PEMERINTAH DAERAH KOTA CIREBON

PUSKESMAS PEGAMBIRAN
LAPORAN PENERIMAAN DAN PENGELUARAN OBAT
Periode 01 Feb 2022 s.d. 28 Feb 2022

No Kode Nama Obat Sat Stock Awal Penerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock

1 3236 Alat Suntik 0,5 ml (ADS)--Vaksinasi C Pcs 2,900.00 700.00 3,600.00 0.00 3,600.00
2 1003 Alat Suntik 3 ml Buah 100.00 200.00 300.00 100.00 200.00
3 2105 Albendazol Suspensi 200 mg / 5 ml Botol 4.00 450.00 454.00 450.00 4.00
4 2001 Albendazol tablet 400 mg Tablet 0.00 2,900.00 2,900.00 2,900.00 0.00
5 3237 Alkohol Swab--Vaksinasi Covid Pcs 2,900.00 700.00 3,600.00 0.00 3,600.00
6 1005 Alopurinol tablet 100 mg Tablet 785.00 0.00 785.00 60.00 725.00
7 2002 Ambroxol sirup 15 mg/ml- 60 ml Botol 194.00 0.00 194.00 93.00 101.00
8 1007 Amitriptilin tablet 25 mg Tablet 600.00 0.00 600.00 30.00 570.00
9 2085 Amlodipin tablet 5 mg Tablet 6,520.00 9,000.00 15,520.00 4,060.00 11,460.00
10 1009 Amoksisilin kaplet 500 mg Kaple 4,417.00 4,000.00 8,417.00 3,385.00 5,032.00
11 1010 Amoksisilin sirup kering 125 mg/5 m Botol 383.00 200.00 583.00 64.00 519.00
12 2095 Antasida DOEN I tablet kunyah ( BlistTablet 3,608.00 3,000.00 6,608.00 2,566.00 4,042.00
13 2007 Antasida DOEN II suspensi 60 ml Botol 188.00 200.00 388.00 30.00 358.00
14 1018 Antifungi DOEN Pot 12.00 0.00 12.00 0.00 12.00
15 1021 Aqua pro injeksi steril bebas pirogenAmpul 9.00 0.00 9.00 0.00 9.00
16 2107 Asam Askorbat (Vitamin C) tablet 50 Tablet 4,387.00 3,000.00 7,387.00 4,602.00 2,785.00
17 2009 Asam Mefenamat tablet salut selap Tablet 4,260.00 0.00 4,260.00 603.00 3,657.00
18 2012 Asiklovir tablet 400 mg Tablet 1,057.00 0.00 1,057.00 169.00 888.00
19 2120 Azitromisin 500 mg Kapsu 0.00 215.00 215.00 0.00 215.00
20 1033 Betametason krim 0,1% Tube 42.00 0.00 42.00 20.00 22.00
21 2127 Clozapine tablet 25 mg Tablet 300.00 0.00 300.00 60.00 240.00
22 1036 Deksametason injeksi i.v. 5 mg/ml Ampul 10.00 0.00 10.00 0.00 10.00
23 1044 Diazepam tablet 5 mg Tablet 163.00 0.00 163.00 0.00 163.00
24 3043 Diazepam Rektal 5 mg/tube (stesolidTube 6.00 0.00 6.00 0.00 6.00
25 1043 Diazepam tablet 2 mg Tablet 268.00 0.00 268.00 93.00 175.00
26 2086 Dimenhidrinat tablet 50 mg Tablet 335.00 0.00 335.00 158.00 177.00
27 2016 Domperidon tablet 10 mg Tablet 32.00 0.00 32.00 32.00 0.00
28 5009 Dropper Polio Buah 10.00 0.00 10.00 0.00 10.00
29 1050 Epinefrin (Adrenalin) injeksi 0,1% (H Ampul 9.00 0.00 9.00 0.00 9.00
30 2170 Eritromisn 250 mg kapsul Kapsu 500.00 0.00 500.00 0.00 500.00
31 2022 Etanol 70 % 1000 ml Botol 2.00 3.00 5.00 1.00 4.00
32 3144 Face Shield Pcs 65.00 0.00 65.00 0.00 65.00
33 2197 Favipiravir tablet 200 mg Tablet 0.00 440.00 440.00 0.00 440.00
34 2140 Fe Fumarat + As. Folat 0.4 mg Tablet 14,805.00 0.00 14,805.00 3,530.00 11,275.00
tablet
35 2137 Fitomenadion (Vit K) injeksi 2 Ampul 0.00 60.00 60.00 60.00 0.00
mg/amp
Fitomenadion (Vit.K1) tablet salut
36 1067 gula 10 mg Tablet 330.00 0.00 330.00 15.00 315.00
37 1071 Garam Oralit Sache 575.00 0.00 575.00 155.00 420.00
38 2026 Gentamisin sulfat TM 0,3% 5 ml Botol 63.00 0.00 63.00 63.00 0.00
39 2111 Glimepirid tablet 2 mg Tablet 1,265.00 2,000.00 3,265.00 775.00 2,490.00
40 3012 Gliseril Guaiakolat sirup Botol 71.00 0.00 71.00 2.00 69.00
41 3194 Gown Pcs 132.00 0.00 132.00 0.00 132.00
42 2139 Guafenesin Tablet 100 mg Tablet 3,847.00 0.00 3,847.00 1,793.00 2,054.00
43 2028 Haloperidol tablet 5 mg Tablet 2,340.00 0.00 2,340.00 236.00 2,104.00
44 3018 Hand Shoen Non Steril Pasan 8,000.00 0.00 8,000.00 500.00 7,500.00
45 2162 Hepatitis B Immunoglobulin Buah 9.00 0.00 9.00 0.00 9.00
No Kode Nama Obat Sat Stock Awal Penerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock

46 1088 Ibuprofen tablet 400 mg Tablet 2,836.00 500.00 3,336.00 856.00 2,480.00
47 1098 Kalsium Laktat (Kalk) tablet 500 mg Tablet 2,775.00 5,000.00 7,775.00 3,315.00 4,460.00
48 3028 Kasa Steril 16 x 16 cm Pcs 544.00 0.00 544.00 80.00 464.00
49 2034 Ketokonazol tablet 200 mg Tablet 101.00 0.00 101.00 101.00 0.00
50 1109 Kloramfenikol salep mata 1% Tube 29.00 0.00 29.00 29.00 0.00
51 1110 Kloramfenikol tetes telinga 3% Botol 83.00 0.00 83.00 13.00 70.00
52 2103 Klorfeniramina Maleat (CTM) tablet Tablet 8,618.00 5,000.00 13,618.00 6,739.00 6,879.00
53 2157 Klorpromazin tablet salut 100 mg Tablet 1,180.00 0.00 1,180.00 110.00 1,070.00
54 1122 Kotrimoksazol DOEN I (dewasa) 480 Tablet 989.00 0.00 989.00 0.00 989.00
55 1121 Kotrimoksazol suspensi 60 ml Botol 141.00 0.00 141.00 0.00 141.00
56 1134 Lidocain Comp Ampul 90.00 0.00 90.00 0.00 90.00
57 2113 Loratadin tablet 10 mg Tablet 1,230.00 500.00 1,730.00 410.00 1,320.00
58 3209 Masker FFP2 NR Pcs 25.00 0.00 25.00 0.00 25.00
59 3161 Masker KN 95 Pcs 130.00 0.00 130.00 0.00 130.00
60 3031 Masker Muka ( Face Mask ) Buah 7,500.00 0.00 7,500.00 500.00 7,000.00
61 2042 Metformin HCl tablet 500 mg Tablet 5,330.00 6,000.00 11,330.00 2,735.00 8,595.00
62 2193 Multivitamin Kaplet Kaple 0.00 120.00 120.00 0.00 120.00
63 2218 Multivitamin Kaplet (Enaplex-C) Kaple 0.00 228.00 228.00 0.00 228.00
64 2145 Multivitamin Sirup Botol 28.00 15.00 43.00 32.00 11.00
65 2202 Multivitamin+ Zinc Tablet Tablet 0.00 1,500.00 1,500.00 0.00 1,500.00
66 2141 N - Asetil Sistein Tablet Tablet 16,572.00 1,200.00 17,772.00 4,212.00 13,560.00
67 2204 Nacl 0,9% Infus 100 ml Botol 6.00 0.00 6.00 0.00 6.00
68 2048 Natrium Diklofenak tablet 50 mg Tablet 5,070.00 0.00 5,070.00 990.00 4,080.00
69 1149 Natrium Klorida larutan infus 0,9% Botol 6.00 0.00 6.00 3.00 3.00
70 3034 Nistatin Drop 12 ml, 100.000 UI/ml Botol 18.00 15.00 33.00 5.00 28.00
71 1153 OAT FDC Kategori 1 dewasa Paket 3.00 0.00 3.00 3.00 0.00
72 1154 OAT FDC Kategori 2 dewasa Paket 2.00 1.00 3.00 0.00 3.00
73 2208 OAT KDT Dosis Harian Paket 0.00 3.00 3.00 2.00 1.00
74 1162 Oksitosin injeksi 10 mg IU/ml - 1 ml Ampul 4.00 0.00 4.00 0.00 4.00
75 2053 Omeprazol kapsul 20 mg Kapsu 1,122.00 1,500.00 2,622.00 984.00 1,638.00
76 2171 Oseltamivir Kapsul Kapsu 0.00 480.00 480.00 0.00 480.00
77 1164 Parasetamol sirup 120 mg/5 ml- 60 Botol 548.00 300.00 848.00 131.00 717.00
78 2055 Parasetamol tablet 500 mg ( Blister )Tablet 233.00 0.00 233.00 233.00 0.00
79 5011 Pelarut BCG Ampul 6.00 0.00 6.00 0.00 6.00
80 5010 Pelarut Measles Rubella (MR) Ampul 4.00 0.00 4.00 0.00 4.00
81 2060 Piroksikam tablet 20 mg Tablet 1,420.00 0.00 1,420.00 290.00 1,130.00
82 1180 Povidon Iodida larutan 10% 300 ml Botol 1.00 0.00 1.00 0.00 1.00
83 3079 Rapid 2 HIV Fokus Test 50.00 0.00 50.00 0.00 50.00
84 3229 Rapid HIV/Syphilis Duo Test 150.00 0.00 150.00 0.00 150.00
85 3078 Rapid Tes HIV Kit 1 Test 200.00 75.00 275.00 275.00 0.00
86 3080 Rapid Tes HIV Kit 3 Test 25.00 0.00 25.00 0.00 25.00
87 2065 Retinol (Vitamin A) 100.000 IU kapsuKapsu 0.00 200.00 200.00 200.00 0.00
88 1190 Retinol (Vitamin A) 200.000 IU kapsuKapsu 0.00 1,450.00 1,450.00 1,450.00 0.00
89 3065 Risperidon tablet 2 mg Tablet 710.00 0.00 710.00 150.00 560.00
90 3190 Sabun Anti Bakteri 500 ml Botol 2.00 0.00 2.00 0.00 2.00
91 3173 Safety Box Ktk 50.00 0.00 50.00 0.00 50.00
92 3238 Safety Box--Vaksinasi Covid Pcs 30.00 7.00 37.00 0.00 37.00
93 1195 Salbutamol tablet 2 mg (sebagai sulf Tablet 972.00 0.00 972.00 151.00 821.00
94 1196 Salep 2-4 Pot 119.00 0.00 119.00 8.00 111.00
95 2070 Sefadroksil sirup kering 125 mg/5 mlBotol 46.00 0.00 46.00 17.00 29.00
96 2115 Setirizin Sirup 5 mg/ 5 ml Botol 84.00 200.00 284.00 104.00 180.00
No Kode Nama Obat Sat Stock Awal Penerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock

97 2075 Sianokobalamin (Vitamin B12) table Tablet 10,770.00 0.00 10,770.00 1,175.00 9,595.00
98 2077 Simvastatin tablet 10 mg Tablet 835.00 2,000.00 2,835.00 130.00 2,705.00
99 3045 Tiamfenikol Dry Sirup : 125 mg/5 ml Botol 35.00 0.00 35.00 0.00 35.00
100 1223 Tiamin (Vitamin B1) tablet 50 mg (HCTablet 15,850.00 0.00 15,850.00 2,070.00 13,780.00
101 1225 Triheksifenidil 2 mg Tablet 420.00 400.00 820.00 236.00 584.00
102 5001 Vaksin BCG Vial 21.00 0.00 21.00 0.00 21.00
103 5021 Vaksin Covid Astra Zeneca Vial 14.00 33.00 47.00 0.00 47.00
104 5019 Vaksin Covid Coronavac Double Dos Vial 650.00 0.00 650.00 0.00 650.00
105 5018 Vaksin Covid Coronavac Multidose Vial 80.00 0.00 80.00 0.00 80.00
106 5020 Vaksin Covid Coronavac Single Dose Vial 500.00 0.00 500.00 0.00 500.00
107 5016 Vaksin Covid-19 Vial 2.00 0.00 2.00 0.00 2.00
108 5002 Vaksin DPT-HB/Hib Vial 36.00 0.00 36.00 0.00 36.00
109 5004 Vaksin HB Uniject Sache 30.00 0.00 30.00 0.00 30.00
110 5005 Vaksin Measles Rubella (MR) Vial 43.00 0.00 43.00 0.00 43.00
111 5006 Vaksin Polio (bOPV) Vial 24.00 0.00 24.00 0.00 24.00
112 5007 Vaksin Polio IPV Vial 11.00 0.00 11.00 0.00 11.00
113 5008 Vaksin TD Vial 21.00 0.00 21.00 0.00 21.00
114 3160 Virus Transpot Medium (VTM) Set 75.00 225.00 300.00 0.00 300.00
115 2117 Vitamin B Kompleks tablet (blister) Tablet 5,400.00 3,000.00 8,400.00 3,501.00 4,899.00
116 2201 Vitamin C 500 mg Tablet Tablet 0.00 60.00 60.00 0.00 60.00
117 2212 Vitamin D 5000 Tablet 0.00 426.00 426.00 0.00 426.00
118 2199 Vitamin E 300 UI Kapsu 0.00 840.00 840.00 840.00 0.00

Mengetahui,
KEPALA UPT PUSKESMAS PEGAMBIRAN

dr. Ahmad Subhi Taufiequrrohman

NIP. 19720608 200604 1 014
No Kode Nama Obat Sat Stock Awal Penerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock