LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (OBAT)

PUSTU/ BIDES/ PERAWAT

BULAN : Juli 2018

Sisa Stok
No. Nama Obat Satuan Stok Awal Penerimaan Persediaan Pemakaian Permintaan Pemberian Ket
Stok Optimun
1 Acetosal 100 mg 0 0 0 0 0
2 Acyclovir salep 0 0 0 0 0
3 Acyclovir tab 200 mg 5 0 5 0 5
4 Acyclovir tab 400 mg 100 0 100 0 100
5 Alat Suntik 1 ml 0 0 0 0 0
6 Alat Suntik 2,5 ml 0 0 0 0 0
7 Alat Suntik 5 ml 0 0 0 0 0
8 Albendazole 0 0 0 0 0
9 Alkohol 1 liter 0 0 0 0 0
10 Allopurinol 100 mg 0 0 0 0 0 100
11 Ambroxol Syr 10 0 10 3 7 10
12 Ambroxol Tab 70 0 70 0 70
13 Aminophilin 200 mg 0 0 0 0 0
14 Aminophilin Inj 0 0 0 0 0
15 Amlodhipin 10 Mg 0 0 0 0 0
16 Amlodhipin 5 Mg 0 0 0 0 0
17 Amoxicilin 500 mg ( Pehamoxil Forte ) 30 100 130 70 60 200
18 Amoxicilin Sy 125 mg 10 0 10 6 4 10
19 Ampicilin 250 mg 0 0 0 0 0
20 Ampicilin 500 mg 0 0 0 0 0
21 Ampicilin Inj 0 0 0 0 0
22 Ampicillin Syr 0 0 0 0 0
23 Antalgin 20 0 20 0 20 100
24 Antrain inj 0 0 0 0 0
25 Antasida 50 100 150 80 70 100
26 Antasid syr 3 0 3 3 0 20
27 Anti Hemoroid 0 0 0 0 0
28 Aqua 20 ml 0 0 0 0 0
29 Aqua 25 ml 0 0 0 0 0
30 Arsuamon 0 0 0 0 0
31 Arco 0 0 0 0 0
32 As. Ascorbat Vit. C 250 mg 0 0 0 0 0
33 As. Ascorbat Vit. C 50 mg 130 0 130 0 130
34 As. Mefenamat 500 mg ( Constan ) 100 100 200 80 120 100
35 Atrakuquin tab 0 0 0 0 0
36 Bacitracin Zalf 0 0 0 0 0
37 Betahistin 0 0 0 0 0
38 Bethadin Besar ( Povidone Iodine 300 ml ) 0 0 0 0 0
39 Bethadin Kecil ( Povidone Iodine 30 ml ) 0 0 0 0 0
40 Bethamethason Zalf Valerat 2 3 5 3 2
41 bicolax 0 0 0 0 0
42 bismicon 0 0 0 0 0
43 Calcium Lactate 0 0 0 0 0
44 Captopril 12,5 mg 100 0 100 30 70 100
45 Captopril 25 mg 180 0 180 60 120 100
46 Carbo Gliserin 100 0 100 0 100
47 Catheter 0 0 0 0 0
48 Cat Gut 2/0 3/0 0 0 0 0 0
49 Catgut plant 3 0 3 0 3
50 Cefadroxil 40 0 40 0 40 100
51 Cefadroxil syr 7 0 7 4 3 10
52 Cefotaxime inj 0 0 0 0 0
53 Ceftriaxon inj 0 0 0 0 0
54 Cendo Cetamid 0 0 0 0 0
55 Cendo Tetracain 0 0 0 0 0
56 Cendo Tropin 0 0 0 0 0
57 cetokonazol cream 7 0 7 0 7
58 Cetrizine 10 mg 0 0 0 0 0
59 Cimetidin 0 0 0 0 0
60 Ciprofloxacin 30 0 30 30 0 100
61 Coro Sorb 0 0 0 0 0
62 Cotrimoxazol Syr 0 0 0 0 0 20
63 Cotrimoxazole 480 mg Tb 40 0 40 30 10 100
64 Cotrimoxazole Pediatrik 0 0 0 0 0
65 CPZ 0 0 0 0 0
66 CTM 0 0 0 0 0 100
67 Cyanocobalamin Inj 0 0 0 0 0
68 Dexamethason 0,5 mg Tb 120 0 120 50 70 100
69 Dexamethason Inj 0 0 0 0 0
70 Diaramid 0 0 0 0 0
71 Diazepam Inj 0 0 0 0 0
72 Diazepam Tb 0 0 0 0 0
73 Difenhidramin Injeksi 0 0 0 0 0
74 Digoxin Tb 0 0 0 0 0
75 DMP Sy 0 0 0 0 0
76 DMP Tb 0 0 0 0 0
77 Domperidon Syr 14 0 14 0 14
78 Duradryl 0 0 0 0 0
79 Efedrin Tb 0 0 0 0 0
80 Ergotamine Caffein 0 0 0 0 0
81 Eritromycin 0 0 0 0 0
82 Eritromycin syr 0 0 0 0 0
83 Etakridin Etanol 0 0 0 0 0
84 Etanol 70 % 0 0 0 0 0
85 Etil Chloride 0 0 0 0 0
86 Eugenol Cairan 0 0 0 0 0
87 Extrak Belladon 0 0 0 0 0
88 Fenol gliserol tetes telinga 0 0 0 0 0
89 Fitomenadion/ Vit.K Inj 0 0 0 0 0
90 Fitomenadion/ Vit.K Tb 0 0 0 0 0
91 Furosemide Tb 0 0 0 0 0
92 Gameksan Lotion 0 0 0 0 0
93 Garam Oralit 200 ml 0 0 0 0 0 100
94 Gentamicin Zalf 0 0 0 0 0
95 Gentian Violet 0 0 0 0 0
96 GG 0 0 0 0 0 100
97 Gitri 480 0 0 0 0 0
98 Glibenclamide Tb 20 0 20 10 10 100
99 Gliserin 0 0 0 0 0
100 Glukosa 10% 0 0 0 0 0
101 Glukosa 5% 3 0 3 0 3
102 Grafadon Syr 0 0 0 0 0
103 Griseofulvin Tb 0 0 0 0 0
104 Guanistrep syr 6 5 11 2 9 6
105 HCT Tb 0 0 0 0 0
106 hemafort 0 0 0 0 0
107 Hidrokortison Zalf 0 0 0 0 0 10
108 Hyosine Butirat 0 0 0 0 0
109 Ibuprofen Syr 2 0 2 2 0 10
110 Ibuprofen 200 mg 0 0 0 0 0
111 Ibuprofen 400 mg 240 0 240 80 160
112 Ihtiol Zalf 0 0 0 0 0
113 Interhistin 0 0 0 0 0
114 Infuset Anak 0 0 0 0 0
115 Infuset Dewasa 10 5 15 0 15
116 ISDN 0 0 0 0 0
117 Kalium Permanganat 0 0 0 0 0
118 Kapas Pembalut 0 0 0 0 0
119 Kasa 4 x 3 0 0 0 0 0
120 Kasa 18 x 22 0 0 0 0 0
121 Kasa Hidrofil 2x80 0 0 0 0 0
122 Kasa Kompres 40x40 0 0 0 0 0
123 Ketokonazol cream 0 0 0 0 0
124 Khlorampenicol 250 mg Kps 0 0 0 0 0
125 Khlorampenicol Tts Telinga 1 0 1 1 0 5
126 Khloroquin Tb 0 0 0 0 0
127 Kloramfenicol Syr 0 0 0 0 0
128 Kloramfenikol salep mata 0 0 0 0 0
129 Kodein 0 0 0 0 0
130 Lar.PK 0 0 0 0 0
131 Lidocain Inj 15 0 15 0 15
132 Lisol 0 0 0 0 0
133 Lytamin Syr 0 0 0 0 0
134 Masflu Forte 0 0 0 0 0
135 Mebandazole Syr 0 0 0 0 0
136 Meloxicam 60 0 60 20 40
137 Metformin 190 0 190 30 160
138 Metilergotamin M 0 0 0 0 0
139 Metochlorpramide ( Vosea ) 0 0 0 0 0
140 Metronidazole Tb 0 0 0 0 0 100
141 micocid 0 0 0 0 0
142 Miconazole 0 5 5 0 5
143 Myomergin injeksi 0 0 0 0 0
144 NaCl Liquide 1 2 3 0 3
145 Natrium Diklofenak 25 mg 0 0 0 0 0
146 Nestacort 2,5 % 0 0 0 0 0
147 Nipedipin 0 0 0 0 0
148 Novadium Tab 0 0 0 0 0
149 Novamag Syr 0 0 0 0 0
150 Noza 20 0 20 20 0
151 OBH Sy 6 0 6 3 3 10
152 OBH Tropika 0 0 0 0 0
153 Ofloxacin 0 0 0 0 0
154 Omeprasol 0 0 0 0 0 100
155 Oxitetrasiklin Zalf Kulit 7 0 7 3 4 5
156 Oxitetrasiklin Zalf Mata 0 0 0 0 0
157 Papaverin 0 0 0 0 0
158 PCT 100 mg 0 0 0 0 0
159 PCT 500 mg 0 100 100 70 30 200
160 PCT Syr 0 5 5 4 1 10
161 Pct drop 0 0 0 0 0
162 Phenoximethyl Metil Penicillinum 0 0 0 0 0
163 Phenytoin 30 mg 0 0 0 0 0
164 Polimiksin Bacitracine 0 0 0 0 0
165 Ponflu 0 0 0 0 0
166 Povidone Iodine 0 0 0 0 0
167 Pimtracol syr 0 0 0 0 0
168 Piracetam 0 0 0 0 0
169 Pirantel Tb 0 0 0 0 0
170 Piroxicam Tab 20 0 0 0 0 0 100
171 Pitogin inj 0 0 0 0 0
172 Plester 0 0 0 0 0
173 Prednisone Tb 0 0 0 0 0
174 Primaquine Tb 0 0 0 0 0
175 Propanolol 0 0 0 0 0
176 Pyridoxin ( Vit. B6 ) 0 0 0 0 0
177 Quinine 0 0 0 0 0
178 Ranitidin Inj 0 0 0 0 0
179 Ranitidin Tb 150 0 150 50 100
180 RDT 0 0 0 0 0
181 Reserpin 0 0 0 0 0
182 Rivanol 0 0 0 0 0
183 RL Liquide 0 3 3 0 3
184 Salbutamol Tb 0 0 0 0 0
185 Salep 2-4 0 0 0 0 0
186 Salisil Talk 0 5 5 2 3 6
187 Samconal 0 0 0 0 0
188 Sammoxin Forte 0 0 0 0 0
189 Samtacid 0 0 0 0 0
190 Sangobion 0 0 0 0 0
191 Silk 6 0 6 0 6
192 simvastatin 0 100 100 0 100
193 Spiramycin 0 0 0 0 0
194 Sulfadimidin 0 0 0 0 0
195 Sulfadoxin Pyrimethamine 0 0 0 0 0
196 Sulfasetamide Tts Mata 0 0 0 0 0
197 Surflo 20 0 0 0 0 0
198 Surflo 18 0 0 0 0 0
199 Tablet tambah darah/ SF/Hemafort 0 0 0 0 0 200
200 Tensigard 0 0 0 0 0
201 Teradi 0 0 0 0 0
202 Teramycin inj 0 0 0 0 0
 203 Thiamin inj 0 0 0 0 0
204 Thiamin Tb ( Vit. B1 ) 0 0 0 0 0
205 THP 0 0 0 0 0
206 Tiamfenikol 0 0 0 0 0
207 Tramadol 0 0 0 0 0
208 Trufit Syr 0 0 0 0 0
209 Vit. B 12 0 0 0 0 0
210 Vit. B 12 Inj 1 0 1 0 1 10
211 Vit. B Komplek Tb 0 100 100 30 70 200
212 Vitamin A 0 0 0 0 0
213 Xylomidon 0 0 0 0 0
214 Zinc Tab 70 0 70 50 20 100
Caviplek syr 0 0 0 0 0
Zink Syr 0 0 0 0 0
Vastarel 0 0 0 0 0
Dextrofen Syr 15 0 15 8 7 10
Glimeperid 0 0 0 0 0
Novastan Syr 0 0 0 0 0
Lexampram syr 24 0 24 0 24
Gavistal drop 12 0 12 0 12
Neocenta 10 0 10 0 10
Asam folat 0 0 0 0 0
Bioson 0 0 0 0 0
Hanskun disposible 80 0 80 6 74
Spuit 3cc 50 0 50 4 46
Masker 37 0 37 0 37
Kateter 16 2 0 2 0 2
Kateter 18 1 0 1 0 1
Ultrasound gel 1 0 1 0 1
Kateter jely 1 0 1 0 1

JUMLAH KUNJUNGAN JKD UMUM Pelajar BPJS + JKM JUMLAH

17 0 50 67

Mengetahui. Pengelola Apotik Karang Intan, 23 Juli 2018

Kepala Puskesmas Perawatan Giri Mulia Yang Menerima/ melapor
Petugas Pustu/ Bides/ Perawat
Di Desa Karang Intan

Helminawati, S.Si.T Annisa Nur Aisyah, Amd, Farm

NIP.19701002 199101 2 002 NIP. 19900518 201402 2 005 Suratmi
Ket
Karang I 22 januari
Yang Menerima/ melapor
Petugas Pustu/ Bides/ Perawat
Di Desa Karang Intan

Suratmi