IN HOUSE K

Stok Obat
No Nama Obat
Awal Datang (Tab) Total (Tab) 1 2 3
1 AMOXICILLIN 500 MG 304 11
2 ALPARA KAPLET 124 1 BOX (150 TAB) 274 20 3
3 ASAM MEFENAMAT 500 MG 314 9 12 13
4 AMBROXOL 30 MG 238
5 ANTALGIN 500 MG 1000
6 ANTASIDA SYR 60 ML
7 ANTASIDA 500 MG 189 1 BOX (100 TAB) 289 6 18 19

8 ALLETEROL COMPUSUTION TETES MATA 2

9 ALLUPURINOL 100 MG 77
10 AMLODIPINE 5MG
11 AMLODIPINE 10MG
12 ASAM FOLAT
13 ASPILET 100
14 ACYCLOVIR 400 MG 50
15 BIOMEGA (B1,B6,B12) 204
16 BEDAK SALYCYL 4
17 BETADIN KUMUR 100 ML 5
18 BORAKS GLISERIN 1 1
19 BLLOD LANCETES 200
20 BLLOD LANCETES AUTO CLI CK 100
21 BETADIN 2
22 BETAMETASON 0,1 % CREAM 5 GR 10
23 BIOPLACENTON SALEP 2
24 BRONEX 8 MG TABLET 96
25 CAPTOPRIL 25 MG 69
26 CAVIPLEX TAB 80 4 84 6
27 CAPTOPRIL 12,5 MG TAB
28 CEFADROXIL 500 MG KAPS 174
29 CEFADROXIL SYR 5
30 CEFIXIME CAP 198
31 CEFIXIME SYR 5
32 CETIRIZINE TAB 100 1 BOX (100 TAB)
33 CIMETIDIN TAB
34 CHLORAMPHENICOL 250 MG 120
35 CIPROFLOXASIN 500 MG 136
36 CTM TAB
37 CITAMOL SYR 3
38 COTRYMOXAZOL SYR 2
39 COTRYMOCSAZOL TAB 480 MG 106

40 DEMACOLIN TABLET (PCT, Pseudoefedrin 273 7

HCI, CTM, COFEIN)
41 DULCOLAX (Bisacodyl 5 mg) 156
42 DEXTRAL 302
43 DIAFORM
44 DOMPERIDON 10 MG 197
45 DEXAMETASON 0,5 MG 273 4 3 11
46 ERLAMISETIN TETES TELINGA
47 EASY TOUCH (Blood urin acid) 24
48 EASY TOUCH (Blood glucose)
49 ERLAMISETIN SALEP MATA 6
50 FARMABION 213 4
51 FOLIC ACID BOTOL
52 FLUMIN PLUS SYR (METRONIDAZOL) 2
53 FLADEX FORTE 11
54 GENTAMISIN SALEP KULIT 0,1% 8
55 GLIBENCLAMID 5 TAB 100
56 GEMFIBROZIL 300 TAB 120
57 GG TAB 100
58 HCT TAB 100
59 HYPAFIX 5 CM X 5 CM 0
60 HYDROCORTISON 2,5 % KRIM @5GR 10
61 HUFABION
62 HISTIGO 40 3
63 HUFAMAG 157
64 IBU PROFEN 400 MG 411 10 11
65 IBU PROFEN SYR 3
66 ISDN 10 MG 100
67 KASSA HIDROFIL 40X80 CM 1
68 KASSA HIDROFIL 16X16 CM 2
69 KALK TAB (Licokalk)
70 LORATADINE 10 93 3
71 LOMATULL 10
72 LOPRAMIDE 306 3
73 METRONIDAZOLE 500 MG 200
74 MELOXICAM 15 MG 100
75 METFORMIN TAB 100
76 MINYAK TAWON FF 1
77 METILPREDNISOLON 4 MG 100
78 METILPREDNISOLON 8 MG 95
79 NEURODEX TAB 181 2 3
80 NATRIUM DICLOFENAK 50 MG 83 2
81 NATRIUM DICLOFENAK 25 MG 90
82 NEUROMAG TAB
 83 NIIFEDIPINE 10MG 97
84 NORIT 120
85 OBAT BATUK HITAM SYR 1
86 OBH SYR 1
87 ONDANSENTRON 4 MG TAB
88 OMEDRINAT (DIMENHIDRINAT) 100 3
89 OMEPRAZOLE KAP 90 3 BOX (90)
90 PARASETAMOL 500 MG 331 1 BOX (100) 12 9 9
91 PIROXICAM 20 MG 107
92 PRIMADEX TAB 100
93 PHENZACOL 200 MG 0
94 PROPANOLOL
95 RECO TETES MATA 1 1
96 PREDNISONE
97 RANITIDIN 150 MG TAB 200 2 BOX (200 TAB)
98 SALBUTAMOL 4 TAB 53
99 SALBUTAMOL 2 MG
100 SPASMINAL TAB 50 3 3
101 SPASMAL TAB 52 8 3
102 SIMVASTATIN 20MG TABLET 100
103 SIMVASTATIN 10MG TABLET
104 SUCRALFAT SYR 4
105 TES KEHAMILAN ONE MED 46
106 TAMBAH DARA FE 30
107 TEOSAL TAB 83
108 VIT C TAB 247
109 VIT B COMPLEX TAB
108 VESPARUM SYR (Domperidon) 2
110 VOSEA (METOCLORPRAMID) 10 MG 72 6 3
111 VOLTADEX 5
112 VITAMIN B6 25 MG 1000
113 ZINKKID SYR 3
114 ZINC 20 MG TABLET 100
115 COPARCETIN SYR 5

Ket. - PGGN : Penggunaan

OBAT TIDAK ADA

Manyar, 24 Juli 2018

Dilaporkan oleh,
( ........................................ )
Perawat In House Klinik
 LAPORAN PENGGUNAAN OBAT
IN HOUSE KLINIK PRATAMA RAWAT JALAN MITRA MEDICARE MANYAR, GRESIK
BULAN : Juli Tahun 2018

Tanggal keluar
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
10 10 10 3
16 3 6 3 3 31 12 9 7 3
15 19 13 6 13 9 13 9 3 6
16 6 3 6 3 7 3 3

6 12 6 19 17 10 3 3 6

3 4
3

7 3

3 3

17 7 7 7 8 12 9 2 3 3
5
6 6
1

10 16
9 17 6 3 18 2 3 3 3 8 6

3
3

4 3
12 8 9 9 10 32 6 18 7 11

3 7 3 3

3 4 4
3 3 9 6 8
10 3 14 3 6 9 11 12 5 3

5 4 7 2 18 2 3

13 3 3 2 3 3

3 6

2 8

3 3 9 2
3 3
3 3 10
3 3 2 1
3 5 3
15 6 15 9 3 28 6 12 9 11 3
4 3

3 6 3

6 3 2 10 2
3 3 3 3 3
3 3

30
3 3
3

9 3 3 9 3 6 3 3

Mengetahui,
( ................................. )
Dokter Penanggung Jawab Klinik
 Total
Sisa Ket
22 23 24 25 26 27 28 29 30 31 PGGN
44 260
116 158
140 174
47 191

125 170

7 70
3 197

10 194

1 0

6 90

81 1
5 64
12 162
1 4

4 96

122
85 185

3 153
3 299

7 190
140 133

20 190

3 97

14 26
29 128
97 314

44 51

30 276

9 91

10 90

22 159
8 78
16 77
 12 88
11 79
147 184
7 100

1 0

12 188

26 27
26 36
6 94

30 0
6 77
3 244

57 18

1 4
 DAFTAR PERMINTAAN OBAT
IN HOUSE KLINIK PRATAMA RAWAT JALAN MITRA MEDICARE
BULAN JUNI 2018

Jumlah yang di-order

NO. Nama Obat yang di-order

Satuan Jumlah Kemasan (BOX)

1 ANTASIDA TAB TABLET BOX
2 BETAHISTIN MALEAT TABLET BOX
3 BORAKS GLISERIN TABLET BOX
4 BROMHEXIN TABLET BOX
5 CAVIPLEX TABLET BOX
6 CATAFLAM TABLET BOX
7 DEXAMETASON 0,5 MG TABLET BOX
8 LIDOCAIN INJ AMPUL BOX
9 METOCLOPRAMID TABLET BOX
10 OMEPRASOL KAPSUL BOX
11 ONDANSENTRON INJ TABLET BOX
12 ONDANSENTRON 8 MG TABLET BOX
13 PARASETAMOL 500 MG TABLET BOX
14 PHENZACOL 200 MG TABLET BOX
15 RANITIDIN TAB TABLET BOX
16 RECO TETES MATA BOTOL ECERAN
17 SPASMAL TABLET BOX
18 TREMENZA TAB TABLET BOX
Manyar, 24 Juli 2018
Order by,

Sri Harhanti S.farm Apt

Apoteker
Apoteker
MINTAAN OBAT
AT JALAN MITRA MEDICARE MANYAR
JUNI 2018

STOCK
KETERANGAN

Yang ada Penggunaan

0 0
0 1

0 0

0 0 dr. Merina
0 0

0 0
0 0

0 0

0 1

0 0

Mengetahui,

......................................
Dokter Klinik