Apotek Agustus 2016
Apotek Agustus 2016
Apotek Agustus 2016
NO
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
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
NAMA OBAT
Obat Pelayanan Kesehatan Dasar dan Program
Albendazol tablet 400mg
Alopurinol tablet 100mg
Aminofilin injeksi 24mg/ml - 10ml
Aminofilin tablet 200mg
Amitriptilin HCl tablet salut 25mg
Amoksisilin kaplet 500mg
Amoksisilin kapsul 250mg
Amoksisilin syrup kering 125mg/5ml
Ampisilin injeksi im/iv 500mg/vial
Antalgin injeksi 250mg/ml-2ml
Antalgin tablet 500mg
Antasida Syrup
Antasida DOEN tablet Kombinasi
Anti Bakteri DOEN salep kombinasi ( Bacitracin )
Anti Hemoroid DOEN kombinasi
Anti Parkinson DOEN tablet Kombinasi
Karbidopa 25mg + Levodopa 25 mg
Antifungi DOEN kombinasi ( Zalf 36 )
Antimigren DOEN Kombinasi :
Aqua pro injeksi steril, bebas pirogen
Aquadest Steril
Artemeter injeksi
Artesdiaquine tablet
Artesunat injeksi
Asam Askorbat (Vit C) tablet 50mg
Asam Askorbat tablet 250mg
Asetosal tablet 500mg
Astosal tablet 100mg
Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml
Atropin sulfat tablet 0,5mg
Atropin Sulfat tetes mata o,5%
Besi Syrup
Benzatin Benzil Penisilin inj. 1,2 jt IU
Benzatin Benzil Penisilin inj. 2.4 jt IU
Betametason krim 0,1%
Deksametason injkesi 5mg/ml-1ml
Deksametason tablet 0,5 mg
Dekstran 70 - Larutan infus 6 % steril
Dekstrometorfan sirup 10 mg/5 ml
Dekstrometorfan tablet 15 mg
Diazepam injeksi 5mg/ml-2ml
Diazepam tablet 2mg
BULAN
LALU
0
90
0
0
0
704
0
25
0
0
-81
0
720
15
13
0
0
0
9
0
0
0
0
0
800
0
0
0
0
0
0
0
0
0
4
0
1683
0
0
0
0
85
INCOME
90
2500
20
1700
12
1000
25
20
60
1
2000
10
300
TOTAL
INCOME
90
90
0
0
0
3204
0
45
0
0
1619
12
1720
40
33
0
0
0
69
0
1
0
0
0
2800
0
0
0
0
0
0
0
0
0
14
0
1983
0
0
0
0
85
26
97
2
20
64
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
90
0
0
0
80
0
0
0
0
30
11
2
3
0
0
0
0
363
0
0
0
15
0
150
0
-64
3
690
291
0
0
0
0
100
0
0
41
0
-6
18
277
300
0
0
0
-5
0
1300
0
0
200
500
200
100
500
29
100
100
400
2000
90
0
0
0
80
200
0
0
0
30
11
2
3
0
0
0
0
863
0
0
5
15
0
150
0
136
3
790
291
0
0
0
2
100
0
0
41
0
494
47
377
400
0
0
0
395
0
3300
0
0
8
10
30
35
20
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
0
100
0
1111
0
0
0
118
0
6
188
0
0
0
0
0
0
0
0
0
0
1327
0
44
58
61
0
0
0
23
0
7
0
0
2
0
0
0
0
0
27
0
0
0
0
126
0
887
0
0
1000
100
40
500
100
200
300
2
100
13
84
3500
0
100
0
2111
0
0
0
118
0
6
288
0
0
0
40
0
0
0
0
0
0
1827
0
44
158
261
0
0
0
323
0
9
0
0
102
0
0
0
0
0
40
0
0
0
0
210
0
4387
0
0
20
30
5
138
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
1
2
3
4
5
6
7
8
9
10
LAIN - LAIN
Alprazolam tablet 0,5mg
Alprazolam tablet 1mg
Ambroxol sirup 15mg/5ml
Ambroxol tablet 30mg
Amoksisilin injeksi 1 gram
Ampisilin injeksi 1 gram
Asam Mefenamat tablet 500mg
Asam Traneksamat injeksi 250mg
Asam Traneksamat injeksi 500mg
Asiklovir krim 5%
97
0
2
2
0
145
0
0
0
0
0
0
0
2
169
0
3
46
0
0
0
26
0
0
0
0
0
93
0
230
0
0
254
0
0
0
2160
-6
0
0
11
0
0
0
0
0
0
7
100
2
2
50
300
6
200
200
7
10
200
900
500
1500
400
24
10
197
0
4
4
0
145
0
0
0
0
0
50
300
8
369
200
10
56
0
0
0
226
0
0
0
0
0
993
0
230
0
0
754
0
0
0
3660
394
0
0
35
0
0
0
0
0
0
17
30
25
39
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
100
150
64
0
0
12
0
0
0
0
0
0
0
0
-3
0
12
405
0
55
0
0
0
0
191
11
0
-2
0
11
0
0
0
0
1
0
0
0
17
0
0
-32
0
0
0
0
0
38
10
0
50
200
5
6
5
15
100
40
1500
500
150
150
264
0
0
12
0
0
0
0
0
0
0
0
2
6
12
405
5
55
15
0
0
0
191
11
0
5
0
11
100
0
0
0
6
0
0
0
57
0
0
1468
0
0
0
0
0
538
10
0
19
20
10
61
62
63
64
65
66
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
28
29
30
31
32
33
34
35
36
37
38
39
40
41
Tamiflu tablet
Transamin injeksi 250
Transamin injeksi 500
Trifluoperazin tablet 5mg
Xilomidon injeksi
Scabizid Zalf
Paracetamol Drops
ALAT KESEHATAN
Abocath 18G
Abocath 20G
Abocath 22G
Abocath 24 G
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2, 5 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah
Centifuge Electric
Elastic Bandage
Folley Catether No. 16-18
Handscoon Steril 6,5
Handscoon Steril 7,5
Handscoon Steril 8
Handscoon Non Steri 6,5
Handscoon Non Steri 7,5
Handscoon Non Steri 8
Handscoon Gynaecolog (panjang)
Jarum Jahit
Infusion set anak
Infusion set dewasa
Kapas berlemak 500gr
Kapas Pembalut/Adsorben 250 gram
Kasa Kompres 40/40 steril
Kasa Pembalut 2m x 80cm
Kasa Pembalut Hidrofil 4m x 3cm
Kasa Pembalut 4 X 5 cm
Kasa Pembalut 4 X 10cm
Kasa pembalut hidrofil 4m x 15cm
Kasa Gulung 40 x 80 cm
Masker
Pembalut Gips
Plester 5 yards x 2 inch
Silk Benang bedah Sutra No. 3/0 dengan jarum bedah
Urobag
Wing Needle 21 G
Wing Needle 23 G
Wing Needle 25G
Wing Needle 27G
Kertas Perkamen
Klip Obat
0
0
0
0
0
3
4
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
1
0
0
0
20
15
0
3
0
0
0
0
0
0
0
0
0
-1
700
60
500
5
5
2
2
200
3
5
500
0
0
0
0
0
3
64
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
1000
0
0
0
5
5
0
3
0
0
0
20
15
0
5
200
0
3
0
0
0
0
0
0
4
1200
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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
OBAT GIGI
Air Raksa dental use
Avogyl
Caustiner
Cavit G
Cresopate
Devitalisasi pasta (Non arsen)
Etil klorida spray
Eugenol cairan
Flour tablet 0,5mg
Fuji 1 x B
Fuji 1 x MB
Glas Ionomer Cement ART
Kalsium Hidroksida Pasta
Klorfenol kamfer mentol (CHKM)
Mumifying pasta
Saliva Ejektotor
Semen seng fospat serbuk dan cairan
Silver amalgam serbuk 65-75%
Spongestan
Temporary Stoping Fletcher serbuk dan cairan
Trikresol Formalin
Xylocain Gel
Bahan Laboratorium
Alkohol 70%
Alumunium Foil 7,6 m X 300 mm
Anisol 100 cc
Aquadest 500 cc
Combur 10 Test AD 203 HH
EDTA (Anti Koagulan) 250 gr
Extrans TCBS
Glukotest/Gluco DR Super Sensor/Accu Check Active
Kapas Bebas Lemak
Kapas Berlemak
Kertas Tisue
Larutan Benedict
Larutan BGLB (Oxoid) 500 gr / cm 0031
Larutan eosin 2%
Larutan Etanol Asam
larutan Giemsa stain
Larutan HB Sahli (HCl 0,1 N) 100 cc
Larutan Karbol Fuchsin
Larutan LB (Oxoid) 50 gr / cm 0137
Larutan metilen biru
Larutan REES ECKER 250 ml
Larutan turk
Mac Conkey media bubuk
Pehidrol 1000ml
Pot Sputum
Raegen HB (Drabskin)
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
250
0
250
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
Slide
Spiritus
Test Golongan Darah
Test Kehamilan (PP Test)
Urine Protein Test
Widal (Typhi O,H, Paratyphi A-O, B-O, C-O)
Betahistin 6mg
Loratadin 10mg
Methylprednisolone 8mg
Methylprednisolone 4mg
Spuite 10cc
Omeprazole
Amlodipine 5mg
Amlodipine 10mg
Glimepiride 2mg
Dimenhydrinat 50mg
Lanzoprazole 30mg
Cetirizine 10mg
Salbutamol Cap
Salbutamol Rotary
Mouth Pieces Disposible
Flatpak Mouthpieces
Strip Lipid Panel
Bene Check Strip Glucosa 50's
Bene Check Strip Uric Acid 25's
Bene Check Strip Colesterol 10's
Spuite 0,05 ml
Spuite 0,5 ml
Safety Box
SD Bio HIV 1/2
SD Bio Syphilis Liq
Viria 1/2
Intec One Strip
Oncoprobe
SD Lutec HIV 1/2
Rapid
Cholesterol Strip Easy Touch
Micro Pipet 61
Micro Pipet 60
BD Vacumtainer
Cryo Tube
Micro Pipet Biru
Micro Pipet Kuning
Zinc Sirup
Spuite 3cc
Oxymethazoline 0.25% ( Anak )
OxymethaZoline 0.5% ( Dewasa )
Bioplacentone Tulle
E Care
Sendok Sirup
0
0
0
0
0
0
0
40
0
127
0
-40
0
5
40
0
14
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-3
100
0
0
0
0
1000
40
100
210
300
40
20
100
10
15
10
0
0
0
0
40
0
0
40
100
127
0
170
0
305
40
0
54
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
200
10
15
10
0
1000
77
78
79
80
81
82
83
84
85
86
87
88
89
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
27
28
29
30
31
14
15
16
1
65
80
90
70
61
90
10
20
82
50 180 60
145 70
74
120 50
42
30
70
50
30
60
30
23
50
15
10
40
1
93
10
2
20
12
23
30
19
10
40
28
44
22
10
1
45
11
20
20
27
65
19
36
50
50
1
30
61
20
50
50
30
10
20
2
20
10
30
11
24
57
32
71
32
63
36
16
20
38
14
29
10
10
1
42
30
42
42
42
3
20
62
10
10
10
20
10
43
10
13
5
3
10
10
10
10
30
10
5
40
10
10
40
10
10
2
10
10
2
5
2
10
10
10
10
3
10
1
10
10
15
40
10
50
80
20
20
10
60
50
20
60
20 105 20
10
60
20
52
44
40
77
62
64
30
76
10
56
66
24
25
32
13
13
18
10
20
25
20
50
20
10
20
20
80
30
20
120 30
20
20
30
30
10
20
10
15
10
20
10
10
10
10
11
22
10
20
125 80 101 60
50
35
53
45
20
30
1
10
10
10
10
10
10
1
1
100
30
20
40
45 105 95
30
10
88
60
20
30
119 80
99
86 251
11
40
10
20
22
91 104 83
10 10 5
35
5
10
10
10
46
65
155 55
10
10
30
11
40
30
20
20
1
1
3
7
1
10
10
40
20
30
46
30
30
60
30 110 20
30
10
28
10
30
10
10
10
32
24
26
10
20
50
20
20
30
20
40
10
10
30
20
11
20
100
100
100
200
5
5
1
100
1
500
10
20
20
10
10
10
35
30
10
10
20
10
20
15
10
10
10
10
31
1
1
1
1
17
18
19
143 55
20
47
21
22
23
195 55
24
25
91 105
20
1
30
60
40
20
2
68
35
93
41
50
30
20
10
20
1
20
20
3
70
1
60
4
56
36
16
49
1
33
22
17
58
TOTAL
OUT
SISA
1
0
0
0
0
2083
0
22
0
0
722
5
525
28
0
0
0
0
0
0
0
0
0
0
1118
0
0
0
0
0
0
0
0
0
6
0
673
0
0
0
0
9
89
90
0
0
0
1121
0
23
0
0
897
7
1195
12
33
0
0
0
69
0
1
0
0
0
1682
0
0
0
0
0
0
0
0
0
8
0
1310
0
0
0
0
76
174
42
18
3
10
10
10
11
5
1
1
10
10
40
10
82
15
100 80
60
90
40
20
0
0
0
0
10
0
0
0
0
10
1
0
0
0
0
0
0
414
0
0
2
0
0
0
0
76
0
220
261
0
0
0
0
0
0
0
0
0
48
33
0
210
0
0
0
65
0
1065
0
0
90
0
0
0
70
200
0
0
0
20
10
2
3
0
0
0
0
449
0
0
3
15
0
150
0
60
3
570
30
0
0
0
2
100
0
0
41
0
446
14
377
190
0
0
0
330
0
2235
0
0
64
38
36
121 59
84
80
1
4
30
10
30
10
20
20
15
90
89
3
30
136 96
11
90 109
0
0
0
1192
0
0
0
4
0
1
79
0
0
0
20
0
0
0
0
0
0
600
0
10
30
40
0
0
0
152
0
9
0
0
20
0
0
0
0
0
40
0
0
0
0
100
0
2483
0
0
0
100
0
919
0
0
0
114
0
5
209
0
0
0
20
0
0
0
0
0
0
1227
0
34
128
221
0
0
0
171
0
0
0
0
82
0
0
0
0
0
0
0
0
0
0
110
0
1904
0
0
3
4
50
300
8
10
20
1
11
1
30
96
50
10
88
30
42
30
20
26
50
0
4
4
0
0
0
0
0
0
0
50
300
8
65
41
1
14
0
0
0
20
0
0
0
0
0
400
0
0
0
0
313
0
0
0
2254
50
147
0
0
0
0
145
0
0
0
0
0
0
0
0
304
159
9
42
0
0
0
206
0
0
0
0
0
593
0
230
0
0
441
0
0
0
1406
344
0
0
35
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
3
10
30
10
10
40
26
20
30
55
40
50
11
11
10
111
40
0
0
0
0
0
0
0
0
0
0
0
1
1
3
14
5
0
5
0
0
0
55
0
0
2
0
11
0
0
0
0
6
0
0
0
0
0
0
786
0
0
0
0
0
494
0
0
140
39
224
0
0
12
0
0
0
0
0
0
0
0
1
5
9
391
0
55
10
0
0
0
136
11
0
3
0
0
100
0
0
0
0
0
0
0
57
0
0
682
0
0
0
0
0
44
10
0
15
100
100
1
400
0
0
0
0
0
0
53
0
0
0
0
0
3
11
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
1000
0
0
0
5
5
0
1
0
0
0
0
0
0
0
200
0
4
0
0
0
0
0
0
0
500
0
0
0
0
0
67
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
20
15
0
5
0
0
-1
0
0
0
0
0
0
4
700
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
250
0
10
10
10
10
10
20
25
10
20
54
12
###
0
0
0
0
0
0
0
10
0
10
0
80
0
185
0
0
54
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
1
1
1
0
1000
0
0
0
0
40
0
0
30
100
117
0
90
0
120
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
200
9
14
9
0
0
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Resep
Generik
75
86
81
78
88
Resep
Non Generik
1
1
1
90
67
127
90
130
27
105
95
89
62
51
36
83
39
102
72
43
140
87
140
77
123
2283
Jumlah
Total
76
87
81
79
88
0
90
67
127
90
130
27
0
105
95
89
62
51
36
0
83
39
0
102
72
43
140
87
140
77
123
2286
No
Tanggal
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
28
29
30
27-7-2016
30-7-2016
2-8-2016
3-8-2016
11-8-2016
15-8-2016
16-8-2016
16-8-2016
19-8-2016
19-8-2016
19-8-2016
19-8-2016
25-8-2016
Nama Pasien
I gede sila yoga
I nyoman ruma
ni ketut budiasih
I gede sila yoga
I gede sila yoga
gst lanang arca
luh yudani
dewa suradnya
I nyoman ruma
gst lanang arca
kt budiasih
I gede sila yoga
I gede sila yoga
TOTAL
Umur
39
36
34
39
39
77
42
51
38
77
36
39
39
Alamat
tabu
akah
akah
tabu
tabu
selat
selat
timu
akah
selat
akah
tabu
tabu
Jenis Obat
CPZ
CPZ
25 mg
100 mg
Luminal
30 mg
Luminal
100 mg
Diazepam Diazepam
2 mg
5 mg
42
30
42
42
42
60
30
60
42
42
42
5
4
-
474
No
1
2
3
4
5
6
7
8
9
10
Nama Obat
Jumlah
Pemakaian
2483
2254
2083
1192
1118
1065
786
722
673
600
Jumlah Pemakaian
3000
2500
2000
1500
1000
500
0
Jumlah Pemakaian
TGL
BAYAR
26-7-2016
27-7-2016
28-7-2016
29-7-2016
30-7-2016
31-7-2016
1-8-2016
2-8-2016
3-8-2016
4-8-2016
5-8-2016
6-8-2016
7-8-2016
8-8-2016
9-8-2016
10-8-2016
11-8-2016
12-8-2016
13-8-2016
14-8-2016
15-8-2016
16-8-2016
17-8-2016
18-8-2016
19-8-2016
20-8-2016
21-8-2016
22-8-2016
23-8-2016
24-8-2016
25-8-2016
JUMLAH
45
42
44
36
47
0
53
42
37
54
32
25
0
45
43
34
27
25
29
0
40
39
0
37
39
31
0
50
40
33
65
1034
Resep generik
2283
PROGRAM
TIDAK BAYAR
JKMS KADER UKS
IM
BPJS
JUMLAH
19
21
14
18
12
64
63
58
54
59
23
20
14
19
45
13
76
62
51
73
77
38
19
15
15
8
11
11
64
58
49
35
36
40
18
17
58
56
14
10
10
51
49
41
32
17
14
23
452
82
57
47
88
1486
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
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
: APOTEK
: KLUNGKUNG
: KLUNGKUNG
NAMA OBAT
Dokumen
PPK
:
:
Puskesmas :
0
90
0
0
0
704
0
25
0
0
-81
0
720
15
13
0
0
0
9
0
0
0
0
0
800
0
0
0
0
0
0
0
0
0
4
0
1683
0
0
0
0
85
90
0
0
0
80
0
0
0
0
30
11
2
3
0
0
0
0
363
90
0
0
0
0
2500
0
20
0
0
1700
12
1000
25
20
0
0
0
60
0
1
0
0
0
2000
0
0
0
0
0
0
0
0
0
10
0
300
0
0
0
0
0
0
0
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
500
90
90
0
0
0
3204
0
45
0
0
1619
12
1720
40
33
0
0
0
69
0
1
0
0
0
2800
0
0
0
0
0
0
0
0
0
14
0
1983
0
0
0
0
85
90
0
0
0
80
200
0
0
0
30
11
2
3
0
0
0
0
863
1
0
0
0
0
2083
0
22
0
0
722
5
525
28
0
0
0
0
0
0
0
0
0
0
1118
0
0
0
0
0
0
0
0
0
6
0
673
0
0
0
0
9
0
0
0
0
10
0
0
0
0
10
1
0
0
0
0
0
0
414
89
90
0
0
0
1121
0
23
0
0
897
7
1195
12
33
0
0
0
69
0
1
0
0
0
1682
0
0
0
0
0
0
0
0
0
8
0
1310
0
0
0
0
76
90
0
0
0
70
200
0
0
0
20
10
2
3
0
0
0
0
449
2000
1500
25
25
1000
10
500
30
300
5
300
26
1000
700
500
1000
KET
NO
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
NAMA OBAT
0
0
0
15
0
150
0
-64
3
690
291
0
0
0
0
100
0
0
41
0
-6
18
277
300
0
0
0
-5
0
1300
0
0
0
100
0
1111
0
0
0
118
0
6
188
0
0
0
0
0
0
0
0
0
0
1327
0
44
58
61
0
0
0
23
0
7
0
0
2
0
0
0
5
0
0
0
0
200
0
100
0
0
0
0
2
0
0
0
0
0
500
29
100
100
0
0
0
400
0
2000
0
0
0
0
0
1000
0
0
0
0
0
0
100
0
0
0
40
0
0
0
0
0
0
500
0
0
100
200
0
0
0
300
0
2
0
0
100
0
0
0
5
15
0
150
0
136
3
790
291
0
0
0
2
100
0
0
41
0
494
47
377
400
0
0
0
395
0
3300
0
0
0
100
0
2111
0
0
0
118
0
6
288
0
0
0
40
0
0
0
0
0
0
1827
0
44
158
261
0
0
0
323
0
9
0
0
102
0
0
0
2
0
0
0
0
76
0
220
261
0
0
0
0
0
0
0
0
0
48
33
0
210
0
0
0
65
0
1065
0
0
0
0
0
1192
0
0
0
4
0
1
79
0
0
0
20
0
0
0
0
0
0
600
0
10
30
40
0
0
0
152
0
9
0
0
20
0
0
0
3
15
0
150
0
60
3
570
30
0
0
0
2
100
0
0
41
0
446
14
377
190
0
0
0
330
0
2235
0
0
0
100
0
919
0
0
0
114
0
5
209
0
0
0
20
0
0
0
0
0
0
1227
0
34
128
221
0
0
0
171
0
0
0
0
82
0
200
100
300
500
500
30
24
300
100
100
1000
1000
300
1000
100
100
10
100
KET
500
NO
NAMA OBAT
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
0
0
0
0
27
0
0
0
0
126
0
887
0
0
97
0
2
2
0
145
0
0
0
0
0
0
0
2
169
0
3
46
0
0
0
26
0
0
0
0
0
93
0
230
0
0
254
0
0
0
2160
-6
0
0
0
0
13
0
0
0
0
84
0
3500
0
0
100
0
2
2
0
0
0
0
0
0
0
50
300
6
200
200
7
10
0
0
0
200
0
0
0
0
0
900
0
0
0
0
500
0
0
0
1500
400
0
0
0
0
40
0
0
0
0
210
0
4387
0
0
197
0
4
4
0
145
0
0
0
0
0
50
300
8
369
200
10
56
0
0
0
226
0
0
0
0
0
993
0
230
0
0
754
0
0
0
3660
394
0
0
0
0
40
0
0
0
0
100
0
2483
0
0
50
0
4
4
0
0
0
0
0
0
0
50
300
8
65
41
1
14
0
0
0
20
0
0
0
0
0
400
0
0
0
0
313
0
0
0
2254
50
0
0
0
0
0
0
0
0
0
110
0
1904
0
0
147
0
0
0
0
145
0
0
0
0
0
0
0
0
304
159
9
42
0
0
0
206
0
0
0
0
0
593
0
230
0
0
441
0
0
0
1406
344
1
2
3
4
5
6
7
8
9
10
11
12
13
14
LAIN - LAIN
Alprazolam tablet 0,5mg
Alprazolam tablet 1mg
Ambroxol sirup 15mg/5ml
Ambroxol tablet 30mg
Amoksisilin injeksi 1 gram
Ampisilin injeksi 1 gram
Asam Mefenamat tablet 500mg
Asam Traneksamat injeksi 250mg
Asam Traneksamat injeksi 500mg
Asiklovir krim 5%
Asiklovir tablet 200mg
Asiklovir tablet 400mg
Asam Folat
Biolysin syrup 60ml
0
0
11
0
0
0
0
0
0
7
100
150
64
0
0
0
24
0
0
0
0
0
0
10
50
0
200
0
0
0
35
0
0
0
0
0
0
17
150
150
264
0
0
0
35
0
0
0
0
0
0
14
10
111
40
0
0
0
0
0
0
0
0
0
0
3
140
39
224
0
100
100
84
1500
1000
4
4
2
2
12
12
10
200
300
500
500
1500
1500
50
1000
20
12
200
200
KET
NO
NAMA OBAT
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
Bioplacenton jelly
Bisakodil supp 10mg
Buscopan injeksi
Cimetidin tablet 200mg
Ciprofloksazin tablet 500mg
Cortison injeksi
Delladril injeksi
Diazepam Rectal 4mg/ml
Dopamin injeksi 40mg/ml
Gentamycin injkesi 10mg/ml
Gentamycin salep kulit
Gentamycin Tetes Mata
Ibuprofen Suspensi
Isoniazid ( INH ) 100mg
Ketokenasol salep
Ketokenazol tablet 200mg
Kloramfenikol salep mata 1%
Kloramfenikol Tetes Mata
Livron Bplek
Metoklopramide HCl injeksi 5mg/ml10mg
Metoklopramide HCl tablet 10mg
Metronidazol Sirup
Meylon injeksi
Mikonazol krim 2%
Neurotropin injeksi
New Diaform / Puralex
Nipedipin tablet 10mg
Obat Kusta MB Anak
Obat Kusta MB Dewasa
Obat Kusta PB
Oksitetrasiklin Salep Kulit 3%
Oseltamivir kapsul 75mg
Papaverin tablet
Parasetamol Rectal sup 120mg
Pehacain injeksi
Perak Sulfadiazin krim 1%
Phenil butason tablet
Piroxicam kapsul 10mg
Piroxicam kapsul 20mg
Progesteron Injeksi ( 3bln/1ml)
Ketoprofen injeksi
Ketoprofen sup 100mg
Ranitidin injeksi
Ranitidin tablet 150mg
Salbutamol nebulizer 2,5mg/2,5ml
Seftriaxon injeksi 1g
Tamiflu tablet
Transamin injeksi 250
Transamin injeksi 500
Trifluoperazin tablet 5mg
Xilomidon injeksi
Scabizid Zalf
Paracetamol Drops
ALAT KESEHATAN
Abocath 18G
Abocath 20G
Abocath 22G
Abocath 24 G
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2, 5 ml
Alat suntik sekali pakai 5 ml
Catgut / Benang Bedah no 2/0-3/0 dengan jarum bedah
Centifuge Electric
Elastic Bandage
Folley Catether No. 16-18
Handscoon Steril 6,5
Handscoon Steril 7,5
Handscoon Steril 8
1
2
3
4
5
6
7
8
9
10
11
12
13
14
0
12
0
0
0
0
0
0
0
0
-3
0
12
405
0
55
0
0
0
0
191
11
0
-2
0
11
0
0
0
0
1
0
0
0
17
0
0
-32
0
0
0
0
0
38
10
0
0
0
0
0
0
3
4
0
0
0
0
0
0
0
0
0
0
5
6
0
0
5
0
15
0
0
0
0
0
0
7
0
0
100
0
0
0
5
0
0
0
40
0
0
1500
0
0
0
0
0
500
0
0
0
0
0
0
0
0
60
0
12
0
0
0
0
0
0
0
0
2
6
12
405
5
55
15
0
0
0
191
11
0
5
0
11
100
0
0
0
6
0
0
0
57
0
0
1468
0
0
0
0
0
538
10
0
0
0
0
0
0
3
64
0
0
0
0
0
0
0
0
0
0
1
1
3
14
5
0
5
0
0
0
55
0
0
2
0
11
0
0
0
0
6
0
0
0
0
0
0
786
0
0
0
0
0
494
0
0
0
0
0
0
0
0
53
0
12
0
0
0
0
0
0
0
0
1
5
9
391
0
55
10
0
0
0
136
11
0
3
0
0
100
0
0
0
0
0
0
0
57
0
0
682
0
0
0
0
0
44
10
0
0
0
0
0
0
3
11
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
87
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
67
0
0
0
0
0
0
0
0
5
5
5
10
10
10
100
20
1000
1000
500
1000
400
100
56
KET
NO
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
NAMA OBAT
0
500
0
0
0
0
0
0
1
0
0
0
20
15
0
3
0
0
0
0
0
0
0
0
0
-1
700
0
500
0
0
0
5
5
0
2
0
0
0
0
0
0
2
200
0
3
0
0
0
0
0
0
5
500
0
1000
0
0
0
5
5
0
3
0
0
0
20
15
0
5
200
0
3
0
0
0
0
0
0
4
1200
0
1000
0
0
0
5
5
0
1
0
0
0
0
0
0
0
200
0
4
0
0
0
0
0
0
0
500
0
0
0
0
0
0
0
0
2
0
0
0
20
15
0
5
0
0
-1
0
0
0
0
0
0
4
700
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000
KET
600
300
1
500
1
200
5
5
NO
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
NAMA OBAT
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
0
127
0
-40
0
5
40
0
14
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-3
100
0
0
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
250
0
0
0
0
0
40
0
0
0
100
0
0
210
0
300
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
100
10
15
10
0
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
250
0
0
0
0
0
40
0
0
40
100
127
0
170
0
305
40
0
54
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
200
10
15
10
0
1000
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
0
10
0
80
0
185
0
0
54
183
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
1
1
1
0
1000
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
250
0
0
0
0
0
40
0
0
30
100
117
0
90
0
120
40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
200
9
14
9
0
0
0
0
0
0
0
0
0
0
100
90
300
150
100
200
KET
NO
NAMA OBAT
85
86
87
88
89
90
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
UMUM
BAYAR
1034
Mengetahui / Menyetujui
Kepala Puskesmas Klungkung II
BPJS JUMLAH
452
1486
2283
3
2286
Yang menyerahkan
Petugas Obat,
Yang Meminta
Apotek
KET
TGL
KEGIATAN PETUGAS
26
Pelayanan & Pemberian obat kepada pasien
27
Pelayanan & Pemberian obat kepada pasien
28
-------- Libur -------29
Persiapan obat kepada pustu dan masing-masing poli
30
Persiapan obat kepada pustu dan masing-masing poli
31
Pemberian obat kepada pustu dan masing-masing poli
1
Setor laporan obat ke GFK
2
Pelayanan & Pemberian obat kepada pasien
3
Pelayanan & Pemberian obat kepada pasien
4
-------- Libur -------5
Pelayanan & Pemberian obat kepada pasien
6
Hari Raya Penampahan Galungan
7
Hari Raya Galungan
8
Hari Raya Umanis Galungan
9
Pelayanan Pusling
10
Pelayanan Pusling
11
-------- Libur -------12
Hari Raya Idul Adha 1437 H
13
Pelayanan & Pemberian obat kepada pasien
14
Pelayanan & Pemberian obat kepada pasien
15
Pelayanan Pusling
16
Hari Raya Penampahan Kuningan
17
Hari Raya Kuningan
18
Hari Raya Umanis Kuningan
19
Pelayanan Pusling
20
Pelayanan & Pemberian obat kepada pasien
21
Pelayanan & Pemberian obat kepada pasien
22 Pelayanan obat, tutup buku dan perencanaan obat pusling
23
Pelayanan & Pemberian obat kepada pasien
24 Pelayanan obat, tutup buku dan perencanaan obat apotek
25
-------- Libur --------
LOKASI
Puks. Klungkung II
Puks. Klungkung II
-------- Libur -------Puks. Klungkung II
Puks. Klungkung II
Wilayah Puks. Klungkung II
GFK Klungkung
Puks. Klungkung II
Puks. Klungkung II
-------- Libur -------Puks. Klungkung II
-------- Libur --------------- Libur --------------- Libur -------Desa Takedan
Desa Manduang Kaler
-------- Libur --------------- Libur -------Puks. Klungkung II
Puks. Klungkung II
Desa Besang Kangin
-------- Libur --------------- Libur --------------- Libur -------Desa Yang Api
Puks. Klungkung II
Puks. Klungkung II
Puks. Klungkung II
Puks. Klungkung II
Puks. Klungkung II
-------- Libur -------Selat, 25 Agustus 2016
Petugas
Puskesmas Klungkung II
Klungkung
Bali
Agustus 2016
TOTAL
250
NO TANGGAL
1
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
28
29
30
31
2
1-8-2016
2-8-2016
3-8-2016
4-8-2016
5-8-2016
6-8-2016
7-8-2016
8-8-2016
9-8-2016
10-8-2016
11-8-2016
12-8-2016
13-8-2016
14-8-2016
15-8-2016
16-8-2016
17-8-2016
18-8-2016
19-8-2016
20-8-2016
21-8-2016
22-8-2016
23-8-2016
24-8-2016
25-8-2016
26-8-2016
27-8-2016
28-8-2016
29-8-2016
30-8-2016
31-8-2016
KONSELING
5
-
INFORMASI
OBAT
6
Yang Melaporkan
Pengelola Obat
NO TANGGAL
1
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
28
29
30
31
2
1-8-2016
2-8-2016
3-8-2016
4-8-2016
5-8-2016
6-8-2016
7-8-2016
8-8-2016
9-8-2016
10-8-2016
11-8-2016
12-8-2016
13-8-2016
14-8-2016
15-8-2016
16-8-2016
17-8-2016
18-8-2016
19-8-2016
20-8-2016
21-8-2016
22-8-2016
23-8-2016
24-8-2016
25-8-2016
26-8-2016
27-8-2016
28-8-2016
29-8-2016
30-8-2016
31-8-2016
TOTAL
:
:
:
:
Klungkung II
Desa Selat, Kecamatan Klungkung
Agustus 2016
Umum
3
3
3
3
4
4
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
3
3
3
3
100.00%
100.00%
4
1
3
4
1
3
100.00%
100.00%
100.00%
3
3
3
4
4
3
3
3
3
4
4
3
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
3
3
3
3
3
3
100.00%
100.00%
100.00%
82
82
100.00%
NAMA OBAT
NON GENERIK
6
NO TANGGAL
1
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
28
29
30
31
2
1-8-2016
2-8-2016
3-8-2016
4-8-2016
5-8-2016
6-8-2016
7-8-2016
8-8-2016
9-8-2016
10-8-2016
11-8-2016
12-8-2016
13-8-2016
14-8-2016
15-8-2016
16-8-2016
17-8-2016
18-8-2016
19-8-2016
20-8-2016
21-8-2016
22-8-2016
23-8-2016
24-8-2016
25-8-2016
26-8-2016
27-8-2016
28-8-2016
29-8-2016
30-8-2016
31-8-2016
TOTAL
:
:
:
:
Klungkung II
Desa Selat, Kecamatan Klungkung
Agustus 2016
BPJS
3
3
3
3
3
4
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
3
3
3
3
100.00%
100.00%
4
3
3
4
3
3
100.00%
100.00%
100.00%
3
3
3
3
4
3
3
3
3
3
4
3
100.00%
100.00%
100.00%
100.00%
100.00%
100.00%
3
3
3
3
3
3
100.00%
100.00%
100.00%
82
82
100.00%
NAMA OBAT
NON GENERIK
6
Wibawa