NAMA PUSKESMAS : BANGKUANG

KECAMATAN : KARAU KUALA

KABUPATEN : BARITO SELATAN
PROVINSI : KALIMANTAN TENGAH

DATA PENGELUARAN OBAT DAN ALKES HABIS PAKAI KE PUSTU, POSKESDES DAN POLINDES
PUSKESMAS BANGKUANG
01 JANUARI s/d 31 MARET 2018

PENGELUARAN
NO NAMA OBAT / ALKES BHP SATUAN KET.
POSKESDES PUSTU POSKESDES PUSTU POSKESDES POLINDES PUSTU PUSKESMAS JUMLAH
SALAT BARU T. BETUNG T. BETUNG JANGGI MALITIN MALITIN M. ARAI BANGKUANG
1 2 3 5 6 7 8 9 10 11 12 13 14
A Obat - obatan PKD
1 Albendazol 400 mg Tablet 0 0 0 0 0 0 0 0 0
2 Alopurinol tablet 100 mg Tablet 0 100 0 0 200 0 0 500 800
3 Alvogyl Set 0.00 0 0 0 0 0 0 0 0
4 Ambroxol tablet 30 mg Tablet 100 200 0 0 0 0 0 2300 2,600
5 Aminofillin inj. 24 mg / ml - 10 ml Ampul 0 0 0 0 0 0 0 1 1
6 Aminofillin tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0
7 Amlodipin tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0
8 Amlodipin tablet 10 mg Tablet 0 90 0 30 60 0 90 270 540
9 Amoksisilin kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0
10 Amoksisilin 500 mg kaplet Kaplet 0 200 100 150 200 100 200 1950 2,900
11 Amoksisilin sirup kering 125 mg/5 ml Btl/60 ml 10 10 10 10 10 10 0 60 120
12 Ampicilin tab 500 mg Kaplet 0 0 0 0 0 0 0 0 0
13 Anestesi Gel (Topical) Set 0 0 0 0 0 0 0 0 0
14 Antalgin (Metampiron) inj. 250 mg/ml - 2 ml Ampul 0 0 0 0 0 0 0 0 0
15 Antalgin-Pyramidon-Lidocain Komb.Inj. (Xylomidon) Vial 0 0 0 0 0 0 0 0 0
16 Antasida DOEN tablet 400 mg Tablet 0 300 200 200 300 100 400 2600 4,100
17 Antasida DOEN suspensi Btl/60 ml 0 0 0 0 0 0 0 0 0
18 Anti anemia ibu hamil (Hemafort) Tablet 0 0 0 0 0 0 0 0 0
19 Anti Hemoroid DOEN Kombinasi Suppositoria 0 0 0 0 0 0 0 30 30
20 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet 0 0 0 0 0 0 0 0 0
21 Aqua Pro Injeksi Steril, Bebas Pirogen Vial 0 0 0 0 5 3 0 22 30
22 Asam Askorbat (Vit C) tablet 50 mg Tablet 200 800 1100 100 500 500 800 5800 9,800 4300 = ED. April 2018
23 Asam Folat tablet 1 mg Tablet 0 0 0 0 0 100 100 300 500
24 Asam Mefenamat tablet 250 mg Tablet 0 0 0 0 0 0 0 0 0
25 Asam Mefenamat tablet 500 mg Tablet 0 100 100 50 250 0 400 1500 2,400
26 Asetosal tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0
27 Asiklovir tablet 400 mg Tablet 0 0 0 0 0 0 0 0 0
28 Asiklovir salep Tube 0 0 0 0 5 10 0 60 75
29 Attapulgit tablet 630 mg Tablet 0 0 0 0 0 100 100 100 300
30 Bahan pembersih karang dan plak gigi Set 0 0 0 0 0 0 0 0 0
31 Betahistin Mesilat tablet 6 mg Tablet 0 0 0 0 80 0 60 650 790
32 Betametason krim 0,1% Tube/5 g 0 2 0 0 3 0 0 20 25
33 Betason- N krim Tube 0 0 0 0 0 0 0 0 0
34 Bisoprolol 5 mg Tablel 0 0 0 0 0 0 0 120 120
35 Candesartan 8 mg Tablet 0 0 0 0 0 0 0 180 180
36 Captopril tablet 12,5 mg Tablet 100 0 0 0 0 0 0 300 400
37 Captopril tablet 25 mg Tablet 0 200 0 100 300 200 0 300 1,100
38 Caviton Set 0 0 0 0 0 0 0 0 0
39 Cefadroxil kapsul 500 mg Kapsul 0 100 0 0 100 200 200 1100 1,700
40 Cefotaxime injeksi 1 g/vial Vial 0 0 0 0 0 0 0 14 14
41 Cendo Fenicol tetes mata 0,5% Btl/5 ml 0 0 0 0 0 0 0 0 0
42 Cimetidin tablet 200 mg Tablet 0 200 0 100 0 0 0 0 300
43 Ciprofloxacin tablet 500 mg Tablet 0 200 0 0 100 0 0 500 800
44 Deksametason injeksi 5 mg/ml - 1 ml Ampul 0 0 0 0 20 0 10 33 63
45 Deksametason tablet 0,5 mg Tablet 100 400 400 100 100 300 500 3300 5,200
46 Diazepam injeksi 5 mg/ml - 2 ml Ampul 0 0 0 0 0 0 0 0 0
47 Diazepam tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0
48 Difenhydramin injeksi Ampul 10 15 5 0 10 0 16 15 71
49 Digoxin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0
50 Dimenhidrinat tablet 50 mg Tablet 0 0 0 0 0 0 0 100 100
51 Diltiazem tablet 30 mg Tablet 0 0 0 0 0 0 0 0 0
52 Domperidon tablet 10 mg Tablet 0 100 100 0 0 100 100 300 700
53 Domperidon Suspensi 5 mg / ml Btl/5 ml 0 0 0 0 0 5 5 0 10
54 Efedrin tab.25 mg Tablet 0 0 0 0 0 0 0 0 0
55 Epinefrina HCl/Bitartrat inj. 0,1%-1 ml Ampul 0 0 0 0 0 0 0 3 3
56 Etakridin ( Rivanol ) larutan 0,1% Btl/100 ml 0 0 0 0 0 0 0 1 1
57 Etanol 70% Botol 0 0 0 0 4 2 0 17 23
58 Etil Klorida semprot Botol 0 0 0 0 0 0 0 5 5 4 untuk lomba sepak bola
59 Eugenol Set 0 0 0 0 0 0 0 0 0
60 FDC Kategori I Paket 0 0 0 0 0 0 0 0 0
61 FDC Kategori Anak Paket 0 0 0 0 0 0 0 0 0
62 Fenobarbital inj.i.m./i.v. 50 mg/ml-1 ml Ampul 0 0 0 0 0 0 0 0 0
63 Fenobarbital tablet 30 mg Tablet 0 0 0 0 0 0 0 0 0
 64 Fenofibrat 100 mg Kapsul 0 0 0 0 0 0 0 0 0
65 Fitomenadion (Vit.K1) inj. 10 mg/ml - 1 ml / Prohem inj. Ampul 10 0 0 0 0 0 0 0 10
66 Fitomenadion (Vit.K1) tablet 10 mg Tablet 50 0 0 0 0 0 0 0 50
67 Furosemide inj. i.v/i.m. 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0
68 Furosemide tablet 40 mg Tablet 0 0 0 0 0 0 0 100 100
69 Garam Oralit untuk 200 ml air Sachet 0 0 10 20 0 0 20 50 100
70 Gemfibrozil kapsul 300 mg Kapsul 0 0 0 0 0 0 0 360 360
71 Gentamisin tetes mata 0,3% Botol/5 ml 0 0 0 0 0 0 0 24 24
72 Gentian Violet larutan 1 % Botol 0 0 0 0 0 0 0 0 0
73 Glibenklamid tablet 5 mg Tablet 0 0 0 0 0 0 0 100 100
74 Gliseril Guayakolat tablet 100 mg / Guaifenensin Tablet 100 400 400 100 100 0 200 2300 3,600
75 Glukosa larutan infus 5 % steril Btl/500 ml 0 0 0 0 0 0 0 28 28
76 Glukosa larutan infus 10 % steril Btl/500 ml 0 0 0 0 0 0 0 0 0
77 Griseofulvin tablet 125 mg, Micronized Tablet 0 100 0 0 100 0 0 0 200
78 Haloperidol tablet 1,5 mg Tablet 0 0 0 0 0 0 0 320 320
79 Hidroklorotiazid (HCT) tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0
80 Hidrokortison krim 2,5 % Tube/5 g 5 0 0 4 5 0 10 24 48
81 Hidrogen Peroksida (H2O2) 3% Btl/100 ml 0 0 0 0 0 0 0 0 0
82 Ibuprofen tablet 400 mg Tablet 100 300 100 100 200 100 200 2600 3,700
83 Iodoform (Mummifying pasta) Botol 0 0 0 0 0 0 0 0 0
84 Isoniazid tablet 300 mg Tablet 0 0 0 0 0 0 0 0 0
85 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 0 50 0 0 150 200
86 Kalsium Hidroksit Set 0 0 0 0 0 0 0 0 0
87 Kalsium Laktat (Kalk) tablet 500 mg / Calcimega Tablet 0 0 0 0 0 0 0 0 0
88 Karbogliserin Tetes Telinga 10 % Botol 0 0 0 0 0 0 0 3 3
89 Ketokonazole krim 2% Tube 0 0 0 0 0 0 0 25 25
90 Ketokonazole tablet 200 mg Tablet 0 0 0 0 0 0 0 0 0
91 Kloramfenikol kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0
92 Kloramfenikol syr Btl/60 ml 5 6 5 0 10 0 0 24 50
93 Kloramfenicol salep mata 1 % Tube 0 0 0 0 0 0 0 0 0
94 Kloramfenikol tetes telinga 3 % Btl/5 ml 0 0 0 0 0 0 0 0 0
95 Kloramfenikol tetes mata 0,5 % / Reco tetes mata Btl/5 ml 0 5 0 0 3 0 5 17 30
96 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 100 600 500 300 200 0 500 4400 6,600
97 Klorpromazin HCl tablet salut 100 mg Tablet 0 0 0 0 0 0 0 115 115
98 Klorpromazin HCl tablet salut 25 mg Tablet 0 0 0 0 0 0 0 0 0
99 Kodein tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0
100 Komb. Pirimetamin 25mg + Sulfadoxin 500mg Tablet 0 0 0 0 0 0 0 0 0
101 Kotrimoksazol suspensi Btl/60 ml 0 5 5 5 0 0 10 25 50
102 Kotrimoksazol tablet 480 mg (dewasa) Tablet 0 0 0 0 100 0 0 300 400
103 Kuinin Dihidroklorida Inj. 25%-1 ml Ampul 0 0 0 0 0 0 0 0 0
104 Lidokain inj. 2% - 2 ml Ampul 0 0 0 0 0 0 0 0 0
105 Lidokain HCl 2% + Efinefrin inj. 2 ml (Compositum) Ampul 0 2 0 0 10 3 0 45 60
106 Lisol, mengandung Kresol tersabun 50% Botol 0 0 0 0 0 0 0 0 0
107 Loperamid tablet 2 mg Tablet 0 100 0 0 0 0 100 100 300
108 Loratadine tablet 10 mg Tablet 0 0 0 0 0 0 0 300 300
109 Lorazepam 2 mg Tablet 0 0 0 0 0 0 0 166 166
110 Magnesium sulfat injeksi (iv) 20 % - 25 ml Vial 0 0 0 0 0 2 0 12 14
111 Metformin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0
112 Metilergometrin Maleat inj. 0,200 mg-1 ml/Myomergin/ Blestop Ampul 0 0 0 0 0 0 0 0 0
113 Metilergometrin Maleat tab. salut 0,125 mg Tablet 0 0 0 0 0 0 0 0 0
114 Metilprednisolon 4 mg Tablet 0 0 0 0 0 0 0 500 500
115 Metronidazol tablet 500 mg Tablet 0 0 0 0 100 0 0 100 200
116 Mikonazol krim 2 % Tube/10 g 0 0 0 3 6 2 5 32 48
117 Natrium Diklofenak tablet 25 mg Tablet 0 0 0 0 50 50 0 250 350
118 Natrium Diklofenak tablet 50 mg Tablet 0 0 0 0 0 0 0 200 200
119 Natrium Klorida larutan infus 0,9% steril Btl/500 ml 0 0 0 0 0 0 0 24 24
120 Neurodex tablet Tablet 0 0 0 0 0 0 0 0 0
121 Nistatin tablet salut 100.000 UI Tablet 0 0 0 0 0 0 0 3 3
122 Nistatin tablet salut 500.000 UI Tablet 0 0 0 0 0 0 0 200 200
123 Obat Batuk Hitam (O.B.H) cairan Btl/100 ml 0 4 5 5 0 3 5 50 72
124 Obat Batuk Hitam (O.B.H) cairan Btl/200 ml 0 0 0 0 0 0 0 0 0
125 Odex (Antiseptik & Desinfektan) Btl/500 ml 0 0 0 0 0 0 0 0 0
126 Oksitetrasiklin HCl salep 3% Tube/5 g 0 2 0 0 9 0 8 31 50
127 Oksitosin injeksi 10 iu/ml - 1 ml / Induxin / Santosin Ampul 0 0 0 0 0 0 0 0 0
128 Omeprazole kapsul 20 mg Kapsul 0 90 0 30 30 60 60 720 990
129 Ondansetron Injeksi Ampul 0 0 0 0 0 0 0 27 27
130 Papaverin tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0
131 Parasetamol sirup 120 mg/5ml Btl/60 ml 10 16 10 19 20 10 25 140 250
132 Parasetamol tablet 500 mg (Btl/1000) Tablet 0 0 0 0 0 0 0 0 0
133 Parasetamol tablet 500 mg (Ktk/100) Tablet 100 600 600 300 300 100 700 5600 8,300
134 Pirantel Pamoat tablet 125 mg Tablet 0 0 0 0 0 0 0 0 0
135 Piridoksin HCl (Vit.B6) tablet 10 mg / Liconam Tablet 0 500 0 0 0 0 0 1200 1,700
136 Piroksikam tablet 10 mg Tablet 0 100 0 200 150 100 100 1550 2,200
137 Povidon Iodida 10 % Btl/300 ml 0 1 1 1 0 0 0 2 5 1 = ED. 01 2018
138 Povidon Iodida 10% Btl/1000 ml 0 0 0 0 0 0 0 0 0
139 Prednison tablet 5 mg Tablet 0 200 300 100 300 0 0 700 1,600
140 Primakuin tablet 15 mg Tablet 0 0 0 0 0 0 0 0 0
141 Propiltiourasil tablet 100 mg (PTU) Tablet 0 0 0 0 0 0 0 20 20
142 Propranolol HCl tablet 40 mg Tablet 0 0 0 0 0 0 0 300 300
143 Ranitidin injeksi 25 mg/2 ml Ampul 0 0 0 0 0 0 0 20 20
144 Ranitidin tablet 150 mg Tablet 0 0 0 0 150 0 0 1150 1,300
145 Ringer Laktat larutan infus steril Btl/500 ml 0 0 0 0 2 0 0 107 109
146 Salbutamol tablet 2 mg Tablet 0 200 0 100 100 0 0 600 1,000
147 Salep 2-4 , Kombinasi Pot 0 0 0 0 0 0 0 0 0
148 Salicyl Bedak Serbuk 2% Ktk/bungkus 0 11 5 0 0 0 0 0 16
149 Sianokobalamin (Vit.B12) injeksi Ampul 10 0 0 4 0 0 10 4 28
150 Sianokobalamin (Vit.B12) tablet Tab/kotak 100 0 0 0 0 0 0 500 600
151 Silver Amalgam Set 0 0 0 0 0 0 0 0 0
152 Simvatatin Tablet 10 mg Tablet 0 0 0 60 0 0 0 540 600
153 Semen Seng (Zink) Kotak 0 0 0 0 0 0 0 0 0
154 Spongostan Set 0 0 0 0 0 0 0 0 0
155 Stesolid 5 mg / ml 0 0 0 0 0 0 0 2 2

156 Tablet Tambah Darah (Komb. Tabl. Sal.Besi (II) sulfat 200 mg + Tablet 0 0 100 100 0 0 0 500 700
Asam Folat 0,25 mg)
157 Temporary Stopping (Fletcher) serb+cair Set 0 0 0 0 0 0 0 0 0
158 Thiamfenikol kapsul 500 mg Kapsul 0 0 0 0 0 0 0 0 0
159 Thiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml Ampul 0 0 0 0 0 0 0 0 0
160 Thiamin HCl (Vit.B1) tablet 50 mg Tablet 0 0 0 0 0 0 1,000 500 1,500
161 Tramadol kapsul 50 mg Kapsul 0 0 0 0 0 0 0 0 0
162 Tricresilformalin (TKF) Set 0 0 0 0 0 0 0 0 0
163 Trihexyphenidil tablet 2 mg Tablet 0 0 0 0 0 0 0 90 90
164 Vitamin B. Komplek tablet Tablet 100 200 100 100 0 0 100 1800 2,400
165 Vitamin-mineral kombinasi untuk lansia (Greavita) Tablet 0 0 0 0 0 0 0 0 0
166 Vitamin-mineral tablet (Livron B-Plex) Tablet 0 0 0 0 0 0 100 1200 1,300
167 Vitamin syrup untuk anak (Livitan) Botol 5 0 0 0 0 5 4 118 132
168 Zinc tablet 20 mg Tablet 0 200 100 100 100 0 200 0 700
JUMLAH A (Rp.)
B Alat Kesehatan Habis Pakai PKD
1 Alat suntik sekali pakai 1 ml Set 0 0 0 0 0 0 0 46 46
2 Alat suntik sekali pakai 3 ml Set 10 10 20 4 45 45 35 131 300
3 Alat suntik sekali pakai 5 ml Set 0 10 0 6 30 10 30 90 176
4 Alkohol Swab Pcs 0 0 0 0 0 0 0 71 71
5 Antiseptic Gel 500 cc + Dispenser 0 0 0 0 0 0 0 2 2
6 Aximed Examination Gloves S Pcs 0 0 0 0 0 0 0 100 100
7 Aximed Examination Gloves M Pcs 0 0 0 0 0 0 0 0 0
8 Aximed Examination Gloves L Pcs 0 0 0 0 0 0 0 100 100
9 Catgut / Benang Bedah No. 2/0 - 3/0 Set 0 2 0 0 9 4 0 18 33
10 Folley Catheter 2 Way FR - 12 (Urocare) Set 0 0 0 0 0 0 0 1 1
11 Folley Catheter 2 Way FR - 16 (Urocare) Set 0 0 0 0 0 0 0 4 4
12 Folley Catheter 2 Way FR - 18 (Urocare) Set 0 0 0 0 0 0 0 3 3
13 Handscoon No. 7,5 Pasang 0 2 0 4 0 10 0 57 73
14 Infusion set anak Set 0 0 0 0 0 0 0 18 18
15 Infusion set dewasa Set 0 0 0 0 2 2 0 36 40
16 Intravenous Catheter No. 18 Set 0 0 0 0 0 0 0 1 1
17 Intravenous Catheter No. 20 Set 0 0 0 0 0 0 0 10 10
18 Intravenous Catheter No. 22 Set 0 0 0 0 0 0 0 24 24
19 Intravenous Catheter No. 24 Set 0 0 0 0 0 0 0 7 7
20 Intravenous Catheter No. 26 Set 0 0 0 0 0 0 0 24 24
21 Kapas Berlemak 500 gram Roll 0 0 0 0 0 0 0 0 0
22 Kapas Pembalut/Absorben 250 gram Roll 0 0 0 0 0 0 0 0 0
23 Kapas Pembalut/Absorben 500 gram Roll 0 0 0 0 0 0 0 1 1
24 Kasa Kompres 16/16 steril Ktk 0 0 0 0 0 0 0 1 1
25 Kasa Kompres 40/40 steril Roll 0 0 0 0 0 0 0 0 0
26 Kasa Pembalut Hidrofil 2 m x 80 cm Roll 0 0 0 0 1 2 0 13 16
27 Kasa Pembalut Hidrofil 4 m x 3 cm Roll 0 0 0 0 0 0 0 0 0
28 Kasa Pembalut Hidrofil 4 m x 15 cm Roll 0 0 0 0 0 0 0 0 0
29 Kasa Pembalut Hidrofil 4 m x 5 cm Roll 0 0 0 0 0 0 0 0 0
30 Kasa Steril 40 x 80 Roll 0 0 0 0 0 0 0 0 0
31 Lancet Set 0 0 0 0 0 0 0 100 100
32 Masker 3 Ply Lembar 0 0 0 0 30 0 20 150 200
33 Pembalut Gips Roll 0 0 0 0 0 0 0 0 0
34 Plester 5 yards x 2 inch Roll 0 0 0 0 0 0 0 0 0
35 Plester 2,5 cm x 4,5 m Roll 0 0 0 0 1 0 0 11 12
36 Pregnancy Test Strip 5 0 0 0 0 0 10 40 55
37 Polifix 5 cm x 5 m 0 0 0 0 0 0 0 3 3
38 Silk (Benang Bedah Sutra No. 3/0) Set 2 0 0 0 5 2 0 6 15
39 Spiritus 0 0 0 0 0 0 0 0 0
40 Sterile Surgical Blades No. 11 Pcs 0 0 0 0 0 0 0 0 0
41 Sterile Surgical Blades No. 15 Pcs 0 0 0 0 0 0 0 0 0
42 Sterile Surgical Blades No. 20 Pcs 0 0 0 0 0 0 0 0 0
43 Sofratulle Pcs 0 0 0 0 0 0 0 0 0
44 Tangkai Penjepit Surgical Blades Pcs 0 0 0 0 0 0 0 0 0
45 Urine Bag (Onemed) Set 0 0 0 0 0 0 0 8 8
46 Strip Colesterol Botol 0 0 0 0 0 0 0 6 6
47 Strip Gula Darah Botol 0 0 0 0 0 0 0 5 5 Merk Easy Touch
48 Strip Asam Urat Botol 0 0 0 0 0 0 0 5 5
49 Strip Colesterol Botol 0 0 0 0 0 0 0 0 0 Merk Family
50 Strip HBS Ag Kotak 0 0 0 0 0 0 0 1 1 Merk Verify
51 Strip Urinalys Botol 0 0 0 0 0 0 0 1 1 Merk Answer
JUMLAH B (Rp.) 24 123 1,076

Mengetahui : Bangkuang, 11 April 2018

a/n Ka Sub Bag TU UPTD PUSKESMAS BANGKUANG
KABUPATEN BARITO SELATAN, Petugas Pengelola Obat dan Alat/Bahan Medis Habis Pakai,

EDEHARD SANGKUM Asri Purnamasari,A.Md,Farm

NIP. 19651024 198703 1 017 NIP. 19821109 200802 2 001
 DATA PERSEDIAAN OBAT DAN BMHP DI PUSKESMAS BANGKUANG
PER 31 MARET 2018

NO NAMA OBAT / ALKES BHP STOK AWAL PENERIMAAN PENGELUARAN

JANUARI 2018 JAN s/d MAR JAN s/d MAR
A OBAT-OBATAN PKD
1 Albendazol 400 mg 270 0 0
2 Alopurinol tablet 100 mg 1200 0 800
3 Alvogyl 0 0 0
4 Ambroxol tablet 30 mg 2000 2000 2600
5 Aminofillin inj. 24 mg / ml - 10 ml 29 0 1
6 Aminofillin tablet 200 mg 0 300 200
7 Amlodipin tablet 5 mg 0 0 0
8 Amlodipin tablet 10 mg 0 900 540
9 Amoksisilin kapsul 250 mg 0 0 0
10 Amoksisilin 500 mg kaplet 2300 3000 2900
11 Amoksisilin sirup kering 125 mg/5 ml 0 240 120
12 Ampicilin tab 500 mg 0 0 0
13 Anestesi Gel (Topical) 0 0 0
14 Antalgin (Metampiron) inj. 250 mg/ml - 2 ml 0 0 0
15 Antalgin-Pyramidon-Lidocain Komb.Inj. (Xylomidon) 0 0 0
16 Antasida DOEN tablet 400 mg 1200 4500 4100
17 Antasida DOEN suspensi 50 0 0
18 Anti anemia ibu hamil (Hemafort) 0 0 0
19 Anti Hemoroid DOEN Kombinasi 20 20 30
20 Antimigren : Ergotamin Tartrat 1 mg + Kofein 50 mg 0 0 0
21 Aqua Pro Injeksi Steril, Bebas Pirogen 27 24 30
22 Asam Askorbat (Vit C) tablet 50 mg 1800 8000 9800
23 Asam Folat tablet 1 mg 0 700 500
24 Asam Mefenamat tablet 250 mg 0 0 0
25 Asam Mefenamat tablet 500 mg 1100 2800 2500
26 Asetosal tablet 100 mg 1000 0 0
27 Asiklovir tablet 400 mg 300 1000 0
28 Asiklovir salep 50 75 75
29 Attapulgit tablet 630 mg 0 500 300
30 Bahan pembersih karang dan plak gigi 0 0 0
31 Betahistin Mesilat tablet 6 mg 400 600 790
32 Betametason krim 0,1% 0 50 25
33 Betason- N krim 0 0 0
34 Bisoprolol 5 mg 390 300 120
35 Candesartan 8 mg 390 270 180
36 Captopril tablet 12,5 mg 800 500 400
37 Captopril tablet 25 mg 800 3500 1100
38 Caviton 0 0 0
39 Cefadroxil kapsul 500 mg 1300 1500 1700
40 Cefotaxime injeksi 1 g/vial 12 20 14
41 Cendo Fenicol tetes mata 0,5% 0 0 0
42 Cimetidin tablet 200 mg 700 500 300
43 Ciprofloxacin tablet 500 mg 1200 700 800
44 Deksametason injeksi 5 mg/ml - 1 ml 63 100 63
45 Deksametason tablet 0,5 mg 1500 5500 5200
46 Diazepam injeksi 5 mg/ml - 2 ml 0 0 0
47 Diazepam tablet 2 mg 0 0 0
 48 Difenhydramin injeksi 71 30 71
49 Digoxin tablet 0,25 mg 300 0 0
50 Dimenhidrinat tablet 50 mg 400 0 100
51 Diltiazem tablet 30 mg 0 0 0
52 Domperidon tablet 10 mg 0 1800 700
53 Domperidon Suspensi 5 mg / ml 20 0 10
54 Efedrin tab.25 mg 0 0 0
55 Epinefrina HCl/Bitartrat inj. 0,1%-1 ml 96 0 3
56 Etakridin ( Rivanol ) larutan 0,1% 5 3 1
57 Etanol 70% 2 40 23
58 Etil Klorida semprot 6 0 5
59 Eugenol 0 0 0
60 FDC Kategori I 0 0 0
61 FDC Kategori Anak 0 0 0
62 Fenobarbital inj.i.m./i.v. 50 mg/ml-1 ml 0 0 0
63 Fenobarbital tablet 30 mg 690 0 0
64 Fenofibrat 100 mg 600 0 0
65 Fitomenadion (Vit.K1) inj. 10 mg/ml - 1 ml / Prohem inj. 30 30 10
66 Fitomenadion (Vit.K1) tablet 10 mg 100 500 50
67 Furosemide inj. i.v/i.m. 10 mg/ml 34 0 0
68 Furosemide tablet 40 mg 400 400 100
69 Garam Oralit untuk 200 ml air 200 0 100
70 Gemfibrozil kapsul 300 mg 360 480 360
71 Gentamisin tetes mata 0,3% 24 48 24
72 Gentian Violet larutan 1 % 0 0 0
NO NAMA OBAT / ALKES BHP STOK AWAL PENERIMAAN PENGELUARAN
JANUARI 2018 JAN s/d MAR JAN s/d MAR
73 Glibenklamid tablet 5 mg 400 500 100
74 Gliseril Guayakolat tablet 100 mg / Guaifenensin 3000 3000 3600
75 Glukosa larutan infus 5 % steril 15 20 28
76 Glukosa larutan infus 10 % steril 0 0 0
77 Griseofulvin tablet 125 mg, Micronized 600 1000 200
78 Haloperidol tablet 1,5 mg 500 300 320
79 Hidroklorotiazid (HCT) tablet 25 mg 800 0 0
80 Hidrokortison krim 2,5 % 24 48 48
81 Hidrogen Peroksida (H2O2) 3% 0 0 0
82 Ibuprofen tablet 400 mg 1500 4000 3700
83 Iodoform (Mummifying pasta) 0 0 0
84 Isoniazid tablet 300 mg 0 0 0
85 Isosorbid Dinitrat tablet sublingual 5 mg 200 600 200
86 Kalsium Hidroksit 0 0 0
87 Kalsium Laktat (Kalk) tablet 500 mg / Calcimega 0 1000 0
88 Karbogliserin Tetes Telinga 10 % 0 24 3
89 Ketokonazole krim 2% 50 0 25
90 Ketokonazole tablet 200 mg 0 500 0
91 Kloramfenikol kapsul 250 mg 0 0 0
92 Kloramfenikol syr 50 50 50
93 Kloramfenicol salep mata 1 % 0 24 0
94 Kloramfenikol tetes telinga 3 % 0 0 0
95 Kloramfenikol tetes mata 0,5 % / Reco tetes mata 0 100 30
96 Klorfeniramin Maleat (CTM) tablet 4 mg 2700 6000 6600
97 Klorpromazin HCl tablet salut 100 mg 140 0 115
98 Klorpromazin HCl tablet salut 25 mg 0 0 0
 99 Kodein tablet 10 mg 0 0 0
100 Komb. Pirimetamin 25mg + Sulfadoxin 500mg 0 0 0
101 Kotrimoksazol suspensi 0 100 50
102 Kotrimoksazol tablet 480 mg (dewasa) 500 800 400
103 Kuinin Dihidroklorida Inj. 25%-1 ml 0 0 0
104 Lidokain inj. 2% - 2 ml 0 0 0
105 Lidokain HCl 2% + Efinefrin inj. 2 ml (Compositum) 30 60 60
106 Lisol, mengandung Kresol tersabun 50% 2 0 0
107 Loperamid tablet 2 mg 600 500 300
108 Loratadine tablet 10 mg 500 0 300
109 Lorazepam 2 mg 0 500 166
110 Magnesium sulfat injeksi (iv) 20 % - 25 ml 24 0 14
111 Metformin tablet 500 mg 0 600 0
112 Metilergometrin Maleat inj. 0,200 mg-1 ml/Myomergin/ Blestop 5 100 0
113 Metilergometrin Maleat tab. salut 0,125 mg 0 0 0
114 Metilprednisolon 4 mg 0 1500 500
115 Metronidazol tablet 500 mg 600 0 200
116 Mikonazol krim 2 % 0 72 48
117 Natrium Diklofenak tablet 25 mg 350 0 350
118 Natrium Diklofenak tablet 50 mg 0 500 200
119 Natrium Klorida larutan infus 0,9% steril 2 40 24
120 Neurodex tablet 0 0 0
121 Nistatin tablet salut 100.000 UI 100 0 3
122 Nistatin tablet salut 500.000 UI 400 200 200
123 Obat Batuk Hitam (O.B.H) cairan 72 0 72
124 Obat Batuk Hitam (O.B.H) cairan 0 0 0
125 Odex (Antiseptik & Desinfektan) 0 0 0
126 Oksitetrasiklin HCl salep 3% 25 25 50
127 Oksitosin injeksi 10 iu/ml - 1 ml / Induxin / Santosin 10 0 0
128 Omeprazole kapsul 20 mg 0 1770 990
129 Ondansetron Injeksi 27 0 27
130 Papaverin tablet 40 mg 0 0 0
131 Parasetamol sirup 120 mg/5ml 0 300 250
132 Parasetamol tablet 500 mg (Btl/1000) 0 0 0
133 Parasetamol tablet 500 mg (Ktk/100) 1200 9300 8300
134 Pirantel Pamoat tablet 125 mg 0 0 0
135 Piridoksin HCl (Vit.B6) tablet 10 mg / Liconam 1800 0 1700
136 Piroksikam tablet 10 mg 800 2000 2200
137 Povidon Iodida 10 % 300 ml 1 5 5
138 Povidon Iodida 10% 1000 ml 0 1 0
139 Prednison tablet 5 mg 600 2500 1600
140 Primakuin tablet 15 mg 0 0 0
141 Propiltiourasil tablet 100 mg (PTU) 200 0 20
142 Propranolol HCl tablet 40 mg 800 500 300
143 Ranitidin injeksi 25 mg/2 ml 0 20 20
144 Ranitidin tablet 150 mg 400 2000 1300
145 Ringer Laktat larutan infus steril 4 120 109
146 Salbutamol tablet 2 mg 1400 600 1000
147 Salep 2-4 , Kombinasi 24 0 0
148 Salicyl Bedak Serbuk 2% 20 20 16
NO NAMA OBAT / ALKES BHP STOK AWAL PENERIMAAN PENGELUARAN
JANUARI 2018 JAN s/d MAR JAN s/d MAR
149 Sianokobalamin (Vit.B12) injeksi 113 0 28
150 Sianokobalamin (Vit.B12) tablet 600 0 600
151 Silver Amalgam 0 0 0
152 Simvatatin Tablet 10 mg 0 600 600
153 Semen Seng (Zink) 0 0 0
154 Spongostan 0 0 0
155 Stesolid 5 mg / ml 0 10 2
156 Tablet Tambah Darah (Komb. Tabl. Sal.Besi (II) sulfat 200 mg + Asam Folat 0,25 700 0 700
mg)
157 Temporary Stopping (Fletcher) serb+cair 0 0 0
158 Thiamfenikol kapsul 500 mg 0 0 0
159 Thiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml 0 0 0
160 Thiamin HCl (Vit.B1) tablet 50 mg 2000 0 1500
161 Tramadol kapsul 50 mg 0 0 0
162 Tricresilformalin (TKF) 0 0 0
163 Trihexyphenidil tablet 2 mg 90 0 90
164 Vitamin B. Komplek tablet 2400 0 2400
165 Vitamin-mineral kombinasi untuk lansia (Greavita) 0 0 0
166 Vitamin-mineral tablet (Livron B-Plex) 500 800 1300
167 Vitamin syrup untuk anak (Livitan) 72 120 132
168 Zinc tablet 20 mg 700 4800 700

B ALAT KESEHATAN HABIS PAKAI PKD

1 Alat suntik sekali pakai 1 ml 46 100 46
2 Alat suntik sekali pakai 3 ml 95 300 300
3 Alat suntik sekali pakai 5 ml 140 100 176
4 Alkohol Swab 171 0 71
5 Antiseptic Gel 500 cc + Dispenser 2 5 2
6 Aximed Examination Gloves S 0 200 100
7 Aximed Examination Gloves M 0 100 0
8 Aximed Examination Gloves L 0 100 100
9 Catgut / Benang Bedah No. 2/0 - 3/0 11 48 33
10 Folley Catheter 2 Way FR - 12 (Urocare) 11 0 1
11 Folley Catheter 2 Way FR - 16 (Urocare) 10 0 4
12 Folley Catheter 2 Way FR - 18 (Urocare) 14 0 3
13 Handscoon No. 7,5 45 39 73
14 Infusion set anak 2 30 18
15 Infusion set dewasa 3 46 40
16 Intravenous Catheter No. 18 9 0 1
17 Intravenous Catheter No. 20 14 0 10
18 Intravenous Catheter No. 22 0 30 24
19 Intravenous Catheter No. 24 5 5 7
20 Intravenous Catheter No. 26 9 20 24
21 Kapas Berlemak 500 gram 0 0 0
22 Kapas Pembalut/Absorben 250 gram 0 5 0
23 Kapas Pembalut/Absorben 500 gram 2 0 1
24 Kasa Kompres 16/16 steril 0 10 1
25 Kasa Kompres 40/40 steril 23 0 0
26 Kasa Pembalut Hidrofil 2 m x 80 cm 20 20 16
27 Kasa Pembalut Hidrofil 4 m x 3 cm 0 100 0
28 Kasa Pembalut Hidrofil 4 m x 15 cm 0 100 0
29 Kasa Pembalut Hidrofil 4 m x 5 cm 0 0 0
30 Kasa Steril 40 x 80 0 0 0
31 Lancet 0 100 100
32 Masker 3 Ply 100 100 200
33 Pembalut Gips 5 0 0
34 Plester 5 yards x 2 inch 0 0 0
35 Plester 2,5 cm x 4,5 m 3 11 12
36 Pregnancy Test 0 100 55
37 Polifix 5 cm x 5 m 3 5 3
38 Silk (Benang Bedah Sutra No. 3/0) 25 36 15
39 Spiritus 1 0 0
40 Sterile Surgical Blades No. 11 9 0 0
41 Sterile Surgical Blades No. 15 0 0 0
42 Sterile Surgical Blades No. 20 9 0 0
43 Sofratulle 0 0 0
44 Tangkai Penjepit Surgical Blades 7 0 0
45 Urine Bag (Onemed) 14 0 8
46 Strip Colesterol 0 14 6
47 Strip Gula Darah 0 9 5
48 Strip Asam Urat 0 8 5
49 Strip Colesterol 0 5 0
50 Strip HBS Ag 0 3 1
51 Strip Urinalys 0 4 1

Mengetahui :
a/n Ka Sub Bag TU UPTD PUSKESMAS BANGKUANG Bangkuang, 11 A
KABUPATEN BARITO SELATAN, Petugas Pengelola Obat dan A

EDEHARD SANGKUM Asri Purnama

NIP. 19651024 198703 1 017 NIP. 19821109
SALDO KETERANGAN

270
400
0
1400
28
100
0
360
0
2400
120
0
0
0
0
1600
50
0
10
0
21
0 4800 = ED. 04 2018
200
0
1400
1000
1300
50
200
0
210
25
0
570
480
900
3200
0
1100
18
0
900
1100
100
1800
0
0
 30
300
300
0
1100
10
0
93
7
19
1 4 = untuk lomba sepak bola
0
0
0
0
690
600
50
550
34
700
100
480
48
0
SALDO KETERANGAN

800
2400
7
0
1400
480
800
24
0
1800
0
0
600
0
1000
21
25
500
0
50
24
0
70
2100
25
0
 0
0
50
900
0
0
30
2
800
200
334
10
600
105
0
1000
400
24
0
300
18
0
97
400
0
0
0
0
10
780
0
0
50
0
2200
0
100
600
1
1
1500
0
180
1000
0
1100
15
1000
24
24
SALDO KETERANGAN

85
 0
0
0
0
0
8

0
0
0
0
500
0
0
0
0
0
0
60
4800

100
95
64
100
5
100
100
0
26
10
6
11
11
14
9
8
4
6
3
5
0
5
1
9
23
24
100
100
 0
0
0
0
5
0
2
45
5
46
1
9
0
9
0
7
6
8
4 Merk Easy Touch
3
5 Merk Family
2 Merk Verify
3 Merk Answer

Bangkuang, 11 April 2018

lola Obat dan Alat/Bahan Medis Habis Pakai,

Asri Purnamasari,A.Md,Farm
NIP. 19821109 200802 2 001