REGISTER OBAT PUSKESMAS KLUNGKUNG II

BULAN s/d

BULAN TOTAL
INCOME
NO NAMA OBAT LALU INCOME 26
Obat Pelayanan Kesehatan Dasar dan Program
1 Albendazol tablet 400mg 0
2 Alopurinol tablet 100mg 0
3 Aminofilin injeksi 24mg/ml - 10ml 0
4 Aminofilin tablet 200mg 0
5 Amitriptilin HCl tablet salut 25mg 0
6 Amoksisilin kaplet 500mg 0
7 Amoksisilin kapsul 250mg 0
8 Amoksisilin syrup kering 125mg/5ml 0
9 Ampisilin injeksi im/iv 500mg/vial 0
10 Antalgin injeksi 250mg/ml-2ml 0
11 Antalgin tablet 500mg 0
12 Antasida Syrup 0
13 Antasida DOEN tablet Kombinasi 0
14 Anti Bakteri DOEN salep kombinasi ( Bacitracin ) 0
15 Anti Hemoroid DOEN kombinasi 0
16 Anti Parkinson DOEN tablet Kombinasi 0
17 Karbidopa 25mg + Levodopa 25 mg 0
18 Antifungi DOEN kombinasi ( Zalf 36 ) 0
19 Antimigren DOEN Kombinasi : 0
20 Aqua pro injeksi steril, bebas pirogen 0
21 Aquadest Steril 0
22 Artemeter injeksi 0
23 Artesdiaquine tablet 0
24 Artesunat injeksi 0
25 Asam Askorbat (Vit C) tablet 50mg 0
26 Asam Askorbat tablet 250mg 0
27 Asetosal tablet 500mg 0
28 Astosal tablet 100mg 0
29 Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml 0
30 Atropin sulfat tablet 0,5mg 0
31 Atropin Sulfat tetes mata o,5% 0
32 Besi Syrup 0
33 Benzatin Benzil Penisilin inj. 1,2 jt IU 0
34 Benzatin Benzil Penisilin inj. 2.4 jt IU 0
35 Betametason krim 0,1% 0
36 Deksametason injkesi 5mg/ml-1ml 0
37 Deksametason tablet 0,5 mg 0
38 Dekstran 70 - Larutan infus 6 % steril 0
39 Dekstrometorfan sirup 10 mg/5 ml 0
40 Dekstrometorfan tablet 15 mg 0
41 Diazepam injeksi 5mg/ml-2ml 0
42 Diazepam tablet 2mg 0
43 Diazepam tablet 5mg 0
44 Difenhidramin injeksi 10mg/ml-1ml 0
45 Delldryl Injeksi 0
46 Digoksin tablet 0,25 mg 0
47 Doksisiklin kspsul 100mg 0
48 Efedrin HCl tablet 25mg 0
49 Efinefrin HCl/Bitartrat (Efinefrine/Adrenalin) 0
50 Ekstrak Belladona tablet 10mg 0
51 Ergotamin tartrat 1mg + Kofein 50mg 0
52 Eritromycin kapsul 250mg 0
53 Eritromycin sirup 200mg/5ml 0
54 Etakridin (Rivanol) larutan 10% 300ml 0
55 Etanol 70% 1 liter 0
56 Fenitoin Natrium injeksi 50mg/ml 0
57 Fenitoin Natrium kapsul 30mg 0
58 Fenobarbital inj. 50mg/ml - 2ml 0
59 Fenobarbital tablet 100mg 0
60 Fenobarbital tablet 30mg 0
61 Fenoksimetil Penisilin tablet 250 mg 0
62 Fenoksimetil penisilin tablet 500mg 0
63 Fenol Gliserol tetes telinga 10% 0
64 Fitomenadion (Vit K) injeksi 10mg/ml-1ml 0
65 Fitomenadion (Vit K) tablet salut gula 10mg 0
66 Furosemid tablet 40 mg 0
67 Gameksan emulsi 1% 0
68 Garam oralit untuk 200ml air 0
69 Gentian Violet 1% 0
70 Glibenklamida tablet 5 mg 0
71 Gliseril Guayakolat tablet 100mg 0
72 Gliserin 0
73 Glukosa larutan infus 10% steril (produk lokal) 0
74 Glukosa larutan infus 40% steril (produk lokal) 0
75 Glukosa larutan infus 5% steril (produk lokal) 0
76 Griseofulvin tablet 125mg, micronized 0
77 Haloperidol tablet 0,5mg 0
78 Haloperidol tablet 1,5mg 0
79 Haloperidol tablet 5mg 0
80 Hidrogen Peroksida 3% 0
81 Hidroklorotiazid (HCT) tablet 125mg 0
82 Hidrokortison krim 2,5 % 0
83 Ibupropen tablet 200mg 0
84 Ibupropen tablet 400mg 0
85 Isoniazid tablet 300mg 0
86 Isosorbit Dinitrat tablet sublingual 0
87 Kalium permanganat serbuk 0
88 Kalsium Laktat (Kalk) tablet 500mg 0
89 Kaptopril tablet 12,5mg 0
90 Kaptopril tablet 25mg 0
91 Karbamazepin tablet 200mg 0
92 Ketamin injeksi 10mg/ml 0
 93 Klofasimin kapsul 100mg, micronized 0
94 Kloramfenikol kapsul 250mg 0
95 Kloramfenikol tetes telinga 3% 0
96 Klorfeniramin Maleat (CTM) 0
97 Klorokuin tablet 150 mg 0
98 Klorpromasin HCl injeksi 25mg/ml-1ml 0
99 Klorpromasin HCl injeksi 5mg/ml-2ml 0
100 Klorpromasin HCl tablet salut 100mg 0
101 Klorpromasin HCl tablet salut 25mg 0
102 Kotrimoksasol suspensi kombinasi 0
103 Kotrimoksasol tablet kombinasi adult 0
104 Kotrimoksazol tablet kombinasi pediatrik 0
105 Kuinin (Kina) tablet 222mg 0
106 Kuinin Dihidrokloride injeksi 25%-2ml 0
107 Lidokain komp. Inj. Kombinasi 0
108 Lisol, mengandung Kresol tersabun 50% 0
109 Magnesium Sulfat inj. (IV) 20%- 25ml 0
110 Magnesium Sulfat inj. (IV) 40%- 25ml 0
111 Magnesium Sulfat serbuk 30gram 0
112 Mebendazol sirup 100mg/5ml 0
113 Mebendazol tablet 100mg 0
114 Metformin tablet 500mg 0
115 Metil ergometrin maleat inj. 0,200mg-1ml 0
116 Metil ergometrin maleat tablet 0,125mg 0
117 Metronidasol tablet 250mg 0
118 Metronidasol tablet 500mg 0
119 Mg Hidroksida 200mg + Al Hidroksida 200mg 0
120 Natrium Bikarbonat tablet 500mg 0
121 Natrium Diklofenak tablet 25mg 0
122 Natrium Diklofenak tablet 50mg 0
123 Natrium Fluoresein tetes mata 2% 0
124 Natrium Klorida larutan infus ( Nacl ) 0
125 Natrium Tiosulfat injeksi 25 % - 10 ml 0
126 Nistatin tablet salut 500.000 IU 0
127 Nistatin tablet vaginal 100.000 IU/g 0
128 Obat Anti TBC Katagori Anak 0
129 Obat Anti TBC Katagori I / FDC I 0
130 Obat Anti TBC Katagori II / FDC II 0
131 Obat Anti TBC Katagori III / FDC III 0
132 Obat Anti TBC Katagori Sisipan 0
133 Obat Batuk Hitam (OBH) 0
134 Oksitetrasiklin HCl injeksi I.m 50mg/ml-10ml 0
135 Oksitetrasiklin HCL salep mata 1% 0
136 Oksitosin injeksi 10IU/ml-1ml 0
137 Paraformaldehid tablet 1 gram 0
138 Parasetamol sirup 120 mg/5ml 0
139 Parasetamol tablet 100mg 0
140 Parasetamol tablet 500mg 0
141 Pilokarpin HCl/Nitrat tetes mata 2% 0
142 Pirantel tablet 125mg 0
143 Piridoksin HCl ( Vit. B6) tablet 10mg 0
144 Polikresulen 0
145 Povidon Iodida 10% 300ml ( Iodin Povoidon ) 0
146 Povidon Iodida 10% 30ml ( Iodin Povoidon ) 0
147 Prazikuantel tablet 300mg 0
148 Prednison tablet 5mg 0
149 Primakuin tablet 15mg 0
150 Propanolol tablet 40mg 0
151 Propiltiourasil tablet 100 mg 0
152 Reserpin tablet 0,10 mg 0
153 Reserpin tablet 0,25 mg 0
154 Retinol kapsul 100.000 IU 0
155 Retinol kapsul 200.000 IU 0
156 Ringer Laktat larutan infussteril (produk lokal) 0
157 Salbutamol tablet 2mg 0
158 Salbutamol tablet 4mg 0
159 Salep 2-4, kombinasi : 0
160 Salisil Bedak 2% 0
161 Serum Anti Bisa Ular Polivalen inj 50ml (ABU II) 0
162 Serum Anti Bisa Ular Polivalen inj 5ml (ABU I) 0
163 Serum Anti Difteri Inj. 20.000 IU/vial (ADS) 0
164 Serum Anti Tetanus Injeksi 1.500 IU/ampul (ATS) 0
165 Serum Anti Tetanus Injeksi 20.000 IU/vial (ATS) 0
166 Sianokobalamin (Vit B12) inj. 500 mcg/ml-1ml 0
167 Simvastatin tablet 10mg 0
168 Sulfadimidin tablet 500mg 0
169 Sulfasetamida Natrium tetes mata15% 0
170 Tablet Tambah Darah 0
171 Tetrakain HCl tetes mata 0,5% 0
172 Tetrasiklin HCL kapsul 250mg 0
173 Tetrasiklin HCL kapsul 500mg 0
174 Thiamin HCl (Vit B1) inj. 100mg/ml - 1ml 0
175 Thiamin HCl / Mononitrat (Vit B1)tablet 50mg 0
176 Tiopental Natrium Serbuk Injeksi 1000 mg/ampul 0
177 Triheksipenidil tablet 2 mg 0
178 Vaksin Rabies vero 0
179 Vitamin B Kompleks tablet 0
180 Zink Dispersible tablet 0

LAIN - LAIN
1 Alprazolam tablet 0,5mg 0
2 Alprazolam tablet 1mg 0
3 Ambroxol sirup 15mg/5ml 0
4 Ambroxol tablet 30mg 0
5 Amoksisilin injeksi 1 gram 0
6 Ampisilin injeksi 1 gram 0
7 Asam Mefenamat tablet 500mg 0
8 Asam Traneksamat injeksi 250mg 0
9 Asam Traneksamat injeksi 500mg 0
10 Asiklovir krim 5% 0
11 Asiklovir tablet 200mg 0
12 Asiklovir tablet 400mg 0
13 Aspar K tablet 0
14 Biolysin syrup 60ml 0
15 Bioplacenton jelly 0
16 Bisakodil supp 10mg 0
17 Buscopan injeksi 0
18 Cimetidin tablet 200mg 0
19 Ciprofloksazin tablet 500mg 0
20 Cortison injeksi 0
21 Delladril injeksi 0
22 Diazepam Rectal 4mg/ml 0
23 Dopamin injeksi 40mg/ml 0
24 Gentamycin injkesi 10mg/ml 0
25 Gentamycin salep kulit 0
26 Gentamycin Tetes Mata 0
27 Ichtyol salep 0
28 Isoniazid ( INH ) 100mg 0
29 Ketokenasol salep 0
30 Ketokenazol tablet 200mg 0
31 Kloramfenikol salep mata 1% 0
32 Kloramfenikol Tetes Mata 0
33 Livron Bplek 0
34 Metoklopramide HCl injeksi 5mg/ml10mg 0
35 Metoklopramide HCl tablet 10mg 0
36 Metronidazol tablet 500mg 0
37 Meylon injeksi 0
38 Mikonazol krim 2% 0
39 Neurotropin injeksi 0
40 New Diaform 0
41 Nipedipin tablet 10mg 0
42 Obat Kusta MB Anak 0
43 Obat Kusta MB Dewasa 0
44 Obat Kusta PB 0
45 Oksitetrasiklin Salep Kulit 3% 0
46 Oseltamivir kapsul 75mg 0
47 Papaverin tablet 0
48 Parasetamol Rectal sup 120mg 0
49 Pehacain injeksi 0
50 Perak Sulfadiazin krim 1% 0
51 Phenil butason tablet 0
52 Piroxicam kapsul 10mg 0
53 Piroxicam kapsul 20mg 0
54 Progesteron Injeksi ( 3bln/1ml) 0
55 Ketoprofen injeksi 0
56 Ketoprofen sup 100mg 0
57 Ranitidin injeksi 0
58 Ranitidin tablet 150mg 0
59 Salbutamol nebulizer 2,5mg/2,5ml 0
60 Seftriaxon injeksi 1g 0
61 Tamiflu tablet 0
62 Transamin injeksi 250 0
63 Transamin injeksi 500 0
64 Trifluoperazin tablet 5mg 0
65 Xilomidon injeksi 0
66 Scabizid Zalf 0

ALAT KESEHATAN
1 Abocath 18G 0
2 Abocath 20G 0
3 Abocath 22G 0
4 Abocath 24 G 0
5 Alat suntik sekali pakai 1 ml 0
6 Alat suntik sekali pakai 2, 5 ml 0
7 Alat suntik sekali pakai 5 ml 0
8 Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah 0
9 Centifuge Electric 0
10 Elastic Bandage 0
11 Folley Catether No. 16-18 0
12 Handscoon Steril 6,5 0
13 Handscoon Steril 7,5 0
14 Handscoon Steril 8 0
15 Handscoon Non Steri 6,5 0
16 Handscoon Non Steri 7,5 0
17 Handscoon Non Steri 8 0
18 Handscoon Gynaecolog (panjang) 0
19 Jarum Jahit 0
20 Infusion set anak 0
21 Infusion set dewasa 0
22 Kapas berlemak 500gr 0
23 Kapas Pembalut/Adsorben 250 gram 0
24 Kasa Kompres 40/40 steril 0
25 Kasa Pembalut 2m x 80cm 0
26 Kasa Pembalut Hidrofil 4m x 3cm 0
27 Kasa Pembalut 4 X 5 cm 0
28 Kasa Pembalut 4 X 10cm 0
29 Kasa pembalut hidrofil 4m x 15cm 0
30 Kasa Gulung 40 x 80 cm 0
31 Masker 0
32 Pembalut Gips 0
33 Plester 5 yards x 2 inch 0
34 Silk Benang bedah Sutra No. 3/0 dengan jarum bedah 0
35 Urobag 0
36 Wing Needle 21 G 0
37 Wing Needle 23 G 0
38 Wing Needle 25G 0
39 Wing Needle 27G 0
40 Kertas Perkamen 0
41 Klip Obat 0
 OBAT GIGI
1 Air Raksa dental use 0
2 Avogyl 0
3 Caustiner 0
4 Cavit G 0
5 Cresopate 0
6 Devitalisasi pasta (Non arsen) 0
7 Etil klorida spray 0
8 Eugenol cairan 0
9 Flour tablet 0,5mg 0
10 Fuji 1 x B 0
11 Fuji 1 x MB 0
12 Glas Ionomer Cement ART 0
13 Kalsium Hidroksida Pasta 0
14 Klorfenol kamfer mentol (CHKM) 0
15 Mumifying pasta 0
16 Saliva Ejektotor 0
17 Semen seng fospat serbuk dan cairan 0
18 Silver amalgam serbuk 65-75% 0
19 Spongestan 0
20 Temporary Stoping Fletcher serbuk dan cairan 0
21 Trikresol Formalin 0

Bahan Laboratorium
1 Alkohol 70% 0
2 Alumunium Foil 7,6 m X 300 mm 0
3 Anisol 100 cc 0
4 Aquadest 500 cc 0
5 Combur 10 Test AD 203 HH 0
6 EDTA (Anti Koagulan) 250 gr 0
7 Extrans TCBS 0
8 Glukotest / Gluco DR Super Sensor 0
9 Kapas Bebas Lemak 0
10 Kapas Berlemak 0
11 Kertas Tisue 0
12 Larutan Benedict 0
13 Larutan BGLB (Oxoid) 500 gr / cm 0031 0
14 Larutan eosin 2% 0
15 Larutan Etanol Asam 0
16 Larutan Giemsa Stain 0
17 Larutan HB Sahli (HCl 0,1 N) 100 cc 0
18 Larutan Karbol Fuchsin 0
19 Larutan LB (Oxoid) 50 gr / cm 0137 0
20 Larutan metilen biru 0
21 Larutan REES ECKER 250 ml 0
22 Larutan turk 0
23 Mac Conkey media bubuk 0
24 Pehidrol 1000ml 0
25 Pot Sputum 0
26 Raegen HB (Drabskin) 0
27 Slide 0
28 Spiritus 0
29 Test Golongan Darah 0
30 Test Kehamilan (PP Test) 0
31 Urine Protein Test 0
32 Widal (Typhi O,H, Paratyphi A-O, B-O, C-O) 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
 PEMAKAIAN OBAT BULAN INI
27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
 TOTAL
SISA
17 18 19 20 21 22 23 24 25 OUT

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
REGISTER OBAT GENERIK & NON GENERIK PUSKESMAS KLUNGKUNG II

BULAN s/d

Resep Resep Jumlah

Tanggal
Generik Non Generik Total
26-12-2012 0
27-12-2012 0
28-12-2012 0
29-12-2012 0
30-12-2012 0
31-12-2012 0
1-01-2012 0
2-01-2012 0
3-01-2012 0
4-01-2012 0
5-01-2012 0
6-01-2012 0
7-01-2012 0
8-01-2012 0
9-01-2012 0
10-01-2012 0
11-01-2012 0
12-01-2012 0
13-01-2012 0
14-01-2012 0
15-01-2012 0
16-01-2012 0
17-01-2012 0
18-01-2012 0
19-01-2012 0
20-01-2012 0
21-01-2012 0
22-01-2012 0
23-01-2012 0
24-01-2012 0
25-01-2012 0
TOTAL 0 0 0
 DATA PASIEN DIARE PUSKESMAS KLUNGKUNG II

BULAN s/d

JENIS TERAPI
NO TANGGAL NAMA PASIEN UMUR ALAMAT
KELAMIN OBAT
1 26-12-2012 Laki-laki
2 Perempuan
3
4
5
6
7
8
9
10
11
12
13
14
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
49
50
 DATA PASIEN PENGUNA OKT PUSKESMAS KLUNGKUNG II

BULAN s/d

Jenis Obat
No Tanggal Nama Pasien Umur Alamat Luminal Luminal CPZ CPZ Diazepam Diazepam
30 mg 100 mg 25 mg 100 mg 2 mg 5 mg
1 26-12-2012 0 - - - - -
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOTAL 0 0 0 0 0 0
REGISTER PEMAKAIAN OBAT TERBANYAK PUSKESMAS KLUNGKUNG II

BULAN s/d

Jumlah
No Nama Obat
Pemakaian
1
2
3
4
5
6
7
8
9
10
 BUKU KUNJUNGAN RESEP PUSKESMAS KLUNGKUNG II

BULAN s/d

BAYAR TIDAK BAYAR

TGL BAYAR PUSLING DS PROGRAM JKMS KADER UKS IM ASKES JUMLAH
26-12-2012 0
27-12-2012 0
28-12-2012 0
29-12-2012 0
30-12-2012 0
31-12-2012 0
1-01-2012 0
2-01-2012 0
3-01-2012 0
4-01-2012 0
5-01-2012 0
6-01-2012 0
7-01-2012 0
8-01-2012 0
9-01-2012 0
10-01-2012 0
11-01-2012 0
12-01-2012 0
13-01-2012 0
14-01-2012 0
15-01-2012 0
16-01-2012 0
17-01-2012 0
18-01-2012 0
19-01-2012 0
20-01-2012 0
21-01-2012 0
22-01-2012 0
23-01-2012 0
24-01-2012 0
25-01-2012 0
JUMLAH 0 0 0 0 0 0 0 0 0 0

Resep generik = 0

Resep non generik = 0

 PERMINTAAN OBAT APOTEK PUSKESMAS KLUNGKUNG II

BULAN s/d

BULAN TOTAL TOTAL PERMINTAAN SUDAH Yang

NO NAMA OBAT INCOME SISA SISA Ket
LALU INCOME OUT APOTEK DI AMBIL Datang
Obat Pelayanan Kesehatan Dasar dan Program
1 Albendazol tablet 400mg 0 0 0 0 0 0
2 Alopurinol tablet 100mg 0 0 0 0 0 0
3 Aminofilin injeksi 24mg/ml - 10ml 0 0 0 0 0 0
4 Aminofilin tablet 200mg 0 0 0 0 0 0
5 Amitriptilin HCl tablet salut 25mg 0 0 0 0 0 0
6 Amoksisilin kaplet 500mg 0 0 0 0 0 0
7 Amoksisilin kapsul 250mg 0 0 0 0 0 0
8 Amoksisilin syrup kering 125mg/5ml 0 0 0 0 0 0
9 Ampisilin injeksi im/iv 500mg/vial 0 0 0 0 0 0
10 Antalgin injeksi 250mg/ml-2ml 0 0 0 0 0 0
11 Antalgin tablet 500mg 0 0 0 0 0 0
12 Antasida Syrup 0 0 0 0 0 0
13 Antasida DOEN tablet Kombinasi 0 0 0 0 0 0
14 Anti Bakteri DOEN salep kombinasi ( Bacitracin ) 0 0 0 0 0 0
15 Anti Hemoroid DOEN kombinasi 0 0 0 0 0 0
16 Anti Parkinson DOEN tablet Kombinasi 0 0 0 0 0 0
17 Karbidopa 25mg + Levodopa 25 mg 0 0 0 0 0 0
18 Antifungi DOEN kombinasi ( Zalf 36 ) 0 0 0 0 0 0
19 Antimigren DOEN Kombinasi : 0 0 0 0 0 0
20 Aqua pro injeksi steril, bebas pirogen 0 0 0 0 0 0
21 Aquadest Steril 0 0 0 0 0 0
22 Artemeter injeksi 0 0 0 0 0 0
23 Artesdiaquine tablet 0 0 0 0 0 0
24 Artesunat injeksi 0 0 0 0 0 0
25 Asam Askorbat (Vit C) tablet 50mg 0 0 0 0 0 0
26 Asam Askorbat tablet 250mg 0 0 0 0 0 0
27 Asetosal tablet 500mg 0 0 0 0 0 0
28 Astosal tablet 100mg 0 0 0 0 0 0
29 Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml 0 0 0 0 0 0
30 Atropin sulfat tablet 0,5mg 0 0 0 0 0 0
31 Atropin Sulfat tetes mata o,5% 0 0 0 0 0 0
32 Besi Syrup 0 0 0 0 0 0
33 Benzatin Benzil Penisilin inj. 1,2 jt IU 0 0 0 0 0 0
34 Benzatin Benzil Penisilin inj. 2.4 jt IU 0 0 0 0 0 0
35 Betametason krim 0,1% 0 0 0 0 0 0
36 Deksametason injkesi 5mg/ml-1ml 0 0 0 0 0 0
37 Deksametason tablet 0,5 mg 0 0 0 0 0 0
38 Dekstran 70 - Larutan infus 6 % steril 0 0 0 0 0 0
39 Dekstrometorfan sirup 10 mg/5 ml 0 0 0 0 0 0
40 Dekstrometorfan tablet 15 mg 0 0 0 0 0 0
41 Diazepam injeksi 5mg/ml-2ml 0 0 0 0 0 0
42 Diazepam tablet 2mg 0 0 0 0 0 0
43 Diazepam tablet 5mg 0 0 0 0 0 0
44 Difenhidramin injeksi 10mg/ml-1ml 0 0 0 0 0 0
45 Delldryl Injeksi 0 0 0 0 0 0
46 Digoksin tablet 0,25 mg 0 0 0 0 0 0
47 Doksisiklin kspsul 100mg 0 0 0 0 0 0
48 Efedrin HCl tablet 25mg 0 0 0 0 0 0
49 Efinefrin HCl/Bitartrat (Efinefrine/Adrenalin) 0 0 0 0 0 0
50 Ekstrak Belladona tablet 10mg 0 0 0 0 0 0
51 Ergotamin tartrat 1mg + Kofein 50mg 0 0 0 0 0 0
52 Eritromycin kapsul 250mg 0 0 0 0 0 0
53 Eritromycin sirup 200mg/5ml 0 0 0 0 0 0
54 Etakridin (Rivanol) larutan 10% 300ml 0 0 0 0 0 0
55 Etanol 70% 1 liter 0 0 0 0 0 0
56 Fenitoin Natrium injeksi 50mg/ml 0 0 0 0 0 0
57 Fenitoin Natrium kapsul 30mg 0 0 0 0 0 0
58 Fenobarbital inj. 50mg/ml - 2ml 0 0 0 0 0 0
59 Fenobarbital tablet 100mg 0 0 0 0 0 0
60 Fenobarbital tablet 30mg 0 0 0 0 0 0
61 Fenoksimetil Penisilin tablet 250 mg 0 0 0 0 0 0
62 Fenoksimetil penisilin tablet 500mg 0 0 0 0 0 0
63 Fenol Gliserol tetes telinga 10% 0 0 0 0 0 0
64 Fitomenadion (Vit K) injeksi 10mg/ml-1ml 0 0 0 0 0 0
65 Fitomenadion (Vit K) tablet salut gula 10mg 0 0 0 0 0 0
66 Furosemid tablet 40 mg 0 0 0 0 0 0
67 Gameksan emulsi 1% 0 0 0 0 0 0
68 Garam oralit untuk 200ml air 0 0 0 0 0 0
69 Gentian Violet 1% 0 0 0 0 0 0
70 Glibenklamida tablet 5 mg 0 0 0 0 0 0
71 Gliseril Guayakolat tablet 100mg 0 0 0 0 0 0
72 Gliserin 0 0 0 0 0 0
 73 Glukosa larutan infus 10% steril (produk lokal) 0 0 0 0 0 0
74 Glukosa larutan infus 40% steril (produk lokal) 0 0 0 0 0 0
75 Glukosa larutan infus 5% steril (produk lokal) 0 0 0 0 0 0
76 Griseofulvin tablet 125mg, micronized 0 0 0 0 0 0
77 Haloperidol tablet 0,5mg 0 0 0 0 0 0
78 Haloperidol tablet 1,5mg 0 0 0 0 0 0
79 Haloperidol tablet 5mg 0 0 0 0 0 0
80 Hidrogen Peroksida 3% 0 0 0 0 0 0
81 Hidroklorotiazid (HCT) tablet 125mg 0 0 0 0 0 0
82 Hidrokortison krim 2,5 % 0 0 0 0 0 0
83 Ibupropen tablet 200mg 0 0 0 0 0 0
84 Ibupropen tablet 400mg 0 0 0 0 0 0
85 Isoniazid tablet 300mg 0 0 0 0 0 0
86 Isosorbit Dinitrat tablet sublingual 0 0 0 0 0 0
87 Kalium permanganat serbuk 0 0 0 0 0 0
88 Kalsium Laktat (Kalk) tablet 500mg 0 0 0 0 0 0
89 Kaptopril tablet 12,5mg 0 0 0 0 0 0
90 Kaptopril tablet 25mg 0 0 0 0 0 0
91 Karbamazepin tablet 200mg 0 0 0 0 0 0
92 Ketamin injeksi 10mg/ml 0 0 0 0 0 0
93 Klofasimin kapsul 100mg, micronized 0 0 0 0 0 0
94 Kloramfenikol kapsul 250mg 0 0 0 0 0 0
95 Kloramfenikol tetes telinga 3% 0 0 0 0 0 0
96 Klorfeniramin Maleat (CTM) 0 0 0 0 0 0
97 Klorokuin tablet 150 mg 0 0 0 0 0 0
98 Klorpromasin HCl injeksi 25mg/ml-1ml 0 0 0 0 0 0
99 Klorpromasin HCl injeksi 5mg/ml-2ml 0 0 0 0 0 0
100 Klorpromasin HCl tablet salut 100mg 0 0 0 0 0 0
101 Klorpromasin HCl tablet salut 25mg 0 0 0 0 0 0
102 Kotrimoksasol suspensi kombinasi 0 0 0 0 0 0
103 Kotrimoksasol tablet kombinasi adult 0 0 0 0 0 0
104 Kotrimoksazol tablet kombinasi pediatrik 0 0 0 0 0 0
105 Kuinin (Kina) tablet 222mg 0 0 0 0 0 0
106 Kuinin Dihidrokloride injeksi 25%-2ml 0 0 0 0 0 0
107 Lidokain komp. Inj. Kombinasi 0 0 0 0 0 0
108 Lisol, mengandung Kresol tersabun 50% 0 0 0 0 0 0
109 Magnesium Sulfat inj. (IV) 20%- 25ml 0 0 0 0 0 0
110 Magnesium Sulfat inj. (IV) 40%- 25ml 0 0 0 0 0 0
111 Magnesium Sulfat serbuk 30gram 0 0 0 0 0 0
112 Mebendazol sirup 100mg/5ml 0 0 0 0 0 0
113 Mebendazol tablet 100mg 0 0 0 0 0 0
114 Metformin tablet 500mg 0 0 0 0 0 0
115 Metil ergometrin maleat inj. 0,200mg-1ml 0 0 0 0 0 0
116 Metil ergometrin maleat tablet 0,125mg 0 0 0 0 0 0
117 Metronidasol tablet 250mg 0 0 0 0 0 0
118 Metronidasol tablet 500mg 0 0 0 0 0 0
119 Mg Hidroksida 200mg + Al Hidroksida 200mg 0 0 0 0 0 0
120 Natrium Bikarbonat tablet 500mg 0 0 0 0 0 0
121 Natrium Diklofenak tablet 25mg 0 0 0 0 0 0
122 Natrium Diklofenak tablet 50mg 0 0 0 0 0 0
123 Natrium Fluoresein tetes mata 2% 0 0 0 0 0 0
124 Natrium Klorida larutan infus ( Nacl ) 0 0 0 0 0 0
125 Natrium Tiosulfat injeksi 25 % - 10 ml 0 0 0 0 0 0
126 Nistatin tablet salut 500.000 IU 0 0 0 0 0 0
127 Nistatin tablet vaginal 100.000 IU/g 0 0 0 0 0 0
128 Obat Anti TBC Katagori Anak 0 0 0 0 0 0
129 Obat Anti TBC Katagori I / FDC I 0 0 0 0 0 0
130 Obat Anti TBC Katagori II / FDC II 0 0 0 0 0 0
131 Obat Anti TBC Katagori III / FDC III 0 0 0 0 0 0
132 Obat Anti TBC Katagori Sisipan 0 0 0 0 0 0
133 Obat Batuk Hitam (OBH) 0 0 0 0 0 0
134 Oksitetrasiklin HCl injeksi I.m 50mg/ml-10ml 0 0 0 0 0 0
135 Oksitetrasiklin HCL salep mata 1% 0 0 0 0 0 0
136 Oksitosin injeksi 10IU/ml-1ml 0 0 0 0 0 0
137 Paraformaldehid tablet 1 gram 0 0 0 0 0 0
138 Parasetamol sirup 120 mg/5ml 0 0 0 0 0 0
139 Parasetamol tablet 100mg 0 0 0 0 0 0
140 Parasetamol tablet 500mg 0 0 0 0 0 0
141 Pilokarpin HCl/Nitrat tetes mata 2% 0 0 0 0 0 0
142 Pirantel tablet 125mg 0 0 0 0 0 0
143 Piridoksin HCl ( Vit. B6) tablet 10mg 0 0 0 0 0 0
144 Polikresulen 0 0 0 0 0 0
145 Povidon Iodida 10% 300ml ( Iodin Povoidon ) 0 0 0 0 0 0
146 Povidon Iodida 10% 30ml ( Iodin Povoidon ) 0 0 0 0 0 0
147 Prazikuantel tablet 300mg 0 0 0 0 0 0
148 Prednison tablet 5mg 0 0 0 0 0 0
149 Primakuin tablet 15mg 0 0 0 0 0 0
150 Propanolol tablet 40mg 0 0 0 0 0 0
151 Propiltiourasil tablet 100 mg 0 0 0 0 0 0
152 Reserpin tablet 0,10 mg 0 0 0 0 0 0
153 Reserpin tablet 0,25 mg 0 0 0 0 0 0
154 Retinol kapsul 100.000 IU 0 0 0 0 0 0
155 Retinol kapsul 200.000 IU 0 0 0 0 0 0
156 Ringer Laktat larutan infussteril (produk lokal) 0 0 0 0 0 0
157 Salbutamol tablet 2mg 0 0 0 0 0 0
158 Salbutamol tablet 4mg 0 0 0 0 0 0
159 Salep 2-4, kombinasi : 0 0 0 0 0 0
160 Salisil Bedak 2% 0 0 0 0 0 0
161 Serum Anti Bisa Ular Polivalen inj 50ml (ABU II) 0 0 0 0 0 0
162 Serum Anti Bisa Ular Polivalen inj 5ml (ABU I) 0 0 0 0 0 0
163 Serum Anti Difteri Inj. 20.000 IU/vial (ADS) 0 0 0 0 0 0
164 Serum Anti Tetanus Injeksi 1.500 IU/ampul (ATS) 0 0 0 0 0 0
165 Serum Anti Tetanus Injeksi 20.000 IU/vial (ATS) 0 0 0 0 0 0
166 Sianokobalamin (Vit B12) inj. 500 mcg/ml-1ml 0 0 0 0 0 0
167 Simvastatin tablet 10mg 0 0 0 0 0 0
168 Sulfadimidin tablet 500mg 0 0 0 0 0 0
169 Sulfasetamida Natrium tetes mata15% 0 0 0 0 0 0
170 Tablet Tambah Darah 0 0 0 0 0 0
171 Tetrakain HCl tetes mata 0,5% 0 0 0 0 0 0
172 Tetrasiklin HCL kapsul 250mg 0 0 0 0 0 0
173 Tetrasiklin HCL kapsul 500mg 0 0 0 0 0 0
174 Thiamin HCl (Vit B1) inj. 100mg/ml - 1ml 0 0 0 0 0 0
175 Thiamin HCl / Mononitrat (Vit B1)tablet 50mg 0 0 0 0 0 0
176 Tiopental Natrium Serbuk Injeksi 1000 mg/ampul 0 0 0 0 0 0
177 Triheksipenidil tablet 2 mg 0 0 0 0 0 0
178 Vaksin Rabies vero 0 0 0 0 0 0
179 Vitamin B Kompleks tablet 0 0 0 0 0 0
180 Zink Dispersible tablet 0 0 0 0 0 0

LAIN - LAIN
1 Alprazolam tablet 0,5mg 0 0 0 0 0 0
2 Alprazolam tablet 1mg 0 0 0 0 0 0
3 Ambroxol sirup 15mg/5ml 0 0 0 0 0 0
4 Ambroxol tablet 30mg 0 0 0 0 0 0
5 Amoksisilin injeksi 1 gram 0 0 0 0 0 0
6 Ampisilin injeksi 1 gram 0 0 0 0 0 0
7 Asam Mefenamat tablet 500mg 0 0 0 0 0 0
8 Asam Traneksamat injeksi 250mg 0 0 0 0 0 0
9 Asam Traneksamat injeksi 500mg 0 0 0 0 0 0
10 Asiklovir krim 5% 0 0 0 0 0 0
11 Asiklovir tablet 200mg 0 0 0 0 0 0
12 Asiklovir tablet 400mg 0 0 0 0 0 0
13 Aspar K tablet 0 0 0 0 0 0
14 Biolysin syrup 60ml 0 0 0 0 0 0
15 Bioplacenton jelly 0 0 0 0 0 0
16 Bisakodil supp 10mg 0 0 0 0 0 0
17 Buscopan injeksi 0 0 0 0 0 0
18 Cimetidin tablet 200mg 0 0 0 0 0 0
19 Ciprofloksazin tablet 500mg 0 0 0 0 0 0
20 Cortison injeksi 0 0 0 0 0 0
21 Delladril injeksi 0 0 0 0 0 0
22 Diazepam Rectal 4mg/ml 0 0 0 0 0 0
23 Dopamin injeksi 40mg/ml 0 0 0 0 0 0
24 Gentamycin injkesi 10mg/ml 0 0 0 0 0 0
25 Gentamycin salep kulit 0 0 0 0 0 0
26 Gentamycin Tetes Mata 0 0 0 0 0 0
27 Ichtyol salep 0 0 0 0 0 0
28 Isoniazid ( INH ) 100mg 0 0 0 0 0 0
29 Ketokenasol salep 0 0 0 0 0 0
30 Ketokenazol tablet 200mg 0 0 0 0 0 0
31 Kloramfenikol salep mata 1% 0 0 0 0 0 0
32 Kloramfenikol Tetes Mata 0 0 0 0 0 0
33 Livron Bplek 0 0 0 0 0 0
34 Metoklopramide HCl injeksi 5mg/ml10mg 0 0 0 0 0 0
35 Metoklopramide HCl tablet 10mg 0 0 0 0 0 0
36 Metronidazol tablet 500mg 0 0 0 0 0 0
37 Meylon injeksi 0 0 0 0 0 0
38 Mikonazol krim 2% 0 0 0 0 0 0
39 Neurotropin injeksi 0 0 0 0 0 0
40 New Diaform 0 0 0 0 0 0
41 Nipedipin tablet 10mg 0 0 0 0 0 0
42 Obat Kusta MB Anak 0 0 0 0 0 0
43 Obat Kusta MB Dewasa 0 0 0 0 0 0
44 Obat Kusta PB 0 0 0 0 0 0
45 Oksitetrasiklin Salep Kulit 3% 0 0 0 0 0 0
46 Oseltamivir kapsul 75mg 0 0 0 0 0 0
47 Papaverin tablet 0 0 0 0 0 0
48 Parasetamol Rectal sup 120mg 0 0 0 0 0 0
49 Pehacain injeksi 0 0 0 0 0 0
50 Perak Sulfadiazin krim 1% 0 0 0 0 0 0
51 Phenil butason tablet 0 0 0 0 0 0
52 Piroxicam kapsul 10mg 0 0 0 0 0 0
53 Piroxicam kapsul 20mg 0 0 0 0 0 0
54 Progesteron Injeksi ( 3bln/1ml) 0 0 0 0 0 0
55 Ketoprofen injeksi 0 0 0 0 0 0
56 Ketoprofen sup 100mg 0 0 0 0 0 0
57 Ranitidin injeksi 0 0 0 0 0 0
58 Ranitidin tablet 150mg 0 0 0 0 0 0
59 Salbutamol nebulizer 2,5mg/2,5ml 0 0 0 0 0 0
60 Seftriaxon injeksi 1g 0 0 0 0 0 0
61 Tamiflu tablet 0 0 0 0 0 0
62 Transamin injeksi 250 0 0 0 0 0 0
63 Transamin injeksi 500 0 0 0 0 0 0
64 Trifluoperazin tablet 5mg 0 0 0 0 0 0
65 Xilomidon injeksi 0 0 0 0 0 0
66 Scabizid Zalf 0 0 0 0 0 0

ALAT KESEHATAN
1 Abocath 18G 0 0 0 0 0 0
2 Abocath 20G 0 0 0 0 0 0
3 Abocath 22G 0 0 0 0 0 0
4 Abocath 24 G 0 0 0 0 0 0
5 Alat suntik sekali pakai 1 ml 0 0 0 0 0 0
6 Alat suntik sekali pakai 2, 5 ml 0 0 0 0 0 0
7 Alat suntik sekali pakai 5 ml 0 0 0 0 0 0
8 Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah 0 0 0 0 0 0
9 Centifuge Electric 0 0 0 0 0 0
10 Elastic Bandage 0 0 0 0 0 0
11 Folley Catether No. 16-18 0 0 0 0 0 0
12 Handscoon Steril 6,5 0 0 0 0 0 0
13 Handscoon Steril 7,5 0 0 0 0 0 0
14 Handscoon Steril 8 0 0 0 0 0 0
15 Handscoon Non Steri 6,5 0 0 0 0 0 0
16 Handscoon Non Steri 7,5 0 0 0 0 0 0
17 Handscoon Non Steri 8 0 0 0 0 0 0
18 Handscoon Gynaecolog (panjang) 0 0 0 0 0 0
19 Jarum Jahit 0 0 0 0 0 0
20 Infusion set anak 0 0 0 0 0 0
21 Infusion set dewasa 0 0 0 0 0 0
22 Kapas berlemak 500gr 0 0 0 0 0 0
23 Kapas Pembalut/Adsorben 250 gram 0 0 0 0 0 0
24 Kasa Kompres 40/40 steril 0 0 0 0 0 0
25 Kasa Pembalut 2m x 80cm 0 0 0 0 0 0
26 Kasa Pembalut Hidrofil 4m x 3cm 0 0 0 0 0 0
27 Kasa Pembalut 4 X 5 cm 0 0 0 0 0 0
28 Kasa Pembalut 4 X 10cm 0 0 0 0 0 0
29 Kasa pembalut hidrofil 4m x 15cm 0 0 0 0 0 0
30 Kasa Gulung 40 x 80 cm 0 0 0 0 0 0
31 Masker 0 0 0 0 0 0
32 Pembalut Gips 0 0 0 0 0 0
33 Plester 5 yards x 2 inch 0 0 0 0 0 0
34 Silk Benang bedah Sutra No. 3/0 dengan jarum bedah 0 0 0 0 0 0
35 Urobag 0 0 0 0 0 0
36 Wing Needle 21 G 0 0 0 0 0 0
37 Wing Needle 23 G 0 0 0 0 0 0
38 Wing Needle 25G 0 0 0 0 0 0
39 Wing Needle 27G 0 0 0 0 0 0
40 Kertas Perkamen 0 0 0 0 0 0
41 Klip Obat 0 0 0 0 0 0

OBAT GIGI
1 Air Raksa dental use 0 0 0 0 0 0
2 Avogyl 0 0 0 0 0 0
3 Caustiner 0 0 0 0 0 0
4 Cavit G 0 0 0 0 0 0
5 Cresopate 0 0 0 0 0 0
6 Devitalisasi pasta (Non arsen) 0 0 0 0 0 0
7 Etil klorida spray 0 0 0 0 0 0
8 Eugenol cairan 0 0 0 0 0 0
9 Flour tablet 0,5mg 0 0 0 0 0 0
10 Fuji 1 x B 0 0 0 0 0 0
11 Fuji 1 x MB 0 0 0 0 0 0
12 Glas Ionomer Cement ART 0 0 0 0 0 0
13 Kalsium Hidroksida Pasta 0 0 0 0 0 0
14 Klorfenol kamfer mentol (CHKM) 0 0 0 0 0 0
15 Mumifying pasta 0 0 0 0 0 0
16 Saliva Ejektotor 0 0 0 0 0 0
17 Semen seng fospat serbuk dan cairan 0 0 0 0 0 0
18 Silver amalgam serbuk 65-75% 0 0 0 0 0 0
19 Spongestan 0 0 0 0 0 0
20 Temporary Stoping Fletcher serbuk dan cairan 0 0 0 0 0 0
21 Trikresol Formalin 0 0 0 0 0 0

Bahan Laboratorium
1 Alkohol 70% 0 0 0 0 0 0
2 Alumunium Foil 7,6 m X 300 mm 0 0 0 0 0 0
3 Anisol 100 cc 0 0 0 0 0 0
4 Aquadest 500 cc 0 0 0 0 0 0
5 Combur 10 Test AD 203 HH 0 0 0 0 0 0
6 EDTA (Anti Koagulan) 250 gr 0 0 0 0 0 0
7 Extrans TCBS 0 0 0 0 0 0
8 Glukotest / Gluco DR Super Sensor 0 0 0 0 0 0
9 Kapas Bebas Lemak 0 0 0 0 0 0
10 Kapas Berlemak 0 0 0 0 0 0
11 Kertas Tisue 0 0 0 0 0 0
12 Larutan Benedict 0 0 0 0 0 0
13 Larutan BGLB (Oxoid) 500 gr / cm 0031 0 0 0 0 0 0
14 Larutan eosin 2% 0 0 0 0 0 0
15 Larutan Etanol Asam 0 0 0 0 0 0
16 larutan Giemsa stain 0 0 0 0 0 0
17 Larutan HB Sahli (HCl 0,1 N) 100 cc 0 0 0 0 0 0
18 Larutan Karbol Fuchsin 0 0 0 0 0 0
19 Larutan LB (Oxoid) 50 gr / cm 0137 0 0 0 0 0 0
20 Larutan metilen biru 0 0 0 0 0 0
21 Larutan REES ECKER 250 ml 0 0 0 0 0 0
22 Larutan turk 0 0 0 0 0 0
23 Mac Conkey media bubuk 0 0 0 0 0 0
24 Pehidrol 1000ml 0 0 0 0 0 0
25 Pot Sputum 0 0 0 0 0 0
26 Raegen HB (Drabskin) 0 0 0 0 0 0
27 Slide 0 0 0 0 0 0
28 Spiritus 0 0 0 0 0 0
29 Test Golongan Darah 0 0 0 0 0 0
30 Test Kehamilan (PP Test) 0 0 0 0 0 0
31 Urine Protein Test 0 0 0 0 0 0
32 Widal (Typhi O,H, Paratyphi A-O, B-O, C-O) 0 0 0 0 0 0
33 0 0 0 0 0 0
34 0 0 0 0 0 0
35 0 0 0 0 0 0
36 0 0 0 0 0 0
37 0 0 0 0 0 0
38 0 0 0 0 0 0
39 0 0 0 0 0 0
40 0 0 0 0 0 0
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT PUSKESMAS
( LPLPO )

PUSKESMAS : APOTEK PELAPORAN BULAN : Dokumen :

KECAMATAN : KLUNGKUNG PERMINTAAN BULAN : PPK :
KABUPATEN/KOTA : KLUNGKUNG Puskesmas :
STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
Obat Pelayanan Kesehatan Dasar dan Program
1 Albendazol tablet 400mg 0 0 0 0 0 0
2 Alopurinol tablet 100mg 0 0 0 0 0 0
3 Aminofilin injeksi 24mg/ml - 10ml 0 0 0 0 0 0
4 Aminofilin tablet 200mg 0 0 0 0 0 0
5 Amitriptilin HCl tablet salut 25mg 0 0 0 0 0 0
6 Amoksisilin kaplet 500mg 0 0 0 0 0 0
7 Amoksisilin kapsul 250mg 0 0 0 0 0 0
8 Amoksisilin syrup kering 125mg/5ml 0 0 0 0 0 0
9 Ampisilin injeksi im/iv 500mg/vial 0 0 0 0 0 0
10 Antalgin injeksi 250mg/ml-2ml 0 0 0 0 0 0
11 Antalgin tablet 500mg 0 0 0 0 0 0
12 Antasida Syrup 0 0 0 0 0 0
13 Antasida DOEN tablet Kombinasi 0 0 0 0 0 0
14 Anti Bakteri DOEN salep kombinasi ( Bacitracin ) 0 0 0 0 0 0
15 Anti Hemoroid DOEN kombinasi 0 0 0 0 0 0
16 Anti Parkinson DOEN tablet Kombinasi 0 0 0 0 0 0
17 Karbidopa 25mg + Levodopa 25 mg 0 0 0 0 0 0
18 Antifungi DOEN kombinasi ( Zalf 36 ) 0 0 0 0 0 0
19 Antimigren DOEN Kombinasi : 0 0 0 0 0 0
20 Aqua pro injeksi steril, bebas pirogen 0 0 0 0 0 0
21 Aquadest Steril 0 0 0 0 0 0
22 Artemeter injeksi 0 0 0 0 0 0
23 Artesdiaquine tablet 0 0 0 0 0 0
24 Artesunat injeksi 0 0 0 0 0 0
25 Asam Askorbat (Vit C) tablet 50mg 0 0 0 0 0 0
26 Asam Askorbat tablet 250mg 0 0 0 0 0 0
27 Asetosal tablet 500mg 0 0 0 0 0 0
28 Astosal tablet 100mg 0 0 0 0 0 0
29 Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml 0 0 0 0 0 0
30 Atropin sulfat tablet 0,5mg 0 0 0 0 0 0
31 Atropin Sulfat tetes mata o,5% 0 0 0 0 0 0
32 Besi Syrup 0 0 0 0 0 0
33 Benzatin Benzil Penisilin inj. 1,2 jt IU 0 0 0 0 0 0
34 Benzatin Benzil Penisilin inj. 2.4 jt IU 0 0 0 0 0 0
35 Betametason krim 0,1% 0 0 0 0 0 0
36 Deksametason injkesi 5mg/ml-1ml 0 0 0 0 0 0
37 Deksametason tablet 0,5 mg 0 0 0 0 0 0
38 Dekstran 70 - Larutan infus 6 % steril 0 0 0 0 0 0
39 Dekstrometorfan sirup 10 mg/5 ml 0 0 0 0 0 0
40 Dekstrometorfan tablet 15 mg 0 0 0 0 0 0
41 Diazepam injeksi 5mg/ml-2ml 0 0 0 0 0 0
42 Diazepam tablet 2mg 0 0 0 0 0 0
43 Diazepam tablet 5mg 0 0 0 0 0 0
44 Difenhidramin injeksi 10mg/ml-1ml 0 0 0 0 0 0
45 Delldryl Injeksi 0 0 0 0 0 0
46 Digoksin tablet 0,25 mg 0 0 0 0 0 0
47 Doksisiklin kspsul 100mg 0 0 0 0 0 0
48 Efedrin HCl tablet 25mg 0 0 0 0 0 0
49 Efinefrin HCl/Bitartrat (Efinefrine/Adrenalin) 0 0 0 0 0 0
50 Ekstrak Belladona tablet 10mg 0 0 0 0 0 0
51 Ergotamin tartrat 1mg + Kofein 50mg 0 0 0 0 0 0
52 Eritromycin kapsul 250mg 0 0 0 0 0 0
53 Eritromycin sirup 200mg/5ml 0 0 0 0 0 0
54 Etakridin (Rivanol) larutan 10% 300ml 0 0 0 0 0 0
55 Etanol 70% 1 liter 0 0 0 0 0 0
56 Fenitoin Natrium injeksi 50mg/ml 0 0 0 0 0 0
57 Fenitoin Natrium kapsul 30mg 0 0 0 0 0 0
58 Fenobarbital inj. 50mg/ml - 2ml 0 0 0 0 0 0
 STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
59 Fenobarbital tablet 100mg 0 0 0 0 0 0
60 Fenobarbital tablet 30mg 0 0 0 0 0 0
61 Fenoksimetil Penisilin tablet 250 mg 0 0 0 0 0 0
62 Fenoksimetil penisilin tablet 500mg 0 0 0 0 0 0
63 Fenol Gliserol tetes telinga 10% 0 0 0 0 0 0
64 Fitomenadion (Vit K) injeksi 10mg/ml-1ml 0 0 0 0 0 0
65 Fitomenadion (Vit K) tablet salut gula 10mg 0 0 0 0 0 0
66 Furosemid tablet 40 mg 0 0 0 0 0 0
67 Gameksan emulsi 1% 0 0 0 0 0 0
68 Garam oralit untuk 200ml air 0 0 0 0 0 0
69 Gentian Violet 1% 0 0 0 0 0 0
70 Glibenklamida tablet 5 mg 0 0 0 0 0 0
71 Gliseril Guayakolat tablet 100mg 0 0 0 0 0 0
72 Gliserin 0 0 0 0 0 0
73 Glukosa larutan infus 10% steril (produk lokal) 0 0 0 0 0 0
74 Glukosa larutan infus 40% steril (produk lokal) 0 0 0 0 0 0
75 Glukosa larutan infus 5% steril (produk lokal) 0 0 0 0 0 0
76 Griseofulvin tablet 125mg, micronized 0 0 0 0 0 0
77 Haloperidol tablet 0,5mg 0 0 0 0 0 0
78 Haloperidol tablet 1,5mg 0 0 0 0 0 0
79 Haloperidol tablet 5mg 0 0 0 0 0 0
80 Hidrogen Peroksida 3% 0 0 0 0 0 0
81 Hidroklorotiazid (HCT) tablet 125mg 0 0 0 0 0 0
82 Hidrokortison krim 2,5 % 0 0 0 0 0 0
83 Ibupropen tablet 200mg 0 0 0 0 0 0
84 Ibupropen tablet 400mg 0 0 0 0 0 0
85 Isoniazid tablet 300mg 0 0 0 0 0 0
86 Isosorbit Dinitrat tablet sublingual 0 0 0 0 0 0
87 Kalium permanganat serbuk 0 0 0 0 0 0
88 Kalsium Laktat (Kalk) tablet 500mg 0 0 0 0 0 0
89 Kaptopril tablet 12,5mg 0 0 0 0 0 0
90 Kaptopril tablet 25mg 0 0 0 0 0 0
91 Karbamazepin tablet 200mg 0 0 0 0 0 0
92 Ketamin injeksi 10mg/ml 0 0 0 0 0 0
93 Klofasimin kapsul 100mg, micronized 0 0 0 0 0 0
94 Kloramfenikol kapsul 250mg 0 0 0 0 0 0
95 Kloramfenikol tetes telinga 3% 0 0 0 0 0 0
96 Klorfeniramin Maleat (CTM) 0 0 0 0 0 0
97 Klorokuin tablet 150 mg 0 0 0 0 0 0
98 Klorpromasin HCl injeksi 25mg/ml-1ml 0 0 0 0 0 0
99 Klorpromasin HCl injeksi 5mg/ml-2ml 0 0 0 0 0 0
100 Klorpromasin HCl tablet salut 100mg 0 0 0 0 0 0
101 Klorpromasin HCl tablet salut 25mg 0 0 0 0 0 0
102 Kotrimoksasol suspensi kombinasi 0 0 0 0 0 0
103 Kotrimoksasol tablet kombinasi adult 0 0 0 0 0 0
104 Kotrimoksazol tablet kombinasi pediatrik 0 0 0 0 0 0
105 Kuinin (Kina) tablet 222mg 0 0 0 0 0 0
106 Kuinin Dihidrokloride injeksi 25%-2ml 0 0 0 0 0 0
107 Lidokain komp. Inj. Kombinasi 0 0 0 0 0 0
108 Lisol, mengandung Kresol tersabun 50% 0 0 0 0 0 0
109 Magnesium Sulfat inj. (IV) 20%- 25ml 0 0 0 0 0 0
110 Magnesium Sulfat inj. (IV) 40%- 25ml 0 0 0 0 0 0
111 Magnesium Sulfat serbuk 30gram 0 0 0 0 0 0
112 Mebendazol sirup 100mg/5ml 0 0 0 0 0 0
113 Mebendazol tablet 100mg 0 0 0 0 0 0
114 Metformin tablet 500mg 0 0 0 0 0 0
115 Metil ergometrin maleat inj. 0,200mg-1ml 0 0 0 0 0 0
116 Metil ergometrin maleat tablet 0,125mg 0 0 0 0 0 0
117 Metronidasol tablet 250mg 0 0 0 0 0 0
118 Metronidasol tablet 500mg 0 0 0 0 0 0
119 Mg Hidroksida 200mg + Al Hidroksida 200mg 0 0 0 0 0 0
120 Natrium Bikarbonat tablet 500mg 0 0 0 0 0 0
121 Natrium Diklofenak tablet 25mg 0 0 0 0 0 0
122 Natrium Diklofenak tablet 50mg 0 0 0 0 0 0
123 Natrium Fluoresein tetes mata 2% 0 0 0 0 0 0
 STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
124 Natrium Klorida larutan infus ( Nacl ) 0 0 0 0 0 0
125 Natrium Tiosulfat injeksi 25 % - 10 ml 0 0 0 0 0 0
126 Nistatin tablet salut 500.000 IU 0 0 0 0 0 0
127 Nistatin tablet vaginal 100.000 IU/g 0 0 0 0 0 0
128 Obat Anti TBC Katagori Anak 0 0 0 0 0 0
129 Obat Anti TBC Katagori I / FDC I 0 0 0 0 0 0
130 Obat Anti TBC Katagori II / FDC II 0 0 0 0 0 0
131 Obat Anti TBC Katagori III / FDC III 0 0 0 0 0 0
132 Obat Anti TBC Katagori Sisipan 0 0 0 0 0 0
133 Obat Batuk Hitam (OBH) 0 0 0 0 0 0
134 Oksitetrasiklin HCl injeksi I.m 50mg/ml-10ml 0 0 0 0 0 0
135 Oksitetrasiklin HCL salep mata 1% 0 0 0 0 0 0
136 Oksitosin injeksi 10IU/ml-1ml 0 0 0 0 0 0
137 Paraformaldehid tablet 1 gram 0 0 0 0 0 0
138 Parasetamol sirup 120 mg/5ml 0 0 0 0 0 0
139 Parasetamol tablet 100mg 0 0 0 0 0 0
140 Parasetamol tablet 500mg 0 0 0 0 0 0
141 Pilokarpin HCl/Nitrat tetes mata 2% 0 0 0 0 0 0
142 Pirantel tablet 125mg 0 0 0 0 0 0
143 Piridoksin HCl ( Vit. B6) tablet 10mg 0 0 0 0 0 0
144 Polikresulen 0 0 0 0 0 0
145 Povidon Iodida 10% 300ml ( Iodin Povoidon ) 0 0 0 0 0 0
146 Povidon Iodida 10% 30ml ( Iodin Povoidon ) 0 0 0 0 0 0
147 Prazikuantel tablet 300mg 0 0 0 0 0 0
148 Prednison tablet 5mg 0 0 0 0 0 0
149 Primakuin tablet 15mg 0 0 0 0 0 0
150 Propanolol tablet 40mg 0 0 0 0 0 0
151 Propiltiourasil tablet 100 mg 0 0 0 0 0 0
152 Reserpin tablet 0,10 mg 0 0 0 0 0 0
153 Reserpin tablet 0,25 mg 0 0 0 0 0 0
154 Retinol kapsul 100.000 IU 0 0 0 0 0 0
155 Retinol kapsul 200.000 IU 0 0 0 0 0 0
156 Ringer Laktat larutan infussteril (produk lokal) 0 0 0 0 0 0
157 Salbutamol tablet 2mg 0 0 0 0 0 0
158 Salbutamol tablet 4mg 0 0 0 0 0 0
159 Salep 2-4, kombinasi : 0 0 0 0 0 0
160 Salisil Bedak 2% 0 0 0 0 0 0
161 Serum Anti Bisa Ular Polivalen inj 50ml (ABU II) 0 0 0 0 0 0
162 Serum Anti Bisa Ular Polivalen inj 5ml (ABU I) 0 0 0 0 0 0
163 Serum Anti Difteri Inj. 20.000 IU/vial (ADS) 0 0 0 0 0 0
164 Serum Anti Tetanus Injeksi 1.500 IU/ampul (ATS) 0 0 0 0 0 0
165 Serum Anti Tetanus Injeksi 20.000 IU/vial (ATS) 0 0 0 0 0 0
166 Sianokobalamin (Vit B12) inj. 500 mcg/ml-1ml 0 0 0 0 0 0
167 Simvastatin tablet 10mg 0 0 0 0 0 0
168 Sulfadimidin tablet 500mg 0 0 0 0 0 0
169 Sulfasetamida Natrium tetes mata15% 0 0 0 0 0 0
170 Tablet Tambah Darah 0 0 0 0 0 0
171 Tetrakain HCl tetes mata 0,5% 0 0 0 0 0 0
172 Tetrasiklin HCL kapsul 250mg 0 0 0 0 0 0
173 Tetrasiklin HCL kapsul 500mg 0 0 0 0 0 0
174 Thiamin HCl (Vit B1) inj. 100mg/ml - 1ml 0 0 0 0 0 0
175 Thiamin HCl / Mononitrat (Vit B1)tablet 50mg 0 0 0 0 0 0
176 Tiopental Natrium Serbuk Injeksi 1000 mg/ampul 0 0 0 0 0 0
177 Triheksipenidil tablet 2 mg 0 0 0 0 0 0
178 Vaksin Rabies vero 0 0 0 0 0 0
179 Vitamin B Kompleks tablet 0 0 0 0 0 0
180 Zink Dispersible tablet 0 0 0 0 0 0

LAIN - LAIN
1 Alprazolam tablet 0,5mg 0 0 0 0 0 0
2 Alprazolam tablet 1mg 0 0 0 0 0 0
3 Ambroxol sirup 15mg/5ml 0 0 0 0 0 0
4 Ambroxol tablet 30mg 0 0 0 0 0 0
5 Amoksisilin injeksi 1 gram 0 0 0 0 0 0
6 Ampisilin injeksi 1 gram 0 0 0 0 0 0
 STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
7 Asam Mefenamat tablet 500mg 0 0 0 0 0 0
8 Asam Traneksamat injeksi 250mg 0 0 0 0 0 0
9 Asam Traneksamat injeksi 500mg 0 0 0 0 0 0
10 Asiklovir krim 5% 0 0 0 0 0 0
11 Asiklovir tablet 200mg 0 0 0 0 0 0
12 Asiklovir tablet 400mg 0 0 0 0 0 0
13 Aspar K tablet 0 0 0 0 0 0
14 Biolysin syrup 60ml 0 0 0 0 0 0
15 Bioplacenton jelly 0 0 0 0 0 0
16 Bisakodil supp 10mg 0 0 0 0 0 0
17 Buscopan injeksi 0 0 0 0 0 0
18 Cimetidin tablet 200mg 0 0 0 0 0 0
19 Ciprofloksazin tablet 500mg 0 0 0 0 0 0
20 Cortison injeksi 0 0 0 0 0 0
21 Delladril injeksi 0 0 0 0 0 0
22 Diazepam Rectal 4mg/ml 0 0 0 0 0 0
23 Dopamin injeksi 40mg/ml 0 0 0 0 0 0
24 Gentamycin injkesi 10mg/ml 0 0 0 0 0 0
25 Gentamycin salep kulit 0 0 0 0 0 0
26 Gentamycin Tetes Mata 0 0 0 0 0 0
27 Ichtyol salep 0 0 0 0 0 0
28 Isoniazid ( INH ) 100mg 0 0 0 0 0 0
29 Ketokenasol salep 0 0 0 0 0 0
30 Ketokenazol tablet 200mg 0 0 0 0 0 0
31 Kloramfenikol salep mata 1% 0 0 0 0 0 0
32 Kloramfenikol Tetes Mata 0 0 0 0 0 0
33 Livron Bplek 0 0 0 0 0 0
34 Metoklopramide HCl injeksi 5mg/ml10mg 0 0 0 0 0 0
35 Metoklopramide HCl tablet 10mg 0 0 0 0 0 0
36 Metronidazol tablet 500mg 0 0 0 0 0 0
37 Meylon injeksi 0 0 0 0 0 0
38 Mikonazol krim 2% 0 0 0 0 0 0
39 Neurotropin injeksi 0 0 0 0 0 0
40 New Diaform 0 0 0 0 0 0
41 Nipedipin tablet 10mg 0 0 0 0 0 0
42 Obat Kusta MB Anak 0 0 0 0 0 0
43 Obat Kusta MB Dewasa 0 0 0 0 0 0
44 Obat Kusta PB 0 0 0 0 0 0
45 Oksitetrasiklin Salep Kulit 3% 0 0 0 0 0 0
46 Oseltamivir kapsul 75mg 0 0 0 0 0 0
47 Papaverin tablet 0 0 0 0 0 0
48 Parasetamol Rectal sup 120mg 0 0 0 0 0 0
49 Pehacain injeksi 0 0 0 0 0 0
50 Perak Sulfadiazin krim 1% 0 0 0 0 0 0
51 Phenil butason tablet 0 0 0 0 0 0
52 Piroxicam kapsul 10mg 0 0 0 0 0 0
53 Piroxicam kapsul 20mg 0 0 0 0 0 0
54 Progesteron Injeksi ( 3bln/1ml) 0 0 0 0 0 0
55 Ketoprofen injeksi 0 0 0 0 0 0
56 Ketoprofen sup 100mg 0 0 0 0 0 0
57 Ranitidin injeksi 0 0 0 0 0 0
58 Ranitidin tablet 150mg 0 0 0 0 0 0
59 Salbutamol nebulizer 2,5mg/2,5ml 0 0 0 0 0 0
60 Seftriaxon injeksi 1g 0 0 0 0 0 0
61 Tamiflu tablet 0 0 0 0 0 0
62 Transamin injeksi 250 0 0 0 0 0 0
63 Transamin injeksi 500 0 0 0 0 0 0
64 Trifluoperazin tablet 5mg 0 0 0 0 0 0
65 Xilomidon injeksi 0 0 0 0 0 0
66 Scabizid Zalf 0 0 0 0 0 0

ALAT KESEHATAN
1 Abocath 18G 0 0 0 0 0 0
2 Abocath 20G 0 0 0 0 0 0
3 Abocath 22G 0 0 0 0 0 0
 STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
4 Abocath 24 G 0 0 0 0 0 0
5 Alat suntik sekali pakai 1 ml 0 0 0 0 0 0
6 Alat suntik sekali pakai 2, 5 ml 0 0 0 0 0 0
7 Alat suntik sekali pakai 5 ml 0 0 0 0 0 0
8 Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah 0 0 0 0 0 0
9 Centifuge Electric 0 0 0 0 0 0
10 Elastic Bandage 0 0 0 0 0 0
11 Folley Catether No. 16-18 0 0 0 0 0 0
12 Handscoon Steril 6,5 0 0 0 0 0 0
13 Handscoon Steril 7,5 0 0 0 0 0 0
14 Handscoon Steril 8 0 0 0 0 0 0
15 Handscoon Non Steri 6,5 0 0 0 0 0 0
16 Handscoon Non Steri 7,5 0 0 0 0 0 0
17 Handscoon Non Steri 8 0 0 0 0 0 0
18 Handscoon Gynaecolog (panjang) 0 0 0 0 0 0
19 Jarum Jahit 0 0 0 0 0 0
20 Infusion set anak 0 0 0 0 0 0
21 Infusion set dewasa 0 0 0 0 0 0
22 Kapas berlemak 500gr 0 0 0 0 0 0
23 Kapas Pembalut/Adsorben 250 gram 0 0 0 0 0 0
24 Kasa Kompres 40/40 steril 0 0 0 0 0 0
25 Kasa Pembalut 2m x 80cm 0 0 0 0 0 0
26 Kasa Pembalut Hidrofil 4m x 3cm 0 0 0 0 0 0
27 Kasa Pembalut 4 X 5 cm 0 0 0 0 0 0
28 Kasa Pembalut 4 X 10cm 0 0 0 0 0 0
29 Kasa pembalut hidrofil 4m x 15cm 0 0 0 0 0 0
30 Kasa Gulung 40 x 80 cm 0 0 0 0 0 0
31 Masker 0 0 0 0 0 0
32 Pembalut Gips 0 0 0 0 0 0
33 Plester 5 yards x 2 inch 0 0 0 0 0 0
34 Silk Benang bedah Sutra No. 3/0 dengan jarum bedah 0 0 0 0 0 0
35 Urobag 0 0 0 0 0 0
36 Wing Needle 21 G 0 0 0 0 0 0
37 Wing Needle 23 G 0 0 0 0 0 0
38 Wing Needle 25G 0 0 0 0 0 0
39 Wing Needle 27G 0 0 0 0 0 0
40 Kertas Perkamen 0 0 0 0 0 0
41 Klip Obat 0 0 0 0 0 0

OBAT GIGI
1 Air Raksa dental use 0 0 0 0 0 0
2 Avogyl 0 0 0 0 0 0
3 Caustiner 0 0 0 0 0 0
4 Cavit G 0 0 0 0 0 0
5 Cresopate 0 0 0 0 0 0
6 Devitalisasi pasta (Non arsen) 0 0 0 0 0 0
7 Etil klorida spray 0 0 0 0 0 0
8 Eugenol cairan 0 0 0 0 0 0
9 Flour tablet 0,5mg 0 0 0 0 0 0
10 Fuji 1 x B 0 0 0 0 0 0
11 Fuji 1 x MB 0 0 0 0 0 0
12 Glas Ionomer Cement ART 0 0 0 0 0 0
13 Kalsium Hidroksida Pasta 0 0 0 0 0 0
14 Klorfenol kamfer mentol (CHKM) 0 0 0 0 0 0
15 Mumifying pasta 0 0 0 0 0 0
16 Saliva Ejektotor 0 0 0 0 0 0
17 Semen seng fospat serbuk dan cairan 0 0 0 0 0 0
18 Silver amalgam serbuk 65-75% 0 0 0 0 0 0
19 Spongestan 0 0 0 0 0 0
20 Temporary Stoping Fletcher serbuk dan cairan 0 0 0 0 0 0
21 Trikresol Formalin 0 0 0 0 0 0

Bahan Laboratorium
1 Alkohol 70% 0 0 0 0 0 0
2 Alumunium Foil 7,6 m X 300 mm 0 0 0 0 0 0
 STOCK PENERI PERSE PEMA SISA PERMIN PEMBE
NO NAMA OBAT KET
AWAL MAAN DIAAN KAIAN STOCK TAAN RIAAN
3 Anisol 100 cc 0 0 0 0 0 0
4 Aquadest 500 cc 0 0 0 0 0 0
5 Combur 10 Test AD 203 HH 0 0 0 0 0 0
6 EDTA (Anti Koagulan) 250 gr 0 0 0 0 0 0
7 Extrans TCBS 0 0 0 0 0 0
8 Glukotest / Gluco DR Super Sensor 0 0 0 0 0 0
9 Kapas Bebas Lemak 0 0 0 0 0 0
10 Kapas Berlemak 0 0 0 0 0 0
11 Kertas Tisue 0 0 0 0 0 0
12 Larutan Benedict 0 0 0 0 0 0
13 Larutan BGLB (Oxoid) 500 gr / cm 0031 0 0 0 0 0 0
14 Larutan eosin 2% 0 0 0 0 0 0
15 Larutan Etanol Asam 0 0 0 0 0 0
16 larutan Giemsa stain 0 0 0 0 0 0
17 Larutan HB Sahli (HCl 0,1 N) 100 cc 0 0 0 0 0 0
18 Larutan Karbol Fuchsin 0 0 0 0 0 0
19 Larutan LB (Oxoid) 50 gr / cm 0137 0 0 0 0 0 0
20 Larutan metilen biru 0 0 0 0 0 0
21 Larutan REES ECKER 250 ml 0 0 0 0 0 0
22 Larutan turk 0 0 0 0 0 0
23 Mac Conkey media bubuk 0 0 0 0 0 0
24 Pehidrol 1000ml 0 0 0 0 0 0
25 Pot Sputum 0 0 0 0 0 0
26 Raegen HB (Drabskin) 0 0 0 0 0 0
27 Slide 0 0 0 0 0 0
28 Spiritus 0 0 0 0 0 0
29 Test Golongan Darah 0 0 0 0 0 0
30 Test Kehamilan (PP Test) 0 0 0 0 0 0
31 Urine Protein Test 0 0 0 0 0 0
32 Widal (Typhi O,H, Paratyphi A-O, B-O, C-O) 0 0 0 0 0 0
33 0 0 0 0 0 0
34 0 0 0 0 0 0
35 0 0 0 0 0 0
36 0 0 0 0 0 0
37 0 0 0 0 0 0
38 0 0 0 0 0 0
39 0 0 0 0 0 0
40 0 0 0 0 0 0

UMUM
JUMLAH KUNJUNGAN RESEP/LEMBAR RESEP TIDAK ASKES JUMLAH
BAYAR
BAYAR
0 0 0 0

JUMLAH RESEP GENERIK 0

JUMLAH RESEP NON GENERIK 0
TOTAL RESEP 0

Mengetahui / Menyetujui Yang menyerahkan Yang Meminta

Kepala Puskesmas Klungkung II Petugas Obat, Apotek

drg. Wayan Jaya Putra, MPH Anom Eka Kharisma Anom Eka Kharisma
NIP. 197007102003121009 NIP.198908142009021001 NIP.198908142009021001
 RENCANA KERJA HARIAN PETUGAS PUSKESMAS KLUNGKUNG II

BULAN s/d
Program : Pelayanan Obat di Apotek dan di Gudang Obat

HARI TGL KEGIATAN PETUGAS LOKASI

Selasa 26 Pelayanan & Pemberian obat kepada pasien Puks. Klungkung II
Rabu 27 -------- Libur -------- -------- Libur --------
Kamis 28
Jumat 29 Persiapan obat kepada pustu dan masing-masing poli Puks. Klungkung II
Sabtu 30 Pemberian obat kepada pustu dan masing-masing poli Wilayah Puks. Klungkung II
Minggu 31 Setor laporan obat ke GFK GFK Klungkung
Senin 1
Selasa 2
Rabu 3
Kamis 4
Jumat 5
Sabtu 6
Minggu 7
Senin 8
Selasa 9
Rabu 10
Kamis 11
Jumat 12
Sabtu 13
Minggu 14
Senin 15
Selasa 16
Rabu 17 Pelayanan obat dan penerimaan obat dari GFK Puks. Klungkung II
Kamis 18
Jumat 19
Sabtu 20
Minggu 21
Senin 22
Selasa 23
Rabu 24
Kamis 25

Selat, 25 Desember 2011

Kepala UPT Puskesmas Klungkung II Petugas

drg. Wayan Jaya Putra, MPH Anom Eka Kharisma

NIP.197007102003121009 NIP.198908142009021001