KEADAAN OBAT DAN BARANG MEDIS HABIS PAKAI

UPTD PUSKESMAS SANDAR ANGIN TAHUN 2017

JL. PESIRAH YOHAN KEC. DEMPO UTARA KOTA PAGAR ALAM

SATUAN SALDO JUMLAH SALDO

NO NAMA BARANG
KEMASAN AKHIR 2016 KETERSEDIAAN 2017 PEMAKAIAN 2017 AKHIR 2017
a b c d e f(d+e) g h(f-g)
1 Acyclovir 200 mg Tablet 1,500 500 2,000 1,700 300
2 Acyclovir Krim 5 % Tube 40 85 125 101 24
3 Albendazol 400 mg Tablet 0 1290 1290 1,140 150
4 Allopurinol Tab. 100 mg Tablet 1,400 3,400 4,800 4,000 800
5 Alprazolam tab 0,5 mg Tablet 700 1500 2200 2,200 0
6 Alprazolam tab 1 mg Tablet 2,138 0 2,138 63 2,075
7 Albothyil concentrat 5 ml Botol 0 40 40 32 8
8 Ambroxsol Sirup Botol 51 183 234 150 84
9 Ambroxsol tab Tablet 1,800 8,200 10,000 8,500 1,500
10 Aminophyllin Inj. 24 mg/ml - ml Ampul 120 5 125 105 20
11 Amitriphyline Tab Tablet 0 100 100 100 0
12 Amlodipin tab 5 mg Tablet 870 2,550 3,420 3,420 0
13 Amoxicillin Capsul 500 mg Tablet 10600 28,800 39,400 26,100 13300
14 Amoxicillin Syr. Kering 125 mg/5 ml Botol 265 377 642 642 0
15 Antasid Doen tab 400 mg Tablet 0 31000 31,000 13,700 17,300
16 Antasida DOEN Suspensi Botol 0 300 300 198 102
17 Anti Fungi DOEN Kombinasi Salep Pot 6 120 126 84 42
18 Anti Hemaroid DOEN Kombinasi Supos 27 10 37 16 21
19 Asam Asetilsalisilat ( Asetosal ) tab Tablet 300 800 1100 1,100 0
20 Asam Askorbat (Vit C) Tab. 50 mg Tablet 5,200 36,500 41,700 24,900 16,800
21 Asam Folat tab 1 mg Tablet 1,000 2,200 3,200 2,300 900
22 Asam Mefenamat 500 mg Tablet 1,600 22,300 23,900 12,400 11,500
23 Atropin Sulfat Inj. 0,2 mg/ml - 1 ml Ampul 50 0 50 50 0
24 Betamethason Cream 0,1 % Tube 0 50 50 42 8
25 Betahistin Maleat Tablet 0 2070 2070 1,800 270
26 Ca Gluconas Injeksi 10 % Ampul 28 12 40 34 6
27 Captopril 12,5 mg Tablet 300 1,300 1600 1,300 300
28 Captopril 25 mg Tablet 400 1,700 2100 1,700 400
29 Cefadroxil Sirup Botol 88 130 218 215 3
30 Cetrizine Sirup 5mg/5ml Botol 63 0 63 63 0
31 Clozapine tab Tablet 0 700 700 0 700
32 Clindamisin Cap 150 mg Tablet 2,250 2,700 4950 3,850 1,100
33 Dexamethason Tablet Tablet 800 10,000 10800 7,200 3,600
34 Dexamethason Inj 5 mg/ml - 1 ml Ampul 673 1,030 1703 1,695 8
35 Diazepam Tablet 2 mg Tablet 0 100 100 100 0
36 Diazepam Tablet 5 mg Tablet 0 1900 1900 0 1,900
37 Diazepam Injeksi ampul 9 0 9 3 6
38 Depakote 250 mg Tablet 0 30 30 30 0
39 Diphenhidramin HCl Inj 10 mg/ml - 1 ml Ampul 60 60 58 2
40 Domperidon Sry 5 mg / ml Botol 100 60 160 133 27
41 Domperidon tablet Tablet 1,200 8,300 9,500 5,300 4,200
42 Epineprin HCl Bitartrat Inj 0,1 % / 1 ml - 1 Ampul 87 0 87 87 0
43 Eritromisin tablet 500 mg Tablet 200 0 200 200 0
44 Eritromisin syr kering 200 mg / 5 ml Botol 153 118 271 250 21
45 Ezigard Tablet 60 0 60 60 0
46 Fenol Gliserol Tetes Telinga 10 % Botol 30 103 133 129 4
47 Fitomenadion (Vit K1) Inj. 10 mg/ml - 1 ml Ampul 0 130 130 125 5
48 Fitomenadion (Vit K1) Tab. Salut 10 mg Tablet 5,400 300 5,700 5,600 100
49 Flutop Syrup Botol 4 25 29 29 0
50 Furosemid Injeksi Ampul 50 30 80 65 15
51 Furosemid Tab. 40 mg Tablet 800 4900 5,700 3,900 1800
52 Gentamisin Inj Ampul 70 30 100 99 1
53 Gentamisin Salep Mata 0,3 S Tube 44 35 79 60 19
54 Gentamisin tetes Mata 0,3 % Botol 0 18 18 12 6
55 Gentian Violet Botol 37 0 37 33 4
56 Glibenclamid Tab. 5 mg Tablet 600 1000 1,600 1,100 500
57 Glimepiride tab 1 mg Tablet 750 0 750 750 0
58 Glimepiride tab 2 mg Tablet 450 0 450 450 0
59 Gliseril Guaiakolat Tab. 100 mg Tablet 2,000 5000 7,000 5,500 1,500
60 Glucosa Lar. Infus 10% Steril Botol 96 0 96 86 10
61 Glucosa Lar. Infus 5% Steril Botol 65 40 105 94 11
62 Griseofulvin 125 mg Tablet 1,900 1900 3,800 3,700 100
63 Garam Oralit ( 200 ml air ) Box 30 0 30 26 4
64 Haloperidol Tab. 0,5 mg Tablet 544 1400 1,944 950 994
65 Haloperidol 5 mg injeksi Ampul 0 18 18 0 18
66 Haloperidol Decaoate 50 mg/ml Ampul 0 5 5 5 0
67 Haloperidol 5 mg Tablet 0 694 694 64 630
68 Heparin Sodium 5 gr ( Hico Gel) Tube 5 31 36 30 6
 69 Hidroklorotiazid (HCT) Tab. 25 mg Tablet 2,500 2,500 500 2,000
70 Hidrokortison ceam 2,5 % Tube 72 170 242 174 68
71 Ibuprofen suspensi Botol 22 50 72 47 25
72 Ibuprofen Tab. 400 mg Tablet 400 800 1200 900 300
73 Ihctiol Salep Hitam 15 gr Botol 3 11 14 9 5
74 Imunvit Plus Kaplet Tablet 200 1740 1940 1,500 440
75 Isosorbit Dinitrat Tab. Sublingual 5 mg Tablet 700 1,100 1,800 1,300 500
76 Kalium Permanganat Serbuk (PK) Botol 0 0 0 0 0
77 Kalsium Laktat (Kalk) Tab. 500 mg Tablet 1,800 0 1,800 1,800 0
78 Ketokonazol krim 2 % Tube 31 65 96 76 20
79 Ketokonazol tab 200 mg Tablet 600 1,250 1850 1,700 150
80 Ketorolac inj 30 mg Ampul 75 12 87 81 6
81 Klobazam tab 10 mg Tablet 537 2000 2537 678 1,859
82 Kloramfenikol Capsul 250 mg Kapsul 600 1200 1,800 1,700 100
83 Kloramfenikol syr Botol 12 0 12 12 0
84 Kloramfenikol Salep Mata 1 % Tube 34 51 85 73 12
85 Kloramfenikol tetes mata Botol 0 104 104 64 40
86 Kloramfenikol Tetes Telinga 3 % Botol 0 69 69 69 0
87 Klorfeniramin Maleat Tab. 4 mg Tablet 400 13,800 14,200 12,300 1,900
88 Kloroquin Tab 150 mg Tablet 200 100 300 100 200
89 Klorpromazin HCl Tab. Salut 100 mg Tablet 12 1300 1312 601 711
90 Kotrimoxazol Suspensi 240 mg/5 ml Botol 213 100 313 263 50
91 Kotrimoxazol Tab 480 mg Tablet 1,800 3,600 5,400 5,000 400
92 Lansoprazole tab Tablet 240 2400 2640 2,520 120
93 Levofloxacin 500 mg tab Tablet 550 550 1100 1,100 0
94 Lidokain Komplek Inj. 2 ml Ampul 0 437 437 231 206
95 Loperamid tab Tablet 300 2,000 2,300 2,300 0
96 Magnesium Sulfat inj ( iv ) 40 % - 25 ml Ampul 4 30 34 26 8
97 Magnesium Sulfat Inj. (IV) 20 % - 25 ml Ampul 11 30 41 28 13
98 Meloxicam 15 mg Tablet 900 2600 3500 3,350 150
99 Metil Prednisolon Tab 4 mg Tablet 1,800 2,200 4000 4,000 0
100 Metronidazol tab 500 mg Tablet 3,700 7,100 10,800 7,600 3,200
101 Metronidazole tab 250 mg Tablet 600 0 600 600 0
102 Mikonazole krim 0,1 % Tube 15 77 92 62 30
103 Metformin HCL tablet 500 mg Tablet 0 1400 1400 1,200 200
104 Mulsanol Sirup Botol 9 64 73 73 0
105 Natrium Diklofenak 50 mg Tablet 1,000 4,300 5,300 4,900 400
106 Natrium Klorida Lar. Infus 0,9% Steril Botol 21 200 221 194 27
107 Neo diastop Tablet 300 0 300 300 0
108 Neomycin sulfat plasenta extract 15 gr (neoplac Tube 6 37 43 36 7
109 Nifedipin Tab Tablet 300 3,400 3700 3,600 100
110 Nistatin Tab. Salut 500.000 IU Tablet 400 400 400 0
111 Nistatin Tab. Salut Vaginal 100.000 IU/G Tablet 80 370 450 318 132
112 Obat Anti Tuberculosa Anak Box 0 0 0 0
113 Obat Anti Tuberculosa Kategori I Box 0 0 0 0
114 Obat Anti Tuberculosa Kategori II Box 0 0 0 0
115 Obat Batuk Hitam (OBH) Botol 240 480 720 658 62
116 Oksitetrasiklin HCl Salep kulit 3 % Tube 58 128 186 164 22
117 Oksitetrasiklin HCl Salep Mata 1 % Tube 156 0 156 156 0
118 Oksitoksin Inj. 10 IU/ml/1 ml Ampul 0 250 250 185 65
119 Omeprazol 20 mg tab Tablet 30 1,050 1,080 1,020 60
120 Ondansetron Inj 4 mg / 2 ml Ampul 3 10 13 13 0
121 Osteor Kaplet Tablet 150 150 150 0
122 Papaverin Tab . 40 mg Botol 2,000 0 2,000 0 2,000
123 Papaverin Tab. 40 mg Tablet 400 0 400 100 300
124 Parasetamol drop 100 mg / ml btl @ 15 ml Botol 60 268 328 266 62
125 Parasetamol Sirup 120 mg/5 ml Botol 457 1,723 2180 2,035 145
126 Parasetamol Tab 500 mg Tablet 13,200 30,500 43,700 34,800 8,900
127 Phenobarbital Inj Ampul 37 56 93 17 76
128 Pirantel syr 125 mg / 5 ml Botol 17 17 17 0
129 Pirantel Tab 125 mg Tablet 100 1275 1,375 1,150 225
130 Piridoksin HCl (Vit. B6) Tab. 10 mg Tablet/100 3,000 1,000 4000 2,600 1,400
131 Piroxicam Tab. 20 mg Tablet 800 300 1,100 1,100 0
132 Prednison Tab. 5 mg Tablet 1,700 8,700 10,400 6,600 3,800
133 Prokain Benzil Penissilin Inj 3 juta IU- Vial Ampul 102 0 102 102 0
134 Propanolol HCl Tab. 100 mg Tablet 301 0 301 301 0
135 Propiltiourasil Tab 100 mg Tablet 200 600 800 200 600
136 Pehavral Tablet 600 1,500 2,100 1,600 500
137 Ranitidin Tab Tablet 4,300 9,200 13,500 10,200 3,300
138 Ranitidin Injeksi Ampul 0 30 30 22 8
139 Ringer Laktat Lar. Infus Steril Botol 40 240 280 101 179
140 Risperidon tablet 2 mg Tablet 400 1,300 1700 1,596 104
141 Salbutamol 2 tab Tablet 1,100 4,500 5600 5,200 400
142 Salep 2 - 4 Kombinasi Pot 65 480 545 233 312
143 Salisil Bedak 2 % Bungkus 120 50 170 164 6
144 Scabimite Salep Tube 0 36 36 33 3
145 Sefiksim syr kering 100 mg / 5 ml Botol 91 10 101 101 0
146 Sefotaksim Serbuk inj 1g / vial Ampul 9 0 9 9 0
147 Serum Anti Tetanus Inj. 1500 IU/Ampul (A Ampul 2 9 11 6 5
148 Sianokobalamin (Vit. B12) Inj. 500mcg/ml - Ampul 50 170 220 149 71
149 Sianokobalamin (Vit. B12) Tab. Tablet 1,000 1,300 2,300 2,000 300
150 Simvastatin 10 mg tab Tablet 630 0 630 630 0
151 Siprofloksasin Tab. 500 mg Tablet 4,600 2,600 7,200 6,500 700
152 Thiamin HCl (Vit. B1) Inj. Ampul 9 15 24 20 4
153 Thiamin HCl (Vit. B1) Tab. 50 mg Tablet/ktk 0 8000 8000 5,400 2600
154 Thiamin HCl (Vit. B1) Tab. 50 mg Tablet/btl 4000 1,000 5,000 4,700 300
155 Thiamazole Tablet 400 0 400 400 0
156 Thiamphenikol cap 500 mg Kapsul 400 0 400 300 100
157 Trihexiphenidil Tablet 0 400 400 230 170
158 Vaksin Rabies Vero Ampul 7 213 220 166 54
159 Vitamin B Komplek Tablet 1100 20,000 21,100 17,800 3300
160 Zinc 20 mg tab Tablet 1000 2,000 3,000 2,800 200
161 Zinc syr 20 ml / 5 ml Botol 39 24 63 46 17
TOTAL

Mengetahui, Pagar Alam, Januari 2018

Kepala UPTD Puskesmas Sandar Angin
Kota Pagar Alam Petugas Pengelola Obat

Yuni Fatmawati,SKM Yustika Delianti, S.Farm, Apt

Nip. 1979063020050120005 Nip. 198005272010012015
 PEMERINTAH KOTA PAGARALAM
KEADAAN BARANG MEDIS HABIS PAKAI
UPTD PUSKESMAS SANDAR ANGIN

SATUAN SALDO JUMLAH

NO NAMA BARANG
KEMASAN AKHIR 2016 KETERSEDIAAN 2017
a b c d e f(d+e)
1 Alat Suntik Sekali Pakai 1 ml Pcs 300 950 1250
2 Alat Suntik Sekali Pakai 2,5 ml / 3 ml Pcs 300 5,200 5,500
3 Alat Suntik Sekali Pakai 5 ml Pcs 400 800 1200
4 Alkohol 70% 1 liter Botol 40 7 47
5 Alkohol 70% 100 ml Botol 317 1400 1717
6 Alkohol Swab Kotak 24 50 74
7 Aqua Pro Injeksi, Bebas pirogen Vial 11 0 11
8 Catgut Plan SMI 3/0 DS 24 MM Pcs 34 0 34
9 Catgut / Chromic SMI 2/0 DS 24 MM Pcs 5 48 53
10 Hanscound steril (E- Care Surgi Glove 6,5) Pcs 169 50 219
11 Handscound steril (E- Care Surgi Glove 7) Pcs 130 50 180
12 Handscound steril (E- Care Surgi Glove 7,5) Pcs 114 50 164
13 Etakridin (Rivanol) 300 cc Botol 6 0 6
14 Etil Klorida Semprot Botol 10 20 30
15 I.V,Catheter No.18 G Pcs 25 40 65
16 I.V,Catheter No.20 G Pcs 4 200 204
17 I.V,Catheter No.22 G Pcs 0 50 50
18 I.V,Catheter No.24 G Pcs 18 70 88
19 Infuset Anak set 7 30 37
20 Infuset Dewasa set 7 29 36
21 Kapas Pembalut / Adsorben 250 gr Bungkus 11 23 34
22 Kasa Hydrophil 4 x 10 cm Rol 54 30 84
23 Kassa Hidrofil Steril 16x16 cm Kotak 2 72 74
24 Kassa Pembalut 2 m x 80 cm Rol 38 30 68
25 kasaa 40 x 80 Rol 5 0 5
26 Kassa Pembalut Hidrofil 4 cm x 15 cm Rol 44 50 94
27 Latex Examination powdered Gloves ukuran S Box 9 60 69
28 Lisol Mengandung Kresol Tersabun 50 % Botol 10 0 10
29 Masker Kotak 2 26 28
30 Plester 5 Yeards x 2 Inc Rol 5 20 25
31 Povidon Iodida 10 % Botol /30 ML 60 74 134
32 Povidon Iodida 10 % Botol /300 ML 23 25 48
33 Pro Crepe Pembalut Elastis 10cm x 4,55 M Rol 3 6 9
34 Paper Tab Rol 0 20 20
35 Silk Black 2/0 DS 24 MM Pcs 5 13 18
TOTAL

42
Mengetahui, Pagar Alam, Januari 2018
Kepala UPTD Puskesmas Sandar Angin
Kota Pagar Alam Petugas Pengelola Obat

Yuni Fatmawati,SKM Yustika Delianti, S.Farm, Apt

Nip. 1979063020005012005 Nip. 198005272010012015

42
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AI
N

JUMLAH SALDO
PEMAKAIAN 2017 AKHIR 2017
g h(f-g)
1050 200
3000 2500
900 300
34 13
1670 47
50 24
11 0
34 0
32 21
117 102
132 48
104 60
6 0
9 21
62 3
47 157
9 41
72 16
28 9
22 14
26 8
84 0
67 7
60 8
5 0
94 0
39 30
10 0
27 1
25 0
110 24
45 3
3 6
8 12
17 1

42
ar Alam, Januari 2018

ugas Pengelola Obat

stika Delianti, S.Farm, Apt

. 198005272010012015

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