LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

Unit Penerima : PUSKESMAS FAWI Bulan : JANUARI-MARET

Kecamatan : FAWI Tahun : 2021
Kabupaten : PUNCAK JAYA
Provinsi : PAPUA

Kode Nama Obat Sediaan Stok Awal Penerimaan Persediaan Pemakaia Rusak/Ed Sisa Stok Permintaan Ket
n
FW-01 ACYCLOVIR SALEP 5 % SALEP
FW-02 ACYCLOVIR TABLET 200 MG TABLET
FW-03 ALAT SUNTIK 1 ML PIECES
FW-04 ALAT SUNTIK 3 ML PIECES
FW-05 ALAT SUNTIK 5 ML PIECES
FW-06 ALAT SUNTIK SEKALI PAKAI 0,05 ML PIECES
FW-07 ALAT SUNTIK SEKALI PAKAI 0,5 ML PIECES
FW-08 ALKOHOL 70% 1000 ML BOTOL
FW-09 ALKOHOL SWAB PIECES
FW-10 ALLOPURINOL TABLET 100 MG TABLET
FW-11 ALLOPURINOL TABLET 300 MG TABLET
FW-12 AMBROXOL SIRUP 15 MG/5 ML SIRUP
FW-13 AMBROXOL TABLET 30 MG TABLET
FW-14 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI
FW-15 AMINOPHYLLINE TABLET 200 MG TABLET
FW-16 AMITRIPTYLINE TABLET 25 MG TABLET
FW-17 AMLODIPINE TABLET 10 MG TABLET
FW-18 AMLODIPINE TABLET 5 MG TABLET
FW-19 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP
FW-20 AMOXYCILLIN SIRUP 250 MG/5 ML SIRUP
FW-21 AMOXYCILLIN TABLET 250 MG TABLET
FW-22 AMOXYCILLIN TABLET 500 MG TABLET
FW-23 ANTACIDA SIRUP 400 MG/5 ML SIRUP
FW-24 AQUA PRO INJEKSI 25 ML BOTOL
FW-25 AQUADEST STERIL
FW-26 ASAM FOLAT 0,4 MG
FW-27 BEDAK SALISIL SERBUK 2 % SERBUK
FW-28 BETAHISTINE TABLET 6 MG TABLET
FW-29 BETAMETHASONE SALEP 0.1% SALEP
FW-30 CALCIUM LACTATE TABLET 500 MG TABLET
FW-31 CAPTOPRIL TABLET 12.5 MG TABLET
FW-32 CAPTOPRIL TABLET 25 MG TABLET
FW-33 CAT GUT CHROMIC NO.2\/0 PIECES
FW-34 CAT GUT CHROMIC NO.3\/0 PIECES
FW-35 CAT GUT PLAIN 2\/0 PIECES
FW-36 CAT GUT PLAIN 3\/0 PIECES
FW-37 CAVIT (TAMBALAN SEMENTARA) BOTOL
FW-38 CEFADROXIL SIRUP 125 MG/5 ML SIRUP
FW-39 CEFADROXIL TABLET 500 MG TABLET
FW-40 CEFIXIME SIRUP 100 MG/5 ML SIRUP
FW-41 CEFOTAXIME INJEKSI 1 G/VIAL INJEKSI
FW-42 CEFTRIAXONE INJEKSI 1 G/VIAL INJEKSI
FW-43 CETIRIZINE SIRUP 5 MG/ML SIRUP
FW-44 CETIRIZINE TABLET 10 MG TABLET
FW-45 CHLORAMPHENICOL KAPSUL 250 MG KAPSUL
FW-46 CHLORAMPHENICOL SALEP MATA 1% SALEP

FW-47 CHLORPHENIRAMINE TABLET 4 MG TABLET

FW-48
CIPROFLOXACIN TABLET 500 MG TABLET
(SEBAGAI HCL)
FW-49 CLINDAMYCIN TABLET 150 MG TABLET
FW-50 COTRIMOXAZOLE SIRUP 240 MG/5 ML SIRUP

FW-51 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI

FW-52 CYANOCOBALAMIN TABLET 50 MCG TABLET

FW-53
DEHYDRO ARTEMISIN 40 MG + TABLET
PIPERAQUIN 320 MG (DHP)
FW-54
DERMAFIX S TRANSPARENT DRESSING 6 X PIECES
7 CM
FW-55 DERMAFIX T 5 X 7 CM PIECES
FW-56 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI
FW-57 DEXAMETHASONE TABLET 0.5 MG TABLET
DEXTROMETHORPHAN|
FW-58 DEXCHLORPHENIRAMINE| SIRUP
PHENYLEPHRINE SIRUP
FW-59 DIAZEPAM ENEMA 5 MG/2.5 ML ENEMA
FW-60 DIAZEPAM INJEKSI 5 MG\/2ML AMPUL AMPUL
FW-61 DIAZEPAM TABLET 5 MG TABLET
FW-62 DIGOXIN TABLET 0.25 MG TABLET
FW-63 DIPHENHYDRAMINE INJEKSI 10 MG/ML INJEKSI
FW-64 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP
FW-65 DOMPERIDONE TABLET 10 MG TABLET
FW-66 DOXYCYCLINE TABLET 100 MG TABLET
FW-67 EPINEPHRINE INJEKSI 1 MG/ML INJEKSI
FW-68 ERYTHROMYCIN SIRUP 200 MG/5 ML SIRUP
FW-69 ERYTHROMYCIN TABLET 250 MG TABLET
FW-70 ERYTHROMYCIN TABLET 500 MG TABLET
FW-71 ETHYL CHLORIDE SPRAY SPRAY
FW-72 FERROUS SULPHATE|FOLIC ACID TABLET TABLET
FW-73
FITOMENADION (VITAMIN K) INJEKSI 2 INJEKSI
MG\/ML
FW-74 FUROSEMIDE TABLET 40 MG TABLET

GARAM ORALIT SERBUK KOMBINASI

( NATRIUM 0,529+KALIUM KLORIDA
FW-75 SERBUK
0,39+TRINATRIUM SITRAT DIHIDRAT
0,589+GLUKOSA ANHIDART 2,79)

FW-76 GENTAMYCIN SALEP 0.3 % SALEP

FW-77 GLIBENCLAMIDE TABLET 5 MG TABLET
FW-78 GLISERIL GUAIAKOLAT TABLET TABLET
FW-79 GLUCOSE INFUS 10 % INFUS
FW-80 GLUCOSE INFUS 5 % INFUS

FW-81
GLYCEROL|PHENOLPHTHALEIN| SIRUP
PARAFFIN SIRUP
FW-82 GUAIFENESIN TABLET 100 MG TABLET
FW-83 HALOPERIDOL TABLET 1.5 MG TABLET
FW-84 HALOPERIDOL TABLET 5 MG TABLET
FW-85 HYDROCORTISONE SALEP 2.5 % SALEP
FW-86 IBUPROFEN SIRUP 100 MG/5 ML SIRUP
FW-87 INFUSET ANAK SET
FW-88 INFUSET DEWASA SET
FW-89 IV CATHETER PIECES
FW-90 KAPAS PEMBALUT 250 gr ROL
FW-91 KASA HYDROFIL 4 M X 15 CM 0
FW-92 KASA HYDROFIL 4 M X 3 CM 0
FW-93 KASA HYDROFIL 40 M X 80 CM 0
FW-94 KASA HYDROFIL STERIL 16 x 16 ROLL
FW-95 KERTAS PERKAMEN KWALITAS BAIK 0
FW-96 KERTAS PUYER 0
FW-97 KETOCONAZOLE SALEP 2% SALEP
FW-98 KETOCONAZOLE TABLET 200 MG TABLET
FW-99 KETOROLAC INJEKSI 30 MG/ML INJEKSI
FW-100 LANSOPRAZOLE TABLET TABLET
FW-101 LIDOCAINE INJEKSI 2% INJEKSI
FW-102 Lisol 1
FW-103 LOPERAMIDE TABLET 2 MG TABLET
FW-104 LORATADINE TABLET 10 MG TABLET
FW-105 LORAZEPAM TABLET 2 MG TABLET
FW-106 MAGNESIUM SULFAT INJEKSI 40 % INJEKSI

FW-107
METHYLERGOMETRINE INJEKSI 0.2 INJEKSI
MG/ML
METHYLERGOMETRINE TABLET 0.125
FW-108
MG TABLET
FW-109 METHYLPREDNISOLONE TABLET 4 MG TABLET
FW-110 METRONIDAZOLE INFUS 5 MG/ML INFUS
FW-111 METRONIDAZOLE SIRUP 125 MG/5 ML SIRUP
FW-112 MULTIVITAMIN DROPS 15 ML DROPS
FW-113 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
FW-114
NEOMYCIN SULPHATE|PLACENTA SALEP
EXTRACT SALEP
FW-115 NYSTATIN TABLET 10000 IU TABLET
 FW-116 OMEPRAZOLE KAPSUL 20 MG KAPSUL
FW-117 OXYTOCIN INJEKSI 10 IU\/ML INJEKSI
FW-118 PAPAVERINE TABLET 40 MG TABLET
FW-119 PARACETAMOL DROPS 100 MG/ML DROPS
FW-120 PARACETAMOL SIRUP 120 MG/5 ML SIRUP
FW-121 PARACETAMOL TABLET 500 MG TABLET
FW-122
PHYTOMENADIONE (VITAMIN K) TABLET TABLET
10 MG
FW-123 PLASTIK OBAT (CLIP) UKURAN 7 X 10 PIECES
FW-124 PLASTIK OBAT (CLIP) UKURAN 8,7 X 13 PIECES
PLESTER ADHESIVE NON WOVEN FABRIC
FW-125
5CM X 5M (FIXOMULL) ROLL

FW-126 PLESTER LEUKOPLAST 7,5 CM X 4,5 M PIECES

FW-127 POVIDONE IODINE 10% 300ML CAIRAN
FW-128 POVIDONE IODINE 10% 30ML CAIRAN
FW-129 PREDNISONE TABLET 5 MG TABLET
FW-130 PRIMAQUINE TABLET 15 MG TABLET
FW-131 PYRAZINAMIDE TABLET 500 MG TABLET
FW-132 PYRIDOXINE TABLET 10 MG TABLET
FW-133 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI
FW-134 RANITIDINE TABLET 150 MG TABLET
FW-135 RETINOL (VITAMIN A) 100.000 UI TABLET
FW-136 RETINOL (VITAMIN A) 200.000 UI TABLET
FW-137 RINGER LAKTAT 500 ML BOTOL
FW-138 SAFETY BOX 5 L PIECES
FW-139 SALBUTAMOL SPRAY 100 MCG/DOSIS SPRAY

FW-140
SALBUTAMOL TABLET 4 MG (SEBAGAI TABLET
SULFAT)

FW-141
SARUNG TANGAN OBGYN PANJANG PIECES
STERIL 56 CM
FW-142 SARUNG TANGAN STERIL 0
FW-143 Semen Seng Fosfat Serbuk dan Cairan 0
FW-144 SILK 3 - 0 0
FW-145 SILK BLACK BRAIDED 2 - 0 0
FW-146
SILK BRAIDED BLACK NONABSORBABLE PIECES
SURGICAL SUTURE 4/0 DS 16 MM
FW-147 SIMVASTATIN TABLET 10 MG TABLET
FW-148 SPALK SEDANG 0
STRIP TES KEHAMILAN (ONEMED
FW-149
ULTRAONE) PIECES

FW-150 SUCRALFATE SUSPENSI 100 ML BOTOL

FW-151 SULFADOXINE|PYRIMETHAMINE TABLET TABLET
FW-152
SULFAMETHOXAZOLE|TRIMETHOPRIM TABLET
TABLET 400 MG|80 MG

FW-153
SULFAMETHOXAZOLE|TRIMETHOPRIM TABLET
TABLET 800 MG|160 MG
FW-154 TELMISARTAN TABLET 80 MG TABLET
FW-155 TETRACYCLINE TABLET 500 MG TABLET
FW-156 TRAMADOL INJEKSI 50 MG/ML INJEKSI
FW-157 UNIFLEX 15 CM X 4,5 M ROLL
FW-158 UNIFLEX 7,5 CM X 4,5 M ROLL
FW-159 USG JELLY 250 GR TUBE
FW-160 VITAMIN B COMPLEX TABLET 25 MG TABLET
FW-161 WING NEEDLE NO. 25 (ONEMED) PCS
FW-162 ZINC SULPHATE TABLET 20 MG TABLET

SEPULUH PENYAKIT TERBANYAK PENULISAN RESEP OBAT GENERIK

JUMLAH R/ JUMLAH R/ NON
NO NAMA PENYAKIT PRESENTASE JML LEMBAR RESEP JML R/
GENERIK GENERIK

1 ISPA
2 MALARIA
3 DIARE
4 CACINGAN
5 DERMATITIS PUSTU
6 OMA JML SUB UNIT
7 CARIES YG MELAPOR
8 MIALGIA
9 GASTRISTIS
10 VARICELA

UMUM JKN JAMSOSKES

KUNJUNGAN PASIEN
211 114

FAWI, 18-AGUSTUS-2020
MENGETAHUI : PETUGAS PENGELOLA OBAT
PIMPINAN PUSKESMAS
SEMILI WONDA Amd.Kep EDIUS GAWE
NIP. 198504192006051001 NIP.
Tanggal Kode Nama Obat Jumlah Di Terima