LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : RENGGIANG
KABUPATEN : BELITUNG TIMUR

PELAPORAN BULAN : Agustus

PERMINTAAN BULAN : September
TAHUN : 2019

STOK
NO NAMA BARANG (ISI) SATUAN AWAL PENERIMAAN PERSEDIAAN
Gudang Obat
1 2 3 4 6 8 9
OBAT GIGI
alka001002 - Alkacide 1 L High Level Disinfectans
alka001001 - Alkazyme Sachet 25 ml
aloc001001 - Aloclair
arti001001 - Articulating paper
cura001002 - Curaspon/Spongostan
etil001001 - Etil Klorida 100 ml Spray
glas001002 - Glass Ionomer (Fuji VII)
glas001003 - Glass Ionomer (Fuji II)
glas001006 - Glass Ionomer (Fuji IX)A 3 gold label
glas001005 - Glass Ionomer (Fuji IX)A 3.5 gold label
glass001007 - Glass Ionomert ART
hyca001001 - Hycal
- Klorfenol Kamper Menthol / CHKM
Occo001001 - Occo
- Seloloid strip svenka
tamb001001 - Tambal sementara/Caviton
TOOT001001 - Tooth Mouse
topi001001 - Topical Anastesi gel
KALS001010 - Vitapex
Aloclar
Dentin Conditioner
Zinc Phospat

BAHAN HABIS PAKAI (BHP)

alat001001 - Alat Suntik (Disposible Syringe) UK.50
alat001002 - Alat Suntik (Spuit) 1 ml
Alat001003 - Alat Suntik (Spuit) 10 ml
alat001004 - Alat Suntik (Spuit) 2,5 ml
Alat001005 - Alat Suntik (Spuit) 3 ml
Alat001005 - Alat Suntik (Spuit) 3 ml
alat001006 - Alat Suntik (Spuit) 5 ml
alka001002 - Alkacide 1 L High Level Disinfectans
alko001002 - Alkohol 70% 1 L
alko001001 - Alkohol 70% 1 L
alko001003 - Alkohol 96% 1 L
Alum001001 - Alumuniun Asetat Sol.
aqua001003 - Aquagel Steril Jelly 82 gr
atro001001 - Atropin sulfat inj 0.25 mg/ml-1 ml
bist001003 - Bisturi no.10
bist001002 - Bisturi no.11
catg001013 - CatGut Chromic 2-0 DS 24 mm
catg001014 - CatGut Chromic 2-0 HR 26 mm
catg001001 - CatGut Chromic 3-0 HR 26 mm
catg001004 - CatGut Chromic 3-0 DS 24 mm
catg001004 - CatGut Chromic 3-0 DS 24 mm
catg001002 - CatGut Plain 2/0 dg Jarum bedah
catg001012 - CatGut Plain 2/0 DS 24 mm
care001001 - E-care antiseptik handrub
fole001003 - Foley Catheter No.16 Two Way
FOLE001005 - Foley Catheter No.24 two way
fram001001 - Framycetin Sulfat (Daryant tulle)
gued001001 - Guedel Anak
gued001002 - Guedel Dewasa
kert001010 - Hypafix 10 x 5 cm
surf001004 - I.V Catheter No. 18
surf001001 - I.V Catheter No. 20
surf001002 - I.V Catheter No. 22
surf001003 - I.V Catheter No. 24
surf001005 - I.V Catheter No. 26
SURF001006 - I.V Catheter No. 26 with Wings and Injection
infu001002 - Infusion Set Anak/Pediatric
infu001001 - Infusion Set Dewasa/Adult
TAPE001001 - IV Dresing 6 x7 S (Yaplo Bio)
jaru001003 - Jarum Jahit No.12 G
kapa001002 - Kapas 250 gr
kapa001001 - Kapas 500 gr
kasa001010 - Kasa Gulung Besar
kasa001010 - Kasa Gulung Besar
KASA001005 - Kasa Pembalut Hidrofil 4 x 5 cm
KASA001005 - Kasa Pembalut Hidrofil 4 x 5 cm
kasa001007 - Kasa Pembalut Hidrofil 4 x 15 cm
kasa001007 - Kasa Pembalut Hidrofil 4 x 15 cm
kasa001009 - Kasa Steril 16 x 16 cm
kert001001 - Kertas EKG Uk.21,5 cm
kert001004 - Kertas EKG Uk.50 x 30 cm
kert001002 - Kertas EKG Uk.63 cm
klem001001 1 Klem Umbilical
Kreo001001 1 Kreosol 50%/Lysol
mask001001 1 Masker Karet
mask001001 1 Masker Karet
mask001003 1 Masker N 95 (3M)
mask001002 1 Masker Tali
muku001001 1 Mucus Extractor
nasa001002 1 Nasal Oxygen Canula S
nasa001002 1 Nasal Oxygen Canula S
nasa001001 1 Nasal Oxygen Canula XS
Nebu001002 1 Nebulizer Set Anak
Nebu001002 1 Nebulizer Set Dewas
Nebu001010 1 Nebulizer set Dewasa
Pape001001 1 Paper Tape 5,0 cm
Ples001001 1 Plester 7,5 yards x 4,5 inch
Ples001002 - Plester plash
safe002001 1 safety box disposal (5 liter)
sali001010 - Saliva ejector
saru001003 1 Sarung Tangan NS Uk.L
saru001002 1 Sarung Tangan NS Uk.M
saru001008 - Sarung Tangan Panjang karet
saru001009 2 Sarung Tangan Panjang Obgyn Steril
saru001004 2 Sarung Tangan Steril no. 6,5
saru001005 2 Sarung Tangan Steril no. 7
saru001005 2 Sarung Tangan Steril no. 7
saru001006 2 Sarung Tangan Steril no. 7,5
sela001001 2 Selang Oksigen Anak
sela001002 2 Selang Oksigen Dewasa
silk001013 2 Silk 2/0 DS 24 mm
silk001001 2 Silk 3/0 dengan jarum
silk001003 2 Silk Black 2/0 DS 24 mm
silk001004 2 Silk Black 2/0 HR 26 mm
silk001015 2 Silk Black 3/0 DS 24 mm
silk001005 2 Silk Black 3/0 HR 26 mm
Stom001001 2 Stomach Tube 16Fr
suct001002 2 Suction Catheter No.10
suct001005 2 Suction Catheter No.12
suct001004 2 Suction Catheter No.8
Sung001002 2 Sungkup Anak
Sung001001 2 Sungkup Bayi
Sung001003 2 Sungkup Dewasa
Syri001001 2 Syringe For Pump 20 ml
thre001001 2 three way bi-valve
Tran001001 - Transfusi set
Tran001002 2 Transfusi set with airvent
unde001001 2 Underpad 60 x 90 cm
unde001001 2 Underpad 60 x 90 cm
urin001001 2 Urine Bag
80 Selang oksigen bayi
USG Gel 250 ml

OBAT DASAR
abuv001001 1 A.B.U.II (Anti Bisa Ular )
allo001001 2 Allopurinol 100 mg tab
allo001002 3 Allopurinol 300 mg tab
alpr001001 4 Alprazolam 0,5 mg tab
ambr001002 5 Ambroksol 15 mg/5ml syr.
ambr001001 6 Ambroksol 30 mg
amin001003 7 Aminofilin 200 mg tab
amin001001 - Aminofilin inj. 10 ml - 24 mg/ml
amit001001 - Amitriptilin 25 mg tab
amit001001 - Amitriptilin 25 mg tab
amlo001002 - Amlodipin 10 mg
amlo001003 - Amlodipin 5 mg
amlo001004 - Amlodipin 5 mg
amok001003 - Amoksisilin 125 mg/5 ml syr.
amok001001 - Amoksisilin 250 mg Kaps.
amok001002 - Amoksisilin 500 mg tab
amok001002 - Amoksisilin 500 mg tab
amok001003 - amoksisilin sir. kering (125 mg/5ml)
AMPI001001 - Ampisillin 1 G injeksi
anta001001 - Antasida DOEN susp
anta001001 - Antasida DOEN susp
anta001002 - Antasida DOEN tab
anta001002 - Antasida DOEN tab
anti001001 - Antihemorroid DOEN Supp
aqua001002 - Aqua Pro Injeksi 25 ml (VIAL)
aqua001004 - Aquagel Steril Jelly 82 gr
arte001004 - Artemeter injeksi 82 mg/ml
asam001004 - Asam Askorbat/Vit C 250 mg tab
asam001002 - Asam Askorbat/Vit C 50 mg tab
fola001001 - Asam Folat
asam001001 - Asam Mefenamat 500 mg kaplet
asam001001 - Asam Mefenamat 500 mg kaplet
aset001002 - Asetosal/As. Asetil Salisilat 100 mg tab
aset001001 - Asetosal/As. Asetil Salisilat 80 mg tab
ASIK001001 - Asiklovir 200 mg Tablet
asik001005 - Asiklovir 400 mg tab.
asik001002 - Asiklovir Krim 5%
Atta001001 - Attapulgite 600 mg
beta001002 - Betahistin Maleat 6 mg
beta001001 - Betametason 0.1% 5 gr Krim
Bisa001001 - Bisacodil supp 5 mg
Bisa001002 - Bisacodil tab
biso001003 - Bisoprolol 2,5 mg tab.
biso001002 - Bisoprolol 5 mg tab.
biso001001 - Bisoprolol 5 mg tab.
biso001001 - Bisoprolol 5 mg tab.
brom001001 - Bromheksin 8 mg tab.
karb001001 - Carbamazepin 200 mg
Ceti001001 - Cetirizin 10 mg tab
ceti001002 - Cetirizin Syrup 5mg / 5 ml
Clob001001 - Clobazam 10 mg tab.
clop001001 - Clozapine 25 mg tab
Coun001001 - Counterpain 15 g Biru
Coun001002 - Counterpain 15 g Merah
DEKS001001 - Deksametason 0.5 mg tab
DEKS001003 - Deksametason inj. 1 ml - 5 mg/ml
DEKS001002 - Deksametason inj. 1 ml - 5 mg/ml
diaz001010 - Diazepam 5 mg/mL inj.
diaz001003 - Diazepam supp / stesolid
dife001001 - Difenhidramin HCl inj 1 ml - 10 mg/ml
dime001001 - Dimenhidrinat 50 mg tab.
dime001001 - Dimenhidrinat 50 mg tab.
domp001001 - Domperidon 10 mg tab
DOMP001002 - Domperidon 5 mg/5 ml syr.
efin001001 - Efinefrine HCl inj. 0,1% - 1 ml
eryt001002 - Erytromicin 500 mg
Etak001001 - Etakridin 0.1%/Rivanol
feni001003 - Fenitoin Natrium 100 mg cap
feno001001 - Feno glycerol 10% Karbogliserin
ferr001004 - Ferro Sulfat 200 mg + Asam Folat 0,25 mg tab.
ferr001003 1 Ferro Sulfat 200 mg + Asam Folat 0,25 mg tab.
fito001001 1 Fitomenadion (Vit K) inj 10 mg/ml - 1 ml
fito001002 1 Fitomenadion (Vit K1) 10 mg tab
fito001002 1 Fitomenadion (Vit K1) 10 mg tab
FLUP001001 - Fluphenazine (Scyzanoate Injeksi
furo001001 1 Furosemid 40 mg
furo001001 1 Furosemid 40 mg tab
furo001002 1 Furosemid 40 mg/ml inj.
gpum001001 1 G P U 100 ml
gara001002 1 Garam Oralit 200 mg Sachet
Gent001003 1 Gentamicin 40 mg/ml inj.
Gent001002 1 Gentamycin salep kulit
Gent001001 1 Gentian Violet lar 1%
glib001001 1 Glibenklamid 5 mg tab
glim001001 1 Glimepiride 1 mg
Glim001002 1 Glimepiride 2 mg
gris001001 2 Griseofulvin 125 mg
Guaf001001 2 Guaifenesin 100 mg
halo001001 2 Haloperidol 0.5 mg tab.
halo001003 3 Haloperidol 5 mg tab.
hidr001003 3 Hidroklortiazid 25 mg (HCT)
Hyos001002 4 Hyosin Bromide inj
Hyos001001 - Hyosine Bromida tab
Ibup001003 4 Ibuprofen 200mg/5ml susp
ibup001002 - Ibuprofen 400 mg tab
comb001001 4 Ipratropium br + Salbutamol SO4 (Combiven)
isos001001 - Isosorbide Dinitrat 5 mg
jaru001005 4 Jarum Kulit No,16
Kals001009 4 Kalsium Glukonas inj.I.V 10%
kals001002 - Kalsium Laktat (Kalk) 500 mg tab.
kapt001001 4 Kaptopril 12.5 mg tab
kapt001002 4 Kaptopril 25 mg tab
KETO001001 4 Ketokonazol 200 mg tab
keto001012 4 Ketokonazol krim 2%
keto001012 4 Ketokonazol krim 2%
keto001002 4 Ketoprofen 100 mgsupp
KETO001003 4 Ketorolac inj
klor001001 - Kloramfenikol 125 mg/5 ml susp.
klor001002 4 Kloramfenikol Salep Mata 1 %
klor001002 4 Kloramfenikol Salep Mata 1 %
klor001013 4 Klorfeniramin Maleat (CTM) 4 mg tab
klor001013 4 Klorfeniramin Maleat (CTM) 4 mg tab
klor001020 4 Klorpromazin HCl 100 mg tab.
klor001020 4 Klorpromazin HCl 100 mg tab.
kotr001002 - Kotrimoksazol 480 mg/dewasa tab.
kotr001003 4 Kotrimoksazol Susp 240 mg/5 ml
lido001002 4 Lidocain 2% + Efinefrin inj./Komp.
Lido001001 4 Lidocain 2% inj.
Lido001001 4 Lidocain 2% inj.
lope001001 - Loperamide 2 mg tab.
lope001001 - Loperamide 2 mg tab.
Magn001001 - Magnesium Sulfat 20% 25 ml inj.
Magn001002 4 Magnesium Sulfat 40% 25 ml inj.
melo001001 4 Meloksikam 7,5 mg tab.
melo001001 4 Meloksikam 7,5 mg tab.
meta001001 4 Metamizol 500 mg
meta001003 - Metampiron/Antalgin 500 mg tab
meta001002 4 Metampiron/Antalgin inj. 250 mg
metf001001 4 Metformin HCL 500 mg tab
metf001001 4 Metformin HCL 500 mg tab
meth001002 4 Methylprednisolon 4 mg Tab
meth001002 4 Methylprednisolon 4 mg Tab
meti001002 4 Metilergometrin Maleat 0.125 mg tab
meti001001 4 Metilergometrin Maleat Inj
METO001003 4 Metoklopramid Injeksi
meto001002 - Metoklopramid Syr 5mg/5ml
meto001001 4 Metoklopramid tab 10 mg
metr001002 - Metronidazol 500 mg tab
miko001001 4 Mikonazol krim 2%
natr001001 4 Natrium Bikarbonat 500 mg tab
natr001004 - Natrium diklofenak 25 mg
natr001003 5 Natrium Diklofenak 50 mg tab.
Natr001002 - Natrium Klorida (NaCl) 0.9% infus sol.
nife001001 5 Nifedipin tablet 10 mg
NIST001001 5 Nystatin Tab Vagina
OBUC001001 5 obucort-Swinghaler Budesonid Inhaler 200 mcg/puff
OKSI001001 5 Oksitetrasiklin HCl salep kulit 3%

oksi001002 5 Oksitetrasiklin HCl salep mata 1%

oksi001003 5 Oksitosin Inj 10 iu/ml - 1ml (PITOGIN INJ.)

omep001001 - Omeprazol 20 mg kaps.

ONDA001001 5 Ondansetron inj

papa001001 5 Papaverin 40 mg tablet
para001002 5 Parasetamol 120 mg/5 ml syrup
para001002 5 Parasetamol 120 mg/5 ml syrup
para001005 5 Parasetamol 500 mg tab
PARA001004 5 Parasetamol drops
perm001001 5 Permetrin 5% krim
piri001002 5 Piridoksin/ Vit. B6 10 mg tab
piri001002 5 Piridoksin/ Vit. B6 10 mg tab
piro001001 - Piroksikam 10 mg tab
piro001002 5 Piroksikam 20 mg tab
povi001001 5 Povidon Iodida 10% 30 ml
povi001002 5 Povidon Iodida 10% 300 ml
pred001002 5 Prednison 5 mg tab
PROF001001 5 Profiltiourasil/PTU 100 mg tab
PROF001001 5 Profiltiourasil/PTU 100 mg tab
prop001002 5 Propanolol HCl 10 mg tab
prop001001 5 Propanolol HCl 40 mg tab
rani001001 5 Ranitidin 150 mg tab.
rani001003 5 Ranitidin inj. 25 mg/ml
rani001003 5 Ranitidin inj. 25 mg/ml
reti001002 5 Retinol/Vit A 100.000 IU kapsul lunak
reti001002 5 Retinol/Vit A 100.000 IU kapsul lunak
reti001001 5 Retinol/Vit A 200.000 IU kapsul lunak
ring001001 5 Ringer Laktat Infus sol.
risp001001 5 Risperidone
salb001002 5 Salbutamol 4 mg tab
sali001001 - Salisil talk
sefa001001 5 Sefadroksil 125 mg/5 ml syr.
sefa001002 5 Sefadroksil 500 mg
SIAN001003 5 Sianokobalamin/ Vit. B12 tab
sulf001001 5 Silver Sulfadiazine Krim
simv001003 5 Simvastatin 10 mg tab.
simv001004 5 Simvastatin 20 mg tab.
simv001002 5 Simvastatin 20 mg tab.
simv001002 5 Simvastatin 20 mg tab.
simv001002 5 Simvastatin 20 mg tab.
sipr001001 5 Siprofloksasin 500 mg tab
spir002002 5 Spironolakton 25 mg
Stes001001 5 Stesolid 5 mg Supp
Teta001001 5 Tetagam 250 IU
TIAM001003 5 Tiamin HCl/Vit. B1 50 mg tab.
TIAM001003 5 Tiamin HCl/Vit. B1 50 mg tab.
tram001001 5 Tramadol 50 mg/ml.injeksi
trih001001 - Triheksifenidil HCl 2 mg tab
Trom001001 5 Trombophob Gel
vita001002 5 Vitamin B Kompleks tab
vita001002 5 Vitamin B Kompleks tab
Xylo001001 - Xylocaine ( Lidocain jelli 2% )
zink001002 5 zinc drops 10 mg/mL
zink001001 5 ZINK 20 mg (DISPERSIBEL)
160 Diazepam 5 mg tab
Haloperidol 1,5 mg
Fenobarbital 30 mg tab
Kertas EKG 145 x 150

OBAT PROGRAM
fdc001002 - FDC Anak
fdc001003 - FDC Kategori I
fdc001002 - FDC Anak
albe001001 - ALBENDAZOLE 400 mg @ 30 Tablet
arte001001 - ARTESUNATE FOR INJ. 60 mg
diet001001 - Diethylcarbamazepin 100 mg
doks001001 - DOXYCYCLINE [ 100 mg ] @ 100 Tablet
oat2 - FDC Kategori II
IODI001001 - Iodium Test
ISON001001 - Isoniazid (INH) 100 mg tablet
kotr001004 - Kotrimoksazol 960 tab.(Forte)
MDTD001001 - MDT MB - ADULT
MDTA001001 - MDT MB - CHILD
mdpb001003 - MDT PB - ADULT
MINE001001 - Mineral Mix
anti001010 - Obat Anti Malaria (DHP)
anti001010 - Obat Anti Malaria (DHP)
Prim001002 - Primakuin 15 mg tab
Prim001002 - Primakuin 15 mg tab
quin001001 - Quinine 200 mg tab

Obat Yang sudah diterima

1 Glimepirid 1 mg tab 500 tab
2 Zinc drop 10
3 Bisoprolol 2,5 mg tab 100
4 Fenol gliserol 10 % 10
5 Simvastatin 20 mg tab 1000
6 Silk Black 3/0 HR 26 mm 4
7 Nebulizer dewasa 5
8 Ambroksol syrup 100
9 Masker Tali 300
10 Kasa Hidrofil 4x5 cm 500
11 Retinol Biru 50
12 THP 200
13 Clozapin tab 100
14 Haloperidol 1,5 mg tab 200
15 Klorpromazin 25 mg tab 200
16 Prednison tab 200

Kepala Dinas Kesehatan, Pengendalian Penduduk

dan Keluarga Berencara (DKPPKB) Penyimpan Barang
Kabupaten Belitung Timur
(...............................................) (……………………………………..)
NIP. NIP
 PEMAKAIAN
kamar obat UGD Poli Umum KIA Gigi Labor Lansia Persalinan Rawat Inap
10 11 12 13 14 15 16 17 16
 Yang Menerima
Penanggung Jawab Farmasi
 (Eli Herlina)
NIP. 19750501 201407 2 002
 TOTAL
PEMAKAIAN SISA STOK PERMINTAAN
Posk. Aik Madu Posk. Renggiang Posk. Lintang Posk. Simpang 3 Pustu Simpang 3 p3k
17 18 19 20 21 22 23 24 27
 Yang Meminta Yang Menerima
Kepala UPT Puskesmas Renggiang Penanggung Jawab Farmasi
(Ns. Ekoan Zuriyono, S. Kep) (Winda Lestari, S. Farm., Apt)
NIP. 19840830 201402 1 001 NIP. 198911092019022004
 Gudang Obat

No NAMA BARANG Satuan

Stok Peneri Pemak
Awal maan aian

1 2 3 4 5 6
OBAT GIGI
1 Alkacide 1 L High Level Disinfectans
2 Alkazyme Sachet 25 ml
3 Aloclair
4 Articulating paper
5 Curaspon/Spongostan
6 Etil Klorida 100 ml Spray
7 Glass Ionomer (Fuji VII)
8 Glass Ionomer (Fuji II)
9 Glass Ionomer (Fuji IX)A 3 gold label
10 Glass Ionomer (Fuji IX)A 3.5 gold label
11 Glass Ionomert ART
12 Hycal
13 Klorfenol Kamper Menthol / CHKM
14 Occo
15 Seloloid strip svenka
16 Tambal sementara/Caviton
17 Tooth Mouse
18 Topical Anastesi gel
19 Vitapex
20 Aloclar
21 Dentin Conditioner
22 Zinc Phospat

BAHAN HABIS PAKAI (BHP)

23 Alat Suntik (Disposible Syringe) UK.50
24 Alat Suntik (Spuit) 1 ml
25 Alat Suntik (Spuit) 10 ml
26 Alat Suntik (Spuit) 2,5 ml
27 Alat Suntik (Spuit) 3 ml
28 Alat Suntik (Spuit) 3 ml
29 Alat Suntik (Spuit) 5 ml
30 Alkacide 1 L High Level Disinfectans
31 Alkohol 70% 1 L
32 Alkohol 70% 1 L
33 Alkohol 96% 1 L
34 Alumuniun Asetat Sol.
35 Aquagel Steril Jelly 82 gr
36 Atropin sulfat inj 0.25 mg/ml-1 ml
37 Bisturi no.10
38 Bisturi no.11
39 CatGut Chromic 2-0 DS 24 mm
40 CatGut Chromic 2-0 HR 26 mm
41 CatGut Chromic 3-0 HR 26 mm
42 CatGut Chromic 3-0 DS 24 mm
43 CatGut Chromic 3-0 DS 24 mm
44 CatGut Plain 2/0 dg Jarum bedah
45 CatGut Plain 2/0 DS 24 mm
46 E-care antiseptik handrub
47 Foley Catheter No.16 Two Way
48 Foley Catheter No.24 two way
49 Framycetin Sulfat (Daryant tulle)
50 Guedel Anak
51 Guedel Dewasa
52 Hypafix 10 x 5 cm
53 I.V Catheter No. 18
54 I.V Catheter No. 20
55 I.V Catheter No. 22
56 I.V Catheter No. 24
57 I.V Catheter No. 26
58 I.V Catheter No. 26 with Wings and Injection
59 Infusion Set Anak/Pediatric
60 Infusion Set Dewasa/Adult
61 IV Dresing 6 x7 S (Yaplo Bio)
62 Jarum Jahit No.12 G
63 Kapas 250 gr
64 Kapas 500 gr
65 Kasa Gulung Besar
66 Kasa Gulung Besar
67 Kasa Pembalut Hidrofil 4 x 5 cm
68 Kasa Pembalut Hidrofil 4 x 5 cm
69 Kasa Pembalut Hidrofil 4 x 15 cm
70 Kasa Pembalut Hidrofil 4 x 15 cm
71 Kasa Steril 16 x 16 cm
72 Kertas EKG Uk.21,5 cm
73 Kertas EKG Uk.50 x 30 cm
74 Kertas EKG Uk.63 cm
75 Klem Umbilical
 76 Kreosol 50%/Lysol
77 Masker Karet
78 Masker Karet
79 Masker N 95 (3M)
80 Masker Tali
81 Mucus Extractor
82 Nasal Oxygen Canula S
83 Nasal Oxygen Canula S
84 Nasal Oxygen Canula XS
85 Nebulizer Set Anak
86 Nebulizer Set Dewas
87 Nebulizer set Dewasa
88 Paper Tape 5,0 cm
89 Plester 7,5 yards x 4,5 inch
90 Plester plash
91 safety box disposal (5 liter)
92 Saliva ejector
93 Sarung Tangan NS Uk.L
94 Sarung Tangan NS Uk.M
95 Sarung Tangan Panjang karet
96 Sarung Tangan Panjang Obgyn Steril
97 Sarung Tangan Steril no. 6,5
98 Sarung Tangan Steril no. 7
99 Sarung Tangan Steril no. 7
100 Sarung Tangan Steril no. 7,5
101 Selang Oksigen Anak
102 Selang Oksigen Dewasa
103 Silk 2/0 DS 24 mm
104 Silk 3/0 dengan jarum
105 Silk Black 2/0 DS 24 mm
106 Silk Black 2/0 HR 26 mm
107 Silk Black 3/0 DS 24 mm
108 Silk Black 3/0 HR 26 mm
109 Stomach Tube 16Fr
110 Suction Catheter No.10
111 Suction Catheter No.12
112 Suction Catheter No.8
113 Sungkup Anak
114 Sungkup Bayi
115 Sungkup Dewasa
116 Syringe For Pump 20 ml
117 three way bi-valve
118 Transfusi set
119 Transfusi set with airvent
120 Underpad 60 x 90 cm
121 Underpad 60 x 90 cm
122 Urine Bag
123 Selang oksigen bayi
124 USG Gel 250 ml

OBAT DASAR
125 A.B.U.II (Anti Bisa Ular )
126 Allopurinol 100 mg tab
127 Allopurinol 300 mg tab
128 Alprazolam 0,5 mg tab
129 Ambroksol 15 mg/5ml syr.
130 Ambroksol 30 mg
131 Aminofilin 200 mg tab
132 Aminofilin inj. 10 ml - 24 mg/ml
133 Amitriptilin 25 mg tab
134 Amitriptilin 25 mg tab
135 Amlodipin 10 mg
136 Amlodipin 5 mg
137 Amlodipin 5 mg
138 Amoksisilin 125 mg/5 ml syr.
139 Amoksisilin 250 mg Kaps.
140 Amoksisilin 500 mg tab
141 Amoksisilin 500 mg tab
142 amoksisilin sir. kering (125 mg/5ml)
143 Ampisillin 1 G injeksi
144 Antasida DOEN susp
145 Antasida DOEN susp
146 Antasida DOEN tab
147 Antasida DOEN tab
148 Antihemorroid DOEN Supp
149 Aqua Pro Injeksi 25 ml (VIAL)
150 Aquagel Steril Jelly 82 gr
151 Artemeter injeksi 82 mg/ml
152 Asam Askorbat/Vit C 250 mg tab
153 Asam Askorbat/Vit C 50 mg tab
154 Asam Folat
155 Asam Mefenamat 500 mg kaplet
156 Asam Mefenamat 500 mg kaplet
157 Asetosal/As. Asetil Salisilat 100 mg tab
158 Asetosal/As. Asetil Salisilat 80 mg tab
159 Asiklovir 200 mg Tablet
160 Asiklovir 400 mg tab.
161 Asiklovir Krim 5%
162 Attapulgite 600 mg
163 Betahistin Maleat 6 mg
164 Betametason 0.1% 5 gr Krim
165 Bisacodil supp 5 mg
166 Bisacodil tab
167 Bisoprolol 2,5 mg tab.
168 Bisoprolol 5 mg tab.
169 Bisoprolol 5 mg tab.
170 Bisoprolol 5 mg tab.
171 Bromheksin 8 mg tab.
172 Carbamazepin 200 mg
173 Cetirizin 10 mg tab
174 Cetirizin Syrup 5mg / 5 ml
175 Clobazam 10 mg tab.
176 Clozapine 25 mg tab
177 Counterpain 15 g Biru
178 Counterpain 15 g Merah
179 Deksametason 0.5 mg tab
180 Deksametason inj. 1 ml - 5 mg/ml
181 Deksametason inj. 1 ml - 5 mg/ml
182 Diazepam 5 mg/mL inj.
183 Diazepam supp / stesolid
184 Difenhidramin HCl inj 1 ml - 10 mg/ml
185 Dimenhidrinat 50 mg tab.
186 Dimenhidrinat 50 mg tab.
187 Domperidon 10 mg tab
188 Domperidon 5 mg/5 ml syr.
189 Efinefrine HCl inj. 0,1% - 1 ml
190 Erytromicin 500 mg
191 Etakridin 0.1%/Rivanol
192 Fenitoin Natrium 100 mg cap
193 Feno glycerol 10% Karbogliserin
194 Ferro Sulfat 200 mg + Asam Folat 0,25 mg tab.
195 Ferro Sulfat 200 mg + Asam Folat 0,25 mg tab.
196 Fitomenadion (Vit K) inj 10 mg/ml - 1 ml
197 Fitomenadion (Vit K1) 10 mg tab
198 Fitomenadion (Vit K1) 10 mg tab
199 Fluphenazine (Scyzanoate Injeksi
200 Furosemid 40 mg
201 Furosemid 40 mg tab
202 Furosemid 40 mg/ml inj.
203 G P U 100 ml
204 Garam Oralit 200 mg Sachet
205 Gentamicin 40 mg/ml inj.
206 Gentamycin salep kulit
207 Gentian Violet lar 1%
208 Glibenklamid 5 mg tab
209 Glimepiride 1 mg
210 Glimepiride 2 mg
211 Griseofulvin 125 mg
212 Guaifenesin 100 mg
213 Haloperidol 0.5 mg tab.
214 Haloperidol 5 mg tab.
215 Hidroklortiazid 25 mg (HCT)
216 Hyosin Bromide inj
217 Hyosine Bromida tab
218 Ibuprofen 200mg/5ml susp
219 Ibuprofen 400 mg tab
220 Ipratropium br + Salbutamol SO4 (Combiven)
221 Isosorbide Dinitrat 5 mg
222 Jarum Kulit No,16
223 Kalsium Glukonas inj.I.V 10%
224 Kalsium Laktat (Kalk) 500 mg tab.
225 Kaptopril 12.5 mg tab
226 Kaptopril 25 mg tab
227 Ketokonazol 200 mg tab
228 Ketokonazol krim 2%
229 Ketokonazol krim 2%
230 Ketoprofen 100 mgsupp
231 Ketorolac inj
232 Kloramfenikol 125 mg/5 ml susp.
233 Kloramfenikol Salep Mata 1 %
234 Kloramfenikol Salep Mata 1 %
235 Klorfeniramin Maleat (CTM) 4 mg tab
236 Klorfeniramin Maleat (CTM) 4 mg tab
237 Klorpromazin HCl 100 mg tab.
238 Klorpromazin HCl 100 mg tab.
239 Kotrimoksazol 480 mg/dewasa tab.
240 Kotrimoksazol Susp 240 mg/5 ml
241 Lidocain 2% + Efinefrin inj./Komp.
242 Lidocain 2% inj.
243 Lidocain 2% inj.
244 Loperamide 2 mg tab.
245 Loperamide 2 mg tab.
246 Magnesium Sulfat 20% 25 ml inj.
247 Magnesium Sulfat 40% 25 ml inj.
248 Meloksikam 7,5 mg tab.
249 Meloksikam 7,5 mg tab.
250 Metamizol 500 mg
251 Metampiron/Antalgin 500 mg tab
252 Metampiron/Antalgin inj. 250 mg
253 Metformin HCL 500 mg tab
254 Metformin HCL 500 mg tab
255 Methylprednisolon 4 mg Tab
256 Methylprednisolon 4 mg Tab
257 Metilergometrin Maleat 0.125 mg tab
258 Metilergometrin Maleat Inj
259 Metoklopramid Injeksi
260 Metoklopramid Syr 5mg/5ml
261 Metoklopramid tab 10 mg
262 Metronidazol 500 mg tab
263 Mikonazol krim 2%
264 Natrium Bikarbonat 500 mg tab
265 Natrium diklofenak 25 mg
266 Natrium Diklofenak 50 mg tab.
267 Natrium Klorida (NaCl) 0.9% infus sol.
268 Nifedipin tablet 10 mg
269 Nystatin Tab Vagina
270 obucort-Swinghaler Budesonid Inhaler 200 mcg/puff
271 Oksitetrasiklin HCl salep kulit 3%
272 Oksitetrasiklin HCl salep mata 1%
273 Oksitosin Inj 10 iu/ml - 1ml (PITOGIN INJ.)
274 Omeprazol 20 mg kaps.
275 Ondansetron inj
276 Papaverin 40 mg tablet
277 Parasetamol 120 mg/5 ml syrup
278 Parasetamol 120 mg/5 ml syrup
279 Parasetamol 500 mg tab
280 Parasetamol drops
281 Permetrin 5% krim
282 Piridoksin/ Vit. B6 10 mg tab
283 Piridoksin/ Vit. B6 10 mg tab
284 Piroksikam 10 mg tab
285 Piroksikam 20 mg tab
286 Povidon Iodida 10% 30 ml
287 Povidon Iodida 10% 300 ml
288 Prednison 5 mg tab
289 Profiltiourasil/PTU 100 mg tab
290 Profiltiourasil/PTU 100 mg tab
291 Propanolol HCl 10 mg tab
292 Propanolol HCl 40 mg tab
293 Ranitidin 150 mg tab.
294 Ranitidin inj. 25 mg/ml
295 Ranitidin inj. 25 mg/ml
296 Retinol/Vit A 100.000 IU kapsul lunak
297 Retinol/Vit A 100.000 IU kapsul lunak
298 Retinol/Vit A 200.000 IU kapsul lunak
299 Ringer Laktat Infus sol.
300 Risperidone
301 Salbutamol 4 mg tab
302 Salisil talk
303 Sefadroksil 125 mg/5 ml syr.
304 Sefadroksil 500 mg
305 Sianokobalamin/ Vit. B12 tab
306 Silver Sulfadiazine Krim
307 Simvastatin 10 mg tab.
308 Simvastatin 20 mg tab.
309 Simvastatin 20 mg tab.
310 Simvastatin 20 mg tab.
311 Simvastatin 20 mg tab.
312 Siprofloksasin 500 mg tab
313 Spironolakton 25 mg
314 Stesolid 5 mg Supp
315 Tetagam 250 IU
316 Tiamin HCl/Vit. B1 50 mg tab.
317 Tiamin HCl/Vit. B1 50 mg tab.
318 Tramadol 50 mg/ml.injeksi
319 Triheksifenidil HCl 2 mg tab
320 Trombophob Gel
321 Vitamin B Kompleks tab
322 Vitamin B Kompleks tab
323 Xylocaine ( Lidocain jelli 2% )
324 zinc drops 10 mg/mL
325 ZINK 20 mg (DISPERSIBEL)
326 Diazepam 5 mg tab
327 Haloperidol 1,5 mg
328 Fenobarbital 30 mg tab
329 Kertas EKG 145 x 150

OBAT PROGRAM
330 FDC Anak
331 FDC Kategori I
332 FDC Anak
333 ALBENDAZOLE 400 mg @ 30 Tablet
334 ARTESUNATE FOR INJ. 60 mg
335 Diethylcarbamazepin 100 mg
336 DOXYCYCLINE [ 100 mg ] @ 100 Tablet
337 FDC Kategori II
338 Iodium Test
339 Isoniazid (INH) 100 mg tablet
340 Kotrimoksazol 960 tab.(Forte)
341 MDT MB - ADULT
342 MDT MB - CHILD
343 MDT PB - ADULT
344 Mineral Mix
345 Obat Anti Malaria (DHP)
346 Obat Anti Malaria (DHP)
347 Primakuin 15 mg tab
348 Primakuin 15 mg tab
349 Quinine 200 mg tab
Gudang Obat Kamar Obat Poli Umum Poli Gigi

Sisa Stok Peneri Pema Sisa Stok Peneri Pemak Sisa Stok Peneri
Exp Exp Exp
Stok Awal maan kaian stok Awal maan aian Stok Awal man

7 8 9 10 11 12 13 14 15 16 17 18 19 20
 Poli Gigi KIA Poli Anak

Pema Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
kaian Awal n n Awal n

21 22 23 24 25 26 27 28 29 30
Poli Anak Poli Lansia Laboratorium

Pemakaia Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
n Awal n n Awal n

31 32 33 34 35 36 37 38 39 40
Laboratorium Igd Persalinan

Pemakaia Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
n Awal n n Awal n

41 42 43 44 45 46 47 48 49 50
Persalinan Ranap Kesling

Pemakaia Stok Pemakaia Stok Penerima

Sisa Stok Exp Peneriman Sisa Stok Exp
n Awal n Awal n

51 52 53 54 55 56 57 58 59 60
 Kesling Poskedes Aik Madu Poskesdes Lintang

Pemakaia Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
n Awal n n Awal n

61 62 63 64 65 66 67 68 69 70
Poskesdes Lintang Poskesdes Renggiang Poskesdes Simpang T

Pemakaia Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
n Awal n n Awal n

71 72 73 74 75 76 77 78 79 80
Poskesdes Simpang Tige Pustu Simpang Tige P3k

Pemakaia Stok Penerima Pemakaia Stok Penerima

Sisa Stok Exp Sisa Stok Exp
n Awal n n Awal n

81 82 83 84 85 86 87 88 89 90
 P3k
Total
Total Sisa
Pemakaia Stok
Pemakaia n
Sisa Stok Exp
n

91 92 93 94 95
LAPORAN PENGOLAHAN DATA STOK OBAT
PUSKESMAS : RENGGIANG
KABUPATEN : BELITUNG TIMUR
BULAN : OKTOBER
TAHUN : 2019

PEMAKAIAN

PENERIMAA PERSEDIAA
NO NAMA BARANG ISI (SATUAN) STOK AWAL
N N PUSTU
GUDANG KAMAR LABORATOR PERSALIANA POSKESDES POSKESDES POSKESDES POSKESDES TOTAL PEPRMINTA KETERANGA
POLI UMUM POLI GIGI KIA POLI ANAK POLI LANSIA IGD RANAP SIMAPANG P3K SISA STOK
OBAT OBAT IUM N AIK MADU LINTANG RENGGIANG AIK RUAK PEMAKAIAN AN N
TIGE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27