LAPORAN PENGGUNAAN OBAT (LPO)

Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA

Bulan : SEPTEMBER
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
No Nama Obat Satuan Persediaan Pemakaian Ket
Masuk Bulan Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 100 100 5 10 15 5 3 5 2 1 2 5 1 2 2 2 60 40
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 100 100 1 2 2 3 2 1 5 2 1 1 2 2 1 1 1 1 28 72
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 2,300 2,300 30 30 25 5 3 25 33 20 255 60 10 4 500 1,800
9 Alkohol 70%/ liter Botol 14 14 1 1 13
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 1,200 1,200 10 25 10 15 15 5 10 30 5 5 5 5 140 1,060
12 Alopurinol tab 300 mg Tablet
13 Ambroxol tab 30 mg Tablet
14 Aminofilin injj 24 mg/ml Ampul
15 Amlodipin tab 10 mg Tablet
16 Amlodipin tab 5 mg Tablet
17 Amoksisilin tab 500 mg Kap 1,152 1,152 90 40 20 35 55 90 50 34 30 20 45 20 18 55 50 35 65 40 40 80 35 25 38 30 40 26 1106 46
18 Amoksisilin syr kering 125 mg/5 ml Botol 115 115 3 1 2 3 2 1 4 4 3 1 1 2 2 29 86
19 Amitriptyline Tablet 20 20 0 20
20 Antasida doen kombinasi Tablet 16,800 16,800 55 25 20 25 25 20 15 40 20 35 50 55 15 35 25 30 15 10 10 20 35 15 25 25 35 25 705 16,095
21 Antasida doen suspensi Botol
22 Anti Bakteri Doen Tube
23 Anti fungi Doen Tube 10 10 1 1 1 1 4 6
24 Anti Parkinson Kombinasi Tablet
25 Antihemoroid Kombinasi Tablet
26 Artemether Inj 80 mg/ml Ampul
27 Asam askorbat (vitamin C) tab 50 mg Tablet 1,679 1,679 20 25 15 10 20 30 35 25 15 25 40 30 25 50 20 20 20 10 35 50 20 540 1,139
28 Asam folat tab 0,4 mg Tablet 780 780 30 10 10 10 20 10 90 690
29 Asam folat tab 1 mg Tablet
30 Asam mefenamat kaps 500 mg Kap 505 10,000 10,505 30 10 10 20 20 20 10 10 10 10 15 10 15 25 35 10 10 5 20 25 320 10,185
31 Aseptan + Dispenser Botol
32 Asering Botol
33 Asetosal 80 mg Tablet
34 Asetosal 500 mg Tablet
35 Asiklovir tab 400 mg Tablet 150 150 30 30 120
36 Asiklovir cream 5 % Tube
37 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
38 Atropin tab 0,5 mg Tablet
39 Azitromisin 500 mg Tablet 20 100 120 0 120
40 Bioron Inj Ampul
41 Benodon Inj Vial
42 Benzatin Benzin Penisilin 1.2jt Vial
43 Betahistin 6 mg Tablet 400 3,600 4,000 20 10 10 10 10 10 10 80 3,920
44 Betametason krim 0,5 mg/g Tube 48 48 2 1 1 1 5 43
45 Blood lancet Pcs
46 Bracket handwash plastik Pcs
47 Bronsolvan 150 mg Tablet
48 BTI/Bastivec Botol
49 Bufacetin salep kulit Tube
50 Calcil Glukonas 10% Ampul
51 Captopril 12.5 mg Tablet
52 Captopril 25 mg Tablet
53 Carbo Gliserin tetes telinga 10% Botol
54 Catgut chromic 2/0 Set 21 21 0 21
55 Catgut chromic 3/0 Set
56 Ceftriakson inj 1 gr Vial
57 Cetirizine sirup 5mg/ml Botol
58 Cetirizine 10 mg Tablet 116 200 316 4 12 12 20 33 12 10 5 15 12 20 10 20 15 10 3 3 3 10 10 239 77
59 Clindamicyn 150 mg Kap 220 220 0 220
60 Clindamicyn 300 mg Kap 300 300 0 300
61 Codein HCl 10 mg Tablet
62 Concor (Bisoprolol) Tablet
63 CTM Tablet 608 19,800 20,408 32 55 45 30 30 20 20 20 40 25 50 55 45 30 20 20 10 25 50 10 15 15 55 60 20 10 807 19,601
64 Culticell clasik/ Sofratule Buah 10 10 1 1 2 8
65 Culticell stick Buah 2 2 0 2
66 Culticell Gel Buah 1 1 0 1
67 Culticell Cutback Buah 5 5 0 5
68 Dehydro Artemesin D artep Tablet
69 Depakote/ Valporat 250 mg Tablet
70 Dermafix T 10x12 cm Pcs
71 Dermafix T 10x8 cm Pcs
72 Dexamethasone Inj Ampul
73 Dexamethasone 0.6 mg Tablet
74 Diazepam 2 mg Tablet 304 304 10 2 10 10 15 5 10 5 25 5 5 102 202
75 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6 0 6
76 Dipenhidramine HCl Inj Tablet
77 Digoxin 0.25 mg Tablet
78 Domperidone 10 mg Tablet
79 Domperidone suspensi Botol
80 Doksisiklin 100 mg Tablet
81 Dulcolax/Bisakodil Susp 6 6 0 6
82 Ecolab Aquagel Tube
83 Epineprhine Inj 0.1% Ampul 119 119 1 1 2 117
84 Eritromisin syr 200 mg/5 ml Botol 0 0
85 Eritromisin tab 500 mg Tablet 1,480 1,480 12 4 15 10 20 15 15 35 10 10 5 151 1,329
86 Erklasiklin eye Oint Kaps
87 Etil klorida semprot Vial Vial
88 Eugenol Botol
89 Extr Beelladon Tablet
90 Female Cateter no 18 Pcs
91 Fenobarbital tab 30 mg Tablet 536 536 15 14 12 15 25 15 10 15 5 5 3 10 144 392
92 Fitomenadion (Vit K1) 10 mg Tablet 470 470 10 10 10 10 10 10 10 70 400
93 Fitomenadion (vitamin K 1) inj Ampul
94 Fixomull 5x5 Pcs
95 Fluication Ampul
96 Flusinolon Asetonid Tube
97 Fluor sediaan topikal Tube
98 Furosemid tab 40 mg Tablet 140 140 0 140
99 Garam Oralit Bks
100 Genoint Salep Mata 0.3 % Tube
101 Gentamicin Inj 40 mg Ampul
102 Gentamicin Salep kulit 0.1% Tube
103 Gentamicin Sulfat tetes mata 0.3% Tube
104 Glibenklamid tab 5 mg Tablet 960 960 5 5 5 5 5 5 30 930
105 Gloves Steril No 7 Buah 10 10 5 5 10 0
106 Gloves Steril No 7 1/2 Buah 15 15 0 15
107 Gloves Steril No 8 Buah
108 Gloves size M non steril Buah 275 100 375 50 50 100 275
109 Glimiperide 1 mg Tablet 500 500 0 500
110 Glukosa Larutan Infus Botol
111 Griseofulvin (micronized) tab 125 mg Tablet
112 Haloperidol tab 2 mg Tablet 589 5 594 20 30 20 70 524
113 Hidrogen peroksida cairan 3% H2O2 Botol 1 1 0 1
114 Hidroklorotiazid tab 25 mg Tablet 200 200 0 200
115 Hidrokortison krim 2,5% Tube 34 34 2 3 2 1 8 26
116 Hiosin butilbromida tab 20 mg Tablet
117 I.V Cateter no 18 G Pcs
118 I.V Cateter no 20 G Pcs 50 50 0 50
119 I.V Cateter no 22 G Pcs 50 50 0 50
120 I.V Cateter no 24 G Pcs 50 50 0 50
121 Ibuprofen 400 mg Tablet 272 100 372 5 12 6 6 15 20 10 15 6 7 12 30 30 174 198
122 Ibuprofen suspensi 60 ml Botol 141 141 3 4 5 2 1 8 2 25 116
123 Infus set Anak Pcs 33 33 0 33
124 Infus set Dewasa Pcs 65 65 0 65
125 Isosorbid dinitrat tab 5 mg Tablet
126 Jarum 18x 1 1/2 Pcs
127 Kaca slide Pcs
128 Kalsium laktat (kalk) tab 500 mg Tablet
129 Kapas Pembalut 100 gr Bks
130 Kapas Pembalut Absorben 250 gr Bks
131 Karbamazepin Tab 200 mg Tablet
132 Kassa Hidrofil 16 x 16 cm Kotak 16 10 26 2 1 1 1 5 21
133 Kassa Hidrofil 4 x 10 cm cm Roll
134 Kassa Hidrofil 4 x 5 cm Roll
135 Kassa Hidrofil 30 x 80 cm Roll
136 Kassa Hidrofil 400 x 80 cm Roll
137 Ketoconazole 200 mg Tablet
138 Ketoconazole krim 2%\ Tube
139 Ketorolac Inj 30 ml Ampul
140 Klopidogrel 75 mg Tablet
141 Kloramfenikol salep mata 1% Tube
142 Kloramfenikol susp 125 mg/5 ml Botol
143 Kloramfenikol tetes telinga 3% Tube
144 Kloramfenikol tts mata 1% Tube
145 Kombinasi kaolin+pektin Tablet
146 Kotrimoksazole Dewasa 480 mg Tablet 1,190 1,190 6 12 24 15 20 10 6 30 20 10 20 10 15 15 20 10 13 23 12 20 12 323 867
147 Kotrimoksazole suspensi Botol 0 0
148 Lab Kit Malaria Set 0 0
149 Lansoprazole 30 mg Tablet 515 200 715 10 15 20 15 10 15 10 15 10 5 5 130 585
150 Larutan Antiseptik Botol 1 1 0 1
151 Levofloksacin 500 mg Tablet
152 Levopar Tablet
153 Levotiroksin 100 mg Tablet
154 Lidokain composit Ampul
155 Lidokain Inj Ampul
156 Loperamid tab 2 mg Tablet
157 Loratadine 10 mg Tablet
158 Lysol 1 liter Botol
159 Masker Pcs 100 100 200 50 50 100 100
160 MDT MB Anak Blister
161 MDT MB Dewasa Blister
162 Meptin Swinghaler Pcs
163 Metformin tab 500 mg Tablet 200 200 10 10 20 180
164 Metilergometrin inj 0,2 mg/ml Tablet 0 0
165 Metilergometrin tab Tablet 970 970 0 970
166 Metoklopramid tab 10 mg Tablet 200 200 10 10 20 180
167 Metronidazol susp 125 mg/5 ml Botol
168 Metronidazol tab 500 mg Tablet
169 Metylprednisolone 4 mg Tablet
170 MgSO4 Inj 20% Ampul
171 MgSO4 Inj 40% Ampul
172 Mob cap Buah 50 50 0 50
173 Mikonazol krim 2% Tube 45 45 1 2 3 42
174 Mikrotois Buah
175 Mineral Mix Sct
176 Molagit Tablet
177 N-asetil sistein kaps 200 mg Kaps
178 Nasal Oksigen size S Buah
179 Nasal Oksigen size XS Buah
180 Natrium Tiroksin Tablet
181 Natrium diklofenak tab 25 mg Tablet
182 Natrium diklofenak tab 50 mg Tablet
183 Natrium Klorida Larutan infus Botol 20 20 1 1 2 18
184 Needle 0.306 x 21 mm Buah
185 New Antides (Attapulgit) Tablet
186 Nifedipin kaps 10 mg Tablet
187 Nistatin tab salut 500.000 UI Tablet
188 Nistatin tab vaginal 100.000 UI Tablet
189 Nonwoven Fixation 10 x 10 Pcs
190 Nonwoven Fixation 5 x 10 Pcs
191 OAT Kategori & III (FDC) Paket
192 OAT Kategori Anak Paket
193 OAT Kategori II Paket
194 OAT Sisipan Paket
195 Oksimetazolin tts hidung 0,025% Iliadin Botol
196 Oksimetazolin tts hidung 0,050% Iliadin Botol 5 5 0 5
197 Obat Batuk Hitam (OBH) syr Botol 27 20 47 2 1 1 1 1 1 1 1 2 1 1 1 1 2 2 1 1 1 2 2 2 28 19
198 Oksitetrasiklin 1% Salep Mata Tube
199 Oksitosin inj 10 UI/ml Ampul
200 Omeprazol kaps 20 mg Kaps
201 Omecough sirup Botol
202 Omegtamin tablet Tablet
203 Omegdiar tablet Tablet
204 Omegesic Tablet
205 Ondensentron 4 mg Tablet
206 Ondensentron 8 mg Tablet
207 Onescrab 500 cc + dispenser Botol 1 1 1 1 0
208 Ofloxacin 400 mg Tablet
209 Paracetamol drop 15 ml Botol
210 Parasetamol tab 500 mg Tablet 739 16,500 17,239 65 45 10 10 25 55 80 35 15 20 50 60 25 10 10 25 25 35 30 30 25 28 20 20 50 10 813 16,426
211 Parasetamol sir 120 mg/5 ml Botol 292 292 3 2 1 1 1 2 2 2 1 1 1 1 2 1 1 2 1 1 1 1 1 29 263
212 Pehavral Tablet 575 100 675 10 26 10 3 30 6 12 12 10 10 25 12 20 30 15 12 12 30 35 25 20 365 310
213 Plester Anti Air Buah 1 1 0 1
214 Pirantel Pamoate 125 mg Tablet
215 Piridoksin (vitamin B6) tab 10 mg Tablet 420 200 620 16 30 8 48 16 25 35 12 24 24 40 30 10 10 12 29 24 40 30 20 15 10 20 20 20 30 598 22
216 Povidon iodin 30 ml Botol 32 32 1 1 31
217 Povidon iodin 60 ml Botol 28 28 1 1 27
218 Povidon iodin 300 ml Botol 0 0
219 Prednison tab 5 mg Tablet 1,900 1,900 0 1,900
220 Primakuin tab 15 mg Tablet
221 Propiltiourasil tab 100 mg Tablet
222 Propanolol 40 mg Tablet
223 Propranolol 10 mg Tablet
224 Ranitidine Inj 25 mg Ampul
225 Ranitidin tab 150 mg Tablet
226 rapid Sifilis (Hexagon) Paket
227 Rapid Tes Malaria Paket
228 Ringer Laktat Infus Steril Botol 16 16 1 1 1 1 4 12
229 Rivanol Botol
230 Rovital Tablet
231 Safety box Buah
232 Salbron Expectorant Botol
233 Salbutamol tab 2 mg Tablet 652 652 6 6 12 640
234 Salbutamol tab 4 mg Tablet 100 100 0 100
235 Salbutamol cairan 0.1% Botol
236 Salep 2-4 Pot
237 Salisil Bedak 2% Bks
238 Sarung tangan Obgyn Steril Buah
239 Sefradoksil Kaps Kaps
240 Sefradoksil sirup 125 mg Botol 20 20 0 20
241 Sefixim sirup Botol
242 Sefixim 100 mg Tablet 80 80 0 80
243 Sefotaksim serbuk Inj 1 gr Vial
244 Selang oksigen Buah 20 20 0 20
245 Sianokobalamin (vitamin B12) inj Ampul 20 20 2 1 1 1 5 15
246 Sianokobalamin (vitamin B12) tab Tablet
247 Stik Benang Bedah no 2/0 Buah 10 10 0 10
248 Stik Benang Bedah no 3/0 Buah 36 36 0 36
249 Simvastatin tab sal 10 mg Tablet 1,924 1,924 20 20 1,904
250 Simvastatin tab sal 20 mg Tablet
251 Sipemetrin Tablet
252 Siprofloksasin tab 50 mg Tablet
253 Sound timer Unit
254 Sputum pot Buah
255 Stomac tab Tablet
256 Stomac Syr Botol
257 Stomac no 17 Pcs
258 Stomac no 18 Pcs
259 Sulfadoxin Tablet
260 Sufprafenid Susp
261 Swab 2 Play Buah
262 Tablet Tambah Darah Tablet
263 Tetagam Ampul
264 Tetrasiklin HCl 250 mg Tablet
265 Tetrasiklin HCl 500 mg Kaps 1,699 1,699 10 10 15 15 10 20 7 20 10 20 10 10 10 10 177 1,522
266 Thiamin HCl (Vit B1) 50 mg Tablet 219 219 12 12 24 20 15 10 10 18 6 7 10 10 20 10 10 25 219 0
267 Tramadol Inj Ampul 0 0
268 Trihexypenidyl Tablet 20 20 0 20
269 Unibical Buah
270 Under Pad 60 x 90 Buah
271 Urine Bag Buah
272 Veroreb (Rabies Vaksin) Ampul
273 Vit A Biru (100.000 IU) Kaps
274 Vit A Merah (200.001 IU) Kaps
275 Vitamin B kompleks Tablet
276 Water Inj Botol
277 Zinc Tab 20 mg Tablet 946 946 10 5 5 5 10 5 40 906
278 Zircum Kids Botol
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Yang Meminta: Yang Menerima:
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Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes
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319 CHRISANTI LEWI YANA SITEPU, SKM DAHLIANI SITANGGANG, A.Md
NIP : 198007272011012006 NRPK : 02.7.0512773
 CHRISANTI LEWI YANA SITEPU, SKM DAHLIANI SITANGGANG, A.Md
320 NIP : 198007272011012006 NRPK : 02.7.0512773
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 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Oktober
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
No Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 40 100 140 5 3 2 5 3 5 2 5 2 5 2 5 5 3 2 2 1 2 3 2 2 3 3 2 5 1 80 60
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 72 100 172 1 1 1 1 1 1 3 1 1 1 1 2 1 1 2 1 20 152
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 1,800 1,800 80 100 10 100 90 20 100 100 50 50 50 50 800 1,000
9 Alkohol 70%/ liter Botol 13 13 1 1 2 11
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 1,060 1,060 10 10 10 20 50 1,010
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet 0 200 200 25 10 10 20 10 5 20 10 10 10 15 25 10 10 10 200 0
15 Amlodipin tab 10 mg Tablet
16 Amoksisilin tab 500 mg Kap 46 1,000 1,046 10 10 30 20 50 10 40 37 14 25 50 10 33 66 30 40 30 20 30 40 31 30 30 33 27 746 300
17 Amoksisilin syr kering 125 mg/5 ml Botol 86 100 186 1 2 1 1 1 2 1 2 1 1 1 1 1 3 2 2 3 4 5 3 2 40 146
19 Antasida doen kombinasi Tablet 16,095 16,095 60 20 70 56 56 50 30 40 75 56 60 70 90 60 100 70 60 75 60 70 80 74 50 56 50 60 1598 14,497
20 Antasida doen suspensi Botol
21 Anti Bakteri Doen Tube
22 Anti fungi Doen Tube 6 6 0 6
23 Anti Parkinson Kombinasi Tablet
24 Antihemoroid Kombinasi Tablet
25 Artemether Inj 80 mg/ml Ampul
26 Asam askorbat (vitamin C) tab 50 mg Tablet 1,139 2,000 3,139 10 15 15 30 20 10 25 20 27 21 15 34 20 23 26 25 20 20 20 20 19 10 50 16 18 50 579 2,560
27 Asam folat tab 1 mg Tablet 690 690 10 10 10 10 15 20 30 30 13 30 12 40 230 460
28 Asam folat tab 0.4 mg Tablet
29 Asam mefenamat kaps 500 mg Kap 10,185 10,185 50 20 20 40 10 30 10 30 20 20 30 10 10 10 24 40 20 30 20 444 9,741
30 Aseptan + Dispenser Botol
31 Asering Botol
32 Asetosal 80 mg Tablet
33 Asetosal 500 mg Tablet
34 Asiklovir tab 400 mg Tablet 120 120 10 10 10 10 10 10 20 80 40
35 Asiklovir cream 5 % Tube
36 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
37 Atropin tab 0,5 mg Tablet
38 Azitromisin 500 mg Tablet 120 120 5 20 25 95
39 Bioron Inj Ampul
40 Benodon Inj Vial
41 Benzatin Benzin Penisilin 1.2jt Vial
42 Betahistin 6 mg Tablet 3,920 3,920 10 10 20 3,900
43 Betametason krim 0,5 mg/g Tube 43 100 143 1 1 1 1 1 1 1 1 1 9 134
44 Blood lancet Pcs
45 Bracket handwash plastik Pcs
46 Bronsolvan 150 mg Tablet
47 BTI/Bastivec Botol
48 Bufacetin salep kulit Tube
49 Calcil Glukonas 10% Ampul
50 Captopril 12.5 mg Tablet
51 Captopril 25 mg Tablet
52 Carbo Gliserin tetes telinga 10% Botol
53 Catgut chromic 2/0 Set 21 21 1 1 20
54 Catgut chromic 3/0 Set
55 Ceftriakson inj 1 gr Vial
56 Cetirizine sirup 5mg/ml Botol
57 Cetirizine 10 mg Tablet 77 200 277 10 10 20 23 20 16 26 10 20 7 10 10 15 10 30 15 10 15 277 0
58 Clindamicyn 150 mg Kap 220 220 30 10 10 20 10 10 10 100 120
59 Clindamicyn 300 mg Kap 300 50 350 0 350
60 Codein HCl 10 mg Tablet
61 Concor (Bisoprolol) Tablet
62 CTM Tablet 19,601 19,601 13 40 60 10 70 20 40 25 43 33 54 30 67 23 60 20 43 23 40 25 49 36 30 33 26 20 933 18,668
63 Culticell clasik/ Sofratule Buah 8 8 0 8
 64 Culticell stick Buah 2 2 0 2
65 Culticell Gel Buah 1 1 0 1
66 Culticell Cutback Buah 5 5 0 5
67 Dehydro Artemesin D artep Tablet
68 Depakote/ Valporat 250 mg Tablet
69 Dermafix T 10x12 cm Pcs
70 Dermafix T 10x8 cm Pcs
71 Dexamethasone Inj Ampul
72 Dexamethasone 0.6 mg Tablet
73 Diazepam 2 mg Tablet 202 202 0 202
74 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6 0 6
75 Dipenhidramine HCl Inj Tablet 60 60 1 2 2 2 2 1 1 2 2 1 2 1 2 21 39
76 Digoxin 0.25 mg Tablet
77 Domperidone 10 mg Tablet
78 Domperidone suspensi Botol
79 Doksisiklin 100 mg Tablet
80 Dulcolax/Bisakodil Susp 6 6 0 6
81 Ecolab Aquagel Tube
82 Epineprhine Inj 0.1% Ampul 117 117 0 117
83 Eritromisin syr 200 mg/5 ml Botol
84 Eritromisin tab 500 mg Tablet 1,329 1,329 10 10 10 10 10 20 15 5 90 1,239
85 Erklasiklin eye Oint Kaps
86 Etil klorida semprot Vial Vial
87 Eugenol Botol
88 Extr Beelladon Tablet
89 Female Cateter no 18 Pcs
90 Fenobarbital tab 30 mg Tablet 392 392 0 392
91 Fitomenadion (Vit K1) 10 mg Tablet
92 Fitomenadion (vitamin K 1) inj Ampul
93 Fixomull 5x5 Pcs
94 Fluication Ampul
95 Flusinolon Asetonid Tube
96 Fluor sediaan topikal Tube
97 Furosemid tab 40 mg Tablet 140 140 3 3 137
98 Garam Oralit Bks
99 Genoint Salep Mata 0.3 % Tube
100 Gentamicin Inj 40 mg Ampul
101 Gentamicin Salep kulit 0.1% Tube
102 Gentamicin Sulfat tetes mata 0.3% Tube
103 GG
104 Glibenklamid tab 5 mg Tablet 930 930 10 3 10 23 907
105 Gloves Steril No 7 Buah 0 10 10 0 10
106 Gloves Steril No 7 1/2 Buah 15 15 1 1 2 2 2 1 2 2 2 15 0
107 Gloves Steril No 8 Buah 0 0
108 Gloves size M non steril Buah 275 100 375 5 10 10 8 12 15 15 10 15 10 15 15 20 20 15 15 15 10 25 15 10 10 25 320 55
109 Glimiperide 1 mg Tablet 500 500 0 500
110 Glukosa Larutan Infus Botol
111 Griseofulvin (micronized) tab 125 mg Tablet
112 Haloperidol tab 2 mg Tablet 524 524 10 30 30 15 85 439
113 Hidrogen peroksida cairan 3% H2O2 Botol 1 1 1 1 0
114 Hidroklorotiazid tab 25 mg Tablet 200 200 0 200
115 Hidrokortison krim 2,5% Tube 26 26 2 1 1 2 2 1 2 2 1 2 2 1 1 1 1 22 4
116 Hiosin butilbromida tab 20 mg Tablet
117 I.V Cateter no 18 G Pcs
118 I.V Cateter no 20 G Pcs 50 50 1 1 49
119 I.V Cateter no 22 G Pcs 50 50 1 1 49
120 I.V Cateter no 24 G Pcs 50 50 0 50
121 Ibuprofen 400 mg Tablet 198 198 10 10 10 20 10 20 10 6 16 10 10 6 20 14 10 6 10 198 0
122 Ibuprofen suspensi 60 ml Botol 116 116 3 3 1 1 1 9 107
123 Infus set Anak Pcs 33 33 0 33
124 Infus set Dewasa Pcs 65 65 1 2 1 1 5 60
125 Isosorbid dinitrat tab 5 mg Tablet
126 Jarum 18x 1 1/2 Pcs
127 Kaca slide Pcs
128 Kalsium laktat (kalk) tab 500 mg Tablet
129 Kapas Pembalut 100 gr Bks
130 Kapas Pembalut Absorben 250 gr Bks
131 Karbamazepin Tab 200 mg Tablet
132 Kassa Hidrofil 16 x 16 cm Kotak 21 21 1 1 1 1 1 1 2 1 1 1 1 12 9
133 Kassa Hidrofil 4 x 10 cm cm Roll
134 Kassa Hidrofil 4 x 5 cm Roll
135 Kassa Hidrofil 30 x 80 cm Roll 0 25 25 1 1 2 23
136 Kassa Hidrofil 400 x 80 cm Roll
137 Ketoconazole 200 mg Tablet
138 Ketoconazole krim 2%\ Tube
139 Ketorolac Inj 30 ml Ampul
140 Klopidogrel 75 mg Tablet
141 Kloramfenikol salep mata 1% Tube
142 Kloramfenikol susp 125 mg/5 ml Botol
143 Kloramfenikol tetes telinga 3% Tube
144 Kloramfenikol tts mata 1% Tube
145 Kombinasi kaolin+pektin Tablet
146 Kotrimoksazole Dewasa 480 mg Tablet 867 867 12 15 20 15 15 20 10 10 30 25 10 10 10 25 20 35 20 32 13 15 35 34 12 5 20 15 483 384
147 Kotrimoksazole suspensi Botol
148 Lab Kit Malaria Set
149 Lansoprazole 30 mg Tablet 585 100 685 10 15 10 30 6 18 10 15 20 19 20 3 15 10 20 10 3 5 18 257 428
150 Larutan Antiseptik Botol 1 1 0 1
151 Levofloksacin 500 mg Tablet
152 Levopar Tablet
153 Levotiroksin 100 mg Tablet
154 Lidokain composit Ampul
155 Lidokain Inj Ampul
156 Loperamid tab 2 mg Tablet
157 Loratadine 10 mg Tablet
158 Lysol 1 liter Botol
159 Masker Pcs 100 100 200 10 10 10 10 10 10 10 10 10 5 5 10 10 10 10 10 10 10 10 10 10 200 0
160 MDT MB Anak Blister
161 MDT MB Dewasa Blister
162 Meptin Swinghaler Pcs
163 Metformin tab 500 mg Tablet 180 180 10 10 20 160
164 Metilergometrin inj 0,2 mg/ml Tablet
165 Metilergometrin tab Tablet 970 970 0 970
166 Metoklopramid tab 10 mg Tablet 180 180 10 4 8 4 15 29 10 10 15 15 5 5 10 15 10 5 10 180 0
167 Metronidazol susp 125 mg/5 ml Botol
168 Metronidazol tab 500 mg Tablet
169 Metylprednisolone 4 mg Tablet
170 MgSO4 Inj 20% Ampul
171 MgSO4 Inj 40% Ampul
172 Mob cap Buah 50 50 10 10 10 10 40 10
173 Mikonazol krim 2% Tube 42 42 1 1 1 1 1 5 37
174 Mikrotois Buah
175 Mineral Mix Sct
176 Molagit Tablet 0 15,000 15,000 10 10 10 10 10 10 20 10 20 10 10 10 15 2 10 167 14,833
177 N-asetil sistein kaps 200 mg Kaps
178 Nasal Oksigen size S Buah
179 Nasal Oksigen size XS Buah
180 Natrium Tiroksin Tablet
181 Natrium diklofenak tab 25 mg Tablet
182 Natrium diklofenak tab 50 mg Tablet
183 Natrium Klorida Larutan infus Botol 18 18 1 2 3 15
184 Needle 0.306 x 21 mm Buah
185 New Antides (Attapulgit) Tablet
186 Nifedipin kaps 10 mg Tablet
187 Nistatin tab salut 500.000 UI Tablet
188 Nistatin tab vaginal 100.000 UI Tablet
189 Nonwoven Fixation 10 x 10 Pcs
190 Nonwoven Fixation 5 x 10 Pcs
191 OAT Kategori & III (FDC) Paket
192 OAT Kategori Anak Paket
193 OAT Kategori II Paket
194 OAT Sisipan Paket
195 Oksimetazolin tts hidung 0,025% Iliadin Botol
196 Oksimetazolin tts hidung 0,050% Iliadin Botol 0 0
197 Obat Batuk Hitam (OBH) syr Botol 19 19 2 1 2 3 1 1 1 1 1 1 1 2 1 1 19 0
198 Oksitetrasiklin 1% Salep Mata Tube
199 Oksitosin inj 10 UI/ml Ampul
200 Omeprazol kaps 20 mg Kaps
201 Omecough sirup Botol
202 Omegtamin tablet Tablet
203 Omegdiar tablet Tablet
204 Omegesic Tablet
205 Ondensentron 4 mg Tablet
206 Ondensentron 8 mg Tablet
207 Onescrab 500 cc + dispenser Botol
208 Ofloxacin 400 mg Tablet 0 0
209 Paracetamol drop 15 ml Botol 0 0
210 Parasetamol tab 500 mg Tablet 16,426 16,426 66 60 56 46 43 50 20 30 51 20 66 40 50 20 86 15 63 25 40 10 21 44 30 30 37 20 1039 15,387
211 Parasetamol sir 120 mg/5 ml Botol 263 263 2 2 2 2 2 2 1 1 2 2 2 1 3 2 3 1 1 1 1 2 2 1 38 225
212 Pehavral Tablet 310 310 6 20 16 6 28 6 12 20 12 46 12 3 10 12 16 15 10 15 25 10 10 310 0
213 Plester Anti Air Buah 1 1 0 1
214 Pirantel Pamoate 125 mg Tablet
215 Piridoksin (vitamin B6) tab 10 mg Tablet 22 200 222 13 10 6 16 16 36 23 20 10 20 12 30 10 222 0
216 Povidon iodin 30 ml Botol 31 31 2 2 1 1 1 7 24
217 Povidon iodin 60 ml Botol 27 27 0 27
218 Povidon iodin 300 ml Botol 0 0
219 Prednison tab 5 mg Tablet 1,900 1,900 20 16 4 6 10 2 20 20 10 10 118 1,782
220 Primakuin tab 15 mg Tablet
221 Propiltiourasil tab 100 mg Tablet
222 Propanolol 40 mg Tablet
223 Propranolol 10 mg Tablet
224 Ranitidine Inj 25 mg Ampul
225 Ranitidin tab 150 mg Tablet
226 rapid Sifilis (Hexagon) Paket
227 Rapid Tes Malaria Paket
228 Ringer Laktat Infus Steril Botol 12 12 2 2 1 1 6 6
229 Rivanol Botol
230 Rovital Tablet
231 Safety box Buah
232 Salbron Expectorant Botol
233 Salbutamol tab 2 mg Tablet 640 640 6 6 10 10 3 6 6 47 593
234 Salbutamol tab 4 mg Tablet 100 100 0 100
235 Salbutamol cairan 0.1% Botol
236 Salep 2-4 Pot
237 Salisil Bedak 2% Bks
238 Sarung tangan Obgyn Steril Buah 0 5 5
239 Sefradoksil Kaps Kaps
240 Sefradoksil sirup 125 mg Botol 20 20 1 1 1 1 4 16
241 Sefixim sirup Botol
242 Sefixim 100 mg Tablet 80 90 170 10 10 10 30 140
243 Sefotaksim serbuk Inj 1 gr Vial
244 Selang oksigen Buah 20 50 70 0 70
245 Sianokobalamin (vitamin B12) inj Ampul 15 15 1 1 2 3 1 2 10 5
246 Sianokobalamin (vitamin B12) tab Tablet
247 Stik Benang Bedah no 2/0 Buah 10 10 0 10
248 Stik Benang Bedah no 3/0 Buah 36 36 0 36
249 Simvastatin tab sal 10 mg Tablet 0 0
250 Simvastatin tab sal 20 mg Tablet
251 Sipemetrin Tablet
252 Siprofloksasin tab 50 mg Tablet
253 Sound timer Unit
254 Sputum pot Buah
255 Stomac tab Tablet
256 Stomac Syr Botol
257 Stomac no 17 Pcs
258 Stomac no 18 Pcs
259 Sulfadoxin Tablet
260 Sufprafenid Susp
261 Swab 2 Play Buah
262 Tablet Tambah Darah Tablet 0 11,200 11,200 20 20 10 20 10 20 10 20 10 20 30 10 20 20 10 10 260 10,940
263 Tetagam Ampul 0 0
264 Tetrasiklin HCl 250 mg Tablet 0 0
265 Tetrasiklin HCl 500 mg Kaps 1,522 1,522 10 10 25 10 20 40 10 10 20 20 20 30 10 10 245 1,277
266 Thiamin HCl (Vit B1) 50 mg Tablet
267 Tramadol Inj Ampul
268 Trihexypenidyl Tablet 20 20 0 20
269 Unibical Buah
270 Under Pad 60 x 90 Buah
271 Urine Bag Buah
272 Veroreb (Rabies Vaksin) Ampul
273 Vit A Biru (100.000 IU) Kaps
274 Vit A Merah (200.001 IU) Kaps
275 Vitamin B kompleks Tablet
276 Water Inj Botol
277 Zinc Tab 20 mg Tablet 906 906 0 906
278 Zircum Kids Botol 0 0
279 Nald Tromo Buah 0 100 100 0 100
280 KN 95 Buah 0 50 50 0 50
281 Nasal S Buah 0 50 50 0 50
282 Resperidon Tablet 0 1,000 1,000 5 15 20 980
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

CHRISANTI LEWI YANA SITEPU, SKM DAHLIANI SITANGGANG, A.Md

NIP : 198007272011012006 NRPK : 02.7.0512773
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : November
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
No Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan

1 3 way Pcs 0 0
2 Acdat cream Tube 0 0
3 Adalat oros Tablet 0 0
4 Alat suntik 3 ml/25 ml Buah 60 100 160 3 2 3 2 1 5 5 2 2 5 1 1 2 1 4 2 5 1 5 5 1 5 2 2 2 2 71 89
5 Alat suntik 1 ml Buah 0 0
6 Alat suntik 5 ml Buah 152 152 3 1 1 1 2 2 2 1 1 1 1 1 17 135
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 1,000 1,000 3 1 2 10 1 4 10 2 2 1 1 3 40 960
9 Alkohol 70%/ liter Botol 11 11 1 1 1 1 4 7
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 1,010 1,010 12 15 30 57 953
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 200 200 5 68 9 12 5 8 17 7 5 7 15 5 20 5 12 200 0
16 Amoksisilin tab 500 mg Kap 300 1,000 1,300 40 50 40 70 30 30 60 20 50 40 140 10 40 20 85 20 10 70 30 40 60 30 70 48 40 1143 157
17 Amoksisilin syr kering 125 mg/5 Botol 146 146 1 3 1 2 1 1 2 1 2 3 1 1 3 22 124
ml
18 Antasida doen kombinasi Tablet 14,437 14,437 70 40 90 40 35 20 50 50 65 47 10 70 40 50 20 50 100 30 135 30 20 95 30 40 60 85 1372 13,065
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 25 25 0 25
21 Anti fungi Doen Tube 6 6 0 6
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 Tablet 2,560 2,560 10 50 16 56 6 30 40 22 22 40 26 37 30 10 20 68 56 16 50 12 10 7 6 640 1,920
mg
26 Asam folat tab 1 mg Tablet 460 460 20 60 30 20 30 10 20 30 20 10 30 10 10 40 10 30 380 80
27 Asam folat tab 0.4 mg Tablet 0 0
28 Asam mefenamat kaps 500 mg Kap 9,741 9,741 10 46 20 30 10 90 10 20 35 20 30 20 30 20 11 30 45 20 497 9,244
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 500 500 10 10 10 10 20 10 10 10 10 100 400
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet 40 40 10 10 10 10 40 0
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml Ampul
(i.m./i.v./s.k)
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 95 95 10 5 5 5 5 15 5 10 60 35
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet 3,900 3,900 3 2 30 4 2 2 2 15 60 3,840
42 Betametason krim 0,5 mg/g Tube 134 134 1 11 10 3 2 2 1 2 1 33 101
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet 100 100 5 5 10 5 5 5 10 5 5 10 5 5 10 5 10 100 0
50 Captopril 25 mg Tablet
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 20 20 1 1 2 18
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet 0 100 100 16 20 6 3 16 6 15 6 6 6 100 0
57 Clindamicyn 150 mg Kap 120 120 10 20 10 10 50 70
58 Clindamicyn 300 mg Kap 350 350 0 350
59 Codein HCl 10 mg Tablet
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 18,668 18,668 40 50 40 70 30 30 60 67 50 40 140 80 40 60 85 20 80 70 30 40 60 30 70 30 48 40 1400 17,268
62 Culticell clasik/ Sofratule Buah 8 8 0 8
63 Culticell stick Buah 2 2 0 2
64 Culticell Gel Buah 1 1 0 1
65 Culticell Cutback Buah 5 5 0 5
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 20 20 2 3 1 2 8 12
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 202 202 5 5 197
73 Diazepamlarutan rektal 5 mg/2.5 Tube 6 6 0 6
ml
74 Dipenhidramine HCl Inj Tablet 39 60 99 2 1 1 2 2 4 1 2 1 1 1 18 81
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 20 20 2 1 3 1 1 1 9 11
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp 0 0
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul 117 117 1 2 1 2 1 1 3 1 5 2 1 1 1 22 95
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 392 392 0 392
90 Fitomenadion (Vit K1) 10 mg Tablet 100 100 10 10 10 30 70
91 Fitomenadion (vitamin K 1) inj Ampul 30 30 1 1 1 3 27
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet 137 137 10 10 10 30 107
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 GG 2,000 2,000 20 20 20 20 40 20 40 40 40 20 20 20 20 20 20 10 10 30 13 10 453 1,547
103 Glibenklamid tab 5 mg Tablet 907 907 10 10 10 30 877
104 Gloves Steril No 7 Buah 10 10 3 2 1 1 1 1 1 10 0
105 Gloves Steril No 7 1/2 Buah
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 55 55 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 5 1 55 0
108 Glimiperide 1 mg Tablet 500 500 0 500
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 Tablet
mg
111 Haloperidol tab 2 mg Tablet 439 439 15 10 25 414
112 Hidrogen peroksida cairan 3% Botol
H2O2
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 4 4 1 1 1 1 4 0
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 49 49 2 1 3 46
118 I.V Cateter no 22 G Pcs 49 49 1 1 1 3 46
119 I.V Cateter no 24 G Pcs 50 50 0 50
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 107 107 2 2 1 2 7 100
122 Infus set Anak Pcs 33 33 0 33
123 Infus set Dewasa Pcs 60 60 2 1 3 57
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 9 9 1 1 1 3 6
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 23 23 1 1 2 21
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep mata 1% Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 384 384 12 10 6 6 10 10 15 10 10 15 6 15 12 15 12 12 12 188 196
146 Kotrimoksazole suspensi Botol
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 428 40 468 10 25 6 20 10 3 18 35 6 10 10 16 10 20 25 12 25 46 26 13 12 30 388 80
149 Larutan Antiseptik Botol 1 1 0 1
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 30 30 30
154 Lidokain Inj Ampul 10 10 2 3 1 10
155 Loperamid tab 2 mg Tablet
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 0 200 200 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 135 65
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 160 160 10 10 150
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 970 970 970
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 20 20 1 3 1 1 1 1 1 9 11
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah 10 10 10 10 0
172 Mikonazol krim 2% Tube 37 37 2 2 1 2 1 1 9 28
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14,833 14,833 10 15 10 35 14,798
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 100 100 10 5 5 10 5 5 15 10 10 10 15 100 0
182 Natrium Klorida Larutan infus Botol 15 15 2 1 3 12
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs 5 5 0 5
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
Oksimetazolin tts hidung 0,025%
194 Botol
Iliadin
195 Oksimetazolin tts hidung 0,050% Botol
Iliadin
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 20 20 3 1 2 3 9 11
209 Parasetamol tab 500 mg Tablet 15,387 15,387 106 70 92 78 50 30 56 40 68 76 50 20 78 20 68 110 30 70 100 30 100 50 50 40 72 100 1654 13,733
210 Parasetamol sir 120 mg/5 ml Botol 225 225 1 1 2 1 1 2 3 1 1 1 2 1 2 1 1 2 3 1 2 1 2 1 2 1 1 37 188
211 Pehavral Tablet
212 Plester Anti Air Buah 1 1 1
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0 200 200 10 6 8 10 6 32 20 20 6 10 10 10 10 20 10 12 200 0
215 Povidon iodin 30 ml Botol 24 24 3 3 21
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 1,782 1,782 6 10 5 50 5 6 50 10 54 5 5 42 50 20 50 10 378 1,404
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul
224 Ranitidin tab 150 mg Tablet
225 Rapid Sifilis (Hexagon) Paket 50 50 0 50
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 6 6 1 1 2 4
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet 593 593 6 18 10 6 10 10 10 20 20 30 10 150 443
233 Salbutamol tab 4 mg Tablet 100 100 0 100
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol 16 16 2 2 1 1 1 1 1 1 1 11 5
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet 140 140 20 20 20 10 10 20 100 40
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 70 70 0 70
244 Sianokobalamin (vitamin B12) inj Ampul 5 5 1 2 1 1 5 0
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 10 10 0 10
247 Stik Benang Bedah no 3/0 Buah 36 36 0 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 100 100 10 20 10 20 10 10 10 10 100 0
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 10,940 10,940 10 60 20 10 7 10 117 10,823
262 Tetagam Ampul 2 2 0 2
263 Tetrasiklin HCl 250 mg Tablet 1
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet 20 20 0 20
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 906 906 6 6 12 894
277 Zircum Kids Botol
278 Nald Tromo Buah 100 100 0 100
279 KN 95 Buah 50 50 10 3 1 3 3 3 3 3 3 3 3 3 3 3 3 50 0
280 Nasal S Buah 50 50 0 50
281 Resperidon Tablet 980 980 15 15 10 40 940
282 Rapid HbsAg Pcs 50 50 0 50
283 Molexflu Tablet 150 150 10 10 10 10 40 110
284 Bio ATP Tablet 100 100 12 12 10 10 5 5 5 5 64 36
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. YENNI DARVINA SIPAYUNG, M.Kes DAHLIANI SITANGGANG, A.Md

NIP : 197710132005022001 NRPK : 02.7.0512773
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Desember
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah Sisa
No Nama Obat Satuan Persediaa Pemakai Akhir Ket
Masuk
n Awal Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 an Bulan Bulan
Bulan
Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 89 100 189 2 2 2 1 2 2 2 2 2 1 2 2 1 1 1 2 2 2 1 1 1 1 1 1 1 38 151
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 135 135 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 19 116
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 960 960 0 960
9 Alkohol 70%/ liter Botol 7 7 1 1 2 5
10 Alludona D Tamblet Tablet 0 0 0
11 Alopurinol tab 100 mg Tablet 953 953 10 10 10 10 10 14 10 10 10 10 10 114 839
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 0 100 100 10 12 17 10 23 18 3 2 3 2 100 0
16 Amoksisilin tab 500 mg Kap 157 1,000 1,157 70 60 70 70 50 50 32 50 50 50 30 40 50 50 60 52 63 50 30 40 60 30 30 20 1157 0
17 Amoksisilin syr kering 125 mg/5 Botol 124 124 3 2 2 2 2 1 2 2 2 2 1 2 2 2 1 1 1 30 94
18 ml
Antasida doen kombinasi Tablet 13,065 13,065 50 60 40 40 54 40 85 40 49 50 40 40 121 30 40 40 80 56 101 40 60 70 66 50 70 40 50 1502 11,563
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 25 25 2 2 1 5 20
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 Tablet 1,920 1,920 50 30 30 70 67 70 28 36 50 40 60 52 54 72 80 50 54 58 91 26 66 56 84 56 67 50 35 1482 438
26 mg
Asam folat tab 1 mg Tablet 80 500 580 30 10 10 10 10 10 10 10 10 20 20 10 10 10 10 10 10 10 10 10 10 250 330
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 9,244 9,244 20 20 20 10 10 20 10 10 10 20 10 10 20 10 20 10 20 10 10 10 10 10 40 20 10 10 380 8,864
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 400 400 16 6 6 12 12 12 6 12 82 318
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml Ampul
36 (i.m./i.v./s.k)
Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 35 35 10 10 5 25 10
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet 3,840 3,840 10 15 10 15 10 60 3,780
42 Betametason krim 0,5 mg/g Tube 101 101 2 3 2 2 3 2 14 87
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet
51 Carbo Gliserin tetes telinga 10% Botol
 52 Catgut chromic 2/0 Set 20 20 1 2 1 4 16
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet 0 100 100 20 12 18 16 8 18 8 100 0
57 Clindamicyn 150 mg Kap 70 70 10 20 30 40
58 Clindamicyn 300 mg Kap 350 350 10 30 10 50 300
59 Codein HCl 10 mg Tablet
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 17,268 17,268 100 50 53 90 40 40 45 46 60 26 54 13 52 16 70 20 48 61 56 66 25 40 80 86 59 96 98 1490 15,778
62 Culticell clasik/ Sofratule Buah
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 20 20 1 1 1 1 1 1 1 1 1 2 2 2 15 5
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 197 197 0 197
73 Diazepamlarutan rektal 5 mg/2.5 Tube 6 6 0 6
74 ml
Dipenhidramine HCl Inj Tablet 99 99 1 2 1 1 1 1 2 2 1 2 1 1 2 1 2 1 1 2 1 2 2 30 69
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 20 20 2 3 1 2 2 10 20 0
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul 95 95 2 2 1 1 2 1 1 1 1 1 2 15 80
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 392 392 0 392
90 Fitomenadion (Vit K1) 10 mg Tablet 70 70 10 10 60
91 Fitomenadion (vitamin K 1) inj Ampul 27 27 1 1 2 25
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet 107 107 0 107
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 GG Tablet 1,547 1,547 20 55 60 50 42 25 45 20 76 45 40 61 55 51 50 65 56 36 26 35 45 50 36 50 65 60 60 1279 268
103 Glibenklamid tab 5 mg Tablet 877 877 15 15 15 50 95 782
104 Gloves Steril No 7 Buah 0 20 20 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20 0
105 Gloves Steril No 7 1/2 Buah 20 20 2 2 2 2 2 2 1 1 2 1 2 1 20 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 Tablet
111 mg
Haloperidol tab 2 mg Tablet 414 414 14 14 28 386
112 Hidrogen peroksida cairan 3% Botol
113 H2O2
Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 46 46 0 46
118 I.V Cateter no 22 G Pcs 46 46 0 46
119 I.V Cateter no 24 G Pcs 65 65 0 65
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 100 100 1 1 5 7 93
122 Infus set Anak Pcs
123 Infus set Dewasa Pcs 57 57 2 1 3 54
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 6 6 2 1 2 1 6 0
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 21 21 0 21
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep mata 1% Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 196 196 20 15 10 15 10 25 10 12 10 25 10 15 14 5 196 0
146 Kotrimoksazole suspensi Botol
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 80 80 20 20 20 20 80 0
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 30 30 2 1 2 1 1 1 1 9 21
154 Lidokain Inj Ampul 10 10 0 10
155 Loperamid tab 2 mg Tablet
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 65 200 265 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 15 10 10 10 265 0
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 150 150 20 15 21 21 77 73
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 11 20 31 2 1 1 1 2 3 1 2 1 1 2 2 19 12
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 28 28 1 2 3 25
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14,798 14,798 10 10 10 10 10 10 10 7 10 10 10 10 10 10 10 10 157 14,641
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 0 200 200 20 6 10 12 10 40 10 20 128 72
182 Natrium Klorida Larutan infus Botol 12 12 1 2 1 4 8
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
Oksimetazolin tts hidung 0,025%
194 Botol
Iliadin
195 Oksimetazolin tts hidung 0,050% Botol
196 Iliadin
Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 11 20 31 1 2 1 1 1 1 7 24
209 Parasetamol tab 500 mg Tablet 13,733 13,733 50 40 348 40 50 30 52 40 46 40 44 50 46 46 60 60 62 85 86 56 45 60 76 89 56 90 71 1818 11,915
210 Parasetamol sir 120 mg/5 ml Botol 188 188 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 19 169
211 Pehavral Tablet
212 Plester Anti Air Buah 27 27 5 2 1 1 9 18
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol 21 21 2 1 1 1 5 16
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 1,404 1,404 5 10 10 5 10 8 50 2 10 3 113 1,291
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 10 10 1 1 2 8
224 Ranitidin tab 150 mg Tablet 100 100 15 16 10 14 14 69 31
225 Rapid Sifilis (Hexagon) Paket 50 50 0 50
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 4 20 24 1 2 2 5 19
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet 443 443 30 42 10 10 20 18 10 15 30 185 258
233 Salbutamol tab 4 mg Tablet 1,000 1,000 10 5 5 10 5 5 40 960
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet 40 40 10 13 17 40 0
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 70 70 2 2 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah
247 Stik Benang Bedah no 3/0 Buah
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 0 100 100 6 10 25 10 10 12 27 100 0
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 10,823 10,823 30 10 10 14 10 14 14 10 10 10 10 142 10,681
262 Tetagam Ampul 2 2 2 2 0
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet
277 Zircum Kids Botol
278 Nald Tromo Buah 100 100 0 100
279 KN 95 Buah 0 50 50 10 5 10 15 5 5 50 0
280 Nasal S Buah 50 50 0 50
281 Resperidon Tablet 940 940 28 28 912
282 Rapid HbsAg Pcs 50 50 0 50
283 Molexflu Tablet 110 110 20 10 10 30 40 110 0
284 Bio ATP Tablet 36 36 11 15 6 4 36 0
285 Pritavit Tablet 100 100 100 0
286
287
288
289
290
291
292
293
294
295
296
297
298
299
 Yang Meminta: Yang Menerima:
Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. YENNI DARVINA SIPAYUNG, M.Kes DAHLIANI SITANGGANG, A.Md

NIP : 197710132005022001 NRPK : 02.7.0512773
 LAPORAN PENGGU
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Januari
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA T

No Nama Obat Satuan Persediaan Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13
Awal Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 151 151 2 2 1 2 2 2 3 7 3 2 3
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 116 116 3 2 1 2 2 2 2 2 1 1
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 960 3,300 4,260 1 1 1 1
9 Alkohol 70%/ liter Botol 5 5 1
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 839 839 12 24 6 30 6
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet
16 Amoksisilin tab 500 mg Kap 0 400 400 20 20 15 20 20
17 Amoksisilin syr kering 125 mg/5 ml Botol 94 94 2 4 3 3 3 3 2 2 3 3 2
18 Antasida doen kombinasi Tablet 11,563 11,563 80 65 155 73 146 90 75 151 101 60 45
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 20 20
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 438 500 938 15 21 44 58 50 50 20 23 25 33 40
26 Asam folat tab 1 mg Tablet 330 500 830 10 20 10
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 8,864 8,864 55 85 50 40 80 60 70 65 75 65 70
29 Aseptan + Dispenser Botol 5 5
30 Asering Botol
31 Asetosal 80 mg Tablet 318 318 35 5 15
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 10 10 5
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet 3,780 3,780 25 30 15 20 35 35 15 25 20 20 35
42 Betametason krim 0,5 mg/g Tube 87 87 1 2
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 500 500
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 16 16 1
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap 40 40 15 10
58 Clindamicyn 300 mg Kap 300 50 350
59 Codein HCl 10 mg Tablet 200 200
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 15,778 15,778 145 160 105 131 105 35 171 169 103 122 64
62 Culticell clasik 10x40 cm Buah 10 10
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 5 20 25 1 1 3
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 197 197
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6
74 Dipenhidramine HCl Inj Ampul 69 69 1 1 1 2 1 1 3 1 1 1 1
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet 100 100 10 20 16 10 16
77 Domperidone suspensi Botol 0 20 20 1 1 1
78 Doksisiklin 100 mg Tablet
 79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul 80 80 2 3 1 1 3 1 3 2 2 1 1
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 392 392
90 Fitomenadion (Vit K1) 10 mg Tablet 60 200 260
91 Fitomenadion (vitamin K 1) inj Ampul 25 25 1 1
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet 268 500 768 10 70 79 20 20 40 50 10 23
103 Glibenklamid tab 5 mg Tablet 782 782 10 10
104 Gloves Steril No 7 Buah 0 20 20
105 Gloves Steril No 7 1/2 Buah 0 20 20 1 1
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 386 386 15
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet 1,000 1,000
114 Hidrokortison krim 2,5% Tube
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 46 46 1 1
118 I.V Cateter no 22 G Pcs 46 46 1
119 I.V Cateter no 24 G Pcs 65 65
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 93 93 5 1 1 2
122 Infus set Anak Pcs 50 50
123 Infus set Dewasa Pcs
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 0 5 5 3 1
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 21 21 1 1
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep mata 1% Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet
146 Kotrimoksazole suspensi Botol 20 20 2 3 3 2
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 21 30 51 2 1
154 Lidokain Inj Ampul 10 20 30 1
155 Loperamid tab 2 mg Tablet 200 200
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 0 300 300 12 10 10 10 12 12 12 12 12 14 14
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 73 500 573
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 12 20 32 1 1
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 25 25 1 1
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14,641 14,641 20 10 10 10 5 5 20 15 5 10 10
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 72 200 272 16 20 16 10
182 Natrium Klorida Larutan infus Botol 8 8 2
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
Oksimetazolin tts hidung 0,025%
194 Botol
Iliadin
195 Oksimetazolin tts hidung 0,050% Botol
196 Iliadin
Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps 100 100
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 24 20 44 3 1 2 1 1
209 Parasetamol tab 500 mg Tablet 11,915 11,915 135 155 190 194 180 135 175 200 175 145 101
210 Parasetamol sir 120 mg/5 ml Botol 169 169 2 5 8 2 6 3 8 8 7 6 2
211 Pehavral Tablet
212 Plester Anti Air Buah 18 18 2 2 2 2
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 1,291 1,291 35 25 55 34 23 54 34 40 56 30 32
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 8 25 33 1 1 1
224 Ranitidin tab 150 mg Tablet 31 200 231 10
225 Rapid Sifilis (Hexagon) Paket 50 50
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 19 19 1 1 1
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet 258 258 25 15 10 10 10 15 10
233 Salbutamol tab 4 mg Tablet 960 960
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 36 36 1
247 Stik Benang Bedah no 3/0 Buah
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 0 100 100 18 6
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 10,681 10,681 20 20 25 80 30 20 20 10 15
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet
277 Zircum Kids Botol
278 Nald Tromo Buah 100 100
279 KN 95 Buah
280 Nasal S Buah 50 50
281 Resperidon Tablet
282 Rapid HbsAg Pcs 50 50
283 Molexflu Tablet 0 150 150
284 Bio ATP Tablet 0 500 500 16 20 18 63
285 Pritavit Tablet
286 NB Topical Ointment Tube 100 100
287
288
289
290
291
292
293
294
295
296
297
298
299

Yang Meminta:
Kepala Puskesmas

dr. YENNI DARVINA SIPAYUNG, M.Kes

NIP : 197710132005022001
dr. YENNI DARVINA SIPAYUNG, M.Kes
NIP : 197710132005022001
ORAN PENGGUNAAN OBAT (LPO)
ILIMAHUTA

UMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah Sisa

Pemakaian Akhir Ket
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Bulan Bulan

4 3 2 4 2 2 3 1 2 6 2 2 2 1 3 68 83

1 1 1 1 1 1 1 1 2 1 1 30 86

1 50 55 50 50 50 45 305 3955
1 4

42 15 5 12 152 687

20 20 25 65 15 15 10 35 55 25 20 400 0
4 1 3 2 2 3 3 2 1 3 2 4 1 1 3 65 29
100 65 60 85 55 40 135 30 55 45 55 65 55 70 90 2046 9517

0 20
18 45 18 49 15 45 25 35 65 55 13 63 3 26 854 84
5 15 10 15 20 15 50 20 10 8 208 622

65 45 125 50 75 80 65 55 65 85 75 65 55 75 65 1760 7104

2 2 3

10 10 10 85 233

5 10 0

20 15 10 15 20 35 40 20 10 10 15 10 15 10 35 555 3225
1 1 1 1 7 80
 30 15 20 20 20 40 45 15 30 235 265

1 15

10 5 40 0
15 10 15 5 5 50 300
0 200

171 95 126 122 80 70 184 82 70 60 90 52 149 116 185 2962 12816

1 1 1 3 7

1 1 1 1 1 2 12 13

0 197
0 6
2 1 2 1 1 1 1 2 2 1 28 41

5 6 7 10 100 0
1 1 1 1 1 8 12
3 1 2 2 2 2 5 1 2 2 1 3 2 1 49 31

0 392
0 260
1 3 22

18 15 30 10 10 10 10 10 30 25 30 42 25 45 25 657 111
10 30 752
0 20
1 1 1 1 1 7 13
30 10 55 331

10 5 5 20 980

2 4 42
1 45
0 65

1 2 1 1 2 16 77
0 50

1 5 0

1 3 18
1 1 1 1 14 6

1 3 3 1 11 40
1 1 3 27
10 15 24 49 151

12 12 12 12 12 12 12 12 12 12 10 10 10 10 10 300 0

0 573
 1 1 1 1 6 26

2 23

20 5 10 10 10 10 10 10 205 14436

10 10 10 10 10 112 160
1 1 1 5 3
 10 10 15 10 35 20 100 0

1 2 1 1 1 1 1 16 28
101 150 107 175 165 131 140 120 140 170 155 192 138 185 167 4021 7894
3 6 2 5 7 6 4 8 2 2 3 2 2 2 3 114 55

2 2 12 6

72 68 20 35 55 50 35 50 30 15 25 20 20 43 65 1021 270

1 1 1 1 1 8 25
 16 10 36 195
0 50

1 1 1 1 3 1 11 8

20 20 10 6 20 15 20 10 15 231 27
0 960

0 68

1 2 34

6 15 10 25 20 100 0
20 15 50 10 30 15 20 15 15 45 15 490 10191

0 100

0 50
 0 50
10 25 40 75 75
24 20 20 16 10 78 31 26 32 28 16 25 443 57

1 1 2 98

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
DAHLIANI SITANGGANG, A.Md
NRPK : 02.7.0512773
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Februari
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 83 83 1 1 1 1 1 1 1 1 1 2 1 2 1 1 1 1 18 65
5 Alat suntik 1 ml Buah 20 20 0 20
6 Alat suntik 5 ml Buah 86 86 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 17 69
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 3955 3,955 152 110 130 95 130 155 60 30 120 200 1182 2,773
9 Alkohol 70%/ liter Botol 4 4 1 1 2 2
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 687 687 10 15 10 15 10 15 15 10 10 10 120 567
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 600 600 28 26 5 5 10 16 10 10 5 30 5 15 10 25 200 400
16 Amoksisilin tab 500 mg Kap 0 2,000 2,000 55 45 75 50 65 65 55 55 45 40 45 70 60 20 70 46 53 65 77 55 35 60 45 35 1286 714
17 Amoksisilin syr kering 125 mg/5 ml Botol 29 29 1 1 1 1 1 1 2 1 1 2 2 1 4 2 3 1 1 2 1 29 0
18 Antasida doen kombinasi Tablet 9517 9,517 190 85 90 170 90 120 190 165 85 185 195 130 125 170 95 185 165 185 190 165 180 170 170 215 3710 5,807
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 20 20 3 1 4 16
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 84 1,000 1,084 20 18 11 33 55 15 30 10 20 46 30 16 20 28 10 27 40 18 14 15 30 20 15 12 553 531
26 Asam folat tab 1 mg Tablet 622 622 30 45 20 10 40 10 10 10 10 185 437
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 7104 7,104 55 130 41 126 30 90 40 85 60 60 60 90 110 40 85 140 60 90 155 140 45 150 65 160 2107 4,997
29 Aseptan + Dispenser Botol 3 5 8 2 1 1 4 4
30 Asering Botol
31 Asetosal 80 mg Tablet 233 233 0 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet 3225 3,225 30 20 40 10 10 30 15 32 10 30 40 10 10 20 30 30 10 20 20 30 40 10 20 30 547 2,678
42 Betametason krim 0,5 mg/g Tube 80 80 1 3 5 2 1 1 1 4 1 2 3 5 1 1 6 37 43
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 265 1,000 1,265 15 12 10 15 24 6 10 30 15 5 5 5 3 10 5 15 6 10 201 1,064
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 15 15 2 2 13
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 10 10 1 1 2 8
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 300 300 10 10 10 10 40 260
59 Codein HCl 10 mg Tablet 200 200 400 0 400
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 12816 12,816 220 190 180 194 170 180 160 230 151 155 220 230 150 152 220 160 226 146 189 340 95 190 110 120 4378 8,438
62 Culticell clasik 10x40 cm Buah 7 7 0 7
 63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 13 30 43 1 1 1 1 1 1 1 2 1 10 33
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 197 197 10 10 20 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6 0 6
74 Dipenhidramine HCl Inj Ampul 41 41 0 41
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 12 20 32 1 1 1 2 5 27
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul 31 31 1 1 1 3 28
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet 100 100 0 100
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 392 392 0 392
90 Fitomenadion (Vit K1) 10 mg Tablet 260 200 460 20 10 10 30 10 10 20 10 20 20 160 300
91 Fitomenadion (vitamin K 1) inj Ampul 22 22 0 22
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet 111 111 10 15 15 10 10 16 15 10 10 111 0
103 Glibenklamid tab 5 mg Tablet 752 752 10 10 15 10 10 16 71 681
104 Gloves Steril No 7 Buah 20 20 0 20
105 Gloves Steril No 7 1/2 Buah 13 50 63 5 2 4 5 5 1 3 25 38
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 331 331 30 15 30 75 256
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet 980 980 0 980
114 Hidrokortison krim 2,5% Tube
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 42 42 1 1 41
118 I.V Cateter no 22 G Pcs 45 45 0 45
119 I.V Cateter no 24 G Pcs 65 65 1 1 64
120 Ibuprofen 400 mg Tablet 0 0
121 Ibuprofen suspensi 60 ml Botol 77 77 2 2 1 1 1 3 2 1 2 1 1 1 18 59
122 Infus set Anak Pcs 50 50 100 0 100
123 Infus set Dewasa Pcs
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 0 5 5 2 1 2 5 0
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 18 18 0 18
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep mata 1% Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 1,000 1,000 10 10 10 20 20 15 15 100 900
146 Kotrimoksazole suspensi Botol 6 6 1 2 3 3
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 40 30 70 0 70
154 Lidokain Inj Ampul 27 30 57 1 1 1 1 4 53
155 Loperamid tab 2 mg Tablet 151 151 10 10 141
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 0 200 200 15 15 20 15 15 15 15 110 90
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 200 200 0 200
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 26 20 46 1 2 2 3 1 1 10 36
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 23 23 2 2 1 2 1 2 2 12 11
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14436 14,436 20 10 20 30 10 20 10 30 10 15 10 30 10 15 240 14,196
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 160 200 360 10 10 6 26 30 15 6 13 28 32 30 206 154
182 Natrium Klorida Larutan infus Botol 3 3 0 3
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps 0 100 100 6 6 3 15 85
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 28 20 48 2 1 1 1 1 3 1 2 1 3 1 1 1 2 1 3 2 1 28 20
209 Parasetamol tab 500 mg Tablet 7894 7,894 215 190 160 214 210 210 231 306 215 250 220 185 191 240 230 195 210 250 211 342 210 255 250 245 5435 2,459
210 Parasetamol sir 120 mg/5 ml Botol 55 55 2 1 3 1 5 2 3 1 1 5 3 2 3 4 2 2 3 5 1 1 2 52 3
211 Pehavral Tablet
212 Plester Anti Air Buah 6 6 2 2 4
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 270 270 10 5 10 10 1 6 15 3 4 20 84 186
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 25 25 50 1 2 2 1 1 1 1 2 1 12 38
224 Ranitidin tab 150 mg Tablet 195 200 395 15 10 10 10 10 10 30 20 30 10 20 20 195 200
225 Rapid Sifilis (Hexagon) Paket 50 50 3 2 1 6 44
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 8 8 0 8
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet 27 27 15 12 27 0
233 Salbutamol tab 4 mg Tablet 960 960 20 30 10 15 30 30 10 20 20 20 20 30 10 30 295 665
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68 68 0 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 34 36 70 1 2 2 2 7 63
247 Stik Benang Bedah no 3/0 Buah
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 0 500 500 10 20 10 12 24 6 6 10 10 40 10 158 342
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 10191 10,191 30 20 40 5 40 15 10 20 10 10 6 10 20 10 20 266 9,925
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps 600 600 0 600
265 Thiamin HCl (Vit B1) 50 mg Tablet 1,000 1,000 10 10 20 3 20 10 10 10 10 10 10 20 10 10 10 10 20 20 10 10 20 20 10 10 303 697
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 1,000 1,000 10 15 10 10 15 5 10 17 12 5 5 5 119 881
277 Zircum Kids Botol
278 Nald Tromo Buah 100 100 0 100
279 KN 95 Buah
280 Nasal S Buah 50 50 0 50
281 Resperidon Tablet
282 Rapid HbsAg Pcs 50 50 0 50
283 Molexflu Tablet 75 300 375 15 30 15 5 5 12 10 10 15 15 10 10 15 10 177 198
284 Bio ATP Tablet 57 1,000 1,057 30 42 9 15 10 36 5 46 10 38 32 20 20 24 10 3 5 12 24 3 15 15 24 15 463 594
285 Pritavit Tablet 200 200 0 200
286 NB Topical Ointment Tube 98 98 5 2 1 2 1 2 2 1 1 1 2 20 78

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. IKBAL JAMBAK DAHLIANI SITANGGANG, A.Md

NIP : 198504292011011012 NRPK : 02.7.0512773
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Maret
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 65 65 2 1 1 1 2 1 5 1 1 4 1 1 1 2 1 1 2 2 3 1 34 31
5 Alat suntik 1 ml Buah 20 20 2 2 1 1 1 1 1 1 10 10
6 Alat suntik 5 ml Buah 69 69 1 1 2 67
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 2,773 2,773 155 120 80 180 220 150 110 55 120 1190 1,583
9 Alkohol 70%/ liter Botol 2 2 0 2
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 567 567 5 5 562
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 400 400 10 12 14 20 10 5 5 5 20 10 15 5 5 5 15 30 5 5 10 5 5 15 10 10 10 261 139
16 Amoksisilin tab 500 mg Kap 714 2,000 2,714 30 45 50 30 20 75 20 10 30 40 50 10 30 2 15 20 10 10 10 30 20 15 10 20 65 20 55 742 1,972
17 Amoksisilin syr kering 125 mg/5 ml Botol 0 100 100 1 1 1 3 97
18 Antasida doen kombinasi Tablet 5,807 5,807 10 20 20 35 10 20 60 20 10 10 20 60 30 55 30 25 60 30 45 20 50 60 20 50 30 40 35 875 4,932
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 16 16 0 16
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 531 500 1,031 20 6 6 6 12 12 22 22 16 25 20 30 25 25 13 20 24 12 12 25 20 20 393 638
26 Asam folat tab 1 mg Tablet 437 437 20 10 20 10 10 20 10 10 110 327
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 4,997 4,997 30 60 40 20 20 20 50 20 40 50 40 45 50 40 60 30 10 40 50 30 18 18 24 60 30 25 15 935 4,062
29 Aseptan + Dispenser Botol 4 4 1 1 2 2
30 Asering Botol
31 Asetosal 80 mg Tablet 233 233 0 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 43 43 1 2 3 3 2 3 14 29
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 1,064 500 1,564 35 30 50 30 25 30 10 30 40 40 10 20 20 10 10 20 15 30 30 54 20 45 30 20 20 20 15 709 855
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 13 13 0 13
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 8 8 2 1 1 4 4
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 260 260 10 15 20 20 10 25 30 15 30 175 85
59 Codein HCl 10 mg Tablet 400 100 500 20 10 30 470
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 8,438 8,438 90 65 65 80 75 65 95 60 48 50 60 75 85 48 60 50 55 65 64 40 60 85 30 48 75 60 60 1713 6,725
62 Culticell clasik 10x40 cm Buah 7 10 17 1 2 3 14
 63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 33 30 63 1 1 2 1 1 1 2 1 1 11 52
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177 177 0 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6 0 6
74 Dipenhidramine HCl Inj Ampul 41 41 1 2 2 1 1 1 1 2 1 1 1 1 1 1 1 18 23
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 27 10 37 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 2 1 1 22 15
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet 100 100 10 15 15 40 60
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 392 392 10 10 382
90 Fitomenadion (Vit K1) 10 mg Tablet 300 200 500 30 10 10 10 12 10 18 20 30 10 20 10 10 20 220 280
91 Fitomenadion (vitamin K 1) inj Ampul 22 22 2 1 2 1 1 1 2 1 1 1 13 9
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 681 681 10 10 21 41 640
104 Gloves Steril No 7 Buah 20 20 2 3 3 1 2 3 1 1 2 1 1 20 0
105 Gloves Steril No 7 1/2 Buah 38 50 88 0 88
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 100 100 0 100
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 41 41 2 2 39
118 I.V Cateter no 22 G Pcs 45 45 0 45
119 I.V Cateter no 24 G Pcs 64 64 1 1 63
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 59 59 2 1 1 1 1 1 1 1 2 1 1 1 2 1 17 42
122 Infus set Anak Pcs 100 100 0 100
123 Infus set Dewasa Pcs
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 18 18 0 18
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 24 24 0 24
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 900 900 12 24 12 36 30 12 10 24 10 10 20 10 15 10 20 `0 35 5 20 5 30 20 30 10 410 490
146 Kotrimoksazole suspensi Botol 3 50 53 0 53
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 70 70 2 1 1 2 1 2 2 1 2 2 1 1 4 2 1 2 1 28 42
154 Lidokain Inj Ampul 53 53 2 1 3 50
155 Loperamid tab 2 mg Tablet 141 500 641 0 641
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 90 300 390 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 270 120
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 200 200 14 20 14 14 14 7 7 15 15 120 80
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 36 36 2 1 2 1 1 1 2 3 1 1 2 1 2 20 16
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 11 11 2 1 1 1 1 1 7 4
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14,196 14,196 5 15 15 30 10 10 15 10 10 10 10 10 10 10 170 14,026
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 154 154 20 35 6 6 20 20 6 10 6 129 25
182 Natrium Klorida Larutan infus Botol 3 3 2 2 1
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps 85 100 185 10 12 10 15 6 10 10 10 10 93 92
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 20 20 40 0 40
209 Parasetamol tab 500 mg Tablet 2,459 2,000 4,459 55 40 80 30 36 60 40 55 32 65 65 86 45 23 30 70 55 50 60 40 60 40 55 64 60 50 65 1411 3,048
210 Parasetamol sir 120 mg/5 ml Botol 3 100 103 5 2 10 1 18 85
211 Pehavral Tablet
212 Plester Anti Air Buah 4 4 1 1 3
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 186 500 686 10 10 3 3 10 20 12 14 82 604
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 38 38 2 2 1 3 1 3 2 1 1 16 22
224 Ranitidin tab 150 mg Tablet 200 500 700 10 10 690
225 Rapid Sifilis (Hexagon) Paket 44 44 0 44
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 8 8 1 1 2 6
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 665 665 10 20 15 20 10 30 10 10 15 10 20 10 10 190 475
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68 68 0 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 63 63 0 63
247 Stik Benang Bedah no 3/0 Buah
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 342 100 442 10 10 20 10 20 10 20 10 20 12 10 5 10 20 10 15 212 230
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 9,925 9,925 10 100 700 30 840 9,085
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 697 1,000 1,697 6 10 10 10 36 1,661
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 881 881 10 10 20 10 10 10 10 20 10 110 771
277 Zircum Kids Botol
278 Nald Tromo Buah 100 100 1 2 1 1 5 95
279 KN 95 Buah
280 Nasal S Buah 50 50 0 50
281 Resperidon Tablet 100 100 15 15 30 70
282 Rapid HbsAg Pcs 50 50 0 50
283 Molexflu Tablet 198 150 348 10 10 5 10 10 10 10 10 75 273
284 Bio ATP Tablet 594 100 694 18 12 36 30 16 10 6 24 28 30 20 19 30 12 10 30 15 25 36 40 16 18 20 11 17 30 10 569 125
285 Pritavit Tablet 200 200 400 0 400
286 NB Topical Ointment Tube 78 78 1 2 3 1 2 3 1 1 2 1 5 2 1 4 3 2 2 4 2 3 2 4 1 2 1 1 3 59 19

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. IKBAL JAMBAK DAHLIANI SITANGGANG, A.Md

NIP : 198504292011011012 NRPK : 02.7.0512773
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : April
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 31 100 131 5 2 2 6 3 2 5 5 1 4 2 3 2 1 5 2 50 81
5 Alat suntik 1 ml Buah 10 10 5 1 1 2 1 10 0
6 Alat suntik 5 ml Buah 67 67 2 1 2 2 5 1 5 18 49
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 1,583 1,583 0 1,583
9 Alkohol 70%/ liter Botol 2 2 0 2
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 562 562 30 30 30 90 472
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 139 500 639 5 10 5 15 5 10 5 10 10 5 15 10 20 25 5 10 165 474
16 Amoksisilin tab 500 mg Kap 1,972 1,972 55 35 55 30 30 40 40 45 60 20 85 70 50 30 30 60 50 50 30 55 50 90 60 30 60 40 70 1320 652
17 Amoksisilin syr kering 125 mg/5 ml Botol 97 97 2 1 1 1 1 2 1 2 1 1 1 2 1 1 1 1 2 2 1 1 1 1 1 1 30 67
18 Antasida doen kombinasi Tablet 4,932 4,932 30 20 20 30 10 25 30 10 15 20 40 10 20 30 25 10 15 40 20 50 15 25 10 30 45 50 10 655 4,277
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 16 16 1 2 3 13
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 638 500 1,138 45 20 30 20 20 25 15 20 45 30 15 30 55 10 15 25 10 20 25 20 30 15 10 5 10 5 10 580 558
26 Asam folat tab 1 mg Tablet 327 327 10 20 10 10 50 277
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 4,062 4,062 30 10 20 30 20 10 10 20 20 40 10 30 20 10 20 30 50 40 20 40 10 20 10 20 30 20 30 620 3,442
29 Aseptan + Dispenser Botol 2 2 1 1 1
30 Asering Botol
31 Asetosal 80 mg Tablet 233 233 0 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 29 29 3 2 2 2 1 1 3 1 2 1 1 19 10
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 855 855 10 5 10 20 20 20 10 20 20 20 30 10 20 30 10 5 15 10 20 20 10 10 10 355 500
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 13 13 1 1 12
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 4 4 1 1 1 1 4 0
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 85 85 10 15 10 10 40 85 0
59 Codein HCl 10 mg Tablet 470 470 0 470
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 6,725 6,725 115 60 85 90 80 95 20 40 60 45 80 25 110 15 115 85 65 25 90 55 60 80 60 70 80 40 20 1765 4,960
62 Culticell clasik 10x40 cm Buah 14 14 1 1 13
 63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 52 52 2 1 3 1 1 1 1 1 1 2 1 3 1 19 33
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177 177 0 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6 0 6
74 Dipenhidramine HCl Inj Ampul 23 23 1 2 2 1 1 1 8 15
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 15 15 5 2 1 2 1 1 1 1 1 15 0
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet 60 60 0 60
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 382 382 10 10 372
90 Fitomenadion (Vit K1) 10 mg Tablet 280 280 20 10 10 10 50 230
91 Fitomenadion (vitamin K 1) inj Ampul 9 9 0 9
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 640 640 10 10 30 10 20 80 560
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 88 88 1 2 1 2 3 1 2 1 1 3 1 2 1 1 2 1 1 1 1 3 2 1 1 2 1 1 2 41 47
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 100 100 3 1 2 2 2 2 2 1 1 1 2 2 1 1 1 24 76
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 39 39 2 2 37
118 I.V Cateter no 22 G Pcs 45 45 1 1 44
119 I.V Cateter no 24 G Pcs 63 63 2 2 61
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 42 42 2 5 1 1 2 1 1 2 2 17 25
122 Infus set Anak Pcs 100 100 0 100
123 Infus set Dewasa Pcs 50 50 0 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 10 10 0 10
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 18 18 0 18
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 24 24 1 1 2 2 2 15 1 24 0
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 490 490 20 10 20 30 10 20 10 10 20 10 30 10 20 10 15 15 10 10 10 15 15 10 15 10 10 365 125
146 Kotrimoksazole suspensi Botol 53 53 1 2 2 1 2 1 3 3 1 3 2 1 22 31
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 42 42 1 2 1 2 3 3 1 1 3 3 20 22
154 Lidokain Inj Ampul 50 50 1 1 1 1 1 1 1 1 1 1 10 40
155 Loperamid tab 2 mg Tablet 641 641 50 15 30 10 10 10 10 135 506
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 120 300 420 10 10 10 10 10 10 10 5 10 10 10 10 5 10 10 10 10 10 10 10 10 10 10 10 10 10 10 260 160
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 80 80 0 80
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 16 16 5 1 1 1 1 1 1 2 13 3
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 4 24 28 1 2 2 1 1 1 8 20
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 14,026 14,026 10 20 20 20 20 10 20 30 10 10 10 180 13,846
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 25 25 10 15 25 0
182 Natrium Klorida Larutan infus Botol 1 1 1 1 0
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 50 50 0 50
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps 92 92 10 10 20 15 10 15 12 92 0
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 40 40 1 2 1 1 1 2 1 1 1 11 29
209 Parasetamol tab 500 mg Tablet 3,048 3,048 110 60 150 60 90 80 60 20 60 115 80 110 90 40 130 80 60 90 50 40 40 115 90 60 110 80 40 2110 938
210 Parasetamol sir 120 mg/5 ml Botol 85 85 1 1 1 5 1 4 1 2 3 2 1 5 4 2 2 1 1 3 1 1 1 1 1 45 40
211 Pehavral Tablet
212 Plester Anti Air Buah 3 3 1 1 2 1
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 604 604 15 20 5 20 10 5 5 10 15 5 15 5 5 135 469
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 22 22 1 1 2 1 1 1 2 1 1 1 12 10
224 Ranitidin tab 150 mg Tablet 690 690 10 20 15 5 10 10 20 20 10 20 10 5 10 10 5 10 15 5 10 15 235 455
225 Rapid Sifilis (Hexagon) Paket 44 44 1 1 2 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 6 6 1 1 3 1 6 0
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 475 475 20 10 15 20 10 5 10 10 100 375
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 10 10 0 10
238 Sefradoksil Kaps Kaps 0 0 0
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68 68 0 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 63 63 0 63
247 Stik Benang Bedah no 3/0 Buah 36 36 0 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 230 100 330 20 10 10 20 10 15 10 5 10 5 115 215
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 9,085 9,085 20 20 700 25 20 15 25 20 10 110 15 10 10 10 20 1030 8,055
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 1,661 1,661 20 10 40 20 10 40 10 50 30 10 10 30 30 10 10 20 20 20 30 10 10 10 450 1,211
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 771 771 20 10 10 10 10 10 10 10 90 681
277 Zircum Kids Botol
278 Nald Tromo Buah 95 95 0 95
279 KN 95 Buah
280 Nasal S Buah 50 50 0 50
281 Resperidon Tablet 70 70 10 20 10 30 70 0
282 Rapid HbsAg Pcs 50 50 0 50
283 Molexflu Tablet 273 150 423 20 20 10 10 30 15 15 120 303
284 Bio ATP Tablet 125 125 10 20 15 10 10 30 30 125 0
285 Pritavit Tablet 400 400 20 20 30 20 10 30 15 10 10 10 20 40 30 20 10 10 305 95
286 NB Topical Ointment Tube 19 19 2 1 1 1 1 2 1 1 10 9

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. IKBAL JAMBAK DAHLIANI SITANGGANG, A.Md

NIP : 198504292011011012 NRPK : 02.7.0512773
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 81
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 49
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 1,583
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 472
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 474
16 Amoksisilin tab 500 mg Kap 652
17 Amoksisilin syr kering 125 mg/5 ml Botol 67
18 Antasida doen kombinasi Tablet 4,277
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 13
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 558
26 Asam folat tab 1 mg Tablet 277
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap
29 Aseptan + Dispenser Botol 1
30 Asering Botol
31 Asetosal 80 mg Tablet 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
0 Captopril 25 mg Tablet 500
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 12
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 470
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 4,960
62 Culticell clasik 10x40 cm Buah 13
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 33
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 15
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet 60
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 372
 90 Fitomenadion (Vit K1) 10 mg Tablet 230
91 Fitomenadion (vitamin K 1) inj Ampul 9
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 560
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 47
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 76
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 37
118 I.V Cateter no 22 G Pcs 44
119 I.V Cateter no 24 G Pcs 61
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 25
122 Infus set Anak Pcs 100
123 Infus set Dewasa Pcs 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 10
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 18
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 125
146 Kotrimoksazole suspensi Botol 31
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 22
154 Lidokain Inj Ampul 40
155 Loperamid tab 2 mg Tablet 506
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 160
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 80
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 3
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 20
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 13,846
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 50
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 29
209 Parasetamol tab 500 mg Tablet 938
210 Parasetamol sir 120 mg/5 ml Botol 40
211 Pehavral Tablet
212 Plester Anti Air Buah 1
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 469
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 10
224 Ranitidin tab 150 mg Tablet 455
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 375
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 10
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 63
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 215
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 8,055
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 1,211
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 681
277 Zircum Kids Botol
278 Nald Tromo Buah 95
279 KN 95 Buah
280 Nasal S Buah 50
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet 303
284 Bio ATP Tablet 0
285 Pritavit Tablet 95
286 NB Topical Ointment Tube 9
 LAP
Pusk.Pustu/Poskesdes : PAMATANG SI
Bulan : Mei
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9
Bulan

81 2 3 2 1 3
0
49 1 2
0
1,583
2
0
472 10
0
0
0
500 974 20 18 15 5 8 16
1,000 1,652 40 20 10 50 30 15 10
67 2 1 2 2 1
4,277 30 30 20 20 30 20 30
0
13 1
0
0
0
 0
500 1,058 10 10 36 10 5 10 32
277 10 10 10
0

2 3 1
0
233
0
0
0
0
0
0
0
0
0
0
10 2
0
0
0
0
0
0
0
1,000 1,500 30 40 15 10 10 10 10
0
12 1
0
0
0
0
 0
0
470
0
4,960 30 10 40 18 18 20 30
13
0
0
0
0
0
0
0
33 1 1
0
177
6
15
0
0
0
0
0
0
0
0
60 20
0
0
0
0
0
372
 230
9
0
0
0
0
0
0
0
0
0
0
0
560 20 10 10
0
47 2 3 1 2
0
0
0
0
0
0
0
0
76 2 1
0
0
37 1
50 94 1
61
0
25 1 2 1
100
 50
0
0
0
0
0
10 20 2
0
0
0
0
18 1
0
0
0
0
0
0
0
0
0
0
1,000 1,125 30 12 10 20
50 81 2 1 1 1
0
0
0
0
0
0
22 1 1
40 1
506 10
 0
0
160 5 5 10 5 10 5 5
0
0
0
80
0
0
0
50 53 2 1 1 1 2
0
0
0
0
0
20 1
0
0
13,846 10 12 10 10
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
50 1
0
100 100 10 20
0
0
0
0
0
0
0
0
29 1 1 2
1,000 1,938 70 40 20 60 20 18 20
40 1 2 1 2 1 2 1
0
1

0
0
0
0
469 24 12 12 12 24 12 6
0
0
0
 0
10 1 1
455 20 15 10 16 10 10
42
0
0
0
0
0
0
0
375 25 10
0
0
0
10 20
0
0
0
0
0
68
0
0
36 99
36
0
0
0
200 415 17 12 25
0
0
0
 0
0
0
0
0
0
8,055 10 20 10 10 200
0
0
0
1,211 10 10 20 18 6 12
0
0
0
0
0
0
0
0
0
0
681 10 10
0
95
0
50
0
50
150 453 10 10 20
0
500 595 20 10 18 9 18
9
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
PAMATANG SILIMAHUTA

SIMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

10 11 12 13 14 15 16 17 18 19 20 21

3 2 1 1 2

1 1 2

10 10 10

15 30 12 15 50 20 10 10 5
40 40 20 20 40 50 50 15 40 20 40
1 2 2 1 2 2 4 2 1 1
40 50 10 40 30 30 50 30 40 30 20

2 1
15 20 14 13 15 10 15 20 20 5 20
10 15 10 10 20 10 10

20 20 20 20 10 10 10 20 10 10 20

1
 10

20 40 32 40 20 60 20 18 32 17 18

1 1 1 2

10
 20
1

10 10 20 10

1 2 1 2 3 2

2 1 2 3 1

2 1 1
 1

30 20 20 10 30 20 20 10 20 10
2 1 1 3 2 1

2 2 1
1 1 1
20 10
5 10 5 10 5 5 5 10 5 10 5

16

2 2 2 1

1 1 1 1

10 10 20 10 20 10 20 10
2 1 2

10 10 10

1 1 2 1 1
50 80 50 58 30 12 30 70 50 34 30
2 1 2 1 1 2 3 1 2 1 1

12 24 12 3 6 12 12 6 12 6
 1 1 1
20 10 20 10 10 10

20 10

2 1

10 5 10 10 10 20 10
10 10 10 5 10 300 10 5 5

10 20 12 10 20 10 20 10 5

10 10 10 10

10 20 10 10 20 10 15 20

10 10 8 8 20 10
1 1 1 1
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
(LPO)

Jumlah
Pemakaian
22 23 24 25 26 27 28 29 30 31 Bulan

2 1 1 2 2 28
0
1 2 10
0
0
0
0
20 10 70
0
0
0
15 5 10 20 10 309
10 20 30 10 620
5 2 33
30 30 40 30 20 10 10 20 740
0
1 5
0
0
0
 0
40 20 20 20 10 10 20 25 445
20 5 10 10 17 177
0

1 3
0
0
0
0
0
0
0
0
0
0
0
0
1 1 5
0
0
0
0
0
0
0
10 20 10 20 10 20 10 10 405
0
2
0
0
0
0
 0
0
10
0
20 30 10 20 40 30 30 20 683
0
0
0
0
0
0
0
0
4 1 12
0
0
0
0
0

0
0
0
0
0
0
30
0
0
0
0
0
0
 20
1 2
0
0
0
0
0

0
0
0
0
0
20 10 10 130
0
1 1 2 23
0
0
0
0
0
0
0
0
1 2 15
0
0
1
1
1
0
1 9
0
 0
0
0
0
0
0
3
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
40 20 10 10 10 10 362
1 1 1 1 19
0
0
0
0
0
0
1 8
1 5
40
 0
0
5 5 5 5 10 5 5 160
0
0
0
16
0
0
0
2 1 1 1 19
0
0
0
0
0
2 1 8
0
0
20 10 10 10 20 222
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
1 7
0
20 10 5 5 100
0
0
0
0
0
0
0
0
1 1 1 13
60 30 40 70 60 20 30 20 1072
2 2 1 2 2 1 2 1 40
0
0
0
0
0
0
0
12 6 6 6 237
0
0
0
 0
1 1 7
20 10 10 10 10 221
0
0
0
0
0
0
0
0
65
0
0
0
1 1 5
0
0
0
0
0
0
0
0
0
0
0
0
0
10 20 10 169
0
0
0
 0
0
0
0
0
0
10 10 20 10 30 30 725
0
0
0
5 10 10 5 10 10 243
0
0
0
0
0
0
0
0
0
0
10 70
0
0
0
0
0
0
20 10 20 205
0
10 10 161
4
rima:
Pustu/Poskesdes

GGANG, A.Md
0512773
Sisa Akhir
Ket
Bulan

53
0
39
0
1,583
2
0
402
0
0
0
665
1,032
34
3,537
0
8
0
0
0
 0
613
100
0

0
0
233
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
1,095
0
10
0
0
0
0
 0
0
460
0
4,277
13
0
0
0
0
0
0
0
21
0
177
6
15
0

0
0
0
0
0
0
30
0
0
0
0
0
372
210
7
0
0
0
0
0

0
0
0
0
0
430
0
24
0
0
0
0
0
0
0
0
61
0
0
36
93
60
0
16
100
50
0
0
0
0
0
17
0
0
0
0
17
0
0
0
0
0
0
0
0
0
0
763
62
0
0
0
0
0
0
14
35
466
 0
0
0
0
0
0
64
0
0
0
34
0
0
0
0
0
12
0
0
13,624
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
43
0
0
0
0
0
0
0
0
0
0
16
866
0
0
1
0
0
0
0
0
232
0
0
0
 0
3
234
42
0
0
0
0
0
0
0
310
0
0
0
15
0
0
0
0
0
68
0
0
99
36
0
0
0
246
0
0
0
 0
0
0
0
0
0
7,330
0
0
0
968
0
0
0
0
0
0
0
0
0
0
611
0
95
0
50
0
50
248
0
434
5
 Pusk.Pustu/Poskesdes
Bulan
Kabupaten

Persediaan Awal Bulan

Nama Obat Satuan Persediaan Masuk
Jumlah 1 2 3
Awal Bulan Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 53 53 2 5
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 39 39 2
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet 1,583 1,583 5 5
9 Alkohol 70%/ liter Botol 2 2
10 Alludona D Tamblet Tablet 0 0
11 Alopurinol tab 100 mg Tablet 402 402
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 665 665 15 5 15
16 Amoksisilin tab 500 mg Kap 1,032 1,000 2,032 30 70 40
17 Amoksisilin syr kering 125 mg/5 ml Botol 34 34 4 2 2
18 Antasida doen kombinasi Tablet 3,537 3,537 85 65 35
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 8 8 1
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 613 613 10 12 25
26 Asam folat tab 1 mg Tablet 100 100 10
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 233 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
0 Captopril 25 mg Tablet 1,095 1,095 15 10
51 Carbo Gliserin tetes telinga 10% Botol 0 0
52 Catgut chromic 2/0 Set 10 10
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap
59 Codein HCl 10 mg Tablet 460 460 7
60 Concor (Bisoprolol) Tablet 0 0
61 CTM Tablet 4,277 4,277 60 57 50
62 Culticell clasik 10x40 cm Buah 13 13
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 21 21 1
71 Dexamethasone 0.6 mg Tablet 0 0
72 Diazepam 2 mg Tablet 177 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6 6
74 Dipenhidramine HCl Inj Ampul 15 15
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet 30 30 10
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
 88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet 372 372
90 Fitomenadion (Vit K1) 10 mg Tablet 210 210 10
91 Fitomenadion (vitamin K 1) inj Ampul 7 7
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 430 430
104 Gloves Steril No 7 Buah 0 0
105 Gloves Steril No 7 1/2 Buah 24 24 2 1
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 61 61 1 2 2
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 36 36
118 I.V Cateter no 22 G Pcs 93 93
119 I.V Cateter no 24 G Pcs 60 60
120 Ibuprofen 400 mg Tablet 0 0
121 Ibuprofen suspensi 60 ml Botol 16 16 1 1
122 Infus set Anak Pcs 100 100
123 Infus set Dewasa Pcs 50 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 17 17
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 17 17
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 763 1,000 1,763 35 25 45
146 Kotrimoksazole suspensi Botol 62 62 1 2 1
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 14 14
154 Lidokain Inj Ampul 35 35 3 1 1
155 Loperamid tab 2 mg Tablet 466 466
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 300 300 10 10 10
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 64 64 14
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 34 34 1
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 12 12 1
173 Mikrotois Buah 0 0
174 Mineral Mix Sct 0 0
175 Molagit Tablet 13,624 13,624 15 10
176 N-asetil sistein kaps 200 mg Kaps 0 0
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 43 50 93
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 16 16
209 Parasetamol tab 500 mg Tablet 866 2,000 2,866 10 106 95
210 Parasetamol sir 120 mg/5 ml Botol 100 100 1 1 2
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 232 232 5 3 18
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 3 50 53 1 2
224 Ranitidin tab 150 mg Tablet 234 234 34 25
225 Rapid Sifilis (Hexagon) Paket 42 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 310 1,000 1,310 35 15 45
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 15 10 25
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 99 99
247 Stik Benang Bedah no 3/0 Buah 36 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 246 246 20 35
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet 7,330 7,330 50 32 60
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 968 968 15 10
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 611 611
277 Zircum Kids Botol 0 0
278 Nald Tromo Buah 95 95
279 KN 95 Buah 0 0
280 Nasal S Buah 50 50
281 Resperidon Tablet
282 Rapid HbsAg Pcs 50 50
283 Molexflu Tablet 248 150 398 15 20
284 Bio ATP Tablet 0 0
285 Pritavit Tablet 434 200 634 6 35 35
286 NB Topical Ointment Tube 5 5

Yang Meminta:
Kepala Puskesma
 Yang Meminta:
Kepala Puskesma

dr. IKBAL JAMBA

NIP : 1985042920110
 LAPORAN PENGGUNAAN OBAT (LPO)
tu/Poskesdes : PAMATANG SILIMAHUTA
: Juni
en : SIMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

1 2 1 2 1 1 2 1 1 1 1

5 2 5 5 2 2 1 1 5 1 2 1

10 5 3 3 3 3 3

49 7 14 14 7

10 10 20 10 50 15 15 11 10 16 10 20 13 10 18
45 50 25 35 55 20 21 30 50 40 35 50 25 45 50 40
1 3 2 3 2 2 1 1 1 2 1 1 1 1
20 45 75 85 66 80 20 60 85 75 60 85 20 65 60 85

1 1 1 1

10 10 38 20 20 10 16 10 20 22 30 40 15 16 20 50
10 10
 19 9 2 8

15 32 17 50 29 15 10 18 20 62 65 60 20 70 50 50
2
 2 1 1 2 1 1 1

2 1 2 1

10 10
 10 10 10 10

10 14 10 14

1 3 1 2 1 1 1 2 2 1
1 2 1 1 2 1 2 1 1 1

1 1 1 1
 20 25 20 45 20 26 22 45 55 20 45 20 20 35 20 25
1 2 2 1 1 2 2 2 2 3 3 2 1 2 2 1

2 1 1 1 1 2 1 1 1 2

10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
 7 7

1 1 1 2 1 2 1 2

1 1 1

3 15 6 10 10 10 10 10 10 2 12 12 6
1 1 1 1 1
 2 1 1 1 2
35 105 65 35 143 70 20 54 50 80 55 65 30 68 116 100
2 2 1 1 1 1 3 2 3 1 1 4 2 1

3 13 7 12 5 10 10 4 12 14 12 12 8

2 1 1 2 2 1
30 25 10 12 6 15 12 15 20 15 10
10 10 45 35 15 25 45 20 45 25 35 50 25 10

2 1 1

10 35 10 15 10 10 10 10 40
 4 30 30 10 7 90 20 30 60 40

30 50 30 10 60 15 10 10

10 10 10

5
 35 10 10 10 25 20 10 10 15 30

3 15 20 10 46 4 6 24 10 12 24 24 12 14 20 37

Yang Meminta: Yang Menerima:

Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes
 Yang Meminta: Yang Menerima:
Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

dr. IKBAL JAMBAK DAHLIANI SITANGGANG, A.Md

NIP : 198504292011011012 NRPK : 02.7.0512773
O)

Jumlah
Sisa Akhir
Pemakaian Ket
23 24 25 26 27 28 29 30 31 Bulan
Bulan

2 2 1 1 27 26

2 1 1 1 39 0

1 10 51 1,532
0 2
0 0
10 101 301

15 11 10 14 20 27 370 295
45 45 15 55 22 50 40 1028 1,004
30 4
75 60 50 75 60 50 86 1627 1,910

5 3

45 25 20 20 13 10 25 552 61
30 70

0 233
 10 73 1,022
0 0
0 10

7 453
0 0
75 45 20 80 35 60 40 1105 3,172
2 11
1 1 12 9
0 0
0 177
0 6
1 7 8

30 0
 0 372
50 160
0 7

14 62 368
0 0
1 2 2 1 24 0
1 2 1 2 3 1 28 33

0 36
0 93
0 60
0 0
1 1 1 9 7
0 100
0 50

0 17

0 17
 50 40 20 65 45 50 25 863 900
2 1 2 3 1 1 43 19

0 14
1 1 1 21 14
0 466
0
0
10 10 10 10 10 10 10 10 270 30
 28 36

1 1 1 1 1 17 17

1 1 6 6
0 0
0 0
10 6 157 13,467
0 0
5 88
 1 8 8
50 45 20 30 3 20 20 1490 1,376
1 1 2 1 1 35 65

10 10 3 5 176 56

1 2 1 1 17 36
5 234 0
0 42
30 30 15 10 10 10 595 715

1 5 20

0 68

0 99
0 36

10 17 14 246 0
20 30 10 30 20 573 6,757

15 25 10 290 678

30 581
0 0
5 90
0 0
 0 50

0 50
16 10 16 25 277 121
0 0
29 20 16 11 20 10 15 478 156
0 5

oskesdes
oskesdes

G, A.Md
3
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 26
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 0
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 301
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 295
16 Amoksisilin tab 500 mg Kap 1,004
17 Amoksisilin syr kering 125 mg/5 ml Botol 4
18 Antasida doen kombinasi Tablet
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube 3
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet 61
26 Asam folat tab 1 mg Tablet 70
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 233
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
0 Captopril 25 mg Tablet 1,022
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 10
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap
59 Codein HCl 10 mg Tablet 453
60 Concor (Bisoprolol) Tablet
61 CTM Tablet
62 Culticell clasik 10x40 cm Buah 11
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 9
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 8
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
90 Fitomenadion (Vit K1) 10 mg Tablet 160
91 Fitomenadion (vitamin K 1) inj Ampul 7
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
 96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 368
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 33
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 36
118 I.V Cateter no 22 G Pcs 93
119 I.V Cateter no 24 G Pcs 60
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol 7
122 Infus set Anak Pcs 100
123 Infus set Dewasa Pcs 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 17
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 17
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 900
146 Kotrimoksazole suspensi Botol 19
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 14
154 Lidokain Inj Ampul 14
155 Loperamid tab 2 mg Tablet 466
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 30
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 36
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 17
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 6
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 13,467
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 88
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol 8
209 Parasetamol tab 500 mg Tablet 1,376
210 Parasetamol sir 120 mg/5 ml Botol 65
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 56
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 36
224 Ranitidin tab 150 mg Tablet
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 715
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 20
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 99
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 678
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 581
277 Zircum Kids Botol
278 Nald Tromo Buah 90
279 KN 95 Buah
280 Nasal S Buah 50
281 Resperidon Tablet
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet 121
284 Bio ATP Tablet
285 Pritavit Tablet 156
286 NB Topical Ointment Tube 5
 LAP
Pusk.Pustu/Poskesdes : PAMATANG SIL
Bulan : Juli
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

26 2 2 1 1

100 100 5 5 2 2

2 1

301 10 5 10

295 14 17 4 21 28 7
500 1,504 110 60 50 30 20 65 20 20
100 104 1 4 1
2,000 2,000 85 16 25 30 13 15 20 30

3 1

61 20 5
 70

200 200 20 10 10
1 1

233

1,022 20 14 35 14 7 7 21

10

0
453
2,000 2,000 20 20 15 10
11

20 29

177
6
30 38

0
160 10
7 1
 368 14

20 20 1 1 1 1 2

200 200

33 1 2 1 1 3

36
93
60

7 1 2
100
50

17
17

900 25 15 30 24 12 15 10
19 2 2 1

14 1 2
14 1 1
466 10 15 10 15 25 10

30 5 5 10

36 10
 17 1

6 1 1

13,467 35 15 30 20 10 35 10 10

88 1 1
 8 1 2
1,000 2,376 58 65 75 27 60 75 65 15
65 1 1 2 1

56 14 5 3 5

25 61 2

42

200 915 10 20 20 25 20 15 10
20 1

68

99
36

678 15 20 40 15 10 20 15
 581 10

200 200
50
121 10 5 5 5 15 5 5

200 356 20 3 18 40 6 10
5 1

Yang Meminta:
Kepala Puskesmas
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

MALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

1 1 1 1 2

5 2 1 1 1 6 5

14 7 10 7 7

14 5 20 27 15 30 10 7 14
120 80 30 50 50 30 60 110 30 40 65
2 1 1 15 1 2
45 34 10 55 85 30 65 30 40 50 24

1 1

2 2 22 10
20 10 30 20 20 10

30 10 15 10

20
7
 12 15 10 25 13 48 25 32 20 36
2 1

1 1 2 1

1 1 2

5 5 5
1 1
14 28

1 2 1 1 1 1 1 1 1

15 15

3 4 2 1

2 1 1
 25 10 10 15 30 24 30 30 10 10 15
1 2 1

2 1 2 1
1 1 1
15 15 10 10 15 10 25 15 15 15

10

16
 2 2 1

1 1 2

20 15 16 13 35 20 40 55 35 40 40

1
 1 1 1 1
30 65 88 110 53 15 85 45 50 50 76
2 1 3 1 2 1 1

7 4 6 3 3 6

1 2 1

25 10 6 15 10 35 20 10 10
1 1 1

45 26 40 20 10 10 54 20 20 25 10
 15 10

15 15

5 5 5 5 15 5 15 16

30 20 18 9 50 30 5 9 10 10
1 1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
O)

Jumlah
Sisa Akhir
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
Bulan

2 2 16 10

1 1 37 63

1 1

70 231

5 37 10 10 295 0
30 35 40 10 10 20 20 1205 299
1 1 1 2 33 71
30 41 20 10 25 30 25 883 1,117

3 0

61 0
 0 70

10 20 10 10 200 0
0 1

3 3 230

20 203 819

0 10

20 -20
7 446
16 13 10 12 22 16 16 406 1,594
3 8

2 1 1 9 20

0 177
0 6
1 1 6 32

0 0
10 35 125
1 4 3
 56 312

1 1 1 1 20 0

30 170

1 1 2 4 26 7

0 36
0 93
0 60

7 0
0 100
0 50

0 17
 0 17

20 15 10 10 20 15 430 470
9 10

1 10 4
1 2 8 6
10 10 35 10 10 15 320 146

30 0

10 36 0
 1 1 2 10 7

6 0

5 35 65 40 30 20 14 703 12,764

1 4 84
 1 8 0
18 115 40 55 50 46 20 1451 925
1 1 2 20 45

56 0

1 1 8 53

0 42

13 5 20 10 15 324 591
 1 5 15

0 68

0 99
0 36

15 25 10 20 10 495 183
 35 546

30 170
0 50
121 0

5 30 10 13 10 356 0
1 5 0

oskesdes
oskesdes

G, A.Md
3
 Ket

exp juli 2022

exp juli 2022
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 10
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 63
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 1
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet
16 Amoksisilin tab 500 mg Kap 299
17 Amoksisilin syr kering 125 mg/5 ml Botol 71
18 Antasida doen kombinasi Tablet 1,117
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet 70
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 0
29 Aseptan + Dispenser Botol 1
30 Asering Botol
31 Asetosal 80 mg Tablet 230
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
0 Captopril 25 mg Tablet 819
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 10
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap
59 Codein HCl 10 mg Tablet 446
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 1,594
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
 66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 32
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
90 Fitomenadion (Vit K1) 10 mg Tablet 125
91 Fitomenadion (vitamin K 1) inj Ampul 3
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 312
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 170
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 36
118 I.V Cateter no 22 G Pcs 93
119 I.V Cateter no 24 G Pcs 60
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 100
123 Infus set Dewasa Pcs 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 17
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 17
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 470
146 Kotrimoksazole suspensi Botol 10
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 4
154 Lidokain Inj Ampul 6
155 Loperamid tab 2 mg Tablet 146
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 0
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol 7
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 12,764
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 84
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 925
210 Parasetamol sir 120 mg/5 ml Botol 45
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 53
224 Ranitidin tab 150 mg Tablet
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 591
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 15
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 99
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 183
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 546
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 170
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet
284 Bio ATP Tablet
285 Pritavit Tablet
286 NB Topical Ointment Tube
 LA
Pusk.Pustu/Poskesdes : PAMATANG S
Bulan : Agustus
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9
Bulan

10 1 1 1

63 5

5 6

2,000 2,299 20 30 10 10 20 20 40
71 2 1 1
1,117 2 53 25 5 28 20

70

500 500 10 10 10 20
 1

230

819

10

446

1,594 8 19 20 25 10 6 10 20
8
20 1

177
6
32

125
3
 312

20 20

100 100

20 20

170

36
93
60

100
50

17

17
 470 6 10
10 1

100 100

4
6
146

300 300

7 1

100 100

12,764 6
20 20

84 1

100 1,025 40 38 30 30 20 24 20 1
45 1 1
 53

42

20 20

591 10 10

15

68

36 135
36
1,000 1,000

183 10 6

546

170
50
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
PAMATANG SILIMAHUTA
Agustus
SIMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

10 11 12 13 14 15 16 17 18 19 20 21

2 2 1 2

5 5

6 40 10 5 10 20

10 15 10 30 10 20 10 10

10 6 10 10
16 6 10 10
10
 10 6

1 1 1

7
6 36 26 10 40 20
1 1
 10

5 16 10

10
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
(LPO)

Jumlah
Pemakaian
22 23 24 25 26 27 28 29 30 31 Bulan

10

15

20 10 10 10 50 30 371
1 4 9
15 5 15 22 15 320

10 10 106
 0

6 13 5 6 55 245
0
1

0
0
0

0
0
0

10

0
0
0

0
0

0
 32
1

0
0
0

1 2 7

3 5 21
 0

22 10 45 26 10 90 22 566
1 1 4 10
 0

20 40

0
0
 6 16

6 11 26 6 96

10
0
ima:
ustu/Poskesdes

GANG, A.Md
512773
Sisa Akhir
Ket
Bulan

48

1,928
62
797

70

394
 1

230

819

10

446

1,349
8
19

177
6
32

125
3
312

20

100

20

160

36
93
60

100
50

17

17
 438
9

100

4
6
146

300

100

12,743
20

83

459
35
53

42

20

551

15

68

135
36
984

87

546

160
50
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 48
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 5
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet
16 Amoksisilin tab 500 mg Kap 1,928
17 Amoksisilin syr kering 125 mg/5 ml Botol 62
18 Antasida doen kombinasi Tablet 797
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet 70
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 394
29 Aseptan + Dispenser Botol 1
30 Asering Botol
31 Asetosal 80 mg Tablet 230
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 819
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 10
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap
59 Codein HCl 10 mg Tablet 446
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 1,349
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 19
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 32
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
 90 Fitomenadion (Vit K1) 10 mg Tablet 125
91 Fitomenadion (vitamin K 1) inj Ampul 3
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 312
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 20
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 100
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 20
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 160
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 36
118 I.V Cateter no 22 G Pcs 93
119 I.V Cateter no 24 G Pcs 60
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 100
123 Infus set Dewasa Pcs 50
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 17
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 17
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 438
146 Kotrimoksazole suspensi Botol 9
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 100
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 4
154 Lidokain Inj Ampul 6
155 Loperamid tab 2 mg Tablet 146
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 300
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet 100
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 12,743
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol 20
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube 83
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 459
210 Parasetamol sir 120 mg/5 ml Botol 35
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 53
224 Ranitidin tab 150 mg Tablet
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 20
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 551
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 15
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 68
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 135
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 984
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 87
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 546
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 160
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet
284 Bio ATP Tablet
285 Pritavit Tablet
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SIL
Bulan : September
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

100 100 3 1 1 1 1

48 2 5 2

5 10 1

500 500 10 10 10
1,000 2,928 60 90 40 40 60 30 30 50 20
100 162 1 1 3 2 2 3 1 1
1,000 1,797 28 25 10 60 20 49 10 52 30
 70 10

500 894 20 20 10 20 10 20 30 50
1 1

230

819 10 3 14 10 30 20

10
500 500
446

2,000 3,349 63 40 20 50 23 19 40 68 10
8

19

177
6
32
 125 10
3 2

312 10

10 30 1 1 2

100 200 5 2 1 5 2 1 2

20 2 1

160 3

50 50 1 1

36 2
93 2
60

100
 50 1

17

10 10 2

17

438 6 10 30 10 15 10 10 10
9 1 1

100 200 5 6 5 10

4 3
20 26 1
1,000 1,146 20 30 7 20 10 20 10
300 600 14 12 10 10 15 15 10

500 500 10

100 200

12,743 14 24 10 35 15 20

20 2
 83 2

900 1,359 16 53 20 63 46 26 10 93
35 1 1 5 4 2 4 4

10 10

500 500 2 3 12 8 3 15 15
 53 2

42

20

551 15 15 5 6

15 2

68 1

135
36
500 500 15
0
0
984 30
 87 6 10 10 6 55

546 10 3 10

160
50
100 100

500 500 3 3 10

25 25
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
eptember
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

5 1 1 2 4 1

2 1 1 2 1 1

7 14
60 20 20 55 40 10 96 20 20 20
2 2 1 2 1 2 3 1 2 2
35 50 45 55 50 30 100 90 20 30
 10 20

20 10 30 20 10 26 10 20 10

50 20 30 30 25 10 10 12
 3

33 35 16 18 45 30 47 40 10 23
3 3 1 3

13 1 2 1 3 2 2

1 1 1

1
1

20 10 10 20 20 10 20 10 10 20
3 3 1

3 5 6 7

1
1 1
10 10 10 20 7 10
13 12 10 10 13 10 20 12 10

40 20 20 10 20 30 10

2 1
 1 1 1

70 16 10 10 62 20 91 10 30 20
1 1 3 2 3 2 1

8 20 5 30 10 2
1 2 1 1

4 25 5 10

1 1

5 5 5 5

12 24 7 7 24
 4

10

20 15 15 20

30 20 30 30 20
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
PO)

Jumlah
Sisa Akhir
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
Bulan

1 2 1 1 1 27 73

2 1 1 21 27

1 9

5 19 8 83 417
40 30 70 15 10 10 50 1006 1,922
2 1 1 1 1 1 39 123
10 10 38 40 30 55 40 1012 785
 40 30

10 30 40 416 478
1 0

0 230

10 284 535

0 10
 0 500
10 13 433

16 20 53 40 30 35 13 837 2,512
0 8

0 19

0 177
0 6
0 32
 10 115
2 1

14 24 288

1 15 15

2 2 3 1 50 150

2 8 12

8 152

3 47

2 34
2 91
0 60

0 100
 2 48

0 17

3 7

0 17

10 15 30 10 10 326 112
9 0

3 5 15 15 85 115

4 0
3 23
6 7 197 949
10 10 216 384

7 17 483

0 200

10 15 10 20 15 338 12,405

5 15
1 1 7 76

30 10 50 20 10 20 20 826 533
1 35 0

0 10

133 367
 1 2 10 43

0 42

2 18

5 5 5 100 451

4 11

1 67

0 135
0 36
13 5 53 447
0 0
0 0
10 6 6 126 858
 87 0

27 519

10 150
0 50
10 10 10 100 0

30 3 179 321

0 25
Poskesdes

G, A.Md
73
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 73
5 Alat suntik 1 ml Buah
6 Alat suntik 5 ml Buah 27
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 9
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 417
16 Amoksisilin tab 500 mg Kap 1,922
17 Amoksisilin syr kering 125 mg/5 ml Botol 123
18 Antasida doen kombinasi Tablet 785
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet 30
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 478
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 230
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 535
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 10
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 500
59 Codein HCl 10 mg Tablet 433
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 2,512
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 19
71 Dexamethasone 0.6 mg Tablet
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 32
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 250 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
 90 Fitomenadion (Vit K1) 10 mg Tablet
91 Fitomenadion (vitamin K 1) inj Ampul
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 288
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 15
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 150
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 12
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 152
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 47
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 34
118 I.V Cateter no 22 G Pcs 91
119 I.V Cateter no 24 G Pcs 60
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 100
123 Infus set Dewasa Pcs 48
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 17
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 7
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 17
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 112
146 Kotrimoksazole suspensi Botol 0
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 115
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 23
155 Loperamid tab 2 mg Tablet 949
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 384
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 483
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet 200
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 12,405
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol 15
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 533
210 Parasetamol sir 120 mg/5 ml Botol 0
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol 10
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 367
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 43
224 Ranitidin tab 150 mg Tablet
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 18
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 451
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 11
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 67
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 135
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet 447
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 858
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 519
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 150
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet 0
284 Bio ATP Tablet
285 Pritavit Tablet 321
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah 25
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : Oktober
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

73 2 5 3 5 3
100 100 2 10 2
27

417 31 12 7 5 36
1,000 2,922 70 50 50 70 50 20 80
123 4 3 2 3 3
2,000 2,785 67 60 45 27 40 10 54
100 100 4 2
 30 10 10

500 978 20 30 10 50 10 40

230

90 90

10 10 2 1

535 10

10
 500 20 20 10
433 6 6

2,512 68 10 55 57 75 20 55
8

19
100 100 25 10 6
177
6
32 3 2
288

15 2 2 1 1 1

150

12 1

152 10 10

47 1 2 2

34 1
91
60

100
 48

17

5 12 2

5 22

112 6 6
30 30 1 1

100 215 7 9 3 24

23 2
949 10 20 10 20 20 14
100 484 10 10 10 10 10 10 10

483 34

200 20 20

12,405 30 20 50 20

15 1 2
600 1,133 62 35 20 80 30 40 50
25 25 3 2 3

10

300 667 15 15 20 20 20
 43 1 2
100 100 20
42

18 2 1

451 10 20 5 35

11

67

135
36
447 12

858 6 6 15 18 20 10
 519 2 20 10 10

150 10 10
50
100 100

500 821 17 93 10 5 5 9 6

25
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

5 2 1 2 2
22 1 2

12 10 7 7 14 10 10 17
60 60 40 50 30 65 50 30 30 50 30
1 2 1 3 1 2 3 1
70 40 50 20 20 45 14 80 14 30 30
2 3 3
 30 40 10 20 10 10 20 30 10 10

10

5 20

1
 10 10 10
5

88 86 60 65 20 60 22 20 13 50 30

2 2
10 6 3 1 10

1 2 1 1
 14 14

2 2 2 2

3 2 2

2
1

1
 2 1

2 2 4

10 15 25
3 3

5 15 7 30 11 10 5 12 5 10

1 2
20 10 5 10 10 6
10 10 10 10 10 10 10 10 10 10 10

10 17 10

15 10 20

20 40 25 35 35 20

1 1
56 22 15 37 66 46 40 28 31
1 1 1 1 2

10 15 10 20 10 20 30 30 10
1 1
20 10

1 1

6 10 10

10 5 7 27 6 16 6 20
 20 20 20 10 10 10

10 10 7

5 15 30 10

30 20 10 20 20 10 40 20 12 10
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
PO)

Jumlah
Sisa Akhir
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
Bulan

1 1 32 41
1 2 42 58
4 4 23

1 8

24 21 20 7 250 167
62 30 30 30 50 20 40 1147 1,775
3 2 34 89
80 70 20 80 20 40 1026 1,759
1 15 85
 10 30 0

30 30 20 40 10 10 40 530 448

10 220

5 85

1 4 6

35 500

1 9
 10 10 100 400
9 26 407

47 24 37 40 25 46 15 1088 1,424
0 8

1 5 14
6 5 6 5 7 100 0
0 177
0 6
2 1 1 14 18
 28 260

15 0

3 4 3 2 15 135

1 3 9

4 24 128

1 1 14 33

1 33
2 89
1 59

1 99
 3 45

1 16

10 2

0 22

10 72 40
8 22

6 18 5 7 3 192 23

2 7 16
155 794
10 10 10 10 10 10 10 250 234

10 81 402

85 115

20 50 20 385 12,020

5 10
103 37 26 5 30 74 30 963 170
1 15 10

2 8

20 20 30 10 325 342
 1 2 8 35
50 50
0 42

1 6 12

15 3 30 5 149 302

3 8

1 66

1 134
0 36
19 428

20 10 20 15 237 621
20 10 10 10 20 202 317

7 7 61 89
0 50
20 80 20

32 10 16 20 43 13 471 350

0 25
Poskesdes

G, A.Md
73
Ket

10
145

76
65
834
EXP

219
225
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 41
5 Alat suntik 1 ml Buah 58
6 Alat suntik 5 ml Buah 23
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 8
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet
12 Ambroxol tab 30 mg Tablet
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 167
16 Amoksisilin tab 500 mg Kap 1,775
17 Amoksisilin syr kering 125 mg/5 ml Botol 89
18 Antasida doen kombinasi Tablet 1,759
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 448
29 Aseptan + Dispenser Botol
30 Asering Botol
31 Asetosal 80 mg Tablet 220
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 85
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 6
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 500
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol
56 Cetirizine 10 mg Tablet
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 400
59 Codein HCl 10 mg Tablet 407
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 1,424
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 14
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 18
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
 90 Fitomenadion (Vit K1) 10 mg Tablet
91 Fitomenadion (vitamin K 1) inj Ampul
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 260
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 135
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 9
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 128
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet
114 Hidrokortison krim 2,5% Tube 33
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 33
118 I.V Cateter no 22 G Pcs 89
119 I.V Cateter no 24 G Pcs 59
120 Ibuprofen 400 mg Tablet
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 45
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 16
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 2
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 40
146 Kotrimoksazole suspensi Botol 22
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 23
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul
154 Lidokain Inj Ampul 16
155 Loperamid tab 2 mg Tablet 794
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol
158 Masker Pcs 234
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 402
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet
168 Metylprednisolone 4 mg Tablet 115
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 12,020
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol 10
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 170
210 Parasetamol sir 120 mg/5 ml Botol 10
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol 8
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 342
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 35
224 Ranitidin tab 150 mg Tablet 50
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 12
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 302
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 8
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 134
247 Stik Benang Bedah no 3/0 Buah 36
248 Simvastatin tab sal 10 mg Tablet 428
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 621
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 317
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 89
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet 20
284 Bio ATP Tablet
285 Pritavit Tablet 350
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah 25
288 Fenol Glyseril Tetes Telinga 10% Botol
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : November
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

41 3 1 2 5 1 2
58 4 2 1 1 2 5
23 2 1

1,000 1,000 25 10 10 10 10
300 300 10 10 10 45

300 467 20 10 5 5
1,000 2,775 20 65 20 55 30 25 20 85
89 2 5 1 2 1
500 2,259 35 80 50 105 25 30 10 50
500 948 30 40 10 20 20 50 10 30
2 2

220 10 10 10

30 115 12

10 16 2

500 25 35 25 10 5 10 20

5 5
100 100 25 24
 400 20 10 20
407

1,424 55 125 50 65 70 55 10 110

8

14 1 1 2
100 100
177
6
18 2 1 1
0
100 100

300 300
10 10

260

3 3

100 235 5 6 5 3 5 2 2

9 1 1

128 10

100 100
33 1

33
89
59
500 500

99
 45

16

10 12

22

500 540 15 20 10 10
50 72 1 1 2

100 123 14 6

16 1
794 25 20 10 30 10 40
 5 5
100 334 10 12 10 15 10 12 3 15

402 15 25

200 200
100 215

24 24

12,020 35 25 20 15 20 30

10 1 2
20 20

900 1,070 35 125 65 20 30 10 10 60

50 60 1 1 1

500 842 20 15 24 12 16 10 5
 35 1 1 2 1
100 150
42

12 1 2

302 15 10

66

134 1
12 48
428

621 15 12 20 12
300 300

317

89 10
50
100 120
200 200
500 850 30 65 20 10 15 10 65

25
10 10

Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
ovember
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

1 2 1 1 2 3
2 1 1 1 1 2
1 1 1 1

10 10 30 10 20 20 10
10 15 10 10 50 20 30 40 10 10

10 5 15 20 10 15 10
65 50 35 70 20 65 80 110 20 50 20
1 2 1
65 50 35 20 10 80 60 50 65 20 10
40 30 20 10 10 10 10 20 30 10
1 1

10 10 20

6 6 6

2 1 1 1

20 10 15 30 20 10 20

15 10 10
 20 10

55 35 20 39 20 65 105 35 65 30 30

1 1
25 12 6 10 24 12

1 2 1 2 1

15 12 6 20 14 12 6
2 1 2

1 1 1

2 4 2 1 5 3 2 1 1 1

1 1

10

2 2 1 1 1 1 1

20 12 5 10 10 5
 1 2 1

10 10 10 20 10
3 1 1 1

24 12 6 24 12 6 6

1
10 20 10 10 30 20 10 20
 1
12 15 12 10 4 10 20 10 30 20 2

2 1 1

65 30 10 10 40 30 20 20 10

1 1
 1 1 2

30 25 10 10 30 110 90 50 40 60 20
1 2 2 5 1

20 15 10 25 10 10 24 12 15 10
1 1 2 1 1

1 1 1

10

1
1
12 6

10 12 24 12 12 12 14 10
 15 12 20 10

10 20 10 20

10 10

10 20 15 10

25 20 10 10 20 20 30 10 20 10 10

12 13
 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
PO)

Jumlah
Sisa Akhir
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
Bulan

4 5 1 2 5 41 0
2 2 1 1 29 29
1 8 15

1 2 6

30 10 20 10 20 10 275 725
20 300 0

10 10 10 20 10 185 282
65 80 70 50 85 50 1305 1,470
1 2 1 19 70
60 125 50 60 50 10 1205 1,054
 20 10 10 20 460 488
2 0

70 150

30 85

2 2 1 12 4

25 20 10 25 335 165

0 9

0 5
16 100 0
 80 320
0 407

55 65 20 125 55 65 1424 0
0 8

1 1 8 6
6 5 100 0
0 177
0 6
3 1 1 16 2
0 0
15 100 0

0 300
 5 5

0 260

3 0

12 25 1 2 1 91 144

4 5

20 108

0 100
2 1 1 14 19

0 33
0 89
0 59
10 72 428

0 99
 0 45

0 16

1 5 7

0 22

10 125 415
1 4 15 57

13 123 0

2 14
10 30 10 10 20 345 449
 1 4
10 20 10 10 10 5 297 37

40 362

0 200
0 215

1 5 19

55 20 30 45 530 11,490

1 6 4
 1 1 1 7 13

100 25 65 15 25 10 1070 0
14 46

0 8

15 15 12 295 547
 1 2 14 21
0 150
0 42

6 6

10 45 257

0 8

0 66

2 132
1 47
18 410

35 25 30 15 10 280 341
15 10 15 10 107 193

10 20 10 100 217

30 59
0 50
10 15 20 20 120 0
0 200
35 25 10 15 10 10 505 345

25 0
 1 1 3 7

Poskesdes

G, A.Md
73
Ket
65
834
EXP

219
225
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 29
6 Alat suntik 5 ml Buah 15
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 6
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 725
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 282
16 Amoksisilin tab 500 mg Kap 1,470
17 Amoksisilin syr kering 125 mg/5 ml Botol 70
18 Antasida doen kombinasi Tablet 1,054
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 488
29 Aseptan + Dispenser Botol 0
30 Asering Botol
31 Asetosal 80 mg Tablet 150
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 85
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 4
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 165
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 5
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 320
59 Codein HCl 10 mg Tablet 407
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 0
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 6
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 6
74 Dipenhidramine HCl Inj Ampul 2
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet 300
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
 90 Fitomenadion (Vit K1) 10 mg Tablet
91 Fitomenadion (vitamin K 1) inj Ampul
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube 5
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 260
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 144
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 5
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 108
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 19
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 33
118 I.V Cateter no 22 G Pcs 89
119 I.V Cateter no 24 G Pcs 59
120 Ibuprofen 400 mg Tablet 428
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 45
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 16
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 7
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 415
146 Kotrimoksazole suspensi Botol 57
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 0
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul
154 Lidokain Inj Ampul 14
155 Loperamid tab 2 mg Tablet 449
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol 4
158 Masker Pcs 37
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 362
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet 200
168 Metylprednisolone 4 mg Tablet 215
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul
171 Mob cap Buah
172 Mikonazol krim 2% Tube 19
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet 11,490
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol 4
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol 13
197 Oksitetrasiklin 1% Salep Mata Tube
198 Oksitosin inj 10 UI/ml Ampul
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 46
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol 8
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 547
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 21
224 Ranitidin tab 150 mg Tablet 150
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 6
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet 257
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 8
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 132
247 Stik Benang Bedah no 3/0 Buah 47
248 Simvastatin tab sal 10 mg Tablet 410
249 Simvastatin tab sal 20 mg Tablet
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 341
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 193
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 217
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 59
282 Rapid HbsAg Pcs 50
283 Molexflu Tablet 0
284 Bio ATP Tablet 200
285 Pritavit Tablet 345
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah
288 Fenol Glyseril Tetes Telinga 10% Botol 7
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : Desember
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

100 100 2 3 4 1 2
29 3 2 4 1 2
100 115 1 2 1

6 1

725 12 21 12 21 12
200 200 10 10
30 30

300 582 14 14 10 30 20
2,000 3,470 45 30 26 55 45 30 60 30 20
70 3 1 2 5 2 3 1 2 1
2,000 3,054 54 65 10 65 35 80 65 35 10
300 300

500 988 30 20 10 30 20 50 30 20
2 2

150 20 10 30

12 12

90 175 10 6

10 14 2 3 1

165 10 20 10

10 15 2 1
200 200
 320
407 10

3,000 3,000
8

10 16 1 1
100 100
177
6 1
2 1

100 100

300 600 15 30 10 15 10
60 60

12 17 1

260 10

10 10 1 2 3

100 244 2 1 1 2 2 4 1 1 3

20 25 1

108 10

100
19 1 2 2 2

33 1
89
59
500 928 30 15 10 35 15 30 10

99
 45 1

16 2

7 1 1

22

500 915 20 15 30 40 10 10
57 1 3 2 3 2 1

100 100

14 1
300 749 14 21 20 30 10 10
 4
200 237 4 6 3 4 5 3 6 6 4

362 10

500 700 15 10 15 10 10
200 415 15

12 12

24 43 1

11,490 45 15 10 30 10 20 10 20

4 1
20 33 1 2 1 2 1 3 3 1
25 25
25 25

900 900 30 10 10 30 50 55 60 15
50 96 2 2 4 5 1 3 1 1

8 1

547 15 10 20
 21 1
200 350 20 20 10 30
42

20 26 1

257 20 20 30 10 40 10 20 7

8 1

66
50 50

132
12 59
410
300 300 10

500 841 20 10 10 20 10
500 693 20 14 20 14 21

217 10

59
50
100 100
200 400 30 30 20 30 10 20
500 845 40 40 10
24 31

Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
esember
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

2 3 1 2 2 1 2 3 4 1
2 1 1 1
1 2 1 2

12 21 14 7 12 14 12
10 20 30 10 20

30 15 10 20 30 40 10
80 55 35 40 30 20 30 40 50 65 60
3 2 4 1 1 1 1 3 3 2 2
65 80 55 10 20 10 20 35 40 10 20
 10 10

30 40 20 10 15 10 30 10 20 5 5

20 10 10

6 12

1 1 1

12 24 10 10

1 1
 10

10 30 10 10 30 20 30 10 10

2 1
15 30 15 20 10 10

20 10 15 10 15 10

10 20 15 10 20 10 25 10
 3 1 1 1

30 20 10

2 2

4 3 2 5 1 2 1

1 1 1

10 10

2 1 2 1

1
1
30 10 20 10
 1

1 1

20 10 20 10 20 45 30 30
2 4 2 1 1

30 15 10 20 10 10 5

1 2
30 14 30 20 30 20 20
7 5 12 12 4 5 13 5 7 3 14

20 10

10 10 10
14 10

3 3 3

10 20 30 10 30 10 30 20 40 10 40

2 1
1 1 1 1 3 1

40 20 15 15 10 20 55 65 50 30
5 3 1 2 1 1 4 4 2 1 1

10 20 20 10 20
 1 1 1
30 10 10 20 10 20

2 2

20 40 10 10 20

1 1

10

20 10 20 40 10 10
 25 28 14 12 25 40 20 10

30 10 20 20

10 10

10 20 10 30 10 20
10 20 10 40 10 10 10
40 20 10 20 110 20 10
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan

1 1 1 36 64
2 19 10
1 1 12 103

1 5

12 14 12 208 517
20 10 140 60
0 30

20 30 40 333 249
10 80 65 50 35 20 14 1120 2,350
1 2 4 1 1 52 18
20 15 20 10 10 10 869 2,185
 30 10 60 240

5 30 15 5 10 20 10 500 488
0 2

100 50

0 12

12 46 129

2 11 3

96 69

0 9

1 6 9
0 200
 0 320
20 387

10 12 24 12 10 5 233 2,767
0 8

1 6 10
100 0
0 177
1 5
2 0

15 5 100 0

20 10 20 250 350
 0 60

1 8 9

70 190

10 0

2 1 1 1 1 2 4 47 197

1 1 6 19

30 78

0 100
13 6

1 32
1 88
1 58
10 10 20 255 673

0 99
 1 44

3 13

1 1 6 1

0 22

50 40 20 15 20 455 460
1 1 2 1 27 30

100 0

4 10
10 20 10 309 440
 0 4
4 12 3 4 2 6 4 163 74

40 322

90 610
39 376

0 12

1 1 12 31

10 50 30 35 40 20 10 605 10,885

4 0
 3 2 1 28 5
0 25
0 25

30 85 65 50 40 20 30 900 0
1 4 5 1 4 5 1 65 31

2 6

10 15 10 160 387
 4 17
10 10 20 10 230 120
0 42

1 6 20

257 0

2 6

0 66
0 50

2 130
0 59
0 410
20 280

20 10 10 220 621
 10 20 10 303 390

10 100 117

20 39
0 50
100 0
20 10 280 120
10 20 10 360 485
 0 31

des

Md
Ket
65
834
EXP

219
225
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 64
5 Alat suntik 1 ml Buah 10
6 Alat suntik 5 ml Buah 103
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 5
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 517
12 Ambroxol tab 30 mg Tablet 60
13 Aminofilin injj 24 mg/ml Ampul 30
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 249
16 Amoksisilin tab 500 mg Kap 2,350
17 Amoksisilin syr kering 125 mg/5 ml Botol 18
18 Antasida doen kombinasi Tablet 2,185
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet 240
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 488
29 Aseptan + Dispenser Botol 2
30 Asering Botol
31 Asetosal 80 mg Tablet 50
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube 12
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 129
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 3
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 69
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 9
56 Cetirizine 10 mg Tablet 200
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 320
59 Codein HCl 10 mg Tablet 387
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 2,767
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 10
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 5
74 Dipenhidramine HCl Inj Ampul 0
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet 350
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
 90 Fitomenadion (Vit K1) 10 mg Tablet
91 Fitomenadion (vitamin K 1) inj Ampul 60
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
96 Furosemid tab 40 mg Tablet
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube 9
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 190
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 197
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 19
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 78
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 6
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 32
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 673
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 44
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 1
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 460
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 0
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul
154 Lidokain Inj Ampul 10
155 Loperamid tab 2 mg Tablet 440
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol 4
158 Masker Pcs 74
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 322
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet 610
168 Metylprednisolone 4 mg Tablet 376
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul 12
171 Mob cap Buah
172 Mikonazol krim 2% Tube 31
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol 5
197 Oksitetrasiklin 1% Salep Mata Tube 25
198 Oksitosin inj 10 UI/ml Ampul 25
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 31
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol 6
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 387
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 17
224 Ranitidin tab 150 mg Tablet 120
225 Rapid Sifilis (Hexagon) Paket 42
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 20
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 6
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 50
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 130
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 410
249 Simvastatin tab sal 20 mg Tablet 280
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 621
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 390
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 117
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 39
282 Rapid HbsAg Pcs
283 Molexflu Tablet 0
284 Bio ATP Tablet 120
285 Pritavit Tablet 485
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah
288 Fenol Glyseril Tetes Telinga 10% Botol 31
289 Alpara sirup Botol
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : Januari
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

64 2 1 1 1
10 3 2
103 3 2 1 1

517 10 21 20 20
200 260 20 10 20 20 30
30

300 549 20 3 26 25 15 15 17 12
1,000 3,350 75 55 50 36 85 20 90 30
100 118 5 3 4 5 2
2,185 10 30 20 25 10 10 30 10
300 540 10 10

500 988 30 20 40 30 10 10 10 20
2 4

50 10

12

129 10 12

10 13 1 2 1

69

50 59
200 400 12 15 6 10 12
 320
387 10

2,767 30 45 30 15 20 20 30 43
8

10
100 100 3 30 12 15
177
5
60 60

200 200 15 10 10 10

350 20 10 15
 60

200 200

12 21 2 1 4 1

190

10 10 1 3 1

100 297 2 3

19

78

100
6 1

32
88
58
500 1,173 35 25 20 15 25 20 20 25

99
 44

13

10 11 2 1 2

22

1,000 1,460 15 10 40 10 20 10 24 30
100 130 2 1

100 100 13 3 10

10 1 1
440 10 10 10
 4
200 274 8 7 8 5 4 2 8 7

322 14 12 18 10 15 10

610 12 21 10
376 6 20

12

31 1 3 2
 60 65 1 1 2 3 1
25
25

1,500 1,500 5 30 26 40 30 10
31 1 2 2 1 4 2

300 300 18 26 22 6 17 6

6 1

500 887 12 23 12 12 10 12 3
 17
300 420 6 12 20 20 10
42 1 2

20 1 2

66
50

130
59
410 20 12 20
280 12 12

500 1,121 20 10 12 6 36 10 20 17
 390 15 15 6 6 12

117 10

39

200 200 10
300 420 10 20 10 5 30 3 10
300 785 20 125 4 4 3 3

25 25 2 1
 31 1 1
20 1

Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1
2 1 2
3 3 1 1

14 7 7 7
20 10 30 20 10 10

10 5 24 13 3 7 14 7 21
55 40 50 20 65 70 70 60 50 10 50
1 2
10 20 40 10 14 22 10 22 35 10 20
 20

30 10 20 6 15 40 30 20 10 10 10

10 10

10

1 2

7 7

2 1
12 4 10 12 12
 10
10

40 20 10 10 25 17 55 23 40 10 25

10 15 3 6

10 5 6 6

10 20 10
 1 2

1 1

1 2 1 3 1 1 1 3

15 25 10 10 30 25 40 20 20 10 40
1 1 2

20 10 12 10 10 10 20 15 10 10 20
1 1

7 14 3 7

1
10 10 10 20
8 5 4 2 8 7 8 5 4 2 8

10 14 10 14 3 18 21

20 10 20 10 20 20
10 10

2 3 1
 3 3 2
1 1 1 2

30 20 25 80 45 65 18 26
1 1 2

30 16 5 9 20 6

12 14 5 10 6 7 15 15 10 7
1 1
10 10 10 30 20 10 10 30
1

10 20 14 14 7
14

12 10 20 10 20 10 20 12
 15 13 15 3 10

10 10 10 17 20

14

40 30 10
15 10 10 12 5 10 3 20 5 14
20 10 15 6 20 15 20

1 2
1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan

2 1 2 14 50
10 0
1 3 3 22 81

0 5

7 113 404
20 30 10 260 0
0 30

5 6 4 3 5 260 289
60 30 50 50 40 30 40 1281 2,069
2 1 1 26 92
10 10 20 20 6 44 25 493 1,692
20 10 70 470

20 30 10 10 10 10 10 471 517
0 4

10 10 50 0

0 12

32 97

1 8 5

14 55

0 9

1 4 55
10 15 10 10 150 250
 6 16 304
10 30 357

40 30 10 35 20 27 30 700 2,067
0 8

0 10
1 5 100 0
0 177
0 5
0 60

10 7 5 20 114 86

10 10 105 245
 0 60

0 200

3 1 15 6

0 190

1 1 1 10 0

1 1 3 23 274

0 19

4 4 74

0 100
1 5

0 32
0 88
0 58
25 10 15 10 4 20 10 524 649

0 99
 0 44

0 13

9 2

0 22

10 5 5 10 5 10 20 371 1,089
1 2 1 1 10 120

7 9 14 13 100 0

1 4 6
10 10 10 110 330
 0 4
7 8 5 4 2 7 8 151 123

14 7 14 14 21 239 83

10 30 10 193 417
46 330

0 12

3 1 16 15
2 1 1 1 21 44
1 6 19
0 25

85 25 22 20 30 15 55 702 798
2 2 2 2 24 7

13 13 4 11 222 78

1 5

12 17 10 21 4 10 259 628
1 3 14
15 5 5 10 20 10 263 157
1 5 37

1 5 15

1 5

0 66
0 50

1 2 128
0 59
14 3 13 147 263
14 52 228

15 10 12 7 6 295 826
 20 20 10 20 10 190 200

20 20 117 0

14 28 11

10 100 100
7 10 20 3 15 10 257 163
15 7 10 3 15 315 470

1 7 18
 2 29
1 4 16

des

Md
Ket

0
0
0
14
10
22
0
0
0
0
14
90
0
0
117
497
6
343
0
0
0
0
0
 0
69
0
0
151
0
0
0
0
0
0
0
0
0
0
0
0
81
0
0
0
0
0
0
0
0
14
0
0
0
0
0
32
 0
16
30
0
169
0
0
0
0
0
0
0
0
0
12
0
0
0
0
89
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
9
0
0
6
0
288
0
0
0
0
0
28
0
0
4
0
0
1
0
0
0
0
0
86
0
0
 0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23
1
0
104
0
0
0
0
0
0
0
 0
0
0
0
0
0
28
0
0
0
0
10
6
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
13
1
0
73
0
0
0
0
0
0
0
0
0
407
6
0
0
0
222
0
0
0
96
0
0
0
 0
0
21
0
0
0
0
0
0
0
0
159
0
0
0
0
0
0
0
0
0
0
0
0
0
0
37
0
0
42
0
0
0
 0
0
0
0
0
0
36
0
0
0
15
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
28
0
100
97
170
0
0
0
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 50
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 81
7 Alat suntik 50 cc Buah
8 Albendazol tab 400 mg Tablet
9 Alkohol 70%/ liter Botol 5
10 Alludona D Tamblet Tablet
11 Alopurinol tab 100 mg Tablet 404
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul 30
14 Amlodipin tab 5 mg Tablet
15 Amlodipin tab 10 mg Tablet 289
16 Amoksisilin tab 500 mg Kap 2,069
17 Amoksisilin syr kering 125 mg/5 ml Botol 92
18 Antasida doen kombinasi Tablet 1,692
19 Antasida doen suspensi Botol
20 Anti Bakteri Doen Tube
21 Anti fungi Doen Tube
22 Anti Parkinson Kombinasi Tablet
23 Antihemoroid Kombinasi Tablet
24 Artemether Inj 80 mg/ml Ampul
25 Asam askorbat (vitamin C) tab 50 mg Tablet
26 Asam folat tab 1 mg Tablet 470
27 Asam folat tab 0.4 mg Tablet
28 Asam mefenamat kaps 500 mg Kap 517
29 Aseptan + Dispenser Botol 4
30 Asering Botol
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet
33 Asiklovir tab 400 mg Tablet
34 Asiklovir cream 5 % Tube 12
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul
36 Atropin tab 0,5 mg Tablet
37 Azitromisin 500 mg Tablet 97
38 Bioron Inj Ampul
39 Benodon Inj Vial
40 Benzatin Benzin Penisilin 1.2jt Vial
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 5
43 Blood lancet Pcs
44 Bracket handwash plastik Pcs
45 Bronsolvan 150 mg Tablet
46 BTI/Bastivec Botol
47 Bufacetin salep kulit Tube
48 Calcil Glukonas 10% Ampul
49 Captopril 12.5 mg Tablet
50 Captopril 25 mg Tablet 55
51 Carbo Gliserin tetes telinga 10% Botol
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set
54 Ceftriakson inj 1 gr Vial
55 Cetirizine sirup 5mg/ml Botol 55
56 Cetirizine 10 mg Tablet 250
57 Clindamicyn 150 mg Kap
58 Clindamicyn 300 mg Kap 304
59 Codein HCl 10 mg Tablet 357
60 Concor (Bisoprolol) Tablet
61 CTM Tablet 2,067
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah
64 Culticell Gel Buah
65 Culticell Cutback Buah
66 Dehydro Artemesin D artep Tablet
67 Depakote/ Valporat 250 mg Tablet
68 Dermafix T 10x12 cm Pcs
69 Dermafix T 10x8 cm Pcs
70 Dexamethasone Inj Ampul 10
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 5
74 Dipenhidramine HCl Inj Ampul 60
75 Digoxin 0.25 mg Tablet
76 Domperidone 10 mg Tablet 86
77 Domperidone suspensi Botol
78 Doksisiklin 100 mg Tablet
79 Dulcolax/Bisakodil Susp
80 Ecolab Aquagel Tube
81 Epineprhine Inj 0.1% Ampul
82 Eritromisin syr 200 mg/5 ml Botol
83 Eritromisin tab 500 mg Tablet 245
84 Erklasiklin eye Oint Kaps
85 Etil klorida semprot Vial Vial
86 Eugenol Botol
87 Extr Beelladon Tablet
88 Female Cateter no 18 Pcs
89 Fenobarbital tab 30 mg Tablet
90 Fitomenadion (Vit K1) 10 mg Tablet
91 Fitomenadion (vitamin K 1) inj Ampul 60
92 Fixomull 5x5 Pcs
93 Fluication Ampul
94 Flusinolon Asetonid Tube
95 Fluor sediaan topikal Tube
 96 Furosemid tab 40 mg Tablet 200
97 Garam Oralit Bks
98 Genoint Salep Mata 0.3 % Tube
99 Gentamicin Inj 40 mg Ampul
100 Gentamicin Salep kulit 0.1% Tube 6
101 Gentamicin Sulfat tetes mata 0.3% Tube
102 Gliseril Guaikolat 100 mg Tablet
103 Glibenklamid tab 5 mg Tablet 190
104 Gloves Steril No 7 Buah
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah
107 Gloves size M non steril Buah 274
108 Glimiperide 1 mg Tablet
109 Glukosa Larutan Infus Botol 19
110 Griseofulvin (micronized) tab 125 mg Tablet
111 Haloperidol tab 2 mg Tablet 74
112 Hidrogen peroksida cairan 3% H2O2 Botol
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 5
115 Hiosin butilbromida tab 20 mg Tablet
116 I.V Cateter no 18 G Pcs
117 I.V Cateter no 20 G Pcs 32
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 649
121 Ibuprofen suspensi 60 ml Botol
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 44
124 Isosorbid dinitrat tab 5 mg Tablet
125 Jarum 18x 1 1/2 Pcs
126 Kaca slide Pcs
127 Kalsium laktat (kalk) tab 500 mg Tablet
128 Kapas Pembalut 100 gr Bks
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet
131 Kassa Hidrofil 16 x 16 cm Kotak 2
132 Kassa Hidrofil 4 x 10 cm cm Roll
133 Kassa Hidrofil 4 x 5 cm Roll
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll
136 Ketoconazole 200 mg Tablet
137 Ketoconazole krim 2%\ Tube
138 Ketorolac Inj 30 ml Ampul
139 Klopidogrel 75 mg Tablet
140 Kloramfenikol salep kulit 1% (bufacetin) Tube
141 Kloramfenikol susp 125 mg/5 ml Botol
142 Kloramfenikol tetes telinga 3% Tube
143 Kloramfenikol tts mata 1% Tube
144 Kombinasi kaolin+pektin Tablet
145 Kotrimoksazole Dewasa 480 mg Tablet 1,089
146 Kotrimoksazole suspensi Botol 120
147 Lab Kit Malaria Set
148 Lansoprazole 30 mg Tablet 0
149 Larutan Antiseptik Botol
150 Levofloksacin 500 mg Tablet
151 Levopar Tablet
152 Levotiroksin 100 mg Tablet
153 Lidokain composit Ampul
154 Lidokain Inj Ampul 6
155 Loperamid tab 2 mg Tablet 330
156 Loratadine 10 mg Tablet
157 Lysol 1 liter Botol 4
158 Masker Pcs 123
159 MDT MB Anak Blister
160 MDT MB Dewasa Blister
161 Meptin Swinghaler Pcs
162 Metformin tab 500 mg Tablet 83
163 Metilergometrin inj 0,2 mg/ml Tablet
164 Metilergometrin tab Tablet
165 Metoklopramid tab 10 mg Tablet
166 Metronidazol susp 125 mg/5 ml Botol
167 Metronidazol tab 500 mg Tablet 417
168 Metylprednisolone 4 mg Tablet 330
169 MgSO4 Inj 20% Ampul
170 MgSO4 Inj 40% Ampul 12
171 Mob cap Buah
172 Mikonazol krim 2% Tube 15
173 Mikrotois Buah
174 Mineral Mix Sct
175 Molagit Tablet
176 N-asetil sistein kaps 200 mg Kaps
177 Nasal Oksigen size S Buah
178 Nasal Oksigen size XS Buah
179 Natrium Tiroksin Tablet
180 Natrium diklofenak tab 25 mg Tablet
181 Natrium diklofenak tab 50 mg Tablet
182 Natrium Klorida Larutan infus Botol
183 Needle 0.306 x 21 mm Buah
184 New Antides (Attapulgit) Tablet
185 Nifedipin kaps 10 mg Tablet
186 Nistatin tab salut 500.000 UI Tablet
187 Nistatin tab vaginal 100.000 UI Tablet
188 Nonwoven Fixation 10 x 10 Pcs
189 Nonwoven Fixation 5 x 10 Pcs
190 OAT Kategori & III (FDC) Paket
191 OAT Kategori Anak Paket
192 OAT Kategori II Paket
193 OAT Sisipan Paket
194 Oksimetazolin tts hidung 0,025% Iliadin Botol
195 Oksimetazolin tts hidung 0,050% Iliadin Botol
196 Obat Batuk Hitam (OBH) syr Botol 44
197 Oksitetrasiklin 1% Salep Mata Tube 19
198 Oksitosin inj 10 UI/ml Ampul 25
199 Omeprazol kaps 20 mg Kaps
200 Omecough sirup Botol
201 Omegtamin tablet Tablet
202 Omegdiar tablet Tablet
203 Omegesic Tablet
204 Ondensentron 4 mg Tablet
205 Ondensentron 8 mg Tablet
206 Onescrab 500 cc + dispenser Botol
207 Ofloxacin 400 mg Tablet
208 Paracetamol drop 15 ml Botol
209 Parasetamol tab 500 mg Tablet 798
210 Parasetamol sir 120 mg/5 ml Botol 7
211 Pehavral Tablet
212 Plester Anti Air Buah
213 Pirantel Pamoate 125 mg Tablet
214 Piridoksin (vitamin B6) tab 10 mg Tablet 78
215 Povidon iodin 30 ml Botol
216 Povidon iodin 60 ml Botol 5
217 Povidon iodin 300 ml Botol
218 Prednison tab 5 mg Tablet 628
219 Primakuin tab 15 mg Tablet
220 Propiltiourasil tab 100 mg Tablet
221 Propanolol 40 mg Tablet
222 Propranolol 10 mg Tablet
223 Ranitidine Inj 25 mg Ampul 14
224 Ranitidin tab 150 mg Tablet 157
225 Rapid Sifilis (Hexagon) Paket 37
226 Rapid Tes Malaria Paket
227 Ringer Laktat Infus Steril Botol 15
228 Rivanol Botol
229 Rovital Tablet
230 Safety box Buah
231 Salbron Expectorant Botol
232 Salbutamol tab 2 mg Tablet
233 Salbutamol tab 4 mg Tablet
234 Salbutamol cairan 0.1% Botol
235 Salep 2-4 Pot
236 Salisil Bedak 2% Bks
237 Sarung tangan Obgyn Steril Buah 5
238 Sefradoksil Kaps Kaps
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol
241 Sefixim 100 mg Tablet
242 Sefotaksim serbuk Inj 1 gr Vial
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 50
245 Sianokobalamin (vitamin B12) tab Tablet
246 Stik Benang Bedah no 2/0 Buah 128
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 263
249 Simvastatin tab sal 20 mg Tablet 228
250 Sipemetrin Tablet
251 Siprofloksasin tab 50 mg Tablet 826
252 Sound timer Unit
253 Sputum pot Buah
254 Stomac tab Tablet
255 Stomac Syr Botol
256 Stomac no 17 Pcs
257 Stomac no 18 Pcs
258 Sulfadoxin Tablet
259 Sufprafenid Susp
260 Swab 2 Play Buah
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul
263 Tetrasiklin HCl 250 mg Tablet
264 Tetrasiklin HCl 500 mg Kaps
265 Thiamin HCl (Vit B1) 50 mg Tablet 200
266 Tramadol Inj Ampul
267 Trihexypenidyl Tablet
268 Unibical Buah
269 Under Pad 60 x 90 Buah
270 Urine Bag Buah
271 Veroreb (Rabies Vaksin) Ampul
272 Vit A Biru (100.000 IU) Kaps
273 Vit A Merah (200.001 IU) Kaps
274 Vitamin B kompleks Tablet
275 Water Inj Botol
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol
278 Nald Tromo Buah
279 KN 95 Buah
280 Nasal S Buah
281 Resperidon Tablet 11
282 Rapid HbsAg Pcs
283 Molexflu Tablet 100
284 Bio ATP Tablet 163
285 Pritavit Tablet 470
286 NB Topical Ointment Tube
287 Rapid Test HIV Buah 18
288 Fenol Glyseril Tetes Telinga 10% Botol 29
289 Alpara sirup Botol 16
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILIM
Bulan : Februari
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan

50 1 1 2 1
0
81 2 1 2
0
0
5
0
404
300 300
30
0
300 589 15 15 20 5 20 15 15 25 20
1,000 3,069 55 75 35 30 85 55 50 65 55
92
1,692 65 66 65 30 85 45 64 34 66
0
0
0
0
0
0
1,000 1,000
 470 20 30 10 10
0
500 1,017 30 20 30 40 10 10
4
0
0
0
0
12 1
0
0
97
0
0
0
0
10 15 1
0
0
0
0
0
0
0
55
0
9
0
0
55
200 450 5 10 15 5
0
304
357
0
19,600 21,667 20 10 15 15 20 30 10 15 20
8
0
0
0
0
0
0
0
10 1
0
177
5
60
0
200 286 15 20
0
0
0
0
0
0
245 10
0
0
0
0
0
0
0
60
0
0
0
0
 200
0
0
0
12 18
0
0
5,000 5,190
0
10 10
0
100 374 3 2 2 2 1 2
0
19 1
0
74 14
0
100
5 1 2
0
0
32
88
58
300 949 20 15 10 20
0
99
44
0
0
0
0
0
13
0
5 7 1
0
0
22
0
0
0
0
0
0
0
0
0
0
1,089 10 10 10
120 2 1 1 2
0
100 100
0
0
0
0
0
6
330
0
4
200 323 8 6 5 10 5 3 3 5
0
0
0
83
0
0
0
 0
417 13 20 10
330 15 10 20
0
12
0
15 2 3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44 2 1 2 2 1 1
19
25
0
0
 0
0
0
0
0
0
0
0
900 1,698 20 30 20 10 35 40 30 50 20
100 107 1 2 2
0
0
0
300 378 20 10 16
0
5 1
0
628 12 3 6 5
0
0
0
0
14
200 357
37
0
15 1 1
0
0
0
0
0
0
0
0
 0
5
0
0
0
0
0
66
50
0
128
59
263 14
228
0
826 12 12 30 10 15 15
0
0
0
0
0
0
0
0
0
0
0
0
0
300 500 15 20 30 20 10 10
0
0
0
0
0
 0
0
0
0
0
0
0
0
50 50
0
11
0
200 300 20 10 20 5 15
200 363
470 15 15 20
0
18
29 1
16 1 2

Yang Meminta:
Kepala Puskesmas
 Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

MALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 2 1

2 1 1

15 10 20 10

10 15 20 15 15 10 20 15 10 15
20 75 55 75 30 60 30 85 70 55 55
2 2
30 35 76 45 77 65 30 40 40 85 40
20 20 10 20 10

40 20 25 10 20 15 20 35

14 15
10 40 25 10 20 30 10 30 20 20 10

10 20 10 20

10
 1 1 1

1 3 2 3

14

1 1

20 10 20 10 20
 2 1 1

20 20 10 10 10 10 10
1 1 1 1 2

20 10 10

2 1
20 20

2 8 9 3 5 3 3 2 3 5 4
20 10 20 20 10 20
10 10 20

1 1

2 2 1 1 2 1 1
5 20 30 40 40 25 10 40 30 30 40
1 1

20 10 10 20 30

3 2 3 5 5 3

1
 1

14 14 14

20 10 20 20 10 10

25 10 20 10 20 10 10
 11

10 20 5 5 10 20 10 5

20 20

1
1 1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
 Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan

1 11 39
0 0
1 1 11 70
0 0
0 0
0 5
0 0
0 404
20 10 15 15 115 185
0 30
0 0
10 20 325 264
45 20 65 55 1300 1,769
1 5 10 82
40 20 55 50 1248 444
0 0
0 0
0 0
0 0
0 0
0 0
0 1,000
10 30 190 280
0 0
15 20 20 380 637
0 4
0 0
0 0
0 0
0 0
2 10
0 0
0 0
0 97
0 0
0 0
0 0
0 0
2 13
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 55
0 0
0 9
0 0
0 0
0 55
10 10 84 366
0 0
0 304
0 357
0 0
30 20 45 20 495 21,172
0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 8
0 0
0 177
0 5
0 60
0 0
95 191
0 0
0 0
0 0
0 0
0 0
0 0
20 225
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 60
0 0
0 0
0 0
0 0
 0 200
0 0
0 0
0 0
1 4 14
0 0
0 0
0 5,190
0 0
0 10
0 0
3 2 26 348
0 0
1 18
0 0
28 46
0 0
0 100
5 0
0 0
0 0
0 32
0 88
0 58
145 804
0 0
0 99
0 44
0 0
0 0
0 0
0 0
0 0
0 13
0 0
2 7 0
0 0
0 0
0 22
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 10 150 939
2 1 15 105
0 0
10 50 50
0 0
0 0
0 0
0 0
0 0
3 3
40 290
0 0
0 4
2 2 3 2 101 222
0 0
0 0
0 0
0 83
0 0
0 0
0 0
 0 0
20 163 254
10 95 235
0 0
0 12
0 0
7 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 21 23
0 19
0 25
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 10 20 20 655 1,043
1 1 1 10 97
0 0
0 0
0 0
10 10 156 222
0 0
1 4
0 0
10 12 69 559
0 0
0 0
0 0
0 0
0 14
0 357
0 37
0 0
3 12
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 5
0 0
0 0
0 0
0 0
0 0
0 66
1 2 48
0 0
0 128
0 59
56 207
0 228
0 0
10 194 632
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 20 10 260 240
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 50
0 0
11 0
0 0
155 145
0 363
90 380
0 0
0 18
2 27
6 10

des
des

Md
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs
2 Acdat cream Tube
3 Adalat oros Tablet
4 Alat suntik 3 ml/25 ml Buah 39
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 70
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 5
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 404
12 Ambroxol tab 30 mg Tablet 185
13 Aminofilin injj 24 mg/ml Ampul 30
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 264
16 Amoksisilin tab 500 mg Kap 1,769
17 Amoksisilin syr kering 125 mg/5 ml Botol 82
18 Antasida doen kombinasi Tablet 444
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 0
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 1,000
26 Asam folat tab 1 mg Tablet 280
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 637
29 Aseptan + Dispenser Botol 4
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 10
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 97
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 13
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 55
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 55
56 Cetirizine 10 mg Tablet 366
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 304
59 Codein HCl 10 mg Tablet 357
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 21,172
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
 66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 8
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 5
74 Dipenhidramine HCl Inj Ampul 60
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 191
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 225
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 60
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 200
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 14
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 5,190
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 10
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 348
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 18
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 46
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 32
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 804
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 44
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 939
146 Kotrimoksazole suspensi Botol 105
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 50
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 3
155 Loperamid tab 2 mg Tablet 290
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 4
158 Masker Pcs 222
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 83
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 0
167 Metronidazol tab 500 mg Tablet 254
168 Metylprednisolone 4 mg Tablet 235
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 12
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 8
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 23
197 Oksitetrasiklin 1% Salep Mata Tube 19
198 Oksitosin inj 10 UI/ml Ampul 25
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 1,043
210 Parasetamol sir 120 mg/5 ml Botol 97
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 222
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 4
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 559
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 14
224 Ranitidin tab 150 mg Tablet 357
225 Rapid Sifilis (Hexagon) Paket 37
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 12
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 5
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 48
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 128
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 207
249 Simvastatin tab sal 20 mg Tablet 228
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 632
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 240
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 50
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 145
284 Bio ATP Tablet 363
285 Pritavit Tablet 380
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 18
288 Fenol Glyseril Tetes Telinga 10% Botol 27
289 Alpara sirup Botol 10
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SIL
Bulan : Maret
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
39 2 1 2 2
0
70 2 1 1
0
0
5 1
0
404 7 14 14 7 7
500 685 10 12 25 45 5 35
30
0
1,000 1,264 25 15 35 12 15 14 17 14 14
3,000 4,769 55 65 45 30 55 50 55 25 40
82 2 1 3 1 1
3,000 3,444 35 35 30 20 35 45 45 60 20
0
0
0
0
0
0
500 1,500 12 20 12 12 6 6 10 20 14
500 780 10 10 10
0
1,000 1,637 20 10 25 10 30 25 30 25 20
 4 1
0
0
0
0
10 1
0
0
97
0
0
0
0
13 2 1 1
0
0
0
0
0
0
0
55 5 7 14
0
9
0
0
55 1 2
300 666 10 20 15 15 20
0
304 15 20 10 10
357 10
0
21,172 15 35 10 10 16 20 35 15 15
8
0
0
0
 0
0
0
0
8
0
177
5
60 1
0
300 491 5 15 20 15 20 10 15
0
0
0
0
0
0
225 10 5 10
0
0
0
0
0
0
0
60 1
0
0
0
0
200
0
0
0
12 26 1
0
0
 5,190
0
20 30 2
0
200 548 1 2 2 1
0
18
0
46 7
0
100
0
0
0
32
88
58
500 1,304 35 22 15 10 20 30 10 20 10
0
99
44
0
0
0
0
0
13
0
20 20 2 2
0
0
22
0
0
0
0
0
 0
0
0
0
0
500 1,439 20 20 10 10
105 1 1 2 1
0
50
0
0
0
0
0
3
290 10 10 20 10
0
4 1
222 10 5 4 8 5 6 12
0
0
0
83 13 12 12 15
0
0
0
0
254
235 12 14 10
0
12
0
8 1
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
23 2 3
19
25
0
0
0
0
0
0
0
0
0
0
1,500 2,543 35 22 45 10 41 45 32 45 25
100 197 3 3 2 1 1
0
0
0
500 722 20 12 15 16 33 20 25
0
4 1
0
559 15 5 14 5 14 24 10 10
0
0
0
0
14 1 1
200 557 10 15 15 18 15 15 12 12
37
0
12
0
0
0
0
0
0
0
0
0
5 1
0
0
0
0
0
66
48 2
0
128
59
207 5 20 15
228 12 13 5 12 12 7 14
0
 632 10 10 10 17 25 15 19
0
0
0
0
0
0
0
0
0
0
0
0
0
500 740 14 21 25 7 15 12 10
0
0
0
0
0
0
0
0
0
0
0
0
0
50 5 10
0
0
0
300 445 10 10 20 20 5 20
200 563 23 3 5 25 20 25 15
380 10 5 15 5 10 15 10 12 6
0
18
27 1 1
10 2 2

Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

MALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

1 2 2 1

1 1

14 7 7 14 5 11
10 34 34 26 13

7 17 10 15 12 21 14 21 17 47
30 40 45 40 55 20 20 40 75 60
2 1 2 1 2
30 30 35 45 50 40 14 40 55 22

10 15 14 21 12 6 10 15 12 14
10 10 10

20 20 20 20 30 20 20 20 10 11
 1

5 5

1 2 1

2 3 1 1
10 30 15 15 20 10 35 10 20

20 10 20

10 10 14 12 20 10 15 10 25 20
 1 2

10 10 20 15 10 20 10

10 15

1
 14

2 1 1

1 2 2

15

10 55 35 45 15 20 20

1
 15 20 30 15 10
1 1 1 2

3 12 9

20 10 10

10 8 8 3 3

7 14

15 5
20 15 14 6

1
 1 2 1

25 30 40 43 45 35 10 40 35 65
1 1 2 2
10 37 15 16 6 15 14 20 28 33

15 10 10 15 10 10 15 15

1
10 15 15 20 10 10 6 12 14

1 2

10 4 14 7 12 5 15 6
7 14 15 12
 7 13 12 13 10 12 20 12

10 14 15 15 10 14 21

5 5

10 10 15 2 30 25
30 3 25 2 25 15
7 3 15 20 7 15 5 12 7 4
 1
1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
PO)

Jumlah
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
0
0
0
1 14
0
1 1 8
0
0
1
0
7 12 126
34 14 35 332
0
0
21 14 14 45 14 15 17 14 496
45 45 30 65 40 40 45 30 1185
2 1 1 20
25 20 15 55 45 60 35 20 961
0
0
0
0
0
0
12 12 14 14 20 14 20 12 359
60
0
20 10 10 10 20 10 10 476
 2
0
0
0
0
1
0
0
10
0
0
0

8
0
0
0
0
0
0
0
26
0
0
0
0
1 1 12
20 10 10 10 10 305
0
10 10 125
10
0
10 20 10 20 30 15 15 10 447
0
0
0
0
 0
0
0
0
0
0
0
0
1 5
0
10 10 10 225
0
0
0
0
0
0
50
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
2 1 5
0
0
 14
0
1 7
0
1 1 1 14
0
0
0
22
0
0
0
0
0
0
0
0
25 35 35 30 10 507
0
0
0
0
0
0
0
0
0
0
2 7
0
0
0
0
0
0
0
0
 0
0
0
0
0
20 20 10 20 30 250
1 2 1 14
0
24
0
0
0
0
0
0
10 10 20 10 140
0
1
4 4 4 2 96
0
0
0
10 83
0
0
0
0
10 30
6 12 6 115
0
0
0
2
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
0
0
0
0
0
0
65 20 10 45 10 55 25 20 918
1 2 2 1 2 24
0
0
0
 24 12 12 383
0
1
0
15 12 14 15 15 268
0
0
0
0
1 4
12 12 12 13 13 12 298
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
5
0
0
0
13 14 14 154
7 12 10 14 12 10 188
0
 10 25 12 12 20 24 12 320
0
0
0
0
0
0
0
0
0
0
0
0
0
25 10 35 15 12 24 324
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
10 15 30 15 20 15 10 292
25 45 15 20 15 336
14 7 14 15 10 10 12 265
0
0
 3
1 7

Poskesdes

G, A.Md
73
Sisa Akhir
Ket
Bulan

0
0
0
25
0
62
0
0
4
0
278
353
30
0
768
3,584
62
2,483
0
0
0
0
0
0
1,141
720
0
1,161
 2
0
0
0
0
9
0
0
87
0
0
0

5
0
0
0
0
0
0
0
29
0
9
0
0
43
361
0
179
347
0
20,725
8
0
0
0
0
0
0
0
8
0
177
5
55
0
266
0
0
0
0
0
0
175
0
0
0
0
0
0
0
58
0
0
0
0
200
0
0
0
21
0
0
5,176
0
23
0
534
0
18
0
24
0
100
0
0
0
32
88
58
797
0
99
44
0
0
0
0
0
13
0
13
0
0
22
0
0
0
0
0
 0
0
0
0
0
1,189
91
0
26
0
0
0
0
0
3
150
0
3
126
0
0
0
0
0
0
0
0
224
120
0
12
0
6
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14
19
25
0
0
0
0
0
0
0
0
0
0
1,625
173
0
0
0
339
0
3
0
291
0
0
0
0
10
259
37
0
12
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
66
43
0
128
59
53
40
0
312
0
0
0
0
0
0
0
0
0
0
0
0
0
416
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
153
227
115
0
18
24
3
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 25
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 62
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 4
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 278
12 Ambroxol tab 30 mg Tablet 353
13 Aminofilin injj 24 mg/ml Ampul 30
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 768
16 Amoksisilin tab 500 mg Kap 3,584
17 Amoksisilin syr kering 125 mg/5 ml Botol 62
18 Antasida doen kombinasi Tablet 2,483
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 0
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 1,141
26 Asam folat tab 1 mg Tablet 720
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 1,161
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 9
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 87
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet
42 Betametason krim 0,5 mg/g Tube 5
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 29
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 43
56 Cetirizine 10 mg Tablet 361
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 179
59 Codein HCl 10 mg Tablet 347
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 20,725
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 8
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 177
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 5
74 Dipenhidramine HCl Inj Ampul 55
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 266
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 175
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
 90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 58
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 200
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 21
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 5,176
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 23
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 534
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 18
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 24
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 32
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 797
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 44
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 13
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 1,189
146 Kotrimoksazole suspensi Botol 91
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 26
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 3
155 Loperamid tab 2 mg Tablet 150
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 3
158 Masker Pcs 126
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 0
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 0
167 Metronidazol tab 500 mg Tablet 224
168 Metylprednisolone 4 mg Tablet 120
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 12
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 6
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 14
197 Oksitetrasiklin 1% Salep Mata Tube 19
198 Oksitosin inj 10 UI/ml Ampul 25
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 1,625
210 Parasetamol sir 120 mg/5 ml Botol 173
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 339
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 3
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 291
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 10
224 Ranitidin tab 150 mg Tablet 259
225 Rapid Sifilis (Hexagon) Paket 37
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 12
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 4
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 43
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 128
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 53
249 Simvastatin tab sal 20 mg Tablet 40
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 312
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 416
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 25
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 153
284 Bio ATP Tablet 227
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 18
288 Fenol Glyseril Tetes Telinga 10% Botol 24
289 Alpara sirup Botol 3
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : April
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
25 1
0
62 1 1
0
0
4
0
278 14 21 7
353 15 15 20 10 10 21
30
0
768 14 28 21 15 20 25 10 10
3,584 65 55 75 65 45 55 20 65
62 2 2 1 1 1
2,483 25 35 25 20 25 15 10 32
0
0
0
0
0
 0
1,141 12 25 14 15 25 10 15
720 20 20 20 10 10 10
0
1,161 15 20 25 15 10 40 15 20
2
0
0
0
0
9
0
0
87 6
0
0
0
0
5
0
0
0
0
0
0
0
29
0
9
0
0
43 1 1
361 12 25 25 15 10 14
 0
179 10 20 20
347
0
20,725 25 45 35 16 45 55 10 45
8
0
0
0
0
0
0
0
8
0
177
5
55
0
266 15 12 25 20 15 10
0
0
0
0
0
0
175 20 10 10
0
0
0
0
0
0
 0
58 1
0
0
0
0
200
0
0
0
21 1 1
0
0
5,176
0
23
0
534 2 2
0
18
0
24 14
0
100
0
0
0
32
88
58
797 35 25 20 20 20 30 15 15
0
99
 44
0
0
0
0
0
13
0
13 1
0
0
22
0
0
0
0
0
0
0
0
0
0
1,189 15 25 10 20 15 20 25
91 1 2 1 1
0
26 12 14
0
0
0
0
0
3 1
150 10 20 20
0
3
126 5 6 12 10
0
0
0
0
0
0
0
0
224 10 10
120 12 10
0
12
0
6 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
14
19
25
0
0
0
0
0
0
0
0
0
0
1,625 25 70 55 55 68 65 20 64
173 1 1 2 3 1
0
0
0
339 12 12 15 15 10 15
0
3
0
291 3 14 25 20 15 10 12
0
0
0
0
10 1
259 25 20 20 25 15
37
0
12
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
66
43
0
128
59
53 14 14
40 12 12
0
312 15 20 25 10 15
0
0
0
0
0
0
0
0
0
0
0
0
0
416 15 25 10 10 15
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
153 15 10 15 10 25
227 20 14 15 10 15 15
115
0
18
24
3 1

Yang Meminta:
Kepala Puskesmas

dr. IKBAL JAMBAK

NIP : 198504292011011012
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 1

15 10 10 10 15 10

15 15 25 10 10 25 15 15 10 15 15
75 60 65 65 55 55 85 65 75 55 35
1 1 2 1 1
25 15 45 15 20 45 25 45 35 45 15
 15 12 10 15 25 21 10
20 10 10 10 10 20 10 10

30 30 15 20 10 15 20 15 40 10 10
1

12

12 12 5

1 1 2
14 21 15 15 10
 10 10 10

35 45 30 20 20 15 25 10 12 20 10

1 1

15 10 10

20 20
 1

10

1 1 1

2 2 2 1 4 2

10

10 20 25 35 20 25 15 20 25 24 20
 1 1

15 15 25 10 15
1 1 2

1
10 10
5 2 8 15 10 8 5

15 15
12 12 12 10

1
54 30 55 25 15 65 55 65 55 25 15
1 1 2 1

25 10 10 10 25 10 10 10

15 14 21 12 12 21 25 21 10
20 35 20 25 20 20 14

1 1

7 18
16

10 20 10 20 10 25 10
 10 18 10 18 10 12 21

20 26 20 12
10 15 15 30 10 21 10 15 12
1 1
1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan
0 0
0 0
0 0
1 4 21
0 0
1 4 58
0 0
0 0
1 3
0 0
42 236
15 15 10 15 216 137
0 30
0 0
15 20 25 10 15 10 408 360
65 45 65 55 65 55 1485 2,099
1 1 1 16 46
40 25 60 35 45 10 732 1,751
0 0
0 0
0 0
0 0
0 0
 0 0
15 12 10 261 880
10 10 20 10 20 260 460
0 0
15 30 25 20 30 15 510 651
1 1
0 0
0 0
0 0
0 0
1 8
0 0
0 0
18 69
0 0
0 0
0 0
0 0
0 5
0 0
0 0
0 0
0 0
0 0
0 0
0 0
29 0
0 0
0 9
0 0
0 0
1 1 8 35
12 24 15 227 134
 0 0
10 90 89
10 10 337
0 0
15 25 15 25 30 10 638 20,087
0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 8
0 0
0 177
0 5
2 53
0 0
132 134
0 0
0 0
0 0
0 0
0 0
0 0
20 100 75
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
2 56
0 0
0 0
0 0
0 0
10 190
0 0
0 0
0 0
2 7 14
0 0
0 0
0 5,176
0 0
0 23
0 0
3 5 5 30 504
0 0
0 18
0 0
24 0
0 0
0 100
0 0
0 0
0 0
0 32
0 88
0 58
25 20 25 26 25 35 575 222
0 0
0 99
 0 44
0 0
0 0
0 0
0 0
0 0
0 13
0 0
3 10
0 0
0 0
0 22
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 15 10 250 939
9 82
0 0
26 0
0 0
0 0
0 0
0 0
0 0
2 1
70 80
 0 0
0 3
6 92 34
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 174
68 52
0 0
0 12
0 0
2 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 14
0 19
0 25
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
65 55 45 45 20 10 1121 504
3 1 17 156
0 0
0 0
0 0
10 15 15 10 20 10 269 70
0 0
1 2
0 0
8 21 12 291 0
0 0
0 0
0 0
 0 0
1 9
259 0
0 37
0 0
0 12
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 4
0 0
0 0
0 0
0 0
0 0
0 66
2 41
0 0
0 128
0 59
53 0
40 0
0 0
12 15 10 10 237 75
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 10 15 15 12 251 165
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 25
0 0
0 0
0 0
153 0
227 0
0 115
0 0
0 18
 2 22
3 0

des

Md
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 21
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 58
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 3
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 236
12 Ambroxol tab 30 mg Tablet 137
13 Aminofilin injj 24 mg/ml Ampul 30
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 360
16 Amoksisilin tab 500 mg Kap 2,099
17 Amoksisilin syr kering 125 mg/5 ml Botol 46
18 Antasida doen kombinasi Tablet 1,751
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 0
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 880
26 Asam folat tab 1 mg Tablet 460
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 651
29 Aseptan + Dispenser Botol 1
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 8
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 69
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 5
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 35
56 Cetirizine 10 mg Tablet 134
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 89
59 Codein HCl 10 mg Tablet 337
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 0
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
 66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 8
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube
74 Dipenhidramine HCl Inj Ampul 53
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 134
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 75
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 56
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 190
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 14
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 5,176
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 23
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 504
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 18
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 100
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 32
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 222
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 99
123 Infus set Dewasa Pcs 44
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 10
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 939
146 Kotrimoksazole suspensi Botol 82
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 0
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 1
155 Loperamid tab 2 mg Tablet 80
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 3
158 Masker Pcs 34
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 0
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 0
167 Metronidazol tab 500 mg Tablet 174
168 Metylprednisolone 4 mg Tablet 52
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 12
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 4
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 14
197 Oksitetrasiklin 1% Salep Mata Tube 19
198 Oksitosin inj 10 UI/ml Ampul 25
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 504
210 Parasetamol sir 120 mg/5 ml Botol 156
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 70
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 2
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 37
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 12
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 4
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 41
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 128
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 0
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 75
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 165
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 25
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 Bio ATP Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 18
288 Fenol Glyseril Tetes Telinga 10% Botol 22
289 Alpara sirup Botol 0
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SIL
Bulan : Mei-Juni
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
100 121 1 2 1
0
58 1
0
0
3 1
0
500 736 24 13 23 11 24 24 44 24
500 637 25 45 25 65 54 25 21
30 1
0
1,000 1,360 24 35 35 23 42 24
1,000 3,099 55 65 132 56 45 34 24 52 87 68
50 96 1 3 5 2 1 5 2
2,000 3,751 25 45 24 133 45 64 42 52 53 64
0
0
10 10 1
0
0
0
1,000 1,880 35 25 25 25 23 15 15 10 35 28
460 20 10 20 20
0
600 1,251 65 110 36 58 45 24 56 56 25
 4 5
0
0
0
0
8
0
0
69 12
0
0
0
0
25 30 2 1 2 1
0
0
0
0
0
0
0
0
0
9
0
0
35 2 5 2 1 1 2 4
200 334 20 20 15 10 12
0
89 15 20 30 24
337
0
1,000 1,000 24 14 24 35 24 52 42 35
8
0
0
0
 0
0
0
0
20 28 2
0

0
53 2 1 2 4
0
100 234 15 14 24 32 24
0
0
0
0
0
0
100 175 5 15
0
0
0
0
0
0
0
56 1 2 1 2
0
0
0
0
190 10
0
0
0
12 26 2 2 1
0
0
 5,176 20 10 20 20 10 25
0
10 33 1 2 2 2 1
0
100 604 12 6 5 6 4 6 5 6 6 5
0
18 2 1 1 1
0
0
0
100
0
0
0
32
88
58
1,000 1,222 32 42 20 20 23 30
0
99
44
0
0
0
0
0
13
0
10 20 2
0
0
22
0
0
0
0
0
 0
0
0
0
0
1,000 1,939 20 30 30 10 10 20 32 15 31 14
82 2 5 2 1 4 2 3
0
400 400 15 5 10 25 16 10
0
0
0
0
0
25 26 2 1 2 1
80 14 14 20 20 12
0
3 1
250 284 20 5 10 5 10 20 15 10 15 10
0
0
0
400 400 15 28 30 25 15 10
0
0
0
50 50 2 1 2 1 2 1
174 15 10 15 12
400 452 15 15 25 12 21 20 25 24
0
12 1
0
24 28 5 2 2
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60 74 4 1 5 2 2 1 3 2
19 1 1 1
25 2
0
0
0
0
0
0
0
0
0
0
300 804 15 25 30 45 48 51 21 20 36 50
156 2 5 4 3 6 4 1 2 5
0
0
0
300 370 18 28 24 24 15 14 30
0
2
0
0
0
0
0
0
9
0
37 1 2 1
0
12 1 2 2
0
0
0
0
0
0
0
0
0
4 2
0
0
0
0
0
66
41 2 3 2 1
0
128
59
0
1,000 1,000 35 12 18 36 25 38 42 25
0
1,000 1,075 35 35 30 25 35 15 14
0
0
0
0
0
0
0
0
0
0
0
0
0
300 465 18 15 32 10 26 26
0
0
0
0
0
0
0
0
0
0
0
0
0
25 2 1 1 1 1
0
0
0
200 200 15 20 10 30 20 20 10
200 200 15 20 30 12 20 20
115
0
18 1 2 1 2 10
22 5
0

Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung

NIP : 1199802202011010228
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA

MALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22

1 1 2 3 3 1

2 1 1

23 32 13 31 13 24 31 24
25 28 42 35 15 35 45 52 25

25 25 74 53 35 32 14 24 53
75 110 46 135 42 43 53 66 103 42 63 63
1 3 2 3 2 6 3
74 46 24 52 46 64 110 152 63 36 64 67

54 52 25 15 24 45 65 32 54 26 15 24
20 10

35 32 35 26 56 23 30 56 32 32 25 21
 1

12

1 1 1 2

2 2 2 4 1 2
15 12 24 35 32 16 24 25

42 15 54 23 42 52 25 44 34
 1 1

14 15 15 25 35 21

20 10

1 2 2

1 2 1 1 1
 30 20 15 10

1 1 1 2 2 2 3 1 3

3 4 5 6 5 6 6 8 6 8 7 9

1 2 1

40 10 31 35 15 53 35 31 18 30 40

1
1

2 2 1
 20 30 20 30 15 25 20 30 30 35 20 30
2 3 2 5 1 3 1 2

35 25 25 20 10 26

1 1 2

15 12 15 10 10 15 10 15 10 10 15 12

20 25 15 20 25 30

2 1
10 15 15 10 20 20
25 25 24 24 26

1
1 2 5 1 2 1 2
1
1

25 23 20 24 26 20 40 30 35 32 20 32
5 3 4 6 1 5 6 3 4 5 5
 14 21 25 24 25 20 22 31

1 1 1 2

1 1

2 1 1

15 46 26 35 32 32 28 25 23 25
 20 35 10 20 15 20 30 15 45

32 21 32 26 35

1 1 2 12 3

20 30 25
35 20 18 10

2
 1 1

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
PO)

Jumlah
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
0
0
0
3 1 2 1 22
0
5
0
0
1
0
42 11 12 13 15 13 23 35 16 558
14 21 10 5 15 10 637
1
0
24 15 45 25 35 53 53 25 793
75 85 75 85 68 86 56 75 25 2089
2 6 3 2 1 3 1 57
64 35 24 53 64 65 136 24 53 1863
0
0
3
0
0
0
22 35 15 32 32 56 35 15 24 933
100
0
22 20 56 54 20 23 32 1105
 1 1 3
0
0
0
0
1 2
0
0
24
0
0
0
0
3 2 2 1 1 20
0
0
0
0
0
0
0
0
0
0
0
0
1 2 1 1 35
15 24 14 12 9 334
0
89
0
0
24 45 43 35 64 14 806
0
0
0
0
 0
0
0
0
1 1 2 8
0
0
0
9
0
234
0
0
0
0
0
0
15 10 75
0
0
0
0
0
0
0
2 1 14
0
0
0
0
10 20
0
0
0
1 2 1 1 16
0
0
25 10 20 30 10 275
0
2 2 1 1 2 1 33
0
11 6 8 10 8 8 12 10 9 216
0
1 1 2 3 1 1 18
0
0
0
10 10
0
0
0
1
0
0
15 20 30 55 30 40 30 725
0
1
1
0
0
0
0
0
0
0
2 1 2 2 14
0
0
0
0
0
0
0
0
 0
0
0
0
0
40 30 20 25 45 40 23 45 10 795
2 1 5 1 2 3 52
0
222
0
0
0
0
0
1 1 2 14
80
0
1
15 284
0
0
0
20 15 10 303
0
0
0
1 1 2 1 1 18
25 7 174
281
0
1
0
1 11
0
0
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4 1 1 2 42
4
3
0
0
0
0
0
0
0
0
0
0
25 32 15 20 25 19 804
2 2 5 2 5 1 4 1 2 103
0
0
0
 15 10 10 370
0
0
0
0
0
0
0
0
0
0
1 5
0
1 1 12
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
1 13
0
0
0
0
24 18 26 15 28 32 12 24 697
0
35 15 30 20 15 35 10 15 574
0
0
0
0
0
0
0
0
0
0
0
0
0
15 288
0
0
0
0
0
0
0
0
0
0
0
0
0
25
0
0
0
200
200
0
0
18
 1 2 10
0

Poskesdes

G, A.Md
73
Sisa Akhir
Ket
Bulan

0
0
0
99
0
53
0
0
2
0
178
0
29
0
567
1,010
39
1,888
0
0
7
0
0
0
947
360
0
146
2
0
0
0
0
6
0
0
45
0
0
0
0
10
0
0
0
0
0
0
0
0
0
9
0
0
0
0
0
0
337
0
194
8
0
0
0
0
0
0
0
20
0
0
0
44
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
42
0
0
0
0
170
0
0
0
10
0
0
4,901
0
0
0
388
0
0
0
0
0
90
0
0
0
31
88
58
497
0
98
43
0
0
0
0
0
13
0
6
0
0
22
0
0
0
0
0
 0
0
0
0
0
1,144
30
0
178
0
0
0
0
0
12
0
0
2
0
0
0
0
97
0
0
0
32
0
171
0
11
0
17
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
32
15
22
0
0
0
0
0
0
0
0
0
0
0
53
0
0
0
0
0
2
0
0
0
0
0
0
9
0
32
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
66
28
0
128
59
0
303
0
501
0
0
0
0
0
0
0
0
0
0
0
0
0
177
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
115
0
0
12
0
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 53
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 178
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul 29
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 567
16 Amoksisilin tab 500 mg Kap 1,010
17 Amoksisilin syr kering 125 mg/5 ml Botol 39
18 Antasida doen kombinasi Tablet
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 7
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947
26 Asam folat tab 1 mg Tablet 360
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 146
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 6
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 45
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 337
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 194
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 44
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 100
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
 90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 42
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 170
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 10
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 4,901
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 388
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 90
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 31
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 497
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 98
123 Infus set Dewasa Pcs 43
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 6
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 1,144
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 178
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 12
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 2
158 Masker Pcs 0
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 97
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 32
167 Metronidazol tab 500 mg Tablet 0
168 Metylprednisolone 4 mg Tablet 171
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 11
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 17
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 32
197 Oksitetrasiklin 1% Salep Mata Tube 15
198 Oksitosin inj 10 UI/ml Ampul 22
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 53
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 2
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 32
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 0
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 66
244 Sianokobalamin (vitamin B12) inj Ampul 28
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 128
247 Stik Benang Bedah no 3/0 Buah 59
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 303
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 501
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 177
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12
289 Alpara sirup Botol 0
290 Metronidazole infus Botol
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : Juli-Agustus
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
0
0
100 153
0
0
4 6
0
1,000 1,178 7 4 10 10
600 600 10 20
29
0
1,000 1,567 7 19 25 13 10 30
2,000 3,010 20 56 50 20 10 30 102 36 10 90
50 89 1 1
2,000 2,000 30 61 57 10 10 103 20
0
0
10 17
0
0
 0
1,000 1,947 16 20 6 30
360
0
1,000 1,146 10 36 20 30 16 50 66 30 40 49
2
0
0
0
0
6
0
0
45
0
0
0
0 10 5 5
10
0
0
0
0
0
0
0
0
0
9
0
0
0 1
300 300 6 7 10 6 8 16 12
 0
0 10
337
0
2,000 2,194 22 33 6 17 32 15 4
8
0
0
0
0
0
0
20 20
20
0
0
0
44
0
0 15 10 6 10 30 10
0
0
0
0
0
0
100
0
0
0
0
0
0
 0
42
0
0
0
0
170
0
0
0
12 22 1 2 1 1 1
0
0 26 10 11 10 6 5 27 15
4,901 10 14 30 15
0
10 10
0
388
0
20 20
0
0 20 20 10
0
90
0
0
0
31
88
58
1,000 1,497 10 20
0 11 20 16
98
 43
0
0
0
0 3
0
13
0
10 16
0
0
22
0
0
0
0
0
0
0
0
0
0
1,000 2,144 12 6
100 130 1 1
0
178 7 5 6 16 6
0
0
0
0
0
12
0
 0
2
300 300
0
0
0
400 497 7
0
0
0
50 82
0
400 571 6 5 87 26 22 19
0
11
0
24 41
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
40 72 1 1 1
15
22
200 200 10
0
0
0
0
0
0
0
0
0 1
0 52 46 50 10 10 56 27 22 50
53 1 1
0
0
0
0 10
0
2
0
0 10 7
0
0
0
 0
9
0 10
32
0
0
0
0
0
0
0
0 20 16 10 20 22 10
0
0 1
0
200 200
0
0
0
0
0
66
28
0
128
59
0
1,000 1,303 14
0
1,000 1,501 10 6 10 6
0
0
0
 0
0
0
0
0
0
0
0
0
0
200 377 10 6 15
0
0
0
0
0
0
0
0
0 8 6 27 20 8 20 22 40 53 40
0
0 10
0
0
50 50
0
0
0
100 100
300 300 7
115
0
25 25
24 36
0
10

Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung

NIP : 1199802202011010228
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
uli-Agustus
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

17 10

31 19 11 17 13 5
35 39 30 40 35 15 30 11 21
2 1 1 1 1
24 6 30 30 40 5 20 12 28
 10 16 1 6 20 10 10 32 1 6
20

10 6 10 16 20 16

5 10 5 10
1 1

26 6 12 6 12
 10

45 10 1 7 6 5 6 6 11

16 16 10 16 6

10
1 1

24 11 10 1 10 15 10 21
14 32

14 4 17 5
1

20 6 44
16
 1 1
1 1

6 7 3 12 5 3 6

5
 18
10

10

1
10 10 20 10 10
10 6 10 6

1
1

51 59 55 66 40 90 20 40 10 48
2 1

10 17 6

21
11 5 15 6

17 6 12 10 26 7
 7

10

24 20 26 10 3 20 3 3 33

5 10 7
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

DAHLIANI SITANGGANG, A.Md

NRPK : 02.7.0512773
)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan
0 0
0 0
0 0
0 0
0 0
0 153
0 0
0 0
0 6
0 0
58 1,120
20 50 550
0 29
22 22 -22
200 1,367
67 747 2,263
8 81
10 496 1,504
0 0
0 0
0 17
0 0
0 0
 0 0
21 205 1,742
20 340
0 0
30 455 691
0 2
0 0
0 0
0 0
0 0
0 6
0 0
0 0
0 45
0 0
0 0
0 0
50 -50
2 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
0 9
0 0
0 0
1 -1
12 139 161
 0 0
20 -20
0 337
0 0
226 1,968
0 8
0 0
0 0
0 0
0 0
0 0
0 0
0 20
0 20
0 0
5 -5
0 0
0 44
0 0
10 155 -155
0 0
0 0
0 0
0 0
0 0
0 0
10 90
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 42
0 0
0 0
0 0
0 0
0 170
0 0
0 0
0 0
8 14
0 0
10 222 -222
10 125 4,776
0 0
0 10
0 0
0 388
0 0
0 20
0 0
50 -50
0 0
22 62 28
1 -1
0 0
0 0
0 31
0 88
0 58
100 1,397
10 73 -73
0 98
 0 43
0 0
0 0
0 0
3 -3
0 0
0 13
0 0
0 16
0 0
0 0
0 22
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
6 26 2,118
4 126
0 0
10 92 86
0 0
0 0
0 0
0 0
0 0
0 12
5 -5
 0 0
0 2
0 300
0 0
0 0
18 -18
15 32 465
0 0
10 -10
0 0
1 81
60 -60
10 207 364
0 0
0 11
0 0
1 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 68
0 15
0 22
13 187
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 -1
55 857 -857
5 48
0 0
0 0
0 0
43 -43
0 0
0 2
0 0
20 58 -58
0 0
0 0
0 0
0 0
0 9
10 -10
0 32
0 0
0 0
0 0
0 0
0 0
0 0
0 0
135 -135
0 0
2 -2
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 66
0 28
0 0
0 128
0 59
0 0
14 1,289
0 0
110 1,391
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
10 17 -17
0 0
0 0
0 0
41 336
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
35 421 -421
0 0
15 -15
0 0
0 0
0 50
0 0
0 0
0 0
0 100
10 39 261
0 115
0 0
0 25
 0 36
0 0

des

Md
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 53
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 178
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul 29
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 567
16 Amoksisilin tab 500 mg Kap 1,010
17 Amoksisilin syr kering 125 mg/5 ml Botol 39
18 Antasida doen kombinasi Tablet 1,888
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 7
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947
26 Asam folat tab 1 mg Tablet 360
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 146
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 6
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 45
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 337
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 194
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 44
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 100
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
 90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 42
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 170
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 10
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 4,901
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 388
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 90
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 31
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 497
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 98
123 Infus set Dewasa Pcs 43
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 6
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 22
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 1,144
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 178
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 12
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 2
158 Masker Pcs 0
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 97
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 32
167 Metronidazol tab 500 mg Tablet 0
168 Metylprednisolone 4 mg Tablet 171
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 11
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 17
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 0
197 Oksitetrasiklin 1% Salep Mata Tube 0
198 Oksitosin inj 10 UI/ml Ampul 22
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 0
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 2
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 32
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 0
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 0
244 Sianokobalamin (vitamin B12) inj Ampul 0
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 0
247 Stik Benang Bedah no 3/0 Buah 0
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 303
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 501
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 0
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12
289 Alpara sirup Botol 0
290 Metronidazole infus Botol
300 MGSO4 inj 20% mg Ampul
301 MGSO4 inj 40 mg Ampul
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : September-Oktober
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
0 1 2 3 1 2 1
0
100 153 1 2 1 2 1
0
0
4 6 1
0
1,000 1,178 10 10 10 12 20 14 15 30
600 600 10 62 40 60 10 13
29
0
1,000 1,567 36 15 22 14 7 10
2,000 3,010 40 30 75 10 30 50
50 89 1 1
2,000 3,888 3 66 40 20 41 15 30
0
0
10 17
0
0
 0
500 1,447 17 20 3 12 10 30 12 12
360 10 10 10
0
1,000 1,146 20 75 10 60 10 50 10 40
4 6
0
0
0
0
6
0
0
45
0
0
0
0 10 10
10
0
0
0
0
0
0
0
0
0
9
0
0
0
0 11 16
 0
0
337
0
2,000 2,194 25 26 10 6 0 28 10
8
0
0
0
0
0
0
0
20
0
0
0
44
0
200 200 20 10 10 31 10 15 10 10 10
0
0
0
0
0
0
100
0
0
0
0
0
0
 0
42
0
0
0
0
170 10
0
0
25 25
12 22 1 1 2 1 1
0
0 15 3 20 15 10 10
4,901 10 20
0
0
0
388
0
20 20
0
0
0
90
0
0
0
31
88
58
1,000 1,497 20 10 22 40
0
98
 43
0
0
0
0
0
13
0
10 16
0
0
22
0
0
0
0
0
0
0
0
0
0
1,000 2,144 23 20 10 16
50 80 1 1 1
0
178
0
0
0
0
0
12
0
 0
2
300 300 5 3 6 16 2 3 25 1
0
0
0
2,000 2,097 20 40 22
0
0
0
50 82 2 1
0
400 571 10 35 20 10 25 30
0
11
0
24 41
0
0
0
0
0
0
0
0
0
20 20
0
0
0
0
0
0
 0
0
0
0
0
0
0
20 20 5 1 4 2 2
0
22
100 100 10 10 10 18 22 11 6
0
0
0
0
0
0
0
0
0
0 36 54 3 147 15 70 50 60 88 70
0 4 1 2
0
0
0
0 10 10 40 10
0
2
0
0 5 9
0
0
0
 0
9
0 40 15 10 50
32
0
0
0
0
0
0
0
0 25 10 30 25
0
0
0
200 200
0
0
0
0
0
0
0
0
0
0
0
1,000 1,303 10 7 10
0
1,000 1,501 20 10 10 10
0
0
0
 0
0
0
0
0
0
0 100 100 20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 10 20 5 15
0
0
50 50
0
0
0
100 100
200 200 3 25 5 20 25 5 3 5 10
115
0
0
 12
0

1
2

Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung, SKM

NIP : 1988022020112028
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
eptember-Oktober
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 2 1 1 2 3 1 1

2 1 2 1 1 1 1 1

30 17 7 10 20
134 25 40 24 20 35 25 13 40

44 27 17 5 7 20 110 47 11 12 13
65 25 30 44 80 30 90 45 20 70
5 2 2 2 2 1 1 1 1 1
30 30 20 16 20 60 40 10 15 30 2 23 23
 12 28 15 18 4 10 42 l 3
10 10 20

120 60 20 10 6 20 60 80 50 10

10 6 14 10 10 16

12 6
40 21 42 26 86 40 82 39 6 15 16 22 23

11 29 16
 20 20 24 10 80 65 22 1 20 16 23 3
29 20 14 20 10

26 15 5 10 30 40 6 35
43 12 12 10 6
1 1 1 1

10 3
12 2 2 8 10 9 25 17

10 10 20 45 10 10 14

1 2 1 1 1

10 6 6 50 10

1
 2 2 1 3 3 1

16 6 12 10 6

124 25 50 40 70 74 100 67 32 24 32 30 38
2 2 1 1

10 20 27 30 20 20 s 7

8 10 6 6
 7 20 3 6

10 10 20 5 11 35 10 20

10 7 20 20 7

20 30 16 10 8
100 60 100 17 10 30 100 100

10 10 10 10

10 20 10 5 10 10 5

15 9 5 5 60 9 7
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

Dwita Rehulina Br Lingga. S.Farm

)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan

1 3 1 1 1 2 1 32
0
1 1 1 20
0
0
1 3
0
20 21 10 20 276
135 20 10 20 30 20 786
0
0
20 98 14 51 10 20 630
10 95 36 50 16 10 25 20 996
2 22
12 30 20 22 20 10 30 678
0
0
0
0
0
 0
30 6 6 23 313
10 80
0
30 80 40 30 30 40 961
0
0
0
0
0
0
0
0
0
0
0
0
86
0
0
0
0
0
0
0
0
0
0
0
0
0
0
45
 0
0
0
0
10 74 26 35 5 12 43 768
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30 10 20 242
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
10 20
0
0
0
1 7
0
10 18 20 10 20 455
123
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 10 50 10 60 30 469
0
0
 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 18 30 210
1 8
0
12 25
0
0
0
0
0
0
0
 0
0
23 10 5 14 3 201
0
0
0
78 24 12 10 325
0
0
0
1 10
0
6 12 32 262
0
0
0
1 2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
2 4 32
0
0
16 153
0
0
0
0
0
0
0
0
0
5 91 26 22 12 20 15 42 1532
3 1 2 4 23
0
0
0
2 10 14 5 4 20 10 269
0
0
0
16 10 70
0
0
0
 0
0
20 20 191
0
0
0
0
0
0
0
0
30 26 10 277
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 10 10 43 20 184
0
38 26 6 204
0
0
0
 0
0
0
0
0
0
30 10 10 787
0
0
0
40
0
0
0
0
0
0
0
0
0
0
20 4 144
0
0
0
0
0
0
0
11 222
0
0
0
 0
0
0
0
0

des

m
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 53
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 178
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul 29
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 567
16 Amoksisilin tab 500 mg Kap 1,010
17 Amoksisilin syr kering 125 mg/5 ml Botol 39
18 Antasida doen kombinasi Tablet 1,888
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 7
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947
26 Asam folat tab 1 mg Tablet 360
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 146
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 6
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 45
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 0
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 194
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
 68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 44
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 100
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 42
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 170
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 10
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 4,901
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 388
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 0
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 31
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 497
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 98
123 Infus set Dewasa Pcs 43
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 13
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 0
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 1,144
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 178
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 12
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 2
158 Masker Pcs 0
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 97
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 32
167 Metronidazol tab 500 mg Tablet 0
168 Metylprednisolone 4 mg Tablet 171
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 11
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 17
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 0
197 Oksitetrasiklin 1% Salep Mata Tube 0
198 Oksitosin inj 10 UI/ml Ampul 22
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 0
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 2
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 32
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 0
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 0
244 Sianokobalamin (vitamin B12) inj Ampul 0
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 0
247 Stik Benang Bedah no 3/0 Buah 0
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 303
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 501
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 0
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12
289 Alpara sirup Botol 0
290 Metronidazole infus Botol 0
291 MGSO4 inj 20% mg Ampul 0
292 MGSO4 inj 40 mg Ampul 0
293 Serum Anti Tetanus 1.500 IU Ampul 0
 LAP
Pusk.Pustu/Poskesdes : PAMATANG SI
Bulan : November-Desem
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9
Bulan
0
0
0
100 100 1 2 3 1 2
0
53 1 2 1 2 1
0
0
4 6
0
178 20 10 5 10 10 10 5
0 10 62 40 60 10 13
29
0
1,000 1,567 45 30 30 20 40 44 12
1,000 2,010 40 57 10 20 58 30 61 30
39 1 1 4 1
1,000 2,888 60 20 40 10 20 80 60 10
0
0
10 17
0
0
0
1,000 1,947 16 36 16 10 36 30 60 3
360 10 30
0
1,000 1,146 50 60 50 20 70 83 30
2
 0
0
0
0
6
0
0
45
0
0
0
0
10 1 1
0
0
0
0
0
0
0
0
0
9
0
0
0
400 400 7 15 20 10
0
0
0
0
1,000 1,194 33 16 42 5 20 55 6
8
0
0
0
0
0
 0
0
20
0
0
0
44
0
200 200 10 10 10
0
0
0
0
0
0
100
0
0
0
0
0
0
0
42
0
0
0
0
170 5 5
0
0
0
10
0
0
4,901 15 10 6
0
0
 0
388
0
0
0
0
0
0
24 24
0
0
31
88
58
1,000 1,497 20 16 10 10 20 20 30
0
98
43
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
1,144 12 6
30
0
178
0
0
0
0
0
12
0
0
2
400 400 1 2 4 2 4 5 7 8 3
0
0
0
97 20 10 10 10 6
0
0
0
32
0
171 6
0
11
0
17
0
0
0
0
0
0
0
0
0
 20 20 1 2 1 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0
0
22
200 200 10 20 15
0
0
0
0
0
0
0
0
0
1,000 1,000 52 39 70 20 77 70 148 10
0 2 1
200 200
0
0
0
0
2
0
0
0
 0
0
0
9
200 200 20 20
32
0
5 5
0
0
0
0
0 10 30 40 10 40 10 6
0
0
0
0
100 100 1 2 8 6
0
15 15
0
0
0
0
0
0
0
0
0
1,000 1,303 5 10 20 10 10
0
1,000 1,501 6 6 26 16
0
0
0
0
0
0
 0
0
0
0 20 10
0
0
0
0 7 20 10 3
0
0
0
0
0
0
0
0
0 30 16 70 58 70 106 20
0
100 100 3 10 10 20
0
0
50 50
0
0
0
0 0
200 200 10 6 6
115
0
0
12 1
0
0
1 0
2 0
2 0
 Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung, SKM

NIP : 1988022020112028
 LAPORAN PENGGUNAAN OBAT (LPO)
PAMATANG SILIMAHUTA
November-Desember
SIMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

10 11 12 13 14 15 16 17 18 19 20 21

1 1 2 1 1 2 3 1

2 1 2 1 1 1 1

1 1

10 20 10
134 25 40 24 20 35 25 13

17 30 55 14 25 10 20 55 25
26 65 10 80 90 30 15 40 60 45 20
2 1 2 2 2 1
40 30 10 50 30 10 20 10 10 10 10 10

20 10 80 28 10 10 26 19 10 50 3
10 10 10

10 90 30 70 56 36 10 70 20 10 56 26
 1 1

10 23 30 10 32 16

5 18 66 27 66 34 24 6 32 9
20 10 10 10

5 20
 1

10 20 40 10 20 10
 2 20 6 10 10 6

10 25 5 9 2 9 5 9 16 5 7 3

7 10 24 10 10 7
 1 1 1 1

10 10 10 10 10

53 65 20 144 75 86 54 49 90 20 95 46
1 1 1 2 1 1

1
 10 10 20 8 10 10 10

6 6 10 20 20 10 10

3 1 7 3 9 1 4 8

30 10

20 10
 40 10

30 10 10 14

30 30 40 110 40 10 40 17 40 20 60

20 10 6

7 28 13 9 3 3
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

Dwita Rehulina Br Lingga. S.Farm

T (LPO)

AN Jumlah
Pemakaian
22 23 24 25 26 27 28 29 30 31 Bulan
0
0
0
1 1 3 1 1 1 2 1 32
0
1 1 1 1 20
0
3 2 5
1 3
0
10 10 130
40 10 20 10 20 30 20 661
0
0
40 35 36 50 41 20 2 696
41 10 10 16 45 60 30 40 1039
1 1 1 1 21
10 20 2 30 62 10 32 706
0
0
0
0
0
0
10 9 14 10 40 10 16 582
70
0
30 30 30 25 15 60 80 80 50 1247
0
 0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
0
0
0
10 20 20 30 253
0
0
0
0
12 9 6 15 15 10 28 56 30 10 655
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
10 10 100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30 40
0
0
0
0
0
0
17 73
0
0
 0
0
0
0
0
0
0
0
1 2
0
0
0
0
0
10 20 10 276
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
10 82
1 1
0
0
0
0
0
0
0
0
0
0
0
9 6 8 13 7 9 2 5 17 8 225
0
0
0
10 15 10 20 179
0
0
0
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
 1 1 1 12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10 5 6 20 136
0
0
0
0
0
0
0
0
0
35 25 10 23 4 75 80 30 72 1637
1 1 1 1 1 1 1 17
0
0
0
0
0
1
0
0
0
 0
0
0
0
30 20 20 23 20 231
0
0
0
0
0
0
0
30 10 10 20 4 42 20 6 370
0
0
0
0
1 3 7 1 8 1 2 6 7 9 98
0
0
0
0
0
0
0
0
0
0
0
10 10 115
0
10 94
0
0
0
0
0
0
 0
0
0
30 110
0
0
0
10 10 10 20 30 184
0
0
0
0
0
0
0
0
40 20 7 100 25 25 1024
0
10 20 109
0
0
0
0
0
0
0
6 9 3 20 6 6 135
0
0
0
1 1 3
0
0
0
0
erima:
Pustu/Poskesdes

Lingga. S.Farm
Sisa Akhir
Ket
Bulan
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 53
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 178
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 567
16 Amoksisilin tab 500 mg Kap 200
17 Amoksisilin syr kering 125 mg/5 ml Botol 10
18 Antasida doen kombinasi Tablet 500
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 7
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947
26 Asam folat tab 1 mg Tablet 100
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 146
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 6
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 45
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 0
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 194
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 44
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 100
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 35
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 0
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 10
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 2,000
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 250
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 0
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 31
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 50
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 0
123 Infus set Dewasa Pcs 0
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 0
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 0
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 1,000
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 178
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 12
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 2
158 Masker Pcs 50
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 97
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 32
167 Metronidazol tab 500 mg Tablet 0
168 Metylprednisolone 4 mg Tablet 171
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 11
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 17
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 0
197 Oksitetrasiklin 1% Salep Mata Tube 0
198 Oksitosin inj 10 UI/ml Ampul 22
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 0
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 2
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 32
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 0
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 0
244 Sianokobalamin (vitamin B12) inj Ampul 0
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 0
247 Stik Benang Bedah no 3/0 Buah 0
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 100
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 359
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 0
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12
289 Alpara sirup Botol 0
290 Metronidazole infus Botol 0
291 MGSO4 inj 20% mg Ampul 0
292 MGSO4 inj 40 mg Ampul 0
293 Serum Anti Tetanus 1.500 IU Ampul 0
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILI
Bulan : Januari-Februari
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
0 1 2 1 1 2 1 3
0
53 1 2 1 2 1
0
0
2 1
0
178 5
200 200 43 33 10
0
0
1,000 1,567 20 37 15 40 40 10 34 22 8
1,000 1,200 26 40 37 40 30 50 65 50 55 30
10 1 3 1
1,000 1,500 20 20 60 10 10 6 10 6 20
0
0
7
0
0
0
1,000 1,947 33 9 20 10 10 20 32 44
100
0
1,000 1,146 51 20 20 40 20 10 40 13 20
2
0
0
0
0
6
0
0
45
0
0
0
0
25 35 1
0
0
0
0
0
0
0
0
0
9
0
0
0
400 400 5 5
0
0
0
0
1,000 1,194 48 26 34 22 16 10 48 36 70 24
8
0
 0
0
0
0
0
0
20
500 500 10
0
0
44
0
200 200 6 30
0
0
0
0
0
0
100
0
0
0
0
0
0
0
500 535
0
0
0
0
0
0
0
0
 24 34
0
0 10 4 10 30 10 24 10 30 30
2,000 10 10
0
10 10
0
250
0
0
0
0
0
0
0 1
0
0
31
88
58
1,000 1,050 10 50 46 30 10 30 10 40
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
0
0
0
0
1,000 18 26 6 16
30
0
178
0
0
0
0
0
12
0
0
2
400 450 2 5 3 2 6 2 3 6 2 4
0
0
0
97 20 10 7
0
0
0
32
0
171
0
11
0
 17
0
0
0
0
0
0
0
0
500 500
20 20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
200 200 6 10 6 6 7
0
0
0
0
0
0
0
0
 0
500 1,000 66 107 84 70 20 40 80 60 20 50
100 100 1 1 1
500 500 41 10 10 10 10 5 10 5
0
0
500 500
0
2
0
0 20 10 40 10 34 6 30
0
0
0
0
9
200 200 10 12 12 20 26 10 8 6
32
0
5 5
0
0
0
0
500 500 50 30 6
0
0
0
0
100 100 2 2 3 5 2 5 2 1 3 5
0
15 15
0
0
0
0
 0
0
0
0
0
1,000 1,100 5 10 10
0
1,000 1,359 6 6 12
0
0
0
0
0
0
0
0
0
0 10 20
0
0
0
500 500 10 6
0
0
0
0
0
0
0
0
500 500 80 46 20 46 10
0
0 20
0
0
0
0
0
0
0
0 4 15 5 5
115
0
0
12 1 1
0
0
0
0
0

Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung, SKM

NIP : 1988022020112028
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
anuari-Februari
IMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 1 1 1

1 1 1 1 2 1 1 1

10 5 10 10
2

12 36 3 24 10 17 10 10 13 27 5 10
63 25 40 20 55 30 40 20 20 35 20
1 1
30 20 10 15 20

20 15 16 5 15 30 20 140 10
10 5 50 10
58 13 30 10 65 10 50 20 50 20 30

10

34 3 26 61 12 37 38 30 20 16
10 10 6 5 20 20 20
 1

10 6 20 16 40 10 6 22 10

10 10
1 1

10 10 10

16 50 10
 10 10 10 12

2 1 5 3 1 3 4 5 2 4 2 1 5

10 34 10 14 7
16 17 12 16 12
4 86 13 25 80 20 65 30 80 10 40 37 30
2
35 15 14 10 15 8 15 96 10

22 10 6 20 20

10 10 6 28 6

16 26 10 20 30 20 10 18 10

4 2 2 3 2 1 2 1 2 1
 5

10 15 22 10 10 10

7 14

6 10 20

16 10 16 10 10 20 12 10

10 10
7 5 10

Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

Dwita Rehulina Br Lingga. S.Farm

)

Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan
0 0
0 0
0 0
1 1 2 2 1 24 48
0 0
1 1 1 19 38
0 0
0 0
1 2
0 0
10 10 10 10 10 10 100 200
20 20 20 10 20 178 356
0 0
0 0
15 50 7 10 10 495 990
30 20 60 20 30 61 10 15 1037 2,074
2 1 1 11 22
10 10 20 14 20 331 662
0 0
0 0
0 0
0 0
0 0
0 0
10 35 494 988
60 10 145 290
0 0
30 40 50 10 10 30 10 770 1,540
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 10 15 65 130
0 0
0 0
0 0
0 0
12 5 28 10 20 33 719 1,438
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 20
0 0
0 0
0 0
0 0
10 10 20 167 334
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 1 2
0 0
30 15 10 10 363 726
5 25 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 40
1 1 5 10
0 0
0 0
0 0
0 0
0 0
10 266 532
0 0
0 0
0 0
0 0
0 0
0 0
40 10 40 166 332
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 118 236
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 5 3 4 5 6 3 2 104 208
0 0
0 0
0 0
20 28 20 10 190 380
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
12 18 10 148 296
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
60 35 65 10 34 71 20 45 1457 2,914
2 1 1 9 18
25 30 10 3 16 13 5 421 842
0 0
0 0
20 20 40
0 0
0 0
0 0
20 10 10 10 278 556
0 0
0 0
0 0
0 0
0 0
18 10 35 20 247 494
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 16 10 10 20 10 332 664
0 0
0 0
0 0
0 0
1 2 2 1 1 2 1 60 120
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
10 10 50 100
0 0
10 111 222
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
90 40 181 362
0 0
0 0
0 0
10 62 124
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 10 336 672
0 0
10 50 100
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
51 102
0 0
0 0
0 0
2 4
0 0
0 0
0 0
0 0
0 0

des

m
Ket
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 0
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 53
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 2
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 178
12 Ambroxol tab 30 mg Tablet 0
13 Aminofilin injj 24 mg/ml Ampul
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 567
16 Amoksisilin tab 500 mg Kap 200
17 Amoksisilin syr kering 125 mg/5 ml Botol 10
18 Antasida doen kombinasi Tablet 500
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 7
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947
26 Asam folat tab 1 mg Tablet 100
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 146
29 Aseptan + Dispenser Botol 2
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 6
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 45
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 10
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 9
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 0
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 0
59 Codein HCl 10 mg Tablet 0
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 194
62 Culticell clasik 10x40 cm Buah 8
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
 68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 20
71 Dexamethasone 0.6 mg Tablet 0
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 44
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 0
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 100
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 35
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 0
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 10
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 2,000
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 250
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 0
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 31
118 I.V Cateter no 22 G Pcs 88
119 I.V Cateter no 24 G Pcs 58
120 Ibuprofen 400 mg Tablet 50
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 0
123 Infus set Dewasa Pcs 0
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 0
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 0
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 500
146 Kotrimoksazole suspensi Botol 30
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 178
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 12
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 2
158 Masker Pcs 50
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 97
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 32
167 Metronidazol tab 500 mg Tablet 0
168 Metylprednisolone 4 mg Tablet 171
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 11
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 17
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 0
197 Oksitetrasiklin 1% Salep Mata Tube 0
198 Oksitosin inj 10 UI/ml Ampul 22
199 Omeprazol kaps 20 mg Kaps 0
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 0
210 Parasetamol sir 120 mg/5 ml Botol 0
211 Pehavral Tablet 0
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 0
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 9
224 Ranitidin tab 150 mg Tablet 0
225 Rapid Sifilis (Hexagon) Paket 32
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 0
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah 0
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol 0
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 0
244 Sianokobalamin (vitamin B12) inj Ampul 0
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 0
247 Stik Benang Bedah no 3/0 Buah 0
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 100
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 359
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet 0
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 0
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet 0
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet 0
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 115
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12
289 Alpara sirup Botol 0
290 Metronidazole infus Botol 0
291 MGSO4 inj 20% mg Ampul 0
292 MGSO4 inj 40 mg Ampul 0
293 Serum Anti Tetanus 1.500 IU Ampul 0
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SILIM
Bulan : Maret- April
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9 10
Bulan
0
0
0
0 1 2 1 1 2 1 3
0
53 1 2 1 2 1
0
0
2 1
0
178 10
200 200 10 10 10
0
0
1,000 1,567 10 45 10 28 30 10
1,000 1,200 10 10 20 50 12 20 10
10
1,000 1,500 40 10 20 23 10 10
0
0
7
0
0
0
1,000 1,947 10 10
0 10 10
0
1,000 1,146 90 30 30 50
2
 0
0
0
0
6
0
0
45
0
0
0
0
25 35
0
0
0
0
0
0
0
0
0
9
0
0
0
400 400 10 10 20
0
200 200 10 6 16
0
0
1,000 1,194 22 10 26 22 25 5 35 10
8
0
0
0
0
0
 0
0
20
500 500 22 6 7 10
0
0
44
0
200 200 10 30 10 16 10 6
0
0
0
0
0
0
100
0
0
0
0
0
0
0
500 535
0
0
0
0
0 20 10
0
0
0
24 34
0
0
2,000
0
10 10
 0
250
0
0
0
0
0
0
0 1 2 1 1
0
0
31
88
58
500 550 30
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
1,000 1,500 20 18
30
0
178
0
0
0
0
0
12
0
0
2
300 350 2 3 1 5 15 1 2 1 5 7
0
0
0
97 48 20
0
0
0
32
500 500
171
0
11
0
17
0
0
0
0
0
0
0
0
500 500 30 30 10
20 20
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
22
300 300 6 26 32 4 4 10
0
0
0
0
0
0
0
0
0
500 1,000 50 10 60 40 50 20 40
100 100 1 1
500 500 9 10 25 21 11
0
0
500 500
0
5 5
0
0
0
 0
0
0
9
200 200 30 12 20
32
0
5 5
0
0
0
0
500 500 6 30 30 10 15 16 10
0
0
0
0
100 100
0
15 15
0
0
0
0
0
0
0
0
0
500 600 10
0
1,000 1,359
0
0
0
0
0
0
 0
0
0
0
0
0
0
500 500
0
0
0
0
0
0
0
0
500 500
0
0 10
0
0
0
0
0
0
0
0
115
0
0
12
0
0
0
0
0
 Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung, SKM

NIP : 1988022020112028
 LAPORAN PENGGUNAAN OBAT (LPO)
AMATANG SILIMAHUTA
aret- April
MALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

11 12 13 14 15 16 17 18 19 20 21 22 23

1 1 1 3 1 1

1 1 1 1 2 1 1

50 10 10 10 5 10
10 5 10 13 5

15 7 20 10 15 10 25 10
59 10 35 40 15 10 28 10 30 26 20 30
2 2 1 1
20 36 35 10 40 10 20 20 10 6 50 20

3 10 10 2 5

10 20 90 20 20 40 25 50 30 50 46 50 10
15 16 10 5 20 10

26 10 10 16 10 10

25 25 20 5 16 10 13
10 5 10 24 20 10

10 10 5 40 10 10 40 10

5 5
1 1 1 1 1

10 10 10 20
12 10

9 4 10 1 1 5 20 2 4 8 14 2 5

39 20 14 10 10 30

10 10

52 6 10 20
 7 6 12 22 10 20 20

30 36 70 10 110 5 52 10 20 20 40 33
2 1 1
6 7 20 10 10 5 15 9 10 3 10 16

10

1
 26 54 25 19 16 10 10 6

38 20 10 16 6 20 12 10 10

10 10 10 10
10 10 8 5 10 20 20
 Yang Menerima:
Pengelola Obat Pusk/Pustu/Poskesdes

Dwita Rehulina Br Lingga. S.Farm

-
 Jumlah
Sisa Akhir
Pemakaian
24 25 26 27 28 29 30 31 Bulan
Bulan
0 0
0 0
0 0
1 1 2 2 1 26 52
0 0
1 1 1 18 36
0 0
0 0
1 2
0 0
10 10 125 250
10 10 10 103 206
0 0
0 0
20 25 32 10 10 7 349 698
20 90 30 70 20 5 680 1,360
2 8 16
50 40 10 30 20 20 30 590 1,180
0 0
0 0
0 0
0 0
0 0
0 0
30 50 38 20 10 198 396
20 40
0 0
20 60 20 50 10 50 871 1,742
0 0
 0 0
0 0
0 0
12 12 24
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15 15 10 14 170 340
0 0
114 228
0 0
0 0
20 10 10 20 7 10 346 692
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
36 45 10 10 30 20 275 550
0 0
0 0
0 0
0 0
35 20 23 10 10 30 25 370 740
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 5 48 96
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 12 24
0 0
0 0
0 0
0 0
0 0
30 20 10 50 20 50 260 520
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
10 10 80 160
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 4 2 11 2 2 22 15 187 374
0 0
0 0
0 0
10 40 10 251 502
0 0
0 0
0 0
0 0
10 10 10 50 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 178 356
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
40 40 30 10 299 598
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 20 19 20 10 800 1,600
2 2 3 1 14 28
5 20 222 444
0 0
0 0
10 20 40
0 0
1 2 4
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
6 10 20 30 294 588
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 20 30 20 339 678
0 0
0 0
0 0
0 0
60 60
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 50 10 10 10 203 406
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
des

m
Ket
 LAPORAN PENGGUNAAN OBAT (LPO)
Pusk.Pustu/Poskesdes : PAMATANG SILIMAHUTA
Bulan : Mei-Juni
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan JUMLAH OBAT PADA TANGGAL PEMAKAIAN Jumlah

Sisa Akhir
Nama Obat Satuan Persediaan Masuk Pemakaian Ket
Jumlah 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Bulan
Awal Bulan Bulan Bulan
1 3 way Pcs 0 0 0 0
2 Acdat cream Tube 0 0 0 0
3 Adalat oros Tablet 0 0 0 0
4 Alat suntik 3 ml/25 ml Buah 0 100 0 1 2 1 5 2 5 3 4 1 3 2 1 5 3 11 5 2 7 6 10 1 2 2 1 85 85
5 Alat suntik 1 ml Buah 0 0 0 0
6 Alat suntik 5 ml Buah 53 100 153 1 2 1 2 1 1 1 1 1 2 1 1 1 1 1 18 36
7 Alat suntik 50 cc Buah 0 0 0 0
8 Albendazol tab 400 mg Tablet 0 0 0 0
9 Alkohol 70%/ liter Botol 2 2 4 1 1 2 4
10 Alludona D Tamblet Tablet 0 0 0 0
11 Alopurinol tab 100 mg Tablet 178 1,000 1,178 10 10 30 10 10 10 20 10 20 10 30 170 340
12 Ambroxol tab 30 mg Tablet 0 500 500 11 35 100 10 65 10 10 30 71 45 66 15 20 10 10 18 526 1,052
13 Aminofilin injj 24 mg/ml Ampul 0 0 0
14 Amlodipin tab 5 mg Tablet 0 0 0 0
15 Amlodipin tab 10 mg Tablet 567 1,000 1,567 10 7 10 27 24 5 17 200 50 43 10 20 35 20 38 10 22 10 7 5 15 12 85 682 1,364
16 Amoksisilin tab 500 mg Kap 200 1,000 1,200 5 45 4 20 50 20 50 30 10 100 30 81 15 40 30 30 20 20 40 20 24 10 10 35 10 20 30 30 829 1,658
17 Amoksisilin syr kering 125 mg/5 ml Botol 10 50 60 3 2 1 1 1 8 16
18 Antasida doen kombinasi Tablet 500 2,000 2,500 10 10 46 20 50 30 30 30 48 10 20 10 30 15 20 60 20 36 50 10 36 30 10 30 661 1,322
19 Antasida doen suspensi Botol 0 60 60 0 0
20 Anti Bakteri Doen Tube 0 0 0 0
21 Anti fungi Doen Tube 7 7 0 0
22 Anti Parkinson Kombinasi Tablet 0 0 0 0
23 Antihemoroid Kombinasi Tablet 0 0 0 0
24 Artemether Inj 80 mg/ml Ampul 0 0 0 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 947 1,000 1,947 40 10 20 35 20 10 26 70 40 30 10 6 24 20 10 30 10 31 16 30 25 20 533 1,066
26 Asam folat tab 1 mg Tablet 100 0 0 0
27 Asam folat tab 0.4 mg Tablet 0 0 0 0
28 Asam mefenamat kaps 500 mg Kap 146 2,000 2,146 30 20 60 20 60 20 40 20 40 118 10 90 70 10 40 30 10 40 30 31 66 10 40 20 10 30 60 20 120 1165 2,330
29 Aseptan + Dispenser Botol 2 2 0 0
30 Asering Botol 0 0 0 0
31 Asetosal 80 mg Tablet 0 0 0 0
32 Asetosal 500 mg Tablet 0 0 0 0
33 Asiklovir tab 400 mg Tablet 0 0 0 0
34 Asiklovir cream 5 % Tube 6 6 0 0
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0 0 0 0
36 Atropin tab 0,5 mg Tablet 0 0 0 0
37 Azitromisin 500 mg Tablet 0 0 0 0
38 Bioron Inj Ampul 0 0 0 0
39 Benodon Inj Vial 0 0 0 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0 0 0 0
41 Betahistin 6 mg Tablet 0 0 0 0
42 Betametason krim 0,5 mg/g Tube 10 50 60 1 1 2 2 6 12
43 Blood lancet Pcs 0 0 0 0
44 Bracket handwash plastik Pcs 0 0 0 0
45 Bronsolvan 150 mg Tablet 0 0 0 0
46 BTI/Bastivec Botol 0 0 0 0
47 Bufacetin salep kulit Tube 0 0 0 0
48 Calcil Glukonas 10% Ampul 0 0 0 0
49 Captopril 12.5 mg Tablet 0 0 0 0
50 Captopril 25 mg Tablet 0 0 0 0
51 Carbo Gliserin tetes telinga 10% Botol 0 0 0 0
52 Catgut chromic 2/0 Set 9 9 0 0
53 Catgut chromic 3/0 Set 0 0 0 0
54 Ceftriakson inj 1 gr Vial 0 0 0 0
55 Cetirizine sirup 5mg/ml Botol 0 0 0 0
56 Cetirizine 10 mg Tablet 0 400 400 45 10 20 30 21 5 5 5 10 15 10 10 186 372
57 Clindamicyn 150 mg Kap 0 0 0 0
58 Clindamicyn 300 mg Kap 0 200 200 10 10 10 10 10 10 20 10 10 10 22 10 142 284
59 Codein HCl 10 mg Tablet 0 0 0 0
60 Concor (Bisoprolol) Tablet 0 0 0 0
61 CTM Tablet 194 194 17 25 6 10 36 10 50 10 102 72 58 22 16 18 28 32 59 16 12 6 33 16 37 4 3 698 1,396
62 Culticell clasik 10x40 cm Buah 8 8 0 0
63 Culticell stick Buah 0 0 0 0
64 Culticell Gel Buah 0 0 0 0
65 Culticell Cutback Buah 0 0 0 0
 66 Dehydro Artemesin D artep Tablet 0 0 0 0
67 Depakote/ Valporat 250 mg Tablet 0 0 0 0
68 Dermafix T 10x12 cm Pcs 0 0 0 0
69 Dermafix T 10x8 cm Pcs 0 0 0 0
70 Dexamethasone Inj Ampul 20 20 40 0 0
71 Dexamethasone 0.6 mg Tablet 0 500 500 68 10 46 40 20 10 40 36 60 10 50 16 16 10 12 10 25 10 10 499 998
72 Diazepam 2 mg Tablet 0 0 0 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0 0 0 0
74 Dipenhidramine HCl Inj Ampul 44 44 0 0
75 Digoxin 0.25 mg Tablet 0 0 0 0
76 Domperidone 10 mg Tablet 0 300 300 10 10 20 20 10 20 58 10 26 50 6 10 40 26 10 10 10 10 10 10 376 752
77 Domperidone suspensi Botol 0 0 0 0
78 Doksisiklin 100 mg Tablet 0 0 0 0
79 Dulcolax/Bisakodil Susp 0 0 0 0
80 Ecolab Aquagel Tube 0 0 0 0
81 Epineprhine Inj 0.1% Ampul 0 0 0 0
82 Eritromisin syr 200 mg/5 ml Botol 0 0 0 0
83 Eritromisin tab 500 mg Tablet 100 100 0 0
84 Erklasiklin eye Oint Kaps 0 0 0 0
85 Etil klorida semprot Vial Vial 0 0 0 0
86 Eugenol Botol 0 0 0 0
87 Extr Beelladon Tablet 0 0 0 0
88 Female Cateter no 18 Pcs 0 0 0 0
89 Fenobarbital tab 30 mg Tablet 0 0 0 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0 0 0 0
91 Fitomenadion (vitamin K 1) inj Ampul 0 0 0 0
92 Fixomull 5x5 Pcs 0 0 0 0
93 Fluication Ampul 0 0 0 0
94 Flusinolon Asetonid Tube 0 0 0 0
95 Fluor sediaan topikal Tube 0 0 0 0
96 Furosemid tab 40 mg Tablet 0 0 20 5 25 50
97 Garam Oralit Bks 0 0 0 0
98 Genoint Salep Mata 0.3 % Tube 0 24 24 0 0
99 Gentamicin Inj 40 mg Ampul 0 0 0 0
100 Gentamicin Salep kulit 0.1% Tube 10 10 1 2 1 1 1 6 12
101 Gentamicin Sulfat tetes mata 0.3% Tube 0 0 0 0
102 Gliseril Guaikolat 100 mg Tablet 0 0 0 0
103 Glibenklamid tab 5 mg Tablet 2,000 2,000 0 0
104 Gloves Steril No 7 Buah 0 0 0 0
105 Gloves Steril No 7 1/2 Buah 0 10 10 0 0
106 Gloves Steril No 8 Buah 0 0 0 0
107 Gloves size M non steril Buah 250 250 0 0
108 Glimiperide 1 mg Tablet 0 0 0 0
109 Glukosa Larutan Infus Botol 0 0 0 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0 0 0 0
111 Haloperidol tab 2 mg Tablet 0 0 0 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0 0 0 0
113 Hidroklorotiazid tab 25 mg Tablet 0 0 0 0
114 Hidrokortison krim 2,5% Tube 0 0 0 0
115 Hiosin butilbromida tab 20 mg Tablet 0 0 0 0
116 I.V Cateter no 18 G Pcs 0 0 0 0
117 I.V Cateter no 20 G Pcs 31 31 0 0
118 I.V Cateter no 22 G Pcs 88 88 0 0
119 I.V Cateter no 24 G Pcs 58 58 0 0
120 Ibuprofen 400 mg Tablet 50 500 550 20 40 15 40 10 40 10 21 121 105 81 40 33 10 10 40 90 42 6 10 30 40 56 30 45 6 40 1031 2,062
121 Ibuprofen suspensi 60 ml Botol 0 0 0 0
122 Infus set Anak Pcs 0 0 0 0
123 Infus set Dewasa Pcs 0 0 0 0
124 Isosorbid dinitrat tab 5 mg Tablet 0 0 0 0
125 Jarum 18x 1 1/2 Pcs 0 0 0 0
126 Kaca slide Pcs 0 0 0 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0 0 0 0
128 Kapas Pembalut 100 gr Bks 0 0 0 0
129 Kapas Pembalut Absorben 250 gr Bks 0 0 0 0
130 Karbamazepin Tab 200 mg Tablet 0 0 0 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0 0 0 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0 0 0 0
133 Kassa Hidrofil 4 x 5 cm Roll 0 0 0 0
134 Kassa Hidrofil 30 x 80 cm Roll 0 0 0 0
135 Kassa Hidrofil 400 x 80 cm Roll 0 0 0 0
136 Ketoconazole 200 mg Tablet 0 0 0 0
137 Ketoconazole krim 2%\ Tube 0 0 0 0
138 Ketorolac Inj 30 ml Ampul 0 0 0 0
139 Klopidogrel 75 mg Tablet 0 0 0 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0 0 0 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0 0 0 0
142 Kloramfenikol tetes telinga 3% Tube 0 0 0 0
143 Kloramfenikol tts mata 1% Tube 0 0 0 0
144 Kombinasi kaolin+pektin Tablet 0 0 0 0
145 Kotrimoksazole Dewasa 480 mg Tablet 500 1,000 1,500 6 6 6 6 6 30 60
146 Kotrimoksazole suspensi Botol 30 30 0 0
147 Lab Kit Malaria Set 0 0 0 0
148 Lansoprazole 30 mg Tablet 178 178 0 0
149 Larutan Antiseptik Botol 0 0 0 0
150 Levofloksacin 500 mg Tablet 0 0 0 0
151 Levopar Tablet 0 0 0 0
152 Levotiroksin 100 mg Tablet 0 0 0 0
153 Lidokain composit Ampul 0 0 0 0
154 Lidokain Inj Ampul 12 12 0 0
155 Loperamid tab 2 mg Tablet 0 0 0 0
156 Loratadine 10 mg Tablet 0 0 0 0
157 Lysol 1 liter Botol 2 2 0 0
158 Masker Pcs 50 300 350 2 2 1 2 1 3 2 1 2 22 3 1 3 5 6 2 4 10 1 2 14 3 9 13 5 8 4 2 4 1 32 170 340
159 MDT MB Anak Blister 0 0 0 0
160 MDT MB Dewasa Blister 0 0 0 0
161 Meptin Swinghaler Pcs 0 0 0 0
162 Metformin tab 500 mg Tablet 97 97 20 14 20 15 15 63 83 28 15 10 30 50 14 14 34 28 31 14 10 508 1,016
163 Metilergometrin inj 0,2 mg/ml Tablet 0 0 0 0
164 Metilergometrin tab Tablet 0 0 0 0
165 Metoklopramid tab 10 mg Tablet 0 0 0 0
166 Metronidazol susp 125 mg/5 ml Botol 32 32 1 1 1 1 4 8
167 Metronidazol tab 500 mg Tablet 0 500 500 10 10 10 10 10 10 10 6 20 10 10 20 10 146 292
168 Metylprednisolone 4 mg Tablet 171 171 0 0
169 MgSO4 Inj 20% Ampul 0 0 0 0
170 MgSO4 Inj 40% Ampul 11 11 0 0
171 Mob cap Buah 0 0 0 0
172 Mikonazol krim 2% Tube 17 17 1 1 2 4
173 Mikrotois Buah 0 0 0 0
174 Mineral Mix Sct 0 0 0 0
175 Molagit Tablet 0 0 0 0
176 N-asetil sistein kaps 200 mg Kaps 0 0 0 0
177 Nasal Oksigen size S Buah 0 0 0 0
178 Nasal Oksigen size XS Buah 0 0 0 0
179 Natrium Tiroksin Tablet 0 0 0 0
180 Natrium diklofenak tab 25 mg Tablet 0 0 0 0
181 Natrium diklofenak tab 50 mg Tablet 0 500 500 0 0
182 Natrium Klorida Larutan infus Botol 0 20 20 0 0
183 Needle 0.306 x 21 mm Buah 0 0 0 0
184 New Antides (Attapulgit) Tablet 0 0 0 0
185 Nifedipin kaps 10 mg Tablet 0 0 0 0
186 Nistatin tab salut 500.000 UI Tablet 0 0 0 0
187 Nistatin tab vaginal 100.000 UI Tablet 0 0 0 0
188 Nonwoven Fixation 10 x 10 Pcs 0 0 0 0
189 Nonwoven Fixation 5 x 10 Pcs 0 0 0 0
190 OAT Kategori & III (FDC) Paket 0 0 0 0
191 OAT Kategori Anak Paket 0 0 0 0
192 OAT Kategori II Paket 0 0 0 0
193 OAT Sisipan Paket 0 0 0 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0 0 0 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0 0 0 0
196 Obat Batuk Hitam (OBH) syr Botol 0 0 0 0
197 Oksitetrasiklin 1% Salep Mata Tube 0 0 0 0
198 Oksitosin inj 10 UI/ml Ampul 22 22 0 0
199 Omeprazol kaps 20 mg Kaps 0 300 300 10 10 10 15 21 6 16 43 20 10 30 6 3 25 20 6 15 16 5 6 10 15 318 636
200 Omecough sirup Botol 0 0 0 0
201 Omegtamin tablet Tablet 0 0 0 0
202 Omegdiar tablet Tablet 0 0 0 0
203 Omegesic Tablet 0 0 0 0
204 Ondensentron 4 mg Tablet 0 0 0 0
205 Ondensentron 8 mg Tablet 0 0 0 0
206 Onescrab 500 cc + dispenser Botol 0 0 0 0
207 Ofloxacin 400 mg Tablet 0 0 0 0
208 Paracetamol drop 15 ml Botol 0 0 0 0
209 Parasetamol tab 500 mg Tablet 0 500 1,000 5 20 26 26 30 20 10 10 10 62 20 20 40 60 6 10 10 6 25 10 23 5 25 22 20 14 535 1,070
210 Parasetamol sir 120 mg/5 ml Botol 0 100 100 6 1 1 2 1 1 1 2 2 2 2 1 1 23 46
211 Pehavral Tablet 0 500 500 3 10 10 10 6 14 6 176 10 41 5 75 15 13 26 5 7 15 15 30 70 562 1,124
212 Plester Anti Air Buah 0 0 0 0
213 Pirantel Pamoate 125 mg Tablet 0 0 0 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 0 1,000 1,000 10 30 40 80
215 Povidon iodin 30 ml Botol 0 0 0 0
216 Povidon iodin 60 ml Botol 0 5 5 1 1 2 4 8
217 Povidon iodin 300 ml Botol 0 0 0 0
218 Prednison tab 5 mg Tablet 0 0 0 0
219 Primakuin tab 15 mg Tablet 0 0 0 0
220 Propiltiourasil tab 100 mg Tablet 0 0 0 0
221 Propanolol 40 mg Tablet 0 0 0 0
222 Propranolol 10 mg Tablet 0 0 0 0
223 Ranitidine Inj 25 mg Ampul 9 9 0 0
224 Ranitidin tab 150 mg Tablet 0 200 200 6 6 16 6 24 6 42 25 10 10 6 10 12 20 10 12 22 6 10 259 518
225 Rapid Sifilis (Hexagon) Paket 32 32 0 0
226 Rapid Tes Malaria Paket 0 0 0 0
227 Ringer Laktat Infus Steril Botol 0 0 0 0
228 Rivanol Botol 0 0 0 0
229 Rovital Tablet 0 0 0 0
230 Safety box Buah 0 0 0 0
231 Salbron Expectorant Botol 0 0 0 0
232 Salbutamol tab 2 mg Tablet 0 500 500 5 32 26 20 20 60 50 40 50 6 50 80 20 26 20 6 10 26 22 10 579 1,158
233 Salbutamol tab 4 mg Tablet 0 0 0 0
234 Salbutamol cairan 0.1% Botol 0 0 0 0
235 Salep 2-4 Pot 0 0 0 0
236 Salisil Bedak 2% Bks 0 0 0 0
237 Sarung tangan Obgyn Steril Buah 0 0 1 2 1 2 1 3 1 1 2 1 3 2 1 1 3 2 1 1 1 2 2 1 1 2 1 1 1 60 101
238 Sefradoksil Kaps Kaps 0 0 0 0
239 Sefradoksil sirup 125 mg Botol 0 0 2 1 2 1 1 1 8 16
240 Sefixim sirup Botol 0 0 0 0
241 Sefixim 100 mg Tablet 0 0 0 0
242 Sefotaksim serbuk Inj 1 gr Vial 0 0 0 0
243 Selang oksigen Buah 0 0 0 0
244 Sianokobalamin (vitamin B12) inj Ampul 0 0 0 0
245 Sianokobalamin (vitamin B12) tab Tablet 0 0 0 0
246 Stik Benang Bedah no 2/0 Buah 0 0 0 0
247 Stik Benang Bedah no 3/0 Buah 0 0 0 0
248 Simvastatin tab sal 10 mg Tablet 0 0 0 0
249 Simvastatin tab sal 20 mg Tablet 100 1,000 1,100 10 10 5 10 10 5 50 100
250 Sipemetrin Tablet 0 0 0 0
251 Siprofloksasin tab 50 mg Tablet 359 2,000 2,359 0 0
252 Sound timer Unit 0 0 0 0
253 Sputum pot Buah 0 0 0 0
254 Stomac tab Tablet 0 0 0 0
255 Stomac Syr Botol 0 0 0 0
256 Stomac no 17 Pcs 0 0 0 0
257 Stomac no 18 Pcs 0 0 0 0
258 Sulfadoxin Tablet 0 0 0 0
259 Sufprafenid Susp 0 0 0 0
260 Swab 2 Play Buah 0 0 0 0
261 Tablet Tambah Darah Tablet 0 0 70 190 10 10 50 10 100 20 460 920
262 Tetagam Ampul 0 0 0 0
263 Tetrasiklin HCl 250 mg Tablet 0 0 0 0
264 Tetrasiklin HCl 500 mg Kaps 0 0 0 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 0 1,000 1,000 10 10 10 20 10 10 70 140
266 Tramadol Inj Ampul 0 0 0 0
267 Trihexypenidyl Tablet 0 0 0 0
268 Unibical Buah 0 0 0 0
269 Under Pad 60 x 90 Buah 0 0 0 0
270 Urine Bag Buah 0 0 0 0
271 Veroreb (Rabies Vaksin) Ampul 0 0 0 0
272 Vit A Biru (100.000 IU) Kaps 0 0 0 0
273 Vit A Merah (200.001 IU) Kaps 0 0 0 0
274 Vitamin B kompleks Tablet 0 500 500 10 10 20 10 20 85 10 5 60 20 20 30 23 85 408 816
275 Water Inj Botol 0 0 0 0
276 Zinc Tab 20 mg Tablet 0 0 3 36 35 20 16 20 10 15 16 20 5 5 5 10 216 432
277 Zircum Kids Botol 0 0 0 0
278 Nald Tromo Buah 0 0 0 0
279 KN 95 Buah 0 0 0 0
280 Nasal S Buah 0 0 0 0
281 Resperidon Tablet 0 0 0 0
282 Rapid HbsAg Pcs 0 0 0 0
283 Molexflu Tablet 0 0 0 0
284 bio atp Tablet 0 0 0 0
285 Pritavit Tablet 115 115 0 0
286 NB Topical Ointment Tube 0 0 0 0
287 Rapid Test HIV Buah 0 0 0 0
288 Fenol Glyseril Tetes Telinga 10% Botol 12 12 0 0
289 Alpara sirup Botol 0 0 0 0
290 Metronidazole infus Botol 0 0 0 0
291 MGSO4 inj 20% mg Ampul 0 0 0 0
292 MGSO4 inj 40 mg Ampul 0 0 0 0
293 Serum Anti Tetanus 1.500 IU Ampul 0 0 0 0
Yang Meminta: Yang Menerima:
Kepala Puskesmas Pengelola Obat Pusk/Pustu/Poskesdes

Trianno Yosephine Sipayung, SKM -

NIP : 1988022020112028 Dwita Rehulina Br Lingga. S.Farm
 Persediaan Awal Bulan
Nama Obat Satuan Persediaan
Awal Bulan
1 3 way Pcs 0
2 Acdat cream Tube 0
3 Adalat oros Tablet 0
4 Alat suntik 3 ml/25 ml Buah 85
5 Alat suntik 1 ml Buah 0
6 Alat suntik 5 ml Buah 36
7 Alat suntik 50 cc Buah 0
8 Albendazol tab 400 mg Tablet 0
9 Alkohol 70%/ liter Botol 4
10 Alludona D Tamblet Tablet 0
11 Alopurinol tab 100 mg Tablet 340
12 Ambroxol tab 30 mg Tablet 1,052
13 Aminofilin injj 24 mg/ml Ampul 0
14 Amlodipin tab 5 mg Tablet 0
15 Amlodipin tab 10 mg Tablet 1,364
16 Amoksisilin tab 500 mg Kap 1,658
17 Amoksisilin syr kering 125 mg/5 ml Botol 16
18 Antasida doen kombinasi Tablet 1,322
19 Antasida doen suspensi Botol 0
20 Anti Bakteri Doen Tube 0
21 Anti fungi Doen Tube 0
22 Anti Parkinson Kombinasi Tablet 0
23 Antihemoroid Kombinasi Tablet 0
24 Artemether Inj 80 mg/ml Ampul 0
25 Asam askorbat (vitamin C) tab 50 mg Tablet 1,066
26 Asam folat tab 1 mg Tablet 0
27 Asam folat tab 0.4 mg Tablet 0
28 Asam mefenamat kaps 500 mg Kap 2,330
29 Aseptan + Dispenser Botol 0
30 Asering Botol 0
31 Asetosal 80 mg Tablet 0
32 Asetosal 500 mg Tablet 0
33 Asiklovir tab 400 mg Tablet 0
34 Asiklovir cream 5 % Tube 0
35 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 0
36 Atropin tab 0,5 mg Tablet 0
37 Azitromisin 500 mg Tablet 0
38 Bioron Inj Ampul 0
39 Benodon Inj Vial 0
40 Benzatin Benzin Penisilin 1.2jt Vial 0
41 Betahistin 6 mg Tablet 0
42 Betametason krim 0,5 mg/g Tube 12
43 Blood lancet Pcs 0
44 Bracket handwash plastik Pcs 0
45 Bronsolvan 150 mg Tablet 0
46 BTI/Bastivec Botol 0
47 Bufacetin salep kulit Tube 0
48 Calcil Glukonas 10% Ampul 0
49 Captopril 12.5 mg Tablet 0
50 Captopril 25 mg Tablet 0
51 Carbo Gliserin tetes telinga 10% Botol 0
52 Catgut chromic 2/0 Set 0
53 Catgut chromic 3/0 Set 0
54 Ceftriakson inj 1 gr Vial 0
55 Cetirizine sirup 5mg/ml Botol 0
56 Cetirizine 10 mg Tablet 372
57 Clindamicyn 150 mg Kap 0
58 Clindamicyn 300 mg Kap 284
59 Codein HCl 10 mg Tablet 0
60 Concor (Bisoprolol) Tablet 0
61 CTM Tablet 1,396
62 Culticell clasik 10x40 cm Buah 0
63 Culticell stick Buah 0
64 Culticell Gel Buah 0
65 Culticell Cutback Buah 0
66 Dehydro Artemesin D artep Tablet 0
67 Depakote/ Valporat 250 mg Tablet 0
68 Dermafix T 10x12 cm Pcs 0
69 Dermafix T 10x8 cm Pcs 0
70 Dexamethasone Inj Ampul 0
71 Dexamethasone 0.5 mg Tablet 998
72 Diazepam 2 mg Tablet 0
73 Diazepamlarutan rektal 5 mg/2.5 ml Tube 0
74 Dipenhidramine HCl Inj Ampul 0
75 Digoxin 0.25 mg Tablet 0
76 Domperidone 10 mg Tablet 752
77 Domperidone suspensi Botol 0
78 Doksisiklin 100 mg Tablet 0
79 Dulcolax/Bisakodil Susp 0
80 Ecolab Aquagel Tube 0
81 Epineprhine Inj 0.1% Ampul 0
82 Eritromisin syr 200 mg/5 ml Botol 0
83 Eritromisin tab 500 mg Tablet 0
84 Erklasiklin eye Oint Kaps 0
85 Etil klorida semprot Vial Vial 0
86 Eugenol Botol 0
87 Extr Beelladon Tablet 0
88 Female Cateter no 18 Pcs 0
89 Fenobarbital tab 30 mg Tablet 0
90 Fitomenadion (Vit K1) 10 mg Tablet 0
91 Fitomenadion (vitamin K 1) inj Ampul 0
92 Fixomull 5x5 Pcs 0
93 Fluication Ampul 0
94 Flusinolon Asetonid Tube 0
95 Fluor sediaan topikal Tube 0
96 Furosemid tab 40 mg Tablet 50
97 Garam Oralit Bks 0
98 Genoint Salep Mata 0.3 % Tube 0
 99 Gentamicin Inj 40 mg Ampul 0
100 Gentamicin Salep kulit 0.1% Tube 12
101 Gentamicin Sulfat tetes mata 0.3% Tube 0
102 Gliseril Guaikolat 100 mg Tablet 0
103 Glibenklamid tab 5 mg Tablet 0
104 Gloves Steril No 7 Buah 0
105 Gloves Steril No 7 1/2 Buah 0
106 Gloves Steril No 8 Buah 0
107 Gloves size M non steril Buah 0
108 Glimiperide 1 mg Tablet 0
109 Glukosa Larutan Infus Botol 0
110 Griseofulvin (micronized) tab 125 mg Tablet 0
111 Haloperidol tab 2 mg Tablet 0
112 Hidrogen peroksida cairan 3% H2O2 Botol 0
113 Hidroklorotiazid tab 25 mg Tablet 0
114 Hidrokortison krim 2,5% Tube 0
115 Hiosin butilbromida tab 20 mg Tablet 0
116 I.V Cateter no 18 G Pcs 0
117 I.V Cateter no 20 G Pcs 0
118 I.V Cateter no 22 G Pcs 0
119 I.V Cateter no 24 G Pcs 0
120 Ibuprofen 400 mg Tablet 2,062
121 Ibuprofen suspensi 60 ml Botol 0
122 Infus set Anak Pcs 0
123 Infus set Dewasa Pcs 0
124 Isosorbid dinitrat tab 5 mg Tablet 0
125 Jarum 18x 1 1/2 Pcs 0
126 Kaca slide Pcs 0
127 Kalsium laktat (kalk) tab 500 mg Tablet 0
128 Kapas Pembalut 100 gr Bks 0
129 Kapas Pembalut Absorben 250 gr Bks 0
130 Karbamazepin Tab 200 mg Tablet 0
131 Kassa Hidrofil 16 x 16 cm Kotak 0
132 Kassa Hidrofil 4 x 10 cm cm Roll 0
133 Kassa Hidrofil 4 x 5 cm Roll 0
134 Kassa Hidrofil 30 x 80 cm Roll 0
135 Kassa Hidrofil 400 x 80 cm Roll 0
136 Ketoconazole 200 mg Tablet 0
137 Ketoconazole krim 2%\ Tube 0
138 Ketorolac Inj 30 ml Ampul 0
139 Klopidogrel 75 mg Tablet 0
140 Kloramfenikol salep kulit 1% (bufacetin) Tube 0
141 Kloramfenikol susp 125 mg/5 ml Botol 0
142 Kloramfenikol tetes telinga 3% Tube 0
143 Kloramfenikol tts mata 1% Tube 0
144 Kombinasi kaolin+pektin Tablet 0
145 Kotrimoksazole Dewasa 480 mg Tablet 60
146 Kotrimoksazole suspensi Botol 0
147 Lab Kit Malaria Set 0
148 Lansoprazole 30 mg Tablet 0
149 Larutan Antiseptik Botol 0
150 Levofloksacin 500 mg Tablet 0
151 Levopar Tablet 0
152 Levotiroksin 100 mg Tablet 0
153 Lidokain composit Ampul 0
154 Lidokain Inj Ampul 0
155 Loperamid tab 2 mg Tablet 0
156 Loratadine 10 mg Tablet 0
157 Lysol 1 liter Botol 0
158 Masker Pcs 340
159 MDT MB Anak Blister 0
160 MDT MB Dewasa Blister 0
161 Meptin Swinghaler Pcs 0
162 Metformin tab 500 mg Tablet 1,016
163 Metilergometrin inj 0,2 mg/ml Tablet 0
164 Metilergometrin tab Tablet 0
165 Metoklopramid tab 10 mg Tablet 0
166 Metronidazol susp 125 mg/5 ml Botol 8
167 Metronidazol tab 500 mg Tablet 292
168 Metylprednisolone 4 mg Tablet 0
169 MgSO4 Inj 20% Ampul 0
170 MgSO4 Inj 40% Ampul 0
171 Mob cap Buah 0
172 Mikonazol krim 2% Tube 4
173 Mikrotois Buah 0
174 Mineral Mix Sct 0
175 Molagit Tablet 0
176 N-asetil sistein kaps 200 mg Kaps 0
177 Nasal Oksigen size S Buah 0
178 Nasal Oksigen size XS Buah 0
179 Natrium Tiroksin Tablet 0
180 Natrium diklofenak tab 25 mg Tablet 0
181 Natrium diklofenak tab 50 mg Tablet 0
182 Natrium Klorida Larutan infus Botol 0
183 Needle 0.306 x 21 mm Buah 0
184 New Antides (Attapulgit) Tablet 0
185 Nifedipin kaps 10 mg Tablet 0
186 Nistatin tab salut 500.000 UI Tablet 0
187 Nistatin tab vaginal 100.000 UI Tablet 0
188 Nonwoven Fixation 10 x 10 Pcs 0
189 Nonwoven Fixation 5 x 10 Pcs 0
190 OAT Kategori & III (FDC) Paket 0
191 OAT Kategori Anak Paket 0
192 OAT Kategori II Paket 0
193 OAT Sisipan Paket 0
194 Oksimetazolin tts hidung 0,025% Iliadin Botol 0
195 Oksimetazolin tts hidung 0,050% Iliadin Botol 0
196 Obat Batuk Hitam (OBH) syr Botol 0
197 Oksitetrasiklin 1% Salep Mata Tube 0
198 Oksitosin inj 10 UI/ml Ampul 0
199 Omeprazol kaps 20 mg Kaps 636
200 Omecough sirup Botol 0
201 Omegtamin tablet Tablet 0
202 Omegdiar tablet Tablet 0
203 Omegesic Tablet 0
204 Ondensentron 4 mg Tablet 0
205 Ondensentron 8 mg Tablet 0
206 Onescrab 500 cc + dispenser Botol 0
207 Ofloxacin 400 mg Tablet 0
208 Paracetamol drop 15 ml Botol 0
209 Parasetamol tab 500 mg Tablet 1,070
210 Parasetamol sir 120 mg/5 ml Botol 46
211 Pehavral Tablet 1,124
212 Plester Anti Air Buah 0
213 Pirantel Pamoate 125 mg Tablet 0
214 Piridoksin (vitamin B6) tab 10 mg Tablet 80
215 Povidon iodin 30 ml Botol 0
216 Povidon iodin 60 ml Botol 8
217 Povidon iodin 300 ml Botol 0
218 Prednison tab 5 mg Tablet 0
219 Primakuin tab 15 mg Tablet 0
220 Propiltiourasil tab 100 mg Tablet 0
221 Propanolol 40 mg Tablet 0
222 Propranolol 10 mg Tablet 0
223 Ranitidine Inj 25 mg Ampul 0
224 Ranitidin tab 150 mg Tablet 518
225 Rapid Sifilis (Hexagon) Paket 0
226 Rapid Tes Malaria Paket 0
227 Ringer Laktat Infus Steril Botol 0
228 Rivanol Botol 0
229 Rovital Tablet 0
230 Safety box Buah 0
231 Salbron Expectorant Botol 0
232 Salbutamol tab 2 mg Tablet 1,158
233 Salbutamol tab 4 mg Tablet 0
234 Salbutamol cairan 0.1% Botol 0
235 Salep 2-4 Pot 0
236 Salisil Bedak 2% Bks 0
237 Sarung tangan Obgyn Steril Buah
238 Sefradoksil Kaps Kaps 0
239 Sefradoksil sirup 125 mg Botol
240 Sefixim sirup Botol 0
241 Sefixim 100 mg Tablet 0
242 Sefotaksim serbuk Inj 1 gr Vial 0
243 Selang oksigen Buah 0
244 Sianokobalamin (vitamin B12) inj Ampul 0
245 Sianokobalamin (vitamin B12) tab Tablet 0
246 Stik Benang Bedah no 2/0 Buah 0
247 Stik Benang Bedah no 3/0 Buah 0
248 Simvastatin tab sal 10 mg Tablet 0
249 Simvastatin tab sal 20 mg Tablet 100
250 Sipemetrin Tablet 0
251 Siprofloksasin tab 50 mg Tablet 0
252 Sound timer Unit 0
253 Sputum pot Buah 0
254 Stomac tab Tablet 0
255 Stomac Syr Botol 0
256 Stomac no 17 Pcs 0
257 Stomac no 18 Pcs 0
258 Sulfadoxin Tablet 0
259 Sufprafenid Susp 0
260 Swab 2 Play Buah 0
261 Tablet Tambah Darah Tablet
262 Tetagam Ampul 0
263 Tetrasiklin HCl 250 mg Tablet 0
264 Tetrasiklin HCl 500 mg Kaps 0
265 Thiamin HCl (Vit B1) 50 mg Tablet 140
266 Tramadol Inj Ampul 0
267 Trihexypenidyl Tablet 0
268 Unibical Buah 0
269 Under Pad 60 x 90 Buah 0
270 Urine Bag Buah 0
271 Veroreb (Rabies Vaksin) Ampul 0
272 Vit A Biru (100.000 IU) Kaps 0
273 Vit A Merah (200.001 IU) Kaps 0
274 Vitamin B kompleks Tablet
275 Water Inj Botol 0
276 Zinc Tab 20 mg Tablet
277 Zircum Kids Botol 0
278 Nald Tromo Buah 0
279 KN 95 Buah 0
280 Nasal S Buah 0
281 Resperidon Tablet 0
282 Rapid HbsAg Pcs 0
283 Molexflu Tablet 0
284 bio atp Tablet 0
285 Pritavit Tablet 0
286 NB Topical Ointment Tube 0
287 Rapid Test HIV Buah 0
288 Fenol Glyseril Tetes Telinga 10% Botol 0
289 Alpara sirup Botol 0
290 Metronidazole infus Botol 0
291 MGSO4 inj 20% mg Ampul 0
292 MGSO4 inj 40 mg Ampul 0
293 Serum Anti Tetanus 1.500 IU Ampul 0
294 Guaifenesin Tablet
 LAPO
Pusk.Pustu/Poskesdes : PAMATANG SI
Bulan : Juli-Agustus
Kabupaten : SIMALUNGUN

Persediaan Awal Bulan

Masuk
Jumlah 1 2 3 4 5 6 7 8 9
Bulan
0
0
0
100 185 3 2 1 4 2 1
0
100 136 5 2 1
0
0
5 9 1
0
1,500 1,840 25 31 25 15 12 22
1,000 2,052
0
0
1,000 2,364 28 45 25 22 55 26 54 68 45
2,000 3,658 115 85 154 85 95 56 94 69 89
50 66 5 2 6 5
6,900 8,222 148 265 112 256 187 165 150 187 154
0
0
0
0
0
0
1,066 38 15 54 54 12 54 24
0
 0
2,000 4,330 155 115 112 154 87 98 94 154 145
5 5 1
0
0
0
0
0
0
0
0
0
0
0
0
50 62 2 1 2 1
0
0
0
0
0
0
0
0
0
0
0
0
0
400 772 15 45 15 24 35 32 25
0
300 584
0
0
1,396 115 54 102 65 25 32 26 26
0
 0
0
0
0
0
0
0
20 20
1,000 1,998 65 75 25 35 85 54 75 55 28
0
0
0
0
400 1,152 45 25 54 55 25
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 10 15 12
0
48 48 1
 0
12 4
0
0
0
0
20 20 1 4 5
0
100 100 3 2 1 3 3 5
0
0
0
0
0
0
48 48 1 2 2
0
0
0
0
0
2,062 85 125 65 45 84 54 105 54 55
0
50 50 1
30 30 1
0
0
0
0
0
0
0
20 20 2 1
0
0
0
 0
0
0
0
0
0
0
0
0
0
1,000 1,060 25 24 54 14 25 35
0
0
0
0
0
0
0
0
0
200 200 15 45 54 24 26
0
0
300 640 15 5 15 4 6 4 5 4 5
0
0
0
2,000 3,016 25 15 15 45 21 21 26 26 52
0
0
0
50 58 2 1 3 1
500 792 25 32 54 26
500 500 21 15 21 14 13 12
0
0
 0
4
0
0
0
0
0
0
0
0
500 500 25 15 24 15 24 25 24
20 20 1 1 2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300 936 15 21 41 21 35 32 25 32
0
0
0
0
0
0
0
 0
0
1,000 2,070 65 56 45 52 65 45 65 68 64
100 146 1 2 6 5 2 4
1,124 25 45 51 15 35 32 35
0
0
2,000 2,080 15 12 15 25 24
0
8
10 10 1
0
0
0
0
0
0
300 818 15 45 50 15 35 36 24 25
0
0
0
10 10 1
0
0
0
1,000 2,158 25 24 15 24 25 45 35 65
0
0
0
0
0
0

0
0
0
 0
0
2,000 2,000 25 35 33 25 32 36 35
0
0
0
2,000 2,100 25 32 15 24 25 35
0
1,000 1,000 35 45 36 54 15
0
0
0
0
0
0
0
0
0

0
0
0
1,000 1,140 15 15 45 15 25 35
0
0
0
0
0
0
0
0

0
0
 0
100 100
0
0
0
0
0
0
0
0
0
0
0
0
0

Yang Meminta:
Kepala Puskesmas

Trianno Yosephine Sipayung

NIP : 198802202011202
 LAPORAN PENGGUNAAN OBAT (LPO)
PAMATANG SILIMAHUTA
Juli-Agustus
SIMALUNGUN

JUMLAH OBAT PADA TANGGAL PEMAKAIAN

10 11 12 13 14 15 16 17 18 19 20 21 22

2 1 5 1 5 2 6 2 1 3 1 2

1 1 1

15 20 14 16 16 13 30 25 26

25 22 20 48 58 48 40 62 26 62 55 25 88
56 65 52 52 125 35 132 144 145 160 135 65 154
5 5 1 6 2
95 25 105 251 188 105 154 152 123 132 212 105 298

15 21 36 15 58 20 57 65 65 58
165 61 135 65 132 115 65 81 64 65 145 154 65
1

1 2 1 1 2

22 12 45 25 35 36 32 32 15 25 54 26

45 55 35 36 25 84 58 65 69 58 54 52 45
 1 1 2
84 36 65 68 25 65 25 65 25 45 58 85 35

25 40 24 26 25 24 25

5 8

1 2 2
1 2 1 2

4 1

3 1 2 2 3

65 48 65 54 58 47 45 45 115 65 56 54 45

3 1 2
 24 24 25 25 45

36

5 6 5 6 15 15 12 1 12 15 12 15 8

32 32 21 25 12 21 35 65 23

2 3 5 2 1
45 35 54 35 45 26 35 32 35
15 12 15 15 12
35 32 53 25 32 12 21 15 16
1 2 1

35 25 28 35 35 12 15 14 15 18 16 26 35
 54 87 45 45 80 54 65 58 45 78 54 87 50
5 12 15 5 1 5 4
35 45 21 42 25 65 48 49 58 25

26 25 26 25 24 35 12 15

26 25 28 25 24 65 25 15 35 15 35 36 34

65 25 45 45 25 26 25 28 29 26
 42 15 35 15 18 14 16 18 55 35

36 38 32 15 24 15 40 50 45

54 45 15 25 45 35 45

32 35 34 15 35 25 26 25 24 20
ang Meminta: Yang Menerima:
pala Puskesmas Pengelola Obat Pusk/Pustu/Posk

o Yosephine Sipayung, SKM Dahliani Sitanggang, A.Md

IP : 1988022020112028 NIP: 199606262024212080
PO)

Jumlah
Sisa Akhir
Pemakaian
23 24 25 26 27 28 29 30 31 Bulan
Bulan
0 0
0 0
0 0
1 1 2 1 2 3 2 56 129
0 0
2 1 1 1 16 120
0 0
0 0
1 1 3 6
0 0
15 26 12 15 15 15 403 1,437
0 2,052
0 0
0 0
65 35 44 35 48 55 25 61 1315 1,049
58 85 154 87 196 66 118 125 145 3196 462
2 39 27
145 145 126 95 150 151 332 254 154 5121 3,101
0 0
0 0
0 0
0 0
0 0
0 0
54 45 54 48 54 32 948 118
0 0
 0 0
95 124 154 165 198 195 164 168 154 3843 487
2 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 1 15 47
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
45 35 45 24 54 19 772 0
0 0
0 584
0 0
0 0
65 65 56 48 36 1396 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 16
65 35 24 54 65 68 56 45 1590 408
0 0
0 0
0 0
0 0
65 25 44 24 551 601
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
50 0
0 0
1 5 12 36
 0 0
2 12 0
0 0
0 0
0 0
0 0
5 20 0
0 0
2 2 32 68
0 0
0 0
0 0
0 0
0 0
0 0
2 1 2 5 15 33
0 0
0 0
0 0
0 0
0 0
62 118 54 86 65 64 80 45 54 2062 0
0 0
1 4 46
1 2 28
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 2 1 5 20 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
54 54 25 453 607
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
12 9 15 2 15 14 12 10 16 295 345
0 0
0 0
0 0
24 23 32 25 23 32 35 15 721 2,295
0 0
0 0
0 0
2 1 23 35
42 54 45 32 652 140
165 335
0 0
0 0
 0 0
0 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
14 15 16 18 18 12 14 500 0
2 1 11 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
35 36 45 25 15 15 24 35 12 773 163
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
98 56 65 78 78 65 148 45 110 2070 0
5 6 4 5 87 59
55 50 45 60 65 65 62 15 56 1124 0
0 0
0 0
21 21 15 15 351 1,729
0 0
0 8
2 8
0 0
0 0
0 0
0 0
0 0
0 0
45 15 25 45 15 20 20 818 0
0 0
0 0
0 0
2 8
0 0
0 0
0 0
25 35 35 34 36 51 813 1,345
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
35 45 45 15 45 55 724 1,276
0 0
0 0
0 0
41 26 36 24 15 593 1,507
0 0
449 551
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 446 694
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

at Pusk/Pustu/Poskesdes

gang, A.Md
2024212080
Ket
ED 08 24