REGISTER OBAT PUSTU GALUNGGUNG

NO NAMA OBAT LIDI RESEP HARIAN NO

1 ALBENDAZOL TABLET 400 MG 1

2 ALLOPURINOL TABLET 100 MG 2
3 AMINOFILIN TABLET 200 MG 3
4 AMITRIPTILIN 4
5 AMOKSISILIN SIRUP 5
6 AMOKSISILIN 6
7 ANTALGIN 7
8 ANTASIDA 8
9 ANTIBAKTERI 9
10 ANTIHEMOROID 10
11 ANTI FUNGI 11
12 ANTIMIGRAIN 12
13 ASAM ASCORBAT 13
14 ASETOSAL 14
15 DEKSAMAETHASON 15
16 DIAZEPAM 2 MG 16
17 DIGOKSIN 17
18 EFEDRIN 18
19 EKSTRAK BELLADON 19
20 FENITOIN 20
21 FENOBARBITAL 21
22 FITOMENADION 22
23 FLUOR 23
24 FUROSEMIDE 24
25 GARAM ORALIT 25
26 GENTIAN 26
27 GLIBENKLAMID 27
28 GLISERIL GUAICOLAT 28
29 HCT 29
30 HC SK 30
NO NAMA OBAT LIDI RESEP HARIAN NO

31 IBU 200 31
32 IBU 400 32
33 ISDN 33
34 KALK 34
35 KHLORAM 250 35
36 KHLORAM SM 36
37 KHLORAM TT 37
38 CTM 38
39 KODEIN 39
40 KOTRIM SUSP 40
41 KOTRIM 120 41
42 KOTRIM 480 42
43 METIL ERGO 43
44 METRO 250 44
45 NISTATIN VAG 45
46 NISTATIN TAB 46
47 OBH 47
48 OKSI SK 48
49 OKSI SM 49
50 PAMOL SIR 50
51 PAMOL 100 51
52 PAMOL 500 52
53 PIRIDOKSIN 53
54 PREDNISON 54
55 PROPILTIOURASIL 55
56 SALBUTAMOL 56
57 SALEP 24 57
58 SALISIL TALK 58
59 SULFA TM 59
60 SF 60
61 TETRA 250 61
62 TETRA 500 62
63 TIAMIN TAB 63
64 VITAMIN BC 64
NO NAMA OBAT LIDI RESEP HARIAN NO

1 ANTASIDA SIR 1
2 ACY SK 2
3 ACY TAB 3
4 AMBROX TAB 4
5 AMBROX SIR 5
6 AMLO 10 6
7 AMLO 5 7
8 APTIL 8
9 ASAM FOLAT 9
10 ASMEF 10
11 ATTAPULGIT 11
12 BETAHISTIN 12
13 BIOPLACENTON 13
14 BISOPROLOL 14
15 BUFACOM 15
16 CAPTO 16
17 CAVIPLEX 17
18 CEFADROXIL 18
19 CIMET 19
20 CIPRO 20
21 CLINDA 21
22 CO AMOX 22
23 CLOBAZAM 23
24 DASABION 24
25 DEXANTA 25
26 DEXTRAL 26
27 DIMEN 27
28 DOMPERIDON 28
29 DOXYCICLIN 29
30 ERY 500 30
31 ERY SIR 31
32 FORTUSSIN 32
33 GEMFIBROZIL 200 33
34 GENTA SK 34
NO NAMA OBAT LIDI RESEP HARIAN NO

35 GLIMEPIRID 35
36 GLIQUIDON 36
37 GUANISTREP 37
38 HEMAFORT 38
39 KA DIKLO 39
40 KETOKO SK 40
41 KETOKO TAB 41
42 KHLORAM SIR 42
43 KHLORAM TM 43
44 LISINOPRIL 44
45 LOPERAMID 45
46 LORATADIN 46
47 MELOXICAM 47
48 METFORMIN 48
49 METHYL PRED 49
50 METOCLO 50
51 MYLOXAN 51
52 NATRIUM DIKLO 52
53 NEW KHLORKOL 53
54 NIFEDIPIN 54
55 NOVADIAR 55
56 NOZA 56
57 OMEPRAZOL 57
58 PEHAVRAL 58
59 PIROXICAM 59
60 PROCURMA SIR 60
61 PROTEXINAL SIR 61
62 PROTEXINAL TAB 62
63 SELEDIAR 63
64 SIMVASTATIN 64
65 SPASMINAL 65
66 SIPIRONOLACTON 66
67 THIAMFENICOL 67
68 VITAMIN B 12 68
NO NAMA OBAT LIDI RESEP HARIAN NO

69 ZINC 69
70 BIONEURON 70
71 ALVIT SIR 71
72 MIKO SK 72
73 LODECON 73
74 BABYCOUGH 74
 REGISTER OBAT PUSTU GALUNGGUNG

NAMA OBAT LIDI RESEP HARIAN TOTAL

AKHIR
ALBENDAZOL TABLET 400 MG
ALLOPURINOL TABLET 100 MG
AMINOFILIN TABLET 200 MG
AMITRIPTILIN
AMOKSISILIN SIRUP
AMOKSISILIN
ANTALGIN
ANTASIDA
ANTIBAKTERI
ANTIHEMOROID
ANTI FUNGI
ANTIMIGRAIN
ASAM ASCORBAT
ASETOSAL
DEKSAMAETHASON
DIAZEPAM 2 MG
DIGOKSIN
EFEDRIN
EKSTRAK BELLADON
FENITOIN
FENOBARBITAL
FITOMENADION
FLUOR
FUROSEMIDE
GARAM ORALIT
GENTIAN
GLIBENKLAMID
GLISERIL GUAICOLAT
HCT
HC SK
 NAMA OBAT LIDI RESEP HARIAN TOTAL
AKHIR
IBU 200
IBU 400
ISDN
KALK
KHLORAM 250
KHLORAM SM
KHLORAM TT
CTM
KODEIN
KOTRIM SUSP
KOTRIM 120
KOTRIM 480
METIL ERGO
METRO 250
NISTATIN VAG
NISTATIN TAB
OBH
OKSI SK
OKSI SM
PAMOL SIR
PAMOL 100
PAMOL 500
PIRIDOKSIN
PREDNISON
PROPILTIOURASIL
SALBUTAMOL
SALEP 24
SALISIL TALK
SULFA TM
SF
TETRA 250
TETRA 500
TIAMIN TAB
VITAMIN BC
 NAMA OBAT LIDI RESEP HARIAN TOTAL
AKHIR
ANTASIDA SIR
ACY SK
ACY TAB
AMBROX TAB
AMBROX SIR
AMLO 10
AMLO 5
APTIL
ASAM FOLAT
ASMEF
ATTAPULGIT
BETAHISTIN
BIOPLACENTON
BISOPROLOL
BUFACOM
CAPTO
CAVIPLEX
CEFADROXIL
CIMET
CIPRO
CLINDA
CO AMOX
CLOBAZAM
DASABION
DEXANTA
DEXTRAL
DIMEN
DOMPERIDON
DOXYCICLIN
ERY 500
ERY SIR
FORTUSSIN
GEMFIBROZIL 200
GENTA SK
 NAMA OBAT LIDI RESEP HARIAN TOTAL
AKHIR
GLIMEPIRID
GLIQUIDON
GUANISTREP
HEMAFORT
KA DIKLO
KETOKO SK
KETOKO TAB
KHLORAM SIR
KHLORAM TM
LISINOPRIL
LOPERAMID
LORATADIN
MELOXICAM
METFORMIN
METHYL PRED
METOCLO
MYLOXAN
NATRIUM DIKLO
NEW KHLORKOL
NIFEDIPIN
NOVADIAR
NOZA
OMEPRAZOL
PEHAVRAL
PIROXICAM
PROCURMA SIR
PROTEXINAL SIR
PROTEXINAL TAB
SELEDIAR
SIMVASTATIN
SPASMINAL
SIPIRONOLACTON
THIAMFENICOL
VITAMIN B 12
 NAMA OBAT LIDI RESEP HARIAN TOTAL
AKHIR
ZINC
BIONEURON
ALVIT SIR
MIKO SK
LODECON
BABYCOUGH
 REGISTER OBAT PUSTU GALUNGGUNG

NO NAMA OBAT STOK PENERI PEMAKAIAN TOTAL NO

AWAL MAAN
1 ALBENDAZOL TABLET 400 MG 1
2 ALLOPURINOL TABLET 100 MG 2
3 AMINOFILIN TABLET 200 MG 3
4 AMITRIPTILIN 4
5 AMOKSISILIN SIRUP 5
6 AMOKSISILIN 6
7 ANTALGIN 7
8 ANTASIDA 8
9 ANTIBAKTERI 9
10 ANTIHEMOROID 10
11 ANTI FUNGI 11
12 ANTIMIGRAIN 12
13 ASAM ASCORBAT 13
14 ASETOSAL 14
15 DEKSAMAETHASON 15
16 DIAZEPAM 2 MG 16
17 DIGOKSIN 17
18 EFEDRIN 18
19 EKSTRAK BELLADON 19
20 FENITOIN 20
21 FENOBARBITAL 21
22 FITOMENADION 22
23 FLUOR 23
24 FUROSEMIDE 24
25 GARAM ORALIT 25
26 GENTIAN 26
27 GLIBENKLAMID 27
28 GLISERIL GUAICOLAT 28
29 HCT 29
30 HC SK 30

NO NAMA OBAT STOK PENERI PEMAKAIAN TOTAL NO

AWAL MAAN
31 IBU 200 31
32 IBU 400 32
33 ISDN 33
34 KALK 34
35 KHLORAM 250 35
36 KHLORAM SM 36
37 KHLORAM TT 37
38 CTM 38
39 KODEIN 39
40 KOTRIM SUSP 40
41 KOTRIM 120 41
42 KOTRIM 480 42
43 METIL ERGO 43
44 METRO 250 44
45 NISTATIN VAG 45
46 NISTATIN TAB 46
47 OBH 47
48 OKSI SK 48
49 OKSI SM 49
50 PAMOL SIR 50
51 PAMOL 100 51
52 PAMOL 500 52
53 PIRIDOKSIN 53
54 PREDNISON 54
55 PROPILTIOURASIL 55
56 SALBUTAMOL 56
57 SALEP 24 57
58 SALISIL TALK 58
59 SULFA TM 59
60 SF 60
61 TETRA 250 61
62 TETRA 500 62
63 TIAMIN TAB 63
64 VITAMIN BC 64

NO NAMA OBAT STOK PENERI PEMAKAIAN TOTAL NO

AWAL MAAN
1 ANTASIDA SIR 1
2 ACY SK 2
3 ACY TAB 3
4 AMBROX TAB 4
5 AMBROX SIR 5
6 AMLO 10 6
7 AMLO 5 7
8 APTIL 8
9 ASAM FOLAT 9
10 ASMEF 10
11 ATTAPULGIT 11
12 BETAHISTIN 12
13 BIOPLACENTON 13
14 BISOPROLOL 14
15 BUFACOM 15
16 CAPTO 16
17 CAVIPLEX 17
18 CEFADROXIL 18
19 CIMET 19
20 CIPRO 20
21 CLINDA 21
22 CO AMOX 22
23 CLOBAZAM 23
24 DASABION 24
25 DEXANTA 25
26 DEXTRAL 26
27 DIMEN 27
28 DOMPERIDON 28
29 DOXYCICLIN 29
30 ERY 500 30
31 ERY SIR 31
32 FORTUSSIN 32
33 GEMFIBROZIL 200 33
34 GENTA SK 34

NO NAMA OBAT STOK PENERI PEMAKAIAN TOTAL NO

AWAL MAAN
35 GLIMEPIRID 35
36 GLIQUIDON 36
37 GUANISTREP 37
38 HEMAFORT 38
39 KA DIKLO 39
40 KETOKO SK 40
41 KETOKO TAB 41
42 KHLORAM SIR 42
43 KHLORAM TM 43
44 LISINOPRIL 44
45 LOPERAMID 45
46 LORATADIN 46
47 MELOXICAM 47
48 METFORMIN 48
49 METHYL PRED 49
50 METOCLO 50
51 MYLOXAN 51
52 NATRIUM DIKLO 52
53 NEW KHLORKOL 53
54 NIFEDIPIN 54
55 NOVADIAR 55
56 NOZA 56
57 OMEPRAZOL 57
58 PEHAVRAL 58
59 PIROXICAM 59
60 PROCURMA SIR 60
61 PROTEXINAL SIR 61
62 PROTEXINAL TAB 62
63 SELEDIAR 63
64 SIMVASTATIN 64
65 SPASMINAL 65
66 SIPIRONOLACTON 66
67 THIAMFENICOL 67
68 VITAMIN B 12 68

NO NAMA OBAT STOK PENERI PEMAKAIAN TOTAL NO

AWAL MAAN
69 ZINC 69
70 BIONEURON 70
71 ALVIT SIR 71
72 MIKO SK 72
73 LODECON 73
74 BABYCOUGH 74
 REGISTER OBAT PUSTU GALUNGGUNG

NAMA OBAT PEMAKAIAN TOTAL TOTAL

AKHIR
ALBENDAZOL TABLET 400 MG
ALLOPURINOL TABLET 100 MG
AMINOFILIN TABLET 200 MG
AMITRIPTILIN
AMOKSISILIN SIRUP
AMOKSISILIN
ANTALGIN
ANTASIDA
ANTIBAKTERI
ANTIHEMOROID
ANTI FUNGI
ANTIMIGRAIN
ASAM ASCORBAT
ASETOSAL
DEKSAMAETHASON
DIAZEPAM 2 MG
DIGOKSIN
EFEDRIN
EKSTRAK BELLADON
FENITOIN
FENOBARBITAL
FITOMENADION
FLUOR
FUROSEMIDE
GARAM ORALIT
GENTIAN
GLIBENKLAMID
GLISERIL GUAICOLAT
HCT
HC SK

NAMA OBAT PEMAKAIAN TOTAL TOTAL

AKHIR
IBU 200
IBU 400
ISDN
KALK
KHLORAM 250
KHLORAM SM
KHLORAM TT
CTM
KODEIN
KOTRIM SUSP
KOTRIM 120
KOTRIM 480
METIL ERGO
METRO 250
NISTATIN VAG
NISTATIN TAB
OBH
OKSI SK
OKSI SM
PAMOL SIR
PAMOL 100
PAMOL 500
PIRIDOKSIN
PREDNISON
PROPILTIOURASIL
SALBUTAMOL
SALEP 24
SALISIL TALK
SULFA TM
SF
TETRA 250
TETRA 500
TIAMIN TAB
VITAMIN BC

NAMA OBAT PEMAKAIAN TOTAL TOTAL

AKHIR
ANTASIDA SIR
ACY SK
ACY TAB
AMBROX TAB
AMBROX SIR
AMLO 10
AMLO 5
APTIL
ASAM FOLAT
ASMEF
ATTAPULGIT
BETAHISTIN
BIOPLACENTON
BISOPROLOL
BUFACOM
CAPTO
CAVIPLEX
CEFADROXIL
CIMET
CIPRO
CLINDA
CO AMOX
CLOBAZAM
DASABION
DEXANTA
DEXTRAL
DIMEN
DOMPERIDON
DOXYCICLIN
ERY 500
ERY SIR
FORTUSSIN
GEMFIBROZIL 200
GENTA SK

NAMA OBAT PEMAKAIAN TOTAL TOTAL

AKHIR
GLIMEPIRID
GLIQUIDON
GUANISTREP
HEMAFORT
KA DIKLO
KETOKO SK
KETOKO TAB
KHLORAM SIR
KHLORAM TM
LISINOPRIL
LOPERAMID
LORATADIN
MELOXICAM
METFORMIN
METHYL PRED
METOCLO
MYLOXAN
NATRIUM DIKLO
NEW KHLORKOL
NIFEDIPIN
NOVADIAR
NOZA
OMEPRAZOL
PEHAVRAL
PIROXICAM
PROCURMA SIR
PROTEXINAL SIR
PROTEXINAL TAB
SELEDIAR
SIMVASTATIN
SPASMINAL
SIPIRONOLACTON
THIAMFENICOL
VITAMIN B 12

NAMA OBAT PEMAKAIAN TOTAL TOTAL

AKHIR
ZINC
BIONEURON
ALVIT SIR
MIKO SK
LODECON
BABYCOUGH
 LAPORAN PEMAKA

SUB UNIT : PUSTU

PUSKESMAS: BARENG
KECAMATAN: KLOJEN
KOTA : MALANG
PROPINSI : JAWA TIMUR

KODE NAMA OBAT

1 2
0101 ALBENDAZOL TABLET 400 MG
0102 ALLOPURINOL TABLET 100 MG
0103 AMINOFILIN TABLET 200 MG
0104 AMITRIPTILIN TABLET SALUT 25
0105 AMOKSISILIN SIRUP KERING 125
0106 AMOKSISILIN KAPSUL 250 MG
0109 ANTALGIN ( METAMPIRON ) TABL
0110 ANTASIDA DOEN TABLET KOMBIN
0111 ANTI BAKTERI DOEN SALEP KOMB
0112 ANTI HEMOROID DOEN KOMBINA
0113 ANTI FUNGI DOEN KOMBINASI
0114 ANTI MIGRAIN DOEN KOMBINASI
0117 ASAM ASKORBAT ( VIT C ) TABLET
0118 ASETOSAL TABLET 100 MG
0202 BETAMETASON KRIM 0,1 %
0401 DAPSON TABLET 100 MG
0402 DEKSAMETASON TABLET 0,5 MG
0403 DEKSTROMETORFAN HBR SIRUP 1
0404 DEKSTROMETORFAN HBR TABLET
0405 DIAZEPAM TABLET 2 MG
0408 DIGOKSIN TABLET 0.25 MG
0501 EFEDRIN HCL TABLET 25 MG
0502 EKSTRAK BELLADON TABLET 10 M
0601 FENITOIN NATRIUM KAPSUL 100
0604 FENOBARBITAL TABLET 30 MG
0608 FITOMENADION ( VIT K ) TABLET
0609 FLUOR TABLET 0,5 MG
0610 FUROSEMID TABLET 40 MG
0703 GARAM ORALIT UNTUK 200 ML AI
0704 GENTIAN VIOLET LARUTAN 1 %
0705 GLIBENKLAMID TABLET 5 MG
0706 GLISERIL GUAYAKOLAT TABLET 10
0803 HIDROKLOROTIAZID ( HCT ) TABLE
0804 HIDROKORTISON KRIM 2,5 %
0901 IBUPROFEN TABLET 200 MG
0902 IBUPROFEN TABLET 400 MG
0906 ISOSORBID DINITRAT TABLET SUB
1102 KALSIUM LAKTAT ( KALK) TABLET
1106 KLORAMFENIKOL KAPSUL 250 MG
1107 KLORAMFENIKOL SALEP MATA 1 %
1108 KLORAMFENIKOL TETES TELI
1109 KLORFENIRAMIN MALEAT (CTM )
1114 KODEIN HCL TABLET 20 MG
KODE NAMA OBAT
1 2
1115 KOMB PIRIMETAMIN 25 MG + SU
1116 KOTRIMOKSAZOL PEDIATRIK TABL
1117 KOTRIMOKSAZOL SUSPENSI
1118 KOTRIMOKSAZOL DEWASA TABLE
1303 METIL ERGOMETRIN MALEAT TAB
1304 METRONIDAZOL TABLET 250 MG
1403 NISTATIN 100.000 IU / TABLET VA
1404 NISTATIN 500.000 IU / TAB
1501 OBAT BATUK HITAM ( O.B.H ) CAI
1502 OKSITETRASIKLIN HCL SALEP 3 %
1503 OKSITETRASIKLIN HCL SALEP MAT
1601 PARAFORMALDEHID TABLET 1 G
1602 PARASETAMOL SIRUP 120 MG / 5
1603 PARASETAMOL TABLET 100 MG
1604 PARASETAMOL TABLET 500 MG
1609 PIRIDOKSIN HCL TABLET 10 MG
1610 POLIKRESULEN
1611 PRAZIKUANTEL TABLET 600 MG
1612 PREDNISON TABLET 5 MG
1614 PROPILTIOURASIL TABLET 100 MG
1801 SALBUTAMOL TABLET 2 MG
1802 SALEP 2-4 KOMBINASI
1803 SALISIL TALK
1805 SULFASETAMID NATRIUM TETES M
1901 TABLET TAMBAH DARAH KOMBINA
1904 TETRASIKLIN KAPSUL 500 MG
1905 TIAMIN HCL MONONITRAT (VIT. B
2101 VITAMIN B KOMPLEKS TABLET
2401 YODIUM POVIDON LARUTAN 10 %
2402 YODIUM POVIDON LARUTAN 10 %
2501 AMOXICILLIN 500 MG
 PENUNJANG

KODE NAMA OBAT

1 2
1 ANTASIDA SIRUP
2 ACYCLOVIR 400 MG TABLET
3 ACYCLOVIR KRIM
4 AMBROXOL SIRUP
5 AMBROXOL TABLET
6 AMLODIPINE 5 MG
7 AMLODIPINE 10 MG
8 APTIL SALEP
9 ASAM FOLAT
10 ASAM MEFENAMAT 500 MG TAB
11 ATTAPULGITE ( MOLAGIT )
12 BETAHISTINE 6 MG TAB
13 BIOPLACENTON SALEP
14 BISOPROLOL TABLET
15 BUFACOMB
16 CAPTOPRIL 25 MG TAB
17 CAVIPLEX TAB
18 CEFADROXYL CAPS
19 CIMETIDIN 200 MG TABLET
20 CIPROFLOXACIN 500 MG
21 CLINDAMYCIN 300 MG
22 CO AMOXICLAV
23 CLOBAZAM 10 MG TABLET
24 DASABION TABLET
25 DEXANTA TABLET
26 DEXTRAL TABLET
27 DIMENHYDRINAT TABLET
28 DOMPERIDONE TABLET
29 DOXYCYCLINE
30 ERYTROMICIN 500 MG TABLET
31 ERYTROMICIN SIRUP KERING
32 FORTUSIN SIRUP
33 GEMFIBROZIL 300 MG KAPSUL
34 GENTAMISIN SALEP KULIT
35 GLIMEPIRIDE TABLET
36 GLIQUIDON 30 MG TABLET
37 GUANISTREP SIRUP
38 HEMAFORT TABLET
KALIUM DIKLOFENAK 50 MG
39 TABLET
40 KETOKONAZOL KRIM
41 KETOKONAZOL TABLET
42 KLORAMFENIKOL SIRUP
43 KLORAMFENIKOL TETES MATA
44 LISINOPRIL TABLET
45 LOPERAMID ( NOVADIUM
46 LORATADIN TABLET
47 MELOXICAM TABLET
48 METFORMIN 500 MG TABLET
49 METHYL PREDNISOLON 8 MG
KODE NAMA OBAT
1 2
50 METOCLOPRAMID TABLET
51 MYLOXAN TABLET
52 NATRIUM DIKLOFENAK 50 MG
53 NEW CHLORKOL
54 NIFEDIPIN TABLET
55 NOVADIAR SIRUP
56 NOZA TABLET
57 OMEPRAZOLE KAPSUL
58 PEHAVRAL TABLET
59 PIROXICAM 20 MG TABLET
60 PROCURMA SIRUP
61 PROTEXINAL SIRUP
62 PROTEXINAL TABLET
63 SELEDIAR TABLET
64 SIMVASTATIN 10 MG TABLET
65 SPASMINAL TABLET
66 SPIRONOLACTON 100 MG
67 THIAMFENIKOL 500 MG
68 TRAMADOL KAPSUL
69 TRUVIT SIRUP
70 VITAMIN B12 TABLET
71 ZINC TABLET
72 BABY COUGH
73 ALVIT
74 COREDRYL
75 LODECON
76 BIONEURON
77 MIKONAZOL
78 SCABICID
79 PAMOL DROP

JUMLAH KUNJUNGAN RESEP

MENGETAHUI
PIMPINAN PUSKESMAS

dr. RINA ISTAROWATI

NIP. 19751025 200312 2 005
APORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LB2 )
SUB UNIT PELAYANAN

BULAN :
TAHUN :

KELAS SATU STOK PENERI- PERSE-

TERAPI AN AWAL MAAN DIAAN
3 4 5 6 7=5+6
6.1.1 TAB 245 245
1.2 TAB 110 200 310
26.1 TAB 91 91
23.2 TAB 0 0
6.2.1 BTL 47 47
6.2.1 KAP 0 0
1.2 TAB 215 215
25.1 TAB 118 500 618
18.2 TUB 7 7
25.3 SUP 39 39
18.3 POT 0 0
7.2 TAB 0 0
29 TAB 111 111
 1.2 TAB 0 0
18.4 TUB 0 0
6.2.3. TAB 0 0
16.4 TAB 0 200 200
26.2 BTL 0 0
26.2 TAB 0 0
5 TAB 210 100 310
17.5 TAB 0 0
26.1 TAB 0 0
25.4 TAB 1166 1166
5 KAP 0 0
5 TAB 0 0
10.2 TAB 180 180
14.1 TAB 0 0
14 TAB 0 0
20.1 SAK 66 66
14.2 BTL 2 2
16.1.1 TAB 55 500 555
26.3 TAB 558 558
15 TAB 295 100 395
18.4 TUB 39 39
1.2 TAB 0 500 500
1.2 TAB 0 0
17.1 TAB 0 0
29 TAB 175 175
6.2.2 KAP 0 0
21.21 TUB 0 0
28.1 BTL 0 0
 3 TAB 547 500 1047
26.2 TAB 0 0
 KELAS SATU STOK PENERI- PERSE-
TERAPI AN AWAL MAAN DIAAN
3 4 5 6 7=5+6
6.4.2.2. TAB 0 0
6.2.2 TAB 0 0
6.2.2 BTL 46 46
6.2.2 TAB 0 0
22.1 TAB 0 0
6.2.2 TAB 339 339
6.3 TAB 55 55
6.3 TAB 0 0
26.3 BTL 0 0
18.2 TUB 16 16
21.2.2 TUB 0 0
13.2 TAB 0 0
1.2 BTL 61 61
1.2 TAB 0 0
1.2 TAB 679 500 1179
29 TAB 388 388
14.2 BTL 0 0
6.1.1 TAB 0 0
16.4 TAB 80 80
16.3 TAB 0 0
26.1 TAB 0 0
18.4 POT 29 29
18.8 KTK 7 7
21.2.2 BTL 0 0
10.1 TAB 0 0
6.2.2 KAP 0 0
29 TAB 1260 1260
29 TAB 678 1000 1678
13.1 BTL 0 0
13.1 BTL 0 0
TAB 213 500 713
KELAS SATU STOK PENERI- PERSE-
TERAPI AN AWAL MAAN DIAAN
3 4 5 6 7=5+6
BTL 15 15
TAB 22 22
TUBE 17 17
BTL 0 0
TAB 0 0
TAB 100 90 190
TAB 45 45
TUBE 0 0
TAB 0 0
TAB 20 200 220
TAB 0 0
TAB 6 6
TUBE 0 0
TAB 0 0
TUBE 0 0
TAB 525 500 1025
TAB 0 0
KAPS 100 100
TAB 90 90
TAB 190 190
KAPS 0 0
TAB 300 300
TAB 0 0
 TAB 0 0
TAB 0 0
TAB 0 0
TAB 100 100
TAB 50 50
KAPS 0 0
TAB 80 80
BTL 0 0
BTL 0 0
KAPS 0 0
TUBE 12 12
TAB 0 0
TAB 0 0
BTL 0 0
TAB 0 0
TAB 0 0
TUBE 0 0
TAB 0 100 100
BTL 7 7
BTL 0 0
TAB 0 0
TAB 0 0
TAB 186 186
TAB 0 0
TAB 190 500 690
TAB 0 0
KELAS SATU STOK PENERI- PERSE-
TERAPI AN AWAL MAAN DIAAN
3 4 5 6 7=5+6
TAB 0 0
TAB 0 0
TAB 120 250 370
BTL 0 0
TAB 100 100
BTL 11 11
TAB 0 0
KAPS 0 90 90
TAB 0 0
TAB 100 100
BTL 0 0
BTL 0 0
TAB 0 0
TAB 490 490
TAB 180 180
TAB 99 99
TAB 0 0
KAPS 0 0
TAB 0 0
BTL 0 0
TAB 279 279
TAB 140 100 240
BTL 0 0
BTL 16 16
 BTL 23 23
TAB 44 44
TAB 95 200 295
TUB 44 44
TUB 0 0
BTL 0 0

UMUM ASKES
N RESEP

YANG MENYERAHKAN
PETUGAS GUDANG PUSK

RATNA INDRAWATI
NIP. 19820829 200501 2 009
 HAL 1
LB. 1
TAAN OBAT ( LB2 )

0 7
2 0 1 6

PEMA- SISA PERMIN- PEMBERI KET.

KAIAN STOK TAAN AN
8=9-7 9 10 11 12
0 245
0 310
0 91
0 0
5 42
0 0
40 175
225 393
5 2 25
10 29
0 0
0 0
67 44
 0 0
0 0
0 0
95 105
0 0
0 0
77 233
0 0
0 0
0 1166
0
0 0
6 174
0 0
0 0
28 38
1 1
435 120 1000
558 0
148 247
39 0
500 0
0 0
0 0
30 145
0 0
0 0
0 0
465 582
0 0
PEMA- SISA PERMIN- PEMBERI KET.
KAIAN STOK TAAN AN
8=9-7 9 10 11 12
0 0
0 0
1 45
0 0
0 0
54 285
0 55
0 0
0 0
6 10 25
0 0
0 0
7 54 84
0 0
882 297
0 388
0 0
0 0
0 80
0 0
0 0
0 29
7 0
0 0
0 0
 0 0
392 868
410 1268
0 0
0 0
205 508
PEMA- SISA PERMIN- PEMBERI KET.
KAIAN STOK TAAN AN
8=9-7 9 10 11 12
0 15
0 22
1 16
0 0
0 0
100 90
25 20
0 0
0 0
81 139
0 0
0 6
0 0
0 0
0 0
515 510
0 0
0 100
0 90
0 190
0 0
300 0
0 0
 0 0
0 0
0 0
4 96
50 0
0 0
0 80
0 0
0 0
0 0
0 12
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 7
0 0
0 0
0 0
50 136
0 0
480 210
0 0
PEMA- SISA PERMIN- PEMBERI KET.
KAIAN STOK TAAN AN
8=9-7 9 10 11 12
0 0
0 0
140 230
0 0
0 100
0 11
0 0
6 84
0 0
0 100
0 0
0 0
0 0
20 470
55 125
0 99
0 0
0 0
0 0
0 0
140 139
50 190
0 0
0 16
 0 23
0 44
200 95
0 44
0 0
0 0

JAMKESDA JUMLAH

YANG MEMINTA / PELAPOR

PETUGAS APOTEK

RATNA INDRAWATI
NIP. 198208232005012009