LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN

PUSKESMAS : CIWARUGA

PUSKESMAS : CIWARUGA
KECAMATAN : PARONGPONG LAPORAN BULAN : AGUSTUS 2019
KAB/KOTA : BANDUNG BARAT PERMINTAAN BULAN/PERIODE : -
PROPINSI : JAWA BARAT

No Nama Obat Satuan STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN

1 2 3 4 5 6 7
11 Amoksisilin 500 mg tablet 7900 7900 3900
12 Amoksisilin sir forte 250 mg/5 ml btl 200 200
13 Amoksisilin sir kering 125 mg/5 ml btl 0 0

Antasida, kombinasi : aluminium hidroksida 200 mg +

15 tablet 6000 6000 1200
magnesium hidroksida 200 mg (Tablet)

Antasida, kombinasi : aluminium hidroksida 200 mg +

16 btl 0 0
magnesium hidroksida 200 mg (Suspensi)
Antihemoroid, kombinasi: bismut subgalat 150 mg +
18 heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng oksida suppo 90 90 40
120 mg + sup ad 2 g
21 Asam askorbat (vitamin C) tab 50 mg tab 4000 4000 100
22 Asam mefenamat kaps 500 mg tablet 0 2000 2000
24 Asiklovir tab 400 mg tablet 1900 1900
26 Bedak salisil serb 2% pak 0 0
27 Betametason krim 0,1% tube 80 80 45
31 Deksametason tab 0,5 mg tablet 2100 2100 400
50 Furosemid tab 40 mg tablet 800 800 200

Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida

51 sachet 200 200
0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g

59 Hidrokortison krim 2,5% tube 70 70 20

62 Ibuprofen tab 400 mg tablet 0 5000 5000 4200
64 Kalsium laktat (kalk) tab 500 mg tablet 1200 1200 200
66 Kaptopril tab 25 mg tablet 2500 2500 1700
71 Kloramfenikol kaps 250 mg kapsul 0 0
72 Kloramfenikol salep mata 1% tube 70 70 20
74 Klorferamin Maleat 4 mg (CTM) tablet 2200 2200 1200
80 Lidokain inj 2% (infiltr/p.v.) amp 0 0
81 Loratadin tab 10 mg tablet 1600 1600 350
84 Metformin tab 500 mg tablet 0 3000 3000 1000
91 Metronidazol tab 500 mg tablet 0 2000 2000 1000
98 Natrium diklofenak tab 50 mg tablet 0 2800 2800 300
102 Nystatin drop/oral suspensi - 15 ml btl 0 0
Obat Flu sirup Kombinasi (Paracetamol 120 mg, glyceryl
guaiacolate 25 mg, chlorpheniramine maleate 1 mg,
104 btl 0 0
phenylephrine HCl 5 mg - 60 ml (SOLAFLUZ)

107 Omeprazol kaps 20 mg kapsul 0 600 600

108 Paracetamol tablet 500 mg tablet 0 5000 5000 4000

109 Parasetamol drop 100mg/ml btl 0 0

110 Parasetamol sir 120 mg/5 ml btl 400 400
112 Piridoksin (vitamin B6) tab 10 mg tablet 1700 1700 1500
114 Povidon iodin lar 100 mg/ml- 30 ml btl 1 1
115 Povidon iodin lar 100 mg/ml -60 ml btl 7 7
120 Ranitidin tab 150 mg tablet 2500 2500 1100

125 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap 4 % pot 0 0

128 Sefadroksil kaps/tab 500 mg tablet 0 0

129 Sefadroksil syr 125 mg/5 ml - 60 ml btl 0 0
133 Setirizin sir 5 mg/5 ml. btl 180 180
134 Setirizin tab 10 mg tablet 0 2000 2000 200
135 Sianokobalamin (vitamin B12) tab 50 mcg tablet 200 200
136 Simvastatin tab sal 10 mg tablet 0 0
137 Siprofloksasin tab scored 500 mg tablet 3200 3200 1200
140 Thiamin(vit.B1) 50 mg tablet 3800 3800 800
142 Vitamin B Komplek tablet 3500 3500
144 Zinc sir 10 mg/ml btl 0 0
145 Zinc tab disp 20 mg tablet 700 700
171 Ethyl Klorida Spray botol 0 0
197 Alat suntik sekali pakai 3 ml (SNI) pcs 100 100
215 Kapas Pembalut / Absorben 250 gram pcs 0 0
224 Lisol btl 0 0
232 Sarung tangan bedah steril No. 6.5 psg 0 0
233 Sarung tangan bedah steril No. 7 psg 100 100
256 Sucralfat botol 0 0
257 Permetrin Krim 5% tube 0 0
258 Hustab tablet 0 0
260 chloramphenikol salep kulit 2% tube 0 0
261 acyclovir salep 5% pcs 80 80
262 masker pake tali pcs 100 100
264 masker biasa pcs 0 0
266 Pyridoxine,Thiamine,cyanocobalamine (Corsaneuron) tablet 800 2400 3200

Ascorbic Acid, Pyridoxine, Thiamine, Colecalciferol,

268 Cyanocobalamine, Rrtinol, Riboflavin, Nicotinamide, Panthenol btl 0 0
sirup (Biolysin sirup)

275 Truvit sirup btl 100 100

284 nisagon cream tube 0 0
285 plester 7,5 cm x 4,5 m pcs 2 2
287 Aqua bides kecil pcs 0
287 Reco tetes telinga btl 2 2

UMUM
ASKES JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR

Mengetahui
Kepala Puskesmas Ciwaruga

drg.Welly Narwelly
NIP : 196102041989022002
N DAN LEMBAR PERMINTAAN OBAT (LPLPO)
USKESMAS : CIWARUGA
FORM : LPLPO

DOKUMEN NOMOR TANGGAL

DINKES KAB/KOTA
GFK KAB/KOTA
PUSKESMAS

STOK AKHIR STOK OPT PERMINTAAN PEMBERIAN

INPRES ASKES APBD LAIN-LAIN JUMLAH
8 9 10 11 12 13 14 15
4000 10000
200 5 DUS
0 5 DUS

4800 2000

0 3 DUS

50 10 BOX

3900 1000
2000 5000
1900 1000
0 1 DUS
35 3 BOX
1700 1000
600 500

200 500

50 3 BOX
800 5000
1000 500
800 5000
0 5 box
50 3 BOX
1000 5000
0 1 box
1250 20 BOX
2000 3000
1000 2000
2500 2000
0 1 DUS

0 3 DUS

600 3000

1000 15000

0 3 DUS
400 5 DUS
200 5000
1 10
7 10
1400 5000

0 1 DUS

0 2000
0 1 DUS
180 2 DUS
1800 2000
200 500
0 3000
2000 2000
3000 2000
3500 2000
0 2 DUS
700 2000
0 1 dus
100 2 box
0 10
0 2
0 100
100 100
0 3 DUS
0 1 DUS
0 5000
0 50
80 3 BOX
100 300
0 200
3200 1 DUS

0 2 DUS

100 3 DUS
0 1 DUS
2 5
10
2 2 DUS

Pengelola Obat Puskesmas Ciwaruga

Suwarni
NIP : 197407311996032003