LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

( LPLPO )

KODE UPTD KESEHATAN : Hal 1

UPTD KESEHATAN : Bumi Mulya LB 2
KECAMATAN : Logas Tanah Darat Bulan : Maret
KAB/KOTA : Kuantan Singingi Tahun : 2024
PROPINSI : RIAU

STOK PENERI PERSE PEMA SISA STOK PEMBERIAN

NO NAMA SATUAN PERMINTAAN
AWAL MAAN DIAAN KAIAN STOK OPT INPRES ASKES APBD LAIN JML

1 Acetylcysteine tablet 200 mg tablet 2400 2400 900 1500 3000

2 Acyclovir cream 5 % tube 0 0 0 0 50
3 Acyclovir tablet 400 mg tablet 550 550 50 500 1000
4 Albendazole 400 mg tablet 1129 1129 629 500
5 Allopurinol tablet 100 mg tablet 0 0 0 0 5000
KET
KODE UPTD KESEHATAN : Bulan : Maret Hal.3
Tahun : 2024 LB.2
STOK PENERI PERSE PEMA SISA STOK PEMBERIAN
NO NAMA OBAT SATUAN PERMINTAAN KET
AWAL MAAN DIAAN KAIAN STOK OPT INPRES ASKES APBD LAIN JML
24 Asam Mefenamat 500mg Tablet 2300 2300 500 1800 1000
25 Asam Traneksamat 500 mg Tablet 150 150 0 150
26 Betahistin maleat tab 5 mg Tablet 500 500 100 400
27 Betametason krim 0,1% Tube 20 20 20 0 100
28 Bioplacenton Tube 0 0 0 0 50
29 Bisoprolol tab 5 mg Tablet 990 990 90 900
30 Captropil 12,5 mg Tablet 10500 10500 0 10500
31 Captropil 25 mg Tablet 5900 5900 400 5500
32 Cefadroxil kapsul 500 mg Kapsul 1000 1000 500 500 5000
33 Cefadroxil Syrup kering 100 mg/ 5ml botol 0 0 0 0 50
34 Cefotaxime injeksi 1g / vial vial 0 0 0 0 20
35 Ceterizine 10 mg tablet 1000 1000 700 300 3000
36 Chlorampenicol Salep mata 1% tube 0 0 0 0 20
37 Chlorpeniramine Maleat (CTM) tablet 1000 1000 500 500 5000
38 Chlorpromazine tab 100 mg tablet 450 450 0 450
39 Ciprofloxacin 500 mg tablet 600 600 300 300 2000
40 Clozapin 25 mg tablet 0 0 0 0 300
41 Cotrimoksazole sirup Botol 0 0 0 0 50
42 Dexametasone inj 5 mg/ml - 1 ml Ampul 40 40 0 40 50
43 Dexametasone tablet 0,5 mg tablet 2000 2000 500 1500 5000
44 Difenhidramin Injeksi 10 mg/ml ampul 30 30 0 30
45 Dimenhidrinat tab 50mg tablet 100 100 0 100 500
46 Doksisiklin Kaps 100 mg Kapsul 0 0 0 0 300
47 Domperidon Drop 5 mg/5ml botol 0 0 0 0 20
48 Domperidon tablet 10 mg tablet 2200 2200 0 2200 2000
49 Fenol gliserol tetes telinga 10 % botol 0 0 0 0 10
50 Ferro Fumarat 60 mg + Asam Folat 0,4 mg Tab Sal Tab Sal 0 0 0 0 1000
51 Fitomenadion (vit K1) tablet salut 10 mg tablet 1300 1300 1300 0 500
52 Furosemida tablet 40 mg tablet 0 0 0 0 1000
53 Kalcinol N Cream Tube 0 0 0 0 20
KODE UPTD KESEHATAN : Bulan : Maret Hal.4
Tahun : 2024 LB.2
STOK PENERI PERSE PEMA SISA STOK PEMBERIAN
NO NAMA OBAT SATUAN PERMINTAAN KET
AWAL MAAN DIAAN KAIAN STOK OPT INPRES ASKES APBD LAIN JML

54 Garam oralit untuk 200 ml air sach 0 0 0 0 1000

55 Gentamycin salep kulit tube 5 gr 0 0 0 0 50
56 Glibenklamid tablet 5 mg 100 tablet / box 0 0 0 0 2000
57 Glimepiride 2 mg 100 tablet / box 600 600 0 600 3000
58 Glimepiride 1 mg 100 tablet / box 5000 5000 500 4500
59 Gliseril guayakolat 100 mg 1000 tablet / botol 300 300 0 300 500
60 Haloperidol 1,5 mg 100 tablet / box 0 0 0 0
61 Hidroklorotiazit tab 25 mg 100 Tablet / Box 0 0 0 0 500
62 Hidrokortison Cream 2,5% 24 Tube @ 5 gr/ Box 50 50 5 45 50
63 Ibuprofen tablet 400 mg tablet 1000 1000 400 600 5000
64 Isosorbid dinitrat tablet sublingual 5 mg tablet 0 0 0 0 2000
65 Kalsium laktat ( kalk ) tablet 500 mg tablet 1100 1100 400 700 3000
66 Ketokonazol tab 200mg Tablet 1000 1000 100 900
67 Ketokonazol Cream Tube 0 0 0 0 100
68 Kloramfenikol salaf mata 1 % tube 5 5 5 0 20
69 Kotrimoksazol (dws) Forte komb. Sulfametoksazol tablet 0 0 0 0 1000
70 Lansoprazole 30mg tablet 0 0 0 0 1000
71 Lidokain inj Ampul 0 0 0 0 100
72 Loperamid HCL 2 mg (inamid) tablet 0 0 0 0 1000
73 Loratadin Tablet 10 mg tablet 1500 1500 500 1000
74 Mg Sulfat inj 40 % Ampul 40 40 0 40
75 Meloxicam 7,5 mg tablet 100 100 100 0 1000
76 Metformin tablet 500 mg tablet 3500 3500 300 3200
77 Metilergometrin maleat inj 0,200 mg-1 ml Ampul 0 0 0 0 50
78 Metilergometrin maleat tablet tablet 900 900 100 800
79 Metil Prednisolon 4 mg tablet Tablet 2000 2000 500 1500 5000
80 Metronidazol tablet 500 mg Tablet 1500 1500 300 1200
81 Miconazole cream 2 % Tube 48 48 8 40
82 Molagit tablet tablet 0 0 0 0 500
83 Natrium diklofenak 50 mg tablet tablet 2500 2500 200 2300 2000
KODE UPTD KESEHATAN : Bulan : Maret Hal 5
Tahun : 2024 LB.2
STOK PENERI PERSE PEMA SISA STOK PEMBERIAN
NO NAMA OBAT SATUAN PERMINTAAN
AWAL MAAN DIAAN KAIAN STOK OPT INPRES ASKES APBD LAIN JML

84 Neo Diaform, kaolin 50 mg pektin 20 mg tablet 0 0 0 0 500

85 Neo diagon Antapulgit tablet 0 0 0 0
86 Nifedipine 10 mg tablet 1390 1390 90 1300
87 Oksitetrasiklin Hcl salap kulit 3% Tube 0 0 0 0 10
88 Omeprazole kaps 20mg Kapsul 1000 1000 400 600 5000
89 Parasetamol Sirup 120 mg/5 ml botol 50 50 15 35 100
90 Parasetamol kaplet 500 mg tablet 6000 6000 1000 5000 3000
91 Pehacain inj ampul 20 20 20 0 20
92 Permetrin Cream 5% (Scabimite) Tube / Pot 0 0 0 0 20
93 Phytomenadion inj 2 mg/ml ampul 0 0 0 0 20
94 Pyrantel tablet 125 mg tablet 900 900 0 900
95 Piridoksin (Vitamin B6 ) Tablet 10 mg tablet 800 800 0 800
96 Piroxicam 20 mg tablet 0 0 0 0 1000
97 Prednisone tablet 5 mg tablet 0 0 0 0 500
98 Propanolol tablet 10 mg tablet 0 0 0 0 1000
99 Pytogin ( Oxytocin ) inj ampul 85 85 0 85
100 Ranitidin 150 mg tablet 2000 2000 500 1500 5000
101 Ranitidin Inj 25 mg / ml ampul 50 50 0 50 50
102 Salbutamol tablet 2 mg tablet 2000 2000 500 1500 3000
103 Salbutamol tablet 4 mg tablet 200 200 0 200 2000
104 Salisil bedak 2 % bungkus 100 100 0 100
105 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU Ampul 0 0 0 0 10
106 Salbutamol Sirup 2 mg//5ml botol 0 0 0 0
107 Sianokobalamin (Vit B12) inj 500 mcg/ml - 1 ml ampul 100 100 50 50 100
108 Sianokobalamin (Vit B12) Tablet 50mcg tablet 3000 3000 1000 2000 3000
109 Simvastatin 10 mg tablet 0 0 0 0 5000
110 Simvastatin 20 mg tablet 0 0 0 0 5000
111 Tiamin ( vit B1) Tablet 50 mg tablet 900 900 0 900
112 Trihexyphenidyl HCl tab 2 mg tablet 0 0 0 0 300
KET
KODE UPTD KESEHATAN : Bulan : Maret Hal.7
Tahun : 2024 LB.2
STOK PENERI PERSE PEMA SISA STOK PEMBERIAN
NO NAMA OBAT SATUAN PERMINTAAN KET
AWAL MAAN DIAAN KAIAN STOK OPT INPRES ASKES APBD LAIN JML

113 Vitamin B Kompleks tablet Tablet 0 0 0 0 5000

114 Zinc tab tablet 2000 2000 300 1700
115 Zinc Syr 20 mg / 5 ml Botol 0 0 0 0 50
116 Dumin Suppos 250mg/ 4ml tube 10 10 1 9 20
117 Epinephrin Injeksi 1 mg/ ml ampul 15 15 0 15
118 Ondansetron Injeksi 4 mg/ 2ml ampul 60 60 5 55 50
119 Chlorampenicol tetes mata botol 0 0 0 0 50
120 chlorampenicol tetes telinga 3% botol 30 30 0 30 20
121 Octadin Gel Tube 0 0 0 0
122 Stimuno Forte Tablet 0 0 0 0 3000
123 Stimuno sirup botol 0 0 0 0 100
124 Herbakof Reconyl Tablet 300 300 0 300
125 Cetirizin sirup botol 10 10 0 10 50
126 Ketoprofen supp 100mg tube 0 0 0 0 20
127 Parasetamol drops 100 mg/ ml botol 0 0 0 0 20
128 Azytromycin Tablet 0 0 0 0 2000
129 Propanolol inj 1 mg/ml ampul 0 0 0 0 20
130 Salbutamol cairan ih (Meprovent) ampul 18 18 3 15
131 Atropin injeksi 0,25mg/ml ampul 100 100 0 100
132 Risperidone 2 mg Tablet 500 500 0 500
133 Spasminal Tablet 0 0 0 0 3000
134 Sucralfat syr botol 0 0 0 0 50
135 Diazepam injeksi ampul 0 0 0 0 10
136 Oxyvit C Tablet 0 0 0 0 3000

Mengetahui, Yang Melaporkan,

Kepala BLUD UPTD Puskesmas Bumi Mulya Penanggung Jawab Obat Puskesmas Bumi Mulya
 Esra Marlina, SST,M.Kes Apt. Rigo Vonitra JS, S.Farm
NIP.19840224 201705 2 004