LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSBAN KAMPUNG BARU

FEBRUARI 2020
SUB-UNIT/PUSBAN : PUSBAN KAMPUNG BARU
PERMINTAAN PERIODE BULAN : FEBRUARI 2020
JUMLAH
NO. JENIS OBAT/BHP KEMASAN
STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
a b c d e f g=d+e-f
1 Acetosal 100 mg ktk10x10
2 Acyclovir 200 mg ktk10x10 290 - - 290
3 Acyclovir 400 mg ktk10x10 10 - - 10
4 Alkohol 70 % Botol 1 - 1
5 Allopurinol tablet 100 mg ktk10x10 300 - - 300
6 Allopurinol tablet 300 mg ktk10x10 100 - - 100
7 Ambroxol sy botol 60 ml - -
8 Ambroxol sy botol - 10 9 1
9 Ambroxol Tab ktk10x10 - 300 270 30
10 Amlodipin 5 mg ktk3x10 10 10
11 Amoksisilin kaplet 500 mg ktk10x10 250 - 60 190
12 Amoksisilin sirup kering 125 mg/ml botol 60 ml 10 - 1 9
13 Antasida DOEN tablet kotak ktk10x10 300 50 250
14 Antasida sirup botol 2 10 8 4
15 Antides (Attapulgite) ktk 100 180 - 80 100
16 Antihaemoroid supp -
17 Aqua pro Inj btl -
18 Asam Askorbat ( vit. C ) ktk10x10 - 200 180 20
19 Asam Folat ktk10x10 -
20 Asam mefenamat 250 mg ktk10x10 - - - -
21 Asam mefenamat 500 mg ktk10x10 - 200 200 -
22 Asetil systein ktk10x10 - - - -
23 Bedak Salisil botol - 3 - 3
24 Betahistine 6 mg ktk 30 - - 240 (240)
25 Betametason Cr Tube - 10 4 6
26 Captopril 12,5 mg ktk10x10 500 - 30 470
27 Captopril 25 mg ktk10x10 - - - -
28 Captopril 50 mg ktk10x10 150 50 - 200
29 Cetirizin 10 mg ktk10x10 200 300 - 500
30 Cetirizin sirup botol - 10 5 5
31 Ciprofloxacin ktk10x10 200 - - 200
32 Clindamycin ktk 50 -
33 Deksamethasone injeksi ktk100 ampx1ml -
34 Deksamethasone tablet ktk10x10 150 100 150 100
35 Difenhidramin HCL injeksi ktk30 amp@1ml -
36 Dimenhidrinat 50 mg btl 100 -
37 Doksisklin 100 mg ktk 100 - - - -
38 Domperidon 10 mg ktk10x10 200 - - 200
39 Domperidon sirup botol 2 5 2 5
40 Efinefrin 1mg inj ktk100 ampx1ml -
41 Eritromisin 250 mg ktk12x10 tab -
42 Eritromisin 500 mg ktk10x10 tab -
43 Fe (tablet besi/tambah darah) - 300 200 100
44 Furosemid 40 mg ktk10x10 100 - - 100
45 Furosemid inj 10 mg/ml ktk25 amp @2ml -
46 Garam oralit ktk 100 125 - 15 110
47 Gentamisin sulfat salep mata 0,3% Tube - - -
48 Gentamisin sulfat SK btl -
49 Gentamisin salep kulit 0,1% tube - 10 6 4
50 Glibenclamide ktk10x10 - - - -
51 Glukosa larutan infus 5% btl 500 ml - -
52 Griseofulvin tab ktk10x10 tab -
53 Hidroclortiazid ktk10x10 tab - - -
54 Hidrokortison krim 2,5 % tube @ 5 g 5 10 - 15
55 Ibuprofen syrup btl 60 ml -
56 Ibuprofen tab 200 mg ktk10x10 tab - - -
57 Ibuprofen tab 400 mg ktk10x10 tab 150 300 140 310
58 Isosorbid dinitrat tablet 5 mg ktk10x10 tab 10 - - 10
59 Kalsium lakat ( kalk ) tablet 500 mg ktk10x10 tab 100 100 100 100
60 Ketokonazol krim 2% tube 10 gr 5 10 2 13
61 Ketokonazol TAB ktk 10x5 tab -
62 Kloramfenikol TM/RECO TM btl -
63 Kloramfenikol TT/RECO TM btl -
64 Klorfeniramin Maleat 4 mg (CTM) ktk 100 tab 150 100 50 200
65 Kotrimoksasol 120 mg ktk 100 -
66 Kotrimoksasol 480 mg ktk 100 100 - - 100
67 Kotrimoksasol sy btl - - - -
68 Lidocain 2% inj amp - - -
69 Lidokain komp injeksi,kombinasi ktk 30 amp - - -
70 Loperamide 2mg tablet ktk 10x10 -
71 Loratadine tab 10 mg ktk 10x10 -
72 Lysol btl 1000 ml -
73 Metformin 500 mg ktk 10x10 150 50 100
74 Metilergometrin inj amp -
75 Metilergometrin tab 0,125 mg ktk 10x10 tab -
76 Metilprednisilon 4 mg ktk 10x10 - - - -
77 Metoklopramid 5 mg ktk 10x10 - - - -
78 Metoklopramid sirup (Lexapram) btl - - - -
79 Metoklopramid inj/Damaben inj amp -
80 Metrodinazol 500 mg ktk 100 - - - -
81 Miconazole 2% krem tube 10 gr -
82 Natrium Chlorida 0,9 % ktk @ 20 btl -
83 Natrium diklofenak 50 mg ktk 50 tab 100 100 170 30
84 Neo K inj amp -
85 Nifedipin tab ktk 10x10 tab 20 - - 20
86 Nistatin vagina tablet 100.000 IU/g ktk 10x10 tab - - - -
87 Oksitetrasiklin SM tube - 10 - 10
88 Omeprazole 20 mg ktk 3x10 -
89 Oxytocin inj btl 15 ml -
90 Pantocain 0,5 % tetes mata btl 5 ml -
91 Papaverin tab btl 1000 tab -
92 Parasetamol 120 mg/5 ml sirup btl 60 ml - 10 8 2
93 Parasetamol 500 mg ktk 10x10 20 200 200 20
94 Phenol Glycerol TTS telinga btl -
95 Phitomenadion Vit K ktk 10x10 tab -
96 Phitomenadion Vit K inj ktk 30 -
97 Povidom lodida 10% 300ml btl 300 ml -
98 Prednison tablet 5 mg ktk 10x10 tab -
99 Primaquin 15 mg ktk 10x10 tab -
100 Pyridoxin (Vit B6) tab 10 mg btl 1000 300 - 20 280
101 Ranitidin HCL 50 mg/ml ktk 10 amp -
102 Ranitidin Tablet 150 mg ktk 10x10 - - - -
103 Ringer laktat infus btl 2 - - 2
104 Rivanol btl 300 ml -
105 Salbutamol tablet 2 mg ktk 10x10 tab 100 100 200 -
106 Sianokobalamin (Vit B12) inj amp -
107 Sianokobalamin (Vit B12) tab ktk 100 450 - 50 400
108 Simvastatin 10 mg ktk 30 30 90 90 30
109 Vitamin B Kompleks tablet ktk 10x10 50 100 140 10
110 Zink tablet ktk 10x10 - - - -
111 Zirkum kids sirup btl -
PERBEKALAN KESEHATAN
112 Alat Suntik Sekali Pakai 0.05 ml 100 set/ktk 188 - 2 186
113 Alat Suntik Sekali Pakai 0.5 ml 100 set/ktk 60 - 8 52
114 Alat Suntik Sekali Pakai 3 ml 100 set/ktk 37 100 15 122
115 Alat Suntik Sekali Pakai 5 ml 100 set/ktk 86 4 82
116 Alkohol Swab 0,5 % pcs - - - -
117 Bisturi ktk 100 pcs -
118 Catgut/benang bedah No.2/0 dgn jarum ktk 24 pcs -
119 Catgut/benang bedah No.3/0 dgn jarum ktk 24 pcs -
120 Hand Scoon L ktk 100 - - -
121 Hand Scoon M ktk 100 -
122 Handccoon Steril pcs 66 20 46
123 Infusion Dewasa ktk 50 - - - -
124 Infusion set anak set/kantong - - - -
125 IV Catheter No.18 G 50 buah/ktk -
126 IV Catheter No.22 G 50 buah/ktk -
127 IV Catheter No.24 G 50 buah/ktk - - - -
128 Kapas Pembalut 250 gram roll -
129 Kapas Pembalut Hidrofil 4m x 10 cm roll/50 -
130 Kapas Pembalut Hidrofil 4m x 5 cm roll/50 22 - 22
131 Kasa steril 16 cmx 16 cm ktk 9 7 2
132 Leukoplast Plester kain 7,5x4,5 pcs -
133 Masker hijab ktk 50 pcs 40 - 10 30
134 Masker tali ikat Ties Aximed ktk 50 pcs 45 5 40
135 Polifix/Hipafix pcs - - - -
136 Tes Kehamilan ktk 50 pcs 8 - 4 4
-
TAMBAHAN
1 Tiamin(vitamin BI) Tablet 10x10 - 100 80 20
2 Salisil Bedak ktk - - - -
3 Sefadroxil 500 mg 10x10 100 - 10 90
4 Obat Batuk Hitam (OBH) btl - 10 7 3
5
6
7
8
9
10
11
12

JUMLAH KUNJUNGAN RESEP BP : 90

POSY.LANSIA : 32

Mengetahui, Yang meminta

Ka.Puskesmas

H.Sukardi,SKM Eny Lis Setyowati Amd.Kep

NIP.19660922198811003 NIP.198609302011012004
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Yang memberi
Petugas Puskesmas

Nurbaya Mandan S.Si.Apt

NIP.197602162005022001