LAPORAN SISA STOK OBAT DAN PERBEKALAN KESEHATAN

PUSKESMAS…………………………
PERIODE JANUARI-MARET 2018

No Nama Obat Sediaan Sisa Stok Harga Satuan Jumlah (4*5)

1 2 3 4 5 6
1 ACT / Artesunate + Amodiaquin Tabl Tablet 1409
2 Albendazol tablet 400 mg Tablet 359
3 Alopurinol tablet 100 mg Tablet 325
4 Alprazolam Tablet 0.5 mg Tablet 185
5 Alprazolam Taablet 1 mg Tablet 239
6 Ambroxol Syr Botol 4500
7 Ambroxol Tablet Tablet 165
8 Aminofilin tablet 200 mg Tablet 170
9 Aminofilina 24 mg/ml - 10 ml Ampul 3349
10 Amitriptilin HCL tablet salut 250 mg Tablet 165
11 Amoksisilin kapsul 250 mg Kapsul 207
12 Amoksisilin kapsul 500 mg Kapsul 233
13 Amoksisilin sirup kering 125 mg/5ml Botol 2200
14 Amoxcilin inj 1 gr Vial 15000
15 Amlodipin Tablet 10 mg Tablet 163
Antasida DOEN tab,kombinasi : Mg-
16 Hidroksida 200mg+Al.Hidroksida 200mg Tablet
64
Antasida Doen II Suspensi Komb: Mg-Hidroksida
17 200mg+Al.Hidroksida 200mg / 5 ml Botol
2106

18 Anti Bakteri DOEN salep Kombinasi: Basitrasin Tube

500 IU/g+Polimiksin 10.000 IU/g 2767
Antifungi DOEN Kombinasi : Asam
19 Benzoat 6%+Asam Salisilat 3% Pot
4782
20 Anti Hemoroid DOEN Kombinasi Supp 3502
21 Antimigren Tablet: Ergotamin Tartrat 1 mg + Kofien 50 mg Tablet 154
22 Aqua Pro Injeksi Larutan 2ml Vial 2750
23 Artesunate injeksi Vial 42900
24 Artemeter injeksi (bp) ampul 24384
25 Asetosal tablet 100 mg Tablet 153
26 Asetosal tablet 500 mg
Tablet 369
27 Asam Ascorbat (Vit C) tablet 50 mg
Tablet 45
28 Asam askorbat 250 mg Tablet 139
29 Asam Mefenamat 500 mg Tablet 113
30 Acyclovir Cream Tube 4000
31 Acylovir 400 mg Tab 368
32 Asam Folat ( Afolat ) Sachet 68
33 Betahistin Tablet 6 mg Tablet 170
34 Betametason krim 0,1 %
Tube 1435
35 Bisacodil 5 mg
Tablet 317
36 Cefadroxil 500 mg Tablet tablet 557
37 Centrizine Tablet Tab 154
38 Centrizine Syrup 5 mg /5 ml Botol 7756
39 Deksametason injeksi 5 mg/ml - 1 ml ampul 1740
40 Deksametason tablet 0,5 mg
Tablet 48
41 Dextamin Tablet 1815
42 Diazepam injeksi 5 mg/ml 2 ml
ampul 5288
43 Diazepam tablet 2 mg Tablet 53
44 Diazepam tablet 5 mg
Tablet 134
45 Diazepam Rectal / Stesolid
Tube 18461
46 Difenhidramin HCL inj 10 mg/ml-1ml ampul 1355
47 Digoksin tablet 0,25 mg
Tablet 108
48 Domperidone Tablet 10 mg Tablet 133
49 Domperidone Syrup 5 mg / 5 ml
Botol 3180
50 Doxicyclin 100 mg
kaplet 299
51 Efedrin HCL tablet 25 mg Tablet 158
52 Ekstrak Belladon tablet 10 mg
Tablet 168
Epinefrina HCL Injeksi :
53 (Epinefrina / Adrenalina) Injeksi 0,1% - 1 ml Ampul 2354

54 Erythomyciun 500 mg Kapsul 766

55 Etakridin (Rivanol) larutan 0,1% Botol 3600
56 Fenobarbital injeksi 50 mg/ml - 2 ml Ampul 1980
57 Fenobarbital tablet 30 mg Tablet 93
58 Fenol Gliserol botol 2500
59 Fitomenadion (Vit.K1) injeksi Ampul 4083
60 Fitomenadion (Vit.K1) tablet 10 mg Tablet 796
61 Furosemid tablet 40 mg Tablet 122
62 Garam Oralit untuk 200 ml air Sachet 274
63 Gembifrozil Kap 300 mg Kapsul 436
64 Gentamycin Salep Mata Tube 2950
65 Gentamycin SK Tube 2216
66 Gentamicin TM Botol 4600
67 Gentian Violet larut 1% Botol 4408
68 Glibenklamid tablet 5 mg Tablet 180
69 Gliseril Guayacolat tablet 100 mg Tablet 447
70 Glimipiride Tablet 150
71 Glukosa larutan infus 5 % steril Botol 6900
72 Glukosa larutan infus 40 % steril Botol 5720
73 Griseofulvin tablet 125 mg, micronized Tablet 300
74 Haloperidol tablet 0,5 mg Tablet 64
75 Haloperidol tablet 1,5 mg Tablet 74
76 Haloperidol tablet 5 mg Tablet 98
77 Hidroklorotiazid (HCT) tablet 25 mg Tablet 171
78 Hidrokortison krim 2,5% Tube 2712
79 Ibuprofen tablet 200 mg Tablet 111
80 Ibuprofen tablet 400 mg Tablet 133
81 Ibuprofen Syrup 100 mg /5 ml Botol 2560
82 Isoniazid 100 mg tablet Tablet 85
83 Isoniazid 300 mg tablet Tablet 177
84 Isosorbid Dinitrat tablet sublingual 5 mg Tablet
93
85 Kalsium Laktat (Kalk) tablet 500 mg Tablet
69
86 Kaptopril 12,5 mg tablet Tablet
69
87 Kaptopril 25 mg tablet Tablet
72
88 Karbamazepin tablet 200 mg Tablet
306
89 Klobazam 10 mg tablet Tablet
1120
90 Klonidin Tablet
204
91 Kloramfenikol kapsul 250 mg Kapsul
631
92 Kloramfenicol kapsul 500 mg (Chloramex) Kapsul
1205
93 Kloramphenicol Salep Mata 1% Tube
1850
94 Kloramfenikol tetes teliga 3% Botol
7500
95 Kloramphenicol syrup Botol
4000
96 Kloramfenikol tetes mata 0,5% Botol
8000
97 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet
45
98 Klorpromazin HCL injeksi 25 mg/ml - 1 ml Amp

99 Klorpromazin HCL tablet salut 25 mg Tablet 234

100 Klorpromazin HCL tablet salut 100 mg Tablet 179
101 Klozapin 25 mg tab Tablet 1550
102 Kodein fosfat tablet 10 mg Tablet 630
103 Kotrimoksazol Suspensi Syrup Botol 2225
Kotrimoksazol Tablet komb:
104 Sulfametoksazol 400mg + Trimetoprim 80 mg Tablet
158
105 Lansoprazole Kapsul 30 mg Kapsul 341
106 Larutan H2o2
107 Loperamida Tablet 2 mg Tablet 90
108 Loratadin Tablet 10 mg Tablet 149
Lidokain komp,injeksi,Kombinasi: Lidokain HCL 2%+Epinefrin
109 1:80.000-2ml Amp
2122
110 Lisol,mengandung Kreosol tersabun 50% Botol 49200
111 Magnesium Sulfat inj (IV) 20% -25 ml vial 45100
112 Magnesium Sulfat inj (IV) 40% -25 ml Vial 3500
113 Metampiron /Antalgin Injeksi 250 mg Amp 1500
114 Metampiron / Antalgin Tablet 500 mg Tablet 180
115 Metil Ergomentrin tab salut 0,125 mg Tablet 338
116 Metil Ergomentrin Maleat inj 0,200 mg-1ml Amp 2684
117 Metil Prednisolon Tablet 4 mg Tablet 209
118 Metformin Tablet 500 mg Tablet 108
119 Metoklorpropamide tablet 10mg Tablet 100
120 Metoklorpropamide Injeksi Amp 3904
121 Metronidazol tablet 250 mg Tablet 98
122 Metronidazole Tablet 500 mg Tablet 169
123 Miconazol Cream Tube 3737
124 Natrium Diklofenak 25 mg tablet Tablet 167
125 Natrium Diklofenak 50 mg tablet Tablet 161
126 Natrium Klorida Lar infus 0,9% steril Botol 6410
127 Nifedipin Tablet 10 mg Tablet 123
128 Nistatin tablet Salut 500.000 IU Tablet 1020
129 Nistatin tablet vagina 100.000 IU/g Ovula 602
130 Obat Batuk Hitam (O.B.H) cairan
Botol 3000
131 Oksitetrasikin HCL salep mata 1% Tube 3985
132 Oxytetrasiklin salep kulit 3% Tube 3019
133 Oksitosin injeksi 10 IU/ml - 1 ml Ampul 1900
134 Omeprazole 20 mg kapsul Kapsul 164
135 Papaverin Tablet Tab 213
136 Parasetamol sirup 120 mg/5 ml Botol 1119
137 Parasetamol Drop Botol 14980
138 Parasetamol tablet 100 mg Tablet 160
139 Parasetamol tablet 500 mg Tablet 58
140 Pirantel tablet 125 mg Tablet 318
141 Piridoksin HCL (Vit.B6) tablet 10 mg Tablet 52
142 Piroxicam Kapsul 10 mg Tablet 135
143 Piroxicam Kapsul 20 mg Tablet 163
144 Povidon lodida 10 % 30 ml Botol 3480
145 Povidon Iodium 10% 300 ml Botol 21600
146 Povidon Iodium 10% 500 ml Botol 105264
147 Povidon lodida 10 % 1000 ml Botol 40202
148 Prednison tablet 5 mg Tablet 166
149 Primakuin tablet 15 mg Tablet 258
150 Propanolol 10 mg Tablet 80
151 Propranolol HCL tablet 40 mg Tablet 275
152 Propitiourasil tablet 100 mg Tablet 2200
153 Ranitidin 150 mg tablet Tablet 119
154 Ranitidin Injeksi ampul 1677
155 Reserpin tablet 0,25 mg Tablet 1011
156 Retinol (Vit. A) 100.000 IU kapsul
Botol 16350
157 Retinol (Vit. A) 200.000 IU kapsul Botol 26550
158 Ringer Laktat Larutan infus steril Botol 7150
159 Risperidon 1 mg tablet Tablet 1500
160 Salbutamol 2 mg tablet Tablet 97
161 Salbutamol 4 mg tablet Tablet 84
Salep 2-4 Kombinasi Salep : Asam
162 Salisiat 2%+Belerang Endap 4% Pot
2797
163 Salisil Bedak 2% Kotak 1066
164 Sefotaxime inj 1 gram Vial 6485
165 Sefotaxime inj 0,5 gram Vial 5995
166 Sianokonalamin (Vit.B12) injeksi 500 mcg-ml Ampul 1686
167 Sianokonalamin (B 12 ) tablet Tablet 76
168 Simetidin Tablet 200 mg Tablet 175
169 Simvastatin Tablet 10 mg Kotak 135
170 Siprofloxacin 500 mg tablet Tablet 298
171 Tetrasiklin HCL kapsul 500 mg Kapsul 329
172 Tiamin HCL (Vit.B1) injeksi 100 mg/ml -1 ml Ampul 1253
173 Tiamin HCL/Mononitrat (Vit.B1) tablet 50 mg Tablet 91
174 Triheksifenidil Hidroklorida tablet 2 mg Tablet 97
175 Vitamin B Komplek tablet Tablet 49
176 Zinc Tablet 20 mg Tablet 592
JUMLAH

Obat Gigi

177 Bahan Tambalan Gigi Sementara/Caviton Botol 190000

178 Devitalisasi Pasta (Non Arsen) Kotak 258750
179 Etil Klorida spray Botol 160000
180 Eugenol cairan Botol 18333
181 Glass Ionomer Cement ART/ Tambalan Tetap Set 575000
182 Isodine Kumur 190 ml / Obat Kumur Botol 12980
183 Kalsium Hidroksida Pasta Kotak 202400
184 Klorfenol kamer Menthol (CHKM) Botol 88550
185 Mummifying Pasta/Iodoform Pasta Botol 733650
186 Ocototch Cleansing
Botol 150000
187 Semen Seng Fosfat serbuk dan cairan Botol 205850
188 Silver Amalgam serbuk 65-75%
Botol 237540
189 Temporary Stopping Fletcher Cairan & Serbuk Set 37950
190 Tri Kresol Formalin (TKF)
Botol 75020
JUMLAH
 Alat Kesehatan

191 Alat Suntik sekali pakai 1 ml Pcs 748

192 Alat Suntik sekali pakai 2,5 ml Pcs 748
193 Alat Suntik sekali pakai 5 ml Pcs 863
194 Alat Suntik sekali pakai 10 ml Pcs 1023
195 Alkohol Swab Kotak 18090
196 Apron Plastik Pcs 2904
197 Bisturi Ktk 90000
198 Blood Lancet Pcs 42273
199 Catgut chromic No. 2/0 pcs 6421
200 Catgut chromic No. 3/0 pcs 6421
201 Cat-Gut Plan No. 2/0 Pcs 6421
202 Cat-Gut Plan No. 3/0 Pcs 6421
203 Folly Catheter 16 Pcs 9200
204 Folly Catheter 18 Pcs 9200
205 Infusion Set anak Set 4025
206 Infusion Set dewasa Set 3680
207 Iv. Catheter no.20 G Pcs 4370
208 Iv. Catheter no.22 G Pcs 4370
209 Iv. Catheter no.24 G Pcs 4370
210 Jarum Jahit no 9 s/d 14 Lusin 32500
211 Kapas Pembalut / Absorben 250 gram Pcs 14375
212 Kasa Kompres 40/40 steril Pcs 1840
213 Kasa Pembalut 2 m x 80 cm Pcs 8855
214 Kasa pembalut elastis 3 inci roll 7700
215 Kasa 4 x 5 cm / 5 cm pcs 863
216 Kasa Pembalut Hidrofil 4 m x 15 cm Pcs 2415
217 Kasa Pembalut Hidrofil 16 m x 16 cm Kotak 9200
218 Kasa pembalut hidrofil 40 m x 80 cm roll 120750
219 Masker ear loop Pcs 835
220 Masker ties on Pcs 566
221 Masker N95 Pcs 7489
222 Needle No. 23 G Pcs 330
223 Oxygen nassal Canula Adult Pcs 6138
224 Oxygen nassal Canula Child Pcs 6138
225 Plaster 5 yards x 2 inch Pcs 47564
226 Plester 15 x5 Pcs 79948
227 Sarung tangan non steril Pcs 579
228 Sarung tangan No. 6,5 Pasang 6226
229 Sarung Tangan No.7 Pasang 6226
230 Sarung Tangan No.7,5 Pasang 6226
231 Silk ( Benang Bedah Sutera ) No.3/0 Pcs 3514
232 Torniket Pcs 36700
233 Urine Bag Pcs 3600
JUMLAH

Reagen Laboratorium

234 Asam Urat stik Easy Touch Kotak/25 150000

235 Asam Urat stik Nesco Kotak/25 201850
236 Bilirubin Total Kotak 1300000
237 Glukosa stik Biosensor Ktk/50 Stik 346500
238 Glukosa stik Supersensor Ktk/50 Stik 447700
239 Glukosa stik Easy Touch Ktk/25 Stik 150000
240 Glukosa stik Nesco Ktk/25 Stik 178970
241 Glukosa Bio System Kotak 544500
242 Hb test strip Ktk/25 Stik 486475
243 Kolesterol stik Easy Touch Ktk/10 Stik 199100
244 Kolesterol stik Nesco Ktk/10 Stik 208450
245 Kolesterol Biosistem kotak 792000
246 Kreatinin Kotak 1093950
247 Larutan Alkohol/Etanol 70 % 100 ml Botol 2625
248 Larutan Alkohol/Etanol 70 % 1000 ml Botol 30000
249 Larutan Anisol Botol 380875
250 Larutan Aquadestilata 1000 ml Botol 20000
251 Larutan Asam Acetat 6% Botol 37125
252 Larutan Asam Klorida 0,1 N Botol 20000
253 Larutan Asam Sulfosalisilat 20% Botol 650000
254 Larutan Benedict Botol 150000
255 Larutan Buffer Fosfat Botol
256 Larutan EDTA 10% Botol 80000
257 Larutan Eosin 1 % Botol 300000
258 Larutan Giemsa Fuksin Botol 480000
259 Larutan Golongan Darah (ABO) Botol 544940
260 Larutan Hayem Botol 80000
261 Larutan KOH 10% Botol 28000
262 Larutan KOH 20% Botol 35000
263 Larutan Metanol Botol 50000
264 Larutan Minyak Emercy 10 ml Botol 1000000
265 Larutan Natrium Citrat3,8 % Botol 35000
266 Larutan Rees Esker Botol 125000
267 Larutan Salisil Spritus 10% Botol 1176
268 Larutan Spiritus Botol 37125
269 Larutan Turk Botol 30000
270 Larutan Xylol Botol 80000
271 Larutan ZN Set 250000
272 Larutan Widal Set 521730
273 PP. Test (Hamil Test) Strip 2254
274 Rapid Test DBD Strip 192500
275 Rapid Test Malaria Pcs
276 SGOT Bio System Kotak 742500
277 SGPT Bio System Kotak 752400
278 Trigliserida Bio System Kotak 1287000
279 Uric Acid Bio System Kotak 1069200
280 Ureum Bio System Kotak 1732500
281 Urinalysis reagen strip Set 146300
JUMLAH

Serum dan Vaksin

282 Serum Anti Bisa Ular Injeksi 5 ml (ABU I) Vial 543950

283 Serum Anti Tetanus injeksi 1,500 IU / ATS Amp 145475
284 Serum Anti Tetanus injeksi 20.000 IU / ATS Vial 1372525
285 Vaksin Rabies Vero / VAR Amp 194810
JUMLAH

Obat Penunjang /Generik bermerk

286 Albothyl Concentrate / Heparin Botol 23500

287 Antrain Injeksi / Metamizol Inj Ampul 1000
288 Bioplacenton Salep Tube 13182
289 Fludexin Syrup/Obat Flu untuk anak Botol 11550
290 Hemafort Tablet Tablet 835
291 Hustab 8 mg tablet 308
292 Iliadinje 0,025% drop Botol 36000
293 Iliadinje 0,05% Spray Botol 37900
294 Komb. Anti Diare untuk Dewasa / New Diatab Tablet 1050
295 Lysmin Syrup/Multivitamin Anak Botol 5500
296 Lexapram Syrup Botol 2950
297 Multivitamin untuk deawasa Tablet 440
298 Multivitamin injeksi (bp) Ampul 10169
299 Obat Flu Dewasa tablet / Ponflu tablet (bp) Tablet 990
300 Pehacain Injeksi Amp 3113
301 Tomit Injeksi ( Metoklorpramide Injeksi ) Ampul 3500
302 Trombophob Gel Tube 5000
303 Vitka Infant Injeksi / Anti Koagulasi Inj Ampul 6600
304 Ultrasonic (USG) Gel 250 ml Botol 15100
305 Zoloral Sol Botol 25740
JUMLAH
 Obat Program P2 TB Paru

306 OAT Kategori I Paket 430538

307 OAT Kategori II Paket 1435178
308 OAT Sisipan Paket 191343
309 OAT Kategori Anak Paket 257125
310 Ziehl Neelsen Paket 276500
311 Kaca Slides Kotak 31818
312 Kombipak Kategori I Paket 317015
313 Isoniazid 100 mg tablet Tablet 85
314 Pot Sputum Pcs 2930
315 Kotak Slide Kotak 36000
JUMLAH

Obat Program P2 Imunisasi

316 VAKSIN BCG Ampul 59950

317 VAKSIN POLIO 10 DOSIS Vial 19954
318 VAKSIN POLIO IVP 5 DOSIS Vial 153736
319 VAKSIN CAMPAK 10 DOSIS Vial
28232
320 VAKSIN CAMPAK 20 DOSIS Vial 41998
321 VAKSIN DT Vial 17796
322 VAKSIN T T Vial 14498
323 VAKSIN TD Vial 16500
324 HEPATITIS B UNIJECT Pcs 23320
325 VAKSIN DPT - HB - Hib (PENTABIO) Vial 76285
326 SOLO SHOT 0,05 ML Pcs 3200
327 SOLO SHOT 0,5 ML Pcs 1448
328 SOLO SHOT 5 ML Pcs 2049
329 SAFETY BOX Pcs 16885
330 EPINEFRIN INJEKSI 1848
JUMLAH

Obat Program P2 Malaria

331 ACT / Arsuamon box 1409

332 Primaquin tablet 258
333 Slide Malaria box 140000
334 Blood Slide box 39050
335 Darplex Tablet Cure 32101
336 Giemsa botol
337 Immerrsion Oil botol
338 Vaccinostyl / Lancet box 27500
339 RDT Malaria Kotak 5271
340 Doksisiklin tablet 299
JUMLAH
 Obat Program P2 Diare

341 Albendazol Tablet Tablet 451

342 Oralit 200 ml Pcs 274
343 Zinc Tablet Tablet 529
JUMLAH

Obat Program P2 Kusta

344 MB Dewasa (MDT Combi Adult) Blister 30595

345 MB Anak (MDT Combi Child) Blister 21750
346 PB Dewasa (MDT PB Adult) Blister 9770
347 PB Anak (MDT PB Child) Blister 9570
JUMLAH

Obat Program Gizi

357 Tablet tambah Darah Tablet 12300

JUMLAH -

TOTAL -

Mengetahui
Kepala Puskesmas ….. Bendahara Barang
Kabupaten Tanah Laut Puskesmas ………
dahara Barang
esmas ………