PUSKESMAS

: JAYAKERTA DOKUMEN
KECAMATAN : JAYAKERTA DOKUMEN
DINKES
KABUPATEN : KARAWANG
DATI II
PROPINSI : JAWA BARAT

LAPORAN BULAN MARET 2018

STOK PENERIMA PERSEDI PEMAKAIA STOK PERMINTAA

NO NAMA OBAT SATUAN STOK OPT PEMBERIAN
AWAL AN AAN N AKHIR N

1 2 3 4 5 7 8 9 10 11 12
ACYCLOVIR 200 MG TABLET 250 0 250 150 100 0 0
1 0
2 ACYCLOVIR 400 MG TABLET 250 0 250 150 100 0 1500 0
3 ACYCLOVIR KRIM 5 GR TUBE 0 0 0 0 0 0 250 0
4 AIR RAKSA DENTAL USE BOTOL 0 0 0 0 0 0 0 0
5 ALAT SUNTIK SEKALI PAKAI 1 ML BUAH 400 0 400 0 400 0 0 0
6 ALAT SUNTIK SEKALI PAKAI 10 MG BUAH 310 0 310 100 210 0 0 0
7 ALAT SUNTIK SEKALI PAKAI 2,5 ML BUAH 250 0 250 100 100 0 200 0
8 ALAT SUNTIK SEKALI PAKAI 5 ML BUAH 300 0 300 0 300 0 0 0
9 ALAT SUNTIK SEKALI PAKAI 50 ML TABLET 0 0 0 0 0 0 0 0
10 ALOPURINOL TABLET 100 MG TABLET 1005 0 1005 0 560 0 6000 0
11 AMBROXOL TABLET 30 MG TABLET 0 0 0 0 0 0 6000 0
12 AMBROXOL TABLET 30 MG AMPUL 190 0 190 190 0 0 6000 0
13 AMINOFILIN TABLET 200 MG TABLET 100 0 100 0 100 0 0 0
AMITRIPTILIN HCL TABLET SALUT
14 TABLET 0 0 0 0 0 0
25 MG 0 0
15 AMOXICILIN 500 MG KAPLET KAPLET 640 0 640 0 640 0 5800 0
16 AMOXICILIN CAPSUL 250 MG KAPSUL 0 0 0 0 0 0 0 0
17 AMOXICILIN INJEKSI 1 GRAM VIAL 0 0 0 0 0 0 0 0
AMOXICILIN SYRUP 60 ML 125
18 BOTOL 380 0 380 280 100 0 500
MG/5ML 0
19 AMPLODIPIN 1 GRAM VIAL 0 0 0 0 0 0 226 0
20 ANTALGIN INJEKSI 250 MG / ML AMPUL 0 0 0 0 0 0 0 0
21 ANTALGIN TABLET 500 MG TABLET 4266 0 4266 0 4266 0 5000 0
22 ANTASID SYRUP BOTOL 250 0 250 100 150 0 120 0
23 ANTASIDA DOEN TABLET 200 MG TABLET 30800 0 30800 5000 25800 0 0 0
24 ANTI BAKTERI DOEN SALEP POT 0 0 0 0 0 0 0 0
25 ANTI DIARE SUSPENSI BOTOL 100 0 100 50 50 0 120 0
26 ANTI DIARE TABLET TABLET 1050 0 1050 524 526 0 300 0
27 ANTI HEMOROID DOEN SUPP SUPP 0 0 0 0
120 120 120 0
28 ANTIMIGREN DOEN TABLET TABLET 0 0 0 0 0 0 300 0
29 AQUA PRO INJEKSI STERIL 20 ML VIAL 5 0 5 0 5 0 50 0
ASAM ASKORBAT (VIT C) TABLET 50
30 TABLET 2200 0 2200 0 1526 0
MG 3000 0
31 ASAM FOLAT TABLET 0 0 0 0 0 0 0 0
32 ASAM MEFENAMAT TABLET 500 MG KAPLET 0 0 0 0 0 0 5000 0
33 AMLODIPIN 10 mg TABLET 180 300 480 230 250 0 600 0
34 AMLODIPIN 5 mg TABLET 180 300 480 250 230 0 600 0
35 AMPICILIN INJ AMPUL 5 0 5 5 0 0 0 0
36 ATROPIN SULFAT INJ AMPUL 0 0 0 0 0 0 150 0
37 BORAX GLISERIN AMPUL 5 0 5 0 5 0 30 0
38 BETAMETASON KRIM 0,1% TUBE 50 0 50 25 25 0 250 0
39 BISTURI BUAH 0 0 0 0 0 0 20 0
40 CAVITRON VIAL 0 0 0 0 0 0 2 0
41 CAPTOPRIL TABLET 25 MG TABLET 2000 0 2000 500 1500 0 4000 0
CATGUT / BENANG BEDAH NO 2/0-
42 BUAH 12 0 12 0 12 0 0
3/0 0
43 CIPROPLOXACIN TABLET 500 MG TABLET 3400 0 3400 0 3400 0 0 0
44 CANDESARTAN 8 MG TABLET 150 0 150 0 150 0 500 0
45 DESINFEKTAN 900 ML BOTOL 6 0 6 0 6 0 0 0
46 DEVITALISASI FASTA (NON ARSEN) BUAH 0 0 0 0 0 0 0 0
47 DEXAMETHASON INJ 5MG/ML - 1 ML AMPUL 50 0 50 0 50 0 50 0
48 DEXAMETHASON TABLET 0,5 MG TABLET 0 0 0 0 0 0 6000 0
DEXTROMETORPHAN SYRUP 10ML /
49 BOTOL 0 0 0 0 0 0 200
5ML 0
DEXTROMETORPHAN TABLET 15
50 TABLET 0 0 0 0 0 0 0
MG 0
51 DEXTR0SE INJ AMPUL 10 0 10 0 10 0 0 0
52 DULCOLAX TABLET 2 0 2 0 2 0 20 0
53 DIAZEPAM TABLET 2MG TABLET 0 0 0 0 0 0 500 0
54 DIAZETPAM INJ TABLET 3 0 3 0 3 0 5 0
55 DIFENHIDRAMIN HCL INJEKSI AMPUL 0 0 0 0 0 0 30 0
56 DIGOKSIN TABLET 0,25 MG TABLET 700 0 700 0 500 0 200 0
57 DOKSISIKLIN 100 MG TABLET 0 0 0 0 0 0 0 0
DOMPORIDONE SUSPENSI 5MG/5ML
58 BOTOL 0 0 0 0 0 0 100
-L 0
59 DOMPORIDONE TABLET 10 MG TABLET 226 0 226 0 226 0 500 0
60 EFEDRIN HCL TABLET 25 MG TABLET 0 0 0 0 0 0 0 0
 EPINEFRINA HCL/BITARTRAT
61 AMPUL 10 0 10 0 10 0 50
INJEKSI 0
62 ERYTROMYCIN TABLET 500 MG TABLET 600 0 600 0 600 0 0 0
63 ERYTROMYCYN SYRUP BOTOL 120 0 120 0 120 0 0 0
64 ETAKRIDIN(RIVANOL)0,1% BOTOL 25 0 25 25 0 0 25 0
65 ETANOL 70% BOTOL 4 0 4 0 4 0 0 0
66 ETIL KLORIDA SEMPROT BOTOL 3 0 3 0 3 0 0 0
67 EUGENOL CAIRAN BOTOL 0 0 0 0 0 0 0 0
68 EXTRAX BELLADON 10 MG TABLET 0 0 0 0 0 0 0 0
69 FENOBARBITAL 100 MG TABLET 0 0 0 0 0 0 0 0
70 FENOBARBITAL 30 MG TABLET 426 0 426 200 226 0 0 0
FENOBARBITAL INJEKSI 50 MG/ML-
71 AMPUL 0 0 0 0 0 0 0
2ML 0
72 FENOKSIMETIL PENISILIN 250 MG TABLET 0 0 0 0 0 0 0 0
73 FENOKSIMETIL PENISILIN 500 MG TABLET 0 0 0 0 0 0 0 0
FENOL GLISEROL TETES TELINGA
74 BOTOL 48 0 48 0 48 48 100
10% 0
75 FITOMEDION INJ 2mg AMPUL 10 0 10 0 10 0 0 0
76 FLECTER LIQUID AMPUL 0 0 0 0 0 0 0 0
FITOMENADION TABLET SALUT 10
77 TABLET 100 0 100 0 100 0 100
MG 0
78 FLECTER POWDWR TABLET 0 0 0 0 0 0 0 0
79 FUROSEMID TABLET 40 MG TABLET 500 0 500 0 500 0 0 0
80 GENTAMICIN TETES MATA BOTOL 0 0 0 0 0 0 200 0
81 GARAM ORALIT 200 ML AIR SACHET 500 0 500 0 500 0 800 0
82 GENTAMYCIN INJ AMPUL 45 0 45 0 45 0 50 0
83 GENTAMYCIN SALEP MATA TUBE 0 0 0 0 0 0 144 0
84 GENTIAN VIOLET LARUTAN 1% BOTOL 72 0 72 0 72 0 250 0
85 GLAS LONOMER CEMENT BOTOL 0 0 0 0 0 0 0 0
86 GLIBENKLAMID TABLET 5 MG TABLET 1900 0 1900 200 1700 0 0 0
87 GLISERIL GUAYACOLAT SYRUP BOTOL 0 0 0 0 0 0 0 0
GLISERIL GUAYAKOLAT TABLET 100
88 TABLET 1500 2000 3500 3500 0 0
MG 12000 0
89 GLUKOSA LARUTAN INFUS 10% BOTOL 15 0 15 0 15 0 0 0
90 GLIMEPIRID BOTOL 0 0 0 0 0 0 1000 0
GLUKOSA LARUTAN INFUS 5%
91 BOTOL 5 0 5 0 5 0 0
STERIL 0
92 GRISEOFULVIN TABLET TABLET 500 0 500 0 500 0 2500 0
93 HALOPERIDOL 5 MG TABLET 0 0 0 0 0 0 1000 0
94 HALOPERIDOL 1,5 MG TABLET 0 0 0 0 0 0 0 0
95 HALOPERIDOL TABLET 5 MG TABLET 0 0 0 0 0 0 0 0
HIDROKLORTIAZID (HCT)TABLET 25
96 TABLET 0 0 0 0 0 0 0
MG 0
97 HIDROKORTISON KRIM 2,5% TUBE 150 0 150 0 150 0 240 0
98 IBUPROFEN 200 MG TABLET 0 0 0 0 0 0 0 0
99 IBUPROFEN 400 MG TABLET 1500 0 1500 0 1500 0 5000 0
100 IBUPROFEN SYRUP BOTOL 50 0 50 0 50 0 300 0
101 ICHTIOL SALEP POT 72 0 72 10 72 0 96 0
102 INFUSION SET ANAK BUAH 10 0 10 10 10 0 10 0
103 INFUSION SET DEWASA BUAH 10 0 10 0 10 0 100 0
104 IODIUM TES BUAH 0 0 0 0 0 0 0 0
ISOSORBID DINITRAT TABLET
105 TABLET 0 0 0 5 0 0 0
SUBLINGUAL 5 MG 0
106 IV CATHETER NO. 18 BUAH 15 0 15 0 15 0 50 0
107 IV CATHETER NO. 20 BUAH 20 0 20 0 20 0 50 0
108 IV CATHETER NO. 22 BUAH 2 0 2 0 2 0 0 0
109 IV CATHETER NO. 24 BUAH 0 0 0 0 0 0 0 0
110 IV CATHETER NO. 26 BUAH 0 0 0 0 0 0 50 0
111 JARUM DISPOSIBLE BUAH 2 0 2 0 2 0 0 0
112 JARUM JAHIT (BEDAH) NO 9 S/D 14 ROL 5 0 5 0 5 0 0 0
113 KALIUM DICOP;ENAK POT 0 0 0 0 0 0 0 0
114 KALSIUM HIDROKSIDA PASTA BUAH 5 0 5 5 0 0 0 0
KALSIUM LAKTAT (KALK) TABLET
115 TABLET 0 0 0 0 0 0 0
500 MG 0
KAPAS PEMBALUT / ABSORBEN 500
116 BUAH 3 0 3 0 3 0 0
GR 0
KAPAS PEMBALUT/ ABSORBEN 250
117 BUAH 0 0 0 0 0 0
GR 6 0
118 KASA KOMPRES 40/40 STERIL BUAH 0 0 0 0 0 0 30 0
119 KASA PEMBALUT 2M X 80 CM BUAH 0 0 0 0 0 0 0 0
120 KASA PEMBALUT 16 M x 16 CM BUAH 0 0 0 0 0 0 0 0
 KASA PEMBALUT HIDROFIL 4M X 3
121 BUAH 0 0 0 0 0 0 0
CM 0
KASA PEMBALUT HIDROFIL
122 BUAH 0 0 0 0 0 0 0
4MX15CM 0
123 KASA STERIL4X5 TABLET 0 0 0 0 0 0 0 0
124 KETOKONAZOL AMPUL 980 0 980 0 980 0 0 0
125 KLORAMFENICOL SUSPENSI BOTOL 0 0 0 0 0 0 0 0
126 KLORAMFENIKOL 250 MG KAPSUL 1266 0 1266 0 1266 0 1000 0
127 KLORAMFENIKOL SALEP MATA 1 % TUBE 0 0 0 0 0 0 240 0
KLORAMFENIKOL TETES TELINGA
128 BOTOL 0 0 0 0 0 0 48
3% 0
KLORAMPHENICOL
129 VIAL 72 0 72 0 72 0 0
(BUFANTACID)SLP KLIT 0
KLORFENIRAMINI MALEAT TABLET
130 TABLET 5000 0 5000 0 5000 0 5000
4 MG CTM) 0
131 KLORPROMAZIN HCL TAB 25MG TABLET 100 0 100 100 0 0 0 0
KLORPROMAZIN HCL TABLET100
132 TABLET 500 0 500 100 0 0 0
MG 0
KOTRIMOKSAZOL PEDIATRIK
133 TABLET 0 0 0 0 500 0 0
TABLET 120 0
KOTRIMOKSAZOL SUSPENSI 240
134 BOTOL 0 0 0 0 0 0 200
MG/5 ML 0
135 KOTRIMOKSAZOL TABLET 480 MG TABLET 0 0 0 0 0 0 4000 0
136 LIDOCAIN KOMP.INJEKSI-2 ML AMPUL 20 0 20 0 20 0 0 0
137 LIVERTRAN SALEP POT 0 0 0 0 0 0 75 0
138 LORATADIN TABLET 300 0 300 0 300 0 0 0
139 MAGNESIUM SULFAT INJEK 40% VIAL 0 0 0 0 0 0 20 0
140 MASKER TISSUE BUAH 300 0 300 0 300 0 300 0
141 MAGNESIUM SULFAT INJ 20% BLISTER 0 0 0 0 0 0 20 0
142 MDT ANAK MB BLISTER 0 6 6 0 6 0 0 0
143 MDT DEWASA MB BLISTER 0 68 68 0 68 0 0 0
144 METAMPIRON BLISTER 5800 0 5800 0 5800 0 0 0
145 METFORMIN 500MG TABLET 0 0 0 0 0 0 1000 0
146 METOCLOPRAMID AMPUL 20 0 20 0 20 0 0 0
METILERGOMETRIN MALEAT
147 TABLET 20 0 20 0 20 0 500
TABLET 0
148 METOCLOPRAMID SY AMPUL 0 0 0 0 0 0 0 0
149 METOCLOPRAMID TABLET TABLET 0 0 0 0 0 0 0 0
150 METRONIDAZOL 500 MG TABLET 0 0 0 0 0 0 0 0
151 METRONIDAZOL TABLET 250 MG TABLET 0 0 0 0 0 0 0 0
152 MICONAZOL KRIM TUBE 15 0 15 0 15 0 200 0
MONOKLORKAMFER MENTOL
153 BOTOL 0 0 0 0 0 0 0
CAIRAN 0
154 MULTIVITAMIN SYRUP BOTOL 0 0 0 0 0 0 150 0
155 MUMMIFIYING PASTA BUAH 0 0 0 0 0 0 0 0
NATRIUM BIKARBONAT TABLET 500
156 TABLET 0 0 0 0 0 0 0
MG 0
157 NATRIUM DICLOFENAK 50 MG TABLET 0 0 0 0 0 0 0 0
158 NATRIUM DIKLORIDA BOTOL 2 0 2 0 2 0 0 0
159 NIPEDIFIN TABLET 10 MG TABLET 0 0 0 0 0 0 0 0
160 NISTATIN TABLET VAGINA 100000IU TABLET 150 0 150 0 150 0 0 0
161 OBAT ANTITUBERKULOSIS ANAK PAKET 0 0 0 0 0 3 0 0
162 OBAT ANTITUBERKULOSIS SISIPAN PAKET 0 0 0 0 0 0 0 0
163 OBAT BATUK FLU PAKET 0 0 0 0 0 0 350 0
164 OBAT DEMAM / FLU ANAK SYRUP BOTOL 24 0 24 0 24 0 350 0
165 OBAT KATEGORI FDC I & III PAKET 26 0 26 0 26 0 20 0
166 OMEPERAZOLE 400ML TABLET 0 0 0 0 0 0 1500 0
167 OBAT TUBERKULOSA ANAK PAKET 0 0 0 0 0 0 4 0
168 OBH SYR BOTOL 0 0 0 0 0 0 500 0
169 OKSIGEN GAS / M 3 M3 0 0 0 0 0 0 0 0
170 VENTOLIN NEBU AMPUL 0 0 0 0 0 0 150 0
171 OKSITETRASIKLIN HCL SALEP 3% TUBE 102 0 102 0 102 0 200 0
OKSITETRASIKLIN HCL SALEP MATA
172 TUBE 0 0 0 0 0 0 200
1% 0
173 OKSITOSIN INJEKSI 10 IU/ML-10ML AMPUL 0 0 0 0 0 0 50 0
174 PAPAVERIN INJEKSI AMPUL 0 0 0 0 0 0 0 0
175 PAPAVERIN TABLET 40 MG TABLET 0 0 0 0 0 0 1500 0
176 PARASETAMOL SIRUP 120MG/5 ML BOTOL 0 0 0 0 0 0 600 0
177 PARASETAMOL TABLET 100 MG TABLET 0 0 0 0 0 0 600 0
178 PARASETAMOL TABLET 500 MG TABLET 55000 0 55000 20000 35000 0 35000 0
179 PENCAHAR TABLET 100 0 100 0 100 0 150 0
180 PENITOIN 100 MG KAPSUL 0 0 0 0 0 0 0 0
 PIRIDOKSIN HCL (VIT B6)TABLET 10
181 TABLET 2500 0 2500 0 2500 0 10000
MG 0
182 PIROXICAM 10 MG TABLET 2500 0 2500 0 2500 0 3000 0
183 PLESTER 4,5 YARDS X 1 INCH BUAH 4 0 4 0 4 0 0 0
184 PLESTER 5 YARDS X500I NCH BUAH 20 0 20 0 20 0 0 0
185 PLESTER 5 YARDS X 2 INCH BUAH 0 0 0 0 0 0 0 0
186 PROTEIN URIN BUAH 0 0 0 0 0 0 0 0
187 POLIKRESULEN (KONDENSASI) BOTOL 0 0 0 0 0 0 0 0
188 POPIDON IODIDA 10 % 300 ML BOTOL 0 0 0 0 0 0 0 0
189 POPIDON IODIDA 10% 1000 ML BOTOL 3 0 3 0 3 0 6 0
190 PREDNISON TABLET 5 MG TABLET 200 0 200 0 200 0 10000 0
191 PROPANOLOL HCL TABLET 40 MG TABLET 0 0 0 0 0 0 500 0
192 PROPILTIOURASIL TABLET 100 MG TABLET 0 0 0 0 0 0 0 0
193 POLICATETER TABLET 0 0 0 0 0 0 4000 0
194 RANITIDINE INJEKSI AMPUL 0 0 0 0 0 0 50 0
195 RANITIDINE TABLET 150 MG TABLET 0 0 0 0 0 0 4000 0
196 RESERPIN TABLET 0,25 MG TABLET 0 0 0 0 0 0 2000 0
197 RETINOL (VITAMIN A)100.000 IU KAPSUL 530 0 530 530 0 0 0 0
198 RETINOL (VITAMIN A)200.000 IU KAPSUL 2530 0 2530 2530 0 0 0 0
RINGER LAKTAT LARUTAN INFUS
199 BOTOL 0 0 0 0 0 0 150
STERIL 0
200 SALBUTAMOL TABLET 4 MG TABLET 500 0 500 0 500 0 1000 0
201 SALBUTAMOL INHELER POT 0 0 0 0 0 0 150 0
202 SIMPASTATIN POT 0 0 0 0 0 0 1500 0
203 SALISIL BEDAK 2% BUAH 400 0 400 100 300 0 100 0
204 SARUNG TANGAN SETERIL BUAH 50 0 50 45 5 0 100 0
205 SARUNG TANGAN TIDAK SETERIL BUAH 0 0 0 0 0 0 300 0
206 SEFIXIM KAPS 100 MG KAPSUL 260 0 260 0 260 0 500 0
SEMEN SENG FOSFAT SERBUK DAN
207 BOTOL 0 0 0 0 0 0 0
CAIR 0
SERUM ANTI BISA ULAR POLIVALEN
208 AMPUL 0 0 0 0 0 0 0
INJEKSI 5 ML (ABU 1) 0
SERUM ANTI BISA ULAR POLIVALEN
209 AMPUL 0 0 0 0 0 0 0
INJEKSI 50 ML (ABU II) 0
210 TISSU ALKOHOL AMPUL 0 0 0 0 0 0 20 0
211 SULFADIAZIN AMPUL 0 0 0 0 0 0 15 0
212 SALEP 24 KOMBINASI AMPUL 0 0 0 0 0 0 50 0
SIANOKOBALAMIN (VIT
213 AMPUL 0 0 0 0 0 0 100
B12)INJEKSI 500 0
SILK (BENANG BEDAH SUTRA ) NO
214 BUAH 0 0 0 0 0 0 0
3/0 0
215 SULFADIAZIN BOTOL 9 0 0 0 0 0 0 0
SULFASETAMID NATRIUM TETES
216 BOTOL 0 0 0 0 0 0 0
MATA 0
217 SYMVASTATIN TABLET 0 0 0 0 0 0 900 0
TABLET TAMBAH DARAH
218 TABLET 20000 0 20000 20000 0 0
KOMBINASI 2000 0
219 TEMPORARY FILLING PASTA BUAH 0 0 0 0 0 0 0 0
220 TEMPORARY STOPPING FLETCHER BUAH 0 0 0 0 0 0 0 0
221 TETRASIKLIN 250 MG KAPSUL 0 0 0 0 0 0
0 0
222 TETRASIKLIN HCL KAPSUL 500 MG TABLET 0 0 0 0 0 0
0 0
223 TIAMPENIKOL TABLET 0 300 0 0 2000
300 300 0
224 TISU ALKOHOL AMPUL 0 0 0 0 0 0
0 0
TIAMIN HCL/ MONONITRAT (VIT BI)
225 TABLET 2000 2000 4000 3801 199 0
TABLET 12000 0
226 TRIHEKSIFENIDIL HCL TABLET 2 MG TABLET 500 0 500 300 0
200 0 0
227 URIN BAG BUAH 0 0 0 0 0 0 15 0
228 WIDAL KIT KURR 0 0 0 0 0 0 0 0
229 VITAMIN B KOMPLEK TABLET TABLET 2000 2000 4000 3474 526 0 8000 0
230 ZINK ANAK DAN DEWASA BUAH 0 0 0 0 0 0 0 0
231 URIN TEST PARAMETER TABLET 0 0 0 0 0 0 0 0
232 DULCOLAC SUPP BUAH 0 0 0 0 0 0 30 0
233 GLIMEPIRID TABLET 500 0 500 100 400 0 0 0
234 OMEPERAZOLE 400ML BUAH 0 0 0 0 0 0 0 0
235 DULCOLAK BUAH 0 0 0 0 0 0 0 0
236 E CARE BOX 60 0 60 0 60 0 0 0
237 METOCLOPRAMID SYR BOTOL 0 0 0 0 0 0 0 0
238 SALBUTAMOL INHELER BUAH 0 0 0 0 0 0 0 0
239 GOLONGAN DARAH BUAH 0 0 0 0 0 0 0 0
240 WIDAL KITSULFADIAZIN SILVER BUAH 0 0 0 0 0 0 0 0
241 DEVITALISASI FASTA (NON ARSEN) BUAH 0 0 0 0 0 0 0 0
242 CHKM BUAH 0 0 0 0 0 0 0 0
243 GLAS LONOMER CEMENT BUAH 0 0 0 0 0 0 0 0
244 CALSIUM HYDROXIDE BUAH 0 0 0 0 0 0 0 0
245 CAVITON BUAH 0 0 0 0 0 0 0 0
246 FLACHER LIQUID BUAH 0 0 0 0 0 0 0 0
247 ZiNC CEMENT POWDER BUAH 0 0 0 0 0 0 0 0
248 ZINK CEMENT LIQUID BUAH 0 0 0 0 0 0 0 0
249 LEUKOPLAST BUAH 0 0 0 0 0 0 0 0
250 JELY BUAH 2 0 2 0 2 0 0 0
251 METIL PREDNISOLON BUAH 0 0 0 0 0 0 400 0
252 ASAM URAT TEST BUAH 0 0 0 0 0 0 50 0
253 KOLESTEROL TEST BUAH 0 0 0 0 0 0 50 0
254 GDS BUAH 0 0 0 0 0 0 50 0
255 BORAX GLISERIN BUAH 0 0 0 0 0 0 50 0
256 CETIRIZINE BOX 0 0 0 0 0 0 0 0
257 LAXADIN SIROP BOX 0 0 0 0 0 0 0 0
258 DC N0 18 DAN 16 BUAH 0 0 0 0 0 0 15 0
BOX 0 0 0 0 0 0 0 0
259 CURCUMA

BUAH
10 0 10 0 10 0 0 0
260 E CARE HAND
 BUAH
100 0 100 0 100 0 0 0
261 LANCET

262 CANDESARTAN 8 MG BOX 150 0 150 0 150 0 0 0

263 LAXADINE SYIRUP BOX 5 0 0 0 0 0 0 0

264 METIL PREDNISOLN BOX 0 0 0 0 0 0 0 0

265 stericid desinfektan botol botol 0 0 0 0 0 0 0 0

266
stericid desinfektan galon botol 1 0 1 0 1 0 0 0

GRATIS BAYAR JUMLAH

3456 3468

KUNJUNGAN PASIEN NON RESEP

JUMLAH
 386 386

KARAWANG, MARET 2019 PENGELOLA OBAT

UPTD PUSKESMAS PONED JAYAKERTA

dr,Endang Suprapto,Mkes OYOK JUARIAH

NIP. 19700105 200212 1 005
3
PUSKESMAS : JAYAKERTA
KECAMATAN : JAYAKERTA
KABUPATEN : KARAWAG PELAPORAN BULAN / TRIWULAN : MARET 2019
PROPINSI : JAWA ARAT PELAPORAN BULAN / TRIWULAN : MARET 2019

NO NAMA OBAT SATUAN STOK PENERI PERSE PEMA STOK STOK PERMIN PEMBE KET
AWAL MAAN DIAAN KAIAN AKHIR OPT TAAN RIAN
1 2 3 4 5 6 7 8 10 11 12
1 AMMONIUM OXALAT 1% BOTOL 0 0 0 0 0 0 0 0 0

2 ANISOL BOTOL 0 0 0 0 0 0 0 0 0

3 APRON TEBAL 2 MM BUAH 0 0 0 0 0 0 0 0 0

4 AQUABIDEST BOTOL 0 0 0 0 0 0 0 0 0

5 BaCl2 10% BOTOL 0 0 0 0 0 0 0 0 0

6 BALP KARET MERAH PIPET BUAH 0 0 0 0 0 0 0 0 0

7 BLUE TIP ISI 1000 KANTONG 0 0 0 0 0 0 0 0 0

8 BURNISHER BUAH 0 0 0 0 0 0 0 0 0

9 CELL CLEAN / SYSMEX 100 ML BOTOL 0 0 0 0 0 0 0 0 0

10 COVER GLASS ISI 100 BOX 0 0 0 0 0 0 0 0 0

11 CRYTOSEAL BUAH 0 0 0 0 0 0 0 0 0

12 CYATMETH HB 500 ML BOTOL 0 0 0 0 0 0 0 0 0

13 DEVELOPER BOX 0 0 0 0 0 0 0 0 0
14 EKSKAVATOR BUAH 0 0 0 0 0 0 0 0 0

15 EOSIN 100 ML BOTOL 0 0 0 0 0 0 0 0 0

16 FAUHET BUAH 0 0 0 0 0 0 0 0 0

17 FILM 30 X 40 @ 100 LBR BOX 0 0 0 0 0 0 0 0 0

18 FIXER GALON 0 0 0 0 0 0 0 0 0

19 GLUKOS STRIP BOX 0 0 0 0 0 0 0 0 0

20 GOLONGAN DARAH (A,B.AB,D) SET 0 0 0 0 0 0 0 0 0

21 HAEMOCYTOMETER (KAMAR H BUAH 0 0 0 0 0 0 0 0 0

22 HB HEMOGLOBIN TES STRIP STRIP 0 0 0 0 0 0 0 0 0

23 HCl 0,1 N 500 ML BOTOL 0 0 0 0 0 0 0 0 0

24 HEMACUE CUVETS BOX 0 0 0 0 0 0 0 0 0

25 HYPOCLORIT 1 L BOTOL 0 0 0 0 0 0 0 0 0

26 INSTRUMEN BAK BUAH 0 0 0 0 0 0 0 0 0

27 JELLY GALON 0 0 0 0 0 0 0 0 0

28 KACA MULUT + GAGANG BUAH 0 0 0 0 0 0 0 0 0

29 KARTU GOLONGAN DARAH BOX 0 0 0 0 0 0 0 0 0

30 KASET UK 18 X 24 BUAH 0 0 0 0 0 0 0 0 0

31 KASET UK 35 X 35 BUAH 0 0 0 0 0 0 0 0 0

32 KERTAS PUYER (OBAT) PAK 0 0 0 0 0 0 0 0 0

33 KERTAS SARING WATMAN BOX 0 0 0 0 0 0 0 0 0

34 KERTAS USG BOX 0 0 0 0 0 0 0 0 0

35 KOTAK SLIDE BUAH 0 0 0 0 0 0 0 0 0

36 LANCET ISI 200 BOX 0 0 0 0 0 0 3 0 0

37 LANSET HOLDER BUAH 0 0 0 0 0 0 3 0 0

 LAR. PENGECATAN GRAM
(Lar. Gentian violet, Lugol,
38 Safranin) SET 0 0 0 0 0 0 0 0 0

39 LAR. WRIGHT BOTOL 0 0 0 0 0 0 0 0 0

40 LARUTAN BENEDICT 100 ML BOTOL 0 0 0 0 0 0 0 0 0

41 LARUTAN EOSIN 2% 100 ML BOTOL 0 0 0 0 0 0 0 0 0

LARUTAN ETANOL ASAM 100
42 ML BOTOL 0 0 0 0 0 0 0 0 0

43 LARUTAN GABETT 100 ML BOTOL 0 0 0 0 0 0 0 0 0

LARUTAN GIEMSA STAIN 100
44 ML BOTOL 0 0 0 0 0 0 0 0 0
LARUTAN KARBO FUKSIN
45 100 ML BOTOL 0 0 0 0 0 0 0 0 0

46 LARUTAN KINYON 100 ML BOTOL 0 0 0 0 0 0 0 0 0

LARUTAN METILEN BIRU 100
47 ML BOTOL 0 0 0 0 0 0 0 0 0
LARUTAN NATRIUM CITRAT
48 3.8 M BOTOL 0 0 0 0 0 0 0 0 0

49 LARUTAN STANDAR HB KIT 0 0 0 0 0 0 0 0 0

50 LARUTAN TURK 100 ML BOTOL 0 0 0 0 0 0 0 0 0

51 LISOLM UK 30 X 40 BUAH 0 0 0 0 0 0 0 0 0

52 LISOM GRID UK 24 X 30 BUAH 0 0 0 0 0 0 0 0 0

53 MATA BUR HIGH SPEED ISI 6 SET 0 0 0 0 0 0 0 0 0

54 Na.Citrat 3,8% BUAH 0 0 0 0 0 0 0 0 0

55 NaCl FISOLOGIS BOTOL 0 0 0 0 0 0 0 0 0

56 NASAL OXYGEN CANULA BUAH 0 0 0 0 0 0 0 0 0

57 OBJECT GLASS ISI 100 BOX 0 0 0 0 0 0 0 0 0

58 OIL IMERSI BOTOL 0 0 0 0 0 0 0 0 0

59 PENJEPIT TABUNG BESI BUAH 0 0 0 0 0 0 0 0 0

60 PEWARNA BTA BUAH 0 0 0 0 0 0 0 0 0

61 PINSET STAINLES BUAH 0 0 0 0 0 0 0 0 0

62 PINSIL GELAS (PAKAI BENANG BUAH 0 0 0 0 0 0 0 0 0

63 PLAT PACKED MUNT PIECSIPE BUAH 0 0 0 0 0 0 0 0 0

64 PIPET THOMA ERITROSIT BUAH 0 0 0 0 0 0 0 0 0

65 PIPET THOMA LEUKOSIT BUAH 0 0 0 0 0 0 0 0 0

66 PIPET UKUR 10 ML BUAH 0 0 0 0 0 0 0 0 0

67 PLASTIK KLIP OBAT KG 0 0 0 0 0 0 0 0 0

68 POT SPUTUM BUAH 0 0 0 0 0 0 0 0 0

69 POT URINE BUAH 0 0 0 0 0 0 0 0 0

70 RAK MICROPIPET BUAH 0 0 0 0 0 0 0 0 0

71 RAK PENGECETAN BUAH 0 0 0 0 0 0 0 0 0

72 RAK TABUNG PLASTIK 20 LU BUAH 0 0 0 0 0 0 0 0 0

73 REAGEN SGOT 20 X 5 ML KIT 0 0 0 0 0 0 0 0 0

74 REAGENT BILIRUBIN T/D 2 X 1 KIT 0 0 0 0 0 0 0 0 0

75 REAGENT CHOLESTEROL 4 X KIT 0 0 0 0 0 0 0 0 0

76 REAGENT CREATINI 200 ML KIT 0 0 0 0 0 0 0 0 0

77 REAGENT GULA 4 X 100 ML KIT 0 0 0 0 0 0 0 0 0

78 REAGENT POCH 5 LITER / Dilu GALON 0 0 0 0 0 0 0 0 0

79 REAGENT POCH 500 ML / Lyse GALON 0 0 0 0 0 0 0 0 0

80 REAGENT SGPT 20 X 5 ML KIT 0 0 0 0 0 0 0 0 0

81 REAGENT TOTAL PROTEIN 100 KIT 0 0 0 0 0 0 0 0 0

82 REAGENT TRIGLISERIDA 4 X 1 KIT 0 0 0 0 0 0 0 0 0

83 REAGENT UREUM 2 X 100 ML KIT 0 0 0 0 0 0 0 0 0

84 REAGENT URIC ACID 4 X 30 M KIT 0 0 0 0 0 0 0 0 0

85 REES ECCKER 100 ML BOTOL 0 0 0 0 0 0 0 0 0

86 SKALA HEMATOKRIT BUAH 0 0 0 0 0 0 0 0 0

87 SLIDE BUAH 0 0 0 0 0 0 0 0 0

88 SONDE HALF MOON BUAH 0 0 0 0 0 0 0 0 0

89 SPIRTUS 1 LT BOTOL 0 0 0 0 0 0 6 0 0

90 TABUNG REAKSI 15 X 100 ML BUAH 0 0 0 0 0 0 0 0 0

91 TB EDTA ISI 100 BOX 0 0 0 0 0 0 0 0 0

92 TES GULA DARAH BOX 0 0 0 0 0 0 0 0 0

93 TES KEHAMILAN BOX 0 0 0 0 0 0 0 0 0

94 TISSU ALKOHOL BOX 0 0 0 0 0 0 0 0 0

95 TISU LENSA ROLL 0 0 0 0 0 0 0 0 0

96 GOLOLONGAN DARAH &ANTI BUAH 0 0 0 0 0 0 0 0 0

97 TOTAL PROTEIN SERUM KIT 0 0 0 0 0 0 0 0 0

URINE TEST STRIP 3
98 PARAMETER ISI 100 DUS 0 0 0 0 0 0 0 0 0
WESTERGRWN PIPET
99 GELAS SKALA 0-200 RAK BOX 0 0 0 0 0 0 0 0 0

100 WIDAL + SLIDE ISI 8 ANTIGEN SET 0 0 0 0 0 0 0 0 0

101 Strip HIV BOTOL 0 0 0 0 0 0 0 5 0

102 PIPET TETES PLASTIK BUAH 0 0 0 0 0 0 0 0 0

103 KOLESTEROL Buah 300 0 300 0 300 0 0 0 0

104 ALKOHOL SWAB BUAH 300 0 300 0 300 0 0 0 0

105 ASAM URAT BUAH 0 0 0 0 0 0 0 0 0

KARAWANG,APRIL 2019
KA UPTD PUSKESMAS JAYAKERTA PENGELOLA OBAT
Dr. Endang Suprapto,Mkes OYOK JUARIAH
NIP 19700105200212 1 002
 LAMPIRAN HASIL PENGAMATAN MUTU OBAT
PUSKESMAS : JAYAKERTA
BULAN :MARET
TAHUN: 2019

NO NAMA OBAT BENTUK SEDIAAN JUMLAH NO BATCH EXP. DATE JENIS KET
KERUSAKAN

KARAWANG , MARET 2019

KA UPTD PUSKESMAS JAYAKERTA PENGELOLA OBAT

Dr Endang Suprapto OYOK JUARIAH

Nip 19700105 200212 1 002
 LAPORAN NARKOTIKA
MARET
2019

PUSKESMAS : JAYAKERTA
KECAMATAN : JAYAKERTA
KABUPATEN : KARAWAG
PROPINSI : JAWA ARAT

PENGGU JUMLAH
SALDO PEMASUK NAAN PENGGU
NO NAMA OBAT KODE OBAT SATUAN AWAL AN DARI JUMLAH UNTUK NAAN STOK AHIR
1 DIAZETPAM INJEK AMPUL 0 0 0 0 0 0
2 DIAZETPAM 2ML TABLET 200 0 200 0 0 200
3 DIAZETRPAM REKTALTUBE 1 0 1 0 0 0
4 FENOBARBITAL 30 MLTABLET 266 0 266 0 0 266
5 FENOBARBITAL INJ TABLET 0 0 0 0 0 0
6 HALOPORIDOL 5ML TABLET 500 0 500 500 0 0
7 TRIHEXPENIDIL TABLET 400 0 400 200 0 200
8 KLORPROMAZIN 250 TABLET 300 0 300 100 0 200

Kepala Puskesmas UPTD Jayakerta

dr,Endang Suprapto,Mkes
Nip 19700105 200212 1 002
 DAFTAR NAMA PASIEN YANG MENGUNAKAN ABU I & II
PUSKESMAS JAYAKERTA
KECAMATAN JAYAKERTA

BULAN MARET 2019

NO TANGGAL NAMA PASEN UMUR ALAMAT KETERANGAN

Kepala Puskesmas UPTD Jayakerta

Dr. Endang Suprapto,M kes

19700105 200212 1 002