LAPORAN PEMAKAIAN DAN LEMBAR PEMAKAIAN OBAT (LPLPO)

PUSKESMAS : TALAGAMORI
KECAMATAN : OBA
KOTA : TIDORE KEPULAUAN BULAN : JULI
PROVINSI : MALUKU UTARA TAHUN : 2019

STOK SUMBER ANGGARAN

HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
1 ACYCLOVIR 200 MG TABLET 0 0 0 0 0 0 0 0 0 0

2 ACYCLOVIR 400 MG TABLET 340 1200 0 1200 0 0 1200 0 0 0 408000

3 ACYCLOVIR CREAM TUBE 0 0 0 0 0 0 0 0 0 0

4 AMLODIPIN 5 MG BOTOL 200 0 200 200 0 0 400 600 600 0

5 AMLODIPIN 10 MG TABLET 0 0 0 0 0 0 350 350 400 0

6 ANTI MIGREN(ERGOTAMIN KAFEIN) TABLET 0 0 0 0 0 0 0 100 100 0

7 ALLOPURINOL 100 mg TABLET 3000 0 3000 200 0 2800 20 220 0 0

8 AMBROXOL 30 MG TABLET 0 0 0 0 0 0 0 0 2000 0

9 AMBROXOL SYRUP BOTOL 0 0 0 0 0 0 0 0 50 0

10 AMINOPHYLIN 200 MG TABLET 0 0 0 0 0 0 0 0 0 0

11 AMINOPHYLIN INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0

12 AMOKCILLIN 500 MG TABLET 600 0 600 600 0 0 60 1000 4000 0

13 AMOKCILLIN SYRUP 125 MG/5 BOTOL 0 0 0 0 0 0 0 0 200 0

14 ANTASIDA TABLET TABLET 1300 0 1300 200 0 1100 20 220 500 0

15 ANTASIDA SYRUP BOTOL 103 0 103 24 0 79 2.4 26.4 50 0

16 ANTIHEMOROID SUPP SUPP 41 0 41 10 0 31 1 11 20 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
17 ATTAPULGIT TABLET TABLET 400 100 500 40 0 460 4 44 0 0

18 AQUA PROINJEKSI VIAL 50 0 50 0 50 0 0 0 30 0

19 ASAM ASKORBAT 50 MG(VIT C) TABLET 8400 0 8400 1400 0 7000 140 1540 0 0

20 ASAM MEFENAMAT TABLET 182 5600 0 5600 800 0 4800 80 880 0 873600

21 ASAM TRANEXAMAT INJEKSI AMPUL 20 0 20 10 0 10 1 11 0 0

22 BISACODIL 5 MG SUPP 12 0 12 5 0 7 0.5 5.5 20 0

23 BISACODIL 10 MG SUPP 19 0 19 0 0 19 0 0 10 0

24 BASITRASIN POLIMIXISIN 5 MG TUBE 20 0 20 0 20 0 0 0 200 0

25 BETAMETASONE CREAM TUBE 127 0 127 30 0 97 3 33 50 0

26 BOSOPROLOL FUMARATE 5 MG TABLET 0 0 0 0 0 0 0 0 0 0

27 CAPTOPRIL 12,5 MG TABLET 2200 0 2200 200 0 2000 20 220 0 0

28 CAPTOPRIL 25 MG TABLET 2600 0 2600 100 0 2500 10 110 0 0

29 CAVIPLEX TABLET 0 0 0 0 0 0 0 0 500 0

30 CAVIPLEX SYR BOTOL 48 0 48 22 26 0 2.2 24.2 100 0

31 CEFADROXIL 500 MG KAPSUL 900 0 900 300 0 600 30 330 1000 0

32 CETIRIZIN 10 MG TABLET 0 0 0 0 0 0 0 0 1000 0

33 CETIRIZIN SYRUP BOTOL 14 0 14 0 14 0 0 0 50 0

34 CHLORAMPENOCOL TM TUBE 0 0 0 0 0 0 0 0 30 0

35 CHLORAMPENICOL SM TUBE 150 0 150 83 0 67 8.3 91.3 0 0

36 CHLORAMPENOCOL TTS TLNGA BOTOL 10 0 10 10 0 0 1 11 20 0

37 CHLORAMPHENICOL KAPSUL KAPSUL 400 0 400 0 0 400 0 0 500 √ 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
38 CHLORAMPHENICOL SYR BOTOL 0 0 0 0 0 0 0 0 0 0

39 CIPROFLOXACIN 500 MG TABLET 400 0 400 100 0 300 10 110 500 0

40 CLINDAMICIN 150 MG KAPSUL 200 0 200 0 0 200 0 0 0 0

41 CLINDAMICIN 300 MG KAPSUL 200 0 200 0 0 200 0 0 0 0

42 COTRIMOKSASOL 480 MG TABLET 300 0 300 100 0 200 10 110 500 0

43 COTRIMOKSASOL SYRUP BOTOL 8 0 8 0 0 8 0 0 40 √ 0

44 CIMETIDIN TABLET 0 0 0 0 0 0 0 0 500 0

46 DEXAMETASONE TAB TABLET 900 0 900 300 0 600 30 330 500 0

47 DEXAMETASONE INJEKSI AMPUL 41 0 41 3 0 38 0.3 3.3 20 0

48 DEXTROSE 5 % INF BOTOL 46 0 46 0 0 46 0 0 20 0

49 DEXSTROSE 10 % INF BOTOL 0 0 0 0 0 0 0 0 0 0

50 DOMPERIDONE SYRUP BOTOL 107 0 107 20 0 87 2 22 0 0

51 DOMPERIDONE TAB BOTOL 800 0 800 200 0 600 20 220 700 0

52 DOXYCYCLINE KAPS KAPSUL 850 0 850 50 0 800 5 55 0 0

53 DIAZEPAM 2 mg TABLET 363 0 363 26.5 0 336.5 2.65 29.15 0 0

54 DIAZEPAM INJEKSI AMPUL 30 0 30 1 0 29 0.1 1.1 0 0

55 DIPHENHIDRAMIN INJEKSI AMPUL 60 0 60 30 0 30 3 33 0 0

56 DIMENHIDRINAT TAB KAPLET 2450 0 2450 150 0 2300 15 165 0 0

57 ERITROMICIN TAB TABLET 400 0 400 0 0 400 0 0 0 0

59 EPINERPIN INJEKSI AMPUL 33 0 33 11 0 22 1.1 12.1 0 0

60 FUROSEMIDA 40 MG TABLET 100 0 100 50 0 50 5 55 200 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
61 GENTAMICIN TM BOTOL 0 0 0 0 0 0 0 0 0 0

62 GENTAMICIN SM TUBE 0 0 0 0 0 0 0 0 0 0

64 GENTIAN VIOLET TABLET 6 0 6 2 0 4 0.2 2.2 24 0

65 GLIBENCLAMID 5 MG TABLET 650 0 650 50 0 600 5 55 500 0

66 GLIMEPIRID 2 MG TABLET 0 0 0 0 0 0 0 0 1000 0

68 GLISERIN/ GLISEROL BOTOL 55 0 55 0 0 55 0 0 0 0

69 GLISEOFULVIN 125 MG TABLET 1400 0 1400 200 0 1200 20 220 1500 0

70 HYDROCLORTIAZID 25 MG TABLET 100 0 100 0 0 100 0 0 0 0

71 HYDROCORTISON CREAM TUBE 38 0 38 38 0 0 3.8 41.8 100 0

72 IBUPROFEN SYR TABLET 0 0 0 0 0 0 0 0 50 0

74 IBUPROFEN 400 MG TABLET 1200 0 1200 700 0 500 70 770 2500 0

75 ISOSORBID DINITRAT 5 MG TABLET 1000 0 1000 0 0 1000 0 0 0 0

76 KETOKONAZOLE TAB TABLET 1200 0 1200 100 0 1100 10 110 1000 0

77 KETOROLAK INJ AMPUL 0 0 0 0 0 0 0 0 20 0

78 KHLORFENIRAMIN MALEAT TABLET 4400 0 4400 200 0 4200 20 220 3000 0

79 LIDOCAIN INJEKSI+EPINERPIN AMPUL 45 0 45 25 0 20 2.5 27.5 100 0

81 LORATADINE 10 MG TABLET 0 0 0 0 0 0 0 0 700 0

82 METOCLOPRAMID 5 MG TABLET 0 0 0 0 0 0 0 0 500 0

83 METOCLOPRAMID 10 MG 700 0 700 0 0 700 0 0 300 0

84 METOCLOPRAMID INJEKSI VIAL 10 0 10 0 0 10 0 0 0 0

85 MICONAZOLE SALEP KULIT TUBE 102 0 102 32 0 70 3.2 35.2 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
86 METRONIDAZOLE 500 MG TABLET 2000 0 2000 200 0 1800 20 220 0 0

89 METFORMIN TAB TABLET 3300 0 3300 200 3100 0 20 220 2000 0

90 MINERAL MIX SACET 40 0 40 0 40 0 0 0 20 √ 0

91 METHYLPREDNISOLONE 4 MG TABLET 0 0 0 0 0 0 0 0 700 0

92 NATRIUM DIKLOFENAT 50 MG TABLET 0 0 0 0 0 0 0 0 1000 0

93 NATRIUM KLORIDA 0,9 % INF BOTOL 38 0 38 20 0 18 2 22 100 0

94 NIFEDIPIN TAB TABLET 1250 0 1250 200 0 1050 20 220 0 0

95 OMEPRAZOLE KAPSUL KAPSUL 120 0 120 120 0 0 12 132 1000 0

96 OXYTETRASIKLIN SK TUBE 0 0 0 0 0 0 0 0 50 0

97 OXYTETRASIKLIN SM TUBE 0 0 0 0 0 0 0 0 30 0

98 PARACETAMOL 500 MG TABLET 4400 0 4400 700 0 3700 70 770 2000 0

99 PARACETAMOL SYRUP 125 MG BOTOL 85 0 85 60 0 25 6 66 150 0

100 PARACETAMOL DROPS 10 0 10 10 0 0 1 11 100 0

101 PHENOBARNITAL 30 MG TABLET 1000 0 1000 480 0 520 48 528 700 0

102 PIROXICAM 20 MG TABLET 400 0 400 200 200 0 20 220 700 √ 0

103 PREDNISONE TAB TABLET 700 0 700 400 0 300 40 440 1000 0

104 PYRANTEL PAMOAT TAB TABLET 124 0 124 16 0 108 1.6 17.6 100 0

105 RANITIDIN 150 MG TABLET 900 0 900 300 0 600 30 330 1200 0

106 RANITIDIN INJEKSI VIAL 141 0 141 0 141 0 0 0 30 0

107 RINGER LAKTAT INF BOTOL 19 0 19 1 0 18 0.1 1.1 140 0

108 SIMVASTATIN 10 MG TABLET 870 0 870 0 0 870 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
109 SIMVASTATIN 20 MG TABLET 1300 0 1300 200 0 1100 20 220 700 √ 0

110 SALBUTAMOL 2 MG TABLET 100 0 100 100 0 0 10 110 500 0

113 SALBUTAMOL 4 MG TABLET 1750 0 1750 50 0 1700 5 55 700 0

114 SCABICID CREAM TUBE 1 0 1 1 0 0 0.1 1.1 3 0

118 VITAMIN B6 TAB 10 MG TABLET 1450 0 1450 350 0 1100 35 385 1200 0

119 VITAMIN B1 TAB TABLET 1350 0 1350 350 0 1000 35 385 1200 0

120 VITAMIN B12 TAB TABLET 1150 0 1150 850 0 300 85 935 2000 0

121 VITAMIN B COM TABLET 3000 0 3000 1300 0 1700 130 1430 5000 0

122 SALISIL BEDAK KALENG 83 0 83 13 0 70 1.3 14.3 0 0

123 FENOL GLYCEROL TTS TELINGA BOTOL 0 0 0 0 0 0 0 0 0 0

124 PIRACETAM INJ AMPUL 0 0 0 0 0 0 0 0 0 0

OBAR PROGRAM P2PL

OBAT PROGRAM DIARE

123 GARAM ORALIT SACHET 180 0 180 34 0 146 3.4 37.4 300 √ 0

124 ZINK 20 MG TABLET 200 600 800 200 0 600 20 220 1000 0

125 ZINK SYRUP BOTOL 17 0 17 7 0 10 0.7 7.7 50 0

OBAT OPROGRAM KUSTA 0 0

126 DEWASA PAKET 0 0 0 0 0 0 0 0 0 0

127 MB ANAK PAKET 0 0 0 0 0 0 0 0 0 0

128 PB ANAK PAKET 0 0 0 0 0 0 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
129 PW DEWASA PAKET 0 0 0 0 0 0 0 0 0 0

OBAT PROGRAM TB 0 0 0

130 OAT ANAK PAKET 0 0 0 0 0 0 0 0 0 0

131 OAT 1 PAKET 0 0 0 0 0 0 0 0 10 0

132 OAT II PAKET 4 0 4 0 0 4 0 0 0 0

133 OAT KOMBIPAK DEWASA PAKET 0 0 0 0 0 0 0 0 0 0

134 OAT KOMBIPAK ANAK PAKET 0 0 0 0 0 0 0 0 0 0

135 ISONIAZID 100 MG TABLET 0 0 0 0 0 0 0 0 0 0

OBAT FILARIASIS

136 DYETYLCARBAMAZEPIN(DEC) TABLET 0 0 0 0 0 0 0 0 0 0

137 ALBENDAZOLE 400 MG TABLET 0 0 0 0 0 0 0 0 0 0

138 ALBENDAZOLE TAB KUNYAH TABLET 1600 0 1600 1100 0 500 110 1210 0 0

139 ALBENDAZOLE SUSPENSI BOTOL 0 0 0 0 0 0 0 0 0 0

OBAT PROGRAM PL

140 KAPORIT BOTOL 12 0 12 0 0 12 0 0 0 0

141 ABATE GALON 0 0 0 0 0 0 0 0 0 0

OBAT PROGRAM MALARIA

142 KINA INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
143 QUININE 222 MG TABLET 0 0 0 0 0 0 0 0 0 0

144 PRIMAQUEN TAB TABLET 100 0 100 0 0 100 0 0 100 0

145 SULFADOXIN PYRIMETAMIN TABLET 0 0 0 0 0 0 0 0 0 0

146 ARTEMETER AMPUL 0 0 0 0 0 0 0 0 0 0

147 DARPLEX TAB / OAM TABLET 0 0 0 0 0 0 0 0 120 0

148 ARTESNAT AMPUL 0 0 0 0 0 0 0 0 0 0

149 RDT PAKET 0 0 0 0 0 0 0 0 8 0

OBAT PROGRAM JIWA

150 HALOPERIDOL DECANOAS AMPUL 10 0 10 0 0 10 0 0 -10 0

151 HALOPERIDOL 5 MG TABLET 1303 0 1303 120 183 1000 12 132 0 0

152 HALOPERIDOL 0,5 MG TABLET 166 0 166 166 0 0 16.6 182.6 500 0

153 KLORPROMAZIN 100 MG TABLET 388 0 388 0 0 388 0 0 500 0

154 TRIHRXILPHENIDIL 2 MG TABLET 88 0 88 0 0 88 0 0 0 0

155 RISPERIDON 2 MG TABLET 200 0 200 0 0 200 0 0 0 0

156 CARBAMAZEPIN 200 MG TABLET 313 0 313 313 0 0 31.3 344.3 1500 0

157 AMITRIPTILIN 25 MG TABLET 0 0 0 0 0 0 0 0 0 0

158 DIAZEPAM INJEKSI AMPUL 30 0 30 1 0 29 0.1 1.1 0 0

159 DIAZEPAM 5 MG TABLET 0 0 0 0 0 0 0 0 0 0

160 CLOZAPIN 25 MG TABLET 0 0 0 0 0 0 0 0 0 0

CODEIN TABLET 0 200 200 60 0 140 6 66 300 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
OBAT PROGRAM KIA 0

161 KALSIUM LAKTAT TABLET 4650 0 4650 650 0 4000 65 715 0 0

162 MGSO4 20% VIAL 15 0 15 0 15 0 0 0 0 0

163 MGSO4 40 % VIAL 20 0 20 0 20 0 0 0 30 0

164 CA.GLUKONAS INJEKSI AMPUL 10 0 10 0 0 10 0 0 0 0

165 MINERAL MIX SACHET 40 0 40 0 0 40 0 0 20 0

166 METHILERGOMETRIN TAB TABLET 2400 0 2400 100 0 2300 10 110 0 0

167 METHILERGOMETRIN INJEKSI TABLET 52 0 52 0 52 0 0 0 0 0

168 PHYTOMENADION TAB TABLET 0 0 0 0 0 0 0 0 100 0

169 PHYTOMENADION INJEKSI AMPUL 0 0 0 0 0 0 0 0 100 0

170 TABLET TAMBAH DARAH TABLET 2750 0 2750 1100 1650 0 110 1210 3500 0

171 OXYTOCIN INJEKSI AMPUL 22 0 22 13 0 9 1.3 14.3 100 0

172 VITAMIN A 200.000 IU KAPSUL 600 0 600 100 0 500 10 110 400 0

173 VITAMIN A 100.000 IU TABLET 0 0 0 0 0 0 0 0 400 0

174 TABURIA 0 0 0 0 0 0 0 0 0 0

OBAT DAN BAHAN GIGI

175 FUJI X BOTOL 0 0 0 0 0 0 0 0 0 0

176 EUGENOL CAIR BOTOL 0 0 0 0 0 0 0 0 0 0

177 KALIUM HIDROKSIDA PASTA AMPUL 0 0 0 0 0 0 0 0 0 0

178 GLAS IONOMER CEMENT ART AMPUL 0 0 0 0 0 0 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
179 SEMEN SENG FOSFAT PAKET 0 0 0 0 0 0 0 0 0 0

180 KARBOL FUKSIN 0 0 0 0 0 0 0 0 0 0

181 DENTORIT 0 0 0 0 0 0 0 0 0 0

182 RESIT/KOMPOSIT 0 0 0 0 0 0 0 0 0 0

183 CHKM 0 0 0 0 0 0 0 0 0 0

184 TKF 0 0 0 0 0 0 0 0 0 0

REAGEN

185 HCL 0,1 100 ML BOTOL 5 0 5 4 1 0 0.4 4.4 2 0

186 TURK 500 ML BOTOL 0 0 0 0 0 0 0 0 0 0

187 OLIMERSI OIL 25 ML (100ML) BOTOL 0 0 0 0 0 0 0 0 1 0

188 EAZY TOUCH GCU PAKET 0 0 0 0 0 0 0 0 2 0

189 ANTI SEL GOLONGAN DARAH BOTOL 0 0 0 0 0 0 0 0 2 0

190 ZHIEL NELSEN 1000 ML PAKET 1 1 2 0 0 2 0 0 0 0

191 LARUTAN GLEMSA 500 ML BOTOL 0 0 0 0 0 0 0 0 1 0

192 BLOOD LANSET (ISI 100) BOTOL 0 0 0 0 0 0 0 0 500 0

193 METANOL 500 ML BOTOL 0 0 0 0 0 0 0 0 1 0

194 ANISOL 100 ML BOTOL 0 0 0 0 0 0 0 0 1 0

195 STIK GULA PIECE 0 0 0 0 0 0 0 0 10 0

196 STIK ASAM URAT PIECE 0 0 0 0 0 0 0 0 10 0

197 STIK KOLESTEROL PIECE 0 0 0 0 0 0 0 0 15 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
198 STIK HB 0 0 0 0 0 0 0 0 5 0

199 BOTOL SPUTUM POT 50 0 50 0 0 50 0 0 0 0

200 MICROSKOP SLIDE PIECE 936 0 936 0 0 936 0 0 0 0

ALAT KESEHATAN

201 ABOCATH NO 18 PIECES 109 0 109 9 0 100 0.9 9.9 0 0

202 ABOCATH NO 20 PIECES 95 0 95 20 0 75 2 22 0 0

203 ABOCATH NO 22 PIECES 0 0 0 0 0 0 0 0 50 0

204 ABOCATH NO 24 PIECES 74 0 74 3 0 71 0.3 3.3 0 0

205 ALAT SUNTIK 20 CC PIECES 0 0 0 0 0 0 0 0 100 0

206 ALAT SUNTIK 10 CC PIECES 149 0 149 10 0 139 1 11 0 0

207 ALAT SUNTIK 1 CC PIECES 125 0 125 30 95 0 3 33 300 0

208 ALAT SUNTIK 5 CC PIECES 157 0 157 30 0 127 3 33 100 0

209 ALAT SUNTIK 3 CC PIECES 500 0 500 122 0 378 12.2 134.2 300 0

210 HANDSCOEND NO 6,5 BUAH 0 0 0 0 0 0 0 0 200 0

211 HANDSCOEND NO 7 BUAH 0 0 0 0 0 0 0 0 300 0

212 HANDSCOEND NO 7,5 BUAH 20 0 20 15 0 5 1.5 16.5 300 0

213 HANDSCOEND NO 8 PIECES 115 0 115 95 0 20 9.5 104.5 200 0

214 HANDSKOEN NON STERIL PIECES 0 0 0 0 0 0 0 0 300 0

215 INFUSET DEWASA SET 14 0 14 14 0 0 1.4 15.4 120 0

216 INFUSET ANAK SET 125 0 125 6 0 119 0.6 6.6 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
217 CATGUT CROMIC PIECES 104 0 104 5 0 99 0.5 5.5 0 0

218 CATGUT PLAIN PIECES 99 5 104 0 0 104 0 0 0 0

219 CATGUT SILK PIECES 0 0 0 0 0 0 0 0 10 0

220 CATHETER NO 20 PIECES 20 0 20 2 0 18 0.2 2.2 0 0

221 CATHETER NO 18 BUAH 29 0 29 0 0 29 0 0 0 0

222 CATHETER NO 16 BUAH 0 0 0 0 0 0 0 0 0 0

223 KAPAS 500 GRAM BUAH 8 0 8 0 0 8 0 0 0 0

224 KAPAS 25O GRAM BUAH 22 0 22 0 0 22 0 0 0 0

225 KASSA STERIL 16 X 16 KOTAK 0 0 0 0 0 0 0 0 200 0

226 KASSA HYDROFIL 36 X 80 ROLL 2 0 2 0 0 2 0 0 6 0

227 PLESTER LEUKOPLAS 7,5 X 4,5 MG ROLL 16 0 16 2 0 14 0.2 2.2 20 0

228 MASKER BUAH 420 0 420 0 0 420 0 0 300 0

229 JARUM KULIT PIECES 0 0 0 0 0 0 0 0 0 0

230 URIN BAG BUAH 13 0 13 0 0 13 0 0 0 0

231 RIVANOL 300 ML BOTOL 0 0 0 0 0 0 0 0 12 0

232 POVIDONE IODINE 300 ML BOTOL 20 0 20 2 0 18 0.2 2.2 0 0

233 POVIDONE IODINE 60 ML BOTOL 25 0 25 1 0 24 0.1 1.1 0 0

234 LISOL 1 L BOTOL 0 0 0 0 0 0 0 0 1 0

235 ALKOHOL 1000 ML BOTOL 1 0 1 0 0 1 0 0 6 0

236 CHLOR ETHYL SPRAY BOTOL 2 0 2 0 0 2 0 0 0 0

237 POLICRAPE ROLL 34 0 34 0 0 34 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
238 IODIN TEST BOTOL 0 0 0 0 0 0 0 0 12 0

239 REAGEN GOLONGAN DARAH PAKET 0 0 0 0 0 0 0 0 2 0

VAKSIN

240 ATS AMPUL 0 0 0 0 0 0 0 0 0 0

241 BCG VIAL 3 14 17 4 0 13 0.4 4.4 0 0

242 POLIO VIAL 6 10 16 11 0 5 1.1 12.1 20 0

243 IPV VIAL 6 11 17 6 0 11 0.6 6.6 0 0

244 DPT/HB/HIB VIAL 8 30 38 16 0 22 1.6 17.6 0 0

245 HB UNIJECT PIECE 2 15 17 17 0 0 1.7 18.7 25 0

246 CAMPAK VIAL 14 0 14 0 14 0 0 0 0 0

247 DT VIAL 0 0 0 0 0 0 0 0 20 0

248 TD VIAL 11 20 31 10 0 21 1 11 0 0

249 HBIG VIAL 0 1 1 1 0 0 0.1 1.1 0 0

250 MR ( CAMPAK RUBELLA) VIAL 10 10 20 1 0 19 0.1 1.1 0 0

251 VERORAB VIAL 0 0 0 0 0 0 0 0 0 0

252 RABIPUR VIAL 0 0 0 0 0 0 0 0 0 0

253 ADS 0,05 PIECE 328 0 328 13 0 315 1.3 14.3 0 0

254 ADS 0,5 PIECE 236 0 236 102 0 134 10.2 112.2 0 0

255 ADS 5 PIECE 168 0 168 14 0 154 1.4 15.4 0 0

256 SAFETY BOX (2,5 Liter) PIECE 2 25 27 0 0 27 0 0 0 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18

HIV/AIDS

257 REAGEN HIV 1 0 0 0 0 0 0 0 0 0 0

258 REAGEN HIV 2 0 0 0 0 0 0 0 0 0 0

259 REAGEN HIV 3 0 0 0 0 0 0 0 0 0 0

260 REAGEN SIFILIS 0 0 0 0 0 0 0 0 0 0

HEPATITIS

261 REAGEN HBSAG (RDT) BOX 2 0 2 0 0 2 0 0 0 0

OBAT JKN 0

262 AMBROXOL TAB TABLET 100 900 1000 800 0 200 80 880 680 0

263 BETAHISTIN MESILATE TABLET 60 0 60 40 0 20 4 44 24 0

264 GENTAMISIN SALEP KULIT TUBE 10 32 42 35 0 7 3.5 38.5 31.5 0

262 ASAM TRANEXAMAT INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0

263 ROHTO TTS MATA BOTOL 6 0 6 4 0 2 0.4 4.4 2.4 0

264 DEMACOLIN TABLET 110 0 110 90 0 20 9 99 79 0

262 ANTALGIN TABLET 10 0 10 10 0 0 1 11 11 0

263 LOPERAMIDE TABLET 60 0 60 20 0 40 2 22 -18 0

264 ASAM FOLAT TABLET 900 0 900 400 0 500 40 440 -60 0

262 GENTAMISIN INJEKSI AMPUL 5 0 5 0 0 5 0 0 -5 0

 STOK SUMBER ANGGARAN
HARGA STOK PENERI PERSEDI PEMAKA RUSAK/ STOK PENYAN STOK PERMIN PEMBE TOTAL
NO NAMA OBAT SATUAN SATUAN AWAL MAAN AAN IAN ED AKHIR OPT TAAN RIAN APBN APBD LAIN HARGA
GGA LAIN
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14 15 18
263 VIT. K INJEKSI AMPUL 20 0 20 10 0 10 1 11 1 0

264 GLICERYL GUAIACOLAT TABLET 0 400 400 400 0 0

265 BIOPLACENTON GELL TUBE 0 2 2 2 0 0

Mengetahui, Talagamori, 06 Juli 2019

Kepala UPT Puskesmas Talagamori Pengelola Obat

Muslim A. Gafar, SKM Nurdin D. Embongbulan,S.Si.,Apt

Nip. 19750205 199703 1 007 Nip. 19860124 201902 1 003