LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA

(LPLPO)

UNIT PENERIMA PUSKESMAS PASIR PUTIH

KECAMATAN PASIR PUTIH
KABUPATEN MUNA
PROVINSI SULAWESI TENGGARA

No Kode Nama Obat Sediaan Stok Awal Penerimaan Persediaan

1 10315 2 - 4 SALEP SALEP 2 2
2 AK1603026 Absorbable hemostatic
agent and dressing
0 0
3 108 ACYCLOVIR SALEP 5 SALEP
% 0 0
4 119 ACYCLOVIR TABLET TABLET
200 MG 0 0
5 12448 ALAT SUNTIK 1 ML PIECES
184 0 184
6 12667 ALAT SUNTIK 10 ML PIECES
0 0 0
7 12664 ALAT SUNTIK 2,5 PIECES
ML/ 3 ml 150 0 150
8 12678 ALAT SUNTIK PIECES
SEKALI PAKAI 0,05
ML
0 0 0
9 12677 ALAT SUNTIK PIECES
SEKALI PAKAI 0,5
ML
0 0 0
10 12666 ALAT SUNTIK PIECES
SEKALI PAKAI 5 ML
60 0 60
11 175 ALBENDAZOLE TABLET
TABLET 400 MG 0 0
12 238 ALKOHOL LIQUID LIQUID
70 % 0 0
13 12754 ALKOHOL SWAB 100 PIECES
PCS 300 300
14 247 ALLOPURINOL TABLET
TABLET 100 MG 0 0
15 313 ALUMINIUM TABLET
HYDROXIDE|
MAGNESIUM
TRISILICATE
TABLET
400 0 400
16 379 AMBROXOL TABLET TABLET
30 MG 1200 0 1200
17 415 AMINOPHYLLINE INJEKSI
INJEKSI 25 MG/ML 0 0
18 417 AMINOPHYLLINE TABLET
TABLET 200 MG 300 0 300
19 445 AMLODIPINE TABLET
TABLET 10 MG 100 0 100
20 446 AMLODIPINE TABLET
TABLET 5 MG 660 0 660
21 540 AMOXYCILLIN SIRUP
SIRUP 125 MG/5
ML/pritamox
0 0
22 507 AMOXYCILLIN TABLET
TABLET 250 MG 700 0 700
23 511 AMOXYCILLIN TABLET
TABLET 500 MG 1200 0 1200
24 699 AMPICILLIN SIRUP SIRUP
125 MG/5 ML
0 0
25 713 AMPICILLIN TABLET TABLET
500 MG 0 0
26 12417 ANTACIDA DOEN II SUSPENSION
SUSPENSI
(ALLUMUNIUM
HIDROKSIDA
200mg+MAGNESIUM
HIDROKSIDA 200mg)

120 0 120
27 13422 AQUA PRO INJEKSI BOTOL
25 ML 0 0
28 12280 AQUADEST STERIL
0 0
29 886 ARTESUNATE INJEKSI
INJEKSI 60 MG
30 966 ASAM MEFENAMAT TABLET
TABLET 500 MG
0 0
31 926 ASCORBIC ACID TABLET
(VITAMIN C)
TABLET 50 MG
1300 0 1300
32 1019 ASCORBIC ACID| TABLET
FOLIC ACID|
CYANOCOBALAMIN|
FERROUS
FUMARATE|COPPER
SULPHATE
PENTAHYDRATE|
MANGANESE
SULPHATE TABLET

0 0
33 1277 ATROPINE TABLET
SULPHATE TABLET
0.5 MG
0 0
34 12812 AUTOCHECK 3 IN 1 PIECES
ALAT
PEMERIKSAAN
35 1347 AZITHROMYCIN TABLET
TABLET 500 MG 0 0
36 1362 BACITRACIN| SALEP
NEOMYCIN
SULPHATE|
POLYMYXIN B
SULPHATE SALEP
0 0
37 12620 BAHAN TAMBAL PIECES
GIGI
SEMENTARA,CAVIT
ON TABLET

38 1484 BENZOIC ACID| SALEP

SALICYLIC ACID
SALEP 60 MG|30 MG
18 18
39 1599 BETAMETHASONE SALEP
SALEP 0.1% 0 0
40 1702 BISMUTH SUPPOSITORI
SUBGALLATE|ZINC
OXIDE|LIDOCAINE|
HEXACHLOROPHEN
E SUPPOSITORIA 2 G

0 0
41 AK9001917 BLOOD LANCET 100 0 100
42 AK9002009 BOX SLIDE 0 0
43 1759 BROMHEXINE TABLET
TABLET 8 MG 0 0
44 AK9002167 CACO3 / KRYT 0 0
45 1879 CAFFEINE| TABLET
ERGOTAMINE
TARTRATE TABLET
1 MG|50 MG
0 0
46 2005 CALCIUM LACTATE TABLET
TABLET 500 MG
1600 1600
47 12333 CALYCID POWDER PCS
2% 50gr 32 32
48 AK9002640 CANULA NASAL PCS
OKSIGEN ADULT 0 0
49 AK9002641 CANULA NASAL PCS
OKSIGEN INFANT 0 0
50 AK9002643 CANULA NASAL PCS
OKSIGEN PEDIATRIC
0 0
51 2073 CAPTOPRIL TABLET TABLET
12.5 MG 400 400
52 2075 CAPTOPRIL TABLET TABLET
25 MG 0 0
53 AK9002709 CAT GUT CHROMIC PCS
2-0 18 18
54 AK9002710 CAT GUT CHROMIC PCS
3-0 29 29
55 10418 CEFADROXIL SIRUP SIRUP
125 MG/ML 10 10
56 2176 CEFADROXIL TABLET
TABLET 500 MG 600 0 600
57 2546 CETIRIZINE TABLET TABLET
10 MG 300 300
58 2574 CHLORAMPHENICOL DROPS 18
DROPS 0.5% ,RECO
TTS TELINGA
0 18
59 2581 CHLORAMPHENICOL DROPS
DROPS 1 %
DECACETIN TTS
MATA
8 8
60 2620 CHLORAMPHENICOL KAPSUL
KAPSUL 250 MG
0 0
61 2600 CHLORAMPHENICOL SALEP
SALEP MATA 1%
8 8
62 2601 CHLORAMPHENICOL SALEP
SALEP KULIT 2%
0 0
63 2593 CHLORAMPHENICOL SIRUP
SIRUP 125 MG/5ML
0 0
64 2745 CHLORPHENIRAMIN TABLET
E TABLET 4 MG 1600 0 1600
65 2763 CHLORPROMAZINE TABLET
TABLET 25 MG 0 0
66 2813 CIMETIDINE TABLET TABLET
200 MG 0 0
67 2828 CIPROFLOXACIN TABLET
TABLET 500 MG
(SEBAGAI HCL)
700 700
68 11951 CYANOCOBALAMIN INJEKSI
INJEKSI 500 MCG/ML
0 0
69 12383 DEHYDRO TABLET
ARTEMISIN 40 MG +
PIPERAQUIN 320 MG
(DHP)
0 0
70 12354 DEVITALISASI BOX
PASTA NON ARSEN 6
GR
0 0
71 3416 DEXAMETHASONE INJEKSI
INJEKSI 5 MG/ML
0 0
72 3443 DEXAMETHASONE TABLET
TABLET 0.5 MG 2000 0 2000
73 3629 DIAZEPAM INJEKSI INJEKSI
10 MG\/2 ML
30 30
74 3641 DIAZEPAM TABLET TABLET
2 MG 100 100
75 3688 DICLOFENAC TABLET
SODIUM TABLET 25
MG
0 0
76 3690 DICLOFENAC TABLET
SODIUM TABLET 50
MG
100 100
77 3728 DIETHYLCARBAMA TABLET
ZINE TABLET 100
MG
0 0
78 3756 DIGOXIN TABLET TABLET
0.25 MG 0 0
79 3759 DHP,DIHYDROARTE TABLET
MISININ|
PIPERAQUINE
PHOSPHATE
TABLET 40 MG|320
MG
0 0
80 3734 DIPHENHYDRAMINE INJEKSI
INJEKSI 75 75
81 3964 DOMPERIDONE SIRUP
SIRUP 5 MG/5 ML 11 11
82 4040 DOXYCYCLINE TABLET
TABLET 0 0
83 12624 ELASTIC PIECES
VERBAND,FM CREPE
0 0
84 4240 EPHEDRINE TABLET TABLET
25 MG 0 0
85 4303 EPINEPHRINE INJEKSI
INJEKSI 0.1 % 50 50
86 4401 ERYTHROMYCIN SIRUP
SIRUP 0 0
87 4458 ERYTHROMYCIN TABLET
TABLET 250 MG 0 0
88 4461 ERYTHROMYCIN TABLET
TABLET 500 MG 500 500
89 4627 ETHYL CHLORIDE SPRAY
SPRAY 3 0 3
90 4663 EUGENOL LIQUID 10 BOTOL
ML 0 0
91 12379 EXAMINATION PCS
GLOVES SIZE L 35 35
92 12380 EXAMINATION PCS
GLOVES SIZE M 25 0 25
93 12419 FDC Kat. Sisipan : TABLET
Rifampisin
150mg+Isoniazid
75ms+Pirazinamid
400ms+Ethambutol
275ms
0 0
 94 12687 FOLLEY CATHETER PIECES
2 WAY NO. 18
0 0
95 12694 FOLLEY CATHETER PIECES
NO. 20 0 0
96 12695 FOLLEY CATHETER PIECES
NO. 22 0 0
97 12696 FOLLEY CATHETER PIECES
NO. 24 0 0
98 5074 FUROSEMIDE TABLET
TABLET 40 MG 0 0
99 12407 GARAM ORALIT SERBUK
SERBUK KOMBINASI
( NATRIUM
0,529+KALIUM
KLORIDA
0,39+TRINATRIUM
SITRAT DIHIDRAT
0,589+GLUKOSA
ANHIDART 2,79)

100 0 100
100 5154 GEMFIBROZIL TABLET
TABLET 300 MG 800 0 800
101 5166 GENTAMYCIN SALEP
SALEP 0.1 % 38 0 38
102 5228 GENTIAN VIOLET LIQUID
LIQUID 0 0 0
103 12350 GIPS 3inch ROLL 0 0
104 AK9012180 Glass Ionomer Cement PIECES
ART Fuji IX 0 0
105 5252 GLIBENCLAMIDE TABLET
TABLET 5 MG 400 400
106 5280 GLISERIL TABLET
GUAIAKOLAT
TABLET 100
MG/guafenesin
0 0
107 5300 GLUCOSE INFUS 5 % INFUS
20 0 20
108 AK0101069 Glucose test system 0 0
109 5522 GRISEOFULVIN TABLET
TABLET 125 MG 400 400
110 5565 DEXTRAL TABLET
TABLET,GUAIFENES
IN|
DEXTROMETHORPH
AN
HYDROBROMIDE|
CHLORPHENAMINE|
PHENYLPROPANOLA
MINE TABLET

2500 0 2500
111 5569 DEXTRAL SIRUP
SYR,GUAIFENESIN|
DEXTROMETHORPH
AN
HYDROBROMIDE|
PHENYLPROPANOLA
MINE|
CHLORPHENAMINE
SIRUP

78 0 78
112 12871 HAND RUB 500 ML 0 0
113 12462 HAND SCRUB 500 CC BOTOL
(ONESCRUB)
CHLORHEXIDINE
GLUCONATE 4%
0 0
114 5788 HYDROCHLOROTHI TABLET
AZIDE TABLET 25
MG
0 0
115 5843 HYDROCORTISONE SALEP
SALEP 2.5 % 64 0 64
116 5862 HYDROGEN LIQUID
PEROXIDE LIQUID 3
%
0 0
117 5949 IBUPROFEN SIRUP SIRUP
100 MG/5 ML 30 30
118 5964 IBUPROFEN TABLET TABLET
200 MG 0 0
119 5966 IBUPROFEN TABLET TABLET
400 MG 500 0 500
120 12358 INFUSET ANAK SET 103 0 103
121 12452 Infusion Set Dewasa PIECES 90 0 90
122 AK9012183 Iodoform (Mummifying SET
Pasta) 0 0
123 6386 ISOSORBIDE TABLET
DINITRATE TABLET
5 MG
0 0
124 AK9005686 IV CATHETER NO 16 PIECES
0 0
125 AK9005687 IV CATHETER NO 18 PIECES
45 0 45
126 AK9005689 IV CATHETER NO 22 PIECES
42 0 42
127 AK9005690 IV CATHETER NO 24 PIECES
20 0 20
128 12434 IV CATHETER NO.20 PCS
10 0 10
129 12362 JARUM HECTING SET
KULIT NO. GT 16 0 0
130 AK9012184 Kalsium Hidroksida SET
Pasta 0 0
131 AK9005927 KANTONG ZAK PIECES
OBAT KERTAS
PUTIH
11900 0 11900
132 12375 KAPAS PEMBALUT PIECES
HIDROFIL DRC 250gr

5 5
133 12377 KASA HIDROFIL 2m x PIECES
80cm 30 0 30
134 AK90121071KASA HYDROFIL 4 M PIECES
X 15 CM 20 0 20
135 AK90121072KASA HYDROFIL 4 M PIECES
X 3 CM 23 0 23
136 12376 KASA KOMPRES PIECES
DRC 40cm x 40cm 24 0 24
137 12627 KASA STERIL 16 X 16 PIECES
CM 22 0 22
138 12516 KASA STERIL 40 X 80 PIECES
CM 21 0 21
139 6535 KETOCONAZOLE SALEP
SALEP 2% 45 0 45
140 6546 KETOCONAZOLE TABLET
TABLET 200 MG 0 0
141 AK9012185 Klorfenol Kamfer PIECES
Menthol (CHKM) 0 0
142 12440 KOKODIN 300 ML CAIRAN 8 0 8
143 12488 Kombinasi tablet salut : TABLET
Besi (II) sulfat 7H2O
200 mg Asam folat 0,25
mg,TABLET
TAMBAH DARAH

6300 0 6300
144 12921 KUININ TABLET 200 TABLET
MG 0 0
145 6872 LEVOTHYROXINE TABLET
TABLET 0.1 MG 0 0
146 6906 LIDOCAINE INJEKSI KOTAL 100 A
2%( 285 0 285
147 6892 LIDOCAINE SPRAY SPRAY
10 MG/DOSIS
0 0
148 6897 LIDOKAIN INJEKSI KOTAK 30 AM
2% HCL +
EPINEPHRINE
INJEKSI 1:80.000 - 2
ML
0 0
149 6998 LOPERAMIDE TABLET
TABLET 2 MG 0 0
150 7013 LORATADINE TABLET
TABLET 10 MG 0 0
151 7153 MAGNESIUM INJEKSI
SULFAT INJEKSI 20
%
0 0
152 AK9006970 MASKER HIJAU PIECES 0 0
153 AK9006973 MASKER KERTAS PIECES
PAKAI KARET (TIES
ON )
0 0
154 13021 MASKER TELINGA PIECES
PLUS (E-CARE),(EAR
LOOP)
0 0
155 799 METAMPIRON INJEKSI
(ANTALGIN) INJEKSI
250 MG/ML
0 0
156 803 METAMPIRON TABLET
(ANTALGIN) TABLET
500 MG
0 0
157 7491 METFORMIN HCL TABLET
TABLET 500 MG 400 0 400
158 7536 METHYLERGOMETR INJEKSI
INE INJEKSI 0.2
MG/ML
0 0
159 7605 METHYLERGOMETR TABLET
INE TABLET 0.125
MG
400 0 400
160 12923 METILPREDNISOLO TABLET
N TABLET 4 MG 500 500
161 7619 METISOPRINOL SIRUP
SIRUP MG/ML 0 0
162 7638 PRIMPERAN SIRUP
SYR,METOCLOPRAM
IDE SIRUP 5 MG/ML
0 0
163 7651 METOCLOPRAMIDE TABLET
TABLET 10 MG 0 0
164 7695 METRONIDAZOLE TABLET
TABLET 250 MG 0 0
165 7697 METRONIDAZOLE TABLET
TABLET 500 MG 600 0 600
166 7713 MICONAZOLE SALEP SALEP
19 0 19
167 12301 MICROSCOPE SLIDE PIECES
(SAIL BRAND)
0 0
168 7747 MINERAL MIX SACHET
SERBUK 8 G 0 0
169 7898 MULTIVITAMIN SIRUP
SIRUP 60
ML(BECEFORT
SYRUP)
0 0
170 7945 LEXAVIT TABLET
TABLET,MULTIVITA
MIN,
MULTIMINERAL
TABLET MG
0 0
171 12573 Mummifying Pasta POT 0 0
172 8160 NIFEDIPINE TABLET TABLET
10 MG 0 0
173 8256 NYSTATIN OVULA OVULA
10000 IU 0 0
174 8269 NYSTATIN TABLET TABLET
50000 IU 0 0
175 12529 OAT KATEGORI II- PAKET
(FDC) 0 0
176 8285 OBH SIRUP 100 ML SIRUP 0 0
177 8373 OMEPRAZOLE KAPSUL
KAPSUL 20 MG 0 0
178 8475 OXYTETRACYCLINE SALEP KULIT
3 % SALEP KULIT
0 0
179 8464 OXYTETRACYCLINE TUBE
SALEP MATA 1 %
(HCL)
0 0
180 8479 OXYTOCIN INJEKSI INJEKSI
60 60
181 12527 PAKET STOP TB PAKET
KATEGORI 1 0 0
182 12528 PAKET STOP TB OAT PAKET
ANAK
183 8573 PARACETAMOL DROPS
DROPS 100 MG/ML 0 0
184 8601 PARACETAMOL SIRUP
SIRUP 120 MG\/5 ML
0 0
185 8572 PARACETAMOL TABLET
TABLET 100 MG 0 0
186 8593 PARACETAMOL TABLET
TABLET 500 MG 0 0 0
187 9120 PHENOBARBITAL INJEKSI
INJEKSI 50 MG\/ML 0 0
188 9125 PHENOBARBITAL TABLET
TABLET 30 MG 0 0
189 9137 PHENOL GLISEROL LIQUID
LIQUID
190 4832 PHYTOMENADIONE INJEKSI
(VITAMIN K) INJEKSI
1 ML
90 90
191 9261 PHYTOMENADIONE TABLET
(VITAMIN K)
TABLET 10 MG
400 400
192 9389 PIROXICAM TABLET TABLET
10 MG 0 0
193 9392 PIROXICAM TABLET TABLET
20 MG 1600 0 1600
194 12616 PISAU BEDAH NO. 10 PIECES
100 0 100
195 12505 PLASTIK OBAT PIECES
(CLIP) UKURAN 5 X 8
0 0
196 12674 PLASTIK OBAT PIECES
(CLIP) UKURAN 7 X
10
300 300
197 13002 PLESTER ADHESIVE ROLL
NON WOVEN
FABRIC 5CM X 5M
(FIXOMULL)

4 4
198 12560 PLESTER PIECES
LEUKOPLAST 7,5 CM
X 4,5 M
0 0
199 12559 POT SPUTUM PIECES 0 0
200 12325 POVIDONE IODINE CAIRAN
10% 30ML 10 0 10
201 9583 PREDNISONE TABLET
TABLET 5 MG 1100 0 1100
202 9597 PRIMAQUINE TABLET
TABLET 15 MG 0 0
203 12477 PROPANOLOL 40 MG TABLET
0 0
204 9794 PYRANTEL TABLET TABLET
125 MG (BASE)
0 0
205 1684 PYRIDOXINE TABLET
TABLET 10 MG 0 0
206 9973 RABIES VACCINE INJEKSI
INJEKSI 2.5 IU 0 0
207 9999 RANITIDINE INJEKSI
INJEKSI 50 MG/2 ML
0 0
208 10014 RANITIDINE TABLET TABLET
150 MG 1000 0 1000
209 13433 RAPID HIV 1\/SD PIECES
( HIV-1\/2 3.0 (Multi))
TEST
0 0
210 12619 RAPID TEST PIECES
MALARIA
211 12813 REAGEN TB BOTOL 0 0
212 12502 REAGEN ZIEHL BOTOL
NEELSEN 100 ML 0 0
213 10087 RETINOL (VITAMIN TABLET
A) 100.000 UI
0 0
214 12932 RETINOL (VITAMIN TABLET
A) 200.000 UI
0 0
215 10061 RETINOL ACETATE| TABLET
COLECALCIFEROL|
THIAMINE|
RIBOFLAVIN|
PYRIDOXINE|
CYANOCOBALAMIN|
ASCORBIC ACID|
TOCOPHERYL
ACETATE|
MENADIONE|
CALCIUM
PANTOTHENATE|
NICOTINAMIDE|
FOLIC ACID|
CALCIUM
PHOSPHATE
DIBASIC|DICALCIUM
PHOSPHATE
ANHYDRATE|
FERROUS SULPHATE
EXSICCATED|
MANGANESE
SULPHATE|
MAGNESIUM
SULPHATE|CALCIUM
FLUORIDE|
POTASSIUM
PHOSPHATE
MONOBASIC|ZINC
SULPHATE|
POTASSIUM IODIDE|
AMMONIUM
MOLYBDATE| 0 0
COPPER SULPHATE|
216 10101 VITAMIN B TABLET
KOMPLEX,RIBOFLA
VIN|NICOTINAMIDE|
CALCIUM
PANTOTHENATE|
PYRIDOXINE|
THIAMINE TABLET
1500 0 1500
217 12877 MDT TABLET
DEWASA,RIFAMPICI
N 300 MG |
CLOFAMIZINE 100
MG | DAPSONE 100
MG
0 0
218 12234 MDT BLISTER
ANAK,RIFAMPICINE|
DAPSON|LAMPREN

219 10182 RIVANOL LIQUID LIQUID 2 2

220 10295 SALBUTAMOL TABLET
TABLET 2 MG
(SEBAGAI SULFAT)
400 0 400
221 10268 SALBUTAMOL SPRAY
SPRAY
100MCG/DOSE X 200
DOSE
12 0 12
222 12954 SALEP 2-4 TUBE
KOMBINASI: ASAM
SALISILAT 2% +
BELERANG ENDAP
4%

223 12626 SARUNG TANGAN PIECES

GYNECOLOG 100 0 100
224 AK9008969 SARUNG TANGAN PIECES
STERIL NO 7 200 0 200
225 AK9008970 SARUNG TANGAN PIECES
STERIL NO 7.5 200 0 200
226 AK9008971 SARUNG TANGAN PIECES
STERIL NO 8 200 0 200
227 AK9012192 Semen Seng Fosfat PIECES
Serbuk dan Cairan
228 11926 SIANOKOBALAMIN TABLET
TABLET 1000 0 1000
229 12589 SILK SUTURE WITH PIECES
NEEDLE 22 0 22
230 10482 SIMVASTATIN TABLET
TABLET 10 MG 420 0 420
231 10484 SIMVASTATIN TABLET
TABLET 20 MG 400 0 400
232 10532 SODIUM CHLORIDE INFUS
INFUS 0.9 %
120 0 120
233 10585 SODIUM CHLORIDE| INFUS
POTASSIUM
CHLORIDE|CALCIUM
CHLORIDE
DIHYDRATE|
SODIUM LACTATE
INFUS / RL

45 45
234 12821 SOUND TIMER PIECES 0 0
235 12294 SPIRITUS 1000 ML BTL 0 0
236 12355 STOPPING BUBUK dan
FLETCHER LARUTAN
(FLETCHER) SERBUK
DAN CAIRAN

0 0
237 12590 STRIP ASAM URAT PIECES
0 0
238 12511 STRIP TES PIECES
KEHAMILAN
(ONEMED
ULTRAONE)
0 0
239 12592 STRIP TOTAL PIECES
KOLESTEROL 0 0
240 10865 SULFADOXINE| TABLET
PYRIMETHAMINE
TABLET 500 MG|25
MG
0 0
241 10887 SULFAMETHOXAZO SIRUP
LE|TRIMETHOPRIM
SIRUP 200MG|40MG/5
ML
0 0
242 10898 SULFAMETHOXAZO TABLET 70 0 70
LE|TRIMETHOPRIM
TABLET
243 12490 TETANUS INJEKSI
ANTITOXIN INJEKSI
1500 IU\/ML

244 11115 TETRACYCLINE TABLET

TABLET 250 MG 100 100
245 11116 TETRACYCLINE TABLET
TABLET 500 MG 700 0 700
246 11328 THIAMINE (VITAMIN TABLET
B1) TABLET 50 MG
(HCL\/NITRAT)
0 0
247 11207 BIORON TABLET
TABLET,THIAMINE
DISULFIDE|
PYRIDOXINE|
CYANOCOBALAMIN
TABLET
0 0
248 11217 THIAMINE| TABLET
CYANOCOBALAMIN|
PYRIDOXINE
0 0
TABLET
249 10901 TRIMETHOPRIM| TABLET
SULFAMETHOXAZO
LE TABLET 400 MG|
80 MG
0 0
250 AK9011753 UMBILICAL CORD PCS
CLAMP 0 0 0
251 AK9011754 UNDERPAD PCS 5 0 5
252 AK9011806 URINE BAG PCS 0 0
253 11909 PEHAVRAL TABLET
TABLET,VITAMIN A|
VITAMIN D3|
VITAMIN E|VITAMIN
C|VITAMIN B1|
VITAMIN B2 SIRUP
1500 IU|400 IU|5 MG|
40 MG|0.5 MG|0.6 MG

1300 0 1300
254 11943 MOLANEURON TABLET
TAB,VITAMIN B1|
VITAMIN B6|
VITAMIN B12
TABLET 200 MG|50
MG|1 MG
700 0 700
255 ZINC SULPHATE TABLET
TABLET 20 MG 0 0
256 AQUA PRO INJEKSI
LIQUID
257 CALCIUM CHLORIDE
DIHYDRATE|POTASSIUM
CHLORIDE|SODIUM
CHLORIDE|SODIUM
LACTATE INFUS
258 CHLORAMPHENICOL
TETES MATA 0,5
(DECACETIN)
259 FDC Kat. I : RHZE
(150\/75\/400\/275)mg+RH(1
50\/150)mg
260 FUROSEMIDE INJEKSI 10
MG\/ML
261 GENTAMYCIN INJEKSI 40
MG\/ML
262 INFUSION SET
PEDIATRIC
263 KAPAS BERLEMAK 500mg
(Onemed)
264 MAGNESIUM SULFAT
INJEKSI 40 %
265 MASKER TALI (MASKER
BIASA)
266 Mycobacterium
tuberculosisimmunofluoresce
nt reagents
267 PROCAINE
BENZYLPENICILLIN
INJEKSI 3 Juta I.U/vial
268 QUININE INJEKSI 25%
269 RIBOFLAVIN|
NICOTINAMIDE|
CALCIUM
PANTOTHENATE|
PYRIDOXINE|THIAMINE
TABLET
270 Urinary protein or albumin
(nonquantitative) test system

271 METOCLOPRAMIDE SYR

272 ASEPAN PUMP/SABUN

CUCI TANGAN
273 RDT BOX
274 KACA SLIDE
275 ANTI FUNGI DOEN
276 KASA PEMBALUT 36X40

277 MASKER KAIN BISA CUCI

278 SPONS GELATRI

CUBILAS
279 ZINK FOSFAT SEMEN
280 MEDITOL CAIRAN
281 ATROPIN INJ
282 STRIP PEMERIKSAAN
HIV
283 PRITAMOX SYRUP
284 PISAU BEDAH NO. 21
285 STERIL WATER
286 Amoxicillin syrp 250 mg
287 ALPHAMOL SYRUP 90 0 90
288 ALPHAMOL TABLET 600
mg
289 SD SYPHILIS Ab
290 ROVITAL SYRUP 67 0 67
291 LEXAGIN (METOMIZOL) 1200 1200
292 KETAC UNIVERSAL HM
(BAHAN GIGI)
293 CAVIT TM W
294 DENPRO ORAFIT PLUS
295 DENPRO PULIP - X
296 TEHNODENT- BOTOL
CALCETIN
297 BIODINAMIKA B0T0L
PARAMONO
CLORFENOL
298 DENPRO ZINC F+ BOTOL
299 Domperidon tablet
300 Glimepirid 4 mg
301 GUAIFENISIN TABLET
302 SALICYL POWDER 75 GRAM
303 Calsium Glukonat injeksi
304 BUFACETIN
305 ACYCLOVIR 400 MG
306 ANTIDIA
JUMLAH 54405 0 54405

Mengetahui :
Kepala Puskesmas

LA ODE IRWANSYAH, S.KEP.,M.KES

NIP.196912311989031034
N LEMBAR PERMINTAAN OBAT
PLPO)

BULAN JULI ( PEMAKAIAN JUNI)

TAHUN 2020

Pemakaian Rusak/Ed Sisa Stok Stok Optimu Permintaan Pemberian Keterangan

0 2

0 0 0

0 0 0

0 0

0 0 184

0 0 0

10 0 140

0 0 0

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0 0 60

0 0 0

0 0 0

150 0 150

0 0 0
200 0 200

200 0 1000

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50 0 50

300 0 360

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300 0 400

600 0 600

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60 0 60

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500 0 800

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100 0 1500

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200 0 200

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200 0 400

0 0 300
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2 6

0 0 0
 3 0 5

0 0 0

0 0 0

1000 0 600

0 0 0

0 0 0

0 0 700

0 0 0

0 0 0

0 0 0

0 0 0

500 0 1500

0 0 30

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50 0 0
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0 0 0

0 0 50

0 0 0

0 0 0

0 0 500

0 0 3

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10 0 25

10 0 15

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 0 0 0

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0 0 0

0 0 100

0 0 800

7 0 31

0 0 0
0 0 0

0 0 0

100 0 300

0 0

0 20
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200 0 200
150 0 2350

8 0 70
0 0 0

0 0 0

0 0 0

0 0 64

0 0 0

0 0 30

0 0 0

200 0 300
0 0 103
0 0 90

0 0 0

0 0 0
 0 0 0

0 0 45

5 0 37

0 0 20

10 0 10

0 0 0

0 0 0

200 0 11700

0 0 5

0 0 30

10 0 10

3 0 20

14 0 10

10 0 12

10 0 11

15 0 30

0 0 0

0 0 0
0 0 8
2000 0 4300

0 0 0

0 0 0

50 0 235

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
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0 0 600

0 0 19

0 0 0

0 0 0

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0 0 60

0 0 0

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0 0 0

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0 0 0

0 0 0

0 0 0

30 0 60

100 0 300

0 0 0

600 0 1000

50 0 50

0 0 0
 0 0 300

2 0 2

0 0 0
0 0 0

3 0 7

100 0 1000

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

400 0 600

0 0 0

0 0 0

0 0 0

0 0 0
 0 0 0

0 0 0

500 0 1000

0 0 0
 0 0 2

200 0 200

5 0 7

50 0 50

100 0 100

100 0 100

100 0 100

0 0

300 0 700

0 0 22

90 0 330

200 0 200

0 0 120
25 0 20
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 70

50 0 50

200 0 500
 0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 5
0 0 0

700 0 600

300 0 400

0 0 0
40 50

10 0 57
100 0 1100

11892 0 42473

Raha, …..................2020
Pengelolah Obat

SALIATI
NIP. …........................
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

UNIT PENERIMA PUSKESMAS PASIR PUTIH BULAN AGUSTUS ( PEMAKAIAN JULI)

KECAMATAN PASIR PUTIH TAHUN 2020
KABUPATEN MUNA
PROVINSI SULAWESI TENGGARA

No Kode Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok OptimuPermintaan Pemberian Keterangan
1 10315 2 - 4 SALEP SALEP 2 2 0 2 24
2 AK1603026 Absorbable hemostatic
agent and dressing
0 0 0 0 0
3 108 ACYCLOVIR SALEP 5 SALEP
% 0 0 0 0 0 30
4 119 ACYCLOVIR TABLET TABLET
200 MG 0 0 0
5 12448 ALAT SUNTIK 1 ML PIECES
184 0 184 84 0 100 100
6 12667 ALAT SUNTIK 10 ML PIECES
0 0 0 0 0 0
7 12664 ALAT SUNTIK 2,5 PIECES
ML/ 3 ml 140 0 140 0 0 140
8 12678 ALAT SUNTIK PIECES
SEKALI PAKAI 0,05
ML
0 0 0 0 0 0
9 12677 ALAT SUNTIK PIECES
SEKALI PAKAI 0,5
ML
0 0 0 0 0 0 300
10 12666 ALAT SUNTIK PIECES
SEKALI PAKAI 5 ML
60 0 60 0 0 60
11 175 ALBENDAZOLE TABLET
TABLET 400 MG 0 0 0 0 0
12 238 ALKOHOL LIQUID LIQUID
70 % 0 0 0 0 0 15
13 12754 ALKOHOL SWAB 100 PIECES
PCS 150 150 150 0 0 300
14 247 ALLOPURINOL TABLET
TABLET 100 MG 0 0 0 0 0
15 313 ALUMINIUM TABLET
HYDROXIDE|
MAGNESIUM
TRISILICATE
TABLET
200 0 200 200 0 0 3000
16 379 AMBROXOL TABLET TABLET
30 MG 1000 0 1000 200 0 800 500
17 415 AMINOPHYLLINE INJEKSI
INJEKSI 25 MG/ML 0 0 0 0 0
18 417 AMINOPHYLLINE TABLET
TABLET 200 MG 300 0 300 0 0 300
19 445 AMLODIPINE TABLET
TABLET 10 MG 50 0 50 50 0 0 3000
20 446 AMLODIPINE TABLET
TABLET 5 MG 360 0 360 360 0 0 2000
21 540 AMOXYCILLIN SIRUP
SIRUP 125 MG/5
ML/pritamox
0 0 0 0 0 100
22 507 AMOXYCILLIN TABLET
TABLET 250 MG 400 0 400 400 0 0 1000
23 511 AMOXYCILLIN TABLET
TABLET 500 MG 600 0 600 600 0 0 2000
24 699 AMPICILLIN SIRUP SIRUP
125 MG/5 ML
0 0 0 0 0
25 713 AMPICILLIN TABLET TABLET
500 MG 0 0 0 0 0
26 12417 ANTACIDA DOEN II SUSPENSION
SUSPENSI
(ALLUMUNIUM
HIDROKSIDA
200mg+MAGNESIUM
HIDROKSIDA 200mg)

60 0 60 60 0 0 150
27 13422 AQUA PRO INJEKSI BOTOL
25 ML 0 0 0 0 0
28 12280 AQUADEST STERIL
0 0 0
29 886 ARTESUNATE INJEKSI
INJEKSI 60 MG
30 966 ASAM MEFENAMAT TABLET
TABLET 500 MG
0 0 0 0 0 0 3000
31 926 ASCORBIC ACID TABLET
(VITAMIN C)
TABLET 50 MG
800 0 800 800 0 0 3000
32 1019 ASCORBIC ACID| TABLET
FOLIC ACID|
CYANOCOBALAMIN|
FERROUS
FUMARATE|COPPER
SULPHATE
PENTAHYDRATE|
MANGANESE
SULPHATE TABLET

0 0 0 1000
33 1277 ATROPINE TABLET
SULPHATE TABLET
0.5 MG
0 0 0
34 12812 AUTOCHECK 3 IN 1 PIECES
ALAT
PEMERIKSAAN
1
35 1347 AZITHROMYCIN TABLET
TABLET 500 MG 0 0 0
36 1362 BACITRACIN| SALEP
NEOMYCIN
SULPHATE|
POLYMYXIN B
SULPHATE SALEP
0 0 0 30
37 12620 BAHAN TAMBAL PIECES
GIGI
SEMENTARA,CAVIT
ON TABLET

38 1484 BENZOIC ACID| SALEP

SALICYLIC ACID
SALEP 60 MG|30 MG
18 18 0 0 18 24
39 1599 BETAMETHASONE SALEP
SALEP 0.1% 0 0 0 0 0 48
40 1702 BISMUTH SUPPOSITORIA
SUBGALLATE|ZINC
OXIDE|LIDOCAINE|
HEXACHLOROPHEN
E SUPPOSITORIA 2 G

0 0 0
41 AK9001917 BLOOD LANCET 100 0 100 100 0 0 200
42 AK9002009 BOX SLIDE 0 0 0
43 1759 BROMHEXINE TABLET
TABLET 8 MG 0 0 0 1000
44 AK9002167 CACO3 / KRYT 0 0
45 1879 CAFFEINE| TABLET
ERGOTAMINE
TARTRATE TABLET
1 MG|50 MG

0 0 0
46 2005 CALCIUM LACTATE TABLET
TABLET 500 MG
1500 1500 300 0 1200 1000
47 12333 CALYCID POWDER PCS
2% 50gr 32 32 0 0 32
48 AK9002640 CANULA NASAL PCS
OKSIGEN ADULT 0 0 0
49 AK9002641 CANULA NASAL PCS
OKSIGEN INFANT 0 0 0
50 AK9002643 CANULA NASAL PCS
OKSIGEN PEDIATRIC
0 0 0
51 2073 CAPTOPRIL TABLET TABLET
12.5 MG 200 200 200 0 0 1000
52 2075 CAPTOPRIL TABLET TABLET
25 MG 0 0 0 0 1000
53 AK9002709 CAT GUT CHROMIC PCS
2-0 18 18 0 0 18 100
54 AK9002710 CAT GUT CHROMIC PCS
3-0 29 29 0 0 29 100
55 10418 CEFADROXIL SIRUP SIRUP
125 MG/ML 10 10 0 0 10
56 2176 CEFADROXIL TABLET
TABLET 500 MG 400 0 400 210 0 190 1500
57 2546 CETIRIZINE TABLET TABLET
10 MG 300 300 0 0 300
58 2574 CHLORAMPHENICOL DROPS 18 0 0 18
DROPS 0.5% ,RECO
TTS TELINGA
0 18 48
59 2581 CHLORAMPHENICOL DROPS
DROPS 1 %
DECACETIN TTS
MATA
6 6 6 0 48
60 2620 CHLORAMPHENICOL KAPSUL
KAPSUL 250 MG
0 0 0 0 0 500
61 2600 CHLORAMPHENICOL SALEP
SALEP MATA 1%
5 5 4 0 1 48
62 2601 CHLORAMPHENICOL SALEP
SALEP KULIT 2%
0 0 0 0 0
63 2593 CHLORAMPHENICOL SIRUP
SIRUP 125 MG/5ML
0 0 0 0 0
64 2745 CHLORPHENIRAMIN TABLET
E TABLET 4 MG
600 0 600 600 0 0 3000
65 2763 CHLORPROMAZINE TABLET
TABLET 25 MG 0 0 0 0 0
66 2813 CIMETIDINE TABLET TABLET
200 MG 0 0 0 0 0
67 2828 CIPROFLOXACIN TABLET
TABLET 500 MG
(SEBAGAI HCL)
700 700 100 0 600
68 11951 CYANOCOBALAMIN INJEKSI
INJEKSI 500 MCG/ML
0 0 0 0 0
69 12383 DEHYDRO TABLET
ARTEMISIN 40 MG +
PIPERAQUIN 320 MG
(DHP)
0 0 0 0 0
70 12354 DEVITALISASI BOX
PASTA NON ARSEN 6
GR
0 0 0 0 0
71 3416 DEXAMETHASONE INJEKSI
INJEKSI 5 MG/ML
0 0 0 0 0
72 3443 DEXAMETHASONE TABLET
TABLET 0.5 MG 1500 0 1500 510 0 990 1000
73 3629 DIAZEPAM INJEKSI INJEKSI
10 MG\/2 ML
30 30 0 0 30
74 3641 DIAZEPAM TABLET TABLET
2 MG 100 100 0 0 100
75 3688 DICLOFENAC TABLET
SODIUM TABLET 25
MG
0 0 0 0 0 1000
76 3690 DICLOFENAC TABLET
SODIUM TABLET 50
MG
0 100 50 0 0
77 3728 DIETHYLCARBAMA TABLET
ZINE TABLET 100
MG
0 0 0 0 0
78 3756 DIGOXIN TABLET TABLET
0.25 MG 0 0 0 0 0
79 3759 DHP,DIHYDROARTE TABLET
MISININ|
PIPERAQUINE
PHOSPHATE
TABLET 40 MG|320
MG
0 0 0 0 0
80 3734 DIPHENHYDRAMINE INJEKSI
INJEKSI 75 75 0 0 75
81 3964 DOMPERIDONE SIRUP
SIRUP 5 MG/5 ML 11 11 0 0 11
82 4040 DOXYCYCLINE TABLET
TABLET 0 0 0 0 0
 83 12624 ELASTIC PIECES
VERBAND,FM CREPE
0 0 0 0 0
84 4240 EPHEDRINE TABLET TABLET
25 MG 0 0 0 0 0
85 4303 EPINEPHRINE INJEKSI
INJEKSI 0.1 % 50 50 0 0 50
86 4401 ERYTHROMYCIN SIRUP
SIRUP 0 0 0 0 0
87 4458 ERYTHROMYCIN TABLET
TABLET 250 MG 0 0 0 0 0
88 4461 ERYTHROMYCIN TABLET
TABLET 500 MG 500 500 0 0 500
89 4627 ETHYL CHLORIDE SPRAY
SPRAY 3 0 3 0 0 3 3
90 4663 EUGENOL LIQUID 10 BOTOL
ML 0 0 0 0 0
91 12379 EXAMINATION PCS
GLOVES SIZE L 25 25 25 0 0 50
92 12380 EXAMINATION PCS
GLOVES SIZE M 15 0 15 15 0 0 50
93 12419 FDC Kat. Sisipan : TABLET
Rifampisin
150mg+Isoniazid
75ms+Pirazinamid
400ms+Ethambutol
275ms
0 0 0 0 0
94 12687 FOLLEY CATHETER PIECES
2 WAY NO. 18
0 0 0 0 0 20
95 12694 FOLLEY CATHETER PIECES
NO. 20 0 0 0 0 0 20
96 12695 FOLLEY CATHETER PIECES
NO. 22 0 0 0 0 0 20
97 12696 FOLLEY CATHETER PIECES
NO. 24 0 0 0 0 0
98 5074 FUROSEMIDE TABLET
TABLET 40 MG 0 0 0 0 0
99 12407 GARAM ORALIT SERBUK
SERBUK KOMBINASI
( NATRIUM
0,529+KALIUM
KLORIDA
0,39+TRINATRIUM
SITRAT DIHIDRAT
0,589+GLUKOSA
ANHIDART 2,79)

100 0 100 0 0 100 100

100 5154 GEMFIBROZIL TABLET
TABLET 300 MG 800 0 800 0 0 800
101 5166 GENTAMYCIN SALEP
SALEP 0.1 % 31 0 31 7 0 24
102 5228 GENTIAN VIOLET LIQUID
LIQUID 0 0 0 0 0 0
103 12350 GIPS 3inch ROLL 0 0 0 0 0
104 AK9012180 Glass Ionomer Cement PIECES
ART Fuji IX 0 0 0 0 0
105 5252 GLIBENCLAMIDE TABLET
TABLET 5 MG 300 300 100 0 200
106 5280 GLISERIL TABLET
GUAIAKOLAT
TABLET 100
MG/guafenesin
0 0 0 0 1000
107 5300 GLUCOSE INFUS 5 % INFUS
20 0 20 0 20
108 AK0101069 Glucose test system 0 0 0 0
109 5522 GRISEOFULVIN TABLET
TABLET 125 MG 200 200 0 0 200 1000
110 5565 DEXTRAL TABLET
TABLET,GUAIFENES
IN|
DEXTROMETHORPH
AN
HYDROBROMIDE|
CHLORPHENAMINE|
PHENYLPROPANOLA
MINE TABLET

2350 0 2350 340 0 2010

111 5569 DEXTRAL SIRUP
SYR,GUAIFENESIN|
DEXTROMETHORPH
AN
HYDROBROMIDE|
PHENYLPROPANOLA
MINE|
CHLORPHENAMINE
SIRUP

70 0 70 4 0 66 50
112 12871 HAND RUB 500 ML
0 0 0 0 0
113 12462 HAND SCRUB 500 CC BOTOL
(ONESCRUB)
CHLORHEXIDINE
GLUCONATE 4%
0 0 0 0 0 3
114 5788 HYDROCHLOROTHI TABLET
AZIDE TABLET 25
MG
0 0 0 0 0
115 5843 HYDROCORTISONE SALEP
SALEP 2.5 % 64 0 64 0 0 64
116 5862 HYDROGEN LIQUID
PEROXIDE LIQUID 3
%
0 0 0 0 0
117 5949 IBUPROFEN SIRUP SIRUP
100 MG/5 ML
30 30 0 0 30
118 5964 IBUPROFEN TABLET TABLET
200 MG 0 0 0 0 0
119 5966 IBUPROFEN TABLET TABLET
400 MG 300 0 300 300 0 0 1000
120 12358 INFUSET ANAK SET 103 0 103 0 0 103
121 12452 Infusion Set Dewasa PIECES 90 0 90 0 0 90
122 AK9012183 Iodoform (Mummifying SET
Pasta) 0 0 0 0 0
123 6386 ISOSORBIDE TABLET
DINITRATE TABLET
5 MG
0 0 0 0 0
124 AK9005686 IV CATHETER NO 16 PIECES
0 0 0 0 0 50
125 AK9005687 IV CATHETER NO 18 PIECES
45 0 45 0 0 45
126 AK9005689 IV CATHETER NO 22 PIECES
37 0 37 7 0 30
127 AK9005690 IV CATHETER NO 24 PIECES
20 0 20 0 0 20
128 12434 IV CATHETER NO.20 PCS
10 0 10 10 0 10
129 12362 JARUM HECTING SET
KULIT NO. GT 16 0 0 0 0 0 100
130 AK9012184 Kalsium Hidroksida SET
Pasta 0 0 0 0 0
131 AK9005927 KANTONG ZAK PIECES
OBAT KERTAS
PUTIH
#VALUE! 0 11900 200 0 11700
132 12375 KAPAS PEMBALUT PIECES
HIDROFIL DRC 250gr

5 5 1 0 4 5
133 12377 KASA HIDROFIL 2m x PIECES
80cm 30 0 30 15 0 15 30
134 AK90121071KASA HYDROFIL 4 M PIECES
X 15 CM 10 0 10 10 0 0 200
135 AK90121072KASA HYDROFIL 4 M PIECES
X 3 CM 20 0 20 20 0 0 200
136 12376 KASA KOMPRES PIECES
DRC 40cm x 40cm 10 0 10 10 0 0 200
137 12627 KASA STERIL 16 X 16 PIECES
CM 12 0 12 12 0 0 200
138 12516 KASA STERIL 40 X 80 PIECES
CM 11 0 11 11 0 0 200
139 6535 KETOCONAZOLE SALEP
SALEP 2% 30 0 30 5 0 25 30
140 6546 KETOCONAZOLE TABLET
TABLET 200 MG 0 0 0 0 0
141 AK9012185 Klorfenol Kamfer PIECES
Menthol (CHKM) 0 0 0 0 0
142 12440 KOKODIN 300 ML CAIRAN 8 0 8 0 0 8 5
143 12488 Kombinasi tablet salut : TABLET
Besi (II) sulfat 7H2O
200 mg Asam folat 0,25
mg,TABLET
TAMBAH DARAH

4300 0 4300 0 0 4300 1500

144 12921 KUININ TABLET 200 TABLET
MG 0 0 0 0 0
145 6872 LEVOTHYROXINE TABLET
TABLET 0.1 MG 0 0 0 0 0
146 6906 LIDOCAINE INJEKSI KOTAL 100 A
2%( 235 0 235 44 0 191
147 6892 LIDOCAINE SPRAY SPRAY
10 MG/DOSIS
0 0 0 0 0 5
148 6897 LIDOKAIN INJEKSI KOTAK 30 AM
2% HCL +
EPINEPHRINE
INJEKSI 1:80.000 - 2
ML
0 0 0 0 0
149 6998 LOPERAMIDE TABLET
TABLET 2 MG 0 0 0 0 0 1500
150 7013 LORATADINE TABLET
TABLET 10 MG 0 0 0 0 0 1000
151 7153 MAGNESIUM INJEKSI
SULFAT INJEKSI 20
%
0 0 0 0 0 10
152 AK9006970 MASKER HIJAU PIECES 0 0 0 0 0 200
153 AK9006973 MASKER KERTAS PIECES
PAKAI KARET (TIES
ON )
0 0 0 0 0 500
154 13021 MASKER TELINGA PIECES
PLUS (E-CARE),(EAR
LOOP)
0 0 0 0 0 500
155 799 METAMPIRON INJEKSI
(ANTALGIN) INJEKSI
250 MG/ML
0 0 0 0 0
156 803 METAMPIRON TABLET
(ANTALGIN) TABLET
500 MG
0 0 0 0 0
157 7491 METFORMIN HCL TABLET
TABLET 500 MG 400 0 400 200 0 200 3000
158 7536 METHYLERGOMETR INJEKSI
INE INJEKSI 0.2
MG/ML
0 0 0 0 0
159 7605 METHYLERGOMETR TABLET
INE TABLET 0.125
MG
400 0 400 0 0 400 200
160 12923 METILPREDNISOLO TABLET
N TABLET 4 MG 400 400 200 0 200 1500
161 7619 METISOPRINOL SIRUP
SIRUP MG/ML 0 0 0 0 0
162 7638 PRIMPERAN SIRUP
SYR,METOCLOPRAM
IDE SIRUP 5 MG/ML
0 0 0 0 0
163 7651 METOCLOPRAMIDE TABLET
TABLET 10 MG 0 0 0 0 0 800
164 7695 METRONIDAZOLE TABLET
TABLET 250 MG 0 0 0 0 0
165 7697 METRONIDAZOLE TABLET
TABLET 500 MG 600 0 600 0 0 600 400
166 7713 MICONAZOLE SALEP SALEP
19 0 19 0 0 19 24
167 12301 MICROSCOPE SLIDE PIECES
(SAIL BRAND)
0 0 0 0 0
168 7747 MINERAL MIX SACHET
SERBUK 8 G 0 0 0 0 0
169 7898 MULTIVITAMIN SIRUP
SIRUP 60
ML(BECEFORT
SYRUP)
0 0 0 0 0 100
170 7945 LEXAVIT TABLET
TABLET,MULTIVITA
MIN,
MULTIMINERAL
TABLET MG
0 0 0 0 0 1000
171 12573 Mummifying Pasta POT 0 0 0 0 0
172 8160 NIFEDIPINE TABLET TABLET
10 MG 0 0 0 0 0 500
173 8256 NYSTATIN OVULA OVULA
10000 IU 0 0 0 0 0
174 8269 NYSTATIN TABLET TABLET
50000 IU 0 0 0 0 0
175 12529 OAT KATEGORI II- PAKET
(FDC) 0 0 0 0 0
176 8285 OBH SIRUP 100 ML SIRUP
0 0 0 0 0
177 8373 OMEPRAZOLE KAPSUL
KAPSUL 20 MG 0 0 0 0 0 500
178 8475 OXYTETRACYCLINE SALEP KULIT
3 % SALEP KULIT
0 0 0 0 0
179 8464 OXYTETRACYCLINE TUBE
SALEP MATA 1 %
(HCL)
0 0 0 0 0 24
180 8479 OXYTOCIN INJEKSI INJEKSI
60 60 0 0 60 100
181 12527 PAKET STOP TB PAKET
KATEGORI 1 0 0 0 0 0
182 12528 PAKET STOP TB OAT PAKET
ANAK
183 8573 PARACETAMOL DROPS
DROPS 100 MG/ML 0 0 0 0 0 50
184 8601 PARACETAMOL SIRUP
SIRUP 120 MG\/5 ML
0 0 0 0 0 50
185 8572 PARACETAMOL TABLET
TABLET 100 MG 0 0 0 0 0
186 8593 PARACETAMOL TABLET
TABLET 500 MG 0 0 0 0 0 0 6000
187 9120 PHENOBARBITAL INJEKSI
INJEKSI 50 MG\/ML
0 0 0 0 0
188 9125 PHENOBARBITAL TABLET
TABLET 30 MG 0 0 0 0 0
189 9137 PHENOL GLISEROL LIQUID
LIQUID
190 4832 PHYTOMENADIONE INJEKSI
(VITAMIN K) INJEKSI
1 ML
60 60 30 0 30 30
191 9261 PHYTOMENADIONE TABLET
(VITAMIN K)
TABLET 10 MG
300 300 20 0 280 200
192 9389 PIROXICAM TABLET TABLET
10 MG 0 0 0 0 0 1500
193 9392 PIROXICAM TABLET TABLET
20 MG 1000 0 1000 800 0 200 1500
194 12616 PISAU BEDAH NO. 10 PIECES
50 0 50 50 0 0 200
195 12505 PLASTIK OBAT PIECES
(CLIP) UKURAN 5 X 8
0 0 0 0 0
196 12674 PLASTIK OBAT PIECES
(CLIP) UKURAN 7 X
10
300 300 0 0 300
197 13002 PLESTER ADHESIVE ROLL
NON WOVEN
FABRIC 5CM X 5M
(FIXOMULL)

2 2 1 0 1 10
198 12560 PLESTER PIECES
LEUKOPLAST 7,5 CM
X 4,5 M
0 0 0 0 0 15
199 12559 POT SPUTUM PIECES 0 0 0 0 0
200 12325 POVIDONE IODINE CAIRAN
10% 30ML 7 0 7 4 0 3 15
201 9583 PREDNISONE TABLET
TABLET 5 MG 1000 0 1000 200 0 800
202 9597 PRIMAQUINE TABLET
TABLET 15 MG 0 0 0 0 0
203 12477 PROPANOLOL 40 MG TABLET
0 0 0 0 0
204 9794 PYRANTEL TABLET TABLET
125 MG (BASE)
0 0 0 0 0
205 1684 PYRIDOXINE TABLET
TABLET 10 MG 0 0 0 0 0 1500
206 9973 RABIES VACCINE INJEKSI
INJEKSI 2.5 IU 0 0 0 0 0
207 9999 RANITIDINE INJEKSI
INJEKSI 50 MG/2 ML
0 0 0 0 0
208 10014 RANITIDINE TABLET TABLET
150 MG 600 0 600 400 0 200 2000
209 13433 RAPID HIV 1\/SD PIECES
( HIV-1\/2 3.0 (Multi))
TEST
0 0 0 0 0
210 12619 RAPID TEST PIECES
MALARIA
211 12813 REAGEN TB BOTOL 0 0 0 0 0
212 12502 REAGEN ZIEHL BOTOL
NEELSEN 100 ML 0 0 0 0 0
213 10087 RETINOL (VITAMIN TABLET
A) 100.000 UI
0 0 0 0 0 600
214 12932 RETINOL (VITAMIN TABLET
A) 200.000 UI
0 0 0 0 0 800
215 10061 RETINOL ACETATE| TABLET
COLECALCIFEROL|
THIAMINE|
RIBOFLAVIN|
PYRIDOXINE|
CYANOCOBALAMIN|
ASCORBIC ACID|
TOCOPHERYL
ACETATE|
MENADIONE|
CALCIUM
PANTOTHENATE|
NICOTINAMIDE|
FOLIC ACID|
CALCIUM
PHOSPHATE
DIBASIC|DICALCIUM
PHOSPHATE
ANHYDRATE|
FERROUS SULPHATE
EXSICCATED|
MANGANESE
SULPHATE|
MAGNESIUM
SULPHATE|CALCIUM
FLUORIDE|
POTASSIUM
PHOSPHATE
MONOBASIC|ZINC
SULPHATE|
POTASSIUM IODIDE|
AMMONIUM
MOLYBDATE| 0 0 0 0 0 1000
COPPER SULPHATE|
216 10101 VITAMIN B TABLET
KOMPLEX,RIBOFLA
VIN|NICOTINAMIDE|
CALCIUM
PANTOTHENATE|
PYRIDOXINE|
THIAMINE TABLET
1000 0 1000 800 0 200 2500
217 12877 MDT TABLET
DEWASA,RIFAMPICI
N 300 MG |
CLOFAMIZINE 100
MG | DAPSONE 100
MG
0 0 0 0 0
218 12234 MDT BLISTER
ANAK,RIFAMPICINE|
DAPSON|LAMPREN

219 10182 RIVANOL LIQUID LIQUID 2 2 0 0 2 5

220 10295 SALBUTAMOL TABLET
TABLET 2 MG
(SEBAGAI SULFAT)
200 0 200 200 0 0 1500
221 10268 SALBUTAMOL SPRAY
SPRAY
100MCG/DOSE X 200
DOSE
7 0 7 3 0 4 20
222 12954 SALEP 2-4 TUBE
KOMBINASI: ASAM
SALISILAT 2% +
BELERANG ENDAP
4%

223 12626 SARUNG TANGAN PIECES

GYNECOLOG 50 0 50 50 0 0 50
224 AK9008969 SARUNG TANGAN PIECES
STERIL NO 7 100 0 100 100 0 0 300
225 AK9008970 SARUNG TANGAN PIECES
STERIL NO 7.5 100 0 100 100 0 0 300
226 AK9008971 SARUNG TANGAN PIECES
STERIL NO 8 100 0 100 100 0 0 300
227 AK9012192 Semen Seng Fosfat PIECES
Serbuk dan Cairan 0 0
228 11926 SIANOKOBALAMIN TABLET
TABLET 700 0 700 200 0 500 500
229 12589 SILK SUTURE WITH PIECES
NEEDLE 22 0 22 0 0 22 200
230 10482 SIMVASTATIN TABLET
TABLET 10 MG 330 0 330 120 0 210 1500
231 10484 SIMVASTATIN TABLET
TABLET 20 MG 200 0 200 200 0 0 1000
232 10532 SODIUM CHLORIDE INFUS
INFUS 0.9 %
120 0 120 0 0 120
233 10585 SODIUM CHLORIDE| INFUS
POTASSIUM
CHLORIDE|CALCIUM
CHLORIDE
DIHYDRATE|
SODIUM LACTATE
INFUS / RL

20 20 20 0 0 120
234 12821 SOUND TIMER PIECES 0 0 0 0 0
235 12294 SPIRITUS 1000 ML BTL 0 0 0 0 0
236 12355 STOPPING BUBUK dan
FLETCHER LARUTAN
(FLETCHER) SERBUK
DAN CAIRAN

0 0 0 0 0
237 12590 STRIP ASAM URAT PIECES
0 0 0 0 0 100
238 12511 STRIP TES PIECES
KEHAMILAN
(ONEMED
ULTRAONE)
0 0 0 0 0
239 12592 STRIP TOTAL PIECES
KOLESTEROL 0 0 0 0 0 100
240 10865 SULFADOXINE| TABLET
PYRIMETHAMINE
TABLET 500 MG|25
MG
0 0 0 0 0
241 10887 SULFAMETHOXAZO SIRUP
LE|TRIMETHOPRIM
SIRUP 200MG|40MG/5
ML
0 0 0 0 0 50
242 10898 SULFAMETHOXAZO TABLET 70 0 70 0 70
LE|TRIMETHOPRIM
TABLET
1000
243 12490 TETANUS INJEKSI
ANTITOXIN INJEKSI
1500 IU\/ML

244 11115 TETRACYCLINE TABLET

TABLET 250 MG 50 50 50 0 0 1000
245 11116 TETRACYCLINE TABLET
TABLET 500 MG 500 0 500 300 0 200 1000
246 11328 THIAMINE (VITAMIN TABLET
B1) TABLET 50 MG
(HCL\/NITRAT)
0 0 0 0 0
247 11207 BIORON TABLET
TABLET,THIAMINE
DISULFIDE|
PYRIDOXINE|
CYANOCOBALAMIN
TABLET

0 0 0 0 0
248 11217 THIAMINE| TABLET
CYANOCOBALAMIN|
PYRIDOXINE
TABLET
0 0 0 0 0
249 10901 TRIMETHOPRIM| TABLET
SULFAMETHOXAZO
LE TABLET 400 MG|
80 MG
0 0 0 0 0
250 AK9011753 UMBILICAL CORD PCS
CLAMP 0 0 0 0 0 0 100
251 AK9011754 UNDERPAD PCS 5 0 5 0 0 5 50
252 AK9011806 URINE BAG PCS 0 0 0 0 0 50
253 11909 PEHAVRAL TABLET
TABLET,VITAMIN A|
VITAMIN D3|
VITAMIN E|VITAMIN
C|VITAMIN B1|
VITAMIN B2 SIRUP
1500 IU|400 IU|5 MG|
40 MG|0.5 MG|0.6 MG

600 0 600 600 0 0 1000

254 11943 MOLANEURON TABLET
TAB,VITAMIN B1|
VITAMIN B6|
VITAMIN B12
TABLET 200 MG|50
MG|1 MG
400 0 400 300 0 100 1000
255 ZINC SULPHATE TABLET
TABLET 20 MG 0 0 0 0 0
256 AQUA PRO INJEKSI
LIQUID
257 CALCIUM CHLORIDE
DIHYDRATE|POTASSIUM
CHLORIDE|SODIUM
CHLORIDE|SODIUM
LACTATE INFUS

258 CHLORAMPHENICOL
TETES MATA 0,5
(DECACETIN)

259 FDC Kat. I : RHZE

(150\/75\/400\/275)mg+RH(1
50\/150)mg

260 FUROSEMIDE INJEKSI 10

MG\/ML
261 GENTAMYCIN INJEKSI 40
MG\/ML
262 INFUSION SET
PEDIATRIC
263 KAPAS BERLEMAK 500mg
(Onemed)
264 MAGNESIUM SULFAT
INJEKSI 40 %
265 MASKER TALI (MASKER
BIASA)
266 Mycobacterium
tuberculosisimmunofluoresce
nt reagents

267 PROCAINE
BENZYLPENICILLIN
INJEKSI 3 Juta I.U/vial

268 QUININE INJEKSI 25%

269 RIBOFLAVIN|
NICOTINAMIDE|
CALCIUM
PANTOTHENATE|
PYRIDOXINE|THIAMINE
TABLET
270 Urinary protein or albumin
(nonquantitative) test system

271 METOCLOPRAMIDE SYR

272 ASEPAN PUMP/SABUN

CUCI TANGAN
273 RDT BOX
274 KACA SLIDE
275 ANTI FUNGI DOEN
276 KASA PEMBALUT 36X40

277 MASKER KAIN BISA CUCI

278 SPONS GELATRI

CUBILAS
279 ZINK FOSFAT SEMEN
280 MEDITOL CAIRAN
281 ATROPIN INJ
282 STRIP PEMERIKSAAN HIV

283 PRITAMOX SYRUP

284 PISAU BEDAH NO. 21 100
285 STERIL WATER
286 Amoxicillin syrp 250 mg
287 ALPHAMOL SYRUP 50 0 50 28 22 100
288 ALPHAMOL TABLET 600
mg
289 SD SYPHILIS Ab
290 ROVITAL SYRUP 57 0 57 10 0 47
291 LEXAGIN (METOMIZOL) 1100 1100 10 0 1090
292 KETAC UNIVERSAL HM
(BAHAN GIGI)
293 CAVIT TM W
294 DENPRO ORAFIT PLUS
295 DENPRO PULIP - X
296 TEHNODENT- BOTOL
CALCETIN
297 BIODINAMIKA B0T0L
PARAMONO
CLORFENOL
298 DENPRO ZINC F+ BOTOL
299 Domperidon tablet
300 Glimepirid 4 mg
301 GUAIFENISIN TABLET
302 SALICYL POWDER 75 GRAM
303 Calsium Glukonat injeksi
304 BUFACETIN
305 ACYCLOVIR 400 MG
306 ANTIDIA
JUMLAH 42773 39173 11216 0 31517

Mengetahui : Raha, …..................2020

Kepala Puskesmas Pengelolah Obat

LA ODE IRWANSYAH, S.Kep.,M.Kes Apt. MUSKARIM, S.Farm

NIP.196912311989031034 NIP. …........................