SAMBUNGAN DATA PERSEDIAAN OBAT PUSKESMAS

NAMA PUSKESMAS : PUSKESMAS KEMBANG SERI

KODE PUSKESMAS : P1709010101
PERIODE : TRW II (APRIL -JUNI) 2021
KECAMATAN : TALANG EMPAT
KABUPATEN : BENGKULU TENGAH

NO NAMA OBAT SATUAN

TOTAL (HASIL STOK
SISA STOK KAMAR OPNAM )
OBAT / APOTIK PKM
1 2 3 4 5

I. OBAT - OBATAN
1 Acyclovir Salep mata 3 % / Termiral salep mata tube
2 Albendazol tablet 400mg tablet
3 Allopurinol Tablet 100 mg tablet 400
4 Amoxicilin sirup kering 250mg/5ml (Amoks dry syrup forte) botol 60 ml 14
5 New Antides tablet 100
Antiparkinson doen tab komb : levodopa 100mg + benerazide
6 tablet
25mg (levopar)
Antiparkinson tab komb : levodopa 100mg + karbidopa 25mg
7 tablet
+ entekapon 200mg (stalevo)
8 Antasida doen syrup Botol 60 ml 0
9 Artermeter Injeksi Ampul
10 Artersunate Injeksi vial
11 Asam asetilsalisilat (asetosal) tablet 80mg / miniaspi tablet
12 Asam asetilsalisilat (asetosal) 100 mg tablet
13 Asam asetilsalisilat (asetosal) 500mg tablet
14 Asam askorbat ( Vit. c ) tablet 250mg tablet
15 Asam folat tablet 1mg tablet
16 Asam Mefenamat kapsul 250mg tablet
17 Asam traneksamat injeksi 50mg/ml Ampul
18 Atropin sulfat tablet 0,5mg tablet
19 Benzatin benzil penisilin injeksi 1,2 juta iu /vial vial
20 Benzatin benzil penisilin injeksi 2,4 juta iu /vial vial
21 Betametason TM 1 mg / ml / Betam Opthal botol @ 5ml
22 Betametason Falerat + Neomicyn Sulfat ( NISAGON ) tube
23 Betahistin Mesilat tablet
24 Bisakodil suppositoria 5 mg / Dulkolak sup
25 Bisakodil suppositoria 10 mg / stolak sup
26 Cairan Anti Septik Chlorhexidine 2 % / X - TRAGEN Galon 5 liter
27 Caladin Cair botol 60 ml
28 Cendo lytrees TM botol @ 60 ml
29 Cetirizin Sirup 5 mg/ 5 ml Botol 90
30 Diazepam larutan rektal 5 mg/ 2,5ml (Stesolid 5mg) tube
31 Diazepam larutan rektal 10 mg/ 2,5ml (Stesolid 10 mg) tube
32 Dietilkarbamazin sitrat 100mg/tablet tablet
33 Diltiazem tablet 30mg tablet
34 Doksisiklin 100mg tablet 200
35 Ethambotol tablet 250mg tablet
36 Ethambotol tablet 500mg tablet
37 Eritromisin kapsul 250mg kapsul 100
38 Flouksetin tablet 10 mg ( forasi ) tablet

39 Flousenolon acetodide + Neomycin Sulfat ( Prodermis Cream) tube

40 Flufenazine dekanoat inj 25mg/ml Ampul

41 Fenobarbital injeksi 50 mg/ ml - 2 ml Ampul
42 flour tablet
43 Glimepiride tablet 2mg tablet 200
44 Glimepiride tablet 1mg tablet 200
45 Gliserin larutan 50% botol 100ml
46 Grotavit Syrup botol 60 ml
47 Haloperidol dekanoat injeksi 50 mg / ml Ampul
48 haloperidol inj 5 mg/ml ( iodomer ) Ampul
49 Haloperidol tab 0,5 mg tablet
50 Haloperidol tab 1,5 mg tablet
51 Haloperidol tab 5 mg tablet
52 Ibuprofen suspensi 200mg / 5ml (ORAPROPEN) botol 60 ml 36
53 Ibuprofen suspensi 125mg / 5ml botol 60 ml 68
54 Iodium test kotak
55 Imipramine HCL tab 25 mg ( Tofranil ) tablet
56 Irbesartan tablet 150mg tablet
57 Isoniazid tablet 300mg tablet
58 Kuinin sulfat tablet 222mg ( 7-H2o ) tablet
59 Klindamycin 300 mg tablet
60 Kalsium glukonas injeksi Ampul
61 Ketamin injeksi i.v 100mg /ml Ampul
62 Klobazam tablet 10mg tablet
63 Klorampenikol salep kulit (Bupasetin Salep ) tube 5
64 Klorampenikol Syrup 125mg/ml botol 60 ml 30
65 Klorpromazin hcl injeksi 2,5 mg/ml Ampul
66 Klorpromazin hcl injeksi 5 mg/ml Ampul
67 Klorpromazin hcl tablet salut 100 mg tablet
68 Klorpromazin hcl tablet salut 25mg tablet
69 Klozapin tablet 25 mg tablet
70 Kodein hcl tablet 10 mg tablet
71 Kodein hcl tablet 15 mg tablet
72 Kotrimoksazol Suspensi botol 60 ml 20
73 Kaulin pektin ( GUARNISTREP ) Suspensi botol 60 ml
74 Laserin Madu Syrup botol 60 ml
75 Loratadin tablet 10mg tablet 400
76 Lidokain Hcl 2% + epineprin hcl (Lidokain Comp )Injeksi Ampul
77 Lidokain jeli 2 % botol 10 ml
78 Lidokain Semprot 10 % botol 50%
79 Litakur botol 60 ml
80 Magnesium sulfat injeksi ( iv) 40% - 25ml Botol 25ml
81 Magnesium sulfat injeksi ( iv) 20% - 25ml ( OTSU ) Botol 25ml
82 Mebendazole tablet 500mg (Vermox) tablet 24
83 Metformin HCl tablet 850mg tablet 400
84 Methoclorpropamide hcl tablet 5mg tablet
85 Metilprednisolon tablet 8mg tablet
86 Mineral Mix sach
87 Natrium diklofenak tablet 25mg tablet 150
88 Natrium phenytoin kapsul 100mg tablet
89 Natrium tiroksin tablet 100mcg ( Euthyrox) tablet
90 OBH COMBI PLUS botol 60 ml
91 Olopatadin tetes mata 0,1% botol 5 ml
92 Omeprazole injeksi vial
93 Petidin injeksi 50 mg / ml - 2ml Ampul
94 Phenoxymethil penisilin tablet 500mg tablet
95 Pirazinamide kapsul 500mg kapsul
96 Piridoksin ( Vitamin B6 ) Injeksi Ampul 400
97 Probenesid tablet 500mg tablet
98 Povidon Iodida Larutan 10 % 30 ml botol
99 Povidon Iodida Larutan 10 % 60 ml botol
100 Povidon Iodida Larutan 10 % 300 ml botol
101 Prokaine benzil penisillin G injeksi / PP 3,000,000 units vial
102 Rifampisin kapsul 300mg kapsul
103 Risperidon tablet 2mg tablet
104 Sianokobalamin tablet 50mcg (vitamin B12) tablet 500
105 Sefriakson inj 1 mg vial
106 Spironolactone tablet 25mg tablet
107 Tramadol 50 Mg tablet
108 Tramadol Injeksi Ampul
109 Trifluoperazine tablet 5 mg ( Stelosi ) tablet
110 Triheksifenidil tablet 2 mg tablet
111 Zink Sirup 20 mg /5 ml (Zirkum kids ) botol 24
112 Zinkdrop botol

PROGRAM LAB
113 Pot sputum pcs
114 Reagen Malaria (Anisol ) botol
115 Reagen Malaria (Giemsya ) botol
116 Reagen TB Paket
117 Widal botol
118 Slides box

PERBEKALAN KESEHATAN
119 Alkohol swabs pcs
120 Alkohol ( etanol ) 70 % 100 ml botol
121 Alkohol ( etanol ) 70 % 1000 ml botol
122 Aseptan gell dispenser botol 500ml
123 hypafik 5 x 5 roll
124 H2O2 larutan 3 % Botol
125 Hypafik 5 x 1 roll
126 Lisol botol
127 IV catheter ( abocath ) no.18 pcs
128 Kapas pembalut 25gr pcs
129 Kassa pembalut hidrofil 36 x 80cm pcs
130 Kassa pembalut hidrofil 4 x 10cm pcs
131 Kassa pembalut hidrofil 4 x 5cm pcs
132 Masker karet pcs
133 Masker plus hijab pcs
134 Nail heating No.10 Otot pcs
135 Nail heating No.10 Kulit pcs
136 Nail Heating Noo 11 Otot pcs
137 Nail Heating Noo 11 Kulit pcs
138 Nail Heating Noo 12 Otot PCS
139 Nail Heating Noo 12 Kulit PCS
140 Urine bag pcs
141 Glibenclamide 5 mg Tablet
142 Pronto Metamizole Sodium Kaplet
143 Rivanol 300 ml Botol
144 Gliserol Botol
145 Hemafort Botol
146 D-Artepp Tablet
147 Wida 2A Botol
148 Fixumol 5cm x 5m roll
149 Folley Catheter no 20 pcs
150 Folley Catheter no 18 pcs
151 Enervon C Tablet
152 Fresco 5 lt
153 Katopril 50 mg Tablet
154 Piroksikam 10mg Tablet 400
155 Borraginol- N Supp
156 Ampicillin Inj Amp
157 Klindamicin hcl 150mg Kapsul 250
158 Amoxicillin 100mg/ml drop
159 fixation nonwovem 5x10 Roll
160 paper tabe Roll
161 Febrinex Sirup
162 Euthyrox 100mcg (Lovothyroxine Sodium) kaplet
163 Phenytoin Sodium 100mg Kapsul
164 Metronidazol suspensi Suspensi 12
165 ABU ( Anti Bisa Ular ) Amp
166 ATS ( Anti Tetanus ) Amp
167 Metoclopramide 5mg
168 lexagin (Metamizole Sodium) 500mg 600

Apoteker penanggung Jawab Apotek, Mengetahui

Kepala puskesmas perawatan Kembang seri

Hj. Mahdalena, SKM

Nip. Nip. 19650325 198703 2 002
 DATA PERSEDIAAN OBAT PUSKESMAS
NAMA PUSKESMAS : PUSKESMAS KEMBANG SERI
KODE PUSKESMAS : P1709010101
PERIODE : TRW II ( APRIL-JUNI ) 2021
KECAMATAN : TALANG EMPAT
KABUPATEN : BENGKULU TENGAH

NO NAMA OBAT SATUAN SISA STOK TOTAL (HASIL

KAMAR OBAT / STOK OPNAM )
APOTIK PKM
1 2 3 4 5
I. OBAT - OBATAN
Act (Artesunate tablet 50mg +Amodiaquine
1 tablet
anhydrida tablet 200 mg)
2 Acyclovir Tablet 200mg tablet
3 Acyclovir Cream 5 % tube 22
4 Allopurinol tablet 100mg tablet 400
5 Allopurinol tablet 300mg tablet 120
6 Ambroksol sirup 15mg/ml botol 60ml 38
7 Ambroksol 30mg tablet 350
8 Aminofilin injeksi 24mg/ml - 10ml ampul
9 Aminofilin tablet 200mg tablet
10 Amilodipine 10mg tablet 210
11 Amilodipine 5mg tablet 600
12 Amoxicilin kapsul 500mg kapsul 400
13 Amoxicilin kapsul 250mg kaplet 300
14 Amoxicilin sirup kering 125mg/5ml botol 60ml 10
15 Ampisilin kaplet 500mg kapsul
16 Antasida doen tablet kombinasi tablet 300
17 Antibakteri doen salep kombinasi tube 0
Anti malaria DOEN komb pirimetamin 25mg +
18 tablet
sulfadoksin 500mg
19 Antifungi doen kombinasi pot 0
20 Antihemoroid doen kombinasi supp
Antimigren : ergotamina tartart 1mg + kofein
21 tablet
50mg tab komb
22 Aqua proinjeksi steril, bebas pirogen botol 25ml
23 Asam askorbat ( Vit. c ) tablet 50mg tablet 0
24 Asam mefenamat kapsul 500mg tablet 0
25 Acyklovir 400 mg ampul 0
26 Atropin sulfat injeksi 0,25mg/ml - 1ml ampul
Besi II (tablet tambah darah kombinasi)/
27 tablet
(Hemafrot)
28 Betametason krim 0,1% tube 5
29 Bisoprolol tablet
30 Ceitrizine tablet 10 mg tablet 400
31 Deksametason injeksi 5mg/ml - 1ml ampul
32 Deksametason tablet 0,5mg tablet 300
33 Diazepam injeksi 5mg/ml - 1ml ampul
34 Difenhidramin hcl injeksi 10mg/ml - 1ml ampul
35 Digoksina tablet 0,25mg tablet
36 Dimenhidrinate tablet 50mg tablet 100
37 Diazepam 2mg tablet
38 Diazepam 5mg tablet
39 Domperidon suspensi 5mg / 5ml botol 60ml 0
40 Domperidon tablet 10mg tablet 200
41 Efedrina hcl ( efedrina ) tablet 25mg tablet
42 Ekstraks belladon tablet 10mg tablet
43 Epinefrin hcl / bitartrat injeksi 0,1% - 1ml ampul
44 Eritromysin 500mg kapsul kapsul 0
45 Etakridina ( rivanol ) larutan 0,1% botol 100ml
46 Famotidin Tablet 40 mg tablet
47 Fenilbutason Tablet 200 mg ampul
48 Fenobarbital tablet 30mg tablet
49 Fenol gliserol tetes telinga 10% botol 5ml 6
50 Fitomedion injeksi 10mg/ml - 1ml ampul
51 Fitomedion tablet salut 10mg tablet
52 Furossemida tablet 40mg tablet 0
53 Gameksan emulsi 1% botol 100ml
54 Garam oralit untuk 200ml air sach 70
55 Gentamisin injeksi 2 mg/ml ampul
56 Gentamisin salp kulit 0,1% ( Genalten cream) tube 0
57 Gentamisin sulfat tetes mata 0,3% botol 5ml 6
58 Gentian violet larutan 1% botol 10ml 10
59 Gliseril guayakolat tablet 100mg tablet
60 Glukosa larutan infus 10% steril botol 500ml
61 Glukosa larutan infus 40% steril botol 25ml
62 Glukosa larutan infus 5% steril botol 500ml
63 Griseofulvin tablet 125mg tablet
64 Hidrokortison krim 2,5 % tube 10
65 Hidroklorotiazida tablet 25 mg (Hct) tablet 100
66 Hyoscaine N Butilbromide Tablet 10 mg tablet
67 Ibuprofen tablet 200mg tablet 400
68 Ibuprofen tablet 400mg tablet 0
69 Isosorbid dinitrat tablet sublingual 5mg tablet 200
70 Kalsium laklat ( kalk ) tablet 500mg tablet 0
72 Kaptopril 12,5mg tablet 600
73 Kaptopril 25 mg tablet 0
74 Karbamazepin tablet 200mg tablet 0
75 Ketokenazol krim 2% tube 25
76 Ketokenazol tab 200mg tablet 0
77 Ketoprofen inj 100mg ampul
78 Kloramfenikol kapsul 250mg kapsul 300
79 Kloramfenikol salep mata 1% tube 30
80 Kloramfenikol tetes mata 0,5% (Erla ) botol 5ml 0
81 Kloramfenikol tetes telinga 3% ( Colme ) botol 5ml 4
82 Kloraniramina mealeat (CTM) 4mg tablet 300
83 Klorokuin fosfat tablet 250mg tablet
84 Klorpromazin hcl tablet salut 25mg tablet
85 Kodein hcl tablet 30mg tablet
86 Kotrimoksazol dewasa tablet (Omegtrim) tablet 300
87 Kotrimoksazol pediatrik tablet tablet
88 Lansoprazol 30mg tablet
89 Levofloksasin 500mg tablet 0
90 Lidokain Hcl 2% injeksi ampul
91 Loperamid tablet 2mg tablet
92 Mebedanzol sirup 100mg / 5ml botol 60ml 5
93 Mebedanzol tablet 100mg tablet
94 Mebedanzol tablet 500mg tablet
95 Meloksikam tab 15mg tablet
96 Metampiron (antalgin) tablet 500mg tablet
97 Metformin HCl tab 500mg tablet 400
98 Metilergometrin maleat injeksi 0,200mg ampul
99 Metilergometrin tablet 0,125mg tablet
100 Metilprednisolon tablet 4mg tablet 600
101 Metoklopramide tablet 10mg tablet
102 Metronidazol tablet 250mg tablet
103 Metronidazol tablet 500mg tablet 100
104 Mikonazole krim/salp 2% tube 17
105 Natrium bikarbonat tablet 500mg (Na.Bic) tablet
106 Natrium Diklofenak 50mg tablet 150
107 Natrium klorida larutan infus 0,9% (Nacl) botol 500ml
108 Nipedipin tablet 10mg tablet 500
109 Nistatin 500.000iu tablet salut tablet
110 Nistatin 100.000iu/g tablet vaginal tablet 60
111 Obat anti tuberkulosis kategori 1 Paket
112 Obat anti tuberkulosis untuk anak Paket
113 Obat batuk hitam (o.b.h) cairan botol 60ml 1
114 Oksitetrasiklin hcl salep mata tube 33
 115 Oksitetrasiklin hcl injeksi i.m 50mg/ml - 10ml vial
116 Oksitetrasiklin hcl salep 3% tube
117 Oksitosin injeksi 10iu/ml - 1ml ampul
118 Omeprazol kapsul 20mg kapsul 0
119 Papaverin tablet tablet
120 Parasetamol sirup 120mg/5ml botol 60ml 2
121 Parasetamol tablet 500mg tablet 200
122 Parasetamol tablet 100mg tablet
123 Paracetamol drop botol
124 Pilorkarpin hcl/nitrat tetes mata 2% botol 5ml
125 Pirantel suspensi 125mg/5ml botol 60ml
126 Pirantel pamoat tablet 125mg tablet
127 Pridoksin hcl tablet 10mg (Vit. B6) tablet 400
128 Piroksikam tablet 20mg tablet
129 Povidon iodida larutan 10% botol 1000ml
130 Prednison 5mg tablet
131 Primakuin tablet 15mg tablet
132 Prometazine Tablet
133 Propanolol hcl tablet 40mg tablet
134 Propanolol hcl tablet 10mg tablet
135 Propiltiourasil tablet 100mg tablet
136 Ranitidin inj 25mg/2ml ampul
137 Ranitidin tablet 150mg tablet 0
138 Retinol kapsul 100.000iu kapsul
139 Retinol kapsul 200.000iu kapsul
140 Ringer laklat larutan infus steril (RL) botol 500ml
141 Salbutamol tablet 2mg tablet 500
142 Salbutamol tablet 4mg tablet 0
143 Salep 2-4 kombinasi pot
144 Salisil bedak 2% sach 5
145 Sefadroksil kapsul 250mg kapsul
146 Sefadroksil kapsul 500mg kapsul 0
147 Sefadroksil dry syrup125mg/5ml botol 60ml 9
148 Sefiksim kapsul 50mg kapsul 0
149 Sefriakson inj 1mg vial
150 Sianokobalamin injeksi 500mcg/ml (Vit. B12) ampul
151 Simetidin tablet 200mg tablet
152 Simvastatin tablet 10mg tablet 0
153 Siprofloksasin tablet 500mg tablet 150
154 Sefotaksim Tablet 1 gr tablet
155 Sulfasetamid natrium tetes mata 15% botol 5ml
156 Tetrakain hcl tetes mata(pantocain TM) botol 5ml
157 Tetrasiklin hcl kapsul 250mg kapsul
158 Tetrasiklin hcl kapsul 500mg kapsul
159 Tiamfenikol kapsul 500mg kapsul 100
160 Tiamin hcl mononitrat tablet 50mg (Vit. B1) tablet 300
161 Tiamin hcl injeksi 100mg/ml - 1ml ampul
162 Vitamin b komplek tablet tablet 100
163 Zinc tablet dispersible 20mg tablet 100
164 Sulfadiazin tube 0
165 Calporosis tablet
166 Genoint 0,3 % Gentamicin Salep Mata Tube 25
167 Kloramfenikol kapsul 500mg kapsul
II. VAKSIN & SERUM
164 Serum anti bisa ular polivalen injeksi 5ml (abu 1) vial
165 Serum anti tetanus injeksi 1.500iu/ampul ampul
166 Serum anti tetanus injeksi 20.000iu/ampul vial
167 Vaksin rabies vero kuur
168 BCG vial
169 TT 5ml vial
170 HEP. Buniject pcs
171 Polio 10 ds vial
172 Campak vial
173 DPT - HB vial
174 DPT - HB -HIB vial
 175 Td vial
176 Dt vial
III. PENUNJANG VAKSIN
177 Pelarut campak ampul
178 Pelarut BCG vial
179 Pipet polio pcs
180 ADS 0,05ml pcs
181 ADS 0,5ml pcs
182 ADS 5ml pcs
183 Safety box pcs

IV. PERBEKALAN KESEHATAN

184 Alat suntik sekali pakai 1ml pcs
185 Alat suntik sekali pakai 2,5ml / 3ml pcs
186 Alat suntik sekali pakai 5ml pcs
187 Alkohol (etanol) 70% 1000ml botol 1000ml
188 Catgut/benang bedah No. 3/0 cromic pcs
189 Catgut/benang bedah No.3/0 plain pcs
50 Hand scund no 6,5 (M) pcs
190 Hand scund no 7 ( L) pcs
190 Hand scund no ( S ) pcs
190 Infusion set anak pcs
194 Infusion set dewasa Set
195 IV catheter ( abocath ) no.18 pcs
196 IV catheter ( abocath ) no.20 pcs
197 IV catheter ( abocath ) no.22 pcs
198 IV catheter ( abocath ) no.24 pcs
199 Kapas pembalut 250gr pcs
200 Kassa steril 16 x 16cm pcs
201 Kassa hidrofil 18 x 22cm pcs
202 Kassa kompres hidrofil 36 x 80cm pcs
203 Kassa kompres hidrofil 40 x 80cm pcs
204 Kassa pembalut hidrofil 2m x 80cm pcs
205 Kassa pembalut elastis 3 inchi pcs
206 Kassa pembalut elastis 4 inchi pcs
207 Kassa pembalut hidrofil 4 x 15cm elastis botol 100ml
208 Kassa pembalut hidrofil 4 x 3cm elastis pcs
209 Pembalut gips pcs
210 Plester 5 yard x 2 inch pcs
211 Silk ( benang bedah sutra ) no. 3/0 paket
212 Wings needle no.21G pcs
213 Wings needle no.23G pcs
214 Wings needle no.25G pcs
215 Leukoplast 2,5 cm x 4,5 m roll
216 Alkohol 70 % 300 ml
217 Plaster 1,25 x 4,5m roll
218 Plaster 5,0 x 4,5m roll
V. OBAT GIGI
219 Devitalisasi pasta kotak
220 Etil klorida semprot botol 100ml
221 Eugenol cairan botol 25ml
222 Glass ionomer cement set
223 Iodoform pasta kotak
224 Kalsium hidroksida pasta tube
225 Monoklorkamfer mentol cairan botol 100ml
226 Semen seng fosfat serbuk dan cairan set
227 Temporary stopping fletcher serbuk dan cairan set