LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

( LPLPO )

PUSTU/POLINDES :
KOTA / KODYA : KOTA TIDORE KEPULAUAN

LAPORAN BULANAN / TAHUN : Maret 2019

PENE STOK SUMBER ANGGA

HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
1 ALLOPURINOL 100 mg TABLET 0 0 0 0 0 0 0 0 0
2 AMBROXOL 30 MG TABLET 0 0 0 0 0 0 0 0 0
3 AMBROXOL SYRUP BOTOL 0 0 0 0 0 0 0 0 0
4 AMOKCILLIN 500 MG TABLET 0 0 0 0 0 0 0 0 0
5 AMOKCILLIN SYRUP 125 MG/5 BOTOL 0 0 0 0 0 0 0 0 0
6 ANTASIDA SYRUP BOTOL 0 0 0 0 0 0 0 0 0
7 ANTASIDA TABLET TABLET 0 0 0 0 0 0 0 0 0
8 ANTIHEMOROID SUPP SUPP 0 0 0 0 0 0 0 0 0
9 ASAM ASKORBAT 50 MG(VIT C) TABLET 0 0 0 0 0 0 0 0 0
10 ASAM MEFENAMAT TABLET 0 0 0 0 0 0 0 0 0
10 AQUA PRO INJEKSI BOTOL 0 0 0 0 0 0 0 0 0
11 BETAMETASONE CREAM TUBE 0 0 0 0 0 0 0 0 0
12 CA.GLUKONAS INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
13 CAPTOPRIL 12,5 MG TABLET 0 0 0 0 0 0 0 0 0
14 CAPTOPRIL 25 MG TABLET 0 0 0 0 0 0 0 0 0
15 CAVIPLEX TABLET 0 0 0 0 0 0 0 0 0
16 CAVIPLEX SYR BOTOL 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
17 CEFADROXIL 500 MG KAPSUL 0 0 0 0 0 0 0 0 0
18 CETIRIZIN 10 MG TABLET 0 0 0 0 0 0 0 0 0
19 CETIRIZIN SYRUP BOTOL 0 0 0 0 0 0 0 0 0
20 CHLORAMPENICOL SM TUBE 0 0 0 0 0 0 0 0 0
21 CHLORAMPENOCOL TM TUBE 0 0 0 0 0 0 0 0 0
22 CHLORAMPENOCOL TTS TLNGA BOTOL 0 0 0 0 0 0 0 0 0
23 CIMETIDIN TABLET 0 0 0 0 0 0 0 0 0
24 COTRIMOKSASOL 480 MG TABLET 0 0 0 0 0 0 0 0 0
25 COTRIMOKSASOL SYRUP BOTOL 0 0 0 0 0 0 0 0 0
26 DEXAMETASONE INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
27 DEXAMETASONE TAB TABLET 0 0 0 0 0 0 0 0 0
28 DEXSTROSE 10 % INF BOTOL 0 0 0 0 0 0 0 0 0
29 DEXTROSE 5 % INF BOTOL 0 0 0 0 0 0 0 0 0
30 DIMENHIDRINAT TAB KAPLET 0 0 0 0 0 0 0 0 0
31 DOMPERIDONE SYRUP BOTOL 0 0 0 0 0 0 0 0 0
32 DOMPERIDONE TAB BOTOL 0 0 0 0 0 0 0 0 0
33 EPINERPIN INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
34 FENOL GLYCEROL TTS TELINGA BOTOL 0 0 0 0 0 0 0 0 0
35 FUROSEMIDA 40 MG TABLET 0 0 0 0 0 0 0 0 0
36 GARAM ORALIT SACHET 0 0 0 0 0 0 0 0 0
37 GENTAMICIN INJ AMPUL 0 0 0 0 0 0 0 0 0
38 GENTAMICIN SM TUBE 0 0 0 0 0 0 0 0 0
39 GENTAMICIN TM BOTOL 0 0 0 0 0 0 0 0 0
40 GENTIAN VIOLET TABLET 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
41 GLIBENCLAMID 5 MG TABLET 0 0 0 0 0 0 0 0 0
42 GLIMEPIRID 2 MG TABLET 0 0 0 0 0 0 0 0 0
43 GLISEOFULVIN 125 MG TABLET 0 0 0 0 0 0 0 0 0
44 GLISERIL GUAKOLAT 100 MG TABLET 0 0 0 0 0 0 0 0 0
45 GLISERIN BOTOL 0 0 0 0 0 0 0 0 0
46 HYDROCLORTIAZID 25 MG TABLET 0 0 0 0 0 0 0 0 0
47 HYDROCORTISON CREAM TUBE 0 0 0 0 0 0 0 0 0
48 IBUPROFEN 200 MG TABLET 0 0 0 0 0 0 0 0 0
49 IBUPROFEN 400 MG TABLET 0 0 0 0 0 0 0 0 0
50 IBUPROFEN SYR TABLET 0 0 0 0 0 0 0 0 0
50 IMPLANT TABLET 0 0 0 0 0 0 0 0 0
51 KALSIUM LAKTAT TABLET 0 0 0 0 0 0 0 0 0
52 KB INJEKSI 1 BLN AMPUL 0 0 0 0 0 0 0 0 0
52 KB INJEKSI 3 BLN AMPUL 0 0 0 0 0 0 0 0 0
52 KETOKONAZOLE TAB TABLET 0 0 0 0 0 0 0 0 0
53 KETOROLAK INJ AMPUL 0 0 0 0 0 0 0 0 0
54 KHLORFENIRAMIN MALEAT (CTM) TABLET 0 0 0 0 0 0 0 0 0
55 LIDOCAIN INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
56 LIDOCAIN INJEKSI+EPINERPIN AMPUL 0 0 0 0 0 0 0 0 0
57 LORATADINE 10 MG TABLET 0 0 0 0 0 0 0 0 0
58 METFORMIN TAB TABLET 0 0 0 0 0 0 0 0 0
59 METHILERGOMETRIN INJEKSI TABLET 0 0 0 0 0 0 0 0 0
60 METHILERGOMETRIN TAB TABLET 0 0 0 0 0 0 0 0 0
61 METHYLPREDNISOLONE 4 MG TABLET 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
62 METOCLOPRAMID 10 MG TABLET 0 0 0 0 0 0 0 0 0
63 METOCLOPRAMID 5 MG TABLET 0 0 0 0 0 0 0 0 0
64 METOCLOPRAMID INJEKSI VIAL 0 0 0 0 0 0 0 0 0
65 METRONIDAZOLE 500 MG TABLET 0 0 0 0 0 0 0 0 0
66 MGSO4 20% VIAL 0 0 0 0 0 0 0 0 0
67 MGSO4 40 % VIAL 0 0 0 0 0 0 0 0 0
68 MICONAZOLE SALEP KULIT TUBE 0 0 0 0 0 0 0 0 0
69 MINERAL MIX SACHET 0 0 0 0 0 0 0 0 0
70 NATRIUM DIKLOFENAT 50 MG TABLET 0 0 0 0 0 0 0 0 0
71 NATRIUM KLORIDA 0,9 % INF BOTOL 0 0 0 0 0 0 0 0 0
72 NISTATIN TAB 100.000 IU TABLET 0 0 0 0 0 0 0 0 0
73 NISTATIN TAB 500.000 IU TABLET 0 0 0 0 0 0 0 0 0
74 OMEPRAZOLE KAPSUL KAPSUL 0 0 0 0 0 0 0 0 0
75 OXYTETRASIKLIN SK TUBE 0 0 0 0 0 0 0 0 0
76 OXYTETRASIKLIN SM TUBE 0 0 0 0 0 0 0 0 0
77 OXYTOCIN INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
78 PARACETAMOL 500 MG TABLET 0 0 0 0 0 0 0 0 0
79 PARACETAMOL DROPS BOTOL 0 0 0 0 0 0 0 0 0
80 PARACETAMOL SYRUP 125 MG BOTOL 0 0 0 0 0 0 0 0 0
81 PHYTOMENADION INJEKSI AMPUL 0 0 0 0 0 0 0 0 0
82 PHYTOMENADION TAB TABLET 0 0 0 0 0 0 0 0 0
83 PIL KB AMPUL 0 0 0 0 0 0 0 0 0
83 PIRACETAM INJ AMPUL 0 0 0 0 0 0 0 0 0
84 PIROXICAM 20 MG TABLET 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
85 PREDNISONE TAB TABLET 0 0 0 0 0 0 0 0 0
86 PYRANTEL PAMOAT TAB TABLET 0 0 0 0 0 0 0 0 0
87 RANITIDIN 150 MG TABLET 0 0 0 0 0 0 0 0 0
88 RANITIDIN INJEKSI VIAL 0 0 0 0 0 0 0 0 0
89 RINGER LAKTAT INF BOTOL 0 0 0 0 0 0 0 0 0
90 SALBUTANOL 2 MG TABLET 0 0 0 0 0 0 0 0 0
91 SALBUTANOL 4 MG TABLET 0 0 0 0 0 0 0 0 0
92 SALISIL BEDAK KALENG 0 0 0 0 0 0 0 0 0
93 SCABICID CREAM TUBE 0 0 0 0 0 0 0 0 0
94 SIMVASTATIN 10 MG TABLET 0 0 0 0 0 0 0 0 0
95 SIMVASTATIN 20 MG TABLET 0 0 0 0 0 0 0 0 0
96 TABLET TAMBAH DARAH TABLET 0 0 0 0 0 0 0 0 0
97 TABURIA 0 0 0 0 0 0 0 0 0
98 VITAMIN A 100.000 IU TABLET 0 0 0 0 0 0 0 0 0
99 VITAMIN A 200.000 IU TABLET 0 0 0 0 0 0 0 0 0
100 VITAMIN B COM TABLET 0 0 0 0 0 0 0 0 0
101 VITAMIN B1 TAB TABLET 0 0 0 0 0 0 0 0 0
102 VITAMIN B12 TAB TABLET 0 0 0 0 0 0 0 0 0
103 VITAMIN B6 TAB 10 MG TABLET 0 0 0 0 0 0 0 0 0
104 ZINK 20 MG TABLET 0 0 0 0 0 0 0 0 0
105 ZINK SYRUP BOTOL 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
ALAT KESEHATAN
1 ABOCATH NO 18 PIECES 0 0 0 0 0 0 0 0 0
2 ABOCATH NO 20 PIECES 0 0 0 0 0 0 0 0 0
3 ABOCATH NO 22 PIECES 0 0 0 0 0 0 0 0 0
4 ABOCATH NO 24 PIECES 0 0 0 0 0 0 0 0 0
2 AKDR (IUD) TABLET 0 0 0 0 0 0 0 0 0
5 ALAT SUNTIK 20 CC PIECES 0 0 0 0 0 0 0 0 0
6 ALAT SUNTIK 10 CC PIECES 0 0 0 0 0 0 0 0 0
7 ALAT SUNTIK 1 CC PIECES 0 0 0 0 0 0 0 0 0
8 ALAT SUNTIK 5 CC PIECES 0 0 0 0 0 0 0 0 0
9 ALAT SUNTIK 3 CC PIECES 0 0 0 0 0 0 0 0 0
10 HANDSCOEND NO 6,5 BUAH 0 0 0 0 0 0 0 0 0
11 HANDSCOEND NO 7 BUAH 0 0 0 0 0 0 0 0 0
12 HANDSCOEND NO 7,5 BUAH 0 0 0 0 0 0 0 0 0
13 HANDSCOEND NO 8 BUAH 0 0 0 0 0 0 0 0 0
14 HANDSKOEN NON STERIL BUAH 0 0 0 0 0 0 0 0 0
15 INFUSET DEWASA SET 0 0 0 0 0 0 0 0 0
16 INFUSET ANAK SET 0 0 0 0 0 0 0 0 0
17 CATGUT CROMIC PIECES 0 0 0 0 0 0 0 0 0
18 CATGUT PLAIN PIECES 0 0 0 0 0 0 0 0 0
19 CATGUT SILK PIECES 0 0 0 0 0 0 0 0 0
20 CATHETER NO 20 BUAH 0 0 0 0 0 0 0 0 0
21 CATHETER NO 18 BUAH 0 0 0 0 0 0 0 0 0
22 CATHETER NO 16 BUAH 0 0 0 0 0 0 0 0 0
 PENE STOK SUMBER ANGGA
HARGA STOK PERSE PEMAK RUSA STOK STOK PERMIN PEMBE
NO NAMA OBAT SATUAN RIMA PENYAN APB
SATUAN AWAL DIAAN AIAN K/ ED AKHIR OPT TAAN RIAN
AN GGA N
1 2 3 4 5 4+5=6 7 8 6-7-8=9 10 11 12 13 14
23 KAPAS 500 GRAM BUAH 0 0 0 0 0 0 0 0 0
24 KAPAS 25O GRAM BUAH 0 0 0 0 0 0 0 0 0
25 KASSA STERIL 16 X 16 KOTAK 0 0 0 0 0 0 0 0 0
26 KASSA HYDROFIL 36 X 80 ROLL 0 0 0 0 0 0 0 0 0
26 KONDOM PIECES 0 0 0 0 0 0 0 0 0
27 PLESTER LEUKOPLAS 7,5 X 4,5 MG ROLL 0 0 0 0 0 0 0 0 0
28 MASKER BUAH 0 0 0 0 0 0 0 0 0
29 JARUM KULIT PIECES 0 0 0 0 0 0 0 0 0
30 URIN BAG BUAH 0 0 0 0 0 0 0 0 0
31 RIVANOL 300 ML BOTOL 0 0 0 0 0 0 0 0 0
32 POVIDONE IODINE 300 ML BOTOL 0 0 0 0 0 0 0 0 0
33 POVIDONE IODINE 60 ML BOTOL 0 0 0 0 0 0 0 0 0
34 LISOL 1 L BOTOL 0 0 0 0 0 0 0 0 0
35 ALKOHOL 1000 ML BOTOL 0 0 0 0 0 0 0 0 0
36 CHLOR ETHYL SPRAY BOTOL 0 0 0 0 0 0 0 0 0
37 TRANFUSI SET PIECES 0 0 0 0 0 0 0 0 0
38 POLICRAPE 0 0 0 0 0 0 0 0 0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SUMBER ANGGARANTOTAL
APB LAIN HARG
D LAIN A
15 16 19
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0