PEMERINTAH DAERAH KABUPATEN LANDAK

DINAS KESEHATAN
PUSKESMAS PAHAUMAN
Alamat Jln Raya Pahauman kode Pos. 79356 Telp. ( 0563 ) 2023767, Email : puskesmaspahauman 17@gmai.com

LAPORAN PENGAMPARAHAN DAN PEMAKAIAN OBAT/ LPLPO

TGL/BULAN/ TAHUN :
POSKESDES : SEBATIH
STOK PERMINTA PENERIMA PEMAKAIA STOK PERMINTA PENERIMA PEMAKAIA
NO NAMA OBAT SATUAN SISA STOK KET NO . SATUAN SISA STOK KET
AWAL AN AN N AWAL AN AN N

1 AMLODIPINE 10 MG TABLET 32 DEXAMETHASONE 0,5 MG TABLET

2 ALLOPURINOL 100 MG TABLET 33 DOMPERIDONE 10 MG TABLET

3 ANTASID DOEN TABLET 34 DOMPERIDONE SYRUP BOTOL

4 ASAM MEFENAMAT 500 MG TABLET 35 DAPYRIN 500 MG TABLET

5 AMOXACILLIN 500 MG CAPLET 36 DIMENHYDRINATE 50 MG TABLET

6 AMOXACILLIN 125 MG SYRUP BOTOL 37 DECACETIN TM BOTOL

7 AMOXACILLIN 250 MG SYRUP BOTOL 38 FOLIC ACID TABLET

8 ACETOSAL 100 MG TABLET 39 FOLIFIX 15 CM X 5 M PCS

9 ALLOPURINOL 300 MG TABLET 40 FUROSEMIDE 40 MG TABLET

10 ALBENDAZOLE 400 MG TABLET 41 GRANTUSIF TABLET

11 ANATON 500 MG TABLET 42 GENTAMICIN ZALF MATA TUBE

12 ALKOHOL SWAB KTK 43 GENTAMICIN TTS MATA BOTOL

13 BABY COUGHT SYRUP BOTOL 44 GLYSERIL GUAKONAT 50 MG TABLET

14 BETAMETHASONE 0,1 % SALAP TUBE 45 GRISEOVUFIN125 MG TABLET

15 BETADINE SALAP TUBE 46 HUFAXOL SYRUP BOTOL

16 BETADINE/ KOKODIN 300 ML Botol 47 HUFABION CAPSUL

17 CALSIUM LACTAS 500 MG TABLET 48 HUFRALGIN 500 MG TABLET

18 CETERIZINE TABLET 49 HYDROCORTISONE CREAM 2,5 % TUBE

19 CETERIZINE SYRUP BOTOL 50 HYDROCORTISONE CREAM 1 % TUBE

20 CAPTOPRIL 12,5 MG TABLET 51 HISTIGO TABLET

21 CAPTOPRIL 25 MG TABLET 52 HCT 25 MG TABLET

22 CIPROFOXACINE 500 G TABLET 53 HANSCOON PCS

23 CTM 4 MG TABLET 54 IBUPROFEN 400 MG TABLET

24 CEFADROXIL 500 MG TABLET 55 IBUPROFEN SYRUP BOTOL

25 COTRIMOXAZOLE 240 MG BOTOL 56 KAMOLAS SYRUP BOTOL

26 COTRIMOXAZOLE 480 MG TABLET 57 KASA VERBAN 4 M X 15 CM GULUNG

27 CONFULSIN SYRUP BOTOL 58 KASA STERIL 16 X 16 CM KTK

28 CLORAMEX 500 MG CAPSUL 59 KETOKONAZOLE CREAM 2% TUBE

29 CLORAMFENICOLE SYRUP BOTOL 60 LANSOPRAZOLE 30 MG CAPSUL

30 CEFADROXIL 125 MG SYRUP BOTOL 61 LIDOCAIN KOMPOSITUM AMPUL

31 CURBION SYRUP BOTOL 62 LIDOCAIN HCL AMPUL

 STOK PERMINTA PENERIMA PEMAKAIA STOK PERMINTA PENERIMA PEMAKAIA
NO NAMA OBAT SATUAN SISA STOK KET NO NAMA OBAT SATUAN SISA STOK KET
AWAL AN AN N AWAL AN AN N

63 LODECON TABLET 88 RANITIDINE 150 MG TABLET

64 LOPERAMIDE HCL 2 MG TABLET 89 RL 500 ML BOTOL

65 METHYLPREDNISOLONE 4 MG TABLET 90 SULFADOXINE PYRIMETHAMINE 500-25 MG TABLET

66 METHYLPREDNISOLONE 8 MG TABLET 91 SALYSIL BEDAK BKS

67 METRONIDAZOLE 500 MG TABLET 92 SALBUTAMOL 2 MG SYRUP BOTOL

68 METRONIDAZOLE SYRUP 125 MG TABLET 93 SALBUTAMOL 2 MG TABLET

69 MASKER PCS 94 SALBUTAMOL 4 MG TABLET

70 NATRIUM DICLOFENAC 50 MG TABLET 95 SIMVASTATIN 10 MG TABLET

71 NUTRIVITA SYRUP BOTOL 96 SIMVASTATIN 20 MG TABLET

72 NIFEDIPINE 10 MG TABLET 97 SAMCOBION CAPSUL

73 NACL 0,9 % 500 ML BOTOL 98 SPUIT 3 CC PCS

74 OMEPRAZOE 10 MG CAPSUL 99 SPUIT 5 CC PCS
75 OMEPRAZOE 20 MG CAPSUL 100 SPUIT 1 CC PCS
76 ORALIT BKS 101 TABLET TAMBAH DARAH / FE TABLET

77 ONDANSETRON TABLET 102 ULSIDEX 500 MG TABLET

78 O B H SYRUP SYRUP 103 VITAMIN.C 25 MG TABLET

79 OMECOUGH SYRUP SYRUP 104 VITAMIN.C 50 MG TABLET
80 PLESTER ROL KAIN 5X450 CM ROL 105 VITAMIN.C 250 MG TABLET
81 PARACETAMOL 500 MG TABLET 106 Vit. B. Complex TABLET
82 PYRANTEL SYRUP SYRUP 107 ZINK SULPHATE. 20 MG TABLET
83 PYRANTEL 125 MG TABLET 108 ZINK SULPHATE SYRUP
84 PREDNISONE TABLET

85 PURALEX TABLET

86 PHYTOMENADIONE 10 MG TABLET

87 PARACETAMOL SYRUP DROP SYRUP

REKAPAN HASIL KEGIATAN

RESEP UMUM JUMLAH TOTAL RESEP
BAYAR GRATIS RESEP BPJS / JKN/ KIS BAYAR GRATIS RESEP BPJS / JKN/ KIS Sebatih,……………, …………………2019
Yang Melapor

(Dariana. S. Amd Keb)

NIP. 19880712 201705 2 001