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KODE NAMA OBAT KELAS SATUAN STOCK PENERIMAAN PERSEDIAAN PEMAKAIAN SISA

TERAPI AWAL 8 STOCK


1 2 3 4 5 6=(6-8) 7=(6-8) 8
1 ALOPURINOL TABLET BTL 160 0 160 20 120
2 AMLODIPIN TAB 0 60 60 0 60
3 AMOKSILLIN SK 125mg/5ml TAB 0 10 10 3 7
4 AmoKSILLIN TABLET 500 mg TAB 0 200 200 70 130
5 ANTALGI TAB 500 mg TAB 80 0 80 0 80
6 ANTALGIN INJ 250 mg/ml-2ml AMPL 26 0 26 0 26
7 ANTASIDA DOEN SUSPENSI KOMBINASI BTL 0 6 6 0 6
8 ANTASIDA DOEN TAB KOMBINASI TAB 0 100 100 0 100
9 BEDAK SALISIL SERBUK 2% KTK 0 6 6 0 6
10 DEXSAMETASON INJ 5 mg/ml-1ml AMPL 15 0 15 0 15
11 DEXSAMETASON TABLET 0,5 mg KALENG TAB 500 0 500 55 350
12 FITOMENADINE ( VIT K) inj i.m 2 mg/ml AMPL 0 23 23 3 20
13 FHYTOMENADIONE ( VIT K ) TABLET SALUT 10 mg AMPL 150 0 150 10 140
14 FUROSEMID Tablet 40 mg TAB 90 0 90 0 90
15 GLIBENKLAMID tablet TAB 90 0 90 0 90
16 GRISEOFULVIN Tab 125 mg TAB 100 0 100 0 100
17 HIDROKORTISON KRIM 2,5 % TUBE 14 0 14 0 14
18 IBU PROFEN TABLET 200 mg TAB 150 0 150 40 110
19 KALSIUM LAKTAT ( KALK) TABLET 500 mg TAB 160 0 160 0 160
20 KLORAMPENIKO LKAPSUL 250 mg KAPS 0 100 100 0 100
21 KLORAMPENIKO SALEP MATA 1% TUBE 5 0 5 0 5
22 KOTRIMOKSAZOL SUSPENSI KOMBINASI BTL 0 10 10 0 10
23 KOTRIMOKSAZOL DOEN dewasa Tblet TAB 350 0 350 10 340
24 LIDOKAIN KOMPOSITUM INJ AMP 27 0 27 0 27
25 METILERGOMETRIN MALEAT TABLET SALUT 0,125 TAB 100 100 100 20 180
26 METILERGOMETRIN MALEAT INJEKSI AMPL 42 0 42 1 41
27 METIL DOPA TABLET 250 mg TAB 0 100 100 0 100
28 METRONIDASOL TABLET 250 mg TAB 190 0 190 0 190
29 OBAT BATUK HITAM OBH BTL 0 5 5 1 4
30 OKSITETRASIKLIN HCI SALEP KULIT 3% TUBE 5 0 5 0 5
31 PARASETAMOL SIRUP 120mg / 5ml BTL 6 10 16 12 14
32 PARASETAMOL TABLET 500 mg TAB 420 0 420 20 200
33 RINGER LAKTAT LARUTAN INFUS STERIL BTL 13 0 13 0 13
34 SALBUTAMOL TABLET 2 mg TAB 90 0 90 10 80
35 SALEP 2-4 KOMBINASI POT 4 0 4 0 4
36 SIANOKBALAMIN ( VIT B12 ) INJEKSI 500 mg AMP 2 0 2 1 1
37 TIAMIN VIT B1 TABLET 50 mg TAB 780 0 780 10 770
38 ABBOCATH NO 18 PCS 1 0 1 0 1
39 ABBOCATH NO 20 PCS 1 0 1 0 1
40 ABBOCATH NO 22 PCS 6 0 6 0 6
41 ABBOCATH N0 24 PCS 0 0 0 0 0
42 ACYCLOVIR 400 mg TAB TAB 100 0 100 0 100
43 ACYCLOVIR CREAM 5% TUBE 13 0 13 0 13
44 SCABICID CREAM TUBE 0 5 5 1 4
45 AMBROXOL TABLET TAB 190 0 190 20 170
46 ASAM FOLAT TAB 60 0 60 0 60
47 ASAM MEFENAMAT KAPSUL 500 mg TAB 80 200 280 130 150
48 CATOPRIL TABLET TAB 100 100 100 0 100
49 CEFADROXIL 500 mg Kapsul TAB 100 0 100 20 80
50 CEFADROXIL 125 mg /5ml KERING SIRUP KERING btl 5 0 5 1 4
51 CLORAMPENICOL SUSPENSI BTL 0 6 6 2 4
52 CLORAMPENICOL KAPSUL KPSL 0 100 100 0 100
53 CIMETDINE TABLET TAB 160 0 160 0 160
54 CIPROLAXACIN TABLET 500 mg TAB 80 0 80 0 80
56 DOMPERIDON TABLET TAB 0 0 0 0 0
57 DOMPERIDON TSIRUP BTL 5 0 5 0 5
58 GENTAMICINE CREAM TUBE 12 0 12 0 12
59 KETOKANAZOLE TABLET 200 mg TAB 100 0 100 0 100
60 LOPERAMIDE TABLET TAB 160 0 160 0 160
62 MELOKSIKAM TAB 50 0 50 0 50
63 PREDNISON TABLET TAB 0 1000 1000 0 1000
64 METILPREDNISON TABLET TAB 70 0 70 0 70
65 MIKONAZOLE CREAM SALEP 2% TUBE 0 0 8 0 0
66 NATRIUM DIKLOPENAK TAB 7 0 70 0 70
67 NOVADIAR SIRUP BTL 16 0 16 0 16
68 NOVABION KAPSUL KPSL 50 100 150 20 130
69 RANITIDINE TABLET TAB 90 0 90 0 90
70 RANITIDINE INJEKSI 25 mg/ml AMPL 10 0 10 0 10
71 SALBUTAMOL TABLET 4 mg TAB 90 0 90 10 80
72 SIANOKBALAMIN ( VIT B12 ) TABLET 50 mg TAB 440 0 440 0 440
73 ZINK TABLET TAB 100 0 100 0 100
74 NOVADIUM TAB 50 0 50 0 50
75 IVRON B.COM TAB 70 0 70 0 70
76 HEXON TAB 90 0 90 10 80
77 ALLERGEN TAB 0 0 0 0 0
78 BETAFORT SIRUP BTL 8 0 8 0 8
79 ERGOTAMINE CAFEINE TABLET TABLET 100 0 100 0 100
80 RIVANOL BTL 1 0 1 0 1
81 OXYBIOTIK INJEKSI AMPL 2 0 2 0 2
83 ALKOHOL 70% BTL 2 0 2 0 2
84 CHLORPHENAMINE MALATE TABLET ( GG ) TAB 90 0 90 40 60
85 SIMVASTATIN TABLET TAB 80 0 80 0 80
86 VITAMIN C TAB 40 100 140 50 90
87 METOCLOPRAMIDE TABLET TAB 100 0 100 0 100
88 OXYTOCINE INJEKSI AMPL 8 0 8 2 6
89 TURNICATE BH 1 0 1 0 1
90 BETDINE BTL 1 0 1 1 1
91 SIDIADRYL INJEKSI AMPL 3 0 3 0 2
92 BENODON INJEKSI AMPL 0 3 3 0 3
93 NOVAPIRON TABLET TAB 3 30 3 0 3
94 HANSCON 6,5 BH 0 0 0 0 0
95 SALEP HYDROCORTISONE TUBE 13 0 13 0 13
96 SALEP KULIT BACITARACIN-POLYMYXIN B TUBE 5 0 5 0 5
97 OXYTETRACYCLINE TUBE 5 0 5 0 5
98 SALEP KETOKANAZOLE CREAM 2% TUBE 3 0 3 0 3
LAPORAN OBAT DESA PALASA LAMBORI

KODE NAMA OBAT KELAS SATUAN STOCK PENERIMAAN PERSEDIAAN PEMAKAIAN SISA
TERAPI AWAL 8 STOCK
1 2 3 4 5 6=(6-8) 7=(6-8) 8
1 ALOPURINOL TABLET TAB 70 0 70 0 70
2 AMLODIPIN TAB 80 0 80 0 80
3 AMOKSILLIN SK 125mg/5ml BTL 5 0 5 5 0
4 AmoKSILLIN TABLET 500 mg TAB 60 0 60 20 40
8 TAB 60 0 60 0 60
10 DEXSAMETASON INJ 5 mg/ml-1ml AMPL 12 0 12 0 12
11 DEXSAMETASON TABLET 0,5 mg KALENG TAB 80 0 80 30 50
12 FITOMENADINE ( VIT K) inj i.m 2 mg/ml AMPL 10 0 10 0 10
17 HIDROKORTISON KRIM 2,5 % TUBE 4 0 4 0 4
18 IBU PROFEN TABLET 200 mg TAB 20 0 20 0 20
19 CALSIUM LAKTAT ( KALK) TABLET 500 mg TAB 320 0 320 0 320
20 KLORAMPENIKOL KAPSUL 250 mg KAPS 1000 0 1000 0 1000
21 KLORAMPENIKO SALEP MATA 1% TUBE 0 0 0 0 0
22 KOTRIMOKSAZOL SUSPENSI KOMBINASI BTL 4 0 4 0 4
23 KOTRIMOKSAZOL DOEN dewasa Tblet TAB 280 0 280 50 230
24 LIDOKAIN KOMPOSITUM INJ AMP 27 0 27 1 26
25 METILERGOMETRIN MALEAT TABLET SALUT 0,125 TAB 50 0 50 20 30
26 METILERGOMETRIN MALEAT INJEKSI AMPL 19 0 19 8 11
27 METIL DOPA TABLET 250 mg TAB 0 0 0 0 0
28 METRONIDASOL TABLET 250 mg TAB 240 0 240 0 240
29 OBAT BATUK HITAM OBH BTL 5 0 5 1 4
30 OKSITETRASIKLIN HCI SALEP KULIT 3% TUBE 0 0 0 0 0
31 PARASETAMOL SIRUP 120mg / 5ml BTL 4 0 4 4 0
32 PARASETAMOL TABLET 500 mg TAB 80 0 80 80 0
33 RINGER LAKTAT LARUTAN INFUS STERIL BTL 2 2 2 1 1
34 SALBUTAMOL TABLET 2 mg TAB 0 0 0 0 0
35 SALEP 2-4 KOMBINASI POT 13 0 13 4 9
36 SIANOKBALAMIN ( VIT B12 ) INJEKSI 500 mg AMP 6 0 6 0 6
37 TIAMIN VIT B1 TABLET 50 mg TAB 780 0 780 0 780
38 ABBOCATH NO 18 PCS 5 0 5 1 4
LAPORAN OBAT DESA PALASA LAMBORI

39 ABBOCATH NO 20 PCS 0 0 0 0 0
40 ABBOCATH NO 22 PCS 0 10 10 0 10
41 ABBOCATH N0 24 PCS 1 8 9 0 9
42 ACYCLOVIR 400 mg TAB TAB 100 0 100 0 100
43 ACYCLOVIR CREAM 5% TUBE 0 0 0 0 0
44 SCABIES ZALF TUBE 4 0 4 0 4
45 AMBROXOL TABLET TAB 80 0 80 30 50
46 ASAM FOLAT TAB 160 0 160 20 140
47 ASAM MEFENAMAT KAPSUL 500 mg TAB 120 0 120 20 100
48 CATOPRIL TABLET TAB 230 0 230 20 210
49 CEFADROXIL 500 mg Kapsul TAB 210 0 210 10 200
50 CEFADROXIL 125 mg /5ml KERING SIRUP KERING BTL 1 0 1 0 0
51 CLORAMPENICOL SUSPENSI BTL 12 0 12 4 8
52 CLORAMPENICOL KAPSUL/NOVACLOR KPSL 5 0 5 5 5
53 CIMETDINE TABLET TAB 110 0 110 0 110
54 CIPROLAXACIN TABLET 500 mg TAB 80 0 80 10 70
56 DOMPERIDON TABLET TAB 100 0 100 10 90
57 DOMPERIDON TSIRUP BTL 2 0 2 1 2
58 GENTAMICINE CREAM TUBE 2 0 2 2 0
59 KETOKANAZOLE TABLET 200 mg tab 100 0 100 0 100
60 LOPERAMIDE TABLET TAB 170 0 170 30 140
62 MELOKSIKAM TAB 40 0 40 0 40
63 PREDNISON TABLET TAB 980 0 980 0 980
64 METILPREDNISON TABLET TAB 70 0 70 40 30
65 MIKONAZOLE CREAM SALEP 2% TUBE 0 0 0 0 0
66 NATRIUM DIKLOPENAK TAB 160 0 160 10 150
67 NOVADIAR SIRUP BTL 5 0 5 2 5
68 NOVABION KAPSUL KPSL 70 0 70 70 0
69 RANITIDINE TABLET TAB 200 0 200 70 130
70 RANITIDINE INJEKSI 25 mg/ml AMPL 0 0 0 0 0
71 SALBUTAMOL TABLET 4 mg TAB 0 0 0 0 0
72 SIANOKBALAMIN ( VIT B12 ) TABLET 50 mg TAB 0 0 0 0 0
73 ZINK TABLET TAB 120 0 120 10 110
LAPORAN OBAT DESA PALASA LAMBORI

74 NOVADIUM TAB 0 0 0 0 0
75 IVRON B.COM TAB 190 0 190 20 170
76 HEXON TAB 100 0 100 40 60
77 ALLERGEN/ctm TAB 0 0 0 0 0
78 BETAFORT SIRUP BTL 10 0 10 0 10
79 ERGOTAMINE CAFEINE TABLET TABLET 100 0 100 0 100
80 RIVANOL BTL 1 0 1 0 1
81 OXYBIOTIK INJEKSI AMPL 2 0 2 0 2
83 ALKOHOL 70% BTL 3 0 3 0 3
84 CHLORPHENAMINE MALATE TABLET (CTM ) TAB 100 0 100 30 20
85 SIMVASTATIN TABLET TAB 20 0 20 20 0
86 VITAMIN C TAB 0 0 0 0 0
87 METOCLOPRAMIDE TABLET TAB 220 0 220 10 220
88 OXYTOCINE INJEKSI AMPL 16 0 16 2 14
89 TURNICATE BH 1 1 1 1 1
90 BETADINE BTL 1 0 1 0 1
91 SIDIADRYL INJEKSI AMPL 3 0 3 0 3
92 BENODON INJEKSI AMPL 0 0 0 0 0
93 NOVAPIRON TABLET TAB 0 0 0 0 0
94 HANSCON BH 4 0 4 1 3
95 SALEP KULIT BACITARACIN-POLYMYXIN B TUBE 0 0 0 0 0
96 OXYTETRACYCLINE TUBE 0 0 0 0 0
97 SALEP KETOKANAZOLE CREAM 2% TUBE 0 0 0 0 0
98 ASAM MEFENAMAT SIRUP SIRUF 0 0 0 0 0
99 GG TAB 700 0 700 100 600
100 CLORAMPENICOL SALEP MATA( RECO) TUBE 0 0 0 0 0
101 E-CARE ( ALKOHOL STERIL ) SACHET 100 100 0 100
102 MASKER BH 0 0 0 0 0
103 KASA HIDROFIL 16X16 KTK 9 0 9 3 5
104 IBU PROFEN SYRF BTL 0 0 0 0 0
105 HANSAPLAST PCS 8 0 8 2 6
106 KASA HIDROFIL 40X80 ROLL SPTG 30-Dec SPTG SPTG 0
107 PLESTER ROLL 1 1 1 0 1
LAPORAN OBAT DESA PALASA LAMBORI

108 BURNASIN ZALF TUBE 2 0 2 0 2


109 DERMAFIX PLESTER SASET 21 0 21 1 20
110 MELOXIKAM 7,5 TAB 40 0 40 0 40
111 PIROXICAM TAB 40 0 40 0 40
112 NIFEDIPIN TAB 50 0 50 10 40
113 TETS TELINGA BTL 3 3 3 0 3
114 DULKOLAX 5 MG BH 5 0 5 1 4
115 FEBRINEX SIRUF SRF 1 0 1 0 1
116 MY JELLY BH 1 0 1 1 0
117 ORALIT SASHET 75 0 75 15 60
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK

1 ABOCETH 22 PCS 5 0 5 0 5
2 ABOCTH 24 PCS 5 0 5 0 5
3 ACYCLOVIR 400 MG TAB 60 0 60 30 30
4 ACYCLOVIR SLF TUBE 2 0 2 1 1
5 ALKOHOL 70% 100ML BTL 0 1 1 0 1
6 ALLOPURINOL TAB 160 0 160 0 160
7 AMLODIPINE TAB 60 0 60 0 60
8 AMOKSILIN TAB 100 100 200 0 200
9 AMOKSILIN SK/125mg/5 ml BTL 2 6 8 0 8
10 ANTASIDA DOEN TAB 70 0 70 20 50
11 ANTASIDA DOEN SRYP BTL 0 8 8 1 7
12 ASAM ASKORBAT (VIT C) TAB 20 0 20 0 20
13 ASAM MEFENAMAT TAB 190 0 190 20 170
14 ASEPTIK GEL TUBE 1 0 1 1 0
15 B12 INJK AMP 20 0 20 0 20
16 BETAFORF BTL 1 0 2 1 1
17 BETAMETASON TUBE 10 0 10 0 10
18 CATGUT 5 0 5 0 5
19 CEFADROXIL TAB 10 0 10 0 10
20 CLORAMFENICOL TAB 30 0 30 0 30
21 CLORAMFENICOL SRYP BTL 5 0 5 0 5
22 COTRIMOKSAZOLE TAB 330 0 330 0 330
23 COTRIMOKSAZOLE SRYP BTL 15 0 15 0 15
24 CTM TAB 60 100 160 0 160
25 DEXAMETASON TAB 160 0 160 0 160
26 DIFENHIDRAMNION AMP 8 0 8 4 4
27 DISPO 1CC PCS 30 0 30 0 30
28 DISPO 3CC PCS 25 0 25 0 25
29 DOMPERIDONE TAB 120 0 120 0 120
30 DOMPERIDONE SRYP BTL 4 0 4 0 4
31 FEBRINEX BTL 0 5 5 0 5
32 FOLID ACID TAB 200 0 200 0 200
33 GLISERIL GUAIAKOLAT 100 mg TAB 130 0 130 20 110
34 HANDSCOON PCS 0 10 10 0 10
35 HANDSCOON NON STERIL PCS 20 0 20 0 20
36 HIDROCOTISONE KRIM 2,5% TUBE 2 0 2 0 2
37 IBUPROFEN SRYP BTL 0 7 7 0 7
38 INFUSET DEWASA PCS 5 0 5 0 5
39 KASA STERIL 16X16 KTK 0 2 2 0 2
40 LIDOCAIN AMP 5 0 5 0 5
41 LISOL BTL 0 1 1 1 0
42 LOPERAMIDE TAB 50 0 50 0 50
43 MASKER TALI PCS 30 0 30 0 30
44 METFORMIN TAB 100 0 100 0 100
45 METIL ERGOMETRIN INJ AMP 0 5 5 0 5
46 METIL ERGOMETRIN MALEAT TAB 20 100 120 0 120
47 METOCLOPRAMIDE TAB 70 0 70 0 70
48 MHETYL PREDNISOLONE TAB 60 0 60 0 60
49 MICONASOLE TUBE 4 0 4 0 4
50 MY GELL TUBE 2 0 2 2 0
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK
51 NATRIUM DICLOPENAC TAB 40 50 90 0 90
52 NIFEDIPINE TAB 80 0 80 0 80
53 NOVABION TAB 0 100 100 0 100
54 NOVADIAR BTL 8 0 8 0 8
55 NOVAPHYRON TAB 0 100 100 0 100
56 OMEPRASOL TAB 30 0 30 0 30
57 ORALIT PCS 84 0 84 0 84
58 OXYTOSIN INJ. AMP 8 5 13 0 13
59 PARACETAMOL 500mg TAB 40 200 240 0 240
60 PARACETAMOL SRYP BTL 4 6 10 0 10
61 PENJEPIT TALI PUSAT PCS 15 0 15 0 15
62 PIROCXICAM TAB 70 0 70 0 70
63 PLESTER ROOL KECIL PCS 1 0 1 0 1
64 RANITIDINE TAB 60 0 60 0 60
65 RIVANOL BTL 1 0 1 1 0
66 RL BTL 0 2 2 0 2
67 SALBUTAMOL TAB 0 100 100 0 100
68 SYMPASTATIN TAB 40 90 130 0 130
69 TES HAMIL PCS 0 10 10 0 10
70 TETES MATA BTL 0 4 4 0 4
71 TORNIKET PCS 1 0 1 0 1
72 VIT. K INJ AMP 3 0 3 0 3
73 VITAMIN B.COM TAB 10 200 210 0 210
74 VITAMIN B1 TAB 180 0 180 0 180
75 ZINC TAB 50 0 50 0 50

BEAU, 27 JANUARI 2019


BIDAN DESA

MISRA, A.Md.Keb
NIP : 19930715 20170420 01

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