PEMERINTAH DAERAH

KOTA CIREBON
PUSKESMAS PEGAMBIRAN
LAPORAN PENERIMAAN DAN PENGELUARAN OBAT
Periode 01 Mar 2022 s.d. 31
Mar 2022

No Kode Nama Obat Sat Stock AwalPenerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock
1 3241 Alat Suntik 0,3 ml (ADS)--Vaksi Pcs 0.00 132.00 132.00 0.00 132.00
2 3236 Alat Suntik 0,5 ml (ADS)--Vaksi Pcs 3,600.00 200.00 3,800.00 0.00 3,800.00
3 1003 Alat Suntik 3 ml Buah 200.00 500.00 700.00 200.00 500.00
4 3239 Alat Suntik 3 ml--Vaksinasi Cov Pcs 0.00 7.00 7.00 0.00 7.00
5 2105 Albendazol Suspensi 200 mg / Botol 4.00 0.00 4.00 0.00 4.00
6 3237 Alkohol Swab--Vaksinasi Covid Pcs 3,600.00 472.00 4,072.00 0.00 4,072.00
7 1005 Alopurinol tablet 100 mg Tablet 725.00 0.00 725.00 85.00 640.00
8 2002 Ambroxol sirup 15 mg/ml- 60 mBotol 101.00 0.00 101.00 75.00 26.00
9 1007 Amitriptilin tablet 25 mg Tablet 570.00 0.00 570.00 90.00 480.00
10 2085 Amlodipin tablet 5 mg Tablet 11,460.00 3,000.00 14,460.00 5,575.00 8,885.00
11 1009 Amoksisilin kaplet 500 mg Kaplet 5,032.00 5,000.00 10,032.00 2,765.00 7,267.00
12 1010 Amoksisilin sirup kering 125 m Botol 519.00 0.00 519.00 83.00 436.00
13 2095 Antasida DOEN I tablet kunyah T( ablet 4,042.00 2,500.00 6,542.00 5,571.00 971.00
14 2007 Antasida DOEN II suspensi 60 mBotol 358.00 0.00 358.00 358.00 0.00
15 1018 Antifungi DOEN Pot 12.00 0.00 12.00 0.00 12.00
16 1021 Aqua pro injeksi steril bebas p Ampul 9.00 0.00 9.00 0.00 9.00
17 2107 Asam Askorbat (Vitamin C) tableTablet 2,785.00 11,000.00 13,785.00 4,225.00 9,560.00
18 2009 Asam Mefenamat tablet salut Tablet 3,657.00 4,000.00 7,657.00 1,167.00 6,490.00
19 2012 Asiklovir tablet 400 mg Tablet 888.00 0.00 888.00 165.00 723.00
20 2120 Azitromisin 500 mg Kapsul 215.00 0.00 215.00 0.00 215.00
21 1033 Betametason krim 0,1% Tube 22.00 72.00 94.00 39.00 55.00
22 2127 Clozapine tablet 25 mg Tablet 240.00 0.00 240.00 180.00 60.00
23 1036 Deksametason injeksi i.v. 5 mg Ampul 10.00 0.00 10.00 0.00 10.00
24 1044 Diazepam tablet 5 mg Tablet 163.00 0.00 163.00 0.00 163.00
25 3043 Diazepam Rektal 5 mg/tube (steTube 6.00 0.00 6.00 2.00 4.00
26 1043 Diazepam tablet 2 mg Tablet 175.00 0.00 175.00 122.00 53.00
27 2086 Dimenhidrinat tablet 50 mg Tablet 177.00 200.00 377.00 360.00 17.00
28 5009 Dropper Polio Buah 10.00 0.00 10.00 0.00 10.00
29 1050 Epinefrin (Adrenalin) injeksi 0, Ampul 9.00 0.00 9.00 0.00 9.00
30 2170 Eritromisn 250 mg kapsul Kapsul 500.00 0.00 500.00 0.00 500.00
31 2022 Etanol 70 % 1000 ml Botol 4.00 0.00 4.00 0.00 4.00
32 3144 Face Shield Pcs 65.00 0.00 65.00 0.00 65.00
33 2197 Favipiravir tablet 200 mg Tablet 440.00 0.00 440.00 0.00 440.00
34 2140 Fe Fumarat + As. Folat 0.4 mg tTablet 11,275.00 0.00 11,275.00 3,995.00 7,280.00
35 1067 Fitomenadion (Vit.K1) tablet saTablet 315.00 0.00 315.00 60.00 255.00
36 1071 Garam Oralit Sachet 420.00 400.00 820.00 465.00 355.00
37 2026 Gentamisin sulfat TM 0,3% 5 mlBotol 0.00 192.00 192.00 108.00 84.00
38 2111 Glimepirid tablet 2 mg Tablet 2,490.00 0.00 2,490.00 1,540.00 950.00
39 3012 Gliseril Guaiakolat sirup Botol 69.00 72.00 141.00 57.00 84.00
40 3194 Gown Pcs 132.00 0.00 132.00 130.00 2.00
41 2139 Guafenesin Tablet 100 mg Tablet 2,054.00 2,000.00 4,054.00 951.00 3,103.00
42 2028 Haloperidol tablet 5 mg Tablet 2,104.00 500.00 2,604.00 422.00 2,182.00
43 3018 Hand Shoen Non Steril Pasang 7,500.00 0.00 7,500.00 2,000.00 5,500.00
No Kode Nama Obat Sat Stock AwalPenerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock
44 2162 Hepatitis B Immunoglobulin Buah 9.00 0.00 9.00 0.00 9.00
45 1088 Ibuprofen tablet 400 mg Tablet 2,480.00 0.00 2,480.00 1,086.00 1,394.00
46 1098 Kalsium Laktat (Kalk) tablet 50 Tablet 4,460.00 5,000.00 9,460.00 5,780.00 3,680.00
47 3028 Kasa Steril 16 x 16 cm Pcs 464.00 0.00 464.00 464.00 0.00
48 2034 Ketokonazol tablet 200 mg Tablet 0.00 300.00 300.00 40.00 260.00
49 1110 Kloramfenikol tetes telinga 3% Botol 70.00 48.00 118.00 27.00 91.00
50 2103 Klorfeniramina Maleat (CTM) t Tablet 6,879.00 4,000.00 10,879.00 3,156.00 7,723.00
51 2157 Klorpromazin tablet salut 100 Tablet 1,070.00 0.00 1,070.00 180.00 890.00
52 1122 Kotrimoksazol DOEN I (dewasa Tablet 989.00 0.00 989.00 149.00 840.00
53 1121 Kotrimoksazol suspensi 60 ml Botol 141.00 0.00 141.00 2.00 139.00
54 1134 Lidocain Comp Ampul 90.00 0.00 90.00 0.00 90.00
55 2113 Loratadin tablet 10 mg Tablet 1,320.00 0.00 1,320.00 430.00 890.00
56 3209 Masker FFP2 NR Pcs 25.00 0.00 25.00 0.00 25.00
57 3161 Masker KN 95 Pcs 130.00 0.00 130.00 0.00 130.00
58 3031 Masker Muka ( Face Mask ) Buah 7,000.00 0.00 7,000.00 2,000.00 5,000.00
59 4007 MB Adult Blister 0.00 6.00 6.00 6.00 0.00
60 2042 Metformin HCl tablet 500 mg Tablet 8,595.00 4,000.00 12,595.00 5,745.00 6,850.00
61 2193 Multivitamin Kaplet Kaplet 120.00 0.00 120.00 0.00 120.00
62 2218 Multivitamin Kaplet (Enaplex-C Kaplet 228.00 0.00 228.00 0.00 228.00
63 2145 Multivitamin Sirup Botol 11.00 40.00 51.00 9.00 42.00
64 2202 Multivitamin+ Zinc Tablet Tablet 1,500.00 0.00 1,500.00 0.00 1,500.00
65 2141 N - Asetil Sistein Tablet Tablet 13,560.00 0.00 13,560.00 2,190.0011,370.00
66 2204 Nacl 0,9% Infus 100 ml Botol 6.00 0.00 6.00 3.00 3.00
67 3240 NaCl 10 ml--Vaskinasi Covid Botol 0.00 22.00 22.00 0.00 22.00
68 2048 Natrium Diklofenak tablet 50 Tablet 4,080.00 0.00 4,080.00 2,620.00 1,460.00
69 1149 Natrium Klorida larutan infus Botol 3.00 6.00 9.00 4.00 5.00
70 3034 Nistatin Drop 12 ml, 100.000 U Botol 28.00 0.00 28.00 5.00 23.00
71 1154 OAT FDC Kategori 2 dewasa Paket 3.00 0.00 3.00 0.00 3.00
72 1155 OAT FDC Kategori Anak Paket 0.00 2.00 2.00 1.00 1.00
73 2208 OAT KDT Dosis Harian Paket 1.00 3.00 4.00 1.00 3.00
74 1162 Oksitosin injeksi 10 mg IU/ml - Ampul 4.00 0.00 4.00 0.00 4.00
75 2053 Omeprazol kapsul 20 mg Kapsul 1,638.00 0.00 1,638.00 1,452.00 186.00
76 2171 Oseltamivir Kapsul Kapsul 480.00 0.00 480.00 0.00 480.00
77 1164 Parasetamol sirup 120 mg/5 mlBotol 717.00 0.00 717.00 185.00 532.00
78 5011 Pelarut BCG Ampul 6.00 0.00 6.00 0.00 6.00
79 5010 Pelarut Measles Rubella (MR) Ampul 4.00 0.00 4.00 0.00 4.00
80 2060 Piroksikam tablet 20 mg Tablet 1,130.00 0.00 1,130.00 1,110.00 20.00
81 1180 Povidon Iodida larutan 10% 30 Botol 1.00 2.00 3.00 1.00 2.00
82 3079 Rapid 2 HIV Fokus Test 50.00 0.00 50.00 50.00 0.00
83 3229 Rapid HIV/Syphilis Duo Test 150.00 0.00 150.00 150.00 0.00
84 3078 Rapid Tes HIV Kit 1 Test 0.00 150.00 150.00 150.00 0.00
85 3080 Rapid Tes HIV Kit 3 Test 25.00 0.00 25.00 25.00 0.00
86 1194 Ringer Laktat larutan infus 500 Botol 0.00 20.00 20.00 20.00 0.00
87 3065 Risperidon tablet 2 mg Tablet 560.00 0.00 560.00 297.00 263.00
88 3190 Sabun Anti Bakteri 500 ml Botol 2.00 0.00 2.00 0.00 2.00
89 3173 Safety Box Ktk 50.00 0.00 50.00 50.00 0.00
90 3238 Safety Box--Vaksinasi Covid Pcs 37.00 3.00 40.00 40.00 0.00
91 1195 Salbutamol tablet 2 mg (sebagaiTablet 821.00 0.00 821.00 242.00 579.00
92 1196 Salep 2-4 Pot 111.00 0.00 111.00 10.00 101.00
93 2070 Sefadroksil sirup kering 125 mgBotol 29.00 0.00 29.00 14.00 15.00
No Kode Nama Obat Sat Stock AwalPenerimaan Jumlah Pemakaian Sisa Ket
Persediaan Stock
94 2115 Setirizin Sirup 5 mg/ 5 ml Botol 180.00 100.00 280.00 256.00 24.00
95 2075 Sianokobalamin (Vitamin B12) Tablet 9,595.00 0.00 9,595.00 1,089.00 8,506.00
96 2077 Simvastatin tablet 10 mg Tablet 2,705.00 0.00 2,705.00 75.00 2,630.00
97 3045 Tiamfenikol Dry Sirup : 125 mg/Botol 35.00 0.00 35.00 0.00 35.00
98 1223 Tiamin (Vitamin B1) tablet 50 mTablet 13,780.00 0.00 13,780.00 1,390.0012,390.00
99 1225 Triheksifenidil 2 mg Tablet 584.00 300.00 884.00 864.00 20.00
100 5001 Vaksin BCG Vial 21.00 0.00 21.00 0.00 21.00
101 5021 Vaksin Covid Astra Zeneca Vial 47.00 6.00 53.00 0.00 53.00
102 5027 Vaksin Covid Astra Zeneca (NonVial 0.00 1.00 1.00 0.00 1.00
103 5019 Vaksin Covid Coronavac Doubl Vial 650.00 0.00 650.00 0.00 650.00
104 5018 Vaksin Covid Coronavac MultidVial 80.00 0.00 80.00 0.00 80.00
105 5020 Vaksin Covid Coronavac Single Vial 500.00 0.00 500.00 0.00 500.00
106 5026 Vaksin Covid Covovax Vial 0.00 7.00 7.00 0.00 7.00
107 5025 Vaksin Covid Pfizer Vial 0.00 22.00 22.00 0.00 22.00
108 5016 Vaksin Covid-19 Vial 2.00 0.00 2.00 0.00 2.00
109 5002 Vaksin DPT-HB/Hib Vial 36.00 20.00 56.00 0.00 56.00
110 5004 Vaksin HB Uniject Sachet 30.00 0.00 30.00 0.00 30.00
111 5005 Vaksin Measles Rubella (MR) Vial 43.00 10.00 53.00 0.00 53.00
112 5006 Vaksin Polio (bOPV) Vial 24.00 20.00 44.00 0.00 44.00
113 5007 Vaksin Polio IPV Vial 11.00 5.00 16.00 0.00 16.00
114 5008 Vaksin TD Vial 21.00 0.00 21.00 0.00 21.00
115 3160 Virus Transpot Medium (VTM) Set 300.00 20.00 320.00 170.00 150.00
116 2117 Vitamin B Kompleks tablet (blisTablet 4,899.00 6,000.00 10,899.00 5,757.00 5,142.00
117 2201 Vitamin C 500 mg Tablet Tablet 60.00 0.00 60.00 0.00 60.00
118 2212 Vitamin D 5000 Tablet 426.00 0.00 426.00 0.00 426.00

Mengetahui,
KEPALA UPT PUSKESMAS PEGAMBIRAN

dr. Ahmad Subhi Taufiequrrohman

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