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PEMERINTAH KABUPATEN PANDEGLANG

RUMAH SAKIT UMUM BERKAH


KABUPATEN PANDEGLANG
Jl. Raya Labuan Km. 05 Cikoneng Pandeglang Telp. ( 0253 ) 201963 Pandeglang

LAPORAN PENERIMAAN DAN PEMAKAIAN ALAT KESEHATAN HABIS PAKAI


DEPO RAWAT JALAN

Bulan : JULI Tahun : 2019

SATUAN/ STOK JUMLAH JUMLAH


NO NAMA OBAT KODE PEMAKAIAN SISA KET
KEMASAN AWAL PENERIMAAN STOCK

1 2 3 4 5 6 7 8 9 10
1 Abbocath 18 pcs 5 0 5 0 5
2 Abbocath 20 pcs 1 0 1 0 1
3 Abbocath 22 pcs 94 0 94 38 56
4 Abbocath 24 pcs 18 50 68 7 61
5 Abbocath 26 pcs 46 0 46 5 41
6 Abocath 14 pcs 4 0 4 0 4
7 BD microfine pcs 400 1200 1600 817 783
8 Blood set pcs 11 10 21 21 0
9 Catheter thip pcs 12 0 12 0 12
10 Colostomy bag pcs 0 0 0 0 0
11 Cuticell Clasic (10x10 cm) pcs 15 0 15 0 15
12 Cutimed sorbact (2x50 cm) pcs 0 0 0 0 0
13 Cutimed sorbact (7x9 cm) pcs 32 0 32 0 32
14 Elastis verban 3 inch (uniflex) pcs 6 0 6 0 6
15 Elastis verban 4 inch (uniflex) pcs 3 0 3 0 3
16 Elastis verban 6 inch (uniflex) pcs 2 0 2 0 2
17 Fixomul 10 cm pcs 0 0 0 0 0
18 Fixomul 5 cm pcs 11 0 11 1 10
19 Foley catheter 14 pcs 0 0 0 0 0
20 Foley catheter 16 pcs 36 0 36 5 31
21 Folley catheter 10 pcs 0 0 0 0 0
22 Folley catheter 18 pcs 0 0 0 0 0
23 Folley catheter 24 pcs 2 0 2 0 2
24 Gypsona 3 Inch pcs 1 0 1 0 1
25 Gypsona 4 inch pcs 1 0 1 0 1
26 Gypsona 6 Inch pcs 0 0 0 0 0
27 Kassa steril pcs 25 0 25 23 2
28 Leukomed T plus pcs 0 0 0 0 0
29 Leukoplast 1,25 cm x 4,5 m pcs 0 0 0 0 0
30 Leukoplast 2,5 cm x 4,5 m pcs 0 0 0 0 0
31 Medicdent 7 pcs 68 100 168 82 86
32 Medicdent 7,5 pcs 0 0 0 0 0
33 Needle 23 pcs 55 200 255 59 196
34 Needle 25 pcs 0 0 0 0 0
35 Needle 27 pcs 0 0 0 0 0
36 NGT 14 (stomach tube) pcs 40 0 40 0 40
37 NGT 16 pcs 45 0 45 1 44
38 NGT 3,5 pcs 44 0 44 0 44
39 NGT 5 pcs 48 0 48 1 47
40 NGT 8 pcs 0 105 105 12 93
Scalp Vein Infusion set (Wing
41 Needle) pcs 0 0 0 0
0
42 Softband 3 inch pcs 16 0 16 0 16
43 Softband 4 inch pcs 0 0 0 0 0
44 Softband 6 inch pcs 39 0 39 0 39
45 Spinocain 25 pcs 0 0 0 0 0
46 Spuite 1 cc pcs 439 0 439 77 362
47 Spuite 10 cc pcs 27 0 27 27 0
48 Spuite 10 cc (nipro) pcs 0 0 0 0 0
49 Spuite 20 cc pcs 53 0 53 39 14
50 Spuite 3 cc pcs 0 0 0 0 0
51 Spuite 3 cc (nipro) pcs 495 0 495 150 345
52 Spuite 5 cc pcs 231 0 231 183 48
53 Spuite 50 cc pcs 42 0 42 9 33
54 Suction catheter 8 pcs 49 0 49 0 49
55 Three way stopcock pcs 102 0 102 4 98
56 Urine bag pcs 16 40 56 23 33
57 Xylocain gelly pcs 1 0 1 0 1
Cath Gelly pcs 0 25 25 12 13

Pandeglang, 31 Juli 2019


Pelaksana Opname Fisik

Deden Arditia Nurjaman S.Si,Apt


Nip. 19861213 2011011 005
Mengetahui,
Kasie Penunjang Medis Kepala Instalasi Farmasi

Achmad Hidayat, SKM, Msi Dra.Hj.Syuhefni, Sy, Apt


Nip. 197203271994031008 Nip.19630226 199101 2 001
PEMERINTAH KABUPATEN PANDEGLANG
RUMAH SAKIT UMUM BERKAH
KABUPATEN PANDEGLANG
Jl. Raya Labuan Km. 05 Cikoneng Pandeglang Telp. ( 0253 ) 201963 Pandeglang

LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT


DEPO RAWAT JALAN

BULAN : JULI
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

1 Acarbose tab 0 0 0 0
2 Acetylcisteine tab 470 1660 2130 2130
3 Acyclovir 200 tab 820 3000 3820 1059
4 Acyclovir 400 tab 0 0 0 0
5 Acyclovir zalf tube 58 0 58 9
6 Adalat oros tab 1158 1890 3048 2244
7 Albuforce caps 0 0 0 0
8 Alista 50 mg tab 0 0 0
9 Allopurinol 100 tab 0 0 0 0
10 Allopurinol 300 tab 1016 0 1016 34
11 Alpentine 100 mg tab 3157 0 3157 0
12 Alprazolam 0,25 mg tab 0 0 0 0
13 Alprazolam 0,5 mg tab 592 0 592 252
14 Alprazolam 1 mg tab 942 1000 1942 1942
15 Ambroxol 30 mg tab tab 2621 4600 7221 3892
16 Ambroxol syr btl 37 50 87 62
17 Aminophilin 200 mg tab 0 0 0 0
18 Amitripiline tab tab 719 0 719 187
19 Amlodipin 10 mg tab 740 3910 4650 1814
20 Amlodipin 5 mg tab 5610 0 5610 2182
21 Amoxan drop btl 0 0 0 0
22 Amoxicilin 500 mg tab 33 2000 2033 540
23 Amoxicilin syr btl 0 0 0 0
24 Analsix tab 334 2800 3134 2124
25 Analtram tab 0 0 0 0
26 Anemolat tab 0 0 0
27 Antalgin tab 0 0 0 0
28 Antasida Doen Syr btl 0 0 0 0
29 Antasida Doen Tab tab 258 8000 8258 7886
30 Antihemoroid supp supp 130 0 130 0
31 Apolar N tube 0 0 0 0
32 Apyalis drop btl 0 0 0
33 Apyalis syr btl 23 60 83 43
34 Aquadest amp 38 240 278 59
35 Aricept Tab 94 560 654 242
36 Asam mefenamat 500 mg tab 1780 7000 8780 5010
37 Asam Tranexamat 500 mg tab 2055 0 2055 1220
38 Ascardia tab 0 0 0 0
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

39 Aspar K tab 0 0 0 0
40 Aspilet tab 0 0 0 0
41 Atorvastatin 10 mg tab 707 0 707 0
42 Atropine amp 0 0 0 0
43 Avamys btl 6 48 54 22
44 Axopen syr btl 0 0 0 0
45 Azytromicin syr btl 0 0 0 0
46 Azytromicin tab tab 363 0 363 71
47 Banadoz 100 mg tab 0 0 0 0
48 Basaglar pen 53 50 103 73
49 Becom C tab 0 0 0 0
50 Becom Zet tab 0 0 0 0
51 Benozym tab 0 0 0 0
52 Berotec btl 0 0 0 0
53 Berzymplex tab 0 0 0 0
54 Betahistin tab 3562 3000 6562 3289
55 Betametason Zalf tube 0 0 0 0
56 Beta-one tab 1250 6000 7250 6015
57 Betason N cream tube 54 48 102 63
58 Bisoprolol 5 mg tab 2637 0 2637 729
59 Braxidin tab 0 0 0 -952
60 Burnazim cream tube 0 0 0
61 Ca gluconat inj amp 0 0 0 0
62 Cal-95 tab 71 1800 1871 1119
63 Calsium Laktat (kalk) tab 584 3000 3584 1515
64 Candesartan 16 mg tab 336 3600 3936 1269
65 Candesartan 8 mg tab 3352 3600 6952 5684
66 Candistatin drop btl 0 0 0 0
67 Captopril 12,5 mg tab 173 6200 6373 2836
68 Captopril 25 mg tab 1057 3000 4057 1620
69 Captopril 50 tab 0 0 0 0
70 Carbamazepin tab 3209 0 3209 1095
71 Cd Carpine 2 % btl 0 0 0 0
72 Cd Catarlent 15 ml btl 25 100 125 68
73 Cd Catarlent 5ml btl 0 0 0 0
74 Cd Cenfresh tube 14 0 14 1
75 Cd Cetamide 15 % ED btl 0 0 0 0
76 Cd Fenicol 0,25 % ED btl 17 0 17 5
77 Cd fenicol 0,5 % ED btl 0 0 0 0
78 Cd fenicol EO 1 % tube 0 0 0 0
79 Cd Floxa minidose amp 120 200 320 100
80 Cd Gentamicin 0,3 % ED btl 0 0 0 0
81 Cd Gentamicin EO btl 0 0 0 0
82 Cd Homarto 2 % btl 0 0 0 0
83 Cd Hyalub minidose amp 115 200 315 40
84 Cd LFX Fls 10 ml fls 0 0 0 0
85 Cd LFX minidose amp 125 0 125 65
86 Cd Lyters btl 95 100 195 165
87 Cd Mycos ED btl 28 0 28 12
88 Cd Mycos EO tube 6 50 56 19
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

89 Cd Noncort btl 111 0 111 32


90 Cd Opthalgon ED btl 0 0 0 0
91 Cd Pantocain ED btl 0 0 0 0
92 Cd Polydex btl 13 50 63 37
93 Cd Polygran ED btl 36 0 36 1
94 Cd P-Pred btl 0 0 0 0
95 Cd P-Pred minidose amp 25 200 225 35
96 Cd Protagenta minidose amp 285 0 285 70
97 Cd Tobroson minidose amp 180 800 980 705
98 Cd Vasacon minidose amp 260 0 260 75
99 Cd Xitrol ED btl 44 55 99 64
100 Cd Xitrol EO tube 0 0 0 0
101 Cd.Posop minidose amp 55 200 255 80
102 Cefadroxil 250 mg tab 744 0 744 104
103 Cefadroxil 500 mg tab 1113 9000 10113 5503
104 Cefadroxil syr btl 42 0 42 21
105 Cefixim 100 mg tab 2088 7300 9388 8254
106 Cefixim 200 mg tab 0 0 0 0
107 Cefixim syr btl 38 120 158 89
108 Cetirizin caps tab 1696 3600 5296 5022
109 Cetirizin syr btl 17 55 72 39
110 Chloramfenicol syr btl 11 0 11 0
111 Chlorampecort Tube 20 0 20 8
112 Chlorampenicol 250 mg tab 1780 0 1780 6
113 Chlorpromazin (CPZ) 100 mg tab 953 0 953 234
114 Cilostazole tab 1694 600 2294 21
115 Ciprofloxacin 500 mg tab 505 2000 2505 2371
116 Citicolin tab 4333 0 4333 1147
117 Clindamicin 150 mg tab 960 0 960 371
118 Clindamicin 300 mg tab 2928 0 2928 428
119 Clobazam tab 0 0 0 0
120 Clonidin tab 1029 0 1029 0
121 Clopidogrel tab 2467 8400 10867 10074
122 Clorilex 100 tab 0 0 0 0
123 Clorilex 25 tab 0 0 0
124 Clozapine 100 tab 0 0 0
125 Clozapine 25 tab 0 0 0 0
126 Co Amoxiclav tab 527 0 527 145
127 Codein tab 830 2000 2830 1830
128 Colme TT btl 0 0 0
129 Combivent amp 0 0 0 0
130 Comtro syr btl 17 38 55 20
131 Comtusy syr btl 0 0 0 0
132 Concor 2,5 mg tab 0 0 0 0
133 Cotrimoxazole syr syr 0 0 0 0
134 Cotrimoxazole tab tab 260 0 260 250
135 CTM tab 147 2000 2147 181
136 Curcuma tab 0 0 0 0
137 Dansera tab 0 0 0 0
138 Daryantule pcs 30 0 30 10
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

139 Decavil tab 524 1000 1524 1305


140 Deculin tab 0 0 0 0
141 Depakene syr btl 0 0 0 0
142 Depakote 250 tab 6 0 6 6
143 Depakote 500 tab 817 0 817 764
144 Dexametason inj amp 0 0 0 0
145 Dexametason tab tab 3295 0 3295 1534
146 Dexanta tab tab 0 0 0 0
147 Dextamine tab 0 0 0 0
148 Diamicron 60 mg tab 0 0 0 0
149 Diazepam 2 tab 0 0 0
150 Digoxin tab tab 1217 0 1217 1149
151 Diltiazem tab tab 950 0 950 30
152 Dimenhidrinat tab 600 0 600 0
153 Dismeno tab 0 0 0 0
154 Divalpi 250 EC tab 282 1000 1282 294
155 Domperidon drop fls 0 0 0 0
156 Domperidon syr btl 23 50 73 42
157 Domperidone tab tab 1963 1600 3563 1640
158 Donepezil tab 2683 0 2683 7
159 Dopamet tab 986 0 986 55
160 Doxiciclin tab 770 0 770 25
161 Dualvis amp 0 0 0 0
162 Dulcolac Supp supp 20 0 20 3
163 Duvadilan tab 0 0 0 0
164 Elox Zalf tube 0 0 0 0
165 Elxion tab 0 0 0 0
166 Endrolin amp 1 0 1 0
167 Epinefrin inj amp 0 100 100 59
168 Erytromicin 250 mg tab 6 0 6 0
169 Erytromicin 500 mg tab 717 0 717 183
170 Erytromicin syr btl 0 0 0 0
171 Ethambutol 500 mg tab 2455 0 2455 660
172 Euthyrox tab 961 0 961 138
173 Exjade 250 tab 308 280 588 400
174 Exjade 500 tab 252 280 532 170
175 Ferriprox 500 mg tab tab 142 1000 1142 1066
176 Ferriprox syr btl 19 0 19 10
177 Flamicort vial 10 0 10 9
178 Flixotide amp 98 0 98 3
179 Floragyn tab 0 0 0
180 Fluconazole tab 9 0 9 9
181 Flunarizin 10 mg tab 472 0 472 369
182 Flunarizin 5 mg tab 0 2000 2000 341
183 Folic Acid tab 0 0 0 0
184 Forumen tab 4 30 34 14
185 Framycetin sulfat pcs 0 0 0 0
186 Fucotrap tab 0 0 0 0
187 Furosemid 40 mg tab 882 6000 6882 5182
188 Fusicom Zalf tube 0 0 0 0
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

189 Gabapentin 300 tab 1970 3200 5170 2934


190 Galflux tab 0 0 0
191 Gemfibrozil 300 mg tab 0 0 0 0
192 Genoint EO tube 0 0 0 0
193 Gentamicin inj amp 23 100 123 91
194 Gentamicin Zalf Kulit tube 0 0 0 0
195 Glaucon tab 0 400 400 169
196 Glibenclamide 5 mg tab 1245 0 1245 0
197 Glimepiride 2 mg tab 1559 1000 2559 894
198 Glimepiride 4 mg tab 433 1000 1433 97
199 Gliquidone tab 1148 0 1148 574
200 Glucodex tab 0 0 0 0
201 Glucosamin tab 943 0 943 495
202 Glyceril Guaciolat (GG) tab 0 0 0 0
203 Goflex tab 0 0 0 0
204 Griseofulvin 125 mg tab 0 0 0 0
205 Griseofulvin 500 mg tab 0 0 0 0
206 Haemoctin vial 4 10 14 10
207 Haloperidol 0,5 mg tab 390 0 390 270
208 Haloperidol 1,5 tab 0 0 0 0
209 Haloperidol 5 tab 0 0 0 0
210 Harnal tab 0 0 0 0
211 Herbesser 100 mg tab 0 0 0 0
212 Heximer tab 934 0 934 934
213 Humalog kwik pen pen 17 100 117 87
214 Humalog mix kwik pen pen 0 350 350 350
215 Humalog mix kwik pen 50/50 pen 0 50 50 36
216 Hydrochlorthiazide (HCT) tab 402 0 402 1
217 Hydrocortisone zalf tube 85 50 135 11
218 Hytroz 2 tab 564 0 564 414
219 Ibuprofen 200 tab 1509 13200 14709 7264
220 Ibuprofen 400 mg tab 0 0 0 0
221 Ibuprofen syr btl 0 50 50 18
222 Ikalep syr btl 0 0 0 0
223 Iliadin 0,025 % amp 25 0 25 0
224 Iliadin 0,05 % fls 37 0 37 14
225 inbumin 250 mg tab 436 600 1036 436
226 Infimicin syr btl 0 0 0 0
227 INH 100 tab 0 0 0 0
228 INH 300 tab 0 0 0
229 Invitec tab 1380 0 1380 284
230 Irbesartan 300 mg tab 0 0 0
231 ISDN tab 10045 14200 24245 21573
232 Isoniazid 100 mg tab 3469 0 3469 1492
233 Isoniazid 300 mg tab 1664 3600 5264 2243
234 Isotic adretor 0,25% btl 0 0 0 0
235 Isotic adretor o,5 % btl 0 0 0 0
236 Kadiflam tab 430 0 430 93
237 Kalipar tab 1304 1500 2804 2072
238 Kendaron tab 0 0 0 0
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

239 Ketokonazole cream tube 44 50 94 70


240 Ketokonazole tab tab 482 500 982 247
241 Ketoprofen tab tab 2058 2200 4258 2082
242 Ketorolak Tab tab 0 4200 4200 2448
243 Koate-DVI 260 IU vial 16 24 40 20
244 Koate-DVI 540 IU amp 12 24 36 22
245 KSR tab 1238 0 1238 105
246 Lactasin tab 210 0 210 0
247 Laktulosa syr btl 0 0 0 0
248 Lansoprazole tab 549 9540 10089 10085
249 Lantus pen 0 0 0 0
250 lapibal tab 861 8000 8861 5090
251 larutan D10 Wida btl 10 -10 -5
252 Larutan NaCL 500 ml fls 43 0 43 2
253 Larutan Ringer Lactat fls 27 100 127 74
254 Lasal expectorant syr btl 10 10 20 11
255 Lasal syr btl 10 0 10 2
256 L-Bio Sachet 330 600 930 351
257 L-cisin tab 294 200 494 70
258 Leparson tab 0 0 0 0
259 Lesichol tab 0 0 0 0
260 Lesipar tab 1325 0 1325 906
261 Levemir flex pen pen 0 0 0 0
262 Levofloxacin tab 0 7500 7500 7084
263 Lidocain inj amp 37 100 137 73
264 Lincomicin 500 tab 635 0 635 27
265 Lisinopril 10 mg tab 306 0 306 0
266 Lisinopril 5 tab 500 1300 1800 0
267 Loperamide tab 0 0 0 0
268 Loratadine tab 6233 0 6233 2133
269 Maltofer tab 0 0 0 0
270 Megabal tab 0 0 0 0
271 Meloxicam 15 mg tab 1679 0 1679 1476
272 Meloxicam 7,5 mg tab 5777 0 5777 2804
273 Metamizole tab 1465 2400 3865 1139
274 Metformin tab 2753 0 2753 1229
275 Methyl prednisolon 4 mg tab 0 4000 4000 1552
276 Methyl prednisolon 8 mg tab 3195 0 3195 1603
277 Metil ergometrin tab tab 1241 0 1241 336
278 Metil prednison 16 mg tab 1683 0 1683 1177
279 Metoclopramide tab tab 1449 0 1449 128
280 Metronidazole syr btl 0 0 0 0
281 Metronidazole tab tab 3794 0 3794 1239
282 Micardis 80 mg tab 104 0 104 0
283 Miniaspi tab 6611 0 6611 3398
284 Mipros tab tab 0 0 0 0
285 Mirasic drop btl 0 0 0 0
286 Mirasic tab tab 0 0 0
287 Misoprostol tab 0 0 0 0
288 MST tab 251 0 251 108
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

289 Musin syr btl 0 0 0


290 Myconazole zalf tube 45 0 45 2
291 Myonep tab 2744 6000 8744 4161
292 Nasacort spray 14 22 36 27
293 Nato 10 mg tab 0 0 0 0
294 Natrium diclofenak 25 mg tab 2026 2800 4826 1922
295 Natrium diclofenak 50 mg tab 819 2800 3619 1369
296 Natur E tab 1024 896 1920 1677
297 Neurodex tab 0 0 0 0
298 Neurosanbe 5000 tab tab 0 0 0 0
299 New diatabs tab 1000 0 1000 323
300 Nifedipine tab 607 0 607 52
301 Nitrokaf tab 0 0 0 0
302 Noocephal syr btl 0 0 0
303 Noperten 10 mg tab 0 0 0 0
304 Nopress tab 117 0 117 52
305 Norelut tab 78 270 348 171
306 Norflam tab 329 0 329 0
307 Novomix pen 0 0 0 0
308 Novorapid pen 0 0 0 0
309 Nutriflam tab 0 0 0 0
310 Nutriflam neo tab 30 600 630 80
311 Nymico drop fls 0 0 0 0
312 Nystatin tab tab 576 0 576 0
313 OBH TDR syr btl 0 0 0 0
314 ODR syr btl 0 0 0 0
315 Oflofloxacin 200 mg tab 0 0 0 0
316 Oflofloxacin 400 mg tab 854 0 854 63
317 Omeprazole caps tab 655 4200 4855 1507
318 Omnipaque 20 ml vial 17 0 17 0
319 Omnipaque 50 ml vial 0 0 0 0
320 Ondancetron 4 mg tab 0 0 0 0
321 Ondancetron 8 mg tab 401 648 1049 425
322 Opiphen syr kering btl 0 0 0 0
323 Opthilox ED tube 0 0 0 0
324 Oralit sachet 56 0 56 13
325 Otopain TT btl 0 0 0 0
326 Otsu D40 amp 0 0 0 0
327 otsu meylon amp 10 0 10 0
328 Otsu NS Pigybag fls 5 0 5 0
329 Papaverin tab 0 0 0 0
330 Paracetamol drop btl 37 0 37 13
331 Paracetamol syr btl 0 100 100 23
332 Paracetamol tab tab 2695 0 2695 2695
333 Pehadoxin forte tab 702 0 702 570
334 Phenitoin caps caps 3900 0 3900 3382
335 Phenol G TT btl 0 0 0 0
336 Phytomenadione tab 1336 0 1336 274
337 Phytomenadione inj (neo-K) amp 4 0 4 0
338 Piptal drops drops 0 0 0 0
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

339 Piracetam 400 mg tab 0 0 0 0


340 Piroxicam 10 mg tab 1147 0 1147 228
341 Piroxicam 20 mg tab 0 0 0 0
342 Povidon iodin btl 12 0 12 3
343 Prednison tab 3405 0 3405 2026
344 Pregabalin tab 1119 560 1679 656
345 Primolut N tab 0 0 0 0
346 Prohiper tab 60 0 60 0
347 Promavit tab 1717 1200 2917 1452
348 Propanolol 10 mg tab 1952 0 1952 1950
349 Propanolol 40 mg tab 203 0 203 0
350 Propiretic supp supp 0 0 0 0
351 Proris Supp supp 0 0 0 0
352 Protofen supp supp 20 0 20 7
353 PTU tab 0 0 0 0
354 Pulmicort amp 0 0 0
355 Pyrazinamide 500 mg tab 4728 0 4728 2933
356 Ramipril 2,5 tab 0 150 150 0
357 Ramipril 5 tab 813 0 813 60
358 Ranitidin tab tab 1033 3000 4033 2097
359 Rhinofed Suspensi btl 0 0 0 0
360 Rhinofed tab tab 0 0 0 0
361 Rifampicin 300 mg tab 1379 2000 3379 3068
362 Rifampicin 450 mg tab 1148 7000 8148 3335
363 Rifampicin 600 mg tab 0 0 0 0
364 Risperidon 2 mg tab 109 0 109 20
365 Sagestam cream tube 0 0 0 0
366 Salbutamol 2 mg tab 3177 0 3177 1818
367 Salbutamol 4 mg tab 1247 0 1247 188
368 Salbutamol syr btl 34 0 34 10
369 Salicyl talk tube 7 0 7 1
370 Sanadryl expect syr syr 0 0 0 0
371 Sanadryl DMP syr syr 0 0 0 0
372 Sandepril tab 250 0 250 0
373 Sanmag Syr btl 0 0 0 0
374 Sanmol drop btl 0 0 0 0
375 Scabimite Zalf tube 0 0 0 0
376 Seretide 250 mcg spray 0 45 45 45
377 Seretide 500 mcg spray 26 82 108 66
378 Sikzonoate inj amp 0 0 0 0
379 Simarc tab 1000 0 1000 100
380 Simvastatin 10 mg tab 574 14700 15274 5944
381 Simvastatin 20 mg tab 1156 6500 7656 3027
382 Sistenol tab 0 0 0 0
383 Smecta sachet 0 0 0 0
384 Spasminal tab 0 0 0 0
385 Spasmomen tab 0 0 0 0
386 Spiramicin tab 736 0 736 40
387 Spiriva inhaler spray 0 0 0 0
388 Spironolactone 100 mg tab 1639 0 1639 847
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

389 Spironolactone 25 mg tab 0 0 0 0


390 Star folat tab 0 0 0 0
391 Stelosi 5 mg tab 0 0 0 0
392 Stesolid Supp 10 mg supp 22 0 22 0
393 Stesolid Supp 5 mg supp 17 0 17 17
394 Stolac Supp supp 0 0 0 0
395 Streptomicin vial 17 112 129 58
396 Sucralfat syr btl 0 125 125 125
397 Sulfa Ferosus (SF) tab 5578 0 5578 611
398 Tarivid otic btl 37 120 157 49
399 Tebokan spesial tab 0 0 0 0
400 Tetagam amp 0 0 0 0
401 Thiamcinolon tab 0 0 0 0
402 Thiamycin forte suspensi btl 0 0 0
403 Thyrozol 10 mg tab 1547 2000 3547 1570
404 Thyrozol 5 mg tab 80 0 80 67
405 Tiriz drop btl 0 0 0 0
406 Tofedex tab 1003 6000 7003 7003
407 Tramadol tab 827 0 827 238
408 Tramal Supp supp 0 0 0 0
409 Tremenza tab 0 0 0 0
410 Tremenza syr btl 39 0 39 10
411 Trihexilphenidil 2 mg tab 0 0 0 0
412 Ulsafat syr btl 0 0 0 0
413 Ulsidex tab tab 0 0 0 0
414 Unalium 10 mg tab 0 0 0 0
415 Unalium 5 mg tab 0 0 0 0
416 Urdafalk tab 0 0 0 0
417 Urief tab tab 2260 0 2260 286
418 Ursodeoxycholic acid tab 45 600 645 255
419 Utrogestan 100 mg tab 41 600 641 119
420 Utrogestan 200 mg tab 1403 0 1403 0
421 Vagizole ovule supp 0 0 0 0
422 Valisanbe 2 mg tab 116 2000 2116 1027
423 valisanbe 5 mg tab 86 1000 1086 60
424 Valpi Syrup btl 86 150 236 215
425 Valproate acid tab 0 0 0 0
426 Valsartan 160 mg tab 0 0 0 0
427 Valsartan 80 mg tab 277 0 277 30
428 Vectrin caps tab 0 0 0 0
429 Vectrine dry syr btl 0 0 0 0
430 Ventolin nebu amp 207 0 207 98
431 Ventolin spray spray 64 0 64 54
432 Vercithin tab 0 0 0
433 Vit B1 tab 0 0 0 0
434 Vit B6 tab 2257 7000 9257 2598
435 Vit BComplex tab 10568 0 10568 4668
436 Vit C tab tab 760 3000 3760 337
437 Vitazym tab 0 0 0 0
438 Vometa drop btl 0 0 0 0
439 Xarelto 10 mg tab 0 0 0 0
SATUAN/ STOK JUMLAH JUMLAH
NO NAMA OBAT KODE PEMAKAIAN
KEMASAN AWAL PENERIMAAN STOCK
1 2 3 4 5 6 7 8

440 Xarelto 15 mg tab 0 0 0 0


441 Xarelto 20 mg tab 0 0 0 0
442 Zinc tab 8 500 508 94
443 Zink Kid syrup btl 0 0 0 0
444 Zink syr btl 0 0 0 0
445 Zircum kid syr btl 0 0 0 0
Inerson zalf tube 0 60 60 9
Cd timol 0,5 % btl 0 50 50 8
Akilen btl 0 0 -43
Otilon btl 0 35 35 1
Thiamycin syr btl 0 24 24 3
Thiamycin forte syr btl 0 24 24 2

Pandeglang, 31 Juli 2019


Pelaksana Opname Fisik

Deden Arditia Nurjaman S.Si,Apt


Nip. 19861213 2011011 005
Mengetahui,
Kasie Penunjang Medis Kepala Instalasi Farmasi

Achmad Hidayat, SKM, Msi Dra.Hj.Syuhefni, Sy, Apt


Nip. 197203271994031008 Nip.19630226 199101 2 001
ANG

eglang

Tahun: 2019
SISA KET

9 10

0
0
2761
0
49
804
0
0
0
982
3157
0
340
0
3329
25
0
532
2836
3428
0
1493
0
1010
0
0
0
0
372
130
0
0
40
219
412
3770
835
0
SISA KET

9 10

0
0
707
0
32
0
0
292
0
30
0
0
0
0
0
3273
0
1235
39
1908
952
0
0
752
2069
2667
1268
0
3537
2437
0
2114
0
57
0
13
0
12
0
0
220
0
0
0
275
0
60
30
16
37
SISA KET

9 10

79
0
0
26
35
0
190
215
275
185
35
0
175
640
4610
21
1134
0
69
274
33
11
12
1774
719
2273
134
3186
589
2500
0
1029
793
0
0
0
0
382
1000
0
0
35
0
0
0
10
1966
0
0
20
SISA KET

9 10

219
0
0
0
53
0
1761
0
0
0
0
68
920
600
0
988
0
31
1923
2676
931
745
0
17
0
0
0
1
41
6
534
0
1795
823
188
362
76
9
1
95
0
0
103
1659
0
20
0
0
1700
0
SISA KET

9 10

2236
0
0
0
32
0
231
1245
1665
1336
574
0
448
0
0
0
0
4
120
0
0
0
0
0
30
0
14
401
124
150
7445
0
32
0
25
23
600
0
0
0
1096
0
2672
1977
3021
0
0
337
732
0
SISA KET

9 10

24
735
2176
1752
20
14
1133
210
0
4
0
3771
5
41
53
9
8
579
424
0
0
419
0
416
64
608
306
1800
0
4100
0
0
203
2973
2726
1524
2448
1592
905
506
1321
0
2555
104
3213
0
0
0
0
143
SISA KET

9 10

0
43
4583
9
0
2904
2250
243
0
0
677
555
0
0
0
65
177
329
0
0
0
550
0
576
0
0
0
791
3348
17
0
0
624
0
0
43
0
0
10
5
0
24
77
0
132
518
0
1062
4
0
SISA KET

9 10

0
919
0
9
1379
1023
0
60
1465
2
203
0
0
13
0
0
1795
150
753
1936
0
0
311
4813
0
89
0
1359
1059
24
6
0
0
250
0
0
0
0
42
0
900
9330
4629
0
0
0
0
696
0
792
SISA KET

9 10

0
0
0
22
0
0
71
0
4967
108
0
0
0
0
1977
13
0
0
589
0
0
29
0
0
0
0
0
0
1974
390
522
1403
0
1089
1026
21
0
0
247
0
0
109
10
0
0
6659
5900
3423
0
0
0
SISA KET

9 10

0
0
414
0
0
0
51
42
43
34
21
22

g, 31 Juli 2019
Opname Fisik

Nurjaman S.Si,Apt
13 2011011 005

talasi Farmasi

hefni, Sy, Apt


6 199101 2 001