TANGGAL

Acyclovir tab 200 mg

Acyclovir tab 400 mg

JUMLAH
NO NAMA PASIEN DIAGNOSA ITEM

Acyclofir salep
OBAT

Ambroxol srp

Ambroxol tab
Alkohol swab

Allopurinol
1 2 3 4 5 6 7
03.06.21 1 Rida Dermatitis 2
2 Slamet Muji Batuk 2 8
3 Wahyudi Febris 2
4 Lis Himatur Artritis 3
5 Ulin Batuk 2 8
11 0 0 0 0 0 0 16
10.06.21
6 Lina Pharingitis 3
7 Palal Febris 3
8 Yayuk Stomatitis 3
9 Tin Warotul Dermatitis 3
10 Indah Febris 3
15 0 0 0 0 0 0 0
17.06.21
11 Tamami HT 3
12 Tutur Pharingitis 3
13 Siti M. Influenza 3
14 Inayah Myalgia 3
15 Hudi Gastritis 3
16 Dulwahid Artritis 3
18 0 0 0 0 0 0 0
24.06.21
17 Ismatutik HT 3
18 sudarnasih HT 3
19 Kasti HT 3
20 Nurfatonah HT 3
21 Rubi HT 3
22 Safaatun Pharingitis 4
23 Retno W. Artritis 3
22 0 0 0 0 0 0 0
 Aminofilin

0
0
0
0
Amlodipin 10 mg

0
0
0
0
Amlodipin 5 mg

10

0
0
0
0
Amoxycillin

11

10
10
30
10
10
10
10
10

0
Amoxycillin 125 mg sirup

12

0
0
0
0
Amoxycillin 250 mg sirup

13

0
0
0
0
14 Antalgin

0
0
0
0
Antasid
15

10
10

0
0
0
Antasid srp
16

0
0
0
0
Anti Hemoroid supp
17

0
0
0
0
Anti migren
18

0
0
0
0

Asam folat
19

0
0
0
0

Asam mefanat
20

36
6
6
6
6
6
6
6
6
6
0
6
6

Atropin inj
21

0
0
0
0

ATS
22

0
0
0
0
23

0
0
0
0

Bacitracin Salp
Betahistin
24

0
0
0
0

Betametasone salep
25

0
0
0
0

BicNat
26

0
0
0
0
 Bisacodryl

27

0
0
0
0
Calcium lactat

28

0
0
0
0
Captopril 12.5 mg

29

50
10
10
10
10
10
10

0
0
0
Captopril 25 mg

30

0
0
0
0
Cefadroxil

31

0
0
0
0
32

0
0
0
0
Cefadroxil Syr
33 Ceterezin

0
0
0
0
Chloram SM
34

0
0
0
0
Chloram TM
35

0
0
0
0
chlorpromazine
36

0
0
0
0
Cimetidin
37

0
0
0
0

Ciprofloxacin
38

0
0
0
0

Clindamycin
39

0
0
0
0
40

0
0
0
0

Corsaneuron
Ctm
41

6
6
8
8
6
6
0

Demesilk
42

0
0
0
0

Dexamethasone
43

6
6
0
12
6
6
6
6

Dexamethasone inj
44

0
0
0
0
45

0
0
0
0

Diazepam 10 mg/stesolid RT
 46

0
0
0
0
Diazepam 2mg

47

0
0
0
0
Diazepam 5 mg / stesolid RT

48

0
0
0
0
Digoxin

49

0
0
0
0
Diltiazem

50

0
0
0
0
Dimenhydrinate
Domperindon tab

51

0
0
0
0
52

0
0
0
0
Dulcolax 5 mg
53

0
0
0
0
Efedrin HCl
54

0
0
0
0
Eprinipin inj
Ergotamin
55

0
0
0
0
56

0
0
0
0

Erytromycin syr
57

0
0
0
0

Erytromycin tab 250mg

58

10
10
0
0
8
8

Erytromycin tab 500mg

Euthyrox
59

0
0
0
0

Farmafix
60

0
0
0
0
61

0
0
0
0

Fenomenadion 10mg tab

62

0
0
0
0

Furosemide
63

0
0
0
0

Garam oralit
64

0
0
0
0

Gemfribrosil
 65

0
0
0
0
Genalten/ Genoint SK

66

0
0
0
0
GG

67

0
0
0
0
Glucodex

68

0
0
0
0
Griceovulvin 125 mg

69

0
0
0
0
Haloperidol
Handscun steril no 6,5

70

0
0
0
0
71 Handscun steril no 7

0
0
0
0
72

0
0
0
0
HCT
73

0
0
0
0
Hidrocortisone
74

0
0
0
0 Ibuprofen Syr
75

0
0
0
0

Ibuprofen tab
Iodin 60 ml
76

0
0
0
0

Isoniasid 100 mg
77

0
0
0
0
78

0
0
0
0

Isoniasid 300mg
79

0
0
0
0

isosorbide dinitrate
Iv cateter 22
80

0
0
0
0

Kapas gulung
81

0
0
0
0
82

0
0
0
0

Karbamazepin 200 mg
Kassa 4 x 10
83

0
0
0
0
 Kassa steril 16 x16

84

0
0
0
0
85

0
0
0
0
Ketoconazole SK

86

0
0
0
0
Ketoconazole tab

87

10
10
10
10

0
0
Kloram 250 mg

88

0
0
0
0
KLORAM 500MG

89

0
0
0
0
Kloram salep kulit
90

0
0
0
0
Kotrimoxazole D
91

0
0
0
0
Kotrimoxazole Susp
92

0
0
0
0
Lidocain
Lisol
93

0
0
0
0
94

0
0
0
0

Loratadin
Masker bedah
95

0
0
0
0

Meloxicam
96

0
0
0
0
97

0
0
0
0

Metformin
98

0
0
0
0

Methyl ergometrin tab

0
0
0
0

Metilprednisolon
Metromedasol

0
0
10
10
0

0
0
0
0

MGSO4
99 100 101 102

0
0
0
0

Miconasol slp
 Miniaspi

0
0
0
0
Multivitamin Srp

0
0
0
0

0
0
0
0
Na/ ka/ potasium Diclofenac
Nacl

0
0
0
0

0
0
0
0
New diform/new antides

0
0
0
0
Nifedipine
Nistatin vag

0
0
0
0
Novadiar srp

0
0
0
0
OBH

0
0
0
0
Oksitetracyclin SM

0
0
0
0
Omeprazol

0
0
0
0

Ondansetron

0
0
0
0

Oxitosin inj

0
0
0
0

Paracetamol Syrup

0
0
0
0

Paracetamol Tab

0
24
6
6
6
6
24
6
6
6
6
8
8

Phenobarbital inj

0
0
0
0

Phenobarbital tab

0
0
0
0

Phenol glycerol tt

0
0
0
0

Piracetam 800 mg
103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121

0
0
0
0
 Piroxicam

0
0
0
0
Ponflu / Lodecon

0
0
0
0
Ponflu srp

0
0
0
0
Prednison

0
0
0
0
Ranitidin

0
0
0
0
Rifampicin

0
0
0
0
Ringer laktat

0
0
0
0
Salbutamol 4 MG

0
0
0
0
Salep 24

0
0
0
0
Salep Antifungi

0
0
0
0
Salicyl Talk

0
0
0
0

Scabimite

0
0
0
0

Sikzonoate Injeksi

0
0
0
0

Simvastatin

0
0
0
0

Spuit 1 cc

0
0
0
0

Spuit 20 cc

0
0
0
0

Spuit 3 cc

0
0
0
0

Stesolid rt 10 mg

0
0
0
0

Stesolid rt 5 mg
122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140

0
0
0
0
 Suprafenid

0
0
0
0
Suprafenid sub

0
0
0
0
Tambah darah

0
0
0
0
Tetes telinga

0
0
0
0
Tetra 500 mg

0
0
0
0
Tetracycline 250 mg

0
0
0
0
Thiampenicol

0
0
0
0

0
0
0
0
Trihexphenidyl hidrochoride
Trufid

0
0
0
0
Umbilikal klem

0
0
0
0
Under pad

0
0
0
0

Ventolin Nebulizer

0
0
0
0

0
0
0
0

Vit b12
Vit A

0
0
0
0

Vit B1

36
6
6
6
6
6
6
12
6
6
10
0
6
6

Vit B6

18

0
6
6
6
0
0

Vit bc

6
6
8
8
8
8
6
6

Vit C

10
10
10
10
20
10
10
6
6

Vit K injeksi
141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159

0
0
0
0
 Water injeksi

0
0
0
0
Zink

160 161

0
0
0
0
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
1 Acyclofir salep tube 0 0
2 Acyclovir tab 200 mg TABLET 0 0
3 Acyclovir tab 400 mg tablet 0 0
4 Alkohol swab pcs 0 0
5 Allopurinol tablet 0 0
6 Ambroxol srp botol 0 0
7 Ambroxol tab tablet 16 0
8 Aminofilin tablet 0 0
9 Amlodipin 10 mg tablet 0 0
10 Amlodipin 5 mg tablet 0 0
11 Amoxycillin tablet 10 30
12 Amoxycillin 125 mg sirup botol 0 0
13 Amoxycillin 250 mg sirup botol 0 0
14 Antalgin tablet 0 0
15 Antasid tablet 0 0
16 Antasid srp botol 0 0
17 Anti Hemoroid supp 0 0
18 Anti migren tablet 0 0
19 Asam folat tablet 0 0
20 Asam mefanat tablet 6 0
21 Atropin inj ampul 0 0
22 ATS ampul 0 0
23 Bacitracin Salp tube 0 0
24 Betahistin tablet 0 0
25 Betametasone salep tube 0 0
26 BicNat tablet 0 0
27 Bisacodryl tablet 0 0
28 Calcium lactat tablet 0 0
29 Captopril 12.5 mg tablet 0 0
30 Captopril 25 mg tablet 0 0
31 Cefadroxil kapsul 0 0
32 Cefadroxil Syr botol 0 0
33 Ceterezin tablet 0 0
34 Chloram SM tube 0 0
35 Chloram TM botol 0 0
36 chlorpromazine tablet 0 0
37 Cimetidin tablet 0 0
38 Ciprofloxacin tablet 0 0
39 Clindamycin kapsul 0 0
40 Corsaneuron tablet 0 0
41 Ctm tablet 0 0
42 Demesilk pcs 0 0
43 Dexamethasone tablet 6 12
44 Dexamethasone inj ampul 0
45 Diazepam 10 mg/stesolid RT 0 0
46 Diazepam 2mg tablet 0 0
47 Diazepam 5 mg / stesolid RT 0 0
48 Digoxin tablet 0 0
49 Diltiazem tablet 0 0
50 Dimenhydrinate tablet 0 0
51 Domperindon tab tablet 0 0
52 Dulcolax 5 mg 0 0
53 Efedrin HCl 0 0
54 Eprinipin inj ampul 0 0
55 Ergotamin tablet 0 0
56 Erytromycin syr botol 0 0
57 Erytromycin tab 250mg kapsul 0 0
58 Erytromycin tab 500mg tablet 8 0
59 Euthyrox 0 0
60 Farmafix pcs 0 0
61 Fenomenadion 10mg tab tablet 0 0
62 Furosemide tablet 0 0
63 Garam oralit pcs 0 0
64 Gemfribrosil tablet 0 0
65 Genalten/ Genoint SK tube 0 0
66 GG tablet 0 0
67 Glucodex tablet 0 0
68 Griceovulvin 125 mg tablet 0 0
69 Haloperidol tablet 0 0
70 Handscun steril no 6,5 pairs 0 0
71 Handscun steril no 7 pairs 0 0
72 HCT tablet 0 0
73 Hidrocortisone tube 0 0
74 Ibuprofen Syr botol 0 0
75 Ibuprofen tab tablet 0 0
76 Iodin 60 ml botol 0 0
77 Isoniasid 100 mg tablet 0 0
78 Isoniasid 300mg tablet 0 0
79 isosorbide dinitrate tablet 0 0
80 Iv cateter 22 pcs 0 0
81 Kapas gulung pcs 0 0
82 Karbamazepin 200 mg tablet 0 0
83 Kassa 4 x 10 pcs 0 0
84 Kassa steril 16 x16 box 0 0
85 Ketoconazole SK tube 0 0
86 Ketoconazole tab tablet 0 0
87 Kloram 250 mg kapsul 10 10
88 KLORAM 500MG kapsul 0 0
89 Kloram salep kulit tube 0 0
90 Kotrimoxazole D tablet 0 0
91 Kotrimoxazole Susp botol 0 0
92 Lidocain ampul 0 0
93 Lisol botol 0 0
94 Loratadin tablet 0 0
95 Masker bedah pcs 0 0
96 Meloxicam tablet 0 0
97 Metformin tablet 0 0
98 Methyl ergometrin tab tablet 0 0
99 Metilprednisolon tablet 0 0
100 Metromedasol tablet 0 10
101 MGSO4 0 0
102 Miconasol slp tube 0 0
103 Miniaspi tablet 0 0
104 Multivitamin Srp botol 0 0
105 Na/ ka/ potasium Diclofenac tablet 0 0
106 Nacl botol 0 0
107 New diform/new antides tablet 0 0
108 Nifedipine tablet 0 0
109 Nistatin vag 0 0
110 Novadiar srp botol 0 0
111 OBH botol 0 0
112 Oksitetracyclin SM tube 0 0
113 Omeprazol kapsul 0 0
114 Ondansetron tablet 0 0
115 Oxitosin inj ampul 0 0
116 Paracetamol Syrup botol 0 0
117 Paracetamol Tab tablet 8 24
118 Phenobarbital inj ampul 0 0
119 Phenobarbital tab tablet 0 0
120 Phenol glycerol tt botol 0 0
121 Piracetam 800 mg kapsul 0 0
122 Piroxicam tablet 0 0
123 Ponflu / Lodecon tablet 0 0
124 Ponflu srp botol 0 0
125 Prednison tablet 0 0
126 Ranitidin tablet 0 0
127 Rifampicin tablet 0 0
128 Ringer laktat botol 0 0
129 Salbutamol 4 MG tablet 0 0
130 Salep 24 0 0
131 Salep Antifungi 0 0
132 Salicyl Talk 0 0
133 Scabimite tube 0 0
134 Sikzonoate Injeksi ampul 0 0
135 Simvastatin tablet 0 0
136 Spuit 1 cc pcs 0 0
137 Spuit 20 cc pcs 0 0
138 Spuit 3 cc pcs 0 0
139 Stesolid rt 10 mg 0 0
140 Stesolid rt 5 mg 0 0
141 Suprafenid 0 0
142 Suprafenid sub 0 0
143 Tambah darah tablet 0 0
144 Tetes telinga botol 0 0
145 Tetra 500 mg kapsul 0 0
146 Tetracycline 250 mg kapsul 0 0
147 Thiampenicol kapsul 0 0
148 Trihexphenidyl hidrochoride tablet 0 0
149 Trufid botol 0 0
150 Umbilikal klem pcs 0 0
151 Under pad pcs 0 0
152 Ventolin Nebulizer 0 0
153 Vit b12 tablet 0 0
154 Vit A kapsul 0 0
155 Vit B1 tablet 6 0
156 Vit B6 tablet 0 0
157 Vit bc tablet 6 0
158 Vit C tablet 6 28
159 Vit K injeksi ampul 0 0
160 Water injeksi botol 0 0
161 Zink tablet 0 0
0
 TANGGAL
JUMLAH
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 16
0 0 0
0 0 0
0 0 0
10 0 50
0 0 0
0 0 0
0 0 0
10 0 10
0 0 0
0 0 0
0 0 0
0 0 0
6 36 48
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 50 50
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
8 6 14
0 0 0
0 6 24
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 0
0 0 0
0 10 18
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 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 0 0
0 0 0
0 0 0
0 0 20
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 10
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 0
0 0 0
0 0 0
0 0 0
24 0 56
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 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 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
12 36 54
18 0 18
8 6 20
10 10 54
0 0 0
0 0 0
0 0 0
 STOK PENERIMAA JUMLAH PEMAKAI
NO NAMA OBAT SATUAN
AWAL N STOK AN
1 Acyclofir salep tube
2 Acyclovir tab 200 mg TABLET
3 Acyclovir tab 400 mg tablet
4 Alkohol swab pcs
5 Allopurinol tablet
6 Ambroxol srp botol
7 Ambroxol tab tablet 170 170 16
8 Aminofilin tablet
9 Amlodipin 10 mg tablet
10 Amlodipin 5 mg tablet
11 Amoxycillin tablet 300 300 50
12 Amoxycillin 125 mg sirup botol
13 Amoxycillin 250 mg sirup botol
14 Antalgin tablet
15 Antasid tablet 264 264 10
16 Antasid srp botol
17 Anti Hemoroid supp
18 Anti migren tablet
19 Asam folat tablet
20 Asam mefanat tablet 200 200 48
21 Atropin inj ampul
22 ATS ampul
23 Bacitracin Salp tube
24 Betahistin tablet
25 Betametasone salep tube
26 BicNat tablet
27 Bisacodryl tablet
28 Calcium lactat tablet
29 Captopril 12.5 mg tablet 182 182 50
30 Captopril 25 mg tablet
31 Cefadroxil kapsul
32 Cefadroxil Syr botol
33 Ceterezin tablet
34 Chloram SM tube
35 Chloram TM botol
36 chlorpromazine tablet
37 Cimetidin tablet
38 Ciprofloxacin tablet
39 Clindamycin kapsul
40 Corsaneuron tablet
41 Ctm tablet 266 266 14
42 Demesilk pcs
43 Dexamethasone tablet 288 288 24
44 Dexamethasone inj ampul
45 Diazepam 10 mg/stesolid RT
46 Diazepam 2mg tablet
47 Diazepam 5 mg / stesolid RT
48 Digoxin tablet
49 Diltiazem tablet
50 Dimenhydrinate tablet 100 100 0
51 Domperindon tab tablet
52 Dulcolax 5 mg
53 Efedrin HCl
54 Eprinipin inj ampul
55 Ergotamin tablet
56 Erytromycin syr botol
57 Erytromycin tab 250mg kapsul
58 Erytromycin tab 500mg tablet 200 200 18
59 Euthyrox
60 Farmafix pcs
61 Fenomenadion 10mg tab tablet
62 Furosemide tablet
63 Garam oralit pcs
64 Gemfribrosil tablet
65 Genalten/ Genoint SK tube
66 GG tablet 200 200 0
67 Glucodex tablet
68 Griceovulvin 125 mg tablet
69 Haloperidol tablet
70 Handscun steril no 6,5 pairs
71 Handscun steril no 7 pairs
72 HCT tablet
73 Hidrocortisone tube
74 Ibuprofen Syr botol
75 Ibuprofen tab tablet
76 Iodin 60 ml botol
77 Isoniasid 100 mg tablet
78 Isoniasid 300mg tablet
79 isosorbide dinitrate tablet
80 Iv cateter 22 pcs
81 Kapas gulung pcs
82 Karbamazepin 200 mg tablet
83 Kassa 4 x 10 pcs
84 Kassa steril 16 x16 box
85 Ketoconazole SK tube
86 Ketoconazole tab tablet
87 Kloram 250 mg kapsul 100 100 20
88 KLORAM 500MG kapsul
89 Kloram salep kulit tube
90 Kotrimoxazole D tablet
91 Kotrimoxazole Susp botol
92 Lidocain ampul
93 Lisol botol
94 Loratadin tablet
95 Masker bedah pcs
96 Meloxicam tablet
97 Metformin tablet
98 Methyl ergometrin tab tablet
99 Metilprednisolon tablet
100 Metromedasol tablet 100 100 10
101 MGSO4
102 Miconasol slp tube
103 Miniaspi tablet
104 Multivitamin Srp botol
105 Na/ ka/ potasium Diclofenac tablet
106 Nacl botol
107 New diform/new antides tablet 100 100 0
108 Nifedipine tablet 18 18 0
109 Nistatin vag
110 Novadiar srp botol
111 OBH botol 10 10 0
112 Oksitetracyclin SM tube
113 Omeprazol kapsul 30 30 0
114 Ondansetron tablet
115 Oxitosin inj ampul
116 Paracetamol Syrup botol 9 9 0
117 Paracetamol Tab tablet 106 106 56
118 Phenobarbital inj ampul
119 Phenobarbital tab tablet
120 Phenol glycerol tt botol
121 Piracetam 800 mg kapsul
122 Piroxicam tablet
123 Ponflu / Lodecon tablet
124 Ponflu srp botol
125 Prednison tablet
126 Ranitidin tablet
127 Rifampicin tablet
128 Ringer laktat botol
129 Salbutamol 4 MG tablet
130 Salep 24
131 Salep Antifungi
132 Salicyl Talk
133 Scabimite tube
134 Sikzonoate Injeksi ampul
135 Simvastatin tablet
136 Spuit 1 cc pcs
137 Spuit 20 cc pcs
138 Spuit 3 cc pcs
139 Stesolid rt 10 mg
140 Stesolid rt 5 mg
141 Suprafenid
142 Suprafenid sub
143 Tambah darah tablet
144 Tetes telinga botol
145 Tetra 500 mg kapsul
146 Tetracycline 250 mg kapsul
147 Thiampenicol kapsul
148 Trihexphenidyl hidrochoride tablet
149 Trufid botol
150 Umbilikal klem pcs
151 Under pad pcs
152 Ventolin Nebulizer
153 Vit b12 tablet
154 Vit A kapsul
155 Vit B1 tablet 294 294 54
156 Vit B6 tablet 88 88 18
157 Vit bc tablet 82 82 20
158 Vit C tablet 252 252 54
159 Vit K injeksi ampul
160 Water injeksi botol
161 Zink tablet
 SISA
STOK

154

250

254

152

132

252

264
100

182

200

80
90

100
18

10

30

9
50
240
70
62
198