Download as xlsx, pdf, or txt
Download as xlsx, pdf, or txt
You are on page 1of 1682

DINAS K

KABUPATE
UPTD Pus

LPLPO PUSKESMAS
JANUARI FEBRUARI

S.CADANG OBAT B.KIMIA S.CADANG OBAT B.KIMIA S.CADANG

APRIL MEI

S.CADANG OBAT B.KIMIA S.CADANG OBAT B.KIMIA S.CADANG

JULI AGUSTUS

S.CADANG OBAT B.KIMIA S.CADANG OBAT B.KIMIA S.CADANG

OKTOBER NOVEMBER

S.CADANG OBAT B.KIMIA S.CADANG OBAT B.KIMIA S.CADANG


NAS KESEHATAN
PATEN TANGERANG
UPTD Puskesmas Kelapa Dua

DATA
MAS
INDIKATOR KETERSEDIAAN OBAT

JAN FEB MAR

MARET APR MEI JUN DAT


S.CADANG OBAT B.KIMIA JUL AGS SEP

OKT NOV DES


JUNI

S.CADANG OBAT B.KIMIA


SIPNAP
SEPTEMBER
JAN FEB MAR REKA
S.CADANG OBAT B.KIMIA
APR MEI JUN SUKU CADA
DESEMBER
JUL AGS SEP
S.CADANG OBAT B.KIMIA OKT NOV DES
DATA PUSKESMAS

DATA DASAR
SUKU CADANG
OBAT
BAHAN KIMIA

REKAP PENERIMAAN

SUKU CADANG BAHAN KIMIA

OBAT
DATA PUSKESMAS PERIODE
Nama Puskesmas : UPTD Puskesmas Kelapa Dua TAHUN
Kecamatan : Kecamatan Kelapa Dua
Alamat Puskesmas : Jl. Layar IV
Nomor Telpon : ..............................................................
Email : puskesmas.klpdua@gmail.com BACK TO MENU

DATA PETUGAS
Nama Kepala Puskesmas : drg. Rr Truly Kartikawatie
Nip Kepala Puskesmas : NIP. 19631208 199303 2 005
Nama PJ Farmasi : Elfira Sari, S.Farm., Apt
Nip PJ Farmasi : NIP. 19940912 202012 2 007
PERIODE :
TAHUN 2022
BACK TO MENU
DATA DASAR SUKU CADANG

NO KODE BARANG NAMA BARANG SATUAN

1 2 3 4
1. 1 1 7 01 Barang Pakai Habis
1 1 7 01 02 Suku Cadang
1 1 7 01 02 03 SUKU CADANG ALAT KEDOKTERAN
1 1 7 01 02 03 001 Suku Cadang Alat Kedokteran Umum
1 1 7 01 02 03 001 0001 Abbocath jarum infus 18 pcs
1 1 7 01 02 03 001 0002 Abbocath jarum infus 20 pcs
1 1 7 01 02 03 001 0003 Abbocath jarum infus 22 pcs
1 1 7 01 02 03 001 0004 Abbocath jarum infus 24 pcs
1 1 7 01 02 03 001 0005 Abbocath jarum infus 26 pcs
1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc pcs
1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc pcs
1 1 7 01 02 03 001 0009 Alat suntik 1 cc pcs
1 1 7 01 02 03 001 0010 Alat suntik 3 cc pcs
1 1 7 01 02 03 001 0011 Alat suntik 5 cc pcs
1 1 7 01 02 03 001 0012 Alat suntik 10 cc pcs
1 1 7 01 02 03 001 0013 Alat suntik 20 cc pcs
1 1 7 01 02 03 001 0014 Bisturi 10 pcs
1 1 7 01 02 03 001 0015 Bisturi 11 pcs
1 1 7 01 02 03 001 0016 Bisturi 12 pcs
1 1 7 01 02 03 001 0017 Blood Set pcs
1 1 7 01 02 03 001 0018 Foley Catheter no.16 pcs
1 1 7 01 02 03 001 0019 Foley Catheter no.24 pcs
1 1 7 01 02 03 001 0020 Handscoon pcs
1 1 7 01 02 03 001 0021 Handscoon steril S pcs
1 1 7 01 02 03 001 0022 Handscoon steril M pcs
1 1 7 01 02 03 001 0023 Handscoon steril L pcs
1 1 7 01 02 03 001 0024 Infus set anak pcs
1 1 7 01 02 03 001 0025 Infus set dewasa pcs
1 1 7 01 02 03 001 0026 Jarum Hecting Kulit pcs
1 1 7 01 02 03 001 0027 Jarum Hecting Otot pcs
1 1 7 01 02 03 001 0028 Kaca Sediaan pcs
1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg Bungkus
1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm Roll
1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16 Kotak
1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm Roll
1 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5 Roll
1 1 7 01 02 03 001 0034 Kertas Puyer pcs
1 1 7 01 02 03 001 0035 Masker pcs
1 1 7 01 02 03 001 0036 Nelaton catheter pcs
1 1 7 01 02 03 001 0037 Pembalut gips Roll
1 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch Roll
1 1 7 01 02 03 001 0039 Plester kertas / MICROPORE pcs
1 1 7 01 02 03 001 0040 Pot Sputum pot
1 1 7 01 02 03 001 0041 Safety Box pcs
1 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril pcs
1 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0 pcs
1 1 7 01 02 03 001 0044 Simple mask Anak pcs
1 1 7 01 02 03 001 0045 Simple mask Dewasa pcs
1 1 7 01 02 03 001 0046 Underpad pcs
1 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril ) pcs
1 1 7 01 02 03 001 0048 Wing needle pcs
1 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton) pcs
1 1 7 01 02 03 001 0050 Masker N95 pcs
1 1 7 01 02 03 001 0051 Masker nebulizer Anak pcs
1 1 7 01 02 03 001 0052 Masker nebulizer dewasa pcs
1 1 7 01 02 03 001 0053 NGT pcs
1 1 7 01 02 03 001 0054 Oxigen nasal canule anak pcs
1 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa pcs
1 1 7 01 02 03 001 0056 Pot Urine pcs
1 1 7 01 02 03 001 0057 Pot Fesses pcs
1 1 7 01 02 03 001 0058 Disposible Lancet pcs
1 1 7 01 02 03 001 0059 Pen Lancet pcs
1 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0 pcs
1 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0 pcs
1 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0 pcs
1 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0 pcs
1 1 7 01 02 03 001 0064 Guedel Airway 50mm pcs
1 1 7 01 02 03 001 0065 Guedel Airway 80mm pcs
1 1 7 01 02 03 001 0085 Masker Earloop pcs
1 1 7 01 02 03 001 0086 Masker Headloop pcs
1 1 7 01 02 03 001 0087 Coverall pcs
1 1 7 01 02 03 001 0088 Surgeon cap pcs
1 1 7 01 02 03 001 0089 Nurse Cap pcs
1 1 7 01 02 03 001 0090 Apron pcs
1 1 7 01 02 03 001 0091 Blood Lancet pcs
1 1 7 01 02 03 001 0092 Masker Hijab Program TB pcs
1 1 7 01 02 03 001 0093 Masker medis Program HIV pcs
1 1 7 01 02 03 002 Suku Cadang Alat Kedokteran Gigi
1 1 7 01 02 03 002 0001 Microbrush pak
1 1 7 01 02 03 005 Suku Cadang Alat Kedokteran Kebidanan Dan
Penyakit Kandungan
1 1 7 01 02 03 005 0001 Jelly USG botol
1 1 7 01 02 03 005 0002 Vaginal Specullum pcs
1 1 7 01 02 04 SUKU CADANG ALAT LABORATORIUM
Suku Cadang Alat Laboratorium Micro Biologi
1 1 7 01 02 04 002
Penyehatan
1 1 7 01 02 04 002 0001 Oil Imersi botol
1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen Paket
1 1 7 01 02 04 002 0003 Alkohol Swab pcs
1 1 7 01 02 04 002 0004 Test Pack Vial
1 1 7 01 02 04 002 0005 Stik Kolesterol pcs
1 1 7 01 02 04 002 0006 Stik Asam Urat pcs
1 1 7 01 02 04 002 0007 Stik Glukosa pcs
1 1 7 01 02 04 002 0008 Rapid 3 HIV pcs
1 1 7 01 02 04 002 0009 Rapid 2 HIV pcs
1 1 7 01 02 04 002 0010 Intec HIV III Tes
1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1) Tes
1 1 7 01 02 04 002 0012 Oncoprobe HIV.3 Tes
1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck) Tes
1 1 7 01 02 04 002 0014 RPR Shypilis Tes
1 1 7 01 02 04 002 0015 SD HbsAg Tes
1 1 7 01 02 04 002 0016 Iodina Tes 10 ml Tes
1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A Kit
1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B Botol
1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB Botol
1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D Botol
1 1 7 01 02 04 002 0021 Stik Hemoglobin Botol
1 1 7 01 02 04 002 0022 Protein Urine Test pcs
1 1 7 01 02 04 002 0023 RPR Shypilis Component pcs
1 1 7 01 02 04 002 0024 Kartu Golongan Darah Set
1 1 7 01 02 04 002 0025 RDT DBD COMBO pcs
1 1 7 01 02 04 002 0026 Rapid shypilis (Alere) TES
1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov) tes
1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p) pcs
1 1 7 01 02 04 002 0029 DBS Collection Kit
1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov) pcs
1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge Set
Suku Cadang Tambahan Baru DINAS
Alkohol Swab (Imunisasi Covid) Pcs
Disp. Spuit 0,5 ml (APBD Dinkes Prov) Pcs
Safety Box 5 l (Imunisasi Covid) Pcs
Alkohol Swab (Pfizer) Pcs
Disp. Spuit 0,3 ml (Pfizer) Pcs
Disp. Spuit 3 ml (Pfizer) Pcs
Safety Box (Pfizer) Pcs
Hazmat suit (BANPROV) Pcs
Rapid Test Antigen Panbio (BanProv) Pcs
Disp. Spuit 0,5 ml (Imunisasi Covid) Pcs
Paket alkohol swab+Handscoon Paket
VTM Yaohobio (Dinkes Prov) Paket
masker n95 1860 (BTT) Pcs
masker n95 1870t Pcs
SARUNG TANGAN RUMAH TANGGA BTT ANABATIK Pcs
SARUNG TANGAN PANJANG STERIL (6,5/S) Btt BankePcs
Vacutainer no 21 Pcs
vacutainer no 22 Pcs
Sarung tangan rumah tangga Pcs
Masker N95 (APBD Yasmin) Pcs
APD Coverall (BTT) Pcs
Masker (BTT) Pcs
Hazmat / Coverall (BOK Covid) Pcs
Masker N95 Mask 5 ply (BOK Covid) Pcs
Handscoon (BTT) Pcs
Tong Spatel (APBD P2P) Pcs
Disp. Spuit 0,5 ml (BIAS) Pcs
Safety Box (BIAS) Pcs
Coverall (Dinkes Prov) Pcs
Handscoon (BANPROV BANTEN) Pcs
Cover all BOHO Pcs
Rapid Test Antigen Wondfo(Dinkes prov) Pcs
Hazmat (BTT Yasmin) pcs
KONDOM SUTRA Box
Masker Bedah (Program TB) Box
Rapid Antigen Longsee ( Dinkes Prov) Pcs
Masker N95 8810 (BanProv) pcs
Kasa Steril 7,5x7,5 Pcs
Disp. Spuit 3 ml Pcs
Stik Kolesterol (2022) Box
Stik Glukosa (2022) Box
Handscoon Protos (BTT Yasmin) Pcs
Handscoon Nitrile (BTT Yasmin) Pcs
Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD Pcs
Alkohol Swab Box (Paket DAK P2P) Box
Blood Lancet Box (Paket DAK P2P) Box
Strip Glukosa Box (Paket DAK P2P) Box
Safety Box (BIAN) Pcs
Pot Dahak (2022) Pcs
Pen Marker (BIAN) Pcs
Spuit 20 ml Box(2022) Box
Plastik Klip (15x10) BTT Yasmin (Pack) Pack
Masker N95 (Program TB) Box
IV Catheter With Injection Port No.18 (2022) Pcs
IV Catheter With Injection Port No.20 (2022) Pcs
IV Catheter With Injection Port No.22 (2022) Pcs
Masker Earloop (Box) Box
Kondom Pcs
Lubricant Pcs
Handscoon Non Steril (Box) Box

Suku Cadang Tambahan Baru PUSKESMAS


Waslap Pcs
Perlak Pcs
Apron plastik Pcs
Suction Cath bayi Pcs
Duk plos 60x60 Pcs
Delee(Nasal Aspirator) Pcs
Kasa Roll Gulung Besar Pcs
Oxigen Nasal Canul Anak Pcs
Kertas Puyer Pcs
SALIVA EJECTOR DOCHEM Pcs
Jarum Citoject pcs
micro brush pcs
Polibib Pcs
S.File Sendoline L 25 UK 45-80 Set set
S.File Sendoline L 25 UK 15-40 Set set
Haudle Brush + Brush pcs
Napkin Holder Pakistan pcs
Bur Diamond Set 6 FG Edenta set
Cotton Roll Prodental pcs
Poch Pack D Pcs
Poch Pack L Pcs
ABX Pentra Creatinine ABX Pcs
Sarung Tangan No 6,5 Pcs
Sarung Tangan No 7 Pcs
Sarung Tangan No 6 Pcs
Duk Lubang, 25 cm x 30 cm Pcs
Poles Pcs
Kantong Plastik Kresek Pak
Plastik Klip 10x8.7 Pak
Plastik Klip 13x8.7 Pak
Dermafix Pcs
Kondom Box
IUD Coper T Pcs
ABX Pentra Cholesterol CP ABX Kit
ABX Pentra HDL Direct CP ABX Kit
ABX Pentra Triglicerides CP ABX Kit
Reagen Glukosa Cair Kit
Reagen Ureum Kit
ABX Pentra AST CP ABX Kit
ABX Pentra ALT CP ABX Kit
Multical Calibrator Box
Normal Multi Control Box
Cup Sample Blue Pack
Cuvet Segment Box
Yellow Tips Pack
Blue Tips Pack
Aqua Bidest Galon
Eighcheck-3 WP Vial
Widal Test Pcs
Tabung EDTA Pcs
Caviton White Pcs
XT Rest Syr 3G Pcs
Matrix Holder dan Band Dentamerica Pcs
HARGA
BACK TO MENU
APBD HIBAH
6

7,040
8,500
1,518
1,190
650
779
968 1,500
1,287
1,229.76

2,790
2,790

1,155

9,900

278
12,500

5,950
1,600
800
5,021
5,890
22,433
6,600

3,300

5,500
21,750

1,856

30,615
30,615
30,615
40,200
14,600
12,400

1,030

704

92
314
2,290

178,000

22,320
6,000
219143
120

27095

4886.52
12527
11500

10722.17 11975

6624 8870

7700.8

45000
45000
45000
102278

58358.6
393,001
82,974

95
1,185
14,000
95
1,255
569
14,000
145,000
76,000
1,185
3600
53,000
46,000
21,750
30,000
40,733
1287
1287
33000
12500
236000
1200
124960
27500
1
605
1190
22433
115000
691
210666
80246

35321
1
9240

1155
1200
80000
9218
128200
246547
16500

1
64380
28000
19900

22000
448
331
110000

15000
345455
3200
13636
136364
100000
125000
70400
104
870
887
178000
102
121000
172000
114000
45500
220000
62700
54000
1703000
1202000

109753

4339

3039090
4163637
3834548
810000
1169090
1160000
1160000
810000

1952478
2110909
92857
92857
228181
13.541,66
1600
DATA DASAR OBAT

NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 01 Barang Pakai Habis
1 1 7 01 04 OBAT-OBATAN
1 1 7 01 04 01 OBAT
1 1 7 01 04 01 ANTIINFEKSI
1 1 7 01 04 01 002 Amoksilin kapsul 250 mg
1 1 7 01 04 01 002 Amoksilin tab 500 mg
1 1 7 01 04 01 004 Amoksisilin s kering 125 mg / 5 cc 60 Ml
1 1 7 01 04 01 004 Amoksisilin s kering 250 mg / 5 cc 60 Ml
1 1 7 01 04 01 002 Asiklovir tab 200 mg
1 1 7 01 04 01 002 Asiklovir tab 400mg
1 1 7 01 04 01 002 Azitromisin 500 mg
1 1 7 01 04 01 004 Benzatin Benzil penisilin
1 1 7 01 04 01 002 Cefixim 100 mg kapsul
1 1 7 01 04 01 004 Cefixime DS 100 mg/ 5ml
1 1 7 01 04 01 002 Doksisiklin kapsul 100 mg
1 1 7 01 04 01 001 Erytromisin sirup 60 Ml 200mg/5ml
1 1 7 01 04 01 002 Erytromycin 250 mg
1 1 7 01 04 01 002 Erytromycin 500 mg
1 1 7 01 04 01 002 Flukonazol kapsul 150 mg
1 1 7 01 04 01 002 Griseofulvin tablet 125 mg micronized
1 1 7 01 04 01 002 Ketokonazol tablet 200 mg
1 1 7 01 04 01 002 Klindamisin Kapsul 150 mg
1 1 7 01 04 01 002 Klindamisin Kapsul 300 mg
1 1 7 01 04 01 002 Kloramfenikol kapsul 250 mg
1 1 7 01 04 01 001 Kloramfenikol sirup 60 Ml
1 1 7 01 04 01 001 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
1 1 7 01 04 01 002 Kotrimoksazol 480 mg tablet
1 1 7 01 04 01 002 Lincomysin 500 mg
1 1 7 01 04 01 002 Metronidazol tablet 500 mg
1 1 7 01 04 01 001 Metronidazole infus 500 mg/100ml
1 1 7 01 04 01 001 Nistatin drop / Mycostatin, candistin, Nymiko
1 1 7 01 04 01 002 Nistatin tablet salut gula 500.000 IU/g
1 1 7 01 04 01 002 Nistatin tablet vagina 100.000 IU/g
1 1 7 01 04 01 002 Sefadoksil 500 mg
1 1 7 01 04 01 004 Sefadoksil syrup 125ml/5ml
1 1 7 01 04 01 004 Sefadoksil syrup 250ml/5ml
1 1 7 01 04 01 004 Seftriaxsone 1 gr inj
1 1 7 01 04 01 002 Siproploksasin tab 500 mg
1 1 7 01 04 01 004 Streptomycin inj 1 gram
1 1 7 01 04 01 002 Tetrasiklin Kapsul 250 mg
1 1 7 01 04 01 002 Tetrasiklin Kapsul 500 mg
1 1 7 01 04 01 002 Tiamfenikol kap 500 mg
1 1 7 01 04 01 001 Gentamicin injeksi 40 mg/ml
1 1 7 01 04 01 002 OSELTAMIVIR
1 1 7 01 04 01 002 FAVIPIRAVIR 200MG
1 1 7 01 04 01 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
1 1 7 01 04 01 002 Alopurinol tablet 100 mg
1 1 7 01 04 01 002 Alopurinol tablet 300 mg
1 1 7 01 04 01 002 Asam Mefenamat 250
1 1 7 01 04 01 002 Asam Mefenamat 500
1 1 7 01 04 01 002 Asetosal Tablet 80 mg (Aspilet)
1 1 7 01 04 01 002 Ibuprofen Supp
1 1 7 01 04 01 001 Ibuprofen Suspensi 200mg/5ml
1 1 7 01 04 01 002 Ibuprofen tablet 200 mg
1 1 7 01 04 01 002 Ibuprofen tablet 400 mg
1 1 7 01 04 01 002 Kalium Diclofenak 50 mg
1 1 7 01 04 01 002 Meloksixam tablet 15 mg
1 1 7 01 04 01 002 Natrium Diclofenac tab 50 mg
1 1 7 01 04 01 001 Parasetamol Drop 15 ml
1 1 7 01 04 01 001 Parasetamol sirup 120 mg / 5ml
1 1 7 01 04 01 002 Parasetamol tablet 500 mg
1 1 7 01 04 01 002 Tramadol tablet 50 mg
1 1 7 01 04 01 DIGESTIVA
1 1 7 01 04 01 002 Antasida DOEN komb
1 1 7 01 04 01 001 Antasida sirup 60 Ml
1 1 7 01 04 01 002 Lansoprazole
1 1 7 01 04 01 002 Mesoprostol 200 mg
1 1 7 01 04 01 002 Natrium Bikarbonat tablet 500 mg
1 1 7 01 04 01 002 Omeprazole 20 mg tablet
1 1 7 01 04 01 001 Ranitidin inj 25 mg/2ml
1 1 7 01 04 01 002 Ranitidin tablet 150 mg
1 1 7 01 04 01 001 Sucraflat sirup
1 1 7 01 04 01 ANTISPASMODIK
1 1 7 01 04 01 001 Atropin sulfat inj 0,25 mg / ml-1ml
1 1 7 01 04 01 002 Chlordiazepoxide (Braxidin)
1 1 7 01 04 01 002 Ekstrak Belladon tablet 10 mg
1 1 7 01 04 01 002 Hyoscine-N-Butilbromida/Buscopan tablet
1 1 7 01 04 01 001 Buscopan Inj
1 1 7 01 04 01 002 Papaverin tablet
1 1 7 01 04 01 LAKSATIVA
1 1 7 01 04 01 002 Bisacodil Tablet 5 mg
1 1 7 01 04 01 002 Bisacodil Suppositoria
1 1 7 01 04 01 001 Laktulosa Syr 3,335g/5ml / Laktulak syrup
1 1 7 01 04 01 ANTIDIARE & ELEKTROLIT
1 1 7 01 04 01 002 Attapulgit
1 1 7 01 04 01 001 Garam Oralit 200 ml air
1 1 7 01 04 01 002 Norit
1 1 7 01 04 01 002 Zink Tablet (Untuk Diare Anak)
1 1 7 01 04 01 001 Zinc suspensi 100 ml
1 1 7 01 04 01 ANTIEMESIS
1 1 7 01 04 01 002 Dimenhidrinat tab 50 mg
1 1 7 01 04 01 002 Domperidon 10 mg tablet
1 1 7 01 04 01 001 Domperidon suspensi 5 mg/ml
1 1 7 01 04 01 001 Metoclopramid Inj
1 1 7 01 04 01 001 Metoclopramid Syrup
1 1 7 01 04 01 002 Metoclopramid 10 mg Tab
1 1 7 01 04 01 001 Ondansetron injeksi
1 1 7 01 04 01 002 Ondansetron tablet 4 mg
1 1 7 01 04 01 OBAT METABOLISME (VITAMIN&MINERAL)
1 1 7 01 04 01 002 Asam Askorbat (VIT C) Tablet
1 1 7 01 04 01 001 Asam Askorbat (VIT C) Injeksi
1 1 7 01 04 01 002 Kalsium laktat (Kalk) tablet 500 mg
1 1 7 01 04 01 001 Multivitamin anak 60 Ml
1 1 7 01 04 01 002 Multivitamin dewasa
1 1 7 01 04 01 001 Neurobion 5000 injeksi
1 1 7 01 04 01 002 Piracetam 800 mg
1 1 7 01 04 01 002 Piridoksin HCl (Vit B6) tablet 10 mg
1 1 7 01 04 01 002 Vitamn B6 25 mg
1 1 7 01 04 01 001 Sianokobalamin inj 500 mcg/ml-1ml
1 1 7 01 04 01 002 Sianokobalamin tab b12
1 1 7 01 04 01 001 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
1 1 7 01 04 01 002 Tiamin HCL (Vit B1) tablet 50 mg
1 1 7 01 04 01 001 Vitamin B Komplek Inj
1 1 7 01 04 01 002 Vit B kompleks tab
1 1 7 01 04 01 002 Anti osteoarthritis
1 1 7 01 04 01 ANTI ASMA
1 1 7 01 04 01 001 Aminofilin inj 24 mg / cc
1 1 7 01 04 01 002 Aminofilin tab 150 mg
1 1 7 01 04 01 001 Bromhexin larutan (Bisolvon drop untuk inhalasi)
1 1 7 01 04 01 001 Bricasma Inj
1 1 7 01 04 01 002 Efedrin HCl tablet 25 mg
1 1 7 01 04 01 002 Salbutamol tablet 4 mg
1 1 7 01 04 01 001 Salbutamol inhalasi
1 1 7 01 04 01 ANTITUSIVE & EKSPEKTORAN
1 1 7 01 04 01 001 Ambroksol sirup 60 ml
1 1 7 01 04 01 002 Ambroksol tablet
1 1 7 01 04 01 002 Asetilsistein 200 mg
1 1 7 01 04 01 002 Bromhexin tablet 8 mg
1 1 7 01 04 01 002 Gliseril Guayakolat tablet 100 mg
1 1 7 01 04 01 002 Kodein fosfat tablet 10 mg
1 1 7 01 04 01 001 Bromhexin sirup
1 1 7 01 04 01 001 Obat batuk Hitam (OBH) 100 ml
1 1 7 01 04 01 ANTI ANEMIA
1 1 7 01 04 01 002 Asam folat 1 mg
1 1 7 01 04 01 002 Tambah darah komb : Besi + as folat
1 1 7 01 04 01 OBAT YANG MEMPENGARUHI KOAGULASI
1 1 7 01 04 01 001 Asam Traneksamat 250mg/5ml
1 1 7 01 04 01 002 Asam Traneksamat 500 MG
1 1 7 01 04 01 001 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
1 1 7 01 04 01 001 Fitomenadion inj 10 mg / ml
1 1 7 01 04 01 002 Fitomenadion tablet gula 10 mg
ANAESTETIK
1 1 7 01 04 01 001 Lidokain inj
1 1 7 01 04 01 ANTIALERGI/IMUNOLOGIKUM
1 1 7 01 04 01 002 Cetirizine 10Mg
1 1 7 01 04 01 001 Cetirizin sirup 5 mg/5ml 60 ml
1 1 7 01 04 01 001 Deksametason inj 5 mg/ml 1 ml
1 1 7 01 04 01 002 Deksametason Tablet 0,5 mg
1 1 7 01 04 01 001 Difenhidramin inj 10 mg/5 ml-1 ml
1 1 7 01 04 01 002 Klorfeniramin maleat (CTM) tablet 4 mg
1 1 7 01 04 01 002 Loratadin
1 1 7 01 04 01 002 Methylprednisolon 4 mg tablet
1 1 7 01 04 01 002 Prednison tab 5 mg
1 1 7 01 04 01 ANTIKONVULSI
1 1 7 01 04 01 002 Asam Valproat (Depakote 250 mg)
1 1 7 01 04 01 001 Diazepam Enema (Stesolid Rectal)
1 1 7 01 04 01 001 Fenitoin Na inj 50 mg/ml-2ml
1 1 7 01 04 01 002 Fenitoin Natrium kapsul 100 mg
1 1 7 01 04 01 001 Fenobarbital inj 50 mg/ml-2ml
1 1 7 01 04 01 002 Fenobarbital tablet 30 mg
1 1 7 01 04 01 001 Flufenazin inj
1 1 7 01 04 01 002 Karbamazepin tablet 200 mg
1 1 7 01 04 01 001 Magnesium sulfat inj 25 ml -20 %
1 1 7 01 04 01 001 Magnesium sulfat inj 25 ml -40 %
1 1 7 01 04 01 002 Triheksifenidil Tablet 2 mg
1 1 7 01 04 01 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI,
ANTIPSIKOSIS)
1 1 7 01 04 01 002 Amitriptilin HCl tab 25 mg
1 1 7 01 04 01 001 Diazepam inj 5 mg/ml -2 ml
1 1 7 01 04 01 002 Diazepam tablet 2 mg
1 1 7 01 04 01 002 Diazepam 5mg
1 1 7 01 04 01 002 Haloperidol 1,5 mg
1 1 7 01 04 01 002 Haloperidol 5 mg Tab
1 1 7 01 04 01 001 Haloperidol injeksi
1 1 7 01 04 01 002 Klobazam 10 mg
1 1 7 01 04 01 001 Klorpromazin HCl inj 5 mg/2cc
1 1 7 01 04 01 002 Klorpromazin HCl 100 mg
1 1 7 01 04 01 002 Klozapin 25 mg
1 1 7 01 04 01 002 Klozapin 100 mg
1 1 7 01 04 01 002 Olanzapin 5 mg
1 1 7 01 04 01 002 Olanzapin 10 mg
1 1 7 01 04 01 001 Olanzapin inj
1 1 7 01 04 01 002 Risperidone 2 mg
1 1 7 01 04 01 ANTIMIGREN
1 1 7 01 04 01 002 Antimigren DOEN tab
1 1 7 01 04 01 002 Betahistin Mesilat tab 6 mg
1 1 7 01 04 01 002 ANTIDIABETIKUM
1 1 7 01 04 01 002 Glibenklamid tablet 5 mg
1 1 7 01 04 01 002 Glimepirida 1 mg
1 1 7 01 04 01 002 Glimepirida 2 mg
1 1 7 01 04 01 002 Metformin
1 1 7 01 04 01 OBAT KULIT & OBAT LUAR
1 1 7 01 04 01 005 Antibakteri DOEN salep komb
1 1 7 01 04 01 005 Antifungi DOEN kombinasi salep
1 1 7 01 04 01 005 Asiklovir krim 5 % 5 gr
1 1 7 01 04 01 005 Betametason krim 0,1 %
1 1 7 01 04 01 005 Burnazin cream
1 1 7 01 04 01 005 Chloramfecort Krim
1 1 7 01 04 01 005 Gentamisin salep kulit
1 1 7 01 04 01 001 Gentian violet lar 1 %
1 1 7 01 04 01 001 GOM
1 1 7 01 04 01 005 Hidrokortison krim 2,5 %
1 1 7 01 04 01 002 Kassa Penutup luka/lomatule
1 1 7 01 04 01 005 Ketokonazol (cream)10 gr
1 1 7 01 04 01 005 Kloramfenikol Krim / Bufacetin Salep 2%
1 1 7 01 04 01 005 Mikonazol krim
1 1 7 01 04 01 005 Obat Luka Bakar
1 1 7 01 04 01 005 Oksitetrasiklin 3% salep kulit
1 1 7 01 04 01 005 Salep 2-4
1 1 7 01 04 01 004 Salisil bedak 2 %
1 1 7 01 04 01 005 Scabiecid cream
1 1 7 01 04 01 005 Trombophop salep
1 1 7 01 04 01 OBAT TELINGA
1 1 7 01 04 01 001 Fenol Glicerol Cair
1 1 7 01 04 01 001 Kloramfenikol tetes telinga 3 %
1 1 7 01 04 01 OBAT MATA
1 1 7 01 04 01 001 Atropin sulfat tetes mata 0,5 %
1 1 7 01 04 01 001 Cendoxitrol Tetes Mata
1 1 7 01 04 01 001 Gentamisin tetes mata
1 1 7 01 04 01 005 Kloramfenikol salep mata 1 %
1 1 7 01 04 01 001 Kloramfenikol tetes mata 0.5%/Decacetin
1 1 7 01 04 01 001 Obat edema kornea tetes mata/Optalgon
1 1 7 01 04 01 001 Ofloxacin tetes mata
1 1 7 01 04 01 005 Oksitetrasiklin salep mata
1 1 7 01 04 01 001 Sulfasetamida Na tetes mata
1 1 7 01 04 01 001 Tetracain Hcl 0,5 % Tetes Mata
1 1 7 01 04 01 001 Timolol 0,5 % Tetes mata
1 1 7 01 04 01 ANTIHAEMORRHOID
1 1 7 01 04 01 002 Anti Hemmorhoid DOEN supp
1 1 7 01 04 01 002 Anti Hemoroid kapsul
1 1 7 01 04 01 KARDIOVASKULUS/ ANTIHIPERTENSI
1 1 7 01 04 01 002 Amlodipin 5 mg
1 1 7 01 04 01 002 Amlodipin 10 mg
1 1 7 01 04 01 002 Bisoprolol 2,5 mg
1 1 7 01 04 01 002 Bisoprolol 5 mg
1 1 7 01 04 01 002 Digoksin tablet 0,25 mg
1 1 7 01 04 01 002 Isorbid dinitrat tablet sublingual 5 mg
1 1 7 01 04 01 002 Kaptopril 25 mg
1 1 7 01 04 01 002 Kaptopril 12.5mg
1 1 7 01 04 01 002 Metildopa (Dopamet)
1 1 7 01 04 01 002 Nifedipin 10 mg tab
1 1 7 01 04 01 002 Nifedipin 20 mg tab
1 1 7 01 04 01 002 Propanolol HCl tablet 10 mg
1 1 7 01 04 01 002 Reserpin tab 0,25 mg
1 1 7 01 04 01 DIURETIKUM
1 1 7 01 04 01 002 Furosemid tablet 40 mg
1 1 7 01 04 01 002 Hidroklortiazid (HCT) tablet 25 mg
1 1 7 01 04 01 002 Glaukon
1 1 7 01 04 01 OKSITOSIKUM
1 1 7 01 04 01 001 Metilergometrin maleat inj 0,200 mg - ml
1 1 7 01 04 01 002 Metilergometrin maleat tab salut 0,125 mg
1 1 7 01 04 01 001 Oksitoksin in 10 IU/ml- 1 ml
1 1 7 01 04 01 ANTILIPIDEMIKUM
1 1 7 01 04 01 002 Simvastatin Tablet 10 mg
1 1 7 01 04 01 002 Simvastatin Tablet 20 mg
1 1 7 01 04 01 HORMON
1 1 7 01 04 01 002 Propiltiourasil tablet 100 mg
1 1 7 01 04 01 SYOK ANAFILAKTIK
1 1 7 01 04 01 001 Epinefrin / adrenalin inj 0,1 % - 1ml
1 1 7 01 04 01 ANTELMINTIK
1 1 7 01 04 01 002 Pirantel tablet 125
1 1 7 01 04 01 002 pirantel tablet 250 mg
1 1 7 01 04 01 PELARUT & INFUS
1 1 7 01 04 01 001 Aqua pro inj steril @ 25 cc
1 1 7 01 04 01 001 Cairan infus pengganti plasma/gelofusin
1 1 7 01 04 01 001 Dekstran 70 lar infus 6 %
1 1 7 01 04 01 001 Glukosa lar infus 10 %
1 1 7 01 04 01 001 Glukosa lar infus 40 %
1 1 7 01 04 01 001 Glukosa lar infus 5 %
1 1 7 01 04 01 001 Manitol 20 %
1 1 7 01 04 01 001 Natrium Klorida Lar.infus 0,9 % steril
1 1 7 01 04 01 001 Ringer Laktat Larutan Infus Steril
1 1 7 01 04 01 ANTISEPTIKA & DESINFEKTAN
1 1 7 01 04 01 001 Etakridin ( rivanol ) lar 0,1 % 300 cc
1 1 7 01 04 01 001 Etanol 70 %1000 ml
1 1 7 01 04 01 001 Etanol 70 %100 ml
1 1 7 01 04 01 001 ETANOL 70% 20 L
1 1 7 01 04 01 001 Povidon Iodine 10 % 60 ml
1 1 7 01 04 01 001 povidon iodne 10% 300ml
1 1 7 01 04 01 001 Povidon Iodine 10 % 1000 ml
1 1 7 01 04 01 SERUM
1 1 7 01 04 01 001 Serum anti tetanus inj 1.500 IU/amp
1 1 7 01 04 01 001 Serum anti tetanus inj 20.000 IU/vial
1 1 7 01 04 01 001 Serum antibisa ular Polivalen inj 5 ml
1 1 7 01 04 01 001 Serum Anti Defteri
1 1 7 01 04 01 001 Serum Anti Rabies 300iv/ml
1 1 7 01 04 01 ANTIDOTUM
1 1 7 01 04 01 001 Calsium gluconas inj
1 1 7 01 04 01 001 Natrium tiosulfat inj
1 1 7 01 04 01 001 Nalokson Inj 0,4 mg/ml
1 1 7 01 04 01 OBAT PROGRAM
1 1 7 01 04 01 ANTI MALARIA
1 1 7 01 04 01 001 Artemeter injeksi
1 1 7 01 04 01 002 Arterakine tablet
1 1 7 01 04 01 001 Artesunate injeksi
1 1 7 01 04 01 001 Kuinin Dihidroklorida injeksi 25%-2 ml
1 1 7 01 04 01 002 KLOROKUIN 150mg
1 1 7 01 04 01 002 Dehydro Artesimin 40mg + piperaquin 320mg (DHP) (prov)
1 1 7 01 04 01 002 Primaquine 15mg (prov)
1 1 7 01 04 01 GIZI
1 1 7 01 04 01 004 Mineral Mix
1 1 7 01 04 01 002 Retinol ( vit A ) kapsul 100.000 unit
1 1 7 01 04 01 002 Retinol ( vit A ) kapsul 200.000 unit
1 1 7 01 04 01 004 Taburia
1 1 7 01 04 01 004 Formal 100
1 1 7 01 04 01 001 Nutridrink 200 ml
Susu Ibu Hamil 300mg
1 1 7 01 04 01 005 Formula Gizi (RUTF)
1 1 7 01 04 01 FILARIASIS
1 1 7 01 04 01 002 Anti Filaria Tablet ( Dietyl Karbamazepin )
1 1 7 01 04 01 002 Albendazol tab 400 mg
1 1 7 01 04 01 001 Albendazol Sirup 200mg/5ml
1 1 7 01 04 01 ANTI LEPRA
1 1 7 01 04 01 002 MD Dewasa
1 1 7 01 04 01 002 MD Anak
1 1 7 01 04 01 002 PB Dewasa
1 1 7 01 04 01 002 PB Anak
1 1 7 01 04 01 OBAT TBC
1 1 7 01 04 01 002 INH 100 mg
1 1 7 01 04 01 002 Obat Anti Tuberkulosis FDC Kat 1
1 1 7 01 04 01 002 Obat Anti Tuberkulosis FDC Kat 2
1 1 7 01 04 01 002 Obat Anti Tuberkulosis Kategori Anak
1 1 7 01 04 01 002 Obat Anti Tuberkulosis Sisipan
1 1 7 01 04 01 002 Azythromycin Cefixime (kombipak)
1 1 7 01 04 01 002 OAT Kombipak Kat.1
1 1 7 01 04 01 002 OAT Kategori 1 Dosis Harian
1 1 7 01 04 01 002 CATRIDGE TCM (TB)
1 1 7 01 04 01 002 PPD 2 TU
1 1 7 01 04 01 HIV AIDS
1 1 7 01 04 01 002 Abacavir 300mg
1 1 7 01 04 01 002 Abacavir + Lamivudine (120mg/60mg)
1 1 7 01 04 01 002 Dolutegravir 50mg
1 1 7 01 04 01 002 Efavirenz 200mg
1 1 7 01 04 01 002 Efavirenz 600
1 1 7 01 04 01 002 Lamivudin (3TC) 150MG
1 1 7 01 04 01 002 Lopinavir + Ritonavir (200/ 50MG)
1 1 7 01 04 01 002 Lopinavir + Ritonavir (40/10mg)
1 1 7 01 04 01 002 Nevirapine (NPV) 200MG
1 1 7 01 04 01 002 Rilpivirine 25mg (eduran)
1 1 7 01 04 01 002 Tenofovir (TDF) 300mg
1 1 7 01 04 01 002 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
1 1 7 01 04 01 002 TDF+3TC+EFC (300/300/600) FDC Dewasa
1 1 7 01 04 01 002 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
1 1 7 01 04 01 002 ZDV+3TC+NPV (60/30/50) FDC Anak
1 1 7 01 04 01 001 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
1 1 7 01 04 01 002 Zidovudine 100mg tablet
1 1 7 01 04 01 002 INH 300 mg (HIV)
1 1 7 01 04 01 002 KHB Diagnostar kit.2
1 1 7 01 04 01 002 Tdf(300)+3tc(300)+dtg(50) mg
1 1 7 01 04 01 002 3HP ( Isoniazid 300 + Rifapentin 300)
1 1 7 01 04 01 VAKSIN
1 1 7 01 04 01 001 Vaksin BCG+PELARUT
1 1 7 01 04 01 001 Vaksin Campak/MR+PELARUT
1 1 7 01 04 01 001 Vaksin DT
1 1 7 01 04 01 001 Vaksin HB COM DPT
1 1 7 01 04 01 001 Vaksin HB UNIJECT
1 1 7 01 04 01 001 Vaksin Polio+DROPER POLIO
1 1 7 01 04 01 001 Vaksin TT
1 1 7 01 04 01 001 Vaksin TD
1 1 7 01 04 01 001 Vaksin DPT HB HIB
1 1 7 01 04 01 001 Polio IVP
1 1 7 01 04 01 001 Vaksin Rabies
1 1 7 01 04 01 001 VAKSIN MENINGITIS
1 1 7 01 04 01 001 Vaksin HBIg / Hyperhep B
1 1 7 01 04 01 DENTAL
1 1 7 01 04 01 001 Bonding
1 1 7 01 04 01 005 Composite
1 1 7 01 04 01 005 Dentorit
1 1 7 01 04 01 001 Descotan Forte (gigi)
1 1 7 01 04 01 005 Devitalisasi Pasta (Non arsen)
1 1 7 01 04 01 003 Endoprost
1 1 7 01 04 01 003 Etil klorida semprot 100 cc
1 1 7 01 04 01 005 Etching/Extra gel
1 1 7 01 04 01 001 Eugenol Cairan
1 1 7 01 04 01 005 Glass Ionomer Cement (GC IX)
1 1 7 01 04 01 005 Kalsium Hidroksida pasta
1 1 7 01 04 01 005 Lining Cement
1 1 7 01 04 01 001 Monoklorkamfer mentol cairan
1 1 7 01 04 01 005 Mummifying Pasta
1 1 7 01 04 01 005 Semen seng fosfat serbuk cairan/Glas lonomer lineng semen
1 1 7 01 04 01 002 Serat pembeku darah
1 1 7 01 04 01 001 Silver amalgam serbuk 65-75 %
1 1 7 01 04 01 005 Sulfa Stopping Fletcher(Fletcher)
1 1 7 01 04 01 001 Trikresol formalin
1 1 7 01 04 01 OBAT PENGADAAN BARU - FITOFARMAKA
1 1 7 01 04 01 002 Herbacold
1 1 7 01 04 01 002 Herbacof
1 1 7 01 04 01 002 Herbavomiz
1 1 7 01 04 01 002 Stimuno Forte
1 1 7 01 04 01 001 Stimuno Suspensi 100ml
1 1 7 01 04 01 04 Bedak Salisyl Kotak
Obat Tambahan Baru DINAS
CoronaVac 2 dosis (Sinovac)
Nacl 10 ml (Pfizer)
Vaksin (Pfizer)
Obat Suntik KB 3 Bulanan 1 cc
Obat Suntik KB Gestin F3 1 cc
Pil KB Kombinasi
Minyak Kayu Putih Cap Lang 30 ml
Ampicillin 1 g Inj
multivitamin / zegavit (btt yasmin)
Lianhua Qingwen
Implant plus inserter KB
Povidon Iodine 30 ml
Vaksin MR (Bias)
Vaksin TD (BIAS)
Oseltamivir 75 mg (BTT Yasmin)
Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trimetoprim
Etambutol 100 mg
Levofloxacin 100 mg
Vaksin Covid-19 Astrazaneca
Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA)
Vaksin Covid-19 (Sinovac Single Dose)
Vaksin Covid-19 Moderna
Vaksin Influenza
NaCl 2 ml (Pfizer)
CoronaVac MDV (Biofarma)
Natrium Diclofenak 50 mg tab (2022)
Multivitamin Syr (BTT Yasmin)
Amoksisilin Sirup Kering 125mg/5ml (2022)
3HP ( Isoniazid 300 + Rifapentin 300)
Biskuit MT-Balita (Tahap I) 2022
Biskuit MT Ibu Hamil (Tahap I) 2022
Biskuit MT-Balita (Tahap II) 2022
Biskuit MT Ibu Hamil (Tahap II) 2022
Asam Mefenamat 500mg (2022)
Alopurinol 100mg (2022)
Salep 2-4 (2022)
Deksametason Tablet 0,5 mg (2022)
Atapulgite (Box@100tab)
Vaksin PCV MDV
Multivitamin Dewasa
Tiamin HCL (Vit B1) tablet 50 mg (2022)
Ibuprofen 400 mg (2022)
Parasetamol Syrup (2022)
Natrium Klorida Lar.infus 0,9 % steril (2022)
Kloramfenikol Salep 2% (2022)
Isoniazid Tablet 300mg (TB)
Pyrazinamide Tablet 500mg
Rifampicin Tablet 450mg
Rifampicin Tablet 600mg
Susu Bayi Kurang Dari 12 Bulan
Obat Tambahan Baru PUSKESMAS
Attaqua Gel(JKN)
Cavit G(JKN)
Fletcher (JKN)
Endoseal
Paramonochlorofenol
Devital
Cotton Roll
Pulp X
Trikresol Formalin
Celluloid Strip
BACK TO MENU
HARGA SATUAN
SATUAN
APBD HIBAH
4 6

Kapsul -
Tablet 201
Botol 3,500
Botol
Tablet
Tablet 407
Tablet 1,250
Vial 11,350 14,500
kapsul
Botol
Kapsul 280
Botol
Tablet
Tablet
Kapsul
Tablet 210
Tablet -
Kapsul -
Kapsul -
Kapsul 496
Botol -
Botol 2,190
Tablet 133
Kapsul -
Tablet 228
Botol 5,885
Botol 11,495
Tablet 843
Tablet 550
Kapsul 495
Botol 4,185
Botol -
Vial 2,745
Tablet 248
Vial -
Kapsul -
Kapsul 323
Kapsul 784
ampul -
Tablet -
PCS -

Tablet 105
Tablet 400
Kapsul -
Tablet 253
Tablet 89
Supp -
Botol -
Tablet -
Tablet 200
Tablet 650
Tablet 675
Tablet 123
Botol 4,976
Botol 1,181
Tablet 99
Tablet 516
-
Tablet 58
Botol 1,679
kapsul 278
Tablet 11,465
Tablet -
Kapsul -
Ampul -
Tablet -
Botol 4,989

ampul -
Tablet -
Suppos -
Tablet -
Ampul -
Tablet -

Tablet 160
Suppos 5,900
Botol -

Tablet -
Sachet 274
Tablet -
Tablet 208
Botol 2,489
-
Tablet 112
Tablet 71
Botol 2,700
Ampul -
Botol -
Tablet -
Ampul -
Tablet -

Tablet 42
ampul -
Tablet 60
Botol 17,360
Tablet 740
Ampul -
Tablet 775
Tablet 67
Tablet -
Ampul -
Tablet -
Ampul -
Tablet 91
ampul -
Tablet -
Tablet -

Ampul -
Tablet -
Botol -
Ampul -
Tablet -
Tablet 95
Nebule -

Botol 3,620
Tablet 128
Tablet 382
Tablet 83
Tablet 95
Tablet 571
Botol -
Botol 4,320
-
Tablet -
Tablet - 226

Ampul -
Tablet -
Ampul 1,386
Ampul -
Tablet 748

ampul 1,229

tablet 49
Botol -
Ampul 924
Tablet 53
Ampul
Tablet 24
Tablet 109
Tablet 143
Tablet 73

Tablet 2,800
Supp 12,573
Ampul -
Kapsul 158
Ampul -
Tablet -
ampul 63,813
Tablet 245
Ampul -
ampul 3,900
Tablet 63

Tablet 167
Ampul 1,735
Tablet -
tablet -
Tablet 59
Tablet 54
ampul 1,190
Tablet 776
Ampul -
Tablet 138
Tablet 473
Tablet -
Tablet -
Tablet -
ampul -
Tablet 123
-
Tablet -
Tablet -
-
Tablet 82
Tablet 93
Tablet 123
Tablet -
-
Tube 5,000
Tube 4,798
Pot 3,140
Tube -
Tube 18,557
Tube 13,495
Tube 2,122
Tube 3,320
Botol 3,320
botol 2,325
Tube 10,175
Pieces 2,349
Tube 3,242
Tube -
Tube -
Tube 1,775
Pot 2,797
Kotak 3,003
Tube -
Tube -
-
Botol -
Botol 7,030
-
Botol -
Botol -
Botol 4,232
Tube 2,007
Botol -
Botol -
Botol -
Tube 2,668
Botol 11,190
Botol -
Botol -
-
Supp -
Kapsul -

Tablet -
Tablet 70
tablet 123
Tablet -
Tablet 104
Tablet -
Tablet -
Tablet 66
Tablet 946
Tablet 121
Tablet -
Tablet -
Tablet -
-
Tablet -
Tablet 37
Tablet -
-
ampul -
Tablet 224
ampul 1,126
-
Tablet -
Tablet -
-
Tablet -
-
ampul 1,515
-
Tablet -
PCS -

Botol 2,650
Botol -
Botol -
Botol 7,200
Botol -
Botol 6,627
Botol -
Botol 6,840
Botol 7,630
-
Botol 2,880
Botol -
Botol 3,950
DRIGEN 319,000
Botol 6,900
botol -
Botol -
-
Vial -
Vial -
Vial -
Vial -
Vial -
-
ampul -
ampul -
Botol -
-
-
ampul -
Tablet -
ampul -
ampul -
Tablet 1,506
Tablet 2,000
Tablet 235
-
Sachet 2,981
Kapsul 306
Kapsul 552
Sachet 605
Sachet -
botol 23,600
kotak 34,500
bungkus 3,461

Tablet
Tablet
Botol

Blister 36,579
Blister 22,794
Blister 15,014
Blister 11,738

Tablet 282
Paket 418,971
Paket 1,384,983
Paket -
Paket -
Tablet -
Paket 317,018
Paket 414,310
TES 252,400 252,400
vial 625800

Botol 133,137
botol 90,421
botol 40,516
Botol #DIV/0!
Botol 211,500
Botol 93,600
Botol 618,000
botol 294,122
Botol 144,900
Botol -
Botol 252,720
Botol 139,650
Botol 204,600
Botol 230,880
Botol
Botol
Botol 102,000
tablet
tes
Botol 104,970
kotak

Vial 60,140
Vial 151,150
Vial 17,450
Vial
ampul 23,270
Vial 19,350
Vial
Vial 18,128
Vial 76,620
Vial 144,540
vial 165,000
VIAL
Vial 1,325,000

Set 214,975
Set 111,705
Botol 137,450
Botol - -
Botol - -
botol - -
Botol - -
Set 184,900
Botol -
Botol 599,950
pieces 279,975
pieces -
Botol -
Botol 249,950
pieces 377,725
pot -
Set -
Set -
Botol -

tablet 2,475
Botol 14,273
tablet -
kapsul -
Botol -
pcs 920

Vial 1
Botol 3,280
Vial 1
Vial 4,800
vial 11,210
Strip 1350
botol 10000
Ampul
Tablet 2310
Box 3750
Pcs
Botol 2900
Vial
Vial
Kapsul 16060
Tablet 325
Tablet 6539
Tablet 1952
Vial 783306
Vial 1
Vial 1
Vial 1
Vial
Botol 3280
Vial 1339440
Tablet
Botol 13000
Botol
Tablet
Box 54477
Box
Box
Box
Tablet
Tablet
pot
tablet
Box
Vial 75
Tablet
Tablet
Tablet
Botol
Botol
Tube
Tablet
Tablet
tablet
tablet
Box
Pcs
Pcs
Pcs
Box
Pcs
Pcs
Pak
Pcs
Botol
Pcs
DATA DASAR BAHAN KIMIA

NO KODE BARANG NAMA BARANG SATUAN

1 2 3 4
1. 1 1 7 01 Barang Pakai Habis
1 1 7 1 1 Bahan
1 1 7 01 01 02 BAHAN KIMIA
1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml) botol
1 1 7 01 01 02 001 0002 Lisol 5 % botol
Suku Cadang Tambahan Baru DINAS
Handsanitizer 50 ml (donasi) Botol
Desinfektan 5 l BTT Botol
HANDSANITIZER (PRIMA PROTEC 500ML)
(btt)anabatik Botol
Spiritus Botol
Handsanitizer (Chlorhexidine 0,5% 500ml) botol
Hand Sanitizer 500 ml Aseptan (Banprov) Pcs
Hand Sanitizer (Program TB) Botol
Bactivec 30 ml Biolarvasida DBD & Malaria (P2P) Botol
Suku Cadang Tambahan Baru PUSKESMAS
Hand Sanitizer Botol
BACK TO MENU
HARGA
APBD HIBAH
6

30000
49950 0

10000
70,000

63,000
27,272
30000
34650
26500
33300
Januari Februari
No Nama Persediaan Satuan
Dinas BLUD Lainnya Dinas
Barang Pakai Habis 0 0 0 0
Suku Cadang 0 0 0 0
SUKU CADANG ALAT KEDOKTERAN 0 0 0 0
Suku Cadang Alat Kedokteran Umum 0 0 0 0
Abbocath jarum infus 18 pcs 0 0 0 0
Abbocath jarum infus 20 pcs 0 0 0 0
Abbocath jarum infus 22 pcs 0 0 0 0
Abbocath jarum infus 24 pcs 0 0 0 5
Abbocath jarum infus 26 pcs 0 0 0 10
Alat suntik 0.05 cc pcs 0 0 0 0
Alat suntik 0.5 cc pcs 560 0 0 0
Alat suntik 1 cc pcs 0 0 0 0
Alat suntik 3 cc pcs 0 0 200 0
Alat suntik 5 cc pcs 0 0 0 0
Alat suntik 10 cc pcs 0 0 0 0
Alat suntik 20 cc pcs 0 0 0 0
Bisturi 10 pcs 0 0 0 0
Bisturi 11 pcs 10 0 0 10
Bisturi 12 pcs 0 0 0 0
Blood Set pcs 0 0 0 0
Foley Catheter no.16 pcs 0 0 0 0
Foley Catheter no.24 pcs 0 0 0 0
Handscoon pcs 0 0 0 0
Handscoon steril S pcs 0 0 0 0
Handscoon steril M pcs 0 0 0 0
Handscoon steril L pcs 0 0 0 0
Infus set anak pcs 0 0 0 0
Infus set dewasa pcs 0 0 0 0
Jarum Hecting Kulit pcs 0 0 0 0
Jarum Hecting Otot pcs 0 0 0 0
Kaca Sediaan pcs 720 0 0 0
Kapas pembalut 250 mg Bungkus 7 0 0 0
Kasa Hidrofil 36 m x 80 cm Roll 0 0 0 0
Kasa Hidrofil Steril 16x16 Kotak 40 0 0 0
Kasa Pembalut Hidrofil 4 x 10 cm Roll 0 0 0 0
KasaPembalut Hidrofil 4 x 5 Roll 0 0 0 0
Kertas Puyer pcs 0 0 0 0
Masker pcs 0 0 0 0
Nelaton catheter pcs 0 0 0 0
Pembalut gips Roll 0 0 0 0
Plester 5 yard x 2 inch Roll 0 0 0 0
Plester kertas / MICROPORE pcs 24 0 0 24
Pot Sputum pot 0 0 0 0
Safety Box pcs 0 0 3 0
Sarung Tangan Panjang Steril pcs 0 0 0 0
Silk ( Benang sutera ) no 3/0 pcs 0 0 0 0
Simple mask Anak pcs 0 0 0 0
Simple mask Dewasa pcs 0 0 0 0
Underpad pcs 0 0 0 100
Urine Bag ( Non Seteril ) pcs 0 0 0 0
Wing needle pcs 0 0 0 0
Steril Cotton Swab (lidi buton) pcs 0 0 0 0
Masker N95 pcs 0 0 0 0
Masker nebulizer Anak pcs 0 0 0 0
Masker nebulizer dewasa pcs 0 0 0 0
NGT pcs 0 0 0 0
Oxigen nasal canule anak pcs 0 0 0 0
Oxigen nasal canule dewasa pcs 0 0 0 0
Pot Urine pcs 0 0 0 0
Pot Fesses pcs 0 0 0 0
Disposible Lancet pcs 0 0 0 0
Pen Lancet pcs 0 0 0 0
Catgut Chromic SMI 2/0 pcs 0 0 0 48
Catgut Chromic SMI 3/0 pcs 0 0 0 0
Catgut Plain SMI 2/0 pcs 0 0 0 0
Catgut Plain SMI 3/0 pcs 0 0 0 0
Guedel Airway 50mm pcs 0 0 0 0
Guedel Airway 80mm pcs 0 0 0 0
Masker Earloop pcs 0 0 0 0
Masker Headloop pcs 1000 0 0 0
Coverall pcs 0 0 0 0
Surgeon cap pcs 0 0 0 0
Nurse Cap pcs 0 0 0 0
Apron pcs 0 0 0 0
Blood Lancet pcs 0 0 0 0
Masker Hijab Program TB pcs 0 0 0 0
Masker medis Program HIV pcs 0 0 0 0
Suku Cadang Alat Kedokteran Gigi 0 0 0 0 0
Microbrush pak 0 0 0 0
Suku Cadang Alat Kedokteran Kebidanan Da 0 0 0 0 0
Jelly USG botol 0 0 0 0
Vaginal Specullum pcs 0 0 0 0
SUKU CADANG ALAT LABORATORIUM 0 0 0 0 0
Suku Cadang Alat Laboratorium Micro Biolo 0 0 0 0 0
Oil Imersi botol 0 0 0 0
Reagen Ziehl Neelsen Paket 0 0 0 0
Alkohol Swab pcs 1000 0 0 0
Test Pack Vial 0 0 0 0
Stik Kolesterol pcs 0 0 0 0
Stik Asam Urat pcs 0 0 0 0
Stik Glukosa pcs 0 0 0 0
Rapid 3 HIV pcs 0 0 0 0
Rapid 2 HIV pcs 50 0 0 0
Intec HIV III Tes 0 0 0 0
Rapid 1 HIV (SD Bioline HIV Kit 1) Tes 0 0 0 0
Oncoprobe HIV.3 Tes 0 0 0 0
Rapid sypilis (SD Bioline/Threpocheck) Tes 0 0 0 0
RPR Shypilis Tes 0 0 0 0
SD HbsAg Tes 0 0 0 0
Iodina Tes 10 ml Tes 0 0 0 0
Reagen Golongan Darah Anti A Kit 0 0 0 0
Reagen Golongan Darah Anti B Botol 0 0 0 0
Reagen Golongan Darah Anti AB Botol 0 0 0 0
Reagen Golongan Darah Anti D Botol 0 0 0 0
Stik Hemoglobin Botol 0 0 0 0
Protein Urine Test pcs 0 0 0 0
RPR Shypilis Component pcs 0 0 0 0
Kartu Golongan Darah Set 0 0 0 0
RDT DBD COMBO pcs 0 0 0 0
Rapid shypilis (Alere) TES 0 0 0 0
RDT Leptospirosis/ Uji Leptospira IgM (prov) tes 0 0 0 0
SD Bioline Dengue Duo (p2p) pcs 0 0 0 25
DBS Collection Kit 0 0 0 0
Rapid Test Antigen Covid-19 SD Biosensor (P pcs 0 0 0 0
XPert-HIV Viral Load Cartridge Set 0 0 0 0
Suku Cadang Tambahan Baru DINAS 0 0 0 0 0
Alkohol Swab (Imunisasi Covid) Pcs 6300 0 0 0
Disp. Spuit 0,5 ml (APBD Dinkes Prov) Pcs 6300 0 0 0
Safety Box 5 l (Imunisasi Covid) Pcs 54 0 0 0
Alkohol Swab (Pfizer) Pcs 1824 0 0 7908
Disp. Spuit 0,3 ml (Pfizer) Pcs 3648 0 0 9708
Disp. Spuit 3 ml (Pfizer) Pcs 304 0 0 809
Safety Box (Pfizer) Pcs 15 0 0 69
Hazmat suit (BANPROV) Pcs 200 0 0 0
Rapid Test Antigen Panbio (BanProv) Pcs 800 0 0 0
Disp. Spuit 0,5 ml (Imunisasi Covid) Pcs 0 0 0 0
Paket alkohol swab+Handscoon Paket 500 0 0 0
VTM Yaohobio (Dinkes Prov) Paket 600 0 0 0
masker n95 1860 (BTT) Pcs 0 0 0 0
masker n95 1870t Pcs 0 0 0 0
SARUNG TANGAN RUMAH TANGGA BTT ANAPcs 0 0 0 0
SARUNG TANGAN PANJANG STERIL (6,5/S) BtPcs 0 0 0 0
Vacutainer no 21 Pcs 0 0 0 0
vacutainer no 22 Pcs 0 0 0 0
Sarung tangan rumah tangga Pcs 0 0 0 0
Masker N95 (APBD Yasmin) Pcs 0 0 0 0
APD Coverall (BTT) Pcs 0 0 0 0
Masker (BTT) Pcs 0 0 0 0
Hazmat / Coverall (BOK Covid) Pcs 0 0 0 0
Masker N95 Mask 5 ply (BOK Covid) Pcs 0 0 0 0
Handscoon (BTT) Pcs 0 0 0 0
Tong Spatel (APBD P2P) Pcs 0 0 0 0
Disp. Spuit 0,5 ml (BIAS) Pcs 0 0 0 0
Safety Box (BIAS) Pcs 0 0 0 0
Coverall (Dinkes Prov) Pcs 0 0 0 0
Handscoon (BANPROV BANTEN) Pcs 0 0 0 0
Cover all BOHO Pcs 0 0 0 0
Rapid Test Antigen Wondfo(Dinkes prov) Pcs 0 0 0 600
Hazmat (BTT Yasmin) pcs 0 0 0 0
KONDOM SUTRA Box 0 0 0 0
Masker Bedah (Program TB) Box 0 0 0 48
Rapid Antigen Longsee ( Dinkes Prov) Pcs 0 0 0 1800
Masker N95 8810 (BanProv) pcs 0 0 0 0
Kasa Steril 7,5x7,5 Pcs 0 0 0 0
Disp. Spuit 3 ml Pcs 0 0 0 0
Stik Kolesterol (2022) Box 0 0 0 0
Stik Glukosa (2022) Box 0 0 0 0
Handscoon Protos (BTT Yasmin) Pcs 0 0 0 0
Handscoon Nitrile (BTT Yasmin) Pcs 0 0 0 0
Rapid Tes Antigen Covid-19 Ag SD Biosensor Pcs 0 0 0 0
Alkohol Swab Box (Paket DAK P2P) Box 0 0 0 0
Blood Lancet Box (Paket DAK P2P) Box 0 0 0 0
Strip Glukosa Box (Paket DAK P2P) Box 0 0 0 0
Safety Box (BIAN) Pcs 0 0 0 0
Pot Dahak (2022) Pcs 0 0 0 0
Pen Marker (BIAN) Pcs 0 0 0 0
Spuit 20 ml Box(2022) Box 0 0 0 0
Plastik Klip (15x10) BTT Yasmin (Pack) Pack 0 0 0 0
Masker N95 (Program TB) Box 0 0 0 0
IV Catheter With Injection Port No.18 (2022)Pcs 0 0 0 0
IV Catheter With Injection Port No.20 (2022)Pcs 0 0 0 0
IV Catheter With Injection Port No.22 (2022)Pcs 0 0 0 0
Masker Earloop (Box) Box 0 0 0 0
Kondom Pcs 0 0 0 0
Lubricant Pcs 0 0 0 0
Handscoon Non Steril (Box) Box 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 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 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
Suku Cadang Tambahan Baru PUSKESMAS 0 0 0 0 0
Waslap Pcs 0 0 0 0
Perlak Pcs 0 0 0 0
Apron plastik Pcs 0 0 0 0
Suction Cath bayi Pcs 0 0 0 0
Duk plos 60x60 Pcs 0 0 0 0
Delee(Nasal Aspirator) Pcs 0 0 0 0
Kasa Roll Gulung Besar Pcs 0 0 0 0
Oxigen Nasal Canul Anak Pcs 0 0 0 0
Kertas Puyer Pcs 0 0 0 0
SALIVA EJECTOR DOCHEM Pcs 0 0 0 0
Jarum Citoject pcs 0 0 0 0
micro brush pcs 0 0 0 0
Polibib Pcs 0 0 0 0
S.File Sendoline L 25 UK 45-80 Set set 0 0 0 0
S.File Sendoline L 25 UK 15-40 Set set 0 0 0 0
Haudle Brush + Brush pcs 0 0 0 0
Napkin Holder Pakistan pcs 0 0 0 0
Bur Diamond Set 6 FG Edenta set 0 0 0 0
Cotton Roll Prodental pcs 0 0 0 0
Poch Pack D Pcs 0 0 0 0
Poch Pack L Pcs 0 0 0 0
ABX Pentra Creatinine ABX Pcs 0 0 0 0
Sarung Tangan No 6,5 Pcs 0 0 0 0
Sarung Tangan No 7 Pcs 0 0 0 0
Sarung Tangan No 6 Pcs 0 0 0 0
Duk Lubang, 25 cm x 30 cm Pcs 0 0 0 0
Poles Pcs 0 0 0 0
Kantong Plastik Kresek Pak 0 0 0 0
Plastik Klip 10x8.7 Pak 0 0 0 0
Plastik Klip 13x8.7 Pak 0 0 0 0
Dermafix Pcs 0 0 0 0
Kondom Box 0 0 3 0
IUD Coper T Pcs 0 0 15 0
ABX Pentra Cholesterol CP ABX Kit 0 0 0 0
ABX Pentra HDL Direct CP ABX Kit 0 0 0 0
ABX Pentra Triglicerides CP ABX Kit 0 0 0 0
Reagen Glukosa Cair Kit 0 0 0 0
Reagen Ureum Kit 0 0 0 0
ABX Pentra AST CP ABX Kit 0 0 0 0
ABX Pentra ALT CP ABX Kit 0 0 0 0
Multical Calibrator Box 0 0 0 0
Normal Multi Control Box 0 0 0 0
Cup Sample Blue Pack 0 0 0 0
Cuvet Segment Box 0 0 0 0
Yellow Tips Pack 0 0 0 0
Blue Tips Pack 0 0 0 0
Aqua Bidest Galon 0 0 0 0
Eighcheck-3 WP Vial 0 0 0 0
Widal Test Pcs 0 0 0 0
Tabung EDTA Pcs 0 0 0 0
Caviton White Pcs 0 0 0 0
XT Rest Syr 3G Pcs 0 0 0 0
Matrix Holder dan Band Dentamerica Pcs 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 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 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
Februari Maret April Mei
BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD
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 50 0 0 0 0
0 0 0 0 0 50 0 0 0 0
0 0 0 0 0 25 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 0 350 0 0 0 0 0 0 0
0 0 100 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 0 10000 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 0 100 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 0 100 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 24 0 0 0 0 0 0 0
0 0 400 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 100 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 0 0 0
0 0 0 0 0 5 0 0 0 0
0 0 0 0 0 5 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 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 0 0 0
0 0 400 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 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 0 300 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 50 0 0 0 0 0 0 0
0 0 50 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 200 0 0 400 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 200 0 0 200 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 200 0 0 275 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 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 0 820 0 0 240 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 8 0 0 2 0
0 0 4608 0 0 204 0 0 1212 0
0 0 4758 0 0 204 0 0 1212 0
0 0 409 0 0 17 0 0 101 0
0 0 46 0 0 2 0 0 12 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 0 820 0 0 240 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
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 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 0 100 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 20 0
0 0 0 0 0 0 0 0 600 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
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 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 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 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 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 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 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 15 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 0 100 0 0 0 0 0 0
0 0 0 100 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 2 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 1
0 0 0 1 0 0 0 0 0 1
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 1 0 0 0 0 0 0
0 0 0 5 0 0 0 0 0 0
0 0 0 5 0 0 0 0 0 0
0 0 0 18 0 0 0 0 0 0
0 0 0 0 0 0 3 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 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 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
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 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
Mei Juni Juli Agustus
Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya
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 58 0 0
0 0 0 0 7150 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 300 0 0 0
0 0 0 0 420 0 0 0 0 0
0 100 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 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 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 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 0 0
0 0 0 0 50 0 7 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 30000 0 0 0 0 0 0 0
0 0 0 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 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 45 0 3 0 0 0
0 0 0 0 0 0 200 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 0 100 0 0
0 0 0 0 0 0 0 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 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 5 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 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 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 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 1000 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 250 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 25 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 300 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 300 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 100 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
0 800 0 0 0 0 0 100 0 0
0 0 0 0 0 200 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1000 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 25 0 0 25 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 400 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
0 100 0 0 6 0 0 0 0 0
0 100 0 0 6 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1008 0 0 0 0 0 120 0 0
0 1008 0 0 0 0 0 120 0 0
0 84 0 0 0 0 0 10 0 0
0 4 0 0 0 0 0 1 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 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
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 0 100 0 0 100 0 0
0 25 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 0 0 0 1000 0 0 0 0 0
0 0 0 0 1000 0 0 0 0 0
0 0 0 0 200 0 0 0 0 0
0 0 0 0 58 0 0 0 0 0
0 0 0 0 29 0 0 0 0 0
0 0 0 0 116 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 200 0 0 600 0 0
0 0 0 0 60 0 0 0 0 0
0 0 0 0 0 0 0 1 0 0
0 0 0 0 0 0 0 5 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 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
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 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 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 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 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 30 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 60 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 0
0 0 0 0 0 0 25 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 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 48 0 0 0 0
0 0 0 0 0 1500 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 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 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 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
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
September Oktober November Desember
Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas
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 0 100 0 0 0
300 0 0 3991 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 0 100 0 0 0
0 0 0 0 0 0 100 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 50 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 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
3 0 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 100 0 0 100 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 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 24 0 0 24 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 40 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 0 100 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 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
72 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 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 0 360 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 0 0
0 0 0 0 0 0 0 0 0 0
125 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 0 0 0 200 0 0 0
0 0 0 0 0 0 0 0 0 0
1050 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
4 0 0 0 0 0 0 0 0 0
4 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 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
1008 0 0 0 0 0 1260 0 0 0
1008 0 0 0 0 0 1260 0 0 0
84 0 0 0 0 0 105 0 0 0
10 0 0 0 0 0 12 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 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 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
63 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
60 0 0 0 0 0 120 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 13 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
600 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
22 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
0 0 0 20 0 0 0 0 0 0
0 0 0 2016 0 0 0 0 0 0
0 0 0 1000 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 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 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 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 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 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 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
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 0 300 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 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 5 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 5 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 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 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 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 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
Desember Total Penerimaan
BLUD Lainnya Dinas BLUD Lainnya
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 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
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 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
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 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
Januari
No Nama Persediaan Satuan
Dinas BLUD
Barang Pakai Habis 0 0
OBAT-OBATAN 0 0
OBAT 0 0
ANTIINFEKSI 0 0
Amoksilin kapsul 250 mg Kapsul 0 0
Amoksilin tab 500 mg Tablet 3000 0
Amoksisilin s kering 125 mg / 5 cc 60 Ml Botol 0 0
Amoksisilin s kering 250 mg / 5 cc 60 Ml Botol 0 0
Asiklovir tab 200 mg Tablet 0 0
Asiklovir tab 400mg Tablet 0 0
Azitromisin 500 mg Tablet 0 0
Benzatin Benzil penisilin Vial 20 0
Cefixim 100 mg kapsul kapsul 0 0
Cefixime DS 100 mg/ 5ml Botol 0 0
Doksisiklin kapsul 100 mg Kapsul 0 0
Erytromisin sirup 60 Ml 200mg/5ml Botol 0 0
Erytromycin 250 mg Tablet 0 0
Erytromycin 500 mg Tablet 0 0
Flukonazol kapsul 150 mg Kapsul 0 0
Griseofulvin tablet 125 mg micronized Tablet 0 0
Ketokonazol tablet 200 mg Tablet 0 0
Klindamisin Kapsul 150 mg Kapsul 0 0
Klindamisin Kapsul 300 mg Kapsul 0 0
Kloramfenikol kapsul 250 mg Kapsul 0 0
Kloramfenikol sirup 60 Ml Botol 0 0
Kotrimoksazol Suspensi 60 Ml 40mg/5ml Botol 0 0
Kotrimoksazol 480 mg tablet Tablet 0 0
Lincomysin 500 mg Kapsul 0 0
Metronidazol tablet 500 mg Tablet 0 0
Metronidazole infus 500 mg/100ml Botol 0 0
Nistatin drop / Mycostatin, candistin, Nymiko Botol 0 0
Nistatin tablet salut gula 500.000 IU/g Tablet 0 0
Nistatin tablet vagina 100.000 IU/g Tablet 0 0
Sefadoksil 500 mg Kapsul 200 0
Sefadoksil syrup 125ml/5ml Botol 0 0
Sefadoksil syrup 250ml/5ml Botol 0 0
Seftriaxsone 1 gr inj Vial 0 0
Siproploksasin tab 500 mg Tablet 400 0
Streptomycin inj 1 gram Vial 0 0
Tetrasiklin Kapsul 250 mg Kapsul 0 0
Tetrasiklin Kapsul 500 mg Kapsul 0 0
Tiamfenikol kap 500 mg Kapsul 400 0
Gentamicin injeksi 40 mg/ml ampul 0 0
OSELTAMIVIR Tablet 0 0
FAVIPIRAVIR 200MG PCS 0 0
ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI 0 0 0
Alopurinol tablet 100 mg Tablet 0 0
Alopurinol tablet 300 mg Tablet 0 0
Asam Mefenamat 250 Kapsul 0 0
Asam Mefenamat 500 Tablet 1000 0
Asetosal Tablet 80 mg (Aspilet) Tablet 0 0
Ibuprofen Supp Supp 0 0
Ibuprofen Suspensi 200mg/5ml Botol 0 0
Ibuprofen tablet 200 mg Tablet 0 0
Ibuprofen tablet 400 mg Tablet 0 0
Kalium Diclofenak 50 mg Tablet 0 0
Meloksixam tablet 15 mg Tablet 0 0
Natrium Diclofenac tab 50 mg Tablet 700 0
Parasetamol Drop 15 ml Botol 0 0
Parasetamol sirup 120 mg / 5ml Botol 600 0
Parasetamol tablet 500 mg Tablet 4800 0
Tramadol tablet 50 mg Tablet 0 0
DIGESTIVA 0 0 0
Antasida DOEN komb Tablet 1000 0
Antasida sirup 60 Ml Botol 100 0
Lansoprazole kapsul 0 0
Mesoprostol 200 mg Tablet 0 0
Natrium Bikarbonat tablet 500 mg Tablet 0 0
Omeprazole 20 mg tablet Kapsul 0 0
Ranitidin inj 25 mg/2ml Ampul 0 0
Ranitidin tablet 150 mg Tablet 0 0
Sucraflat sirup Botol 0 0
ANTISPASMODIK 0 0 0
Atropin sulfat inj 0,25 mg / ml-1ml ampul 0 0
Chlordiazepoxide (Braxidin) Tablet 0 0
Ekstrak Belladon tablet 10 mg Suppos 0 0
Hyoscine-N-Butilbromida/Buscopan tablet Tablet 0 0
Buscopan Inj Ampul 0 0
Papaverin tablet Tablet 0 0
LAKSATIVA 0 0 0
Bisacodil Tablet 5 mg Tablet 0 0
Bisacodil Suppositoria Suppos 0 0
Laktulosa Syr 3,335g/5ml / Laktulak syrup Botol 0 0
ANTIDIARE & ELEKTROLIT 0 0 0
Attapulgit Tablet 0 0
Garam Oralit 200 ml air Sachet 0 0
Norit Tablet 0 0
Zink Tablet (Untuk Diare Anak) Tablet 0 0
Zinc suspensi 100 ml Botol 0 0
ANTIEMESIS 0 0 0
Dimenhidrinat tab 50 mg Tablet 0 0
Domperidon 10 mg tablet Tablet 300 0
Domperidon suspensi 5 mg/ml Botol 0 0
Metoclopramid Inj Ampul 0 0
Metoclopramid Syrup Botol 0 0
Metoclopramid 10 mg Tab Tablet 0 0
Ondansetron injeksi Ampul 0 0
Ondansetron tablet 4 mg Tablet 0 0
OBAT METABOLISME (VITAMIN&MINERAL) 0 0 0
Asam Askorbat (VIT C) Tablet Tablet 3400 0
Asam Askorbat (VIT C) Injeksi ampul 0 0
Kalsium laktat (Kalk) tablet 500 mg Tablet 0 0
Multivitamin anak 60 Ml Botol 0 0
Multivitamin dewasa Tablet 0 0
Neurobion 5000 injeksi Ampul 0 0
Piracetam 800 mg Tablet 0 0
Piridoksin HCl (Vit B6) tablet 10 mg Tablet 2200 0
Vitamn B6 25 mg Tablet 0 0
Sianokobalamin inj 500 mcg/ml-1ml Ampul 0 0
Sianokobalamin tab b12 Tablet 0 0
Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Ampul 0 0
Tiamin HCL (Vit B1) tablet 50 mg Tablet 1000 0
Vitamin B Komplek Inj ampul 0 0
Vit B kompleks tab Tablet 0 0
Anti osteoarthritis Tablet 0 0
ANTI ASMA 0 0 0
Aminofilin inj 24 mg / cc Ampul 0 0
Aminofilin tab 150 mg Tablet 0 0
Bromhexin larutan (Bisolvon drop untuk inhalasi) Botol 0 0
Bricasma Inj Ampul 0 0
Efedrin HCl tablet 25 mg Tablet 0 0
Salbutamol tablet 4 mg Tablet 0 0
Salbutamol inhalasi Nebule 0 0
ANTITUSIVE & EKSPEKTORAN 0 0 0
Ambroksol sirup 60 ml Botol 120 0
Ambroksol tablet Tablet 2000 0
Asetilsistein 200 mg Tablet 0 0
Bromhexin tablet 8 mg Tablet 0 0
Gliseril Guayakolat tablet 100 mg Tablet 0 0
Kodein fosfat tablet 10 mg Tablet 0 0
Bromhexin sirup Botol 0 0
Obat batuk Hitam (OBH) 100 ml Botol 0 0
ANTI ANEMIA 0 0 0
Asam folat 1 mg Tablet 0 0
Tambah darah komb : Besi + as folat Tablet 0 0
OBAT YANG MEMPENGARUHI KOAGULASI 0 0 0
Asam Traneksamat 250mg/5ml Ampul 0 0
Asam Traneksamat 500 MG Tablet 0 0
Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik) Ampul 0 0
Fitomenadion inj 10 mg / ml Ampul 0 0
Fitomenadion tablet gula 10 mg Tablet 200 0
ANAESTETIK 0 0 0
Lidokain inj ampul 0 0
ANTIALERGI/IMUNOLOGIKUM 0 0 0
Cetirizine 10Mg tablet 0 0
Cetirizin sirup 5 mg/5ml 60 ml Botol 0 0
Deksametason inj 5 mg/ml 1 ml Ampul 0 0
Deksametason Tablet 0,5 mg Tablet 1000 0
Difenhidramin inj 10 mg/5 ml-1 ml Ampul 0 0
Klorfeniramin maleat (CTM) tablet 4 mg Tablet 0 0
Loratadin Tablet 2200 0
Methylprednisolon 4 mg tablet Tablet 0 0
Prednison tab 5 mg Tablet 0 0
ANTIKONVULSI 0 0 0
Asam Valproat (Depakote 250 mg) Tablet 0 0
Diazepam Enema (Stesolid Rectal) Supp 5 0
Fenitoin Na inj 50 mg/ml-2ml Ampul 0 0
Fenitoin Natrium kapsul 100 mg Kapsul 0 0
Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
Fenobarbital tablet 30 mg Tablet 0 0
Flufenazin inj ampul 0 0
Karbamazepin tablet 200 mg Tablet 0 0
Magnesium sulfat inj 25 ml -20 % Ampul 0 0
Magnesium sulfat inj 25 ml -40 % ampul 0 0
Triheksifenidil Tablet 2 mg Tablet 0 0
PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTIPSIKOSIS) 0 0 0
Amitriptilin HCl tab 25 mg Tablet 0 0
Diazepam inj 5 mg/ml -2 ml Ampul 10 0
Diazepam tablet 2 mg Tablet 0 0
Diazepam 5mg tablet 0 0
Haloperidol 1,5 mg Tablet 0 0
Haloperidol 5 mg Tab Tablet 0 0
Haloperidol injeksi ampul 0 0
Klobazam 10 mg Tablet 0 0
Klorpromazin HCl inj 5 mg/2cc Ampul 0 0
Klorpromazin HCl 100 mg Tablet 0 0
Klozapin 25 mg Tablet 0 0
Klozapin 100 mg Tablet 0 0
Olanzapin 5 mg Tablet 0 0
Olanzapin 10 mg Tablet 0 0
Olanzapin inj ampul 0 0
Risperidone 2 mg Tablet 0 0
ANTIMIGREN 0 0 0
Antimigren DOEN tab Tablet 0 0
Betahistin Mesilat tab 6 mg Tablet 0 0
ANTIDIABETIKUM 0 0 0
Glibenklamid tablet 5 mg Tablet 0 0
Glimepirida 1 mg Tablet 300 0
Glimepirida 2 mg Tablet 0 0
Metformin Tablet 0 0
OBAT KULIT & OBAT LUAR 0 0 0
Antibakteri DOEN salep komb Tube 25 0
Antifungi DOEN kombinasi salep Tube 0 0
Asiklovir krim 5 % 5 gr Pot 0 0
Betametason krim 0,1 % Tube 0 0
Burnazin cream Tube 5 0
Chloramfecort Krim Tube 0 0
Gentamisin salep kulit Tube 30 0
Gentian violet lar 1 % Tube 0 0
GOM Botol 0 0
Hidrokortison krim 2,5 % botol 120 0
Kassa Penutup luka/lomatule Tube 0 0
Ketokonazol (cream)10 gr Pieces 0 0
Kloramfenikol Krim / Bufacetin Salep 2% Tube 0 0
Mikonazol krim Tube 0 0
Obat Luka Bakar Tube 0 0
Oksitetrasiklin 3% salep kulit Tube 50 0
Salep 2-4 Pot 48 0
Salisil bedak 2 % Kotak 0 0
Scabiecid cream Tube 0 0
Trombophop salep Tube 0 0
OBAT TELINGA 0 0 0
Fenol Glicerol Cair Botol 0 0
Kloramfenikol tetes telinga 3 % Botol 0 0
OBAT MATA 0 0 0
Atropin sulfat tetes mata 0,5 % Botol 0 0
Cendoxitrol Tetes Mata Botol 0 0
Gentamisin tetes mata Botol 0 0
Kloramfenikol salep mata 1 % Tube 0 0
Kloramfenikol tetes mata 0.5%/Decacetin Botol 0 0
Obat edema kornea tetes mata/Optalgon Botol 0 0
Ofloxacin tetes mata Botol 0 0
Oksitetrasiklin salep mata Tube 0 0
Sulfasetamida Na tetes mata Botol 0 0
Tetracain Hcl 0,5 % Tetes Mata Botol 0 0
Timolol 0,5 % Tetes mata Botol 0 0
ANTIHAEMORRHOID 0 0 0
Anti Hemmorhoid DOEN supp Supp 0 0
Anti Hemoroid kapsul Kapsul 0 0
KARDIOVASKULUS/ ANTIHIPERTENSI 0 0 0
Amlodipin 5 mg Tablet 0 0
Amlodipin 10 mg Tablet 5000 0
Bisoprolol 2,5 mg tablet 200 0
Bisoprolol 5 mg Tablet 0 0
Digoksin tablet 0,25 mg Tablet 0 0
Isorbid dinitrat tablet sublingual 5 mg Tablet 0 0
Kaptopril 25 mg Tablet 0 0
Kaptopril 12.5mg Tablet 200 0
Metildopa (Dopamet) Tablet 0 0
Nifedipin 10 mg tab Tablet 0 0
Nifedipin 20 mg tab Tablet 0 0
Propanolol HCl tablet 10 mg Tablet 0 0
Reserpin tab 0,25 mg Tablet 0 0
DIURETIKUM 0 0 0
Furosemid tablet 40 mg Tablet 0 0
Hidroklortiazid (HCT) tablet 25 mg Tablet 0 0
Glaukon Tablet 0 0
OKSITOSIKUM 0 0 0
Metilergometrin maleat inj 0,200 mg - ml ampul 0 0
Metilergometrin maleat tab salut 0,125 mg Tablet 0 0
Oksitoksin in 10 IU/ml- 1 ml ampul 0 0
ANTILIPIDEMIKUM 0 0 0
Simvastatin Tablet 10 mg Tablet 0 0
Simvastatin Tablet 20 mg Tablet 0 0
HORMON 0 0 0
Propiltiourasil tablet 100 mg Tablet 0 0
SYOK ANAFILAKTIK 0 0 0
Epinefrin / adrenalin inj 0,1 % - 1ml ampul 0 0
ANTELMINTIK 0 0 0
Pirantel tablet 125 Tablet 0 0
pirantel tablet 250 mg PCS 0 0
PELARUT & INFUS 0 0 0
Aqua pro inj steril @ 25 cc Botol 0 0
Cairan infus pengganti plasma/gelofusin Botol 0 0
Dekstran 70 lar infus 6 % Botol 0 0
Glukosa lar infus 10 % Botol 20 0
Glukosa lar infus 40 % Botol 0 0
Glukosa lar infus 5 % Botol 0 0
Manitol 20 % Botol 0 0
Natrium Klorida Lar.infus 0,9 % steril Botol 0 0
Ringer Laktat Larutan Infus Steril Botol 0 0
ANTISEPTIKA & DESINFEKTAN 0 0 0
Etakridin ( rivanol ) lar 0,1 % 300 cc Botol 0 0
Etanol 70 %1000 ml Botol 0 0
Etanol 70 %100 ml Botol 0 0
ETANOL 70% 20 L DRIGEN 0 0
Povidon Iodine 10 % 60 ml Botol 0 0
povidon iodne 10% 300ml botol 0 0
Povidon Iodine 10 % 1000 ml Botol 0 0
SERUM 0 0 0
Serum anti tetanus inj 1.500 IU/amp Vial 0 0
Serum anti tetanus inj 20.000 IU/vial Vial 0 0
Serum antibisa ular Polivalen inj 5 ml Vial 0 0
Serum Anti Defteri Vial 0 0
Serum Anti Rabies 300iv/ml Vial 0 0
ANTIDOTUM 0 0 0
Calsium gluconas inj ampul 0 0
Natrium tiosulfat inj ampul 0 0
Nalokson Inj 0,4 mg/ml Botol 0 0
OBAT PROGRAM 0 0 0
ANTI MALARIA 0 0 0
Artemeter injeksi ampul 0 0
Arterakine tablet Tablet 0 0
Artesunate injeksi ampul 0 0
Kuinin Dihidroklorida injeksi 25%-2 ml ampul 0 0
KLOROKUIN 150mg Tablet 0 0
Dehydro Artesimin 40mg + piperaquin 320mg (DHP) (prov) Tablet 0 0
Primaquine 15mg (prov) Tablet 0 0
GIZI 0 0 0
Mineral Mix Sachet 0 0
Retinol ( vit A ) kapsul 100.000 unit Kapsul 750 0
Retinol ( vit A ) kapsul 200.000 unit Kapsul 8800 0
Taburia Sachet 0 0
Formal 100 Sachet 0 0
Nutridrink 200 ml botol 0 0
Susu Ibu Hamil 300mg kotak 0 0
Formula Gizi (RUTF) bungkus 0 0
FILARIASIS 0 0 0
Anti Filaria Tablet ( Dietyl Karbamazepin ) Tablet 0 0
Albendazol tab 400 mg Tablet 0 0
Albendazol Sirup 200mg/5ml Botol 0 0
ANTI LEPRA 0 0 0
MD Dewasa Blister 0 0
MD Anak Blister 0 0
PB Dewasa Blister 0 0
PB Anak Blister 0 0
OBAT TBC 0 0 0
INH 100 mg Tablet 0 0
Obat Anti Tuberkulosis FDC Kat 1 Paket 0 0
Obat Anti Tuberkulosis FDC Kat 2 Paket 0 0
Obat Anti Tuberkulosis Kategori Anak Paket 0 0
Obat Anti Tuberkulosis Sisipan Paket 0 0
Azythromycin Cefixime (kombipak) Tablet 0 0
OAT Kombipak Kat.1 Paket 0 0
OAT Kategori 1 Dosis Harian Paket 4 0
CATRIDGE TCM (TB) TES 0 0
PPD 2 TU vial 2 0
HIV AIDS 0 0 0
Abacavir 300mg Botol 0 0
Abacavir + Lamivudine (120mg/60mg) botol 0 0
Dolutegravir 50mg botol 2 0
Efavirenz 200mg Botol 0 0
Efavirenz 600 Botol 24 0
Lamivudin (3TC) 150MG Botol 3 0
Lopinavir + Ritonavir (200/ 50MG) Botol 3 0
Lopinavir + Ritonavir (40/10mg) botol 0 0
Nevirapine (NPV) 200MG Botol 9 0
Rilpivirine 25mg (eduran) Botol 0 0
Tenofovir (TDF) 300mg Botol 2 0
Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg Botol 0 0
TDF+3TC+EFC (300/300/600) FDC Dewasa Botol 10 0
Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg Botol 5 0
ZDV+3TC+NPV (60/30/50) FDC Anak Botol 0 0
Zidovudine Oral Syrup 50mg/5ml,100mg(240ml) Botol 0 0
Zidovudine 100mg tablet Botol 0 0
INH 300 mg (HIV) tablet 0 0
KHB Diagnostar kit.2 tes 0 0
Tdf(300)+3tc(300)+dtg(50) mg Botol 28 0
3HP ( Isoniazid 300 + Rifapentin 300) kotak 0 0
VAKSIN 0 0 0
Vaksin BCG+PELARUT Vial 42 0
Vaksin Campak/MR+PELARUT Vial 55 0
Vaksin DT Vial 0 0
Vaksin HB COM DPT Vial 0 0
Vaksin HB UNIJECT ampul 90 0
Vaksin Polio+DROPER POLIO Vial 85 0
Vaksin TT Vial 0 0
Vaksin TD Vial 0 0
Vaksin DPT HB HIB Vial 96 0
Polio IVP Vial 0 0
Vaksin Rabies vial 0 0
VAKSIN MENINGITIS VIAL 0 0
Vaksin HBIg / Hyperhep B Vial 0 0
DENTAL 0 0 0
Bonding Set 0 0
Composite Set 0 0
Dentorit Botol 0 0
Descotan Forte (gigi) Botol 0 0
Devitalisasi Pasta (Non arsen) Botol 0 0
Endoprost botol 0 0
Etil klorida semprot 100 cc Botol 0 0
Etching/Extra gel Set 0 0
Eugenol Cairan Botol 0 0
Glass Ionomer Cement (GC IX) Botol 1 0
Kalsium Hidroksida pasta pieces 0 0
Lining Cement pieces 0 0
Monoklorkamfer mentol cairan Botol 0 0
Mummifying Pasta Botol 0 0
Semen seng fosfat serbuk cairan/Glas lonomer lineng semen pieces 0 0
Serat pembeku darah pot 0 0
Silver amalgam serbuk 65-75 % Set 0 0
Sulfa Stopping Fletcher(Fletcher) Set 0 0
Trikresol formalin Botol 0 0
OBAT PENGADAAN BARU - FITOFARMAKA 0 0 0
Herbacold tablet 600 0
Herbacof Botol 0 0
Herbavomiz tablet 0 0
Stimuno Forte kapsul 0 0
Stimuno Suspensi 100ml Botol 0 0
Bedak Salisyl Kotak pcs 100 0
Obat Tambahan Baru DINAS 0 0 0
CoronaVac 2 dosis (Sinovac) Vial 3150 0
Nacl 10 ml (Pfizer) Botol 304 0
Vaksin (Pfizer) Vial 304 0
Obat Suntik KB 3 Bulanan 1 cc Vial 0 0
Obat Suntik KB Gestin F3 1 cc vial 0 0
Pil KB Kombinasi Strip 0 0
Minyak Kayu Putih Cap Lang 30 ml botol 0 0
Ampicillin 1 g Inj Ampul 0 0
multivitamin / zegavit (btt yasmin) Tablet 0 0
Lianhua Qingwen Box 0 0
Implant plus inserter KB Pcs 0 0
Povidon Iodine 30 ml Botol 0 0
Vaksin MR (Bias) Vial 0 0
Vaksin TD (BIAS) Vial 0 0
Oseltamivir 75 mg (BTT Yasmin) Kapsul 0 0
Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trimetoprim 160) Tablet 0 0
Etambutol 100 mg Tablet 0 0
Levofloxacin 100 mg Tablet 0 0
Vaksin Covid-19 Astrazaneca Vial 0 0
Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA) Vial 0 0
Vaksin Covid-19 (Sinovac Single Dose) Vial 0 0
Vaksin Covid-19 Moderna Vial 0 0
Vaksin Influenza Vial 0 0
NaCl 2 ml (Pfizer) Botol 0 0
CoronaVac MDV (Biofarma) Vial 0 0
Natrium Diclofenak 50 mg tab (2022) Tablet 0 0
Multivitamin Syr (BTT Yasmin) Botol 0 0
Amoksisilin Sirup Kering 125mg/5ml (2022) Botol 0 0
3HP ( Isoniazid 300 + Rifapentin 300) Tablet 0 0
Biskuit MT-Balita (Tahap I) 2022 Box 0 0
Biskuit MT Ibu Hamil (Tahap I) 2022 Box 0 0
Biskuit MT-Balita (Tahap II) 2022 Box 0 0
Biskuit MT Ibu Hamil (Tahap II) 2022 Box 0 0
Asam Mefenamat 500mg (2022) Tablet 0 0
Alopurinol 100mg (2022) Tablet 0 0
Salep 2-4 (2022) pot 0 0
Deksametason Tablet 0,5 mg (2022) tablet 0 0
Atapulgite (Box@100tab) Box 0 0
Vaksin PCV MDV Vial 0 0
Multivitamin Dewasa Tablet 0 0
Tiamin HCL (Vit B1) tablet 50 mg (2022) Tablet 0 0
Ibuprofen 400 mg (2022) Tablet 0 0
Parasetamol Syrup (2022) Botol 0 0
Natrium Klorida Lar.infus 0,9 % steril (2022) Botol 0 0
Kloramfenikol Salep 2% (2022) Tube 0 0
Isoniazid Tablet 300mg (TB) Tablet 0 0
Pyrazinamide Tablet 500mg Tablet 0 0
Rifampicin Tablet 450mg tablet 0 0
Rifampicin Tablet 600mg tablet 0 0
Susu Bayi Kurang Dari 12 Bulan Box 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 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
Obat Tambahan Baru PUSKESMAS 0 0 0
Attaqua Gel(JKN) Pcs 0 0
Cavit G(JKN) Pcs 0 0
Fletcher (JKN) Pcs 0 0
Endoseal Box 0 0
Paramonochlorofenol Pcs 0 0
Devital Pcs 0 0
Cotton Roll Pak 0 0
Pulp X Pcs 0 0
Trikresol Formalin Botol 0 0
Celluloid Strip Pcs 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
Januari Februari Maret April
Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya
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 0 120 0 0 100 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 0 800 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 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 0 300 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 200 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
0 100 0 0 0 0 0 0 0 0
0 400 0 0 0 0 0 500 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 0
0 0 0 0 600 0 0 100 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
0 200 0 0 300 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 0 200 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 1500 0 0 0 0 0
0 100 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 1200 0 0 300 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 300 0 0
0 0 0 0 0 0 0 1500 0 0
0 0 0 0 192 0 0 96 0 0
0 0 0 0 600 0 0 0 0 0
0 10400 0 0 30000 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 1000 0 0 4000 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 60 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 400 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1300 0 0
0 0 0 0 48 0 0 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 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
0 100 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 0 100 0 0 400 0 0
0 0 0 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 36 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 500 0 0 2400 0 0 0 0 0
0 0 0 0 100 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 3000 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 2000 0 0 3000 0 0
0 0 0 0 0 0 0 0 0 0
0 5000 0 0 7500 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
0 300 0 0 2400 0 0 3600 0 0
0 300 0 0 1000 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
0 600 0 0 400 0 0 800 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 0 100 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 120 0 0 0 0 0 0 0 0
0 0 0 0 5000 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 1200 0 0 3000 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 96 0 0 96 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 7600 0 0 60600 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 0 100 0 0 100 0 0
0 0 0 0 0 0 0 0 0 0
0 1000 0 0 2000 0 0 1200 0 0
0 0 0 0 0 0 0 0 0 0
0 11300 0 0 2200 0 0 0 0 0
0 0 0 0 2000 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 5 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 0 300 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 0 100 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 0 100 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 0 500 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
0 300 0 0 0 0 0 0 0 0
0 400 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 2400 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 25 0 0
0 0 0 0 0 0 0 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 30 0 0 0 0 0 70 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 48 0 0
0 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 72 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 25 0 0 0 0 0 0 0 0
0 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 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 25 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 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
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3000 0 0
0 0 0 0 3000 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 2600 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 0 100 0 0 100 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 50 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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 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 5 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 15 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
0 96 0 0 96 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 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 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 0 100 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 9590 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 0 500 0 0 0 0 0
0 40 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 10 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 10 0 0 5 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 5 0 0 1 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 3 0 0 1 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 5 0 0 0 0 0
0 0 0 0 0 0 0 2 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 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 60 0 0 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 0 0
0 0 0 0 0 0 0 0 0 0
0 300 0 0 1000 0 0 600 0 0
0 0 0 0 0 0 0 0 0 0
0 50 0 0 90 0 0 37 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 50 0 0 23 0 0 23 0 0
0 16 0 0 69 0 0 31 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 100 0 0 130 0 0 115 0 0
0 24 0 0 93 0 0 59 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 19 0 0 10 0 0
0 126 0 0 94 0 0 19 0 0
0 14 0 0 23 0 0 7 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 100 0 0
0 0 0 0 1 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 5 0 0 0 0 0
0 0 0 0 1 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 0 210 0 0 0 0 0
0 0 0 0 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
0 0 0 0 96 0 0 96 0 0
0 0 0 0 0 0 0 100 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 809 0 0 409 0 0 17 0 0
0 809 0 0 409 0 0 17 0 0
100 0 0 0 0 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
200 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
0 500 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 500 0 0
0 0 0 0 0 0 0 300 0 0
0 0 0 0 0 0 0 200 0 0
0 0 0 0 0 0 0 40 0 0
0 0 0 0 0 0 0 5 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 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
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 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 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 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 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 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 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 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
Mei Juni Juli Agustus
Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas
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 5200 0 0 3400 0 0 1200
0 0 0 200 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
600 0 0 450 0 0 400 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 10 0 0 4
0 0 0 200 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 200 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
300 0 0 200 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 200 0 0 0 0 0 0
0 0 0 100 0 0 100 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 0 200 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 600 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 0 100 0 0 0
0 0 0 100 0 0 0 0 0 0
0 0 0 1000 0 0 200 0 0 200
0 0 0 0 0 0 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 0 200 0 0 200 0 0 500
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
500 0 0 0 0 0 100 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 0 400 0 0 0 0 0 0
200 0 0 0 0 0 100 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 1800 0 0 1500 0 200 0
0 0 0 100 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 500 0 0 0 0 0 0
0 0 0 500 0 0 500 0 0 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 300 0 0 0 0 0 100
400 0 0 0 0 0 0 0 0 0
96 0 0 96 0 0 192 0 0 0
0 0 0 100 0 0 200 0 0 300
0 0 0 0 0 0 0 0 0 2500
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 500 0 0 0 0 0 500
0 0 0 100 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 400 0 0 400 0 0 600
0 0 0 0 0 0 0 0 0 0
0 0 0 1400 0 0 0 0 0 600
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 0 100 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
100 0 0 100 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 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 0 0 0 300 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1200 0 0 800 0 0 4000
36 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 0 400 0 0 1000 0 0 500
0 0 0 100 0 0 0 0 0 100
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 5200 0 0 600 0 0 2600
0 0 0 0 0 0 0 0 0 0
700 0 0 8000 0 0 3000 0 0 5000
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 3000 0 0 0 0 0 1600
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 1000 0 0 800 0 0 1200
0 0 0 0 0 0 0 0 0 0
0 0 0 1300 0 0 1000 0 0 600
0 0 0 0 0 0 0 0 0 0
0 0 0 3000 0 0 2000 0 0 2000
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 5 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
200 0 0 300 0 0 100 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 1500 0 0 0 0 0 1000
0 0 0 2280 0 0 0 0 0 3600
0 0 0 0 0 0 0 0 0 0
0 0 0 700 0 0 0 0 0 2200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
48 0 0 72 0 0 72 0 0 72
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
44800 0 0 44800 0 0 0 0 0 44800
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 200 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 0 100 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 100 0 0 100
0 0 0 0 0 0 0 0 0 0
0 0 0 1000 0 0 3000 0 0 1100
0 0 0 0 0 0 0 0 0 0
0 0 0 2600 0 0 0 0 0 2600
900 0 0 1700 0 0 1800 0 0 3000
700 0 0 0 0 0 0 0 0 1000
0 0 0 500 0 0 0 0 0 500
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 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 0 200 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 75 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 0 200 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
200 0 0 200 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 1000 0 0 200 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 300 0 0 0 0 0 1000
0 0 0 400 0 0 0 0 0 300
300 0 0 900 0 0 0 0 0 0
0 0 0 2000 0 0 0 0 0 1400
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 50 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 90 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 24 0 0 0 0 0 0
96 0 0 0 0 0 0 0 0 48
0 0 0 0 0 0 0 0 0 0
0 0 0 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 0 100 0 0 0 0 0 25
0 0 0 0 0 0 20 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 0 20 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 40 0 0 0 0 0 72
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 48 0 0 120 0 0 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 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
30 0 0 0 0 0 20 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 5400 0 0 3300 0 0 1500
0 0 0 0 0 0 1000 0 0 1100
0 0 0 0 0 0 0 0 0 0
0 0 0 210 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 1500 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 0 200 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
800 0 0 0 0 0 0 0 0 300
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 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 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 0 96 0 0 36 0 7 96
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
4 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 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 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 50 0 0 0 0 0 0
0 0 0 200 0 0 4500 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 9787 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 15 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 0 0
0 0 0 0 0 0 3 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 0 0 3 0 0 3 0 0 10
0 0 0 0 0 0 2 0 0 3
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
4 0 0 3 0 0 3 0 0 10
0 0 0 0 0 0 0 0 0 0
30 0 0 10 0 0 30 0 0 40
5 0 0 3 0 0 5 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 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
50 0 0 30 0 0 60 0 0 70
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17 0 0 33 0 0 50 0 0 23
26 0 0 37 0 0 453 0 0 51
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
28 0 0 132 0 0 150 0 0 172
59 0 0 64 0 0 195 0 0 64
0 0 0 0 0 0 0 0 0 0
20 0 0 30 0 0 30 0 0 35
97 0 0 17 0 0 325 0 0 77
17 0 0 32 0 0 295 0 0 9
0 0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0 0
0 0 0 1 0 0 1 0 0 1
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 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
90 0 0 0 0 0 0 0 0 0
48 0 0 0 0 0 48 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
101 0 0 59 0 0 0 0 0 0
101 0 0 84 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 300 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 30 0
0 0 0 0 0 0 0 0 7 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 3 0 0 0
140 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
180 0 0 0 0 0 0 0 0 0
0 0 0 25 0 0 0 0 0 10
0 0 0 10 0 0 0 0 0 0
0 0 0 4200 0 0 0 0 0 1200
0 0 0 0 0 0 20 0 0 0
0 0 0 0 0 0 430 0 0 200
0 0 0 0 0 0 108 0 0 0
0 0 0 0 0 0 58 0 0 98
0 0 0 0 0 0 45 0 0 135
0 0 0 0 0 0 40 0 0 0
0 0 0 0 0 0 90 0 0 0
0 0 0 0 0 0 1000 0 0 0
0 0 0 0 0 0 100 0 0 0
0 0 0 0 0 0 24 0 0 0
0 0 0 0 0 0 1400 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 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 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
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 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 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 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 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 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
Agustus September Oktober November
BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD
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 2000 0
0 0 3200 0 0 5000 0 0 1400 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 2500 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 3 0
0 0 300 0 0 0 0 0 200 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 200 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 0 200 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 200 0 0 300 0 0 200 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 0 300 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 100 0 0 0 0 0 300 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 600 0 0 300 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 0 600 0 0 300 0 0 500 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 0 100 0 0 0 0 0 300 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 5000 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 1500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 200 0
0 0 0 0 0 0 0 0 0 0
0 0 192 0 0 96 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 3200 0 0 0 0 0 36000 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 3700 0 0 0 0 0 10000 0
0 0 100 0 0 200 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 0 600 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 100 0
0 0 800 0 0 500 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 0 0 0
0 0 0 0 0 0 0 0 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 0 300 0
0 0 0 0 0 0 0 0 0 0
0 0 4000 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 1100 0 0 1000 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 5800 0 0 6200 0 0 10000 0
0 0 0 0 0 0 0 0 0 0
0 0 3200 0 0 6000 0 0 11000 0
0 0 0 0 0 0 0 0 288 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 1400 0 0 1000 0 0 4000 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 800 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 5400 0 0 3400 0 0 7000 0
0 0 0 0 0 0 0 0 120 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 0 400 0 0 0 0 0 1000 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 0 600 0 0 0 0
0 0 0 0 0 200 0 0 8800 0
0 0 3000 0 0 4000 0 0 20000 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 44800 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 60 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 1700 0
0 0 50 0 0 50 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 5400 0 0 2200 0 0 12000 0
0 0 1800 0 0 1800 0 0 0 0
0 0 0 0 0 0 0 0 2600 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 300 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 0
0 0 0 0 0 0 0 0 300 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 0 100 0 0 0 0 0 300 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 0 300 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 0 200 0 0 800 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 0 500 0 0 300 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 1000 0 0 0 0
0 0 0 0 0 0 0 0 400 0
0 0 1000 0 0 0 0 0 3000 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 200 0
0 0 0 0 0 0 0 0 20 0
0 0 10 0 0 0 0 0 30 0
0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0 0
0 0 90 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 24 0 0 48 0
0 0 72 0 0 48 0 0 48 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 0 0 0 0 0 0
0 0 0 0 0 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 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 30 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 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 24 0 0 96 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 10 0 0 60 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 5700 0 0 0 0
0 0 500 0 0 1700 0 0 6000 0
0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 60 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 1500 0 0 1000 0 0 3000 0
0 0 0 0 0 300 0 0 100 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 0 100 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 25 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 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 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 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 40 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 96 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
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 5 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
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 3480 0
0 0 0 0 0 0 0 0 112 0
0 0 0 0 0 0 0 0 0 0
0 0 27 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 6 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 33 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 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 0 0 0 0
0 0 1 0 0 0 0 0 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 1 0
0 0 0 0 0 0 0 0 0 0
0 0 5 0 0 3 0 0 8 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 0
0 0 0 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 2 0
0 0 0 0 0 0 0 0 0 0
0 0 40 0 0 40 0 0 150 0
0 0 0 0 0 5 0 0 6 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 0 100 0 0 110 0 0 250 0
0 0 720 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 50 0 0 50 0
0 0 10 0 0 36 0 0 30 0
0 0 0 0 0 91 0 0 50 0
0 0 0 0 0 0 0 0 0 0
0 0 120 0 0 200 0 0 300 0
0 0 40 0 0 20 0 0 100 0
0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 397 0 0 30 0
0 0 200 0 0 50 0 0 0 0
0 0 70 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 1 0
0 0 0 0 0 0 0 0 0 0
0 0 0 4 0 0 0 0 0 0
0 0 0 6 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 5 0 0 0 0 0 0
0 0 0 6 0 0 0 0 0 0
0 0 0 2 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 96 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 0 100 0 0 0 0 0 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 84 0 0 0 0 0 105 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
0 0 0 0 0 0 0 0 0 0
0 0 100 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 84 0 0 0 0 0 105 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2600 0 0 1000 0
0 0 0 0 0 0 0 0 0 0
0 0 200 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 58 0
0 0 0 0 0 0 0 0 0 0
0 0 3000 0 0 500 0 0 0 0
0 0 200 0 0 400 0 0 100 0
0 0 0 0 0 0 0 0 0 0
0 0 5400 0 0 5000 0 0 1600 0
0 0 30 0 0 0 0 0 20 0
0 0 75 0 0 0 0 0 0 0
0 0 3000 0 0 0 0 0 3000 0
0 0 1200 0 0 800 0 0 4400 0
0 0 0 0 0 1500 0 0 0 0
0 0 0 0 0 200 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 0 420 0
0 0 0 0 0 0 0 0 50 0
0 0 0 0 0 0 0 0 250 0
0 0 0 0 0 0 0 0 250 0
0 0 0 0 0 0 0 0 6 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
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 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 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 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 4 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 2 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 2 0 0 0 0 0 0
0 0 0 2 0 0 0 0 0 0
0 0 0 1 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 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
November Desember Total Penerimaan
Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya
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 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 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 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
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 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 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 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
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 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 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 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
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 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 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 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
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 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 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
Januari
No Nama Persediaan Satuan
Dinas BLUD Lainnya
Barang Pakai Habis 0 0 0 0
Bahan 0 0 0 0
BAHAN KIMIA 0 0 0 0
Handsanitizer (Chlorhexidine 0,5% 500ml) botol 0 0 0
Lisol 5 % botol 0 0 0
Suku Cadang Tambahan Baru DINAS 0 0 0 0
Handsanitizer 50 ml (donasi) Botol 0 0 0
Desinfektan 5 l BTT Botol 0 0 0
HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anabaBotol 0 0 0
Spiritus Botol 0 0 0
Handsanitizer (Chlorhexidine 0,5% 500ml) botol 0 0 0
Hand Sanitizer 500 ml Aseptan (Banprov) Pcs 0 0 0
Hand Sanitizer (Program TB) Botol 0 0 0
Bactivec 30 ml Biolarvasida DBD & Malaria (P2P) Botol 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
Februari Maret April Mei
Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas
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
19 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
Mei Juni Juli Agustus
BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD
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 5 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 0 0 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 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
Agustus September Oktober November
Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya Dinas BLUD Lainnya
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 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 3 0 0 0 0 0 0 0 0
0 0 0 0 45 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
Desember Total Penerimaan
Dinas BLUD Lainnya Dinas BLUD Lainnya
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
LAPO
MENU

LPLPO
OBAT
JANUARI
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JANUARI NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : JANUARI 2022
PERMINTAAN BULAN / TAHUN : FEBRUARI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 10 10
pcs
pcs 10
pcs
pcs
pcs 375
pcs 900 560 760
pcs 900 100
pcs 1200 180 200 300 180
pcs 637 37
pcs 100 30
pcs
pcs 2 2
pcs 10 5
pcs
pcs 18 10
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs 24 3
pcs 11
pcs 12
pcs 720 720
Bungkus 2 7 1
Roll
Kotak 77 40 45
Roll 190
Roll 60
pcs 13200
pcs
pcs
Roll
Roll
pcs 21 24 6
pot 800
pcs 3 3
pcs 42 5
pcs
pcs
pcs
pcs 100 60
pcs 10 6
pcs
pcs
pcs 6
pcs 6
pcs 1
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs 36 24
pcs 12 12
pcs 36
pcs 36
pcs
pcs
pcs 3000
pcs 1000
pcs
pcs
pcs
pcs
pcs
pcs
pcs
0
pak 7
0
botol
pcs
0
0
botol
Paket 5
pcs 1000
Vial 175
pcs
pcs 125
pcs 1000 300
pcs
pcs 50 50
Tes
Tes
Tes
Tes
Tes
Tes
Tes
Kit 5
Botol 5
Botol 3
Botol 5
Botol
pcs
pcs
Set
pcs
TES
tes
pcs
Kit
pcs
Set
0
Pcs 8460 6300 8184
Pcs 3518 6300 6387
Pcs 75 54 54
Pcs 240 1824 1542
Pcs 3648 2448
Pcs 304 222
Pcs 15
Pcs 200
Pcs 800
Pcs
Paket 500
Paket 600
Pcs 80 20
Pcs 200
Pcs 120
Pcs 50
Pcs 700
Pcs 1200
Pcs 48
Pcs 40 20
Pcs 60
Pcs 14000
Pcs 30
Pcs 30
Pcs
Pcs 450
Pcs
Pcs 50
Pcs 200 50
Pcs 8000 2000
Pcs 50 50
Pcs 700
pcs 20 0
Box 20 0
Box
Pcs
pcs
Pcs
Pcs
Box
Box
Pcs
Pcs
Pcs
Box
Box
Box
Pcs
Pcs
Pcs
Box
Pack
Box
Pcs
Pcs
Pcs
Box
Pcs
Pcs
Box
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
Pcs 5
Pcs 4
Pcs 100
Pcs 8 2
Pcs 1
Pcs 3 1
Pcs 2
Pcs
Err:509
Pcs 2600
pcs 184
pcs 7
Pcs 300
set 4
set 4
pcs 2
pcs 1
set 1
pcs 2
Pcs 6
Pcs 2 2
Pcs 1
Pcs 50
Pcs 22
Pcs 50
Pcs 28
Pcs 6 2
Pak 23
Pak 80 30
Pak 130
Pcs 28
Box 3
Pcs 15
Kit 0
Kit
Kit
Kit
Kit
Kit
Kit
Box
Box
Pack
Box
Pack
Pack
Galon
Vial
Pcs
Pcs
Pcs
Pcs
Pcs
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1906 4359 0 0 6265
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 17 17
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
375 0 0 1.7 0 -375
700 0 0 1.7 1292 592
800 0 0 1.7 170 -630
900 0 200 1.7 816 -284
600 0 0 1.7 62.9 -537.1
70 0 0 1.7 51 -19
0 0 0 1.7 0 0
0 0 0 1.7 3.4 3.4
5 0 0 1.7 8.5 3.5
0 0 0 1.7 0 0
8 0 0 1.7 17 9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 5.1 -15.9
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
8 0 0 1.7 1.7 -6.3
0 0 0 1.7 0 0
72 0 0 1.7 76.5 4.5
190 0 0 1.7 0 -190
60 0 0 1.7 0 -60
0 13200 0 1.7 0 -13200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
39 0 0 1.7 10.2 -28.8
800 0 0 1.7 0 -800
0 0 0 1.7 5.1 5.1
0 0 37 1.7 8.5 -28.5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 102 62
4 0 0 1.7 10.2 6.2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12 0 0 1.7 40.8 28.8
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3000 0 0 1.7 0 -3000
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
1000 0 0 1.7 0 -1000
175 0 0 1.7 0 -175
0 0 0 1.7 0 0
0 125 0 1.7 0 -125
700 0 0 1.7 510 -190
0 0 0 1.7 0 0
0 0 0 1.7 85 85
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
5 0 0 1.7 0 -5
3 0 0 1.7 0 -3
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6576 0 0 1.7 13912.8 7336.8
3431 0 0 1.7 10857.9 7426.9
75 0 0 1.7 91.8 16.8
522 0 0 1.7 2621.4 2099.4
1200 0 0 1.7 4161.6 2961.6
82 0 0 1.7 377.4 295.4
15 0 0 1.7 0 -15
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
600 0 0 1.7 0 -600
60 0 0 1.7 34 -26
200 0 0 1.7 0 -200
120 0 0 1.7 0 -120
50 0 0 1.7 0 -50
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
20 0 0 1.7 34 14
60 0 0 1.7 0 -60
14000 0 0 1.7 0 -14000
30 0 0 1.7 0 -30
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
150 0 0 1.7 85 -65
6000 0 0 1.7 3400 -2600
0 0 0 1.7 85 85
700 0 0 1.7 0 -700
20 0 0 1.7 0 -20
20 0 0 3 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 4 0 1.7 0 -4
0 100 0 1.7 0 -100
0 6 0 1.7 3.4 -2.6
0 1 0 1.7 0 -1
0 2 0 1.7 1.7 -0.3
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 184 0 1.7 0 -184
0 7 0 1.7 0 -7
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
2 0 0 1.7 0 -2
0 6 0 1.7 0 -6
0 0 0 1.7 3.4 3.4
0 1 0 1.7 0 -1
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 50 0 1.7 51 1
0 130 0 1.7 0 -130
0 0 28 1.7 0 -28
0 0 3 1.7 0 -3
0 0 15 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Januari 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
10
10
###
###
###
###
###
###
###
###
###
###
###
3
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
2
2
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAP

LPLPO
SK-CD
JANUARI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JANUARI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : JANUARI 2022
PERMINTAAN BULAN / TAHUN : FEBRUARI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul
Tablet 8102 115 3000 1862 115
Botol 132 46
Botol
Tablet
Tablet 458 130
Tablet 392 25
Vial 18 20 10
kapsul
Botol
Kapsul 500
Botol
Tablet
Tablet 1100
Kapsul
Tablet 900 601
Tablet 62 62
Kapsul
Kapsul
Kapsul 677 295
Botol
Botol 149 10
Tablet 444 43
Kapsul 75 15
Tablet 1050 170
Botol
Botol 17 2
Tablet 100
Tablet 36 20
Kapsul 170 200 224
Botol 42 1
Botol
Vial 17 7
Tablet 271 400 237
Vial
Kapsul
Kapsul 155
Kapsul 175 400 271
ampul 15
Tablet
PCS
0
Tablet 485
Tablet 220 10
Kapsul
Tablet 2550 150 1000 1195 150
Tablet 170 80
Supp 1
Botol
Tablet
Tablet 1980 180
Tablet 500
Tablet 270 90
Tablet 3095 700 865
Botol 284 277
Botol 488 600 353
Tablet 13100 4800 6200
Tablet 95
0
Tablet 3490 1000 1634
Botol 100 5
kapsul
Tablet 120 60
Tablet
Kapsul
Ampul
Tablet 2850 1210
Botol
0
ampul
Tablet
Suppos
Tablet
Ampul
Tablet
0
Tablet 64 48
Suppos 50
Botol
0
Tablet 1710 330
Sachet 932 174
Tablet
Tablet 950 290
Botol 72
0
Tablet 245 45
Tablet 450 300 42
Botol 217 217
Ampul
Botol
Tablet
Ampul
Tablet
0
Tablet 5734 3400 2978
ampul
Tablet 13714 3545
Botol
Tablet 5000 1830
Ampul
Tablet
Tablet 2382 2200 1802
Tablet 220 220
Ampul
Tablet 840 741
Ampul
Tablet 1620 1000 1114
ampul
Tablet
Tablet
0
Ampul
Tablet 184
Botol
Ampul
Tablet
Tablet 858 113
Nebule
0
Botol 274 120 176
Tablet 2000
Tablet 9780 1447
Tablet 2270 20
Tablet 3212 1598
Tablet 100
Botol
Botol 98 68
0
Tablet
Tablet 15650 5186
0
Ampul
Tablet
Ampul 150
Ampul
Tablet 100 200 200
0
ampul 150 6
0
tablet
Botol
Ampul 10
Tablet 4000 1000 1486
Ampul
Tablet 9008 7493
Tablet 1040 2200 740
Tablet 4342 602
Tablet 800
0
Tablet 170
Supp 5 5
Ampul
Kapsul
Ampul
Tablet
ampul 20
Tablet
Ampul
ampul 32 11
Tablet 195 40
0
Tablet 300
Ampul 19 10
Tablet 197
tablet
Tablet
Tablet 110
ampul 10
Tablet
Ampul
Tablet
Tablet
Tablet
Tablet
Tablet
ampul
Tablet 310 100
0
Tablet
Tablet 1370 260
0
Tablet 283 90
Tablet 465 300 25
Tablet 210 138
Tablet 2064 799
0
Tube 25 25
Tube 34 2
Pot 103 11
Tube 114 37
Tube 5 5
Tube 34 1
Tube 30 30 29
Tube 13 1
Botol 77 10
botol 34 120 32
Tube 10 10
Pieces 54 11
Tube 71 1
Tube 49 13
Tube
Tube 17 50 28
Pot 34 48 8
Kotak
Tube
Tube
0
Botol
Botol 29 11
0
Botol
Botol
Botol 29 9
Tube 46 1
Botol
Botol
Botol
Tube 16 16
Botol 58 10
Botol
Botol
0
Supp
Kapsul
0
Tablet
Tablet 4780 5000 1755
tablet 100 200
Tablet
Tablet 100
Tablet 64
Tablet
Tablet 2691 200 647
Tablet 200
Tablet 98 20
Tablet
Tablet
Tablet
0
Tablet 125
Tablet 57 19
Tablet
0
ampul
Tablet 400
ampul 50
0
Tablet 2105 335
Tablet 4040 290
0
Tablet
0
ampul 3
0
Tablet 472 2
PCS
0
Botol 90 35
Botol
Botol
Botol 5 20 2
Botol
Botol
Botol
Botol 51 13
Botol 54 23
0
Botol 19 5
Botol
Botol 96 5 14
DRIGEN
Botol 20
botol 12 2
Botol
0
Vial
Vial
Vial
Vial
Vial
0
ampul 20
ampul
Botol
0
0
ampul
Tablet
ampul
ampul
Tablet
Tablet
Tablet
0
Sachet
Kapsul 750 750
Kapsul 3700 8800 3700
Sachet
Sachet
botol
kotak
bungkus
0
Tablet
Tablet 12580 10
Botol
0
Blister 4
Blister 5
Blister
Blister
0
Tablet 508 3
Paket 13 9
Paket 3
Paket 6 1
Paket
Tablet
Paket 9 3
Paket 2 4 4
TES
vial 2
0
Botol
botol
botol 6 2 8
Botol
Botol 30 24
Botol 4 3 2
Botol 2 3 1
botol
Botol 21 9 4
Botol
Botol 11 2 5
Botol
Botol 103 10 27
Botol 12 5 7
Botol
Botol
Botol 5
tablet 180 180
tes
Botol 7 28 33
kotak
0
Vial 1 42 34
Vial 78 55 59
Vial 124
Vial
ampul 86 90 109
Vial 31 85 63
Vial
Vial 58 28
Vial 81 96 69
Vial 70 27
vial 3
VIAL
Vial
0
Set 5 2
Set 5
Botol
Botol
Botol 1
botol 6
Botol
Set 4 5
Botol
Botol 6 1
pieces 2
pieces
Botol
Botol
pieces
pot
Set
Set
Botol
0
tablet 600
Botol
tablet 450
kapsul 750
Botol
pcs 52 100 35
0
Vial 1759 3150 3862
Botol 304 222
Vial 304 222
Vial 39 100 25
vial 38 200 6
Strip 142 200 101
botol 45 4
Ampul 5
Tablet 165 165
Box 19 19
Pcs 39 39
Botol 3
Vial 42
Vial 295
Kapsul
Tablet
Tablet
Tablet
Vial
Vial
Vial
Vial
Vial
Botol
Vial
Tablet
Botol
Botol
Tablet
Box
Box
Box
Box
Tablet
Tablet
pot
tablet
Box
Vial
Tablet
Tablet
Tablet
Botol
Botol
Tube
Tablet
Tablet
tablet
tablet
Box
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
Pcs 12
Pcs 5
Pcs 1
Box 3
Pcs 1
Pcs 1
Pak 2
Pcs 1
Botol 2
Pcs 3
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1906 4359 0 0 6265
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
9240 0 0 1.7 3360.9 -5879
86 0 0 1.7 78.2 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
328 0 0 1.7 221 -107
367 0 0 1.7 42.5 -325
28 0 0 1.7 17 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1100 0 0 1.7 0 -1100
0 0 0 1.7 0 0
299 0 0 1.7 1021.7 723
0 0 0 1.7 105.4 105
0 0 0 1.7 0 0
0 0 0 1.7 0 0
382 0 0 1.7 501.5 120
0 0 0 1.7 0 0
139 0 0 1.7 17 -122
401 0 0 1.7 73.1 -328
60 0 0 1.7 25.5 -35
880 0 0 1.7 289 -591
0 0 0 1.7 0 0
15 0 0 1.7 3.4 -12
100 0 0 1.7 0 -100
16 0 0 1.7 34 18
146 0 0 1.7 380.8 235
41 0 0 1.7 1.7 -39
0 0 0 1.7 0 0
10 0 0 1.7 11.9 2
434 0 0 1.7 402.9 -31
0 0 0 1.7 0 0
0 0 0 1.7 0 0
155 0 0 1.7 0 -155
304 0 0 1.7 460.7 157
15 0 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
485 0 0 1.7 0 -485
210 0 0 1.7 17 -193
0 0 0 1.7 0 0
2355 0 0 1.7 2286.5 -69
90 0 0 1.7 136 46
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1800 0 0 1.7 306 -1494
500 0 0 1.7 0 -500
180 0 0 1.7 153 -27
2930 0 0 1.7 1470.5 -1460
7 0 0 1.7 470.9 464
735 0 0 1.7 600.1 -135
11700 0 0 3 18600 6900
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
2856 0 0 2 3268 412
95 0 0 2 10 -85
0 0 0 1.7 0 0
60 0 0 1.7 102 42
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1640 0 0 2 2420 780
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
16 0 0 1.7 81.6 66
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1380 0 0 2 660 -720
758 0 0 1.7 295.8 -462
0 0 0 1.7 0 0
660 0 0 3 870 210
72 0 0 3 0 -72
0 0 0 1.7 0 0
200 0 0 1.7 76.5 -124
708 0 0 1.7 71.4 -637
0 0 0 1.7 368.9 369
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6156 0 0 3 8934 2778
0 0 0 1.7 0 0
10169 0 0 1.7 6026.5 -4143
0 0 0 1.7 0 0
3170 0 0 1.7 3111 -59
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2780 0 0 1.7 3063.4 283
0 0 0 1.7 374 374
0 0 0 1.7 0 0
99 0 0 1.7 1259.7 1161
0 0 0 1.7 0 0
1506 0 0 1.7 1893.8 388
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
184 0 0 1.7 0 -184
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
745 0 0 1.7 192.1 -553
0 0 0 1.7 0 0
0 0 0 1.7 0 0
218 0 0 1.7 299.2 81
2000 0 0 1.7 0 -2000
8333 0 0 3 4341 -3992
2250 0 0 1.7 34 -2216
1614 0 0 1.7 2716.6 1103
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
30 0 0 1.7 115.6 86
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10464 0 0 2 10372 -92
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
150 0 0 1.7 0 -150
0 0 0 1.7 0 0
100 0 0 1.7 340 240
0 0 0 1.7 0 0
150 0 6 1.7 0 -156
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
3514 0 0 3 4458 944
0 0 0 1.7 0 0
1515 0 0 1.7 12738.1 11223
2500 0 0 2 1480 -1020
3740 0 0 1.7 1023.4 -2717
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 18.7 -2
155 0 0 1.7 68 -87
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
197 0 0 1.7 0 -197
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
210 0 0 1.7 170 -40
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1110 0 0 1.7 442 -668
0 0 0 1.7 0 0
193 0 0 1.7 153 -40
740 0 0 1.7 42.5 -698
72 0 0 1.7 234.6 163
1265 0 0 1.7 1358.3 93
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
32 0 0 1.7 3.4 -29
92 0 0 1.7 18.7 -73
77 0 0 3 111 34
10 0 0 1.7 0 -10
33 0 0 1.7 1.7 -31
31 0 0 2 58 27
12 0 0 1.7 1.7 -10
67 0 0 1.7 17 -50
122 0 0 2 64 -58
0 0 0 1.7 17 17
43 0 0 1.7 18.7 -24
70 0 0 1.7 1.7 -68
36 0 0 1.7 22.1 -14
0 0 0 1.7 0 0
39 0 0 2 56 17
74 0 0 1.7 13.6 -60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
18 0 0 1.7 18.7 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 15.3 -5
45 0 0 1.7 1.7 -43
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 27.2 27
48 0 0 1.7 17 -31
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8025 0 0 1.7 2983.5 -5042
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
64 0 0 1.7 0 -64
0 0 0 1.7 0 0
2244 0 0 1.7 1099.9 -1144
200 0 0 1.7 0 -200
78 0 0 1.7 34 -44
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
125 0 0 1.7 0 -125
38 0 0 1.7 32.3 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
1770 0 0 1.7 569.5 -1201
3750 0 0 1.7 493 -3257
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 2 0 -3
0 0 0 1.7 0 0
470 0 0 1.7 3.4 -467
0 0 0 1.7 0 0
0 0 0 1.7 0 0
55 0 0 2 70 15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 3.4 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
38 0 0 2 26 -12
31 0 0 2 46 15
0 0 0 1.7 0 0
14 0 0 1.7 8.5 -6
0 0 0 1.7 0 0
82 0 5 1.7 23.8 -63
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
10 0 0 1.7 3.4 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 1275 1275
8800 0 0 1.7 6290 -2510
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12570 0 0 1.7 17 -12553
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
505 0 0 1.7 5.1 -500
4 0 0 1.7 15.3 11
3 0 0 1.7 0 -3
5 0 0 1.7 1.7 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 5.1 -1
2 0 0 1.7 6.8 5
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 13.6 14
0 0 0 1.7 0 0
54 0 0 1.7 0 -54
5 0 0 1.7 3.4 -2
4 0 0 1.7 1.7 -2
0 0 0 1.7 0 0
26 0 0 1.7 6.8 -19
0 0 0 1.7 0 0
8 0 0 1.7 8.5 1
0 0 0 1.7 0 0
86 0 0 1.7 45.9 -40
10 0 0 1.7 11.9 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 306 306
0 0 0 1.7 0 0
2 0 0 1.7 56.1 54
0 0 0 1.7 0 0
0 0 0 1.7 0 0
9 0 0 1.7 57.8 49
74 0 0 1.7 100.3 26
124 0 0 1.7 0 -124
0 0 0 1.7 0 0
67 0 0 1.7 185.3 118
53 0 0 1.7 107.1 54
0 0 0 1.7 0 0
30 0 0 1.7 47.6 18
108 0 0 1.7 117.3 9
43 0 0 1.7 45.9 3
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 6 0 1.7 0 -6
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
1 6 0 1.7 0 -7
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
750 0 0 1.7 0 -750
0 0 0 1.7 0 0
117 0 0 1.7 59.5 -58
0 0 0 1.7 0 0
1047 0 0 1.7 6565.4 5518
82 0 0 1.7 377.4 295
82 0 0 1.7 377.4 295
0 0 114 1.7 42.5 -72
0 0 232 1.7 10.2 -222
0 0 241 1.7 171.7 -69
41 0 0 1.7 6.8 -34
5 0 0 1.7 0 -5
0 0 0 1.7 280.5 281
0 0 0 1.7 32.3 32
0 0 0 1.7 66.3 66
0 0 3 1.7 0 -3
42 0 0 1.7 0 -42
295 0 0 1.7 0 -295
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 12 0 1.7 0 -12
0 5 0 1.7 0 -5
0 1 0 1.7 0 -1
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Januari 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
500
###
500
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
300
###
###
###
###
###
###
3000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
24
###
###
20
###
###
###
###
###
###
20
###
###
###
###
###
###
###
###
###
###
3000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
30
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
JANUARI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
JANUARI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : JANUARI 2022
PERMINTAAN BULAN / TAHUN : FEBRUARI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol
botol 6
0
Botol 50
Botol 1
Botol 11
Botol 2 1
botol
Pcs
Botol
Botol
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
Botol 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1906 4359 0 0 6265
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
1 0 0 1.7 0 -1
11 0 0 1.7 0 -11
1 0 0 2 2 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Januari 2022


Tangerang , Januari 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
2022 ###
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
FEBRUARI
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
FEBRUARI NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : FEBRUARI 2022
PERMINTAAN BULAN / TAHUN : MARET 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 0 0 0
pcs 0 0 0
pcs 10 0 0
pcs 0 0 0 5
pcs 0 0 0 10
pcs 375 0 0
pcs 700 0 0 700
pcs 800 0 0
pcs 900 0 200
pcs 600 0 0
pcs 70 0 0
pcs 0 0 0
pcs 0 0 0
pcs 5 0 0 10 2
pcs 0 0 0
pcs 8 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 21 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 8 0 0 1
Roll 0 0 0
Kotak 72 0 0 3
Roll 190 0 0 15
Roll 60 0 0
pcs 0 13200 0
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 39 0 0 24 22
pot 800 0 0 800
pcs 0 0 0
pcs 0 0 37 20
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 40 0 0 100
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 12 0 0 48
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 3000 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 5 0 0
pcs 1000 0 0 1000
Vial 175 0 0 50
pcs 0 0 0
pcs 0 125 0
pcs 700 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Kit 5 0 0
Botol 5 0 0
Botol 3 0 0
Botol 5 0 0
Botol 0 0 0
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0 25
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
Pcs 6576 0 0 2140
Pcs 3431 0 0 931
Pcs 75 0 0
Pcs 522 0 0 7908 3730
Pcs 1200 0 0 9708 7374
Pcs 82 0 0 809 534
Pcs 15 0 0 69 24
Pcs 200 0 0
Pcs 800 0 0
Pcs 0 0 0
Paket 500 0 0 500
Paket 600 0 0
Pcs 60 0 0 60
Pcs 200 0 0 40
Pcs 120 0 0
Pcs 50 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 20 0 0 20
Pcs 60 0 0 10
Pcs 14000 0 0
Pcs 30 0 0
Pcs 30 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 150 0 0 50
Pcs 6000 0 0
Pcs 0 0 0
Pcs 700 0 0 600 700
pcs 20 0 0
Box 20 0 0 20
Box 0 0 0 48 13
Pcs 0 0 0 1800
pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 4 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 184 0
pcs 0 7 0 7
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 2 0 0 2
Pcs 0 6 0
Pcs 0 0 0
Pcs 0 1 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0
Pcs 6 2 0
Pak 0 23 0
Pak 0 50 0 50
Pak 0 130 0 20
Pcs 0 0 28
Box 0 0 3 3
Pcs 0 0 15
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2105 4185 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
5 0 0 1.7 0 -5
10 0 0 1.7 0 -10
375 0 0 1.7 0 -375
0 0 0 1.7 1190 1190
800 0 0 1.7 0 -800
900 0 200 1.7 0 -1100
600 0 0 1.7 0 -600
70 0 0 1.7 0 -70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13 0 0 1.7 3.4 -9.6
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
7 0 0 1.7 1.7 -5.3
0 0 0 1.7 0 0
69 0 0 1.7 5.1 -63.9
175 0 0 1.7 25.5 -149.5
60 0 0 1.7 0 -60
0 13200 0 1.7 0 -13200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
41 0 0 3 66 25
0 0 0 1.7 1360 1360
0 0 0 1.7 0 0
0 0 17 1.7 34 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
140 0 0 1.7 0 -140
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3000 0 0 1.7 0 -3000
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 1700 1700
125 0 0 2 100 -25
0 0 0 1.7 0 0
0 125 0 1.7 0 -125
700 0 0 1.7 0 -700
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
5 0 0 1.7 0 -5
3 0 0 1.7 0 -3
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
25 0 0 1.7 0 -25
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4436 0 0 1.7 3638 -798
2500 0 0 1.7 1582.7 -917.3
75 0 0 1.7 0 -75
4700 0 0 1.7 6341 1641
3534 0 0 1.7 12535.8 9001.8
357 0 0 1.7 907.8 550.8
60 0 0 1.7 40.8 -19.2
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
0 0 0 1.7 850 850
600 0 0 1.7 0 -600
0 0 0 1.7 102 102
160 0 0 1.7 68 -92
120 0 0 1.7 0 -120
50 0 0 1.7 0 -50
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 34 34
50 0 0 1.7 17 -33
14000 0 0 1.7 0 -14000
30 0 0 1.7 0 -30
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 85 -15
6000 0 0 1.7 0 -6000
0 0 0 1.7 0 0
600 0 0 1.7 1190 590
20 0 0 1.7 0 -20
0 0 0 1.7 34 34
35 0 0 1.7 22.1 -12.9
1800 0 0 1.7 0 -1800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 4 0 1.7 0 -4
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 184 0 1.7 0 -184
0 0 0 1.7 11.9 11.9
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 3.4 3.4
0 6 0 1.7 0 -6
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 0 0 1.7 85 85
0 110 0 1.7 34 -76
0 0 28 1.7 0 -28
0 0 0 1.7 5.1 5.1
0 0 15 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Februari 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

10
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
2
2
###
###
400
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
bruari 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
Februari UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
Februari
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : FEBRUARI 2022
PERMINTAAN BULAN / TAHUN : MARET 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 9240 0 0 1408
Botol 86 0 0 43
Botol 0 0 0
Tablet 0 0 0
Tablet 328 0 0 278
Tablet 367 0 0 87
Vial 28 0 0 1
kapsul 0 0 0
Botol 0 0 0
Kapsul 500 0 0 30
Botol 0 0 0
Tablet 0 0 0
Tablet 1100 0 0 40
Kapsul 0 0 0
Tablet 299 0 0 275
Tablet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 382 0 0 200 5
Botol 0 0 0
Botol 139 0 0
Tablet 401 0 0 131
Kapsul 60 0 0
Tablet 880 0 0 146
Botol 0 0 0
Botol 15 0 0 15
Tablet 100 0 0
Tablet 16 0 0 100 14
Kapsul 146 0 0 400 116
Botol 41 0 0 14
Botol 0 0 0
Vial 10 0 0 2
Tablet 434 0 0 254
Vial 0 0 0
Kapsul 0 0 0
Kapsul 155 0 0
Kapsul 304 0 0 200 184
ampul 15 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 485 0 0 140
Tablet 210 0 0 120
Kapsul 0 0 0
Tablet 2355 0 0 955
Tablet 90 0 0 100 10
Supp 1 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 1800 0 0 1090
Tablet 500 0 0 10
Tablet 180 0 0 20
Tablet 2930 0 0
Botol 7 0 0 7
Botol 735 0 0 485
Tablet 11700 0 0 10400 12455
Tablet 95 0 0
0 0 0 0
Tablet 2856 0 0 1000 1362
Botol 95 0 0 100 50
kapsul 0 0 0
Tablet 60 0 0 60
Tablet 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 1640 0 0 1220
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 16 0 0 100 26
Suppos 50 0 0 21
Botol 0 0 0
0 0 0 0
Tablet 1380 0 0 400
Sachet 758 0 0 200
Tablet 0 0 0
Tablet 660 0 0 300 205
Botol 72 0 0 15
0 0 0 0
Tablet 200 0 0
Tablet 708 0 0 500 898
Botol 0 0 0
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 6156 0 0 3000 2285
ampul 0 0 0
Tablet 10169 0 0 3029
Botol 0 0 0
Tablet 3170 0 0 5000 3855
Ampul 0 0 0
Tablet 0 0 0
Tablet 2780 0 0 300 1349
Tablet 0 0 0 300 90
Ampul 0 0 0
Tablet 99 0 0 99
Ampul 0 0 0
Tablet 1506 0 0 600 603
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 184 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 745 0 0 196
Nebule 0 0 0
0 0 0 0
Botol 218 0 0 120 157
Tablet 2000 0 0 837
Tablet 8333 0 0 7018
Tablet 2250 0 0 70
Tablet 1614 0 0 1200 1459
Tablet 100 0 0
Botol 0 0 0
Botol 30 0 0 96 57
0 0 0 0
Tablet 0 0 0
Tablet 10464 0 0 4504
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Ampul 150 0 0 30
Ampul 0 0 0
Tablet 100 0 0
0 0 0 0
ampul 150 0 6
0 0 0 0
tablet 0 0 0
Botol 0 0 0
Ampul 10 0 0
Tablet 3514 0 0 1000 1602
Ampul 0 0 0
Tablet 1515 0 0 11300 3708
Tablet 2500 0 0 2500
Tablet 3740 0 0 310
Tablet 800 0 0
0 0 0 0
Tablet 170 0 0
Supp 10 0 0 2
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 20 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 155 0 0 15
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 197 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 210 0 0 150
0 0 0 0
Tablet 0 0 0
Tablet 1110 0 0 220
0 0 0 0
Tablet 193 0 0 300 110
Tablet 740 0 0 400 140
Tablet 72 0 0 72
Tablet 1265 0 0 505
0 0 0 0
Tube 50 0 0
Tube 32 0 0 1
Pot 92 0 0 3
Tube 77 0 0 72
Tube 10 0 0 1
Tube 33 0 0 9
Tube 31 0 0 30 12
Tube 12 0 0
Botol 67 0 0 5
botol 122 0 0 31
Tube 0 0 0 20
Pieces 43 0 0 3
Tube 70 0 0 22
Tube 36 0 0
Tube 0 0 0
Tube 39 0 0 25 18
Pot 74 0 0 48 14
Kotak 0 0 0
Tube 0 0 0
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 18 0 0 10 7
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 20 0 0 6
Tube 45 0 0 7
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 48 0 0 5
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 0 0 0
Kapsul 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 8025 0 0 1930
tablet 300 0 0 30
Tablet 0 0 0
Tablet 100 0 0
Tablet 64 0 0
Tablet 0 0 0
Tablet 2244 0 0 784
Tablet 200 0 0
Tablet 78 0 0 61
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 125 0 0
Tablet 38 0 0 20
Tablet 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 400 0 0
ampul 50 0 0
0 0 0 0
Tablet 1770 0 0 200
Tablet 3750 0 0 146
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 3 0 0
0 0 0 0
Tablet 470 0 0 4
PCS 0 0 0
0 0 0 0
Botol 55 0 0 15
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 38 0 0 2
Botol 31 0 0 20
0 0 0 0
Botol 14 0 0 1
Botol 0 0 0
Botol 82 0 5 96 71
DRIGEN 0 0 0
Botol 20 0 0 1
botol 10 0 0 2
Botol 0 0 0
0 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 20 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 8800 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 12570 0 0 9590 14660
Botol 0 0 0
0 0 0 0
Blister 4 0 0
Blister 5 0 0 1
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 505 0 0
Paket 4 0 0 40 4
Paket 3 0 0
Paket 5 0 0 10 2
Paket 0 0 0
Tablet 0 0 0
Paket 6 0 0
Paket 2 0 0
TES 0 0 0
vial 2 0 0 1
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 0 0 0 3
Botol 0 0 0
Botol 54 0 0 2
Botol 5 0 0 2
Botol 4 0 0 1
botol 0 0 0
Botol 26 0 0 2
Botol 0 0 0
Botol 8 0 0 1
Botol 0 0 0
Botol 86 0 0 60 100
Botol 10 0 0 3
Botol 0 0 0
Botol 0 0 0
Botol 5 0 0
tablet 0 0 0 300 90
tes 0 0 0
Botol 2 0 0 50 30
kotak 0 0 0
0 0 0 0
Vial 9 0 0 50 34
Vial 74 0 0 16 68
Vial 124 0 0 22
Vial 0 0 0
ampul 67 0 0 100 127
Vial 53 0 0 24 77
Vial 0 0 0
Vial 30 0 0
Vial 108 0 0 126 104
Vial 43 0 0 14 19
vial 3 0 0
VIAL 0 0 0
Vial 0 0 0
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 1 0
botol 0 6 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 1 6 0 6
pieces 0 2 0 1
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 600 0 0
Botol 0 0 0
tablet 450 0 0
kapsul 750 0 0 450
Botol 0 0 0
pcs 117 0 0 6
0 0 0 0
Vial 1047 0 0 663
Botol 82 0 0 809 616
Vial 82 0 0 809 616
Vial 0 0 114 6
vial 0 0 232 13
Strip 0 0 241 4
botol 41 0 0 1
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0
Botol 0 0 3 3
Vial 42 0 0 42
Vial 295 0 0 75
Kapsul 0 0 0 500 120
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Tablet 0 0 0
Tablet 0 0 0
pot 0 0 0
tablet 0 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 12 0
Pcs 0 5 0
Pcs 0 1 0
Box 0 3 0 3
Pcs 0 1 0
Pcs 0 1 0
Pak 0 2 0
Pcs 0 1 0 1
Botol 0 2 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2105 4185 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
7832 0 0 3 4224 -3608
43 0 0 3 129 86
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 3 834 784
280 0 0 3 261 -19
27 0 0 1.7 1.7 -25
0 0 0 1.7 0 0
0 0 0 1.7 0 0
470 0 0 1.7 51 -419
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1060 0 0 1.7 68 -992
0 0 0 1.7 0 0
24 0 0 1.7 467.5 444
0 0 0 3 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
577 0 0 1.7 8.5 -569
0 0 0 1.7 0 0
139 0 0 1.7 0 -139
270 0 0 1.7 222.7 -47
60 0 0 1.7 0 -60
734 0 0 3 438 -296
0 0 0 1.7 0 0
0 0 0 1.7 25.5 26
100 0 0 1.7 0 -100
102 0 0 1.7 23.8 -78
430 0 0 3 348 -82
27 0 0 1.7 23.8 -3
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
180 0 0 3 762 582
0 0 0 1.7 0 0
0 0 0 1.7 0 0
155 0 0 1.7 0 -155
320 0 0 3 552 232
15 0 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
345 0 0 1.7 238 -107
90 0 0 2 240 150
0 0 0 1.7 0 0
1400 0 0 3 2865 1465
180 0 0 1.7 17 -163
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
710 0 0 1.7 1853 1143
490 0 0 1.7 17 -473
160 0 0 1.7 34 -126
2930 0 0 3 0 -2930
0 0 0 3 21 21
250 0 0 3 1455 1205
9645 0 0 3 37365 27720
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
2494 0 0 3 4086 1592
145 0 0 1.7 85 -60
0 0 0 1.7 0 0
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 3 0 0
0 0 0 1.7 0 0
420 0 0 3 3660 3240
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 1.7 44.2 -46
29 0 0 3 63 34
0 0 0 1.7 0 0
0 0 0 1.7 0 0
980 0 0 3 1200 220
558 0 0 3 600 42
0 0 0 1.7 0 0
755 0 0 3 615 -140
57 0 0 3 45 -12
0 0 0 1.7 0 0
100 100 0 0 1.7 0 -100
310 0 0 3 2694 2384
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6871 0 0 3 6855 -16
0 0 0 1.7 0 0
7140 0 0 3 9087 1947
0 0 0 3 0 0
4315 0 0 3 11565 7250
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1731 0 0 3 4047 2316
210 0 0 1.7 153 -57
0 0 0 1.7 0 0
0 0 0 3 297 297
0 0 0 1.7 0 0
1503 0 0 3 1809 306
0 0 0 1.7 0 0
0 0 0 3 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
184 0 0 1.7 0 -184
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
549 0 0 1.7 333.2 -216
0 0 0 1.7 0 0
0 0 0 1.7 0 0
181 0 0 3 471 290
1163 0 0 3 2511 1348
1315 0 0 3 21054 19739
2180 0 0 1.7 119 -2061
1355 0 0 3 4377 3022
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
69 0 0 2 114 45
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5960 0 0 3 13512 7552
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 51 -69
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
150 0 6 1.7 0 -156
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 0 0
10 0 0 1.7 0 -10
2912 0 0 3 4806 1894
0 0 0 1.7 0 0
9107 0 0 3 11124 2017
0 0 0 3 7500 7500
3430 0 0 1.7 527 -2903
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
8 0 0 1.7 3.4 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
140 0 0 1.7 25.5 -115
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
197 0 0 1.7 0 -197
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 5 750 690
0 0 0 1.7 0 0
0 0 0 1.7 0 0
890 0 0 2 440 -450
0 0 0 1.7 0 0
383 0 0 1.7 187 -196
1000 0 0 1.7 238 -762
0 0 0 3 216 216
760 0 0 3 1515 755
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
31 0 0 1.7 1.7 -29
89 0 0 1.7 5.1 -84
5 0 0 1.7 122.4 117
9 0 0 1.7 1.7 -7
24 0 0 1.7 15.3 -9
49 0 0 1.7 20.4 -29
12 0 0 1.7 0 -12
62 0 0 1.7 8.5 -54
91 0 0 1.7 52.7 -38
20 0 0 1.7 0 -20
40 0 0 1.7 5.1 -35
48 0 0 1.7 37.4 -11
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
46 0 0 1.7 30.6 -15
108 0 0 1.7 23.8 -84
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 11.9 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14 0 0 2 12 -2
38 0 0 6 42 4
0 0 0 2 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
43 0 0 1.7 8.5 -35
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 0 0
6095 0 0 3 5790 -305
270 0 0 1.7 51 -219
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
64 0 0 1.7 0 -64
0 0 0 1.7 0 0
1460 0 0 1.7 1332.8 -127
200 0 0 1.7 0 -200
17 0 0 2 122 105
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
125 0 0 1.7 0 -125
18 0 0 1.7 34 16
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
1570 0 0 3 600 -970
3604 0 0 3 438 -3166
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
466 0 0 1.7 6.8 -459
0 0 0 1.7 0 0
0 0 0 1.7 0 0
70 0 0 1.7 0 -70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 3.4 -33
51 0 0 1.7 0 -51
0 0 0 1.7 0 0
13 0 0 1.7 1.7 -11
0 0 0 1.7 0 0
107 0 5 3 213 101
0 0 0 1.7 0 0
19 0 0 1.7 1.7 -17
8 0 0 1.7 3.4 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8800 0 0 1.7 0 -8800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7500 0 0 1.7 24922 17422
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 1.7 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
505 0 0 1.7 0 -505
40 0 0 1.7 6.8 -33
3 0 0 1.7 0 -3
13 0 0 1.7 3.4 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1 0 0 1.7 1.7 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
52 0 0 1.7 3.4 -49
3 0 0 1.7 3.4 0
3 0 0 1.7 1.7 -1
0 0 0 1.7 0 0
24 0 0 1.7 3.4 -21
0 0 0 1.7 0 0
7 0 0 1.7 1.7 -5
0 0 0 1.7 0 0
46 0 0 1.7 170 124
7 0 0 1.7 5.1 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
210 0 0 7 630 420
0 0 0 1.7 0 0
22 0 0 1.7 51 29
0 0 0 1.7 0 0
0 0 0 1.7 0 0
25 0 0 1.7 57.8 33
22 0 0 1.7 115.6 94
102 0 0 1.7 37.4 -65
0 0 0 1.7 0 0
40 0 0 1.7 215.9 176
0 0 0 1.7 130.9 131
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
130 0 0 1.7 176.8 47
38 0 0 1.7 32.3 -6
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 6 0 1.7 0 -6
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
1 0 0 1 6 5
0 1 0 1.7 1.7 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
300 0 0 1.7 765 465
0 0 0 1.7 0 0
111 0 0 2 12 -99
0 0 0 1.7 0 0
384 0 0 1.7 1127.1 743
275 0 0 1.7 1047.2 772
275 0 0 1.7 1047.2 772
0 0 108 1.7 10.2 -98
0 0 219 1.7 22.1 -197
0 0 237 1.7 6.8 -230
40 0 0 1.7 1.7 -38
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5
0 0 0 1.7 71.4 71
220 0 0 1.7 127.5 -93
380 0 0 1.7 204 -176
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 12 0 1.7 0 -12
0 5 0 1.7 0 -5
0 1 0 1.7 0 -1
0 0 0 1.7 5.1 5
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 0 0 1.7 1.7 2
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Februari 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
300
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
500
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
2000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
24
###
###
10
###
###
###
###
###
25
20
###
###
10
###
###
###
###
10
###
###
3000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
1000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

bruari 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
Februari UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
Februari
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : FEBRUARI 2022
PERMINTAAN BULAN / TAHUN : MARET 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0
0 0 0 0
Botol 50 0 0
Botol 1 0 0 1
Botol 11 0 0 2
Botol 1 0 0
botol 0 0 0 19
Pcs 0 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2105 4185 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 2 0 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 1.7 2
9 0 0 1.7 3.4 -6
1 0 0 1.7 0 -1
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Februari 2022


Tangerang , Februari 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
2022 ###
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
MARET
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
MARET NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : MARET 2022
PERMINTAAN BULAN / TAHUN : APRIL 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 0 0 0
pcs 0 0 0
pcs 10 0 0
pcs 5 0 0 5
pcs 10 0 0 5
pcs 375 0 0
pcs 0 0 0 350 150
pcs 800 0 0 100 100
pcs 900 0 200
pcs 600 0 0
pcs 70 0 0
pcs 0 0 0
pcs 0 0 0
pcs 13 0 0
pcs 0 0 0
pcs 8 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 21 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 7 0 0 1
Roll 0 0 0
Kotak 69 0 0 1
Roll 175 0 0
Roll 60 0 0 10
pcs 0 13200 0
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 41 0 0 24 12
pot 0 0 0 400
pcs 0 0 0
pcs 0 0 17
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 140 0 0 10
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0 24
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 3000 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0 400
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 5 0 0 2
pcs 0 0 0
Vial 125 0 0
pcs 0 0 0 300
pcs 0 125 0 125
pcs 700 0 0 250
pcs 0 0 0 50 50
pcs 0 0 0 50 50
Tes 0 0 0
Tes 0 0 0 200 200
Tes 0 0 0
Tes 0 0 0 200 200
Tes 0 0 0
Tes 0 0 0 200 200
Tes 0 0 0
Kit 5 0 0
Botol 5 0 0
Botol 3 0 0 1
Botol 5 0 0
Botol 0 0 0
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 25 0 0 25
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
Pcs 4436 0 0 3554
Pcs 2500 0 0 700
Pcs 75 0 0
Pcs 4700 0 0 4608 8108
Pcs 3534 0 0 4758 8280
Pcs 357 0 0 409 765
Pcs 60 0 0 46 25
Pcs 200 0 0
Pcs 800 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 600 0 0
Pcs 0 0 0
Pcs 160 0 0 20
Pcs 120 0 0
Pcs 50 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 50 0 0 50
Pcs 14000 0 0
Pcs 30 0 0 30
Pcs 30 0 0 10
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 6000 0 0 6000
Pcs 0 0 0
Pcs 600 0 0
pcs 20 0 0
Box 0 0 0
Box 35 0 0
Pcs 1800 0 0
pcs 0 0 0 100
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 4 0 1
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 184 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 6 0 15 6
Pcs 0 0 0
Pcs 0 1 0 1
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0
Pcs 6 2 0
Pak 0 23 0
Pak 0 0 0 100
Pak 0 110 0 100
Pcs 0 0 28
Box 0 0 0
Pcs 0 0 15
Kit 0 0 0 2 2
Kit 0 0 0 2 2
Kit 0 0 0 1 1
Kit 0 0 0 2 2
Kit 0 0 0 1 1
Kit 0 0 0 1 1
Kit 0 0 0 1 1
Box 0 0 0 1 1
Box 0 0 0 1 1
Pack 0 0 0 1 1
Box 0 0 0 1 1
Pack 0 0 0 5 5
Pack 0 0 0 5 5
Galon 0 0 0 18 18
Vial 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1658 4571 0 0 6229
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 2 10 10
5 0 0 2 10 5
375 0 0 1.7 0 -375
200 0 0 0 0 -200
800 0 0 1.7 170 -630
900 0 200 1.7 0 -1100
600 0 0 1.7 0 -600
70 0 0 1.7 0 -70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
6 0 0 1.7 1.7 -4.3
0 0 0 1.7 0 0
68 0 0 1.7 1.7 -66.3
175 0 0 1.7 0 -175
50 0 0 1.7 17 -33
0 13200 0 1.7 0 -13200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
53 0 0 1.7 20.4 -32.6
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 17 1.7 0 -17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
130 0 0 1.7 17 -113
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 40.8 4.8
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3000 0 0 1.7 0 -3000
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 3.4 0.4
0 0 0 1.7 0 0
125 0 0 1.7 0 -125
300 0 0 1.7 0 -300
0 0 0 1.7 212.5 212.5
450 0 0 1.7 425 -25
0 0 0 1.7 85 85
0 0 0 1.7 85 85
0 0 0 1.7 0 0
0 0 0 1.7 340 340
0 0 0 1.7 0 0
0 0 0 1.7 340 340
0 0 0 1.7 0 0
0 0 0 1.7 340 340
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
5 0 0 1.7 0 -5
2 0 0 1.7 1.7 -0.3
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 42.5 42.5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
882 0 0 1.7 6041.8 5159.8
1800 0 0 1.7 1190 -610
75 0 0 1.7 0 -75
1200 0 0 1.7 13783.6 12583.6
12 0 0 1.7 14076 14064
1 0 0 1.7 1300.5 1299.5
81 0 0 1.7 42.5 -38.5
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
140 0 0 1.7 34 -106
120 0 0 1.7 0 -120
50 0 0 1.7 0 -50
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 0 0 0
14000 0 0 1.7 0 -14000
0 0 0 0 0 0
20 0 0 1.7 17 -3
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 10200 10200
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
35 0 0 1.7 0 -35
1800 0 0 1.7 0 -1800
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 1.7 -1.3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 184 0 1.7 0 -184
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 10.2 -4.8
0 0 0 1.7 0 0
0 0 0 1.7 1.7 1.7
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 100 0 1.7 0 -100
0 210 0 1.7 0 -210
0 0 28 1.7 0 -28
0 0 0 1.7 0 0
0 0 15 1.7 0 -15
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 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Maret 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

10
10
5
###
###
###
###
###
###
###
###
###
###
###
###
###
5
5
###
1000
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
5
###
###
###
###
###
###
2
2
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
500
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
1000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
aret 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
MARET UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
MARET
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : MARET 2022
PERMINTAAN BULAN / TAHUN : APRIL 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 7832 0 0 2355
Botol 43 0 0 120 90
Botol 0 0 0
Tablet 0 0 0
Tablet 50 0 0 800 80
Tablet 280 0 0
Vial 27 0 0 3
kapsul 0 0 0
Botol 0 0 0
Kapsul 470 0 0 155
Botol 0 0 0
Tablet 0 0 0
Tablet 1060 0 0
Kapsul 0 0 0
Tablet 24 0 0 24
Tablet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 577 0 0
Botol 0 0 0
Botol 139 0 0 51
Tablet 270 0 0 25
Kapsul 60 0 0 15
Tablet 734 0 0 184
Botol 0 0 0
Botol 0 0 0
Tablet 100 0 0 10
Tablet 102 0 0 11
Kapsul 430 0 0 301
Botol 27 0 0 10
Botol 0 0 0
Vial 12 0 0
Tablet 180 0 0 600 270
Vial 0 0 0
Kapsul 0 0 0
Kapsul 155 0 0
Kapsul 320 0 0 300 620
ampul 15 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 345 0 0 200 185
Tablet 90 0 0
Kapsul 0 0 0
Tablet 1400 0 0 1500 691
Tablet 180 0 0 40
Supp 1 0 0 1
Botol 0 0 0
Tablet 0 0 0
Tablet 710 0 0 1200 810
Tablet 490 0 0
Tablet 160 0 0 140
Tablet 2930 0 0 1620
Botol 0 0 0 192 60
Botol 250 0 0 600 123
Tablet 9645 0 0 30000 5790
Tablet 95 0 0
0 0 0 0
Tablet 2494 0 0 4000 1804
Botol 145 0 0 18
kapsul 0 0 0
Tablet 120 0 0
Tablet 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 420 0 0 420
Botol 0 0 0 48 19
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 90 0 0 34
Suppos 29 0 0 10
Botol 0 0 0
0 0 0 0
Tablet 980 0 0 300
Sachet 558 0 0 100 358
Tablet 0 0 0
Tablet 755 0 0 145
Botol 57 0 0 30
0 0 0 0
Tablet 100 0 0
Tablet 310 0 0 2400 570
Botol 0 0 0 100 16
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 6871 0 0 1791
ampul 0 0 0
Tablet 7140 0 0 2000 3970
Botol 0 0 0
Tablet 4315 0 0 7500 1740
Ampul 0 0 0
Tablet 0 0 0
Tablet 1731 0 0 2400 2858
Tablet 210 0 0 1000 670
Ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 1503 0 0 400 1000
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 184 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 549 0 0 480
Nebule 0 0 0
0 0 0 0
Botol 181 0 0 88
Tablet 1163 0 0 5000 607
Tablet 1315 0 0 565
Tablet 2180 0 0 200
Tablet 1355 0 0 3000 597
Tablet 100 0 0
Botol 0 0 0
Botol 69 0 0 96 47
0 0 0 0
Tablet 0 0 0
Tablet 5960 0 0 7600 9760
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Ampul 120 0 0
Ampul 0 0 0
Tablet 100 0 0 25
0 0 0 0
ampul 150 0 6
0 0 0 0
tablet 0 0 0
Botol 0 0 0 100 46
Ampul 10 0 0
Tablet 2912 0 0 2000 1512
Ampul 0 0 0
Tablet 9107 0 0 2200 2360
Tablet 0 0 0 2000 500
Tablet 3430 0 0 336
Tablet 800 0 0
0 0 0 0
Tablet 170 0 0
Supp 8 0 0 5
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 140 0 0 140
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 197 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0 100 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 60 0 0 500 240
0 0 0 0
Tablet 0 0 0
Tablet 890 0 0 270
0 0 0 0
Tablet 383 0 0 73
Tablet 1000 0 0 190
Tablet 0 0 0
Tablet 760 0 0 760
0 0 0 0
Tube 50 0 0 24
Tube 31 0 0 31
Pot 89 0 0 9
Tube 5 0 0 5
Tube 9 0 0
Tube 24 0 0
Tube 49 0 0 41
Tube 12 0 0
Botol 62 0 0 9
botol 91 0 0 50
Tube 20 0 0
Pieces 40 0 0 40
Tube 48 0 0
Tube 36 0 0 3
Tube 0 0 0
Tube 46 0 0 17
Pot 108 0 0 14
Kotak 0 0 0
Tube 0 0 0
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 21 0 0 11
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 14 0 0 11
Tube 38 0 0 38
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 43 0 0 9
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 0 0 0
Kapsul 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 6095 0 0 3000 2655
tablet 270 0 0
Tablet 0 0 0
Tablet 100 0 0
Tablet 64 0 0 64
Tablet 0 0 0
Tablet 1460 0 0 1346
Tablet 200 0 0
Tablet 17 0 0 12
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 125 0 0 5
Tablet 18 0 0 100 78
Tablet 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 400 0 0
ampul 50 0 0 15
0 0 0 0
Tablet 1570 0 0 310
Tablet 3604 0 0 704
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 3 0 0 2
0 0 0 0
Tablet 466 0 0 4
PCS 0 0 0
0 0 0 0
Botol 70 0 0 2
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 36 0 0 2
Botol 51 0 0
0 0 0 0
Botol 13 0 0 4
Botol 0 0 0
Botol 107 0 5 96 49
DRIGEN 0 0 0
Botol 19 0 0 1
botol 8 0 0
Botol 0 0 0
0 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 20 0 0 20
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 8800 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 7500 0 0
Botol 0 0 0
0 0 0 0
Blister 4 0 0
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 505 0 0 500 275
Paket 40 0 0 6
Paket 3 0 0
Paket 13 0 0
Paket 0 0 0
Tablet 0 0 0
Paket 6 0 0
Paket 2 0 0 10
TES 0 0 0
vial 1 0 0 5 5
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 3 0 0 1
Botol 0 0 0
Botol 52 0 0 3
Botol 3 0 0 5 3
Botol 3 0 0 1
botol 0 0 0
Botol 24 0 0 3
Botol 0 0 0
Botol 7 0 0 3 4
Botol 0 0 0
Botol 46 0 0 50
Botol 7 0 0
Botol 0 0 0
Botol 0 0 0
Botol 5 0 0 1
tablet 210 0 0 1000 450
tes 0 0 0
Botol 22 0 0 90 50
kotak 0 0 0
0 0 0 0
Vial 25 0 0 23 25
Vial 22 0 0 69 33
Vial 102 0 0
Vial 0 0 0
ampul 40 0 0 130 115
Vial 0 0 0 93 41
Vial 0 0 0
Vial 30 0 0 19
Vial 130 0 0 94 69
Vial 38 0 0 23 27
vial 3 0 0 3
VIAL 0 0 0
Vial 0 0 0 1 1
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 1 0
botol 0 6 0 3
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 1 0 0 5
pieces 0 1 0 1
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 600 0 0 210
Botol 0 0 0 48
tablet 450 0 0
kapsul 300 0 0 150
Botol 0 0 0 96 58
pcs 111 0 0 58
0 0 0 0
Vial 384 0 0 353
Botol 275 0 0 409 683
Vial 275 0 0 409 683
Vial 0 0 108
vial 0 0 219 76
Strip 0 0 237 14
botol 40 0 0 4
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0
Botol 0 0 0
Vial 0 0 0
Vial 220 0 0 220
Kapsul 380 0 0 40
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Tablet 0 0 0
Tablet 0 0 0
pot 0 0 0
tablet 0 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 12 0
Pcs 0 5 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 2 0
Pcs 0 0 0
Botol 0 2 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1658 4571 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
5477 0 0 1.7 4003.5 -1474
73 0 0 1.7 153 80
0 0 0 1.7 0 0
0 0 0 1.7 0 0
770 0 0 1.7 136 -634
280 0 0 1.7 0 -280
24 0 0 1.7 5.1 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
315 0 0 1.7 263.5 -52
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1060 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 40.8 41
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
577 0 0 1.7 0 -577
0 0 0 1.7 0 0
88 0 0 1.7 86.7 -1
245 0 0 1.7 42.5 -203
45 0 0 1.7 25.5 -20
550 0 0 1.7 312.8 -237
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 1.7 17 -73
91 0 0 1.7 18.7 -72
129 0 0 2 602 473
17 0 0 1.7 17 0
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
510 0 0 2 540 30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
155 0 0 0 1.7 0 0
0 0 0 1.7 1054 1054
15 0 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
360 0 0 1.7 314.5 -46
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
2209 0 0 1.7 1174.7 -1034
140 0 0 1.7 68 -72
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1100 0 0 1.7 1377 277
490 0 0 1.7 0 -490
20 0 0 1.7 238 218
1310 0 0 1.7 2754 1444
132 0 0 3 180 48
727 0 0 1.7 209.1 -518
33855 0 0 1.7 9843 -24012
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
4690 0 0 1.7 3066.8 -1623
127 0 0 1.7 30.6 -96
0 0 0 1.7 0 0
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 1260 1260
29 0 0 1.7 32.3 3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
56 0 0 1.7 57.8 2
19 0 0 1.7 17 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
680 0 0 1.7 510 -170
300 0 0 1.7 608.6 309
0 0 0 1.7 0 0
610 0 0 1.7 246.5 -364
27 0 0 1.7 51 24
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
2140 0 0 2 1140 -1000
84 0 0 1.7 27.2 -57
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5080 0 0 1.7 3044.7 -2035
0 0 0 1.7 0 0
5170 0 0 2 7940 2770
0 0 0 1.7 0 0
10075 0 0 1.7 2958 -7117
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1273 0 0 1.7 4858.6 3586
540 0 0 1.7 1139 599
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
903 0 0 1.7 1700 797
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
184 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
69 0 0 1.7 816 747
0 0 0 1.7 0 0
0 0 0 1.7 0 0
93 0 0 1.7 149.6 57
5556 0 0 1.7 1031.9 -4524
750 0 0 2 1130 380
1980 0 0 1.7 340 -1640
3758 0 0 1.7 1014.9 -2743
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
118 0 0 1.7 79.9 -38
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3800 0 0 2 19520 15720
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
75 0 0 1.7 42.5 -33
0 0 0 1.7 0 0
150 0 6 1.7 0 -156
0 0 0 1.7 0 0
0 0 0 1.7 0 0
54 0 0 3 138 84
10 0 0 1.7 0 -10
3400 0 0 3 4536 1136
0 0 0 1.7 0 0
8947 0 0 1.7 4012 -4935
1500 0 0 2 1000 -500
3094 0 0 1.7 571.2 -2523
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
0 0 0 1.7 238 238
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
197 0 0 1.7 0 -197
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
70 0 0 1.7 51 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
320 0 0 3 720 400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
620 0 0 1.7 459 -161
0 0 0 1.7 0 0
310 0 0 2 146 -164
810 0 0 2 380 -430
0 0 0 1.7 0 0
0 0 0 3 2280 2280
0 0 0 1.7 0 0
26 0 0 1.7 40.8 15
0 0 0 0.7 21.7 22
80 0 0 1.7 15.3 -65
0 0 0 3 15 15
9 0 0 1.7 0 -9
24 0 0 1.7 0 -24
8 0 0 1.7 69.7 62
12 0 0 1.7 0 -12
53 0 0 1.7 15.3 -38
41 0 0 1.7 85 44
20 0 0 1.7 0 -20
0 0 0 1.7 68 68
48 0 0 1.7 0 -48
33 0 0 1.7 5.1 -28
0 0 0 1.7 0 0
29 0 0 1.7 28.9 0
94 0 0 1.7 23.8 -70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 3 33 23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 2 22 19
0 0 0 1.7 64.6 65
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
34 0 0 1.7 15.3 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6440 0 0 3 7965 1525
270 0 0 1.7 0 -270
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 108.8 109
0 0 0 1.7 0 0
114 0 0 2 2692 2578
200 0 0 1.7 0 -200
5 0 0 1.7 20.4 15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 8.5 -112
40 0 0 1.7 132.6 93
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
35 0 0 3 45 10
0 0 0 1.7 0 0
1260 0 0 1.7 527 -733
2900 0 0 1.7 1196.8 -1703
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 3.4 2
0 0 0 1.7 0 0
462 0 0 1.7 6.8 -455
0 0 0 1.7 0 0
0 0 0 1.7 0 0
68 0 0 1.7 3.4 -65
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
34 0 0 1.7 3.4 -31
51 0 0 1.7 0 -51
0 0 0 1.7 0 0
9 0 0 1.7 6.8 -2
0 0 0 1.7 0 0
154 0 5 1.7 83.3 -76
0 0 0 1.7 0 0
18 0 0 1.7 1.7 -16
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 0.5 10 10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8800 0 0 1.7 0 -8800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7500 0 0 1.7 0 -7500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
730 0 0 1.7 467.5 -263
34 0 0 1.7 10.2 -24
3 0 0 1.7 0 -3
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
12 0 0 1.7 0 -12
0 0 0 1.7 0 0
1 0 0 1 5 4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
49 0 0 1.7 5.1 -44
5 0 0 1.7 5.1 0
2 0 0 1.7 1.7 0
0 0 0 1.7 0 0
21 0 0 1.7 5.1 -16
0 0 0 1.7 0 0
6 0 0 1.7 6.8 1
0 0 0 1.7 0 0
96 0 0 1.7 0 -96
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 1.7 -2
760 0 0 1.7 765 5
0 0 0 1.7 0 0
62 0 0 1.7 85 23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 42.5 20
58 0 0 1.7 56.1 -2
102 0 0 1.7 0 -102
0 0 0 1.7 0 0
55 0 0 1.7 195.5 141
52 0 0 1.7 69.7 18
0 0 0 1.7 0 0
49 0 0 1.7 0 -49
155 0 0 1.7 117.3 -38
34 0 0 1.7 45.9 12
0 0 0 1 3 3
0 0 0 1.7 0 0
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 3 0 1.7 5.1 2
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
810 0 0 1.7 0 -810
48 0 0 1.7 0 -48
450 0 0 1.7 0 -450
150 0 0 1.7 255 105
38 0 0 2 116 78
53 0 0 1.7 98.6 46
0 0 0 1.7 0 0
31 0 0 1.7 600.1 569
1 0 0 1.7 1161.1 1160
1 0 0 1.7 1161.1 1160
0 0 108 1.7 0 -108
0 0 143 1.7 129.2 -14
0 0 223 1.7 23.8 -199
36 0 0 1.7 6.8 -29
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1 220 220
340 0 0 1.7 68 -272
0 0 0 2 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 12 0 1.7 0 -12
0 5 0 1.7 0 -5
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Maret 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
300
300
###
###
###
###
###
###
###
###
###
###
###
###
500
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
300
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
2000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
24
10
###
20
###
###
###
###
###
###
10
###
###
10
###
###
###
###
5
100
###
1500
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Maret 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
MARET UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
MARET
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : MARET 2022
PERMINTAAN BULAN / TAHUN : APRIL 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 9 0 0 2
Botol 1 0 0
botol 19 0 0
Pcs 0 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1658 4571 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
7 0 0 1.7 3.4 -4
1 0 0 1.7 0 -1
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang, , Februari
Maret 2022
Tangerang
Tangerang, , Februari
Maret 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Maret 2022 ###
Maret 2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
APRIL
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
APRIL NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : APRIL 2022
PERMINTAAN BULAN / TAHUN : MEI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 0 0 0 50 10
pcs 0 0 0 50 10
pcs 10 0 0 25
pcs 0 0 0
pcs 5 0 0 10
pcs 375 0 0
pcs 200 0 0
pcs 800 0 0 200
pcs 900 0 200 600
pcs 600 0 0
pcs 70 0 0 15
pcs 0 0 0
pcs 0 0 0
pcs 13 0 0
pcs 0 0 0
pcs 8 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0 10000 1000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 21 0 0 100 10
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 6 0 0 1
Roll 0 0 0
Kotak 68 0 0 19
Roll 175 0 0
Roll 50 0 0 20
pcs 0 13200 0 2400
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 53 0 0 4
pot 400 0 0 200
pcs 0 0 0
pcs 0 0 17 100
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 130 0 0 20
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 0 0 0 5
pcs 0 0 0 5 1
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 36 0 0 12 12
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 3000 0 0 1000
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 400 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 3 0 0
pcs 0 0 0
Vial 125 0 0 125
pcs 300 0 0
pcs 0 0 0
pcs 450 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0 400
Tes 0 0 0
Tes 0 0 0 200
Tes 0 0 0
Tes 0 0 0 275
Tes 0 0 0
Kit 5 0 0
Botol 5 0 0
Botol 2 0 0
Botol 5 0 0
Botol 0 0 0
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
Pcs 882 0 0 820 1622
Pcs 1800 0 0
Pcs 75 0 0 8 3
Pcs 1200 0 0 204 204
Pcs 12 0 0 204 204
Pcs 1 0 0 17 17
Pcs 81 0 0 2
Pcs 200 0 0
Pcs 800 0 0
Pcs 0 0 0 820 740
Paket 0 0 0
Paket 600 0 0
Pcs 0 0 0
Pcs 140 0 0 40
Pcs 120 0 0
Pcs 50 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 20 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 600 0 0
pcs 20 0 0
Box 0 0 0
Box 35 0 0
Pcs 1800 0 0
pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 184 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 15 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0
Pcs 6 2 0
Pak 0 23 0
Pak 0 100 0 20
Pak 0 210 0 20
Pcs 0 0 28
Box 0 0 0
Pcs 0 0 15 10
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0 3
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1765 4206 0 0 5971
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

40 0 0 1.7 17 -23
40 0 0 1.7 17 -23
35 0 0 1.7 0 -35
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
375 0 0 1.7 0 -375
200 0 0 1.7 0 -200
600 0 0 1.7 340 -260
300 0 200 1.7 1020 520
600 0 0 1.7 0 -600
55 0 0 2 30 -25
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
9000 0 0 1.7 1700 -7300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
111 0 0 1.7 17 -94
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
5 0 0 1.7 1.7 -3.3
0 0 0 1.7 0 0
49 0 0 1.7 32.3 -16.7
175 0 0 1.7 0 -175
30 0 0 1.7 34 4
0 10800 0 1.7 4080 -6720
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
49 0 0 1.7 6.8 -42.2
200 0 0 1 200 0
0 0 0 1.7 0 0
100 0 17 1.7 0 -117
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 34 -76
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
4 0 0 1.7 1.7 -2.3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 20.4 -15.6
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2000 0 0 1.7 1700 -300
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 212.5 212.5
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
275 0 0 1.7 0 -275
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
5 0 0 1.7 0 -5
2 0 0 1.7 0 -2
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 1.7 2757.4 2677.4
1800 0 0 1.7 0 -1800
80 0 0 1.7 5.1 -74.9
1200 0 0 1.7 346.8 -853.2
12 0 0 1.7 346.8 334.8
1 0 0 1.7 28.9 27.9
83 0 0 1.7 0 -83
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
80 0 0 1.7 1258 1178
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
100 0 0 1.7 68 -32
120 0 0 1.7 0 -120
50 0 0 1.7 0 -50
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
35 0 0 1.7 0 -35
1800 0 0 1.7 0 -1800
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 184 0 1.7 0 -184
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 80 0 1.7 34 -46
0 190 0 1.7 34 -156
0 0 28 1.7 0 -28
0 0 0 1.7 0 0
0 0 5 1.7 17 12
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , April 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
20
###
###
###
###
###
###
###
###
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
pril 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
APRIL UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
APRIL
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : APRIL 2022
PERMINTAAN BULAN / TAHUN : MEI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 5477 0 0 1436
Botol 73 0 0 100
Botol 0 0 0
Tablet 0 0 0
Tablet 770 0 0 338
Tablet 280 0 0
Vial 24 0 0 5
kapsul 0 0 0
Botol 0 0 0
Kapsul 315 0 0 135
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 0 0 0
Tablet 0 0 0 300 10
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 577 0 0 50
Botol 0 0 0
Botol 88 0 0 4
Tablet 245 0 0 34
Kapsul 45 0 0
Tablet 550 0 0 160
Botol 0 0 0
Botol 0 0 0
Tablet 90 0 0 10
Tablet 91 0 0 10
Kapsul 129 0 0 500 103
Botol 17 0 0 4
Botol 0 0 0
Vial 12 0 0
Tablet 510 0 0 100 70
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
ampul 15 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 360 0 0 95
Tablet 90 0 0 90
Kapsul 0 0 0
Tablet 2209 0 0 834
Tablet 140 0 0 50
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 1100 0 0 300 290
Tablet 490 0 0 10
Tablet 20 0 0 300 80
Tablet 1310 0 0 1500 800
Botol 132 0 0 96 63
Botol 727 0 0 30
Tablet 33855 0 0 3230
Tablet 95 0 0
0 0 0 0
Tablet 4690 0 0 1170
Botol 127 0 0 23
kapsul 0 0 0
Tablet 120 0 0 90
Tablet 0 0 0
Kapsul 0 0 0 400 188
Ampul 0 0 0
Tablet 0 0 0 1300 300
Botol 29 0 0 48 15
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 56 0 0 32
Suppos 19 0 0
Botol 0 0 0
0 0 0 0
Tablet 680 0 0 300
Sachet 300 0 0 400 32
Tablet 0 0 0
Tablet 610 0 0 140
Botol 27 0 0 36 19
0 0 0 0
Tablet 100 0 0
Tablet 2140 0 0 450
Botol 84 0 0
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 5080 0 0 938
ampul 0 0 0
Tablet 5170 0 0 3000 2930
Botol 0 0 0
Tablet 10075 0 0 1235
Ampul 0 0 0
Tablet 0 0 0
Tablet 1273 0 0 3600 449
Tablet 540 0 0 540
Ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 903 0 0 800 300
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 69 0 0 100 65
Nebule 0 0 0
0 0 0 0
Botol 93 0 0 93
Tablet 5556 0 0 228
Tablet 750 0 0
Tablet 1980 0 0 160
Tablet 3758 0 0 549
Tablet 100 0 0
Botol 0 0 0
Botol 118 0 0 29
0 0 0 0
Tablet 0 0 0
Tablet 3800 0 0 60600 9120
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Ampul 120 0 0 30
Ampul 0 0 0
Tablet 75 0 0 75
0 0 0 0
ampul 150 0 6
0 0 0 0
tablet 0 0 0
Botol 54 0 0 100 50
Ampul 10 0 0
Tablet 3400 0 0 1200 1646
Ampul 0 0 0
Tablet 8947 0 0 192
Tablet 1500 0 0 800
Tablet 3094 0 0 1394
Tablet 800 0 0
0 0 0 0
Tablet 170 0 0
Supp 13 0 0 2
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 0 0 0 300
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 197 0 0 100
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 70 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 320 0 0
0 0 0 0
Tablet 0 0 0
Tablet 620 0 0 220
0 0 0 0
Tablet 310 0 0 130
Tablet 810 0 0 130
Tablet 0 0 0
Tablet 0 0 0 2400 380
0 0 0 0
Tube 26 0 0 25 16
Tube 0 0 0 24
Pot 80 0 0 11
Tube 0 0 0
Tube 9 0 0 4
Tube 24 0 0 5
Tube 8 0 0 70 11
Tube 12 0 0 2
Botol 53 0 0 9
botol 41 0 0 48 63
Tube 20 0 0
Pieces 0 0 0 72 13
Tube 48 0 0
Tube 33 0 0 2
Tube 0 0 0
Tube 29 0 0
Pot 94 0 0
Kotak 0 0 0
Tube 0 0 0
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 10 0 0 25 8
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 3 0 0 24 8
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 34 0 0 17
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 0 0 0
Kapsul 0 0 0
0 0 0 0
Tablet 0 0 0 3000 635
Tablet 6440 0 0 1555
tablet 270 0 0 30
Tablet 0 0 0
Tablet 100 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 114 0 0 2600
Tablet 200 0 0
Tablet 5 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 120 0 0
Tablet 40 0 0 100 40
Tablet 0 0 0
0 0 0 0
ampul 0 0 0 50 10
Tablet 400 0 0
ampul 35 0 0 50 10
0 0 0 0
Tablet 1260 0 0 656
Tablet 2900 0 0 50
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 1 0 0 5 1
0 0 0 0
Tablet 462 0 0
PCS 0 0 0
0 0 0 0
Botol 68 0 0 22
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 34 0 0
Botol 51 0 0
0 0 0 0
Botol 9 0 0
Botol 0 0 0
Botol 154 0 5 58 5
DRIGEN 0 0 0
Botol 18 0 0 5
botol 8 0 0 2
Botol 0 0 0
0 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 8800 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0 100 100
0 0 0 0
Tablet 0 0 0
Tablet 7500 0 0
Botol 0 0 0
0 0 0 0
Blister 4 0 0
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 730 0 0
Paket 34 0 0
Paket 3 0 0 1
Paket 13 0 0 3
Paket 0 0 0
Tablet 0 0 0 10
Paket 6 0 0
Paket 12 0 0 5
TES 0 0 0
vial 1 0 0 1 1
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 4 0 0 1
Botol 0 0 0
Botol 49 0 0 3
Botol 5 0 0 1
Botol 2 0 0 2 1
botol 0 0 0
Botol 21 0 0
Botol 0 0 0
Botol 6 0 0 4
Botol 0 0 0
Botol 96 0 0 45
Botol 7 0 0 2
Botol 0 0 0
Botol 0 0 0
Botol 4 0 0
tablet 760 0 0 600 570
tes 0 0 0
Botol 62 0 0 37 61
kotak 0 0 0
0 0 0 0
Vial 23 0 0 23 20
Vial 58 0 0 31 25
Vial 102 0 0 79
Vial 0 0 0
ampul 55 0 0 115 41
Vial 52 0 0 59 49
Vial 0 0 0
Vial 49 0 0 10 55
Vial 155 0 0 19 47
Vial 34 0 0 7 15
vial 0 0 0
VIAL 0 0 0 100
Vial 0 0 0
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 1 0
botol 0 3 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 6 0 0
pieces 1 1 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 810 0 0 450
Botol 48 0 0
tablet 450 0 0 150
kapsul 150 0 0 135
Botol 38 0 0 96 40
pcs 53 0 0 100 25
0 0 0 0
Vial 31 0 0 31
Botol 1 0 0 17 18
Vial 1 0 0 17 18
Vial 0 0 108 48
vial 0 0 143 103
Strip 0 0 223
botol 36 0 0 5
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0
Botol 0 0 0
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 0 0 0 500
Tablet 0 0 0 300
Tablet 0 0 0 200
Vial 0 0 0 40
Vial 0 0 0 5 5
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Tablet 0 0 0
Tablet 0 0 0
pot 0 0 0
tablet 0 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 12 0
Pcs 0 5 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 2 0
Pcs 0 0 0
Botol 0 2 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1765 4206 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
4041 0 0 1.7 2441.2 -1600
173 0 0 1.7 0 -173
0 0 0 1.7 0 0
0 0 0 1.7 0 0
432 0 0 1.7 574.6 143
280 0 0 1.7 0 -280
29 0 0 1.7 0 -29
0 0 0 1.7 0 0
0 0 0 1.7 0 0
180 0 0 1.7 229.5 50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
290 0 0 2 20 -270
0 0 0 1.7 0 0
0 0 0 1.7 0 0
527 0 0 1.7 85 -442
0 0 0 1.7 0 0
84 0 0 1.7 6.8 -77
211 0 0 1.7 57.8 -153
45 0 0 1.7 0 -45
390 0 0 3 480 90
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 1.7 17 -63
81 0 0 1.7 17 -64
526 0 0 2 206 -320
13 0 0 1.7 6.8 -6
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
540 0 0 2 140 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
265 0 0 1.7 161.5 -104
0 0 0 1.7 153 153
0 0 0 1.7 0 0
1375 0 0 1.7 1417.8 43
90 0 0 1.7 85 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1110 0 0 1.7 493 -617
480 0 0 1.7 17 -463
240 0 0 1.7 136 -104
2010 0 0 3 2400 390
165 0 0 3 189 24
697 0 0 1.7 51 -646
30625 0 0 1.7 5491 -25134
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
3520 0 0 2 2340 -1180
104 0 0 1.7 39.1 -65
0 0 0 1.7 0 0
30 0 0 1.7 153 123
0 0 0 1.7 0 0
212 0 0 2 376 164
0 0 0 1.7 0 0
1000 0 0 3 900 -100
62 0 0 1.7 25.5 -37
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
24 0 0 1.7 54.4 30
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
380 0 0 2 600 220
668 0 0 1.7 54.4 -614
0 0 0 1.7 0 0
470 0 0 1.7 238 -232
44 0 0 3 57 13
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1690 0 0 1.7 765 -925
84 0 0 1.7 0 -84
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4142 0 0 1.7 1594.6 -2547
0 0 0 1.7 0 0
5240 0 0 2 5860 620
0 0 0 1.7 0 0
8840 0 0 1.7 2099.5 -6741
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4424 0 0 1.7 763.3 -3661
0 0 0 1.7 918 918
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1403 0 0 1.7 510 -893
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
104 0 0 1.7 110.5 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 158.1 158
5328 0 0 1.7 387.6 -4940
750 0 0 1.7 0 -750
1820 0 0 1.7 272 -1548
3209 0 0 1.7 933.3 -2276
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
89 0 0 1.7 49.3 -40
0 0 0 1.7 0 0
0 0 0 1.7 0 0
55280 0 0 1.7 15504 -39776
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 1.7 51 -39
0 0 0 1.7 0 0
0 0 0 1.7 127.5 128
0 0 0 1.7 0 0
150 0 6 1.7 0 -156
0 0 0 1.7 0 0
0 0 0 1.7 0 0
104 0 0 3 150 46
10 0 0 1.7 0 -10
2954 0 0 1.7 2798.2 -156
0 0 0 1.7 0 0
8755 0 0 1.7 326.4 -8429
700 0 0 2 1600 900
1700 0 0 1.7 2369.8 670
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
11 0 0 1.7 3.4 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
70 0 0 1.7 0 -70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
320 0 0 2 0 -320
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 374 -26
0 0 0 1.7 0 0
180 0 0 2 260 80
680 0 0 2 260 -420
0 0 0 1.7 0 0
2020 0 0 2 760 -1260
0 0 0 1.7 0 0
35 0 0 1.7 27.2 -8
24 0 0 1.7 0 -24
69 0 0 1.7 18.7 -50
0 0 0 1.7 0 0
5 0 0 1.7 6.8 2
19 0 0 1.7 8.5 -11
67 0 0 1.7 18.7 -48
10 0 0 1.7 3.4 -7
44 0 0 1.7 15.3 -29
26 0 0 2 126 100
20 0 0 1.7 0 -20
59 0 0 2 26 -33
48 0 0 1.7 0 -48
31 0 0 1.7 3.4 -28
0 0 0 1.7 0 0
29 0 0 1.7 0 -29
94 0 0 1.7 0 -94
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
27 0 0 2 16 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
19 0 0 2 16 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
17 0 0 2 34 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2365 0 0 2 1270 -1095
4885 0 0 1.7 2643.5 -2242
240 0 0 1.7 51 -189
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2714 0 0 2 0 -2714
200 0 0 1.7 0 -200
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 0 -120
100 0 0 1.7 68 -32
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 17 -23
400 0 0 1.7 0 -400
75 0 0 1.7 17 -58
0 0 0 1.7 0 0
604 0 0 2 1312 708
2850 0 0 1.7 85 -2765
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 1.7 -3
0 0 0 1.7 0 0
462 0 0 1.7 0 -462
0 0 0 1.7 0 0
0 0 0 1.7 0 0
46 0 0 1.7 37.4 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
34 0 0 1.7 0 -34
51 0 0 1.7 0 -51
0 0 0 1.7 0 0
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
96 0 0 1.7 107.1 11
0 0 0 1.7 0 0
13 0 0 1.7 8.5 -5
6 0 0 3 6 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8800 0 0 1.7 0 -8800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 170 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7500 0 0 1.7 0 -7500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
730 0 0 1.7 0 -730
34 0 0 1.7 0 -34
2 0 0 1.7 1.7 0
10 0 0 1.7 5.1 -5
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
6 0 0 1.7 0 -6
17 0 0 1.7 0 -17
0 0 0 1.7 0 0
1 0 0 1.7 1.7 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 1.7 -1
0 0 0 1.7 0 0
46 0 0 1.7 5.1 -41
4 0 0 1.7 1.7 -2
3 0 0 1.7 1.7 -1
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
0 0 0 1.7 0 0
2 0 0 1.7 6.8 5
0 0 0 1.7 0 0
51 0 0 1.7 76.5 26
5 0 0 1.7 3.4 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
790 0 0 1.7 969 179
0 0 0 1.7 0 0
38 0 0 1.7 103.7 66
0 0 0 1.7 0 0
0 0 0 1.7 0 0
26 0 0 1.7 34 8
64 0 0 1.7 42.5 -22
23 0 0 1.7 134.3 111
0 0 0 1.7 0 0
129 0 0 1.7 69.7 -59
62 0 0 1.7 83.3 21
0 0 0 1.7 0 0
4 0 0 1.7 93.5 90
127 0 0 1.7 79.9 -47
26 0 0 1.7 25.5 -1
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
360 0 0 1 450 90
48 0 0 1.7 0 -48
300 0 0 1.7 255 -45
15 0 0 1.7 229.5 215
94 0 0 3 120 26
128 0 0 1.7 42.5 -86
0 0 0 1.7 0 0
0 0 0 1.7 52.7 53
0 0 0 1.7 30.6 31
0 0 0 1.7 30.6 31
0 0 60 1.7 81.6 22
0 0 40 1.7 175.1 135
0 0 223 1.7 0 -223
31 0 0 1.7 8.5 -23
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
500 0 0 1.7 0 -500
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
40 0 0 1.7 0 -40
0 0 0 1 5 5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 12 0 1.7 0 -12
0 5 0 1.7 0 -5
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , April 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
300
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
300
###
###
###
1000
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
300
###
###
###
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
24
###
###
10
###
###
###
###
###
24
24
###
###
24
###
###
###
###
5
100
###
###
###
###
###
###
100
200
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

April 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
APRIL UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
APRIL
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : APRIL 2022
PERMINTAAN BULAN / TAHUN : MEI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 7 0 0 2
Botol 1 0 0
botol 19 0 0
Pcs 0 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1765 4206 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
5 0 0 1.7 3.4 -2
1 0 0 1.7 0 -1
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang
, , Februari
April 2022
Tangerang
Tangerang
, , Februari
April 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

6
0
50
0
5
1
19
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
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
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
April 2022 0
April 2022
ab Farmasi 0
Dua 0
0
0
0
0
tikawatie 0
0
9303 2 005 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
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
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
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
LAPO
MENU

LPLPO
OBAT
MEI
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
MEI NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : MEI 2022
PERMINTAAN BULAN / TAHUN : JUNI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 40 0 0 6
pcs 40 0 0 6
pcs 35 0 0
pcs 0 0 0
pcs 15 0 0
pcs 375 0 0
pcs 200 0 0
pcs 600 0 0 100
pcs 300 0 200 300 100
pcs 600 0 0 100
pcs 55 0 0
pcs 0 0 0
pcs 0 0 0
pcs 13 0 0 1
pcs 0 0 0
pcs 8 0 0 8
pcs 0 0 0
pcs 0 0 0
pcs 9000 0 0 1000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 111 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 5 0 0
Roll 0 0 0
Kotak 49 0 0 11
Roll 175 0 0
Roll 30 0 0 100
pcs 0 10800 0 2400
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 49 0 0
pot 200 0 0 200
pcs 0 0 0
pcs 100 0 17
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 110 0 0 30
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 5 0 0
pcs 4 0 0 1
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 36 0 0
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 2000 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 400 0 0 100
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 3 0 0 1
pcs 0 0 0
Vial 0 0 0
pcs 300 0 0 100
pcs 0 0 0
pcs 450 0 0 250
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 400 0 0
Tes 0 0 0
Tes 200 0 0 100
Tes 0 0 0
Tes 275 0 0 275
Tes 0 0 0
Kit 5 0 0 1
Botol 5 0 0 1
Botol 2 0 0 2
Botol 5 0 0 2
Botol 0 0 0
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
Pcs 80 0 0 240 210
Pcs 1800 0 0 248
Pcs 80 0 0 2
Pcs 1200 0 0 1212 1122
Pcs 12 0 0 1212 732
Pcs 1 0 0 101 61
Pcs 83 0 0 12
Pcs 200 0 0
Pcs 800 0 0
Pcs 80 0 0 240 128
Paket 0 0 0
Paket 600 0 0
Pcs 0 0 0
Pcs 100 0 0 20
Pcs 120 0 0
Pcs 50 0 0 25
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 20 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 600 0 0
pcs 20 0 0
Box 0 0 0
Box 35 0 0 35
Pcs 1800 0 0
pcs 100 0 0
Pcs 0 0 0 20
Pcs 0 0 0 600
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 184 0 3
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 15 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0
Pcs 6 2 0
Pak 0 23 0
Pak 0 80 0
Pak 0 190 0
Pcs 0 0 28
Box 0 0 0
Pcs 0 0 5
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0 1
Kit 0 0 0 1
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 3 0 3
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1418 4366 0 0 5784
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

34 0 0 1.7 10.2 -23.8


34 0 0 1.7 10.2 -23.8
35 0 0 1.7 0 -35
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
375 0 0 1.7 0 -375
200 0 0 1.7 0 -200
500 0 0 1.7 170 -330
0 0 100 1.7 680 580
500 0 0 1.7 170 -330
55 0 0 1.7 0 -55
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12 0 0 1.7 1.7 -10.3
0 0 0 1.7 0 0
0 0 0 2 16 16
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8000 0 0 1.7 1700 -6300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
111 0 0 1.7 0 -111
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
38 0 0 1.7 18.7 -19.3
175 0 0 1.7 0 -175
130 0 0 1.7 0 -130
0 8400 0 1.7 4080 -4320
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
49 0 0 1.7 0 -49
0 0 0 1.7 340 340
0 0 0 1.7 0 0
100 0 17 1.7 0 -117
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 3 90 10
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
5 0 0 3 0 -5
3 0 0 4 4 1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 0 -36
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2000 0 0 1.7 0 -2000
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 170 -130
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 1.7 -0.3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 3 300 100
0 0 0 1.7 0 0
200 0 0 1.7 425 225
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
100 0 0 1.7 170 70
0 0 0 1.7 0 0
0 0 0 1.7 467.5 467.5
0 0 0 1.7 0 0
4 0 0 1.7 1.7 -2.3
4 0 0 1.7 1.7 -2.3
0 0 0 1.7 3.4 3.4
3 0 0 1.7 3.4 0.4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 357 247
1552 0 0 1.7 421.6 -1130.4
82 0 0 1.7 0 -82
1290 0 0 1.7 1907.4 617.4
492 0 0 1.7 1244.4 752.4
41 0 0 1.7 103.7 62.7
95 0 0 1.7 0 -95
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
192 0 0 1.7 217.6 25.6
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
80 0 0 1.7 34 -46
120 0 0 1.7 0 -120
25 0 0 1.7 42.5 17.5
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 59.5 59.5
1800 0 0 1.7 0 -1800
100 0 0 1.7 0 -100
20 0 0 1.7 0 -20
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 5.1 -175.9
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 80 0 1.7 0 -80
0 190 0 1.7 0 -190
0 0 28 1.7 0 -28
0 0 0 1.7 0 0
0 0 5 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5.1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Mei 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
20
20
###
###
###
###
###
###
###
###
###
###
20
###
###
###
###
2
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
5
5
###
###
###
###
###
###
3
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Mei 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
MEI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
MEI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : MEI 2022
PERMINTAAN BULAN / TAHUN : JUNI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 4041 0 0 1817
Botol 173 0 0 73
Botol 0 0 0
Tablet 0 0 0
Tablet 432 0 0 600 288
Tablet 280 0 0
Vial 29 0 0
kapsul 0 0 0
Botol 0 0 0
Kapsul 180 0 0 100 100
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 0 0 0
Tablet 290 0 0 300 80
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 527 0 0 125
Botol 0 0 0
Botol 84 0 0 2
Tablet 211 0 0 23
Kapsul 45 0 0
Tablet 390 0 0 100 200
Botol 0 0 0
Botol 0 0 0
Tablet 80 0 0 20
Tablet 81 0 0 27
Kapsul 526 0 0 454
Botol 13 0 0 4
Botol 0 0 0
Vial 12 0 0
Tablet 540 0 0 94
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0 500 35
ampul 15 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 265 0 0 100
Tablet 0 0 0 200
Kapsul 0 0 0
Tablet 1375 0 0 100 645
Tablet 90 0 0 44
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 1110 0 0 310
Tablet 480 0 0
Tablet 240 0 0 126
Tablet 2010 0 0 400 1306
Botol 165 0 0 96 94
Botol 697 0 0 173
Tablet 30625 0 0 4045
Tablet 95 0 0
0 0 0 0
Tablet 3520 0 0 670
Botol 104 0 0 27
kapsul 0 0 0
Tablet 30 0 0 120
Tablet 0 0 0
Kapsul 212 0 0 200 351
Ampul 0 0 0
Tablet 1000 0 0 580
Botol 62 0 0 11
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 24 0 0 100 24
Suppos 19 0 0
Botol 0 0 0
0 0 0 0
Tablet 380 0 0 266
Sachet 668 0 0 151
Tablet 0 0 0
Tablet 470 0 0 200
Botol 44 0 0 36 21
0 0 0 0
Tablet 100 0 0
Tablet 1690 0 0 410
Botol 84 0 0 28
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 4142 0 0 1538
ampul 0 0 0
Tablet 5240 0 0 700 3856
Botol 0 0 0
Tablet 8840 0 0 1320
Ampul 0 0 0
Tablet 0 0 0
Tablet 4424 0 0 1454
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0 200 200
Ampul 0 0 0
Tablet 1403 0 0 887
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 104 0 0 200 139
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 5328 0 0 1364
Tablet 750 0 0 750
Tablet 1820 0 0 136
Tablet 3209 0 0 780
Tablet 100 0 0
Botol 0 0 0
Botol 89 0 0 48 41
0 0 0 0
Tablet 0 0 0
Tablet 55280 0 0 44800 26130
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Ampul 90 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 150 0 6 150 6
0 0 0 0
tablet 0 0 0
Botol 104 0 0 50 131
Ampul 10 0 0
Tablet 2954 0 0 638
Ampul 0 0 0
Tablet 8755 0 0 2795
Tablet 700 0 0 900 822
Tablet 1700 0 0 700 615
Tablet 800 0 0 110
0 0 0 0
Tablet 170 0 0
Supp 11 0 0
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 300 0 0 100
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 70 0 0 60
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 320 0 0 200 210
0 0 0 0
Tablet 0 0 0
Tablet 400 0 0 340
0 0 0 0
Tablet 180 0 0 100 100
Tablet 680 0 0 180
Tablet 0 0 0 300 200
Tablet 2020 0 0 1000
0 0 0 0
Tube 35 0 0 1
Tube 24 0 0
Pot 69 0 0 23
Tube 0 0 0
Tube 5 0 0 2 5
Tube 19 0 0 11
Tube 67 0 0 40
Tube 10 0 0
Botol 44 0 0 20
botol 26 0 0 96 68
Tube 20 0 0
Pieces 59 0 0 20
Tube 48 0 0
Tube 31 0 0 1
Tube 0 0 0
Tube 29 0 0 29
Pot 94 0 0 16
Kotak 0 0 0
Tube 0 0 0
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 27 0 0 15
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 19 0 0 19
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 17 0 0 10
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 0 0 0 30
Kapsul 0 0 0
0 0 0 0
Tablet 2365 0 0 1535
Tablet 4885 0 0 720
tablet 240 0 0 130
Tablet 0 0 0
Tablet 100 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 2714 0 0 856
Tablet 200 0 0 10
Tablet 5 0 0 5
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 120 0 0 120
Tablet 100 0 0 40
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 400 0 0
ampul 75 0 0 15
0 0 0 0
Tablet 604 0 0 800
Tablet 2850 0 0 90
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0
0 0 0 0
Tablet 462 0 0
PCS 0 0 0
0 0 0 0
Botol 46 0 0 1
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 34 0 0 10
Botol 51 0 0 20
0 0 0 0
Botol 9 0 0 1
Botol 0 0 0
Botol 96 0 0 3
DRIGEN 0 0 0
Botol 13 0 0 2
botol 6 0 0 4
Botol 0 0 0
0 0 0 0
Vial 0 0 0 4 1
Vial 0 0 0
Vial 0 0 0 1
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 8800 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 7500 0 0
Botol 0 0 0
0 0 0 0
Blister 4 0 0
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 730 0 0
Paket 34 0 0 8
Paket 2 0 0
Paket 10 0 0
Paket 0 0 0
Tablet 10 0 0 10
Paket 6 0 0
Paket 17 0 0 3
TES 0 0 0
vial 1 0 0 1
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 3 0 0
Botol 0 0 0
Botol 46 0 0 2
Botol 4 0 0 5 6
Botol 3 0 0 1
botol 0 0 0
Botol 21 0 0 6
Botol 0 0 0
Botol 2 0 0 4 3
Botol 0 0 0
Botol 51 0 0 30 13
Botol 5 0 0 5 3
Botol 0 0 0
Botol 0 0 0
Botol 4 0 0 4
tablet 790 0 0
tes 0 0 0
Botol 38 0 0 50 45
kotak 0 0 0
0 0 0 0
Vial 26 0 0 17 33
Vial 64 0 0 26 37
Vial 23 0 0
Vial 0 0 0
ampul 129 0 0 28 125
Vial 62 0 0 59 82
Vial 0 0 0
Vial 4 0 0 20 17
Vial 127 0 0 97 82
Vial 26 0 0 17 33
vial 0 0 0
VIAL 100 0 0 80 177
Vial 0 0 0
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 1 0
botol 0 3 0 3
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 6 0 0
pieces 1 1 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 360 0 0 90 192
Botol 48 0 0 48 43
tablet 300 0 0
kapsul 15 0 0 15
Botol 94 0 0 94
pcs 128 0 0 36
0 0 0 0
Vial 0 0 0
Botol 0 0 0 101 60
Vial 0 0 0 101 60
Vial 0 0 60
vial 0 0 40
Strip 0 0 223 104
botol 31 0 0 8
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0
Botol 0 0 0
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 500 0 0
Tablet 300 0 0
Tablet 200 0 0
Vial 40 0 0 40
Vial 0 0 0
Vial 0 0 0 140 108
Vial 0 0 0 5 1
Vial 0 0 0 180 178
Botol 0 0 0
Vial 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Tablet 0 0 0
Tablet 0 0 0
pot 0 0 0
tablet 0 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 12 0
Pcs 0 5 0 2
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 2 0
Pcs 0 0 0
Botol 0 2 0 1
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1418 4366 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
2224 0 0 4 7268 5044
100 0 0 3 219 119
0 0 0 1.7 0 0
0 0 0 1.7 0 0
744 0 0 4 1152 408
280 0 0 1.7 0 -280
29 0 0 1.7 0 -29
0 0 0 1.7 0 0
0 0 0 1.7 0 0
180 0 0 3 300 120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
510 0 0 2 160 -350
0 0 0 1.7 0 0
0 0 0 1.7 0 0
402 0 0 4 500 98
0 0 0 1.7 0 0
82 0 0 1.7 3.4 -79
188 0 0 2 46 -142
45 0 0 1.7 0 -45
290 0 0 4 800 510
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 34 -26
54 0 0 5 135 81
72 0 0 4 1816 1744
9 0 0 1.7 6.8 -2
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
446 0 0 6 564 118
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
465 0 0 1.7 59.5 -406
15 0 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
165 0 0 5 500 335
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
830 0 0 4 2580 1750
46 0 0 3 132 86
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
800 0 0 4 1240 440
480 0 0 1.7 0 -480
114 0 0 3 378 264
1104 0 0 4 5224 4120
167 0 0 3 282 115
524 0 0 3.5 605.5 82
26580 0 0 3 12135 -14445
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
2850 0 0 5 3350 500
77 0 0 5 135 58
0 0 0 1.7 0 0
150 0 0 1.7 0 -150
0 0 0 1.7 0 0
61 0 0 3 1053 992
0 0 0 1.7 0 0
420 0 0 3 1740 1320
51 0 0 6 66 15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 5 120 20
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
114 0 0 2.5 665 551
517 0 0 1.7 256.7 -260
0 0 0 1.7 0 0
270 0 0 5 1000 730
59 0 0 5 105 46
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1280 0 0 4 1640 360
56 0 0 4 112 56
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2604 0 0 5 7690 5086
0 0 0 1.7 0 0
2084 0 0 2.5 9640 7556
0 0 0 1.7 0 0
7520 0 0 2 2640 -4880
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2970 0 0 4 5816 2846
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 5 1000 1000
0 0 0 1.7 0 0
516 0 0 2 1774 1258
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
165 0 0 3 417 252
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3964 0 0 4 5456 1492
0 0 0 3 2250 2250
1684 0 0 1.7 231.2 -1453
2429 0 0 4 3120 691
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
96 0 0 4 164 68
0 0 0 1.7 0 0
0 0 0 1.7 0 0
73950 0 0 2 52260 -21690
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 2 312 312
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 3 393 370
10 0 0 1.7 0 -10
2316 0 0 5 3190 874
0 0 0 1.7 0 0
5960 0 0 3 8385 2425
778 0 0 3 2466 1688
1785 0 0 4 2460 675
690 0 0 1.7 187 -503
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
11 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
200 0 0 3 300 100
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 3 180 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
310 0 0 2 420 110
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 3 1020 960
0 0 0 1.7 0 0
180 0 0 5 500 320
500 0 0 5 900 400
100 0 0 5 1000 900
1020 0 0 3 3000 1980
0 0 0 1.7 0 0
34 0 0 3 3 -31
24 0 0 1.7 0 -24
46 0 0 4 92 46
0 0 0 1.7 0 0
2 0 0 1.7 8.5 7
8 0 0 2 22 14
27 0 0 2 80 53
10 0 0 1.7 0 -10
24 0 0 2 40 16
54 0 0 2 136 82
20 0 0 1.7 0 -20
39 0 0 3 60 21
48 0 0 1.7 0 -48
30 0 0 1.7 1.7 -28
0 0 0 1.7 0 0
0 0 0 1.7 49.3 49
78 0 0 1.7 27.2 -51
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12 0 0 3 45 33
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 32.3 32
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 3 30 23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
830 0 0 4 6140 5310
4165 0 0 3 2160 -2005
110 0 0 1.7 221 111
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1858 0 0 3 2568 710
190 0 0 3 30 -160
0 0 0 1.7 8.5 9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 360 360
60 0 0 3 120 60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
400 0 0 1.7 0 -400
60 0 0 1.7 25.5 -35
0 0 0 1.7 0 0
1404 0 0 1.7 0 -1404
2760 0 0 1.7 153 -2607
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
462 0 0 1.7 0 -462
0 0 0 1.7 0 0
0 0 0 1.7 0 0
45 0 0 1.7 1.7 -43
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
24 0 0 3 30 6
31 0 0 2.5 50 19
0 0 0 1.7 0 0
8 0 0 1.7 1.7 -6
0 0 0 1.7 0 0
93 0 0 1.7 5.1 -88
0 0 0 1.7 0 0
11 0 0 1.7 3.4 -8
2 0 0 5 20 18
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 1.7 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8800 0 0 1.7 0 -8800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7500 0 0 1.7 0 -7500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
230 500 0 0 1.7 0 -500
26 0 0 1.7 13.6 -12
2 0 0 1.7 0 -2
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 17 17
6 0 0 1.7 0 -6
14 0 0 1.7 5.1 -9
0 0 0 1.7 0 0
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 39 0 0 1.7 3.4 -36
3 0 0 1.7 10.2 7
2 0 0 1.7 1.7 0
0 0 0 1.7 0 0
15 0 0 1.7 10.2 -5
0 0 0 1.7 0 0
3 0 0 1.7 5.1 2
0 0 0 1.7 0 0
68 0 0 1.7 22.1 -46
7 0 0 1.7 5.1 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 6.8 7
790 0 0 1.7 0 -790
0 0 0 1.7 0 0
43 0 0 1.7 76.5 34
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 56.1 46
53 0 0 1.7 62.9 10
23 0 0 0 1.7 0 0
0 0 0 1.7 0 0
32 0 0 1.7 212.5 181
39 0 0 1.7 139.4 100
0 0 0 1.7 0 0
7 0 0 1.7 28.9 22
142 0 0 1.7 139.4 -3
10 0 0 1.7 56.1 46
0 0 0 1.7 0 0
3 0 0 1.7 300.9 298
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 0 0 3 9 9
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 0 1.7 326.4 68
53 0 0 1.7 73.1 20
300 0 0 1.7 0 -300
0 0 0 1.7 25.5 26
0 0 0 1.7 159.8 160
92 0 0 3 108 16
0 0 0 1.7 0 0
0 0 0 1.7 0 0
41 0 0 1.7 102 61
41 0 0 1.7 102 61
0 0 60 1.7 0 -60
0 0 40 1.7 0 -40
0 0 119 1.7 176.8 58
23 0 0 1.7 13.6 -9
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
500 0 0 0 1.7 0 0
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 68 68
0 0 0 1.7 0 0
32 0 0 1.7 183.6 152
4 0 0 1.7 1.7 -2
2 0 0 1.7 302.6 301
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 12 0 1.7 0 -12
0 3 0 1.7 3.4 0
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 1 0 1.7 1.7 1
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Mei 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
300
###
200
200
###
###
###
###
###
###
###
10
###
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
2
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
3000
###
###
###
###
10
###
###
###
10
###
200
###
###
###
###
###
###
###
###
500
###
###
###
200
###
###
200
###
###
###
500
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
30
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
10
###
20
###
###
###
20
###
30
30
###
###
20
###
###
###
###
###
###
###
###
###
###
###
###
100
500
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
20
###
###
###
20
20
###
###
###
###
###
###
###
20
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Mei 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
MEI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
MEI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : MEI 2022
PERMINTAAN BULAN / TAHUN : JUNI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 5 0 0 1
Botol 1 0 0
botol 19 0 0 5
Pcs 0 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1418 4366 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
4 0 0 2 2 -2
1 0 0 1.7 0 -1
14 0 0 4 20 6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang
, , Februari
Mei 2022
Tangerang
Tangerang
, , Februari
Mei 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Mei 2022 ###
Mei 2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
JUNI
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JUNI NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : JUNI 2022
PERMINTAAN BULAN / TAHUN : JULI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 34 0 0
pcs 34 0 0
pcs 35 0 0 10
pcs 0 0 0
pcs 15 0 0
pcs 375 0 0
pcs 200 0 0
pcs 500 0 0 100
pcs 0 0 100
pcs 500 0 0 100
pcs 55 0 0 100
pcs 0 0 0
pcs 0 0 0
pcs 12 0 0 5
pcs 0 0 0
pcs 0 0 0 50
pcs 0 0 0
pcs 0 0 0
pcs 8000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 111 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 5 0 0 2 1
Roll 0 0 0
Kotak 38 0 0 12
Roll 175 0 0 60
Roll 130 0 0 50
pcs 0 8400 0 30000 2400
pcs 0 0 0 50
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 49 0 0 2
pot 0 0 0
pcs 0 0 0
pcs 100 0 17
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 80 0 0
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 5 0 0
pcs 3 0 0 5
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 36 0 0
pcs 12 12 0 12
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 2000 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 0 0 0 1000
pcs 200 0 0
pcs 0 0 0
pcs 200 0 0 100
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 400 0 0 150
Tes 0 0 0
Tes 100 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 0 0 0
Botol 3 0 0
Botol 0 0 0 800 100
pcs 0 0 0
pcs 0 0 0
Set 0 0 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 0 0 0
Set 0 0 0
0 0 0 0
Pcs 110 0 0 100 150
Pcs 1552 0 0 100 40
Pcs 82 0 0 1
Pcs 1290 0 0 1008 2106
Pcs 492 0 0 1008 1308
Pcs 41 0 0 84 109
Pcs 95 0 0 4
Pcs 200 0 0
Pcs 800 0 0
Pcs 192 0 0 192
Paket 0 0 0
Paket 600 0 0 600
Pcs 0 0 0
Pcs 80 0 0 20
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 20 0 0 20
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 600 0 0
pcs 20 0 0
Box 0 0 0
Box 0 0 0
Pcs 1800 0 0
pcs 100 0 0
Pcs 20 0 0 20
Pcs 600 0 0 200
Box 0 0 0 25
Box 0 0 0 1
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 15 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0
Pcs 6 2 0
Pak 0 23 0
Pak 0 80 0 60
Pak 0 190 0 10
Pcs 0 0 28 60
Box 0 0 0
Pcs 0 0 5
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 1 0 1
Kit 0 1 0 1
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1814 4818 0 0 6632
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

34 0 0 1.7 0 -34
34 0 0 1.7 0 -34
25 0 0 1.7 17 -8
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
375 0 0 1.7 0 -375
200 0 0 1.7 0 -200
400 0 0 1.7 170 -230
0 0 100 1.7 0 -100
400 0 0 1.7 170 -230
155 0 0 1.7 0 -155
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 8.5 1.5
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8000 0 0 1.7 0 -8000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
111 0 0 1.7 0 -111
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
6 0 0 1.7 1.7 -4.3
0 0 0 1.7 0 0
26 0 0 4 48 22
115 0 0 1.7 102 -13
80 0 0 1.7 85 5
0 36000 0 1.7 4080 -31920
0 0 50 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
47 0 0 1.7 3.4 -43.6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 17 1.7 0 -117
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 1.7 0 -80
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 0 -36
0 12 0 3 36 24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2000 0 0 1.7 0 -2000
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
100 0 0 1.7 170 70
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
250 0 0 1.7 255 5
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
700 0 0 1.7 170 -530
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 255 195
1612 0 0 1.7 68 -1544
83 0 0 1.7 0 -83
192 0 0 1.7 3580.2 3388.2
192 0 0 1.7 2223.6 2031.6
16 0 0 1.7 185.3 169.3
99 0 0 1.7 0 -99
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
0 0 0 1.7 326.4 326.4
0 0 0 1.7 0 0
0 0 0 0 0 0
0 0 0 1.7 0 0
60 0 0 1.7 34 -26
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 34 34
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1800 0 0 1.7 0 -1800
100 0 0 1.7 0 -100
0 0 0 1.7 34 34
400 0 0 2.5 500 100
25 0 0 1.7 0 -25
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 0 1.7 0 -28
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 20 0 1.7 102 82
0 180 0 1.7 17 -163
0 0 88 1.7 0 -88
0 0 0 1.7 0 0
0 0 5 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 1.7 1.7
0 0 0 1.7 1.7 1.7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Juni 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
1000
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
uni 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
JUNI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JUNI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : JUNI 2022
PERMINTAAN BULAN / TAHUN : JULI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 2224 0 0 5200 3599
Botol 100 0 0 200 97
Botol 0 0 0
Tablet 0 0 0
Tablet 744 0 0 450 394
Tablet 280 0 0
Vial 29 0 0 19
kapsul 0 0 0 200 24
Botol 0 0 0
Kapsul 180 0 0 200 37
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 0 0 0
Tablet 510 0 0 200 40
Kapsul 0 0 0
Kapsul 0 0 0 200
Kapsul 402 0 0 100 193
Botol 0 0 0
Botol 82 0 0 2
Tablet 188 0 0 128
Kapsul 45 0 0
Tablet 290 0 0 600 13
Botol 0 0 0
Botol 0 0 0 10 2
Tablet 60 0 0 25
Tablet 54 0 0 100 7
Kapsul 72 0 0 1000 170
Botol 9 0 0 7
Botol 0 0 0
Vial 12 0 0
Tablet 446 0 0 200 211
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 465 0 0 187
ampul 15 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 165 0 0 400 90
Tablet 200 0 0 100
Kapsul 0 0 0
Tablet 830 0 0 1800 1300
Tablet 46 0 0 100 17
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0 500
Tablet 800 0 0 500 495
Tablet 480 0 0 80
Tablet 114 0 0 300 134
Tablet 1104 0 0 1104
Botol 167 0 0 96 117
Botol 524 0 0 100 253
Tablet 26580 0 0 5335
Tablet 95 0 0
0 0 0 0
Tablet 2850 0 0 500 1010
Botol 77 0 0 100 43
kapsul 0 0 0
Tablet 150 0 0
Tablet 0 0 0
Kapsul 61 0 0 400 275
Ampul 0 0 0
Tablet 420 0 0 1400 576
Botol 51 0 0 51
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 100 0 0 100
Suppos 19 0 0
Botol 0 0 0
0 0 0 0
Tablet 114 0 0 114
Sachet 517 0 0 256
Tablet 0 0 0
Tablet 270 0 0 1200 260
Botol 59 0 0 39
0 0 0 0
Tablet 100 0 0
Tablet 1280 0 0 400 710
Botol 56 0 0 100 25
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 2604 0 0 5200 2088
ampul 0 0 0
Tablet 2084 0 0 8000 4234
Botol 0 0 0
Tablet 7520 0 0 2140
Ampul 0 0 0
Tablet 0 0 0
Tablet 2970 0 0 3000 1452
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0 1000 427
Ampul 0 0 0
Tablet 516 0 0 1300 849
ampul 0 0 0
Tablet 0 0 0 3000 1000
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 165 0 0 300 151
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 3964 0 0 1500 1055
Tablet 0 0 0 2280 10
Tablet 1684 0 0 168
Tablet 2429 0 0 700 860
Tablet 100 0 0
Botol 0 0 0
Botol 96 0 0 72 86
0 0 0 0
Tablet 0 0 0
Tablet 73950 0 0 44800 1270
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0 200 20
Ampul 90 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 0
0 0 0 0
tablet 0 0 0
Botol 23 0 0 23
Ampul 10 0 0
Tablet 2316 0 0 1000 1507
Ampul 0 0 0
Tablet 5960 0 0 2600 2284
Tablet 778 0 0 1700 1413
Tablet 1785 0 0 1085
Tablet 690 0 0 500
0 0 0 0
Tablet 170 0 0
Supp 0 0 0 10
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 200 0 0 90
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 10 0 0 200 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 310 0 0 200 40
0 0 0 0
Tablet 0 0 0
Tablet 60 0 0 1000 240
0 0 0 0
Tablet 180 0 0 300 40
Tablet 500 0 0 400
Tablet 100 0 0 900 100
Tablet 1020 0 0 2000 435
0 0 0 0
Tube 34 0 0 11
Tube 24 0 0
Pot 46 0 0 50 16
Tube 0 0 0
Tube 2 0 0 7
Tube 8 0 0 8
Tube 27 0 0 27
Tube 10 0 0
Botol 24 0 0 24
botol 54 0 0 54
Tube 20 0 0
Pieces 39 0 0 24 4
Tube 48 0 0
Tube 30 0 0 6
Tube 0 0 0
Tube 0 0 0 100 17
Pot 78 0 0 35
Kotak 0 0 0
Tube 0 0 0 10 10
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 12 0 0 40 9
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0 48 37
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 7 0 0 7
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 30 0 0 11
Kapsul 0 0 0
0 0 0 0
Tablet 830 0 0 5400 2363
Tablet 4165 0 0 1461
tablet 110 0 0 30
Tablet 0 0 0 210 10
Tablet 100 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 1858 0 0 1091
Tablet 190 0 0 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 60 0 0 46
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 400 0 0
ampul 60 0 0
0 0 0 0
Tablet 1404 0 0
Tablet 2760 0 0 191
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0
0 0 0 0
Tablet 462 0 0 2
PCS 0 0 0
0 0 0 0
Botol 45 0 0 5
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 24 0 0 20
Botol 31 0 0 20 2
0 0 0 0
Botol 8 0 0
Botol 0 0 0
Botol 93 0 0 96 21
DRIGEN 0 0 0
Botol 11 0 0 5
botol 2 0 0 2
Botol 0 0 0
0 0 0 0
Vial 3 0 0 2
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0 50
Kapsul 8800 0 0 200 4100
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 7500 0 0
Botol 0 0 0
0 0 0 0
Blister 4 0 0
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 500 0 0
Paket 26 0 0 8
Paket 2 0 0
Paket 10 0 0 3
Paket 0 0 0
Tablet 0 0 0
Paket 6 0 0
Paket 14 0 0 4
TES 0 0 0
vial 0 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 0 0 0
Botol 0 0 0
Botol 39 0 0 1
Botol 3 0 0 3 1
Botol 2 0 0 1
botol 0 0 0
Botol 15 0 0 3
Botol 0 0 0
Botol 3 0 0 3 2
Botol 0 0 0
Botol 68 0 0 10 27
Botol 7 0 0 3 6
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
tablet 790 0 0
tes 0 0 0
Botol 43 0 0 30 52
kotak 0 0 0
0 0 0 0
Vial 10 0 0 33 26
Vial 53 0 0 37 23
Vial 0 0 0
Vial 0 0 0
ampul 32 0 0 132 112
Vial 39 0 0 64 55
Vial 0 0 0
Vial 7 0 0 30 21
Vial 142 0 0 17 60
Vial 10 0 0 32 22
vial 0 0 0
VIAL 3 0 0 3
Vial 0 0 0 1
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 1 0 1
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 6 0 0
pieces 1 1 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 258 0 0
Botol 53 0 0 21
tablet 300 0 0
kapsul 0 0 0
Botol 0 0 0
pcs 92 0 0 45
0 0 0 0
Vial 0 0 0
Botol 41 0 0 59 100
Vial 41 0 0 84 109
Vial 0 0 60
vial 0 0 40 21
Strip 0 0 119 5
botol 23 0 0 2
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0
Botol 0 0 0
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 0 0 0
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0
Vial 32 0 0 32
Vial 4 0 0 4
Vial 2 0 0
Botol 0 0 0 25 9
Vial 0 0 0 10 4
Tablet 0 0 0 4200 536
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Tablet 0 0 0
Tablet 0 0 0
pot 0 0 0
tablet 0 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 12 0
Pcs 0 3 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 2 0 2
Pcs 0 0 0
Botol 0 1 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1814 4818 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
3825 0 0 2 7198 3373
203 0 0 3 291 88
0 0 0 1.7 0 0
0 0 0 1.7 0 0
800 0 0 3 1182 382
280 0 0 1.7 0 -280
10 0 0 1 19 9
176 0 0 1.7 40.8 -135
0 0 0 1.7 0 0
343 0 0 1.7 62.9 -280
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
670 0 0 1.7 68 -602
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
309 0 0 2 386 77
0 0 0 1.7 0 0
80 0 0 1.7 3.4 -77
60 0 0 2 256 196
45 0 0 1.7 0 -45
877 0 0 1.7 22.1 -855
0 0 0 1.7 0 0
8 0 0 1.7 3.4 -5
35 0 0 1.7 42.5 8
147 0 0 1.7 11.9 -135
902 0 0 6 1020 118
2 0 0 1.7 11.9 10
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
435 0 0 3 633 198
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
278 0 0 1.7 317.9 40
15 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
475 0 0 1.7 153 -322
100 0 0 1.7 170 70
0 0 0 1.7 0 0
1330 0 0 2.1 2730 1400
129 0 0 1.7 28.9 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
805 0 0 2.5 1237.5 433
400 0 0 1.7 136 -264
280 0 0 1.7 227.8 -52
0 0 0 3 3312 3312
146 0 0 2.5 292.5 147
371 0 0 2.2 556.6 186
21245 0 0 1.7 9069.5 -12176
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
2340 0 0 1.7 1717 -623
134 0 0 1.7 73.1 -61
0 0 0 1.7 0 0
150 0 0 1.7 0 -150
0 0 0 1.7 0 0
186 0 0 2.2 605 419
0 0 0 1.7 0 0
1244 0 0 1.7 979.2 -265
0 0 0 2 102 102
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
19 0 0 1.7 0 -19
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 342 342
261 0 0 2 512 251
0 0 0 1.7 0 0
1210 0 0 6 1560 350
20 0 0 2 78 58
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
970 0 0 2.5 1775 805
131 0 0 1.7 42.5 -89
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5716 0 0 3 6264 548
0 0 0 1.7 0 0
5850 0 0 2 8468 2618
0 0 0 1.7 0 0
5380 0 0 1.7 3638 -1742
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4518 0 0 1.7 2468.4 -2050
0 0 0 1.7 0 0
0 0 0 1.7 0 0
573 0 0 3 1281 708
0 0 0 1.7 0 0
967 0 0 2.3 1952.7 986
0 0 0 1.7 0 0
2000 0 0 4 4000 2000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
314 0 0 2.6 392.6 79
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4409 0 0 1.7 1793.5 -2616
2270 0 0 1.7 17 -2253
1516 0 0 1.7 285.6 -1230
2269 0 0 1.7 1462 -807
100 0 0 0 1.7 0 0
0 0 0 1.7 0 0
82 0 0 1.7 146.2 64
0 0 0 1.7 0 0
0 0 0 1.7 0 0
117480 0 0 1.7 2159 -115321
0 0 0 1.7 0 0
0 0 0 1.7 0 0
180 0 0 1.7 34 -146
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 4 92 92
10 0 0 1.7 0 -10
1809 0 0 3 4521 2712
0 0 0 1.7 0 0
6276 0 0 1.7 3882.8 -2393
1065 0 0 2 2826 1761
700 0 0 1.7 1844.5 1145
1190 0 0 1.7 0 -1190
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
110 0 0 2.5 225 115
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 1.7 0 -29
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
180 0 0 1.7 51 -129
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
470 0 0 1.7 68 -402
0 0 0 1.7 0 0
0 0 0 1.7 0 0
820 0 0 4 960 140
0 0 0 1.7 0 0
440 0 0 1.7 68 -372
900 0 0 1.7 0 -900
900 0 0 1.7 170 -730
2585 0 0 1.7 739.5 -1846
0 0 0 1.7 0 0
23 0 0 1.7 18.7 -4
24 0 0 1.7 0 -24
80 0 0 1.7 27.2 -53
0 0 0 1.7 0 0
9 0 0 1.7 0 -9
0 0 0 1.7 13.6 14
0 0 0 3 81 81
10 0 0 1.7 0 -10
48 0 0 1.7 0 -48
0 0 0 3 162 162
20 0 0 1.7 0 -20
59 0 0 1.7 6.8 -52
48 0 0 1.7 0 -48
24 0 0 1.7 10.2 -14
0 0 0 1.7 0 0
83 0 0 1.7 28.9 -54
43 0 0 1.7 59.5 17
0 0 0 1.7 0 0
0 0 0 4 40 40
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
43 0 0 1.7 15.3 -28
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
11 0 0 2.8 103.6 93
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 21 21
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
19 0 0 3 33 14
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3867 0 0 3 7089 3222
2704 0 0 2.5 3652.5 949
80 0 0 1.7 51 -29
200 0 0 1.7 17 -183
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
767 0 0 2 2182 1415
160 0 0 1.7 51 -109
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14 0 0 3 138 124
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
400 0 0 1.7 0 -400
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
1404 0 0 1.7 0 -1404
2569 0 0 1.7 324.7 -2244
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
460 0 0 1.7 3.4 -457
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 8.5 -32
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
44 0 0 1.7 0 -44
49 0 0 1.7 3.4 -46
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
168 0 0 1.7 35.7 -132
0 0 0 1.7 0 0
6 0 0 3 15 9
0 0 0 3 6 6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 3.4 2
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
4800 100 0 0 1.7 6970 6870
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7500 0 0 1.7 0 -7500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
18 0 0 1.7 13.6 -4
2 0 0 1.7 0 -2
7 0 0 1.7 5.1 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
10 0 0 1.7 6.8 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
38 0 0 1.7 1.7 -36
5 0 0 1.7 1.7 -3
1 0 0 1.7 1.7 1
0 0 0 1.7 0 0
12 0 0 1.7 5.1 -7
0 0 0 1.7 0 0
4 0 0 1.7 3.4 -1
0 0 0 1.7 0 0
51 0 0 1.7 45.9 -5
4 0 0 1.7 10.2 6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
790 0 0 1.7 0 -790
0 0 0 1.7 0 0
21 0 0 1.7 88.4 67
0 0 0 1.7 0 0
0 0 0 1.7 0 0
17 0 0 1.7 44.2 27
67 0 0 1.7 39.1 -28
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 190.4 138
48 0 0 1.7 93.5 46
0 0 0 1.7 0 0
16 0 0 1.7 35.7 20
99 0 0 1.7 102 3
20 0 0 1.7 37.4 17
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 0 1.7 0 -258
32 0 0 3 63 31
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
47 0 0 3 135 88
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 170 170
16 0 0 1.7 185.3 169
0 0 60 1.7 0 -60
0 0 19 1.7 35.7 17
0 0 114 1.7 8.5 -106
21 0 0 1.7 3.4 -18
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 54.4 54
0 0 0 1.7 6.8 7
2 0 0 1.7 0 -2
16 0 0 1.7 15.3 -1
6 0 0 1.7 6.8 1
3664 0 0 3 1608 -2056
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12 0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 3.4 3
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Juni 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
15
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
400
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
200
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
100
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
75
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
20
###
20
###
###
###
###
###
48
###
###
###
24
###
###
###
###
###
###
###
###
###
###
###
###
100
200
###
###
100
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
15
###
###
###
20
10
###
###
###
###
###
2
###
15
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
2
###
###
###
###
###
###
###
###
###
15
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Juni 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
JUNI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
JUNI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : JUNI 2022
PERMINTAAN BULAN / TAHUN : JULI 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0 2
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 4 0 0 4
Botol 1 0 0
botol 14 0 0
Pcs 0 0 0 12 1
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


1814 4818 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
4 0 0 3 6 2
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 6.8 7
1 0 0 1.7 0 -1
14 0 0 1.7 0 -14
11 0 0 1.7 1.7 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang
, , Februari
Juni 2022
Tangerang
Tangerang
, , Februari
Juni 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
5
###
5
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Juni 2022 ###
Juni 2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
JULI
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JULI NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : JULI 2022
PERMINTAAN BULAN / TAHUN : AGUSTUS 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 34 0 0
pcs 34 0 0
pcs 25 0 0
pcs 0 0 0
pcs 15 0 0
pcs 375 0 0
pcs 200 0 0 7150 200
pcs 400 0 0 100
pcs 0 0 100 300
pcs 400 0 0 420 100
pcs 155 0 0
pcs 0 0 0
pcs 0 0 0
pcs 7 0 0
pcs 0 0 0
pcs 50 0 0
pcs 0 0 0
pcs 0 0 0
pcs 8000 0 0 2000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 111 0 0 1
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 6 0 0
Roll 0 0 0
Kotak 26 0 0 50 7 26
Roll 115 0 0
Roll 80 0 0
pcs 0 36000 0
pcs 0 0 50
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 47 0 0 9
pot 0 0 0
pcs 0 0 0 45 3 3
pcs 100 0 17 200
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 80 0 0 20
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0 6
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 5 0 0 1
pcs 8 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 36 0 0
pcs 0 12 0 24
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 2000 0 0
pcs 1000 0 0 1000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 1000 0 0
pcs 200 0 0
pcs 0 0 0 250
pcs 100 0 0 100
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 250 0 0 250
Tes 0 0 0
Tes 100 0 0 100
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 0 0 0
Botol 3 0 0
Botol 700 0 0
pcs 0 0 0 200
pcs 0 0 0
Set 0 0 0 1000
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0 25 25
Kit 0 0 0
pcs 0 0 0 400
Set 0 0 0
0 0 0 0
Pcs 60 0 0 6 60
Pcs 1612 0 0 6 1612
Pcs 83 0 0
Pcs 192 0 0 192
Pcs 192 0 0 192
Pcs 16 0 0 16
Pcs 99 0 0 39
Pcs 200 0 0
Pcs 800 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 60 0 0
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 600 0 0 600
pcs 20 0 0
Box 0 0 0
Box 0 0 0
Pcs 1800 0 0
pcs 100 0 0
Pcs 0 0 0
Pcs 400 0 0 100 200
Box 25 0 0
Box 1 0 0
Pcs 0 0 0 1000
Pcs 0 0 0 1000
Pcs 0 0 0 200
Box 0 0 0 58
Box 0 0 0 29
Box 0 0 0 116
Pcs 0 0 0
Pcs 0 0 0 200 200
Pcs 0 0 0 60
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0
Pcs 0 2 0
Pcs 0 2 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 15 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 0 30
Pcs 6 2 0
Pak 0 23 0
Pak 0 20 0 20
Pak 0 180 0
Pcs 0 0 88 17
Box 0 0 0 5
Pcs 0 0 5 25
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 0 0 48
Pcs 0 0 0 1500
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

34 0 0 1.7 0 -34
34 0 0 1.7 0 -34
25 0 0 1.7 0 -25
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
375 0 0 1.7 0 -375
7150 0 0 1.7 340 -6810
300 0 0 1.7 170 -130
0 0 400 1.7 0 -400
720 0 0 1.7 170 -550
155 0 0 1.7 0 -155
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6000 0 0 1.7 3400 -2600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 1.7 -108.3
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
50 0 7 1.7 44.2 -12.8
115 0 0 1.7 0 -115
80 0 0 1.7 0 -80
0 36000 0 1.7 0 -36000
0 0 50 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
38 0 0 1.7 15.3 -22.7
0 0 0 1.7 0 0
45 0 0 1.7 5.1 -39.9
100 0 217 1.7 0 -317
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 4 80 20
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 10.2 10.2
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
4 0 0 1.7 1.7 -2.3
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 0 -36
24 12 0 1.7 0 -36
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2000 0 0 1.7 0 -2000
0 0 0 0 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
200 0 0 1.7 0 -200
0 250 0 1.7 0 -250
0 0 0 1.7 170 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 425 425
0 0 0 1.7 0 0
0 0 0 1.7 170 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
700 0 0 1.7 0 -700
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 1000 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 42.5 42.5
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 102 96
6 0 0 1.7 2740.4 2734.4
83 0 0 1.7 0 -83
0 0 0 1.7 326.4 326.4
0 0 0 1.7 326.4 326.4
0 0 0 1.7 27.2 27.2
60 0 0 1.7 66.3 6.3
200 0 0 1.7 0 -200
800 0 0 1.7 0 -800
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 1020 1020
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1800 0 0 1.7 0 -1800
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
300 0 0 1.7 340 40
25 0 0 1.7 0 -25
1 0 0 1.7 0 -1
1000 0 0 1.7 0 -1000
1000 0 0 1.7 0 -1000
200 0 0 1.7 0 -200
58 0 0 1.7 0 -58
29 0 0 1.7 0 -29
116 0 0 1.7 0 -116
0 0 0 1.7 0 0
0 0 0 1.7 340 340
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 2 0 1.7 0 -2
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 30 1.7 0 -58
6 2 0 1.7 0 -8
0 23 0 1.7 0 -23
0 0 0 1.7 34 34
0 180 0 1.7 0 -180
0 0 71 1.7 28.9 -42.1
0 0 5 1.7 0 -5
0 0 30 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 48 0 1.7 0 -48
0 1500 0 1.7 0 -1500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Juli 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Juli 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
JULI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
JULI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : JULI 2022
PERMINTAAN BULAN / TAHUN : AGUSTUS 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 3825 0 0 3400 1403
Botol 203 0 0 100
Botol 0 0 0
Tablet 0 0 0
Tablet 800 0 0 400 130
Tablet 280 0 0
Vial 10 0 0 10 9
kapsul 176 0 0 10
Botol 0 0 0
Kapsul 343 0 0 48
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 0 0 0
Tablet 670 0 0 80
Kapsul 0 0 0
Kapsul 200 0 0
Kapsul 309 0 0 100
Botol 0 0 0
Botol 80 0 0 2
Tablet 60 0 0 200 68
Kapsul 45 0 0
Tablet 877 0 0 115
Botol 0 0 0
Botol 8 0 0 1
Tablet 35 0 0 100 10
Tablet 147 0 0 8
Kapsul 902 0 0 200 161
Botol 2 0 0 50 1
Botol 0 0 0
Vial 12 0 0
Tablet 435 0 0 200 244
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 278 0 0 100 103
ampul 0 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 475 0 0 105
Tablet 100 0 0 100
Kapsul 0 0 0
Tablet 1330 0 0 1500 200 995
Tablet 129 0 0 80
Supp 0 0 0
Botol 0 0 0
Tablet 500 0 0
Tablet 805 0 0 500 625
Tablet 400 0 0
Tablet 280 0 0 116
Tablet 0 0 0
Botol 146 0 0 192 36
Botol 371 0 0 200 225
Tablet 21245 0 0 6526
Tablet 95 0 0
0 0 0 0
Tablet 2340 0 0 450
Botol 134 0 0 91
kapsul 0 0 0
Tablet 150 0 0 30
Tablet 0 0 0
Kapsul 186 0 0 400 312
Ampul 0 0 0
Tablet 1244 0 0 462
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0 100
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 200 0 0
Suppos 19 0 0 6
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Sachet 261 0 0 300 254
Tablet 0 0 0
Tablet 1210 0 0 800 750
Botol 20 0 0 20
0 0 0 0
Tablet 100 0 0
Tablet 970 0 0 1000 603
Botol 131 0 0 36
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 5716 0 0 600 2504
ampul 0 0 0
Tablet 5850 0 0 3000 3770
Botol 0 0 0
Tablet 5380 0 0 2515
Ampul 0 0 0
Tablet 0 0 0
Tablet 4518 0 0 1523
Tablet 0 0 0
Ampul 0 0 0
Tablet 573 0 0 800 713
Ampul 0 0 0
Tablet 967 0 0 1000 797
ampul 0 0 0
Tablet 2000 0 0 2000 1378
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0 5
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 314 0 0 100 10
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 4409 0 0 1058
Tablet 2270 0 0 2170
Tablet 1516 0 0 170
Tablet 2269 0 0 1272
Tablet 0 0 0
Botol 0 0 0
Botol 82 0 0 72 59
0 0 0 0
Tablet 0 0 0
Tablet 117480 0 0 14260
0 0 0 0
Ampul 0 0 0
Tablet 180 0 0
Ampul 90 0 0 30
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 0 100
0 0 0 0
tablet 0 0 0
Botol 0 0 0 100 40
Ampul 10 0 0
Tablet 1809 0 0 3000 1951
Ampul 0 0 0
Tablet 6276 0 0 2754
Tablet 1065 0 0 1800 1425
Tablet 700 0 0 700
Tablet 1190 0 0 650
0 0 0 0
Tablet 170 0 0
Supp 10 0 0 1
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 110 0 0 200 30
0 0 0 0
Tablet 300 0 0
Ampul 29 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0
ampul 10 0 0 75
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 180 0 0 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 470 0 0 180
0 0 0 0
Tablet 0 0 0
Tablet 820 0 0 200 110
0 0 0 0
Tablet 440 0 0 440
Tablet 900 0 0 370
Tablet 900 0 0
Tablet 2585 0 0 995
0 0 0 0
Tube 23 0 0
Tube 24 0 0
Pot 80 0 0
Tube 0 0 0
Tube 9 0 0
Tube 0 0 0
Tube 0 0 0 90
Tube 10 0 0
Botol 48 0 0 6
botol 0 0 0
Tube 20 0 0 10
Pieces 59 0 0 3
Tube 48 0 0 3
Tube 24 0 0 2
Tube 0 0 0
Tube 83 0 0 39
Pot 43 0 0 20 32
Kotak 0 0 0
Tube 0 0 0 20 10
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 43 0 0 15
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 11 0 0 120 26
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 19 0 0 20 26
Kapsul 0 0 0
0 0 0 0
Tablet 3867 0 0 3300 1876
Tablet 2704 0 0 1000 1064
tablet 80 0 0
Tablet 200 0 0 40
Tablet 100 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 767 0 0 1500 327
Tablet 160 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 14 0 0 200 14
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 400 0 0
ampul 60 0 0
0 0 0 0
Tablet 1404 0 0 204
Tablet 2569 0 0 499
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0
0 0 0 0
Tablet 460 0 0 8
PCS 0 0 0
0 0 0 0
Botol 40 0 0 10
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 44 0 0 2
Botol 49 0 0 4
0 0 0 0
Botol 8 0 0 8
Botol 0 0 0
Botol 168 0 0 36 7
DRIGEN 0 0 0
Botol 6 0 0
botol 0 0 0
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 50 0 0
Kapsul 100 0 0 4500 50
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 7500 0 0 9787
Botol 0 0 0
0 0 0 0
Blister 4 0 0 1
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 500 0 0
Paket 18 0 0 15
Paket 2 0 0
Paket 7 0 0
Paket 0 0 0
Tablet 0 0 0
Paket 6 0 0
Paket 10 0 0
TES 0 0 0
vial 0 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 0 0 0 3
Botol 0 0 0
Botol 38 0 0 3
Botol 5 0 0 3 4
Botol 1 0 0 2 1
botol 0 0 0
Botol 12 0 0 3
Botol 0 0 0
Botol 4 0 0 3 5
Botol 0 0 0
Botol 51 0 0 30 45
Botol 4 0 0 5 8
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
tablet 790 0 0
tes 0 0 0
Botol 21 0 0 60 57
kotak 0 0 0
0 0 0 0
Vial 17 0 0 50 31
Vial 67 0 0 453 37
Vial 0 0 0
Vial 0 0 0
ampul 52 0 0 150 28
Vial 48 0 0 195 43
Vial 0 0 0
Vial 16 0 0 30 21
Vial 99 0 0 325 53
Vial 20 0 0 295 30
vial 0 0 0
VIAL 0 0 0
Vial 1 0 0 1
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 6 0 0
pieces 1 1 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 258 0 0
Botol 32 0 0 48 31
tablet 300 0 0
kapsul 0 0 0
Botol 0 0 0
pcs 47 0 0 100 36
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 16 0 0 16
Vial 0 0 60
vial 0 0 19 300 21
Strip 0 0 114 1
botol 21 0 0
Ampul 5 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 0 30
Botol 0 0 0 7
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 0 0 0
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0 3
Vial 0 0 0
Vial 0 0 0
Vial 2 0 0
Botol 16 0 0 16
Vial 6 0 0 6
Tablet 3664 0 0 1800
Botol 0 0 0 20 20
Botol 0 0 0 430
Tablet 0 0 0 108
Box 0 0 0 58 58
Box 0 0 0 45
Box 0 0 0 40
Box 0 0 0 90
Tablet 0 0 0 1000
Tablet 0 0 0 100
pot 0 0 0 24
tablet 0 0 0 1400
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 0 0
Pcs 0 3 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 0 0
Pcs 0 0 0
Botol 0 1 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
5822 0 0 5 7015 1193
103 0 0 3 300 197
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1070 0 0 1.7 221 -849
280 0 0 1.7 0 -280
11 0 0 1.7 15.3 4
166 0 0 1.7 17 -149
0 0 0 1.7 0 0
295 0 0 1.7 81.6 -213
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
590 0 0 1.7 136 -454
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
409 0 0 1.7 0 -409
0 0 0 1.7 0 0
78 0 0 1.7 3.4 -75
192 0 0 1.7 115.6 -76
45 0 0 1.7 0 -45
762 0 0 1.7 195.5 -567
0 0 0 1.7 0 0
7 0 0 1.7 1.7 -5
125 0 0 1.7 17 -108
139 0 0 1.7 13.6 -125
941 0 0 7 1127 186
51 0 0 1.7 1.7 -49
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
391 0 0 3 732 341
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
275 0 0 1.7 175.1 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
370 0 0 4 420 50
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
1835 0 200 3 2985 950
49 0 0 2 160 111
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
680 0 0 2.5 1562.5 883
400 0 0 1.7 0 -400
164 0 0 1.7 197.2 33
0 0 0 1.7 0 0
302 0 0 3 108 -194
346 0 0 2.5 562.5 217
14719 0 0 2.6 16967.6 2249
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
1890 0 0 5 2250 360
43 0 0 2 182 139
0 0 0 1.7 0 0
120 0 0 1.7 51 -69
0 0 0 1.7 0 0
274 0 0 3 936 662
0 0 0 1.7 0 0
782 0 0 3 1386 604
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
13 0 0 3 18 5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
307 0 0 2.4 609.6 303
0 0 0 1.7 0 0
1260 0 0 4 3000 1740
0 0 0 3 60 60
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1367 0 0 3 1809 442
95 0 0 3 108 13
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3812 0 0 2.5 6260 2448
0 0 0 1.7 0 0
5080 0 0 2.5 9425 4345
0 0 0 1.7 0 0
2865 0 0 3 7545 4680
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2995 0 0 3 4569 1574
0 0 0 1.7 0 0
0 0 0 1.7 0 0
660 0 0 2.5 1782.5 1123
0 0 0 1.7 0 0
1170 0 0 2 1594 424
0 0 0 1.7 0 0
2622 0 0 3.2 4409.6 1788
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
404 0 0 1.7 17 -387
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3351 0 0 4 4232 881
100 0 0 1.7 3689 3589
1346 0 0 1.7 289 -1057
997 0 0 2.5 3180 2183
0 0 0 1.7 0 0
0 0 0 1.7 0 0
95 0 0 2.5 147.5 53
0 0 0 1.7 0 0
0 0 0 1.7 0 0
103220 0 0 1.7 24242 -78978
0 0 0 1.7 0 0
0 0 0 1.7 0 0
180 0 0 1.7 0 -180
60 0 0 1.7 51 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 100 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 4 160 100
10 0 0 1.7 0 -10
2858 0 0 2.6 5072.6 2215
0 0 0 1.7 0 0
3522 0 0 2 5508 1986
1440 0 0 3 4275 2835
0 0 0 2 1400 1400
540 0 0 1 650 110
0 0 0 1.7 0 0
170 0 0 1.7 0 -170
9 0 0 1.7 1.7 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
280 0 0 1.7 51 -229
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
29 0 0 0 1.7 0 0
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
85 0 0 1.7 0 -85
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
150 0 0 1.7 51 -99
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
290 0 0 2.3 414 124
0 0 0 1.7 0 0
0 0 0 1.7 0 0
910 0 0 1.7 187 -723
0 0 0 1.7 0 0
0 0 0 2 880 880
530 0 0 2 740 210
900 0 0 1.7 0 -900
1590 0 0 3 2985 1395
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
24 0 0 1.7 0 -24
80 0 0 1.7 0 -80
0 0 0 1.7 0 0
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
90 0 0 1.7 0 -90
10 0 0 1.7 0 -10
42 0 0 1.7 10.2 -32
0 0 0 1.7 0 0
10 0 0 1.7 17 7
56 0 0 1.7 5.1 -51
45 0 0 1.7 5.1 -40
22 0 0 1.7 3.4 -19
0 0 0 1.7 0 0
44 0 0 1.7 66.3 22
31 0 0 1.7 54.4 23
0 0 0 1.7 0 0
10 0 0 2 20 10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
28 0 0 3 45 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
105 0 0 1.7 44.2 -61
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13 0 0 1.7 44.2 31
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5291 0 0 3.5 6566 1275
2640 0 0 3.5 3724 1084
80 0 0 1.7 0 -80
160 0 0 1.7 68 -92
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1940 0 0 3 981 -959
160 0 0 1.7 0 -160
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 23.8 -176
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
400 0 0 1.7 0 -400
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
1200 0 0 7 1428 228
2070 0 0 1.7 848.3 -1222
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
452 0 0 1.7 13.6 -438
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 1.7 17 -13
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
42 0 0 1.7 3.4 -39
45 0 0 1.7 6.8 -38
0 0 0 1.7 0 0
0 0 0 1.7 13.6 14
0 0 0 1.7 0 0
204 0 7 1.7 0 -211
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
4550 0 0 1.7 85 -4465
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
17287 0 0 1.7 0 -17287
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 1.7 -1
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
33 0 0 1.7 0 -33
2 0 0 1.7 0 -2
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
35 0 0 1.7 5.1 -30
4 0 0 1.7 6.8 3
2 0 0 1.7 1.7 0
0 0 0 1.7 0 0
9 0 0 1.7 5.1 -4
0 0 0 1.7 0 0
2 0 0 1.7 8.5 7
0 0 0 1.7 0 0
36 0 0 1.7 76.5 41
1 0 0 1.7 13.6 13
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
790 0 0 1.7 0 -790
0 0 0 1.7 0 0
24 0 0 1.7 96.9 73
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 52.7 17
483 0 0 1.7 62.9 -420
0 0 0 1.7 0 0
0 0 0 1.7 0 0
174 0 0 1.7 47.6 -126
200 0 0 1.7 73.1 -127
0 0 0 1.7 0 0
25 0 0 1.7 35.7 11
371 0 0 1.7 90.1 -281
285 0 0 1.7 51 -234
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 0 1.7 0 -258
49 0 0 1.7 52.7 4
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
111 0 0 1.7 61.2 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 27.2 27
0 0 60 1.7 0 -60
0 0 298 1.7 35.7 -262
0 0 113 1.7 1.7 -111
21 0 0 1.7 0 -21
5 0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 7 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 0 1.7 0 0
0 0 0 1.7 27.2 27
0 0 0 1.7 10.2 10
1864 0 0 1.7 3060 1196
0 0 0 1.7 34 34
430 0 0 1.7 0 -430
108 0 0 1.7 0 -108
0 0 0 0 0 0
45 0 0 1.7 0 -45
40 0 0 1.7 0 -40
90 0 0 1.7 0 -90
1000 0 0 1.7 0 -1000
100 0 0 1.7 0 -100
24 0 0 1.7 0 -24
1400 0 0 1.7 0 -1400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Juli 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
500
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
3000
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
10
###
300
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
200
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
###
24
###
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
###
###
###
50
25
###
###
###
###
###
###
###
###
###
###
###
100
200
###
###
200
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
10
###
###
10
20
15
###
###
###
###
###
###
###
10
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

Juli 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
JULI UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
JULI
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : JULI 2022
PERMINTAAN BULAN / TAHUN : AGUSTUS 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 4 0 0 5 1
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 0 0 0
Botol 1 0 0
botol 14 0 0
Pcs 11 0 0 24
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
8 0 0 1.7 1.7 -6
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
14 0 0 1.7 0 -14
35 0 0 1.7 0 -35
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang, , Februari
Juli 2022
Tangerang
Tangerang, , Februari
Juli 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Juli 2022 ###
Juli 2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
AGUSTUS
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
AGUSTUS NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : AGUSTUS 2022
PERMINTAAN BULAN / TAHUN : SEPTEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 34 0 0 5
pcs 34 0 0 6
pcs 25 0 0
pcs 0 0 0
pcs 15 0 0
pcs 375 0 0 58
pcs 7150 0 0 2350
pcs 300 0 0
pcs 0 0 400 140
pcs 720 0 0 324
pcs 155 0 0
pcs 0 0 0
pcs 0 0 0
pcs 7 0 0
pcs 0 0 0
pcs 50 0 0 5
pcs 0 0 0
pcs 0 0 0
pcs 6000 0 0 2000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 110 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 6 0 0 3
Roll 0 0 0 10
Kotak 50 0 7 9
Roll 115 0 0
Roll 80 0 0
pcs 0 36000 0 10000
pcs 0 0 50
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 38 0 0
pot 0 0 0
pcs 45 0 0 45
pcs 100 0 217 117
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0 100 20
pcs 4 0 0 50
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 4 0 0
pcs 8 0 0 1
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 36 0 0 36
pcs 24 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 2000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 1000 0 0
pcs 200 0 0 140
pcs 0 250 0 250
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0 25 25
Tes 0 0 0
Tes 0 0 0 300 300
Tes 0 0 0
Tes 0 0 0 300 300
Tes 0 0 0
Tes 0 0 0 100 100
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 0 0 0
Botol 3 0 0 3
Botol 700 0 0 100 200
pcs 0 200 0
pcs 0 0 0
Set 0 1000 0 300
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0 25 25
Kit 0 0 0
pcs 400 0 0
Set 0 0 0
0 0 0 0
Pcs 6 0 0
Pcs 6 0 0
Pcs 83 0 0
Pcs 0 0 0 120
Pcs 0 0 0 120
Pcs 0 0 0 10
Pcs 60 0 0 1
Pcs 200 0 0
Pcs 800 0 0 800
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 60 0 0
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
pcs 20 0 0
Box 0 0 0
Box 0 0 0
Pcs 1800 0 0 1800
pcs 100 0 0 20
Pcs 0 0 0
Pcs 300 0 0 100
Box 25 0 0
Box 1 0 0 1
Pcs 1000 0 0
Pcs 1000 0 0
Pcs 200 0 0
Box 58 0 0
Box 29 0 0
Box 116 0 0
Pcs 0 0 0
Pcs 0 0 0 600 600
Pcs 60 0 0 20
Box 0 0 0 1
Pack 0 0 0 5
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0
Pcs 0 1 0 1
Pcs 0 2 0
Pcs 0 2 0 2
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0
pcs 0 0 0
Pcs 0 15 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 30
Pcs 6 2 0
Pak 0 23 0 3
Pak 0 0 0
Pak 0 180 0
Pcs 0 0 71
Box 0 0 5 2
Pcs 0 0 30
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 48 0
Pcs 0 1500 0 400
Pcs 0 0 0
Pcs 0 0 0
Pcs 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2337 5013 0 0 7350
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

29 0 0 1.7 8.5 -20.5


28 0 0 1.7 10.2 -17.8
25 0 0 1.7 0 -25
0 0 0 1.7 0 0
15 0 0 1.7 0 -15
433 0 0 1.7 0 -433
4800 0 0 1.7 3995 -805
300 0 0 1.7 0 -300
0 0 260 1.7 238 -22
396 0 0 1.7 550.8 154.8
155 0 0 1.7 0 -155
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
45 0 0 1.7 8.5 -36.5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4000 0 0 1.7 3400 -600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 0 -110
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
3 0 0 2 6 3
10 0 0 1.7 0 -10
41 0 7 1.7 15.3 -32.7
115 0 0 1.7 0 -115
80 0 0 1.7 0 -80
0 26000 0 1.7 17000 -9000
0 0 50 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
38 0 0 1.7 0 -38
0 0 0 1.7 0 0
0 0 0 1.7 76.5 76.5
100 0 100 1.7 198.9 -1.1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
140 0 0 1.7 34 -106
54 0 0 1.7 0 -54
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
7 0 0 1.7 1.7 -5.3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 61.2 61.2
24 12 0 1.7 0 -36
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2000 0 0 1.7 0 -2000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
60 0 0 1.7 238 178
0 0 0 1.7 425 425
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 42.5 42.5
0 0 0 1.7 0 0
0 0 0 1.7 510 510
0 0 0 1.7 0 0
0 0 0 1.7 510 510
0 0 0 1.7 0 0
0 0 0 1.7 170 170
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5.1
600 0 0 1.7 340 -260
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 700 0 1.7 510 -190
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 42.5 42.5
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
6 0 0 1.7 0 -6
83 0 0 1.7 0 -83
120 0 0 1.7 0 -120
120 0 0 1.7 0 -120
10 0 0 1.7 0 -10
61 0 0 1.7 0 -61
200 0 0 1.7 0 -200
0 0 0 1.7 1360 1360
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
48 0 0 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 3060 3060
80 0 0 1.7 34 -46
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
25 0 0 1.7 0 -25
0 0 0 1.7 1.7 1.7
1000 0 0 1.7 0 -1000
1000 0 0 1.7 0 -1000
200 0 0 1.7 0 -200
58 0 0 1.7 0 -58
29 0 0 1.7 0 -29
116 0 0 1.7 0 -116
0 0 0 1.7 0 0
0 0 0 1.7 1020 1020
40 0 0 1.7 34 -6
1 0 0 1.7 0 -1
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 6 0 1.7 0 -6
0 0 0 1.7 1.7 1.7
0 2 0 1.7 0 -2
0 0 0 0 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 15 0 1.7 0 -15
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 30 1.7 0 -58
6 2 0 1.7 0 -8
0 20 0 1.7 5.1 -14.9
0 0 0 1.7 0 0
0 180 0 1.7 0 -180
0 0 71 1.7 0 -71
0 0 3 1.7 3.4 0.4
0 0 30 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 48 0 1.7 0 -48
0 1100 0 1.7 680 -420
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Agustus 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
60
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
gustus 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
AGUSTUS UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
AGUSTUS
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : AGUSTUS 2022
PERMINTAAN BULAN / TAHUN : SEPTEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 5822 0 0 1200 2874
Botol 103 0 0 103
Botol 0 0 0
Tablet 0 0 0
Tablet 1070 0 0 351
Tablet 280 0 0
Vial 11 0 0 4 10
kapsul 166 0 0 166
Botol 0 0 0
Kapsul 295 0 0 94
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0
Tablet 0 0 0
Tablet 590 0 0 91
Kapsul 0 0 0
Kapsul 200 0 0 10
Kapsul 409 0 0 88
Botol 0 0 0
Botol 78 0 0 78
Tablet 192 0 0 27
Kapsul 45 0 0
Tablet 762 0 0 186
Botol 0 0 0
Botol 7 0 0 1
Tablet 125 0 0 55
Tablet 139 0 0 14
Kapsul 941 0 0 200 112
Botol 51 0 0 5
Botol 0 0 0
Vial 12 0 0
Tablet 391 0 0 500 351
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 275 0 0 133
ampul 0 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 370 0 0 155
Tablet 200 0 0
Kapsul 0 0 0
Tablet 1835 0 200 1200
Tablet 49 0 0 200 39
Supp 0 0 0
Botol 0 0 0
Tablet 500 0 0 500
Tablet 680 0 0 1000 910
Tablet 400 0 0
Tablet 164 0 0 100 75
Tablet 0 0 0
Botol 302 0 0 186
Botol 346 0 0 300 200
Tablet 14719 0 0 2500 5519
Tablet 95 0 0
0 0 0 0
Tablet 1890 0 0 500 2250
Botol 43 0 0 200 90
kapsul 0 0 0
Tablet 120 0 0 30
Tablet 0 0 0
Kapsul 274 0 0 600 474
Ampul 0 0 0
Tablet 782 0 0 600 532
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 100 0 0 80
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 200 0 0
Suppos 13 0 0 50 3
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Sachet 307 0 0 163
Tablet 0 0 0
Tablet 1260 0 0 4000 3425
Botol 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 1367 0 0 500 825
Botol 95 0 0 100 43
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 3812 0 0 2600 4034
ampul 0 0 0
Tablet 5080 0 0 5000 4558
Botol 0 0 0
Tablet 2865 0 0 2865
Ampul 0 0 0
Tablet 0 0 0
Tablet 2995 0 0 1600 1700
Tablet 0 0 0
Ampul 0 0 0
Tablet 660 0 0 1200 740
Ampul 0 0 0
Tablet 1170 0 0 600 717
ampul 0 0 0
Tablet 2622 0 0 2000 2822
Tablet 0 0 0
0 0 0 0
Ampul 0 5 0 5
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 404 0 0 274
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 3351 0 0 1000 2985
Tablet 100 0 0 3600 715
Tablet 1346 0 0 130
Tablet 997 0 0 2200 1685
Tablet 0 0 0
Botol 0 0 0
Botol 95 0 0 72 86
0 0 0 0
Tablet 0 0 0
Tablet 103220 0 0 44800 7725
0 0 0 0
Ampul 0 0 0
Tablet 180 0 0 16
Ampul 60 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 100
0 0 0 0
tablet 0 0 0
Botol 60 0 0 100 39
Ampul 10 0 0
Tablet 2858 0 0 1100 3404
Ampul 0 0 0
Tablet 3522 0 0 2600 4213
Tablet 1440 0 0 3000 2092
Tablet 0 0 0 1000
Tablet 540 0 0 500 533
0 0 0 0
Tablet 170 0 0 170
Supp 9 0 0
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 280 0 0 70
0 0 0 0
Tablet 300 0 0
Ampul 0 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 110 0 0 58
ampul 85 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 150 0 0 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 290 0 0 200 220
0 0 0 0
Tablet 0 0 0
Tablet 910 0 0 190
0 0 0 0
Tablet 0 0 0 1000
Tablet 530 0 0 300 160
Tablet 900 0 0 98
Tablet 1590 0 0 1400 640
0 0 0 0
Tube 23 0 0
Tube 24 0 0
Pot 80 0 0 25
Tube 0 0 0
Tube 9 0 0 2
Tube 0 0 0
Tube 90 0 0 65
Tube 10 0 0
Botol 42 0 0 12
botol 0 0 0 48 42
Tube 10 0 0
Pieces 56 0 0 27
Tube 45 0 0 17
Tube 22 0 0 4
Tube 0 0 0
Tube 44 0 0 25 8
Pot 31 0 0 18
Kotak 0 0 0
Tube 10 0 0 10 7
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 28 0 0 72 4
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 105 0 0 48 39
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 13 0 0 30
Kapsul 0 0 0
0 0 0 0
Tablet 5291 0 0 1500 2273
Tablet 2640 0 0 1100 1546
tablet 80 0 0
Tablet 160 0 0 60
Tablet 100 0 0 100
Tablet 0 0 0
Tablet 0 0 0
Tablet 1940 0 0 961
Tablet 160 0 0 10
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 200 0 0
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 400 0 0
ampul 60 0 0 25
0 0 0 0
Tablet 1200 0 0 300 230
Tablet 2070 0 0 170
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0
0 0 0 0
Tablet 452 0 0
PCS 0 0 0
0 0 0 0
Botol 30 0 0
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 42 0 0
Botol 45 0 0 19
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 204 0 7 96 42
DRIGEN 0 0 0
Botol 6 0 0 2
botol 0 0 0
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 50 0 0 50
Kapsul 4550 0 0 4550
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 17287 0 0 17287
Botol 0 0 0
0 0 0 0
Blister 3 0 0 1
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 500 0 0
Paket 33 0 0 16
Paket 2 0 0
Paket 7 0 0
Paket 0 0 0
Tablet 0 0 0
Paket 6 0 0 3
Paket 10 0 0
TES 0 0 0
vial 0 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 3 0 0 2
Botol 0 0 0
Botol 35 0 0 2
Botol 4 0 0 10 5
Botol 2 0 0 3 1
botol 0 0 0
Botol 9 0 0 10 4
Botol 0 0 0
Botol 2 0 0 10 5
Botol 0 0 0
Botol 36 0 0 40 41
Botol 1 0 0 20 4
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0 3
tablet 790 0 0 32
tes 0 0 0
Botol 24 0 0 70 77
kotak 0 0 0
0 0 0 0
Vial 36 0 0 23 19
Vial 483 0 0 51 365
Vial 0 0 0
Vial 0 0 0
ampul 174 0 0 172 142
Vial 200 0 0 64 90
Vial 0 0 0
Vial 25 0 0 35 36
Vial 371 0 0 77 330
Vial 285 0 0 9 232
vial 0 0 0
VIAL 0 0 0
Vial 2 0 0 1 2
0 0 0 0
Set 5 2 0
Set 5 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0
Botol 6 0 0
pieces 1 1 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 258 0 0 28
Botol 49 0 0 49
tablet 300 0 0
kapsul 0 0 0 1200
Botol 0 0 0
pcs 111 0 0 52
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 0 0 0 10
Vial 0 0 60
vial 0 0 298 47
Strip 0 0 113 7
botol 21 0 0 5
Ampul 0 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 30
Botol 0 0 7
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 0 0 0
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 3 0 0 3
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 0 0 0 10
Vial 0 0 0
Tablet 1864 0 0 1200 1384
Botol 0 0 0
Botol 430 0 0 200 208
Tablet 108 0 0
Box 0 0 0 98
Box 45 0 0 135
Box 40 0 0
Box 90 0 0
Tablet 1000 0 0
Tablet 100 0 0
pot 24 0 0
tablet 1400 0 0
Box 0 0 0
Vial 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 0 0
Pcs 0 3 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0
Pcs 0 1 0
Pak 0 0 0
Pcs 0 0 0
Botol 0 1 0
Pcs 0 3 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2337 5013 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
4148 0 0 2.5 7185 3037
0 0 0 1.7 175.1 175
0 0 0 1.7 0 0
0 0 0 1.7 0 0
719 0 0 3 1053 334
280 0 0 1.7 0 -280
5 0 0 1.2 12 7
0 0 0 1.7 282.2 282
0 0 0 1.7 0 0
201 0 0 1.7 159.8 -41
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
499 0 0 1.7 154.7 -344
0 0 0 1.7 0 0
190 0 0 1.7 17 -173
321 0 0 5 440 119
0 0 0 1.7 0 0
0 0 0 1.7 132.6 133
165 0 0 1.7 45.9 -119
45 0 0 1.7 0 -45
576 0 0 1.7 316.2 -260
0 0 0 1.7 0 0
6 0 0 1.7 1.7 -4
70 0 0 1.7 93.5 24
125 0 0 1.7 23.8 -101
1029 0 0 1.7 190.4 -839
46 0 0 1.7 8.5 -38
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
540 0 0 3 1053 513
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
142 0 0 1.7 226.1 84
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
215 0 0 2.5 387.5 173
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
635 0 200 3 3600 2765
210 0 0 1.7 66.3 -144
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 850 850
770 0 0 2 1820 1050
400 0 0 1.7 0 -400
189 0 0 1.7 127.5 -62
0 0 0 1.7 0 0
116 0 0 1.7 316.2 200
446 0 0 1.7 340 -106
11700 0 0 2.7 14901.3 3201
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
140 0 0 1.7 3825 3685
153 0 0 2 180 27
0 0 0 1.7 0 0
90 0 0 1.7 51 -39
0 0 0 1.7 0 0
400 0 0 2 948 548
0 0 0 1.7 0 0
850 0 0 3 1596 746
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 136 116
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
60 0 0 1.7 5.1 -55
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
144 0 0 2 326 182
0 0 0 1.7 0 0
1835 0 0 1.7 5822.5 3988
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1042 0 0 2.5 2062.5 1021
152 0 0 1.7 73.1 -79
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2378 0 0 2 8068 5690
0 0 0 1.7 0 0
5522 0 0 1.9 8660.2 3138
0 0 0 1.7 0 0
0 0 0 1.7 4870.5 4871
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2895 0 0 2.5 4250 1355
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1120 0 0 2.5 1850 730
0 0 0 1.7 0 0
1053 0 0 3 2151 1098
0 0 0 1.7 0 0
1800 0 0 2.5 7055 5255
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 8.5 9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
130 0 0 1.7 465.8 336
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1366 0 0 1.7 5074.5 3709
2985 0 0 1.7 1215.5 -1770
1216 0 0 1.7 221 -995
1512 0 0 1.7 2864.5 1353
0 0 0 1.7 0 0
0 0 0 1.7 0 0
81 0 0 2 172 91
0 0 0 1.7 0 0
0 0 0 1.7 0 0
140295 0 0 1.7 13132.5 -127163
0 0 0 1.7 0 0
0 0 0 1.7 0 0
164 0 0 1.7 27.2 -137
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 100 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
121 0 0 4 156 35
10 0 0 1.7 0 -10
554 0 0 1.7 5786.8 5233
0 0 0 1.7 0 0
1909 0 0 2 8426 6517
2348 0 0 2 4184 1836
1000 0 0 1.7 0 -1000
507 0 0 0 0 -507
0 0 0 1.7 0 0
0 0 0 1.7 289 289
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
210 0 0 1.7 119 -91
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 98.6 47
85 0 0 1.7 0 -85
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 51 -69
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
270 0 0 1.7 374 104
0 0 0 1.7 0 0
0 0 0 1.7 0 0
720 0 0 1.7 323 -397
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
670 0 0 1.7 272 -398
802 0 0 1.7 166.6 -635
2350 0 0 5 3200 850
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
24 0 0 1.7 0 -24
55 0 0 2.5 62.5 8
0 0 0 1.7 0 0
7 0 0 5 10 3
0 0 0 1.7 0 0
25 0 0 1.7 110.5 86
10 0 0 1.7 0 -10
30 0 0 1.7 20.4 -10
6 0 0 1.7 71.4 65
10 0 0 1.7 0 -10
29 0 0 2 54 25
28 0 0 2 34 6
18 0 0 1.7 6.8 -11
0 0 0 1.7 0 0
61 0 0 1.7 13.6 -47
13 0 0 3 54 41
0 0 0 1.7 0 0
13 0 0 3 21 8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
96 0 0 1.7 6.8 -89
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
114 0 0 1.7 66.3 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
43 0 0 1.7 0 -43
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4518 0 0 1.7 3864.1 -654
2194 0 0 1.7 2628.2 434
80 0 0 1.7 0 -80
100 0 0 1.7 102 2
0 0 0 1.7 170 170
0 0 0 1.7 0 0
0 0 0 1.7 0 0
979 0 0 2.5 2402.5 1424
150 0 0 1.7 17 -133
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
400 0 0 1.7 0 -400
35 0 0 1.7 42.5 8
0 0 0 1.7 0 0
1270 0 0 1.7 391 -879
1900 0 0 1.7 289 -1611
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
452 0 0 1.7 0 -452
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
42 0 0 1.7 0 -42
26 0 0 2 38 12
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 7 1.7 71.4 -194
0 0 0 1.7 0 0
4 0 0 1.7 3.4 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 85 85
0 0 0 1.7 7735 7735
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 29387.9 29388
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 1.7 0
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
17 0 0 1.7 27.2 10
2 0 0 1.7 0 -2
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 5.1 2
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
33 0 0 1.7 3.4 -30
9 0 0 1.7 8.5 -1
4 0 0 1.7 1.7 -2
0 0 0 1.7 0 0
15 0 0 1.7 6.8 -8
0 0 0 1.7 0 0
7 0 0 1.7 8.5 2
0 0 0 1.7 0 0
35 0 0 1.7 69.7 35
17 0 0 1.7 6.8 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
758 0 0 1.7 54.4 -704
0 0 0 1.7 0 0
17 0 0 1.7 130.9 114
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 32.3 -8
169 0 0 1.7 620.5 452
0 0 0 1.7 0 0
0 0 0 1.7 0 0
204 0 0 1.7 241.4 37
174 0 0 1.7 153 -21
0 0 0 1.7 0 0
24 0 0 1.7 61.2 37
118 0 0 1.7 561 443
62 0 0 1.7 394.4 332
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 3.4 2
0 0 0 1.7 0 0
5 2 0 1.7 0 -7
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 0 0 1.7 0 0
6 0 0 1.7 0 -6
1 1 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
230 0 0 1.7 47.6 -182
0 0 0 1.7 83.3 83
300 0 0 1.7 0 -300
1200 0 0 1.7 0 -1200
0 0 0 1.7 0 0
59 0 0 3 156 97
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 60 1.7 0 -60
0 0 251 1.7 79.9 -171
0 0 106 1.7 11.9 -94
16 0 0 1.7 8.5 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 7 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 5.1 5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
1680 0 0 1.7 2352.8 673
0 0 0 1.7 0 0
422 0 0 1.7 353.6 -68
108 0 0 1.7 0 -108
58 40 0 0 1.7 0 -40
180 0 0 1.7 0 -180
40 0 0 1.7 0 -40
90 0 0 1.7 0 -90
1000 0 0 1.7 0 -1000
100 0 0 1.7 0 -100
24 0 0 1.7 0 -24
1400 0 0 1.7 0 -1400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 1 0 1.7 0 -1
0 3 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Agustus 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

gustus 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
AGUSTUS UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
AGUSTUS
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : AGUSTUS 2022
PERMINTAAN BULAN / TAHUN : SEPTEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 8 0 0 2
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 0 0 0
Botol 1 0 0
botol 14 0 0 2
Pcs 35 0 0 11
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2337 5013 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
6 0 0 1.7 3.4 -3
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
12 0 0 1.7 3.4 -9
24 0 0 1.7 18.7 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang ,, Februari
Agustus 2022
Tangerang
Tangerang ,, Februari
Agustus 2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
gustus 2022 ###
gustus 2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
SEPTEMBE UPTD Puskesmas Kelapa Dua
R
Kecamatan Kelapa Dua
LPLPO
KIMIA
SEPTEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : SEPTEMBER 2022
PERMINTAAN BULAN / TAHUN : OKTOBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 29 0 0 5
pcs 28 0 0 5
pcs 25 0 0 1
pcs 0 0 0
pcs 15 0 0 1
pcs 433 0 0 10
pcs 4800 0 0 300 400
pcs 300 0 0
pcs 0 0 260
pcs 396 0 0
pcs 155 0 0 10
pcs 0 0 0
pcs 0 0 0
pcs 7 0 0
pcs 0 0 0
pcs 45 0 0 20
pcs 0 0 0
pcs 0 0 0
pcs 4000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 110 0 0 7
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 3 0 0 3 1
Roll 10 0 0
Kotak 41 0 7 16
Roll 115 0 0
Roll 80 0 0 20
pcs 0 26000 0 2000
pcs 0 0 50
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 38 0 0 8
pot 0 0 0
pcs 0 0 0 3
pcs 100 0 100 100
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 140 0 0 30
pcs 54 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 4 0 0
pcs 7 0 0 7
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0 72 12
pcs 24 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 2000 0 0 1000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 1000 0 0
pcs 60 0 0 60
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0 125 125
Tes 0 0 0
Tes 0 0 0 200 200
Tes 0 0 0
Tes 0 0 0 1050 450
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 0 0 0 4
Botol 0 0 0 4
Botol 600 0 0 50
pcs 0 200 0
pcs 0 0 0
Set 0 700 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 400 0 0
Set 0 0 0
0 0 0 0
Pcs 6 0 0 6
Pcs 6 0 0 6
Pcs 83 0 0
Pcs 120 0 0 1008 180
Pcs 120 0 0 1008 180
Pcs 10 0 0 84 15
Pcs 61 0 0 10 2
Pcs 200 0 0
Pcs 0 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 60 0 0
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 48 0 0 24
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
pcs 20 0 0
Box 0 0 0
Box 0 0 0 63 50
Pcs 0 0 0
pcs 80 0 0 60 40
Pcs 0 0 0
Pcs 400 0 0
Box 25 0 0 1
Box 0 0 0
Pcs 1000 0 0
Pcs 1000 0 0
Pcs 200 0 0
Box 58 0 0 58
Box 29 0 0 29
Box 116 0 0 116
Pcs 0 0 0 45
Pcs 0 0 0 600
Pcs 40 0 0 6
Box 1 0 0
Pack 5 0 0 2
Box 0 0 0 22
Pcs 0 0 0 100
Pcs 0 0 0 100
Pcs 0 0 0 50
Box 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 6 0 6
Pcs 0 0 0
Pcs 0 2 0
Pcs 0 0 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 1 0 10
pcs 0 0 0
Pcs 0 15 0 7
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 30
Pcs 6 2 0
Pak 0 20 0 1
Pak 0 0 0
Pak 0 180 0 130
Pcs 0 0 71
Box 0 0 3
Pcs 0 0 30
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 48 0
Pcs 0 1100 0
Pcs 0 0 0 5 1
Pcs 0 0 0 4
Pcs 0 0 0 5
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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2244 5091 0 0 7335
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

24 0 0 1.7 8.5 -15.5


23 0 0 1.7 8.5 -14.5
24 0 0 1.7 1.7 -22.3
0 0 0 1.7 0 0
14 0 0 1.7 1.7 -12.3
423 0 0 1.7 17 -406
4700 0 0 1.7 680 -4020
300 0 0 1.7 0 -300
0 0 260 1.7 0 -260
396 0 0 1.7 0 -396
145 0 0 1.7 17 -128
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 0 -7
0 0 0 1.7 0 0
25 0 0 1.7 34 9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4000 0 0 1.7 0 -4000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
103 0 0 1.7 11.9 -91.1
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
5 0 0 1.7 1.7 -3.3
10 0 0 1.7 0 -10
25 0 7 3 48 16
115 0 0 1.7 0 -115
60 0 0 1.7 34 -26
0 24000 0 1.7 3400 -20600
0 0 50 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 5 40 10
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
100 0 0 0 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
110 0 0 1.7 51 -59
54 0 0 1.7 0 -54
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
0 0 0 1.7 11.9 11.9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 20.4 -39.6
24 12 0 1.7 0 -36
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 1700 700
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 102 102
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 212.5 212.5
0 0 0 1.7 0 0
0 0 0 1.7 340 340
0 0 0 1.7 0 0
600 0 0 1.7 765 165
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
550 0 0 1.7 85 -465
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 700 0 1.7 0 -700
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 10.2 10.2
0 0 0 1.7 10.2 10.2
83 0 0 1.7 0 -83
948 0 0 1.7 306 -642
948 0 0 1.7 306 -642
79 0 0 1.7 25.5 -53.5
69 0 0 1.7 3.4 -65.6
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
24 0 0 0 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
13 0 0 0 0 -13
0 0 0 1.7 0 0
100 0 0 1.7 68 -32
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
24 0 0 1.7 1.7 -22.3
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
1000 0 0 1.7 0 -1000
200 0 0 1.7 0 -200
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
-45 0 0 0 0 45
600 0 0 1.7 0 -600
34 0 0 1.7 10.2 -23.8
1 0 0 1.7 0 -1
3 0 0 1.7 3.4 0.4
22 0 0 1.7 0 -22
100 0 0 1.7 0 -100
100 0 0 1.7 0 -100
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 0 0 1.7 10.2 10.2
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 11 0 1.7 0 -11
0 0 0 1.7 0 0
0 8 0 1.7 11.9 3.9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 30 1.7 0 -58
6 2 0 1.7 0 -8
0 19 0 1.7 1.7 -17.3
0 0 0 1.7 0 0
0 50 0 1.7 221 171
0 0 71 1.7 0 -71
0 0 3 1.7 0 -3
0 0 30 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 48 0 1.7 0 -48
0 1100 0 1.7 0 -1100
0 4 0 1.7 1.7 -2.3
0 4 0 1.7 0 -4
0 5 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , September 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
ptember 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
SEPTEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
SEPTEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : SEPTEMBER 2022
PERMINTAAN BULAN / TAHUN : OKTOBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 4148 0 0 3200 3000
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 719 0 0 284
Tablet 280 0 0
Vial 5 0 0 4
kapsul 0 0 0 300 44
Botol 0 0 0
Kapsul 201 0 0 57
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 0 0 0 20
Tablet 0 0 0
Tablet 499 0 0 134
Kapsul 0 0 0
Kapsul 190 0 0 10
Kapsul 321 0 0 200 211
Botol 0 0 0
Botol 0 0 0 20
Tablet 165 0 0 60
Kapsul 45 0 0
Tablet 576 0 0 141
Botol 0 0 0
Botol 6 0 0 1
Tablet 70 0 0 100
Tablet 125 0 0 5
Kapsul 1029 0 0 391
Botol 46 0 0 2
Botol 0 0 0
Vial 12 0 0
Tablet 540 0 0 600 300
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 142 0 0 100 80
ampul 0 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 215 0 0 215
Tablet 200 0 0
Kapsul 0 0 0
Tablet 635 0 200 133
Tablet 210 0 0 45
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 770 0 0 1500 1240
Tablet 400 0 0 10
Tablet 189 0 0 70
Tablet 0 0 0
Botol 116 0 0 192 100
Botol 446 0 0 230
Tablet 11700 0 0 3200 2300
Tablet 95 0 0
0 0 0 0
Tablet 140 0 0 3700 790
Botol 153 0 0 100 119
kapsul 0 0 0
Tablet 90 0 0
Tablet 0 0 0
Kapsul 400 0 0 600 431
Ampul 0 0 0
Tablet 850 0 0 800 710
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 20 0 0 20
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 200 0 0 16
Suppos 60 0 0 6
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Sachet 144 0 0 135
Tablet 0 0 0
Tablet 1835 0 0 4000
Botol 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 1042 0 0 1100 842
Botol 152 0 0 30
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 2378 0 0 5800 4778
ampul 0 0 0
Tablet 5522 0 0 3200 4902
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 2895 0 0 1400 1381
Tablet 0 0 0
Ampul 0 0 0
Tablet 1120 0 0 800 850
Ampul 0 0 0
Tablet 1053 0 0 961
ampul 0 0 0
Tablet 1800 0 0 5400 3505
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 130 0 0 400 183
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 1366 0 0 1366
Tablet 2985 0 0 1305
Tablet 1216 0 0 520
Tablet 1512 0 0 3000 2090
Tablet 0 0 0
Botol 0 0 0
Botol 81 0 0 81
0 0 0 0
Tablet 0 0 0
Tablet 140295 0 0 49560
0 0 0 0
Ampul 0 0 0
Tablet 164 0 0 60
Ampul 60 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 100
0 0 0 0
tablet 0 0 0
Botol 121 0 0 50 70
Ampul 10 0 0
Tablet 554 0 0 554
Ampul 0 0 0
Tablet 1909 0 0 5400 2848
Tablet 2348 0 0 1800 1969
Tablet 1000 0 0
Tablet 507 0 0 507
0 0 0 0
Tablet 0 0 0 300
Supp 9 0 0
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 210 0 0 70
0 0 0 0
Tablet 300 0 0
Ampul 0 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 52 0 0 100 32
ampul 85 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 120 0 0 30
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 270 0 0 200 420
0 0 0 0
Tablet 0 0 0
Tablet 720 0 0 446
0 0 0 0
Tablet 1000 0 0
Tablet 670 0 0 60
Tablet 802 0 0 322
Tablet 2350 0 0 1000 1165
0 0 0 0
Tube 23 0 0 23
Tube 24 0 0
Pot 55 0 0 10 11
Tube 0 0 0
Tube 7 0 0 3
Tube 0 0 0
Tube 25 0 0 90 55
Tube 10 0 0
Botol 30 0 0 13
botol 6 0 0 72 32
Tube 10 0 0 10
Pieces 29 0 0 20
Tube 28 0 0 24 2
Tube 18 0 0 9
Tube 0 0 0
Tube 61 0 0 7
Pot 13 0 0 13
Kotak 0 0 0
Tube 13 0 0 5
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 96 0 0 10
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 114 0 0 32
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 43 0 0 13
Kapsul 0 0 0
0 0 0 0
Tablet 4518 0 0 3638
Tablet 2194 0 0 500 1564
tablet 80 0 0 30
Tablet 100 0 0 30 70
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 979 0 0 1500 839
Tablet 150 0 0 150
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 200 0 0 8
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 400 0 0 20
ampul 35 0 0 25 10
0 0 0 0
Tablet 1270 0 0 225
Tablet 1900 0 0 705
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0
0 0 0 0
Tablet 452 0 0
PCS 0 0 0
0 0 0 0
Botol 30 0 0 1
Botol 0 0 0
Botol 0 0 0
Botol 23 0 0 23
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 42 0 0 20
Botol 26 0 0 20 26
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 258 0 7 96
DRIGEN 0 0 0
Botol 4 0 0 4
botol 0 0 0
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0 27 27
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
Blister 2 0 0 1
Blister 4 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 500 0 0
Paket 17 0 0 3
Paket 2 0 0
Paket 7 0 0 7
Paket 0 0 0
Tablet 0 0 0 50
Paket 3 0 0 3
Paket 10 0 0 1
TES 0 0 0
vial 0 0 0 1 1
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 5 0 0
Botol 0 0 0
Botol 33 0 0 5 34
Botol 9 0 0 2
Botol 4 0 0 1
botol 0 0 0
Botol 15 0 0 6
Botol 0 0 0
Botol 7 0 0 4 2
Botol 0 0 0
Botol 35 0 0 40 32
Botol 17 0 0 7
Botol 0 0 0
Botol 0 0 0
Botol 3 0 0
tablet 758 0 0 50
tes 0 0 0
Botol 17 0 0 100 61
kotak 0 0 0 720
0 0 0 0
Vial 40 0 0 30 15
Vial 169 0 0 10 124
Vial 0 0 0
Vial 0 0 0
ampul 204 0 0 120 166
Vial 174 0 0 40 105
Vial 0 0 0
Vial 24 0 0 30 19
Vial 118 0 0 200 157
Vial 62 0 0 70 40
vial 0 0 0
VIAL 0 0 0
Vial 1 0 0
0 0 0 0
Set 5 2 0 4 2
Set 5 0 0 6
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 0 0 5
Botol 6 0 0 6
pieces 1 1 0 2
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 230 0 0 10
Botol 0 0 0 96 96
tablet 300 0 0
kapsul 1200 0 0 240
Botol 0 0 0
pcs 59 0 0 100 38
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 10 0 0 84 15
Vial 0 0 60
vial 0 0 251 60
Strip 0 0 106 3
botol 16 0 0 7
Ampul 0 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 30
Botol 0 0 7
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 0 0 0 100
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 10 0 0 84 15
Vial 0 0 0
Tablet 1680 0 0 1422
Botol 0 0 0
Botol 422 0 0 200 78
Tablet 108 0 0
Box 40 0 0
Box 180 0 0
Box 40 0 0
Box 90 0 0
Tablet 1000 0 0 3000 1000
Tablet 100 0 0 200 60
pot 24 0 0 8
tablet 1400 0 0 5400 3234
Box 0 0 0 30 3
Vial 0 0 0 75 8
Tablet 0 0 0 3000 690
Tablet 0 0 0 1200
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 0 0 4
Pcs 0 3 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 1 0 2
Pcs 0 1 0
Pak 0 0 0
Pcs 0 0 0 2
Botol 0 1 0 2
Pcs 0 3 0 1
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 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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2244 5091 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
4348 0 0 3 9000 4652
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
435 0 0 2.5 710 275
280 0 0 1.7 0 -280
1 0 0 1.7 6.8 6
256 0 0 3 132 -124
0 0 0 1.7 0 0
144 0 0 1.7 96.9 -47
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
365 0 0 2 268 -97
0 0 0 1.7 0 0
180 0 0 1.7 17 -163
310 0 0 2.5 527.5 218
0 0 0 1.7 0 0
20 0 0 0 1.7 0 0
105 0 0 3 180 75
45 0 0 1.7 0 -45
435 0 0 1.7 239.7 -195
0 0 0 1.7 0 0
5 0 0 1.7 1.7 -3
170 0 0 1.7 0 -170
120 0 0 1.7 8.5 -112
638 0 0 3 1173 535
44 0 0 1.7 3.4 -41
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
840 0 0 3.5 1050 210
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
162 0 0 1.7 136 -26
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 365.5 366
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
502 0 200 1.7 226.1 -476
165 0 0 2 90 -75
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1030 0 0 2 2480 1450
390 0 0 1.7 17 -373
119 0 0 1.7 119 0
0 0 0 1.7 0 0
208 0 0 3 300 92
216 0 0 1.8 414 198
12600 0 0 1.7 3910 -8690
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
3050 0 0 1.7 1343 -1707
134 0 0 2.5 297.5 164
0 0 0 1.7 0 0
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
569 0 0 2.7 1163.7 595
0 0 0 1.7 0 0
940 0 0 2 1420 480
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 2 40 40
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
184 0 0 1.7 27.2 -157
54 0 0 1.7 10.2 -44
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
9 0 0 2 270 261
0 0 0 1.7 0 0
5835 0 0 1.7 0 -5835
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1300 0 0 2.5 2105 805
122 0 0 1.7 51 -71
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3400 0 0 2 9556 6156
0 0 0 1.7 0 0
3820 0 0 2 9804 5984
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2914 0 0 2.7 3728.7 815
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1070 0 0 2 1700 630
0 0 0 1.7 0 0
92 0 0 2 1922 1830
0 0 0 1.7 0 0
3695 0 0 2 7010 3315
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
347 0 0 1.7 311.1 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 2 2732 2732
1680 0 0 1.7 2218.5 539
696 0 0 1.7 884 188
2422 0 0 2.5 5225 2803
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 2 162 162
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90735 0 0 1.7 84252 -6483
0 0 0 1.7 0 0
0 0 0 1.7 0 0
104 0 0 1.7 102 -2
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 100 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
101 0 0 2 140 39
10 0 0 1.7 0 -10
0 0 0 2.5 1385 1385
0 0 0 1.7 0 0
4461 0 0 2.3 6550.4 2089
2179 0 0 2 3938 1759
1000 0 0 1.7 0 -1000
0 0 0 0 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
140 0 0 1.7 119 -21
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
120 0 0 1.7 54.4 -66
85 0 0 1.7 0 -85
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 4 120 30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 2 840 790
0 0 0 1.7 0 0
0 0 0 1.7 0 0
274 0 0 1.7 758.2 484
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
610 0 0 1.7 102 -508
480 0 0 2 644 164
2185 0 0 2.7 3145.5 961
0 0 0 1.7 0 0
0 0 0 1.7 39.1 39
24 0 0 1.7 0 -24
54 0 0 1.7 18.7 -35
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
60 0 0 2 110 50
10 0 0 1.7 0 -10
17 0 0 2 26 9
46 0 0 3 96 50
0 0 0 1.7 17 17
9 0 0 3 60 51
50 0 0 1.7 3.4 -47
9 0 0 2 18 9
0 0 0 1.7 0 0
54 0 0 1.7 11.9 -42
0 0 0 2 26 26
0 0 0 1.7 0 0
8 0 0 3 15 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
86 0 0 1.7 17 -69
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
82 0 0 3 96 14
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
30 0 0 3 39 9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
880 0 0 1.8 6548.4 5668
1130 0 0 1.8 2815.2 1685
50 0 0 1.7 51 1
60 0 0 1.7 119 59
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1640 0 0 3 2517 877
0 0 0 1.7 255 255
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
192 0 0 1.7 13.6 -178
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
380 0 0 1.7 34 -346
50 0 0 1.7 17 -33
0 0 0 1.7 0 0
1045 0 0 1.7 382.5 -663
1195 0 0 1 705 -490
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
452 0 0 1.7 0 -452
0 0 0 1.7 0 0
0 0 0 1.7 0 0
29 0 0 2.5 2.5 -27
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 0.3 6.9 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 34 12
20 0 0 1.7 44.2 24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
354 0 7 1.7 0 -361
0 0 0 1.7 0 0
0 0 0 1.7 6.8 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 45.9 46
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 1.7 1
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
500 0 0 1.7 0 -500
14 0 0 1.7 5.1 -9
2 0 0 0 1.7 0 0
0 0 0 1.7 11.9 12
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 5.1 5
9 0 0 1.7 1.7 -7
0 0 0 1.7 0 0
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
4 0 0 1.7 57.8 54
7 0 0 1.7 3.4 -4
3 0 0 1.7 1.7 -1
0 0 0 1.7 0 0
9 0 0 1.7 10.2 1
0 0 0 1.7 0 0
9 0 0 1.7 3.4 -6
0 0 0 1.7 0 0
43 0 0 1.7 54.4 11
10 0 0 1.7 11.9 2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
708 0 0 1.7 85 -623
0 0 0 1.7 0 0
56 0 0 1.7 103.7 48
720 0 0 1.7 0 -720
0 0 0 1.7 0 0
55 0 0 1.7 25.5 -30
55 0 0 1.7 210.8 156
0 0 0 1.7 0 0
0 0 0 1.7 0 0
158 0 0 1.7 282.2 124
109 0 0 1.7 178.5 70
0 0 0 1.7 0 0
35 0 0 1.7 32.3 -3
161 0 0 1.7 266.9 106
92 0 0 1.7 68 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
5 4 0 1.7 3.4 -6
5 6 0 1.7 0 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 5 0 1.7 0 -5
6 6 0 1.7 0 -12
1 3 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
220 0 0 1.7 17 -203
0 0 0 1.7 163.2 163
300 0 0 1.7 0 -300
960 0 0 1.7 408 -552
0 0 0 1.7 0 0
121 0 0 1.7 64.6 -56
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
79 0 0 1.7 25.5 -54
0 0 60 1.7 0 -60
0 0 191 1.7 102 -89
0 0 103 1.7 5.1 -98
9 0 0 1.7 11.9 3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 7 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
100 0 0 1.7 0 -100
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
79 0 0 1.7 25.5 -54
0 0 0 1.7 0 0
258 0 0 2 2844 2586
0 0 0 1.7 0 0
544 0 0 1.7 132.6 -411
108 0 0 1.7 0 -108
40 0 0 1.7 0 -40
180 0 0 1.7 0 -180
40 0 0 1.7 0 -40
90 0 0 1.7 0 -90
3000 0 0 3.5 3500 500
240 0 0 1.7 102 -138
16 0 0 3 24 8
3566 0 0 2.5 8085 4519
27 0 0 2 6 -21
67 0 0 1.7 13.6 -53
2310 0 0 4 2760 450
1200 0 0 1.7 0 -1200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 4 0 1.7 0 -4
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 4 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , September 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
50
###
100
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
72
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
20
20
20
###
###
###
20
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

tember 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
SEPTEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
SEPTEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : SEPTEMBER 2022
PERMINTAAN BULAN / TAHUN : OKTOBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 6 0 0 10 2
0 0 0 0
Botol 50 0 0
Botol 0 0 0
Botol 0 0 0
Botol 1 0 0 1
botol 12 0 0 1
Pcs 24 0 0
Botol 0 0 0 3
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2244 5091 0 0 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
14 0 0 1.7 3.4 -11
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 1.7 2
11 0 0 1.7 1.7 -9
24 0 0 1.7 0 -24
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang, , September
Februari 2022
2022
Tangerang
Tangerang, , September
Februari 2022
2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
tember 2022
2022 ###
tember 2022
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
OKTOBER
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
OKTOBER NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : OKTOBER 2022
PERMINTAAN BULAN / TAHUN : NOVEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 24 0 0 11
pcs 23 0 0 11
pcs 24 0 0
pcs 0 0 0
pcs 14 0 0 1
pcs 423 0 0 123
pcs 4700 0 0 3991 4432
pcs 300 0 0
pcs 0 0 260 40
pcs 396 0 0 96
pcs 145 0 0 45
pcs 0 0 0
pcs 0 0 0
pcs 7 0 0 3
pcs 0 0 0
pcs 25 0 0 50 5
pcs 0 0 0 10
pcs 0 0 0
pcs 4000 0 0 1000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 103 0 0 3
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 5 0 0
Roll 10 0 0
Kotak 25 0 7 100 30
Roll 115 0 0
Roll 60 0 0 30
pcs 0 24000 0 2400
pcs 0 0 50 50
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 30 0 0 24 15
pot 0 0 0
pcs 3 0 0 40 3
pcs 100 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 110 0 0 30
pcs 54 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 4 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0
pcs 24 12 0 12
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0
0 0 0 0
botol 0 0 0
pcs 0 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 600 0 0
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 550 0 0
pcs 0 200 0
pcs 0 0 0
Set 0 700 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 400 0 0
Set 0 0 0
0 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 83 0 0 33
Pcs 948 0 0 948
Pcs 948 0 0 948
Pcs 79 0 0 79
Pcs 69 0 0
Pcs 200 0 0
Pcs 0 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 60 0 0 20
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 24 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
pcs 20 0 0
Box 0 0 0
Box 13 0 0
Pcs 0 0 0
pcs 100 0 0 60
Pcs 0 0 0
Pcs 400 0 0
Box 24 0 0 13
Box 0 0 0
Pcs 1000 0 0 1000
Pcs 1000 0 0
Pcs 200 0 0 50
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs -45 0 0
Pcs 600 0 0
Pcs 34 0 0 1
Box 1 0 0
Pack 3 0 0
Box 22 0 0
Pcs 100 0 0
Pcs 100 0 0
Pcs 50 0 0
Box 0 0 0 20 12
Pcs 0 0 0 2016 2016
Pcs 0 0 0 1000 1000
Box 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
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
Pcs 0 5 0
Pcs 0 3 0
Pcs 0 100 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 2 0
Pcs 0 0 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0
pcs 0 1 0
set 0 11 0
pcs 0 0 0
Pcs 0 8 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50
Pcs 0 0 22
Pcs 0 0 50
Pcs 0 28 30
Pcs 6 2 0
Pak 0 19 0 1
Pak 0 0 0 300 60
Pak 0 50 0 40
Pcs 0 0 71
Box 0 0 3 1
Pcs 0 0 30 6
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 48 0
Pcs 0 1100 0 500
Pcs 0 4 0 1
Pcs 0 4 0
Pcs 0 5 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

13 0 0 1 11 -2
12 0 0 1 11 -1
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
13 0 0 1.7 1.7 -11.3
300 0 0 1.7 209.1 -90.9
4259 0 0 1.7 7534.4 3275.4
300 0 0 1.7 0 -300
0 0 220 1.7 68 -152
300 0 0 1.7 163.2 -136.8
100 0 0 3 135 35
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 4 12 8
0 0 0 1.7 0 0
70 0 0 1.7 8.5 -61.5
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
3000 0 0 3.5 3500 500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 5.1 -94.9
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
5 0 0 1.7 0 -5
10 0 0 1.7 0 -10
95 0 7 4.2 126 24
115 0 0 1.7 0 -115
30 0 0 2.5 75 45
0 21600 0 1.7 4080 -17520
0 0 0 0 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
39 0 0 4 60 21
0 0 0 1.7 0 0
40 0 0 1.7 5.1 -34.9
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
80 0 0 3.3 99 19
54 0 0 1.7 0 -54
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
12 12 0 2.5 30 6
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 7 0 1.7 0 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
600 0 0 1.7 0 -600
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
550 0 0 1.7 0 -550
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 700 0 1.7 0 -700
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1 33 -17
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
69 0 0 1.7 0 -69
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 4 80 40
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
40 0 0 2.5 150 110
0 0 0 1.7 0 0
400 0 0 1.7 0 -400
37 0 0 1.7 0 -37
0 0 0 1.7 0 0
0 0 0 1.7 1700 1700
1000 0 0 1.7 0 -1000
150 0 0 1.7 85 -65
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
-45 0 0 1.7 0 45
600 0 0 1.7 0 -600
33 0 0 1.7 1.7 -31.3
1 0 0 1.7 0 -1
3 0 0 1.7 0 -3
22 0 0 1.7 0 -22
100 0 0 1.7 0 -100
100 0 0 1.7 0 -100
50 0 0 1.7 0 -50
8 0 0 0 0 -8
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 3 0 1.7 0 -3
0 100 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 11 0 1.7 0 -11
0 0 0 1.7 0 0
0 8 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 50 1.7 0 -50
0 0 22 1.7 0 -22
0 0 50 1.7 0 -50
0 28 30 1.7 0 -58
6 2 0 1.7 0 -8
0 18 0 1.7 1.7 -16.3
0 240 0 1.7 102 -138
0 10 0 1.7 68 58
0 0 71 1.7 0 -71
0 0 2 3 3 1
0 0 24 1.7 10.2 -13.8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 48 0 1.7 0 -48
0 600 0 1.7 850 250
0 3 0 1.7 1.7 -1.3
0 4 0 1.7 0 -4
0 5 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Oktober 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
Oktober 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
OKTOBER UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
OKTOBER
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : OKTOBER 2022
PERMINTAAN BULAN / TAHUN : NOVEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0
Tablet 4348 0 0 5000 2339
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 435 0 0 392
Tablet 280 0 0
Vial 1 0 0 1
kapsul 256 0 0 82
Botol 0 0 0
Kapsul 144 0 0 39
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 20 0 0
Tablet 0 0 0
Tablet 365 0 0 89
Kapsul 0 0 0
Kapsul 180 0 0
Kapsul 310 0 0 300 160
Botol 0 0 0
Botol 0 0 0
Tablet 105 0 0 82
Kapsul 45 0 0
Tablet 435 0 0 118
Botol 0 0 0
Botol 5 0 0
Tablet 170 0 0 20
Tablet 120 0 0 116
Kapsul 638 0 0 600 240
Botol 44 0 0 7
Botol 0 0 0
Vial 12 0 0
Tablet 840 0 0 300 273
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 162 0 0 113
ampul 0 0 0
Tablet 0 0 0
PCS 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 200 0 0
Kapsul 0 0 0
Tablet 502 0 200 502
Tablet 165 0 0 65
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 1030 0 0 1030
Tablet 390 0 0 390
Tablet 119 0 0 80
Tablet 0 0 0
Botol 208 0 0 96
Botol 216 0 0 179
Tablet 12600 0 0 12035
Tablet 95 0 0
0 0 0 0
Tablet 3050 0 0 1634
Botol 134 0 0 200 80
kapsul 0 0 0
Tablet 90 0 0 60
Tablet 0 0 0
Kapsul 569 0 0 569
Ampul 0 0 0
Tablet 940 0 0 500 712
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 184 0 0
Suppos 54 0 0 2
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Sachet 9 0 0 9
Tablet 0 0 0
Tablet 5835 0 0
Botol 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 1300 0 0 1000 664
Botol 122 0 0 30
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 3400 0 0 6200 3830
ampul 0 0 0
Tablet 3820 0 0 6000 4890
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 2914 0 0 1000 1487
Tablet 0 0 0
Ampul 0 0 0
Tablet 1070 0 0 350
Ampul 0 0 0
Tablet 92 0 0 92
ampul 0 0 0
Tablet 3695 0 0 3400 2542
Tablet 0 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 347 0 0 210
Nebule 0 0 0
0 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 1680 0 0 600 1906
Tablet 696 0 0 200 810
Tablet 2422 0 0 4000 5312
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 90735 0 0
0 0 0 0
Ampul 0 0 0
Tablet 104 0 0 54
Ampul 60 0 0 30
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 100
0 0 0 0
tablet 0 0 0
Botol 101 0 0 50 42
Ampul 10 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 4461 0 0 2200 5968
Tablet 2179 0 0 1800 1607
Tablet 1000 0 0 290
Tablet 0 0 0
0 0 0 0
Tablet 300 0 0
Supp 9 0 0 3
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0
Tablet 140 0 0 30
0 0 0 0
Tablet 300 0 0
Ampul 0 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 120 0 0 30
ampul 85 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 90 0 0 40
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 50 0 0 800
0 0 0 0
Tablet 0 0 0
Tablet 274 0 0 500 200
0 0 0 0
Tablet 1000 0 0
Tablet 610 0 0 1000 110
Tablet 480 0 0 168
Tablet 2185 0 0 995
0 0 0 0
Tube 0 0 0
Tube 24 0 0
Pot 54 0 0 12
Tube 0 0 0
Tube 10 0 0 2
Tube 0 0 0
Tube 60 0 0 56
Tube 10 0 0
Botol 17 0 0 24 19
botol 46 0 0 48 78
Tube 0 0 0
Pieces 9 0 0 9
Tube 50 0 0 1
Tube 9 0 0 48 14
Tube 0 0 0
Tube 54 0 0 4
Pot 0 0 0
Kotak 0 0 0
Tube 8 0 0 8
Tube 0 0 0
0 0 0 0
Botol 0 0 0
Botol 86 0 0 15
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 82 0 0 24 30
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 30 0 0 10 22
Kapsul 0 0 0
0 0 0 0
Tablet 880 0 0 5700
Tablet 1130 0 0 1700 2016
tablet 50 0 0
Tablet 60 0 0 60
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 1640 0 0 1000 1120
Tablet 0 0 0 300 100
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 192 0 0 4
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 380 0 0
ampul 50 0 0
0 0 0 0
Tablet 1045 0 0 160
Tablet 1195 0 0 105
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 5 0 0 5
0 0 0 0
Tablet 452 0 0
PCS 0 0 0
0 0 0 0
Botol 29 0 0 10 3
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 22 0 0
Botol 20 0 0 40
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 354 0 7 48
DRIGEN 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Sachet 0 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
Blister 1 0 0 6 1
Blister 4 0 0 4
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 500 0 0 500
Paket 14 0 0 6
Paket 0 0 0
Paket 0 0 0
Paket 0 0 0
Tablet 50 0 0
Paket 0 0 0
Paket 9 0 0 1
TES 0 0 0
vial 0 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 5 0 0 3
Botol 0 0 0
Botol 4 0 0 3 3
Botol 7 0 0 2
Botol 3 0 0
botol 0 0 0
Botol 9 0 0 7
Botol 0 0 0
Botol 9 0 0 2
Botol 0 0 0
Botol 43 0 0 40 41
Botol 10 0 0 5 8
Botol 0 0 0
Botol 0 0 0
Botol 3 0 0
tablet 708 0 0 60
tes 0 0 0
Botol 56 0 0 110 78
kotak 720 0 0
0 0 0 0
Vial 55 0 0 50 16
Vial 55 0 0 36 38
Vial 0 0 0 91
Vial 0 0 0
ampul 158 0 0 200 126
Vial 109 0 0 20 73
Vial 0 0 0
Vial 35 0 0 397 20
Vial 161 0 0 50
Vial 92 0 0 4
vial 0 0 0
VIAL 0 0 0
Vial 1 0 0
0 0 0 0
Set 5 4 0
Set 5 6 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 5 0
Botol 6 6 0 1
pieces 1 3 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 220 0 0
Botol 0 0 0
tablet 300 0 0
kapsul 960 0 0 210
Botol 0 0 0
pcs 121 0 0 34
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 79 0 0 79
Vial 0 0 60
vial 0 0 191 8
Strip 0 0 103 23
botol 9 0 0
Ampul 0 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 30
Botol 0 0 7 7
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 100 0 0 40
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 79 0 0 79
Vial 0 0 0
Tablet 258 0 0 2600 748
Botol 0 0 0
Botol 544 0 0 96
Tablet 108 0 0
Box 40 0 0
Box 180 0 0
Box 40 0 0
Box 90 0 0
Tablet 3000 0 0 500 1006
Tablet 240 0 0 400 115
pot 16 0 0 6
tablet 3566 0 0 5000 5085
Box 27 0 0 4
Vial 67 0 0 29
Tablet 2310 0 0 2310
Tablet 1200 0 0 800 1448
Tablet 0 0 0 1500 50
Botol 0 0 0 200
Botol 0 0 0 20
Tube 0 0 0
Tablet 0 0 0
Tablet 0 0 0
tablet 0 0 0
tablet 0 0 0
Box 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
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
Pcs 0 4 0
Pcs 0 3 0
Pcs 0 1 0
Box 0 0 0
Pcs 0 3 0
Pcs 0 1 0
Pak 0 0 0
Pcs 0 2 0
Botol 0 3 0
Pcs 0 4 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
7009 0 0 3.5 8186.5 1178
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
43 0 0 3.2 1254.4 1211
280 0 0 1.7 0 -280
0 0 0 10 10 10
174 0 0 5 410 236
0 0 0 1.7 0 0
105 0 0 7 273 168
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
276 0 0 5 445 169
0 0 0 1.7 0 0
180 0 0 1.7 0 -180
450 0 0 4 640 190
0 0 0 1.7 0 0
0 0 0 1.7 0 0
23 0 0 5 410 387
45 0 0 1.7 0 -45
317 0 0 5 590 273
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
150 0 0 9 180 30
4 0 0 3.5 406 402
998 0 0 5 1200 202
37 0 0 1.7 11.9 -25
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
867 0 0 5 1365 498
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
49 0 0 3 339 290
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 200 3 1506 1306
100 0 0 3 195 95
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 3090 3090
0 0 0 0 0 0
39 0 0 3 240 201
0 0 0 1.7 0 0
304 0 0 1.7 0 -304
37 0 0 1.7 304.3 267
565 0 0 3 36105 35540
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
1416 0 0 3.1 5065.4 3649
254 0 0 1.7 136 -118
0 0 0 1.7 0 0
30 0 0 2 120 90
0 0 0 1.7 0 0
0 0 0 3.2 1820.8 1821
0 0 0 1.7 0 0
728 0 0 3.2 2278.4 1550
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
184 0 0 1.7 0 -184
52 0 0 1.7 3.4 -49
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 15 135 135
0 0 0 1.7 0 0
5835 0 0 1.7 0 -5835
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1636 0 0 4 2656 1020
92 0 0 1.7 51 -41
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5770 0 0 4 15320 9550
0 0 0 1.7 0 0
4930 0 0 3.2 15648 10718
0 0 0 1.7 0 0
0 0 0 3 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2427 0 0 3.5 5204.5 2778
0 0 0 1.7 0 0
0 0 0 1.7 0 0
720 0 0 4 1400 680
0 0 0 1.7 0 0
0 0 0 3.5 322 322
0 0 0 1.7 0 0
4553 0 0 4.5 11439 6886
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
137 0 0 3.2 672 535
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
374 0 0 3.5 6671 6297
86 0 0 3.2 2592 2506
1110 0 0 3 15936 14826
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90735 0 0 1.7 0 -90735
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 3.5 189 139
30 0 0 3 90 60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 100 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
109 0 0 3.2 134.4 25
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
693 0 0 4 23872 23179
2372 0 0 3.5 5624.5 3253
710 0 0 3 870 160
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
6 0 0 3.2 9.6 4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
21 0 0 1.7 0 -21
110 0 0 5 150 40
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
90 0 0 3.5 105 15
85 0 0 1.7 0 -85
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 5 200 150
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
850 0 0 1.7 0 -850
0 0 0 1.7 0 0
0 0 0 1.7 0 0
574 0 0 3.5 700 126
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
1500 0 0 1.7 187 -1313
312 0 0 4 672 360
1190 0 0 3.5 3482.5 2293
0 0 0 1.7 0 0
0 0 0 1.7 0 0
24 0 0 1.7 0 -24
42 0 0 4 48 6
0 0 0 1.7 0 0
8 0 0 5 10 2
0 0 0 1.7 0 0
4 0 0 3.1 173.6 170
10 0 0 1.7 0 -10
22 0 0 3.3 62.7 41
16 0 0 3.3 257.4 241
0 0 0 1.7 0 0
0 0 0 3 27 27
49 0 0 1.7 1.7 -47
43 0 0 4 56 13
0 0 0 1.7 0 0
50 0 0 1.7 6.8 -43
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 3 24 24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
71 0 0 3 45 -26
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
76 0 0 3 90 14
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
18 0 0 3.2 70.4 52
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6580 0 0 3.5 0 -6580
814 0 0 3.1 6249.6 5436
50 0 0 1.7 0 -50
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1520 0 0 3.1 3472 1952
200 0 0 3 300 100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
188 0 0 3 12 -176
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
380 0 0 1.7 0 -380
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
885 0 0 3 480 -405
1090 0 0 3 315 -775
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 2 10 10
0 0 0 1.7 0 0
452 0 0 1.7 0 -452
0 0 0 1.7 0 0
0 0 0 1.7 0 0
36 0 0 1.7 5.1 -31
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 0 -22
60 0 0 1.7 0 -60
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
306 0 7 1.7 81.6 -231
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
6 0 0 1.7 1.7 -4
0 0 0 1.7 6.8 7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 850 850
8 0 0 3 18 10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
8 0 0 1.7 1.7 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 3 9 7
0 0 0 1.7 0 0
4 0 0 3 9 5
5 0 0 1.7 3.4 -2
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
2 0 0 3 21 19
0 0 0 1.7 0 0
7 0 0 1.7 3.4 -4
0 0 0 1.7 0 0
42 0 0 3 123 81
7 0 0 3 24 17
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
648 0 0 3 180 -468
0 0 0 1.7 0 0
88 0 0 3 234 146
720 0 0 1.7 0 -720
0 0 0 1.7 0 0
89 0 0 1.7 27.2 -62
53 0 0 1.7 64.6 12
91 0 0 1.7 0 -91
0 0 0 1.7 0 0
232 0 0 1.7 214.2 -18
56 0 0 1.7 124.1 68
0 0 0 1.7 0 0
412 0 0 1.7 34 -378
211 0 0 1.7 0 -211
88 0 0 1.7 6.8 -81
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
5 4 0 1.7 0 -9
5 6 0 1.7 0 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 5 0 1.7 0 -5
6 5 0 1.7 1.7 -9
1 3 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
220 0 0 1.7 0 -220
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
750 0 0 1.7 357 -393
0 0 0 1.7 0 0
87 0 0 3.5 119 32
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 134.3 134
0 0 60 1.7 0 -60
0 0 183 1.7 13.6 -169
0 0 80 1.7 39.1 -41
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 0 1.7 11.9 12
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
60 0 0 3 120 60
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 134.3 134
0 0 0 1.7 0 0
2110 0 0 4 2992 882
0 0 0 1.7 0 0
448 0 0 3 288 -160
108 0 0 1.7 0 -108
40 0 0 1.7 0 -40
180 0 0 1.7 0 -180
40 0 0 1.7 0 -40
90 0 0 1.7 0 -90
2494 0 0 1.7 1710.2 -784
525 0 0 5 575 50
10 0 0 10 60 50
3481 0 0 3.1 15763.5 12283
23 0 0 3 12 -11
38 0 0 1.7 49.3 11
0 0 0 1.7 3927 3927
552 0 0 3.1 4488.8 3937
1450 0 0 1.7 85 -1365
200 0 0 1.7 0 -200
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 4 0 1.7 0 -4
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 3 0 1.7 0 -3
0 4 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Oktober 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

ktober 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
OKTOBER UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
OKTOBER
NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : OKTOBER 2022
PERMINTAAN BULAN / TAHUN : NOVEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 14 0 0
0 0 0 0
Botol 50 0 0 50
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 11 0 0 2
Pcs 24 0 0
Botol 3 0 0 3
Botol 0 0 0 45 45
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 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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
14 0 0 1.7 0 -14
0 0 0 1.7 0 0
0 0 0 0 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
9 0 0 1.7 3.4 -6
24 0 0 1.7 0 -24
0 0 0 0 0 0
0 0 0 1.7 76.5 77
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Februari
Oktober 2022
2022
Tangerang , Februari
Oktober 2022
2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
ktober 2022
2022 ###
ktober 2022
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
NOVEMBE UPTD Puskesmas Kelapa Dua
R
Kecamatan Kelapa Dua
LPLPO
KIMIA
NOVEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : NOVEMBER 2022
PERMINTAAN BULAN / TAHUN : DESEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 13 0 0 13
pcs 12 0 0 12
pcs 24 0 0
pcs 0 0 0
pcs 13 0 0 5
pcs 300 0 0 100
pcs 4259 0 0
pcs 300 0 0 200
pcs 0 0 220 40
pcs 300 0 0 100 100
pcs 100 0 0 100
pcs 0 0 0
pcs 0 0 0
pcs 4 0 0
pcs 0 0 0
pcs 70 0 0 5
pcs 10 0 0
pcs 0 0 0
pcs 3000 0 0 2000
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 100 0 0 25
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 5 0 0 2 5
Roll 10 0 0 1
Kotak 95 0 7 100 40 2
Roll 115 0 0
Roll 30 0 0 100
pcs 0 21600 0 6000
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 39 0 0 24 14
pot 0 0 0
pcs 40 0 0
pcs 100 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 80 0 0 100 20
pcs 54 0 0 25
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 4 0 0 1
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 7 0 1
0 0 0 0
botol 0 0 0
pcs 0 0 0 360
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 1000 0 0 250
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0 200 200
Tes 0 0 0
Tes 600 0 0 350
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 550 0 0 550
pcs 0 200 0
pcs 0 0 0
Set 0 700 0 100
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 400 0 0 25
Set 0 0 0
0 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 0 0 0 1260 636
Pcs 0 0 0 1260 636
Pcs 0 0 0 105 53
Pcs 69 0 0 12 7
Pcs 200 0 0
Pcs 0 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 40 0 0
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 24 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 100 0 0 50
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
pcs 20 0 0
Box 0 0 0
Box 13 0 0
Pcs 0 0 0
pcs 40 0 0 120 70
Pcs 0 0 0
Pcs 400 0 0 300
Box 37 0 0 8
Box 0 0 0
Pcs 0 0 0
Pcs 1000 0 0
Pcs 150 0 0 150
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs -45 0 0
Pcs 600 0 0 600
Pcs 33 0 0
Box 1 0 0
Pack 3 0 0
Box 22 0 0 3
Pcs 100 0 0
Pcs 100 0 0
Pcs 50 0 0
Box 8 0 0 2
Pcs 0 0 0
Pcs 0 0 0
Box 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 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 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Pcs 0 5 0
Pcs 0 3 0 1
Pcs 0 100 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 2 0
Pcs 0 0 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 2 0 1
pcs 0 1 0
set 0 11 0 2
pcs 0 0 0
Pcs 0 8 0 4
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 50 50
Pcs 0 0 22 5
Pcs 0 0 50
Pcs 0 28 30 2
Pcs 6 2 0
Pak 0 18 0 1
Pak 0 240 0 110
Pak 0 10 0
Pcs 0 0 71 3
Box 0 0 2
Pcs 0 0 24 8
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 48 0 8
Pcs 0 600 0 600
Pcs 0 3 0
Pcs 0 4 0 2
Pcs 0 5 0 4
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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2587 5518 0 0 8105
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 22.1 22.1


0 0 0 1.7 20.4 20.4
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
8 0 0 1.7 8.5 0.5
400 0 0 1.7 0 -400
4259 0 0 1.7 0 -4259
100 0 0 1.7 340 240
0 0 180 1.7 68 -112
300 0 0 1.7 170 -130
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
65 0 0 1.7 8.5 -56.5
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
1000 0 0 1.7 3400 2400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
75 0 0 1.7 42.5 -32.5
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
2 0 0 1.7 8.5 6.5
9 0 0 1.7 1.7 -7.3
155 0 5 1.7 71.4 -88.6
115 0 0 1.7 0 -115
130 0 0 1.7 0 -130
0 15600 0 1.7 10200 -5400
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
49 0 0 1.7 23.8 -25.2
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
160 0 0 1.7 34 -126
29 0 0 1.7 42.5 13.5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
3 0 0 1.7 1.7 -1.3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 1.7 -4.3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
360 0 0 1.7 0 -360
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
750 0 0 1.7 425 -325
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 340 340
0 0 0 1.7 0 0
250 0 0 1.7 595 345
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 935 935
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 600 0 1.7 170 -430
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
375 0 0 1.7 42.5 -332.5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
624 0 0 1.7 1081.2 457.2
624 0 0 1.7 1081.2 457.2
52 0 0 1.7 90.1 38.1
74 0 0 1.7 11.9 -62.1
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
50 0 0 1.7 85 35
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
90 0 0 1.7 119 29
0 0 0 1.7 0 0
100 0 0 1.7 510 410
29 0 0 1.7 13.6 -15.4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 255 255
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
-45 0 0 1.7 0 45
0 0 0 1.7 1020 1020
33 0 0 1.7 0 -33
1 0 0 1.7 0 -1
3 0 0 1.7 0 -3
19 0 0 1.7 5.1 -13.9
100 0 0 1.7 0 -100
100 0 0 1.7 0 -100
50 0 0 1.7 0 -50
6 0 0 1.7 3.4 -2.6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 2 0 1.7 1.7 -0.3
0 100 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 1 0 1.7 1.7 0.7
0 1 0 1.7 0 -1
0 9 0 1.7 3.4 -5.6
0 0 0 1.7 0 0
0 4 0 1.7 6.8 2.8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 85 85
0 0 17 1.7 8.5 -8.5
0 0 50 1.7 0 -50
0 26 30 1.7 3.4 -52.6
6 2 0 1.7 0 -8
0 17 0 1.7 1.7 -15.3
0 130 0 1.7 187 57
0 10 0 1.7 0 -10
0 0 68 1.7 5.1 -62.9
0 0 2 1.7 0 -2
0 0 16 1.7 13.6 -2.4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 40 0 1.7 13.6 -26.4
0 0 0 1.7 1020 1020
0 3 0 1.7 0 -3
0 2 0 1.7 3.4 1.4
0 1 0 1.7 6.8 5.8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , November 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
ovember 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
NOVEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
NOVEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : NOVEMBER 2022
PERMINTAAN BULAN / TAHUN : DESEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 0 0 0 2000 20
Tablet 7009 0 0 1400 4069
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0 2500 139
Tablet 43 0 0 28
Tablet 280 0 0
Vial 0 0 0 3
kapsul 174 0 0 200 94
Botol 0 0 0
Kapsul 105 0 0 200 40
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 20 0 0
Tablet 0 0 0
Tablet 276 0 0 200 40
Kapsul 0 0 0
Kapsul 180 0 0 25
Kapsul 450 0 0 200 112
Botol 0 0 0
Botol 0 0 0
Tablet 23 0 0 23
Kapsul 45 0 0
Tablet 317 0 0 300 257
Botol 0 0 0
Botol 5 0 0
Tablet 150 0 0 300 109
Tablet 4 0 0
Kapsul 998 0 0 300 300
Botol 37 0 0 4
Botol 0 0 0
Vial 12 0 0
Tablet 867 0 0 500 300
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 49 0 0 300 68
ampul 0 0 0
Tablet 0 0 0
PCS 0 0 0 5000 500
0 0 0 0
Tablet 0 0 0
Tablet 200 0 0
Kapsul 0 0 0
Tablet 0 0 200 10
Tablet 100 0 0
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 39 0 0 200 20
Tablet 0 0 0
Botol 304 0 0
Botol 37 0 0
Tablet 565 0 0 36000 2118
Tablet 95 0 0
0 0 0 0
Tablet 1416 0 0 10000
Botol 254 0 0
kapsul 0 0 0
Tablet 30 0 0
Tablet 0 0 0
Kapsul 0 0 0
Ampul 0 0 0 100
Tablet 728 0 0 728
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 184 0 0 12
Suppos 52 0 0
Botol 0 0 0 24
0 0 0 0
Tablet 0 0 0
Sachet 0 0 0 300 26
Tablet 0 0 0
Tablet 5835 0 0
Botol 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 1636 0 0 620
Botol 92 0 0
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 5770 0 0 10000 2340
ampul 0 0 0
Tablet 4930 0 0 11000 3630
Botol 0 0 0 288
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 2427 0 0 4000 1743
Tablet 0 0 0
Ampul 0 0 0
Tablet 720 0 0 535
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 4553 0 0 7000 3815
Tablet 0 0 0 120
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 137 0 0 1000 130
Nebule 0 0 0 20
0 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 374 0 0 374
Tablet 86 0 0 8800 86
Tablet 1110 0 0 20000 3320
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 90735 0 0 44800 5815
0 0 0 0
Ampul 0 0 0
Tablet 50 0 0 43
Ampul 30 0 0 60
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 100 20 100
0 0 0 0
tablet 0 0 0 1700
Botol 109 0 0
Ampul 10 0 0 20
Tablet 0 0 0
Ampul 0 0 0
Tablet 693 0 0 12000
Tablet 2372 0 0 852
Tablet 710 0 0 2600
Tablet 0 0 0
0 0 0 0
Tablet 300 0 0
Supp 6 0 0
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 21 0 0 12
Tablet 110 0 0 300 110
0 0 0 0
Tablet 300 0 0 14
Ampul 0 0 0 10
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 90 0 0 300
ampul 85 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 50 0 0 300 40
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 850 0 0 240
0 0 0 0
Tablet 0 0 0
Tablet 574 0 0 300 316
0 0 0 0
Tablet 1000 0 0
Tablet 1500 0 0 420
Tablet 312 0 0 400 42
Tablet 1190 0 0 3000 1065
0 0 0 0
Tube 0 0 0 200
Tube 24 0 0 20
Pot 42 0 0 30 7
Tube 0 0 0
Tube 8 0 0 5 2
Tube 0 0 0
Tube 4 0 0 4
Tube 10 0 0
Botol 22 0 0 48 14
botol 16 0 0 48 26
Tube 0 0 0
Pieces 0 0 0
Tube 49 0 0 27
Tube 43 0 0 18
Tube 0 0 0
Tube 50 0 0 49
Pot 0 0 0
Kotak 0 0 0
Tube 0 0 0 30 5
Tube 0 0 0 10
0 0 0 0
Botol 0 0 0
Botol 71 0 0 9
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 76 0 0 96 20
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 18 0 0 60 15
Kapsul 0 0 0
0 0 0 0
Tablet 6580 0 0 2275
Tablet 814 0 0 6000 974
tablet 50 0 0
Tablet 120 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 1520 0 0 3000 390
Tablet 200 0 0 100
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 0 0 0 100
Tablet 188 0 0 23
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 380 0 0
ampul 50 0 0
0 0 0 0
Tablet 885 0 0 255
Tablet 1090 0 0
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 0 0 0 10
0 0 0 0
Tablet 452 0 0 2
PCS 0 0 0
0 0 0 0
Botol 36 0 0 10
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 22 0 0
Botol 60 0 0 2
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 306 0 7 48
DRIGEN 0 0 0
Botol 0 0 0
botol 0 0 0 24 8
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 0 0 0 5
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Sachet 0 0 0 3480
Sachet 0 0 0 112 112
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
Blister 6 0 0 1
Blister 0 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 0 0 0
Paket 8 0 0 33 7
Paket 0 0 0
Paket 0 0 0
Paket 0 0 0
Tablet 50 0 0
Paket 0 0 0
Paket 8 0 0
TES 0 0 0
vial 0 0 0 24 1
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 2 0 0 1 2
Botol 0 0 0
Botol 4 0 0 8 2
Botol 5 0 0 4
Botol 3 0 0 1
botol 0 0 0
Botol 2 0 0 10 3
Botol 0 0 0
Botol 7 0 0 2 4
Botol 0 0 0
Botol 42 0 0 150 35
Botol 7 0 0 6 4
Botol 0 0 0
Botol 0 0 0
Botol 3 0 0
tablet 648 0 0 132
tes 0 0 0
Botol 88 0 0 250 96
kotak 720 0 0
0 0 0 0
Vial 89 0 0 50 59
Vial 53 0 0 30
Vial 91 0 0 50 141
Vial 0 0 0
ampul 232 0 0 300 83
Vial 56 0 0 100 65
Vial 0 0 0
Vial 412 0 0 30 412
Vial 211 0 0 8
Vial 88 0 0 30
vial 0 0 0
VIAL 0 0 0
Vial 1 0 0 1 1
0 0 0 0
Set 5 4 0 2
Set 5 6 0 3
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 5 0 3
Botol 6 5 0 5
pieces 1 3 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 220 0 0
Botol 0 0 0
tablet 300 0 0
kapsul 750 0 0 240
Botol 0 0 0
pcs 87 0 0 24 31
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 0 0 0 105 53
Vial 0 0 60 42
vial 0 0 183
Strip 0 0 80 9
botol 9 0 0
Ampul 0 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 30
Botol 0 0 0
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 60 0 0 15
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 0 0 0 105 53
Vial 0 0 0
Tablet 2110 0 0 1000 1115
Botol 0 0 0
Botol 448 0 0 77
Tablet 108 0 0
Box 40 0 0
Box 180 0 0
Box 40 0 0 58
Box 90 0 0
Tablet 2494 0 0
Tablet 525 0 0 100 173
pot 10 0 0 10
tablet 3481 0 0 1600 1395
Box 23 0 0 20 5
Vial 38 0 0 27
Tablet 0 0 0 3000
Tablet 552 0 0 4400
Tablet 1450 0 0 1450
Botol 200 0 0
Botol 20 0 0
Tube 0 0 0
Tablet 0 0 0 420
Tablet 0 0 0 50 21
tablet 0 0 0 250
tablet 0 0 0 250
Box 0 0 0 6 6
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 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
Pcs 0 4 0
Pcs 0 3 0 2
Pcs 0 1 0 1
Box 0 0 0
Pcs 0 3 0 1
Pcs 0 1 0 1
Pak 0 0 0
Pcs 0 2 0 2
Botol 0 3 0 1
Pcs 0 4 0 3
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 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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2587 5518 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

1980 0 0 1.7 34 -1946


4340 0 0 1.7 6917.3 2577
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2361 0 0 1.7 236.3 -2125
15 0 0 1.7 47.6 33
280 0 0 1.7 0 -280
3 0 0 1.7 0 -3
280 0 0 1.7 159.8 -120
0 0 0 1.7 0 0
265 0 0 1.7 68 -197
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
436 0 0 1.7 68 -368
0 0 0 1.7 0 0
155 0 0 1.7 42.5 -113
538 0 0 1.7 190.4 -348
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 39.1 39
45 0 0 1.7 0 -45
360 0 0 1.7 436.9 77
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
341 0 0 1.7 185.3 -156
4 0 0 1.7 0 -4
998 0 0 1.7 510 -488
33 0 0 1.7 6.8 -26
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
1067 0 0 1.7 510 -557
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
281 0 0 1.7 115.6 -165
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4500 0 0 1.7 850 -3650
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 190 1.7 17 -173
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
219 0 0 1.7 34 -185
0 0 0 1.7 0 0
304 0 0 1.7 0 -304
37 0 0 1.7 0 -37
34447 0 0 1.7 3600.6 -30846
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
11416 0 0 1.7 0 -11416
254 0 0 1.7 0 -254
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 1237.6 1238
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
172 0 0 1.7 20.4 -152
52 0 0 1.7 0 -52
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
274 0 0 1.7 44.2 -230
0 0 0 1.7 0 0
5835 0 0 1.7 0 -5835
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1016 0 0 1.7 1054 38
92 0 0 1.7 0 -92
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13430 0 0 1.7 3978 -9452
0 0 0 1.7 0 0
12300 0 0 1.7 6171 -6129
288 0 0 1.7 0 -288
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4684 0 0 1.7 2963.1 -1721
0 0 0 1.7 0 0
0 0 0 1.7 0 0
185 0 0 1.7 909.5 725
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7738 0 0 1.7 6485.5 -1253
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1007 0 0 1.7 221 -786
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 635.8 636
8800 0 0 1.7 146.2 -8654
17790 0 0 1.7 5644 -12146
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
129720 0 0 1.7 9885.5 -119835
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 73.1 66
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 170 150
0 0 0 1.7 0 0
1700 0 0 1.7 0 -1700
109 0 0 1.7 0 -109
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12693 0 0 1.7 0 -12693
1520 0 0 1.7 1448.4 -72
3310 0 0 1.7 0 -3310
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
33 0 0 1.7 0 -33
300 0 0 1.7 187 -113
0 0 0 1.7 0 0
286 0 0 1.7 23.8 -262
10 0 0 1.7 0 -10
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
390 0 0 1.7 0 -390
10 75 0 0 1.7 0 -75
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
310 0 0 1.7 68 -242
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
610 0 0 1.7 408 -202
0 0 0 1.7 0 0
0 0 0 1.7 0 0
558 0 0 1.7 537.2 -21
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
1080 0 0 1.7 714 -366
670 0 0 1.7 71.4 -599
3125 0 0 1.7 1810.5 -1315
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
44 0 0 1.7 0 -44
65 0 0 1.7 11.9 -53
0 0 0 1.7 0 0
11 0 0 1.7 3.4 -8
0 0 0 1.7 0 0
0 0 0 1.7 6.8 7
10 0 0 1.7 0 -10
56 0 0 1.7 23.8 -32
38 0 0 1.7 44.2 6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 45.9 24
25 0 0 1.7 30.6 6
0 0 0 1.7 0 0
1 0 0 1.7 83.3 82
0 0 0 1.7 0 0
0 0 0 1.7 0 0
25 0 0 1.7 8.5 -17
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
62 0 0 1.7 15.3 -47
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
152 0 0 1.7 34 -118
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
63 0 0 1.7 25.5 -38
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4305 0 0 1.7 3867.5 -438
5840 0 0 1.7 1655.8 -4184
50 0 0 1.7 0 -50
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4130 0 0 1.7 663 -3467
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
165 0 0 1.7 39.1 -126
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
380 0 0 1.7 0 -380
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
630 0 0 1.7 433.5 -197
1090 0 0 1.7 0 -1090
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
450 0 0 1.7 3.4 -447
0 0 0 1.7 0 0
0 0 0 1.7 0 0
26 0 0 1.7 17 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 0 -22
58 0 0 1.7 3.4 -55
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 7 1.7 81.6 -183
0 0 0 1.7 0 0
0 0 0 1.7 0 0
16 0 0 1.7 13.6 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3480 0 0 1.7 0 -3480
0 0 0 1.7 190.4 190
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 1.7 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
34 0 0 1.7 11.9 -22
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
23 0 0 1.7 1.7 -21
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 3.4 2
0 0 0 1.7 0 0
10 0 0 1.7 3.4 -7
1 0 0 1.7 6.8 6
2 0 0 1.7 1.7 0
0 0 0 1.7 0 0
9 0 0 1.7 5.1 -4
0 0 0 1.7 0 0
5 0 0 1.7 6.8 2
0 0 0 1.7 0 0
157 0 0 1.7 59.5 -98
9 0 0 1.7 6.8 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
516 0 0 1.7 224.4 -292
0 0 0 1.7 0 0
242 0 0 1.7 163.2 -79
720 0 0 1.7 0 -720
0 0 0 1.7 0 0
80 0 0 1.7 100.3 20
83 0 0 1.7 0 -83
0 0 0 1.7 239.7 240
0 0 0 1.7 0 0
449 0 0 1.7 141.1 -308
91 0 0 1.7 110.5 20
0 0 0 1.7 0 0
30 0 0 1.7 700.4 670
203 0 0 1.7 13.6 -189
58 0 0 1.7 51 -7
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 1.7 1
0 0 0 1.7 0 0
3 4 0 1.7 3.4 -4
5 3 0 1.7 5.1 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 2 0 1.7 5.1 3
6 0 0 1.7 8.5 3
1 3 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
220 0 0 1.7 0 -220
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
510 0 0 1.7 408 -102
0 0 0 1.7 0 0
80 0 0 1.7 52.7 -27
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 90.1 38
0 0 18 1.7 71.4 53
0 0 183 1.7 0 -183
0 0 71 1.7 15.3 -56
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
45 0 0 1.7 25.5 -20
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 90.1 38
0 0 0 1.7 0 0
1995 0 0 1.7 1895.5 -100
0 0 0 1.7 0 0
371 0 0 1.7 130.9 -240
108 0 0 1.7 0 -108
40 0 0 1.7 0 -40
180 0 0 1.7 0 -180
98 0 0 1.7 0 -98
90 0 0 1.7 0 -90
2494 0 0 1.7 0 -2494
452 0 0 1.7 294.1 -158
0 0 0 1.7 17 17
3686 0 0 1.7 2371.5 -1315
38 0 0 1.7 8.5 -30
11 0 0 1.7 45.9 35
3000 0 0 1.7 0 -3000
4952 0 0 1.7 0 -4952
0 0 0 1.7 2465 2465
200 0 0 1.7 0 -200
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
420 0 0 1.7 0 -420
29 0 0 1.7 35.7 7
250 0 0 1.7 0 -250
250 0 0 1.7 0 -250
0 0 0 1.7 10.2 10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 4 0 1.7 0 -4
0 1 0 1.7 3.4 2
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 2 0 1.7 1.7 0
0 0 0 1.7 1.7 2
0 0 0 1.7 0 0
0 0 0 1.7 3.4 3
0 2 0 1.7 1.7 0
0 1 0 1.7 5.1 4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , November 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

vember 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
NOVEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
NOVEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : NOVEMBER 2022
PERMINTAAN BULAN / TAHUN : DESEMBER 2022

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 14 0 0 3
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 9 0 0 7
Pcs 24 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


2587 5518 0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
11 0 0 1.7 5.1 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 11.9 10
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang, , November
Februari 2022
2022
Tangerang
Tangerang, , November
Februari 2022
2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
vember 2022
2022 ###
vember 2022
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
LAPO
MENU

LPLPO
OBAT
DESEMBE UPTD Puskesmas Kelapa Dua
R
Kecamatan Kelapa Dua
LPLPO
KIMIA
DESEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
01 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
01 1 7 01 02 03 001 0034 Kertas Puyer
01 1 7 01 02 03 001 0035 Masker
01 1 7 01 02 03 001 0036 Nelaton catheter
01 1 7 01 02 03 001 0037 Pembalut gips
01 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
01 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
01 1 7 01 02 03 001 0040 Pot Sputum
01 1 7 01 02 03 001 0041 Safety Box
01 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
01 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
01 1 7 01 02 03 001 0044 Simple mask Anak
01 1 7 01 02 03 001 0045 Simple mask Dewasa
01 1 7 01 02 03 001 0046 Underpad
01 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
01 1 7 01 02 03 001 0048 Wing needle
01 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
01 1 7 01 02 03 001 0050 Masker N95
01 1 7 01 02 03 001 0051 Masker nebulizer Anak
01 1 7 01 02 03 001 0052 Masker nebulizer dewasa
01 1 7 01 02 03 001 0053 NGT
01 1 7 01 02 03 001 0054 Oxigen nasal canule anak
01 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
01 1 7 01 02 03 001 0056 Pot Urine
01 1 7 01 02 03 001 0057 Pot Fesses
01 1 7 01 02 03 001 0058 Disposible Lancet
01 1 7 01 02 03 001 0059 Pen Lancet
01 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
01 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
01 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
01 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
01 1 7 01 02 03 001 0064 Guedel Airway 50mm
01 1 7 01 02 03 001 0065 Guedel Airway 80mm
01 1 7 01 02 03 001 0085 Masker Earloop
01 1 7 01 02 03 001 0086 Masker Headloop
01 1 7 01 02 03 001 0087 Coverall
01 1 7 01 02 03 001 0088 Surgeon cap
01 1 7 01 02 03 001 0089 Nurse Cap
01 1 7 01 02 03 001 0090 Apron
01 1 7 01 02 03 001 0091 Blood Lancet
01 1 7 01 02 03 001 0092 Masker Hijab Program TB
01 1 7 01 02 03 001 0093 Masker medis Program HIV
01 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
01 1 7 01 02 03 002 0001 Microbrush
01 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Peny
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
0 1 1 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Pen
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
0 0 0 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Alkohol Swab (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Safety Box (Pfizer)
0 0 0 0 0 0 0 0 0 Hazmat suit (BANPROV)
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
0 0 0 0 0 0 0 0 0 Paket alkohol swab+Handscoon
0 0 0 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
0 0 0 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Banke
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
SUKU CADANG
PELAPORAN BULAN / TAHUN : DESEMBER 2022
PERMINTAAN BULAN / TAHUN : JANUARI 2023

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
pcs 0 0 0
pcs 0 0 0
pcs 24 0 0
pcs 0 0 0
pcs 8 0 0
pcs 400 0 0
pcs 4259 0 0
pcs 100 0 0
pcs 0 0 180
pcs 300 0 0
pcs 200 0 0
pcs 0 0 0
pcs 0 0 0
pcs 4 0 0
pcs 0 0 0
pcs 65 0 0
pcs 10 0 0
pcs 0 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 75 0 0
pcs 11 0 0
pcs 12 0 0
pcs 1440 0 0
Bungkus 2 0 0
Roll 9 0 0
Kotak 155 0 5
Roll 115 0 0
Roll 130 0 0
pcs 0 15600 0
pcs 0 0 0
pcs 0 0 0
Roll 0 0 0
Roll 0 0 0
pcs 49 0 0
pot 0 0 0
pcs 40 0 0
pcs 100 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 160 0 0
pcs 29 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 6 0
pcs 0 1 0
pcs 0 0 0
pcs 3 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 60 0 0
pcs 12 12 0
pcs 36 0 0
pcs 36 0 0
pcs 0 0 0
pcs 0 0 0
pcs 1000 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 300 0 0
pcs 0 0 0
pcs 0 0 0
0 0 0 0
pak 0 6 0
0 0 0 0
botol 0 0 0
pcs 360 0 0
0 0 0 0
0 0 0 0
botol 0 0 0
Paket 2 0 0
pcs 0 0 0
Vial 750 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
pcs 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 0 0 0
Tes 250 0 0
Tes 0 0 0
Kit 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 4 0 0
Botol 0 0 0
pcs 0 200 0
pcs 0 0 0
Set 0 600 0
pcs 0 0 0
TES 0 0 0
tes 0 0 0
pcs 0 0 0
Kit 0 0 0
pcs 375 0 0
Set 0 0 0
0 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 624 0 0
Pcs 624 0 0
Pcs 52 0 0
Pcs 74 0 0
Pcs 200 0 0
Pcs 0 0 0
Pcs 0 0 0
Paket 0 0 0
Paket 0 0 0
Pcs 0 0 0
Pcs 40 0 0
Pcs 120 0 0
Pcs 25 0 0
Pcs 700 0 0
Pcs 1200 0 0
Pcs 24 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 14000 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 450 0 0
Pcs 0 0 0
Pcs 50 0 0
Pcs 50 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
pcs 20 0 0
Box 0 0 0
Box 13 0 0
Pcs 0 0 0
pcs 90 0 0
Pcs 0 0 0
Pcs 100 0 0
Box 29 0 0
Box 0 0 0
Pcs 0 0 0
Pcs 1000 0 0
Pcs 0 0 0
Box 0 0 0
Box 0 0 0
Box 0 0 0
Pcs -45 0 0
Pcs 0 0 0
Pcs 33 0 0
Box 1 0 0
Pack 3 0 0
Box 19 0 0
Pcs 100 0 0
Pcs 100 0 0
Pcs 50 0 0
Box 6 0 0
Pcs 0 0 0
Pcs 0 0 0
Box 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
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 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Pcs 0 5 0
Pcs 0 2 0
Pcs 0 100 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 2 0
Pcs 0 0 0
Pcs 0 0 0
Err:509 0 0 0
Pcs 0 2600 0
pcs 0 181 0
pcs 0 0 0
Pcs 0 300 0
set 0 4 0
set 0 4 0
pcs 0 1 0
pcs 0 1 0
set 0 9 0
pcs 0 0 0
Pcs 0 4 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 0
Pcs 0 0 17
Pcs 0 0 50
Pcs 0 26 30
Pcs 6 2 0
Pak 0 17 0
Pak 0 130 0
Pak 0 10 0
Pcs 0 0 68
Box 0 0 2
Pcs 0 0 16
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Kit 0 0 0
Box 0 0 0
Box 0 0 0
Pack 0 0 0
Box 0 0 0
Pack 0 0 0
Pack 0 0 0
Galon 0 0 0
Vial 0 0 0
Pcs 0 40 0
Pcs 0 0 0
Pcs 0 3 0
Pcs 0 2 0
Pcs 0 1 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
0 0 0 1.7 0 0
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
400 0 0 1.7 0 -400
4259 0 0 1.7 0 -4259
100 0 0 1.7 0 -100
0 0 180 1.7 0 -180
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
65 0 0 1.7 0 -65
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
75 0 0 1.7 0 -75
11 0 0 1.7 0 -11
12 0 0 1.7 0 -12
1440 0 0 1.7 0 -1440
2 0 0 1.7 0 -2
9 0 0 1.7 0 -9
155 0 5 1.7 0 -160
115 0 0 1.7 0 -115
130 0 0 1.7 0 -130
0 15600 0 1.7 0 -15600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
49 0 0 1.7 0 -49
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
160 0 0 1.7 0 -160
29 0 0 1.7 0 -29
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
60 0 0 1.7 0 -60
12 12 0 1.7 0 -24
36 0 0 1.7 0 -36
36 0 0 1.7 0 -36
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 6 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
360 0 0 1.7 0 -360
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
750 0 0 1.7 0 -750
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
250 0 0 1.7 0 -250
0 0 0 1.7 0 0
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
4 0 0 1.7 0 -4
0 0 0 1.7 0 0
0 200 0 1.7 0 -200
0 0 0 1.7 0 0
0 600 0 1.7 0 -600
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
375 0 0 1.7 0 -375
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
624 0 0 1.7 0 -624
624 0 0 1.7 0 -624
52 0 0 1.7 0 -52
74 0 0 1.7 0 -74
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
120 0 0 1.7 0 -120
25 0 0 1.7 0 -25
700 0 0 1.7 0 -700
1200 0 0 1.7 0 -1200
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
14000 0 0 1.7 0 -14000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
13 0 0 1.7 0 -13
0 0 0 1.7 0 0
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
29 0 0 1.7 0 -29
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
-45 0 0 1.7 0 45
0 0 0 1.7 0 0
33 0 0 1.7 0 -33
1 0 0 1.7 0 -1
3 0 0 1.7 0 -3
19 0 0 1.7 0 -19
100 0 0 1.7 0 -100
100 0 0 1.7 0 -100
50 0 0 1.7 0 -50
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 5 0 1.7 0 -5
0 2 0 1.7 0 -2
0 100 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2600 0 1.7 0 -2600
0 181 0 1.7 0 -181
0 0 0 1.7 0 0
0 300 0 1.7 0 -300
0 4 0 1.7 0 -4
0 4 0 1.7 0 -4
0 1 0 1.7 0 -1
0 1 0 1.7 0 -1
0 9 0 1.7 0 -9
0 0 0 1.7 0 0
0 4 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 17 1.7 0 -17
0 0 50 1.7 0 -50
0 26 30 1.7 0 -56
6 2 0 1.7 0 -8
0 17 0 1.7 0 -17
0 130 0 1.7 0 -130
0 10 0 1.7 0 -10
0 0 68 1.7 0 -68
0 0 2 1.7 0 -2
0 0 16 1.7 0 -16
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 40 0 1.7 0 -40
0 0 0 1.7 0 0
0 3 0 1.7 0 -3
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Desember 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
esember 2022 ###
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
MENU
LAPO

LPLPO
SK-CD
DESEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
KIMIA
DESEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
01 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
01 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
01 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
01 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
0 1 1 7 01 04 01 002 0 Ambroksol tablet
0 1 1 7 01 04 01 002 0 Asetilsistein 200 mg
0 1 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
0 1 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
0 0 0 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI, ANTI
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
01 1 7 01 04 01 002 0 Haloperidol 1,5 mg
01 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
01 1 7 01 04 01 001 0 Haloperidol injeksi
01 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
01 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
01 1 7 01 04 01 001 0 Glukosa lar infus 10 %
01 1 7 01 04 01 001 0 Glukosa lar infus 40 %
01 1 7 01 04 01 001 0 Glukosa lar infus 5 %
01 1 7 01 04 01 001 0 Manitol 20 %
01 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
01 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
01 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
01 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
01 1 7 01 04 01 001 0 Etanol 70 %1000 ml
01 1 7 01 04 01 001 0 Etanol 70 %100 ml
01 1 7 01 04 01 001 0 ETANOL 70% 20 L
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
01 1 7 01 04 01 001 0 povidon iodne 10% 300ml
01 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
01 1 7 01 04 01 0 0 SERUM
01 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
01 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
01 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
01 1 7 01 04 01 001 0 Serum Anti Defteri
01 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
01 1 7 01 04 01 0 0 ANTIDOTUM
01 1 7 01 04 01 001 0 Calsium gluconas inj
01 1 7 01 04 01 001 0 Natrium tiosulfat inj
01 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
01 1 7 01 04 01 0 0 OBAT PROGRAM
01 1 7 01 04 01 0 0 ANTI MALARIA
01 1 7 01 04 01 001 0 Artemeter injeksi
01 1 7 01 04 01 002 0 Arterakine tablet
01 1 7 01 04 01 001 0 Artesunate injeksi
01 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
01 1 7 01 04 01 002 0 KLOROKUIN 150mg
01 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP)
01 1 7 01 04 01 002 0 Primaquine 15mg (prov)
01 1 7 01 04 01 0 0 GIZI
01 1 7 01 04 01 004 0 Mineral Mix
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
01 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
01 1 7 01 04 01 004 0 Taburia
01 1 7 01 04 01 004 0 Formal 100
01 1 7 01 04 01 001 0 Nutridrink 200 ml
0 0 0 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
0 1 1 7 01 04 01 002 0 Albendazol tab 400 mg
0 1 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
0 1 1 7 01 04 01 0 0 ANTI LEPRA
0 1 1 7 01 04 01 002 0 MD Dewasa
0 1 1 7 01 04 01 002 0 MD Anak
0 1 1 7 01 04 01 002 0 PB Dewasa
0 1 1 7 01 04 01 002 0 PB Anak
0 1 1 7 01 04 01 0 0 OBAT TBC
0 1 1 7 01 04 01 002 0 INH 100 mg
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
0 1 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
0 1 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
0 1 1 7 01 04 01 002 0 OAT Kombipak Kat.1
0 1 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
0 1 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
0 1 1 7 01 04 01 002 0 PPD 2 TU
0 1 1 7 01 04 01 0 0 HIV AIDS
0 1 1 7 01 04 01 002 0 Abacavir 300mg
0 1 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
0 1 1 7 01 04 01 002 0 Dolutegravir 50mg
0 1 1 7 01 04 01 002 0 Efavirenz 200mg
0 1 1 7 01 04 01 002 0 Efavirenz 600
0 1 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
0 1 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
0 1 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
0 1 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
0 1 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
0 1 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
0 1 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg
0 1 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
0 1 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
0 1 1 7 01 04 01 002 0 Zidovudine 100mg tablet
0 1 1 7 01 04 01 002 0 INH 300 mg (HIV)
0 1 1 7 01 04 01 002 0 KHB Diagnostar kit.2
0 1 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
0 1 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 1 1 7 01 04 01 0 0 VAKSIN
0 1 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
0 1 1 7 01 04 01 001 0 Vaksin DT
0 1 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer line
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
0 0 0 0 0 0 0 0 0 Obat Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
0 0 0 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
0 0 0 0 0 0 0 0 0 Vaksin (Pfizer)
0 0 0 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
0 0 0 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
0 0 0 0 0 0 0 0 0 Pil KB Kombinasi
0 0 0 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
0 0 0 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trim
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 0 0
0 0 0 0 0 0 0 0 0 0

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
OBAT
PELAPORAN BULAN / TAHUN : DESEMBER 2022
PERMINTAAN BULAN / TAHUN : JANUARI 2023

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
0
Kapsul 1980 0 0
Tablet 4340 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 2361 0 0
Tablet 15 0 0
Tablet 280 0 0
Vial 3 0 0
kapsul 280 0 0
Botol 0 0 0
Kapsul 265 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Kapsul 20 0 0
Tablet 0 0 0
Tablet 436 0 0
Kapsul 0 0 0
Kapsul 155 0 0
Kapsul 538 0 0
Botol 0 0 0
Botol 0 0 0
Tablet 0 0 0
Kapsul 45 0 0
Tablet 360 0 0
Botol 0 0 0
Botol 5 0 0
Tablet 341 0 0
Tablet 4 0 0
Kapsul 998 0 0
Botol 33 0 0
Botol 0 0 0
Vial 12 0 0
Tablet 1067 0 0
Vial 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Kapsul 281 0 0
ampul 0 0 0
Tablet 0 0 0
PCS 4500 0 0
0 0 0 0
Tablet 0 0 0
Tablet 200 0 0
Kapsul 0 0 0
Tablet 0 0 190
Tablet 100 0 0
Supp 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 219 0 0
Tablet 0 0 0
Botol 304 0 0
Botol 37 0 0
Tablet 34447 0 0
Tablet 95 0 0
0 0 0 0
Tablet 11416 0 0
Botol 254 0 0
kapsul 0 0 0
Tablet 30 0 0
Tablet 0 0 0
Kapsul 0 0 0
Ampul 100 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
Suppos 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 172 0 0
Suppos 52 0 0
Botol 24 0 0
0 0 0 0
Tablet 0 0 0
Sachet 274 0 0
Tablet 0 0 0
Tablet 5835 0 0
Botol 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 1016 0 0
Botol 92 0 0
Ampul 0 0 0
Botol 0 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 13430 0 0
ampul 0 0 0
Tablet 12300 0 0
Botol 288 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 4684 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 185 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 7738 0 0
Tablet 120 0 0
0 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Botol 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 1007 0 0
Nebule 20 0 0
0 0 0 0
Botol 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 8800 0 0
Tablet 17790 0 0
Tablet 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 129720 0 0
0 0 0 0
Ampul 0 0 0
Tablet 7 0 0
Ampul 90 0 0
Ampul 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 20 0 0
0 0 0 0
tablet 1700 0 0
Botol 109 0 0
Ampul 30 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 12693 0 0
Tablet 1520 0 0
Tablet 3310 0 0
Tablet 0 0 0
0 0 0 0
Tablet 300 0 0
Supp 6 0 0
Ampul 0 0 0
Kapsul 0 0 0
Ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 0 0 0
Ampul 0 0 0
ampul 33 0 0
Tablet 300 0 0
0 0 0 0
Tablet 286 0 0
Ampul 10 0 0
Tablet 297 0 0
tablet 0 0 0
Tablet 0 0 0
Tablet 390 0 0
ampul 75 0 0
Tablet 0 0 0
Ampul 0 0 0
Tablet 0 0 0
Tablet 310 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
ampul 0 0 0
Tablet 610 0 0
0 0 0 0
Tablet 0 0 0
Tablet 558 0 0
0 0 0 0
Tablet 1000 0 0
Tablet 1080 0 0
Tablet 670 0 0
Tablet 3125 0 0
0 0 0 0
Tube 200 0 0
Tube 44 0 0
Pot 65 0 0
Tube 0 0 0
Tube 11 0 0
Tube 0 0 0
Tube 0 0 0
Tube 10 0 0
Botol 56 0 0
botol 38 0 0
Tube 0 0 0
Pieces 0 0 0
Tube 22 0 0
Tube 25 0 0
Tube 0 0 0
Tube 1 0 0
Pot 0 0 0
Kotak 0 0 0
Tube 25 0 0
Tube 10 0 0
0 0 0 0
Botol 0 0 0
Botol 62 0 0
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 152 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Tube 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
0 0 0 0
Supp 63 0 0
Kapsul 0 0 0
0 0 0 0
Tablet 4305 0 0
Tablet 5840 0 0
tablet 50 0 0
Tablet 120 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 4130 0 0
Tablet 300 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Tablet 100 0 0
Tablet 165 0 0
Tablet 0 0 0
0 0 0 0
ampul 40 0 0
Tablet 380 0 0
ampul 50 0 0
0 0 0 0
Tablet 630 0 0
Tablet 1090 0 0
0 0 0 0
Tablet 0 0 0
0 0 0 0
ampul 10 0 0
0 0 0 0
Tablet 450 0 0
PCS 0 0 0
0 0 0 0
Botol 26 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 22 0 0
Botol 58 0 0
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 258 0 7
DRIGEN 0 0 0
Botol 0 0 0
botol 16 0 0
Botol 0 0 0
0 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 1 0 0
Vial 0 0 0
Vial 0 0 0
0 0 0 0
ampul 5 0 0
ampul 0 0 0
Botol 0 0 0
0 0 0 0
0 0 0 0
ampul 0 0 0
Tablet 0 0 0
ampul 0 0 0
ampul 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Tablet 0 0 0
0 0 0 0
Sachet 0 0 0
Kapsul 0 0 0
Kapsul 0 0 0
Sachet 3480 0 0
Sachet 0 0 0
botol 0 0 0
kotak 0 0 0
bungkus 0 0 0
0 0 0 0
Tablet 0 0 0
Tablet 0 0 0
Botol 0 0 0
0 0 0 0
Blister 5 0 0
Blister 0 0 0
Blister 0 0 0
Blister 0 0 0
0 0 0 0
Tablet 0 0 0
Paket 34 0 0
Paket 0 0 0
Paket 0 0 0
Paket 0 0 0
Tablet 50 0 0
Paket 0 0 0
Paket 8 0 0
TES 0 0 0
vial 23 0 0
0 0 0 0
Botol 0 0 0
botol 0 0 0
botol 1 0 0
Botol 0 0 0
Botol 10 0 0
Botol 1 0 0
Botol 2 0 0
botol 0 0 0
Botol 9 0 0
Botol 0 0 0
Botol 5 0 0
Botol 0 0 0
Botol 157 0 0
Botol 9 0 0
Botol 0 0 0
Botol 0 0 0
Botol 3 0 0
tablet 516 0 0
tes 0 0 0
Botol 242 0 0
kotak 720 0 0
0 0 0 0
Vial 80 0 0
Vial 83 0 0
Vial 0 0 0
Vial 0 0 0
ampul 449 0 0
Vial 91 0 0
Vial 0 0 0
Vial 30 0 0
Vial 203 0 0
Vial 58 0 0
vial 0 0 0
VIAL 0 0 0
Vial 1 0 0
0 0 0 0
Set 3 4 0
Set 5 3 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 0 0 0
Botol 0 0 0
Set 4 5 0
Botol 0 2 0
Botol 6 0 0
pieces 1 3 0
pieces 0 0 0
Botol 0 0 0
Botol 0 0 0
pieces 0 0 0
pot 0 0 0
Set 0 0 0
Set 0 0 0
Botol 0 0 0
0 0 0 0
tablet 220 0 0
Botol 0 0 0
tablet 300 0 0
kapsul 510 0 0
Botol 0 0 0
pcs 80 0 0
0 0 0 0
Vial 0 0 0
Botol 0 0 0
Vial 52 0 0
Vial 0 0 18
vial 0 0 183
Strip 0 0 71
botol 9 0 0
Ampul 0 0 0
Tablet 0 0 0
Box 0 0 0
Pcs 0 0 30
Botol 0 0 0
Vial 0 0 0
Vial 0 0 0
Kapsul 340 0 0
Tablet 45 0 0
Tablet 300 0 0
Tablet 200 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Vial 0 0 0
Botol 52 0 0
Vial 0 0 0
Tablet 1995 0 0
Botol 0 0 0
Botol 371 0 0
Tablet 108 0 0
Box 40 0 0
Box 180 0 0
Box 98 0 0
Box 90 0 0
Tablet 2494 0 0
Tablet 452 0 0
pot 0 0 0
tablet 3686 0 0
Box 38 0 0
Vial 11 0 0
Tablet 3000 0 0
Tablet 4952 0 0
Tablet 0 0 0
Botol 200 0 0
Botol 20 0 0
Tube 0 0 0
Tablet 420 0 0
Tablet 29 0 0
tablet 250 0 0
tablet 250 0 0
Box 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
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
Pcs 0 4 0
Pcs 0 1 0
Pcs 0 0 0
Box 0 0 0
Pcs 0 2 0
Pcs 0 0 0
Pak 0 0 0
Pcs 0 0 0
Botol 0 2 0
Pcs 0 1 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 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 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
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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

1980 0 0 1.7 0 -1980


4340 0 0 1.7 0 -4340
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2361 0 0 1.7 0 -2361
15 0 0 1.7 0 -15
280 0 0 1.7 0 -280
3 0 0 1.7 0 -3
280 0 0 1.7 0 -280
0 0 0 1.7 0 0
265 0 0 1.7 0 -265
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
436 0 0 1.7 0 -436
0 0 0 1.7 0 0
155 0 0 1.7 0 -155
538 0 0 1.7 0 -538
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
45 0 0 1.7 0 -45
360 0 0 1.7 0 -360
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
341 0 0 1.7 0 -341
4 0 0 1.7 0 -4
998 0 0 1.7 0 -998
33 0 0 1.7 0 -33
0 0 0 1.7 0 0
12 0 0 1.7 0 -12
1067 0 0 1.7 0 -1067
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
281 0 0 1.7 0 -281
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4500 0 0 1.7 0 -4500
0 0 0 1.7 0 0
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 190 1.7 0 -190
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
219 0 0 1.7 0 -219
0 0 0 1.7 0 0
304 0 0 1.7 0 -304
37 0 0 1.7 0 -37
34447 0 0 1.7 0 -34447
95 0 0 1.7 0 -95
0 0 0 1.7 0 0
11416 0 0 1.7 0 -11416
254 0 0 1.7 0 -254
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
172 0 0 1.7 0 -172
52 0 0 1.7 0 -52
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
274 0 0 1.7 0 -274
0 0 0 1.7 0 0
5835 0 0 1.7 0 -5835
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
1016 0 0 1.7 0 -1016
92 0 0 1.7 0 -92
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
13430 0 0 1.7 0 -13430
0 0 0 1.7 0 0
12300 0 0 1.7 0 -12300
288 0 0 1.7 0 -288
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4684 0 0 1.7 0 -4684
0 0 0 1.7 0 0
0 0 0 1.7 0 0
185 0 0 1.7 0 -185
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7738 0 0 1.7 0 -7738
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1007 0 0 1.7 0 -1007
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
8800 0 0 1.7 0 -8800
17790 0 0 1.7 0 -17790
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
129720 0 0 1.7 0 -129720
0 0 0 1.7 0 0
0 0 0 1.7 0 0
7 0 0 1.7 0 -7
90 0 0 1.7 0 -90
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
1700 0 0 1.7 0 -1700
109 0 0 1.7 0 -109
30 0 0 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
12693 0 0 1.7 0 -12693
1520 0 0 1.7 0 -1520
3310 0 0 1.7 0 -3310
0 0 0 1.7 0 0
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
6 0 0 1.7 0 -6
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
33 0 0 1.7 0 -33
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
286 0 0 1.7 0 -286
10 0 0 1.7 0 -10
297 0 0 1.7 0 -297
0 0 0 1.7 0 0
0 0 0 1.7 0 0
390 0 0 1.7 0 -390
75 0 0 1.7 0 -75
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
310 0 0 1.7 0 -310
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
610 0 0 1.7 0 -610
0 0 0 1.7 0 0
0 0 0 1.7 0 0
558 0 0 1.7 0 -558
0 0 0 1.7 0 0
1000 0 0 1.7 0 -1000
1080 0 0 1.7 0 -1080
670 0 0 1.7 0 -670
3125 0 0 1.7 0 -3125
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
44 0 0 1.7 0 -44
65 0 0 1.7 0 -65
0 0 0 1.7 0 0
11 0 0 1.7 0 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
56 0 0 1.7 0 -56
38 0 0 1.7 0 -38
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 0 -22
25 0 0 1.7 0 -25
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
25 0 0 1.7 0 -25
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
0 0 0 1.7 0 0
62 0 0 1.7 0 -62
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
152 0 0 1.7 0 -152
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
63 0 0 1.7 0 -63
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4305 0 0 1.7 0 -4305
5840 0 0 1.7 0 -5840
50 0 0 1.7 0 -50
120 0 0 1.7 0 -120
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4130 0 0 1.7 0 -4130
300 0 0 1.7 0 -300
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
100 0 0 1.7 0 -100
165 0 0 1.7 0 -165
0 0 0 1.7 0 0
0 0 0 1.7 0 0
40 0 0 1.7 0 -40
380 0 0 1.7 0 -380
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
630 0 0 1.7 0 -630
1090 0 0 1.7 0 -1090
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
0 0 0 1.7 0 0
450 0 0 1.7 0 -450
0 0 0 1.7 0 0
0 0 0 1.7 0 0
26 0 0 1.7 0 -26
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
22 0 0 1.7 0 -22
58 0 0 1.7 0 -58
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
258 0 7 1.7 0 -265
0 0 0 1.7 0 0
0 0 0 1.7 0 0
16 0 0 1.7 0 -16
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3480 0 0 1.7 0 -3480
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
34 0 0 1.7 0 -34
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
50 0 0 1.7 0 -50
0 0 0 1.7 0 0
8 0 0 1.7 0 -8
0 0 0 1.7 0 0
23 0 0 1.7 0 -23
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
10 0 0 1.7 0 -10
1 0 0 1.7 0 -1
2 0 0 1.7 0 -2
0 0 0 1.7 0 0
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
5 0 0 1.7 0 -5
0 0 0 1.7 0 0
157 0 0 1.7 0 -157
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
3 0 0 1.7 0 -3
516 0 0 1.7 0 -516
0 0 0 1.7 0 0
242 0 0 1.7 0 -242
720 0 0 1.7 0 -720
0 0 0 1.7 0 0
80 0 0 1.7 0 -80
83 0 0 1.7 0 -83
0 0 0 1.7 0 0
0 0 0 1.7 0 0
449 0 0 1.7 0 -449
91 0 0 1.7 0 -91
0 0 0 1.7 0 0
30 0 0 1.7 0 -30
203 0 0 1.7 0 -203
58 0 0 1.7 0 -58
0 0 0 1.7 0 0
0 0 0 1.7 0 0
1 0 0 1.7 0 -1
0 0 0 1.7 0 0
3 4 0 1.7 0 -7
5 3 0 1.7 0 -8
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
4 5 0 1.7 0 -9
0 2 0 1.7 0 -2
6 0 0 1.7 0 -6
1 3 0 1.7 0 -4
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
220 0 0 1.7 0 -220
0 0 0 1.7 0 0
300 0 0 1.7 0 -300
510 0 0 1.7 0 -510
0 0 0 1.7 0 0
80 0 0 1.7 0 -80
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 0 -52
0 0 18 1.7 0 -18
0 0 183 1.7 0 -183
0 0 71 1.7 0 -71
9 0 0 1.7 0 -9
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 30 1.7 0 -30
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
340 0 0 1.7 0 -340
45 0 0 1.7 0 -45
300 0 0 1.7 0 -300
200 0 0 1.7 0 -200
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
52 0 0 1.7 0 -52
0 0 0 1.7 0 0
1995 0 0 1.7 0 -1995
0 0 0 1.7 0 0
371 0 0 1.7 0 -371
108 0 0 1.7 0 -108
40 0 0 1.7 0 -40
180 0 0 1.7 0 -180
98 0 0 1.7 0 -98
90 0 0 1.7 0 -90
2494 0 0 1.7 0 -2494
452 0 0 1.7 0 -452
0 0 0 1.7 0 0
3686 0 0 1.7 0 -3686
38 0 0 1.7 0 -38
11 0 0 1.7 0 -11
3000 0 0 1.7 0 -3000
4952 0 0 1.7 0 -4952
0 0 0 1.7 0 0
200 0 0 1.7 0 -200
20 0 0 1.7 0 -20
0 0 0 1.7 0 0
420 0 0 1.7 0 -420
29 0 0 1.7 0 -29
250 0 0 1.7 0 -250
250 0 0 1.7 0 -250
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 4 0 1.7 0 -4
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 2 0 1.7 0 -2
0 1 0 1.7 0 -1
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang , Desember 2022


Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

sember 2022
ab Farmasi
Dua

tikawatie
9303 2 005
MENU
LAPO

LPLPO
SK-CD
DESEMBE
R
UPTD Puskesmas Kelapa Dua
Kecamatan Kelapa Dua
LPLPO
OBAT
DESEMBE
R NO KODE BARANG NAMA BARANG

1 2 3
1. 1 1 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 1 1 0 0 0 Bahan
0 1 1 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
0 0 0 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
0 0 0 0 0 0 0 0 0 Desinfektan 5 l BTT
0 0 0 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anaba
0 0 0 0 0 0 0 0 0 Spiritus
0 0 0 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 0 0 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
0 0 0 0 0 0 0 0 0 Hand Sanitizer (Program TB)
0 0 0 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
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 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 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 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 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 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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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

JUMLAH KUNJUNGAN

Mengetahui
Kepala Puskesmas
Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
BAHAN KIMIA
PELAPORAN BULAN / TAHUN : DESEMBER 2022
PERMINTAAN BULAN / TAHUN : JANUARI 2023

STOK AWAL MUTASI TAMBAH MUTASI KURANG


SATUAN
DINAS BLUD Lainnya DINAS BLUD Lainnya DINAS BLUD Lainnya
4
0
0
0
botol 0 0 0
botol 11 0 0
0 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
Botol 0 0 0
botol 2 0 0
Pcs 24 0 0
Botol 0 0 0
Botol 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
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 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 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
Botol 0 0 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 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
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 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 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

UMUM BPJS JAMPERSAL GRATIS JUMLAH


0
OBAT (LPLPO) PUSKESMAS

NO. DOK
PKM
IFK

RUSAK / ED STOK AKHIR BUFFER STOK


DINAS BLUD Lainnya DINAS BLUD Lainnya STOK OPTIMUM PERMINTAAN

0 0 0 1.7 0 0
11 0 0 1.7 0 -11
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
2 0 0 1.7 0 -2
24 0 0 1.7 0 -24
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 48 1.7 0 -48
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0
0 0 0 1.7 0 0

Tangerang
Tangerang, , Desember
Februari 2022
2022
Tangerang
Tangerang, , Desember
Februari 2022
2022
Penanggung Jawab Farmasi
UPTD Puskesmas Kelapa Dua

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
TANGGAL DOKUMEN

PEMBERIAAN KETERANGAN

###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
ember 2022
2022 ###
ember 2022
2022
ab Farmasi ###
Dua ###
###
###
###
###
tikawatie ###
###
9303 2 005 ###
###
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 1
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 0
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Januari 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Januari

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

JANUARI 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Januari 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : JANUARI 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 0
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Januari 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 1
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 0
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Februari


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Februari

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

FEBRUARI 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Februari 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : FEBRUARI 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 0
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 0
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Februari 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 0
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 0
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 0
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Maret 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Maret

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

MARET 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Maret 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : MARET 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 0
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Maret 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , April 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
April

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

APRIL 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
April 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : APRIL 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 0
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , April 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 0
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 1
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 0
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Mei 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Mei

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

MEI 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Mei 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : MEI 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 0
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Mei 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 0
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 0
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Juni 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Juni

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

JUNI 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Juni 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : JUNI 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Juni 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 1
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 0
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 0
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 1
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Juli 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Juli

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

JULI 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Juli 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : JULI 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Juli 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 0
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 0
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 1
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Agustus 2022


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Agustus

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

AGUSTUS 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Agustus 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : AGUSTUS 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Agustus 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 0
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 0
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 0
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , September


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
September

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

SEPTEMBER 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
September 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : SEPTEMBER 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , September 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 0
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 0
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 0
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 0
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 1
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 0
31 Ranitidin 150 mg Tablet 1
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Oktober


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Oktober

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

OKTOBER 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Oktober 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : OKTOBER 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Oktober 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 0
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 0
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 0
31 Ranitidin 150 mg Tablet 0
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , November


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
November

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

NOVEMBER 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
November 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : NOVEMBER 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , November 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

MENU UPTD Puskesmas Kelapa Dua BULAN :


PERIODE : 2022 PJ FARMASI :
KABUPATEN : Kabupaten Tangerang NO. TELPON :
PROVINSI : Banten EMAIL :

KETERSEDIAAN
NO JENIS PERSEDIAN SATUAN (Ada / Tidak)
KETERA
1 Albendazol /Pirantel Pamoat Tablet 1
2 Alopurinol Tablet 1
3 Amlodipin/Kaptopril Tablet 1
4 Amoksisilin 500 mg Tablet 1
5 Amoksisilin sirup Botol 0
6 Antasida tablet kunyah/ antasida suspensi Tablet/Botol 1
7 Asam Askorbat (Vitamin C) Tablet 1
8 Asiklovir Tablet 1
9 Betametason salep Tube 0
Tablet/Vial/
10 Deksametason tablet/deksametason injeksi Ampul 1
11 Diazepam injeksi 5 mg/ml Ampul 1
12 Diazepam Tablet 1
13 Dihidroartemsin+piperakuin (DHP) dan primaqui Tablet 0
14 Difenhidramin Inj. 10 mg/ml Ampul 0
15 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl Ampul 1
16 Fitomenadion (Vitamin K) injeksi Ampul 1
17 Furosemid 40 mg/Hidroklorotiazid (HCT) Tablet 1
18 Garam Oralit serbuk Kantong 1
19 Glibenklamid/Metformin Tablet 1
20 Hidrokortison krim/salep Tube 1
Kotrimoksazol (dewasa) kombinasi Tablet/Botol
21 tablet/Kotrimoksazol suspensi 0
22 Lidokain inj Vial 1
23 Magnesium Sulfat injeksi Vial 1
24 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 1
25 Natrium Diklofenak Tablet 0
26 OAT FDC Kat 1 Paket 1
27 Oksitosin injeksi Ampul 1
28 Parasetamol sirup 120 mg / 5 ml Botol 1
29 Parasetamol 500 mg Tablet 1
30 Prednison 5 mg Tablet 0
31 Ranitidin 150 mg Tablet 0
32 Retinol 100.000/200.000 IU Kapsul 0
33 Salbutamol Tablet 1
34 Salep Mata/Tetes Mata Antibiotik Tube 1
35 Simvastatin Tablet 1
36 Siprofloksasin Tablet 1
37 Tablet Tambah Darah Tablet 1
38 Triheksifenidil Tablet 1
39 Vitamin B6 (Piridoksin) Tablet 1
40 Zinc 20 mg Tablet 1

Keterangan Tangerang , Desember


1. Jika tersedia, tuliskan angka 1 Mengetahui
2. Jika tidak tersedia, tuliskan angka 0 Kepala Puskesmas
UPTD Puskesmas Kelapa Dua
Desember

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
DAN VAKSIN FORM PEMA

DESEMBER 2022 UPTD Puskesmas Kelapa Dua


Elfira Sari, S.Farm., Apt PERIODE :
KABUPATEN :
PROVINSI :

KETERANGAN

NO JENIS PERSEDI
1 Vaksin Hepatitis B
2 Vaksin BCG
3 Vaksin DPT-HB-HIB
4 Vaksin Polio
5 Vaksin Campak/Vaksin Ru

Keterangan

1. Jika tersedia, tuliskan angka 1


2. Jika tidak tersedia, tuliskan angka 0
3. Soft Copy Laporan Ini Dikirimkan m
ifkkabtangerang@gmail.com paling la
5 tiap bulannya
Desember 2022
ngetahui
a Puskesmas
lapa Dua

uly Kartikawatie
208 199303 2 005

k
FORM PEMANTAUAN KETERSEDIAAN OBAT DAN VAKSIN

esmas Kelapa Dua BULAN : DESEMBER 2022


2022 PJ FARMASI : Elfira Sari, S.Farm., Apt
Kabupaten Tangerang NO. TELPON :
Banten EMAIL :

JENIS PERSEDIAAN SATUAN Ketersediaan KETERANGAN


( Ada / tidak )
Vaksin Hepatitis B Vial 1
Vaksin BCG Ampul 1
Vaksin DPT-HB-HIB Vial 1
Vaksin Polio Vial 1
Vaksin Campak/Vaksin Rubella Vial/Ampul 1

Tangerang , Desember 2022


Mengetahui
dia, tuliskan angka 1 Kepala Puskesmas
tersedia, tuliskan angka 0
UPTD Puskesmas Kelapa Dua
Laporan Ini Dikirimkan melalui email
rang@gmail.com paling lambat tanggal
nya

drg. Rr Truly Kartikawatie


NIP. 19631208 199303 2 005
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : JANUARI 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 19 0
3 Diazepam tablet 2 mg Tablet 197 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 5 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 0 0 0 0

0 0 0 0 0 0 0 0 0
0 10 0 0 29 0 0 0 0
0 0 0 0 197 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 5 0 0 10 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 100 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 197 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

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : FEBRUARI 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 197 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 10 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 0 0 0 0
0 0 0 0 197 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 2
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 100 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 197 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 8 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : MARET 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 197 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 8 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 0 0 0 0
0 0 0 0 197 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 5 0 0 13 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 100 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 197 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 13 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : APRIL 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 197 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 13 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 0 0 0 0
0 100 0 0 297 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 13 0 0 0 2
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 100 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 11 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : MEI 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 11 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 0 0 0 0
0 0 0 0 297 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 11 11 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 100 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 297 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

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : JUNI 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 100 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 0 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 100 100 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 0 0 0 0
0 0 0 0 297 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 10 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 29 0 0
0 0 297 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

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : JULI 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 29 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 10 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 0 0 0 29 29 0 0 0
0 0 0 0 297 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 1
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : AGUSTUS 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 0 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 9 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

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 0 297 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 9 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : SEPTEMBER 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 0 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 9 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

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 0 297 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 9 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 9 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : OKTOBER 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 0 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 9 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

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 0 297 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 9 0 0 0 3
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 6 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : NOVEMBER 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 0 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 6 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0
0 10 0 0 10 0 0 0 0
0 0 0 0 297 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 6 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 10 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 6 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
LAPORAN
UPTD Puskesmas Kelapa Dua
MENU BULAN : DESEMBER 2022

STOK AWAL
NO NAMA SATUAN
DINKES BLUD
NARKOTIK
1 Kodein fosfat tablet 10 mg Tablet 0 0
PSIKOTROPIK
1 Alprazolam tablet 0,5 mg Tablet 0 0
2 Diazepam inj 5 mg/ml -2 ml Ampul 10 0
3 Diazepam tablet 2 mg Tablet 297 0
4 Diazepam tablet 5 mg Tablet 0 0
5 Fenobarbital inj 50 mg/ml-2ml Ampul 0 0
6 Fenobarbital tablet 30 mg Tablet 0 0
7 Stesolid Rectal Supp 6 0
8 Clobazam 10 mg Tablet 0 0

Jumlah Resep = ........... Resep

Mengetahui
Kepala Puskesmas
UPTD Puskesmas Kelapa Dua UPTD Puskesm

drg. Rr Truly Kartikawatie drg. R

NIP. 19631208 199303 2 005 NIP. 19


LAPORAN NARKOTIK DAN PSIKOTROPIK

TOK AWAL PENERIMAAN JUMLAH RUSAK / ED PEMAKAIAN


LAINNYA DINKES BLUD LAINNYA PERSEDIAAN DINKES BLUD LAINNYA DINKES

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 0 297 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 6 0 0 0 0
0 0 0 0 0 0 0 0 0

Yang menerima
Penanggung Jawab Farmasi Petugas SIPNAP Instalasi
UPTD Puskesmas Kelapa Dua Kabupaten Tangerang

Yustin Aryani, S.Farm,.Ap


drg. Rr Truly Kartikawatie Nip. 197406041998032003

NIP. 19631208 199303 2 005


PEMAKAIAN STOK AKHIR
BLUD LAINNYA DINKES BLUD LAINNYA

0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 10 0 0
0 0 297 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 6 0 0
0 0 0 0 0

Yang menerima
Petugas SIPNAP Instalasi Farmasi
Kabupaten Tangerang

Yustin Aryani, S.Farm,.Apt


Nip. 197406041998032003
REKAP PENERIMAAN SUKU CADANG
MENU TAHUN : 2022

NO KODE BARANG NAMA BARANG


1 2 3
1. 11 7 1 0 0 0 0 Barang Pakai Habis
0 1 1 7 01 02 0 0 0 Suku Cadang
0 1 1 7 01 02 03 0 0 SUKU CADANG ALAT KEDOKTERAN
0 1 1 7 01 02 03 001 0 Suku Cadang Alat Kedokteran Umum
0 1 1 7 01 02 03 001 0001 Abbocath jarum infus 18
0 1 1 7 01 02 03 001 0002 Abbocath jarum infus 20
0 1 1 7 01 02 03 001 0003 Abbocath jarum infus 22
0 1 1 7 01 02 03 001 0004 Abbocath jarum infus 24
0 1 1 7 01 02 03 001 0005 Abbocath jarum infus 26
0 1 1 7 01 02 03 001 0007 Alat suntik 0.05 cc
0 1 1 7 01 02 03 001 0008 Alat suntik 0.5 cc
0 1 1 7 01 02 03 001 0009 Alat suntik 1 cc
0 1 1 7 01 02 03 001 0010 Alat suntik 3 cc
0 1 1 7 01 02 03 001 0011 Alat suntik 5 cc
0 1 1 7 01 02 03 001 0012 Alat suntik 10 cc
0 1 1 7 01 02 03 001 0013 Alat suntik 20 cc
0 1 1 7 01 02 03 001 0014 Bisturi 10
0 1 1 7 01 02 03 001 0015 Bisturi 11
0 1 1 7 01 02 03 001 0016 Bisturi 12
0 1 1 7 01 02 03 001 0017 Blood Set
0 1 1 7 01 02 03 001 0018 Foley Catheter no.16
0 1 1 7 01 02 03 001 0019 Foley Catheter no.24
0 1 1 7 01 02 03 001 0020 Handscoon
0 1 1 7 01 02 03 001 0021 Handscoon steril S
0 1 1 7 01 02 03 001 0022 Handscoon steril M
0 1 1 7 01 02 03 001 0023 Handscoon steril L
0 1 1 7 01 02 03 001 0024 Infus set anak
0 1 1 7 01 02 03 001 0025 Infus set dewasa
0 1 1 7 01 02 03 001 0026 Jarum Hecting Kulit
0 1 1 7 01 02 03 001 0027 Jarum Hecting Otot
0 1 1 7 01 02 03 001 0028 Kaca Sediaan
0 1 1 7 01 02 03 001 0029 Kapas pembalut 250 mg
0 1 1 7 01 02 03 001 0030 Kasa Hidrofil 36 m x 80 cm
0 1 1 7 01 02 03 001 0031 Kasa Hidrofil Steril 16x16
0 1 1 7 01 02 03 001 0032 Kasa Pembalut Hidrofil 4 x 10 cm
0 1 1 7 01 02 03 001 0033 KasaPembalut Hidrofil 4 x 5
0 1 1 7 01 02 03 001 0034 Kertas Puyer
0 1 1 7 01 02 03 001 0035 Masker
0 1 1 7 01 02 03 001 0036 Nelaton catheter
0 1 1 7 01 02 03 001 0037 Pembalut gips
0 1 1 7 01 02 03 001 0038 Plester 5 yard x 2 inch
0 1 1 7 01 02 03 001 0039 Plester kertas / MICROPORE
0 1 1 7 01 02 03 001 0040 Pot Sputum
0 1 1 7 01 02 03 001 0041 Safety Box
0 1 1 7 01 02 03 001 0042 Sarung Tangan Panjang Steril
0 1 1 7 01 02 03 001 0043 Silk ( Benang sutera ) no 3/0
0 1 1 7 01 02 03 001 0044 Simple mask Anak
0 1 1 7 01 02 03 001 0045 Simple mask Dewasa
0 1 1 7 01 02 03 001 0046 Underpad
0 1 1 7 01 02 03 001 0047 Urine Bag ( Non Seteril )
0 1 1 7 01 02 03 001 0048 Wing needle
0 1 1 7 01 02 03 001 0049 Steril Cotton Swab (lidi buton)
0 1 1 7 01 02 03 001 0050 Masker N95
0 1 1 7 01 02 03 001 0051 Masker nebulizer Anak
0 1 1 7 01 02 03 001 0052 Masker nebulizer dewasa
0 1 1 7 01 02 03 001 0053 NGT
0 1 1 7 01 02 03 001 0054 Oxigen nasal canule anak
0 1 1 7 01 02 03 001 0055 Oxigen nasal canule dewasa
0 1 1 7 01 02 03 001 0056 Pot Urine
0 1 1 7 01 02 03 001 0057 Pot Fesses
0 1 1 7 01 02 03 001 0058 Disposible Lancet
0 1 1 7 01 02 03 001 0059 Pen Lancet
0 1 1 7 01 02 03 001 0060 Catgut Chromic SMI 2/0
0 1 1 7 01 02 03 001 0061 Catgut Chromic SMI 3/0
0 1 1 7 01 02 03 001 0062 Catgut Plain SMI 2/0
0 1 1 7 01 02 03 001 0063 Catgut Plain SMI 3/0
0 1 1 7 01 02 03 001 0064 Guedel Airway 50mm
0 1 1 7 01 02 03 001 0065 Guedel Airway 80mm
0 1 1 7 01 02 03 001 0085 Masker Earloop
0 1 1 7 01 02 03 001 0086 Masker Headloop
0 1 1 7 01 02 03 001 0087 Coverall
0 1 1 7 01 02 03 001 0088 Surgeon cap
0 1 1 7 01 02 03 001 0089 Nurse Cap
0 1 1 7 01 02 03 001 0090 Apron
0 1 1 7 01 02 03 001 0091 Blood Lancet
0 1 1 7 01 02 03 001 0092 Masker Hijab Program TB
0 1 1 7 01 02 03 001 0093 Masker medis Program HIV
0 1 1 7 01 02 03 002 0 Suku Cadang Alat Kedokteran Gigi
0 1 1 7 01 02 03 002 0001 Microbrush
0 1 1 7 01 02 03 005 0 Suku Cadang Alat Kedokteran Kebidanan Dan Penyak
0 1 1 7 01 02 03 005 0001 Jelly USG
0 1 1 7 01 02 03 005 0002 Vaginal Specullum
011 7 1 2 4 0 0 SUKU CADANG ALAT LABORATORIUM
0 1 1 7 01 02 04 002 0 Suku Cadang Alat Laboratorium Micro Biologi Peny
0 1 1 7 01 02 04 002 0001 Oil Imersi
0 1 1 7 01 02 04 002 0002 Reagen Ziehl Neelsen
0 1 1 7 01 02 04 002 0003 Alkohol Swab
0 1 1 7 01 02 04 002 0004 Test Pack
0 1 1 7 01 02 04 002 0005 Stik Kolesterol
0 1 1 7 01 02 04 002 0006 Stik Asam Urat
0 1 1 7 01 02 04 002 0007 Stik Glukosa
0 1 1 7 01 02 04 002 0008 Rapid 3 HIV
0 1 1 7 01 02 04 002 0009 Rapid 2 HIV
0 1 1 7 01 02 04 002 0010 Intec HIV III
0 1 1 7 01 02 04 002 0011 Rapid 1 HIV (SD Bioline HIV Kit 1)
0 1 1 7 01 02 04 002 0012 Oncoprobe HIV.3
0 1 1 7 01 02 04 002 0013 Rapid sypilis (SD Bioline/Threpocheck)
0 1 1 7 01 02 04 002 0014 RPR Shypilis
0 1 1 7 01 02 04 002 0015 SD HbsAg
0 1 1 7 01 02 04 002 0016 Iodina Tes 10 ml
0 1 1 7 01 02 04 002 0017 Reagen Golongan Darah Anti A
0 1 1 7 01 02 04 002 0018 Reagen Golongan Darah Anti B
0 1 1 7 01 02 04 002 0019 Reagen Golongan Darah Anti AB
0 1 1 7 01 02 04 002 0020 Reagen Golongan Darah Anti D
0 1 1 7 01 02 04 002 0021 Stik Hemoglobin
0 1 1 7 01 02 04 002 0022 Protein Urine Test
0 1 1 7 01 02 04 002 0023 RPR Shypilis Component
0 1 1 7 01 02 04 002 0024 Kartu Golongan Darah
0 1 1 7 01 02 04 002 0025 RDT DBD COMBO
0 1 1 7 01 02 04 002 0026 Rapid shypilis (Alere)
0 1 1 7 01 02 04 002 0027 RDT Leptospirosis/ Uji Leptospira IgM (prov)
0 1 1 7 01 02 04 002 0028 SD Bioline Dengue Duo (p2p)
0 1 1 7 01 02 04 002 0029 DBS Collection
0 1 1 7 01 02 04 002 0030 Rapid Test Antigen Covid-19 SD Biosensor (Prov)
0 1 1 7 01 02 04 002 0031 XPert-HIV Viral Load Cartridge
000 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
000 0 0 0 0 0 0 Alkohol Swab (Imunisasi Covid)
000 0 0 0 0 0 0 Disp. Spuit 0,5 ml (APBD Dinkes Prov)
000 0 0 0 0 0 0 Safety Box 5 l (Imunisasi Covid)
000 0 0 0 0 0 0 Alkohol Swab (Pfizer)
000 0 0 0 0 0 0 Disp. Spuit 0,3 ml (Pfizer)
000 0 0 0 0 0 0 Disp. Spuit 3 ml (Pfizer)
000 0 0 0 0 0 0 Safety Box (Pfizer)
000 0 0 0 0 0 0 Hazmat suit (BANPROV)
000 0 0 0 0 0 0 Rapid Test Antigen Panbio (BanProv)
000 0 0 0 0 0 0 Disp. Spuit 0,5 ml (Imunisasi Covid)
000 0 0 0 0 0 0 Paket alkohol swab+Handscoon
000 0 0 0 0 0 0 VTM Yaohobio (Dinkes Prov)
000 0 0 0 0 0 0 masker n95 1860 (BTT)
0 0 0 0 0 0 0 0 0 masker n95 1870t
0 0 0 0 0 0 0 0 0 SARUNG TANGAN RUMAH TANGGA BTT ANAB
0 0 0 0 0 0 0 0 0 SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Ba
0 0 0 0 0 0 0 0 0 Vacutainer no 21
0 0 0 0 0 0 0 0 0 vacutainer no 22
0 0 0 0 0 0 0 0 0 Sarung tangan rumah tangga
0 0 0 0 0 0 0 0 0 Masker N95 (APBD Yasmin)
0 0 0 0 0 0 0 0 0 APD Coverall (BTT)
0 0 0 0 0 0 0 0 0 Masker (BTT)
0 0 0 0 0 0 0 0 0 Hazmat / Coverall (BOK Covid)
0 0 0 0 0 0 0 0 0 Masker N95 Mask 5 ply (BOK Covid)
0 0 0 0 0 0 0 0 0 Handscoon (BTT)
0 0 0 0 0 0 0 0 0 Tong Spatel (APBD P2P)
0 0 0 0 0 0 0 0 0 Disp. Spuit 0,5 ml (BIAS)
0 0 0 0 0 0 0 0 0 Safety Box (BIAS)
0 0 0 0 0 0 0 0 0 Coverall (Dinkes Prov)
0 0 0 0 0 0 0 0 0 Handscoon (BANPROV BANTEN)
0 0 0 0 0 0 0 0 0 Cover all BOHO
0 0 0 0 0 0 0 0 0 Rapid Test Antigen Wondfo(Dinkes prov)
0 0 0 0 0 0 0 0 0 Hazmat (BTT Yasmin)
0 0 0 0 0 0 0 0 0 KONDOM SUTRA
0 0 0 0 0 0 0 0 0 Masker Bedah (Program TB)
0 0 0 0 0 0 0 0 0 Rapid Antigen Longsee ( Dinkes Prov)
0 0 0 0 0 0 0 0 0 Masker N95 8810 (BanProv)
0 0 0 0 0 0 0 0 0 Kasa Steril 7,5x7,5
0 0 0 0 0 0 0 0 0 Disp. Spuit 3 ml
0 0 0 0 0 0 0 0 0 Stik Kolesterol (2022)
0 0 0 0 0 0 0 0 0 Stik Glukosa (2022)
0 0 0 0 0 0 0 0 0 Handscoon Protos (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Handscoon Nitrile (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Rapid Tes Antigen Covid-19 Ag SD Biosensor (APBD
0 0 0 0 0 0 0 0 0 Alkohol Swab Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Blood Lancet Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Strip Glukosa Box (Paket DAK P2P)
0 0 0 0 0 0 0 0 0 Safety Box (BIAN)
0 0 0 0 0 0 0 0 0 Pot Dahak (2022)
0 0 0 0 0 0 0 0 0 Pen Marker (BIAN)
0 0 0 0 0 0 0 0 0 Spuit 20 ml Box(2022)
0 0 0 0 0 0 0 0 0 Plastik Klip (15x10) BTT Yasmin (Pack)
0 0 0 0 0 0 0 0 0 Masker N95 (Program TB)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.18 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.20 (2022)
0 0 0 0 0 0 0 0 0 IV Catheter With Injection Port No.22 (2022)
0 0 0 0 0 0 0 0 0 Masker Earloop (Box)
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 Lubricant
0 0 0 0 0 0 0 0 0 Handscoon Non Steril (Box)
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 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 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 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 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Waslap
0 0 0 0 0 0 0 0 0 Perlak
0 0 0 0 0 0 0 0 0 Apron plastik
0 0 0 0 0 0 0 0 0 Suction Cath bayi
0 0 0 0 0 0 0 0 0 Duk plos 60x60
0 0 0 0 0 0 0 0 0 Delee(Nasal Aspirator)
0 0 0 0 0 0 0 0 0 Kasa Roll Gulung Besar
0 0 0 0 0 0 0 0 0 Oxigen Nasal Canul Anak
0 0 0 0 0 0 0 0 0 Err:509
0 0 0 0 0 0 0 0 0 SALIVA EJECTOR DOCHEM
0 0 0 0 0 0 0 0 0 Jarum Citoject
0 0 0 0 0 0 0 0 0 micro brush
0 0 0 0 0 0 0 0 0 Polibib
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 45-80 Set
0 0 0 0 0 0 0 0 0 S.File Sendoline L 25 UK 15-40 Set
0 0 0 0 0 0 0 0 0 Haudle Brush + Brush
0 0 0 0 0 0 0 0 0 Napkin Holder Pakistan
0 0 0 0 0 0 0 0 0 Bur Diamond Set 6 FG Edenta
0 0 0 0 0 0 0 0 0 Cotton Roll Prodental
0 0 0 0 0 0 0 0 0 Poch Pack D
0 0 0 0 0 0 0 0 0 Poch Pack L
0 0 0 0 0 0 0 0 0 ABX Pentra Creatinine ABX
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6,5
0 0 0 0 0 0 0 0 0 Sarung Tangan No 7
0 0 0 0 0 0 0 0 0 Sarung Tangan No 6
0 0 0 0 0 0 0 0 0 Duk Lubang, 25 cm x 30 cm
0 0 0 0 0 0 0 0 0 Poles
0 0 0 0 0 0 0 0 0 Kantong Plastik Kresek
0 0 0 0 0 0 0 0 0 Plastik Klip 10x8.7
0 0 0 0 0 0 0 0 0 Plastik Klip 13x8.7
0 0 0 0 0 0 0 0 0 Dermafix
0 0 0 0 0 0 0 0 0 Kondom
0 0 0 0 0 0 0 0 0 IUD Coper T
0 0 0 0 0 0 0 0 0 ABX Pentra Cholesterol CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra HDL Direct CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra Triglicerides CP ABX
0 0 0 0 0 0 0 0 0 Reagen Glukosa Cair
0 0 0 0 0 0 0 0 0 Reagen Ureum
0 0 0 0 0 0 0 0 0 ABX Pentra AST CP ABX
0 0 0 0 0 0 0 0 0 ABX Pentra ALT CP ABX
0 0 0 0 0 0 0 0 0 Multical Calibrator
0 0 0 0 0 0 0 0 0 Normal Multi Control
0 0 0 0 0 0 0 0 0 Cup Sample Blue
0 0 0 0 0 0 0 0 0 Cuvet Segment
0 0 0 0 0 0 0 0 0 Yellow Tips
0 0 0 0 0 0 0 0 0 Blue Tips
0 0 0 0 0 0 0 0 0 Aqua Bidest
0 0 0 0 0 0 0 0 0 Eighcheck-3 WP
0 0 0 0 0 0 0 0 0 Widal Test
0 0 0 0 0 0 0 0 0 Tabung EDTA
0 0 0 0 0 0 0 0 0 Caviton White
0 0 0 0 0 0 0 0 0 XT Rest Syr 3G
0 0 0 0 0 0 0 0 0 Matrix Holder dan Band Dentamerica
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 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 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 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 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
BULAN
SATUAN
JAN FEB MAR APR MEI JUN JUL AGS
4
0
0
0
0
pcs 0 0 0 50 0 0 0 0
pcs 0 0 0 50 0 0 0 0
pcs 0 0 0 25 0 0 0 0
pcs 0 5 0 0 0 0 0 0
pcs 0 10 0 10 0 0 0 0
pcs 0 0 0 0 0 0 0 58
pcs 560 0 350 0 0 0 7150 0
pcs 0 0 100 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 420 0
pcs 0 0 0 0 0 100 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 10 10 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 50 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 10000 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 100 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 720 0 0 0 0 0 0 0
Bungkus 7 0 0 0 0 2 0 0
Roll 0 0 0 0 0 0 0 10
Kotak 40 0 0 0 0 0 50 0
Roll 0 0 0 0 0 0 0 0
Roll 0 0 0 0 100 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
Roll 0 0 0 0 0 0 0 0
Roll 0 0 0 0 0 0 0 0
pcs 24 24 24 0 0 0 0 0
pot 0 0 400 0 0 0 0 0
pcs 0 0 0 0 0 0 45 0
pcs 0 0 0 100 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 100 0 0 0 0 0 100
pcs 0 0 0 0 0 0 0 50
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 5 0 0 0 0
pcs 0 0 0 5 0 5 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 48 0 12 0 0 0 0
pcs 0 0 0 0 0 0 24 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 1000 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 400 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
pak 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
pcs 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
botol 0 0 0 0 0 0 0 0
Paket 0 0 0 0 0 0 0 0
pcs 1000 0 0 0 0 0 0 0
Vial 0 0 0 0 0 1000 0 0
pcs 0 0 300 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 50 0 0 0 0 0
pcs 50 0 50 0 0 0 0 25
Tes 0 0 0 0 0 0 0 0
Tes 0 0 200 400 0 0 0 300
Tes 0 0 0 0 0 0 0 0
Tes 0 0 200 200 0 0 0 300
Tes 0 0 0 0 0 0 0 0
Tes 0 0 200 275 0 0 0 100
Tes 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 800 0 100
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
TES 0 0 0 0 0 0 0 0
tes 0 0 0 0 0 0 0 0
pcs 0 25 0 0 0 0 25 25
Kit 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 400 0
Set 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Pcs 6300 0 0 820 240 100 6 0
Pcs 6300 0 0 0 0 100 6 0
Pcs 54 0 0 8 2 1 0 0
Pcs 1824 7908 4608 204 1212 1008 0 120
Pcs 3648 9708 4758 204 1212 1008 0 120
Pcs 304 809 409 17 101 84 0 10
Pcs 15 69 46 2 12 4 0 1
Pcs 200 0 0 0 0 0 0 0
Pcs 800 0 0 0 0 0 0 0
Pcs 0 0 0 820 240 0 0 0
Paket 500 0 0 0 0 0 0 0
Paket 600 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 600 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Box 0 48 0 0 0 0 0 0
Pcs 0 1800 0 0 0 0 0 0
pcs 0 0 100 0 0 0 0 0
Pcs 0 0 0 0 20 0 0 0
Pcs 0 0 0 0 600 0 100 100
Box 0 0 0 0 0 25 0 0
Box 0 0 0 0 0 1 0 0
Pcs 0 0 0 0 0 0 1000 0
Pcs 0 0 0 0 0 0 1000 0
Pcs 0 0 0 0 0 0 200 0
Box 0 0 0 0 0 0 58 0
Box 0 0 0 0 0 0 29 0
Box 0 0 0 0 0 0 116 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 200 600
Pcs 0 0 0 0 0 0 60 0
Box 0 0 0 0 0 0 0 1
Pack 0 0 0 0 0 0 0 5
Box 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Box 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 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 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 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
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Err:509 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
set 0 0 0 0 0 0 0 0
set 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
set 0 0 0 0 0 0 0 0
pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pak 0 0 0 0 0 0 0 0
Pak 0 0 0 0 0 0 0 0
Pak 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Kit 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pack 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pack 0 0 0 0 0 0 0 0
Pack 0 0 0 0 0 0 0 0
Galon 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 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 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 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 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 0 0 0 0 0
SEP OKT NOV DES JUMLAH
0
0
0
0
0
0 0 0 0 50
0 0 0 0 50
0 0 0 0 25
0 0 0 0 5
0 0 0 0 20
0 0 100 0 158
300 3991 0 0 12351
0 0 0 0 100
0 0 0 0 0
0 0 100 0 520
0 0 100 0 200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 20
0 0 0 0 0
0 50 0 0 100
0 10 0 0 10
0 0 0 0 0
0 0 0 0 10000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 720
3 0 2 0 14
0 0 0 0 10
0 100 100 0 290
0 0 0 0 0
0 0 100 0 200
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 24 0 120
0 0 0 0 400
3 40 0 0 88
0 0 0 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 100 0 300
0 0 0 0 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 0 5
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
72 0 0 0 132
0 0 0 0 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 1000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 400
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 0 360 0 360
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 1000
0 0 0 0 1000
0 0 0 0 300
0 0 0 0 0
0 0 0 0 0
0 0 0 0 50
0 0 0 0 125
0 0 0 0 0
125 0 0 0 1025
0 0 0 0 0
200 0 200 0 1100
0 0 0 0 0
1050 0 0 0 1625
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
4 0 0 0 4
4 0 0 0 4
0 0 0 0 900
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 75
0 0 0 0 0
0 0 0 0 400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 7466
0 0 0 0 6406
0 0 0 0 65
1008 0 1260 0 19152
1008 0 1260 0 22926
84 0 105 0 1923
10 0 12 0 171
0 0 0 0 200
0 0 0 0 800
0 0 0 0 1060
0 0 0 0 500
0 0 0 0 600
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 0 600
0 0 0 0 0
0 0 0 0 0
63 0 0 0 111
0 0 0 0 1800
60 0 120 0 280
0 0 0 0 20
0 0 0 0 800
0 13 0 0 38
0 0 0 0 1
0 0 0 0 1000
0 0 0 0 1000
0 0 0 0 200
0 0 0 0 58
0 0 0 0 29
0 0 0 0 116
0 0 0 0 0
600 0 0 0 1400
0 0 0 0 60
0 0 0 0 1
0 0 0 0 5
22 0 0 0 22
100 0 0 0 100
100 0 0 0 100
50 0 0 0 50
0 20 0 0 20
0 2016 0 0 2016
0 1000 0 0 1000
0 0 20 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 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 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
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 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 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 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 0
0 0 0 0 0
0 0 0 0 0
REKAP PENERIMAAN OBAT
MENU TAHUN : 2022

NO KODE BARANG NAMA BARANG


1 2 3
1. 11 7 1 0 0 0 0 Barang Pakai Habis
011 7 1 4 0 0 0 OBAT-OBATAN
0 1 1 7 01 04 01 0 0 OBAT
0 1 1 7 01 04 01 0 0 ANTIINFEKSI
0 1 1 7 01 04 01 002 0 Amoksilin kapsul 250 mg
0 1 1 7 01 04 01 002 0 Amoksilin tab 500 mg
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 125 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 004 0 Amoksisilin s kering 250 mg / 5 cc 60 Ml
0 1 1 7 01 04 01 002 0 Asiklovir tab 200 mg
0 1 1 7 01 04 01 002 0 Asiklovir tab 400mg
0 1 1 7 01 04 01 002 0 Azitromisin 500 mg
0 1 1 7 01 04 01 004 0 Benzatin Benzil penisilin
0 1 1 7 01 04 01 002 0 Cefixim 100 mg kapsul
0 1 1 7 01 04 01 004 0 Cefixime DS 100 mg/ 5ml
0 1 1 7 01 04 01 002 0 Doksisiklin kapsul 100 mg
0 1 1 7 01 04 01 001 0 Erytromisin sirup 60 Ml 200mg/5ml
0 1 1 7 01 04 01 002 0 Erytromycin 250 mg
0 1 1 7 01 04 01 002 0 Erytromycin 500 mg
0 1 1 7 01 04 01 002 0 Flukonazol kapsul 150 mg
0 1 1 7 01 04 01 002 0 Griseofulvin tablet 125 mg micronized
0 1 1 7 01 04 01 002 0 Ketokonazol tablet 200 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 150 mg
0 1 1 7 01 04 01 002 0 Klindamisin Kapsul 300 mg
0 1 1 7 01 04 01 002 0 Kloramfenikol kapsul 250 mg
0 1 1 7 01 04 01 001 0 Kloramfenikol sirup 60 Ml
0 1 1 7 01 04 01 001 0 Kotrimoksazol Suspensi 60 Ml 40mg/5ml
0 1 1 7 01 04 01 002 0 Kotrimoksazol 480 mg tablet
0 1 1 7 01 04 01 002 0 Lincomysin 500 mg
0 1 1 7 01 04 01 002 0 Metronidazol tablet 500 mg
0 1 1 7 01 04 01 001 0 Metronidazole infus 500 mg/100ml
0 1 1 7 01 04 01 001 0 Nistatin drop / Mycostatin, candistin, Nymiko
0 1 1 7 01 04 01 002 0 Nistatin tablet salut gula 500.000 IU/g
0 1 1 7 01 04 01 002 0 Nistatin tablet vagina 100.000 IU/g
0 1 1 7 01 04 01 002 0 Sefadoksil 500 mg
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 125ml/5ml
0 1 1 7 01 04 01 004 0 Sefadoksil syrup 250ml/5ml
0 1 1 7 01 04 01 004 0 Seftriaxsone 1 gr inj
0 1 1 7 01 04 01 002 0 Siproploksasin tab 500 mg
0 1 1 7 01 04 01 004 0 Streptomycin inj 1 gram
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 250 mg
01 1 7 01 04 01 002 0 Tetrasiklin Kapsul 500 mg
01 1 7 01 04 01 002 0 Tiamfenikol kap 500 mg
01 1 7 01 04 01 001 0 Gentamicin injeksi 40 mg/ml
01 1 7 01 04 01 002 0 OSELTAMIVIR
01 1 7 01 04 01 002 0 FAVIPIRAVIR 200MG
01 1 7 01 04 01 0 0 ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI
01 1 7 01 04 01 002 0 Alopurinol tablet 100 mg
01 1 7 01 04 01 002 0 Alopurinol tablet 300 mg
01 1 7 01 04 01 002 0 Asam Mefenamat 250
01 1 7 01 04 01 002 0 Asam Mefenamat 500
01 1 7 01 04 01 002 0 Asetosal Tablet 80 mg (Aspilet)
01 1 7 01 04 01 002 0 Ibuprofen Supp
01 1 7 01 04 01 001 0 Ibuprofen Suspensi 200mg/5ml
01 1 7 01 04 01 002 0 Ibuprofen tablet 200 mg
01 1 7 01 04 01 002 0 Ibuprofen tablet 400 mg
01 1 7 01 04 01 002 0 Kalium Diclofenak 50 mg
01 1 7 01 04 01 002 0 Meloksixam tablet 15 mg
01 1 7 01 04 01 002 0 Natrium Diclofenac tab 50 mg
01 1 7 01 04 01 001 0 Parasetamol Drop 15 ml
01 1 7 01 04 01 001 0 Parasetamol sirup 120 mg / 5ml
01 1 7 01 04 01 002 0 Parasetamol tablet 500 mg
01 1 7 01 04 01 002 0 Tramadol tablet 50 mg
01 1 7 01 04 01 0 0 DIGESTIVA
01 1 7 01 04 01 002 0 Antasida DOEN komb
01 1 7 01 04 01 001 0 Antasida sirup 60 Ml
01 1 7 01 04 01 002 0 Lansoprazole
01 1 7 01 04 01 002 0 Mesoprostol 200 mg
01 1 7 01 04 01 002 0 Natrium Bikarbonat tablet 500 mg
01 1 7 01 04 01 002 0 Omeprazole 20 mg tablet
01 1 7 01 04 01 001 0 Ranitidin inj 25 mg/2ml
01 1 7 01 04 01 002 0 Ranitidin tablet 150 mg
01 1 7 01 04 01 001 0 Sucraflat sirup
01 1 7 01 04 01 0 0 ANTISPASMODIK
01 1 7 01 04 01 001 0 Atropin sulfat inj 0,25 mg / ml-1ml
01 1 7 01 04 01 002 0 Chlordiazepoxide (Braxidin)
01 1 7 01 04 01 002 0 Ekstrak Belladon tablet 10 mg
01 1 7 01 04 01 002 0 Hyoscine-N-Butilbromida/Buscopan tablet
01 1 7 01 04 01 001 0 Buscopan Inj
01 1 7 01 04 01 002 0 Papaverin tablet
01 1 7 01 04 01 0 0 LAKSATIVA
01 1 7 01 04 01 002 0 Bisacodil Tablet 5 mg
01 1 7 01 04 01 002 0 Bisacodil Suppositoria
01 1 7 01 04 01 001 0 Laktulosa Syr 3,335g/5ml / Laktulak syrup
01 1 7 01 04 01 0 0 ANTIDIARE & ELEKTROLIT
01 1 7 01 04 01 002 0 Attapulgit
01 1 7 01 04 01 001 0 Garam Oralit 200 ml air
01 1 7 01 04 01 002 0 Norit
01 1 7 01 04 01 002 0 Zink Tablet (Untuk Diare Anak)
01 1 7 01 04 01 001 0 Zinc suspensi 100 ml
01 1 7 01 04 01 0 0 ANTIEMESIS
01 1 7 01 04 01 002 0 Dimenhidrinat tab 50 mg
01 1 7 01 04 01 002 0 Domperidon 10 mg tablet
01 1 7 01 04 01 001 0 Domperidon suspensi 5 mg/ml
01 1 7 01 04 01 001 0 Metoclopramid Inj
01 1 7 01 04 01 001 0 Metoclopramid Syrup
01 1 7 01 04 01 002 0 Metoclopramid 10 mg Tab
01 1 7 01 04 01 001 0 Ondansetron injeksi
01 1 7 01 04 01 002 0 Ondansetron tablet 4 mg
01 1 7 01 04 01 0 0 OBAT METABOLISME (VITAMIN&MINERAL)
01 1 7 01 04 01 002 0 Asam Askorbat (VIT C) Tablet
01 1 7 01 04 01 001 0 Asam Askorbat (VIT C) Injeksi
01 1 7 01 04 01 002 0 Kalsium laktat (Kalk) tablet 500 mg
01 1 7 01 04 01 001 0 Multivitamin anak 60 Ml
01 1 7 01 04 01 002 0 Multivitamin dewasa
01 1 7 01 04 01 001 0 Neurobion 5000 injeksi
01 1 7 01 04 01 002 0 Piracetam 800 mg
01 1 7 01 04 01 002 0 Piridoksin HCl (Vit B6) tablet 10 mg
01 1 7 01 04 01 002 0 Vitamn B6 25 mg
01 1 7 01 04 01 001 0 Sianokobalamin inj 500 mcg/ml-1ml
01 1 7 01 04 01 002 0 Sianokobalamin tab b12
01 1 7 01 04 01 001 0 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml
01 1 7 01 04 01 002 0 Tiamin HCL (Vit B1) tablet 50 mg
01 1 7 01 04 01 001 0 Vitamin B Komplek Inj
01 1 7 01 04 01 002 0 Vit B kompleks tab
01 1 7 01 04 01 002 0 Anti osteoarthritis
01 1 7 01 04 01 0 0 ANTI ASMA
01 1 7 01 04 01 001 0 Aminofilin inj 24 mg / cc
01 1 7 01 04 01 002 0 Aminofilin tab 150 mg
01 1 7 01 04 01 001 0 Bromhexin larutan (Bisolvon drop untuk inhalasi)
01 1 7 01 04 01 001 0 Bricasma Inj
01 1 7 01 04 01 002 0 Efedrin HCl tablet 25 mg
01 1 7 01 04 01 002 0 Salbutamol tablet 4 mg
01 1 7 01 04 01 001 0 Salbutamol inhalasi
01 1 7 01 04 01 0 0 ANTITUSIVE & EKSPEKTORAN
01 1 7 01 04 01 001 0 Ambroksol sirup 60 ml
01 1 7 01 04 01 002 0 Ambroksol tablet
01 1 7 01 04 01 002 0 Asetilsistein 200 mg
01 1 7 01 04 01 002 0 Bromhexin tablet 8 mg
01 1 7 01 04 01 002 0 Gliseril Guayakolat tablet 100 mg
0 1 1 7 01 04 01 002 0 Kodein fosfat tablet 10 mg
0 1 1 7 01 04 01 001 0 Bromhexin sirup
0 1 1 7 01 04 01 001 0 Obat batuk Hitam (OBH) 100 ml
0 1 1 7 01 04 01 0 0 ANTI ANEMIA
0 1 1 7 01 04 01 002 0 Asam folat 1 mg
0 1 1 7 01 04 01 002 0 Tambah darah komb : Besi + as folat
0 1 1 7 01 04 01 0 0 OBAT YANG MEMPENGARUHI KOAGULASI
0 1 1 7 01 04 01 001 0 Asam Traneksamat 250mg/5ml
0 1 1 7 01 04 01 002 0 Asam Traneksamat 500 MG
0 1 1 7 01 04 01 001 0 Fitomenadion (Vit K1) inj 2mg/1ml (pedriatik)
0 1 1 7 01 04 01 001 0 Fitomenadion inj 10 mg / ml
0 1 1 7 01 04 01 002 0 Fitomenadion tablet gula 10 mg
000 0 0 0 0 0 0 ANAESTETIK
0 1 1 7 01 04 01 001 0 Lidokain inj
0 1 1 7 01 04 01 0 0 ANTIALERGI/IMUNOLOGIKUM
0 1 1 7 01 04 01 002 0 Cetirizine 10Mg
0 1 1 7 01 04 01 001 0 Cetirizin sirup 5 mg/5ml 60 ml
0 1 1 7 01 04 01 001 0 Deksametason inj 5 mg/ml 1 ml
0 1 1 7 01 04 01 002 0 Deksametason Tablet 0,5 mg
0 1 1 7 01 04 01 001 0 Difenhidramin inj 10 mg/5 ml-1 ml
0 1 1 7 01 04 01 002 0 Klorfeniramin maleat (CTM) tablet 4 mg
0 1 1 7 01 04 01 002 0 Loratadin
0 1 1 7 01 04 01 002 0 Methylprednisolon 4 mg tablet
0 1 1 7 01 04 01 002 0 Prednison tab 5 mg
0 1 1 7 01 04 01 0 0 ANTIKONVULSI
0 1 1 7 01 04 01 002 0 Asam Valproat (Depakote 250 mg)
0 1 1 7 01 04 01 001 0 Diazepam Enema (Stesolid Rectal)
0 1 1 7 01 04 01 001 0 Fenitoin Na inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenitoin Natrium kapsul 100 mg
0 1 1 7 01 04 01 001 0 Fenobarbital inj 50 mg/ml-2ml
0 1 1 7 01 04 01 002 0 Fenobarbital tablet 30 mg
0 1 1 7 01 04 01 001 0 Flufenazin inj
0 1 1 7 01 04 01 002 0 Karbamazepin tablet 200 mg
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -20 %
0 1 1 7 01 04 01 001 0 Magnesium sulfat inj 25 ml -40 %
0 1 1 7 01 04 01 002 0 Triheksifenidil Tablet 2 mg
0 1 1 7 01 04 01 0 0 PSIKOFARMAKA (ANTIANSIETAS, ANTIDEPRESI,
0 1 1 7 01 04 01 002 0 Amitriptilin HCl tab 25 mg
0 1 1 7 01 04 01 001 0 Diazepam inj 5 mg/ml -2 ml
0 1 1 7 01 04 01 002 0 Diazepam tablet 2 mg
0 1 1 7 01 04 01 002 0 Diazepam 5mg
0 1 1 7 01 04 01 002 0 Haloperidol 1,5 mg
0 1 1 7 01 04 01 002 0 Haloperidol 5 mg Tab
0 1 1 7 01 04 01 001 0 Haloperidol injeksi
0 1 1 7 01 04 01 002 0 Klobazam 10 mg
01 1 7 01 04 01 001 0 Klorpromazin HCl inj 5 mg/2cc
01 1 7 01 04 01 002 0 Klorpromazin HCl 100 mg
01 1 7 01 04 01 002 0 Klozapin 25 mg
01 1 7 01 04 01 002 0 Klozapin 100 mg
01 1 7 01 04 01 002 0 Olanzapin 5 mg
01 1 7 01 04 01 002 0 Olanzapin 10 mg
01 1 7 01 04 01 001 0 Olanzapin inj
01 1 7 01 04 01 002 0 Risperidone 2 mg
01 1 7 01 04 01 0 0 ANTIMIGREN
01 1 7 01 04 01 002 0 Antimigren DOEN tab
01 1 7 01 04 01 002 0 Betahistin Mesilat tab 6 mg
01 1 7 01 04 01 002 0 ANTIDIABETIKUM
01 1 7 01 04 01 002 0 Glibenklamid tablet 5 mg
01 1 7 01 04 01 002 0 Glimepirida 1 mg
01 1 7 01 04 01 002 0 Glimepirida 2 mg
01 1 7 01 04 01 002 0 Metformin
01 1 7 01 04 01 0 0 OBAT KULIT & OBAT LUAR
01 1 7 01 04 01 005 0 Antibakteri DOEN salep komb
01 1 7 01 04 01 005 0 Antifungi DOEN kombinasi salep
01 1 7 01 04 01 005 0 Asiklovir krim 5 % 5 gr
01 1 7 01 04 01 005 0 Betametason krim 0,1 %
01 1 7 01 04 01 005 0 Burnazin cream
01 1 7 01 04 01 005 0 Chloramfecort Krim
01 1 7 01 04 01 005 0 Gentamisin salep kulit
01 1 7 01 04 01 001 0 Gentian violet lar 1 %
01 1 7 01 04 01 001 0 GOM
01 1 7 01 04 01 005 0 Hidrokortison krim 2,5 %
01 1 7 01 04 01 002 0 Kassa Penutup luka/lomatule
01 1 7 01 04 01 005 0 Ketokonazol (cream)10 gr
01 1 7 01 04 01 005 0 Kloramfenikol Krim / Bufacetin Salep 2%
01 1 7 01 04 01 005 0 Mikonazol krim
01 1 7 01 04 01 005 0 Obat Luka Bakar
01 1 7 01 04 01 005 0 Oksitetrasiklin 3% salep kulit
01 1 7 01 04 01 005 0 Salep 2-4
01 1 7 01 04 01 004 0 Salisil bedak 2 %
01 1 7 01 04 01 005 0 Scabiecid cream
01 1 7 01 04 01 005 0 Trombophop salep
01 1 7 01 04 01 0 0 OBAT TELINGA
01 1 7 01 04 01 001 0 Fenol Glicerol Cair
01 1 7 01 04 01 001 0 Kloramfenikol tetes telinga 3 %
01 1 7 01 04 01 0 0 OBAT MATA
01 1 7 01 04 01 001 0 Atropin sulfat tetes mata 0,5 %
01 1 7 01 04 01 001 0 Cendoxitrol Tetes Mata
01 1 7 01 04 01 001 0 Gentamisin tetes mata
01 1 7 01 04 01 005 0 Kloramfenikol salep mata 1 %
01 1 7 01 04 01 001 0 Kloramfenikol tetes mata 0.5%/Decacetin
01 1 7 01 04 01 001 0 Obat edema kornea tetes mata/Optalgon
01 1 7 01 04 01 001 0 Ofloxacin tetes mata
01 1 7 01 04 01 005 0 Oksitetrasiklin salep mata
01 1 7 01 04 01 001 0 Sulfasetamida Na tetes mata
01 1 7 01 04 01 001 0 Tetracain Hcl 0,5 % Tetes Mata
01 1 7 01 04 01 001 0 Timolol 0,5 % Tetes mata
01 1 7 01 04 01 0 0 ANTIHAEMORRHOID
01 1 7 01 04 01 002 0 Anti Hemmorhoid DOEN supp
01 1 7 01 04 01 002 0 Anti Hemoroid kapsul
01 1 7 01 04 01 0 0 KARDIOVASKULUS/ ANTIHIPERTENSI
01 1 7 01 04 01 002 0 Amlodipin 5 mg
01 1 7 01 04 01 002 0 Amlodipin 10 mg
01 1 7 01 04 01 002 0 Bisoprolol 2,5 mg
01 1 7 01 04 01 002 0 Bisoprolol 5 mg
01 1 7 01 04 01 002 0 Digoksin tablet 0,25 mg
01 1 7 01 04 01 002 0 Isorbid dinitrat tablet sublingual 5 mg
01 1 7 01 04 01 002 0 Kaptopril 25 mg
01 1 7 01 04 01 002 0 Kaptopril 12.5mg
01 1 7 01 04 01 002 0 Metildopa (Dopamet)
01 1 7 01 04 01 002 0 Nifedipin 10 mg tab
01 1 7 01 04 01 002 0 Nifedipin 20 mg tab
01 1 7 01 04 01 002 0 Propanolol HCl tablet 10 mg
01 1 7 01 04 01 002 0 Reserpin tab 0,25 mg
01 1 7 01 04 01 0 0 DIURETIKUM
01 1 7 01 04 01 002 0 Furosemid tablet 40 mg
01 1 7 01 04 01 002 0 Hidroklortiazid (HCT) tablet 25 mg
01 1 7 01 04 01 002 0 Glaukon
01 1 7 01 04 01 0 0 OKSITOSIKUM
01 1 7 01 04 01 001 0 Metilergometrin maleat inj 0,200 mg - ml
01 1 7 01 04 01 002 0 Metilergometrin maleat tab salut 0,125 mg
01 1 7 01 04 01 001 0 Oksitoksin in 10 IU/ml- 1 ml
01 1 7 01 04 01 0 0 ANTILIPIDEMIKUM
01 1 7 01 04 01 002 0 Simvastatin Tablet 10 mg
01 1 7 01 04 01 002 0 Simvastatin Tablet 20 mg
01 1 7 01 04 01 0 0 HORMON
01 1 7 01 04 01 002 0 Propiltiourasil tablet 100 mg
01 1 7 01 04 01 0 0 SYOK ANAFILAKTIK
01 1 7 01 04 01 001 0 Epinefrin / adrenalin inj 0,1 % - 1ml
01 1 7 01 04 01 0 0 ANTELMINTIK
01 1 7 01 04 01 002 0 Pirantel tablet 125
01 1 7 01 04 01 002 0 pirantel tablet 250 mg
01 1 7 01 04 01 0 0 PELARUT & INFUS
01 1 7 01 04 01 001 0 Aqua pro inj steril @ 25 cc
01 1 7 01 04 01 001 0 Cairan infus pengganti plasma/gelofusin
0 1 1 7 01 04 01 001 0 Dekstran 70 lar infus 6 %
0 1 1 7 01 04 01 001 0 Glukosa lar infus 10 %
0 1 1 7 01 04 01 001 0 Glukosa lar infus 40 %
0 1 1 7 01 04 01 001 0 Glukosa lar infus 5 %
0 1 1 7 01 04 01 001 0 Manitol 20 %
0 1 1 7 01 04 01 001 0 Natrium Klorida Lar.infus 0,9 % steril
0 1 1 7 01 04 01 001 0 Ringer Laktat Larutan Infus Steril
0 1 1 7 01 04 01 0 0 ANTISEPTIKA & DESINFEKTAN
0 1 1 7 01 04 01 001 0 Etakridin ( rivanol ) lar 0,1 % 300 cc
0 1 1 7 01 04 01 001 0 Etanol 70 %1000 ml
0 1 1 7 01 04 01 001 0 Etanol 70 %100 ml
0 1 1 7 01 04 01 001 0 ETANOL 70% 20 L
0 1 1 7 01 04 01 001 0 Povidon Iodine 10 % 60 ml
0 1 1 7 01 04 01 001 0 povidon iodne 10% 300ml
0 1 1 7 01 04 01 001 0 Povidon Iodine 10 % 1000 ml
0 1 1 7 01 04 01 0 0 SERUM
0 1 1 7 01 04 01 001 0 Serum anti tetanus inj 1.500 IU/amp
0 1 1 7 01 04 01 001 0 Serum anti tetanus inj 20.000 IU/vial
0 1 1 7 01 04 01 001 0 Serum antibisa ular Polivalen inj 5 ml
0 1 1 7 01 04 01 001 0 Serum Anti Defteri
0 1 1 7 01 04 01 001 0 Serum Anti Rabies 300iv/ml
0 1 1 7 01 04 01 0 0 ANTIDOTUM
0 1 1 7 01 04 01 001 0 Calsium gluconas inj
0 1 1 7 01 04 01 001 0 Natrium tiosulfat inj
0 1 1 7 01 04 01 001 0 Nalokson Inj 0,4 mg/ml
0 1 1 7 01 04 01 0 0 OBAT PROGRAM
0 1 1 7 01 04 01 0 0 ANTI MALARIA
0 1 1 7 01 04 01 001 0 Artemeter injeksi
0 1 1 7 01 04 01 002 0 Arterakine tablet
0 1 1 7 01 04 01 001 0 Artesunate injeksi
0 1 1 7 01 04 01 001 0 Kuinin Dihidroklorida injeksi 25%-2 ml
0 1 1 7 01 04 01 002 0 KLOROKUIN 150mg
0 1 1 7 01 04 01 002 0 Dehydro Artesimin 40mg + piperaquin 320mg (DHP) (
0 1 1 7 01 04 01 002 0 Primaquine 15mg (prov)
0 1 1 7 01 04 01 0 0 GIZI
0 1 1 7 01 04 01 004 0 Mineral Mix
0 1 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 100.000 unit
0 1 1 7 01 04 01 002 0 Retinol ( vit A ) kapsul 200.000 unit
0 1 1 7 01 04 01 004 0 Taburia
0 1 1 7 01 04 01 004 0 Formal 100
0 1 1 7 01 04 01 001 0 Nutridrink 200 ml
000 0 0 0 0 0 0 Susu Ibu Hamil 300mg
0 1 1 7 01 04 01 005 0 Formula Gizi (RUTF)
0 1 1 7 01 04 01 0 0 FILARIASIS
0 1 1 7 01 04 01 002 0 Anti Filaria Tablet ( Dietyl Karbamazepin )
01 1 7 01 04 01 002 0 Albendazol tab 400 mg
01 1 7 01 04 01 001 0 Albendazol Sirup 200mg/5ml
01 1 7 01 04 01 0 0 ANTI LEPRA
01 1 7 01 04 01 002 0 MD Dewasa
01 1 7 01 04 01 002 0 MD Anak
01 1 7 01 04 01 002 0 PB Dewasa
01 1 7 01 04 01 002 0 PB Anak
01 1 7 01 04 01 0 0 OBAT TBC
01 1 7 01 04 01 002 0 INH 100 mg
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 1
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis FDC Kat 2
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Kategori Anak
01 1 7 01 04 01 002 0 Obat Anti Tuberkulosis Sisipan
01 1 7 01 04 01 002 0 Azythromycin Cefixime (kombipak)
01 1 7 01 04 01 002 0 OAT Kombipak Kat.1
01 1 7 01 04 01 002 0 OAT Kategori 1 Dosis Harian
01 1 7 01 04 01 002 0 CATRIDGE TCM (TB)
01 1 7 01 04 01 002 0 PPD 2 TU
01 1 7 01 04 01 0 0 HIV AIDS
01 1 7 01 04 01 002 0 Abacavir 300mg
01 1 7 01 04 01 002 0 Abacavir + Lamivudine (120mg/60mg)
01 1 7 01 04 01 002 0 Dolutegravir 50mg
01 1 7 01 04 01 002 0 Efavirenz 200mg
01 1 7 01 04 01 002 0 Efavirenz 600
01 1 7 01 04 01 002 0 Lamivudin (3TC) 150MG
01 1 7 01 04 01 002 0 Lopinavir + Ritonavir (200/ 50MG)
01 1 7 01 04 01 002 0 Lopinavir + Ritonavir (40/10mg)
01 1 7 01 04 01 002 0 Nevirapine (NPV) 200MG
01 1 7 01 04 01 002 0 Rilpivirine 25mg (eduran)
01 1 7 01 04 01 002 0 Tenofovir (TDF) 300mg
01 1 7 01 04 01 002 0 Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg
01 1 7 01 04 01 002 0 TDF+3TC+EFC (300/300/600) FDC Dewasa
01 1 7 01 04 01 002 0 Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150m
01 1 7 01 04 01 002 0 ZDV+3TC+NPV (60/30/50) FDC Anak
01 1 7 01 04 01 001 0 Zidovudine Oral Syrup 50mg/5ml,100mg(240ml)
01 1 7 01 04 01 002 0 Zidovudine 100mg tablet
01 1 7 01 04 01 002 0 INH 300 mg (HIV)
01 1 7 01 04 01 002 0 KHB Diagnostar kit.2
01 1 7 01 04 01 002 0 Tdf(300)+3tc(300)+dtg(50) mg
01 1 7 01 04 01 002 0 3HP ( Isoniazid 300 + Rifapentin 300)
01 1 7 01 04 01 0 0 VAKSIN
01 1 7 01 04 01 001 0 Vaksin BCG+PELARUT
01 1 7 01 04 01 001 0 Vaksin Campak/MR+PELARUT
01 1 7 01 04 01 001 0 Vaksin DT
01 1 7 01 04 01 001 0 Vaksin HB COM DPT
0 1 1 7 01 04 01 001 0 Vaksin HB UNIJECT
0 1 1 7 01 04 01 001 0 Vaksin Polio+DROPER POLIO
0 1 1 7 01 04 01 001 0 Vaksin TT
0 1 1 7 01 04 01 001 0 Vaksin TD
0 1 1 7 01 04 01 001 0 Vaksin DPT HB HIB
0 1 1 7 01 04 01 001 0 Polio IVP
0 1 1 7 01 04 01 001 0 Vaksin Rabies
0 1 1 7 01 04 01 001 0 VAKSIN MENINGITIS
0 1 1 7 01 04 01 001 0 Vaksin HBIg / Hyperhep B
0 1 1 7 01 04 01 0 0 DENTAL
0 1 1 7 01 04 01 001 0 Bonding
0 1 1 7 01 04 01 005 0 Composite
0 1 1 7 01 04 01 005 0 Dentorit
0 1 1 7 01 04 01 001 0 Descotan Forte (gigi)
0 1 1 7 01 04 01 005 0 Devitalisasi Pasta (Non arsen)
0 1 1 7 01 04 01 003 0 Endoprost
0 1 1 7 01 04 01 003 0 Etil klorida semprot 100 cc
0 1 1 7 01 04 01 005 0 Etching/Extra gel
0 1 1 7 01 04 01 001 0 Eugenol Cairan
0 1 1 7 01 04 01 005 0 Glass Ionomer Cement (GC IX)
0 1 1 7 01 04 01 005 0 Kalsium Hidroksida pasta
0 1 1 7 01 04 01 005 0 Lining Cement
0 1 1 7 01 04 01 001 0 Monoklorkamfer mentol cairan
0 1 1 7 01 04 01 005 0 Mummifying Pasta
0 1 1 7 01 04 01 005 0 Semen seng fosfat serbuk cairan/Glas lonomer lineng
0 1 1 7 01 04 01 002 0 Serat pembeku darah
0 1 1 7 01 04 01 001 0 Silver amalgam serbuk 65-75 %
0 1 1 7 01 04 01 005 0 Sulfa Stopping Fletcher(Fletcher)
0 1 1 7 01 04 01 001 0 Trikresol formalin
0 1 1 7 01 04 01 0 0 OBAT PENGADAAN BARU - FITOFARMAKA
0 1 1 7 01 04 01 002 0 Herbacold
0 1 1 7 01 04 01 002 0 Herbacof
0 1 1 7 01 04 01 002 0 Herbavomiz
0 1 1 7 01 04 01 002 0 Stimuno Forte
0 1 1 7 01 04 01 001 0 Stimuno Suspensi 100ml
0 1 1 7 01 04 01 4 0 Bedak Salisyl Kotak
000 0 0 0 0 0 0 Obat Tambahan Baru DINAS
000 0 0 0 0 0 0 CoronaVac 2 dosis (Sinovac)
000 0 0 0 0 0 0 Nacl 10 ml (Pfizer)
000 0 0 0 0 0 0 Vaksin (Pfizer)
000 0 0 0 0 0 0 Obat Suntik KB 3 Bulanan 1 cc
000 0 0 0 0 0 0 Obat Suntik KB Gestin F3 1 cc
000 0 0 0 0 0 0 Pil KB Kombinasi
000 0 0 0 0 0 0 Minyak Kayu Putih Cap Lang 30 ml
000 0 0 0 0 0 0 Ampicillin 1 g Inj
0 0 0 0 0 0 0 0 0 multivitamin / zegavit (btt yasmin)
0 0 0 0 0 0 0 0 0 Lianhua Qingwen
0 0 0 0 0 0 0 0 0 Implant plus inserter KB
0 0 0 0 0 0 0 0 0 Povidon Iodine 30 ml
0 0 0 0 0 0 0 0 0 Vaksin MR (Bias)
0 0 0 0 0 0 0 0 0 Vaksin TD (BIAS)
0 0 0 0 0 0 0 0 0 Oseltamivir 75 mg (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Kotrimoksazol Dewasa (Sulfametoksazol 800 + Trimet
0 0 0 0 0 0 0 0 0 Etambutol 100 mg
0 0 0 0 0 0 0 0 0 Levofloxacin 100 mg
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Astrazaneca
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Sinopharm 1 vial 2 dose (Hibah UEA
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 (Sinovac Single Dose)
0 0 0 0 0 0 0 0 0 Vaksin Covid-19 Moderna
0 0 0 0 0 0 0 0 0 Vaksin Influenza
0 0 0 0 0 0 0 0 0 NaCl 2 ml (Pfizer)
0 0 0 0 0 0 0 0 0 CoronaVac MDV (Biofarma)
0 0 0 0 0 0 0 0 0 Natrium Diclofenak 50 mg tab (2022)
0 0 0 0 0 0 0 0 0 Multivitamin Syr (BTT Yasmin)
0 0 0 0 0 0 0 0 0 Amoksisilin Sirup Kering 125mg/5ml (2022)
0 0 0 0 0 0 0 0 0 3HP ( Isoniazid 300 + Rifapentin 300)
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap I) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT-Balita (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Biskuit MT Ibu Hamil (Tahap II) 2022
0 0 0 0 0 0 0 0 0 Asam Mefenamat 500mg (2022)
0 0 0 0 0 0 0 0 0 Alopurinol 100mg (2022)
0 0 0 0 0 0 0 0 0 Salep 2-4 (2022)
0 0 0 0 0 0 0 0 0 Deksametason Tablet 0,5 mg (2022)
0 0 0 0 0 0 0 0 0 Atapulgite (Box@100tab)
0 0 0 0 0 0 0 0 0 Vaksin PCV MDV
0 0 0 0 0 0 0 0 0 Multivitamin Dewasa
0 0 0 0 0 0 0 0 0 Tiamin HCL (Vit B1) tablet 50 mg (2022)
0 0 0 0 0 0 0 0 0 Ibuprofen 400 mg (2022)
0 0 0 0 0 0 0 0 0 Parasetamol Syrup (2022)
0 0 0 0 0 0 0 0 0 Natrium Klorida Lar.infus 0,9 % steril (2022)
0 0 0 0 0 0 0 0 0 Kloramfenikol Salep 2% (2022)
0 0 0 0 0 0 0 0 0 Isoniazid Tablet 300mg (TB)
0 0 0 0 0 0 0 0 0 Pyrazinamide Tablet 500mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 450mg
0 0 0 0 0 0 0 0 0 Rifampicin Tablet 600mg
0 0 0 0 0 0 0 0 0 Susu Bayi Kurang Dari 12 Bulan
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 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 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 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 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 Obat Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Attaqua Gel(JKN)
0 0 0 0 0 0 0 0 0 Cavit G(JKN)
0 0 0 0 0 0 0 0 0 Fletcher (JKN)
0 0 0 0 0 0 0 0 0 Endoseal
0 0 0 0 0 0 0 0 0 Paramonochlorofenol
0 0 0 0 0 0 0 0 0 Devital
0 0 0 0 0 0 0 0 0 Cotton Roll
0 0 0 0 0 0 0 0 0 Pulp X
0 0 0 0 0 0 0 0 0 Trikresol Formalin
0 0 0 0 0 0 0 0 0 Celluloid Strip
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 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 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 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 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 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 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 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 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
BULAN
SATUAN
JAN FEB MAR APR MEI JUN JUL AGS
4
0
0
0
0
Kapsul 0 0 0 0 0 0 0 0
Tablet 3000 0 0 0 0 5200 3400 1200
Botol 0 0 120 100 0 200 0 0
Botol 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 800 0 600 450 400 0
Tablet 0 0 0 0 0 0 0 0
Vial 20 0 0 5 0 0 10 4
kapsul 0 0 0 0 0 200 0 0
Botol 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 100 200 0 0
Botol 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 300 300 200 0 0
Kapsul 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 0 200 0 0
Kapsul 0 200 0 0 0 100 100 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 200 0
Kapsul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 100 600 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 10 0 0
Tablet 0 0 0 0 0 0 100 0
Tablet 0 100 0 0 0 100 0 0
Kapsul 200 400 0 500 0 1000 200 200
Botol 0 0 0 0 0 0 50 0
Botol 0 0 0 0 0 0 0 0
Vial 0 2 0 0 0 0 0 0
Tablet 400 0 600 100 0 200 200 500
Vial 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 0 0 0 0
Kapsul 400 200 300 0 500 0 100 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
PCS 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 200 0 0 400 0 0
Tablet 0 0 0 0 200 0 100 0
Kapsul 0 0 0 0 0 0 0 0
Tablet 1000 0 1500 0 100 1800 1500 0
Tablet 0 100 0 0 0 100 0 200
Supp 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 500 0 0
Tablet 0 0 1200 300 0 500 500 1000
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 300 0 300 0 100
Tablet 700 0 0 1500 400 0 0 0
Botol 0 0 192 96 96 96 192 0
Botol 600 0 600 0 0 100 200 300
Tablet 4800 10400 30000 0 0 0 0 2500
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 1000 1000 4000 0 0 500 0 500
Botol 100 100 0 0 0 100 0 200
kapsul 0 0 0 0 0 0 0 0
Tablet 0 60 0 0 120 0 0 0
Tablet 0 0 0 0 0 0 0 0
Kapsul 0 0 0 400 200 400 400 600
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 1300 0 1400 0 600
Botol 0 0 48 48 0 0 0 0
0 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Suppos 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 100 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 100 0 0 100 100 0 0
Suppos 0 0 0 0 0 0 0 50
Botol 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Sachet 0 0 100 400 0 0 300 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 300 0 0 0 1200 800 4000
Botol 0 0 0 36 36 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 300 500 2400 0 0 400 1000 500
Botol 0 0 100 0 0 100 0 100
Ampul 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 3400 3000 0 0 0 5200 600 2600
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 2000 3000 700 8000 3000 5000
Botol 0 0 0 0 0 0 0 0
Tablet 0 5000 7500 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 2200 300 2400 3600 0 3000 0 1600
Tablet 0 300 1000 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 200 1000 800 1200
Ampul 0 0 0 0 0 0 0 0
Tablet 1000 600 400 800 0 1300 1000 600
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 3000 2000 2000
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 100 200 300 100 0
Nebule 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Botol 120 120 0 0 0 0 0 0
Tablet 2000 0 5000 0 0 1500 0 1000
Tablet 0 0 0 0 0 2280 0 3600
Tablet 0 0 0 0 0 0 0 0
Tablet 0 1200 3000 0 0 700 0 2200
Tablet 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 96 96 0 48 72 72 72
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 7600 60600 44800 44800 0 44800
0 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 200 0 0
Ampul 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 200 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
tablet 0 0 0 0 0 0 0 0
Botol 0 0 100 100 50 0 100 100
Ampul 0 0 0 0 0 0 0 0
Tablet 1000 1000 2000 1200 0 1000 3000 1100
Ampul 0 0 0 0 0 0 0 0
Tablet 0 11300 2200 0 0 2600 0 2600
Tablet 2200 0 2000 0 900 1700 1800 3000
Tablet 0 0 0 0 700 0 0 1000
Tablet 0 0 0 0 0 500 0 500
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Supp 5 0 5 0 0 10 0 0
Ampul 0 0 0 0 0 0 0 0
Kapsul 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 300 0 0 200 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Ampul 10 0 0 0 0 0 0 0
Tablet 0 0 0 100 0 0 0 0
tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 75 0
Tablet 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 100 0 0 200 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 500 0 200 200 0 200
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 1000 200 0
0 0 0 0 0 0 0 0 0
Tablet 0 300 0 0 100 300 0 1000
Tablet 300 400 0 0 0 400 0 300
Tablet 0 0 0 0 300 900 0 0
Tablet 0 0 0 2400 0 2000 0 1400
0 0 0 0 0 0 0 0 0
Tube 25 0 0 25 0 0 0 0
Tube 0 0 0 24 0 0 0 0
Pot 0 0 0 0 0 50 0 0
Tube 0 0 0 0 0 0 0 0
Tube 5 0 0 0 2 7 0 0
Tube 0 0 0 0 0 0 0 0
Tube 30 30 0 70 0 0 90 0
Tube 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 24 0 0
botol 120 0 0 48 96 0 0 48
Tube 0 20 0 0 0 0 0 0
Pieces 0 0 0 72 0 24 0 0
Tube 0 0 0 0 0 0 0 0
Tube 0 0 0 0 0 0 0 0
Tube 0 0 0 0 0 0 0 0
Tube 50 25 0 0 0 100 0 25
Pot 48 48 0 0 0 0 20 0
Kotak 0 0 0 0 0 0 0 0
Tube 0 0 0 0 0 10 20 10
Tube 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 10 0 25 0 40 0 72
0 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 24 0 48 120 48
Tube 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Tube 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Supp 0 0 0 0 30 0 20 30
Kapsul 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 3000 0 5400 3300 1500
Tablet 5000 0 3000 0 0 0 1000 1100
tablet 200 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 210 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 200 0 0 2600 0 0 1500 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 100 100 0 0 200 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ampul 0 0 0 50 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
ampul 0 0 0 50 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 800 0 0 300
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ampul 0 0 0 5 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
PCS 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Botol 0 15 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 20 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 20 0 0
Botol 0 20 0 0 0 20 0 0
0 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 96 96 0 0 96 36 96
DRIGEN 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Vial 0 0 0 0 4 0 0 0
Vial 0 0 0 0 0 0 0 0
Vial 0 0 0 0 1 0 0 0
Vial 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Botol 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
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Sachet 0 0 0 0 0 0 0 0
Kapsul 750 0 0 0 0 50 0 0
Kapsul 8800 0 0 0 0 200 4500 0
Sachet 0 0 0 0 0 0 0 0
Sachet 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
kotak 0 0 0 0 0 0 0 0
bungkus 0 0 0 100 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 9590 0 0 0 0 9787 0
Botol 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Blister 0 0 0 0 0 0 0 0
Blister 0 0 0 0 0 0 0 0
Blister 0 0 0 0 0 0 0 0
Blister 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Tablet 0 0 500 0 0 0 0 0
Paket 0 40 0 0 0 0 15 0
Paket 0 0 0 0 0 0 0 0
Paket 0 10 0 0 0 0 0 0
Paket 0 0 0 0 0 0 0 0
Tablet 0 0 0 10 0 0 0 0
Paket 0 0 0 0 0 0 0 0
Paket 4 0 10 5 0 0 0 0
TES 0 0 0 0 0 0 0 0
vial 2 0 5 1 0 0 0 0
0 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
botol 2 3 1 0 0 0 3 2
Botol 0 0 0 0 0 0 0 0
Botol 24 0 0 0 0 0 0 0
Botol 3 0 5 0 5 3 3 10
Botol 3 0 0 2 0 0 2 3
botol 0 0 0 0 0 0 0 0
Botol 9 0 0 0 0 0 0 10
Botol 0 0 0 0 0 0 0 0
Botol 2 0 3 0 4 3 3 10
Botol 0 0 0 0 0 0 0 0
Botol 10 60 50 0 30 10 30 40
Botol 5 0 0 0 5 3 5 20
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 3
tablet 0 300 1000 600 0 0 0 0
tes 0 0 0 0 0 0 0 0
Botol 28 50 90 37 50 30 60 70
kotak 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Vial 42 50 23 23 17 33 50 23
Vial 55 16 69 31 26 37 453 51
Vial 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
ampul 90 100 130 115 28 132 150 172
Vial 85 24 93 59 59 64 195 64
Vial 0 0 0 0 0 0 0 0
Vial 0 0 19 10 20 30 30 35
Vial 96 126 94 19 97 17 325 77
Vial 0 14 23 7 17 32 295 9
vial 0 0 0 0 0 0 0 0
VIAL 0 0 0 100 80 0 0 0
Vial 0 0 1 0 0 1 1 1
0 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 1 0 5 0 0 0 0 0
pieces 0 0 1 0 0 0 0 0
pieces 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
pieces 0 0 0 0 0 0 0 0
pot 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
Set 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
tablet 600 0 210 0 90 0 0 0
Botol 0 0 48 0 48 0 48 0
tablet 0 0 0 0 0 0 0 0
kapsul 0 0 0 0 0 0 0 1200
Botol 0 0 96 96 0 0 0 0
pcs 100 0 0 100 0 0 100 0
0 0 0 0 0 0 0 0 0
Vial 3150 0 0 0 0 0 0 0
Botol 304 809 409 17 101 59 0 0
Vial 304 809 409 17 101 84 0 10
Vial 0 0 0 0 0 0 0 0
vial 0 0 0 0 0 0 0 0
Strip 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 0 0
Ampul 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
Kapsul 0 500 0 0 0 0 0 0
Tablet 0 0 0 500 0 0 0 0
Tablet 0 0 0 300 0 0 0 0
Tablet 0 0 0 200 0 0 0 0
Vial 0 0 0 40 0 0 0 0
Vial 0 0 0 5 0 0 3 0
Vial 0 0 0 0 140 0 0 0
Vial 0 0 0 0 5 0 0 0
Vial 0 0 0 0 180 0 0 0
Botol 0 0 0 0 0 25 0 10
Vial 0 0 0 0 0 10 0 0
Tablet 0 0 0 0 0 4200 0 1200
Botol 0 0 0 0 0 0 20 0
Botol 0 0 0 0 0 0 430 200
Tablet 0 0 0 0 0 0 108 0
Box 0 0 0 0 0 0 58 98
Box 0 0 0 0 0 0 45 135
Box 0 0 0 0 0 0 40 0
Box 0 0 0 0 0 0 90 0
Tablet 0 0 0 0 0 0 1000 0
Tablet 0 0 0 0 0 0 100 0
pot 0 0 0 0 0 0 24 0
tablet 0 0 0 0 0 0 1400 0
Box 0 0 0 0 0 0 0 0
Vial 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Tube 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
tablet 0 0 0 0 0 0 0 0
tablet 0 0 0 0 0 0 0 0
Box 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 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 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 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Box 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Pak 0 0 0 0 0 0 0 0
Pcs 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Pcs 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 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 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 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 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 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 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 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
SEP OKT NOV DES JUMLAH
0
0
0
0
0
0 0 2000 0 2000
3200 5000 1400 0 22400
0 0 0 0 420
0 0 0 0 0
0 0 2500 0 2500
0 0 0 0 2250
0 0 0 0 0
0 0 3 0 42
300 0 200 0 700
0 0 0 0 0
0 0 200 0 500
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
20 0 0 0 20
0 0 0 0 0
0 0 200 0 1000
0 0 0 0 0
0 0 0 0 200
200 300 200 0 1100
0 0 0 0 0
20 0 0 0 20
0 0 0 0 200
0 0 0 0 0
0 0 300 0 1000
0 0 0 0 0
0 0 0 0 10
100 0 300 0 500
0 0 0 0 200
0 600 300 0 3400
0 0 0 0 50
0 0 0 0 0
0 0 0 0 2
600 300 500 0 3400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
100 0 300 0 1900
0 0 0 0 0
0 0 0 0 0
0 0 5000 0 5000
0 0 0 0 0
0 0 0 0 600
0 0 0 0 300
0 0 0 0 0
0 0 0 0 5900
0 0 0 0 400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 500
1500 0 0 0 5000
0 0 0 0 0
0 0 200 0 900
0 0 0 0 2600
192 96 0 0 960
0 0 0 0 1800
3200 0 36000 0 86900
0 0 0 0 0
0 0 0 0 0
3700 0 10000 0 20700
100 200 0 0 800
0 0 0 0 0
0 0 0 0 180
0 0 0 0 0
600 0 0 0 2600
0 0 100 0 100
800 500 0 0 4600
0 0 0 0 96
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 300
0 0 0 0 50
0 0 24 0 24
0 0 0 0 0
0 0 0 0 0
0 0 300 0 1100
0 0 0 0 0
4000 0 0 0 10300
0 0 0 0 72
0 0 0 0 0
0 0 0 0 0
1100 1000 0 0 7200
0 0 0 0 300
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
5800 6200 10000 0 36800
0 0 0 0 0
3200 6000 11000 0 41900
0 0 288 0 288
0 0 0 0 12500
0 0 0 0 0
0 0 0 0 0
1400 1000 4000 0 19500
0 0 0 0 1300
0 0 0 0 0
800 0 0 0 4000
0 0 0 0 0
0 0 0 0 5700
0 0 0 0 0
5400 3400 7000 0 22800
0 0 120 0 120
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
400 0 1000 0 2100
0 0 20 0 20
0 0 0 0 0
0 0 0 0 240
0 0 0 0 9500
0 600 0 0 6480
0 200 8800 0 9000
3000 4000 20000 0 34100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 456
0 0 0 0 0
0 0 0 0 0
0 0 44800 0 247400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 200
0 0 60 0 60
0 0 0 0 0
0 0 0 0 200
0 0 0 0 0
0 0 20 0 20
0 0 0 0 0
0 0 1700 0 1700
50 50 0 0 550
0 0 20 0 20
0 0 0 0 10300
0 0 0 0 0
5400 2200 12000 0 38300
1800 1800 0 0 15200
0 0 2600 0 4300
0 0 0 0 1000
0 0 0 0 0
300 0 0 0 300
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 12 0 12
0 0 300 0 800
0 0 0 0 0
0 0 0 0 0
0 0 10 0 20
0 0 0 0 100
0 0 0 0 0
0 0 0 0 0
100 0 300 0 400
0 0 0 0 75
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 300 0 600
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
200 800 0 0 2100
0 0 0 0 0
0 0 0 0 0
0 500 300 0 2000
0 0 0 0 0
0 0 0 0 1700
0 1000 0 0 2400
0 0 400 0 1600
1000 0 3000 0 9800
0 0 0 0 0
0 0 200 0 250
0 0 20 0 44
10 0 30 0 90
0 0 0 0 0
3 0 5 0 22
0 0 0 0 0
90 0 0 0 310
0 0 0 0 0
0 24 48 0 96
72 48 48 0 480
0 0 0 0 20
0 0 0 0 96
24 0 0 0 24
0 48 0 0 48
0 0 0 0 0
0 0 0 0 200
0 0 0 0 116
0 0 0 0 0
0 0 30 0 70
0 0 10 0 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 147
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 24 96 0 360
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 10 60 0 150
0 0 0 0 0
0 0 0 0 0
0 5700 0 0 18900
500 1700 6000 0 18300
0 0 0 0 200
30 60 0 0 300
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1500 1000 3000 0 9800
0 300 100 0 400
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 0 100 0 100
0 0 0 0 400
0 0 0 0 0
0 0 0 0 0
0 0 0 0 50
0 0 0 0 0
25 0 0 0 75
0 0 0 0 0
0 0 0 0 1100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 10 0 15
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 10 0 0 25
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 20
20 40 0 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
96 0 0 0 516
0 0 0 0 0
0 0 0 0 0
0 0 24 0 24
0 0 0 0 0
0 0 0 0 0
0 0 0 0 4
0 0 0 0 0
0 0 0 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 5 0 5
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 0 800
0 0 0 0 13500
0 0 3480 0 3480
0 0 112 0 112
0 0 0 0 0
27 0 0 0 27
0 0 0 0 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 19377
0 0 0 0 0
0 0 0 0 0
0 6 0 0 6
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 500
0 0 33 0 88
0 0 0 0 0
0 0 0 0 10
0 0 0 0 0
50 0 0 0 60
0 0 0 0 0
0 0 0 0 19
0 0 0 0 0
1 0 24 0 33
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 1 0 12
0 0 0 0 0
5 3 8 0 40
0 0 0 0 29
0 0 0 0 10
0 0 0 0 0
0 0 10 0 29
0 0 0 0 0
4 0 2 0 31
0 0 0 0 0
40 40 150 0 460
0 5 6 0 49
0 0 0 0 0
0 0 0 0 0
0 0 0 0 3
0 0 0 0 1900
0 0 0 0 0
100 110 250 0 875
720 0 0 0 720
0 0 0 0 0
30 50 50 0 391
10 36 30 0 814
0 91 50 0 141
0 0 0 0 0
120 200 300 0 1537
40 20 100 0 803
0 0 0 0 0
30 397 30 0 601
200 50 0 0 1101
70 0 0 0 467
0 0 0 0 0
0 0 0 0 180
0 0 1 0 5
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 6
0 0 0 0 1
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 0 900
96 0 0 0 240
0 0 0 0 0
0 0 0 0 1200
0 0 0 0 192
100 0 24 0 424
0 0 0 0 0
0 0 0 0 3150
0 0 0 0 1699
84 0 105 0 1923
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 0 500
100 0 0 0 600
0 0 0 0 300
0 0 0 0 200
0 0 0 0 40
0 0 0 0 8
0 0 0 0 140
0 0 0 0 5
0 0 0 0 180
84 0 105 0 224
0 0 0 0 10
0 2600 1000 0 9000
0 0 0 0 20
200 0 0 0 830
0 0 0 0 108
0 0 0 0 156
0 0 0 0 180
0 0 58 0 98
0 0 0 0 90
3000 500 0 0 4500
200 400 100 0 800
0 0 0 0 24
5400 5000 1600 0 13400
30 0 20 0 50
75 0 0 0 75
3000 0 3000 0 6000
1200 800 4400 0 6400
0 1500 0 0 1500
0 200 0 0 200
0 20 0 0 20
0 0 0 0 0
0 0 420 0 420
0 0 50 0 50
0 0 250 0 250
0 0 250 0 250
0 0 6 0 6
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 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 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 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 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
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 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
REKAP PENERIMAAN BAHAN KIMIA
MENU TAHUN : 2022

NO KODE BARANG NAMA BARANG


1 2 3
1. 11 7 1 0 0 0 0 Barang Pakai Habis
011 7 1 1 0 0 0 Bahan
011 7 1 1 2 0 0 BAHAN KIMIA
0 1 1 7 01 01 02 001 0001 Handsanitizer (Chlorhexidine 0,5% 500ml)
0 1 1 7 01 01 02 001 0002 Lisol 5 %
000 0 0 0 0 0 0 Suku Cadang Tambahan Baru DINAS
000 0 0 0 0 0 0 Handsanitizer 50 ml (donasi)
000 0 0 0 0 0 0 Desinfektan 5 l BTT
000 0 0 0 0 0 0 HANDSANITIZER (PRIMA PROTEC 500ML) (btt)ana
000 0 0 0 0 0 0 Spiritus
000 0 0 0 0 0 0 Handsanitizer (Chlorhexidine 0,5% 500ml)
000 0 0 0 0 0 0 Hand Sanitizer 500 ml Aseptan (Banprov)
000 0 0 0 0 0 0 Hand Sanitizer (Program TB)
000 0 0 0 0 0 0 Bactivec 30 ml Biolarvasida DBD & Malaria (P2P)
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 0 0 0 0 0 0 0
000 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 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 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 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 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 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 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 Suku Cadang Tambahan Baru PUSKESMAS
0 0 0 0 0 0 0 0 0 Hand Sanitizer
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 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 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 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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 0
BULAN
SATUAN
JAN FEB MAR APR MEI JUN JUL AGS
4
0
0
0
botol 0 0 0 0 0 0 0 0
botol 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
Botol 0 0 0 0 0 0 0 0
botol 0 19 0 0 0 0 0 0
Pcs 0 0 0 0 0 12 24 0
Botol 0 0 0 0 0 0 0 0
Botol 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 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 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 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 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 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 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 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
Botol 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 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 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 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 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 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 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 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 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 JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH
0 6265 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 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 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 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 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 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 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 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 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
SEP OKT NOV DES JUMLAH
0
0
0
0
0 0 0 0 0
10 0 0 0 15
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 19
0 0 0 0 36
3 0 0 0 3
0 45 0 0 45
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 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 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 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 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
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 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 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 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
JUMLAH JUMLAH JUMLAH JUMLAH 0
0 0 0 0 6265
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 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 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 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 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

You might also like