LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSKESMAS GUNTUR I
Bulan April 2023
NOKODE OBAT NAMA OBAT SEDIAANSTOK AWAL
PENERIMAAN
PERSEDIAAN
PEMAKAIAN
RUSAK/ED
1 A086 ABACAVIR (AS SULFATE) 12 0 MG/ L BOTOL 0 0 0 0 0
2 A093 ACRIPTEGA TENOFOVIR 300 MG LAMTABLET 0 0 0 0 0
3 A064 ADHESIVE WOUND STRIP UK.15CM X ROLL 0 0 0 0 0
4 A041 AIR UNTUK INJEKSI BOTOL 157 0 157 0 150
5 A075 ALAT SEMPROT DESINFEKTAN (SPARTBUAH 0 0 0 0 0
6 A079 ALAT SUNTIK 1 ML BUAH 0 0 0 0 0
7 A001 ALAT SUNTIK SEKALI PAKAI 0,05 ML BUAH 211 0 211 59 0
8 A002 ALAT SUNTIK SEKALI PAKAI 0,5 ML SET 318 0 318 170 0
9 A090 ALAT SUNTIK SEKALI PAKAI 0.3 ML PCS 0 0 0 0 0
10 A069 ALAT SUNTIK SEKALI PAKAI 20 ML BUAH 0 0 0 0 0
11 A003 ALAT SUNTIK SEKALI PAKAI 3 ML SET 1644 0 1644 0 0
12 A004 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0 0
13 A089 ALBENDAZOL SUSPENSI 200MG/5ML BOTOL 0 0 0 0 0
14 A005 ALBENDAZOL TABLET 400 MG TABLET 0 0 0 0 0
15 A038 ALKOHOL LARUTAN BOTOL 2 0 2 0 0
16 A076 ALKOHOL SWAB BOX 29 0 29 0 0
17 A074 ALKOHOL SWAB (PROGRAM RUTIN ) BOX 0 0 0 0 0
18 A060 ALKOHOL SWAB FALMED BOX 0 0 0 0 0
19 A088 ALOPURINOL 300 MG TABLET 300 0 300 40 0
20 A006 ALOPURINOL TABLET 100 MG TABLET 2650 0 2650 1,410 0
21 A062 ALPRAZOLAM 1 MG TABLET 260 0 260 0 0
22 A094 ALUMINIUM TEST 0.020 - 1.20 MG/L KIT 0 0 0 0 0
23 A030 AMBROXOL SYRUP 15 MG/ 5 ML BOTOL 0 0 0 0 0
24 A070 AMBROXOL TABLET 30 MG TABLET 0 0 0 0 0
25 A066 AMINOFILIN TABLET 200 MG TABLET 100 0 100 0 0
26 A007 AMINOFILINA INJEKSI 24 MG/ML AMPUL 0 0 0 0 0
27 A045 AMITRIPTILIN 25 MG TABLET 130 0 130 100 0
28 A054 AMLODIPIN 10 MG TABLET 7260 0 7260 1,280 0
29 A055 AMLODIPIN 5 MG TABLET 4955 0 4955 1,247 0
30 A063 AMOKSISILIN DROPS 100 MG/ML BOTOL 0 0 0 0 0
31 A087 AMOKSISILIN SIRUP 125 MG/ML BOTOL 774 0 774 477 0
32 A047 AMOKSISILIN SIRUP KERING FORTE BOTOL 0 0 0 0 0
33 A010 AMOKSISILIN TABLET 500 MG TABLET 13530 0 13530 4,218 0
34 A046 Ampisilin inj 1000 mg VIAL 0 0 0 0 0
35 A057 ANARIA Sirup (Vitamin) BOTOL 0 0 0 0 0
36 A071 ANESTETIK LOKAL GIGI KOMBINASI : LAMPUL 0 0 0 0 0
37 A067 ANTALGIN TABLET 500 MG TABLET 0 0 0 0 0
38 A018 ANTASIDA DOEN SUSPENSI BOTOL 0 0 0 0 0
39 A019 ANTASIDA DOEN TABLET 500 MG TABLET 34632 0 34632 10,161 0
40 A021 Anti Hemoroid DOEN Kombinasi SUPPOSITOR 62 0 62 8 0
41 A022 ANTIFUNGI DOEN KOMBINASI TUBE 0 0 0 0 0
42 A091 ANTIFUNGI SALEP POT 0 0 0 0 0
43 A083 APD COVERALL MEDIS PCS 0 0 0 0 0
44 A078 APD SET PAKET 0 0 0 0 0
45 A077 APD SET GAVI PAKET 0 0 0 0 0
46 A092 APRON PCS 0 0 0 0 0
47 A085 ARTESUNATE INJ 60 MGT AMPUL 0 0 0 0 0
48 A073 ASAM ASCORBAT ( VIT C) 250 MG TABLET 70 0 70 0 0
49 A080 ASAM ASCORBAT (VIT C) INJEKSI 200 AMPUL 0 0 0 0 0
50 A082 ASAM ASCORBAT (VIT C) TABLET 500 TABLET 0 0 0 0 0
51 A059 ASAM ASETAT BOTOL 0 0 0 0 0
52 A028 ASAM ASKORBAT (VIT C) TABLET 50 TABLET 12191 0 12191 849 0
53 A065 ASAM FOLAT 0,4 MG TABLET 4780 0 4780 1,080 0
54 A036 ASAM MEFENAMAT 500 MG KAPLET 26998 0 26998 3,506 0
55 A023 Asam Traneksamat Injeksi AMPUL 19 0 19 0 0
56 A056 ASETOSAL 80 MG TABLET 0 0 0 0 0
57 A013 ASIKLOVIR SALEP KULIT TUBE 68 0 68 5 0
58 A072 ASIKLOVIR TABLET 200 MG TABLET 0 0 0 0 0
59 A026 ASIKLOVIR TABLET 400 MG TABLET 870 0 870 170 0
60 A058 ATAPULGIT 600 MG TABLET 0 0 0 0 0
61 A035 ATROPIN INJEKSI 0,25 MG/ML AMPUL 0 0 0 0 0
62 A084 ATROPIN SULFAT INJEKSI 0.25 MG/MAMPUL 0 0 0 0 0
63 A081 AZITROMISIN INJEKSI 500 MG VIAL 0 0 0 0 0
64 A068 AZITROMYCIN TABLET 500 MG TABLET 80 0 80 0 0
65 B002 BATUGIN ELIXIR BOTOL 0 0 0 0 0
66 B022 BECEFORT TABLET 0 0 0 0 0
67 B030 BECEFORT SYRUP BOTOL 0 0 0 0 0
68 B024 BEDAK SALISIL BOTOL 84 0 84 45 0
69 B028 BEDAQUILINE 100MG TABLET 0 0 0 0 0
70 B031 BENZATIN PENISILIN 2.4 JUTA IU VIAL 0 0 0 0 0
71 B018 BETAHISTIN 6 MG TABLET 3073 0 3073 528 0
72 B004 BETAMETASON 0,1% KRIM TUBE 111 0 111 26 0
73 B027 BIONICOM C TABLET 0 0 0 0 0
74 B026 BIONICOM ZINC TABLET 0 0 0 0 0
75 B023 BISAKODIL TABLET SALUT 5 MG TABLET 0 0 0 0 0
76 B021 BLOOD LANCET 26G BOX 0 0 0 0 0
77 B029 BOX SPESIMEN BUAH 0 0 0 0 0
78 B025 BUDESONID CAIRAN IH 0,25 MG/ML, BUAH 0 0 0 0 0
79 C092 CAMIVIT D3 TABLET 0 0 0 0 0
80 C001 CATGUT / BENANG BEDAH NO.2/0 - SAK 0 0 0 0 0
81 C096 CHLORIDE TEST 2.5 - 250 MG/L KIT 0 0 0 0 0
82 C095 CHROMATE CELL TEST 0.05 - 2.00 MGKIT 0 0 0 0 0
83 C087 CLOFAZIMINE 100 MG TABLET 0 0 0 0 0
84 C090 COOLER BOX 22 L UNIT 0 0 0 0 0
85 C091 COOLER BOX 5,5 L UNIT 0 0 0 0 0
86 CO24 COTTON APLICATOR BUAH 0 0 0 0 0
87 C093 CYLOSERINE 250 MG KAPSUL 0 0 0 0 0
88 C094 CYPERMETHRIN LITER 0 0 0 0 0
89 D036 DBS KIT TEST 0 0 0 0 0
 90 D032 DEHYDRO ARTEMISIN 40 MG PIPER TABLET 0 0 0 0 0
91 D002 DEKSAMETASON INJEKSI 5 MG / ML -AMPUL 82 100 182 94 0
92 D027 DEKSAMETASON TABLET 0,5 MG TABLET 7436 0 7436 1,753 0
93 D035 DELAMANID 50 MG TABLET 0 0 0 0 0
94 D033 DENGUE COMBO TEST 0 0 0 0 0
95 D029 DENGUE DUO PCS 0 0 0 0 0
96 D031 DESINFEKTAN @5L JERIGEN 0 0 0 0 0
97 D028 DEXTRAL TABLET 0 0 0 0 0
98 D016 DEXTROFEN SYR. SYRUP 0 0 0 0 0
99 D008 DIAZEPAM INJEKSI 5 MG / ML AMPUL 0 20 20 10 0
100 D022 DIAZEPAM RECTAL TUBE TUBE 15 0 15 0 0
101 D009 DIAZEPAM TABLET 2 MG TABLET 0 0 0 0 0
102 D010 DIAZEPAM TABLET 5 MG TABLET 310 0 310 70 0
103 D019 DIETILKARBAMAZIN 100 MG TABLET 0 0 0 0 0
104 D012 Difenhidramin Injeksi 10 mg/ml AMPUL 0 0 0 0 0
105 D013 DIGOKSIN TABLET 0,25 MG TABLET 880 0 880 50 0
106 D018 DIMENHIDRINAT 50 MG TABLET 1378 100 1478 0 0
107 D026 DOKSISIKLIN KAPSUL 100 MG KAPSUL 378 0 378 78 0
108 D034 DOLUTEGRAFIR 50 MG BOTOL 0 0 0 0 0
109 D025 DOMPERIDON 10 MG TABLET 50 0 50 0 0
110 D023 DOMPERIDON SUSP 5MG/5ML BOTOL 0 0 0 0 0
111 E014 E. PHALERIA MACROCARPA 200MG TABLET 0 0 0 0 0
112 E016 E. PHYLLANTHUS NURURI 25 MG BOTOL 0 0 0 0 0
113 E015 E.PHYLLANTHUS NIRURI 50 MG KAPSUL 0 0 0 0 0
114 E013 EFAVIRENZ (EFV) TABLET 600 MG TABLET 0 0 0 0 0
115 E003 EPINEFRIN INJ 1 MG/ML AMPUL 10 0 10 0 0
116 E010 ERITROMISIN 250 MG KAPSUL 0 0 0 0 0
117 E011 ERITROMISIN 500 MG KAPSUL 0 0 0 0 0
118 E018 ETHAMBUTOL 400 MG TABLET 0 0 0 0 0
119 E019 ETHIONAMIDE 250 MG TABLET 0 0 0 0 0
120 E008 ETYLCHLORIDE SPRAY 100 ML BOTOL 3 0 3 0 0
121 E009 EUGENOL BOTOL 0 0 0 0 0
122 E012 EXTRA KURKUMA SIRUP BOTOL 0 0 0 0 0
123 E020 EXTRACTION PCR KIT 0 0 0 0 0
124 F021 FACE SHIELD PCS 0 0 0 0 0
125 F023 FACE SHIELD ANAK PCS 0 0 0 0 0
126 F022 FAVIPIRAVIR TABLET 200 MG TABLET 200 0 200 0 0
127 F017 FDC TRIPLE DWS:TENOFOVIR300MG BOTOL 0 0 0 0 0
128 F020 FENITOIN 100 MG KAPLET 0 0 0 0 0
129 F019 FENOBARBITAL 30 MG TABLET 0 0 0 0 0
130 F018 FENOBARBITAL INJEKSI 50 MG / ML - AMPUL 0 0 0 0 0
131 F003 FITOMENADION (VIT K1) 10 MG TABLET 0 0 0 0 0
132 F012 FITOMENADION INJ 2 MG/ML AMPUL 60 0 60 0 0
133 F025 FITUNO SYR BOTOL 0 0 0 0 0
134 F024 FITUNO TABLET TABLET 0 0 0 0 0
135 F028 FLUCONAZOL 150 MG KAPSUL 0 0 0 0 0
136 F026 FLUORID.C.TEST 0.10-1.80MG/L KIT 0 0 0 0 0
137 F013 FLUPHENAZINE DECANOAT 25 MG/MAMPUL 18 0 18 3 0
138 F027 FLUTAMOL KAPLET KAPLET 0 0 0 0 0
139 F001 FUROSEMID TABLET 40 MG TABLET 0 0 0 0 0
140 G003 GARAM ORALIT BUNGKUS 37 0 37 31 0
141 G021 GEMFIBROZIL KAPSUL 300 MG KAPSUL 0 0 0 0 0
142 G019 GENTAMISIN 40 MG/ML INJEKSI AMPUL 0 0 0 0 0
143 G017 GENTAMISIN TETES MATA BOTOL 210 0 210 59 0
144 G020 GENTIAN VIOLET LARUTAN 1% BOTOL 0 0 0 0 0
145 G023 GIEMSA BOTOL 0 0 0 0 0
146 G006 GLIBENKLAMID TABLET 5 MG TABLET 15 0 15 15 0
147 G014 GLIMEPIRID 2 MG TABLET 2950 0 2950 110 0
148 G024 GLIMEPIRID 4 MG TABLET TABLET 365 0 365 131 0
149 G007 GLISERIL GUAIAKOLAT TABLET 100 MTABLET 6468 0 6468 1,357 0
150 G022 GLUKOSA LARUTAN INFUS 10% STERIBOTOL 0 0 0 0 0
151 G011 GLUKOSA LARUTAN INFUS 5 % STERILBOTOL 40 0 40 5 0
152 G025 GOWN PCS 0 0 0 0 0
153 G012 GRISEOFULVIN TABLET 125 MG MIC SET 0 0 0 0 0
154 H018 HALOPERIDOL DECANOAS INJ.50 MG AMPUL 20 0 20 0 0
155 H031 HALOPERIDOL INJ AMPUL 0 0 0 0 0
156 H003 HALOPERIDOL TABLET 5 MG TABLET 0 0 0 0 0
157 H028 HAND SANITIZER PCS 0 0 0 0 0
158 H023 HAND SANITIZER ( GALON) JERIGEN 0 0 0 0 0
159 H032 HAND WASH JERIGEN 0 0 0 0 0
160 H024 HANDSCON NON STERIL PROTOS UK. PCS 0 0 0 0 0
161 H026 HANDSCON TROGE- GYNOSURGE UK.LPCS 0 0 0 0 0
162 H025 HANDSCON TROGE-GYNOSURGE UK. PCS M 0 0 0 0 0
163 H033 HANDSCOON NON STERIL PCS 0 0 0 0 0
164 H034 HANDSCOON STERIL PCS 0 0 0 0 0
165 H030 HANDSCRUB BOTOL 0 0 0 0 0
166 H015 HANDSCRUB 5 L GALON BOTOL 0 0 0 0 0
167 H005 HEMOROGARD TABLET TABLET 0 0 0 0 0
168 H029 HERBAKOF SYR BOTOL 110 0 110 55 0
169 H008 HES 6 % BOTOL 0 0 0 0 0
170 H006 HIDROKLOROTIAZID (HCT) TABLET 25TABLET 1044 0 1044 156 0
171 H004 HIDROKORTISON KRIM 2,5 % TUBE 153 0 153 74 0
172 H020 HIGH ELASTIC BANDAGE 10CM X 4,5 ROLL 0 0 0 0 0
173 H019 HIGH ELASTIC BANDAGE 7,5CM X 4,5 ROLL 0 0 0 0 0
174 H021 HIOSIN BUTILBROMIDA TABLET 10 MTABLET 800 0 800 111 0
175 H022 HUMAN TETANUS IMUNOGLOBULIN INJ AMPUL 4 0 4 0 0
176 I025 IBU PROFEN SYR BOTOL 0 0 0 0 0
177 I021 IBUPROFEN TABLET 400 MG TABLET 1210 0 1210 987 0
178 I027 ICE GEL PCS 0 0 0 0 0
179 I020 ICON (SEMPROT LALAT) BOTOL 0 0 0 0 0
180 I028 IMUGARD KAPLET 0 0 0 0 0
181 I024 INFUSION SET ANAK SET 0 0 0 0 0
182 I004 INFUSION SET DEWASA SET 0 0 0 0 0
183 I026 INH 100 MG TABLET 0 0 0 0 0
184 I029 INH 300 MG TABLET 100 0 100 0 0
185 I030 IRON TEST 0.0025 - 5.00 MG/L KIT 0 0 0 0 0
186 I022 ISOSORBID DINITRAT TABLET 5 MG TABLET 619 0 619 10 0
187 I006 IV CATETER N0. 22 PCS 0 0 0 0 0
188 I023 IV CATETER N0. 24 BUAH 0 0 0 0 0
189 I013 IV CATETER NO. 20 BUAH 0 0 0 0 0
190 J001 JARUM JAHIT (BEDAH) BIJI 0 0 0 0 0
191 K073 KACA MATA GOGLE PCS 0 0 0 0 0
192 K042 KACA SEDIAAN(OBYEK GLASS/SLIDE) BOX 0 0 0 0 0
193 K040 KALSIUM GLUKONAT INJ 10% (100 MAMPUL 19 0 19 0 0
194 K004 KALSIUM LAKTAT (KALK) TABLET 500 TABLET 19348 0 19348 4,498 0
195 K058 KANAMISIN 1 GR VIAL 15 0 15 0 0
196 K080 KANTONG JENAZAH PCS 0 0 0 0 0
197 K060 KAOLIN, PECTIN SIRUP BOTOL 0 0 0 0 0
198 K005 KAPAS BERLEMAK 500 GR ROLL 0 0 0 0 0
199 K006 KAPAS PEMBALUT/ ABSORBEN 250 GROLL 2 0 2 1 0
200 K049 KAPORIT POWDER BOTOL 0 0 0 0 0
201 K059 KAPTOPRIL TABLET 25 MG TABLET 0 0 0 0 0
202 K064 KAPTOPRIL TABLET 12,5 MG TABLET 5690 0 5690 990 0
203 K007 KARBAMAZEPIN TABLET 200 MG TABLET 0 0 0 0 0
204 K065 KARBOGLISERIN TETES TELINGA 10% BOTOL 47 0 47 5 0
205 K057 KARTRID/BHN TEST CEPAT MOLEKULEBUAH 0 0 0 0 0
206 K071 KARTU STOK LEMBAR 0 0 0 0 0
207 K075 KARTU VAKSIN LEMBAR 0 0 0 0 0
208 K063 KASA PEMBALUT HIDROFIL 4 CM X 3 ROLL 0 0 0 0 0
209 K010 KASA PEMBALUT HIDROFIL 4 X 15 CMROLL 0 0 0 0 0
210 K062 KASA STERIL 40 CM X 40 CM BUAH 0 0 0 0 0
211 K061 KASA STERIL 40X40 CM BUAH 0 0 0 0 0
212 K072 KERTAS PUYER LEMBAR 0 0 0 0 0
213 K001 KETOKONAZOL 200 MG TABLET 402 0 402 202 0
214 K012 KETOKONAZOL SALEP TUBE 15 0 15 2 0
215 K039 KETOROLAC INJ 10 MG AMPUL 0 0 0 0 0
216 K077 KLINDAMISIN 300 MG KAPSUL 0 0 0 0 0
217 K052 KLINDAMISIN KAPSUL 150 MG KAPSUL 0 0 0 0 0
218 K070 KLOBAZAM TABLET 10 MG TABLET 385 0 385 0 0
219 K066 Klofazimin 100 Mg TABLET 0 0 0 0 0
220 K053 KLORAMFENIKOL 500 MG KAPSUL 2195 0 2195 428 0
221 K014 KLORAMFENIKOL KAPSUL 250 MG TABLET 0 0 0 0 0
222 K048 KLORAMFENIKOL SALEP KULIT 2% TUBE 99 0 99 37 0
223 K015 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0 0 0 0
224 K044 KLORAMFENIKOL SUSP 125 MG / 5 MBOTOL 18 0 18 0 0
225 K024 KLORAMFENIKOL TETES MATA BOTOL 0 0 0 0 0
226 K081 KLORAMFENIKOL TETES TELINGA 1% BOTOL 239 0 239 19 0
227 K016 KLORAMFENIKOL TETES TELINGA 3 %BOTOL 0 0 0 0 0
228 K017 KLORFENIRAMIN MALEAT (CTM) TABLTABLET 16939 0 16939 9,860 0
229 K074 KLOROKUIN 150 MG TABLET 0 0 0 0 0
230 K019 KLORPROMAZIN INJEKSI 25 MG/ML AMPUL 0 0 0 0 0
231 K022 KLORPROMAZIN TABLET SALUT 100 TABLET 1068 0 1068 164 0
232 K067 KLOZAPIN 100 MG TABLET 229 0 229 0 0
233 K068 KLOZAPIN 25 MG TAB TABLET 400 0 400 0 0
234 K025 KODEIN HCL TABLET 10 MG TABLET 0 0 0 0 0
235 K079 KOJIMA SACHET 0 0 0 0 0
236 K069 KOMBINASI : FERRO FUMARAT 60 MGTABLET 19363 0 19363 3,070 0
237 K076 KONDOM PCS 0 0 0 0 0
238 K029 KOTRIMOKSAZOL 480 MG TABLET TABLET 470 0 470 70 0
239 K028 KOTRIMOKSAZOL SUSP.240 MG - 5 MBOTOL 0 0 0 0 0
240 K078 KOTRIMOKSAZOLE 960 MG TABLET 0 0 0 0 0
241 L032 LACTOSE BROTH FOR MICROBIOLOGYPCS 0 0 0 0 0
242 L019 LAKTULOSA SIRUP BOTOL 0 0 0 0 0
243 L033 LAMIVUDIN 150 MG TABLET 0 0 0 0 0
244 L020 LANSOPRAZOL 30 MG KAPSUL 1090 0 1090 78 0
245 L002 LARUTAN EOSIN 2 % BOTOL 0 0 0 0 0
246 L018 LARUTAN KARBOHIDRAT ELEKTROLIT BOTOL
(N 0 0 0 0 0
247 L017 LARUTAN KARBOHIDRAT ELEKTROLIT BOTOL
(N 0 0 0 0 0
248 L022 LEVOFLOKSASIN INFUS 750 MG/150 BOTOL 0 0 0 0 0
249 L029 LEVOFLOKSASIN TABLET 100 MG TABLET 0 0 0 0 0
250 L021 LEVOFLOKSASIN TABLET 500 MG TABLET 530 0 530 530 0
251 L024 LEVOFLOKSASIN TABLET 750 MG TABLET 0 0 0 0 0
252 L025 LEVOFLOXACIN 250 MG TABLET 0 0 0 0 0
253 L026 LEVOFLOXACIN TM BOTOL 12 0 12 6 0
254 L010 LIDOKAIN INJEKSI AMPUL 69 0 69 20 0
255 L028 LINEZOLIDE 600 MG TABLET 0 0 0 0 0
256 L009 LIZOL MENGANDUNG KRESOL TERSABBOTOL 0 0 0 0 0
257 L027 LOPERAMIDE 2 MG TABLET 220 0 220 0 0
258 L023 LOPINAVIR/RITONAVIR ORAL GRANULBOX 0 0 0 0 0
259 L015 LORATADIN 10 MG TABLET 0 0 0 0 0
260 L030 LUBRIKAN BOX 0 0 0 0 0
261 L016 LUGOL BOTOL 0 0 0 0 0
262 L031 LYTACUR SYR BOTOL 66 0 66 22 0
263 M002 MAGNESIUM SULFAT INJEKSI AMPUL 18 0 18 10 0
264 M042 MANGANESE TEST METHOD KIT 0 0 0 0 0
265 M016 MASKER BUAH 450 0 450 160 0
266 M039 MASKER KAIN PCS 0 0 0 0 0
267 M037 MASKER KN95 PCS 0 0 0 0 0
268 M040 MASKER N95 PCS 0 0 0 0 0
269 M030 MASKER N95 1860 BUAH 20 0 20 0 0
270 M031 MASKER N95 1860 S BUAH 0 0 0 0 0
271 M044 MEDIA AMIES PCS 0 0 0 0 0
272 M036 METAMIZOLE 500 MG TABLET 0 0 0 0 0
273 M015 METFORMIN 500 MG TABLET 2948 0 2948 411 0
274 M029 METFORMIN 850 MG BOTOL 0 0 0 0 0
275 M006 METILERGOMETRIN INJ 0,2 MG/ML AMPUL 350 0 350 25 0
276 M007 METILERGOMETRIN TABLET SALUT 0,TABLET 245 700 945 0 0
277 M025 METILPREDNISOLON 4 MG TABLET 2262 0 2262 1,867 0
278 M022 METOKLOPRAMID INJ 5 MG/ML AMPUL 0 0 0 0 0
279 M023 METOKLOPRAMID TAB 10 MG TABLET 0 0 0 0 0
280 M041 METOKLOPRAMID TAB 5 MG TABLET 0 0 0 0 0
281 M014 METRONIDAZOL 500 MG TABLET 2730 0 2730 0 0
282 M035 METRONIDAZOL LARUTAN INFUS 5MG BOTOL 0 0 0 0 0
283 M033 METRONIDAZOL SUSP 125 MG/5 ML BOTOL 19 0 19 1 0
284 M034 METRONIDAZOL TABLET 250 MG TABLET 0 0 0 0 0
285 M018 MIKONAZOL CREAM TUBE 142 0 142 25 0
286 M021 MINERAL MIX BUNGKUS 0 0 0 0 0
287 M019 MINYAK KAYU PUTIH BOTOL 0 0 0 0 0
288 M043 MOLAGIT TABLET 1260 0 1260 415 0
289 M038 MULTIVITAMIN TABLET 1400 0 1400 130 0
290 N020 N-ASETIL SISTEN 200 MG KAPSUL 11924 0 11924 2,559 0
291 N011 NATRIUM DIKLOFENAK TABLET 25 M TABLET 4050 0 4050 2,209 0
292 N012 NATRIUM DIKLOFENAK TABLET 50 M TABLET 0 0 0 0 0
293 N025 NATRIUM KLORIDA 0.9 % 10 ML AMPUL 2 0 2 0 0
294 N002 NATRIUM KLORIDA LARUTAN INFUS 0BOTOL 60 20 80 20 0
295 N023 NEVIRAPINE (NVP) 200 MG TABLET 0 0 0 0 0
296 N013 NIFEDIPIN 10 MG TABLET 535 0 535 0 0
297 N024 NIFEDIPIN 20 MG ( ADALAT OROS) TABLET 0 0 0 0 0
298 N022 NISTATIN SUSP 100.000 IU/ML BOTOL 26 0 26 5 0
299 N004 NISTATIN TABLET SALUT 500.000 IU TABLET 0 0 0 0 0
300 N005 NISTATIN TABLET VAGINAL 100.000 I TABLET 80 0 80 0 0
301 N026 NITRATE TEST 0.1 - 25.0 MG/L NO3-NKIT 0 0 0 0 0
302 N027 NITRITE TEST 0.002 - 1.00 MG/L NO2 KIT 0 0 0 0 0
303 N028 NOVAGRIP KAPLET 4230 0 4230 529 0
304 N029 NOVAPYRON KAPLET 2650 0 2650 1,671 0
305 O033 OAT KAT I DAN III DOSIS HARIAN PAKET 0 0 0 0 0
306 O004 OBAT ANTI TUBERCULOSIS FDC KATE BOX 2 0 2 0 0
307 O022 OBAT ANTI TUBERKULOSIS KAT.I DW BOX 0 0 0 0 0
308 O001 OBAT ANTI TUBERKULOSIS KATEGORIBOX 23 0 23 3 0
309 O002 OBAT ANTI TUBERKULOSIS KATEGORIBOX 0 0 0 0 0
310 O027 OBAT BATUK HITAM (OBH) BOTOL 0 0 0 0 0
311 O015 OBAT KUSTA MB ANAK BLISTER 0 0 0 0 0
312 O014 OBAT KUSTA MB DEWASA BLISTER 12 0 12 0 0
313 O029 OKSIMETAZOLIN TETES HIDUNG 0,02 BOTOL 2 0 2 2 0
314 O030 OKSIMETAZOLIN TETES HIDUNG 0,05 BOTOL 2 0 2 2 0
315 O008 OKSITETRASIKLIN SALEP MATA 1 % TUBE 0 0 0 0 0
316 O009 OKSITOSIN INJEKSI 10 IU / ML AMPUL 200 0 200 0 0
317 O026 OMEPRAZOL INJ 40 MG VIAL 0 0 0 0 0
318 O028 OMEPRAZOL KAPSUL 20 MG KAPSUL 1420 0 1420 170 0
319 O017 ONDANSENTRON INJEKSI 4 MG/2 MLAMPUL 0 0 0 0 0
320 O031 ONE MED ASEPTAN ANTISEPTIC LIQUPCS 0 0 0 0 0
321 O032 OSELTAMIVIR 75 MG KAPSUL KAPSUL 0 0 0 0 0
322 O034 OXYMETER UNIT 0 0 0 0 0
323 P037 PARAFILM ROLL 0 0 0 0 0
324 P002 PARASETAMOL SIRUP 120 MG / 5 MLBOTOL 427 0 427 0 0
325 P033 PARASETAMOL DROP 100 MG/ML BOTOL 0 0 0 0 0
326 P004 PARASETAMOL TABLET 500 MG TABLET 38756 0 38756 12,189 0
327 P039 PERAK SULFADIAZIN KRIM 1% TUBE 13 0 13 7 0
328 P046 PERMETRIN KRIM 5% TUBE 80 0 80 25 0
329 P045 PHARMAFIX WOUND DRESSING 15 CM BUAH 3 0 3 0 0
330 P049 PIRIDOKSIN ( VIT B6 ) 100 MG TABLET 0 0 0 0 0
331 P054 PIRIDOKSIN ( VIT B6 ) 25 MG TABLET 300 0 300 0 0
332 P010 PIRIDOKSIN (VIT.B6) TABLET 10 MG TABLET 8243 0 8243 1,356 0
333 P007 PIROKSICAM TABLET 20 MG TABLET 0 0 0 0 0
334 P051 PLASTIK BIOHAZARD PACKAGE 0 0 0 0 0
335 P043 PLASTIK KLIP LEMBAR 0 0 0 0 0
336 P044 PLASTIK KRESEK LEMBAR 0 0 0 0 0
337 P011 PLESTER 5 YARD X 2 INCH ROLL 3 0 3 0 0
338 P052 PLESTERIN BULAT BOX 0 0 0 0 0
339 P034 POT SPUTUM (POT DAHAK) BUAH 0 0 0 0 0
340 P041 POVIDON IODIN LARUTAN 10 % 30 MBOTOL 1 0 1 0 0
341 P042 POVIDON IODIN LARUTAN 10 % 300 BOTOL 2 0 2 0 0
342 P015 PREDNISON TABLET 5 MG TABLET 19119 0 19119 4,527 0
343 P047 PRIMAQUIN TAB 15 MG TABLET 0 0 0 0 0
344 P035 PROPANOLOL TABLET 10 MG TABLET 0 0 0 0 0
345 P040 PROPILTIOURASIL TABLET 100 MG TABLET 525 0 525 25 0
346 P050 PROTECAL C200 TABLET 0 0 0 0 0
347 P048 PYRAZINAMID 500 MG TABLET 0 0 0 0 0
348 P053 PYRIMETAMINE 25 MG TABLET 0 0 0 0 0
349 R009 RANITIDIN 150 MG TABLET 1495 0 1495 1,124 0
350 R013 RANITIDIN INJEKSI AMPUL 67 0 67 53 0
351 R030 RAPID TEST 2 HIV (KHB) SET 0 0 0 0 0
352 R031 RAPID TEST 3 HIV (DIAGNOSTAR DS HISET 0 0 0 0 0
353 R039 RDT ( COMBO ) MALARIA / CARESTARPCS 0 0 0 0 0
354 R032 RDT ANTI BODY (EGENS) SET 0 0 0 0 0
355 R048 RDT ANTI HCV TEST 25 0 25 25 0
356 R035 RDT COVID-19 ANTIGEN PCS 177 0 177 0 0
357 R049 RDT FRAMBUSIA SYPHILIS TEST 0 0 0 0 0
358 R047 RDT LEPTOSPIROSIS TEST 0 0 0 0 0
359 R018 REAGEN HBS-AG (VIKIA) BOX 0 0 0 0 0
360 R044 REAGEN HBSAG TEST 0 0 0 0 0
361 R029 REAGEN HBSAG - SD (BIO LINE) SET 0 0 0 0 0
362 R019 REAGEN HIV 1 SET 0 0 0 0 0
363 R040 REAGEN HIV 1/2 KE 3 PCS 0 0 0 0 0
364 R042 REAGEN HIV 2 SET 0 0 0 0 0
365 R043 REAGEN HIV 3 SET 0 0 0 0 0
366 R017 REAGEN HIV SD 1 SET 0 0 0 0 0
367 R020 REAGEN RAPID 1/2 HIV (VIKIA KE-3) SET 0 0 0 0 0
368 R025 REAGEN RAPID HIV 1/2 (FOKUS KE-2/SET 0 0 0 0 0
369 R041 REAGEN SD BIOLINE HIV - SYPHILLIS PCS 0 0 0 0 0
370 R027 REAGEN SYPHILIS - TREPOCHECK SET 0 0 0 0 0
371 R028 REAGEN SYPHILIS 3.0 MULTI SET 0 0 0 0 0
372 R026 REAGEN SYPHILIS AB (SD BIOSENSOR SET 0 0 0 0 0
373 R016 REAGEN ZN-BTA SET 0 0 0 0 0
374 R034 REMDESIFIR INJEKSI 100 MG VIAL 0 0 0 0 0
375 R011 RETINOL ( VITAMIN A ) KAPSUL 200. 0KAPLET 186 0 186 6 0
376 R012 RETINOL (VITAMIN A) KAPSUL 100.00KAPLET 0 0 0 0 0
377 R046 RIFAMPICIN 75 MG/ ISONIAZID 50 M TABLET 0 0 0 0 0
378 R045 RIFAPENTINE 300 MG/ ISONIAZID 30 TABLET 0 0 0 0 0
379 R008 RINGER LAKTAT LARUTAN INFUS STERBOTOL 1160 0 1160 620 0
380 R014 RISPERIDON 2 MG TABLET 1235 0 1235 530 0
381 R033 ROMPI BUAH 0 0 0 0 0
382 R024 RPR SHIPILIS TEST 0 0 0 0 0
383 R036 RPV (25) BOTOL 0 0 0 0 0
384 S075 SABUN ANTI BAKTERI BOTOL 4 0 4 0 0
385 S031 SAFETY BOX BUAH 0 0 0 0 0
386 S082 SALBUTAMOL CAIRAN INHAELER 1 MAMPUL 8 0 8 0 0
387 S001 SALBUTAMOL TABLET 2 MG TABLET 3496 0 3496 0 0
388 S002 SALBUTAMOL TABLET 4 MG TABLET 3956 0 3956 291 0
389 S004 SALEP 2-4 TUBE 246 0 246 64 0
390 S063 SAMCODIN (ANTI INFLUENZA) TABLET 0 0 0 0 0
391 S066 SAMCORBEX TABLET 0 0 0 0 0
392 S050 SARUNG TANGAN SURGICAL GLOVESSET 0 0 0 0 0
393 S062 SARUNG TANGAN L SET 0 0 0 0 0
394 S051 SARUNG TANGAN M BUAH 600 0 600 70 0
395 S026 SARUNG TANGAN NO 7 BUAH 0 0 0 0 0
396 S028 SARUNG TANGAN NO 8 BUAH 0 0 0 0 0
397 S068 SCOPMA PLUS TABLET 0 0 0 0 0
398 S085 SEFADROKSIL 250 MG KAPSUL 4040 0 4040 302 0
399 S069 SEFADROKSIL CAPSUL 500 MG KAPSUL 0 0 0 0 0
400 S065 SEFADROXIL DRY SYRUP BOTOL 161 0 161 23 0
401 S073 SEFIKSIM 100 MG TABLET 1546 0 1546 1,113 0
402 S070 Sefotaksim Injeksi 1 g VIAL 60 0 60 60 0
403 S071 SEFTRIAKSON INJEKSI VIAL 140 0 140 58 0
404 S021 SENDOK OBAT PCS 0 0 0 0 0
405 S006 SERUM ANTI BISA ULAR I INJEKSI VIAL 1 0 1 1 0
406 S088 SHOE COVER PCS 0 0 0 0 0
407 S011 SIANOKOBALAMIN (VIT B12) INJEKSI AMPUL 0 0 0 0 0
408 S072 SIANOKOBALAMIN (VITAMIN B12) 50TABLET 25745 0 25745 1,057 0
409 S081 SILFAMIN 150 MG TABLET 0 0 0 0 0
410 S012 SILK (BENANG BEDAH SUTERA) NO.3/BUAH 0 0 0 0 0
411 S064 SIMVASTATIN 20 MG TABLET 0 0 0 0 0
412 S067 SIPROFLOKSASIN TABLET 500 MG TABLET 8195 0 8195 576 0
413 S080 SIVIT - ZINC TABLET 0 0 0 0 0
414 S059 SPECULUM L SET 0 0 0 0 0
415 S060 SPECULUM M SET 0 0 0 0 0
416 S086 SPRAY SKIN REFRIGERANT BOTOL 0 0 0 0 0
417 S057 STIK CHOLESTEROL BOX 0 0 0 0 0
418 S055 STIK GULA DARAH BOX 0 0 0 0 0
419 S084 STIMUNO FORTE KAPSUL 720 0 720 480 0
420 S083 STIMUNO SYR BOTOL 12 0 12 5 0
421 S074 SUKRALFAT SUSP 500 MG/5 ML BOTOL 0 0 0 0 0
422 S087 SULFATE CELL TEST 5 - 250 MG/L SO4KIT 0 0 0 0 0
423 S089 SURGICAL CAP PCS 0 0 0 0 0
424 T035 TABUNG VACUTINER EDTA - 3 ML PACKAGE 0 0 0 0 0
425 T041 TABURIA SACHET 0 0 0 0 0
426 T029 TAWAS BONGKAH BUNGKUS 0 0 0 0 0
427 T033 TEMEPHOS (ABATE- BOTOL) BOTOL 0 6 6 0 0
428 T038 TENOFIR (TDF)/EMTRICITABINE (FTC TABLET 0 0 0 0 0
429 T043 TENOFOVIR 300 MG TABLET 0 0 0 0 0
430 T028 TERMOS STEREOFORM BUAH 0 0 0 0 0
431 T042 TEST KIT PCR KIT 0 0 0 0 0
432 T004 TETRASIKLIN KAPSUL 250 MG TABLET 0 0 0 0 0
433 T005 TETRASIKLIN KAPSUL 500 MG TABLET 0 0 0 0 0
434 T037 THERMOGUN BUAH 0 0 0 0 0
435 T007 TIAMIN (VIT.B1) TABLET 50 MG TABLET 14516 0 14516 4,489 0
436 T039 TOCILIZUMAB INJ 400MG/20ML VIAL 0 0 0 0 0
437 T036 TOPLES BUAH 0 0 0 0 0
438 T024 TRIFLUOPERAZIN TAB 5 MG TABLET 0 0 0 0 0
439 T010 TRIHEKSILFENIDIL TABLET 2 MG TABLET 1655 0 1655 410 0
440 T040 TUBERCULIN VIAL 0 0 0 0 0
441 V020 VAKSIN BCG VIAL 25 10 35 14 0
442 V025 VAKSIN COV-19 INDOVAC VIAL 0 0 0 0 0
443 V024 VAKSIN COV-19 PFIZER VIAL 5 0 5 5 0
444 V026 VAKSIN DPT-HB-HIB VIAL 5 40 45 45 0
445 V030 VAKSIN DT VIAL 0 0 0 0 0
446 V014 VAKSIN HBIG (HIPERHEP-B) BUAH 0 0 0 0 0
447 V022 VAKSIN HEP B BUAH 50 0 50 6 0
448 V031 VAKSIN MENINGITIS VIAL 0 36 36 36 0
449 V027 VAKSIN MR VIAL 28 20 48 19 0
450 V023 VAKSIN PCV VIAL 29 20 49 35 0
451 V021 VAKSIN POLIO BOPV VIAL 20 30 50 0 0
452 V028 VAKSIN POLIO IPV VIAL 40 20 60 0 0
453 V029 VAKSIN TD VIAL 0 0 0 0 0
454 V013 VASELINE SWAB UK. 10CM X 10CM BUAH 0 0 0 0 0
455 V018 VIRAL TRANSPORT MEDIUM (VTM) SET 0 0 0 0 0
456 V003 VITAMIN B KOMPLEKS TABLET 19307 0 19307 4,111 0
457 V015 VITAMIN C 250 MG TABLET 0 0 0 0 0
458 V019 VITAMIN D TABLET TABLET 30 0 30 30 0
459 W001 WADAH PENAMPUNG TINJA 60 ML(PO PCS 0 0 0 0 0
460 W002 WINGON BOOTS PCS 0 0 0 0 0
461 X004 XYLOL BOTOL 0 0 0 0 0
462 Z006 ZIDOVUDINE (ZDV)/LAMIVUDINE (3T TABLET 0 0 0 0 0
463 Z003 ZIDOVUDINE (ZDV)300MG LAMIVUDITABLET 0 0 0 0 0
464 Z007 ZIDOVUDINE 100 MG TABLET 0 0 0 0 0
465 Z008 ZIDOVUDINE SYRUP BOTOL 0 0 0 0 0
 466 Z005 ZINC SULFATE SIRUP 20 MG/ML BOTOL 0 0 0 0 0
467 Z004 ZINC TAB DISP 20 MG TABLET 1628 0 1628 474 0

Mengetahui/Menyetujui Yang Menyerahkan Melaporkan/Meminta

Kepala Dinas Kesehatan Kabupaten Demak Sub Koordinator Kefarmasian, Alkes dan PKRT
Kepala PUSKESMAS GUNTUR I

dr. ALI MAIMUN, M.KES FARIDA KURNIATI, SF., Apt dr. ROKHIS SAIDAH
NIP.197104102002121007 NIP.19790119 200604 2 002 NIP.196901132002122003
PERMINTAAN OBAT
RI

SISA STOK
STOK OPTIMUM
PERMINTAAN PEMBERIAN KETERANGAN
0 0
0 0
0 0
7 0 50 0
0 0
0 0 100 0
152 0 50 0
148 0 100 0
0 0
0 0
1644 0
0 0
0 0
0 0
2 0 2 0
29 0 50 0
0 0
0 0
260 0
1240 0 5,000 0
260 0
0 0
0 0
0 0
100 0
0 0
30 0 100 0
5980 0 5,000 0
3708 0 3,000 0
0 0
297 0 200 0
0 0
9312 0 10,000 0
0 0
0 0
0 0 30 0
0 0 1,000 0
0 0
24471 0 15,000 0
54 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
70 0
0 0
0 0
0 0
11342 0
3700 0 700 0
23492 0 10,000 0
19 0
0 0
63 0 50 0
0 0
700 0
0 0
0 0
0 0
0 0
80 0
0 0
0 0
0 0
39 0 100 0
0 0
0 0
2545 0
85 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
88 0 200 0
5683 0 6,000 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
15 0
0 0
240 0
0 0
0 0 10 0
830 0
1478 0 1,000 0
300 0
0 0
50 0 500 0
0 0
0 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
3 0 5 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0 500 0
0 0
0 0
0 0 500 0
60 0
0 0
0 0
0 0
0 0
 15 0
0 0
0 0
6 0 200 0
0 0
0 0
151 0 100 0
0 0
0 0 2 0
0 0 300 0
2840 0
234 0
5111 0 5,000
0 0
35 0
0 0
0 0
20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 100 0
0 0
0 0 100 0
0 0
0 0
0 0
55 0 55 0
0 0 10 0
888 0 1,000 0
79 0 150 0
0 0 4 0
0 0 4 0
689 0 1,000 0
4 0
0 0
223 0 3,000 0
0 0
0 0
0 0
0 0 200 0
0 0 200 0
0 0
 100 0
0 0
609 0
0 0 100 0
0 0 200 0
0 0 100 0
0 0
0 0
0 0
19 0
14850 0 15,000 0
15 0
0 0
0 0
0 0 4 0
1 0
0 0
0 0
4700 0 3,000 0
0 0 2,000 0
42 0
0 0
0 0
0 0
0 0
0 0
0 0 50 0
0 0 50 0
0 0
200 0 300 0
13 0 100 0
0 0 100 0
0 0
0 0
385 0
0 0
1767 0 1,000 0
0 0
62 0 100 0
0 0
18 0
0 0 50 0
220 0
0 0
7079 0 20,000 0
0 0
0 0
 904 0
229 0
400 0
0 0
0 0
16293 0
0 0
400 0 200 0
0 0
0 0
0 0
0 0
0 0
1012 0 2,000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0 50 0
49 0 100 0
0 0
0 0
220 0
0 0
0 0 500 0
0 0
0 0
44 0 50 0
8 0 20 0
0 0
290 0
0 0
0 0
0 0
20 0
0 0
0 0
0 0
2537 0 1,000 0
0 0
325 0
945 0
395 0 5,000 0
 0 0
0 0
0 0
2730 0
0 0
18 0
0 0
117 0 50 0
0 0
0 0 5 0
845 0 3,000 0
1270 0 1,000 0
9365 0 10,000 0
1841 0 5,000 0
0 0
2 0
60 0
0 0
535 0
0 0
21 0
0 0
80 0
0 0
0 0
3701 0 3,000 0
979 0 3,000 0
0 0
2 0
0 0
20 0
0 0
0 0
0 0
12 0
0 0
0 0
0 0
200 0
0 0
1250 0
0 0 100 0
0 0
0 0
0 0
0 0
427 0
 0 0
26567 0 15,000 0
6 0 30 0
55 0 100 0
3 0
0 0
300 0
6887 0 7,000 0
0 0
0 0
0 0
0 0
3 0
0 0 5 0
0 0 100 0
1 0 2 0
2 0
14592 0 10,000 0
0 0
0 0 500 0
500 0
0 0
0 0
0 0
371 0
14 0 100 0
0 0
0 0
0 0
0 0
0 0
177 0
0 0
0 0
0 0 300 0
0 0 300 0
0 0
0 0
0 0
0 0
0 0
0 0 300 0
0 0
0 0
0 0
0 0 300 0
0 0
 0 0
0 0 2 0
0 0
180 0
0 0
0 0
0 0
540 0 1,000 0
705 0 1,000 0
0 0
0 0
0 0
4 0
0 0
8 0
3496 0
3665 0
182 0 100 0
0 0
0 0
0 0
0 0
530 0 200 0
0 0 200 0
0 0
0 0
3738 0
0 0
138 0
433 0 1,000 0
0 0
82 0 100 0
0 0 300 0
0 0 2 0
0 0
0 0
24688 0
0 0
0 0
0 0 2,000 0
7619 0
0 0
0 0
0 0
0 0
0 0
0 0
 240 0
7 0 50 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
10027 0 15,000 0
0 0
0 0
0 0
1245 0 500 0
0 0
21 0
0 0
0 0
0 0
0 0
0 0
44 0
0 0
29 0
14 0
50 0
60 0
0 0
0 0
0 0
15196 0 10,000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
1154 0 800 0

aporkan/Meminta Yang Menerima

PUSKESMAS GUNTUR I Pengelola Obat

. ROKHIS SAIDAH NORA MARITA SANDRA, S.Farm.,Apt.

96901132002122003 NIP.198303022009032007