Lplpo Juli

LAPORAN PEMAKAIAN DAN LEMBAR PER
(LPLPO)
NAMA PUSKESMAS : Sompak

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
STOCK PENERI- PERSE-

KODE NAMA OBAT SATU-AN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
101 Air raksa detal use Btl 0
102 Alat suntik sekali pakai 1 ml Set 0 1200 1200
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 1077 1200 2277
105 Albendazol tablet 400 mg Tab 0
106 Alopurinol tablet 100 mg Tab 490 1000 1490
107 Aminofilin tablet 200 mg Tab 4000 4000
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 90 30 120
109 Amitriptilin hcl tablet salut 25 m g Tab 300 300
110 Amoksisilin sirup kering 125 mg/ ml Btl 0 240 240
111 Amoksisilin kapsul 250 Kap 0
112 Ampisisilin kapsul 500 Kap 900 900
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 210 210
114 Antalgin (metampiron) tablet 500 mg Tab 1900 2000 3900
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 135 135
116 Antasida done tablet, kombinasi Tab 15600 15600
117 Antibakteri done salep kombinasi Tab 100 100
118 Antihemoroid doen kombinasi Sup 69 60 129
119 Antifungsi done kombinasi Pot 0
120 Antimigrain done kombinasi Tab 865 865
121 Antiparkinson done tablet kombinasi Tab 0
123 Aqua proinjeksi steril, bebas piriogen Amp 55 55
124 Aquadest seteril Btl 0
125 Asam askrobat (vit. C) tablet 250 mg Tab 0
126 Asam askrobat (vit. C) tablet 50 mg Tab 6209 7000 13209
127 Asam klorida 0,1 % Btl 0
128 Asam sulfasalisilat 20% Btl 0
129 Asetosal tablet 100 mg Tab 910 910
130 Asetosal tablet 500 mg Tab 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0
132 Atropin sulfat tablet 0,5 mg Tab 0
133 Atropine sulfat tetes mata 0,5% Btl 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0
203 Besi sirup Btl 0
204 Betametason krim 01,1 % Tub 436 200 636
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 140 96 236
401 Dapson tablet 100 mg Tab 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 619 200 819
403 Deksametason tablet 0,5 mg Tab 4200 16600 20800
404 Dekstran 70 - larutan infuse 6% steril Btl 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0
406 Dekstrometorfan bhr tab 15 mg Tab 0
407 Devitalisasi pasta (non arsen ) Btl 0
408 Diazepam inj mg / ml- 2 ml Amp 0
409 Diazepam tablet 2 mg Tab 652 652
411 Dietikkarbamazin sitrt tab 100 mg Tab 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 517 517
413 Digonksin tab 0,25 mg Tab 430 430
501 Efedrin hcl tab 25 mg Tab 914 914
502 Ekstrak belladone tab 10 mg Tab 8000 8000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0
504 Etakridin (rivanol)larutan 0,1% Btl 3 48 51
505 Etambutol hcl tab 250 mg Tab 0
506 Etanol 70% Btl 10 20 30
507 Eter anestetik Btl 0
508 Etil kloroda semprot Btl 8 8
509 Eugenol cairan Btl 0
601 Fenitoin natrium inj 50 mg / ml Amp 0
602 Fenitoin natrium kapsul 100 mg Kap 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0
605 Fenorbarbital tab 100mg Tab 0
606 Fenorbarbital tab 30 mg Tab 0
607 Fenoksin metal penisilina tab 250 mg Tab 0
608 Fenoksimetil penisilina tab 500 mg Tab 0
609 Fenol gliserol tetes telinga 10 % Btl 74 74
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 300 300
611 Fitomenadione ( vit k) tab salut 10 mg Tab 1625 1000 2625
612 Fluor tablet 0,5 mg Tab 0
613 Furosemide tab 40 mg Tab 3210 2000 5210
701 Gameksan emulsi 1 % Btl 0
702 Garam oralit untuk 1000 ml air Sak 0
703 Garam oralit untuk 200 ml air Sak 415 6000 6415
704 Gentian violet larutan 1 % Btl 71 71
705 Glass lonomer cement (gx ix) Set 1 1
706 Gibenklamid tab 5 mg Tab 0
707 Gliseril guayakolat tab 100 mg Tab 2000 2000 4000
708 Gliserin Btl 0
709 Glukosa larutan infuse 10 % steril Btl 161 100 261
710 Glukosa larutan infuse 10 % steril Btl 0
711 Glukosa larutan infuse 5% steril Btl 218 100 318
712 Grisovulvin tab 125 mg, micronized Tab 3005 1000 4005
801 Haloperidol tab 0,5 mg Tab 0
802 Haloperidol tab 1,5 mg Tab 2645 2645
803 Hidroklorotiazide (hct) tab 25 mg Tab 3000 0 3000
804 Hidrokortison krim 2,5 % Tab 48 96 144
901 Ibuprofen 200 mg Tab 0
902 Iburrofen 400 mg Tab 595 5000 5595
903 Infusion set anak Set 216 216
904 Infusion set dewasa Set 352 352
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0
906 Iodal kapsul lunak Kap 0
907 Ipela sirup 0,14% Btl 0
908 Isoniazid tab 300 mg Tab 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 500 500
1001 Jarum jahit (bedah ) no.9-14 Biji 86 86
1002 Kalium pemanganat serbuk Btl 0
1003 Kalsium hidroksida pasata Tub 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 7000 7000
1005 Kapas berlemak 500 gram Bjs 0
1006 Kapas pembalut Bks 35 35
1007 Karbamazepin tab 200 mg Tab 0
1008 Kasa kompres 40/40 steril Rol 0
1009 Kasa pembalut 2 m x 80 cm Rol 0
1010 Kasa pembalut hidrofil 4 m x 15 cm Rol 41 41
1011 Kasa pembalut hidrofil 4 m x 3 cm Rol 0
1012 Ketamin inj 10 mg/ml Vial 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0
1014 Kloramfenikol kapsul 250 mg Kap 1390 1390
1015 Kloramfenikol salep mata 1 % Tub 21 96 117
1016 Kloramfenikol tetes telinga 3 % Btl 130 130
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 0 0
1018 Kloroquin fosfat tab 250 mg Tab 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 1296 1296
1023 Klorpromazin tablet 100 mg Tab 0
1024 Kodein hcl tablet 10 mg Tab 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 45 45
1026 Kotrimoksazol pediatric tablet Tab 0
1027 Kotrimoksazol suspensi Btl 0 300 300
1028 Kotrimoksazoldewasa tablet Tab 7409 5000 12409
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0
1030 Kuinin sulfat tablet 222mg Tab 0
1101 Larutan benedict Btl 0
1102 Larutan eosi 2 % Btl 0
1103 Larutan etanol asam Btl 0
1104 Larutan giemsa stain Btl 0
1105 Larutan korban fuksin Btl 0
1106 Larutan metilen biru Btl 0
1107 Larutan truk Btl 0
1108 Lidokain kompositum inj. Amp 674 120 794
1109 Lisol Btl 29 20 49
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0
1202 Magnesium sulfat inj. (iv) 40% - 25 ml Vial
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0
1204 Mebenazol tablet 100 mg Tab 0
1205 Methanol Btl 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 990 5000 5990
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 88 88
1208 Metrodinazol tablet 250 mg Tab 8405 3600 12005
1209 Monoklorkamfer metol cairan Btl 0
1210 Mummifying pasta Btl 0
1301 Natrium bikarbonat tablet 500 mg Tab 2310 2000 4310
1302 Natrium fluoresein tetes mata 2% Btl 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 81 100 181
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0
1305 Nistatin 100.000 iu/g tablet vagina Tab 377 377
1306 Nistatin 500.000 iu tablet salut Tab 340 500 840
1307 Obat Antitubekolosiskategori 1 Pkt 0
1308 Obat antikulosis kategiri 2 Pkt 0
1309 Obat batuk hitam (o.b.h.)cairan Btl 0
1310 Oksigen gas dalam lambung Tbg 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 71 71
1312 Oksitetrasiklin hcl salep 3% Tub 138 138
1313 Oksitetrasiklin hcl salep mata Tub 193 193
1314 Oksitosin inj.10 iu/ml -1ml Amp 0
1401 Parafomaldehid tablet 1g tabl 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 200 200
1403 Parasetamol tablet 100 mg Tab 2000 2000
1404 Parasetamol 500 mg tabl 2000 10000 12000
1405 Pembalut gips Rol 0
1406 Perfenazin tablet 16 mg Tab 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0
1410 Pirantel pamoat tablet 365mg Tab 4003 1000 5003
1411 Piridoksin hcl tablet 10 mg Tab 5800 5800
1412 Plester 5 yard x 2 inci Rol 0 18 18
1413 Polikresulen Btl 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0
1415 Prazikuantel tablet 600 mg Tab 0
1416 Prednisone tablet 5 mg Tab 378 378
1417 Primakuin tablet 15 mg Tab 0
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0
1419 Propitiourasil tablet 100 mg Tab 500 500
1420 Propanolol hcl tablet 40 mg Tab 600 600
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0
1502 Reserpin tablet 0,10 mg Tab 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0
1505 Repamfisin kaplet 600 mg Kap 0
1506 Repamfisin kapsul 300 mg Kap 0
1508 Ringal raktat larutan infuse seteril Btl 460 100 560
1601 Salbutamol tablet 2 mg Tab 800 2000 2800
1602 Salep 2 -4 kombinasi Pot 0
1603 Salisil bedak 2 % Ktk 100 100
1604 Salisil spritus 10% Btl 0
1605 Semen seng fosfat serbuk dan cairan Set 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 258 258
1612 Silk(benang bedah sutera) no.3/0 Sak 83 108 191
1613 Silver amalgam serbuk 65 - 75 % Btl 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0
1617 Sulfadimidin tablet 500 mg Tab 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0
1701 Tablet tambah darah kombinasi Tab 0 9000 9000
1702 Temporay stooping fletcher serbuk dan cairan Set 0
1703 Tetrakain hcl tetes mata Btl 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 2000 2000
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 5000 5000
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0
1710 Trikresol formalin (tkf) cairan Btl 0
1801 Vaksin rabies vero Set 0
1802 Vitamin b kompleks tablet Tab 3000 10000 13000
1901 Yodium povidon larutan 10 % 30 ml Btl 20 20
1903 Bioplang gel 0 0
1904 stesolid 0 0
1905 ketoconazole 5000 1000 6000
1906 domperidone Tab 1500 1500
1907 Malformin 0
1908 Bisopvola 5 mg 0
1909 Obat Cacing Sy 0
1910 Acycidvir Krim 5 Mg 0
1911 Salbutamol Sy 0
1912 Diafrom 0
1913 Zink Tab 3785 3000 6785
1914 Zink Sy 0 100 100
1915 Prenase Tab 0 0
1916 Seltyfort Sy 0 0
1917 Ternik Plus Sy 0 0
1918 Abocart No.22 G Buah 314 314
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 0 7000 7000
1921 Ampicillin 250 Mg Buah 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 400 5000 5400
1923 Antasida Doen syrup Botol 405 100 505
1924 Bionic Plus DHA Syrup Botol 0
1925 Cimetidin 200 Mg Tablet 1500 1500
1926 Ciprofloxacin 500 Mg Tablet 220 2000 2220
1927 Eucarbon tablet Botol 0
1928 Fercee Capsul Tablet 0
1929 Folikateter No 10 Buah 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 0
1932 H2O2 Larutan Botol 0
1933 Haloperidol 5 Mg tablet 0
1934 Hunskun 7,5 Cm Buah 0 3000 3000
1935 Kapas Pembalut Absorben 500 gr Rol 50 50
1936 Kasa pembalut hidrofil 40 m x 80 cm Rol 0 5 5
1937 Katopril 12,5 Mg Tablet 390 5000 5390
1938 Katopril 25 Mg Tablet 890 5000 5890
1939 Milsen Syrup Botol 0
1940 Mirabion tablet Tablet 0
1941 Myragyl 500 Mg Tablet Tablet 0
1942 Needle 23 Buah 0
1944 Nifedipin tablet Tablet 0
1945 Paramidon Injk Ampul 0
1946 Pehacain Injk Ampul 5 5
1947 Piroxicam capsul Tablet 1320 1320
1948 Ranitidin Tablet 2170 5000 7170
1949 Scopma tablet Tablet 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 2000 2000
1951 Stelazin 5 Mg Tablet 0
1952 Vicanatal tablet Tablet 0
1953 Vidisef Sol Botol 0
1954 Vitamin B Complex Inj Vial 0
1955 Wing Needel 23 Buah 900 900
1957 Fungoral zalf 0
1958 Flutamol syr 0
1959 Axofen syr 0
1960 Primpen syr / Donperidone syr 0
1961 Neo- Kominal syr 0
1962 Zink dispersibel 0
1963 Siobion tablet 0
1964 Papaverin tab 40 mg 4500 0 4500
1965 Papaverin Inj. 135 135
1966 Hustab 1000 1000
1967 Erlamicetin 75 75
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 3475 3475
1971 Stavit 0
1972 Masker 350 5000 5350
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 48 48
1976 domperidone sy 240 240
1977 Ambroxol Sy 0 0 0
1978 Meloxicam 300 2000 2300
1979 Erytromior sy 270 270
1980 Omeprazole 1100 1000 2100
1981 envios sy 93 93
1982 Miconazole salf 96 96
1983 Natrium diklopenak 650 96 746
1984 ketoconazole 0 0 0
1985 Pitogin 99 1000 1099
1986 Ibuprofen sy 200 200
1987 kertas puyer 0 0 0
1988 Clorampenicole sy 140 50 190
1989 Sinvastatin 10 mg 0 2000 2000
1990 loratadin 0 2000 2000
1991 Amlodipin 10 mg 0 1800 1800
1992 ondosetran 0 160 160
1993 Lemperamid 0 2000 2000
1994 Filo cateter 16 0 200 200
1995 Filo cateter 18 0 200 200
1996 Wing nedle 25 g 0 1000 1000
1997 Wing nedle 23 g 0 1000 1000
1998 Pyrantel Sy 0 200 200
1999 Cepadroxil Sy 0 200 200
2000 Griromisin Sy 0 240 240
2001 Domperidon Drpfs Drof 253 0 253
Mengetahui /menyetujui Yang Menyerahkan yang Melapor

Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt Bernadetha

Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2 002
N LEMBAR PERMINTAAN OBAT
PLPO)
BULAN 0 2
TAHUN 2 0 1 5
PEMA- SISA STOCK PERMIN- PEMBERIAN KET

KAIAN STOCK OPT TAAN INPRES ASKES APBD LAIN JML
7 8=(6-7) 9 10 11 12 13 14 15 16
0 0
200 1000
0 2277
0 800
0 0
220 1270
0 4000
0 120
0 300
14 226
0 0
100 800
25 185
400 3500
7 128
300 15300
0 100
0 129
0 0
0 865
0 0
0 55
0 0
0 0
544 12665
0 0
0 0
0 910
0 0
0 0
0 0
0 0
0 0
0 0
0 0
17 619
0 236
0 0
112 707
1200 19600
0 0
0 0
0 0
0 0
0 0
40 612
135 100
0 0
160 357
430 0
33 881
0 8000
0 0
5 46
0 0
3 27
0 0
0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 60
200 100
325 2300
0 0
590 4620
0 0
0 0
33 6382
5 66
0 1
0 0
0 4000
0 0
0 261
0 0
0 318
40 3965
0 0
2645 0
0 3000
15 129
0 0
595 5000
16 200
10 342
0 0
0 0
0 0
0 0
50 450
16 70
0 0
0 0
0 7000
0 0
0 35
0 0
0 0
0 0
20 21
0 0
0 0
0 0
390 1000
2 115
1 129
0 0
0 0
0 0
0 0
0 0
496 800
0 0
0 0
45 0
0 0
177 123
3309 9100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 791
4 45
0 0
0 0
0 0
0 0
0 0
2990 3000
0 88
110 11895
0 0
0 0
2310 2000
0 0
3 178
0 0
277 100
240 600
0 0
0 0
0 0
0 0
21 50
50 88
93 100
0 0
0 0
0 200
500 1500
600 11400
0 0
0 0
0 0
0 0
0 0
2003 3000
3800 2000
3 15
0 0
0 0
0 0
378 0
0 0
0 0
0 500
200 400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 520
200 2600
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
58 200
50 141
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4700 4300
0 0
0 0
0 2000
500 1200
0 0
700 4300
0 0
0 0
0 0
0 0
2000 11000
0 20
0 20
0 0
0 0
500 5500
0 1500
0 0
0 0
0 0
0 0
0 0
0 0
2500 4285
0 100
0 0
0 0
0 0
30 284
40 209
843 6157
0 0
0 5400
75 430
0 0
200 1300
50 2170
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 2950
5 45
0 5
375 5015
100 5790
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 5
70 1250
1250 5920
0 0
0 2000
0 0
0 0
0 0
0 0
0 900
0 900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 4500
0 135
1000 0
75 0
0 0
0 0
475 3000
0 0
30 5320
0 0
0 0
0 48
140 100
0 0
800 1500
0 270
120 1980
23 70
3 93
450 296
0 0
0 1099
5 195
0 0
0 190
0 2000
0 2000
0 1800
0 160
10 1990
0 200
0 200
0 1000
0 1000
0 200
0 200
0 240
15 238
yang Melapor Yang menerima

Kepala Puskesmas Petugas Gudang
Bernadetha Yustarius
Nip. 19590121 198210 2 002 Nip. 19840315 2010 01 1 002
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar

AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
101 Air raksa detal use Btl 0 0
102 Alat suntik sekali pakai 1 ml Set 1000 1000
103 Alat suntik sekali pakai 2,5 ml/ SPUIT 3cc Set 2277 2277
105 Albendazol tablet 400 mg Tab 0 0
106 Alopurinol tablet 100 mg Tab 1270 1270
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 120 120
110 Amoksisilin sirup kering 125 mg/ ml Btl 226 226
111 Amoksisilin kapsul 250 Kap 0 0
114 Antalgin (metampiron) tablet 500 mg Tab 3500 3500
118 Antihemoroid doen kombinasi Sup 129 129
119 Antifungsi done kombinasi Pot 0 0
121 Antiparkinson done tablet kombinasi Tab 0 0
124 Aquadest seteril Btl 0 0
125 Asam askrobat (vit. C) tablet 250 mg Tab 0 0
127 Asam klorida 0,1 % Btl 0 0
128 Asam sulfasalisilat 20% Btl 0 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0 0
132 Atropin sulfat tablet 0,5 mg Tab 0 0
133 Atropine sulfat tetes mata 0,5% Btl 0 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0 0
203 Besi sirup Btl 0 0
204 Betametason krim 01,1 % Tub 619 619
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 236 236
401 Dapson tablet 100 mg Tab 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 707 707
404 Dekstran 70 - larutan infuse 6% steril Btl 0 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0 0
406 Dekstrometorfan bhr tab 15 mg Tab 0 0
407 Devitalisasi pasta (non arsen ) Btl 0 0
408 Diazepam inj mg / ml- 2 ml Amp 0 0
411 Dietikkarbamazin sitrt tab 100 mg Tab 0 0
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0 0
504 Etakridin (rivanol)larutan 0,1% Btl 46 46
505 Etambutol hcl tab 250 mg Tab 0 0
506 Etanol 70% Btl 27 27
507 Eter anestetik Btl 0 0
509 Eugenol cairan Btl 0 0
601 Fenitoin natrium inj 50 mg / ml Amp 0 0
602 Fenitoin natrium kapsul 100 mg Kap 0 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0 0
605 Fenorbarbital tab 100mg Tab 0 0
606 Fenorbarbital tab 30 mg Tab 0 0
607 Fenoksin metal penisilina tab 250 mg Tab 0 0
608 Fenoksimetil penisilina tab 500 mg Tab 0 0
611 Fitomenadione ( vit k) tab salut 10 mg Tab 2300 2300
612 Fluor tablet 0,5 mg Tab 0 0
613 Furosemide tab 40 mg Tab 4620 4620
701 Gameksan emulsi 1 % Btl 0 0
702 Garam oralit untuk 1000 ml air Sak 0 0
706 Gibenklamid tab 5 mg Tab 0 0
707 Gliseril guayakolat tab 100 mg Tab 4000 4000
708 Gliserin Btl 0 0
709 Glukosa larutan infuse 10 % steril Btl 261 261
711 Glukosa larutan infuse 5% steril Btl 318 318
712 Grisovulvin tab 125 mg, micronized Tab 3965 3965
803 Hidroklorotiazide (hct) tab 25 mg Tab 3000 3000
901 Ibuprofen 200 mg Tab 0 0
902 Iburrofen 400 mg Tab 5000 5000
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0 0
906 Iodal kapsul lunak Kap 0 0
907 Ipela sirup 0,14% Btl 0 0
908 Isoniazid tab 300 mg Tab 0 0
1002 Kalium pemanganat serbuk Btl 0 0
1003 Kalsium hidroksida pasata Tub 0 0
1005 Kapas berlemak 500 gram Bjs 0 0
1007 Karbamazepin tab 200 mg Tab 0 0
1008 Kasa kompres 40/40 steril Rol 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0
1012 Ketamin inj 10 mg/ml Vial 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0
1015 Kloramfenikol salep mata 1 % Tub 115 115
1018 Kloroquin fosfat tab 250 mg Tab 0 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0 0
1023 Klorpromazin tablet 100 mg Tab 0 0
1024 Kodein hcl tablet 10 mg Tab 0 0
1026 Kotrimoksazol pediatric tablet Tab 0 0
1027 Kotrimoksazol suspensi Btl 123 123
1028 Kotrimoksazoldewasa tablet Tab 9100 9100
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0 0
1030 Kuinin sulfat tablet 222mg Tab 0 0
1101 Larutan benedict Btl 0 0
1102 Larutan eosi 2 % Btl 0 0
1103 Larutan etanol asam Btl 0 0
1104 Larutan giemsa stain Btl 0 0
1105 Larutan korban fuksin Btl 0 0
1106 Larutan metilen biru Btl 0 0
1107 Larutan truk Btl 0 0
1108 Lidokain kompositum inj. Amp 791 791
1109 Lisol Btl 45 45
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0 0
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0 0
1204 Mebenazol tablet 100 mg Tab 0 0
1205 Methanol Btl 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 3000 3000
1208 Metrodinazol tablet 250 mg Tab 11895 11895
1209 Monoklorkamfer metol cairan Btl 0 0
1210 Mummifying pasta Btl 0 0
1301 Natrium bikarbonat tablet 500 mg Tab 2000 2000
1302 Natrium fluoresein tetes mata 2% Btl 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 178 178
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0 0
1306 Nistatin 500.000 iu tablet salut Tab 600 600
1307 Obat Antitubekolosiskategori 1 Pkt 0 0
1308 Obat antikulosis kategiri 2 Pkt 0 0
1309 Obat batuk hitam (o.b.h.)cairan Btl 0 0
1310 Oksigen gas dalam lambung Tbg 0 0
1314 Oksitosin inj.10 iu/ml -1ml Amp 0 0
1401 Parafomaldehid tablet 1g tabl 0 0
1405 Pembalut gips Rol 0 0
1406 Perfenazin tablet 16 mg Tab 0 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0 0
1410 Pirantel pamoat tablet 365mg Tab 3000 3000
1411 Piridoksin hcl tablet 10 mg Tab 2000 5000 2000
1412 Plester 5 yard x 2 inci Rol 15 15
1413 Polikresulen Btl 0 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0 0
1415 Prazikuantel tablet 600 mg Tab 0 0
1417 Primakuin tablet 15 mg Tab 0 0
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0 0
1502 Reserpin tablet 0,10 mg Tab 0 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0 0
1505 Repamfisin kaplet 600 mg Kap 0 0
1506 Repamfisin kapsul 300 mg Kap 0 0
1508 Ringel laktat larutan infuse seteril Btl 520 520
1602 Salep 2 -4 kombinasi Pot 0 0
1604 Salisil spritus 10% Btl 0 0
1605 Semen seng fosfat serbuk dan cairan Set 0 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0 0
1612 Silk(benang bedah sutera) no.3/0 Sak 141 141
1613 Silver amalgam serbuk 65 - 75 % Btl 0 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0 0
1617 Sulfadimidin tablet 500 mg Tab 0 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0 0
1701 Tablet tambah darah kombinasi Tab 4300 4300
1702 Temporay stooping fletcher serbuk dan cairan Set 0 0
1703 Tetrakain hcl tetes mata Btl 0 0
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0 0
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0 0
1710 Trikresol formalin (tkf) cairan Btl 0 0
1801 Vaksin rabies vero Set 0 0
1802 Vitamin b kompleks tablet Tab 11000 11000
1904 stesolid 0 0
1905 ketoconazole 5500 5500
1907 Malformin 0 0
1908 Bisopvola 5 mg 0 0
1909 Obat Cacing Sy 0 0
1910 Acycidvir Krim 5 Mg 0 0
1911 Salbutamol Sy 0 0
1912 Diafrom 0 0
1913 Zink Tab 4285 4285
1914 Zink Sy 100 100
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 6157 6157
1921 Ampicillin 250 Mg Buah 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 5400 5400
1923 Antasida Doen syrup Botol 430 430
1924 Bionic Plus DHA Syrup Botol 0 0
1926 Ciprofloxacin 500 Mg Tablet 2170 2170
1927 Eucarbon tablet Botol 0 0
1928 Fercee Capsul Tablet 0 0
1929 Folikateter No 10 Buah 0 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 0 0
1932 H2O2 Larutan Botol 0 0
1933 Haloperidol 5 Mg tablet 0 0
1934 Hunskun 7,5 Cm Buah 2950 2950
1937 Katopril 12,5 Mg Tablet 5015 5015
1938 Katopril 25 Mg Tablet 5790 5790
1939 Milsen Syrup Botol 0 0
1940 Mirabion tablet Tablet 0 0
1941 Myragyl 500 Mg Tablet Tablet 0 0
1942 Needle 23 Buah 0 0
1944 Nifedipin tablet Tablet 0 0
1945 Paramidon Injk Ampul 0 0
1948 Ranitidin Tablet 5920 5920
1951 Stelazin 5 Mg Tablet 0 0
1952 Vicanatal tablet Tablet 0 0
1953 Vidisef Sol Botol 0 0
1954 Vitamin B Complex Inj Vial 0 0
1957 Fungoral zalf 0 0
1958 Flutamol syr 0 0
1959 Axofen syr 0 0
1960 Primpen syr / Donperidone syr 0 0
1961 Neo- Kominal syr 0 0
1962 Zink dispersibel 0 0
1963 Siobion tablet 0 0
1964 Papaverin tab 40 mg 4500 4500
1966 Hustab 0 0
1968 Albenazole 0 0
1971 Stavit 0 0
1972 Masker 5320 5320
1973 Kidikol syr 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 48 48
1977 Ambroxol Sy 0 0
1978 Meloxicam 1500 1500
1980 Omeprazole 1980 1980
1983 Natrium diklopenak 296 296
1985 Pitogin 1099 1099
1987 kertas puyer 0 0
1988 Clorampenicole sy 190 190
1989 Sinvastatin 10 mg 2000 2000
1990 loratadin 2000 2000
1991 Amlodipin 10 mg 1800 1800
1992 ondosetran 160 160
1993 Lemperamid 1990 1990
1994 Filo cateter 16 200 200
1995 Filo cateter 18 200 200
1996 Wing nedle 25 g 1000 1000
1997 Wing nedle 23 g 1000 1000
1998 Pyrantel Sy 200 200
1999 Cepadroxil Sy 200 200
2000 Griromisin Sy 240 240


Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2 0
LEMBAR PERMINTAAN OBAT
LPO)
BULAN 0 3
TAHUN 2 0 1 5

7 8=(6-7) 9 10 11 12 13 14 15 16
0
300 700
100 2177
100 700
0
370 900
4000
120
300
226
0
100 700
40 145
500 3000
35 93
1300 14000
100
129
0
365 500
0
55 0
0
0
1665 11000
0
0
500 410
0
0
0
0
0
0
0
315 304
136 100
0
254 453
1700 18000
0
0
0
0
0
20 592
100 0
0
157 200
0
81 800
8000
0
16 30
0
7 20
0
1 7
0
0
0
0
0
0
0
0
0
40 20
100 0
300 2000
0
1120 3500
0
0
382 6000
10 56
1
0
2000 2000
0
21 240
0
18 300
3965
0
0
3000
14 115
0
1000 4000
25 175
20 322
0
0
0
0
50 400
70 0
0
0
2000 5000
0
35
0
0
0
0
0
0
0
400 600
45 70
49 80
0
0
0
0
0
800 0
0
0
0
0
123 0
2100 7000
0
0
0
0
0
0
0
0
0
791 0
45
0
0
0
0
0
1500 1500
28 60
2895 9000
0
0
1500 500
0
28 150
0
30 70
100 500
0
0
0
0
50 0
38 50
50 50
0
0
15 185
400 1100
6800 4700
0
0
0
0
0
1500 1500
4000 3000
15
0
0
0
0
0
0
500
400
0
0
0
0
0
0
0
80 440
800 1900
0
5 95
0
0
0
0
0
0
0
150 50
51 90
0
0
0
0
0
0
0
2300 2000
0
0
2000
800 400
0
700 3600
0
0
0
0
4000 7000
20 0
20 0
0
0
1000 4500
200 1300
0
0
0
0
0
0
1285 3000
10 90
0
0
0
50 234
60 149
2157 4000
0
1500 3900
180 250
0
200 1100
2170
0
0
0
0
0
0
0
2950
10 35
5
5015
1200 4590
0
0
0
0
0
0
0
5 0
1250 0
520 5400
0
2000 0
0
0
0
0
900
900
0
0
0
0
0
0
0
4500
135
0
0
0
0
1500 1500
0
520 4800
0
0
48
60 40
0
800 700
270
60 1920
22 48
93
196 100
0
1099 0
30 165
0
66 124
2000
250 1750
1800
160
1990
200
200
1000
1000
200
200
240 0
56 220

Bernadetha
Nip. 19590121 198210 2 002
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar

AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 20 20
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 3000 3000
1914 Zink Sy 90 90
1934 Hunskun 7,5 Cm Buah 2950 2950
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1971 Stavit 0 0
1972 Masker 4800 4800
1974 Serbuk PK 0 0
1975 Abocet 18 48 48
1978 Meloxicam 700 700
1985 Pitogin 0 0
1990 loratadin 1750 1750
1991 Amlodipin 10 mg 1800 1800
1994 Filo cateter 16 200 200
1995 Filo cateter 18 200 200
1996 Wing nedle 25 g 1000 1000
1997 Wing nedle 23 g 1000 1000


Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2 0
LPO)
BULAN 0 4
TAHUN 2 0 1 5

7 8=(6-7) 9 10 11 12 13 14 15 16
0
400 300
177 2000
100 600
0
400 500
4000
120
300
226
0
700
47 98
500 2500
15 78
1800 12200
100
129 0
0
300 200
0
0
0
0
900 10100
0
0
410 0
0
0
0
0
0
0
0
190 114
52 48
0 0
125 328
1900 16200
0
0
0
0
0
25 567
0
0
51 149
0
50 750
8000
0
5 25
0
4 16
0
1 6
0
0
0
0
0
0
0
0
0
20 0
0
600 1400
0
600 2900
0
0
100 5900
56
1
0
2000 0
0
40 200
0
20 280
3965
0
0
3000
33 178
0
1500 2500
15 160
25 297
0
0
0
0
400
0
0
0
2000 3000
0
35
0
0
0
0
0
0
0
600 0
70 0
80 0
0
0
0
0
0
0
0
0
0
0
0
500 6500
0
0
0
0
0
0
0
0
0
0
45
0
0
0
0
0
1500 0
60
1800 7200
0
0
500 0
0
20 130
0
40 30
300 200
0
0
0
0
0
50 0
50 0
0
0
5 180
200 900
3700 1100
0
0
0
0
0
810 690
1000 7000
15
0
0
0
0
0
0
500
400
0
0
0
0
0
0
0
20 420
300 1700
0
5 90
0
0
0
0
0
0
0
50 0
18 72
0
0
0
0
0
0
0
1780 220
0
0
200 1800
400 0
0
800 2800
0
0
0
0
4000 3000
0
0
0
0
300 4200
100 1200
0
0
0
0
0
0
600 2400
1 89
0
0
0
134 100
29 120
200 3800
0
1000 2900
90 160
0
200 900
2170
0
0
0
0
0
0
0
2950
5 30
5
500 4515
1500 3090
0
0
0
0
0
0
0
0
0
800 4600
0
0
0
0
0
0
900
900
0
0
0
0
0
0
0
4500
135
0
0
0
0
400 1100
0
500 4300
0
0
48
40 0
0
600 100
270
60 1860
48
21 72
100 0
0
0
16 149
0
124
2000
800 950
1800
20 140
290 1700
200
200
1000
1000
200
200
0
56 202

Bernadetha
Nip. 19590121 198210 2 002
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar

AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 16 16
804 Hidrokortison krim 2,5 % Tab 178 178
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 2400 2400
1914 Zink Sy 89 89
1934 Hunskun 7,5 Cm Buah 2950 2950
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1971 Stavit 0 0
1972 Masker 4300 4300
1974 Serbuk PK 0 0
1975 Abocet 18 48 48
1985 Pitogin 0 0
1990 loratadin 950 950
1991 Amlodipin 10 mg 1800 1800
1994 Filo cateter 16 200 200
1995 Filo cateter 18 200 200
1996 Wing nedle 25 g 1000 1000
1997 Wing nedle 23 g 1000 1000


Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2
PO)
BULAN 0 5
TAHUN 2 0 1 5

7 8=(6-7) 9 10 11 12 13 14 15 16
0 0
100 200 200 500
100 1900 1900 5000
600 600 3000
0 0 5000
200 300 300 5000
4000 4000 5000
120 120
300 300
4 222 222
0 0
700 700
11 87 87
200 2300 2300
23 55 55
1700 10500 10500
100 0 0
0 0
0 0
200 0 0
0 0
0 0
0 0
0 0
300 9800 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
39 75 75
25 23 23
0 0
128 200 200
700 15600 15600
0 0
0 0
0 0
0 0
0 0
567 567
0 0
0 0
149 149
0 0
750 750
8000 8000
0 0
2 23 23
0 0
5 11 11
0 0
6 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 1100 1100
0 0
500 2400 2400
0 0
0 0
100 5800 5800
56 56
1 1
0 0
0 0
0 0
20 180 180
0 0
20 260 260
65 3900 3900
0 0
0 0
3000 3000
10 168 168
0 0
1000 1500 1500
2 158 158
7 290 290
0 0
0 0
0 0
0 0
400 400
0 0
0 0
0 0
2000 1000 1000
0 0
10 25 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 5000
0 0 500
0 0 10000
0 0
0 0
0 0
0 0
0 0
0 0 5000
0 0
0 0
0 0
0 0 5000
700 5800 5800 10000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 1000
45 45 100
0 0
0 0
0 0
0 0
0 0
0 0 10000
60 60 200
7200 7200 5000
0 0
0 0
0 0 10000
0 0
30 100 100 200
0 0
30 0 0 1000
200 200 5000
0 0
0 0
0 0
0 0
0 0 500
0 0 500
0 0 500
0 0 500
0 0
5 175 175 200
0 900 900 500
300 900 900 10000
0 0
0 0
0 0
0 0
0 0
690 690 5000
1000 11000 11000
15 15 50
0 0
0 0
0 0
0 0 10000
0 0 10000
0 0
500 500 5000
400 400 5000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
80 340 0 500
400 1400 1400 5000
0 0 500
90 90 500
0 0
0 0
0 0 30
0 0 30
0 0
0 0 30
0 0 30
0 0 500
72 72 500
0 0
0 0
0 0
0 0
0 0
0 0 500
0 0
220 220 10000
0 0
0 0
1800 1800 5000
0 0 5000
0 0
2800 2800 10000
0 0
0 0
0 0
0 0
1000 2000 2000 10000
0 0
0 0
0 0
0 0
4200 4200 5000
100 1100 1100 5000
0 0 5000
0 0 5000
0 0 50
0 0 500
0 0 50
0 0 5000
2400 2400 5000
89 89 500
0 0
0 0
0 0
15 85 85 500
20 100 100 500
200 3600 3600 10000
0 0
400 2500 2500 10000
45 115 115 500
0 0
900 900 5000
370 1800 1800 10000
0 0
0 0
0 0 50
0 0 50
0 0 1000
0 0 100
0 0 1000
750 2200 750 5000
30 30 500
5 5 20
515 4000 4000 5000
590 2500 2500 8000
0 0
0 0 5000
0 0
0 0 500
0 0 500
0 0 5000
0 0 500
0 0 50
0 0 5000
4600 4600 5000
0 0 5000
0 0 10000
0 0
0 0
0 0
0 0 500
900 900
900 900
0 0
0 0 200
0 0 200
0 0 200
0 0 200
0 0
0 0 10000
4500 4500 5000
135 135 500
0 0 5000
0 0 500
0 0
0 0 200
1100 1100 10000
0 0 5000
200 4100 4100 5000
0 0 200
0 0
48 48 500
0 0 200
0 0 200
100 100 5000
270 270
60 1800 1800 5000
48 48 200
72 72 500
0 0 10000
0 0
0 0 5000
149 149 300
0 0 500
124 124 300
400 1600 1600 5000
150 800 800 5000
90 1710 1710 5000
5 135 135 500
1700 1700 5000
200 200 500
200 200 500
1000 1000
1000 1000
200
14 186 186 300
0 0 300
34 206 206 200

Bernadetha
Nip. 19590121 198210 2 002
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar

AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
403 Deksametason tablet 0,5 mg Tab 15600 15600
506 Etanol 70% Btl 11 11
1404 Parasetamol 500 mg tabl 900 900
1601 Salbutamol tablet 2 mg Tab 1400 1400
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 2400 2400
1914 Zink Sy 89 89
1934 Hunskun 7,5 Cm Buah 2200 2200
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1971 Stavit 0 0
1972 Masker 4100 4100
1974 Serbuk PK 0 0
1975 Abocet 18 48 48
1985 Pitogin 0 0
1991 Amlodipin 10 mg 1710 1710
1994 Filo cateter 16 200 200
1995 Filo cateter 18 200 200
1996 Wing nedle 25 g 1000 1000
1997 Wing nedle 23 g 1000 1000
2001 Domperidon Drpfs Drof 206 206


Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2
PO)
BULAN 0 5
TAHUN 2 0 1 5

7 8=(6-7) 9 10 11 12 13 14 15 16
0
200
1900
600
0
300
4000
120
300
222
0
700
87
2300
55
10500
0
0
0
0
0
0
0
0
9800
0
0
0
0
0
0
0
0
0
0
75
23
0
200
15600
0
0
0
0
0
567
0
0
149
0
750
8000
0
23
0
11
0
6
0
0
0
0
0
0
0
0
0
0
0
1100
0
2400
0
0
5800
56
1
0
0
0
180
0
260
3900
0
0
3000
168
0
1500
158
290
0
0
0
0
400
0
0
0
1000
0
25
0
0
0
0
0
0
0
0
0 5000
0 500
0 10000
0
0
0
0
0
0 5000
0
0
0
0 5000
5800 10000
0
0
0
0
0
0
0
0
0
0 1000
45 100
0
0
0
0
0
0 10000
60 200
7200 5000
0
0
0 10000
0
100 200
0
0 1000
200 5000
0
0
0
0
0 500
0 500
0 500
0 500
0
175 200
900 500
900 10000
0
0
0
0
0
690 5000
11000
15 50
0
0
0
0 10000
0 10000
0
500 5000
400 5000
0
0
0
0
0
0
0
340 500
1400 5000
0 500
90 500
0
0
0 30
0 30
0
0 30
0 30
0 500
72 500
0
0
0
0
0
0 500
0
220 10000
0
0
1800 5000
0 5000
0
2800 10000
0
0
0
0
2000 10000
0
0
0
0
4200 5000
1100 5000
0 5000
0 5000
0 50
0 500
0 50
0 5000
2400 5000
89 500
0
0
0
85 500
100 500
3600 10000
0
2500 10000
115 500
0
900 5000
1800 10000
0
0
0 50
0 50
0 1000
0 100
0 1000
2200 5000
30 500
5 20
4000 5000
2500 8000
0
0 5000
0
0 500
0 500
0 5000
0 500
0 50
0 5000
4600 5000
0 5000
0 10000
0
0
0
0 500
900
900
0
0 200
0 200
0 200
0 200
0
0 10000
4500 5000
135 500
0 5000
0 500
0
0 200
1100 10000
0 5000
4100 5000
0 200
0
48 500
0 200
0 200
100 5000
270
1800 5000
48 200
72 500
0 10000
0
0 5000
149 300
0 500
124 300
1600 5000
800 5000
1710 5000
135 500
1700 5000
200 500
200 500
1000
1000
200
186 300
0 300
206 200

Bernadetha
Nip. 19590121 198210 2 002
LAPORAN PEMAKAIAN DAN LEMB
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
Jan
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 3000 3000
107 Aminofilin tablet 200 mg Tab 0
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 0
109 Amitriptilin hcl tablet salut 25 m g Tab 0
112 Ampisisilin kapsul 500 Kap 0
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 0
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0
117 Antibakteri done salep kombinasi Tab 0
118 Antihemoroid doen kombinasi Sup 0
120 Antimigrain done kombinasi Tab 0
123 Aqua proinjeksi steril, bebas piriogen Amp 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 0
410 Diazepam tablet 5 mg Tab 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 0
413 Digonksin tab 0,25 mg Tab 0
504 Etakridin (rivanol)larutan 0,1% Btl 0
506 Etanol 70% Btl 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 0
704 Gentian violet larutan 1 % Btl 0
705 Glass lonomer cement (gx ix) Set 0
708 Gliserin Btl 0
711 Glukosa larutan infuse 5% steril Btl 0
902 Iburrofen 400 mg Tab 0
903 Infusion set anak Set 0
904 Infusion set dewasa Set 0
1001 Jarum jahit (bedah ) no.9-14 Biji 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 0
1014 Kloramfenikol kapsul 250 mg Kap 0
1016 Kloramfenikol tetes telinga 3 % Btl 0
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 0
1108 Lidokain kompositum inj. Amp 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 0
1305 Nistatin 100.000 iu/g tablet vagina Tab 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 0
1312 Oksitetrasiklin hcl salep 3% Tub 0
1313 Oksitetrasiklin hcl salep mata Tub 0
1410 Pirantel pamoat tablet 365mg Tab 0
1411 Piridoksin hcl tablet 10 mg /B 6 Tab 9000 9000
1416 Prednisone tablet 5 mg Tab 0
1419 Propitiourasil tablet 100 mg Tab 0
1508 Ringal raktat larutan infuse seteril Btl 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 0
1705 Tetrasiklin hcl kapsul 500 mg Kap 0
1802 Vitamin b kompleks tablet Tab 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1906 domperidone Tab 0
1907 Malformin 4900 4900
1912 Diafrom 0
1913 Zink Tab 5300 5300
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1917 Ternik Plus Sy 0
1918 Abocart No.22 G Buah 0
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 0
1925 Cimetidin 200 Mg Tablet 0
1934 Hunskun 7,5 Cm Buah 4600 4600
1935 Kapas Pembalut Absorben 500 gr Rol 0
1946 Pehacain Injk Ampul 0
1947 Piroxicam capsul Tablet 0
1949 Scopma tablet Tablet 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 0
1955 Wing Needel 23 Buah 0
1958 Flutamol syr 0
1959 Axofen syr 0
1964 Papaverin tab 40 mg 0
1965 Papaverin Inj. 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1976 domperidone sy 0
1977 Domperidone Sy 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1980 Erytromior sy 0
1982 envios sy 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 1650 1650
1991 Amlodipin 10 mg 1620 1620
1992 ondosetran 0
1994 Filo cateter 16 0
1996 Wing nedle 25 g 0
1998 Pyrantel Sy 0
2001 Simvastatin 4300 4300
2002 Puralex 3000 3000
2003 Erytromicin 120 120
2004 Cefadroxil 250mg 2800 2800
2004 Zirkum Sy 289 289
Mengetahui /menyetujui Yang Menyerahkan

Kepala DinKes Kab. Landak Kepala Instalasi farmasi
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979
DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
BULAN 0 1
TAHUN 2 0 1 5
PEMA- SISA STOCK PERMIN- PEMBERIAN

7 8=(6-7) 9 10 11 12 13 14 15
0
700
3000
1300
0
200 1700
0
0
0
145
0
0
0
700 1600
0
13100
0
0
0
0
0
0
0
0
1100 10500
0
0
0
0
0
0
0
0
0
0
75
108
0
0
2000 15600
0
0
0
0
0
110 557
0
0
0
0
1250
3000
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
6
0
700
0
400 2000
0
0
5100
0
0
0
1000
0
240
0
0
5700
0
0
1000
20 120
0
0
0
0
0
0
0
0
900
0
0
0
0
0
1 20
0
0
0
0
0
0
0
0
120
0
0
0
0
0
0
0
0
0
0
0
40 250
600 14300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
700
0
500 9800
0
0
11000
0
0
0
0
600
0
0
0
0
0
0
0
0
0
30 360
5900
1600 8500
0
0
0
0
0
0
9000
25
0
0
0
0
5000
0
0
500
0
0
0
0
0
0
0
0
200 2200
0
270
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
9000
0
0
1200
0
0
1000 9000
0
0
0
0
0
30
1 19
0
0
0
0
4900
0
0
0
0
0
5300
0
0
0
0
0
90
0
0
200 6100
350
0
0
300 4100
0
0
0
100
0
0
0
4600
0
12
500 7500
300 6200
0
0
0
0
0
0
0
0
0
1400 5600
0
0
0
0
0
0
0
900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
90 2670
0
24 120
450 1050
900 1100
0
20 280
0
2 27
200 1450
30 1590
0
200 2900
0
0
0
0
0
40 180
13 227
100 4200
1500 1500
120
2800
289
Sompak, 10 November 2015

Plt. Kepala Puskesmas Petugas Gudang
Anti, SKM Kristianus Yanto, A.Md.Kl

Nip. 1979058 2003121 1 003 Nip. 19860602 201001 1012
KET
16
LAPORAN PEMAKAIAN DAN LEMB
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
Jan
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1205 Methanol Btl 0
1411 Piridoksin hcl tablet 10 mg /B 6 Tab 9000 9000
1901 Yodium povidon larutan 10 % 30 ml Btl 30 8 38
1903 Bioplang gel 0
1904 stesolid 0
1907 Malformin 4900 4900
1912 Diafrom 0
1913 Zink Tab 5000 5000
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1934 Hunskun 7,5 Cm Buah 4600 4600
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 1450 1450
1991 Amlodipin 10 mg 1590 1590
1992 ondosetran 0
1998 Pyrantel Sy 0
2002 Puralex 1500 1500
2004 Cefadroxil 250mg 2800 2800
2004 Zirkum Sy 289 289


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979
(LPLPO)
BULAN 0 1
TAHUN 2 0 1 5
PEMA- SISA STOCK PERMIN- PEMBERIAN

7 8=(6-7) 9 10 11 12 13 14 15
0
700
3000
1300
0
1700
0
0
0
145
0
0
0
500 1100
0
13100
0
0
0
0
0
0
0
0
1300 9200
0
0
0
0
0
0
0
0
0
0
25 50
108
0
0
300 15300
0
0
0
0
0
557
0
0
0
0
1250
3000
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
6
0
2100
0
2000
0
0
5100
0
0
0
1000
0
140 100
0
240
5700
0
0
1000
48 72
0
0
150
80
0
0
0
0
900
0
0
0
0
0
5 15
0
0
0
0
0
0
0
0
72 48
0
1250
0
0
0
0
0
0
0
0
0
50 200
300 14000
0
0
0
0
0
0
0
0
0
0
43
0
0
0
0
0
700
0
300 9500
0
0
2000 9000
0
0
0
0
600
0
0
0
0
0
0
0
0
0
360
5900
2200 6300
0
0
0
0
0
2600
1000 8000
1 24
0
0
0
0
5000
0
0
500
0
0
0
0
0
0
0
0
400 1800
0
15 255
0
0
0
0
0
0
0
0
48
0
0
0
0
0
0
0
9000
0
0
1200
0
0
1400 7600
0
0
0
0
0
38
19
0
0
1100
0
600 4300
0
0
25
0
0
5000
0
0
0
0
0
90
0
0
1800 4300
350
0
1100
400 3700
0
0
0
100
10
0
0
4600
0
5 7
400 7100
6200
0
0
0
0
0
0
0
0
0
200 5400
0
0
0
0
0
0
0
900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
120 2550
0
60 60
1050
1100
0
280
0
27
350 1100
1590
0
100 2800
0
0
0
0
0
4 176
227
400 3800
1000 500
120
2800
289

Anti, SKM Kristianus Yanto, A.Md.Kl

Nip. 1979058 2003121 1 003 Nip. 19860602 201001 1012
KET
16
KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
OKTOBER
STOCK
AWAL
1 2 3 4 1
102 Alat suntik sekali pakai 1 ml/ 1cc Set 700
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 3000
104 Alat suntik sekali pakai 5 ml Set 1300
106 Alopurinol tablet 100 mg Tab 1700
110 Amoksisilin sirup kering 125 mg/ ml Btl 145
114 Antalgin (metampiron) tablet 500 mg Tab 1600
116 Antasida done tablet, kombinasi Tab 13100
204 Betametason krim 01,1 % Tub 75
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 108
403 Deksametason tablet 0,5 mg Tab 15600
501 Efedrin hcl tab 25 mg Tab 1250
502 Ekstrak belladone tab 10 mg Tab 3000
508 Etil kloroda semprot Btl 1
609 Fenol gliserol tetes telinga 10 % Btl 6
611 Fitomenadione ( vit k) tab salut 10 mg Tab 700
613 Furosemide tab 40 mg Tab 2000
707 Gliseril guayakolat tab 100 mg Tab 1000
708 Gliserin Btl 0
712 Grisovulvin tab 125 mg, micronized Tab 5700
803 Hidroklorotiazide (hct) tab 25 mg Tab 1000
804 Hidrokortison krim 2,5 % Tab 120
909 Isosorbit dinitrat tab subiungual 5 mg Tab 900
1006 Kapas pembalut Bks 20
1015 Kloramfenikol salep mata 1 % Tub 120
1027 Kotrimoksazol suspensi Btl 250
1028 Kotrimoksazoldewasa tablet Tab 14300
1109 Lisol Btl 43
1205 Methanol Btl 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 700
1208 Metrodinazol tablet 250 mg Tab 9800
1301 Natrium bikarbonat tablet 500 mg Tab 11000
1306 Nistatin 500.000 iu tablet salut Tab 600
1402 Parasetamol sirup 120 mg/ 5ml Btl 360
1403 Parasetamol tablet 100 mg Tab 5900
1404 Parasetamol 500 mg tabl 8500
1411 Piridoksin hcl tablet 10 mg Tab 9000
1412 Plester 5 yard x 2 inci Rol 25
1420 Propanolol hcl tablet 40 mg Tab 500
1601 Salbutamol tablet 2 mg Tab 2200
1603 Salisil bedak 2 % Ktk 270
1612 Silk(benang bedah sutera) no.3/0 Sak 48
1701 Tablet tambah darah kombinasi Tab 9000
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 9000
1901 Yodium povidon larutan 10 % 30 ml Btl 30
1903 Bioplang gel 0
1904 stesolid 0
1907 Metformin 4900
1910 Bacatracin 25
1912 Diafrom 0
1913 Zink Tab 5000
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Eucarbon tablet 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 6100
1923 Antasida Doen syrup Botol 350
1926 Ciprofloxacin 500 Mg Tablet 4100
1934 Handscoon 7,5 Cm Buah 4600
1937 Katopril 12,5 Mg Tablet 7500
1938 Katopril 25 Mg Tablet 6200
1948 Ranitidin Tablet 5600
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 2670
1982 envios sy 0
1983 Miconazole salf 120
1984 Natrium diklopenak 1050
1985 ketoconazole 1100
1986 Pitogin 0
1987 Ibuprofen sy 280
1988 kertas puyer 0
1989 Clorampenicole sy 27
1990 loratadin 1450
1991 Amlodipin 10 mg 1590
1992 ondosetran 0
1993 Lemperamid 2900
1998 Pyrantel Sy 0
1999 Cepadroxil Sy 180
2000 Domperidon Drpfs Drof 227
2001 Simvastatin 4200
2002 Puralex 1500
2003 Erytromicin 120
2004 Cefadroxil 250mg 2800
2005 Zirkum Sy 289
Nip. 19590417 198610 2 001 Nip.
BULAN 1 0
TAHUN 2 0 1 5
2 3 4 5 6 7 8 9 10
15
100
300
100
1
10
100
1
200
10
200
1
200
5 10
1
200
30
10
Bernadetha
Nip. 19590121 198210 2 002
OKTOBER
TANGGAL
11 12 13 14 15 16 17 18 19
100
100
200
100
100 100
200
100
1 1
200
1
100
200
1000
100 200 1400
200
100
100
100
100
100 100
5
100
100
10
1
100
100
100 200
150
200 100
150
100
10
100
enerima
Gudang
20 21 22 23 24 25 26 27 28
30
200
10 13
200 200
400 300 500 300 200
100 300
300 800
250
100
300 200 100
200 200
24
1 2 1 1
250
10 13 25 15
300
100
200 300
100
20 10 9 5
200 600 600 300
100 300
1000
3 3 1
300 200
200
100 200 200
1
40
200 200 200 100

5 11 14
300 300
100
300 200 100
300 300
200 40
10 2
200 100
100 200 150
10 8 17
7 5 5
60
100 100
9
20
100
4 6
10 6
JUMLAH SISA
PENGELUARAN STOK
29 30 31
0 0
0 700
130 2870
0 1300
0 0
200 1500
0 0
0 0
0 0
43 102
0 0
0 0
0 0
600 1000
0 0
400 2600 10500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 10000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 25 50
0 108
0 0
0 0
1400 14200
0 0
0 0
0 0
0 0
0 0
0 557
0 0
0 0
0 0
0 0
250 1000
0 3000
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 0
100 600
0 0
200 1800
0 0
0 0
600 4500
0 0
0 0
0 0
0 1000
0 0
0 240
0 0
0 240
400 5300
0 0
0 0
0 1000
24 96
0 0
0 0
0 150
0 80
0 0
0 0
0 0
0 0
100 800
0 0
0 0
0 0
0 0
0 0
8 12
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
19 24 96
0 0
250 1000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
73 177
600 13700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 41
0 0
0 0
0 0
0 0
0 0
200 500
0 0
900 8900
0 0
0 0
1000 10000
0 0
0 0
0 0
100 -100
0 600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
59 301
0 5900
3600 4900
0 0
0 0
0 0
0 0
0 0
600 2000
1000 8000
7 18
0 0
0 0
0 0
0 0
500 4500
0 0
0 0
100 400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 1900
0 0
0 270
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 48
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 9000
0 0
0 0
0 1200
0 0
0 0
600 8400
0 0
0 0
0 0
0 0
0 0
0 30
2 17
0 0
0 0
450 650
0 0
0 4900
0 0
0 0
0 25
0 0
0 0
100 4900
0 0
0 0
0 0
0 0
0 0
40 50
0 0
0 0
1100 5000
50 300
0 0
100 1000
700 3400
0 0
0 0
0 0
0 100
10 0
0 0
0 0
100 4500
0 0
3 9
100 7400
700 5500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
900 4700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
390 2280
0 0
12 108
800 250
450 650
0 0
35 245
0 0
17 10
150 1300
90 1500
0 0
300 2600
0 0
0 0
0 0
0 0
9 -9
20 160
10 217
0 4200
200 1300
10 110
0 2800
26 263
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
NAMA PUSKESMAS : Sompak BULAN 1 0

KECAMATAN : sompak TAHUN 2 0 1 5
KABUPATEN : landak
PROVINSI : Kal-Bar
STOCK PENERI- PERSE- PEMA- SISA STOCK PERMIN- PEMBERIAN KET

AWAL MAAN DIAAN KAIAN STOCK OPT TAAN INPRES ASKES APBD LAIN JML
1 2 3 4 5 6= (4+5) 7 8=(6-7) 9 10 11 12 13 14 15 16
101 Air raksa detal use Btl 0 0 0 0
102 Alat suntik sekali pakai 1 ml Set 700 700 0 700
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 3000 3000 130 2870
105 Albendazol tablet 400 mg Tab 0 0 0 0
106 Alopurinol tablet 100 mg Tab 1700 1700 200 1500
107 Aminofilin tablet 200 mg Tab 0 0 0 0
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 0 0 0 0 50
109 Amitriptilin hcl tablet salut 25 m g Tab 0 0 0 0
110 Amoksisilin sirup kering 125 mg/ ml Btl 145 145 43 102 100
111 Amoksisilin kapsul 250 Kap 0 0 0 0
112 Ampisisilin kapsul 500 Kap 0 0 0 0
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 0 0 0 0 50
114 Antalgin (metampiron) tablet 500 mg Tab 1100 1100 600 500 5000
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0 0 200
116 Antasida done tablet, kombinasi Tab 13100 13100 2600 10500 2000
117 Antibakteri done salep kombinasi Tab 0 0 0 0
118 Antihemoroid doen kombinasi Sup 0 0 0 0
119 Antifungsi done kombinasi Pot 0 0 0 0
120 Antimigrain done kombinasi Tab 0 0 0 0
121 Antiparkinson done tablet kombinasi Tab 0 0 0 0
123 Aqua proinjeksi steril, bebas piriogen Amp 0 0 0 0
124 Aquadest seteril Btl 0 0 0 0
125 Asam askrobat (vit. C) tablet 250 mg Tab 0 0 0 0
126 Asam askrobat (vit. C) tablet 50 mg Tab 9200 9200 500 8700 5000
127 Asam klorida 0,1 % Btl 0 0 0 0
128 Asam sulfasalisilat 20% Btl 0 0 0 0
129 Asetosal tablet 100 mg Tab 0 0 0 0
130 Asetosal tablet 500 mg Tab 0 0 0 0 500
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0 0 0 0
132 Atropin sulfat tablet 0,5 mg Tab 0 0 0 0
133 Atropine sulfat tetes mata 0,5% Btl 0 0 0 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0 0 0 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0 0 0 0
203 Besi sirup Btl 0 0 0 0
204 Betametason krim 01,1 % Tub 50 50 25 25 100
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 108 108 0 108
401 Dapson tablet 100 mg Tab 0 0 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 0 0 0 0 200
403 Deksametason tablet 0,5 mg Tab 15300 15300 1400 13900
404 Dekstran 70 - larutan infuse 6% steril Btl 0 0 0 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0 0 0 0
406 Dekstrometorfan bhr tab 15 mg Tab 0 0 0 0
407 Devitalisasi pasta (non arsen ) Btl 0 0 0 0
408 Diazepam inj mg / ml- 2 ml Amp 0 0 0 0
409 Diazepam tablet 2 mg Tab 557 557 0 557
411 Dietikkarbamazin sitrt tab 100 mg Tab 0 0 0 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 0 0 0 0 100
413 Digonksin tab 0,25 mg Tab 0 0 0 0
501 Efedrin hcl tab 25 mg Tab 1250 1250 250 1000
502 Ekstrak belladone tab 10 mg Tab 3000 3000 0 3000 2000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0 0 0 0 50
504 Etakridin (rivanol)larutan 0,1% Btl 0 0 0 0 50
505 Etambutol hcl tab 250 mg Tab 0 0 0 0 1000
506 Etanol 70% Btl 0 0 0 0 50
507 Eter anestetik Btl 0 0 0 0
508 Etil kloroda semprot Btl 1 1 0 1 12
509 Eugenol cairan Btl 0 0 0 0
601 Fenitoin natrium inj 50 mg / ml Amp 0 0 0 0
602 Fenitoin natrium kapsul 100 mg Kap 0 0 0 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0 0 0 0
605 Fenorbarbital tab 100mg Tab 0 0 0 0
606 Fenorbarbital tab 30 mg Tab 0 0 0 0
607 Fenoksin metal penisilina tab 250 mg Tab 0 0 0 0
608 Fenoksimetil penisilina tab 500 mg Tab 0 0 0 0
609 Fenol gliserol tetes telinga 10 % Btl 6 6 0 6
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 0 0 0 0 48
611 Fitomenadione ( vit k) tab salut 10 mg Tab 2100 2100 100 2000 2000
612 Fluor tablet 0,5 mg Tab 0 0 0 0
613 Furosemide tab 40 mg Tab 2000 2000 200 1800 2000
701 Gameksan emulsi 1 % Btl 0 0 0 0
702 Garam oralit untuk 1000 ml air Sak 0 0 0 0
704 Gentian violet larutan 1 % Btl 0 0 0 0 50
705 Glass lonomer cement (gx ix) Set 0 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0 0
707 Gliseril guayakolat tab 100 mg Tab 1000 1000 0 1000 5000
708 Gliserin Btl 0 0 0 0
709 Glukosa larutan infuse 10 % steril Btl 100 100 0 100
711 Glukosa larutan infuse 5% steril Btl 240 240 0 240
712 Grisovulvin tab 125 mg, micronized Tab 5700 5700 400 5300
801 Haloperidol tab 0,5 mg Tab 0 0 0 0
803 Hidroklorotiazide (hct) tab 25 mg Tab 1000 1000 0 1000 2000
804 Hidrokortison krim 2,5 % Tab 72 72 24 48 50
901 Ibuprofen 200 mg Tab 0 0 0 0
902 Iburrofen 400 mg Tab 0 0 0 0 10000
903 Infusion set anak Set 150 150 0 150
904 Infusion set dewasa Set 80 80 0 80 50
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0 0 0 0
906 Iodal kapsul lunak Kap 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0
908 Isoniazid tab 300 mg Tab 0 0 0 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 900 900 100 800
1001 Jarum jahit (bedah ) no.9-14 Biji 0 0 0 0
1002 Kalium pemanganat serbuk Btl 0 0 0 0
1003 Kalsium hidroksida pasata Tub 0 0 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 0 0 0 0 5000
1005 Kapas berlemak 500 gram Bjs 0 0 0 0
1006 Kapas pembalut Bks 15 15 8 7 20
1007 Karbamazepin tab 200 mg Tab 0 0 0 0
1008 Kasa kompres 40/40 steril Rol 0 0 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0 0 0
1010 Kasa pembalut hidrofil 4 m x 15 cm Rol 0 0 0 0
1011 Kasa pembalut hidrofil 4 m x 3 cm Rol 0 0 0 0 200
1012 Ketamin inj 10 mg/ml Vial 0 0 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0 0 0
1014 Kloramfenikol kapsul 250 mg Kap 0 0 0 0
1015 Kloramfenikol salep mata 1 % Tub 48 48 24 24 48
1016 Kloramfenikol tetes telinga 3 % Btl 0 0 0 0 48
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 1250 1250 250 1000 5000
1018 Kloroquin fosfat tab 250 mg Tab 0 0 0 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0 0 0 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0 0 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0 0 0 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0 0
1023 Klorpromazin tablet 100 mg Tab 0 0 0 0
1024 Kodein hcl tablet 10 mg Tab 0 0 0 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 0 0 0 0
1026 Kotrimoksazol pediatric tablet Tab 0 0 0 0
1027 Kotrimoksazol suspensi Btl 200 200 73 127 100
1028 Kotrimoksazoldewasa tablet Tab 14000 14000 600 13400
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0 0 0 0
1030 Kuinin sulfat tablet 222mg Tab 0 0 0 0
1101 Larutan benedict Btl 0 0 0 0
1102 Larutan eosi 2 % Btl 0 0 0 0
1103 Larutan etanol asam Btl 0 0 0 0
1104 Larutan giemsa stain Btl 0 0 0 0
1105 Larutan korban fuksin Btl 0 0 0 0
1106 Larutan metilen biru Btl 0 0 0 0
1107 Larutan truk Btl 0 0 0 0
1108 Lidokain kompositum inj. Amp 0 0 0 0 200
1109 Lisol Btl 43 43 2 41
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0 0 0 0
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0 0 0 0
1204 Mebenazol tablet 100 mg Tab 0 0 0 0
1205 Methanol Btl 0 0 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 700 700 200 500 500
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 9500 9500 900 8600
1209 Monoklorkamfer metol cairan Btl 0 0 0 0
1210 Mummifying pasta Btl 0 0 0 0
1301 Natrium bikarbonat tablet 500 mg Tab 9000 9000 1000 8000
1302 Natrium fluoresein tetes mata 2% Btl 0 0 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 0 0 0 0
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0 0 0 0
1305 Nistatin 100.000 iu/g tablet vagina Tab 0 0 0
1306 Nistatin 500.000 iu tablet salut Tab 600 600 100 500 1000
1307 Obat Antitubekolosiskategori 1 Pkt 0 0 0 0
1308 Obat antikulosis kategiri 2 Pkt 0 0 0 0
1309 Obat batuk hitam (o.b.h.)cairan Btl 0 0 0 0 50
1310 Oksigen gas dalam lambung Tbg 0 0 0 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 0 0 0 0
1312 Oksitetrasiklin hcl salep 3% Tub 0 0 0 0 100
1313 Oksitetrasiklin hcl salep mata Tub 0 0 0 0 50
1314 Oksitosin inj.10 iu/ml -1ml Amp 0 0 0 0
1401 Parafomaldehid tablet 1g tabl 0 0 0 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 360 360 59 301 50
1403 Parasetamol tablet 100 mg Tab 5900 5900 0 5900
1404 Parasetamol 500 mg tabl 6300 6300 3600 2700 10000
1405 Pembalut gips Rol 0 0 0 0
1406 Perfenazin tablet 16 mg Tab 0 0 0 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0 0 0 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0 0 0 0
1410 Pirantel pamoat tablet 365mg Tab 2600 2600 600 2000 500
1411 Piridoksin hcl tablet 10 mg Tab 8000 8000 1000 7000 2000
1412 Plester 5 yard x 2 inci Rol 24 24 7 17 12
1413 Polikresulen Btl 0 0 0 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0 0 0 0
1415 Prazikuantel tablet 600 mg Tab 0 0 0 0
1416 Prednisone tablet 5 mg Tab 0 0 0 0 5000
1417 Primakuin tablet 15 mg Tab 5000 5000 500 4500
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0 0 0
1419 Propitiourasil tablet 100 mg Tab 0 0 0 0
1420 Propanolol hcl tablet 40 mg Tab 500 500 100 400 200
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0 0 0 0
1502 Reserpin tablet 0,10 mg Tab 0 0 0 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0 0 0 0
1505 Repamfisin kaplet 600 mg Kap 0 0 0 0
1506 Repamfisin kapsul 300 mg Kap 0 0 0 0
1508 Ringal raktat larutan infuse seteril Btl 0 0 0 0 100
1601 Salbutamol tablet 2 mg Tab 1800 1800 300 1500 2000
1602 Salep 2 -4 kombinasi Pot 0 0 0 0
1603 Salisil bedak 2 % Ktk 255 255 0 255
1604 Salisil spritus 10% Btl 0 0 0 0
1605 Semen seng fosfat serbuk dan cairan Set 0 0 0 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0 0 0 0 50
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0 0 0 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0 0 0 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0 0 0 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0 0 0 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 0 0 0 0 200
1612 Silk(benang bedah sutera) no.3/0 Sak 48 48 0 48
1613 Silver amalgam serbuk 65 - 75 % Btl 0 0 0 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0 0 0 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0 0 0 0
1617 Sulfadimidin tablet 500 mg Tab 0 0 0 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0 0 0 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0 0 0 0
1701 Tablet tambah darah kombinasi Tab 9000 9000 0 9000 3000
1702 Temporay stooping fletcher serbuk dan cairan Set 0 0 0 0
1703 Tetrakain hcl tetes mata Btl 0 0 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 1200 1200 400 800
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0 0 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 7600 7600 600 7000
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0 0 0 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0 0 0 0
1710 Trikresol formalin (tkf) cairan Btl 0 0 0 0
1801 Vaksin rabies vero Set 0 0 0 0
1802 Vitamin b kompleks tablet Tab 0 0 0 0 10000
1901 Yodium povidon larutan 10 % 30 ml Btl 38 38 0 38
1902 Yodium povidon larutan 10 % 300 ml Btl 19 19 2 17 10
1903 Bioplang gel 0 0 0 0 50
1904 stesolid 0 0 0 0
1905 ketoconazole 1100 1100 450 650
1906 domperidone Tab 0 0 0 0
1907 Malformin 4300 4300 0 4300
1908 Bisopvola 5 mg 0 0 0 0
1909 Obat Cacing Sy 0 0 0 0
1910 Acycidvir Krim 5 Mg 25 25 0 25
1911 Salbutamol Sy 0 0 0 0
1912 Diafrom 0 0 0 0 5000
1913 Zink Tab 5000 5000 100 4900 2000
1914 Zink Sy 0 0 0 0 100
1915 Prenase Tab 0 0 0 0 5000
1916 Seltyfort Sy 0 0 0 0 100
1917 Ternik Plus Sy 0 0 0 0 100
1918 Abocart No.22 G Buah 0 0 0 0 50
1919 Abocart No.24 G Buah 90 90 40 50 100
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 0 0 0 0 10000
1921 Ampicillin 250 Mg Buah 0 0 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 4300 4300 1100 3200 5000
1923 Antasida Doen syrup Botol 350 350 50 300
1924 Bionic Plus DHA Syrup Botol 0 0 0 0 50
1925 Cimetidin 200 Mg Tablet 1100 1100 100 1000 3000
1926 Ciprofloxacin 500 Mg Tablet 3700 3700 700 3000 2000
1927 Eucarbon tablet Botol 0 0 0 0
1928 Fercee Capsul Tablet 0 0 0 0
1929 Folikateter No 10 Buah 0 0 0 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 10 10 10 0
1932 H2O2 Larutan Botol 0 0 0 0
1933 Haloperidol 5 Mg tablet 0 0 0 0
1934 Hunskun 7,5 Cm Buah 4600 4600 100 4500
1935 Kapas Pembalut Absorben 500 gr Rol 0 0 0 0
1937 Katopril 12,5 Mg Tablet 7100 7100 100 7000 2000
1938 Katopril 25 Mg Tablet 6200 6200 700 5500 2000
1939 Milsen Syrup Botol 0 0 0 0 50
1940 Mirabion tablet Tablet 0 0 0 0 2000
1941 Myragyl 500 Mg Tablet Tablet 0 0 0 0 2000
1942 Needle 23 Buah 0 0 0 0 100
1943 Needle 25 Buah 0 0 0 0 100
1944 Nifedipin tablet Tablet 0 0 0 0
1945 Paramidon Injk Ampul 0 0 0 0 10
1946 Pehacain Injk Ampul 0 0 0 0
1947 Piroxicam capsul Tablet 0 0 0 0 5000
1948 Ranitidin Tablet 5400 5400 900 4500 2000
1949 Scopma tablet Tablet 0 0 0 0 5000
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 0 0 0 0
1951 Stelazin 5 Mg Tablet 0 0 0 0
1952 Vicanatal tablet Tablet 0 0 0 0 2000
1953 Vidisef Sol Botol 0 0 0 0
1954 Vitamin B Complex Inj Vial 0 0 0 0
1955 Wing Needel 23 Buah 0 0 0 0
1956 Wing Needel 25 Buah 900 900 100 800
1957 Fungoral zalf 0 0 0 0
1958 Flutamol syr 0 0 0 0
1959 Axofen syr 0 0 0 0
1960 Primpen syr / Donperidone syr 0 0 0 0
1961 Neo- Kominal syr 0 0 0 0
1962 Zink dispersibel 0 0 0 0
1963 Siobion tablet 0 0 0 0 5000
1964 Papaverin tab 40 mg 0 0 0 0 3000
1965 Papaverin Inj. 0 0 0 0 50
1966 Hustab 0 0 0 0
1967 Erlamicetin 0 0 0 0
1968 Albenazole 0 0 0 0
1970 Cefadroxil 0 0 0 0 5000
1971 Stavit 0 0 0 0 3000
1972 Masker 0 0 0 0
1973 Kidikol syr 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1976 domperidone sy 0 0 0 0
1977 Domperidone Sy 0 0 0 0
1978 Ambroxol Sy 0 0 0 0
1979 Meloxicam 0 0 0 0 5000
1980 Erytromior sy 0 0 0 0
1981 Omeprazole 2550 2550 390 2160 3000
1982 envios sy 0 0 0 0 50
1983 Miconazole salf 60 60 12 48 50
1984 Natrium diklopenak 1050 1050 800 250 3000
1985 ketoconazole 1100 1100 450 650 2000
1986 Pitogin 0 0 0 0 50
1987 Ibuprofen sy 280 280 35 245
1988 kertas puyer 0 0 0 0 1000
1989 Clorampenicole sy 27 27 17 10 50
1990 loratadin 1100 1100 150 950 3000
1991 Amlodipin 10 mg 1590 1590 90 1500
1992 ondosetran 0 0 0 0
1993 Lemperamid 2800 2800 300 2500 500
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 0 0 9 -9
1999 Cepadroxil Sy 176 176 20 156
2000 Domperidon Drpfs Drof 227 227 10 217
2001 Simvastatin 3800 3800 0 3800
2002 Puralex 500 500 200 300
2003 Erytromicin 120 120 10 110
2004 Cefadroxil 250mg 2800 2800 0 2800
2004 Zirkum Sy 289 289 26 263

Mengetahui /menyetujui Yang Menyerahkan yang Melapor Yang menerima
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Plt. Kepala Puskesmas Petugas Gudang
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt Anti, SKM Kristianus Yanto, A.Md.Kl
Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip. 19860602 201001 1012
(LPLPO)
NAMA PUSKESMAS : Sompak BULAN

KECAMATAN : sompak TAHUN
KABUPATEN : landak
PROVINSI : Kal-Bar
NOVEMBER
STOCK
AWAL
1 2 i 4 1 2 3 4 5 6
102 Alat suntik sekali pakai 1 ml Btl 700
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Btl 2870
105 Albendazol tablet 400 mg Btl 0
106 Alopurinol tablet 100 mg Btl 1500
107 Aminofilin tablet 200 mg Btl 0
108 Aminofilin injeksi 24 mg/ml -10 ml Btl 0
109 Amitriptilin hcl tablet salut 25 m g Btl 0
111 Amoksisilin kapsul 250 Btl 0
112 Ampisisilin kapsul 500 Btl 0
114 Antalgin (metampiron) tablet 500 mg Btl 500
115 Antalgin injeksi 250 mg/ml-2 ml Btl 0
116 Antasida done tablet, kombinasi Btl 10500
117 Antibakteri done salep kombinasi Btl 0
118 Antihemoroid doen kombinasi Btl 0
119 Antifungsi done kombinasi Btl 0
120 Antimigrain done kombinasi Btl 0
121 Antiparkinson done tablet kombinasi Btl 0
123 Aqua proinjeksi steril, bebas piriogen Btl 0
125 Asam askrobat (vit. C) tablet 250 mg Btl 0
129 Asetosal tablet 100 mg Btl 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Btl 0
132 Atropin sulfat tablet 0,5 mg Btl 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Btl 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Btl 0
204 Betametason krim 01,1 % Btl 25
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Btl 108
401 Dapson tablet 100 mg Btl 0
102 Deksametason inj 5 mg/ ml- 1ml Btl 0
403 Deksametason tablet 0,5 mg Btl 13900
406 Dekstrometorfan bhr tab 15 mg Btl 0
408 Diazepam inj mg / ml- 2 ml Btl 0
409 Diazepam tablet 2 mg Btl 557
411 Dietikkarbamazin sitrt tab 100 mg Btl 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Btl 0
413 Digonksin tab 0,25 mg Btl 0
501 Efedrin hcl tab 25 mg Btl 1000
502 Ekstrak belladone tab 10 mg Btl 3000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Btl 0
505 Etambutol hcl tab 250 mg Btl 0
601 Fenitoin natrium inj 50 mg / ml Btl 0
602 Fenitoin natrium kapsul 100 mg Btl 0
604 Fenorbarbital inj 50 mg /ml- 2ml Btl 0
605 Fenorbarbital tab 100mg Btl 0
606 Fenorbarbital tab 30 mg Btl 0
607 Fenoksin metal penisilina tab 250 mg Btl 0
608 Fenoksimetil penisilina tab 500 mg Btl 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Btl 0
611 Fitomenadione ( vit k) tab salut 10 mg Btl 2000
612 Fluor tablet 0,5 mg Btl 0
613 Furosemide tab 40 mg Btl 1800
702 Garam oralit untuk 1000 ml air Btl 0
705 Glass lonomer cement (gx ix) Btl 0
706 Gibenklamid tab 5 mg Btl 0
707 Gliseril guayakolat tab 100 mg Btl 1000
708 Gliserin Btl 0
712 Grisovulvin tab 125 mg, micronized Btl 5300
801 Haloperidol tab 0,5 mg Btl 0
803 Hidroklorotiazide (hct) tab 25 mg Btl 1000
804 Hidrokortison krim 2,5 % Btl 48
901 Ibuprofen 200 mg Btl 0
902 Iburrofen 400 mg Btl 0
903 Infusion set anak Btl 150
904 Infusion set dewasa Btl 80
905 Insulin regular inj 40 iu/ ml - 10 ml Btl 0
906 Iodal kapsul lunak Btl 0
908 Isoniazid tab 300 mg Btl 0
909 Isosorbit dinitrat tab subiungual 5 mg Btl 800
1001 Jarum jahit (bedah ) no.9-14 Btl 0
1003 Kalsium hidroksida pasata Btl 0
1004 Kalsium laktat (klak ) tab 500 mg Btl 0
1005 Kapas berlemak 500 gram Btl 0
1006 Kapas pembalut Btl 7
1007 Karbamazepin tab 200 mg Btl 0
1008 Kasa kompres 40/40 steril Btl 0
1009 Kasa pembalut 2 m x 80 cm Btl 0
1010 Kasa pembalut hidrofil 4 m x 15 cm Btl 0
1012 Ketamin inj 10 mg/ml Btl 0
1013 Klofazimin kapsul 100 mg,micronnized Btl 0
1014 Kloramfenikol kapsul 250 mg Btl 0
1015 Kloramfenikol salep mata 1 % Btl 24
1017 Klorfenniramin meleat (ctm ) tab 4 mg Btl 1000
1018 Kloroquin fosfat tab 250 mg Btl 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Btl 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Btl 0
1021 Klorpromazin hcl tanlet salut 100 mg Btl 0
1022 Klorpromazin hcl tablet salut 25 mg Btl 0
1023 Klorpromazin tablet 100 mg Btl 0
1024 Kodein hcl tablet 10 mg Btl 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Btl 0
1026 Kotrimoksazol pediatric tablet Btl 0
1028 Kotrimoksazoldewasa tablet Btl 13400
1029 Kuinin dhidriklorida inj. 25%- 2 ml Btl 0
1030 Kuinin sulfat tablet 222mg Btl 0
1108 Lidokain kompositum inj. Btl 0
1109 Lisol Btl 41
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Btl 0
1204 Mebenazol tablet 100 mg Btl 0
1205 Methanol Btl 0
1206 Metilergometrin maleat tablet salut 0,125 mg Btl 500
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Btl 0
1208 Metrodinazol tablet 250 mg Btl 8600
1301 Natrium bikarbonat tablet 500 mg Btl 8000
1304 Natrium tiosulfat inj. 25%- 10 ml Btl 0
1305 Nistatin 100.000 iu/g tablet vagina Btl 0
1306 Nistatin 500.000 iu tablet salut Btl 500
1307 Obat Antitubekolosiskategori 1 Btl 0
1308 Obat antikulosis kategiri 2 Btl 0
1310 Oksigen gas dalam lambung Btl 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Btl 0
1312 Oksitetrasiklin hcl salep 3% Btl 0
1313 Oksitetrasiklin hcl salep mata Btl 0
1314 Oksitosin inj.10 iu/ml -1ml Btl 0
1401 Parafomaldehid tablet 1g Btl 0
1403 Parasetamol tablet 100 mg Btl 5900
1404 Parasetamol 500 mg Btl 2700
1405 Pembalut gips Btl 0
1406 Perfenazin tablet 16 mg Btl 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Btl 0
1410 Pirantel pamoat tablet 365mg Btl 2000
1411 Piridoksin hcl tablet 10 mg/ B 6 Btl 7000
1412 Plester 5 yard x 2 inci Btl 17
1415 Prazikuantel tablet 600 mg Btl 0
1416 Prednisone tablet 5 mg Btl 0
1417 Primakuin tablet 15 mg Btl 4500
1418 Prokain benzil penisilin 3 juta iu/vial inj. Btl 0
1419 Propitiourasil tablet 100 mg Btl 0
1420 Propanolol hcl tablet 40 mg Btl 400
1501 Rabiess immune globulin (human ) 150 iu/ ml Btl 0
1502 Reserpin tablet 0,10 mg Btl 0
1504 Retinol (vit. A) kapsul 200.000 iu Btl 0
1505 Repamfisin kaplet 600 mg Btl 0
1506 Repamfisin kapsul 300 mg Btl 0
1601 Salbutamol tablet 2 mg Btl 1500
1602 Salep 2 -4 kombinasi Btl 0
1603 Salisil bedak 2 % Btl 255
1605 Semen seng fosfat serbuk dan cairan Btl 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Btl 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Btl 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Btl 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Btl 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Btl 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Btl 0
1612 Silk(benang bedah sutera) no.3/0 Btl 48
1614 Spons getalin cubicle cubiclese 1x1x1 cm Btl 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Btl 0
1617 Sulfadimidin tablet 500 mg Btl 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Btl 0
1701 Tablet tambah darah kombinasi Btl 9000
1702 Temporay stooping fletcher serbuk dan cairan Btl 0
1704 Tetrasiklin hcl kapsul 250 mg Btl 800
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Btl 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Btl 7000
1708 Tipental natrium serbuk inj.1000mg/ amp Btl 0
1709 Triheksifendil hidroklorida tablet 2 mg Btl 0
1801 Vaksin rabies vero Btl 0
1802 Vitamin b kompleks tablet Btl 0
1903 Bioplang gel Btl 0
1904 stesolid Btl 0
1905 ketoconazole Btl 650
1906 domperidone Tab Btl 0
1907 Metformin Btl 4300
1908 Bisopvola 5 mg Btl 0
1909 Obat Cacing Sy Btl 0
1910 Acycidvir Krim 5 Mg Btl 25
1911 Salbutamol Sy Btl 0
1912 Diafrom Btl 0
1913 Zink Tab Btl 4900
1914 Zink Sy Btl 0
1915 Prenase Tab Btl 0
1916 Seltyfort Sy Btl 0
1917 Ternik Plus Sy Btl 0
1918 Abocart No.22 G Btl
1919 Abocart No.24 G Btl 50
1920 Amoxcillin / Hufanoxil 500 Mg Btl 0
1921 Ampicillin 250 Mg Btl 0
1922 Asam Mefenamat 500 Mg / Pehastan Btl 3200
1923 Antasida Doen syrup Btl 300
1924 Bionic Plus DHA Syrup Btl 0
1925 Cimetidin 200 Mg Btl 1000
1926 Ciprofloxacin 500 Mg Btl 3000
1927 Eucarbon tablet Btl 0
1928 Fercee Capsul Btl 0
1929 Folikateter No 10 Btl 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Btl 0
1932 H2O2 Larutan Btl 0
1933 Haloperidol 5 Mg Btl 0
1934 Hunskun 7,5 Cm Btl 4500
1935 Kapas Pembalut Absorben 500 gr Btl 0
1937 Katopril 12,5 Mg Btl 7000
1938 Katopril 25 Mg Btl 5500
1939 Milsen Syrup Btl 0
1940 Mirabion tablet Btl 0
1941 Myragyl 500 Mg Tablet Btl 0
1942 Needle 23 Btl 0
1944 Nifedipin tablet Btl 0
1945 Paramidon Injk Btl 0
1946 Pehacain Injk Btl 0
1947 Piroxicam capsul Btl 0
1948 Ranitidin Btl 4500
1949 Scopma tablet Btl 0
1950 Sianokobalamin (Vit.B12 ) Tablet Btl 0
1951 Stelazin 5 Mg Btl 0
1952 Vicanatal tablet Btl 0
1953 Vidisef Sol Btl 0
1954 Vitamin B Complex Inj Btl 0
1955 Wing Needel 23 Btl 0
1957 Fungoral zalf Btl 0
1958 Flutamol syr Btl 0
1959 Axofen syr Btl 0
1960 Primpen syr / Donperidone syr Btl 0
1961 Neo- Kominal syr Btl 0
1962 Zink dispersibel Btl 0
1963 Siobion tablet Btl 0
1964 Papaverin tab 40 mg Btl 0
1965 Papaverin Inj. Btl 0
1966 Hustab Btl 0
1967 Erlamicetin Btl 0
1968 Albenazole Btl 0
1970 Cefadroxil Btl 0
1971 Stavit Btl 0
1972 Masker Btl 0
1973 Kidikol syr Btl 0
1974 Serbuk PK Btl 0
1975 Abocet 18 Btl 0
1976 domperidone sy Btl 0
1977 Domperidone Sy Btl 0
1978 Ambroxol Sy Btl 0
1979 Meloxicam Btl 0
1980 Erytromior sy Btl 0
1981 Omeprazole Btl 2160
1982 envios sy Btl 0
1983 Miconazole salf Btl 48
1984 Natrium diklopenak Btl 250
1986 Pitogin Btl 0
1987 Ibuprofen sy Btl 245
1988 kertas puyer Btl 0
1989 Clorampenicole sy Btl 10
1990 loratadin Btl 950
1991 Amlodipin 10 mg Btl 1500
1992 ondosetran Btl 0
1993 Lemperamid Btl 2500
1994 Filo cateter 16 Btl 0
1996 Wing nedle 25 g Btl 0
1998 Pyrantel Sy Btl -9
1999 Cepadroxil Sy Btl 156
2000 Domperidon Drpfs Btl 217
2001 Simvastatin Btl 3800
2002 Puralex Btl 300
2003 Erytromicin Btl 110
2004 Cefadroxil 250mg Btl 2800
2005 Zirkum Sy Btl 263


Nip. 19590417 198610 2 001 Nip. Nip. 19590121 198210 2 002
NTAAN OBAT
1 1
2 0 1 5
NOVEMBER
TANGGAL
7 8 9 10 11 12 13 14 15 16 17 18 19 20
70 100 100
700 100 200

200
1 5 6
1
1000
50
80
1
400 200
10 5
400 200 100
2 1 1
20 20
200
3000 330
300 300
100
50 10
200 300
400 200
6
500 200
100
1
200 100
200 100 200
200
60
250
150
60
50
400
Yang menerima
Petugas Gudang
JUMLAH SISA
PENGELUARAN STOK
21 22 23 24 25 26 27 28 29 30 31
0 0
0 700
100 100 200 50 50 770 2100
0 1300
0 0
100 100 1400
0 0
0 0
0 0
20 20 30 10 88 14
0 0
0 0
0 0
0 500
0 0
200 100 1300 9200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 100 300 8400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 25
10 2 5 17 91
0 0
0 0
200 100 500 13400
0 0
0 0
0 0
0 0
0 0
12 545
0 0
0 0
0 0
0 0
250 250 750
0 3000
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 0
0 2000
0 0
200 200 200 600 1200
0 0
0 0
100 100 200 4300
0 0
0 0
0 0
1000 0
0 0
0 100
0 0
1 1 239
100 100 100 300 5000
0 0
0 0
0 1000
0 48
0 0
0 0
50 100
80 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
1 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 24
0 0
1000 1000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 5 10 117
400 200 1200 12200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 40
0 0
0 0
0 0
0 0
0 0
0 500
0 0
0 8600
0 0
0 0
0 8000
0 0
0 0
0 0
0 0
0 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 35 266
0 5900
200 900 1800
0 0
0 0
0 0
0 0
0 0
100 100 100 300 1700
1000 1000 6000
1 1 1 7 10
0 0
0 0
0 0
0 0
200 100 300 4200
0 0
0 0
0 400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 19 60 -60
100 300 1200
0 0
5 5 5 20 235
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 2 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 3630 5370
0 0
0 0
0 800
0 0
0 0
200 800 6200
0 0
0 0
0 0
0 0
0 0
0 38
1 1 1 3 14
0 0
0 0
0 650
0 0
200 200 4100
0 0
0 0
0 25
0 0
0 0
100 100 4800
0 0
0 0
0 0
0 0
100 -100
60 -10
500 1000 -1000
0 0
100 700 2500
5 11 289
0 0
700 300
200 200 2800
0 0
0 0
0 0
10 5 3 23 77
0 0
0 0
0 0
100 200 4300
0 0
1 3
100 400 6600
100 600 4900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 300 4200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 60 180 1980
0 0
0 48
250 0
0 650
0 0
10 10 235
0 0
0 10
50 200 750
30 90 1410
0 0
100 100 2400
0 0
0 0
0 0
0 0
6 6 -15
5 5 151
10 5 15 202
200 100 300 3500
50 250
0 110
100 100 600 2200
3 5 8 255
selisih 300 tab
selisih 1500 pcs
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar

1 2 3 4 5 6= (4+5) 7 8=(6-7) 9 10 11 12 13 14 15 16
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 0 0 0 0
110 Amoksisilin sirup kering 125 mg/ ml Btl 102 102 88 14
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 0 0 0 0
114 Antalgin (metampiron) tablet 500 mg Tab 500 500 0 500
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0 0
116 Antasida done tablet, kombinasi Tab 10500 10500 1300 9200
204 Betametason krim 01,1 % Tub 25 25 0 25
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ ch Sak 108 108 17 91
102 Deksametason inj 5 mg/ ml- 1ml Amp 0 0 0 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 0 0 0 0
502 Ekstrak belladone tab 10 mg Tab 3000 3000 0 3000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% Amp 0 0 0 0
504 Etakridin (rivanol)larutan 0,1% Btl 0 0 0 0
505 Etambutol hcl tab 250 mg Tab 0 0 0 0
506 Etanol 70% Btl 0 0 0 0
508 Etil kloroda semprot Btl 1 1 1 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 0 0 0 0
611 Fitomenadione ( vit k) tab salut 10 mg Tab 2000 2000 0 2000
613 Furosemide tab 40 mg Tab 1800 1800 600 1200
704 Gentian violet larutan 1 % Btl 0 0 0 0
707 Gliseril guayakolat tab 100 mg Tab 1000 1000 1000 0
803 Hidroklorotiazide (hct) tab 25 mg Tab 1000 1000 0 1000
804 Hidrokortison krim 2,5 % Tab 48 48 0 48
902 Iburrofen 400 mg Tab 0 0 0 0
904 Infusion set dewasa Set 80 80 80 0
907 Ipela sirup 0,14% Btl 0 0 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 0 0 0 0
1006 Kapas pembalut Bks 7 7 1 6
1015 Kloramfenikol salep mata 1 % Tub 24 24 0 24
1016 Kloramfenikol tetes telinga 3 % Btl 0 0 0 0
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 1000 1000 1000 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin Tab 0 0 0 0
1027 Kotrimoksazol suspensi Btl 127 127 10 117
1108 Lidokain kompositum inj. Amp 0 0 0 0
1109 Lisol Btl 41 41 1 40
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 500 500 0 500
1305 Nistatin 100.000 iu/g tablet vagina Tab 0 0 0 0
1306 Nistatin 500.000 iu tablet salut Tab 500 500 0 500
1309 Obat batuk hitam (o.b.h.)cairan Btl 0 0 0 0
1312 Oksitetrasiklin hcl salep 3% Tub 0 0 0 0
1313 Oksitetrasiklin hcl salep mata Tub 0 0 0 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 301 301 35 266
1404 Parasetamol 500 mg tabl 2700 2700 900 1800
1410 Pirantel pamoat tablet 365mg Tab 2000 2000 300 1700
1411 Piridoksin hcl tablet 10 mg Tab 7000 7000 1000 6000
1412 Plester 5 yard x 2 inci Rol 17 17 7 10
1416 Prednisone tablet 5 mg Tab 0 0 0 0
1420 Propanolol hcl tablet 40 mg Tab 400 400 0 400
1601 Salbutamol tablet 2 mg Tab 1500 1500 300 1200
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0 0 0 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu i Vial 0 0 0 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 0 0 0 0
1701 Tablet tambah darah kombinasi Tab 9000 9000 3630 5370
1702 Temporay stooping fletcher serbuk dan caira Set 0 0 0 0
1802 Vitamin b kompleks tablet Tab 0 0 0 0
1903 Bioplang gel 0 0 0 0
1904 stesolid 0 0 0 0
1905 ketoconazole 650 650 0 650
1907 Malformin 4300 4300 200 4100
1912 Diafrom 0 0 0 0
1913 Zink Tab 4900 4900 100 4800
1914 Zink Sy 0 0 0 0
1915 Prenase Tab 0 0 0 0
1916 Seltyfort Sy 0 0 0 0
1917 Ternik Plus Sy 0 0 0 0
1918 Abocart No.22 G Buah 0 100 100 100 0
1919 Abocart No.24 G Buah 50 50 100 60 40
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 3200 3200 700 2500
1924 Bionic Plus DHA Syrup Botol 0 0 0 0
1925 Cimetidin 200 Mg Tablet 1000 1000 700 300
1926 Ciprofloxacin 500 Mg Tablet 3000 3000 200 2800
1934 Hunskun 7,5 Cm Buah 4500 4500 200 4300
1937 Katopril 12,5 Mg Tablet 7000 7000 400 6600
1938 Katopril 25 Mg Tablet 5500 5500 600 4900
1939 Milsen Syrup Botol 0 0 0 0
1940 Mirabion tablet Tablet 0 0 0 0
1941 Myragyl 500 Mg Tablet Tablet 0 0 0 0
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1945 Paramidon Injk Ampul 0 0 0 0
1947 Piroxicam capsul Tablet 0 0 0 0
1948 Ranitidin Tablet 4500 4500 300 4200
1949 Scopma tablet Tablet 0 0 0 0
1952 Vicanatal tablet Tablet 0 0 0 0
1956 Wing Needel 25 Buah 800 800 0 800
1959 Axofen syr 0 0 0 0
1963 Siobion tablet 0 0 0 0
1964 Papaverin tab 40 mg 0 0 0 0
1965 Papaverin Inj. 0 0 0 0
1966 Hustab 0 0 0 0
1970 Cefadroxil 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1979 Meloxicam 0 0 0 0
1981 Omeprazole 2160 2160 180 1980
1982 envios sy 0 0 0 0
1983 Miconazole salf 48 48 0 48
1984 Natrium diklopenak 250 250 250 0
1985 ketoconazole 650 650 0 650
1986 Pitogin 0 0 0 0
1987 Ibuprofen sy 245 245 10 235
1988 kertas puyer 0 0 0 0
1989 Clorampenicole sy 10 10 0 10
1990 loratadin 950 950 200 750
1991 Amlodipin 10 mg 1500 1500 90 1410
1993 Lemperamid 2500 2500 100 2400
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy -9 -9 6 -15
1999 Cepadroxil Sy 156 156 5 151
2000 Domperidon Drpfs 217 217 15 202
2001 Simvastatin 3800 3800 300 3500
2002 Puralex 300 300 50 250
2003 Erytromicin 110 110 0 110
2004 Cefadroxil 250mg 2800 2800 600 2200
2005 Zirkum Sy 263 263 8 255
Sompak, 01 Desember 2015

Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas Petugas Gudang
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt ANTI. SKM YUSTARIUS, A.Md Gizi
Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
LAPORAN PEMAKAIAN DAN LEMBA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
DES
STOCK
AWAL
1 2 3 4 1 2
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Btl 2100
104 Alat suntik sekali pakai 5 ml Btl 1300 100
105 Albendazol tablet 400 mg Btl 0
106 Alopurinol tablet 100 mg Btl 1400
107 Aminofilin tablet 200 mg Btl 0
108 Aminofilin injeksi 24 mg/ml -10 ml Btl 0
109 Amitriptilin hcl tablet salut 25 m g Btl 0
111 Amoksisilin kapsul 250 Btl 0
112 Ampisisilin kapsul 500 Btl 0
114 Antalgin (metampiron) tablet 500 mg Btl 500
115 Antalgin injeksi 250 mg/ml-2 ml Btl 0
116 Antasida done tablet, kombinasi Btl 9200 100 100
117 Antibakteri done salep kombinasi Btl 0
118 Antihemoroid doen kombinasi Btl 0
119 Antifungsi done kombinasi Btl 0
120 Antimigrain done kombinasi Btl 0
121 Antiparkinson done tablet kombinasi Btl 0
123 Aqua proinjeksi steril, bebas piriogen Btl 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Btl 0
132 Atropin sulfat tablet 0,5 mg Btl 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Btl 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Btl 0
204 Betametason krim 01,1 % Btl 25
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Btl 91
401 Dapson tablet 100 mg Btl 0
102 Deksametason inj 5 mg/ ml- 1ml Btl 0
403 Deksametason tablet 0,5 mg Btl 13400 100 100
406 Dekstrometorfan bhr tab 15 mg Btl 0
408 Diazepam inj mg / ml- 2 ml Btl 0
411 Dietikkarbamazin sitrt tab 100 mg Btl 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Btl 0
413 Digonksin tab 0,25 mg Btl 0
501 Efedrin hcl tab 25 mg Btl 750
502 Ekstrak belladone tab 10 mg Btl 3000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Btl 0
505 Etambutol hcl tab 250 mg Btl 0
601 Fenitoin natrium inj 50 mg / ml Btl 0
604 Fenorbarbital inj 50 mg /ml- 2ml Btl 0
605 Fenorbarbital tab 100mg Btl 0
606 Fenorbarbital tab 30 mg Btl 0
607 Fenoksin metal penisilina tab 250 mg Btl 0
608 Fenoksimetil penisilina tab 500 mg Btl 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Btl 0
611 Fitomenadione ( vit k) tab salut 10 mg Btl 2000
612 Fluor tablet 0,5 mg Btl 0
613 Furosemide tab 40 mg Btl 1200
703 Garam oralit untuk 200 ml air Btl 4300 100 100
705 Glass lonomer cement (gx ix) Btl 0
706 Gibenklamid tab 5 mg Btl 0
707 Gliseril guayakolat tab 100 mg Btl 0
708 Gliserin Btl 0
712 Grisovulvin tab 125 mg, micronized Btl 5000 100 100
803 Hidroklorotiazide (hct) tab 25 mg Btl 1000
804 Hidrokortison krim 2,5 % Btl 48 5 5
901 Ibuprofen 200 mg Btl 0
902 Iburrofen 400 mg Btl 0
903 Infusion set anak Btl 100
904 Infusion set dewasa Btl 0
905 Insulin regular inj 40 iu/ ml - 10 ml Btl 0
906 Iodal kapsul lunak Btl 0
908 Isoniazid tab 300 mg Btl 0
909 Isosorbit dinitrat tab subiungual 5 mg Btl 800
1001 Jarum jahit (bedah ) no.9-14 Btl 0
1003 Kalsium hidroksida pasata Btl 0
1004 Kalsium laktat (klak ) tab 500 mg Btl 0
1005 Kapas berlemak 500 gram Btl 0
1006 Kapas pembalut Btl 6 1
1007 Karbamazepin tab 200 mg Btl 0
1008 Kasa kompres 40/40 steril Btl 0
1009 Kasa pembalut 2 m x 80 cm Btl 0
1012 Ketamin inj 10 mg/ml Btl 0
1013 Klofazimin kapsul 100 mg,micronnized Btl 0
1014 Kloramfenikol kapsul 250 mg Btl 0
1015 Kloramfenikol salep mata 1 % Btl 24
1017 Klorfenniramin meleat (ctm ) tab 4 mg Btl 0
1018 Kloroquin fosfat tab 250 mg Btl 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Btl 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Btl 0
1021 Klorpromazin hcl tanlet salut 100 mg Btl 0
1022 Klorpromazin hcl tablet salut 25 mg Btl 0
1023 Klorpromazin tablet 100 mg Btl 0
1024 Kodein hcl tablet 10 mg Btl 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Btl 0
1026 Kotrimoksazol pediatric tablet Btl 0
1028 Kotrimoksazoldewasa tablet Btl 12200 100 100
1029 Kuinin dhidriklorida inj. 25%- 2 ml Btl 0
1030 Kuinin sulfat tablet 222mg Btl 0
1108 Lidokain kompositum inj. Btl 0
1109 Lisol Btl 40
1204 Mebenazol tablet 100 mg Btl 0
1205 Methanol Btl 0
1206 Metilergometrin maleat tablet salut 0,125 mg Btl 500
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Btl 0
1208 Metrodinazol tablet 250 mg Btl 8600 100 100
1301 Natrium bikarbonat tablet 500 mg Btl 8000
1304 Natrium tiosulfat inj. 25%- 10 ml Btl 0
1305 Nistatin 100.000 iu/g tablet vagina Btl 0
1306 Nistatin 500.000 iu tablet salut Btl 500
1307 Obat Antitubekolosiskategori 1 Btl 0
1308 Obat antikulosis kategiri 2 Btl 0
1310 Oksigen gas dalam lambung Btl 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Btl 0
1312 Oksitetrasiklin hcl salep 3% Btl 0
1313 Oksitetrasiklin hcl salep mata Btl 0
1314 Oksitosin inj.10 iu/ml -1ml Btl 0
1401 Parafomaldehid tablet 1g Btl 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 266 5 5
1403 Parasetamol tablet 100 mg Btl 5900
1404 Parasetamol 500 mg Btl 1800 300
1405 Pembalut gips Btl 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Btl 0
1410 Pirantel pamoat tablet 365mg Btl 1700 100 100
1411 Piridoksin hcl tablet 10 mg/ B 6 Btl 6000
1412 Plester 5 yard x 2 inci Btl 12
1415 Prazikuantel tablet 600 mg Btl 0
1416 Prednisone tablet 5 mg Btl 0
1417 Primakuin tablet 15 mg Btl 4200
1418 Prokain benzil penisilin 3 juta iu/vial inj. Btl 0
1419 Propitiourasil tablet 100 mg Btl 0
1420 Propanolol hcl tablet 40 mg Btl 400
1501 Rabiess immune globulin (human ) 150 iu/ ml Btl 0
1504 Retinol (vit. A) kapsul 200.000 iu Btl 0
1505 Repamfisin kaplet 600 mg Btl 0
1601 Salbutamol tablet 2 mg Btl 1200
1602 Salep 2 -4 kombinasi Btl 0
1603 Salisil bedak 2 % Btl 235
1605 Semen seng fosfat serbuk dan cairan Btl 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Btl 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Btl 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Btl 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Btl 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Btl 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Btl 0
1612 Silk(benang bedah sutera) no.3/0 Btl 46
1614 Spons getalin cubicle cubiclese 1x1x1 cm Btl 0
1617 Sulfadimidin tablet 500 mg Btl 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Btl 0
1701 Tablet tambah darah kombinasi Btl 5370
1702 Temporay stooping fletcher serbuk dan cairan Btl 0
1704 Tetrasiklin hcl kapsul 250 mg Btl 800 100
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Btl 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Btl 6200 100 100
1708 Tipental natrium serbuk inj.1000mg/ amp Btl 0
1709 Triheksifendil hidroklorida tablet 2 mg Btl 0
1801 Vaksin rabies vero Btl 0
1802 Vitamin b kompleks tablet Btl 0
1903 Bioplang gel Btl 0
1904 stesolid Btl 0
1906 domperidone Tab Btl 0
1907 Metformin Btl 4100
1908 Bisopvola 5 mg Btl 0
1909 Obat Cacing Sy Btl 0
1910 Acycidvir Krim 5 Mg Btl 25
1911 Salbutamol Sy Btl 0
1912 Diafrom Btl 0
1913 Zink Tab Btl 4800
1914 Zink Sy Btl 0
1915 Prenase Tab Btl 0
1916 Seltyfort Sy Btl 0
1917 Ternik Plus Sy Btl 0
1920 Amoxcillin / Hufanoxil 500 Mg Btl 9000 100 100
1921 Ampicillin 250 Mg Btl 0
1922 Asam Mefenamat 500 Mg / Pehastan Btl 2500
1923 Antasida Doen syrup Btl 289 5 5
1924 Bionic Plus DHA Syrup Btl 0
1925 Cimetidin 200 Mg Btl 300
1926 Ciprofloxacin 500 Mg Btl 2800 100 100
1927 Eucarbon tablet Btl 0
1928 Fercee Capsul Btl 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Btl 0
1932 H2O2 Larutan Btl 0
1933 Haloperidol 5 Mg Btl 0
1934 Hunskun 7,5 Cm Btl 4300 100 100
1935 Kapas Pembalut Absorben 500 gr Btl 0
1937 Katopril 12,5 Mg Btl 6600 100 100
1938 Katopril 25 Mg Btl 4900
1939 Milsen Syrup Btl 0
1940 Mirabion tablet Btl 0
1941 Myragyl 500 Mg Tablet Btl 0
1944 Nifedipin tablet Btl 0
1945 Paramidon Injk Btl 0
1946 Pehacain Injk Btl 0
1947 Piroxicam capsul Btl 0
1948 Ranitidin Btl 4200 100 100
1949 Scopma tablet Btl 0
1950 Sianokobalamin (Vit.B12 ) Tablet Btl 0
1951 Stelazin 5 Mg Btl 0
1952 Vicanatal tablet Btl 0
1953 Vidisef Sol Btl 0
1954 Vitamin B Complex Inj Btl 0
1957 Fungoral zalf Btl 0
1959 Axofen syr Btl 0
1960 Primpen syr / Donperidone syr Btl 0
1961 Neo- Kominal syr Btl 0
1962 Zink dispersibel Btl 0
1963 Siobion tablet Btl 0
1964 Papaverin tab 40 mg Btl 0
1965 Papaverin Inj. Btl 0
1966 Hustab Btl 0
1967 Erlamicetin Btl 0
1968 Albenazole Btl 0
1970 Cefadroxil Btl 0
1971 Stavit Btl 0
1972 Masker Btl 0
1973 Kidikol syr Btl 0
1974 Serbuk PK Btl 0
1975 Abocet 18 Btl 0
1976 domperidone sy Btl 0
1977 Domperidone Sy Btl 0
1978 Ambroxol Sy Btl 0
1979 Meloxicam Btl 0
1980 Erytromior sy Btl 0
1981 Omeprazole Btl 1980
1982 envios sy Btl 0
1983 Miconazole salf Btl 48
1984 Natrium diklopenak Btl 0
1986 Pitogin Btl 0
1987 Ibuprofen sy Btl 235 5 5
1988 kertas puyer Btl 0
1989 Clorampenicole sy Btl 10
1990 loratadin Btl 750
1991 Amlodipin 10 mg Btl 1410
1992 ondosetran Btl 0
1993 Lemperamid Btl 2400
1998 Pyrantel Sy Btl -15
1999 Cepadroxil Sy Btl 151
2000 Domperidon Drpfs Btl 202
2001 Simvastatin Btl 3500
2002 Puralex Btl 250
2003 Erytromicin Btl 110
2004 Cefadroxil 250mg Btl 2200
2005 Zirkum Sy Btl 255

drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt ANTI. SKM

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 200312
(LPLPO)
BULAN 1 2
TAHUN 2 0 1 5
3 4 5 6 7 8 9 10 11 12
100
10 4
300
200
10
5
20 20
20
20
1000
10
500 100
100
20 20 20
870
300
200
10
100 500 700 100
1
100
10
60

ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
13 14 15 16 17 18 19 20 21 22
100 100
100
300
200 300 200

200
1
1 1
1250
100
400 100
100
20
50
100
200
100
1
200
50
100
23 24 25 26 27 28 29 30 31
200
200
5
7
200
1
1
200
200
100
200
5
JUMLAH SISA
PENGELUARAN PENERIMAAN STOK
0 0
0 700
200 1900
300 1000
0 0
0 1400
0 0
0 0
0 0
14 0
0 0
0 0
0 0
0 500
0 0
800 8400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1100 7300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 15
5 86
0 0
0 0
600 12800
0 0
0 0
0 0
0 0
0 0
45 500
0 0
0 0
0 0
0 0
0 750
0 3000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 0
0 2000
0 0
0 1200
0 0
0 0
200 4100
0 0
0 0
0 0
0 0
0 0
21 79
0 0
20 219
200 4800
0 0
0 0
0 1000
10 38
0 0
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
4 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 24
0 0
2250 -2250
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
17 100
200 12000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 40
0 0
0 0
0 0
0 0
0 0
0 500
0 0
300 8300
0 0
0 0
0 8000
0 0
0 0
0 0
0 0
0 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 246
0 5900
1600 200
0 0
0 0
0 0
0 0
0 0
400 1300
0 6000
4 8
0 0
0 0
0 0
0 0
0 4200
0 0
0 0
0 400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
80 60
0 1200
0 0
0 235
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
870 4500
0 0
0 0
100 700
0 0
0 0
200 6000
0 0
0 0
0 0
0 0
0 0
2 36
1 13
0 0
0 0
50 600
0 0
100 4000
0 0
0 0
0 25
0 0
0 0
0 4800
0 0
0 0
0 0
0 0
0 0
0 40
900 8100
0 0
400 2100 selisih 300 tab
20 269
0 0
0 300
200 2600
0 0
0 0
0 0
0 77
0 0
0 0
0 0
1800 2500 selisih 1500 pcs
0 0
2 1
200 6400
0 4900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
700 3500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1980
0 0
10 38
0 0
50 600
0 0
20 215
0 0
0 10
0 750
60 1350
0 0
0 2400
0 0
0 0
0 0
0 0
0 -15
0 151
5 197
0 3500
0 250
0 110
100 2100
0 255
(LPLPO)

KECAMATAN : sompak TAHUN 2 0 1
KABUPATEN : landak
PROVINSI : Kal-Bar
DES
STOCK PENERI- PERSE- PEMA- SISA STOCK PERMIN- PEMBERIAN
AWAL MAAN DIAAN KAIAN STOCK OPT TAAN INPRES ASKES APBD
1 2 3 4 5 6= (4+5) 7 8=(6-7) 9 10 11 12 13
413 Digonksin tab 0,25 mg Tab 0 3000 3000 0 3000
506 Etanol 70% Btl 0 0 0 0
509 Eugenol cairan Btl 0 30 30 0 30
902 Ibuprofen 400 mg Tab 0 5000 5000 0 5000
907 Ipela sirup 0,14% Btl 0 0 0 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 800 3000 3800 0 3800
1109 Lisol Btl 40 40 0 40
1508 Ringal raktat larutan infuse seteril Btl 140 140 80 60
1903 Bioplang gel 0 30 30 0 30
1904 stesolid 0 0 0 0
1905 ketoconazole 650 650 50 600
1907 Malformin 4100 4100 100 4000
1909 Obat Cacing Sy 0 100 100 0 100
1912 Diafrom 0 0 0 0
1913 Zink Tab 4800 7200 12000 0 12000
1914 Zink Sy 0 100 100 0 100
1918 Abocart No.22 G Buah 0 100 100 0 100
1919 Abocart No.24 G Buah 40 50 90 0 90
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 9000 9000 900 8100
1934 Hunskun 7,5 Cm Buah 4300 4300 1800 2500
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 0 1000 1000 0 1000
1956 Wing Needel 25 Buah 800 800 0 800
1959 Axofen syr 0 0 0 0
1964 Papaverin tab 40 mg 0 2000 2000 0 2000
1966 Hustab 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1976 domperidone sy 0 120 120 0 120
1980 Erytromior sy 0 120 120 0 120
1981 Omeprazole 1980 3000 4980 0 4980
1982 envios sy 0 0 0 0
1985 ketoconazole 650 650 50 600
1986 Pitogin 0 0 0 0
1987 Ibuprofen sy 235 235 20 215
1990 loratadin 750 2000 2750 0 2750
1991 Amlodipin 10 mg 1410 1410 60 1350
1993 Lemperamid 2400 3000 5400 0 5400
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 75 75 75
1999 Cepadroxil Sy 151 151 0 151
2001 Simvastatin 3500 5000 8500 0 8500
2002 Puralex 250 2000 2250 0 2250
2003 Erytromicin 110 110 0 110
2004 Cefadroxil 250mg 2200 2200 100 2100
2005 Zirkum Sy 255 255 0 255
2006 DILTIAZEM 0 3000 3000 0 3000
2007 ACARBOSE 0 1000 1000 0 1000
2008 DOXYCYLINE 0 4000 4000 0 4000
2009 KETOROLOC INJ AMPUL 0 30 30 0 30
2010 MINIASPI 8000 8000 0 8000
2011 METOCLOPRAMIDE 0 3000 3000 0 3000
2012 ATROFEN SPROY 0 10 10 0 10
2013 SPIRONOLOCTONE 1000 1000 0 1000
2014 ASICLOVIR 0 3000 3000 0 3000
2015 GLIMEPIRIDE 0 3000 3000 0 3000
2016 BISOPROLOL 0 1000 1000 0 1000
2017 CETIRIZINE 0 7200 7200 0 7200
2018 GLICAB 0 3000 3000 0 3000
2019 KETOCONAZOLE SALF SALF 0 2000 2000 0 2000
2020 ALKOHOL SWAT 0 2400 2400 0 2400
2021 ALKOHOL 70% 100 ML BH 0 100 100 0 100
2022 CETORIZINE SY SY 0 100 100 0 100
2023 DOPAMED 0 1000 1000 0 1000
2024 FUROSEMIDE INJ 0 100 100 0 100
Sompak,07 Januari 2016

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 02
5
RIAN KET
LAIN JML
14 15 16
RIAN KET
LAIN JML
621 12 51.75 18 931.5
368 12 30 18 540
RIAN KET
LAIN JML
174 12 14.5 18 261
213 12 17.75 18 213

RIAN KET
LAIN JML
RIAN KET
LAIN JML
RIAN KET
LAIN JML
2300 12 191.6666666667 18 3450
600 10800
7100 12 591.6666666667 18 10650
RIAN KET
LAIN JML
RIAN KET
LAIN JML
360 12 30 18 540
RIAN KET
LAIN JML
,07 Januari 2016

g menerima
ugas Gudang
RIUS, A.Md Gizi

0315 201001 1 020
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar
STOCK OPT BULAN OKTO-DES 2015
AWAL MAAN DIAAN KAIAN STOCK OPT TAAN INPRES ASKES APBD LAIN
1 2 3 4 5 6= (4+5) 7 8=(6-7) 9 10 11 12 13 14
101 Air raksa detal use Btl 0 0 0 0 0
102 Alat suntik sekali pakai 1 ml Set 700 0 700 0 700
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 3000 0 3000 1100 1900
105 Albendazol tablet 400 mg Tab 0 0 0 0 0
106 Alopurinol tablet 100 mg Tab 1700 0 1700 300 1400
107 Aminofilin tablet 200 mg Tab 0 0 0 0 0
109 Amitriptilin hcl tablet salut 25 m g Tab 0 0 0 0 0
111 Amoksisilin kapsul 250 Kap 0 0 0 0 0
112 Ampisisilin kapsul 500 Kap 0 0 0 0 0
117 Antibakteri done salep kombinasi Tab 0 0 0 0 0
118 Antihemoroid doen kombinasi Sup 0 0 0 0 0
119 Antifungsi done kombinasi Pot 0 0 0 0 0
120 Antimigrain done kombinasi Tab 0 0 0 0 0
121 Antiparkinson done tablet kombinasi Tab 0 0 0 0 0
123 Aqua proinjeksi steril, bebas piriogen Amp 0 0 0 0 0
124 Aquadest seteril Btl 0 0 0 0 0
127 Asam klorida 0,1 % Btl 0 0 0 0 0
128 Asam sulfasalisilat 20% Btl 0 0 0 0 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0 0 0 0 0
132 Atropin sulfat tablet 0,5 mg Tab 0 0 0 0 0
133 Atropine sulfat tetes mata 0,5% Btl 0 0 0 0 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0 0 0 0 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0 0 0 0 0
203 Besi sirup Btl 0 0 0 0 0
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 108 0 108 22 86
401 Dapson tablet 100 mg Tab 0 0 0 0 0
403 Deksametason tablet 0,5 mg Tab 15300 0 15300 2500 12800
404 Dekstran 70 - larutan infuse 6% steril Btl 0 0 0 0 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0 0 0 0 0
406 Dekstrometorfan bhr tab 15 mg Tab 0 0 0 0 0
407 Devitalisasi pasta (non arsen ) Btl 0 0 0 0 0
408 Diazepam inj mg / ml- 2 ml Amp 0 0 0 0 0
409 Diazepam tablet 2 mg Tab 557 0 557 57 500
411 Dietikkarbamazin sitrt tab 100 mg Tab 0 0 0 0 0
501 Efedrin hcl tab 25 mg Tab 1250 0 1250 500 750
506 Etanol 70% Btl 0 0 0 0 0
507 Eter anestetik Btl 0 0 0 0 0
601 Fenitoin natrium inj 50 mg / ml Amp 0 0 0 0 0
602 Fenitoin natrium kapsul 100 mg Kap 0 0 0 0 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0 0 0 0 0
605 Fenorbarbital tab 100mg Tab 0 0 0 0 0
606 Fenorbarbital tab 30 mg Tab 0 0 0 0 0
607 Fenoksin metal penisilina tab 250 mg Tab 0 0 0 0 0
608 Fenoksimetil penisilina tab 500 mg Tab 0 0 0 0 0
609 Fenol gliserol tetes telinga 10 % Btl 6 0 6 0 6
612 Fluor tablet 0,5 mg Tab 0 0 0 0 0
701 Gameksan emulsi 1 % Btl 0 0 0 0 0
702 Garam oralit untuk 1000 ml air Sak 0 0 0 0 0
705 Glass lonomer cement (gx ix) Set 0 0 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0 0 0
708 Gliserin Btl 0 0 0 0 0
709 Glukosa larutan infuse 10 % steril Btl 100 0 100 21 79
711 Glukosa larutan infuse 5% steril Btl 240 0 240 21 219
712 Grisovulvin tab 125 mg, micronized Tab 5700 0 5700 900 4800
801 Haloperidol tab 0,5 mg Tab 0 0 0 0 0
901 Ibuprofen 200 mg Tab 0 0 0 0 0
902 Iburrofen 400 mg Tab 0 5000 5000 0 5000
903 Infusion set anak Set 150 0 150 50 100
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0 0 0 0 0
906 Iodal kapsul lunak Kap 0 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0 0
908 Isoniazid tab 300 mg Tab 0 0 0 0 0
1001 Jarum jahit (bedah ) no.9-14 Biji 0 0 0 0 0
1002 Kalium pemanganat serbuk Btl 0 0 0 0 0
1003 Kalsium hidroksida pasata Tub 0 0 0 0 0
1005 Kapas berlemak 500 gram Bjs 0 0 0 0 0
1007 Karbamazepin tab 200 mg Tab 0 0 0 0 0
1008 Kasa kompres 40/40 steril Rol 0 0 0 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0 0 0 0
1012 Ketamin inj 10 mg/ml Vial 0 0 0 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0 0 0 0
1014 Kloramfenikol kapsul 250 mg Kap 0 0 0 0 0
1018 Kloroquin fosfat tab 250 mg Tab 0 0 0 0 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0 0 0 0 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0 0 0 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0 0 0 0 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0 0 0
1023 Klorpromazin tablet 100 mg Tab 0 0 0 0 0
1024 Kodein hcl tablet 10 mg Tab 0 0 0 0 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 0 0 0 0 0
1026 Kotrimoksazol pediatric tablet Tab 0 0 0 0 0
1028 Kotrimoksazoldewasa tablet Tab 14000 0 14000 2000 12000
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0 0 0 0 0
1030 Kuinin sulfat tablet 222mg Tab 0 0 0 0 0
1101 Larutan benedict Btl 0 0 0 0 0
1102 Larutan eosi 2 % Btl 0 0 0 0 0
1103 Larutan etanol asam Btl 0 0 0 0 0
1104 Larutan giemsa stain Btl 0 0 0 0 0
1105 Larutan korban fuksin Btl 0 0 0 0 0
1106 Larutan metilen biru Btl 0 0 0 0 0
1107 Larutan truk Btl 0 0 0 0 0
1109 Lisol Btl 43 0 43 3 40
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0 0 0 0 0
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0 0 0 0 0
1204 Mebenazol tablet 100 mg Tab 0 0 0 0 0
1205 Methanol Btl 0 0 0 0 0
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 9500 0 9500 1200 8300
1209 Monoklorkamfer metol cairan Btl 0 0 0 0 0
1210 Mummifying pasta Btl 0 0 0 0 0
1301 Natrium bikarbonat tablet 500 mg Tab 9000 0 9000 1000 8000
1302 Natrium fluoresein tetes mata 2% Btl 0 0 0 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 0 0 0 0 0
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0 0 0 0 0
1305 Nistatin 100.000 iu/g tablet vagina Tab 0 0 0 0 0
1307 Obat Antitubekolosiskategori 1 Pkt 0 0 0 0 0
1308 Obat antikulosis kategiri 2 Pkt 0 0 0 0 0
1310 Oksigen gas dalam lambung Tbg 0 0 0 0 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 0 0 0 0 0
1314 Oksitosin inj.10 iu/ml -1ml Amp 0 0 0 0 0
1401 Parafomaldehid tablet 1g tabl 0 0 0 0 0
1403 Parasetamol tablet 100 mg Tab 5900 0 5900 0 5900
1405 Pembalut gips Rol 0 0 0 0 0
1406 Perfenazin tablet 16 mg Tab 0 0 0 0 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0 0 0 0 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0 0 0 0 0
1413 Polikresulen Btl 0 0 0 0 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0 0 0 0 0
1415 Prazikuantel tablet 600 mg Tab 0 0 0 0 0
1417 Primakuin tablet 15 mg Tab 5000 0 5000 800 4200
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0 0 0 0
1419 Propitiourasil tablet 100 mg Tab 0 0 0 0 0
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0 0 0 0 0
1502 Reserpin tablet 0,10 mg Tab 0 0 0 0 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0 0 0 0 0
1505 Repamfisin kaplet 600 mg Kap 0 0 0 0 0
1506 Repamfisin kapsul 300 mg Kap 0 0 0 0 0
1602 Salep 2 -4 kombinasi Pot 0 0 0 0 0
1603 Salisil bedak 2 % Ktk 255 0 255 20 235
1604 Salisil spritus 10% Btl 0 0 0 0 0
1605 Semen seng fosfat serbuk dan cairan Set 0 0 0 0 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0 0 0 0 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0 0 0 0 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0 0 0 0 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0 0 0 0 0
1612 Silk(benang bedah sutera) no.3/0 Sak 48 0 48 2 46
1613 Silver amalgam serbuk 65 - 75 % Btl 0 0 0 0 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0 0 0 0 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0 0 0 0 0
1617 Sulfadimidin tablet 500 mg Tab 0 0 0 0 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0 0 0 0 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0 0 0 0 0
1702 Temporay stooping fletcher serbuk dan cairan Set 0 0 0 0 0
1703 Tetrakain hcl tetes mata Btl 0 0 0 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 1200 0 1200 500 700
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0 0 0 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 7600 0 7600 1600 6000
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0 0 0 0 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0 0 0 0 0
1710 Trikresol formalin (tkf) cairan Btl 0 0 0 0 0
1801 Vaksin rabies vero Set 0 0 0 0 0
1903 Bioplang gel 0 30 30 0 30
1904 stesolid 0 0 0 0 0
1905 ketoconazole 1100 0 1100 500 600
1906 domperidone Tab 0 0 0 0 0
1907 Malformin 4300 0 4300 300 4000
1908 Bisopvola 5 mg 0 0 0 0 0
1909 Obat Cacing Sy 0 100 100 0 100
1910 Acycidvir Krim 5 Mg 25 0 25 0 25
1911 Salbutamol Sy 0 0 0 0 0
1912 Diafrom 0 0 0 0 0
1913 Zink Tab 5000 7200 12200 200 12000
1914 Zink Sy 0 100 100 0 100
1915 Prenase Tab 0 0 0 0 0
1916 Seltyfort Sy 0 0 0 0 0
1917 Ternik Plus Sy 0 0 0 0 0
1918 Abocart No.22 G Buah 0 100 100 100 0
1919 Abocart No.24 G Buah 90 50 140 100 40
1921 Ampicillin 250 Mg Buah 0 0 0 0 0
1923 Antasida Doen syrup Botol 350 0 350 81 269
1927 Eucarbon tablet Botol 0 0 0 0 0
1928 Fercee Capsul Tablet 0 0 0 0 0
1929 Folikateter No 10 Buah 0 0 0 0 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 10 0 10 10 0
1932 H2O2 Larutan Botol 0 0 0 0 0
1933 Haloperidol 5 Mg tablet 0 0 0 0 0
1934 Hunskun 7,5 Cm Buah 4600 0 4600 2100 2500
1935 Kapas Pembalut Absorben 500 gr Rol 0 0 0 0 0
1942 Needle 23 Buah 0 0 0 0 0
1943 Needle 25 Buah 0 0 0 0 0
1944 Nifedipin tablet Tablet 0 0 0 0 0
1946 Pehacain Injk Ampul 0 0 0 0 0
1951 Stelazin 5 Mg Tablet 0 0 0 0 0
1953 Vidisef Sol Botol 0 0 0 0 0
1954 Vitamin B Complex Inj Vial 0 0 0 0 0
1955 Wing Needel 23 Buah 0 0 0 0 0
1956 Wing Needel 25 Buah 900 0 900 100 800
1957 Fungoral zalf 0 0 0 0 0
1958 Flutamol syr 0 0 0 0 0
1959 Axofen syr 0 0 0 0 0
1960 Primpen syr / Donperidone syr 0 0 0 0 0
1961 Neo- Kominal syr 0 0 0 0 0
1962 Zink dispersibel 0 0 0 0 0
1964 Papaverin tab 40 mg 0 2000 2000 0 2000
1966 Hustab 0 0 0 0 0
1967 Erlamicetin 0 0 0 0 0
1968 Albenazole 0 0 0 0 0
1970 Cefadroxil 0 0 0 0 0
1971 Stavit 0 0 0 0 0
1972 Masker 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0
1976 domperidone sy 0 120 120 0 120
1977 Domperidone Sy 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0
1980 Erytromior sy 0 120 120 0 120
1981 Omeprazole 2550 3000 5550 570 4980
1982 envios sy 0 0 0 0 0
1985 ketoconazole 1100 0 1100 500 600
1986 Pitogin 0 0 0 0 0
1987 Ibuprofen sy 280 0 280 65 215
1988 kertas puyer 0 0 0 0 0
1990 loratadin 1100 2000 3100 350 2750
1991 Amlodipin 10 mg 1590 0 1590 240 1350
1992 ondosetran 0 0 0 0 0
1993 Lemperamid 2800 3000 5800 400 5400
1994 Filo cateter 16 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0
1998 Pyrantel Sy 75 0 75 0 75
1999 Cepadroxil Sy 176 0 176 25 151
2000 Domperidon Drpfs 227 0 227 30 197
2001 Simvastatin 3800 5000 8800 300 8500
2002 Puralex 500 2000 2500 250 2250
2003 Erytromicin 120 0 120 10 110
2004 Cefadroxil 250mg 2800 0 2800 700 2100
2005 Zirkum Sy 289 0 289 34 255

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
JML
15 16
KET
JML
KET
JML
KET
JML
KET
JML
KET
JML
KET
JML
KET
JML
KET
JML
016
Gizi
1 020
LAPORAN PEMAKAIAN DAN LEM
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
DES
STOCK
AWAL
1 2 3 4 1
708 Gliserin Btl 0
1109 Lisol Btl 40
1205 Methanol Btl 0
1411 Piridoksin hcl tablet 10 mg/ B 6 Tab 11000
1903 Bioplang gel 30
1904 stesolid 0
1907 Metformin 4000
1912 Diafrom 0
1913 Zink Tab 12000
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1934 Hunskun 7,5 Cm Buah 2500
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 2750
1992 ondosetran 0
1998 Pyrantel Sy 75
2000 Domperidon Drpfs 197
2002 Puralex 2250
2005 Zirkum Sy 255
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2008 DOXYCYLINE 4000
2009 KETOROLOC INJ AMPUL 30
2010 MINIASPI 8000
2011 METOCLOPRAMIDE 3000
2012 ATROFEN SPROY 10
2013 SPIRONOLOCTONE 1000
2014 ASICLOVIR 3000
2015 GLIMEPIRIDE 3000
2016 BISOPROLOL 1000
2017 CETIRIZINE 7200
2018 GLICAB 3000
2019 KETOCONAZOLE SALF SALF 2000
2020 ALKOHOL SWAT 2400
2021 ALKOHOL 70% 100 ML BH 100
2022 CETRIZINE SY SY 100
2023 DOPAMED 1000
2024 FUROSEMIDE INJ 100


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
AIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
BULAN 0 1
TAHUN 2 0 1 6
2 3 4 5 6 7 8 9 10
100
100 100
100
400
300
15
5
200
100
30
30
200 200
8
500 100
300
2 1 1
24
300
20
100
100
20
700 200
1000
2
100
5 5
1500
200
100
300
100
100
400 300
200
15
100
300
60
10
250
60
100
150
100

ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
11 12 13 14 15 16 17 18 19
100
100 50
100
200 200
100
200 100
30
30
200
100 100
20
60 20
200 100
50
100
15 5
200 400
1
200
10 11
500
100
100
300
80 20
200
50 50
100
200
200
200
100
14
100
200
100 200
100
60 60
10
50
90
200
10
5
5
150 200
5
100
100
25
enerima
Gudang
20 21 22 23 24 25 26 27 28
20
300 100
100 200
100 200
300 200
200
10
100
10
200 500
100 200
200
300
200 200
50
600
200 100
10
100
100 100
100 100
200
50 100
25
JUMLAH SISA

29 30 31
0 0
200 500
350 1550
0 1000
0 0
100 1300
0 0
0 60
0 290
25 275
0 0
0 0
0 0
100 400
0 0
1200 17200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
700 13600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 0
0 86
0 0
5 195
800 12000
0 0
0 0
0 0
0 0
0 0
100 400
0 0
0 0
60 60
0 3000
0 750
0 3000
0 60
0 48
0 0
0 0
0 0
0 0
0 30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
60 140
0 4000
0 0
600 4600
0 0
0 0
200 3900
0 0
0 0
0 0
0 0
0 0
20 140
0 0
80 139
0 4800
0 0
0 0
0 6000
13 25
0 0
1400 3600
0 100
50 250
0 0
0 0
0 0
0 0
0 3800
0 0
0 0
0 0
600 9400
0 0
4 17
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 90
0 0
300 8700
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
50 250
800 11200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
1 39
0 0
0 0
0 0
0 0
0 0
0 1500
0 0
200 8100
0 0
0 0
0 8000
0 0
5 155
0 0
0 0
100 900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
51 295
0 5900
2100 8100
0 0
0 0
0 0
0 0
0 0
100 4200
1000 10000
2 18
0 0
0 0
0 0
0 10000
100 4100
0 0
0 1000
400 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 200 160
500 2700
0 0
15 220
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1500 12000
0 0
0 0
400 300
0 0
0 0
400 5600
0 0
0 0
0 0
0 0
700 14300
0 36
0 23
0 30
0 0
250 350
200 3800
200 3800
0 0
0 100
0 25
0 0
0 0
200 11800
0 100
0 0
0 0
0 0
100 0
90 0
1500 6600
0 0
600 6500
39 230
0 0
0 300
100 4500
0 0
0 0
0 0
0 77
0 0
0 0
0 500
100 2400
0 0
0 1
400 8000
600 6300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 700 10000
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 120
180 4800
0 0
8 30
200 2800
0 600
0 0
20 195
0 0
0 10
450 2300
150 1200
0 0
200 5200
0 0
0 0
0 0
0 0
10 65
5 146
5 192
100 8400
350 1900
0 110
150 1950
5 250
0 3000
0 1000
0 4000
6 24
0 8000
0 3000
2 8
0 1000
100 2900
0 3000
0 1000
200 7000
0 3000
50 1950
0 2400
0 100
5 95
0 1000
0 100
selisih 300 tab
selisih 1500 pcs

(LPLPO)
NAMA PUSKESMAS : Sompak 0 1

KECAMATAN : sompak 2 0 1 6
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
STOCK PENERI- PERSE- PEMA- SISA PERMIN PEMBERIAN
AWAL MAAN DIAAN KAIAN APOTEK TAAN INPRES DAK DAU LAIN
1 2 3 4 5 6= (4+5) 7 9=(6-7) 10 11 12 13 14
506 Etanol 70% Btl 0 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 30 30 30
902 Iburrofen 400 mg Tab 500 500 220 280
1109 Lisol Btl 0 0
1420 Propanolol hcl tablet 40 mg Tab 100 100 100
1508 Ringal raktat larutan infuse seteril Btl 0 0
1603 Salisil bedak 2 % Ktk 5 5 5
1904 stesolid 0 0
1906 domperidone Tab 100 100 100
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1934 Hunskun 7,5 Cm Buah 100 100 60 40
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 100 100 100 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1977 Domperidone Sy 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1987 Ibuprofen sy 10 10 2 8
1990 loratadin 0 0
1991 Amlodipin 10 mg 60 60 60
1992 ondosetran 0 0
1993 Lemperamid 0 0
1994 Filo cateter 16 0 0
1996 Wing nedle 25 g 0 0
2000 Domperidon Drpfs 0 0
2001 Simvastatin 100 100 100
2002 Puralex 0 0
2004 Cefadroxil 250mg 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2009 KETOROLOC INJ 6 6 6 0
2010 MINIASPI 0 0
2011 METOCLOPRAMIDE 0 0
2012 ATROFEN SPROY 0 0
2013 SPIRONOLOCTONE 0 0
2014 ASICLOVIR 0 0
2015 GLIMEPIRIDE 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 100 100 10 90
2018 GLICAB 0 0
2019 KETOCONAZOLE SALF 0 0
2020 ALKOHOL SWAT 0 0
2021 ALKOHOL 70% 100 ML 0 0
2022 CETORIZINE SY 5 5 1 4
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
JML
15 16
2016
Gizi
1 1 020
LAPORAN PEMAKAIAN DAN LEMBAR
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 1 1
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 150 150
2003 Erytromicin 0
2005 Zirkum Sy 5 5
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2009 KETOROLOC INJ 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2019 KETOCONAZOLE SALF 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2022 CETORIZINE SY 0
2023 DOPAMED 0
2024 FUROSEMIDE 0

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 1
2 0 1 6
PEMA- SISA PERMIN PEMBERIAN KET

KAIAN APOTEK TAAN INPRES DAK DAU LAIN JML
7 9 11 12 13 14 15 16
0
10 90
10 90
0
0
0
0
0
0
1 4
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 190
0
0
0
0
0
8 92
0
0
30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 28
0
0
0
0
0
10 90
0
0
0
0
0
20
0
45 15
0
0
0
0
0
0
200
0
50
0
0
0
0
0
0
0
0
0
0
1 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4 11
200
0
0
0
0
0
0
0
0
0
0
1 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 9
0
20 280
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
39 41
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
60 140 90
0
0
3 11 4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60
0
0
0
0
0
0
0
0
50
0
0
0
0
0
0
0
0
0
0
0
150
0
0
5
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
ANTI. SKM YUSTARIUS, A.Md Gizi
Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
STOCK PENERI-
AWAL MAAN
1 2 3 4 5
1905 ketoconazole TAB 200
1981 Omeprazole 120
1987 Ibuprofen sy 5
1990 loratadin 400
2002 Puralex 100


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
N DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
0 1
2 0 1 6
PERSE- PEMA- SISA PERMIN PEMBERIAN

DIAAN KAIAN PUSLING TAAN INPRES DAK DAU LAIN JML
6= (4+5) 7 9 11 12 13 14 15
100 93 7
100 50 50
100 100
500 260 240
300 70 230
5 5
400 170 230
30 30 0
200 100 100
700 570 130
300 300 0
1 1 0
24 22 2
300 80 220
6 6 0
400 360 40
100 4 96
300 80 220
10 6 4
400 400 0
400 100 300
700 540 160
200 150 50
600 600 0
400 50 350
10 9 1
100 10 90
200 190 10
200 90 110
400 160 240
120 70 50
200 200 0
5 5 0
400 270 130
5 5 0
100 10 90
150 150 0
25 11 14
Sompak,04 Februari 2016

Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
16
ED. 01-16 100

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1990 loratadin 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 0
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 100 100
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 1
2 0 `1 6
PEMA- SISA JUM PERMIN

KAIAN STOCK LAH TAAN
7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 3 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
90 110 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
3 22 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1990 loratadin 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 0
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
PEMA- SISA PERMIN KET

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
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0 0
0 0
0 0
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0 0
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0 0
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0 0
0 0
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0 0
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0 0
0 0
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0 0
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0 0
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0 0
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0 0
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0 0
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0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
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0 0
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0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1990 loratadin 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 0
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 1
2 0 1 6

KAIAN STOCK TAAN INPRES DAK DAU LAIN JML
7 8=(6-7) 11 12 13 14 15 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1990 loratadin 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 0
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
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0 0 0
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0 0 0
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0 0 0
0 0 0
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0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 0
1912 Diafrom 0
1913 Zink Tab 0
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1987 Ibuprofen sy 0
1988 kertas puyer 0
1990 loratadin 0
1992 ondosetran 0
1993 Lemperamid 0
1998 Pyrantel Sy 0
2001 Simvastatin 0
2002 Puralex 0
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1905 ketoconazole 0
1907 Malformin 200 200
1912 Diafrom 0
1913 Zink Tab 200 200
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1981 Omeprazole 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 0
1991 Amlodipin 10 mg 90 90
1992 ondosetran 0
2001 Simvastatin 0
2002 Puralex 100 100
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 0
2010 MINIASPI 0
2014 ASICLOVIR 0
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 100 100
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
90 0
0 0
200 0
0 0
0 0
0 0
0 0
10 0
0 0
5 0
0 0
100 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
STOCK PENERI-
AWAL MAAN
1 2 3 4 5
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 0
1914 Zink Sy 0 0
1934 Hunskun 7,5 Cm Buah 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
2002 Puralex 100 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2009 KETOROLOC INJ 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2022 CETORIZINE SY 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
BAR PERMINTAAN OBAT
PERSE- PEMA- SISA PERMIN KET

DIAAN KAIAN PUSTU/POL TAAN
6= (4+5) 7 9=(6-7) 10 11
0 0 0 0
0 0 0 0
50 0 50 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0 100 0
0 0 0 0
0 0 0 0
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 0 100 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 200 0
0 0 0 0
0 0 0 0
100 0 100 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 2 3 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
6 0 6 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 0 5 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 0 5 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 0 5 0
0 0 0 0
200 90 110 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 100 0
0 0 0 0
0 0 0 0
100 0 100 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 0 20 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
50 0 50 0
0 0 0 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 200 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 0 5 0
0 0 0 0
0 0 0 0
0 0 0 0
90 0 90 0
0 0 0 0
200 0 200 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 0 10 0
0 0 0 0
5 0 5 0
0 0 0 0
100 0 100 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
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 0 100 0
0 0 0 0
0 0 0 0
100 0 100 0
0 0 0 0
25 3 22 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)
NAMA PUSKESMAS : Sompak BULAN 0

KECAMATAN : sompak TAHUN 2
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
KELAS STOCK PENERI- PERSE- PEMA- SISA SISA STOCK STOCK STOCK
TERAPI AWAL MAAN DIAAN KAIAN GUDANG APOTEK RANAP PUSTU/POL PUSLING
1 2 3 4 5 6 7(5+6) 8=(7-14) 9 10 11 12 13
102 Alat suntik sekali pakai 1 ml Set 700 700 110 500 0 90 0 0
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 1900 1900 183 1550 20 90 50 7
104 Alat suntik sekali pakai 5 ml Set 1000 1000 0 1000 0 0 0 0
106 Alopurinol tablet 100 mg Tab 1400 1400 50 1300 0 0 0 50
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 60 60 0 60 0 0 0 0
109 Amitriptilin hcl tablet salut 25 m g Tab 290 290 0 290 0 0 0 0
110 Amoksisilin sirup kering 125 mg/ ml Btl 300 300 21 275 0 4 0 0
114 Antalgin (metampiron) tablet 500 mg Tab 500 500 0 400 0 0 0 100
116 Antasida done tablet, kombinasi Tab 18400 18400 440 17200 220 200 100 240
126 Asam askrobat (vit. C) tablet 50 mg Tab 14300 14300 230 13600 140 0 100 230
204 Betametason krim 01,1 % Tub 15 15 0 0 15 0 0 0
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 86 86 0 86 0 0 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 200 200 0 195 0 0 0 5
403 Deksametason tablet 0,5 mg Tab 12800 12800 300 12000 80 190 0 230
409 Diazepam tablet 2 mg Tab 500 500 8 400 0 92 0 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 120 120 30 60 0 30 0 0
413 Digonksin tab 0,25 mg Tab 3000 3000 0 3000 0 0 0 0
501 Efedrin hcl tab 25 mg Tab 750 750 0 750 0 0 0 0
502 Ekstrak belladone tab 10 mg Tab 3000 3000 0 3000 0 0 0 0
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 60 60 0 60 0 0 0 0
504 Etakridin (rivanol)larutan 0,1% Btl 48 48 0 48 0 0 0 0
509 Eugenol cairan Btl 30 30 0 30 0 0 0 0
609 Fenol gliserol tetes telinga 10 % Btl 6 6 0 6 0 0 0 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 200 200 2 140 30 28 0 0
611 Fitomenadione ( vit k) tab salut 10 mg Tab 4000 4000 0 4000 0 0 0 0
613 Furosemide tab 40 mg Tab 5200 5200 110 4600 190 0 200 100
703 Garam oralit untuk 200 ml air Sak 4100 4100 10 3900 0 90 100 0
709 Glukosa larutan infuse 10 % steril Btl 160 160 0 140 0 20 0 0
711 Glukosa larutan infuse 5% steril Btl 219 219 45 139 0 15 20 0
712 Grisovulvin tab 125 mg, micronized Tab 4800 4800 0 4800 0 0 0 0
803 Hidroklorotiazide (hct) tab 25 mg Tab 6000 6000 0 6000 0 0 0 0
804 Hidrokortison krim 2,5 % Tab 38 38 2 25 8 0 3 0
902 Iburrofen 400 mg Tab 5000 5000 790 3600 280 200 0 130
903 Infusion set anak Set 100 100 0 100 0 0 0 0
904 Infusion set dewasa Set 300 300 0 250 0 50 0 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 3800 3800 0 3800 0 0 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 10000 10000 460 9400 140 0 0 0
1006 Kapas pembalut Bks 21 21 4 17 0 0 0 0
1015 Kloramfenikol salep mata 1 % Tub 120 120 22 90 0 0 6 2
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 9000 9000 300 8700 0 0 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 980 980 0 980 0 0 0 0
1027 Kotrimoksazol suspensi Btl 300 300 19 250 15 11 5 0
1028 Kotrimoksazoldewasa tablet Tab 12000 12000 120 11200 60 200 200 220
1108 Lidokain kompositum inj. Amp 100 100 0 100 0 0 0 0
1109 Lisol Btl 40 40 1 39 0 0 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 1500 1500 0 1500 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 8300 8300 0 8100 0 0 200 0
1301 Natrium bikarbonat tablet 500 mg Tab 8000 8000 0 8000 0 0 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 160 160 0 155 0 0 5 0
1306 Nistatin 500.000 iu tablet salut Tab 1000 1000 50 900 50 0 0 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 346 346 37 295 0 9 5 0
1403 Parasetamol tablet 100 mg Tab 5900 5900 0 5900 0 0 0 0
1404 Parasetamol 500 mg tabl 10200 10200 1080 8100 590 280 110 40
1410 Pirantel pamoat tablet 365mg Tab 4300 4300 4 4200 0 0 0 96
1411 Piridoksin hcl tablet 10 mg Tab 11000 11000 180 10000 820 0 0 0
1412 Plester 5 yard x 2 inci Rol 20 20 2 18 0 0 0 0
1416 Prednisone tablet 5 mg Tab 10000 10000 0 10000 0 0 0 0
1417 Primakuin tablet 15 mg Tab 4200 4200 0 4100 0 0 100 0
1419 Propitiourasil tablet 100 mg Tab 1000 1000 0 1000 0 0 0 0
1420 Propanolol hcl tablet 40 mg Tab 2400 2400 0 2000 100 200 100 0
1508 Ringal raktat larutan infuse seteril Btl 260 260 39 160 0 41 20 0
1601 Salbutamol tablet 2 mg Tab 3200 3200 80 2700 0 0 200 220
1603 Salisil bedak 2 % Ktk 235 235 6 220 5 0 0 4
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 100 100 0 100 0 0 0 0
1612 Silk(benang bedah sutera) no.3/0 Sak 46 46 0 46 0 0 0 0
1701 Tablet tambah darah kombinasi Tab 13500 13500 1500 12000 0 0 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 700 700 400 300 0 0 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 6000 6000 100 5600 0 0 0 300
1802 Vitamin b kompleks tablet Tab 15000 15000 540 14300 0 0 0 160
1901 Yodium povidon larutan 10 % 30 ml Btl 36 36 0 36 0 0 0 0
1902 Yodium povidon larutan 10 % 300 ml Btl 23 23 0 23 0 0 0 0
1903 Bioplang gel 30 30 0 30 0 0 0 0
1904 stesolid 0 0 0 0 0 0 0 0
1905 ketoconazole 600 600 150 350 0 0 50 50
1906 domperidone Tab 4000 4000 0 3800 100 100 0 0
1907 Malformin 4000 4000 0 3800 0 0 200 0
1909 Obat Cacing Sy 100 100 0 100 0 0 0 0
1910 Acycidvir Krim 5 Mg 25 25 0 25 0 0 0 0
1913 Zink Tab 12000 12000 0 11800 0 0 200 0
1914 Zink Sy 100 100 0 100 0 0 0 0
1918 Abocart No.22 G Buah 100 100 100 0 0 0 0 0
1919 Abocart No.24 G Buah 90 90 90 0 0 0 0 0
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 8100 8100 1080 6600 280 140 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 7100 7100 250 6500 0 0 0 350
1923 Antasida Doen syrup Botol 269 269 22 230 5 11 0 1
1925 Cimetidin 200 Mg Tablet 300 300 0 300 0 0 0 0
1926 Ciprofloxacin 500 Mg Tablet 4600 4600 10 4500 0 0 0 90
1930 Folikateter No 18 Buah 77 77 0 77 0 0 0 0
1933 Haloperidol 5 Mg tablet 500 500 0 500 0 0 0 0
1934 Hunskun 7,5 Cm Buah 2500 2500 60 2400 40 0 0 0
1936 Kasa pembalut hidrofil 40 m x 80 cm Rol 1 1 0 1 0 0 0 0
1937 Katopril 12,5 Mg Tablet 8400 8400 190 8000 0 0 200 10
1938 Katopril 25 Mg Tablet 6900 6900 140 6300 50 100 200 110
1945 Paramidon Injk Ampul 0 0 0 0 0 0 0 0
1946 Pehacain Injk Ampul 0 0 0 0 0 0 0 0
1947 Piroxicam capsul Tablet 0 0 0 0 0 0 0 0
1948 Ranitidin Tablet 10700 10700 60 10000 300 100 0 240
1949 Scopma tablet Tablet 0 0 0 0 0 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 1000 1000 0 1000 0 0 0 0
1952 Vicanatal tablet Tablet 0 0 0 0 0 0 0 0
1955 Wing Needel 23 Buah 0 0 0 0 0 0 0 0
1956 Wing Needel 25 Buah 800 800 0 800 0 0 0 0
1964 Papaverin tab 40 mg 2000 2000 0 2000 0 0 0 0
1965 Papaverin Inj. 0 0 0 0 0 0 0 0
1966 Hustab 0 0 0 0 0 0 0 0
1967 Erlamicetin 0 0 0 0 0 0 0 0
1968 Albenazole 0 0 0 0 0 0 0 0
1969 Flutamol syr 0 0 0 0 0 0 0 0
1970 Cefadroxil 0 0 0 0 0 0 0 0
1971 Stavit 0 0 0 0 0 0 0 0
1972 Masker 0 0 0 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0 0 0 0
1976 domperidone sy 120 120 0 120 0 0 0 0
1977 Domperidone Sy 0 0 0 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0 0 0 0
1980 Erytromior sy 120 120 0 120 0 0 0 0
1981 Omeprazole 4980 4980 70 4800 0 60 0 50
1982 envios sy 0 0 0 0 0 0 0 0
1983 Miconazole salf 38 38 6 30 2 0 0 0
1984 Natrium diklopenak 3000 3000 200 2800 0 0 0 0
1985 ketoconazole 600 600 0 600 0 0 0 0
1986 Pitogin 0 0 0 0 0 0 0 0
1987 Ibuprofen sy 215 215 7 195 8 0 5 0
1988 kertas puyer 0 0 0 0 0 0 0 0
1989 Clorampenicole sy 10 10 0 10 0 0 0 0
1990 loratadin 2750 2750 270 2300 0 50 0 130
1991 Amlodipin 10 mg 1350 1350 0 1200 60 0 90 0
1992 ondosetran 0 0 0 0 0 0 0 0
1993 Lemperamid 5400 5400 0 5200 0 0 200 0
1994 Filo cateter 16 0 0 0 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0 0 0 0
1998 Pyrantel Sy 75 75 0 65 0 0 10 0
1999 Cepadroxil Sy 151 151 5 146 0 0 0 0
2000 Domperidon Drpfs 197 197 0 192 0 0 5 0
2001 Simvastatin 8500 8500 0 8400 100 0 0 0
2002 Puralex 2250 2250 10 1900 0 150 100 90
2003 Erytromicin 110 110 0 110 0 0 0 0
2004 Cefadroxil 250mg 2100 2100 150 1950 0 0 0 0
2005 Zirkum Sy 255 255 0 250 0 5 0 0
2006 DILTIAZEM 3000 3000 0 3000 0 0 0 0
2007 ACARBOSE 1000 1000 0 1000 0 0 0 0
2008 DOXYCYLINE 4000 4000 0 4000 0 0 0 0
2009 KETOROLOC INJ 30 30 6 24 0 0 0 0
2010 MINIASPI 8000 8000 0 8000 0 0 0 0
2011 METOCLOPRAMIDE 3000 3000 0 3000 0 0 0 0
2012 ATROFEN SPROY 10 10 0 8 0 2 0 0
2013 SPIRONOLOCTONE 1000 1000 0 1000 0 0 0 0
2014 ASICLOVIR 3000 3000 0 2900 0 0 100 0
2015 GLIMEPIRIDE 3000 3000 0 3000 0 0 0 0
2016 BISOPROLOL 1000 1000 0 1000 0 0 0 0
2017 CETIRIZINE 7200 7200 10 7000 90 0 100 0
2018 GLICAB 3000 3000 0 3000 0 0 0 0
2019 KETOCONAZOLE SALF 2000 2000 14 1950 0 0 22 14
2020 ALKOHOL SWAT 2400 2400 0 2400 0 0 0 0
2021 ALKOHOL 70% 100 ML 100 100 0 100 0 0 0 0
2022 CETORIZINE SY 100 100 1 95 4 0 0 0
2023 DOPAMED 1000 1000 0 1000 0 0 0 0
2024 FUROSEMIDE INJ 100 100 0 100 0 0 0 0
Yang Menyerahkan Yang Melapor Sompak,04 F

Yang me
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Plt. Kepala Puskesmas Petugas
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt ANTI. SKM YUSTARIUS

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 19790508 200312 1 003 Nip. 19840315
LPLPO)
1
0 1 6
JUM PERMIN KET

LAH TAAN
14=(9+10+11+12+13) 15 16
590 90
1717 117
1000 0
1350 50
60 0
290 0
279 4
500 100
17960 660
14070 370
15 15
86 0
200 5
12500 500
492 92
90 30
3000 0
750 0
3000 0
60 0
48 0
30 0
6 0
198 58
4000 0
5090 290
4090 90
160 20
174 15
4800 0
6000 0
36 8
4210 610
JUM PERMIN KET
LAH TAAN
100 0
300 50
3800 0
9540 140
17 0
98 2
8700 0
980 0
281 26
11880 480
100 0
39 0
1500 0
8300 0
8000 0
160 0
950 50
309 9
5900 0
9120 910
4296 96
10820 820
18 0
10000 0
4200 0
1000 0
2400 300
221 41
3120 220
229 9
100 0
46 0
12000 0
300 0
5900 300
14460 160
36 0
23 0
30 0
0 0
450 50
4000 200
4000 0
100 0
25 0
JUM PERMIN KET
LAH TAAN
12000 0
100 0
0 0
0 0
7020 420
6850 350
247 17
300 0
4590 90
77 0
500 0
2440 40
1 0
8210 10
6760 260
0 0
0 0
0 0
10640 640
0 0
1000 0
0 0
0 0
800 0
2000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 0
0 0
0 0
0 0
120 0
4910 110
0 0
32 2
2800 0
JUM PERMIN KET
LAH TAAN
600 0
0 0
208 8
0 0
10 0
2480 180
1350 60
0 0
5400 0
0 0
0 0
0 0
0 0
75 0
146 0
197 0
8500 100
2240 240
110 0
1950 0
255 5
3000 0
1000 0
4000 0
24 0
8000 0
3000 0
10 2
1000 0
3000 0
3000 0
1000 0
7190 90
3000 0
1986 14
2400 0
100 0
99 4
1000 0
100 0

Yang menerima
Petugas Gudang
JUM PERMIN KET
LAH TAAN
YUSTARIUS, A.Md Gizi

Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
FEB
STOCK
AWAL
1 2 3 4 1 2
708 Gliserin Btl 0
1109 Lisol Btl 39
1205 Methanol Btl 0
1904 stesolid 0
1907 Metformin 3800
1912 Diafrom 0
1913 Zink Tab 11800
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 2300
1992 ondosetran 0
1998 Pyrantel Sy 65
2002 Puralex 1900
2005 Zirkum Sy 250
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 8000
2014 ASICLOVIR 2900
2018 GLICAB 3000
2021 ALKOHOL 70% 100 ML BH 100
2023 DOPAMED 1000

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 200312
(LPLPO)
BULAN 0 1
TAHUN 2 0 1 6
3 4 5 6 7 8 9 10 11 12
100
300
10 10
300 300
100 300
400 300
1
200
11
300 200
300 100 300
18
300 100 500

10
200
200
300
10
300
100 100
1000
2 1
200
750 2250
100 200
100
50 100
100
100
50
50
300 200
200 200
10
100
100 200
100 200
200 100
300 200
150
5
200
10
10
100 200
200
5
10
5 5
200
200
100
100
50 25
1

ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
13 14 15 16 17 18 19 20 21 22
100
200
15
500 400
300 300 100

5
300 200
200
300
300 300 300
500
25
500 300 300

10
300 100
15
600 500 300

200 200
300
5
300 400
300 300
300
300
500 500 300
200 100
10 10
200
300
200
300 200
300 200
300
400
90 60
100
10
150 100
15
10
10
100
100 100
25
mar
23 24 25 26 27 28 29 30 31
300
300
200
300
300
400
200
300
10
60
50
JUMLAH SISA
0 0
0 500
200 1350
0 1000
0 0
500 800
0 0
0 60
0 290
35 240
0 0
0 0
0 0
0 400
0 0
1800 15400 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1400 12200 13200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 86
0 0
5 190
1400 10600 selisih 100
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 60
0 3000
0 750
0 3000
0 60
0 48
0 0
1 9
0 0
0 0
0 30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 140
0 4000
0 0
200 4400
0 0
0 0
0 3900
0 0
0 0
0 0
0 0
0 0
0 140
0 0
0 139
500 4300
0 0
0 0
0 6000
11 14
0 0
0 100
0 250
0 0
0 0
0 0
0 0
0 3800
0 0
0 0
0 0
1500 7900 selisih 300
0 0
1 16
0 0
0 0
0 0
50 50
0 0
0 0
0 0
0 0
43 47
0 0
2000 6700
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
20 230
600 10600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 39
0 0
0 0
0 0
0 0
0 0
200 1300
0 0
300 7800
0 0
0 0
0 8000
0 0
0 155
0 0
0 0
0 900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 270
0 5900
2100 6000
0 0
0 0
0 0
0 0
0 0
600 3600
1000 9000
3 15
0 0
0 0
0 0
0 10000
0 4100
0 0
0 1000
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200 160
500 2200
0 0
5 215
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3000 9000
0 0
0 0
0 300
0 0
0 0
1200 4400
0 0
0 0
0 0
0 0
1000 13300
0 36
2 21
0 30
0 0
150 200
300 3500 selisih 100
100 3700
0 0
0 100
0 25
0 0
0 0
400 11400
0 100
0 0
0 0
0 0
50 100 50
50 100 50
1800 4800
0 0
700 5800
40 190 selisih 10
0 0
300 0
600 3900
0 0
0 0
0 0
0 77
0 0
0 0
0 500
200 2200 selisih 1500 pcs
0 0
0 1
800 7200
800 5500 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
800 9200
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
400 1600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 120
360 4440
0 0
5 25
300 2500
0 600
0 0
20 175 selisih 5
0 0
10 0
550 1750
0 1200
0 0
200 5000
0 0
0 0
0 0
0 0
20 45
20 126
20 172
200 8200
100 1800
0 110
450 1500
0 250
0 3000
0 1000
100 3900
0 24
0 8000
0 3000
0 8
0 1000
100 2800
0 3000
0 1000
0 7000
0 3000
100 1850
1 2399
0 100
0 95
0 1000
0 100
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
FEB
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
116 Antasida done tablet, kombinasi Tab 660 1500 2160
506 Etanol 70% Btl 0 1 1
902 Iburrofen 400 mg Tab 610 1700 2310
1003 Kalsium hidroksida pasata Tub 0 600 600
1004 Kalsium laktat (klak ) tab 500 mg Tab 140 1400 1540
1006 Kapas pembalut Bks 0 1 1
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 0 1900 1900
1109 Lisol Btl 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 300 1100 1400
1904 stesolid 0 0
1907 Malformin 0 100 100
1912 Diafrom 0 0
1913 Zink Tab 400 400
1914 Zink Sy 0 0
1918 Abocart No.22 G Buah 0 50 50
1925 Cimetidin 200 Mg Tablet 0 200 200
1934 Hunskun 7,5 Cm Buah 40 200 240
1959 Axofen syr 0 0
1964 Papaverin tab 40 mg 0 400 400
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 110 360 470
1982 envios sy 0 0
1983 Miconazole salf 2 5 7
1986 Pitogin 0 0
1987 Ibuprofen sy 8 20 28
1990 loratadin 180 450 630
1992 ondosetran 0 0
1993 Lemperamid 0 200 200
2000 Domperidon Drpfs 0 15 15
2001 Simvastatin 100 200 300
2002 Puralex 240 100 340
2004 Cefadroxil 250mg 0 450 450
2005 Zirkum Sy 5 5
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 100 100
2010 MINIASPI 0 0
2014 ASICLOVIR 0 100 100
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2019 KETOCONAZOLE SALF 14 50 64
2020 ALKOHOL SWAT 0 1 1
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 1
2 0 1 6

7 9=(6-7) 10 11 12 13 14 15 16
0 0
5 85
176 141
0 0
0 0
80 470
0 0
0 0
0 0
14 25
0 0
0 0
0 0
20 80
0 0
1420 740
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
770 900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 13
0 0
0 0
0 10
925 675
0 0
0 0
0 0
0 0
0 0
0 92
0 0
0 0
1 29
0 0
0 0
0 0
0 0
0 0
0 0
0 1
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 57
0 0
0 0
60 430
0 0
0 0
50 40
0 0
0 0
0 0
0 0
0 0
0 20
0 0
3 12
70 430
0 0
0 0
0 0
10 9
0 0
1330 980
0 0
1 49
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 600
650 890
0 0
1 0
0 0
0 0
0 0
30 20
0 0
0 0
0 0
0 0
0 45
0 0
735 1165
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
21 25
300 780
0 0
0 0
0 0
0 0
0 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 0
140 160
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 20
0 0
2185 725
0 0
0 0
0 0
0 0
0 0
362 234
180 640
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
31 10
282 438
0 0
3 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3000 0
0 0
0 0
0 0
0 0
0 0
830 570
0 0
0 0
0 0
0 0
570 490
0 0
0 0
0 0
0 0
90 60
250 250
0 100
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 0
0 0
30 20
25 25
970 1050
0 0
450 600
34 23
0 0
10 190
110 480
0 0
0 0
0 0
0 0
0 0
0 0
0 0
110 130
0 0
0 0
120 590
390 570
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
720 720
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
110 290
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
260 210
0 0
1 6
80 220
0 0
0 0
3 25
0 0
2 8
120 510
20 40
0 0
0 200
0 0
0 0
0 0
0 0
1 19
2 18
1 14
20 280
250 90
0 0
160 290
3 2
0 0
0 0
0 100
0 0
0 0
0 0
0 2
0 0
40 60
0 0
0 0
80 10
0 0
24 40
1 0
0 0
1 3
0 0
0 0
Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 1
2 0 1 6

7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
22 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
STOCK PENERI- PERSE- PEMA- SISA PERMIN KET
AWAL MAAN DIAAN KAIAN STOCK TAAN
1 2 3 4 5 6= (4+5) 7 8=(6-7) 16
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0 0 0 0
506 Etanol 70% Btl 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0
1109 Lisol Btl 0 0 0 0
1904 stesolid 0 0 0 0
1905 ketoconazole 25 25 2 23
1907 Malformin 0 0 0 0
1912 Diafrom 0 0 0 0
1913 Zink Tab 0 0 0 0
1914 Zink Sy 0 0 0 0
1918 Abocart No.22 G Buah 0 0 0 0
1934 Hunskun 7,5 Cm Buah 0 0 0 0
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1959 Axofen syr 0 0 0 0
1966 Hustab 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1981 Omeprazole 0 0 0 0
1982 envios sy 0 0 0 0
1986 Pitogin 0 0 0 0
1990 loratadin 0 0 0 0
1991 Amlodipin 10 mg 0 0 0 0
1993 Lemperamid 0 0 0 0
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 0 0 0 0
1999 Cepadroxil Sy 0 0 0 0
2001 Simvastatin 0 0 0 0
2002 Puralex 0 0 0 0
2003 Erytromicin 0 0 0 0
2004 Cefadroxil 250mg 0 0 0 0
2005 Zirkum Sy 0 0 0 0
2006 DILTIAZEM 0 0 0 0
2007 ACARBOSE 0 0 0 0
2008 DOXYCYLINE 0 0 0 0
2010 MINIASPI 0 0 0 0
2011 METOCLOPRAMIDE 0 0 0 0
2012 ATROFEN SPROY 0 0 0 0
2013 SPIRONOLOCTONE 0 0 0 0
2014 ASICLOVIR 0 0 0 0
2015 GLIMEPIRIDE 0 0 0 0
2016 BISOPROLOL 0 0 0 0
2017 CETIRIZINE 0 0 0 0
2018 GLICAB 0 0 0 0
2019 KETOCONAZOLE SALF 0 25 25 0 25
2020 ALKOHOL SWAT 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0
2023 DOPAMED 0 0 0 0
2024 FUROSEMIDE 0 0 0 0
Yang Menyerahkan
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Petugas Gudang POL PAUH
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt YUSTARIUS BERTA

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 1
2 0 1 6

7 8=(6-7) 11 12 13 14 15 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 90 0
0 0 0
0 0 0
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0 0 0
0 0 0
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0 0 0
0 100 0
0 0 0
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10 90 0
0 0 0
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0 0 0
0 0 0
10 90 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 2 0
0 0 0
0 0 0
0 25 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
10 90 0
0 0 0
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0 0 0
0 25 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
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0 0 0
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0 0 0
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0 0 0
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0 0 0
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0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
feb
1 2 3 4 5 6= (4+5) 7 8=(6-7) 16
506 Etanol 70% Btl 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0
1109 Lisol Btl 0 0 0 0
1904 stesolid 0 0 0 0
1907 Malformin 200 200 200 0
1912 Diafrom 0 0 0 0
1913 Zink Tab 200 200 200 0
1914 Zink Sy 0 0 0 0
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1959 Axofen syr 0 0 0 0
1966 Hustab 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1982 envios sy 0 0 0 0
1986 Pitogin 0 0 0 0
1987 Ibuprofen sy 5 5 2 3 0
1991 Amlodipin 10 mg 90 90 90 0
1993 Lemperamid 200 200 200 0
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 10 10 10 0
2002 Puralex 100 100 100 0
2005 Zirkum Sy 0 0 0 0
2007 ACARBOSE 0 0 0 0
2010 MINIASPI 0 0 0 0
2017 CETIRIZINE 100 100 100 0
2018 GLICAB 0 0 0 0
2019 KETOCONAZOLE SALF 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0
2023 DOPAMED 0 0 0 0
Yang Menyerahkan yang Melapor

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
101 Air raksa detal use Btl 0 0 0
105 Albendazol tablet 400 mg Tab 0 0 0
107 Aminofilin tablet 200 mg Tab 0 0 0
109 Amitriptilin hcl tablet salut 25 m g Tab 0 0 0
111 Amoksisilin kapsul 250 Kap 0 0 0
112 Ampisisilin kapsul 500 Kap 0 0 0
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 0 0 0
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0
117 Antibakteri done salep kombinasi Tab 0 0 0
119 Antifungsi done kombinasi Pot 0 0 0
120 Antimigrain done kombinasi Tab 0 0 0
121 Antiparkinson done tablet kombinasi Tab 0 0 0
123 Aqua proinjeksi steril, bebas piriogen Amp 0 0 0
124 Aquadest seteril Btl 0 0 0
127 Asam klorida 0,1 % Btl 0 0 0
128 Asam sulfasalisilat 20% Btl 0 0 0
129 Asetosal tablet 100 mg Tab 0 0 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0 0 0
132 Atropin sulfat tablet 0,5 mg Tab 0 0 0
133 Atropine sulfat tetes mata 0,5% Btl 0 0 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0 0 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0 0 0
203 Besi sirup Btl 0 0 0
401 Dapson tablet 100 mg Tab 0 0 0
404 Dekstran 70 - larutan infuse 6% steril Btl 0 0 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0 0 0
406 Dekstrometorfan bhr tab 15 mg Tab 0 0 0
407 Devitalisasi pasta (non arsen ) Btl 0 0 0
408 Diazepam inj mg / ml- 2 ml Amp 0 0 0
409 Diazepam tablet 2 mg Tab 0 0 0
411 Dietikkarbamazin sitrt tab 100 mg Tab 0 0 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 0 0 0
413 Digonksin tab 0,25 mg Tab 0 0 0
501 Efedrin hcl tab 25 mg Tab 0 0 0
502 Ekstrak belladone tab 10 mg Tab 0 0 0
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0 0 0
505 Etambutol hcl tab 250 mg Tab 0 0 0
506 Etanol 70% Btl 0 0 0
507 Eter anestetik Btl 0 0 0
508 Etil kloroda semprot Btl 0 0 0
509 Eugenol cairan Btl 0 0 0
601 Fenitoin natrium inj 50 mg / ml Amp 0 0 0
602 Fenitoin natrium kapsul 100 mg Kap 0 0 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0 0 0
605 Fenorbarbital tab 100mg Tab 0 0 0
606 Fenorbarbital tab 30 mg Tab 0 0 0
607 Fenoksin metal penisilina tab 250 mg Tab 0 0 0
608 Fenoksimetil penisilina tab 500 mg Tab 0 0 0
609 Fenol gliserol tetes telinga 10 % Btl 0 0 0
612 Fluor tablet 0,5 mg Tab 0 0 0
701 Gameksan emulsi 1 % Btl 0 0 0
704 Gentian violet larutan 1 % Btl 0 0 0
705 Glass lonomer cement (gx ix) Set 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0
708 Gliserin Btl 0 0 0
801 Haloperidol tab 0,5 mg Tab 0 0 0
901 Ibuprofen 200 mg Tab 0 0 0
902 Iburrofen 400 mg Tab 0 0 0
903 Infusion set anak Set 0 0 0
904 Infusion set dewasa Set 0 0 0
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0 0 0
906 Iodal kapsul lunak Kap 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0
908 Isoniazid tab 300 mg Tab 0 0 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 0 0 0
1001 Jarum jahit (bedah ) no.9-14 Biji 0 0 0
1002 Kalium pemanganat serbuk Btl 0 0 0
1005 Kapas berlemak 500 gram Bjs 0 0 0
1007 Karbamazepin tab 200 mg Tab 0 0 0
1008 Kasa kompres 40/40 steril Rol 0 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0 0
1012 Ketamin inj 10 mg/ml Vial 0 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0 0
1014 Kloramfenikol kapsul 250 mg Kap 0 0 0
1016 Kloramfenikol tetes telinga 3 % Btl 0 0 0
1018 Kloroquin fosfat tab 250 mg Tab 0 0 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0 0 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0 0 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0
1023 Klorpromazin tablet 100 mg Tab 0 0 0
1024 Kodein hcl tablet 10 mg Tab 0 0 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 0 0 0
1026 Kotrimoksazol pediatric tablet Tab 0 0 0
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0 0 0
1030 Kuinin sulfat tablet 222mg Tab 0 0 0
1101 Larutan benedict Btl 0 0 0
1102 Larutan eosi 2 % Btl 0 0 0
1103 Larutan etanol asam Btl 0 0 0
1104 Larutan giemsa stain Btl 0 0 0
1105 Larutan korban fuksin Btl 0 0 0
1106 Larutan metilen biru Btl 0 0 0
1107 Larutan truk Btl 0 0 0
1109 Lisol Btl 0 0 0
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0 0 0
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0 0 0
1204 Mebenazol tablet 100 mg Tab 0 0 0
1205 Methanol Btl 0 0 0
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0 0 0
1209 Monoklorkamfer metol cairan Btl 0 0 0
1210 Mummifying pasta Btl 0 0 0
1302 Natrium fluoresein tetes mata 2% Btl 0 0 0
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0 0 0
1307 Obat Antitubekolosiskategori 1 Pkt 0 0 0
1308 Obat antikulosis kategiri 2 Pkt 0 0 0
1309 Obat batuk hitam (o.b.h.)cairan Btl 0 0 0
1310 Oksigen gas dalam lambung Tbg 0 0 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 0 0 0
1312 Oksitetrasiklin hcl salep 3% Tub 0 0 0
1313 Oksitetrasiklin hcl salep mata Tub 0 0 0
1314 Oksitosin inj.10 iu/ml -1ml Amp 0 0 0
1401 Parafomaldehid tablet 1g tabl 0 0 0
1403 Parasetamol tablet 100 mg Tab 0 0 0
1405 Pembalut gips Rol 0 0 0
1406 Perfenazin tablet 16 mg Tab 0 0 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0 0 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0 0 0
1413 Polikresulen Btl 0 0 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0 0 0
1415 Prazikuantel tablet 600 mg Tab 0 0 0
1416 Prednisone tablet 5 mg Tab 0 0 0
1417 Primakuin tablet 15 mg Tab 100 0 100
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0 0
1419 Propitiourasil tablet 100 mg Tab 0 0 0
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0 0 0
1502 Reserpin tablet 0,10 mg Tab 0 0 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0 0 0
1505 Repamfisin kaplet 600 mg Kap 0 0 0
1506 Repamfisin kapsul 300 mg Kap 0 0 0
1602 Salep 2 -4 kombinasi Pot 0 0 0
1604 Salisil spritus 10% Btl 0 0 0
1605 Semen seng fosfat serbuk dan cairan Set 0 0 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0 0 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0 0 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0 0 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0 0 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0 0 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 0 0 0
1613 Silver amalgam serbuk 65 - 75 % Btl 0 0 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0 0 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0 0 0
1617 Sulfadimidin tablet 500 mg Tab 0 0 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0 0 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0 0 0
1702 Temporay stooping fletcher serbuk dan cairan Set 0 0 0
1703 Tetrakain hcl tetes mata Btl 0 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 0 0 0
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0 0 0
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0 0 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0 0 0
1710 Trikresol formalin (tkf) cairan Btl 0 0 0
1801 Vaksin rabies vero Set 0 0 0
1903 Bioplang gel 0 0 0
1904 stesolid 0 0 0
1907 Malformin 200 0 200
1908 Bisopvola 5 mg 0 0 0
1909 Obat Cacing Sy 0 0 0
1910 Acycidvir Krim 5 Mg 0 0 0
1911 Salbutamol Sy 0 0 0
1912 Diafrom 0 0 0
1913 Zink Tab 200 0 200
1914 Zink Sy 0 0 0
1915 Prenase Tab 0 0 0
1916 Seltyfort Sy 0 0 0
1917 Ternik Plus Sy 0 0 0
1921 Ampicillin 250 Mg Buah 0 0 0
1924 Bionic Plus DHA Syrup Botol 0 0 0
1927 Eucarbon tablet Botol 0 0 0
1928 Fercee Capsul Tablet 0 0 0
1929 Folikateter No 10 Buah 0 0 0
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 0 0 0
1932 H2O2 Larutan Botol 0 0 0
1933 Haloperidol 5 Mg tablet 0 0 0
1934 Hunskun 7,5 Cm Buah 0 0 0
1935 Kapas Pembalut Absorben 500 gr Rol 0 0 0
1939 Milsen Syrup Botol 0 0 0
1940 Mirabion tablet Tablet 0 0 0
1941 Myragyl 500 Mg Tablet Tablet 0 0 0
1942 Needle 23 Buah 0 0 0
1944 Nifedipin tablet Tablet 0 0 0
1945 Paramidon Injk Ampul 0 0 0
1946 Pehacain Injk Ampul 0 0 0
1947 Piroxicam capsul Tablet 0 0 0
1949 Scopma tablet Tablet 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 0 0 0
1951 Stelazin 5 Mg Tablet 0 0 0
1952 Vicanatal tablet Tablet 0 0 0
1953 Vidisef Sol Botol 0 0 0
1954 Vitamin B Complex Inj Vial 0 0 0
1955 Wing Needel 23 Buah 0 0 0
1957 Fungoral zalf 0 0 0
1958 Flutamol syr 0 0 0
1959 Axofen syr 0 0 0
1960 Primpen syr / Donperidone syr 0 0 0
1961 Neo- Kominal syr 0 0 0
1962 Zink dispersibel 0 0 0
1963 Siobion tablet 0 0 0
1965 Papaverin Inj. 0 0 0
1966 Hustab 0 0 0
1967 Erlamicetin 0 0 0
1968 Albenazole 0 0 0
1970 Cefadroxil 0 0 0
1971 Stavit 0 0 0
1972 Masker 0 0 0
1973 Kidikol syr 0 0 0
1974 Serbuk PK 0 0 0
1975 Abocet 18 0 0 0
1976 domperidone sy 0 0 0
1977 Domperidone Sy 0 0 0
1979 Meloxicam 0 0 0
1980 Erytromior sy 0 0 0
1981 Omeprazole 0 0 0
1982 envios sy 0 0 0
1986 Pitogin 0 0 0
1990 loratadin 100 0 100
1991 Amlodipin 10 mg 90 0 90
1994 Filo cateter 16 0 0 0
1996 Wing nedle 25 g 0 0 0
1997 Wing nedle 23 g 0 0 0
2001 Simvastatin 0 0 0
2002 Puralex 100 0 100
2003 Erytromicin 0 0 0
2004 Cefadroxil 250mg 0 0 0
2005 Zirkum Sy 0 0 0
2006 DILTIAZEM 0 0 0
2007 ACARBOSE 0 0 0
2009 KETOROLOC INJ 0 0 0
2010 MINIASPI 0 0 0
2011 METOCLOPRAMIDE 0 0 0
2012 ATROFEN SPROY 0 0 0
2013 SPIRONOLOCTONE 0 0 0
2014 ASICLOVIR 100 0 100
2015 GLIMEPIRIDE 0 0 0
2016 BISOPROLOL 0 0 0
2017 CETIRIZINE 100 0 100
2018 GLICAB 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0
2022 CETORIZINE SY 0 0 0
2023 DOPAMED 0 0 0
2024 FUROSEMIDE 0 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

KAIAN PUSTU/POL TAAN
7 9=(6-7) 10 11
0 0 0
0 0 0
0 50 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 340 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 190 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 270 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
0 0 0
0 0 0
1 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 6 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 3 0
0 0 0
10 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
10 190 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 90 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 2 0
0 0 0
0 0 0
2 98 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
10 90 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 300 0
0 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 3 0
0 0 0
0 0 0
10 90 0
0 90 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 0 0
0 10 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 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
0 0 0
0 0 0
0 100 0
0 0 0
0 72 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar
JAN
KELAS STOCK PENERI- PERSE- PEMA- SISA SISA STOCK
TERAPI AWAL MAAN DIAAN KAIAN GUDANG APOTEK PUSTU/POL
1 2 3 4 5 6 7(5+6) 8=(7-14) 9 10 12
102 Alat suntik sekali pakai 1 ml Set 590 590 5 500 85 0
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 1717 1717 176 1350 141 50
106 Alopurinol tablet 100 mg Tab 1350 1350 80 800 470 0
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 60 60 0 60 0 0
109 Amitriptilin hcl tablet salut 25 m g Tab 290 290 0 290 0 0
110 Amoksisilin sirup kering 125 mg/ ml Btl 279 279 14 240 25 0
114 Antalgin (metampiron) tablet 500 mg Tab 500 500 20 400 80 0
116 Antasida done tablet, kombinasi Tab 17960 17960 1480 15400 740 340
126 Asam askrobat (vit. C) tablet 50 mg Tab 14070 14070 780 12200 900 190
204 Betametason krim 01,1 % Tub 15 15 2 0 13 0
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 86 86 0 86 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 200 200 0 190 10 0
403 Deksametason tablet 0,5 mg Tab 12500 12500 955 10600 675 270
409 Diazepam tablet 2 mg Tab 492 492 0 400 92 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 90 90 1 60 29 0
413 Digonksin tab 0,25 mg Tab 3000 3000 0 3000 0 0
501 Efedrin hcl tab 25 mg Tab 750 750 0 750 0 0
502 Ekstrak belladone tab 10 mg Tab 3000 3000 0 3000 0 0
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 60 60 0 60 0 0
504 Etakridin (rivanol)larutan 0,1% Btl 48 48 0 48 0 0
505 Etambutol hcl tab 250 mg Tab 0 0 0 0 0 0
506 Etanol 70% Btl 0 10 10 0 9 1 0
507 Eter anestetik Btl 0 0 0 0 0 0
508 Etil kloroda semprot Btl 0 0 0 0 0 0
509 Eugenol cairan Btl 30 30 0 30 0 0
609 Fenol gliserol tetes telinga 10 % Btl 6 6 0 6 0 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 198 198 1 140 57 0
611 Fitomenadione ( vit k) tab salut 10 mg Tab 4000 4000 0 4000 0 0
613 Furosemide tab 40 mg Tab 5090 5090 60 4400 430 200
701 Gameksan emulsi 1 % Btl 0 0 0 0 0 0
702 Garam oralit untuk 1000 ml air Sak 0 0 0 0 0 0
703 Garam oralit untuk 200 ml air Sak 4090 4090 50 3900 40 100
704 Gentian violet larutan 1 % Btl 0 0 0 0 0 0
705 Glass lonomer cement (gx ix) Set 0 0 0 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0 0 0 0
707 Gliseril guayakolat tab 100 mg Tab 0 0 0 0 0 0
708 Gliserin Btl 0 0 0 0 0 0
709 Glukosa larutan infuse 10 % steril Btl 160 160 0 140 20 0
711 Glukosa larutan infuse 5% steril Btl 174 174 3 139 12 20
712 Grisovulvin tab 125 mg, micronized Tab 4800 4800 70 4300 430 0
803 Hidroklorotiazide (hct) tab 25 mg Tab 6000 6000 0 6000 0 0
804 Hidrokortison krim 2,5 % Tab 36 36 11 14 9 2
902 Iburrofen 400 mg Tab 4210 4210 1330 1900 980 0
903 Infusion set anak Set 100 100 0 100 0 0
904 Infusion set dewasa Set 300 300 1 250 49 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 3800 3800 0 3800 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 9540 9540 750 7900 890 0
1006 Kapas pembalut Bks 17 17 1 16 0 0
1007 Karbamazepin tab 200 mg Tab 0 0 0 0 0 0
1008 Kasa kompres 40/40 steril Rol 0 0 0 0 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0 0 0 0 0
1010 Kasa pembalut hidrofil 4 m x 15 cm Rol 0 100 100 0 50 20 0
1011 Kasa pembalut hidrofil 4 m x 3 cm Rol 0 0 0 0 0 0
1012 Ketamin inj 10 mg/ml Vial 0 0 0 0 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0 0 0 0 0
1014 Kloramfenikol kapsul 250 mg Kap 0 0 0 0 0 0
1015 Kloramfenikol salep mata 1 % Tub 98 98 0 47 45 6
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 8700 8700 735 6700 1165 100
1021 Klorpromazin hcl tanlet salut 100 mg Tab 980 980 0 980 0 0
1027 Kotrimoksazol suspensi Btl 281 281 21 230 25 5
1028 Kotrimoksazoldewasa tablet Tab 11880 11880 300 10600 780 200
1108 Lidokain kompositum inj. Amp 100 100 0 100 0 0
1109 Lisol Btl 39 39 0 39 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 1500 1500 0 1300 200 0
1208 Metrodinazol tablet 250 mg Tab 8300 8300 140 7800 160 200
1301 Natrium bikarbonat tablet 500 mg Tab 8000 8000 0 8000 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 160 160 0 155 0 5
1306 Nistatin 500.000 iu tablet salut Tab 950 950 0 900 50 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 309 309 16 270 20 3
1403 Parasetamol tablet 100 mg Tab 5900 5900 0 5900 0 0
1404 Parasetamol 500 mg tabl 9120 9120 2195 6000 725 200
1410 Pirantel pamoat tablet 365mg Tab 4296 4296 362 3600 234 100
1411 Piridoksin hcl tablet 10 mg Tab 10820 10820 180 9000 640 1000
1412 Plester 5 yard x 2 inci Rol 18 18 3 15 0 0
1416 Prednisone tablet 5 mg Tab 10000 10000 0 10000 0 0
1417 Primakuin tablet 15 mg Tab 4200 4200 0 4100 0 100
1419 Propitiourasil tablet 100 mg Tab 1000 1000 0 1000 0 0
1420 Propanolol hcl tablet 40 mg Tab 2400 2400 0 2000 300 100
1508 Ringal raktat larutan infuse seteril Btl 221 221 31 160 10 20
1601 Salbutamol tablet 2 mg Tab 3120 3120 292 2200 438 190
1603 Salisil bedak 2 % Ktk 229 229 -2 215 16 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 100 100 0 100 0 0
1612 Silk(benang bedah sutera) no.3/0 Sak 46 46 0 46 0 0
1701 Tablet tambah darah kombinasi Tab 12000 12000 3000 9000 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 300 300 0 300 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 5900 5900 840 4400 570 90
1802 Vitamin b kompleks tablet Tab 14460 14460 670 13300 490 0
1901 Yodium povidon larutan 10 % 30 ml Btl 36 36 0 36 0 0
1903 Bioplang gel 30 30 0 30 0 0
1904 stesolid 0 0 0 0 0 0
1905 ketoconazole 450 450 92 200 60 98
1906 domperidone Tab 4000 4000 250 3500 250 0
1907 Malformin 4000 4000 0 3700 100 200
1909 Obat Cacing Sy 100 100 0 100 0 0
1910 Acycidvir Krim 5 Mg 25 25 0 25 0 0
1913 Zink Tab 12000 12000 0 11400 400 200
1914 Zink Sy 100 100 0 100 0 0
1918 Abocart No.22 G Buah 0 100 100 30 50 20 0
1919 Abocart No.24 G Buah 0 100 100 25 50 25 0
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 7020 7020 970 4800 1050 200
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 6850 6850 450 5800 600 0
1923 Antasida Doen syrup Botol 247 247 34 190 23 0
1925 Cimetidin 200 Mg Tablet 300 300 10 0 190 100
1926 Ciprofloxacin 500 Mg Tablet 4590 4590 120 3900 480 90
1930 Folikateter No 18 Buah 77 77 0 77 0 0
1933 Haloperidol 5 Mg tablet 500 500 0 500 0 0
1934 Hunskun 7,5 Cm Buah 2440 2440 110 2200 130 0
1936 Kasa pembalut hidrofil 40 m x 80 cm Rol 1 1 0 1 0 0
1937 Katopril 12,5 Mg Tablet 8210 8210 120 7200 590 300
1938 Katopril 25 Mg Tablet 6760 6760 390 5500 570 300
1945 Paramidon Injk Ampul 0 0 0 0 0 0
1946 Pehacain Injk Ampul 0 0 0 0 0 0
1947 Piroxicam capsul Tablet 0 0 0 0 0 0
1948 Ranitidin Tablet 10640 10640 720 9200 720 0
1949 Scopma tablet Tablet 0 0 0 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 1000 1000 0 1000 0 0
1952 Vicanatal tablet Tablet 0 0 0 0 0 0
1955 Wing Needel 23 Buah 0 0 0 0 0 0
1956 Wing Needel 25 Buah 800 800 0 800 0 0
1964 Papaverin tab 40 mg 2000 2000 110 1600 290 0
1965 Papaverin Inj. 0 0 0 0 0 0
1966 Hustab 0 0 0 0 0 0
1967 Erlamicetin 0 0 0 0 0 0
1968 Albenazole 0 0 0 0 0 0
1969 Flutamol syr 0 0 0 0 0 0
1970 Cefadroxil 0 0 0 0 0 0
1971 Stavit 0 0 0 0 0 0
1972 Masker 0 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0 0
1976 domperidone sy 120 120 0 120 0 0
1977 Domperidone Sy 0 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0 0
1980 Erytromior sy 120 120 0 120 0 0
1981 Omeprazole 4910 4910 260 4440 210 0
1982 envios sy 0 0 0 0 0 0
1983 Miconazole salf 32 32 1 25 6 0
1984 Natrium diklopenak 2800 2800 80 2500 220 0
1985 ketoconazole 600 600 0 600 0 0
1986 Pitogin 0 0 0 0 0 0
1987 Ibuprofen sy 208 208 5 175 25 3
1988 kertas puyer 0 0 0 0 0 0
1989 Clorampenicole sy 10 10 2 0 8 0
1990 loratadin 2480 2480 130 1750 510 90
1991 Amlodipin 10 mg 1350 1350 20 1200 40 90
1992 ondosetran 0 0 0 0 0 0
1993 Lemperamid 5400 5400 0 5000 200 200
1994 Filo cateter 16 0 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0 0
1998 Pyrantel Sy 75 75 1 45 19 10
1999 Cepadroxil Sy 146 146 2 126 18 0
2000 Domperidon Drpfs 197 197 1 172 14 10
2001 Simvastatin 8500 8500 20 8200 280 0
2002 Puralex 2240 2240 250 1800 90 100
2003 Erytromicin 110 110 0 110 0 0
2004 Cefadroxil 250mg 1950 1950 160 1500 290 0
2005 Zirkum Sy 255 255 3 250 2 0
2006 DILTIAZEM 3000 3000 0 3000 0 0
2007 ACARBOSE 1000 1000 0 1000 0 0
2008 DOXYCYLINE 4000 4000 0 3900 100 0
2009 KETOROLOC INJ 24 24 0 24 0 0
2010 MINIASPI 8000 8000 0 8000 0 0
2011 METOCLOPRAMIDE 3000 3000 0 3000 0 0
2012 ATROFEN SPROY 10 10 0 8 2 0
2013 SPIRONOLOCTONE 1000 1000 0 1000 0 0
2014 ASICLOVIR 3000 3000 40 2800 60 100
2015 GLIMEPIRIDE 3000 3000 0 3000 0 0
2016 BISOPROLOL 1000 1000 0 1000 0 0
2017 CETIRIZINE 7190 7190 80 7000 10 100
2018 GLICAB 3000 3000 0 3000 0 0
2019 KETOCONAZOLE SALF 1986 1986 24 1850 40 72
2020 ALKOHOL SWAT 2400 2400 1 2399 0 0
2021 ALKOHOL 70% 100 ML 100 100 0 100 0 0
2022 CETORIZINE SY 99 99 1 95 3 0
2023 DOPAMED 1000 1000 0 1000 0 0
2024 FUROSEMIDE INJ 100 100 0 100 0 0
Yang Menyerahkan Yang Melapor
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Plt. Kepala Puskesmas

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 19790508 200312 1 003
AN LEMBAR PERMINTAAN OBAT
(LPLPO)
2
0 1 6
JUM PERMIN KET

LAH TAAN
13=(9+10+11+12) 15 16
585
1541
1000
1270
60
290
265
480
16480
13290
13
86
200
11545
492
89
3000
750
3000
60
48
0
10
0
0
30
6
JUM PERMIN KET
LAH TAAN
197
4000
5030
0
0
4040
0
0
0
0 10000
0
160
171
4730
6000
25
2880
100
299
3800
8790
16
0
0
0
70
0
0
0
0
98
7965
980
260
11580
100
39
1500
8160
JUM PERMIN KET
LAH TAAN
8000
160
950
293
5900
6925
3934
10640
15
10000
4200
1000
2400
190
2828
231
100
46
9000
300
5060
13790
36
23
30
0
358
3750
4000
100
25
12000
100
70
75
6050 10000
6400
213
290
JUM PERMIN KET
LAH TAAN
4470
77
500
2330
1
8090
6370
0
0
0
9920
0
1000
0
0
800
1890
0
0
0
0
0
0
0
0
0
0
0
120
0
0
0
120
4650
0
31
2720
600
0
JUM PERMIN KET
LAH TAAN
203
0
8
2350
1330
0
5400
0
0
0
0
74
144
196
8480
1990
110
1790
252
3000
1000
4000
24
8000
3000
10
1000
2960
3000
1000
7110
3000
1962
2399
100
98
1000
100
JUM PERMIN KET
LAH TAAN
Sompak, 7 Maret 2016
Petugas Gudang

Nip. 19840315 201001 1 020
(LPLPO) PUSLING
NAMA PUSKESMAS : Sompak 0

KABUPATEN : landak
PROVINSI : Kal-Bar
FEB
STOCK PENERI- PERSE- PEMA- SISA PERMIN PEMBERIAN KET
AWAL MAAN DIAAN KAIAN PUSLING TAAN INPRES DAK DAU LAIN JML
1 2 3 4 5 6= (4+5) 7 9 11 12 13 14 15 16


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003 Nip.
LAPORAN PEMAKAIAN DAN LEM
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
STOCK
AWAL
1 2 3 4 1
708 Gliserin Btl 0
1109 Lisol Btl 39
1205 Methanol Btl 0
1904 stesolid 0
1907 Metformin 3700
1912 Diafrom 0
1913 Zink Tab 11400
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 1750
1992 ondosetran 0
1998 Pyrantel Sy 45
2002 Puralex 1800
2005 Zirkum Sy 250
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 8000
2014 ASICLOVIR 2800
2018 GLICAB 3000
2021 ALKOHOL 70% 100 ML BH 100
2023 DOPAMED 1000


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
AIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
BULAN 0 3
TAHUN 2 0 1 6
2 3 4 5 6 7 8 9 10
100
500
300
200
100
100
200
1
200 200
10
200
400 200
5
40
200
200
100
300
10
200
200
200
150 90
200
150 150
100
200
10
300
25

ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
11 12 13 14 15 16 17 18 19
50 100
50
300 300
10
100 100
1000
10
100
200
100 200
14
300 200
100 100
200
5
300
1
100
200
1000
5 5
100 300 100
100
7350
200
300
200
200
100
5
200
200
200
100
120 60
5 5
200
150
300
5
10
200
200
15
200
200 200
25 25
enerima
Gudang
mar
20 21 22 23 24 25 26 27 28
100
400 300
300
100
100 100
200
15
200 300
200
100
400 300 200

10
200 300
100
300
200 200
100
200
200
30 150
200 100
50
100
100
100 100
JUMLAH SISA

29 30 31
0 0
200 300
150 1200
50 950
0 0
100 700
0 0
0 60
0 290
0 240
0 0
0 0
0 0
100 300
0 0
1300 14100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 11700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 86
0 0
10 180
800 9800
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 60
0 3000
0 750
1000 2000
0 60
0 48
0 0
0 9
0 0
0 0
0 30
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
10 130
100 3900
0 0
400 4000
0 0
0 0
100 3800
0 0
0 0
0 0
0 0
0 0
0 140
0 0
0 139
400 3900
0 0
0 0
0 6000
14 0
0 0
700 1200
0 100
0 250
0 0
0 0
0 0
0 0
100 3700
0 0
0 0
0 0
600 7300
0 0
2 14
0 0
0 0
0 0
0 50
0 0
0 0
0 0
0 0
19 28
0 0
700 6000
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
5 225
500 10100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
1 38
0 0
0 0
0 0
0 0
0 0
100 1200
0 0
700 7100
0 0
0 0
1000 7000
0 0
0 155
0 0
0 0
0 900
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 250
200 5700
2000 4000
0 0
0 0
0 0
0 0
0 0
100 3500
0 9000
5 10
0 0
0 0
0 0
0 10000
0 4100
0 0
0 1000
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 120
200 2000
0 0
10 205
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 46
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7350 1650
0 0
0 0
0 300
0 0
0 0
400 4000
0 0
0 0
0 0
0 0
800 12500
0 36
1 20
0 30
0 0
0 200
100 3400
300 3400
0 0
0 100
0 25
0 0
0 0
200 11200
0 100
0 0
0 0
0 0
0 50
0 50
300 4500
0 0
800 5000
15 175
0 0
0 0
300 3600
0 0
0 0
0 0
5 72
0 0
0 0
0 500
200 2000
0 0
0 1
400 6800
400 5100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
500 8700
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 120
600 3840
0 0
0 25
500 2000
0 600
0 0
10 165
0 0
0 0
250 1500
450 750
0 0
300 4700
0 0
0 0
0 0
0 0
0 45
5 121
10 162
100 8100
200 1600
0 110
500 50 1050
10 240
0 3000
0 1000
0 3900
15 9
300 7700
200 2800
0 8
0 1000
100 2700
0 3000
0 1000
600 6400
0 3000
50 1800
0 2399
0 100
5 90
0 1000
30 70
selisih 100
14100
selisih 100
selisih 400 tab
selisih 300
selisih 100
selisih 10
selisih 1500 pcs
selisih 100
selisih 5
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
902 Iburrofen 400 mg Tab 230 300 530
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 100 100
1912 Diafrom 0 0
1913 Zink Tab 300 300
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 250 250 500
1991 Amlodipin 10 mg 0 300 300
1992 ondosetran 0 0
1993 Lemperamid 0 0
2001 Simvastatin 100 100 200
2002 Puralex 20 200 220
2004 Cefadroxil 250mg 170 100 270
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 100 100
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
70 90 0
0 0 0
0 0 0
170 90 0
0 0 0
0 0 0
0 0 0
10 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1150 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
230 360 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
755 125 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 150 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
520 210 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
530 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
420 160 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
37 12 0
0 0 0
905 115 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 6 0
275 285 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
130 170 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 10 0
0 0 0
1235 75 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
48 142 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
130 230 0
0 0 0
7 14 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
160 250 0
0 0 0
0 0 0
0 0 0
0 0 0
600 150 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 170 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 425 0
0 0 0
430 130 0
7 11 0
0 0 0
0 0 0
320 60 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
290 110 0
410 90 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
560 40 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
80 210 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
190 140 0
0 0 0
0 0 0
530 0 0
0 0 0
0 0 0
1 9 0
0 0 0
0 0 0
420 80 0
110 190 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 13 0
1 9 0
0 10 0
0 200 0
70 150 0
0 0 0
180 90 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
10 190 0
0 0 0
28 17 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
STOCK PENERI-
AWAL MAAN
1 2 3 4 5
708 Gliserin Btl 0
1109 Lisol Btl 0
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1907 Malformin 100
1912 Diafrom 0
1913 Zink Tab 70
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 260
1992 ondosetran 0
1998 Pyrantel Sy 5
2002 Puralex 70
2003 Erytromicin 0
2005 Zirkum Sy 2 10
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 100
2010 MINIASPI 0 300
2014 ASICLOVIR 60
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0
2024 FUROSEMIDE INJ 0 25


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
(LPLPO)
0 3
2 0 1 6

DIAAN KAIAN APOTEK TAAN INPRES DAK DAU LAIN JML
6= (4+5) 7 9=(6-7) 10 11 12 13 14 15
0 Err:522 Err:522
285 200 85
81 0 81
0 0
0 0
310 10 300 150 470
0 0 0
0 0 0
0 0 0
10 10 0 -5
0 0 0
0 0 0
0 0 0
180 90 90 80
0 0 0
580 376 204 -180
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
810 638 172 -280 900
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
13 9 4 13
0 0 0
0 0 0
10 5 5 10
495 410 85 -285 675
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
92 7 85 92
0 0 0
0 0 0
29 29 29
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 1
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
57 57 57
0 0 0
0 0 0
460 25 435 90 430
0 0 0
0 0 0
140 50 90 40
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 20 20
0 0 0
12 12 12
0 0 0 -430 430
0 0 0
0 0 0
0 0 0
23 20 3 9
0 0 0
1150 415 735 520 980
0 0 0
49 49 49
0 0 0
0 0 0
0 0 0
0 0 0
100 100 0
0 0 0
0 0 0
600 600 600
810 500 310 530 890
0 0 0
2 2 0 0
0 0 0
0 0 0
0 0 0
20 20 20
0 0 0
0 0 0
0 0 0
0 0 0
15 15 -15 45
0 0 0
845 27 818 525 1165
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
25 4 21 5 25
420 30 390 60 780
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 200 200
0 0 0
360 42 318 160
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 50 50
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 17 3 -10 20
200 200 0 0
1315 1239 76 105 725
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
144 73 71 54 234
640 50 590 640
5 5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
300 Err:522 Err:522 300
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 50 10
278 153 125 -282 438
0 0 0
5 2 3 -6 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7600 6450 1150 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
360 40 320 -250 570
0 0 0
0 0 0
0 0 0
0 0 0
540 540 0 190 490
0 0 0
0 0 0
0 0 0
0 0 0
60 45 15 60
180 20 160 10 300
100 90 10 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
70 40 30 -230
0 0 0
0 0 0
0 0 0
0 0 0
20 20 0 20
25 25 0 25
925 415 510 200 1050
0 0 0
740 520 220 -120 600
20 7 13 -13 23
0 0 0
190 10 180 190
400 230 170 -80 480
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
330 180 150 130
0 0 0
0 0 0
390 165 225 -210 590
270 0 270 -30 570
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
620 400 220 120 720
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 -290
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
480 480 0 210
0 0 0
6 6 0 6
190 155 35 160 220
0 0 0
0 0 0
20 1 19 5 25
0 0 0
8 2 6 8
260 20 240 10 510
40 40 0 40
0 0 0
500 500 200
0 0 0
0 0 0
0 0 0
0 0 0
5 1 4 -9
8 3 5 -2
4 0 4 -6
180 0 180 80
70 30 40 50
0 0 0
520 190 330 -50 400
12 12 0 2
0 0 0
0 0 0
100 100 100
20 5 15 5
300 300 0
0 0 0
2 2 2
0 0 0
60 20 40 60
0 0 0
0 0 0
210 80 130 10
0 0 0
20 17 3 0 40
0 0 0
0 0 0
8 3 5 3
0 0 0
25 3 22 0

Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
16
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar
april sadok
STOCK PENERI- PERSE- PEMA- SISA JUM PERMIN
AWAL MAAN DIAAN KAIAN STOCK LAH TAAN
1 2 3 4 5 6= (4+5) 7 8=(6-7) 9 10
127 Asam klorida 0,1 % Btl 0 0 0 0 0
403 Deksametason tablet 0,5 mg Tab 0 0 0 0 0
506 Etanol 70% Btl 0 0 0 0 0
712 Grisovulvin tab 125 mg, micronized Tab 0 0 0 0 0
902 Iburrofen 400 mg Tab 0 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0 0
1028 Kotrimoksazoldewasa tablet Tab 0 0 0 0 0
1109 Lisol Btl 0 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 0 0 0 0 0
1301 Natrium bikarbonat tablet 500 mg Tab 0 0 0 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 0 0 0 0 0
1903 Bioplang gel 0 0 0 0 0
1904 stesolid 0 0 0 0 0
1905 ketoconazole 50 50 50 0 0
1907 Malformin 0 0 0 0 0
1908 Bisopvola 5 mg 0 0 0 0 0
1909 Obat Cacing Sy 0 0 0 0 0
1912 Diafrom 0 0 0 0 0
1913 Zink Tab 0 0 0 0 0
1914 Zink Sy 0 0 0 0 0
1915 Prenase Tab 0 0 0 0 0
1918 Abocart No.22 G Buah 0 0 0 0 0
1934 Hunskun 7,5 Cm Buah 0 0 0 0 0
1942 Needle 23 Buah 0 0 0 0 0
1943 Needle 25 Buah 0 0 0 0 0
1959 Axofen syr 0 0 0 0 0
1964 Papaverin tab 40 mg 0 0 0 0 0
1966 Hustab 0 0 0 0 0
1971 Stavit 0 0 0 0 0
1972 Masker 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0
1976 domperidone sy 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0
1980 Erytromior sy 0 0 0 0 0
1981 Omeprazole 0 0 0 0 0
1982 envios sy 0 0 0 0 0
1986 Pitogin 0 0 0 0 0
1987 Ibuprofen sy 0 0 0 0 0
1990 loratadin 0 0 0 0 0
1991 Amlodipin 10 mg 0 0 0 0 0
1993 Lemperamid 0 0 0 0 0
1994 Filo cateter 16 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0
1998 Pyrantel Sy 0 0 0 0 0
1999 Cepadroxil Sy 0 0 0 0 0
2000 Domperidon Drpfs 0 0 0 0 0
2001 Simvastatin 0 0 0 0 0
2002 Puralex 0 0 0 0 0
2003 Erytromicin 0 0 0 0 0
2004 Cefadroxil 250mg 0 0 0 0 0
2005 Zirkum Sy 0 0 0 0 0
2006 DILTIAZEM 0 0 0 0 0
2007 ACARBOSE 0 0 0 0 0
2008 DOXYCYLINE 0 0 0 0 0
2009 KETOROLOC INJ 0 0 0 0 0
2010 MINIASPI 0 0 0 0 0
2011 METOCLOPRAMIDE 0 0 0 0 0
2012 ATROFEN SPROY 0 0 0 0 0
2013 SPIRONOLOCTONE 0 0 0 0 0
2014 ASICLOVIR 100 100 100 0 0
2015 GLIMEPIRIDE 0 0 0 0 0
2016 BISOPROLOL 0 0 0 0 0
2017 CETIRIZINE 0 0 0 0 0
2018 GLICAB 0 0 0 0 0
2019 KETOCONAZOLE SALF 22 22 22 0 0
2020 ALKOHOL SWAT 0 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0 0
2022 CETORIZINE SY 0 0 0 0 0
2023 DOPAMED 0 0 0 0 0
2024 FUROSEMIDE 0 0 0 0 0
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas Polindes Sadok

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april pauh
STOCK PENERI- PERSE- PEMA- SISA PERMIN
1 2 3 4 5 6= (4+5) 7 8=(6-7)
506 Etanol 70% Btl 0 0 0
1904 stesolid 0 0 0
1907 Malformin 0 0 0
1912 Diafrom 0 0 0
1913 Zink Tab 0 0 0
1914 Zink Sy 0 0 0
1966 Hustab 0 0 0
1971 Stavit 0 0 0
1972 Masker 0 0 0
1975 Abocet 18 0 0 0
1986 Pitogin 0 0 0
1990 loratadin 0 0 0
1991 Amlodipin 10 mg 0 0 0
1996 Wing nedle 25 g 0 0 0
1997 Wing nedle 23 g 0 0 0
2002 Puralex 0 0 0
2007 ACARBOSE 0 0 0
2010 MINIASPI 0 0 0
2014 ASICLOVIR 0 0 0
2018 GLICAB 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0
2023 DOPAMED 0 0 0
Yang Menyerahkan
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala puskesmas sompak POL PAUH
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt ANTI,SKM BERTA

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
BAT
KET
16
KET
KET
KET
KET
KET
KET
KET
KET
KET
KET
KET
POL PAUH
BERTA
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar
APRIL GALAR
AWAL MAAN DIAAN KAIAN STOCK TAAN INPRES DAK DAU LAIN JML
1 2 3 4 5 6= (4+5) 7 8=(6-7) 11 12 13 14 15 16
506 Etanol 70% Btl 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0
1109 Lisol Btl 0 0 0 0
1904 stesolid 0 0 0 0
1907 Malformin 0 0 0 0
1912 Diafrom 0 0 0 0
1913 Zink Tab 0 0 0 0
1914 Zink Sy 0 0 0 0
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1959 Axofen syr 0 0 0 0
1966 Hustab 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1982 envios sy 0 0 0 0
1986 Pitogin 0 0 0 0
1990 loratadin 90 90 90 0
1991 Amlodipin 10 mg 0 0 0 0
1993 Lemperamid 0 0 0 0
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 0 0 0 0
2002 Puralex 0 0 0 0
2005 Zirkum Sy 0 0 0 0
2007 ACARBOSE 0 0 0 0
2010 MINIASPI 0 0 0 0
2017 CETIRIZINE 0 0 0 0
2018 GLICAB 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0
2023 DOPAMED 0 0 0 0
Sompak, 2016
Yang Menyerahkan yang Melapor Yang menerima
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas POLINDES GALAR

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
1 2 3 4 5 6= (4+5) 7 8=(6-7) 16
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 0 50 50 10 40 0
116 Antasida done tablet, kombinasi Tab 0 300 300 50 250 0
127 Asam klorida 0,1 % Btl 0 0 0 0 0
403 Deksametason tablet 0,5 mg Tab 0 100 100 30 70 0
502 Ekstrak belladone tab 10 mg Tab 0 1000 1000 0 1000 0
506 Etanol 70% Btl 0 0 0 0 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 0 10 10 0 10 0
611 Fitomenadione ( vit k) tab salut 10 mg Tab 0 100 100 0 100 0
613 Furosemide tab 40 mg Tab 0 200 200 0 200 0
712 Grisovulvin tab 125 mg, micronized Tab 0 100 100 20 80 0
902 Iburrofen 400 mg Tab 0 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 0 100 100 0 100 0
1027 Kotrimoksazol suspensi Btl 0 5 5 2 3 0
1028 Kotrimoksazoldewasa tablet Tab 0 300 300 0 300 0
1109 Lisol Btl 0 1 1 1 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 0 100 100 0 100 0
1208 Metrodinazol tablet 250 mg Tab 0 200 200 20 180 0
1301 Natrium bikarbonat tablet 500 mg Tab 0 1000 1000 0 1000 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 0 5 5 0 5 0
1404 Parasetamol 500 mg tabl 0 100 100 20 80 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 0 200 200 0 0 0
1903 Bioplang gel 0 0 0 0 0
1904 stesolid 0 0 0 0 0
1907 Malformin 0 200 200 0 200 0
1908 Bisopvola 5 mg 0 0 0 0 0
1909 Obat Cacing Sy 0 0 0 0 0
1912 Diafrom 0 0 0 0 0
1913 Zink Tab 0 200 200 0 200 0
1914 Zink Sy 0 0 0 0 0
1915 Prenase Tab 0 0 0 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 0 100 100 30 70 0
1930 Folikateter No 18 Buah 0 5 5 0 5 0
1934 Hunskun 7,5 Cm Buah 0 0 0 0 0
1937 Katopril 12,5 Mg Tablet 0 200 200 10 190 0
1938 Katopril 25 Mg Tablet 0 200 200 40 160 0
1942 Needle 23 Buah 0 0 0 0 0
1943 Needle 25 Buah 0 0 0 0 0
1959 Axofen syr 0 0 0 0 0
1964 Papaverin tab 40 mg 0 0 0 0 0
1966 Hustab 0 0 0 0 0
1971 Stavit 0 0 0 0 0
1972 Masker 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0
1976 domperidone sy 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0
1980 Erytromior sy 0 0 0 0 0
1981 Omeprazole 0 0 0 0 0
1982 envios sy 0 0 0 0 0
1986 Pitogin 0 0 0 0 0
1987 Ibuprofen sy 0 5 5 1 4 0
1990 loratadin 0 0 0 0 0
1991 Amlodipin 10 mg 0 150 150 0 150 0
1993 Lemperamid 0 0 0 0 0
1994 Filo cateter 16 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0
1998 Pyrantel Sy 0 0 0 0 0
1999 Cepadroxil Sy 0 5 5 0 5 0
2000 Domperidon Drpfs 0 10 10 2 8 0
2001 Simvastatin 0 0 0 0 0
2002 Puralex 0 0 0 0 0
2003 Erytromicin 0 0 0 0 0
2004 Cefadroxil 250mg 0 0 0 0 0
2005 Zirkum Sy 0 0 0 0 0
2006 DILTIAZEM 0 0 0 0 0
2007 ACARBOSE 0 0 0 0 0
2008 DOXYCYLINE 0 0 0 0 0
2009 KETOROLOC INJ 0 0 0 0 0
2010 MINIASPI 0 0 0 0 0
2011 METOCLOPRAMIDE 0 200 200 0 200 0
2012 ATROFEN SPROY 0 0 0 0 0
2013 SPIRONOLOCTONE 0 0 0 0 0
2014 ASICLOVIR 0 0 0 0 0
2015 GLIMEPIRIDE 0 0 0 0 0
2016 BISOPROLOL 0 0 0 0 0
2017 CETIRIZINE 0 200 200 70 130 0
2018 GLICAB 0 0 0 0 0
2019 KETOCONAZOLE SALF 0 25 25 2 23 0
2020 ALKOHOL SWAT 0 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0 0
2022 CETORIZINE SY 0 0 0 0 0
2023 DOPAMED 0 0 0 0 0
2024 FUROSEMIDE INJ 0 5 5 0 5 0
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas POLINDES AWEK

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
1 2 3 4 5 6= (4+5) 7 8=(6-7)
506 Etanol 70% Btl 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0
1109 Lisol Btl 0 0 0 0
1904 stesolid 0 0 0 0
1907 Malformin 200 200 200 0
1912 Diafrom 0 0 0 0
1913 Zink Tab 200 200 200 0
1914 Zink Sy 0 0 0 0
1942 Needle 23 Buah 0 0 0 0
1943 Needle 25 Buah 0 0 0 0
1959 Axofen syr 0 0 0 0
1966 Hustab 0 0 0 0
1971 Stavit 0 0 0 0
1972 Masker 0 0 0 0
1974 Serbuk PK 0 0 0 0
1975 Abocet 18 0 0 0 0
1982 envios sy 0 0 0 0
1986 Pitogin 0 0 0 0
1991 Amlodipin 10 mg 90 90 90 0
1993 Lemperamid 200 200 200 0
1994 Filo cateter 16 0 0 0 0
1995 Filo cateter 18 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0
1998 Pyrantel Sy 10 10 2 8 0
2002 Puralex 100 100 100 0
2005 Zirkum Sy 0 0 0 0
2007 ACARBOSE 0 0 0 0
2010 MINIASPI 0 0 0 0
2017 CETIRIZINE 100 100 100 0
2018 GLICAB 0 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0 0
2023 DOPAMED 0 0 0 0
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala Puskesmas PUSTU PKB

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 2003121 1 003
BAT
KET
1234
16
KET
1234
KET
1234
KET
1234
KET
1234
KET
1234
KET
1234
KET
1234
KET
1234
KET
1234
PUSTU PKB
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 0 0 0
1904 stesolid 0 0 0
1907 Malformin 200 200 400
1912 Diafrom 0 0 0
1913 Zink Tab 200 200 400
1914 Zink Sy 0 0 0
1966 Hustab 0 0 0
1971 Stavit 0 0 0
1972 Masker 0 0 0
1975 Abocet 18 0 0 0
1986 Pitogin 0 0 0
1991 Amlodipin 10 mg 90 150 240
1996 Wing nedle 25 g 0 0 0
1997 Wing nedle 23 g 0 0 0
2002 Puralex 100 0 100
2007 ACARBOSE 0 0 0
2010 MINIASPI 0 0 0
2014 ASICLOVIR 100 0 100
2017 CETIRIZINE 100 200 300
2018 GLICAB 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0
2023 DOPAMED 0 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

7 9=(6-7) 10 11
0 0 0
0 0 0
29 71 0
4 46 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
80 560 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 180 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 320 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 100 0
0 0 0
0 400 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
20 80 0
0 0 0
0 0 0
0 0 0
0 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 6 0
0 0 0
0 100 0
0 0 0
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 8 0
0 500 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
20 380 0
0 0 0
0 0 0
0 1000 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 8 0
0 0 0
20 280 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 96 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
10 180 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 290 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 2 0
0 0 0
0 0 0
1 97 0
0 0 0
0 400 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
0 200 0
0 0 0
30 70 0
0 0 0
0 0 0
0 100 0
0 90 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 480 0
50 450 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 7 0
0 0 0
0 0 0
0 90 0
0 240 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
2 8 0
0 5 0
2 18 0
0 0 0
0 100 0
0 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
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
70 230 0
0 0 0
2 95 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
KELAS STOCK PENERI- PERSE- PEMA- SISA SISA SISA STOCK
TERAPI AWAL MAAN DIAAN KAIAN GUDANG APOTEK PUSLING PUSTU/POL
1 2 3 4 5 6 7(5+6) 8=(7-14) 9 10 11 12
102 Alat suntik sekali pakai 1 ml Set 585 585 200 300 85 0 0
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 1541 1541 99 1200 81 90 71
104 Alat suntik sekali pakai 5 ml Set 1000 1000 4 950 0 0 46
105 Albendazol tablet 400 mg Tab 0 0 0 0 0 0 0
106 Alopurinol tablet 100 mg Tab 1270 1270 180 700 300 90 0
107 Aminofilin tablet 200 mg Tab 0 0 0 0 0 0 0
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 60 60 0 60 0 0 0
109 Amitriptilin hcl tablet salut 25 m g Tab 290 290 0 290 0 0 0
110 Amoksisilin sirup kering 125 mg/ ml Btl 265 265 20 240 0 5 0
111 Amoksisilin kapsul 250 Kap 0 0 0 0 0 0 0
112 Ampisisilin kapsul 500 Kap 0 0 0 0 0 0 0
113 Ampisisilin sirup kering 125 mg/ 5 ml Btl 0 0 0 0 0 0 0
114 Antalgin (metampiron) tablet 500 mg Tab 480 480 90 300 90 0 0
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0 0 0 0 0
116 Antasida done tablet, kombinasi Tab 16480 16480 1606 14100 204 10 560
117 Antibakteri done salep kombinasi Tab 0 0 0 0 0 0 0
118 Antihemoroid doen kombinasi Sup 0 0 0 0 0 0 0
119 Antifungsi done kombinasi Pot 0 0 0 0 0 0 0
120 Antimigrain done kombinasi Tab 0 0 0 0 0 0 0
121 Antiparkinson done tablet kombinasi Tab 0 0 0 0 0 0 0
123 Aqua proinjeksi steril, bebas piriogen Amp 0 0 0 0 0 0 0
124 Aquadest seteril Btl 0 0 0 0 0 0 0
125 Asam askrobat (vit. C) tablet 250 mg Tab 0 0 0 0 0 0 0
126 Asam askrobat (vit. C) tablet 50 mg Tab 13290 13290 878 11700 172 360 180
127 Asam klorida 0,1 % Btl 0 0 0 0 0 0 0
128 Asam sulfasalisilat 20% Btl 0 0 0 0 0 0 0
129 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0
130 Asetosal tablet 500 mg Tab 0 0 0 0 0 0 0
131 Atropine sulfat injeksi 0,25mg/ml- 1 ml Amo 0 0 0 0 0 0 0
132 Atropin sulfat tablet 0,5 mg Tab 0 0 0 0 0 0 0
133 Atropine sulfat tetes mata 0,5% Btl 0 0 0 0 0 0 0
201 Benzatin benzil penisilin inj 1,2 juta iu/ vial Vial 0 0 0 0 0 0 0
202 Benzatin benzil penesilin inj 2,4 juta iu/ vial Vial 0 0 0 0 0 0 0
203 Besi sirup Btl 0 0 0 0 0 0 0
204 Betametason krim 01,1 % Tub 13 13 9 0 4 0 0
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 86 86 0 86 0 0 0
401 Dapson tablet 100 mg Tab 0 0 0 0 0 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 190 190 5 180 5 0 0
403 Deksametason tablet 0,5 mg Tab 0 0 1215 9800 85 125 320
404 Dekstran 70 - larutan infuse 6% steril Btl 0 0 0 0 0 0 0
405 Dekstrometorfan bhr sirup 10 mg / 5ml Btl 0 0 0 0 0 0 0
406 Dekstrometorfan bhr tab 15 mg Tab 0 0 0 0 0 0 0
407 Devitalisasi pasta (non arsen ) Btl 0 0 0 0 0 0 0
408 Diazepam inj mg / ml- 2 ml Amp 0 0 0 0 0 0 0
409 Diazepam tablet 2 mg Tab 0 0 7 400 85 0 0
410 Diazepam tablet 5 mg Tab 0 0 0 0 0 0 0
411 Dietikkarbamazin sitrt tab 100 mg Tab 0 0 0 0 0 0 0
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 0 0 0 60 29 0 0
413 Digonksin tab 0,25 mg Tab 0 0 0 3000 0 0 0
501 Efedrin hcl tab 25 mg Tab 0 0 0 750 0 0 0
502 Ekstrak belladone tab 10 mg Tab 0 0 0 2000 0 0 1000
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 0 0 0 60 0 0 0
504 Etakridin (rivanol)larutan 0,1% Btl 0 0 0 48 0 0 0
505 Etambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0
506 Etanol 70% Btl 0 10 10 0 9 1 0 0
507 Eter anestetik Btl 0 0 0 0 0 0 0
508 Etil kloroda semprot Btl 0 0 0 0 0 0 0
509 Eugenol cairan Btl 0 0 0 30 0 0 0
601 Fenitoin natrium inj 50 mg / ml Amp 0 0 0 0 0 0 0
602 Fenitoin natrium kapsul 100 mg Kap 0 0 0 0 0 0 0
603 Fenitoin natrium kapsul 30 mg Kap 0 0 0 0 0 0 0
604 Fenorbarbital inj 50 mg /ml- 2ml Amp 0 0 0 0 0 0 0
605 Fenorbarbital tab 100mg Tab 0 0 0 0 0 0 0
606 Fenorbarbital tab 30 mg Tab 0 0 0 0 0 0 0
607 Fenoksin metal penisilina tab 250 mg Tab 0 0 0 0 0 0 0
608 Fenoksimetil penisilina tab 500 mg Tab 0 0 0 0 0 0 0
609 Fenol gliserol tetes telinga 10 % Btl 0 0 0 6 0 0 0
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 0 0 0 130 57 0 10
611 Fitomenadione ( vit k) tab salut 10 mg Tab 0 0 0 3900 0 0 100
612 Fluor tablet 0,5 mg Tab 0 0 0 0 0 0 0
613 Furosemide tab 40 mg Tab 0 0 45 4000 435 150 400
701 Gameksan emulsi 1 % Btl 0 0 0 0 0 0 0
702 Garam oralit untuk 1000 ml air Sak 0 0 0 0 0 0 0
703 Garam oralit untuk 200 ml air Sak 0 0 50 3800 90 0 100
704 Gentian violet larutan 1 % Btl 0 0 0 0 0 0 0
705 Glass lonomer cement (gx ix) Set 0 0 0 0 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0 0 0 0 0
707 Gliseril guayakolat tab 100 mg Tab 0 0 0 0 0 0 0
708 Gliserin Btl 0 0 0 0 0 0 0
709 Glukosa larutan infuse 10 % steril Btl 0 0 0 140 20 0 0
710 Glukosa larutan infuse 10 % steril Btl 0 0 0 0 0 0 0
711 Glukosa larutan infuse 5% steril Btl 0 0 0 139 12 0 20
712 Grisovulvin tab 125 mg, micronized Tab 0 0 540 3900 0 210 80
801 Haloperidol tab 0,5 mg Tab 0 0 0 0 0 0 0
802 Haloperidol tab 1,5 mg Tab 0 0 0 0 0 0 0
803 Hidroklorotiazide (hct) tab 25 mg Tab 0 0 0 6000 0 0 0
804 Hidrokortison krim 2,5 % Tab 0 0 20 0 3 0 2
901 Ibuprofen 200 mg Tab 0 0 0 0 0 0 0
902 Iburrofen 400 mg Tab 0 0 945 1200 735 0 0
903 Infusion set anak Set 0 0 0 100 0 0 0
904 Infusion set dewasa Set 0 0 0 250 49 0 0
905 Insulin regular inj 40 iu/ ml - 10 ml Vial 0 0 0 0 0 0 0
906 Iodal kapsul lunak Kap 0 0 0 0 0 0 0
907 Ipela sirup 0,14% Btl 0 0 0 0 0 0 0
908 Isoniazid tab 300 mg Tab 0 0 0 0 0 0 0
909 Isosorbit dinitrat tab subiungual 5 mg Tab 0 0 0 3700 100 0 0
1001 Jarum jahit (bedah ) no.9-14 Biji 0 0 0 0 0 0 0
1002 Kalium pemanganat serbuk Btl 0 0 0 0 0 0 0
1003 Kalsium hidroksida pasata Tub 0 0 0 0 600 0 0
1004 Kalsium laktat (klak ) tab 500 mg Tab 0 0 920 7300 310 160 100
1005 Kapas berlemak 500 gram Bjs 0 0 0 0 0 0 0
1006 Kapas pembalut Bks 0 0 2 14 0 0 0
1007 Karbamazepin tab 200 mg Tab 0 0 0 0 0 0 0
1008 Kasa kompres 40/40 steril Rol 0 0 0 0 0 0 0
1009 Kasa pembalut 2 m x 80 cm Rol 0 0 0 0 0 0 0
1012 Ketamin inj 10 mg/ml Vial 0 0 0 0 0 0 0
1013 Klofazimin kapsul 100 mg,micronnized Kap 0 0 0 0 0 0 0
1014 Kloramfenikol kapsul 250 mg Kap 0 0 0 0 0 0 0
1015 Kloramfenikol salep mata 1 % Tub 0 0 37 28 15 12 6
1016 Kloramfenikol tetes telinga 3 % Btl 0 0 0 0 0 0 0
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 0 0 932 6000 818 115 100
1018 Kloroquin fosfat tab 250 mg Tab 0 0 0 0 0 0 0
1019 Klorpromazin hcl inj. 25 mg/ml -1 ml Amp 0 0 0 0 0 0 0
1020 Klorpromazin hcl inj. 5 mg/ml- 2ml Amp 0 0 0 0 0 0 0
1021 Klorpromazin hcl tanlet salut 100 mg Tab 0 0 0 980 0 0 0
1022 Klorpromazin hcl tablet salut 25 mg Tab 0 0 0 0 0 0 0
1023 Klorpromazin tablet 100 mg Tab 0 0 0 0 0 0 0
1024 Kodein hcl tablet 10 mg Tab 0 0 0 0 0 0 0
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 mg Tab 0 0 0 0 0 0 0
1026 Kotrimoksazol pediatric tablet Tab 0 0 0 0 0 0 0
1027 Kotrimoksazol suspensi Btl 0 6 6 10 225 21 6 8
1028 Kotrimoksazoldewasa tablet Tab 0 0 305 10100 390 285 500
1029 Kuinin dhidriklorida inj. 25%- 2 ml Amp 0 0 0 0 0 0 0
1030 Kuinin sulfat tablet 222mg Tab 0 0 0 0 0 0 0
1101 Larutan benedict Btl 0 0 0 0 0 0 0
1102 Larutan eosi 2 % Btl 0 0 0 0 0 0 0
1103 Larutan etanol asam Btl 0 0 0 0 0 0 0
1104 Larutan giemsa stain Btl 0 0 0 0 0 0 0
1105 Larutan korban fuksin Btl 0 0 0 0 0 0 0
1106 Larutan metilen biru Btl 0 0 0 0 0 0 0
1107 Larutan truk Btl 0 0 0 0 0 0 0
1108 Lidokain kompositum inj. Amp 0 0 0 100 0 0 0
1109 Lisol Btl 0 0 1 38 0 0 0
1201 Magnesium sulfat inj. (iv) 20% - 25 ml Vial 0 0 0 0 0 0 0
1202 Magnesium sulfat inj. (iv) 40% - 25 ml Vial 0 0 0 0 0 0 0
1203 Mebenazol sorup 100 m/ 5 ml g Btl 0 0 0 0 0 0 0
1204 Mebenazol tablet 100 mg Tab 0 0 0 0 0 0 0
1205 Methanol Btl 0 0 0 0 0 0 0
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 0 0 0 1200 200 0 100
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0 0 0 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 0 0 192 7100 318 170 380
1209 Monoklorkamfer metol cairan Btl 0 0 0 0 0 0 0
1210 Mummifying pasta Btl 0 0 0 0 0 0 0
1301 Natrium bikarbonat tablet 500 mg Tab 0 0 0 7000 0 0 1000
1302 Natrium fluoresein tetes mata 2% Btl 0 0 0 0 0 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 0 0 0 155 0 0 5
1304 Natrium tiosulfat inj. 25%- 10 ml Amp 0 0 0 0 0 0 0
1305 Nistatin 100.000 iu/g tablet vagina Tab 0 0 0 0 0 0 0
1306 Nistatin 500.000 iu tablet salut Tab 0 0 0 900 50 0 0
1307 Obat Antitubekolosiskategori 1 Pkt 0 0 0 0 0 0 0
1308 Obat antikulosis kategiri 2 Pkt 0 0 0 0 0 0 0
1309 Obat batuk hitam (o.b.h.)cairan Btl 0 0 0 0 0 0 0
1310 Oksigen gas dalam lambung Tbg 0 0 0 0 0 0 0
1311 Oksitetrasiklin hcl. Inj.i.m.50 mg/ml-10ml Vial 0 0 0 0 0 0 0
1312 Oksitetrasiklin hcl salep 3% Tub 0 0 0 0 0 0 0
1313 Oksitetrasiklin hcl salep mata Tub 0 0 0 0 0 0 0
1314 Oksitosin inj.10 iu/ml -1ml Amp 0 0 0 0 0 0 0
1401 Parafomaldehid tablet 1g tabl 0 0 0 0 0 0 0
1402 Parasetamol sirup 120 mg/ 5ml Btl 0 0 22 250 3 10 8
1403 Parasetamol tablet 100 mg Tab 0 0 200 5700 0 0 0
1404 Parasetamol 500 mg tabl 0 0 2494 4000 76 75 280
1405 Pembalut gips Rol 0 0 0 0 0 0 0
1406 Perfenazin tablet 16 mg Tab 0 0 0 0 0 0 0
1407 Perfenazin tablet 4 mg Tab 0 0 0 0 0 0 0
1408 Petidine hcl inj. 50 mg/ ml- 2 ml Amp 0 0 0 0 0 0 0
1409 Pilokarpin hcl hcl/nitrat tetets mata 2% Btl 0 0 0 0 0 0 0
1410 Pirantel pamoat tablet 365mg Tab 0 0 125 3500 71 142 96
1411 Piridoksin hcl tablet 10 mg Tab 0 0 50 9000 590 0 1000
1412 Plester 5 yard x 2 inci Rol 0 0 5 10 0 0 0
1413 Polikresulen Btl 0 0 0 0 0 0 0
1414 Polipeptida lombinasi done, larutan infuse Btl 0 0 0 0 0 0 0
1415 Prazikuantel tablet 600 mg Tab 0 0 0 0 0 0 0
1416 Prednisone tablet 5 mg Tab 0 0 0 10000 0 0 0
1417 Primakuin tablet 15 mg Tab 0 0 0 4100 0 0 100
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0 0 0 0 0 0
1419 Propitiourasil tablet 100 mg Tab 0 0 0 1000 0 0 0
1420 Propanolol hcl tablet 40 mg Tab 0 0 Err:522 2000 Err:522 0 100
1501 Rabiess immune globulin (human ) 150 iu/ ml Vial 0 0 0 0 0 0 0
1502 Reserpin tablet 0,10 mg Tab 0 0 0 0 0 0 0
1503 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0
1504 Retinol (vit. A) kapsul 200.000 iu Kap 0 0 0 0 0 0 0
1505 Repamfisin kaplet 600 mg Kap 0 0 0 0 0 0 0
1506 Repamfisin kapsul 300 mg Kap 0 0 0 0 0 0 0
1507 Repamfisin kapsul 450 mg Kap 0 0 0 0 0 0 0
1508 Ringal raktat larutan infuse seteril Btl 0 0 0 120 50 0 20
1601 Salbutamol tablet 2 mg Tab 0 0 293 2000 125 230 180
1602 Salep 2 -4 kombinasi Pot 0 0 0 0 0 0 0
1603 Salisil bedak 2 % Ktk 0 0 9 205 3 14 0
1604 Salisil spritus 10% Btl 0 0 0 0 0 0 0
1605 Semen seng fosfat serbuk dan cairan Set 0 0 0 0 0 0 0
1606 Serum anti bisa ular polivalen inj. 5 ml (abu i) Vial 0 0 0 0 0 0 0
1607 Serum anti bisa ular polivalen inj. 50 ml (abu ii) Vial 0 0 0 0 0 0 0
1608 Serum anti deftri inj.20.000 iu /vial (a.d.s.) Vial 0 0 0 0 0 0 0
1609 Serum anti tetanus inj.1.500 iu/ampul (a.t.s) Amp 0 0 0 0 0 0 0
1610 Serum ant tetanus inj. .20.000 iu/vial (a.t.s.) Vial 0 0 0 0 0 0 0
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 0 0 0 100 0 0 0
1612 Silk(benang bedah sutera) no.3/0 Sak 0 0 0 46 0 0 0
1613 Silver amalgam serbuk 65 - 75 % Btl 0 0 0 0 0 0 0
1614 Spons getalin cubicle cubiclese 1x1x1 cm Tbg 0 0 0 0 0 0 0
1615 Strepomisin sulfst serbuk inj.1000 mg/ vial Vial 0 0 0 0 0 0 0
1616 Strepomisin sulfst serbuk inj.1500 mg/ vial Vial 0 0 0 0 0 0 0
1617 Sulfadimidin tablet 500 mg Tab 0 0 0 0 0 0 0
1618 Sulfasetamet natrium tetes mata 15% Btl 0 0 0 0 0 0 0
1619 Suspensi seng insulin inj.40 iu/ ml -10 ml Vial 0 0 0 0 0 0 0
1701 Tablet tambah darah kombinasi Tab 0 0 6450 1650 1150 0 0
1702 Temporay stooping fletcher serbuk dan cairan Set 0 0 0 0 0 0 0
1703 Tetrakain hcl tetes mata Btl 0 0 0 0 0 0 0
1704 Tetrasiklin hcl kapsul 250 mg Kap 0 0 0 300 0 0 0
1705 Tetrasiklin hcl kapsul 500 mg Kap 0 0 0 0 0 0 0
1706 Thiamin hcl (vit b1) inj.100 mg/ ml 1 ml Amp 0 0 0 0 0 0 0
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 0 0 200 4000 320 250 290
1708 Tipental natrium serbuk inj.1000mg/ amp Amp 0 0 0 0 0 0 0
1709 Triheksifendil hidroklorida tablet 2 mg Tab 0 0 0 0 0 0 0
1710 Trikresol formalin (tkf) cairan Btl 0 0 0 0 0 0 0
1801 Vaksin rabies vero Set 0 0 0 0 0 0 0
1802 Vitamin b kompleks tablet Tab 0 0 1140 12500 0 150 0
1901 Yodium povidon larutan 10 % 30 ml Btl 0 0 0 36 0 0 0
1902 Yodium povidon larutan 10 % 300 ml Btl 0 0 1 20 0 0 2
1903 Bioplang gel 0 0 0 30 0 0 0
1904 stesolid 0 0 0 0 0 0 0
1905 ketoconazole 0 0 46 200 15 0 97
1906 domperidone Tab 0 0 20 3400 160 170 0
1907 Malformin 0 0 90 3400 10 100 400
1908 Bisopvola 5 mg 0 0 0 0 0 0 0
1909 Obat Cacing Sy 0 0 0 100 0 0 0
1910 Acycidvir Krim 5 Mg 0 0 0 25 0 0 0
1911 Salbutamol Sy 0 0 0 0 0 0 0
1912 Diafrom 0 0 0 0 0 0 0
1913 Zink Tab 0 0 40 11200 30 300 400
1914 Zink Sy 0 0 0 100 0 0 0
1915 Prenase Tab 0 0 0 0 0 0 0
1916 Seltyfort Sy 0 0 0 0 0 0 0
1917 Ternik Plus Sy 0 0 0 0 0 0 0
1918 Abocart No.22 G Buah 0 0 20 50 0 0 0
1919 Abocart No.24 G Buah 0 0 25 50 0 0 0
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 0 0 415 4500 510 425 200
1921 Ampicillin 250 Mg Buah 0 0 0 0 0 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 0 0 980 5000 220 130 70
1923 Antasida Doen syrup Botol 0 0 14 175 13 11 0
1924 Bionic Plus DHA Syrup Botol 0 0 0 0 0 0 0
1925 Cimetidin 200 Mg Tablet 0 0 10 0 180 0 100
1926 Ciprofloxacin 500 Mg Tablet 0 0 550 3600 170 60 90
1927 Eucarbon tablet Botol 0 0 0 0 0 0 0
1928 Fercee Capsul Tablet 0 0 0 0 0 0 0
1929 Folikateter No 10 Buah 0 0 0 0 0 0 0
1930 Folikateter No 18 Buah 0 0 0 72 0 0 5
1931 Gentaminsin Inj 80 Mg / 2 Ml Ampul 0 0 0 0 0 0 0
1932 H2O2 Larutan Botol 0 0 0 0 0 0 0
1933 Haloperidol 5 Mg tablet 0 0 0 500 0 0 0
1934 Hunskun 7,5 Cm Buah 0 0 180 2000 150 0 0
1935 Kapas Pembalut Absorben 500 gr Rol 0 0 0 0 0 0 0
1937 Katopril 12,5 Mg Tablet 0 0 475 6800 225 110 480
1938 Katopril 25 Mg Tablet 0 0 460 5100 270 90 450
1939 Milsen Syrup Botol 0 0 0 0 0 0 0
1940 Mirabion tablet Tablet 0 0 0 0 0 0 0
1941 Myragyl 500 Mg Tablet Tablet 0 0 0 0 0 0 0
1942 Needle 23 Buah 0 0 0 0 0 0 0
1943 Needle 25 Buah 0 0 0 0 0 0 0
1944 Nifedipin tablet Tablet 0 0 0 0 0 0 0
1945 Paramidon Injk Ampul 0 0 0 0 0 0 0
1946 Pehacain Injk Ampul 0 0 0 0 0 0 0
1947 Piroxicam capsul Tablet 0 0 0 0 0 0 0
1948 Ranitidin Tablet 0 0 960 8700 220 40 0
1949 Scopma tablet Tablet 0 0 0 0 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 0 0 0 1000 0 0 0
1951 Stelazin 5 Mg Tablet 0 0 0 0 0 0 0
1952 Vicanatal tablet Tablet 0 0 0 0 0 0 0
1953 Vidisef Sol Botol 0 0 0 0 0 0 0
1954 Vitamin B Complex Inj Vial 0 0 0 0 0 0 0
1955 Wing Needel 23 Buah 0 0 0 0 0 0 0
1956 Wing Needel 25 Buah 0 0 0 800 0 0 0
1957 Fungoral zalf 0 0 0 0 0 0 0
1958 Flutamol syr 0 0 0 0 0 0 0
1959 Axofen syr 0 0 0 0 0 0 0
1960 Primpen syr / Donperidone syr 0 0 0 0 0 0 0
1961 Neo- Kominal syr 0 0 0 0 0 0 0
1962 Zink dispersibel 0 0 0 0 0 0 0
1963 Siobion tablet 0 0 0 0 0 0 0
1964 Papaverin tab 40 mg 0 0 80 1600 0 210 0
1965 Papaverin Inj. 0 0 0 0 0 0 0
1966 Hustab 0 0 0 0 0 0 0
1967 Erlamicetin 0 0 0 0 0 0 0
1968 Albenazole 0 0 0 0 0 0 0
1969 Flutamol syr 0 0 0 0 0 0 0
1970 Cefadroxil 0 0 0 0 0 0 0
1971 Stavit 0 0 0 0 0 0 0
1972 Masker 0 0 0 0 0 0 0
1973 Kidikol syr 0 0 0 0 0 0 0
1974 Serbuk PK 0 0 0 0 0 0 0
1975 Abocet 18 0 0 0 0 0 0 0
1976 domperidone sy 0 0 0 120 0 0 0
1977 Domperidone Sy 0 0 0 0 0 0 0
1978 Ambroxol Sy 0 0 0 0 0 0 0
1979 Meloxicam 0 0 0 0 0 0 0
1980 Erytromior sy 0 0 0 120 0 0 0
1981 Omeprazole 0 0 670 3840 0 140 0
1982 envios sy 0 0 0 0 0 0 0
1983 Miconazole salf 0 0 6 25 0 0 0
1984 Natrium diklopenak 0 0 685 2000 35 0 0
1986 Pitogin 0 0 0 0 0 0 0
1987 Ibuprofen sy 203 203 3 165 19 9 7
1988 kertas puyer 0 0 0 0 0 0 0
1989 Clorampenicole sy 8 8 2 0 6 0 0
1990 loratadin 2350 2350 440 1500 240 80 90
1991 Amlodipin 10 mg 1330 1330 150 750 0 190 240
1992 ondosetran 0 0 0 0 0 0 0
1993 Lemperamid 5400 5400 0 4700 500 0 200
1994 Filo cateter 16 0 0 0 0 0 0 0
1995 Filo cateter 18 0 0 0 0 0 0 0
1996 Wing nedle 25 g 0 0 0 0 0 0 0
1997 Wing nedle 23 g 0 0 0 0 0 0 0
1998 Pyrantel Sy 74 74 4 45 4 13 8
1999 Cepadroxil Sy 144 144 4 121 5 9 5
2000 Domperidon Drpfs 196 196 2 162 4 10 18
2001 Simvastatin 8480 8480 0 8100 180 200 0
2002 Puralex 1990 1990 100 1600 40 150 100
2003 Erytromicin 110 110 0 110 0 0 0
2004 Cefadroxil 250mg 1790 1790 370 1050 330 90 0
2005 Zirkum Sy 252 252 12 240 0 0 0
2006 DILTIAZEM 3000 3000 0 3000 0 0 0
2007 ACARBOSE 1000 1000 0 1000 0 0 0
2008 DOXYCYLINE 4000 4000 0 3900 100 0 0
2009 KETOROLOC INJ 24 24 0 9 15 0 0
2010 MINIASPI 8000 8000 0 7700 300 0 0
2011 METOCLOPRAMIDE 3000 3000 0 2800 0 0 200
2012 ATROFEN SPROY 10 10 0 8 2 0 0
2013 SPIRONOLOCTONE 1000 1000 0 1000 0 0 0
2014 ASICLOVIR 2960 2960 20 2700 40 100 100
2015 GLIMEPIRIDE 3000 3000 0 3000 0 0 0
2016 BISOPROLOL 1000 1000 0 1000 0 0 0
2017 CETIRIZINE 7110 7110 160 6400 130 190 230
2018 GLICAB 3000 3000 0 3000 0 0 0
2019 KETOCONAZOLE SALF 1962 1962 47 1800 3 17 95
2020 ALKOHOL SWAT 2399 2399 0 2399 0 0 0
2021 ALKOHOL 70% 100 ML 100 100 0 100 0 0 0
2022 CETORIZINE SY 98 98 3 90 5 0 0
2023 DOPAMED 1000 1000 0 1000 0 0 0
2024 FUROSEMIDE INJ 100 100 3 70 22 0 5
Yang Menyerahkan Yang Melapor

Kepala DinKes Kab. Landak Kepala Instalasi farmasi Plt. Kepala Puskesmas

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 19790508 200312 1 003
(LPLPO)
3
0 1 6
JUM PERMIN KET

LAH TAAN
13=(9+10+11+12) 15 16
385
1442
996
0 2000
1090
0
60 100
290
245 200
0
0
0
390 5000
0 100
14874
0
0 50
0
0
0
0
0
0
12412
0
0
0
0 1000
0
0
JUM PERMIN KET
LAH TAAN
0
0
0
0
4 200
86 100
0
185 100
10330
0
0
0
0
0
485
0
0
89 100
3000
750 500
3000 2000
60
48 48
0 1000
10 40
0
0 10
30
0
0
0
0
0
0
0
0
6
197
4000
0
4985 2000
0
JUM PERMIN KET
LAH TAAN
0
3990
0 100
0
0
0 10000
0
160
0
171
4190 2000
0
0
6000
5 100
0
1935 10000
100 100
299
0
0
0
0
3800
0 100
0
600
7870 3000
0
14 20
0
0
0
70 100
0
0
0
0 5000
61 50
0 50
7033 5000
0
JUM PERMIN KET
LAH TAAN
0
0
980
0
0
0
0
0
260 200
11275
0
0
0
0
0
0
0
0
0
100 100
38
0
0
0
0
0
1500
0
7968
0
0
8000
0
160
0
0
950
0
0
0
0
0
JUM PERMIN KET
LAH TAAN
0 100
0 50
0
0
271
5700
4431 10000
0
0
0
0
0
3809
10590
10 20
0
0
0
10000
4200
0
1000
Err:522
0
0
0
0
0
0
0
190 100
2535 2000
0
222
0
0
0
0
0
0
0
100 200
JUM PERMIN KET
LAH TAAN
46 100
0
0
0
0
0
0
0
2800 12000
0
0
300 2000
0
0
4860 5000
0
0
0
0
12650
36
22 10
30 30
0 10
312 5000
3730
3910
0
100
25
0
0 10000
11930
100
0 10000
0 100
0 100
50 200
50 200
5635 10000
0
5420 10000
JUM PERMIN KET
LAH TAAN
199 100
0
280 2000
3920 1000
0
0
0
77
0
0 2
500
2150
0
1 10
7615 2000
5910 2000
0 50
0 2000
0 2000
0 500
0 500
0
0 20
0 100
0 5000
8960
0 5000
1000
0
0 2000
0
0
0
800
0
0
0
0
0
0
0
1810 5000
JUM PERMIN KET
LAH TAAN
0 100
0
0
0
0
0
0
0 1000
0
0
0
120
0
0 50
0 2000
120
3980 5000
0
25 100
2035 5000
0
0 50
200
0
6
1910 3000
1180
0
5400 2000
0
0
0
0
70
140
194
8480
1890
110
1470
240
3000
JUM PERMIN KET
LAH TAAN
1000
4000
24
8000
3000
10
1000
2940
3000
1000
6950
3000
1915
2399
100
95
1000
97
Sompak, 5 April 2016

Petugas Gudang

Nip. 19840315 201001 1 020
#VALUE!
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april
STOCK
AWAL
1 2 3 4 1 2
101 Air raksa detal use Btl
708 Gliserin Btl 0
1109 Lisol Btl 38
1205 Methanol Btl 0
1904 stesolid 0
1907 Metformin 3400
1912 Diafrom 0
1913 Zink Tab 11200 500
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 1500
1991 Amlodipin 10 mg 750 150
1992 ondosetran 0
1998 Pyrantel Sy 45
2002 Puralex 1600
2005 Zirkum Sy 240
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 7700
2014 ASICLOVIR 2700
2018 GLICAB 3000
2019 KETOCONAZOLE SALF SALF 1800 25
2021 ALKOHOL 70% 100 ML BH 100
2023 DOPAMED 1000
2024 PANVIT-C TAB
2024 ORATIFET SY BOTOL
2024 NUTRI-VITA SY BOTOL
2024 ANABION BOTOL
2024 NEOCENTA GEL TUBE
2024 OMECOUGH BOTOL
2024 DANAURON TAB
2024 METRONIDAZOLE TAB

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 200312
#VALUE!
(LPLPO)
BULAN 0 4
TAHUN 2 0 1 6
3 4 5 6 7 8 9 10 11 12
400
200
1
100 100
500
10
1
100
100
400
100
200
750
300 1000
100 200
100
300
100
200
150
300
ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
13 14 15 16 17 18 19 20 21 22
100
300 600 200
300 200
24
5
300 300 200
100
40
100
24
300 300 200 100
200
10
400 300
200
100
10
600
100
40
10
200
300 400 300
50
500 300
200 200
100
200
200 100
200
150 60
150 250 100
100
100
mar
23 24 25 26 27 28 29 30 31
100
100
15
100 200
300
30
100
200
100 400
200
10
15
300
15
10
100
100
300
10
200
200
200
500
300
25
100 100
100
200
100
200
10
10
100
300
25
2
JUMLAH SISA
0 0
100 200
300 900
50 900
0 0
200 500
0 0
30 90 120
0 290
15 120 345
0 0
0 0
0 0
300 0
0 0
2100 12000 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1300 10400 13300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
48 96 134
0 0
35 100 245
1500 8300 selisih 100
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 60
0 3000
250 500 1000
0 2000
0 60
4 48 92
0 0
3 6
0 0
0 0
2 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 130
0 3900
0 0
0 4000
0 0
0 0
200 3600
0 0
0 0
0 0
0 0
0 0
0 140
0 0
80 59
600 2000 5300
0 0
0 0
0 6000
24 48 24
0 0
1600 5000 4600 selisih 400 tab
50 100 150
50 200
0 0
0 0
0 0
0 0
0 3700
0 0
0 0
0 0
1400 2000 7900 selisih 300
0 0
3 10 21
0 0
0 0
0 0
30 50 70
0 0
0 0
0 0
0 0
43 50 35
0 0
1000 5000
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
25 200 400
100 10000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 100 180
1 37
0 0
0 0
0 0
0 0
0 0
0 1200
0 0
300 6800
0 0
0 0
0 7000
0 0
0 155
0 0
0 0
100 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 220
400 5300
1000 3000
0 0
0 0
0 0
0 0
0 0
300 3200
0 9000
5 12 17
0 0
0 0
0 0
0 10000
100 4000
0 0
0 1000
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 100 100
500 1500
0 0
20 185
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
36 108 118
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1650 9000 9000
0 0
0 0
0 300
0 0
0 0
400 3600
0 0
0 0
0 0
0 0
3000 9500
0 36
3 10 27
0 30
0 0
200 0
200 3200 selisih 100
0 3400
0 0
0 100
0 25
0 0
0 0
500 10700
0 100
0 0
0 0
0 0
0 50
50 100 100
1300 10000 13200
0 0
1300 3700
35 90 230 selisih 10
0 0
0 0
200 3400
0 0
0 0
0 0
0 72
0 0
0 0
0 500
0 0
0 1
300 2000 8500
600 2000 6500 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
900 7800
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 120
990 3000 5850
0 0
25 75 75
650 2800 4150
0 0
0 0
0 165 selisih 5
0 0
0 0
100 2000 3400
150 600
0 0
200 2000 6500
0 0
0 0
0 0
0 0
0 45
16 105
10 152
0 8100
100 1500
0 110
400 650
0 240
0 3000
0 1000
0 3900
0 9
0 7700
0 2800
2 6
0 1000
0 2700
0 3000
0 1000
600 5800
0 3000
50 1750
0 2399
2 40 138
0 90
0 1000
0 70
1000 1000
50 50
50 50
72 72
20 20
50 50
1000 1000
2000 2000
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
902 Iburrofen 400 mg Tab 0 1200 1200
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 300 300
1914 Zink Sy 0 0
1934 Hunskun 7,5 Cm Buah 0 100 100
1959 Axofen syr 0 0
1964 Papaverin tab 40 mg 210 100 310
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 140 60 200
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 80 100 180
1991 Amlodipin 10 mg 190 190
1992 ondosetran 0 0
2002 Puralex 150 150
2004 Cefadroxil 250mg 90 100 190
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 190 300 490
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
92 98 0
0 0
0 0
30 260 0
0 0
0 0
0 0
20 0
0 0
0 0
0 0
0 0
0 0
1020 490 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
270 490 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
645 180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
23 127 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 310 0
0 0
0 0
0 0
0 0
0 0
710 490 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 490 0
0 0
0 1 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
12 19 0
0 0
555 560 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 20 0
385 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 430 0
0 0
0 0
0 0
0 0
0 0
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 18 0
0 0
75 0
0 0
0 0
0 0
0 0
0 0
66 176 0
0 0
1 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
80 450 0
0 0
3 21 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 480 0
0 0
0 0
0 0
0 0
840 510 0
0 0
1 0
0 0
0 0
0 0
70 300 0
100 0
0 0
0 0
0 0
0 0
0 0
300 0
0 0
0 0
0 0
0 0
0 0
0 0
175 550 0
0 0
130 300 0
6 30 0
0 0
0 0
20 240 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 98 0
0 0
0 0
60 250 0
190 300 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
260 180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 110 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100 0
0 0
0 0
420 80 0
0 0
0 0
1 8 0
0 0
0 0
20 160 0
190 0
0 0
200 0
0 0
0 0
0 0
0 0
13 0
19 0
20 0
20 180 0
130 20 0
0 0
20 170 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
70 420 0
0 0
13 29 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
APRIL
STOCK PENERI-
AWAL MAAN
1 2 3 4 5
708 Gliserin Btl 0
1109 Lisol Btl 0 1
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1907 Malformin 10
1912 Diafrom 0
1913 Zink Tab 30 500
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 240
1992 ondosetran 0
1993 Lemperamid 500
1998 Pyrantel Sy 4
2002 Puralex 40 100
2003 Erytromicin 0
2005 Zirkum Sy 0
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 100
2010 MINIASPI 300
2014 ASICLOVIR 40
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
(LPLPO)
0 4
2 0 1 6

6= (4+5) 7 9=(6-7) 10 11 12 13 14 15
0 0
185 39 146
281 108 173
50 15 35
0 0
300 190 110
0 0
30 30
0 0
5 5 0
0 0
0 0
0 0
390 140 250
0 0
804 580 224
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1072 1072 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 4
48 48
0 0
40 40
885 584 301
0 0
0 0
0 0
0 0
0 0
85 85
0 0
0 0
29 29
0 0
250 250
0 0
0 0
3 3
0 0
4 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
57 57
0 0
0 0
435 15 420
0 0
0 0
190 55 135
0 0
0 0
0 0
0 0
0 0
20 20
0 0
92 58 34
300 0 300
0 0
0 0
0 0
27 8 19
0 0
1135 615 520
50 50
99 99
0 0
0 0
0 0
0 0
100 100
0 0
0 0
600 600
1310 590 720
0 0
2 1 1
0 0
0 0
0 0
40 40
0 0
0 0
0 0
0 0
39 33 6
0 0
818 524 294
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
31 23 8
390 200 190
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1
0 0
0 0
0 0
0 0
0 0
200 200
0 0
318 120 198
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
23 16 7
400 400
1076 1000 76
0 0
0 0
0 0
0 0
0 0
271 271
590 240 350
4 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 165 5
325 315 10
0 0
13 3 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
36 36
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2800 2110 690
0 0
0 0
0 0
0 0
0 0
320 40 280
0 0
0 0
0 0
0 0
1800 1800
0 0
1 1
0 0
0 0
215 10 205
160 70 90
10 10
0 0
0 0
0 0
0 0
0 0
530 40 490
0 0
0 0
0 0
0 0
0 0
50 50
1010 760 250
0 0
920 445 475
23 12 11
0 0
180 10 170
170 60 110
0 0
0 0
0 0
0 0
0 0
0 0
0 0
450 300 150
0 0
0 0
225 120 105
270 120 150
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
720 200 520
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
930 830 100
0 0
0 0
185 70 115
0 0
0 0
19 18 1
0 0
6 1 5
240 60 180
150 150 0
0 0
500 500
0 0
0 0
0 0
0 0
4 4
11 5 6
4 4 0
180 10 170
140 50 90
0 0
630 450 180
0 0
0 0
0 0
100 100
15 3 12
300 300
0 0
4 2 2
0 0
40 10 30
0 0
0 0
430 180 250
0 0
28 8 20
0 0
0 0
5 5 0
0 0
22 15 7

Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
16
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april sadok
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 4
2 0 1 6

7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 19 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
90 20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 40 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
5 17 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas Polindes Sadok
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april pauh
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan
Kepala DinKes Kab. Landak Kepala Instalasi farmasi Kepala puskesmas s
drg.M. Nurainy.sitinjak,MM Florentina Merry S. Farm,Apt ANTI,SKM

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 140
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4 92
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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 20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 70
0
0
0
0
0
0
0
0
0
0
10 90
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
0
0
Kepala puskesmas sompak POL PAUH
ANTI,SKM BERTA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
APRIL GALAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 4
2 0 1 6

7 8=(6-7) 11 12 13 14 15 16
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 0 0
0 0
0 0
10 80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 -3 0
0 0
0 0
90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 80 0
0 0
0 0
0 0
0 0
0 0
0 0
2 0 0
0 0
0 0
25 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 0
0 0
0 0
0 0
0 0
0 0
Sompak, 2016
Kepala Puskesmas POLINDES GALAR
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 150 150
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
40 0
46 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
250 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
100 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
80 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
300 0
0 0
0 0
0 0
0 0
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
0 0
180 0
0 0
0 0
1000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
190 0
160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 0
0 0
0 0
0 0
150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
8 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
130 0
0 0
23 0
0 0
0 0
0 0
0 0
5 0
yang Melapor
Kepala Puskesmas POLINDES AWEK
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN 1234
7 8=(6-7) 16
0 0
0 0
21 10 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 180 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
2 3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
17 83 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
20 160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 170 0
190 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
90 0
0 0
200 0
0 0
0 0
0 0
0 0
1 7 0
0 0
5 0
0 0
100 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas PUSTU PKB
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 0 0 0
1904 stesolid 0 0 0
1907 Malformin 400 0 400
1912 Diafrom 0 0 0
1913 Zink Tab 400 0 400
1914 Zink Sy 0 0 0
1966 Hustab 0 0 0
1971 Stavit 0 0 0
1972 Masker 0 0 0
1975 Abocet 18 0 0 0
1986 Pitogin 0 0 0
1991 Amlodipin 10 mg 240 0 240
1996 Wing nedle 25 g 0 0 0
1997 Wing nedle 23 g 0 0 0
2002 Puralex 100 0 100
2007 ACARBOSE 0 0 0
2010 MINIASPI 0 0 0
2014 ASICLOVIR 100 0 100
2018 GLICAB 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0
2023 DOPAMED 0 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

7 9=(6-7) 10 11
0 0
0 0 0
21 50 0
0 46 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 -2 0
0 0 0
0 0 0
30 530 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 130 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 100 0
0 0 0
20 380 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 19 0
0 80 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 3 0
0 0 0
0 100 0
0 0 0
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 6 0
0 500 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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
0 0 0
0 380 0
0 0 0
0 0 0
0 1000 0
0 0 0
2 3 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 6 0
0 0 0
90 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 92 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
17 83 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
20 160 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 80 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
12 85 0
0 0 0
0 400 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 0 0
0 0 0
0 70 0
0 0 0
0 0 0
10 90 0
20 70 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 450 0
0 450 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 7 0
0 0 0
0 0 0
0 90 0
0 240 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
1 7 0
0 5 0
0 18 0
0 0 0
0 100 0
0 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
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 230 0
0 0 0
5 90 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
AN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
APRIL
KODE NAMA OBAT KELAS SATU-AN STOCK PENERI-
TERAPI AWAL MAAN
1 2 3 4 5 6
506 Etanol 70% Btl 10 0
1109 Lisol Btl 38 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 11930 0
1914 Zink Sy 100 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 1910 2000
1992 ondosetran 0 0
2002 Puralex 1890 0
2005 Zirkum Sy 240 0
2006 DILTIAZEM 3000 0
2007 ACARBOSE 1000 0
2008 DOXYCYLINE 4000 0
2010 MINIASPI 8000 0
2016 BISOPROLOL 1000 0
2018 GLICAB 3000 0
2021 ALKOHOL 70% 100 ML 100 40
2023 DOPAMED 1000 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
BULAN 0 4
TAHUN 2 0 1 6
PERSE- PEMA- SISA SISA SISA STOCK JUM PERMIN KET

DIAAN KAIAN GUDANG APOTEK PUSLING PUSTU/POL LAH TAAN
7(5+6) 8=(7-14) 9 10 11 12 13=(9+10+11+12) 15 16
385 39 200 146 0 0 346
1442 221 900 173 98 50 1221
996 15 900 35 0 46 981
0 0 0 0 0 0 0
1090 220 500 110 260 0 870
0 0 0 0 0 0 0
150 0 120 30 0 0 150
290 0 290 0 0 0 290
365 5 345 0 20 0 365
390 140 0 250 0 0 250
0 0 0 0 0 0 0
14874 1630 12000 224 490 530 13244
0 0 0 0 200 0 200
12412 1392 10400 0 490 130 11020
4 0 0 4 0 0 4
182 0 134 48 0 0 182
0 0 0 0 0 0 0
285 0 245 40 0 0 285
10330 1249 8300 301 180 300 9081
485 0 400 85 0 0 485
89 0 60 29 0 0 89
3000 0 3000 0 0 0 3000
1250 0 1000 250 0 0 1250
3000 0 2000 0 0 1000 3000
60 0 60 0 0 0 60
96 0 92 3 1 0 96
0 0 0 0 0 0 0
10 0 6 4 0 0 10
30 0 28 0 0 0 28
6 0 6 0 0 0 6
197 0 130 57 0 10 197
4000 0 3900 0 0 100 4000
0 0 0 0 0 0 0
4985 58 4000 420 127 380 4927
3990 55 3600 135 100 100 3935
160 0 140 20 0 0 160
0 0 0 0 0 0 0
171 59 59 34 0 19 112
6190 200 5300 300 310 80 5990
6000 0 6000 0 0 0 6000
53 11 24 19 0 0 43
0 0 0 0 0 0 0
6935 1325 4600 520 490 0 5610
200 0 150 50 0 0 200
299 0 200 99 0 0 299
3800 0 3700 100 0 0 3800
600 0 0 600 0 0 600
9870 660 7900 720 490 100 9210
0 0 0 0 0 0 0
24 1 21 1 1 0 23
120 0 70 40 10 0 120
111 48 35 6 19 3 63
0 0 0 0 0 0 0
7033 1079 5000 294 560 100 5954
980 0 980 0 0 0 980
460 26 400 8 20 6 434
11275 200 10000 190 385 500 11075
200 0 180 0 0 0 180
38 0 37 1 0 0 38
1500 0 1200 200 0 100 1500
0 0 0 0 0 0 0
7968 160 6800 198 430 380 7808
8000 0 7000 0 0 1000 8000
0 0 0 0 0 0 0
160 2 155 0 0 3 158
950 0 800 50 0 0 850
271 20 220 7 18 6 251
5700 0 5300 400 0 0 5700
4431 1090 3000 76 75 100 3251
3809 70 3200 271 176 92 3739
10590 240 9000 350 0 1000 10350
22 0 17 4 1 0 22
10000 0 10000 0 0 0 10000
4200 17 4000 0 100 83 4183
0 0 0 0 0 0 0
1000 0 1000 0 0 0 1000
2400 0 2000 300 0 100 2400
290 165 100 5 0 20 125
2535 415 1500 10 450 160 2120
0 0 0 0 0 0 0
222 6 185 10 21 0 216
100 0 100 0 0 0 100
154 0 118 36 0 0 154
11800 2110 9000 690 0 0 9690
300 0 300 0 0 0 300
4860 220 3600 280 480 80 4440
12650 840 9500 1800 510 0 11810
36 0 36 0 0 0 36
32 2 27 1 1 0 29
30 0 30 0 0 0 30
0 0 0 0 0 0 0
312 22 0 205 0 85 290
3730 140 3200 90 300 0 3590
3910 0 3400 10 100 400 3910
0 0 0 0 0 0 0
100 0 100 0 0 0 100
25 0 25 0 0 0 25
0 0 0 0 0 0 0
0 0 0 0 0 0 0
11930 40 10700 490 300 400 11890
100 0 100 0 0 0 100
50 0 50 0 0 0 50
150 0 100 50 0 0 150
15635 935 13200 250 550 0 14000
0 0 0 0 0 0 0
5420 575 3700 475 300 70 4545
289 18 230 11 30 0 271
0 0 0 0 0 0 0
280 20 0 170 0 90 260
3920 100 3400 110 240 70 3820
77 0 72 0 0 5 77
500 0 500 0 0 0 500
2150 302 1500 150 98 0 1748
0 0 0 0 0 0 0
1 0 1 0 0 0 1
9615 210 8500 105 250 450 9305
7910 310 6500 150 300 450 7400
8960 460 7800 520 180 0 8500
0 0 0 0 0 0 0
1000 0 1000 0 0 0 1000
800 0 800 0 0 0 800
1810 200 1500 0 110 0 1610
120 0 120 0 0 0 120
120 0 120 0 0 0 120
6980 930 5850 100 100 0 6050
0 0 0 0 0 0 0
100 0 75 0 0 0 75
4835 490 4150 115 80 0 4345
0 0 0 0 0 0 0
0 0 0 0 0 0 0
200 19 165 1 8 7 181
0 0 0 0 0 0 0
6 1 0 5 0 0 5
3910 80 3400 180 160 90 3830
1180 150 600 0 190 240 1030
0 0 0 0 0 0 0
7400 0 6500 500 200 200 7400
70 1 45 4 13 7 69
140 5 105 6 19 5 135
194 4 152 0 20 18 190
8480 30 8100 170 180 0 8450
1890 180 1500 90 20 100 1710
110 0 110 0 0 0 110
1470 470 650 180 170 0 1000
240 0 240 0 0 0 240
3000 0 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
4000 0 3900 100 0 0 4000
24 3 9 12 0 0 21
8000 0 7700 300 0 0 8000
3000 0 2800 0 0 200 3000
10 2 6 2 0 0 8
1000 0 1000 0 0 0 1000
2940 10 2700 30 100 100 2930
3000 0 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
6950 250 5800 250 420 230 6700
3000 0 3000 0 0 0 3000
1915 26 1750 20 29 90 1889
2399 0 2399 0 0 0 2399
140 0 138 0 0 0 138
95 5 90 0 0 0 90
1000 0 1000 0 0 0 1000
97 15 70 7 0 5 82
Yang Melapor Sompak, 4 Mei 2016


Nip. 19790508 200312 1 003 Nip. 19840315 201001 1 020
#VALUE!
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI
STOCK
AWAL
1 2 3 4 1 2
708 Gliserin Btl 0
1109 Lisol Btl 37 2
1205 Methanol Btl 0
1904 stesolid 0
1905 ketoconazole 0
1907 Metformin 3400 300
1912 Diafrom 0
1913 Zink Tab 10700
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 3400 200
1992 ondosetran 0
1998 Pyrantel Sy 45
2002 Puralex 1500
2005 Zirkum Sy 240
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 7700
2014 ASICLOVIR 2700
2018 GLICAB 3000
2021 ALKOHOL 70% 100 ML BH 138
2022 CETRIZINE SY SY 90 5
2023 DOPAMED 1000 100
2025 PANVIT-C TAB 1000
2026 ORATIFET SY BOTOL 50 10
2027 NUTRI-VITA SY BOTOL 50 5
2028 ANABION BOTOL 72
2029 NEOCENTA GEL TUBE 20 5
2030 OMECOUGH BOTOL 50
2031 DANAURON TAB 1000
2032 METRONIDAZOLE 500mg TAB 2000
2033 Amoxicillin Forte 250 mg btl 91

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 200312
#VALUE!
(LPLPO)
BULAN 0 5
TAHUN 2 0 1 6
3 4 5 6 7 8 9 10 11 12
50 50
200 300
200 100 400

6 5
10 10 20
500 100 270
250
300
50
200 100 500
25
500
10
100
10
100 100 100 300 260

100
20
5
300 200
100
100
200
10
200
200
200 100
100 200
10
200
50
25
5
15
10

ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
13 14 15 16 17 18 19 20 21 22
10
300 300 300 200
300
300
1
19
200
24
240 300 300
300 200
1 1
300 200 200 300

5
200
10
100
200 800 300 200
20
200
500 400 300 300
200
200 200
200 200
5
200
200 100
90
200 200
150 150
25
200 100
100
100
100
10
10
10
5
mar
23 24 25 26 27 28 29 30 31
10
300
290
13
55
400 500
1000
20
40
200
400 300
20
400
700
60
100
200
400 500
10
100 300
200 100
10
200
100 300
60 90
25
200
10
100
100
10
100
100
10
5 5
JUMLAH SISA
0 0
0 200
100 800
0 900
0 0
0 500
0 0
0 120
0 290
25 320
0 0
0 0
0 0
0 0
0 0
2200 1300 11100 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1790 1190 9800 12810
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
24 110
0 0
145 100
2270 1370 7400 selisih 100
0 0
0 0
0 0
0 0
0 0
0 400
0 0
0 0
0 60
0 3000
500 500
0 2000
0 60
0 92
0 0
2 4
0 0
0 0
0 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 130
0 3900
0 0
0 4000
0 0
0 0
0 3600
0 0
0 0
0 0
1000 1000 0
0 0
20 120
0 0
59 100 100
400 4900
0 0
0 0
0 6000
24 48 48
0 0
2040 1340 3900 selisih 400 tab
0 150
50 150
0 0
0 0
0 0
0 0
0 3700
0 0
0 0
0 0
1300 6600 selisih 300
0 0
4 17
0 0
0 0
0 0
50 100 120
0 0
0 0
0 0
0 0
10 25
0 0
1900 3100
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
15 50 435
200 1400 11200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 160
3 34
0 0
0 0
0 0
0 0
0 0
0 1200
0 0
200 6600
0 0
0 0
0 7000
0 0
20 135
0 0
0 0
200 600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 100 300
400 4900
3060 2660 2600
0 0
0 0
0 0
0 0
0 0
100 985 4085
0 1000 10000
4 13
0 0
0 0
0 0
0 10000
0 4000
0 0
0 1000
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
140 100 60
300 1200
0 0
5 180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 118
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9000 0
0 0
0 0
0 300
0 0
0 0
400 1460 4660
0 0
0 0
0 0
0 0
3900 1100 6700
0 36
2 25
0 30
0 0
0 0
100 3100 selisih 100
400 100 3100
0 0
0 100
0 25
0 0
0 0
200 1000 11500
0 100
0 0
0 0
0 0
50 100 100
60 40
1200 1400 13400
0 0
900 2800
25 43 248 selisih 10
0 0
0 0
100 3300
0 0
0 0
0 0
0 72
0 0
0 0
0 500
0 0
1 0
700 7800
690 1590 7400 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
700 7100
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0
0 120
600 5250
0 0
50 25
800 1500 4850
0 0
0 0
25 140 selisih 5
0 0
0 0
400 3000
0 600 ED april 2016
0 0
100 6400
0 0
0 0
0 0
0 0
0 45
15 90
10 142
200 7900
250 1250
0 110
100 550
10 230
0 3000
0 1000
0 3900
0 9
0 7700
100 2700
0 6
0 1000
0 2700
0 3000
0 1000
0 5800
0 3000
25 1725
0 2399
0 138
5 100 185
100 900
0 70
0 1000
30 20
10 40
35 72 109
5 15
15 35
0 1000
0 1000 3000
0 91
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN O
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromi Sak 0 0
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1m Amp 0 0
902 Iburrofen 400 mg Tab 490 1000 1490
1025 Kombinasi pirimetamin 25 mg + sufadoksiin 500 Tab 0 0
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 100 100 200
1912 Diafrom 0 0
1913 Zink Tab 300 300
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 100 210 310
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 160 100 260
1991 Amlodipin 10 mg 190 190
1992 ondosetran 0 0
1993 Lemperamid 200 100 300
2002 Puralex 20 250 270
2004 Cefadroxil 250mg 170 100 270
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
2025 PANVIT-C TAB 0 0
2027 NUTRI-VITA SY BOTOL 0 5 5
2028 ANABION BOTOL 0 0
2030 OMECOUGH BOTOL 0 15 15
2031 DANAURON TAB 0 0
2032 METRONIDAZOLE TAB 0 0
2033 Amoxicillin Forte 250 mg btl 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
18 80 0
0 0
0 0
160 100 0
0 0
0 0
0 0
4 16 0
0 0
0 0
0 0
0 0
0 0
1530 60 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
380 400 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1250 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 117 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
280 430 0
0 0
0 0
0 0
0 0
0 0
1400 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
440 250 0
0 0
1 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
3 16 0
0 0
0 1460 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 19 0
225 360 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
340 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 300
0 18 0 260
0 0 500
1645 390 0 200
0 0 700
0 0
0 0
0 0
0 0
122 54 0
0 0
1 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 270 0
0 0
2 19 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9000 0 0
0 0
0 0
0 0
0 0
0 0
530 350 0
0 0
0 0
0 0
0 0
1350 460 0
0 0
1 0
0 0
0 0
0 0
0 300 0
100 100 0
0 0
0 0
0 0
0 0
0 0
0 300 0
0 0
0 0
0 0
0 0
0 0
0 0
580 270 0
0 0
360 340 0
13 17 0
0 0
0 0
20 220 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
98 0
0 0
0 0
250 300 0
590 100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
640 40 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
240 70 0
0 0
16 34 0
390 190 0
0 0
0 0
2 6 0
0 0
0 0
70 190 0
190 0
0 0
0 300 0
0 0
0 0
0 0
0 0
0 13 0
19 0
0 20 0
0 180 0
30 240 0
0 0
0 270 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100 0
0 0
0 0
20 400 0
0 0
29 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
15 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI
STOCK PENERI-
AWAL MAAN
1 2 3 4 5
101 Air raksa detal use Btl
708 Gliserin Btl 0
1109 Lisol Btl 1 3
1205 Methanol Btl 0
1903 Bioplang gel 0
1904 stesolid 0
1912 Diafrom 0
1913 Zink Tab 490
1914 Zink Sy 0
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1992 ondosetran 0
1993 Lemperamid 500
1998 Pyrantel Sy 4
2002 Puralex 90
2003 Erytromicin 0
2005 Zirkum Sy 0 10
2006 DILTIAZEM 0
2007 ACARBOSE 0
2008 DOXYCYLINE 100
2010 MINIASPI 300
2014 ASICLOVIR 30
2015 GLIMEPIRIDE 0
2016 BISOPROLOL 0
2017 CETIRIZINE 250
2018 GLICAB 0
2020 ALKOHOL SWAT 0
2021 ALKOHOL 70% 100 ML 0
2023 DOPAMED 0 100
2025 PANVIT-C TAB 0
2031 DANAURON TAB 0
2032 METRONIDAZOLE TAB 0


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
(LPLPO)
0 5
2 0 1 6

6= (4+5) 7 9=(6-7) 10 11 12 13 14 15
0 0
146 146
173 25 148
35 35
0 0
110 70 40
0 0
30 30
0 0
25 15 10
0 0
0 0
0 0
250 180 70
0 0
824 590 234
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1200 861 339
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 4 0
61 61
0 0
90 52 38
1201 740 461
0 0
0 0
0 0
0 0
0 0
85 85
0 0
0 0
29 29
0 0
750 750
0 0
0 0
3 3
0 0
6 6
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
57 57
0 0
0 0
420 90 330
0 0
0 0
135 80 55
0 0
0 0
0 0
1000 999 1
0 0
40 40
0 0
93 57 36
300 300
0 0
0 0
0 0
43 20 23
0 0
1560 1560 0
50 40 10
149 139 10
0 0
0 0
0 0
0 0
100 100
0 0
0 0
600 600
1220 130 1090
0 0
4 3 1
0 0
0 0
0 0
90 90 0
0 0
0 0
0 0
0 0
16 6 10
0 0
794 595 199
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
23 15 8
190 110 80
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 13 7
4 3 1
0 0
0 0
0 0
0 0
0 0
200 200
0 0
398 238 160
0 0
0 0
0 0
0 0
20 20
0 0
0 0
298 60 238
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
27 17 10
800 445 355
376 341 35
0 0
0 0
0 0
0 0
0 0
98 22 76
350 20 330
8 8 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
145 145 0
310 140 170
0 0
10 3 7
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
36 36
0 0
0 0
0 0
0 0
0 0
0 0
0 0
690 690
0 0
0 0
0 0
0 0
0 0
280 40 240
0 0
0 0
0 0
0 0
4400 4350 50
0 0
3 3
0 0
0 0
205 70 135
90 90 0
310 30 280
0 0
0 0
0 0
0 0
0 0
490 40 450
0 0
0 0
0 0
0 0
50 50
90 90
950 950 0
0 0
975 975 0
31 28 3
0 0
170 170
210 90 120
0 0
0 0
0 0
0 0
0 0
0 0
0 0
550 550
0 0
1 1 0
305 160 145
450 171 279
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
520 140 380
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
490 230 260
0 0
18 6 12
415 300 115
0 0
0 0
26 14 12
0 0
5 5
480 250 230
0 0
0 0
500 500
0 0
0 0
0 0
0 0
4 4 0
21 8 13
10 6 4
170 170
90 50 40
0 0
180 180 0
10 5 5
0 0
0 0
100 100
12 12
300 300
100 100
2 2 0
0 0
30 30
0 0
0 0
250 90 160
0 0
20 6 14
0 0
0 0
5 1 4
100 100
7 3 4
0 0
30 30 0
5 5 0
35 29 6
5 5 0
0 0
0 0
0 0
0 0


Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
KET
16
0 1960 800 300
300
400
300
2600
1300
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI sadok
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
2030 OMECOUGH BOTOL 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 5
2 0 1 6

7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
19 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
40 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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
12 5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april pauh
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0
0
50
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
5
0
10
140
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
92
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
0
0
90
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANTI,SKM BERTA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI GALAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 5
2 0 1 6

7 8=(6-7) 11 12 13 14 15 16
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 0 0
0 0
0 0
50 30 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
80 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 0 0
0 0
2 8 0
30 60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
150 50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 290 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 0 0
0 0
0 0
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 0
0 0
0 0
0 0
0 0
90 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
90 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Sompak, 2016
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
mei
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 150 150
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
25 15 0
20 26 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 990 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
10 90 0
0 0
10 190 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 370 0
0 0
1 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 270 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 0
110 190 0
0 0
0 0
0 0
0 0
0 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
0 0
20 160 0
0 0
0 0
0 1000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0 0
0 0
360 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
30 160 0
20 140 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 0
0 0
0 0
0 0
150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 3 0
2 6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 150 0
0 0
0 0
0 0
0 0
0 0
130 0 0
0 0
3 20 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

7 8=(6-7) 16
0 0
0 0
60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
250 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
83 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
200 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 0
190 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
90 0
0 0
200 0
0 0
0 0
0 0
0 0
7 0
0 0
5 0
100 0
100 0
0 0
0 0
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
0 0
25 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 0 0 0
1904 stesolid 0 0 0
1907 Malformin 400 0 400
1912 Diafrom 0 0 0
1913 Zink Tab 400 200 600
1914 Zink Sy 0 0 0
1966 Hustab 0 0 0
1971 Stavit 0 0 0
1972 Masker 0 0 0
1975 Abocet 18 0 0 0
1986 Pitogin 0 0 0
1991 Amlodipin 10 mg 240 0 240
1996 Wing nedle 25 g 0 0 0
1997 Wing nedle 23 g 0 0 0
2002 Puralex 100 0 100
2007 ACARBOSE 0 0 0
2010 MINIASPI 0 0 0
2014 ASICLOVIR 100 0 100
2018 GLICAB 0 0 0
2021 ALKOHOL 70% 100 ML 0 0 0
2023 DOPAMED 0 0 0
2025 PANVIT-C TAB 0 0 0
2026 ORATIFET SY BOTOL 0 0 0
2028 ANABION BOTOL 0 0 0
2029 NEOCENTA GEL TUBE 0 0 0
2031 DANAURON TAB 0 0 0
2032 METRONIDAZOLE TAB 0 0 0
2033 Amoxicillin Forte 250 mg btl 0 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

7 9=(6-7) 10 11
0 0 0
0 0 0
25 125 0
20 26 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 -2 0
0 0 0
0 0 0
100 430 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
80 350 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
0 0 0
2 38 0
100 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 990 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
10 90 0
0 0 0
10 370 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 19 0
0 80 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
180 520 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 3 0
0 0 0
40 560 0
0 0 0
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 4 0
110 390 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 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
0 0 0
20 360 0
0 0 0
0 0 0
0 1000 0
0 0 0
0 3 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 1 0
0 0 0
600 300 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 192 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 83 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 160 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 50 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
65 20 0
0 100 0
0 400 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 600 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 100 0
0 0 0
70 0 0
0 5 0
0 0 0
90 0 0
0 70 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
230 420 0
20 430 0
0 0 0
0 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 5 0
0 0 0
0 0 0
90 0 0
0 240 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 7 0
2 3 0
2 16 0
10 190 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 150 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
130 100 0
0 0 0
40 75 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak TAHUN 2 0 1
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI
KODE NAMA OBAT KELAS SATU-AN STOCK PENERI- PERSE- PEMA- SISA SISA SISA STOCK JUM PERMIN
TERAPI AWAL MAAN DIAAN KAIAN GUDANG APOTEK PUSLING PUSTU/POL LAH TAAN
1 2 3 4 5 6 7(5+6) 8=(7-14) 9 10 11 12 13=(9+10+11+12) 15
102 Alat suntik sekali pakai 1 ml Set 346 0 346 0 200 146 0 0 346
103 Alat suntik sekali pakai 2,5 ml/spuit 3 cc Set 1221 0 1221 68 800 148 80 125 1153
104 Alat suntik sekali pakai 5 ml Set 981 0 981 20 900 35 0 26 961
105 Albendazol tablet 400 mg Tab 0 0 0 0 0 0 0 0 0
106 Alopurinol tablet 100 mg Tab 870 0 870 230 500 40 100 0 640
107 Aminofilin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0
108 Aminofilin injeksi 24 mg/ml -10 ml Amp 150 0 150 0 120 30 0 0 150
109 Amitriptilin hcl tablet salut 25 m g Tab 290 0 290 0 290 0 0 0 290
110 Amoksisilin sirup kering 125 mg/ ml Btl 365 0 365 19 320 10 16 0 346
114 Antalgin (metampiron) tablet 500 mg Tab 250 0 250 180 0 70 0 0 70
115 Antalgin injeksi 250 mg/ml-2 ml Ampul 0 0 0 0 0 0 0 0 0
116 Antasida done tablet, kombinasi Tab 13244 1300 14544 2220 11100 234 60 430 11824
117 Antibakteri done salep kombinasi Tab 200 0 200 0 0 0 200 0 200
126 Asam askrobat (vit. C) tablet 50 mg Tab 11020 1190 12210 1321 9800 339 400 350 10889
204 Betametason krim 01,1 % Tub 4 0 4 4 0 0 0 0 0
301 Catgut/ benang bedah no.2/0- 3/0 (plain/ chromic) Sak 182 0 182 6 110 61 0 0 171
401 Dapson tablet 100 mg Tab 0 0 0 0 0 0 0 0 0
102 Deksametason inj 5 mg/ ml- 1ml Amp 285 0 285 54 100 38 0 38 176
403 Deksametason tablet 0,5 mg Tab 9081 1370 10451 2090 7400 461 0 200 8061
409 Diazepam tablet 2 mg Tab 485 0 485 0 400 85 0 0 485
412 Difenhidramin hcl inj 10 mg / ml - 1ml Amp 89 0 89 0 60 29 0 0 89
413 Digonksin tab 0,25 mg Tab 3000 0 3000 0 3000 0 0 0 3000
501 Efedrin hcl tab 25 mg Tab 1250 0 1250 0 500 750 0 0 1250
502 Ekstrak belladone tab 10 mg Tab 3000 0 3000 10 2000 0 0 990 2990
503 Epinefrin hcl /bitrartratn (adrenalin )inj 0,1% - 1ml Amp 60 0 60 0 60 0 0 0 60
504 Etakridin (rivanol)larutan 0,1% Btl 96 0 96 0 92 3 1 0 96
505 Etambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0
506 Etanol 70% Btl 10 0 10 0 4 6 0 0 10
509 Eugenol cairan Btl 28 0 28 0 28 0 0 0 28
609 Fenol gliserol tetes telinga 10 % Btl 6 0 6 0 6 0 0 0 6
610 Fitomenadione (vit k )inj 10 mg /ml- 1 ml Amo 197 0 197 0 130 57 0 10 197
611 Fitomenadione ( vit k) tab salut 10 mg Tab 4000 0 4000 10 3900 0 0 90 3990
612 Fluor tablet 0,5 mg Tab 0 0 0 0 0 0 0 0 0
613 Furosemide tab 40 mg Tab 4927 0 4927 110 4000 330 117 370 4817
703 Garam oralit untuk 200 ml air Sak 3935 0 3935 80 3600 55 100 100 3855
704 Gentian violet larutan 1 % Btl 0 0 0 0 0 0 0 0 0
705 Glass lonomer cement (gx ix) Set 0 0 0 0 0 0 0 0 0
706 Gibenklamid tab 5 mg Tab 0 0 0 0 0 0 0 0 0
707 Gliseril guayakolat tab 100 mg Tab 0 1000 1000 999 0 1 0 0 1
708 Gliserin Btl 0 0 0 0 0 0 0 0 0
709 Glukosa larutan infuse 10 % steril Btl 160 0 160 0 120 40 0 0 160
710 Glukosa larutan infuse 10 % steril Btl 0 0 0 0 0 0 0 0 0
711 Glukosa larutan infuse 5% steril Btl 112 100 212 57 100 36 0 19 155
712 Grisovulvin tab 125 mg, micronized Tab 5990 0 5990 280 4900 300 430 80 5710
803 Hidroklorotiazide (hct) tab 25 mg Tab 6000 0 6000 0 6000 0 0 0 6000
804 Hidrokortison krim 2,5 % Tab 43 48 91 20 48 23 0 0 71
901 Ibuprofen 200 mg Tab 0 0 0 0 0 0 0 0 0
902 Iburrofen 400 mg Tab 5610 1340 6950 2960 3900 0 90 0 3990
903 Infusion set anak Set 200 0 200 40 150 10 0 0 160
904 Infusion set dewasa Set 299 0 299 139 150 10 0 0 160
909 Isosorbit dinitrat tab subiungual 5 mg Tab 3800 0 3800 0 3700 100 0 0 3800
1003 Kalsium hidroksida pasata Tub 600 0 600 0 0 600 0 0 600
1004 Kalsium laktat (klak ) tab 500 mg Tab 9210 0 9210 750 6600 1090 250 520 8460
1005 Kapas berlemak 500 gram Bjs 0 0 0 0 0 0 0 0 0
1006 Kapas pembalut Bks 23 0 23 4 17 1 1 0 19
1010 Kasa pembalut hidrofil 4 m x 15 cm Rol 120 100 220 90 120 0 10 0 130
1015 Kloramfenikol salep mata 1 % Tub 63 0 63 9 25 10 16 3 54
1016 Kloramfenikol tetes telinga 3 % Btl 0 0 0 0 0 0 0 0 0
1017 Klorfenniramin meleat (ctm ) tab 4 mg Tab 5954 0 5954 635 3100 199 1460 560 5319
1021 Klorpromazin hcl tanlet salut 100 mg Tab 980 0 980 0 980 0 0 0 980
1027 Kotrimoksazol suspensi Btl 434 50 484 18 435 8 19 4 466
1028 Kotrimoksazoldewasa tablet Tab 11075 1400 12475 445 11200 80 360 390 12030
1108 Lidokain kompositum inj. Amp 180 0 180 13 160 7 0 0 167
1109 Lisol Btl 38 0 38 3 34 1 0 0 35
1206 Metilergometrin maleat tablet salut 0,125 mg Tab 1500 0 1500 0 1200 200 0 100 1500
1207 Metilergometrin maleat inj. 0,200mg - 1 ml Amp 0 0 0 0 0 0 0 0 0
1208 Metrodinazol tablet 250 mg Tab 7808 0 7808 598 6600 160 90 360 7210
1301 Natrium bikarbonat tablet 500 mg Tab 8000 0 8000 0 7000 0 0 1000 8000
1302 Natrium fluoresein tetes mata 2% Btl 0 0 0 0 0 0 0 0 0
1303 Natrium klorida larutan infuse 0,9 %steril Btl 158 0 158 0 135 20 0 3 158
1306 Nistatin 500.000 iu tablet salut Tab 850 0 850 100 600 238 60 0 898
1402 Parasetamol sirup 120 mg/ 5ml Btl 251 100 351 22 300 10 18 1 329
1403 Parasetamol tablet 100 mg Tab 5700 0 5700 445 4900 355 0 0 5255
1404 Parasetamol 500 mg tabl 3251 2660 5911 2586 2600 35 390 300 3325
1410 Pirantel pamoat tablet 365mg Tab 3739 985 4724 144 4085 76 54 192 4407
1411 Piridoksin hcl tablet 10 mg Tab 10350 1000 11350 20 10000 330 0 1000 11330
1412 Plester 5 yard x 2 inci Rol 22 0 22 8 13 0 1 0 14
1416 Prednisone tablet 5 mg Tab 10000 0 10000 0 10000 0 0 0 10000
1417 Primakuin tablet 15 mg Tab 4183 0 4183 0 4000 0 100 83 4183
1418 Prokain benzil penisilin 3 juta iu/vial inj. Vial 0 0 0 0 0 0 0 0 0
1419 Propitiourasil tablet 100 mg Tab 1000 0 1000 0 1000 0 0 0 1000
1420 Propanolol hcl tablet 40 mg Tab 2400 0 2400 0 2000 300 0 100 2285
1508 Ringal raktat larutan infuse seteril Btl 125 100 225 145 60 0 0 20 80
1601 Salbutamol tablet 2 mg Tab 2120 0 2120 320 1200 170 270 160 1800
1602 Salep 2 -4 kombinasi Pot 0 0 0 0 0 0 0 0 0
1603 Salisil bedak 2 % Ktk 216 0 216 5 180 7 19 5 211
1611 Sianokobalamin (vit.b 12) inj.500 mcg/ml Amp 100 0 100 0 100 0 0 0 100
1612 Silk(benang bedah sutera) no.3/0 Sak 154 0 154 0 118 36 0 0 154
1701 Tablet tambah darah kombinasi Tab 9690 0 9690 9000 0 690 0 0 690
1704 Tetrasiklin hcl kapsul 250 mg Kap 300 0 300 0 300 0 0 0 300
1707 Thiamin hcl mononitrat( vit b 1) tablet 50 mg Tab 4440 1460 5900 600 4660 240 350 50 5300
1802 Vitamin b kompleks tablet Tab 11810 1100 12910 5700 6700 50 460 0 7210
1901 Yodium povidon larutan 10 % 30 ml Btl 36 0 36 0 36 0 0 0 36
1902 Yodium povidon larutan 10 % 300 ml Btl 29 0 29 0 25 3 1 0 29
1903 Bioplang gel 30 0 30 0 30 0 0 0 30
1904 stesolid 0 0 0 0 0 0 0 0 0
1905 ketoconazole 290 0 290 135 0 135 0 20 155
1906 domperidone Tab 3590 0 3590 90 3100 0 300 100 3500
1907 Malformin 3910 100 4010 130 3100 280 100 400 3880
1908 Bisopvola 5 mg 0 0 0 0 0 0 0 0 0
1909 Obat Cacing Sy 100 0 100 0 100 0 0 0 100
1910 Acycidvir Krim 5 Mg 25 0 25 0 25 0 0 0 25
1911 Salbutamol Sy 0 0 0 0 0 0 0 0 0
1912 Diafrom 0 0 0 0 0 0 0 0 0
1913 Zink Tab 11890 1000 12890 40 11500 450 300 600 12850
1914 Zink Sy 100 0 100 0 100 0 0 0 100
1918 Abocart No.22 G Buah 50 100 150 0 100 50 0 0 150
1919 Abocart No.24 G Buah 150 0 150 0 40 90 0 0 130
1920 Amoxcillin / Hufanoxil 500 Mg Tablet 14000 1400 15400 1630 13400 0 270 100 13770
1921 Ampicillin 250 Mg Buah 0 0 0 0 0 0 0 0 0
1922 Asam Mefenamat 500 Mg / Pehastan Tablet 4545 0 4545 1405 2800 0 340 0 3140
1923 Antasida Doen syrup Botol 271 43 314 41 248 3 17 5 273
1924 Bionic Plus DHA Syrup Botol 0 0 0 0 0 0 0 0 0
1925 Cimetidin 200 Mg Tablet 260 0 260 90 0 170 0 0 170
1926 Ciprofloxacin 500 Mg Tablet 3820 0 3820 110 3300 120 220 70 3710
1930 Folikateter No 18 Buah 77 0 77 0 72 0 0 5 77
1933 Haloperidol 5 Mg tablet 500 0 500 0 500 0 0 0 500
1934 Hunskun 7,5 Cm Buah 1748 0 1748 0 1100 550 98 0 1748
1935 Kapas Pembalut Absorben 500 gr Rol 0 0 0 0 0 0 0 0 0
1936 Kasa pembalut hidrofil 40 m x 80 cm Rol 1 0 1 1 0 0 0 0 0
1937 Katopril 12,5 Mg Tablet 9305 0 9305 640 7800 145 300 420 8665
1938 Katopril 25 Mg Tablet 7400 1590 8990 781 7400 279 100 430 8209
1948 Ranitidin Tablet 8500 0 8500 780 7100 380 40 200 7720
1949 Scopma tablet Tablet 0 0 0 0 0 0 0 0 0
1950 Sianokobalamin (Vit.B12 ) Tablet Tablet 1000 0 1000 0 1000 0 0 0 1000
1956 Wing Needel 25 Buah 800 0 800 0 800 0 0 0 800
1964 Papaverin tab 40 mg 1610 0 1610 20 1500 0 90 0 1590
1976 domperidone sy 120 0 120 0 120 0 0 0 120
1980 Erytromior sy 120 0 120 0 120 0 0 0 120
1981 Omeprazole 6050 0 6050 470 5250 260 70 0 5580
1982 envios sy 0 0 0 0 0 0 0 0 0
1983 Miconazole salf 75 18 93 22 25 12 34 0 71
1984 Natrium diklopenak 4345 1500 5845 690 4850 115 190 0 5155
1985 ketoconazole 0 0 0 0 0 0 0 0 0
1986 Pitogin 0 0 0 0 0 0 0 0 0
1987 Ibuprofen sy 181 0 181 18 140 12 6 5 163
1988 kertas puyer 0 0 0 0 0 0 0 0 0
1989 Clorampenicole sy 5 0 5 0 0 5 0 0 5
1990 loratadin 3830 0 3830 410 3000 230 190 0 3420
1991 Amlodipin 10 mg 1030 0 1030 0 600 0 190 240 1030
1992 ondosetran 0 0 0 0 0 0 0 0 0
1993 Lemperamid 7400 0 7400 0 6400 500 300 200 7400
1998 Pyrantel Sy 69 0 69 4 45 0 13 7 65
1999 Cepadroxil Sy 135 0 135 10 90 13 19 3 125
2000 Domperidon Drpfs 190 0 190 8 142 4 20 16 182
2001 Simvastatin 8450 0 8450 10 7900 170 180 190 8440
2002 Puralex 1710 0 1710 80 1250 40 240 100 1630
2003 Erytromicin 110 0 110 0 110 0 0 0 110
2004 Cefadroxil 250mg 1000 0 1000 180 550 0 270 0 820
2005 Zirkum Sy 240 0 240 5 230 5 0 0 235
2006 DILTIAZEM 3000 0 3000 0 3000 0 0 0 3000
2007 ACARBOSE 1000 0 1000 0 1000 0 0 0 1000
2008 DOXYCYLINE 4000 0 4000 0 3900 100 0 0 4000
2009 KETOROLOC INJ 21 0 21 0 9 12 0 0 21
2010 MINIASPI 8000 0 8000 0 7700 300 0 0 8000
2011 METOCLOPRAMIDE 3000 0 3000 50 2700 100 0 150 2950
2012 ATROFEN SPROY 8 0 8 2 6 0 0 0 6
2013 SPIRONOLOCTONE 1000 0 1000 0 1000 0 0 0 1000
2014 ASICLOVIR 2930 0 2930 0 2700 30 100 100 2930
2015 GLIMEPIRIDE 3000 0 3000 0 3000 0 0 0 3000
2016 BISOPROLOL 1000 0 1000 0 1000 0 0 0 1000
2017 CETIRIZINE 6700 0 6700 240 5800 160 400 100 6460
2018 GLICAB 3000 0 3000 0 3000 0 0 0 3000
2019 KETOCONAZOLE SALF 1889 0 1889 46 1725 14 29 75 1843
2020 ALKOHOL SWAT 2399 0 2399 0 2399 0 0 0 2399
2021 ALKOHOL 70% 100 ML 138 0 138 0 138 0 0 0 138
2022 CETORIZINE SY 90 100 190 1 185 4 0 0 189
2023 DOPAMED 1000 0 1000 0 900 100 0 0 1000
2024 FUROSEMIDE INJ 82 0 82 3 70 4 0 5 79
2025 PANVIT-C TAB 1000 0 1000 0 1000 0 0 0 1000
2026 ORATIFET SY BOTOL 50 0 50 0 20 0 0 0 20
2027 NUTRI-VITA SY BOTOL 50 0 50 5 40 0 5 0 45
2028 ANABION BOTOL 72 72 144 29 109 6 0 0 115
2029 NEOCENTA GEL TUBE 20 0 20 5 15 0 0 0 15
2030 OMECOUGH BOTOL 50 0 50 0 35 0 15 0 50
2031 DANAURON TAB 1000 0 1000 0 1000 0 0 0 1000
2032 METRONIDAZOLE 500mg TAB 2000 1000 3000 0 3000 0 0 0 3000
2033 Amoxicillin Forte 250 mg btl 91 0 91 0 91 0 0 0 91
Yang Menyerahkan Yang Melapor Sompak, 4 Mei 2016

Kepala DinKes Kab. Landak Kepala Instalasi farmasi Plt. Kepala Puskesmas Petugas Gudang
Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 19790508 200312 1 003 Nip. 19840315 201001 1 020
6
KET
16
346 346
1221 1221
981 981
0 0
870 870
0 0
150 150
290 290
365 365
250 250
0 0
14544 14044
200 200
12210 12210
4 4
182 177
0 0
285 230
10451 10151
485 485
89 89
KET
3000 3000
1250 1250
3000 3000
60 60
96 96
0 0
10 10
28 28
6 6
197 197
4000 4000
0 0
4927 4927
3935 3935
0 0
0 0
0 0
1000 1000
0 0
160 160
0 0
212 212
5990 5990
6000 6000
91 91
0 0
6950 6950
200 200
299 299
3800 3800
600 600
9210 9210
0 0
KET
23 23
220 220
63 63
0 0
5954 5954
980 980
484 484
12475 12475
180 180
38 38
1500 1500
0 0
7808 7808
8000 8000
0 0
158 158
850 998
351 351
5700 5700
5911 5911
4724 4551
11350 11350
22 22
10000 10000
4183 4183
0 0
1000 1000
2400 2400
225 225
2120 2120
0 0
216 216
100 100
KET
154 154
9690 9690
300 300
5900 5900
12910 12910
36 36
29 29
30 30
0 0
290 290
3590 3590
4010 4010
0 0
100 100
25 25
0 0
0 0
12890 12890
100 100
150 150
150 130
15400 15400
0 0
4545 4545
314 314
0 0
260 260
3820 3820
77 77
500 500
1748 1748
0 0
1 1
KET
9305 9305
8990 8990
8500 8500
0 0
1000 1000
800 800
1610 1610
120 120
120 120
6050 6050 0
0 0
93 93
5845 5845
0 0
0 0
181 181
0 0
5 5
3830 3830
1030 1030
0 0
7400 7400
69 69
135 135
190 190
8450 8450
1710 1710
110 110
1000 1000
240 240
3000 3000
1000 1000
4000 4000
KET
21 21
8000 8000
3000 3000
8 8
1000 1000
2930 2930
3000 3000
1000 1000
6700 6700
3000 3000
1889 1889
2399 2399
138 138
190 190
1000 1000
82 82
1000
20
50
144
20
50
1000
3000
91
#VALUE!
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JUNI
STOCK
AWAL
1 2 3 4 1 2
708 Gliserin Btl 0
1109 Lisol Btl 34
1205 Methanol Btl 0
1904 stesolid 0
1905 ketoconazole 0
1907 Metformin 3100
1912 Diafrom 0
1913 Zink Tab 11500
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 3000
1992 ondosetran 0
1998 Pyrantel Sy 45
2002 Puralex 1250
2005 Zirkum Sy 230
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 7700
2014 ASICLOVIR 2700
2018 GLICAB 3000
2021 ALKOHOL 70% 100 ML BH 138
2023 DOPAMED 900
2026 ORATIFET SY BOTOL 20
2027 NUTRI-VITA SY BOTOL 40
2028 ANABION BOTOL 109
2029 NEOCENTA GEL TUBE 15
2031 DANAURON TAB 1000

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003 Nip. 1979058 200312
#VALUE!
(LPLPO)
BULAN 0 6
TAHUN 2 0 1 6
3 4 5 6 7 8 9 10 11 12
20
ANTI. SKM
Nip. 1979058 2003121 1 003
NOVEMBER
TANGGAL
13 14 15 16 17 18 19 20 21 22
mar
23 24 25 26 27 28 29 30 31
100
100
10
2600
1000
10
1700
100
500
100
1700
50
1800
45
2600
20
700
20
4700
75
100
30
600
2600
185
1000
4
60
600
660
4000
500
100
40
1500
1100
34
300
800
1300
1100
660
650
10
10
10
10
300
100
450
20
200
1
25
15
20
19
5
5
JUMLAH SISA
0 0
0 200
100 700
0 900
0 0
100 400
0 0
0 120
0 290
10 310
0 0
0 0
0 0
0 0
0 0
2600 8500 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1000 8800 13600
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 110
0 0
10 90
1700 5700 selisih 100
0 0
0 0
0 0
0 0
0 0
100 300
0 0
0 0
0 60
0 3000
500 0
0 2000
0 60
0 92
0 0
1 3
0 0
0 0
0 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 130
0 3900
0 0
0 4000
0 0
0 0
100 3500
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 100
0 4900
0 0
0 0
0 6000
0 48
0 0
0 150
50 100
0 0
0 0
0 0
0 0
0 3700
0 0
0 0
0 0
1800 4800 selisih 300
0 0
2 15
0 0
0 0
0 0
45 75
0 0
0 0
0 0
0 0
0 25
0 0
2600 500
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
20 415
700 10500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 140
0 34
0 0
0 0
0 0
0 0
0 0
0 1200
0 0
4700 1900
0 0
0 0
0 7000
0 0
95 40
0 0
0 0
100 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100 100
0 0
30 270
600 4300
2600 5000 5000
0 0
0 0
0 0
0 0
0 0
185 3900
1000 9000
4 9
0 0
0 0
0 0
0 10000
0 4000
0 0
0 1000
0 2000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
60 100 100
600 600
0 0
0 180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 118
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 9000 9000
0 0
0 0
0 300
0 0
0 0
660 4000
0 0
0 0
0 0
0 0
4000 2700
0 36
0 25
0 30
0 0
0 0
500 2600 selisih 100
100 3000
0 0
0 100
0 25
0 0
0 0
0 11500
0 100
0 0
0 0
0 0
0 100 200
40 50 50
1500 10000 21900
0 0
1100 1700
34 214 selisih 10
0 0
0 0
0 3300
0 0
0 0
0 0
0 72
0 0
0 0
0 500
0 0
0 0
800 7000
1300 6100 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1100 6000
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0 150
0 120 60
660 4590 300
0 0 90
0 25 60
650 4200
0 0
0 0
10 130 selisih 5
0 0
0 0
0 3000
2000 2600 ED april 2016 SEBANYAK 600 TAB
0 0
0 6400
0 0
0 0
0 0
0 0
10 35
10 80
10 132
300 7600
100 1150
0 110
450 100
20 210
0 3000
0 1000
0 3900
6 3
0 7700
200 2500
1 5
0 1000
0 2700
0 3000
0 1000
0 5800
0 3000
25 1700
0 2399
0 138
15 170
0 900
0 70
0 1000
20 0
0 40
19 90
5 10
5 30
0 1000
0 3000
0 91
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN O
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JUNI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
902 Iburrofen 400 mg Tab 90 1200 1290
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 100 100 200
1912 Diafrom 0 0
1913 Zink Tab 300 300
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 70 210 280
1982 envios sy 0 0
1986 Pitogin 0 0
1991 Amlodipin 10 mg 190 190
1992 ondosetran 0 0
2002 Puralex 240 240
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
55 25 0
0 0
0 0
100 0
0 0
0 0
0 0
16 0
0 0
0 0
0 0
0 0
0 0
1260 400 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
340 60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
1040 160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
250 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7 110 0
0 0
0 0
11 89 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
230 200 0
0 0
0 0
0 0
0 0
0 0
1270 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
730 320 0
0 0
1 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
5 11 0
0 0
2330 230 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7 12 0
170 390 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
90 100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 300
2 16 0 260
0 0 500
1290 100 0 200
0 0 700
0 0
0 0
0 0
0 0
139 0 0
0 0
1 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 200 0
0 0
19 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
290 220 0
0 0
0 0
0 0
0 0
1460 0 0
0 0
1 0
0 0
0 0
0 0
10 290 0
40 160 0
0 0
0 0
0 0
0 0
0 0
10 290 0
0 0
0 0
0 0
0 0
0 0
0 0
1100 270 0
0 0
360 280 0
9 8 0
0 0
0 0
30 190 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
98 0
0 0
0 0
220 380 0
550 350 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
530 110 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
210 70 0
0 0
10 24 0
660 80 0
0 0
0 0
1 5 0
0 0
0 0
190 0 0
190 0
0 0
300 0
0 0
0 0
0 0
0 0
13 0
2 17 0
10 10 0
80 100 0
40 200 0
0 0
40 230 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 60 0
0 0
0 0
180 220 0
0 0
32 22 0
0 0
0 0
5 0
0 0
0 0
0 0
2 3 0
5 0
0 0
0 0
17 3 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JUNI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
506 Etanol 70% Btl 6 1 7
1109 Lisol Btl 1 1
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 450 450
1914 Zink Sy 0 0
1934 Hunskun 7,5 Cm Buah 550 300 850
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 260 450 710
1982 envios sy 0 0
1986 Pitogin 0 0
1992 ondosetran 0 0
2001 Simvastatin 170 300 470
2002 Puralex 40 100 140
2004 Cefadroxil 250mg 0 450 450
2005 Zirkum Sy 5 10 15
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2010 MINIASPI 300 300
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 100 100


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 6
2 0 1 6

7 9=(6-7) 10 11 12 13 14 15 16
0
146
143 105
35
0
20 120
0
30
0
13 7
0
0
0
30 40
0
1024 210
0
0
0
0
0
0
0
0
858 481
0
0
0
0
0
0
0
0
0
0
0
48 13
0
38
561 400
0
0
0
0
0
185
0
0
29
0
1000
0
0
3
0
6 1
0
0
0
0
0
0
0
0
0
0
0
0
57
0
0
80 250
0
0
55 100
0
0
0
1
0
40
0
36
260 40
0
0
0
18 5
0
341 159
10 0
40 20
0
0
0
0
100
0
0
600
2090 0
0
1 2
0
0
0
20 25
0
0
0
0
6 4
0
585 1114
0
0
0
0
0
0
0
0
0
13 15
580
0
0
0
0
0
0
0
0
0
20 7
1 0
0
0
0
0
0
200
0
180 380
0
0
0
0
20
0
0
80 158
0
0
0
0
0
0
0
0 0
0
23 17
670 285
1464 171
0
0
0
0
0
161 15
9140 1190
2 2
0
0
0
0
0
0
0
300
0
0
0
0
0
0
0
60
280 490
0
7
0
0
0
0
0
0
0
0
36
0
0
0
0
0
0
0
440 250
0
0
0
0
0
90 650
0
0
0
0
2900 150
0 2600
3 1300
0
0
135
30 470
30 250
0
0
0
0
0
30 420
0
0
0
0
21 29
130
330 70
0
780 20
10 27
0
30 140
60 60
0
0
0
0
0
0
0
520 330
0
0
250 395
779
0
0
0
0
0
0
0
0
0
190 690
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
270 440
0
8 4
215 0
0
0
2 20
0
5
100 130
0
0
500
0
0
0
0
10
4 19
11 3
330 140
140
0
270 180
12 12
0
0
100
8 10
300
120 180
1 0
0
30
0
0
160
0
6 8
0
0
14
100
4
0
6 9
0
20 5
5
0
0
0
0


Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
1960 800 300
300
400
300
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MEI sadok
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200 400
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 5
2 0 1 6

7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
19 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
220 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
400 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 70 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
april pauh
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0
0
50
0
0
0
0
0
0
0
0
0
0
0
0
30 170
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
0
0
5
0
10
40 100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
0
0
0
0
4 88
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 60
0
0
0
0
0
0
0
0
0
0
10 80
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 23
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANTI,SKM BERTA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JUNI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 6
2 0 1 6

7 8=(6-7) 11 12 13 14 15 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
8 0 0
20 40 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
210 80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 40 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Sompak, 2016
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
juni
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 150 150
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
10 5 0
20 6 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 940 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 9 0
20 70 0
0 0
10 180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 80 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0
40 150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 80 0
0 0
60 100 0
0 0
0 0
100 900 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
20 180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 4 0
0 0
0 0
0 0
0 0
0 0
0 0
20 140 0
20 120 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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 0 0
0 0
0 0
0 0
20 130 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 0
1 5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 15 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
juni
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
juni
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

7 8=(6-7) 16
0 0
0 0
32 28 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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 50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0
0 0
70 40 0
0 0
0 0
0 0
0 0
0 0
4 96 0
0 0
0 0
0 0
0 0
0 0
0 0
83 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
90 70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
200 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
30 55 0
0 0
0 0
3 2 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 0
190 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 160 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
90 0
0 0
200 0
0 0
0 0
0 0
0 0
7 0
0 0
5 0
100 0
100 0
0 0
0 0
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
0 0
3 22 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 600 600
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 240 240
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 5 5
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

7 9=(6-7) 10 11
0 0 0
0 0 0
42 83 0
20 6 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
110 320 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 150 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
13 25 0
60 140 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 940 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 9 0
20 70 0
0 0 0
10 360 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 19 0
0 80 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
170 350 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 3 0
0 0 0
380 180 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 3 0
40 350 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 80 0
0 0 0
60 300 0
0 0 0
0 0 0
100 900 0
0 0 0
0 3 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
130 170 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
8 184 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 83 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
90 70 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 40 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 100 0
0 400 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 580 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 70 0
0 0 0
0 0 0
3 2 0
0 0 0
0 0 0
10 60 0
0 0 0
0 0 0
0 0 0
1 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 390 0
20 410 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 180 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 3 0
0 0 0
0 0 0
0 0 0
20 220 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 7 0
2 1 0
1 15 0
20 170 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 150 0
0 0 0
0 0 0
30 70 0
0 0 0
0 0 0
0 100 0
0 0 0
15 60 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JUNI
TERAPI AWAL MAAN
1 2 3 4 5 6
506 Etanol 70% Btl 10 0
1109 Lisol Btl 35 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 12850 0
1914 Zink Sy 100 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1991 Amlodipin 10 mg 1030 2000
1992 ondosetran 0 0
2002 Puralex 1630 0
2018 GLICAB 3000 0
2021 ALKOHOL 70% 100 ML 138 0
2023 DOPAMED 1000 0
2032 METRONIDAZOLE 500mg TAB 3000 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
BULAN 0 6
TAHUN 2 0 1
PERSE- PEMA- SISA SISA SISA STOCK JUM PERMIN

7(5+6) 8=(7-14) 9 10 11 12 13=(9+10+11+12) 15
0 0 0 0 0 0 0
346 0 200 146 0 0 346
1153 240 700 105 25 83 913
961 20 900 35 0 6 941
0 0 0 0 0 0 0
640 20 400 120 100 0 620 2000
0 0 0 0 0 0 0
150 0 120 30 0 0 150
290 0 290 0 0 0 290 100
346 13 310 7 16 0 333
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
70 30 0 40 0 0 40 5000
0 0 0 0 0 0 0 50
11824 2394 8500 210 400 320 9430 100000
200 0 0 0 200 0 200
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10889 1398 8800 481 60 150 9491 5000
0 0 0 0 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 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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
171 48 110 13 0 0 123 100
0 0 0 0 0 0 0
176 13 90 38 10 25 163 100
8061 1661 5700 400 160 140 6400 10000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 10
485 0 300 185 0 0 485
0 0 0 0 0 0 0
0 0 0 0 0 0 0
89 0 60 29 0 0 89
3000 0 3000 0 0 0 3000
1250 0 0 1000 250 0 1250 500
2990 50 2000 0 0 940 2940 3000
60 0 60 0 0 0 60
96 0 92 3 1 0 96 50
0 0 0 0 0 0 0
10 6 3 1 0 0 4 30
0 0 0 0 0 0 0
0 0 0 0 0 0 0 10
28 0 28 0 0 0 28
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6 0 6 0 0 0 6
197 1 130 57 0 9 196
3990 20 3900 0 0 70 3970
0 0 0 0 0 0 0
4817 97 4000 250 110 360 4720
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3855 66 3500 100 89 100 3789
0 0 0 0 0 0 0 100
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 0 0 1 10000
0 0 0 0 0 0 0
160 0 120 40 0 0 160
0 0 0 0 0 0 0
155 0 100 36 0 19 155
5710 490 4900 40 200 80 5220 5000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6000 0 6000 0 0 0 6000
71 18 48 5 0 0 53 200
0 0 0 0 0 0 0
3990 1611 2200 159 20 0 2379 10000
160 10 150 0 0 0 150 100
160 40 100 20 0 0 120 100
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3800 0 3700 100 0 0 3800
0 0 0 0 0 0 0
0 0 0 0 0 0 0
600 0 0 600 0 0 600
8460 2990 4800 0 320 350 5470 10000
0 0 0 0 0 0 0
19 1 15 2 1 0 18
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
130 20 75 25 10 0 110 200
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 2000
54 11 25 4 11 3 43 100
0 0 0 0 0 0 0 100
5319 3295 500 1114 230 180 2024 10000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
980 0 980 0 0 0 980
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
466 21 415 15 12 3 445
12030 210 10500 580 390 350 11820
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
167 20 140 7 0 0 147
35 1 34 0 0 0 34
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1500 20 1200 200 0 80 1480
0 0 0 0 0 0 0 50
7210 330 1900 380 100 300 2680
0 0 0 0 0 0 0
0 0 0 0 0 0 0
8000 100 7000 0 0 900 7900
0 0 0 0 0 0 0
158 0 40 20 0 3 63
0 0 0 0 0 0 0
0 0 0 0 0 0 0
898 80 500 158 160 0 818 2000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 0 0 0 0 0 0 100
100 0 100 0 0 0 100
0 0 0 0 0 0 0
329 26 270 17 16 0 303 50
5255 670 4300 285 0 0 4585
8325 2884 5000 171 100 170 5441 10000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
4407 308 3900 15 0 184 4099 2000
11330 9140 9000 1190 0 1000 11190
14 2 9 2 1 0 12 50
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10000 0 10000 0 0 0 10000
4183 0 4000 0 100 83 4183
0 0 0 0 0 0 0
1000 0 1000 0 0 0 1000
2285 0 2000 300 0 100 2285
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
180 0 100 60 0 20 180 200
1800 440 600 490 200 70 1360 5000
0 0 0 0 0 0 0
211 0 180 7 19 5 211
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 0 100 0 0 0 100 100
154 0 118 36 0 0 154 50
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9690 440 9000 250 0 0 9250
0 0 0 0 0 0 0
0 0 0 0 0 0 0
300 0 300 0 0 0 300
0 0 0 0 0 0 0
0 0 0 0 0 0 0
5300 390 4000 650 220 40 4910 10000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
7210 4360 2700 150 0 0 2850 10000
36 0 36 0 0 0 36
29 0 25 3 1 0 29
30 0 30 0 0 0 30
0 0 0 0 0 0 0 5
155 0 0 135 0 20 155
3500 40 2600 470 290 100 3460
3880 70 3000 250 160 400 3810
0 0 0 0 0 0 0
100 0 100 0 0 0 100
25 0 25 0 0 0 25
0 0 0 0 0 0 0
0 0 0 0 0 0 0
12850 60 11500 420 290 580 12790
100 0 100 0 0 0 100
0 0 0 0 0 0 0 3000
0 0 0 0 0 0 0 50
0 0 0 0 0 0 0 50
250 21 200 29 0 0 229 100
180 0 50 130 0 0 180 100
23770 1460 21900 70 270 70 22310
0 0 0 0 0 0 0
3140 1140 1700 20 280 0 2000 10000
273 22 214 27 8 2 251 50
0 0 0 0 0 0 0 50
170 30 0 140 0 0 140 2000
3710 100 3300 60 190 60 3610 2000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
77 1 72 0 0 4 76
0 0 0 0 0 0 0
0 0 0 0 0 0 0 2
500 0 500 0 0 0 500
1748 520 800 330 98 0 1228 300
0 0 0 0 0 0 0
0 0 0 0 0 0 0 10
8665 500 7000 395 380 390 8165 2000
8209 570 6100 779 350 410 7639 2000
0 0 0 0 0 0 0 50
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
7720 740 6000 690 110 180 6980
0 0 0 0 0 0 0 5000
1000 0 1000 0 0 0 1000
0 0 0 0 0 0 0
0 0 0 0 0 0 0 2000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
800 0 800 0 0 0 800
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1590 0 1500 0 90 0 1590
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 5000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
120 0 120 0 0 0 120
120 0 120 0 0 0 120
5580 480 4590 440 70 0 5100 3000
0 0 0 0 0 0 0
71 18 25 4 24 0 53
5155 875 4200 0 80 0 4280
0 0 0 0 0 0 0
0 0 0 0 0 0 0
163 5 130 20 5 3 158
0 0 0 0 0 0 0
5 0 0 5 0 0 5
3420 290 3000 130 0 0 3130 2000
3030 20 2600 0 190 220 3010
0 0 0 0 0 0 0
7400 0 6400 500 300 200 7400
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
65 0 35 10 13 7 65
125 8 80 19 17 1 117
182 22 132 3 10 15 160
8440 430 7600 140 100 170 8010
1630 40 1150 140 200 100 1590 2000
110 0 110 0 0 0 110
820 310 100 180 230 0 510 2000
235 12 210 12 0 0 222
3000 0 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
4000 0 3900 100 0 0 4000
21 8 3 10 0 0 13
8000 0 7700 300 0 0 8000
2950 120 2500 180 0 150 2830
6 1 5 0 0 0 5
1000 0 1000 0 0 0 1000
2930 70 2700 30 60 70 2860
3000 0 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
6460 180 5800 160 220 100 6280
3000 0 3000 0 0 0 3000
1843 53 1700 8 22 60 1790
2399 0 2399 0 0 0 2399
138 0 138 0 0 0 138
189 0 170 14 5 0 189
1000 0 900 100 0 0 1000
79 0 70 4 0 5 79
1000 0 1000 0 0 0 1000
20 8 0 9 3 0 12
45 0 40 0 5 0 45
115 20 90 5 0 0 95
15 0 10 5 0 0 15
50 17 30 0 3 0 33 100
1000 0 1000 0 0 0 1000 2000
3000 0 3000 0 0 0 3000
91 0 91 0 0 0 91
Yang Melapor Sompak, 4 Juli 2016


Nip. 19790508 200312 1 003 Nip. 19840315 201001 1 020
6
KET
16
346 346
1153 1153
961 961
0 0
640 640
0 0
150 150
ed juni 2016=290 #VALUE! 290
346 346
0 0
0 0
0 0
70 70
0 0
11824 11824
200 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10889 10889
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
171 171
0 0
176 176
8061 8061
0 0
0 0
0 0
0 0
0 0
485 485
0 0
0 0
89 89
3000 3000
1250 1250
2990 2990
60 60
96 96
0 0
10 10
0 0
0 0
28 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 6
197 197
3990 3990
0 0
4817 4817
0 0
0 0
3855 3855
0 0
0 0
0 0
1 1
0 0
160 160
0 0
155 155
5710 5710
0 0
0 0
6000 6000
71 71
0 0
3990 3990
160 160
160 160
0 0
0 0
0 0
0 0
3800 3800
0 0
0 0
600 600
8460 8460
0 0
19 19
0 0
0 0
0 0
130 130
0 0
0 0
0 0
0 0
54 54
0 0
5319 5319
0 0
0 0
0 0
980 980
0 0
0 0
0 0
0 0
0 0
466 466
12030 12030
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
167 167
35 35
0 0
0 0
0 0
0 0
0 0
1500 1500
0 0
6100 ed juni 16 #VALUE! 3010
0 0
0 0
8000 8000
0 0
75 ed mey 2016 #VALUE! 63
0 0
0 0
898 898
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
0 0
329 329
5255 5255
8325 8325
0 0
0 0
0 0
0 0
0 0
4407 4407
11330 20330
14 14
0 0
0 0
0 0
10000 10000
4183 4183
0 0
1000 1000
2285 2400
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 180
1800 1800
0 0
211 211
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
154 154
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9690 9690
0 0
0 0
300 300
0 0
0 0
5300 5300
0 0
0 0
0 0
0 0
7210 7210
36 36
29 29
30 30
0 0
155 155
3500 3500
3880 3880
0 0
100 100
25 25
0 0
0 0
12850 12850
100 100
0 0
0 0
0 0
250 250
180 180
23770 23770
0 0
3140 3140
273 273
0 0
170 170
3710 3710
0 0
0 0
0 0
77 77
0 0
0 0
500 500
1748 1748
0 0
0 0
8665 8665
8209 8209
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
7720 7720
0 0
1000 1000
0 0
0 0
0 0
0 0
0 0
800 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1590 1590
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
120 120
120 120
5580 5580 0
0 0
71 71
5155 5155
0 0
0 0
163 163
0 0
5 5
3420 3420
3030 3030
0 0
7400 7400
0 0
0 0
0 0
0 0
65 65
125 125
182 182
8440 8440
1630 1630
110 110
820 820
235 234
3000 3000
1000 1000
4000 4000
21 21
8000 8000
2950 2950
6 6
1000 1000
2930 2930
3000 3000
1000 1000
6460 6460
3000 3000
1843 1843
2399 2399
138 138
189 189
1000 1000
79 79
1000
20
45
115
15
50
1000
3000
91
#VALUE!
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
STOCK NOVEMBER
AWAL TANGGAL
1 2 3 4 31
708 Gliserin Btl 0
1109 Lisol Btl 34 3
1205 Methanol Btl 0
1904 stesolid 0
1905 ketoconazole 0
1907 Metformin 3000
1912 Diafrom 0
1913 Zink Tab 11500 100
1914 Zink Sy 100
1915 Prenase Tab 0
1916 Seltyfort Sy 0
1958 Flutamol syr 0
1959 Axofen syr 0
1966 Hustab 0
1967 Erlamicetin 0
1968 Albenazole 0
1969 Flutamol syr 0
1970 Cefadroxil 0
1971 Stavit 0
1972 Masker 0
1973 Kidikol syr 0
1974 Serbuk PK 0
1975 Abocet 18 0
1978 Ambroxol Sy 0
1979 Meloxicam 0
1982 envios sy 0
1985 ketoconazole 0
1986 Pitogin 0
1988 kertas puyer 0
1990 loratadin 3000 400
1991 Amlodipin 10 mg 2600 150
1992 ondosetran 0
1998 Pyrantel Sy 35
2002 Puralex 1150 150
2005 Zirkum Sy 210 10
2006 DILTIAZEM 3000
2007 ACARBOSE 1000
2010 MINIASPI 7700
2014 ASICLOVIR 2700
2018 GLICAB 3000
2019 KETOCONAZOLE SALF SALF 1700 75
2021 ALKOHOL 70% 100 ML BH 138 13
2023 DOPAMED 900
2026 ORATIFET SY BOTOL 0
2031 DANEURON TAB 1000 500

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
JUMLAH SISA
0 0
0 200
200 500
0 900
0 0
200 200
0 0
0 120
0 290
24 286
0 0
0 0
0 0
0 0
0 0
1700 6800 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1400 7400 13200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
26 84
0 0
0 90
900 4800 selisih 100
0 0
0 0
0 0
0 0
0 0
0 300
0 0
0 0
0 60
0 3000
0 0
0 2000
0 60
0 92
0 0
0 3
0 0
0 0
0 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 6
0 130
0 3900
0 0
200 1000 4800
0 0
0 0
0 3500
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 100
700 4200
0 0
0 0
0 6000
0 48
0 0
0 150
50 50
0 0
0 0
0 0
0 0
0 3700
0 0
0 0
0 0
1100 3700 selisih 300
0 0
2 13
0 0
0 0
0 0
50 25
0 0
0 0
0 0
0 0
25 0
0 0
1000 900 400
0 0
0 0
0 0
0 980
0 0
0 0
0 0
0 0
0 0
0 415
200 10300
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 120
3 31
0 0
0 0
0 0
0 0
0 0
0 1200
0 0
0 1900
0 0
0 0
0 7000
0 0
20 20
0 0
0 0
300 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
20 250
200 4100
2700 2300
0 0
0 0
0 0
0 0
0 0
300 3600
0 9000
6 3
0 0
0 0
0 0
0 10000
0 4000
0 0
100 900
300 1700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 0
100 500
0 0
0 180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
10 108
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3300 9000 14700
0 0
0 0
0 300
0 0
0 0
200 3800
0 0
0 0
0 0
0 0
2700 0
6 30
0 25
0 30
0 0
0 0
0 2600 selisih 100
0 3000
0 0
0 100
0 25
0 0
0 0
100 11400
0 100
0 0
0 0
0 0
0 200
50 0
1000 20900
0 0
800 900
24 190 selisih 10
0 0
0 0
300 3000
0 0
0 0
0 0
0 72
0 0
0 0
0 500
0 0
0 0
200 6800
200 5900 selisih 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
600 5400
0 0
0 1000
0 0
0 0
0 0
0 0
0 0
0 800
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 1500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 120
0 0
0 0
0 0 150
0 120 60
180 4410 300
0 0 90
0 25 60
1300 2900
0 0
0 0
10 120 selisih 5
0 0
0 0
400 2600
150 2000 4450 ED april 2016 SEBANYAK 2600 TAB
0 0
0 6400
0 0
0 0
0 0
0 0
0 35
0 80
22 110
100 7500
150 1000
0 110
0 100
10 200
0 3000
0 1000
0 3900
0 3
0 7700
0 2500
3 2
0 1000
0 2700
0 3000
0 1000
500 5300
0 3000
75 1625
0 2399
13 125
0 170
0 900
0 70
0 1000
0 0
15 25
6 84
5 5
15 15
500 500
0 3000
0 91
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 290 290
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 70 180 250
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 300 300
1991 Amlodipin 10 mg 190 190
1992 ondosetran 0 0
2001 Simvastatin 100 100 200
2002 Puralex 200 100 300
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 220 500 720
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
2032 METRONIDAZOLE TAB 0 500 500
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
100 25 0
0 0
0 0
160 140 0
0 0
0 0
0 0
16 0
0 0
0 0
0 0
0 0
0 0
1400 200 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
190 470 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 0
340 120 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
250 0
0 0
0 0
1 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
140 170 0
0 0
0 0
0 89 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
620 180 0
0 0
0 0
0 0
0 0
0 0
20 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
800 120 0
0 0
1 0
0 0
0 0
0 0
10 0
0 0
0 0
0 0
0 0
0 11 0
0 0
910 120 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 12 0
90 500 0
0 0
0 0
0 0
0 0
0 0
0 0
0 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
130 230 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0
0 0
0 0
0 0 300
0 16 0 260
0 0 500
1500 0 0 200
0 0 0 700
0 0 0
0 0 0
0 0 0
0 0 0
86 114 0
0 0 0
0 1 0
0 0 0
0 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
90 210 0
0 0
19 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
320 100 0
0 0
0 0
0 0
0 0
1300 0 0
0 0
1 0
0 0
0 0
0 0
0 290 0
20 140 0
0 0
0 0
0 0
0 0
0 0
10 280 0
0 0
0 0
0 0
0 0
0 0
0 0
320 250 0
0 0
380 200 0
14 8 0
0 0
0 0
70 220 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
98 0
0 0
0 0
290 90 0
320 230 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
170 140 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 70 0
0 0
0 24 0
1180 100 0
0 0
0 0
5 5 0
0 0 0
0 0 0
150 150 0
0 190 0
0 0 0
0 300 0
0 0
0 0
0 0
0 0
13 0
0 17 0
0 10 0
100 100 0 ED JUNI 100 TAB
0 300 0
0 0
100 130 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 30 0
0 0
0 0
540 180 0
0 0
25 22 0
0 0
0 0
5 0
0 0
0 0
0 0
0 3 0
5 0
0 0
0 0
5 3 0
0 0
500 0
0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
902 Iburrofen 400 mg Tab 159 300 459
1904 stesolid 0 0
1913 Zink Tab 420 100 520
1919 Abocart No.24 G Buah 130 50 180
1934 Hunskun 7,5 Cm Buah 330 300 630
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 130 100 230
1991 Amlodipin 10 mg 0 150 150
1992 ondosetran 0 0
2002 Puralex 140 140
2005 Zirkum Sy 12 10 22
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2010 MINIASPI 300 300
2016 BISOPROLOL 0 0
2017 CETIRIZINE 160 500 660
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 13 13
2023 DOPAMED 100 100
2031 DANEURON TAB 0 500 500


Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 7
2 0 1 6

7 9=(6-7) 10 11 12 13 14 15 16
0
96 50
0 205
35 0
40 80
30
14 17
20 20
0
510 0
872 409
17 20
0 0
26 12
596 304
9 176
9 29
0
1000
3 0
0 0
1 0
5 52
40 210
60 40
1 0
0
23 17
0 0
36 0
40 0
5 0
0
341 79
10 0
40 70
0
0
0
500 0
0
5 0
75 0
5 24
0
620 694
10 5
70 510
17 10
2 0
10 190
0
120 260
25 15
250 108
0
0
0
0
0
0
0
0 0
0
11 26
213 272
1041 330
35 80
170 1020
0 8
0 0
310 290
151 9
210 280
0
7
6 40
710 2540
120 530
1550 0
4 2 2600
3 0 1300
0
0
135 0
120 350
120 130
120 400
29 0
160 20
570 0
0
410 110
10 17
0
0 140
30 230
0 630
100 295
150 629
290 400
140 300
0
4 0
0 0
0
0
10 10
0
5
170 60
80 70
0
500
10
4 15
4 11
0 140
40 100
0
80 100
10 10
0
0
100
0 10
300
0 180
3 0
0 0
30 0
0 0
0 0
180 480
0
21 12
0 0
13 0
4 10
100
4
0
7 2
11 4
7 4
2 8
3 7
360 140
0
0


Nip. 1979058 2003121 1 003 Nip. 19840315 201001 1 020
1960 800 300
300
400
300
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 50 50
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT
0 7
2 0 1 6

7 8=(6-7) 9 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
19 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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 0
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 0 0
0 0 0
50 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
40 60 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 25 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0
0
20 30
0
0
0
0
0
0
0
0
0
0
0
0
20 150
0
0
0
0
0
0
0
0
30 70
0
0
0
0
0
0
0
0
0
0
0
5
0
10
50 50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 80
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
70 30
0
0
0
0
0
8 80
20 980
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1 4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5 15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40 20
0
0
0
0
0
0
0
0
0
0
30 50
10 90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18 5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANTI,SKM BERTA
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1907 Malformin 0 0
1912 Diafrom 0 0
1913 Zink Tab 0 0
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
LPLPO)
0 7
2 0 1 6

7 8=(6-7) 11 12 13 14 15 16
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 60 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 20 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Sompak, 2016
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
juni
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 180 180
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 130 130
1992 ondosetran 0 0
1993 Lemperamid 0 0
2002 Puralex 0 0
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2017 CETIRIZINE 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

KAIAN STOCK TAAN
7 8=(6-7) 16
0 0
0 0
5 0 0
6 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 120 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 920 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
9 0
70 0
0 0
180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 70 0
0 0
0 0
0 0
0 0
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 0
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 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 110 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 70 0
0 0
20 80 0
0 0
0 0
10 890 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
0 0
30 150 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 100 0
30 90 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 110 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 130 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 12 0
0 0
0 0
0 0
0 0
5 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
juni
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 200 200
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2014 ASICLOVIR 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 0 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
ERMINTAAN OBAT

7 8=(6-7) 16
0 0
0 0
4 24 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
180 0
0 0
0 0
100 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 1 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
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
0 0
0 0
0 0
0 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 0 0
0 0
0 0
0 0
0 0
0 0
96 0
0 0
0 0
0 0
0 0
0 0
0 0
83 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 0
70 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
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
200 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0 0
0 0
0 0
55 0
0 0
0 0
2 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 150 0
20 170 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 130 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2 0
0 0
0 0
0 0
90 0
0 0
200 0
0 0
0 0
0 0
0 0
1 6 0
0 0
5 0
100 0
100 0
0 0
0 0
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
0 0
22 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
yang Melapor
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
MAR
AWAL MAAN DIAAN
1 2 3 4 5 6= (4+5)
1109 Lisol Btl 0 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 580 580
1914 Zink Sy 0 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1974 Serbuk PK 0 0
1975 Abocet 18 0 0
1979 Meloxicam 0 0
1981 Omeprazole 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1990 loratadin 0 0
1991 Amlodipin 10 mg 220 220
1992 ondosetran 0 0
2002 Puralex 100 100
2005 Zirkum Sy 0 0
2006 DILTIAZEM 0 0
2007 ACARBOSE 0 0
2008 DOXYCYLINE 0 0
2010 MINIASPI 0 0
2016 BISOPROLOL 0 0
2018 GLICAB 0 0
2021 ALKOHOL 70% 100 ML 0 0
2023 DOPAMED 0 0
2024 FUROSEMIDE 5 5
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
PERMINTAAN OBAT

7 9=(6-7) 10 11
0 0 0
0 0 0
29 54 0
6 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 270 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 120 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 25 0
70 70 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 920 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 9 0
0 70 0
0 0 0
0 360 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 19 0
10 70 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
270 80 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 3 0
0 0 0
120 60 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 1 0
40 310 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 70 0
0 0 0
20 280 0
0 0 0
0 0 0
10 890 0
0 0 0
0 3 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
150 20 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
8 176 0
20 980 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 83 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 70 0
0 0 0
1 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 20 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 15 0
0 100 0
0 400 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 550 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 70 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
40 20 0
0 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
90 300 0
60 350 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 150 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 2 0
0 0 0
0 0 0
0 0 0
20 200 0
0 0 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
1 6 0
1 0 0
0 15 0
0 170 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 130 0
0 0 0
0 0 0
40 30 0
0 0 0
0 0 0
0 100 0
0 0 0
26 34 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
yang Melapor
Kepala Puskesmas
ANTI. SKM
Nip. 1979058 2003121 1 003
(LPLPO)

KECAMATAN : sompak
KABUPATEN : landak
PROVINSI : Kal-Bar
JULI
TERAPI AWAL MAAN
1 2 3 4 5 6
1109 Lisol Btl 34 0
1904 stesolid 0 0
1912 Diafrom 0 0
1913 Zink Tab 12790 0
1914 Zink Sy 100 0
1959 Axofen syr 0 0
1966 Hustab 0 0
1968 Albenazole 0 0
1970 Cefadroxil 0 0
1971 Stavit 0 0
1972 Masker 0 0
1982 envios sy 0 0
1986 Pitogin 0 0
1991 Amlodipin 10 mg 3010 2000
1992 ondosetran 0 0
2002 Puralex 1590 0
2018 GLICAB 3000 0
2021 ALKOHOL 70% 100 ML 138 0
2023 DOPAMED 1000 0
2032 METRONIDAZOLE 500mg TAB 3000 0
Yang Menyerahkan

Nip. 19590417 198610 2 001 Nip. 19830329 200904 2 003
BULAN 0 7
TAHUN 2 0 1
PERSE- PEMA- SISA SISA SISA STOCK JUM PERMIN

7(5+6) 8=(7-14) 9 10 11 12 13=(9+10+11+12) 15
0 0 0 0 0 0
346 0 200 146 0 0 346
913 96 700 105 25 83 913
941 129 900 35 0 6 941
0 41 0 0 0 0 0
620 0 400 120 100 0 620
0 200 0 0 0 0 0
150 0 120 30 0 0 150
290 0 290 0 0 0 290
333 0 310 7 16 0 333
0 14 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
40 0 0 40 0 0 40
0 20 0 0 0 0 0
9430 0 8500 210 400 320 9430
200 1960 0 0 200 0 200
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
9491 0 8800 481 60 150 9491
0 1092 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
123 0 110 13 0 0 123
0 17 0 0 0 0 0
163 0 90 38 10 25 163
6400 26 5700 400 160 140 6400
0 1006 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
485 0 300 185 0 0 485
0 9 0 0 0 0 0
0 9 0 0 0 0 0
89 9 60 29 0 0 89
3000 9 3000 0 0 0 3000
1250 0 0 1000 250 0 1250
2940 0 2000 0 0 940 2940
60 20 60 0 0 0 60
96 0 92 3 1 0 96
0 3 0 0 0 0 0
4 0 3 1 0 0 4
0 1 0 0 0 0 0
0 0 0 0 0 0 0
28 0 28 0 0 0 28
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6 0 6 0 0 0 6
196 0 130 57 0 9 196
3970 5 3900 0 0 70 3970
0 0 0 0 0 0 0
4720 0 4000 250 110 360 4720
0 180 0 0 0 0 0
0 0 0 0 0 0 0
3789 0 3500 100 89 100 3789
0 60 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1 0 0 1 0 0 1
0 1 0 0 0 0 0
160 0 120 40 0 0 160
0 23 0 0 0 0 0
155 0 100 36 0 19 155
5220 36 4900 40 200 80 5220
0 670 0 0 0 0 0
0 0 0 0 0 0 0
6000 0 6000 0 0 0 6000
53 0 48 5 0 0 53
0 5 0 0 0 0 0
2379 0 2200 159 20 0 2379
150 361 150 0 0 0 150
120 10 100 20 0 0 120
0 40 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
3800 0 3700 100 0 0 3800
0 0 0 0 0 0 0
0 0 0 0 0 0 0
600 0 0 600 0 0 600
5470 0 4800 0 320 350 5470
0 1570 0 0 0 0 0
18 0 15 2 1 0 18
0 5 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
110 0 75 25 10 0 110
0 75 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
43 0 25 4 11 3 43
0 5 0 0 0 0 0
2024 0 500 1114 230 180 2024
0 1650 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
980 0 980 0 0 0 980
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
445 0 415 15 12 3 445
11820 12 10500 580 390 350 11820
0 200 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
147 0 140 7 0 0 147
34 17 34 0 0 0 34
0 2 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1480 0 1200 200 0 80 1480
0 20 0 0 0 0 0
2680 0 1900 380 100 300 2680
0 140 0 0 0 0 0
0 0 0 0 0 0 0
7900 0 7000 0 0 900 7900
0 10 0 0 0 0 0
63 0 40 20 0 3 63
0 25 0 0 0 0 0
0 0 0 0 0 0 0
818 0 500 158 160 0 818
0 380 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 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 0 100 0 0 0 100
0 0 0 0 0 0 0
303 0 270 17 16 0 303
4585 11 4300 285 0 0 4585
10441 213 5000 171 100 170 5441
0 2691 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
4099 0 3900 15 0 184 4099
11190 129 9000 1190 0 1000 11190
12 190 9 2 1 0 12
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10000 0 10000 0 0 0 10000
4183 0 4000 0 100 83 4183
0 0 0 0 0 0 0
1000 0 1000 0 0 0 1000
2285 0 2000 300 0 100 2285
0 310 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
280 0 100 60 0 20 180
1360 151 600 490 200 70 1360
0 300 0 0 0 0 0
211 0 180 7 19 5 211
0 1 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
100 0 100 0 0 0 100
154 0 118 36 0 0 154
0 6 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
18250 0 9000 250 0 0 9250
0 710 0 0 0 0 0
0 0 0 0 0 0 0
300 0 300 0 0 0 300
0 0 0 0 0 0 0
0 0 0 0 0 0 0
4910 0 4000 650 220 40 4910
0 460 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
2850 0 2700 150 0 0 2850
36 2850 36 0 0 0 36
29 4 25 3 1 0 29
30 3 30 0 0 0 30
0 0 0 0 0 0 0
155 0 0 135 0 20 155
3460 140 2600 470 290 100 3460
3810 120 3000 250 160 400 3810
0 140 0 0 0 0 0
100 0 100 0 0 0 100
25 0 25 0 0 0 25
0 0 0 0 0 0 0
0 0 0 0 0 0 0
12790 0 11500 420 290 580 12790
100 160 100 0 0 0 100
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
329 0 200 29 0 0 229
230 29 50 130 0 0 180
32310 160 21900 70 270 70 22310
0 890 0 0 0 0 0
2000 0 1700 20 280 0 2000
251 790 214 27 8 2 251
0 26 0 0 0 0 0
140 0 0 140 0 0 140
3610 0 3300 60 190 60 3610
0 140 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
76 0 72 0 0 4 76
0 4 0 0 0 0 0
0 0 0 0 0 0 0
500 0 500 0 0 0 500
1228 0 800 330 98 0 1228
0 0 0 0 0 0 0
0 0 0 0 0 0 0
8165 0 7000 395 380 390 8165
7639 480 6100 779 350 410 7639
0 530 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6980 0 6000 690 110 180 6980
0 490 0 0 0 0 0
1000 0 1000 0 0 0 1000
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
800 0 800 0 0 0 800
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
1590 0 1500 0 90 0 1590
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
120 0 120 0 0 0 120
120 0 120 0 0 0 120
5100 0 4590 440 70 0 5100
0 320 0 0 0 0 0
53 0 25 4 24 0 53
4280 4 4200 0 80 0 4280
0 1180 0 0 0 0 0
0 0 0 0 0 0 0
158 0 130 20 5 3 158
0 16 0 0 0 0 0
5 0 0 5 0 0 5
3130 0 3000 130 0 0 3130
5010 320 2600 0 190 220 3010
0 100 0 0 0 0 0
7400 0 6400 500 300 200 7400
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
65 0 35 10 13 7 65
117 1 80 19 17 1 117
160 5 132 3 10 15 160
8010 4 7600 140 100 170 8010
1590 100 1150 140 200 100 1590
110 40 110 0 0 0 110
510 0 100 180 230 0 510
222 180 210 12 0 0 222
3000 10 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
4000 0 3900 100 0 0 4000
13 0 3 10 0 0 13
8000 0 7700 300 0 0 8000
2830 0 2500 180 0 150 2830
5 20 5 0 0 0 5
1000 3 1000 0 0 0 1000
2860 0 2700 30 60 70 2860
3000 100 3000 0 0 0 3000
1000 0 1000 0 0 0 1000
6280 0 5800 160 220 100 6280
3000 720 3000 0 0 0 3000
1790 0 1700 8 22 60 1790
2399 72 2399 0 0 0 2399
138 0 138 0 0 0 138
189 13 170 14 5 0 189
1000 4 900 100 0 0 1000
79 0 70 4 0 5 79
1000 0 1000 0 0 0 1000
12 0 0 9 3 0 12
45 7 40 0 5 0 45
95 11 90 5 0 0 95
15 7 10 5 0 0 15
33 2 30 0 3 0 33
1000 8 1000 0 0 0 1000
3000 360 3000 0 0 0 3000
91 0 91 0 0 0 91
Yang Melapor Sompak, 4 Juli 2016


Nip. 19790508 200312 1 003 Nip. 19840315 201001 1 020
6
KET
16
ed juni 16=290 TAB

6100 ed juni 16
135 ed mey 2016

5100

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