April 2020

PUSKESMAS : SAMBUNGMACAN 1
KECAMATAN : SAMBUNGMACAN
KABUPATEN : SRAGEN
NO NAMA OBAT SAT 1 2 3 4 5 6 7

arjo riztina yudha sutarmini riris srilestari aulia
A Obat Generik 4 4
A1 Acetosal 80 mg tab Tablet
A2 ACT tab Tablet
A3 Albendasol Tablet
A4 Allopurinol 100 mg tab Tablet
A5 Aminofilin inj. Ampul
A6 Aminofilin tab 200 mg Tablet
A7 Amitriptilin tab 25 mg Tablet
A8 Amlodipin 5mg Tablet
A9 Amoksisilin injeksi Vial
A10 Amoksisilin kab 500 mg Tablet
A11 Amoksisilin Sirup 125 mg Botol
A12 Ampisilin injeksi 1 gram Vial
A13 Antalgin injeksi Ampul
A14 Antalgin tab 500 mg Tablet
A15 Antasida Doen tab Tablet 6 6
A16 Antasida sirup Botol
A17 Anti Bacteri Doen salep kulit Tube
A18 Anti Hemoroid suppo Suppo
A19 Antifungi Kombinasi salep kulit Pot
A20 Artemeter inj 80 mg Ktk 6 amp
A21 Artesunate Inj ktk 8 amp
ARV FDC Dewasa : Tenofovir
A22 300mg + Lamivudine 300mg + Tablet
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet
A24 Asam Mefenamat kap 500 mg Kaplet
A25 Asam Amino Infus 500 cc Bag 500 cc
A26 Asetilsistein 200 mg Tablet
A27 Asiklovir salep kulit Tube
A28 Asiklovir tab 200 mg Tablet
A30 Atropin Sulfas inj Ampul
A31 Attapulgit ( Anti Diare Tablet ) Tablet
Benzatin Benzyl Penisilin Inj 2,4jt
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet
A34 Betahistin mesilat tab Tablet
A35 Betamethason salep kulit Tube
A36 Bisakodil tab Tablet
A37 Cefixime Azithromycin 1000 mg Paket
A38 Clindamycin 150 mg Dus
A39 Deksametason inj Ampul
A40 Deksametason tab 0,5 mg Tablet 6
A41 Diazepam inj. 5mg/2ml Ampul
A42 Diazepam rectal Tube
A43 Diazepam tab 2 mg Tablet
A44 Difenhydramin HCl inj Ampul
A45 Digoxin tab 0,25 mg Tablet
Dihydro Artemisin 40mg +
A46 Tablet
Piperaquin 320mg ( DHP ) MERSI
A47 Dimenhydrinat tab Tablet
A48 Doksisiklin 100 Tablet
A49 Domperidon suspensi Botol
A50 Domperidon tab 10 mg Tablet
A51 Efavirenz 200 mg Tablet
A53 Efinefrin ( Adrenalin inj ) Ampul
A54 Erytromicin kap 500 mg Kapsul
A55 Erytromicin sirup Botol
A56 Etakridin Lakt. ( Rivanol ) Botol
A57 Fenitoin Na. kap 100 mg Kapsul
A58 Fenobarbital inj 50mg/ml Ampul
A59 Fenobarbital tab30 mg Tablet
A60 Fenol Gliserol Botol
A61 Fitomenadion inj Ampul
A62 Fitomenadion tab 10 mg Tablet
Dus @ 10
A63 Fluoconazol 150 mg
Kap
A64 Furosemide tab 40 mg Tablet
A65 Furosemide injeksi Ampul
A66 Garam Oralit 200ml Sak
A67 Gentamicin tetes mata 0,3 % Botol
A68 Gentamicin injeksi Ampul
A69 Gentamisin salep kulit Tube
A70 Gentian Violet Botol
A71 Glibenklamide tab 5 mg Tablet
A72 Glimepiride 1 mg Tablet
A73 Gliseril guaiakolat tab Tablet 6
A74 Glukonas kalsikus Ampul
A75 Glukose 5 % larutan infus Flabot
A76 Griseofulvin tab 125 mg Tablet
A77 Haloperidol tab 0,5 mg Tablet
Hidrokhlorotiazide (HCT) tab 25
A79 Tablet
mg
A80 Hidrokortison salep kulit Tube
Hiosine-N- butilbromide tablet 10
A81 Tablet
mg
A82 Ibuprofen tab 200 mg Tablet
A84 Isoniazide tab ( INH ) Tablet
A85 Isosorbid Dinitrat Tablet
A86 Kalium Diklofenak 25 mg Tablet
A88 Kalsium Laktat tab 500 mg Tablet
A89 Kaptopril tab 25 mg Tablet
A90 Karbamazepin tab 200 mg Tablet
A91 Ketokonazole 200 mg Tablet
A92 Ketokonazole krim tube
A93 Ketoprofen inj Ampul
A94 Kinina Dihydroklorid inj Ampul
A95 Kinina HCl. Tab Tablet
A96 Klobazam tab Tablet
A97 Klonidin tab Tablet
A98 Klorafeniramin ( CTM ) tab Tablet 6
A99 Kloramfenikol salep mata 1 % Tube
A10
Kloramfenikol sirup Botol
0
A10
Kloramfenikol tetes mata 0,5 % Tube
1
A10
Kloramfenikol tetes telinga Kapsul
2
A10
Kloramfenikol kap 250 mg Botol
3
A10
Klorokuin tab 150 mg Tablet
4
A10
Klorpromasin injeksi Ampul
5
A10
Klorpromasin tab 25 mg Tablet
6
A10
Kotrimoksazol suspensi Botol
7
A10
Kotrimoksazol tab 120 mg Tablet
8
A10
9
A11
Lamivudine (3TC) 150 mg Tablet
0
A11
Lidokain comp injeksi Ampul
1
A11
Loperamid Tablet
2
A11 Lopinavir 200 mg, Ritonavir
Tablet
3 ( LPV/r ) 50 mg ( ALUVIA )
A11
Mebendazol tab100 mg Tablet
4
A11
Metformin 500 Tablet
5
A11
Methoklopramide injeksi Ampul
6
A11
Methoklopramide sirup Botol
7
A11
Methoklopramide tab10 mg Tablet
8
A11
Metilergomet injeksi 0,2 mg Ampul
9
A12
Metilergomet tab 0,125 mg Tablet
0
A12
Metilprednisolon 4 Tablet
1
A12
Metronidazol tab 500 mg Tablet
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
Myconazol salep kulit Tube
6
A12
Na tiroksin Tablet
7
A12
Na. Bic. Tab 500 mg Tablet
8
A12
Na. Cl. Infus Flabot
9
A13
Natrium Dikofenak 50 Tablet
0
A13
1 Nevirapine 200 mg Tablet
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
O A T - FDC anak Paket
4
A13
O A T - FDC kat 1 & 3 Paket
5
A13
O A T - FDC kat 2 Paket
6
A13
O A T - FDC sisipan Paket
7
A13
O A T Katagori - 1 Paket
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
Obat Batuk Hitam sirup Botol
2
A14
Oksitetrasiklin salep kulit 3 % Tube
3
A14
Oksitetrasiklin salep mata Tube
4
A14
Oksitetrasiklin 50mg/ml inj Flacon
5
A14
Oksitocin 10mg/ml inj Ampul
6
A14
Omeprazol kaps Kapsul
7
A14
Oseltamivir Kapsul Kapsul
8
A14
Paket Kusta MB Anak Blister
9
A15
Paket Kusta MB Dewasa Blister
0
A15
Paket Kusta PB Anak Blister
1
A15
Paket Kusta PB Dewasa Blister
2
A15
Parasetamol Drops Botol
3
A15
Parasetamol sirup Botol
4
A15
Parasetamol tab 500 mg Tablet 6 6
5
A15
Piracetam 400 Kapsul
6
A15
Piridoksin tab 10 mg Tablet
7
A15
Piroksikam tab 10 mg Kapsul
8
A15
Povidon Iodium 10% 30 ml Botol
9
A16
0
A16
Prednison tab 5 mg Tablet
1
A16
Primakuin tab 15 mg Tablet
2
A16
Proc. Pen. 3 juta inj Vial
3
A16
Prokain Benzil Penisilin Vial
4
A16
Propanolol tab 40 mg Tablet
5
A16 Propylthioracil ( PTU ) tab 100
Tablet
6 mg
A16
Pyrantel tab 125 mg Tablet
7
A16
Ranitidine 150 mg Tablet
8
A16
Ranitidine inj ampul
9
A17
Retinol 100.000 iu Kab Btl @50
0
A17
1
A17
Ringer Asetat Infus Flabot
2
A17
Ringer Laktat Infus Flabot
3
A17
Salbutamol Cairan ih 0,1% Nebule
4
A17
Salbutamol tab 2 mg Tablet
5
A17
6 Salep 2 - 4 kombinasi Pot
A17
Salysil bedak 2 % Botol
7
A17
Sefadroksil 500 cps Kapsul
8
A17
Sefotaxim 1g inj Vial
9
A18
Seftriaxon inj Vial
0
A18
Serum ABU 5 ml inj. Flacon
1
A18
Serum ATS 1.500 iu inj Ampul
2
A18
Setirizin 10 mg Tablet
3
A18
Setirizin Sirup Botol
4
A18
Sianokobalamin inj ( Vit. B12 ) inj Ampul
5
A18 Sianokobalamin tab ( Vit. B12 )
Tablet
6 tab
A18
Simetidin tab Tablet
7
A18
Simvastatin 10 Tablet
8
A18
Siprofloxacin tab 500 mg Tablet
9
A19
Sulfacetamid tetes mata Botol
0
A19
Tenofovir (TDF) 300 mg Tablet
1
A19 Tenofovir 300 mg + Emtricitabine
Tablet
2 200 mg
A19
Tiamfenikol kap 500 mg Kapsul
3
A19
Tiamin HCl / B1 injeksi 100mg /ml Ampul
4
A19
Tiamin HCl / B1 tab 100 mg Tablet
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6
6
A19
Triheksifenidil tab 2 mg Tablet
7
A19
Vitamin B Komplek tab Tablet
8
A19
Zidovudine Tablet
9
A20 Zidovudine + Lamivudine ( 300 mg
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B1 Antasida + Simetikon Tablet
B2 Antasida + simetikon sirup Botol
Anti Diare kombinasi sirup ( Anak
B3 Botol
)
B4 Anti Hemorhoid kapsul Kapsul
B5 Anti Hipertensi Herbal Kapsul
Anti radang topikal mengandung
B6 Tube
triamsinolon acetonide 1 mg
B7 Anti spasmodik inj / spasi inj Ampul
B8 Asam Askorbat tab 500 + Vitamin Tablet
Betamethason + Antibiotik salep
B9 Tube
kulit
B10 D 1/2NS Flabot
B11 Flunarizin 5 mg Tablet
B12 Kombinasi Lutein 6 mg, Ekstrak Kapsul
buah Bilberry 80 mg
B13 Methyl Cobalamin 500 Kapsul
B14 Minyak kayu putih Botol
B15 Minyak telon Botol
B16 Multivitamin sirup ( Anak ) Botol
B17 Multivitamin tab ( Dewasa ) Tablet
B18 Peluruh Batu Ginjal Botol
B19 Salep Luka Bakar Tube
B20 Sirup Flu dan Batuk Kombinasi Botol
B21 Tablet Tambah Darah + Vitamin Tablet
B22 Vitamin Neurotropik inj Ampul
0 0 0
C OBAT GIGI 0
C1 Air raksa dental use Botol
C2 Bahan bonding botol
C3 Bahan Etsa botol
C4 Devitalisasi Pasta Botol
C5 Etil Klorida semprot Botol
C6 Eugenol sol Pot
C7 Flour tablet Tablet
C8 Glass Ionomer Cement ( Fuji IX ) Pot
C9 Glass Ionomer Cement ( Fuji VII ) Pot
C10 Kalsium hydroksi pasta dos
C11 Komposit Tube
C12 Lidokain Spray Botol
Monokror Kamfer Menthol
C13 Pot
( CHKM )
C14 Mumiying Pasta Biji
C15 Semen Seng Fosfat p+liq Botol
C16 Silver Amalgam Botol
C17 Spons Gelatin Cubices Dos
C18 Temp+Stopp Fletc p+liq Set
C19 Trikresol Formalin ( TKF ) Botol
C20 Yodium Gliserin Cc
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D4 Alat suntik 1 ml Biji
D5 Alat suntik 2,5 ml / 3ml Biji
D6 Alat Suntik 5 ml Biji
D7 Anti Septik Handrub Box@10
D8 Antiseptik Botol
D9 Aqua Pro injeksi Flacon
D10 Cat Gut Roll
D11 Cotton Aplikator Buah
D12 Etanol 70 % Botol
D13 Expert Check Kit Unit
D14 Hand Scoen Biji
D15 Hand Scoen Steril Pasang
D16 Infus Set anak Biji
D17 Infus Set dewasa Biji
D18 IV Cateter No. 18 Biji
D19 IV Cateter No. 20 ( Dewasa ) Biji
D21 IV Cateter No. 24 ( Anak ) Biji
D22 IV Dresing Biji
D23 Jarum Bengkok / Jahit Biji
D24 Jarum Suntik Biji
D25 Kapas Adsorben 250 gr Roll
D26 Kasa panjang 40 yard x 80 cm Roll
D27 Kasa Pemb Hydro 4 m x 15 cm Roll
D28 Kasa Steril 16 x 16 ( 16 lmb ) Dos
Kasa steril mengand:Framasetin
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D32 Masker N 95 Biji
D33 Masker N 95 + Aura Biji
D34 Masker Nebulizer Biji
D35 Mess Biji
D36 Plester 5 yardx2inch Roll
D37 Poly Cateter No. 14 Biji
D40 Pot dahak Biji
D41 Rotator Buah
D42 Safeglove PF Pasang
D43 Safety box Buah
D44 Selang oksigen anak Biji
D45 Selang Oksigen dws Biji
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E3 Iodida Test Botol
E4 Iodium Test Botol
E5 KOH 10% Botol
E6 Larutan Asam Klorida 1 % Botol
E7 Lugol Botol 100 ml
E8 Methylen Blue 0.3% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E12 pH Paper Cat 9555 Merck Roll
E13 Rapid Tes HIV Ke-1 Test
E16 Rapid Tes Shipilis ( SD ) Test
E17 RDT Anti HCV ( Hepatitis C ) Test
RDT DBD Combo ( NS1 + IgG/IgM
E18 Test
)
E19 RDT Leptospirosis Test
E20 RDT Malaria Test
E21 Reagen Zn Botol
E22 TCM Cartridge Xpert MTB/Rif Buah
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F1 BCG + Pelarut Ampul
F2 Campak + Pelarut Vial
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
F5 HBIG ( Hiperhep-B )
0,5 ml
F6 HEP.B (PID) / HB 0 Buah
F7 MR Vial
F8 Polio bOPV + Dropper Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
F12 Vaksin Anti Rabies ( VAR ) Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
rini sumi laksana sudarmini ngadiyem tariyo titik sarmini dinem eko wirloso narsi madinem
2 4 5 3 3 3 4
6
1
20
6
6 6
6 6
6 6
6
6 6 6 6 6
6 6
6
6 6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
riddok shofiati rizki ismi suji rizki aina suwarni hadi laminingsi ngatimin suparni rebiyanti
4 2 2 2 4 2 4 4 4 3
6 6
6
20
3 6 3 6
3
3 6 3
6
6 6 6
3 6 3
1 1
6 3 6 3 6 6 6
9
6 6
6 6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
parini sumaji siti tumiyem nurtri
5 4 3 2
6
20
6
6 6
6 6 6
6
6
6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN APRIL 2020
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
77
0
0
0
0
0
0
0
0
0
24
0
0
0
0
36
1
0
0
0
0
0
0
6
6
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
30
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
96
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugito tukini darso adelio salsa eri painem
A Obat Generik 4 4 4 2 4
A2 ACT tab Tablet
A15 Antasida Doen tab Tablet 6
Efavirenz 600mg
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 20
A34 Betahistin mesilat tab Tablet 6
A46 Tablet
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet
A79 Tablet
mg
A81 Tablet
mg
A88 Kalsium Laktat tab 500 mg Tablet 6
A89 Kaptopril tab 25 mg Tablet 6
A98 Klorafeniramin ( CTM ) tab Tablet
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 6
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
Piridoksin tab 10 mg Tablet 6
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
Salbutamol tab 2 mg Tablet 6 6
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
Setirizin 10 mg Tablet 6 6
3
A18
4
A18
5
Tablet 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6 6
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sunarni suwartini umi suwarni tanu suprapti dwinurul srimulyani sriyanti aira wiro sukamto sajinem
3 3 3 3 4 2 3 4 4
6
6
3
6
6 6 6
6 6
6 6
1
10 10 6 6 6
10 10 10
6 6
1 1
21 22 23 24 25 26 27 28 29 30 31 32 33
sumiyati marlina wiwin nauval jami joko sitirahayu meitri alvarsi alvaro suginem dian alvian
2 3 3 3 2 3 1 1 4 4 4
4 10 9 9 6
6 3 3
20
4 3 3 6
10 6
6 3 3
5 6 3 3 6 6
6
5
6
4 6 6 6 6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
teguh yeni mufida darmi kemanto rivano sukino tukiyem dendi sukiyo surami kusno
4 2 2 4 4 5 2 3
5 9
3 6
6 6 6
6
6 6 6
1
6
6 6
6 6
6
5 6 3 6 6
6
1
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
103
0
0
0
0
0
0
0
0
0
55
0
0
0
0
27
0
0
0
1
0
0
0
36
0
0
0
0
0
0
0
6
0
40
12
0
0
0
0
0
43
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
30
0
0
0
0
0
0
0
0
53
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
5
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
1
104
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
42
0
0
24
0
0
0
0
0
0
9
0
0
30
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sunarto cipto harjo jiyem srihastuti tusiyamah suratmi
A Obat Generik 3 4 4 3 6 4
A2 ACT tab Tablet
A4 Allopurinol 100 mg tab Tablet 6 3
A6 Aminofilin tab 200 mg Tablet 4
A10 Amoksisilin kab 500 mg Tablet 6 6
A15 Antasida Doen tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6 6 6
A46 Tablet
A54 Erytromicin kap 500 mg Kapsul 5
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
Metformin 500 Tablet 6
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 6 6 6
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
Omeprazol kaps Kapsul 2
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6
5
A15
6
A15
7
A15
Piroksikam tab 10 mg Kapsul 6
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17 1
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
Setirizin 10 mg Tablet 6
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
Vitamin B Komplek tab Tablet 6
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suhardi ngadiyem suparmin sani sukiyem marinem sunarsi daryati indah ria rishal yulia suwarti
4 4 4 4 4 5 4 6 2 6
2 3
3
6 6 6 6 6 6 3 6
5 5 5 5
1
6 6 6 6 6
5 5 5 5
6 6
6 6 6
2 4 2
1
6 6 6 6 6
6
1
1
21 22 23 24 25 26 27 28 29 30 31 32 33
sukarti iis pariyem kaminem samto grasio sumadi karto parini erlin wijayanti yatmini
4 4 5 2 5 4 4 2 4
3 3 3
20
6 4 6 6 6 6
1
6 6 6
5 5 5 3
6 6
6 6 6 6
4 6
6 4 6
8
1
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
101
0
0
0
23
0
4
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
97
0
0
0
0
4
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
54
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
43
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
24
0
0
0
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
1
52
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
2
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
8
0
0
6
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

arjo sriyanti puji sripuji suwarno endang haris
A2 ACT tab Tablet
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 10 6
A24 Asam Mefenamat kap 500 mg Kaplet 6
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 10 6
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet
6
A19
7
A19
Vitamin B Komplek tab Tablet 6 6
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
almeera kimanto demi pariyem tatik renra erlin vatmawati devi bebiku anik robi utami
1 3 2 3 3 2 5 4
4 6 10
10 6
6 3
5
1
6 6
6 3
3 6 3 5 6
1
1
4
6 10 3 6 6
9
3 3
21 22 23 24 25 26 27 28 29 30 31 32 33
riski cipto
8
6
1
6
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
41
0
0
0
0
0
0
0
0
0
44
0
0
0
0
12
0
0
0
0
0
0
0
16
6
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
5
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
18
0
0
0
0
0
0
0
0
6
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
23
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
59
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN JULI 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

parti hadi rumiyati sutarno nuryanto hartatik mariyam
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 9
Efavirenz 600mg
A24 Asam Mefenamat kap 500 mg Kaplet 6 6 6
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A64 Furosemide tab 40 mg Tablet 4
A67 Gentamicin tetes mata 0,3 % Botol 1 1
A71 Glibenklamide tab 5 mg Tablet 6
A79 Tablet
mg
A81 Tablet
mg
A88 Kalsium Laktat tab 500 mg Tablet 6 6
A89 Kaptopril tab 25 mg Tablet 6 6 6
A98 Klorafeniramin ( CTM ) tab Tablet 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
oki wiji puji mulyo ramadani amrin albi sugiyo sukamto suparni marinem suginem sumini
4 4 2 3 3 3 3 4 4 4 2 3 4
9 6
6 6 6
6
6
2
6 6 6
1
6
6 6
6 6
6 6 6 6
1
6
6 6 2 6 6 6 6
2 6 6
6 6 6
6 6 6 6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sarmini srihastuti putri lina suryanto suratmi sarti parini qeyla suparmin darso tukini alika
4 4 3 1 4 4 4 4 4 5 4 2
9 6
4
6
6 2
1
10
6 4 6 6 2
6
6 6 6
6 6 6 6 6 6 2
1
6 6 6 6 6 4 6 6 6 2
6
6 6 6 6
6 6 6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
lestari suparmi yusuf sutinah sukiyo suwarni romdiyah cipto ngadiyem sriwahyun fajar ratmi sukoco
3 5 4 4 3 5 4 4 4 3 2
9 9
6 6
6
6 6 6
6 6
6
6 6 6 6
6 6
6 6 6 6 6 6 6 6 6
6
6 6 4
6
6 6 6 6
6 6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
nurul adara amanda ratna warsi harsi joko parinem warinem
2 4 4 2 3 3 4 3
3 9 9
6
6
3 6
1
10
6 6
6
5
1
6 6 6
6 6
4
9
6 6
6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
175
0
0
0
6
0
0
0
0
0
78
0
0
0
0
36
0
0
0
0
0
0
0
22
36
0
0
0
0
0
0
2
0
18
6
0
0
0
0
0
53
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
5
0
0
0
26
0
54
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
84
0
0
0
0
0
0
0
0
92
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
176
0
38
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
15
0
0
0
0
0
0
0
72
0
0
0
0
0
0
0
0
0
108
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

cipto surono velisia alisia kiki ngadinah giyanti
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
A49 Domperidon suspensi Botol 1
A62 Fitomenadion tab 10 mg Tablet 10
Dus @ 10
Kap
A67 Gentamicin tetes mata 0,3 % Botol 1
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 2 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
Kotrimoksazol tab 480 mg Tablet 3
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
Parasetamol sirup Botol 1
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
Salbutamol tab 2 mg Tablet 6
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sukinah septian parmi tanu mardiyem tukiyem ahmad sutarto saminem suradi waesiti cantika maulana
3 4 4 4 3 3 3 3 4
6 9 9 6
6 6
6
6
6 6 6
6 6
6 6 6 6 6
6 6 6 6 6 6 4
6
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
salsabila ngadiyem sunar grasio ngatini zana jami suwarno tripuji devi yusuf ninik etik
2 3 4 3 2 3 3 3 3 4
6 6
9 6
6
1
10 6
6 6 6
10 10
6 6
6
2 2 6
2 2 6
1 1
1 1 6 6 6 6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
feronika reno rina
2 1 4
6
6
6 6
6
1
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
88
0
0
0
12
0
6
0
0
0
47
0
0
0
0
12
1
0
0
0
0
0
0
28
24
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
44
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
1
0
0
0
12
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
12
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
2
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
87
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
6
0
0
12
0
0
0
0
0
0
0
0
0
34
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sutini sarwadi wahyu emi tutik wiryo albi
A2 ACT tab Tablet
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 6
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A71 Glibenklamide tab 5 mg Tablet 10 10
A73 Gliseril guaiakolat tab Tablet 6 6
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
Kotrimoksazol suspensi Botol 1
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 2 6 6
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
B16 Multivitamin sirup ( Anak ) Botol 1
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
saban samin sumarsih sumani suparmi jumiyati suki sukarni lis darmin tariyo darmini sugeng
4 4 4 4 2 4 4 4 4 3 3 4
6
20
6 6 6 6 6
6 6 6 6
6 6 6
6 6 6
6 6 6 6 6 6 6
6 6 6 6 6 6 6 6 6 6 6
4
6 6 6
6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
mifta zakkiyah supardi pariyem sumiyati partini maisaroh sukiyem siti suharni suwarsi rebo tusyamah
2 4 4 4 2 4 2 4 3
6
10
3 3
10
6
6 6 6 6
3 6 3
1
1
6 6 6 2 6 6 6
4
6 6 6 6
6 6 6 6 6
1
34 35 36 37 38 39 40 41 42 43 44 45 46
diyah mafuroh dwi risa ambarwatialfiah tutik darmono bintoro sriwahyun sutardi sugisasm rizki
4 4 2 2 4 3 4 2 5 2
6 6
6
10 20
6
6 6 2
6 6
6
6 6 6 2
1
6 6 6 6 6 6 6 6 2
6
4
6 6 6 6
6 6 6 6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
120
0
0
0
0
0
0
0
0
0
24
0
0
0
0
18
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
44
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
0
53
0
0
0
0
0
0
0
0
0
0
0
0
0
0
36
54
0
0
0
0
0
0
0
0
88
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
174
0
6
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

dadang sutarno sutrisno faiz ika sitinur laila
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 6 3
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
Parasetamol tab 500 mg Tablet 6 6 6 6 6
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
Tiamfenikol kap 500 mg Kapsul 9
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
titin dwi yesi harni agus marto dewa sunarni warsini sukri giyarni sinem dwimulyan
2 2 4 3 4 2 4 4 4 2
6
6
10 20
2 6 3 6
2 6 3 6
6 6
6
2 6 3 6
1 1
2 6 6 4 6 6 6
4 6 6
6 6
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
ira sutiyah slamet parmi marinem eila arzelin ismu juwartik taminem surani erma karti
4 4 3 4 2 1 4 4 4 3 1 3
6 9
6
10 10
6 6 6 6 6 6
6 6 6 6 6
6 6
6
6 6 6 6 6 6 6 6
1
6 6 6 6 6 6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
sukinem wagiyem rini joko sugiyem parini saranto dzikri aliando aik tukini marno sukiman
4 2 3 3 3 3 1 3 4 4
6 3
6
10
6 3
1
6
6
6
6
1
6 6 6 6 6 6 6
6
4 4
6
6 6
6 6
1 1
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
slamet suroyo karnoto
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
118
0
0
0
0
0
0
0
0
0
36
0
0
0
0
12
0
0
0
0
0
0
0
6
0
0
0
0
0
6
0
6
0
60
0
0
0
0
0
0
77
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
1
0
0
0
0
0
68
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
18
0
0
0
0
0
0
0
0
83
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
156
0
12
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
9
0
0
36
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sutini sugini nurhidaya raffa cipto sunarsi sukinem
A Obat Generik 5 3 2 4 5 3 5
A2 ACT tab Tablet
A16 Antasida sirup Botol 1
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6 6 6 6
A46 Tablet
A54 Erytromicin kap 500 mg Kapsul 5 5
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 4 6 6
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 5 4 6 5 5
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
Methoklopramide tab10 mg Tablet 6
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
pawiro nurjanah sukiyo srisunarm wagimin darmi suharno sumardiyoasih darmini suliyem suryanto sriwahyun
2 4 4 4 4 2 3 4 3
8 6
6
6 10
6 6 6
5 5
6
6 6
5
6
6
4
6 6 6 6 6 6
6 6 8
1
21 22 23 24 25 26 27 28 29 30 31 32 33
suparni novem suminem sutiyem warini watinem untari saliyem waginem warsini
4 4 5 3 3 3 4 5
3 3
8
6
6 6 6 6 6 6
5 5 5
6
6
12
6 3
5 5 5 5 5
5
6
6 6
1 1
1
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
88
0
0
0
9
0
6
0
0
0
22
0
0
0
0
0
1
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
22
12
0
0
0
0
0
78
0
0
0
0
0
0
0
0
0
0
0
0
0
35
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
34
0
0
0
0
0
0
0
0
12
0
0
0
0
0
18
9
0
0
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
5
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

yalis diyan parti hadi sutini supriyantorifki
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A89 Kaptopril tab 25 mg Tablet 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
harjo sunarto oktavia sumiyati suginem ahmad tutik poni asih sriutami syadali sumarti ginem
4 5 2 3 3 4 2 3 4
9 9
6
10 10
6 6 6
1
6 6
6 6
6 6 6 6 6 6 6
4
6 6 6
6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
rakinem juminem novita wulan gunawan dwisuryan pratiwi untari sutinah i mada ngatini rebiyanti kasiyatun
5 4 2 3 2 4 4 3 3
9 9
6 6
10 10
6
6 6
1
6
6 6 6
6
6
6 6 6 6 6 6
6 6
4
6
6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
lucki agung oki wining wijayanti suratmi linda ngadiyem karni siti kardi parmin lovita
1 2 2 2 4 4 2 4
10 6 10 10
3 6
6
6 6 6
6
3 6
1
6
3 6 6 6
6 6
6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
suparni gilang qusa sarti marwiyah sadiyem supartini parini mila suryati
4 3 4 4 4 5 4
6
6 6 4
1
6 6 4
6 6 6
6 6
6 6 6 6 6
6 4
6 6 6 6
6 6 6 6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
128
0
0
0
0
0
0
0
0
0
42
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
76
6
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
2
0
0
0
6
0
18
0
0
0
0
0
0
1
0
0
0
0
0
0
0
70
48
0
0
0
0
0
0
0
0
45
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
159
0
24
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
72
0
0
0
0
0
0
0
0
0
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

joko haswarini tutik darsono karti painem rebi
A2 ACT tab Tablet
Efavirenz 600mg
A24 Asam Mefenamat kap 500 mg Kaplet 6 6
A32 Flacon
UI
A33 Besi II Sulfat Tablet + asam folat Tablet 6 6
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A90 Karbamazepin tab 200 mg Tablet 30
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
Piroksikam tab 10 mg Kapsul 6 6
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
suratman sutinem sukiyem dinar zainal eko wariyem ristika mido suti ngatiyem darni putri
3 3 3 3 2 2 2 2 2 2 3
9 6 6
6 6 6 6
6
6 6 6 6
1
6
6 6
6 6
6
6 6
6 6
6 6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
azkiya suparni sumiyati miqdad surat hafis dhyas ridwan sriyatun alifa dwi harjo agus
2 3 2 3 2 3 3 3 4
6 6 6
6 6
6
2 3 6
1
6
3 6
2 6 6
1
6
2 6 2 6 6
6
6 6
1
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
67
0
0
0
0
0
0
0
0
0
24
0
0
0
0
24
1
0
0
1
0
0
0
0
48
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
35
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
2
0
0
0
0
0
0
1
0
0
0
0
0
0
0
27
6
30
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
34
0
6
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

painem wijiati samiyem asril sugito suwardi saminem
A2 ACT tab Tablet
A4 Allopurinol 100 mg tab Tablet 3
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6 6 3 6 6 6
A46 Tablet
A54 Erytromicin kap 500 mg Kapsul 5 5
Dus @ 10
Kap
A73 Gliseril guaiakolat tab Tablet 6 3 6 6
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 6 3 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
Metformin 500 Tablet 6 6
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 6 6
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
Omeprazol kaps Kapsul 4 6
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sumarni ristina sudarsonosandi kardi sunarto aska poni warsono anggraini sastro partun sanem
3 1 2 4 3 2 2 4 3 3
7 3
3 8
6
20
6 6 3 6 6
5
7 7
6 6
5 6
6
6
4 4
6 3 6
9
1
21 22 23 24 25 26 27 28 29 30 31 32 33
jatno nursetyo narmi rizki suwarni sunarto diaz rini suyani siti dakhiroh kiki diyan
2 1 3 2 2 2 2 3 3
6 6 10 6
6 6 10
6 6 20
6
6
6 6 6
10
6 6
6
10 6
34 35 36 37 38 39 40 41 42 43 44 45 46
susi sugat surono sudarti darmin
2 3 3
6
6
6
6 6
1
6
6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
83
0
0
0
13
0
0
0
0
0
39
0
0
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
0
0
0
0
52
0
0
0
0
0
0
72
0
0
0
0
0
0
0
0
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
6
10
0
0
0
0
0
0
0
38
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
12
0
0
6
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
42
0
6
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
9
0
0
0
0
0
0
0
12
0
0
0
0
0
0
8
0
0
28
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sumi etik suparno arjo eri marinem selvia
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A71 Glibenklamide tab 5 mg Tablet 6 6
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
Simvastatin 10 Tablet 6
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
kasidi rizki rebo ngadinah parsih sriwahyun podho hadi safaras dwihandayetik sifa parjo
3 4 3 3 2 2 2 3 2 3 2 3 4
6 6 9 3 9 4
6
10
6 9 6 3 6 4
6
3 6
6
6 6 3 6
6
6 6 6
6 6 6 4
6 4
6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
akhmad sadiyo muslimah nurhayati rebiyanti nadira abdul anas dewi joko eni sani
4 4 4 3 1 4 2 2 4
8 9 3 4 9 9
6 6
6 6 3 6
6
6
6 6
6 6 3 4 6
6 3 4 6 6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
78
0
0
0
0
0
0
0
0
0
79
0
0
0
0
6
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
55
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
15
36
0
0
0
0
0
0
0
0
52
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
47
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
6
0
0
12
0
6
0
0
0
0
9
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

cipto darso sugimin satiyo iis sutinah cantika
A2 ACT tab Tablet
A6 Aminofilin tab 200 mg Tablet 6 4 4
Efavirenz 600mg
A32 Flacon
UI
A40 Deksametason tab 0,5 mg Tablet 6 6
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
paiman partun karti ngadiyem atmo santi galih sumini dwimaryat sakila kaminem azkiya karsinem
4 4 4 4 3 2 2 2 4
6 6 6
6 6
6 6
6
6 2
6 6 2
6 2 2
1
1
6 6 6 2 2 6
6 6
6
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
rahayu paniyem rebo lampi parini hardo miqdad khofia erlina mardi sugiarto yani suharni
2 4 4 4 1 2 2 2 4
6 6 6 6
6 6 6 6 6
6 6
6 6 6 2 2
6
2 2 6
6
6 2 2 6
1
2
9
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
anik weni
10
10
10
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
79
0
0
0
0
0
18
0
0
0
64
0
0
0
0
28
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
12
0
0
0
0
0
0
0
0
26
0
1
0
0
0
0
0
0
2
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
52
0
18
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

triwindarti budi farida siyem sutarno alfiah deny
A2 ACT tab Tablet
A10 Amoksisilin kab 500 mg Tablet 6 6 6
Efavirenz 600mg
A27 Asiklovir salep kulit Tube 1
A29 Asiklovir tab 400 mg Tablet 6
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
Piridoksin tab 10 mg Tablet 6 6
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
ismangun lucki ngatini kasidi sumarmankarsinah cantika eko nopriyant winarti dina hadi wijiati
3 2 3 4 4 5 3 4 3 4 2 5 4
3
3 3 3 3
6 6 6
1
6
6 6
6 6 6 6 6 6
5
6 6 6
12 12
6 6
3 3
6 3
6
3 6 6
4
6 6 6
6 6 6
6
6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sumarmi rini wiji nurhayati rebo roni sumiyati parmi suparni meliana aksa tukini sukiman
2 2 5 5 3 4 4 4 3 2 3 4
3 3 3
6 6
10 10
6 6
6 6 6 6 3 6
5
1
3 6
12
10 10 3 3
3 3 3
3
6 6
6 6 6
4 4 4
6 3 6
6
3
1
34 35 36 37 38 39 40 41 42 43 44 45 46
srirusmini cahya sukadi
4 2 4
3
6
6 6
6
6
6
3
6
8
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
119
3
0
0
24
0
0
0
0
0
26
0
0
0
0
24
1
0
0
0
0
0
0
0
18
0
0
1
0
6
0
0
0
44
12
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
0
0
0
0
10
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
51
0
0
0
0
0
0
0
0
36
0
0
0
0
0
50
15
0
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
39
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
0
0
0
0
0
0
0
69
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
12
0
0
0
0
3
0
0
18
0
0
0
0
0
0
8
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

triyono parti tukiman ditono sugito sugeng sutarno
A Obat Generik 5 4 4 4
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A89 Kaptopril tab 25 mg Tablet 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
tuginem dwipurwat samiyem ervina sri sukarno sunarsi sami erpinawati giyanti wisnu sani jami
2 2 4 1 2 3 4 3 2 3 4 4
10
6
10
20 10 10
6 6
6
6 6 6 6 6 6
6 6 6
6 6 6 6
10
6 6 6 6
6
6
6 6
10
21 22 23 24 25 26 27 28 29 30 31 32 33
umi suparman suwartini cahya lina septiana tusiyamah sumirah sani parti lia aswatun fitri
3 4 4 2 4 3 4 4 4 2 2
9 9
10
10 10 10
10
1 1
6 6 6
6 6 6
6 6
10
1
10 10 6 6 6 6
10 10
6 6 6
1
34 35 36 37 38 39 40 41 42 43 44 45 46
tutut cipto reza rini wartini sitiyuli ramelan warsi anik surono wahyu paniyem sumardiyo
2 2 2 2 4 3 3 4
6 6
6
10
3 6
6 6 6
6
1
1
3 6 6 6 6
4 4
6
6 6
6 6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
jumilah daryati risti
2 4 3
9 6
10
10
6
6 6
6
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
118
0
0
0
0
0
6
0
0
0
60
0
0
0
0
32
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
10
0
90
0
0
0
0
0
0
27
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
3
0
0
2
0
0
0
20
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
78
48
6
0
0
0
0
0
0
0
54
0
0
0
0
0
0
0
0
1
0
10
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
131
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
20
0
0
30
0
0
0
0
0
0
0
0
0
66
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

suyatmi ringga rofi mariyam ervina suparti wakidi
A Obat Generik 1 3
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
painem tini tukiman titin cipto tuti suharni kardi febria isti nanik heni sunarti
3 3 4 3 4 3 3 1
6
6
6 6
1
6 6
6
6 6
6
6 6 10
6
6 6
6
6
6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
supriyati sri ayu winarti liya tariyo siti ihsan ngadinah novitasari rini sriwahyun karti
2 2 2 2 3 2 2 2 2 2 5
10
6 6 6 6 6 6 6
2 6
1
6 6 6 6 6 6 6
6
1
6 2 10
6
34 35 36 37 38 39 40 41 42 43 44 45 46
ginem partun yani sumarsih nuraini afifah sukino paniyem toto yunus wiratminin sumarwan
3 4 2 3 3 2 4 2 4 2 2
9 9 9
6 6
1
3
6 6
6 6 6
6 6
6 6
6 6 6 6 6 6 6 6
6 3 6
6
6 6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
85
0
0
0
0
0
12
0
0
0
37
0
0
0
0
18
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
66
0
0
0
0
0
0
38
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
12
0
0
0
0
0
0
1
0
0
0
0
0
0
0
60
12
0
0
0
0
0
0
0
0
30
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
88
0
21
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
12
0
0
6
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sugeng sukinem sastro sugini sutini anah endang
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A98 Klorafeniramin ( CTM ) tab Tablet 6 6 6 6
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
miranto ngadinah sidal sunarto erpinawati yulius wardah alfianti prawati rahayu wartini sitiyuli aulia
4 6 4 4 2 2 2 2 2 2
6
2
10 10 10
6 6
1
6
6 6 6 6 6
6 6
1
6 6 6 6 2
6
9
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
mulyani cipto suharni anik wijiati sriyanti ageng miqdad samento marimn husain zulaika
5 3 4 2 3 1 2
6
10 10
6
6 6 2 6
6
6
4
6 6 6 6
2
4
6 6 6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
69
0
0
0
0
0
6
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
2
0
50
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
56
30
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80
0
10
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
9
0
0
30
0
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

kuwatno wiryo tutik saliyo darmin dwi srimulyon
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A71 Glibenklamide tab 5 mg Tablet 10 10 10
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6 6 6
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
tarti ari dwisetiti umi idin suminem candra zulianti srilestari rebo santoso yafis jami
2 2 4 5 4 3 2 4 3 1 4
9 9
6
10 10
6 6
6
10
6 6
6 6
6
5
6
6 6 6 6 6 3 6
6
4
9
6 6
6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sunarti britania sulis sutrismi roni partinem supartini sukarni suparti srimulyani
2 4 4 4 4 4 3
6 6 6
1
10
1
6
6 6 6 6
6 6 6 6 6 6
6 6 6 6 6
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
80
0
0
0
0
0
0
0
0
0
27
0
0
0
0
30
1
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
1
0
0
0
40
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
42
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
105
0
36
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

wakidi elfaro jumiyati sukinem asiyah saminem sukiyem
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
Sefadroksil 500 cps Kapsul 4
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 3
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
ngadiyem mulyo kasidi trisanda kiki suwarni paniyem nasyitha wahyu srirahayu sumiyati partini sriwahyun
4 4 4 1 4 2 4 4 3 4 3
6 6 6 6 6 9
6 6
6 6
6 6 6 6 6 6
3 6 6
6
3 6 6 6 4
1
6
3 6
6 6
6 6 6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
gunanti lilis ita rama
2 2 3 4
6
10 10
10
6 6
10
10
9 10
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
66
0
0
0
0
0
8
0
0
0
45
0
0
0
0
24
0
0
0
0
0
0
0
12
54
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
1
0
0
0
0
0
0
0
21
0
0
0
0
0
0
0
0
0
35
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
3
0
0
15
0
0
0
0
0
0
19
0
0
27
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

surati saminem setyo suwita cipto suyati satiyo
A Obat Generik 4 3
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sunarni parinem suginem ika heni wijiati fitri asih darmin untari suwarni darso warih
2 2 3 2 2 2 2 2 3 3 4
6 8 8
6 6
6
8 8
6 6
8
8
6
8 8 8 8 8
8 6
8
8 8 8
8
21 22 23 24 25 26 27 28 29 30 31 32 33
intan ratna dwiwinars wahyuni
1 3 2
10 6
6
6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
40
0
0
0
8
0
0
0
0
0
18
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
0
0
0
0
0
0
0
0
0
0
0
0
0
0
24
14
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
50
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

joko wulan srisulastri sugito deni sunar fitri
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
Natrium Dikofenak 50 Tablet 6 6
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6 6 6 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
Tiamin HCl / B1 Tab 50 mg Tablet 6 6 6 6
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
srimulyani sumini etik dwi trihastuti margono giyanti purwanti muryani darmi suyoto samiyem asih
3 4 2 3 4 3 1 4 4 2
6
10 10
6 6
6
6
6 6 6 6
6 6 6
10
6 6 6
6 6 6
6 6
10
6 6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
lilik ana ngadiyonosugisasm asiyah trilestari ismi marti suhartina azka suwarni riza darmin
3 1 4 2 2 5 4
6
1
2
10 10
6 6
4 6
6
1
6
6 6 2 6 6
2 6
6
6
34 35 36 37 38 39 40 41 42 43 44 45 46
cahya muryanti jumadi sugiyem fadhilah sriyatun
2 4 4 4
6 6
10
6
6
6
4
6 6 6
6 6
6 6
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
82
0
0
0
0
0
0
0
0
0
18
0
0
0
0
24
1
0
0
0
0
0
0
0
0
0
0
0
0
6
0
2
0
50
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
6
0
0
0
0
0
42
34
10
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
86
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
54
0
0
0
0
0
0
10
0
0
66
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

cipto sukarti timan samin siti putri ngadiyem
A2 ACT tab Tablet
A4 Allopurinol 100 mg tab Tablet 6 6
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
Piroksikam tab 10 mg Kapsul 6 6
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
Setirizin 10 mg Tablet 6 6
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
cika miyarsih anggi rafiudin wijiati riris rahmad winarsih saliman rebi nova amelia suginem
4 4 3 2 3 3 2 4 5 1 3
6 6 6 6
6 6
6
10
4 6 2 4
4
6 2 4
6
2
1
6
4 6 6 6
6
6 4
6 6 6
21 22 23 24 25 26 27 28 29 30 31 32 33
sukamto heni abizar waliyem santoso tri sarmi srimulyani suminem sriyono nurul dwisusilowwagiyem
4 3 3 3 3 3 3 3 3 2
6 6
9 6 9
6 6
6 6
6 4 6 6
6
6
4
6 6
6 6
6 6
6 6 6 6
4
6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
joyo pawiro jumiyati ahmad huda
3 2 2 4
6 6
6
4
2 4
1
6
2 4
2
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN A
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
AR OBAT BULAN APRIL 2020
Nama
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
125 126 127 128 129 130 131
Jumlah
Akhir
93
0
0
0
30
0
12
0
0
0
45
0
0
0
0
54
0
0
0
0
0
0
0
6
42
0
0
0
0
0
0
6
0
10
6
0
0
0
0
0
44
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
12
0
0
0
0
0
16
24
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
70
0
2
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
26
0
0
12
0
0
0
0
0
0
9
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sutarmini yudha ristiana ngadiyanti sudjatno karno salma
A Obat Generik 3 3
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
sumarti dayu kasidi wakidi jumadi sri suwarni sumiyem suwarti tatik sugiyanto marwiyah pani
4 3 3 3 3 3 2 3 3 3
6 3
6 6 6 6
1
6
20
6
6 6 6
6
6 10
6 6 6 10 6 6 6
4
6 6
1
21 22 23 24 25 26 27 28 29 30 31 32 33
marshand faisal bondan supar sati sumarti nurpita ambarwatiermawati jumini nuraini eni nining
3 3 3 3 3 3 1
6 6
6 6 6
6
6 6
6
6 6 6 6 6
6
6
6 6 6
34 35 36 37 38 39 40 41 42 43 44 45 46
suparni samini neni kiki sukiyo parni suyadi riawan suwarno
3 4 3 3 3 3 3 3 3
10
6 6 6 6 6
10
10 6
6 6
6
6
6 6
6 6
6 6
6 6
6 6 6 6
3
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
83
0
0
0
0
0
0
0
9
0
30
0
0
0
0
78
0
0
2
0
0
0
0
0
16
0
0
1
0
0
0
6
0
20
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
0
6
0
30
0
0
9
0
0
0
0
0
12
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
0
88
0
24
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
0
60
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN

sukarmi sugito mulyani aska christanti poniyem parsiti
A2 ACT tab Tablet
A11 Amoksisilin Sirup 125 mg Botol 1
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet 6
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
azizah suwarso sugiyem ani utami widia aditya dwi ragil untari karto surati ismiyatun
2 2 3 4 4 4 4 3 3 4
6 6
3 6 6 6 6 6 6 6
1
6
6 6
3 6 6 6 6
1
6
3 6 6 6 6 6
6
21 22 23 24 25 26 27 28 29 30 31 32 33
ahmad cipto khidmiyati dwijanto sumarni diyono narti sriyatun purwanti eni meliana santoso suyanti
4 3 3 3 5 3 4 4
317
1
6
6 6 6 6
13
4
6
6 6
6
6 6
6 6
6 6 6 6 6
6 6
6
6
6
21
6 6 6
69
34 35 36 37 38 39 40 41 42 43 44 45 46
ari
LAPORAN PEM
47 48 49 50 51 52 53 54 55 56 57 58 59
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
74
0
0
0
6
0
323
0
0
0
9
1
0
0
1
18
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
0
0
0
0
72
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
13
0
6
0
4
0
0
1
0
0
0
0
0
18
0
0
0
0
0
0
1
0
24
0
0
0
0
0
21
12
0
0
0
0
0
0
0
0
42
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
75
0
18
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
12
0
0
6
0
21
0
0
0
0
0
0
0
24
0
69
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
A Obat Generik
A2 ACT tab Tablet
Efavirenz 600mg
A32 Flacon
UI
A46 Tablet
Dus @ 10
Kap
A79 Tablet
mg
A81 Tablet
mg
A10
0
A10
1
A10
2
A10
3
A10
4
A10
5
A10
6
A10
7
A10
8
A10
9
A11
0
A11
1
A11
Loperamid Tablet
2
Tablet
A11
4
A11
5
A11
6
A11
7
A11
8
A11
9
A12
0
A12
1
A12
2
A12
MgSO4 20 % Vial
3
A12
MgSO4 40 % Vial
4
A12
Mineral mix Sak
5
A12
6
A12
Na tiroksin Tablet
7
A12
8
A12
9
A13
0
A13
A13
Nifedipin Tablet
2
A13
O A T Anak Paket
3
A13
4
A13
5
A13
6
A13
7
A13
8
A13
9
A14
0
A14
O A T Sisipan Paket
1
A14
2
A14
3
A14
4
A14
5
A14
6
A14
7
A14
8
A14
9
A15
0
A15
1
A15
2
A15
3
A15
4
A15
5
A15
6
A15
7
A15
8
A15
9
A16
0
A16
1
A16
2
A16
3
A16
4
A16
5
Tablet
6 mg
A16
7
A16
8
A16
9
A17
0
A17
1
A17
2
A17
3
A17
4
A17
5
A17
A17
7
A17
8
A17
9
A18
Seftriaxon inj Vial
0
A18
1
A18
2
A18
3
A18
4
A18
5
Tablet
6 tab
A18
7
A18
8
A18
9
A19
0
A19
1
Tablet
2 200 mg
A19
3
A19
4
A19
5
A19
6
A19
7
A19
8
A19
Zidovudine Tablet
9
Tablet
0 / 150 mg )
A20
1 Zink Tablet
0 0 0
B OBAT KOMBINASI 0
B3 Botol
)
B6 Tube
B9 Tube
kulit
B10 D 1/2NS Flabot
buah Bilberry 80 mg
0 0 0
C OBAT GIGI 0
C3 Bahan Etsa botol
C6 Eugenol sol Pot
C11 Komposit Tube
C13 Pot
( CHKM )
0 0 0
D PERBEKES 0
D1 ADS 0,05 ml Biji
D2 ADS 0,5 ml Biji
D3 ADS 5 ml Biji
D8 Antiseptik Botol
D10 Cat Gut Roll
D14 Hand Scoen Biji
D22 IV Dresing Biji
D29 Biji
10%
D30 Lisol Botol
D31 Masker Biji
D35 Mess Biji
D40 Pot dahak Biji
D41 Rotator Buah
D43 Safety box Buah
D46 Silk Biji
D47 Urine Bag Biji
0 0 0
E LABORATORIUM 0
E1 Box Slide Box
E2 HbsAg test Biji
E5 KOH 10% Botol
E9 NaCl 0.9% Botol
E10 Obyek glass set
E11 Oksigen m3
E18 Test
)
E21 Reagen Zn Botol
E23 Urine Test Biji
E24 Xylol Botol
0 0 0
F VAKSIN 0
F3 DPT-HB-Hib Vial
F4 DT Vial
Syringe @
0,5 ml
F7 MR Vial
F9 Polio IPV Vial
F10 Td Vial
F11 TT Vial
0 0 0
G TAMBAHAN
8 9 10 11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30 31 32 33
34 35 36 37 38 39 40 41 42 43 44 45 46
LAPORAN PEMA
47 48 49 50 51 52 53 54 55 56 57 58 59
LAPORAN PEMAKAIAN KAMAR OBAT BULAN FEBRUARI 2019
Nama
60 61 62 63 64 65 66 67 68 69 70 71 72
73 74 75 76 77 78 79 80 81 82 83 84 85
86 87 88 89 90 91 92 93 94 95 96 97 98
99 100 101 102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121 122 123 124
Jumlah
125 126 127 128 129 130 131
Akhir
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
KABUPATEN : SRAGEN
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A Obat Generik
A1 Acetosal 80 mg tab Tablet 31
A2 ACT tab Tablet 0
A3 Albendasol Tablet 0
A4 Allopurinol 100 mg tab Tablet 173
A5 Aminofilin inj. Ampul 0
A7 Amitriptilin tab 25 mg Tablet 0
A8 Amlodipin 5mg Tablet 0
A9 Amoksisilin injeksi Vial 0
A11 Amoksisilin Sirup 125 mg Botol 0
A12 Ampisilin injeksi 1 gram Vial 0
A13 Antalgin injeksi Ampul 0
A14 Antalgin tab 500 mg Tablet 1
A16 Antasida sirup Botol 0
A17 Anti Bacteri Doen salep kulit Tube 0
A18 Anti Hemoroid suppo Suppo 0
A19 Antifungi Kombinasi salep kulit Pot 16
A20 Artemeter inj 80 mg Ktk 6 amp 0
A21 Artesunate Inj ktk 8 amp 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A22 300mg + Lamivudine 300mg + Tablet 0
Efavirenz 600mg
A23 Asam Askorbat tab 50 mg tab Tablet 0
A25 Asam Amino Infus 500 cc Bag 500 cc 0
A26 Asetilsistein 200 mg Tablet 0
A27 Asiklovir salep kulit Tube 0
A30 Atropin Sulfas inj Ampul 0
A31 Attapulgit ( Anti Diare Tablet ) Tablet 312
Benzatin Benzyl Penisilin Inj
A32 Flacon 0
2,4jt UI
Besi II Sulfat Tablet + asam
A33 Tablet 18
folat
A34 Betahistin mesilat tab Tablet 251
A35 Betamethason salep kulit Tube 17
A36 Bisakodil tab Tablet 0
A37 Cefixime Azithromycin 1000 mg Paket 0
A38 Clindamycin 150 mg Dus 0
A39 Deksametason inj Ampul 0
A41 Diazepam inj. 5mg/2ml Ampul 0
A42 Diazepam rectal Tube 0
A43 Diazepam tab 2 mg Tablet 0
A44 Difenhydramin HCl inj Ampul 0
A45 Digoxin tab 0,25 mg Tablet 44
A46 Piperaquin 320mg ( DHP ) Tablet 0
MERSI
A47 Dimenhydrinat tab Tablet 0
A48 Doksisiklin 100 Tablet 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A50 Domperidon tab 10 mg Tablet 58

A51 Efavirenz 200 mg Tablet 0
A52 Efavirenz 600 mg Tablet 0
A53 Efinefrin ( Adrenalin inj ) Ampul 0
A54 Erytromicin kap 500 mg Kapsul 359
A55 Erytromicin sirup Botol 0
A56 Etakridin Lakt. ( Rivanol ) Botol 0
A57 Fenitoin Na. kap 100 mg Kapsul 0
A58 Fenobarbital inj 50mg/ml Ampul 0
A59 Fenobarbital tab30 mg Tablet 0
A60 Fenol Gliserol Botol 13
A61 Fitomenadion inj Ampul 0
A62 Fitomenadion tab 10 mg Tablet 8
Dus @ 10
A63 Fluoconazol 150 mg 0
Kap
A65 Furosemide injeksi Ampul 0
A66 Garam Oralit 200ml Sak 0
A67 Gentamicin tetes mata 0,3 % Botol 0
A68 Gentamicin injeksi Ampul 0
A69 Gentamisin salep kulit Tube 0
A70 Gentian Violet Botol 0
A72 Glimepiride 1 mg Tablet 1
A74 Glukonas kalsikus Ampul 0
A75 Glukose 5 % larutan infus Flabot 0
A76 Griseofulvin tab 125 mg Tablet 9
A77 Haloperidol tab 0,5 mg Tablet 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A78 Haloperidol tab 1,5 mg Tablet 0

A79 Tablet 24
mg
A80 Hidrokortison salep kulit Tube 0
Hiosine-N- butilbromide tablet
A81 Tablet 0
10 mg
A82 Ibuprofen tab 200 mg Tablet 378
A83 Ibuprofen tab 400 mg Tablet 0
A84 Isoniazide tab ( INH ) Tablet 0
A85 Isosorbid Dinitrat Tablet 0
A86 Kalium Diklofenak 25 mg Tablet 0
A87 Kalium Diklofenak 50 mg Tablet 0
A90 Karbamazepin tab 200 mg Tablet 0
A91 Ketokonazole 200 mg Tablet 0
A92 Ketokonazole krim tube 0
A93 Ketoprofen inj Ampul 0
A94 Kinina Dihydroklorid inj Ampul 0
A95 Kinina HCl. Tab Tablet 0
A96 Klobazam tab Tablet 0
A97 Klonidin tab Tablet 0
A99 Kloramfenikol salep mata 1 % Tube 12
A10
Kloramfenikol sirup Botol 0
0
A10
Kloramfenikol tetes mata 0,5 % Tube 0
1
A10
Kloramfenikol tetes telinga Kapsul 0
2
A10
Kloramfenikol kap 250 mg Botol 0
3
A10
Klorokuin tab 150 mg Tablet 0
4
A10
Klorpromasin injeksi Ampul 0
5
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A10
Klorpromasin tab 25 mg Tablet 0
6
A10
7
A10
8
A10
9
A11
Lamivudine (3TC) 150 mg Tablet 0
0
A11
Lidokain comp injeksi Ampul 0
1
A11
Loperamid Tablet 0
2
Tablet 0
A11
Mebendazol tab100 mg Tablet 0
4
A11
5
A11
Methoklopramide injeksi Ampul 0
6
A11
Methoklopramide sirup Botol 0
7
A11
Methoklopramide tab10 mg Tablet 54
8
A11
Metilergomet injeksi 0,2 mg Ampul 0
9
A12
Metilergomet tab 0,125 mg Tablet 0
0
A12
Metilprednisolon 4 Tablet 0
1
A12
Metronidazol tab 500 mg Tablet 250
2
A12
MgSO4 20 % Vial 0
3
A12
MgSO4 40 % Vial 0
4
A12
Mineral mix Sak 0
5
A12
Myconazol salep kulit Tube 0
6
A12
Na tiroksin Tablet 0
7
A12
Na. Bic. Tab 500 mg Tablet 0
8
A12
Na. Cl. Infus Flabot 0
9
A13
0
A13
1
Nevirapine 200 mg Tablet 0
A13
Nifedipin Tablet 0
2
A13
O A T Anak Paket 0
3
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A13
O A T - FDC anak Paket 0
4
A13
O A T - FDC kat 1 & 3 Paket 0
5
A13
O A T - FDC kat 2 Paket 0
6
A13
O A T - FDC sisipan Paket 0
7
A13
O A T Katagori - 1 Paket 0
8
A13
9
A14
0
A14
O A T Sisipan Paket 0
1
A14
Obat Batuk Hitam sirup Botol 0
2
A14
Oksitetrasiklin salep kulit 3 % Tube 0
3
A14
Oksitetrasiklin salep mata Tube 0
4
A14
Oksitetrasiklin 50mg/ml inj Flacon 0
5
A14
Oksitocin 10mg/ml inj Ampul 0
6
A14
Omeprazol kaps Kapsul 14 180
7
A14
Oseltamivir Kapsul Kapsul 0
8
A14
Paket Kusta MB Anak Blister 0
9
A15
Paket Kusta MB Dewasa Blister 0
0
A15
Paket Kusta PB Anak Blister 0
1
A15
Paket Kusta PB Dewasa Blister 0
2
A15
Parasetamol Drops Botol 0
3
A15
4
A15
5
A15
Piracetam 400 Kapsul 0
6
A15
7
A15
8
A15
Povidon Iodium 10% 30 ml Botol 0
9
A16
Povidon Iodium 10% 300 ml Botol 0
0
A16
Prednison tab 5 mg Tablet 0
1
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A16
Primakuin tab 15 mg Tablet 0
2
A16
Proc. Pen. 3 juta inj Vial 0
3
A16
Prokain Benzil Penisilin Vial 0
4
A16
Propanolol tab 40 mg Tablet 0
5
Tablet 0
6 mg
A16
Pyrantel tab 125 mg Tablet 0
7
A16
Ranitidine 150 mg Tablet 0
8
A16
Ranitidine inj ampul 0
9
A17
Retinol 100.000 iu Kab Btl @50 0
0
A17
Retinol 200.000 iu Kab Btl @50 0
1
A17
Ringer Asetat Infus Flabot 0
2
A17
Ringer Laktat Infus Flabot 0
3
A17
Salbutamol Cairan ih 0,1% Nebule 0
4
A17
5
A17
6 Salep 2 - 4 kombinasi Pot 0 15
A17
Salysil bedak 2 % Botol 0
7
A17
Sefadroksil 500 cps Kapsul 26
8
A17
Sefotaxim 1g inj Vial 0
9
A18
Seftriaxon inj Vial 0
0
A18
Serum ABU 5 ml inj. Flacon 0
1
A18
Serum ATS 1.500 iu inj Ampul 0
2
A18
3
A18
Setirizin Sirup Botol 0 10
4
A18 Sianokobalamin inj ( Vit. B12 )
Ampul 0
5 inj
Tablet 7 200
6 tab
A18
Simetidin tab Tablet 0
7
A18
Simvastatin 10 Tablet 27
8
A18
Siprofloxacin tab 500 mg Tablet 0
9
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
A19
Sulfacetamid tetes mata Botol 0
0
A19
Tenofovir (TDF) 300 mg Tablet 0
1
A19 Tenofovir 300 mg +
Tablet 0
2 Emtricitabine 200 mg
A19
3
A19 Tiamin HCl / B1 injeksi
Ampul 0
4 100mg /ml
A19
Tiamin HCl / B1 tab 100 mg Tablet 0
5
A19
6
A19
Triheksifenidil tab 2 mg Tablet 0
7
A19
Vitamin B Komplek tab Tablet 126
8
A19
Zidovudine Tablet 0
9
A20 Zidovudine + Lamivudine ( 300
Tablet 0
0 mg / 150 mg )
A20
1 Zink Tablet 0
0 0 0 0
B OBAT KOMBINASI 0 0
B1 Antasida + Simetikon Tablet 0
B2 Antasida + simetikon sirup Botol 0
Anti Diare kombinasi sirup
B3 Botol 0
( Anak )
B4 Anti Hemorhoid kapsul Kapsul 0
B5 Anti Hipertensi Herbal Kapsul 0
B6 Tube 0
B7 Anti spasmodik inj / spasi inj Ampul 0
Asam Askorbat tab 500 +
B8 Tablet 0
Vitamin
B9 Tube 8
kulit
B10 D 1/2NS Flabot 0
B11 Flunarizin 5 mg Tablet 0
B12 Kombinasi Lutein 6 mg, Ekstrak Kapsul 0
buah Bilberry 80 mg
B13 Methyl Cobalamin 500 Kapsul 0
B14 Minyak kayu putih Botol 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
B15 Minyak telon Botol 0

B16 Multivitamin sirup ( Anak ) Botol 0 9
B17 Multivitamin tab ( Dewasa ) Tablet 0
B18 Peluruh Batu Ginjal Botol 0
B19 Salep Luka Bakar Tube 0
B20 Sirup Flu dan Batuk Kombinasi Botol 0
Tablet Tambah Darah +
B21 Tablet 81
Vitamin
B22 Vitamin Neurotropik inj Ampul 0
0 0 0 0
C OBAT GIGI 0 0
C1 Air raksa dental use Botol 0
C2 Bahan bonding botol 0
C3 Bahan Etsa botol 0
C4 Devitalisasi Pasta Botol 0
C5 Etil Klorida semprot Botol 0
C6 Eugenol sol Pot 0
C7 Flour tablet Tablet 0
Glass Ionomer Cement ( Fuji
C8 Pot 0
IX )
Glass Ionomer Cement ( Fuji VII
C9 Pot 0
)
C10 Kalsium hydroksi pasta dos 0
C11 Komposit Tube 0
C12 Lidokain Spray Botol 0
C13 Pot 0
( CHKM )
C14 Mumiying Pasta Biji 0
C15 Semen Seng Fosfat p+liq Botol 0
C16 Silver Amalgam Botol 0
C17 Spons Gelatin Cubices Dos 0
C18 Temp+Stopp Fletc p+liq Set 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
C19 Trikresol Formalin ( TKF ) Botol 0

C20 Yodium Gliserin Cc 0
0 0 0 0
D PERBEKES 0 0
D1 ADS 0,05 ml Biji 0
D2 ADS 0,5 ml Biji 0
D3 ADS 5 ml Biji 0
D4 Alat suntik 1 ml Biji 0
D5 Alat suntik 2,5 ml / 3ml Biji 0
D6 Alat Suntik 5 ml Biji 0
D7 Anti Septik Handrub Box@10 0
D8 Antiseptik Botol 0
D9 Aqua Pro injeksi Flacon 0
D10 Cat Gut Roll 0
D11 Cotton Aplikator Buah 0
D12 Etanol 70 % Botol 0
D13 Expert Check Kit Unit 0
D14 Hand Scoen Biji 0
D15 Hand Scoen Steril Pasang 0
D16 Infus Set anak Biji 0
D17 Infus Set dewasa Biji 0
D18 IV Cateter No. 18 Biji 0
D19 IV Cateter No. 20 ( Dewasa ) Biji 0
D20 IV Cateter No. 22 ( Dewasa ) Biji 0
D21 IV Cateter No. 24 ( Anak ) Biji 0
D22 IV Dresing Biji 0
D23 Jarum Bengkok / Jahit Biji 0
D24 Jarum Suntik Biji 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
D25 Kapas Adsorben 250 gr Roll 0

D26 Kasa panjang 40 yard x 80 cm Roll 0
D27 Kasa Pemb Hydro 4 m x 15 cm Roll 0
D28 Kasa Steril 16 x 16 ( 16 lmb ) Dos 0
D29 Biji 0
10%
D30 Lisol Botol 0
D31 Masker Biji 0
D32 Masker N 95 Biji 0
D33 Masker N 95 + Aura Biji 0
D34 Masker Nebulizer Biji 0
D35 Mess Biji 0
D36 Plester 5 yardx2inch Roll 0
D37 Poly Cateter No. 14 Biji 0
D40 Pot dahak Biji 0
D41 Rotator Buah 0
D42 Safeglove PF Pasang 0
D43 Safety box Buah 0
D44 Selang oksigen anak Biji 0
D45 Selang Oksigen dws Biji 0
D46 Silk Biji 0
D47 Urine Bag Biji 0
0 0 0 0
E LABORATORIUM 0 0
E1 Box Slide Box 0
E2 HbsAg test Biji 0
E3 Iodida Test Botol 0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
E4 Iodium Test Botol 0

E5 KOH 10% Botol 0
E6 Larutan Asam Klorida 1 % Botol 0
Botol 100
E7 Lugol 0
ml
E8 Methylen Blue 0.3% Botol 0
E9 NaCl 0.9% Botol 0
E10 Obyek glass set 0
E11 Oksigen m3 0
E12 pH Paper Cat 9555 Merck Roll 0
E13 Rapid Tes HIV Ke-1 Test 0
E16 Rapid Tes Shipilis ( SD ) Test 0
E17 RDT Anti HCV ( Hepatitis C ) Test 0
RDT DBD Combo ( NS1 +
E18 Test 0
IgG/IgM )
E19 RDT Leptospirosis Test 0
E20 RDT Malaria Test 0
E21 Reagen Zn Botol 0
E22 TCM Cartridge Xpert MTB/Rif Buah 0
E23 Urine Test Biji 0
E24 Xylol Botol 0
0 0 0 0
F VAKSIN 0 0
F1 BCG + Pelarut Ampul 0
F2 Campak + Pelarut Vial 0
F3 DPT-HB-Hib Vial 0
F4 DT Vial 0
Syringe @
F5 HBIG ( Hiperhep-B ) 0
0,5 ml
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
F6 HEP.B (PID) / HB 0 Buah 0

F7 MR Vial 0
F8 Polio bOPV + Dropper Vial 0
F9 Polio IPV Vial 0
F10 Td Vial 0
F11 TT Vial 0
F12 Vaksin Anti Rabies ( VAR ) Vial 0
0 0 0 0
G TAMBAHAN 0
0
0
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
PENERIMAAN
Stok TANGGAL
NO NAMA OBAT SAT
Awal 1 2 3 4 5 6 7 8 9 10 11
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS
BULAN APRIL 2020
PENERIMAAN PENERIMAAN
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
200 200
200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
100
400
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
24
100
200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
300 200
100 200
200 200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
100
200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
200 200 500

TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
200
200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
200 200
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
TANGGAL TANGGAL
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
BAT
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
77 103 101 41 0 175 88 120 118 0 88 0 128 67 83 78 79 119 0 118 85 69
0 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 200 373 0 0 23 0 0 6 12 0 0 0 9 0 0 0 13 0 0 24 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 401 0 0 4 0 0 0 6 0 0 0 6 0 0 0 0 0 18 0 0 6 12 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 50 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 300 900 943 24 55 15 44 0 78 47 24 36 0 22 0 42 24 39 79 64 26 0 60 37 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 50 550 571 36 27 0 12 0 36 12 18 12 0 0 0 24 24 0 6 28 24 0 32 18 12
8 8 8 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 16 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 200 200 6 36 0 16 0 22 28 6 6 0 6 0 0 0 0 0 0 0 0 0 0 0
100 500 511 6 0 0 6 0 36 24 0 0 0 0 0 0 48 28 36 60 18 0 12 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 20 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 6 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 312 0 6 0 0 0 2 0 0 6 0 0 0 0 0 0 0 0 0 0 10 3 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
950 950 968 60 40 20 22 0 18 36 60 60 0 22 0 76 24 52 20 18 44 0 90 66 50
0 251 0 12 0 0 0 6 0 0 0 0 12 0 6 0 0 0 0 12 0 0 0 0
0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 1,200 1,374 30 43 97 15 0 53 44 44 77 0 78 0 55 35 72 55 42 87 0 27 38 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 44 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 5 0 1 0 0 0 0 1 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 359 0 0 30 5 0 0 0 0 0 0 35 0 0 0 15 6 0 10 0 10 0 0
2 2 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 40 48 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 6 0 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 30 30 9 0 0 0 0 4 0 0 3 0 0 0 3 0 0 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 24 0 0 2 1 0 5 1 0 1 0 0 0 2 0 0 0 0 0 0 2 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 200 228 0 16 0 0 0 26 12 30 0 0 0 0 6 6 0 18 0 0 0 20 0 0
30 30 31 0 0 0 0 0 0 0 0 0 0 6 0 0 0 14 0 0 0 0 0 0 0
200 900 939 30 12 54 18 0 54 24 53 68 0 34 0 18 2 39 10 26 51 0 18 12 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 5 5 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 378 0 0 0 6 0 0 0 0 0 0 12 0 0 0 0 0 0 36 0 0 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
700 782 24 18 6 9 0 36 12 36 30 0 18 0 70 27 24 15 16 50 0 78 60 56
50 550 589 30 30 0 0 0 84 12 54 18 0 9 0 48 6 6 36 12 15 0 48 12 30
100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 30 10 0 0 0 0 6 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 200 1,200 1,255 30 53 43 23 0 92 54 88 83 0 55 0 45 26 38 52 26 24 0 54 30 42
0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 20 23 2 0 0 1 0 2 2 3 2 0 0 0 1 1 1 0 2 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 100 107 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 158 0 6 6 0 0 5 0 0 0 0 0 0 0 0 12 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 100 154 0 0 24 0 0 0 0 0 0 0 12 0 0 0 6 0 0 18 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 250 0 5 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 253 6 30 60 0 0 6 0 0 0 0 18 0 6 0 18 6 0 39 0 0 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 194 0 12 20 4 0 0 0 0 0 0 8 0 0 12 18 18 0 19 0 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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 2 8 0 1 1 0 0 1 1 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0
200 400 2,200 2,257 96 104 52 59 0 176 87 174 156 0 70 0 159 34 42 47 52 69 0 131 88 80
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 300 370 24 12 0 0 0 38 24 6 12 0 0 0 24 6 6 0 18 30 0 0 21 10
200 200 282 0 0 6 0 0 20 0 12 24 0 0 0 8 24 18 12 6 0 0 16 12 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 100 127 0 12 6 0 0 12 6 0 12 0 6 0 0 0 0 10 0 0 0 0 12 0
15 15 0 0 2 0 0 0 0 0 0 0 2 0 0 0 1 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 65 91 15 0 0 0 0 15 0 0 0 0 0 0 0 0 9 0 9 12 0 12 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 205 0 42 6 0 0 0 6 0 0 0 0 0 10 0 0 6 0 3 0 20 12 9
10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 600 607 30 24 0 0 0 72 12 66 30 0 0 0 72 18 12 12 0 18 0 30 6 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 200 219 0 9 8 9 0 0 0 0 9 0 20 0 0 0 8 9 12 8 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 200 1,000 1,037 42 30 6 0 0 108 34 90 36 0 0 0 90 36 28 18 36 6 0 66 36 36
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 126 0 12 6 18 0 12 6 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 11 0 2 2 0 0 0 0 1 0 0 2 0 0 1 0 1 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 9 0 1 0 0 0 0 1 2 2 0 0 0 0 2 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 81 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
N JML PENGELUARAN
STOK + TANGGAL
PENERI
28 29 30 31 JUMLAH
MAAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PENGELUARAN Harga Jumlah
Jumlah
TANGGAL Stok Satuan Harga
23 24 25 26 27 28 29 30 31
Pengeluaran Akhir ( Rp ) ( Rp )
80 66 40 0 82 93 83 74 0 2,255 -2,255
0 0 0 0 0 0 0 0 0 3 28 0
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 8 0 0 30 0 6 0 131 242 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 8 0 0 0 12 0 323 0 401 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 9 0 0 9 41 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
27 45 18 0 18 45 30 9 0 908 35 0.00
0 0 0 0 0 0 0 1 0 1 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 1 0 1 0 0.00
30 24 22 0 24 54 78 18 0 571 0 0.00
1 0 0 0 1 0 0 0 0 8 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 2 0 0 2 0 0.00
0 0 0 0 0 0 0 0 0 2 14 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
Jumlah
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0 0 0.00
0 12 0 0 0 6 0 0 0 144 56 0.00
6 54 0 0 0 42 16 0 0 398 113 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 1 0 0 2 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 6 0 0 0 0 18 2 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 2 6 6 0 0 43 269 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
36 30 28 0 50 10 20 16 0 968 0 0.00
0 0 0 0 0 6 0 0 0 54 197 0.00
0 0 0 0 0 0 0 0 0 0 17 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
0 0 0 0 0 0 0 0 0 0 0 0.00
18 24 12 0 18 44 40 72 0 1,144 230 0.00
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PUSKESMAS : SAMBUNGMACAN 1

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

NO NAMA OBAT SAT 1 2 3 4 5 6 7

A50 Domperidon tab 10 mg Tablet 58

A78 Haloperidol tab 1,5 mg Tablet 0

B15 Minyak telon Botol 0

C19 Trikresol Formalin ( TKF ) Botol 0

D25 Kapas Adsorben 250 gr Roll 0

E4 Iodium Test Botol 0

F6 HEP.B (PID) / HB 0 Buah 0

200 200 500

200 200 373 0 0 23 0 0 6 12 0 0 0 9 0 0 0 13 0 0 24 0 0 0 0

200 300 900 943 24 55 15 44 0 78 47 24 36 0 22 0 42 24 39 79 64 26 0 60 37 0

200 50 550 571 36 27 0 12 0 36 12 18 12 0 0 0 24 24 0 6 28 24 0 32 18 12

200 200 200 6 36 0 16 0 22 28 6 6 0 6 0 0 0 0 0 0 0 0 0 0 0

100 500 511 6 0 0 6 0 36 24 0 0 0 0 0 0 48 28 36 60 18 0 12 0 6

950 950 968 60 40 20 22 0 18 36 60 60 0 22 0 76 24 52 20 18 44 0 90 66 50

400 1,200 1,374 30 43 97 15 0 53 44 44 77 0 78 0 55 35 72 55 42 87 0 27 38 24

100 200 228 0 16 0 0 0 26 12 30 0 0 0 0 6 6 0 18 0 0 0 20 0 0

200 900 939 30 12 54 18 0 54 24 53 68 0 34 0 18 2 39 10 26 51 0 18 12 0

100 100 100 0 0 0 0 0 0 0 0 0 0 0 0 0 30 10 0 0 0 0 6 0 0

200 200 1,200 1,255 30 53 43 23 0 92 54 88 83 0 55 0 45 26 38 52 26 24 0 54 30 42

100 100 107 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 4 0 0 10 0 0

100 100 154 0 0 24 0 0 0 0 0 0 0 12 0 0 0 6 0 0 18 0 0 0 0

300 300 370 24 12 0 0 0 38 24 6 12 0 0 0 24 6 6 0 18 30 0 0 21 10

200 200 282 0 0 6 0 0 20 0 12 24 0 0 0 8 24 18 12 6 0 0 16 12 4

100 100 127 0 12 6 0 0 12 6 0 12 0 6 0 0 0 0 10 0 0 0 0 12 0

200 600 607 30 24 0 0 0 72 12 66 30 0 0 0 72 18 12 12 0 18 0 30 6 30

200 200 219 0 9 8 9 0 0 0 0 9 0 20 0 0 0 8 9 12 8 0 0 0 0

200 200 1,000 1,037 42 30 6 0 0 108 34 90 36 0 0 0 90 36 28 18 36 6 0 66 36 36

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