LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

NO : PELAPORAN BULAN Apr-22

NAMA PUSKESMAS : PRINGGARATA PENERIMAAN BULAN MEI 2022
NAMA UNIT UGD
PENGELOLA OBAT Taruna Bayu Satriawan,Amd.kep

STOK STOK EXPIRED DATE/

No. Nama Obat Satuan PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN PEMBERIAN NO. BATCH
AWAL OPTIMUM KETERANGAN

Tablet/Kapsul/Sachet
1 ACT tablet tablet - -
2 Acetyl Cystein 200mg tablet 80 640 720 610 110
3 Acyclovir 200 mg tablet tablet - -
4 Acyclovir 400 mg tablet tablet - -
5 Albendazol tablet 400 mg tablet - -
6 Alopurinol tablet 100 mg tablet - -
7 Alprazolam 0,5 mg tablet tablet - -
8 Alprazolam 1 mg tablet - -
9 Ambroxol tablet tablet - -
10 Aminofilina tablet 200 mg tablet - -
11 Amitriptilina tablet 25 mg tablet - -
12 Amlodipin 5 mg tablet - -
13 Amlodipin 10 mg tablet 30 200 230 70 160
14 Amoksisilina kapsul 500 mg tablet 80 1,100 1,180 1,010 170
15 Antasida DOEN tablet tablet 140 800 940 810 130
16 Asam Askorbat (Vit. C) tablet 50 mg tablet - 300 300 150 150
17 Asam Folat tab tablet - -
18 Asam Mefenamat tablet 500 mg tablet - 1,000 1,000 720 280
19 Asam Tranexamat 500mg tablet 40 - 40 30 10
20 Asetosal 80mg (MINIASPI) tablet - -
21 Attalpulgite 600mg - New Antides tablet - -
22 Azithromycin 500 mg tab tablet - -
23 Betahistin 6mg tablet - 150 150 60 90
24 Captopril 12,5 mg tablet 130 200 330 250 80
25 Captopril tablet 25 mg tablet - -
26 Captopril tablet 50 mg tablet - -
27 Cefadroxil 500 mg tablet - -
28 Clozapine 25mg tablet - -
29 Cyproploxasin tablet tablet - -
30 Deksametason tablet 0,5 mg tablet 130 800 930 790 140
31 Diazepam tablet 2 mg tablet - -
32 Digoksin tablet 0,25 mg tablet - -
33 Domperidon tablet 10 mg tablet - (200) 200
34 Doxycyklin 100 mg tablet capsul - 200 200 150 50
35 Efedrina HCl. tablet 25 mg tablet - -
36 Ergotamin Caffein tablet tablet - -
37 Eritromisin kapsul 250 mg tablet - -
38 Eritromisin kapsul 500 mg tablet - -
39 Fenobarbital tablet 30 mg tablet - -
40 Fenofibrate 100 mg tablet - -
41 Fitomenadion (Vit. K) tablet salut 10 mg tablet - -
42 Fluoxetin 20mg (NOPRES) tablet - -
43 Furosemida tablet 40 mg tablet 10 200 210 10 200
44 Garam Oralit untuk 200 ml air Sachet - 200 200 170 30
45 Gemfibrozil 150 mg tablet - -
46 Glibenklamida tablet 5 mg tablet - 100 100 - 100
47 Glimepiride tablet 1 mg tablet - -
48 Glimepiride tablet 2 mg tablet - -
49 Griseofulvin tablet 125 mg Mikronized tablet - 100 100 10 90
50 Guaifenisin tablet tablet - -
51 Haloperidol tablet 1,5 mg tablet - -
52 Haloperidol tablet 5 mg tablet - -
53 Hidroklortiazide (HCT) tablet 25 mg tablet - -
54 Hyoscine N Butilbromide/ SCOPMA tablet 170 500 670 670 -
55 Ibuprofen tablet 200 mg tablet - - -
56 Ibuprofen tablet 400 mg tablet - -
57 Isoniazid ( INH ) + Pyridoxin (B6) tablet - -
58 Isoniazid ( INH ) 100mg tablet - -
59 Isosorbid Dinitrat Sub Lingual tablet 5 mg tablet - -
60 Kalsium Laktat tablet 500 mg tablet - -
61 Karbamazepin 200 mg tablet - -
62 Ketokonazole tablet 200 mg tablet - -
63 Klindamycin 150 mg tablet - -
64 Klindamycin 300 mg capsul - -
65 Kloramfenikol kapsul 250 mg tablet 400 400 100 300
66 Kloramfenikol kapsul 500 mg tablet - -
67 Klorfeniramin Maleat (CTM) tablet 4 mg tablet 90 1,100 1,190 940 250
68 Klorpromazina tablet 100 mg tablet - -
69 KOMBIPAK (Azythromycin + Cefixime ) tablet - -
70 Kotrimoksazol dewasa tablet tablet 10 500 510 190 320
71 Kuinin ( Kina ) tablet 200 mg tablet - -
72 Loperamide 2mg tab tablet 30 200 230 230 -
73 Loratadin 10mg tablet - -
74 Lorazepam 1 mg (RENAQUIL 1mg) tablet - -
75 Metformin HCL 500 mg tablet tablet - -
76 Metilergometrin Maleat tablet 0,125 mg tablet - -
77 Metilprednisolon 4 mg tablet - - -
78 metocloperamide tab 5 mg tablet - -
79 Metoclopramide 10 mg tablet 30 100 130 100 30
80 Metronidazol tablet 500 mg tablet - (100) 100
81 Mineral Mix Sachet Sachet - -
82 Misoprotol tab 200 mcg tablet - -
83 Na diklofenak 25mg tablet 100 200 300 40 260
84 Na diklofenak 50mg tablet - -
85 Nifedipin tablet tablet 100 100 - 100
86 Nistatin tablet salut 500.000 IU tablet - -
87 Obat Anti Tuberkulosis FDC kategori 1/3 paket - -
88 Obat Anti Tuberkulosis FDC kategori 2 paket - -
89 Obat Anti Tuberkulosis FDC kategori anak paket - -
90 Obat Anti Tuberkulosis KDT Harian paket - -
91 Omeprazole kapsul kapsul - -
92 Oseltamivir tablet - -
93 Parasetamol tablet 500 mg tablet 20 1,600 1,620 1,190 430
94 Phenytoin 100 mg capsul - -
95 Piridoksina HCl. tablet 10 mg tablet - -
96 Prednison tablet 5 mg tablet - -
97 Primakuin tablet 15 mg tablet - -
98 Propiltiourasil tablet 100 mg tablet - -
99 Ranitidin tablet 150 mg tablet 10 500 510 310 200
100 Retinol (Vitamin A) kapsul 100.000 IU capsul - -
101 Retinol (Vitamin A) kapsul 200.000 IU capsul - -
102 Risperidon 2 mg tablet tablet - -
103 Salbutamol tablet 2 mg tablet 50 - 50 50 -
104 Salbutamol tablet 4 mg tablet - 200 200 150 50
105 Simvastatin 10mg tablet 200 200 - 200
106 Sivit zink tablet tablet - -
107 Spironolakston 25 mg tablet - -
108 Striatamin cap capsul - -
109 Tablet Tambah Darah kombinasi tablet - -
110 Tetrasiklina HCl. kapsul 500 mg capsul - -
111 Tiamine HCl. Mononitrat (Vit. B-1) tablet 50 mg tablet 10 300 310 130 180
112 Trifluoperazine 6 mg tablet - -
113 Triheksifenidil HCl. tablet 2 mg tablet - -
114 Valproat tab sal 250 mg (Depakote ER) botol - -
115 Vitamin B Komplek tablet tablet 30 800 830 550 280
116 Zinc tablet 20 mg botol 10 400 410 130 280
Syrup/ Suspensi - -
117 Ambroxol sirup 15mg/ml botol - -
118 Amoksisilina sirup kering 125 mg/ 5ml botol - 2 2 2 -
119 Amoksisilina sirup kering 250 mg/ 5ml botol - -
120 Amoxicillin drop botol - -
121 Antasida DOEN suspensi botol 3 10 13 13 -
122 Cefadroxil sirup 125mg/ml botol - -
123 Domperidon syrup botol - -
124 Eritromisin Syrup Kering 200mg/5ml botol - -
125 Ibuprofen sirup 100mg/5ml botol - -
126 Kloramfenikol suspensi 125mg/5 ml botol - - -
127 Kotrimoksazol suspensi botol - - -
128 Multivitamin dan mineral (caviplex) syr botol - -
129 Parasetamol drop 100 mg/ml @ 15 ml botol - -
130 Parasetamol sirup 120 mg / 5 ml botol 1 50 51 46 5
131 Setirizin sir 5 mg/5 ml. botol - - -
132 Valproat syrup 250 mg/ml botol - -
133 Zinc sir 20 mg/5 ml botol - - - -
Injeksi - -
134 ACT injeksi ampul - -
135 Aminofilina injeksi 24 mg / ml-10ml ampul - -
136 Ampisilina injeksi Ampul - -
137 Aqua Pro injeksi steril bebas pirogen ampul 10 10 10 -
138 Asam Tranexamat 500mg/5 ml injeksi ampul - - -
139 Atropin Sulfat injeksi 0,25 mg / ml-1 ml ampul - -
140 Calsium Glukonas Inj ampul - -
141 Deksametason inj. 5 mg /ml-1 ml Ampul 15 10 25 25 -
142 Diazepam injeksi 5 mg/ ml- 2 ml ampul - -
143 Difenhidramina injeksi 10 mg/ ml- 1 ml ampul - - - -
144 Epinefrin injeksi 0,1 % - 1 ml ampul - 10 10 - 10
145 Fenobarbital injeksi 50 mg / ml-1 ml ampul - -
146 Fitomenadion (Vit. K) injeksi 10 mg / ml-1 ml ampul - -
147 Haloperidol injeksi 5mg/ml (LODOMER 5) ampul - -
148 Ketorolac Inj 30 mg/ml ampul 7 - - - -
149 Kloramfenikol injeksi Ampul - -
150 Lidokain 2% injeksi (tunggal) ampul 55 55 51 4
151 Lidokain Kompositum injeksi ampul 10 10 10 -
152 Magnesium Sulfat injeksiI (IV) 20 %-25 ml Vial - -
153 Magnesium Sulfat injeksiI (IV) 40 %-25 ml Vial - -
154 Metilergometrin Maleat injeksi 0,2 mg / ml Ampul - -
155 Metocloperamide inj Ampul 5 100 105 94 11
Nebules kombinasi : ipatropium br 0.5 mg+
156 Vial - -
salbutamol 2.5 mg (COMBIVENT)
157 Oksitosin injeksi 10 IU / ml - 1 ml ampul - -
158 Omeprazole 40mg/10 ml injeksi Vial - - -
159 Prokain Benzil Penisilin inj 3jt IU Vial - -
160 Ranitidine injeksi Pot 5 25 30 17 13
161 Sabu Polivalen 5 ml (ABU I) Vial - -
162 Salbutamol Inj 1 mg/ml Vial - 70 70 65 5
163 Serum Anti Tetanus injeksi 1.500 IU / ampul (ATS) ampul - -
164 Sianokobalamin (Vit. B 12) injeksi 500 mcg / ml ampul 12 10 22 22 -
Obat Luar - -
165 Acyclovir krim 5% tube - -
166 Antibakteri DOEN salep kombinasi tube - -
167 Antifungi DOEN kombinasi tube - -
168 Antihemaroid DOEN kombinasi suppo - -
169 Betametason krim 0,1 % tube - -
170 Borax Glycerin botol - -
171 Calamin (Caladin) lotion 60 ml botol - -
172 Diazepam rectal tube 5 mg (stesolid rectal) tube 4 4 1 3
173 Diazepam rectal tube 10mg (stesolid rectal) tube - -
174 Dulcolax 5mg supp (anak) suppo 5 10 15 15 -
175 Dulcolax 10mg supp (Dewasa) suppo - -
176 Etakridina (Rivanol) larutan 0,1 % botol - -
177 Etanol 70 % botol 1 4 5 3 2
178 Fenolgliserol tetes telinga 10 % botol - -
179 Gentamicin salep mata (GENOINT) 0,3 % tube - -
180 Gentamicin tetes mata 0,3 % botol - -
181 Hidrokortison krim 2,5 % tube - -
182 Ketokonazole cream 2% tube - -
183 Kloramfenikol salep kulit 2% (BUFACETIN) tube - -
184 Kloramfenikol salep mata 1 % tube - -
185 Kloramfenikol tetes mata 0,5 % botol - -
186 Kloramfenikol tetes telinga 3 % botol - -
187 Miconazol krim tube - -
188 Oksitetrasiklin salep mata 1 % tube - -
189 Parasetamol / Pamol suppo 125mg suppo 17 20 37 10 27
190 Perhidrol ( Lar H2O2 ) tube - -
191 Povidon Iodida 10 % , 30 ml botol - -
192 Povidon Iodida 10 % , 60 ml botol - -
193 Povidon Iodida 10 % , 300 ml botol - -
194 Salep 2-4 Kombinasi Pot - -
195 Salisil Bedak 2 % botol - -
196 Scabicid/Scabimid cream tube - -
197 Silver sulfadiazin Cream 1% 35 gr tube - -
Infus dan Cairan - -
198 Cairan Untuk Irigasi 1000 ml Flash - -
199 Glukosa infus 5 % Flash - -
200 Glukosa infus 10 % Flash - -
201 Glukosa infus 40 % Flash - -
202 Natrium Klorida infus 0,9 % 500 ml Flash - - - -
203 Prontosan Wound Irrigation sol 350ml botol - -
204 Ringer Laktat larutan infus steril Flash 20 120 140 76 64
Bahan Medis Habis Pakai - -
205 Alat Suntik sekali pakai 1 ml Set 3 - 3 3 -
206 Alat Suntik sekali pakai 3 ml Set 20 160 180 90 90
207 Alat Suntik sekali pakai 5 ml Set - 30 30 30 -
208 Catgut / Benang Bedah No. 2/0 24x70 cm - -
209 Catgut / Benang Bedah No. 3/0 24x70 cm - - - -
210 Cover Glass 20x20 set - -
211 Dermafix S IV set - -
212 Feeding Tube 40cm No. 8 set - -
213 Foley cathether No. 16 set - -
214 Foley cathether No. 18 set - -
215 Foley cathether No. 20 set 13 13 1 12
216 Gown set botol - -
217 Hand Rub 500ml botol - -
218 Hand Scrub 500ml botol - -
219 Handrub refill 5 liter galon 1 1 - 1
220 Hazmat Size L set - -
221 Hazmat Size XL set - -
222 Infusion Set anak-anak set 3 25 28 12 16
223 Infusion Set dewasa set 4 30 34 25 9
224 IV Cathether No. 18 G set - -
225 IV Cathether No. 20 G set - 30 30 11 19
226 IV Cathether No. 22 G set - 43 43 23 20
227 IV Cathether No. 24 G set - 35 35 14 21
228 Jarum hecting kombinasi set - -
229 Jelly Dopler botol - -
230 Kapas Pembalut / Adsorben 250 gram rol - -
231 Kasa Pembalut 40 yd x 110 cm rol - -
232 Kasa Pembalut 4x10 cm rol - -
233 Kasa Pembalut 4x15 cm rol - -
234 Kertas EKG 58mm x 25 m rol - -
235 Kertas EKG 58mm X 30 m rol - -
236 Kertas EKG 63mm X 30 m rol - -
237 Kertas EKG 80mm x 20 m rol - -
238 Lokal kacamata faceshield set - -
239 Masker Bedah Anak pcs - -
240 Masker KN 95 pcs - -
241 Masker N 95 pcs - -
242 Masker Oxygen (Maxiflow) Anak (Pediatrik) set - -
243 Masker Oxygen (Maxiflow) Dewasa (Adult) set - -
244 Masker surgical pcs 100 100 60 40
245 Masker surgical Anak pcs 30 100 130 130 -
246 Object Glass 20x20 mm pack - -
247 Oxygen Nasal Adult (Dewasa) set - 10 10 7
248 Oxygen Nasal NewNates set 5 5 - 5
249 Oxygen Nasal Pediatric set 10 5 15 10 5
250 Pembalut gibs rol - -
251 Plester 5 yard x 2 inchi (plester coklat) rol - - (4) 4
252 Plester Kertas 1" (surgical tape) rol - -
253 Regulator Oksigen set - -
254 Sarung tangan steril no.6,5 pasang - -
255 Sarung tangan steril NO.7 pasang - -
256 Sarung tangan steril NO.7,5 pasang - -
257 Sarung tangan non steril uk L pasang 10 - 10 10 -
258 Sarung tangan non steril uk.M pasang - 900 900 700 200
259 Sarung tangan obgin No. 6,5 pasang - -
260 Sarung tangan obgin No. 7 pasang - -
261 Sarung tangan obgin No. 7,5 pasang - -
262 Sarung tangan obgyn no. 8 pasang - -
263 Silk 2/0 + 1/2 GT 35MM set - -
264 Silk 3/0 + 1/2 GT 35MM set 8 72 80 65 15
265 Solida Nurse Cap set - -
266 Surgical mess 11 pack - -
267 Surgical mess 20 pack - -
268 Transparent IV Dressing (with notch) set - -
269 Umbilical cord klem set - -
270 Urine bag set - -
271 Wing Neddle No 21 G set - -
272 Wing Neddle No 23 G set - -
273 Wing Neddle No 25 G set - -
Bahan Gigi - -
274 Air Raksa dental use 100 gram - -
275 Cavit botol - -
276 Cresophene botol - -
277 Etil klorida semprot 100 ml - -
278 Euginol cairan dus 12 btl - -
279 Glass Ionomer cement (GC IX) A2-A3 set - -
280 Jarum exterpatie set - -
281 Jarum reaming file set - -
282 Kalsium Hidroksida pasta 2 tube - -
283 Klorfenol Kamper Menthol ( CHKM ) 10 ml - -
284 Mummifying pasta botol - -
285 Non Arsen Septodont Rapid botol - -
286 Semen Seng Pospat serbuk dan cairan set @ 30 gr - -
287 Silver Amalgam 1 oz - -
288 Spon Gelatin Cubicles 1 x 1 x 1 cm 24 buah - -
289 Tambalan komposit-solare X (A2-A3) Set - -
290 Temperory Stoping Fletcher serbuk & cair set @ 100 gr - -
Tambahan - -
291 Cetirizine tab tablet 200 200 120 80
292 Alkohol swab pack - -
293 kasa hidrofil steril pack - -

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Pengelola Obat Puskesmas Pengelola Obat Unit

Nisa' Amila Rodhiya, S.Farm., Apt .........................................