LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERM

(LPLPO)

KODE PUSKESMAS : 13060601

PUSKESMAS : TINGGIMONCONG
KECAMATAN : TINGGIMONCONG
KAB/KODYA : GOWA
PROPINSI : SULAWESI SELATAN

STOK PENERIM PERSEDI PEMA-

KODE NAMA OBAT SATUAN
AWAL AAN AAN KAIAN
1 2 3 4 5 6 7
1 Acyclovir 200 mg Ktk 50 tab 100 0 100
2 Acyclovir cream Tube 5 gram 25 0 25
3 Albothyl concentrate 5 ml 4 0 4
4 Allopurinol tab 100mg Ktk 100 tab 400 200 600
5 Aminophyllin 200 mg Btl 100 100 0 100
6 Aminophylin inj Ampul 20 0 20
7 Amlodipin 10 m5 mg tab ktk 30 tab 50 1000 1050
8 Amoxicillin 250 mg Caps Ktk 120 tab 0 0 0
9 Amoxicillin 500 mg Caplet Ktk 100 tab 4900 5000 9900
10 Amoxicillin sirup Btl 60 ml 65 100 165
11 Antasida DOEN Tablet Ktk 100 tab 4500 0 4500
12 Antasida DoEN Syrup Btl 60 ml 86 0 86
13 Alprazolam Ktk 100 tab 200 0 200
14 Anti Hemoroid DOEN Ktk 10 Supp 0 0 0
15 Ambroxol Tab Ktk 10x10 700 0 700
16 Asam Ascorbat 50 mg Btl 250 tab 11000 0 11000
17 Asam Mefenamat 500 mg ktk 100 tab 400 1000 1400
18 Betametason cream 0,1% Ktk 24 tube 0 48 48
19 Betahistin Ktk 30 tab 50 90 140
20 Captopril 50 mg Ktk 100 tab 6 500 506
21 Carbamazepin 200mg tab Ktk 100 tab 300 0 300
22 Cephadroxyl Ktk 100 tab 900 0 900
23 Chloramphenicol 250 mg Ktk 100 cap 900 600 1500
24 Cetirizine tab ktk tab 3 0 3
25 Chloramphenicol tetes telinga Btl 5 ml 9 0 9
26 Chloramphenicol Salep Mata Ktk 12 Tube 37 0 37
27 Chloramphenicol Syrup Btl 100 ml 135 135
28 Chlorpheniramine maleat table Btl 1000 tab 8000 0 8000
29 Chlorpromazine Btl 1000 tab 0 0 0
30 Clonidin 0,15 mg tab Ktk 100 tab 0 0 0
31 Dexametason tablet Ktk 100 tab 13600 0 13600
32 Dexametason Injeksi Ktk 100 Amp 140 0 140
33 Dextrometorphan syrup Btl 60 ml 0 0 0
34 Dextrometorphan tablet Btl 100 tab 0 0 0
35 Diazepam 2 mg Btl 100 tab 0 0 0
36 Diazepam 5 mg tab Btl 250 tab 0 0 0
37 Diazepam injeksi Ampul 0 0 0
38 Diphenhidramin Injeksi Ktk 30 Amp 0 0 0
39 Digoxin tab 0,25 mg Btl 100 tab 0 0 0
40 Ekstrak Belladonnae Btl 100 tab 0 0 0
41 Ephedrin HCl Btl 250 tab 0 0 0
42 Ephinefrin HCl Injeksi Ampul 0 0 0
43 Etakridin laktat (Rivanol) Btl 300 ml 1 0 1
44 Erytromisin 200 mg syp syp 0 0 0
45 Fitomenadion Injeksi ktk 30 ampul 0 0 0
46 Fitomenadion tab 10 mg Btl 100 tab 100 0 100
47 Furosemide tablet 40 mg Btl 100 tab 299 1000 1299
48 Garam Oralit 200 ml Ktk 100 bks 400 0 400
49 Gentamisin zalp kulit Ktk 25 tube 70 0 70
50 Gentamisin tts mata Ktk 10 btl 0 0 0
51 Griseofulvin Btl 100 tab 100 500 600
52 Glibenclamid Ktk 100 tab 0 0 0
53 Gliseril Guaiacolat Btl 1000 tab 12000 0 12000
54 Glucosa 5% Btl 500 ml 33 60 93
55 Haloperidol tab 5 mg Ktk 100 tab 155 0 155
56 Haloperidol tab 1,5 mg Ktk 100 tab 0 0 0
57 Hydrokortison cream Ktk 24 tube 48 0 48
58 Hidroklortiazida (HCT) Btl 1000 tab 0 0 0
59 Ibuprofen tab 200 mg Btl 100 tab 4300 0 4300
60 Ibuprofen tab 400 mg Btl 100 tab 0 0 0
61 Kalsium Laktat Btl 1000 tab 1000 2000 3000
62 Kotrimoksazol tab 480 mg Btl 100 tab 5300 0 5300
63 Kotrimoksazol tab 120 mg Btl 100 tab 0 0 0
64 Kotrimoksazol susp Btl 60 ml 0 0 0
65 Ketokonazole cream ktk 12 tube 36 0 36
66 Lidokain/pehacain Ktk 30 Amp 100 90 190
67 Loperamide Ktk 100 tab 100 100 200
68 Metoklopramide Box 100 tab 1300 0 1300
69 Metampiron tab Btl 1000 tab 3900 0 3900
70 Metampiron Inj Ktk 30 Amp 0 0 0
71 Metformin Ktk 100 tab 1300 0 1300
72 Metil Ergometrin Tab Ktk 100 tab 0 0 0
73 Metronidazole tab 250 mg Btl 100 tab 1200 0 1200
74 Miconazole salp 2 % Ktk 24 tube 48 0 48
75 NaCl Infus Btl 500 ml 47 0 47
76 Nistatin Vaginal Tablet Vag tab 0 0 0
77 Meloxicam Ktk 50 tab 900 0 900
78 Natrium diklopenat Ktk 50 tab 1900 0 1900
 79 Obat Batuk Hitam (OBH) Btl 100 ml 54 0 54
80 Omeprazole 20 mg Ktk 30 tab 60 0 60
81 Oksitetrasiklin salep kulit Ktk 25 tube 0 0 0
82 Oxytetracyclin salep mata Ktk 25 tube 0 0 0
83 Oxytocin Inj Ktk 10 Amp 0 1000 1000
84 Papaverin tab Btl 1000 tab 1000 0 1000
85 Paracetamol syrup Btl 60 ml 261 0 261
86 Paracetamol 500 mg tablet ktk 100 tab 4600 10000 14600
87 Phenobarbital tablet Ktk 100 tab 0 0 0
88 Piroxicam 20 mg Ktk 100 tab 0 2000 2000
89 Piracetam Ktk 50 cap 200 0 200
90 Povidon Iodida Btl 1000 ml 7 0 7
91 Pyrantel tab 125 mg Ktk 60 tab 0 0 0
92 Piridoxin tab Btl 1000 tab 2000 0 2000
93 Propanolol 40 mg Btl 100 tab 0 0 0
94 Prednison tablet Btl 1000 tab 5000 0 5000
95 Propyltiouracyl 100 mg Btl 100 0 0 0
96 Ranitidine 150 mg Ktk 100 tab 4100 0 4100
97 Ringer Lactat Btl 500 ml 0 10000 10000
98 Ranitidine inj Ktk 25 amp 25 0 25
99 Salep 2 - 4 Ktk 24 pot 43 0 43
100 Salbutamol 4 mg ktk 100 tab 300 500 800
101 Salicil talk Ktk 50 gr 87 0 87
102 Sianokobalamin Injeksi Ktk 100 amp 0 0 0
103 Simvastatin Ktk 50 tab 0 90 90
104 Tetracyclin 500 mg cap Ktk 100 Caps 0 0 0
105 Tetracyclin 250 mg cap Btl 1000 Caps 1100 0 1100
106 Tablet Tambah Darah Box 25 sachet 600 2000 2600
107 Thiamin HCl Tab Btl 1000 tab 4000 0 4000
108 Thiamin HCl Injeksi Ktk 30 Amp 0 0 0
109 Trihexyphenidil 2 mg ktk 100 tab 0 0 0
110 Vitamin B Kompleks tablet Btl 1000 tab 1400 3000 4400
111 Silk 3/0 dengan jarum bedah Pcs 6 0 6
112 Catgut 2/0 dengan jarum beda Pcs 0 0 0
113 Infusion Set Anak Pcs 106 0 106
114 Infusion Set Dewasa Pcs 300 0 300
115 IV Catheter No. 20 G Ktk 50 pcs 93 0 93
116 IV Catheter No. 22 G pcs 150 0 150
117 IV Catheter No. 24 G Pcs 226 0 226
118 IV Catheter No. 18 G Kotak 175 0 175
119 Alat Suntik 2,5 ml Kotak 100 0 0 0
120 Alat Suntik 3 ml Kotak 42 0 42
121 Alat Suntik 5 ml Kotak 134 0 134
122 Plester 5 Yards x 2 Inch Roll 2 10 12
123 Kapas berlemak 500 gram Roll 0 0 0
 124 Kapas pembalut / adsorben 2 Roll 16 0 16
125 Kasa 4 x 15 yard Roll 0 0 0
126 Kasa Kompres 40/40 (steril) Roll 7 20 27
127 Kasa Pembalut 2 m x 80 m Roll 16 50 66
128 Kategori 1 FDC Paket 0 0 0
129 Kategori 2 FDC Paket 0 0 0
130 Kategori Anak FDC Paket 0 0 0
131 Etanol 70 % Btl 1000 ml 2 3 5
132 Etanol 70 % Btl 300 ml 0 0 0
133 Urine Bag pcs 0 0 0
134 Urine bag Set 12 0 12
135 Ethil Klorida Spray Vial 100 ml 9 0 9
136 Eugenol Cairan 12 btl@ 10 ml 0 0 0
137 Folley Catheter 2 way no.16/1 pcs 2 0 2
138 Glass Ionomert Cement Set / btl 0 0 0
139 Kalsium Hidroksida Pasta 2 tube / ktk 0 0 0
140 Mummifying Pasta Btl / ktk 2 0 2
141 Semeng Seng Fosfat serbuk d Btl 30 gr 0 0 0
142 Camfenol Btl 100 gr 2 0 2
143 Masker box 50 lembar 50 100 150
144 Hand scoen box 50 lembar 0 50 50
145 Fitomenadion inj 2 mg / ml ( n Ktk 10 Amp 90 0 90
146 Asam urat test set 0 3 3
147 Kolesterol test/ Nesco multi c set 10 strip 0 3 3
148 GDS set 0 3 3
149 Zink Tablet Ktk 100 1000 0 1000
150 Lomatul set 3 0 3
151 Dentorit set 0 0 0

UMUM
bpjs
JUMLAH KUNJUNGAN UMUM KESTIS
RESEP

Mengetahui / Menyetujui Yang Menyerahkan Yang Menerima / Mela

Kepala Dinkes Kab. / Kota Kepala IFK Kepala Puskesmas,

dr. H. Hasanuddin HARTADI, S.Si,Apt., MM. Muh. Arifuddin, SK

NIP. 19611127 199603 1 001 NIP. 19740909 199403 1 006 NIP. 19650512 198803 1
IAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

BULAN : Maret
TAHUN : 2017

SISA STOK PERMINT PEMBERIAN

KET.
STOK OPT. AAN IFK ASKES APBD
8 9 10 11 12 13 16

30

50
120

30
3
5
10

10

300
 3

1
5

50

5
5

100

3
5

100
 2
2
100

100
2
10

2
3

10

20

30

2
40
2
3

10
 20
50

100
150

4
4
4

bpjs JUMLAH

Yang Menerima / Melapor Yang Menerima

Kepala Puskesmas, Petugas Puskesmas,

Muh. Arifuddin, SKM Suraedah,S.Farm

NIP. 19650512 198803 1 025 NIP.19740810 199603 2 002
kla 1
cefad 1
kotri 1 2
natdik 2 2 2
Amox 1 1 1 2 2 1 2
Pct sir 5 10 5 5 10
bc 1 1 2 2 1 2 2
fe 1 2 2 3 2 2 1
pct 1 2 2 3 2 2 2
ctm 1 1
sin 1 1
ants 1 2 2 1 2
beta 24
vitc 2 2 1 2
asm 2 1 1 2 2 1 1
gg 1
amilo 2 2 2 1 2
mlok 1 2 2
dex 2 1 2 2 2
glib 1 2
met 1 1
salb 1 1
oral 1
amox syr 5 5 5 10 10
chloram 1 2 2 1
met0c 3
micon 1
ambro 2
allpu 2
ibup 1 2
rani 1
mtro 1 1
ompraz 1
chloram sir 5
furo 1
 1
1
3
6
3 2 2 1 2 1 21
35
2 1 2 2 2 20
2 15
3 3 1 21
2
2
8
24
7
10
1
9
5
9
3
2
2
1
35
6
3
1
2
2
3
1
2
1
5
1