LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PELAPORAN BULAN/PERIODE : JUNI

PERMINTAAN BULAN/PERIODE : JUNI

URAIAN PEMAKAIAN
NO. STOK AWAL PENERIMAAN PERSEDIAAN STOK AKHIR PEMAKAIAN STOK OPTIMUM PERMINTAAN KETERANGAN
NAMA SATUAN KEMASAN PERHARI

A B C D E F G=E+F H I=H-G J=I/25 K = (I+(J*6)+(J*12)+(20%*I))-H L=K-H N

1 Ambroxol - Sirup Botol Botol 60 mL 7 0 7 1 6 0 11 10

Kotak, 10 strip @ 10
2 Ambroxol 30 mg - Tablet Tablet 0 0 0 0 0 0 0 100
tablet
Kotak, 10 strip @ 10
3 Allopurinol 100 mg Tablet Tablet 50 0 50 0 50 2 96 96
tablet
4 Albendazole Tab Kotak 100 Tablet/ box 0 0 0 0 0 0 0 0
Kotak, 10 strip @ 10
5 Amoxicilin 500 mg Tablet Tablet 100 0 100 0 100 0 120 100
tablet
6 Amoxicillin 125 mg / 5 ml syr Botol Botol 0 0 0 0 0 0 0 10
Kotak, 10 strip @ 10
7 Antasida DOEN I - Tablet Kunyah Tablet 50 0 50 0 50 0 60 60
tablet
Antasida DOEN I tablet kunyah kombinasi : Kotak, 10 strip @ 10
8 Kotak 0 0 0 0 0 0 0 200
Al(OH)3 + Mg(OH)2 200 mg tablet
9 Antasida DOEN II - Suspensi Botol Botol @ 60 ml 0 0 0 0 0 0 0 0
Kotak, 10 strip @ 10
10 Asam Askorbat (Vitamin C) 50 mg - Tablet Tablet 0 0 0 0 0 0 0 100
tablet
Kotak, 10 strip @ 10
11 Asam Mefenamat 500 mg - Tablet Tablet 60 0 60 0 60 0 72 72
tablet
13 Asiklovir 5 - Krim Tube Tube @ 5 g 0 0 0 0 0 0 0 0

14 Asiklovir krim 5% Tube Tube @ 5 g 23 0 23 23 0 0 -23 -46

15 Attapulgite Tablet box/ 100 tab 0 0 0 0 0 0 0 100

16 Bedak Salisil 2% Bungkus Bungkus @ 50 g 1 0 1 0 1 0 1 5

Kotak, 25 tube @ 5
17 Betametason 0,1% - Krim Tube 10 0 10 10 0 0 -10 0
gr
Kotak, 10 strip @ 10
18 Deksametason 0,5 mg - Tablet Tablet 20 100 120 40 80 0 56 16
tablet
19 Dimenhidrinat 50 mg - Tablet Tablet Botol,@100 tablet 100 0 100 100 0 0 -100 -200

21 Etanol 70% cairan Botol Botol @ 100 mL 0 0 0 0 0 0 0 0

22 Garam Oralit Pcs 25 0 25 20 5 0 -14 -34

23 Gentamisin 0,3 mL - Larutan Tetes Mata Botol Botol 0 5 5 5 0 0 -5 -10

24 Gentamisin 0,3% - Salep Mata Tube 0 0 0 0 0 0 0 0

25 Gentamisin Salep Kulit Tube 3 0 3 3 0 0 -3 -6

Kotak, 10 strip @ 10
26 Gliseril Guaiacolat 100 mg - Tablet Tablet 50 0 50 0 50 60 60
tablet
27 Glukosa larutan infus 5 % steril Botol Botol @ 500 mL 0 0 0 0 0 0 0 0

28 Hidrokortison 2,5% - Krim Tube Tube @ 5 g 2 0 2 0 2 0 2 2

Kotak, 10 strip @ 10
29 Kalsium Laktat (Kalk) 500 mg - Tablet Tablet 0 100 100 50 50 0 10 100
tablet
30 Ketokonazol 2% - Krim Tube Tube @ 10 g 4 0 4 4 0 0 -4 -8

Kotak, 10 strip @ 10
31 Klorfeniramina Maleat (CTM) 4 mg - Tablet Tablet 20 100 120 40 80 0 56 16
tablet
32 Mikonazol krim/salep 2 % (Nitrat) Tube kotak/24 tube 6 0 6 6 0 0 -6 -12

33 Nacl 0,9% Botol Botol @ 500 mL 4 0 4 4 0 0 -4 -8

34 Parasetamol 120 mg/5 mL - Sirup Botol Botol @ 60 mL 6 0 6 3 3 0 1 5

Kotak, 10 strip @ 10
35 Parasetamol 500 mg - Tablet Tablet 100 100 200 100 100 0 20 100
tablet
Parasetamol drop 100 mg/ml btl @15ml
36 Botol Dus, 15 botol 0 0 0 0 0 0 0 0
(60mg/0,6ml)
37 Permetrin 5% - Krim Tube Tube @ 10 g 0 0 0 0 0 0 0 0

Kotak, 10 strip @ 10
38 Piridoksin (Vitamin B6) - Tablet 10 mg Tablet 50 0 50 0 50 0 60 60
tablet
39 Povidon Iodida larutan 10% 1000 ml Botol Botol @ 1000 mL 0 0 0 0 0 0 0 0

40 Povidon Iodida larutan 10% 300 ml Botol Botol @ 30 mL 0 0 0 0 0 0 0 0

41 Povidon Iodida larutan 10% 500 ml Botol Botol @ 300 mL 0 0 0 0 0 0 0 0

42 Ringer Laktat - Infus Botol Botol @ 500 mL 0 2 0 2 0 0 -2 0

Kotak, 3 strip @ 10
43 Setirizin 10 mg - Tablet Kotak 0 0 0 0 0 0 0 100
tablet
44 Setirizin 5 mg/5 mL - Sirup Botol Botol @ 60 mL 0 0 0 0 0 0 0 5

Kotak, 10 strip @ 10
45 Sianokobalamin (Vitamin B12) 50 mcg - Tablet Tablet 20 100 120 80 40 0 -32 -112
tablet
46 Tablet Tambah Darah Tablet Kotak @30 tablet 0 0 0 0 0 0 0 0

Kotak, 10 strip @ 10
47 Thiamin (Vit B1) tablet 50 mg Tablet 0 0 0 0 0 0 0 100
tablet
Kotak, 10 strip @ 10
48 Vitamin B Kompleks - Tablet Tablet 0 0 0 0 0 0 0 100
tablet
Kotak, 10 strip @ 10
49 Zink tab Tablet 100 0 100 0 100 0 120 120
tablet
50 Abochat 18 pcs pcs 0 0 0 0 0 0 0 0

51 Abochat 20 pcs pcs 0 0 0 0 0 0 0 0

52 Abochat 22 pcs pcs 0 0 0 0 0 0 0 0

53 Abochat 24 pcs pcs 0 0 0 0 0 0 0 0

54 Handscoon Non Steril Kotak Kotak @50 pasang 0 0 0 0 0 0 0 50

55 Handscoon steril pcs pcs 0 0 0 0 0 0 0 0

56 Leukoplas roll roll 0 0 0 0 0 0 0 0

57 Polyfix 10 x 5 cm roll roll 0 0 0 0 0 0 0 0

58 Polyfix 5 x 5 cm roll roll 0 0 0 0 0 0 0 0

59 Kasa Steril Kotak Kotak 5 0 5 5 0 0 -5 -10

60 Kasa Hidrofil 40x 80 cm roll roll 0 0 0 0 0 0 0 0

61 Masker Tali Pcs Pcs 0 50 50 45 5 0 -39 -84

62 umbilikal clam pcs 0 0 0 0 0 0 0 0

63 Infus set dewasa Pcs Pcs 0 0 0 0 0 0 0 0

64 Spuit 1 cc pcs pcs 0 0 0 0 0 0 0 0

65 Spuit 3 cc pcs pcs 0 0 0 0 0 0 0 0

66 Spuit 5 cc pcs pcs 0 0 0 0 0 0 0 0

TAREMPA SELATAN, 30 JUNI 2020

Mengetahui / Menyetujui Yang Menyerahkan Yang Membuat Laporan
PJ Farmasi UPT.Puskesmas Tarempa Penanggungjawab Pustu
Kepala UPT.Puskesmas Tarempa
………………….

JANUARDI, AMK LEVI FITRIANTI, AM.FARM WENNYCA SEPTYA, A.Md.Keb

NIP. 19800117 200312 1 004 NIP. 198905262011 01 2 005 NIPTT 199009071432