Format Lplpo 2021

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : JANUARI
TAHUN : 2021
STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

STOK PERMINT PEMBERI
NO. NAMA OBAT SATUAN KETR.
APBD APBD JKN OPT AAN AN
APBD JKN TOTAL JKN TOTAL TOTAL APBD JKN TOTAL
IFK RELOKASI TOTAL PELAYAN RELOKASI EXPIRED TOTAL PELAYAN EXPIRED TOTAL
AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0 0 0 0 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
9 AMLODIPIN TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
10 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0 0 0 0 0 0 0
11 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0
12 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0
13 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
14 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0
15 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL 0 0 0 0 0 0 0 0 0
17 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0
18 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0 0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMBINASI POT 0 0 0 0 0 0 0 0 0
20 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0 0 0 0 0 0 0
21 ANTI INFEKSI KRIM TUB 0 0 0 0 0 0 0 0 0
22 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0
23 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 0 0 0 0 0 0 0 0 0
24 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0 0 0 0 0 0 0
25 ASAM ASKORBAT TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0
28 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
IFK RELOKASI TOTAL RELOKASI EXPIRED TOTAL EXPIRED TOTAL
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
29 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
30 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0
31 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
32 ASERING INFUS BTL 0 0 0 0 0 0 0 0 0
33 ASIKLOVIR TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0
34 ASIKLOVIR TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0
35 ASIKLOVIR KRIM 5 % TUB 0 0 0 0 0 0 0 0 0
36 ATAPULGIT TABLET 600 MG TAB 0 0 0 0 0 0 0 0 0
37 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
38 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0
39 AZITROMISIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
40 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0 0 0 0 0 0 0
41 BETAMETASON KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0
42 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0 0 0 0 0 0 0
43 BISAKODIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
44 BISOPROLOL TABLET 2,5 MG TAB 0 0 0 0 0 0 0 0 0
45 BISOPROLOLTABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
46 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
47 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0
48 DEKSTRAN 70 LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0
49 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0 0 0 0 0 0 0 0
50 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0
51 DIAZEPAM TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0
52 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
53 DIGOKSIN TABLET 0,25 MG TAB 0 0 0 0 0 0 0 0 0
54 DILTIAZEM KAPSUL 100 MG SR KAP 0 0 0 0 0 0 0 0 0
55 DILTIAZEM TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0
56 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0
57 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
58 DOMPERIDON TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
59 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0 0 0 0 0 0 0
60 ERITROMISIN KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0
61 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
62 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0 0 0 0 0 0 0
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0
64 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
65 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0 0 0 0 0 0 0
66 FENITOIN INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0
67 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0
68 FENOBARBITAL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0
69 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0 0 0 0 0 0 0
70 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
71 FITOMENADION INJEKSI 10 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
72 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0 0 0 0 0 0 0
73 FLUFENAZIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0
74 FLUOKSETIN KAPSUL 10 MG KAP 0 0 0 0 0 0 0 0 0
75 FUROSEMID INJEKSI 10 MG AMP 0 0 0 0 0 0 0 0 0
76 FUROSEMID TABLET 40 MG TAB 0 0 0 0 0 0 0 0 0
77 GARAM ORALIT KOMBINASI SAK 0 0 0 0 0 0 0 0 0
78 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0
79 GENTAMISIN INJEKSI 40 MG/ML AMP 0 0 0 0 0 0 0 0 0
80 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0 0 0 0 0 0 0
81 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0 0 0 0 0 0 0
82 GENTAMISIN SALEP MATA 0,3 % TUB 0 0 0 0 0 0 0 0 0
83 GENTIAN VIOLET LARUTAN 1 % BTL 0 0 0 0 0 0 0 0 0
84 GLIBENKLAMID TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
85 GLIMEPIRIDE TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0
86 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0 0 0 0 0 0 0 0
87 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0 0 0 0 0 0 0 0
88 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0 0 0 0 0 0 0 0
89 GRISEOFULVIN TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0
90 HALOPERIDOL DROPS 2 MG / ML BTL 0 0 0 0 0 0 0 0 0
91 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0
92 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0
93 HALOPERIDOL TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0
94 HALOPERIDOL TABLET 1,5 MG TAB 0 0 0 0 0 0 0 0 0
95 HALOPERIDOL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
96 HIDROKLORTIAZID TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0
97 HIDROKORTISON KRIM 2,5 % TUB 0 0 0 0 0 0 0 0 0
98 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0 0 0 0 0 0 0 0
99 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
100 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
101 IBUPROFEN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0
102 IBUPROFEN TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0
103 INSULIN ANALOG LONG ACTING PEN 0 0 0 0 0 0 0 0 0
104 INSULIN ANALOG RAPID ACTING PEN 0 0 0 0 0 0 0 0 0
105 ISONIAZID TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0
106 ISONIAZID TABLET 300 MG TAB 0 0 0 0 0 0 0 0 0
107 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
108 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0 0 0 0 0 0 0 0
109 KALSIUM LAKTAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
110 KANAMISIN INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0
111 KAOLIN - PEKTIN SIRUP BTL 0 0 0 0 0 0 0 0 0
112 KAPTOPRIL TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0
113 KARBAMAZEPIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % TUB 0 0 0 0 0 0 0 0 0
115 KETOKONAZOLE TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0
116 KLINDAMISIN KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0
117 KLOBAZAM TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
118 KLONIDIN INJEKSI 0,15 MG / ML AMP 0 0 0 0 0 0 0 0 0
119 KLONIDIN TABLET 0,15 MG TAB 0 0 0 0 0 0 0 0 0
120 KLORAMFENIKOL INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0
121 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0
122 KLORAMFENIKOL SALEP MATA 1% TUB 0 0 0 0 0 0 0 0 0
123 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0 0 0 0 0 0 0 0
124 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0 0 0 0 0 0 0 0
125 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0 0 0 0 0 0 0 0
126 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0
127 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
128 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 0 0 0 0 0 0 0 0 0
129 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0 0 0 0 0 0 0 0
130 KLOZAPIN TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0
131 KODEIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
132 KOTRIMOKSAZOL DEWASA TABLET TAB 0 0 0 0 0 0 0 0 0
133 KOTRIMOKSAZOL PEDIATRIK TABLET TAB 0 0 0 0 0 0 0 0 0
134 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
135 KURKUMA SIRUP BTL 0 0 0 0 0 0 0 0 0
136 KURKUMA TABLET TAB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
137 LAKTULOSA SIRUP BTL 0 0 0 0 0 0 0 0 0
138 LEVOFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
139 LEVOTIROKSIN TABLET 100 MCG TAB 0 0 0 0 0 0 0 0 0
140 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0 0 0 0 0 0 0 0
141 LIDOKAIN SPRAY ORAL 10 % BTL 0 0 0 0 0 0 0 0 0
142 LISINOPRIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
143 LISINOPRIL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
144 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0
145 LORATADIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
146 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 0 0 0 0 0 0 0 0 0
147 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML AMP 0 0 0 0 0 0 0 0 0
148 MANITOL INFUS BTL 0 0 0 0 0 0 0 0 0
149 MEBENDAZOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0
150 MELOKSIKAM TABLET 15 MG TAB 0 0 0 0 0 0 0 0 0
151 METAMIZOL INJEKSI 500 MG / ML AMP 0 0 0 0 0 0 0 0 0
152 METFORMIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
153 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
154 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0 0 0 0 0 0 0 0
155 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0 0 0 0 0 0 0 0
156 METIL PREDNISOLON TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0
157 METOKLOPRAMID INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0
158 METOKLOPRAMID TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
159 METRONIDAZOL INFUS 5 MG / ML BTL 0 0 0 0 0 0 0 0 0
160 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
161 METRONIDAZOL TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0
162 METRONIDAZOL TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
163 MIKONAZOL KRIM 2% TUB 0 0 0 0 0 0 0 0 0
164 MINERAL MIXTURE SACHET 0 0 0 0 0 0 0 0 0
165 MOMETASON FUROAT KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0
166 N-ASETIL SISTEIN KAPSUL 200 MG KAP 0 0 0 0 0 0 0 0 0
167 NASALIN SPRAY 100 ML BTL 0 0 0 0 0 0 0 0 0
168 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP 0 0 0 0 0 0 0 0 0
169 NATRIUM BIKARBONAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
170 NATRIUM DIKLOFENAK 50 MG TAB 0 0 0 0 0 0 0 0 0
171 NATRIUM FOSFAT ENEMA TUB 0 0 0 0 0 0 0 0 0
172 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
173 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL 0 0 0 0 0 0 0 0 0
174 NIFEDIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
175 NIFEDIPIN TABLET 30 MG SR TAB 0 0 0 0 0 0 0 0 0
176 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0 0 0 0 0 0 0 0
177 NISTATIN 500.000 IU TABLET SALUT TAB 0 0 0 0 0 0 0 0 0
178 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0 0 0 0 0 0 0 0
179 NORETISTERON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
180 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0 0 0 0 0 0 0 0
181 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0 0 0 0 0 0 0 0
182 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0 0 0 0 0 0 0 0
183 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0 0 0 0 0 0 0 0
184 OBAT BATUK HITAM SIRUP BTL 0 0 0 0 0 0 0 0 0
185 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0 0 0 0 0 0 0 0
186 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0 0 0 0 0 0 0 0
187 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0
188 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0 0 0 0 0 0 0 0
189 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0 0 0 0 0 0 0 0
190 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
191 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0 0 0 0 0 0 0 0
192 OMEPRAZOLE KAPSUL 20 MG KAP 0 0 0 0 0 0 0 0 0
193 PAN AMIN G SOFTBAG 0 0 0 0 0 0 0 0 0
194 PARAFORMALDEHIDA TABLET 1 G TAB 0 0 0 0 0 0 0 0 0
195 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0 0 0 0 0
196 PARASETAMOL INFUS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0
197 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
198 PARASETAMOL TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
199 PERAK SULFADIAZIN KRIM 1% TUB 0 0 0 0 0 0 0 0 0
200 PERMETRIN KRIM 5% TUB 0 0 0 0 0 0 0 0 0
201 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0
202 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL 0 0 0 0 0 0 0 0 0
203 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0 0 0 0 0 0 0 0
204 PIRACETAM TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0
205 PIRANTEL PAMOAT TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0
206 PIRANTEL SUSPENSI 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
207 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
208 PREDNISON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
209 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL 0 0 0 0 0 0 0 0 0
210 PROPILTIOURASIL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0
211 PROPRANOLOL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
212 PROPRANOLOL TABLET 40 MG TAB 0 0 0 0 0 0 0 0 0
213 PSEUDOEFEDRIN SIRUP BTL 0 0 0 0 0 0 0 0 0
214 RANITIDIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0
215 RANITIDIN TABLET 150 MG TAB 0 0 0 0 0 0 0 0 0
216 RETINOL KAPSUL 100.000 IU KAP 0 0 0 0 0 0 0 0 0
217 RETINOL KAPSUL 200.000 IU KAP 0 0 0 0 0 0 0 0 0
218 RIFAMPISIN TABLET 450 MG TAB 0 0 0 0 0 0 0 0 0
219 RIFAMPISIN TABLET 600 MG TAB 0 0 0 0 0 0 0 0 0
220 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0
221 RISPERIDON TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0
222 SALBUTAMOL INHALASI BTL 0 0 0 0 0 0 0 0 0
223 SALBUTAMOL NEBUL AMP 0 0 0 0 0 0 0 0 0
224 SALBUTAMOL TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0
225 SALEP 2 - 4 KOMBINASI TUB 0 0 0 0 0 0 0 0 0
226 SALISIL BEDAK 2 % KTK 0 0 0 0 0 0 0 0 0
227 SALISIL SPIRITUS 10 % BTL 0 0 0 0 0 0 0 0 0
228 SEFADROKSIL KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0
229 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
230 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0
231 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0
232 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0 0 0 0 0 0 0 0
233 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP 0 0 0 0 0 0 0 0 0
234 SETIRIZIN SYR 5 MG / 5ML TAB 0 0 0 0 0 0 0 0 0
235 SETIRIZIN TABLET 10 MG BTL 0 0 0 0 0 0 0 0 0
236 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0 0 0 0 0 0 0 0
237 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0
238 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0 0 0 0 0
239 SIPROFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0
240 SPIRONOLAKTON TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0
241 SULFASETAMID NATRIUM TETES MATA 15 % BTL 0 0 0 0 0 0 0 0 0
242 TABLET TAMBAH DARAH KOMBINASI TAB 0 0 0 0 0 0 0 0 0
243 TABURIA 1 GRAM SACHET 0 0 0 0 0 0 0 0 0
244 TETRAKAIN HCL TETES MATA 0,5% BTL 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
245 TETRASIKLIN HCL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0
246 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0
247 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0
248 TRIFLUOPERAZIN TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0
249 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0
251 VALPROAT SIRUP 250 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
252 VITAMIN B KOMPLEKS TABLET TAB 0 0 0 0 0 0 0 0 0
253 VITAMIN NEUROTROPIK INJEKSI AMP 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0
255 YODIUM POVIDON GARGLE 240 ML BTL 0 0 0 0 0 0 0 0 0
256 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0 0 0 0 0 0 0 0
257 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0 0 0 0 0 0 0 0
258 ZINK DROPS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0
259 ZINK SIRUP 20 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0
260 ZINK TABLET 20 MG TAB 0 0 0 0 0 0 0 0 0
B. OBAT PERAWATAN GIGI
261 AIR RAKSA DENTAL USE BTL 0 0 0 0 0 0 0 0 0
262 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0 0 0 0 0 0 0 0
263 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0 0 0 0 0 0 0 0
264 EUGENOL CAIRAN BTL 0 0 0 0 0 0 0 0 0
265 FORMOKRESOL CAIRAN BTL 0 0 0 0 0 0 0 0 0
266 GLASS IONOMER ART BTL 0 0 0 0 0 0 0 0 0
267 KALSIUM HIDROKSIDA PASTA BTL 0 0 0 0 0 0 0 0 0
268 MUMMIFYING PASTA BTL 0 0 0 0 0 0 0 0 0
269 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL 0 0 0 0 0 0 0 0 0
270 TEMPORARY STOPPING FLETCHER SET 0 0 0 0 0 0 0 0 0
271 TUMPATAN SEMENTARA BTL 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
272 ALKALINE PHOSPHATASE KIT 0 0 0 0 0 0 0 0 0
273 ALKOHOL PEROXIDE BTL 0 0 0 0 0 0 0 0 0
274 ALUMINIUM TEST PKT 0 0 0 0 0 0 0 0 0
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0
281 ASAM KLORIDA 0,1 N BTL 0 0 0 0 0 0 0 0 0
282 ASAM SULFASALISILAT 20 % BTL 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0
284 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0
286 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0 0 0 0 0 0 0 0
287 BOD NUTRIENT SALT MIXT ( SPQ 1.00688.0001 ) PAK 0 0 0 0 0 0 0 0 0
288 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0
290 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0 0 0 0 0 0 0 0
291 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0 0 0 0 0 0 0 0
292 BUFFER GIEMSA BTL 0 0 0 0 0 0 0 0 0
293 BUFFER WRIGHT BTL 0 0 0 0 0 0 0 0 0
294 BUFFER SOLUTION PH 7 BTL 0 0 0 0 0 0 0 0 0
295 BUFFER SOLUTION PH 10 BTL 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0
298 CARBONAT HARDNESS TEST KIT 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0
303 CHLORIDE 175 TEST KIT 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0
305 CHROMATE (250 TEST) KIT 0 0 0 0 0 0 0 0 0
306 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0
311 CREATININ KINASE MYOCARDIAL BAND (CK-MB) KIT 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0
313 DESINFEKTAN SPRAY BTL 0 0 0 0 0 0 0 0 0
314 DIRECT BILIRUBIN KIT 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
315 DIRUI BCC-3600 CLEANSER PAK 0 0 0 0 0 0 0 0 0
316 DIRUI BCC-3600 CONTROL CBC NORMAL BTL 0 0 0 0 0 0 0 0 0
317 DIRUI BCC-3600 DILUENT PAK 0 0 0 0 0 0 0 0 0
318 DIRUI BCC-3600 LYSE PAK 0 0 0 0 0 0 0 0 0
319 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0 0 0 0 0 0 0 0
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0
323 ENZYMATIC CLEANER SACHET 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0
325 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0 0 0 0 0 0 0 0
326 FLUORIDE TEST SPQ 114761-0002 PKT 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0
328 FOOD SECURITY KIT KIT 0 0 0 0 0 0 0 0 0
329 FORMALDEHIDE TEST (100 TEST) KIT 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0
331 GOLONGAN DARAH ANTI SERA A BTL 0 0 0 0 0 0 0 0 0
332 GOLONGAN DARAH ANTI SERA B BTL 0 0 0 0 0 0 0 0 0
333 GOLONGAN DARAH ANTI SERA AB BTL 0 0 0 0 0 0 0 0 0
334 GOLONGAN DARAH ANTI D RHESUS BTL 0 0 0 0 0 0 0 0 0
335 GRAM CRYSTAL VIOLET BTL 0 0 0 0 0 0 0 0 0
336 GRAM SAFRANIN BTL 0 0 0 0 0 0 0 0 0
337 HB METER SAHLI KIT 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0
341 KALIUM PERMANGANAT SERBUK POT 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0
343 KAPORIT (BOTOL) BTL 0 0 0 0 0 0 0 0 0
344 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0
346 LACTOSE BROTH 500 G BTL 0 0 0 0 0 0 0 0 0
347 LARUTAN BARIUM CHLORIDE BTL 0 0 0 0 0 0 0 0 0
348 LARUTAN BENEDICT BTL 0 0 0 0 0 0 0 0 0
349 LARUTAN DESINFEKTAN 500 ML BTL 0 0 0 0 0 0 0 0 0
350 LARUTAN DESINFEKTAN 1 L BTL 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
351 LARUTAN EOSIN 2 % BTL 0 0 0 0 0 0 0 0 0
352 LARUTAN ETANOL ASAM BTL 0 0 0 0 0 0 0 0 0
353 LARUTAN FOUCHET BTL 0 0 0 0 0 0 0 0 0
354 LARUTAN GIEMSASTEIN BTL 0 0 0 0 0 0 0 0 0
355 LARUTAN HAYEM BTL 0 0 0 0 0 0 0 0 0
356 LARUTAN KARBOL FUCHSIN BTL 0 0 0 0 0 0 0 0 0
357 LARUTAN KINYOUN BTL 0 0 0 0 0 0 0 0 0
358 LARUTAN LUGOL 1 % BTL 0 0 0 0 0 0 0 0 0
359 LARUTAN METILEN BIRU BTL 0 0 0 0 0 0 0 0 0
360 LARUTAN NATRIUM CITRAT BTL 0 0 0 0 0 0 0 0 0
361 LARUTAN REES ECKER BTL 0 0 0 0 0 0 0 0 0
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0
363 LARUTAN WRIGHT BTL 0 0 0 0 0 0 0 0 0
364 LAURYL SULFATE KIT 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0
366 LEAD TEST (50TEST) KIT 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0
368 MAC CONKEY AGAR BTL 0 0 0 0 0 0 0 0 0
369 MANGANESE TEST PAK 0 0 0 0 0 0 0 0 0
370 MANNITOL SALT PHENOL RED AGAR BTL 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0
372 METANIL YELLOW TEST KIT PKT 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0
375 NUTRIENT AGAR BTL 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0
377 OKSIGEN GAS DALAM TABUNG TBG 0 0 0 0 0 0 0 0 0
378 OXYGEN REACTION BOTTLE UNIT 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0
380 PLATE COUNT AGAR BTL 0 0 0 0 0 0 0 0 0
381 POLI ALUMINIUM CHLORID (PAC) KG 0 0 0 0 0 0 0 0 0
382 POTATO DEXTRAN AGAR PKT 0 0 0 0 0 0 0 0 0
383 RHODAMIN B TEST KIT KIT 0 0 0 0 0 0 0 0 0
384 SELENITE BROTH BTL 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
387 SPECTROQUANT PHOTO CHECK KIT 0 0 0 0 0 0 0 0 0
388 SQ COD KIT 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0
390 TEST HAMIL URINE / HCG TEST TEST 0 0 0 0 0 0 0 0 0
391 TEST ANTI HCV TEST 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0
394 TEST HIV FOKUS TEST 0 0 0 0 0 0 0 0 0
395 TEST HIV INTECH TEST 0 0 0 0 0 0 0 0 0
396 TEST HIV ONCOPROBE TEST 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0
399 TEST HIV VIKIA / BIOMERIEUX TEST 0 0 0 0 0 0 0 0 0
400 TEST HIV VIROCHECK TEST 0 0 0 0 0 0 0 0 0
401 TEST SYPHILIS SD TEST 0 0 0 0 0 0 0 0 0
402 TEST SYPHILIS TPHA TEST 0 0 0 0 0 0 0 0 0
403 TOTAL PROTEIN KIT 0 0 0 0 0 0 0 0 0
404 TRIGLISERIDA BTL 0 0 0 0 0 0 0 0 0
405 TRYPTONE WATER KIT 0 0 0 0 0 0 0 0 0
406 UNIVERSAL INDIKATOR PH 0-14 ( 1.09535.0001 ) PAK 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0
408 URIN STRIP 2 PARAMETER TEST 0 0 0 0 0 0 0 0 0
411 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0 0 0 0 0 0 0 0
412 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0 0 0 0 0 0 0 0
413 WIDAL REAGEN TEST KIT KIT 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0
415 ZIEH NEELSEN REAGEN KIT KIT 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0
D. BAHAN MEDIS PAKAI HABIS
417 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0 0 0 0 0 0 0 0
418 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0 0 0 0 0 0 0 0
419 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0 0 0 0 0 0 0 0
420 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0
427 ANTISEPTIK HANDRUB BTL 0 0 0 0 0 0 0 0 0
428 ANTISEPTIK HANDSCRUB BTL 0 0 0 0 0 0 0 0 0
429 APRON PLASTIK PCS 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0
431 BLOOD LANCET 26 G / 28 G SET 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0
433 CAIRAN PENCUCI LUKA BTL 0 0 0 0 0 0 0 0 0
434 CARTRIDGE GENEXPERT SET 0 0 0 0 0 0 0 0 0
435 CATGUT CHROMIC NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0
436 CATGUT CHROMIC NO. 4/0 SACHET 0 0 0 0 0 0 0 0 0
437 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET 0 0 0 0 0 0 0 0 0
438 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0
441 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0 0 0 0 0 0 0 0
442 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0 0 0 0 0 0 0 0
443 GEL PERAWATAN LUKA TUB 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0
445 INFUS SET ANAK SET 0 0 0 0 0 0 0 0 0
446 INFUS SET DEWASA SET 0 0 0 0 0 0 0 0 0
447 IV CATHETER NO. 18 SET 0 0 0 0 0 0 0 0 0
452 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0
454 KAPAS BERLEMAK 500 GRAM ROL 0 0 0 0 0 0 0 0 0
455 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0 0 0 0 0 0 0 0
456 KARTU GOLONGAN DARAH PCS 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0
459 KASA HIDROFIL STERIL UKURAN 18 M X22 CM ROL 0 0 0 0 0 0 0 0 0
460 KASA KOMPRES 40/40 STERIL ROL 0 0 0 0 0 0 0 0 0
461 KASA PEMBALUT 2 M X 80 CM ROL 0 0 0 0 0 0 0 0 0
462 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0 0 0 0 0 0 0 0
463 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0 0 0 0 0 0 0 0
467 KASA PERAWATAN LUKA LBR 0 0 0 0 0 0 0 0 0
468 KASET WITH SCREEN GREEN PKT 0 0 0 0 0 0 0 0 0
469 KERTAS EKG 80 MM X 30 M ROL 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0
472 MASKER NEBUL ANAK SET 0 0 0 0 0 0 0 0 0
473 MASKER NEBUL DEWASA SET 0 0 0 0 0 0 0 0 0
474 MASKER OKSIGEN ANAK SET 0 0 0 0 0 0 0 0 0
475 MASKER OKSIGEN DEWASA SET 0 0 0 0 0 0 0 0 0
476 MICROLIT TIP 10 µl / WHITE TIP SET 0 0 0 0 0 0 0 0 0
477 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0 0 0 0 0 0 0 0
478 MICROLIT TIP 1 ML / BLUE TIP SET 0 0 0 0 0 0 0 0 0
479 MORTIER + STAMFER SET 0 0 0 0 0 0 0 0 0
480 NASAL CANULA ANAK SET 0 0 0 0 0 0 0 0 0
481 NASAL CANULA BAYI SET 0 0 0 0 0 0 0 0 0
482 NASAL CANULA DEWASA SET 0 0 0 0 0 0 0 0 0
483 NEEDLE INSULIN SET 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0
485 PEMBALUT GIPS 4 INCI ROL 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0
489 PLESTER BULAT NON WOVEN PCS 0 0 0 0 0 0 0 0 0
490 PLESTER KAIN 7,5 X 4,5 M ROL 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0
495 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0 0 0 0 0 0 0 0
496 SARUNG TANGAN KERJA (TEBAL) M - L PSG 0 0 0 0 0 0 0 0 0
497 SARUNG TANGAN NON STERIL PSG 0 0 0 0 0 0 0 0 0
498 SARUNG TANGAN STERIL PSG 0 0 0 0 0 0 0 0 0
499 SCALPVEIN / WING NEDLE NO. 23 SET 0 0 0 0 0 0 0 0 0
500 SCALPVEIN / WING NEDLE NO. 25 SET 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0
502 SILK / BENANG SUTERA NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0
503 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0 0 0 0 0 0 0 0
504 SPATULA VAGINA KAYU SET 0 0 0 0 0 0 0 0 0
505 SPONS GELATIN PCS 0 0 0 0 0 0 0 0 0
506 STERILIZATION POUCHES 7X26 PCS 0 0 0 0 0 0 0 0 0
507 STERILIZATION POUCHES 9X26 PCS 0 0 0 0 0 0 0 0 0
508 SURGICAL GOWN PCS 0 0 0 0 0 0 0 0 0
509 TEST STRIP ASAM URAT BENECHECK TEST 0 0 0 0 0 0 0 0 0
510 TEST STRIP GLUKOSA ACCUCHECK TEST 0 0 0 0 0 0 0 0 0
511 TEST STRIP GLUKOSA BENECHECK TEST 0 0 0 0 0 0 0 0 0
512 TEST STRIP HB MISSION TEST 0 0 0 0 0 0 0 0 0
513 TEST STRIP KOLESTEROL BENECHECK TEST 0 0 0 0 0 0 0 0 0
514 TISU PEMBERSIH HIGIENIS PCS 0 0 0 0 0 0 0 0 0
515 UMBILICAL CORD KLEM PCS 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0
517 URINE BAG STERIL LBR 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0
519 X RAY FILM UKURAN 24X30 LBR 0 0 0 0 0 0 0 0 0
E. OBAT PROGRAM HIV / AIDS
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0
523 DOLUTEGAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0
525 LAMIVUDINE 150 MG TAB 0 0 0 0 0 0 0 0 0
526 LOPINAVIR 200 MG + RITONAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0
527 NEVIRAPINE 200 MG TAB 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
529 TENOVOFIR 300 MG + EMTRICITABINE 200 MG TAB 0 0 0 0 0 0 0 0 0
TENOFOVIR 300 MG + LAMIVUDIN 300 MG +
530
DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0
531 EFAVIRENZ 600 MG (TRIPLE TAB
FDC) DEWASA 0 0 0 0 0 0 0 0 0
532 ZIDOFUDINE 100 MG TAB 0 0 0 0 0 0 0 0 0
533 ZIDOFUDINE SIRUP BTL 0 0 0 0 0 0 0 0 0
534 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG TAB 0 0 0 0 0 0 0 0 0
ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG +
535 TAB 0 0 0 0 0 0 0 0 0
NEVIRAPINE 50 MG (TRIPLE FDC) ANAK
F. OBAT PROGRAM KUSTA
536 LAMPRENE TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0
538 MB DEWASA BLISTER 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0
540 PB DEWASA BLISTER 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
541 ANTI DIFTERI SERUM 10.000 IU VIAL 0 0 0 0 0 0 0 0 0
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0
543 CAMPAK 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0
545 DPT-HB-Hib 5 DOSIS VIAL 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0
548 HEPATITIS B IMUNOGLOBULIN (Hbig) VIAL 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
550 MEASLES RUBELLA (MR) VIAL 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0
552 POLIO b-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
553 POLIO t-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
554 POLIO t-OPV 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0
H. OBAT PROGRAM MALARIA
557 ARTESUNATE INJEKSI 60 MG VIAL 0 0 0 0 0 0 0 0 0
558 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 TAB 0 0 0 0 0 0 0 0 0
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0
JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

KUNJUNGAN RESEP
JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

KETERSEDIAAN OBAT DI PUSKESMAS JUMLAH OBAT ESSENSIAL YANG DIBUTUHKAN DI PUSKESMAS
#DIV/0!
TUBAN,
MENGETAHUI / MENYETUJUI : YANG MENYERAHKAN YANG MEMINTA / MELAPOR YANG MENERIMA
KEPALA DINAS KESEHATAN KEPALA INSTALASI FARMASI KEPALA PUSKESMAS PETUGAS PUSKESMAS
KABUPATEN TUBAN KABUPATEN TUBAN
………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

NIP. NIP. 19850608 201101 2 018 NIP. NIP.
Penjelasan (untuk pengisian pada kolom keterangan) :

1 Alokasi program
2 Stok kosong di IFK
3 Stok di puskesmas masih memadai / sisa stok melebihi stok optimum
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : FEBRUARI
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
10 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0 0 0 0 0 0 0 0 0
11 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0
12 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0 0 0
13 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
14 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0 0 0
15 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL 0 0 0 0 0 0 0 0 0 0 0
17 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0
18 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0 0 0 0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMBINASI POT 0 0 0 0 0 0 0 0 0 0 0
20 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0 0 0 0 0 0 0 0 0
21 ANTI INFEKSI KRIM TUB 0 0 0 0 0 0 0 0 0 0 0
22 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0
23 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 0 0 0 0 0 0 0 0 0 0 0
24 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0 0 0 0 0 0 0 0 0
25 ASAM ASKORBAT TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0 0 0
28 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
29 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
30 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
31 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
32 ASERING INFUS BTL 0 0 0 0 0 0 0 0 0 0 0
33 ASIKLOVIR TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
35 ASIKLOVIR KRIM 5 % TUB 0 0 0 0 0 0 0 0 0 0 0
36 ATAPULGIT TABLET 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
37 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
38 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
39 AZITROMISIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
40 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0 0 0 0 0 0 0 0 0
41 BETAMETASON KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0
42 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0 0 0 0 0 0 0 0 0
43 BISAKODIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
44 BISOPROLOL TABLET 2,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
45 BISOPROLOLTABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
46 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
47 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
48 DEKSTRAN 70 LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0 0 0
49 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0 0 0 0 0 0 0 0 0 0
50 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0
51 DIAZEPAM TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0
52 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
53 DIGOKSIN TABLET 0,25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
54 DILTIAZEM KAPSUL 100 MG SR KAP 0 0 0 0 0 0 0 0 0 0 0
55 DILTIAZEM TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0
56 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0
57 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
58 DOMPERIDON TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
59 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0 0 0 0 0 0 0 0 0
60 ERITROMISIN KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0 0 0
61 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
62 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0 0 0 0 0 0 0 0 0
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
64 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
65 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0 0 0 0 0 0 0 0 0
66 FENITOIN INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
67 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0
68 FENOBARBITAL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0
69 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
70 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
72 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
73 FLUFENAZIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
74 FLUOKSETIN KAPSUL 10 MG KAP 0 0 0 0 0 0 0 0 0 0 0
75 FUROSEMID INJEKSI 10 MG AMP 0 0 0 0 0 0 0 0 0 0 0
76 FUROSEMID TABLET 40 MG TAB 0 0 0 0 0 0 0 0 0 0 0
77 GARAM ORALIT KOMBINASI SAK 0 0 0 0 0 0 0 0 0 0 0
78 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0 0 0
79 GENTAMISIN INJEKSI 40 MG/ML AMP 0 0 0 0 0 0 0 0 0 0 0
80 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0 0 0 0 0 0 0 0 0
81 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0
82 GENTAMISIN SALEP MATA 0,3 % TUB 0 0 0 0 0 0 0 0 0 0 0
83 GENTIAN VIOLET LARUTAN 1 % BTL 0 0 0 0 0 0 0 0 0 0 0
84 GLIBENKLAMID TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
85 GLIMEPIRIDE TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0
86 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0 0 0 0 0 0 0 0 0 0
88 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0 0 0 0 0 0 0 0 0 0
89 GRISEOFULVIN TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0 0 0
90 HALOPERIDOL DROPS 2 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0
91 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
93 HALOPERIDOL TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
95 HALOPERIDOL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
96 HIDROKLORTIAZID TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
97 HIDROKORTISON KRIM 2,5 % TUB 0 0 0 0 0 0 0 0 0 0 0
98 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
99 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
100 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
101 IBUPROFEN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
103 INSULIN ANALOG LONG ACTING PEN 0 0 0 0 0 0 0 0 0 0 0
104 INSULIN ANALOG RAPID ACTING PEN 0 0 0 0 0 0 0 0 0 0 0
105 ISONIAZID TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
107 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
108 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0 0 0 0 0 0 0 0 0 0
109 KALSIUM LAKTAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
110 KANAMISIN INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
111 KAOLIN - PEKTIN SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
112 KAPTOPRIL TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
113 KARBAMAZEPIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % TUB 0 0 0 0 0 0 0 0 0 0 0
115 KETOKONAZOLE TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
116 KLINDAMISIN KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0 0 0
117 KLOBAZAM TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
118 KLONIDIN INJEKSI 0,15 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
119 KLONIDIN TABLET 0,15 MG TAB 0 0 0 0 0 0 0 0 0 0 0
120 KLORAMFENIKOL INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
121 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0
122 KLORAMFENIKOL SALEP MATA 1% TUB 0 0 0 0 0 0 0 0 0 0 0
123 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
124 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0 0 0 0 0 0 0 0 0 0
125 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
126 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0
127 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
128 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
130 KLOZAPIN TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
131 KODEIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
132 KOTRIMOKSAZOL DEWASA TABLET TAB 0 0 0 0 0 0 0 0 0 0 0
133 KOTRIMOKSAZOL PEDIATRIK TABLET TAB 0 0 0 0 0 0 0 0 0 0 0
134 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
135 KURKUMA SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
136 KURKUMA TABLET TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
137 LAKTULOSA SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
138 LEVOFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
139 LEVOTIROKSIN TABLET 100 MCG TAB 0 0 0 0 0 0 0 0 0 0 0
140 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0 0 0 0 0 0 0 0 0 0
141 LIDOKAIN SPRAY ORAL 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
142 LISINOPRIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
144 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0
145 LORATADIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
146 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 0 0 0 0 0 0 0 0 0 0 0
148 MANITOL INFUS BTL 0 0 0 0 0 0 0 0 0 0 0
149 MEBENDAZOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
150 MELOKSIKAM TABLET 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0
151 METAMIZOL INJEKSI 500 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
152 METFORMIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
153 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
154 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0 0 0 0 0 0 0 0 0 0
155 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0 0 0 0 0 0 0 0 0 0
156 METIL PREDNISOLON TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0
157 METOKLOPRAMID INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
158 METOKLOPRAMID TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
159 METRONIDAZOL INFUS 5 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0
160 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
161 METRONIDAZOL TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0 0 0
163 MIKONAZOL KRIM 2% TUB 0 0 0 0 0 0 0 0 0 0 0
164 MINERAL MIXTURE SACHET 0 0 0 0 0 0 0 0 0 0 0
165 MOMETASON FUROAT KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0
166 N-ASETIL SISTEIN KAPSUL 200 MG KAP 0 0 0 0 0 0 0 0 0 0 0
167 NASALIN SPRAY 100 ML BTL 0 0 0 0 0 0 0 0 0 0 0
168 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP 0 0 0 0 0 0 0 0 0 0 0
169 NATRIUM BIKARBONAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
170 NATRIUM DIKLOFENAK 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0
171 NATRIUM FOSFAT ENEMA TUB 0 0 0 0 0 0 0 0 0 0 0
172 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
173 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL 0 0 0 0 0 0 0 0 0 0 0
174 NIFEDIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
175 NIFEDIPIN TABLET 30 MG SR TAB 0 0 0 0 0 0 0 0 0 0 0
176 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0 0 0 0 0 0 0 0 0 0
177 NISTATIN 500.000 IU TABLET SALUT TAB 0 0 0 0 0 0 0 0 0 0 0
178 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0 0 0 0 0 0 0 0 0 0
179 NORETISTERON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
180 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0 0 0 0 0 0 0 0 0 0
181 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0 0 0 0 0 0 0 0 0 0
183 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0 0 0 0 0 0 0 0 0 0
184 OBAT BATUK HITAM SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
185 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0 0 0 0 0 0 0 0 0 0
187 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0 0 0
188 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0 0 0 0 0 0 0 0 0 0
189 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0 0 0 0 0 0 0 0 0 0
190 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
191 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
192 OMEPRAZOLE KAPSUL 20 MG KAP 0 0 0 0 0 0 0 0 0 0 0
193 PAN AMIN G SOFTBAG 0 0 0 0 0 0 0 0 0 0 0
194 PARAFORMALDEHIDA TABLET 1 G TAB 0 0 0 0 0 0 0 0 0 0 0
195 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0
196 PARASETAMOL INFUS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0
197 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
198 PARASETAMOL TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
199 PERAK SULFADIAZIN KRIM 1% TUB 0 0 0 0 0 0 0 0 0 0 0
200 PERMETRIN KRIM 5% TUB 0 0 0 0 0 0 0 0 0 0 0
201 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0
202 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL 0 0 0 0 0 0 0 0 0 0 0
203 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0 0 0 0 0 0 0 0 0 0
204 PIRACETAM TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0
205 PIRANTEL PAMOAT TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0 0 0
206 PIRANTEL SUSPENSI 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
207 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
208 PREDNISON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
209 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL 0 0 0 0 0 0 0 0 0 0 0
210 PROPILTIOURASIL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
211 PROPRANOLOL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
213 PSEUDOEFEDRIN SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
214 RANITIDIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
215 RANITIDIN TABLET 150 MG TAB 0 0 0 0 0 0 0 0 0 0 0
216 RETINOL KAPSUL 100.000 IU KAP 0 0 0 0 0 0 0 0 0 0 0
218 RIFAMPISIN TABLET 450 MG TAB 0 0 0 0 0 0 0 0 0 0 0
220 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0 0 0
221 RISPERIDON TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0
222 SALBUTAMOL INHALASI BTL 0 0 0 0 0 0 0 0 0 0 0
223 SALBUTAMOL NEBUL AMP 0 0 0 0 0 0 0 0 0 0 0
224 SALBUTAMOL TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0
225 SALEP 2 - 4 KOMBINASI TUB 0 0 0 0 0 0 0 0 0 0 0
226 SALISIL BEDAK 2 % KTK 0 0 0 0 0 0 0 0 0 0 0
227 SALISIL SPIRITUS 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
228 SEFADROKSIL KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0 0 0
229 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
230 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
231 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
232 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0 0 0 0 0 0 0 0 0 0
233 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP 0 0 0 0 0 0 0 0 0 0 0
234 SETIRIZIN SYR 5 MG / 5ML TAB 0 0 0 0 0 0 0 0 0 0 0
235 SETIRIZIN TABLET 10 MG BTL 0 0 0 0 0 0 0 0 0 0 0
236 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0 0 0 0 0 0 0 0 0 0
237 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0
239 SIPROFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0
240 SPIRONOLAKTON TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0
241 SULFASETAMID NATRIUM TETES MATA 15 % BTL 0 0 0 0 0 0 0 0 0 0 0
242 TABLET TAMBAH DARAH KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0
243 TABURIA 1 GRAM SACHET 0 0 0 0 0 0 0 0 0 0 0
244 TETRAKAIN HCL TETES MATA 0,5% BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
245 TETRASIKLIN HCL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0
246 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0
247 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0
248 TRIFLUOPERAZIN TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0
249 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
251 VALPROAT SIRUP 250 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
252 VITAMIN B KOMPLEKS TABLET TAB 0 0 0 0 0 0 0 0 0 0 0
253 VITAMIN NEUROTROPIK INJEKSI AMP 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
255 YODIUM POVIDON GARGLE 240 ML BTL 0 0 0 0 0 0 0 0 0 0 0
256 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0 0 0 0 0 0 0 0 0 0
258 ZINK DROPS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0
259 ZINK SIRUP 20 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0
260 ZINK TABLET 20 MG TAB 0 0 0 0 0 0 0 0 0 0 0
261 AIR RAKSA DENTAL USE BTL 0 0 0 0 0 0 0 0 0 0 0
262 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0 0 0 0 0 0 0 0 0 0
263 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0 0 0 0 0 0 0 0 0 0
264 EUGENOL CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0
265 FORMOKRESOL CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0
266 GLASS IONOMER ART BTL 0 0 0 0 0 0 0 0 0 0 0
267 KALSIUM HIDROKSIDA PASTA BTL 0 0 0 0 0 0 0 0 0 0 0
268 MUMMIFYING PASTA BTL 0 0 0 0 0 0 0 0 0 0 0
269 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0
270 TEMPORARY STOPPING FLETCHER SET 0 0 0 0 0 0 0 0 0 0 0
271 TUMPATAN SEMENTARA BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
272 ALKALINE PHOSPHATASE KIT 0 0 0 0 0 0 0 0 0 0 0
273 ALKOHOL PEROXIDE BTL 0 0 0 0 0 0 0 0 0 0 0
274 ALUMINIUM TEST PKT 0 0 0 0 0 0 0 0 0 0 0
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
281 ASAM KLORIDA 0,1 N BTL 0 0 0 0 0 0 0 0 0 0 0
282 ASAM SULFASALISILAT 20 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
284 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
286 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
287 BOD NUTRIENT SALT MIXT ( SPQ 1.00688.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
288 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
290 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0 0 0 0 0 0 0 0 0 0
291 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0 0 0 0 0 0 0 0 0 0
292 BUFFER GIEMSA BTL 0 0 0 0 0 0 0 0 0 0 0
293 BUFFER WRIGHT BTL 0 0 0 0 0 0 0 0 0 0 0
294 BUFFER SOLUTION PH 7 BTL 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
298 CARBONAT HARDNESS TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
303 CHLORIDE 175 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
305 CHROMATE (250 TEST) KIT 0 0 0 0 0 0 0 0 0 0 0
306 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
311 CREATININ KINASE MYOCARDIAL BAND (CK-MB) KIT 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
313 DESINFEKTAN SPRAY BTL 0 0 0 0 0 0 0 0 0 0 0
314 DIRECT BILIRUBIN KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
315 DIRUI BCC-3600 CLEANSER PAK 0 0 0 0 0 0 0 0 0 0 0
316 DIRUI BCC-3600 CONTROL CBC NORMAL BTL 0 0 0 0 0 0 0 0 0 0 0
317 DIRUI BCC-3600 DILUENT PAK 0 0 0 0 0 0 0 0 0 0 0
318 DIRUI BCC-3600 LYSE PAK 0 0 0 0 0 0 0 0 0 0 0
319 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0 0 0 0 0 0 0 0 0 0
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
323 ENZYMATIC CLEANER SACHET 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
325 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0 0 0 0 0 0 0 0 0 0
326 FLUORIDE TEST SPQ 114761-0002 PKT 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
328 FOOD SECURITY KIT KIT 0 0 0 0 0 0 0 0 0 0 0
329 FORMALDEHIDE TEST (100 TEST) KIT 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
331 GOLONGAN DARAH ANTI SERA A BTL 0 0 0 0 0 0 0 0 0 0 0
332 GOLONGAN DARAH ANTI SERA B BTL 0 0 0 0 0 0 0 0 0 0 0
333 GOLONGAN DARAH ANTI SERA AB BTL 0 0 0 0 0 0 0 0 0 0 0
334 GOLONGAN DARAH ANTI D RHESUS BTL 0 0 0 0 0 0 0 0 0 0 0
335 GRAM CRYSTAL VIOLET BTL 0 0 0 0 0 0 0 0 0 0 0
336 GRAM SAFRANIN BTL 0 0 0 0 0 0 0 0 0 0 0
337 HB METER SAHLI KIT 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
341 KALIUM PERMANGANAT SERBUK POT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
343 KAPORIT (BOTOL) BTL 0 0 0 0 0 0 0 0 0 0 0
344 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
346 LACTOSE BROTH 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
347 LARUTAN BARIUM CHLORIDE BTL 0 0 0 0 0 0 0 0 0 0 0
348 LARUTAN BENEDICT BTL 0 0 0 0 0 0 0 0 0 0 0
349 LARUTAN DESINFEKTAN 500 ML BTL 0 0 0 0 0 0 0 0 0 0 0
350 LARUTAN DESINFEKTAN 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
351 LARUTAN EOSIN 2 % BTL 0 0 0 0 0 0 0 0 0 0 0
352 LARUTAN ETANOL ASAM BTL 0 0 0 0 0 0 0 0 0 0 0
353 LARUTAN FOUCHET BTL 0 0 0 0 0 0 0 0 0 0 0
354 LARUTAN GIEMSASTEIN BTL 0 0 0 0 0 0 0 0 0 0 0
355 LARUTAN HAYEM BTL 0 0 0 0 0 0 0 0 0 0 0
356 LARUTAN KARBOL FUCHSIN BTL 0 0 0 0 0 0 0 0 0 0 0
357 LARUTAN KINYOUN BTL 0 0 0 0 0 0 0 0 0 0 0
358 LARUTAN LUGOL 1 % BTL 0 0 0 0 0 0 0 0 0 0 0
359 LARUTAN METILEN BIRU BTL 0 0 0 0 0 0 0 0 0 0 0
360 LARUTAN NATRIUM CITRAT BTL 0 0 0 0 0 0 0 0 0 0 0
361 LARUTAN REES ECKER BTL 0 0 0 0 0 0 0 0 0 0 0
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
363 LARUTAN WRIGHT BTL 0 0 0 0 0 0 0 0 0 0 0
364 LAURYL SULFATE KIT 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
366 LEAD TEST (50TEST) KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
368 MAC CONKEY AGAR BTL 0 0 0 0 0 0 0 0 0 0 0
369 MANGANESE TEST PAK 0 0 0 0 0 0 0 0 0 0 0
370 MANNITOL SALT PHENOL RED AGAR BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
372 METANIL YELLOW TEST KIT PKT 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
375 NUTRIENT AGAR BTL 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
377 OKSIGEN GAS DALAM TABUNG TBG 0 0 0 0 0 0 0 0 0 0 0
378 OXYGEN REACTION BOTTLE UNIT 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
380 PLATE COUNT AGAR BTL 0 0 0 0 0 0 0 0 0 0 0
381 POLI ALUMINIUM CHLORID (PAC) KG 0 0 0 0 0 0 0 0 0 0 0
382 POTATO DEXTRAN AGAR PKT 0 0 0 0 0 0 0 0 0 0 0
383 RHODAMIN B TEST KIT KIT 0 0 0 0 0 0 0 0 0 0 0
384 SELENITE BROTH BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
387 SPECTROQUANT PHOTO CHECK KIT 0 0 0 0 0 0 0 0 0 0 0
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
390 TEST HAMIL URINE / HCG TEST TEST 0 0 0 0 0 0 0 0 0 0 0
391 TEST ANTI HCV TEST 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
394 TEST HIV FOKUS TEST 0 0 0 0 0 0 0 0 0 0 0
395 TEST HIV INTECH TEST 0 0 0 0 0 0 0 0 0 0 0
396 TEST HIV ONCOPROBE TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
399 TEST HIV VIKIA / BIOMERIEUX TEST 0 0 0 0 0 0 0 0 0 0 0
400 TEST HIV VIROCHECK TEST 0 0 0 0 0 0 0 0 0 0 0
401 TEST SYPHILIS SD TEST 0 0 0 0 0 0 0 0 0 0 0
402 TEST SYPHILIS TPHA TEST 0 0 0 0 0 0 0 0 0 0 0
403 TOTAL PROTEIN KIT 0 0 0 0 0 0 0 0 0 0 0
404 TRIGLISERIDA BTL 0 0 0 0 0 0 0 0 0 0 0
405 TRYPTONE WATER KIT 0 0 0 0 0 0 0 0 0 0 0
406 UNIVERSAL INDIKATOR PH 0-14 ( 1.09535.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
408 URIN STRIP 2 PARAMETER TEST 0 0 0 0 0 0 0 0 0 0 0
411 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0 0 0 0 0 0 0 0 0 0
412 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0 0 0 0 0 0 0 0 0 0
413 WIDAL REAGEN TEST KIT KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
415 ZIEH NEELSEN REAGEN KIT KIT 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
417 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0 0 0 0 0 0 0 0 0 0
418 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0 0 0 0 0 0 0 0 0 0
420 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
427 ANTISEPTIK HANDRUB BTL 0 0 0 0 0 0 0 0 0 0 0
428 ANTISEPTIK HANDSCRUB BTL 0 0 0 0 0 0 0 0 0 0 0
429 APRON PLASTIK PCS 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
431 BLOOD LANCET 26 G / 28 G SET 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
433 CAIRAN PENCUCI LUKA BTL 0 0 0 0 0 0 0 0 0 0 0
434 CARTRIDGE GENEXPERT SET 0 0 0 0 0 0 0 0 0 0 0
435 CATGUT CHROMIC NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0 0 0
437 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
441 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0 0 0 0 0 0 0 0 0 0
443 GEL PERAWATAN LUKA TUB 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
445 INFUS SET ANAK SET 0 0 0 0 0 0 0 0 0 0 0
446 INFUS SET DEWASA SET 0 0 0 0 0 0 0 0 0 0 0
447 IV CATHETER NO. 18 SET 0 0 0 0 0 0 0 0 0 0 0
452 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
454 KAPAS BERLEMAK 500 GRAM ROL 0 0 0 0 0 0 0 0 0 0 0
455 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0 0 0 0 0 0 0 0 0 0
456 KARTU GOLONGAN DARAH PCS 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
459 KASA HIDROFIL STERIL UKURAN 18 M X22 CM ROL 0 0 0 0 0 0 0 0 0 0 0
460 KASA KOMPRES 40/40 STERIL ROL 0 0 0 0 0 0 0 0 0 0 0
461 KASA PEMBALUT 2 M X 80 CM ROL 0 0 0 0 0 0 0 0 0 0 0
462 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0 0 0 0 0 0 0 0 0 0
463 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0 0 0 0 0 0 0 0 0 0
467 KASA PERAWATAN LUKA LBR 0 0 0 0 0 0 0 0 0 0 0
468 KASET WITH SCREEN GREEN PKT 0 0 0 0 0 0 0 0 0 0 0
469 KERTAS EKG 80 MM X 30 M ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
472 MASKER NEBUL ANAK SET 0 0 0 0 0 0 0 0 0 0 0
473 MASKER NEBUL DEWASA SET 0 0 0 0 0 0 0 0 0 0 0
474 MASKER OKSIGEN ANAK SET 0 0 0 0 0 0 0 0 0 0 0
475 MASKER OKSIGEN DEWASA SET 0 0 0 0 0 0 0 0 0 0 0
476 MICROLIT TIP 10 µl / WHITE TIP SET 0 0 0 0 0 0 0 0 0 0 0
477 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0 0 0 0 0 0 0 0 0 0
478 MICROLIT TIP 1 ML / BLUE TIP SET 0 0 0 0 0 0 0 0 0 0 0
479 MORTIER + STAMFER SET 0 0 0 0 0 0 0 0 0 0 0
480 NASAL CANULA ANAK SET 0 0 0 0 0 0 0 0 0 0 0
481 NASAL CANULA BAYI SET 0 0 0 0 0 0 0 0 0 0 0
482 NASAL CANULA DEWASA SET 0 0 0 0 0 0 0 0 0 0 0
483 NEEDLE INSULIN SET 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
485 PEMBALUT GIPS 4 INCI ROL 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
489 PLESTER BULAT NON WOVEN PCS 0 0 0 0 0 0 0 0 0 0 0
490 PLESTER KAIN 7,5 X 4,5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
495 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0 0 0 0 0 0 0 0 0 0
496 SARUNG TANGAN KERJA (TEBAL) M - L PSG 0 0 0 0 0 0 0 0 0 0 0
497 SARUNG TANGAN NON STERIL PSG 0 0 0 0 0 0 0 0 0 0 0
498 SARUNG TANGAN STERIL PSG 0 0 0 0 0 0 0 0 0 0 0
499 SCALPVEIN / WING NEDLE NO. 23 SET 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
502 SILK / BENANG SUTERA NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0 0 0
503 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0 0 0 0 0 0 0 0 0 0
504 SPATULA VAGINA KAYU SET 0 0 0 0 0 0 0 0 0 0 0
505 SPONS GELATIN PCS 0 0 0 0 0 0 0 0 0 0 0
506 STERILIZATION POUCHES 7X26 PCS 0 0 0 0 0 0 0 0 0 0 0
508 SURGICAL GOWN PCS 0 0 0 0 0 0 0 0 0 0 0
509 TEST STRIP ASAM URAT BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0
510 TEST STRIP GLUKOSA ACCUCHECK TEST 0 0 0 0 0 0 0 0 0 0 0
511 TEST STRIP GLUKOSA BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0
512 TEST STRIP HB MISSION TEST 0 0 0 0 0 0 0 0 0 0 0
513 TEST STRIP KOLESTEROL BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0
514 TISU PEMBERSIH HIGIENIS PCS 0 0 0 0 0 0 0 0 0 0 0
515 UMBILICAL CORD KLEM PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
517 URINE BAG STERIL LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
519 X RAY FILM UKURAN 24X30 LBR 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
523 DOLUTEGAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
525 LAMIVUDINE 150 MG TAB 0 0 0 0 0 0 0 0 0 0 0
526 LOPINAVIR 200 MG + RITONAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0
527 NEVIRAPINE 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
529 TENOVOFIR 300 MG + EMTRICITABINE 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0
530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0
532 ZIDOFUDINE 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
533 ZIDOFUDINE SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0
534 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG

TAB 0 0 0 0 0 0 0 0 0 0 0
535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

0 0 0 0 0 0 0 0 0 0 0
536 LAMPRENE TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK
BLISTER 0 0 0 0 0 0 0 0 0 0 0
538 MB DEWASA BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
540 PB DEWASA BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
541 ANTI DIFTERI SERUM 10.000 IU VIAL 0 0 0 0 0 0 0 0 0 0 0
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
543 CAMPAK 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
545 DPT-HB-Hib 5 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
548 HEPATITIS B IMUNOGLOBULIN (Hbig) VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
550 MEASLES RUBELLA (MR) VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
552 POLIO b-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
553 POLIO t-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
557 ARTESUNATE INJEKSI 60 MG VIAL 0 0 0 0 0 0 0 0 0 0 0
558 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 TAB 0 0 0 0 0 0 0 0 0 0 0
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : MARET
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0
534 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG TAB 0 0 0 0 0 0 0 0 0 0 0
535 TAB
0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : APRIL
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0
533 ZIDOFUDINE SIRUP

BTL 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : MEI
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : JUNI
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : JULI
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : AGUSTUS
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : SEPTEMBER
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : OKTOBER
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : NOVEMBER
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
BULAN : DESEMBER
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
PUSKESMAS :
KECAMATAN :
TAHUN : 2021

AN AN
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 15=12+1 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 ALOPURINOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 AMBROKSOL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 AMINOFILLIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 AMLODIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 AMLODIPIN TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 AMOKSISILIN KAPLET 500 MG KAPL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 AMOKSISILIN KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 ANTASIDA DOEN SUSPENSI BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 ANTASIDA DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 ANTI FUNGI DOEN KOMBINASI POT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 ANTI HEMORRHOID SUPPOSUTORIA SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 ANTI INFEKSI KRIM TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 ASAM ASETIL SALISILAT TABLET 80 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 ASAM ASKORBAT TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 ASAM FOLAT TABLET 0,4 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
29 ASAM MEFENAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 ASAM TRANEKSAMAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 ASERING INFUS BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 ASIKLOVIR TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 ASIKLOVIR TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 ASIKLOVIR KRIM 5 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 ATAPULGIT TABLET 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 ATROPIN SULFAT TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 AZITROMISIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 BETAHISTIN MESILAT TABLET 6 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 BETAMETASON KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 BISAKODIL SUPPOSUTORIA 10 MG SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 BISAKODIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 BISOPROLOL TABLET 2,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BISOPROLOLTABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 DEKSAMETASON TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 DEKSTRAN 70 LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 DIAZEPAM TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 DIGOKSIN TABLET 0,25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 DILTIAZEM KAPSUL 100 MG SR KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 DILTIAZEM TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DIMENHIDRINAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 DOMPERIDON SIRUP 5 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 DOMPERIDON TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 EPINEPRIN HCL INJEKSI 0,1 % AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 ERITROMISIN KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 ETAKRIDIN LARUTAN 0,1 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 ETANOL 70 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 ETIL KLORIDA SEMPROT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
65 FENITOIN NATRIUM KAPSUL 100 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
66 FENITOIN INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 FENOBARBITAL TABLET 30 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 FENOL GLISEROL TETES TELINGA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 FITOMENADION INJEKSI 10 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
72 FITOMENADION TABLET SALUT 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 FLUFENAZIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 FLUOKSETIN KAPSUL 10 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 FUROSEMID INJEKSI 10 MG AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 FUROSEMID TABLET 40 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 GARAM ORALIT KOMBINASI SAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 GEMFIBROZIL KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 GENTAMISIN INJEKSI 40 MG/ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 GENTAMISIN TETES MATA 0,3 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 GENTAMISIN SALEP KULIT 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 GENTAMISIN SALEP MATA 0,3 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 GENTIAN VIOLET LARUTAN 1 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 GLIBENKLAMID TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 GLIMEPIRIDE TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 GRISEOFULVIN TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
90 HALOPERIDOL DROPS 2 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 HALOPERIDOL INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 HALOPERIDOL INJEKSI 50 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 HALOPERIDOL TABLET 0,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 HALOPERIDOL TABLET 1,5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 HALOPERIDOL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 HIDROKLORTIAZID TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
97 HIDROKORTISON KRIM 2,5 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
101 IBUPROFEN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 IBUPROFEN TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 INSULIN ANALOG LONG ACTING PEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 INSULIN ANALOG RAPID ACTING PEN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 ISONIAZID TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 ISONIAZID TABLET 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 ISOSORBID DINITRAT TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 KALSIUM GLUKONAT INJEKSI 10 % AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 KALSIUM LAKTAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 KANAMISIN INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 KAOLIN - PEKTIN SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 KAPTOPRIL TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 KARBAMAZEPIN TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 KETOKONAZOLE TABLET 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 KLINDAMISIN KAPSUL 300 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 KLOBAZAM TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 KLONIDIN INJEKSI 0,15 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 KLONIDIN TABLET 0,15 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 KLORAMFENIKOL INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 KLORAMFENIKOL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 KLORAMFENIKOL SALEP MATA 1% TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 KLORAMFENIKOL TETES MATA 0,5 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
125 KLORAMFENIKOL TETES TELINGA 3 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 KLOZAPIN TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 KODEIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 KOTRIMOKSAZOL DEWASA TABLET TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 KOTRIMOKSAZOL PEDIATRIK TABLET TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
134 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 KURKUMA SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 KURKUMA TABLET TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
137 LAKTULOSA SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 LEVOFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 LEVOTIROKSIN TABLET 100 MCG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
140 LIDOKAIN KOMPOSITUM INJEKSI AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
141 LIDOKAIN SPRAY ORAL 10 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 LISINOPRIL TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 LISINOPRIL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 LOPERAMID TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
145 LORATADIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
146 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 MANITOL INFUS BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
149 MEBENDAZOL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 MELOKSIKAM TABLET 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 METAMIZOL INJEKSI 500 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 METFORMIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 METIL ERGOMETRIN TABLET 0,125 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 METIL PREDNISOLON INJEKSI 125 MG AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 METIL PREDNISOLON TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 METOKLOPRAMID INJEKSI 5 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 METOKLOPRAMID TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 METRONIDAZOL INFUS 5 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 METRONIDAZOL TABLET 250 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
162 METRONIDAZOL TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
163 MIKONAZOL KRIM 2% TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 MINERAL MIXTURE SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 MOMETASON FUROAT KRIM 0,1 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 N-ASETIL SISTEIN KAPSUL 200 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 NASALIN SPRAY 100 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 NATRIUM BIKARBONAT TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 NATRIUM DIKLOFENAK 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 NATRIUM FOSFAT ENEMA TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 NATRIUM FUSIDAT SALEP 20 MG / G TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
173 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 NIFEDIPIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 NIFEDIPIN TABLET 30 MG SR TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 NISTATIN 100.000 IU / G TABLET VAGINA TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
177 NISTATIN 500.000 IU TABLET SALUT TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 NISTATIN SUSPENSI 100.000 IU / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 NORETISTERON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 OBAT ANTI TUBERKULOSIS ANAK PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
184 OBAT BATUK HITAM SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 OMEPRAZOLE INJEKSI 40 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
192 OMEPRAZOLE KAPSUL 20 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 PAN AMIN G SOFTBAG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 PARAFORMALDEHIDA TABLET 1 G TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 PARASETAMOL DROPS 100 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 PARASETAMOL INFUS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 PARASETAMOL SIRUP 120 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 PARASETAMOL TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 PERAK SULFADIAZIN KRIM 1% TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 PERMETRIN KRIM 5% TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 PIRACETAM INJEKSI 1 GR / 5 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 PIRACETAM TABLET 400 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 PIRANTEL PAMOAT TABLET 125 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 PIRANTEL SUSPENSI 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 PIRIDOKSIN HCL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 PREDNISON TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
209 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 PROPILTIOURASIL TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 PROPRANOLOL TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 PROPRANOLOL TABLET 40 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 PSEUDOEFEDRIN SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
214 RANITIDIN INJEKSI 25 MG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 RANITIDIN TABLET 150 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
216 RETINOL KAPSUL 100.000 IU KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 RETINOL KAPSUL 200.000 IU KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
218 RIFAMPISIN TABLET 450 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 RIFAMPISIN TABLET 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 RINGER LAKTAT LARUTAN INFUS STERIL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 RISPERIDON TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 SALBUTAMOL INHALASI BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 SALBUTAMOL NEBUL AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 SALBUTAMOL TABLET 4 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
225 SALEP 2 - 4 KOMBINASI TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
226 SALISIL BEDAK 2 % KTK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 SALISIL SPIRITUS 10 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
228 SEFADROKSIL KAPSUL 500 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
230 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
233 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 SETIRIZIN SYR 5 MG / 5ML TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 SETIRIZIN TABLET 10 MG BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
236 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
237 SIMVASTATIN TABLET 10 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 SIMVASTATIN TABLET 20 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 SIPROFLOKSASIN TABLET 500 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 SPIRONOLAKTON TABLET 25 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
241 SULFASETAMID NATRIUM TETES MATA 15 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
242 TABLET TAMBAH DARAH KOMBINASI TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 TABURIA 1 GRAM SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
244 TETRAKAIN HCL TETES MATA 0,5% BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
245 TETRASIKLIN HCL KAPSUL 250 MG KAP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
247 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
248 TRIFLUOPERAZIN TABLET 5 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
250 UREA KRIM 10% TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
251 VALPROAT SIRUP 250 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 VITAMIN B KOMPLEKS TABLET TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 VITAMIN NEUROTROPIK INJEKSI AMP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
254 WIDA BES BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
255 YODIUM POVIDON GARGLE 240 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
256 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 ZINK DROPS 10 MG / ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 ZINK SIRUP 20 MG / 5 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 ZINK TABLET 20 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 AIR RAKSA DENTAL USE BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 DEVITALISASI PASTA ( NON ARSEN ) BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 EUGENOL CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 FORMOKRESOL CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
266 GLASS IONOMER ART BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
267 KALSIUM HIDROKSIDA PASTA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
268 MUMMIFYING PASTA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
269 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
270 TEMPORARY STOPPING FLETCHER SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 TUMPATAN SEMENTARA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
C. BAHAN KIMIA
272 ALKALINE PHOSPHATASE KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 ALKOHOL PEROXIDE BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 ALUMINIUM TEST PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 AQUADEST 1 L BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 AQUADEST 5 L BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
277 AQUADEST 20 L GALON 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
278 ARSENIC TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
279 ASAM ASETAT 6 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
280 ASAM ASETAT 25 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 ASAM KLORIDA 0,1 N BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
282 ASAM SULFASALISILAT 20 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
283 ASAM URAT KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
284 BAHAN PENGAMBILAN TEST PAP SMEAR PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
285 BLOOD AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
286 BOD CELL TEST ( SPQ.1.00587.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
287 BOD NUTRIENT SALT MIXT ( SPQ 1.00688.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
288 BOD STANDART ( SPQ.1.00718.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 BORAKS TEST PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 BOX SLIDE / BOX OBJECT GLASS KOTAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 BRILIANT GREEN 2 % ( 1.05454.0500 ) BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 BUFFER GIEMSA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 BUFFER WRIGHT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 BUFFER SOLUTION PH 7 BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 BUFFER SOLUTION PH 10 BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
296 CADMIUM 55 TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
297 CALCIUM 100 TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
298 CARBONAT HARDNESS TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
299 CARREZ I PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 CARREZ II PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
301 CD 4 CONTROL PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 CD 4 MOBILE PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
303 CHLORIDE 175 TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
304 CHLORINE 1 L BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
305 CHROMATE (250 TEST) KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 COD CELL TEST ( SPQ.1.14541.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 COLESTEROL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 COPPER TEST PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
309 COVER GLASS PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 CREATININ BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 CREATININ KINASE MYOCARDIAL BAND (CK-MB) KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 CYANIDA TEST KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 DESINFEKTAN SPRAY BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 DIRECT BILIRUBIN KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
315 DIRUI BCC-3600 CLEANSER PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 DIRUI BCC-3600 CONTROL CBC NORMAL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 DIRUI BCC-3600 DILUENT PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 DIRUI BCC-3600 LYSE PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 DIRUI CLINICAL CHEMICAL QC SERUM BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
320 EDTA 10 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
321 EMB AGAR 500 G BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
322 EMERSI OIL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
323 ENZYMATIC CLEANER SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 ETANOL 96 % 1 L BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 EXTRAN MA O2 NETRAL 107553.2500 PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 FLUORIDE TEST SPQ 114761-0002 PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 FLUORIDE ( SPQ.1.14598.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
328 FOOD SECURITY KIT KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
329 FORMALDEHIDE TEST (100 TEST) KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
330 GLUCOSA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 GOLONGAN DARAH ANTI SERA A BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
332 GOLONGAN DARAH ANTI SERA B BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
333 GOLONGAN DARAH ANTI SERA AB BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
334 GOLONGAN DARAH ANTI D RHESUS BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
335 GRAM CRYSTAL VIOLET BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336 GRAM SAFRANIN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
337 HB METER SAHLI KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
338 HDL -C KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
339 IODINA TEST SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
340 IRON TEST PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 KALIUM PERMANGANAT SERBUK POT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 KAPORIT (GALON) LT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
343 KAPORIT (BOTOL) BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
344 KERTAS KURKUMIN / TUMERIC PAPER PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
345 KOVACS INDOL KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
346 LACTOSE BROTH 500 G BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 LARUTAN BARIUM CHLORIDE BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
348 LARUTAN BENEDICT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
349 LARUTAN DESINFEKTAN 500 ML BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
350 LARUTAN DESINFEKTAN 1 L BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
351 LARUTAN EOSIN 2 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
352 LARUTAN ETANOL ASAM BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 LARUTAN FOUCHET BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
354 LARUTAN GIEMSASTEIN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
355 LARUTAN HAYEM BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 LARUTAN KARBOL FUCHSIN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 LARUTAN KINYOUN BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 LARUTAN LUGOL 1 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 LARUTAN METILEN BIRU BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 LARUTAN NATRIUM CITRAT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
361 LARUTAN REES ECKER BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
362 LARUTAN TURK BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 LARUTAN WRIGHT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 LAURYL SULFATE KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 LDL KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 LEAD TEST (50TEST) KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 LISOL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 MAC CONKEY AGAR BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 MANGANESE TEST PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 MANNITOL SALT PHENOL RED AGAR BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 METANOL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 METANIL YELLOW TEST KIT PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 NITRAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 NITRIT TEST PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 NUTRIENT AGAR BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 OBYEK GLASS PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 OKSIGEN GAS DALAM TABUNG TBG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 OXYGEN REACTION BOTTLE UNIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 PERHIDROL (H2O2) 3 % BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 PLATE COUNT AGAR BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 POLI ALUMINIUM CHLORID (PAC) KG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 POTATO DEXTRAN AGAR PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 RHODAMIN B TEST KIT KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 SELENITE BROTH BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 SGOT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 SGPT BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
387 SPECTROQUANT PHOTO CHECK KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 SQ COD KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 SULFAT TEST PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 TEST HAMIL URINE / HCG TEST TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 TEST ANTI HCV TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 TEST DENGUE TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 TEST HBsAG TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 TEST HIV FOKUS TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 TEST HIV INTECH TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 TEST HIV ONCOPROBE TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 TEST HIV RPR TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 TEST HIV SD TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 TEST HIV VIKIA / BIOMERIEUX TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 TEST HIV VIROCHECK TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
401 TEST SYPHILIS SD TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 TEST SYPHILIS TPHA TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 TOTAL PROTEIN KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 TRIGLISERIDA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 TRYPTONE WATER KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 UNIVERSAL INDIKATOR PH 0-14 ( 1.09535.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 UREA / BUN KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 URIN STRIP 2 PARAMETER TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 VACUTAINER TUBE CLOT ACTIVATOR 3 ML TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 VACUTAINER TUBE K3 EDTA 3 ML TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 WIDAL REAGEN TEST KIT KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 XYLOL BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 ZIEH NEELSEN REAGEN KIT KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 ZINK TEST ( AQQ.1.14412.0001 ) PAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 ALAT DETEKSI RESIKO KEHAMILAN (ADRK) PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 ALAT SUNTIK SEKALI PAKAI 0,05 ML SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
426 ALKOHOL SWAB BJ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
427 ANTISEPTIK HANDRUB BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 ANTISEPTIK HANDSCRUB BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 APRON PLASTIK PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 BIST MESS BJ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 BLOOD LANCET 26 G / 28 G SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 BLOOD SET SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
433 CAIRAN PENCUCI LUKA BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
434 CARTRIDGE GENEXPERT SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
435 CATGUT CHROMIC NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
436 CATGUT CHROMIC NO. 4/0 SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
437 CATGUT PLAIN / BENANG BEDAH NO. 2/0 SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
438 CATGUT PLAIN / BENANG BEDAH NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
439 DEVELOPER KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
440 FIXER KIT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
441 FOLLEY CATHETER 2 WAY NO. 16 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
442 FOLLEY CATHETER 2 WAY NO. 18 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
443 GEL PERAWATAN LUKA TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
444 ID BAND PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
445 INFUS SET ANAK SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
446 INFUS SET DEWASA SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
447 IV CATHETER NO. 18 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
452 JARUM JAHIT / BEDAH NO. 9 S/D 14 BJ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
453 KANTONG MAYAT BJ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
454 KAPAS BERLEMAK 500 GRAM ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
455 KAPAS PEMBALUT / ABSORBEN 250 GRAM ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
456 KARTU GOLONGAN DARAH PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
457 KASA 16x16 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
458 KASA 40X80 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
459 KASA HIDROFIL STERIL UKURAN 18 M X22 CM ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
460 KASA KOMPRES 40/40 STERIL ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
461 KASA PEMBALUT 2 M X 80 CM ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
462 KASA PEMBALUT ELASTIS 4 INCI ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
463 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
467 KASA PERAWATAN LUKA LBR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
468 KASET WITH SCREEN GREEN PKT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
469 KERTAS EKG 80 MM X 30 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
470 MASKER PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
471 MASKER N95 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
472 MASKER NEBUL ANAK SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
473 MASKER NEBUL DEWASA SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
474 MASKER OKSIGEN ANAK SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
475 MASKER OKSIGEN DEWASA SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
476 MICROLIT TIP 10 µl / WHITE TIP SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
477 MICROLIT TIP 200 µl / YELLOW TIP SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
478 MICROLIT TIP 1 ML / BLUE TIP SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
479 MORTIER + STAMFER SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
480 NASAL CANULA ANAK SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
481 NASAL CANULA BAYI SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
482 NASAL CANULA DEWASA SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
483 NEEDLE INSULIN SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
484 NURSE CAP PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
485 PEMBALUT GIPS 4 INCI ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
486 PLESTER 5 CM x 5 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
487 PLESTER 10 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
488 PLESTER 15 CM X 5 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
489 PLESTER BULAT NON WOVEN PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
490 PLESTER KAIN 7,5 X 4,5 M ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
491 POT SPUTUM SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
492 POT URINE SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
493 SAFETY BOX 2,5 L KTK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
494 SAFETY BOX 5 L KTK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
495 SARUNG TANGAN KEBIDANAN (PANJANG) PSG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
496 SARUNG TANGAN KERJA (TEBAL) M - L PSG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
497 SARUNG TANGAN NON STERIL PSG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
498 SARUNG TANGAN STERIL PSG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
499 SCALPVEIN / WING NEDLE NO. 23 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
500 SCALPVEIN / WING NEDLE NO. 25 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
501 SENDOK SIRUP PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
502 SILK / BENANG SUTERA NO. 3/0 SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
503 SLIM ZUIKER / MUCUS EXTRACTOR SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
504 SPATULA VAGINA KAYU SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
505 SPONS GELATIN PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
506 STERILIZATION POUCHES 7X26 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
507 STERILIZATION POUCHES 9X26 PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
508 SURGICAL GOWN PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
509 TEST STRIP ASAM URAT BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
510 TEST STRIP GLUKOSA ACCUCHECK TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
511 TEST STRIP GLUKOSA BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
512 TEST STRIP HB MISSION TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
513 TEST STRIP KOLESTEROL BENECHECK TEST 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
514 TISU PEMBERSIH HIGIENIS PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
515 UMBILICAL CORD KLEM PCS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
516 UNDERPAD LBR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
517 URINE BAG STERIL LBR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
518 USG GEL TUB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
519 X RAY FILM UKURAN 24X30 LBR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
522 ABACAVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
523 DOLUTEGAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
524 EFAVIRENZ 600 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
525 LAMIVUDINE 150 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
526 LOPINAVIR 200 MG + RITONAVIR 50 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
527 NEVIRAPINE 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
528 TENOFOVIR 300 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
529 TENOVOFIR 300 MG + EMTRICITABINE 200 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

DOLUTEGAVIR 50 MG
TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FDC) DEWASA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
532 ZIDOFUDINE 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
533 ZIDOFUDINE SIRUP BTL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
534 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG TAB 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 0 0 0 0 0 0 0 0 0 0 0 0 0
536 LAMPRENE TABLET 100 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
537 MB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
538 MB DEWASA BLISTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
539 PB ANAK BLISTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
540 PB DEWASA BLISTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
G. OBAT VAKSIN
541 ANTI DIFTERI SERUM 10.000 IU VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
542 BCG 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
543 CAMPAK 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
544 CORONAVAC VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
545 DPT-HB-Hib 5 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
546 DT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
547 HEPATITIS B VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
548 HEPATITIS B IMUNOGLOBULIN (Hbig) VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
549 IPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
550 MEASLES RUBELLA (MR) VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
551 MENINGITIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
552 POLIO b-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
553 POLIO t-OPV 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
554 POLIO t-OPV 20 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
555 Td 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
556 TT 10 DOSIS VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
557 ARTESUNATE INJEKSI 60 MG VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
558 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PELAYAN PELAYAN
AN AN
15=12+1
1 2 3 4 5 6=4+5 7 8 9=7+8 10 11=9+10 12 13 14 16 17 18=16+17 19=15+18 20 21 22=20+21 23 24 25 26
3+14
559 KUININ 222 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
560 PRIMAKUIN 15 MG TAB 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP

#DIV/0!
TUBAN,

NIP. NIP. 19850608 201101 2 018 NIP. NIP.

1 Alokasi program
(LPLPO)
TAHUN 2021
NON
NO. NAMA OBAT SATUAN FORNAS KETERANGAN
FORNAS
1 2 3 4 5 6
A. OBAT ESSENSIAL
1 ALBENDAZOL TABLET 400 MG TAB 1
2 ALBENDAZOL SUSPENSI 200 MG / 5 ML BTL 1
3 ALOPURINOL TABLET 100 MG TAB 1
4 AMBROKSOL TABLET 30 MG TAB 1
5 AMINOFILLIN INJEKSI 24 MG / ML - 10 ML AMP 1 PP
6 AMINOFILLIN TABLET 200 MG TAB 1
7 AMITRIPTILIN TABLET SALUT 25 MG TAB 1
8 AMLODIPIN TABLET 10 MG TAB 1
9 AMLODIPIN TABLET 5 MG TAB 1
10 AMOKSISILIN KAPLET 500 MG KAPL 1
11 AMOKSISILIN KAPSUL 250 MG KAP 1
12 AMOKSISILIN SERBUK INJEKSI 1 GRAM VIAL 1
13 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BTL 1
14 AMPISILIN SERBUK INJEKSI 1 GRAM VIAL 1 PP
15 AMPISILIN SIRUP KERING 125 MG / 5 ML BTL 1
16 ANTASIDA DOEN SUSPENSI BTL 1
17 ANTASIDA DOEN TABLET KOMBINASI TAB 1
18 ANTI BAKTERI DOEN SALEP KOMBINASI TUB 1
19 ANTI FUNGI DOEN KOMBINASI POT 1
20 ANTI HEMORRHOID SUPPOSUTORIA SUPP 1
21 ANTI INFEKSI KRIM TUB 1
22 ANTI MIGRAIN DOEN TABLET KOMBINASI TAB 1
23 AQUA PRO INJEKSI STERIL BEBAS PIROGEN AMP 1
24 ASAM ASETIL SALISILAT TABLET 80 MG TAB 1
25 ASAM ASKORBAT TABLET 250 MG TAB 1
28 ASAM FOLAT TABLET 0,4 MG TAB 1
29 ASAM MEFENAMAT TABLET 500 MG TAB 1
30 ASAM TRANEKSAMAT INJEKSI 50 MG / ML AMP 1 23
31 ASAM TRANEKSAMAT TABLET 500 MG TAB 1 23
32 ASERING INFUS BTL 1
33 ASIKLOVIR TABLET 200 MG TAB 1
34 ASIKLOVIR TABLET 400 MG TAB 1
35 ASIKLOVIR KRIM 5 % TUB 1
36 ATAPULGIT TABLET 600 MG TAB 1
37 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMP 1
38 ATROPIN SULFAT TABLET 0,5 MG TAB 1
39 AZITROMISIN TABLET 500 MG TAB 1 23
40 BETAHISTIN MESILAT TABLET 6 MG TAB 1
41 BETAMETASON KRIM 0,1 % TUB 1
42 BISAKODIL SUPPOSUTORIA 10 MG SUPP 1
43 BISAKODIL TABLET 5 MG TAB 1
44 BISOPROLOL TABLET 2,5 MG TAB 1 23 RB
45 BISOPROLOLTABLET 5 MG TAB 1 23 RB
46 DEKSAMETASON INJEKSI 5 MG / ML - 1 ML AMP 1
47 DEKSAMETASON TABLET 0,5 MG TAB 1
48 DEKSTRAN 70 LARUTAN INFUS STERIL BTL 1
49 DIAZEPAM ENEMA 5 MG / 2,5 ML TUB 1
50 DIAZEPAM INJEKSI 5 MG / ML - 2 ML AMP 1
51 DIAZEPAM TABLET 2 MG TAB 1
52 DIFENHIDRAMIN HCL INJEKSI 10 MG / ML - 1 ML AMP 1
53 DIGOKSIN TABLET 0,25 MG TAB 1 23 RB
54 DILTIAZEM KAPSUL 100 MG SR KAP 1 23 RB
55 DILTIAZEM TABLET 30 MG TAB 1 23 RB
56 DIMENHIDRINAT TABLET 50 MG TAB 1
57 DOMPERIDON SIRUP 5 MG / 5 ML BTL 1
58 DOMPERIDON TABLET 10 MG TAB 1
59 EPINEPRIN HCL INJEKSI 0,1 % AMP 1
60 ERITROMISIN KAPSUL 500 MG KAP 1
61 ERITROMISIN SIRUP KERING 200 MG / 5 ML BTL 1
62 ETAKRIDIN LARUTAN 0,1 % BTL 1
63 ETANOL 70 % BTL 1
64 ETIL KLORIDA SEMPROT BTL 1
65 FENITOIN NATRIUM KAPSUL 100 MG KAP 1
66 FENITOIN INJEKSI 50 MG / ML AMP 1
67 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMP 1
68 FENOBARBITAL TABLET 30 MG TAB 1
69 FENOL GLISEROL TETES TELINGA 10 % BTL 1
70 FITOMENADION INJEKSI 2 MG / ML - 1 ML AMP 1
71 FITOMENADION INJEKSI 10 MG / ML - 1 ML AMP 1
72 FITOMENADION TABLET SALUT 10 MG TAB 1
73 FLUFENAZIN INJEKSI 25 MG / ML AMP 1 23 RB
74 FLUOKSETIN KAPSUL 10 MG KAP 1
75 FUROSEMID INJEKSI 10 MG AMP 1
76 FUROSEMID TABLET 40 MG TAB 1
77 GARAM ORALIT KOMBINASI SAK 1
GEMFIBROZIL KAPSUL 300 MG KAP 1 23
79 GENTAMISIN INJEKSI 40 MG/ML AMP 1 23
80 GENTAMISIN TETES MATA 0,3 % BTL 1
81 GENTAMISIN SALEP KULIT 0,1 % TUB 1
82 GENTAMISIN SALEP MATA 0,3 % TUB 1
83 GENTIAN VIOLET LARUTAN 1 % BTL 1
84 GLIBENKLAMID TABLET 5 MG TAB 1
85 GLIMEPIRIDE TABLET 2 MG TAB 1
86 GLUKOSA LARUTAN INFUS 5 % STERIL BTL 1
87 GLUKOSA LARUTAN INFUS 10 % STERIL BTL 1
88 GLUKOSA LARUTAN INFUS 40 % STERIL AMP 1
89 GRISEOFULVIN TABLET 125 MG TAB 1
90 HALOPERIDOL DROPS 2 MG / ML BTL 1
91 HALOPERIDOL INJEKSI 5 MG / ML AMP 1
92 HALOPERIDOL INJEKSI 50 MG / ML AMP 1 23 RB
93 HALOPERIDOL TABLET 0,5 MG TAB 1 23 RB
94 HALOPERIDOL TABLET 1,5 MG TAB 1
95 HALOPERIDOL TABLET 5 MG TAB 1
96 HIDROKLORTIAZID TABLET 25 MG TAB 1
97 HIDROKORTISON KRIM 2,5 % TUB 1
HIOSIN BUTILBROMIDA INJEKSI 20 MG / ML AMP 1 23
99 HIOSIN BUTILBROMIDA TABLET 10 MG TAB 1
100 IBUPROFEN SUSPENSI 100 MG / 5 ML BTL 1
101 IBUPROFEN TABLET 200 MG TAB 1
102 IBUPROFEN TABLET 400 MG TAB 1
103 INSULIN ANALOG LONG ACTING PEN 1 23 RB
104 INSULIN ANALOG RAPID ACTING PEN 1 23 RB
105 ISONIAZID TABLET 100 MG TAB 1
106 ISONIAZID TABLET 300 MG TAB 1
107 ISOSORBID DINITRAT TABLET 5 MG TAB 1
108 KALSIUM GLUKONAT INJEKSI 10 % AMP 1
109 KALSIUM LAKTAT TABLET 500 MG TAB 1
110 KANAMISIN INJEKSI 1000 MG VIAL 1 23
111 KAOLIN - PEKTIN SIRUP BTL 1
112 KAPTOPRIL TABLET 25 MG TAB 1
113 KARBAMAZEPIN TABLET 200 MG TAB 1
114 KETOKONAZOLE KRIM 2 % TUB 1
115 KETOKONAZOLE TABLET 200 MG TAB 1
116 KLINDAMISIN KAPSUL 300 MG KAP 1
117 KLOBAZAM TABLET 10 MG TAB 1 23
118 KLONIDIN INJEKSI 0,15 MG / ML AMP 1 23
119 KLONIDIN TABLET 0,15 MG TAB 1 23 RB
120 KLORAMFENIKOL INJEKSI 1000 MG VIAL 1 PP
121 KLORAMFENIKOL KAPSUL 250 MG KAP 1
122 KLORAMFENIKOL SALEP MATA 1% TUB 1
123 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL 1
124 KLORAMFENIKOL TETES MATA 0,5 % BTL 1
125 KLORAMFENIKOL TETES TELINGA 3 % BTL 1
126 KLORFENIRAMIN MALEAT TABLET 4 MG TAB 1
127 KLORPROMAZIN HCL INJEKSI 25 MG / ML - 1 ML AMP 1
128 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 1 23 RB
129 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB 1
130 KLOZAPIN TABLET 25 MG TAB 1 23
131 KODEIN HCL TABLET 10 MG TAB 1
132 KOTRIMOKSAZOL DEWASA TABLET TAB 1
133 KOTRIMOKSAZOL PEDIATRIK TABLET TAB 1
134 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BTL 1
135 KURKUMA SIRUP BTL 1
136 KURKUMA TABLET TAB 1
137 LAKTULOSA SIRUP BTL 1
138 LEVOFLOKSASIN TABLET 500 MG TAB 1 23
139 LEVOTIROKSIN TABLET 100 MCG TAB 1 23
140 LIDOKAIN KOMPOSITUM INJEKSI AMP 1
141 LIDOKAIN SPRAY ORAL 10 % BTL 1
142 LISINOPRIL TABLET 5 MG TAB 1
143 LISINOPRIL TABLET 10 MG TAB 1
144 LOPERAMID TABLET 2 MG TAB 1 23
145 LORATADIN TABLET 10 MG TAB 1
146 MAGNESIUM SULFAT INJEKSI / IV 20% - 25 ML AMP 1
147 MAGNESIUM SULFAT INJEKSI / IV 40% - 25 ML AMP 1
148 MANITOL INFUS BTL 1
149 MEBENDAZOL TABLET 100 MG TAB 1
150 MELOKSIKAM TABLET 15 MG TAB 1
151 METAMIZOL INJEKSI 500 MG / ML AMP 1 23
152 METFORMIN TABLET 500 MG TAB 1
153 METIL ERGOMETRIN INJEKSI 0,2 MG / ML - 1 ML AMP 1
154 METIL ERGOMETRIN TABLET 0,125 MG TAB 1
155 METIL PREDNISOLON INJEKSI 125 MG AMP 1 PP
156 METIL PREDNISOLON TABLET 4 MG TAB 1 23 RB
157 METOKLOPRAMID INJEKSI 5 MG / ML AMP 1
158 METOKLOPRAMID TABLET 10 MG TAB 1
159 METRONIDAZOL INFUS 5 MG / ML BTL 1 23
160 METRONIDAZOL SIRUP 125 MG / 5 ML BTL 1
161 METRONIDAZOL TABLET 250 MG TAB 1
162 METRONIDAZOL TABLET 500 MG TAB 1
163 MIKONAZOL KRIM 2% TUB 1
164 MINERAL MIXTURE SACHET 1
165 MOMETASON FUROAT KRIM 0,1 % TUB 1
166 N-ASETIL SISTEIN KAPSUL 200 MG KAP 1
167 NASALIN SPRAY 100 ML BTL 1
168 NATRIUM BIKARBONAT INJEKSI 8,4 % AMP 1 23
169 NATRIUM BIKARBONAT TABLET 500 MG TAB 1
170 NATRIUM DIKLOFENAK 50 MG TAB 1
171 NATRIUM FOSFAT ENEMA TUB 1
172 NATRIUM FUSIDAT SALEP 20 MG / G TUB 1 23
173 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BTL 1
174 NIFEDIPIN TABLET 10 MG TAB 1 23 RB
175 NIFEDIPIN TABLET 30 MG SR TAB 1 23 RB
176 NISTATIN 100.000 IU / G TABLET VAGINA TAB 1
177 NISTATIN 500.000 IU TABLET SALUT TAB 1
178 NISTATIN SUSPENSI 100.000 IU / ML BTL 1
179 NORETISTERON TABLET 5 MG TAB 1 23
180 OBAT ANTI TUBERKULOSIS ANAK PKT 1
181 OBAT ANTI TUBERKULOSIS KATEGORI 1 PKT 1
182 OBAT ANTI TUBERKULOSIS KATEGORI 2 PKT 1
183 OBAT ANTI TUBERKULOSIS KOMBIPAK PKT 1
184 OBAT BATUK HITAM SIRUP BTL 1
185 OKSIMETAZOLIN TETES HIDUNG 0,025 % BTL 1
186 OKSIMETAZOLIN TETES HIDUNG 0,05 % BTL 1
187 OKSITETRASIKLIN HCL IM 50 MG / ML - 10 ML AMP 1 23
188 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUB 1
189 OKSITETRASIKLIN HCL SALEP MATA 1 % TUB 1
190 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMP 1
191 OMEPRAZOLE INJEKSI 40 MG VIAL 1
192 OMEPRAZOLE KAPSUL 20 MG KAP 1
193 PAN AMIN G SOFTBAG 1 23
194 PARAFORMALDEHIDA TABLET 1 G TAB 1
195 PARASETAMOL DROPS 100 MG / ML BTL 1
196 PARASETAMOL INFUS 10 MG / ML BTL 1 3
197 PARASETAMOL SIRUP 120 MG / 5 ML BTL 1
198 PARASETAMOL TABLET 500 MG TAB 1
199 PERAK SULFADIAZIN KRIM 1% TUB 1
200 PERMETRIN KRIM 5% TUB 1
201 PETIDIN INJEKSI 50 MG / ML - 2 ML AMP 1 23
202 PILOKARPIN HCL NITRAT TETES MATA 2 % BTL 1
203 PIRACETAM INJEKSI 1 GR / 5 ML AMP 1
204 PIRACETAM TABLET 400 MG TAB 1
205 PIRANTEL PAMOAT TABLET 125 MG TAB 1
206 PIRANTEL SUSPENSI 125 MG / 5 ML BTL 1
207 PIRIDOKSIN HCL TABLET 10 MG TAB 1
208 PREDNISON TABLET 5 MG TAB 1
209 PROKAIN BENZIL PENISILLIN INJEKSI 3 JUTA UI VIAL 1
210 PROPILTIOURASIL TABLET 100 MG TAB 1 23
211 PROPRANOLOL TABLET 10 MG TAB 1
212 PROPRANOLOL TABLET 40 MG TAB 1 23
213 PSEUDOEFEDRIN SIRUP BTL 1
214 RANITIDIN INJEKSI 25 MG / ML AMP 1 23
215 RANITIDIN TABLET 150 MG TAB 1
216 RETINOL KAPSUL 100.000 IU KAP 1
217 RETINOL KAPSUL 200.000 IU KAP 1
218 RIFAMPISIN TABLET 450 MG TAB 1 23
219 RIFAMPISIN TABLET 600 MG TAB 1 23
220 RINGER LAKTAT LARUTAN INFUS STERIL BTL 1
221 RISPERIDON TABLET 2 MG TAB 1 23 RB
222 SALBUTAMOL INHALASI BTL 1 23
223 SALBUTAMOL NEBUL AMP 1
224 SALBUTAMOL TABLET 4 MG TAB 1
225 SALEP 2 - 4 KOMBINASI TUB 1
226 SALISIL BEDAK 2 % KTK 1
227 SALISIL SPIRITUS 10 % BTL 1
228 SEFADROKSIL KAPSUL 500 MG KAP 1 PP
229 SEFADROKSIL SIRUP KERING 125 MG / 5 ML BTL 1 PP
230 SEFOTAKSIM SERBUK INJEKSI 1000 MG VIAL 1 23
231 SEFTRIAXON SERBUK INJEKSI 1000 MG VIAL 1 23
232 SERUM ANTI BISA ULAR INJEKSI 5 ML VIAL 1
233 SERUM ANTI TETANUS INJEKSI 1.500 IU / ML AMP 1
234 SETIRIZIN SYR 5 MG / 5ML TAB 1
235 SETIRIZIN TABLET 10 MG BTL 1
236 SIANOKOBALAMIN INJEKSI 500 MCG / ML AMP 1
237 SIMVASTATIN TABLET 10 MG TAB 1
238 SIMVASTATIN TABLET 20 MG TAB 1
239 SIPROFLOKSASIN TABLET 500 MG TAB 1
240 SPIRONOLAKTON TABLET 25 MG TAB 1
241 SULFASETAMID NATRIUM TETES MATA 15 % BTL 1
242 TABLET TAMBAH DARAH KOMBINASI TAB 1
243 TABURIA 1 GRAM SACHET 1
244 TETRAKAIN HCL TETES MATA 0,5% BTL 1
245 TETRASIKLIN HCL KAPSUL 250 MG KAP 1
246 TIAMIN HCL INJEKSI 1.000 MCG / ML - 1 ML AMP 1
247 TIAMIN HCL MONONITRAT TABLET 50 MG TAB 1
248 TRIFLUOPERAZIN TABLET 5 MG TAB 1 23 RB
249 TRIHEKSIFENIDIL HCL TABLET 2 MG TAB 1 23 RB
250 UREA KRIM 10% TUB 1
251 VALPROAT SIRUP 250 MG / 5 ML BTL 1
252 VITAMIN B KOMPLEKS TABLET TAB 1
253 VITAMIN NEUROTROPIK INJEKSI AMP 1
254 WIDA BES BTL 1
255 YODIUM POVIDON GARGLE 240 ML BTL 1
256 YODIUM POVIDON LARUTAN 10 % 30 ML BTL 1
257 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 1
258 ZINK DROPS 10 MG / ML BTL 1
259 ZINK SIRUP 20 MG / 5 ML BTL 1
260 ZINK TABLET 20 MG TAB 1
261 AIR RAKSA DENTAL USE BTL 1
262 CHLORPHENOL KAMFER MENTHOL (CHKM) BTL 1
263 DEVITALISASI PASTA ( NON ARSEN ) BTL 1
264 EUGENOL CAIRAN BTL 1
265 FORMOKRESOL CAIRAN BTL 1
266 GLASS IONOMER ART BTL 1
267 KALSIUM HIDROKSIDA PASTA BTL 1
268 MUMMIFYING PASTA BTL 1
269 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BTL 1
270 TEMPORARY STOPPING FLETCHER SET 1
271 TUMPATAN SEMENTARA BTL 1
272 ABACAVIR 300 MG TAB 1
273 DOLUTEGAVIR 50 MG TAB 1
274 EFAVIRENZ 600 MG TAB 1
275 LAMIVUDINE 150 MG TAB 1
276 LOPINAVIR 200 MG + RITONAVIR 50 MG TAB 1
277 NEVIRAPINE 200 MG TAB 1
278 TENOFOVIR 300 MG TAB 1
279 TENOVOFIR 300 MG + EMTRICITABINE 200 MG TAB 1
DOLUTEGAVIR 50 MG TAB 1
281 EFAVIRENZ 600 MG (TRIPLE FDC) DEWASA TAB
1
282 ZIDOFUDINE 100 MG TAB 1
283 ZIDOFUDINE SIRUP BTL 1
284 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG TAB 1
285 NEVIRAPINE 50 MG (TRIPLE FDC) ANAK TAB
1
286 LAMPRENE TABLET 100 MG TAB 1
287 MB ANAK BLISTER 1
288 MB DEWASA BLISTER 1
289 PB ANAK BLISTER 1
290 PB DEWASA BLISTER 1
291 ANTI DIFTERI SERUM 10.000 IU VIAL 1
292 BCG 20 DOSIS VIAL 1
293 CAMPAK 10 DOSIS VIAL 1
294 CORONAVAC VIAL 1
295 DPT-HB-Hib 5 DOSIS VIAL 1
296 DT 10 DOSIS VIAL 1
297 HEPATITIS B VIAL 1
298 HEPATITIS B IMUNOGLOBULIN (Hbig) VIAL 1
299 IPV 10 DOSIS VIAL 1
300 MEASLES RUBELLA (MR) VIAL 1
301 MENINGITIS VIAL 1
302 POLIO b-OPV 10 DOSIS VIAL 1
303 POLIO t-OPV 10 DOSIS VIAL 1
304 POLIO t-OPV 20 DOSIS VIAL 1
305 Td 10 DOSIS VIAL 1
306 TT 10 DOSIS VIAL 1
307 ARTESUNATE INJEKSI 60 MG VIAL 1
308 DIHIDROARTEMISIN 40 MG + PIPERAKUIN 320 MG TAB 1
309 KUININ 222 MG TAB 1
310 PRIMAKUIN 15 MG TAB 1
% KESESUAIAN FORNAS 226 84 72.90
KETERANGAN :
PP = Puskesmas Perawatan
3 = Faskes Tingkat 3
23 = Faskes Tingkat 2 dan 3
RB = Rujuk Balik

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

534 ZIDOFUDINE 300 MG + LAMIVUDINE 150 MG

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

533 ZIDOFUDINE SIRUP

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR

530 TENOFOVIR 300 MG + LAMIVUDIN 300 MG +

535 ZIDOFUDINE 60 MG + LAMIVUDINE 30 MG + TAB

JUMLAH KUNJUNGAN RESEP JUMLAH RESEP GENERIK % RESEP GENERIK

JUMLAH OBAT ESSENSIAL YANG TERSEDIA DI PUSKESMAS % KETERSEDIAAN OBAT

………………………………………… RANI YUNITASARI, S.Farm.,Apt. ……………………………………………. ……………………………………

Penjelasan (untuk pengisian pada kolom keterangan) :

STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR