Siwuran Agustus 2024

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

( LPLPO ) DANA PKD DAN JKN


PUSKESMAS : MADURAN
SUB UNIT : SIWURAN
KECAMATAN : MADURAN
KABUPATEN : LAMONGAN
PROPINSI : JAWA TIMUR

STOK AWAL PENERIMAAN PERSEDIAAN


NO NAMA BARANG KEMASAN

PKD JKN PKD JKN PKD


1 2 3 4 5 6 7 8
OBAT-OBATAN
1 Acyclovir Cream 5 % 25 tube @ 5 0
gram
2 Antamen (Anti Diare) Syr Botol 0
3 Alopurinol tablet 100 mg 10 strips @ 0
10 tabl
4 Alopurinol tablet 300 mg 10 blister @
10 tab
Ambroxol tab 10 blister @ 0 0
10 tab
5 Ambroxol sirup 15 mg/ml botol 60 ml 0
6 Aminofilin injeksi 24 mg/ml 30 ampul @ 0
10 ml
7 Amlodipin tablet 10 mg 3 strip @ 10
tablets
8 Amlodipin tablet 5 mg 3 strip @ 10
tablets
9 Amoksisilin sirup kering 125 mg/ 5 ml btl @ 60 ml 0 0
10 Amoksisilin tablet scored 500 mg 10 strip @ 10
tablet
11 Antalgin tablet 500 mg dus 10 x 10 0 0
tablet
12 Antalgin/metamizol Inj Ampul 0
13 Antasida DOEN I tablet kunyah, 10 strip @ 10 0
kombinasi : Aluminium Hidroksida 200 tablet
mg Magnesium Hidroksida 200 mg

14 Antasida DOEN II suspensi, kombinasi botol @ 60 ml 0 0


: Aluminium Hidroksida 200 mg/5 ml
Magnesium Hidroksida 200 mg/5ml

15 Anti influenza kaplet (Herbacold) box 150's 0


16 Anti mikroba + kortikosteroid tetas botol @ 5 ml 0
mata
17 Anti Hemoroid dus/ 3 blister 0
x 10's
18 Anti Bakteri Topikal Tetes telinga botol @ 10 ml 0

19 Antimigren: Ergotamin Tartrat 1 mg + btl 100 tablet 0


Kofein 50 mg

20 Antispasmodik box 100 0


kaplet
21 Asam Ascorbat (vitamin C) tablet 50 mg 10 strip x 10 0
tab
22 Asam asetilsalisilat (asetosal) tab 80 10 strip x 10 0
tab
23 Asam Folat tablet 0,4 mg 10 strip @ 10 0 0
tablet
24 Asam Mefenamat kaplet 500 mg 10 strip x 10
tab
25 Asam traneksamat tablet 500 mg dus, 10 x 10 0
tablet
26 Asiklovir tablet 200 mg 10 strip @ 10 0
tablet
27 Asiklovir tablet 400 mg 10 strip @ 10 0
tablet
28 Atapulgit tablet 600 mg 5 strip @ 10 50 0
tablet
Betametason CR tube 0 0
29 Bedak Salisil serbuk 2% dus @ 50 0 0
gram
30 Bisakodil suppositoria 10 mg supp 0
31 Bisoprolol tablet 5 mg box 3 x 10 0
tab
32 Dexametason 0,5 mg Tablet 50 30 100
33 Dexametason inj Ampul 0
34 Dimenhidrinat tablet 50 mg 10 strip @ 10 100
tablet
35 Diphenhidramin Inj Ampul 0
36 Domperidon Tab Tablet 50
37 Domperidon Syr Botol 0
38 Etil Klorida semprot 100 ml btl @ 100 ml 0
39 Fitomenadion (vitamin K1) injeksi i.m. 2 dus @ 30 0
ampul
40 Fitomenadion (vitamin K1) tablet salut gula dus@ 10 x 10 's 0

41 Fluocinolone Acetonide, Neomycin sulfat cr tube @ 5 g 0


42 Furosemid Inj Ampul 0
43 Garam Oralit I serbuk ,kombinasi : dus @ 100 50
Natrium Klorida 0,52 g Kalium Klorida Sachet
0,30 g Trinatrium sitrat dihidrat 0,58 g
Glukosa Anhidrat 2,70 g

44 Gemfibrozil kapsul 300 mg 10 strip@ 10 0


kapsul
45 Gentamisin salep mata 0,3 % tube @ 3,5 gr 0
46 Glibenklamid tablet 5 mg 10 strip @ 10
tablet
47 Glikazid tablet 80mg (GLUCODEX) dus, 100 0
tablet
48 Glimepiride tablet 1 mg ktk 10x10 0
tablet
49 Glimepiride tablet 2 mg 5 strip @ 10
tablet
50 Glimepiride tablet 3 mg ktk 5x10 0
tablet
51 Griseofulvin tablet 125 mg dus @ 10 x 0
10's
52 Glyseril Guaiacolat (Batuk Berdahak) botol 100 tab 0
53 Hidrokortison Salep kulit Tube 0
54 Hidroklortiazid Tablet 0
Ibuprofen 400 mg 10 strip @ 10 0 0
tablet
55 Ibuprofen 200 mg 10 strip @ 10 50 0
tablet
56 Ibuprofen Syr Botol 0
57 Kalsium laktat (kalk) tab 500 mg 10 strip @ 10 0
tablet
58 Kaptopril tablet scored 12,5 mg 10 strip @ 10 0
tablet
59 Kaptopril tablet scored 25 mg 10 strip @ 10 0
tablet
60 Ketokonazol krim 2 % tube 10 gr 3
61 Ketokonazol tablet 200 mg 5 strip @ 10 50
tablet
Kloramfenikol 500 mg 10 strip @ 10 0
tablet
62 Kloramfenikol kaplet 250 mg ktk 10 x 10 0
tablet
63 Kloramfenikol salep kulit (Bufacetin) tube 5 gr 0
Kloramfenikol tetes telinga botol 0
64 Kloramfenikol suspensi 125 mg/ 5 ml botol, 60 ml 0
65 Klorfeniramina Maleat ( CTM ) tablet box 10 x 10
"s
66 Kombinasi tablet salut : Besi (II) sulfat dus, 100
7H2O 200 mg Asam Folat 0,25 mg Sachet @ 30
tablet

67 Kotrimoksazol DOEN I (dewasa) 10 strip @ 10 0


kombinasi :Sulfametoksazol 400 mg tablet
Trimetoprim 80 mg

68 Kotrimoksazol tab 200mg/40 mg dus, 10 strip 0


@ 10 tablet
69 Kotrimoksazol suspensi komb.: botol, 60 ml 0
Sulfametoksazol 200 mg +
Trimetoprim 40 mg / 5 ml

70 Lidocain Inj Ampul 0


71 Lidocain + Epinefrin Inj Ampul 0
72 Loperamid tablet 2 mg 10 strip @ 10 0
tablet
73 Loratadin tablet 10 mg 5 strip @ 10 0
tablet
74 Metformin HCl tablet 500 mg 10 strip@ 10
tablet
75 Metilergometrin Maleat ktk 10 x 10 0
(metilergometrin) tablet salut 0,125 mg tablet salut

76 Metilergometrin inj 0,2 mg/ml 100 ampul @ 0


1ml
77 Metilprednisolon tablet 4 mg 10 strip @ 10 50
tablet
78 Metronidazol tablet 500 mg 11 strip @ 10 0
tablet
79 Mikonazol krim/salep 2 % (Nitrat) tube 10 gr 0
80 Mukolitik dan Ekspektoran sirup botol 60 ml 0
81 Multivitamin sirop botol 60 ml 0
82 Natrium Diklofenak tablet 25 mg dus @ 5 x 0
10's
83 Natrium Diklofenak tablet 50 mg dus @ 5 x 0
10's
84 Nifedipin tablet 10 mg 10 strip @ 10 0
tablet
85 Nistatin vaginal tablet 100.000 IU/g dus @ 10 x 0
10's
86 Obat Sariawan (gom) box 24 tube 0
@ 5 gr
87 OBH SIRUP BATUK botol 60 ml 1 3 0
88 Oksitetrasiklin salep mata 1 % steril tube @ 5 g 0
89 Omeprazol kaps 20 mg strip 3 x 10 0
kapsul
90 Ondansetron inj. 4 mg/ 2 ml 5 ampul @ 2 0
ml
91 Parasetamol Sirup 120 mg / 5 ml botol 60 ml 5
92 Parasetamol tablet 500 mg 10 strip @ 10 0
kss
93 Piridoksin (vitamin B6) tab 10 mg botol@ 100 tablet 0

94 Piroxicam 10 mg kapsul 0
95 Prednison tab 5 mg kotak @ 10 x 0 0
10 tab
96 Propiltourasil tb 100 mg kotak @ 10 x 0
10 tab
97 Ranitidin Tablet 0 0
98 Ranitidin Inj Ampul 0
99 Salbutamol tablet 2 mg ( sebagai sulfat strip @ 10 0 0 0
) tablet
100 Salbutamol tablet 4 mg ( sebagai sulfat ktk 10 x 10 0
) tablet
101 Salep 2-4 , Kombinasi : Asam Salisilat Pot @ 30
2 % + Belerang endap 4 % gram
102 Sefadroksil kapsul 500 mg 10 strip@ 10 0
kapsul
103 Sefadroksil sir kering 250 mg/5 ml dus, botol 60 0
ml
104 Sefotaksim injeksi 1 gram dus, 10 vial 0
@ 1g
105 Setirizin tablet 10 mg 10 strips @ 0
10 kap
106 Sianokobalamin (vitamin B12) injeksi 5 ampul @ 1 ml 0

107 Simvastatin tablet 10 mg 10 strip @ 10 0


kss
Simvastatin tablet 20 mg 10 strip @ 10 0
kss
108 Siprofloksasin tablet 500 mg (sebagai H 10 blister @
10 tab
109 Tetes Telinga Antibiotik ( Kloramfenikolbotol @ 10 ml 0 0

110 Terra F (Batuk Pilek) 10 strip @ 10 0


tablet
111 Tetrasiklin kapsul 500 mg 10 strip @ 10 kapsul 0
112 Tiamin ( Vitamin B1 ) tablet 50 mg 10 strip @ 10 0
tablet
113 Multivitamin (Recovit tetes) vial @ 20 ml 0
114 Vitamin B-Complex Tab botol @ 100
tablet
116 Zink 10 mg/5 ml sirup botol @ 100 0
ml
117 Zink tablet dispesible 20 mg 10 strip @ 10 210
tablet
IAN DAN LEMBAR PERMINTAAN OBAT
PO ) DANA PKD DAN JKN
PELAPORAN BULAN AGUSTUS
PERMINTAAN BULAN AGUSTUS
TAHUN : 2024

PERSEDIAAN PEMAKAIAN SISA STOK PEMBERIAN


PERMINTAAN

JKN PKD JKN PKD JKN PKD JKN


9 10 11 12 13 14 15 16

0
50 100

0 50 100

0 50 100

0
0

0 30 100

0 50 100

0 1 5
0 100 100

50 100

0
0 60 200

0 70 100

0 10 100
0
0

40 100

0
0

0
0
0

0
0
0
0
0

0
0
0

0 0 5
0 0 100

0 50 100

50 100

0
0
0
70 100

0 60 100

0
100 200

0
0

0
0
0
0
0

0
0
0

0 50 100

0
0
0
0

50 100

0 0 2

0 0 5
0 0 5
0

0
0
0

0 200

0
0 0 100

50 100
0
0 50 100

0 60 100

0 0 5

0 0 200

50 100

10 100

0
0 200

0 0 100
50 150

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