Scribd Logo
Upload

Welcome to Scribd!

  • Lplpo Pol Sidolaju 17 New

    Uploaded by

    Bhinty S Pratama
    13 views120 pages
    This document is a report on drug requests and usage at the Sidolaju Public Health Center in 2017. It contains a list of 180 drug items with information on their beginning stock, amounts received, and current stock levels. The majority of drugs have a beginning and current stock of zero, while a few items like Paracetamol Syrup and Prednison 5mg tablets have received replenishments during the year.

    Original Description:

    Original Title

    LPLPO POL SIDOLAJU 17 NEW.xlsx

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a report on drug requests and usage at the Sidolaju Public Health Center in 2017. It contains a list of 180 drug items with information on their beginning stock, amounts received, and current stock levels. The majority of drugs have a beginning and current stock of zero, while a few items like Paracetamol Syrup and Prednison 5mg tablets have received replenishments during the year.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    13 views120 pages

    Lplpo Pol Sidolaju 17 New

    Uploaded by

    Bhinty S Pratama
    This document is a report on drug requests and usage at the Sidolaju Public Health Center in 2017. It contains a list of 180 drug items with information on their beginning stock, amounts received, and current stock levels. The majority of drugs have a beginning and current stock of zero, while a few items like Paracetamol Syrup and Prednison 5mg tablets have received replenishments during the year.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 120

    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT

    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0
    2 ACYCLOVIR TAB 200 MG 0
    3 AL.SUNT.SP 5 ML 0
    4 ALBENDAZOL 400MG 0
    5 ALBENDAZOL SYRP 0
    6 ALKOHOL 100 ML 0
    7 ALOPURINOLTAB. 0
    8 AMINOFILLIN INJ 0
    9 AMINOFILLIN TAB 0
    10 AMOKS.KAP 500MG 0
    11 AMOKS.SIR.KERING 20 20
    12 AMOXICILLIN +AS.KLAFULANAT 0
    13 AMPICILLIN 1 GR INJ 0
    14 ANTALGIN 500MG 0
    15 ANTALGIN INJ. 0
    16 ANTASIDA DOEN 619 619
    17 ANTASIDA SYR 0
    18 ANTI BAKT.DOEN 0
    19 ANTI HEMOR.DOEN 0
    20 ANTI MIGRAIN TAB 0
    21 ANTIFUNGI DOEN 0
    22 ANTIMALARIA 0
    23 AQUA DEST.STER. 0
    24 AQUA PRO INJ. 0
    25 AS.ASCORB.50MG 0
    26 AS.MEFEN. 500MG 0
    27 ASAM ASKORBAT 25 MG 0
    28 ASAM FOLAT 0
    29 ASETOSAL 100MG 0
    30 ASETOSAL 500MG TAB 0
    31 BETAMET. KRIM 0
    32 BIOPLACENTON YELLI 0
    33 CAPTOPRIL 12,5 MG TAB 200 200
    34 CAPTOPRIL 25 MG 0
    35 CAPTOPRIL 50 MG TAB 200 200
    36 CEFADROXYL CAPS 0
    37 CIMETIDIN TAB 0
    38 COROVIT SYRUP 0
    39 COTTON ROLL NO.2 0
    40 CYPROFLOX. KAPL. 0
    41 DEKSAMET.INJ 0
    42 DEKSAMET. 0,5 MG TAB 112 112
    43 DIFENHIDRAMIN INJ 0
    44 DIGOKSIN TAB 0
    45 DIMENHIDRINAT TAB 0
    46 DOMPERIDON 10 MG TAB 0
    47 DOXYCYCLINE CAPS 0
    48 EFEDRIN TAB 0
    49 EPINEFRIN INJ 0
    50 ERYTHROMISIN 500 MG KAP 0
    51 ETAKRIDINA 0,1% 0
    52 ETANOL 70% 0
    53 ETER ANESTETIK 0
    54 FITOMENADION INJ 0
    55 FITOMENADION TAB 0
    56 FUROSEMID 40 TAB 0
    57 GARAM ORALIT 200ML 10 10
    58 GEMFIBROZIL TAB 300 MG 0
    59 GENTIAN VIOLET 0
    60 GLIBENKLAMID 5 TAB 0
    61 GLISERIL.GUAIACOLAT 150 MG 0
    62 GLISERIN 0
    63 GRISEOFULVIN 125 MG TAB 0
    64 HAND SCHOEN 0
    65 HANDSCOEN STERIL 0
    66 HIDROKLORTHIAZID 25 MG TAB 0
    67 HIDROKORT.2,5 % KRIM 0
    68 I.S.D.N. 5 MG TAB 0
    69 IBUPROF 200 MG TAB 0
    70 IBUPROF 400 MG TAB 0
    71 IBUPROFEN SYR 0
    72 IODIOL KAP LUNAK 0
    73 ISONIAZID 100MG 0
    74 ISONIAZID 300MG TAB 0
    75 KALIUM DIKLOFENAK 50MG 0
    76 KALIUM PERM.SERBUK 0
    77 KALSIUM GLUKONAT INJ 0
    78 KALSIUM LAKTAT 500 MG TAB 0
    79 KAPAS PEMBALUT 0
    80 KASA 4X10 0
    81 KASA HDR.40/40 0
    82 KASA HIDROFIL 16X16 0
    83 KASA HIDROFIL 18X22 0
    84 KASA PEMB. 3X4 0
    85 KASA PEMB.4X15 0
    86 KETOKONAZOLE TAB200MG 0
    87 KHLORAMFENIKOL TM 0
    88 KHLORAMFENIKOL SUSP 0
    89 KLORAMF. 250MG CAPS 0
    90 KLORAMF.SM 1% 0
    91 KLORAMF.TT 3% 0
    92 KLORFEN. M 4MG 0
    93 KLOROQUIN TAB 0
    94 KLORPR. 100MG TAB 0
    95 KLORPROPAMID TAB 0
    96 KOTRIMOKS.120MG TAB 0
    97 KOTRIMOKS.480MG TAB 450 450
    98 KOTRIMOKS.SUSP 0
    99 KUININ DIHDR. 222MG TAB 0
    100 KUININ DIHIDR.INJ 0
    101 LEUCOPLAST 7,5CMX4,5M 0
    102 LIDOCAIN COMP.INJ 0
    103 LISOL PROTEKTOR 0
    104 LIVRON B PLEX 0
    105 LOPERAMIDE 2 mg 0
    106 LORATADIN TAB 10MG 0
    107 MASKER 0
    108 MEBENDASOL SIRUP 0
    109 MEBENDASOL TAB 0
    110 SPUIT BCG 0.05 0
    111 MODECO INJ 0,5 ADS 0
    112 MELOXICAM 0
    113 METERGIN INJ. 0
    114 METFORMIN TAB 0
    115 METIL ERGOMETR.INJ 0
    116 METIL ERGOMETR.TAB 0
    117 METIL PREDNISON TAB 4MG 0
    118 METOCHLORPRAMIDE INJ 0
    119 METOCHLORPRAMIDE TAB 0
    120 METRONIDASOL 250 MG TAB 0
    121 Mg SULFAT INJ.40% 0
    122 Mg.SULFAT INJ 20% 0
    123 MIKONAZOL SALEP 2% 0
    124 MINERAL MIX 0
    125 MISOPROSTOL / GASTRUL 0
    126 MONOKLOR KAMF.M 0
    127 Na.FLUORESCIN TM 0
    128 Na.KLORIDA 0,9% 3 3
    129 NATRIUM DIKLOFENAK 50MG 0
    130 NEO K INJ 0
    131 NIFEDIPIN TAB 0
    132 NISTATIN TAB.SALUT 0
    133 NISTATIN VAG.TAB 0
    134 NOZA 0
    135 OBAT BATUK HITAM 0
    136 OBH SIRUP INDOFARMA 0
    137 OBH TROPICAL SYRP 0
    138 OKSITETR. INJ 0
    139 OKSITETR. SK.3% 0
    140 OKSITETR.SM 1% 0
    141 OKSITOSIN INJ 0
    142 OMEPRAZOLE CAP 0
    143 PAPAVERIN TAB 0
    144 PARAFORMALDEHID 0
    145 PARASET. TAB 100MG 0
    146 PARASET.TAB.500MG 500 500
    147 PARACETAMOL SIRUP 15 15
    148 PIRACETAM 400 MG 0
    149 PIRACETAM 800 MG 0
    150 PIRACETAM INJ 0
    151 PIRANTEL P 125MG 0
    152 PIRAZINAMID TAB 0
    153 PIRIDOKSIN 10MG 0
    154 PIROKSIKAM 20 MG 0
    155 PLESTER 2X5 0
    156 POLIKRESULEN (ALBOTHYL) 0
    157 PREDNISON 5 MG TAB 243 243
    158 PROPANOLOL TAB 0
    159 PTU TAB 0
    160 RANITIDIN INJ 25MG/ML 0
    161 RANITIDIN TAB 150MG TAB 0
    162 REAGEN WIDAL 0
    163 RESERPIN 0,25MG 0
    164 RETINOL 100.000 IU 0
    165 RETINOL 200.000 IU 0
    166 RIFAMPISIN 300MG 0
    167 RIFAMPISIN 450MG 0
    168 RIFAMPISIN 600MG 0
    169 RINGER ACETAT/ASERING 0
    170 RINGER LAKTAT INF 0
    171 SALBUTAMOL 2MG 0
    172 SALBUTAMOL 4 MG 0
    173 SALEP 2-4 5 5
    174 SALISIL BEDAK 0
    175 SALISIL SPIRIT. 10% 0
    176 SELKOM -C GOLD 0
    177 SIANOKOBALAMIN INJ 0
    178 SPUTUM POT 0
    179 SULFADIMIDIN TAB 0
    180 SUPRA LIVRON TAB 0
    181 SYNTOCYNON INJ 0
    182 TABL.TAMBAH DARAH 0
    183 TABURIA 0
    184 TETRACAIN TM 0
    185 TETRASIKLIN 250MG 0
    186 TETRASIKLIN 500MG 0
    187 THIAMIN 50MG TAB 0
    188 THIAMIN INJ 0
    189 THIAMFENIKOL 500 mg 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0
    191 VIT.B KOMPLEX TAB 0
    192 YODIUM POV.10ML 0
    193 YODIUM POV.300ML 0
    194 ZINC TAB 0
    195 ZINK KIDD SYRP 0
    196 ALPARA 0
    197 KAPAS BERLEMAK 0
    198 TETAGAM P250 0
    199 BIO 2000 0
    200 BECEFORT TABLET 0
    201 BETAFORT SIRUP 0
    202 FLUKONAZOL TAB 150 MG 0
    203 XEPANEURON KAP 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 10
    0
    0
    0
    0
    200 419
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200 0
    0
    200 0
    0
    0
    0
    0
    0
    0
    92 20
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200 250
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1 2
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    350 150
    15 0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    104 139
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    1 4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 0 0
    3 AL.SUNT.SP 3 ML 0 20 20
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 0 10 10
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 0 0
    10 AMOKS.KAP 500MG 0 300 300
    11 AMOKS.SIR.KERING 10 20 30
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 419 419
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 0 0
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 0 0
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 0 20 20
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 0 200 200
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 0 200 200
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 0 5 5
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 20 20 40
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 0 0
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 0 0
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 0 500 500
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 0 0
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 0 5 5
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 250 250
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 0 200 200
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 0 200 200
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 0 0
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 5 5
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 150 1000 1150
    147 PARACETAMOL SIRUP 0 20 20
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 139 139
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 0
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 0 0
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 4 4
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 0 0
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    0
    20 DANA JKN 2017
    0
    0
    10
    0
    0
    0
    300
    20 10
    0
    0
    0
    0
    200 219
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    3 17
    0
    150 50
    0
    200 0
    0
    0
    3 2
    0
    0
    0
    25 15
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    450 50
    0
    0
    0
    0
    0
    0
    0
    0
    0
    5 DANA JKN 2016
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    80 170
    0
    0
    0
    0
    0
    0
    0
    0
    100 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    200 0
    0
    0
    0
    0
    0
    0
    0
    5
    0
    0
    0
    0
    0
    0
    0
    0
    850 300
    20 0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    20 119
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 0 0
    3 AL.SUNT.SP 3 ML 20 20
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 0 10 10
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 0 0
    10 AMOKS.KAP 500MG 0 500 500
    11 AMOKS.SIR.KERING 10 20 30
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 219 500 719
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 0 0
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 0 100 100
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 50 200 250
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 0 200 200
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 2 2
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 15 500 515
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 0 100 100
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 0 0
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 50 500 550
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 0 1000 1000
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 5 5
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 170 170
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 100 100
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 0 200 200
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 0 0
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 5 10
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 300 500 800
    147 PARACETAMOL SIRUP 0 84 84
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 119 200 319
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 0
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 0 0
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 4 4
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 0 0
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    0
    20 0 DANA JKN 2017
    0
    0
    3 7
    0
    0
    0
    45 455
    8 22 20
    0
    0
    0
    0
    240 479
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    100
    0
    0
    17
    0
    200 50
    0
    200
    0
    0
    2 2
    0
    0
    0
    30 485
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    500 50 500
    0
    0
    0
    0
    0
    0
    0
    1000
    0
    1 4 DANA JKN 2016
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    30 140
    0
    0
    0
    0
    0
    0
    0
    0
    100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    160 40 100
    0
    0
    0
    0
    0
    0 10
    0
    8 2 10
    0
    0
    0
    0
    0
    0
    0
    0
    602 198 500
    8 76
    0
    0
    0
    0
    0
    0
    0
    0
    0
    319
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 0 0
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 7 7
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 0 0
    10 AMOKS.KAP 500MG 455 455
    11 AMOKS.SIR.KERING 22 20 42
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 479 479
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 0 0
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 100 100
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 50 50
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 200 200
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 2 2
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 485 485
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 100 100
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 0 0
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 50 50
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 1000 500
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 140 140
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 100 100
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 40 40
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 0 0
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 2 2
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 198 1000 1198
    147 PARACETAMOL SIRUP 76 76
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 319 319
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 0
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 0 0
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 4 4
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 0 0
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0 10
    0 100
    0
    0
    0
    7
    0
    0
    0
    160 295
    20 22 20
    0
    0
    0
    0
    120 359 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 500
    0
    10 90
    0
    0
    17
    0
    50 0
    0
    200
    0
    0
    2 2
    0
    0
    0
    30 455
    0 5
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    5 95
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 10
    0
    0
    50 0 500
    0
    0
    0
    0
    0
    0
    0
    330 170
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    20 120
    0
    0
    0
    0
    0
    0
    0
    0
    100 100
    0
    0
    0
    0
    0
    0 100
    0
    0
    0
    0
    0 100
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    2
    40 0 200
    0
    0
    0
    0
    0 100
    0 10
    0
    2 0 10
    0
    0
    0
    0
    0
    0
    0
    0
    534 664 300
    17 59
    0
    0
    0
    0
    0
    0
    0
    0
    0
    120 199
    0
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 200
    4 0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 0 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 7 7
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 0 0
    10 AMOKS.KAP 500MG 295 295
    11 AMOKS.SIR.KERING 22 20 20
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 359 200 200
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 0 500 500
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 90 90
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 0 50 50
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 200 200
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 2 2
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 455 455
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 95 95
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 0 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 0 500 500
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 170 170
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 120 120
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 100 100 200
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 0 200 200
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 0 100 100
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 5 5
    137 OBH TROPICAL SYRP 0 5 5
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 664 300 964
    147 PARACETAMOL SIRUP 59 59
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 199 199
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 200 200
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 0 200 200
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 10 10
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 0 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 100 100

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    0
    0
    1 6
    0
    0
    0
    250 45 200
    20 0 30
    0
    0
    0
    0
    190 10 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    210 290 100
    0
    90
    0
    0
    17
    0
    50 0 100
    0
    60 140
    0
    0
    1 1 5
    0
    0
    0
    50 405
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    95
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    150 350 100
    0
    0
    0
    0
    0
    0
    0
    140 30
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    15 105
    0
    0
    0
    0
    0
    0
    0
    0
    100 100 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    30 170
    0
    0
    0
    0
    80 20 100
    0
    5 0 10
    4 1 10
    0
    0
    0
    0
    0
    0
    0
    0
    712 252 300
    25 34 30
    0
    0
    0
    0
    0
    0
    0
    0
    0
    199
    0
    0
    0
    30 170
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    10 10
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    80 20

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 6 6
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 0 200 200
    10 AMOKS.KAP 500MG 45 45
    11 AMOKS.SIR.KERING 0 0
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 10 100 110
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 290 100 390
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 90 90
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 0 100 100
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 140 140
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 1 5 6
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 405 405
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 95 95
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 350 100 450
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 30 30
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 105 105
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 100 300 400
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 170 170
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 20 100 120
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 1 1
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 252 300 552
    147 PARACETAMOL SIRUP 34 30 64
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 199 199
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 170 170
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 200 200
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 10 10
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 20 20

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    0
    0
    1 5 5
    0
    0
    150 50 200
    45
    0 30
    0
    0
    0
    0
    110 0 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    110 280 200
    0
    90
    0
    0
    17
    0
    100
    0
    60 80
    0
    0
    1 5
    0
    0
    0
    40 365
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    95
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    150 300 200
    0
    0
    0
    0
    0
    0
    0
    30 0
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    105
    0
    0
    0
    0 1
    0
    0
    0
    0
    140 260 300
    0 1
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    30 140
    0
    0
    0
    0
    120 0 500
    0
    0 10
    1 0 10
    0
    0
    0
    0
    0
    0
    0
    0
    224 328 300
    18 46
    0
    0
    0
    0
    0
    0
    0
    0
    0
    199
    0
    0
    0
    50 120
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    10 0 30
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    20 0 100

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 5 5
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 45 200 245
    11 AMOKS.SIR.KERING 0 30 30
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 0 300 300
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 280 200 480
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 90 90
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 100 100
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 80 80
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 5 5
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 365 365
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 95 95
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 300 200 500
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 0 0
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 105 105
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 260 260
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 140 140
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 0 500 500
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 328 300 628
    147 PARACETAMOL SIRUP 46 46
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 199 199
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 120 120
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 200 200
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    0
    0
    5
    0
    0
    50
    186 59
    13 17 30
    0
    0
    0
    0
    140 160
    0
    0
    0
    0
    0
    0
    0
    0
    0
    390 90 300

    50 40 100
    0
    0
    17
    0
    100
    0
    80 0
    0
    0
    2 3
    0
    0
    0
    90 275
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    5 90
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    170 330 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 95
    0
    0
    0
    0 1
    0
    0
    0
    0
    260 0 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    2
    60 80 100
    0
    0
    0
    0
    188 312
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    422 206 300
    30 16 30
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 189
    0
    0
    0
    20 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 160
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 300

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    50
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 0
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 5 5
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 59 100 159
    11 AMOKS.SIR.KERING 17 50 67
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 160 160
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 90 300 390
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 40 40
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 100 100
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 80 80
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 3 3
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 275 275
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 100 100
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 90 90
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 330 200 530
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 0 0
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 95 100 195
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 0
    106 LORATADIN TAB 10MG 0 300 300
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 80 80
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 312 312
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 206 1000 1206
    147 PARACETAMOL SIRUP 16 15 31
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 189 189
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 100 100
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 160 160
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    PEMAKAIAN STOK AKHIR PERMINTAAN
    0
    100
    0
    0
    0
    5
    0
    0
    50
    142 17
    4 63
    0
    0
    0
    0
    100 60 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    340 50 500
    0
    40 0 100
    0
    0
    17
    0
    30 70 100
    0
    30 50
    0
    0
    3 0 5
    0
    0
    0
    10 265
    0
    0
    0
    10 90 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 80
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    110 420
    0
    0
    0
    0
    0
    0
    0
    0
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 185
    0
    0
    0
    0
    0
    0
    0
    0
    160 140 400
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    50 30 200
    0
    0
    0
    0
    136 176 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    258 948
    8 23
    0
    0
    0
    0
    0
    0
    0
    0
    0
    189
    0
    0
    0
    40 60 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    160
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 200

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 0 100 100
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 5 5
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 17 17
    11 AMOKS.SIR.KERING 63 63
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 60 100 160
    17 ANTASIDA SYR 0 5 5
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 50 500 550
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 0 0
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 70 70
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 50 100 150
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 0 0
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 265 265
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 90 100 190
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 80 80
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 420 420
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 0 1000 1000
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 185 185
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 0 100 100
    106 LORATADIN TAB 10MG 140 300 440
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 30 30
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 176 200 376
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 948 948
    147 PARACETAMOL SIRUP 23 23
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 189 189
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 60 60
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 160 160
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    100
    0
    1 4
    0
    0
    50
    17 0 200
    6 57
    0
    0
    0
    0
    150 10 300
    5
    0
    0
    0
    0
    0
    0
    0
    0
    180 370 500
    0
    0
    0
    0
    17
    0
    30 40 100
    0
    20 130
    0
    0
    0 5
    0
    0
    0
    60 205 100
    0
    0
    0
    100 90 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    15 65
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    235 185 300
    0
    0
    0
    0
    0
    0
    0
    60 940
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    185
    0
    0
    0
    0
    0
    0
    0
    100
    310 130 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    30 0 300
    0
    0
    0
    0
    170 206 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    380 568
    15 8 10
    0
    0
    0
    0
    0
    0
    0
    0
    0
    189
    0
    0
    0
    20 40 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    160
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 200

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 100 100
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 4 4
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 0 200 200
    11 AMOKS.SIR.KERING 57 57
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 10 300 310
    17 ANTASIDA SYR 5 5
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 370 500 870
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 0 0
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 40 100 140
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 130 130
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 0 0
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 205 100 305
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 90 90
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 65 65
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 185 300 485
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 940 940
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 0
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 185 185
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 100 100
    106 LORATADIN TAB 10MG 130 300 430
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 0 0
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 206 200 406
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 568 568
    147 PARACETAMOL SIRUP 8 8
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 189 189
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 40 40
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 160 160
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 0
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    100
    0
    2 2 5
    0 100
    0
    50
    10 190 200
    12 45
    0
    0
    0
    0
    10 300 300
    5 0 10
    0
    0
    0
    0
    0
    0
    0
    0
    350 520 500
    0
    0 100
    0
    0
    17
    0
    40 100
    0
    100 30 200
    0
    0
    0 5
    0
    0
    0
    100 205
    0
    0
    0
    70 20 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 25 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    185 300 300
    0
    0
    0
    0
    0
    0
    0
    290 650
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    185
    0
    0
    0
    0
    0
    0
    0
    100
    130 300 300
    0
    0
    0
    0
    0
    0 200
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    0 200
    0
    0
    0
    0
    200 206 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    438 130 500
    8 0 10
    0
    0
    0
    0
    0
    0
    0
    0
    0
    189
    0
    0
    0
    40 0 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    160 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0 100
    0
    0
    0
    0
    0
    0
    0
    0 100

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 100 100
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 2 5 7
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 190 200 390
    11 AMOKS.SIR.KERING 45 15 60
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 300 300 600
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 520 500 1020
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 0 100 100
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 17 17
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 100 200 300
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 30 30
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 0 0
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 205 205
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 20 20
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 25 100 125
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 300 300
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 650 650
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 0 500 500
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 185 185
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 100 100
    106 LORATADIN TAB 10MG 300 300 600
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 0 100 100
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 206 200 406
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 130 800 930
    147 PARACETAMOL SIRUP 0 0
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 189 189
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 0
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 160 100 260
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 0 90 90
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    100
    0
    100
    0
    1 6
    0
    0
    50
    230 160 200
    60
    0
    0
    0
    0
    180 420
    0
    0
    0
    0
    0
    0
    0
    0
    0
    400 620
    0
    100
    0
    0
    2 15
    0
    30 270
    0
    30 0 100
    0
    0
    0 5
    0
    0
    0
    140 65 200
    0
    0
    0
    20 0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    20 105
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10
    0
    0
    300 0 400
    0
    0
    0
    0
    0
    0
    0
    280 370
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 460
    0
    0
    0
    0
    185
    0
    0
    0
    0
    0
    0
    0
    10 90
    370 230
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    40 60 200
    0
    0
    0
    0
    290 116 400
    0
    0
    0 5
    0
    0
    0
    0
    0
    0
    0
    0
    380 550
    0 15
    0
    0
    0
    0
    0
    0
    0
    0
    0
    100 89 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 220
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 50 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0 100

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003
    LAPORAN PERMINTAAN DAN PEMAKAIAN OBAT
    POLINDES SIDOLAJU
    TAHUN 2017

    NO NAMA OBAT STOK AWAL TERIMA PERSEDIAAN


    1 ACYCLOVIR SALEP KLT 0 0
    2 ACYCLOVIR TAB 200 MG 100 100
    3 AL.SUNT.SP 5 ML 0 0
    4 ALBENDAZOL 400MG 100 100
    5 ALBENDAZOL SYRP 0 0
    6 ALKOHOL 100 ML 6 6
    7 ALOPURINOLTAB. 0 0
    8 AMINOFILLIN INJ 0 0
    9 AMINOFILLIN TAB 50 50
    10 AMOKS.KAP 500MG 160 160
    11 AMOKS.SIR.KERING 60 60
    12 AMOXICILLIN +AS.KLAFULANAT 0 0
    13 AMPICILLIN 1 GR INJ 0 0
    14 ANTALGIN 500MG 0 0
    15 ANTALGIN INJ. 0 0
    16 ANTASIDA DOEN 420 420
    17 ANTASIDA SYR 0 0
    18 ANTI BAKT.DOEN 0 0
    19 ANTI HEMOR.DOEN 0 0
    20 ANTI MIGRAIN TAB 0 0
    21 ANTIFUNGI DOEN 0 0
    22 ANTIMALARIA 0 0
    23 AQUA DEST.STER. 0 0
    24 AQUA PRO INJ. 0 0
    25 AS.ASCORB.50MG 0 0
    26 AS.MEFEN. 500MG 620 620
    27 ASAM ASKORBAT 25 MG 0 0
    28 ASAM FOLAT 100 100
    29 ASETOSAL 100MG 0 0
    30 ASETOSAL 500MG TAB 0 0
    31 BETAMET. KRIM 15 15
    32 BIOPLACENTON YELLI 0 0
    33 CAPTOPRIL 12,5 MG TAB 270 270
    34 CAPTOPRIL 25 MG 0 0
    35 CAPTOPRIL 50 MG TAB 0 0
    36 CEFADROXYL CAPS 0 0
    37 CIMETIDIN TAB 0 0
    38 COROVIT SYRUP 0 0
    39 COTTON ROLL NO.2 0 0
    40 CYPROFLOX. KAPL. 0 0
    41 DEKSAMET.INJ 0 0
    42 DEKSAMET. 0,5 MG TAB 65 65
    43 DIFENHIDRAMIN INJ 0 0
    44 DIGOKSIN TAB 0 0
    45 DIMENHIDRINAT TAB 0 0
    46 DOMPERIDON 10 MG TAB 0 0
    47 DOXYCYCLINE CAPS 0 0
    48 EFEDRIN TAB 0 0
    49 EPINEFRIN INJ 0 0
    50 ERYTHROMISIN 500 MG KAP 0 0
    51 ETAKRIDINA 0,1% 0 0
    52 ETANOL 70% 0 0
    53 ETER ANESTETIK 0 0
    54 FITOMENADION INJ 0 0
    55 FITOMENADION TAB 0 0
    56 FUROSEMID 40 TAB 0 0
    57 GARAM ORALIT 200ML 105 105
    58 GEMFIBROZIL TAB 300 MG 0 0
    59 GENTIAN VIOLET 0 0
    60 GLIBENKLAMID 5 TAB 0 0
    61 GLISERIL.GUAIACOLAT 150 MG 0 0
    62 GLISERIN 0 0
    63 GRISEOFULVIN 125 MG TAB 0 0
    64 HAND SCHOEN 0 0
    65 HANDSCOEN STERIL 0 0
    66 HIDROKLORTHIAZID 25 MG TAB 0 0
    67 HIDROKORT.2,5 % KRIM 10 10
    68 I.S.D.N. 5 MG TAB 0 0
    69 IBUPROF 200 MG TAB 0 0
    70 IBUPROF 400 MG TAB 0 0
    71 IBUPROFEN SYR 0 0
    72 IODIOL KAP LUNAK 0 0
    73 ISONIAZID 100MG 0 0
    74 ISONIAZID 300MG TAB 0 0
    75 KALIUM DIKLOFENAK 50MG 0 0
    76 KALIUM PERM.SERBUK 0 0
    77 KALSIUM GLUKONAT INJ 0 0
    78 KALSIUM LAKTAT 500 MG TAB 370 370
    79 KAPAS PEMBALUT 0 0
    80 KASA 4X10 4 4
    81 KASA HDR.40/40 0 0
    82 KASA HIDROFIL 16X16 0 0
    83 KASA HIDROFIL 18X22 0 0
    84 KASA PEMB. 3X4 0 0
    85 KASA PEMB.4X15 0 0
    86 KETOKONAZOLE TAB200MG 0 0
    87 KHLORAMFENIKOL TM 0 0
    88 KHLORAMFENIKOL SUSP 0 0
    89 KLORAMF. 250MG CAPS 0 0
    90 KLORAMF.SM 1% 0 0
    91 KLORAMF.TT 3% 0 0
    92 KLORFEN. M 4MG 460 460
    93 KLOROQUIN TAB 0 0
    94 KLORPR. 100MG TAB 0 0
    95 KLORPROPAMID TAB 0 0
    96 KOTRIMOKS.120MG TAB 0 0
    97 KOTRIMOKS.480MG TAB 185 185
    98 KOTRIMOKS.SUSP 0 0
    99 KUININ DIHDR. 222MG TAB 0 0
    100 KUININ DIHIDR.INJ 0 0
    101 LEUCOPLAST 7,5CMX4,5M 0 0
    102 LIDOCAIN COMP.INJ 0 0
    103 LISOL PROTEKTOR 0 0
    104 LIVRON B PLEX 0 0
    105 LOPERAMIDE 2 mg 90 90
    106 LORATADIN TAB 10MG 230 230
    107 MASKER 0 0
    108 MEBENDASOL SIRUP 0 0
    109 MEBENDASOL TAB 0 0
    110 SPUIT BCG 0.05 0 0
    111 MODECO INJ 0,5 ADS 0 0
    112 MELOXICAM 0 0
    113 METERGIN INJ. 0 0
    114 METFORMIN TAB 0 0
    115 METIL ERGOMETR.INJ 0 0
    116 METIL ERGOMETR.TAB 0 0
    117 METIL PREDNISON TAB 4MG 0 0
    118 METOCHLORPRAMIDE INJ 0 0
    119 METOCHLORPRAMIDE TAB 0 0
    120 METRONIDASOL 250 MG TAB 0 0
    121 Mg SULFAT INJ.40% 0 0
    122 Mg.SULFAT INJ 20% 0 0
    123 MIKONAZOL SALEP 2% 0 0
    124 MINERAL MIX 0 0
    125 MISOPROSTOL / GASTRUL 0 0
    126 MONOKLOR KAMF.M 0 0
    127 Na.FLUORESCIN TM 0 0
    128 Na.KLORIDA 0,9% 2 2
    129 NATRIUM DIKLOFENAK 50MG 60 60
    130 NEO K INJ 0 0
    131 NIFEDIPIN TAB 0 0
    132 NISTATIN TAB.SALUT 0 0
    133 NISTATIN VAG.TAB 0 0
    134 NOZA 116 116
    135 OBAT BATUK HITAM 0 0
    136 OBH SIRUP INDOFARMA 0 0
    137 OBH TROPICAL SYRP 0 0
    138 OKSITETR. INJ 0 0
    139 OKSITETR. SK.3% 0 0
    140 OKSITETR.SM 1% 0 0
    141 OKSITOSIN INJ 0 0
    142 OMEPRAZOLE CAP 0 0
    143 PAPAVERIN TAB 0 0
    144 PARAFORMALDEHID 0 0
    145 PARASET. TAB 100MG 0 0
    146 PARASET.TAB.500MG 550 550
    147 PARACETAMOL SIRUP 0 0
    148 PIRACETAM 400 MG 0 0
    149 PIRACETAM 800 MG 0 0
    150 PIRACETAM INJ 0 0
    151 PIRANTEL P 125MG 0 0
    152 PIRAZINAMID TAB 0 0
    153 PIRIDOKSIN 10MG 0 0
    154 PIROKSIKAM 20 MG 0 0
    155 PLESTER 2X5 0 0
    156 POLIKRESULEN (ALBOTHYL) 0 0
    157 PREDNISON 5 MG TAB 89 89
    158 PROPANOLOL TAB 0 0
    159 PTU TAB 0 0
    160 RANITIDIN INJ 25MG/ML 0 0
    161 RANITIDIN TAB 150MG TAB 0 0
    162 REAGEN WIDAL 0 0
    163 RESERPIN 0,25MG 0 0
    164 RETINOL 100.000 IU 0 0
    165 RETINOL 200.000 IU 0 0
    166 RIFAMPISIN 300MG 0 0
    167 RIFAMPISIN 450MG 0 0
    168 RIFAMPISIN 600MG 0 0
    169 RINGER ACETAT/ASERING 0 0
    170 RINGER LAKTAT INF 0 0
    171 SALBUTAMOL 2MG 220 220
    172 SALBUTAMOL 4 MG 0 0
    173 SALEP 2-4 0 0
    174 SALISIL BEDAK 0 0
    175 SALISIL SPIRIT. 10% 0 0
    176 SELKOM -C GOLD 0 0
    177 SIANOKOBALAMIN INJ 0 0
    178 SPUTUM POT 0 0
    179 SULFADIMIDIN TAB 0 0
    180 SUPRA LIVRON TAB 0 0
    181 SYNTOCYNON INJ 0 0
    182 TABL.TAMBAH DARAH 50 50
    183 TABURIA 0 0
    184 TETRACAIN TM 0 0
    185 TETRASIKLIN 250MG 0 0
    186 TETRASIKLIN 500MG 0 0
    187 THIAMIN 50MG TAB 0 0
    188 THIAMIN INJ 0 0
    189 THIAMFENIKOL 500 mg 0 0
    190 VIT K INFANT 2 MG / 1 ML INJ 0 0
    191 VIT.B KOMPLEX TAB 0 0
    192 YODIUM POV.10ML 0 0
    193 YODIUM POV.300ML 0 0
    194 ZINC TAB 200 200
    195 ZINK KIDD SYRP 0 0
    196 ALPARA 0 0
    197 KAPAS BERLEMAK 0 0
    198 TETAGAM P250 0 0
    199 BIO 2000 0 0
    200 BECEFORT TABLET 0 0
    201 BETAFORT SIRUP 0 0
    202 FLUKONAZOL TAB 150 MG 0 0
    203 XEPANEURON KAP 0 0
    204 RADIVIT 0 0

    MENGETAHUI,
    KEPALA UPT PUSKESMAS KAUMAN PETUGAS GUDANG

    SRI FATMAWATI, S.ST LUSANTI WIDYANINGRUM


    NIP. 19690422 199102 2 001 NIP. 19791209 2005 01 2 009
    T

    PEMAKAIAN STOK AKHIR PERMINTAAN


    0
    20 80
    0
    100
    0
    1 5
    0
    0
    50
    80 80 200
    10 50
    0
    0
    0
    0
    100 320 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    230 390 200
    0
    20 80 100
    0
    0
    3 12
    0
    50 220
    0
    0
    0
    0
    0
    0
    0
    0
    40 25 200
    0
    0
    0
    0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    10 95
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2 8
    0
    0
    0 400
    0
    0
    0
    0
    0
    0
    0
    60 310
    0
    4
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    40 420
    0
    0
    0
    0
    185
    0
    0
    0
    0
    0
    0
    0
    90
    150 80 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    2
    50 10 200
    0
    0
    0
    0
    116 0 300
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    110 440
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    30 59 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    30 190 100
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    50 0 200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    200
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    PELAPOR

    ENI ASMAWATI
    NIP. 19650619 199303 2 003

    You might also like