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PEMAKAIAN OBAT DINKES PUSKESMAS JALAN KUTAI PKM Jul-21
NO
NAMA OBAT
1
Persediaan Bahan Pakai Habis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
Persediaan Peralatan Kesehatan Abbocath jarum infus 18 Abbocath jarum infus 20 Abbocath jarum infus 22 Abbocath jarum infus 24 Abbocath jarum infus 26 Alat Puyer Alat suntik 0.05 cc Alat suntik 0.5 cc Alat suntik 1 cc Alat suntik 3 cc Alat suntik 5 cc Alat suntik 10 cc Alat suntik 20 cc Bisturi 10 Bisturi 11 Bisturi 12 Blood Set foley Catheter no.16 Foley Catheter no.24 Handscoon Handscoon steril S Handscoon steril M Handscoon steril L Infus set anak Infus set dewasa Jarum Hecting Kulit Jarum Hecting Otot Kaca Sediaan Kapas pembalut 250 mg Kasa Hidrofil 36 m x 80 cm Kasa Hidrofil Steril 16x16 Kasa Pembalut Hidrofil 4 x 10 cm KasaPembalut Hidrofil 4 x 5 Kertas Puyer Masker
SATUAN
pieces pieces pieces pieces pieces Set pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Set pieces pcs pieces pieces pieces pieces pieces pieces pieces pieces pieces Bungkus Roll Kotak Roll Roll pieces pieces
STOK AWAL
9 11 7 3 0 0 0 0 0 10 27 0 10 7 3 0 10 3 0 71 0 0 0 0 15 0 0 0 0 0 5 0 0 0 64
36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58
Nelaton catheter Pembalut gips Plester 5 yard x 2 inch Plester kertas / MICROPORE Pot Sputum Safety Box Sarung Tangan Panjang Steril Silk ( Benang sutera ) no 3/0 simple mask paed dewasa simple mask paed anak Underpad Urine Bag ( Non Seteril ) Wing needle Lidi button Masker N95 8210 Masker nebulizer Anak Masker nebulizer dewasa NGT Oxigen nasal canule anak dan dewasa Pot Urine Pot Fesses Disposible Lancet Pen Lancet
pieces Roll Roll pieces pot pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Paket pieces pieces pieces pieces
59
Catgut Chromic SMI 2/0
pieces
0 0 11
60
Catgut Chromic SMI 3/0
pieces
0
61
Catgut Plain SMI 2/0
pieces
0
62
Catgut Plain SMI 3/0
pieces
0
63
Guedel Airway 50mm
pieces
0
64
Guedel Airway 80mm
pieces
0
65
Vaginal Specullum
pieces
0
2
Persediaan Bahan/ Material Bahan Obat-obatan ANTIBIOTIKA Amoksilin kapsul 250 mg Amoksilin tab 500 mg Amoksisilin s kering 125 mg / 5 cc 60 Ml Amoksisilin s kering 250 mg / 5 cc 60 Ml Asiklovir tab 200 gr Asiklovir tab 400mg Azitromisin 500 mg Benzatin Benzil penisilin
A 1 2 3 4 5 6 7 8
Kapsul Tablet Botol Botol Tablet Tablet Tablet Vial
0 0 0 8 0 0 3 0 0 0 17 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1500 0 0 0 100 0 0
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
B 1 2 3 4 5 6 7
Cefixim 100 mg kapsul Cefixime DS 100 mg/ 5ml Doksisiklin kapsul 100 mg Erytromisin sirup 60 Ml 200mg/5ml Erytromycin 250 mg Erytromycin 500 mg Fenoksimetil Penisilin tablet 250 mg Fenoksimetil Penisilin tablet 500 mg Flukonazol kapsul 150 mg Griseofulvin tablet 125 mg micronized Ketokonazol tablet 200 mg Klindamisin Kapsul 150 mg Klindamisin Kapsul 300 mg Kloramfenikol kapsul 250 mg Kloramfenikol sirup 60 Ml Kotrimoksazol Suspensi 60 Ml 40mg/5ml Kotrimoksazol Tablet Dewasa Kotrimoksazol Tablet paed Lincomysin 500 mg Metronidazol tablet 500 mg Nistatin drop / Mycostatin, candistin, Nymiko Nistatin tablet salut gula 500.000 IU/g Nistatin tablet vagina 100.000 IU/g Sefadoksil 500 mg Sefadoksil syrup 125ml/5ml Sefadoksil syrup 250ml/5ml Seftriaxsone 1 gr inj Siproploksasin tab 500 mg Streptomycin inj 1 gram Tetrasiklin Kapsul 250 mg Tetrasiklin Kapsul 500 mg Tiamfenikol kap 500 mg Gentamicin injeksi 40 mg/ml Ampicillin inj KLOROKUIN 150mg OSELTAMIVIR FAVIPIRAVIR 200MG ANALGETIKA-ANTIPIRETIKANTIINFLAMASI Alopurinol tablet 100 mg Alopurinol tablet 300 mg Antalgin ( Metampiron ) inj 250 mg/ 5 cc Asam Mefenamat 250 Asam Mefenamat 500 Asetosal Tablet 80 mg (Aspilet) Ibuprofen Supp
kapsul Botol Kapsul Botol Tablet Tablet Tablet Tablet Kapsul Tablet Tablet Kapsul Kapsul Kapsul Botol Botol Tablet Tablet Kapsul Tablet Botol Tablet Tablet Kapsul Botol Botol Vial Tablet Vial Kapsul Kapsul Kapsul ampul Vial Tablet Tablet PCS
Tablet Tablet Ampul Kapsul Tablet Tablet Supp
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 10 0 0 0 0 0 0 3 0 0 0 0 200 0 0 0 700 100 0
8 9 10 11 12 13 14 15 16 17 18 19 C 1 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5 6 E 1 2 3 F 1 2 3 4 G 1 2 3 4 5
Ibuprofen Suspensi 200mg/5ml Ibuprofen tablet 200 mg Ibuprofen tablet 400 mg Kalium Diclofenak 50 mg Ketoprofen Inj Meloksixam tablet 15 mg Natrium Diclofenac tab 50 mg Parasetamol 100 mg Parasetamol Drop 15 ml Parasetamol sirup 120 mg / 5ml (60 Ml) Parasetamol tablet 500 mg Tramadol tablet 50 mg DIGESTIVA Antasida DOEN komb Antasida sirup 60 Ml Lacto B Mesoprostol 200 mg Natrium Bikarbonat tablet 500 mg Omeprazole 20 mg tablet Ranitidin inj 25 mg/2ml Ranitidin tablet 150 mg Sucraflat sirup Vitazym tab ANTISPASMODIK Chlordiazepoxide (Braxidin) Ekstrak Belladon tablet 10 mg Hyoscine-N-Butilbromida/Buscopan tablet Buscopan Inj Papaverin tablet Spasminal LAKSATIVA Bisacodil Tablet 10 mg Bisacodil Tablet 5 mg Suppositoria Laktulosa Syr 3,335g/5ml / Laktulak syrup ANTIDIARE & ELEKTROLIT Anti Diare Anak Anti Diare Dewasa Garam Oralit 200 ml air Norit ANTIEMESIS Dimenhidrinat tab 50 mg Domperidon 10 mg tablet Domperidon suspensi 5 mg/ml Metoclopramid Inj Metoclopramid Syrup
Botol Tablet Tablet Tablet Ampul Tablet Tablet Tablet Botol Botol Tablet Tablet Tablet Botol Sachet Tablet Tablet Kapsul Ampul Tablet Botol Tablet Tablet Tablet Tablet Ampul Tablet Tablet Tablet Suppos Botol Tablet Tablet Sachet Tablet Tablet Tablet Botol Ampul Botol
0 0 0 0 0 300 1000 0 112 0 2200 0 0 1400 100 0 10 0 210 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0
6 7 8 H 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
I 1 2 3 4 5 6 7 J 1 2 3 4 5 6 7 8 K 1 L 1 2 3
Metoclopramid 10 mg Tab Ondansetron injeksi Ondansetron tablet 4 mg OBAT METABOLISME (VITAMIN&MINERAL) Asam Askorbat (VIT C) Tablet ASAM ASKORBAT (VITAMIN C) INJ 500MG/5 Asam folatML) 1 mg Kalsium laktat (Kalk) tablet 500 mg Multivitamin anak 60 Ml Multivitamin dewasa Neurobion 5000 injeksi Phitonadione pead injeksi Piracetam 800 mg Piridoksin HCl (Vit B6) tablet 10 mg Sianokobalamin inj 500 mcg/ml-1ml Sianokobalamin tab b12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Tiamin HCL (Vit B1) tablet 50 mg Vitamin B Komplek Inj Vit B kompleks tab Anti osteoarthritis Vitamin Neurotropik ANTI ASMA Aminofilin inj 24 mg / cc Aminofilin tab 150 mg Bisolvon drop Bricasma Inj Efedrin HCl tablet 25 mg Salbutamol tablet 4 mg Salbutamol inhalasi ANTITUSIVE & EKSPEKTORAN Ambroksol sirup 60 ml Ambroksol tablet Bromhexin tablet 8 mg Gliseril Guayakolat tablet 100 mg Kodein fosfat tablet 10 mg Bromhexin sirup Obat batuk Hitam (OBH) 100 ml Asetilsistein 200 mg ANTI ANEMIA Tambah darah komb : Besi + as folat HEMOSTATIK Asam Traneksamat 250mg/5ml Asam Traneksamat 500 MG Fitomenadion (Vit K1) inj 10 mg / ml-1ml
Tablet Ampul Tablet Tablet ampul Tablet Tablet Botol Tablet Ampul Ampul Tablet Tablet Ampul Tablet Ampul Tablet ampul Tablet Tablet Tablet
Ampul Tablet Botol Ampul Tablet Tablet Nebule Botol Tablet Tablet Tablet Tablet Botol Botol Tablet Tablet Ampul Tablet Ampul
0 0 0 0 700 0 3100 35 0 0 0 20 0 0 0 0 1000 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
4 M 1
Fitomenadion (Vit K1) tablet gula 10 mg ANTIALERGI/IMUNOLOGIKUM Anti Histamin/Loratadin
Tablet
2 3 4 5 6 7 8 N 1 2 3 4 5 6 7 8 O 1 2 3 4 5 6 7 8 9 10 11 12
Cetirizin sirup 5 mg/5ml 60 ml Deksametason inj 5 mg/ml 1 ml Deksametason Tablet 0,5 mg Difenhidramin inj 10 mg/5 ml-1 ml Klorfeniramin maleat (CTM) tablet 4 mg Methylprednisolon 4 mg tablet Prednison tab 5 mg ANTIKONVULSI/ANTIPARKINSON Alprazolam tablet 0,5 mg Amitriptilin HCl tab 25 mg Fenitoin Na inj 50 mg/ml-2ml Fenitoin Natrium kapsul 100 mg Flufenazin inj Karbamazepin tablet 200 mg Triheksifenidil Tablet 2 mg Depakote 250 mg ANTIDEPRESAN Diazepam inj 5 mg/ml -2 ml Diazepam tablet 2 mg Diazepam 5mg Fenobarbital inj 50 mg/ml-2ml Fenobarbital tablet 30 mg Haloperidol 5 mg Tab Haloperidol injeksi Klorpromazin HCl inj 5 mg/2cc Klorpromazin HCl 100 mg Risperidone 2 mg Stesolid Rectal Clozapine 100 mg Olanzapin 5 mg Clozapine 25 mg Clobazam 10 mg olanzapin inj Olanzapin 10 mg ANTIMIGREN Antimigren DOEN tab Betahistin Mesilat tab 6 mg ANTIDIABETIKUM Glibenklamid tablet 5 mg Glimepirida 1 mg Metformin Glimepirida 2 mg
Botol Ampul Tablet Ampul Tablet Tablet Tablet
13 14 15 16 17
P 1 2 Q 1 2 3 4
Tablet
Tablet Tablet Ampul Kapsul ampul Tablet Tablet Tablet Ampul Tablet tablet Ampul Tablet Tablet ampul Ampul Tablet Tablet Supp Tablet
50 0 200 10 0 600 0 2000 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0
Tablet Tablet Tablet ampul Tablet
0 0 0 0 0 0
Tablet Tablet Tablet Tablet Tablet
0 100 0 0 0 1000
Tablet
200
R 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
S 1 2 T 1 2 3 4 5 6 7 8 9 10 11 U 1 2 V 1 2 3
OBAT KULIT & OBAT LUAR Antibakteri DOEN salep komb Antifungi DOEN kombinasi salep Asiklovir krim 5 % 5 gr Betametason krim 0,1 % Burnazin cream Chloramfecort Krim Gentamisin salep kulit Gentian violet lar 1 % GOM Hidrokortison krim 2,5 % Kassa Penutup luka/lomatule Ketokonazol (cream)10 gr Kloramfenikol Krim / Bufacetin Salep 2% Mikonazol krim Obat Luka Bakar Oksitetrasiklin 3% salep kulit Polikresulen ( Albothyl ) Salep 2-4 Salisil bedak 2 % Scabiecid cream Trombophop salep Krim Natrium Diklofenac OBAT TELINGA Fenol Glicerol Cair Kloramfenikol tetes telinga 3 % OBAT MATA Atropin sulfat tetes mata 0,5 % Cendoxitrol Tetes Mata Gentamisin tetes mata Kloramfenikol salep mata 1 % Kloramfenikol tetes mata 0.5%/Decacetin Obat edema kornea tetes mata/Optalgon Ofloxacin tetes mata Oksitetrasiklin salep mata Sulfasetamida Na tetes mata Tetracain Hcl 0,5 % Tetes Mata Timolol 0,5 % Tetes mata ANTIHAEMORRHOID Anti Hemmorhoid DOEN supp Anti Hemoroid kapsul KARDIOVASKULUS/ ANTIHIPERTENSI Amlodipin 5 mg Aspar K Bisoprolol 2,5 mg
Tube Tube Pot Tube Tube Tube Tube Tube Botol botol Tube Pieces Tube Tube Tube Tube Botol Pot Kotak Tube Tube Tube
Botol Botol Botol Botol Botol Tube Botol Botol Botol Tube Botol Botol Botol Supp Kapsul Tablet Tablet tablet
0 0 0 0 0 1 0 30 0 0 24 0 0 0 0 0 25 0 0 10 0 0 0 0 0 5 0 0 0 0 24 0 0 0 0 0 0 0 0 30 0 0 900 0 0
4 5 6 7 8 9 10 11 12 13 14
15 W 1 2 3 4 X 1 2 3 4 Y 1 2 Z 1 AA 1 AB 1 2 AC 1 2 3 4 5 6 7 8 9 10 11 12
Bisoprolol 5 mg Digoksin tablet 0,25 mg Isorbid dinitrat tablet sublingual 5 mg Kaptopril 25 mg Kaptopril 12.5mg Metildopa/dopamet Nifedipin 10 mg tab Nifedipin 20 mg tab Propanolol HCl tablet 10 mg Reserpin tab 0,25 mg Tensi Gard Amlodipin 10 mg DIURETIKUM Furosemid tablet 40 mg Hidroklortiazid (HCT) tablet 25 mg Nefrolit kapsul Glaukon OKSITOSIKUM Metilergometrin maleat inj 0,200 mg - ml Metilergometrin maleat tab salut 0,125 mg Oksitoksin in 10 IU/ml- 1 ml Syntocinon ANTILIPIDEMIKUM Simvastatin Tablet 10 mg Simvastatin Tablet 20 mg HORMON Propiltiourasil tablet 100 mg SYOK ANAFILAKTIK Epinefrin / adrenalin inj 0,1 % - 1ml ANTELMINTIK Pirantel tablet 125 pirantel tablet 250 mg PELARUT & INFUS Aqua pro inj steril @ 25 cc Cairan infus pengganti plasma/gelofusin Dekstran 70 lar infus 6 % Glukosa lar infus 10 % Glukosa lar infus 40 % Glukosa lar infus 5 % KN - 3B SOL/KK Magnesium sulfat inj 25 ml -20 % Magnesium sulfat inj 25 ml -40 % Manitol 20 % Metronidazole infus 500 mg/100ml Natrium Klorida Lar.infus 0,9 % steril
Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet
Tablet Tablet Kapsul Tablet ampul Tablet ampul ampul Tablet Tablet Tablet ampul Tablet PCS Botol Botol Botol Botol Botol Botol Botol Ampul ampul Botol Botol Botol
0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 10 100 31 0 0 990 500 0 0 0 8 0 0 0 0 5 10 0 2 0 0 0 0 17 0 0 6
13 14 15 AD 1 2 3 4 5 6 7 8 9 AE 1 AF 1 AG 1 2 3 4
AH 1 2 3 4 5 6 7 8 AI 1 2 3 4 AJ 1 2 3 4 5 6 7
Parasetamol Infus Ringer Laktat Larutan Infus Steril Siproploksasin infus ANTISEPTIKA & DESINFEKTAN Etakridin ( rivanol ) lar 0,1 % 300 cc Etanol 70 %1000 ml Etanol 70 %100 ml ETANOL 70% 20 L Klorin 1 liter Lisol 5 % Povidon Iodine 10 % 60 ml povidon iodne 10% 300ml Povidon Iodine 10 % 1000 ml KB Depo progestin/suntik KB ANTI INFLUENZA Obat batuk pilek anak 60 ml (Paracetamol, Fenileprin SERUM Hidroklorida, CTM, Kalium sulfoguaiakolat) Serum anti tetanus inj 1.500 IU/amp Serum anti tetanus inj 20.000 IU/vial Serum antibisa ular Polivalen inj 5 ml Anti Difteri Serum (ADS) LAIN-LAIN Atropin sulfat inj 0,25 mg / ml-1ml Atropin Sulfat Tablet 0,5 mg Calsium gluconas inj Lidokain Jelly Jelly USG Natrium tiosulfat inj Nalokson Inj 0,4 mg/ml Oxycan OBAT PROGRAM ANTI MALARIA Artemeter injeksi Arterakine tablet Artesunate injeksi Kuinin Dihidroklorida injeksi 25%-2 ml GIZI Zinc suspensi 100 ml Mineral Mix Pan Entral Retinol ( vit A ) kapsul 100.000 unit Retinol ( vit A ) kapsul 200.000 unit Taburia Formal 100
Botol Botol Botol Botol Botol Botol DRIGEN botol Botol Botol botol Botol Botol Botol Vial Vial Vial 0
ampul Tablet ampul Tube Botol ampul Botol Botol
ampul Tablet ampul ampul Botol Sachet Sachet Kapsul Kapsul Sachet Sachet
0 11 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
AK 1 2 3 AL 1 2 3 4 AM 1 2 3 4 5 6 7 8 9 9
AN 1 AO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 AP 1 2 3 4 5
FILARIASIS Anti Filaria Tablet ( Dietyl Karbamazepin ) Albendazol tab 400 mg Albendazol Sirup 200mg/5ml ANTI LEPRA MB Dewasa MB Anak PB Dewasa PB Anak OBAT TBC INH 100 mg Obat Anti Tuberkulosis FDC Kat 1 Obat Anti Tuberkulosis FDC Kat 2 Obat Anti Tuberkulosis Kategori Anak Obat Anti Tuberkulosis Sisipan Azythromycin Cefixime (kombipak) Fase Awal Fase Lanjutan OAT Kombipak Kat.1 CATRIDGE TCM (TB) HEPATITIS Vaksin HBIg / Hyperhep B HIV Abacavir 300mg Efavirenz 200mg Efavirenz 600 Lamivudin (3TC) 150MG Lopinavir 200MG / Ritonavir 50MG Nevirapine (NPV) 200MG Rilpivirine 25mg (eduran) Tenofovir (TDF) 300mg Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg TDF+3TC+EFC (300/300/600) FDC Dewasa Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg ZDV+3TC+NPV (60/30/50) FDC Anak Zidovudine Oral Syrup 50mg/5ml,100mg(240ml) Zidovudine 100mg tablet INH 300mg KHB Diagnostar kit.2 VAKSIN Vaksin BCG+PELARUT Vaksin Campak/MR+PELARUT Vaksin DT Vaksin HB COM DPT Vaksin HB UNIJECT
Tablet Tablet Botol Blister Blister Blister Blister Tablet Paket Paket Paket Paket
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tablet Tablet Tablet Paket TES
0 0 0 0 0 0
Vial
0 0 0 0 0 0
Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Tablet tes Vial Vial Vial Vial ampul
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 7 8 9 10 11 12 AP 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Vaksin Polio+DROPER POLIO Vaksin TT Vaksin TD Vaksin DPT HB HIB Polio IVP Vaksin Rabies VAKSIN MENINGITIS DENTAL Bonding Carpul Celluloid strip Composite Dentorit Descotan Forte (gigi) Devitalisasi Pasta (Non arsen) Endoprost Etil klorida semprot 100 cc Etching/Extra gel Eugenol Cairan Glass Ionomer Cement (GC IX) Jarum Citoject Kalsium Hidroksida pasta Lidokain inj komb Lining Cement Mata Bor micro brush Monoklorkamfer mentol cairan Mummifying Pasta Poles Semen seng fosfat serbuk cairan/Glas lonomer lineng semen
23 24 25 26 27 28 29 AQ 1 2 3 4 5
Serat pembeku darah Silver amalgam serbuk 65-75 % Spray pelumas handpiece Sulfa Stopping Fletcher(Fletcher) Tissu steril pembersih alat gigi Topikal anestesi Trikresol formalin Bahan Kimia Hidrogen Peroksida (H2O2) Oil Imersi Reagen Ziehl Neelsen Alkohol Swab PPD 2 TU
Vial Vial Vial Vial Vial vial VIAL Set pieces pieces Set Botol Botol Botol botol Botol Set Botol Botol pieces pieces ampul pieces pieces Box Botol Botol pieces pieces pot Set Botol Set Botol Botol Botol
0 0 0 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 0 0 0 0 0 0 0 0
Botol Botol Paket ampul Vial
0 0 0 42 0
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AR 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Test Pack Stik Kolesterol Stik Asam Urat Stik Glukosa Rapid 3 HIV / VIKIA HIV DI Anti HIV 1/2 Intec HIV III SD Bioline HIV Kit.1 Oncoprobe HIV.3 Rapid sypilis (SD Bioline/Threpocheck) RPR Shypilis SD HbsAg Iodina Tes 10 ml Golongan Darah Anti A Golongan Darah Anti B Golongan Darah Anti AB Golongan Darah Anti D Stik Hemoglobin Protein Urine Test RPR Shypilis Component Kartu Golongan Darah RDT DBD COMBO Rapid shypilis (Alere) OBAT PENGADAAN BARU DINAS masker n95 1860 masker n95 1860s masker n95 1870t Tabung EDTA Syring Needle 3 ml Steril Cotton Swab KHB Diagnostar kit.2 NEEDLE 23G Masker Hijab (TB) VTM Eritromisin 250 mg (Btt) HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anabatik OBH 100ML BERLICO rasa jeruk nipis btt anabatik KACAMATA PELINDUNG/GOGLE VISOR BTT ANABATIK SAFETY BOX 5L BTT ANABATIK
pieces pieces pieces pieces Pieces Tes Tes Tes Tes Tes Tes Tes Kit Botol
0
Botol Botol Botol pieces pieces Set pieces TES tes 0 0 Pieces Pieces Pieces pieces pieces pieces tes PIECES Pieces pieces kapsul
0
Botol Botol PCS PCS
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 0 0 0 0 0
16
LOPERAMID/ ETADIUM HCL 2MG BTT ANABATIK
17
SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
Tablet PASANG
MASKER NEBULIZER DEWASA BTT ANABATIK INFUS SET DEWASA BTT ANABATIK SALBUTAMOL SULFATE INHALASI 1MG 2,5 ML (BTT ANABATIK)
pieces
21
STESOLID RECTAL 5MG (BTT ANABATIK)
suppos
22 23 24 25 26 27 28 29 30 31 32 33
Tramadol hcl inj 100mg (btt anabatik) ALKOHOL PAD BTT2 HANDSCOON M (BTT YASMIN) SHOES COVER (BTT YASMIN) masker n95 type 1112 MFOIL-K (prov) multivitamin / zegavit (btt yasmin) desinfektan 1000ml (btt yasmin) Paket Vtm (naso+oro) Citos prov Masker KN95 (prov) cover all standar (prov) micropore 2inchi/5cm (btt yasmin) handscoon S (btt yasmin) SARUNG TANGAN PANJANG STERIL (8,5/L) Btt Bankeu Prov
ampul PCS PCS PCS PCS TABLET botol paket PCS PCS PCS PCS
18 19 20
34
PCS
VIAL
PCS
SARUNG TANGAN PANJANG STERIL (7,5/M) Btt Bankeu Prov
35
PCS
37
SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Bankeu Prov ALKOHOL SWAB (BTT BANKEU PROV)
38
DISPOSIBEL LANCET (BTT BANKEU PROV)
PCS
39 40 41 42 43
MASKER (BTT BANKEU PROV) handsanitizer 500ml (Btt bankeu prov) CD 4 REAGENT PH INDIKATOR ANUSCOPY PUSKESMAS Bakteri Aerob Bakteri Anaerob IV Canula with injection valve no.16 Reagen Widal Reagen LDL Cholesterol
PCS PCS PCS PCS PCS
36
0 1 2 3 4 5
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
pieces pieces pieces pieces pieces
0 0 0 0 0
6 7 8 9 10 11 12 13
Reagen Urea Reagen Creatinine Reagen Uric Acid Reagen AST GOT Reagen ALT GPT Reagen Bilirubin Reagen Cholesterol Reagen Glucose Reagen Eight Check - 3WP 1,5 ml ( High )
pieces pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 0 0 0
Reagen Eight Check - 3WP 1,5 ml ( Normal )
0
pieces
15
Reagen Eight Check - 3WP 1,5 ml ( Low )
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44
0
pieces
14
16 17 18 19 20 21 22
0
Cell Clean 50 ml Cell Pack 20 Lt Stromalyser - WH 500 ml Gelang Ibu Gelang Bayi Softex Maternity Protein Test Urine Lengkap 10 Parameter Kertas Lakmus Kassa gulung ROLL Reagen Chlorida Reagen Iron Reagen Mangan Reagen Hydro-Sulfide Umbilicall cord Endoprost Vacutainer No.21 Vacutainer No.22 Kapas 500 gr Reagent Trigliserida Reagen HDL Direct Tabung Clot activator Nasal kanule dewasa Nasal kanule bayi ORABLOC / Xylestein anasthesi gigi Calibration Sera level 3 Caviton 30 gr Articulating paper Fill temp
0
pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 0 0 0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Guedel bayi 01 Guedel dewasa no.3 Guedel dewasa no.4 Mask with visor Slim suecher BBLR Handrub Rapid COVID-19 Sepatu boot Nutri drink Susu Ibu hamil Blood lancet Masker Oksigen Dewasa(Simple mask 56 adult) 57 Imunogard 58 spritus 45 46 47 48 49 50 51 52 53 54 55
59 60 61 62 63 64 65 66 67 68
Tabung Effendoft Reagen Albumin Masker KN95 Oseltamivir 7,5 mg Saliva Ejector Obat KB Suntik Pil KB Kombinasi Kondom Implant IUD Coper T
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 2 0 0 0 0 0 0 0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 0 0 0 0 0 0 0 0
PENERIMAAN
PERSEDIAAN 1
2
3
4
5
9 11 7 3 0 0 0 0 0 10 27 0 10 7 3 0 10 3 100
0 171 0 0 0 0
10
5
15 0 0 0 0 0 5 0 0 50
0 114
5
5
5
6
0 0 0 8 0 0 3 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 1500 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 0 100 0 0 10 0 0 0 0 0 0 3 0 0 0 0 200 0 0 0 700 100 0
0 0 0 0 0 300 1000 0 112 0 2200 0 0 1400 100 0 10 0 210 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 150 0 0 0 0 0 0
0 0 0 700 0 3100 35 0 0 0 20 0 0 0 0 1000 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
50 200 10 0 600 0 2000 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 1000 200
0 0 0 0 1 0 30 0 0 24 0 0 0 0 0 25 0 0 10 0 0 0 0 5 0 0 0 24 0 0 0 0 0 0 0 30 0 0 900 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 10 100 31 0 0 990 500 0 0 0 8 0 0 0 0 5 10 0
6
2 0 0 0 0 23 0 0 6
0 11 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 10
21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0
PEMAKAIAN HARIAN PUSKESMA
7
8
4
9
10
11
12
10
13
14
15
Aug-21 16
HARIAN PUSKESMAS Aug-21 17
18
19
20
21
22
23
24
25
26
RATA-RATA PEMAKAIAN JUMLAH HARI PEMAKAIAN
TOTAL 27
28
29
30
31
0 0 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 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 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
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0
0
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0
0
#DIV/0!
0
0
#DIV/0!
0
0
#DIV/0!
0
0
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0
0
#DIV/0!
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0 0 0 0 0 0 0 0 0 0 0 0
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17
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11
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0
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0
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0
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0 0 0 0 0 0 0 0
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0
0
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0 0 0 0 0 0 0 0 0 0 0
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PEMAKAIAN OBAT DINKES PUSKESMAS JALAN KUTAI MARET TAHUN 2021( APOTIK KUTAI)
NO
NAMA OBAT
1
Persediaan Bahan Pakai Habis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
Persediaan Peralatan Kesehatan Abbocath jarum infus 18 Abbocath jarum infus 20 Abbocath jarum infus 22 Abbocath jarum infus 24 Abbocath jarum infus 26 Alat Puyer Alat suntik 0.05 cc Alat suntik 0.5 cc Alat suntik 1 cc Alat suntik 3 cc Alat suntik 5 cc Alat suntik 10 cc Alat suntik 20 cc Bisturi 10 Bisturi 11 Bisturi 12 Blood Set foley Catheter no.16 Foley Catheter no.24 Handscoon Handscoon steril S Handscoon steril M Handscoon steril L Infus set anak Infus set dewasa Jarum Hecting Kulit Jarum Hecting Otot Kaca Sediaan Kapas pembalut 250 mg Kasa Hidrofil 36 m x 80 cm Kasa Hidrofil Steril 16x16 Kasa Pembalut Hidrofil 4 x 10 cm KasaPembalut Hidrofil 4 x 5 Kertas Puyer Masker Nelaton catheter
SATUAN
pieces pieces pieces pieces pieces Set pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Set pieces pcs pieces pieces pieces pieces pieces pieces pieces pieces pieces Bungkus Roll Kotak Roll Roll pieces pieces pieces
STOK AWAL
5 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0
37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58
Pembalut gips Plester 5 yard x 2 inch Plester kertas / MICROPORE Pot Sputum Safety Box Sarung Tangan Panjang Steril Silk ( Benang sutera ) no 3/0 simple mask paed dewasa simple mask paed anak Underpad Urine Bag ( Non Seteril ) Wing needle Lidi button Masker N95 8210 Masker nebulizer Anak Masker nebulizer dewasa NGT Oxigen nasal canule anak dan dewasa Pot Urine Pot Fesses Disposible Lancet Pen Lancet
Roll Roll pieces pot pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Paket pieces pieces pieces pieces
59
Catgut Chromic SMI 2/0
pieces
0 0
60
Catgut Chromic SMI 3/0
pieces
0
61
Catgut Plain SMI 2/0
pieces
0
62
Catgut Plain SMI 3/0
pieces
0
63
Guedel Airway 50mm
pieces
0
64
Guedel Airway 80mm
pieces
0
65
Vaginal Specullum
pieces
0
2
Persediaan Bahan/ Material Bahan Obat-obatan ANTIBIOTIKA Amoksilin kapsul 250 mg Amoksilin tab 500 mg Amoksisilin s kering 125 mg / 5 cc 60 Ml Amoksisilin s kering 250 mg / 5 cc 60 Ml Asiklovir tab 200 gr Asiklovir tab 400mg Azitromisin 500 mg Benzatin Benzil penisilin Cefixim 100 mg kapsul
A 1 2 3 4 5 6 7 8 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0
0
Kapsul Tablet Botol Botol Tablet Tablet Tablet Vial kapsul
0 0 0 0 0 0 0 0 0 0 0
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
B 1 2 3 4 5 6 7 8
Cefixime DS 100 mg/ 5ml Doksisiklin kapsul 100 mg Erytromisin sirup 60 Ml 200mg/5ml Erytromycin 250 mg Erytromycin 500 mg Fenoksimetil Penisilin tablet 250 mg Fenoksimetil Penisilin tablet 500 mg Flukonazol kapsul 150 mg Griseofulvin tablet 125 mg micronized Ketokonazol tablet 200 mg Klindamisin Kapsul 150 mg Klindamisin Kapsul 300 mg Kloramfenikol kapsul 250 mg Kloramfenikol sirup 60 Ml Kotrimoksazol Suspensi 60 Ml 40mg/5ml Kotrimoksazol Tablet Dewasa Kotrimoksazol Tablet paed Lincomysin 500 mg Metronidazol tablet 500 mg Nistatin drop / Mycostatin, candistin, Nymiko Nistatin tablet salut gula 500.000 IU/g Nistatin tablet vagina 100.000 IU/g Sefadoksil 500 mg Sefadoksil syrup 125ml/5ml Sefadoksil syrup 250ml/5ml Seftriaxsone 1 gr inj Siproploksasin tab 500 mg Streptomycin inj 1 gram Tetrasiklin Kapsul 250 mg Tetrasiklin Kapsul 500 mg Tiamfenikol kap 500 mg Gentamicin injeksi 40 mg/ml Ampicillin inj KLOROKUIN 150mg OSELTAMIVIR FAVIPIRAVIR 200MG ANALGETIKA-ANTIPIRETIK-ANTIINFLAMASI Alopurinol tablet 100 mg Alopurinol tablet 300 mg Antalgin ( Metampiron ) inj 250 mg/ 5 cc Asam Mefenamat 250 Asam Mefenamat 500 Asetosal Tablet 100 mg (Aspilet) Ibuprofen Supp Ibuprofen Suspensi 200mg/5ml
Botol Kapsul Botol Tablet Tablet Tablet Tablet Kapsul Tablet Tablet Kapsul Kapsul Kapsul Botol Botol Tablet Tablet Kapsul Tablet Botol Tablet Tablet Kapsul Botol Botol Vial Tablet Vial Kapsul Kapsul Kapsul ampul Vial Tablet Tablet PCS
Tablet Tablet Ampul Kapsul Tablet Tablet Supp 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
9 10 11 12 13 14 15 16 17 18 19 C 1 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5 6 E 1 2 3 F 1 2 3 4 G 1 2 3 4 5 6
Ibuprofen tablet 200 mg Ibuprofen tablet 400 mg Kalium Diclofenak 50 mg Ketoprofen Inj Meloksixam tablet 15 mg Natrium Diclofenac tab 50 mg Parasetamol 100 mg Parasetamol Drop 15 ml Parasetamol sirup 120 mg / 5ml (60 Ml) Parasetamol tablet 500 mg Tramadol tablet 50 mg DIGESTIVA Antasida DOEN komb Antasida sirup 60 Ml Lacto B Mesoprostol 200 mg Natrium Bikarbonat tablet 500 mg Omeprazole 20 mg tablet Ranitidin inj 25 mg/2ml Ranitidin tablet 150 mg Sucraflat sirup Vitazym tab ANTISPASMODIK Chlordiazepoxide (Braxidin) Ekstrak Belladon tablet 10 mg Hyoscine-N-Butilbromida/Buscopan tablet Buscopan Inj Papaverin tablet Spasminal LAKSATIVA Bisacodil Tablet 10 mg Bisacodil Tablet 5 mg Suppositoria Laktulosa Syr 3,335g/5ml / Laktulak syrup ANTIDIARE & ELEKTROLIT Anti Diare Anak Anti Diare Dewasa Garam Oralit 200 ml air Norit ANTIEMESIS Dimenhidrinat tab 50 mg Domperidon 10 mg tablet Domperidon suspensi 5 mg/ml Metoclopramid Inj Metoclopramid Syrup Metoclopramid 10 mg Tab
Tablet Tablet Tablet Ampul Tablet Tablet Tablet Botol Botol Tablet Tablet Tablet Botol Sachet Tablet Tablet Kapsul Ampul Tablet Botol Tablet Tablet Tablet Tablet Ampul Tablet Tablet Tablet Suppos Botol Tablet Tablet Sachet Tablet Tablet Tablet Botol Ampul Botol Tablet
0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 8 H 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
I 1 2 3 4 5 6 7 J 1 2 3 4 5 6 7 8 K 1 L 1 2 3 4
Ondansetron injeksi Ondansetron tablet 4 mg OBAT METABOLISME (VITAMIN&MINERAL) Asam Askorbat (VIT C) Tablet ASAM ASKORBAT (VITAMIN C) INJ 500MG/5 ML) Asam folat 1 mg Kalsium laktat (Kalk) tablet 500 mg Multivitamin anak 60 Ml Multivitamin dewasa Neurobion 5000 injeksi Phitonadione pead injeksi Piracetam 800 mg Piridoksin HCl (Vit B6) tablet 10 mg Sianokobalamin inj 500 mcg/ml-1ml Sianokobalamin tab b12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Tiamin HCL (Vit B1) tablet 50 mg Vitamin B Komplek Inj Vit B kompleks tab Anti osteoarthritis Vitamin Neurotropik ANTI ASMA Aminofilin inj 24 mg / cc Aminofilin tab 150 mg Bisolvon drop Bricasma Inj Efedrin HCl tablet 25 mg Salbutamol tablet 4 mg Salbutamol inhalasi ANTITUSIVE & EKSPEKTORAN Ambroksol sirup 60 ml Ambroksol tablet Bromhexin tablet 8 mg Gliseril Guayakolat tablet 100 mg Kodein fosfat tablet 10 mg Bromhexin sirup Obat batuk Hitam (OBH) 100 ml Asetilsistein 200 mg ANTI ANEMIA Tambah darah komb : Besi + as folat HEMOSTATIK Asam Traneksamat 250mg/5ml Asam Traneksamat 250 MG Fitomenadion (Vit K1) inj 10 mg / ml-1ml Fitomenadion (Vit K1) tablet gula 10 mg
Ampul Tablet Tablet ampul Tablet Tablet Botol Tablet Ampul Ampul Tablet Tablet Ampul Tablet Ampul Tablet ampul Tablet Tablet Tablet
Ampul Tablet Botol Ampul Tablet Tablet Nebule Botol Tablet Tablet Tablet Tablet Botol Botol Tablet Tablet Ampul Tablet Ampul Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
M 1 2 3 4 5 6 7 8 N 1 2 3 4 5 6 7 8 O 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
P 1 2 Q 1 2 3 4
R
ANTIALERGI/IMUNOLOGIKUM Anti Histamin/Loratadin Cetirizin sirup 5 mg/5ml 60 ml Deksametason inj 5 mg/ml 1 ml Deksametason Tablet 0,5 mg Difenhidramin inj 10 mg/5 ml-1 ml Klorfeniramin maleat (CTM) tablet 4 mg Methylprednisolon 4 mg tablet Prednison tab 5 mg ANTIKONVULSI/ANTIPARKINSON Alprazolam tablet 0,5 mg Amitriptilin HCl tab 25 mg Fenitoin Na inj 50 mg/ml-2ml Fenitoin Natrium kapsul 100 mg Flufenazin inj Karbamazepin tablet 200 mg Triheksifenidil Tablet 2 mg Depakote 500 mg ANTIDEPRESAN Diazepam inj 5 mg/ml -2 ml Diazepam tablet 2 mg Diazepam 5mg Fenobarbital inj 50 mg/ml-2ml Fenobarbital tablet 30 mg Haloperidol 5 mg Tab Haloperidol injeksi Klorpromazin HCl inj 5 mg/2cc Klorpromazin HCl 100 mg Risperidone 2 mg Stesolid Rectal Clozapine 100 mg Olanzapin 5 mg Clozapine 25 mg Clobazam 10 mg olanzapin inj Olanzapin 10 mg ANTIMIGREN Antimigren DOEN tab Betahistin Mesilat tab 6 mg ANTIDIABETIKUM Glibenklamid tablet 5 mg Glimepirida 1 mg Metformin Glimepirida 2 mg OBAT KULIT & OBAT LUAR
Tablet Botol Ampul Tablet Ampul Tablet Tablet Tablet Tablet Tablet Ampul Kapsul ampul Tablet Tablet Tablet Ampul Tablet tablet Ampul Tablet Tablet ampul Ampul Tablet Tablet Supp Tablet Tablet Tablet Tablet ampul Tablet
Tablet Tablet Tablet Tablet Tablet Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
S 1 2 T 1 2 3 4 5 6 7 8 9 10 11 U 1 2 V 1 2 3 4
Antibakteri DOEN salep komb Antifungi DOEN kombinasi salep Asiklovir krim 5 % 5 gr Betametason krim 0,1 % Burnazin cream Chloramfecort Krim Gentamisin salep kulit Gentian violet lar 1 % GOM Hidrokortison krim 2,5 % Kassa Penutup luka/lomatule Ketokonazol (cream)10 gr Kloramfenikol Krim / Bufacetin Salep 2% Mikonazol krim Obat Luka Bakar Oksitetrasiklin 3% salep kulit Polikresulen ( Albothyl ) Salep 2-4 Salisil bedak 2 % Scabiecid cream Trombophop salep Krim Natrium Diclofenak OBAT TELINGA Fenol Glicerol Cair Kloramfenikol tetes telinga 3 % OBAT MATA Atropin sulfat tetes mata 0,5 % Cendoxitrol Tetes Mata Gentamisin tetes mata Kloramfenikol salep mata 1 % Kloramfenikol tetes mata 0.5%/Decacetin Obat edema kornea tetes mata/Optalgon Ofloxacin tetes mata Oksitetrasiklin salep mata Sulfasetamida Na tetes mata Tetracain Hcl 0,5 % Tetes Mata Timolol 0,5 % Tetes mata ANTIHAEMORRHOID Anti Hemmorhoid DOEN supp Anti Hemoroid kapsul KARDIOVASKULUS/ ANTIHIPERTENSI Amlodipin 5 mg Aspar K Bisoprolol 2,5 mg Bisoprolol 5 mg
Tube Tube Pot Tube Tube Tube Tube Tube Botol botol Tube Pieces Tube Tube Tube Tube Botol Pot Kotak Tube Tube
0 0 0 0 0 0
Tube
0 0 0 0 0 0
Botol Botol Botol Botol Botol Tube Botol Botol Botol Tube Botol Botol Botol Supp Kapsul Tablet Tablet tablet Tablet
0 0 0 0 0 0 0 0 0 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 6 7 8 9 10 11 12 13 14
15 W 1 2 3 4 X 1 2 3 4 Y 1 2 Z 1 AA 1 AB 1 2 AC 1 2 3 4 5 6 7 8 9 10 11 12 13
Digoksin tablet 0,25 mg Isorbid dinitrat tablet sublingual 5 mg Kaptopril 25 mg Kaptopril 12.5mg Metildopa/dopamet Nifedipin 10 mg tab Nifedipin 20 mg tab Propanolol HCl tablet 10 mg Reserpin tab 0,25 mg Tensi Gard Amlodipin 10 mg DIURETIKUM Furosemid tablet 40 mg Hidroklortiazid (HCT) tablet 25 mg Nefrolit kapsul Glaukon OKSITOSIKUM Metilergometrin maleat inj 0,200 mg - ml Metilergometrin maleat tab salut 0,125 mg Oksitoksin in 10 IU/ml- 1 ml Syntocinon ANTILIPIDEMIKUM Simvastatin Tablet 10 mg Simvastatin Tablet 20 mg HORMON Propiltiourasil tablet 100 mg SYOK ANAFILAKTIK Epinefrin / adrenalin inj 0,1 % - 1ml ANTELMINTIK Pirantel tablet 125 pirantel tablet 250 mg PELARUT & INFUS Aqua pro inj steril @ 20 cc Cairan infus pengganti plasma/gelofusin Dekstran 70 lar infus 6 % Glukosa lar infus 10 % Glukosa lar infus 40 % Glukosa lar infus 5 % KN - 3B SOL/KK Magnesium sulfat inj 25 ml -20 % Magnesium sulfat inj 25 ml -40 % Manitol 20 % Metronidazole infus 500 mg/100ml Natrium Klorida Lar.infus 0,9 % steril Parasetamol Infus
Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet
0 0 0 0 0 0
Tablet Tablet
0 0 0 0 0 0
Tablet Tablet Kapsul Tablet ampul Tablet ampul ampul Tablet Tablet Tablet ampul Tablet PCS Botol Botol Botol Botol Botol Botol Botol Ampul ampul Botol Botol 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
14 15 AD 1 2 3 4 5 6 7 8 9 AE 1 AF 1 AG 1 2 3 4
AH 1 2 3 4 5 6 7 8 AI 1 2 3 4 AJ 1 2 3 4 5 6 7 AK
Ringer Laktat Larutan Infus Steril Siproploksasin infus ANTISEPTIKA & DESINFEKTAN Etakridin ( rivanol ) lar 0,1 % 300 cc Etanol 70 %1000 ml Etanol 70 %100 ml ETANOL 70% 20 L Klorin 1 liter Lisol 5 % Povidon Iodine 10 % 60 ml povidon iodne 10% 300ml Povidon Iodine 10 % 1000 ml KB Depo progestin/suntik KB ANTI INFLUENZA Obat batuk pilek anak 60 ml (Paracetamol, Fenileprin SERUM Hidroklorida, CTM, Kalium sulfoguaiakolat) Serum anti tetanus inj 1.500 IU/amp Serum anti tetanus inj 20.000 IU/vial Serum antibisa ular Polivalen inj 5 ml Anti Difteri Serum (ADS) LAIN-LAIN Atropin sulfat inj 0,25 mg / ml-1ml Atropin Sulfat Tablet 0,5 mg Calsium gluconas inj Lidokain Jelly Jelly USG Natrium tiosulfat inj Nalokson Inj 0,4 mg/ml Oxycan OBAT PROGRAM ANTI MALARIA Artemeter injeksi Arterakine tablet Artesunate injeksi Kuinin Dihidroklorida injeksi 25%-2 ml GIZI Zinc suspensi 100 ml Mineral Mix Pan Entral Retinol ( vit A ) kapsul 100.000 unit Retinol ( vit A ) kapsul 200.000 unit Taburia Formal 100 FILARIASIS
Botol Botol Botol Botol Botol DRIGEN botol Botol Botol botol Botol Botol Botol Vial Vial Vial 0
ampul Tablet ampul Tube Botol ampul Botol Botol
ampul Tablet ampul ampul Botol Sachet Sachet Kapsul Kapsul Sachet Sachet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 3 AL 1 2 3 4 AM 1 2 3 4 5 6 7 8 9 9
AN 1 AO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 AP 1 2 3 4 5 6
Anti Filaria Tablet ( Dietyl Karbamazepin ) Albendazol tab 400 mg Albendazol Sirup 200mg/5ml ANTI LEPRA MB Dewasa MB Anak PB Dewasa PB Anak OBAT TBC INH 100 mg Obat Anti Tuberkulosis FDC Kat 1 Obat Anti Tuberkulosis FDC Kat 2 Obat Anti Tuberkulosis Kategori Anak Obat Anti Tuberkulosis Sisipan Azythromycin Cefixime (kombipak) Fase Awal Fase Lanjutan OAT Kombipak Kat.1 CATRIDGE TCM (TB) HEPATITIS Vaksin HBIg / Hyperhep B HIV Abacavir 300mg Efavirenz 200mg Efavirenz 600 Lamivudin (3TC) 150MG Lopinavir 200MG / Ritonavir 50MG Nevirapine (NPV) 200MG Rilpivirine 25mg (eduran) Tenofovir (TDF) 300mg Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg TDF+3TC+EFC (300/300/600) FDC Dewasa Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg ZDV+3TC+NPV (60/30/50) FDC Anak Zidovudine Oral Syrup 50mg/5ml,100mg(240ml) Zidovudine 100mg tablet INH 300mg KHB Diagnostar kit.2 VAKSIN Vaksin BCG+PELARUT Vaksin Campak/MR+PELARUT Vaksin DT Vaksin HB COM DPT Vaksin HB UNIJECT Vaksin Polio+DROPER POLIO
Tablet Tablet Botol Blister Blister Blister Blister Tablet Paket Paket Paket Paket Tablet Tablet Tablet Paket TES
Vial Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Tablet tes Vial Vial Vial Vial ampul Vial
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 8 9 10 11 12 AP 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 AQ 1 2 3 4 5 6
Vaksin TT Vaksin TD Vaksin DPT HB HIB Polio IVP Vaksin Rabies VAKSIN MENINGITIS DENTAL Bonding Carpul Celluloid strip Composite Dentorit Descotan Forte (gigi) Devitalisasi Pasta (Non arsen) Endoprost Etil klorida semprot 100 cc Etching/Extra gel Eugenol Cairan Glass Ionomer Cement (GC IX) Jarum Citoject Kalsium Hidroksida pasta Lidokain inj komb Lining Cement Mata Bor micro brush Monoklorkamfer mentol cairan Mummifying Pasta Poles Semen seng fosfat serbuk cairan/Glas lonomer lineng semen Serat pembeku darah Silver amalgam serbuk 65-75 % Spray pelumas handpiece Sulfa Stopping Fletcher(Fletcher) Tissu steril pembersih alat gigi Topikal anestesi Trikresol formalin Bahan Kimia Hidrogen Peroksida (H2O2) Oil Imersi Reagen Ziehl Neelsen Alkohol Swab PPD 2 TU Test Pack
Vial Vial Vial Vial vial VIAL Set pieces pieces Set Botol Botol Botol botol Botol Set Botol Botol pieces pieces ampul pieces pieces Box Botol Botol pieces pieces
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
pot Set Botol Set Botol Botol Botol
0 0 0 0 0 0 0 0
Botol Botol Paket ampul Vial pieces
0 0 0 0 0 0
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AR 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Stik Kolesterol Stik Asam Urat Stik Glukosa Rapid 3 HIV / VIKIA HIV DI Anti HIV 1/2 Intec HIV III SD Bioline HIV Kit.1 Oncoprobe HIV.3 Rapid sypilis (SD Bioline/Threpocheck) RPR Shypilis SD HbsAg Iodina Tes 10 ml Golongan Darah Anti A Golongan Darah Anti B Golongan Darah Anti AB Golongan Darah Anti D Stik Hemoglobin Protein Urine Test RPR Shypilis Component Kartu Golongan Darah RDT DBD COMBO Rapid shypilis (Alere) OBAT PENGADAAN BARU DINAS masker n95 1860 masker n95 1860s masker n95 1870t Tabung EDTA Syring Needle 3 ml Steril Cotton Swab KHB Diagnostar kit.2 NEEDLE 23G Masker Hijab (TB) VTM Eritromisin 250 mg (Btt) HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anabatik OBH 100ML BERLICO rasa jeruk nipis btt anabatik KACAMATA PELINDUNG/GOGLE VISOR BTT ANABATIK SAFETY BOX 5L BTT ANABATIK
pieces pieces pieces Pieces Tes Tes Tes Tes Tes Tes Tes Kit Botol
0
Botol Botol Botol pieces pieces Set pieces TES tes 0 0 Pieces Pieces Pieces pieces pieces pieces tes PIECES Pieces pieces kapsul
0
Botol Botol 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
16
LOPERAMID/ ETADIUM HCL 2MG BTT ANABATIK
17
SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
18
MASKER NEBULIZER DEWASA BTT ANABATIK
PCS
19
INFUS SET DEWASA BTT ANABATIK SALBUTAMOL SULFATE INHALASI 1MG 2,5 ML (BTT ANABATIK) STESOLID RECTAL 5MG (BTT ANABATIK) Tramadol hcl inj 100mg (btt anabatik) ALKOHOL PAD BTT2 HANDSCOON M (BTT YASMIN) SHOES COVER (BTT YASMIN) masker n95 type 1112 MFOIL-K (prov) multivitamin / zegavit (btt yasmin) desinfektan 1000ml (btt yasmin) Paket Vtm (naso+oro) Citos prov Masker KN95 (prov) cover all standar (prov) micropore 2inchi/5cm (btt yasmin) handscoon S (btt yasmin) SARUNG TANGAN PANJANG STERIL (8,5/L) Btt Bankeu Prov
pieces
20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Tablet PASANG
VIAL suppos ampul PCS PCS PCS PCS TABLET botol paket PCS PCS PCS PCS PCS
SARUNG TANGAN PANJANG STERIL (7,5/M) Btt Bankeu Prov
35 36 37 38 39 40 41 42 43 0 1 2 3 4 5 6 7
SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Bankeu Prov ALKOHOL SWAB (BTT BANKEU PROV) DISPOSIBEL LANCET (BTT BANKEU PROV) MASKER (BTT BANKEU PROV) handsanitizer 500ml (Btt bankeu prov) CD 4 REAGENT PH INDIKATOR ANUSCOPY PUSKESMAS Bakteri Aerob Bakteri Anaerob IV Canula with injection valve no.16 Reagen Widal Reagen LDL Cholesterol Reagen Urea Reagen Creatinine
PCS PCS PCS PCS 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
pieces pieces pieces pieces pieces pieces pieces
0 0 0 0 0 5 3
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49
Reagen Uric Acid Reagen AST GOT Reagen ALT GPT Reagen Bilirubin Reagen Cholesterol Reagen Glucose Reagen Eight Check - 3WP 1,5 ml ( High ) Reagen Eight Check - 3WP 1,5 ml ( Normal ) Reagen Eight Check - 3WP 1,5 ml ( Low ) Cell Clean 50 ml Cell Pack 20 Lt Stromalyser - WH 500 ml Gelang Ibu Gelang Bayi Softex Maternity Protein Test Urine Lengkap 10 Parameter Kertas Lakmus Kassa gulung ROLL Reagen Chlorida Reagen Iron Reagen Mangan Reagen Hydro-Sulfide Umbilicall cord Endoprost Vacutainer No.21 Vacutainer No.22 Kapas 500 gr Reagent Trigliserida Reagen HDL Direct Tabung Clot activator Nasal kanule dewasa Nasal kanule bayi ORABLOC / Xylestein anasthesi gigi Calibration Sera level 3 Caviton 30 gr Articulating paper Fill temp Guedel bayi 01 Guedel dewasa no.3 Guedel dewasa no.4 Mask with visor Slim suecher BBLR
pieces pieces pieces pieces pieces pieces pieces
0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
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
50 51 52 53 54 55
59 60 61 62 63 64 65 66 67 68
Handrub Rapid COVID-19 Sepatu boot Nutri drink Susu Ibu hamil Blood lancet Masker Oksigen Dewasa(Simple mask adult)
56 57 Imunogard 58 spritus Tabung Effendoft Reagen Albumin Masker KN95 Oseltamivir 7,5 mg Saliva Ejector Obat KB Suntik Pil KB Kombinasi Kondom Implant IUD Coper T
pieces pieces pieces pieces pieces pieces
0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
PENERIMAAN
PERSEDIAAN 1
5 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0
2
3
4
5
6
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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 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 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
7
8
9
10
11
12
13
PEMAKAIAN HARIAN PUSKESMA May-21 14 15 16
HARIAN PUSKESMAS May-21 17 18
19
20
21
22
23
24
25
26
RATA-RATA JUMLAH HARI PEMAKAIAN PEMAKAIAN
TOTAL 27
28
29
30
31
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0
0
#DIV/0!
0
0
#DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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PEMAKAIAN OBAT DINKES PUSKESMAS JALAN KUTAI TAHUN 2021
NO
NAMA OBAT
1
Persediaan Bahan Pakai Habis
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39
Persediaan Peralatan Kesehatan Abbocath jarum infus 18 Abbocath jarum infus 20 Abbocath jarum infus 22 Abbocath jarum infus 24 Abbocath jarum infus 26 Alat Puyer Alat suntik 0.05 cc Alat suntik 0.5 cc Alat suntik 1 cc Alat suntik 3 cc Alat suntik 5 cc Alat suntik 10 cc Alat suntik 20 cc Bisturi 10 Bisturi 11 Bisturi 12 Blood Set foley Catheter no.16 Foley Catheter no.24 Handscoon Handscoon steril S Handscoon steril M Handscoon steril L Infus set anak Infus set dewasa Jarum Hecting Kulit Jarum Hecting Otot Kaca Sediaan Kapas pembalut 250 mg Kasa Hidrofil 36 m x 80 cm Kasa Hidrofil Steril 16x16 Kasa Pembalut Hidrofil 4 x 10 cm KasaPembalut Hidrofil 4 x 5 Kertas Puyer Masker Nelaton catheter Pembalut gips Plester 5 yard x 2 inch Plester kertas / MICROPORE
SATUAN
pieces pieces pieces pieces pieces Set pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Set pieces pcs pieces pieces pieces pieces pieces pieces pieces pieces pieces Bungkus Roll Kotak Roll Roll pieces pieces pieces Roll Roll pieces
STOK AWAL
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58
Pot Sputum Safety Box Sarung Tangan Panjang Steril Silk ( Benang sutera ) no 3/0 simple mask paed dewasa simple mask paed anak Underpad Urine Bag ( Non Seteril ) Wing needle Lidi button Masker N95 8210 Masker nebulizer Anak Masker nebulizer dewasa NGT Oxigen nasal canule anak dan dewasa Pot Urine Pot Fesses Disposible Lancet Pen Lancet
pot pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Paket pieces pieces pieces pieces
59
Catgut Chromic SMI 2/0
pieces
0 0 0 0 0
60
Catgut Chromic SMI 3/0
pieces
0
61
Catgut Plain SMI 2/0
pieces
0
62
Catgut Plain SMI 3/0
pieces
0
63
Guedel Airway 50mm
pieces
0
64
Guedel Airway 80mm
pieces
0
65
Vaginal Specullum
pieces
0
2
Persediaan Bahan/ Material Bahan Obat-obatan ANTIBIOTIKA Amoksilin kapsul 250 mg Amoksilin tab 500 mg Amoksisilin s kering 125 mg / 5 cc 60 Ml Amoksisilin s kering 250 mg / 5 cc 60 Ml Asiklovir tab 200 gr Asiklovir tab 400mg Azitromisin 500 mg Benzatin Benzil penisilin Cefixim 100 mg kapsul Cefixime DS 100 mg/ 5ml Doksisiklin kapsul 100 mg Erytromisin sirup 60 Ml 200mg/5ml Erytromycin 250 mg Erytromycin 500 mg Fenoksimetil Penisilin tablet 250 mg Fenoksimetil Penisilin tablet 500 mg
A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Kapsul Tablet Botol Botol Tablet Tablet Tablet Vial kapsul Botol Kapsul Botol Tablet Tablet Tablet Tablet
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
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Flukonazol kapsul 150 mg Griseofulvin tablet 125 mg micronized Ketokonazol tablet 200 mg Klindamisin Kapsul 150 mg Klindamisin Kapsul 300 mg Kloramfenikol kapsul 250 mg Kloramfenikol sirup 60 Ml Kotrimoksazol Suspensi 60 Ml 40mg/5ml Kotrimoksazol Tablet Dewasa Kotrimoksazol Tablet paed Lincomysin 500 mg Metronidazol tablet 500 mg Nistatin drop / Mycostatin, candistin, Nymiko Nistatin tablet salut gula 500.000 IU/g Nistatin tablet vagina 100.000 IU/g Sefadoksil 500 mg Sefadoksil syrup 125ml/5ml Sefadoksil syrup 250ml/5ml Seftriaxsone 1 gr inj Siproploksasin tab 500 mg Streptomycin inj 1 gram Tetrasiklin Kapsul 250 mg Tetrasiklin Kapsul 500 mg Tiamfenikol kap 500 mg Gentamicin injeksi 40 mg/ml Ampicillin inj KLOROKUIN 150mg OSELTAMIVIR FAVIPIRAVIR 200MG ANALGETIKA-ANTIPIRETIKANTIINFLAMASI Alopurinol tablet 100 mg Alopurinol tablet 300 mg Antalgin ( Metampiron ) inj 250 mg/ 5 cc Asam Mefenamat 250 Asam Mefenamat 500 Asetosal Tablet 100 mg (Aspilet) Ibuprofen Supp Ibuprofen Suspensi 200mg/5ml Ibuprofen tablet 200 mg Ibuprofen tablet 400 mg Kalium Diclofenak 50 mg Ketoprofen Inj Meloksixam tablet 15 mg Natrium Diclofenac tab 50 mg Parasetamol 100 mg Parasetamol Drop 15 ml Parasetamol sirup 120 mg / 5ml (60 Ml) Parasetamol tablet 500 mg
Kapsul Tablet Tablet Kapsul Kapsul Kapsul Botol Botol Tablet Tablet Kapsul Tablet Botol Tablet Tablet Kapsul Botol Botol Vial Tablet Vial Kapsul Kapsul Kapsul ampul Vial Tablet Tablet PCS
Tablet Tablet Ampul Kapsul Tablet Tablet Supp Botol Tablet Tablet Tablet Ampul Tablet Tablet Tablet Botol Botol Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54
19 C 1 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5 6 E 1 2 3 F 1 2 3 4 G 1 2 3 4 5 6 7 8 H 1 2 3 4 5 6 7 8 9 10
Tramadol tablet 50 mg DIGESTIVA Antasida DOEN komb Antasida sirup 60 Ml Lacto B Mesoprostol 200 mg Natrium Bikarbonat tablet 500 mg Omeprazole 20 mg tablet Ranitidin inj 25 mg/2ml Ranitidin tablet 150 mg Sucraflat sirup Vitazym tab ANTISPASMODIK Chlordiazepoxide (Braxidin) Ekstrak Belladon tablet 10 mg Hyoscine-N-Butilbromida/Buscopan tablet Buscopan Inj Papaverin tablet Spasminal LAKSATIVA Bisacodil Tablet 10 mg Bisacodil Tablet 5 mg Suppositoria Laktulosa Syr 3,335g/5ml / Laktulak syrup ANTIDIARE & ELEKTROLIT Anti Diare Anak Anti Diare Dewasa Garam Oralit 200 ml air Norit ANTIEMESIS Dimenhidrinat tab 50 mg Domperidon 10 mg tablet Domperidon suspensi 5 mg/ml Metoclopramid Inj Metoclopramid Syrup Metoclopramid 10 mg Tab Ondansetron injeksi Ondansetron tablet 4 mg OBAT METABOLISME (VITAMIN&MINERAL) Asam Askorbat (VIT C) Tablet ASAM ASKORBAT (VITAMIN C) INJ 500MG/5 Asam folatML) 1 mg Kalsium laktat (Kalk) tablet 500 mg Multivitamin anak 60 Ml Multivitamin dewasa Neurobion 5000 injeksi Phitonadione pead injeksi Piracetam 800 mg Piridoksin HCl (Vit B6) tablet 10 mg
Tablet Tablet Botol Sachet Tablet Tablet Kapsul Ampul Tablet Botol Tablet Tablet Tablet Tablet Ampul Tablet Tablet Tablet Suppos Botol Tablet Tablet Sachet Tablet Tablet Tablet Botol Ampul Botol Tablet Ampul Tablet Tablet ampul Tablet Tablet Botol Tablet Ampul Ampul Tablet Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 12 13 14 15 16 17 18
I 1 2 3 4 5 6 7 J 1 2 3 4 5 6 7 8 K 1 L 1 2 3 4 M 1 2 3 4 5 6 7 8 N 1 2 3 4 5 6
Sianokobalamin inj 500 mcg/ml-1ml Sianokobalamin tab b12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Tiamin HCL (Vit B1) tablet 50 mg Vitamin B Komplek Inj Vit B kompleks tab Anti osteoarthritis Vitamin Neurotropik ANTI ASMA Aminofilin inj 24 mg / cc Aminofilin tab 150 mg Bisolvon drop Bricasma Inj Efedrin HCl tablet 25 mg Salbutamol tablet 4 mg Salbutamol inhalasi ANTITUSIVE & EKSPEKTORAN Ambroksol sirup 60 ml Ambroksol tablet Bromhexin tablet 8 mg Gliseril Guayakolat tablet 100 mg Kodein fosfat tablet 10 mg Bromhexin sirup Obat batuk Hitam (OBH) 100 ml Asetilsistein 200 mg ANTI ANEMIA Tambah darah komb : Besi + as folat HEMOSTATIK Asam Traneksamat 250mg/5ml Asam Traneksamat 250 MG Fitomenadion (Vit K1) inj 10 mg / ml-1ml Fitomenadion (Vit K1) tablet gula 10 mg ANTIALERGI/IMUNOLOGIKUM Anti Histamin/Loratadin Cetirizin sirup 5 mg/5ml 60 ml Deksametason inj 5 mg/ml 1 ml Deksametason Tablet 0,5 mg Difenhidramin inj 10 mg/5 ml-1 ml Klorfeniramin maleat (CTM) tablet 4 mg Methylprednisolon 4 mg tablet Prednison tab 5 mg ANTIKONVULSI/ANTIPARKINSON Alprazolam tablet 0,5 mg Amitriptilin HCl tab 25 mg Fenitoin Na inj 50 mg/ml-2ml Fenitoin Natrium kapsul 100 mg Flufenazin inj Karbamazepin tablet 200 mg
Ampul Tablet Ampul Tablet ampul Tablet Tablet Tablet
Ampul Tablet Botol Ampul Tablet Tablet Nebule Botol Tablet Tablet Tablet Tablet Botol Botol Tablet Tablet Ampul Tablet Ampul Tablet Tablet Botol Ampul Tablet Ampul Tablet Tablet Tablet Tablet Tablet Ampul Kapsul ampul Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 8 O 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
P 1 2 Q 1 2 3 4
R 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Triheksifenidil Tablet 2 mg Depakote 500 mg ANTIDEPRESAN Diazepam inj 5 mg/ml -2 ml Diazepam tablet 2 mg Diazepam 5mg Fenobarbital inj 50 mg/ml-2ml Fenobarbital tablet 30 mg Haloperidol 5 mg Tab Haloperidol injeksi Klorpromazin HCl inj 5 mg/2cc Klorpromazin HCl 100 mg Risperidone 2 mg Stesolid Rectal Clozapine 100 mg Olanzapin 5 mg Clozapine 25 mg Clobazam 10 mg olanzapin inj Olanzapin 10 mg ANTIMIGREN Antimigren DOEN tab Betahistin Mesilat tab 6 mg ANTIDIABETIKUM Glibenklamid tablet 5 mg Glimepirida 1 mg Metformin Glimepirida 2 mg OBAT KULIT & OBAT LUAR Antibakteri DOEN salep komb Antifungi DOEN kombinasi salep Asiklovir krim 5 % 5 gr Betametason krim 0,1 % Burnazin cream Chloramfecort Krim Gentamisin salep kulit Gentian violet lar 1 % GOM Hidrokortison krim 2,5 % Kassa Penutup luka/lomatule Ketokonazol (cream)10 gr Kloramfenikol Krim / Bufacetin Salep 2% Mikonazol krim Obat Luka Bakar Oksitetrasiklin 3% salep kulit Polikresulen ( Albothyl ) Salep 2-4 Salisil bedak 2 %
Tablet Tablet Ampul Tablet tablet Ampul Tablet Tablet ampul Ampul Tablet Tablet Supp Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Tablet Tablet Tablet ampul Tablet
0 0 0 0 0 0
Tablet Tablet
0 0 0 0 0 0
Tablet Tablet Tablet Tablet
Tube Tube Pot Tube Tube Tube Tube Tube Botol botol Tube Pieces Tube Tube Tube Tube Botol Pot Kotak
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 21 22
S 1 2 T 1 2 3 4 5 6 7 8 9 10 11 U 1 2 V 1 2 3 4 5 6 7 8 9 10 11 12 13 14
15 W 1 2 3 4 X 1 2 3 4 Y
Scabiecid cream Trombophop salep Krim Natrium Diclofenak OBAT TELINGA Fenol Glicerol Cair Kloramfenikol tetes telinga 3 % OBAT MATA Atropin sulfat tetes mata 0,5 % Cendoxitrol Tetes Mata Gentamisin tetes mata Kloramfenikol salep mata 1 % Kloramfenikol tetes mata 0.5%/Decacetin Obat edema kornea tetes mata/Optalgon Ofloxacin tetes mata Oksitetrasiklin salep mata Sulfasetamida Na tetes mata Tetracain Hcl 0,5 % Tetes Mata Timolol 0,5 % Tetes mata ANTIHAEMORRHOID Anti Hemmorhoid DOEN supp Anti Hemoroid kapsul KARDIOVASKULUS/ ANTIHIPERTENSI Amlodipin 5 mg Aspar K Bisoprolol 2,5 mg Bisoprolol 5 mg Digoksin tablet 0,25 mg Isorbid dinitrat tablet sublingual 5 mg Kaptopril 25 mg Kaptopril 12.5mg Metildopa/dopamet Nifedipin 10 mg tab Nifedipin 20 mg tab Propanolol HCl tablet 10 mg Reserpin tab 0,25 mg Tensi Gard Amlodipin 10 mg DIURETIKUM Furosemid tablet 40 mg Hidroklortiazid (HCT) tablet 25 mg Nefrolit kapsul Glaukon OKSITOSIKUM Metilergometrin maleat inj 0,200 mg - ml Metilergometrin maleat tab salut 0,125 mg Oksitoksin in 10 IU/ml- 1 ml Syntocinon ANTILIPIDEMIKUM
Tube Tube Tube
Botol Botol Botol Botol Botol Tube Botol Botol Botol Tube Botol Botol Botol Supp Kapsul Tablet Tablet tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet
Tablet Tablet Kapsul Tablet ampul Tablet ampul ampul
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2 Z 1 AA 1 AB 1 2 AC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 AD 1 2 3 4 5 6 7 8 9 AE 1 AF 1 AG 1 2 3 4
AH 1 2 3
Simvastatin Tablet 10 mg Simvastatin Tablet 20 mg HORMON Propiltiourasil tablet 100 mg SYOK ANAFILAKTIK Epinefrin / adrenalin inj 0,1 % - 1ml ANTELMINTIK Pirantel tablet 125 pirantel tablet 250 mg PELARUT & INFUS Aqua pro inj steril @ 20 cc Cairan infus pengganti plasma/gelofusin Dekstran 70 lar infus 6 % Glukosa lar infus 10 % Glukosa lar infus 40 % Glukosa lar infus 5 % KN - 3B SOL/KK Magnesium sulfat inj 25 ml -20 % Magnesium sulfat inj 25 ml -40 % Manitol 20 % Metronidazole infus 500 mg/100ml Natrium Klorida Lar.infus 0,9 % steril Parasetamol Infus Ringer Laktat Larutan Infus Steril Siproploksasin infus ANTISEPTIKA & DESINFEKTAN Etakridin ( rivanol ) lar 0,1 % 300 cc Etanol 70 %1000 ml Etanol 70 %100 ml ETANOL 70% 20 L Klorin 1 liter Lisol 5 % Povidon Iodine 10 % 60 ml povidon iodne 10% 300ml Povidon Iodine 10 % 1000 ml KB Depo progestin/suntik KB ANTI INFLUENZA Obat batuk pilek anak 60 ml (Paracetamol, Fenileprin SERUM Hidroklorida, CTM, Kalium sulfoguaiakolat) Serum anti tetanus inj 1.500 IU/amp Serum anti tetanus inj 20.000 IU/vial Serum antibisa ular Polivalen inj 5 ml Anti Difteri Serum (ADS) LAIN-LAIN Atropin sulfat inj 0,25 mg / ml-1ml Atropin Sulfat Tablet 0,5 mg Calsium gluconas inj
Tablet Tablet
ampul
0 0 0 0 0 0
Tablet PCS
0 0 0
Tablet
Botol Botol Botol Botol Botol Botol Botol Ampul ampul Botol Botol Botol Botol Botol Botol Botol Botol Botol DRIGEN botol Botol Botol botol Botol Botol Botol Vial Vial Vial 0
ampul Tablet ampul
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 6 7 8 AI 1 2 3 4 AJ 1 2 3 4 5 6 7 AK 1 2 3 AL 1 2 3 4 AM 1 2 3 4 5 6 7 8 9 10
AN 1 AO 1 2 3 4 5 6
Lidokain Jelly Jelly USG Natrium tiosulfat inj Nalokson Inj 0,4 mg/ml Oxycan OBAT PROGRAM ANTI MALARIA Artemeter injeksi Arterakine tablet Artesunate injeksi Kuinin Dihidroklorida injeksi 25%-2 ml GIZI Zinc suspensi 100 ml Mineral Mix Pan Entral Retinol ( vit A ) kapsul 100.000 unit Retinol ( vit A ) kapsul 200.000 unit Taburia Formal 100 FILARIASIS Anti Filaria Tablet ( Dietyl Karbamazepin ) Albendazol tab 400 mg Albendazol Sirup 200mg/5ml ANTI LEPRA MB Dewasa MB Anak PB Dewasa PB Anak OBAT TBC INH 100 mg Obat Anti Tuberkulosis FDC Kat 1 Obat Anti Tuberkulosis FDC Kat 2 Obat Anti Tuberkulosis Kategori Anak Obat Anti Tuberkulosis Sisipan Azythromycin Cefixime (kombipak) Fase Awal Fase Lanjutan OAT Kombipak Kat.1 CATRIDGE TCM (TB) HEPATITIS Vaksin HBIg / Hyperhep B HIV Abacavir 300mg Efavirenz 200mg Efavirenz 600 Lamivudin (3TC) 150MG Lopinavir 200MG / Ritonavir 50MG Nevirapine (NPV) 200MG
Tube Botol ampul Botol Botol
ampul Tablet ampul ampul Botol Sachet Sachet Kapsul Kapsul Sachet Sachet Tablet Tablet Botol Blister Blister Blister Blister Tablet Paket Paket Paket Paket Tablet Tablet Tablet Paket TES
Vial Botol Botol Botol Botol 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
7 8 9 10 11 12 13 14 15 16 AO 1 2 3 4 5 6 7 8 9 10 11 12 AP 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Rilpivirine 25mg (eduran) Tenofovir (TDF) 300mg Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg TDF+3TC+EFC (300/300/600) FDC Dewasa Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg ZDV+3TC+NPV (60/30/50) FDC Anak Zidovudine Oral Syrup 50mg/5ml,100mg(240ml) Zidovudine 100mg tablet INH 300mg KHB Diagnostar kit.2 VAKSIN Vaksin BCG+PELARUT Vaksin Campak/MR+PELARUT Vaksin DT Vaksin HB COM DPT Vaksin HB UNIJECT Vaksin Polio+DROPER POLIO Vaksin TT Vaksin TD Vaksin DPT HB HIB Polio IVP Vaksin Rabies VAKSIN MENINGITIS DENTAL Bonding Carpul Celluloid strip Composite Dentorit Descotan Forte (gigi) Devitalisasi Pasta (Non arsen) Endoprost Etil klorida semprot 100 cc Etching/Extra gel Eugenol Cairan Glass Ionomer Cement (GC IX) Jarum Citoject Kalsium Hidroksida pasta Lidokain inj komb Lining Cement Mata Bor micro brush Monoklorkamfer mentol cairan Mummifying Pasta Poles Semen seng fosfat serbuk cairan/Glas lonomer lineng semen Serat pembeku darah
Botol Botol Botol Botol Botol Botol Botol Botol Tablet tes Vial Vial Vial Vial ampul Vial Vial Vial Vial Vial vial VIAL Set pieces pieces Set Botol Botol Botol botol Botol Set Botol Botol pieces pieces ampul pieces pieces Box Botol Botol pieces pieces
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pot
0
24 25 26 27 28 29 AQ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AR 0 1 2 3 4 5 6 7 8 9
Silver amalgam serbuk 65-75 % Spray pelumas handpiece Sulfa Stopping Fletcher(Fletcher) Tissu steril pembersih alat gigi Topikal anestesi Trikresol formalin Bahan Kimia Hidrogen Peroksida (H2O2) Oil Imersi Reagen Ziehl Neelsen Alkohol Swab PPD 2 TU Test Pack Stik Kolesterol Stik Asam Urat Stik Glukosa Rapid 3 HIV / VIKIA HIV DI Anti HIV 1/2 Intec HIV III SD Bioline HIV Kit.1 Oncoprobe HIV.3 Rapid sypilis (SD Bioline/Threpocheck) RPR Shypilis SD HbsAg Iodina Tes 10 ml Golongan Darah Anti A Golongan Darah Anti B Golongan Darah Anti AB Golongan Darah Anti D Stik Hemoglobin Protein Urine Test RPR Shypilis Component Kartu Golongan Darah RDT DBD COMBO Rapid shypilis (Alere) OBAT PENGADAAN BARU DINAS masker n95 1860 masker n95 1860s masker n95 1870t Tabung EDTA Syring Needle 3 ml Steril Cotton Swab KHB Diagnostar kit.2 NEEDLE 23G Masker Hijab (TB)
Set Botol Set Botol Botol Botol
0 0 0 0 0 0 0
Botol Botol Paket ampul Vial pieces pieces pieces pieces Pieces Tes Tes Tes Tes Tes Tes Tes Kit Botol
0
Botol Botol Botol pieces pieces Set pieces TES tes 0 0 Pieces Pieces Pieces pieces pieces pieces tes PIECES Pieces
0
0 0 0 0 0 0 0 0 0 0 0 0 0 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 11 12 13 14 15 16 17
VTM Eritromisin 250 mg (Btt) HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anabatik OBH 100ML BERLICO rasa jeruk nipis btt anabatik KACAMATA PELINDUNG/GOGLE VISOR BTT ANABATIK SAFETY BOX 5L BTT ANABATIK LOPERAMID/ ETADIUM HCL 2MG BTT ANABATIK SARUNG TANGAN RUMAH TANGGA BTT ANABATIK
pieces kapsul Botol Botol PCS PCS Tablet PASANG
MASKER NEBULIZER DEWASA BTT ANABATIK INFUS SET DEWASA BTT ANABATIK SALBUTAMOL SULFATE INHALASI 1MG 2,5 ML (BTT ANABATIK)
pieces
21
STESOLID RECTAL 5MG (BTT ANABATIK)
suppos
22 23 24 25 26 27 28 29 30 31 32 33
Tramadol hcl inj 100mg (btt anabatik) ALKOHOL PAD BTT2 HANDSCOON M (BTT YASMIN) SHOES COVER (BTT YASMIN) masker n95 type 1112 MFOIL-K (prov) multivitamin / zegavit (btt yasmin) desinfektan 1000ml (btt yasmin) Paket Vtm (naso+oro) Citos prov Masker KN95 (prov) cover all standar (prov) micropore 2inchi/5cm (btt yasmin) handscoon S (btt yasmin) SARUNG TANGAN PANJANG STERIL (8,5/L) Btt Bankeu Prov
ampul PCS PCS PCS PCS TABLET botol paket PCS PCS PCS PCS
18 19 20
34 35
SARUNG TANGAN PANJANG STERIL (7,5/M) Btt Bankeu Prov
PCS
VIAL
PCS PCS
37
SARUNG TANGAN PANJANG STERIL (6,5/S) Btt Bankeu Prov ALKOHOL SWAB (BTT BANKEU PROV)
38
DISPOSIBEL LANCET (BTT BANKEU PROV)
PCS
39 40 41 42 43
MASKER (BTT BANKEU PROV) handsanitizer 500ml (Btt bankeu prov) CD 4 REAGENT PH INDIKATOR ANUSCOPY
PCS PCS PCS PCS PCS
36
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 1 2 3 4 5 6 7 8 9 10 11 12 13
PUSKESMAS Bakteri Aerob Bakteri Anaerob IV Canula with injection valve no.16 Reagen Widal Reagen LDL Cholesterol Reagen Urea Reagen Creatinine Reagen Uric Acid Reagen AST GOT Reagen ALT GPT Reagen Bilirubin Reagen Cholesterol Reagen Glucose Reagen Eight Check - 3WP 1,5 ml ( High )
14
0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
pieces
0
pieces
0
pieces pieces pieces pieces pieces pieces pieces
0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
0 0 0 0 0 0 0 0 0 0 0 0
Reagen Eight Check - 3WP 1,5 ml ( Normal ) 15
Reagen Eight Check - 3WP 1,5 ml ( Low ) 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
Cell Clean 50 ml Cell Pack 20 Lt Stromalyser - WH 500 ml Gelang Ibu Gelang Bayi Softex Maternity Protein Test Urine Lengkap 10 Parameter Kertas Lakmus Kassa gulung ROLL Reagen Chlorida Reagen Iron Reagen Mangan Reagen Hydro-Sulfide Umbilicall cord Endoprost Vacutainer No.21 Vacutainer No.22 Kapas 500 gr Reagent Trigliserida Reagen HDL Direct Tabung Clot activator Nasal kanule dewasa Nasal kanule bayi ORABLOC / Xylestein anasthesi gigi Calibration Sera level 3
0 0 0 0 0 0
0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0
42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
Caviton 30 gr Articulating paper Fill temp Guedel bayi 01 Guedel dewasa no.3 Guedel dewasa no.4 Mask with visor Slim suecher BBLR Handrub Rapid COVID-19 Sepatu boot Nutri drink Susu Ibu hamil Blood lancet Masker Oksigen Dewasa(Simple mask adult) Imunogard spritus Tabung Effendoft Reagen Albumin Masker KN95 Oseltamivir 7,5 mg Saliva Ejector Obat KB Suntik Pil KB Kombinasi Kondom Implant IUD Coper T
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0 0
PENERIMAAN
PERSEDIAAN 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2
3
4
5
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 54
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 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
PEMAKAIAN HARIAN May-21 6
7
8
9
10
11
12
13
14
PEMAKAIAN HARIAN PUSKESMAS May-21 15 16 17 18
19
20
21
22
23
TOTAL 24
25
26
27
28
29
30
31
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RATA-RATA JUMLAH HARI PEMAKAIAN PEMAKAIAN
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0
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#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
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#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
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#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0
#DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0
#DIV/0! #DIV/0!
0
#DIV/0!
0
#DIV/0!
0 0
#DIV/0! #DIV/0!
0
#DIV/0!
0
#DIV/0!
0 0
#DIV/0! #DIV/0!
0
#DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0
#DIV/0!
0
#DIV/0!
0 0
#DIV/0! #DIV/0!
0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0
#DIV/0!
0
#DIV/0!
0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO ) PUSKESMAS INSTANSI
: PONED
PUSKESMAS KECAMATAN
: JALAN KUTAI : KELAPA DUA
OKTOBER 2021 - NOVEMBER 2021 PELAPORAN BULAN/TAHUN : JU
PKM
KABUPATEN
: TANGERANG
PERMINTAAN BULAN/TAHUN : NOVEMBER 2021
IFK
NO 1
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44
Nama Obat
Satuan Kemasan
DINKES
Stok Awal JKN Lain-lain
DINKES
Penerimaan JKN Lain-lain DINKES
Persediaan JKN
Lain-lain
DINKES
Pemakaian JKN Lain-lain
Jumlah Hari Pakai DINKES JKN Lain-lain
DINKES
Stok Akhir JKN Lain-lain
Persediaan Bahan Pakai Habis Persediaan Peralatan Kesehatan
Abbocath jarum infus 18 Abbocath jarum infus 20 Abbocath jarum infus 22 Abbocath jarum infus 24 Abbocath jarum infus 26 Alat Puyer Alat suntik 0.05 cc Alat suntik 0.5 cc Alat suntik 1 cc Alat suntik 3 cc Alat suntik 5 cc Alat suntik 10 cc Alat suntik 20 cc Bisturi 10 Bisturi 11 Bisturi 12 Blood Set foley Catheter no.16 Foley Catheter no.24 Handscoon Handscoon steril S Handscoon steril M Handscoon steril L Infus set anak Infus set dewasa Jarum Hecting Kulit Jarum Hecting Otot Kaca Sediaan Kapas pembalut 250 mg Kasa Hidrofil 36 m x 80 cm Kasa Hidrofil Steril 16x16 Kasa Pembalut Hidrofil 4 x 10 cm KasaPembalut Hidrofil 4 x 5 Kertas Puyer Masker Nelaton catheter Pembalut gips Plester 5 yard x 2 inch Plester kertas / MICROPORE Pot Sputum Safety Box Sarung Tangan Panjang Steril Silk ( Benang sutera ) no 3/0 simple mask paed dewasa
pieces pieces pieces pieces pieces Set pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces Set pieces pcs pieces pieces pieces pieces pieces pieces pieces pieces pieces Bungkus Roll Kotak Roll Roll pieces pieces pieces Roll Roll pieces pot pieces pieces pieces pieces
9 11 7 3 0 0 0 0 0 10 27 0 10 7 3 0 10 3 0 71 0 0 0 0 15 0 0 0 0 0 5 0 0 0 64 0 0 0 8 0 0 3 0 0
5 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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
9 11 7 3 0 0 0 0 0 10 27 0 10 7 3 0 10 3 0 171 0 0 0 0 15 0 0 0 0 0 5 0 0 0 114 0 0 0 8 0 0 3 0 0
5 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 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 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 4 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 11 7 3 0 0 0 0 0 10 27 0 10 7 3 0 10 3 0 142 0 0 0 0 15 0 0 0 0 0 5 0 0 0 99 0 0 0 8 0 0 3 0 0
5 5 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 224 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat
45 46 47 48 49 50 51 52 53 54 55 56 57 58
simple mask paed anak Underpad Urine Bag ( Non Seteril ) Wing needle Lidi button Masker N95 8210 Masker nebulizer Anak Masker nebulizer dewasa NGT Oxigen nasal canule anak dan dewasa Pot Urine Pot Fesses Disposible Lancet Pen Lancet Catgut Chromic SMI 2/0 Catgut Chromic SMI 3/0 Catgut Plain SMI 2/0 Catgut Plain SMI 3/0 Guedel Airway 50mm Guedel Airway 80mm Vaginal Specullum Persediaan Bahan/ Material Bahan Obat-obatan ANTIBIOTIKA Amoksilin kapsul 250 mg Amoksilin tab 500 mg Amoksisilin s kering 125 mg / 5 cc 60 Ml Amoksisilin s kering 250 mg / 5 cc 60 Ml Asiklovir tab 200 gr Asiklovir tab 400mg Azitromisin 500 mg Benzatin Benzil penisilin Cefixim 100 mg kapsul Cefixime DS 100 mg/ 5ml Doksisiklin kapsul 100 mg Erytromisin sirup 60 Ml 200mg/5ml Erytromycin 250 mg Erytromycin 500 mg Fenoksimetil Penisilin tablet 250 mg Fenoksimetil Penisilin tablet 500 mg Flukonazol kapsul 150 mg Griseofulvin tablet 125 mg micronized Ketokonazol tablet 200 mg Klindamisin Kapsul 150 mg Klindamisin Kapsul 300 mg Kloramfenikol kapsul 250 mg Kloramfenikol sirup 60 Ml Kotrimoksazol Suspensi 60 Ml 40mg/5ml Kotrimoksazol Tablet Dewasa Kotrimoksazol Tablet paed Lincomysin 500 mg Metronidazol tablet 500 mg Nistatin drop / Mycostatin, candistin, Nymiko
59 60 61 62 63 64 65
2 A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Satuan Kemasan
pieces pieces pieces pieces pieces pieces pieces pieces pieces Paket pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
Kapsul Tablet Botol Botol Tablet Tablet Tablet Vial kapsul Botol Kapsul Botol Tablet Tablet Tablet Tablet Kapsul Tablet Tablet Kapsul Kapsul Kapsul Botol Botol Tablet Tablet Kapsul Tablet Botol
Stok Awal DINKES 0 17 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 1500 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
JKN 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
Penerimaan Lain-lain DINKES 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
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 17 0 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 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 0 100 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
Pemakaian
JKN
Lain-lain 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 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
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 17 0 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 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 0 100 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
Stok Akhir JKN 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
Lain-lain 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
NO
Nama Obat
30 31 32 33 34 35 36 37 38 39 40
Nistatin tablet salut gula 500.000 IU/g Nistatin tablet vagina 100.000 IU/g Sefadoksil 500 mg Sefadoksil syrup 125ml/5ml Sefadoksil syrup 250ml/5ml Seftriaxsone 1 gr inj Siproploksasin tab 500 mg Streptomycin inj 1 gram Tetrasiklin Kapsul 250 mg Tetrasiklin Kapsul 500 mg Tiamfenikol kap 500 mg Gentamicin injeksi 40 mg/ml Ampicillin inj KLOROKUIN 150mg OSELTAMIVIR FAVIPIRAVIR 200MG ANALGETIKA-ANTIPIRETIKANTIINFLAMASI Alopurinol tablet 100 mg Alopurinol tablet 300 mg Antalgin ( Metampiron ) inj 250 mg/ 5 cc Asam Mefenamat 250 Asam Mefenamat 500 Asetosal Tablet 80 mg (Aspilet) Ibuprofen Supp Ibuprofen Suspensi 200mg/5ml Ibuprofen tablet 200 mg Ibuprofen tablet 400 mg Kalium Diclofenak 50 mg Ketoprofen Inj Meloksixam tablet 15 mg Natrium Diclofenac tab 50 mg Parasetamol 100 mg Parasetamol Drop 15 ml Parasetamol sirup 120 mg / 5ml (60 Ml) Parasetamol tablet 500 mg Tramadol tablet 50 mg DIGESTIVA Antasida DOEN komb Antasida sirup 60 Ml Lacto B Mesoprostol 200 mg Natrium Bikarbonat tablet 500 mg Omeprazole 20 mg tablet Ranitidin inj 25 mg/2ml Ranitidin tablet 150 mg Sucraflat sirup Vitazym tab ANTISPASMODIK Chlordiazepoxide (Braxidin) Ekstrak Belladon tablet 10 mg Hyoscine-N-Butilbromida/Buscopan tablet Buscopan Inj Papaverin tablet
41 42 43 44 45
B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 C 1 2 3 4 5 6 7 8 9 10 D 1 2 3 4 5
Satuan Kemasan
Tablet Tablet Kapsul Botol Botol Vial Tablet Vial Kapsul Kapsul Kapsul ampul Vial Tablet Tablet PCS
Tablet Tablet Ampul Kapsul Tablet Tablet Supp Botol Tablet Tablet Tablet Ampul Tablet Tablet Tablet Botol Botol Tablet Tablet Tablet Botol Sachet Tablet Tablet Kapsul Ampul Tablet Botol Tablet Tablet Tablet Tablet Ampul Tablet
Stok Awal DINKES 0 0 100 0 0 10 0 0 0 0 0 0 3 0 0 0 0 200 0 0 0 700 100 0 0 0 0 0 0 300 1000 0 112 0 2200 0 0 1400 100 0 10 0 210 0 300 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 0 0 100 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 700 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 1000 0 0 0 112 0 0 0 2200 0 0 0 0 0 1400 0 100 0 0 0 10 0 0 0 210 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 0 0 100 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 700 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 1000 0 0 0 112 0 0 0 2200 0 0 0 0 0 1400 0 100 0 0 0 10 0 0 0 210 0 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
6 E 1 2 3 F 1 2 3 4 G 1 2 3 4 5 6 7 8 H 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
I 1 2 3 4 5 6 7 J 1 2 3 4 5 6
Nama Obat
Spasminal LAKSATIVA Bisacodil Tablet 10 mg Bisacodil Tablet 5 mg Suppositoria Laktulosa Syr 3,335g/5ml / Laktulak syrup ANTIDIARE & ELEKTROLIT Anti Diare Anak Anti Diare Dewasa Garam Oralit 200 ml air Norit ANTIEMESIS Dimenhidrinat tab 50 mg Domperidon 10 mg tablet Domperidon suspensi 5 mg/ml Metoclopramid Inj Metoclopramid Syrup Metoclopramid 10 mg Tab Ondansetron injeksi Ondansetron tablet 4 mg OBAT METABOLISME (VITAMIN&MINERAL) Asam Askorbat (VIT C) Tablet ASAM ASKORBAT (VITAMIN C) INJ 500MG/5 Asam folatML) 1 mg Kalsium laktat (Kalk) tablet 500 mg Multivitamin anak 60 Ml Multivitamin dewasa Neurobion 5000 injeksi Phitonadione pead injeksi Piracetam 800 mg Piridoksin HCl (Vit B6) tablet 10 mg Sianokobalamin inj 500 mcg/ml-1ml Sianokobalamin tab b12 Tiamin HCL (Vit B1) inj 100 mg/ml-1ml Tiamin HCL (Vit B1) tablet 50 mg Vitamin B Komplek Inj Vit B kompleks tab Anti osteoarthritis Vitamin Neurotropik ANTI ASMA Aminofilin inj 24 mg / cc Aminofilin tab 150 mg Bisolvon drop Bricasma Inj Efedrin HCl tablet 25 mg Salbutamol tablet 4 mg Salbutamol inhalasi ANTITUSIVE & EKSPEKTORAN Ambroksol sirup 60 ml Ambroksol tablet Bromhexin tablet 8 mg Gliseril Guayakolat tablet 100 mg Kodein fosfat tablet 10 mg Bromhexin sirup
Satuan Kemasan
Tablet Tablet Suppos Botol Tablet Tablet Sachet Tablet Tablet Tablet Botol Ampul Botol Tablet Ampul Tablet Tablet ampul Tablet Tablet Botol Tablet Ampul Ampul Tablet Tablet Ampul Tablet Ampul Tablet ampul Tablet Tablet Tablet
Ampul Tablet Botol Ampul Tablet Tablet Nebule Botol Tablet Tablet Tablet Tablet Botol
Stok Awal DINKES 0 0 0 0 0 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 3100 35 0 0 0 20 0 0 0 0 1000 0 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Persediaan
0 0 0 0 0 0
Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 700 0 3100 35 0 0 0 20 0 0 0 0 1000 0 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0
0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
DINKES
JKN
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stok Akhir
Lain-lain 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 0 0 0 0 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 0 700 0 3100 35 0 0 0 20 0 0 0 0 1000 0 1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
7 8 K 1 L 1 2 3 4 M 1 2 3 4 5 6 7 8 N 1 2 3 4 5 6 7 8 O 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
P 1 2 Q 1 2 3 4
Nama Obat
Satuan Kemasan
Obat batuk Hitam (OBH) 100 ml Botol Asetilsistein 200 mg Tablet ANTI ANEMIA Tambah darah komb : Besi + as folat Tablet HEMOSTATIK Asam Traneksamat 250mg/5ml Ampul Asam Traneksamat 250 MG Tablet Fitomenadion (Vit K1) inj 10 mg / ml-1ml Ampul Fitomenadion (Vit K1) tablet gula 10 mg Tablet ANTIALERGI/IMUNOLOGIKUM Anti Histamin/Loratadin Tablet Cetirizin sirup 5 mg/5ml 60 ml Botol Deksametason inj 5 mg/ml 1 ml Ampul Deksametason Tablet 0,5 mg Tablet Difenhidramin inj 10 mg/5 ml-1 ml Ampul Klorfeniramin maleat (CTM) tablet 4 mg Tablet Methylprednisolon 4 mg tablet Tablet Prednison tab 5 mg Tablet ANTIKONVULSI/ANTIPARKINSON Alprazolam tablet 0,5 mg Tablet Amitriptilin HCl tab 25 mg Tablet Fenitoin Na inj 50 mg/ml-2ml Ampul Fenitoin Natrium kapsul 100 mg Kapsul Flufenazin inj ampul Karbamazepin tablet 200 mg Tablet Triheksifenidil Tablet 2 mg Tablet Depakote 250 mg Tablet ANTIDEPRESAN Diazepam inj 5 mg/ml -2 ml Ampul Diazepam tablet 2 mg Tablet Diazepam 5mg tablet Fenobarbital inj 50 mg/ml-2ml Ampul Fenobarbital tablet 30 mg Tablet Haloperidol 5 mg Tab Tablet Haloperidol injeksi ampul Klorpromazin HCl inj 5 mg/2cc Ampul Klorpromazin HCl 100 mg Tablet Risperidone 2 mg Tablet Stesolid Rectal Supp Clozapine 100 mg Tablet Tablet Olanzapin 5 mg Tablet Clozapine 25 mg Tablet Clobazam 10 mg ampul olanzapin inj Tablet Olanzapin 10 mg ANTIMIGREN Antimigren DOEN tab Tablet Betahistin Mesilat tab 6 mg Tablet ANTIDIABETIKUM Glibenklamid tablet 5 mg Tablet Glimepirida 1 mg Tablet Metformin Tablet Tablet Glimepirida 2 mg
Stok Awal DINKES 0 0 0 0 0 0 0 0 50 0 200 10 0 600 0 2000 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 0 0 0 0 0 100 0 0 0 1000 200
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 200 0 10 0 0 0 600 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 9 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1000 0 200
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 200 0 10 0 0 0 600 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 9 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1000 0 200
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat
R 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
OBAT KULIT & OBAT LUAR Antibakteri DOEN salep komb Antifungi DOEN kombinasi salep Asiklovir krim 5 % 5 gr Betametason krim 0,1 % Burnazin cream Chloramfecort Krim Gentamisin salep kulit Gentian violet lar 1 % GOM Hidrokortison krim 2,5 % Kassa Penutup luka/lomatule Ketokonazol (cream)10 gr Kloramfenikol Krim / Bufacetin Salep 2% Mikonazol krim Obat Luka Bakar Oksitetrasiklin 3% salep kulit Polikresulen ( Albothyl ) Salep 2-4 Salisil bedak 2 % Scabiecid cream Trombophop salep Krim Natrium Diklofenac OBAT TELINGA Fenol Glicerol Cair Kloramfenikol tetes telinga 3 % OBAT MATA Atropin sulfat tetes mata 0,5 % Cendoxitrol Tetes Mata Gentamisin tetes mata Kloramfenikol salep mata 1 % Kloramfenikol tetes mata 0.5%/Decacetin Obat edema kornea tetes mata/Optalgon Ofloxacin tetes mata Oksitetrasiklin salep mata Sulfasetamida Na tetes mata Tetracain Hcl 0,5 % Tetes Mata Timolol 0,5 % Tetes mata ANTIHAEMORRHOID Anti Hemmorhoid DOEN supp Anti Hemoroid kapsul KARDIOVASKULUS/ ANTIHIPERTENSI Amlodipin 5 mg Aspar K Bisoprolol 2,5 mg Bisoprolol 5 mg Digoksin tablet 0,25 mg Isorbid dinitrat tablet sublingual 5 mg Kaptopril 25 mg Kaptopril 12.5mg Metildopa/dopamet Nifedipin 10 mg tab Nifedipin 20 mg tab
22
S 1 2 T 1 2 3 4 5 6 7 8 9 10 11 U 1 2 V 1 2 3 4 5 6 7 8 9 10 11
Satuan Kemasan
Tube Tube Pot Tube Tube Tube Tube Tube Botol botol Tube Pieces Tube Tube Tube Tube Botol Pot Kotak Tube Tube Tube
Botol Botol Botol Botol Botol Tube Botol Botol Botol Tube Botol Botol Botol Supp Kapsul Tablet Tablet tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet Tablet
Stok Awal DINKES 0 0 0 0 0 1 0 30 0 0 24 0 0 0 0 0 25 0 0 10 0 0 0 0 0 5 0 0 0 0 24 0 0 0 0 0 0 0 0 30 0 0 900 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 30 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 5 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 30 0 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
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 30 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 5 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 30 0 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
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
12 13 14 15
W 1 2 3 4 X 1 2 3 4 Y 1 2 Z 1 AA 1 AB 1 2 AC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 AD 1 2 3 4 5 6 7 8 9 AE 1 AF
Nama Obat
Satuan Kemasan
Propanolol HCl tablet 10 mg Tablet Reserpin tab 0,25 mg Tablet Tablet Tensi Gard Tablet Amlodipin 10 mg DIURETIKUM Furosemid tablet 40 mg Tablet Hidroklortiazid (HCT) tablet 25 mg Tablet Nefrolit kapsul Kapsul Glaukon Tablet OKSITOSIKUM Metilergometrin maleat inj 0,200 mg - ml ampul Metilergometrin maleat tab salut 0,125 Tablet mg Oksitoksin in 10 IU/ml- 1 ml ampul Syntocinon ampul ANTILIPIDEMIKUM Simvastatin Tablet 10 mg Tablet Simvastatin Tablet 20 mg Tablet HORMON Propiltiourasil tablet 100 mg Tablet SYOK ANAFILAKTIK Epinefrin / adrenalin inj 0,1 % - 1ml ampul ANTELMINTIK Pirantel tablet 125 Tablet pirantel tablet 250 mg PCS PELARUT & INFUS Aqua pro inj steril @ 25 cc Botol Botol Cairan infus pengganti plasma/gelofusin Dekstran 70 lar infus 6 % Botol Glukosa lar infus 10 % Botol Glukosa lar infus 40 % Botol Glukosa lar infus 5 % Botol KN - 3B SOL/KK Botol Magnesium sulfat inj 25 ml -20 % Ampul Magnesium sulfat inj 25 ml -40 % ampul Manitol 20 % Botol Metronidazole infus 500 mg/100ml Botol Natrium Klorida Lar.infus 0,9 % steril Botol Parasetamol Infus Botol Ringer Laktat Larutan Infus Steril Botol Siproploksasin infus Botol ANTISEPTIKA & DESINFEKTAN Etakridin ( rivanol ) lar 0,1 % 300 cc Botol Etanol 70 %1000 ml Botol Etanol 70 %100 ml Botol ETANOL 70% 20 L DRIGEN Klorin 1 liter botol Lisol 5 % Botol Povidon Iodine 10 % 60 ml Botol povidon iodne 10% 300ml botol Povidon Iodine 10 % 1000 ml Botol KB Depo progestin/suntik KB Botol ANTI INFLUENZA
Stok Awal DINKES 0 0 0 0 0 0 200 0 0 0 10 100 31 0 0 990 500 0 0 0 8 0 0 0 0 5 10 0 2 0 0 0 0 17 0 0 6 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 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
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 10 0 100 0 31 0 0 0 0 0 990 0 500 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 5 0 10 0 0 0 2 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 6 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0 0 0 10 0 100 0 31 0 0 0 0 0 990 0 500 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 5 0 10 0 0 0 2 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 6 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat
1
Obat batuk pilek anak 60 ml (Paracetamol, Fenileprin Hidroklorida, CTM, Kalium sulfoguaiakolat)
AG 1 2 3
SERUM Serum anti tetanus inj 1.500 IU/amp Serum anti tetanus inj 20.000 IU/vial Serum antibisa ular Polivalen inj 5 ml Serum Anti Defteri LAIN-LAIN Atropin sulfat inj 0,25 mg / ml-1ml Atropin Sulfat Tablet 0,5 mg Calsium gluconas inj Lidokain Jelly Jelly USG Natrium tiosulfat inj Nalokson Inj 0,4 mg/ml Oxycan OBAT PROGRAM ANTI MALARIA Artemeter injeksi Arterakine tablet Artesunate injeksi Kuinin Dihidroklorida injeksi 25%-2 ml GIZI Zinc suspensi 100 ml Mineral Mix Pan Entral Retinol ( vit A ) kapsul 100.000 unit Retinol ( vit A ) kapsul 200.000 unit Taburia Formal 100 FILARIASIS Anti Filaria Tablet ( Dietyl Karbamazepin Albendazol tab )400 mg Albendazol Sirup 200mg/5ml ANTI LEPRA MB Dewasa MB Anak PB Dewasa PB Anak OBAT TBC INH 100 mg Obat Anti Tuberkulosis FDC Kat 1 Obat Anti Tuberkulosis FDC Kat 2 Obat Anti Tuberkulosis Kategori Anak Obat Anti Tuberkulosis Sisipan Azythromycin Cefixime (kombipak) Fase Awal Fase Lanjutan OAT Kombipak Kat.1 CATRIDGE TCM (TB) HEPATITIS Vaksin HBIg / Hyperhep B
4
AH 1 2 3 4 5 6 7 8 AI 1 2 3 4 AJ 1 2 3 4 5 6 7 AK 1 2 3 AL 1 2 3 4 AM 1 2 3 4 5 6 7 8 9 10
AN 1
Satuan Kemasan
Stok Awal DINKES
JKN
Penerimaan Lain-lain
DINKES
JKN
Persediaan Lain-lain DINKES
Pemakaian
JKN
Lain-lain
DINKES
JKN
Jumlah Hari Pakai Lain-lain
DINKES
JKN
Stok Akhir
Lain-lain
DINKES
JKN
Lain-lain
Botol
Vial Vial Vial Vial
ampul Tablet ampul Tube Botol ampul Botol Botol
ampul Tablet ampul ampul Botol Sachet Sachet Kapsul Kapsul Sachet Sachet Tablet Tablet Botol Blister Blister Blister Blister Tablet Paket Paket Paket Paket Tablet Tablet Tablet Paket TES
Vial
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 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 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
NO
AO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 AO 1 2 3 4 5 6 7 8 9 10 11 12 AP 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Nama Obat
HIV Abacavir 300mg Efavirenz 200mg Efavirenz 600 Lamivudin (3TC) 150MG Lopinavir 200MG / Ritonavir 50MG Nevirapine (NPV) 200MG Rilpivirine 25mg (eduran) Tenofovir (TDF) 300mg Tenofovir (TDF) + Emtricitabine (FTC) 300/200mg TDF+3TC+EFC (300/300/600) FDC Dewasa Zidovudine (ZDV)+ Lamivudine (3TC) 300 mg/150mg (60/30/50) FDC Anak ZDV+3TC+NPV Zidovudine Oral Syrup 50mg/5ml,100mg(240ml) Zidovudine 100mg tablet INH 300mg KHB Diagnostar kit.2 VAKSIN Vaksin BCG+PELARUT Vaksin Campak/MR+PELARUT Vaksin DT Vaksin HB COM DPT Vaksin HB UNIJECT Vaksin Polio+DROPER POLIO Vaksin TT Vaksin TD Vaksin DPT HB HIB Polio IVP Vaksin Rabies VAKSIN MENINGITIS DENTAL Bonding Carpul Celluloid strip Composite Dentorit Descotan Forte (gigi) Devitalisasi Pasta (Non arsen) Endoprost Etil klorida semprot 100 cc Etching/Extra gel Eugenol Cairan Glass Ionomer Cement (GC IX) Jarum Citoject Kalsium Hidroksida pasta Lidokain inj komb Lining Cement Mata Bor micro brush Monoklorkamfer mentol cairan Mummifying Pasta Poles Semen seng fosfat serbuk cairan/Glas lonomer lineng semen
Satuan Kemasan
Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Botol Tablet tes Vial Vial Vial Vial ampul Vial Vial Vial Vial Vial vial VIAL Set pieces pieces Set Botol Botol Botol botol Botol Set Botol Botol pieces pieces ampul pieces pieces Box Botol Botol pieces pieces
Stok Awal 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat
23 24 25 26 27 28 29 AQ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Serat pembeku darah Silver amalgam serbuk 65-75 % Spray pelumas handpiece Sulfa Stopping Fletcher(Fletcher) Tissu steril pembersih alat gigi Topikal anestesi Trikresol formalin Bahan Kimia Hidrogen Peroksida (H2O2) Oil Imersi Reagen Ziehl Neelsen Alkohol Swab PPD 2 TU Test Pack Stik Kolesterol Stik Asam Urat Stik Glukosa Rapid 3 HIV / VIKIA HIV DI Anti HIV 1/2 Intec HIV III SD Bioline HIV Kit.1 Oncoprobe HIV.3 Rapid sypilis (SD Bioline/Threpocheck) RPR Shypilis SD HbsAg Iodina Tes 10 ml Golongan Darah Anti A Golongan Darah Anti B Golongan Darah Anti AB Golongan Darah Anti D Stik Hemoglobin Protein Urine Test RPR Shypilis Component Kartu Golongan Darah RDT DBD COMBO Rapid shypilis (Alere) OBAT PENGADAAN BARU DINAS masker n95 1860 masker n95 1860s masker n95 1870t Tabung EDTA Syring Needle 3 ml Steril Cotton Swab KHB Diagnostar kit.2 NEEDLE 23G Masker Hijab (TB) VTM Eritromisin 250 mg (Btt) HANDSANITIZER (PRIMA PROTEC 500ML) (btt)anabatik OBH 100ML BERLICO rasa jeruk nipis btt anabatik KACAMATA PELINDUNG/GOGLE VISOR BTT ANABATIK SAFETY BOX 5L BTT ANABATIK
20 21 22 23 24 25 26 27 28 AR 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Satuan Kemasan
pot Set Botol Set Botol Botol Botol Botol Botol Paket ampul Vial pieces pieces pieces pieces Pieces Tes Tes Tes Tes Tes Tes Tes Kit Botol Botol Botol Botol pieces pieces Set pieces TES tes 0 0 Pieces Pieces Pieces pieces pieces pieces tes PIECES Pieces pieces kapsul Botol Botol PCS PCS
Stok Awal DINKES 0 0 0 0 0 0 0 0 0 0 0 42 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 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain DINKES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
LOPERAMID/ ETADIUM HCL 2MG BTT ANABATIK SARUNG TANGAN RUMAH TANGGA BTT ANABATIK MASKER NEBULIZER DEWASA BTT ANABATIK INFUS SET DEWASA BTT ANABATIK SALBUTAMOL SULFATE INHALASI 1MG 2,5 ML (BTT ANABATIK) STESOLID RECTAL 5MG (BTT ANABATIK) Tramadol hcl inj 100mg (btt anabatik) ALKOHOL PAD BTT2 HANDSCOON M (BTT YASMIN) SHOES COVER (BTT YASMIN) masker n95 type 1112 MFOIL-K (prov) multivitamin / zegavit (btt yasmin) desinfektan 1000ml (btt yasmin) Paket Vtm (naso+oro) Citos prov Masker KN95 (prov) cover all standar (prov) micropore 2inchi/5cm (btt yasmin) handscoon S (btt yasmin) SARUNG TANGAN PANJANG STERIL (8,5/L) Btt BankeuPANJANG Prov SARUNG TANGAN STERIL (7,5/M) BankeuPANJANG Prov SARUNGBtt TANGAN STERIL (6,5/S) Btt Bankeu Prov ALKOHOL SWAB (BTT BANKEU PROV) DISPOSIBEL LANCET (BTT BANKEU PROV) MASKER (BTT BANKEU PROV) handsanitizer 500ml (Btt bankeu prov) CD 4 REAGENT PH INDIKATOR ANUSCOPY PUSKESMAS Bakteri Aerob Bakteri Anaerob IV Canula with injection valve no.16 Reagen Widal Reagen LDL Cholesterol Reagen Urea Reagen Creatinine Reagen Uric Acid Reagen AST GOT Reagen ALT GPT Reagen Bilirubin Reagen Cholesterol Reagen Glucose Reagen Eight Check - 3WP 1,5 ml ( High ) Reagen Eight Check - 3WP 1,5 ml (Reagen NormalEight ) Check - 3WP 1,5 ml ( Low ) Cell Clean 50 ml Cell Pack 20 Lt Stromalyser - WH 500 ml Gelang Ibu Gelang Bayi Softex Maternity Protein Test Urine Lengkap 10 Parameter Kertas Lakmus
Satuan Kemasan Tablet PASANG PCS pieces VIAL suppos ampul PCS PCS PCS PCS TABLET botol paket PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
Stok Awal 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Penerimaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 0 0 0 0 0 0 0 0 0 0 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 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
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stok Akhir JKN 0 0 0 0 0 0 0 0 0 0 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 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NO
Nama Obat 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
Kassa gulung ROLL Reagen Chlorida Reagen Iron Reagen Mangan Reagen Hydro-Sulfide Umbilicall cord Endoprost Vacutainer No.21 Vacutainer No.22 Kapas 500 gr Reagent Trigliserida Reagen HDL Direct Tabung Clot activator Nasal kanule dewasa Nasal kanule bayi ORABLOC / Xylestein anasthesi gigi Calibration Sera level 3 Caviton 30 gr Articulating paper Fill temp Guedel bayi 01 Guedel dewasa no.3 Guedel dewasa no.4 Mask with visor Slim suecher BBLR Handrub Rapid COVID-19 Sepatu boot Nutri drink Susu Ibu hamil Blood lancet Masker Oksigen Dewasa(Simple mask adult) Imunogard spritus Tabung Effendoft Reagen Albumin Masker KN95 Oseltamivir 7,5 mg Saliva Ejector Obat KB Suntik Pil KB Kombinasi Kondom Implant IUD Coper T
Satuan Kemasan pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces pieces
Stok Awal 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 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 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
Penerimaan Lain-lain DINKES 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
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Persediaan Lain-lain 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 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 0 0 0 0 0 0 0 0 0
Pemakaian
JKN
Lain-lain 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 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
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 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN
Jumlah Hari Pakai Lain-lain
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 0 0 0 0 0 0 0 0 0 0 0 0 0
JKN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lain-lain 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 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 0 0 0 0 0 0 0 0 0
Stok Akhir JKN 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
Lain-lain 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
NO
Stok Awal
Penerimaan
Nama Obat
Satuan Kemasan
DINKES
JKN
Lain-lain
DINKES
JUMLAH KUNJUNGAN
BAYAR 335
BPJS 263
KARTU SEHAT
LANSIA 12
KADER JUMLAH
Yang Membuat Petugas Apotik Puskesmas UPT Puskesmas Jl. Kutai
JKN
Persediaan Lain-lain DINKES
JKN
Pemakaian Lain-lain
Tangerang, 31 OKTOBER 2021 Mengetahui Kepala UPT Puskesmas Jl. Kutai
dr. Maftuha Darojat Nip 19770720 201101 2 001
DINKES
JKN
Jumlah Hari Pakai Lain-lain
DINKES
JKN
Lain-lain
Stok Akhir DINKES
JKN
Lain-lain
AN DAN LEMBAR PERMINTAAN OBAT ( LPLPO ) PUSKESMAS
NO. DOK
TANGGAL DOKUMEN
Stok Opt
Permintaan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0
-14 -16 -7 -3 -4 0 0 0 0 -10 -27 0 -10 -7 -3 0 -10 -9 0 -108 -225 0 0 -152 -15 0 0 0 0 0 -5 0 0 0 -81 0 0 0 -8 0 0 -3 0 0
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 -17 0 -6 0 0 -6 0 0 0 0 0 0 0 -11 0 0 0 0 0 0 0 0 0 0 -1500 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
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 -10 0 0 0 0 0 0 -3 0 0 0 0 -200 0 0 0 -700 -100 0 0 0 0 0 0 -300 -1000 0 -112 0 -2254 0 0 -1454 -100 0 -10 0 -210 0 -300 0 0 0 0 0 0 0 0
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 -700 0 -3100 -35 0 0 0 -20 0 0 0 0 -1000 0 -1000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 -200 -10 0 -600 0 -2000 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 0 0 0 0 0 -100 0 0 0 -1000 -200
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 -30 0 0 -24 0 0 0 0 0 -25 0 0 -10 0 0 0 0 0 -5 0 0 0 0 -24 0 0 0 0 0 0 0 0 -30 0 0 -900 0 0 0 0 0 0 0 0 0 0
Pemberian
Stok Opt 0 0 0 0 0 0 0 0 0 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
Permintaan 0 0 0 0 0 0 -200 0 0 0 -10 -100 -31 0 0 -990 -500 0 0 0 -8 0 0 0 0 -5 -10 0 -2 0 0 0 0 14 0 0 -6 0 -11 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemberian
Stok Opt
Permintaan
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
Pemberian
Stok Opt 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 -42 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 0 0 0 0 0
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 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 -3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemberian
Stok Opt
Permintaan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 -2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pemberian
Stok Opt
Permintaan
Pemberian
