LEMBAR PERMINTAAN DAN PEMAKAIAN OBAT SORE MALAM

PELAYANAN 24 JAM PUSKESMAS KEBON KOPI TAHUN 2018

NO NAMA OBAT STOK AWAL PERMINTAAN PENERIMAAN PEMAKAIAN

1 AMOXICILLIN SIRUP KERING 0
2 AMOXICILLIN KAPLET 500 MG 576 505
3 ANTASIDA DOEN TABLET 669
4 ANTASIDA SIRUP 35 14
5 ANTIFUNGI SALEP KULIT 7
6 ASAM ASKORBAT 50 MG 404
7 ACYCLOVIR TAB 400 MG 768
8 ACYCLOVIR TAB 200 MG 200
9 ACYCLOVIR SALEP KULIT 41
10 ASAM MEFENAMAT 500 MG 1245 235
11 AMBROXOL TAB 564 220
12 AMBROXOL SIRUP 16
13 AMLODIPIN 5 MG 323
14 AMLODIPIN 10 MG 0
15 ASAM FOLAT 55
16 ANTALGIN 312
17 ALBENDAZOLE 400 MG 82
18 BETAMETASON SALEP KULIT 46
19 BETAHISTINE 6 MG 149
20 BABY COUGH SIRUP 0
21 CAPTOPRIL 25 MG 274
22 CAPTOPRIL 12,5 MG 231
23 CIPROFLOXACIN 500 MG 911
24 CETIRIZIN 152 160
25 CEFADROXIL 683
26 DEXAMETHASONE TAB 0,5MG 346 474
27 DOMPERIDON 617
28 ERYTHROMYCIN 250 MG 402
29 ERYTHROMYCIN 500 MG 546
30 ERYTHROMYCIN SIRUP KERING 0
31 GENTIAN VIOLET LARUTAN 1% 0
32 GLIBENKLAMID TAB 5MG 100
33 GLISERIL GUAIAKOLAT 0
34 GRISEOFULVIN 125 MG 290
35 GRISEOFULVIN 500 MG 42
36 GENTAMYCIN TTS MATA 11
37 GLIMEPIRIDE 1 MG 100
38 GLIMEPIRIDE 2 MG 94
39 GENTAMYCIN SALEP MATA 10
40 HIDROKORTISON SALEP KULIT 41
41 IBUPROFEN 200 MG 906
42 IBUPROFEN 400 MG 0
43 KALSIUM LACTAT 179
44 KLORAMPHENICOL 250 MG 70
45 KLORAMPHENICOL SALEP MATA 0
46 KLORAMPHENICOL TTS TELINGA 12
47 KLORFENIRAMINE MALEAT 383 810
48 KOTRI TAB 480 MG 1004
49 KOTRI SIRUP 47
50 KLORAMPENIKOL TM 0
51 KETOKONAZOLE 200 MG 150
52 LOPERAMIDE 236
53 METRODINAZOLE 500 MG 76
54 MIKONAZOLE S.K 0
55 METRODINAZOLE 250 MG 0
56 METFORMINE 65
57 METAMIZOLE 76
58 NATRIUM DIKLOFENAC 50 MG 637
59 OBH SIRUP 0
60 OKSITETRASIKLIN S.K 0
61 OKSITETRASIKLIN S.M 0
62 ORALIT 50
63 OMEPRAZOLE 20 MG 86
64 PARASETAMOL TAB 97 1047
65 PARASETAMOL SIRUP 0
66 PIRIDOKSIN TAB 10 MG 909
67 PREDNISON TAB 5 MG 621 59
68 PHYTOMENADIONE 0
69 PHENOL GLISEROL T.T 11
70 PIROXICAM KAPSUL 10 MG 580
71 RANITIDIN 660 226
72 SALBUTAMOL 2 MG 593
73 SALBUTAMOL 4 MG 399
74 SALEP 24 31
75 SALISYL TALK 16
76 SIMVASTATIN 332
77 SF 144
78 TIAMIN HCL TAB 50 MG 1001
79 VIT B COMPLEK 93 101
80 ZINC 362
81 P.ISPA 1
82 P.ISPA 2
83 P.ISPA 3
84 B 12 0
85 VENTOLIN 0
86 ANTIHEMOROID DOEN KOMBINASI 4
87 CATGUT/BENANG BEDAH NO.2/0-3/0 2
88 DEXAMETHASON INJEKSI 5MG/ML-1ML 10
89 LIDOCAIN INJEKSI 15
90 PLESTER 5 YARD X 2 INCH 0
91 SILK(BENANG BEDAH SUTERA) NO.3/0 15
92 POVIDONE IODINE 30 ML 0
93 NACL LARUTAN INFUS 0.9 % 3
94 PERBAN 4 X 15 CM 5
95 LAMPU EMERGENCY 3
96 ALKOHOL 100 ML 0
97 ALAT SUNTIK 3 ML 50
98 EPINEPHRINE INJEKSI 0

PETUGAS GUDANG OBAT JAMBI, JANUARI 2018

PUSKESMAS KEBUN KOPI PETUGAS OBAT PELAYANAN 24 JAM
HESI DEVIANTI.AM.FARM IRMA KURNIAWATI.AM.KEP
NIP. 197812182000122001 NIRA. 15710123313

MENGETAHUI
KEPALA PUSKESMAS KEBUN KOPI

dr.Hj. IMAT RAHMATILAH

NIP. 197206102002122003
SISA STOK
28
505
776
21
4
397
703
490
31
966
324
11
257
0
45
452
84
36
140
0
285
218
891
50
948
493
513
367
806
0
5
100
517
281
20
9
96
94
23
36
742
0
253
160
0
11
322
934
45
0
235
208
100
0
46
60
126
560
21
0
0
0
70
209
0
665
560
0
 10
450
415
551
406
29
11
345
167
733
1
295

836
3
3
5
10
15
0
14
0
3
4
3
0
39
0

MBI, JANUARI 2018

S OBAT PELAYANAN 24 JAM
 NIAWATI.AM.KEP
A. 15710123313
 LEMBAR PERMINTAAN DAN PEMAKAIAN OBAT SORE MALAM
PELAYANAN 24 JAM PUSKESMAS KEBON KOPI TAHUN 2018

NO NAMA OBAT STOK AWAL PERMINTAAN PENERIMAAN PEMAKAIAN

1 AMOXICILLIN SIRUP KERING 28 0 0 18
2 AMOXICILLIN KAPLET 500 MG 505 1000 1000 725
3 ANTASIDA DOEN TABLET 776 1000 1000 280
4 ANTASIDA SIRUP 21 0 0 12
5 ANTIFUNGI SALEP KULIT 4 0 0 0
6 ASAM ASKORBAT 50 MG 397 700 700 447
7 ACYCLOVIR TAB 400 MG 703 0 0 50
8 ACYCLOVIR TAB 200 MG 490 0 0 0
9 ACYCLOVIR SALEP KULIT 31 0 0 2
10 ASAM MEFENAMAT 500 MG 966 0 0 196
11 AMBROXOL TAB 324 500 500 237
12 AMBROXOL SIRUP 11 20 20 8
13 AMLODIPIN 5 MG 257 0 0 77
14 AMLODIPIN 10 MG 0 0 0 0
15 ASAM FOLAT 45 0 0 0
16 ANTALGIN 452 300 300 75
17 ALBENDAZOLE 400 MG 84 0 0 0
18 BETAMETASON SALEP KULIT 36 0 0 8
19 BETAHISTINE 6 MG 140 150 150 115
20 BABY COUGH SIRUP 0 20 0 0

21 CAPTOPRIL 25 MG 285 0 0 0

22 CAPTOPRIL 12,5 MG 218 0 0 18

23 CIPROFLOXACIN 500 MG 891 0 0 50

24 CETIRIZIN 0 300 0 0
25 CEFADROXIL 948 0 0 50
26 DEXAMETHASONE TAB 0,5MG 493 600 600 600
27 DOMPERIDON 513 500 500 18
28 ERYTHROMYCIN 250 MG 367 0 0 70
29 ERYTHROMYCIN 500 MG 806 0 0 0
30 ERYTHROMYCIN SIRUP KERING 0 30 20 5
31 GENTIAN VIOLET LARUTAN 1% 5 12 12 12
32 GLIBENKLAMID TAB 5MG 100 0 0 0
33 GLISERIL GUAIAKOLAT 517 600 600 319
34 GRISEOFULVIN 125 MG 281 0 0 10
35 GRISEOFULVIN 500 MG 20 0 0 0
36 GENTAMYCIN TTS MATA 9 0 0 0
37 GLIMEPIRIDE 1 MG 96 0 0 0
38 GLIMEPIRIDE 2 MG 94 0 0 0
39 GENTAMYCIN SALEP MATA 23 9 9 3
40 HIDROKORTISON SALEP KULIT 36 0 0 12
41 IBUPROFEN 200 MG 742 0 0 135
42 IBUPROFEN 400 MG 0 0 0 0
43 KALSIUM LACTAT 253 0 0 30
44 KLORAMPHENICOL 250 MG 160 0 0 10
45 KLORAMPHENICOL SALEP MATA 0 0 0 0
46 KLORAMPHENICOL TTS TELINGA 11 0 0 0
47 KLORFENIRAMINE MALEAT 322 700 700 844
48 KOTRI TAB 480 MG 934 0 0 40
49 KOTRI SIRUP 45 0 0 2
50 KLORAMPENIKOL TM 0 10 0 0
51 KETOKONAZOLE 200 MG 235 100 0 0
52 LOPERAMIDE 208 0 0 15
53 METRODINAZOLE 500 MG 100 0 0 0
54 MIKONAZOLE S.K 0 25 24 10
55 METRODINAZOLE 250 MG 46 0 0 0
56 METFORMINE 60 0 0 0
57 METAMIZOLE 126 0 0 13
58 NATRIUM DIKLOFENAC 50 MG 560 0 0 52
59 OBH SIRUP 21 0 0 0
60 OKSITETRASIKLIN S.K 0 25 25 11
61 OKSITETRASIKLIN S.M 0 25 0 0
62 ORALIT 0 100 100 59
63 OMEPRAZOLE 20 MG 70 60 60 20
64 PARASETAMOL TAB 209 1000 1000 909
65 PARASETAMOL SIRUP 0 50 50 20
66 PIRIDOKSIN TAB 10 MG 665 0 0 200
67 PREDNISON TAB 5 MG 560 0 0 10
68 PHYTOMENADIONE 0 100 100 25
69 PHENOL GLISEROL T.T 10 0 0 1
70 PIROXICAM KAPSUL 10 MG 450 0 0 103
71 RANITIDIN 415 500 500 120
72 SALBUTAMOL 2 MG 551 0 0 4
73 SALBUTAMOL 4 MG 406 0 0 0
74 SALEP 24 29 0 0 1
75 SALISYL TALK 11 0 0 8
76 SIMVASTATIN 345 0 0 25
77 SF 167 0 0 0
78 TIAMIN HCL TAB 50 MG 733 200 0 275
79 VIT B COMPLEK 1 500 0 0
80 ZINC 295 200 200 30
81 P.ISPA 1 108
82 P.ISPA 2 54
83 P.ISPA 3 63
84 B 12 836 0 0 143
85 VENTOLIN 3 AMP 0 0 0
86 ANTIHEMOROID DOEN KOMBINASI 3 0 0 4
87 CATGUT/BENANG BEDAH NO.2/0-3/0 5 0 0 0
88 DEXAMETHASON INJEKSI 5MG/ML-1ML 10 0 0 0
89 LIDOCAIN INJEKSI 15 0 0 0
90 PLESTER 5 YARD X 2 INCH 0 0 0 0
91 SILK(BENANG BEDAH SUTERA) NO.3/0 14 0 0 0
92 POVIDONE IODINE 30 ML 0 0 0 0
93 NACL LARUTAN INFUS 0.9 % 3 0 0 0
94 PERBAN 4 X 15 CM 4 0 0 0
95 LAMPU EMERGENCY 3 3 3 3
96 ALKOHOL 100 ML 0 0 0 0
97 ALAT SUNTIK 3 ML 39 0 0 0
98 EPINEPHRINE INJEKSI 0 10AMP 10AMP 0

PETUGAS GUDANG OBAT JAMBI, FEBRUARI 2018

PUSKESMAS KEBUN KOPI PETUGAS OBAT PELAYANAN 24 JAM

HESI DEVIANTI.AM.FARM IRMA KURNIAWATI.AM.KEP

NIP. 197812182000122001 NIRA. 15710123313

MENGETAHUI
KEPALA PUSKESMAS KEBUN KOPI

dr.Hj. IMAT RAHMATILAH

NIP. 197206102002122003
SISA STOK
7
669
1486
12
4
585
653
470
27
743
569
22
160
0
45
672
87
26
185
0

285

200

821
0
883
404
975
306
766
14
 5
90
742
281
10
9
94
96
28
23
592
0
227
150
0
10
123
877
43
0
225
188
100
13
46
60
110
502
20
12
0
32
50
211
29
455
550
60
9
342
770
 546
405
28
7
326
157
438
1
461

667
1
0
2
10
14
0
13
0
3
4
3
0
35
10AMP

MBI, FEBRUARI 2018

AS OBAT PELAYANAN 24 JAM

RNIAWATI.AM.KEP
A. 15710123313
 LEMBAR PERMINTAAN DAN PEMAKAIAN OBAT SORE MALAM
PELAYANAN 24 JAM PUSKESMAS KEBON KOPI TAHUN 2018

NO NAMA OBAT STOK AWAL PERMINTAAN PENERIMAAN PEMAKAIAN SISA STOK

1 AMOXICILLIN SIRUP KERING 7 48 0 5 0
2 AMOXICILLIN KAPLET 500 MG 669 500 500 645 439
3 ANTASIDA DOEN TABLET 1486 0 0 288 1163
4 ANTASIDA SIRUP 12 20 20 19 13
5 ANTIFUNGI SALEP KULIT 4 0 0 3 1
6 ASAM ASKORBAT 50 MG 585 400 400 662 246
7 ACYCLOVIR TAB 400 MG 653 0 0 0 653
8 ACYCLOVIR TAB 200 MG 470 0 0 60 410
9 ACYCLOVIR SALEP KULIT 27 0 0 5 21
10 ASAM MEFENAMAT 500 MG 743 0 0 225 503
11 AMBROXOL TAB 569 300 300 233 636
12 AMBROXOL SIRUP 22 0 0 2 20
13 AMLODIPIN 5 MG 160 0 0 121 39
14 AMLODIPIN 10 MG 0 0 0 0 0
15 ASAM FOLAT 45 0 0 15 0
16 ANTALGIN 672 0 0 110 562
17 ALBENDAZOLE 400 MG 87 0 0 14 70
18 BETAMETASON SALEP KULIT 26 0 0 6 20
19 BETAHISTINE 6 MG 185 150 150 95 240
20 BABY COUGH SIRUP 0 15 0 0 0
21 CAPTOPRIL 25 MG 285 0 0 0 200
22 CAPTOPRIL 12,5 MG 200 0 0 0 200
23 CIPROFLOXACIN 500 MG 821 0 0 20 791
24 CETIRIZIN 0 200 0 0 0
25 CEFADROXIL 883 0 0 35 838
26 DEXAMETHASONE TAB 0,5MG 404 500 500 593 282
27 DOMPERIDON 975 0 0 54 919
28 ERYTHROMYCIN 250 MG 306 0 0 10 267
29 ERYTHROMYCIN 500 MG 766 0 0 65 741
30 ERYTHROMYCIN SIRUP KERING 14 20 20 7 28
31 GENTIAN VIOLET LARUTAN 1% 5 12 5 10 0
32 GLIBENKLAMID TAB 5MG 90 0 0 0 90
33 GLISERIL GUAIAKOLAT 742 300 300 431 625
34 GRISEOFULVIN 125 MG 281 0 0 30 251
35 GRISEOFULVIN 500 MG 10 0 0 0 10
36 GENTAMYCIN TTS MATA 9 0 0 2 6
37 GLIMEPIRIDE 1 MG 94 0 0 0 82
38 GLIMEPIRIDE 2 MG 96 0 0 14 86
39 GENTAMYCIN SALEP MATA 28 0 0 6 22
40 HIDROKORTISON SALEP KULIT 23 0 0 4 18
41 IBUPROFEN 200 MG 592 0 0 135 445
42 IBUPROFEN 400 MG 0 0 0 0 0
43 KALSIUM LACTAT 227 0 0 40 187
44 KLORAMPHENICOL 250 MG 150 0 0 0 150
45 KLORAMPHENICOL SALEP MATA 0 15 0 0 0
46 KLORAMPHENICOL TTS TELINGA 10 0 0 0 10
47 KLORFENIRAMINE MALEAT 123 1000 1000 955 168
48 KOTRI TAB 480 MG 877 0 0 30 837
49 KOTRI SIRUP 43 0 0 7 36
50 KLORAMPENIKOL TM 0 15 0 0 0
51 KETOKONAZOLE 200 MG 225 0 0 0 225
52 LOPERAMIDE 188 0 0 10 178
53 METRODINAZOLE 500 MG 100 100 100 0 200
54 MIKONAZOLE S.K 13 24 0 7 6
55 METRODINAZOLE 250 MG 46 0 0 30 16
56 METFORMINE 60 0 0 10 50
57 METAMIZOLE 110 100 0 10 85
58 NATRIUM DIKLOFENAC 50 MG 502 0 0 43 459
59 OBH SIRUP 20 0 0 6 14
60 OKSITETRASIKLIN S.K 12 25 25 7 30
61 OKSITETRASIKLIN S.M 0 15 0 0 0
62 ORALIT 32 100 100 39 93
63 OMEPRAZOLE 20 MG 50 0 0 31 19
64 PARASETAMOL TAB 211 1000 1000 974 112
65 PARASETAMOL SIRUP 29 20 20 32 15
66 PIRIDOKSIN TAB 10 MG 455 0 0 196 275
67 PREDNISON TAB 5 MG 550 0 0 11 519
68 PHYTOMENADIONE 60 0 0 5 55
69 PHENOL GLISEROL T.T 9 0 0 0 9
70 PIROXICAM KAPSUL 10 MG 342 0 0 90 252
71 RANITIDIN 770 0 0 140 630
72 SALBUTAMOL 2 MG 546 0 0 16 530
73 SALBUTAMOL 4 MG 405 0 0 0 405
74 SALEP 24 28 0 0 2 26
75 SALISYL TALK 7 15 15 6 16
76 SIMVASTATIN 326 0 0 20 305
77 SF 157 0 0 12 145
78 TIAMIN HCL TAB 50 MG 438 700 0 349 26
79 VIT B COMPLEK 1 700 700 160 439
80 ZINC 461 0 0 56 405
81 P.ISPA 1 54
82 P.ISPA 2 156
83 P.ISPA 3 90
84 B 12 667 0 0 145 517
85 VENTOLIN 1 0 0 0 1
86 ANTIHEMOROID DOEN KOMBINASI 0 20 0 0 0
87 CATGUT/BENANG BEDAH NO.2/0-3/0 2 0 0 0 2
88 DEXAMETHASON INJEKSI 5MG/ML-1ML 10 AMP 0 0 0 10 AMP
89 LIDOCAIN INJEKSI 14 0 0 0 13
90 PLESTER 5 YARD X 2 INCH 0 0 0 0 0
91 SILK(BENANG BEDAH SUTERA) NO.3/0 13 0 0 0 13
92 POVIDONE IODINE 30 ML 0 0 0 0 0
93 NACL LARUTAN INFUS 0.9 % 3 0 0 1 2
94 PERBAN 4 X 15 CM 4 0 0 2 2
95 LAMPU EMERGENCY 3 0 0 0 3
96 ALKOHOL 100 ML 0 0 0 0 0
97 ALAT SUNTIK 3 ML 35 0 0 9 26
98 EPINEPHRINE INJEKSI 10AMP 0 0 0 10 AMP

PETUGAS GUDANG OBAT JAMBI, MARET 2018

PUSKESMAS KEBUN KOPI PETUGAS OBAT PELAYANAN 24 JAM

HESI DEVIANTI.AM.FARM IRMA KURNIAWATI.AM.KEP

NIP. 197812182000122001 NIRA. 15710123313

MENGETAHUI
KEPALA PUSKESMAS KEBUN KOPI

dr.Hj. IMAT RAHMATILAH

NIP. 197206102002122003
NAN 24 JAM