LAPORAN PEMAKA

KOTA :
PUSKESMAS :

NO NAMA OBAT KELAS TERAPI

1 Mefinal capsul 250 mg 1-ANALGESIK NON NARKOTIK (F)
2 Farsifen caplet 200 mg 1-ANALGESIK NON NARKOTIK (F)
3 Arcoxia tab 60 mg 1-ANALGESIK NON NARKOTIK (F)
4 Nazovel suppo100 mg 1-ANALGESIK NON NARKOTIK (F)
5 Alergine tab 10 mg 3-ANTIALERGI (F)
6 Cortidex inj 5 mg/mL 3-ANTIALERGI (F)
7 Alloris tab 10 mg 3-ANTIALERGI (F)
8 Capritazin oral drops 10 mg/mL 3-ANTIALERGI (F)
9 Bamgetol tab 200 mg 5- ANTIEPILEPSI - ANTIKONVULSI (F)
10 Lamiros tab 50 mg 5- ANTIEPILEPSI - ANTIKONVULSI (F)
11 Antilep tab 500 mg 5- ANTIEPILEPSI - ANTIKONVULSI (F)
12 Dilantin SR cap 100 mg 5- ANTIEPILEPSI - ANTIKONVULSI (F)
13 Viccillin inj 250 mg 6- ANTIBAKTERI (F)
14 Amoxsan cap 250 mg 6- ANTIBAKTERI (F)
15 Amoxsan Paed oral drops 100 mg/mL 6- ANTIBAKTERI (F)
16 Cefat cap 250 mg 6- ANTIBAKTERI (F)
17 Capribose tab 50 mg 16-ANTIDIABETES (F)
18 Renabetic tab 5 mg 16-ANTIDIABETES (F)
19 Glucodex tab 80 mg 16-ANTIDIABETES (F)
20 Amadiab caplet 1 mg 16-ANTIDIABETES (F)
21 Santibi tab 500 mg 6-ANTITUBERCULOSIS (F)
22 Sanazet tab 500 mg 6-ANTITUBERCULOSIS (F)
23 Rifamtibi FC caplet 450 mg 6-ANTITUBERCULOSIS (F)
24 Streptomycin Sulphate Meiji powd for inj 1 g 6-ANTITUBERCULOSIS (F)
25 Tiaryt tab 200 mg 17-ANTIARITMIA (F)
26 Fargoxin tab 0.25 mg 17-ANTIARITMIA (F)
27 Farmadral film-coated tab 10 mg 17-ANTIARITMIA (F)
28 Amcor tab 10 mg 17-ANTIHIPERTENSI (F)
29 Farnormin tab 50 mg 17-ANTIHIPERTENSI (F)
30 Farmoten tab 12.5 mg 17-ANTIHIPERTENSI (F)
31 Pronalges inj 50 mg/mL 1-ANALGESIK NON NARKOTIK (NF)
32 Farpain tab 10 mg 1-ANALGESIK NON NARKOTIK (NF)
33 Amtocort Tablet tab 4 mg 3-ANTIALERGI (NF)
34 Bestalin tab 25 mg 3-ANTIALERGI (NF)
35 Aprion cap 75 mg 5- ANTIEPILEPSI - ANTIKONVULSI (NF)
36 Cefim powd for inj 1 g 6- ANTIBAKTERI (NF)
37 Meixam cap 500 mg 6- ANTIBAKTERI (NF)
38 Meixam powd for inj 1 g 6- ANTIBAKTERI (NF)
39 Galvus tab 50 mg 16-ANTIDIABETES (NF)
40 Trajenta tab 5 mg 16-ANTIDIABETES (NF)

1 Masker
2 Sarung tangan (Hand gloves)
3 Kapas
4 Alkohol 70%
5 Kasa Steril 16 x 16
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK STOK OPTIMUM
Kapsul 100 1100 1200 1000 200 1520
Kaplet 150 1000 1150 950 200 1444
Tablet 40 360 400 380 20 577.6
Suppositoria 10 150 160 151 9 229.52
Tablet 5 250 255 230 25 349.6
Vial 2 90 92 88 4 133.76
Tablet 50 300 350 325 25 494
Drops 2 80 82 79 3 120.08
Tablet 50 330 380 350 30 532
Tablet 40 330 370 350 20 532
Tablet 30 330 360 350 10 532
Kapsul 20 200 220 190 30 288.8
Vial 5 300 305 290 15 440.8
Kapsul 10 200 210 185 25 281.2
Drops 5 100 105 101 4 153.52
Kapsul 20 300 320 305 15 463.6
Tablet 10 250 260 210 50 319.2
Tablet 5 400 405 395 10 600.4
Tablet 10 400 410 401 9 609.52
Kaplet 10 350 360 250 110 380
Tablet 10 400 410 330 80 501.6
Tablet 30 300 330 290 40 440.8
Kaplet 20 300 320 300 20 456
Powder 2 300 302 295 7 448.4
Tablet 5 270 275 250 25 380
Tablet 50 400 450 400 50 608
Tablet 10 400 410 350 60 532
Tablet 5 150 155 140 15 212.8
Tablet 10 400 410 340 70 516.8
Tablet 5 600 605 580 25 881.6
Vial 5 150 155 145 10 220.4
Tablet 5 200 205 190 15 288.8
Tablet 50 200 250 230 20 349.6
Tablet 20 200 220 200 20 304
Kapsul 2 50 52 43 9 65.36
Powder 3 50 53 52 1 79.04
 Kapsul 10 300 310 280 30 425.6
Powder 3 100 103 98 5 148.96
Tablet 3 56 59 52 7 79.04
Tablet 2 30 32 29 3 44.08

Pcs 55 100 155 150 5 228

Pcs 60 100 160 90 70 136.8
Gulung / 250 gr 15 60 75 40 35 60.8
Botol 100 ml 12 20 32 15 17 22.8
Box 24 30 54 45 9 68.4
 PELAPORAN BULAN : JULI 2021
PERMINTAAN BULAN : AGUSTUS 2021

PERMINTAAN PEMBERIAN NO BATCH ED

1520 1600 TREN8 6/1/2022
1444 1500 OPIU8 5/1/2022
578 630 OKLP9 4/1/2022
230 230 ZXC5 5/1/2022
350 350 KPLO9 6/1/2022
134 130 RTEW3 7/1/2022
494 500 SE45 8/1/2022
120 120 WERS4 9/1/2022
532 500 WERQ2 10/1/2022
532 540 QWR0 11/1/2022
532 540 AQER 12/1/2022
289 300 QW34 1/1/2023
440 440 WETH 2/1/2023
281 300 BHGR6 3/1/2023
154 154 WET6 4/1/2023
464 500 QOL9 5/1/2023
320 300 23DE 6/1/2023
600 600 MNH7 7/1/2023
610 600 QWER4 8/1/2023
380 400 KL98 9/1/2023
502 500 PLKI8 10/1/2023
440 450 LMOP 11/1/2023
456 500 LKMN0 12/1/2023
449 500 ZTH67 1/1/2024
380 390 OP09 2/1/2024
608 600 POI9 3/1/2024
532 500 KL089 4/1/2024
213 200 OP987 5/1/2024
517 500 CVB8 6/1/2024
882 900 LGVF4 7/1/2024
220 220 HJML 12/1/2023
290 300 YSBK 1/1/2024
350 350 USKL 2/1/2023
304 300 TCQW 3/1/2023
65 70 UCEP 4/1/2023
80 80 ITWE 5/1/2023
425 400 OMCW 7/1/2023
149 200 PLWV 8/1/2023
80 84 TRWL 9/1/2023
45 60 POWC 4/1/2023

228 250 BGFD8 7/1/2024

137 150 WEAH 8/1/2024
61 61 MNB7 9/1/2024
23 23 WEM6 10/1/2024
69 120 QSL9 11/1/2024