Lplpo Unit 2020

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS
PUSTU : BABAKAN
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : JANUARI 2020
KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : PEBRUARI 2020
KABUPATEN : MAJALENGKA
PROPINSI : JAWA BARAT
STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

NO NAMA OBAT SATUAN
AWAL MAAN DIAAN KAIAN AKHIR OPT. TAAN
1 2 3 4 5 6 7 8 9 10
1 Air Raksa Dental Use Botol 0 0 0 0
2 Alat Suntik Sekali Pakai 1 ml Set 0 0 0 196
3 Alat Suntik Sekali Pakai 2,5 ml Set 0 10 10 8 2 1,238 20
4 Alat Suntik Sekali Pakai 5 ml Set 10 10 0 10 117
5 Albendazol tablet 400 mg Tablet 0 0 0 1,857
6 Alopurinol tablet 100 mg Tablet 50 50 20 30 0 100
7 Ambroxol sirup Botol 0 0 0 0
8 Ambroxol tablet 30 mg Tablet 0 0 0 0 100
9 Aminofilin tablet 200 mg Tablet 0 0 0 0
10 Aminopilin injeksi 24 mg/ml Ampul 0 0 0 1
11 Amoksisilin injeksi Vial 0 0 0 0
12 Amoksisilin kaplet 500 mg Tablet 0 300 300 250 50 4,561 300
13 Amoksisilin kapsul 250 mg Kapsul 20 100 120 30 90 208
14 Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 175
15 Antalgin (Metampiron) tablet 500 mg Tablet 0 0 0 254
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 0 0 0 3
17 Antasida DOEN suspensi Botol 2 10 12 6 6 18 10
Antasida DOEN tablet,
18 Tablet
kombinasi : Mg(OH)2 200 mg + Al(OH)2 200 mg
13 400 413 413 0 8,149 500
19 Anti Hemoroid DOEN Kombinasi Supp 0 0 0 6
20 Antibakteri DOEN salep kombinasi : Basitras Tube 0 0 0 0 10
21 Antifungi DOEN salep kombinasi :Asam Benz Pot 0 0 0 8
22 Antimigren DOEN tablet Tablet 0 0 0 0
23 Antiparkinson DOEN tablet Tablet 0 0 0 0
24 Aqua Pro Injeksi steril, bebas pirogen -20 ml Vial 0 0 0 26
25 Aquadest Steril - 500 ml Botol 0 0 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg Tablet 50 200 250 250 0 1,818 100
27 Asam Mefenamat tablet 500 mg Tablet 0 0 0 1,139 500
28 Asetosal tablet 500 mg Tablet 0 0 0 0
29 Asiklovir 400 mg tablet Tablet 0 0 0 143
30 Asiklovir Krim Tube 0 0 0 0 10
1 2 3 4 5 6 7 8 9 10
31 Betametason krim 0,1% - 5 g Tube 20 5 25 25 0 14 10
32 Captopril tablet 25 mg Tablet 0 0 0 267 100
33 Catgut/Benang Bedah No. 2/0 - 3/0 (Plain & Sachet 0 0 0 48
34 Cefadroksil kapsul 500 mg Kapsul 100 100 40 60 282
35 Cefadroksil sirup kering 125 mg Botol 4 4 8 2 6 9 5
36 Cimetidin tablet 200 mg Tablet 0 0 0 0 300
37 Ciprofloksasin 500 mg tablet Tablet 0 0 0 394 300
38 Deksametason injeksi 5 mg/ml - 1 ml Ampul 0 0 0 0
39 Deksametason tablet 0,5 mg Tablet 0 0 0 2,260 300
40 Dekstrometorfan HBr sirup 10 mg/5 ml - 60 Botol 0 0 0 0
41 Dekstrometorfan HBr tablet 15 mg Tablet 0 0 0 0
42 Diaform tablet Tablet 0 0 0 0
43 Diazepam injeksi 5 mg/ml -2 ml Ampul 0 0 0 4
44 Diazepam tablet 2 mg Tablet 0 0 0 0
46 Difenhidramin HCl Injeksi 10 mg/ml - 1 ml Ampul 0 0 0 68 25
47 Digoksin tablet 0,25 mg Tablet 0 0 0 0
48 Dimenhydrinat tablet Tablet 0 0 0 0
49 Doksisiklin kapsul 100 mg Kapsul 0 0 0 0
50 Domperidon tablet Tablet 0 0 0 223
51 Efedrin HCl tablet 25 mg Tablet 0 0 0 0 100
52 Ekstrak Belladon tablet 10 mg Tablet 0 0 0 0
53 Eritromisin 500 mg tablet Tablet 0 0 0 0
54 Etakridin (Rivanol) Larutan 0,1% - 300 ml Botol 0 0 0 0
55 Etanol 70% -100 ml Botol 0 0 0 3
56 Etil Klorida Semprot - 100 ml Botol 0 0 0 0 1
57 Fenobarbital injeksi Ampul 0 0 0 0
58 Fenobarbital tablet 30 mg Tablet 0 0 0 0
59 Fenol Gliserol TT Botol 0 0 0 0
60 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 m Ampul 0 0 0 13
61 Fitomenadion (Vit.K1) tablet Tablet 1,000 1,000 1,000 0 48
62 Folley Catheter No. 14 Set 0 0 0 1
66 Furosemid tablet 40 mg Tablet 50 100 150 60 90 23 100
67 Gameksan emulsi Botol 0 0 0 0
68 Garam Oralit 200 ml Air Sachet 90 90 40 50 113
69 Gentian Violet 1 % Botol 0 0 0 0
70 Glass Ionomer Cement (GC IX) Set 0 0 0 0
71 Glibenklamid tablet 5 mg Tablet 50 50 -80 130 209 100
72 Gliseril Guaiakolat tablet 100 mg Tablet 300 300 200 100 1,133 100
73 Glukosa Larutan Infus 5% Steril - 500 ml Botol 0 0 0 19
1 2 3 4 5 6 7 8 9 10
74 Griseofulvin tablet 125 mg, micronized Tablet 20 100 120 120 0 0 100
75 Haloperidol 1,5 mg tablet Tablet 0 0 0 45
76 Haloperidol 5 mg tablet Tablet 0 0 0 55
77 Hidroklorotiazid (HCT) tablet 25 mg Tablet 0 0 0 0
78 Hidrokortison krim 2,5% Tube 0 0 0 14
79 Hyoscine N Butilbromoda tablet Tablet 0 0 0 0
80 Ibupropen tablet 200 mg Tablet 0 0 0 0 400
81 Ibupropen tablet 400 mg Tablet 0 0 0 3 400
82 Infusion Set Anak Set 0 0 0 3
83 Infusion Set Dewasa Set 0 0 0 160
84 Isoniazid tablet 300 mg Tablet 0 0 0 0
85 Isosorbid Dinitrat 5 mg tablet Sublingual Tablet 0 0 0 0
86 IV Catheter No. 20 Set 0 0 0 120
89 Jarum jahit (Bedah) No 10 Set 0 0 0 0
95 Jarum Otot besar Set 0 0 0 0
96 Jarum Otot kecil Set 0 0 0 0
97 Kalium Permanganat Pot 0 0 0 0
98 Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 3,640
99 Kapas Pembalut/Absorben 250 gram Bungkus 2 2 0 2 5
100 Karbamazepin tablet 200 mg Tablet 0 0 0 105
101 Kasa Kompres 40/40 Steril Bungkus 0 0 0 0
102 Kasa Pemabalut Hidrofil 4 m x 10 cm Rol 2 2 0 2 128
103 Kasa Pembalut 2 m x 80 cm Bungkus 0 0 0 14
104 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 0 0 0 0
105 Kloramfenikol kapsul 250 mg Kapsul 80 200 280 280 0 234 200
106 Kloramfenikol salep mata 1% - 3,5 gram Tube 1 1 0 1 24
107 Kloramfenikol sirup Botol 0 0 0 32
108 Kloramfenikol tetes mata Botol 3 3 0 3 43 10
109 Kloramfenikol tetes telinga 3% - 5 ml Botol 10 10 0 10 9
110 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 500 500 300 200 11,159 500
111 Klorpromazin tablet 100 mg Tablet 0 0 0 62
112 Kotrimoksazol suspensi kombinasi: Sulfamet Botol 0 0 0 64
113 Kotrimoksazol tablet Pediatrik, kombinasi : Tablet 0 0 0 0
114 Kotrimoksazol tablet, kombinasi : Sulfameto Tablet 88 88 88 0 62
1 2 3 4 5 6 7 8 9 10
115 Lidokain Komp. injeksi, Kombinasi : Lidokai Ampul 0 0 0 137 3
116 Lisol, mengandung Kresol tersabun 50% - 10 Botol 0 0 0 2
117 Loperamid tablet 2 mg Tablet 0 0 0 43 100
118 Magnesium Sulfat injeksi 40 % - 25 ml Ampul 0 0 0 4
119 Masker Set 25 25 5 20 318
120 Metformin HCl 500 mg Tablet 0 0 0 227 100
121 Metilergometrin Maleat injeksi 0,200 mg - 1 Ampul 0 0 0 10
122 Metilergometrin Maleat Tablet Salut 0,125 g Tablet 0 0 0 281
123 Metoklopramid injeksi Ampul 0 0 0 0
124 Metoklopramid sirup Botol 0 0 0 0
125 Metoklopramid tablet 10 mg Tablet 0 0 0 0
126 Metronidazol Tablet 250 mg Tablet 0 0 0 0
127 Metronidazol Tablet 500 mg Tablet 0 0 0 0 100
128 Miconazole krim Tube 0 0 0 0
129 Natrium Bikarbonat Tablet 500 mg Tablet 0 0 0 0 100
130 Natrium Diklofenak tablet 50 mg Tablet 0 0 0 220
131 Natrium Klorida Infus 0,9% 500 ml Botol 0 0 0 42
132 Neo Diaform tablet Tablet 0 0 0 0
133 Nifedipin tablet 10 mg Tablet 0 0 0 84
134 Nistatin 100.000 IU/gram Tablet Vaginal Tablet 0 0 0 0
135 Nistatin 500.000 IU/gram Tablet Salut Tablet 0 0 0 0
136 Obat Antituberkulosis Kategori 1 dewasa Paket 0 0 0 0
139 Obat Antituberkulosis Kategori Anak Paket 0 0 0 0
140 Obat Antituberkulosis Sisipan dewasa Paket 0 0 0 0
141 Obat Batuk Hitam (OBH) Cairan - 100 ml Botol 0 0 0 0 10
142 Oksitetrasiklin HCl Injeksi i.m. 50 mg/ml - 1 Vial 0 0 0 0
143 Oksitetrasiklin HCl salep kulit 3% - 5 g Tube 0 0 0 0
144 Oksitetrasiklin HCl salep mata 1% -3,5 g Tube 0 0 0 0
145 Oksitosin Injeksi 10 IU/ml - 1 ml Ampul 0 0 0 43
146 Papaverin injeksi Vial 0 0 0 0
147 Papaverin tablet Tablet 0 0 0 68 200
148 Parasetamol Sirup 120 mg/5 ml - 60 ml Botol 5 5 0 5 136 10
149 Parasetamol Tablet 100 mg Tablet 0 0 0 0
150 Parasetamol Tablet 500 mg Tablet 100 500 600 400 200 17,757 500
151 Pembalut Gips Rol 0 0 0 0
152 Perfenazin Tablet 4 mg Tablet 0 0 0 0
153 Pirantel Pamoat tablet 125 mg Tablet 0 0 0 0
154 Piridoksin HCl (Vit.B6) Tablet 10 mg Tablet 0 0 0 2,223 300
155 Piroksikam tablet 20 mg Tablet 0 0 0 43 200
156 Plester 5 yards x 2 inch Rol 1 1 0 1 13 1
1 2 3 4 5 6 7 8 9 10
157 Polikresulen Botol 0 0 0 0
158 Povidon Iodida 10% - 30 ml Botol 0 0 0 0
159 Povidon Iodida 10% - 300 ml Botol 1 1 0 1 5
160 Prednison Tablet 5 mg Tablet 0 0 0 1,671 300
161 Prokain Benzil Penisilin 3 juta IU/vial Injeksi Vial 0 0 0 0
162 Propanolol HCl Tablet 40 mg Tablet 0 0 0 0
163 Pyrazinamide tablet Tablet 0 0 0 0
164 Ranitidin 150 mg tablet Tablet 0 0 0 1,428 300
165 Ranitidin injeksi Ampul 0 0 0 14
166 Reserpin Tablet 0,10 mg Tablet 0 0 0 0
168 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0 0 0 204
169 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 0 0 0 1,446
170 Ringer Laktat Larutan Infus Steril - 500 ml Botol 0 0 0 133
171 Salbutamol Tablet 2 mg Tablet 0 0 0 123 300
173 Salep 2 - 4, Kombinasi : Asam Salisilat 2% Pot 4 4 4 0 21
174 Salisil Bedak 2% - 50 gram Kotak 5 20 25 2 23 94
175 Sarung Tangan Steril 6,5 Set 0 0 0 78
176 Sarung Tangan Steril 7 Set 0 0 0 77
177 Sarung Tangan Steril 7,5 Set 1 3 4 0 4 115 3
178 Serum Anti Bisa Ular I 5 ml (ABU) Vial 0 0 0 0
179 Serum Anti Tetanus Injeksi 1.500 IU/ampul Ampul 0 0 0 4
180 Sianokobalamin (Vit. B12) injeksi 500 mg/ml Ampul 0 0 0 67
181 Sianokobalamin (Vit. B12) tablet Tablet 0 0 0 622
182 Silk (Benang Bedah Sutra) No. 3/0 Sachet 0 0 0 15
183 Silver Amalgam Serbuk 65 - 75% Botol 0 0 0 0
184 Sulfadimidin tablet 500 mg Tablet 0 0 0 0
185 Sulfasetamida Natrium Tetes Mata 15% - 5 m Botol 0 0 0 0
186 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0 0 10,592
187 Tetrakain TM Botol 0 0 0 0
188 Tetrasiklin HCl Kapsul 250 mg Kapsul 0 0 0 0
189 Tetrasiklin HCl Kapsul 500 mg Kapsul 20 100 120 20 100 442 100
190 Tiamfenikol kapsul 500 mg Kapsul 0 0 0 0
191 Tiamin HCl/Mononitrat (Vit. B1) injeksi Ampul 0 0 0 0
192 Tiamin HCl/Mononitrat (Vit. B1) Tablet 50 Tablet 70 70 60 10 4,684 100
193 Teofilin tablet Tablet 0 0 0 0
194 Triheksifenidil tablet 2 mg Tablet 0 0 0 79
195 Urine Bags Buah 0 0 0 9
196 Vitamin B Komplek Tablet Tablet 10 100 110 61 49 3,555 100
197 Vitamin sirup Botol 0 0 0 0
1 2 3 4 5 6 7 8 9 10
198 Amitriptilin 25 mg Tablet 0 0 0 28
199 Amoksisilin sirup kering 250 mg/5 ml Ampul 0 10 10 10 0 0 10
200 Ampisilin injeksi 1000 mg vial 0 0 0 0
201 Betahistin Tablet 0 0 0 29
202 Epinefrin injeksi Ampul 0 0 0 4
203 Etanol 70% -1.000 ml Set 1 1 0 1 5
204 FDC dewasa kat.2 Paket 0 0 0 23
205 Gentamisin injeksi ampul 0 0 0 0
206 Gluconas Calcicus Vial 0 0 0 0
207 Haloperidol 2 mg Tablet 0 0 0 71
208 INH Pofilaksis untuk bayi/balita Tablet 0 0 0 0
209 Kasa 36 x 80 Rol 0 0 0 3
210 Klozapin Tablet 0 0 0 0
211 Kotrimoksazol Forte Tablet 0 0 0 482
212 MDT MB Dewasa Blister 0 0 0 68
213 Metronidazol infus Botol 0 0 0 0
214 Natrium Tiroksin 50 mg Tablet 0 0 0 8
215 OAT FDC dewasa Kat. I Paket 0 0 0 0
216 OAT FDC Kat Anak Paket 0 0 0 0
217 Omeprazole 20 mg kapsul Kapsul 0 0 0 0
218 Pot Dahak Pot 0 0 0 0
219 Rapid Tes Syphilis set 0 0 0 0
220 Ringer Asetat 500 ml btl 0 0 0 419
221 Risperidon 2 mg Tablet 0 0 0 0
222 Serum Anti A dan Anti B Botol 0 0 0 0
223 Simvastatin 10 mg ktk 0 0 0 0 100
224 Ventolin Nebuhaler Vial 0 0 0 0 4
225 Zinc Dispersibel Tablet 0 0 0 335
227 Captopril tablet 12,5 mg Tablet 0 0 0 0
228 sikzonoate Ampul 0 0 0 0
229 elizac Tablet 0 0 0 0
230 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0 0 0
JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

JAMKES JUMLAH JUMLAH
BAYAR TIDAK BAY ASKES MAS RAWAT IN RAWAT JALAN
769 11 12 792
PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Februari 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Maret 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
1 Air Raksa Dental Use Botol 0 0 0 0 0 0
2 Alat Suntik Sekali Pakai 1 ml Set 0 0 0 0 0 196
3 Alat Suntik Sekali Pakai 2,5 ml Set 2 0 2 2 0 1,238
4 Alat Suntik Sekali Pakai 5 ml Set 10 0 10 10 0 117
5 Albendazol tablet 400 mg Tablet 0 0 0 0 0 1,857
6 Alopurinol tablet 100 mg Tablet 30 0 30 30 0 0 3,000
7 Ambroxol sirup Botol 0 0 0 0 0 0
8 Ambroxol tablet 30 mg Tablet 0 0 0 0 0 0
9 Aminofilin tablet 200 mg Tablet 0 0 0 0 0 0
10 Aminopilin injeksi 24 mg/ml Ampul 0 0 0 0 0 1
11 Amoksisilin injeksi Vial 0 0 0 0 0 0
12 Amoksisilin kaplet 500 mg Tablet 50 0 50 50 0 4,561 3,000
13 Amoksisilin kapsul 250 mg Kapsul 90 0 90 90 0 208 500
14 Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 0 0 175 50
15 Antalgin (Metampiron) tablet 500 mg Tablet 0 0 0 0 0 254
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 0 0 0 0 0 3
17 Antasida DOEN suspensi Botol 6 0 6 6 0 18
18 Tablet
0 0 0 0 0 8,149 2,500
19 Anti Hemoroid DOEN Kombinasi Supp 0 0 0 0 0 6
20 Antibakteri DOEN salep kombinasi : Basitras Tube 0 0 0 0 0 0 50
21 Antifungi DOEN salep kombinasi :Asam Benz Pot 0 0 0 0 0 8
22 Antimigren DOEN tablet Tablet 0 0 0 0 0 0
23 Antiparkinson DOEN tablet Tablet 0 0 0 0 0 0
24 Aqua Pro Injeksi steril, bebas pirogen -20 ml Vial 0 0 0 0 0 26
25 Aquadest Steril - 500 ml Botol 0 0 0 0 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg Tablet 0 0 0 0 0 1,818 1,500
27 Asam Mefenamat tablet 500 mg Tablet 0 0 0 0 0 1,139 5,000
28 Asetosal tablet 500 mg Tablet 0 0 0 0 0 0
29 Asiklovir 400 mg tablet Tablet 0 0 0 0 0 143
30 Asiklovir Krim Tube 0 0 0 0 0 0 50
1 2 3 4 5 6 7 8 9 10
32 Captopril tablet 25 mg Tablet 0 0 0 0 0 267 2,000
33 Catgut/Benang Bedah No. 2/0 - 3/0 (Plain & Sachet 0 0 0 0 0 48 10
34 Cefadroksil kapsul 500 mg Kapsul 60 0 60 60 0 282 1,500
35 Cefadroksil sirup kering 125 mg Botol 6 0 6 6 0 9
36 Cimetidin tablet 200 mg Tablet 0 0 0 0 0 0
37 Ciprofloksasin 500 mg tablet Tablet 0 0 0 0 0 394 500
38 Deksametason injeksi 5 mg/ml - 1 ml Ampul 0 0 0 0 0 0
39 Deksametason tablet 0,5 mg Tablet 0 0 0 0 0 2,260 5,000
40 Dekstrometorfan HBr sirup 10 mg/5 ml - 60 Botol 0 0 0 0 0 0
41 Dekstrometorfan HBr tablet 15 mg Tablet 0 0 0 0 0 0
42 Diaform tablet Tablet 0 0 0 0 0 0 3,000
43 Diazepam injeksi 5 mg/ml -2 ml Ampul 0 0 0 0 0 4
44 Diazepam tablet 2 mg Tablet 0 0 0 0 0 0
45 Diazepam tablet 5 mg Tablet 0 0 0 0 0 0
46 Difenhidramin HCl Injeksi 10 mg/ml - 1 ml Ampul 0 0 0 0 0 68 30
47 Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0
48 Dimenhydrinat tablet Tablet 0 0 0 0 0 0
49 Doksisiklin kapsul 100 mg Kapsul 0 0 0 0 0 0
50 Domperidon tablet Tablet 0 0 0 0 0 223
51 Efedrin HCl tablet 25 mg Tablet 0 0 0 0 0 0
52 Ekstrak Belladon tablet 10 mg Tablet 0 0 0 0 0 0
53 Eritromisin 500 mg tablet Tablet 0 0 0 0 0 0
54 Etakridin (Rivanol) Larutan 0,1% - 300 ml Botol 0 0 0 0 0 0
55 Etanol 70% -100 ml Botol 0 0 0 0 0 3
56 Etil Klorida Semprot - 100 ml Botol 0 0 0 0 0 0
57 Fenobarbital injeksi Ampul 0 0 0 0 0 0
58 Fenobarbital tablet 30 mg Tablet 0 0 0 0 0 0
59 Fenol Gliserol TT Botol 0 0 0 0 0 0
60 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 m Ampul 0 0 0 0 0 13
61 Fitomenadion (Vit.K1) tablet Tablet 0 0 0 0 0 48
62 Folley Catheter No. 14 Set 0 0 0 0 0 1
63 Folley Catheter No. 16 Set 0 0 0 0 0 4 10
66 Furosemid tablet 40 mg Tablet 90 0 90 90 0 23
67 Gameksan emulsi Botol 0 0 0 0 0 0
68 Garam Oralit 200 ml Air Sachet 50 0 50 50 0 113
69 Gentian Violet 1 % Botol 0 0 0 0 0 0
70 Glass Ionomer Cement (GC IX) Set 0 0 0 0 0 0
71 Glibenklamid tablet 5 mg Tablet 130 0 130 130 0 209 3,000
72 Gliseril Guaiakolat tablet 100 mg Tablet 100 0 100 100 0 1,133 3,000
73 Glukosa Larutan Infus 5% Steril - 500 ml Botol 0 0 0 0 0 19
1 2 3 4 5 6 7 8 9 10
74 Griseofulvin tablet 125 mg, micronized Tablet 0 0 0 0 0 0
75 Haloperidol 1,5 mg tablet Tablet 0 0 0 0 0 45
76 Haloperidol 5 mg tablet Tablet 0 0 0 0 0 55
77 Hidroklorotiazid (HCT) tablet 25 mg Tablet 0 0 0 0 0 0
78 Hidrokortison krim 2,5% Tube 0 0 0 0 0 14
79 Hyoscine N Butilbromoda tablet Tablet 0 0 0 0 0 0
80 Ibupropen tablet 200 mg Tablet 0 0 0 0 0 0 3,000
81 Ibupropen tablet 400 mg Tablet 0 0 0 0 0 3 3,000
82 Infusion Set Anak Set 0 0 0 0 0 3
83 Infusion Set Dewasa Set 0 0 0 0 0 160
84 Isoniazid tablet 300 mg Tablet 0 0 0 0 0 0
85 Isosorbid Dinitrat 5 mg tablet Sublingual Tablet 0 0 0 0 0 0
86 IV Catheter No. 20 Set 0 0 0 0 0 120
89 Jarum jahit (Bedah) No 10 Set 0 0 0 0 0 0
95 Jarum Otot besar Set 0 0 0 0 0 0
96 Jarum Otot kecil Set 0 0 0 0 0 0
97 Kalium Permanganat Pot 0 0 0 0 0 0
98 Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 0 0 3,640 1,000
99 Kapas Pembalut/Absorben 250 gram Bungkus 2 0 2 2 0 5
100 Karbamazepin tablet 200 mg Tablet 0 0 0 0 0 105
101 Kasa Kompres 40/40 Steril Bungkus 0 0 0 0 0 0
102 Kasa Pemabalut Hidrofil 4 m x 10 cm Rol 2 0 2 2 0 128
103 Kasa Pembalut 2 m x 80 cm Bungkus 0 0 0 0 0 14
104 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 0 0 0 0 0 0
105 Kloramfenikol kapsul 250 mg Kapsul 0 0 0 0 0 234
106 Kloramfenikol salep mata 1% - 3,5 gram Tube 1 0 1 1 0 24 24
107 Kloramfenikol sirup Botol 0 0 0 0 0 32
108 Kloramfenikol tetes mata Botol 3 0 3 3 0 43 50
109 Kloramfenikol tetes telinga 3% - 5 ml Botol 10 0 10 10 0 9
110 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 200 0 200 200 0 11,159 5,000
111 Klorpromazin tablet 100 mg Tablet 0 0 0 0 0 62
112 Kotrimoksazol suspensi kombinasi: Sulfamet Botol 0 0 0 0 0 64 20
113 Kotrimoksazol tablet Pediatrik, kombinasi : Tablet 0 0 0 0 0 0
114 Kotrimoksazol tablet, kombinasi : Sulfameto Tablet 0 0 0 0 0 62
1 2 3 4 5 6 7 8 9 10
115 Lidokain Komp. injeksi, Kombinasi : Lidokai Ampul 0 0 0 0 0 137 100
116 Lisol, mengandung Kresol tersabun 50% - 10 Botol 0 0 0 0 0 2
117 Loperamid tablet 2 mg Tablet 0 0 0 0 0 43 3,000
118 Magnesium Sulfat injeksi 40 % - 25 ml Ampul 0 0 0 0 0 4
119 Masker Set 20 0 20 20 0 318 300
120 Metformin HCl 500 mg Tablet 0 0 0 0 0 227 3,000
121 Metilergometrin Maleat injeksi 0,200 mg - 1 Ampul 0 0 0 0 0 10
122 Metilergometrin Maleat Tablet Salut 0,125 g Tablet 0 0 0 0 0 281 200
123 Metoklopramid injeksi Ampul 0 0 0 0 0 0
124 Metoklopramid sirup Botol 0 0 0 0 0 0 10
125 Metoklopramid tablet 10 mg Tablet 0 0 0 0 0 0
126 Metronidazol Tablet 250 mg Tablet 0 0 0 0 0 0
127 Metronidazol Tablet 500 mg Tablet 0 0 0 0 0 0
128 Miconazole krim Tube 0 0 0 0 0 0
129 Natrium Bikarbonat Tablet 500 mg Tablet 0 0 0 0 0 0 500
130 Natrium Diklofenak tablet 50 mg Tablet 0 0 0 0 0 220
131 Natrium Klorida Infus 0,9% 500 ml Botol 0 0 0 0 0 42
132 Neo Diaform tablet Tablet 0 0 0 0 0 0
133 Nifedipin tablet 10 mg Tablet 0 0 0 0 0 84
134 Nistatin 100.000 IU/gram Tablet Vaginal Tablet 0 0 0 0 0 0
135 Nistatin 500.000 IU/gram Tablet Salut Tablet 0 0 0 0 0 0
136 Obat Antituberkulosis Kategori 1 dewasa Paket 0 0 0 0 0 0
139 Obat Antituberkulosis Kategori Anak Paket 0 0 0 0 0 0
140 Obat Antituberkulosis Sisipan dewasa Paket 0 0 0 0 0 0
141 Obat Batuk Hitam (OBH) Cairan - 100 ml Botol 0 0 0 0 0 0 30
142 Oksitetrasiklin HCl Injeksi i.m. 50 mg/ml - 1 Vial 0 0 0 0 0 0
143 Oksitetrasiklin HCl salep kulit 3% - 5 g Tube 0 0 0 0 0 0 50
144 Oksitetrasiklin HCl salep mata 1% -3,5 g Tube 0 0 0 0 0 0
145 Oksitosin Injeksi 10 IU/ml - 1 ml Ampul 0 0 0 0 0 43
146 Papaverin injeksi Vial 0 0 0 0 0 0
147 Papaverin tablet Tablet 0 0 0 0 0 68
148 Parasetamol Sirup 120 mg/5 ml - 60 ml Botol 5 0 5 5 0 136 100
149 Parasetamol Tablet 100 mg Tablet 0 0 0 0 0 0
150 Parasetamol Tablet 500 mg Tablet 200 0 200 200 0 17,757 10,000
151 Pembalut Gips Rol 0 0 0 0 0 0
152 Perfenazin Tablet 4 mg Tablet 0 0 0 0 0 0
153 Pirantel Pamoat tablet 125 mg Tablet 0 0 0 0 0 0
154 Piridoksin HCl (Vit.B6) Tablet 10 mg Tablet 0 0 0 0 0 2,223 3,000
155 Piroksikam tablet 20 mg Tablet 0 0 0 0 0 43 200
156 Plester 5 yards x 2 inch Rol 1 0 1 1 0 13
1 2 3 4 5 6 7 8 9 10
157 Polikresulen Botol 0 0 0 0 0 0
158 Povidon Iodida 10% - 30 ml Botol 0 0 0 0 0 0 10
159 Povidon Iodida 10% - 300 ml Botol 1 0 1 1 0 5
160 Prednison Tablet 5 mg Tablet 0 0 0 0 0 1,671
161 Prokain Benzil Penisilin 3 juta IU/vial Injeksi Vial 0 0 0 0 0 0
162 Propanolol HCl Tablet 40 mg Tablet 0 0 0 0 0 0
163 Pyrazinamide tablet Tablet 0 0 0 0 0 0
164 Ranitidin 150 mg tablet Tablet 0 0 0 0 0 1,428 5,000
165 Ranitidin injeksi Ampul 0 0 0 0 0 14
166 Reserpin Tablet 0,10 mg Tablet 0 0 0 0 0 0
167 Reserpin Tablet 0,25 mg Tablet 0 0 0 0 0 0
168 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0 0 0 0 0 204
169 Retinol (Vit. A) 200.000 IU Kapsul Kapsul 0 0 0 0 0 1,446
170 Ringer Laktat Larutan Infus Steril - 500 ml Botol 0 0 0 0 0 133
171 Salbutamol Tablet 2 mg Tablet 0 0 0 0 0 123 500
172 Salbutamol Tablet 4 mg Tablet 0 0 0 0 0 51
173 Salep 2 - 4, Kombinasi : Asam Salisilat 2% Pot 0 0 0 0 0 21
175 Sarung Tangan Steril 6,5 Set 0 0 0 0 0 78
176 Sarung Tangan Steril 7 Set 0 0 0 0 0 77
178 Serum Anti Bisa Ular I 5 ml (ABU) Vial 0 0 0 0 0 0
179 Serum Anti Tetanus Injeksi 1.500 IU/ampul Ampul 0 0 0 0 0 4
180 Sianokobalamin (Vit. B12) injeksi 500 mg/ml Ampul 0 0 0 0 0 67
181 Sianokobalamin (Vit. B12) tablet Tablet 0 0 0 0 0 622
182 Silk (Benang Bedah Sutra) No. 3/0 Sachet 0 0 0 0 0 15
183 Silver Amalgam Serbuk 65 - 75% Botol 0 0 0 0 0 0
184 Sulfadimidin tablet 500 mg Tablet 0 0 0 0 0 0
185 Sulfasetamida Natrium Tetes Mata 15% - 5 m Botol 0 0 0 0 0 0 50
186 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0 0 0 0 10,592
187 Tetrakain TM Botol 0 0 0 0 0 0
188 Tetrasiklin HCl Kapsul 250 mg Kapsul 0 0 0 0 0 0
190 Tiamfenikol kapsul 500 mg Kapsul 0 0 0 0 0 0
191 Tiamin HCl/Mononitrat (Vit. B1) injeksi Ampul 0 0 0 0 0 0
192 Tiamin HCl/Mononitrat (Vit. B1) Tablet 50 Tablet 10 0 10 10 0 4,684 2,000
193 Teofilin tablet Tablet 0 0 0 0 0 0
194 Triheksifenidil tablet 2 mg Tablet 0 0 0 0 0 79
195 Urine Bags Buah 0 0 0 0 0 9
196 Vitamin B Komplek Tablet Tablet 49 0 49 49 0 3,555 1,500
197 Vitamin sirup Botol 0 0 0 0 0 0
1 2 3 4 5 6 7 8 9 10
198 Amitriptilin 25 mg Tablet 0 0 0 0 0 28
200 Ampisilin injeksi 1000 mg vial 0 0 0 0 0 0
201 Betahistin Tablet 0 0 0 0 0 29
202 Epinefrin injeksi Ampul 0 0 0 0 0 4
203 Etanol 70% -1.000 ml Set 1 0 1 1 0 5
204 FDC dewasa kat.2 Paket 0 0 0 0 0 23
205 Gentamisin injeksi ampul 0 0 0 0 0 0
206 Gluconas Calcicus Vial 0 0 0 0 0 0
207 Haloperidol 2 mg Tablet 0 0 0 0 0 71
208 INH Pofilaksis untuk bayi/balita Tablet 0 0 0 0 0 0
209 Kasa 36 x 80 Rol 0 0 0 0 0 3
210 Klozapin Tablet 0 0 0 0 0 0
211 Kotrimoksazol Forte Tablet 0 0 0 0 0 482
212 MDT MB Dewasa Blister 0 0 0 0 0 68
213 Metronidazol infus Botol 0 0 0 0 0 0
214 Natrium Tiroksin 50 mg Tablet 0 0 0 0 0 8
215 OAT FDC dewasa Kat. I Paket 0 0 0 0 0 0
216 OAT FDC Kat Anak Paket 0 0 0 0 0 0
217 Omeprazole 20 mg kapsul Kapsul 0 0 0 0 0 0 500
218 Pot Dahak Pot 0 0 0 0 0 0
219 Rapid Tes Syphilis set 0 0 0 0 0 0
220 Ringer Asetat 500 ml btl 0 0 0 0 0 419
221 Risperidon 2 mg Tablet 0 0 0 0 0 0
222 Serum Anti A dan Anti B Botol 0 0 0 0 0 0
223 Simvastatin 10 mg ktk 0 0 0 0 0 0 3000
224 Ventolin Nebuhaler Vial 0 0 0 0 0 0
225 Zinc Dispersibel Tablet 0 0 0 0 0 335
227 Captopril tablet 12,5 mg Tablet 0 0 0 0 0 0 2000
228 sikzonoate Ampul 0 0 0 0 0 0
229 elizac Tablet 0 0 0 0 0 0
230 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0 0 0 0 0

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Maret 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : April 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
6 Alopurinol tablet 100 mg Tablet 50 50 50 0 0 3,000
8 Ambroxol tablet 30 mg Tablet 0 0 0 0
14 Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0 175 50
18 Tablet
13 400 413 413 0 8,149 2,500
27 Asam Mefenamat tablet 500 mg Tablet 0 0 0 1,139 5,000
1 2 3 4 5 6 7 8 9 10
32 Captopril tablet 25 mg Tablet 0 0 0 267 2,000
33 Catgut/Benang Bedah No. 2/0 - 3/0 (Plain & Sachet 0 0 0 48 10
34 Cefadroksil kapsul 500 mg Kapsul 100 100 100 0 282 1,500
36 Cimetidin tablet 200 mg Tablet 0 0 0 0
39 Deksametason tablet 0,5 mg Tablet 0 0 0 2,260 5,000
42 Diaform tablet Tablet 0 0 0 0 3,000
51 Efedrin HCl tablet 25 mg Tablet 0 0 0 0
55 Etanol 70% -100 ml Botol 0 0 0 3
56 Etil Klorida Semprot - 100 ml Botol 0 0 0 0
63 Folley Catheter No. 16 Set 0 0 0 4 10
71 Glibenklamid tablet 5 mg Tablet 50 50 50 0 209 3,000
72 Gliseril Guaiakolat tablet 100 mg Tablet 300 300 300 0 1,133 3,000
1 2 3 4 5 6 7 8 9 10
80 Ibupropen tablet 200 mg Tablet 0 0 0 0 3,000
98 Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0 3,640 1,000
106 Kloramfenikol salep mata 1% - 3,5 gram Tube 1 1 1 0 24 24
109 Kloramfenikol tetes telinga 3% - 5 ml Botol 0 0 0 9
110 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 500 500 500 0 11,159 5,000
112 Kotrimoksazol suspensi kombinasi: Sulfamet Botol 0 0 0 64 20
1 2 3 4 5 6 7 8 9 10
117 Loperamid tablet 2 mg Tablet 0 0 0 43 3,000
119 Masker Set 25 25 25 0 318 300
120 Metformin HCl 500 mg Tablet 0 0 0 227 3,000
122 Metilergometrin Maleat Tablet Salut 0,125 g Tablet 0 0 0 281 200
124 Metoklopramid sirup Botol 0 0 0 0 10
143 Oksitetrasiklin HCl salep kulit 3% - 5 g Tube 0 0 0 0 50
147 Papaverin tablet Tablet 0 0 0 68
154 Piridoksin HCl (Vit.B6) Tablet 10 mg Tablet 0 0 0 2,223 3,000
156 Plester 5 yards x 2 inch Rol 1 1 1 0 13
1 2 3 4 5 6 7 8 9 10
160 Prednison Tablet 5 mg Tablet 0 0 0 1,671
164 Ranitidin 150 mg tablet Tablet 0 0 0 1,428 5,000
172 Salbutamol Tablet 4 mg Tablet 0 0 0 51
185 Sulfasetamida Natrium Tetes Mata 15% - 5 m Botol 0 0 0 0 50
192 Tiamin HCl/Mononitrat (Vit. B1) Tablet 50 Tablet 70 70 70 0 4,684 2,000
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3
217 Omeprazole 20 mg kapsul Kapsul 0 0 0 0 500
224 Ventolin Nebuhaler Vial 0 0 0 0
227 Captopril tablet 12,5 mg Tablet 0 0 0 0 2000

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : April 2020
KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Mei 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Mei 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Juni 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juni 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Juli 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juli 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Agustus 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Agustus 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : September 2020
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : September 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Oktober 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Oktober 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : November 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : November 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Desember 2020

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Desember 2020

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Januari 2021

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : JANUARI 2021

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : PEBRUARI 2021

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Februari 2021

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Maret 2021

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Maret 2021

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : April 2021

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10
18 Tablet
13 400 413 413 0 8,149 2,500
1 2 3 4 5 6 7 8 9 10
55 Etanol 70% -100 ml Botol 0 0 0 3
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
119 Masker Set 25 25 25 0 318 300
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
203 Etanol 70% -1.000 ml Set 1 1 1 0 5
209 Kasa 36 x 80 Rol 0 0 0 3

769 11 12 792
(LPLPO) FORM : LPLPO
DOKUMEN NOMOR TANGGAL

DINKES KAB/KOTA
GFK KAB/KOTA
PUSKESMAS 445.4/A-015/II/20 4-Feb-20
PEMBERIAN
JUMLAH
PKD ASKES APBD I BSN PROGRAM LAIN2
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17

DINKES KAB/KOTA
GFK KAB/KOTA
PEMBERIAN
JUMLAH
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
11 12 13 14 15 16 17
Rincian Stok Akhir
Gudang obLoket obatPONED P BABAKANPustu & PoLab Gigi Pustu KdK Pustu BebeLLB Cbgr L.Lor
Rincian Stok Akhir

P Pustu KdK Pustu BebeLLB Cbgr L.Lor
Gudang Loket P P
PONED P KTW SUKAWA
obat obat BABAKAN PALASAH
NA
2
10
30
50
90
6
60
6
90
50
130
100
2
3
10
200
20
200
1
1
23
100
10
49
1
Ligung Wnslm TglAren Beber Ampel Kdg.Sari LwHapit Bt.Waru Sukawera Majasari Gd.Wesi Kertasari Buntu
Ligung Wnslm TglAren Beber Ampel Kdg.Sari LwHapit Bt.Waru Sukawera Majasari Gd.Wesi Kertasari Buntu
Rata2 Waktu Kosong Obat Waktu Tunggu Obat Stok Pemakaian
Per Bulan Per Hari Hari Jumlah Hari Jumlah Penyangganop des jan
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LP
PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : JANUARI

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : PEBRUARI
STOK PENERI- PERSE- PEMA-

NO NAMA OBAT SATUAN
AWAL MAAN DIAAN KAIAN
1 2 3 4 5 6 7
1 Air Raksa Dental Use Botol 0 0
2 Alat Suntik Sekali Pakai 1 ml Set 0 0
3 Alat Suntik Sekali Pakai 2,5 ml Set 0 10 10 10
4 Alat Suntik Sekali Pakai 5 ml Set 10 10 10
5 Albendazol tablet 400 mg Tablet 0 0
6 Alopurinol tablet 100 mg Tablet 50 50 50
7 Ambroxol sirup Botol 0 0
8 Ambroxol tablet 30 mg Tablet 0 0
9 Aminofilin tablet 200 mg Tablet 0 0
10 Aminopilin injeksi 24 mg/ml Ampul 0 0
11 Amoksisilin injeksi Vial 0 0
12 Amoksisilin kaplet 500 mg Tablet 0 300 300 300
13 Amoksisilin kapsul 250 mg Kapsul 20 100 120 120
14 Amoksisilin sirup kering 125 mg/5 ml Botol 0 0
15 Antalgin (Metampiron) tablet 500 mg Tablet 0 0
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 0 0
17 Antasida DOEN suspensi Botol 2 10 12 12
18 Tablet
13 400 413 413
19 Anti Hemoroid DOEN Kombinasi Supp 0 0
20 Antibakteri DOEN salep kombinasi : Basitras Tube 0 0
21 Antifungi DOEN salep kombinasi :Asam Benz Pot 0 0
22 Antimigren DOEN tablet Tablet 0 0
23 Antiparkinson DOEN tablet Tablet 0 0
24 Aqua Pro Injeksi steril, bebas pirogen -20 ml Vial 0 0
25 Aquadest Steril - 500 ml Botol 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg Tablet 50 200 250 250
27 Asam Mefenamat tablet 500 mg Tablet 0 0
28 Asetosal tablet 500 mg Tablet 0 0
29 Asiklovir 400 mg tablet Tablet 0 0
30 Asiklovir Krim Tube 0 0
1 2 3 4 5 6 7
31 Betametason krim 0,1% - 5 g Tube 20 5 25 25
32 Captopril tablet 25 mg Tablet 0 0
33 Catgut/Benang Bedah No. 2/0 - 3/0 (Plain & Sachet 0 0
34 Cefadroksil kapsul 500 mg Kapsul 100 100 100
35 Cefadroksil sirup kering 125 mg Botol 4 4 8 8
36 Cimetidin tablet 200 mg Tablet 0 0
37 Ciprofloksasin 500 mg tablet Tablet 0 0
38 Deksametason injeksi 5 mg/ml - 1 ml Ampul 0 0
39 Deksametason tablet 0,5 mg Tablet 0 0
40 Dekstrometorfan HBr sirup 10 mg/5 ml - 60 Botol 0 0
41 Dekstrometorfan HBr tablet 15 mg Tablet 0 0
42 Diaform tablet Tablet 0 0
43 Diazepam injeksi 5 mg/ml -2 ml Ampul 0 0
44 Diazepam tablet 2 mg Tablet 0 0
46 Difenhidramin HCl Injeksi 10 mg/ml - 1 ml Ampul 0 0
47 Digoksin tablet 0,25 mg Tablet 0 0
48 Dimenhydrinat tablet Tablet 0 0
49 Doksisiklin kapsul 100 mg Kapsul 0 0
50 Domperidon tablet Tablet 0 0
51 Efedrin HCl tablet 25 mg Tablet 0 0
52 Ekstrak Belladon tablet 10 mg Tablet 0 0
53 Eritromisin 500 mg tablet Tablet 0 0
54 Etakridin (Rivanol) Larutan 0,1% - 300 ml Botol 0 0
55 Etanol 70% -100 ml Botol 0 0
56 Etil Klorida Semprot - 100 ml Botol 0 0
57 Fenobarbital injeksi Ampul 0 0
58 Fenobarbital tablet 30 mg Tablet 0 0
59 Fenol Gliserol TT Botol 0 0
60 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 m Ampul 0 0
61 Fitomenadion (Vit.K1) tablet Tablet 1,000 1,000 1,000
62 Folley Catheter No. 14 Set 0 0
66 Furosemid tablet 40 mg Tablet 50 100 150 150
67 Gameksan emulsi Botol 0 0
68 Garam Oralit 200 ml Air Sachet 90 90 90
69 Gentian Violet 1 % Botol 0 0
70 Glass Ionomer Cement (GC IX) Set 0 0
71 Glibenklamid tablet 5 mg Tablet 50 50 50
72 Gliseril Guaiakolat tablet 100 mg Tablet 300 300 300
73 Glukosa Larutan Infus 5% Steril - 500 ml Botol 0 0
1 2 3 4 5 6 7
74 Griseofulvin tablet 125 mg, micronized Tablet 20 100 120 120
75 Haloperidol 1,5 mg tablet Tablet 0 0
76 Haloperidol 5 mg tablet Tablet 0 0
77 Hidroklorotiazid (HCT) tablet 25 mg Tablet 0 0
78 Hidrokortison krim 2,5% Tube 0 0
79 Hyoscine N Butilbromoda tablet Tablet 0 0
80 Ibupropen tablet 200 mg Tablet 0 0
82 Infusion Set Anak Set 0 0
83 Infusion Set Dewasa Set 0 0
84 Isoniazid tablet 300 mg Tablet 0 0
85 Isosorbid Dinitrat 5 mg tablet Sublingual Tablet 0 0
86 IV Catheter No. 20 Set 0 0
89 Jarum jahit (Bedah) No 10 Set 0 0
95 Jarum Otot besar Set 0 0
96 Jarum Otot kecil Set 0 0
97 Kalium Permanganat Pot 0 0
98 Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0
99 Kapas Pembalut/Absorben 250 gram Bungkus 2 2 2
100 Karbamazepin tablet 200 mg Tablet 0 0
101 Kasa Kompres 40/40 Steril Bungkus 0 0
102 Kasa Pemabalut Hidrofil 4 m x 10 cm Rol 2 2 2
103 Kasa Pembalut 2 m x 80 cm Bungkus 0 0
104 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 0 0
105 Kloramfenikol kapsul 250 mg Kapsul 80 200 280 280
106 Kloramfenikol salep mata 1% - 3,5 gram Tube 1 1 1
107 Kloramfenikol sirup Botol 0 0
108 Kloramfenikol tetes mata Botol 3 3 3
109 Kloramfenikol tetes telinga 3% - 5 ml Botol 0 0
110 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 500 500 500
111 Klorpromazin tablet 100 mg Tablet 0 0
112 Kotrimoksazol suspensi kombinasi: Sulfamet Botol 0 0
113 Kotrimoksazol tablet Pediatrik, kombinasi : Tablet 0 0
114 Kotrimoksazol tablet, kombinasi : Sulfameto Tablet 88 88 88
1 2 3 4 5 6 7
115 Lidokain Komp. injeksi, Kombinasi : Lidokai Ampul 0 0
116 Lisol, mengandung Kresol tersabun 50% - 10 Botol 0 0
117 Loperamid tablet 2 mg Tablet 0 0
118 Magnesium Sulfat injeksi 40 % - 25 ml Ampul 0 0
119 Masker Set 25 25 25
120 Metformin HCl 500 mg Tablet 0 0
121 Metilergometrin Maleat injeksi 0,200 mg - 1 Ampul 0 0
122 Metilergometrin Maleat Tablet Salut 0,125 g Tablet 0 0
123 Metoklopramid injeksi Ampul 0 0
124 Metoklopramid sirup Botol 0 0
125 Metoklopramid tablet 10 mg Tablet 0 0
126 Metronidazol Tablet 250 mg Tablet 0 0
128 Miconazole krim Tube 0 0
129 Natrium Bikarbonat Tablet 500 mg Tablet 0 0
130 Natrium Diklofenak tablet 50 mg Tablet 0 0
131 Natrium Klorida Infus 0,9% 500 ml Botol 0 0
132 Neo Diaform tablet Tablet 0 0
133 Nifedipin tablet 10 mg Tablet 0 0
134 Nistatin 100.000 IU/gram Tablet Vaginal Tablet 0 0
135 Nistatin 500.000 IU/gram Tablet Salut Tablet 0 0
136 Obat Antituberkulosis Kategori 1 dewasa Paket 0 0
139 Obat Antituberkulosis Kategori Anak Paket 0 0
140 Obat Antituberkulosis Sisipan dewasa Paket 0 0
141 Obat Batuk Hitam (OBH) Cairan - 100 ml Botol 0 0
142 Oksitetrasiklin HCl Injeksi i.m. 50 mg/ml - 1 Vial 0 0
143 Oksitetrasiklin HCl salep kulit 3% - 5 g Tube 0 0
144 Oksitetrasiklin HCl salep mata 1% -3,5 g Tube 0 0
145 Oksitosin Injeksi 10 IU/ml - 1 ml Ampul 0 0
146 Papaverin injeksi Vial 0 0
147 Papaverin tablet Tablet 0 0
148 Parasetamol Sirup 120 mg/5 ml - 60 ml Botol 5 5 5
149 Parasetamol Tablet 100 mg Tablet 0 0
151 Pembalut Gips Rol 0 0
152 Perfenazin Tablet 4 mg Tablet 0 0
153 Pirantel Pamoat tablet 125 mg Tablet 0 0
154 Piridoksin HCl (Vit.B6) Tablet 10 mg Tablet 0 0
155 Piroksikam tablet 20 mg Tablet 0 0
156 Plester 5 yards x 2 inch Rol 1 1 1
1 2 3 4 5 6 7
157 Polikresulen Botol 0 0
158 Povidon Iodida 10% - 30 ml Botol 0 0
159 Povidon Iodida 10% - 300 ml Botol 1 1 1
160 Prednison Tablet 5 mg Tablet 0 0
161 Prokain Benzil Penisilin 3 juta IU/vial Injeksi Vial 0 0
162 Propanolol HCl Tablet 40 mg Tablet 0 0
163 Pyrazinamide tablet Tablet 0 0
164 Ranitidin 150 mg tablet Tablet 0 0
165 Ranitidin injeksi Ampul 0 0
166 Reserpin Tablet 0,10 mg Tablet 0 0
168 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0 0
170 Ringer Laktat Larutan Infus Steril - 500 ml Botol 0 0
171 Salbutamol Tablet 2 mg Tablet 0 0
173 Salep 2 - 4, Kombinasi : Asam Salisilat 2% Pot 4 4 4
174 Salisil Bedak 2% - 50 gram Kotak 5 20 25 25
175 Sarung Tangan Steril 6,5 Set 0 0
176 Sarung Tangan Steril 7 Set 0 0
178 Serum Anti Bisa Ular I 5 ml (ABU) Vial 0 0
179 Serum Anti Tetanus Injeksi 1.500 IU/ampul Ampul 0 0
180 Sianokobalamin (Vit. B12) injeksi 500 mg/ml Ampul 0 0
181 Sianokobalamin (Vit. B12) tablet Tablet 0 0
182 Silk (Benang Bedah Sutra) No. 3/0 Sachet 0 0
183 Silver Amalgam Serbuk 65 - 75% Botol 0 0
184 Sulfadimidin tablet 500 mg Tablet 0 0
185 Sulfasetamida Natrium Tetes Mata 15% - 5 m Botol 0 0
186 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0
187 Tetrakain TM Botol 0 0
188 Tetrasiklin HCl Kapsul 250 mg Kapsul 0 0
190 Tiamfenikol kapsul 500 mg Kapsul 0 0
191 Tiamin HCl/Mononitrat (Vit. B1) injeksi Ampul 0 0
192 Tiamin HCl/Mononitrat (Vit. B1) Tablet 50 Tablet 70 70 70
193 Teofilin tablet Tablet 0 0
194 Triheksifenidil tablet 2 mg Tablet 0 0
195 Urine Bags Buah 0 0
196 Vitamin B Komplek Tablet Tablet 10 100 110 110
197 Vitamin sirup Botol 0 0
1 2 3 4 5 6 7
198 Amitriptilin 25 mg Tablet 0 0
199 Amoksisilin sirup kering 250 mg/5 ml Ampul 0 10 10 10
200 Ampisilin injeksi 1000 mg vial 0 0
201 Betahistin Tablet 0 0
202 Epinefrin injeksi Ampul 0 0
203 Etanol 70% -1.000 ml Set 1 1 1
204 FDC dewasa kat.2 Paket 0 0
205 Gentamisin injeksi ampul 0 0
206 Gluconas Calcicus Vial 0 0
207 Haloperidol 2 mg Tablet 0 0
208 INH Pofilaksis untuk bayi/balita Tablet 0 0
209 Kasa 36 x 80 Rol 0 0
210 Klozapin Tablet 0 0
211 Kotrimoksazol Forte Tablet 0 0
212 MDT MB Dewasa Blister 0 0
213 Metronidazol infus Botol 0 0
214 Natrium Tiroksin 50 mg Tablet 0 0
215 OAT FDC dewasa Kat. I Paket 0 0
216 OAT FDC Kat Anak Paket 0 0
217 Omeprazole 20 mg kapsul Kapsul 0 0
218 Pot Dahak Pot 0 0
219 Rapid Tes Syphilis set 0 0
220 Ringer Asetat 500 ml btl 0 0
221 Risperidon 2 mg Tablet 0 0
222 Serum Anti A dan Anti B Botol 0 0
223 Simvastatin 10 mg ktk 0 0
224 Ventolin Nebuhaler Vial 0 0
225 Zinc Dispersibel Tablet 0 0
227 Captopril tablet 12,5 mg Tablet 0 0
228 sikzonoate Ampul 0 0
229 elizac Tablet 0 0
JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN JAMKES

RESEP
BAYAR TIDAK BAYASKES MAS RAWAT IN
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Februari

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Maret

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Maret

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : April

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : April

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Mei

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Mei

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Juni

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juni

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Juli

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juli

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Agustus

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Agustus

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : September

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : September

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Oktober

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Oktober

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : November

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12
PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : November

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Desember

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS
PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Desember

KECAMATAN : KERTAJATI PERMINTAAN BULAN / PERIODE : Januari

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7
18 Tablet
13 400 413 413
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
119 Masker Set 25 25 25
1 2 3 4 5 6 7
1 2 3 4 5 6 7
203 Etanol 70% -1.000 ml Set 1 1 1
209 Kasa 36 x 80 Rol 0 0

RESEP
769 11 12
AR PERMINTAAN OBAT (LPLPO) FORM : LPLPO
SMAS
JANUARI 2020 DOKUMEN NOMOR TANGGAL
PEBRUARI 2020 DINKES KAB/KOTA
GFK KAB/KOTA
STOK STOK PERMIN- PEMBERIAN

JUMLAH
AKHIR OPT. TAAN PKD ASKES APBD I BSN PROGRAM LAIN2
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Februari 2020 DOKUMEN NOMOR TANGGAL
Maret 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Maret 2020 DOKUMEN NOMOR TANGGAL

April 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
April 2020 DOKUMEN NOMOR TANGGAL

Mei 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Mei 2020 DOKUMEN NOMOR TANGGAL

Juni 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Juni 2020 DOKUMEN NOMOR TANGGAL

Juli 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Juli 2020 DOKUMEN NOMOR TANGGAL
Agustus 2020 DINKES KAB/KOTA

GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Agustus 2020 DOKUMEN NOMOR TANGGAL
September 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
September 2020 DOKUMEN NOMOR TANGGAL

Oktober 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Oktober 2020 DOKUMEN NOMOR TANGGAL

November 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792
SMAS
November 2020 DOKUMEN NOMOR TANGGAL

Desember 2020 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Desember 2020 DOKUMEN NOMOR TANGGAL
Januari 2021 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
JANUARI 2021 DOKUMEN NOMOR TANGGAL

PEBRUARI 2021 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792
SMAS
Februari 2021 DOKUMEN NOMOR TANGGAL
Maret 2021 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792

SMAS
Maret 2021 DOKUMEN NOMOR TANGGAL
April 2021 DINKES KAB/KOTA
GFK KAB/KOTA

JUMLAH
8 9 10 11 12 13 14 15 16 17
0 0
0 196
0 1,238
0 117
0 1,857
0 0 3,000
0 0
0 0
0 0
0 1
0 0
0 4,561 3,000
0 208 500
0 175 50
0 254
0 3
0 18
0 8,149 2,500
0 6
0 0 50
0 8
0 0
0 0
0 26
0 0
0 1,818 1,500
0 1,139 5,000
0 0
0 143
0 0 50
8 9 10 11 12 13 14 15 16 17
0 14 50
0 267 2,000
0 48 10
0 282 1,500
0 9
0 0
0 394 500
0 0
0 2,260 5,000
0 0
0 0
0 0 3,000
0 4
0 0
0 0
0 68 30
0 0
0 0
0 0
0 223
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 13
0 48
0 1
0 4 10
0 4
0 1
0 23
0 0
0 113
0 0
0 0
0 209 3,000
0 1,133 3,000
0 19
8 9 10 11 12 13 14 15 16 17
0 0
0 45
0 55
0 0
0 14
0 0
0 0 3,000
0 3 3,000
0 3
0 160
0 0
0 0
0 120
0 78
0 94
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3,640 1,000
0 5
0 105
0 0
0 128
0 14
0 0
0 234
0 24 24
0 32
0 43 50
0 9
0 11,159 5,000
0 62
0 64 20
0 0
0 62
8 9 10 11 12 13 14 15 16 17
0 137 100
0 2
0 43 3,000
0 4
0 318 300
0 227 3,000
0 10
0 281 200
0 0
0 0 10
0 0
0 0
0 0
0 0
0 0 500
0 220
0 42
0 0
0 84
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 30
0 0
0 0 50
0 0
0 43
0 0
0 68
0 136 100
0 0
0 17,757 10,000
0 0
0 0
0 0
0 2,223 3,000
0 43 200
0 13
8 9 10 11 12 13 14 15 16 17
0 0
0 0 10
0 5
0 1,671
0 0
0 0
0 0
0 1,428 5,000
0 14
0 0
0 0
0 204
0 1,446
0 133
0 123 500
0 51
0 21
0 94
0 78
0 77
0 115
0 0
0 4
0 67
0 622
0 15
0 0
0 0
0 0 50
0 10,592
0 0
0 0
0 442
0 0
0 0
0 4,684 2,000
0 0
0 79
0 9
0 3,555 1,500
0 0
8 9 10 11 12 13 14 15 16 17
0 28
0 0 50
0 0
0 29
0 4
0 5
0 23
0 0
0 0
0 71
0 0
0 3
0 0
0 482
0 68
0 0
0 8
0 0
0 0
0 0 500
0 0
0 0
0 419
0 0
0 0
0 0 3000
0 0
0 335
0 0
0 0 2000
0 0
0 0
0 0
JUMLAH JUMLAH
RAWAT JALAN
792
Rincian Stok Akhir
Gudang obLoket obatPONED P BABAKA Pustu & PoLab Gigi Pustu KdK Pustu Bebe
Rincian Stok Akhir

Gudang obLoket obatPONED P BABAKA P PALASAHP KTW P SUKAWAPustu KdK Pustu Bebe
LLB Cbgr L.Lor Ligung Wnslm TglAren Beber Ampel Kdg.Sari LwHapit
LLB Cbgr L.Lor Ligung Wnslm TglAren Beber Ampel Kdg.Sari LwHapit
Bt.Waru Sukawera Majasari Gd.Wesi Kertasari Buntu
Rata2
Bt.Waru Sukawera Majasari Gd.Wesi Kertasari Buntu Per Bulan Per Hari
Waktu Kosong Obat Waktu Tunggu Obat Stok Pemakaian
Hari Jumlah Hari Jumlah Penyangganop des jan
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLP
PUSKESMAS

STOK PENERI- PERSE- PEMA- STOK

NO NAMA OBAT SATUAN
AWAL MAAN DIAAN KAIAN AKHIR
1 2 3 4 5 6 7 8
1 Air Raksa Dental Use Botol 0 0 0
3 Alat Suntik Sekali Pakai 2,5 ml Set 0 10 10 10 0
5 Albendazol tablet 400 mg Tablet 0 0 0
6 Alopurinol tablet 100 mg Tablet 50 50 50 0
7 Ambroxol sirup Botol 0 0 0
8 Ambroxol tablet 30 mg Tablet 0 0 0
9 Aminofilin tablet 200 mg Tablet 0 0 0
10 Aminopilin injeksi 24 mg/ml Ampul 0 0 0
11 Amoksisilin injeksi Vial 0 0 0
12 Amoksisilin kaplet 500 mg Tablet 0 300 300 300 0
13 Amoksisilin kapsul 250 mg Kapsul 20 100 120 120 0
14 Amoksisilin sirup kering 125 mg/5 ml Botol 0 0 0
15 Antalgin (Metampiron) tablet 500 mg Tablet 0 0 0
16 Antalgin injeksi 250 mg/ml - 2 ml Ampul 0 0 0
17 Antasida DOEN suspensi Botol 2 10 12 12 0
18 Tablet
13 400 413 413 0
19 Anti Hemoroid DOEN Kombinasi Supp 0 0 0
20 Antibakteri DOEN salep kombinasi : Basitras Tube 0 0 0
21 Antifungi DOEN salep kombinasi :Asam Benz Pot 0 0 0
22 Antimigren DOEN tablet Tablet 0 0 0
23 Antiparkinson DOEN tablet Tablet 0 0 0
24 Aqua Pro Injeksi steril, bebas pirogen -20 ml Vial 0 0 0
25 Aquadest Steril - 500 ml Botol 0 0 0
26 Asam Askorbat (Vit. C) tablet 50 mg Tablet 50 200 250 250 0
27 Asam Mefenamat tablet 500 mg Tablet 0 0 0
28 Asetosal tablet 500 mg Tablet 0 0 0
29 Asiklovir 400 mg tablet Tablet 0 0 0
30 Asiklovir Krim Tube 0 0 0
1 2 3 4 5 6 7 8
31 Betametason krim 0,1% - 5 g Tube 20 5 25 25 0
32 Captopril tablet 25 mg Tablet 0 0 0
33 Catgut/Benang Bedah No. 2/0 - 3/0 (Plain & Sachet 0 0 0
34 Cefadroksil kapsul 500 mg Kapsul 100 100 100 0
35 Cefadroksil sirup kering 125 mg Botol 4 4 8 8 0
36 Cimetidin tablet 200 mg Tablet 0 0 0
37 Ciprofloksasin 500 mg tablet Tablet 0 0 0
38 Deksametason injeksi 5 mg/ml - 1 ml Ampul 0 0 0
39 Deksametason tablet 0,5 mg Tablet 0 0 0
40 Dekstrometorfan HBr sirup 10 mg/5 ml - 60 Botol 0 0 0
41 Dekstrometorfan HBr tablet 15 mg Tablet 0 0 0
42 Diaform tablet Tablet 0 0 0
43 Diazepam injeksi 5 mg/ml -2 ml Ampul 0 0 0
44 Diazepam tablet 2 mg Tablet 0 0 0
46 Difenhidramin HCl Injeksi 10 mg/ml - 1 ml Ampul 0 0 0
47 Digoksin tablet 0,25 mg Tablet 0 0 0
48 Dimenhydrinat tablet Tablet 0 0 0
49 Doksisiklin kapsul 100 mg Kapsul 0 0 0
50 Domperidon tablet Tablet 0 0 0
51 Efedrin HCl tablet 25 mg Tablet 0 0 0
52 Ekstrak Belladon tablet 10 mg Tablet 0 0 0
53 Eritromisin 500 mg tablet Tablet 0 0 0
54 Etakridin (Rivanol) Larutan 0,1% - 300 ml Botol 0 0 0
55 Etanol 70% -100 ml Botol 0 0 0
56 Etil Klorida Semprot - 100 ml Botol 0 0 0
57 Fenobarbital injeksi Ampul 0 0 0
58 Fenobarbital tablet 30 mg Tablet 0 0 0
59 Fenol Gliserol TT Botol 0 0 0
60 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 m Ampul 0 0 0
61 Fitomenadion (Vit.K1) tablet Tablet 1,000 1,000 1,000 0
62 Folley Catheter No. 14 Set 0 0 0
66 Furosemid tablet 40 mg Tablet 50 100 150 150 0
67 Gameksan emulsi Botol 0 0 0
68 Garam Oralit 200 ml Air Sachet 90 90 90 0
69 Gentian Violet 1 % Botol 0 0 0
70 Glass Ionomer Cement (GC IX) Set 0 0 0
71 Glibenklamid tablet 5 mg Tablet 50 50 50 0
72 Gliseril Guaiakolat tablet 100 mg Tablet 300 300 300 0
73 Glukosa Larutan Infus 5% Steril - 500 ml Botol 0 0 0
1 2 3 4 5 6 7 8
74 Griseofulvin tablet 125 mg, micronized Tablet 20 100 120 120 0
75 Haloperidol 1,5 mg tablet Tablet 0 0 0
76 Haloperidol 5 mg tablet Tablet 0 0 0
77 Hidroklorotiazid (HCT) tablet 25 mg Tablet 0 0 0
78 Hidrokortison krim 2,5% Tube 0 0 0
79 Hyoscine N Butilbromoda tablet Tablet 0 0 0
80 Ibupropen tablet 200 mg Tablet 0 0 0
82 Infusion Set Anak Set 0 0 0
83 Infusion Set Dewasa Set 0 0 0
84 Isoniazid tablet 300 mg Tablet 0 0 0
85 Isosorbid Dinitrat 5 mg tablet Sublingual Tablet 0 0 0
86 IV Catheter No. 20 Set 0 0 0
89 Jarum jahit (Bedah) No 10 Set 0 0 0
95 Jarum Otot besar Set 0 0 0
96 Jarum Otot kecil Set 0 0 0
97 Kalium Permanganat Pot 0 0 0
98 Kalsium Laktat (Kalk) tablet 500 mg Tablet 0 0 0
99 Kapas Pembalut/Absorben 250 gram Bungkus 2 2 2 0
100 Karbamazepin tablet 200 mg Tablet 0 0 0
101 Kasa Kompres 40/40 Steril Bungkus 0 0 0
102 Kasa Pemabalut Hidrofil 4 m x 10 cm Rol 2 2 2 0
103 Kasa Pembalut 2 m x 80 cm Bungkus 0 0 0
104 Kasa Pembalut Hidrofil 4 m x 15 cm Rol 0 0 0
105 Kloramfenikol kapsul 250 mg Kapsul 80 200 280 280 0
106 Kloramfenikol salep mata 1% - 3,5 gram Tube 1 1 1 0
107 Kloramfenikol sirup Botol 0 0 0
108 Kloramfenikol tetes mata Botol 3 3 3 0
109 Kloramfenikol tetes telinga 3% - 5 ml Botol 0 0 0
110 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 500 500 500 0
111 Klorpromazin tablet 100 mg Tablet 0 0 0
112 Kotrimoksazol suspensi kombinasi: Sulfamet Botol 0 0 0
113 Kotrimoksazol tablet Pediatrik, kombinasi : Tablet 0 0 0
114 Kotrimoksazol tablet, kombinasi : Sulfameto Tablet 88 88 88 0
1 2 3 4 5 6 7 8
115 Lidokain Komp. injeksi, Kombinasi : Lidokai Ampul 0 0 0
116 Lisol, mengandung Kresol tersabun 50% - 10 Botol 0 0 0
117 Loperamid tablet 2 mg Tablet 0 0 0
118 Magnesium Sulfat injeksi 40 % - 25 ml Ampul 0 0 0
119 Masker Set 25 25 25 0
120 Metformin HCl 500 mg Tablet 0 0 0
121 Metilergometrin Maleat injeksi 0,200 mg - 1 Ampul 0 0 0
122 Metilergometrin Maleat Tablet Salut 0,125 g Tablet 0 0 0
123 Metoklopramid injeksi Ampul 0 0 0
124 Metoklopramid sirup Botol 0 0 0
125 Metoklopramid tablet 10 mg Tablet 0 0 0
126 Metronidazol Tablet 250 mg Tablet 0 0 0
128 Miconazole krim Tube 0 0 0
129 Natrium Bikarbonat Tablet 500 mg Tablet 0 0 0
130 Natrium Diklofenak tablet 50 mg Tablet 0 0 0
131 Natrium Klorida Infus 0,9% 500 ml Botol 0 0 0
132 Neo Diaform tablet Tablet 0 0 0
133 Nifedipin tablet 10 mg Tablet 0 0 0
134 Nistatin 100.000 IU/gram Tablet Vaginal Tablet 0 0 0
135 Nistatin 500.000 IU/gram Tablet Salut Tablet 0 0 0
136 Obat Antituberkulosis Kategori 1 dewasa Paket 0 0 0
139 Obat Antituberkulosis Kategori Anak Paket 0 0 0
140 Obat Antituberkulosis Sisipan dewasa Paket 0 0 0
141 Obat Batuk Hitam (OBH) Cairan - 100 ml Botol 0 0 0
142 Oksitetrasiklin HCl Injeksi i.m. 50 mg/ml - 1 Vial 0 0 0
143 Oksitetrasiklin HCl salep kulit 3% - 5 g Tube 0 0 0
144 Oksitetrasiklin HCl salep mata 1% -3,5 g Tube 0 0 0
145 Oksitosin Injeksi 10 IU/ml - 1 ml Ampul 0 0 0
146 Papaverin injeksi Vial 0 0 0
147 Papaverin tablet Tablet 0 0 0
148 Parasetamol Sirup 120 mg/5 ml - 60 ml Botol 5 5 5 0
149 Parasetamol Tablet 100 mg Tablet 0 0 0
150 Parasetamol Tablet 500 mg Tablet 100 500 600 600 0
151 Pembalut Gips Rol 0 0 0
152 Perfenazin Tablet 4 mg Tablet 0 0 0
153 Pirantel Pamoat tablet 125 mg Tablet 0 0 0
154 Piridoksin HCl (Vit.B6) Tablet 10 mg Tablet 0 0 0
155 Piroksikam tablet 20 mg Tablet 0 0 0
156 Plester 5 yards x 2 inch Rol 1 1 1 0
1 2 3 4 5 6 7 8
157 Polikresulen Botol 0 0 0
160 Prednison Tablet 5 mg Tablet 0 0 0
161 Prokain Benzil Penisilin 3 juta IU/vial Injeksi Vial 0 0 0
162 Propanolol HCl Tablet 40 mg Tablet 0 0 0
163 Pyrazinamide tablet Tablet 0 0 0
164 Ranitidin 150 mg tablet Tablet 0 0 0
165 Ranitidin injeksi Ampul 0 0 0
166 Reserpin Tablet 0,10 mg Tablet 0 0 0
168 Retinol (Vit. A) 100.000 IU Kapsul Kapsul 0 0 0
170 Ringer Laktat Larutan Infus Steril - 500 ml Botol 0 0 0
171 Salbutamol Tablet 2 mg Tablet 0 0 0
173 Salep 2 - 4, Kombinasi : Asam Salisilat 2% Pot 4 4 4 0
174 Salisil Bedak 2% - 50 gram Kotak 5 20 25 25 0
175 Sarung Tangan Steril 6,5 Set 0 0 0
176 Sarung Tangan Steril 7 Set 0 0 0
177 Sarung Tangan Steril 7,5 Set 1 3 4 4 0
178 Serum Anti Bisa Ular I 5 ml (ABU) Vial 0 0 0
179 Serum Anti Tetanus Injeksi 1.500 IU/ampul Ampul 0 0 0
180 Sianokobalamin (Vit. B12) injeksi 500 mg/ml Ampul 0 0 0
181 Sianokobalamin (Vit. B12) tablet Tablet 0 0 0
182 Silk (Benang Bedah Sutra) No. 3/0 Sachet 0 0 0
183 Silver Amalgam Serbuk 65 - 75% Botol 0 0 0
184 Sulfadimidin tablet 500 mg Tablet 0 0 0
185 Sulfasetamida Natrium Tetes Mata 15% - 5 m Botol 0 0 0
186 Tablet Tambah Darah Kombinasi : Besi II Su Tablet 0 0 0
187 Tetrakain TM Botol 0 0 0
188 Tetrasiklin HCl Kapsul 250 mg Kapsul 0 0 0
189 Tetrasiklin HCl Kapsul 500 mg Kapsul 20 100 120 120 0
190 Tiamfenikol kapsul 500 mg Kapsul 0 0 0
191 Tiamin HCl/Mononitrat (Vit. B1) injeksi Ampul 0 0 0
192 Tiamin HCl/Mononitrat (Vit. B1) Tablet 50 Tablet 70 70 70 0
193 Teofilin tablet Tablet 0 0 0
194 Triheksifenidil tablet 2 mg Tablet 0 0 0
195 Urine Bags Buah 0 0 0
196 Vitamin B Komplek Tablet Tablet 10 100 110 110 0
197 Vitamin sirup Botol 0 0 0
1 2 3 4 5 6 7 8
198 Amitriptilin 25 mg Tablet 0 0 0
199 Amoksisilin sirup kering 250 mg/5 ml Ampul 0 10 10 10 0
200 Ampisilin injeksi 1000 mg vial 0 0 0
201 Betahistin Tablet 0 0 0
202 Epinefrin injeksi Ampul 0 0 0
203 Etanol 70% -1.000 ml Set 1 1 1 0
204 FDC dewasa kat.2 Paket 0 0 0
205 Gentamisin injeksi ampul 0 0 0
206 Gluconas Calcicus Vial 0 0 0
207 Haloperidol 2 mg Tablet 0 0 0
208 INH Pofilaksis untuk bayi/balita Tablet 0 0 0
209 Kasa 36 x 80 Rol 0 0 0
210 Klozapin Tablet 0 0 0
211 Kotrimoksazol Forte Tablet 0 0 0
212 MDT MB Dewasa Blister 0 0 0
213 Metronidazol infus Botol 0 0 0
214 Natrium Tiroksin 50 mg Tablet 0 0 0
215 OAT FDC dewasa Kat. I Paket 0 0 0
216 OAT FDC Kat Anak Paket 0 0 0
217 Omeprazole 20 mg kapsul Kapsul 0 0 0
218 Pot Dahak Pot 0 0 0
219 Rapid Tes Syphilis set 0 0 0
220 Ringer Asetat 500 ml btl 0 0 0
221 Risperidon 2 mg Tablet 0 0 0
222 Serum Anti A dan Anti B Botol 0 0 0
223 Simvastatin 10 mg ktk 0 0 0
224 Ventolin Nebuhaler Vial 0 0 0
225 Zinc Dispersibel Tablet 0 0 0
227 Captopril tablet 12,5 mg Tablet 0 0 0
228 sikzonoate Ampul 0 0 0
229 elizac Tablet 0 0 0

RESEP
BAYAR TIDAK BAYASKES MAS RAWAT IN RAWAT JALAN
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
MINTAAN OBAT (LPLPO) FORM : LPLPO
2020 DOKUMEN NOMOR TANGGAL

2020 DINKES KAB/KOTA
GFK KAB/KOTA
STOK PERMIN- PEMBERIAN

JUMLAH
OPT. TAAN PKD ASKES APBD I BSN PROGRAM LAIN2
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792
Rincian Stok Akhir
Gudang obLoket obatPONED P BABAKA Pustu & PoLab Gigi Pustu KdK Pustu BebeLLB
Rincian Stok Akhir

Gudang obLoket obatPONED P BABAKA P PALASAHP KTW P SUKAWAPustu KdK Pustu BebeLLB
Cbgr L.Lor Ligung Wnslm TglAren Beber Ampel Kdg.Sari LwHapit Bt.Waru
Sukawera Majasari Gd.Wesi Kertasari Buntu
Rata2 Waktu Kosong Obat

Sukawera Majasari Gd.Wesi Kertasari Buntu Per Bulan Per Hari Hari
Jumlah Hari Jumlah Penyangganop des jan
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792
Rincian Stok Akhir
Rincian Stok Akhir


PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS

NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12
PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

PUSKESMAS


NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8
18 Tablet
13 400 413 413 0
1 2 3 4 5 6 7 8
55 Etanol 70% -100 ml Botol 0 0 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
119 Masker Set 25 25 25 0
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
203 Etanol 70% -1.000 ml Set 1 1 1 0
209 Kasa 36 x 80 Rol 0 0 0

RESEP
769 11 12

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792

GFK KAB/KOTA

JUMLAH
9 10 11 12 13 14 15 16 17
0
196
1,238
117
1,857
0 3,000
0
0
0
1
0
4,561 3,000
208 500
175 50
254
3
18
8,149 2,500
6
0 50
8
0
0
26
0
1,818 1,500
1,139 5,000
0
143
0 50
9 10 11 12 13 14 15 16 17
14 50
267 2,000
48 10
282 1,500
9
0
394 500
0
2,260 5,000
0
0
0 3,000
4
0
0
68 30
0
0
0
223
0
0
0
0
3
0
0
0
0
13
48
1
4 10
4
1
23
0
113
0
0
209 3,000
1,133 3,000
19
9 10 11 12 13 14 15 16 17
0
45
55
0
14
0
0 3,000
3 3,000
3
160
0
0
120
78
94
0
0
0
0
0
0
0
0
0
3,640 1,000
5
105
0
128
14
0
234
24 24
32
43 50
9
11,159 5,000
62
64 20
0
62
9 10 11 12 13 14 15 16 17
137 100
2
43 3,000
4
318 300
227 3,000
10
281 200
0
0 10
0
0
0
0
0 500
220
42
0
84
0
0
0
0
0
0
0
0 30
0
0 50
0
43
0
68
136 100
0
17,757 10,000
0
0
0
2,223 3,000
43 200
13
9 10 11 12 13 14 15 16 17
0
0 10
5
1,671
0
0
0
1,428 5,000
14
0
0
204
1,446
133
123 500
51
21
94
78
77
115
0
4
67
622
15
0
0
0 50
10,592
0
0
442
0
0
4,684 2,000
0
79
9
3,555 1,500
0
9 10 11 12 13 14 15 16 17
28
0 50
0
29
4
5
23
0
0
71
0
3
0
482
68
0
8
0
0
0 500
0
0
419
0
0
0 3000
0
335
0
0 2000
0
0
0
JUMLAH JUMLAH
RAWAT JALAN
792
Rincian Stok Akhir
Rincian Stok Akhir



Lplpo Unit 2020

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Februari 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Maret 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Mei 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juni 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Juli 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Agustus 2020

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : September 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Oktober 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : November 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Desember 2020

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : JANUARI 2021

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Februari 2021

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : KERTAJATI PELAPORAN BULAN / PERIODE : Maret 2021

STOK PENERI- PERSE- PEMA- STOK STOK PERMIN-

JUMLAH K JUMLAH KUNJUNGAN RESJUMLAH K JUMLAH KINJUNGAN RESEP

DOKUMEN NOMOR TANGGAL

DOKUMEN NOMOR TANGGAL

DOKUMEN NOMOR TANGGAL

(LPLPO) FORM : LPLPO

DOKUMEN NOMOR TANGGAL

(LPLPO) FORM : LPLPO