Lplpo 2020

LAPORAN PEMAKAIAN DAN LEMBARAN PERMINTAAN OBAT (LPLPO)
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : AGUSTUS 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : SEPTEMBER 2020
KABUPATEN : TOJO UNA UNA
PROPINSI : SULAWESI TENGAH
Stok Peneri- Perse- Pema- Stok Permin- Pemberian

NO Nama Obat/Alkes/BMHP Satuan Awal maan diaan kaian Akhir taan APBD I APBD II Program Lain- Jumlah KET
lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 50 50 0 50
3 Abbocath 22 Piece 140 140 0 140
5 Acyclovir cream Tube 40 40 0 40
6 Acyclovir tablet 200 mg Tab 1,000 1,000 2,000 0 2,000
7 Acyclovir tablet 400 mg Tab 2,100 2,100 0 2,100
8 Ailin tetes mata Botol 0 0 0 0
9 AIC Now + Sistem 20'S Box 0 0 0 0
10 Alat Autochek Unit 0 0 0 0
11 Alat Pemeriksa HB Buah 0 0 0 0
12 Alat suntik sekali pakai 1 ml Piece 500 500 0 500
16 Albendazol 400 mg Tab 0 0 0 0
17 Alcohol Swab CHG + 0,5 % Box 1 1 0 1
18 Alletrol Tetes Mata Botol 0 0 0 0
19 Allopurinol Tab 100 mg Tab 2,200 2,200 800 1,400
20 Allopurinol Tab 300 mg Tab 0 0 0 0
21 Alprazolam Tablet 0,5 mg Tab 500 500 300 200
22 Alprazolam Tablet 1 mg Tab 0 0 0 0
23 Ambroxol 30 mg Tab 1,200 1,200 0 1,200
24 Ambroxol syr Botol 30 30 0 30
25 Aminofilin inj 24 mg/ml Ampul 30 30 0 30
26 Amitriptilin Tablet Salut 25 mg Tab 1,400 1,400 100 1,300
27 Amlodipin Tablet 10 mg Tab 510 510 0 510
29 Amoksisilin Kapsul 500 mg Tab 200 1,000 1,200 800 400
30 Amoxycillin Syrup 125 mg / 5 ml Botol 0 0 0 0
32 Ampicilin 500 mg Tab 200 200 0 200
33 Ampicilin syr Botol 0 0 0 0
34 Analog Long Insulin 100 IU Pen Pen 0 0 0 0
35 Antalgin 500 mg Tab 0 0 0 0
36 Antalgin Injeksi Ampul 0 0 0 0
37 Antasida DOEN I tablet kunyah Tab 0 0 0 0
38 Antasida Doen Syrup Botol 300 300 0 300
39 Antihemoroid Supp 90 90 0 90
40 Antimalaria Tab 0 0 0 0
41 Antiseptik Hand Rub 10 Btl @ 500 ml Botol 54 54 0 54
42 Antrain Injeksi Ampul 0 0 0 0
43 Aqua pro Injeksi 20 ml Ampul 46 46 0 46
44 Arkine Tab 3,000 3,000 750 2,250
45 Asam Askorbat Tablet 50 mg Tab 7,700 7,700 2,700 5,000
46 Asam Folat tablet 1 mg Tab 0 0 0 0
47 Asam Mefenamat kaplet 500 mg Kap 9,600 9,600 0 9,600
48 Asam Traneksamat 250 mg Ampul 15 15 0 15
49 Asam Valproat Syrup Botol 0 0 0 0
50 Asetosal Tablet 80 mg Tab 0 0 0 0
51 Atropin inj 0,25 mg / ml Ampul 20 20 0 20
52 Betahistin Tablet 6 mg Tab 100 100 0 100
53 Betametason Krim 0,1 %/Skizon Tube 0 0 0 0
54 Biocombin Injk/Farbion Injeksi Ampul 0 0 0 0
55 Bionemi Kaps Kapsul 0 0 0 0
56 Bisoprolol Tablet 5 mg Tab 50 50 0 50
57 Blood Lancents Buah 4 4 0 4
58 Buscopan Injeksi/Skopamin Ampul 0 0 0 0
59 Candesartan 8 mg Tab 0 0 0 0
60 Captopril Tablet 12,5 mg Tab 100 100 0 100
61 Captopril Tablet 25 mg Tab 500 500 100 400
62 Catapres Injeksi Ampul 70 70 0 70
63 Cathejell Lidocain 2 % & CHG 0,05 % Ampul 3 3 0 3
64 Catqut Chromic 2/0 75 C + Jarum 1/2 30 M R Box 0 0 0 0
65 Catqut Chromic 2/0 HR 20 MM Sachet 0 0 0 0
67 Catqut Plain 2/0 HR 37 MM Sachet 1 1 0 1
69 Catqut Plain 4/0 100 M Roll 0 0 0 0
70 Cefadroxil kapsul 500 mg Kap 3,500 3,500 500 3,000
71 Cefadroxil Syrup 125 mg/ 5 ml Botol 160 160 0 160
72 Cimetidin Tab 0 0 0 0
73 Colcitine 0,5 mg Tab 810 810 0 810
74 Clobazam Tab 0 0 0 0
75 Clonidine 0,15 mg Tab 100 100 0 100
76 Clopidogrel 75 mg Tab 0 0 0 0
77 Combivent UDV Vial 0 0 0 0
78 Curcuma Tab 0 0 0 0
79 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 555 555 75 480
80 Deksametason Tablet 0,5 mg Tab 0 0 0 0
81 Diazepam Tablet 2 mg Tab 4,100 4,100 200 3,900
82 Diazepam injeksi 5 mg / ml Ampul 20 20 0 20
83 Diazepam larutan rektal 10 mg/2,5 ml Tube 0 0 0 0
84 Diazepam Tablet 5 mg Tab 0 0 0 0
85 Digoksin 0,25 mg Tab 0 0 0 0
86 Diltiazem HCL tablet 30 mg Tab 0 0 0 0
87 Dimenhidrinat tab 50 mg Tab 1,300 1,300 0 1,300
88 Diphenhidramin Injeksi 10 mg/ml Ampul 60 60 30 30
89 Diuvar Injeksi Ampul 5 5 0 5
90 Doksisiklin Kapsul 100 mg Kap 1,000 1,000 0 1,000
91 Domperidon suspensi 5 mg / 5 ml Botol 0 0 0 0
92 Domperidon tablet 10 mg Tab 1,900 1,900 400 1,500
93 Dulcolax 5 mg/Bisacodyl 5 mg Tab 0 0 0 0
94 Dulcolax Suppo anak Supp 31 31 0 31
95 Dumin Rectal Supp 0 0 0 0
96 Eflin Tab 200 200 0 200
97 Enbatic Cream Tube 0 0 0 0
98 Epinefrin Inj. i.v.s.k/i.m 1 mg/ml Ampul 180 180 0 180
99 Ergotamin tab 1 mg Tab 0 0 0 0
100 Eritromisin Kapsul 500 mg Kap 1,000 1,000 0 1,000
101 Erladerm-N Tube 0 0 0 0
102 Erlemicetin Tetes Telinga Botol 0 0 0 0
103 Erlemicetin Tetes Mata Botol 0 0 0 0
104 Etakridin Botol 8 8 0 8
105 Etambutol tablet salut 500 mg Tab 0 0 0 0
106 Etanol 70% 1 Liter Botol 0 0 0 0
107 Etanol 70% 300 ml Botol 0 0 0 0
108 Etilklorida Botol 0 0 0 0
109 Folley Catheter 3 - 5 ml / cc - 10 fr Piece 14 14 0 14
113 Furosemid tab 40 mg Tab 1,200 1,200 200 1,000
114 Gabapentin Tablet 300 mg Kap 0 0 0 0
115 Garam Oralit Sachet 1,400 1,400 0 1,400
116 Gemfibrozil Kapsul 300 mg Kap 600 600 0 600
117 Gentalex Krim Tube 160 160 0 160
118 Gentamisin Inj. 40 mg/ml Ampul 0 0 0 0
119 Gentamisin Salep Tube 0 0 0 0
120 Gention Violet Botol 19 19 0 19
121 Glibenklamid tab 5 mg Tab 0 0 0 0
122 Glimepiride 2 mg Tab 900 900 600 300
123 Gliseril Guaiacolat 100 mg Tab 0 0 0 0
124 Gliserin lar 50 % Botol 54 54 0 54
125 Glukosa Lar. Infus 5 % Steril Botol 60 60 0 60
126 Griseofulvin tablet 125 mg Tab 5,400 5,400 0 5,400
127 Griseofulvin tablet 500 mg Tab 700 700 0 700
128 Halloperidol 0,5 mg Tab 500 500 0 500
129 Halloperidol 1,5 mg Tab 4,900 4,900 300 4,600
130 Halloperidol 5 mg Tab 500 500 0 500
131 Handscond Genekolog Psg 160 160 0 160
132 Handscond No. 7 Steril Psg 200 200 0 200
133 Handscond No. 7,5 Steril Psg 1,100 1,100 0 1,100
134 Handscond Non Steril (M) Psg 2,200 2,200 0 2,200
135 Handscond Non Steril ((L) Psg 4,500 4,500 0 4,500
136 Hemafort Tab 0 0 0 0
137 Hidroklortiazid tablet 25 mg Tab 0 0 0 0
138 Hidrokortison krim 2,5 % Tube 96 96 0 96
139 Ibuprofen syrup 200 mg/5 ml Botol 130 130 0 130
140 Ibuprofen tablet 400 mg Tab 0 0 0 0
141 Ichtiyol Pot 16 16 0 16
142 Infusion Set Anak Buah 968 968 0 968
143 Infusion Set Dewasa Buah 48 48 0 48
144 Iodina test Botol 0 0 0 0
145 Isoniazid Tablet Tab 0 0 0 0
146 Isosorbid Dinitrat tab 5 mg Tab 700 700 200 500
147 Kalsium Glukonat Inj i.v 10 % Ampul 73 73 0 73
148 Kalsium Lactat Tablet 500 mg Tab 3,800 3,800 400 3,400
149 Kanamicin inj Vial 50 50 0 50
150 Kaotin Syrup Botol 0 0 0 0
151 Kapas Pembalut 250 mg Roll 25 25 0 25
152 Karbamazepin Kaplet 200 mg Kap 7,300 7,300 1,100 6,200
153 Kasa hydrofil Steril 16x16 cm Dos 0 0 0 0
154 Kasa pembalut hydrofil 40x80 cm Roll 0 0 0 0
156 Kertas USG Rol 10 10 0 10
157 Ketokonazole krim 2 % Tube 275 275 0 275
158 Ketokonazole tablet 200 mg Tab 5,100 5,100 0 5,100
159 Kloramphenicol Kapsul 250 mg/Novachlor Kap 5,700 5,700 0 5,700
160 Kloramphenicol salep mata 1 % Tube 96 96 0 96
161 Kloramphenicol Suspensi 125mg/5ml Botol 19 19 0 19
162 Kloramphenicol tetes mata 0,5 % Botol 0 0 0 0
163 Klorfenilamin Maleat tablet 4 mg Tab 1,500 1,500 0 1,500
164 Klorpromazin Injeksi salut 25 mg/ml Ampul 0 0 0 0
165 Klorpromazin Tab Salut 25 mg Tab 0 0 0 0
166 Klorpromazin Tablet salut 100 mg Tab 400 400 0 400
167 Kodein tablet 10 mg Tab 300 300 0 300
168 Kolicgon Tab 0 0 0 0
169 Kotrimoksazole Tablet 480 mg Tab 5,500 5,500 0 5,500
170 Kotrimoxazol Suspensi Botol 0 0 0 0
171 Kutoin 100 mg Tab 0 0 0 0
172 Lancet For Fine Touch Dos 4 4 0 4
173 Larutan PK Pot 0 0 0 0
174 Larutan H2O2 Botol 4 4 0 4
175 Lidocain HCL 2% Injeksi Ampul 2,230 2,230 0 2,230
176 Lidocain Injeksi 2% + Epinefrin 1 : 8000 - 2 ml Ampul 30 30 0 30
177 Lisol Botol 0 0 0 0
178 Loperamid Tablet 2 Mg Tab 100 100 0 100
179 Loratadin 10 mg Tab 2,800 2,800 100 2,700
180 Masker Earloop Psg 0 0 0 0
181 Masker Karet Psg 0 0 0 0
182 Masker N95 Box 0 0 0 0
183 Masker Tali Dos 0 0 0 0
184 Meloksikam 15 mg Tab 0 0 0 0
185 Metergin Inj Vial 0 0 0 0
186 Metformin HCL Tablet 500 mg Tab 1,600 1,600 0 1,600
187 Metilergometrin inj 0,2 mg / ml Ampul 290 290 0 290
188 Metilergometrin Tablet 0,125 mg Tab 2,200 2,200 0 2,200
189 Metilprednisolon Tablet 4 mg Tab 500 500 0 500
190 Metilprednisolon tablet 8 mg Tab 0 0 0 0
191 Metoklopramide Injeksi Ampul 10 10 0 10
192 Metoklopramide Sirup 5 mg/5 ml Botol 0 0 0 0
193 Metoklopramide Tablet 10 mg Tab 1,000 1,000 0 1,000
194 Metolon Inj Ampul 0 0 0 0
195 Metronidazol tablet 500 mg Tab 400 400 0 400
196 MgSO4 inj 20% - 25 ml Botol 81 81 0 81
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 24 24 0 24
199 Mikonazole Salep 2% Tube 96 96 0 96
200 Mix Insulin Flexpen / Catridge Pen 0 0 0 0
201 Mucotussan Tab 0 0 0 0
202 Multivitamin Seven Seas Botol 128 128 0 128
203 My Jelli 83 Gram Tube 0 0 0 0
204 Nacl 0,9% Botol 40 40 0 40
205 Natrium Diklofenak 25 mg Tab 3,600 3,600 600 3,000
206 Needle No.23 Pcs 0 0 0 0
207 Neurovit E Kotak 400 400 200 200
208 Nifedipin tablet 20 mg Tab 100 100 0 100
209 Nistatin Tablet salut 100.000 IU/g Tab 420 420 0 420
211 Novadiar Syrup Botol 140 140 0 140
212 Novapyron/Neurotropic Plus Tab 0 0 0 0
213 Novazon Tab 0 0 0 0
214 Novo Twist Box 8 8 0 8
215 Novorapid Pen 0 0 0 0
216 OAT FDC Kategori 1 Paket 8 8 0 8
217 OAT FDC Kategori Anak Paket 3 3 0 3
219 OAT FDC Kategori FDC Kategori Sisipan Paket 0 0 0 0
220 OAT FDC Kategori II Paket 2 2 0 2
221 OBH Botol 105 105 0 105
222 Oksitetrasiklin salep kulit 3% Tube 115 115 0 115
223 Oksitetrasiklin salep mata 1% Tube 0 0 0 0
224 Oksitosin inj 10 UI/ml Ampul 200 200 0 200
225 Omeprazol Tablet 20 mg Kapsul 0 0 0 0
226 Ondancentron 8 mg Ampul 64 64 0 64
227 Oxybiotic Inj Vial 0 0 0 0
228 Papaverin 40 mg Tab 0 0 0 0
229 Paracetamol syrup 120 mg / 5 ml Botol 0 0 0 0
230 Parasetamol Kaplet 500 mg Tab 0 0 0 0
231 Pehacain Inj Ampul 0 0 0 0
232 Pehatrim Forte Tab 0 0 0 0
233 Phenol Gliserol Tetes Telinga Botol 20 20 0 20
234 Phitomenadion inj i.m 2 mg / ml Ampul 120 120 0 120
235 Phitomenadion tablet 10 mg Tab 1,500 1,500 0 1,500
236 Piracetam 400 mg Tab 700 700 0 700
237 Piracetam inj 3g/15ml Ampul 10 10 0 10
238 Pirantel Tablet 125 mg Tab 0 0 0 0
239 Piridoksin inj 100 mg/ml Ampul 0 0 0 0
240 Piridoksin Tablet 10 mg Tab 0 0 0 0
241 Piroksicam 20 mg Tab 0 0 0 0
242 Pisau bedah Box 20 20 0 20
243 Pisau bedah 21 Set 0 0 0 0
244 Plano test Buah 23 23 0 23
245 Plester 7,5cm x 4,5m Rol 60 60 0 60
246 Plesterin Bulat Non Woven Box 41 41 0 41
247 Poligyp 5 cm x 2,7 m Roll 19 19 0 19
248 Pot sputum Pot 0 0 0 0
249 Povidon Iodida larutan 10% 60 ml Botol 38 38 0 38
250 Prednison tablet Tab 5,700 5,700 1,200 4,500
251 Primakuin Tablet 15 mg Tab 1,000 1,000 0 1,000
252 Promavit Kapsul Kapsul 0 0 0 0
253 Propanolol tablet 10 mg Tab 600 600 300 300
254 Propilteurasil 100 Mg Tab 100 100 0 100
255 Ramipril Tablet 5 mg Tab 0 0 0 0
256 Ranitidin Injeksi 25 mg/ml Ampul 100 100 13 87
257 Ranitidin Tablet 150 mg Tab 700 700 0 700
258 RDT DBD Pcs 4 4 0 4
259 RDT malaria Pcs 0 0 0 0
260 Retinol (Vitamin A) 100.000 IU Kapsul 20 20 0 20
261 Retinol (Vitamin A) 200.000 IU Botol 7 7 0 7
262 Rifampisin tablet 450 mg Kapsul 0 0 0 0
263 Rifampisin tablet 600 mg Kaplet 0 0 0 0
264 Ringer Laktat Larutan Infus Botol 620 620 0 620
265 Risperidon 2 mg Tab 0 0 0 0
266 Salbutamol 2 mg Tab 0 0 0 0
267 Salbutamol 4 mg Tab 6,700 6,700 500 6,200
268 Salep 2-4 Pot 45 45 0 45
269 Salisil Bedak serbuk 2% Box 180 180 0 180
270 Selediar Tab 0 0 0 0
271 Selesbion Tab 0 500 500 0 500
272 Selkom C Kap 0 0 0 0
273 Selviplex Kap 0 0 0 0
274 Serum ATS Botol 0 0 0 0
275 Setirizin sirup 5 mg/5ml Botol 33 33 0 33
276 Setrizin Tablet 10 mg Tab 0 0 0 0
277 Sianokobalamin injeksi 500 mcg Ampul 170 170 0 170
278 Scopamin 10 mg Tab 1,200 1,200 0 1,200
279 Sidiadryl Inj Vial 0 0 0 0
280 Silk 3/0 100 M Roll 0 0 0 0
281 Silk 3/0 75 C + Jarum 1/2 17 M R Box 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0
283 Silk Black 2/0 DS 30 MM Sachet 0 0 0 0
285 Simvastatin 10 mg Tab 0 0 0 0
286 Sianokobalamin Tab 0 0 0 0
287 Simvastatin 20 mg Tab 500 1,000 1,500 900 600
288 Siprofloksasin Tablet 500 mg Tab 8,800 8,800 0 8,800
289 Soldextam Tab 0 0 0 0
290 Solvita Plus Syrup Botol 0 0 0 0
291 Spasmolit Tab 0 0 0 0
292 Spironolacton 25 mg Tab 0 0 0 0
293 Stesolid 5 mg Tube 0 0 0 0
294 Stik Asam Urat Autochek Botol 3 3 0 3
295 Stik Asam Urat Benecheck Box 0 0 0 0
296 Stik Gula Darah Autochek Box 0 0 0 0
297 Stik Gula Darah Benecheck Box 0 0 0 0
298 Stik Kolesterol Autochek Botol 0 0 0 0
299 Stik Kolesterol Benecheck Botol 0 0 0 0
300 Stik Pemerksaan HB Botol 1 1 0 1
301 Sulfadoxine Pyrimehamine 250 mg Tab 400 400 0 400
302 Tablet Tambah Darah Sachet 0 0 0 0
303 Tablet Tambah Darah Tab 0 0 0 0
304 Tetrasiklin kapsul 500 mg kap 1,200 1,200 0 1,200
305 Termorex Drops Botol 0 0 0 0
306 Thiamin 50 mg Tab 750 750 0 750
307 Thiamin inj Ampul 0 0 0 0
308 Tramadol 50 mg Tab 0 0 0 0
309 Truvit Syrup Botol 3 3 0 3
310 Urin bag Pcs 10 10 0 10
311 Urin bag Pcs 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0
313 Vastigo Tab 0 0 0 0
314 Ventolin Nebulizer Ampul 40 40 0 40
315 Verorab Vial 0 0 0 0
316 Vitamin B Kompleks Tablet Tab 700 700 0 700
317 Vitamin B Kompleks Injeksi Vial 0 0 0 0
318 Wing needle No.23 Pcs 0 0 0 0
319 Zinc Syrup Botol 180 180 0 180
320 Zink Tablet 20 mg Tab 0 0 0 0
321 Leukoplast Roll 0 0 0 0
322 Nystatin Drop Botol 76 76 0 76
323 Paracetamol Drops Botol 0 0 0 0
324 Dopamet Tab 50 50 0 50
325 Acetylcystein Tab 0 0 0 0
326 Aspar-K Tab 0 0 0 0
327 New Antides Tab 3,100 3,100 0 3,100
328 Atrovent Botol 2 2 0 2
329 Mometasone Tube 25 25 0 25
330 Soft U cream Tube 62 62 0 62
331 Paracetamol Infus Botol 50 50 0 50
332 Metronidazol Infus Botol 10 10 0 10
333 Clozapine 25 mg Tab 1,050 1,050 450 600
334 Clorpromazine Injeksi Ampul 0 0 0 0
335 Sanbe Tears Botol 1 1 0 1
336 Pantocain Botol 0 0 0 0
337 Caterlent Botol 3 3 0 3
338 Scopamin Ampul 10 10 0 10
339 Omeprazole Injek 40 mg Ampul 14 14 0 14
340 Guaifeesin 100 mg Tab 800 1,000 1,800 1,200 600
341 Depakote Botol 100 100 0 100
342 Phenobarbital Inj Ampul 28 28 0 28
343 Furosemide Inj Ampul 0 0 0 0
344 Elasti Perban 7,5 cm x 4,5 cm Buah 8 8 0 8
345 Medigibs Buah 19 19 0 19
346 Nasal Oksigen ( selang O2) Buah 0 0 0 0
347 Slide Microscope Buah 169 169 0 169
348 One step anti HIV 1/2 Test Btl 2 2 0 2
349 Alat suntik sekali pakai 20ml Buah 0 0 0 0
350 Iliadin tetes hidung anak Botol 4 4 0 4
351 cendo Xytrol Botol 15 15 0 15
352 Primpen Botol 740 740 0 740
353 Aqua Gell Tube 15 15 0 15
354 Alkohon 1 liter 70% Botol 10 10 0 10
355 Spritus Botol 1 1 0 1
356 Emercin oil Botol 3 3 0 3
357 Gemsa Buah 2 2 0 2
358 Mitela Buah 1 1 0 1
359 Metanol Botol 3 3 0 3
360 Gliserin 100 ml Botol 55 55 0 55
361 Adalat 20 mg Tab 450 450 30 420
362 Atrofastatin 20 mg Tab 360 360 120 240
363 Asam Traneksamat 500 mg Tab 100 100 0 100
364 Loremide Tab 100 100 0 100
365 Vomistop Tab 60 60 0 60
366 Tagadem Buah 19 19 0 19
367 Blood Lancents Buah 1,000 1,000 0 1,000
368 Farsifen 400 mg Tablet 300 300 0 300
369 Miniaspi 80 mg Tablet 900 900 0 900
370 Pritagesic Tablet 100 100 0 100
371 Ovtelis 20 mg Tablet 300 300 0 300
372 Novagesic 500 mg Tablet 5,600 5,600 5,400 200
373 Faridexon 0,5 mg Tablet 0 0 0 0
374 Abbocath 26 Pcs 7 7 0 7
375 Valium 5 mg Tablet 0 0 0 0
376 Oxygen Nasal Canula Anak Pcs 2 2 0 2
377 Penjepit Tali Pusat Pcs 0 0 0 0
378 Sotatic Ampul 5 5 0 5
379 Yusimox 125mg/5 ml Botol 360 360 0 360
380 Handsoon Non Steril (S) Pcs 900 900 0 900
381 Cavicur Tablet 200 200 0 200
382 Prix 25 mg Tablet 0 0 0 0
383 Patrin 250 mg Tablet 580 580 20 560
384 Grafalin 2 mg Tablet 400 400 0 400
385 Phenitoin Injeksi Ampul 10 10 0 10
386 Diazepam 2 Mg Tablet 200 200 0 200
387 Twist Lancet 28 G Pcs 1,300 1,300 0 1,300
388 Easy Touch Boold Glukose Pcs 0 0 0 0
389 Easy Touch Urid Acid Pcs 4 4 0 4
390 Easy Touch Cholesterol Ampul 0 0 0 0
392 Underpads Pcs 20 20 0 20
393 Stik Urinalysis Pcs 100 100 0 100
394 Novagesic Syr Botol 0 0 0 0
395 Siobion Tablet 0 0 0 0
396 Diatabs Tablet 1,400 1,400 0 1,400
397 Repas 400 mg Tablet 9,900 9,900 0 9,900
398 Farizol 500 mg Tablet 5,000 5,000 0 5,000
399 Diazepam 5 mg Tablet 180 180 0 180
400 Pritanol 300 mg Tablet 2,600 2,600 800 1,800
401 Novadium Tablet 500 500 0 500
402 Nasal Oksigen ukuran Xs Pcs 10 10 0 10
403 Nasal Oksigen Ukuran S Pcs 10 10 0 10
404 Scobutrin Tablet 100 100 0 100
405 Floxigra 500 mg Tablet 100 100 0 100
406 Eritromisin Syr Botol 50 50 0 50
407 Amoxcicilin 250 mg Tablet 1,000 1,000 200 800
408 Trihexylphenidyl Hcl 2 mg Tablet 1,500 1,500 0 1,500
JAMKESDA BPJS
JUMLAH KUNJUNGAN RESEP
Mengetahui/Menyetujui Yang Menyerahkan Yang Memohon Yang Menerima
Kepala Seksi Kefarmasian Penanggung Jawab
Gudang Farmasi
Sahrul, SKM Arini Priyanti Kandupi. S.Farm., Apt Megawati Ranindi, S.Tr.Keb Nur Mufida Saenda,S.Farm
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JULI 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : AGUSTUS 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 160 160 110 50
2 Abbocath 20 Piece 150 150 80 70
3 Abbocath 22 Piece 140 140 0 140
23 Ambroxol 30 mg Tab 1,200 1,200 0 1,200
29 Amoksisilin Kapsul 500 mg Tab 2,600 2,600 2,400 200
32 Ampicilin 500 mg Tab 200 200 0 200
44 Arkine Tab 3,000 3,000 0 3,000
45 Asam Askorbat Tablet 50 mg Tab 7,700 7,700 0 7,700
73 Colcitine 0,5 mg Tab 810 810 0 810
75 Clonidine 0,15 mg Tab 100 100 0 100
96 Eflin Tab 200 200 0 200
107 Etanol 70% 300 ml Botol 0 0 0 0
134 Handscond Non Steril (M) Psg 3,300 3,300 1,100 2,200
152 Karbamazepin Kaplet 200 mg Kap 7,300 7,300 0 7,300
171 Kutoin 100 mg Tab 0 0 0 0
179 Loratadin 10 mg Tab 3,400 3,400 600 2,800
182 Masker N95 Box 0 0 0 0
189 Metilprednisolon Tablet 4 mg Tab 1,000 1,000 500 500
196 MgSO4 inj 20% - 25 ml Botol 81 81 0 81
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 24 24 0 24
204 Nacl 0,9% Botol 40 40 0 40
206 Needle No.23 Pcs 0 0 0 0
207 Neurovit E Kotak 0 500 500 100 400
221 OBH Botol 120 120 15 105
236 Piracetam 400 mg Tab 700 700 0 700
245 Plester 7,5cm x 4,5m Rol 60 60 0 60
250 Prednison tablet Tab 5,700 5,700 0 5,700
258 RDT DBD Pcs 4 4 0 4
268 Salep 2-4 Pot 45 45 0 45
271 Selesbion Tab 0 500 500 500 0
278 Scopamin 10 mg Tab 1,200 1,200 0 1,200
280 Silk 3/0 100 M Roll 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0
306 Thiamin 50 mg Tab 750 750 0 750
310 Urin bag Pcs 10 10 0 10
324 Dopamet Tab 50 50 0 50
326 Aspar-K Tab 0 0 0 0
327 New Antides Tab 3,100 3,100 0 3,100
333 Clozapine Tab 1,050 1,050 0 1,050
340 Guaifeesin 100 mg Tab 800 800 0 800
352 Primpen Botol 740 740 0 740
361 Adalat 20 mg Tab 450 450 0 450
364 Loremide Tab 100 100 0 100
372 Novagesic 500 mg Tablet 5,600 5,600 0 5,600
380 Handsoon Non Steril (S) Pcs 1,900 1,900 1,000 900
382 Prix 25 mg Tablet 800 800 800 0
383 Patrin 250 mg Tablet 580 580 0 580
396 Diatabs Tablet 1,400 1,400 0 1,400
397 Repas 400 mg Tablet 9,900 9,900 0 9,900
407 Amoxcicilin 250 mg Tablet 1,000 1,000 0 1,000
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JUNI 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : JULI 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 160 160 0 160
2 Abbocath 20 Piece 150 150 0 150
3 Abbocath 22 Piece 140 140 0 140
23 Ambroxol 30 mg Tab 1,200 1,200 0 1,200
29 Amoksisilin Kapsul 500 mg Tab 2,600 2,600 0 2,600
32 Ampicilin 500 mg Tab 200 200 0 200
44 Arkine Tab 3,000 3,000 0 3,000
45 Asam Askorbat Tablet 50 mg Tab 7,700 7,700 0 7,700
73 Colcitine 0,5 mg Tab 810 810 0 810
75 Clonidine 0,15 mg Tab 100 100 0 100
96 Eflin Tab 200 200 0 200
107 Etanol 70% 300 ml Botol 0 0 0 0
134 Handscond Non Steril (M) Psg 3,600 3,600 300 3,300
152 Karbamazepin Kaplet 200 mg Kap 7,300 7,300 0 7,300
171 Kutoin 100 mg Tab 0 0 0 0
179 Loratadin 10 mg Tab 3,400 3,400 0 3,400
182 Masker N95 Box 0 0 0 0
189 Metilprednisolon Tablet 4 mg Tab 1,200 1,200 200 1,000
196 MgSO4 inj 20% - 25 ml Botol 81 81 0 81
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 24 24 0 24
204 Nacl 0,9% Botol 40 40 0 40
206 Needle No.23 Pcs 0 0 0 0
207 Neurovit E Kotak 0 0 0 0
221 OBH Botol 130 130 10 120
236 Piracetam 400 mg Tab 700 700 0 700
245 Plester 7,5cm x 4,5m Rol 60 60 0 60
250 Prednison tablet Tab 5,700 5,700 0 5,700
258 RDT DBD Pcs 4 4 0 4
268 Salep 2-4 Pot 45 45 0 45
271 Selesbion Tab 0 0 0 0
278 Scopamin 10 mg Tab 1,200 1,200 0 1,200
280 Silk 3/0 100 M Roll 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0
306 Thiamin 50 mg Tab 750 750 0 750
310 Urin bag Pcs 10 10 0 10
324 Dopamet Tab 150 150 100 50
326 Aspar-K Tab 0 0 0 0
327 New Antides Tab 3,100 3,100 0 3,100
333 Clozapine Tab 1,050 1,050 0 1,050
340 Guaifeesin 100 mg Tab 800 800 0 800
352 Primpen Botol 740 740 0 740
361 Adalat 20 mg Tab 450 450 0 450
364 Loremide Tab 100 100 0 100
372 Novagesic 500 mg Tablet 5,800 5,800 200 5,600
380 Handsoon Non Steril (S) Pcs 2,100 2,100 200 1,900
382 Prix 25 mg Tablet 1,000 1,000 200 800
383 Patrin 250 mg Tablet 580 580 0 580
396 Diatabs Tablet 1,400 1,400 0 1,400
397 Repas 400 mg Tablet 9,900 9,900 0 9,900
407 Amoxcicilin 250 mg Tablet 1,000 1,000 0 1,000
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : MEI 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : JUNI 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 80 80 160 0 160
2 Abbocath 20 Piece 50 100 150 0 150
3 Abbocath 22 Piece 140 0 140 0 140
4 Abbocath 24 Piece 80 2 82 0 82
5 Acyclovir cream Tube 73 0 73 33 40
6 Acyclovir tablet 200 mg Tab 500 500 1,000 0 1,000
7 Acyclovir tablet 400 mg Tab 2,600 200 2,800 700 2,100
8 Ailin tetes mata Botol 0 0 0 0 0
9 AIC Now + Sistem 20'S Box 0 0 0 0 0
10 Alat Autochek Unit 0 0 0 0 0
11 Alat Pemeriksa HB Buah 0 0 0 0 0
12 Alat suntik sekali pakai 1 ml Piece 300 200 500 0 500
16 Albendazol 400 mg Tab 0 0 0 0 0
17 Alcohol Swab CHG + 0,5 % Box 1 0 1 0 1
18 Alletrol Tetes Mata Botol 0 0 0 0 0
19 Allopurinol Tab 100 mg Tab 2,800 0 2,800 600 2,200
20 Allopurinol Tab 300 mg Tab 0 0 0 0 0
21 Alprazolam Tablet 0,5 mg Tab 500 0 500 0 500
22 Alprazolam Tablet 1 mg Tab 0 0 0 0 0
23 Ambroxol 30 mg Tab 1,900 0 1,900 700 1,200
24 Ambroxol syr Botol 30 0 30 0 30
25 Aminofilin inj 24 mg/ml Ampul 30 0 30 0 30
26 Amitriptilin Tablet Salut 25 mg Tab 1,000 400 1,400 0 1,400
27 Amlodipin Tablet 10 mg Tab 510 0 510 0 510
28 Amlodipin Tablet 5 mg Tab 300 1,800 2,100 1,500 600
29 Amoksisilin Kapsul 500 mg Tab 4,800 1,000 5,800 3,200 2,600
30 Amoxycillin Syrup 125 mg / 5 ml Botol 0 0 0 0 0
32 Ampicilin 500 mg Tab 200 0 200 0 200
33 Ampicilin syr Botol 0 0 0 0 0
34 Analog Long Insulin 100 IU Pen Pen 0 0 0 0 0
35 Antalgin 500 mg Tab 0 0 0 0 0
36 Antalgin Injeksi Ampul 0 0 0 0 0
37 Antasida DOEN I tablet kunyah Tab 0 0 0 0 0
38 Antasida Doen Syrup Botol 0 300 300 0 300
39 Antihemoroid Supp 300 0 300 210 90
40 Antimalaria Tab 0 0 0 0 0
41 Antiseptik Hand Rub 10 Btl @ 500 ml Botol 54 0 54 0 54
42 Antrain Injeksi Ampul 0 0 0 0 0
43 Aqua pro Injeksi 20 ml Ampul 26 20 46 0 46
44 Arkine Tab 3,000 0 3,000 0 3,000
45 Asam Askorbat Tablet 50 mg Tab 5,800 5,000 10,800 3,100 7,700
46 Asam Folat tablet 1 mg Tab 0 0 0 0 0
47 Asam Mefenamat kaplet 500 mg Kap 11,300 0 11,300 1,700 9,600
48 Asam Traneksamat 250 mg Ampul 15 0 15 0 15
49 Asam Valproat Syrup Botol 0 0 0 0 0
50 Asetosal Tablet 80 mg Tab 0 0 0 0 0
51 Atropin inj 0,25 mg / ml Ampul 20 0 20 0 20
52 Betahistin Tablet 6 mg Tab 100 0 100 0 100
53 Betametason Krim 0,1 %/Skizon Tube 0 0 0 0 0
54 Biocombin Injk/Farbion Injeksi Ampul 0 0 0 0 0
55 Bionemi Kaps Kapsul 0 0 0 0 0
56 Bisoprolol Tablet 5 mg Tab 50 0 50 0 50
57 Blood Lancents Buah 4 0 4 0 4
58 Buscopan Injeksi/Skopamin Ampul 0 0 0 0 0
59 Candesartan 8 mg Tab 0 0 0 0 0
60 Captopril Tablet 12,5 mg Tab 100 0 100 0 100
61 Captopril Tablet 25 mg Tab 500 0 500 0 500
62 Catapres Injeksi Ampul 70 0 70 0 70
63 Cathejell Lidocain 2 % & CHG 0,05 % Ampul 3 0 3 0 3
64 Catqut Chromic 2/0 75 C + Jarum 1/2 30 M R Box 0 0 0 0 0
65 Catqut Chromic 2/0 HR 20 MM Sachet 0 0 0 0 0
67 Catqut Plain 2/0 HR 37 MM Sachet 1 0 1 0 1
69 Catqut Plain 4/0 100 M Roll 0 0 0 0 0
70 Cefadroxil kapsul 500 mg Kap 4,300 0 4,300 800 3,500
71 Cefadroxil Syrup 125 mg/ 5 ml Botol 160 0 160 0 160
72 Cimetidin Tab 0 0 0 0 0
73 Colcitine 0,5 mg Tab 810 0 810 0 810
74 Clobazam Tab 0 0 0 0 0
75 Clonidine 0,15 mg Tab 100 0 100 0 100
76 Clopidogrel 75 mg Tab 0 0 0 0 0
77 Combivent UDV Vial 0 0 0 0 0
78 Curcuma Tab 0 0 0 0 0
79 Deksametason Injeksi i.v/i.m 5 mg/ml Ampul 505 50 555 0 555
80 Deksametason Tablet 0,5 mg Tab 0 0 0 0 0
81 Diazepam Tablet 2 mg Tab 4,100 0 4,100 0 4,100
82 Diazepam injeksi 5 mg / ml Ampul 0 20 20 0 20
83 Diazepam larutan rektal 10 mg/2,5 ml Tube 0 0 0 0 0
84 Diazepam Tablet 5 mg Tab 0 0 0 0 0
85 Digoksin 0,25 mg Tab 0 0 0 0 0
86 Diltiazem HCL tablet 30 mg Tab 0 0 0 0 0
87 Dimenhidrinat tab 50 mg Tab 1,000 300 1,300 0 1,300
88 Diphenhidramin Injeksi 10 mg/ml Ampul 50 60 110 50 60
89 Diuvar Injeksi Ampul 5 0 5 0 5
90 Doksisiklin Kapsul 100 mg Kap 1,000 0 1,000 0 1,000
91 Domperidon suspensi 5 mg / 5 ml Botol 0 0 0 0 0
92 Domperidon tablet 10 mg Tab 2,700 300 3,000 1,100 1,900
93 Dulcolax 5 mg/Bisacodyl 5 mg Tab 0 0 0 0 0
94 Dulcolax Suppo anak Supp 31 0 31 0 31
95 Dumin Rectal Supp 0 0 0 0 0
96 Eflin Tab 200 0 200 0 200
97 Enbatic Cream Tube 0 0 0 0 0
98 Epinefrin Inj. i.v.s.k/i.m 1 mg/ml Ampul 80 100 180 0 180
99 Ergotamin tab 1 mg Tab 0 0 0 0 0
100 Eritromisin Kapsul 500 mg Kap 1,000 0 1,000 0 1,000
101 Erladerm-N Tube 0 0 0 0 0
102 Erlemicetin Tetes Telinga Botol 0 0 0 0 0
103 Erlemicetin Tetes Mata Botol 0 0 0 0 0
104 Etakridin Botol 8 0 8 0 8
105 Etambutol tablet salut 500 mg Tab 0 0 0 0 0
106 Etanol 70% 1 Liter Botol 0 0 0 0 0
107 Etanol 70% 300 ml Botol 0 0 0 0 0
108 Etilklorida Botol 0 0 0 0 0
109 Folley Catheter 3 - 5 ml / cc - 10 fr Piece 14 0 14 0 14
113 Furosemid tab 40 mg Tab 1,000 200 1,200 0 1,200
114 Gabapentin Tablet 300 mg Kap 0 0 0 0 0
115 Garam Oralit Sachet 1,400 0 1,400 0 1,400
116 Gemfibrozil Kapsul 300 mg Kap 600 0 600 0 600
117 Gentalex Krim Tube 160 0 160 0 160
118 Gentamisin Inj. 40 mg/ml Ampul 0 0 0 0 0
119 Gentamisin Salep Tube 0 0 0 0 0
120 Gention Violet Botol 19 0 19 0 19
121 Glibenklamid tab 5 mg Tab 0 0 0 0 0
122 Glimepiride 2 mg Tab 900 0 900 0 900
123 Gliseril Guaiacolat 100 mg Tab 0 0 0 0 0
124 Gliserin lar 50 % Botol 54 0 54 0 54
125 Glukosa Lar. Infus 5 % Steril Botol 60 0 60 0 60
126 Griseofulvin tablet 125 mg Tab 5,400 0 5,400 0 5,400
127 Griseofulvin tablet 500 mg Tab 700 0 700 0 700
128 Halloperidol 0,5 mg Tab 500 0 500 0 500
129 Halloperidol 1,5 mg Tab 3,400 1,500 4,900 0 4,900
130 Halloperidol 5 mg Tab 0 500 500 0 500
131 Handscond Genekolog Psg 160 0 160 0 160
132 Handscond No. 7 Steril Psg 0 200 200 0 200
133 Handscond No. 7,5 Steril Psg 900 200 1,100 0 1,100
134 Handscond Non Steril (M) Psg 4,400 0 4,400 800 3,600
135 Handscond Non Steril ((L) Psg 6,000 0 6,000 500 5,500
136 Hemafort Tab 0 0 0 0 0
137 Hidroklortiazid tablet 25 mg Tab 0 0 0 0 0
138 Hidrokortison krim 2,5 % Tube 96 48 144 48 96
139 Ibuprofen syrup 200 mg/5 ml Botol 225 0 225 42 183
140 Ibuprofen tablet 400 mg Tab 0 0 0 0 0
141 Ichtiyol Pot 16 0 16 0 16
142 Infusion Set Anak Buah 968 0 968 0 968
143 Infusion Set Dewasa Buah 48 0 48 0 48
144 Iodina test Botol 0 0 0 0 0
145 Isoniazid Tablet Tab 0 0 0 0 0
146 Isosorbid Dinitrat tab 5 mg Tab 400 300 700 0 700
147 Kalsium Glukonat Inj i.v 10 % Ampul 63 10 73 0 73
148 Kalsium Lactat Tablet 500 mg Tab 4,500 0 4,500 700 3,800
149 Kanamicin inj Vial 50 0 50 0 50
150 Kaotin Syrup Botol 0 0 0 0 0
151 Kapas Pembalut 250 mg Roll 25 0 25 0 25
152 Karbamazepin Kaplet 200 mg Kap 4,300 3,000 7,300 0 7,300
153 Kasa hydrofil Steril 16x16 cm Dos 0 0 0 0 0
154 Kasa pembalut hydrofil 40x80 cm Roll 0 1 1 1 0
156 Kertas USG Rol 10 0 10 0 10
157 Ketokonazole krim 2 % Tube 225 100 325 50 275
158 Ketokonazole tablet 200 mg Tab 5,100 100 5,200 100 5,100
159 Kloramphenicol Kapsul 250 mg/Novachlor Kap 6,000 0 6,000 300 5,700
160 Kloramphenicol salep mata 1 % Tube 24 96 120 24 96
161 Kloramphenicol Suspensi 125mg/5ml Botol 19 0 19 0 19
162 Kloramphenicol tetes mata 0,5 % Botol 0 0 0 0 0
163 Klorfenilamin Maleat tablet 4 mg Tab 1,600 2,000 3,600 2,100 1,500
164 Klorpromazin Injeksi salut 25 mg/ml Ampul 0 0 0 0 0
165 Klorpromazin Tab Salut 25 mg Tab 0 0 0 0 0
166 Klorpromazin Tablet salut 100 mg Tab 200 200 400 0 400
167 Kodein tablet 10 mg Tab 0 300 300 0 300
168 Kolicgon Tab 0 0 0 0 0
169 Kotrimoksazole Tablet 480 mg Tab 5,500 0 5,500 0 5,500
170 Kotrimoxazol Suspensi Botol 0 0 0 0 0
171 Kutoin 100 mg Tab 0 0 0 0 0
172 Lancet For Fine Touch Dos 4 0 4 0 4
173 Larutan PK Pot 0 0 0 0 0
174 Larutan H2O2 Botol 4 0 4 0 4
175 Lidocain HCL 2% Injeksi Ampul 2,200 30 2,230 0 2,230
176 Lidocain Injeksi 2% + Epinefrin 1 : 8000 - 2 ml Ampul 30 0 30 0 30
177 Lisol Botol 0 0 0 0 0
178 Loperamid Tablet 2 Mg Tab 100 0 100 0 100
179 Loratadin 10 mg Tab 600 3,000 3,600 200 3,400
180 Masker Earloop Psg 0 0 0 0 0
181 Masker Karet Psg 0 0 0 0 0
182 Masker N95 Box 0 0 0 0 0
183 Masker Tali Dos 0 0 0 0 0
184 Meloksikam 15 mg Tab 0 0 0 0 0
185 Metergin Inj Vial 0 0 0 0 0
186 Metformin HCL Tablet 500 mg Tab 700 3,000 3,700 1,900 1,800
187 Metilergometrin inj 0,2 mg / ml Ampul 190 100 290 0 290
188 Metilergometrin Tablet 0,125 mg Tab 1,900 300 2,200 0 2,200
189 Metilprednisolon Tablet 4 mg Tab 1,400 0 1,400 200 1,200
190 Metilprednisolon tablet 8 mg Tab 0 0 0 0 0
191 Metoklopramide Injeksi Ampul 10 0 10 0 10
192 Metoklopramide Sirup 5 mg/5 ml Botol 0 0 0 0 0
193 Metoklopramide Tablet 10 mg Tab 700 500 1,200 200 1,000
194 Metolon Inj Ampul 0 0 0 0 0
195 Metronidazol tablet 500 mg Tab 400 0 400 0 400
196 MgSO4 inj 20% - 25 ml Botol 51 30 81 0 81
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 4 20 24 0 24
199 Mikonazole Salep 2% Tube 0 96 96 0 96
200 Mix Insulin Flexpen / Catridge Pen 0 0 0 0 0
201 Mucotussan Tab 0 0 0 0 0
202 Multivitamin Seven Seas Botol 130 0 130 0 130
203 My Jelli 83 Gram Tube 0 0 0 0 0
204 Nacl 0,9% Botol 10 40 50 10 40
205 Natrium Diklofenak 25 mg Tab 4,750 0 4,750 1,150 3,600
206 Needle No.23 Pcs 0 0 0 0 0
207 Neurovit E Kotak 0 0 0 0 0
208 Nifedipin tablet 20 mg Tab 100 0 100 0 100
209 Nistatin Tablet salut 100.000 IU/g Tab 220 200 420 0 420
211 Novadiar Syrup Botol 140 0 140 0 140
212 Novapyron/Neurotropic Plus Tab 0 0 0 0 0
213 Novazon Tab 0 0 0 0 0
214 Novo Twist Box 8 0 8 0 8
215 Novorapid Pen 0 0 0 0 0
216 OAT FDC Kategori 1 Paket 4 4 8 0 8
217 OAT FDC Kategori Anak Paket 1 2 3 0 3
219 OAT FDC Kategori FDC Kategori Sisipan Paket 0 0 0 0 0
220 OAT FDC Kategori II Paket 1 1 2 0 2
221 OBH Botol 130 0 130 0 130
222 Oksitetrasiklin salep kulit 3% Tube 115 0 115 0 115
223 Oksitetrasiklin salep mata 1% Tube 0 0 0 0 0
224 Oksitosin inj 10 UI/ml Ampul 100 100 200 0 200
225 Omeprazol Tablet 20 mg Kapsul 0 0 0 0 0
226 Ondancentron 8 mg Ampul 64 0 64 0 64
227 Oxybiotic Inj Vial 0 0 0 0 0
228 Papaverin 40 mg Tab 0 0 0 0 0
229 Paracetamol syrup 120 mg / 5 ml Botol 0 0 0 0 0
230 Parasetamol Kaplet 500 mg Tab 0 0 0 0 0
231 Pehacain Inj Ampul 0 0 0 0 0
232 Pehatrim Forte Tab 0 0 0 0 0
233 Phenol Gliserol Tetes Telinga Botol 20 0 20 0 20
234 Phitomenadion inj i.m 2 mg / ml Ampul 120 0 120 0 120
235 Phitomenadion tablet 10 mg Tab 1,600 200 1,800 300 1,500
236 Piracetam 400 mg Tab 700 0 700 0 700
237 Piracetam inj 3g/15ml Ampul 10 0 10 0 10
238 Pirantel Tablet 125 mg Tab 0 0 0 0 0
239 Piridoksin inj 100 mg/ml Ampul 0 0 0 0 0
240 Piridoksin Tablet 10 mg Tab 0 0 0 0 0
241 Piroksicam 20 mg Tab 0 0 0 0 0
242 Pisau bedah Box 20 0 20 0 20
243 Pisau bedah 21 Set 0 0 0 0 0
244 Plano test Buah 13 10 23 0 23
245 Plester 7,5cm x 4,5m Rol 60 0 60 0 60
246 Plesterin Bulat Non Woven Box 41 0 41 0 41
247 Poligyp 5 cm x 2,7 m Roll 19 0 19 0 19
248 Pot sputum Pot 0 0 0 0 0
249 Povidon Iodida larutan 10% 60 ml Botol 38 0 38 0 38
250 Prednison tablet Tab 6,800 300 7,100 1,400 5,700
251 Primakuin Tablet 15 mg Tab 800 1,000 1,800 800 1,000
252 Promavit Kapsul Kapsul 0 0 0 0 0
253 Propanolol tablet 10 mg Tab 100 500 600 0 600
254 Propilteurasil 100 Mg Tab 200 200 400 200 200
255 Ramipril Tablet 5 mg Tab 0 0 0 0 0
256 Ranitidin Injeksi 25 mg/ml Ampul 128 0 128 28 100
257 Ranitidin Tablet 150 mg Tab 700 0 700 0 700
258 RDT DBD Pcs 4 0 4 0 4
259 RDT malaria Pcs 0 0 0 0 0
260 Retinol (Vitamin A) 100.000 IU Kapsul 10 10 20 0 20
261 Retinol (Vitamin A) 200.000 IU Botol 3 4 7 0 7
262 Rifampisin tablet 450 mg Kapsul 0 0 0 0 0
263 Rifampisin tablet 600 mg Kaplet 0 0 0 0 0
264 Ringer Laktat Larutan Infus Botol 287 400 687 47 640
265 Risperidon 2 mg Tab 0 0 0 0 0
266 Salbutamol 2 mg Tab 0 0 0 0 0
267 Salbutamol 4 mg Tab 6,700 0 6,700 0 6,700
268 Salep 2-4 Pot 45 0 45 0 45
269 Salisil Bedak serbuk 2% Box 156 30 186 6 180
270 Selediar Tab 0 0 0 0 0
271 Selesbion Tab 0 0 0 0 0
272 Selkom C Kap 0 0 0 0 0
273 Selviplex Kap 0 0 0 0 0
274 Serum ATS Botol 0 0 0 0 0
275 Setirizin sirup 5 mg/5ml Botol 35 0 35 2 33
276 Setrizin Tablet 10 mg Tab 0 0 0 0 0
277 Sianokobalamin injeksi 500 mcg Ampul 170 0 170 0 170
278 Scopamin 10 mg Tab 1,200 0 1,200 0 1,200
279 Sidiadryl Inj Vial 0 0 0 0 0
280 Silk 3/0 100 M Roll 0 0 0 0 0
281 Silk 3/0 75 C + Jarum 1/2 17 M R Box 0 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0 0
283 Silk Black 2/0 DS 30 MM Sachet 0 0 0 0 0
285 Simvastatin 10 mg Tab 0 0 0 0 0
286 Sianokobalamin Tab 0 0 0 0 0
288 Siprofloksasin Tablet 500 mg Tab 9,100 0 9,100 300 8,800
289 Soldextam Tab 0 0 0 0 0
290 Solvita Plus Syrup Botol 0 0 0 0 0
291 Spasmolit Tab 0 0 0 0 0
292 Spironolacton 25 mg Tab 0 0 0 0 0
293 Stesolid 5 mg Tube 0 0 0 0 0
294 Stik Asam Urat Autochek Botol 3 0 3 0 3
295 Stik Asam Urat Benecheck Box 0 0 0 0 0
296 Stik Gula Darah Autochek Box 0 0 0 0 0
297 Stik Gula Darah Benecheck Box 0 0 0 0 0
298 Stik Kolesterol Autochek Botol 0 0 0 0 0
299 Stik Kolesterol Benecheck Botol 0 0 0 0 0
300 Stik Pemerksaan HB Botol 1 0 1 0 1
301 Sulfadoxine Pyrimehamine 250 mg Tab 400 0 400 0 400
302 Tablet Tambah Darah Sachet 0 0 0 0 0
303 Tablet Tambah Darah Tab 0 0 0 0 0
304 Tetrasiklin kapsul 500 mg kap 1,200 0 1,200 0 1,200
305 Termorex Drops Botol 0 0 0 0 0
306 Thiamin 50 mg Tab 750 0 750 0 750
307 Thiamin inj Ampul 0 0 0 0 0
308 Tramadol 50 mg Tab 0 0 0 0 0
309 Truvit Syrup Botol 3 0 3 0 3
310 Urin bag Pcs 10 0 10 0 10
311 Urin bag Pcs 0 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0 0
313 Vastigo Tab 0 0 0 0 0
314 Ventolin Nebulizer Ampul 40 0 40 0 40
315 Verorab Vial 0 0 0 0 0
316 Vitamin B Kompleks Tablet Tab 700 0 700 0 700
317 Vitamin B Kompleks Injeksi Vial 0 0 0 0 0
318 Wing needle No.23 Pcs 0 0 0 0 0
319 Zinc Syrup Botol 180 100 280 100 180
320 Zink Tablet 20 mg Tab 0 0 0 0 0
321 Leukoplast Roll 0 0 0 0 0
322 Nystatin Drop Botol 76 0 76 0 76
323 Paracetamol Drops Botol 0 0 0 0 0
324 Dopamet Tab 150 0 150 0 150
325 Acetylcystein Tab 0 0 0 0 0
326 Aspar-K Tab 0 0 0 0 0
327 New Antides Tab 3,100 0 3,100 0 3,100
328 Atrovent Botol 2 0 2 0 2
329 Mometasone Tube 25 0 25 0 25
330 Soft U cream Tube 62 0 62 0 62
331 Paracetamol Infus Botol 50 0 50 0 50
332 Metronidazol Infus Botol 0 10 10 0 10
333 Clozapine Tab 1,050 0 1,050 0 1,050
334 Clorpromazine Injeksi Ampul 0 0 0 0 0
335 Sanbe Tears Botol 1 0 1 0 1
336 Pantocain Botol 0 0 0 0 0
337 Caterlent Botol 3 0 3 0 3
338 Scopamin Ampul 10 0 10 0 10
339 Omeprazole Injek 40 mg Ampul 19 0 19 5 14
340 Guaifeesin 100 mg Tab 1,700 0 1,700 900 800
341 Depakote Botol 100 0 100 0 100
342 Phenobarbital Inj Ampul 28 0 28 0 28
343 Furosemide Inj Ampul 0 0 0 0 0
344 Elasti Perban 7,5 cm x 4,5 cm Buah 8 0 8 0 8
345 Medigibs Buah 19 0 19 0 19
346 Nasal Oksigen ( selang O2) Buah 0 0 0 0 0
347 Slide Microscope Buah 169 0 169 0 169
348 One step anti HIV 1/2 Test Btl 2 0 2 0 2
349 Alat suntik sekali pakai 20ml Buah 0 0 0 0 0
350 Iliadin tetes hidung anak Botol 4 0 4 0 4
351 cendo Xytrol Botol 15 0 15 0 15
352 Primpen Botol 750 0 750 10 740
353 Aqua Gell Tube 18 0 18 3 15
354 Alkohon 1 liter 70% Botol 10 0 10 0 10
355 Spritus Botol 1 0 1 0 1
356 Emercin oil Botol 3 0 3 0 3
357 Gemsa Buah 2 0 2 0 2
358 Mitela Buah 1 0 1 0 1
359 Metanol Botol 3 0 3 0 3
360 Gliserin 100 ml Botol 55 0 55 0 55
361 Adalat 20 mg Tab 450 0 450 0 450
362 Atrofastatin 20 mg Tab 630 0 630 90 540
363 Asam Traneksamat 500 mg Tab 200 0 200 100 100
364 Loremide Tab 100 0 100 0 100
365 Vomistop Tab 60 0 60 0 60
366 Tagadem Buah 19 0 19 0 19
367 Blood Lancents Buah 1,000 0 1,000 0 1,000
368 Farsifen 400 mg Tablet 300 0 300 0 300
369 Miniaspi 80 mg Tablet 600 300 900 0 900
370 Pritagesic Tablet 100 0 100 0 100
371 Ovtelis 20 mg Tablet 300 0 300 0 300
372 Novagesic 500 mg Tablet 8,200 100 8,300 2,500 5,800
373 Faridexon 0,5 mg Tablet 1,900 0 1,900 1,200 700
374 Abbocath 26 Pcs 7 0 7 0 7
375 Valium 5 mg Tablet 0 0 0 0 0
376 Oxygen Nasal Canula Anak Pcs 2 0 2 0 2
377 Penjepit Tali Pusat Pcs 0 0 0 0 0
378 Sotatic Ampul 5 0 5 0 5
379 Yusimox 125mg/5 ml Botol 365 0 365 5 360
380 Handsoon Non Steril (S) Pcs 3,000 0 3,000 900 2,100
381 Cavicur Tablet 200 0 200 0 200
382 Prix 25 mg Tablet 1,300 0 1,300 300 1,000
383 Patrin 250 mg Tablet 330 300 630 50 580
384 Grafalin 2 mg Tablet 500 100 600 200 400
385 Phenitoin Injeksi Ampul 10 0 10 0 10
386 Diazepam 2 Mg Tablet 200 0 200 0 200
387 Twist Lancet 28 G Pcs 1,200 100 1,300 0 1,300
388 Easy Touch Boold Glukose Pcs 0 0 0 0 0
389 Easy Touch Urid Acid Pcs 4 0 4 0 4
390 Easy Touch Cholesterol Ampul 0 0 0 0 0
392 Underpads Pcs 20 0 20 0 20
393 Stik Urinalysis Pcs 100 0 100 0 100
394 Novagesic Syr Botol 60 0 60 0 60
395 Siobion Tablet 300 0 300 0 300
396 Diatabs Tablet 1,500 0 1,500 100 1,400
397 Repas 400 mg Tablet 5,400 6,000 11,400 1,500 9,900
398 Farizol 500 mg Tablet 5,000 0 5,000 0 5,000
399 Diazepam 5 mg Tablet 180 0 180 0 180
400 Pritanol 300 mg Tablet 3,100 0 3,100 500 2,600
401 Novadium Tablet 500 0 500 0 500
402 Nasal Oksigen ukuran Xs Pcs 10 0 10 0 10
403 Nasal Oksigen Ukuran S Pcs 10 0 10 0 10
404 Scobutrin Tablet 300 0 300 0 300
405 Floxigra 500 mg Tablet 0 100 100 0 100
406 Eritromisin Syr Botol 0 50 50 0 50
407 Amoxcicilin 250 mg Tablet 0 1,000 1,000 0 1,000
408 Trihexylphenidyl Hcl 2 mg Tablet 0 1,500 1,500 0 1,500
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : APRIL 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : MEI 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
3 Abbocath 22 Piece 140 0 140 0 140
6 Acyclovir tablet 200 mg Tab 500 0 500 0 500
23 Ambroxol 30 mg Tab 2,300 0 2,300 400 1,900
26 Amitriptilin Tablet Salut 25 mg Tab 1,000 0 1,000 1,000
27 Amlodipin Tablet 10 mg Tab 1,620 0 1,620 1,110 510
29 Amoksisilin Kapsul 500 mg Tab 6,200 0 6,200 1,400 4,800
32 Ampicilin 500 mg Tab 200 0 200 0 200
44 Arkine Tab 3,000 0 3,000 0 3,000
45 Asam Askorbat Tablet 50 mg Tab 7,300 0 7,300 1,500 5,800
49 Asam Valproat Syrup Botol 5 0 5 5 0 ED 5
73 Colcitine 0,5 mg Tab 810 0 810 0 810
75 Clonidine 0,15 mg Tab 100 0 100 0 100
82 Diazepam injeksi 5 mg / ml Ampul 7 0 7 7 0 20 ED 7
85 Digoksin 0,25 mg Tab 0 0 0 0 0
92 Domperidon tablet 10 mg Tab 2,700 0 2,700 0 2,700
96 Eflin Tab 500 0 500 300 200
107 Etanol 70% 300 ml Botol 0 0 0 0 0
129 Halloperidol 1,5 mg Tab 3,400 0 3,400 0 3,400
133 Handscond No. 7,5 Steril Psg 900 0 900 0 900
134 Handscond Non Steril (M) Psg 5,800 0 5,800 1,400 4,400
135 Handscond Non Steril ((L) Psg 7,100 0 7,100 1,100 6,000
141 Ichtiyol Pot 16 0 16 0 16
152 Karbamazepin Kaplet 200 mg Kap 4,300 0 4,300 0 4,300
156 Kertas USG Rol 10 0 10 0 10
163 Klorfenilamin Maleat tablet 4 mg Tab 200 2,000 2,200 600 1,600
170 Kotrimoxazol Suspensi Botol 419 0 419 419 0 ED 419
171 Kutoin 100 mg Tab 100 0 100 100 0
177 Lisol Botol 12 0 12 12 0
179 Loratadin 10 mg Tab 800 0 800 200 600
182 Masker N95 Box 1 0 1 1 0
186 Metformin HCL Tablet 500 mg Tab 200 1,000 1,200 500 700
193 Metoklopramide Tablet 10 mg Tab 900 0 900 200 700
196 MgSO4 inj 20% - 25 ml Botol 51 0 51 0 51
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 4 0 4 0 4
204 Nacl 0,9% Botol 20 0 20 10 10
205 Natrium Diklofenak 25 mg Tab 5,150 0 5,150 400 4,750
206 Needle No.23 Pcs 0 0 0 0 0
221 OBH Botol 160 0 160 30 130
236 Piracetam 400 mg Tab 800 0 800 100 700
244 Plano test Buah 13 0 13 0 13
245 Plester 7,5cm x 4,5m Rol 60 0 60 0 60
250 Prednison tablet Tab 7,000 0 7,000 200 6,800
251 Primakuin Tablet 15 mg Tab 800 0 800 0 800
258 RDT DBD Pcs 4 0 4 0 4
268 Salep 2-4 Pot 45 0 45 0 45
272 Selkom C Kap 0 0 0 0 0
273 Selviplex Kap 200 0 200 200 0
278 Scopamin 10 mg Tab 1,200 0 1,200 0 1,200
280 Silk 3/0 100 M Roll 0 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0 0
302 Tablet Tambah Darah Sachet 6,330 0 6,330 10,650 4,320
306 Thiamin 50 mg Tab 750 0 750 0 750
310 Urin bag Pcs 10 0 10 0 10
311 Urin bag Pcs 0 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0 0
319 Zinc Syrup Botol 185 0 185 5 180
324 Dopamet Tab 150 0 150 0 150
326 Aspar-K Tab 0 0 0 0 0
327 New Antides Tab 3,100 0 3,100 0 3,100
333 Clozapine Tab 1,050 0 1,050 0 1,050
340 Guaifeesin 100 mg Tab 2,800 0 2,800 1,100 1,700
341 Depakote Botol 100 0 100 0 100
352 Primpen Botol 900 0 900 150 750
353 Aqua Gell Tube 18 0 18 0 18
357 Gemsa Buah 2 0 2 0 2
361 Adalat 20 mg Tab 450 0 450 0 450
364 Loremide Tab 100 0 100 0 100
365 Vomistop Tab 60 0 60 0 60
366 Tagadem Buah 19 0 19 0 19
373 Faridexon 0,5 mg Tablet 2,800 0 2,800 900 1,900
374 Abbocath 26 Pcs 7 0 7 0 7
381 Cavicur Tablet 300 0 300 100 200
382 Prix 25 mg Tablet 1,300 0 1,300 0 1,300
383 Patrin 250 mg Tablet 370 0 370 40 330
384 Grafalin 2mg Tablet 1,000 0 1,000 500 500
395 Siobion Tablet 300 0 300 0 300
396 Diatabs Tablet 1,500 0 1,500 0 1,500
397 Repas 400 mg Tablet 6,300 0 6,300 900 5,400
405 0 0 0 0 0
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : MARET 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : APRIL 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 30 50 80 0 80
3 Abbocath 22 Piece 140 0 140 0 140
19 Allopurinol Tab 100 mg Tab 4,600 0 4,600 1,600 3,000
23 Ambroxol 30 mg Tab 2,600 0 2,600 300 2,300
26 Amitriptilin Tablet Salut 25 mg Tab 0 1,000 1,000 0 1,000
27 Amlodipin Tablet 10 mg Tab 2,040 480 2,520 900 1,620
29 Amoksisilin Kapsul 500 mg Tab 5,300 2,000 7,300 1,100 6,200
32 Ampicilin 500 mg Tab 200 0 200 0 200
44 Arkine Tab 3,000 0 3,000 0 3,000
73 Colcitine 0,5 mg Tab 810 0 810 0 810
75 Clonidine 0,15 mg Tab 100 0 100 0 100
85 Digoksin 0,25 mg Tab 0 0 0 0 0
96 Eflin Tab 600 0 600 100 500
107 Etanol 70% 300 ml Botol 0 0 0 0 0
122 Glimepiride 2 mg Tab 1,100 0 1,100 200 900
141 Ichtiyol Pot 4 12 16 0 16
148 Kalsium Lactat Tablet 500 mg Tab 6,600 0 6,600 1,700 4,900
156 Kertas USG Rol 10 0 10 0 10
163 Klorfenilamin Maleat tablet 4 mg Tab 1,500 500 2,000 1,800 200
171 Kutoin 100 mg Tab 400 0 400 300 100
177 Lisol Botol 12 0 12 0 12
179 Loratadin 10 mg Tab 100 1,000 1,100 300 800
182 Masker N95 Box 1 1 2 1 1
186 Metformin HCL Tablet 500 mg Tab 600 0 600 400 200
193 Metoklopramide Tablet 10 mg Tab 900 0 900 0 900
196 MgSO4 inj 20% - 25 ml Botol 51 0 51 0 51
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 4 0 4 0 4
204 Nacl 0,9% Botol 20 0 20 0 20
206 Needle No.23 Pcs 0 0 0 0 0
221 OBH Botol 70 100 170 10 160
236 Piracetam 400 mg Tab 900 0 900 100 800
245 Plester 7,5cm x 4,5m Rol 60 0 60 0 60
250 Prednison tablet Tab 9,000 0 9,000 2,000 7,000
257 Ranitidin Tablet 150 mg Tab 2,000 0 2,000 1,300 700
258 RDT DBD Pcs 4 0 4 0 4
268 Salep 2-4 Pot 45 0 45 0 45
272 Selkom C Kap 0 500 500 500 0
273 Selviplex Kap 200 0 200 0 200
278 Scopamin 10 mg Tab 1,200 0 1,200 0 1,200
280 Silk 3/0 100 M Roll 0 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0 0
302 Tablet Tambah Darah Sachet 2,010 4,320 6,330 0 6,330
306 Thiamin 50 mg Tab 750 0 750 0 750
310 Urin bag Pcs 10 0 10 0 10
311 Urin bag Pcs 0 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0 0
319 Zinc Syrup Botol 130 100 230 45 185
324 Dopamet Tab 150 0 150 0 150
326 Aspar-K Tab 0 0 0 0 0
327 New Antides Tab 3,100 0 3,100 0 3,100
333 Clozapine Tab 1,050 0 1,050 0 1,050
341 Depakote Botol 100 0 100 0 100
352 Primpen Botol 900 0 900 0 900
353 Aqua Gell Tube 18 0 18 0 18
357 Gemsa Buah 2 0 2 0 2
361 Adalat 20 mg Tab 450 0 450 0 450
362 Atrofastatin 20 mg Tab 1,110 0 1,110 480 630
364 Loremide Tab 100 0 100 0 100
365 Vomistop Tab 60 0 60 0 60
366 Tagadem Buah 19 0 19 0 19
372 Novagesic 500 mg Tablet 10,600 0 10,600 700 9,900
374 Abbocath 26 Pcs 7 0 7 0 7
381 Cavicur Tablet 300 0 300 0 300
382 Prix 25 mg Tablet 1,800 0 1,800 500 1,300
383 Patrin 250 mg Tablet 380 0 380 10 370
384 Grafalin 2mg Tablet 1,000 0 1,000 0 1,000
395 Siobion Tablet 300 0 300 0 300
396 Diatabs Tablet 1,500 0 1,500 0 1,500
397 Repas 400 mg Tablet 7,300 0 7,300 1,000 6,300
405 0 0 0 0 0
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : FEBRUARI 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : MARET 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
3 Abbocath 22 Piece 140 0 140 0 140
23 Ambroxol 30 mg Tab 3,000 0 3,000 400 2,600
26 Amitriptilin Tablet Salut 25 mg Tab 1,300 0 1,300 1,300 0 1,300 ED
27 Amlodipin Tablet 10 mg Tab 570 2,070 2,640 600 2,040
29 Amoksisilin Kapsul 500 mg Tab 8,600 0 8,600 3,300 5,300
32 Ampicilin 500 mg Tab 200 0 200 0 200
44 Arkine Tab 3,250 0 3,250 250 3,000
45 Asam Askorbat Tablet 50 mg Tab 9,500 0 9,500 0 9,500
73 Colcitine 0,5 mg Tab 960 0 960 150 810
75 Clonidine 0,15 mg Tab 100 0 100 0 100
78 Curcuma Tab 100 0 100 100 0
85 Digoksin 0,25 mg Tab 0 0 0 0 0
96 Eflin Tab 1,000 0 1,000 400 600
107 Etanol 70% 300 ml Botol 0 0 0 0 0
122 Glimepiride 2 mg Tab 600 500 1,100 0 1,100
141 Ichtiyol Pot 4 0 4 0 4
148 Kalsium Lactat Tablet 500 mg Tab 7,700 0 7,700 1,100 6,600
156 Kertas USG Rol 10 0 10 0 10
163 Klorfenilamin Maleat tablet 4 mg Tab 1,500 0 1,500 0 1,500
171 Kutoin 100 mg Tab 400 0 400 0 400
177 Lisol Botol 12 0 12 0 12
179 Loratadin 10 mg Tab 400 0 400 300 100
182 Masker N95 Box 1 0 1 0 1
183 Masker Tali Dos 200 0 200 200 0
186 Metformin HCL Tablet 500 mg Tab 1,600 0 1,600 1,000 600
193 Metoklopramide Tablet 10 mg Tab 1,100 0 1,100 200 900
196 MgSO4 inj 20% - 25 ml Botol 51 0 51 0 51
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 4 0 4 0 4
204 Nacl 0,9% Botol 80 0 80 60 20
206 Needle No.23 Pcs 0 0 0 0 0
221 OBH Botol 110 0 110 40 70
236 Piracetam 400 mg Tab 1,000 0 1,000 100 900
242 Pisau bedah Box 40 0 40 20 20
245 Plester 7,5cm x 4,5m Rol 60 0 60 0 60
257 Ranitidin Tablet 150 mg Tab 0 2,500 2,500 500 2,000
258 RDT DBD Pcs 5 0 5 1 4
268 Salep 2-4 Pot 63 0 63 18 45
272 Selkom C Kap 0 0 0 0 0
273 Selviplex Kap 1,000 0 1,000 800 200
278 Scopamin 10 mg Tab 1,800 0 1,800 600 1,200
280 Silk 3/0 100 M Roll 0 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0 0
302 Tablet Tambah Darah Sachet 2,010 0 2,010 0 2,010
306 Thiamin 50 mg Tab 1,000 0 1,000 250 750
307 Thiamin inj Ampul 610 0 610 610 0 610 ED
310 Urin bag Pcs 10 0 10 0 10
311 Urin bag Pcs 0 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0 0
317 Vitamin B Kompleks Injeksi Vial 219 0 219 219 0 219 ED
319 Zinc Syrup Botol 130 0 130 0 130
324 Dopamet Tab 150 0 150 0 150
325 Acetylcystein Tab 1,680 0 1,680 1,680 0 1,680 ED
326 Aspar-K Tab 0 0 0 0 0
327 New Antides Tab 3,500 0 3,500 400 3,100
332 Metronidazol Infus Botol 4 0 4 4 0 4 ED
333 Clozapine Tab 1,050 0 1,050 0 1,050
341 Depakote Botol 100 0 100 0 100
352 Primpen Botol 900 0 900 0 900
353 Aqua Gell Tube 18 0 18 0 18
357 Gemsa Buah 2 0 2 0 2
361 Adalat 20 mg Tab 450 0 450 0 450
362 Atrofastatin 20 mg Tab 690 1,200 1,890 780 1,110
364 Loremide Tab 100 0 100 0 100
365 Vomistop Tab 60 0 60 0 60
366 Tagadem Buah 19 0 19 0 19
374 Abbocath 26 Pcs 10 0 10 3 7
381 Cavicur Tablet 300 0 300 0 300
382 Prix 25 mg Tablet 2,500 0 2,500 700 1,800
383 Patrin 250 mg Tablet 500 0 500 120 380
384 Grafalin 2mg Tablet 1,000 0 1,000 0 1,000
395 Siobion Tablet 1,000 0 1,000 700 300
396 Diatabs Tablet 1,500 0 1,500 0 1,500
397 Repas 400 mg Tablet 10,000 0 10,000 2,700 7,300
401
402
403
404
405
JAMKESDA BPJS
Gudang Farmasi
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19730708 199303 2 004
PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JANUARI 2020

KECAMATAN : TOJO BARAT PERMINTAAN BLN/PERIODE : FEBRUARI 2020

lain
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Abbocath 18 Piece 80 0 80 50 30 100
2 Abbocath 20 Piece 0 0 0 0 0 100
3 Abbocath 22 Piece 230 0 230 90 140
11 Alat Pemeriksa HB Buah 0 0 0 0 0 1
14 Alat suntik sekali pakai 3 ml Piece 200 0 200 100 100 500
15 Alat suntik sekali pakai 5 ml Piece 200 0 200 0 200 100
23 Ambroxol 30 mg Tab 3,000 0 3,000 0 3,000
26 Amitriptilin Tablet Salut 25 mg Tab 1,300 0 1,300 0 1,300 1,000
27 Amlodipin Tablet 10 mg Tab 570 0 570 0 570 2,000
29 Amoksisilin Kapsul 500 mg Tab 8,600 0 8,600 0 8,600 2,000
30 Amoxycillin Syrup 125 mg / 5 ml Botol 0 0 0 0 0 100
32 Ampicilin 500 mg Tab 200 0 200 0 200
37 Antasida DOEN I tablet kunyah Tab 0 0 0 0 0 2,000
38 Antasida Doen Syrup Botol 0 0 0 0 0 200
41 Antiseptik Hand Rub 10 Btl @ 500 ml Botol 54 0 54 0 54 100
43 Aqua pro Injeksi 20 ml Ampul 0 0 0 0 0 50
44 Arkine Tab 3,500 0 3,500 250 3,250
46 Asam Folat tablet 1 mg Tab 0 0 0 0 0 1,000
47 Asam Mefenamat kaplet 500 mg Kap 17,000 0 17,000 0 17,000
52 Betahistin Tablet 6 mg Tab 300 0 300 100 200 500
58 Buscopan Injeksi/Skopamin Ampul 0 0 0 0 0 50
61 Captopril Tablet 25 mg Tab 0 0 0 0 0 1,000
71 Cefadroxil Syrup Botol 0 0 0 0 0 100
73 Colcitine 0,5 mg Tab 960 0 960 0 960
75 Clonidine 0,15 mg Tab 100 0 100 0 100
78 Curcuma Tab 100 0 100 0 100
85 Digoksin 0,25 mg Tab 0 0 0 0 0
96 Eflin Tab 0 1,000 1,000 0 1,000
104 Etakridin Botol 8 0 8 0 8 50
106 Etanol 70% 1 Liter Botol 0 0 0 0 0 50
107 Etanol 70% 300 ml Botol 0 0 0 0 0
108 Etilklorida Botol 1 0 1 1 0 10
141 Ichtiyol Pot 4 0 4 0 4
156 Kertas USG Rol 10 0 10 0 10
163 Klorfenilamin Maleat tablet 4 mg Tab 2,100 0 2,100 600 1,500
171 Kutoin 100 mg Tab 600 0 600 200 400
177 Lisol Botol 12 0 12 0 12
179 Loratadin 10 mg Tab 400 0 400 0 400
182 Masker N95 Box 1 0 1 0 1
183 Masker Tali Dos 200 0 200 0 200
186 Metformin HCL Tablet 500 mg Tab 1,600 0 1,600 0 1,600
193 Metoklopramide Tablet 10 mg Tab 1,100 0 1,100 0 1,100
196 MgSO4 inj 20% - 25 ml Botol 51 0 51 0 51
197 MgSO4 inj 20% - 25 ml Botol 0 0 0 0 0
198 MgSO4 inj 40% - 25 ml Botol 4 0 4 0 4
204 Nacl 0,9% Botol 80 0 80 0 80
206 Needle No.23 Pcs 0 0 0 0 0
221 OBH Botol 110 0 110 0 110
236 Piracetam 400 mg Tab 1,000 0 1,000 0 1,000
245 Plester 7,5cm x 4,5m Rol 60 0 60 0 60
258 RDT DBD Pcs 5 0 5 0 5
268 Salep 2-4 Pot 63 0 63 0 63
272 Selkom C Kap 0 0 0 0 0 5,000
273 Selviplex Kap 1,000 0 1,000 0 1,000
278 Scopamin 10 mg Tab 2,000 0 2,000 200 1,800
280 Silk 3/0 100 M Roll 0 0 0 0 0
282 Silk 4/0 100 M Roll 0 0 0 0 0
295 Stik Asam Urat Benecheck Box 0 0 0 0 0 5
296 Stik Gula Darah Autochek Box 0 0 0 0 0 5
297 Stik Gula Darah Benecheck Box 0 0 0 0 0 5
298 Stik Kolesterol Autochek Botol 0 0 0 0 0 5
299 Stik Kolesterol Benecheck Botol 0 0 0 0 0 5
300 Stik Pemerksaan HB Botol 1 0 1 0 1 5
302 Tablet Tambah Darah Sachet 2,010 0 2,010 0 2,010 5,000
306 Thiamin 50 mg Tab 1,500 0 1,500 500 1,000
310 Urin bag Pcs 10 0 10 0 10
311 Urin bag Pcs 0 0 0 0 0
312 USG Gel 250 ml Botol 0 0 0 0 0
316 Vitamin B Kompleks Tablet Tab 1,000 0 1,000 300 700
319 Zinc Syrup Botol 130 0 130 0 130
320 Zink Tablet 20 mg Tab 0 0 0 0 0 2,000
324 Dopamet Tab 150 0 150 0 150
325 Acetylcystein Tab 1,680 0 1,680 0 1,680
326 Aspar-K Tab 0 0 0 0 0
327 New Antides Tab 3,500 0 3,500 0 3,500
333 Clozapine Tab 1,050 0 1,050 0 1,050
340 Guaifeesin 100 mg Tab 6,600 0 6,600 700 5,900 1,000
341 Depakote Botol 100 0 100 0 100
346 Nasal Oksigen ( selang O2) Buah 0 0 0 0 0 10
352 Primpen Botol 900 0 900 0 900
353 Aqua Gell Tube 18 0 18 0 18
357 Gemsa Buah 2 0 2 0 2
361 Adalat 20 mg Tab 450 0 450 0 450
364 Loremide Tab 100 0 100 0 100
365 Vomistop Tab 60 0 60 0 60
366 Tagadem Buah 19 0 19 0 19
367 Blood Lancents Buah 1000 0 1,000 0 1,000
372 Novagesic 500 mg Tablet 14000 0 14,000 700 13,300
373 Faridexon 0,5 mg Tablet 4500 0 4,500 0 4,500
374 Abbocath 26 Pcs 10 0 10 0 10
380 Handsoon Non Steril (S) Pcs 3000 0 3,000 0 3,000
381 Cavicur Tablet 300 0 300 0 300
382 Prix 25 mg Tablet 2500 0 2,500 0 2,500
383 Patrin 250 mg Tablet 530 0 530 30 500
384 Grafalin 2mg Tablet 1000 0 1,000 0 1,000
387 Twist Lancet 28 G Pcs 1800 0 1,800 0 1,800
395 Siobion Tablet 1000 0 1,000 0 1,000
396 Diatabs Tablet 1500 0 1,500 0 1,500
397 Repas 400 mg Tablet 10000 0 10,000 0 10,000
398 Farizol 500 mg Tablet 5000 0 5,000 0 5,000
400
401
402
403
404
405
JAMKESDA BPJS
Gudang Farmasi
Sahrul, SKM Arini Priyanti Kandupi. S.Farm., Maspa Lapui, SKM Nur Mufida Saenda,S.Farm
Nip. 19820714 200502 1 002 Nip. 19820403 200804 2 002 Nip. 19800828 200502 2 007

Lplpo 2020

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LAPORAN PEMAKAIAN DAN LEMBARAN PERMINTAAN OBAT (LPLPO)

PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : AGUSTUS 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JULI 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JUNI 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : MEI 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : APRIL 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : MARET 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : FEBRUARI 2020

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PUSKESMAS : MATAKO PELAPORAN BLN/PERIODE : JANUARI 2020

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