520 2520 520 2000
275 Obat Batuk Komb (Herbakof syr) Botol 812 812 24 788
279 Oksimetazolin tts hidung 0.025 % Tube 0 0 0 0
280 Oxytetrasiklin Hcl inj 50mg/ml-10ml tube 0 0 0 0
294 Pyrantel tab Score (base) 125mg Botol 1500 1500 1200 300
295 Pyrantel tab Score (base) 500mg Tablet 0 0 0 0
302 Povidon Iodine lar 10%-300 ml Tablet 15 15 0 15
302 Povidone 30 ml/Erpha Septan 15 ml btl 0 0 0 0
315 Retinol 200.000iu kolf 600 600 320 280
322 Salep 2-4 Komb btl 95 95 25 70
325 Sement seng fosfat serbuk dan cairan Vial 0 0 0 0
326 Serum Anti bisa ular polivalen (ABU I)30 Vial 22 22 0 22
327 Serum anti bisa ular polivalen (ABU I) 5 Ampul 0 0 0 0
328 Serum Anti Difteri 20.000 iu/vial Ampul 0 0 0 0
329 Serum anti tetanus 1500 iu ampul (ATS) Tablet 38 38 0 38
330 Serum anti tetanus 20.000 iu ampul (ATS) Tablet 0 0 0 0
332 Sianokobalamin (vit B12 tab 50 mcg) Ampul 0 0 0 0
333 Sianokobalamin 500mg/ml-1ml inj Tablet 0 0 0 0
334 Silver amalgam serbuk 65-75% Tablet 0 0 0 0
338 Spons Gelatin cubicies 1x1x1cm btl 0 0 0 0
xz Streptomycin serbuk inj 1000mg Tablet 0 0 0 0
346 Tetracaine HCL tts mata 0.5 % btl 0 0 0 0
360 Valproat tab sal enterik 250 mg tablet 0 0 0 0
361 Valproat tab lepas lambat 250 mg tablet 0 0 0 0
362 Valproat tab lepas lambat 500 mg Tablet 0 0 0 0
4 Catgut chromic 2/0 +jarum 1/2 GT 35mm pcs 48 48 0 48
5 Catgut chromic 3/0 +jarum 1/2 GT 35mm pcs 408 408 5 403
6 Catgut plain 2/0 +jarum 1/2 GT 35mm pcs 158 158 24 134
7 Catgut plain 3/0 +jarum 1/2 GT 35mm pcs 190 190 0 190
Handrub btl 0 0 0 0
25 Kasa 16 x 16 rol 0 0 0 0
33 Pharmafix pcs 190 190 40 150
35 Silk 2/0 pcs 0 0 0 0
36 Silk 3/0 pcs 0 0 0 0
37 Urine bag,T Value, with hanger pcs 70 70 0 70
JUMLAH KUNJUNGAN UMUM GAKIN BPJS JUMLAH

1312 2391
JUMLAH KUNJUNGAN RESEP UMUM GAKIN BPJS JUMLAH

2381
MENGETAHUI / MENYETUJUIYANG MENERIMA / MELAPOR

dr.IRWAN MISWAR, MKM SARODIN, SKM

NIP. 19700416 200003 1 003
NIP. 19680703 199103 1 004
MUM/PKD
APRIL
2023
STOK PERMIN PEMBERIAN KET

OPTIMUM TAAN INPRES ASKES APBD LAIN JUMLAH
JUMLAH RESEP 2381
B/A 4
YANG MENERIMA
PENGELOLA OBAT

NIP. 19930301 202012 1 013
L P L P O UMUM/PKD
PUSKESMAS BUTANG BARU KABUPATEN
KODE PUSKESMAS : BULAN

PUSKESMAS : Butang Baru TAHUN
PROPINSI : Jambi
NO Nama Obat TERAPI SATUAN STOK PENE PERSE PEMA

AWAL RIMAAN DIAAN KAIAN
Obat-Obatan
1 Acyklovir cream tube 0 0 0
2 Acyklovir tab 200 mg Tablet 0 0 0
3 Acyklovir tab 400 mg Tablet 0 0 0
4 Allupurinol tab 100 mg Tablet 0 0 0
5 Allupurinol tab 300 mg Tablet 0 0 0
6 Albendazol tab 400 mg Tablet 4500 4500 0
7 Albendazol sups 200 mg/5ml botol 0 0 0
8 Ambroxol tab Tablet 0 0 0
9 Amlodipin tab 5 mg Tablet 1000 1000 300
10 Amlodipin tab 10 mg Tablet 0 0 0
11 Aminophyllin 200 mg Tablet 0 0 0
12 Aminophyllin inj 24mg/ml-10 ml Tablet 30 30 0
13 Amitriptilin Hcl 25 mg Ampul 500 500 0
14 Amoxicillin drops 100 mg/ml Tablet 0 0 0
15 Amoxicillin dry syr 125mg-5ml botol 0 0 0
16 Amoxicillin dry syr 250mg-5ml Botol 4000 4000 40
17 Amoxicillin 250 mg Botol 0 0 0
18 Amoxicillin 500 mg Kapsul 8700 8700 500
19 Ampisilin serb inj 250 mg Kapsul 0 0 0
20 Ampisilin serb inj 1000 mg Vial 0 0 0
21 Antasida Doen Tablet 200 200 200
22 Antasida DOEN II Sups, Komb : botol 0 0 0
23 Anti Bakteri Salep btl 0 0 0
24 Anti Fungi salep (White field zalf) Tube 50 50 10
25 Anti Hemaroid pot 155 155 5
26 Anti malaria Komb Pyrimetamin 25 mg + Sulfadoxin 500 mg suppos 0 0 0
27 Aqua Pro inj Tablet 0 0 0
28 Asam Asetil Salisilat tab 80 mg Vial 0 0 0
29 Asam Ascorbat 50 mg Tablet 6700 6700 0
30 Asam Ascorbat tab 250 mg Tablet 0 0 0
31 Asam Folat tab 0.4 mg Tablet 0 0 0
32 Asam Folat tab 1 mg Tablet 0 0 0
33 Asam Salisilat salep 5% Tablet 0 0 0
34 Asam Mefenamat 250 mg tube 0 0 0
35 Asam Mefenamat 500 mg Tablet 0 0 0
36 Atapulgit tab Tablet 0 0 0
37 Atenolol tab 50 mg Tablet 0 0 0
38 Atropin Sulfat inj 0.25mg/ml-1ml Tablet 200 200 0
39 Atropin Sulfat 0.5 mg Ampul 0 0 0
40 Atropin Sulfat tetes mata 0.5% Tablet 0 0 0
41 Benza Benzil Penicillin inj 1.2 juta IU btl 0 0 0
42 Benza Benzil Penicillin inj 2.4 juta IU Ampul 0 0 0
43 betamethason Cream 0.1% Ampul 900 900 50
44 Betamethason tetes mata 1 mg/ml tube 0 0 0
45 Bisakodil tab 5 mg Ampul 0 0 0
46 Bisakodil sups 5 mg Tablet 0 0 0
47 Bisakodil Sups 10 mg suppos 0 0 0
Clozapine tab Tablet 4500 4500 500
48 Dapson tab 100 mg suppos 0 0 0
49 Dexamethason inj 5 mg Tablet 840 840 40
50 Dexamethason 0.5mg Ampul 27100 27100 900
51 Devitalisasi pasta non arsen Tablet 0 0 0
52 Diazepam inj mg-ml-2ml btl 210 210 30
53 Diazepam 2mg Ampul 800 800 0
54 Diazepam 5 mg Tablet 0 0 0
55 Diazepam lar rektal 5 mg 2,5 Tablet 85 85 10
56 Diazepam lar rektal 10 mg tube 0 0 0
57 Dietilkarbamazin tab 100 mg tube 0 0 0
58 Difenhidramin inj 10mg/ml-1ml Tablet 805 805 75
59 Digoxin 0.25mg Ampul 0 0 0
60 Digoxin Inj 0.25 mg/ml Tablet 0 0 0
61 Dimenhidrinat tab 50 mg Ampul 0 0 0
62 Diltiazem tab 30 mg Tablet 0 0 0
63 Domperidone Susp 5 mg/5ml Tablet 0 0 0
64 Domperidone tablet 10 mg btl 0 0 0
65 Doksisiklin kaps 50 mg Tablet 0 0 0
66 Efedrin 25 mg Kapsul 0 0 0
67 Efinefrin Hcl/Bitatrat inj Tablet 0 0 0
68 Eritromisin Kap 250 mg Ampul 0 0 0
69 Eritromisin Kap 500 mg Kapsul 0 0 0
70 Eritromisin syr kering 200 mg/5ml kaplet 0 0 0
71 Egotamin tab 1 mg botol 0 0 0
72 Extrac Belladon 25 mg Tablet 0 0 0
73 Etacridina Lactat 0.1% Tablet 0 0 0
74 Etambutol tab 250 mg Botol 0 0 0
75 Etambutol tab 400 mg Tablet 0 0 0
76 Etambutol tab 500 mg Tablet 0 0 0
77 Ethanol 70% 1000 ml Tablet 0 0 0
78 Ethyl Clorida Spray Botol 0 0 0
79 Eugenol Cairan btl 17 17 0
80 Fenitoin natrium Kaps 30 mg btl 0 0 0
81 Fenitoin Natrium 100 mg Kapsul 0 0 0
82 Fenitoin Inj 50 mg/ml Kapsul 0 0 0
83 Fenobarbital inj 50mg/ml-2mg Tablet 0 0 0
84 Fenobarbital 30 mg Ampul 0 0 0
85 Fenobarbital 100 mg Tablet 0 0 0
86 Fenoxymethyl Penicillin 250 mg Tablet 0 0 0
87 Fenoxymethyl Peniciilin 500 mg Tablet 0 0 0
88 Feero Fumarat kap lunak 300 mg Tablet 0 0 0
89 Feero Sulfat tab sal selaput 300 mg Kapsul 0 0 0
90 Ferro Sulfat sir 150 mg/ml Tablet 0 0 0
91 Fitomenadion inj 2 mg/ml botol 625 625 53
92 Fitomenadion inj 10mg/ml-1ml Ampul 0 0 0
93 Fitomenadion tab sal gula 10 mg Ampul 2600 2600 600
94 Flufenazin inj 25 mg/ml Tablet 0 0 0
95 Fluoresesin tts mata 2.5 mg/ml Ampul 0 0 0
96 Fluor tab 0.5 mg botol 0 0 0
97 Fluor kap 0.1 mg Tablet 0 0 0
98 Flour sediaan topikal kap 0 0 0
99 Furosemide 40 mg botol 0 0 0
100 Furosemid inj 10 mg/ml Tablet 0 0 0
101 Framisetin Sulfat tulle 1% Ampul 0 0 0
102 Gameksan Emulsi 1% pcs 0 0 0
103 Garam Oralit 200 ml Botol 880 880 0
104 Gentian Violet 1% sachet 0 0 0
105 Gentamisin Inj 40mg/2ml btl 0 0 0
106 Gentamisin salep mata 0,3 % Ampul 0 0 0
107 Gentamisin tetes mata 0,3% tube 0 0 0
108 Gentamisin salep kulit 0,1 % btl 0 0 0
109 Glass Ionomer Cement tube 0 0 0
110 Glibenklamid tab 2.5 mg btl 0 0 0
111 Glibenklamid tab 5 mg Tablet 0 0 0
112 Glimepiride 1 mg Tablet 0 0 0
113 Glimepiride 2 mg Tablet 0 0 0
114 Glipizid tab 5 mg 0 0 0
115 Gliseril Trinitrat tab 0.5 mg Tablet 0 0 0
116 Gliserin drops 10 mg/ml Tablet 0 0 0
117 Gliserin Cairan obat luar 100 mg/ml botol 0 0 0
118 Glyseryl Guaikolat 100 mg botol 0 0 0
119 Glukosa lar infus 10% steril Tablet 0 0 0
120 Glukosa lar infus40% steril kolf 0 0 0
121 Glukosa lar infus 5% steril kolf 0 0 0
122 Griseofulvin 125mg kolf 0 0 0
123 Griseofulvin tab 250 mg Tablet 0 0 0
124 Haloperidol 0.5 mg Tablet 0 0 0
125 Haloperidol tab 1.5 mg 0 0 0
126 Haloperidol tab 2 mg Tablet 0 0 0
127 Haloperidol 5 mg Tablet 200 200 50
128 Haloperidol drops 2 mg/ml Tablet 0 0 0
129 Haloperidol inj 50 mg/ml botol 0 0 0
130 Hidrogen Peroksida cairan 3% Ampul 0 0 0
131 Hidroklortiazid 25 mg botol 0 0 0
132 Hidrokortison 2.5% cream tube 0 0 0
133 Hidrokortison serb inj 100 mg tube 0 0 0
134 Hiosin Butilbromid tab 10 mg Ampul 0 0 0
135 Hiosin Butilbromid inj 20 mg/ml Tablet 0 0 0
136 Ibuprofen 200 mg Ampul 0 0 0
137 Ibuprofen 400 mg Tablet 53800 53800 5000
138 Ibuprofen Susp 200mg/5ml Tablet 640 640 40
139 Ibuprofen susp 400 mg/ml btl 0 0 0
140 Iodiol Kapsul lunak btl 0 0 0
141 Isoniazid 100 mg tab Kapsul 0 0 0
142 Isoniazid 300 mg tab Tablet 0 0 0
143 Isosorbid dinitrat 5 mg Tablet 300 300 0
144 Kalamin lotio Tablet 0 0 0
145 Kalium Permanganat Serbuk botol 0 0 0
146 Kalium Hidroksida Pasta pot 0 0 0
147 Kalsium Glukonat inj 10% btl 0 0 0
148 Kalsium Laktat 500 mg Ampul 7600 7600 1600
149 Karbon Aktif tab 0.5 mg Tablet 0 0 0
150 Kaptopril tab 12.5 mg Tablet 34600 34600 3600
150 Kaptopril tab 25 mg Tablet 1000 1000 0
151 karbo gliseril tetes telinga 10% Tube 150 150 30
152 Kaptopril tab 25 mg btl 0 0 0
153 Kaptopril tab 50 mg Tablet 0 0 0
154 Karbamazepin tab 100 mg Tablet 2800 2800 0
155 Ketamin Inj 50 mg/ml Tablet 0 0 0
156 Ketamin Inj 100 mg/ml Tablet 0 0 0
157 Ketokonazole krim 1% botol 0 0 0
158 Ketokonazole Scalp sol 2 % Ampul 0 0 0
159 Ketokonazole tab 200 mg Ampul 0 0 0
160 Klindamisin Kaps 150 mg tube 0 0 0
161 Klindamisin Kaps 300 mg botol 0 0 0
162 Klofazimin Kaps dlm minyak 50 mg Tablet 0 0 0
163 Klofazimin Kaps dlm minyak 100 mg Kapsul 0 0 0
164 Klorheksidin lar 0.2% Kapsul 0 0 0
165 Klorheksidin lar 15 % Kapsul 0 0 0
166 Klortalidon tab 50 mg Kapsul 0 0 0
167 Kloramfenikol kaps 250 mg botol 0 0 0
168 Kloramfenikol kaps 500 mg kapsul 0 0 0
167 Kloramfenikol Sups 125 mg/5 ml botol 0 0 0
169 Kloramfenikol salep mata1% tube 0 0 0
170 Kloramfenikol tetes mata 0.5% Kapsul 0 0 0
171 Kloramfenikol tetes mata 1 % botol 0 0 0
172 Kloramphenikol ttl 3 % botol 0 0 0
173 Kloramfenikol salep kulit 2% Botol 0 0 0
174 Klorfeniramini Maleat 4 mg btl 3200 3200 0
175 Klorokuin tab 250 mg tube 0 0 0
176 Kolkisin tab 500 mcg Tablet 0 0 0
177 Komb Artemether 20 mg Lumefantrin 120 mg tab Tablet 0 0 0
178 Komb (DHP): Dehidroartemisin 40 mg+peperakuin 320 mg Ampul 0 0 0
179 Komb Ergotamin 1 mg, Kafein tab 50 mg Ampul 0 0 0
180 Komb Benserazid 25 mg, Levodopa 100 mg tab Tablet 0 0 0
181 Komb Benserazid 25 mg, levodopa 100mg tab disp Tablet 0 0 0
182 Komb Ferro Sulfat 20 mg+As Folat 0.25 mg tab sal Tablet 0 0 0
183 Komb Ferro Fumarat 60 mg+As Folat 0.4 mg tab sal Tablet 0 0 0
184 Komb Ferro Glukonat 60mg +Asam Folat 0.4 mg tab sal Tablet 0 0 0
185 Komb Kaolin 550mg+Pektin 20 mg tab Tablet 0 0 0
186 Komb Lidokain 2%+Epinferin 1:80.000 Inj 2 ml Ampul 313 313 9
187 Kotrimoksazol Dewasa 480mg Tablet 0 0 0
188 Kotrimoksazol Forte Dewasa tab 960 mg Tablet 0 0 0
189 Kotrimoksazol suspensi Tablet 1400 1400 350
190 Kuinina Sulfat tab 200mg Tablet 0 0 0
191 Kuinina Sulfat tab 222mg Tablet 0 0 0
192 Kuinina Sulfat tab 250 mg Tablet 0 0 0
193 Kuinina Hcl inj 25%-2ml Tablet 0 0 0
194 Kalium Hidroksida Pasta Botol 0 0 0
196 Klorpromazin Hcl inj 25mg/ml (Hcl)ampul Tablet 0 0 0
197 Klorfromazin Tab salut 25 mg Ampul 0 0 0
198 Klorpromazin tab salut 100 mg kap 0 0 0
199 Kodein Hcl 10 mg btl 0 0 0
200 Lansoprazole kap 30 mg btl 0 0 0
201 Larutan Anisol btl 0 0 0
202 Larutan Asam Asetat 6% btl 0 0 0
203 Larutan Asam Asetat 6% btl 0 0 0
204 Larutan Asam Klorida 0.1N Botol 0 0 0
205 Asam Sulfosalisilat 3 % Botol 0 0 0
206 Asam Sulfosalisilat 20% btl 0 0 0
207 Larutan Bacl 10% solution Botol 0 0 0
208 Larutan Benedict btl 0 0 0
209 Larutan Eosin 2% btl 0 0 0
210 Larutan Ethanol Asam btl 0 0 0
211 Larutan EDTA Powder Botol 0 0 0
212 Larutan Emertion Oil btl 0 0 0
213 Larutan Fouchet Reagen btl 0 0 0
214 Larutan Giemsa Stain btl 0 0 0
215 Larutan Giemsa Buffer btl 0 0 0
216 Larutan H2O2 3% Botol 0 0 0
217 Larutan Hayem Solution btl 0 0 0
218 Larutan HCL 0.1N btl 0 0 0
219 Larutan HCL Alkohol 3% Zn Botol 0 0 0
220 Larutan Hemaglobin Reagen btl 0 0 0
221 Larutan Karbol Fuksin btl 0 0 0
222 Larutan Methanol btl 0 0 0
223 larutan Methylen Blue Botol 0 0 0
224 Larutan NaCl 0.9% btl 0 0 0
225 Larutan Xylol btl 0 0 0
226 Larutan Phospat Buffer Ph 7.2 btl 0 0 0
227 Larutan Rees Ecker Solution btl 0 0 0
228 Larutan Reagen Gol Darah Ampul 0 0 0
229 Larutan Turk Ampul 0 0 0
230 Larutan Pewarna Ziehl Neelsen 1:1:3 botol 0 0 0
231 Lidokain Inj botol 0 0 0
232 Lidokain Gel 2% btl 0 0 0
233 Lidokain Spray Oral 10% Tablet 0 0 0
234 Lisol Vial 0 0 0
235 Loratadine 10 mg tab Vial 0 0 0
49 Magnesium sulf inj (4) 20%-25ml bks 272 272 9
237 Magnesium sulf inj (4) 40%-25ml Tablet 0 0 0
238 Magnesium Sulfat serbuk Tablet 0 0 0
239 Mebendazol tab 100 mg botol 0 0 0
240 Mebendazol tab 500 mg Tablet 0 0 0
241 Mebendazol sir 100 mg/5ml Tablet 0 0 0
242 Metformin 500 mg Tablet 0 0 0
243 Metformin 850 mg Tablet 0 0 0
244 Methylprednisolon tab 4 mg Tablet 1600 1600 200
245 Metoklorpropamide tab 5mg Tablet 0 0 0
246 Metoklorpropamide tab 10 mg Ampul 2100 2100 500
247 Methyl Ergometrin 0.125 mg Tablet 1000 1000 0
248 Methyl Ergometrin 0.200 mg/ml Tablet 235 235 35
249 Metronidazol tab 250 mg botol 0 0 0
250 Metronidazol 500mg botol 5200 5200 700
251 Metronidazol Sups 125 mg/ml bks 0 0 0
252 Metronidazol Inf 5 mg/ml tube 0 0 0
253 Mikonazol Serb 2% btl 0 0 0
254 Mikonazol Krim 2% Tablet 0 0 0
255 Multivitamin Anak Botol 0 0 0
256 Multivitamin Dewasa btl 2000 2000 1000
257 Monoklor kamfer menthol cairan Kapsul 0 0 0
258 Mumying pasta Tablet 0 0 0
259 N-Aseetil Sistein Kaps 200 mg tablet 0 0 0
260 Natrium Bikarbonat 500mg tablet 0 0 0
261 Natrium Diklofenak tab 25 mg botol 0 0 0
262 Natrium Diklofenak tab 50 mg kolf 900 900 300
263 Natrium Diklofenak tetes mata 1 mg/ml Ampul 0 0 0
264 Natrium klorida 0,9% infus steril Tablet 110 110 30
265 Natrium Tiosulfat inj 25% Tablet 0 0 0
266 Nifedipin 10 mg Tablet 0 0 0
267 Nikotinamid tab 20 mg Tablet 0 0 0
268 Nystatin tab sal gula 500.000IU paket 0 0 0
269 Nystatin supp 100.000 IU/ml paket 0 0 0
270 OAT Kat 1 dewasa paket 0 0 0
271 OAT Kat 2 dewasa tablet 0 0 0
272 OAT Kat Anak btl 0 0 0
273 Obat Batuk Komb Tab (Herbakof tab) btl 2000 2000 440
274 Obat Batuk Hitam Botol 0 0 0
275 Obat Batuk Komb (Herbakof syr) Botol 788 788 20
276 Olopatadin tetes mata 0.1% Ampul 0 0 0
277 Omeprazole 20 mg Botol 36500 36500 1500
278 Omeprazole Seb inj 40 mg Vial 0 0 0
279 Oksimetazolin tts hidung 0.025 % Tube 0 0 0
280 Oxytetrasiklin Hcl inj 50mg/ml-10ml tube 0 0 0
281 Oxytetrasiklin 3% alep kulit Ampul 0 0 0
282 Oksitetrasiklin slaep mata Tablet 0 0 0
283 Oxytosin 10iu/ml inj Ampul 510 510 0
284 Papaverin tab 40 mg Tablet 0 0 0
285 Paraformaldehide tab 1 gr btl 0 0 0
286 Parasetamol 500mg Tablet 8300 8300 2000
287 Parasetamol 120 mg/ml syr Botol 820 820 40
288 Parasetamol drop 100 mg/ml tube 0 0 0
289 Perak Nitrat lar 20% tube 0 0 0
290 Perak Sulfadiazin krim 1% Ampul 0 0 0
291 Permetrin krim 5% btl 0 0 0
292 Pethidin Hcl 50mg/ml-2ml Tablet 0 0 0
293 Pilokarpin tetes mata 2 % Tablet 0 0 0
294 Pyrantel tab Score (base) 125mg Botol 300 300 0
295 Pyrantel tab Score (base) 500mg Tablet 0 0 0
296 Pyrantel susp 125 mg/5ml Tablet 0 0 0
297 Pyridoksin hcl 10mg Tablet 5600 5600 1300
298 Pyridoksin Hcl tab 25 mg Botol 0 0 0
299 Pyridoksin inj 100 mg/ml Botol 0 0 0
300 Polikresulen (Albothyl) btl 0 0 0
301 Povidon Iodine lar 10%30 ml Tablet 3 3 3
302 Povidon Iodine lar 10%-300 ml Tablet 15 15 8
302 Povidone 30 ml/Erpha Septan 15 ml btl 0 0 0
303 Prazikuantel 600 mg Tablet 0 0 0
304 Prednison 5mg Tablet 0 0 0
305 Primaquin 15mg Vial 0 0 0
306 Probenesid tab 500 mg Tablet 0 0 0
307 Prokain penisillin 3juta iu inj Tablet 0 0 0
308 Propanolol 10 mg Ampul 300 300 0
309 Prophylthiurasyl 100mg Tablet 500 500 200
310 Ranitidin inj 25 mg/ml Tablet 180 180 30
311 Ranitidin tab 150 mg Tablet 0 0 0
312 Reserpin 0.10 mg Kapsul 0 0 0
313 Reserpin 0,25mg Kapsul 0 0 0
314 Retinol 100.000iu Tablet 0 0 0
315 Retinol 200.000iu kolf 280 280 50
316 Rifampicin 300mg Tablet 0 0 0
317 Ringer lactat infus steril Tablet 140 140 60
318 Risperidon tab 2 mg Tablet 6000 6000 90
319 Salbutamol 2 mg botol 19000 19000 0
320 Salbutamol tab 4 mg Pot 0 0 0
321 Salbutamol Cairan ih 1 mg/ml Bks 0 0 0
322 Salep 2-4 Komb btl 70 70 10
323 Salisil bedak 2% btl 0 0 0
324 Salisil spiritus 10% Vial 0 0 0
325 Sement seng fosfat serbuk dan cairan Vial 0 0 0
326 Serum Anti bisa ular polivalen (ABU I)30 Vial 22 22 0
327 Serum anti bisa ular polivalen (ABU I) 5 Ampul 0 0 0
328 Serum Anti Difteri 20.000 iu/vial Ampul 0 0 0
329 Serum anti tetanus 1500 iu ampul (ATS) Tablet 38 38 2
330 Serum anti tetanus 20.000 iu ampul (ATS) Tablet 0 0 0
331 Setirizin tab 10 mg Ampul 1900 1900 300
332 Sianokobalamin (vit B12 tab 50 mcg) Ampul 0 0 0
333 Sianokobalamin 500mg/ml-1ml inj Tablet 0 0 0
334 Silver amalgam serbuk 65-75% Tablet 0 0 0
335 Simvastatin tab 10 mg Tablet 0 0 0
336 Simvastatin tab 20 mg Ampul 0 0 0
337 Simvastatin tab 40 mg Bks 0 0 0
338 Spons Gelatin cubicies 1x1x1cm btl 0 0 0
xz Streptomycin serbuk inj 1000mg Tablet 0 0 0
340 Sulfacetamide tts mata 15% botol 0 0 0
341 Siprofloxasin 500 mg Tablet 1500 1500 600
342 Tablet tambah darah Tablet 16000 16000 500
343 Temporay sthoping pletcer btl 0 0 0
344 Terbutalin injn 0.5 mg/ml Ampul 0 0 0
345 Terbutalin injn 2.5 mg/ml Ampul 0 0 0
346 Tetracaine HCL tts mata 0.5 % btl 0 0 0
347 Tetrasiklin 250mg Kapsul 0 0 0
348 Tetrasiklin 500mg Tablet 0 0 0
349 Tetrasiklin salep mata 1% tube 0 0 0
350 Thiamin Hcl 100mg/ml-1ml inj Ampul 0 0 0
351 Thiamin Hcl 50 mg Tablet 5300 5300 800
352 Timolol Tetes mata 0.25% Botol 0 0 0
353 Timolol Tetes mata 0.5% Botol 0 0 0
354 Tramadol Injeksi 50 mg/ml Ampul 0 0 0
355 Triheksipenidil Hcl 2 mg btl 4720 4720 80
356 Trikresol Formalin cairan btl 0 0 0
357 Urea Krim 20% Tube 0 0 0
358 Vitamin B komplek Tablet 0 0 0
359 Vaksin anti rabies Vial 36 36 0
360 Valproat tab sal enterik 250 mg tablet 0 0 0
361 Valproat tab lepas lambat 250 mg tablet 0 0 0
362 Valproat tab lepas lambat 500 mg Tablet 0 0 0
363 Valproat Syrup 250 mg/5ml btl 0 0 0
364 Zink tab 20 mg Tablet 0 0 0
365 Zink Syr 10 mg/ml btl 0 0 0
Alat Kesehatan 0 0 0
1 Alat Suntik Sekali Pakai 1 ml set 1100 1100 200
2 Alat Suntik Sekali Pakai 3 ml Set 0 0 0
3 Alat Suntik Sekali Pakai 5 ml Set 560 560 110
4 Catgut chromic 2/0 +jarum 1/2 GT 35mm pcs 48 48 0
5 Catgut chromic 3/0 +jarum 1/2 GT 35mm pcs 403 403 5
6 Catgut plain 2/0 +jarum 1/2 GT 35mm pcs 134 134 24
7 Catgut plain 3/0 +jarum 1/2 GT 35mm pcs 190 190 0
8 Folley Catheter No.16 pcs 0 0 0
9 Folley Catheter No.18 pcs 0 0 0
10 Handscoen Steril No.6 pcs 0 0 0
11 Handscoen Steril 7.0 psg 0 0 0
12 Handscoen 7.5 psg 0 0 0
Handscoen 8.0 psg 0 0 0
13 Handscoen Non Size M psg 10 10 0
14 Handscoen Non Size L psg 10 10 0
Handrub btl 0 0 0
15 Infus set anak pcs 135 135 0
16 Infus set dewasa pcs 860 860 60
17 IV Catheter No.20 pcs 245 245 0
20 IV Catheter No. 18 pcs 300 300 0
21 Kapas pembalut 250 gr bks 70 70 10
22 Kasa Kompres 40/40 steril rol 0 0 0
23 Kasa Pembalut 2mx80 cm rol 0 0 0
24 Kasa Ppembalut 4mx15 cm rol 20 20 5
25 Kasa Pembalut 4mx3cm rol 20 20 10
25 Kasa 16 x 16 rol 0 0 0
26 Kasa Hidrofil 30yardx80cm rol 0 0 0
27 Kasa Hidrofil 3yardx15cm pcs 0 0 0
28 Kasa Hidrofil 3 yardx 5 cm pcs 0 0 0
29 Nasal Oxygen O2, Size S rol 0 0 0
30 Nasal Oxygen O2, Size M pcs 0 0 0
31 Nasal Oxygen O2, Size L rol 60 60 0
32 Pembalut gips pcs 0 0 0
33 Pharmafix pcs 150 150 20
34 Plester 5Yardx2inc pcs 0 0 0
35 Silk 2/0 pcs 0 0 0
36 Silk 3/0 pcs 0 0 0
37 Urine bag,T Value, with hanger pcs 70 70 0
JUMLAH KUNJUNGAN UMUM GAKIN BPJS JUMLAH

1128 2017
JUMLAH KUNJUNGAN RESEP UMUM GAKIN BPJS JUMLAH

2016
MENGETAHUI / MENYETUJUI YANG MENERIMA / MELAPOR

BAMBANG HERMANTO, SKM,MM SARODIN, SKM

NIP. 19771127 200312 1 005 NIP. 19680703 199103 1 004
O UMUM/PKD
RU KABUPATEN SAROLANGUN
MEI
2023
SISA STOK PERMIN PEMBERIAN KET

STOK OPTIMUM TAAN INPRES ASKES APBD LAIN JUMLAH
0
0
0
0
0
4500
0
0
700
0
0
30
500
0
0
3960
0
8200
0
0
0
0
0
40
150
0
0
0
6700
0
0
0
0
0
0
0
0
200
0
0
0
0
850
0
0
0
0
4000
0
800
26200
0
180
800
0
75
0
0
730
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
0
572
0
2000
0
0
0
0
0
0
0
0
0
880
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150
0
0
0
0
0
0
0
0
0
48800
600
0
0
0
0
300
0
0
0
0
6000
0
31000
1000
120
0
0
2800
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3200
0
0
0
0
0
0
0
0
0
0
0
304
0
0
1050
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
263
0
0
0
0
0
0
0
1400
0
1600
1000
200
0
4500
0
0
0
0
0
1000
0
0
0
0
0
600
0
80
0
0
0
0
0
0
0
0
1560
0
768
0
35000
0
0
0
0
0
510
0
0
6300
780
0
0
0
0
0
0
300
0
0
4300
0
0
0
0
7
0
0
0
0
0
0
300
300
150
0
0
0
0
230
0
80
5910
19000
0
0
60
0
0
0
22
0
0
36
0
1600
0
0
0
0
0
0
0
0
0
900
15500
0
0
0
0
0
0
0
0
4500
0
0
0
4640
0
0
0
36
0
0
0
0
0
0
0
900
0
450
48
398
110
190
0
0
0
0
0
0
10
10
0
135
800
245
180
100
300
60
0
0
15
10
0
0
0
0
0
0
60
0
130
0
0
0
70
JUMLAH RESEP 2016

B/A 4
YANG MENERIMA
PENGELOLA OBAT

NIP. 19930301 202012 1 013

LPLPO PKM BB 23

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L P L P O UMUM/PKD

PUSKESMAS BUTANG BARU KABUPATEN SAROLA

KODE PUSKESMA: BULAN JANUARI

dr.IRWAN MISWAR, MKM

PERMIN PEMBERIAN KET

Trisia Mayang Sari, S.Farm., Apt

KODE PUSKESM : BULAN FEBRUARI

dr.IRWAN MISWAR, MKM

PERMIN PEMBERIAN KET

Trisia Mayang Sari, S.Farm., Apt

KODE PUSKESMA: BULAN MARET

JUMLAH KUNJUNGAN RESEP

dr.IRWAN MISWAR, MKM SARODIN, SKM Trisia Mayang

PERMIN PEMBERIAN KET

JUMLAH RESEP 2201

Trisia Mayang Sari, S.Farm., Apt

KODE PUSKESMAS : BULAN

NO Nama Obat TERAPI SATUAN STOK PENE PERSE PEMA SISA

JUMLAH KUNJUNGAN UMUM GAKIN BPJS JUMLAH

JUMLAH KUNJUNGAN RESEP UMUM GAKIN BPJS JUMLAH

MENGETAHUI / MENYETUJUIYANG MENERIMA / MELAPOR

dr.IRWAN MISWAR, MKM SARODIN, SKM

STOK PERMIN PEMBERIAN KET

Trisia Mayang Sari, S.Farm., Apt

KODE PUSKESMAS : BULAN

NO Nama Obat TERAPI SATUAN STOK PENE PERSE PEMA

JUMLAH KUNJUNGAN UMUM GAKIN BPJS JUMLAH

JUMLAH KUNJUNGAN RESEP UMUM GAKIN BPJS JUMLAH

MENGETAHUI / MENYETUJUI YANG MENERIMA / MELAPOR

BAMBANG HERMANTO, SKM,MM SARODIN, SKM

SISA STOK PERMIN PEMBERIAN KET

JUMLAH RESEP 2016

Trisia Mayang Sari, S.Farm., Apt

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