Laporan Loket Obat PKM

LAPORAN PEMEKAIN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
LOKET OBAT PUSKESMAS RANCAEKEK DTP
BULAN AGUSTUS 2016
NO NAMA OBAT SATUAN STOK AWAL PENERIMAN PERSEDIAAN PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN ED
1 Albendazole tablet 400 mg tablet 0 0 0

2 Allopurinol tablet 100 mg tablet 263 1000 1263 810 453 1037 500
3 Ambroxol sirup 15 mg/ 5 ml botol 115 178 293 178 115 228 100
4 Ambroxol tablet 30 mg tablet 724 2700 3424 3424 0 4383 4500
5 Aminofilin tablet 200 mg tablet 329 329 35 294 45
6 Aminofilin Injeksi ampul 0 0 0
7 Amitriptilin Tablet 25 mg tablet 0 100 100 15 85 19
8 Amlodipin Tablet 10 mg tablet 145 2940 3085 2694 391 3448 3000
9 Amlodipine 5 mg tablet 376 1890 2266 1836 430 2350 2000
10 Amoksisilin Forte DS botol 0 100 100 84 16 108 100
11 Amoksisilin iinj ampul 0 0 0
12 Amoxan Drops botol 0 3 3 3 4 5
13 Amoxicillin kaplet 500 mg kaplet 0 9600 9600 9180 420 11750 11500
14 Amoxicillin kapsul 250 mg kapsul 704 800 1504 789 715 1010 400
15 Amoxicillin sirup kering 125 mg/ 5 ml botol 0 129 129 92 37 118 100
16 Ampisilin inj ampul 0 0 0
17 Antalgin (Metampiron) tablet 500 mg tablet 0 2600 2600 1686 914 2158 1500
18 Antasida DOEN suspensi botol 0 235 235 222 13 284 300
19 Antasida DOEN tablet tablet 500 2400 2900 2070 830 2650 2000
20 Antidiare Nonspesifik Sirup (Neo Kaominal) botol
0 3 3 3 0
21 Antidiare Nonspesifik tablet (Molagit) tablet 0 0 0
Antifungi DOEN salep kombinasi Asam
22 tube
Benzoat 6% + Asam Salisilat 3%) 23 23 23 0
23 Antihemoroid DOEN Suppositoria tablet 22 50 72 72 0 92 100
Antimigren DOEN tablet ( Kombinasi :
24 tablet
Ergotamin tartrat 1 mg + Cofein 50 mg ) 0 0 0
25 Aqua Pro Injeksi Steril bebas Pirogen vial 0 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg tablet 735 2100 2835 1963 872 2513 2500
27 Asam Folat tablet 1 mg tablet 0 0 0
28 Asam Mefenamat tablet 500 mg tablet 0 2300 2300 1732 568 2217 2000
29 Asetosal 100 mg tab tablet 0 0 0

30 Asiklovir krim 5% tube 25 25 17 8 22 20
31 Asiklovir tablet 400 mg tablet 315 315 230 85 294 200
32 Atropin Injeksi 0,25 mg / ml - 1 ml ampul 0 0 0
33 Azitromisin 500 MG tablet 37 37 8 29 10
34 Besi (Fe) tablet tablet 69 100 169 148 21 189 160
35 Betametason krim 0.1 % tube 16 175 191 169 22 216 200
36 Cefadroxil 500 mg Caps kapsul 0 1200 1200 1000 200 1280 1100
37 Cefaddroxil 125 mg DS botol 23 40 63 32 31 41 20
38 Cefadroxil Forte DS botol 0 150 150 123 27 157 150
39 Cefiksim DS botol 15 15 15 0 19 20
40 Cefiksim 200 mg kapsul 0 0 0
41 Ceftriaxone injeksi Vial 0 0 0 0
42 Cefotaxime inj vial 0 0 0
43 Cetirizine tablet 0 2100 2100 1990 110 2547 2500
44 Cimetidin Tablet 1000 1000 1000 0
45 Clorpromazin 100 mg tablet 0 0 0
46 Corsaneuron tablet 175 3500 3675 3330 345 4262 4000
47 Dexametasone injeksi 5mg ampul 0 0 0
48 Dexametasone tablet 0,5 mg tablet 200 4700 4900 4486 414 5742 5500
49 Diazepam Injeksi 5 mg /ml - 2ml ampul 0 0 0
50 Diazepam Rectal 5 mg ampul 0 0 0 0
51 Diazepam Tablet 2 mg tablet 0 400 400 301 99 385 300
52 Difenhidramin HCl Injeksi 10 mg/ ml ampul 0 0 0
53 Digoxin tablet 0,25 mg tablet 84 84 84 0
54 Dimenhydrinate 50 mg tablet 0 900 900 463 437 593 200
55 Doksisiklin tablet 0 0 0
56 Domperidon Sir (hufadon) botol 0 0 0
57 Domperidone tablet 10 mg tablet 660 660 152 508 195
58 Dulcolak Supp Inf supp 0 10 10 10 0 13 13
59 Efedrin HCl tablet 25 mg tablet 0 0 0
60 Epinefrin HCl Injeksi 0,1% - 1 ml ampul 0 0 0
61 Eritromicin kapsul 250 mg kapsul 10 10 10 0 13
62 Eritromicin kapsul 500 mg kapsul 60 60 60 0
63 Eritromisin sirup 200 mg/ 5 ml botol 21 21 21 0
64 Etakridin (Rivanol) 0,1% botol 15 2 17 7 10 9

65 Etambutol tablet 500 mg tablet 0 0 0
66 Etanol (alkohol) 70 % - 100 ml botol 0 2 2 2 3
67 Ethambutol 250 mg tablet 0 0 0
68 Extrak Beladonna tablet 10 mg tablet 0 0 0
69 Fenilbutazon 200 mg tablet tablet 0 0 0
70 Fenitoin Natrium 30 mg Kapsul kapsul 0 0 0
71 Fenobarbital (Luminal) Injeksi 50 mg / ml ampul 0 0 0
72 Fenobarbital (Luminal) tablet 30 mg tablet 67 67 0 67 0
73 Fenoksimetil phenisilin tablet 250 mg tablet 403 403 10 393 13
74 Fenoksimetil phenisilin tablet 500 mg tablet 190 500 690 90 600 115 Sep-16
75 Fenol Gliserol Tetes Telinga 10% botol 28 28 21 7 27 20
76 Fitomenadion ( Vit K) inj 2 mg (Vitka Infant) ampul
0 15 15 15 19
77 Fitomenadion (Vit K) Injeksi 10 mg/ ml ampul 0 0 0
78 Fitomenadion (Vit. K) tablet 10 mg tablet 89 200 289 118 171 151
79 Fluconazol tablet 150 mg tablet 0 0 0
80 Fludane Sir botol 37 78 115 63 52 81 50
81 Furosemida Injeksi iv / im- 10 mg/ ml- 2 ml ampul
0 0 0
82 Furosemida tablet 40 mg tablet 59 59 59 0 76
83 Garam Oralit II (200ml) Serbuk sace 0 1220 1220 998 222 1277 1100
84 Gentamisin Injeksi 80 mg / 2,5 ml ampul 0 0 0
85 Gentamisin Salep Kulit 0,1 % tube 0 141 141 132 9 169 160
86 Gentian Violet botol 0 27 27 15 12 19 10
87 Glibenclamide tablet 5 mg tablet 134 200 334 120 214 154
88 Glimepiride 1 mg tablet 118 950 1068 642 426 822 500
89 Glimepiride 2 mg tablet tablet 44 44 5 39 6
90 Gliserin Cairan 100ml botol 0 0 0
91 Glukosa Lar. Steril Cairan Infus 5% botol 0 0 0
92 Griseofulvin tablet 125 mg tablet 440 440 40 400 51
93 Griseril Guaiakolat tablet 100 mg tablet 1753 3000 4753 3903 850 4996 5000
94 Hallperidol 1,5 mg tablet 0 0 0
95 Haloperidol tablet 0.5 mg tablet 0 0 0
97 Haloperidol tablet 5 mg tablet 200 500 700 570 130 730 600
98 Hidrochlortiazid (HCT) tablet 25 mg tablet 577 577 160 417 205

99 Hidrokortison 1% cream tube 24 24 24 0
100 Hidrokortison Krim 2,5% tube 70 29 99 35 64 45
101 Hyoscine N-Butyl Bromida (Scopma) tablet 164 164 79 85 101 100
102 Ibuprofen suspensi 100 mg / 5 ml tablet 0 0 0
103 Ibuprofen tablet 200 mg tablet 0 0 0
104 Ibuprofen tablet 400 mg tablet 0 5700 5700 4394 1306 5624 5000
105 Isoniazide tablet 100 mg tablet 0 0 0
106 Isosorbid Dinitrat tablet sublingual 5 mg tablet 6 6 6 8
107 Kalium Aspartat (KSR) tablet 233 233 233 0
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 0 4000 4000 3447 553 4412 4000
109 Kaptopril tablet 12.5 mg tablet 0 1000 1000 802 198 1027 500
110 Kaptopril tablet 25 mg tablet 0 700 700 130 570 166
111 Karbamazepine tablet 200 mg tablet 0 0 0
112 Ketokonazole tablet 200 mg tablet 0 500 500 54 446 69
113 Ketorolac Inj ampul 0 0 0
114 Klindamisin kapsul 300 mg kapsul 0 0 0
115 Kloramfenicol kapsul 250 mg kapsul 1900 100 2000 2000 0
116 Kloramfenikol Salep Mata 1 % tube 0 58 58 45 13 58 50
117 Kloramfenikol Suspensi 60 ml botol 0 0 0
118 Kloramfenikol Tetes Mata 0,5 % botol 0 0 0
119 Kloramfenikol Tetes Telinga 3% botol 10 5 15 15 0
120 Klorampenicol SK (Bufacetin) tube 13 13 1 12 1
121 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 438 6200 6638 6332 306 8105 8000
122 Klorpromazine HCl tablet salut 25 mg tablet 716 1000 1716 520 1196 666
123 Klorpromazine HCl tablet salut 100 mg tablet 0 800 800 635 165 813 600
124 Kotrimoksazol Suspensi 60 ml botol 130 146 276 156 120 200 100
125 Kotrimoxazol tablet dewasa tablet 0 500 500 500 0 640 600
126 Kotrimoxazol tablet pediatrik tablet 0 0 0
127 Laksadin Susp botol 0 5 5 2 3 3
128 Lansoprazol kapsul 169 169 16 153 20
Larutan Polikresulen (kondensasi
129 botol
Metakresol sulfonat dan metanal 360 mg/g
0 0 0
130 Lidokain Injeksi (Pehacain) ampul 0 155 155 155 198 200
131 Lidokain Injeksi 2 % /ml ampul 0 0 0

132 Loperamide kapsul 119 800 919 26 893 33
133 Magnesium Sulfat 20% - 25 ml vial 0 0 0
134 Magnesium Sulfat 40% - 25 ml vial 0 0 0
135 Meloxicam tablet 15 mg tablet 9 200 209 183 26 234 100
136 Metformin tablet 500 mg tablet 219 1700 1919 1844 75 2360 2300
137 Methyl Prednisolon 4 mg ampul 298 298 107 191 137
138 Methyldopa 250 mg (Dopamet) tablet 68 68 3 65 4
Metilergometrin Maleat (Metergin) tablet
139 tablet
salut 0,125 mg 54 54 54 0
140 Metilergometrin Maleat Injeksi 0,2mg/ml ampul 0 5 5 5 6
141 Metochlorpramide Injeksi 5 mg/ ml ampul 0 0 0
142 Metochlorpramide tablet 10 mg tablet 315 315 315 0
143 Metoklopramide Sir (Leksapram) botol 0 0 0
144 Metronidazol OV (Flagyl OV) supp 0 0 0
145 Metronidazol Sir (Farizol Susp) botol 5 5 2 3 3
146 Metronidazole tablet 250 mg tablet 0 0 0
147 Metronidazole tablet 500 mg tablet 183 500 683 474 209 607 400
148 Mikonazol Krim 2% tube 3 102 105 67 38 86 50
149 Miniaspi 80 mg tablet 128 128 18 110 23
150 Misoprostol (Gastrul) tablet 0 0 0
151 Multivitamin Dewasa Kapsul (Samcobion) botol
0 1300 1300 1082 218 1385 1100
152 Multivitamin Sirup Anak (Sanvita B Sir) botol 0 211 211 211 0 270
153 Natrium Bikarbonat tablet 500 mg tablet 1251 1251 1251 0 1601 Jul-16
154 Natrium Diklofenak tablet 50 mg tablet 0 2000 2000 1691 309 2164 1800
155 Natrium Klorida Cairan Infus 0,9% 500 ml tablet
0 0 0
156 Nifedipine tablet 10 mg tablet 149 149 149 0
157 Nistatin tablet 500.000 IU tablet 77 200 277 150 127 192 50
158 Nistatin tablet vaginal 100.000 IU supp 49 70 119 115 4 147 140
159 Obat Antituberkolosa FDC 1/3 paket 0 0 0
160 Obat Batuk Hitam (OBH) Sirup 100 ml botol 59 50 109 109 0 140 200
161 Obat Flu Sirup (Molexflu Sirup) botol 0 0 0
162 Obat Flu Sirup (Ponflu) botol 0 72 72 39 33 50 100
163 Obat Flu Tab (Ponflu tab) botol 380 2100 2480 2045 435 2618 2200
164 Ofloksacin tablet 19 19 19 0

165 Oksitetrasiklin HCl Injeksi 50 mg/ ml ampul 0 0 0
166 Oksitetrasiklin HCl Salep Kulit 3% tube 0 0 0
167 Oksitetrasiklin HCl Salep Mata 1 % tube 0 0 0
168 Oksitosin Injeksi 10 IU/ml ampul 0 5 5 5 0 6
169 Omeprazole Caps kapsul 95 510 605 317 288 406 300
170 Ondansentron Inj ampul 0 0 0
171 Paracetamol 500mg tablet tablet 5525 12700 18225 17635 590 22573 22000
172 Paracetamol drops tetes 60 mg / 0,6 ml botol 0 68 68 59 9 76 70
173 Parasetamol Sirup 120 mg/ 5 ml botol 0 597 597 517 80 662 600
174 Parasetamol tablet 100 mg tablet 93 93 93 0 119 Sep-16
175 Perak Sulfadiazin (Burnazin) tube 0 5 5 5 6
176 Permetrin salep 5% (Scabimite cr) tube 33 33 10 23 13
177 Pirantel Pamoat tablet 125 mg tablet 0 4 4 4 0
178 pirantel Susp botol 0 0 0
179 Pirazinamide tablet 500 mg tablet 0 0 0
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 306 2500 2806 1646 1160 2107 1000
181 Piroxicam 10 mg tablet 1236 1440 2676 1713 963 2193 2200
182 Piroxicam kapsul 20 mg kapsul 0 0 0
183 Povidon Iodida 10% Cairan 300ml botol 0 0 0
184 Povidon Iodida 10% Cairan 30ml botol 0 3 3 2 1 3 2
185 Prednisone tablet 5 mg tablet 0 0 0
186 Propanolol tablet 40 mg tablet 140 140 16 124 20
187 Propil Tio Urasil tablet 100 mg tablet 0 0 0
188 Puralex Tab tablet 517 1100 1617 1388 229 1777 1500
189 Ranitidin Injeksi 25 mg/ ml ampul 0 0 0
190 Ranitidine tablet 150 mg tablet 0 7100 7100 6184 916 7916 7000
191 Reserpin tablet 25 mg tablet 0 0 0
192 Rifampicin kapsul 300 mg tablet 0 0 0
193 Ringer Laktat Cairan Infus 500 ml botol 0 0 0
194 Salbutamol 2 mg tablet 687 600 1287 603 684 772 200
195 Salbutamol Inhalasi 100 mcg can 0 0 0
196 Salbutamol Nebulizer 1 mg/ ml-2,5ml ampul 0 0 0
197 Salbutamol plus inprotorium nebulizaer ampul 0 0 0
198 Salbutamol tablet 4 mg tablet 0 0 0
Salep 2-4 kombinasi : Asam Salisilat 2% +

199 tube
Belerang endap 4% 0 96 96 80 16 102 90
Salep luka bakar; ekstrak
200 tube
plasenta+neomisin (Bioplasenton) 6 6 6 0
201 Salisil Bedak 2% - 50 gram kotak 2 62 64 57 7 73 70
202 Samcodryl Sir botol 7 50 57 36 21 46 30
203 sanadryl Sir botol 0 0 0
Sianokobalamin (Vit B12) Injeksi 500 mcg/
204 botol
ml 0 0 0
205 Sianokobalamin (Vit. B12) tablet 50 mcg ampul 0 0 0
206 Simvastatin tablet 10 mg tablet 0 2200 2200 1458 742 1866 1100
207 Siprofloxacin tablet 500 mg tablet 50 400 450 320 130 410 300
208 Spirinolakton tablet 25 mg tablet 0 0 0
209 Sucralfat Susp tablet 0 0 0
210 Sucralfat Tab (Ulsidex) botol 612 1200 1812 1200 612 1536 1000
211 Sulfasetamid Na Tetes Mata 15% tablet 0 0 0
212 Tetrasiklin kapsul 250 mg botol 0 0 0
213 Tetrasiklin kapsul 500 mg tablet 0 0 0
214 Tiamfenicole kapsul 500 mg tablet 159 159 90 69 115 100
215 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml tablet 0 0 0
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 0 2000 2000 1464 536 1874 1500
217 Trihexifenidril Hidroksida tablet 2 mg tablet 436 500 936 630 306 806 500
218 Vagizol Ovula tablet 9 9 9 0
219 Vitamin B Kompleks tablet tablet 0 5800 5800 4933 867 6314 6000
220 Xylestesin inj tablet 0 0 0
221 Xylocain 2% Gel tube 0 0 0
222 Zink syrup botol 21 21 20 1 26 50
223 Zink tablet 200 mg dispersible tablet 1058 160 1218 635 583 813 400
224 Lacto B pcs 7 40 47 47 0 60 60
225 Candistatin drops Botol 2 2 2 0
226 Dexaharson tablet 0 0 0
227 Erlamycetin Tetes Mata botol 0 82 82 59 23 76 50
228 Erlamycetin Tetes Telinga botol 11 40 51 36 15 46 30
229 Levofloxacin botol 0 0 0
230 Ambeven Tablet 0 0 0
231 Alinamin tablet 0 70 70 70 0 90 100
232 Anelat (Asam Folat) tablet 27 200 227 220 7 282 300
233 Borak Gliserin botol 0 30 30 19 11 24 15
234 Cazetin Drops botol 0 0 0
235 Mucogard syr (Sucralfate) Botol 0 0 0
Cefixime 100 mg Kapsul 44 500 544 472 72 604 600
Dumin 120 mg Supp 0 0 0
Bisoprolol 5 mg tab 24 24 24 0
Gemfibrozil 300 mg cap 80 80 80 0
0 0 0
BMHP 0 0 0
0 0 0
235 Alat Suntik 10 ml pcs 0 0 0
236 Alat Suntik sekali pakai 1 ml pcs 0 0 0
237 Alat Suntik sekali pakai 2,5 ml / 3 ml pcs 0 450 450 450 576 600
238 Alat Suntik sekali pakai 5 ml pcs 0 0 0
239 Balon Karet Pinguin buah 0 0 0
240 Bisturi pcs 0 0 0
241 Canula Oksigen Anak set 0 0 0
242 Canula Oksigen Dewasa set 0 0 0
243 Canula Oksigen Neonatus set 0 0 0
244 Catgut/Benang bedah No.2/0 sase 0 0 0
245 Catgut/Benang bedah No.3/0 sase 0 0 0
246 Clorin botol 0 0 0
247 Foley catheter 16 pcs 0 0 0
250 Gelydopler 5 L botol 0 0 0
251 Hydrogen Piroksida H2O2 3 % botol 0 0 0
252 Infusion set anak bks 0 0 0
253 Infusion set dewasa bks 0 0 0
254 IV. Catheter No. 18 pcs 0 0 0
259 Jarum hekting No 6 buah 0 0 0

260 Jarum hekting No 8 buah 0 0 0
261 Jarum Hekting No. 10 buah 0 0 0
262 Kantong keresek sampah 0 0 0
263 Kapas Pembalut/Absorben 250 gram bks 0 3 3 3 4 4
264 Kasa Gulung 36 m x 80 cm bks 0 0 0
265 Kasa Pembalut Hidrofil 4 m x 10 cm bks 0 2 2 2 3 3
266 Kasa Pembalut Hidrofil 4 m x 5 cm bks 0 0 0
267 Kasa steril framisetin ( lomatull ) sase 0 0 0
268 Kasa sterill 16 x 16 cm kotak 2 2 2 3 3
269 Lisol botol 0 0 0
270 Masker 3 ply pcs 0 200 200 200 256 300
271 Masker N 95 pcs 0 0 0
272 Muccus ekstraktor pcs 0 0 0
273 Plester 5 yards x 2 inch roll 0 0 0
274 Sarung tangan non steril 7 G psg 0 0 0
275 Sarung Tangan Obgyn pasang 0 0 0
276 Sarung tangan steril Disposible 7 G psg 0 0 0
277 Selang Nebulizer set 0 0 0
Silk ( Benang Bedah Sutera ) No. 3/0
278 sase
dengan jarum bedah 0 0 0
279 Umbilical Klem pcs 0 0 0
280 Underpad lbr 0 0 0
281 Urin Bag set 0 0 0
0 0 0
0 0 0
BAHAN GIGI 0 0 0
0 0 0
282 Bahan preventive gigi ( white varnish ) sase 0 0 0
283 Air Raksa Botol 0 0 0
284 Alloy Amalgan set 0 0 0
285 Bahan Tambal Sinar (Composit) set 0 0 0
286 Bahan Tambalan sementara ( caviton ) tube 0 0 0
287 Cresopet botol 0 0 0
288 desinfektan Cair (Viorex) botol 0 0 0
289 Devital pot 0 0 0

290 Disclosing Solution botol 0 0 0
291 Etil Klorida Cairan Semprot 100 ml botol 0 6 6 6 8 8
292 Eugenol botol 0 0 0
293 Glass Ionomer semen ART ( Ketac molar ) paket 0 0 0
294 Gutta percha points 15-40 set 0 0 0
295 Kalsium Hidroksida Pasta tube 0 0 0
296 Klor Fenol kamfer ( CHKM ) tube 0 0 0
297 Larutan Klorheksidin Plus Alal (Aseptan) botol 0 0 0
298 Larutan TSR ( Tooth Stain Remover ) botol 0 0 0
Obat Bahan gigi komb : Butamben, Iodorm,
299
Eugenol ( Alvogyl ) tube 0 0 0
300 Olie Pelumas Dental Unit botol 0 0 0
301 Paper point absorbent 15-40 set 0 0 0
302 Reagen Hemoglobin C botol 0 0 0
303 Seluloid strip pcs 0 0 0
304 Semen seng Powder dan Liquid botol 0 0 0
0 0 0
LABORATORIUM 0 0 0
0 0 0
305 Larutan Natrium Sitrat botol 0 0 0
306 Larutan Natrium Oksalat botol 0 0 0
307 Reagen GOLDAR buah 0 0 0
308 PP Test buah 0 0 0
309 Ose buah 0 0 0
310 Widal Test set 0 0 0
311 Asam Sulfosalisilat botol 0 0 0
312 Emersi Oil botol 0 0 0
313 Kolesterol Srip 0 0 0
314 Asam urat strip 0 0 0
315 Reagen BTA 0 0 0
316 Urin strip 10 parameter 0 0 0
317 Reagen Rapid Dengue NS 0 0 0
Rancaekek 3 September 2016

BPJS GRATIS KIS JAMKESMAS UMUM JUMLAH Penanggung Jawab Loket Obat
KUNJUNGAN LOKET OBAT
2036 74 19 2 3015 5146 Puskesmas Rancaekek DTP
Anis Pribadi K,Amd.Farm

NIP. 197703131998032001
LAPORAN PEMEKAIN DAN LEMBAR PERMINTAAN OBAT (LP
BULAN SEPTEMBER 2016
NO NAMA OBAT SATUAN STOK AWAL PENERIMAN PERSEDIAAN
1 Albendazole tablet 400 mg tablet 0 0

2 Allopurinol tablet 100 mg tablet 453 500 953
3 Ambroxol sirup 15 mg/ 5 ml botol 115 327 442
4 Ambroxol tablet 30 mg tablet 0 0
5 Aminofilin tablet 200 mg tablet 294 294
6 Aminofilin Injeksi ampul 0 0
7 Amitriptilin Tablet 25 mg tablet 85 85
8 Amlodipin Tablet 10 mg tablet 391 2400 2791
9 Amlodipine 5 mg tablet 430 1500 1930
10 Amoksisilin Forte DS botol 16 55 71
11 Amoksisilin iinj ampul 0 0
12 Amoxan Drops botol 0 0
13 Amoxicillin kaplet 500 mg kaplet 420 11000 11420
14 Amoxicillin kapsul 250 mg kapsul 715 500 1215
15 Amoxicillin sirup kering 125 mg/ 5 ml botol 37 100 137
16 Ampisilin inj ampul 0 0
17 Antalgin (Metampiron) tablet 500 mg tablet 914 300 1214
18 Antasida DOEN suspensi botol 13 211 224
19 Antasida DOEN tablet tablet 830 1000 1830
3 3
21 Antidiare Nonspesifik tablet (Molagit) tablet 0 0
22 tube
Benzoat 6% + Asam Salisilat 3%) 23 23
23 Antihemoroid DOEN Suppositoria tablet 0 68 68
24 tablet
Ergotamin tartrat 1 mg + Cofein 50 mg ) 0 0
25 Aqua Pro Injeksi Steril bebas Pirogen vial 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg tablet 872 2300 3172
28 Asam Mefenamat tablet 500 mg tablet 568 1100 1668
29 Asetosal 100 mg tab tablet 0 0
30 Asiklovir krim 5% tube 8 25 33
31 Asiklovir tablet 400 mg tablet 85 200 285
32 Atropin Injeksi 0,25 mg / ml - 1 ml ampul 0 0
33 Azitromisin 500 MG tablet 29 20 49
34 Besi (Fe) tablet tablet 21 21
35 Betametason krim 0.1 % tube 22 171 193
36 Cefadroxil 500 mg Caps kapsul 200 900 1100
37 Cefaddroxil 125 mg DS botol 31 5 36
38 Cefadroxil Forte DS botol 27 100 127
39 Cefiksim DS botol 0 24 24
40 Cefiksim 200 mg kapsul 0 0
41 Ceftriaxone injeksi Vial 0 0
42 Cefotaxime inj vial 0 0
43 Cetirizine tablet 110 1800 1910
44 Cimetidin Tablet 1000 1000
45 Clorpromazin 100 mg tablet 0 0
46 Corsaneuron tablet 345 2500 2845
47 Dexametasone injeksi 5mg ampul 0 0
48 Dexametasone tablet 0,5 mg tablet 414 2400 2814
49 Diazepam Injeksi 5 mg /ml - 2ml ampul 0 0
50 Diazepam Rectal 5 mg ampul 0 0
51 Diazepam Tablet 2 mg tablet 99 100 199
52 Difenhidramin HCl Injeksi 10 mg/ ml ampul 0 0
53 Digoxin tablet 0,25 mg tablet 84 84
54 Dimenhydrinate 50 mg tablet 437 437
55 Doksisiklin tablet 0 0
57 Domperidone tablet 10 mg tablet 508 508
58 Dulcolak Supp Inf supp 0 3 3
59 Efedrin HCl tablet 25 mg tablet 0 0
60 Epinefrin HCl Injeksi 0,1% - 1 ml ampul 0 0
61 Eritromicin kapsul 250 mg kapsul 0 0
62 Eritromicin kapsul 500 mg kapsul 60 60
63 Eritromisin sirup 200 mg/ 5 ml botol 21 21
64 Etakridin (Rivanol) 0,1% botol 10 10
65 Etambutol tablet 500 mg tablet 0 0
66 Etanol (alkohol) 70 % - 100 ml botol 0 5 5
67 Ethambutol 250 mg tablet 0 0
68 Extrak Beladonna tablet 10 mg tablet 0 0
69 Fenilbutazon 200 mg tablet tablet 0 0
70 Fenitoin Natrium 30 mg Kapsul kapsul 0 0
71 Fenobarbital (Luminal) Injeksi 50 mg / ml ampul 0 0
72 Fenobarbital (Luminal) tablet 30 mg tablet 67 67
73 Fenoksimetil phenisilin tablet 250 mg tablet 393 393
74 Fenoksimetil phenisilin tablet 500 mg tablet 600 600
75 Fenol Gliserol Tetes Telinga 10% botol 7 24 31
0 0
77 Fitomenadion (Vit K) Injeksi 10 mg/ ml ampul 0 0
78 Fitomenadion (Vit. K) tablet 10 mg tablet 171 171
79 Fluconazol tablet 150 mg tablet 0 0
80 Fludane Sir botol 52 72 124
0 0
82 Furosemida tablet 40 mg tablet 0 130 130
83 Garam Oralit II (200ml) Serbuk sace 222 800 1022
84 Gentamisin Injeksi 80 mg / 2,5 ml ampul 0 0
85 Gentamisin Salep Kulit 0,1 % tube 9 24 33
86 Gentian Violet botol 12 19 31
87 Glibenclamide tablet 5 mg tablet 214 100 314
88 Glimepiride 1 mg tablet 426 500 926
89 Glimepiride 2 mg tablet tablet 39 300 339
90 Gliserin Cairan 100ml botol 0 0
91 Glukosa Lar. Steril Cairan Infus 5% botol 0 0
92 Griseofulvin tablet 125 mg tablet 400 400
93 Griseril Guaiakolat tablet 100 mg tablet 850 2000 2850
94 Hallperidol 1,5 mg tablet 0 0
96 Haloperidol tablet 1.5 mg tablet 0 0
97 Haloperidol tablet 5 mg tablet 130 800 930
98 Hidrochlortiazid (HCT) tablet 25 mg tablet 417 417
99 Hidrokortison 1% cream tube 24 24
100 Hidrokortison Krim 2,5% tube 64 64
101 Hyoscine N-Butyl Bromida (Scopma) tablet 85 85
102 Ibuprofen suspensi 100 mg / 5 ml tablet 0 0
103 Ibuprofen tablet 200 mg tablet 0 0
104 Ibuprofen tablet 400 mg tablet 1306 2700 4006
105 Isoniazide tablet 100 mg tablet 0 0
106 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0 95 95
107 Kalium Aspartat (KSR) tablet 233 233
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 553 2000 2553
109 Kaptopril tablet 12.5 mg tablet 198 198
110 Kaptopril tablet 25 mg tablet 570 570
111 Karbamazepine tablet 200 mg tablet 0 0
112 Ketokonazole tablet 200 mg tablet 446 300 746
113 Ketorolac Inj ampul 0 0
114 Klindamisin kapsul 300 mg kapsul 0 0
115 Kloramfenicol kapsul 250 mg kapsul 2000 2000
116 Kloramfenikol Salep Mata 1 % tube 13 110 123
117 Kloramfenikol Suspensi 60 ml botol 0 0
118 Kloramfenikol Tetes Mata 0,5 % botol 0 0
119 Kloramfenikol Tetes Telinga 3% botol 15 25 40
120 Klorampenicol SK (Bufacetin) tube 12 24 36
121 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 306 5000 5306
122 Klorpromazine HCl tablet salut 25 mg tablet 1196 1196
123 Klorpromazine HCl tablet salut 100 mg tablet 165 900 1065
124 Kotrimoksazol Suspensi 60 ml botol 120 120
125 Kotrimoxazol tablet dewasa tablet 0 800 800
126 Kotrimoxazol tablet pediatrik tablet 0 0
127 Laksadin Susp botol 3 5 8
128 Lansoprazol kapsul 153 153
129 botol
0 0
130 Lidokain Injeksi (Pehacain) ampul 0 110 110
131 Lidokain Injeksi 2 % /ml ampul 0 0
132 Loperamide kapsul 893 893
133 Magnesium Sulfat 20% - 25 ml vial 0 0
134 Magnesium Sulfat 40% - 25 ml vial 0 0
135 Meloxicam tablet 15 mg tablet 26 910 936
136 Metformin tablet 500 mg tablet 75 1500 1575
137 Methyl Prednisolon 4 mg ampul 191 191
138 Methyldopa 250 mg (Dopamet) tablet 65 65
139 tablet
salut 0,125 mg 54 54
140 Metilergometrin Maleat Injeksi 0,2mg/ml ampul 0 0
141 Metochlorpramide Injeksi 5 mg/ ml ampul 0 0
142 Metochlorpramide tablet 10 mg tablet 315 315
143 Metoklopramide Sir (Leksapram) botol 0 0
144 Metronidazol OV (Flagyl OV) supp 0 0
145 Metronidazol Sir (Farizol Susp) botol 3 3
146 Metronidazole tablet 250 mg tablet 0 0
148 Mikonazol Krim 2% tube 38 48 86
149 Miniaspi 80 mg tablet 110 110
150 Misoprostol (Gastrul) tablet 0 0
218 1400 1618
152 Multivitamin Sirup Anak (Sanvita B Sir) botol 0 100 100
153 Natrium Bikarbonat tablet 500 mg tablet 0 0
154 Natrium Diklofenak tablet 50 mg tablet 309 1000 1309
0 0
156 Nifedipine tablet 10 mg tablet 149 149
157 Nistatin tablet 500.000 IU tablet 127 100 227
158 Nistatin tablet vaginal 100.000 IU supp 4 70 74
159 Obat Antituberkolosa FDC 1/3 paket 0 0
160 Obat Batuk Hitam (OBH) Sirup 100 ml botol 0 350 350
161 Obat Flu Sirup (Molexflu Sirup) botol 0 0
162 Obat Flu Sirup (Ponflu) botol 33 167 200
163 Obat Flu Tab (Ponflu tab) botol 435 1700 2135
164 Ofloksacin tablet 19 19
165 Oksitetrasiklin HCl Injeksi 50 mg/ ml ampul 0 0
166 Oksitetrasiklin HCl Salep Kulit 3% tube 0 0
167 Oksitetrasiklin HCl Salep Mata 1 % tube 0 0
168 Oksitosin Injeksi 10 IU/ml ampul 0 0
169 Omeprazole Caps kapsul 288 150 438
170 Ondansentron Inj ampul 0 0
171 Paracetamol 500mg tablet tablet 590 16000 16590
172 Paracetamol drops tetes 60 mg / 0,6 ml botol 9 86 95
173 Parasetamol Sirup 120 mg/ 5 ml botol 80 320 400
174 Parasetamol tablet 100 mg tablet 0 300 300
175 Perak Sulfadiazin (Burnazin) tube 0 2 2
176 Permetrin salep 5% (Scabimite cr) tube 23 30 53
177 Pirantel Pamoat tablet 125 mg tablet 4 80 84
178 pirantel Susp botol 0 0
179 Pirazinamide tablet 500 mg tablet 0 0
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 1160 2600 3760
181 Piroxicam 10 mg tablet 963 1000 1963
182 Piroxicam kapsul 20 mg kapsul 0 1300 1300
183 Povidon Iodida 10% Cairan 300ml botol 0 0
184 Povidon Iodida 10% Cairan 30ml botol 1 5 6
185 Prednisone tablet 5 mg tablet 0 0
186 Propanolol tablet 40 mg tablet 124 124
187 Propil Tio Urasil tablet 100 mg tablet 0 0
188 Puralex Tab tablet 229 700 929
189 Ranitidin Injeksi 25 mg/ ml ampul 0 0
190 Ranitidine tablet 150 mg tablet 916 6500 7416
191 Reserpin tablet 25 mg tablet 0 0
192 Rifampicin kapsul 300 mg tablet 0 0
193 Ringer Laktat Cairan Infus 500 ml botol 0 0
194 Salbutamol 2 mg tablet 684 684
195 Salbutamol Inhalasi 100 mcg can 0 0
196 Salbutamol Nebulizer 1 mg/ ml-2,5ml ampul 0 0
197 Salbutamol plus inprotorium nebulizaer ampul 0 0
199 tube
Belerang endap 4% 16 16
200 tube
plasenta+neomisin (Bioplasenton) 6 6
201 Salisil Bedak 2% - 50 gram kotak 7 68 75
202 Samcodryl Sir botol 21 100 121
203 sanadryl Sir botol 0 0
204 botol
ml 0 0
205 Sianokobalamin (Vit. B12) tablet 50 mcg ampul 0 0
206 Simvastatin tablet 10 mg tablet 742 750 1492
207 Siprofloxacin tablet 500 mg tablet 130 500 630
208 Spirinolakton tablet 25 mg tablet 0 0
209 Sucralfat Susp tablet 0 0
210 Sucralfat Tab (Ulsidex) botol 612 1000 1612
211 Sulfasetamid Na Tetes Mata 15% tablet 0 0
212 Tetrasiklin kapsul 250 mg botol 0 0
213 Tetrasiklin kapsul 500 mg tablet 0 0
214 Tiamfenicole kapsul 500 mg tablet 69 69
215 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml tablet 0 0
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 536 5000 5536
217 Trihexifenidril Hidroksida tablet 2 mg tablet 306 600 906
218 Vagizol Ovula tablet 9 40 49
219 Vitamin B Kompleks tablet tablet 867 1700 2567
220 Xylestesin inj tablet 0 0
221 Xylocain 2% Gel tube 0 0
222 Zink syrup botol 1 1
223 Zink tablet 200 mg dispersible tablet 583 500 1083
224 Lacto B pcs 0 2 2
225 Candistatin drops Botol 2 2
226 Dexaharson tablet 0 0
227 Erlamycetin Tetes Mata botol 23 30 53
228 Erlamycetin Tetes Telinga botol 15 15
229 Levofloxacin botol 0 0
230 Ambeven Tablet 0 100 100
231 Alinamin tablet 0 30 30
232 Anelat (Asam Folat) tablet 7 7
233 Borak Gliserin botol 11 24 35
234 Cazetin Drops botol 0 5 5
235 Mucogard syr (Sucralfate) Botol 0 0
Cefixime 100 mg Kapsul 72 500 572
Dumin 120 mg Supp 0 0
Bisoprolol 5 mg tab 24 24
Gemfibrozil 300 mg cap 80 80
0 0
BMHP 0 0
0 0
235 Alat Suntik 10 ml pcs 0 0
236 Alat Suntik sekali pakai 1 ml pcs 0 0
237 Alat Suntik sekali pakai 2,5 ml / 3 ml pcs 0 200 200
238 Alat Suntik sekali pakai 5 ml pcs 0 0
239 Balon Karet Pinguin buah 0 0
240 Bisturi pcs 0 12 12
241 Canula Oksigen Anak set 0 0
242 Canula Oksigen Dewasa set 0 0
243 Canula Oksigen Neonatus set 0 0
244 Catgut/Benang bedah No.2/0 sase 0 0
245 Catgut/Benang bedah No.3/0 sase 0 0
246 Clorin botol 0 0
247 Foley catheter 16 pcs 0 0
250 Gelydopler 5 L botol 0 0
251 Hydrogen Piroksida H2O2 3 % botol 0 0
252 Infusion set anak bks 0 0
253 Infusion set dewasa bks 0 0
254 IV. Catheter No. 18 pcs 0 0
259 Jarum hekting No 6 buah 0 0
260 Jarum hekting No 8 buah 0 0
261 Jarum Hekting No. 10 buah 0 0
262 Kantong keresek sampah 0 0
263 Kapas Pembalut/Absorben 250 gram bks 0 3 3
264 Kasa Gulung 36 m x 80 cm bks 0 0
265 Kasa Pembalut Hidrofil 4 m x 10 cm bks 0 0
266 Kasa Pembalut Hidrofil 4 m x 5 cm bks 0 0
267 Kasa steril framisetin ( lomatull ) sase 0 10 10
268 Kasa sterill 16 x 16 cm kotak 0 36 36
269 Lisol botol 0 0
270 Masker 3 ply pcs 0 0
271 Masker N 95 pcs 0 0
272 Muccus ekstraktor pcs 0 0
273 Plester 5 yards x 2 inch roll 0 0
274 Sarung tangan non steril 7 G psg 0 0
275 Sarung Tangan Obgyn pasang 0 0
276 Sarung tangan steril Disposible 7 G psg 0 100 100
277 Selang Nebulizer set 0 0
278 sase
dengan jarum bedah 0 0
279 Umbilical Klem pcs 0 0
280 Underpad lbr 0 0
281 Urin Bag set 0 0
One Med antiseptic gel 0 2 2
0 0
BAHAN GIGI 0 0
0 0
282 Bahan preventive gigi ( white varnish ) sase 0 0
283 Air Raksa Botol 0 0
284 Alloy Amalgan set 0 0
285 Bahan Tambal Sinar (Composit) set 0 0
286 Bahan Tambalan sementara ( caviton ) tube 0 0
287 Cresopet botol 0 0
288 desinfektan Cair (Viorex) botol 0 0
289 Devital pot 0 0
290 Disclosing Solution botol 0 0
291 Etil Klorida Cairan Semprot 100 ml botol 0 3 3
292 Eugenol botol 0 0
293 Glass Ionomer semen ART ( Ketac molar ) paket 0 0
294 Gutta percha points 15-40 set 0 0
295 Kalsium Hidroksida Pasta tube 0 0
296 Klor Fenol kamfer ( CHKM ) tube 0 0
297 Larutan Klorheksidin Plus Alal (Aseptan) botol 0 0
298 Larutan TSR ( Tooth Stain Remover ) botol 0 0
299
Eugenol ( Alvogyl ) tube 0 0
300 Olie Pelumas Dental Unit botol 0 0
301 Paper point absorbent 15-40 set 0 0
302 Reagen Hemoglobin C botol 0 0
303 Seluloid strip pcs 0 0
304 Semen seng Powder dan Liquid botol 0 0
0 0
LABORATORIUM 0 0
0 0
305 Larutan Natrium Sitrat botol 0 0
306 Larutan Natrium Oksalat botol 0 0
307 Reagen GOLDAR buah 0 0
308 PP Test buah 0 0
309 Ose buah 0 0
310 Widal Test set 0 0
311 Asam Sulfosalisilat botol 0 0
312 Emersi Oil botol 0 0
313 Kolesterol Srip 0 0
314 Asam urat strip 0 0
315 Reagen BTA 0 0
316 Urin strip 10 parameter 0 0
317 Reagen Rapid Dengue NS 0 0
BPJS GRATIS KIS JAMKESMAS

1729 98 18 2
R PERMINTAAN OBAT (LPLPO)
AS RANCAEKEK DTP
PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN ED
0
599 354
390 52
0
294
0
3 82
2367 424
1611 319
50 21
0
0
7210 4210
915 300
122 15
0
1094 120
135 89
760 1070
3 0
0
2 21
67 1
0
0
1800 1372
10 0
1150 518
0
15 18
129 156
0
7 42
21 0
190 3
1027 73
18 18
53 74
6 18
0
0
0
1900 10
1000
0
2761 84
0
2260 554
0
0
120 79
0
84
267 170
0
9 41
124 384
3 0
0
0
0
60
21
4 6
0
5 0
0
0
0
0
0
1 66
393
70 530
23 8
0
0
124 47
0
29 95
0
130
764 258
0
33 0
6 25
137 177
521 405
125 214
0
0
288 112
2450 400
0
70 130
0
830 100
117 300
3 21
40 24
80 5
0
0
3699 307
0
95
233
2053 500
198
70 500
0
93 653
0
0
1100 900
108 15
0
0
19 21
9 27
5190 116
681 515
239 826
90 30
229 571
0
5 3
23 130
0
110 0
0
608 285
0
0
916 20
1412 163
92 99
20 45
10 44
0
0
5 310
0
0
3
0
451 58
85 1
60 50
0
1530 88
89 11
0
1166 143
0
1 148
132 95
65 9
0
305 45
0
142 58
2014 121
19
0
0
0
0
301 137
0
13900 2690
79 16
386 14
300 0
2
53 0
9 75
0
0
2882 878
1463 500
1277 23
0
5 1
0
124
0
533 396
0
6824 592
0
0
0
427 257
0
0
0
110 190
8 8
6 0
67 8
99 22
0
0
0
773 719
186 444
0
0
640 972
0
0
0
30 39
0
2536 3000
886 20
4 45
2567 0
0
0
1 0
550 533
2 0
2
0
53 0
15 0
0
20 80
20 10
7 0
16 19
2 3
0
478 94
0
11 13
80
0
0
0
0
0
200 0
0
0
12 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
10 0
36 0
0
0
0
0
0
0
0
100 0
0
0
0
0
0
2 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
Rancaekek 6 Oktober 2016
UMUM JUMLAH Penanggung Jawab Loket Obat

2726 4573 Puskesmas Rancaekek DTP

NIP. 197703131998032001
CATATAN HARIAN P
LOKET OBAT PUSMESM
BULAN : OKTOBER 2016
NO NAMA OBAT SATUAN

1 2 3 4 5 6 7 8 9 10
1 Albendazole tablet 400 mg tablet
2 Allopurinol tablet 100 mg tablet
3 Ambroxol sirup 15 mg/ 5 ml botol
4 Ambroxol tablet 30 mg tablet
5 Aminofilin tablet 200 mg tablet
6 Aminofilin Injeksi ampul
7 Amitriptilin Tablet 25 mg tablet
8 Amlodipin Tablet 10 mg tablet
9 Amlodipine 5 mg tablet
10 Amoksisilin Forte DS botol
11 Amoksisilin iinj ampul
12 Amoxan Drops botol
13 Amoxicillin kaplet 500 mg kaplet
14 Amoxicillin kapsul 250 mg kapsul
Amoxicillin sirup kering 125 mg/ 5
15 botol
ml
16 Ampisilin inj ampul
Antalgin (Metampiron) tablet 500
17 tablet
mg
18 Antasida DOEN suspensi botol
19 Antasida DOEN tablet tablet
Antidiare Nonspesifik Sirup (Neo
20 botol
Kaominal)
Antidiare Nonspesifik tablet
21 tablet
(Molagit)
Antifungi DOEN salep kombinasi
22 Asam Benzoat 6% + Asam Salisilat tube
3%)
23 Antihemoroid DOEN Suppositoria tablet
Antimigren DOEN tablet
24 ( Kombinasi : Ergotamin tartrat 1 tablet
mg + Cofein 50 mg )
Aqua Pro Injeksi Steril bebas
25 vial
Pirogen
26 Asam Askorbat (Vit. C) tablet 50 mg tablet
27 Asam Folat tablet 1 mg tablet

28 Asam Mefenamat tablet 500 mg tablet
29 Asetosal 100 mg tab tablet
30 Asiklovir krim 5% tube
31 Asiklovir tablet 400 mg tablet
32 Atropin Injeksi 0,25 mg / ml - 1 ml ampul
33 Azitromisin 500 MG tablet

34 Besi (Fe) tablet tablet
35 Betametason krim 0.1 % tube
36 Cefadroxil 500 mg Caps kapsul
37 Cefaddroxil 125 mg DS botol
38 Cefadroxil Forte DS botol
39 Cefiksim DS botol
40 Cefiksim 200 mg kapsul
41 Ceftriaxone injeksi Vial
42 Cefotaxime inj vial
43 Cetirizine tablet
44 Cimetidin Tablet
45 Clorpromazin 100 mg tablet
46 Corsaneuron tablet
47 Dexametasone injeksi 5mg ampul
48 Dexametasone tablet 0,5 mg tablet
49 Diazepam Injeksi 5 mg /ml - 2ml ampul
50 Diazepam Rectal 5 mg ampul
51 Diazepam Tablet 2 mg tablet
52 Difenhidramin HCl Injeksi 10 mg/ ml ampul
53 Digoxin tablet 0,25 mg tablet

54 Dimenhydrinate 50 mg tablet
55 Doksisiklin tablet
56 Domperidon Sir (hufadon) botol
57 Domperidone tablet 10 mg tablet
58 Dulcolak Supp Inf supp
59 Efedrin HCl tablet 25 mg tablet
60 Epinefrin HCl Injeksi 0,1% - 1 ml ampul
61 Eritromicin kapsul 250 mg kapsul
63 Eritromisin sirup 200 mg/ 5 ml botol
64 Etakridin (Rivanol) 0,1% botol
65 Etambutol tablet 500 mg tablet
66 Etanol (alkohol) 70 % - 100 ml botol
67 Ethambutol 250 mg tablet
68 Extrak Beladonna tablet 10 mg tablet
69 Fenilbutazon 200 mg tablet tablet
70 Fenitoin Natrium 30 mg Kapsul kapsul
Fenobarbital (Luminal) Injeksi 50
71 ampul
mg / ml
72 Fenobarbital (Luminal) tablet 30 mg tablet
Fenoksimetil phenisilin tablet 250
73 tablet
mg
Fenoksimetil phenisilin tablet 500
74 tablet
mg
75 Fenol Gliserol Tetes Telinga 10% botol
Fitomenadion ( Vit K) inj 2 mg
76 ampul
(Vitka Infant)
Fitomenadion (Vit K) Injeksi 10 mg/
77 ampul
ml
78 Fitomenadion (Vit. K) tablet 10 mg tablet
79 Fluconazol tablet 150 mg tablet

80 Fludane Sir botol
Furosemida Injeksi iv / im- 10 mg/
81 ampul
ml- 2 ml
82 Furosemida tablet 40 mg tablet
83 Garam Oralit II (200ml) Serbuk sace
84 Gentamisin Injeksi 80 mg / 2,5 ml ampul
85 Gentamisin Salep Kulit 0,1 % tube

86 Gentian Violet botol
87 Glibenclamide tablet 5 mg tablet
88 Glimepiride 1 mg tablet
89 Glimepiride 2 mg tablet tablet
90 Gliserin Cairan 100ml botol
91 Glukosa Lar. Steril Cairan Infus 5% botol
92 Griseofulvin tablet 125 mg tablet

93 Griseril Guaiakolat tablet 100 mg tablet
94 Hallperidol 1,5 mg tablet
95 Haloperidol tablet 0.5 mg tablet
97 Haloperidol tablet 5 mg tablet
98 Hidrochlortiazid (HCT) tablet 25 mg

tablet
99 Hidrokortison 1% cream tube
100 Hidrokortison Krim 2,5% tube
101 Hyoscine N-Butyl Bromida (Scopma) tablet
102 Ibuprofen suspensi 100 mg / 5 ml tablet
103 Ibuprofen tablet 200 mg tablet
105 Isoniazide tablet 100 mg tablet
Isosorbid Dinitrat tablet sublingual 5
106
mg tablet
107 Kalium Aspartat (KSR) tablet
108 Kalsium Laktat (Kalk) tablet 500 mg tablet
109 Kaptopril tablet 12.5 mg tablet

110 Kaptopril tablet 25 mg tablet
111 Karbamazepine tablet 200 mg tablet
112 Ketokonazole tablet 200 mg tablet
113 Ketorolac Inj ampul
114 Klindamisin kapsul 300 mg kapsul
115 Kloramfenicol kapsul 250 mg kapsul
116 Kloramfenikol Salep Mata 1 % tube
117 Kloramfenikol Suspensi 60 ml botol
118 Kloramfenikol Tetes Mata 0,5 % botol
119 Kloramfenikol Tetes Telinga 3% botol
120 Klorampenicol SK (Bufacetin) tube
Klorfeniramin Maleat (CTM) tablet 4
121 tablet
mg
Klorpromazine HCl tablet salut 25
122 tablet
mg
123 tablet
mg
124 Kotrimoksazol Suspensi 60 ml botol
125 Kotrimoxazol tablet dewasa tablet
126 Kotrimoxazol tablet pediatrik tablet
127 Laksadin Susp botol
128 Lansoprazol kapsul
129 Metakresol sulfonat dan metanal botol
360 mg/g
130 Lidokain Injeksi (Pehacain) ampul
131 Lidokain Injeksi 2 % /ml ampul
132 Loperamide kapsul
133 Magnesium Sulfat 20% - 25 ml vial
135 Meloxicam tablet 15 mg tablet
136 Metformin tablet 500 mg tablet
137 Methyl Prednisolon 4 mg ampul
138 Methyldopa 250 mg (Dopamet) tablet
Metilergometrin Maleat (Metergin)
139 tablet
tablet salut 0,125 mg
Metilergometrin Maleat Injeksi
140 ampul
0,2mg/ml
141 Metochlorpramide Injeksi 5 mg/ ml
ampul
142 Metochlorpramide tablet 10 mg tablet
143 Metoklopramide Sir (Leksapram) botol
144 Metronidazol OV (Flagyl OV) supp
145 Metronidazol Sir (Farizol Susp) botol
146 Metronidazole tablet 250 mg tablet
148 Mikonazol Krim 2% tube
149 Miniaspi 80 mg tablet
150 Misoprostol (Gastrul) tablet
Multivitamin Dewasa Kapsul
151 botol
(Samcobion)
Multivitamin Sirup Anak (Sanvita B
152 botol
Sir)
153 Natrium Bikarbonat tablet 500 mg tablet
154 Natrium Diklofenak tablet 50 mg tablet
Natrium Klorida Cairan Infus 0,9%
155 tablet
500 ml
156 Nifedipine tablet 10 mg tablet
157 Nistatin tablet 500.000 IU tablet
158 Nistatin tablet vaginal 100.000 IU supp
159 Obat Antituberkolosa FDC 1/3 paket
Obat Batuk Hitam (OBH) Sirup 100
160 botol
ml
161 Obat Flu Sirup (Molexflu Sirup) botol
162 Obat Flu Sirup (Ponflu) botol
163 Obat Flu Tab (Ponflu tab) botol
164 Ofloksacin tablet
165 Oksitetrasiklin HCl Injeksi 50 mg/ ml ampul
166 Oksitetrasiklin HCl Salep Kulit 3% tube
167 Oksitetrasiklin HCl Salep Mata 1 % tube
168 Oksitosin Injeksi 10 IU/ml ampul

169 Omeprazole Caps kapsul
170 Ondansentron Inj ampul
171 Paracetamol 500mg tablet tablet
Paracetamol drops tetes 60 mg /
172 botol
0,6 ml
173 Parasetamol Sirup 120 mg/ 5 ml botol
174 Parasetamol tablet 100 mg tablet
175 Perak Sulfadiazin (Burnazin) tube
176 Permetrin salep 5% (Scabimite cr) tube
177 Pirantel Pamoat tablet 125 mg tablet

178 pirantel Susp botol
179 Pirazinamide tablet 500 mg tablet
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet
181 Piroxicam 10 mg tablet

182 Piroxicam kapsul 20 mg kapsul
183 Povidon Iodida 10% Cairan 300ml botol
185 Prednisone tablet 5 mg tablet
186 Propanolol tablet 40 mg tablet
187 Propil Tio Urasil tablet 100 mg tablet
188 Puralex Tab tablet
189 Ranitidin Injeksi 25 mg/ ml ampul
190 Ranitidine tablet 150 mg tablet
191 Reserpin tablet 25 mg tablet
192 Rifampicin kapsul 300 mg tablet
193 Ringer Laktat Cairan Infus 500 ml botol
194 Salbutamol 2 mg tablet
195 Salbutamol Inhalasi 100 mcg can
Salbutamol Nebulizer 1 mg/ ml-
196 ampul
2,5ml
Salbutamol plus inprotorium
197 ampul
nebulizaer
198 Salbutamol tablet 4 mg tablet
Salep 2-4 kombinasi : Asam

199 tube
Salisilat 2% + Belerang endap 4%

200 tube
plasenta+neomisin (Bioplasenton)
201 Salisil Bedak 2% - 50 gram kotak

202 Samcodryl Sir botol
203 sanadryl Sir botol
Sianokobalamin (Vit B12) Injeksi
204 botol
500 mcg/ ml
Sianokobalamin (Vit. B12) tablet 50
205 ampul
mcg
206 Simvastatin tablet 10 mg tablet
207 Siprofloxacin tablet 500 mg tablet
208 Spirinolakton tablet 25 mg tablet
209 Sucralfat Susp tablet
210 Sucralfat Tab (Ulsidex) botol
211 Sulfasetamid Na Tetes Mata 15% tablet
212 Tetrasiklin kapsul 250 mg botol
213 Tetrasiklin kapsul 500 mg tablet
214 Tiamfenicole kapsul 500 mg tablet
Tiamin HCl (Vit B1) Injeksi 100 mg/
215 tablet
ml
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul
Trihexifenidril Hidroksida tablet 2
217
mg tablet
218 Vagizol Ovula tablet
219 Vitamin B Kompleks tablet tablet
220 Xylestesin inj tablet
221 Xylocain 2% Gel tube
222 Zink syrup botol
223 Zink tablet 200 mg dispersible tablet
224 Lacto B pcs
225 Candistatin drops Botol
226 Dexaharson tablet
227 Erlamycetin Tetes Mata botol
228 Erlamycetin Tetes Telinga botol
229 Levofloxacin botol
230 Ambeven Tablet
231 Alinamin tablet
232 Anelat (Asam Folat) tablet
233 Borak Gliserin botol
234 Cazetin Drops botol
235 Mucogard syr (Sucralfate) Botol
Cefixime 100 mg Kapsul
Dumin 120 mg Supp
Bisoprolol 5 mg tab
Gemfibrozil 300 mg cap
BMHP
235 Alat Suntik 10 ml pcs

236 Alat Suntik sekali pakai 1 ml pcs
Alat Suntik sekali pakai 2,5 ml / 3
237 pcs
ml
239 Balon Karet Pinguin buah
240 Bisturi pcs
241 Canula Oksigen Anak set
242 Canula Oksigen Dewasa set
243 Canula Oksigen Neonatus set
244 Catgut/Benang bedah No.2/0 sase
246 Clorin botol
247 Foley catheter 16 pcs
250 Gelydopler 5 L botol
251 Hydrogen Piroksida H2O2 3 % botol
252 Infusion set anak bks
253 Infusion set dewasa bks
254 IV. Catheter No. 18 pcs
259 Jarum hekting No 6 buah
261 Jarum Hekting No. 10 buah
262 Kantong keresek sampah
Kapas Pembalut/Absorben 250
263 bks
gram
264 Kasa Gulung 36 m x 80 cm bks
265 Kasa Pembalut Hidrofil 4 m x 10 cm bks
267 Kasa steril framisetin ( lomatull ) sase

268 Kasa sterill 16 x 16 cm kotak
269 Lisol botol
270 Masker 3 ply pcs
271 Masker N 95 pcs
272 Muccus ekstraktor pcs
273 Plester 5 yards x 2 inch roll
274 Sarung tangan non steril 7 G psg
275 Sarung Tangan Obgyn pasang
Sarung tangan steril Disposible 7
276 psg
G
277 Selang Nebulizer set
Silk ( Benang Bedah Sutera ) No.
278 sase
3/0 dengan jarum bedah
279 Umbilical Klem pcs
280 Underpad lbr
281 Urin Bag set
BAHAN GIGI
282 Bahan preventive gigi ( white varnish sase

283 Air Raksa Botol
284 Alloy Amalgan set
285 Bahan Tambal Sinar (Composit) set
286 Bahan Tambalan sementara ( caviton tube
287 Cresopet botol
288 desinfektan Cair (Viorex) botol
289 Devital pot
290 Disclosing Solution botol
291 Etil Klorida Cairan Semprot 100 ml botol
292 Eugenol botol
293 Glass Ionomer semen ART ( Ketac mo paket
294 Gutta percha points 15-40 set
295 Kalsium Hidroksida Pasta tube
296 Klor Fenol kamfer ( CHKM ) tube
297 Larutan Klorheksidin Plus Alal (Asep botol
298 Larutan TSR ( Tooth Stain Remover botol
Obat Bahan gigi komb : Butamben,
299
Iodorm, Eugenol ( Alvogyl )
tube
300 Olie Pelumas Dental Unit botol
301 Paper point absorbent 15-40 set
302 Reagen Hemoglobin C botol
303 Seluloid strip pcs
304 Semen seng Powder dan Liquid botol
LABORATORIUM
305 Larutan Natrium Sitrat botol

306 Larutan Natrium Oksalat botol
307 Reagen GOLDAR buah
308 PP Test buah
309 Ose buah
310 Widal Test set
311 Asam Sulfosalisilat botol
312 Emersi Oil botol
313 Kolesterol Srip
314 Asam urat strip
315 Reagen BTA
316 Urin strip 10 parameter
317 Reagen Rapid Dengue NS
ATATAN HARIAN PEMAKAIAN OBAT
ET OBAT PUSMESMAS RANCAEKEK DTP
TANGGAL
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
26 26
15 16 13
10
3
67 125 98
75 85 65
4 1 13
390 355 250

70 40 50
2 5 1
66 68 54
7 6 10
110 20 96
10 20
22 35 31
100 20 70
1 1
50 20
10 450 15
8 5 2
50 60 20
1 2
4 4 3
40
60
90 6
118
192 112
20
20 10
2
10
70 10
20
1
55 20 65
2
2
65 5 6
5 10
234 172 239
60
1
20 1
174 112 138
36 231 38
40 10
20
20 10
4
3 5 2
294 322 278
4 6
84 36 78
45 50 45
10
10 20 20
1 6 4
10 35 20
6 4
30
44 16 50
6 6
5 5
6 12 4
240 70 50
40 10 35
348 675 453
1 1
5 7 22
16 100 29
54 122
260 440 256
15 40
20
1 8
5 20 10
10
20 10
54 20 80
60
388 280
30 70
JUMLAH
29 30 31
0
25 52
13 29 57
0
5 10
0
3
60 80 350
55 110 280
1 1 19
0
0
375 440 1370
20 40 180
1 6 9
0
48 96 236
7 14 30
74 12 300
30
0
4 0
47 19 135
0
40 190
0
1 1 3
10 12 80
0
0
100 475
2 12 17
10 30 140
3
1 2 12
1 0
20 32 60
0
0
0
0
60
50 142 146
73 191
87 304
0
0
20
0
0
20 30
0
1 3
10
0
0
0
0
0
0
1
0
0
0
0
0
0
80
20
1 1 2
10 10 10
0
0
5
0
0
40 30 180
0
2
2
0
20 96
18 15
0
0
0
44 120 689
0
0
0
9 60
0
1 2
1 21
0
0
0
70 136 494
0
0
0
87 113 392
50
0
0
5 25
0
0
30
1 7 5
2 0
1
0
1 3 11
200 350 1094
60 0
0
1 11
198
0
0
0
0
0
0
10 0
0
0
0
20 90 160
10 10
0
0
0
0
0
0
0
30 40 80
4 5 15
0
0
15 75 80
7 6 17
30
58 168
0
0
12
10
0
0
0
14 22
170 360
0
1 0
0
5 35 90
0
331 719 1807
2 4
11 15 45
0
0
0
0
0
10 10
147 124 292

90 122 266
0
0
0
0
0
0
20 20
0
228 416 1184
0
66 0
0
23 78
0
0
10 30
0
0
3 12 12
0
0
5 5 40
20 30
0
0
20 30
0
0
0
30 0
20 154
0
60 60
0
119 297 787
0
0
0
60 30 160
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN PEMEKAIN DAN LEMBAR PERMINTAAN OBAT (LP
BULAN SEPTEMBER 2016
NO NAMA OBAT SATUAN STOK AWAL PENERIMAN PERSEDIAAN
1 Albendazole tablet 400 mg tablet 0

2 Allopurinol tablet 100 mg tablet 354
3 Ambroxol sirup 15 mg/ 5 ml botol 52
4 Ambroxol tablet 30 mg tablet 0
5 Aminofilin tablet 200 mg tablet 294
6 Aminofilin Injeksi ampul 0
7 Amitriptilin Tablet 25 mg tablet 82
8 Amlodipin Tablet 10 mg tablet 424
9 Amlodipine 5 mg tablet 319
10 Amoksisilin Forte DS botol 21
11 Amoksisilin iinj ampul 0
12 Amoxan Drops botol 0
13 Amoxicillin kaplet 500 mg kaplet 4210
14 Amoxicillin kapsul 250 mg kapsul 300
15 Amoxicillin sirup kering 125 mg/ 5 ml botol 15
16 Ampisilin inj ampul 0
17 Antalgin (Metampiron) tablet 500 mg tablet 120
18 Antasida DOEN suspensi botol 89
19 Antasida DOEN tablet tablet 1070
0
21 Antidiare Nonspesifik tablet (Molagit) tablet 0
22 tube
Benzoat 6% + Asam Salisilat 3%) 21
23 Antihemoroid DOEN Suppositoria tablet 1
24 tablet
Ergotamin tartrat 1 mg + Cofein 50 mg ) 0
25 Aqua Pro Injeksi Steril bebas Pirogen vial 0
26 Asam Askorbat (Vit. C) tablet 50 mg tablet 1372
27 Asam Folat tablet 1 mg tablet 0
28 Asam Mefenamat tablet 500 mg tablet 518
29 Asetosal 100 mg tab tablet 0
30 Asiklovir krim 5% tube 18
31 Asiklovir tablet 400 mg tablet 156
32 Atropin Injeksi 0,25 mg / ml - 1 ml ampul 0
33 Azitromisin 500 MG tablet 42
34 Besi (Fe) tablet tablet 0
35 Betametason krim 0.1 % tube 3
36 Cefadroxil 500 mg Caps kapsul 73
37 Cefaddroxil 125 mg DS botol 18
38 Cefadroxil Forte DS botol 74
39 Cefiksim DS botol 18
40 Cefiksim 200 mg kapsul 0
41 Ceftriaxone injeksi Vial 0
42 Cefotaxime inj vial 0
43 Cetirizine tablet 10
44 Cimetidin Tablet 1000
45 Clorpromazin 100 mg tablet 0
46 Corsaneuron tablet 84
47 Dexametasone injeksi 5mg ampul 0
48 Dexametasone tablet 0,5 mg tablet 554
49 Diazepam Injeksi 5 mg /ml - 2ml ampul 0
50 Diazepam Rectal 5 mg ampul 0
51 Diazepam Tablet 2 mg tablet 79
52 Difenhidramin HCl Injeksi 10 mg/ ml ampul 0
53 Digoxin tablet 0,25 mg tablet 84
54 Dimenhydrinate 50 mg tablet 170
55 Doksisiklin tablet 0
56 Domperidon Sir (hufadon) botol 41
57 Domperidone tablet 10 mg tablet 384
58 Dulcolak Supp Inf supp 0
59 Efedrin HCl tablet 25 mg tablet 0
60 Epinefrin HCl Injeksi 0,1% - 1 ml ampul 0
61 Eritromicin kapsul 250 mg kapsul 0
63 Eritromisin sirup 200 mg/ 5 ml botol 21
64 Etakridin (Rivanol) 0,1% botol 6
65 Etambutol tablet 500 mg tablet 0
66 Etanol (alkohol) 70 % - 100 ml botol 0
67 Ethambutol 250 mg tablet 0
68 Extrak Beladonna tablet 10 mg tablet 0
69 Fenilbutazon 200 mg tablet tablet 0
70 Fenitoin Natrium 30 mg Kapsul kapsul 0
71 Fenobarbital (Luminal) Injeksi 50 mg / ml ampul 0
72 Fenobarbital (Luminal) tablet 30 mg tablet 66
73 Fenoksimetil phenisilin tablet 250 mg tablet 393
74 Fenoksimetil phenisilin tablet 500 mg tablet 530
75 Fenol Gliserol Tetes Telinga 10% botol 8
0
77 Fitomenadion (Vit K) Injeksi 10 mg/ ml ampul 0
78 Fitomenadion (Vit. K) tablet 10 mg tablet 47
79 Fluconazol tablet 150 mg tablet 0
80 Fludane Sir botol 95
0
82 Furosemida tablet 40 mg tablet 130
83 Garam Oralit II (200ml) Serbuk sace 258
84 Gentamisin Injeksi 80 mg / 2,5 ml ampul 0
85 Gentamisin Salep Kulit 0,1 % tube 0
86 Gentian Violet botol 25
87 Glibenclamide tablet 5 mg tablet 177
88 Glimepiride 1 mg tablet 405
89 Glimepiride 2 mg tablet tablet 214
90 Gliserin Cairan 100ml botol 0
91 Glukosa Lar. Steril Cairan Infus 5% botol 0
92 Griseofulvin tablet 125 mg tablet 112
93 Griseril Guaiakolat tablet 100 mg tablet 400
94 Hallperidol 1,5 mg tablet 0
95 Haloperidol tablet 0.5 mg tablet 130
97 Haloperidol tablet 5 mg tablet 100
98 Hidrochlortiazid (HCT) tablet 25 mg tablet 300
99 Hidrokortison 1% cream tube 21
100 Hidrokortison Krim 2,5% tube 24
101 Hyoscine N-Butyl Bromida (Scopma) tablet 5
102 Ibuprofen suspensi 100 mg / 5 ml tablet 0
103 Ibuprofen tablet 200 mg tablet 0
104 Ibuprofen tablet 400 mg tablet 307
105 Isoniazide tablet 100 mg tablet 0
106 Isosorbid Dinitrat tablet sublingual 5 mg tablet 95
107 Kalium Aspartat (KSR) tablet 233
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 500
109 Kaptopril tablet 12.5 mg tablet 198
110 Kaptopril tablet 25 mg tablet 500
111 Karbamazepine tablet 200 mg tablet 0
112 Ketokonazole tablet 200 mg tablet 653
113 Ketorolac Inj ampul 0
114 Klindamisin kapsul 300 mg kapsul 0
115 Kloramfenicol kapsul 250 mg kapsul 900
116 Kloramfenikol Salep Mata 1 % tube 15
117 Kloramfenikol Suspensi 60 ml botol 0
118 Kloramfenikol Tetes Mata 0,5 % botol 0
119 Kloramfenikol Tetes Telinga 3% botol 21
120 Klorampenicol SK (Bufacetin) tube 27
121 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 116
122 Klorpromazine HCl tablet salut 25 mg tablet 515
123 Klorpromazine HCl tablet salut 100 mg tablet 826
124 Kotrimoksazol Suspensi 60 ml botol 30
125 Kotrimoxazol tablet dewasa tablet 571
126 Kotrimoxazol tablet pediatrik tablet 0
127 Laksadin Susp botol 3
128 Lansoprazol kapsul 130
129 botol
0
130 Lidokain Injeksi (Pehacain) ampul 0
131 Lidokain Injeksi 2 % /ml ampul 0
132 Loperamide kapsul 285
133 Magnesium Sulfat 20% - 25 ml vial 0
134 Magnesium Sulfat 40% - 25 ml vial 0
135 Meloxicam tablet 15 mg tablet 20
136 Metformin tablet 500 mg tablet 163
137 Methyl Prednisolon 4 mg ampul 99
138 Methyldopa 250 mg (Dopamet) tablet 45
139 tablet
salut 0,125 mg 44
140 Metilergometrin Maleat Injeksi 0,2mg/ml ampul 0
141 Metochlorpramide Injeksi 5 mg/ ml ampul 0
142 Metochlorpramide tablet 10 mg tablet 310
143 Metoklopramide Sir (Leksapram) botol 0
144 Metronidazol OV (Flagyl OV) supp 0
145 Metronidazol Sir (Farizol Susp) botol 3
146 Metronidazole tablet 250 mg tablet 0
147 Metronidazole tablet 500 mg tablet 58
148 Mikonazol Krim 2% tube 1
149 Miniaspi 80 mg tablet 50
150 Misoprostol (Gastrul) tablet 0
88
152 Multivitamin Sirup Anak (Sanvita B Sir) botol 11
153 Natrium Bikarbonat tablet 500 mg tablet 0
154 Natrium Diklofenak tablet 50 mg tablet 143
0
156 Nifedipine tablet 10 mg tablet 148
157 Nistatin tablet 500.000 IU tablet 95
158 Nistatin tablet vaginal 100.000 IU supp 9
159 Obat Antituberkolosa FDC 1/3 paket 0
160 Obat Batuk Hitam (OBH) Sirup 100 ml botol 45
161 Obat Flu Sirup (Molexflu Sirup) botol 0
162 Obat Flu Sirup (Ponflu) botol 58
163 Obat Flu Tab (Ponflu tab) botol 121
164 Ofloksacin tablet 19
165 Oksitetrasiklin HCl Injeksi 50 mg/ ml ampul 0
166 Oksitetrasiklin HCl Salep Kulit 3% tube 0
167 Oksitetrasiklin HCl Salep Mata 1 % tube 0
168 Oksitosin Injeksi 10 IU/ml ampul 0
169 Omeprazole Caps kapsul 137
170 Ondansentron Inj ampul 0
171 Paracetamol 500mg tablet tablet 2690
172 Paracetamol drops tetes 60 mg / 0,6 ml botol 16
173 Parasetamol Sirup 120 mg/ 5 ml botol 14
174 Parasetamol tablet 100 mg tablet 0
175 Perak Sulfadiazin (Burnazin) tube 2
176 Permetrin salep 5% (Scabimite cr) tube 0
177 Pirantel Pamoat tablet 125 mg tablet 75
178 pirantel Susp botol 0
179 Pirazinamide tablet 500 mg tablet 0
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 878
181 Piroxicam 10 mg tablet 500
182 Piroxicam kapsul 20 mg kapsul 23
183 Povidon Iodida 10% Cairan 300ml botol 0
184 Povidon Iodida 10% Cairan 30ml botol 1
185 Prednisone tablet 5 mg tablet 0
186 Propanolol tablet 40 mg tablet 124
187 Propil Tio Urasil tablet 100 mg tablet 0
188 Puralex Tab tablet 396
189 Ranitidin Injeksi 25 mg/ ml ampul 0
190 Ranitidine tablet 150 mg tablet 592
191 Reserpin tablet 25 mg tablet 0
192 Rifampicin kapsul 300 mg tablet 0
193 Ringer Laktat Cairan Infus 500 ml botol 0
194 Salbutamol 2 mg tablet 257
195 Salbutamol Inhalasi 100 mcg can 0
196 Salbutamol Nebulizer 1 mg/ ml-2,5ml ampul 0
197 Salbutamol plus inprotorium nebulizaer ampul 0
198 Salbutamol tablet 4 mg tablet 190
199 tube
Belerang endap 4% 8
200 tube
plasenta+neomisin (Bioplasenton) 0
201 Salisil Bedak 2% - 50 gram kotak 8
202 Samcodryl Sir botol 22
203 sanadryl Sir botol 0
204 botol
ml 0
205 Sianokobalamin (Vit. B12) tablet 50 mcg ampul 0
206 Simvastatin tablet 10 mg tablet 719
207 Siprofloxacin tablet 500 mg tablet 444
208 Spirinolakton tablet 25 mg tablet 0
209 Sucralfat Susp tablet 0
210 Sucralfat Tab (Ulsidex) botol 972
211 Sulfasetamid Na Tetes Mata 15% tablet 0
212 Tetrasiklin kapsul 250 mg botol 0
213 Tetrasiklin kapsul 500 mg tablet 0
214 Tiamfenicole kapsul 500 mg tablet 39
215 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml tablet 0
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 3000
217 Trihexifenidril Hidroksida tablet 2 mg tablet 20
218 Vagizol Ovula tablet 45
219 Vitamin B Kompleks tablet tablet 0
220 Xylestesin inj tablet 0
221 Xylocain 2% Gel tube 0
222 Zink syrup botol 0
223 Zink tablet 200 mg dispersible tablet 533
224 Lacto B pcs 0
225 Candistatin drops Botol 2
226 Dexaharson tablet 0
227 Erlamycetin Tetes Mata botol 0
228 Erlamycetin Tetes Telinga botol 0
229 Levofloxacin botol 0
230 Ambeven Tablet 80
231 Alinamin tablet 10
232 Anelat (Asam Folat) tablet 0
233 Borak Gliserin botol 19
234 Cazetin Drops botol 3
235 Mucogard syr (Sucralfate) Botol 0
Cefixime 100 mg Kapsul 94
Dumin 120 mg Supp 0
Bisoprolol 5 mg tab 13
Gemfibrozil 300 mg cap 80
0
BMHP 0
0
235 Alat Suntik 10 ml pcs 0
236 Alat Suntik sekali pakai 1 ml pcs 0
237 Alat Suntik sekali pakai 2,5 ml / 3 ml pcs 0
238 Alat Suntik sekali pakai 5 ml pcs 0
239 Balon Karet Pinguin buah 0
240 Bisturi pcs 0
241 Canula Oksigen Anak set 0
242 Canula Oksigen Dewasa set 0
243 Canula Oksigen Neonatus set 0
244 Catgut/Benang bedah No.2/0 sase 0
245 Catgut/Benang bedah No.3/0 sase 0
246 Clorin botol 0
247 Foley catheter 16 pcs 0
250 Gelydopler 5 L botol 0
251 Hydrogen Piroksida H2O2 3 % botol 0
252 Infusion set anak bks 0
253 Infusion set dewasa bks 0
254 IV. Catheter No. 18 pcs 0
259 Jarum hekting No 6 buah 0
260 Jarum hekting No 8 buah 0
261 Jarum Hekting No. 10 buah 0
262 Kantong keresek sampah 0
263 Kapas Pembalut/Absorben 250 gram bks 0
264 Kasa Gulung 36 m x 80 cm bks 0
265 Kasa Pembalut Hidrofil 4 m x 10 cm bks 0
266 Kasa Pembalut Hidrofil 4 m x 5 cm bks 0
267 Kasa steril framisetin ( lomatull ) sase 0
268 Kasa sterill 16 x 16 cm kotak 0
269 Lisol botol 0
270 Masker 3 ply pcs 0
271 Masker N 95 pcs 0
272 Muccus ekstraktor pcs 0
273 Plester 5 yards x 2 inch roll 0
274 Sarung tangan non steril 7 G psg 0
275 Sarung Tangan Obgyn pasang 0
276 Sarung tangan steril Disposible 7 G psg 0
277 Selang Nebulizer set 0
278 sase
dengan jarum bedah 0
279 Umbilical Klem pcs 0
280 Underpad lbr 0
281 Urin Bag set 0
One Med antiseptic gel 0
0
BAHAN GIGI 0
0
282 Bahan preventive gigi ( white varnish ) sase 0
283 Air Raksa Botol 0
284 Alloy Amalgan set 0
285 Bahan Tambal Sinar (Composit) set 0
286 Bahan Tambalan sementara ( caviton ) tube 0
287 Cresopet botol 0
288 desinfektan Cair (Viorex) botol 0
289 Devital pot 0
290 Disclosing Solution botol 0
291 Etil Klorida Cairan Semprot 100 ml botol 0
292 Eugenol botol 0
293 Glass Ionomer semen ART ( Ketac molar ) paket 0
294 Gutta percha points 15-40 set 0
295 Kalsium Hidroksida Pasta tube 0
296 Klor Fenol kamfer ( CHKM ) tube 0
297 Larutan Klorheksidin Plus Alal (Aseptan) botol 0
298 Larutan TSR ( Tooth Stain Remover ) botol 0
299
Eugenol ( Alvogyl ) tube 0
300 Olie Pelumas Dental Unit botol 0
301 Paper point absorbent 15-40 set 0
302 Reagen Hemoglobin C botol 0
303 Seluloid strip pcs 0
304 Semen seng Powder dan Liquid botol 0
0
LABORATORIUM 0
0
305 Larutan Natrium Sitrat botol 0
306 Larutan Natrium Oksalat botol 0
307 Reagen GOLDAR buah 0
308 PP Test buah 0
309 Ose buah 0
310 Widal Test set 0
311 Asam Sulfosalisilat botol 0
312 Emersi Oil botol 0
313 Kolesterol Srip 0
314 Asam urat strip 0
315 Reagen BTA 0
316 Urin strip 10 parameter 0
317 Reagen Rapid Dengue NS 0
BPJS GRATIS KIS JAMKESMAS

1729 98 18 2
R PERMINTAAN OBAT (LPLPO)
AS RANCAEKEK DTP
PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN ED

Rancaekek 6 Oktober 2016
UMUM JUMLAH Penanggung Jawab Loket Obat

2726 4573 Puskesmas Rancaekek DTP

NIP. 197703131998032001
BULAN JANUARI 2017

TANGGAL
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
2 Allopurinol tablet 100 mg tablet 10 5 90 5 10 10 20 20 10 40 10 45 30
3 Ambroxol sirup 15 mg/ 5 ml botol 9 2 2 5 20 4 1 3 3 3 2 8
4 Ambroxol tablet 30 mg tablet 100 14 160 60 150 150 185 90 160 110 190 200 100 160
5 Aminofilin tablet 200 mg tablet 20
8 Amlodipin Tablet 10 mg tablet 120 120 150 70 128 150 180 90 56 50 69 90 95 110
9 Amlodipine 5 mg tablet 85 50 150 40 40 50 50 105 60 66 190 160 75 50
10 Amoksisilin Forte DS botol 1 2 6 1 2
13 Amoxicillin kaplet 500 mg kaplet 380 319 185 137 200 350 420 170 330 270 210 475 220 250
14 Amoxicillin kapsul 250 mg kapsul 100 20 100 10 40 20 60 10 10 20 50 20 20
15 Amoxicillin sirup kering 125 mg/ 5 ml botol
4 1 4 2 1 3 2 3 3 7 7 3 3
17 Antalgin (Metampiron) tablet 500 mg tablet
60 18 48 18 40 30 86 66 40 30 60
18 Antasida DOEN suspensi botol 22 16 30 10 29 30 30 22 15 25 6 32 14 30
19 Antasida DOEN tablet tablet 130 16 40 30 126 130 100 220 90 80 170 140 20
20 botol
Kaominal)
21 Antidiare Nonspesifik tablet (Molagit) tablet
3%)
23 Antihemoroid DOEN Suppositoria tablet 2 2 6 2 2
24 Ergotamin tartrat 1 mg + Cofein 50 mg tablet
)
25 Aqua Pro Injeksi Steril bebas Pirogen vial

25 53 150 28 53 48 125 46 20 50 54 22 42
28 Asam Mefenamat tablet 500 mg tablet 160 66 85 54 70 170 50 180 70 70 100 230 100 30
30 Asiklovir krim 5% tube 1 3 1 1 1
31 Asiklovir tablet 400 mg tablet 50 1 1 20
33 Azitromisin 500 MG tablet 4 2
34 Besi (Fe) tablet tablet 200 420 10 360 3 290 25
35 Betametason krim 0.1 % tube 4 11 3 4 4 3 3 2 2 7 4 6
36 Cefadroxil 500 mg Caps kapsul 10 1 36 20 40 40 20 20 60 40 40 10 10 10
37 Cefaddroxil 125 mg DS botol 2 1 1 2 2 2 1 2 1
38 Cefadroxil Forte DS botol 1 2 2 1 1 2 2 5 2 2
39 Cefiksim DS botol 2 3 1 2 1 2 1 2
44 Cimetidin Tablet
45 Clorpromazin 100 mg tablet 56 30 60 15 30
46 Corsaneuron tablet 48 39 151 42 60 90 53 42 34 6 31 84 18 46
47 Dexametasone injeksi 5mg ampul
48 Dexametasone tablet 0,5 mg tablet 147 142 188 59 101 129 162 82 270 114 108 203 123 66
54 Dimenhydrinate 50 mg tablet 10 10 10 20 10 10
57 Domperidone tablet 10 mg tablet 10
64 Etakridin (Rivanol) 0,1% botol 1 1
Fenobarbital (Luminal) Injeksi 50 mg /
71 ampul
ml
73 Fenoksimetil phenisilin tablet 250 mg tablet
75 Fenol Gliserol Tetes Telinga 10% botol 1 1 3 2 1 1

Fitomenadion ( Vit K) inj 2 mg (Vitka
76 ampul
Infant)
77 Fitomenadion (Vit K) Injeksi 10 mg/ ml ampul

80 Fludane Sir botol 1 2
Furosemida Injeksi iv / im- 10 mg/ ml-
81 ampul
2 ml
83 Garam Oralit II (200ml) Serbuk sace 20 8 15 10 20 15 15 25 5 10 5 23 5 15
86 Gentian Violet botol 1 1
87 Glibenclamide tablet 5 mg tablet 10 10
89 Glimepiride 2 mg tablet tablet 8 30 59 8 9 15 5 14 6 9 7 6 11
93 Griseril Guaiakolat tablet 100 mg tablet 60 13 58 10 60 34 20 35 46 50 55 22 50
95 Haloperidol tablet 0.5 mg tablet 60 15 30 60
97 Haloperidol tablet 5 mg tablet 56 60 90 60
100 Hidrokortison Krim 2,5% tube 4 2 3 2 4 2 1 2 2
104 Ibuprofen tablet 400 mg tablet 108 240 218 103 90 144 144 78
106
mg tablet
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 28 8 158 19 20 93 50 110 30 70 30 10
112 Ketokonazole tablet 200 mg tablet 10 20 10
116 Kloramfenikol Salep Mata 1 % tube 2
117 Kloramfenikol Suspensi 60 ml botol 1 3
118 Kloramfenikol Tetes Mata 0,5 % botol 1
120 Klorampenicol SK (Bufacetin) tube 5 3 3 10 9 4 1 3 4 9 5 6
121 tablet
mg 304 231 329 177 126 221 205 132 180 168 174 162 124 202
122 Klorpromazine HCl tablet salut 25 mg tablet
123 tablet
mg 30 40
124 Kotrimoksazol Suspensi 60 ml botol 4 6 2 3 5 2 1 3 1 5 8
126 Kotrimoxazol tablet pediatrik tablet 1 30 50 30 20 12
127 Laksadin Susp botol 1 1
129 Metakresol sulfonat dan metanal 360 botol
mg/g
130 Lidokain Injeksi (Pehacain) ampul
136 Metformin tablet 500 mg tablet 50 40 301 50 80 40 70 20 60 50 50 25 30 40
139 tablet
tablet salut 0,125 mg 10
140 ampul
0,2mg/ml
141 Metochlorpramide Injeksi 5 mg/ ml ampul
147 Metronidazole tablet 500 mg tablet 20 10 10 20 20 10 10 20 20 12
148 Mikonazol Krim 2% tube 1 5 4 4 2 2 2 3 6 1 1
151 botol
(Samcobion) 25 6 15 20 5 90 20 10 40 10 10 5 30
152 botol
Sir) 5 1 6 4 6 6 9 4 5 3 3
154 Natrium Diklofenak tablet 50 mg tablet 60 90 10 20
155 tablet
500 ml
158 Nistatin tablet vaginal 100.000 IU supp 24 10 3 5
160 botol
ml 30 13 90 3 2 4 4 3 50 8 5 5 5
162 Obat Flu Sirup (Ponflu) botol 20 4 1 4 4 1 7 2 7 2 2 2
163 Obat Flu Tab (Ponflu tab) botol 130 10 50 45 20 78 3 90 20 60

169 Omeprazole Caps kapsul 30 5 5 10 15 5 10
171 Paracetamol 500mg tablet tablet 577 431 704 270 482 804 616 334 815 660 660 1060 574 797
Paracetamol drops tetes 60 mg / 0,6
172 botol
ml 7 9 2 1 17 1
173 Parasetamol Sirup 120 mg/ 5 ml botol 22 5 7 8 13 12 12 10 7 17 8 20 8 6
177 Pirantel Pamoat tablet 125 mg tablet 8
178 pirantel Susp botol 1 1
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 20 90 90 40 30 40 80 60 60 60 41 86
182 Piroxicam kapsul 20 mg kapsul 56 32 92 58 54 72 50 60 117 24 84 72 73 24
185 Prednisone tablet 5 mg tablet 22 30 36 48 36 48 22 18
188 Puralex Tab tablet 10 6 20 10 30 20 20
190 Ranitidine tablet 150 mg tablet 156 123 180 82 108 60 98 66 82 24 140 46 56
194 Salbutamol 2 mg tablet 10 20 20 10
196 Salbutamol Nebulizer 1 mg/ ml-2,5ml ampul

197 ampul
nebulizaer
198 Salbutamol tablet 4 mg tablet 40 10 30 15 40 20 20
Salep 2-4 kombinasi : Asam Salisilat
199 tube
2% + Belerang endap 4% 1 2
200 tube
201 Salisil Bedak 2% - 50 gram kotak 1 1 1 3 2 7 2 2 2 2 2 2
202 Samcodryl Sir botol 1 3 9 9 3 1 2 2 1 3
Sianokobalamin (Vit B12) Injeksi 500
204 botol
mcg/ ml
205 ampul
mcg
206 Simvastatin tablet 10 mg tablet 45 10 35 10 40 40 70 10 50 40 50 60
207 Siprofloxacin tablet 500 mg tablet 10 30 30 20 10 10 20 10
210 Sucralfat Tab (Ulsidex) botol 10 10 30 20 10 10 20
214 Tiamfenicole kapsul 500 mg tablet 10 50 10
215 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml tablet
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 78 6 30 20 20 80 70 5 10 30 30

217 Trihexifenidril Hidroksida tablet 2 mg
tablet 60 60 30 60 150
219 Vitamin B Kompleks tablet tablet 244 222 297 148 138 196 194 84 318 192 84 272 127 174
222 Zink syrup botol 1 2 3
223 Zink tablet 200 mg dispersible tablet 30 20 10 20 10 10 10
224 Lacto B pcs
227 Erlamycetin Tetes Mata botol 2 3 5 3 2 5 1 3
228 Erlamycetin Tetes Telinga botol 2 2 2 4 7 1 2 1
230 Ambeven Tablet
231 Alinamin tablet
Cefixime 100 mg Kapsul 100 100 10 10 20
Dumin 120 mg Supp
Bisoprolol 5 mg tab
Gentamicin salep mata tube 3
ceterizine syrup
diazepam 10 mg rectal
asam traneksamat injeksi
betahistine mesylate (lexigo)
bisacodyl 10 mg (stolax)
etanol 70% 1000 ml
burnazin salep luka bakar 1
BMHP
237 Alat Suntik sekali pakai 2,5 ml / 3 ml pcs

240 Bisturi pcs
246 Clorin botol
263 Kapas Pembalut/Absorben 250 gram bks

269 Lisol botol
271 Masker N 95 pcs
276 Sarung tangan steril Disposible 7 G psg

278 sase
dengan jarum bedah
280 Underpad lbr
281 Urin Bag set
BAHAN GIGI
282 Bahan preventive gigi ( white varnish ) sase

283 Air Raksa Botol
286 Bahan Tambalan sementara ( caviton ) tube
287 Cresopet botol
289 Devital pot
292 Eugenol botol
293 Glass Ionomer semen ART ( Ketac mola paket
297 Larutan Klorheksidin Plus Alal (Aseptan botol
298 Larutan TSR ( Tooth Stain Remover ) botol
299
Iodorm, Eugenol ( Alvogyl ) tube
LABORATORIUM

308 PP Test buah
309 Ose buah
310 Widal Test set
313 Kolesterol Srip
314 Asam urat strip
315 Reagen BTA
K DTP
AL
JUMLAH
19 20 21 22 23 24 25 26 27 28 29 30 31
0
30 10 35 5 30 5 25 25 20 490
6 1 2 9 1 7 5 16 109
190 50 150 70 180 170 180 170 240 100 3329
20
0
0
60 50 90 155 90 20 190 100 175 20 2428
190 110 40 145 70 65 183 110 135 115 2334
1 1 2 3 19
0
0
290 150 170 200 380 250 185 260 435 360 6596
20 10 30 30 30 10 20 20 10 660
1 5 5 4 7 3 3 13 9 93
0
36 30 33 72 66 12 5 36 60 846
41 19 19 45 32 27 39 28 32 18 611
180 40 70 100 50 20 30 20 1802
0
0
6 5 3 3 1 32
24 34 60 46 52 115 26 90 23 4 1190
40 20 10 40 10 210
100 150 110 196 40 200 140 150 100 160 2781
0
3 2 2 2 16
20 20 20 132
0
6
330 60 180 1878
1 2 2 2 1 6 4 1 6 2 80
40 30 13 20 20 10 30 60 60 40 680
2 4 1 3 1 1 26
2 1 1 4 3 1 1 3 36
10 1 2 2 29
0
0
0
0
0
60 30 30 311
54 50 42 52 30 48 72 130 48 1270
0
154 76 114 124 66 75 48 153 102 2806
0
0
9 12
0
0
10 10 10 10 10 10 20 20 170
0
10 1 10 24
1 10 30 51
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
10 10
1 2 3 15
0
0
55 5 60
0
1 2 2 5 13
0
3 3
10 5 10 15 20 10 9 5 28 20 323
0
0
1 1 4
10 30
0
12 6 5 6 9 28 3 256
0
0
15 15
10 60 10 34 32 10 40 10 719
0
17 182
0
300 60 22 648
5 45
0
4 1 1 4 1 2 35
0
0
0
1125
0
0
0
30 20 15 167 35 10 94 25 25 15 1062
5 5
0
0
10 50
0
5
0
2 8 6 18
1 1 6
1
0
8 3 4 9 5 6 2 3 13 8 123
144 106 142 149 180 168 142 132 318 157 4373
70
2 1 1 1 9 3 1 1 4 5 68
0
12 24 12 191
2
20 20
0
0
0
0
0
0
0
40 38 50 46 70 65 127 40 90 20 1492
10 10
6 20 26
10
0
0
0
0
0
0
0
20 10 10 20 30 10 10 10 272
2 1 5 3 2 2 3 4 3 56
0
0
5 110 20 135 60 155 20 791
3 2 4 2 1 7 1 9 9 90
0
180
0
0
0
5 10 57
0
2 1 7 5 2 8 9 6 4 266
0
1 3 8 9 3 5 2 3 9 1 100
20 60 55 150 68 60 110 30 75 120 1254
0
0
0
0
0
10 5 5 25 5 10 40 10 190
0
790 330 500 514 670 595 625 600 780 660 14848
3 7 2 49
3 8 9 15 25 3 10 17 16 37 298
0
0
1
16 24
2
0
76 20 50 50 50 70 70 1083
0
54 24 42 88 69 96 78 30 138 72 1559
0
0
48 60 368
0
0
10 10 20 10 10 176
0
36 48 54 136 68 78 126 68 138 174 2147
0
0
0
20 10 10 10 110
0
0
10 10 10 5 210
1 1 5
0
2 1 1 1 2 2 36
1 1 5 3 5 5 10 8 9 81
0
0
60 10 30 40 30 20 15 30 40 35 770
20 20 10 10 50 250
0
0
10 10 10 10 10 40 10 210
0
0
0
20 10 100
0
10 46 10 30 20 10 30 535
25 385
0
180 90 101 382 210 162 233 174 192 120 4534
0
0
3 2 1 2 14
10 10 10 5 20 165
0
0
0
5 2 2 4 2 1 2 42
2 1 1 1 26
0
0
0
0
1 2 1 7
0
0
4 20 264
0
0
0
3
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
0
0
0
0
0
0
0
0
LOKET OBAT PUSK
BULAN FEBRUARI 2017
NO NAMA OBAT SATUAN

1 2 3 4 5 6 7 8 9
2 Allopurinol tablet 100 mg tablet 10 5 10 20 78 50 45 12
3 Ambroxol sirup 15 mg/ 5 ml botol 2 1 1 1 2 2 3
4 Ambroxol tablet 30 mg tablet 90 110 40 140 150 160 140 20
8 Amlodipin Tablet 10 mg tablet 50 120 50 120 101 140 115 5
9 Amlodipine 5 mg tablet 180 145 70 60 89 130 75 37
10 Amoksisilin Forte DS botol 1
13 Amoxicillin kaplet 500 mg kaplet 240 260 250 275 270 270 360 200
14 Amoxicillin kapsul 250 mg kapsul 30 20 30 20 30 10 10
6 4 4 6 4 6 5
17 Antalgin (Metampiron) tablet 500 mg tablet 36 24 60 78 60 48 70 48
18 Antasida DOEN suspensi botol 23 11 21 22 19 39 19 10
19 Antasida DOEN tablet tablet 20 50 60 120
20 botol
Kaominal)

3%)
)

46 68 20 26 80 36 42 10
28 Asam Mefenamat tablet 500 mg tablet 120 110
31 Asiklovir tablet 400 mg tablet 60 10 110 40 2
35 Betametason krim 0.1 % tube 9 4 1 7 8 5 2 1
36 Cefadroxil 500 mg Caps kapsul 30 10 20 40 60 70 80 30
37 Cefaddroxil 125 mg DS botol 1 1 2 1
38 Cefadroxil Forte DS botol 1 2 1 1 1
43 Cetirizine tablet 1 1
44 Cimetidin Tablet
46 Corsaneuron tablet 66 42 90 84 54 60 24 28
47 clorpromazin 25 mg ampul 60
48 Dexametasone tablet 0,5 mg tablet 71 42 72 96 132 121 166 138
51 Diazepam Tablet 2 mg tablet 3 15 11
54 Dimenhydrinate 50 mg tablet 30 60 60 30 20 20 20
56 Domperidon Sir (hufadon) botol 2 1
57 Domperidone tablet 10 mg tablet 10 10 15 20
71 ampul
ml

76 ampul
Infant)
78 Fitomenadion (Vit. K) tablet 10 mg tablet 3 10

80 Fludane Sir botol 1 1 1
81 ampul
2 ml
82 Furosemida tablet 40 mg tablet 20 15
83 Garam Oralit II (200ml) Serbuk sace 15 5 20 20 11
86 Gentian Violet botol 1 1 2
89 Glimepiride 2 mg tablet tablet 12 13 14 10 15 15 30 25
93 Griseril Guaiakolat tablet 100 mg tablet 40 30 10 10 30
97 Haloperidol tablet 5 mg tablet 60 60 20 110
98 Hidrochlortiazid (HCT) tablet 25 mg tablet 5 5 5
100 Hidrokortison Krim 2,5% tube 2 3 1 1
101 Hyoscine N-Butyl Bromida (Scopma) tablet 10 20 20 40
106
mg tablet 10
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 15 65 5 30 30 10 15 80
112 Ketokonazole tablet 200 mg tablet 10
116 Kloramfenikol Salep Mata 1 % tube 3 1 2 3 2
120 Klorampenicol SK (Bufacetin) tube 6 3 5 7 5 8 7 1
121 tablet
mg 174 138 132 174 238 186 108 102
123 tablet
mg
124 Kotrimoksazol Suspensi 60 ml botol 2 1 1 3 2 3
126 Kotrimoxazol tablet pediatrik tablet 12 10 12 10
mg/g
130 Lexigo betahistine Mesilate tablet
132 Loperamide kapsul 10
136 Metformin tablet 500 mg tablet 70 70 40 40 54 90 100 82
137 Methyl Prednisolon 4 mg ampul 10 10
139 tablet
tablet salut 0,125 mg 10
140 ampul
0,2mg/ml
147 Metronidazole tablet 500 mg tablet 20 10 20 10 20 10
148 Mikonazol Krim 2% tube 7 2 3 5 2
149 Miniaspi 80 mg tablet 10 10
151 botol
(Samcobion) 15 80 40 20 70 25 15 165
152 botol
Sir) 4 7 10 9 13 3 3
155 tablet
500 ml
160 botol
ml 3 6 3 6 11 8 3 6
162 Obat Flu Sirup (Ponflu) botol 7 3 5 2 12 7
163 Obat Flu Tab (Ponflu tab) botol 55 60 92 120 160 100 120 80

169 Omeprazole Caps kapsul 15 21 12 5 20 30 5 5
171 Paracetamol 500mg tablet tablet 435 725 370 380 815 740 805 345
172 botol
ml 6
173 Parasetamol Sirup 120 mg/ 5 ml botol 9 5 8 10 20 15 6 4
182 Piroxicam kapsul 20 mg kapsul 42 60 66 90 156 108 72 54
185 Prednisone tablet 5 mg tablet 18 18 18 12 10 12 54
188 Puralex Tab tablet 10 10 10 20
190 Ranitidine tablet 150 mg tablet 120 138 90 108 216 84 120 58
194 Salbutamol 2 mg tablet 10 20 10 10 20

197 ampul
nebulizaer
199 tube
2% + Belerang endap 4%
200 tube
201 Salisil Bedak 2% - 50 gram kotak 1 2 1 1 4 1 1
202 Samcodryl Sir botol 7 4 9 4 7 8 9 1
204 botol
mcg/ ml
205 ampul
mcg
206 Simvastatin tablet 10 mg tablet 20 50 20 30 20 20 40
207 Siprofloxacin tablet 500 mg tablet 20 10 40 20
210 Sucralfat Tab (Ulsidex) botol 10 20 10 10
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 10 30 20 156 154

217 Trihexifenidril Hidroksida tablet 2 mg 40 20 80
tablet
219 Vitamin B Kompleks tablet tablet 108 80 60 108 224 252 54 36
223 Zink tablet 200 mg dispersible tablet 10 10 30 30
224 Lacto B pcs
227 Erlamycetin Tetes Mata botol 1 1 7 3 1
228 Erlamycetin Tetes Telinga botol 1 3 3 1
230 Ambeven Tablet
231 Alinamin tablet
233 Borak Gliserin botol 1 1 3 2 1
Cefixime 100 mg Kapsul
Dumin 120 mg Supp
Bisoprolol 5 mg tab
Gentamicin salep mata tube
ceterizine syrup
betahistine mesylate (lexigo)
etanol 70% 1000 ml
burnazin salep luka bakar
BMHP

240 Bisturi pcs
246 Clorin botol

269 Lisol botol
271 Masker N 95 pcs

278 sase
dengan jarum bedah
280 Underpad lbr
281 Urin Bag set
BAHAN GIGI

283 Air Raksa Botol
287 Cresopet botol
289 Devital pot
292 Eugenol botol
299
LABORATORIUM

308 PP Test buah
309 Ose buah
310 Widal Test set
313 Kolesterol Srip
314 Asam urat strip
315 Reagen BTA
KET OBAT PUSKESMAS RANCAEKEK DTP
TANGGAL
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
25 10 10 11 15 58 10 10 10 40
1 3 1 5 4 5 15 3 4 1 10 2 1
130 100 125 60 15 70 60 85 130 40 85 55 50 40
7 0 7
90 65 78 90 10 130 100 45 52 80 220 53 20 40
70 90 130 190 5 261 160 55 100 35 140 260 200 170
3 2 4 2 7 1 3 3
245 260 345 128 20 270 165 250 400 210 265 165 270 230
20 10 30 10 20 20 30 10 40 20 30 20 20
6 3 2 3 9 3 10 9 1 5 3 5 3
24 96 92 36 54 54 60 30 64 18 30 36
22 31 22 19 2 10 8 12 11 7 24 8 10 11
10 20 20 10 20 10
3 12 3
48 96 33 12 15 70 58 64 16 58 76 141 70 90
20 20 30 20 10 50
60 110 150 120 60 200 140 60 120 170 230 150 160
1 2 1
10 20 20 30
5
7 4 3
80 90 80 80 40 70 60 50 70 60 30 20 50 20
2 10 1 1 7 1 1 1
2 1 1 2 3 1 2 1 1
3 7 4 2 4
3 2
60 60 30 60 60 15 15 120
60 150 36 102 20 48 48 6 6 12 174 268 220 214
108 111 156 84 116 36 72 96 208 96 72 52 93 30
5 3 3 6 6 5
10
20 10
2 6 4 2 3 1 2 2
33 10 10 20 20 10 42 70 30
9
1 2 1 3 1
20 5
1 2 1 3
12 12 40
15 10 20 10 10 15 10 5 30 8 20 18
2 1 3 2
10 20 10
15 5 15 20 21 5 5 35 15 5 15
10 10 20 50 10
30 30 120 15
15 15
30 90 30 65 30 60
5
1 2 1 2 3 3 6 5 4 9 4 4
10 30 20 30 50 30 10 20 10 10 20 20
220 160 56
5 65 35 15 10 170 10 140 75 125 15 5

40 30
10 10 10
10 10 10
3 1 1 1 1 2 1 2
3 1 5
2
4 3 6 1 3 2 5 11 3 2 6 5 6
108 160 180 120 60 156 114 125 250 117 168 99 128 106
5 1 5 1 2 2 3 3 3
10 2
10
30 20 50 40 40 30 20 40 50
100 30 50 110 146 10 30 82 89 80 60 26 30

10 30 10 6 6 6 22 16 16
20 10
20 20 10 40 30 20
2 5 3 4 4 1 2 3 1 2 2
10
10 180 10 10 130 20 40 10 130 50 10
7 7 8 10 17 11 7 10 5 6 5 9 15
10
20
8 5 14 7 3
2 2 5 5 1 3 3 5 4 4 6 3 20 1
1 7 10 8 2 13 7 8 8 7 6 2 1 12
110 178 161 105 118 170 70 95 230 120 139 180 170 105
25 20 25 25 15 5 10 15 30 25 20 35 5
470 440 605 383 20 365 370 315 705 255 480 395 295 215
1 2 11 1 2 2 1
8 7 16 13 2 19 10 12 8 14 7 20 16 9
1 2 2
2
1
30 10 90 10 100 30 210 20 10
30 252 144 150 35 132 48 54 120 78 36 44 48 84
12 30 24 36 12 30 6 12 12 12 28
10 10 10 10 10 20 20 10 10
84 96 222 168 42 144 114 114 204 140 84 322 204 200
10 5 10 10 3 20 12 16 10
10 6 10
3 2 2 1 1 3 3 4 3 1 3 3 2
6 8 2 8 13 11 3 10 5 2 11 18 8
50 50 15 60 5 15 20 10 10 10 30 30
20 10 10 30 20 20 20 30 40 20
10 20 20 20 10 40 10 40 10 40 10
20 26 12 10 10
120 178
114 324 224 210 45 262 102 180 176 148 30 70
60 90 30 120 120 15 30 60
1 1 1
40 20 20 10 15 10 30 20 10
3 5 18
3 3 2 1 2 7 3 7 4 5 1
1 4 4 2 1 2 3 3 1 2
4
1 3 2 1 4 2 3
10 20 10
10
20 70
1 2
JUMLAH
27 28 29 30 31
0
30 5 464
4 9 80
210 100 2205
0
0
14
110 120 2004
110 195 2957
2 3 31
0
0
370 265 5983
10 30 470
6 4 107
0
114 72 1204
24 28 413
20 30 390
0
6 59
90 64 1329
30 260
250 70 2280
0
1 12
10 312
0
0
5
51
120 30 1290
1 3 33
1 21
26
0
0
0
7
0
550
84 24 1920
108 168
54 2222
0
0
57
0
10
270
0
2 1 28
10 30 340
9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 10
0
38
0
10
0
99
5 20 267
0
0
12
40
0
15 15 320
0
0
0
220
0
195
60
555
20
0
5 6 62
20 40 410
0
0
60 96 592
0
10
0
100 25 1045
10 80
0
0
40
0
30
0
3 26
9
0
2
4 8 111
258 228 3629
0
2 2 41
0
44
12
10
0
40 360
0
16
0
0
0
40 45 1474
142
30
10
0
0
0
0
0
0
0
20 250
5 2 55
30
0
80 10 1120
7 9 182
0
76 76
0
10
20
55
0
2 7 119
0
12 6 146
145 145 3028
0
0
0
0
20 20
15 383
0
295 375 10598
2 17 45
13 8 259
0
1 1
4 2 11
2
1
0
20 10 880
0
114 60 2077
0
0
24 24 404
0
0
54 214
0
60 96 3228
0
0
0
18 6 190
0
0
51
1 2
0
6 1 49
8 7 169
0
0
10 515
20 30 360
0
0
20 300
0
0
0
20 138
298
322 224 2801
665
0
922
0
2
1 4
255
5 31
0
0
2 3 56
1 2 34
4
0
0
0
8 2 34
0
0
12 52
0
0
10
0
2 2
0
0
90
1 1
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
67864
LOKET OBAT PU
BULAN MARET 2017
NO NAMA OBAT SATUAN

1 2 3 4 5 6 7
2 Allopurinol tablet 100 mg tablet 10 10 5 10 20
3 Ambroxol sirup 15 mg/ 5 ml botol 4 2 3 3 2 11
4 Ambroxol tablet 30 mg tablet 40 40 100 60 200 100
8 Amlodipin Tablet 10 mg tablet 30 30 70 60 261 50
9 Amlodipine 5 mg tablet 145 110 100 105 102 270
10 Amoksisilin Forte DS botol 4 2 2 2 4 5
13 Amoxicillin kaplet 500 mg kaplet 210 435 250 230 290 380
14 Amoxicillin kapsul 250 mg kapsul 10 30 30 20 10
15 Amoxicillin sirup kering 125 mg/ 5 ml botol 2 2 7 5 4 7
17 Antalgin (Metampiron) tablet 500 mg tablet 54 66 60 58 6 78
18 Antasida DOEN suspensi botol 9 41 12 230 41 23
19 Antasida DOEN tablet tablet 20 40
22 tube
Benzoat 6% + Asam Salisilat 3%)
24 tablet
Ergotamin tartrat 1 mg + Cofein 50 mg )
26 Asam Askorbat (Vit. C) tablet 50 mg tablet 10 6 74 54 112 46
28 Asam Mefenamat tablet 500 mg tablet 100 110 50 100 180 220
31 Asiklovir tablet 400 mg tablet 10 50
36 Cefadroxil 500 mg Caps kapsul 50 30 60 40 50 40
37 Cefaddroxil 125 mg DS botol 4 1 1 3
38 Cefadroxil Forte DS botol 1 1 1 1
44 Cimetidin Tablet
46 Corsaneuron tablet 209 208 62 146 118 216
47 Dexametasone inj ampul
48 Dexametasone tablet 0,5 mg tablet 90 66 48 45 42 105
51 Diazepam Tablet 2 mg tablet
54 Dimenhydrinate 50 mg tablet 20 10
56 Domperidon Sir (hufadon) botol 1 1
57 Domperidone tablet 10 mg tablet 20 40 46 10 25
71 Fenobarbital (Luminal) Injeksi 50 mg / ml ampul
75 Fenol Gliserol Tetes Telinga 10% botol 1 1 4


83 Garam Oralit II (200ml) Serbuk sace 25 15 10 5 20 15
89 Glimepiride 2 mg tablet tablet 5 15 10 15 15 20
97 Haloperidol tablet 5 mg tablet 15 20 10
98 Hidrochlortiazid (HCT) tablet 25 mg tablet 10
100 Hidrokortison Krim 2,5% tube 3 3 5 7 7
101 Hyoscine N-Butyl Bromida (Scopma) tablet 40 10 10 20 20
104 Ibuprofen tablet 400 mg tablet 90 20 86 70 241 93
106 Isosorbid Dinitrat tablet sublingual 5 mg tablet
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 15 205 15 25 20
109 Kaptopril tablet 12.5 mg tablet 15 15 15
115 Kloramfenicol kapsul 250 mg kapsul 10
116 Kloramfenikol Salep Mata 1 % tube 2 1
117 Kloramfenikol Suspensi 60 ml botol 3 1 1 3
120 Klorampenicol SK (Bufacetin) tube 5 4 6 5 13 4
121 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 139 162 151 69 226 150
124 Kotrimoksazol Suspensi 60 ml botol 3 1 20
126 Kotrimoxazol tablet pediatrik tablet 5 6 10
Larutan Polikresulen (kondensasi Metakresol
129 botol
sulfonat dan metanal 360 mg/g
Lidokain Injeksi (Pehacain)
136 Metformin tablet 500 mg tablet 50 60 30 60 55 90
137 Methyl Prednisolon 4 mg ampul 6 6 6
138 Methyldopa 250 mg (Dopamet) tablet 10
Metilergometrin Maleat (Metergin) tablet salut
139 tablet
0,125 mg
140 Metilergometrin Maleat Injeksi 0,2mg/ml ampul
148 Mikonazol Krim 2% tube 1 3 1 1 9 7
151 Multivitamin Dewasa Kapsul (Samcobion) botol 170 70 5
152 Multivitamin Sirup Anak (Sanvita B Sir) botol 10 14 4 6 8 8
154 Natrium Diklofenak tablet 50 mg tablet 22 24 24 39 74 68
160 Obat Batuk Hitam (OBH) Sirup 100 ml botol 5 6 3
162 Obat Flu Sirup (Ponflu) botol 9 3 4 5 14
163 Obat Flu Tab (Ponflu tab) botol 60 140 7 50 65 100
164 Ofloksacin tablet 80
169 Omeprazole Caps kapsul 30 20 5 20 10
171 Paracetamol 500mg tablet tablet 275 330 270 210 570 455
172 Paracetamol drops tetes 60 mg / 0,6 ml botol 1 2 2 1 19
173 Parasetamol Sirup 120 mg/ 5 ml botol 17 9 10 16 15 18
175 Perak Sulfadiazin (Burnazin) tube 1 1
176 Permetrin salep 5% (Scabimite cr) tube 3 1 1 1
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 20 40 100 50
182 Piroxicam kapsul 20 mg kapsul 54 84 54 66 78 68
185 Prednisone tablet 5 mg tablet 12 24 6 12 18
188 Puralex Tab tablet 21 10 5 20 6
190 Ranitidine tablet 150 mg tablet 165 194 210 58 192 274
194 Salbutamol 2 mg tablet 10 10 12
197 Salbutamol plus inprotorium nebulizaer ampul
198 Salbutamol tablet 4 mg tablet 30
199 tube
Belerang endap 4% 1
Salep luka bakar; ekstrak plasenta+neomisin
200 tube
(Bioplasenton)
201 Salisil Bedak 2% - 50 gram kotak 3 2
202 Samcodryl Sir botol 4 9 3 6 4 20
204 Sianokobalamin (Vit B12) Injeksi 500 mcg/ ml botol
205 Sianokobalamin (Vit. B12) tablet 50 mcg ampul

206 Simvastatin tablet 10 mg tablet 20 10 20 10 25 10
207 Siprofloxacin tablet 500 mg tablet 10 10 20 10 10
210 Sucralfat Tab (Ulsidex) botol 10 10 6
214 Tiamfenicole kapsul 500 mg tablet 10
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 72 200 70 106 314 150
217 Trihexifenidril Hidroksida tablet 2 mg 30 7
tablet
222 Zink syrup botol 2 1 1 6
223 Zink tablet 200 mg dispersible tablet 20 40 10 40 20
224 Lacto B pcs 8
227 Erlamycetin Tetes Mata botol 5 6 4 6 5 1
228 Erlamycetin Tetes Telinga botol 3 2 1 1 2 1
230 Ambeven Tablet
231 Alinamin tablet
233 Borak Gliserin botol 2 1 1
236 Cefixime 100 mg Kapsul 30
237 Dumin 120 mg Supp
238 Bisoprolol 5 mg tab
239 Gemfibrozil 300 mg cap 10
240 Gentamicin salep mata tube
241 ceterizine syrup 1 4 1
242 diazepam 10 mg rectal
243 asam traneksamat injeksi
244 betahistine mesylate (lexigo) 30 10 50 1 40 30
245 Etanol (alkohol) 70 % - 1000 ml
246 Bisacodyl 10 mg (Stoax)
247 Bevalex
248 Biosanbe cap
BMHP
254 Bisturi pcs
260 Clorin botol
283 Lisol botol
285 Masker N 95 pcs
Silk ( Benang Bedah Sutera ) No. 3/0 dengan
292 sase
jarum bedah
294 Underpad lbr
295 Urin Bag set
296 One Med Antiseptik Gel
297 I V dressing (canula fixation)
298 Surgical Handsoap/Aseptan
299 Jarum Mucosa
300 Sarung Tangan Rumah Tangga
301 Ultrasonic Gel
BAHAN GIGI

303 Air Raksa Botol
307 Cresopet botol
309 Devital pot
312 Eugenol botol
313 Glass Ionomer semen ART ( Ketac molar ) paket
317 Larutan Klorheksidin Plus Alal (Aseptan) botol
319
Eugenol ( Alvogyl ) tube
325 Devitec
326 Calcidor
327 Articulating Paper
328 Cresophen/Endosepton
LABORATORIUM

332 PP Test buah
333 Ose buah
334 Widal Test set
337 Kolesterol Srip
338 Asam urat strip
339 Reagen BTA
342 Tabung Hematokrit
343 Aqua Destilata
344 Kolesterol total
TANGGAL
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
20 10 40 30 30 10 15 10 29 40 30 15 40
7 1 6 4 4 3 5 2 1 5 3 2 1 13
110 80 80 10 70 120 70 70 90 110 60 180 70 120
10 65 30
105 100 90 135 160 80 80 60 60 45 32 200 62 80
130 140 114 5 155 50 130 100 90 50 105 125 170 66 40
2 6 2 3 5 1 3 2 1 3 4 2
240 250 140 235 315 275 305 330 145 170 335 310 301 235 315
30 10 30 10 10 20 30 30 10
2 2 3 5 6 13 4 1 3 5 3 3 6 2
42 36 12 6 6
21 24 23 12 11 20 4 30 8 7 31 28 24 40 16
10 10 10 10 30 10
4 6 3 7 1 5 2 1 3 2
7 6 3 3 3
54 12 27 24 19 58 40 65 20 20 68 41 24 28 40
40 30 20 30
230 74 154 300 202 158 170 160 104 70 110 130 120 171 116
2 1 3 3
20 40 10 15 10 30
290 330 60
1 6 2 3 6 2 6 6 4 3 4 2
48 30 50 30 70 50 66 60 20 50 30 40 90 40
1 4 3 2 3 1 1 1 2
3 1 5 5 4 1 1 2 3 3 2 1
1 1 1 2
80 38 15
221 162 18 142 60 240 108 24 142 66 56 186 84 84
45 126 48 114 174 64 136 74 70 42 130 133 96 118
5 2 2 8 9
10 10 10 10 20
1 2 2
10 25 6 10 10 10 20 10
1 1 2 1 1 1 6 1
10 6 10
2 1 2 1 2 3
4
15 11 6 3 27 2 3 40
23 20 25 5 5 13 25 15 25 15
1 4
1 1 1 1 10 1
10 10 30
10 20 10
30 5 10 9 9 9 12 15 3
30 10 10 30 20 40 10 10 30
60 20
30 10
30 30 6
1 1
3 5 2 1 2 3
30 20 20 20 30 10 20 35 18
51 50 80 60 70 142 46 90 60 50 80 125 100 60 130
5 115 10 10 135 25 10 240 10 60 110 40 20 25 5
10
5
10 10
6 15
6 1 3 4 1 3 5 2 2
1 1
7 6 4 4 2 8 2 1 3 4 9 2 3 5
180 270 161 124 141 144 156 212 66 105 328 144 126 148 114
3 2 4 2 7 3 5 2 2 3 9 1
10 20 10 24 24
100 50 50 40 122 120 130 10 10 45 35 50 70 40
6 6 16 6
18 10 10
50 20 60 50 30 30 20 30 40 20 10
1 8 5
10
120 50 20 165 25 15 15 30 20 60 40 20 10 5
6 3 8 8 11 2 17 5 3 9 6 8 5 6
12 76 46 36 190 98 52 30 66 46 34 122 22 30
20
7
7 20
2 7 8 6 4 6 2 1 4 1 7 1 7 5
1 7 2 18 11 12 18 7 6 4 5 8 13 8 1
70 105 50 93 105 210 85 150 110 45 110 95 125 110 70
37 35 5 5 35 47 40 35 5 20 10 15 35 10 5
325 385 355 250 445 230 340 490 240 225 700 510 380 430 490
3 1 18 1 3 2 2
112 8 13 6 7 16 5 5 3 3 12 28 12 6 8
1
1 2 1 1
90 50 80 36 56 70 40 60 60 30 30 50
70 200 48 74 100 72 76 60 70 78 66 146 94 24

30 48 54 48 16 24 12 6 6 36
6 10 24 20 20 5 20 6 10
176 168 60 202 332 250 204 54 114 116 156 203 126 74
154
20 10 20
6 25 10
1 1 1
1 7 4 2 3 3 1
13 9 3 8 9 13 6 3 4 9 4 12 13 15 5
10 70 10 40 10 10 30 10 20 10 20 20
10 20 30 10 30 20
30
20 5 6 10
6
10 15 10
96 250 116 176 40 82 362 86 24 236 182 58 190 96
84 6
1 1 1 1 1 1 3
30 20 20 10 20 10 10 30 30
5 9 5 1 1 3 2 2 2 2 7 5 1 3
1 3 1 2 1 1 2
1 1 1 3 1 1 1 1
10 30 32 14 84
10 20 10
1 1 1 1 1 1
40 10 20 10 30 20 30 30 12 30 10
JUMLAH
25 26 27 28 29 30 31
0
15 30 10 15 30 474
7 5 7 2 4 2 109
40 70 87 146 50 95 2268
0
0
105
90 90 70 195 40 95 2370
60 102 101 26 90 130 2811
7 8 5 1 5 79
0
0
222 290 320 1000 212 360 8100
30 10 10 330
9 3 4 10 111
0
12 436
12 16 20 30 11 2 746
20 20 32 212
0
0
4 3 2 3 3 3 52
43
0
0
26 40 15 66 989
170
121 104 119 600 90 112 4175
0
42
30 15 230
0
0
190 70 120 40 1100
2 1 48
40 40 1024
1 1 29
35
1 9
0
0
0
0
0
15 306
44 98 112 186 90 3082
0
41 67 102 212 123 2311
0
0
26
0
0
10 100
0
2 26 2 37
30 5 40 317
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2 1 3 1 1 2 30
0
0
5 41
0
11
4
6 3 3 3 134
23 25 309
0
5
17
50
23 40 103
182
0
0
0
10 240
0
30 110
47
45
3 5 84
2
5 1 4 2 53
4 5 312
0
0
22 78 50 70 64 90 2168
0
0
0
70 40 1210
15 60
10
5
20
0
10
31
3 1 34
1 1 1 13
0
0
2 4 4 3 1 3 114
99 104 132 84 103 144 3982
0
0
3 5 75
0
22 10 141
1
5 5
0
0
0
6 6
0
0
0
22 40 60 70 1409
12 6 70
10 10 68
0
0
0
0
0
0
1
0
50 30 25 10 535
36
10
0
5 15 20 15 35 930
7 5 9 8 7 8 191
0
32 40 67 36 45 54 1385
0
20
7
40
0
3 8 11 2 4 2 105
0
8 11 9 4 8 196
78 112 156 95 121 140 2657
80
0
0
0
0
15 10 34 35 30 548
0
210 410 444 495 212 425 10101
3 3 5 66
8 9 9 17 2 374
0
3
1 12
0
0
0
6 60 928
0
23 56 60 96 44 72 1933
0
0
24 376
0
0
10 10 40 243
0
66 104 154 96 111 234 4093
154
0
0
20 6 108
0
0
0
6 77
1 1 6
0
3 2 5 4 1 3 44
6 11 9 6 4 4 212
0
0
0
5 15 20 20 10 20 445
20 10 210
0
30
67
6
0
0
12 57
0
87 100 134 3227
37
90
102 87 78 267
0
1
3 1 23
40 30 10 20 410
8
0
0
2 2 4 3 1 2 89
4 3 3 1 32
0
0
0
0
4 1 3 22
0
0
24 12 236
0
0
50
0
1 2 15
0
0
10 35 40 20 5 30 543
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
74823
LOKET OBAT PUSKESMAS RANCAEKEK
HASIL STOK OPNAME TANGGAL 03 NOVEMBER 2016
NO NAMA OBAT JUMLAH DI GUDANG peneriman oktober

1 Albendazole tablet 400 mg
2 Allopurinol tablet 100 mg 4200 1000
3 Ambroxol sirup 15 mg/ 5 ml
4 Ambroxol tablet 30 mg
5 Aminofilin tablet 200 mg
6 Aminofilin Injeksi
7 Amitriptilin Tablet 25 mg 200
8 Amlodipin Tablet 10 mg 15030
9 Amlodipine 5 mg
10 Amoksisilin Forte DS
11 Amoksisilin iinj
12 Amoxan Drops
13 Amoxicillin kaplet 500 mg 3400
14 Amoxicillin kapsul 250 mg 2500
15 Amoxicillin sirup kering 125 mg/ 5 ml
16 Ampisilin inj
17 Antalgin (Metampiron) tablet 500 mg 5600
18 Antasida DOEN suspensi
19 Antasida DOEN tablet 36600
Antidiare Nonspesifik Sirup (Neo Kaominal)

20
21 Antidiare Nonspesifik tablet (Molagit)
168
22 Benzoat 6% + Asam Salisilat 3%)
23 Antihemoroid DOEN Suppositoria 250
24 Ergotamin tartrat 1 mg + Cofein 50 mg )
25 Aqua Pro Injeksi Steril bebas Pirogen
26 Asam Askorbat (Vit. C) tablet 50 mg 15900
27 Asam Folat tablet 1 mg
28 Asam Mefenamat tablet 500 mg
29 Asetosal 100 mg tab 3000
30 Asiklovir krim 5% 18
31 Asiklovir tablet 400 mg 300
32 Atropin Injeksi 0,25 mg / ml - 1 ml
33 Azitromisin 500 MG 160
34 Besi (Fe) tablet 2900
35 Betametason krim 0.1 % 380
36 Cefadroxil 500 mg Caps
37 Cefaddroxil 125 mg DS
38 Cefadroxil Forte DS
39 Cefiksim DS 2
40 Cefiksim 200 mg
41 Ceftriaxone injeksi
42 Cefotaxime inj
43 Cetirizine
44 Cimetidin
45 Clorpromazin 100 mg
46 Corsaneuron
47 Dexametasone injeksi 5mg
48 Dexametasone tablet 0,5 mg
49 Diazepam Injeksi 5 mg /ml - 2ml
50 Diazepam Rectal 5 mg
51 Diazepam Tablet 2 mg
52 Difenhidramin HCl Injeksi 10 mg/ ml
53 Digoxin tablet 0,25 mg
54 Dimenhydrinate 50 mg
55 Doksisiklin
56 Domperidon Sir (hufadon)
57 Domperidone tablet 10 mg
58 Dulcolak Supp Inf
59 Efedrin HCl tablet 25 mg
60 Epinefrin HCl Injeksi 0,1% - 1 ml
61 Eritromicin kapsul 250 mg
62 Eritromicin kapsul 500 mg
63 Eritromisin sirup 200 mg/ 5 ml
64 Etakridin (Rivanol) 0,1% 48
65 Etambutol tablet 500 mg
66 Etanol (alkohol) 70 % - 100 ml 60
67 Ethambutol 250 mg
68 Extrak Beladonna tablet 10 mg
69 Fenilbutazon 200 mg tablet
70 Fenitoin Natrium 30 mg Kapsul
71 Fenobarbital (Luminal) Injeksi 50 mg / ml
72 Fenobarbital (Luminal) tablet 30 mg
73 Fenoksimetil phenisilin tablet 250 mg
74 Fenoksimetil phenisilin tablet 500 mg 27600
75 Fenol Gliserol Tetes Telinga 10% 768
76 Fitomenadion ( Vit K) inj 2 mg (Vitka Infant)

77 Fitomenadion (Vit K) Injeksi 10 mg/ ml
78 Fitomenadion (Vit. K) tablet 10 mg
79 Fluconazol tablet 150 mg
80 Fludane Sir
81 Furosemida Injeksi iv / im- 10 mg/ ml- 2 ml

82 Furosemida tablet 40 mg
83 Garam Oralit II (200ml) Serbuk 4600
84 Gentamisin Injeksi 80 mg / 2,5 ml
85 Gentamisin Salep Kulit 0,1 %
86 Gentian Violet
87 Glibenclamide tablet 5 mg
88 Glimepiride 1 mg
90 Gliserin Cairan 100ml
91 Glukosa Lar. Steril Cairan Infus 5%
92 Griseofulvin tablet 125 mg
93 Griseril Guaiakolat tablet 100 mg
94 Hallperidol 1,5 mg
95 Haloperidol tablet 0.5 mg
96 Haloperidol tablet 1.5 mg
97 Haloperidol tablet 5 mg
98 Hidrochlortiazid (HCT) tablet 25 mg
99 Hidrokortison 1% cream 216
100 Hidrokortison Krim 2,5% 360
101 Hyoscine N-Butyl Bromida (Scopma)
102 Ibuprofen suspensi 100 mg / 5 ml
103 Ibuprofen tablet 200 mg
104 Ibuprofen tablet 400 mg
105 Isoniazide tablet 100 mg
106 Isosorbid Dinitrat tablet sublingual 5 mg
107 Kalium Aspartat (KSR)
108 Kalsium Laktat (Kalk) tablet 500 mg
109 Kaptopril tablet 12.5 mg
110 Kaptopril tablet 25 mg
111 Karbamazepine tablet 200 mg
112 Ketokonazole tablet 200 mg
113 Ketorolac Inj
114 Klindamisin kapsul 300 mg 900
115 Kloramfenicol kapsul 250 mg
116 Kloramfenikol Salep Mata 1 %
117 Kloramfenikol Suspensi 60 ml
118 Kloramfenikol Tetes Mata 0,5 %
119 Kloramfenikol Tetes Telinga 3%
120 Klorampenicol SK (Bufacetin) 380
121 Klorfeniramin Maleat (CTM) tablet 4 mg
122 Klorpromazine HCl tablet salut 25 mg
123 Klorpromazine HCl tablet salut 100 mg
124 Kotrimoksazol Suspensi 60 ml
125 Kotrimoxazol tablet dewasa
126 Kotrimoxazol tablet pediatrik
127 Laksadin Susp
128 Lansoprazol 1600

129
130 Lidokain Injeksi (Pehacain)
131 Lidokain Injeksi 2 % /ml
132 Loperamide
133 Magnesium Sulfat 20% - 25 ml
134 Magnesium Sulfat 40% - 25 ml
135 Meloxicam tablet 15 mg
136 Metformin tablet 500 mg
137 Methyl Prednisolon 4 mg
138 Methyldopa 250 mg (Dopamet)
139 salut 0,125 mg
140 Metilergometrin Maleat Injeksi 0,2mg/ml
141 Metochlorpramide Injeksi 5 mg/ ml
142 Metochlorpramide tablet 10 mg
143 Metoklopramide Sir (Leksapram)
144 Metronidazol OV (Flagyl OV)
145 Metronidazol Sir (Farizol Susp)
146 Metronidazole tablet 250 mg
147 Metronidazole tablet 500 mg
148 Mikonazol Krim 2% 24
149 Miniaspi 80 mg
150 Misoprostol (Gastrul)
151 Multivitamin Dewasa Kapsul (Hemafort)
152 Multivitamin Sirup Anak (Sanvita B Sir) 180
153 Natrium Bikarbonat tablet 500 mg
154 Natrium Diklofenak tablet 50 mg
155 Natrium Klorida Cairan Infus 0,9% 500 ml
156 Nifedipine tablet 10 mg
157 Nistatin tablet 500.000 IU
158 Nistatin tablet vaginal 100.000 IU
159 Obat Antituberkolosa FDC 1/3
160 Obat Batuk Hitam (OBH) Sirup 100 ml
161 Obat Flu Sirup (Molexflu Sirup)
162 Obat Flu Sirup (Ponflu) 1368
163 Obat Flu Tab (Ponflu tab) 33000
164 Ofloksacin
165 Oksitetrasiklin HCl Injeksi 50 mg/ ml
166 Oksitetrasiklin HCl Salep Kulit 3%
167 Oksitetrasiklin HCl Salep Mata 1 %
168 Oksitosin Injeksi 10 IU/ml
169 Omeprazole Caps
170 Ondansentron Inj
171 Paracetamol 500mg tablet
172 Paracetamol drops tetes 60 mg / 0,6 ml 120
173 Parasetamol Sirup 120 mg/ 5 ml 256
174 Parasetamol tablet 100 mg
175 Perak Sulfadiazin (Burnazin)
176 Permetrin salep 5% (Scabimite cr) 60
177 Pirantel Pamoat tablet 125 mg
178 pirantel Susp
179 Pirazinamide tablet 500 mg
180 Piridoxin HCl (Vit. B6) tablet 10 mg
181 Piroxicam 10 mg
182 Piroxicam kapsul 20 mg 7800
183 Povidon Iodida 10% Cairan 300ml 77
184 Povidon Iodida 10% Cairan 30ml 61
185 Prednisone tablet 5 mg
186 Propanolol tablet 40 mg
187 Propil Tio Urasil tablet 100 mg
188 Puralex Tab 1800
189 Ranitidin Injeksi 25 mg/ ml
190 Ranitidine tablet 150 mg
191 Reserpin tablet 25 mg
192 Rifampicin kapsul 300 mg
193 Ringer Laktat Cairan Infus 500 ml 198
194 Salbutamol 2 mg
195 Salbutamol Inhalasi 100 mcg
196 Salbutamol Nebulizer 1 mg/ ml-2,5ml
197 Salbutamol plus inprotorium nebulizaer
198 Salbutamol tablet 4 mg
199 Belerang endap 4%
200 (Bioplasenton)
201 Salisil Bedak 2% - 50 gram
202 Samcodryl Sir
203 sanadryl Sir
204 ml
205 Sianokobalamin (Vit. B12) tablet 50 mcg
206 Simvastatin tablet 10 mg
207 Siprofloxacin tablet 500 mg 20500
208 Spirinolakton tablet 25 mg
209 Sucralfat Susp
210 Sucralfat Tab (Ulsidex)
211 Sulfasetamid Na Tetes Mata 15%
212 Tetrasiklin kapsul 250 mg
213 Tetrasiklin kapsul 500 mg 200
214 Tiamfenicole kapsul 500 mg 1500
215 Tiamin HCl (Vit B1) Injeksi 100 mg/ ml
216 Tiamin HCl (Vit. B1) tablet 50 mg
218 Vagizol Ovula
219 Vitamin B Kompleks tablet 2600
220 Xylestesin inj
221 Xylocain 2% Gel
222 Zink syrup
223 Zink tablet 200 mg dispersible
224 Lacto B
225 Candistatin drops
226 Dexaharson
227 Erlamycetin Tetes Mata
228 Erlamycetin Tetes Telinga 45
229 Levofloxacin
230 Ambeven 100
231 Alinamin F tab
232 Anelat (Asam Folat)
233 Borak Gliserin
234 Cazetin Drops
235 Mucogard syr (Sucralfate)
236 Cefixime 100 mg 100
237 Dumin 120 mg
239 Gemfibrozil 300 mg cap
240 Gentamisin Salep Mata 282
241 BMHP
242
243 Alat Suntik 10 ml 60
244 Alat Suntik sekali pakai 1 ml 500
245 Alat Suntik sekali pakai 2,5 ml / 3 ml 100
246 Alat Suntik sekali pakai 5 ml 98
247 Balon Karet Pinguin
248 Bisturi
249 Canula Oksigen Anak
250 Canula Oksigen Dewasa
251 Canula Oksigen Neonatus
252 Catgut/Benang bedah No.2/0
253 Catgut/Benang bedah No.3/0
254 Clorin
255 Foley catheter 16 120
256 Foley catheter 18 140
257 Foley catheter 20
258 Gelydopler 5 L
259 Hydrogen Piroksida H2O2 3 %
260 Infusion set anak
261 Infusion set dewasa 1300
262 IV. Catheter No. 18
267 Jarum hekting No 6
268 Jarum hekting No 8
269 Jarum Hekting No. 10
271 Kapas Pembalut/Absorben 250 gram
272 Kasa Gulung 36 m x 80 cm
273 Kasa Pembalut Hidrofil 4 m x 10 cm
274 Kasa Pembalut Hidrofil 4 m x 5 cm
275 Kasa steril framisetin ( lomatull )
276 Kasa sterill 16 x 16 cm 72
277 Lisol
278 Masker 3 ply
279 Masker N 95
280 Muccus ekstraktor
281 Plester 5 yards x 2 inch 11
282 Sarung tangan non steril 7 G
283 Sarung Tangan Obgyn
284 Sarung tangan steril Disposible 7 G
285 Selang Nebulizer
286 dengan jarum bedah
287 Umbilical Klem
288 Underpad 60
289 Urin Bag 350
290 I V Dressing 100
291
292 BAHAN GIGI
293
294 Bahan preventive gigi ( white varnish )
295 Air Raksa
296 Alloy Amalgan
297 Bahan Tambal Sinar (Composit)
298 Bahan Tambalan sementara ( caviton )
299 Cresopet
300 desinfektan Cair (Viorex)
301 Devital
302 Disclosing Solution
303 Etil Klorida Cairan Semprot 100 ml
304 Eugenol
305 Glass Ionomer semen ART ( Ketac molar )
306 Gutta percha points 15-40
307 Kalsium Hidroksida Pasta
308 Klor Fenol kamfer ( CHKM )
309 Larutan Klorheksidin Plus Alal (Aseptan)
310 Larutan TSR ( Tooth Stain Remover )
311 Eugenol ( Alvogyl )
312 Olie Pelumas Dental Unit
313 Paper point absorbent 15-40
314 Reagen Hemoglobin C
315 Seluloid strip
316 Semen seng Powder dan Liquid
317
318 LABORATORIUM
319
320 Larutan Natrium Sitrat
321 Larutan Natrium Oksalat
322 Reagen GOLDAR
323 PP Test
324 Ose
325 Widal Test
326 Asam Sulfosalisilat
327 Emersi Oil
328 Kolesterol Srip
329 Asam urat strip
330 Reagen BTA
november JUMLAH LOKET OBAT JUMLAH
209
39
370
200
205
470
22
340
32
75
49
3390
15
9
1955
1140
26
22
28
694
38
240
5
990
1655
81
640
40
21
6
323
50
84
200
80
595
130
0
12
120
461
525
30
444
17
19
1835
90
233
190
900
230
873
45
2000
0
0
23
1209
739
48
830
2
210
868
268
55
31
228
310
248
13
80
190
55
146
9
3
20
32
19
397
18
23
2
25
72
590
900
1
290
120
780
250
675
474
25
19
36
775
1705
20
522
225
4000
52
45
570
363
17
10
19
3
280
15
80
48
9
LAPORAN PEMAKAIAN LOKET OBAT PUSKESMAS RANCAEKEK DTP
Tanggal :
NO NAMA OBAT SATUAN PEMAKAIAN JUMLAH

2 Allopurinol tablet 100 mg tablet
3 Ambroxol sirup 15 mg/ 5 ml botol
4 Ambroxol tablet 30 mg tablet
7 Amlodipin Tablet 10 mg tablet
9 Amoksisilin Forte DS botol
11 Amoxicillin kaplet 500 mg kaplet
12 Amoxicillin kapsul 250 mg kapsul
14 Antalgin (Metampiron) tablet 500 mg tablet
15 Antasida DOEN suspensi botol
16 Antasida DOEN tablet tablet
18 Antidiare Nonspesifik tablet (Puralex) tablet

19 tube
Benzoat 6% + Asam Salisilat 3%)
20 Antihemoroid DOEN Suppositoria tablet
21 tablet
23 Asam Folat tablet 1 mg tablet
24 Asam Mefenamat tablet 500 mg tablet
26 Asiklovir krim 5% tube

32 Cefadroxil 500 mg Caps kapsul
33 Cefaddroxil 125 mg DS botol
34 Cefadroxil Forte DS botol
35 Cefiksim DS botol
38 Cimetidin Tablet
40 Corsaneuron tablet
41 Dexametasone tablet 0,5 mg tablet
46 Domperidone tablet 10 mg tablet
59 Garam Oralit II (200ml) Serbuk sace
66 Griseril Guaiakolat tablet 100 mg tablet
70 Hidrochlortiazid (HCT) tablet 25 mg tablet
72 Hidrokortison Krim 2,5% tube
80 Kalsium Laktat (Kalk) tablet 500 mg tablet
88 Kloramfenikol Salep Mata 1 % tube
92 Klorampenicol SK (Bufacetin) tube
93 Klorfeniramin Maleat (CTM) tablet 4 mg tablet
96 Kotrimoksazol Suspensi 60 ml botol
97 Kotrimoxazol tablet pediatrik tablet

102 Metformin tablet 500 mg tablet
105 tablet
0,125 mg
114 Multivitamin Sirup Anak (Sanvita B Sir) botol

120 Obat Batuk Hitam (OBH) Sirup 100 ml botol
121 Obat Flu Sirup (Ponflu) botol
122 Obat Flu Tab (Ponflu tab) botol
126 Omeprazole Caps kapsul
127 Paracetamol 500mg tablet tablet
128 Paracetamol drops tetes 60 mg / 0,6 ml botol

129 Parasetamol Sirup 120 mg/ 5 ml botol

136 Piridoxin HCl (Vit. B6) tablet 10 mg tablet
142 Puralex Tab tablet
143 Ranitidine tablet 150 mg tablet
145 Salbutamol 2 mg tablet
146 Salbutamol tablet 4 mg tablet
147 tube
Belerang endap 4%
148 Salisil Bedak 2% - 50 gram kotak
149 Samcodryl Sir botol
152 Simvastatin tablet 10 mg tablet
153 Siprofloxacin tablet 500 mg tablet
156 Sucralfat Tab (Ulsidex) botol
161 Tiamin HCl (Vit. B1) tablet 50 mg ampul
162 Trihexifenidril Hidroksida tablet 2 mg tablet

166 Zink tablet 200 mg dispersible tablet
167 Lacto B pcs
170 Erlamycetin Tetes Telinga botol
172 Ambeven Tablet
173 Alinamin tablet
175 Borak Gliserin botol
178 Cefixime 100 mg Kapsul
181 Gemfibrozil 300 mg cap
183 ceterizine syrup
186 betahistine mesylate (lexigo)
187 bisacodyl 10 mg (stolax)
188 etanol 70% 1000 ml
Kunjungan Pasien :
Umum :
BPJS ;
PEMAKAIAN LOKET O
BULAN APRIL 2017
NO NAMA OBAT SATUAN

1 2 3 4 5 6 7
1 Albendazole tablet 400 mg tablet 10
2 Allopurinol tablet 100 mg tablet 40 3 20 40 24 15
3 Ambroxol sirup 15 mg/ 5 ml botol 4 2 3 4
4 Ambroxol tablet 30 mg tablet 90 200 130 142 130 176
8 Amlodipin Tablet 10 mg tablet 76 160 190 125 121 150
9 Amlodipine 5 mg tablet 17
10 Amoksisilin Forte DS botol 2 2 1 3 2
13 Amoxicillin kaplet 500 mg kaplet 240 455 190 280 292 205
15 Amoxicillin sirup kering 125 mg/ 5 ml botol 7 2
17 Antalgin (Metampiron) tablet 500 mg tablet 32 10 20 10
18 Antasida DOEN suspensi botol 12 170 12 19 8 23
19 Antasida DOEN tablet tablet 170 70 10 10 22
22 tube
Benzoat 6% + Asam Salisilat 3%) 5 5 1 2 4
24 tablet
26 Asam Askorbat (Vit. C) tablet 50 mg tablet 170 95 30 18 72 72
27 Asam Folat tablet 1 mg tablet 60 10
28 Asam Mefenamat tablet 500 mg tablet 236 160 158 166 100
30 Asiklovir krim 5% tube 3 1
31 Asiklovir tablet 400 mg tablet 30 10
34 Besi (Fe) tablet tablet 290 470
35 Betametason krim 0.1 % tube 5
36 Cefadroxil 500 mg Caps kapsul 50 70 40 40 30
37 Cefaddroxil 125 mg DS botol 70 1
44 Cimetidin Tablet
46 Corsaneuron tablet 155 84 162 126 54 108
47 Dexametasone inj ampul
48 Dexametasone tablet 0,5 mg tablet 84 203 84 78 114 48
54 Dimenhydrinate 50 mg tablet 20
56 Domperidon Sir (hufadon) botol 1
57 Domperidone tablet 10 mg tablet 15 10 10
71 Fenobarbital (Luminal) Injeksi 50 mg / ml ampul
75 Fenol Gliserol Tetes Telinga 10% botol 4 1 1 2

80 Fludane Sir botol 1

83 Garam Oralit II (200ml) Serbuk sace 5 23 5 21 25 16
85 Gentamisin Salep Kulit 0,1 % tube 1
88 Glimepiride 1 mg tablet 20 7 27 15 63 30
92 Griseofulvin tablet 125 mg tablet 55
93 Griseril Guaiakolat tablet 100 mg tablet 20
100 Hidrokortison Krim 2,5% tube 12 7 7 6 3
104 Ibuprofen tablet 400 mg tablet 70 80 56 80 80 80
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 10 70 10 10 85
110 Kaptopril tablet 25 mg tablet 2
114 Klindamisin kapsul 300 mg kapsul 10 10
116 Kloramfenikol Salep Mata 1 % tube 3 2
117 Kloramfenikol Suspensi 60 ml botol 2
118 Kloramfenikol Tetes Mata 0,5 % botol 9 2 3 5 5
120 Klorampenicol SK (Bufacetin) tube 4 3 3 3 5
121 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 162 156 108 182 96
125 Kotrimoxazol tablet dewasa tablet 12 12
126 Kotrimoxazol tablet pediatrik tablet 12
129 botol
Lidokain Injeksi (Pehacain)
135 Meloxicam tablet 15 mg tablet 25 6
137 Methyl Prednisolon 4 mg ampul 12
138 Methyldopa 250 mg (Dopamet) tablet 20 10 10
139 tablet
0,125 mg
140 Metilergometrin Maleat Injeksi 0,2mg/ml ampul
147 Metronidazole tablet 500 mg tablet 10 20 10 10 10 10

10 10 5 42 30 10
152 Multivitamin Sirup Anak (Sanvita B Sir) botol 4 1 11 1
154 Natrium Diklofenak tablet 50 mg tablet 54 24 56 32
160 Obat Batuk Hitam (OBH) Sirup 100 ml botol 11 5 9 8 8 2
161 Obat Flu Sirup (Molexflu Sirup) botol 2
162 Obat Flu Sirup (Ponflu) botol 7 4 18 8 7
163 Obat Flu Tab (Ponflu tab) botol 115 171 85 129 171 119
168 Oksitosin Injeksi 10 IU/ml ampul 10
171 Paracetamol 500mg tablet tablet 340 789 450 295 450 344
172 Paracetamol drops tetes 60 mg / 0,6 ml botol 20 8 3 1
175 Perak Sulfadiazin (Burnazin) tube 3 3
180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet 60 60 110 30
181 Piroxicam 10 mg tablet 72
182 Piroxicam kapsul 20 mg kapsul 72 60 66 72 120
185 Prednisone tablet 5 mg tablet 18 48 37 24 12
188 Puralex Tab tablet 6 10 6
190 Ranitidine tablet 150 mg tablet 66 84 134 58
197 Salbutamol plus inprotorium nebulizaer ampul
198 Salbutamol tablet 4 mg tablet 10 20
199 tube
Belerang endap 4% 2
200 tube
(Bioplasenton)
202 Samcodryl Sir botol 1 2 9 2 4
204 Sianokobalamin (Vit B12) Injeksi 500 mcg/ ml botol

207 Siprofloxacin tablet 500 mg tablet 20
210 Sucralfat Tab (Ulsidex) botol 10 10
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 30 66 12
tablet
219 Vitamin B Kompleks tablet tablet 52 272 48 96 130 132
223 Zink tablet 200 mg dispersible tablet 20
224 Lacto B pcs
227 Erlamycetin Tetes Mata botol 2 1
228 Erlamycetin Tetes Telinga botol 4 1
230 Ambeven Tablet
231 Alinamin tablet
236 Cefixime 100 mg Kapsul 36 5
239 Gemfibrozil 300 mg cap 10
241 ceterizine syrup
244 betahistine mesylate (lexigo) 20 20 20 10
245 Etanol (alkohol) 70 % - 1000 ml
246 Bisacodyl 10 mg (Stoax)
247 Bevalex
248 Biosanbe cap
BMHP
254 Bisturi pcs
260 Clorin botol
283 Lisol botol
285 Masker N 95 pcs
Silk ( Benang Bedah Sutera ) No. 3/0 dengan
292 sase
jarum bedah
294 Underpad lbr
295 Urin Bag set
296 One Med Antiseptik Gel
297 I V dressing (canula fixation)
298 Surgical Handsoap/Aseptan
299 Jarum Mucosa
300 Sarung Tangan Rumah Tangga
301 Ultrasonic Gel
BAHAN GIGI

303 Air Raksa Botol
307 Cresopet botol
309 Devital pot
312 Eugenol botol
313 Glass Ionomer semen ART ( Ketac molar ) paket
317 Larutan Klorheksidin Plus Alal (Aseptan) botol
319
Eugenol ( Alvogyl ) tube
325 Devitec
326 Calcidor
327 Articulating Paper
328 Cresophen/Endosepton
LABORATORIUM

332 PP Test buah
333 Ose buah
334 Widal Test set
337 Kolesterol Srip
338 Asam urat strip
339 Reagen BTA
342 Tabung Hematokrit
343 Aqua Destilata
344 Kolesterol total
AKAIAN LOKET OBAT PUSKESMAS RANCAEKEK DTP
TANGGAL
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
35 20 5 15 30 15 20 30 10 10 20 10 10
4 10 2 1 6 5 16 1 1 1
70 90 140 70 180 70 75 70 120 90 110 90 160 125
180 120 110 130 200 62 160 90 115 135 97 90 56 78

170 66 102 105 60 130
4 2 2 3 4 2 8 5 2 2
150 300 320 245 301 235 355 290 280 553 272 170 330 345
30 20 10 30 30 30 20 20 10 60 10 30
3 3 6 3 6 2 5 5 3 2
12 30 86 92
19 27 33 36 24 40 6 16 6 7 7 22 15 22
76 30 20 40 60 20 20 10 20
3 4 3 2 3 2 2 3 2 7 5
6 3 3 4 1 2
10 166 36 12 24 28 48 24 88 6 125 46 33
30 6 50 20
70 192 300 208 120 171 156 104 182 434 128 180 70 150
2 1 3 1 1 1 1
20 30 40 30 15 30 15
420 30 6 330 30 190 6 410 360 5

5 6 3 4 9 3 5 4 3 2
50 70 40 90 40 20 52 30 110 20 60 80
2 2 10
1 1 3 1 2 4 1
1 3 2 1 6 7
90 60
30 180 132 144 186 84 84 98 24 108 30 42 34 36
24 120 133 86 133 96 120 67 114 106 122 82 270 156
4 10 9 9 8 5
10 10 10
1 2
8 10 10 30 10 10
1
4 4 1 6 3 1 3 2 2
20 10 10 5 20
2 3 2
3 3 5 3 8
9 5 15 25 15 5 15 10 10 25 5 20
1 2
10 10
10 5 10 20 20 40 12
5 14 15
40 20 20 35 10
60 30
3
90
3 6
10 7 7 2 1 1
18 20
90 98 80 110 100 60 110 78 40 136 40 78
5 150 20 25 20 25 5 35 5 240 110 35

4 6
10
10
10 10
3 1 2 2 3 2 1 3
1 1 1 1
5 4 5 4 2
4
6 6 3 4 2 3 8 4 2 2 4 4 1 6
102 147 180 120 126 148 144 104 204 193 144 132 180 180
1 6 1 5 9 1 1 5 2 1 5
12
30
20
12
40 50 50 50 50 70 20 40 80 20 60 50
5 42 20 10 6 6 10
10 20
20 20 20 20 10 10 20
2 3
40 70 25 10 20 10 10 15 15 30 10 40 180
4 11 2 8 5 6 5 6 3 1 9 8
30 24 30 122 22 12 40 12 86 24 20
10
7 10
3 9 8 3 1 7 6 8 6 4 2 4 3 5
13 11 9 17 13 8 7 11 4 13 5 2 7 10
130 227 190 70 125 110 231 112 95 135 205 78 161
20 15 15 20 35 10 35 10 20 40 1 10 25
277 480 232 350 380 430 295 410 287 340 397 334 815 605
5 1 2 2 3 1
6 16 6 13 12 6 9 3 21 10 7 16
1
16 2 1 1
80 1 30 50 10 30 120 80 90
36 144 120 96 146 94 54 56 90 66 92 60 117 144

6 24 36 18 12 24 48
6 6 10 12 30 20 10
24 144 64 26 126 134 104 192 144 132 66 82 222

154
20 6 6 20 5
10 10 40
2 1 4 2 8 3 2 2 2
10 2 3 10 13 15 4 11 7 3 7 1 2
10 20 25 10 20 15 10 35 10 15
10 10 10 20 10 10 10
20 20 10 20 20
10 10 12 20
10 30 10 58 190 18 100 10 20 80 70 224
60 90
6 1
90 200 164 144 96 192 54 164 84 318
3 3 2
30 20 30 20 40 10 10
5 1 2 5 2
3 1 4 4 7 4
1 1 1 1 1 3
39
10
20 10 10 30 35 10 30
JUMLAH
25 26 27 28 29 30 31
10 5 0
12 10 3 7 404
5 6 5 100 60 236
120 40 68 2556
0
0
70 60 130
212 145 155 100 105 3162
2 2 654
3 2 2 51
0
250 230 480
400 245 351 30 30 6864
10 30 7 5 439
4 5 133
10 12 230 672
41 35 51 651
10 10 598
0
0
8 4 4 3 3 75
3 4 3 38
0
0
30 26 68 74 54 1355
50 50 100 376
210 150 176 3821
0
1 12 27
220
0
0
620 3167
49
110 30 80 60 40 1212
1 1 1 88
8 1 1 32
1 26
0
0
0
0
120 30 150
62 146 358
60 84 84 2129
48 45 93
144 156 62 2602
0
0
8 56
0
20 20
10 10 70
0
1 46 51
10 123
1
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
1 1
3 1 1 39
0
0
95
0
8
0
4 5 10 5 46
10 10 35 309
0
1
1 15
20
28 3 10 10 15 345
34
0
0
10 65
10 155
0
90
20 10 93
90
39
5 5
16 6 5 10 20 120
38
0
86 70 156
150 80 180 1876
0
6 6
15 25 40
20 20 183 15 1098
10
6 18
0
6 16
0
10 50
0
2 1 25
6
1 2 4 51
3 3 2 6 5 23
4 2 3 151 69 302
236 162 144 3350
0
1 1
7 8 1 79
10 46
48 12 102
1 1
0
0
20
0
0
0
0
62 77 30 60 272
85 37 50 6 1205
6 117
10 80
0
0
0
0
0
0
0
20 20
10 10 1 1 212
5
0
0
5 10 20 4 6 627
10 5 3 103
24 39 63
54 48 40 730
0
10
5 5
17
5 5
2 6 11 131
4 6
13 6 3 7 50 253
207 116 157 80 3219
0
0
0
0
20 5 35
25 45 15 476
270 210 480
460 343 422 2 2 9529
6 2 3 10 16 83
14 12 8 248
0
1 8
21
0
1
100 100
10 30 56 847
54 66 192
126 1831
0
24 6 30
36 24 367
0
5 5
10 126
210 58 268
86 70 96 2054
154
0
10 12 22
7 104
0
0
30 30
6 16 112
0
2 3 6 40
7 9 15 137
0
0
20 10 30
5 10 20 375
30 130
0
10 10
10 120
0
0
0
20 141
70 106 176
30 190 480 30 1658
150
5 22
370 2606
1 1
1 1
1 10 31
10 20 210
0
0
4 6 10
1 1 20
28
0
0
0
1 1 2
1 1 11
0
30 30
80
0
0
20
4 4
1 3
0
50 1 51
20 50 285
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72653
LOKET OBAT PUSK
May-17
NO NAMA OBAT SATUAN

1 2 3 4 5 6 7 8 9
2 Allopurinol tablet 100 mg tablet 10 10 22 20 27
3 Ambroxol sirup 15 mg/ 5 ml botol 3 1 1 3 1
4 Ambroxol tablet 30 mg tablet 200 70 80 72 90 125 100
8 Amlodipin Tablet 10 mg tablet 180 127 96 125 175 90 135
10 Amoksisilin Forte DS botol 4 1 2 2 6 3
13 Amoxicillin kaplet 500 mg kaplet 380 390 265 175 215 297 220
4 1 4 3
17 Antalgin (Metampiron) tablet 500 mg tablet 40 6 6 22
18 Antasida DOEN suspensi botol 20 16 11 2 5 20 47
19 Antasida DOEN tablet tablet 90 5 40 40 10 40
20 botol
Kaominal)

3%) 8 3 3 3 2 3 2
)

48 18 60 18 22 35
28 Asam Mefenamat tablet 500 mg tablet 104 140 100 142 48 130 162
30 Asiklovir krim 5% tube 2
34 Besi (Fe) tablet tablet 10 200 10
36 Cefadroxil 500 mg Caps kapsul 110 30 90 40 48 50 66
37 Cefaddroxil 125 mg DS botol 3
44 Cimetidin Tablet
45 Clorpromazin 100 mg tablet 10
46 Corsaneuron tablet 132 72 36 114 60 96 126
47 clorpromazin 25 mg ampul
48 Dexametasone tablet 0,5 mg tablet 147 132 132 72 120 186 143
51 Diazepam Tablet 2 mg tablet 3 3
57 Domperidone tablet 10 mg tablet 5 10
71 ampul
ml
75 Fenol Gliserol Tetes Telinga 10% botol 1 2 1 2 3

76 ampul
Infant)
78 Fitomenadion (Vit. K) tablet 10 mg tablet 6 5 20 10 6

81 ampul
2 ml
83 Garam Oralit II (200ml) Serbuk sace 11 5 18 10 25
88 Glimepiride 1 mg tablet 50 20 36 25 10 10
98 Hidrochlortiazid (HCT) tablet 25 mg tablet
99 Hidrokortison 1% cream tube 6 4 7
100 Hidrokortison Krim 2,5% tube 17 15 5 2
104 Ibuprofen tablet 400 mg tablet 145 100 30 70 40 70 170
106
mg tablet
108 Kalsium Laktat (Kalk) tablet 500 mg tablet 15 15 125 26 45 125
109 Kaptopril tablet 12.5 mg tablet 10
112 Ketokonazole tablet 200 mg tablet 10 10 10 10
116 Kloramfenikol Salep Mata 1 % tube 1 2 1 1 2
118 Kloramfenikol Tetes Mata 0,5 % botol 4 3 5 5 4 4 6
120 Klorampenicol SK (Bufacetin) tube 6 2 1 5
121 tablet
mg 292 192 120 94 200 60 144
123 tablet
mg
126 Kotrimoxazol tablet pediatrik tablet 24 24 12 12
mg/g
130 Lexigo betahistine Mesilate tablet
135 Meloxicam tablet 15 mg tablet 65 85 75 90 70 80
137 Methyl Prednisolon 4 mg ampul 6 20 6
138 Methyldopa 250 mg (Dopamet) tablet 10 10 10 10 6
139 tablet
tablet salut 0,125 mg
140 ampul
0,2mg/ml
151 botol
(Samcobion) 40 90 5 10 72 18
152 botol
Sir) 5 1 4 11 7 3 6
154 Natrium Diklofenak tablet 50 mg tablet 94 30 18 18 42 20 44
155 tablet
500 ml
160 botol
ml 2 9 6 2 5 1 6
162 Obat Flu Sirup (Ponflu) botol 29 1 6 5 5 15
163 Obat Flu Tab (Ponflu tab) botol 135 60 155 105 160 55 164

171 Paracetamol 500mg tablet tablet 488 500 385 180 305 528 393
172 botol
ml 2 1 7
188 Puralex Tab tablet 6 10 11 20 10 20
190 Ranitidine tablet 150 mg tablet 173 66 142 54 90 168 150

197 ampul
nebulizaer
198 Salbutamol tablet 4 mg tablet 6 26
199 tube
2% + Belerang endap 4% 2 1
200 tube
plasenta+neomisin (Bioplasenton) 2 1
202 Samcodryl Sir botol 5 3 1 3 5 10
204 botol
mcg/ ml
205 ampul
mcg
207 Siprofloxacin tablet 500 mg tablet 30 10 10 10 20 40
210 Sucralfat Tab (Ulsidex) botol 20
216 Tiamin HCl (Vit. B1) tablet 50 mg ampul 96 180 178 84 60 136 194
tablet
223 Zink tablet 200 mg dispersible tablet 30 10
224 Lacto B pcs
228 Erlamycetin Tetes Telinga botol 2
230 Ambeven Tablet 10
231 Alinamin tablet
233 Borak Gliserin botol 2 2 5 1
Cefixime 100 mg Kapsul 10
Dumin 120 mg Supp
Bisoprolol 5 mg tab
Gentamicin salep mata tube
ceterizine syrup 1 1
betahistine mesylate (lexigo) 10 20 10 10 10
etanol 70% 1000 ml
burnazin salep luka bakar
BMHP

240 Bisturi pcs
246 Clorin botol

269 Lisol botol
271 Masker N 95 pcs

278 sase
dengan jarum bedah
280 Underpad lbr
281 Urin Bag set
BAHAN GIGI

283 Air Raksa Botol
287 Cresopet botol
289 Devital pot
292 Eugenol botol
299
LABORATORIUM

308 PP Test buah
309 Ose buah
310 Widal Test set
313 Kolesterol Srip
314 Asam urat strip
315 Reagen BTA
KET OBAT PUSKESMAS RANCAEKEK DTP
TANGGAL
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
10
1 5 6
90 214 46
240 110 91
3 4 1
325 242 312

30 56 50
8 1
6 24 18
18 30 5
40 6 20
2
6 1
30 24 28
120 114 126
20
10
5 6 5
80 100 30
1
1 3
1
144 156 26
180 82 198
5 3 8
30 10
1 1 1
10 10
6 3
30 25 30
40 65 10
15
10
1 1
130 120 130
25 15 5
3 20
10
6 3 7
2 1
3 10 3
186 172 242
3 4 1
12 12
90
130 10
6
10
5 6
10
10 25
2 5
62 60 36
5 5
14 3 9
80 24 185
35 36
505 288 252
4
4 3
60 46 78
93 36
208 124 112
30 10
2 3
5 5 3
85 40 10
10
54
84 96 132
3 1
20 10
10
25
40 10 6
JUMLAH
27 28 29 30 31
0
99
21
1087
0
0
0
1369
0
26
0
0
2821
246
21
0
122
174
291
26
21
283
70
1186
0
2
20
0
0
230
16
644
4
16
6
0
0
0
0
0
10
962
0
1392
0
0
22
0
0
40
0
0
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
67
0
0
0
20
154
0
0
0
0
266
15
0
0
0
70
0
0
0
0
0
17
41
0
0
0
1005
0
0
0
396
10
23
0
50
0
10
0
8
0
47
3
30
1702
0
33
0
96
4
0
0
0
0
0
0
0
555
625
38
46
0
0
0
0
0
0
0
60
11
10
0
270
44
0
424
1
0
0
0
0
41
0
87
1123
0
0
0
0
0
156
0
3824
14
57
0
0
0
0
0
0
478
0
129
0
0
0
0
0
83
0
1287
0
0
0
40
0
0
72
3
10
40
0
0
270
130
0
0
20
0
0
0
0
0
982
0
7
312
0
0
9
70
0
0
0
0
2
0
20
0
0
10
0
0
10
0
0
25
0
2
0
0
116
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26837

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LAPORAN PEMEKAIN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

LOKET OBAT PUSKESMAS RANCAEKEK DTP

BULAN AGUSTUS 2016

1 Albendazole tablet 400 mg tablet 0 0 0

29 Asetosal 100 mg tab tablet 0 0 0

64 Etakridin (Rivanol) 0,1% botol 15 2 17 7 10 9

98 Hidrochlortiazid (HCT) tablet 25 mg tablet 577 577 160 417 205

131 Lidokain Injeksi 2 % /ml ampul 0 0 0

164 Ofloksacin tablet 19 19 19 0

Salep 2-4 kombinasi : Asam Salisilat 2% +

259 Jarum hekting No 6 buah 0 0 0

289 Devital pot 0 0 0

Rancaekek 3 September 2016

Anis Pribadi K,Amd.Farm

BULAN SEPTEMBER 2016

NO NAMA OBAT SATUAN STOK AWAL PENERIMAN PERSEDIAAN

1 Albendazole tablet 400 mg tablet 0 0

BPJS GRATIS KIS JAMKESMAS

PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN ED

Rancaekek 6 Oktober 2016

UMUM JUMLAH Penanggung Jawab Loket Obat

Anis Pribadi K,Amd.Farm

BULAN : OKTOBER 2016

NO NAMA OBAT SATUAN

27 Asam Folat tablet 1 mg tablet

33 Azitromisin 500 MG tablet

52 Difenhidramin HCl Injeksi 10 mg/ ml ampul

53 Digoxin tablet 0,25 mg tablet

79 Fluconazol tablet 150 mg tablet

84 Gentamisin Injeksi 80 mg / 2,5 ml ampul

85 Gentamisin Salep Kulit 0,1 % tube

91 Glukosa Lar. Steril Cairan Infus 5% botol

92 Griseofulvin tablet 125 mg tablet

98 Hidrochlortiazid (HCT) tablet 25 mg

108 Kalsium Laktat (Kalk) tablet 500 mg tablet

109 Kaptopril tablet 12.5 mg tablet

166 Oksitetrasiklin HCl Salep Kulit 3% tube

167 Oksitetrasiklin HCl Salep Mata 1 % tube

168 Oksitosin Injeksi 10 IU/ml ampul

177 Pirantel Pamoat tablet 125 mg tablet

180 Piridoxin HCl (Vit. B6) tablet 10 mg tablet

181 Piroxicam 10 mg tablet

Salep 2-4 kombinasi : Asam

Salep luka bakar; ekstrak

201 Salisil Bedak 2% - 50 gram kotak

235 Alat Suntik 10 ml pcs

265 Kasa Pembalut Hidrofil 4 m x 10 cm bks

266 Kasa Pembalut Hidrofil 4 m x 5 cm bks

267 Kasa steril framisetin ( lomatull ) sase

282 Bahan preventive gigi ( white varnish sase

305 Larutan Natrium Sitrat botol

390 355 250

234 172 239

174 112 138

294 322 278

348 675 453

200 350 1094

147 124 292

BULAN SEPTEMBER 2016

NO NAMA OBAT SATUAN STOK AWAL PENERIMAN PERSEDIAAN

1 Albendazole tablet 400 mg tablet 0

BPJS GRATIS KIS JAMKESMAS

PEMAKAIAN STOK AKHIR STOK OPTIMUM PERMINTAAN ED