LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : PANTAI LUNCI

KECAMATAN : PANTAI LUNCI
KABUPATEN : SUKAMARA
PROPINSI : KALIMANTAN TENGAH
BULAN : MARET : 2022

Kode Nama Satuan Stok Awal Penerimaan Persediaan Pemakaian Sisa Stok Stok Permintaan Pemberian KET
Optimal APBD BPJS PKPS LAIN JML
a b d e f g =( e+f ) h i = ( g - h) j k l m n o p q
1 Acyclovir 200mg Tab - - - - - -
2 Acyclovir 400mg Tab - - - - - -
3 Albendazole syr 200mg/5 ml botol - - - - - -
4 Alkacide 1 Liter Botol - - - - - -
5 Alkazyme 25 mg sachet - - - - - -
6 Alkohol 70% Btl/ 1 L - - - - - -
7 Alkohol swab Box/100 - - - - - -
8 Allopurinol 100 mg Tab 330 - 330 70 260 84 300
9 Allopurinol 300 mg Tab - - - - -
10 Ambroxol syr 15mg/ml Btl - - - - - -
11 Ambroxol tab Tab 70 - 70 20 50 24 200
12 Aminophillin 200 mg Tab - - - - - -
13 Amitripillin 25 Mg Tab - - - - - -
14 Amlodipin 10 mg Tab - - - - - -
15 Amlodipin 5 mg Tab - - - - - - 200
16 Amoxicillin Syr 125 mg/5ml Btl 20 - 20 - 20 -
17 Amoxycillin 250 mg Tab 390 - 390 80 310 96
18 Amoxycillin 500 mg Tab - - - - - -
19 Amoxycillin sirup kering forte 250 mg/5 ml Vial - - - - - -
20 Antalgin 500 mg tab Tab - - - - - -
21 Antasida doen Syr Btl 12 - 12 1 11 1
22 Antasida tab 500 mg Tab 370 - 370 30 340 36
23 Anti Hemmoroid kombinasi supp - - - - - -
24 Antidotum Ca Gluconas Ampul - - - - - -
25 Antiparkinson DOEN tablet kombinasi : Benserazid 25 mg Levodopa 100 mg Tab - - - - - -
26 Antiseptik Hand Rub 0,5%/ Hand Sanitizer (tanpa pump) 5 L Galon - - - - - -
27 APD Cover All Reusable Pcs - - - - - -
28 APD Gown Disposible Pcs - - - - - -
29 APD Gown Reusable Pcs - - - - - -
30 APD Imunisasi (masker, hand sanit, handscond 1 psg) Paket - - - - - -
31 Aplicator swab Pcs - - - - - -
32 Aqua pro injection, bebas pirogen Vial - - - - - -
33 Aquasonic Gel 60 g Tube - - - - - -
34 Artesunat Injeksi Ampul - - - - - -
35 Articulating Paper kotak - - - - - -
36 Asam Ascorbat 50 mg Tab 170 - 170 - 170 -
37 Asam Asetilsalisilat (asetosal) 80 mg Tab - - - - - -
38 Asam Folat 400 mcg Tab - - - - - - 300
39 Asam Mefenamat Tab 70 - 70 30 40 36 300
40 Asam Tranexamat inj Ampul - - - - - -
41 Asering 500 ml Flabot - - - - - -
42 Atapulgit 600 mg tab Tab 120 - 120 - 120 -
43 Autoclick Pcs - - - - - -
44 Aximed Infusion set Y-Tipe Pcs - - - - - -
45 Aximed Syringe 3 cc Pcs - - - - - -
46 Azythromycin Dry Syrup 200mg/5 ml Btl - - - - - -
47 Baju APD Lengkap 5 Item (prov) Set - - - - - -
48 Basitrasin 50 ui/g : Anti Bakteri Doen Komb Tube - - - - - -
49 Bedak Salicyl Kotak - - - - - -
50 Beiersdorf Leukoplast / Hansaplast 1,25 cm x 4,5 m Roll - - - - - -
51 Beiersdorf Leukoplast/ Hansaplat 7,5 cm x 4,5 m Roll - - - - - -
52 Benecheck Blood Glucosa Test Strip Box - - - - - -
53 Benecheck Total Cholesterol Test Strip BK-C1 Box - - - - - -
54 Benecheck Uric Acid Box - - - - -
55 Berotec Drop/ Fenoterol HBr inhalation solution 0,1% Btl - - - - - -
56 Besi II sulfat + asam folat Tab 150 - 150 150 - 180 600
57 Betamethasone krim Tube 13 - 13 2 11 2
58 Biocare biohazard yellow(kantong limbah) Pak/10 - - - - - -
59 Bisakodil Suppositoria 10 mg supp - - - - - -
60 Bisakodil tablet 5 mg Tab - - - - - -
61 Blood Lancet (serenity twist) pcs - - - - - -
62 Blood Transfusion set pcs - - - - - -
63 Blue Tip Bks - - - - - -
64 Bufacetin (Chloramfenicol ) 2 % Salep Kulit Tube 7 - 7 3 4 4 10
65 Buffer solution btl/1000 ml - - - - - -
66 Buku Cegah Covid-19 Buku - - - - - -
67 Cairan Chlorin Botol - - - - - -
68 Cairan D40 Vial - - - - - -
69 Cairan D5N2 Flabot - - - - - -
70 Cairan D5N4 Flabot - - - - - -
71 Cairan Dextrose 10% Flabot - - - - - -
72 Cairan Dextrose 5 % Flabot - - - - - -
73 Cairan Formalin 37 % Btl - - - - - -
74 Cairan H2O2 3 % Btl - - - - - -
75 Cairan Ka En 1 B Flabot - - - - - -
76 Cairan Ka En 3 B Flabot - - - - - -
77 Cairan KA-EN 3 A Flabot - - - - - -
78 Cairan Mannitol Btl - - - - - -
79 Cairan NaCl Flabot 5 - 5 3 2 4
80 Cairan NaCl 25 ml Btl - - - - - -
81 Cairan Ringer Laktat Flabot 5 - 5 - 5 -
82 Calcium Lactate 500 mg Tab 80 - 80 - 80 - 300
83 Capsul Kosong No. 0 Bks/1000 - - - - - -
84 Capsul Kosong No. 00 Bks/1000 - - - - - -
85 Capsul Kosong No. 1 Bks/1000 - - - - - -
86 Capsul Kosong No. 2 Bks/1000 - - - - - -
87 Captopril 12,5 mg Tab 180 - 180 180 - 216 500
88 Captopril 25 mg Tab - - - - - -
89 Carbamazepine 200 mg Tab - - - - - -
90 Cefadroxil 125 mg/5 ml syr Btl 15 - 15 2 13 2
91 Cefadroxil 250 mg Kapsul - - - - - - 200
92 Cefadroxyl 500 mg Tab - - - - - -
93 Cefotaxime 0,5 gr vial - - - - - -
94 Ceftriaxone 1g Vial - - - - - -
95 Centrifuge Tubes Blucapp 15 ml pak/25 tube - - - - - -
96 Cetirizine Syr Btl 10 - 10 - 10 -
97 Cetirizine tab 10 mg Tab - - - - - - 300
98 Chloramfenicol 500 mg caps-Chloramex caps - - - - - -
99 Chlorampenicol 250 mg caps - - - - - -
100 Chlorampenicol salep mata Tube - - - - - -
101 Chlorampenicol tts mata Btl - - - - - -
102 Chlorampenicol tts telinga Btl - - - - - - 10
103 Chloretil spray Btl - - - - - -
104 Chlorpheniramin maleat Tab 230 - 230 20 210 24
105 Chlorpromazine 100 mg tab Tab - - - - - -
106 Ciprofloxcin 500 mg Tab - - - - - -
107 Cleaner (960 ML) Kit - - - - - -
108 Clindamycin tablet 150 mg caps 160 - 160 60 100 72 200
109 Clindamycin tablet 300 mg caps - - - - - -
110 Clopidogrel 75mg tab Tab - - - - - -
111 Clozapin 25 mg Tab - - - - - -
112 Cocoon Warming Blanket Paediatric Neonatal Pcs - - - - - -
113 Colcitine (Kolkisin) tab Tab - - - - - -
114 Cosmomed Infuset Dewasa Pcs - - - - - -
115 Cotrimoxazole 480 mg Tab - - - - - -
116 Cotrimoxazole forte 960 mg tab Tab 90 - 90 - 90 -
117 Cotrimoxazole syr Btl 13 - 13 - 13 -
118 Cover All (APD Level 3) Pcs - - - - - -
119 Cover Glass 20 x 20 mm Pack - - - - - -
120 Cover Glass 22 x 22 mm Pack - - - - - -
121 Desinfektan Ruangan Galon - - - - - -
122 Desinfektan Ruangan spray Botol - - - - - -
123 Dexamethasone 5mg/1ml Ampul 5 - 5 - 5 -
124 Dextrose 40% Btl - - - - - -
125 Diazepam 2 mg tab Tab - - - - - -
126 Diazepam 5 mg tab Tab - - - - - -
127 Diazepam 5mg/1 ml Ampul - - - - - -
128 Difenhydramin inj Ampul - - - - - -
129 DIGITAL TERMOMETER UNIT - - - - - -
130 Diltiazem 100 mg (Herbesser) Tablet - - - - - -
131 Diltiazem 30 mg Tab - - - - - -
132 Diluent (10) Kit - - - - - -
133 Dimenhidrinat tablet 50 mg Tab - - - - - -
134 Disposible spuit 1 cc pcs - - - - - - 10
135 Disposible spuit 20 cc pcs - - - - - -
136 Disposible spuit 3 cc pcs 4 - 4 1 3 1 10
137 Disposible spuit 5 cc pcs - - - - - -
138 Disposible spuit 50 cc Catheter tip pcs - - - - - -
139 Disposible Tongue Spatel Pcs - - - - - -
140 Domperidon tetes 5 mg/ml Btl 10 - 10 - 10 -
141 Domperidone 10 mg Tab 250 - 250 - 250 -
142 Dulcolax Anak/ Bisakodil Suppositoria 5 mg supp - - - - - -
143 Dulcolax Supp supp - - - - - -
144 Efinefrin hcl bitartrat 0,1% 1ml Ampul - - - - - -
145 Ekstrak dari Phaleria Macrocarpa ( Fruktus) 200 MG Tablet - - - - - -
146 Ekstrak tanaman Phylanthus Niruri 25 mg/Stimuno Btl - - - - - -
147 Elektronika Labstrips U11 Plus Urine test strip (77) Tube - - - - - -
148 Ergotamin Caffeine Tab - - - - - -
149 Etakridina ( rivanol) 300 ml Btl - - - - - -
150 Etanol cair 70% 100 ml Btl - - - - - -
151 Euromed IV Catheter Port No 20 Pcs - - - - - -
152 Euromed IV Catheter Port No 24 Pcs - - - - - -
153 Eye Needle Plane flg.1 Pieces - - - - - -
154 Eye Needle Plane flg.2 Pieces - - - - - -
155 Eye Needle Plane flg.3 Pieces - - - - - -
156 Face Shield Pcs 5 - 5 1 4 1
157 Face Shield Helm Pcs - - - - - -
158 FAVIPIRAVIR Tablet - - - - - -
159 Fenobarbital 30 mg Tab - - - - - -
160 Fenofibrat kaps 100 mg Caps - - - - - -
161 Fenol gliserol tts telinga Btl - - - - - -
162 Fitomenadion 10 mg Tab - - - - - -
163 Fitomenadion inj 2 mg/ml Ampul - - - - - -
164 Furosemid 40 mg Tab - - - - - -
165 Furosemide inj Ampul - - - - - -
166 Gel Ultrasonic 250 g Tube - - - - - -
167 Gemfibrozil 300 mg Tab - - - - - -
168 Gemfibrozil 600 mg Tablet - - - - - -
169 Gentamicin injeksi Ampul - - - - - -
170 Gentamicin tts Mata Btl 10 - 10 1 9 1
171 Gentamisin salep mata 0,3% Tube 13 - 13 - 13 -
172 Gentian Violet Btl - - - - - -
173 Glibenclamide 5 mg Tab - - - - - - 300
174 Glimepiride 1 mg tab Tab - - - - - - 300
175 Glimepiride 2 mg tab Tab - - - - - -
176 Glimepiride 4 mg tab Tab - - - - - -
177 Griseofulvin 125 mg Tab - - - - - -
178 Griseofulvin 250 mg tablet Tablet 80 - 80 20 60 24
179 Griseofulvin 500 mg Tab - - - - - -
180 Haloperidol 0.5 mg tab Tab - - - - - -
181 Haloperidol 50 mg/ml injeksi Ampul - - - - - -
182 Haloperidol 5mg/ml injeksi Ampul - - - - - -
183 Haloperidol tab 5 mg tab Tab - - - - - -
184 Hand Sanitizer 500 ml Btl - - - - - - 2
185 Hand Sanitizer 60 ml Btl - - - - - -
186 Hand Scrub Galon - - - - - -
187 HANDRUB CHLORHEXIDINE 250 ML Botol - - - - - -
188 Handscoon Non Steril Pasang - - - - - -
189 Handscoon Steril Pasang 68 - 68 10 58 12
190 Handscound steril Obstetri-gynaecolog no.7,5 Pasang - - - - - -
191 Hansaplast Plester Rol Kain 7,5 cm x 4,5 m Roll - - - - - -
192 Heacting Needle otot & kulit Bks - - - - - -
193 HERBACOLD Tablet - - - - - -
194 Hidrochlorttiazide 25 mg Tab - - - - - -
195 HIV Combo Strip - - - - - -
196 Holisticare Ester C Tablet - - - - - -
197 Hydrocortisone tube 10 - 10 - 10 -
198 Hyocine N Butilbromida/Scopma/Spasmolit Tab - - - - - -
199 Ibuprofen 100 mg/5 ml syr Btl 15 - 15 - 15 -
200 Ibuprofen 400 mg Tab 90 - 90 90 - 108 300
201 Imudator kaplet salut Kaplet - - - - - -
202 Infusion Set Anak ( Fesco) pcs - - - - - -
203 Infusion Set Anak (Otsuka) 0I.34 pcs - - - - - -
204 Infusion Set Dewasa (FESCO) pcs - - - - - - 2
205 Infusion set Trosoluset Pcs - - - - - -
206 Invest Eko Gips 10 cm x 2,7 m Roll - - - - - -
207 Iodine Povidone 30 ml Btl 4 - 4 - 4 - 5
208 Iodine Povidone 300 ml Btl - - - - - -
209 Iodine Povidone 60 ml Btl - - - - - -
210 Isosorbid Dinitrat Tab - - - - - -
211 Kaca Mata Google Pcs - - - - - -
212 Kantong Jenazah 75 cm x 200 cm Pcs - - - - - -
213 Kapas 100 g Pcs - - - - - -
214 Kapas Pembalut absorben 250 g pcs - - - - - -
215 Kasa Hydro 4 x 10 cm pcs - - - - - -
216 Kasa Hydro 4 x 15 cm pcs - - - - - -
217 Kasa Hydro 4 x 5 cm pcs - - - - - -
218 Kasa Hydro 40 x 80 pcs - - - - - -
219 Kasa Hydro 80 cm x 2m roll 6 - 6 - 6 -
220 Kasa Hydro steril 16/16 Box 17 - 17 7 10 8 10
221 Kertas Saring Kotak - - - - - -
222 Ketoconazole cream Tube - - - - - -
223 Ketokonazole 200 mg Tab - - - - - - 200
224 KIT STOP TB Kit - - - - - -
225 Kombinasi suspensi: Parafin + gliserin + fenolftalein 60 ml Btl - - - - - -
226 Konix ECG Gel 1000 ml Botol - - - - - -
227 Lansoprazole 30 mg caps caps - - - - - - 200
228 Larutan Asam Asetat Botol - - - - - -
229 Larutan Giemsa 250 ml Btl - - - - - -
230 Larutan Rees Ecker 250 ml Btl - - - - - -
231 Larutan Turk 250 ml Botol - - - - - -
232 Levofloxacin Tab - - - - - -
233 Lexapram Syr Botol - - - - - -
234 Lidocain 2 % Ampul 9 - 9 - 9 -
235 Lidocain 2% comp Ampul - - - - - -
236 Lisol Btl - - - - - -
237 Loperamid tab Tab - - - - - -
238 Loratadine tab Tab 100 - 100 - 100 -
239 Lorne AH Laboratories Salmonella Paratyphi Widal Vial - - - - - -
240 Lorne AO Laboratories Salmonella Paratyphi Widal Vial - - - - - -
241 Lorne BH Laboratories Salmonella Paratyphi Widal Vial - - - - - -
242 Lorne CH Laboratories Salmonella Paratyphi Widal Vial - - - - - -
243 Lorne H Laboratories Salmonella Paratyphi Widal Vial - - - - - -
244 Lorne O Laboratories Salmonella Paratyphi Widal Vial - - - - - -
245 Lorne Reagen Golongan Darah Anti A Monoclonal Set Vial - - - - - -
246 Lorne Reagen Golongan Darah Anti AB Monoclonal Set Vial - - - - - -
247 Lorne Reagen Golongan Darah Anti B Monoclonal Set Vial - - - - - -
248 Lorne Reagen Golongan Darah Anti D Monoclonal Set Vial - - - - - -
249 Lyse (960 ML) Kit - - - - - -
250 Mas Powder Latex Surgical Gloves 6,5 Sterile Premium Pasang - - - - - -
251 Mas Powder Latex Surgical Gloves Steril (Premium) No. 7,5 , 8 Pasang - - - - - -
252 Masker Kain Pcs - - - - - -
253 Masker KN 95 Pcs - - - - - -
254 Masker Medis Anak Pcs - - - - - -
255 Masker N 95 Onemed/merk lain Pcs - - - - - -
256 Masker N95 Respirator (1860S) Piece - - - - - -
257 Medic-Dent Steril Powder Latex Surgical no: 7,5/8 Pasang - - - - - -
258 Megazinc Tablet Tablet - - - - - -
259 Metamizol inj 500 mg/ml Ampul - - - - - -
260 Metformin 500 mg Tab 60 - 60 10 50 12 300
261 Methanol pro analisis btl - - - - - -
262 Methyl Ergometrin tab Tab - - - - - -
263 Methyl Prednisolon 4 mg Tab 30 - 30 10 20 12 100
264 Methyl Prednisolon 8 mg Tab - - - - - -
265 Metilergometrin inj Ampul - - - - - -
266 Metochlorpamid 10 mg Tab - - - - - - 100
267 Metoclopramid inj Ampul - - - - - -
268 Metoclopramid Hcl Sirup 5 mg/ml Botol 1 - 1 1 - 1
269 Metronidazol 500 mg Tab - - - - - -
270 Metronidazol sirup 125 mg/5 ml Btl - - - - - -
271 Metronidazole Ovula 500 mg Ovula - - - - - -
272 Mg SO4 20% vial - - - - - -
273 Mg SO4 40% vial - - - - - -
274 Miconazole Tube - - - - - -
275 Micro Centrifuge tube 1,5 ml pak/500 pcs - - - - - -
276 Micro Centrifuge tube 2,0 ml pak/500 pcs - - - - - -
277 Micro Hematokrit tube/100 sheet - - - - - -
278 Microlit Tips For Micropipettes 10 ui(white) Pack - - - - - -
279 Microlit Tips For Micropipettes 200 ui(yellow) Pack - - - - - -
280 Mikro pipet 100-1000 ul buah - - - - - -
281 Mikro pipet 10-100 ul buah - - - - - -
282 Mikro pipet 5-50 ul buah - - - - - -
283 Mineral Mix Kotak - - - - - -
284 Mixing Pad No.20 Set - - - - - -
285 M-Pack Heat Sealing Reels Gusseted (100+50) x 100 m Roll - - - - - -
286 M-Pack Heat Sealing Reels Gusseted (75+50) x 100 m Roll - - - - - -
287 Multivitamin mengandung Vit C,B,E, Zink (Sivit Zink) Tablet 22 - 22 - 22 - 60
288 Mycorin Powder Botol - - - - - -
289 Na Diklofenac 25 mg Tab 330 - 330 100 230 120 300
290 Na Diklofenac 50 mg Tab - - - - - -
291 N-ACE Asetylssten inj nebules 100mg/ml ampul - - - - - -
292 N-Asetil Sistein 200 mg caps Caps 450 - 450 30 420 36
293 Natrium Bikarbonat injeksi i.v 8,4% vial - - - - - -
294 Natrium Fusidat salep 20 mg/g Tube - - - - - -
295 Needle no.23 G pcs - - - - - -
296 Needle no.27 G pcs - - - - - -
297 Neo Entrostop Tablet - - - - - -
298 Neo Mercazole (Karbimazole) 5 mg tab - - - - - -
299 Nifedipin tab 30 mg, slow release Tab - - - - - -
300 Nipro IV Canula 16 G pcs - - - - - -
301 Nistatin 500.000 ui tablet Tab - - - - - -
302 Nistatin Vag Supp supp - - - - - -
303 Novo Twist 32 G X 5 mm Pcs - - - - - -
304 Nurse Cap Pcs 8 - 8 - 8 -
305 Obat Antitubercolosis Anak ( FDC) Box - - - - - -
306 Obat Antitubercolosis kat 1 Dewasa Box - - - - - -
307 Obat Antitubercolosis kat 2 Box - - - - - -
308 OBH Btl - - - - - - 10
309 OGSI OGS ID Patient Anak (4 warna) Pcs - - - - - -
310 OGSI OGS ID Patient Dewasa (4 warna) Pcs - - - - - -
311 Oksican Can - - - - - -
312 Oksitosin/pitogin inj Ampul - - - - - -
313 Omeprazole 20 mg Caps - - - - - -
314 Omeprazole iv sebuk injeksi Ampul - - - - - -
315 Onelab Object Glass7101 (Microskop Slide) Box - - - - - -
316 Onemead Steril Pouch with Indikator 20 cm x 200 m Box - - - - - -
317 Onemead Steril Pouch with Indikator 9 cm x 26 cm Box - - - - - -
318 Onemed Apron One Plastik/merk lain Bag 10 - 10 - 10 -
319 Onemed Arm Sling S,M,L Buah - - - - - -
320 Onemed Bracket Hand Wash Plastik Buah - - - - - -
321 Onemed Detecto Anti HBS Strip - - - - - -
322 Onemed Detecto HBSAg Strip - - - - - -
323 Onemed Enema Syringe 60 cc Buah - - - - - -
324 Onemed Mitella Kain Buah - - - - - -
325 Onemed Nierbeken Disposible 25 cm Pcs - - - - - -
326 Onemed Papsmear Kit S,M,L Set - - - - - -
327 Onemed Spalk Kayu Buah - - - - - -
328 Onemed Stikpan Plastik Buah - - - - - -
329 Onemed Surgical Suture Silk 2/0 sachet - - - - - -
330 Onemed Surgical Suture Silk 3/0 sachet 10 - 10 - 10 -
331 Onemed Urinal Plastik + Tutup Buah - - - - - -
332 Oralit 200 ml sachet 39 - 39 - 39 -
333 Oseltamivir 75 mg Tablet - - - - - -
334 OTO Popok Dewasa Type Perekat Uk L,Xl Pack - - - - - -
335 Otsu IV Catheter No 22 Pcs - - - - - -
336 Oxytetra salep mata 1 % Tube - - - - - -
337 Paracetamol drop Btl 5 - 5 - 5 -
338 Paracetamol 120 mg/5ml syr Btl 16 - 16 - 16 -
339 Paracetamol strip 500 mg Tab 80 - 80 30 50 36 300
340 Pengukur Suhu Thermometer Infra Red Pcs - - - - - -
341 Perak sulfadiazin krim 1% Tube 2 - 2 - 2 -
342 Permetrine 5% 10 g (scabimite) Tube - - - - - -
343 Pirantel Pamoat tablet 250 mg Tablet - - - - - -
344 Piridoxin / B6 10mg Tab - - - - - -
345 Pot Sputum (Kuning) Pot - - - - - -
346 Pot Urine (putih) Pot - - - - - -
347 PP test pcs 10 - 10 - 10 -
348 Prednisone 5 mg Tab - - - - - -
349 Primaquine 15 mg Tab - - - - - -
350 Pro Crepe Pembalut Elastis Uk. 15 x 4.55 m Roll - - - - - -
351 Pro Crepe Pembalut Elastis Uk. 7,5 x 4.55 m Roll - - - - - -
352 Proline Cholesterol FS 80 ml Botol - - - - - -
353 Proline Glucosa GOD FS 10 Botol/20 ml - - - - - -
354 Proline Trigliserida FS 10 Botol - - - - - -
355 Proline Trucal U Kalibrator Universal Botol - - - - - -
356 Propanolol 10 mg Tab - - - - - -
357 Prophyltiouracil 100 mg Tab - - - - - -
358 Pulmicort Respules Can - - - - - -
359 Pyrantel 125 mg/5 ml Tab - - - - - -
360 Pyrantel 125 Btl - - - - - -
361 Pyridoxin(vitamin B6) 25 mg Tablet - - - - - -
362 Quinin Tablet - - - - - -
363 Ranitidin inj Ampul 9 - 9 - 9 -
364 Ranitidine 150 mg Tab - - - - - - 100
365 Rapid Insulin Pen/Flexpen/Catridge Pen - - - - - -
366 Rapid Test (Antibodi) Covid-19 Strip - - - - - -
367 Rapid Test Antigen Pcs - - - - - -
368 RD Alat Suntik/Syringe 3 ml Pcs - - - - - -
369 RD IV Catheter No. 24 G Pcs - - - - - -
370 Reagen Asam Sulfosalisilat 20% Botol - - - - - -
371 Reagen Cat Giemsa Btl/100 ml - - - - - -
372 Reagen Haemoglobin C 500 ml Botol - - - - - -
373 Reagen Hayem 100 ml Botol - - - - - -
374 Reagen HCl O,1 N 500 ml Botol - - - - - -
375 Reagen Hematokrit Kotak - - - - - -
376 Reagen Rees Ecker 500 ml Botol - - - - - -
377 Reagen Turk 500 ml Botol - - - - - -
378 Reagen Ziehl Nelsen Box - - - - - -
379 Remedi 2 Ways Folley Catheter 10ml/cc- 8 fr Piece - - - - - -
380 Remedi 2 Ways, Folley Catheter 10ml/cc-10fr piece - - - - - -
381 Remedi 2 Ways, Folley Catheter 10ml/cc-14fr piece - - - - - -
382 Remedi 2 Ways, Folley Catheter 10ml/cc-16fr piece - - - - - -
383 Remedi 2 Ways, Folley Catheter 10ml/cc-18fr piece 1 - 1 - 1 -
384 Remedi IV Catheter Flash Back Model- 18 G piece - - - - - -
385 Remedi IV Catheter Flash Back Model- 20 G piece - - - - - -
386 Rifampicin 600 mg Caps - - - - - -
387 Risperidon Tab - - - - - -
388 Rubber Glove Pasang - - - - - -
389 Safety Box Pcs - - - - - -
390 Salbutamol 2 mg Tab - - - - - -
391 Salbutamol 4 mg Tab - - - - - - 100
392 Salbutamol inhalasi/aerosol 100 mcg/dosis Can - - - - - -
393 Salep 2-4 Tube 9 - 9 - 9 -
394 Salep Whitfield /Antifungi 30 grm Pot - - - - - -
395 SD Bioline Dengue Kit - - - - - -
396 SD Bioline HIV/Syphilis Duo Strip - - - - - -
397 SD Bioline Syphilis 3.0 Strip - - - - - -
398 Sepatu Boots Pasang - - - - - -
399 Serenity Benang Bedah (2/0)Chromic cutgut with Nedle sachet - - - - - -
400 Serenity Benang Bedah (2/0)Plain cutgut with Nedle sachet - - - - - -
401 Serenity Benang Bedah (3/0)Chromic cutgut with Nedle sachet - - - - - -
402 Serenity Benang Bedah (3/0)Plain cutgut with Nedle sachet - - - - - -
403 Serenity Cervical Collar SR-N1 Unit - - - - - -
404 Serenity IV Cannula Pen 18 G Pcs - - - - - -
405 Serenity IV Cannula Pen 20 G Pcs 12 - 12 - 12 -
406 Serenity IV Cannula Pen 22 G Pcs - - - - - -
407 Serenity IV Cannula Pen 24 G Pcs - - - - - -
408 Serenity Mask Oksigen Adult Piece - - - - - -
409 Serenity Mask Oksigen Child Piece - - - - - -
410 Serenity Mask Oksigen Infant Piece - - - - - -
411 Serenity Mucus Extraktor 25 mL Piece - - - - - -
412 Serenity Nasal Oksigen Canula Adult Piece - - - - - -
413 Serenity Nasal Oksigen Canula Child Piece - - - - - -
414 Serenity Nasal Oksigen Canula Infant Piece - - - - - -
415 Serenity Silk Braided Surgical Suture 3/0 Pcs - - - - - -
416 Serenity Twist Blood Lancet/merk lain pcs - - - - - -
417 Serum Anti Bisa Ular Vial - - - - - -
418 Serum Anti Tetanus Ampul - - - - - -
419 Shoes Cover Pasang - - - - - -
420 Sianocobalamin/ B12 inj Ampul 10 - 10 - 10 -
421 Silk Black 3/0 DS 19 mm Sachet - - - - - -
422 Silk Black 4/0 HR 20 mm Sachet - - - - - -
423 Simvastatin 10 mg Tab - - - - - - 300
424 Simvastatin 20 mg Tab - - - - - -
425 SMI Catgut Plain 4/0 HR 20 MM Sachet - - - - - -
426 SMI Cut Gut Chromic 2/0 HR 37 mm Sachet - - - - - -
427 SMI Cut Gut Chromic 3/0 HR 20 mm Sachet - - - - - -
428 SMI Cut Gut Chromic 4/0 DS 24 mm Sachet - - - - - -
429 SNA Medika FM Crepe Pembalut Elastis 15 cm X 4,55 Roll - - - - - -
430 SNA Medika FM Crepe Pembalut Elastis 7,5 cm X 4,55 Roll - - - - - -
431 SNA Medika Kapas Pembalut 25 g Pcs - - - - - -
432 SNA Medika Poliban 10 cm X 2,7 m Roll - - - - - -
433 SNA Medika Polifix 5 cm x 5 m Pcs 1 - 1 - 1 -
434 SNA Medika Poligyp 7,5 cm x 2,7 m Roll - - - - - -
435 Spironolacton 25 mg Tab - - - - - -
436 Spironolactone 100 mg Tab - - - - - -
437 Spuit Insulin syringes 6 MM (1 ML) Pcs - - - - - -
438 Startest HCV Test - - - - - -
439 Stera Sharp Container 7 L Buah - - - - - -
440 Sterilmedical Nasogastric Tube CH.12 Pcs - - - - - -
441 Sterilmedical Nasogastric Tube CH.16 Pcs - - - - - -
442 Sterilmedical Nasogastric Tube CH.18 Pcs - - - - - -
443 Sterilmedical Scrub Brush Plain Piece - - - - - -
444 Stimuno Forte Tablet Tablet - - - - - -
445 Strip HBSAg Strip - - - - - -
446 Strip HIV Test - - - - - -
447 Strip Uji Dengue IgG/IgM Strip - - - - - -
448 Sukralfat 500 mg tab Tablet - - - - - -
449 Surgical Blade / Bisturi Pcs - - - - - -
450 Surgical mask plus 3 ply aerloop Pcs 250 - 250 50 200 60
451 Surgical masker with visor pcs - - - - - -
452 Tabung Reaksi tube/100 buah - - - - - -
453 Tabung Reaksi Vaccum pcs - - - - - -
454 Terumo Disposible Syringe 1 cc tuberculin Pcs - - - - - -
455 Terumo Disposible Syringe 3 cc Pcs - - - - - -
456 Terumo Disposible Syringe 5 cc Pcs 9 - 9 - 9 -
457 Terumo Surflo W IV Chateter No.22 pcs - - - - - -
458 Terumo Surflo W IV Chateter No.24 pcs - - - - - -
459 Test strip Blood Glucose Autocheck pcs - - - - - -
460 Test strip Cholesterol Autocheck pcs - - - - - -
461 Test strip Uric Acid Autocheck pcs - - - - - -
462 Thermometer Raksa pcs - - - - - -
463 Thiamin HCL 50 mg / B1 Tab - - - - - -
464 Torniquet Buah 1 - 1 - 1 -
465 Triflouperazine 5 mg tab Tab - - - - - -
466 Trihexyphenidil 2 mg Tab - - - - - -
467 Trovenocath Plus 20 G Pcs - - - - - -
468 Trovenocath Plus 26 G Pcs - - - - - -
469 Ulsafat (Sukralfat) 500 mg/ 5 ml susp Botol 7 - 7 3 4 4 10
470 Umblical Cord Klem Nylon pcs - - - - - -
471 Underpad adult pcs - - - - - -
472 Urine bag pcs - - - - - -
473 Urine Gluco Protein Test Strip - - - - - -
474 Vaksin Anti Rabies Vial - - - - - -
475 Vaksin Hepatitis B Rekombinan Dewasa Prefill - - - - - -
476 Verotec Dengue Combo test - - - - - -
477 Vitamin B. Complek Tab 200 - 200 100 100 120 300
478 Vitamin B12 50 mcg Tab - - - - - -
479 Vitamin C 500 mg Tablet 170 - 170 20 150 24
480 VTM (Virus Transport Media 1 swab pcs - - - - - -
481 Wellness Baby Cotton Balls bks 1 - 1 - 1 -
482 Wellness Cotton Bud Baby Refill Piece - - - - - -
483 Wellness Cotton Roll 500 g Piece - - - - - -
484 Wellness Dental Cotton Roll Piece - - - - - -
485 Wipak Steriling Autoclave Tape With Indicator 19 mm x 50 m Roll - - - - - -
486 Yellow tip Bks/1000 - - - - - -
487 Zinc Syr 20 mg/5 ml Btl 9 - 9 1 8 1
488 Zink Tablet Tab 100 - 100 - 100 -

3,932
JUMLAH KUNJUNGAN RESEP BPJS KESEHATAN JUMLAH

Pantai Lunci,
Yang Menerima / Melapor
Petugas Poskesdes Teruntum
 DAFTAR PERMINTAAN OBAT DAN BHP

JUMLAH JUMLAH
No Nama Obat / BHP SATUAN YANG YANG KET
DIMINTA DIBERIKAN
16 Allopurinol 100 mg Tab 300
Ambroxol Syr Botol 10
Ambroxol tab Tab 100
82 Captopril 25 mg Tab 300
136 Disposible spuit 3 cc pcs 20
160 Glibenclamide 5 mg Tab 300
Lansoprazole 30 mg caps caps 200
238 Metformin 500 mg Tab 200
259 Na Diklofenac 25 mg Tab 300
302 Paracetamol strip 500 mg Tab 300
371 Simvastatin 10 mg Tab 300
407 Ulsafat (Sukralfat) 500 mg/ 5 ml susp Botol 10
415 Vitamin B. Complek Tab 100
54 Besi II sulfat + asam folat Tab 300
91 Cetirizin Tab 10 mg Tab 100
75 Calcium Lactate 500 mg Tab 100
15 Alkohol Swab Box 1
115 Dexamethasone 0,5 mg Tab 100
305 Pehavral Vitamin Tab 200
363 Ranitidine Inj Amp 5
25 Amoxycillin 500 mg Tab 100
IV Cateter No. 16 pcs 5
240 Metochlorpamid 10 mg Tab 100
216 Loperamid Tab 100
292 N-Asetil Sistein 200 mg Caps Tab 100
Petugas

Ety Fatmawati, A.Md.Keb

NIP 19900929 202012 2 020