Rekapan Pemakaian Obat 2018@2019 Ke Unit Pelayanan

LAPORAN REKAPAN OBAT PENGADAAN 2017
GUDANG PUSKESMAS KAWUA KE UNIT PELAYANAN
NO NAMA OBAT DAN BHP PUSTU LAB TINDAKAN P UMUM P GIGI P KIA
1 Albothyl 1 0 0 0 0 1
2 Abocath 20 37 0 18 0 0 5
3 Abocath 24 10 0 5 0 0 7
4 Abocath 18 0 0 2 0 0
5 Abocath 22 10 0 24 0 0 8
6 Alat Suntik 50 ml 0 0 4 0 0 0
7 Alat suntik 10 ml 10 0 30 0 0 1
8 Alat suntik 5 ml 20 20 60 0 0 0
9 Alat suntik 1 ml 24 76 0 0 0 0
10 Alat suntik 3 ml 100 100 200 0 0 0
11 Allopurinol 500 0 0 0 0 0
12 Ambroxol tab 200 0 0 0 0 0
13 Ambroxol Syrup 25 0 0 0 0 0
14 Amitriptilin 0 0 0 0 0 0
15 Amlodipin 5 mg 150 0 0 0 0 0
16 Amoxcicilin 500 mg 500 0 0 0 0 0
17 Amoxcicilin syrup kering 125 mg 50 0 0 0 0 0
18 Amoxcicilin 250 mg 500 0 0 0 0 0
19 Antasida suspensi 50 0 0 0 0 0
20 Antihemoroid suppositoria 0 0 0 0 0 0
21 Aqua pro injeksi 0 35 0 0 0 0
22 Asam Ascorbat 250 mg 200 0 0 0 0 0
23 Asam Folat 200 0 0 0 0 0
24 Asam mefenamat 0 0 0 0 0 0
25 Asam traneksamat 0 0 0 0 0 0
26 Acyclovir salep 25 0 0 0 0 0
27 Acyclovir tablet 400 mg 0 0 0 0 0 0
28 Atarax 0 0 0 0 0 0
29 Balon cateter no 20 5 0 0 0 0 4
30 Bedak salicil 10 0 0 0 0 0
31 Bionemi 0 0 0 0 0 0
32 Bioplacenton 0 0 10 0 0 0
33 Bisturi no 20 50 0 150 0 0 0
34 Cetirizine tab 500 0 0 0 0 0
35 Cimetidin 0 0 0 0 0 0
36 Ciprofloxacin 300 0 0 0 0 0
37 Kodein 10 mg 0 0 0 0 0 0
38 Diazepam 2 mg 0 0 0 0 0 0
39 Dexamethasone inj 0 0 55 0 0 0
40 Demetech silk 3/0 75c + jarum 3/8 12 0 24 0 0 0
41 Dipenhidramin inj 200 0 180 0 0 0
42 Domperidone tab 500 0 0 0 0 0
43 Etanol 5 2 5 5 2 0
44 Eflin 500 0 0 0 0 0
45 Eugenol 0 0 0 0 3 0
46 Erythromycin 250 mg 0 0 0 0 0
47 Erythromycin syr 0 0 0 0 0 0
48 Fitomenadion (vit k) tab 10 mg 0 0 0 0 0 0
49 Fitomenadion inj 0 0 0 0 0 120
50 Gentamycin inj 0 0 30 0 0 0
51 Gentamycin salep kulit 0 0 20 0 0 0
52 Glibenclamide 0 0 0 0 0 0
53 Glimepiride 2 mg 0 0 0 0 0 0
54 Griseovulvin 125 mg 300 0 0 0 0 0
55 Guaifenesin 100 mg 1,000 0 0 0 0 0
56 Handrub antiseptik 0 2 3 2 1 1
57 Handscun no 8 0 0 50 0 0 0
58 Handscun no 7 0 50 0 0 0 0
59 Handscun S 0 50 50 0 0 0
60 Handscun L 200 0 50 0 0 50
61 Hidrochortiazid tab 25 mg 0 0 0 0 0 0
62 Hidrocortison cr 34 0 20 0 0 0
63 Ibuprofen susp 20 0 0 0 0 0
64 Ibuprofen tab 400 mg 500 0 100 0 0 0
65 infus set anak 0 0 5 0 0 0
66 Infus set dewasa 10 0 10 0 0 3
67 Imufor 0 0 0 0 0 0
68 Isosorbit Dinitrat 0 0 0 0 0 0
69 Jarum otot no 6 0 0 12 0 0 0
70 Kalsium Laktat 1,000 0 0 0 0 0
71 kalium diklofenak 0 0 0 0 0 0
72 kapas 250 g 2 0 6 0 1 1
73 Karbamazepin 200 mg 0 0 0 0 0 0
74 Kasa pembalut hidrofil 4 m x 10 m 50 0 0 0 0 0
75 Ketokonazole cr 25 0 0 0 0 0
76 Ketokonazole tab 200 mg 0 0 0 0 0 0
77 Kloramphenicol 250 MG 0 0 0 0 0 0
78 Klorfeniramin maleat tab 4 mg 500 0 200 0 0 0
79 Kotrimoksazole 480 mg 500 0 0 0 0 0
80 Kotrimoksazole suspensi 20 0 0 0 0 0
81 Lidocain inj 50 0 150 0 0 0
82 Loperamide 2 mg 500 0 100 0 0 0
83 Leukoplast Plester 5 0 30 0 0 1
84 3 M Surgical MaskEarlop 0 1 1 6 1 1
85 Metilprednisolon 4 mg 0 0 0 0 0 0
86 Metilergometrin salut 0,125 mg 0 0 0 0 0 0
87 Metformin 500 mg 0 0 0 0 0 0
88 Miniaspi 80 mg 0 0 0 0 0 0
89 Metronidazole 500 mg 500 0 0 0 0 0
90 Meloxicam 15 mg 0 0 0 0 0 0
91 Natrium diklofenak 50 mg 0 0 0 0 0 0
92 Natrium Klorida 0,9 % (NaCl) 5 0 10 0 0 0
93 Onemet Lood lancet 0 3 0 0 0 0
94 Papaverin 40 mg 1,000 0 200 0 0 0
95 Paracetamol Syr 50 0 0 0 0 0
96 Pehakain inj 0 0 280 0 0 100
97 Pirantel Pamoat 0 0 0 0 0 0
98 Piracetam 1200 mg 0 0 0 0 0 0
99 Piridoksin HCl tab 100 0 0 0 0 0
100 Piroxicam 10 300 0 0 0 0 0
101 Piroxicam 20 mg 0 0 0 0 0 0
102 Plastik Kecil 0 0 0 0 0 0
103 Plasti Obat Kedap 13 x 8,7 500 0 0 0 0 0
104 Povidon Iodida lar 10 % 300 ml 5 0 6 0 2 0
105 Phenol Glyserol tts telinga 0 0 0 0 0 0
106 Povidon Iodida 10 % 30 ml 20 0 10 0 0 0
107 Prednison 5 mg 0 0 0 0 0 0
108 Propanolol 0 0 0 0 0 0
109 Ranitidin tab 150 mg 0 0 0 0 0 0
110 Ranitidin inj 0 0 25 0 0 0
111 RDT malaria 0 50 0 0 0 0
112 Ringer Laktat 15 0 30 0 0 5
113 Salbutamol 4 mg 500 0 200 0 0 0
114 Silk Brain 0 0 20 0 0 0
115 Sianokobalamin B12 tab 0 0 0 0 0 0
116 Simvastatin 10 mg 0 0 0 0 0 0
117 Simvastatin 20 mg 0 0 0 0 0 0
118 Solvitron 0 0 0 0 0 0
119 Tiamin HCl B1 50 mg 500 0 0 0 0 0
120 Transfusi Set 0 0 2 0 0 0
121 Truvit Syr 0 0 0 0 0 0
122 Wingneedle Kecil 0 11 0 0 0 0
123 Zink tab 20 mg 500 0 0 0 0 0
Kawua, 31 Desember 201
Tim Perencana Obat Pengelola Obat

Puskesmas Kawua Puskesmas Kawua
dr. Andry Arisandy Milka Patambing

Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 0
Mengetahui
Kepala Puskesmas Kawua
Ni Ketut Trielkana, SKM

NIP. 19750407 199903 2 004
APAN OBAT PENGADAAN 2017
MAS KAWUA KE UNIT PELAYANAN
RUTAN PUSKEL APOTIK

0 0 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 1,600
0 0 200
0 15 29
0 0 100
0 300 1,620
0 0 800
0 0 419
0 0 2,300
0 0 40
0 0 40
0 0 0
0 100 200
0 0 0
0 0 600
0 0 300
0 0 50
0 0 350
0 0 100
0 0 0
0 0 33
0 300 1,850
0 0 5
0 0 0
0 300 3,100
0 0 100
0 0 2,000
0 0 1,200
0 0 1,900
0 0 0
0 0 0
0 0 0
200 0 1,400
0 0 0
0 200 800
0 0 0
0 0 3,000
0 0 3
0 0 500
0 0 0
0 0 0
0 0 40
RUTAN PUSKEL APOTIK
0 0 1,500
0 0 2,900
0 0
0 1,000 3,000
0 0 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1,000
0 0 80
0 0 5
0 200 600
0 0 0
0 0 0
0 0 1,600
0 0 200
0 0 0
0 0 900
0 0 50
0 0 0
0 0 500
0 0 0
0 0 12
0 0 1,000
0 0 600
0 500 1,200
0 0 1,500
0 0 230
0 0 0
0 100 1,300
0 0 0
0 0 0
0 0 800
0 0 200
150 0 250
0 0 1,500
0 0 1,400
0 0 200
0 0 2,500
0 0 0
0 0 0
0 300 3,300
0 0 105
0 0 0
0 0 100
0 0 100
0 200 0
600 500 3,700
0 0 1,300
0 0 500
0 0 500
0 0 0
0 0 5
0 0 5
RUTAN PUSKEL APOTIK
0 0 5,000
0 0 100
0 500 1,100
0 0 0
0 0 0
0 0 0
0 200 500
0 0 0
0 200 100
0 130 500
0 0 1,000
0 100 500
0 500 0
0 0 0
0 0 29
0 0 0
0 0 2,200
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
GUDANG PUSKESMAS KAWUA KE UNIT PELAYANAN
1 Abocath 20 G 10 0 22 0 0 10
2 Abocath 22 G 10 0 22 0 0 0
3 Alat suntik 1 ml 0 100 100 0 100 0
4 Alat Suntik 2,5 ml 0 200 0 0 0 0
5 Alat Suntik 3 ml 100 300 700 0 100 100
6 Alat Suntik 3 ml / Kimsmed 0 0 0 0 0 0
7 Allopurinol 100 mg 0 0 0 0 0 0
8 Alat suntik 5 ml 20 20 60 0 0 0
9 Alat suntik 1 ml 24 76 0 0 0 0
10 Alat suntik 3 ml 100 100 200 0 0 0
11 Allopurinol 0 0 0 0 0 0
12 Alprazolam 1 mg 0 0 0 0 0 0
13 Ambroxol tab 30 mg 300 0 0 0 0 0
14 Amlodipin 5 mg 150 0 0 0 0 0
15 Amitriptilin tab 25 mg 0 0 0 0 0 0
16 Amlodipin 10 mg 1,000 0 0 0 0 0
17 Amoxcicilin 500 mg 2,000 0 1,200 0 0 0
18 Amoxcicilin 250 mg 400 0 0 0 0 0
19 Antasida Doen tab 800 0 200 0 0 0
20 Antasida Suspensi 60 0 0 0 0 0
21 Anti Bakteri Salep 20 0 30 0 0 0
22 Anti Fungi Doen Salep 0 0 0 0 0 0
23 Antihemorhoid suppo 0 0 0 0 0 0
24 Asam Ascorbat 250 mg 0 0 0 0 0 0
25 Asam Ascorbat 50 mg 1,000 0 0 0 0 0
26 Asam Mefenamat 500 mg 3,000 0 1,500 0 0 0
27 Asam Traneksamat 0 0 0 0 0 0
28 Acyclovir salep 0 0 0 0 0 0
29 Acyclovir 400 mg tab 0 0 0 0 0 0
30 Betahistin 6 mg 0 0 0 0 0 0
31 Betametason Cr 20 0 6 0 0 0
32 Bionemi 0 0 0 0 0 0
33 Bioplacenton Gel 0 0 5 0 0 0
34 Buscopan inj 0 0 10 0 0 0
35 Bisturi no 18 0 0 100 0 0 0
36 Bisturi no 20 0 0 100 0 0 0
37 Calsium Laktat Tab. 500 mg 500 0 0 0 0 0
38 Carbamazepin 0 0 0 0 0 0
39 Captopril 25 mg 700 0 200 0 0 0
40 Cetirizine 10 mg 0 0 0 0 0 0
41 Chloramphenicol salep mata 1 % 0 0 0 0 0 0
42 Chloramphenicol 250 mg 1,500 0 0 0 0 0
43 Curcuma 0 0 0 0 0 0
44 Ciprofloxacin tab 500 mg 500 0 0 0 0 0
45 Creatinin KIN 2 x 100 ml 0 1 0 0 0 0
46 Codein 10 mg 0 0 0 0 0
47 Cholestrol Liquid 3 x 100 ml 0 1 0 0 0 0
48 Demetech Cromic Catcut 2 0 4 0 0 0
49 Demetech Silk 3/0 75 C + jarum 3/8 1 0 4 0 0 0
50 Dexamethasone tab 0,5 mg 1,500 0 300 0 0 0
51 Diazepam 2 mg 0 0 0 0 0 0
52 Dehidro Artemisin + Piperaquin (DHP) 0 0 0 0 0 0
53 Domperidone Suspensi 17 0 0 0 0 0
54 Domperidone Tab 0 0 0 0 0 0
55 Alcohol Swab 0 12 0 0 0 0
56 Handrub antiseptik 0 2 3 5 2 1
57 Eflin 500 0 0 0 0 0
58 Erytromycin 250 mg 200 0 0 0 0 0
59 Erlamycetin Tetes Telinga 22 0 0 0 0 0
60 Etakridin (Rivanol) Lar. 0,1% 0 0 6 0 0 0
61 Etanol 100 ml 15 0 7 15 3 0
62 Etanol 1000 ml/Alkohol 0 1 2 0 0 1
63 Fitomenadion (Vit K) tab salut 10 mg 0 0 0 0 0 0
64 Gentamycin 40 mg/ml inj 0 0 15 0 0 0
65 Gentamycin salep Kulit 10 0 10 0 0 0
66 GPT 12 x 16 ml 0 1 0 0 0 0
67 GOT 12 x 16 ml 0 1 0 0 0 0
68 Glibenclamide 5 mg tab 400 0 0 0 0 0
69 Gliceryn 0 1 0 0 0 0
70 Glimepiride 2 mg 0 0 0 0 0 0
71 Glyceril Guaicolat 100 mg tab 0 0 0 0 0 0

72 Glukosa liquid 3 x 100 0 1 0 0 0 0
73 Griseovulvin Micronized tab 600 0 0 0 0 0
74 Guaifenesin 100 mg tab 1,500 0 0 0 0 0
75 Hemorogard 0 0 0 0 0 0
76 Handscoen / MM Gloves L 3 0 20 0 0 0
77 Handscoen / MM Gloves S 0 2 1 0 1 0
78 Handscoen 7,5 (Latex) 0 0 0 0 0 20
79 Handscoen 6,5 (Latex Steril) 0 110 0 0 0 0
80 Handscoen 7 (Latex Steril) 0 0 210 0 0 0
81 Handscoen 7,5 (Latex Steril) 0 0 400 0 0 0
82 Handscoen 8 (Latex Steril) 0 0 225 0 0 0
83 Hemafort tab 0 0 0 0 0 0
84 Handscoen 6,5 (Latex Non steril) 0 50 50 0 0 0
85 Handscoen 7 (Latex Non steril) 0 50 100 0 0 50
86 Handscoen 7,5 (Latex Non steril) 0 100 450 0 0 50
87 Hidrokortison Krim 25% 0 0 11 0 0 0
88 Intramag Plus 0 0 0 0 0 0
89 Ibuprofen 400 mg tab 500 0 0 0 0 0
90 Imufor tab 0 0 0 0 0 0
91 Infus Set Dewasa 20 0 50 0 0 10
92 Kemasan Plastik Kedap Besar 0 0 0 0 0 0
93 Kapas 250 g 5 0 4 0 1 2
94 Kapas 500 g 0 0 2 0 0 1
95 Kasa Hidrofil 16 x 16 10 5 10 0 0 0
96 Kasa Hidrofil 40 x 80 cm/New DRC 0 3 5 0 0 0

98 Ketokonazole cr 2 % 8 0 0 0 0 0
99 Khlorpeniramin Maleat (CTM) 4 mg 2,500 0 500 0 0 0
100 Kotrimoxazole suspensi 50 0 0 0 0 0
101 Lansoprazole 30 mg 0 0 0 0 0 0
102 Lidokain inj 2 % + Epinefrin 0 0 260 0 100 0
103 Livron B plex 0 0 0 0 0 0
104 Loperamide 2 mg 1,000 0 300 0 0 0
105 Masker/ Aximed face mask earloop 0 4 5 20 3 0
106 Masker Tie On 0 1 1 1 1 0
107 Masker /Imaske Surgical face Mask 0 1 1 2 1 0
108 Meloxicam 15 mg 0 0 0 0 0 0
109 Meloxicam 7,5 mg 0 0 0 0 0 0
110 Metformin 500 mg 0 0 0 0 0 0
111 Metronidazole 500 mg 200 0 0 0 0 0
112 Miconazole Cream 25 0 0 0 0 0
113 Miniaspi 80 mg 0 0 0 0 0 0
115 Metoclopramid 0 0 0 0 0 0
116 OBH Syrup 0 0 0 0 0 0
117 Otsu Water Inj 25 ml 0 50 0 0 0 0
118 Oxytetrasiklin Salep Mata 1 % 20 0 0 0 0 0
119 Oxytetrasiklin Salep Kulit 1 % 10 0 15 0 0 0
120 Onemed Blood Lancet 0 400 0 0 0 0
121 Onemed Kasa Pembalut Steril 16 x 16 0 0 4 0 0 2
122 Paracetamol 500 mg 2,500 0 1,200 0 0 0
123 Paracetamol Drop 0 0 0 0 0 0
124 Parolit 0 0 0 0 0 0
125 Paracetamol Syr 50 0 20 0 0 0
126 Pirantel Pamoat 0 0 0 0 0 0
127 Piracetam 1200 mg 0 0 0 0 0 0
128 Piridoxin tab (B6) 1,000 0 0 0 0 0
130 Piroxicam 10 mg 800 0 0 0 0 0
131 Piroxicam 20 mg 500 0 0 0 0 0
132 Plester Leukoplast 2,5 cm x 4,5 cm 10 0 20 0 0 1
133 Plester Leukoplast 7,5 cm x 4,5 cm 0 0 5 0 0 0
134 Polifix 5 cm 0 5 20 0 0 4
135 Povidon Iodida lar 10% 300 ml 0 0 1 0 0 0
136 Povidon Iodida Lar 10% 30 ml 3 0 0 0 0 0
137 Poliwash 0 0 2 0 0 0
138 Prednison 5 mg 0 0 0 0 0 0
139 Ranitidine Tab 150 mg 2,000 0 0 0 0 0
140 Ranitidin Inj 50 0 150 0 0 0
141 Ringer Laktat (RL) 50 0 18 0 0 10
142 Salbutamol 4 mg 1,000 0 200 0 0 0
143 Salep 2-4 0 0 0 0 0 0
144 Salicyl Bedak 0 0 0 0 0 0
145 Selesbion 500 0 0 0 0 0
146 Selcom C 0 0 0 0 0 0
147 Sianokobalamin (B12) Tab 500 0 0 0 0 0
148 Solvitron 0 0 0 0 0 0
149 Simvastatin 10 mg 0 0 0 0 0 0
150 Simvastatin 20 mg 0 0 0 0 0 0
151 Sucralfat Suspensi 0 0 0 0 0 0
152 Stesolid Inj 0 0 10 0 0 0
153 Surgical Gloves Steril no 7 0 0 20 0 0 0
154 Surgical Gloves Steril no 7,5 50 100 200 0 0 50
155 Surgical Gloves Steril no 8 0 0 20 0 0 0
156 Surgical Gloves Gynecoloc no 7 0 0 0 0 0 10
157 Tablet Fe Tambah Darah 5,000 0 0 0 0 0
158 Termorex Drop 0 0 0 0 0 0
159 Tiamin HcL (B1) 1,000 0 0 0 0 0
160 Trifacort 0 0 0 0 0 0
161 Truvit Syr 0 0 0 0 0 0
162 Uric Acid Liquid 3 x 100 0 1 0 0 0 0
163 Urea UV 12 x 16 ml 0 1 0 0 0 0
164 Vit B Komp Inj 4 0 0 0 0 0
165 Vit B Complex 1,500 0 0 0 0 0
166 Wibrom Syrup 0 0 0 0 0 0
167 Zink Tab 20 mg 300 0 0 0 0 0
Tim Perencana Obat Pengelola Obat


Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 0
Mengetahui

NIP. 19750407 199903 2 004
DAAN 2018
T PELAYANAN
RUTAN PUSKEL IMUNISASI APOTIK
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 400 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 3,300
0 0 0 300
0 300 0 8,100
0 480 0 2,250
0 0 0 100
0 2,000 0 8,580
0 2,000 0 21,700
0 0 0 3,400
0 500 0 4,000
0 30 0 563
0 0 0 100
0 0 0 24
0 0 0 50
0 0 0 4,700
0 500 0 5,700
0 1,700 0 24,100
0 0 0 300
0 0 0 0
0 0 0 1,700
0 0 0 1,200
0 0 0 74
0 0 0 250
0 0 0 41
0 0 0 0
0 0 0 0
0 0 0 0
0 300 0 2,100
0 0 0 500
0 300 0 800
0 0 0 400
0 0 0 48
0 300 0 5,700
0 0 0 0
200 0 0 3,100
0 0 0 0
0 0 0 400
0 0 0 0
0 0 0 0
0 0 0 0
700 300 0 9,200
0 0 0 0
0 0 0 90
0 0 0 281
0 0 0 7,400
0 0 0 0
0 0 0 2
300 200 0 2,900
0 0 0 8,900
0 0 0 78
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 200
0 0 0 0
0 0 0 40
0 0 0 0
0 0 0 0
0 0 0 1,700
0 0 0 0
0 0 0 3,250
0 0 0 500
0 0 0 0
0 0 0 0
200 1,000 0 400
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 100 0 300
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 87
0 0 0 1,000
300 200 0 2,200
0 0 0 500
0 0 0 0
0 0 0 1,000
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 1,900
0 0 0 20
900 1,000 0 26,300
0 0 0 339
0 0 0 200
0 0 0 0
0 0 0 600
200 200 0 1,900
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 500
0 0 0 500
0 0 0 100
0 0 0 2,800
0 0 0 143
0 0 0 2,500
0 0 0 0
0 0 0 400
0 0 0 16
0 0 0 0
0 0 0 30
0 0 0 0
0 0 0 0
0 0 0 0
800 1,500 0 19,800
0 0 0 4
0 0 0 180
0 0 0 760
0 0 0 100
0 0 0 60
0 500 0 4,500
0 600 0 1,700
0 500 0 4,800
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2,000 0 0 11,000
600 1,200 0 22,600
0 0 0 0
0 0 0 0
0 500 0 2,700
0 0 0 25
0 0 0 3
0 300 0 2,200
0 500 0 2,500
0 400 0 100
0 200 0 400
0 0 0 1,080
0 0 0 1,000
0 0 0 51
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 5,500
0 0 0 30
0 200 0 800
0 0 0 9,000
0 0 0 10
0 0 0 0
0 0 0 0
0 0 0 0
0 500 0 3,100
0 0 0 6
0 0 0 3,000
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
GUDANG PUSKESMAS KAWUA KE UNIT PELAYANAN PUSTU DAN POLIND
NO NAMA OBAT DAN BHP Kawua Ranonuncu Sayo Lembomawo
1 Albothyl 1 0 0 0
2 Abocath 20 7 7 0 7
3 Abocath 24 2 2 0 2
4 Abocath 18 0 0 0 0
5 Abocath 22 2 2 0 2
6 Alat Suntik 50 ml 0 0 0 0
7 Alat suntik 10 ml 2 2 4 2
11 Allopurinol 100 100 100 100
12 Ambroxol tab 100 0 100 100
13 Ambroxol Syrup 5 5 10 5
14 Amitriptilin 0 0 0 0
15 Amlodipin 5 mg 30 30 30 30
16 Amoxcicilin 500 mg 100 100 100 100
17 Amoxcicilin syrup kering 125 mg 10 10 0 10
18 Amoxcicilin 250 mg 100 1,000 0 100
19 Antasida suspensi 10 10 0 10
20 Antihemoroid suppositoria 0 0 0 0
21 Aqua pro injeksi 0 35 0 0
22 Asam Ascorbat 250 mg 100 0 100 100
23 Asam Folat 100 0 100 0
24 Asam mefenamat 0 0 0 0
25 Asam traneksamat 0 0 0 0
26 Acyclovir salep 5 5 0 5
27 Acyclovir tablet 400 mg 0 0 0 0
28 Atarax 0 0 0 0
29 Balon cateter no 20 1 1 1 1
30 Bedak salicil 2 2 0 2
31 Bionemi 0 0 0 0
32 Bioplacenton 0 0 10 0
33 Bisturi no 20 10 10 0 10
34 Cetirizine tab 100 100 0 100
35 Cimetidin 0 0 0 0
36 Ciprofloxacin 100 100 0 100
37 Kodein 10 mg 0 0 0 0
38 Diazepam 2 mg 0 0 0 0
39 Dexamethasone inj 0 0 0 0
40 Demetech silk 3/0 75c + jarum 3/8 2 2 1 2
41 Dipenhidramin inj 50 40 0 40
42 Domperidone tab 100 100 0 100
43 Etanol 1 1 0 1
44 Eflin 200 100 0 100
45 Eugenol 0 0 0 0
46 Erythromycin 250 mg 0 0 0
47 Erythromycin syr 0 0 0 0
48 Fitomenadion (vit k) tab 10 mg 0 0 0 0
49 Fitomenadion inj 0 0 0 0
50 Gentamycin inj 0 0 0 0
51 Gentamycin salep kulit 0 0 0 0
52 Glibenclamide 0 0 0 0
53 Glimepiride 2 mg 0 0 0 0
54 Griseovulvin 125 mg 100 100 0 100
55 Guaifenesin 100 mg 200 200 0 200
56 Handrub antiseptik 0 0 0 0
57 Handscun no 8 0 0 0 0
58 Handscun no 7 0 0 0 0
59 Handscun S 0 0 0 0
60 Handscun L 40 40 0 40
61 Hidrochortiazid tab 25 mg 0 0 0 0
62 Hidrocortison cr 10 4 0 4
63 Ibuprofen susp 5 5 0 5
64 Ibuprofen tab 400 mg 100 100 0 100
65 infus set anak 0 0 0 0
66 Infus set dewasa 2 2 0 2

67 Imufor 0 0 0 0
68 Isosorbit Dinitrat 0 0 0 0
69 Jarum otot no 6 0 0 0 0
70 Kalsium Laktat 200 200 0 200
71 kalium diklofenak 0 0 0 0
72 kapas 250 g 1 0 0 0
73 Karbamazepin 200 mg 0 0 0 0
74 Kasa pembalut hidrofil 4 m x 10 m 10 10 0 10
75 Ketokonazole cr 5 5 0 5
76 Ketokonazole tab 200 mg 0 0 0 0
77 Kloramphenicol 250 MG 0 0 0 0
78 Klorfeniramin maleat tab 4 mg 100 100 0 100
79 Kotrimoksazole 480 mg 100 100 0 100
80 Kotrimoksazole suspensi 4 4 0 4
81 Lidocain inj 10 10 0 10
82 Loperamide 2 mg 100 100 0 100
83 Leukoplast Plester 1 1 0 1
84 3 M Surgical MaskEarlop 0 0 0 0
85 Metilprednisolon 4 mg 0 0 0 0
86 Metilergometrin salut 0,125 mg 0 0 0 0
87 Metformin 500 mg 0 0 0 0
88 Miniaspi 80 mg 0 0 0 0
89 Metronidazole 500 mg 100 100 0 100
90 Meloxicam 15 mg 0 0 0 0
91 Natrium diklofenak 50 mg 0 0 0 0
92 Natrium Klorida 0,9 % (NaCl) 1 1 0 1
93 Onemet Lood lancet 0 0 0 0
94 Papaverin 40 mg 200 200 0 200
95 Paracetamol Syr 10 10 0 10
96 Pehakain inj 0 0 0 0
97 Pirantel Pamoat 0 0 0 0
98 Piracetam 1200 mg 0 0 0 0
99 Piridoksin HCl tab 100 0 0 0
100 Piroxicam 10 200 100 0 0
101 Piroxicam 20 mg 0 0 0 0
102 Plastik Kecil 0 0 0 0
103 Plasti Obat Kedap 13 x 8,7 100 100 0 100
104 Povidon Iodida lar 10 % 300 ml 1 1 0 1
105 Phenol Glyserol tts telinga 0 0 0 0
106 Povidon Iodida 10 % 30 ml 4 4 0 4
107 Prednison 5 mg 0 0 0 0
108 Propanolol 0 0 0 0
109 Ranitidin tab 150 mg 0 0 0 0
110 Ranitidin inj 0 0 0 0
111 RDT malaria 0 0 0 0
112 Ringer Laktat 10 5 0 5
113 Salbutamol 4 mg 100 100 0 100
114 Silk Brain 0 0 0 0
115 Sianokobalamin B12 tab 0 0 0 0
116 Simvastatin 10 mg 0 0 0 0
118 Solvitron 0 0 0 0
119 Tiamin HCl B1 50 mg 100 100 0 100
120 Transfusi Set 0 0 2 0
121 Truvit Syr 0 0 0 0
122 Wingneedle Kecil 0 0 0 0
123 Zink tab 20 mg 100 100 0 100
Tim Perencana Obat

Puskesmas Kawua
dr. Andry Arisandy

Nip. 19871105 201412 1 001
Mengetahui

NIP. 19750407 199903 2 004
REKAPAN OBAT PENGADAAN 2017
WUA KE UNIT PELAYANAN PUSTU DAN POLINDES
Bukit bambu Bonelato
0
5 7
2 2
0
2 2
0
2 2
4 4
4 4
10 20
100 100
0 100
3 5
0
30 30
100 100
10 10
100 100
10 10
0
0
0 0
0 0
0
0
5 5
0
0
1 0
2 2
0
0
10 10
100 100
0
0 0
0
0
0
2 2
30 40
100 100
1 1
0 100
0
0
0
0
0
0
0
0
0
0 0
200 200
0
0
0
0
40 40
0
4 4
0 5
100 100
0
2 2
0
0
0
200 200
0
1 0
0
10 10
5 5
0
0
100 100
100 100
4 4
10 10
100 100
1 1
0 0
0
0
0
0
100 100
0
0
1 1
0
200 200
10 10
0
0
0
0
0
0
0
100 100
1 1
0
4 4
0
0
0
0
0
5 5
100 100
0
0
0
0
0
100 100
0
0
0
100 100
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
GUDANG PUSKESMAS KAWUA KE UNIT PELAYANAN PUSTU DAN POLIND
NO NAMA OBAT DAN BHP KW RCN SY LB BB
1 Albothyl 1 0 0 0 0
2 Abocath 20 7 7 0 7 5
3 Abocath 24 2 2 0 2 2
4 Abocath 18 0 0 0 0 0
5 Abocath 22 2 2 0 2 2
6 Alat Suntik 50 ml 0 0 0 0 0
7 Alat suntik 10 ml 2 2 4 2 2
10 Alat suntik 3 ml 20 20 5 10 10
11 Allopurinol 100 100 100 100 100
12 Ambroxol tab 100 0 100 100 0
13 Ambroxol Syrup 5 5 10 5 3
14 Amitriptilin 0 0 0 0 0
15 Amlodipin 5 mg 30 30 30 30 30
16 Amoxcicilin 500 mg 100 100 100 100 100
17 Amoxcicilin syrup kering 125 mg 10 10 0 10 10
18 Amoxcicilin 250 mg 100 1,000 0 100 100
19 Antasida suspensi 10 10 0 10 10
20 Antihemoroid suppositoria 0 0 0 0 0
21 Aqua pro injeksi 0 35 0 0 0
22 Asam Ascorbat 250 mg 100 0 100 100 0
23 Asam Folat 100 0 100 0 0
24 Asam mefenamat 0 0 0 0 0
25 Asam traneksamat 0 0 0 0 0
26 Acyclovir salep 5 5 0 5 5
27 Acyclovir tablet 400 mg 0 0 0 0 0
28 Atarax 0 0 0 0 0
29 Balon cateter no 20 1 1 1 1 1
30 Bedak salicil 2 2 0 2 2
31 Bionemi 0 0 0 0 0
32 Bioplacenton 0 0 10 0 0
33 Bisturi no 20 10 10 0 10 10
34 Cetirizine tab 100 100 0 100 100
35 Cimetidin 0 0 0 0 0
36 Ciprofloxacin 100 100 0 100 0
37 Kodein 10 mg 0 0 0 0 0
38 Diazepam 2 mg 0 0 0 0 0
39 Dexamethasone inj 0 0 0 0 0
40 Demetech silk 3/0 75c + jarum 3/8 2 2 1 2 2
41 Dipenhidramin inj 50 40 0 40 30
42 Domperidone tab 100 100 0 100 100
43 Etanol 1 1 0 1 1
44 Eflin 200 100 0 100 0
45 Eugenol 0 0 0 0 0
46 Erythromycin 250 mg 0 0 0 0
47 Erythromycin syr 0 0 0 0 0
48 Fitomenadion (vit k) tab 10 mg 0 0 0 0 0
49 Fitomenadion inj 0 0 0 0 0
50 Gentamycin inj 0 0 0 0 0
51 Gentamycin salep kulit 0 0 0 0 0
52 Glibenclamide 0 0 0 0 0
53 Glimepiride 2 mg 0 0 0 0 0
54 Griseovulvin 125 mg 100 100 0 100 0
55 Guaifenesin 100 mg 200 200 0 200 200
56 Handrub antiseptik 0 0 0 0 0
57 Handscun no 8 0 0 0 0 0
58 Handscun no 7 0 0 0 0 0
59 Handscun S 0 0 0 0 0
60 Handscun L 40 40 0 40 40
61 Hidrochortiazid tab 25 mg 0 0 0 0 0
62 Hidrocortison cr 10 4 0 4 4
63 Ibuprofen susp 5 5 0 5 0
64 Ibuprofen tab 400 mg 100 100 0 100 100
65 infus set anak 0 0 0 0 0
66 Infus set dewasa 2 2 0 2 2

67 Imufor 0 0 0 0 0
68 Isosorbit Dinitrat 0 0 0 0 0
69 Jarum otot no 6 0 0 0 0 0
70 Kalsium Laktat 200 200 0 200 200
71 kalium diklofenak 0 0 0 0 0
72 kapas 250 g 1 0 0 0 1
73 Karbamazepin 200 mg 0 0 0 0 0
74 Kasa pembalut hidrofil 4 m x 10 m 10 10 0 10 10
75 Ketokonazole cr 5 5 0 5 5
76 Ketokonazole tab 200 mg 0 0 0 0 0
77 Kloramphenicol 250 MG 0 0 0 0 0
78 Klorfeniramin maleat tab 4 mg 100 100 0 100 100
79 Kotrimoksazole 480 mg 100 100 0 100 100
80 Kotrimoksazole suspensi 4 4 0 4 4
81 Lidocain inj 10 10 0 10 10
82 Loperamide 2 mg 100 100 0 100 100
83 Leukoplast Plester 1 1 0 1 1
84 3 M Surgical MaskEarlop 0 0 0 0 0
85 Metilprednisolon 4 mg 0 0 0 0 0
86 Metilergometrin salut 0,125 mg 0 0 0 0 0
87 Metformin 500 mg 0 0 0 0 0
88 Miniaspi 80 mg 0 0 0 0 0
89 Metronidazole 500 mg 100 100 0 100 100
90 Meloxicam 15 mg 0 0 0 0 0
91 Natrium diklofenak 50 mg 0 0 0 0 0
92 Natrium Klorida 0,9 % (NaCl) 1 1 0 1 1
93 Onemet Lood lancet 0 0 0 0 0
94 Papaverin 40 mg 200 200 0 200 200
95 Paracetamol Syr 10 10 0 10 10
96 Pehakain inj 0 0 0 0 0
97 Pirantel Pamoat 0 0 0 0 0
98 Piracetam 1200 mg 0 0 0 0 0
99 Piridoksin HCl tab 100 0 0 0 0
100 Piroxicam 10 200 100 0 0 0
101 Piroxicam 20 mg 0 0 0 0 0
102 Plastik Kecil 0 0 0 0 0
103 Plasti Obat Kedap 13 x 8,7 100 100 0 100 100
104 Povidon Iodida lar 10 % 300 ml 1 1 0 1 1
105 Phenol Glyserol tts telinga 0 0 0 0 0
106 Povidon Iodida 10 % 30 ml 4 4 0 4 4
107 Prednison 5 mg 0 0 0 0 0
108 Propanolol 0 0 0 0 0
109 Ranitidin tab 150 mg 0 0 0 0 0
110 Ranitidin inj 0 0 0 0 0
111 RDT malaria 0 0 0 0 0
112 Ringer Laktat 10 5 0 5 5
113 Salbutamol 4 mg 100 100 0 100 100
114 Silk Brain 0 0 0 0 0
115 Sianokobalamin B12 tab 0 0 0 0 0
116 Simvastatin 10 mg 0 0 0 0 0
117 Simvastatin 20 mg 0 0 0 0 0
118 Solvitron 0 0 0 0 0
119 Tiamin HCl B1 50 mg 100 100 0 100 100
120 Transfusi Set 0 0 2 0 0
121 Truvit Syr 0 0 0 0 0
122 Wingneedle Kecil 0 0 0 0 0
123 Zink tab 20 mg 100 100 0 100 100
Kawua, 31 Desembe
Tim Perencana Obat Pengelola Oba

Puskesmas Kawua Puskesmas Kaw
dr. Andry Arisandy Milka Patambin

Nip. 19871105 201412 1 001 NIP. 19810713 20140
Mengetahui

NIP. 19750407 199903 2 004
EKAPAN OBAT PENGADAAN 2018
UA KE UNIT PELAYANAN PUSTU DAN POLINDES
BLTo PMk SS
7
2
2
4
4
20
100
100
5
30
100
10
100
10
0
0
0
2
10
100
2
40
100
1
100
BLTo PMk SS
0
200
40
4
5
100
200
10
5
100
100
4
10
100
1
0
100
200
10
BLTo PMk SS
100
1
5
100
100
100
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN JANUARI 2019
GUDANG PUSKESMAS KAWUA KE UNIT PELAYANAN DALAM GEDUNG PUSTU DAN POLINDES
NO NAMA OBAT DAN BHP S.Aw Msk JLM APT RT PU KIA P.G LAB P.Kel. Imu Kot.TB Ruta KW RCN SY LB BB BLTo PMk
n
1 Albothyl 5 0 0 0
2 Abocath 20 8 20 28 8 0 0
3 Abocath 24 20 0 0 0
4 Abocath 18 0 0 0 0
5 Abocath 22 36 0 0 0
7 Alat suntik 10 ml 0 100 100 0 0
8 Alat suntik 5 ml 335 100 435 0 0
9 Alat suntik 1 ml 217 0 217 100 100 0
10 ASSP RD 2,5 ml 100 1000 1100 0
11 Alat suntik 3 ml 414 0 414 100 6 5 20 15
12 Allopurinol 2200 2000 4200 700 0 100 800
13 Ambroxol tab 1400 5000 6400 1800 0 1,800
14 Ambroxol Syrup 0 0 0 0
15 Alprazolam 1 mg 761 0 761 11 11
16 Amitriptilin 195 0 195 15 0 15
17 Aminopylin 2mg 400 0 400 0
18 Amlodipin 10 mg 330 0 330 240 90 0 330
19 Amlodipin 5 mg 750 0 510 240 0 750
20 Amoxcicilin 500 mg 3400 6000 9400 2400 200 100 0 100 2,800
22 Amoxcicilin 250 mg 3500 0 3500 300 0 300
23 Aximed Alkohol Sweab 500 400 900 300 0 300
24 Antasida suspensi 197 0 197 20 5 10 5 30
n
25 Antasida Doen Tab 2500 8000 10500 2800 100 600 200 3,700
26 Anti Fungi Salep 68 0 0
27 Antihemoroid suppositoria 90 0 90 0 0
28 Aqua pro injeksi 100 0 100 36 0 36
29 Asam Ascorbat 250 mg 3300 0 3300 600 0 600
30 Asam Askorbat 50 mg 2800 2000 4800 400 0 100 500
31 Asam Folat 200 200 400 0 0
32 Asam mefenamat 3300 6000 9300 2800 100 100 100 100 3,200
33 Asam traneksamat 200 0 200 200 0 200
34 Acyclovir salep 105 50 155 25 0 25
35 Acyclovir tablet 400 mg 200 1000 1200 200 0 200
36 Aximet Face Maks Tie On 250 500 750 50 150 0 200
37 Atarax 0 0 0 0
38 Atropin 0,25 mg 100 0 100 0
40 Balon cateter no 20 19 0 19 0 0
41 Betametazon Cream 58 0 58 25 1 0 26
42 Blood lancet 300 0 300 100 100
43 Bedak salicil 18 10 28 1 0 1
44 Bionemi 0 1000 1000 0 300 100 300
46 B.Complex 4000 0 4000 200 300 200 700
47 B.Complex Inj 27 0 27 1 1
48 Bisturi no 18 94 0 94 20 0 20
49 Bisturi No 20 41 0 41 0
50 Bicombim inj 50 0 50 5 5
51 Buskopan inj 10 0 10 0
52 Calsium Laktat 1600 2000 3600 500 100 500
53 Clorpromazim 100 mg 450 0 450 0
n
54 Catopril 25 mg 2500 0 100 0 100
55 Cetirizine tab 2600 1000 3600 400 0 100 500
56 Cimetidin 400 0 400 0 0
57 Ciprofloxacin 1200 0 1200 400 0 400
58 Cutcell Clasik 10 x 10 cm 5 0 5 0
59 Cyanocobalamin Inj 500mg/ml 485 0 485 0
60 Citicolin 500 g 60 0 60 0
61 Codein 10 mg 0 0 0 0
62 Cloramfenicol Salep Mata 54 0 54 0
63 Diazepam 2 mg 948 0 948 295 0 295
64 Dexamethasone tab. 5200 5000 10200 2900 100 100 100 3,100
65 Dexamethasone inj 35 0 35 0 0
66 Demetech silk 3/0 75c + jarum 3/8 123 48 171 17 0 17
67 Demetech Catgut 3/0 77 0 77 12 12
68 Dipenhidramin inj 57 0 57 0 0
69 Domperidon Srp 74 0 74 15 10 25
70 Domperidone tab 2600 5000 7600 1500 0 1,500
71 Digoksin 200 0 200 0
72 Etanol 70 % 1000 ml 5 0 5 1 1 0 2
73 Eflin 3600 0 3600 800 0 100 900
74 Eugenol 11 0 11 0 0
75 Efrgotamin Tab 500 500 100 0 100
76 Erythromycin 250 mg 4900 0 4900 700 0 700
77 Erla Micetin Clorampenhenicol 78 0 78 0
78 Etil Klorida (Roeko Endo Frost) 1 2 2 0 0 0
79 Erythromycin syr 46 0 46 0 0
80 Epineprhrine Inj 1 mg/ml 182 0 182 8 8
81 Fitomenadion (vit k) tab 10 mg 500 500 0 0 0
82 Fitomenadion inj 0 0
n
83 Gentamycin inj 0 0
84 Gentamycin salep kulit 0 0
85 Glibenclamide 5 mg 2400 0 2400 400 0 400
86 Glimepiride 2 mg 2650 1000 3650 400 0 400
87 Gibs 3 0 3 0
88 Gentamicin Tetes Mata 34 0 34 0
89 Gentaviolet 45 0 45 0
90 Griseovulvin 125 mg 400 0 400 0 0
91 Guaifenesin 100 mg 5700 0 5700 500 200 500
92 Glukosa Infus steril 5 % 38 0 38 0
93 Glukosa Infus steril 10 % 11 0 11 0
94 Handrub antiseptik 4 0 4 1 1 1 1 0 4
95 Handscun no 8 60 0 60 10 0 10
96 Hanskun 7,5 250 0 250 50 50
97 Handscun no 7 0 10
98 Hemorogard 90 90 0 30
99 Hemafort 600 1000 1600 300 300 0 600
100 Hidrochortiazid tab 25 mg 1000 0 1000 300 0 300
101 Hidrocortison cr 72 0 72 24 0 24
102 HCL 3 0 3 0
103 Hidrogen Pirodoksin3% 5 0 5 0
104 Ibuprofen susp 125 0 125 3 0 3
105 Ibuprofen tab 400 mg 1800 0 1800 100 100
607 infus set anak 0 0
107 Infus set dewasa 20 0 20 5 1 0 2 8
108 Isosorbit Dinitrat 600 0 600 100 0 100
109 Jarum Kulit No 12 72 0 72 0
110 kalium diklofenak 1250 0 1250 200 0 200
111 Kapas 500 g 4 3 7 1 1 2
n
112 Karbamazepin 200 mg 620 0 620 60 0 60
113 Kasa Pembalut 40 x80 cm 2 5 7 3 0 3
114 Kasa steril 16 x 16 1 25 26 1 1 2
115 Kasa pembalut hidrofil 4 m x 10 m 55 0 55 0 5 5
117 Ketokonazole cr 2 % 47 0 47 2 0 5 7
119 Kloramphenicol 250 mg 4500 1000 5500 1000 0 1,000
120 Klorfeniramin maleat tab 4 mg 2900 6000 8900 2400 100 100 100 100 2,800
121 Kotrimoksazole 480 mg 0 0
123 Keterolak Inj 36 0 36 0
124 Lidocain inj 2 % 150 0
125 Livron tab 400 0 400 100 100
126 Loperamide 2 mg 2400 0 2400 200 100 200 500
127 Lanzoprazol 160 600 760 200 20 0 220
128 Leukoplast Plester 2,5 x 4,5 9 10 19 1 0 1
129 Leukoplast Plester 7,5 x 4,5 25 0 25 2 1 3
130 3 M Surgical MaskEarlopr 0 500 0 0 0 0 0
131 Metilprednisolon 4 mg 800 0 800 0
133 Metoclopropamid 10 mg 1100 1000 2100 400 0 100 500
134 Metformin 500 mg 100 500 600 0
135 Mediaban 3 0 3 0
136 Miniaspi 80 mg 500 0 500 100 0 100
137 Micinazol Crim 2 % 66 0 66 24 24
138 Metronidazole 500 mg 1500 300 1800 500 0 100 600
140 Oxytetracyclin Salep mata 24 24 48 0 0
141 Oxytetracyclin Salep kulit 75 25 100 0
n
142 Oxitocin 200 0 200 0
143 Onemet Lood lancet 300 0 300 100 0 100
144 OBH srup 84 0 84 0
145 Papaverin 40 mg 3200 0 3200 200 100 200
146 Paracetamol Tab500mg 2200 6000 8200 2400 100 400 100 3,000
147 Paracetamol Syr 210 100 310 55 0 5 60
148 Paracetamol Drop 6 0 6 4 4
149 Pehakain inj 0 0 0
151 Piracetam 1200 mg 240 0 240 0 0
152 Piridoksin HCl tab/B6 3000 3000 200 100 0 100 400
153 Piroxicam 10 900 2000 2900 600 0 100 700
154 Piroxicam 20 mg 4200 2000 6200 1200 300 100 1,600
155 Plastik obat Kedap 13 x 8,7 16 0 16 0 0
156 Plasti Obat Kedap 10 x 7 10 20 30 0 0
157 Plastik obat Kedap 8 x 5 20 0 20 1 1
158 Polifix 5 cm x 1 m New 21 10 31 5 3 0 8
159 Plesterin Bulat Soft 2 2 0 0
160 Povidon Iodida lar 10 % 300 ml 4 2 6 1 0 1
161 Phenol Glyserol tts telinga 17 0 17 0 0
162 Povidon Iodida 10 % 30 ml 27 0 27 1 2 1 4
163 Primaquin 200 0 200 0
164 Propythiouracin 100 mg 100 0 100 0
165 Remacort 3600 3600 300 0 300
167 Prednison 5 mg 1200 1400 2600 1200 100 1,200
168 Propanolol 500 0 500 0 0
169 Ranitidin tab 150 mg 3900 3500 7400 500 100 0 600
170 Ranitidin inj 370 0 370 0 0
171 RDT malaria 90 0 90 0 0
n
172 Ringer Laktat 26 40 66 9 2 0 11
173 Retinol ( Vit A) 100.000 UI kaps 0 0
174 Rivanol 6 0 6 0
175 Salbutamol 4 mg 1600 1000 2600 600 0 600
177 Simvastatin 10 mg 750 900 1650 150 60 0 210
179 Solaflus syr 60 60 2 2
180 Solvitron 1400 0 1400 100 0 100
181 Skabimite 2 0 2 0
182 Spironolaktone 25 mg 500 0 500 0
183 Tiamin HCl B1 50 mg 2000 1000 3000 100 200 100 400
184 Tiamin HCl B1 Inj 200 0 200 0
185 Tablet Tambah Darah 900 900 0 0
185 Truvit Syr 8 0 8 8 2 8
186 Vitro MegaCaps 2000 2000 100 100
187 Wibrom syr 54 120 174 39 8 47
188 Zink tab 20 mg 2200 1000 3200 100 100 200
Kawua, 31 Januari 2019
KetuaTim Perencana Obat Pengelola Obat


Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 003
n
Mengetahui

NIP. 19750407 199903 2 004
PENGADAAN 2019 BLN JANUARI 2019
ELAYANAN DALAM GEDUNG PUSTU DAN POLINDES
SS
5
20
20
0
36
11
100
3,435
17
1,100
274
3,400
4,600
0
756
188
400
0
0
6,600
173
3,200
600
167
SS
6,800
68
90
64
2,700
4,300
400
6,200
0
130
100
550
0
100
14
19
32
200
27
700
0
3,300
26
74
41
45
10
3,100
450
SS
2,400
3,100
400
800
5
485
60
0
54
653 Expayer
7,100
35
154
65
57
49
6,100
200
3
2,700
11
400
4,200
78
2
46
174
500
0
SS
0
0
2,000
3,250
3
34
45
400
5,200
38
11
0
50
200
60
1,000
700
48
3
5
122
1,700
12
500
72
1,050
5
SS
560
4
24
40
40
2,900
4,500
6,100
0
156
36
300
1,900
540
18
22
0
800
100
1,600
600
3
400
42
1,200
3
48
100
SS
200
200
84
3,000
5,200
250
2
0
400
240
2,600
2,200
4,600
16
30
19
23
2
5
17
23
200
100
3,300
1,400
500
6,300
370
90
SS
55
0
6
2,000
1,800
1,440
0
58
1,300
2
500
2,600
200
900
10
0
1,900
127
3,000
Kawua, 31 Januari 2019
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN FEBRUARI 2019
NO NAMA OBAT DAN BHP S.Aw Msk JML APT RT PU KIA P.G LAB P.Kel. Imu kot.TB Ruta KW RCN SY LB BB BLTo PMk
n
1 Albothyl 5 0 5 0
2 Abocath 20 20 11
3 Abocath 24 20 20
4 Abocath 18 0
5 Abocath 22 36 36
6 Alat Suntik 50 ml 11
7 Alat suntik 10 ml 100 100
9 Alat suntik 1 ml 17 200 217 27
10 ASSP RD 2,5 ml 1100 0 1100 100 100
11 Alat suntik 3 ml 274 0 274 100 100
12 Allopurinol 3400 0 3400 300 100 100 500
13 Ambroxol tab 4600 0 4600 3100 100 3,200
14 Ambroxol Syrup 0 0 0
15 Alprazolam 1mg 756 0 756 46 46
16 Amitriptilin 188 0 188 20 20
17 Aminopylin 2mg 400 0 400 0 0
18 Amlodipin 10 mg 0
19 Amlodipin 5 mg 0
20 Amoxcicilin 500 mg 6600 0 6600 1800 200 300 2,300
22 Amoxcicilin 250 mg 3200 0 3200 600 600
23 Aximed Alkohol Sweab 600 0 600 300 300
24 Antasida suspensi 167 0 167 30 10 40
n
29 Asam Ascorbat 250 mg 2700 0 2700 400 400
30 Asam Askorbat 50 mg 4300 0 4300 600 100 700
31 Asam Folat 400 0 400 100 100
32 Asam mefenamat 6200 0 6200 2500 200 300 200 3,200
33 Asam traneksamat 0
34 Acyclovir salep 130 0 130 5 5
36 Aximet Face Maks Tie On 550 0 550 100 350 50 50 550
37 Atarax 0 0 0
38 Atropin 0,25 mg 100 0 100 0
41 Betametazon Cream 32 0 32 25 1 26
42 Blood Lancet 200 0 200 0
43 Bedak salicil 27 0 27 5 5
44 Bionemi 700 0 700 300 300
46 B.Kompleks 3300 0 3300 600 500 1,100
47 B.Kompleks Inj 26 0 26 0
48 Bisturi no 20 74 0 74 25 25
49 Bisturi No 18 41 0 41 0
50 Bicombim Inj 45 0 45 5 5
52 Calsium Laktat 3100 0 3100 300 100 100 500
53 Clorpromazim 100 mg 450 0 450 0
n
54 Catopril 25 mg 2400 0 2400 100 100
55 Cetirizine tab 3100 0 3100 600 100 700
56 Cimetidin 400 0 400 0
57 Ciprofloxacin 800 0 800 300 300
58 Cutcel Clasik 10 x 10 cm 5 0 5 0
59 Cyanocobalami Inj 500mcg/ml 485 0 485 0
60 Citicolin 500 mg 60 0 60 0
61 Cloramfenicol Salep Mata 54 0 0
62 Kodein 10 mg 0
63 Diazepam 2 mg 0
66 Demetech silk 3/0 75c + jarum 3/8 154 0 154 12 12
67 Demetech Catgut3/0 65 0 65 6 6
69 Domperidone suspensi 49 0 49 30 4 34
70 Domperidone tab 6100 0 6100 1500 100 1,600
71 Digoksin 200 0 200 0
72 Etanol 70 % 1000ml 3 0 3 0
73 Eflin 2700 0 2700 1400 100 1,500
74 Eugenol 11 0 11 0
75 Efrgotamin Tab 400 0 400 100 100
76 Erythromycin 250 mg 4200 0 4200 1100 1,100
78 ErlaMycetin Cloramphenicol 78 0 78 11 11
79 Etil Klorida (Roeko Endo Frost) 2 0 1 1 1
82 Epinephrine Ijn 1 mg/ml 174 0 174 0
n
87 Glibenclamide 5 mg 2000 0 2000 400 400
88 Glimepiride 2 mg 3250 0 3250 500 50 550
89 Gibs 3 0 3 0
90 Gentamicin Tetes Mata 34 0 34 0
92 Griseovulvin 125 mg 400 0 400
93 Guaifenesin 100 mg 5200 0 5200 400 400 800
94 Handrub antiseptik 0 0 0
96 Glukosa Infus Steri 5 % 38 0 38 0
97 Glukosa Infus Steri 10% 11 0 11 0
98 Handscun no 8 50 0 50 0
99 Handscun 7,5 200 0 200 50 50 50 150
100 Handscun no 7
101 Hemorogard 60 0 60 60 60
102 Hemafort 1000 300 1300 400 400 800
103 Hidrochortiazid tab 25 mg 700 0 700 200 200
104 Hidrocortison cr 48 0 48 0
105 HCL 3 0 3 0
106 Hidrogen Proxide 3% 5 0 5 1 1
108 Ibuprofen tab 400 mg 1700 0 1700 200 100 300
109 infus set anak 0 0 0
110 Infus set dewasa 12 0 12 12 12
111 Isosorbit Dinitrat 500 0 500 100 100
112 Jarum otot no 6
113 Jarum Kulit No 12 72 0 72 0
n
115 Kapas 500 mg 5 0 5 1 1
116 Karbamazepin 200 mg 620 0 620 60 60
117 Kasa Pembalut 40 x80cm 4 0 4 1 1
118 Kasa steril 16 x 16 24 0 24 5 5
122 Kloramphenicol 250 mg 4500 0 4500 400 100 500
123 Klorfeniramin maleat tab 4 mg 6100 0 6100 2400 400 100 2,900
124 Kotrimoksazole 480 mg
126 Lidocain inj 0 0 0
127 Livron Tab 300 0 300 0
128 Loperamide 2 mg 1900 0 1900 300 100 400
129 Lanzoprazol 540 0 540 260 260
120 Leukoplast Plester 2,5 x 4,5 cm 18 0 18 0
121 Leukoplast Plester 7,7 x 4,5 cm 22 0 22 2
121 3 M Surgical MaskEarlop/Masker 550 0 550 100 350 50 50 550
123 Metilergometrin salut 0,125 mg 100 100
124 Metoclopropamid 10 mg 1600 0 1600 0
126 Metformin 500 mg 600 0 600 100 100
127 Miconazol Crim 2 % 42 0 42 0
128 Miniaspi 80 mg 400 0 400 300 300
131 Oxytetracyclin Salep mata 48 0 48 0
n
132 Oxytetracyclin Salep Kulit 100 0 100 25 1 26
133 Oxitocin 200 0 200 0
134 OBH Sirup 84 0 84 0
131 Onemet Lood lancet 200 0 200 0
132 Papaverin 40 mg 3000 0 3000 300 100 100 100 600
133 Paracetamol tab. 500 5200 0 5200 3000 0 400 200 100 3,700
134 Paracetamol Syr 250 0 250 85 10 95
135 Paracetamol Drop 2 0 2 2 2
136 Pehakain inj 0 0 0 0
138 Piracetam 1200 mg 240 0 240 60 60
138 Piridoksin HCl tab/B6 2600 0 2600 300 300 600
139 Piroxicam 10 2200 0 2200 200 600 100 900
140 Piroxicam 20 mg 4600 0 4600 600 100 700
141 Plastik ukuran obat 13 x 8,7 10 0 10 0 3 3
142 Plasti Obat Kedap 10 x 7 30 0 30 5 3 8
143 Plastik ukuran obat 8 x 5 19 0 19 0
144 Polifix 5 cm x 1 m New 23 0 23 1 1
145 Plesterin Bulat Soft 2 0 2 1 1
148 Povidon Iodida 10 % 30 ml 23 0 23 2 1 0 0 3
149 Primaquin 200 0 200 0
151 Remacort 3300 0 3300 1100 100 200 100 200 1,600
152 Prednison 5 mg 1400 0 1400 1400 1,400
153 Propanolol 500 0 500 0
154 Ranitidin tab 150 mg 6300 0 6300 1500 300 1,800
n
158 Retinol ( Vit A) 100.000 UI kaps 0 0 0
159 Rivanol 6 0 6 0
160 Salbutamol 4 mg 2000 0 2000 300 100 100 500
162 Simvastatin 10 mg 1440 0 1440 600 90 60 750
163 Simvastatin 20 mg 0 0
164 Solaflus syr 58 0 58 4 4 8
165 Solvitron 1300 0 1300 100 0 100
166 Skabimite 2 0 2 0
167 Spironolaktone 500 0 500 0
168 Tiamin HCl B1 50 mg 2600 0 2600 100 100
169 Tiamin HCl B1 Inj 200 0 200 0
169 Tablet Tambah Darah 900 0 900 0
171 Truvit Syr 0 0
172 Vitro MegaCaps 1900 0 1900 200 100 300
173 Wibrom syr 127 0 127 20 5 25
174 Zink tab 20 mg 3000 0 3000 200 100 300
Kawua, 28 Februari 2019
KettuaTim Perencana Obat Pengelola Obat


n
Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 003
Mengetahui

NIP. 19750407 199903 2 004
PENGADAAN 2019 BLN FEBRUARI 2019
SS
5
9
20
0
36
11
100
428
190
900
74
2,900
1,400
0
710
165
400
0
0
4,300
123
2,600
300
127
SS
3,300
68
90
24
2,300
3,600
300
3,000
0
125
800
0
0
100
1,419
19
6
200
22
400
0
1,200
26
49
41
40
10
2,600
450
SS
2,300
2,600
400
500
5
485
60
54
0 Expayer
0
5,600
35
142
59
57
15
4,500
2,000
3
1,200
11
300
3,100
67
1
46
174
500
180
SS
0
0
1,600
2,800
3
34
45
400
4,400
0
38
11
50
50
0
500
500
48
3
4
117
1,400
0
0
400
72
600
SS
4
560
3
19
40
40
2,800
4,000
3,200
111
36
0
300
1,500
300
18
20
0
700
100
1,600
3
1,500
42
100
800
0
48
SS
74
200
84
200
2,400
1,500
155
0
0
400
180
2,000
1,300
3,900
7
22
19
22
1
4
17
20
200
100
500
0
500
4,500
370
SS
90
50
0
6
1,500
1,700
690
0
50
1,200
2
500
2,500
200
900
10
0
1,600
102
2,700
Kawua, 28 Februari 2019
Pengelola Obat
Puskesmas Kawua
Milka Patambing
SS
NIP. 19810713 201409 2 003

LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN MARET 2019
NO NAMA OBAT DAN BHP S.Aw Msk JML APT RT PU KIA P.G LAB P.Kel. Imu KOT.TB Ruta KW RCN SY LB BB BLTo PMk
n
0
2 Abocath 20 9 0 9 9
3 Abocath 24 20 0 20 5
4 Abocath 18 0 0
5 Abocath 22 36 0 36 7
6 Alat Suntik 50 ml 11 0
7 Alat suntik 10 ml 100 0 100
9 Alat suntik 1 ml 190 0 190 100
10 ASSP RD 2,5 ml 900 0 900
11 Alat suntik 3 ml 74 300 374 100 100
12 Allopurinol 2900 500 3400 600 200 800
13 Ambroxol tab 1400 6000 7400 2600 100 2,700
14 Ambroxol Syrup 0
15 Alprazolam 1 mg 710 0 710 40 40
16 Amitriptilin 165 0 165 55 55
17 Aminopyln 2 mg 400 0 400 MAR 0
18 Amlodipin 10 mg 0 0
20 Amoxcicilin 500 mg 4300 3000 7300 1500 100 100 100 1,800
22 Amoxcicilin 250 mg 2600 0 2600 300 300
24 Antasida suspensi 127 0 127 60 4 5 69
n
26 Anti Fungi Salep 68 0 68 24 24
29 Asam Ascorbat 250 mg 2300 0 2300 600 100 700
30 Asam Askorbat 50 mg 3600 0 3600 900 100 0 1,000
31 Asam Folat 300 0 300 200 200
32 Asam mefenamat 3000 5000 8000 1500 100 300 100 2,000
36 Aximet Face Maks Tie On 0 1000 1000 150 150
37 Atarax 0 0
38 Atropin 0,25mg 100 0 100 0
42 Betametazon Cream 6 0 6 0
43 Blood Lancet 200 0 200 200 200
45 Bionemi 400 0 400 150 150 300
47 B.Komleks 2200 0 2200 1000 200 1,200
48 B.Komleks Inj 26 0 26 0
49 Bisturi no 18 49 0 49 0 25 25
50 Bisturi no 20 41 0 41 0 0
51 Betahistin 100 0 100 100 100
52 Bicombim inj 40 0 40 0
54 Calsium Laktat 2600 0 2600 400 200 600
n
55 Clorpramazim 100 mg 450 0 450 0
56 Catopril 25 mg 2300 0 2300 100 100
57 Cetirizine tab 2600 0 2600 400 200 600
58 Cimetidin 400 0 400 0
59 Ciprofloxacin 500 0 500 500 500
60 Curcuma 300 0 300 300 300
62 Cyanocobalamin inj 500 Mcg/ml 485 0 485 0
63 Citicolin 500 mg 60 0 60 0
65 Kodein 10 mg 0
66 Diazepam 2 mg 0
70 Demetech Catgut 3/0 59 0 59 0
72 Domperidone Suspensi 15 0 15 10 10
73 Domperidone tab 4500 3000 7500 800 100 100 1,000
74 Digoksin 200 0 200 1 0
75 Etanol 70 % 1000ml 3 0 3 1
76 Eflin 1200 0 1200 1000 100 100 1,200
77 Eugenol 11 0 11 0
78 Efrgotamin Tab 300 0 300 0
79 Erythromycin 250 mg 3100 0 3100 700 700
83 Epinephrine Inj 1 mg/ml 174 0 174 0
n
89 Glimepiride 2 mg 2800 0 2800 550 100 650
90 Garam Oralit 5 5 200 200
92 Gibs 3 0 3 0
93 Genamicine Tetes Mata 34 0 34 0
96 Guaifenesin 100 mg 4400 0 4400 1200 1,200
97 Glukosa Infus Steril 5 % 38 0 38 0
99 Handrub antiseptik 0
100 Handscun no 8 50 0 50 2 2
101 Handscun 7,5 50 0 50 50 50
102 Handscun no 7 0
103 Hemorogard 120 120 30 30
104 Hemafort 500 1000 1500 500 800 800
106 HCL 3 0 3 0
107 Hidrogen Peroxide 4 0 4 0
110 Ibuprofen tab 400 mg 1400 0 1400 200 200
112 Infus set dewasa/Polymetinfusion 20 20 7 7
113 Isosorbit Dinitrat 400 0 400
n
114 Jarum otot no 6 0
115 Jarum Kulit No 12 72 0 72 0
116 kalium diklofenak 600 0 600 600
117 Kapas 500 g 4 0 4 0
118 Karbamazepin 200 mg 560 0 560 170
119 New DRC T 40y x80 cm plain 3 5 8 2 2
120 Kasa Pembalut Steril 2 mx80 cm 20 1 1
121 Kasa steril 16 x 16 19 0 19 8 8
122 Kasa Pembalut 2 x 80 cm 0 20 20 1
126 Kloramphenicol 250 mg 4000 0 4000 200 200
127 Klorfeniramin maleat tab 4 mg 3200 5000 8200 1800 100 300 2,200
128 Kotrimoksazole 480 mg 0 0
131 Lidocain inj 2 % + Epineprin 300
132 Livron Tab 300 0 300 0
133 Loperamide 2 mg 1500 0 1500 100 100
134 Lanzoprazol 300 0 300 140 0 140
135 Leoukoplas Plester 2,5 cmx 4,5 18 40 58 2 1 3
136 Leukoplast Plester 7,5 cm 20 0 22 0
137 3 M Surgical MaskEarlop/r 0 0 0
140 Metoclopropamid 10 mg 1600 0 1600 100 100
141 Metformin 500 mg 500 0 500 100 100
n
143 Miconazol Crim 2% 42 0 42 0
144 Miniaspi 80 mg 100 500 600 200 200
146 Molaneuron 1000 1000 50 100 150
150 Oxitocin 200 0 200 0
151 OBH Sirup 84 0 84 0
153 Papaverin 40 mg 2400 0 2400 0
154 Paractamol Tab 500 mg 1500 6000 7500 1100 200 100 200 100 1,800
155 Paracetamol Syr 120 mg /5 ml 155 100 255 65 3 5 73
156 Pacetamol Drop 100 mg/ml 0 20 20 0
157 Pehakain inj 0
159 Piracetam 1200 mg 180 60 240 0
160 Piridoksin HCl tab (B6) 2000 3000 5000 300 0 300
161 Piroxicam 10 1300 2000 3300 400 900 0 1,300
162 Piroxicam 20 mg 3900 1000 4900 300 300 0 600
163 Plastik ukuran obat 13 x 8,7 7 0 7 2 2
165 Plastik ukuran obat 8 x 5 19 20 39 19 19
166 Polifix 5 cm x 1 m New 22 6 28 1 1
170 Povidon Iodida 10 % 30 ml 20 0 20 0
171 Primaquin 200 0 200 0
n
173 Remacort 500 0 500 500 500
174 Prednison 5 mg 0 5000 5000 1300 100 1,400
175 Propanolol 10 mg 500 100 600 0
176 Ranitidin tab 150 mg 4500 2500 7000 1800 1200 100 100 3,200
180 Retinol ( Vit A) 100.000 UI kaps 0
181 Rivanol 6 0 6 1 1
182 Salbutamol 4 mg 1500 800 2300 300 100 400
184 Simvastatin 10 mg 690 900 1590 270 60 90 0
186 Solaflus syr 50 0 50 5 5
187 Solvitron 1200 0 1200 200 100 300
189 Skabimit slp 2 0 2 0
190 Spironolactone 25 mg 500 0 500 0
191 Tiamin HCl B1 50 mg 2500 1000 3500 0
192 Tiamin HCl B1 Inj 200 0 200 0
193 Tablet Tambah Darah 900 120 1020 120 120
195 Truvit Syr 0
196 Vitro MegaCaps 1600 0 1600 100 100 100 100 400
197 Wibrom syr 102 60 162 0
198 Zink tab 20 mg 2700 0 2700 400 400
Kawua, 31 Maret 2019

n
Ketua Tim Perencana Obat Pengelola Obat


Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 003
Mengetahui

NIP. 19750407 199903 2 004
T PENGADAAN 2019 BLN MARET 2019
SS
5
0
5
0
29
11
100
428
90
900
174
2,600
4,700
0
670
110
400
0
0
5,500
63
2,300
200
58
SS
7,200
44
90
0
1,600
2,600
100
6,000
0
125
1,100
850
0
100
14
19
6
0
22
100
0
1,000
26
24
41
0
40
10
2,000
SS
450
2,200
2,000
400
0
0
5
485
60
54
0
0
5,900
135
142
59
57
5
6,500
200
2
0
11
300
2,400
54
3
46
174
SS
500
180
0
0
1,900
2,150
300
3
34
45
400
3,200
38
11
0
48
0
0
90
300
1,300
3
4
24
114
1,200
0
13
400
SS
0
72
0
4
390
6
19
11
19
40
0
2,500
3,800
6,000
0
81
36 EPX
300
1,400
160
55
20
0
200
100
1,500
1,400
3
SS
42
400
1,200
850
10
73
74
200
84
0
2,400
5,700
182
20
0
400
240
4,700
2,000
4,300
5
22
20
27
0
5
17
20
200
SS
100
0
3,600
600
3,800
370
90
47
0
5
1,900
2,600
0
1,170
45
900
2
500
3,500
200
900
10
0
1,200
162
2,300

SS
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN MEI 2019
H
a
NO NAMA OBAT DAN BHP S.Aw Msk r JML APT RT PU KIA P.G LAB UKK P.Kel. Imu KOT.TB Ruta KW RCN SY LB BB
n
g
a
0
1 Albothyl 5 0 5
2 Abocath 20 0 0 0
3 Abocath 24 15 0 15 4
4 Abocath 18 0 0 0
5 Abocath 22 21 0 21 5
7 Alat suntik 10 ml 100 100 200
8 Alat suntik 5 ml 428 0 428 5 20
9 Alat suntik 1 ml 60 0 60 6 10
10 ASSP RD 2,5 ml 800 0 800 100 20
11 Alat suntik 3 ml 174 0 174 50
12 Allopurinol 2000 0 2000 200 100
13 Ambroxol tab 2500 9000 11500 2900 100 200 200 100 100
15 Alprazolam 1 mg 589 0 589 55
17 Aminopyln 2 mg 400 0 400
18 Amlodipin 10 mg 0 0 0
20 Amoxcicilin 500 mg 3800 0 3800 2100 100 100 200 100 100
21 Amoxcicilin syrup kering 125 mg 0 0 0
H
a
n
g
a
22 Amoxcicilin 250 mg 2000 2000 4000 400 100

23 Aximed Alkohol Sweab 0 0 0 0
Aximet syringe 10cc 200 0 200
24 Antasida suspensi 0 0 0
25 Antasida Doen Tab 4500 6000 10500 3100 100 100 500 100 100
26 Anti Fungi Salep 44 0 44 20
27 Antihemoroid suppositoria 90 0 90
28 Aqua pro injeksi 0 0 0
29 Asam Ascorbat 250 mg 1200 1000 2200 400 100 200
30 Asam Askorbat 50 mg 1600 0 1600 900 100
31 Asam Folat 0,4mg 0 400 400 100
32 Asam mefenamat 3900 0 3900 2000 200 400 100 100
33 Asam traneksamat 0 0 0
Acetylsistein200 mg 180 300 480 0 0
36 Aximet Face Maks Tie On 650 600 1250 50 150 50
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100
40 Balon cateter no 20 19 0 19
42 Betametazon Cream 0 0 0
43 Blood Lancet 0 0 0
45 Bionemi 0 0 0
46 Bioplacenton 0 0 0
H
a
n
g
a
47 B.Komleks 0 0 0
48 B.Komleks Inj 26 0 26
49 Bisturi no 18 0 0 0
50 Bisturi no 20 27 0 27 15
51 Betahistin 0 0 0 0
52 Bicombim inj 36 0 36
53 Buskopan inj 0 0 0
Carbamazepim 200 mg 210 210
54 Calsium Laktat 1600 0 1600 300 200
55 Clorpramazim 100 mg 450 0 450
56 Catopril 25 mg 2200 0 2200 300 100 100 100
57 Cetirizine tab 1700 1000 2700 200 100 100
58 Cimetidin 400 0 400
59 Ciprofloxacin 0 0 0
60 Curcuma 0 0 0
61 Cutcel Clasik 10 x 10 cm 5 0 5
62 Cyanocobalamin inj 500 Mcg/ml 485 0 485
63 Citicolin 500 mg 60 0 60
Creatinin-Kin 2x100ml 0 1 1 1
65 Kodein 10 mg 0 0
66 Diazepam 2 mg 0 0
67 Dexamethasone tab. 4300 4000 8300 1700 100 100 200 100 100
68 Dexamethasone inj 135 100 235
69 Demetech silk 3/0 75c + jarum 3/8 142 0 142
70 Demetech Catgut 3/0 59 0 59
H
a
n
g
a
71 Dipenhidramin inj 57 0 57
72 Domperidone Suspensi 0 0 0
73 Domperidone tab 5600 1000 6600 1600 300 200 200
74 Digoksin 199 0 199
75 Etanol 70 % 1000ml 1 0 1 1
76 Eflin 0 0 0
77 Eugenol 11 0 11
79 Erythromycin 250 mg 1300 0 1300 700
81 Etil Klorida (Roeko Endo Frost) 3 0 3 1
82 Erythromycin syr 46 0 46
83 Epinephrine Inj 1 mg/ml 174 0 174
84 Fitomenadion (vit k) tab 10 mg 0 0 0
85 Fitomenadion inj 0 60 60
86 Gentamycin inj 0 0 0
87 Gentamycin salep kulit 0 0 0
88 Glibenclamide 5 mg 1900 0 1900 900
89 Glimepiride 2 mg 0 1500 1500 400 100
90 Garam Oralit 100 0 100 100
92 Gibs 3 0 3
93 Genamicine Tetes Mata 33 0 33
94 Gentaviolet 45 0 45
96 Guaifenesin 100 mg 1900 3000 4900 1500 100 100 100 100
97 Glukosa Infus Steril 5 % 0 0 0
H
a
n
g
a

100 Handscun no 8 0 0 0
101 Handscun 7,5 0 0 0
103 Hemorogard 90 0 90
104 Hemafort 0 3000 3000 100 100
106 HCL 3 0 3
107 Hidrogen Peroxide 4 0 4
108 Hidrocortison cr 0 0 0
109 Ibuprofen susp 144 0 144
110 Ibuprofen tab 400 mg 400 0 400 400
112 Infus set dewasa/Polymetinfusion 0 0 0
114 Jarum otot no 6 0 0 0
115 Jarum Kulit No 12 72 0 72
116 kalium diklofenak 0 0 0
117 Kapas 500 g 1 5 6
118 Karbamazepin 200 mg 560 0 560
119 New DRC T 40y x80 cm plain 5 0 5
121 Kasa steril 16 x 16 11 0 11 8
122 Kasa Pembalut 2 x 80 cm 20 0 20
123 Kasa pembalut hidrofil 4 m x 10 m 35 0 35
H
a
n
g
a
124 Ketokonazole cr 0 0 0
127 Klorfeniramin maleat tab 4 mg 3100 9000 12100 3200 100 300 500 100 100
128 Kotrimoksazole 480 mg 0 0 0
Kution Kapsul 0 300 300 100
130 Keterolak Inj 0 0 0
131 Lidocain inj 2 % + Epineprin 300 120 420
132 Livron Tab 300 500 800 100
133 Loperamide 2 mg 1200 0 1200 100 100 100 100
134 Lanzoprazol 160 0 160 160
135 Leoukoplas Plester 2,5 cmx 4,5 52 0 52 5 2
137 3 M Surgical MaskEarlop/r 0 0
138 Metilprednisolon 4 mg 0 0 0
139 Metilergometrin salut 0,125 mg 0 500 500
140 Metoclopropamid 10 mg 1500 0 1500
141 Metformin 500 mg 300 500 800 200 100
144 Miniaspi 80 mg 100 1000 1100 300
146 Molaneuron 100 2000 2100 750 50 50 250 50
147 Natrium Klorida 0,9 % (NaCl) 0 0 0
H
a
n
g
a

150 Oxitocin 200 0 200 20
151 OBH Sirup 84 0 84 5
152 Onemet Lood lancet 0 0 0
153 Papaverin 40 mg 2000 0 2000
154 Paractamol Tab 500 mg 3800 6000 9800 2900 200 100 300
155 Paracetamol Syr 120 mg /5 ml 120 0 120 85 3
157 Pehakain inj 0 0
159 Piracetam 1200 mg 240 0 240
160 Piridoksin HCl tab (B6) 4200 1000 5200 700 100 100 400 100
161 Piroxicam 10 600 5000 5600 200 100 500 100 100
162 Piroxicam 20 mg 3500 2000 5500 800
163 Plastik ukuran obat 13 x 8,7 3 0 3 1
164 Plasti Obat Kedap 10 x 7 13 0 13 4
166 Polifix 5 cm x 1 m New 25 0 25 4 3
167 Plesterin Bulat Soft 0 0 0
169 Phenol Glyserol tts telinga 0 0 0
Policrepe 10 cmx 4,55m 0 3 3 1
Poliban Natural 10 cm 0 3 3
171 Primaquin 200 0 200
172 Propythiouracin 100 mg 100 0 100
H
a
n
g
a
173 Remacort 0 0 0
174 Prednison 5 mg 500 10000 10500 3000 100 100 100
175 Propanolol 10 mg 600 0 600
176 Ranitidin tab 150 mg 0 15000 15000 1200 100 100 100
177 Ranitidin inj 360 0 360
181 Rivanol 5 0 5 1 1
182 Salbutamol 4 mg 1200 1000 2200 600 100 100 100
184 Simvastatin 10 mg 600 1620 2220 540 90 90
185 Simvastatin 20 mg 0 0 0
186 Solaflus syr 45 0 45
187 Solvitron 600 0 600 100 100
189 Skabimit slp 2 0 2
190 Spironolactone 25 mg 500 0 500
191 Tiamin HCl B1 50 mg 3400 0 3400 300 100 100 100
192 Tiamin HCl B1 Inj 200 0 200
193 Tablet Tambah Darah 900 120 1020
194 Transfusi Set 10 0 10
195 Truvit Syr 0 0 0
196 Vitro MegaCaps 400 0 400 100 100
197 Wibrom syr 162 0 162 5
198 Zink tab 20 mg 2000 0 2000 100 100 100
H
a
n
g
a
Kawua, 31 Maret
Ketua Tim Perencana Obat Pengelola Ob

dr. Andry Arisandy Milka Patamb

Nip. 19871105 201412 1 001 NIP. 19810713 2014
Mengetahui

NIP. 19750407 199903 2 004
BAT PENGADAAN 2019 BLN MEI 2019
PELAYANAN DALAM GEDUNG PUSTU DAN POLINDES
BLTo PMk SS
0 5
0 0
4 11
0 0
5 16
2 9
0 200
25 403
16 44
120 680
10 60 114
100 400 1,600
100 3,700 7,800
0 0
55 534
25 60
0 400
0 0
0 0
100 2,800 1,000
0 0
BLTo PMk SS
100 600 3,400

0 0 0
0 200
0 0
100 4,100 6,400
20 24
0 90 exp
0 0
700 1,500
1,000 600
100 200 200
100 2,900 1,000
0 0
10 20 105
100 550 950
0 480
250 1,000
0 0
0 100
0 14
0 19
0 0
0 0
3 6 16
0 0
0 0
BLTo PMk SS
0 0
0 26
0 0
15 12
0 0
0 36
0 0
0 210
100 600 1,000
0 450
600 1,600
400 2,300
0 400
0 0
0 0
0 5
0 485
0 60
1 0
0 54
0 0
0 0
100 2,400 5,900
0 235
0 142
0 59
BLTo PMk SS
0 57
0 0
2,300 4,300
0 199
1 0
0 0
0 11
100 200
700 600
12 38
1 2
0 46
0 174
0 0
0 60
0 0
0 0
900 1,000
500 1,000
100 0
0 3
0 33
0 45 epx
0 400
100 2,000 2,900
0 0
BLTo PMk SS
0 11
0 0
0 0
0 0
0 0
0 90
200 2,800
200 1,100
0 3
0 4
0 0
0 144 Exp
400 0
0 0
0 0
0 400
0 0
0 72
0 0
0 6
0 560
0 5
0 19
8 3
0 20
0 35
BLTo PMk SS
0 0
100 2,400
300 3,500
100 4,400 7,700
0 0
100 200
20 16
0 0 EPX
0 420
100 700
400 800
160 0
7 45
1 18
0 0
0 0
0 500
0 1,500
300 500
1 2
5 31
300 800
200 900
1,150 950
0 0
15 50
BLTo PMk SS
49 0
20 180
5 79
0 0
100 100 1,900
100 3,600 6,200
88 32
2 18
0 0
20 380
0 240
1,400 3,800
100 1,100 4,500
100 900 4,600
1 2
4 9
6 11
7 18
0 0
2 5
0 0
1 2
3 5 9
0 200
0 100
BLTo PMk SS
0 0
100 3,400 7,100
0 600
100 1,600 13,400
10 10 350
9 81
9 31
0 50
1 3 2
900 1,300 exp600
200 2,400
90 810 1,410
0 0
0 45
200 400
0 2
0 500
600 2,800
0 200
0 1,020
0 10
0 0
200 200
5 157
100 400 1,600
BLTo PMk SS
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN APRIL 2019
H
a
NO NAMA OBAT DAN BHP S.Aw Msk r JML APT RT PU KIA P.G LAB P.Kel. Imu KOT.TB Ruta KW RCN SY LB BB BLTo PMk
n
g
a
0
2 Abocath 20 0 0 0 0 0
3 Abocath 24 15 0 15 0 0 0 0
4 Abocath 18 0 0 0 0
5 Abocath 22 29 0 29 3 5 8
7 Alat suntik 10 ml 100 100 200 0
9 Alat suntik 1 ml 90 0 90 0 30 30
10 ASSP RD 2,5 ml 900 0 900 100 100
11 Alat suntik 3 ml 174 0 174 0 0 0
12 Allopurinol 2600 0 2600 400 100 100 600
13 Ambroxol tab 4700 0 4700 2000 100 0 100 2,200
15 Alprazolam 1 mg 677 0 677 88 88
16 Amitriptilin 110 0 110 25 25
17 Aminopyln 2 mg 400 0 400 0
18 Amlodipin 10 mg 0 0 0 0
19 Amlodipin 5 mg 0 0 0 0
20 Amoxcicilin 500 mg 5500 0 5500 1200 200 100 100 0 100 1,700
H
a
n
g
a
22 Amoxcicilin 250 mg 2300 0 2300 300 300

24 Antasida suspensi 58 0 58 53 0 5 58
25 Antasida Doen Tab 7200 0 7200 2000 100 0 500 0 100 2,700
26 Anti Fungi Salep 44 0 44 0 0
29 Asam Ascorbat 250 mg 1600 0 1600 300 0 100 400
30 Asam Askorbat 50 mg 2700 0 2700 700 400 0 0 0 1,100
31 Asam Folat 100 0 100 100 100
32 Asam mefenamat 6000 0 6000 1900 0 100 100 2,100
Acetyllstene cap 200 mg 0 300 300 120 120
36 Aximet Face Maks Tie On 850 0 850 50 100 50 200
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100 0
42 Betametazon Cream 6 0 6 6 6
43 Blood Lancet 100 0 100 100 100
45 Bionemi 100 0 100 100 0 100
47 B.Komleks 1000 0 1000 800 200 1,000
H
a
n
g
a
48 B.Komleks Inj 26 0 26 0
49 Bisturi no 18 24 0 24 0 24 24
50 Bisturi no 20 41 0 41 0 14 14
51 Betahistin 0 0 0 0 0
52 Bicombim inj 40 0 40 4 4
53 Buskopan inj 10 0 10 10 10
Carbamazepim 200 mg 390 390 180 180
54 Calsium Laktat 2000 0 2000 300 0 100 400
55 Clorpramazim 100 mg 450 0 450 0
56 Catopril 25 mg 2200 0 2200 0 0
57 Cetirizine tab 2000 0 2000 200 100 300
58 Cimetidin 400 0 400 0
59 Ciprofloxacin 0 0 0 0 0
60 Curcuma 0 0 0 0 0
62 Cyanocobalamin inj 500 Mcg/ml 485 0 485 0
63 Citicolin 500 mg 60 0 60 0
65 Kodein 10 mg 0 0 0
66 Diazepam 2 mg 0 0 0
67 Dexamethasone tab. 5900 0 5900 1100 100 300 0 0 100 1,600
70 Demetech Catgut 3/0 59 0 59 0
72 Domperidone Suspensi 5 0 5 5 5
H
a
n
g
a
73 Domperidone tab 6500 0 6500 800 0 0 100 900

74 Digoksin 200 0 200 1 1
75 Etanol 70 % 1000ml 3 0 3 2 2
76 Eflin 0 0 0 0 0 0 0
77 Eugenol 11 0 11 0
78 Efrgotamin Tab 300 0 300 0 0
79 Erythromycin 250 mg 2400 0 2400 1100 1,100
83 Epinephrine Inj 1 mg/ml 174 0 174 0
89 Glimepiride 2 mg 2150 0 2150 500 0 500
90 Garam Oralit 3 0 3 2 2
92 Gibs 3 0 3 0
93 Genamicine Tetes Mata 34 0 34 1 1
95 Griseovulvin 125 mg 400 0 400 0
96 Guaifenesin 100 mg 3200 0 3200 1200 100 1,300
H
a
n
g
a
100 Handscun no 8 48 0 48 48 48
101 Handscun 7,5 0 0 0 0 0
103 Hemorogard 90 0 90 0 0
104 Hemafort 200 0 200 200 0 200
106 HCL 3 0 3 0
107 Hidrogen Peroxide 4 0 4 0
110 Ibuprofen tab 400 mg 1200 0 1200 700 100 800
112 Infus set dewasa/Polymetinfusion 13 0 13 13 13
113 Isosorbit Dinitrat 400 0 400 0
115 Jarum Kulit No 12 72 0 72 0
117 Kapas 500 g 4 0 4 1 1 1 3
118 Karbamazepin 200 mg 560 0 560 0
119 New DRC T 40y x80 cm plain 6 0 6 1 1
120 Kasa Pembalut Steril 2 mx80 cm 19 0 19 0 0
121 Kasa steril 16 x 16 11 0 11 0 0
122 Kasa Pembalut 2 x 80 cm 20 0 20 0
H
a
n
g
a

127 Klorfeniramin maleat tab 4 mg 6000 0 6000 2400 100 200 200 2,900
131 Lidocain inj 2 % + Epineprin 300 0 300 0
132 Livron Tab 300 0 300 0
133 Loperamide 2 mg 1400 0 1400 100 100 200
134 Lanzoprazol 300 0 300 140 0 140
135 Leoukoplas Plester 2,5 cmx 4,5 54 0 54 2 0 2
136 Leukoplast Plester 7,5 cm 20 0 20 1 1
137 3 M Surgical MaskEarlop/r 0 0 0 0
139 Metilergometrin salut 0,125 mg 100 0 100 100 100
140 Metoclopropamid 10 mg 1500 0 1500 0 0
141 Metformin 500 mg 400 0 400 100 0 100
143 Miconazol Crim 2% 42 0 42 2 4 6
144 Miniaspi 80 mg 400 0 400 300 300
146 Molaneuron 850 0 850 650 0 100 750
148 Oxytetracyclin Salep mata 74 0 74 5 2 2 9
149 Oxytetracyclin Salep kulit 74 0 74 25 25
150 Oxitocin 200 0 200 0
151 OBH Sirup 84 0 84 0
H
a
n
g
a

153 Papaverin 40 mg 2400 0 2400 300 100 400
154 Paractamol Tab 500 mg 5800 0 5800 1700 100 100 0 0 100 2,000
155 Paracetamol Syr 120 mg /5 ml 182 0 182 57 0 0 5 62
156 Pacetamol Drop 100 mg/ml 20 0 20 8 8
159 Piracetam 1200 mg 240 0 240 0
160 Piridoksin HCl tab (B6) 4700 0 4700 200 200 0 100 500
161 Piroxicam 10 2000 0 2000 900 500 0 1,400
162 Piroxicam 20 mg 4400 0 4400 600 200 0 100 900
163 Plastik ukuran obat 13 x 8,7 5 0 5 1 1 2
165 Plastik ukuran obat 8 x 5 20 0 20 3 3
166 Polifix 5 cm x 1 m New 27 0 27 2 2
170 Povidon Iodida 10 % 30 ml 20 0 20 2 1 3 6
171 Primaquin 200 0 200 0
173 Remacort 0 0 0 0 0
174 Prednison 5 mg 3600 0 3600 2900 100 0 100 3,100
175 Propanolol 10 mg 600 0 600 0
176 Ranitidin tab 150 mg 3800 0 3800 2700 1100 0 0 3,800
177 Ranitidin inj 370 0 370 10 10
H
a
n
g
a

179 Ringer Laktat 47 0 47 5 2 7
181 Rivanol 5 0 5 1 1
182 Salbutamol 4 mg 1900 0 1900 600 0 100 700
184 Simvastatin 10 mg 1170 0 1170 510 60 0 570
186 Solaflus syr 45 0 45 0 0
187 Solvitron 900 0 900 200 100 300
190 Spironolactone 25 mg 500 0 500 0
191 Tiamin HCl B1 50 mg 3500 0 3500 100 100
192 Tiamin HCl B1 Inj 200 0 200 0
193 Tablet Tambah Darah 900 120 1020 120 120
196 Vitro MegaCaps 1200 0 1200 400 0 400 0 800
197 Wibrom syr 162 0 162 0
198 Zink tab 20 mg 2300 0 2300 300 s 300
Ketua Tim Perencana Obat Pengelola Obat

H
a
n
g
a

Nip. 19871105 201412 1 001 NIP. 19810713 201409 2 003
Mengetahui

NIP. 19750407 199903 2 004
T PENGADAAN 2019 BLN APRIL 2019
LAYANAN DALAM GEDUNG PUSTU DAN POLINDES
SS
5
0
15
0
21
11
200
428
60
800
174
2,000
2,500
0
589
85
400
0
0
3,800
0
SS
2,000
0
0
4,500
44
90
0
1,200
1,600
0
3,900
0
125
900
180
650
0
100
14
19
0
0
22
0
0
0
SS
26
0
27
0
36
0
210
1,600
450
2,200
1,700
400
0
0
5
485
60
54
0
0
4,300
135
142
59
57
0
SS
5,600
199
1
0
11
300
1,300
50
3
46
174
500 EXP
180 epxp
0
0
1,900
1,650 EXP
1
3
33
45
400
1,900
38
11
0
SS
0
0
0
90
0
1,300
3
4
0
144
400
0
0
400
0
72
0
1
560
5
19
11
20
40
0
2,500
SS
3,800
3,100
0
36
36 EPX
300
300
1,200
160
52
19
0
0
0
1,500
300
3
36
100
800
100
0
65
49
200
84
SS
0
2,000
3,800
120
12
0
400
240
4,200
600
3,500
3
13
17
25
0
4
17 exp
14
200
100
0
500
600
0
360
SS
90
40
0
4
1,200
2,600
600
0
45
600
2
500
3,400
200
900
10
0
400
162
2,000
Pengelola Obat
Puskesmas Kawua
SS
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN JUNI 2019
H
a
n
g
a
0
1 Albothyl 5 0 5
2 Abocath 20 0 0 0
3 Abocath 24 11 0 11 2
4 Abocath 18 0 0 0
5 Abocath 22 16 0 16
6 Alat Suntik 50 ml 9 0 9
10 ASSP RD 2,5 ml 680 0 680 100 20
12 Allopurinol 1600 0 1600 300
13 Ambroxol tab 7800 0 7800 2800 100
15 Alprazolam 1 mg 534 0 534 57
20 Amoxcicilin 500 mg 1000 0 1000 900 100
21 Amoxcicilin syrup kering 125 mg 3400 0 3400 300
H
a
n
g
a
22 Amoxcicilin 250 mg 3400 0 3400 300

23 Aximed Alkohol Sweab 0 0 0
Aximet syringe 10cc 200 0 200 0
25 Antasida Doen Tab 6400 0 6400 1900 200
29 Asam Ascorbat 250 mg 1500 0 1500 500
30 Asam Askorbat 50 mg 600 0 600 300 100
31 Asam Folat 0,4mg 200 0 200
32 Asam mefenamat 1000 1000 2000 1100 100 100 100
34 Acyclovir salep 105 0 105
Acetylsistein200 mg 480 0 480 120
36 Aximet Face Maks Tie On 1000 0 1000 300
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100
45 Bionemi 0 0 0
H
a
n
g
a
47 B.Komleks 0 0 0
50 Bisturi no 20 12 0 12 12
51 Betahistin 0 0 0
54 Calsium Laktat 1000 0 1000 200 100
56 Catopril 25 mg 2300 0 2300 200
57 Cetirizine tab 1700 0 1700
60 Curcuma 0 0 0
Creatinin-Kin 2x100ml 0 0 0
65 Kodein 10 mg 0 0
67 Dexamethasone tab. 4300 0 4300 1300 100
H
a
n
g
a
73 Domperidone tab 5600 0 5600
74 Digoksin 199 0 199
75 Etanol 70 % 1000ml 0 0 0
76 Eflin 0 0 0
77 Eugenol 11 0 11
79 Erythromycin 250 mg 600 0 600 600
80 ErlaMycetin Cloramphenicol 38 0 38 11
89 Glimepiride 2 mg 1100 0 1100 700
90 Garam Oralit 0 300 300 100
92 Gibs 3 0 3
93 Genamicine Tetes Mata 33 0 33 3
96 Guaifenesin 100 mg 2900 0 2900 1100
H
a
n
g
a

101 Handscun 7,5 0 0 0
103 Hemorogard 90 0 90 60
104 Hemafort 2800 0 2800 200 100 100
106 HCL 3 0 3
110 Ibuprofen tab 400 mg 0 0 0
117 Kapas 500 g 1 5 6
121 Kasa steril 16 x 16 3 0 3 1
H
a
n
g
a
125 Ketokonazole tab 200 mg 2400 0 2400
126 Kloramphenicol 250 mg 3500 0 3500
127 Klorfeniramin maleat tab 4 mg 7700 0 7700 2400 100 100
Kution Kapsul 200 0 200
132 Livron Tab 700 0 700
133 Loperamide 2 mg 800 0 800 200
134 Lanzoprazol 0 0 0
135 Leoukoplas Plester 2,5 cmx 4,5 45 0 45 6
140 Metoclopropamid 10 mg 1500 0 1500 100
141 Metformin 500 mg 500 0 500 100
142 Mediaban 2 0 2
144 Miniaspi 80 mg 800 0 800 200
146 Molaneuron 950 0 950 550 300
H
a
n
g
a
149 Oxytetracyclin Salep kulit 0 0 0

150 Oxitocin 180 0 180 10
151 OBH Sirup 79 0 79
153 Papaverin 40 mg 1900 0 1900 100
154 Paractamol Tab 500 mg 6200 0 6200 2400 200
155 Paracetamol Syr 120 mg /5 ml 32 0 32 32
159 Piracetam 1200 mg 240 0 240
160 Piridoksin HCl tab (B6) 3800 0 3800 100 100
161 Piroxicam 10 4500 0 4500 1300 200
162 Piroxicam 20 mg 4600 0 4600 800
166 Polifix 5 cm x 1 m New 18 0 18 3 2
Policrepe 10 cmx 4,55m 2 0 2
170 Povidon Iodida 10 % 30 ml 0 0 0
171 Primaquin 200 0 200
H
a
n
g
a
173 Remacort 0 0 0
174 Prednison 5 mg 7100 0 7100 3800 300
176 Ranitidin tab 150 mg 13400 0 13400 900 100 300
181 Rivanol 2 0 2
182 Salbutamol 4 mg 600 0 600 600
Salbutamol 2 mg 300 300
183 Sianokobalamin B12 tab 2400 0 2400 100
184 Simvastatin 10 mg 1410 0 1410 540
187 Solvitron 400 0 400 200
191 Tiamin HCl B1 50 mg 2800 0 2800
196 Vitro MegaCaps 200 0 200 100
197 Wibrom syr 157 0 157
198 Zink tab 20 mg 1600 0 1600 200
H
a
n
g
a
Kawua, 31 Maret


Nip. 19871105 201412 1 001 NIP. 19810713 2014
Mengetahui

NIP. 19750407 199903 2 004
BAT PENGADAAN 2019 BLN JUNI 2019
BLTo PMk SS
0 5
0 0
2 9
0 0
0 16
0 9
0 200
0 203
24 20
120 560
0 114
300 1,300
2,900 4,900
0 0
57 477
45 15
0 400
0 0
0 0
1,000 0
300 3,100
BLTo PMk SS
300 3,100
0 0
0 200
0 0
2,100 4,300
0 24
0 0
0 0
500 1,000
400 200
0 200
1,400 600
0 0
0 105
50 800
120 360
300 700
0 0
0 100
0 14
0 19
0 0
0 0
4 12
0 0
0 0
BLTo PMk SS
0 0
0 26
0 0
12 0
0 0
5 31
0 0
0 210
300 700
0 450
200 2,100
0 1,700
0 400
0 0
0 0
0 5
0 485
0 60
0 0
0 54
0 0
0 0
1,400 2,900
0 235
0 142
0 59
BLTo PMk SS
0 57
0 0
0 5,600
0 199
0 0
0 0
0 11 exp
100 100
600 0
11 27
1 1
0 46 exp
0 174
0 0
30 30
0 0
0 0
500 500
700 400
100 200
0 3
3 30
0 21
0 400
1,100 1,800
0 0
BLTo PMk SS
0 11
0 0
0 0
0 0
0 0
60 30
400 2,400
400 700
0 3
0 4
0 0
0 0
0 0
0 0
5 5
0 400
0 0
0 72
0 0
0 6
0 560
0 5
0 19
1 2
0 20
0 35
BLTo PMk SS
0 0
0 2,400
0 3,500
2,600 5,100
0 0
0 200
16 0
0 0 EPX
0 300
0 700
200 600
0 0
6 39
1 17
0 0
0 0
0 500
100 1,400
100 400
0 2
16 15
200 600
400 500
850 100
0 0
5 45
BLTo PMk SS
0 0
10 170
0 79 Exp
0 0
100 1,800
2,600 3,600
32 0
3 15
0 0
80 300
0 240
200 3,600
1,500 3,000
800 3,800
1 1
3 6
5 6
5 13
0 0
1 4
0 0
0 2
0 3
0 0
0 200
0 100
BLTo PMk SS
0 0
4,100 3,000
0 600
1,300 12,100
15 335
9 72
7 24
0 0
0 2
600 0
300 0
100 2,300
540 870
0 0
0 45
200 200
0 2
0 500 exp
0 2,800
0 200
0 900
0 10
0 0
100 100
0 157
200 1,400
BLTo PMk SS
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
LAPORAN REKAPAN OBAT PENGADAAN 2019 BLN JULI 2019
H
a
n
g
a
0
1 Albothyl 0 0 0
2 Abocath 20 0 22 22 5
3 Abocath 24 9 5 14 4
4 Abocath 18 0 21 21
5 Abocath 22 16 14 30 11
9 Alat suntik 1 ml (kimset Dispo S 20 100 120 24 96
10 ASSP RD 2,5 ml 560 0 560 100 20 10 20
11 Alat suntik 3 ml 114 0 114 2
12 Allopurinol 1300 0 1300 400 100 100
13 Ambroxol tab 4900 0 4900 4300
15 Alprazolam 1 mg 477 0 477 24
20 Amoxcicilin 500 mg 0 2000 2000 1300 100
H
a
n
g
a
22 Amoxcicilin 250 mg 3100 0 3100 700 200 200 200 200

Aximed Pediatric set 0 20 20
Adalat Oros 20 mg (Nifedifin) 0 210 210
25 Antasida Doen Tab 4300 3300 7600 3100 100 400 100
26 Anti Fungi Salep 24 0 24 4
28 Aquades/ otsu water inj 25 M 0 32 32 24
29 Asam Ascorbat 250 mg 1000 500 1500 1500
30 Asam Askorbat 50 mg 200 0 200 200
31 Asam Folat 0,4mg 200 100 300
32 Asam mefenamat (solasic) 600 1400 2000 1700 100 100 100
33 Asam traneksamat 500 mg 0 100 100 100
Acetylsistein200 mg 360 180 540
36 Aximet Face Maks Tie On 700 0 700 500
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100
H
a
n
g
a
45 Bionemi 0 0 0
47 B.Komleks 0 0 0
51 Betahistin 1000 1000 100
54 Calsium Laktat 700 0 700 100
56 Catopril 25 mg 1600 0 1600
57 Cetirizine tab 2100 0 2100 400 100 100
60 Curcuma 0 0 0
Cathy1 IV Canulla 18 G 0 21 21
Cathy1 IV Canulla 22 G
Cathy1 IV Canulla 24G
65 Kodein 10 mg 0 0 0
H
a
n
g
a
67 Dexamethasone tab. 5200 0 5200 2700 200 100 100 100
73 Domperidone tab 2900 1900 4800 1500
Dulcolax 10mg Supppos 0 20 20
74 Digoksin 199 0 199
75 Etanol 70 % 1000ml 0 0 0
76 Eflin 0 0 0
E Care Alkohol Sweb 0 3 3
77 Eugenol 0 5 5
89 Glimepiride 2 mg 400 2300 2700 600
H
a
n
g
a
90 Garam Oralit 200 1200 1400 100

GPT 12 x 16 ml 0 1 1
GOT 12 x 16 ml 0 1 1
92 Gibs 0 0 0
96 Guaifenesin 100 mg 1800 0 1800 1600 200
101 Handscun 7,5 0 0 0
104 Hemafort 2400 0 2400 100 100 400 100 100
106 HCL 0 0 0
110 Ibuprofen tab 400 mg (Brufen) 0 900 900 300
112 Infus set dewasa/Polymetinfusion 10 6 16 5 3
H
a
n
g
a

Kapas 250 g 0 10 10
117 Kapas 500 g 0 5 5
121 Kasa steril 16 x 16 2 0 2
126 Kloramphenicol 250 mg 3500 0 3500 200
127 Klorfeniramin maleat tab 4 mg 5100 3700 8800 2900 100 200 200
129 Kotrimoksazole suspensi 0 0 0
132 Livron Tab 700 0 700 300
133 Loperamide 2 mg 600 0 600 200
134 Lanzoprazol 0 1000 1000 60 20
135 Leoukoplas Plester 2,5 cmx 4,5 39 0 39 2
LatexSurgikal Glovest 7,5 0 300 300
LatexSurgikal Glovest 8 0 100 100
H
a
n
g
a

141 Metformin 500 mg 400 500 900 500 100 100
142 Mediaban 2 0 2
144 Miniaspi 80 mg 600 0 600 300
146 Molaneuron 100 1000 1100 200
148 Oxytetracyclin Salep mata 45 0 45 10 10
150 Oxitocin 170 0 170
Ondansentron inj iv/IM mg 0 3 3
151 OBH Sirup 0 0 0
153 Papaverin 40 mg 1800 0 1800 300
154 Paractamol Tab 500 mg 3600 4000 7600 3300 100 300 100 100
155 Paracetamol Syr 120 mg /5 ml 0 0 0
159 Piracetam 1200 mg 240 0 240
160 Piridoksin HCl tab (B6) 3600 1100 4700 600 200 100
161 Piroxicam 10 3000 1500 4500 400 300 100
H
a
n
g
a
162 Piroxicam 20 mg 3800 0 3800 600

166 Polifix 5 cm x 1 m New 13 0 13 2
Poliwash 500ml 0 10 10 1
Polymet Polyfusion set 20 drop 0 16 16 5
171 Primaquin 200 0 200
173 Remacort 0 0 0
174 Prednison 5 mg 3000 6400 9400 3300 100 100
176 Ranitidin tab 150 mg 12100 0 12100 1800 400
178 RDT malaria 72 0 72
181 Rivanol 2 0 2
182 Salbutamol 4 mg 0 300 300 300
H
a
n
g
a
184 Simvastatin 10 mg 780 870 1650 480

186 Solaflus syr 45 0 45 1 5
187 Solvitron 200 0 200 100
Sodium Klorida 0,9 % 0 40 40
191 Tiamin HCl B1 50 mg 2800 0 2800 300 200 100
193 Tablet Tambah Darah ? 0 1320 1320
Urea UV 12 x 16 ml 0 1 1
196 Vitro MegaCaps 100 0 100 100
197 Wibrom syr 157 0 157 5 5
198 Zink tab 20 mg 1400 1000 2400 500
Kawua, 31 Maret


Nip. 19871105 201412 1 001 NIP. 19810713 2014
H
a
n
g
a
Mengetahui

NIP. 19750407 199903 2 004
BAT PENGADAAN 2019 BLN JULI 2019
BLTo PMk SS
0 0
5 17
4 10
0 21
11 19
0 9
0 200
3 400
120 0
150 410
2 112
600 700
4,300 600
0 0
24 453
15 0
0 400
0 0
0 0
1,400 600
0 0
BLTo PMk SS
1,500 1,600
100 200
0 210
0 200
0 0
3,700 3,900
4 20
0 0
24 8
1,500 0
200 0
0 300
2,000 0
100 0
15 90
200 700
0 540
500 200
0 0
0 100
0 14
0 19
0 0
0 0
6 6 exp
BLTo PMk SS
0 0
0 0
0 0
0 0
0 0
0 0
100 900
6 25
0 0
0 0
100 600
0 0
0 1,600
600 1,500
0 400
0 0
0 0
0 5
0 485
0 0
0 0
0 54
0 0
BLTo PMk SS
0 0
3,200 2,000
0 235
0 0
0 0
0 57
0 0
1,500 3,300
0 199
0 0
0 0
0 5
100 0
0 0
8 9
1 0
0 0
0 100
0 0
0 60
0 0
0 0
200 300
600 2,100
BLTo PMk SS
100 1,300
0 1
0 1
0 0
0 30
0 21
0 400
1,800 0
0 0
0 0
0 0
0 0
0 0
0 0
0 30
800 1,600
200 500
0 0
0 4
0 0
0 0
300 600
5 15
8 8
0 400
0 0
BLTo PMk SS
0 0
0 0
10
0 5
0 0
0 4
0 0
0 2
0 0
5 25
0 0
200 2,100
200 3,300
3,400 5,400
0 0
0 200
0 0
0 0
0 0
300 400
200 400
80 920
2 37
1 16
BLTo PMk SS
0 0
0 0
100 400
0 1,400
700 200
0 2
15 0
300 300
300 500
200 900 Sodium
10 70
20 25
0 0
0 170
0 0
0 0
300 1,500
3,900 3,700
0 0
3 12
0 0
100 200
0 240
900 3,800
800 3,700
BLTo PMk SS
600 3,200
1 0
4 2
4 2
2 11
0 0
2 2
0 0
0 2
0 3
0 7
1 9
5 11
0 200
0 100
0 0
3,500 5,900
0 600
2,200 9,900
9 336
0 72
8 16
0 0
0 2
300 0
500 1,800
BLTo PMk SS
480 1,170
0 0
6 39
100 100
1 1
0 0
600 2,200
0 200
0 1,320
0 10
0 0
100 0
10 147
500 1,900
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
H
a
n
g
a
0
1 Albothyl 5 0 5
2 Abocath 20 17 0 17
3 Abocath 24 10 0 10
4 Abocath 18 21 0 21
5 Abocath 22 19 0 19
10 ASSP RD 2,5 ml 410 0 410
11 Alat suntik 3 ml 112 0 112 112
12 Allopurinol 700 0 700 100 100
13 Ambroxol tab 600 0 600 500 100
14 Ambroxol Syrup 0 0 0 0 0
15 Alprazolam 1 mg 453 0 453 71
16 Amitriptilin 0 0 0
20 Amoxcicilin 500 mg 600 0 600 500 100
H
a
n
g
a
22 Amoxcicilin 250 mg 1600 0 1600 400 100 200

Aximet syringe 10cc 200 0 200 0
25 Antasida Doen Tab 3900 0 3900 2900 500
29 Asam Ascorbat 250 mg 0 0 0
30 Asam Askorbat 50 mg 0 0 0
31 Asam Folat 0,4mg 200 0 200
32 Asam mefenamat 0 500 500
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100
45 Bionemi 0 0 0
H
a
n
g
a
47 B.Komleks 0 0 0
51 Betahistin 900 0 900 100
54 Calsium Laktat 600 0 600 300 100
56 Catopril 25 mg 1600 0 1600 100
57 Cetirizine tab 1500 0 1500 500
60 Curcuma 0 0 0
62 Cyanocobalamin inj 500 Mcg/ml 485 0 485 0 0
65 Kodein 10 mg 0 0
67 Dexamethasone tab. 2000 0 2000 1800 200
H
a
n
g
a
73 Domperidone tab 3300 0 3300 1900
74 Digoksin 199 0 199
75 Etanol 70 % 1000ml 0 0 0
76 Eflin 0 0 0
77 Eugenol 5 0 5
78 Efrgotamin Tab 0 0 0
79 Erythromycin 250 mg 0 600 600 300
81 Etil Klorida (Roeko Endo Frost) 0 0 0
89 Glimepiride 2 mg 2100 0 2100 300
90 Garam Oralit 1300 0 1300 200
92 Gibs 3 0 3
96 Guaifenesin 100 mg 0 0 0
H
a
n
g
a

101 Handscun 7,5 0 0 0
104 Hemafort 1600 0 1600 100 400
106 HCL 3 0 3
110 Ibuprofen tab 400 mg ( Brufen) 600 0 600 60
Kapas 250 g 10 1
117 Kapas 500 g 1 5 6 1
119 New DRC T 40y x80 cm plain 4 0 4 1
121 Kasa steril 16 x 16 2 10 12
H
a
n
g
a

126 Kloramphenicol 250 mg 3300 0 3300 200
127 Klorfeniramin maleat tab 4 mg 5400 0 5400 2500 400
132 Livron Tab 400 0 400 200
133 Loperamide 2 mg 400 0 400 400
134 Lanzoprazol 920 0 920 320
135 Leoukoplas Plester 2,5 cmx 4,5 37 0 37
136 Leukoplast Plester 7,5 cm 16 0 16 2 1
141 Metformin 500 mg 200 0 200
142 Mediaban 2 0 2
143 Miconazol Crim 2% 0 0 0
144 Miniaspi 80 mg 300 0 300 200
146 Molaneuron 900 0 900 400 500
H
a
n
g
a
148 Oxytetracyclin Salep mata 25 0 25

150 Oxitocin 170 0 170 10
151 OBH Sirup 0 0 0
153 Papaverin 40 mg 1500 0 1500 400
154 Paractamol Tab 500 mg 3700 1000 4700 3400 100 100 300
158 Pirantel Pamoat 200 0 200
159 Piracetam 1200 mg 240 0 240
161 Piroxicam 10 3700 0 3700 300 400
162 Piroxicam 20 mg 3200 0 3200 1100
163 Plastik ukuran obat 13 x 8,7 0 0 0
166 Polifix 5 cm x 1 m New 11 0 11 1 2
Polymet Polyfusion set 20 drop 11 0 11
H
a
n
g
a
Poliwash 500ml 9 0 9
171 Primaquin 200 0 200
173 Remacort 0 0 0
174 Prednison 5 mg 5900 0 5900 3500 100
176 Ranitidin tab 150 mg 9900 0 9900 1700 100
181 Rivanol 2 0 2
182 Salbutamol 4 mg 0 800 800 600

184 Simvastatin 10 mg 1170 0 1170 540 30
186 Solaflus syr 39 0 39 10
187 Solvitron 100 0 100 100
191 Tiamin HCl B1 50 mg 2200 0 2200 100
H
a
n
g
a
196 Vitro MegaCaps 0 0 0

197 Wibrom syr 147 0 147
198 Zink tab 20 mg 1900 1900 600
Kawua, 31 Agustu


Nip. 19871105 201412 1 001 NIP. 19810713 2014
Mengetahui

NIP. 19750407 199903 2 004
AN 2019 BLN MEI 2019
DALAM GEDUNG PUSTU DAN POLINDES
BLTo PMk SS
0 5
0 17
0 10
0 21
0 19
0 9
0 200
0 400
0 0
0 410
112 0
200 500
600 0
0 0
71 382
0 0
0 400
0 0
0 0
600 0
0 0
BLTo PMk SS
700 900
200 0
0 200
0 0
3,400 500
0 20
0 0
8 0
0 0
0 0
0 200
0 500
0 0
0 90
950 150
240 300
450 250
0 0
0 100
0 14
0 19
0 0
0 0
1 5 exp
0 0
0 0
BLTo PMk SS
0 0
0 26
0 0
0 0
100 800
0 25
0 0
0 210
400 200
0 450
100 1,500
500 1,000
0 400
0 0
0 0
0 5
0 485
0 60
0 1
0 54
0 0
0 0
2,000 0
0 235 exp
0 142
0 59
BLTo PMk SS
0 57
0 0
1,900 1,400
0 199
0 0
0 0
0 5
0 0
300 300
12 7
0 0
0 0
0 174
0 0
0 60
0 0
0 0
300 0
300 1,800
200 1,100
0 3
0 30
0 21
0 400
0 0
0 0
BLTo PMk SS
0 11
0 0
0 0
0 0
0 0
0 30
500 1,100
400 100
0 3
0 4
0 0
0 0
60 540
0 15
4 4
0 400
0 0
0 72
0 0
9
1 5
0 560 bl
1 3
0 19 bl
0 12
0 20 bl
BLTo PMk SS
5 20
0 0
100 2,000
200 3,100
2,900 2,500
0 0
0 200
5 5
0 0
0 420
200 200
400 0
320 600
0 37
3 13
0 0
0 0
0 400
0 1,400
0 200
0 2
0 0
200 100
400 100
900 0
0 70
BLTo PMk SS
0 25
0 0
10 160
0 0
0 0
400 1,100
3,900 800
63 7
3 9
0 0
0 200
0 240
700 800
700 3,000
1,100 2,100
0 0
2 0
1 1
3 8
0 0
1 1
0 0
0 2
0 3
0 7
0 11
BLTo PMk SS
0 9
0 200
0 100
0 0
3,600 2,300
0 600
1,800 8,100
0 336
0 72
6 10
0 50
0 2
600 200
200 1,600
570 600
0 0
10 29
100 0
0 1
0 0
100 2,100
0 200
0 1,020
0 10
0 0
BLTo PMk SS
0 0
0 147
600 1,300
Kawua, 31 Agustus 2019
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
H
a DOT.T Ruta
NO NAMA OBAT DAN BHP S.Aw Msk r JML APT RT PU KIA P.G LAB UKK P.Kel. Imu KW RCN SY LB BB
B n
g
a
0
1 Albothyl 5 0 5
2 Abocath 20 17 0 17 5
3 Abocath 24 10 0 10 3
4 Abocath 18 21 0 21 3
5 Abocath 22 19 0 19 6
7 Alat suntik 10 ml 200 100 300
8 Alat suntik 5 ml 400 0 400 10
10 ASSP RD 2,5 ml 410 0 410 100
12 Allopurinol 500 200 700 400 100
13 Ambroxol tab 0 4000 4000 1400
14 Ambroxol Syrup 0 0
15 Alprazolam 1 mg 382 382 22
16 Amitriptilin 0 0
17 Aminopyln 2 mg 400 400
20 Amoxcicilin 500 mg 0 3100 3100 800
21 Amoxcicilin syrup kering 125 mg 0 0
H
a DOT.T Ruta
B n
g
a
22 Amoxcicilin 250 mg 900 1700 2600 300 100

23 Aximed Alkohol Sweab 0 0
Aximet syringe 10cc 200 200
24 Antasida suspensi 0 120 120 13 5
25 Antasida Doen Tab 500 8300 8800 3100 100 200 100
26 Anti Fungi Salep 20 20
27 Antihemoroid suppositoria 0 0
29 Asam Ascorbat 250 mg 0 0
30 Asam Askorbat 50 mg 0 0
31 Asam Folat 0,4mg 200 300 500
32 Asam mefenamat 500 2700 3200 800 100 100
34 Acyclovir salep 90 90
37 Atarax 0 0
38 Atropin 0,25mg 100 100
39 Balon cateter no 19 14 14
40 Balon cateter no 20 19 19
42 Betametazon Cream 0 0
43 Blood Lancet 0 0
44 Bedak salicil 0 4 4
45 Bionemi 0 0
46 Bioplacenton 0 0
H
a DOT.T Ruta
B n
g
a
47 B.Komleks 0 3000 3000 600 100 100 100

48 B.Komleks Inj 26 26
49 Bisturi no 18 0 0
50 Bisturi no 20 0 0
51 Betahistin 800 800 100
53 Buskopan inj 0 0
54 Calsium Laktat 200 1000 1200 300
55 Clorpramazim 100 mg 450 450
56 Catopril 25 mg 1500 1500 100 100
57 Cetirizine tab 1000 1400 2400 400 100
58 Cimetidin 400 400
59 Ciprofloxacin 0 0
60 Curcuma 0 500 500 100
61 Cutcel Clasik 10 x 10 cm 5 5
62 Cyanocobalamin inj 500 Mcg/ml 485 485
63 Citicolin 500 mg 60 60
64 Cloramfenicol Salep Mata 54 54
65 Kodein 10 mg 0 0
67 Dexamethasone tab. 0 6600 6600 700 100 200 100
69 Demetech silk 3/0 75c + jarum 3/8 142 142
70 Demetech Catgut 3/0 59 59
H
a DOT.T Ruta
B n
g
a
71 Dipenhidramin inj 57 57
72 Domperidone Suspensi 0 0
73 Domperidone tab 1400 700 2100 1200
74 Digoksin 199 199
75 Etanol 70 % 1000ml 0 10 10
76 Eflin 0 2500 2500 900 100
77 Eugenol 5 5
78 Efrgotamin Tab 0 0
79 Erythromycin 250 mg 300 1700 2000 900
80 ErlaMycetin Cloramphenicol 7 7 7
82 Erythromycin syr 0 0
83 Epinephrine Inj 1 mg/ml 174 174
84 Fitomenadion (vit k) tab 10 mg 0 0
85 Fitomenadion inj 60 60
86 Gentamycin inj 0 0
87 Gentamycin salep kulit 0 0
88 Glibenclamide 5 mg 0 0
89 Glimepiride 2 mg 1800 1800 600
90 Garam Oralit 1100 1100 200
92 Gibs 3 3
93 Genamicine Tetes Mata 30 30
94 Gentaviolet 21 21
95 Griseovulvin 125 mg 400 400
96 Guaifenesin 100 mg 0 2200 2200 900
H
a DOT.T Ruta
B n
g
a
98 Glukosa Infus Steril 10 % 11 11

99 Handrub antiseptik 0 20 20 1 1 1 1
101 Handscun 7,5 0 0
102 Handscun no 7 0
103 Hemorogard 30 30
104 Hemafort 1100 500 1600 600
106 HCL 3 3
107 Hidrogen Peroxide 4 4
109 Ibuprofen susp 0 20 20 3
110 Ibuprofen tab 400 mg ( Brufen) 540 2000 2540 60 100
113 Isosorbit Dinitrat 400 400
114 Jarum otot no 6 0 0
115 Jarum Kulit No 12 72 72
116 kalium diklofenak 0 0
117 Kapas 500 g 5 5
118 Karbamazepin 200 mg 560 560
120 Kasa Pembalut Steril 2 mx80 cm 19 19
121 Kasa steril 16 x 16 2 2
122 Kasa Pembalut 2 x 80 cm 20 20
H
a DOT.T Ruta
B n
g
a
127 Klorfeniramin maleat tab 4 mg 2500 5000 7500 1400 100 200 100 100
Kution Kapsul 200 200
130 Keterolak Inj 0 0
131 Lidocain inj 2 % + Epineprin 420 420
132 Livron Tab 200 200 100
133 Loperamide 2 mg 0 800 800
136 Leukoplast Plester 7,5 cm 13 13 1
138 Metilprednisolon 4 mg 0 0
141 Metformin 500 mg 200 700 900 100
142 Mediaban 2 2 r
143 Miconazol Crim 2% 0 0
144 Miniaspi 80 mg 100 1000 1100 300
146 Molaneuron 0 800 800 400 200
148 Oxytetracyclin Salep mata 25 25
H
a DOT.T Ruta
B n
g
a
149 Oxytetracyclin Salep kulit 0 0

150 Oxitocin 160 160
151 OBH Sirup 0 0
152 Onemet Lood lancet 0 0
153 Papaverin 40 mg 1100 1100 400
154 Paractamol Tab 500 mg 800 6200 7000 2800 100 300 50 100
156 Pacetamol Drop 100 mg/ml 9 9 4
157 Pehakain inj 0
158 Pirantel Pamoat 200 200
159 Piracetam 1200 mg 240 240
161 Piroxicam 10 3000 3000 800 400 100
162 Piroxicam 20 mg 2100 400 2500 600
163 Plastik ukuran obat 13 x 8,7 0 0
164 Plasti Obat Kedap 10 x 7 0 0
165 Plastik ukuran obat 8 x 5 1 1
166 Polifix 5 cm x 1 m New 8 8 1 2
167 Plesterin Bulat Soft 0 0
169 Phenol Glyserol tts telinga 0 0
Policrepe 10 cmx 4,55m 2 2
Poliban Natural 10 cm 3 3
Polymet Polyfusion set 20 drop 11 11
Poliwash 500ml 9 9 2 1
H
a DOT.T Ruta
B n
g
a
171 Primaquin 200 200

172 Propythiouracin 100 mg 100 100
173 Remacort 0 0
174 Prednison 5 mg 2300 7000 9300 3300 100 100
175 Propanolol 10 mg 600 600
176 Ranitidin tab 150 mg 8100 8100
177 Ranitidin inj 336 336
178 RDT malaria 72 72
179 Ringer Laktat 10 10 6
180 Retinol ( Vit A) 100.000 UI kaps 0 0
181 Rivanol 2 2 2
182 Salbutamol 4 mg 200 200 200
183 Sianokobalamin B12 tab 1600 1600 100
184 Simvastatin 10 mg 600 1020 1620 660 60
187 Solvitron 0 0
190 Spironolactone 25 mg 0 0
191 Tiamin HCl B1 50 mg 2100 2100 100
192 Tiamin HCl B1 Inj 200 200
193 Tablet Tambah Darah 1020 1020
195 Truvit Syr 0 43 43 5
196 Vitro MegaCaps 0 0
197 Wibrom syr 147 147 5
H
a DOT.T Ruta
B n
g
a
198 Zink tab 20 mg 1300 300 1600
Kawua, 31 Septemb


Nip. 19871105 201412 1 001 NIP. 19810713 2014
Mengetahui

NIP. 19750407 199903 2 004
BLTo PMk SS
0 5
5 12
3 7
3 18
6 13
1 8
0 300
10 390
0 0
100 310
0 0
500 200
1,400 2,600
0 0
22 360
0 0
0 400
0 0
0 0
800 2,300
0 0
BLTo PMk SS
400 2,200
0 0
0 200
18 102
3,500 5,300
0 20
0 0
12 0
0 0
0 0
0 500
1,000 2,200
0 200
0 90
300 250
180 120
300 2,000
0 0
0 100
0 14
0 19
0 0
0 0
0 4
0 0
0 0
BLTo PMk SS
900 2,100
0 26
0 0
0 0
100 700
6 19
0 0
0 210
300 900
0 450
200 1,300
500 1,900
0 400
0 0
100 400
0 5
0 485
0 60
1 0
0 54
0 0
0 0
1,100 5,500
6 94
0 142
0 59
BLTo PMk SS
0 57
0 0
1,200 900
0 199
0 10
1,000 1,500
0 5
0 0
900 1,100
7 0
2 3
0 0
0 174
0 0
0 60
0 0
0 0
0 0
600 1,200
200 900
0 3
0 30
0 21
0 400
900 1,300
0 0
BLTo PMk SS
0 11
4 16
0 0
0 0
0 0
0 30
100 700 900
400 700
0 3
0 4
0 76
3 17
160 2,380
0 15
9 2
0 400
0 0
0 72
0 0
0 5
0 560
0 4
0 19
0 2
0 20
4 16
BLTo PMk SS
24 24
100 1,900
300 2,800
1,900 5,600
0 2,000
0 200
40 55
0 0
0 420 bl
100 100
0 800
420 180
1 36
1 12
0 0
0 0
0 400
100 1,300
100 800
0 2
0 0
300 800
300 1,800
600 200
17 53
0 25
BLTo PMk SS
0 0
0 160
0 0
0 0
400 700
3,350 3,650
42 95
4 5
0 0
0 200
0 240
400 400
1,300 1,700
600 1,900
0 0
0 0
0 1
3 5
0 0
2 4
0 0
0 2
0 3
2 10
0 11 bl
3 6
BLTo PMk SS
0 200
0 100
0 0
3,500 5,800
0 600
0 8,100 bl
0 336 bl
0 72
6 4
0 0
2 0
200 0
100 1,500
720 900
0 0
5 24
0 0
1 0
0 0
100 2,000
0 200
0 1,020 bl
4 6
5 38
0 0
5 142
BLTo PMk SS
0 1,600
Kawua, 31 September 2019
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003
DOT.T Ruta
NO NAMA OBAT DAN BHP S.Aw JML APT RT PU KIA P.G LAB UKK P.Kel. Imu KW RCN SY LB BB
B n
1 Albothyl 5 0 5
2 Abocath 20 12 0 12
3 Abocath 24 7 0 7
4 Abocath 18 18 0 21
5 Abocath 22 7 0 7
10 ASSP RD 2,5 ml 310 0 310
12 Allopurinol 200 600 800
13 Ambroxol tab 2600 800 3400
15 Alprazolam 1 mg 360 0 360
16 Amitriptilin 0 200 200
20 Amoxcicilin 500 mg 2300 0 2300
22 Amoxcicilin 250 mg 2200 0 2200
23 Aximed Alkohol Sweab 0 500 500
DOT.T Ruta
B n
25 Antasida Doen Tab 5300 0 5300
29 Asam Ascorbat 250 mg 0 0 0
30 Asam Askorbat 50 mg 0 0 0
31 Asam Folat 0,4mg 500 0 500
32 Asam mefenamat 2200 0 2200
35 Acyclovir tablet 400 mg 250 250 500
Acetylsistein200 mg 120 60 180
36 Aximet Face Maks Tie On 2,000 0 2000
37 Atarax 0 0 0
38 Atropin 0,25mg 100 0 100
44 Bedak salicil 4 0 4
45 Bionemi 0 0 0
47 B.Komleks 2100 3500 5600
51 Betahistin 700 0 700
DOT.T Ruta
B n
Carbamazepim 200 mg 210 0 210
54 Calsium Laktat 900 0 900
56 Catopril 25 mg 1300 0 1300
57 Cetirizine tab 1900 0 1900
60 Curcuma 400 0 400
Cholesterol Liquid 3x100 ml 0 1 0
65 Kodein 10 mg 0 0 0
67 Dexamethasone tab. 5500 0 5500
73 Domperidone tab 900 0 900
74 Digoksin 199 0 199
75 Etanol 70 % 1000ml 10 5 15
76 Eflin 1500 0 1500
77 Eugenol 5 0 5
78 Efrgotamin Tab 0 0 0
DOT.T Ruta
B n
80 ErlaMycetin Cloramphenicol 0 0 0
81 Etil Klorida (Roeko Endo Frost) 3 2 5
Gentamycin salep Mata ( Erella) 25 25
88 Glibenclamide 5 mg 0 0 0
89 Glimepiride 2 mg 1200 0 1200
90 Garam Oralit 900 0 900
92 Gibs 3 0 3
96 Guaifenesin 100 mg 1300 600 1900
Glucose Liquid 3x100 0 1 0
101 Handscun 7,5 0 0 0
104 Hemafort 900 0 900
105 Hidrochortiazid tab 25 mg 700 400 1100
106 HCL 3 0 3
DOT.T Ruta
B n
Imufort 200 200
110 Ibuprofen tab 400 mg ( Brufen) 2380 0 2380
112 Infus set dewasa/Polymetinfusion 2 0 2
117 Kapas 500 g 5 0 5
121 Kasa steril 16 x 16 2 0 2
127 Klorfeniramin maleat tab 4 mg 5600 0 5600
129 Kotrimoksazole suspensi 55 50 105
132 Livron Tab 100 0 100
133 Loperamide 2 mg (Novadium) 800 0 800
DOT.T Ruta
B n
136 Leukoplast Plester 7,5 cm 12 0 12
137 3 M Surgical MaskEarlop/r 0 0 0
Maks latex Examination Gloves L 0 50 50
Metoclopropamid ijsi 10
141 Metformin 500 mg 800 0 800
142 Mediaban 2 0 2
143 Miconazol Crim 2% 0 0 0
144 Miniaspi 80 mg 100 0 100
145 Metronidazole 500 mg 1800 0 1800
146 Molaneuron 200 0 200
Nistatin 500.000 Ui 100 100
148 Oxytetracyclin Salep mata 25 125 150
150 Oxitocin 160 0 160
151 OBH Sirup 0 25 25
153 Papaverin 40 mg 700 0 700
154 Paractamol Tab 500 mg 3650 200 3850
155 Paracetamol Syr 120 mg /5 ml 95 200 295
156 Pacetamol Drop 100 mg/ml 5 0 5
158 Pirantel Pamoat 200 0 200
159 Piracetam 1200 mg 240 0 240
160 Piridoksin HCl tab (B6) 800 600 1400
DOT.T Ruta
B n
161 Piroxicam 10 1700 0 1700
162 Piroxicam 20 mg 1900 0 1900
163 Plastik ukuran obat 13 x 8,7 0 0 0
164 Plasti Obat Kedap 10 x 7 0 0 0
165 Plastik ukuran obat 8 x 5 1 0 1
166 Polifix 5 cm x 1 m New 5 5 10
168 Povidon Iodida lar 10 % 300 ml 4 0 4
Polymet Polyfusion set 20 drop 11 4 15
Poliwash 500ml 6 0 6
171 Primaquin 200 0 200
173 Remacort 0 0 0
174 Prednison 5 mg 5800 0 5800
176 Ranitidin tab 150 mg 8100 0 8100
179 Ringer Laktat 4 10 14
181 Rivanol 0 0 0
182 Salbutamol 4 mg 0 0 0
183 Sianokobalamin B12 tab 1500 0 1500
184 Simvastatin 10 mg 1400 0 1400
DOT.T Ruta
B n
Salep 2-4 72 72
187 Solvitron 0 0 0
Sukralfat 0 25 25
ST.Ginaecolok steril OM 0 20 20
191 Tiamin HCl B1 50 mg 2000 0 2000
Uric Acit Liquid 3x100 ml 0 1 1
195 Truvit Syr 38 50 88
196 Vitro MegaCaps 0 0 0
197 Wibrom syr 142 0 142
198 Zink tab 20 mg 1600 0 1600
Kawua, 31 Septemb


Nip. 19871105 201412 1 001 NIP. 19810713 2014
Mengetahui
DOT.T Ruta
B n

NIP. 19750407 199903 2 004
BLTo PMk SS
0 5
0 12
0 7
0 21
0 7
0 8
0 320
0 390
0 200
0 310
0 0
0 800
0 3,400
0 0
0 360
0 200
0 400
0 0
0 0
0 2,300
0 0
0 2,200
0 500
0 200
BLTo PMk SS
0 102
0 5,300
0 20
0 0
0 15
0 0
0 0
0 500
0 2,200
0 200
0 90
0 500
0 180
0 2,000
0 0
0 100
0 14
0 19
0 75
0 5
0 4
0 0
0 0
0 5,600
0 26
0 0
0 0
0 700
0 19
BLTo PMk SS
0 0
0 210
0 900
0 450
0 1,300
0 1,900
0 400
0 2,000
0 400
0 5
0 485
0 60
0 0
0 54
0 0
0 0
0 5,500
0 94
0 142
0 69
0 57
0 0
0 900
0 199
0 15
0 1,500
0 5
0 0
BLTo PMk SS
0 1,100
0 0
0 5
0 6
0 175
0 0
0 60
0 0
0 100
0 0
0 1,200
0 900
0 3
0 30
0 21
0 400
0 1,900
0 0
0 11
0 16
0 0
0 0
0 0
0 30
0 900
0 1,100
0 3
BLTo PMk SS
0 4
0 76
0 17
0 2,380
0 2
0 400
0 0
0 72
0 0 BL
0 5
0 560
0 4
0 19
0 2
0 20
0 16
0 74
0 1,900
0 2,800
0 5,600
0 4,000
0 200
0 105
0 0
0 420 bl
0 100
0 800
0 180
BLTo PMk SS
0 36
0 12
0 0
0 0
0 400
0 1,300
0 800
0 2
0 0
0 100
0 1,800
0 200
0 53 BL
0 150
0 0
0 160
0 25
0 500
0 700
0 3,850
0 295
0 5
0 0
0 200
0 240
0 1,400
BLTo PMk SS
0 1,700
0 1,900
0 0
0 0
0 1
0 10
0 0
0 4
0 0
0 2
0 3
0 10
0 15 bl
0 6
0 200
0 100
0 0
0 5,800
0 600
0 8,100 bl
0 336 bl
0 72
0 14
0 100
0 0
0 0
0 1,500
0 1,400
0 0
BLTo PMk SS
0 24
0 0
0 0
0 0
0 2,000
0 200
0 1,020 bl
0 38
0 88
0 0
0 142
0 1,600
Kawua, 31 September 2019
Pengelola Obat
Puskesmas Kawua
Milka Patambing
NIP. 19810713 201409 2 003

Rekapan Pemakaian Obat 2018@2019 Ke Unit Pelayanan

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Kawua, 31 Desember 2018

71 Glyceril Guaicolat 100 mg tab 0 0 0 0 0 0

97 Ketokonazole tab 200 mg 0 0 0 0 0 0

Kawua, 31 Desember 201

Tim Perencana Obat Pengelola Obat

dr. Andry Arisandy Milka Patambing

Ni Ketut Trielkana, SKM

RUTAN PUSKEL IMUNISASI APOTIK

Kawua, 31 Desember 2018

NO NAMA OBAT DAN BHP Kawua Ranonuncu Sayo Lembomawo

66 Infus set dewasa 2 2 0 2

Tim Perencana Obat

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Bukit bambu Bonelato

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NO NAMA OBAT DAN BHP KW RCN SY LB BB

66 Infus set dewasa 2 2 0 2 2

Tim Perencana Obat Pengelola Oba

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Kawua, 31 Desember 2018

Kawua, 31 Januari 2019

KetuaTim Perencana Obat Pengelola Obat

dr. Andry Arisandy Milka Patambing

Ni Ketut Trielkana, SKM

Kawua, 31 Januari 2019

Kawua, 28 Februari 2019

KettuaTim Perencana Obat Pengelola Obat

dr. Andry Arisandy Milka Patambing

Ni Ketut Trielkana, SKM

Kawua, 28 Februari 2019

NIP. 19810713 201409 2 003

Kawua, 31 Maret 2019

Ketua Tim Perencana Obat Pengelola Obat

dr. Andry Arisandy Milka Patambing

Ni Ketut Trielkana, SKM

Kawua, 31 Maret 2019

22 Amoxcicilin 250 mg 2000 2000 4000 400 100

98 Glukosa Infus Steril 10 % 11 0 11

149 Oxytetracyclin Salep kulit 49 0 49 49

Ketua Tim Perencana Obat Pengelola Ob

dr. Andry Arisandy Milka Patamb

Ni Ketut Trielkana, SKM

100 600 3,400

Kawua, 31 Maret 2019

22 Amoxcicilin 250 mg 2300 0 2300 300 300

73 Domperidone tab 6500 0 6500 800 0 0 100 900

126 Kloramphenicol 250 mg 3800 0 3800 0 0

152 Onemet Lood lancet 0 0 0 0 0

178 RDT malaria 90 0 90 0

Kawua, 31 Maret 2019

Ketua Tim Perencana Obat Pengelola Obat

dr. Andry Arisandy Milka Patambing

Ni Ketut Trielkana, SKM

Kawua, 31 Maret 2019