STOKPENERIMAAN PERSE STOK

. NAMA OBAT JUMLAH

AWAL DIAAN 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 AKHIR

1 Allopurinol 100 mg tab 44 44 10 10 34

2 Ambroxol sirup 4 4 0 4
3 Ambroxol tab 103 103 6 2 8 95
4 Amlodipin 5mg 70 70 2 2 4 2 2 12 58
5 Amoksisilin 500 mg 86 200 286 6 6 15 12 6 6 18 9 6 12 12 22 6 9 10 12 12 4 4 28 215 71
6 Amoksisilin Sirup 4 5 9 1 1 1 1 4 5
7 Antasida Doen tab 102 100 202 16 4 12 6 6 10 4 4 6 10 2 6 7 23 6 6 128 74
8 Antasida sirup 4 4 0 4
9 Basitrasin salep 0 0 0 0
10 Vitamin C tablet 64 64 6 6 12 52
11 Asam Mefenamat 16 100 116 6 6 16 16 6 6 10 16 82 34
12 Asiklovir salep kulit 0 0 0 0
13 Asiklovir tab 400 mg 0 0 0 0
14 Besi II Sulfat Tablet 0 0 0 0
15 Betahistin mesilat tab 95 95 4 4 6 6 6 4 4 34 61
16 Betamethason salep 0 0 0 0
17 Bisakodil 0 0 0 0
18 Deksametason tab 58 100 158 6 6 10 6 6 6 6 6 6 18 7 6 6 16 7 118 40
19 Dimenhydrinat tab 0 0 0 0
20 Domperidon suspensi 5 5 0 5
21 Domperidon tab 10 mg 31 50 81 4 4 6 14 67
22 Garam Oralit 200ml 18 18 0 18
23 Gentian Violet 0 0 0 0
24 Glibenklamide tab 5 mg 42 42 2 4 6 36
25 Gliseril guaiakolat tab 156 156 6 6 6 6 24 132
26 Hidrokortison salep 0 0 0 0
27 Hyorex/Scopma 36 36 0 36
28 Ibuprofen tab 400 mg 17 50 67 6 4 4 14 53
29 Kalsium Laktat tab 40 40 0 40
30 Kaptopril tab 25 mg 44 44 2 2 4 40
31 CTM tab 45 100 145 6 6 6 10 6 4 6 4 6 6 6 16 2 6 12 10 6 118 27
32 Salep mata 1 % 0 0 0 0
33 Kloramfenikol sirup 0 0 0 0
34 Tetes telinga 0 1 1 1 1 0
35 Kloramfenikol kap 0 0 0 0
36 Kotrimoksazol syrup 0 0 0 0
37 Kotrimoksazol 480 mg 40 40 0 40
38 Metformin 500 0 0 0 0
39 Methoklopramide tab 110 110 6 4 6 13 29 81
40 Metronidazol tab 28 28 0 28
41 Obat Batuk Hitam sirup 0 0 0 0
42 Omeprazol kaps 31 31 0 31
 STOKPENERIMAAN PERSE STOK
. NAMA OBAT JUMLAH
AWAL DIAAN 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 AKHIR
43 Parasetamol sirup 3 5 8 1 1 1 3 5
44 Parasetamol 500 mg 21 400 421 22 10 18 12 12 16 8 24 12 12 16 6 2 6 6 6 10 12 12 8 12 10 18 31 26 4 12 343 78
45 Piracetam 400 46 46 0 46
46 Piridoksin 10 mg/vit B6 56 56 0 56
47 Piroksikam tab 10 mg 123 123 12 8 20 103
48 Prednison tab 5 mg 91 91 6 2 8 83
49 Ranitidine 150 mg 94 94 2 2 4 90
50 Salbutamol tab 2 mg 78 78 6 6 12 66
51 Salysil bedak 2 % 0 0 0 0
52 Vit. B12 tab 65 65 8 8 57
53 Simvastatin 24 24 0 24
54 Tetes mata 0 0 0 0
55 B1 tab 50 mg 50 50 0 50
56 Tiamfenikol 500 mg 70 70 0 70
57 Vitamin B Komplek tab 41 100 141 4 6 4 6 2 2 6 6 2 2 3 43 98
58 Enterodine tablet 96 96 6 2 6 14 82
59 Omegdiar syrup 0 0 0 0
60 Becefort 42 42 2 3 5 37
61 Diazepam rectal 1 1 0 1
62 Recovit syrup 0 0 0 0
63 Nutrifar 60 100 160 6 4 4 2 4 4 2 4 6 10 4 4 54 106
64 Neogenta salep 0 1 1 1 1 0
65 Hemafort 46 46 0 46
66 Zink 0 0 0 0
67 Na. Cl. Infus 2 4 6 1 1 1 1 1 5 1
68 Ringer Laktat Infus 28 40 68 3 5 2 5 5 2 4 3 29 39
69 Aminofilin inj. 8 8 0 8
70 Amoksisilin injeksi 0 0 0 0
71 Ampisilin injeksi 1 gram 32 32 0 32
72 Deksametason inj 2 10 12 1 1 2 1 1 6 6
73 Difenhydramin HCl inj 0 10 10 1 1 1 3 7
74 Methoklopramide inj. 5 5 0 5
75 Ranitidine inj 1 20 21 1 1 1 1 2 1 7 14
76 Sefotaxim 1g inj 1 1 0 1
77 Seftriaxon inj 5 5 0 5
78 Serum ATS 1.500 iu inj 0 5 5 1 1 2 1 5 0
79 Vit. B12 inj 5 5 0 5
80 Spasi inj 7 7 0 7
81 Sohobion 5000 inj 0 0 0 0
82 Alat suntik 2,5 ml / 3ml 64 64 1 1 1 1 1 1 1 1 1 2 1 12 52
83 Alat Suntik 5 ml 21 21 1 1 20
84 Aqua Pro injeksi 7 7 0 7
85 Infus Set anak 8 8 0 8
 STOKPENERIMAAN PERSE STOK
. NAMA OBAT JUMLAH
AWAL DIAAN 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 AKHIR
86 Infus Set dewasa 18 18 1 1 1 1 1 5 13
87 IV Cateter 22(dewasa) 26 26 1 2 1 1 1 6 20
88 IV Cateter 24 ( Anak ) 34 34 1 1 33
 LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT
SUB UNIT PELAYANAN

SUB UUGD/ RI
PELAPORAN BULAN : AGUSTUS 2020

Penerima Pemakaia Permint Pembe

No Nama Obat Satuan Stok Awal Sisa Stok Ket
an n aan rian
1 Allopurinol 100 mg tab Tablet 44 10 34
2 Ambroxol sirup Botol 4 0 4
3 Ambroxol tab Tablet 103 8 95
4 Amlodipin 5mg Tablet 70 12 58
5 Amoksisilin 500 mg Tablet 86 200 215 71
6 Amoksisilin Sirup Botol 4 5 4 5
7 Antasida Doen tab Tablet 102 100 128 74
8 Antasida sirup Botol 4 0 4
9 Basitrasin salep Tube 0 0 0
10 Vitamin C tablet Tablet 64 12 52
11 Asam Mefenamat Tablet 16 100 82 34
12 Asiklovir salep kulit Tablet 0 0 0
13 Asiklovir tab 400 mg Tablet 0 0 0
14 Besi II Sulfat Tablet Tablet 0 0 0
15 Betahistin mesilat tab Tablet 95 34 61
16 Betamethason salep Tube 0 0 0
17 Bisakodil Tablet 0 0 0
18 Deksametason tab Tablet 58 100 118 40
19 Dimenhydrinat tab Tablet 0 0 0
20 Domperidon suspensi Botol 5 0 5
21 Domperidon tab 10 mg Tablet 31 50 14 67
22 Garam Oralit 200ml Sachet 18 0 18
23 Gentian Violet Botol 0 0 0
24 Glibenklamide tab 5 mg Tablet 42 6 36
25 Gliseril guaiakolat tab Tablet 156 24 132
26 Hidrokortison salep Tube 0 0 0
27 Hyorex/Scopma Tablet 36 0 36
28 Ibuprofen tab 400 mg Tablet 17 50 14 53
29 Kalsium Laktat tab Tablet 40 0 40
30 Kaptopril tab 25 mg Tablet 44 4 40
31 CTM tab Tablet 45 100 118 27
32 Salep mata 1 % Tube 0 0 0
33 Kloramfenikol sirup Botol 0 0 0
34 Tetes telinga Botol 0 1 1 0
35 Kloramfenikol kap Kapsul 0 0 0
36 Kotrimoksazol syrup Botol 0 0 0
37 Kotrimoksazol 480 mg Tablet 40 0 40
38 Metformin 500 Tablet 0 0 0
39 Methoklopramide tab Tablet 110 29 81
40 Metronidazol tab Tablet 28 0 28
41 Obat Batuk Hitam sirup Botol 0 0 0
42 Omeprazol kaps Kapsul 31 0 31
43 Parasetamol sirup Botol 3 5 3 5
44 Parasetamol 500 mg Tablet 21 400 343 78
45 Piracetam 400 Tablet 46 0 46
46 Piridoksin 10 mg/vit B6 Tablet 56 0 56
47 Piroksikam tab 10 mg Tablet 123 20 103
48 Prednison tab 5 mg Tablet 91 8 83
49 Ranitidine 150 mg Tablet 94 4 90
50 Salbutamol tab 2 mg Tablet 78 12 66
51 Salysil bedak 2 % Botol 0 0 0
52 Vit. B12 tab Tablet 65 8 57
53 Simvastatin Tablet 24 0 24
54 Tetes mata Botol 0 0 0
55 B1 tab 50 mg Tablet 50 0 50
56 Tiamfenikol 500 mg Kapsul 70 0 70
57 Vitamin B Komplek tab Tablet 41 100 43 98
58 Enterodine tablet Tablet 96 14 82
59 Omegdiar syrup Botol 0 0 0
60 Becefort Tablet 42 5 37
61 Diazepam rectal Tube 1 0 1
62 Recovit syrup Botol 0 0 0
63 Nutrifar Tablet 60 100 54 106
64 Neogenta salep Tube 0 1 1 0
65 Hemafort Tablet 46 0 46
66 Zink Tablet 0 0 0
67 Na. Cl. Infus Flabot 2 4 5 1
68 Ringer Laktat Infus Flabot 28 40 29 39
69 Aminofilin inj. Ampul 8 0 8
70 Amoksisilin injeksi Vial 0 0 0
71 Ampisilin injeksi 1 gram Vial 32 0 32
72 Deksametason inj Ampul 2 10 6 6
73 Difenhydramin HCl inj Ampul 0 10 3 7
74 Methoklopramide inj. Ampul 5 0 5
75 Ranitidine inj Ampul 1 20 7 14
76 Sefotaxim 1g inj Vial 1 0 1
77 Seftriaxon inj Vial 5 0 5
78 Serum ATS 1.500 iu inj Ampul 0 5 5 0
79 Vit. B12 inj Ampul 5 0 5
80 Spasi inj Ampul 7 0 7
81 Sohobion 5000 inj Ampul 0 0 0
82 Alat suntik 2,5 ml / 3ml Biji 64 12 52
 83 Alat Suntik 5 ml Biji 21 1 20
84 Aqua Pro injeksi Botol 7 0 7
85 Infus Set anak Biji 8 0 8
86 Infus Set dewasa Biji 18 5 13
87 IV Cateter 22(dewasa) Biji 26 6 20
88 IV Cateter 24 ( Anak ) Biji 34 1 33
89 Jarum Bengkok / Jahit Biji 0 0 0
90 Jarum Suntik Biji 32 15 17
91 Efinefrin inj. Ampul 0 3 3 0
92 ABU Vial 0 1 1 0
93 D 5% Flabot 6 3 3
94 Atropin Sulfas Inj Ampul 2 0 2
95 Lidokain Inj Ampul 16 4 12
96 Betadin Botol 1 1 0
97 Etanol 70 % Botol 0 3 3 0
98 Kapas Roll 0 0 0
99 Kassa Gulung 15 CM Roll 42 1 41
100 Kassa Steril Kotak 12 7 5
101 Sufratul Biji 0 3 3 0
102 Kassa Panjang Roll 0 1 1 0
103 Masker Biji 0 180 180 0
104 Mess Biji 4 0 4
105 Plester Roll 0 1 1 0
106 Poly Cateter 16 Biji 5 0 5
107 Poly Cateter 18 Biji 7 0 7
108 Selang Oksigen Anak Biji 4 0 4
109 Selang Oksigen Dewasa Biji 4 0 4
110 Urin Bag Biji 7 0 7
111 Ventolin Nebulizer Ampul 0 0 0
112 Rivanol Botol 0 0 0
113 Hand Scoen Biji 0 200 200 0

Jumlah Kunjungan Bayar GR BPJS SARAS JUMLAH

Rawat Jalan 22 5 48 7 82
Rawat Inap 1 0 3 0 4
Jumlah 23 5 51 7 86

Mengetahui/Menyetujui Yang Menyerahkan Pelapor

Pimpinan Puskesmas Petugas Gudang Pusk. Petugas IGD
 Siti Fatimah Enik Rusmiyati
NIP.19700617 199203 2 007