LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PUSKESMAS : MERAMBANG
KECAMATAN : BULIK TIMUR
KABUPATEN : LAMANDAU BULAN : FEBRUARI
PROPINSI : KALIMANTAN TENGAH TAHUN : 2024

STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK PEMBERIAN

No NAMA OBAT KEMASAN PROGRAM PROGRAM PROGRAM PROGRAM PERMINTAAN PROGRAM/ KET
APBD APBD APBD APBD APBD
/HIBAH /HIBAH /HIBAH /HIBAH HIBAH
1 2 3 4 5 6 7 8 9 10=4+6-8 11=5+7-9 12 13 14 15
OBAT
1 Acifar cream/ Acyclovir Tube 0 0 0 0 0
2 Acyclovir Tablet 200 mg Tablet 0 0 0 0 0
3 Acyclovir Tablet 400 mg Tablet 900 0 0 900 0
4 Albendazole suspensi Botol 60ml 0 180 0 0 180
5 Albendazole tablet 400 mg Tablet 0 0 0 0 0
6 Allopurinol 100 mg Tablet 3,000 0 0 3,000 0
7 Allopurinol 300 mg Tablet 700 0 0 700 0
8 Alprazolam 1 mg Tablet 0 0 0 0 0
9 Ambroxol 30 mg tab Tablet 4,600 0 0 4,600 0
10 Ambroxol Sirup Botol 60ml 400 0 0 400 0
11 Aminofilin injeksi 24 mg/ml-10 ml Ampul 20 0 0 20 0
12 Aminofilin tablet 200 mg Tablet 0 0 0 0 0
13 Amitriptilin hcl tablet 25 mg Tablet 0 0 0 0 0
14 Amlodipine 10 mg Tablet 1,200 0 0 1,200 0
15 Amlodipine 5 mg Tablet 400 0 0 400 0
16 Amoxicillin kapsul 250 mg Kapsul 0 0 0 0 0
17 Amoxicillin kapsul 500 mg Tablet 5,500 0 100 5,400 0
18 Amoxicillin sirup kering 125 mg/ 5 ml Botol 60ml 422 0 0 422 0
19 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0 0 0
20 Antalgin tablet 500 mg Tablet 0 0 0 0 0
21 Antasida Doen tablet Tablet 1,700 0 0 1,700 0
22 Antasida Suspensi Botol 60ml 98 0 0 98 0
23 Anti bakteri Salep Tube 0 0 0 0 0
24 Anti Hemoroid supp Tube 0 0 0 0 0
25 Antifungi doen Salep Pot 48 0 0 48 0
26 Aqua proinjeksi steril, bebas pirogen btl 10 ml 0 0 0 0 0
27 Arcavit C Tablet 0 0 0 0 0
28 Artesunate Injeksi Ampul 0 0 0 0 0
29 Asam askorbat ( Vit C ) tablet 50 mg Tablet 500 0 0.00 500 0
30 Asam Folat/Afolat Tablet 2,100 0 0 2,100 0
31 Asam Mefenamat 500 mg Tablet 7,500 0 100 7,400 0
32 Asam Tranexamat Injeksi Ampul 0 0 0 0 0
33 Asetosal tablet 500 mg Tablet 0 0 0 0 0
34 Asetosal tablet 100 mg Tablet 0 0 0 0 0
35 Atropin sulfat tablet 0,5 mg Tablet 0 0 0 0 0
36 Benzatin Benzil Penisilin inj Vial 0 0 0 0 0
37 Betahistin Mesilat 6 mg Tablet 400 0 0 400 0
38 Betametason krim 0,1 % Tube 50 0 0 50 0
39 Bioviton sirup Botol 0 0 0 0 0
40 Brochifar Plus Tablet 0 0 0 0 0
41 Bromifar Plus Syrup Botol 0 0 0 0 0
42 Calcium Laktat ( kalk ) tablet 500 mg Tablet 2,400 0 0 2,400 0
43 Camabion (program MCAI) Tablet 0 0 0 0 0
44 Captopril 12,5 mg tab Tablet 2,200 0 0 2,200 0
45 Captopril 25 mg tab Tablet 0 0 0 0 0
46 Captopril 50 mg tab Tablet 0 0 0 0 0
47 Cefadroxil 250 mg Tablet 0 0 0 0 0
48 Cefadroxil 500 mg tab Kapsul 3,700 0 0 3,700 0
49 Cefadroxil Sirup Botol 60ml 384 0 0 384 0
50 Cefixime 100mg/ml sirup Botol 60ml 0 0 0 0 0
51 Cefixime 400 mg + Azitrhromicin 100 mg Ktk 0 0 0 0 0
52 Cefixime kap 100 mg Kapsul 0 0 0 0 0
53 Cefotaxime injeksi Vial 0 0 0 0 0
54 Ceftriaxone inj vial 0 0 0 0 0
55 Cetirizine 10 mg Tablet 3,500 0 100 3,400 0
56 Cetirizine Sirup Botol 60ml 293 0 0 293 0
57 Chloramfenicol 125mg/ml Sirup btl 60 ml 200 0 0 200 0
58 Chloramfenicol kapsul 250 mg Kapsul 2,000 0 0 2,000 0
59 Chloramfenicol kapsul 500 mg/ ChloramexKapsul 0 0 0 0 0
60 Chloramfenicol salep Kulit /Bufacetin Tube 11 0 0 11 0
61 Chloramfenicol salep mata 1 % Tube 56 0 0 56 0
62 Chlorfeniramin Maleat ( ctm ) tablet 4 mgTablet 900 0 100 800 0
63 Chlorpromazine 100 mg Tablet 0 0 0 0 0
64 Cimetidin 200 mg Tablet 0 0 0 0 0
65 Ciprofloxacin 500mg Tablet 5,500 0 0 5,500 0
66 Clindamycin 150 mg Kapsul 0 0 0 0 0
67 Clindamycin 300 mg Kapsul 0 0 0 0 0
68 Clobazam tablet 10 mg Tablet 0 0 0 0 0
69 Clorpromazin 25 mg inj Ampul 0 0 0 0 0
70 Clozapine 25 mg tablet Tablet 0 0 0 0 0
71 Codein hcl tablet 10 mg Tablet 0 0 0 0 0
72 Cotrimoksazol dewasa tablet 480 mg Tablet 2,000 0 0 2,000 0
73 Cotrimoksazol suspensi btl 60 ml 288 0 0 288 0
74 Cyanocobalamin ( Vit B 12 ) inj 500 mg/mlAmpul 107 0 0 107 0
75 D-Artepd Tablet 0 0 0 0 0
76 Daryant Tulle Pcs 0 0 0 0 0
77 Deksametason inj 5 mg /ml-1 ml amp 91 0 0 91 0
78 Deksametason tablet 0,5 mg Tablet 800 0 100 700 0
79 Denomix Cream Tube 0 0 0 0 0
80 Dermasolon 10 gr Tube 0 0 0 0 0
81 DHP Frimal Tablet 0 0 0 0 0
82 Dianicol Tablet 0 0 0 0 0
83 Diazepam 5 mg Tablet 0 0 0 0 0
84 Diazepam 2 mg Tablet 0 0 0 0 0
85 Diazepam inj 5 mg/ml- 2 ml amp 0 0 0 0 0
86 Dietilcarbamazine tablet 100 mg Tablet 0 0 0 0 0
 87 Difenhidramin hcl inj 10 mg/ ml – 1 ml Tablet 168 0 0 168 0
88 Digoksin tablet 0,25 mg Tablet 0 0 0 0 0
89 Dimenhidrinat 50 mg Tablet 100 0 0 100 0
90 Domperidon 10 mg tab Tablet 1,400 0 0 1,400 0
91 Domperidon Suspensi btl 60 ml 48 0 0 48 0
92 Dulcolax 10 mg Dewasa Supp 0 0 0 0 0
93 Dulcolax 5 mgAnak Tablet 100 0 0 100 0
94 Epinefrin hcl ( adrenalin ) inj 0,1 % - ml amp 12 0 0 12 0
95 Eritromicin 500 mg kapsul kap 0 0 0 0 0
96 Eritromicin sirup btl 0 0 0 0 0
97 Etakridin ( rivanol ) larutan 0,1 % btl 300 ml 0 0 0 0 0
98 Etambutol hcl tablet 250 mg Tablet 0 0 0 0 0
99 Etambutol hcl tablet 500 mg Tablet 0 0 0 0 0
100 Etanol 70 % btl 1000 ml 48 0 0 48 0
101 Etil klorida semprot btl 100ml 0 0 0 0 0
102 Eugenol cairan Botol 0 0 0 0 0
103 Fasidol Drop Botol 0 0 0 0 0
104 FDC Katagori I Paket 0 0 0 0 0
105 Flukonazol Tablet 0 0 0 0 0
106 Flutamol Sirup btl 60 ml 0 0 0 0 0
107 Flutop-C Sirup Botol 0 0 0 0 0
108 Furosemid inj 10 mg Ampul 0 0 0 0 0
109 Furosemid tablet 40 mg Tablet 2,100 0 0 2,100 0
110 Garam Oralit untuk 200 ml air saset 100 49 0 100 49
111 Gemfibrozil 300 mgTab Tablet 0 0 0 0 0
112 Gentamicin inj amp 0 0 0 0 0
113 Gentamicin Salep Kulit tube 0 0 0 0 0
114 Gentamicin salep mata tube 48 0 0 48 0
115 Gentamicin tetes mata btl 10 ml 48 0 0 48 0
116 Gentian Violet larutan 1 % btl 10 ml 0 0 0 0 0
117 Geriavita Tablet 0 0 0 0 0
118 Glibenklamid tablet 5 mg/ Minkosa Tablet 400 0 0 400 0
119 Glibenklamid tablet 10 mg Tablet 0 0 0 0 0
120 Glimepiride 2 mg Tablet 1,000 0 0 1,000 0
121 Gliseril Guayakolat tablet 100 mg Tablet 0 0 0 0 0
122 Glukonas Kalsicus vial 0 0 0 0 0
123 Glukosa larutan infus 10 % steril btl 500 ml 0 0 0 0 0
124 Glukosa larutan infus 5 % steril btl 500 ml 7 0 0 7 0
125 Griseofulvin tablet 125 mg Tablet 1,000 0 0 1,000 0
126 Guanefenesin Tablet 0 0 0 0 0
127 H2O2 btl 0 0 0 0 0
128 Haloperidol inj 5 mg/ml buah 0 0 0 0 0
129 Haloperidol tablet 0,5 mg Tablet 0 0 0 0 0
130 Hidroklorotiazid (HCT) tabl 25 mg Tablet 200 0 0 200 0
131 Hidrokortison krim 2,5 % tube 144 0 0 144 0
132 Hyoscine 10 mg (Hyorex) Tablet 0 0 0 0 0
133 Ibu Profen Suspensi btl 60 ml 150 0 0 150 0
134 Ibuprofen tablet 200 mg Tablet 0 0 0 0 0
135 Ibuprofen tablet 400 mg Tablet 1,400 0 200 1,200 0
136 Isoniazid 100 mg Tablet 0 0 0 0 0
137 Isosorrbid dinitrat tablet sublingual 5 mg Tablet 100 0 0 100 0
138 KAEN 3 A Botol 0 0 0 0 0
139 KAEN 3 B Botol 0 0 0 0 0
140 Kalium Permanganat (PK) pot 0 0 0 0 0
141 Kanamicyn Inj 1 gram vial 0 0 0 0 0
142 Kanina Sirup Botol 0 0 0 0 0
143 Keterolac Inj (Remopain) ampul 0 0 0 0 0
144 Ketokonazole 200 mg Tablet 2,000 0 0 2,000 0
145 Ketokonazole krim 2% Tube 0 0 0 0 0
146 Kombinasi pirimetamin 25mg+sulfadoksinTablet500mg 0 0 0 0 0
147 Lactulosa Sirup btl 60 ml 0 0 0 0 0
148 Lanzoprazol 30 mg Kapsul 0 0 0 0 0
149 Lidokain + Epineprin injeksi Botol 20 0 0 20 0
150 Lidokain injeksi ampul 29 0 0 29 0
151 Lisinopril 5 mg Tablet 0 0 0 0 0
152 Livron B Plek Tablet 0 0 0 0 0
153 Lodomer mg injeksi Ampul 0 0 0 0 0
154 Loperamid 2mg Tablet 800 0 0 800 0
155 Loratadin 10 mg Tablet 3,000 0 0 3,000 0
156 Masker Buah 0 0 0 0 0
157 Masker N 95 Buah 0 0 0 0 0
158 Meloksicam tab Tablet 0 0 0 0 0
159 Metformin 500 mg Tablet 4,200 0 100 4,100 0
160 Metformin 850 mg Tablet 0 0 0 0 0
161 Metilergometrin maleat inj 0,200 mg – 1 ml Ampul 0 0 0 0 0
162 Metilergometrin maleat tablet salut 0,125Tablet 600 0 0 600 0
163 Metilprednisolon 4 mg Tablet 0 0 0 0 0
164 Metilprednisolon 8 mg Tablet 3,250 0 0 3,250 0
165 Metoklorpramide 5mg tab Tablet 600 0 0 600 0
166 Metronidazol infus 5 mg / ml Btl 0 0 0 0 0
167 Metronidazol sirup 125 mg/5 ml btl 60 ml 165 0 0 165 0
168 Metronidazol tablet 500 mg Tablet 2,000 0 0 2,000 0
169 Meylon inj Vial 0 0 0 0 0
170 MgSO4 20% btl 10 ml 0 0 0 0 0
171 MgSO4 40% btl 10 ml 0 0 0 0 0
172 Miconazol Krim tube 38 0 0 38 0
173 Mineral Mix Sacchet 0 0 0 0 0
174 Mulsanol sirup Botol 60 ml 0 0 0 0 0
175 Natrium Chlorida (NaCl) larutan infus 0,9 %Botol
steril500 ml 23 0 0 23 0
176 Natrium Diklofenak 25 mg Tablet 0 0 0 0 0
177 Neo Diagon 650 mg Tablet 0 0 0 0 0
178 Nifedipin tab 10 mg Tablet 0 0 0 0 0
179 Nistatin 100.000 iu tablet salut vaginal Tablet 1,100 0 0 1,100 0
180 Nistatin 500.000 iu tablet Tablet 100 0 0 100 0
181 Novaparid(insulin inj) pen 0 0 0 0 0
182 OAM Tablet 0 0 0 0 0
183 OAT Anak kotak 0 0 0 0 0
184 OAT Kategori I Paket 0 0 0 0 0
185 OAT Kategori II Paket 0 0 0 0 0
186 Obat Kusta MB Dewasa Blist 0 0 0 0 0
187 Ofloxasin 200 mg Tablet 0 0 0 0 0
188 Omeprazole 20 mg Kapsul 960 0 180 780 0
189 Ondansentron injeksi Ampul 0 0 0 0 0
190 Ondansentron tab 4 mg Tablet 0 0 0 0 0
191 Optiflok (levofloksasin tts mata 0,5%) Botol 0 0 0 0 0
192 OTSU Water inj 25 mg btl 25 ml 0 0 0 0 0
193 Oxytetrasiklin hcl salep kulit 3 % tube 0 0 0 0 0
194 Oxytetrasiklin Hcl salep mata tube 0 0 0 0 0
195 Oxytocin injeksi 10 iu/ml- 1 ml (Pitogin) Ampul 100 100 0 100 100
196 Papaverin Tab Tablet 0 0 0 0 0
197 Paracetamol infus btl 0 0 0 0 0
198 Paracetamol drop Botol 484 0 0 484 0
199 Paracetamol sirup 120 mg/5 ml Botol 60ml 1,135 0 0 1,135 0
200 Paracetamol tablet 500 mg Tablet 10,300 0 300 10,000 0
201 Paracetamol tablet 100 mg Tablet 0 0 0 0 0
202 Pehacain Injeksi Ampul 0 0 0 0 0
203 Perak Sulfadiazin krim 1% Tube 0 0 0 0 0
204 Phenobarbital injeksi 50 mg/ml – 2ml Ampul 0 0 0 0 0
205 Phenobarbital tablet 30 mg Tablet 0 0 0 0 0
206 Phenogliserol tts telinga (karbogliserin) btl 10 ml 24 0 0 24 0
207 Phenoxy Metil Penisilin Tablet 0 0 0 0 0
208 Phenytoin kap Kapsul 0 0 0 0 0
209 Phenzacol Tablet 0 0 0 0 0
210 Phytomenadion ( Vit K 1 ) injeksi 10 mg/ml-
Ampul
1ml 20 19 0 20 19
211 Phytomenadion ( Vit K 1 ) tablet salut10 mg
Tablet 1,100 0 0 1,100 0
212 Piracetam inj Ampul 0 0 0 0 0
213 Piracetam tab 1200 mg Tablet 0 0 0 0 0
214 Pirantel pamoat tablet 365 mg Tablet 100 0 0 100 0
215 Pirantel suspensi Botol 60ml 40 0 0 40 0
216 Piridoksin hcl tablet 10 mg Tablet 100 0 0 100 0
217 Piroxicam 10 mg tabl Tablet 0 0 0 0 0
218 Pitogin injeksi Ampul 0 0 0 0 0
219 Prednison tablet 5 mg Tablet 100 0 0 100 0
220 Primakuin tablet 15 mg ' Tablet 0 0 0 0 0
221 Prosagan inj (Lanzoprazol ) Vial 0 0 0 0 0
222 Prozine Expextoran Btl 0 0 0 0 0
223 Pyrazinamid 500 mg tab Tablet 0 0 0 0 0
224 Pyriemethamine 25 mg Tablet 0 0 0 0 0
225 Quinin inj Ampul 0 0 0 0 0
226 Quinin Tablet 222 mg Tablet 0 0 0 0 0
227 Ranitidin 150mg tab Tablet 2,100 0 0 2,100 0
228 Ranitidin Injeksi Ampul 0 0 0 0 0
229 Retinol ( vitamin A ) kapsul 100.000 iu Kapsul Biru 0 0 0 0 0
230 Retinol ( vitamin A ) kapsul 200.000 iu Kapsul Merah 0 0 0 0 0
231 Rifampicin kaplet 300 mg Kaplet 0 0 0 0 0
232 Ringer Laktat larutan infus steril Botol 500ml 31 0 0 31 0
233 Risperidone 1 mg Tablet 0 0 0 0 0
234 Risperidone 2 mg Tablet 0 0 0 0 0
235 Roverton Tablet 0 0 0 0 0
236 Salbutamol sirup Btl 0 0 0 0 0
237 Salbutamol 2mg Tablet 1,000 0 0 1,000 0
238 Salep 2-4 kombinasi Pot 24 0 0 24 0
239 Salisil bedak 2 % Kotak 20 0 0 20 0
240 Scopma Tablet 1,000 0 0 1,000 0
241 Serum anti bisa ular polivalen inj.5 ml ( abu
Ampul
I) 0 0 0 0 0
242 Serum Anti tetanus (a.t.s) Ampul 0 0 0 0 0
243 Sikzonoate injeksi 25 mg Ampul 0 0 0 0 0
244 Simvastatin 10 mg tab Tablet 1,590 0 90 1,500 0
245 Simvastatin 20 mg tab Tablet 0 0 0 0 0
246 Spironolactone 100 mg Tablet 0 0 0 0 0
247 Sukralfat sirup Botol 0 0 0 0 0
248 Sulfadiazin Silver salep Tube 5 0 0 5 0
249 Suprabion Tablet 0 0 0 0 0
250 Tablet Tambah Darah Tablet 0 0 0 0 0
251 Tarivid Tetes Telinga Tube 0 0 0 0 0
252 Tetrasiklin hcl kapsul 250 mg Kapsul 0 0 0 0 0
253 Tetrasiklin hcl kapsul 500 mg Kapsul 0 0 0 0 0
254 Thiamfenikol 500 mg/ Thiamex Tablet 0 0 0 0 0
255 Tiamin hcl ( vit.B1) injeksi 100 mg /ml-1 mlAmpul 0 0 0 0 0
256 Tiamin hcl mononirat ( vit B1) tablet 50 mg Tablet 2,600 0 200 2,400 0
257 Tramadol 50 mg kap Kapsul 0 0 0 0 0
258 Triheksifenidil 2 mg Ampul 0 0 0 0 0
259 Urinter Kapsul 0 0 0 0 0
260 Vaksin Rabies Verorab /Rabipur Kotak 0 0 0 0 0
261 Ventolin Nebule vial 0 0 0 0 0
262 Vit Ever Kapsul 0 0 0 0 0
263 Vitamin B complek tablet Tablet 7,900 0 200 7,700 0
264 Vitamin B12 Tablet 2,600 0 0 2,600 0
265 WDN3TE (WIDA 1/4 NS TM) Botol 0 0 0 0 0
266 WDNZTE (WIDA 1/2 NS TM) Botol 0 0 0 0 0
267 Yodium providon 30 ml Botol 30 ml 0 0 0 0 0
268 Yodium providon 10 % 300 ml Botol 300ml 28 0 0 28 0
269 Yodium Test Kotak 0 0 0 0 0
270 Zink Tablet 20 mg Tablet 1,000 0 0 1,000 0
271 Zinkid Sirup Botol 59 0 0 59 0
272 Acetylcysteine 200 mg Tablet 1,200 0 0 1,200 0
273 Calortusin Tablet 0 0 0 0 0
274 Calortusin sirup Botol 0 0 0 0 0
275 Natrium Diklofenak 50 mg Tablet 5,200 0 300 4,900 0
276 Atropin injeksi Ampul 38 0 0 38 0
277 Pehavral Tablet 1,300 0 100 1,200 0
278 Eflin Tablet 1,400 0 0 1,400 0
279 Eflin sirup Botol 77 0 0 77 0
280 Intunal-F Tablet 3,000 0 0 3,000 0
281 Intunal sirup Botol 180 0 0 180 0
282 Nistatin drop Botol 40 0 0 40 0
283 Omeprazole injeksi Ampul 0 0 0 0 0
284 Permethrin krim Tube 3 0 0 3 0
285 Supralysin sirup Botol 182 0 0 182 0
286 Chloramfenicol tetes telinga Botol 72 0 0 72 0
287 Etanol 70 % 100 ml Botol 96 0 0 96 0
288 Glimepiride 1 mg Tablet 1,000 0 0 1,000 0
Keterangan 0
Obat Esensial : 104 item 0
Obat Non Esensial : 167 item 0
BMHP 0
1 Alat Suntik sekali Pakai 0,05 ml Buah 0 0 0 0 0
2 Alat Suntik sekali Pakai 1 ml Buah 260 0 0 260 0
3 Alat Suntik sekali Pakai 10 ml Buah 114 0 0 114 0
4 Alat Suntik sekali Pakai 3 ml Buah 1,844 0 0 1,844 0
5 Alat Suntik sekali Pakai 5 ml Buah 263 0 0 263 0
6 Alkohol 70 % btl 1000 ml 0 0 0 0 0
7 Alkohol Swab Kotak 21 0 0 21 0
8 Aluminium Tes btl 0 0 0 0 0
9 Amonium Oxalat 0,1% btl 0 0 0 0 0
10 Amonium test ktk 0 0 0 0 0
11 Anti A Monoclonal Vial 0 0 0 0 0
12 Anti AB Monoclonal Vial 0 0 0 0 0
13 Anti B Monoclonal Vial 0 0 0 0 0
14 Anti D Duoclonal Vial 0 0 0 0 0
15 Aseptic Gel Botol 150 0 0 150 0
16 Autoclick Lancing Device Buah 0 0 0 0 0
17 Blood Lancet Kotak 0 0 0 0 0
18 Bracket hand wash plastik buah 0 0 0 0 0
19 Bunsen Spirtus Buah 0 0 0 0 0
20 Cairan Spirtus botol 0 0 0 0 0
21 Cartridge Genexpert Kit ktk 0 0 0 0 0
22 Catgut chromic No.2/0 Buah 84 0 0 84 0
23 Catgut chromic No.3/0 Buah 72 0 0 72 0
24 Catgut Plain No.2/0 Buah 72 0 0 72 0
25 Catgut Plain No.3/0 Buah 76 0 0 76 0
26 Caviton 30G ktk 0 0 0 0 0
27 Chromocuit Coliform Agar Botol 0 0 0 0 0
28 Cover Glass 18x18mm Pak 0 0 0 0 0
29 Dentinconditioner 6 Gr ktk 0 0 0 0 0
30 Dermafix Pcs 0 0 0 0 0
31 ECG Gel btl 12 0 0 12 0
32 Emertian Oil Botol 0 0 0 0 0
33 Eosin Methylene Blue Agar btl 0 0 0 0 0
34 Etakridin ( rivanol ) larutan 0,1 % btl 300 ml 6 0 0 6 0
35 Foleycateter No. 10 Buah 10 0 0 10 0
36 Foleycateter No. 20 buah 10 0 0 10 0
37 Foleycateter No.16 buah 10 0 0 10 0
38 Fuji VII ktk 0 0 0 0 0
39 Fuji II ktk 0 0 0 0 0
40 Fuji IX ktk 0 0 0 0 0
41 G.Bond 5 ml btl 0 0 0 0 0
42 Gelas Kumur Pak 0 0 0 0 0
43 GG Colo Label Mini Xtra A3 ktk 0 0 0 0 0
44 Handscoon Steril Safeglove PP no.7 Psg 250 0 0 250 0
45 Handscoon Steril Safeglove PP no.7,5 Psg 350 0 0 350 0
46 Handscoon Steril Safeglove PP no.8 Psg 150 0 0 150 0
47 Handscoon Non Steril Aximed ktk 34 0 0 34 0
48 Handscoon Non Steril CosmoMed buah 0 0 0 0 0
49 Handscoon Non Steril Maxter buah 0 0 0 0 0
50 Handscoon Non Steril Safeguard buah 0 0 0 0 0
51 Hb S Ag( RDT Hepatitis) Buah 0 0 0 0 0
52 Hb Sahli Buah 0 0 0 0 0
53 Hemospon Buah 0 0 0 0 0
54 Humasens Reffil Stik Cholesterol Kotak 0 0 0 0 0
55 Humasens Reffil Stik Glucose Kotak 0 0 0 0 0
56 Humasens Reffil Stik Uric Acid Kotak 0 0 0 0 0
57 Infuset Anak Pcs 78 0 0 78 0
58 Infuset Dewasa Pcs 85 0 0 85 0
59 Insektisida (Lamda Sihalotrin) Botol 0 0 0 0 0
60 Intec strip (Tes Narkoba) Pcs 0 0 0 0 0
61 IV Cateter No. 20G buah 107 0 0.00 107 0
62 IV Cateter No. 22G buah 110 0 0.00 110 0
63 IV Cateter No. 24G buah 4 0 0.00 4 0
64 IV Cateter No. 26G buah 0 0 0 0 0
65 IV.Canula Pen No.20 G Pcs 0 0 0 0 0
66 IV.Canula Pen No.22 G Pcs 0 0 0 0 0
67 IV.Canula Pen No.24 G Pcs 0 0 0 0 0
68 Jarum BD VACUTAINER buah 0 0 0 0 0
69 Kaca Slide box 0 0 0 0 0
70 Kaca Slide (program Malaria) box 0 0 0 0 0
71 Kaca Slide (program TB) box 0 0 0 0 0
72 Kapas pembalut /adsorben 250g roll 9 0 0 9 0
73 Kapas pembalut /adsorben 500 g Roll 3 0 0 3 0
74 Kasa Pembalut 40cm x 80 cm roll 7 0 0 7 0
75 Kasa Pembalut 4cm x 10 cm roll 100 0 0 100 0
76 Kasa Steril 16x16cm Kotak 534 0 0 534 0
77 Kertas Lakmus Biru Kotak 0 0 0 0 0
78 Kertas Puyer Biasa Pax 0 0 0 0 0
79 Kertas Puyer Sel pcs 0 0 0 0 0
80 Kertas Saring pax 0 0 0 0 0
81 Kotak Kaca Slide (program TB) box 0 0 0 0 0
82 Kotak Kaca Slide (program malaria) Kotak 0 0 0 0 0
 83 Lab Kit Set 0 0 0 0 0
84 Labu Ukur Leher Panjang Buah 0 0 0 0 0
85 Lampu spirtus btl 0 0 0 0 0
86 Larutan Amonium Oxalat Btl 250 ml 0 0 0 0 0
87 Larutan giemsa stain btl 0 0 0 0 0
88 Larutan giemsa stain cat 1.09204.0500 btl 0 0 0 0 0
89 Larutan HCL 0,1N 100 ml btl 0 0 0 0 0
90 Larutan Metanol Btl 250 ml 0 0 0 0 0
91 Larutan Natrium Citrat 3,8% Btl 250 ml 0 0 0 0 0
92 Larutan Nitrat btl 0 0 0 0 0
93 Larutan Spirtus btl 0 0 0 0 0
94 Larutan Turk Btl 250 ml 0 0 0 0 0
95 Lisol Botol 40 0 0 40 0
96 Masker box 265 140 0 265 140
97 Masker N95 buah 0 0 0 0 0
98 Media agar briliant green bile 2%(bronth)500 gram 0 0 0 0 0
99 Media agar EMB cat 1.01347.0501 500 gram 0 0 0 0 0
100 Media laktose Bronth CM 0137 500 gram 0 0 0 0 0
101 Methanyl Yellow ktk 0 0 0 0 0
102 Minyak Emersi cat 1.04699.0100 botol 0 0 0 0 0
103 Mucus Extractor buah 50 0 0 50 0
104 Nebulizer Mask Dewasa CosmoMed Buah 24 0 0 24 0
105 Nierbekken Stainlees pcs 0 0 0 0 0
106 Oxygen Mask Pcs 32 0 0 32 0
107 Paket Alat Deteksi Resiko Kehamilan (ADRK)1
Paket 0 0 0 0 0
108 Paket Alat Deteksi Resiko Kehamilan (ADRK)2
Paket 0 0 0 0 0
109 Papsmear Kit L Buah 0 0 0 0 0
110 Papsmear Kit M Buah 0 0 0 0 0
111 Pembalut Elastis Procrepe Roll 0 0 0 0 0
112 Penjepit Tali Pusar ktk 4 0 0 4 0
113 Plesterin Roll 5x5 Buah 12 0 0 12 0
114 Poliban 15cm x 2,7 roll 0 0 0 0 0
115 Polifix 5 x 5 cm roll 0 0 0 0 0
116 Pot Sputum Buah 0 0 0 0 0
117 Rapid Hexagon Siphilis Test 0 0 0 0 0
118 Rapid Sipilys Ab 0 0 0 0 0
119 Rapid Test 1 SD Bioline Test 0 0 0 0 0
120 Rapid Test 2 Focus Test 0 0 0 0 0
121 Rapid Test 2 Intec Test 0 0 0 0 0
122 Rapid Test 3 ONCOPROBE Test 0 0 0 0 0
123 Rapid Test 3 Vikia HIV Test 0 0 0 0 0
124 RDT Malaria Buah 0 0 0 0 0
125 Reagen Albumin CLR Pak 0 0 0 0 0
126 Reagen Alkaline Phosphat Pak 0 0 0 0 0
127 Reagen Bilirubin T DCLR Pak 0 0 0 0 0
128 Reagen Cholesterol ENZ CLR Pak 0 0 0 0 0
129 Reagen CK-MB Pak 0 0 0 0 0
130 Reagen Creatinin Pak 0 0 0 0 0
131 Reagen Gamma GT CLR Pak 0 0 0 0 0
132 Reagen Glucose GOD PAP Pak 0 0 0 0 0
133 Reagen GOT (ASAT) UV Pak 0 0 0 0 0
134 Reagen GPT (ALAT) UV Pak 0 0 0 0 0
135 Reagen HDL Cholesterol Pak 0 0 0 0 0
136 Reagen Hemoglobin Pak 0 0 0 0 0
137 Reagen LDH ktk 0 0 0 0 0
138 Reagen LDH Choles Pak 0 0 0 0 0
139 Reagen LDL Cholesterol ktk 0 0 0 0 0
140 Reagen Total Protein Pak 0 0 0 0 0
141 Reagen Triglycerid Pak 0 0 0 0 0
142 Reagen Urea Enzy Pak 0 0 0 0 0
143 Reagen Uric Acid LCF Pak 0 0 0 0 0
144 Reagen Zn (Basil Tahan Asam) TB (program
Buah
TB) 0 0 0 0 0
145 RPR KIT 0 0 0 0 0
146 RPR Sypilis Buah 0 0 0 0 0
147 Safety Box Pcs 0 0 0 0 0
148 Salmonella Paratyphi AH Vial 0 0 0 0 0
149 Salmonella Paratyphi AO Vial 0 0 0 0 0
150 Salmonella Paratyphi BH Vial 0 0 0 0 0
151 Salmonella Paratyphi BO Vial 0 0 0 0 0
152 Salmonella Typhi H Vial 0 0 0 0 0
153 Salmonella Typhi O Vial 0 0 0 0 0
154 Sarung Tangan Gynecolog Steril Psg 79 0 0 79 0
155 Silk Black No.2/0 Buah 94 0 0 94 0
156 Silk Black No.3/0 Buah 72 0 0 72 0
157 Solarex ktk 0 0 0 0 0
158 Spekulum Buah 0 0 0 0 0
159 Spyhilis Rapid Test Buah 0 0 0 0 0
160 Stik Pan PlasticDeluxe Biru pcs 0 0 0 0 0
161 Tabung BD VACUTAINER Buah 0 0 0 0 0
162 Tehnodent Antiseptic Liguid No.20 Botol 0 0 0 0 0
163 Tehnodent Cresotin Paste Pot 0 0 0 0 0
164 Tehnodent Iodotin Paste Pot 0 0 0 0 0
165 Tehnodent Rootdent root canal sase 0 0 0 0 0
166 Tes Kehamilan UltraOne Buah 50 0 0 50 0
167 Thermometer Clinical CosmoMed Buah 0 0 0 0 0
168 Tourniquet buah 0 0 0 0 0
169 Tube EDTA Set 0 0 0 0 0
170 Underpads CosmoMed Buah 0 0 0 0 0
171 Urinal Plastik+tutup pcs 0 0 0 0 0
172 Urine Bag pcs 5 0 0 5 0
173 Uritest Reagent Strip Tube 0 0 0 0 0
174 USG Gel btl 35 0 0 35 0
175 Vikia HBsAG ktk 0 0 0 0 0
176 Vikia HIV 1/2 ktk 0 0 0 0 0
177 Water One btl 0 0 0 0 0
178 Wing Needle 23G Buah 8 0 0 8 0
179 Wing Needle 27G Buah 34 0 0 34 0
180 Yodium providon 10 % 30 ml Botol 30ml 0 0 0 0 0
181 Yodium providon 10 % 300 ml Botol 300ml 0 0 0 0 0
182 Alat Suntik sekali Pakai 0,5 ml Buah 100 0 0 100 0
183 Foleycateter No.18 buah 9 0 0 9 0
184 Hydrogen peroxide btl 0 0 0 0 0
185 IV Cateter No. 18G buah 0 0 0 0 0
186 Paper tape roll 10 0 0 10 0
187 Wing Needle 21G Buah 15 0 0 15 0
188 Wing Needle 25G Buah 10 0 0 10 0
189 Air sound timer pcs 0 0 0 0 0
190 Nurse Cap box 7 0 0 7 0
191 Blue Tip Pak 3 0 0 3 0
192 Yellow Tip Pak 3 0 0 3 0
193 Object glass Pak 15 0 0 15 0
194 Vaacupro etda k3 Pak 0 0 0 0 0

PIMPINAN PUSKESMAS MERAMBANG Pengelola Obat Puskesmas Merambang

RABET, S.Kep.Ners DEWI, S.Farm., Apt

NIP. 19791012 201101 1 002 NIP. 19920602 201903 2 021