LAPORAN MUTASI BARANG-BARANG ( OBAT ) Bulan :
Desember SATUAN
NO
NAMA OBAT
!MASAN
1 Alopurino Alopurinoll tablet tablet 100 mg
Tablet
2 Aminofili Aminofilin n tab 200 mg
Tablet
3 Amlodipi Amlodipin n 5mg 5mg tab
Tablet
4 Amoksisil Amoksisillin lin kapl kapl 500 500 mg
Tablet
5 Antasida Antasida DOEN DOEN tablet, tablet, kombinasi kombinasi
Tablet
! Asam Askorbat Askorbat " #it$% #it$% & tablet 50 mg
Tablet
' Asam (efenama (efenamatt 500mg 500mg
Tablet
) Asi*lo Asi*lo+ir +ir 200 mg mg
Tablet
Asi*lo Asi*lo+ir +ir 400 mg mg
Tablet
10 Atapulgit tab 600mg
Tablet
11 Aset-l Aset-l .-stein .-stein tab
Tablet
12 /etaistin /etaistin mesila mesilatt tab !mg !mg
Tablet
42 8ansopra 8ansopraole ole 30mg tab
Tablet
43 !e"ait kaplet
Tablet
44 !operamide 2mg tab
Tablet
45 (etilergometrin (etilergometrin (aleat (aleat "(etilergometr "(etilergometrin& in& tab
Tablet
4! (etronid (etronidaol aole e tablet 500mg 500mg
Tablet
4' (olef (oleflu lu aplet aplet
Tablet
4) (olane (olaneuro uron n tab
Tablet
4 Na Diklofe Diklofena* na* tab tab 25mg 25mg
Tablet
50 Nipedipi Nipedipin n tab$ tab$ 10 mg
Tablet
51 Nistatin Nistatin tablet tablet +agina 100$000 100$000 7;
Tablet
52 Nistatin Nistatin tablet tablet +agina 500$000 500$000 7;
Tablet
53 $oamo" 500mg
Tablet
54 %A& Kategori '('''
paket
55 %A& Kategori ''
paket
5! %A& Kategori Anak
paket
5' %mepra)ole *0mg
Tablet
5) 9apa+e 9apa+erin rin tab tab
Tablet
5 9arasetam 9arasetamol ol tablet tablet 500 mg
Tablet
!0 9irantel 9irantel table tablett 125 mg
Tablet
1 A?ua pro pro in@eksi in@eksi steril, bebas 9irogen 9irogen
#ial
2 Aminofillin in@eksi 24 24 mg
Ampul
&raneksamat in+ 00mg(ml 0 0mg(ml 3 Asam &raneksamat
Ampul
4 Atropin .ulfat .ulfat in@eksi 0,25 mg
ampul Ampul
! /enatin /enatin 9enisi 9enisillin llin in@ in@
#ial
' %efotaim %efotaim 7n@eksi 7n@eksi 1 gr gr
#ial
) Deksameta Deksametason son in@eksi in@eksi 5 mg
Epinefrin 6% 6%l
Ampul Tube 5gr Ampul Tablet
12 Fitomenadion ./itK1 in+eksi 2 mg(ml ml
Ampul
13 urosemi urosemide de in@eksi in@eksi
Ampul
14 urosemi urosemide de in@eksi in@eksi
Ampul
15 entamis entamisin in 7n@eksi 7n@eksi 1! (agnesium .ulfat in@ in@ "7#& 20B25ml
Ampul
1' (etilerg (etilergomet ometrin rin (aleat (aleat in@eksi in@eksi
Ampul
1) %ksitocin in+eksi
Ampul
+ial
22 9olikr 9olikresu esulen len
btl 15ml
23 =inger =inger 8aktat 8aktat larutan larutan infus steril steril
btl 500ml
24 .alep 2 4 kombinas kombinasii
pot
25 .alep 2 4 kombinas kombinasii
pot
2! .alis.alis-ll /edak /edak 2 B
Tablet
2' Temporaremporar- .topping let*er let*er serbuk*airan serbuk*airan
Tablet
2) ida 7 ;ni*ap ;ni*ap 1000ml 1000ml
btl 500ml
2 Fodium 9o+idon 9o+idon larutan larutan 10 B 30 ml
/tl 30ml
30 Fodium 9o+idon 9o+idon larutan larutan 10 B 300 300 ml
/tl 300ml
31 Fodium 9o+idon 9o+idon larutan larutan 10 B !0 ml
/tl !0ml
LAPORAN MUTASI BARANG-BARANG ( OBAT ) Bulan :
Desember SATUAN
NO
NAMA OBAT
!MASAN
1 Abocat $o 20
9*s
2 Abo*at Abo*at No$ No$ 22
9*s
3 Abo*at Abo*at No$ No$ 24
9*s
4 Abocat $o 20 erenity
9*s
5 Abo*at Abo*at No$ 22 22 .erenit .erenit-
9*s
! Abo*at Abo*at No$ 24 24 .erenit .erenit-
9*s
' Alat .untik .untik sekali sekali pakai 1 ml ml
9*s
) Alat .untik .untik sekali sekali pakai 2$5 2$5 ml
9*s
Alat .untik .untik sekali sekali pakai 5 ml ml
9*s
10 Alat .untik .untik 1** 1** Aimed Aimed
9*s
11 Alat .untik .untik 3** Aimed Aimed
9*s
12 Alat .untik .untik 5** 5** Aimed Aimed
9*s
13 Auto Disable Disable .-ringe .-ringe "AD.& "AD.& 0,05ml 0,05ml
3 assa pembalu pembalutt 6idrofil 6idrofil 4 m 10 *m
=ol
40 masker masker Aimed Aimed
bo
41 masker
ktk 50 p*s
42 Plester 5 yards " inch
roll
43 9lester 9lester 5 -ards 2 in*< in*< 9olifi 9olifi
roll
44 Polygyp 0 cm 72-85m
roll
45 Polygyp 5 cm 72-85m
roll
4! Pembalut elass Polycrepe 0cm73-55m
roll
4' Pembalut elass Polycrepe 5cm73-55m
roll
4) .elang .elang %ateter %ateter No 14 14
p*s
4 .elang .elang %ateter %ateter No 1! 1!
p*s
50 .elang .elang %ateter %ateter No 14 14 .erenit.erenit-
p*s
51 .elang .elang %ateter %ateter No 1! 1! .erenit.erenit-
p*s
52 .afet.afet- Onem Onemed ed /o
dus
53 .ilk No$ 3<0 serenitserenit-
sa*
54 .ilk No$ 3<0 6= 2! ((
sa*
55 ;rin ;rine e bag bag
p*s
5! ;rine ;rine bag bag Oneme Onemed d
p*s
5' ing ing Neadl Neadle e 25
p*s
5) ing ing Neadl Neadle e 2'
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN PERMINTAAN OBAT OBAT ( LPLPO ) : : : MEGANG SAKTI : MUSI RAWAS : SUMATERA SELATAN
KODE RSUD/PUSKESMAS PUSTU/POSKESDES/POLINDES KECAMATAN KAB / KODYA KODYA PROPINSI
LAPORAN BULAN PERMINTAAN BULAN NOMOR TANGGAL
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
!
"
PENERI
PERSE
PEMA-
SISA
STOK
PERMIN
MAAN
DIAAN
KAIAN
STOK
OPT
TAAN
APBD
ASKES
APT
LAIN
JML
KET
#
$%("&#)
'
%($-')
1*
11
1
1!
1"
1#
1$
TABLET
1
Alopurinol tablet tablet 100 mg
Tablet
1200
0
20 0
20 0
0
2
Aminofilin tab 200 mg
Tablet
1300
0
*0 0
0 0
2 00
Tablet
3!00
0
* 60 0
60 0
* 0 00
Tablet
21400
0
2 3 00
22 0 0
9 20 0
Tablet
10300
0
0* 00
6 0 0
:8 00
Tablet
3'00
0
* 80 0
20 0
2 5 00
3
Amlodipin 5mg tab
4
Amoksisillin kapl 500 mg
5
Anta Antasi sida da DOEN DOEN tabl tablet et,, komb kombin inas asii
!
Asam Askorbat Askorbat " #it$% & tablet 50 mg
'
Asam (efenamat 500mg
Tablet
10300
0
0* 00
60 0
9 8 00
)
Asi*lo+ir 200 mg
Tablet
2000
0
2 00 0
0
20 00
Asi*lo+ir 400 mg Atapulgit tab 600mg
Tablet
100
0
90 0
*0 0
6 00
10
Tablet
2000
0
2 00 0
0
20 00
11
Aset-l .-stein tab
Tablet
4!00
0
3 60 0
30
3 5 60
12
/etaistin mesilat tab !mg
Tablet
300
0
* 90 0
0
*9 00
13
%aptopril tab$ 50 mg
Tablet
400
0
3 90 0
0
39 00
14
%efadro ilil 50 500 mg mg
Tablet
4500
0
3 50 0
0
35 00
15
%efiime kap 100mg
Tablet
1350
0
*5 0
5 0
2 00
1!
%eti %etirriin iine e tab tab 10mg 10mg
Tablet
3200
0
* 20 0
00 0
2 2 00
1'
%-profloksasin 500 mg tablet
Tablet
4200
0
3 20 0
50 0
2 8 00
1)
Deks Deksam amet etas ason on tabl tablet et 0,5 0,5 mg mg
Tablet
1)000
0
:0 00
22 0 0
5 :0 0
1
Dia Diae epam tabl tablet et 2 mg
Tablet
1500
0
50 0
0
5 00
20
Dia Diae epam tabl tablet et 2 mg
Tablet
0
0
0
0
0
21
Digoksin tablet 0$25 mg
Tablet
1500
0
50 0
0
5 00
22
Domperidone 10 mg Erythromicin Erythromicin 500 mg kapsul
Tablet
2200
0
2 20 0
20 0
2 0 00
Tablet
0
0
0
0
0
kapsul
400
0
30 0
0
3 00
25
eni enito toin in Natr Natriu ium m kap kapsu sull 100 100 mg Fenoksimel Penisilin tablet 250 mg
Tablet
0
0
0
0
0
2!
itomenadion " #it$1 & tablet salut 10 mg
Tablet
500
0
50 0
0
5 00
2'
lim limepir epirid ide e 3mg tab tab
Tablet
1400
0
30 0
25 0
50
2)
risioful+in tablet 125 mg, mi*ronied
Tablet
100
0
0 0
0 0
0
2
6alo 6alope peri rido doll tab table lett 1,5 1,5 mg
Tablet
3)0
0
*: 0
* 0
2 50
30
6emafort kapsul< peapral peapral
Tablet
300
0
*0 0
0
* 00
31
6idr 6idrok oklo lort rtia iai ide de "6%T "6%T&&
Tablet
!
0
96
96
0
32
7bup 7bupro rofe fen n tabl tablet et 200 200 mg
Tablet
4200
0
3 20 0
00 0
* 2 00
33
7buprofen tablet 400 mg
Tablet
4)00
0
3 :0 0
0
3: 00
23 24
April : : : PEMBERIAN
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
!
"
PENERI
PERSE
PEMA-
SISA
STOK
PERMIN
MAAN
DIAAN
KAIAN
STOK
OPT
TAAN
APBD
ASKES
APT
LAIN
JML
KET
#
$%("&#)
'
%($-')
1*
11
1
1!
1"
1#
1$
3!
etokonaole 200mg tab
Tablet
50
0
95 0
00
: 50
3'
loramfeni*ol 500mg
Tablet
2)00
0
2:0 0
2 00
26 00
3)
Kodein tablet 0mg
Tablet
)0
0
:0
0
:0
3
ombinasi "9 "9irimetamin 25 25 mg mg : .ulfadoin 50 500 mg mg Tab
Tablet
200
0
20 0
0
2 00
40
otrimoksaol tablet 4)0 mg Kuinina tab 200mg
Tablet
11500
0
500
5 00
0 00
41
Tablet
0
0
0
0
0
42
8ans 8ansop opra rao ole le 30mg 30mg tab tab
Tablet
1000
0
00 0
30
: 60
43
!e"ait kaplet
Tablet
)00
0
:0 0
: 00
0
44
!operamide 2mg tab
Tablet
!00
0
60 0
0
6 00
45
(etilergometrin (aleat "(etilergometrin& tab
Tablet
150
0
5 0
0
50
4!
(etronidaole tablet 500mg
Tablet
5400
0
530 0
0
53 00
4'
(oleflu aplet
Tablet
300
0
*90 0
6 00
** 00
4)
(olaneuron tab
Tablet
2000
0
200 0
0
20 00
4
Na Diklofena* tab 25mg
Tablet
4100
0
30 0
* 50
*8 50
50
Nipedipin ta ta b$ b$ 10 10 mg mg
Tablet
1300
0
*0 0
0
* 00
51
Nistatin tablet +agina 100$000 7;
Tablet
1000
0
00 0
0
0 00
52
Nist Nistati atin n tab table lett +ag +agin ina a 500 500$0 $000 00 7;
Tablet
1000
0
00 0
0
0 00
53
$oamo" 500mg
Tablet
3100
0
*0 0
0
* 00
54
%A& Kategori '('''
paket
0
0
0
0
0
55
%A& Kategori ''
paket
0
0
0
0
0
5!
%A& Kategori Anak
paket
0
0
0
0
0
5'
%mepra)ole *0mg
Tablet
4)30
0
3:* 0
* 60
33 80
5)
9apa+erin tab
Tablet
2000
0
200 0
3 00
6 00
5
9arasetamol tablet 500 mg
Tablet
12000
0
2000
*30 0
: 6 00
!0
9irantel tablet 125 mg
Tablet
0
0
0
0
0
!1
9iridoksin tablet 10 mg
Tablet
0
0
0
0
0
!2
9rednison tablet 5 mg
Tablet
4000
0
300 0
0
30 00
!3
9rop 9ropan anol olol ol tabl tablet et 40 mg
Tablet
'00
0
80 0
00
6 00
!4
9ropiltiourasil tablet 100 mg
Tablet
0
0
0
0
0
!5
=anitidin ta tab 15 150 mg mg
Tablet
1!00
0
60 0
60 0
0
!!
=etinol "#it A 100$000$7;&
Tablet
0
0
0
0
0
!'
=eti =etino noll "#i "#itt A 200$ 200$00 000$ 0$7; 7;&&
Tablet
0
0
0
0
0
!)
.albutamol tablet 2 mg
Tablet
00
0
90 0
0
9 00
!
.pin .pinor orol ola* a*to tone ne 25mg 25mg tab tab
Tablet
'00
0
80 0
0
8 00
'0
Tiamin iamin 6%l< 6%l<(on (ononi onitra tratt "#it "#it$/1& $/1& tablet tablet 50 mg
Tablet
12!00
0
2600
0
26 00
'1
#itamin / omplek tablet
Tablet
1000
0
0900
3 00
0 5 00
'2
N7%O#7TON
Tablet
200
0
20 0
0
2 00
'3
E>F A=D
Tablet
0
0
0
0
0
'4
%8O/A>A(
Tablet
200
0
20 0
0
90
'5
A89=A>O8A(
Tablet
140
0
3 0
00
30
PEMBERIAN
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
!
"
PENERI
PERSE
PEMA-
SISA
STOK
PERMIN
MAAN
DIAAN
KAIAN
STOK
OPT
TAAN
APBD
ASKES
APT
LAIN
JML
KET
#
$%("&#)
'
%($-')
1*
11
1
1!
1"
1#
1$
S"RUP 1
Amoksisilin sirup kering 125 mg<5 ml
/otol !0 ml
535
0
5 *5
20
2
Amoksisilin sirup kering 250 mg(5 ml
/otol !0 ml
0
0
0
0
3 5 0
3
%efadroil s-rup 250 mg
/tl !0ml
120
0
20
20
00
4
%efiime ..- r 100mg <5 <5ml
/tl !0ml
4)
5
%etiriine .-rup
/tl !0ml
)0
0 0
3: :0
0 0
3: :0
!
Er-tromi*in ..-rup
/tl !0ml
0
0
0
0
0
'
lu*etin .-rup
/tl !0ml
45
0
35
*6
9
)
aram Oralit untuk 200 ml air
sa*
1400
30 0 0
0 0
3 00 0
lorampenikol 125mg<5ml suspensi
/tl !0ml
0
0 0
10
otrimoksaole suspensi, kombinasi
/tl !0ml
240
0
2 30
0
230
11
Obat /atuk 6itam " O/6 & sirup
/tl !0ml
2'3
0
2 8*
*5
2*:
12
9arasetamol Drop
btl 15ml
'0
0
80
3
56
13
9ara 9arase seta tamo moll sir sirup up 120 120 mg< mg<5 5 ml ml
btl !0ml
'00
0
8 00
25
5 85
14
Pirantel 25 mg(ml suspensi
/tl !0ml
0
0
0
0
0
15
#i*al .-rup
Tablet
50
0
50
0
50
1!
>in* ">irkum& 20mg<5ml s-rup
/tl !0ml
50
0
50
*9
INJEKSI 1
A?ua pro in@eksi steril, bebas 9irogen
#ial
)
0
:
0
:
2
Aminofillin in@eksi 24 mg
Ampul
120
0
20
0
20
3
Asam &raneksamat in+ 00mg(ml
Ampul
'0
0
80
0
80
4
Atro Atropi pin n .ulf .ulfat at in@e in@eks ksii 0,2 0,25 5 mg
ampul
100
0
00
0
00
5
Aset-l .-stein " lumu*il& in@eksi
Ampul
100
0
00
0
90
!
/enatin 9e 9enisillin in in@
#ial
)0
0
:0
0
:0
'
%efot a aim 7n@eksi 1 gr
)
Deks Deksam amet etas ason on in@e in@eks ksii 5 mg
,ia)epam in+eksi lar 5mg(2-5ml rec
#ial
220
0
2 20
0
220
Ampul
)00
0
: 00
0
:00
Tube 5gr
0
0
0
0
0 0
10
Difenidramin 6%l in@eksi 10 mg
Ampul
0
0
0
0
11
Epinefrin 6%l
Tablet
0
0
0
0
0
12
Fitomenadion ./itK1 in+eksi 2 mg(ml ml
Ampul
4'0
0
3 80
0
380
13
urosemide in@eksi
Ampul
'5
0
85
0
85
14
urosemide in@eksi
Ampul
0
0
0
0
0
15
entamisin 7n@eksi
Ampul
45
1!
(agnesium .ulfat in@ "7#& 20B25ml
35 0
5 0
*0 0
1'
(eti (etile lerg rgom ometr etrin in (ale (aleat at in@e in@eks ksii
*0
0
*0
+ial
0
0 0
Ampul
30
0
PEMBERIAN
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
!
"
Ampul
0
PENERI
PERSE
PEMA-
SISA
STOK
PERMIN
MAAN
DIAAN
KAIAN
STOK
OPT
TAAN
APBD
ASKES
APT
LAIN
JML
KET
#
$%("&#)
'
%($-')
1*
11
1
1!
1"
1#
1$
0
90
0
0
3
0
3
0
20
0
20
5 00
0
500
5
2
*
0
0
0
0
)0
0
:0
0
:0
3)0
0
* :0
20
2 60
20
9ea*ain in@eksi
21
.erum Anti /isa ;lar 9oli+alen in@$5ml"A/; 7&
+ial
4
22
.erum Anti Tetanus in@$1$500 7;
+ial
20
23
.ianok .ianokob obala alamin min "#it$ "#it$/12 /12&& in@$ in@$ 500m 500m*g< *g
Ampul
500
0
24
Tetagam uman tetanus in@
+ial
5
0
25
#aksin ksin =ab =abies ies #e #ero
+ial
0
2!
Natrium lorida 8arutan infus 0$ B st eril
btl 500ml
2'
=ing =inger er 8akt 8aktat at lar larut utan an infu infus s ster steril il
btl 500ml
:0
OBAT LUAR 1 2
Anti 6aemorroid 6aemorroid DOEN ombinasi ombinasi .upps Asam Fusidat krim 20mg(gr
.uppos
30
0
*0
0
20
Tube 5gr
50
0
50
0
50 98
/etametason krim 0$1 B ,eitalisasi pasta . ,eitec1
Tube 5gr
122
0
22
25
4
Tablet
5
0
5
0
5
5
Dompe mperido ridon ne .u .usp 5mg<5 mg<5ml ml
/tl 100ml
100
0
00
0
00
!
Etak Etakri ridi din n " =i+ =i+an anol ol & lar larut utan an 0$1 0$1 B
/tl 300ml
32
0
*2
0
*2
'
Etanol '0 B
/tl 100ml
0
0
0
0
0
)
Etanol '0 B 18
/Tl 1000ml
12
0
2
0
2 3
3
bo
5
0
5
10
Etil lorida semprot
btl 100ml
10
0
0
2
:
11
enol liserol tetes telinga 10 B
btl 15ml
4)
0
3:
0
3:
12
aram Oralit untuk 200 ml air
sa*
0
0
0
0
0
13
entamisin sulfat tetes mata 0$3 B
btl 15ml
!
0
96
0
96
Et an anol . Ca Cab serenit-
14
lukosa larutan infus 5 B steril
btl 500ml
240
0
2 30
30
20 0
15
6idr 6idrok okor orti tiso son n kri krim m 2$5 2$5 B
Tube 5gr
240
0
2 30
0
230
1!
loramfenikol loramfenikol salep mata 1 B
Tube 5gr
235
0
2 *5
25
2 0
1'
Tube 5gr
!
0
96
0
:6
1)
lor loram amfe feni niko koll .ale .alep p uli ulitt 2B !isol ( Protektor
/Tl 1000ml
0
0
0
0
0
1
!ysol(Kresol 504
btl 1000ml
4
0
3
0
3
20
(ikonaol krim 2 B
Tube 5gr
12
0
92
0
92
21
9olikresulen
btl 15ml
2!
0
26
0
26
22
.alep lep 2 4 kom kombina inasi
pot
4!
0
36
0
36
23
.alep 2 4 kombinasi
pot
0
0
0
0
0
24
.alis-l /edak 2 B
Tablet
45
0
35
0
35
25
Temporar- .topping let*er serbuk*airan
Tablet
0
0
0
0
0
2!
ida 7 ;ni*ap 1000ml
btl 500ml
0
0
0
0
0
2'
Fodiu odium m 9o+ 9o+id idon on laru laruta tan n 10 10 B 30 30 ml ml
/tl 30ml
40
0
30
0
30
2)
Fodiu odium m 9o+i 9o+ido don n laru laruta tan n 10 B 300 300 ml ml
/tl 300ml
!4
0
63
0
63
PEMBERIAN
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
!
"
2
PERBEKALAN KESE+ATAN A!;%
PENERI
PERSE
PEMA-
SISA
STOK
PERMIN
MAAN
DIAAN
KAIAN
STOK
OPT
TAAN
APBD
ASKES
APT
LAIN
JML
KET
#
$%("&#)
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%($-')
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11
1
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1"
1#
1$
pcs
0
0
0
0
0
9*s
*0 0
0
*0 0
0
*00
*
Abo*at No$ 22 @ell*o
9*s
0 0
0
0 0
50
50
3
Abo*at No$ 24 @ell*o
9*s
50
0
50
0
50
5
Aboc Aboca at $o $o 20 er erenit enity y
9*s
0
0
0
0
0
6
Abo*at No$ 22 .erenit-
9*s
0
0
0
0
0
8
Abo*at No$ 24 .erenit-
9*s
0
0
0
0
0
:
Alat .untik sekali pakai 1 ml
9*s
:0 0
0
: 00
0
*0 0
9
Alat .untik sekali pakai 2$5 ml
9*s
0
Alat .untik sekali pakai 5 ml
9*s
30 0
0
30 0
0
300
Alat .untik 1** Aimed
9*s
0
0
0
0
500
2
Alat .untik 3** Aimed
9*s
2 00 0
0
20 00
00
900
*
Alat .untik 5** Aimed
9*s
0
0
0
0
0
3
Auto Disable .-ringe "AD.& "AD.& 0,05ml
9*s
0
0
0
0
0
5
Auto Disable .-ringe "AD.& "AD.& 0,5ml
9*s
50
0
50
0
50
6
Auto Disable .-ringe "AD.& "AD.& 5ml
9*s
50
0
50
0
50
8
/lood 8an*et TCi*e .erenit-
bo
0
0
0
0
0
:
/ene*e*k plus lu*ose Test 50Gs
bo
0
0
0
0
0
9
/ene*e*k plus %olesterol Test 50Gs
bo
0
0
0
0
0
20
/ene*e*k plus lu*ose Test 50Gs
bo
0
0
0
0
0
2
%atgut %romi*3<0 6= 2!((
.a*
0 0
0
0 0
0
00
22
%atgut 9lain 3<0 6= 2!((
.a*
0
0
0
0
0
2*
%atgut %romi*3<0 6= 2!(( serenit-
.a*
0
0
0
0
0
23
6and .*un ',5 .erenit-
psg
20 0
0
20 0
0
200
25
6and .*un ',5
psg
*0
0
*0
6
23
26
6and .*un '
psg
0
0
0
0
0
28
6and .*un ) .erenit-
psg
0
0
0
0
0
2:
6uman 6umansens 9lus
;nit
0
0
0
0
0
29
6umansens 9lus lu*ose Test .trip
Dus
0
0
0
0
0
*0
6umansens 9lus Total %olesterol Test .trip
Dus
0
0
0
0
0
*
6umansens 9lus Total ;rid A*id Test .trip
Dus
0
0
0
0
0
*2
7nfus set anak .erenit-
set
20 0
0
20 0
0
200
**
7nfusion set deCasa .erenit-
set
35 0
0
35 0
0
350
*3
7nfusion set anak
set
0
0
0
0
0
*5
7nfusion set deCasa
set
0
0
0
0
0
*6
apas 9embalut 6-drop-l 250 gram
/ungkus
5:
0
5:
0
5:
*8
apas 9embalut 6-dropil 250 gram
/ungkus
0
0
0
0
0
*:
apas 9embalut 6-dropil 500gram
roll
0
0
0
0
0
*9
asa pembalut 1! 1!*m
otak
0
0
0
0
0
0
0
PEMBERIAN
dibagi dg dg a"imed
KODE
NAMA OBAT
SATUAN
STOK AWAL
1
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PENERI
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PEMA-
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1
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PA&E$&
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32
masker
3*
Plester 5 yards " inch
roll
33
9lester 5 -ards 2 in*< 9olifi
roll
35
Polygyp 0 cm 72-85m
roll
9
0
9
0
9
36
Poly olygyp gyp 5 5 cm 72-85 2-85m m
roll
0
0
0
0
0
38
Pembalut elass Polycrepe 0cm73-55m
roll
2
0
2
0
2
3:
Pemb Pembal alut ut elas elass s Pol Polyc ycre repe pe 5cm 5cm73 73-5 -55m 5m
roll
0
0
0
0
0
39
.elang %ateter No 14
p*s
0
0
0
0
0
50
.elang %ateter No 1!
p*s
0
0
0
0
0
5
.elang %ateter No 14 .erenit-
p*s
5
0
5
0
5 20
ktk 50 p*s
*00
0
*00
50
250
0 20
0 0
0 20
0 0
0 20
52
.elang %ateter No 1! .erenit-
p*s
20
0
20
0
5*
.afet- Onemed /o
dus
0
0
0
0
0
53 55
.ilk No$ 3<0 serenit-
sa*
.ilk No$ 3<0 6= 2! ((
sa*
00 0
0 0
00 0
0 0
00 0
56
;rine bag
p*s
0
0
0
0
0
58
;rine bag Onemed
p*s
0
0
0
0
0
5:
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p*s
0
0
0
0
0
59
ing Neadle 2'
p*s
0
0
0
0
0
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yang menyerahkan @ang ?enerima(?e!apor g Farmasi Ka Barm armasi asi ka ka Barma armassi ka Barma armasi si ka ka Ka CP& Puskesmkas ?egang ak
drg D+ ?ipta Dulummi-?Kes
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$'P 960029::200
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@ang ?enerima as udang Farmasi Puskesmas ?egan
@uli @an- Am Keb $'P 9:*0822000202
