LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERM

(LPLPO)
Kode Puskesmas : Bulan :
Puskesmas : PKM SUMBERMALANG
Kecamatan : SUMBERMALANG
Kabupaten : SITUBONDO No GFK :
Provinsi : JAWA TIMUR

PENGELUARAN
SATUA STOK PENERI PERSE
NO NAMA OBAT
N AWAL MAAN DIAAN PEMAK RETUR
AIAN
2 Air untuk injeksi ampul 25 ml (Otsu) amp 14 24 38 31 0
3 Albendazol tablet 400 mg tab 11 0 11 0 0
4 Alinamin F tablet tab 37 0 37 12 0
5 Alopurinol tablet 100 mg tab 366 0 366 30 0
6 Alopurinol tablet 300 mg tab 90 0 90 0 0
7 Alprazolam tablet 1 mg tab 6 0 6 0 0
8 Ambroxol sirup 15 mg/ml btl 7 0 7 2 0
9 Ambroxol tablet 30 mg tab 147 200 347 105 0
10 Aminofilin injeksi 24 mg/ml~10 ml amp 11 0 11 0 0
11 Aminofilin tablet 200 mg tab 159 100 259 101 0
13 Amitriptilin tablet salut 25 mg (HCl) tab 30 0 30 0 0
14 Amlodipin tablet 10 mg (Zevask) tab 40 0 40 0 0
15 Amoksisilin kapsul/kaplet 500 mg kapl 180 1100 1280 981 0
16 Amoksisilin sirup kering 125 mg/5 ml btl 13 10 23 8 0
Antasida DOEN I tablet kunyah,
kombinasi: Aluminium Hidroksida 200 mg
21 Magnesium Hidroksida 200 mg tab 325 1100 1425 1228 0
Antasida DOEN II suspensi, kombi:
Aluminium Hidroksida 200 mg/5 ml
22 Magnesium Hidroksida 200 mg/5 ml btl 0 35 35 34 0
Antibakteri DOEN salep kombinasi:
Basitrasin 500 IU/g + Polimiksin 10.000
23 IU/g tube 18 5 23 1 0

Antihemoroid DOEN kombinasi: Bismut

25 subgalat 150 mg Heksaklorofen 2,5 mg supp 10 0 10 0 0
Asam Asetilsalisilat tablet 100 mg
26 (asetosal) tab 259 0 259 30 0

28 Asam Askorbat (Vitamin C) tablet 50 mg tab 115 0 115 0 0

29 Asam Folat tablet 1 mg (Anelat) tab 90 0 90 0 0

30 Asam Mefenamat kapsul/kaplet 500 mg kapl 179 700 879 679 0

32 Asam Traneksamat inj. amp 3 0 3 0 0

33 Asam Traneksamat tablet (Plasminex) tab 0 40 40 10 0

35 Asiklovir krim 5% tube 7 5 12 3 0
36 Asiklovir tablet 200 mg tab 154 0 154 20 0
37 Asiklovir tablet 400 mg tab 10 0 10 10 0
Atropin injeksi i.m./i.v./s.k. 0,25 mg/ml
38 (sulfat) amp 2 0 2 0 0
39 Attapulgit tablet 600 mg (New Antides) tab 90 0 90 0 0

41 Betametason krim 0,1% (sebagai valerat) tube 3 0 3 3 0

42 Bioplacenton salep tube 3 0 3 0 0

43 Bisakodil suppositoria 5 mg (Dulcolax) supp 2 0 2 0 0

44 Calfera kaplet kapl 20 0 20 10 0
46 Coparcetin sirup btl 10 10 20 10 0

48 Deksametason injeksi i.v. 5 mg/ml~1ml amp 49 0 49 3 0

49 Deksametason tablet 0,5 mg tab 261 800 1061 988 0
50 Dexanta tablet tab 160 200 360 244 0
51 Diazepam injeksi 5 mg/ml amp 3 0 3 1 0
Diazepam larutan rectal 5 mg/2,5 ml
52 (Stesolid) tube 2 0 2 0 0
53 Diazepam tablet 2 mg tab 5 5 10 10 0

54 Difenhidramin injeksi i.m. 10 mg/ml (HCl) amp 37 32 69 11 0

55 Digoksin tablet 0,25 mg tab 90 0 90 0 0
56 Dimenhidrinat tablet 50 mg tab 205 0 205 0 0
57 Domperidon suspensi 5 mg/5 ml btl 5 10 15 3 0
59 Domperidon tablet 10 mg (Omedon) tab 202 0 202 137 0
Epinefrin (adrenalin) injeksi 0,1%
60 (sebagai HCl) amp 7 0 7 1 0
61 Eritromisin kapsul/kaplet 500 mg kaps 87 0 87 0 0
62 Eritromisin sirup 200 mg/5 ml btl 12 0 12 0 0
Fitomenadion (Vitamin K1) injeksi 2
64 mg/ml amp 9 0 9 0 0
Fitomenadion (Vitamin K1) tablet salut
66 gula 10 mg tab 30 0 30 0 0
Furosemid injeksi i.v./i.m. 10 mg/ml
68 (Edemin) amp 6 5 11 4 0
69 Furosemid tablet 40 mg tab 321 0 321 60 0
70 Garam Oralit I serbuk sac 210 0 210 5 0
71 Gastrusid sirup btl 4 15 19 10 0
72 Gemfibrozil kapsul/kaplet 300 mg kaps 298 0 298 40 0
73 Gentamisin sulfat tetes mata 0,3% btl 10 0 10 0 0
74 Gentian Violet larutan 1% btl 3 0 3 0 0
75 Glibenklamida tablet 5 mg tab 280 0 280 10 0
76 Gliseril Gualakolat tablet 100 mg tab 838 0 838 260 0
77 Gliserin larutan 50% btl 0 5 5 5 0
78 Glukosa larutan infus 10% steril btl 13 0 13 0 0
79 Glukosa larutan infus 40% steril btl 4 0 4 0 0
80 Glukosa larutan infus 5% steril btl 3 0 3 1 0
82 Griseofulvin tablet 125 mg (Rexavin) tab 260 0 260 0 0
84 Haloperidol tablet 5 mg tab 22 0 22 0 0
85 Hidroklorotiazid (HCT) tablet 25 mg tab 674 0 674 0 0
86 Hidrokortison krim 2,5% tube 5 0 5 2 0
88 Ibuprofen suspensi 100 mg/5 ml btl 13 10 23 7 0
89 Ibuprofen tablet 400 mg tab 81 1200 1281 1277 0
90 Isoniazid tablet 100 mg tab 100 0 100 0 0
91 Isosorbid Dinitrat tablet 5 mg tab 48 0 48 0 0

92 Isosorbid Dinitrat tablet 5 mg (Fasorbid) tab 100 0 100 10 0

93 Kalsium Laktat (Kalk) tablet 500 mg tab 214 0 214 10 0
94 Kaptopril tablet 12,5 mg tab 210 0 210 20 0
95 Kaptopril tablet 25 mg tab 340 0 340 70 0
96 Karbamazepin tablet 200 mg tab 88 0 88 50 0
97 Ketokonazol krim 2% tube 1 0 1 0 0
98 Ketokonazol tablet 200 mg tab 40 0 40 0 0
99 Klindamisin kapsul/kaplet 150 mg kaps 40 0 40 0 0

102 Kloramfenikol salep kulit 2% (Bufacetin) tube 1 0 1 0 0

103 Kloramfenikol salep mata 1% tube 4 0 4 0 0
104 Kloramfenikol suspensi 125 mg/5 ml btl 5 35 40 31 0
107 Kloramfenikol tetes telinga 1% (Reco) btl 4 0 4 0 0
108 Klorfeniramin Maleat (CTM) tab 4 mg tab 148 400 548 402 0
109 Klorpromazin tablet salut 25 mg (HCl) tab 105 0 105 0 0
Kotrimoksazol DOEN I (dewasa)
kombinasi: Sulfametoksazol 400 mg,
110 Trimetoprim 80 mg tab 144 100 244 140 0
Kotrimoksazol Suspensi komb:
Sulfametoksazol 200 mg + Trimetoprim
111 40 mg/5 ml btl 1 15 16 4 0
 Larutan mengandung Elektrolit (Na 130
mEq, Cl 109 mEq, Ca 3 mEq, Asetat 28
113 mEq) (ASERING) btl 30 120 150 128 0
116 Lidokain injeksi 2% amp 0 10 10 10 0
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
117 80.000 ~ 2ml (Lidokain Comp. Inj) amp 12 5 17 17 0
118 Lodecon Forte kapl 205 0 205 104 0
119 Loperamid tablet 2 mg tab 375 0 375 10 0
120 Loratadin tablet 10 mg tab 50 0 50 0 0
122 Magnesium Sulfat inj (IV) 20% ~ 25 ml vial 3 0 3 0 0
Magnesium Sulfat inj (IV) 40% ~ 25 ml
124 (Otsu) amp 6 0 6 0 0
Metamizole Na injeksi 500 mg/ml
125 (Norages) amp 13 50 63 41 0
Metampiron tablet 500 mg (antalgin)
127 (Infalgin) tab 267 300 567 440 0
128 Metformin HCl tablet 500 mg tab 40 0 40 0 0
Metilergometrin Maleat injeksi 0,200 mg
129 ~ 1 ml amp 2 0 2 0 0
Metilergometrin Maleat tablet salut 0,125
130 mg tab 60 0 60 0 0
132 Metoklopramide tablet 10 mg tab 165 0 165 0 0

133 Metoklopramide tablet 10 mg (Lexapram) tab 60 0 60 0 0

134 Metoklopramide tablet 5 mg tab 90 0 90 0 0
135 Metronidazol tablet 500 mg tab 232 400 632 290 0
136 Microlax tube 5 ml tube 2 0 2 0 0
137 Natrium Diklofenak tablet 50 mg tab 268 0 268 80 0

138 Natrium Klorida larutan infus 0,9% (NaCl) btl 13 20 33 10 0

139 Neurobion 5000 injeksi amp 9 5 14 14 0
140 Nifedipin 30 mg (Adalat Oros) tab 130 0 130 0 0
142 Nistatin tablet salut 500.000 IU/ g tab 129 0 129 0 0
143 Nistatin vaginal tablet 100.000 IU/ g ovula 74 0 74 0 0
144 Obat Batuk Hitam (OBH) cairan btl 0 10 10 3 0
145 Oksitetrasiklin HCl salep mata 1% tube 2 5 7 3 0
146 Oksitosin injeksi 10 IU/ml~1 ml amp 3 5 8 1 0
148 Omegesic tab 80 100 180 90 0
149 Omeprazol kapsul/kaplet 20 mg kaps 30 0 30 0 0
150 Ondansentron injeksi 4 mg/2 ml amp 14 40 54 42 0
151 Parasetamol drops 60 mg/0,6 ml btl 18 5 23 1 0
152 Parasetamol sirup 120 mg/5 ml btl 2 10 12 6 0
153 Parasetamol tablet 500 mg tab 240 0 240 133 0
154 Parasetamol tablet 500 mg (Erlamol) tab 5 0 5 0 0
155 Permetrin krim 5% tube 4 5 9 2 0
157 Piracetam injeksi 3 g/15 ml amp 2 0 2 0 0
158 Piracetam tablet 800 mg tab 30 0 30 0 0
159 Pirantel tablet score (base) 125 mg tab 92 0 92 0 0
Piridoksin (Vitamin B6) tablet 10 mg
160 (HCL) tab 882 0 882 0 0
163 Povidon Iodida larutan 10% 300 ml btl 2 1 3 0 0
164 Povidon Iodida larutan 10% 60 ml btl 1 2 3 1 0
165 Prednison tablet 5 mg tab 35 0 35 0 0
166 Ranitidin injeksi 25 mg/ml amp 24 110 134 113 0
168 Ranitidin tablet 150 mg tab 277 1300 1577 1276 0
169 Ringer Laktat (RL) larutan infus btl 54 0 54 54 0
Salbutamol cairan (As.sulfat) 2,5 mg
170 (Ventolin Nebules) btl 1 0 1 1 0

171 Salbutamol tablet 2 mg (sebagai sulfat) tab 100 0 100 0 0

Salep 2~4 , Kombinasi: Asam Salisilat
173 2% + Belerang endap 4% pot 7 0 7 2 0
174 Salisil Bedak 2 % ktk 6 0 6 0 0
175 Sefadroksil kapsul/kaplet 500 mg kaps 168 0 168 60 0
176 Sefadroksil sirup kering 125 mg/5ml btl 5 0 5 0 0
177 Sefotaksim injeksi 1 g vial 17 90 107 98 0
Serum A.T.S. injeksi 1.500 UI/amp (i.m.)
178 (Biosat) amp 3 0 3 0 0
179 Serum ABU I (Biosave) vial 1 0 1 0 0
Sianokobalamin (vitamin B12) injeksi 500
180 mcg amp 63 50 113 65 0
181 Simvastatin tablet 20 mg tab 220 0 220 0 0
Siprofloksasin tablet 500 mg (sebagai
182 HCl) tab 84 300 384 180 0
184 Spironolakton tablet 25 mg tab 30 0 30 0 0
185 Stabimed 1000 ml btl 1 0 1 0 0
186 Terbutalin Sulfat 2,5 mg (Molasma) tab 100 0 100 0 0
187 Tetrasiklin kapsul/kaplet 250 mg kaps 77 0 77 0 0
188 Tetrasiklin kapsul/kaplet 500 mg kaps 60 0 60 0 0
Tiamfenikol kapsul/kaplet 500 mg
189 (Solathim) kaps 0 300 300 170 0
Tiamfenikol kapsul/kaplet 500 mg
190 (Thiamex) kaps 200 400 600 600 0
Tiamin (vitamin B1) tablet 50 mg
191 (HCL/nitrat) tab 117 0 117 0 0
192 Trolit sase 3 0 3 0 0
193 Vitamin B Kompleks tablet tab 198 900 1098 718 0
194 Zinc sirup 10 mg/5 ml btl 4 0 4 4 0

195 Zinc sirup 20 mg/5 ml (Zircum Kids Sirup) btl 0 15 15 4 0

196 Zinc tablet 20 mg tab 100 200 300 20 0
198 Alat suntik sekali pakai 1 ml (Nipro) set 29 40 69 39 0
200 Alat suntik sekali pakai 10 ml set 13 0 13 1 0
202 Alat suntik sekali pakai 3 ml (OneMed) set 155 400 555 326 0
206 Alat suntik sekali pakai 5 ml (OneMed) set 28 40 68 42 0
214 Catgut plain 2/0 hr 20 mm set 0 5 5 5 0
Catgut plain no 2/0 70C + jarum 1/2 25M
216 R (Demetech) set 7 9 16 11 0
Catgut plain no 3/0 70C + jarum 1/2 25M
217 R (Demetech) set 0 4 4 4 0
224 Etakridin larutan 0,1% (rivanol) btl 5 0 5 0 0
225 Etanol 70% cairan (100 ml) btl 1 4 5 1 0
226 Etanol 70% cairan (1000 ml) btl 2 3 5 3 0
227 Etil Klorida spray btl 1 0 1 0 0
230 Fescopore 2,5 cm x 9,1 m rol 1 0 1 0 0
231 Fixomull stretch 10 cm x 5 m rol 0 2 2 1 0
235 Foley Catheter (18) set 5 0 5 1 0
250 Handrub 500 ml btl 2 0 2 0 0
251 Handscoon (uk 7~7,5) (OneMed) psg 1 10 11 4 0
253 Handscoon uk L (Maxter) pcs 200 100 300 200 0
256 Handscoon uk S pcs 0 400 400 400 0
257 Infusion set anak set 63 0 63 5 0
259 Infusion set dewasa (Nipro) set 51 0 51 44 0
261 IV Catheter No. 18 G set 12 0 12 4 0
263 IV Catheter No. 20 G (Nipro) set 41 0 41 23 0
265 IV Catheter No. 22 G (Stera) set 28 0 28 22 0
266 IV Catheter No. 24 G set 29 20 49 15 0
Kapas Pembalut/Absorben 250 gram
271 (OneMed) bks 3 3 6 0 0

272 Kasa Hidrofil uk. 16 x 16 (isi 16 lembar) lbr 64 160 224 160 0
273 Kasa Hidrofil uk. 40 m x 80 cm rol 2 1 3 1 0
275 Kasa Pembalut Elastis 3 inchi rol 1 0 1 1 0
Kasa Pembalut Hidrofil 4 m x 10 cm
278 (OneMed) rol 10 25 35 20 0
279 Kasa Pembalut Hidrofil 4 m x 5 cm rol 70 0 70 20 0
285 Masker set 50 550 600 500 0
288 Masker Nebulizer Anak set 1 0 1 0 0
289 Masker Nebulizer Dewasa set 2 0 2 0 0
291 Mess silet no 11 pcs 4 10 14 6 0
295 Plester 2,5 cm x 4,5 m (Leukoplast) rol 2 0 2 1 0
297 Plester 5 cm x 5 m (Polifix) rol 3 0 3 0 0
300 Plester 7,5 cm x 4,5 m (Leukoplast) rol 1 0 1 1 0
Silk 3/0 75C + jarum 3/8 26M C
311 (Demetech) set 2 0 2 1 0
312 Silk black 2/0 HR 30 mm set 5 0 5 0 0
313 Sofra tulle pcs 3 0 3 0 0
314 Stomach tube (NGT) uk. 16 tube 1 3 4 0 0
316 Tourniquet pcs 0 1 1 0 0
318 Underpad pcs 1 5 6 5 0
319 Urine Bag set 3 0 3 2 0
320 Urine Bag (OneMed) set 5 5 10 0 0

MENGETAHUI/MENYETUJUI YANG MENYERAHKAN

KADINKES KABUPATEN SITUBONDO KEPALA GFK

Drs. H. ABU BAKAR ABDI, Apt, Msi LIANA PUSPITANINGRUM, Apt. HARI SANTO
NIP. 19650525 199403 1 009 NIP: 19800614 200501 2 019
AN LEMBAR PERMINTAAN OBAT (RUANG FARMASI)
(LPLPO)
November Tahun : 2018

Tanggal : 1-12-2018

ENGELUARAN STOK PEMBERIAN

SISA PERMI
OPTIM KAPITA JAMKE LAIN- JUMLA
TOTAL AKHIR NTAAN DAU DAK ASKES
UM SI SDA LAIN H
31 7 - - 0 24 0 0 0 0 24
0 11 - - 0 0 0 0 0 0 0
12 25 - - 0 0 0 0 0 0 0
30 336 - - 0 0 0 0 0 0 0
0 90 - - 0 0 0 0 0 0 0
0 6 - - 0 0 0 0 0 0 0
2 5 - - 0 0 0 0 0 0 0
105 242 - - 0 200 0 0 0 0 200
0 11 - - 0 0 0 0 0 0 0
101 158 - - 0 100 0 0 0 0 100
0 30 - - 0 0 0 0 0 0 0
0 40 - - 0 0 0 0 0 0 0
981 299 - - 0 1100 0 0 0 0 1100
8 15 - - 0 10 0 0 0 0 10

1228 197 - - 0 1100 0 0 0 0 1100

34 1 - - 0 35 0 0 0 0 35

1 22 - - 0 5 0 0 0 0 5

0 10 - - 0 0 0 0 0 0 0

30 229 - - 0 0 0 0 0 0 0

0 115 - - 0 0 0 0 0 0 0
 0 90 - - 0 0 0 0 0 0 0

679 200 - - 0 700 0 0 0 0 700

0 3 - - 0 0 0 0 0 0 0

10 30 - - 0 0 40 0 0 0 40
3 9 - - 0 5 0 0 0 0 5
20 134 - - 0 0 0 0 0 0 0
10 0 - - 0 0 0 0 0 0 0

0 2 - - 0 0 0 0 0 0 0
0 90 - - 0 0 0 0 0 0 0

3 0 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0

0 2 - - 0 0 0 0 0 0 0
10 10 - - 0 0 0 0 0 0 0
10 10 - - 0 0 10 0 0 0 10

3 46 - - 0 0 0 0 0 0 0
988 73 - - 0 800 0 0 0 0 800
244 116 - - 0 0 200 0 0 0 200
1 2 - - 0 0 0 0 0 0 0

0 2 - - 0 0 0 0 0 0 0
10 0 - - 0 5 0 0 0 0 5

11 58 - - 0 0 32 0 0 0 32
0 90 - - 0 0 0 0 0 0 0
0 205 - - 0 0 0 0 0 0 0
3 12 - - 0 10 0 0 0 0 10
137 65 - - 0 0 0 0 0 0 0

1 6 - - 0 0 0 0 0 0 0
0 87 - - 0 0 0 0 0 0 0
0 12 - - 0 0 0 0 0 0 0

0 9 - - 0 0 0 0 0 0 0

0 30 - - 0 0 0 0 0 0 0

4 7 - - 0 5 0 0 0 0 5
 60 261 - - 0 0 0 0 0 0 0
5 205 - - 0 0 0 0 0 0 0
10 9 - - 0 0 15 0 0 0 15
40 258 - - 0 0 0 0 0 0 0
0 10 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0
10 270 - - 0 0 0 0 0 0 0
260 578 - - 0 0 0 0 0 0 0
5 0 - - 0 0 5 0 0 0 5
0 13 - - 0 0 0 0 0 0 0
0 4 - - 0 0 0 0 0 0 0
1 2 - - 0 0 0 0 0 0 0
0 260 - - 0 0 0 0 0 0 0
0 22 - - 0 0 0 0 0 0 0
0 674 - - 0 0 0 0 0 0 0
2 3 - - 0 0 0 0 0 0 0
7 16 - - 0 10 0 0 0 0 10
1277 4 - - 0 0 1200 0 0 0 1200
0 100 - - 0 0 0 0 0 0 0
0 48 - - 0 0 0 0 0 0 0

10 90 - - 0 0 0 0 0 0 0
10 204 - - 0 0 0 0 0 0 0
20 190 - - 0 0 0 0 0 0 0
70 270 - - 0 0 0 0 0 0 0
50 38 - - 0 0 0 0 0 0 0
0 1 - - 0 0 0 0 0 0 0
0 40 - - 0 0 0 0 0 0 0
0 40 - - 0 0 0 0 0 0 0

0 1 - - 0 0 0 0 0 0 0
0 4 - - 0 0 0 0 0 0 0
31 9 - - 0 35 0 0 0 0 35
0 4 - - 0 0 0 0 0 0 0
402 146 - - 0 400 0 0 0 0 400
0 105 - - 0 0 0 0 0 0 0

140 104 - - 0 100 0 0 0 0 100

4 12 - - 0 15 0 0 0 0 15
128 22 - - 0 120 0 0 0 0 120
10 0 - - 0 10 0 0 0 0 10

17 0 - - 0 5 0 0 0 0 5
104 101 - - 0 0 0 0 0 0 0
10 365 - - 0 0 0 0 0 0 0
0 50 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0

0 6 - - 0 0 0 0 0 0 0

41 22 - - 0 0 50 0 0 0 50

440 127 - - 0 0 300 0 0 0 300

0 40 - - 0 0 0 0 0 0 0

0 2 - - 0 0 0 0 0 0 0

0 60 - - 0 0 0 0 0 0 0
0 165 - - 0 0 0 0 0 0 0

0 60 - - 0 0 0 0 0 0 0
0 90 - - 0 0 0 0 0 0 0
290 342 - - 0 400 0 0 0 0 400
0 2 - - 0 0 0 0 0 0 0
80 188 - - 0 0 0 0 0 0 0

10 23 - - 0 20 0 0 0 0 20
14 0 - - 0 0 5 0 0 0 5
0 130 - - 0 0 0 0 0 0 0
0 129 - - 0 0 0 0 0 0 0
0 74 - - 0 0 0 0 0 0 0
3 7 - - 0 4 6 0 0 0 10
3 4 - - 0 5 0 0 0 0 5
1 7 - - 0 5 0 0 0 0 5
90 90 - - 0 0 100 0 0 0 100
0 30 - - 0 0 0 0 0 0 0
42 12 - - 0 0 40 0 0 0 40
1 22 - - 0 5 0 0 0 0 5
6 6 - - 0 10 0 0 0 0 10
133 107 - - 0 0 0 0 0 0 0
 0 5 - - 0 0 0 0 0 0 0
2 7 - - 0 0 5 0 0 0 5
0 2 - - 0 0 0 0 0 0 0
0 30 - - 0 0 0 0 0 0 0
0 92 - - 0 0 0 0 0 0 0

0 882 - - 0 0 0 0 0 0 0
0 3 - - 0 1 0 0 0 0 1
1 2 - - 0 0 2 0 0 0 2
0 35 - - 0 0 0 0 0 0 0
113 21 - - 0 110 0 0 0 0 110
1276 301 - - 0 0 1300 0 0 0 1300
54 0 - - 0 0 0 0 0 0 0

1 0 - - 0 0 0 0 0 0 0

0 100 - - 0 0 0 0 0 0 0

2 5 - - 0 0 0 0 0 0 0
0 6 - - 0 0 0 0 0 0 0
60 108 - - 0 0 0 0 0 0 0
0 5 - - 0 0 0 0 0 0 0
98 9 - - 0 0 90 0 0 0 90

0 3 - - 0 0 0 0 0 0 0
0 1 - - 0 0 0 0 0 0 0

65 48 - - 0 0 50 0 0 0 50
0 220 - - 0 0 0 0 0 0 0

180 204 - - 0 300 0 0 0 0 300

0 30 - - 0 0 0 0 0 0 0
0 1 - - 0 0 0 0 0 0 0
0 100 - - 0 0 0 0 0 0 0
0 77 - - 0 0 0 0 0 0 0
0 60 - - 0 0 0 0 0 0 0

170 130 - - 0 300 0 0 0 0 300

600 0 - - 0 0 400 0 0 0 400

0 117 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0
718 380 - - 0 900 0 0 0 0 900
4 0 - - 0 0 0 0 0 0 0

4 11 - - 0 15 0 0 0 0 15
20 280 - - 0 200 0 0 0 0 200
39 30 - - 0 40 0 0 0 0 40
1 12 - - 0 0 0 0 0 0 0
326 229 - - 0 400 0 0 0 0 400
42 26 - - 0 40 0 0 0 0 40
5 0 - - 0 5 0 0 0 0 5

11 5 - - 0 9 0 0 0 0 9

4 0 - - 0 4 0 0 0 0 4
0 5 - - 0 0 0 0 0 0 0
1 4 - - 0 0 4 0 0 0 4
3 2 - - 0 3 0 0 0 0 3
0 1 - - 0 0 0 0 0 0 0
0 1 - - 0 0 0 0 0 0 0
1 1 - - 0 2 0 0 0 0 2
1 4 - - 0 0 0 0 0 0 0
0 2 - - 0 0 0 0 0 0 0
4 7 - - 0 10 0 0 0 0 10
200 100 - - 0 100 0 0 0 0 100
400 0 - - 0 0 400 0 0 0 400
5 58 - - 0 0 0 0 0 0 0
44 7 - - 0 0 0 0 0 0 0
4 8 - - 0 0 0 0 0 0 0
23 18 - - 0 0 0 0 0 0 0
22 6 - - 0 0 0 0 0 0 0
15 34 - - 0 20 0 0 0 0 20

0 6 - - 0 3 0 0 0 0 3

160 64 - - 0 0 160 0 0 0 160

1 2 - - 0 0 1 0 0 0 1
1 0 - - 0 0 0 0 0 0 0

20 15 - - 0 25 0 0 0 0 25
20 50 - - 0 0 0 0 0 0 0
500 100 - - 0 0 550 0 0 0 550
0 1 - - 0 0 0 0 0 0 0
0 2 - - 0 0 0 0 0 0 0
 6 8 - - 0 0 10 0 0 0 10
1 1 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0
1 0 - - 0 0 0 0 0 0 0

1 1 - - 0 0 0 0 0 0 0
0 5 - - 0 0 0 0 0 0 0
0 3 - - 0 0 0 0 0 0 0
0 4 - - 0 0 3 0 0 0 3
0 1 - - 0 0 1 0 0 0 1
5 1 - - 0 5 0 0 0 0 5
2 1 - - 0 0 0 0 0 0 0
0 10 - - 0 5 0 0 0 0 5

YANG MEMINTA / MELAPOR YANG MENERIMA

KEPALA PUSKESMAS PENGELOLA OBAT PUSKESMAS

HARI SANTOSO, S.Kep.,Ns. ERFANTINI, S.Sos.

NIP : 19800510 200501 1 010 NIP : 19731023 200701 2 007
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1

1 1 1 3 1

0 1 1 2 1

1 1 1 3 1

1 0 1 2 1

1 0 1 2 1

1 0 1 2 1
1 0 1 2 1

1 1 1 3 1
1 0 1 2 1

0 1 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 0 1 1

1 0 1 2 1
1 0 1 2 1

1 0 0 1 1
1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 1 1 3 1

1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1

1 0 1 2 1
1 1 0 2 1

1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 0 1 2 1

1 0 1 2 1

1 0 1 2 1

1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
0 1 0 1 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1

1 1 1 3 1

1 1 1 3 1
1 1 1 3 1
0 1 0 1 1

1 1 0 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1

1 0 1 2 1

1 1 1 3 1

1 1 1 3 1
1 0 1 2 1

1 0 1 2 1

1 0 1 2 1
1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1

1 1 1 3 1
1 1 0 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
0 1 1 2 1
1 1 1 3 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1

1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 0 1 1

1 0 0 1 1

1 0 1 2 1

1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1

1 0 1 2 1
1 0 1 2 1

1 1 1 3 1
1 0 1 2 1

1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1

0 1 1 2 1

1 1 0 2 1

1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 0 1 1

0 1 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
0 1 0 1 1

1 1 1 3 1

0 1 0 1 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
0 1 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 1 1 3 1
0 1 0 1 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1

1 1 1 3 1

1 1 1 3 1
1 1 1 3 1
1 0 0 1 1

1 1 1 3 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
1 0 1 2 1
1 0 1 2 1
1 0 0 1 1

1 0 1 2 1
1 0 1 2 1
1 0 1 2 1
1 1 1 3 1
0 1 1 2 1
1 1 1 3 1
1 0 1 2 1
1 1 1 3 1