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no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok
143 Mikonazol krem 3000 tube 44 37 7
144 Molex flu kaplet 397 tablet
145 Molex flu syrup 60ml 6710 botol 184 134 50
146 Natrium diklofenac 25 mg 157 tablet 4992 1642 3350
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6410 botol 20 5 15
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1830 0 1830
151 Obat Suntik K.B I / Andalan Harmonis 6624 vial
152 Omeprazol kap 20 mg 216 kapsul 6000 1675 4325
153 Oxytocin inj 10iu 1900 ampul 8 0 8
154 Oksitetrasiklin 3% salep kulit 1640 tube
155 OBH Molex syrup 60ml 5500 botol
156 Parasetamol syrup 1119 botol
157 Parasetamol drop 5460 botol
158 Parasetamol 500 mg 57 tablet 42516 7791 34725
159 Papaverin 40 mg 209 tablet 1230 0 1230
160 Pirantel Suspensi 125 mg/ 5ml 8728 botol
161 Pirantel 125 mg tablet 308 tablet 315 105 210
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 19500 900 18600
163 Plester 5 x 2 2000 rol 14 3 11
164 Propilthiourasil ( PTU ) 292 tablet 300 0 300
165 Propanolol 10 mg 66 tablet 270 10 260
166 Piroksikam 10 mg 132 tablet 6400 0 6400
167 Piroksikam 20 mg 176 tablet 7624 24 7600
168 Phenobarbital 30 mg 66 tablet 990 0 990
169 Phenobarbital inj 1890 ampl
170 Prednison 5 mg 66 tablet 6000 825 5175
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 10000 1500 8500
173 Ringerlaktat larutan infus 7150 botol 10 0 10
174 Retinol 100.000 IU 298 kapsul 800 800 0
175 Retinol 200.000 IU 482 kapsul 7250 3200 4050
176 Salbutamol 2 mg 62 tablet 321 296 25
177 Salbutamol 4 mg 95 tablet 1000 100 900
178 Salisyl talk 2% 1250 sachet
179 Salep -24 2554 pot 78 20 58
no nama obat harga satusatuan stok awal penerimaapersediaapemakaiasisa stok
180 Scabimite Cream 5% 12155 tube
181 Safety box 16501 piece 225 25 200
182 Sefadroksil sirup kering 125 mg/5ml 4485 botol 60 0 60
183 Semenseng fospat 137500 botol
184 Silk 3.0 dgn jarum bedah 3139 sachet 21 0 21
185 Simvastatin tab 10 mg 133 tablet 2825 865 1960
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 204 204 0
187 Serum Anti Tetanus (ATS) 1500 u/ Tetag 170000 vial
188 Superhoid suppos (Anti Hemoroid) 3197 kotak
189 Solare Anterior/Pasterior 341500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12159 tube
192 Tetrasiklin 250 mg 154 kapsul 300 300 0
193 Tetrasiklin 500 mg 319 kapsul 820 410 410
194 Temporarystopping (Flecher) P+L 319000 botol 0
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 10735 2135 8600
196 Triheksifenidil 2 mg 92 tablet
197 Tablet Tambah Darah Neo 400 tablet 642 42 600
198 Vitamin Bkomplek 121 tablet
199 Ventolin rotacaps 450 kapsul 434 0 434
200 Ventolin rotahaler 6550 buah 14 0 14
201 Ventolin Nebules 2,5mg 6930 ampul 10 10 0
202 Vitamin dan Mineral (Vitalex) 440 kapsul
203 Wing Needle 25G 1400 buah 60 0 60
204 Yodium Povidon 30 ml 2250 botol 34 12 22
205 Yodium Povidon 60 ml 6298 botol
206 Yodium Povidon 300 ml 14771 botol
207 Zinkid 10mg/5ml 15729 botol 105 25 80
208 Zink tablet 20 mg 497 kaplet 1548 38 1510
Risperidon 2000 164 1836
obat anti tuberkulosis katagori 1
Ergometrine injeksi
Mengetahui
Pimpinan Puskesmas
10000
30
10000
1
5
300
3000
program
300
200
300
1000
12000
obat prog
300
200
150
300
15000
obatprogram
100
5
2000
200
obat program
300
360
500
300
300
stok optimpermintaapemberianketerangan
60
10000
10
100
600
10
5
: Agustus 2017
Petugas
Raza Ritaya
NIP. 196404161989012002
KETERANGAN
program TB
program TB
prog. Jiwa propinsi
prog. Jiwa propinsi
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA BULAN :September
KOTA : PALEMBANG TAHUN : 2017
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
1 Alat suntik 2,5 ml/3 ml 957 Set 400 100 300
2 Alat suntik 5 ml 1,348 Set 830 80 750
3 Albendazole 400 mg 350 tablet program
4 Alkohol Swab 34,100 kotak 7 1 6
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 305 55 250
6 Acetylcystein 200 mg 866 tablet 10000
7 Alopurinol 100 mg 93 tablet 1020 440 580 3000
8 Alopurinol 300 mg 215 tablet 200 0 200
9 Ambroxol sirup 15 mg/ml 3,600 botol 600
10 Aminofilin 200 mg 82 tablet 200
11 Amlodipin tab 5 mg 105 tablet 4550 1406 3144 6000
12 Amlodipin tab 10 mg 160 tablet 2170 180 1990
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 235 96 139 360
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 2230 503 1727
16 Amoksisilin 500 mg 270 kaplet 9170 2680 6490 10000
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 12680 1374 11306 5000
19 Antasida doen suspensi 2,117 botol 138 17 121 300
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 225 83 142 300
21 Antifungi doen kombinasi ( white field ) 4,366 tube 24 3 21 48
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 14000 600 13400 7000
25 Asam Mefenamat 500 mg 112 tablet 17990 1445 16545
26 Asiklovir krim 5% 2,988 tube 102 10 92 100
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 1350 220 1130
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 1290 580 710 3000
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 149 24 125 50
33 Bisakodil supp 5 mg anak 4,990 suppos 8 0 8 12
Anti bakteri doen zalf (bacitracin) 300 15 285 200
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
34 Bisakodil tab 5 mg 1,235 tablet 39 13 26
35 Betahistin Mesilate 162 tablet 1890 390 1500 900
36 Burnazin cream 24,150 tube 64 4 60
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak
39 Composite 423,500 botol
40 Cat gut 22,599 saset 48 0 48
41 Ciprofloxacin 500 mg 289 tablet 5400 946 4454 2000
42 Cetrizine 10 mg 145 tablet 2752 1902 850 8000 ralat pem. agust 1748
43 Cetrizine syr 5 mg 8,399 botol 60 14 46 360
44 Clobazam 10 mg tab 900 tablet 1470 96 1374
45 Carbamazepin 200 mg 280 tablet 1550 105 1445
46 Cooper T (380A) 17,710 unit
47 Calamed lotion 14,300 botol
48 Caviton White 154,000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77,000 botol
51 Dexamethason inj 5 mg/ml 1,659 ampl 20
52 Dexamethason tabl 0,5 mg 46 tablet 10000 270 9730 6000
53 Devitalisasi pasta 319,000 botol
54 Diazepam inj 2,486 ampl
55 Diazepam 2 mg tablet 28 tablet 1000
56 Diazepam 5 mg tablet 122 tablet
57 Digoxin 0,25 mg tablet 100 tablet 200 0 200
58 Diltiazem 30 mg 134 tablet 200 0 200
59 Diphenhydramin inj 10 mg 1,100 ampl 30 0 30
60 Domperidon suspensi 5mg/5ml 3,410 botol 300
61 Domperidon 10 mg 170 tablet 1334 334 1000 3000
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 190 9 181
64 Etanol 70 % @ 100 ml 2,575 botol 3 0 3
Etanol 70 % @ 1000ml 9 0 9
65 Ethyl klorida spray 150,000 botol 16 2 14
66 Eugenol 19,005 botol 2 1 1
67 Eritromycin syr kering 200mg/5ml 7,893 botol 21 6 15 144
68 Erythromisin kap 250 mg 594 kapsul 3000
69 Erythromisin kap 500 mg 751 kapsul 6000
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 30 0 30
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
71 Fitomenadion / vit k 10 mg 660 tablet 630 70 560 300
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 57 12 45 48
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1400 291 1109 1000
75 Furosemide 40 mg 81 tablet 460 6 454
76 Flagyl suppos 0,5 gr 3,220 buah 40 5 35 60
77 Garam oralit 269 saset 993 221 772
78 Gentamisin salep mata 0,3 % 2,830 tube 96
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 62 192 21 233
80 Gentamisin salep kulit (Gentalex) 3,080 tube 240
81 Gemfibrozil 300 mg 303 tablet 120 120 0 480
82 Glasionomer semen 779,000 botol 1 0 1
83 Glimepiride 1 mg 265 tablet 2000 210 1790 2000
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 1000 60 940 600
86 Gliseril Guaiakolat 53 tablet 3330 2905 425 10000
87 Glukosa lart. Infus 5 % 6,900 botol 19 0 19
88 Glukosa lart. Infus 10 % 7,500 botol 3 0 3
89 Glibenklamid 5 mg 95 tablet 1080 0 1080
90 Haloperidol 1,5 mg 72 tablet 1000
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset 12 12 0
93 Handscoon non-steril 37,044 kotak 19 0 19
94 H C T 25 mg 156 tablet 220 40 180
95 Hidrokortison 2.5 % krim 2,798 tube 98 5 93 72
96 Iliadin drop (Obat tetes hidung) 28,928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet 1118 1118 0 6000
99 Ibuprofen 100 mg/5ml 3,674 botol 38 21 17 100
100 Infus Set Dewasa 5,445 Set 7 0 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 5410 1002 4408 2000
103 Kapas 250 grm 12,800 rol 11 0 11
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 58 0 58
106 Kasa 4x15 2,150 rol 65 0 65
107 Kaptopril 25 mg 89 tablet 1930 303 1627
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
108 Kaptopril 12,5 mg 62 tablet 1960 440 1520
109 Ketokenazol cream 2,569 tube 240
110 Ketokenazol tab 200 mg 310 tablet 410 97 313
111 Khloramfenikol 250 mg 500 kaps 336 246 90 480
112 Khloramfenikol salep mata 1,600 tube 240 3 237
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol 72
114 Klorfeson cream 7,148 tube 240
115 Klindamisin 300 mg 630 kapsul 86 36 50 200
116 Klorfeniramine maleat (CTM) 43 tablet 15000
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 283 29 254
119 Kotrimoksazol tablet dewasa 154 tablet 1335 387 948 3000
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 0 860
124 Loratadin 10 mg 139 tablet 1800 210 1590
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 180 50 130 90
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 10 2 8 10
129 Lysol 43,000 botol 20 0 20
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 4020 985 3035 5000
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 3 5 3 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 8 1 7 6
134 Meloksikam 15 mg 1,185 tablet 2890 340 2550 3000
135 Metformin HCl tab 500 mg 115 tablet 5340 996 4345
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 5 0 5
139 Metilprednisolon tab 4 mg 210 tablet 6000
140 Metronidazol 250 mg 113 tablet 2080 390 1690
141 Metronidazol 500 mg 164 tablet 2000
142 Metochlopramide 5 mg tablet 105 tablet
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
143 Mikonazol krem 3,000 tube 7 7 0 240
144 Molex flu kaplet 397 tablet 6000
145 Molex flu syrup 60ml 6,710 botol 50 50 0 300
146 Natrium diklofenac 25 mg 157 tablet 3350 766 2584 2000
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 15 2 13
149 Nistatin 100 000 UI tab vaginal 504 tablet 200
150 Nipedipin tablet 10 mg 110 tablet 1830 15 1815
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial 120
152 Omeprazol kap 20 mg 216 kapsul 4325 725 3600
153 Oxytocin inj 10iu 1,900 ampul 8 0 8 obat prog
154 Oksitetrasiklin 3% salep kulit 1,640 tube 18 18 0 200
155 OBH Molex syrup 60ml 5,500 botol 400
156 Parasetamol syrup 1,119 botol 600 141 459 300
157 Parasetamol drop 5,460 botol 300
158 Parasetamol 500 mg 57 tablet 34725 5541 29184
159 Papaverin 40 mg 209 tablet 1230 0 1230
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 210 101 109
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 18600 1130 17470
163 Plester 5 x 2 2,000 rol 11 0 11
164 Propilthiourasil ( PTU ) 292 tablet 300 0 300
165 Propanolol 10 mg 66 tablet 260 0 260
166 Piroksikam 10 mg 132 tablet 6400 700 5700
167 Piroksikam 20 mg 176 tablet 7600 100 7500
168 Phenobarbital 30 mg 66 tablet 990 0 990
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 5175 2112 3063 6000
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 8500 1056 7444
173 Ringerlaktat larutan infus 7,150 botol 10 1 9
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul 4050 0 4050
176 Salbutamol 2 mg 62 tablet 25 25 0 2000
177 Salbutamol 4 mg 95 tablet 900 343 557 2000
178 Salisyl talk 2% 1,250 sachet 300 10 290
179 Salep -24 2,554 pot 58 17 41 48
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
180 Scabimite Cream 5% 12,155 tube 30 0 30
181 Safety box 16,501 piece 200 6 194
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 60 10 50
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 0 21
185 Simvastatin tab 10 mg 133 tablet 1960 990 970 3000
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 10000 620 9380
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagr 170,000 vial 10 0 10
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak 100
189 Solare Anterior/Pasterior 341,500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12,159 tube 5 0 5
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 410 0 410
194 Temporarystopping (Flecher) P+L 319,000 botol 1 0 1
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 8600 1670 6930 3000
196 Triheksifenidil 2 mg 92 tablet 600 245 355
197 Tablet Tambah Darah Neo 400 tablet 600 420 180
198 Vitamin Bkomplek 121 tablet 9400 1400 8000 6000
199 Ventolin rotacaps 450 kapsul 434 0 434
200 Ventolin rotahaler 6,550 buah 14 0 14
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul 3000
203 Wing Needle 25G 1,400 buah 60 0 60
204 Yodium Povidon 30 ml 2,250 botol 22 0 22
205 Yodium Povidon 60 ml 6,298 botol
206 Yodium Povidon 300 ml 14,771 botol
207 Zinkid 10mg/5ml 15,729 botol 80 29 51 150
208 Zink tablet 20 mg 497 kaplet 1510 72 1438
Risperidon 347 tablet 1836 337 1499
Puskesmas Padang Selasa
Bulan :September " 17
VAKSIN
HEPATITIS ada
BCG ada
PENTABIO ada
CAMPAK ada
POLIO tidak ada
TT ada
Td ada
Mengetahui
Pimpinan Puskesmas Petugas
NAMA OBAT HARGA SATU SATUAN STOK AWAL PENERIMAAN pemakaian SISA STOK
no
2 3 agust sept
1 Clobazam 10 mg tablet 900 tablet prog. Jiwa propinsi
2 Klorpromazine 100 mg tablet 148 tablet 500 prog. Jiwa propinsi
3 Risperidon 2 mg tablet 347 tablet 500 prog. Jiwa propinsi
4 Clozapin tablet tablet 500 prog. Jiwa propinsi
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 16 program
6 Obat Anti Tuberkulosis kategori 1 377950 paket program TB
7 Obat Anti Tuberkulosis kategori 2 paket 1 1 0 program TB
8 Trihexifenidil 80 tablet 500 prog. Jiwa propinsi
9 Haloperidol 5 mg 74 tablet 500 prog. Jiwa propinsi
10 Amitriptilin tablet 200 prog. Jiwa propinsi
11 Tambah darah tablet tablet 68750 prog. gizi
6 Spuit 3 ml 40 22 138
no nama obat harga satuan satuan stok awal penerimaan SO gudang SO apotik
34 Bisakodil tab 5 mg 1,235 tablet 39 26
35 Betahistin Mesilate 162 tablet 1890 1290 210
36 Burnazin cream 24,150 tube 64 56 4
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak
39 Composite 423,500 botol
40 Cat gut 22,599 saset 48 48
41 Ciprofloxacin 500 mg 289 tablet 5400 3900 554
42 Cetrizine 10 mg 145 tablet 2752 850
43 Cetrizine syr 5 mg 8,399 botol 60 46
44 Clobazam 10 mg tab 900 tablet 1470
45 Carbamazepin 200 mg 280 tablet 1550
46 Cooper T (380A) 17,710 unit
47 Calamed lotion 14,300 botol
48 Caviton White 154,000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77,000 botol
51 Dexamethason inj 5 mg/ml 1,659 ampl
52 Dexamethason tabl 0,5 mg 46 tablet 10000 9400 330
53 Devitalisasi pasta 319,000 botol
54 Diazepam inj 2,486 ampl
55 Diazepam 2 mg tablet 28 tablet
56 Diazepam 5 mg tablet 122 tablet
57 Digoxin 0,25 mg tablet 100 tablet 200 200
58 Diltiazem 30 mg 134 tablet 200 200
59 Diphenhydramin inj 10 mg 1,100 ampl 30 30
60 Domperidon suspensi 5mg/5ml 3,410 botol
61 Domperidon 10 mg 170 tablet 1334 1000
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 190 168 13
64 Etanol 70 % @ 100 ml 2,575 botol 3 3
Etanol 70 % @ 1000ml 9 9
65 Ethyl klorida spray 150,000 botol 16 14
66 Eugenol 19,005 botol 2
67 Eritromycin syr kering 200mg/5ml 7,893 botol 21 15
68 Erythromisin kap 250 mg 594 kapsul
69 Erythromisin kap 500 mg 751 kapsul
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 30 30
nama obat harga satuan satuan stok awal penerimaan SO gudang SO apotik
no
2 3 4 5
71 Fitomenadion / vit k 10 mg 660 tablet 630 500 60
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 57 24 21
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1400 1000 109
75 Furosemide 40 mg 81 tablet 460 400 54
76 Flagyl suppos 0,5 gr 3,220 buah 40 35
77 Garam oralit 269 saset 993 600 172
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 62 192 216 17
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet 120
82 Glasionomer semen 779,000 botol 1
83 Glimepiride 1 mg 265 tablet 2000 1500 290
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 1000 800 140
86 Gliseril Guaiakolat 53 tablet 3330 425
87 Glukosa lart. Infus 5 % 6,900 botol 19 19
88 Glukosa lart. Infus 10 % 7,500 botol 3 3
89 Glibenklamid 5 mg 95 tablet 1080 1000 80
90 Haloperidol 1,5 mg 72 tablet
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset 12
93 Handscoon non-steril 37,044 kotak 19 19
94 H C T 25 mg 156 tablet 220 100 80
95 Hidrokortison 2.5 % krim 2,798 tube 98 72 21
96 Iliadin drop (Obat tetes hidung) 28,928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet 1118
99 Ibuprofen 100 mg/5ml 3,674 botol 38 17
100 Infus Set Dewasa 5,445 Set 7 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 5410 4100 308
103 Kapas 250 grm 12,800 rol 11 11
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 58 58
106 Kasa 4x15 2,150 rol 65 65
107 Kaptopril 25 mg 89 tablet 1930 1400 227
nama obat harga satuan satuan stok awal Penerimaan SO gudang SO apotik
no
2 3 4 5
108 Kaptopril 12,5 mg 62 tablet 1960 1400 120
109 Ketokenazol cream 2,569 tube
110 Ketokenazol tab 200 mg 310 tablet 410 250 63
111 Khloramfenikol 250 mg 500 kaps 336 90
112 Khloramfenikol salep mata 1,600 tube 240 216 21
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol
114 Klorfeson cream 7,148 tube
115 Klindamisin 300 mg 630 kapsul 86 50
116 Klorfeniramine maleat (CTM) 43 tablet
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 283 250 4
119 Kotrimoksazol tablet dewasa 154 tablet 1335 600 348
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 860
124 Loratadin 10 mg 139 tablet 1800 1500 90
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 180 120 10
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 10 8
129 Lysol 43,000 botol 20 20
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 4020 3000 35
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 3 5 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 8 7
134 Meloksikam 15 mg 1,185 tablet 2890 2550
135 Metformin HCl tab 500 mg 115 tablet 5340 4100 245
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 5
139 Metilprednisolon tab 4 mg 210 tablet
140 Metronidazol 250 mg 113 tablet 2080 1500 190
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet
nama obat harga satuan satuan stok awal penerimaan SO gudang SO apotik
no
2 3 4 5
143 Mikonazol krem 3,000 tube 7
144 Molex flu kaplet 397 tablet
145 Molex flu syrup 60ml 6,710 botol 50
146 Natrium diklofenac 25 mg 157 tablet 3350 2300 284
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 15 13
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1830 1700 115
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul 4325 3450 150
153 Oxytocin inj 10iu 1,900 ampul 8 8 o.program
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
156 Parasetamol syrup 1,119 botol 600 430 29
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet 34725 28600 584
159 Papaverin 40 mg 209 tablet 1230 1000 230
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 210 100 9
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 18600 17000 470
163 Plester 5 x 2 2,000 rol 11 11
164 Propilthiourasil ( PTU ) 292 tablet 300 300
165 Propanolol 10 mg 66 tablet 260 200 60
166 Piroksikam 10 mg 132 tablet 6400 5700 0
167 Piroksikam 20 mg 176 tablet 7600 6800 700
168 Phenobarbital 30 mg 66 tablet 990
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 5175 2900 163
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 8500 7400 44
173 Ringerlaktat larutan infus 7,150 botol 10 9
174 Retinol 100.000 IU 298 kapsul 0
175 Retinol 200.000 IU 482 kapsul 4050 4050
176 Salbutamol 2 mg 62 tablet 25
177 Salbutamol 4 mg 95 tablet 900 557
178 Salisyl talk 2% 1,250 sachet 300 200 90
179 Salep -24 2,554 pot 58 24 17
nama obat harga satuan satuan stok awal penerimaan SO gudang SO apotik
no
2 3 4 5
180 Scabimite Cream 5% 12,155 tube 30 30
181 Safety box 16,501 piece 200 194
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 60 50
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 21
185 Simvastatin tab 10 mg 133 tablet 2350 810 160
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 10000 8500 880
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagr 170,000 vial 10 10
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak
189 Solare Anterior/Pasterior 341,500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12,159 tube 5 5
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 410 400 10
194 Temporarystopping (Flecher) P+L 319,000 botol 1
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 8600 6900 30
196 Triheksifenidil 2 mg 92 tablet 600 300 55
197 Tablet Tambah Darah Neo 400 tablet 600 180
198 Vitamin Bkomplek 121 tablet 9400 7300 700
199 Ventolin rotacaps 450 kapsul 434 384 50
200 Ventolin rotahaler 6,550 buah 14 14
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul
203 Wing Needle 25G 1,400 buah 60 60
204 Yodium Povidon 30 ml 2,250 botol 22 22
205 Yodium Povidon 60 ml 6,298 botol
206 Yodium Povidon 300 ml 14,771 botol
207 Zinkid 10mg/5ml 15,729 botol 80 50 1
208 Zink tablet 20 mg 497 kaplet 1510 1400 38
209 Risperidon tablet 1836 1300 199
210 obat anti tuberkulosis katagori 1
211 Ergometrine injeksi ampul 5
o.program
LPLPO OBAT PROGRAM
PUSKESMAS PADANG SELASA
s/d BULAN : September
nama obat harga satuan satuan stok awal penerimaan Stokahir gdg stok ahir apt
no
2 3 4 5
143 Mikonazol krem 3,000 tube
144 Molex flu kaplet 397 tablet
145 Molex flu syrup 60ml 6,710 botol
146 Natrium diklofenac 25 mg 157 tablet
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul
153 Oxytocin inj 10iu 1,900 ampul
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
156 Parasetamol syrup 1,119 botol
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet
159 Papaverin 40 mg 209 tablet
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet
163 Plester 5 x 2 2,000 rol
164 Propilthiourasil ( PTU ) 292 tablet
165 Propanolol 10 mg 66 tablet
166 Piroksikam 10 mg 132 tablet
167 Piroksikam 20 mg 176 tablet
168 Phenobarbital 30 mg 66 tablet
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet
173 Ringerlaktat larutan infus 7,150 botol
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul
176 Salbutamol 2 mg 62 tablet
177 Salbutamol 4 mg 95 tablet
178 Salisyl talk 2% 1,250 sachet
179 Salep -24 2,554 pot
nama obat harga satuan satuan stok awal penerimaan Stokahir gdg stok ahir apt
no
2 3 4 5
180 Scabimite Cream 5% 12,155 tube
181 Safety box 16,501 piece
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet
185 Simvastatin tab 10 mg 133 tablet
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet
187 Serum Anti Tetanus (ATS) 1500 u/ Tetag 170,000 vial
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak
189 Solare Anterior/Pasterior 341,500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12,159 tube
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul
194 Temporarystopping (Flecher) P+L 319,000 botol
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet
196 Triheksifenidil 2 mg 92 tablet
197 Tablet Tambah Darah Neo 400 tablet
198 Vitamin Bkomplek 121 tablet
199 Ventolin rotacaps 450 kapsul
200 Ventolin rotahaler 6,550 buah
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul
203 Wing Needle 25G 1,400 buah
204 Yodium Povidon 30 ml 2,250 botol
205 Yodium Povidon 60 ml 6,298 botol
206 Yodium Povidon 300 ml 14,771 botol
207 Zinkid 10mg/5ml 15,729 botol
208 Zink tablet 20 mg 497 kaplet
Risperidon tablet
obat anti tuberkulosis katagori 1
Ergometrine injeksi ampul
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
KOTA
PROPINSI
no nama obat stok awal penerimaan gudangblm +penerimaan apotik
1 Alat suntik 2,5 ml/3 ml 300 300
2 Alat suntik 5 ml 750 700
3 Albendazole 400 mg
4 Alkohol Swab 6 6
5 Acetosal (Miniaspi 80 mg),100mg 250 200 19
6 Acetylcystein 200 mg
7 Alopurinol 100 mg 580 3000 98
8 Alopurinol 300 mg 200
9 Ambroxol sirup 15 mg/ml 30
10 Aminofilin 200 mg 200
11 Amlodipin tab 5 mg 3144 540 40
12 Amlodipin tab 10 mg 1990 1590 80
13 Amoksisilin syrup 125 mg/ 5ml 139 450 144
14 Amoksisilin dry syrup 250 mg/ 5ml
15 Amoksisilin 250 mg 1727 870
16 Amoksisilin 500 mg 6490 10000 900 270
17 Amoksisilin+as klavulanat 625mg tab
18 Antasida doen tablet 11306 5000 7800 890
19 Antasida doen suspensi 121 300 50 51
20 Antibakteri salep kombinasi (Bevalex) 142 120 36 20
21 Antifungi doen kombinasi ( white field ) 21 48 8
22 Anti Migran (Ergotamin Coffein)
23 Amitriptilin tablet salut 25 mg 200prog
24 Asam Askorbat 50 mg 13400 7000 8000+2000 330
25 Asam Mefenamat 500 mg 16545 13500+0 440
26 Asiklovir krim 5% 92 50 32
27 Asiklovir 200
28 Asikovir 400 1130 550 340
29 Asam folat 0,4 mg
30 Attapulgite (Pularex 630 mg) 710 1000 240
31 Articulating paper
32 Betametson krem 0,1 % 125 50 50 36
33 Bisakodil supp 5 mg anak 8 12 8
Anti bakteri doen zalf (bacitracin) 285 200 225
no nama obat stok awal penerimaan
34 Bisakodil tab 5 mg 26
35 Betahistin Mesilate 1500 900 990 300
36 Burnazin cream 60 56 3
37 BD Syringe Soloshot mini 0,05ml
38 BD Syringe Soloshot mini 0,5ml 1500prog+apbd…
39 Composite
40 Cat gut 48 48
41 Ciprofloxacin 500 mg 4454 2000 2900 800
42 Cetrizine 10 mg 850 2250 650 120
43 Cetrizine syr 5 mg 46 300 46
44 Clobazam 10 mg tab 1374 1200 11
45 Carbamazepin 200 mg 1445 1200 110
46 Cooper T (380A)
47 Calamed lotion
48 Caviton White
49 Cimetidin 200mg
50 Chlorfenolkamfermentol (CHKM)
51 Dexamethason inj 5 mg/ml
52 Dexamethason tabl 0,5 mg 9730 6000 5800+1000
53 Devitalisasi pasta
54 Diazepam inj
55 Diazepam 2 mg tablet
56 Diazepam 5 mg tablet
57 Digoxin 0,25 mg tablet 200 200
58 Diltiazem 30 mg 200 200
59 Diphenhydramin inj 10 mg 30
60 Domperidon suspensi 5mg/5ml 120
61 Domperidon 10 mg 1000 3000 500 150
62 Doksisiklin kapsul 100 mg
63 Etakridin ( Rivanol ) larutan 0,1 % 181 168 4
64 Etanol 70 % @ 100 ml 3 1
Etanol 70 % @ 1000ml 9 9
65 Ethyl klorida spray 14 14
66 Eugenol 1 1
67 Eritromycin syr kering 200mg/5ml 15 120 120 10
68 Erythromisin kap 250 mg
69 Erythromisin kap 500 mg
70 Epineprine 0,1 % Inj (Adrenalin) 30 30
nama obat stok awal penerimaan
no
2 5
71 Fitomenadion / vit k 10 mg 560 300 300 140
72 Fitomenadion Injeksi 2mg/ml
73 Fenol Glyserol 10 % TT 45 48 24 9
74 Ferro Fumarat + As. Folat (Hemafort) 1109 500 180
75 Furosemide 40 mg 454 400 54
76 Flagyl suppos 0,5 gr 35 60
77 Garam oralit 772 500 34
78 Gentamisin salep mata 0,3 %
79 Gentamisin sulfat Ttm 0,3 % 233 192
80 Gentamisin salep kulit (Gentalex)
81 Gemfibrozil 300 mg
82 Glasionomer semen 1
83 Glimepiride 1 mg 1790 2000 950
84 Glimepiride 2 mg
85 Griseofulvin 940 600 400 220
86 Gliseril Guaiakolat 425
87 Glukosa lart. Infus 5 % 19 19
88 Glukosa lart. Infus 10 % 3 3
89 Glibenklamid 5 mg 1080 500 60
90 Haloperidol 1,5 mg 1000 1000
91 Haloperidol 5 mg
92 Handscoon Steril 7,5
93 Handscoon non-steril 19 18
94 H C T 25 mg 180 100 47
95 Hidrokortison 2.5 % krim 93 72 72 12
96 Iliadin drop (Obat tetes hidung)
97 Ibuprofen 200 mg
98 Ibuprofen 400 mg
99 Ibuprofen 100 mg/5ml 17 100 14
100 Infus Set Dewasa 7 7
101 Isosorbid dinitrat 5 mg
102 Kalsium laktat 4408 2000 2600+500 120
103 Kapas 250 grm 11 9
104 Kasa steril 40 x 40 cm
105 Kasa steril 16 x 16 cm 58 48
106 Kasa 4x15 65 60
107 Kaptopril 25 mg 1627 1400 180
nama obat stok awal Penerimaan
no
2 5
108 Kaptopril 12,5 mg 1520 1100 90
109 Ketokenazol cream 240
110 Ketokenazol tab 200 mg 313 245
111 Khloramfenikol 250 mg 90 480
112 Khloramfenikol salep mata 237 216 3
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%)
114 Klorfeson cream
115 Klindamisin 300 mg 50 200 50 22 habiskan
116 Klorfeniramine maleat (CTM)
117 Kodein 10 mg tab
118 Kotrimoksazol syrup 254 200 33
119 Kotrimoksazol tablet dewasa 948 3000 330
120 Kotrimoksazol 120 mg
121 Kalsium Hidroksida Pasta
122 Klorpromazin 100 mg
123 Lanzoprazol kapsul 30 mg 860 660 200
124 Loratadin 10 mg 1590
125 Loperamid tablet 2 mg
126 Lidokain HCl inj 2% 2ml
127 Lidokain inj 2% + Efinefrin 2ml komb 130 90 120
128 Leukoplast 2,5cm x 4,5cm 8 10 7
129 Lysol 20 19
130 Multivitamin Anti Anemia (Livron B-plex) 3035 5000 1600+500 65
131 Magnesium Sulfat Inj IV 20%-25ml 5 5
132 Magnesium Sulfat Inj IV 40%-25ml
133 Masker 7 9 4
134 Meloksikam 15 mg 2550 2050 250
135 Metformin HCl tab 500 mg 4345 2300+500 145
136 Metformin 850 mg
137 Metilergometrin tab 0.125 mg
138 Metilergometrin inj 0.2 mg/1ml 5
139 Metilprednisolon tab 4 mg 6000
140 Metronidazol 250 mg 1690 1000 378
141 Metronidazol 500 mg
142 Metochlopramide 5 mg tablet
VAKSIN
HEPATITIS
BCG
PENTABIO
CAMPAK
POLIO
TT
Td
Mengetahui
Pimpinan Puskesmas
0
39
0
60
22 habiskan
-440
PROGRAM
STOK OPNAME OBAT PKM. PADANG SELASA
Bulan : oktober 2017
no nama obat harga satuan satuan stok awal penerimaan Stokahir gdg stok ahir apt
1 Alat suntik 2,5 ml/3 ml 957 Set 300
2 Alat suntik 5 ml 1,348 Set 700
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak 6
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 200
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet
8 Alopurinol 300 mg 215 tablet
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet
11 Amlodipin tab 5 mg 105 tablet 540
12 Amlodipin tab 10 mg 160 tablet 1590
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul
16 Amoksisilin 500 mg 270 kaplet 900
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 7800
19 Antasida doen suspensi 2,117 botol 50
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 36
21 Antifungi doen kombinasi ( white field ) 4,366 tube
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 8000+2000
25 Asam Mefenamat 500 mg 112 tablet 13500+0
26 Asiklovir krim 5% 2,988 tube 50
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 550
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 50
33 Bisakodil supp 5 mg anak 4,990 suppos 8
Anti bakteri doen zalf (bacitracin) 225
no nama obat harga satuan satuan
34 Bisakodil tab 5 mg 1,235 tablet
35 Betahistin Mesilate 162 tablet 990
36 Burnazin cream 24,150 tube 56
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak 1500prog+apbd…
39 Composite 423,500 botol
40 Cat gut 22,599 saset 48
41 Ciprofloxacin 500 mg 289 tablet 2900
42 Cetrizine 10 mg 145 tablet 650
43 Cetrizine syr 5 mg 8,399 botol
44 Clobazam 10 mg tab 900 tablet 1200
45 Carbamazepin 200 mg 280 tablet 1200
46 Cooper T (380A) 17,710 unit
47 Calamed lotion 14,300 botol
48 Caviton White 154,000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77,000 botol
51 Dexamethason inj 5 mg/ml 1,659 ampl
52 Dexamethason tabl 0,5 mg 46 tablet 5800+1000
53 Devitalisasi pasta 319,000 botol
54 Diazepam inj 2,486 ampl
55 Diazepam 2 mg tablet 28 tablet
56 Diazepam 5 mg tablet 122 tablet
57 Digoxin 0,25 mg tablet 100 tablet 200
58 Diltiazem 30 mg 134 tablet 200
59 Diphenhydramin inj 10 mg 1,100 ampl
60 Domperidon suspensi 5mg/5ml 3,410 botol
61 Domperidon 10 mg 170 tablet 500
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 168
64 Etanol 70 % @ 100 ml 2,575 botol 1
Etanol 70 % @ 1000ml 9
65 Ethyl klorida spray 150,000 botol 14
66 Eugenol 19,005 botol 1
67 Eritromycin syr kering 200mg/5ml 7,893 botol 120
68 Erythromisin kap 250 mg 594 kapsul
69 Erythromisin kap 500 mg 751 kapsul
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 30
nama obat harga satuan satuan
no
2 3 4
71 Fitomenadion / vit k 10 mg 660 tablet 300
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 24
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 500
75 Furosemide 40 mg 81 tablet 400
76 Flagyl suppos 0,5 gr 3,220 buah
77 Garam oralit 269 saset 500
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 192
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet
82 Glasionomer semen 779,000 botol
83 Glimepiride 1 mg 265 tablet 950
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 400
86 Gliseril Guaiakolat 53 tablet
87 Glukosa lart. Infus 5 % 6,900 botol 19
88 Glukosa lart. Infus 10 % 7,500 botol 3
89 Glibenklamid 5 mg 95 tablet 500
90 Haloperidol 1,5 mg 72 tablet 1000
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset
93 Handscoon non-steril 37,044 kotak 18
94 H C T 25 mg 156 tablet 100
95 Hidrokortison 2.5 % krim 2,798 tube 72
96 Iliadin drop (Obat tetes hidung) 28,928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet
99 Ibuprofen 100 mg/5ml 3,674 botol
100 Infus Set Dewasa 5,445 Set 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 2600+500
103 Kapas 250 grm 12,800 rol 9
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 48
106 Kasa 4x15 2,150 rol 60
107 Kaptopril 25 mg 89 tablet 1400
nama obat harga satuan satuan stok awal Penerimaan
no
2 3 4 5
108 Kaptopril 12,5 mg 62 tablet
109 Ketokenazol cream 2,569 tube
110 Ketokenazol tab 200 mg 310 tablet
111 Khloramfenikol 250 mg 500 kaps
112 Khloramfenikol salep mata 1,600 tube
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol
114 Klorfeson cream 7,148 tube
115 Klindamisin 300 mg 630 kapsul
116 Klorfeniramine maleat (CTM) 43 tablet
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol
119 Kotrimoksazol tablet dewasa 154 tablet
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet
123 Lanzoprazol kapsul 30 mg 473 kapsul
124 Loratadin 10 mg 139 tablet
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl
128 Leukoplast 2,5cm x 4,5cm 12,076 roll
129 Lysol 43,000 botol
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak
134 Meloksikam 15 mg 1,185 tablet
135 Metformin HCl tab 500 mg 115 tablet
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl
139 Metilprednisolon tab 4 mg 210 tablet
140 Metronidazol 250 mg 113 tablet
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet
NAMA OBAT HARGA SATU SATUAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK SISA STOK SISA STOK
no
2 3 JULI "17 juli agust sept nop juli agust sept okt nop sept okt nop
1 Clobazam 10 mg tablet 900 tablet 129 129 0
2 Klorpromazine 100 mg tablet 148 tablet 741 500 500 100 184 192 265 100 765 500 900
3 Risperidon 2 mg tablet 347 tablet 326 500 282 44 0 0 500 500 500 0
4 Clozapin tablet tablet 464 500 150 109 60 61 234 45 734 500 605
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 30 30 0 0 0 0 0 60 60 60
6 Obat Anti Tuberkulosis kategori 1 377950 paket 8 16 5 4 5 2 5 15 13 8
7 Obat Anti Tuberkulosis kategori 2 paket 1 0 1 0 0 0 0
8 Trihexifenidil 80 tablet 0 600+500 250 850 0 850 0 0
9 Haloperidol 5 mg 74 tablet 837 500 500 180 135 120 402 10 902 500 990
10 Amitriptilin tablet 200 0 0 o 200 200 200
11 Tambah darah tablet tablet 6480 68750 0 300 0 1290 300 74930 73640 73340
12 Albendazol tablet 549 4710 13230 40 4670 3230 0 89 10000 10000 9011
13 Oxytocin Injeksi 10 iu ampul 10 2 0 0 0 8 8 8
14
Mengetahui
Pimpinan Puskesmas Petugas
Penerimaan
Sisa Stok Jmlh Jmlh
NO NAMA OBAT SATUAN HARGA Per 30 HARGA Penerima HARGA Persedi
Juni 17 JULI AGST SEPT an aan
Penerimaan
Sisa Stok Jmlh Jmlh
NO NAMA OBAT SATUAN HARGA Per 31 HARGA Penerima HARGA Persedi
Sept "17 OKT NOV DES an aan
Pemakaian
Jmlh Sisa Stok
Harga Per
HARGA Pemakai HARGA Per 31
JULI AGST SEP 31 Sept'17
an Sept"17
-
-
-
ADANG SELASA
UN 2017
Pemakaian
Jmlh Sisa Stok
Harga Per
HARGA Pemakai HARGA Per 31
OKT NOV DES 31 Sept 17
an Sept"17
-
-
-
-
LAPORAN OBAT DARI BKKBN
PUSKESMAS PADANG SELASA
Terima
Sisa Stok
Harga
NAMA OBAT SATUAN Per 31
NO Satuan
Mart "17 JAN FEB APR
Pemakaian
0 40 22 33 105
30 22 38 19 261
4 4 4 1 28
KKBN
ELASA
Pemakaian
Sisa Stok Keterangan
juli agust sept
40
100
30
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA BULAN :Oktober
KOTA : PALEMBANG TAHUN : 2017
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
1 Alat suntik 2,5 ml/3 ml 957 Set 300 0 300
2 Alat suntik 5 ml 1,348 Set 750 50 700
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak 6 0 6
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 250 31 219
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 580 3000 482 3098
8 Alopurinol 300 mg 215 tablet 200 0 200
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet 200 0 200
11 Amlodipin tab 5 mg 105 tablet 3144 2564 580
12 Amlodipin tab 10 mg 160 tablet 1990 320 1670
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 139 450 145 444
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 1727 857 870
16 Amoksisilin 500 mg 270 kaplet 6490 10000 1170 15320
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 11306 5000 2616 13690
19 Antasida doen suspensi 2,117 botol 121 300 20 401
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 142 120 86 176
21 Antifungi doen kombinasi ( white field ) 4,366 tube 21 48 13 56
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 13400 7000 3070 17330
25 Asam Mefenamat 500 mg 112 tablet 16545 2606 13939
26 Asiklovir krim 5% 2,988 tube 92 10 82
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 1130 240 890
29 Asam folat 0,4 mg 93 tablet
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
30 Attapulgite (Pularex 630 mg) 210 tablet 710 1000 570 1140
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 125 50 39 136
33 Bisakodil supp 5 mg anak 4,990 suppos 8 12 0 20
Anti bakteri doen zalf (bacitracin) 285 200 60 425
34 Bisakodil tab 5 mg 1,235 tablet 26 0 26
35 Betahistin Mesilate 162 tablet 1500 900 210 2190
36 Burnazin cream 24,150 tube 60 1 59
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak
39 Composite 423,500 botol
40 Cat gut 22,599 saset 48 0 48
41 Ciprofloxacin 500 mg 289 tablet 4454 2000 754 5700
42 Cetrizine 10 mg 145 tablet 850 2250 80 3020
43 Cetrizine syr 5 mg 8,399 botol 46 300 50 296
44 Clobazam 10 mg tab 900 tablet 1374 163 1211
45 Carbamazepin 200 mg 280 tablet 1445 135 1310
46 Cooper T (380A) 17,710 unit
47 Calamed lotion 14,300 botol
48 Caviton White 154,000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77,000 botol
51 Dexamethason inj 5 mg/ml 1,659 ampl
52 Dexamethason tabl 0,5 mg 46 tablet 9730 6000 2930 12800
53 Devitalisasi pasta 319,000 botol
54 Diazepam inj 2,486 ampl
55 Diazepam 2 mg tablet 28 tablet
56 Diazepam 5 mg tablet 122 tablet
57 Digoxin 0,25 mg tablet 100 tablet 200 0 200
58 Diltiazem 30 mg 134 tablet 200 0 200
59 Diphenhydramin inj 10 mg 1,100 ampl 30 0 30
60 Domperidon suspensi 5mg/5ml 3,410 botol 120 0 120
61 Domperidon 10 mg 170 tablet 1000 3000 350 3650
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 181 9 172
64 Etanol 70 % @ 100 ml 2,575 botol 3 2 1
Etanol 70 % @ 1000ml 9 0 9
65 Ethyl klorida spray 150,000 botol 14 0 14
66 Eugenol 19,005 botol 1 0 1
67 Eritromycin syr kering 200mg/5ml 7,893 botol 15 120 5 130
68 Erythromisin kap 250 mg 594 kapsul
69 Erythromisin kap 500 mg 751 kapsul
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 30 0 30
71 Fitomenadion / vit k 10 mg 660 tablet 560 300 120 740
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 45 48 12 81
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1109 429 680
75 Furosemide 40 mg 81 tablet 454 0 454
76 Flagyl suppos 0,5 gr 3,220 buah 35 60 35 60
77 Garam oralit 269 saset 772 238 534
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 233 41 192
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet
82 Glasionomer semen 779,000 botol 1 0 1
83 Glimepiride 1 mg 265 tablet 1790 2000 840 2950
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 940 600 320 1220
86 Gliseril Guaiakolat 53 tablet 425 425 0
87 Glukosa lart. Infus 5 % 6,900 botol 19 0 19
88 Glukosa lart. Infus 10 % 7,500 botol 3 0 3
89 Glibenklamid 5 mg 95 tablet 1080 520 560
90 Haloperidol 1,5 mg 72 tablet 1000 0 1000
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
93 Handscoon non-steril 37,044 kotak 19 1 18
94 H C T 25 mg 156 tablet 180 33 147
95 Hidrokortison 2.5 % krim 2,798 tube 93 72 9 156
96 Iliadin drop (Obat tetes hidung) 28,928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet
99 Ibuprofen 100 mg/5ml 3,674 botol 17 100 3 114
100 Infus Set Dewasa 5,445 Set 7 0 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 4408 2000 1188 5220
103 Kapas 250 grm 12,800 rol 11 2 9
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 58 10 48
106 Kasa 4x15 2,150 rol 65 5 60
107 Kaptopril 25 mg 89 tablet 1627 47 1580
108 Kaptopril 12,5 mg 62 tablet 1520 330 1190
109 Ketokenazol cream 2,569 tube 240 240
110 Ketokenazol tab 200 mg 310 tablet 313 68 245
111 Khloramfenikol 250 mg 500 kaps 90 480 90 480
112 Khloramfenikol salep mata 1,600 tube 237 18 219
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol
114 Klorfeson cream 7,148 tube
115 Klindamisin 300 mg 630 kapsul 50 200 0 250
116 Klorfeniramine maleat (CTM) 43 tablet
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 254 21 233
119 Kotrimoksazol tablet dewasa 154 tablet 948 3000 618 3330
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 0 860
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
124 Loratadin 10 mg 139 tablet 1590 1590 0
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 130 90 10 210
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 8 10 1 17
129 Lysol 43,000 botol 20 1 19
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 3035 5000 870 7165
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5 0 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 7 9 3 13
134 Meloksikam 15 mg 1,185 tablet 2550 250 2300
135 Metformin HCl tab 500 mg 115 tablet 4345 1400 2945
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 5 0 5
139 Metilprednisolon tab 4 mg 210 tablet 6000 0 6000
140 Metronidazol 250 mg 113 tablet 1690 312 1378
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet
143 Mikonazol krem 3,000 tube
144 Molex flu kaplet 397 tablet
145 Molex flu syrup 60ml 6,710 botol
146 Natrium diklofenac 25 mg 157 tablet 2584 2800 1414 3970
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 13 2 11
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1815 100 1715
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul 3600 870 2730
153 Oxytocin inj 10iu 1,900 ampul 8 0 8
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
156 Parasetamol syrup 1,119 botol 459 300 304 455
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet 29184 9064 20120
159 Papaverin 40 mg 209 tablet 1230 0 1230
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 109 3 106
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 17470 830 16640
163 Plester 5 x 2 2,000 rol 11 0 11
164 Propilthiourasil ( PTU ) 292 tablet 300 0 300
165 Propanolol 10 mg 66 tablet 260 20 240
166 Piroksikam 10 mg 132 tablet 5700 0 5700
167 Piroksikam 20 mg 176 tablet 7600 420 7180
168 Phenobarbital 30 mg 66 tablet 990 0 990
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 3063 6000 898 8165
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 7444 144 7300
173 Ringerlaktat larutan infus 7,150 botol 9 0 9
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul 4050 0 4050
176 Salbutamol 2 mg 62 tablet 0 2000 0 2000
177 Salbutamol 4 mg 95 tablet 557 0 557
178 Salisyl talk 2% 1,250 sachet 290 54 236
179 Salep -24 2,554 pot 41 48 0 89
180 Scabimite Cream 5% 12,155 tube 30 0 30
181 Safety box 16,501 piece 194 0 194
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 50 0 50
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 0 21
185 Simvastatin tab 10 mg 133 tablet 970 3000 1080 2890
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 9380 640 8740
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagram.P 170,000 vial 10 0 10
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak 100
189 Solare Anterior/Pasterior 341,500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12,159 tube 5 1 4
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 410 10 400
194 Temporarystopping (Flecher) P+L 319,000 botol 1 0 1
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 6930 3000 1685 8245
196 Triheksifenidil 2 mg 92 tablet 355 0 355
197 Tablet Tambah Darah Neo 400 tablet 180 180 0
198 Vitamin Bkomplek 121 tablet 8000 9400 3080 14320
199 Ventolin rotacaps 450 kapsul 434 0 434
200 Ventolin rotahaler 6,550 buah 14 0 14
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul 4000 0 4000
203 Wing Needle 25G 1,400 buah 60 0 60
204 Yodium Povidon 30 ml 2,250 botol 22 4 18
205 Yodium Povidon 60 ml 6,298 botol
206 Yodium Povidon 300 ml 14,771 botol
207 Zinkid 10mg/5ml 15,729 botol 51 33 18
208 Zink tablet 20 mg 497 kaplet 1438 0 1438
209 Risperidon tablet 1499 645 854
210 obat anti tuberkulosis katagori 1
Puskesmas Padang Selasa
Bulan :Oktober " 17
VAKSIN
HEPATITIS ada
BCG ada
PENTABIO ada
CAMPAK ada
POLIO ada
TT ada
Td ada
Mengetahui
Pimpinan Puskesmas Petugas
VAKSIN
HEPATITIS ada
BCG ada
PENTABIO ada
CAMPAK ada
POLIO tidak ada
TT ada
Td ada
Mengetahui
Pimpinan Puskesmas
1500prog+apbd…
48 48
5700 2900 800
3020 650 120
296 46
1211 1200 11
1310 1200 110
200 200
200 200
30
120
3650 500 150
172 168 4
1 1
9 9
14 14
1 1
130 10
30
sisa stok stok optimal
permintaan
pemberian
keterangan
9 10 11 12 13
740 300 140
81 24 9
680 500 180
454 400 54
60
534 500 34
207 192
1
2950 950
1360 400 220
0
19 19
3 3
1060 1000 60
1000 1000
18 18
147 100 47
156 72 12
114 14
7 7
48 48
60 60
1580 1400 180
sisa stok stok optimal
permintaan
pemberian
keterangan
9 10 11 12 13
1190 1100 90
240
245 245
480
219 216 3
250 50 22 habiskan
233 200 33
3330 330
210 120
17 7
19 19
7165 1600+500 65
5 5
13 4
2300 2050 250
2945 2300+500 145
5
6000
1378 1000 378
30
11 11
455 450 5
106 100 6
16640 16000 640
11 11
300 300
240 200 40
5700 5700
7180 6600 580
990
4050
2000
557 300
236 200 36
89 0 19
sisa stok stok optimal
permintaan
pemberian
keterangan
9 10 11 12 13
30
194
50 38
21 10 8
2890
8740 7800 1440-500 -440
10 0
100
4 4
4000
60 60
18 18
18 0 18
1438 1300 20
854 700 154
asa
Bulan:September " 17
Petugas
Raza Ritaya
NIP. 196404161989012002
SISA STOK
Mengetahui
Pimpinan Puskesmas
NAMA OBAT HARGA SATU SATUAN STOK AWAL PENERIMAAN pemakaianSISA STOK
no
2 3 agust sept
1 Clobazam 10 mg tablet 900 tablet prog. Jiwa propinsi
2 Klorpromazine 100 mg tablet 148 tablet 500 prog. Jiwa propinsi
3 Risperidon 2 mg tablet 347 tablet 500 prog. Jiwa propinsi
4 Clozapin tablet tablet 500 prog. Jiwa propinsi
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 16 program
6 Obat Anti Tuberkulosis kategori 1 377950 paket program TB
7 Obat Anti Tuberkulosis kategori 2 paket 1 1 0 program TB
8 Trihexifenidil 80 tablet 500 prog. Jiwa propinsi
9 Haloperidol 5 mg 74 tablet 500 prog. Jiwa propinsi
10 Amitriptilin tablet 200 prog. Jiwa propinsi
11 Tambah darah tablet tablet 68750 prog. gizi
N OBAT
BULAN :Nopember
TAHUN : 2017
stok optimal
permintaanpemberianketerangan gdg apotik pustu
200 42
700
4
200 19
2700 204
100
560
8200 640 ###
250 260
25 46 13
20
350 14 25
stok optimal
permintaanpemberianketerangan
48
4300 240 300
300
120 12 20
2000 52
1100
200
200
30
60 55
2800 270 100
144 14
1
6 1
13
1
120 6
30
stok optimal
permintaanpemberianketerangan
10 11 12 13
600 60
48 21 12
500
400 50
40
300 26
1
2450 360
1140 140 pem okt= 180
19
3
1000 60 pem okt= 20
900 70
15
127
72 12 24
40 11 30
7
3000 30 500
7 1
41 2
50
400 166 500
stok optimal
permintaanpemberianketerangan
10 11 12 13
900 0
160 13 24
144
480
144 16 24
250 12
9400 235
150 27 25
1700 460 500
2900 97
660 200
180 12
17
17 1
5000 1050 200
5
7
1550 479
1700 245
5
5100 490 200
600 52 200
stok optimal
permintaanpemberianketerangan
10 11 12 13
1600 115
2010 230
8
140 40
100 5
14500 610 500
9
300
300
5400 300
5800 544 500
892
4000
1500 298
36 200
140 16 20
24 17
stok optimal
permintaanpemberianketerangan
10 11 12 13
15 12
190
33
11 5
1260 270 120
6400 1190 500
10
400 10
60
9 3
900 260
5300 166
0 180
20 5
300 190
0 6
4590 + 68750
8
9000 11
8
5
30
60
Petugas
Raza Ritaya
NIP. 196404161989012002
SISA STOK
program TB
program TB
Mengetahui
Pimpinan Puskesmas Petugas
juli agust sept okt nop sept okt nop gdg apotik
129 0
100 184 192 265 96 765 500 904 900 4
282 44 0 0 250 500 500 250 250
109 60 61 234 45 734 500 605 450 155
0 0 0 0 0 60 60 60 60
5 4 5 2 5 15 13 8 8
0 1 0 0 0 0 0
250 850 300 850 0 0 0
180 135 120 402 10 902 500 990 900 90
0 0 0 200 200 200 200
0 300 0 1290 210 74930 73640 73430 73340 90
40 4670 3230 0 3989 10000 10000 6011 6000 11
2 0 0 0 0 8 8 8 8
Petugas
Raza Ritaya
NIP. 196404161989012002
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA BULAN :Nopember
KOTA : PALEMBANG TAHUN : 2017
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
1 Alat suntik 2,5 ml/3 ml 957 Set 300 58 242
2 Alat suntik 5 ml 1,348 Set 700 0 700
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak 6 2 4
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 219 0 219
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 3098 194 2904
8 Alopurinol 300 mg 215 tablet 200 200 0
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet 200 100 100
11 Amlodipin tab 5 mg 105 tablet 580 580 0
12 Amlodipin tab 10 mg 160 tablet 1670 790 880
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 444 338 106
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 870 310 560
16 Amoksisilin 500 mg 270 kaplet 15320 5480 9840
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 13690 1450 12240
19 Antasida doen suspensi 2,117 botol 401 56 345
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 176 88 88
21 Antifungi doen kombinasi ( white field ) 4,366 tube 56 52 4
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 17330 3813 13517
25 Asam Mefenamat 500 mg 112 tablet 13939 2274 11665
26 Asiklovir krim 5% 2,988 tube 82 16 66
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 890 380 510
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 1700 57 1643
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 136 52 84
33 Bisakodil supp 5 mg anak 4,990 suppos 20 0 20
Anti bakteri doen zalf (bacitracin) 425 36 389
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
34 Bisakodil tab 5 mg 1,235 tablet 26 26 0
35 Betahistin Mesilate 162 tablet 2190 474 1716
36 Burnazin cream 24,150 tube 59 2 57
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak
39 Composite 423,500 botol
40 Cat gut 22,599 saset 48 0 48
41 Ciprofloxacin 500 mg 289 tablet 5700 860 4840
42 Cetrizine 10 mg 145 tablet 3020 2720 300
43 Cetrizine syr 5 mg 8,399 botol 296 144 152
44 Clobazam 10 mg tab 900 tablet 1211 1000 159 2052
45 Carbamazepin 200 mg 280 tablet 1310 140 1170
46 Cooper T (380A) 17,710 unit
47 Calamed lotion 14,300 botol
48 Caviton White 154,000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77,000 botol
51 Dexamethason inj 5 mg/ml 1,659 ampl
52 Dexamethason tabl 0,5 mg 46 tablet 14600 1440 13160 ralat pem okt 1130
53 Devitalisasi pasta 319,000 botol
54 Diazepam inj 2,486 ampl
55 Diazepam 2 mg tablet 28 tablet
56 Diazepam 5 mg tablet 122 tablet
57 Digoxin 0,25 mg tablet 100 tablet 200 0 200
58 Diltiazem 30 mg 134 tablet 200 0 200
59 Diphenhydramin inj 10 mg 1,100 ampl 30 0 30
60 Domperidon suspensi 5mg/5ml 3,410 botol 120 5 115
61 Domperidon 10 mg 170 tablet 3650 480 3170
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 172 14 158
64 Etanol 70 % @ 100 ml 2,575 botol 1 0 1
Etanol 70 % @ 1000ml 9 2 7
65 Ethyl klorida spray 150,000 botol 14 1 13
66 Eugenol 19,005 botol 1 0 1
67 Eritromycin syr kering 200mg/5ml 7,893 botol 130 4 126
68 Erythromisin kap 250 mg 594 kapsul
69 Erythromisin kap 500 mg 751 kapsul
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 30 0 30
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
71 Fitomenadion / vit k 10 mg 660 tablet 740 80 660
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 81 0 81
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 680 180 500
75 Furosemide 40 mg 81 tablet 454 4 450
76 Flagyl suppos 0,5 gr 3,220 buah 60 20 40
77 Garam oralit 269 saset 534 208 326
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 207 10 197 ralat pem okt 26
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet
82 Glasionomer semen 779,000 botol 1 0 1
83 Glimepiride 1 mg 265 tablet 2950 140 2810
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 1360 80 1280 ralat pem okt 180
86 Gliseril Guaiakolat 53 tablet
87 Glukosa lart. Infus 5 % 6,900 botol 19 0 19
88 Glukosa lart. Infus 10 % 7,500 botol 3 0 3
89 Glibenklamid 5 mg 95 tablet 1060 0 1060 ralat pem okt 20
90 Haloperidol 1,5 mg 72 tablet 1000 30 970
91 Haloperidol 5 mg 100 tablet 3000 0 3000
92 Handscoon Steril 7,5 6,595 sachset
93 Handscoon non-steril 37,044 kotak 18 3 15
94 H C T 25 mg 156 tablet 147 20 127
95 Hidrokortison 2.5 % krim 2,798 tube 156 48 108
96 Iliadin drop (Obat tetes hidung) 28,928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet
99 Ibuprofen 100 mg/5ml 3,674 botol 114 33 81
100 Infus Set Dewasa 5,445 Set 7 0 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 5220 1690 3530
103 Kapas 250 grm 12,800 rol 9 1 8
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 48 5 43
106 Kasa 4x15 2,150 rol 60 10 50
107 Kaptopril 25 mg 89 tablet 1580 514 1066
nama obat harga satuan satuan stok awal Penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
108 Kaptopril 12,5 mg 62 tablet 1190 290 900
109 Ketokenazol cream 2,569 tube 240 43 197
110 Ketokenazol tab 200 mg 310 tablet 245 101 144
111 Khloramfenikol 250 mg 500 kaps 480 0 480
112 Khloramfenikol salep mata 1,600 tube 219 35 184
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol
114 Klorfeson cream 7,148 tube
115 Klindamisin 300 mg 630 kapsul 250 0 250
116 Klorfeniramine maleat (CTM) 43 tablet 10000 365 9635
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 233 31 202
119 Kotrimoksazol tablet dewasa 154 tablet 3330 670 2660
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet 3000 3 2997
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 0 860
124 Loratadin 10 mg 139 tablet
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 210 18 192
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 17 0 17
129 Lysol 43,000 botol 19 1 18
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 7165 915 6250
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5 0 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 13 6 7
134 Meloksikam 15 mg 1,185 tablet 2300 271 2029
135 Metformin HCl tab 500 mg 115 tablet 2945 1000 1945
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 5 0 5
139 Metilprednisolon tab 4 mg 210 tablet 6000 210 5790
140 Metronidazol 250 mg 113 tablet 1378 526 852
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
143 Mikonazol krem 3,000 tube
144 Molex flu kaplet 397 tablet
145 Molex flu syrup 60ml 6,710 botol
146 Natrium diklofenac 25 mg 157 tablet 3970 1910 2060
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 11 2 9
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1715 0 1715
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul 2730 490 2240
153 Oxytocin inj 10iu 1,900 ampul 8 0 8
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
156 Parasetamol syrup 1,119 botol 455 275 180
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet 20120 3400 16720
159 Papaverin 40 mg 209 tablet 1230 0 1230
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 106 1 105
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 16640 1030 15610
163 Plester 5 x 2 2,000 rol 11 2 9
164 Propilthiourasil ( PTU ) 292 tablet 300 0 300
165 Propanolol 10 mg 66 tablet 240 300 240 300
166 Piroksikam 10 mg 132 tablet 5700 0 5700
167 Piroksikam 20 mg 176 tablet 7180 336 6844
168 Phenobarbital 30 mg 66 tablet 990 98 892
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 8165 585 7580
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 7300 1800 5500
173 Ringerlaktat larutan infus 7,150 botol 9 0 9
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul 4050 14 4036
176 Salbutamol 2 mg 62 tablet 2000 202 1798
177 Salbutamol 4 mg 95 tablet 557 321 236
178 Salisyl talk 2% 1,250 sachet 236 176
179 Salep -24 2,554 pot 89 41
nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok stok optimal permintaan pemberian keterangan
no
2 3 4 5 7 8 9 10 11 12 13
180 Scabimite Cream 5% 12,155 tube 30 3 27
181 Safety box 16,501 piece 194 4 190
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 50 17 33
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 5 16
185 Simvastatin tab 10 mg 133 tablet 2890 1240 1650
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 8740 650 8090
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagram.P 170,000 vial 10 0 10
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak
189 Solare Anterior/Pasterior 341,500 botol
190 Spironolakton 25 mg 320 tablet
191 Stesolid rectal 5 mg 12,159 tube 4 1 3
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 400 0 400
194 Temporarystopping (Flecher) P+L 319,000 botol 1 0 1
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 8245 1955 6290
196 Triheksifenidil 2 mg 92 tablet 355 5000 475 4880
197 Tablet Tambah Darah Neo 400 tablet
198 Vitamin Bkomplek 121 tablet 14320 4095 10225
199 Ventolin rotacaps 450 kapsul 434 2 432
200 Ventolin rotahaler 6,550 buah 14 0 14
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul 4000 0 4000
203 Wing Needle 25G 1,400 buah 60 0 60
204 Yodium Povidon 30 ml 2,250 botol 18 9 9
205 Yodium Povidon 60 ml 6,298 botol
206 Yodium Povidon 300 ml 14,771 botol
207 Zinkid 10mg/5ml 15,729 botol 18 18 0
208 Zink tablet 20 mg 497 kaplet 1438 278 1160
Risperidon tablet 854 5000 388 5466
VAKSIN
HEPATITIS ada
BCG ada
PENTABIO tidak ada
CAMPAK ada
POLIO ada
TT ada
Td ada
Mengetahui
Pimpinan Puskesmas Petugas
tambah darah p
OAT I r
Albendazol tab o
oxytocin inj g
metil ergometrin r
ephin ephrin a
vitamin K inj a
Difenhidramin inj m
PUSKESMAS PADANG SELASA
MUTASI PERSEDIAAN OBAT PKD, OBAT TRADISIONAL, REAGENT LAB
TAHUN 2017
Mengetahui
Pimpinan Puskesmas Padang Selasa
VAKSIN
HEPATITIS
BCG
PENTABIO
CAMPAK
POLIO
TT
Td
Mengetahui
Pimpinan Puskesmas
tambah darah
OAT I
Albendazol tab
oxytocin inj
metil ergometrin
ephin ephrin
vitamin K inj
Difenhidramin inj
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT SETIAP HARI
Pemakaian
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
BULAN :Desember
TAHUN : 2017
- 10
- -
- -
- -
- 3
- -
- 400
- 1
- 6,290
- 4,880
- -
- 10,225
- 432
- 14
- -
- 4,000
- 60
- 9
- -
- -
- -
- 1,160
- 5,466
Keterangan