KEPOLISIAN NEGARA REPUBLIK INDONESIA

DAERAH SULAWESI BARAT

RESOR KOTA MAMUJU
Jalan K.S. Tubun No.46 Mamuju 91511

LAPORAN PEMAKAIAN OBAT / ALKES HABIS PAKAI

BULAN MARET 2022

NO NAMA BARANG SATUAN STOK PAKAI SISA KET

A ANTIBIOTIK
1 ACYCLOPIR tube 240 26 214
2 CEFADROXIL SYR 250mg botol 3 2 1
3 CEFADROXIL 500MG tablet 150 60 90
4 AMOXICILIN 500 tablet 460 120 340
5 CIPROFLOXACINE tablet 270 80 190
6 COTRIMOXAZOLE 480MG tablet 70 20 50
7 ASIKLOFIR 400mg tablet 0 0 0
8 METRONIDAZONE 500mg tablet 70 30 40
9 AMOXICILIN 125 MG Botol 1 1 0
10 KOTRIMOXAZOLE SUSP Botol 2 1 1
11 KLORAMFENIKOL 500MG tablet 150 10 140
12 THIAMFENICOL tablet 70 10 60
13 KETAKONAZOLE 200MG tablet 170 50 120
14 CLINDAMISIN 300MG tablet 90 20 70

B ANALGESIK/ANTI PYRETIK
15 PARASETAMOL SYR botol 4 1 3
16 PARASETAMOL 500mg tablet 220 60 160
17 IBUPROFEN 400 mg tablet 130 20 110
18 ASAM MEFENAMAT 500mg tablet 170 60 110
19 PIROXICAM 20 mg tablet 150 20 130
20 NATRIUM DIKLOFENAK 50 mg tablet 140 30 110
21 ALLOPURINOL 100MG tablet 420 60 360
22 ALLOPURINOL 300mg tablet 470 10 460
23 SCOPMA PLUS tablet 0 0 0
24 MELOXICAM 15MG tablet 70 10 60
25 ITAMOL SYR botol 0 0 0
26 AMBEVEN tablet 230 40 190
27 IBUPROFEN SYR 100MG/5 ML Botol 7 2 5
28 COUNTERPAIN Tube 0 0 0

C ANTI DIARE / MUNTAH

29 LOPERAMID 2mg tablet 70 10 60
30 NEW DIATABS tablet 0 0 0
31 BIORALIT/GARAM ORALIT sachet 0 0 0
32 DOMPERIDONE tablet 180 30 150
33 DOMPERIDONE SYR botol 19 2 17
34 ZINK SYR 20MG/5ML Botol 4 1 3
35 ZINK DISPERSIBLE 20MG Tablet 70 20 50
36 METOKLOPRAMIDE 10MG Tablet 90 10 80
37 METOKLOPRAMIDE SYR Botol 16 2 14
38 MOLAGIT Tablet 270 20 250
39 METOKLOPRAMID Injeksi Vial 10 1 9
40 METAMPIRON Injeksi Vial 4 1 3

D VITAMIN
41 SELCOM C Tablet 0 0 0
42 VITAMIN C tablet 0 0 0
43 VIT B COM tablet 0 0 0
44 VIT B 12 tablet 0 0 0
45 VIT B6 tablet 0 0 0
46 SANGOBION tablet 0 0 0
47 NEUROSANBE 5000 tablet 0 0 0
48 NEUROSANBE INJEKSI VIAL 0 0 0
49 HORVITA Tablet 540 190 350

E OBAT BATUK/FLU
50 ALPARA tablet 0 0 0
51 MOLEX FLU tablet 0 0 0
52 AMBROXOL tablet 30 10 20
53 GRANTUSIF tablet 0 0 0
54 AMBROXOL SYR 15 mg tablet 7 1 6
55 PIMTRAKOL SYR tablet 5 1 4
56 UNI BABY COUGH SYR Botol 4 1 3
57 HUFAGRIP/MOLEXFLU SYR botol 9 2 7
58 FLU CADEX Tablet 0 0 0
59 OBH SYR Botol 17 5 12
60 GG Tablet 200 90 110
61 SALBUTAMOL 4MG Tablet 580 70 510
62 DEXTRAL tablet 100 10 90

F OBAT MAAG
63 ANTASIDA SYR botol 17 1 16
64 ANTASIDA/HUFAMAG tablet 150 20 130
65 RANITIDINE tablet 60 10 50
66 OMEPRAZOLE 20mg tablet 30 10 20
67 RANITIDINE Injeksi Vial 10 0 10

G ANTI HISTAMIN
68 ZOLINE tablet 0 0 0
69 CETIRIZINE SYR botol 4 2 2
70 CTM tablet 396 110 286
71 PREDNISON tablet 880 100 780
72 CETIRIZINE 10mg tablet 160 60 100
73 DEXTEM PLUS tablet 0 0 0
74 BETAHISTINE MESILATE tablet 120 10 110
75 DEXAMETASONE injeksi vial 23 0 23 exp
76 GRAFACLOR/BIDAXTAM tablet 120 10 110
77 HISTAPAN tablet 0 0 0
78 DEXAMETHASONE tablet 120 30 90
79 METIL PREDNISOLONE tablet 50 10 40
80 LORATADINE TAB mg tablet 200 20 180
81 INTERHISTIN tablet 0 0 0

H OBAT DM / KOLESTEROL
82 GLIMEPIRIDE 4MG tablet 20 10 10
83 METFORMIN tablet 110 20 90
84 GLIBENCLAMID 5MG Tablet 0 0 0
85 SIMVASTATIN 10 mg tablet 0 0 0

I OBAT HIPERTENSI
86 AMPLODIPINE 5mg tablet 80 20 60
87 AMPLODIPINE 10mg tablet 110 20 90
88 CAPTOPRIL 25 mg tablet 180 10 170
89 CAPTOPRIL 12,5 MG Tablet 60 20 40
90 FASORBID tablet 20 0 20

J LAIN-LAIN
91 STRIP GLUKOSA EASY TOUCH strip 8 2 6
92 STRIP COLESTEROL EASY TOUCH strip 2 1 1
93 STRIP URIC ACID EASY TOUCH strip 0 0 0
94 NESCO STRIP URIC ACID strip 25 5 20
95 NESCO STRIP GLUKOSA strip 20 10 10
96 NESCO STRIP CHOLASTEROL strip 10 0 10
97 BEVALEX CREAM tube 0 0 0
98 MIKONAZOLE 2% SK tube 0 0 0
99 GENTAMICYN SALEP KULIT tube 8 2 6
100 BETAMETASON 0.5mg tube 23 4 19
101 KETACONAZOLE 2% tube 0 0 0
102 HIDROCORTISON SK tube 18 3 15
103 SPOIT 1 cc buah 455 3 452
104 SPOIT 3 cc buah 554 6 548
105 SPOIT 5 cc buah 71 5 66
106 PELESTER ROLL 2 1 1
107 HIFAFIX 10X5M ROLL 5 1 4
108 HIFAFIX 5X5M box 0 0 0
109 ABOCAT 18 PCS 2 0 2
110 ABOCAT 20 PCS 25 2 23
111 ABOCAT 22 PCS 32 0 32
112 ABBOCATH 24 PCS 5 0 5
113 ABBOCATH 26 PCS 10 0 10
114 INSTO TM botol 6 1 5
115 KASA STERIL box 11 3 8
116 INFUS SET buah 4 1 3
117 Nacl kolf 10 0 10
118 VERBAN 10X15 dos 0 0 0
119 RIVANOL 300ML botol 2 0 2
120 THERMOMETER DIGITAL buah 1 0 1
121 ALKOHOL/ETANOL 70% 1L botol 1 1 0
122 RL INFUS kolf 1 0 1
123 DEXTROSE 5% kolf 10 0 10
124 MASKER box 0 0 0
125 HANDSCOEN S BOX 19 4 15
126 HANDSCOEN M box 19 3 16
127 SENSIGLOVES/HANDSCOEN L box 20 0 20
128 CENDO XITROL ED botol 10 0 10
129 TENSI METER buah 0 0 0
130 TIMBANGAN buah 1 0 1
131 CAT GUT CROMIC buah 0 0 0
132 KANTONG JENAZAH buah 0 0 0
133 CHLORA ETHYL botol 0 0 0
134 P3K buah 1 0 1
135 ALKOHOL SWABB box 300 100 200
136 TRANSFUSI SET Pcs 7 0 7
137 POVIDONE IODIUM botol 1 0 1
138 KASA PANJANG 40X80M ROLL 0 0 0
139 KAPAS 250 GRAM ROLL 0 0 0
140 KLORAMFENIKOL 1% SM Tube 0 0 0
141 OXYTETRASIKLIN SM Tube 31 1 30
142 SULRATUL/LOMATULLE box 0 0 0
143 PEHACAIN box 1 0 1
144 LIDOCAIN AMPUL 28 3 25
145 BLOOD LANCET PAK 370 40 330

K ANTELMENTIK
146 PYRANTEL POMOAT Tablet 398 20 378
147 COMBANTRIN SYR Botol 4 1 3

L BHP GIGI
148 BONDING (HEXABOND) botol 0 0 0
149 GIC / FUJI IX botol 0 0 0
150 EEG PASTA ELEFIX pcs 1 0 1
151 LIGHT CURING PASTA ANTER pcs 1 0 1
152 ETSA ( etching gel ) botol 0 0 0
153 EUGENOL botol 1 0 1
154 ROCHLES botol 0 0 0
156 TOOT WAX PIACE box 1 0 1

Mamuju, Maret 2022

KASI DOKKES

JEFRY, S.KEP
IPDA NRP 82010595
 KEPOLISIAN NEGARA REPUBLIK INDONESIA
DAERAH SULAWESI BARAT
RESOR KOTA MAMUJU
Jalan K.S. Tubun No.46 Mamuju 91511

LAPORAN PEMAKAIAN OBAT / ALKES HABIS PAKAI

BULAN MARET 2022

NO NAMA BARANG SATUAN STOK PAKAI SISA KET

A ANTIBIOTIK
1 ACYCLOPIR tube 214 21 193
2 CEFADROXIL SYR 250mg botol 1 1 0
3 CEFADROXIL 500MG tablet 90 30 60
4 AMOXICILIN 500 tablet 340 90 250
5 CIPROFLOXACINE tablet 190 70 120
6 COTRIMOXAZOLE 480MG tablet 50 10 40
7 ASIKLOFIR 400mg tablet 0 0 0
8 METRONIDAZONE 500mg tablet 40 10 30
9 AMOXICILIN 125 MG Botol 0 0 0
10 KOTRIMOXAZOLE SUSP Botol 1 1 0
11 KLORAMFENIKOL 500MG tablet 140 20 120
12 THIAMFENICOL tablet 60 10 50
13 KETAKONAZOLE 200MG tablet 120 40 80
14 CLINDAMISIN 300MG tablet 70 10 60

B ANALGESIK/ANTI PYRETIK
15 PARASETAMOL SYR botol 3 1 2
16 PARASETAMOL 500mg tablet 160 50 110
17 IBUPROFEN 400 mg tablet 110 10 100
18 ASAM MEFENAMAT 500mg tablet 110 40 70
19 PIROXICAM 20 mg tablet 130 30 100
20 NATRIUM DIKLOFENAK 50 mg tablet 110 20 90
21 ALLOPURINOL 100MG tablet 360 60 300
22 ALLOPURINOL 300mg tablet 460 30 430
23 SCOPMA PLUS tablet 0 0 0
24 MELOXICAM 15MG tablet 60 20 40
25 ITAMOL SYR botol 0 0 0
26 AMBEVEN tablet 190 20 170
27 IBUPROFEN SYR 100MG/5 ML Botol 5 1 4
28 COUNTERPAIN Tube 0 0 0

C ANTI DIARE / MUNTAH

29 LOPERAMID 2mg tablet 60 10 50
30 NEW DIATABS tablet 0 0 0
31 BIORALIT/GARAM ORALIT sachet 0 0 0
32 DOMPERIDONE tablet 150 20 130
33 DOMPERIDONE SYR botol 19 2 17
34 ZINK SYR 20MG/5ML Botol 4 1 3
35 ZINK DISPERSIBLE 20MG Tablet 70 20 50
36 METOKLOPRAMIDE 10MG Tablet 90 10 80
37 METOKLOPRAMIDE SYR Botol 16 2 14
38 MOLAGIT Tablet 270 20 250
39 METOKLOPRAMID Injeksi Vial 9 2 7
40 METAMPIRON Injeksi Vial 3 1 2

D VITAMIN
41 SELCOM C Tablet 0 0 0
42 VITAMIN C tablet 0 0 0
43 VIT B COM tablet 0 0 0
44 VIT B 12 tablet 0 0 0
45 VIT B6 tablet 0 0 0
46 SANGOBION tablet 0 0 0
47 NEUROSANBE 5000 tablet 0 0 0
48 NEUROSANBE INJEKSI VIAL 0 0 0
49 HORVITA Tablet 350 150 200

E OBAT BATUK/FLU
50 ALPARA tablet 0 0 0
51 MOLEX FLU tablet 0 0 0
52 AMBROXOL tablet 20 10 10
53 GRANTUSIF tablet 0 0 0
54 AMBROXOL SYR 15 mg tablet 6 1 5
55 PIMTRAKOL SYR tablet 4 2 2
56 UNI BABY COUGH SYR Botol 3 2 1
57 HUFAGRIP/MOLEXFLU SYR botol 7 3 4
58 FLU CADEX Tablet 0 0 0
59 OBH SYR Botol 12 2 10
60 GG Tablet 110 60 50
61 SALBUTAMOL 4MG Tablet 510 40 470
62 DEXTRAL tablet 90 10 80

F OBAT MAAG
63 ANTASIDA SYR botol 16 2 14
64 ANTASIDA/HUFAMAG tablet 130 40 90
65 RANITIDINE tablet 50 10 40
66 OMEPRAZOLE 20mg tablet 20 10 10
67 RANITIDINE Injeksi Vial 10 0 10

G ANTI HISTAMIN
68 ZOLINE tablet 0 0 0
69 CETIRIZINE SYR botol 2 2 0
70 CTM tablet 280 40 240
71 PREDNISON tablet 780 130 650
72 CETIRIZINE 10mg tablet 100 30 70
73 DEXTEM PLUS tablet 0 0 0
74 BETAHISTINE MESILATE tablet 110 10 100
75 DEXAMETASONE injeksi vial 23 0 23 exp
76 GRAFACLOR/BIDAXTAM tablet 110 20 90
77 HISTAPAN tablet 0 0 0
78 DEXAMETHASONE tablet 90 10 80
79 METIL PREDNISOLONE tablet 40 10 30
80 LORATADINE TAB mg tablet 180 40 140
81 INTERHISTIN tablet 0 0 0

H OBAT DM / KOLESTEROL
82 GLIMEPIRIDE 4MG tablet 10 10 0
83 METFORMIN tablet 90 10 80
84 GLIBENCLAMID 5MG Tablet 0 0 0
85 SIMVASTATIN 10 mg tablet 0 0 0

I OBAT HIPERTENSI
86 AMPLODIPINE 5mg tablet 60 10 50
87 AMPLODIPINE 10mg tablet 90 20 70
88 CAPTOPRIL 25 mg tablet 170 10 160
89 CAPTOPRIL 12,5 MG Tablet 40 10 30
90 FASORBID tablet 20 0 20

J LAIN-LAIN
91 STRIP GLUKOSA EASY TOUC strip 6 2 4
92 STRIP COLESTEROL EASY T strip 1 1 0
93 STRIP URIC ACID EASY TOUC strip 0 0 0
94 NESCO STRIP URIC ACID strip 20 9 11
95 NESCO STRIP GLUKOSA strip 20 10 10
96 NESCO STRIP CHOLASTEROL strip 10 0 10
97 BEVALEX CREAM tube 0 0 0
98 MIKONAZOLE 2% SK tube 0 0 0
99 GENTAMICYN SALEP KULIT tube 6 2 4
100 BETAMETASON 0.5mg tube 19 3 16
101 KETACONAZOLE 2% tube 0 0 0
102 HIDROCORTISON SK tube 15 2 13
103 SPOIT 1 cc buah 452 22 430
104 SPOIT 3 cc buah 548 11 537
105 SPOIT 5 cc buah 66 9 57
106 PELESTER ROLL 1 1 0
107 HIFAFIX 10X5M ROLL 4 1 3
108 HIFAFIX 5X5M box 0 0 0
109 ABOCAT 18 PCS 2 0 2
110 ABOCAT 20 PCS 23 4 19
111 ABOCAT 22 PCS 32 0 32
112 ABBOCATH 24 PCS 5 0 5
113 ABBOCATH 26 PCS 10 0 10
114 INSTO TM botol 6 1 5
115 KASA STERIL box 8 2 6
116 INFUS SET buah 4 1 3
117 Nacl kolf 10 0 10
118 VERBAN 10X15 dos 0 0 0
119 RIVANOL 300ML botol 2 0 2
120 THERMOMETER DIGITAL buah 1 0 1
121 ALKOHOL/ETANOL 70% 1L botol 1 1 0
122 RL INFUS kolf 1 0 1
123 DEXTROSE 5% kolf 10 0 10
124 MASKER box 0 0 0
125 HANDSCOEN S BOX 15 2 13
126 HANDSCOEN M box 16 2 14
127 SENSIGLOVES/HANDSCOEN L box 20 0 20
128 CENDO XITROL ED botol 10 0 10
129 TENSI METER buah 0 0 0
130 TIMBANGAN buah 1 0 1
131 CAT GUT CROMIC buah 0 0 0
132 KANTONG JENAZAH buah 0 0 0
133 CHLORA ETHYL botol 0 0 0
134 P3K buah 1 0 1
135 ALKOHOL SWABB box 200 50 150
136 TRANSFUSI SET Pcs 7 0 7
137 POVIDONE IODIUM botol 1 0 1
138 KASA PANJANG 40X80M ROLL 0 0 0
139 KAPAS 250 GRAM ROLL 0 0 0
140 KLORAMFENIKOL 1% SM Tube 0 0 0
141 OXYTETRASIKLIN SM Tube 31 1 30
142 SULRATUL/LOMATULLE box 0 0 0
143 PEHACAIN box 1 0 1
144 LIDOCAIN AMPUL 25 4 21
145 BLOOD LANCET PAK 330 83 247

K ANTELMENTIK
146 PYRANTEL POMOAT Tablet 378 18 358
147 COMBANTRIN SYR Botol 3 1 2

L BHP GIGI
148 BONDING (HEXABOND) botol 0 0 0
149 GIC / FUJI IX botol 0 0 0
150 EEG PASTA ELEFIX pcs 1 0 1
151 LIGHT CURING PASTA ANTER pcs 1 0 1
152 ETSA ( etching gel ) botol 0 0 0
153 EUGENOL botol 1 0 1
154 ROCHLES botol 0 0 0
156 TOOT WAX PIACE box 1 0 1
Mamuju, April 2022
KASI DOKKES

JEFRY, S.KEP
IPDA NRP 82010595