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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSKESMAS : PADANG SELASA


KOTA : PALEMBANG
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok
1 Alat suntik 2,5 ml/3 ml 957 Set 500 100 400
2 Alat suntik 5 ml 1348 Set 900 70 830
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34100 kotak 7 0 7
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 320 15 305
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 2054 1034 1020
8 Alopurinol 300 mg 215 tablet 200 0 200
9 Ambroxol sirup 15 mg/ml 3600 botol
10 Aminofilin 200 mg 82 tablet 200 200 0
11 Amlodipin tab 5 mg 105 tablet 7620 3070 4550
12 Amlodipin tab 10 mg 160 tablet 2270 100 2170
13 Amoksisilin syrup 125 mg/ 5ml 2500 botol 104 300 169 235
14 Amoksisilin dry syrup 250 mg/ 5ml 4212 botol
15 Amoksisilin 250 mg 201 kapsul 2775 545 2230
16 Amoksisilin 500 mg 270 kaplet 3490 10000 4320 9170
17 Amoksisilin+as klavulanat 625mg tab 4777 tablet
18 Antasida doen tablet 63 tablet 10590 5000 2910 12680
19 Antasida doen suspensi 2117 botol 225 87 138
20 Antibakteri salep kombinasi (Bevalex) 11300 tube 300 75 225
21 Antifungi doen kombinasi ( white field ) 4366 tube 24 0 24
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet
25 Asam Mefenamat 500 mg 112 tablet 20746 2756 17990
26 Asiklovir krim 5% 2988 tube 183 81 102
27 Asiklovir 200 239 tablet 350 350 0
28 Asikovir 400 345 tablet 2000 650 1350
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 2000 710 1290
31 Articulating paper 202000 kotak
32 Betametson krem 0,1 % 1520 tube 224 75 149
33 Bisakodil supp 5 mg anak 4990 suppos 8 0 8
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok
34 Bisakodil tab 5 mg 1235 tablet 73 34 39
35 Betahistin Mesilate 162 tablet 2820 930 1890
36 Burnazin cream 24150 tube 84 20 64
37 BD Syringe Soloshot mini 0,05ml 165550 kotak
38 BD Syringe Soloshot mini 0,5ml 165550 kotak 40 40 0
39 Composite 423500 botol
40 Cat gut 22599 saset 48 0 48
41 Ciprofloxacin 500 mg 289 tablet 7000 1600 5400
42 Cetrizine 10 mg 145 tablet 4500 1748 2752
43 Cetrizine syr 5 mg 3200 botol 120 60 60
44 Clobazam 10 mg tab 900 tablet 1500 30 1470
45 Carbamazepin 200 mg 280 tablet 1700 150 1550
46 Cooper T (380A) 17710 unit
47 Calamed lotion 14300 botol
48 Caviton White 154000 botol
49 Cimetidin 200mg 115 kapsul
50 Chlorfenolkamfermentol (CHKM) 77000 botol
51 Dexamethason inj 5 mg/ml 1659 ampl
52 Dexamethason tabl 0,5 mg 46 tablet 2297 2297 0
53 Devitalisasi pasta 319000 botol
54 Diazepam inj 2486 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 1100 ampl 30 0 30
60 Domperidon suspensi 5mg/5ml 3410 botol
61 Domperidon 10 mg 170 tablet 2000 666 1334
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2650 botol 240 50 190
64 Etanol 70 % @ 100 ml 2575 botol 14 11 3
Etanol 70 % @ 1000ml 10 1 9
65 Ethyl klorida spray 150000 botol 21 5 16
66 Eugenol 19005 botol 2 0 2
67 Eritromycin syr kering 200mg/5ml 7893 botol 24 3 21
68 Erythromisin kap 250 mg 594 kapsul 90 90 0
69 Erythromisin kap 500 mg 751 kapsul 230 230 0
70 Epineprine 0,1 % Inj (Adrenalin) 2354 ampl 30 0 30
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok
71 Fitomenadion / vit k 10 mg 660 tablet 920 290 630
72 Fitomenadion Injeksi 2mg/ml 3582 ampl
73 Fenol Glyserol 10 % TT 2500 botol 68 11 57
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 2207 807 1400
75 Furosemide 40 mg 81 tablet 474 14 460
76 Flagyl suppos 0,5 gr 3220 buah 78 38 40
77 Garam oralit 269 saset 1310 317 993
78 Gentamisin salep mata 0,3 % 2830 tube
79 Gentamisin sulfat Ttm 0,3 % 4200 botol 96 34 62
80 Gentamisin salep kulit (Gentalex) 3080 tube
81 Gemfibrozil 300 mg 303 tablet 398 278 120
82 Glasionomer semen 779000 botol
83 Glimepiride 1 mg 265 tablet 2530 530 2000
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 350 350 0
86 Gliseril Guaiakolat 53 tablet 7285 3955 3330
87 Glukosa lart. Infus 5 % 6900 botol 19 0 19
88 Glukosa lart. Infus 10 % 7500 botol 3 0 3
89 Glibenklamid 5 mg 95 tablet 1090 10 1080
90 Haloperidol 1,5 mg 72 tablet
91 Haloperidol 5 mg 100 tablet 522
92 Handscoon Steril 7,5 6595 sachset 20 8 12
93 Handscoon non-steril 37044 kotak 2000 40 1960
94 H C T 25 mg 156 tablet 420 200 220
95 Hidrokortison 2.5 % krim 2798 tube 132 34 98
96 Iliadin drop (Obat tetes hidung) 28928 botol
97 Ibuprofen 200 mg 116 tablet
98 Ibuprofen 400 mg 153 tablet 2890 1772 1118
99 Ibuprofen 100 mg/5ml 3674 botol 50 12 38
100 Infus Set Dewasa 5445 Set 7 0 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 6724 1314 5410
103 Kapas 250 grm 12800 rol 17 6 11
104 Kasa steril 40 x 40 cm 1550 rol
105 Kasa steril 16 x 16 cm 5950 rol 71 13 58
106 Kasa 4x15 2150 rol 65 0 65
107 Kaptopril 25 mg 89 tablet 2487 557 1930
no nama obat harga satuan satuan stok awal penerimaan persediaan pemakaian sisa stok
108 Kaptopril 12,5 mg 62 tablet 1989 29 1960
109 Ketokenazol cream 2569 tube
110 Ketokenazol tab 200 mg 310 tablet 570 160 410
111 Khloramfenikol 250 mg 500 kaps 969 633 336
112 Khloramfenikol salep mata 1600 tube
Khloramfenikol tetes mata
113 Kloramfenikol TT (Reco TT 3%) 6040 botol
114 Klorfeson cream 7148 tube
115 Klindamisin 300 mg 630 kapsul 100 14 86
116 Klorfeniramine maleat (CTM) 43 tablet 1801 1801 0
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2183 botol 300 17 283
119 Kotrimoksazol tablet dewasa 154 tablet 2398 1063 1335
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467500 botol
122 Klorpromazin 100 mg 148 tablet 457
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 0 860
124 Loratadin 10 mg 139 tablet 2000 200 1800
125 Loperamid tablet 2 mg 92 tablet
126 Lidokain HCl inj 2% 2ml 879 ampl
127 Lidokain inj 2% + Efinefrin 2ml komb 1937 ampl 205 25 180
128 Leukoplast 2,5cm x 4,5cm 12076 roll 13 3 10
129 Lysol 43000 botol 23 3 20
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 6000 1980 4020
131 Magnesium Sulfat Inj IV 20%-25ml 3200 vial 5 2 3
132 Magnesium Sulfat Inj IV 40%-25ml 3650 vial
133 Masker 22880 kotak 11 3 8
134 Meloksikam 15 mg 1185 tablet 2970 80 2890
135 Metformin HCl tab 500 mg 115 tablet 6250 910 5340
136 Metformin 850 mg 215 tablet
137 Metilergometrin tab 0.125 mg 162 tablet
138 Metilergometrin inj 0.2 mg/1ml 2684 ampl
139 Metilprednisolon tab 4 mg 210 tablet 538 538 0
140 Metronidazol 250 mg 113 tablet 2600 520 2080
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
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

Puskesmas Padang Selasa


Bulan : Agustus 2017
VAKSIN
HEPATITIS ada
BCG ada
PENTABIO ada
CAMPAK ada
POLIO ada
TT ada
Td ada

Mengetahui
Pimpinan Puskesmas

drg. Lizanna Farianty


NIP. 196209031992032004

LPLPO OBAT PROGRAM


PUSKESMAS PADANG SELASA
BULAN : Agustus 2017

NAMA OBAT HARGA SASATUAN STOK AWAPENERIMAPEMAKAI SISA STOKKETERANGAN


2 3
1. Clobazam 10 mg tablet 900 tablet 147 prog. Jiwa propinsi
2. Klorpromazine 100 mg tablet 148 tablet 814 prog. Jiwa propinsi
3. Risperidon 2 mg tablet 347 tablet 240 300 prog. Jiwa propinsi
4. Clozapin tablet tablet 294 200 prog. Jiwa propinsi
5. Fitomenadion injeksi 2 mg/ml 3582 ampul 30 program
6. Obat Anti Tuberkulosis kategori 1 377950 paket 14 program TB
7. Obat Anti Tuberkulosis kategori 2 program TB
8. Trihexifenidil 80 tablet prog. Jiwa propinsi
9. Haloperidol 5 mg 74 tablet 1000 prog. Jiwa propinsi
BULAN :Agustus
TAHUN : 2017

stok optimal permintaan pemberian keterangan

10000

stok optimal permintaan pemberian keterangan


ralat

30
10000
1
5
300

3000

stok optimal permintaan pemberian keterangan

program

300
200
300

1000
12000
obat prog

stok optimal permintaan pemberian keterangan

300

200

150
300

15000

obatprogram

100

5
2000

stok optimal permintaan pemberian keterangan


200
2000
300

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

prog. Jiwa propinsi


prog. Jiwa propinsi
prog. Jiwa propinsi
prog. Jiwa propinsi

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

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 196404161989012002

LPLPO OBAT PROGRAM


PUSKESMAS PADANG SELASA
BULAN : September

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

LAPORAN OBAT DARI BKKBN


PUSKESMAS PADANG SELASA Th 2017
BULAN : September
Sisa Stok
Per 31 Penerimaan Pemakaian
Harga
NAMA OBAT SATUAN des"16/Sto Sisa Stok Keterangan
NO Satuan APRIL Agust JAN FEB MAR APR MEI juni juli
k awal
Jan"17

1 Copper T/ IUD set 17,710 0 0

2 Obat Suntik KB ( 3 bln) vial 6,624 0 20 0 0 0 40 22 138

3 Pil KB I( Ethinylestradiol+Levonorgestrel) blister 2,089 100 100 30 30 22 78 318

4 Susuk KB II (Levonogestrel) / Implant set 257,500 15 10 3 4 4 34

5 Kondom andalan buah 667 0

6 Spuit 3 ml 40 22 138

Mengetahui Palembang , 5 Agust 2017


Pimpinan Puskesmas Petugas

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 196404161989012002
STOK OPNAME OBAT PKM. PADANG SELASA
Bulan : september 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 400 300
2 Alat suntik 5 ml 1,348 Set 830 700
3 Albendazole 400 mg 350 tablet 20
4 Alkohol Swab 34,100 kotak 7 6
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 305 200 50
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 1020 500 80
8 Alopurinol 300 mg 215 tablet 200 200
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet
11 Amlodipin tab 5 mg 105 tablet 4550 3090 54
12 Amlodipin tab 10 mg 160 tablet 2170 1890 100
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 235 120 19
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 2230 1000 727
16 Amoksisilin 500 mg 270 kaplet 9170 5000 1490
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 12680 10100 1206
19 Antasida doen suspensi 2,117 botol 138 100 21
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 225 300 132 10
21 Antifungi doen kombinasi ( white field ) 4,366 tube 24 21
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 14000 13000 400
25 Asam Mefenamat 500 mg 112 tablet 17990 15700 845
26 Asiklovir krim 5% 2,988 tube 102 75 17
27 Asiklovir 200 239 tablet 0
28 Asikovir 400 345 tablet 1350 1050 80
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 1290 600 110
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 149 125
33 Bisakodil supp 5 mg anak 4,990 suppos 8 8
Anti bakteri doen zalf (bacitracin) 300 275 10

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 SATU SATUAN STOK AWAL PENERIMAAN


no
2 3 JULI "17 juli agust sept
1 Clobazam 10 mg tablet 900 tablet 129
2 Klorpromazine 100 mg tablet 148 tablet 741 500
3 Risperidon 2 mg tablet 347 tablet 326 500
4 Clozapin tablet tablet 464 500
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 30 30
6 Obat Anti Tuberkulosis kategori 1 377950 paket 8 16
7 Obat Anti Tuberkulosis kategori 2 paket 1
8 Trihexifenidil 80 tablet 0 600+500
9 Haloperidol 5 mg 74 tablet 837 500
10 Amitriptilin tablet 200
11 Tambah darah tablet tablet 6480 68750
12 Albendazol 549 tablet 4710 13230
13 Vitamin K Injeksi ampul 30
14 Oxytocin Injeksi 10 iu 1900 ampul 10
PEMAKAIAN SISA STOK

juli agust sept


129 0
100 184 192 765
282 44 500
109 60 61 734
0 0 0 60
5 4 5 15
0 1 0
250 850
180 135 120 902
200
0 300 0 74930
40 4670 3230 10000
0 0 0 30
2 0 0 8
STOK OPNAME OBAT PKM. PADANG SELASA
Bulan : Agustus 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
2 Alat suntik 5 ml 1,348 Set
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet
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
12 Amlodipin tab 10 mg 160 tablet
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
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet
19 Antasida doen suspensi 2,117 botol
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube
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
25 Asam Mefenamat 500 mg 112 tablet
26 Asiklovir krim 5% 2,988 tube
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet
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
33 Bisakodil supp 5 mg anak 4,990 suppos
Anti bakteri doen zalf (bacitracin)
no nama obat harga satuan satuan stok awal penerimaan Stokahir gdg stok ahir apt
34 Bisakodil tab 5 mg 1,235 tablet
35 Betahistin Mesilate 162 tablet
36 Burnazin cream 24,150 tube
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
41 Ciprofloxacin 500 mg 289 tablet
42 Cetrizine 10 mg 145 tablet
43 Cetrizine syr 5 mg 8,399 botol
44 Clobazam 10 mg tab 900 tablet
45 Carbamazepin 200 mg 280 tablet
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
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
58 Diltiazem 30 mg 134 tablet
59 Diphenhydramin inj 10 mg 1,100 ampl
60 Domperidon suspensi 5mg/5ml 3,410 botol
61 Domperidon 10 mg 170 tablet
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol
64 Etanol 70 % @ 100 ml 2,575 botol
Etanol 70 % @ 1000ml
65 Ethyl klorida spray 150,000 botol
66 Eugenol 19,005 botol
67 Eritromycin syr kering 200mg/5ml 7,893 botol
68 Erythromisin kap 250 mg 594 kapsul
69 Erythromisin kap 500 mg 751 kapsul
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl
nama obat harga satuan satuan
no
2 3 4
71 Fitomenadion / vit k 10 mg 660 tablet
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet
75 Furosemide 40 mg 81 tablet
76 Flagyl suppos 0,5 gr 3,220 buah
77 Garam oralit 269 saset
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol
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
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet
86 Gliseril Guaiakolat 53 tablet
87 Glukosa lart. Infus 5 % 6,900 botol
88 Glukosa lart. Infus 10 % 7,500 botol
89 Glibenklamid 5 mg 95 tablet
90 Haloperidol 1,5 mg 72 tablet
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset
93 Handscoon non-steril 37,044 kotak
94 H C T 25 mg 156 tablet
95 Hidrokortison 2.5 % krim 2,798 tube
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
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet
103 Kapas 250 grm 12,800 rol
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol
106 Kasa 4x15 2,150 rol
107 Kaptopril 25 mg 89 tablet
nama obat harga satuan satuan stok awal Penerimaan Stokahir gdg stok ahir apt
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 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

nama obat stok awal penerimaan


no
2 5
143 Mikonazol krem
144 Molex flu kaplet 30
145 Molex flu syrup 60ml
146 Natrium diklofenac 25 mg 2584 2800 950 220
147 Natrium diklofenac 50 mg
148 Natrium Klorida lart infus 13 11
149 Nistatin 100 000 UI tab vaginal
150 Nipedipin tablet 10 mg 1815 1600 115
151 Obat Suntik K.B I / Andalan Harmonis
152 Omeprazol kap 20 mg 3600 2730 180
153 Oxytocin inj 10iu 8
154 Oksitetrasiklin 3% salep kulit
155 OBH Molex syrup 60ml
156 Parasetamol syrup 459 300 450 5
157 Parasetamol drop
158 Parasetamol 500 mg 29184 19400+3000 420
159 Papaverin 40 mg 1230 1000 230
160 Pirantel Suspensi 125 mg/ 5ml
161 Pirantel 125 mg tablet 109 100 6
162 Piridoksin (Vit.B6) tab 10 mg 17470 16000 640
163 Plester 5 x 2 11 11
164 Propilthiourasil ( PTU ) 300 300
165 Propanolol 10 mg 260 200 40
166 Piroksikam 10 mg 5700 5700
167 Piroksikam 20 mg 7600 6600 580
168 Phenobarbital 30 mg 990
169 Phenobarbital inj
170 Prednison 5 mg 3063 6000 1900 265
171 Quinin 200 mg
172 Ranitidin 150 mg 7444 7300 338
173 Ringerlaktat larutan infus 9 9
174 Retinol 100.000 IU
175 Retinol 200.000 IU 4050
176 Salbutamol 2 mg 0 2000
177 Salbutamol 4 mg 557 300
178 Salisyl talk 2% 290 200 36
179 Salep -24 41 48 0 19
nama obat stok awal penerimaan
no
2 5
180 Scabimite Cream 5% 30
181 Safety box 194
182 Sefadroksil sirup kering 125 mg/5ml 50 38
183 Semenseng fospat
184 Silk 3.0 dgn jarum bedah 21 10 8
185 Simvastatin tab 10 mg 970 3000
186 Sianokobalamin ( Vit B12 ) tablet 9380 7800 1440-500
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagram. 10 0
188 Superhoid suppos (Anti Hemoroid)
189 Solare Anterior/Pasterior
190 Spironolakton 25 mg
191 Stesolid rectal 5 mg 5 4
192 Tetrasiklin 250 mg
193 Tetrasiklin 500 mg 410 400 100
194 Temporarystopping (Flecher) P+L 1
195 Thiamin tablet ( Vit B1 ) 50 mg 6930 3000 4400+500 345
196 Triheksifenidil 2 mg 355
197 Tablet Tambah Darah Neo 180 200
198 Vitamin Bkomplek 8000 9400 3300+1000 620
199 Ventolin rotacaps 434 384 50
200 Ventolin rotahaler 14 14
201 Ventolin Nebules 2,5mg
202 Vitamin dan Mineral (Vitalex) 4000
203 Wing Needle 25G 60 60
204 Yodium Povidon 30 ml 22 18
205 Yodium Povidon 60 ml
206 Yodium Povidon 300 ml
207 Zinkid 10mg/5ml 51 0 18
208 Zink tablet 20 mg 1438 1300 20
Risperidon 1499 700 154
obat anti tuberkulosis katagori 1

VAKSIN
HEPATITIS
BCG
PENTABIO
CAMPAK
POLIO
TT
Td

Mengetahui
Pimpinan Puskesmas

drg. Lizanna Farianty


NIP. 196209031992032004

LPLPO OBAT PROGRAM


PUSKESMAS PADANG SELASA

NAMA OBAT STOK AWAL PENERIMAAN


no
2 agust
1 Clobazam 10 mg tablet
2 Klorpromazine 100 mg tablet 500
3 Risperidon 2 mg tablet 500
4 Clozapin tablet 500
5 Fitomenadion injeksi 2 mg/ml 16
6 Obat Anti Tuberkulosis kategori 1
7 Obat Anti Tuberkulosis kategori 2 1
8 Trihexifenidil 500
9 Haloperidol 5 mg 500
10 Amitriptilin 200
11 Tambah darah tablet 68750
pemakaian
0
50
0
0
31
0
482
200
-30 beli
0
2564
320
145
0
857
5320
0
2616
20
86
13
0
#VALUE!
3070
2606
10
0
240
0

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 satuan satuan stok awal penerimaan


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
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 810
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagra 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
LPLPO OBAT PROGRAM
PUSKESMAS PADANG SELASA
s/d BULAN : Oktober

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

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 196404161989012002
PUSKESMAS PADANG SELASA
MUTASI PERSEDIAAN OBAT PKD, OBAT TRADISIONAL, REAGENT LABORATORIUM (APBD Kota)
TAHUN 2017

STOK AWAL 1 juli penerimaan pemakaian STOK AKHIR


HARGA
TRIWULAN 3 TRIWULAN 3
N0 NAMA OBAT SATUAN SATUAN
(Rp) JUM
JUMLAH JUMLAH JUMLAH
VOL Juli Agus Sept VOL LAH Juli Agus Sept VOL VOL
(Rp) (Rp) (Rp)
(Rp)
OBAT PKD
1 Alat suntik 2,5 ml/3 ml 957 Set 564 539,748 0 0 64 100 100 264 252,648 300 287,100
2 Alat suntik 5 ml 1,348 Set 900 1,213,200 0 0 70 80 150 202,200 750 1,011,000
3 Albendazole 400 mg 350 tablet 0 0 0 0 0 0 0 0
4 Alkohol Swab 34,100 kotak 9 306,900 0 0 2 1 3 102,300 6 204,600
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 320 39,040 0 0 15 55 70 8,540 250 30,500
6 Acetylcystein 200 mg 866 tablet 0 0 0 0 0 0 0 0
7 Alopurinol 100 mg 93 tablet 1,620 150,660 0 0 566 1,034 20 1,620 150,660 0 0
Alopurinol 100 mg 113 1000 1,000 ### 420 420 47,460 580 65,540
8 Alopurinol 300 mg 215 tablet 220 47,190 0 0 20 0 20 4,290 200 42,900
9 Ambroxol sirup 15 mg/ml 3,600 botol 0 0 0 0 0 0 0 0
10 Aminofilin 200 mg 82 tablet 320 26,240 0 0 120 200 320 26,240 0 0
11 Amlodipin tab 5 mg 105 tablet 9,540 1,001,700 0 0 1,920 3,070 1,406 6,396 671,580 3,144 330,120
12 Amlodipin tab 10 mg 160 tablet 2,340 374,400 0 0 70 100 180 350 56,000 1,990 318,400
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 180 450,000 0 0 76 104 180 450,000 0 0
Amoksisilin syrup 125 mg/ 5ml 1,920 300 300 ### 65 96 161 309,120 139 266,880
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol 0 0 0 0 0 0 0 0
15 Amoksisilin 250 mg 201 kapsul 3,085 620,085 0 0 310 545 503 1,358 272,958 1,727 347,127
16 Amoksisilin 500 mg 270 kaplet 4,810 1,298,700 0 0 1,320 3,490 4,810 1,298,700 0 0
Amoksisilin 500 mg 191 ### ### ### 830 2,680 3,510 670,410 6,490 1,239,590
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet 0 0 0 0 0 0 0 0 0
18 Antasida doen tablet 63 tablet 12,000 756,000 0 0 1,410 2,910 1,374 5,694 358,722 6,306 397,278
Antasida doen tablet 59 5000 5,000 ### 0 0 5,000 295,000
19 Antasida doen suspensi 2,117 botol 250 529,250 0 0 25 87 17 129 273,093 121 256,157
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 0 0 300 300 ### 75 83 158 1,785,400 142 1,604,600
Antibakteri salep / Basitracin 3,071 300 300 ### 15 15 46,065 285 875,235
21 Antifungi doen kombinasi ( white field 4,366 tube 24 104,784 0 0 0 3 3 13,098 21 91,686
22 Anti Migran (Ergotamin Coffein) 142 tablet 0 0 0 0 0 0 0 0 0
23 Amitriptilin tablet salut 25 mg 117 tablet 0 0 0 0 0 0 0 0 0
24 Asam Askorbat 50 mg 109 tablet 0 0 ### ### ### 0 600 600 65,400 13,400 1,460,600
25 Asam Mefenamat 500 mg 112 tablet 8,746 979,552 0 0 0 2,756 1,445 4,201 470,512 4,545 509,040
Asam Mefenamat 500 mg 102 tablet ### ### ### ### 1,224,000 12,000 1,224,000
26 Asiklovir krim 5% 2,988 tube 183 546,804 0 0 81 10 91 271,908 92 274,896
27 Asiklovir 200 239 tablet 170 40,630 0 0 20 150 170 40,630 0 0
Asiklovir 200 245 200 200 200 200 49,000 0 0
28 Asikovir 400 345 tablet 0 0 0 0 0 0 0 0
28 Asikovir 400 380 tablet 0 0 2000 2,000 ### 650 220 870 330,600 1,130 429,400
29 Asam folat 0,4 mg 93 tablet 0 0 0 0 0 0 0 0
30 Attapulgite (Pularex 630 mg) 210 tablet 0 0 0 0 0 0 0 0
Attapulgite (Pularex 630 mg) 142 2000 710 580 1,290 183,180 710 100,820
31 Articulating paper 202,000 kotak 0 0 0 0 0 0 0 0
32 Betametson krem 0,1 % 1,520 tube 143 217,360 0 0 69 74 143 217,360 0 0
Betametson krem 0,1 % 1,349 150 150 ### 25 25 33,725 125 168,625
33 Bisakodil supp 5 mg anak 4,990 suppos 8 39,920 0 0 8 0 0 0 8 39,920
34 Bisakodil tab 5 mg 1,235 tablet 93 114,855 0 0 20 34 13 67 82,745 26 32,110
35 Betahistin Mesilate 162 tablet 2,880 466,560 0 0 60 930 390 1,380 223,560 1,500 243,000
36 Burnazin cream 24,150 tube 28 676,200 56 56 ### 20 4 24 579,600 60 1,449,000
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak 0 0 0 0 0 0 0 0
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak 20 3,311,000 0 0 0 0 0 0 0 20 3,311,000
39 Composite 423,500 botol 0 0 0 0 0 0 0 0
40 Cat gut 22,599 saset 0 0 0 0 0 0 0 0 0
Cat gut 5,862 48 48 ### 0 0 48 281,382
41 Ciprofloxacin 500 mg 289 tablet 655 189,295 7,000 7,000 ### 655 1,600 946 3,201 925,089 4,454 1,287,206
42 Cetrizine 10 mg 145 tablet 0 0 0 0 0 0 0 0
Cetrizine 10 mg 96 4,500 4,500 ### 1,748 1,902 3,650 350,400 850 81,600
43 Cetrizine syr 5 mg 3,200 botol 0 0 120 120 ### 60 14 74 236,800 46 147,200
44 Clobazam 10 mg tab 900 tablet 0 0 0
Clobazam 10 mg tab 1,017 1,500 1,500 ### 30 96 126 128,142 1,374 1,397,358
45 Carbamazepin 200 mg 280 tablet 1,030 288,400 1,000 1,000 ### 330 150 105 585 163,800 1,445 404,600
46 Cooper T (380A) 17,710 unit 0 0 0 0 0 0 0 0
47 Calamed lotion 14,300 botol 0 0 0 0 0 0 0 0
48 Caviton White 154,000 botol 0 0 0 0 0 0 0 0
49 Cimetidin 200mg 115 kapsul 0 0 0 0 0 0 0 0
50 Chlorfenolkamfermentol (CHKM) 77,000 botol 0 0 0 0 0 0 0 0
51 Dexamethason inj 5 mg/ml 1,659 ampl 0 0 0 0 0 0 0 0
52 Dexamethason tabl 0,5 mg 46 tablet 2,250 103,500 0 0 1,953 297 2,250 103,500 0 0
Dexamethason tabl 0,5 mg 43 2,000 ### 2,000 270 2,270 97,610 9,730 418,390
53 Devitalisasi pasta 319,000 botol 0 0 0 0 0 0 0 0
54 Diazepam inj 2,486 ampl 0 0 0 0 0 0 0 0
55 Diazepam 2 mg tablet 28 tablet 0 0 0 0 0 0 0 0
56 Diazepam 5 mg tablet 122 tablet 0 0 0 0 0 0 0 0
57 Digoxin 0,25 mg tablet 100 tablet 200 20,000 0 0 0 0 200 20,000
58 Diltiazem 30 mg 134 tablet 200 26,800 0 0 0 0 200 26,800
59 Diphenhydramin inj 10 mg 1,100 ampl 0 0 0 0 0 0 0 0
Diphenhydramin inj 10 mg 1,114 30 30 ### 0 0 30 33,420
60 Domperidon suspensi 5mg/5ml 3,410 botol 0 0 0 0 0 0 0 0
61 Domperidon 10 mg 170 tablet 218 37,060 0 0 218 218 37,060 0 0
Domperidon 10 mg 95 2,000 2,000 ### 0 666 334 1,000 95,000 1,000 95,000
62 Doksisiklin kapsul 100 mg 285 kapsul 0 0 0 0 0 0 0 0
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 48 127,200 0 0 48 48 127,200 0 0
Etakridin ( Rivanol ) larutan 0,1 % 3,179 192 192 ### 11 11 34,969 181 575,399
64 Etanol 70 % @ 100 ml 2,575 botol 16 41,200 0 0 2 11 0 13 33,475 3 7,725
Etanol 70 % @ 1000 ml 26,499 10 1 0 1 26,499 9 238,491
65 Ethyl klorida spray 150,000 botol 12 1,800,000 10 10 ### 1 5 2 8 1,200,000 14 2,100,000
66 Eugenol 19,005 botol 2 38,010 0 0 1 1 19,005 1 19,005
67 Eritromycin syr kering 200mg/5ml 7,893 botol 24 189,432 0 0 3 6 9 71,037 15 118,395
68 Erythromisin kap 250 mg 594 kapsul 690 409,860 0 0 600 90 690 409,860 0 0
69 Erythromisin kap 500 mg 751 kapsul 730 548,230 0 0 500 230 730 548,230 0 0
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 0 0 0 0 0 0 0 0 0
Epineprine 0,1 % Inj (Adrenalin) 1,749 30 30 ### 0 0 30 52,470
71 Fitomenadion / vit k 10 mg 660 tablet 420 277,200 0 0 100 290 30 420 277,200 0 0
Fitomenadion / vit k 10 mg 721 tablet 600 40 40 28,840 560 403,760
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl 0 0 0 0 0 0 0 0
73 Fenol Glyserol 10 % TT 2,500 botol 72 180,000 0 0 4 11 12 27 67,500 45 112,500
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1,745 1,457,075 1,000 1,000 ### 538 807 291 1,636 1,366,060 1,109 926,015
75 Furosemide 40 mg 81 tablet 490 39,690 0 0 16 14 6 36 2,916 454 36,774
76 Flagyl suppos 0,5 gr 3,220 buah 113 363,860 0 0 35 38 5 78 251,160 35 112,700
77 Garam oralit 269 saset 1,044 280,836 500 500 ### 234 317 221 772 207,668 772 207,668
78 Gentamisin salep mata 0,3 % 2,830 tube 24 67,920 0 0 24 0 24 67,920 0 0
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 96 403,200 192 192 ### 34 21 55 231,000 233 978,600
80 Gentamisin salep kulit (Gentalex) 3,080 tube 0 0 0 0 0 0 0 0
81 Gemfibrozil 300 mg 303 tablet 398 120,594 0 0 278 120 398 120,594 0 0
82 Glasionomer semen 779,000 botol 0 0 1 1 ### 0 0 1 779,000
83 Glimepiride 1 mg 265 tablet 2,050 543,250 0 0 520 530 210 1,260 333,900 790 209,350
Glimepiride 1 mg 194 tablet 1,000 1,000 ### 0 0 1,000 194,000
84 Glimepiride 2 mg 436 tablet 0 0 0 0 0 0 0 0
85 Griseofulvin 230 tablet 770 177,100 0 0 420 350 770 177,100 0 0
Griseofulvin 249 tablet 0 1,000 1,000 ### 60 60 14,940 940 234,060
86 Gliseril Guaiakolat 53 tablet 8,000 424,000 0 0 715 3,955 2,905 7,575 401,475 425 22,525
87 Glukosa lart. Infus 5 % 6,900 botol 19 131,100 0 0 0 0 0 19 131,100
88 Glukosa lart. Infus 10 % 7,500 botol 3 22,500 0 0 0 0 0 3 22,500
89 Glibenklamid 5 mg 95 tablet 1,090 103,550 0 0 10 0 10 950 1,080 102,600
90 Haloperidol 1,5 mg 72 tablet 0 0 0 0 0 0 0 0
91 Haloperidol 5 mg 74 tablet 0 0 0 0 0 0 0 0
92 Handscoon Steril 7,5 6,595 sachset 20 131,900 0 0 20 20 0 0
Handscoon Steril 7,5 7,600 20 20 ### 8 12 20 131,900 0 0
93 Handscoon non-steril 46,200 kotak 0 0 20 20 ### 1 1 46,200 19 877,800
94 H C T 25 mg 156 tablet 570 88,920 0 0 150 200 40 390 60,840 180 28,080
95 Hidrokortison 2.5 % krim 2,798 tube 72 201,456 0 0 12 34 5 51 142,698 21 58,758
Hidrokortison 2.5 % krim 2,640 tube 72 72 ### 0 0 0 72 190,080
96 Iliadin drop (Obat tetes hidung) 28,928 botol 0 0 0 0 0 0 0 0
97 Ibuprofen 200 mg 116 tablet 0 0 0 0 0 0 0 0
98 Ibuprofen 400 mg 153 tablet 3,722 569,466 0 0 832 1,772 1,118 3,722 569,466 0 0
99 Ibuprofen 100 mg/5ml 3,674 botol 50 183,700 0 0 12 21 33 121,242 17 62,458
100 Infus Set Dewasa 5,445 Set 7 38,115 0 0 0 0 7 38,115
101 Isosorbid dinitrat 5 mg 93 tablet 20 1,860 0 0 20 20 1,860 0 0
102 Kalsium laktat 66 tablet 1,350 89,100 0 0 626 724 1,350 89,100 0 0
Kalsium laktat 57 6,000 6,000 ### 590 1,002 1,592 90,744 4,408
103 Kapas 250 grm 12,800 rol 7 89,600 0 0 6 0 6 76,800 1 12,800
Kapas 250 grm 13,121 10 10 ### 0 0 10 131,210
104 Kasa steril 40 x 40 cm 1,550 box 0 0 0 0 0 0 0 0
105 Kasa steril 16 x 16 cm 5,950 box 73 434,350 0 0 2 13 0 15 89,250 58 345,100
Kasa steril 16 x 16 cm 8,697 box
106 Kasa 4x15 2,150 rol 32 68,800 0 0 17 17 36,550 15 32,250
Kasa 4x15 2,195 50 50 ### 0 0 50 109,750
107 Kaptopril 25 mg 89 tablet 1,620 144,180 0 0 0 0 0 0 0 1,620 144,180
108 Kaptopril 12,5 mg 62 tablet 2,613 162,006 0 0 624 29 440 1,093 67,766 1,520 94,240
109 Ketokenazol cream 2,569 tube 0 0 0 0 0 0 0 0
110 Ketokenazol tab 200 mg 310 tablet 640 198,400 0 0 70 160 97 327 101,370 313 97,030
111 Khloramfenikol 250 mg 500 kaps 720 360,000 600 600 ### 351 633 246 1,230 615,000 90 45,000
112 Khloramfenikol salep mata 1,600 tube 0 0 240 240 ### 3 3 4,800 237 379,200
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol 0 0 0 0 0 0 0 0
114 Klorfeson cream 7,148 tube 0 0 0 0 0 0 0 0
115 Klindamisin 300 mg 630 kapsul 100 63,000 0 0 14 36 50 31,500 50 31,500
116 Klorfeniramine maleat (CTM) 43 tablet 4,967 213,581 0 0 3,166 1,801 4,967 213,581 0 0
117 Kodein 10 mg tab 525 tablet 0 0 0 0 0 0 0 0
118 Kotrimoksazol syrup 2,183 botol 100 218,300 300 300 ### 100 17 29 146 318,718 254 554,482
119 Kotrimoksazol tablet dewasa 154 tablet 1,922 295,988 0 0 674 913 335 1,922 295,988 0 0
Kotrimoksazol tablet dewasa 131 tablet 1,000 52 52 6,812 948 124,188
120 Kotrimoksazol 120 mg 75 tablet 0 0 0 0 0 0 0 0
121 Kalsium Hidroksida Pasta 467,500 botol 0 0 0 0 0 0 0 0
122 Klorpromazin 100 mg 148 tablet 0 0 0 0 0 0 0 0
123 Lanzoprazol kapsul 30 mg 473 kapsul 1,060 501,380 0 0 200 0 200 94,600 860 406,780
124 Loratadin 10 mg 139 tablet 0 0 0 0 0 0
Loratadin 10 mg 128 2,000 200 210 410 52,480 1,590 203,520
125 Loperamid tablet 2 mg 92 tablet 0 0 0 0 0 0 0 0
126 Lidokain HCl inj 2% 2ml 879 ampl 90 79,110 0 0 10 80 90 79,110 0 0
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 205 397,085 0 0 25 50 75 145,275 130 251,810
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 13 156,988 0 0 3 2 5 60,380 8 96,608
129 Lysol 43,000 botol 4 172,000 0 0 1 3 0 4 172,000 0 0
Lysol 43,997 20 20 ### 0 0 20 879,940
130 Multivitamin Anti Anemia (Livron B-pl 240 tablet 710 170,400 6,000 6,000 ### 710 1,980 985 3,675 882,000 3,035 728,400
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5 16,000 5 5 ### 2 3 5 16,000 5 16,000
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial 0 0 0 0 0 0 0 0
133 Masker 22,880 kotak 13 297,440 0 0 2 3 1 6 137,280 7 160,160
134 Meloksikam 15 mg 1,185 tablet 3,070 3,637,950 0 0 100 80 340 520 616,200 2,550 3,021,750
135 Metformin HCl tab 500 mg 115 tablet 4,760 545,020 0 0 1,509 910 996 3,415 391,018 1,345 154,003
Metformin HCl tab 500 mg 99 tablet 3,000 0 0 3,000 297,000
136 Metformin 850 mg 215 tablet 0 0 0 0 0 0 0 0
137 Metilergometrin tab 0.125 mg 162 tablet 0 0 0 0 0 0 0 0
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 0 0 5 5 ### 0 0 5 13,420
139 Metilprednisolon tab 4 mg 210 tablet 630 132,300 0 0 592 38 630 132,300 0 0
Metilprednisolon tab 4 mg 160 tablet 500 500 ### 500 500 80,000 0 0
140 Metronidazol 250 mg 113 tablet 0 0 2,600 2,600 ### 520 390 910 102,830 1,690 190,970
141 Metronidazol 500 mg 164 tablet 0 0 0 0 0 0 0 0
142 Metochlopramide 5 mg tablet 105 tablet 0 0 0 0 0 0 0 0
143 Mikonazol krem 3,000 tube 96 288,000 0 0 52 37 7 96 288,000 0 0
144 Molex flu kaplet 397 tablet 680 269,960 0 0 680 680 269,960 0 0
145 Molex flu syrup 60ml 6,710 botol 120 805,200 120 120 ### 56 134 50 240 1,610,400 0 0
146 Natrium diklofenac 25 mg 157 tablet 3,360 527,520 0 0 1,168 1,642 550 3,360 527,520 0 0
Natrium diklofenac 25 mg 140 2,800 216 216 30,240 2,584 361,760
147 Natrium diklofenac 50 mg 185 tablet 0 0 0 0 0 0 0 0
148 Natrium Klorida lart infus 6,410 botol 23 147,430 0 0 3 5 2 10 64,100 13 83,330
149 Nistatin 100 000 UI tab vaginal 504 tablet 0 0 0 0 0 0 0 0
150 Nipedipin tablet 10 mg 110 tablet 1,830 201,300 0 0 15 15 1,650 1,815 199,650
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial 17 112,608 0 0 17 17 112,608 0 0
152 Omeprazol kap 20 mg 216 kapsul 805 173,880 6,000 6,000 ### 805 1,675 725 3,205 692,280 3,600 777,600
153 Oxytocin inj 10iu 1,900 ampul 0 0 0 0 0 0 0 0
154 Oksitetrasiklin 3% salep kulit 1,640 tube 50 82,000 0 0 32 18 50 82,000 0 0
155 OBH Molex syrup 60ml 5,500 botol 120 660,000 0 0 120 120 660,000 0 0
156 Parasetamol syrup 1,119 botol 150 167,850 0 0 100 50 150 167,850 0 0
Parasetamol syrup 1,013 botol 600 91 459
157 Parasetamol drop 5,460 botol 0 0 0 0 0 0 0 0
158 Parasetamol 500 mg 57 tablet 30,100 1,715,700 0 0 4,384 7,791 5,541 ### 1,009,812 12,384 705,888
Parasetamol 500 mg 51 ### ### 0 0 16,800 856,800
159 Papaverin 40 mg 209 tablet 1,630 340,670 0 0 400 0 400 83,600 1,230 257,070
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol 0 0 0 0 0 0 0 0
161 Pirantel 125 mg tablet 308 tablet 317 97,636 0 0 2 105 101 208 64,064 109 33,572
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 12,500 1,550,000 7,000 7,000 ### 0 900 1,130 2,030 251,720 17,470 2,166,280
163 Plester 5 x 2 2,000 rol 2 4,000 12 12 ### 3 0 3 6,000 11 22,000
164 Propilthiourasil ( PTU ) 292 tablet 300 87,600 0 0 0 0 0 300 87,600
165 Propanolol 10 mg 66 tablet 300 19,800 0 0 30 10 0 40 2,640 260 17,160
166 Piroksikam 10 mg 132 tablet 6,500 858,000 0 0 100 700 800 105,600 5,700 752,400
167 Piroksikam 20 mg 176 tablet 2,730 480,480 5,000 5,000 ### 106 24 100 230 40,480 7,500 1,320,000
168 Phenobarbital 30 mg 66 tablet 990 65,340 0 0 0 0 0 990 65,340
169 Phenobarbital inj 1,890 ampl 0 0 0 0 0 0 0 0
170 Prednison 5 mg 66 tablet 0 0 6,000 6,000 ### 825 2,112 2,937 193,842 3,063 202,158
171 Quinin 200 mg 704 tablet 0 0 0 0 0 0 0 0
172 Ranitidin 150 mg 98 tablet 0 0 ### ### ### 1,500 1,056 2,556 250,488 7,444 729,512
Risperidon 2 mg 347 tablet 2,000 164 337 501 173,847
173 Ringerlaktat larutan infus 7,150 botol 10 71,500 0 0 1 1 7,150 9 64,350
174 Retinol 100.000 IU 298 kapsul 800 238,400 0 0 800 800 238,400 0 0
175 Retinol 200.000 IU 482 kapsul 7,250 3,494,500 0 0 3,200 3,200 1,542,400 4,050 1,952,100
176 Salbutamol 2 mg 62 tablet 578 35,836 0 0 257 296 25 578 35,836 0 0
177 Salbutamol 4 mg 95 tablet 1,000 95,000 0 0 100 343 443 42,085 557 52,915
178 Salisyl talk 2% 1,040 sachet 0 0 300 300 ### 10 10 10,400 290 301,600
179 Salep -24 2,554 pot 78 199,212 0 0 20 17 37 94,498 41 104,714
180 Scabimite Cream 5% 12,155 tube 0 0 30 30 ### 0 0 0 30 364,650
181 Safety box 16,501 piece 230 3,795,253 0 0 5 25 6 36 594,040 194 3,201,213
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 60 269,100 0 0 10 10 44,850 50 224,250
183 Semenseng fospat 137,500 botol 0 0 0 0 0 0 0 0
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 65,915 0 0 0 0 0 21 65,915
185 Simvastatin tab 10 mg 133 tablet 1,350 179,550 0 0 625 725 1,350 179,550 0 0
Simvastatin tab 10 mg 113 2,100 2,100 ### 140 990 1,130 127,690 970 109,610
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 800 45,600 0 0 596 204 800 45,600 0 0
Sianokobalamin ( Vit B12 ) tablet 52 ### 620 620 32,240 9,380 487,760
187 Serum Anti Tetanus (ATS) 1500 u/ T 170,000 vial 0 0 0 0 0 0 0 0
Serum Anti Tetanus (ATS) 1500 u 126,500 10 10 ### 0 0 10 1,265,000
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak 47 150,259 0 0 47 47 150,259 0 0
189 Solare Anterior/Pasterior 341,500 botol 0 0 0 0 0 0 0 0
190 Spironolakton 25 mg 320 tablet 0 0 0 0 0 0 0 0
191 Stesolid rectal 5 mg 12,159 tube 1 12,159 0 0 1 0 1 12,159 0 0
Stesolid rectal 5 mg 12,696 5 5 ### 0 0 5 63,480
192 Tetrasiklin 250 mg 154 kapsul 300 46,200 0 0 300 0 300 46,200 0 0
193 Tetrasiklin 500 mg 319 kapsul 220 70,180 600 600 ### 410 410 130,790 410 130,790
194 Temporarystopping (Flecher) P+L 319,000 botol 0 0 1 1 ### 0 0 1 319,000
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 4,800 427,200 0 0 65 2,135 1,670 3,870 344,430 930 82,770
Thiamin tablet ( Vit B1 ) 50 mg 84 6,000 6,000 ### 0 0 6,000 504,000
196 Triheksifenidil 2 mg 92 tablet 283 26,036 600 600 ### 283 245 528 48,576 355 32,660
197 Tablet Tambah Darah Neo 400 tablet 690 276,000 0 0 48 42 420 510 204,000 180 72,000
198 Vitamin Bkomplek 121 tablet 0 0 9,400 9,400 ### 1,400 1,400 169,400 8,000 968,000
199 Ventolin rotacaps 450 kapsul 464 208,800 0 0 30 0 30 13,500 434 195,300
200 Ventolin rotahaler 6,550 buah 14 91,700 0 0 0 0 0 14 91,700
201 Ventolin Nebules 2,5mg 6,930 ampul 10 69,300 0 0 10 10 69,300 0 0
202 Vitamin dan Mineral (Vitalex) 440 kapsul 0 0 0 0 0 0 0 0
203 Wing Needle 25G 1,400 buah 60 84,000 0 0 0 0 60 84,000
204 Yodium Povidon 30 ml 2,250 botol 5 11,250 0 0 1 4 5 11,250 0 0
Yodium Povidon 30 ml 3,073 30 30 8 8 24,587 22 67,615
205 Yodium Povidon 60 ml 6,298 botol 0 0 0 0 0 0 0 0
206 Yodium Povidon 300 ml 14,771 botol 0 0 0 0 0 0 0 0
207 Zinkid 10mg/5ml 15,729 botol 24 377,496 0 0 19 5 24 377,496 0 0
Zinkid 10mg/5ml 4,789 botol 100 100 ### 20 29 49 234,661 51 244,239
208 Zink tablet 20 mg 497 kaplet 700 347,900 0 0 152 38 72 262 130,214 438 217,686
Zink tablet 20 mg 534 kaplet 1,000 1,000 ### 0 0 1,000 534,000

Jumlah OBAT PKD 51,263,355 ### 36,652,522 58,365,736

Mengetahui Palembang, 30 September 2017


Pimpinan Puskesmas Padang Selasa Pengurus Barang
drg. Lizanna Farianty Indah Puji Astuti,Amkep
NIP. 196209031992032004 NIP. 197907132014022002
MUTASI ALKES (APBN) PUSKESMAS PADANG SELASA
JuliI S.D sept TAHUN 2017

Penerimaan
Sisa Stok Jmlh Jmlh
NO NAMA OBAT SATUAN HARGA Per 30 HARGA Penerima HARGA Persedi
Juni 17 JULI AGST SEPT an aan

1 Alat Suntik 0,05 ml set 1650


2 Alat Suntik 0,5 ml set 1500+1500 -
3 Alat Suntik 1 ml set -
4 Alat Suntik 2,5 ml set -
5 Alat Suntik 3 ml set
6 Alat Suntik 5 ml set -

MUTASI ALKES (APBN) PUSKESMAS PADANG SELASA


Oktober S.D Desember TAHUN 2017

Penerimaan
Sisa Stok Jmlh Jmlh
NO NAMA OBAT SATUAN HARGA Per 31 HARGA Penerima HARGA Persedi
Sept "17 OKT NOV DES an aan

1 Alat Suntik 0,05 ml set 1650


2 Alat Suntik 0,5 ml set -
3 Alat Suntik 1 ml set -
4 Alat Suntik 2,5 ml set -
5 Alat Suntik 3 ml set
6 Alat Suntik 5 ml set -
ADANG SELASA
017

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

1 Copper T/ IUD set 13,000 0


2 Obat Suntik KB ( 3 bln)+spuit 3 ml vial 6,100 60 40 20 200
3 Pil KB I( Ethinylestradiol+Levonorgestrel) blister 2,089 100 0 30 300
4 Susuk KB II (Levonogestrel) / Implant set 257,500 15 2 3 20
5 Kondom andalan buah 667
6
7

LAPORAN OBAT DARI BKKBN


PUSKESMAS PADANG SELASA

Sisa Stok Terima


Harga
NAMA OBAT SATUAN Per 31
NO Satuan
juni 17 juli agust sept

1 Copper T/ IUD set 13,000 0


2 Obat Suntik KB ( 3 bln)+spuit 3 ml vial 6,100 105 20 200
3 Pil KB I( Ethinylestradiol+Levonorgestrel) blister 2,089 261 100 300
4 Susuk KB II (Levonogestrel) / Implant set 257,500 28 10
5 Kondom andalan buah 667
6
7
KKBN
ELASA

Pemakaian

Sisa Stok Keterangan


MAR APR MEI Juni

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

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 196404161989012002
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA
KOTA : PALEMBANG
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awal penerimaan
persediaanpemakaian
1 Alat suntik 2,5 ml/3 ml 957 Set 300 0
2 Alat suntik 5 ml 1,348 Set 750 50
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak 6 0
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 250 31
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 580 3000 482
8 Alopurinol 300 mg 215 tablet 200 0
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet 200 0
11 Amlodipin tab 5 mg 105 tablet 3144 2564
12 Amlodipin tab 10 mg 160 tablet 1990 320
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 139 450 145
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 1727 857
16 Amoksisilin 500 mg 270 kaplet 6490 10000 1170
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 11306 5000 2616
19 Antasida doen suspensi 2,117 botol 121 300 20
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 142 120 86
21 Antifungi doen kombinasi ( white field ) 4,366 tube 21 48 13
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
25 Asam Mefenamat 500 mg 112 tablet 16545 2606
26 Asiklovir krim 5% 2,988 tube 92 10
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 1130 240
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 710 1000 10
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 125 50 39
33 Bisakodil supp 5 mg anak 4,990 suppos 8 12
Anti bakteri doen zalf (bacitracin) 285 200 60
no nama obat harga satuan satuan stok awal penerimaan
persediaanpemakaian
34 Bisakodil tab 5 mg 1,235 tablet 26 0
35 Betahistin Mesilate 162 tablet 1500 900 210
36 Burnazin cream 24,150 tube 60 1
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
41 Ciprofloxacin 500 mg 289 tablet 4454 2000 754
42 Cetrizine 10 mg 145 tablet 850 2250 80
43 Cetrizine syr 5 mg 8,399 botol 46 300 50
44 Clobazam 10 mg tab 900 tablet 1374 163
45 Carbamazepin 200 mg 280 tablet 1445 135
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 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
58 Diltiazem 30 mg 134 tablet 200 0
59 Diphenhydramin inj 10 mg 1,100 ampl 30 0
60 Domperidon suspensi 5mg/5ml 3,410 botol 120
61 Domperidon 10 mg 170 tablet 1000 3000 350
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 181 9
64 Etanol 70 % @ 100 ml 2,575 botol 3 2
Etanol 70 % @ 1000ml 9 0
65 Ethyl klorida spray 150,000 botol 14 0
66 Eugenol 19,005 botol 1 0
67 Eritromycin syr kering 200mg/5ml 7,893 botol 15 120 5
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
nama obat harga satuan satuan stok awal penerimaan
persediaanpemakaian
no
2 3 4 5 7 8
71 Fitomenadion / vit k 10 mg 660 tablet 560 300 120
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 45 48 12
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1109 429
75 Furosemide 40 mg 81 tablet 454 0
76 Flagyl suppos 0,5 gr 3,220 buah 35 60 35
77 Garam oralit 269 saset 772 238
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 233 26
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet
82 Glasionomer semen 779,000 botol 1 0
83 Glimepiride 1 mg 265 tablet 1790 2000 840
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 940 600 180
86 Gliseril Guaiakolat 53 tablet 425 425
87 Glukosa lart. Infus 5 % 6,900 botol 19 0
88 Glukosa lart. Infus 10 % 7,500 botol 3 0
89 Glibenklamid 5 mg 95 tablet 1080 20
90 Haloperidol 1,5 mg 72 tablet 1000 0
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset
93 Handscoon non-steril 37,044 kotak 19 1
94 H C T 25 mg 156 tablet 180 33
95 Hidrokortison 2.5 % krim 2,798 tube 93 72 9
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
100 Infus Set Dewasa 5,445 Set 7 0
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 4408 2000 1188
103 Kapas 250 grm 12,800 rol 11 2
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 58 10
106 Kasa 4x15 2,150 rol 65 5
107 Kaptopril 25 mg 89 tablet 1627 47
nama obat harga satuan satuan stok awal Penerimaan
persediaanpemakaian
no
2 3 4 5 7 8
108 Kaptopril 12,5 mg 62 tablet 1520 330
109 Ketokenazol cream 2,569 tube 240
110 Ketokenazol tab 200 mg 310 tablet 313 68
111 Khloramfenikol 250 mg 500 kaps 90 480 90
112 Khloramfenikol salep mata 1,600 tube 237 18
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
116 Klorfeniramine maleat (CTM) 43 tablet
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 254 21
119 Kotrimoksazol tablet dewasa 154 tablet 948 3000 618
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
124 Loratadin 10 mg 139 tablet 1590 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 130 90 10
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 8 10 1
129 Lysol 43,000 botol 20 1
130 Multivitamin Anti Anemia (Livron B-plex 240 tablet 3035 5000 870
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5 0
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 7 9 3
134 Meloksikam 15 mg 1,185 tablet 2550 250
135 Metformin HCl tab 500 mg 115 tablet 4345 1400
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
139 Metilprednisolon tab 4 mg 210 tablet 6000 0
140 Metronidazol 250 mg 113 tablet 1690 312
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet

nama obat harga satuan satuan stok awal penerimaan


persediaanpemakaian
no
2 3 4 5 7 8
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
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 13 2
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1815 100
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul 3600 870
153 Oxytocin inj 10iu 1,900 ampul 8 0
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
156 Parasetamol syrup 1,119 botol 459 300 304
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet 29184 9064
159 Papaverin 40 mg 209 tablet 1230 0
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 109 3
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 17470 830
163 Plester 5 x 2 2,000 rol 11 0
164 Propilthiourasil ( PTU ) 292 tablet 300 0
165 Propanolol 10 mg 66 tablet 260 20
166 Piroksikam 10 mg 132 tablet 5700 0
167 Piroksikam 20 mg 176 tablet 7600 420
168 Phenobarbital 30 mg 66 tablet 990 0
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 3063 6000 898
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 7444 144
173 Ringerlaktat larutan infus 7,150 botol 9
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul 4050
176 Salbutamol 2 mg 62 tablet 0 2000
177 Salbutamol 4 mg 95 tablet 557
178 Salisyl talk 2% 1,250 sachet 290 54
179 Salep -24 2,554 pot 41 48
nama obat harga satuan satuan stok awal penerimaan
persediaanpemakaian
no
2 3 4 5 7 8
180 Scabimite Cream 5% 12,155 tube 30
181 Safety box 16,501 piece 194
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 50
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21
185 Simvastatin tab 10 mg 133 tablet 970 3000 1080
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 9380 640
187 Serum Anti Tetanus (ATS) 1500 u/ Teta 170,000 vial 10 0
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 1
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 410 10
194 Temporarystopping (Flecher) P+L 319,000 botol 1 0
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 6930 3000 1685
196 Triheksifenidil 2 mg 92 tablet 355
197 Tablet Tambah Darah Neo 400 tablet 180 180
198 Vitamin Bkomplek 121 tablet 8000 9400 3080
199 Ventolin rotacaps 450 kapsul 434 0
200 Ventolin rotahaler 6,550 buah 14 0
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul 4000
203 Wing Needle 25G 1,400 buah 60 0
204 Yodium Povidon 30 ml 2,250 botol 22 4
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
208 Zink tablet 20 mg 497 kaplet 1438
Risperidon tablet 1499 645
obat anti tuberkulosis katagori 1
Puskesmas Padang Selasa

VAKSIN
HEPATITIS ada
BCG ada
PENTABIO ada
CAMPAK ada
POLIO tidak ada
TT ada
Td ada

Mengetahui
Pimpinan Puskesmas

drg. Lizanna Farianty


NIP. 196209031992032004

LPLPO OBAT PROGRAM


PUSKESMAS PADANG SELASA
BULAN : September

NAMA OBAT HARGA SATUA SATUAN STOK AWAL PENERIMAAN pemakaian


no
2 3 agust sept
1 Clobazam 10 mg tablet 900 tablet
2 Klorpromazine 100 mg tablet 148 tablet 500
3 Risperidon 2 mg tablet 347 tablet 500
4 Clozapin tablet tablet 500
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 16
6 Obat Anti Tuberkulosis kategori 1 377950 paket
7 Obat Anti Tuberkulosis kategori 2 paket 1 1 0
8 Trihexifenidil 80 tablet 500
9 Haloperidol 5 mg 74 tablet 500
10 Amitriptilin tablet 200
11 Tambah darah tablet tablet 68750
AAN OBAT
BULAN:Oktober
TAHUN: 2017

sisa stok stok optimal


permintaan
pemberian
keterangan gudang apotik pemakaian
300 300 0
700 700 50
0
6 6 0
219 200 19 31
0
3098 98 482
200 200
30 -30 beli
200 0
580 540 40 2564
1670 1590 80 320
444 144 145
0
870 870 857
15320 900 270 5320
0
13690 7800 890 2616
401 50 51 20
176 36 20 86
56 8 13
0
200prog ###
17330 8000+2000 330 3070
13939 13500+0 440 2606
82 50 32 10
0
890 550 340 240
0
1700 1600 100
0
136 50 36 39
20 8 0
425 225 60
sisa stok stok optimal
permintaan
pemberian
keterangan
26
2190 990 300
59 56 3

1500prog+apbd…

48 48
5700 2900 800
3020 650 120
296 46
1211 1200 11
1310 1200 110

14600 14400 200

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

5220 2600+500 120


9 9

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

860 660 200


0

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

sisa stok stok optimal


permintaan
pemberian
keterangan
9 10 11 12 13

30

3970 950 220

11 11

1715 1600 115

2730 2730 180


8

455 450 5

20120 19400+300 420


1230 1000 230

106 100 6
16640 16000 640
11 11
300 300
240 200 40
5700 5700
7180 6600 580
990

8165 1900 265

7300 7300 338


9 9

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

400 400 100


1
8245 4400+500 345
355
0 200 PROGRAM
14320 3300+1000 620
434 384 50
14 14

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

prog. Jiwa propinsi


prog. Jiwa propinsi
prog. Jiwa propinsi
prog. Jiwa propinsi
program
program TB
program TB
prog. Jiwa propinsi
prog. Jiwa propinsi
prog. Jiwa propinsi
prog. gizi
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA
KOTA : PALEMBANG
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan stok awalpenerimaan
persediaanpemakaian sisa stok
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 awalpenerimaan
persediaanpemakaian sisa stok
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
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 awalpenerimaan
persediaanpemakaian sisa stok
no
2 3 4 5 7 8 9
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
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
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
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 awalPenerimaan
persediaanpemakaian sisa stok
no
2 3 4 5 7 8 9
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

nama obat harga satuan satuan stok awalpenerimaan


persediaanpemakaian sisa stok
no
2 3 4 5 7 8 9
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 awalpenerimaan
persediaanpemakaian sisa stok
no
2 3 4 5 7 8 9
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. 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

obat beli stok awal pemakaistok ahir


1 molek flu capl 180
2 ranitidin injeksi 25
3 thiamflex 500 mg caps 490
4 thiamflex syrup 6

tambah darah 4590+68750


OAT I 8
Albendazol tab 9011
oxytocin inj 8
metil ergometrin 5
ephinephrin 30
vitamin K inj 60

Puskesmas Padang Selasa


VAKSIN
HEPATITIS ada
BCG ada
PENTABIO tidak ada
CAMPAK ada
POLIO ada
TT ada
Td ada

Mengetahui
Pimpinan Puskesmas

drg. Lizanna Farianty


NIP. 196209031992032004

LPLPO OBAT PROGRAM


PUSKESMAS PADANG SELASA
BULAN : September

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

450 130 300


76 30

560
8200 640 ###

11200 540 500


300 20 25
84 4
4

12900 117 500


10300 365 ###
25 41

250 260

1400 143 100

25 46 13
20
350 14 25
stok optimal
permintaanpemberianketerangan

1350 186 180


56 1

48
4300 240 300
300
120 12 20
2000 52
1100

12400 260 500 ralat pem okt / 1130

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

192 5 ralat pem okt 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

1700 210 150

1600 115

2010 230
8

140 40

15500 220 ###


1000 230

100 5
14500 610 500
9
300
300
5400 300
5800 544 500
892

6800 480 300

4800 500 200


9

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

5600 190 500


4800 80

9400 325 500


384 48
14

60
9 3

900 260
5300 166

0 180
20 5
300 190
0 6

4590 + 68750
8
9000 11
8
5
30
60

Bulan :Nopember " 17

Petugas

Raza Ritaya
NIP. 196404161989012002

SISA STOK

prog. Jiwa propinsi

prog. Jiwa propinsi

prog. Jiwa propinsi

prog. Jiwa propinsi

program TB
program TB

prog. Jiwa propinsi

prog. Jiwa propinsi

prog. Jiwa propinsi


PUSKESMAS PADANG SELASA
s/d BULAN : Oktober

NAMA OBAT HARGA SATU SATUAN STOK AWAL PENERIMAAN


no
2 3 JULI "17 juli agust sept nop
1 Clobazam 10 mg tablet 900 tablet 129
2 Klorpromazine 100 mg tablet 148 tablet 741 500 500
3 Risperidon 2 mg tablet 347 tablet 326 500
4 Clozapin tablet tablet 464 500 150
5 Fitomenadion injeksi 2 mg/ml 3582 ampul 30 30
6 Obat Anti Tuberkulosis kategori 1 377950 paket 8 16
7 Obat Anti Tuberkulosis kategori 2 paket 1
8 Trihexifenidil 80 tablet 0 600+500 300
9 Haloperidol 5 mg 74 tablet 837 500 500
10 Amitriptilin tablet 200
11 Tambah darah tablet tablet 6480 68750
12 Albendazol tablet 549 4710 13230
13 Oxytocin Injeksi 10 iu ampul 10
14

Mengetahui
Pimpinan Puskesmas Petugas

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 1964041619890
SA

PEMAKAIAN SISA STOK SISA STOK SISA STOK

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

Puskesmas Padang Selasa


Bulan : Nopember " 17

VAKSIN
HEPATITIS ada
BCG ada
PENTABIO tidak ada
CAMPAK ada
POLIO ada
TT ada
Td ada

Mengetahui
Pimpinan Puskesmas Petugas

drg. Lizanna Farianty Raza Ritaya


NIP. 196209031992032004 NIP. 196404161989012002

molek flu capl b


ranitidin injeksi e
thiamflex 500 mg caps l
thiamflex syrup i

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

HARGA STOK AWAL 1 juli penerimaan


N0 NAMA OBAT SATUAN SATUAN TRIWULAN 4
(Rp) JUMLAH
VOL okt nop des
(Rp)
OBAT PKD
1 Alat suntik 2,5 ml/3 ml 957 Set 300 287,100
2 Alat suntik 5 ml 1,348 Set 750 1,011,000
3 Albendazole 400 mg 350 tablet 0 0
4 Alkohol Swab 34,100 kotak 6 204,600
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 250 30,500
6 Acetylcystein 200 mg 866 tablet 0 0
7 Alopurinol 100 mg 93 tablet 0 0
Alopurinol 100 mg 113 580 65,540
8 Alopurinol 300 mg 215 tablet 200 42,900
9 Ambroxol sirup 15 mg/ml 3,600 botol 0 0
10 Aminofilin 200 mg 82 tablet 0 0
11 Amlodipin tab 5 mg 105 tablet 3,144 330,120
12 Amlodipin tab 10 mg 160 tablet 1,990 318,400
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 0 0
Amoksisilin syrup 125 mg/ 5ml 1,920 139 266,880
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol 0 0
15 Amoksisilin 250 mg 201 kapsul 1,727 347,127
16 Amoksisilin 500 mg 270 kaplet 0 0
Amoksisilin 500 mg 191 6,490 1,239,590
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet 0 0
18 Antasida doen tablet 63 tablet 6,306 397,278
Antasida doen tablet 59 5,000 295,000
19 Antasida doen suspensi 2,117 botol 121 256,157
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 142 1,604,600
Antibakteri salep / Basitracin 3,071 285 875,235 300
21 Antifungi doen kombinasi ( white field 4,366 tube 21 91,686
22 Anti Migran (Ergotamin Coffein) 142 tablet 0 0
23 Amitriptilin tablet salut 25 mg 117 tablet 0 0
24 Asam Askorbat 50 mg 109 tablet 13,400 1,460,600 3,813 14,000
25 Asam Mefenamat 500 mg 112 tablet 4,545 509,040 2,274
Asam Mefenamat 500 mg 102 tablet 12,000 1,224,000
26 Asiklovir krim 5% 2,988 tube 92 274,896 16
27 Asiklovir 200 239 tablet 0 0
Asiklovir 200 245 0 0
28 Asikovir 400 345 tablet 0 0 380
28 Asikovir 400 380 tablet 1,130 429,400
29 Asam folat 0,4 mg 93 tablet 0 0
30 Attapulgite (Pularex 630 mg) 210 tablet 0 0 57
Attapulgite (Pularex 630 mg) 142 710 100,820
31 Articulating paper 202,000 kotak 0 0
32 Betametson krem 0,1 % 1,520 tube 0 0
Betametson krem 0,1 % 1,349 125 168,625 52
33 Bisakodil supp 5 mg anak 4,990 suppos 8 39,920 0
34 Bisakodil tab 5 mg 1,235 tablet 26 32,110 26
35 Betahistin Mesilate 162 tablet 1,500 243,000 474
36 Burnazin cream 24,150 tube 60 1,449,000 2
37 BD Syringe Soloshot mini 0,05ml 165,550 kotak 0 0
38 BD Syringe Soloshot mini 0,5ml 165,550 kotak 20 3,311,000
39 Composite 423,500 botol 0 0
40 Cat gut 22,599 saset 0 0 0
Cat gut 5,862 48 281,382
41 Ciprofloxacin 500 mg 289 tablet 4,454 1,287,206 860
42 Cetrizine 10 mg 145 tablet 0 0 2,720
Cetrizine 10 mg 96 850 81,600
43 Cetrizine syr 5 mg 3,200 botol 46 147,200 144
44 Clobazam 10 mg tab 900 tablet 0 0 159
Clobazam 10 mg tab 1,017 1,374 1,397,358 1,500
45 Carbamazepin 200 mg 280 tablet 1,445 404,600 140
46 Cooper T (380A) 17,710 unit 0 0
47 Calamed lotion 14,300 botol 0 0
48 Caviton White 154,000 botol 0 0
49 Cimetidin 200mg 115 kapsul 0 0
50 Chlorfenolkamfermentol (CHKM) 77,000 botol 0 0
51 Dexamethason inj 5 mg/ml 1,659 ampl 0 0
52 Dexamethason tabl 0,5 mg 46 tablet 0 0 1,440
Dexamethason tabl 0,5 mg 43 9,730 418,390 10,000
53 Devitalisasi pasta 319,000 botol 0 0
54 Diazepam inj 2,486 ampl 0 0
55 Diazepam 2 mg tablet 28 tablet 0 0
56 Diazepam 5 mg tablet 122 tablet 0 0
57 Digoxin 0,25 mg tablet 100 tablet 200 20,000
58 Diltiazem 30 mg 134 tablet 200 26,800
59 Diphenhydramin inj 10 mg 1,100 ampl 0 0
Diphenhydramin inj 10 mg 1,114 30 33,420
60 Domperidon suspensi 5mg/5ml 3,410 botol 0 0 5
61 Domperidon 10 mg 170 tablet 0 0 480
Domperidon 10 mg 95 1,000 95,000
62 Doksisiklin kapsul 100 mg 285 kapsul 0 0
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 0 0 14
Etakridin ( Rivanol ) larutan 0,1 % 3,179 181 575,399
64 Etanol 70 % @ 100 ml 2,575 botol 3 7,725
Etanol 70 % @ 1000 ml 26,499 9 238,491 2
65 Ethyl klorida spray 150,000 botol 14 2,100,000 1
66 Eugenol 19,005 botol 1 19,005 0
67 Eritromycin syr kering 200mg/5ml 7,893 botol 15 118,395 4
68 Erythromisin kap 250 mg 594 kapsul 0 0
69 Erythromisin kap 500 mg 751 kapsul 0 0
70 Epineprine 0,1 % Inj (Adrenalin) 2,354 ampl 0 0 0
Epineprine 0,1 % Inj (Adrenalin) 1,749 30 52,470 0
71 Fitomenadion / vit k 10 mg 660 tablet 0 0
Fitomenadion / vit k 10 mg 721 tablet 560 403,760
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl 0 0
73 Fenol Glyserol 10 % TT 2,500 botol 45 112,500
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 1,109 926,015
75 Furosemide 40 mg 81 tablet 454 36,774
76 Flagyl suppos 0,5 gr 3,220 buah 35 112,700
77 Garam oralit 269 saset 772 207,668
78 Gentamisin salep mata 0,3 % 2,830 tube 0 0
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 233 978,600 192
80 Gentamisin salep kulit (Gentalex) 3,080 tube 0 0
81 Gemfibrozil 300 mg 303 tablet 0 0
82 Glasionomer semen 779,000 botol 1 779,000 1
83 Glimepiride 1 mg 265 tablet 790 209,350
Glimepiride 1 mg 194 tablet 1,000 194,000
84 Glimepiride 2 mg 436 tablet 0 0
85 Griseofulvin 230 tablet 0 0
Griseofulvin 249 tablet 940 234,060 1,000
86 Gliseril Guaiakolat 53 tablet 425 22,525
87 Glukosa lart. Infus 5 % 6,900 botol 19 131,100
88 Glukosa lart. Infus 10 % 7,500 botol 3 22,500
89 Glibenklamid 5 mg 95 tablet 1,080 102,600
90 Haloperidol 1,5 mg 72 tablet 0 0
91 Haloperidol 5 mg 74 tablet 0 0 500
92 Handscoon Steril 7,5 6,595 sachset 0 0
Handscoon Steril 7,5 7,600 0 0
93 Handscoon non-steril 46,200 kotak 19 877,800
94 H C T 25 mg 156 tablet 180 28,080
95 Hidrokortison 2.5 % krim 2,798 tube 21 58,758
Hidrokortison 2.5 % krim 2,640 tube 72 190,080
96 Iliadin drop (Obat tetes hidung) 28,928 botol 0 0
97 Ibuprofen 200 mg 116 tablet 0 0
98 Ibuprofen 400 mg 153 tablet 0 0
99 Ibuprofen 100 mg/5ml 3,674 botol 17 62,458
100 Infus Set Dewasa 5,445 Set 7 38,115
101 Isosorbid dinitrat 5 mg 93 tablet 0 0
102 Kalsium laktat 66 tablet 0 0
Kalsium laktat 57 4,408 251,256
103 Kapas 250 grm 12,800 rol 1 12,800
Kapas 250 grm 13,121 10 131,210
104 Kasa steril 40 x 40 cm 1,550 box 0 0
105 Kasa steril 16 x 16 cm 5,950 box 58 345,100
Kasa steril 16 x 16 cm 8,697 box
106 Kasa 4x15 2,150 rol 15 32,250
Kasa 4x15 2,195 50 109,750
107 Kaptopril 25 mg 89 tablet 1,620 144,180
108 Kaptopril 12,5 mg 62 tablet 1,520 94,240
109 Ketokenazol cream 2,569 tube 0 0
110 Ketokenazol tab 200 mg 310 tablet 313 97,030
111 Khloramfenikol 250 mg 500 kaps 90 45,000
112 Khloramfenikol salep mata 1,600 tube 237 379,200 240
113 Kloramfenikol TT (Reco TT 3%) 6,040 botol 0 0
114 Klorfeson cream 7,148 tube 0 0
115 Klindamisin 300 mg 630 kapsul 50 31,500
116 Klorfeniramine maleat (CTM) 43 tablet 0 0
117 Kodein 10 mg tab 525 tablet 0 0
118 Kotrimoksazol syrup 2,183 botol 254 554,482
119 Kotrimoksazol tablet dewasa 154 tablet 0 0
Kotrimoksazol tablet dewasa 131 tablet 948 124,188
120 Kotrimoksazol 120 mg 75 tablet 0 0
121 Kalsium Hidroksida Pasta 467,500 botol 0 0
122 Klorpromazin 100 mg 148 tablet 0 0 500
123 Lanzoprazol kapsul 30 mg 473 kapsul 860 406,780
124 Loratadin 10 mg 139 tablet 0 0
Loratadin 10 mg 128 1,590 203,520
125 Loperamid tablet 2 mg 92 tablet 0 0
126 Lidokain HCl inj 2% 2ml 879 ampl 0 0
127 Lidokain inj 2% + Efinefrin 2ml komb 1,937 ampl 130 251,810
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 8 96,608
129 Lysol 43,000 botol 0 0
Lysol 43,997 20 879,940
130 Multivitamin Anti Anemia (Livron B-pl 240 tablet 3,035 728,400
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5 16,000 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial 0 0
133 Masker 22,880 kotak 7 160,160
134 Meloksikam 15 mg 1,185 tablet 2,550 3,021,750
135 Metformin HCl tab 500 mg 115 tablet 1,345 154,003
Metformin HCl tab 500 mg 99 tablet 3,000 297,000
136 Metformin 850 mg 215 tablet 0 0
137 Metilergometrin tab 0.125 mg 162 tablet 0 0
138 Metilergometrin inj 0.2 mg/1ml 2,684 ampl 5 13,420 5
139 Metilprednisolon tab 4 mg 210 tablet 0 0
Metilprednisolon tab 4 mg 160 tablet 0 0
140 Metronidazol 250 mg 113 tablet 1,690 190,970
141 Metronidazol 500 mg 164 tablet 0 0
142 Metochlopramide 5 mg tablet 105 tablet 0 0
143 Mikonazol krem 3,000 tube 0 0
144 Molex flu kaplet 397 tablet 0 0
145 Molex flu syrup 60ml 6,710 botol 0 0
146 Natrium diklofenac 25 mg 157 tablet 0 0
Natrium diklofenac 25 mg 140 2,584 361,760
147 Natrium diklofenac 50 mg 185 tablet 0 0
148 Natrium Klorida lart infus 6,410 botol 13 83,330
149 Nistatin 100 000 UI tab vaginal 504 tablet 0 0
150 Nipedipin tablet 10 mg 110 tablet 1,815 199,650
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial 0 0
152 Omeprazol kap 20 mg 216 kapsul 3,600 777,600
153 Oxytocin inj 10iu 1,900 ampul 0 0
154 Oksitetrasiklin 3% salep kulit 1,640 tube 0 0
155 OBH Molex syrup 60ml 5,500 botol 0 0
156 Parasetamol syrup 1,119 botol 0 0
Parasetamol syrup 1,013 botol 459 464,967 600
157 Parasetamol drop 5,460 botol 0 0
158 Parasetamol 500 mg 57 tablet 12,384 705,888
Parasetamol 500 mg 51 16,800 856,800
159 Papaverin 40 mg 209 tablet 1,230 257,070
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol 0 0
161 Pirantel 125 mg tablet 308 tablet 109 33,572
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 17,470 2,166,280
163 Plester 5 x 2 2,000 rol 11 22,000
164 Propilthiourasil ( PTU ) 292 tablet 300 87,600
165 Propanolol 10 mg 66 tablet 260 17,160
166 Piroksikam 10 mg 132 tablet 5,700 752,400
167 Piroksikam 20 mg 176 tablet 7,500 1,320,000
168 Phenobarbital 30 mg 66 tablet 990 65,340
169 Phenobarbital inj 1,890 ampl 0 0
170 Prednison 5 mg 66 tablet 3,063 202,158
171 Quinin 200 mg 704 tablet 0 0
172 Ranitidin 150 mg 98 tablet 7,444 729,512
Risperidon 2 mg 347 tablet 2,000
173 Ringerlaktat larutan infus 7,150 botol 9 64,350
174 Retinol 100.000 IU 298 kapsul 0 0
175 Retinol 200.000 IU 482 kapsul 4,050 1,952,100
176 Salbutamol 2 mg 62 tablet 0 0
177 Salbutamol 4 mg 95 tablet 557 52,915
178 Salisyl talk 2% 1,040 sachet 290 301,600 300
179 Salep -24 2,554 pot 41 104,714
180 Scabimite Cream 5% 12,155 tube 30 364,650 30
181 Safety box 16,501 piece 194 3,201,213
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 50 224,250
183 Semenseng fospat 137,500 botol 0 0
184 Silk 3.0 dgn jarum bedah 3,139 sachet 21 65,915
185 Simvastatin tab 10 mg 133 tablet 0 0
Simvastatin tab 10 mg 113 970 109,610
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 0 0
Sianokobalamin ( Vit B12 ) tablet 52 9,380 487,760 10,000
187 Serum Anti Tetanus (ATS) 1500 u/ T 170,000 vial 0 0
Serum Anti Tetanus (ATS) 1500 u 126,500 10 1,265,000 10
188 Superhoid suppos (Anti Hemoroid) 3,197 kotak 0 0
189 Solare Anterior/Pasterior 341,500 botol 0 0
190 Spironolakton 25 mg 320 tablet 0 0
191 Stesolid rectal 5 mg 12,159 tube 0 0
Stesolid rectal 5 mg 12,696 5 63,480 5
192 Tetrasiklin 250 mg 154 kapsul 0 0
193 Tetrasiklin 500 mg 319 kapsul 410 130,790
194 Temporarystopping (Flecher) P+L 319,000 botol 0 0 1
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 930 82,770
Thiamin tablet ( Vit B1 ) 50 mg 84 6,000 504,000
196 Triheksifenidil 2 mg 92 tablet 355 32,660 300 600
197 Tablet Tambah Darah Neo 400 tablet 180 72,000
198 Vitamin Bkomplek 121 tablet 8,000 968,000 9,400
199 Ventolin rotacaps 450 kapsul 434 195,300
200 Ventolin rotahaler 6,550 buah 14 91,700
201 Ventolin Nebules 2,5mg 6,930 ampul 0 0
202 Vitamin dan Mineral (Vitalex) 440 kapsul 0 0
203 Wing Needle 25G 1,400 buah 60 84,000
204 Yodium Povidon 30 ml 2,250 botol 0 0
Yodium Povidon 30 ml 3,073 22 67,615
205 Yodium Povidon 60 ml 6,298 botol 0 0
206 Yodium Povidon 300 ml 14,771 botol 0 0
207 Zinkid 10mg/5ml 15,729 botol 0 0
Zinkid 10mg/5ml 4,789 botol 51 244,239
208 Zink tablet 20 mg 497 kaplet 438 217,686
Zink tablet 20 mg 534 kaplet 1,000 534,000
Clozapin tablet 150

Jumlah OBAT PKD 59,296,959

Mengetahui
Pimpinan Puskesmas Padang Selasa

drg. Lizanna Farianty


NIP. 196209031992032004
ANG SELASA
NAL, REAGENT LABORATORIUM (APBD Kota)
2017

penerimaan pemakaian STOK AKHIR


TRIWULAN 4 TRIWULAN 4
JUMLAH JUMLAH JUMLAH
VOL okt nop des VOL VOL
(Rp) (Rp) (Rp)

0 0 58 58 55,506 242 231,594


0 0 0 0 750 1,011,000
0 0 0 0 0 0
0 0 2 2 68,200 4 136,400
0 0 0 0 250 30,500
0 0 0 0 0 0
0 0 0 0 0 0
0 0 194 194 21,922 580 65,540
0 0 200 200 42,900 0 0
0 0 0 0 0 0
0 0 100 100 8,200 -100 (8,200)
0 0 580 580 60,900 2,564 269,220
0 0 790 790 126,400 1,200 192,000
0 0 338 338 845,000 -338 (845,000)
0 0 300 300 576,000 139 266,880
0 0 0 0 0 0
0 0 319 319 64,119 1,408 283,008
0 0 0 0 0 0
0 0 5,480 5,480 1,046,680 1,010 192,910
0 0 0 0 0 0
0 0 1,450 1,450 91,350 4,856 305,928
0 0 0 0 5,000 295,000
0 0 56 56 118,552 65 137,605
0 0 388 388 4,384,400 -246 (2,779,800)
300 921,300 36 36 110,556 549 1,685,979
0 0 32 32 139,712 -11 (48,026)
0 0 0 0 0 0
0 0 0 0 0 0
17,813 1,941,617 3,813 3,813 415,617 27,400 2,986,600
2,274 254,688 2,274 2,274 254,688 4,545 509,040
0 0 ### 1,224,000 12,000 1,224,000
16 47,808 16 16 47,808 92 274,896
0 0 0 0 0 0
0 0 0 0 0
380 131,100 380 380 131,100 0 0
0 0 0 0 1,130 429,400
0 0 0 0 0 0
57 11,970 57 57 11,970 0 0
0 0 710 100,820
0 0 0 0 0 0
0 0 0 0 0 0
52 70,148 52 52 70,148 125 168,625
0 0 0 0 8 39,920
26 32,110 26 26 32,110 26 32,110
474 76,788 474 474 76,788 1,500 243,000
2 48,300 2 2 48,300 60 1,449,000
0 0 0 0 0 0
0 0 0 0 20 3,311,000
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 48 281,382
860 248,540 860 860 248,540 4,454 1,287,206
2,720 394,400 2,720 2,720 394,400 0 0
0 0 0 0 850 81,600
144 460,800 144 144 460,800 46 147,200
159 159 143,100 0
1,500 1,350,000 0 0 1,374 1,397,358
140 39,200 140 140 39,200 1,445 404,600
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1,440 66,240 0 0 1,440 66,240
0 0 9,730 418,390
0 0 0 0 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 20,000
0 0 0 0 200 26,800
0 0 0 0 0 0
0 0 0 0 30 33,420
5 17,050 0 0 5 17,050
480 81,600 0 0 480 81,600
2,000 190,000 0 0 3,000 285,000
0 0 0 0 0 0
14 37,100 0 0 14 37,100
0 0 0 0 181 575,399
0 0 0 0 3 7,725
0 0 9 238,491
1 150,000 0 0 15 2,250,000
0 0 0 0 1 19,005
4 31,572 0 0 19 149,967
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 30 52,470
0 0 0 0 0 0
0 0 560 403,760
0 0 0 0 0 0
0 0 0 0 45 112,500
0 0 0 0 1,109 926,015
0 0 0 0 454 36,774
0 0 0 0 35 112,700
0 0 0 0 772 207,668
0 0 0 0 0 0
192 806,400 0 0 425 1,785,000
0 0 0 0 0 0
0 0 0 0 0 0
1 779,000 0 0 2 1,558,000
0 0 0 0 790 209,350
0 0 0 0 1,000 194,000
0 0 0 0 0 0
0 0 0 0 0 0
1,000 249,000 0 0 1,940 483,060
0 0 0 0 425 22,525
0 0 0 0 19 131,100
0 0 0 0 3 22,500
0 0 0 0 1,080 102,600
0 0 0 0 0 0
500 37,000 0 0 500 37,000
0 0 20 -20 (131,900)
0 0 0 131,900 0 0
0 0 0 0 19 877,800
0 0 0 0 180 28,080
0 0 0 0 21 58,758
0 0 0 0 72 190,080
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 17 62,458
0 0 0 0 7 38,115
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 4,408
0 0 0 0 1 12,800
0 0 0 0 10 131,210
0 0 0 0 0 0
0 0 0 0 58 345,100
0 0 0 0 15 32,250
0 0 0 0 50 109,750
0 0 0 0 1,620 144,180
0 0 0 0 1,520 94,240
0 0 0 0 0 0
0 0 0 0 313 97,030
0 0 0 0 90 45,000
240 384,000 0 0 477 763,200
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 50 31,500
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 254 554,482
0 0 0 0 0 0
0 0 948 124,188
0 0 0 0 0 0
0 0 0 0 0 0
500 0 0 500 74,000
0 0 0 0 860 406,780
0 0 0 0
0 0 1,590 203,520
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 130 251,810
0 0 0 0 8 96,608
0 0 0 0 0 0
0 0 0 0 20 879,940
0 0 0 0 3,035 728,400
5 16,000 0 0 10 32,000
0 0 0 0 0 0
0 0 0 0 7 160,160
0 0 0 0 2,550 3,021,750
0 0 0 0 1,345 154,003
0 0 3,000 297,000
0 0 0 0 0 0
0 0 0 0 0 0
5 13,420 0 0 10 26,840
0 0 0 0 0 0
0 0 500 80,000 0 0
0 0 0 0 1,690 190,970
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 2,584 361,760
0 0 0 0 0 0
0 0 0 0 13 83,330
0 0 0 0 0 0
0 0 0 0 1,815 199,650
0 0 0 0 0 0
0 0 0 0 3,600 777,600
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
459
0 0 0 0 0 0
0 0 0 0 12,384 705,888
0 0 0 16,800 856,800
0 0 0 0 1,230 257,070
0 0 0 0 0 0
0 0 0 0 109 33,572
0 0 0 0 17,470 2,166,280
0 0 0 0 11 22,000
0 0 0 0 300 87,600
0 0 0 0 260 17,160
0 0 0 0 5,700 752,400
0 0 0 0 7,500 1,320,000
0 0 0 0 990 65,340
0 0 0 0 0 0
0 0 0 0 3,063 202,158
0 0 0 0 0 0
0 0 0 0 7,444 729,512
0 0
0 0 0 0 9 64,350
0 0 0 0 0 0
0 0 0 0 4,050 1,952,100
0 0 0 0 0 0
0 0 0 0 557 52,915
300 312,000 0 0 590 613,600
0 0 0 0 41 104,714
30 364,650 0 0 60 729,300
0 0 0 0 194 3,201,213
0 0 10 44,850 40 179,400
0 0 0 0 0 0
0 0 0 0 21 65,915
0 0 0 0 0 0
0 0 0 0 970 109,610
0 0 0 0 0 0
0 0 9,380 487,760
0 0 0 0 0
10 1,265,000 0 0 10 1,265,000
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 63,480 0 0 10 126,960
0 0 0 0 0 0
0 0 0 0 410 130,790
1 319,000 0 0 1 319,000
0 0 0 0 930 82,770
0 0 0 0 6,000 504,000
900 82,800 0 0 1,255 115,460
0 0 0 0 180 72,000
9,400 1,137,400 0 0 17,400 2,105,400
0 0 0 0 434 195,300
0 0 0 0 14 91,700
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 60 84,000
0 0 0 0 0 0
0 0 0 22 67,615
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 51 244,239
0 0 0 0 438 217,686
0 0 0 0 1,000 534,000

### 11,615,716 58,366,523

Palembang, 30 September 2017


Pengurus Barang

Indah Puji Astuti,Amkep


NIP. 197907132014022002
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : PADANG SELASA
KOTA : PALEMBANG
PROPINSI : SUMATERA SELATAN
no nama obat harga satuan satuan gdg apotik
1 Alat suntik 2,5 ml/3 ml 957 Set 200 42
2 Alat suntik 5 ml 1,348 Set 700
3 Albendazole 400 mg 350 tablet
4 Alkohol Swab 34,100 kotak 4
5 Acetosal (Miniaspi 80 mg),100mg 122 tablet 200 19
6 Acetylcystein 200 mg 866 tablet
7 Alopurinol 100 mg 93 tablet 2700 204
8 Alopurinol 300 mg 215 tablet
9 Ambroxol sirup 15 mg/ml 3,600 botol
10 Aminofilin 200 mg 82 tablet 100
11 Amlodipin tab 5 mg 105 tablet
12 Amlodipin tab 10 mg 160 tablet 450 130
13 Amoksisilin syrup 125 mg/ 5ml 2,500 botol 76
14 Amoksisilin dry syrup 250 mg/ 5ml 4,212 botol
15 Amoksisilin 250 mg 201 kapsul 560
16 Amoksisilin 500 mg 270 kaplet 8200 640
17 Amoksisilin+as klavulanat 625mg tab 4,777 tablet
18 Antasida doen tablet 63 tablet 11200 540
19 Antasida doen suspensi 2,117 botol 300 20
20 Antibakteri salep kombinasi (Bevalex) 11,300 tube 84 4
21 Antifungi doen kombinasi ( white field ) 4,366 tube 4
22 Anti Migran (Ergotamin Coffein) 142 tablet
23 Amitriptilin tablet salut 25 mg 117 tablet
24 Asam Askorbat 50 mg 109 tablet 12900 117
25 Asam Mefenamat 500 mg 112 tablet 10300 365
26 Asiklovir krim 5% 2,988 tube 25 41
27 Asiklovir 200 239 tablet
28 Asikovir 400 345 tablet 250 260
29 Asam folat 0,4 mg 93 tablet
30 Attapulgite (Pularex 630 mg) 210 tablet 1400 143
31 Articulating paper 202,000 kotak
32 Betametson krem 0,1 % 1,520 tube 25 46
33 Bisakodil supp 5 mg anak 4,990 suppos 20
Anti bakteri doen zalf (bacitracin) 350 14
no nama obat harga satuan satuan
34 Bisakodil tab 5 mg 1,235 tablet
35 Betahistin Mesilate 162 tablet 1350 186
36 Burnazin cream 24,150 tube 56 1
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
41 Ciprofloxacin 500 mg 289 tablet 4300 240
42 Cetrizine 10 mg 145 tablet
43 Cetrizine syr 5 mg 8,399 botol 120 12
44 Clobazam 10 mg tab 900 tablet 2000 52
45 Carbamazepin 200 mg 280 tablet 1100
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 12400 260
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 30
60 Domperidon suspensi 5mg/5ml 3,410 botol 60 55
61 Domperidon 10 mg 170 tablet 2800 270
62 Doksisiklin kapsul 100 mg 285 kapsul
63 Etakridin ( Rivanol ) larutan 0,1 % 2,650 botol 144 14
64 Etanol 70 % @ 100 ml 2,575 botol 1
Etanol 70 % @ 1000ml 6
65 Ethyl klorida spray 150,000 botol 13
66 Eugenol 19,005 botol 1
67 Eritromycin syr kering 200mg/5ml 7,893 botol 120 6
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 600 60
72 Fitomenadion Injeksi 2mg/ml 3,582 ampl
73 Fenol Glyserol 10 % TT 2,500 botol 48 21
74 Ferro Fumarat + As. Folat (Hemafort) 835 tablet 500
75 Furosemide 40 mg 81 tablet 400 50
76 Flagyl suppos 0,5 gr 3,220 buah 40
77 Garam oralit 269 saset 300 26
78 Gentamisin salep mata 0,3 % 2,830 tube
79 Gentamisin sulfat Ttm 0,3 % 4,200 botol 192 5
80 Gentamisin salep kulit (Gentalex) 3,080 tube
81 Gemfibrozil 300 mg 303 tablet
82 Glasionomer semen 779,000 botol 1
83 Glimepiride 1 mg 265 tablet 2450 360
84 Glimepiride 2 mg 436 tablet
85 Griseofulvin 230 tablet 1140 140
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 1000 60
90 Haloperidol 1,5 mg 72 tablet 900 70
91 Haloperidol 5 mg 100 tablet
92 Handscoon Steril 7,5 6,595 sachset
93 Handscoon non-steril 37,044 kotak 15
94 H C T 25 mg 156 tablet 127
95 Hidrokortison 2.5 % krim 2,798 tube 72 12
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 40 11
100 Infus Set Dewasa 5,445 Set 7
101 Isosorbid dinitrat 5 mg 93 tablet
102 Kalsium laktat 66 tablet 3000 30
103 Kapas 250 grm 12,800 rol 7
104 Kasa steril 40 x 40 cm 1,550 rol
105 Kasa steril 16 x 16 cm 5,950 rol 41
106 Kasa 4x15 2,150 rol 50
107 Kaptopril 25 mg 89 tablet 400 166
nama obat harga satuan satuan
no
2 3 4
108 Kaptopril 12,5 mg 62 tablet 900 0
109 Ketokenazol cream 2,569 tube 160 13
110 Ketokenazol tab 200 mg 310 tablet 144
111 Khloramfenikol 250 mg 500 kaps 480
112 Khloramfenikol salep mata 1,600 tube 144 16
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 12
116 Klorfeniramine maleat (CTM) 43 tablet 9400 235
117 Kodein 10 mg tab 525 tablet
118 Kotrimoksazol syrup 2,183 botol 150 27
119 Kotrimoksazol tablet dewasa 154 tablet 1700 460
120 Kotrimoksazol 120 mg 75 tablet
121 Kalsium Hidroksida Pasta 467,500 botol
122 Klorpromazin 100 mg 148 tablet 2900 97
123 Lanzoprazol kapsul 30 mg 473 kapsul 660 200
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 180 12
128 Leukoplast 2,5cm x 4,5cm 12,076 roll 17
129 Lysol 43,000 botol 17
130 Multivitamin Anti Anemia (Livron B-plex) 240 tablet 5000 1050
131 Magnesium Sulfat Inj IV 20%-25ml 3,200 vial 5
132 Magnesium Sulfat Inj IV 40%-25ml 3,650 vial
133 Masker 22,880 kotak 7
134 Meloksikam 15 mg 1,185 tablet 1550 479
135 Metformin HCl tab 500 mg 115 tablet 1700 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 5100 490
140 Metronidazol 250 mg 113 tablet 600 52
141 Metronidazol 500 mg 164 tablet
142 Metochlopramide 5 mg tablet 105 tablet

nama obat harga satuan satuan


no
2 3 4
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 1700 210
147 Natrium diklofenac 50 mg 185 tablet
148 Natrium Klorida lart infus 6,410 botol 9
149 Nistatin 100 000 UI tab vaginal 504 tablet
150 Nipedipin tablet 10 mg 110 tablet 1600 115
151 Obat Suntik K.B I / Andalan Harmonis 6,624 vial
152 Omeprazol kap 20 mg 216 kapsul 2010 230
153 Oxytocin inj 10iu 1,900 ampul 8
154 Oksitetrasiklin 3% salep kulit 1,640 tube
155 OBH Molex syrup 60ml 5,500 botol
156 Parasetamol syrup 1,119 botol 140
157 Parasetamol drop 5,460 botol
158 Parasetamol 500 mg 57 tablet 15500 220
159 Papaverin 40 mg 209 tablet 1000 230
160 Pirantel Suspensi 125 mg/ 5ml 8,728 botol
161 Pirantel 125 mg tablet 308 tablet 100 5
162 Piridoksin (Vit.B6) tab 10 mg 124 tablet 14500 610
163 Plester 5 x 2 2,000 rol 9
164 Propilthiourasil ( PTU ) 292 tablet 300
165 Propanolol 10 mg 66 tablet 300
166 Piroksikam 10 mg 132 tablet 5400
167 Piroksikam 20 mg 176 tablet 5800 544
168 Phenobarbital 30 mg 66 tablet 892
169 Phenobarbital inj 1,890 ampl
170 Prednison 5 mg 66 tablet 6800 480
171 Quinin 200 mg 704 tablet
172 Ranitidin 150 mg 126 tablet 4800 500
173 Ringerlaktat larutan infus 7,150 botol 9
174 Retinol 100.000 IU 298 kapsul
175 Retinol 200.000 IU 482 kapsul 4000
176 Salbutamol 2 mg 62 tablet 1500 298
177 Salbutamol 4 mg 95 tablet 36
178 Salisyl talk 2% 1,250 sachet 140 16
179 Salep -24 2,554 pot 24 17
nama obat harga satuan satuan
no
2 3 4
180 Scabimite Cream 5% 12,155 tube 15 12
181 Safety box 16,501 piece 190
182 Sefadroksil sirup kering 125 mg/5ml 4,485 botol 33
183 Semenseng fospat 137,500 botol
184 Silk 3.0 dgn jarum bedah 3,139 sachet 11 5
185 Simvastatin tab 10 mg 133 tablet 1260 270
186 Sianokobalamin ( Vit B12 ) tablet 57 tablet 6400 1190
187 Serum Anti Tetanus (ATS) 1500 u/ Tetagr 170,000 vial 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 3
192 Tetrasiklin 250 mg 154 kapsul
193 Tetrasiklin 500 mg 319 kapsul 400 10
194 Temporarystopping (Flecher) P+L 319,000 botol
195 Thiamin tablet ( Vit B1 ) 50 mg 89 tablet 5600 190
196 Triheksifenidil 2 mg 92 tablet 4800 80
197 Tablet Tambah Darah Neo 400 tablet
198 Vitamin Bkomplek 121 tablet 9400 325
199 Ventolin rotacaps 450 kapsul 384 48
200 Ventolin rotahaler 6,550 buah 14
201 Ventolin Nebules 2,5mg 6,930 ampul
202 Vitamin dan Mineral (Vitalex) 440 kapsul
203 Wing Needle 25G 1,400 buah 60
204 Yodium Povidon 30 ml 2,250 botol 9
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 900 260
Risperidon tablet 5300 166
PUSKESMAS : PADANG SELASA
KOTA : PALEMBANG
PROPINSI : SUMATERA SELATAN

No Nama Obat Satuan Stok Awal Penerimaan Persediaan


1 2 3 4 5
1 Alat suntik 2,5 ml/3 ml Set 242 242
2 Alat suntik 5 ml Set 700 700
3 Albendazole 400 mg tablet - -
4 Alkohol Swab kotak 4 4
5 Acetosal (Miniaspi 80 mg),100mg tablet 219 219
6 Acetylcystein 200 mg tablet - -
7 Alopurinol 100 mg tablet 2,904 2,904
8 Alopurinol 300 mg tablet - -
9 Ambroxol sirup 15 mg/ml botol - -
10 Aminofilin 200 mg tablet 100 100
11 Amlodipin tab 5 mg tablet - -
12 Amlodipin tab 10 mg tablet 880 880
13 Amoksisilin syrup 125 mg/ 5ml botol 106 106
14 Amoksisilin dry syrup 250 mg/ 5ml botol - -
15 Amoksisilin 250 mg kapsul 560 560
16 Amoksisilin 500 mg kaplet 9,840 9,840
17 Amoksisilin+as klavulanat 625mg tab tablet - -
18 Antasida doen tablet tablet 12,240 12,240
19 Antasida doen suspensi botol 345 345
20 Antibakteri salep kombinasi (Bevalex) tube 88 88
21 Antifungi doen kombinasi ( white field ) tube 4 4
22 Anti Migran (Ergotamin Coffein) tablet - -
23 Amitriptilin tablet salut 25 mg tablet - -
24 Asam Askorbat 50 mg tablet 13,517 13,517
25 Asam Mefenamat 500 mg tablet 11,665 11,665
26 Asiklovir krim 5% tube 66 66
27 Asiklovir 200 tablet - -
28 Asikovir 400 tablet 510 510
29 Asam folat 0,4 mg tablet - -
30 Attapulgite (Pularex 630 mg) tablet 1,643 1,643
31 Articulating paper kotak - -
32 Betametson krem 0,1 % tube 84 84
33 Bisakodil supp 5 mg anak suppos 20 20
34 Anti bakteri doen zalf (bacitracin) 389 389
35 Bisakodil tab 5 mg tablet - -
36 Betahistin Mesilate tablet 1,716 1,716
37 Burnazin cream tube 57 57
38 BD Syringe Soloshot mini 0,05ml kotak - -
39 BD Syringe Soloshot mini 0,5ml kotak - -
40 Composite botol - -
41 Cat gut saset 48 48
42 Ciprofloxacin 500 mg tablet 4,840 4,840
43 Cetrizine 10 mg tablet 300 300
44 Cetrizine syr 5 mg botol 152 152
45 Clobazam 10 mg tab tablet 2,052 2,052
46 Carbamazepin 200 mg tablet 1,170 1,170
47 Cooper T (380A) unit - -
48 Calamed lotion botol - -
49 Caviton White botol - -
50 Cimetidin 200mg kapsul - -
51 Chlorfenolkamfermentol (CHKM) botol - -
52 Dexamethason inj 5 mg/ml ampl - -
53 Dexamethason tabl 0,5 mg tablet 13,160 13,160
54 Devitalisasi pasta botol - -
55 Diazepam inj ampl - -
56 Diazepam 2 mg tablet tablet - -
57 Diazepam 5 mg tablet tablet - -
58 Digoxin 0,25 mg tablet tablet 200 200
59 Diltiazem 30 mg tablet 200 200
60 Diphenhydramin inj 10 mg ampl 30 30
61 Domperidon suspensi 5mg/5ml botol 115 115
62 Domperidon 10 mg tablet 3,170 3,170
63 Doksisiklin kapsul 100 mg kapsul - -
64 Etakridin ( Rivanol ) larutan 0,1 % botol 158 158
65 Etanol 70 % @ 100 ml botol 1 1
66 Etanol 70 % @ 1000ml 7 7
67 Ethyl klorida spray botol 13 13
68 Eugenol botol 1 1
69 Eritromycin syr kering 200mg/5ml botol 126 126
70 Erythromisin kap 250 mg kapsul - -
71 Erythromisin kap 500 mg kapsul - -
72 Epineprine 0,1 % Inj (Adrenalin) ampl 30 30
73 Fitomenadion / vit k 10 mg tablet 660 660
74 Fitomenadion Injeksi 2mg/ml ampl - -
75 Fenol Glyserol 10 % TT botol 81 81
76 Ferro Fumarat + As. Folat (Hemafort) tablet 500 500
77 Furosemide 40 mg tablet 450 450
78 Flagyl suppos 0,5 gr buah 40 40
79 Garam oralit saset 326 326
80 Gentamisin salep mata 0,3 % tube - -
81 Gentamisin sulfat Ttm 0,3 % botol 197 197
82 Gentamisin salep kulit (Gentalex) tube - -
83 Gemfibrozil 300 mg tablet - -
84 Glasionomer semen botol 1 1
85 Glimepiride 1 mg tablet 2,810 2,810
86 Glimepiride 2 mg tablet - -
87 Griseofulvin tablet 1,280 1,280
88 Gliseril Guaiakolat tablet - -
89 Glukosa lart. Infus 5 % botol 19 19
90 Glukosa lart. Infus 10 % botol 3 3
91 Glibenklamid 5 mg tablet 1,060 1,060
92 Haloperidol 1,5 mg tablet 970 970
93 Haloperidol 5 mg tablet 3,000 3,000
94 Handscoon Steril 7,5 sachset - -
95 Handscoon non-steril kotak 15 15
96 H C T 25 mg tablet 127 127
97 Hidrokortison 2.5 % krim tube 108 108
98 Iliadin drop (Obat tetes hidung) botol - -
99 Ibuprofen 200 mg tablet - -
100 Ibuprofen 400 mg tablet - -
101 Ibuprofen 100 mg/5ml botol 81 81
102 Infus Set Dewasa Set 7 7
103 Isosorbid dinitrat 5 mg tablet - -
104 Kalsium laktat tablet 3,530 3,530
105 Kapas 250 grm rol 8 8
106 Kasa steril 40 x 40 cm rol - -
107 Kasa steril 16 x 16 cm rol 43 43
108 Kasa 4x15 rol 50 50
109 Kaptopril 25 mg tablet 1,066 1,066
110 Kaptopril 12,5 mg tablet 900 900
111 Ketokenazol cream tube 197 197
112 Ketokenazol tab 200 mg tablet 144 144
113 Khloramfenikol 250 mg kaps 480 480
114 Khloramfenikol salep mata tube 184 184
115 Khloramfenikol tetes mata - -
116 Kloramfenikol TT (Reco TT 3%) botol - -
117 Klorfeson cream tube - -
118 Klindamisin 300 mg kapsul 250 250
119 Klorfeniramine maleat (CTM) tablet 9,635 9,635
120 Kodein 10 mg tab tablet - -
121 Kotrimoksazol syrup botol 202 202
122 Kotrimoksazol tablet dewasa tablet 2,660 2,660
123 Kotrimoksazol 120 mg tablet - -
124 Kalsium Hidroksida Pasta botol - -
125 Klorpromazin 100 mg tablet 2,997 2,997
126 Lanzoprazol kapsul 30 mg kapsul 860 860
127 Loratadin 10 mg tablet - -
128 Loperamid tablet 2 mg tablet - -
129 Lidokain HCl inj 2% 2ml ampl - -
130 Lidokain inj 2% + Efinefrin 2ml komb ampl 192 192
131 Leukoplast 2,5cm x 4,5cm roll 17 17
132 Lysol botol 18 18
133 Multivitamin Anti Anemia (Livron B-plex) tablet 6,250 6,250
134 Magnesium Sulfat Inj IV 20%-25ml vial 5 5
135 Magnesium Sulfat Inj IV 40%-25ml vial - -
136 Masker kotak 7 7
137 Meloksikam 15 mg tablet 2,029 2,029
138 Metformin HCl tab 500 mg tablet 1,945 1,945
139 Metformin 850 mg tablet - -
140 Metilergometrin tab 0.125 mg tablet - -
141 Metilergometrin inj 0.2 mg/1ml ampl 5 5
142 Metilprednisolon tab 4 mg tablet 5,790 5,790
143 Metronidazol 250 mg tablet 852 852
144 Metronidazol 500 mg tablet - -
145 Metochlopramide 5 mg tablet tablet - -
146 Mikonazol krem tube - -
147 Molex flu kaplet tablet - -
148 Molex flu syrup 60ml botol - -
149 Natrium diklofenac 25 mg tablet 2,060 2,060
150 Natrium diklofenac 50 mg tablet - -
151 Natrium Klorida lart infus botol 9 9
152 Nistatin 100 000 UI tab vaginal tablet - -
153 Nipedipin tablet 10 mg tablet 1,715 1,715
154 Obat Suntik K.B I / Andalan Harmonis vial - -
155 Omeprazol kap 20 mg kapsul 2,240 2,240
156 Oxytocin inj 10iu ampul 8 8
157 Oksitetrasiklin 3% salep kulit tube - -
158 OBH Molex syrup 60ml botol - -
159 Parasetamol syrup botol 180 180
160 Parasetamol drop botol - -
161 Parasetamol 500 mg tablet 16,720 16,720
162 Papaverin 40 mg tablet 1,230 1,230
163 Pirantel Suspensi 125 mg/ 5ml botol - -
164 Pirantel 125 mg tablet tablet 105 105
165 Piridoksin (Vit.B6) tab 10 mg tablet 15,610 15,610
166 Plester 5 x 2 rol 9 9
167 Propilthiourasil ( PTU ) tablet 300 300
168 Propanolol 10 mg tablet 300 300
169 Piroksikam 10 mg tablet 5,700 5,700
170 Piroksikam 20 mg tablet 6,844 6,844
171 Phenobarbital 30 mg tablet 892 892
172 Phenobarbital inj ampl - -
173 Prednison 5 mg tablet 7,580 7,580
174 Quinin 200 mg tablet - -
175 Ranitidin 150 mg tablet 5,500 5,500
176 Ringerlaktat larutan infus botol 9 9
177 Retinol 100.000 IU kapsul - -
178 Retinol 200.000 IU kapsul 4,036 4,036
179 Salbutamol 2 mg tablet 1,798 1,798
180 Salbutamol 4 mg tablet 236 236
181 Salisyl talk 2% sachet 176 176
182 Salep -24 pot 41 41
183 Scabimite Cream 5% tube 27 27
184 Safety box piece 190 190
185 Sefadroksil sirup kering 125 mg/5ml botol 33 33
186 Semenseng fospat botol - -
187 Silk 3.0 dgn jarum bedah sachet 16 16
188 Simvastatin tab 10 mg tablet 1,650 1,650
189 Sianokobalamin ( Vit B12 ) tablet tablet 8,090 8,090
Serum Anti Tetanus (ATS) 1500 u/
190 vial 10
Tetagram.P 10
191 Superhoid suppos (Anti Hemoroid) kotak - -
192 Solare Anterior/Pasterior botol - -
193 Spironolakton 25 mg tablet - -
194 Stesolid rectal 5 mg tube 3 3
195 Tetrasiklin 250 mg kapsul - -
196 Tetrasiklin 500 mg kapsul 400 400
197 Temporarystopping (Flecher) P+L botol 1 1
198 Thiamin tablet ( Vit B1 ) 50 mg tablet 6,290 6,290
199 Triheksifenidil 2 mg tablet 4,880 4,880
200 Tablet Tambah Darah Neo tablet - -
201 Vitamin Bkomplek tablet 10,225 10,225
202 Ventolin rotacaps kapsul 432 432
203 Ventolin rotahaler buah 14 14
204 Ventolin Nebules 2,5mg ampul - -
205 Vitamin dan Mineral (Vitalex) kapsul 4,000 4,000
206 Wing Needle 25G buah 60 60
207 Yodium Povidon 30 ml botol 9 9
208 Yodium Povidon 60 ml botol - -
209 Yodium Povidon 300 ml botol - -
210 Zinkid 10mg/5ml botol - -
211 Zink tablet 20 mg kaplet 1,160 1,160
212 Risperidon tablet 5,466 5,466

VAKSIN
HEPATITIS
BCG
PENTABIO
CAMPAK
POLIO
TT
Td

Mengetahui
Pimpinan Puskesmas

drg. Lizanna Farianty


NIP. 196209031992032004

molek flu capl


ranitidin injeksi
thiamflex 500 mg caps
thiamflex syrup

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

Total Sisa Stok


22 23 24 25 26 27 28 29 30 31
- 242
- 700
- -
- 4
- 219
- -
- 2,904
- -
- -
- 100
- -
- 880
- 106
- -
- 560
- 9,840
- -
- 12,240
- 345
- 88
- 4
- -
- -
- 13,517
- 11,665
- 66
- -
- 510
- -
- 1,643
- -
- 84
- 20
- 389
- -
- 1,716
- 57
- -
- -
- -
- 48
- 4,840
- 300
- 152
- 2,052
- 1,170
- -
- -
- -
- -
- -
- -
- 13,160
- -
- -
- -
- -
- 200
- 200
- 30
- 115
- 3,170
- -
- 158
- 1
- 7
- 13
- 1
- 126
- -
- -
- 30
- 660
- -
- 81
- 500
- 450
- 40
- 326
- -
- 197
- -
- -
- 1
- 2,810
- -
- 1,280
- -
- 19
- 3
- 1,060
- 970
- 3,000
- -
- 15
- 127
- 108
- -
- -
- -
- 81
- 7
- -
- 3,530
- 8
- -
- 43
- 50
- 1,066
- 900
- 197
- 144
- 480
- 184
- -
- -
- -
- 250
- 9,635
- -
- 202
- 2,660
- -
- -
- 2,997
- 860
- -
- -
- -
- 192
- 17
- 18
- 6,250
- 5
- -
- 7
- 2,029
- 1,945
- -
- -
- 5
- 5,790
- 852
- -
- -
- -
- -
- -
- 2,060
- -
- 9
- -
- 1,715
- -
- 2,240
- 8
- -
- -
- 180
- -
- 16,720
- 1,230
- -
- 105
- 15,610
- 9
- 300
- 300
- 5,700
- 6,844
- 892
- -
- 7,580
- -
- 5,500
- 9
- -
- 4,036
- 1,798
- 236
- 176
- 41
- 27
- 190
- 33
- -
- 16
- 1,650
- 8,090

- 10

- -
- -
- -
- 3
- -
- 400
- 1
- 6,290
- 4,880
- -
- 10,225
- 432
- 14
- -
- 4,000
- 60
- 9
- -
- -
- -
- 1,160
- 5,466
Keterangan

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