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Form Laporan Stok Pusk
Form Laporan Stok Pusk
PENGELUARAN
JUMLAH
SISA NILAI
PERSEDIAA TOTAL
STOK PERSEDIAAN
N RUSAK/E PENGELUAR
JAN FEB MAR D AN
140 10 10 130 -
200 100 30 130 70 -
50 6 9 6 21 29 -
630 3 8 14 25 605 -
400 22 10 32 368 -
254 24 16 53 93 161 -
5,058 1,296 160 195 1,651 3,407 -
200 15 15 185 -
0 - - -
160 - 160 -
1,084 185 170 280 635 449 -
90 20 70 90 - -
0 - - -
10,205 2,466 1,655 2,110 6,231 3,974 -
1,000 120 70 60 250 750 -
216 25 67 76 168 48 -
514 30 120 140 290 224 -
174 58 50 48 156 18 -
2,390 610 350 890 1,850 540 -
0 - - -
7 - 7 -
100 - 100 -
19 9 10 19 - -
0 - - -
0 - - -
0 - - -
5,556 2,164 921 2,337 5,422 134 -
4,925 1,450 940 1,990 4,380 545 -
3,647 1,260 505 1,815 3,580 67 -
95 5 37 4 46 49 -
0 - - -
5 - 5 -
2,180 620 110 63 793 1,387 -
137 37 10 36 83 54 -
6 3 3 3 -
10 - 10 -
62 - 62 -
2,612 613 704 1,180 2,497 115 -
1,500 240 70 280 590 910 -
100 - 100 -
90 40 40 50 -
11 3 2 5 6 -
6,329 2,103 1,014 800 3,917 2,412 -
0 - - -
0 - - -
5 5 5 - -
100 100 100 - -
757 757 757 - -
0 - - -
0 - - -
200 - 200 -
0 - - -
0 - - -
0 - - -
207 12 18 64 94 113 -
1,780 561 145 315 1,021 759 -
0 - - -
10 5 5 10 - -
0 - - -
0 - - -
0 - - -
6 1 3 4 2 -
1 1 1 - -
0 - - -
0 - - -
0 - - -
0 - - -
55 10 5 15 40 -
100 - 100 -
971 140 30 140 310 661 -
151 54 37 25 116 35 -
808 100 50 75 225 583 -
0 - - -
0 - - -
137 17 11 10 38 99 -
24 5 1 7 13 11 -
575 35 35 540 -
0 - - -
0 - - -
4,100 1,440 971 1,422 3,833 267 -
0 - - -
37 7 7 30 -
0 - - -
0 - - -
0 - - -
0 - - -
173 13 29 35 77 96 -
190 13 17 4 34 156 -
240 20 20 10 50 190 -
3,060 520 205 640 1,365 1,695 -
0 - - -
0 - - -
260 10 10 250 -
3 1 2 3 - -
3 - 3 -
4,795 1,850 910 2,035 4,795 - -
175 20 5 15 40 135 -
0 - - -
100 - 100 -
100 24 24 76 -
68 20 6 42 68 - -
0 - - -
6,162 1,966 1,310 1,614 4,890 1,272 -
0 - - -
0 - - -
0 - - -
0 - - -
256 9 7 16 240 -
2,116 20 224 244 1,872 -
0 - - -
0 - - -
0 - - -
30 10 10 20 -
28 10 10 18 -
580 203 2 100 305 275 -
0 - - -
0 - - -
5 - 5 -
0 - - -
0 - - -
0 - - -
1,770 70 150 240 460 1,310 -
100 100 100 - -
100 - 100 -
6 - 6 -
370 10 10 360 -
0 - - -
0 - - -
865 45 60 380 485 380 -
131 35 41 5 81 50 -
0 - - -
450 150 150 300 -
5,570 1,130 1,100 1,565 3,795 1,775 -
0 - - -
45 5 5 40 -
0 - - -
200 60 60 140 -
232 5 105 110 122 -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
341 8 6 14 327 -
0 - - -
0 - - -
58 10 5 15 43 -
587 90 116 129 335 252 -
0 - - -
0 - - -
5 - 5 -
883 145 152 389 686 197 -
12,053 3,032 2,004 4,525 9,561 2,492 -
0 - - -
0 - - -
184 - 184 -
0 - - -
0 - - -
0 - - -
2,390 855 430 540 1,825 565 -
180 80 30 25 135 45 -
4 4 4 - -
50 6 10 16 34 -
3 1 1 2 -
1,144 200 200 944 -
0 - - -
0 - - -
0 - - -
0 - - -
4 - 4 -
6,657 2,400 2,225 499 5,124 1,533 -
50 - 50 -
812 7 10 10 27 785 -
103 50 53 103 - -
413 - 413 -
1,500 320 40 605 965 535 -
0 - - -
71 12 3 7 22 49 -
390 20 10 20 50 340 -
0 - - -
0 - - -
0 - - -
850 20 30 15 65 785 -
2,020 180 80 700 960 1,060 -
0 - - -
0 - - -
0 - - -
10,515 3,095 1,385 2,555 7,035 3,480 -
148 30 10 40 108 -
0 - - -
1,993 310 10 860 1,180 813 -
0 - - -
30 30 30 - -
0 - - -
0 - - -
2,060 140 150 735 1,025 1,035 -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
50 50 50 - -
137 6 11 27 44 93 -
499 15 28 43 456 -
2,089 150 96 580 826 1,263 -
500 500 500 - -
300 65 79 156 300 - -
5,100 465 2,895 3,360 1,740 -
33 2 14 5 21 12 -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
2,500 431 471 902 1,598 -
3,000 685 653 1,338 1,662 -
592 91 109 143 343 249 -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
0 - - -
259 259 259 - -
0 - - -
339 10 100 100 210 129 -
165 15 50 50 115 50 -
8 - 8 -
1 - 1 -
0 - - -
0 - - -
8 5 5 3 -
3 1 1 2 -
150 25 25 25 75 75 -
160 30 50 80 160 - -
21 5 6 8 19 2 -
5 3 2 5 - -
13 1 5 5 11 2 -
7 - 7 -
10 - 10 -
125 25 20 25 70 55 -
3 - 3 -
0 - - -
0 - - -
0 - - -
0 - - -
3 1 1 2 -
90 10 50 60 30 -
6 1 5 6 - -
0 - - -
1 1 1 - -
0 - - -
0 - - -
0 - - -
0 - - -
5 5 5 - -
280 20 50 100 170 110 -
6 3 3 6 - -
LAPORAN STOK OBAT DAN BMHP PUSKESMAS
PERIODE 1 APRIL 2018 S.D. 30 DESEMBER 2018
Nama Puskesmas: : Puskesmas Wanayasa 2
Kecamatan : : Wanayasa 2
NO NAMA OBAT / PERBEKALAN KESEHATAN PENERIMAAN PE
SATUA STOK JUMLAH
HARGA TOTAL
OBAT RUTIN N AWAL PERSED
PENERI
IAAN
APR MEI JUNI JULI AGUST SEPT OKT NOV DES MAAN APR MEI JUNI JULI
1 ACYCLOVIR 200 MG TABLET Tablet 130 100 100 230 - -
2 ACYCLOVIR 400 MG Tablet 70 100 100 200 270 20 20
3 ACYCLOVIR KRIM 5% Tablet 29 24 24 53 10 1 7
4 ALKOHOL LIQUID 70 % Botol 3 2 2 5 1 - -
5 ALLOPURINOL TABLET 100 MG Tablet 368 0 368 20 30 90 111
6 AMBROXOL SIRUP 15 MG/5 ML Botol 161 192 192 353 38 6 50 50
7 AMBROXOL TAB 30 MG Tablet 3,407 2,500 2,500 5,907 920 440 53 33
8 AMINOFILIN TABLET 200 MG Tablet 185 0 185 - -
9 AMINOFILINA INJEKSI 24 MG/ML - 10 ML Vial 0 0 - -
10 AMLODIPINE 10 MG TABLET Tablet 619 1,500 2,010 3,510 4,129 345 140 200 350
11 AMLODIPINE 5 MG TABLET Tablet 510 180 690 690 30 81 70 180
12 AMOKSISILIN FORTE SIRUP KERING 250 MG/5 ML Botol 0 0 - -
13 AMOKSISILIN INJ. 1000 MG Tablet 0 0 - -
14 AMOKSISILIN KAPLET 500 MG Vial 3,974 8,000 100 4,000 12,100 16,074 1,566 1,491 1,205 1,395
15 AMOKSISILIN KAPSUL 250 MG Kaplet 750 1,000 500 1,500 2,250 120 30 360 340
16 AMOKSISILIN SIRUP KERING 125 MG/5 ML Kapsul 21 500 300 800 821 84 52 63 110
17 ANTALGIN (METAMPIRON) TABLET 500 MG Tablet 224 500 300 800 1,024 80 80 51 64
18 ANTASIDA DOEN SUSPENSI Tablet 18 500 500 518 63 51 75 58
19 ANTASIDA DOEN TABLET KOMBINASI Tablet 540 4,000 500 1,500 500 6,500 7,040 1,261 680 980 970
20 ANTIFUNGI DOEN KOMB.(As.Benzoat&As.Salisilat) Tablet 0 0 - -
21 ANTIHEMOROID SUPPOSITORIA Tube 7 0 7 - -
22 ANTIMIGREN DOEN (Ergotamin&Cafein) TABLET Tablet 100 0 100 - -
23 AQUA PRO INJEKSI STERIL BEBAS PIROGEN Vial 5 25 20 12 57 62 5 - 10
24 ASAM ASKORBAT TABLET 50 MG Tablet 134 8,000 7,000 5,000 20,000 20,134 1,861 1,192 1,135 3,720
25 ASAM FOLAT Tablet 545 8,000 3,500 4,000 15,500 16,045 2,240 860 1,290 2,660
26 ASAM MEFENAMAT KAPLET 500 MG Tablet 67 5,000 2,500 1,500 9,000 9,067 980 782 1,395 1,495
27 ASAM TRANEKSAMAT 500 MG (CLONEX) Tablet 49 0 49 5 44
28 ASERING INFUS Botol 0 0 - -
29 ASETOSAL TAB 80 MG (MINIASPI ) Tablet 200 200 200 - -
30 ATROPIN SULFAT TABLET 0,5 MG Kaplet 5 0 5 - -
31 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML Ampul 0 0 - -
32 BETAHISTIN MESILATE 6 MG Tablet 1,387 1,020 1,020 2,407 100 402 90 80
33 BETAMETASON KRIM 0,1 % Tube 54 144 120 50 314 368 28 19 22 79
34 BISAKODIL SUPP 10 MG (DULCOLAX) Suppo 3 0 3 - -
35 BISAKODIL SUPP 5 MG (DULCOLAX) Suppo 10 0 10 - -
36 BISAKODIL TABLET Tablet 62 0 62 - -
37 CAPTOPRIL 25 MG Tablet 115 5,000 3,000 8,000 8,115 787 446 631 1,871
38 CAPTOPRIL TABLET 12,5 MG Tablet 910 1,000 1,000 3,000 5,000 5,910 215 135 1,810 1,010
39 CARBAMAZEPIN TABLET 200 MG Tablet 100 0 100 - -
40 CLONIDIN 0,15 MG TABLET Tablet 50 0 50 50 - -
41 DEKSAMETASON INJEKSI 5 MG/ML 1 ML Ampul 8 20 20 28 - -
42 DEKSAMETASON TABLET 0,5 MG Tablet 2,412 5,000 1,000 3,500 2,000 11,500 13,912 1,652 1,348 1,799 1,969
43 DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1ML Ampul 0 0 - -
44 DIGOKSIN TABLET 0,25 MG Tablet 200 0 200 - -
45 DILTIAZEM TABLET Tube 0 0 - -
46 DIMENHIDRINATE 50 MG Ampul 0 0
47 DOMPERIDONE SIRUP Botol 113 100 50 150 263 21 14 30 56
48 DOMPERIDONE TABLET 10 MG Tablet 759 1,000 100 1,100 1,859 661 205 - -
49 EPINEFRINA HCL/ADRENALINA INJEKSI 0,1 % - 1 M Tablet 20 20 20 - -
50 ERITROMISIN KAPSUL 500 MG Tablet 0 0 - -
51 ETAKRIDIN (RIVANOL) LARUTAN Botol 0 0 - -
52 ETIL KLORID SEMPROT (XYLOCAINE SPRAY) Botol 2 2 2 - -
53 FENILBUTASON TABLET SALUT 200 MG Tablet 113 0 113 - -
54 FENOL GLISEROL TT 10 % 5 ML Tube 759 0 759 - -
55 FITOMENADION (VIT.K1) TABLET SALUT GULA 10 Kapsul 100 100 100 200 - -
56 FUROSEMID INJEKSI 10 MG/ML Ampul 0 0 - -
57 FUROSEMID TABLET 40 MG Tablet 661 1,000 1,000 1,661 35 17 52 82
58 GAMEKSAN KRIM (SCABIMITE) Tube 35 120 60 30 210 245 51 21 27 35
59 GARAM ORALIT UNTUK 200 ML AIR sacet 583 1,000 300 1,300 1,883 451 245 130 160
60 GEMFIBROZIL 300 MG Kapsul 0 0 - -
61 GENTAMICIN SALEP KULIT Tube 38 100 100 138 25 21 78 13
62 GENTIAN VIOLET 1 % 10 ML Tube 11 20 25 45 56 6 2 - -
63 GLIBENKLAMID TABLET 5 MG Tablet 540 0 540 30 100 100
64 GLIMEPIRIDE 1 MG TABLET Tablet 0 0 - -
65 GLIMEPIRIDE 2 MG TABLET Tablet 0 0 - -
66 GLISERIL GUAYAKOLAT 100 MG Tablet 267 5,000 1,500 1,500 8,000 8,267 1,255 957 985 650
67 GLUKOSA LARUTAN INFUS 5 % STERIL Botol 20 0 20 0 0
68 GRISEOFULVIN TABLET 125 MG MICRONAIZED Tablet 0 0 - -
69 HIDROKLOROTIAZID (HCT) TABLET 25 MG Tablet 0 0 - -
70 HIDROKORTISON KREAM 2,5% 5 GR Tube 96 96 120 216 312 20 12 106 7
71 HYOSIN N BUTILBROMIDA KAPLET (SCOPMA) Tablet 0 0 0 0
72 IBUPROFEN SUSPENSI 100 MG/5 ML Botol 156 100 100 256 30 8 61 64
73 IBUPROFEN TABLET 200 MG Tablet 190 1,000 1,000 1,190 220 10 30 60
74 IBUPROFEN TABLET 400 MG Tablet 1,695 3,000 3,000 4,695 1,400 360 105 75
75 ICHTYOL SALEP Tube 0 0 0 0
76 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG Tablet 250 0 250 5 5
77 JELLY DOPLER (ULTRASONIC GEL) Botol 1 5 3 8 9 2 1 1
78 KALIUM L ASPARTAT 300 MG (KALIPAR) Tablet 0 0 0 0
79 KALSIUM LAKTAT TABLET 500 MG Tablet 3 5,000 1,000 4,500 6,000 16,500 16,503 1,937 1,135 1,255 1,931
80 KETOKONAZOLE 200 MG TABLET Tablet 135 200 200 335 20 - -
81 KETOPROFEN SUPP 100 MG (SUPRAFENID) Botol 0 0 0 0
82 KETOROLAK INJ 30 MG / ML Vial 0 0 0 0
83 KLINDAMISIN 150 MG Tablet 0 0 0 0
84 KLINDAMISIN 300 MG Tablet 0 0 0 0
85 KLORAMFENIKOL 1G INJEKSI Ampul 0 0 0 0
86 KLORAMFENIKOL KAPSUL 250 MG Tablet 0 0 0 0
87 KLORAMFENIKOL SUSPENSI 125 MG/5 ML Botol 0 0 0 0
88 KLORAMFENIKOL TETES MATA 0,5 % (RECO) Tube 72 100 48 148 220 22 11 39 40
89 KLORAMPENIKOL SALEP MATA 1% Tube 24 120 144 144 20 4 - -
90 KLORAMPENIKOL TETES TELINGA 3 % Tube 25 25 25 0 0
91 KLORFENERAMIN MALEAT (CTM) TABLET 4 MG Tablet 1,272 7,000 3,000 3,000 13,000 14,272 1,578 1,176 1,880 2,000
92 KOMB (ipatropium Br 0,5, salbutamol 2,5 mg)-COMB Pot 0 0 - -
93 KOMB. BATUK SIRUP-DEXTROFEN Botol 100 250 350 350 12 - -
94 KOMB. BATUK TABLET-GRANTUSIF Tablet 93 1,000 1,000 1,093 110 110 110
95 KOMB.DIARE SUSPENSI-NEO KAOMINAL Botol 456 50 50 506 26 176 120
96 KOMB.FLU SIRUP-WICOLD Botol 200 200 400 400 129 104 126
97 KOMB.FLU TABLET-MOLEXFLU Tablet 1,740 7,050 3,600 10,650 12,390 2,506 1,515 960 1,100
98 KOMB.LUKA BAKAR GELL-NEOCENTA Tablet 12 40 32 72 84 3 11 20
99 KOMB.VITAMIN B1B6B12-NEUROPYRAMIN Tablet 1,598 2,500 2,000 1,000 5,500 7,098 1,127 668 620 1,345
100 KOMB.VITAMIN KAPLET-CAVIPLEX Tablet 1,662 3,000 2,500 2,000 7,500 9,162 1,040 718 820 1,765
101 KOMB.VITAMIN SIRUP-CURCUMA PLUS Botol 249 200 100 400 700 949 141 105 90 203
102 KOTRIMOKSAZOL FORTE 960 MG Tablet 0 0 0 0
103 KOTRIMOKSAZOL SUSPENSI 240MG/5ML KOMB. Botol 240 50 50 100 340 8 14 72 73
104 KOTRIMOKSAZOL TABLET 480 MG. KOMBINASI Tablet 1,872 1,000 500 1,500 3,372 56 50 1,011 1,030
105 LARUTAN KLORIN 5.25%-SO KLIN Botol 40 80 80 120 15 50 - -
106 LIDOCAIN 2% INJEKSI Ampul 120 50 100 150 270 4 20 20 33
107 LIDOKAIN COMP. INJEKSI 2 % Ampul 30 20 20 50
108 LOPERAMID HCL TABLET 2 MG Tablet 272 500 500 772 5
109 LORATADIN 10 MG Botol 0 0
110 METFORMIN 500 MG TABLET Tablet 1,310 1,000 1,000 2,000 3,310 175 60 755 755
111 METILDOPA 250 MG-DOPAMET Tablet 0 0
112 METILPREDNISOLON TABLET 4 MG Tablet 360 0 360
113 METOKLOPRAMID HCL INJEKSI 5 MG/ML Ampul 0 0
114 METRONIDAZOL TABLET 500 MG Tablet 380 2,000 2,000 2,380 30 56 575 560
115 MIKONAZOL KRIM/SALEP 2% Tablet 50 100 100 150 25 1 15 18
116 N ACETIL SISTEIN KAPSUL 200 MG Tablet 0 0
117 NATRIUM BIKARBONAT TABLET 500 MG Tablet 300 0 300 100 100 100
118 NATRIUM DIKLOFENAK 50 MG TABLET Tablet 1,775 6,000 500 2,000 8,500 10,275 1,100 865 600 700
119 NATRIUM FENITOIN KAPSUL 100 MG Tablet 300 300 300
120 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL Botol 20 40 60 60 5 15 15
121 NEW ANTIDES-ATTAPULGITE/PECTIN TABLET Tablet 1,263 2,500 2,500 3,763 250 230 51 31
122 NIFEDIPIN TABLET Tablet 140 0 140 40 40
123 NISTATIN TABLET VAGINAL 100.000 IU/G Tablet 122 200 200 322 20 2 2
124 OBAT BATUK HITAM (OBH) CAIRAN Botol 327 0 327 20 13 4 4
125 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 0 0
126 OMEPRAZOLE 30 MG KAPSUL Tablet 752 990 990 1,742 200 140 100 160
127 PAPAVERIN INJEKSI Ampul 0 0
128 PAPAVERIN TABLET 40 MG Tablet 0 0
129 PARASETAMOL DROPS Botol 3 0 5 1 1
130 PARASETAMOL SIRUP 120 MG/5 ML 60 ML Botol 197 600 200 500 700 2,000 2,197 177 181 276 293
131 PARASETAMOL TABLET 500 MG Tablet 2,492 10,000 5,000 8,500 23,500 25,992 3,161 1,490 3,175 3,190
132 PERAK SULFADIAZIN KRIM 1 % Tube 0 0
133 PIRACETAM 400 MG TABLET Tablet 184 0 184 50 50
134 PIRACETAM INJ Ampul 0 0
135 PIRANTEL TABLET 125 MG Kapsul 0 0
136 PIRIDOKSIN (VIT B6) INJEKSI Ampul 0 0
137 PIRIDOKSIN (VIT B6) TABLET 10 MG Tablet 565 3,000 300 1,500 4,800 5,365 760 310 675 675
138 PIROKSIKAM TABLET 10 MG Tablet 45 200 100 300 345 40 30 10 30
139 POLIKRESULEN 360MG/G (Albothyl) Botol 0 0
140 POVIDON IODIDA 10 % 30 ML Botol 37 50 50 100 137 20 13 25
141 POVIDON IODIDA 10 % 300 ML. Botol 3 0 3 1 1 1
142 PREDNISON TABLET 5 MG Tablet 944 500 500 1,444 10 10 400 400
143 PROPILTIOURASIL TABLET 100 MG Tablet 0 0
144 PROPRANOLOL HCL TABLET 40 MG Kotak 0 0
145 RANITIDIN INJEKSI Ampul 4 0 4
146 RANITIDIN TABLET 150 MG Tablet 1,533 7,000 3,000 10,000 11,533 1,232 1,435 800 1,010
147 RINGER LAKTAT LARUTAN INFUS STERIL Botol 40 60 60 120 160 20 20 20
148 SALBUTAMOL CAIRAN IH 0,1 % Tube 0 0
149 SALBUTAMOL TABLET 2 MG Tablet 948 2,000 200 2,200 3,148 60 60 850 850
150 SALEP 2 - 4 KOMB.(As.Salisilat&Belerang endap) Tube 0 0
151 SALISIL BEDAK 2% Kotak 49 0 49
152 SEFADROKSIL 500 MG Tablet 340 100 5 105 445 6 100 100
153 SERUM ANTI BISA ULAR INJEKSI 5 ML (ABU I) Vial 5 5 5
154 SERUM ANTI TETANUS INJEKSI 1.500 IU/AMPUL Vial 10 10 10 1
155 SIANOKOBALAMIN (VIT.B12) INJEKSI 500 MCG/ML- Vial 0 0
156 SIMVASTATIN TABLET 10 MG Tablet 758 0 758 20 10 10 10
157 SIPROFLOKSASIN TABLET 500 MG Tablet 1,060 2,000 2,000 3,060 330 390 80 80
158 SPIRONOLACTONE 25 MG TABLET Tablet 200 200 200
159 SULFASETAMID TETES MATA 15 % Tube 0 0
160 THIAMFENIKOL KAPSUL 500 MG Tablet 108 200 200 400 508 32 24 100 100
161 THIAMIN HCL/MONONITRAT (VIT. B1) TABLET 50 M Tablet 813 1,000 400 1,400 2,213 20 700
162 TRAMADOL INJEKSI Ampul 0 0
163 TRAMADOL TABLET 50 MG Tablet 0 0
164 VITAMIN B KOMPLEKS TABLET Tablet 0 0
165 ZINK TABLET 20 MG Botol 1,035 2,000 500 3,000 5,500 6,535 655 225 130 130
PROGRAM HIV 0 0
1 FOKUS RPR SHYPILIS Tablet 0 0
2 HBsAg (SD Bioline) Vial 0 0
3 HEXAGON SYPHILIS Tablet 0 0
4 RAPID 1 HIV Tablet 100 100 200 200 29
5 RAPID 2 HIV Tablet 0 0
6 RAPID 3 HIV Tablet 0 0
PSIKOTROPIKA DAN PROGRAM JIWA 0 0
1 ALPRAZOLAM 1 MG Ampul 0 0 - -
2 AMITRIPTILIN HCL TABLET SALUT 25 MG Tablet 160 0 160 0 0
3 DIAZEPAM INJEKSI 5 MG/ML - 2 ML Ampul 2 0 2 0 0
4 DIAZEPAM RECTAL TUBE 5 MG Pot 1 5 5 6 0 0
5 DIAZEPAM TABLET 2 MG Kapsul 100 0 100 5 15
6 DIAZEPAM TABLET 5 MG Tablet 0 0 0 0
7 FENOBARBITAL INJEKSI 50 MG/ML - 2 ML Ampul 4 0 4 0 0
8 FENOBARBITAL TABLET 30 MG Tablet 100 0 100 0 0
9 FLUFENAZIN INJ 25 MG/ML (I.M) Tablet 0 0 0 0
10 FLUOKSETIN 10 MG Tablet 0 0 0 0
11 HALDOL DECANOAS, HALOPERIDOL INJ 5 MG/ML Tablet 0 0 0 0
12 HALOPERIDOL TABLET 1,5 MG Vial 130 400 400 530 40 80 130
13 HALOPERIDOL TABLET 5 MG Botol 100 200 300 300 - -
14 KLOBAZAM 10 MG Tablet 0 0 0 0
15 KLORPROMAZIN TABLET SALUT 25 MG Kapsul 100 0 100 10 30
16 KLORPROMAZIN TABLET SALUT 100 MG Ampul 0 0 0 0
17 KLOZAPIN 25 MG Tablet 0 0
18 PRIMANIA 200 MG Ampul 0 0
19 RISPERIDON 2 MG Tablet 200 200 200 0 0
20 SIKZOONATE INJEKSI Ampul 0 0 0 0
21 TRIFLUOPERAZIN TAB SLT SELAPUT 5 MG Tablet 0 0 0 0
22 TRIHEKSIFENIDIL TABLET 2 MG Tablet 100 500 600 600 25 70 75
PROGRAM MALARIA 0 0
1 KLOROKUIN TABLET 150 MG Kaplet 0 0
2 OBAT ANTI MALARIA (DIHIDRIARTEMISININ PIPERA Tablet 0 0
3 PRIMAQUIN 15 MG TABLET Tablet 0 0
PROGRAM KECACINGAN 0 0
1 ALBENDAZOLE TABLET 400 MG Tablet 2,400 5,500 5,500 7,900 1,465 63 10 442
2 DIETIL CARBAMAZIN 100 MG Tablet 0 0
PROGRAM TB DAN LEPRA KUSTA 0 0
1 DOKSISIKLIN TABLET 100 MG Tablet 0 0
2 ETAMBUTOL TABLET 500 MG Tablet 0 0
3 ISONIAZID TABLET BP 100 MG Kapsul 0 0
4 MB Anak Kapsul 0 0
5 MB Dewasa Tablet 0 0
6 OAT FDC ANAK Kapsul 1 0 1
7 OAT FDC I Kapsul 7 0 7 2 1 1 1
8 OAT FDC II Kapsul 0 0
9 PB ANAK Kapsul 0 0
10 PB DEWASA Botol 0 0
PROGRAM KIA DAN GIZI 0 0
1 FITOMENADION (VIT K) INJ 2 MG/ML Ampul 240 0 240 20 60 60
2 GENTAMICIN 80 MG INJEKSI Ampul 10 10 20 20 10 10
3 KALSIUM GLUKONAS INJEKSI Ampul 28 0 28
4 LEVOTHYROXINE 100 Botol 0 0
5 MAGNESIUM SULFAT INJEKSI (IV) 40%/25 ML Ampul 24 0 24
6 MAGNESIUM SULFAT INJEKSI 20%-25ML Ampul 30 30 30
7 METILERGOMETRIN MALEAT TAB. SLT.0,125 MG tablet 0 0
8 METILERGOMETRIN MALEAT INJEKSI 0,2 MG-1ML Ampul 0 0
9 MINERAL MIX Botol 0 0
10 OKSITOSIN INJEKSI 10 IU/ML - 1 ML Ampul 130 100 100 230 20 20 60
11 RETINOL (VIT.A) KAPSUL LUNAK 100.000 IU Kapsul 1,200 300 300 1,500 700
12 RETINOL (VIT.A) KAPSUL LUNAK 200.000 IU Kapsul 4,400 500 500 4,900 25 21
13 TABLET TAMBAH DARAH (BESI FUMARAT) Set 3,480 10,020 1,020 1,980 13,020 16,500 1,830 1,915 4,325 4,300
LEPTOSPIROSIS 0 0
1 RDT LEPTOSPIROSIS Set 0 0
VAKSIN 0 0
1 BCG VACCINE BP (INTRADERMAL) Rol 37 20 20 20 20 80 117 6 5 5 5
2 BIVALEN ORAL POLIOMYELITIS VACCINE Set 4 30 30 20 30 30 140 144 21 13 8 21
3 HEB B IMUNOGLOBULIN HUMAN INJ 220 IU/ML Set 0 0
4 HEPATITIS B REKOMBINAN Set 55 30 30 30 30 120 175 25 14 21 22
5 PENTABIO DTP-HB-Hib Set 57 40 10 50 40 40 180 237 42 36 24 34
6 POLIOMYELITIS VACCINE INACTIVATED INJEKSI Set 22 10 20 10 40 62 7 6 9 8
7 SAFETYBOX Set 146 10 5 10 30 55 201 5 3 4 5
8 VAKSIN JERAP DT Set 10 50 50 60
9 VAKSIN JERAP TD Set 35 10 10 65 85 120 2 2
10 VAKSIN MEASLES RUBELLA 10 DS (MR) Set 89 40 20 20 10 90 179 10 11 10 14
11 VAKSIN MENINGITIS Rol 0 0
ALKES DAN BMHP 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK SEKALI PAKAI 1 ML 59 400 400 459 20 39 0 0
4 ALAT SUNTIK SEKALI PAKAI 3 ML 229 100 100 300 500 729 35 100 94 94
5 ALAT SUNTIK SEKALI PAKAI 5 ML 100 100 100 200 20 50 30 30
6 ALAT TES GARAM BERYODIUM 8 0 8 1 0 0
7 ALKOHOL SWAB CHG 0,5% 5 5 5 0 0
8 BISTURI 8 0 8 2 2 2
9 CAT GUT NO. 2/0 - 3/0 DNG. JARUM BEDAH 1 2 2 2 6 7 1 1
10 CUTICELL 10 X 10 CM 10 10 10 0 0
11 FIXOMULL STRECH 5 X 2 0 2 1 1
12 FOLLEY CATH NO. 16 5 10 15 15 5 5
13 FOLLEY CATH NO. 18 3 20 10 30 33 7 5 2 2
0 0
PROGRAM HIV AIDS 0 0
DEWASA FDC TRIPLE : TENOFOVIR 300 MG + LAMIVUDINE
1 300 MG + EFAVIRENZ 600 MG 0 0
2 EFAVIRENZ (EFV) 600 MG 0 0
3 LAMIVUDINE (3 TC) 150 MG 0 0
4 NEVIRAPINE (NVP) 200 MG 0 0
PEDIATRIK FDC TRIPLE : ZDV+3TC+NVP (ZIDOVUDINE 60
5 MG+LAMIVUDINE 30 MG+NEVIRAPINE 50 MG) 0 0
6 TENOFOVIR (TDF) 300 MG 0 0
7 ZIDOVUDINE (ZDV) 300 MG+LAMIVUDINE (3TC) 150 MG 0 0
Mengetahui, Banjarneg
Kepala UPT Dinkes Puskesmas Wanayasa 2 Pengelola
- - -
0 0
0 0 - - -
0 0 - - -
0 0 - - -
- - -
0 0
- - - -
0 0 - -
sa Kurniasih )
THL. 00401017