LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat apotik Bulan : Januari 2019

NAMA OBAT Stok awal Penerimaan Pengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 % 0
2 Ambroxol sirup 15 mg/ ml 16 16
3 Ambroxol tablet 30 mg 80 100 180
4 Klorfeniramina Maleat (CTM) 4 mg tablet 640 1000 174 1466
5 Klorpromazin tablet salut 100 mg 0
6 Meloksikam tablet 15 mg 0
7 Oksitetrasiklin Salep Kulit 3 % 0
OBAT NON GENERIK 0
1 Akita Tablet 90 50 40
2 Ternix Plus Syrup 0
3 Momilen Baby Gold 1 1
4 Starbion kapsul 245 300 520 25
5 Caranal kapsul 0
6 OBH FM 5 5
7 solvinex tablet 0
0
DAK 0
1 Alopurinol tablet 100 mg 220 200 420
2 Alprazolam tablet 0,25 mg 0
3 Alprazolam tablet 0,5 mg 20 20
4 Alprazolam tablet 1mg 0
5 Amoksisilin sirup kering 125 mg/5ml 0
6 Amoksisilin tablet 250 mg 460 300 180 580
7 Amoksisilin tablet 500 mg 160 500 180 480
8 Amitriptilin tablet salut 25 mg (HCL) 0
9 Amlodipin tablet 5 mg 120 200 240 80
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 250 30 220
11 Asam Mefenamat kapsul/kaplet 500 mg 0
12 Asam Traneksamat injeksi 0
13 Asiklovir tablet 200 mg 220 200 170 250
14 Asiklovir tablet 400 mg 110 100 85 125
15 Antasida DOEN Tablet Kombinasi Mg Hidroksi 130 1100 900 330
Al Hidroksida 200 mg 0
16 Antasida DOEN II suspensi 18 30 48
17 Antifungi DOEN salep, Kombinasi:Asam Benzo 4 5 1 8
Asam Salisilat 3% 0 0
18 Antihemoroid,komb bismut subgalat 150mg 13 20 3 30
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg 0
10 Anti Bakteri DOEN salep 7 5 0 12
20 Anti Malaria Doen komb pirimetamin 25mg 50 0 50
sulfadoksin 500mg 0
21 Atropin Injeksi 5 mg/ml 0
22 Asam Askorbat (Vit C) tablet 50 mg 190 900 940 150
23 Asam Fusidat Krim 20 mg/g 0
24 Azitromisin tablet 500 mg 100 60 15 145
25 Betahistin tablet 6 mg 160 100 80 180
26 Betametason krim 0,1 % 9 15 12 12
27 Candesartan 8mg 60 90 0 150
28 Clobazam tablet 10 mg 200 0 200
29 Deksametason tablet 0,5 mg 300 200 430 70
30 Deksametason injeksi 5 mg/ml 14 0 14
31 Depakote divalproex sorodium(valproat)25 0
32 Desoksimetason krim 0,25% 8 10 8 10
33 Diazepam injeksi 5mg/ml 0
34 Diazepam tablet 5 mg 30 30
35 Digoksin Tablet 0,25 mg 30 0 30
36 Difenhidramin injeksi 10 mg/ml 0 0
37 Domperidon Suspensi 5 mg/ 5 ml 11 25 25 11
38 Domperidon Tablet 10 mg 150 40 110
39 Epinefrin (Adrenalin) injeksi 0,1% 0 0
40 Erythromycin 250 mg tablet 80 0 80
41 Etanol 70% cairan 1 1
42 Fenobarbital injeksi 50 mg/ ml 0
feno barbital tablet 30mg
43 Fenofibrat kaps 100 mg 0
44 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 0
45 Fitomenadion (Vit. K 1) Tablet 10 mg 136 10 126
46 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 0
47 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 0
48 Furosemid tablet 40 mg 40 100 40 100
49 fusilex krim(fusidic asid) krim 20%29mg/g 2 2
50 Garam Oralit serbuk kombinasi 29 100 29 100
51 Glukosa Larutan Infus 5% Steril 0
52 Glibenklamid Tablet 5 mg 0
53 Glimepiride Tablet 5 mg 90 100 150 40
54 Griseofulvin(micronized) tablet 500mg 100 10 90
55 Gliserin Lar 50% 1 1
56 Haloperidol tablet 0,5 mg 270 270
57 Haloperidol tablet 5 mg 210 210
58 Haloperidol injeksi 50 mg/ml 0
59 Hidrokortison krim 2,5% 9 5 12 2
60 Hidroklorotiazid 25 mg 25 5 20
61 Ibuprofen Suspensi 100mg/5ml 12 1 11
62 Ibuprofen tablet 200 mg 200 200 400
63 Isosorbid Dinitrat 5 mg 0
64 kalsium gluconat injeksi10% 0
65 Kalsium Laktat (Kalk) 500 mg 270 400 430 240
66 Kaptopril 25 mg 230 200 170 260
67 Karbol Gliseril Tetes Telinga 10% 3 1 2
68 Ketokonazol krim 2% 2 5 7
69 Ketokonazol Tablet 200 mg 180 10 170
70 Ketorolac injeksi 30 mg 0
71 Klindamisin Kapsul 150 mg 50 0 50
72 Kloramfenikol salep mata 1% 3 5 4 4
73 Kloramfenikol suspensi 125 mg/5ml 32 9 23
74 Klopromazin tablet salut 100mg (HCl) 180 180
75 Klozapin 25 mg 140 140
76 Klorfeniramina Maleat (CTM) 4 mg tablet 0
77 Kompolax: parafin+gliserinfenolflaten susp 0
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 0
 200 mg+Trimetroprin 40 mg/5 ml 0
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol 400 150 250
400 mg+Trimetropin 80 mg 0 0
80 Lanzoprazol kapsul 30 mg 180 100 80
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 3 3
000-2ml 0
82 Loperamid tablet 2 mg 170 80 90
83 Lorazepam tablet 0.5 mg 0
84 Lorazepam tablet 2 mg 0
85 Magnesium Sulfat Injeksi 20% 0
86 Magnesium Sulfat Injeksi 40% 0
87 Metformin HCL tablet 500 mg 90 400 250 240
88 Methylergometrine injeksi 0,2mg/ml 0 0
89 Metiprednisolon tablet 4 mg 255 70 185
90 Metoklopramide 10mg 100 10 90
91 Metoklopramide sirup 5 mg/5ml 0
92 Metronidazol Ovula 500 mg 0 0
93 Metronidazol Sirup 125 mg/5ml 18 8 10
94 Metronidazol tablet 500 mg 190 150 40
95 Momethasone Furoate 0,1%krim 1 0 1
96 N-Asetil Sistein tablet 200 mg 180 600 560 220
97 Natrium Klorida Larutan Infus 0,9% Steril 6 6
98 Natrium Diklofenak tablet 25 mg 50 400 450
99 Nifedipin 10mg tablet 200 0 200
100 Nistatin tablet salut 500.000 iu/g 90 40 50
101 Nistatin Vaginal tablet 100.000 iu/g 86 0 86
102 obat batuk hitam(OBH) 14 14
103 Oksitosin injeksi 10 IU/ml 5 0 5
104 Omeprazol Kapsul 20 mg 190 600 580 210
105 Ondansetron kaplet 4 mg 0
106 Parasetamol drops 20 10 23 7
107 Parasetamol Sirup 120 mg/5ml 31 120 139 12
108 Parasetamol tablet 500 mg 610 610
109 Pirantel Pamoat Susp 125mg/5ml 11 4 7
110 Pirantel tablet score (base) 125 mg 78 -43 121
111 Piridoksin (Vitamin B6) 10 mg 165 60 105
112 Prednison tablet 5 mg 350 110 240
113 Propiltiourasil tablet 100 mg 110 110
114 Ranitidin Injeksi 25 mg/ 2 ml 15 6 9
115 Ranitidin tablet 150 mg 270 600 530 340
116 Ringer Laktat Larutan Infus Steril 1 1
117 Risperidon tablet 1 mg 780 780
118 Salbutamol 2mg 0
119 Salbutamol tablet 4 mg 310 130 180
120 Salbutamol Sirup 11 10 9 12
121 Salep 24, Kombinasi : Asam Salisilat 2%+Bele 8 7 1
122 Salisil Bedak 2% 0
123 Sefadroksil Sirup Kering 6 18 24
124 Sefadroksil kapsul 500 mg 300 130 170
125 Sefiksim kapsul 100 mg 120 300 280 140
126 Sefiksim sirup kering 100 mg/5ml 9 30 39
127 Sefotaksim serbuk injeksi 1000mg 0
128 Serum anti bisa ular(A.B.u) 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0
130 Setirizin sirup 5mg/5ml 3 9 10 2
131 Setirizine Tablet 10 mg 50 600 600 50
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 5 10 15
133 Simvastatin Tablet 10 mg 180 150 120 210
134 Siprofloksasin tablet 500 mg 170 100 100 170
135 Sukralfat susp 500 mg/5ml, 100 ml 1 15 12 4
136 Sukralfat tablet 500 mg/ 5 ml 160 100 140 120
137 Tetrasiklin HCI Kapsul 250 mg 0
138 Tetrasiklin HCI Kapsul 500 mg 97 67 30
139 Thiamin (vitamin B1) tablet 50 mg 160 0 160
140 Triheksifenidil 2 mg 0
141 Valsartan tab 80 mg 30 30
142 Vitamin B Kompleks tablet 140 300 425 15
143 Zincpro drops 15 0 15
144 Zinc syrup 10 mg/ml 18 11 7
145 Zinc tablet 20 mg 210 150 60
0
Alat Kesehatan 0
1 Alat Suntik Sekali Pakai 3 ml 56 200 256
2 Alat Suntik Sekali Pakai 5 ml 22 22
3 Alkohol 70 % 1 L 0
4 Alkohol Swab 0
5 Aseptic Gel 500cc + dispenser 1 1
6 Autocheck 3 in1 multi monitoring system 0
7 botol kimiawi palsti 1 L 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 0
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 2 2
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 1 1
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 0
12 Catheter 2 Way no.16 0
13 Catheter 2 Way no.18 0
14 Cuticel classic 10cmx10cm 0
15 Dermafix T 10x8 cm 0
16 dermanios scrub chlorhexidin 0
17 Eugenol cairan 0
18 Infus Set Anak 0
19 Infus Set Dewasa 0
20 aximed IV Chateter WP No. 20 0
21 aximed IV Chateter WP No. 22 0
22 aximed IV Chateter WP No. 24 0
23 aximed swab 2-ply 0
24 Jellco 24G 0 0
25 Jellco 22G 0
26 Jellco 20 0 0
27 Kapas Pembalut/ Absorben 50 gr 0
28 Kapas Pembalut/ Absorben 250 gr 0
29 Kapas Pembalut/absorben 500 gr 0
30 Kassa Kompres Steril 40 x 40 cm 0
31 Kassa Pembalut 2 x 80 cm 0
32 Kassa Hidrofil 4 x 15 cm 0
33 leukoplast 2,5cmx4,5m 0
34 Lisol 1 Liter 0
35 Maxter Exam Non Powder L 0
36 Maxter Exam Non Powder M 0
37 Maxter Exam Non Powder s 100 100
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 0
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 0
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 0
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box 0
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box 0
46 New DRC T 40 Y x 80 cm Plain 0
47 Nonwoven fixiation 5cmx10m 0
48 Nonwoven fixiation 10cmx10m 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 0
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0
51 paper tape 5.0cmx9.14m 0
52 Prefiled Humidifier Hydrox 0
53 Pembalut Elastis 10 cm x 4,55 m 0
54 Pembalut Elastis 7,5 cm x 4,55 m 0
55 Poliban 5 cm x 2,7 MT 0
56 Polifix 10 cm x 5 m 0
57 Polifix 5 cm x 5 m 0
58 Poligyp 5 cm x 2,7 m 0
59 Poliwash 500 ml 0
60 Povidon Iodida larutan 10% 1 1
61 Rivanol 300 cc 0 0
62 Safeglove PF no.7 0
63 Silk 2/0 + jarum 1/2 GT 35mm 0 0
64 SMI Silk Black 3/0 HR 26 MM 1 1
65 Surgical Mask - 3ply Earloop 0
66 Surgical Mask - 3ply tie on 0
67 Surgical powder free glove 0
68 Sterile Latex Surgical Gloves Size 6.5 0
69 Sterile Latex Surgical Gloves Size 7 0
70 Uniflex 23154 (4.5x10.0cm) 0
71 Uniflex 23154 (4.5x7.5cm) 0
72 Urine Bag 0
 LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa

KET NAMA OBAT Stok awal Penerimaan

1 2 3 4
APBD
OBAT GENERIK
OBAT KELUAR 1 Asiklovir krim 5 % 0
KE PASIEN 2 Ambroxol sirup 15 mg/ ml 0
3 Ambroxol tablet 30 mg 100
4 Klorfeniramina Maleat (CTM) 4 mg tablet 2650
5 Klorpromazin tablet salut 100 mg 0
6 Meloksikam tablet 15 mg 0
7 Oksitetrasiklin Salep Kulit 3 % 0
OBAT NON GENERIK 0
1 Akita Tablet 130
2 Ternix Plus Syrup 0
3 Momilen Baby Gold 0
4 Starbion kapsul 70
5 Caranal kapsul 210
6 OBH FM 0
7 solvinex tablet 0
0
DAK 0
1 Alopurinol tablet 100 mg 640
2 Alprazolam tablet 0,25 mg 0
3 Alprazolam tablet 0,5 mg 0
4 Alprazolam tablet 1mg 0
5 Amoksisilin sirup kering 125 mg/5ml 0
6 Amoksisilin tablet 250 mg 1200
7 Amoksisilin tablet 500 mg 4010
8 Amitriptilin tablet salut 25 mg (HCL) 0
9 Amlodipin tablet 5 mg 20
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 110
11 Asam Mefenamat kapsul/kaplet 500 mg 0
12 Asam Traneksamat injeksi 24
13 Asiklovir tablet 200 mg 940
14 Asiklovir tablet 400 mg 725
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 20 1320
Al Hidroksida 200 mg 0
16 Antasida DOEN II suspensi 40
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6% 0
Asam Salisilat 3% 0
18 Antihemoroid,komb bismut subgalat 150mg 0
heksaklorofen 2,5mg lidokain 10mg seng oksida 12 0
10 Anti Bakteri DOEN salep 0
20 Anti Malaria Doen komb pirimetamin 25mg 500
sulfadoksin 500mg 0
21 Atropin Injeksi 5 mg/ml 0
22 Asam Askorbat (Vit C) tablet 50 mg 790
23 Asam Fusidat Krim 20 mg/g 0
24 Azitromisin tablet 500 mg 20
25 Betahistin tablet 6 mg 410
26 Betametason krim 0,1 % 0
27 Candesartan 8mg 0
28 Clobazam tablet 10 mg 0
29 Deksametason tablet 0,5 mg 0
30 Deksametason injeksi 5 mg/ml 540
31 Depakote divalproex sorodium(valproat)25 0
32 Desoksimetason krim 0,25% 0
33 Diazepam injeksi 5mg/ml 0
34 Diazepam tablet 5 mg 0
35 Digoksin Tablet 0,25 mg 670
36 Difenhidramin injeksi 10 mg/ml 48
37 Domperidon Suspensi 5 mg/ 5 ml 22
38 Domperidon Tablet 10 mg 570
39 Epinefrin (Adrenalin) injeksi 0,1% 24
40 Erythromycin 250 mg tablet 300
41 Etanol 70% cairan 0
42 Fenobarbital injeksi 50 mg/ ml 0
43 Fenobarbital tablet 30mg
44 Fenofibrat kaps 100 mg 0
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 17310
46 Fitomenadion (Vit. K 1) Tablet 10 mg 720
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 60
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 84
49 Furosemid tablet 40 mg 0
50 fusilex krim(fusidic asid) krim 20%29mg/g 0
51 Garam Oralit serbuk kombinasi 1060
52 Glukosa Larutan Infus 5% Steril 7
53 Glibenklamid Tablet 5 mg 0
54 Glimepiride Tablet 5 mg 730
55 Griseofulvin(micronized) tablet 500mg 0
56 Gliserin Lar 50% 4
57 Haloperidol tablet 0,5 mg 0
58 Haloperidol tablet 5 mg 0
59 Haloperidol injeksi 50 mg/ml 0
60 Hidrokortison krim 2,5% 0
61 Hidroklorotiazid 25 mg 400
62 Ibuprofen Suspensi 100mg/5ml 36
63 Ibuprofen tablet 200 mg 120
64 Isosorbid Dinitrat 5 mg 300
65 kalsium gluconat injeksi10% 12
66 Kalsium Laktat (Kalk) 500 mg 0
67 Kaptopril 25 mg 730
68 Karbol Gliseril Tetes Telinga 10% 0
69 Ketokonazol krim 2% 0
70 Ketokonazol Tablet 200 mg 150
70 Ketorolac injeksi 30 mg 0
71 Klindamisin Kapsul 150 mg 0
72 Kloramfenikol salep mata 1% 0
73 Kloramfenikol suspensi 125 mg/5ml 62
74 Klopromazin tablet salut 100mg (HCl) 0
75 Klozapin 25 mg 0
76 Klorfeniramina Maleat (CTM) 4 mg tablet 0
77 Kompolax: parafin+gliserinfenolflaten susp 0
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 4
 200 mg+Trimetroprin 40 mg/5 ml 0
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol 300
400 mg+Trimetropin 80 mg 0
80 Lanzoprazol kapsul 30 mg 290
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 2
000-2ml 0
82 Loperamid tablet 2 mg 30
83 Lorazepam tablet 0.5 mg 0
84 Lorazepam tablet 2 mg 0
85 Magnesium Sulfat Injeksi 20% 0
86 Magnesium Sulfat Injeksi 40% 0
87 Metformin HCL tablet 500 mg 5160
88 Methylergometrine injeksi 0,2mg/ml 220
89 Metiprednisolon tablet 4 mg 40
90 Metoklopramide 10mg 0
91 Metoklopramide sirup 5 mg/5ml 0
92 Metronidazol Ovula 500 mg 0
93 Metronidazol Sirup 125 mg/5ml 44
94 Metronidazol tablet 500 mg 180
95 Momethasone Furoate 0,1%krim 0
96 N-Asetil Sistein tablet 200 mg 1260
97 Natrium Klorida Larutan Infus 0,9% Steril 30
98 Natrium Diklofenak tablet 25 mg 130
99 Nifedipin 10mg tablet 60
100 Nistatin tablet salut 500.000 iu/g 400
101 Nistatin Vaginal tablet 100.000 iu/g 10
102 obat batuk hitam(OBH) 0
103 Oksitosin injeksi 10 IU/ml 96
104 Omeprazol Kapsul 20 mg 1160
105 Ondansetron kaplet 4 mg 0
106 Parasetamol drops 99
107 Parasetamol Sirup 120 mg/5ml 230
108 Parasetamol tablet 500 mg 40220
109 Pirantel Pamoat Susp 125mg/5ml 22
110 Pirantel tablet score (base) 125 mg 300
111 Piridoksin (Vitamin B6) 10 mg 300
112 Prednison tablet 5 mg 5500
113 Propiltiourasil tablet 100 mg 0
114 Ranitidin Injeksi 25 mg/ 2 ml 173
115 Ranitidin tablet 150 mg 1640
116 Ringer Laktat Larutan Infus Steril 89
117 Risperidon tablet 1 mg 0
118 Salbutamol 2mg 0
119 Salbutamol tablet 4 mg 1340
120 Salbutamol Sirup 12
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang 0
122 Salisil Bedak 2% 0
123 Sefadroksil Sirup Kering 14
124 Sefadroksil kapsul 500 mg 1250
125 Sefiksim kapsul 100 mg 80
126 Sefiksim sirup kering 100 mg/5ml 16
127 Sefotaksim serbuk injeksi 1000mg 0
128 Serum anti bisa ular(A.B.u) 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0
130 Setirizin sirup 5mg/5ml 0
131 Setirizine Tablet 10 mg 0
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 191
133 Simvastatin Tablet 10 mg 1570
134 Siprofloksasin tablet 500 mg 1410
135 Sukralfat susp 500 mg/5ml, 100 ml 0
136 Sukralfat tablet 500 mg/ 5 ml 70
137 Tetrasiklin HCI Kapsul 250 mg 1200
138 Tetrasiklin HCI Kapsul 500 mg 1070
139 Thiamin (vitamin B1) tablet 50 mg 220
140 Triheksifenidil 2 mg 0
141 Valsartan tab 80 mg 0
142 Vitamin B Kompleks tablet 820
143 Zincpro drops 22
144 Zinc syrup 10 mg/ml 45
145 Zinc tablet 20 mg 1690
0
Alat Kesehatan 0
1 Alat Suntik Sekali Pakai 3 ml 1895
2 Alat Suntik Sekali Pakai 5 ml 345
3 Alkohol 70 % 1 L 5
4 Alkohol Swab 0
5 Aseptic Gel 500cc + dispenser 12
6 Autocheck 3 in1 multi monitoring system 0
7 botol kimiawi palsti 1 L 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 61
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 62
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 89
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 93
12 Catheter 2 Way no.16 0
13 Catheter 2 Way no.18 0
14 Cuticel classic 10cmx10cm 12
15 Dermafix T 10x8 cm 24
16 dermanios scrub chlorhexidin 0
17 Eugenol cairan 0
18 Infus Set Anak 29
19 Infus Set Dewasa 35
20 aximed IV Chateter WP No. 20 0
21 aximed IV Chateter WP No. 22 0
22 aximed IV Chateter WP No. 24 0
23 aximed swab 2-ply 0
24 Jellco 24G 0
25 Jellco 22G 0
26 Jellco 20 0
27 Kapas Pembalut/ Absorben 50 gr 3
28 Kapas Pembalut/ Absorben 250 gr 4
29 Kapas Pembalut/absorben 500 gr 3
30 Kassa Kompres Steril 40 x 40 cm 6
31 Kassa Pembalut 2 x 80 cm 4
32 Kassa Hidrofil 4 x 15 cm 6
33 leukoplast 2,5cmx4,5m 0
34 Lisol 1 Liter 4
35 Maxter Exam Non Powder L 0
36 Maxter Exam Non Powder M 0
37 Maxter Exam Non Powder s 0
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 1
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 1
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 1
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/ 1
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/bo 1
46 New DRC T 40 Y x 80 cm Plain 0
47 Nonwoven fixiation 5cmx10m 0
48 Nonwoven fixiation 10cmx10m 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 1
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0
51 paper tape 5.0cmx9.14m 0
52 Prefiled Humidifier Hydrox 0
53 Pembalut Elastis 10 cm x 4,55 m 0
54 Pembalut Elastis 7,5 cm x 4,55 m 2
55 Poliban 5 cm x 2,7 MT 0
56 Polifix 10 cm x 5 m 6
57 Polifix 5 cm x 5 m 6
58 Poligyp 5 cm x 2,7 m 0
59 Poliwash 500 ml 12
60 Povidon Iodida larutan 10% 1
61 Rivanol 300 cc 7
62 Safeglove PF no.7 0
63 Silk 2/0 + jarum 1/2 GT 35mm 38
64 SMI Silk Black 3/0 HR 26 MM 5
65 Surgical Mask - 3ply Earloop 0
66 Surgical Mask - 3ply tie on 0
67 Surgical powder free glove 0
68 Sterile Latex Surgical Gloves Size 6.5 0
69 Sterile Latex Surgical Gloves Size 7 0
70 Uniflex 23154 (4.5x10.0cm) 2
71 Uniflex 23154 (4.5x7.5cm) 2
72 Urine Bag 4
SUAK TAPEH LAPORAN BPK PUSKESMAS S

Bulan : Januari 2019 1. Persediaan obat pada gudang obat

Pengeluaran Stok akhir KET NAMA OBAT Stok awal

5 6=(3+4-5) 1 2 3
APBD
OBAT GENERIK
0 OBAT KELUAR 1 Asiklovir krim 5 %
0 KE PASIEN 2 Ambroxol sirup 15 mg/ ml 41
100 3 Ambroxol tablet 30 mg 100
490 2160 4 Klorfeniramina Maleat (CTM) 4 mg tablet 21000
0 5 Klorpromazin tablet salut 100 mg
0 6 Meloksikam tablet 15 mg
0 7 Oksitetrasiklin Salep Kulit 3 %
0 OBAT NON GENERIK
30 100 1 Akita Tablet 300
0 2 Ternix Plus Syrup
0 3 Momilen Baby Gold 2
65 5 4 Starbion kapsul 500
210 5 Caranal kapsul 200
0 6 OBH FM 5
0 7 solvinex tablet
0
0 DAK
240 400 1 Alopurinol tablet 100 mg 200
0 2 Alprazolam tablet 0,25 mg
0 3 Alprazolam tablet 0,5 mg 480
0 4 Alprazolam tablet 1mg
0 5 Amoksisilin sirup kering 125 mg/5ml
100 1100 6 Amoksisilin tablet 250 mg 8100
3000 1010 7 Amoksisilin tablet 500 mg 5100
0 8 Amitriptilin tablet salut 25 mg (HCL) 470
20 9 Amlodipin tablet 5 mg 400
110 0 10 Asam Asetilsalisilat(Asetosal)tablet 80mg 400
0 0 11 Asam Mefenamat kapsul/kaplet 500 mg
10 14 12 Asam Traneksamat injeksi 2
390 550 13 Asiklovir tablet 200 mg 400
360 365 14 Asiklovir tablet 400 mg 350
1160 160 15 Antasida DOEN Tablet Kombinasi Mg Hid 6800
0 Al Hidroksida 200 mg
27 13 16 Antasida DOEN II suspensi 74
0 17 Antifungi DOEN salep, Kombinasi:Asam B 24
0 Asam Salisilat 3%
0 18 Antihemoroid,komb bismut subgalat 150 50
0 heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
0 10 Anti Bakteri DOEN salep 15
390 110 20 Anti Malaria Doen komb pirimetamin 25 100
0 sulfadoksin 500mg
0 21 Atropin Injeksi 5 mg/ml
560 230 22 Asam Askorbat (Vit C) tablet 50 mg 3000
0 23 Asam Fusidat Krim 20 mg/g
0 20 24 Azitromisin tablet 500 mg 160
 95 315 25 Betahistin tablet 6 mg 300
0 26 Betametason krim 0,1 % 25
0 27 Candesartan 8mg 510
0 28 Clobazam tablet 10 mg 496
0 0 29 Deksametason tablet 0,5 mg 400
367 173 30 Deksametason injeksi 5 mg/ml 210
0 31 Depakote divalproex sorodium(valproat)25
0 32 Desoksimetason krim 0,25% 40
0 33 Diazepam injeksi 5mg/ml 100
0 34 Diazepam tablet 5 mg 1213
420 250 35 Digoksin Tablet 0,25 mg 500
48 36 Difenhidramin injeksi 10 mg/ml 16
22 37 Domperidon Suspensi 5 mg/ 5 ml 28
200 370 38 Domperidon Tablet 10 mg 400
21 3 39 Epinefrin (Adrenalin) injeksi 0,1% 15
300 0 40 Erythromycin 250 mg tablet 200
0 41 Etanol 70% cairan 7
0 42 Fenobarbital injeksi 50 mg/ ml 180
0 43 Fenobarbital tablet 30mg 1000
0 0 44 Fenofibrat kaps 100 mg 300
15590 1720 45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD 4800
565 155 46 Fitomenadion (Vit. K 1) Tablet 10 mg 200
40 20 47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml- 30
77 7 48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 35
0 49 Furosemid tablet 40 mg 400
0 50 fusilex krim(fusidic asid) krim 20%29mg/ 6
145 915 51 Garam Oralit serbuk kombinasi 200
7 52 Glukosa Larutan Infus 5% Steril 10
0 53 Glibenklamid Tablet 5 mg
250 480 54 Glimepiride Tablet 5 mg 250
0 55 Griseofulvin(micronized) tablet 500mg 200
0 4 56 Gliserin Lar 50% 6
0 57 Haloperidol tablet 0,5 mg 1830
0 58 Haloperidol tablet 5 mg 723
0 59 Haloperidol injeksi 50 mg/ml 10
0 60 Hidrokortison krim 2,5% 48
240 160 61 Hidroklorotiazid 25 mg 100
20 16 62 Ibuprofen Suspensi 100mg/5ml 30
0 120 63 Ibuprofen tablet 200 mg 200
230 70 64 Isosorbid Dinitrat 5 mg 200
12 65 kalsium gluconat injeksi10% 12
0 66 Kalsium Laktat (Kalk) 500 mg 500
490 240 67 Kaptopril 25 mg 500
0 0 68 Karbol Gliseril Tetes Telinga 10% 62
0 69 Ketokonazol krim 2% 15
50 100 70 Ketokonazol Tablet 200 mg 200
0 70 Ketorolac injeksi 30 mg
0 71 Klindamisin Kapsul 150 mg 250
0 72 Kloramfenikol salep mata 1% 14
32 30 73 Kloramfenikol suspensi 125 mg/5ml 24
0 74 Klopromazin tablet salut 100mg (HCl) 720
0 75 Klozapin 25 mg 880
0 76 Klorfeniramina Maleat (CTM) 4 mg tablet 300
0 77 Kompolax: parafin+gliserinfenolflaten sus 10
4 78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
 0 200 mg+Trimetroprin 40 mg/5 ml
130 170 79 Kotrimoksazol Tablet Kombinasi Sulfamet 700
0 400 mg+Trimetropin 80 mg
0 290 80 Lanzoprazol kapsul 30 mg 140
0 2 81 Lidokain HCL 2% + Epinefrin 1:80.000-2m 5
0 000-2ml
0 30 82 Loperamid tablet 2 mg 200
0 83 Lorazepam tablet 0.5 mg 210
0 84 Lorazepam tablet 2 mg 200
0 0 85 Magnesium Sulfat Injeksi 20%
0 0 86 Magnesium Sulfat Injeksi 40%
2680 2480 87 Metformin HCL tablet 500 mg 1900
170 50 88 Methylergometrine injeksi 0,2mg/ml 100
20 20 89 Metiprednisolon tablet 4 mg 500
0 90 Metoklopramide 10mg 300
0 91 Metoklopramide sirup 5 mg/5ml
0 92 Metronidazol Ovula 500 mg 25
29 15 93 Metronidazol Sirup 125 mg/5ml 46
130 50 94 Metronidazol tablet 500 mg
0 95 Momethasone Furoate 0,1%krim 20
1230 30 96 N-Asetil Sistein tablet 200 mg 1600
24 6 97 Natrium Klorida Larutan Infus 0,9% Steril 26
98 32 98 Natrium Diklofenak tablet 25 mg 400
0 60 99 Nifedipin 10mg tablet 200
330 70 100 Nistatin tablet salut 500.000 iu/g 200
0 10 101 Nistatin Vaginal tablet 100.000 iu/g 800
0 102 obat batuk hitam(OBH) 53
53 43 103 Oksitosin injeksi 10 IU/ml 19
780 380 104 Omeprazol Kapsul 20 mg 1470
0 105 Ondansetron kaplet 4 mg
57 42 106 Parasetamol drops 100
166 64 107 Parasetamol Sirup 120 mg/5ml 538
40220 108 Parasetamol tablet 500 mg 5000
0 22 109 Pirantel Pamoat Susp 125mg/5ml 26
248 52 110 Pirantel tablet score (base) 125 mg 200
0 300 111 Piridoksin (Vitamin B6) 10 mg 300
3930 1570 112 Prednison tablet 5 mg 1300
0 113 Propiltiourasil tablet 100 mg 800
108 65 114 Ranitidin Injeksi 25 mg/ 2 ml 100
1290 350 115 Ranitidin tablet 150 mg 1200
72 17 116 Ringer Laktat Larutan Infus Steril 35
0 117 Risperidon tablet 1 mg 1210
0 118 Salbutamol 2mg
1080 260 119 Salbutamol tablet 4 mg 900
7 5 120 Salbutamol Sirup 54
0 121 Salep 24, Kombinasi : Asam Salisilat 2% 54
0 122 Salisil Bedak 2%
13 1 123 Sefadroksil Sirup Kering 18
1040 210 124 Sefadroksil kapsul 500 mg 200
10 70 125 Sefiksim kapsul 100 mg 550
9 7 126 Sefiksim sirup kering 100 mg/5ml 40
0 127 Sefotaksim serbuk injeksi 1000mg
0 128 Serum anti bisa ular(A.B.u)
0 129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
0 130 Setirizin sirup 5mg/5ml 45
 0 131 Setirizine Tablet 10 mg 800
181 10 132 Sianokobalamin (Vit B12) Injeksi 500 mcg 210
1190 380 133 Simvastatin Tablet 10 mg 660
1270 140 134 Siprofloksasin tablet 500 mg 1800
0 135 Sukralfat susp 500 mg/5ml, 100 ml 39
10 60 136 Sukralfat tablet 500 mg/ 5 ml 400
920 280 137 Tetrasiklin HCI Kapsul 250 mg 300
750 320 138 Tetrasiklin HCI Kapsul 500 mg 400
50 170 139 Thiamin (vitamin B1) tablet 50 mg 200
0 140 Triheksifenidil 2 mg
0 141 Valsartan tab 80 mg 30
530 290 142 Vitamin B Kompleks tablet 300
18 4 143 Zincpro drops 8
37 8 144 Zinc syrup 10 mg/ml 48
890 800 145 Zinc tablet 20 mg 1000
0
0 Alat Kesehatan
1195 700 1 Alat Suntik Sekali Pakai 3 ml 1900
0 345 2 Alat Suntik Sekali Pakai 5 ml 1100
2 3 3 Alkohol 70 % 1 L 9
0 4 Alkohol Swab 300
10 2 5 Aseptic Gel 500cc + dispenser 17
0 6 Autocheck 3 in1 multi monitoring system
0 7 botol kimiawi palsti 1 L
29 32 8 Catgut chromic 2/0 +jarum 1/2 GT 35 m 28
30 32 9 Catgut chromic 3/0 +jarum 1/2 GT 35 m 23
60 29 10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 27
57 36 11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 20
0 12 Catheter 2 Way no.16 12
0 13 Catheter 2 Way no.18 12
0 12 14 Cuticel classic 10cmx10cm 13
22 2 15 Dermafix T 10x8 cm 40
0 16 dermanios scrub chlorhexidin 14
0 17 Eugenol cairan 8
0 29 18 Infus Set Anak 100
0 35 19 Infus Set Dewasa 93
0 20 aximed IV Chateter WP No. 20
0 21 aximed IV Chateter WP No. 22
0 22 aximed IV Chateter WP No. 24
0 23 aximed swab 2-ply
0 24 Jellco 24G 50
0 25 Jellco 22G 45
0 26 Jellco 20 49
0 3 27 Kapas Pembalut/ Absorben 50 gr 18
0 4 28 Kapas Pembalut/ Absorben 250 gr 11
0 3 29 Kapas Pembalut/absorben 500 gr 8
1 5 30 Kassa Kompres Steril 40 x 40 cm 22
0 4 31 Kassa Pembalut 2 x 80 cm 34
1 5 32 Kassa Hidrofil 4 x 15 cm 21
0 33 leukoplast 2,5cmx4,5m 18
0 4 34 Lisol 1 Liter 13
0 35 Maxter Exam Non Powder L 500
0 36 Maxter Exam Non Powder M 200
0 37 Maxter Exam Non Powder s 100
0 38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
 0 39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
0 40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
0 1 41 GEA NASAL OXYGEN CANULA ADULT@100 4
0 1 42 GEA NASAL OXYGEN CANULA CHILD @100 4
0 1 43 GEA NASAL OXYGEN CANULA INFANT@10 8
0 1 44 GEA NEBULIZER WITH MASK ADULT/DEWA 8
0 1 45 GEA NEBULIZER WITH MASK CHILD /ANAK 8
0 46 New DRC T 40 Y x 80 cm Plain 7
0 47 Nonwoven fixiation 5cmx10m 5
0 48 Nonwoven fixiation 10cmx10m 5
0 1 49 GEA OXYGEN MASK ADULT/DEWASA 100 p 6
0 50 GEA OXYGEN MASK CHILD /ANAK 100 pcs 6
0 51 paper tape 5.0cmx9.14m
0 52 Prefiled Humidifier Hydrox
0 53 Pembalut Elastis 10 cm x 4,55 m 8
0 2 54 Pembalut Elastis 7,5 cm x 4,55 m 14
0 55 Poliban 5 cm x 2,7 MT 3
6 56 Polifix 10 cm x 5 m 10
6 57 Polifix 5 cm x 5 m 0
0 0 58 Poligyp 5 cm x 2,7 m 4
12 59 Poliwash 500 ml 16
1 60 Povidon Iodida larutan 10% 17
7 61 Rivanol 300 cc 32
0 62 Safeglove PF no.7
23 15 63 Silk 2/0 + jarum 1/2 GT 35mm 36
0 5 64 SMI Silk Black 3/0 HR 26 MM 12
0 65 Surgical Mask - 3ply Earloop 450
0 66 Surgical Mask - 3ply tie on 400
0 67 Surgical powder free glove
0 68 Sterile Latex Surgical Gloves Size 6.5
0 0 69 Sterile Latex Surgical Gloves Size 7 70
0 2 70 Uniflex 23154 (4.5x10.0cm) 9
0 2 71 Uniflex 23154 (4.5x7.5cm) 7
0 4 72 Urine Bag 2
N BPK PUSKESMAS SUAK TAPEH

Bulan : januari 2019

Penerimaan Pengeluaran Stok akhir KET

4 5 6=(3+4-5)

0 obat keluar ke apotik

21 20 dan bidan desa
100
2000 19000
0
0
0
0
100 200
0
1 1
400 100
50 150
5
0
0
0
200
0
70 410
0
0
500 7600
600 4500
0 470
300 100
0 400
0
0 2
400
250 100
1500 5300
0
50 24
5 19
0
20 30
oksida 120mg 0
5 10
50 50
0 0
0
1000 2000
0
60 100
 100 200
15 10
150 360
200 296
400
50 160
0
20 20
0 100
130 1083
200 300
0 16
25 3
200 200
10 5
100 100
4 3
30 150
200 800
150 150
1320 3480
100 100
5 25
5 30
300 100
0 6
200
3 7
0
200 50
200
1 5
270 1560
210 513
0 10
15 33
50 50
20 10
200 0
50 150
0 12
500 0
300 200
14 48
10 5
50 150
0 0
100 150
8 6
0 24
270 450
120 760
0 300
0 10
0
 0
500 200
0
40 100
2 3
0
100 100
30 180
0 200
0
0
900 1000
100
200 300
300
0
10 15
10 36
0 0
5 15
600 1000
11 15
400 0
0 200
100 100
100 700
19 34
0 19
690 780
0
30 70
170 368
4740 260
0 26
48 152
100 200
400 900
0 800
20 80
800 400
7 28
780 430
0
200 700
20 34
10 44
0
18
100 100
400 150
40
0
0
0
14 31
 700 100
30 180
300 360
500 1300
20 19
200 200
100 200
200 200
100 100
0
30
300
0 8
12 36
300 700
0
0
400 1500
0 1100
2 7
100 200
2 15
0 0
0
5 23
6 17
8 19
0 20
3 9
3 9
0 13
5 35
0 14
0 8
0 100
20 73
0
0
0
0
15 35
15 30
15 34
1 17
1 10
1 7
4 18
5 29
5 16
3 15
0 13
300 200
100 100
100 0
ERCARTH 5 G20 0
ERCARTH 5 G22 0
ERCARTH 5 G24 0
4
4
8
8
8
1 6
0 5
1 4
6
6
0
0
1 7
3 11
-3 6
0 10
0
2 2
2 14
2 15
32
0
10 26
1 11
150 300
0 400
0
0
10 60
2 7
2 5
0 2
 0

0
 LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat apotik Bulan : Januari 2019

NAMA OBAT Stok awal Penerimaan Pengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 % 0
2 Ambroxol sirup 15 mg/ ml 11 11
3 Ambroxol tablet 30 mg 0
4 Klorfeniramina Maleat (CTM) 4 mg tablet 1466 2000 1596 1870
5 Klorpromazin tablet salut 100 mg 0
6 Meloksikam tablet 15 mg 0
7 Oksitetrasiklin Salep Kulit 3 % 0
OBAT NON GENERIK 0
1 Akita Tablet 40 20 20
2 Ternix Plus Syrup 0
3 Momilen Baby Gold 0
4 Starbion kapsul 25 25
5 Caranal kapsul 0
6 OBH FM 0
7 solvinex tablet 0
0
DAK 0
1 Alopurinol tablet 100 mg 300 110 190
2 Alprazolam tablet 0,25 mg 0
3 Alprazolam tablet 0,5 mg 30 30
4 Alprazolam tablet 1mg 0
5 Amoksisilin sirup kering 125 mg/5ml 0
6 Amoksisilin tablet 250 mg 580 400 720 260
7 Amoksisilin tablet 500 mg 480 800 950 330
8 Amitriptilin tablet salut 25 mg (HCL) 0
9 Amlodipin tablet 5 mg 80 300 310 70
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 220 200 0 420
11 Asam Mefenamat kapsul/kaplet 500 mg 500 465 35
12 Asam Traneksamat injeksi 5 5
13 Asiklovir tablet 200 mg 250 350 190 410
14 Asiklovir tablet 400 mg 125 100 30 195
15 Antasida DOEN Tablet Kombinasi Mg Hidroksi 330 1100 1210 220
Al Hidroksida 200 mg 0
16 Antasida DOEN II suspensi 45 33 12
17 Antifungi DOEN salep, Kombinasi:Asam Benzo 8 5 3
Asam Salisilat 3% 0
18 Antihemoroid,komb bismut subgalat 150mg 30 30 0
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg 0
10 Anti Bakteri DOEN salep 12 2 10 4
20 Anti Malaria Doen komb pirimetamin 25mg 50 100 150
sulfadoksin 500mg 0
21 Atropin Injeksi 5 mg/ml 0
22 Asam Askorbat (Vit C) tablet 50 mg 150 700 710 140
23 Asam Fusidat Krim 20 mg/g 0
24 Azitromisin tablet 500 mg #REF! 20 #REF! 85
25 Betahistin tablet 6 mg 180 200 200 180
26 Betametason krim 0,1 % 12 10 19 3
27 Candesartan 8mg 150 100 210 40
28 Clobazam tablet 10 mg 200 200 0
29 Deksametason tablet 0,5 mg 70 400 400 70
30 Deksametason injeksi 5 mg/ml 14 30 31 13
31 Depakote divalproex sorodium(valproat)25 0
32 Desoksimetason krim 0,25% 10 7 10 7
33 Diazepam injeksi 5mg/ml 0
34 Diazepam tablet 5 mg 60 60
35 Digoksin Tablet 0,25 mg 30 0 30
36 Difenhidramin injeksi 10 mg/ml 0 16 16
37 Domperidon Suspensi 5 mg/ 5 ml 11 13 13 11
38 Domperidon Tablet 10 mg 110 200 130 180
39 Epinefrin (Adrenalin) injeksi 0,1% 0 0
40 Erythromycin 250 mg tablet 80 100 100 80
41 Etanol 70% cairan 0
42 Fenobarbital injeksi 50 mg/ ml 0
feno barbital tablet 30mg 0
43 Fenofibrat kaps 100 mg 180 90 90
44 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 930 720 210
45 Fitomenadion (Vit. K 1) Tablet 10 mg 126 66 60
46 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 0
47 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 0
48 Furosemid tablet 40 mg 100 20 80
49 fusilex krim(fusidic asid) krim 20%29mg/g 7 3 4
50 Garam Oralit serbuk kombinasi 100 27 73
51 Glukosa Larutan Infus 5% Steril 0
52 Glibenklamid Tablet 5 mg 0
53 Glimepiride Tablet 5 mg 40 350 190 200
54 Griseofulvin(micronized) tablet 500mg 90 30 60
55 Gliserin Lar 50% 0
56 Haloperidol tablet 0,5 mg 80 80
57 Haloperidol tablet 5 mg 150 150
58 Haloperidol injeksi 50 mg/ml 0
59 Hidrokortison krim 2,5% 2 12 8 6
60 Hidroklorotiazid 25 mg 20 150 100 70
61 Ibuprofen Suspensi 100mg/5ml 11 11 6 16
62 Ibuprofen tablet 200 mg 0
63 Isosorbid Dinitrat 5 mg 0 0
64 kalsium gluconat injeksi10% 0
65 Kalsium Laktat (Kalk) 500 mg 240 400 520 120
66 Kaptopril 25 mg 260 200 250 210
67 Karbol Gliseril Tetes Telinga 10% 2 29 25 6
68 Ketokonazol krim 2% 10 10
69 Ketokonazol Tablet 200 mg 170 100 180 90
70 Ketorolac injeksi 30 mg 0
71 Klindamisin Kapsul 150 mg 50 100 100 50
72 Kloramfenikol salep mata 1% 4 8 4 8
73 Kloramfenikol suspensi 125 mg/5ml 23 5 8 20
74 Klopromazin tablet salut 100mg (HCl) 210 210
75 Klozapin 25 mg 60 60
76 Klorfeniramina Maleat (CTM) 4 mg tablet 0
77 Kompolax: parafin+gliserinfenolflaten susp 2 1 1
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 15 7 8
200 mg+Trimetroprin 40 mg/5 ml 0
79 Kotrimoksazol Tablet Kombinasi Sulfametoksaz 250 400 270 380
400 mg+Trimetropin 80 mg 0
80 Lanzoprazol kapsul 30 mg 80 240 240 80
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 10 10
000-2ml 0
82 Loperamid tablet 2 mg 90 70 20
83 Lorazepam tablet 0.5 mg 30 30
84 Lorazepam tablet 2 mg 0
85 Magnesium Sulfat Injeksi 20% 0
86 Magnesium Sulfat Injeksi 40% 0
87 Metformin HCL tablet 500 mg 240 500 400 340
88 Methylergometrine injeksi 0,2mg/ml 0 0
89 Metiprednisolon tablet 4 mg 185 300 375 110
90 Metoklopramide 10mg 90 100 0 190
91 Metoklopramide sirup 5 mg/5ml 8 3 5
92 Metronidazol Ovula 500 mg 5 5
93 Metronidazol Sirup 125 mg/5ml 10 15 10 15
94 Metronidazol tablet 500 mg 40 40
95 Momethasone Furoate 0,1%krim 1 7 4 4
 96 N-Asetil Sistein tablet 200 mg 220 700 920 0
97 Natrium Klorida Larutan Infus 0,9% Steril 3 3
98 Natrium Diklofenak tablet 25 mg 300 288 12
99 Nifedipin 10mg tablet 200 200 200 200
100 Nistatin tablet salut 500.000 iu/g 50 100 40 110
101 Nistatin Vaginal tablet 100.000 iu/g 86 0 10 76
102 obat batuk hitam(OBH) 11 11 0
103 Oksitosin injeksi 10 IU/ml 5 0 5
104 Omeprazol Kapsul 20 mg 210 540 570 180
105 Ondansetron kaplet 4 mg 0 0
106 Parasetamol drops 7 30 23 14
107 Parasetamol Sirup 120 mg/5ml 12 70 57 25
108 Parasetamol tablet 500 mg 1800 1690 110
109 Pirantel Pamoat Susp 125mg/5ml 7 5 9 3
110 Pirantel tablet score (base) 125 mg 121 0 9 112
111 Piridoksin (Vitamin B6) 10 mg 105 100 170 35
112 Prednison tablet 5 mg 240 700 650 290
113 Propiltiourasil tablet 100 mg 400 200 200
114 Ranitidin Injeksi 25 mg/ 2 ml 9 30 38 1
115 Ranitidin tablet 150 mg 340 400 580 160
116 Ringer Laktat Larutan Infus Steril 3 3
117 Risperidon tablet 1 mg 600 600
118 Salbutamol 2mg 0 0
119 Salbutamol tablet 4 mg 180 200 220 160
120 Salbutamol Sirup 12 5 12 5
121 Salep 24, Kombinasi : Asam Salisilat 2%+Bele 1 12 9 4
122 Salisil Bedak 2% 0 0
123 Sefadroksil Sirup Kering 20 20 0
124 Sefadroksil kapsul 500 mg 170 100 240 30
125 Sefiksim kapsul 100 mg 140 150 200 90
126 Sefiksim sirup kering 100 mg/5ml 15 12 3
127 Sefotaksim serbuk injeksi 1000mg 0 0
128 Serum anti bisa ular(A.B.u) 0 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0 0
130 Setirizin sirup 5mg/5ml 2 8 10 0
131 Setirizine Tablet 10 mg 50 400 420 30
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 40 40 0
sikzonat injeksi 0 0
133 Simvastatin Tablet 10 mg 210 90 230 70
134 Siprofloksasin tablet 500 mg 170 600 280 490
135 Sukralfat susp 500 mg/5ml, 100 ml 4 15 19 0
136 Sukralfat tablet 500 mg/ 5 ml 120 100 140 80
137 Tetrasiklin HCI Kapsul 250 mg 100 100
138 Tetrasiklin HCI Kapsul 500 mg 30 100 90 40
139 Thiamin (vitamin B1) tablet 50 mg 160 200 290 70
140 Triheksifenidil 2 mg 120 120
141 Valsartan tab 80 mg 0 0
142 Vitamin B Kompleks tablet 15 300 270 45
143 Zincpro drops 15 2 3 14
144 Zinc syrup 10 mg/ml 7 12 12 7
145 Zinc tablet 20 mg 60 0 0 60
0
Alat Kesehatan 0
1 Alat Suntik Sekali Pakai 3 ml 100 65 35
2 Alat Suntik Sekali Pakai 5 ml 0 0 0
3 Alkohol 70 % 1 L 1 1
4 Alkohol Swab 200 200
5 Aseptic Gel 500cc + dispenser 1 1
6 Autocheck 3 in1 multi monitoring system 0 0
7 botol kimiawi palsti 1 L 0 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 0 0
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 0 7
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 0 0
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 0 0
12 Catheter 2 Way no.16 0 0
13 Catheter 2 Way no.18 0 0
14 Cuticel classic 10cmx10cm 0 0
15 Dermafix T 10x8 cm 0 0
16 dermanios scrub chlorhexidin 0 0
17 Eugenol cairan 2 0 2
18 Infus Set Anak 0 0
19 Infus Set Dewasa 4 4
20 aximed IV Chateter WP No. 20 0 0
21 aximed IV Chateter WP No. 22 2 2
22 aximed IV Chateter WP No. 24 0 0
23 aximed swab 2-ply 0 0
24 Jellco 24G 0 0 0
25 Jellco 22G 2 0 2
26 Jellco 20 0 0 0
27 Kapas Pembalut/ Absorben 50 gr 0 0
28 Kapas Pembalut/ Absorben 250 gr 3 3
29 Kapas Pembalut/absorben 500 gr 0 0
30 Kassa Kompres Steril 40 x 40 cm 0 0
31 Kassa Pembalut 2 x 80 cm 0 0
32 Kassa Hidrofil 4 x 15 cm 0 0
33 leukoplast 2,5cmx4,5m 0 0
34 Lisol 1 Liter 4 4
35 Maxter Exam Non Powder L 100 100
36 Maxter Exam Non Powder M 0
37 Maxter Exam Non Powder s 0
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 0
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 0
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 0
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box 0
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box 0
46 New DRC T 40 Y x 80 cm Plain 2 2
47 Nonwoven fixiation 5cmx10m 0
48 Nonwoven fixiation 10cmx10m 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 0
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0
51 paper tape 5.0cmx9.14m 0
52 Prefiled Humidifier Hydrox 0
53 Pembalut Elastis 10 cm x 4,55 m 0
54 Pembalut Elastis 7,5 cm x 4,55 m 0
55 Poliban 5 cm x 2,7 MT 0
56 Polifix 10 cm x 5 m 4 4
57 Polifix 5 cm x 5 m 0
58 Poligyp 5 cm x 2,7 m 0
59 Poliwash 500 ml 2 2
60 Povidon Iodida larutan 10% 1 1
61 Rivanol 300 cc 1 1
62 Safeglove PF no.7 0 0
63 Silk 2/0 + jarum 1/2 GT 35mm 2 2
64 SMI Silk Black 3/0 HR 26 MM 0
65 Surgical Mask - 3ply Earloop 100 100
66 Surgical Mask - 3ply tie on 0
67 Surgical powder free glove 0
68 Sterile Latex Surgical Gloves Size 6.5 0
69 Sterile Latex Surgical Gloves Size 7 0
70 Uniflex 23154 (4.5x10.0cm) 0
71 Uniflex 23154 (4.5x7.5cm) 0
72 Urine Bag 0
 LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa

KET NAMA OBAT Stok awal Penerimaan

1 2 3 4
APBD
OBAT GENERIK
OBAT KELUAR 1 Asiklovir krim 5 % 0
KE PASIEN 2 Ambroxol sirup 15 mg/ ml 0
3 Ambroxol tablet 30 mg 0
4 Klorfeniramina Maleat (CTM) 4 mg tablet 2160 22000
5 Klorpromazin tablet salut 100 mg 0
6 Meloksikam tablet 15 mg 0
7 Oksitetrasiklin Salep Kulit 3 % 0
OBAT NON GENERIK 0
1 Akita Tablet 100 0
2 Ternix Plus Syrup 0
3 Momilen Baby Gold 0
4 Starbion kapsul 5 100
5 Caranal kapsul 50
6 OBH FM 0
7 solvinex tablet 0
0
DAK 0
1 Alopurinol tablet 100 mg 400 0
2 Alprazolam tablet 0,25 mg 0
3 Alprazolam tablet 0,5 mg 0
4 Alprazolam tablet 1mg 0
5 Amoksisilin sirup kering 125 mg/5ml 0
6 Amoksisilin tablet 250 mg 1100 1200
7 Amoksisilin tablet 500 mg 1010 1100
8 Amitriptilin tablet salut 25 mg (HCL) 0
9 Amlodipin tablet 5 mg 0
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 0 550
11 Asam Mefenamat kapsul/kaplet 500 mg 0 550
12 Asam Traneksamat injeksi 14 24
13 Asiklovir tablet 200 mg 550 1000
14 Asiklovir tablet 400 mg 365 0
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 20 160 1100
Al Hidroksida 200 mg 0
16 Antasida DOEN II suspensi 13 22
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6% 0
Asam Salisilat 3% 0
18 Antihemoroid,komb bismut subgalat 150mg 30
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg 0
10 Anti Bakteri DOEN salep 22
20 Anti Malaria Doen komb pirimetamin 25mg 110 0
sulfadoksin 500mg 0
21 Atropin Injeksi 5 mg/ml 0
22 Asam Askorbat (Vit C) tablet 50 mg 230 1100
23 Asam Fusidat Krim 20 mg/g 0
24 Azitromisin tablet 500 mg 20 220
25 Betahistin tablet 6 mg 315 0
26 Betametason krim 0,1 % 0
27 Candesartan 8mg 220
28 Clobazam tablet 10 mg 0
29 Deksametason tablet 0,5 mg 0 990
30 Deksametason injeksi 5 mg/ml 173 330
31 Depakote divalproex sorodium(valproat)25 0
32 Desoksimetason krim 0,25% 22
33 Diazepam injeksi 5mg/ml 0
34 Diazepam tablet 5 mg 0
35 Digoksin Tablet 0,25 mg 250 330
36 Difenhidramin injeksi 10 mg/ml 0
37 Domperidon Suspensi 5 mg/ 5 ml 11
38 Domperidon Tablet 10 mg 370 220
39 Epinefrin (Adrenalin) injeksi 0,1% 3 50
40 Erythromycin 250 mg tablet 0 0
41 Etanol 70% cairan 0
42 Fenobarbital injeksi 50 mg/ ml 0
43 Fenobarbital tablet 30mg 0
44 Fenofibrat kaps 100 mg 0 0
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 1720 5940
46 Fitomenadion (Vit. K 1) Tablet 10 mg 155 400
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 20 0
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 7 0
49 Furosemid tablet 40 mg 0
50 fusilex krim(fusidic asid) krim 20%29mg/g 0
51 Garam Oralit serbuk kombinasi 915 0
52 Glukosa Larutan Infus 5% Steril 8
53 Glibenklamid Tablet 5 mg 0
54 Glimepiride Tablet 5 mg 480 550
55 Griseofulvin(micronized) tablet 500mg 0
56 Gliserin Lar 50% 4 0
57 Haloperidol tablet 0,5 mg 0
58 Haloperidol tablet 5 mg 0
59 Haloperidol injeksi 50 mg/ml 0
60 Hidrokortison krim 2,5% 11
61 Hidroklorotiazid 25 mg 160 330
62 Ibuprofen Suspensi 100mg/5ml 16 0
63 Ibuprofen tablet 200 mg 120 0
64 Isosorbid Dinitrat 5 mg 70 550
65 kalsium gluconat injeksi10% 0
66 Kalsium Laktat (Kalk) 500 mg 220
67 Kaptopril 25 mg 240 220
68 Karbol Gliseril Tetes Telinga 10% 0 22
69 Ketokonazol krim 2% 0
70 Ketokonazol Tablet 200 mg 100 330
70 Ketorolac injeksi 30 mg 0
71 Klindamisin Kapsul 150 mg 0
72 Kloramfenikol salep mata 1% 0
73 Kloramfenikol suspensi 125 mg/5ml 30 55
74 Klopromazin tablet salut 100mg (HCl) 0
75 Klozapin 25 mg 0
76 Klorfeniramina Maleat (CTM) 4 mg tablet 0
77 Kompolax: parafin+gliserinfenolflaten susp 4
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 0
200 mg+Trimetroprin 40 mg/5 ml 0
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol 170 0
400 mg+Trimetropin 80 mg 0
80 Lanzoprazol kapsul 30 mg 290 0
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 2 3
000-2ml 0
82 Loperamid tablet 2 mg 30 0
83 Lorazepam tablet 0.5 mg 0
84 Lorazepam tablet 2 mg 0
85 Magnesium Sulfat Injeksi 20% 0 33
86 Magnesium Sulfat Injeksi 40% 0 33
87 Metformin HCL tablet 500 mg 2480 1100
88 Methylergometrine injeksi 0,2mg/ml 50 165
89 Metiprednisolon tablet 4 mg 20 300
90 Metoklopramide 10mg 220
91 Metoklopramide sirup 5 mg/5ml 11
92 Metronidazol Ovula 500 mg 0
93 Metronidazol Sirup 125 mg/5ml 15 22
94 Metronidazol tablet 500 mg 50 0
95 Momethasone Furoate 0,1%krim 0
 96 N-Asetil Sistein tablet 200 mg 30 550
97 Natrium Klorida Larutan Infus 0,9% Steril 6 23
98 Natrium Diklofenak tablet 25 mg 32 0
99 Nifedipin 10mg tablet 60 0
100 Nistatin tablet salut 500.000 iu/g 70 0
101 Nistatin Vaginal tablet 100.000 iu/g 10 600
102 obat batuk hitam(OBH) 6
103 Oksitosin injeksi 10 IU/ml 43 55
104 Omeprazol Kapsul 20 mg 380 330
105 Ondansetron kaplet 4 mg 0
106 Parasetamol drops 42 33
107 Parasetamol Sirup 120 mg/5ml 64 110
108 Parasetamol tablet 500 mg 2460
109 Pirantel Pamoat Susp 125mg/5ml 22 0
110 Pirantel tablet score (base) 125 mg 52 0
111 Piridoksin (Vitamin B6) 10 mg 300 330
112 Prednison tablet 5 mg 1570 4000
113 Propiltiourasil tablet 100 mg 0
114 Ranitidin Injeksi 25 mg/ 2 ml 65 110
115 Ranitidin tablet 150 mg 350 0
116 Ringer Laktat Larutan Infus Steril 17 77
117 Risperidon tablet 1 mg 0
118 Salbutamol 2mg 0
119 Salbutamol tablet 4 mg 260 1100
120 Salbutamol Sirup 5 33
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4% 22
122 Salisil Bedak 2% 0
123 Sefadroksil Sirup Kering 1 11
124 Sefadroksil kapsul 500 mg 210 0
125 Sefiksim kapsul 100 mg 70 0
126 Sefiksim sirup kering 100 mg/5ml 7 11
127 Sefotaksim serbuk injeksi 1000mg 0
128 Serum anti bisa ular(A.B.u) 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0
130 Setirizin sirup 5mg/5ml 0
131 Setirizine Tablet 10 mg 0
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 10 330
sikzonat injeksi 0
133 Simvastatin Tablet 10 mg 380 990
134 Siprofloksasin tablet 500 mg 140 1100
135 Sukralfat susp 500 mg/5ml, 100 ml 0
136 Sukralfat tablet 500 mg/ 5 ml 60 0
137 Tetrasiklin HCI Kapsul 250 mg 280 550
138 Tetrasiklin HCI Kapsul 500 mg 320 1100
139 Thiamin (vitamin B1) tablet 50 mg 170 550
140 Triheksifenidil 2 mg 0
141 Valsartan tab 80 mg 0
142 Vitamin B Kompleks tablet 290 0
143 Zincpro drops 4 11
144 Zinc syrup 10 mg/ml 8 22
145 Zinc tablet 20 mg 800 550
0
Alat Kesehatan 0
1 Alat Suntik Sekali Pakai 3 ml 700 200
2 Alat Suntik Sekali Pakai 5 ml 345 0
3 Alkohol 70 % 1 L 3 0
4 Alkohol Swab 0
5 Aseptic Gel 500cc + dispenser 2 0
6 Autocheck 3 in1 multi monitoring system 1
7 botol kimiawi palsti 1 L 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 32 0
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 32 0
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 29 0
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 36 0
12 Catheter 2 Way no.16 0
13 Catheter 2 Way no.18 0
14 Cuticel classic 10cmx10cm 12 0
15 Dermafix T 10x8 cm 2 0
16 dermanios scrub chlorhexidin 0
17 Eugenol cairan 3
18 Infus Set Anak 29 0
19 Infus Set Dewasa 35 0
20 aximed IV Chateter WP No. 20 0
21 aximed IV Chateter WP No. 22 0
22 aximed IV Chateter WP No. 24 0
23 aximed swab 2-ply 0
24 Jellco 24G 33
25 Jellco 22G 33
26 Jellco 20 33
27 Kapas Pembalut/ Absorben 50 gr 3 0
28 Kapas Pembalut/ Absorben 250 gr 4 0
29 Kapas Pembalut/absorben 500 gr 3 0
30 Kassa Kompres Steril 40 x 40 cm 5 33
31 Kassa Pembalut 2 x 80 cm 4 33
32 Kassa Hidrofil 4 x 15 cm 5 0
33 leukoplast 2,5cmx4,5m 0
34 Lisol 1 Liter 4 0
35 Maxter Exam Non Powder L 0
36 Maxter Exam Non Powder M 0
37 Maxter Exam Non Powder s 0
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 1 0
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 1 0
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 1 0
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/ 1 0
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/bo 1 0
46 New DRC T 40 Y x 80 cm Plain 0
47 Nonwoven fixiation 5cmx10m 0
48 Nonwoven fixiation 10cmx10m 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 1 0
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0
51 paper tape 5.0cmx9.14m 0
52 Prefiled Humidifier Hydrox 0
53 Pembalut Elastis 10 cm x 4,55 m 7
54 Pembalut Elastis 7,5 cm x 4,55 m 2 4
55 Poliban 5 cm x 2,7 MT 0
56 Polifix 10 cm x 5 m 1
57 Polifix 5 cm x 5 m 0
58 Poligyp 5 cm x 2,7 m 0 0
59 Poliwash 500 ml 0
60 Povidon Iodida larutan 10% 11
61 Rivanol 300 cc 11
62 Safeglove PF no.7 0
63 Silk 2/0 + jarum 1/2 GT 35mm 15 0
64 SMI Silk Black 3/0 HR 26 MM 5 0
65 Surgical Mask - 3ply Earloop 0
66 Surgical Mask - 3ply tie on 0
67 Surgical powder free glove 0
68 Sterile Latex Surgical Gloves Size 6.5 0
69 Sterile Latex Surgical Gloves Size 7 0 55
70 Uniflex 23154 (4.5x10.0cm) 2 0
71 Uniflex 23154 (4.5x7.5cm) 2 0
72 Urine Bag 4 0
SUAK TAPEH LAPORAN BPK PUSKESMAS SU

Bulan : februari 2019 1. Persediaan obat pada gudang obat

Pengeluaran Stok akhir KET NAMA OBAT Stok awal

5 6=(3+4-5) 1 2 3
APBD
OBAT GENERIK
0 0 OBAT KELUAR 1 Asiklovir krim 5 %
0 0 KE PASIEN 2 Ambroxol sirup 15 mg/ ml 20
0 0 3 Ambroxol tablet 30 mg
8904 15256 4 Klorfeniramina Maleat (CTM) 4 mg tablet 19000
0 0 5 Klorpromazin tablet salut 100 mg
0 0 6 Meloksikam tablet 15 mg
0 0 7 Oksitetrasiklin Salep Kulit 3 %
0 0 OBAT NON GENERIK
0 100 1 Akita Tablet 200
0 0 2 Ternix Plus Syrup
0 0 3 Momilen Baby Gold 1
100 5 4 Starbion kapsul 100
50 0 5 Caranal kapsul 150
0 0 6 OBH FM
0 0 7 solvinex tablet
0 0
0 0 DAK
100 300 1 Alopurinol tablet 100 mg
0 0 2 Alprazolam tablet 0,25 mg
0 0 3 Alprazolam tablet 0,5 mg 410
0 0 4 Alprazolam tablet 1mg
0 0 5 Amoksisilin sirup kering 125 mg/5ml
620 1680 6 Amoksisilin tablet 250 mg 7600
580 1530 7 Amoksisilin tablet 500 mg 4500
0 0 8 Amitriptilin tablet salut 25 mg (HCL) 470
0 0 9 Amlodipin tablet 5 mg 100
270 280 10 Asam Asetilsalisilat(Asetosal)tablet 80mg 400
70 480 11 Asam Mefenamat kapsul/kaplet 500 mg
18 20 12 Asam Traneksamat injeksi 2
410 1140 13 Asiklovir tablet 200 mg
185 180 14 Asiklovir tablet 400 mg 100
420 840 15 Antasida DOEN Tablet Kombinasi Mg Hid 5300
0 0 Al Hidroksida 200 mg
10 25 16 Antasida DOEN II suspensi 24
 0 0 17 Antifungi DOEN salep, Kombinasi:Asam B 19
0 0 Asam Salisilat 3%
7 23 18 Antihemoroid,komb bismut subgalat 150 30
0 0 heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
11 11 10 Anti Bakteri DOEN salep 10
0 110 20 Anti Malaria Doen komb pirimetamin 25 50
0 0 sulfadoksin 500mg 0
0 0 21 Atropin Injeksi 5 mg/ml
420 910 22 Asam Askorbat (Vit C) tablet 50 mg 2000
0 0 23 Asam Fusidat Krim 20 mg/g
50 190 24 Azitromisin tablet 500 mg 100
55 260 25 Betahistin tablet 6 mg 200
0 0 26 Betametason krim 0,1 % 10
60 160 27 Candesartan 8mg 360
0 0 28 Clobazam tablet 10 mg 296
490 500 29 Deksametason tablet 0,5 mg
128 375 30 Deksametason injeksi 5 mg/ml 160
0 0 31 Depakote divalproex sorodium(valproat)25
8 14 32 Desoksimetason krim 0,25% 20
0 0 33 Diazepam injeksi 5mg/ml 100
0 0 34 Diazepam tablet 5 mg 1083
110 470 35 Digoksin Tablet 0,25 mg 300
0 0 36 Difenhidramin injeksi 10 mg/ml 16
4 7 37 Domperidon Suspensi 5 mg/ 5 ml 3
250 340 38 Domperidon Tablet 10 mg 200
18 35 39 Epinefrin (Adrenalin) injeksi 0,1% 5
0 0 40 Erythromycin 250 mg tablet 100
0 0 41 Etanol 70% cairan 3
0 0 42 Fenobarbital injeksi 50 mg/ ml 150
0 0 43 Fenobarbital tablet 30mg 800
0 0 44 Fenofibrat kaps 100 mg 150
4240 3420 45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD 3480
315 240 46 Fitomenadion (Vit. K 1) Tablet 10 mg 100
10 10 47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml- 25
7 0 48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 30
0 0 49 Furosemid tablet 40 mg 100
0 0 50 fusilex krim(fusidic asid) krim 20%29mg/ 6
85 830 51 Garam Oralit serbuk kombinasi
8 0 52 Glukosa Larutan Infus 5% Steril 7
0 0 53 Glibenklamid Tablet 5 mg
110 920 54 Glimepiride Tablet 5 mg 50
0 0 55 Griseofulvin(micronized) tablet 500mg
4 0 56 Gliserin Lar 50% 5
 0 0 57 Haloperidol tablet 0,5 mg 1560
0 0 58 Haloperidol tablet 5 mg 513
0 0 59 Haloperidol injeksi 50 mg/ml 10
2 9 60 Hidrokortison krim 2,5% 33
170 320 61 Hidroklorotiazid 25 mg 50
0 16 62 Ibuprofen Suspensi 100mg/5ml 10
40 80 63 Ibuprofen tablet 200 mg 0
210 410 64 Isosorbid Dinitrat 5 mg 150
0 0 65 kalsium gluconat injeksi10% 12
220 0 66 Kalsium Laktat (Kalk) 500 mg 0
128 332 67 Kaptopril 25 mg 200
10 12 68 Karbol Gliseril Tetes Telinga 10% 48
0 0 69 Ketokonazol krim 2% 5
0 430 70 Ketokonazol Tablet 200 mg 150
0 0 70 Ketorolac injeksi 30 mg 0
0 0 71 Klindamisin Kapsul 150 mg 150
0 0 72 Kloramfenikol salep mata 1% 6
42 43 73 Kloramfenikol suspensi 125 mg/5ml 24
0 0 74 Klopromazin tablet salut 100mg (HCl) 450
0 0 75 Klozapin 25 mg 760
0 0 76 Klorfeniramina Maleat (CTM) 4 mg tablet 300
4 0 77 Kompolax: parafin+gliserinfenolflaten sus 10
0 0 78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
0 0 200 mg+Trimetroprin 40 mg/5 ml
100 70 79 Kotrimoksazol Tablet Kombinasi Sulfamet 200
0 0 400 mg+Trimetropin 80 mg
20 270 80 Lanzoprazol kapsul 30 mg 100
3 2 81 Lidokain HCL 2% + Epinefrin 1:80.000-2m 3
0 0 000-2ml
0 30 82 Loperamid tablet 2 mg 100
0 0 83 Lorazepam tablet 0.5 mg 180
0 0 84 Lorazepam tablet 2 mg 200
4 29 85 Magnesium Sulfat Injeksi 20%
4 29 86 Magnesium Sulfat Injeksi 40%
800 2780 87 Metformin HCL tablet 500 mg 1000
85 130 88 Methylergometrine injeksi 0,2mg/ml 100
280 40 89 Metiprednisolon tablet 4 mg 300
100 120 90 Metoklopramide 10mg
6 5 91 Metoklopramide sirup 5 mg/5ml
0 0 92 Metronidazol Ovula 500 mg 15
13 24 93 Metronidazol Sirup 125 mg/5ml 36
0 50 94 Metronidazol tablet 500 mg 0
0 0 95 Momethasone Furoate 0,1%krim 15
 325 255 96 N-Asetil Sistein tablet 200 mg 1000
4 25 97 Natrium Klorida Larutan Infus 0,9% Steril 15
2 30 98 Natrium Diklofenak tablet 25 mg 0
60 0 99 Nifedipin 10mg tablet 200
0 70 100 Nistatin tablet salut 500.000 iu/g 100
255 355 101 Nistatin Vaginal tablet 100.000 iu/g 700
4 2 102 obat batuk hitam(OBH) 34
7 91 103 Oksitosin injeksi 10 IU/ml 19
190 520 104 Omeprazol Kapsul 20 mg 780
0 0 105 Ondansetron kaplet 4 mg
41 34 106 Parasetamol drops 70
49 125 107 Parasetamol Sirup 120 mg/5ml 368
630 1830 108 Parasetamol tablet 500 mg 260
6 16 109 Pirantel Pamoat Susp 125mg/5ml 26
2 50 110 Pirantel tablet score (base) 125 mg 152
110 520 111 Piridoksin (Vitamin B6) 10 mg 200
2370 3200 112 Prednison tablet 5 mg 900
0 0 113 Propiltiourasil tablet 100 mg 800
40 135 114 Ranitidin Injeksi 25 mg/ 2 ml 80
10 340 115 Ranitidin tablet 150 mg 400
27 67 116 Ringer Laktat Larutan Infus Steril 28
0 0 117 Risperidon tablet 1 mg 430
0 0 118 Salbutamol 2mg
580 780 119 Salbutamol tablet 4 mg 700
11 27 120 Salbutamol Sirup 34
8 14 121 Salep 24, Kombinasi : Asam Salisilat 2% 44
0 0 122 Salisil Bedak 2%
6 6 123 Sefadroksil Sirup Kering
40 170 124 Sefadroksil kapsul 500 mg 100
18 52 125 Sefiksim kapsul 100 mg 150
1 17 126 Sefiksim sirup kering 100 mg/5ml
0 0 127 Sefotaksim serbuk injeksi 1000mg
0 0 128 Serum anti bisa ular(A.B.u)
0 0 129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
0 0 130 Setirizin sirup 5mg/5ml 31
0 0 131 Setirizine Tablet 10 mg 100
143 197 132 Sianokobalamin (Vit B12) Injeksi 500 mcg 180
0 0 sikzonat injeksi
690 680 133 Simvastatin Tablet 10 mg 360
710 530 134 Siprofloksasin tablet 500 mg 1300
0 0 135 Sukralfat susp 500 mg/5ml, 100 ml 19
0 60 136 Sukralfat tablet 500 mg/ 5 ml 200
70 760 137 Tetrasiklin HCI Kapsul 250 mg 200
450 970 138 Tetrasiklin HCI Kapsul 500 mg 200
321 399 139 Thiamin (vitamin B1) tablet 50 mg 100
0 0 140 Triheksifenidil 2 mg
0 0 141 Valsartan tab 80 mg
110 180 142 Vitamin B Kompleks tablet
0 15 143 Zincpro drops 8
8 22 144 Zinc syrup 10 mg/ml 36
450 900 145 Zinc tablet 20 mg 700
0 0
0 0 Alat Kesehatan
170 730 1 Alat Suntik Sekali Pakai 3 ml 1500
55 290 2 Alat Suntik Sekali Pakai 5 ml 1100
2 1 3 Alkohol 70 % 1 L 7
0 0 4 Alkohol Swab 200
2 0 5 Aseptic Gel 500cc + dispenser 15
1 0 6 Autocheck 3 in1 multi monitoring system 2
0 0 7 botol kimiawi palsti 1 L
0 32 8 Catgut chromic 2/0 +jarum 1/2 GT 35 m 23
0 32 9 Catgut chromic 3/0 +jarum 1/2 GT 35 m 17
0 29 10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 19
4 32 11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 22
0 0 12 Catheter 2 Way no.16 9
0 0 13 Catheter 2 Way no.18 9
0 12 14 Cuticel classic 10cmx10cm 13
1 1 15 Dermafix T 10x8 cm 35
0 0 16 dermanios scrub chlorhexidin 14
3 0 17 Eugenol cairan 8
2 27 18 Infus Set Anak 100
14 21 19 Infus Set Dewasa 73
0 0 20 aximed IV Chateter WP No. 20
0 0 21 aximed IV Chateter WP No. 22
0 0 22 aximed IV Chateter WP No. 24
0 0 23 aximed swab 2-ply
0 33 24 Jellco 24G 35
0 33 25 Jellco 22G 35
0 33 26 Jellco 20 34
3 0 27 Kapas Pembalut/ Absorben 50 gr 17
0 4 28 Kapas Pembalut/ Absorben 250 gr 10
1 2 29 Kapas Pembalut/absorben 500 gr 7
16 22 30 Kassa Kompres Steril 40 x 40 cm 18
18 19 31 Kassa Pembalut 2 x 80 cm 29
3 2 32 Kassa Hidrofil 4 x 15 cm 16
0 0 33 leukoplast 2,5cmx4,5m 15
 4 0 34 Lisol 1 Liter 13
0 0 35 Maxter Exam Non Powder L 200
0 0 36 Maxter Exam Non Powder M 100
0 0 37 Maxter Exam Non Powder s 0
0 0 38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
0 0 39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
0 0 40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
0 1 41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box
0 1 42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box
0 1 43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box
0 1 44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box
0 1 45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box
0 0 46 New DRC T 40 Y x 80 cm Plain 6
0 0 47 Nonwoven fixiation 5cmx10m 5
0 0 48 Nonwoven fixiation 10cmx10m 4
1 0 49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box
0 0 50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box
0 0 51 paper tape 5.0cmx9.14m
0 0 52 Prefiled Humidifier Hydrox
7 0 53 Pembalut Elastis 10 cm x 4,55 m 7
1 5 54 Pembalut Elastis 7,5 cm x 4,55 m 11
0 0 55 Poliban 5 cm x 2,7 MT 6
0 1 56 Polifix 10 cm x 5 m 10
0 0 57 Polifix 5 cm x 5 m
0 0 58 Poligyp 5 cm x 2,7 m 2
0 0 59 Poliwash 500 ml 14
5 6 60 Povidon Iodida larutan 10% 15
5 6 61 Rivanol 300 cc 27
0 0 62 Safeglove PF no.7
10 5 63 Silk 2/0 + jarum 1/2 GT 35mm 26
4 1 64 SMI Silk Black 3/0 HR 26 MM 11
0 0 65 Surgical Mask - 3ply Earloop 300
0 0 66 Surgical Mask - 3ply tie on 450
0 0 67 Surgical powder free glove
0 0 68 Sterile Latex Surgical Gloves Size 6.5
0 55 69 Sterile Latex Surgical Gloves Size 7 60
2 0 70 Uniflex 23154 (4.5x10.0cm) 7
2 0 71 Uniflex 23154 (4.5x7.5cm) 5
2 2 72 Urine Bag 2
N BPK PUSKESMAS SUAK TAPEH

Bulan : februari 2019

Penerimaan Pengeluaran Stok akhir KET

4 5 6=(3+4-5)

11 9
0
10000 24000 5000
0
0
0
0
0 200
0
0 1
100
50 100
0
0
0
0
1000 300 700
0
30 380
0
0
10000 1600 16000
10000 1900 12600
0 470
900 300 700
1000 750 650
3000 1050 1950
50 29 23
2000 1350 650
200 100 200
10000 2200 13100
0
100 67 57
 0 19
0
30 30 30
oksida 120mg 0
25 24 11
500 100 450
0
0
4000 1800 4200
0
200 240 60
300 200 300
25 10 25
600 320 640
0 296
1500 1390 110
400 360 200
100 0 100
30 29 21
0 100
60 1023
500 330 470
60 16 60
50 24 29
500 420 280
100 50 55
200 100 200
0 3
0 150
0 800
300 180 270
8640 6870 5250
500 400 200
0 25
30 0 60
200 0 300
10 7 9
0
20 8 19
0
1500 900 650
200 0 200
0 5
 80 1480
1000 150 1363
0 10
24 23 34
500 480 70
50 11 49
0
500 550 100
0 12
1500 620 880
1000 420 780
12 51 9
25 10 20
500 430 220
0
300 100 350
24 8 22
50 60 14
2000 210 2240
60 700
0 300
10 6 14
100 15 85
0
1000 400 800
0
400 240 260
90 13 80
0
0 100
30 150
0 200
60 33 27
60 33 27
3000 1600 2400
100 165 35
1000 600 700
500 320 180
50 19 31
30 5 40
50 37 49
0 0
10 7 18
 5000 1250 4750
40 26 29
1000 300 700
200 0
200 100 200
600 100
60 17 77
100 55 64
1500 870 1410
0 0
56 63 63
300 180 488
10000 4260 6000
5 21
0 152
500 430 270
4000 4700 200
0 400 400
100 140 40
400 0
100 80 48
2000 600 1830
0 0
1000 1300 400
49 38 45
24 34 34
0 0
60 31 29
500 100 500
150 0
72 26 46
0
0
0
50 8 73
1000 400 700
500 370 310
5 0 5
1500 1080 780
2000 1700 1600
50 15 54
120 100 220
1000 650 550
2000 1200 1000
1000 750 350
3000 120 2880
0 0
1000 300 700
30 13 25
36 34 38
550 150
0
0
300 1200
0 1100
1 6
200 0
12 1 26
1 1
0 0
48 0 71
48 0 65
90 0 109
90 0 112
0 9
0 9
0 13
10 0 45
6 0 20
5 3
0 100
4 69
50 0 50
50 2 48
50 0 50
200 0 200
33 2
35 0
33 1
0 17
10 3 17
0 7
50 33 35
20 33 16
50 0 66
0 15
 10 4 19
100 100 200
100 0 200
100 0 100
ERCARTH 5 G20 0
ERCARTH 5 G22 0
ERCARTH 5 G24 0
0
0
100 pcs/box 0
WASA 100's/box 0
K 100's/box 0
2 4
10 0 15
10 0 14
0
0
0 0
10 0 10
7 0
4 7
0 6
5 5
0 0
0 2
2 12
12 3
12 15
10 10 0
2 24
0 11
100 100 300
100 0 550
0 0
50 0 50
50 55 55
3 0 10
3 0 8
0 2
 0

0
0
 PUSKESMAS SUAK TAPEH

1. Persediaan obat di pusling Bulan : Januari 2019

NAMA OBAT Stok awalPenerimaan

PengeluaranStok akhir KET
1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
OBAT GENERIK
1 Asiklovir krim 5 % 0 0
2 Ambroxol sirup 15 mg/ ml 0 0
3 Ambroxol tablet 30 mg 0 0
4 Klorfeniramina Maleat (CTM) 4 mg tab 0 1000 284 716
5 Klorpromazin tablet salut 100 mg 0 0
6 Meloksikam tablet 15 mg 0 0
7 Oksitetrasiklin Salep Kulit 3 % 0 0
OBAT NON GENERIK 0 0
1 Akita Tablet 0 100 30 70
2 Ternix Plus Syrup 0 0
3 Momilen Baby Gold 0 0
4 Starbion kapsul 0 100 95 5
5 Caranal kapsul 0 50 50
6 OBH FM 0 0
7 solvinex tablet 0 0
0 0
DAK 0 0
1 Alopurinol tablet 100 mg 0 0
2 Alprazolam tablet 0,25 mg 0 0
3 Alprazolam tablet 0,5 mg 0 50 0 50
4 Alprazolam tablet 1mg 0 0
5 Amoksisilin sirup kering 125 mg/5ml 0 0
6 Amoksisilin tablet 250 mg 0 300 100 200
7 Amoksisilin tablet 500 mg 0 200 200 0
8 Amitriptilin tablet salut 25 mg (HCL) 0 0
9 Amlodipin tablet 5 mg 0 100 100
10 Asam Asetilsalisilat(Asetosal)tablet 8 0 0
11 Asam Mefenamat kapsul/kaplet 500 0 0
12 Asam Traneksamat injeksi 0 0
13 Asiklovir tablet 200 mg 0 200 0 200
14 Asiklovir tablet 400 mg 0 150 0 150
15 Antasida DOEN Tablet Kombinasi Mg 0 400 400
Al Hidroksida 200 mg 0 0
16 Antasida DOEN II suspensi 0 10 10
17 Antifungi DOEN salep, Kombinasi:Asa 0 5 0 5
Asam Salisilat 3% 0 0
18 Antihemoroid,komb bismut subgalat 0 20 0 20
heksaklorofen 2,5mg lidokain 10mg s 0 0
10 Anti Bakteri DOEN salep 0 5 0 5
20 Anti Malaria Doen komb pirimetamin 0 50 0 50
sulfadoksin 500mg 0 0
21 Atropin Injeksi 5 mg/ml 0 0
22 Asam Askorbat (Vit C) tablet 50 mg 0 100 60 40
23 Asam Fusidat Krim 20 mg/g 0 0
24 Azitromisin tablet 500 mg 0 60 0 60
25 Betahistin tablet 6 mg 0 100 0 100
26 Betametason krim 0,1 % 0 0
27 Candesartan 8mg 0 150 0 150
28 Clobazam tablet 10 mg 0 200 0 200
29 Deksametason tablet 0,5 mg 0 100 30 70
30 Deksametason injeksi 5 mg/ml 0 50 5 45
31 Depakote divalproex sorodium(valpro 0 0
32 Desoksimetason krim 0,25% 0 10 9 1
33 Diazepam injeksi 5mg/ml 0 0
34 Diazepam tablet 5 mg 0 100 5 95
35 Digoksin Tablet 0,25 mg 0 200 0 200
36 Difenhidramin injeksi 10 mg/ml 0 0
37 Domperidon Suspensi 5 mg/ 5 ml 0 5 0 5
38 Domperidon Tablet 10 mg 0 200 0 200
39 Epinefrin (Adrenalin) injeksi 0,1% 0 5 0 5
40 Erythromycin 250 mg tablet 0 100 6 94
41 Etanol 70% cairan 0 3 0 3
42 Fenobarbital injeksi 50 mg/ ml 0 30 0 30
feno barbital tablet 30mg 200 0 200
43 Fenofibrat kaps 100 mg 0 150 80 70
44 ferro fumarat 60mg+ as. Folat 0.4mg( 0 1000 220 780
45 Fitomenadion (Vit. K 1) Tablet 10 mg 0 100 0 100
46 Fitomenadion (Vit. K 1) Injeksi 10 mg 0 5 0 5
47 Fitomenadion (Vit. K 1) Injeksi 2 mg/m 0 5 0 5
48 Furosemid tablet 40 mg 0 200 65 135
49 fusilex krim(fusidic asid) krim 20%29 0 0 0
50 Garam Oralit serbuk kombinasi 0 100 18 82
51 Glukosa Larutan Infus 5% Steril 0 3 0 3
52 Glibenklamid Tablet 5 mg 0 0
53 Glimepiride Tablet 5 mg 0 100 20 80
54 Griseofulvin(micronized) tablet 500m 0 100 30 70
55 Gliserin Lar 50% 0 0
56 Haloperidol tablet 0,5 mg 0 0
57 Haloperidol tablet 5 mg 0 0
58 Haloperidol injeksi 50 mg/ml 0 0
59 Hidrokortison krim 2,5% 0 10 1 9
60 Hidroklorotiazid 25 mg 0 50 0 50
61 Ibuprofen Suspensi 100mg/5ml 0 10 0 10
62 Ibuprofen tablet 200 mg 0 0
63 Isosorbid Dinitrat 5 mg 0 50 45 5
64 kalsium gluconat injeksi10% 0 0
65 Kalsium Laktat (Kalk) 500 mg 0 100 100
66 Kaptopril 25 mg 0 100 100
67 Karbol Gliseril Tetes Telinga 10% 0 14 1 13
68 Ketokonazol krim 2% 0 5 1 4
69 Ketokonazol Tablet 200 mg 0 0
70 Ketorolac injeksi 30 mg 0 0
71 Klindamisin Kapsul 150 mg 0 100 90 10
72 Kloramfenikol salep mata 1% 0 3 0 3
73 Kloramfenikol suspensi 125 mg/5ml 0 0
74 Klopromazin tablet salut 100mg (HCl) 0 0
75 Klozapin 25 mg 0 0
76 Klorfeniramina Maleat (CTM) 4 mg tab 0 0
77 Kompolax: parafin+gliserinfenolflaten 0 0
78 Kotrimoksazol Suspensi Kombinasi Sul 0 0
200 mg+Trimetroprin 40 mg/5 ml 0 0
79 Kotrimoksazol Tablet Kombinasi Sulfa 0 100 80 20
400 mg+Trimetropin 80 mg 0 0
80 Lanzoprazol kapsul 30 mg 0 40 40
81 Lidokain HCL 2% + Epinefrin 1:80.000 0 2 0 2
000-2ml 0 0
82 Loperamid tablet 2 mg 0 100 30 70
83 Lorazepam tablet 0.5 mg 0 0
84 Lorazepam tablet 2 mg 0 0
85 Magnesium Sulfat Injeksi 20% 0 0
86 Magnesium Sulfat Injeksi 40% 0 0
87 Metformin HCL tablet 500 mg 0 500 20 480
88 Methylergometrine injeksi 0,2mg/ml 0 0
89 Metiprednisolon tablet 4 mg 0 200 190 10
90 Metoklopramide 10mg 0 200 0 200
91 Metoklopramide sirup 5 mg/5ml 0 0
92 Metronidazol Ovula 500 mg 0 10 0 10
93 Metronidazol Sirup 125 mg/5ml 0 10 0 10
94 Metronidazol tablet 500 mg 0 0
 95 Momethasone Furoate 0,1%krim 0 5 0 5
96 N-Asetil Sistein tablet 200 mg 0 0
97 Natrium Klorida Larutan Infus 0,9% Ste 0 5 1 4
98 Natrium Diklofenak tablet 25 mg 0 0
99 Nifedipin 10mg tablet 0 100 100 0
100 Nistatin tablet salut 500.000 iu/g 0 100 0 100
101 Nistatin Vaginal tablet 100.000 iu/g 0 100 0 100
102 obat batuk hitam(OBH) 0 5 0 5
103 Oksitosin injeksi 10 IU/ml 0 0
104 Omeprazol Kapsul 20 mg 0 150 150
105 Ondansetron kaplet 4 mg 0 0
106 Parasetamol drops 0 20 0 20
107 Parasetamol Sirup 120 mg/5ml 0 50 10 40
108 Parasetamol tablet 500 mg 0 1000 960 40
109 Pirantel Pamoat Susp 125mg/5ml 0 0
110 Pirantel tablet score (base) 125 mg 0 48 0 48
111 Piridoksin (Vitamin B6) 10 mg 0 100 0 100
112 Prednison tablet 5 mg 0 100 -160 260
113 Propiltiourasil tablet 100 mg 0 100 0 100
114 Ranitidin Injeksi 25 mg/ 2 ml 0 20 20
115 Ranitidin tablet 150 mg 0 200 180 20
116 Ringer Laktat Larutan Infus Steril 0 3 0 3
117 Risperidon tablet 1 mg 0 0
118 Salbutamol 2mg 0 0
119 Salbutamol tablet 4 mg 0 200 195 5
120 Salbutamol Sirup 0 10 5 5
121 Salep 24, Kombinasi : Asam Salisilat 0 10 0 10
122 Salisil Bedak 2% 0 0
123 Sefadroksil Sirup Kering 0 0
124 Sefadroksil kapsul 500 mg 0 50 50 0
125 Sefiksim kapsul 100 mg 0 100 100
126 Sefiksim sirup kering 100 mg/5ml 0 10 10
127 Sefotaksim serbuk injeksi 1000mg 0 0
128 Serum anti bisa ular(A.B.u) 0 0
129 Serum Antitetanus(ATS)cairan injeksi 0 0
130 Setirizin sirup 5mg/5ml 0 5 0 5
131 Setirizine Tablet 10 mg 0 100 85 15
132 Sianokobalamin (Vit B12) Injeksi 500 0 20 17 3
133 Simvastatin Tablet 10 mg 0 150 20 130
134 Siprofloksasin tablet 500 mg 0 300 110 190
135 Sukralfat susp 500 mg/5ml, 100 ml 0 5 5
136 Sukralfat tablet 500 mg/ 5 ml 0 100 0 100
137 Tetrasiklin HCI Kapsul 250 mg 0 100 0 100
138 Tetrasiklin HCI Kapsul 500 mg 0 100 0 100
139 Thiamin (vitamin B1) tablet 50 mg 0 100 0 100
140 Triheksifenidil 2 mg 0 0
141 Valsartan tab 80 mg 0 0
142 Vitamin B Kompleks tablet 0 0
143 Zincpro drops 0 0
144 Zinc syrup 10 mg/ml 0 12 0 12
145 Zinc tablet 20 mg 0 300 0 300
0 0
Alat Kesehatan 0 0
1 Alat Suntik Sekali Pakai 3 ml 0 200 49 151
2 Alat Suntik Sekali Pakai 5 ml 0 100 0 100
3 Alkohol 70 % 1 L 0 2 0 2
4 Alkohol Swab 0 100 58 42
5 Aseptic Gel 500cc + dispenser 0 1 0 1
6 Autocheck 3 in1 multi monitoring sys 0 0
7 botol kimiawi palsti 1 L 0 0
8 Catgut chromic 2/0 +jarum 1/2 GT 3 0 5 0 5
9 Catgut chromic 3/0 +jarum 1/2 GT 3 0 5 0 5
10 Catgut Plain 3/0 +jarum 1/2 GT 35 m 0 5 0 5
11 Catgut Plain 2/0 +jarum 1/2 GT 35 m 0 5 0 5
12 Catheter 2 Way no.16 0 2 0 2
13 Catheter 2 Way no.18 0 2 0 2
14 Cuticel classic 10cmx10cm 0 4 0 4
15 Dermafix T 10x8 cm 0 5 0 5
16 dermanios scrub chlorhexidin 0 0
17 Eugenol cairan 0 0
18 Infus Set Anak 0 0
19 Infus Set Dewasa 0 20 0 20
20 aximed IV Chateter WP No. 20 0 0
21 aximed IV Chateter WP No. 22 0 0
22 aximed IV Chateter WP No. 24 0 0
23 aximed swab 2-ply 0 0
24 Jellco 24G 0 15 0 15
25 Jellco 22G 0 15 0 15
26 Jellco 20 0 15 0 15
27 Kapas Pembalut/ Absorben 50 gr 0 1 0 1
28 Kapas Pembalut/ Absorben 250 gr 0 1 0 1
29 Kapas Pembalut/absorben 500 gr 0 1 0 1
30 Kassa Kompres Steril 40 x 40 cm 0 5 0 5
31 Kassa Pembalut 2 x 80 cm 0 5 0 5
32 Kassa Hidrofil 4 x 15 cm 0 5 0 5
33 leukoplast 2,5cmx4,5m 0 3 0 3
34 Lisol 1 Liter 0 0
35 Maxter Exam Non Powder L 0 100 0 100
36 Maxter Exam Non Powder M 0 100 0 100
37 Maxter Exam Non Powder s 0 0
38 MPM MEDIKIT SAVETY IV CATETHER 0 0
39 MPM MEDIKIT SAVETY IV CATETHER 0 0
40 MPM MEDIKIT SAVETY IV CATETHER 0 0
41 GEA NASAL OXYGEN CANULA ADULT@1 0 2 0 2
42 GEA NASAL OXYGEN CANULA CHILD @ 0 2 0 2
43 GEA NASAL OXYGEN CANULA INFANT 0 2 0 2
44 GEA NEBULIZER WITH MASK ADULT/D 0 2 0 2
45 GEA NEBULIZER WITH MASK CHILD /A 0 2 0 2
46 New DRC T 40 Y x 80 cm Plain 0 1 0 1
47 Nonwoven fixiation 5cmx10m 0 0
48 Nonwoven fixiation 10cmx10m 0 1 0 1
49 GEA OXYGEN MASK ADULT/DEWASA 10 0 2 0 2
50 GEA OXYGEN MASK CHILD /ANAK 100 0 2 0 2
51 paper tape 5.0cmx9.14m 0 0
52 Prefiled Humidifier Hydrox 0 0
53 Pembalut Elastis 10 cm x 4,55 m 0 3 0 3
54 Pembalut Elastis 7,5 cm x 4,55 m 0 3 0 3
55 Poliban 5 cm x 2,7 MT 0 2 0 2
56 Polifix 10 cm x 5 m 0 0
57 Polifix 5 cm x 5 m 0 0
58 Poligyp 5 cm x 2,7 m 0 2 0 2
59 Poliwash 500 ml 0 2 0 2
60 Povidon Iodida larutan 10% 0 1 0 1
61 Rivanol 300 cc 0 5 0 5
62 Safeglove PF no.7 0 0
63 Silk 2/0 + jarum 1/2 GT 35mm 0 10 0 10
64 SMI Silk Black 3/0 HR 26 MM 0 0
65 Surgical Mask - 3ply Earloop 0 100 0 100
66 Surgical Mask - 3ply tie on 0 0
67 Surgical powder free glove 0 0
68 Sterile Latex Surgical Gloves Size 6.5 0 0
69 Sterile Latex Surgical Gloves Size 7 0 10 0 10
70 Uniflex 23154 (4.5x10.0cm) 0 2 0 2
71 Uniflex 23154 (4.5x7.5cm) 0 2 0 2
72 Urine Bag 0 2 0 2
 PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa Bulan : Januari 2019

NAMA OBAT Stok awal PenerimaanPengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 % 0 0
2 Ambroxol sirup 15 mg/ ml 0 0
3 Ambroxol tablet 30 mg 100 100
4 Klorfeniramina Maleat (CTM) 4 mg tablet 2650 490 2160
5 Klorpromazin tablet salut 100 mg 0 0
6 Meloksikam tablet 15 mg 0 0
7 Oksitetrasiklin Salep Kulit 3 % 0 0
OBAT NON GENERIK 0 0
1 Akita Tablet 130 100 30
2 Ternix Plus Syrup 0 0
3 Momilen Baby Gold 0 0
4 Starbion kapsul 70 70 0
5 Caranal kapsul 210 210
6 OBH FM 0 0
7 solvinex tablet 0 0
0 0
DAK 0 0
1 Alopurinol tablet 100 mg 640 240 400
2 Alprazolam tablet 0,25 mg 0 0
3 Alprazolam tablet 0,5 mg 0 0
4 Alprazolam tablet 1mg 0 0
5 Amoksisilin sirup kering 125 mg/5ml 0 0
6 Amoksisilin tablet 250 mg 1200 200 1000
7 Amoksisilin tablet 500 mg 4010 2900 1110
8 Amitriptilin tablet salut 25 mg (HCL) 0 0
9 Amlodipin tablet 5 mg 20 20
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 110 110 0
11 Asam Mefenamat kapsul/kaplet 500 mg 0 0 0
12 Asam Traneksamat injeksi 24 10 14
13 Asiklovir tablet 200 mg 940 590 350
14 Asiklovir tablet 400 mg 725 510 215
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 1320 1160 160
Al Hidroksida 200 mg 0 0
16 Antasida DOEN II suspensi 40 37 3
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 0 0
Asam Salisilat 3% 0 0
18 Antihemoroid,komb bismut subgalat 150mg 0 0
heksaklorofen 2,5mg lidokain 10mg seng oksida 0 0
10 Anti Bakteri DOEN salep 0 0
20 Anti Malaria Doen komb pirimetamin 25mg 500 390 110
sulfadoksin 500mg 0 0
21 Atropin Injeksi 5 mg/ml 0 0
22 Asam Askorbat (Vit C) tablet 50 mg 790 560 230
23 Asam Fusidat Krim 20 mg/g 0 0
24 Azitromisin tablet 500 mg 20 0 20
25 Betahistin tablet 6 mg 410 95 315
26 Betametason krim 0,1 % 0 0
27 Candesartan 8mg 0 0
28 Clobazam tablet 10 mg 0 0
29 Deksametason tablet 0,5 mg 0 0 0
30 Deksametason injeksi 5 mg/ml 540 412 128
31 Depakote divalproex sorodium(valproat)25 0 0
32 Desoksimetason krim 0,25% 0 0
33 Diazepam injeksi 5mg/ml 0 0
34 Diazepam tablet 5 mg 0 0
35 Digoksin Tablet 0,25 mg 670 420 250
36 Difenhidramin injeksi 10 mg/ml 48 48
37 Domperidon Suspensi 5 mg/ 5 ml 22 22
38 Domperidon Tablet 10 mg 570 200 370
39 Epinefrin (Adrenalin) injeksi 0,1% 24 21 3
40 Erythromycin 250 mg tablet 300 300 0
41 Etanol 70% cairan 0 0
42 Fenobarbital injeksi 50 mg/ ml 0 0
43 Fenobarbital tablet 30mg 0
44 Fenofibrat kaps 100 mg 0 0 0
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 17310 15590 1720
46 Fitomenadion (Vit. K 1) Tablet 10 mg 720 565 155
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 60 40 20
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 84 77 7
49 Furosemid tablet 40 mg 0 0
50 fusilex krim(fusidic asid) krim 20%29mg/g 0 0
51 Garam Oralit serbuk kombinasi 1060 145 915
52 Glukosa Larutan Infus 5% Steril 7 7
53 Glibenklamid Tablet 5 mg 0 0
54 Glimepiride Tablet 5 mg 730 250 480
55 Griseofulvin(micronized) tablet 500mg 0 0
56 Gliserin Lar 50% 4 0 4
57 Haloperidol tablet 0,5 mg 0 0
58 Haloperidol tablet 5 mg 0 0
59 Haloperidol injeksi 50 mg/ml 0 0
60 Hidrokortison krim 2,5% 0 0
61 Hidroklorotiazid 25 mg 400 240 160
62 Ibuprofen Suspensi 100mg/5ml 36 20 16
63 Ibuprofen tablet 200 mg 120 0 120
64 Isosorbid Dinitrat 5 mg 300 230 70
65 kalsium gluconat injeksi10% 12 12
66 Kalsium Laktat (Kalk) 500 mg 0 0
67 Kaptopril 25 mg 730 490 240
68 Karbol Gliseril Tetes Telinga 10% 0 0 0
69 Ketokonazol krim 2% 0 0
70 Ketokonazol Tablet 200 mg 150 50 100
70 Ketorolac injeksi 30 mg 0 0
71 Klindamisin Kapsul 150 mg 0 0
72 Kloramfenikol salep mata 1% 0 0
73 Kloramfenikol suspensi 125 mg/5ml 62 32 30
74 Klopromazin tablet salut 100mg (HCl) 0 0
75 Klozapin 25 mg 0 0
76 Klorfeniramina Maleat (CTM) 4 mg tablet 0 0
77 Kompolax: parafin+gliserinfenolflaten susp 0 0
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazo 4 4
200 mg+Trimetroprin 40 mg/5 ml 0 0
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol 300 130 170
400 mg+Trimetropin 80 mg 0 0
80 Lanzoprazol kapsul 30 mg 290 0 290
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 2 0 2
000-2ml 0 0
82 Loperamid tablet 2 mg 30 0 30
83 Lorazepam tablet 0.5 mg 0 0
84 Lorazepam tablet 2 mg 0 0
85 Magnesium Sulfat Injeksi 20% 0 0 0
86 Magnesium Sulfat Injeksi 40% 0 0 0
87 Metformin HCL tablet 500 mg 5160 2680 2480
88 Methylergometrine injeksi 0,2mg/ml 220 170 50
89 Metiprednisolon tablet 4 mg 40 20 20
90 Metoklopramide 10mg 0 0
91 Metoklopramide sirup 5 mg/5ml 0 0
92 Metronidazol Ovula 500 mg 0 0
93 Metronidazol Sirup 125 mg/5ml 44 29 15
94 Metronidazol tablet 500 mg 180 130 50
95 Momethasone Furoate 0,1%krim 0 0
 96 N-Asetil Sistein tablet 200 mg 1260 1230 30
97 Natrium Klorida Larutan Infus 0,9% Steril 30 24 6
98 Natrium Diklofenak tablet 25 mg 130 98 32
99 Nifedipin 10mg tablet 60 0 60
100 Nistatin tablet salut 500.000 iu/g 400 330 70
101 Nistatin Vaginal tablet 100.000 iu/g 10 0 10
102 obat batuk hitam(OBH) 0 0
103 Oksitosin injeksi 10 IU/ml 96 53 43
104 Omeprazol Kapsul 20 mg 1160 780 380
105 Ondansetron kaplet 4 mg 0 0
106 Parasetamol drops 99 57 42
107 Parasetamol Sirup 120 mg/5ml 230 166 64
108 Parasetamol tablet 500 mg 40220 40220
109 Pirantel Pamoat Susp 125mg/5ml 22 0 22
110 Pirantel tablet score (base) 125 mg 300 248 52
111 Piridoksin (Vitamin B6) 10 mg 300 0 300
112 Prednison tablet 5 mg 5500 3930 1570
113 Propiltiourasil tablet 100 mg 0 0
114 Ranitidin Injeksi 25 mg/ 2 ml 173 108 65
115 Ranitidin tablet 150 mg 1640 1290 350
116 Ringer Laktat Larutan Infus Steril 89 72 17
117 Risperidon tablet 1 mg 0 0
118 Salbutamol 2mg 0 0
119 Salbutamol tablet 4 mg 1340 1080 260
120 Salbutamol Sirup 12 7 5
121 Salep 24, Kombinasi : Asam Salisilat 2%+Beleran 0 0
122 Salisil Bedak 2% 0 0
123 Sefadroksil Sirup Kering 14 13 1
124 Sefadroksil kapsul 500 mg 1250 1040 210
125 Sefiksim kapsul 100 mg 80 10 70
126 Sefiksim sirup kering 100 mg/5ml 16 9 7
127 Sefotaksim serbuk injeksi 1000mg 0 0
128 Serum anti bisa ular(A.B.u) 0 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0 0
130 Setirizin sirup 5mg/5ml 0 0
131 Setirizine Tablet 10 mg 0 0
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 191 181 10
133 Simvastatin Tablet 10 mg 1570 1190 380
134 Siprofloksasin tablet 500 mg 1410 1270 140
135 Sukralfat susp 500 mg/5ml, 100 ml 0 0
136 Sukralfat tablet 500 mg/ 5 ml 70 10 60
137 Tetrasiklin HCI Kapsul 250 mg 1200 920 280
138 Tetrasiklin HCI Kapsul 500 mg 1070 750 320
139 Thiamin (vitamin B1) tablet 50 mg 220 50 170
140 Triheksifenidil 2 mg 0 0
141 Valsartan tab 80 mg 0 0
142 Vitamin B Kompleks tablet 820 530 290
143 Zincpro drops 22 18 4
144 Zinc syrup 10 mg/ml 45 37 8
145 Zinc tablet 20 mg 1690 890 800
0 0
Alat Kesehatan 0 0
1 Alat Suntik Sekali Pakai 3 ml 1895 1195 700
2 Alat Suntik Sekali Pakai 5 ml 345 0 345
3 Alkohol 70 % 1 L 5 2 3
4 Alkohol Swab 0 0
5 Aseptic Gel 500cc + dispenser 12 10 2
6 Autocheck 3 in1 multi monitoring system 0 0
7 botol kimiawi palsti 1 L 0 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 61 29 32
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 62 30 32
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 89 60 29
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 93 57 36
12 Catheter 2 Way no.16 0 0
13 Catheter 2 Way no.18 0 0
14 Cuticel classic 10cmx10cm 12 0 12
15 Dermafix T 10x8 cm 24 22 2
16 dermanios scrub chlorhexidin 0 0
17 Eugenol cairan 0 0
18 Infus Set Anak 29 0 29
19 Infus Set Dewasa 35 0 35
20 aximed IV Chateter WP No. 20 0 0
21 aximed IV Chateter WP No. 22 0 0
22 aximed IV Chateter WP No. 24 0 0
23 aximed swab 2-ply 0 0
24 Jellco 24G 0 0
25 Jellco 22G 0 0
26 Jellco 20 0 0
27 Kapas Pembalut/ Absorben 50 gr 3 0 3
28 Kapas Pembalut/ Absorben 250 gr 4 0 4
29 Kapas Pembalut/absorben 500 gr 3 0 3
30 Kassa Kompres Steril 40 x 40 cm 6 1 5
31 Kassa Pembalut 2 x 80 cm 4 0 4
32 Kassa Hidrofil 4 x 15 cm 6 1 5
33 leukoplast 2,5cmx4,5m 0 0
34 Lisol 1 Liter 4 0 4
35 Maxter Exam Non Powder L 0 0
36 Maxter Exam Non Powder M 0 0
37 Maxter Exam Non Powder s 0 0
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 0 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 0 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 0 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/bo 1 0 1
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/bo 1 0 1
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/b 1 0 1
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100' 1 0 1
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/ 1 0 1
46 New DRC T 40 Y x 80 cm Plain 0 0
47 Nonwoven fixiation 5cmx10m 0 0
48 Nonwoven fixiation 10cmx10m 0 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 1 0 1
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0 0
51 paper tape 5.0cmx9.14m 0 0
52 Prefiled Humidifier Hydrox 0 0
53 Pembalut Elastis 10 cm x 4,55 m 0 0
54 Pembalut Elastis 7,5 cm x 4,55 m 2 0 2
55 Poliban 5 cm x 2,7 MT 0 0
56 Polifix 10 cm x 5 m 6 6
57 Polifix 5 cm x 5 m 6 6
58 Poligyp 5 cm x 2,7 m 0 0 0
59 Poliwash 500 ml 12 12
60 Povidon Iodida larutan 10% 1 1
61 Rivanol 300 cc 7 7
62 Safeglove PF no.7 0 0
63 Silk 2/0 + jarum 1/2 GT 35mm 38 23 15
64 SMI Silk Black 3/0 HR 26 MM 5 0 5
65 Surgical Mask - 3ply Earloop 0 0
66 Surgical Mask - 3ply tie on 0 0
67 Surgical powder free glove 0 0
68 Sterile Latex Surgical Gloves Size 6.5 0 0
69 Sterile Latex Surgical Gloves Size 7 0 0
70 Uniflex 23154 (4.5x10.0cm) 0 0
71 Uniflex 23154 (4.5x7.5cm) 2 2
72 Urine Bag 2 0 2
KET
 LAPORAN PEMAKAIAN DAN LEMBAR PERMI
(LPLPO)

Kode Puskesmas :03750008

Puskesmas : Suak Tapeh
Kecamatan : Suak Tapeh
Kab/ Kodya : Banyuasin
Propinsi : Sumatera Selatan

SATU STOK
KODE NAMA OBAT AN AWAL
APBD
OBAT GENERIK ,
1 Asiklovir krim 5 % tube
2 Ambroxol sirup 15 mg/ ml botol
3 Ambroxol tablet 30 mg tablet
4 Klorfeniramina Maleat (CTM) 4 mg tablet tablet
5 Klorpromazin tablet salut 100 mg tablet
6 Meloksikam tablet 15 mg tablet
7 Oksitetrasiklin Salep Kulit 3 % tube
OBAT NON GENERIK
1 Akita Tablet tablet
2 Ternix Plus Syrup botol
3 Momilen Baby Gold botol
4 Starbion kapsul kapsul
5 Caranal kapsul kapsul
6 OBH FM botol
7 solvinex tablet tablet

DAK
1 Alopurinol tablet 100 mg botol
2 Alprazolam tablet 0,25 mg tablet
3 Alprazolam tablet 0,5 mg tablet
4 Alprazolam tablet 1mg tablet
5 Amoksisilin sirup kering 125 mg/5ml tablet
6 Amoksisilin tablet 250 mg botol
7 Amoksisilin tablet 500 mg tablet
8 Amitriptilin tablet salut 25 mg (HCL) kaplet
9 Amlodipin tablet 5 mg tablet
10 Asam Asetilsalisilat(Asetosal)tablet 80mg tablet
11 Asam Mefenamat kapsul/kaplet 500 mg tablet
12 Asam Traneksamat injeksi kaplet
13 Asiklovir tablet 200 mg ampul
14 Asiklovir tablet 400 mg tablet
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+ tablet
Al Hidroksida 200 mg tablet
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6% botol
Asam Salisilat 3% pot
18 Antihemoroid,komb bismut subgalat 150mg
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg suppost
10 Anti Bakteri DOEN salep
20 Anti Malaria Doen komb pirimetamin 25mg pot
sulfadoksin 500mg tablet
21 Atropin Injeksi 5 mg/ml
22 Asam Askorbat (Vit C) tablet 50 mg ampul
23 Asam Fusidat Krim 20 mg/g tablet
24 Azitromisin tablet 500 mg tube
25 Betahistin tablet 6 mg tablet
26 Betametason krim 0,1 % tablet
27 Candesartan 8mg tube
28 Clobazam tablet 10 mg tablet
29 Deksametason tablet 0,5 mg tablet
30 Deksametason injeksi 5 mg/ml ampul
31 Depakote divalproex sorodium(valproat)25 tablet
32 Desoksimetason krim 0,25% tube
33 Diazepam injeksi 5mg/ml ampul
34 Diazepam tablet 5 mg tablet
35 Digoksin Tablet 0,25 mg tablet
36 Difenhidramin injeksi 10 mg/ml ampul
37 Domperidon Suspensi 5 mg/ 5 ml botol
38 Domperidon Tablet 10 mg tablet
39 Epinefrin (Adrenalin) injeksi 0,1% ampul
40 Erythromycin 250 mg tablet tablet
41 Etanol 70% cairan botol
42 Fenobarbital injeksi 50 mg/ ml ampul
43 Fenobarbital tablet 30mg kapsul
44 Fenofibrat kaps 100 mg tablet
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) tablet
46 Fitomenadion (Vit. K 1) Tablet 10 mg ampul
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml ampul
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml tablet
49 Furosemid tablet 40 mg tube
50 fusilex krim(fusidic asid) krim 20%29mg/g sch
51 Garam Oralit serbuk kombinasi botol
52 Glukosa Larutan Infus 5% Steril tablet
53 Glibenklamid Tablet 5 mg botol
54 Glimepiride Tablet 5 mg tablet
55 Griseofulvin(micronized) tablet 500mg botol
56 Gliserin Lar 50% tablet
57 Haloperidol tablet 0,5 mg tablet
58 Haloperidol tablet 5 mg tablet
59 Haloperidol injeksi 50 mg/ml tube
60 Hidrokortison krim 2,5% tablet
61 Hidroklorotiazid 25 mg botol
62 Ibuprofen Suspensi 100mg/5ml tablet
63 Ibuprofen tablet 200 mg tablet
64 Isosorbid Dinitrat 5 mg ampul
65 kalsium gluconat injeksi10% tablet
66 Kalsium Laktat (Kalk) 500 mg tablet
67 Kaptopril 25 mg botol
68 Karbol Gliseril Tetes Telinga 10% tube
69 Ketokonazol krim 2% tablet
70 Ketokonazol Tablet 200 mg ampul
70 Ketorolac injeksi 30 mg tablet
71 Klindamisin Kapsul 150 mg tube
72 Kloramfenikol salep mata 1% botol
73 Kloramfenikol suspensi 125 mg/5ml tablet
74 Klopromazin tablet salut 100mg (HCl) tablet
75 Klozapin 25 mg tablet
76 Klorfeniramina Maleat (CTM) 4 mg tablet botol
77 Kompolax: parafin+gliserinfenolflaten susp botol
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
200 mg+Trimetroprin 40 mg/5 ml tablet
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol
400 mg+Trimetropin 80 mg kapsul
80 Lanzoprazol kapsul 30 mg ampul
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml
000-2ml tablet
82 Loperamid tablet 2 mg tablet
83 Lorazepam tablet 0.5 mg tablet
84 Lorazepam tablet 2 mg botol
85 Magnesium Sulfat Injeksi 20% botol
86 Magnesium Sulfat Injeksi 40% tablet
87 Metformin HCL tablet 500 mg ampul
88 Methylergometrine injeksi 0,2mg/ml tablet
89 Metiprednisolon tablet 4 mg tablet
90 Metoklopramide 10mg botol
91 Metoklopramide sirup 5 mg/5ml tablet
 92 Metronidazol Ovula 500 mg botol
93 Metronidazol Sirup 125 mg/5ml tablet
94 Metronidazol tablet 500 mg tube
95 Momethasone Furoate 0,1%krim kapsul
96 N-Asetil Sistein tablet 200 mg botol
97 Natrium Klorida Larutan Infus 0,9% Steril tablet
98 Natrium Diklofenak tablet 25 mg tablet
99 Nifedipin 10mg tablet tablet
100 Nistatin tablet salut 500.000 iu/g suppost
101 Nistatin Vaginal tablet 100.000 iu/g botol
102 obat batuk hitam(OBH) ampul
103 Oksitosin injeksi 10 IU/ml kapsul
104 Omeprazol Kapsul 20 mg tablet
105 Ondansetron kaplet 4 mg botol
106 Parasetamol drops botol
107 Parasetamol Sirup 120 mg/5ml tablet
108 Parasetamol tablet 500 mg botol
109 Pirantel Pamoat Susp 125mg/5ml tablet
110 Pirantel tablet score (base) 125 mg tablet
111 Piridoksin (Vitamin B6) 10 mg tablet
112 Prednison tablet 5 mg tablet
113 Propiltiourasil tablet 100 mg ampul
114 Ranitidin Injeksi 25 mg/ 2 ml tablet
115 Ranitidin tablet 150 mg botol
116 Ringer Laktat Larutan Infus Steril tablet
117 Risperidon tablet 1 mg tablet
118 Salbutamol 2mg botol
119 Salbutamol tablet 4 mg pot
120 Salbutamol Sirup kotak
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4% botol
122 Salisil Bedak 2% kapsul
123 Sefadroksil Sirup Kering kapsul
124 Sefadroksil kapsul 500 mg botol
125 Sefiksim kapsul 100 mg ampul
126 Sefiksim sirup kering 100 mg/5ml ampul
127 Sefotaksim serbuk injeksi 1000mg botol
128 Serum anti bisa ular(A.B.u) tablet
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp ampul
130 Setirizin sirup 5mg/5ml tablet
131 Setirizine Tablet 10 mg tablet
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml botol
133 Simvastatin Tablet 10 mg tablet
134 Siprofloksasin tablet 500 mg kapsul
135 Sukralfat susp 500 mg/5ml, 100 ml kapsul
136 Sukralfat tablet 500 mg/ 5 ml tablet
137 Tetrasiklin HCI Kapsul 250 mg tablet
138 Tetrasiklin HCI Kapsul 500 mg tablet
139 Thiamin (vitamin B1) tablet 50 mg tablet
140 Triheksifenidil 2 mg botol
141 Valsartan tab 80 mg botol
142 Vitamin B Kompleks tablet botol
143 Zincpro drops
144 Zinc syrup 10 mg/ml set
145 Zinc tablet 20 mg set
botol
Alat Kesehatan box
1 Alat Suntik Sekali Pakai 3 ml botol
2 Alat Suntik Sekali Pakai 5 ml unit
3 Alkohol 70 % 1 L botol
4 Alkohol Swab set
5 Aseptic Gel 500cc + dispenser set
6 Autocheck 3 in1 multi monitoring system set
7 botol kimiawi palsti 1 L set
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm set
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm set
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm roll
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm tube
12 Catheter 2 Way no.16 botol
13 Catheter 2 Way no.18 botol
14 Cuticel classic 10cmx10cm set
15 Dermafix T 10x8 cm set
16 dermanios scrub chlorhexidin set
17 Eugenol cairan set
18 Infus Set Anak set
19 Infus Set Dewasa pcs
20 aximed IV Chateter WP No. 20 pcs
21 aximed IV Chateter WP No. 22 pcs
22 aximed IV Chateter WP No. 24 roll
23 aximed swab 2-ply roll
24 Jellco 24G buah
25 Jellco 22G buah
26 Jellco 20 buah
27 Kapas Pembalut/ Absorben 50 gr buah
28 Kapas Pembalut/ Absorben 250 gr buah
29 Kapas Pembalut/absorben 500 gr buah
30 Kassa Kompres Steril 40 x 40 cm buah
 31 Kassa Pembalut 2 x 80 cm buah
32 Kassa Hidrofil 4 x 15 cm pcs
33 leukoplast 2,5cmx4,5m pcs
34 Lisol 1 Liter pcs
35 Maxter Exam Non Powder L pcs
36 Maxter Exam Non Powder M pcs
37 Maxter Exam Non Powder s pcs
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20 pcs
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22 pcs
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24 pcs
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box pcs
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box pcs
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box pcs
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box pcs
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box pcs
46 New DRC T 40 Y x 80 cm Plain pcs
47 Nonwoven fixiation 5cmx10m pcs
48 Nonwoven fixiation 10cmx10m pcs
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box pcs
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box pcs
51 paper tape 5.0cmx9.14m pcs
52 Prefiled Humidifier Hydrox pcs
53 Pembalut Elastis 10 cm x 4,55 m pcs
54 Pembalut Elastis 7,5 cm x 4,55 m pcs
55 Poliban 5 cm x 2,7 MT pcs
56 Polifix 10 cm x 5 m pcs
57 Polifix 5 cm x 5 m pcs
58 Poligyp 5 cm x 2,7 m pcs
59 Poliwash 500 ml pcs
60 Povidon Iodida larutan 10% pcs
61 Rivanol 300 cc pcs
62 Safeglove PF no.7 pcs
63 Silk 2/0 + jarum 1/2 GT 35mm pcs
64 SMI Silk Black 3/0 HR 26 MM pcs
65 Surgical Mask - 3ply Earloop pcs
66 Surgical Mask - 3ply tie on pcs
67 Surgical powder free glove pcs
68 Sterile Latex Surgical Gloves Size 6.5 pcs
69 Sterile Latex Surgical Gloves Size 7 pcs
70 Uniflex 23154 (4.5x10.0cm) pcs
71 Uniflex 23154 (4.5x7.5cm) pcs
72 Urine Bag pcs

JUMLAH KUNJUNGAN RESEP

 TIDAK BAYAR
JUMLAH KUNJUNGAN RESEP

Mengetahui kepala puskesmas

dr.Liceniati
NIP. 19791209010012 002
IAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Laporan Bulan :
POSKESDES/PUSTU :pusling

PENERI PERSEDI PEMA SISA STOK PERMIN

MAAN AAN KAIAN STOK OPT TAAN KET

50

70

35

160
275

5
268
148

3
150

125

40
1
200
100

62

110
9
5
230
5
170

30
200
30
200
90
10

102
 390

7
97
6

55

110
13

75

2
6

12

122

1130

130
3
 8

1
87

100

22
13

40
65
100

120

25
105
75
200
250

2
15
300

62
 1
5
3

1
1
2

ASKES JUMLAH
 ASKES JUMLAH

puskesmas Pengelolah gudang dan apotik

9010012 002 Tessy prabawa septianna,Amd. Far.

 LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat apotik Bulan : juni

NAMA OBAT Stok awal Penerimaan Pengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 %
2 Ambroxol sirup 15 mg/ ml
3 Ambroxol tablet 30 mg
4 Klorfeniramina Maleat (CTM) 4 mg tablet
5 Klorpromazin tablet salut 100 mg
6 Meloksikam tablet 15 mg
7 Oksitetrasiklin Salep Kulit 3 %
OBAT NON GENERIK
1 Akita Tablet
2 Ternix Plus Syrup
3 Momilen Baby Gold
4 Starbion kapsul
5 Caranal kapsul
6 OBH FM
7 solvinex tablet

DAK
1 Alopurinol tablet 100 mg
2 Alprazolam tablet 0,25 mg
3 Alprazolam tablet 0,5 mg
4 Alprazolam tablet 1mg
5 Amoksisilin sirup kering 125 mg/5ml
6 Amoksisilin tablet 250 mg
7 Amoksisilin tablet 500 mg
8 Amitriptilin tablet salut 25 mg (HCL)
9 Amlodipin tablet 5 mg
10 Asam Asetilsalisilat(Asetosal)tablet 80mg
11 Asam Mefenamat kapsul/kaplet 500 mg
12 Asam Traneksamat injeksi
13 Asiklovir tablet 200 mg
14 Asiklovir tablet 400 mg
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+
Al Hidroksida 200 mg
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6%
Asam Salisilat 3%
18 Antihemoroid,komb bismut subgalat 150mg
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
10 Anti Bakteri DOEN salep
20 Anti Malaria Doen komb pirimetamin 25mg
sulfadoksin 500mg
21 Atropin Injeksi 5 mg/ml
22 Asam Askorbat (Vit C) tablet 50 mg
23 Asam Fusidat Krim 20 mg/g
24 Azitromisin tablet 500 mg
25 Betahistin tablet 6 mg
26 Betametason krim 0,1 %
27 Candesartan 8mg
28 Clobazam tablet 10 mg
29 Deksametason tablet 0,5 mg
30 Deksametason injeksi 5 mg/ml
31 Depakote divalproex sorodium(valproat)25
32 Desoksimetason krim 0,25%
33 Diazepam injeksi 5mg/ml
34 Diazepam tablet 5 mg
35 Digoksin Tablet 0,25 mg
36 Difenhidramin injeksi 10 mg/ml
37 Domperidon Suspensi 5 mg/ 5 ml
38 Domperidon Tablet 10 mg
39 Epinefrin (Adrenalin) injeksi 0,1%
40 Erythromycin 250 mg tablet
41 Etanol 70% cairan
42 Fenobarbital injeksi 50 mg/ ml
feno barbital tablet 30mg
43 Fenofibrat kaps 100 mg
44 ferro fumarat 60mg+ as. Folat 0.4mg(TTD)
45 Fitomenadion (Vit. K 1) Tablet 10 mg
46 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml
47 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml
48 Furosemid tablet 40 mg
49 fusilex krim(fusidic asid) krim 20%29mg/g
50 Garam Oralit serbuk kombinasi
51 Glukosa Larutan Infus 5% Steril
52 Glibenklamid Tablet 5 mg
53 Glimepiride Tablet 5 mg
54 Griseofulvin(micronized) tablet 500mg
55 Gliserin Lar 50%
56 Haloperidol tablet 0,5 mg
57 Haloperidol tablet 5 mg
58 Haloperidol injeksi 50 mg/ml
59 Hidrokortison krim 2,5%
60 Hidroklorotiazid 25 mg
61 Ibuprofen Suspensi 100mg/5ml
62 Ibuprofen tablet 200 mg
63 Isosorbid Dinitrat 5 mg
64 kalsium gluconat injeksi10%
65 Kalsium Laktat (Kalk) 500 mg
66 Kaptopril 25 mg
67 Karbol Gliseril Tetes Telinga 10%
68 Ketokonazol krim 2%
69 Ketokonazol Tablet 200 mg
70 Ketorolac injeksi 30 mg
71 Klindamisin Kapsul 150 mg
72 Kloramfenikol salep mata 1%
73 Kloramfenikol suspensi 125 mg/5ml
74 Klopromazin tablet salut 100mg (HCl)
75 Klozapin 25 mg
76 Klorfeniramina Maleat (CTM) 4 mg tablet
77 Kompolax: parafin+gliserinfenolflaten susp
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
200 mg+Trimetroprin 40 mg/5 ml
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol
400 mg+Trimetropin 80 mg
80 Lanzoprazol kapsul 30 mg
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml
000-2ml
82 Loperamid tablet 2 mg
83 Lorazepam tablet 0.5 mg
84 Lorazepam tablet 2 mg
85 Magnesium Sulfat Injeksi 20%
86 Magnesium Sulfat Injeksi 40%
87 Metformin HCL tablet 500 mg
88 Methylergometrine injeksi 0,2mg/ml
89 Metiprednisolon tablet 4 mg
90 Metoklopramide 10mg
91 Metoklopramide sirup 5 mg/5ml
92 Metronidazol Ovula 500 mg
93 Metronidazol Sirup 125 mg/5ml
94 Metronidazol tablet 500 mg
95 Momethasone Furoate 0,1%krim
 96 N-Asetil Sistein tablet 200 mg
97 Natrium Klorida Larutan Infus 0,9% Steril
98 Natrium Diklofenak tablet 25 mg
99 Nifedipin 10mg tablet
100 Nistatin tablet salut 500.000 iu/g
101 Nistatin Vaginal tablet 100.000 iu/g
102 obat batuk hitam(OBH)
103 Oksitosin injeksi 10 IU/ml
104 Omeprazol Kapsul 20 mg
105 Ondansetron kaplet 4 mg
106 Parasetamol drops
107 Parasetamol Sirup 120 mg/5ml
108 Parasetamol tablet 500 mg
109 Pirantel Pamoat Susp 125mg/5ml
110 Pirantel tablet score (base) 125 mg
111 Piridoksin (Vitamin B6) 10 mg
112 Prednison tablet 5 mg
113 Propiltiourasil tablet 100 mg
114 Ranitidin Injeksi 25 mg/ 2 ml
115 Ranitidin tablet 150 mg
116 Ringer Laktat Larutan Infus Steril
117 Risperidon tablet 1 mg
118 Salbutamol 2mg
119 Salbutamol tablet 4 mg
120 Salbutamol Sirup
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4%
122 Salisil Bedak 2%
123 Sefadroksil Sirup Kering
124 Sefadroksil kapsul 500 mg
125 Sefiksim kapsul 100 mg
126 Sefiksim sirup kering 100 mg/5ml
127 Sefotaksim serbuk injeksi 1000mg
128 Serum anti bisa ular(A.B.u)
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
130 Setirizin sirup 5mg/5ml
131 Setirizine Tablet 10 mg
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml
sikzonat injeksi
133 Simvastatin Tablet 10 mg
134 Siprofloksasin tablet 500 mg
135 Sukralfat susp 500 mg/5ml, 100 ml
136 Sukralfat tablet 500 mg/ 5 ml
137 Tetrasiklin HCI Kapsul 250 mg
138 Tetrasiklin HCI Kapsul 500 mg
139 Thiamin (vitamin B1) tablet 50 mg
140 Triheksifenidil 2 mg
141 Valsartan tab 80 mg
142 Vitamin B Kompleks tablet
143 Zincpro drops
144 Zinc syrup 10 mg/ml
145 Zinc tablet 20 mg

Alat Kesehatan
1 Alat Suntik Sekali Pakai 3 ml
2 Alat Suntik Sekali Pakai 5 ml
3 Alkohol 70 % 1 L
4 Alkohol Swab
5 Aseptic Gel 500cc + dispenser
6 Autocheck 3 in1 multi monitoring system
7 botol kimiawi palsti 1 L
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm
12 Catheter 2 Way no.16
13 Catheter 2 Way no.18
14 Cuticel classic 10cmx10cm
15 Dermafix T 10x8 cm
16 dermanios scrub chlorhexidin
17 Eugenol cairan
18 Infus Set Anak
19 Infus Set Dewasa
20 aximed IV Chateter WP No. 20
21 aximed IV Chateter WP No. 22
22 aximed IV Chateter WP No. 24
23 aximed swab 2-ply
24 Jellco 24G
25 Jellco 22G
26 Jellco 20
27 Kapas Pembalut/ Absorben 50 gr
28 Kapas Pembalut/ Absorben 250 gr
29 Kapas Pembalut/absorben 500 gr
30 Kassa Kompres Steril 40 x 40 cm
31 Kassa Pembalut 2 x 80 cm
32 Kassa Hidrofil 4 x 15 cm
33 leukoplast 2,5cmx4,5m
34 Lisol 1 Liter
35 Maxter Exam Non Powder L
36 Maxter Exam Non Powder M
37 Maxter Exam Non Powder s
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box
46 New DRC T 40 Y x 80 cm Plain
47 Nonwoven fixiation 5cmx10m
48 Nonwoven fixiation 10cmx10m
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box
51 paper tape 5.0cmx9.14m
52 Prefiled Humidifier Hydrox
53 Pembalut Elastis 10 cm x 4,55 m
54 Pembalut Elastis 7,5 cm x 4,55 m
55 Poliban 5 cm x 2,7 MT
56 Polifix 10 cm x 5 m
57 Polifix 5 cm x 5 m
58 Poligyp 5 cm x 2,7 m
59 Poliwash 500 ml
60 Povidon Iodida larutan 10%
61 Rivanol 300 cc
62 Safeglove PF no.7
63 Silk 2/0 + jarum 1/2 GT 35mm
64 SMI Silk Black 3/0 HR 26 MM
65 Surgical Mask - 3ply Earloop
66 Surgical Mask - 3ply tie on
67 Surgical powder free glove
68 Sterile Latex Surgical Gloves Size 6.5
69 Sterile Latex Surgical Gloves Size 7
70 Uniflex 23154 (4.5x10.0cm)
71 Uniflex 23154 (4.5x7.5cm)
72 Urine Bag
 LAPORAN BPK PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa

KET NAMA OBAT Stok awal Penerimaan

1 2 3 4
APBD
OBAT GENERIK
OBAT KELUAR 1 Asiklovir krim 5 %
KE PASIEN 2 Ambroxol sirup 15 mg/ ml
3 Ambroxol tablet 30 mg
4 Klorfeniramina Maleat (CTM) 4 mg tablet
5 Klorpromazin tablet salut 100 mg
6 Meloksikam tablet 15 mg
7 Oksitetrasiklin Salep Kulit 3 %
OBAT NON GENERIK
1 Akita Tablet
2 Ternix Plus Syrup
3 Momilen Baby Gold
4 Starbion kapsul
5 Caranal kapsul
6 OBH FM
7 solvinex tablet

DAK
1 Alopurinol tablet 100 mg
2 Alprazolam tablet 0,25 mg
3 Alprazolam tablet 0,5 mg
4 Alprazolam tablet 1mg
5 Amoksisilin sirup kering 125 mg/5ml
6 Amoksisilin tablet 250 mg
7 Amoksisilin tablet 500 mg
8 Amitriptilin tablet salut 25 mg (HCL)
9 Amlodipin tablet 5 mg
10 Asam Asetilsalisilat(Asetosal)tablet 80mg
11 Asam Mefenamat kapsul/kaplet 500 mg
12 Asam Traneksamat injeksi
13 Asiklovir tablet 200 mg
14 Asiklovir tablet 400 mg
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+
Al Hidroksida 200 mg
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6%
Asam Salisilat 3%
18 Antihemoroid,komb bismut subgalat 150mg
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
10 Anti Bakteri DOEN salep
20 Anti Malaria Doen komb pirimetamin 25mg
sulfadoksin 500mg
21 Atropin Injeksi 5 mg/ml
22 Asam Askorbat (Vit C) tablet 50 mg
23 Asam Fusidat Krim 20 mg/g
24 Azitromisin tablet 500 mg
25 Betahistin tablet 6 mg
26 Betametason krim 0,1 %
27 Candesartan 8mg
28 Clobazam tablet 10 mg
29 Deksametason tablet 0,5 mg
30 Deksametason injeksi 5 mg/ml
31 Depakote divalproex sorodium(valproat)25
32 Desoksimetason krim 0,25%
33 Diazepam injeksi 5mg/ml
34 Diazepam tablet 5 mg
35 Digoksin Tablet 0,25 mg
36 Difenhidramin injeksi 10 mg/ml
37 Domperidon Suspensi 5 mg/ 5 ml
38 Domperidon Tablet 10 mg
39 Epinefrin (Adrenalin) injeksi 0,1%
40 Erythromycin 250 mg tablet
41 Etanol 70% cairan
42 Fenobarbital injeksi 50 mg/ ml
43 Fenobarbital tablet 30mg
44 Fenofibrat kaps 100 mg
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD)
46 Fitomenadion (Vit. K 1) Tablet 10 mg
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml
49 Furosemid tablet 40 mg
50 fusilex krim(fusidic asid) krim 20%29mg/g
51 Garam Oralit serbuk kombinasi
52 Glukosa Larutan Infus 5% Steril
53 Glibenklamid Tablet 5 mg
54 Glimepiride Tablet 5 mg
55 Griseofulvin(micronized) tablet 500mg
56 Gliserin Lar 50%
57 Haloperidol tablet 0,5 mg
58 Haloperidol tablet 5 mg
59 Haloperidol injeksi 50 mg/ml
60 Hidrokortison krim 2,5%
61 Hidroklorotiazid 25 mg
62 Ibuprofen Suspensi 100mg/5ml
63 Ibuprofen tablet 200 mg
64 Isosorbid Dinitrat 5 mg
65 kalsium gluconat injeksi10%
66 Kalsium Laktat (Kalk) 500 mg
67 Kaptopril 25 mg
68 Karbol Gliseril Tetes Telinga 10%
69 Ketokonazol krim 2%
70 Ketokonazol Tablet 200 mg
70 Ketorolac injeksi 30 mg
71 Klindamisin Kapsul 150 mg
72 Kloramfenikol salep mata 1%
73 Kloramfenikol suspensi 125 mg/5ml
74 Klopromazin tablet salut 100mg (HCl)
75 Klozapin 25 mg
76 Klorfeniramina Maleat (CTM) 4 mg tablet
77 Kompolax: parafin+gliserinfenolflaten susp
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
200 mg+Trimetroprin 40 mg/5 ml
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol
400 mg+Trimetropin 80 mg
80 Lanzoprazol kapsul 30 mg
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml
000-2ml
82 Loperamid tablet 2 mg
83 Lorazepam tablet 0.5 mg
84 Lorazepam tablet 2 mg
85 Magnesium Sulfat Injeksi 20%
86 Magnesium Sulfat Injeksi 40%
87 Metformin HCL tablet 500 mg
88 Methylergometrine injeksi 0,2mg/ml
89 Metiprednisolon tablet 4 mg
90 Metoklopramide 10mg
91 Metoklopramide sirup 5 mg/5ml
92 Metronidazol Ovula 500 mg
93 Metronidazol Sirup 125 mg/5ml
94 Metronidazol tablet 500 mg
95 Momethasone Furoate 0,1%krim
 96 N-Asetil Sistein tablet 200 mg
97 Natrium Klorida Larutan Infus 0,9% Steril
98 Natrium Diklofenak tablet 25 mg
99 Nifedipin 10mg tablet
100 Nistatin tablet salut 500.000 iu/g
101 Nistatin Vaginal tablet 100.000 iu/g
102 obat batuk hitam(OBH)
103 Oksitosin injeksi 10 IU/ml
104 Omeprazol Kapsul 20 mg
105 Ondansetron kaplet 4 mg
106 Parasetamol drops
107 Parasetamol Sirup 120 mg/5ml
108 Parasetamol tablet 500 mg
109 Pirantel Pamoat Susp 125mg/5ml
110 Pirantel tablet score (base) 125 mg
111 Piridoksin (Vitamin B6) 10 mg
112 Prednison tablet 5 mg
113 Propiltiourasil tablet 100 mg
114 Ranitidin Injeksi 25 mg/ 2 ml
115 Ranitidin tablet 150 mg
116 Ringer Laktat Larutan Infus Steril
117 Risperidon tablet 1 mg
118 Salbutamol 2mg
119 Salbutamol tablet 4 mg
120 Salbutamol Sirup
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4%
122 Salisil Bedak 2%
123 Sefadroksil Sirup Kering
124 Sefadroksil kapsul 500 mg
125 Sefiksim kapsul 100 mg
126 Sefiksim sirup kering 100 mg/5ml
127 Sefotaksim serbuk injeksi 1000mg
128 Serum anti bisa ular(A.B.u)
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
130 Setirizin sirup 5mg/5ml
131 Setirizine Tablet 10 mg
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml
sikzonat injeksi
133 Simvastatin Tablet 10 mg
134 Siprofloksasin tablet 500 mg
135 Sukralfat susp 500 mg/5ml, 100 ml
136 Sukralfat tablet 500 mg/ 5 ml
137 Tetrasiklin HCI Kapsul 250 mg
138 Tetrasiklin HCI Kapsul 500 mg
139 Thiamin (vitamin B1) tablet 50 mg
140 Triheksifenidil 2 mg
141 Valsartan tab 80 mg
142 Vitamin B Kompleks tablet
143 Zincpro drops
144 Zinc syrup 10 mg/ml
145 Zinc tablet 20 mg

Alat Kesehatan
1 Alat Suntik Sekali Pakai 3 ml
2 Alat Suntik Sekali Pakai 5 ml
3 Alkohol 70 % 1 L
4 Alkohol Swab
5 Aseptic Gel 500cc + dispenser
6 Autocheck 3 in1 multi monitoring system
7 botol kimiawi palsti 1 L
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm
12 Catheter 2 Way no.16
13 Catheter 2 Way no.18
14 Cuticel classic 10cmx10cm
15 Dermafix T 10x8 cm
16 dermanios scrub chlorhexidin
17 Eugenol cairan
18 Infus Set Anak
19 Infus Set Dewasa
20 aximed IV Chateter WP No. 20
21 aximed IV Chateter WP No. 22
22 aximed IV Chateter WP No. 24
23 aximed swab 2-ply
24 Jellco 24G
25 Jellco 22G
26 Jellco 20
27 Kapas Pembalut/ Absorben 50 gr
28 Kapas Pembalut/ Absorben 250 gr
29 Kapas Pembalut/absorben 500 gr
30 Kassa Kompres Steril 40 x 40 cm
31 Kassa Pembalut 2 x 80 cm
32 Kassa Hidrofil 4 x 15 cm
33 leukoplast 2,5cmx4,5m
34 Lisol 1 Liter
35 Maxter Exam Non Powder L
36 Maxter Exam Non Powder M
37 Maxter Exam Non Powder s
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box
46 New DRC T 40 Y x 80 cm Plain
47 Nonwoven fixiation 5cmx10m
48 Nonwoven fixiation 10cmx10m
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box
51 paper tape 5.0cmx9.14m
52 Prefiled Humidifier Hydrox
53 Pembalut Elastis 10 cm x 4,55 m
54 Pembalut Elastis 7,5 cm x 4,55 m
55 Poliban 5 cm x 2,7 MT
56 Polifix 10 cm x 5 m
57 Polifix 5 cm x 5 m
58 Poligyp 5 cm x 2,7 m
59 Poliwash 500 ml
60 Povidon Iodida larutan 10%
61 Rivanol 300 cc
62 Safeglove PF no.7
63 Silk 2/0 + jarum 1/2 GT 35mm
64 SMI Silk Black 3/0 HR 26 MM
65 Surgical Mask - 3ply Earloop
66 Surgical Mask - 3ply tie on
67 Surgical powder free glove
68 Sterile Latex Surgical Gloves Size 6.5
69 Sterile Latex Surgical Gloves Size 7
70 Uniflex 23154 (4.5x10.0cm)
71 Uniflex 23154 (4.5x7.5cm)
72 Urine Bag
SUAK TAPEH LAPORAN BPK PUSKESMAS SU

Bulan : Juni2019 1. Persediaan obat pada gudang obat

Pengeluaran Stok akhir KET NAMA OBAT Stok awal

5 6=(3+4-5) 1 2 3
APBD
OBAT GENERIK
OBAT KELUAR 1 Asiklovir krim 5 %
KE PASIEN 2 Ambroxol sirup 15 mg/ ml
3 Ambroxol tablet 30 mg
4 Klorfeniramina Maleat (CTM) 4 mg tablet
5 Klorpromazin tablet salut 100 mg
6 Meloksikam tablet 15 mg
7 Oksitetrasiklin Salep Kulit 3 %
OBAT NON GENERIK
1 Akita Tablet
2 Ternix Plus Syrup
3 Momilen Baby Gold
4 Starbion kapsul
5 Caranal kapsul
6 OBH FM
7 solvinex tablet

DAK
1 Alopurinol tablet 100 mg
2 Alprazolam tablet 0,25 mg
3 Alprazolam tablet 0,5 mg
4 Alprazolam tablet 1mg
5 Amoksisilin sirup kering 125 mg/5ml
6 Amoksisilin tablet 250 mg
7 Amoksisilin tablet 500 mg
8 Amitriptilin tablet salut 25 mg (HCL)
9 Amlodipin tablet 5 mg
10 Asam Asetilsalisilat(Asetosal)tablet 80mg
11 Asam Mefenamat kapsul/kaplet 500 mg
12 Asam Traneksamat injeksi
13 Asiklovir tablet 200 mg
14 Asiklovir tablet 400 mg
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+
Al Hidroksida 200 mg
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6%
Asam Salisilat 3%
18 Antihemoroid,komb bismut subgalat 150mg
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
10 Anti Bakteri DOEN salep
20 Anti Malaria Doen komb pirimetamin 25mg
sulfadoksin 500mg
21 Atropin Injeksi 5 mg/ml
22 Asam Askorbat (Vit C) tablet 50 mg
23 Asam Fusidat Krim 20 mg/g
24 Azitromisin tablet 500 mg
25 Betahistin tablet 6 mg
26 Betametason krim 0,1 %
27 Candesartan 8mg
28 Clobazam tablet 10 mg
29 Deksametason tablet 0,5 mg
30 Deksametason injeksi 5 mg/ml
31 Depakote divalproex sorodium(valproat)25
32 Desoksimetason krim 0,25%
33 Diazepam injeksi 5mg/ml
34 Diazepam tablet 5 mg
35 Digoksin Tablet 0,25 mg
36 Difenhidramin injeksi 10 mg/ml
37 Domperidon Suspensi 5 mg/ 5 ml
38 Domperidon Tablet 10 mg
39 Epinefrin (Adrenalin) injeksi 0,1%
40 Erythromycin 250 mg tablet
41 Etanol 70% cairan
42 Fenobarbital injeksi 50 mg/ ml
43 Fenobarbital tablet 30mg
44 Fenofibrat kaps 100 mg
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD)
46 Fitomenadion (Vit. K 1) Tablet 10 mg
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml
49 Furosemid tablet 40 mg
50 fusilex krim(fusidic asid) krim 20%29mg/g
51 Garam Oralit serbuk kombinasi
52 Glukosa Larutan Infus 5% Steril
53 Glibenklamid Tablet 5 mg
54 Glimepiride Tablet 5 mg
55 Griseofulvin(micronized) tablet 500mg
56 Gliserin Lar 50%
57 Haloperidol tablet 0,5 mg
58 Haloperidol tablet 5 mg
59 Haloperidol injeksi 50 mg/ml
60 Hidrokortison krim 2,5%
61 Hidroklorotiazid 25 mg
62 Ibuprofen Suspensi 100mg/5ml
63 Ibuprofen tablet 200 mg
64 Isosorbid Dinitrat 5 mg
65 kalsium gluconat injeksi10%
66 Kalsium Laktat (Kalk) 500 mg
67 Kaptopril 25 mg
68 Karbol Gliseril Tetes Telinga 10%
69 Ketokonazol krim 2%
70 Ketokonazol Tablet 200 mg
70 Ketorolac injeksi 30 mg
71 Klindamisin Kapsul 150 mg
72 Kloramfenikol salep mata 1%
73 Kloramfenikol suspensi 125 mg/5ml
74 Klopromazin tablet salut 100mg (HCl)
75 Klozapin 25 mg
76 Klorfeniramina Maleat (CTM) 4 mg tablet
77 Kompolax: parafin+gliserinfenolflaten susp
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol
200 mg+Trimetroprin 40 mg/5 ml
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol
400 mg+Trimetropin 80 mg
80 Lanzoprazol kapsul 30 mg
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml
000-2ml
82 Loperamid tablet 2 mg
83 Lorazepam tablet 0.5 mg
84 Lorazepam tablet 2 mg
85 Magnesium Sulfat Injeksi 20%
86 Magnesium Sulfat Injeksi 40%
87 Metformin HCL tablet 500 mg
88 Methylergometrine injeksi 0,2mg/ml
89 Metiprednisolon tablet 4 mg
90 Metoklopramide 10mg
91 Metoklopramide sirup 5 mg/5ml
92 Metronidazol Ovula 500 mg
93 Metronidazol Sirup 125 mg/5ml
94 Metronidazol tablet 500 mg
95 Momethasone Furoate 0,1%krim
 96 N-Asetil Sistein tablet 200 mg
97 Natrium Klorida Larutan Infus 0,9% Steril
98 Natrium Diklofenak tablet 25 mg
99 Nifedipin 10mg tablet
100 Nistatin tablet salut 500.000 iu/g
101 Nistatin Vaginal tablet 100.000 iu/g
102 obat batuk hitam(OBH)
103 Oksitosin injeksi 10 IU/ml
104 Omeprazol Kapsul 20 mg
105 Ondansetron kaplet 4 mg
106 Parasetamol drops
107 Parasetamol Sirup 120 mg/5ml
108 Parasetamol tablet 500 mg
109 Pirantel Pamoat Susp 125mg/5ml
110 Pirantel tablet score (base) 125 mg
111 Piridoksin (Vitamin B6) 10 mg
112 Prednison tablet 5 mg
113 Propiltiourasil tablet 100 mg
114 Ranitidin Injeksi 25 mg/ 2 ml
115 Ranitidin tablet 150 mg
116 Ringer Laktat Larutan Infus Steril
117 Risperidon tablet 1 mg
118 Salbutamol 2mg
119 Salbutamol tablet 4 mg
120 Salbutamol Sirup
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4%
122 Salisil Bedak 2%
123 Sefadroksil Sirup Kering
124 Sefadroksil kapsul 500 mg
125 Sefiksim kapsul 100 mg
126 Sefiksim sirup kering 100 mg/5ml
127 Sefotaksim serbuk injeksi 1000mg
128 Serum anti bisa ular(A.B.u)
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
130 Setirizin sirup 5mg/5ml
131 Setirizine Tablet 10 mg
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml
sikzonat injeksi
133 Simvastatin Tablet 10 mg
134 Siprofloksasin tablet 500 mg
135 Sukralfat susp 500 mg/5ml, 100 ml
136 Sukralfat tablet 500 mg/ 5 ml
137 Tetrasiklin HCI Kapsul 250 mg
138 Tetrasiklin HCI Kapsul 500 mg
139 Thiamin (vitamin B1) tablet 50 mg
140 Triheksifenidil 2 mg
141 Valsartan tab 80 mg
142 Vitamin B Kompleks tablet
143 Zincpro drops
144 Zinc syrup 10 mg/ml
145 Zinc tablet 20 mg

Alat Kesehatan
1 Alat Suntik Sekali Pakai 3 ml
2 Alat Suntik Sekali Pakai 5 ml
3 Alkohol 70 % 1 L
4 Alkohol Swab
5 Aseptic Gel 500cc + dispenser
6 Autocheck 3 in1 multi monitoring system
7 botol kimiawi palsti 1 L
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm
12 Catheter 2 Way no.16
13 Catheter 2 Way no.18
14 Cuticel classic 10cmx10cm
15 Dermafix T 10x8 cm
16 dermanios scrub chlorhexidin
17 Eugenol cairan
18 Infus Set Anak
19 Infus Set Dewasa
20 aximed IV Chateter WP No. 20
21 aximed IV Chateter WP No. 22
22 aximed IV Chateter WP No. 24
23 aximed swab 2-ply
24 Jellco 24G
25 Jellco 22G
26 Jellco 20
27 Kapas Pembalut/ Absorben 50 gr
28 Kapas Pembalut/ Absorben 250 gr
29 Kapas Pembalut/absorben 500 gr
30 Kassa Kompres Steril 40 x 40 cm
31 Kassa Pembalut 2 x 80 cm
32 Kassa Hidrofil 4 x 15 cm
33 leukoplast 2,5cmx4,5m
34 Lisol 1 Liter
35 Maxter Exam Non Powder L
36 Maxter Exam Non Powder M
37 Maxter Exam Non Powder s
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box
46 New DRC T 40 Y x 80 cm Plain
47 Nonwoven fixiation 5cmx10m
48 Nonwoven fixiation 10cmx10m
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box
51 paper tape 5.0cmx9.14m
52 Prefiled Humidifier Hydrox
53 Pembalut Elastis 10 cm x 4,55 m
54 Pembalut Elastis 7,5 cm x 4,55 m
55 Poliban 5 cm x 2,7 MT
56 Polifix 10 cm x 5 m
57 Polifix 5 cm x 5 m
58 Poligyp 5 cm x 2,7 m
59 Poliwash 500 ml
60 Povidon Iodida larutan 10%
61 Rivanol 300 cc
62 Safeglove PF no.7
63 Silk 2/0 + jarum 1/2 GT 35mm
64 SMI Silk Black 3/0 HR 26 MM
65 Surgical Mask - 3ply Earloop
66 Surgical Mask - 3ply tie on
67 Surgical powder free glove
68 Sterile Latex Surgical Gloves Size 6.5
69 Sterile Latex Surgical Gloves Size 7
70 Uniflex 23154 (4.5x10.0cm)
71 Uniflex 23154 (4.5x7.5cm)
72 Urine Bag
N BPK PUSKESMAS SUAK TAPEH

Bulan : juni 2019

Penerimaan Pengeluaran Stok akhir KET

4 5 6=(3+4-5)

0
3
0
0
0
0
0

0
0
0
0
0
0
0

400
0
158
0
0
10700
6100
440
300
500
650
20
1000
350
roksida 200 mg+ 13500

0
 9

50
oksida 120mg
39
360
0
0
2400
0
40
140
13
540
234
680
280
40
0
80
742
100
27
52
240
50
100
1
150
800
180
6090
160
25
50
600
21
0
31
0
0
400
5
 470
760
9
13
300
58
0
400
12
550
180
9
34
250
90
50
9
4
1400
1220
2100
20
68

1200

300
53

0
0
170
27
27
4300
25
440
160
45
60
39
0
17
 2850
2
400
0
300
100
46
44
390

10
270
7400
8
100
760
560
400
72
0
56
1410
950
100
60
Belerang endap 4% 2
0
15
0
0
66
55
5
5
47
1000
360
5
420
350
22
40
300
 100
560
1960
0
200
28
2
0

2000
600
15

12
3

114
96
156
160
9
9
8
40
19
8
21
8
61
63
68
100
0
0
0
13
12
6
23
9
25
13
 13
100
400
100
ERCARTH 5 G20
ERCARTH 5 G22
ERCARTH 5 G24
2
2
100 pcs/box 6
WASA 100's/box 6
K 100's/box 6
3
7
12
4
4

10
0
7
5

7
7

56
0
300
550
0
36
55
10
8
2
 0

0
0
 PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa Bulan : Januari 2019

NAMA OBAT Stok awal PenerimaanPengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 %
2 Ambroxol sirup 15 mg/ ml
3 Ambroxol tablet 30 mg
4 Klorfeniramina Maleat (CTM) 4 mg tablet
5 Klorpromazin tablet salut 100 mg
6 Meloksikam tablet 15 mg
7 Oksitetrasiklin Salep Kulit 3 %
OBAT NON GENERIK
1 Akita Tablet
2 Ternix Plus Syrup
3 Momilen Baby Gold
4 Starbion kapsul
5 Caranal kapsul
6 OBH FM
7 solvinex tablet

DAK
1 Alopurinol tablet 100 mg 320
2 Alprazolam tablet 0,25 mg
3 Alprazolam tablet 0,5 mg 100
4 Alprazolam tablet 1mg
5 Amoksisilin sirup kering 125 mg/5ml
6 Amoksisilin tablet 250 mg 530
7 Amoksisilin tablet 500 mg
8 Amitriptilin tablet salut 25 mg (HCL)
9 Amlodipin tablet 5 mg 30
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 350
11 Asam Mefenamat kapsul/kaplet 500 mg 110
12 Asam Traneksamat injeksi 4
13 Asiklovir tablet 200 mg 450
14 Asiklovir tablet 400 mg 40
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+ 215
Al Hidroksida 200 mg
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6%
Asam Salisilat 3%
18 Antihemoroid,komb bismut subgalat 150mg 15
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
10 Anti Bakteri DOEN salep
20 Anti Malaria Doen komb pirimetamin 25mg 122
sulfadoksin 500mg
21 Atropin Injeksi 5 mg/ml 10
22 Asam Askorbat (Vit C) tablet 50 mg 510
23 Asam Fusidat Krim 20 mg/g 2
24 Azitromisin tablet 500 mg 40
25 Betahistin tablet 6 mg 50
26 Betametason krim 0,1 % 1
27 Candesartan 8mg 20
28 Clobazam tablet 10 mg
29 Deksametason tablet 0,5 mg 90
30 Deksametason injeksi 5 mg/ml 220
31 Depakote divalproex sorodium(valproat)25
32 Desoksimetason krim 0,25% 11
33 Diazepam injeksi 5mg/ml 60
34 Diazepam tablet 5 mg 100
35 Digoksin Tablet 0,25 mg 235
36 Difenhidramin injeksi 10 mg/ml 2
37 Domperidon Suspensi 5 mg/ 5 ml 13
38 Domperidon Tablet 10 mg 320
39 Epinefrin (Adrenalin) injeksi 0,1% 95
40 Erythromycin 250 mg tablet
41 Etanol 70% cairan
42 Fenobarbital injeksi 50 mg/ ml
43 Fenobarbital tablet 30mg
44 Fenofibrat kaps 100 mg
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 910
46 Fitomenadion (Vit. K 1) Tablet 10 mg 320
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 9
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml
49 Furosemid tablet 40 mg 20
50 fusilex krim(fusidic asid) krim 20%29mg/g 1
51 Garam Oralit serbuk kombinasi 375
52 Glukosa Larutan Infus 5% Steril 11
53 Glibenklamid Tablet 5 mg
54 Glimepiride Tablet 5 mg 470
55 Griseofulvin(micronized) tablet 500mg
56 Gliserin Lar 50%
57 Haloperidol tablet 0,5 mg
58 Haloperidol tablet 5 mg
59 Haloperidol injeksi 50 mg/ml
60 Hidrokortison krim 2,5% 1
61 Hidroklorotiazid 25 mg 20
62 Ibuprofen Suspensi 100mg/5ml 13
63 Ibuprofen tablet 200 mg
64 Isosorbid Dinitrat 5 mg 190
65 kalsium gluconat injeksi10%
66 Kalsium Laktat (Kalk) 500 mg 130
67 Kaptopril 25 mg 120
68 Karbol Gliseril Tetes Telinga 10% 12
69 Ketokonazol krim 2% 4
70 Ketokonazol Tablet 200 mg 230
70 Ketorolac injeksi 30 mg
71 Klindamisin Kapsul 150 mg
72 Kloramfenikol salep mata 1% 2
73 Kloramfenikol suspensi 125 mg/5ml 12
74 Klopromazin tablet salut 100mg (HCl)
75 Klozapin 25 mg
76 Klorfeniramina Maleat (CTM) 4 mg tablet
77 Kompolax: parafin+gliserinfenolflaten susp
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 16
200 mg+Trimetroprin 40 mg/5 ml 150
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol
400 mg+Trimetropin 80 mg
80 Lanzoprazol kapsul 30 mg 200
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 12
000-2ml
82 Loperamid tablet 2 mg 320
83 Lorazepam tablet 0.5 mg
84 Lorazepam tablet 2 mg
85 Magnesium Sulfat Injeksi 20% 32
86 Magnesium Sulfat Injeksi 40% 25
87 Metformin HCL tablet 500 mg 1120
88 Methylergometrine injeksi 0,2mg/ml 85
89 Metiprednisolon tablet 4 mg 30
90 Metoklopramide 10mg 60
91 Metoklopramide sirup 5 mg/5ml 2
92 Metronidazol Ovula 500 mg
93 Metronidazol Sirup 125 mg/5ml 10
94 Metronidazol tablet 500 mg 90
95 Momethasone Furoate 0,1%krim
 96 N-Asetil Sistein tablet 200 mg 220
97 Natrium Klorida Larutan Infus 0,9% Steril 21
98 Natrium Diklofenak tablet 25 mg 80
99 Nifedipin 10mg tablet 70
100 Nistatin tablet salut 500.000 iu/g 170
101 Nistatin Vaginal tablet 100.000 iu/g 190
102 obat batuk hitam(OBH) 5
103 Oksitosin injeksi 10 IU/ml 34
104 Omeprazol Kapsul 20 mg 10
105 Ondansetron kaplet 4 mg 14
106 Parasetamol drops 11
107 Parasetamol Sirup 120 mg/5ml 40
108 Parasetamol tablet 500 mg 230
109 Pirantel Pamoat Susp 125mg/5ml 1
110 Pirantel tablet score (base) 125 mg
111 Piridoksin (Vitamin B6) 10 mg 130
112 Prednison tablet 5 mg 340
113 Propiltiourasil tablet 100 mg
114 Ranitidin Injeksi 25 mg/ 2 ml 35
115 Ranitidin tablet 150 mg
116 Ringer Laktat Larutan Infus Steril 32
117 Risperidon tablet 1 mg
118 Salbutamol 2mg 500
119 Salbutamol tablet 4 mg 540
120 Salbutamol Sirup 26
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4% 2
122 Salisil Bedak 2%
123 Sefadroksil Sirup Kering 1
124 Sefadroksil kapsul 500 mg 320
125 Sefiksim kapsul 100 mg 20
126 Sefiksim sirup kering 100 mg/5ml 1
127 Sefotaksim serbuk injeksi 1000mg 2
128 Serum anti bisa ular(A.B.u)
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp
130 Setirizin sirup 5mg/5ml 3
131 Setirizine Tablet 10 mg
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 32
133 Simvastatin Tablet 10 mg 160
134 Siprofloksasin tablet 500 mg 870
135 Sukralfat susp 500 mg/5ml, 100 ml 50
136 Sukralfat tablet 500 mg/ 5 ml 70
137 Tetrasiklin HCI Kapsul 250 mg 490
138 Tetrasiklin HCI Kapsul 500 mg 910
139 Thiamin (vitamin B1) tablet 50 mg 160
140 Triheksifenidil 2 mg
141 Valsartan tab 80 mg
142 Vitamin B Kompleks tablet 220
143 Zincpro drops 15
144 Zinc syrup 10 mg/ml 27
145 Zinc tablet 20 mg 760

Alat Kesehatan
1 Alat Suntik Sekali Pakai 3 ml 360
2 Alat Suntik Sekali Pakai 5 ml 340
3 Alkohol 70 % 1 L 2
4 Alkohol Swab
5 Aseptic Gel 500cc + dispenser 1
6 Autocheck 3 in1 multi monitoring system
7 botol kimiawi palsti 1 L
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 25
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 24
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 24
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 19
12 Catheter 2 Way no.16 3
13 Catheter 2 Way no.18 4
14 Cuticel classic 10cmx10cm 1
15 Dermafix T 10x8 cm 1
16 dermanios scrub chlorhexidin
17 Eugenol cairan
18 Infus Set Anak 27
19 Infus Set Dewasa 76
20 aximed IV Chateter WP No. 20 10
21 aximed IV Chateter WP No. 22 10
22 aximed IV Chateter WP No. 24 10
23 aximed swab 2-ply
24 Jellco 24G
25 Jellco 22G
26 Jellco 20
27 Kapas Pembalut/ Absorben 50 gr 2
28 Kapas Pembalut/ Absorben 250 gr 7
29 Kapas Pembalut/absorben 500 gr 5
30 Kassa Kompres Steril 40 x 40 cm 2
31 Kassa Pembalut 2 x 80 cm 11
32 Kassa Hidrofil 4 x 15 cm 5
33 leukoplast 2,5cmx4,5m 1
34 Lisol 1 Liter 1
35 Maxter Exam Non Powder L
36 Maxter Exam Non Powder M
37 Maxter Exam Non Powder s
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 1
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 1
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 1
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box
46 New DRC T 40 Y x 80 cm Plain
47 Nonwoven fixiation 5cmx10m
48 Nonwoven fixiation 10cmx10m
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 1
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box
51 paper tape 5.0cmx9.14m
52 Prefiled Humidifier Hydrox
53 Pembalut Elastis 10 cm x 4,55 m 1
54 Pembalut Elastis 7,5 cm x 4,55 m
55 Poliban 5 cm x 2,7 MT
56 Polifix 10 cm x 5 m 4
57 Polifix 5 cm x 5 m 2
58 Poligyp 5 cm x 2,7 m 4
59 Poliwash 500 ml 1
60 Povidon Iodida larutan 10% 6
61 Rivanol 300 cc 66
62 Safeglove PF no.7
63 Silk 2/0 + jarum 1/2 GT 35mm 9
64 SMI Silk Black 3/0 HR 26 MM
65 Surgical Mask - 3ply Earloop
66 Surgical Mask - 3ply tie on
67 Surgical powder free glove
68 Sterile Latex Surgical Gloves Size 6.5
69 Sterile Latex Surgical Gloves Size 7 1
70 Uniflex 23154 (4.5x10.0cm)
71 Uniflex 23154 (4.5x7.5cm)
72 Urine Bag 2
KET
 PUSKESMAS SUAK TAPEH

1. Persediaan obat pada pustu dan bidan desa Bulan : Januari 2019

NAMA OBAT Stok awal PenerimaanPengeluaran Stok akhir

1 2 3 4 5 6=(3+4-5)
APBD
OBAT GENERIK
1 Asiklovir krim 5 %
2 Ambroxol sirup 15 mg/ ml
3 Ambroxol tablet 30 mg
4 Klorfeniramina Maleat (CTM) 4 mg tablet
5 Klorpromazin tablet salut 100 mg
6 Meloksikam tablet 15 mg
7 Oksitetrasiklin Salep Kulit 3 %
OBAT NON GENERIK
1 Akita Tablet
2 Ternix Plus Syrup
3 Momilen Baby Gold
4 Starbion kapsul
5 Caranal kapsul
6 OBH FM
7 solvinex tablet

DAK
1 Alopurinol tablet 100 mg 150
2 Alprazolam tablet 0,25 mg
3 Alprazolam tablet 0,5 mg
4 Alprazolam tablet 1mg
5 Amoksisilin sirup kering 125 mg/5ml
6 Amoksisilin tablet 250 mg 220
7 Amoksisilin tablet 500 mg 160
8 Amitriptilin tablet salut 25 mg (HCL)
9 Amlodipin tablet 5 mg 140
10 Asam Asetilsalisilat(Asetosal)tablet 80mg 190
11 Asam Mefenamat kapsul/kaplet 500 mg 160
12 Asam Traneksamat injeksi
13 Asiklovir tablet 200 mg 310
14 Asiklovir tablet 400 mg 75
15 Antasida DOEN Tablet Kombinasi Mg Hidroksida 200 mg+ 210
Al Hidroksida 200 mg
16 Antasida DOEN II suspensi
17 Antifungi DOEN salep, Kombinasi:Asam Benzoat 6% 5
Asam Salisilat 3%
18 Antihemoroid,komb bismut subgalat 150mg 0
heksaklorofen 2,5mg lidokain 10mg seng oksida 120mg
10 Anti Bakteri DOEN salep 6
20 Anti Malaria Doen komb pirimetamin 25mg 110
sulfadoksin 500mg
21 Atropin Injeksi 5 mg/ml
22 Asam Askorbat (Vit C) tablet 50 mg 200
23 Asam Fusidat Krim 20 mg/g 0
24 Azitromisin tablet 500 mg 22
25 Betahistin tablet 6 mg 30
26 Betametason krim 0,1 % 4
27 Candesartan 8mg 10
28 Clobazam tablet 10 mg 0
29 Deksametason tablet 0,5 mg 165
30 Deksametason injeksi 5 mg/ml 13
31 Depakote divalproex sorodium(valproat)25 0
32 Desoksimetason krim 0,25% 0
33 Diazepam injeksi 5mg/ml 0
34 Diazepam tablet 5 mg 0
35 Digoksin Tablet 0,25 mg 90
36 Difenhidramin injeksi 10 mg/ml 1
37 Domperidon Suspensi 5 mg/ 5 ml 5
38 Domperidon Tablet 10 mg 120
39 Epinefrin (Adrenalin) injeksi 0,1% 0
40 Erythromycin 250 mg tablet 100
41 Etanol 70% cairan 0
42 Fenobarbital injeksi 50 mg/ ml 0
43 Fenobarbital tablet 30mg 0
44 Fenofibrat kaps 100 mg 30
45 ferro fumarat 60mg+ as. Folat 0.4mg(TTD) 465
46 Fitomenadion (Vit. K 1) Tablet 10 mg 50
47 Fitomenadion (Vit. K 1) Injeksi 10 mg/ml-1 ml 0
48 Fitomenadion (Vit. K 1) Injeksi 2 mg/ml-1 ml 0
49 Furosemid tablet 40 mg 160
50 fusilex krim(fusidic asid) krim 20%29mg/g 6
51 Garam Oralit serbuk kombinasi 0
52 Glukosa Larutan Infus 5% Steril 0
53 Glibenklamid Tablet 5 mg 0
54 Glimepiride Tablet 5 mg 0
55 Griseofulvin(micronized) tablet 500mg 60
56 Gliserin Lar 50% 2
57 Haloperidol tablet 0,5 mg 0
58 Haloperidol tablet 5 mg 0
59 Haloperidol injeksi 50 mg/ml 0
60 Hidrokortison krim 2,5% 3
61 Hidroklorotiazid 25 mg 120
62 Ibuprofen Suspensi 100mg/5ml 9
63 Ibuprofen tablet 200 mg 0
64 Isosorbid Dinitrat 5 mg 100
65 kalsium gluconat injeksi10% 0
66 Kalsium Laktat (Kalk) 500 mg 260
67 Kaptopril 25 mg 110
68 Karbol Gliseril Tetes Telinga 10% 0
69 Ketokonazol krim 2% 5
70 Ketokonazol Tablet 200 mg 130
70 Ketorolac injeksi 30 mg 0
71 Klindamisin Kapsul 150 mg 10
72 Kloramfenikol salep mata 1% 6
73 Kloramfenikol suspensi 125 mg/5ml 9
74 Klopromazin tablet salut 100mg (HCl) 0
75 Klozapin 25 mg 0
76 Klorfeniramina Maleat (CTM) 4 mg tablet 185
77 Kompolax: parafin+gliserinfenolflaten susp 0
78 Kotrimoksazol Suspensi Kombinasi Sulfametoksazol 8
200 mg+Trimetroprin 40 mg/5 ml
79 Kotrimoksazol Tablet Kombinasi Sulfametoksazol 150
400 mg+Trimetropin 80 mg
80 Lanzoprazol kapsul 30 mg 120
81 Lidokain HCL 2% + Epinefrin 1:80.000-2ml 0
000-2ml
82 Loperamid tablet 2 mg 0
83 Lorazepam tablet 0.5 mg 0
84 Lorazepam tablet 2 mg 0
85 Magnesium Sulfat Injeksi 20% 0
86 Magnesium Sulfat Injeksi 40% 0
87 Metformin HCL tablet 500 mg 160
88 Methylergometrine injeksi 0,2mg/ml 0
89 Metiprednisolon tablet 4 mg 120
90 Metoklopramide 10mg 110
91 Metoklopramide sirup 5 mg/5ml 12
92 Metronidazol Ovula 500 mg 0
93 Metronidazol Sirup 125 mg/5ml 23
94 Metronidazol tablet 500 mg 0
95 Momethasone Furoate 0,1%krim 4
 96 N-Asetil Sistein tablet 200 mg 256
97 Natrium Klorida Larutan Infus 0,9% Steril 0
98 Natrium Diklofenak tablet 25 mg 136
99 Nifedipin 10mg tablet 24
100 Nistatin tablet salut 500.000 iu/g 70
101 Nistatin Vaginal tablet 100.000 iu/g 50
102 obat batuk hitam(OBH) 0
103 Oksitosin injeksi 10 IU/ml 0
104 Omeprazol Kapsul 20 mg 60
105 Ondansetron kaplet 4 mg 0
106 Parasetamol drops 3
107 Parasetamol Sirup 120 mg/5ml 43
108 Parasetamol tablet 500 mg 500
109 Pirantel Pamoat Susp 125mg/5ml 5
110 Pirantel tablet score (base) 125 mg 32
111 Piridoksin (Vitamin B6) 10 mg 145
112 Prednison tablet 5 mg 150
113 Propiltiourasil tablet 100 mg 100
114 Ranitidin Injeksi 25 mg/ 2 ml 8
115 Ranitidin tablet 150 mg 0
116 Ringer Laktat Larutan Infus Steril 0
117 Risperidon tablet 1 mg 0
118 Salbutamol 2mg 0
119 Salbutamol tablet 4 mg 190
120 Salbutamol Sirup 4
121 Salep 24, Kombinasi : Asam Salisilat 2%+Belerang endap 4% 8
122 Salisil Bedak 2% 0
123 Sefadroksil Sirup Kering 9
124 Sefadroksil kapsul 500 mg 0
125 Sefiksim kapsul 100 mg 0
126 Sefiksim sirup kering 100 mg/5ml 16
127 Sefotaksim serbuk injeksi 1000mg 0
128 Serum anti bisa ular(A.B.u) 0
129 Serum Antitetanus(ATS)cairan injeksi 1500IU/amp 0
130 Setirizin sirup 5mg/5ml 4
131 Setirizine Tablet 10 mg 180
132 Sianokobalamin (Vit B12) Injeksi 500 mcg-ml 4
133 Simvastatin Tablet 10 mg 130
134 Siprofloksasin tablet 500 mg 150
135 Sukralfat susp 500 mg/5ml, 100 ml 5
136 Sukralfat tablet 500 mg/ 5 ml 80
137 Tetrasiklin HCI Kapsul 250 mg 90
138 Tetrasiklin HCI Kapsul 500 mg ?
139 Thiamin (vitamin B1) tablet 50 mg 105
140 Triheksifenidil 2 mg 0
141 Valsartan tab 80 mg 0
142 Vitamin B Kompleks tablet 120
143 Zincpro drops 11
144 Zinc syrup 10 mg/ml 0
145 Zinc tablet 20 mg 120

Alat Kesehatan
1 Alat Suntik Sekali Pakai 3 ml 30
2 Alat Suntik Sekali Pakai 5 ml 0
3 Alkohol 70 % 1 L 0
4 Alkohol Swab 0
5 Aseptic Gel 500cc + dispenser 0
6 Autocheck 3 in1 multi monitoring system 0
7 botol kimiawi palsti 1 L 0
8 Catgut chromic 2/0 +jarum 1/2 GT 35 mm 0
9 Catgut chromic 3/0 +jarum 1/2 GT 35 mm 0
10 Catgut Plain 3/0 +jarum 1/2 GT 35 mm 0
11 Catgut Plain 2/0 +jarum 1/2 GT 35 mm 0
12 Catheter 2 Way no.16 0
13 Catheter 2 Way no.18 0
14 Cuticel classic 10cmx10cm 0
15 Dermafix T 10x8 cm 0
16 dermanios scrub chlorhexidin 0
17 Eugenol cairan 2
18 Infus Set Anak 0
19 Infus Set Dewasa 0
20 aximed IV Chateter WP No. 20 0
21 aximed IV Chateter WP No. 22 0
22 aximed IV Chateter WP No. 24 0
23 aximed swab 2-ply 0
24 Jellco 24G 0
25 Jellco 22G 0
26 Jellco 20 0
27 Kapas Pembalut/ Absorben 50 gr 0
28 Kapas Pembalut/ Absorben 250 gr 0
29 Kapas Pembalut/absorben 500 gr 0
30 Kassa Kompres Steril 40 x 40 cm 0
31 Kassa Pembalut 2 x 80 cm 0
32 Kassa Hidrofil 4 x 15 cm 0
33 leukoplast 2,5cmx4,5m 0
34 Lisol 1 Liter 0
35 Maxter Exam Non Powder L 0
36 Maxter Exam Non Powder M 0
37 Maxter Exam Non Powder s 0
38 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G20 0
39 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G22 0
40 MPM MEDIKIT SAVETY IV CATETHER SUPERCARTH 5 G24 0
41 GEA NASAL OXYGEN CANULA ADULT@100 pcs/box 0
42 GEA NASAL OXYGEN CANULA CHILD @100 pcs/box 0
43 GEA NASAL OXYGEN CANULA INFANT@100 pcs/box 0
44 GEA NEBULIZER WITH MASK ADULT/DEWASA 100's/box 0
45 GEA NEBULIZER WITH MASK CHILD /ANAK 100's/box 0
46 New DRC T 40 Y x 80 cm Plain 0
47 Nonwoven fixiation 5cmx10m 0
48 Nonwoven fixiation 10cmx10m 0
49 GEA OXYGEN MASK ADULT/DEWASA 100 pcs/ box 0
50 GEA OXYGEN MASK CHILD /ANAK 100 pcs/ box 0
51 paper tape 5.0cmx9.14m 0
52 Prefiled Humidifier Hydrox 0
53 Pembalut Elastis 10 cm x 4,55 m 0
54 Pembalut Elastis 7,5 cm x 4,55 m 0
55 Poliban 5 cm x 2,7 MT 0
56 Polifix 10 cm x 5 m 0
57 Polifix 5 cm x 5 m 0
58 Poligyp 5 cm x 2,7 m 0
59 Poliwash 500 ml 0
60 Povidon Iodida larutan 10% 0
61 Rivanol 300 cc 0
62 Safeglove PF no.7 0
63 Silk 2/0 + jarum 1/2 GT 35mm 0
64 SMI Silk Black 3/0 HR 26 MM 0
65 Surgical Mask - 3ply Earloop 0
66 Surgical Mask - 3ply tie on 0
67 Surgical powder free glove 0
68 Sterile Latex Surgical Gloves Size 6.5 0
69 Sterile Latex Surgical Gloves Size 7 0
70 Uniflex 23154 (4.5x10.0cm) 0
71 Uniflex 23154 (4.5x7.5cm) 0
72 Urine Bag 0
KET