lplpo 2013-2014
TRANSCRIPT
-
8/18/2019 LPLPO 2013-2014
1/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS :
PUSKESMAS : SULILI PROPINSI
KECAMATAN : PALETEANG PEMAKAIAN
KAB/KODYA : PINRANG BULAN
TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 0 10 10 10 0 10 10
2 Abbocath No.20 Set 5 25 30 30 0 30 30
3 Abbocath No.22 Set 5 25 30 30 0 30 30
4 Abbocath No.24 Set 0 15 15 15 0 15 15
5 Air raksa dental Use Btl 0 0 0 0 0 0 0
6 Alat Suntik 1 ml Set 50 50 100 0 30 100 0
Alat Suntik 2,5 ml Set 0 100 100 100 0 100 100
! Alat Suntik 5 ml Set 0 50 50 50 0 50 50
" Alat Suntik ADS 0, 05 ml Set 0 0 0 0 0 100 100
10 Alat Suntik ADS 0.5 ml Set 0 0 0 0 0 100 100
11 Albendaole !ab 560 0 560 100 460 100 #360
12 Alo"urinol tablet 100 m# !ab 0 300 300 300 0 300 300
13 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
14 Amino$ilin tablet 200 m# !ab 300 0 300 0 300 255 #45
15 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
16 Amoksisilin &a"sul 250 m# &a" 0 4!0 4!0 360 120 1$30 1$1!
1 Amoksisilin &a"sul 500 m# &a" 1$400 6$000 $500 5$500 2$000 $500 5$5001! Amoksisilin siru" kerin# Btl 0 60 60 60 0 5! 5!
1" Am"isilin 'n% (ial 35 0 35 5 30 15 #15
20 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
21 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
22 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
23 Antasida doen tablet kombinasi !ab 500 5$100 5$600 3$600 2$000 5$560 3$560
24 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
25 Antihemoroid doen kombinasi Su" 5 0 5 0 5 5 0
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
2/660
26 Antimi#rain doen kombinasi !ab 100 100 200 100 100 452 352
NO NAMA OBATP
27 Aua +roin%eksi steril %&'( 10 2 12 12 0 10 10
28 Arsuamon !ablet T') 0 0 0 0 0 100 100
2" Artemeter 'n%eksi Am" 0 0 0 0 0 10 10
30 Arterakin 'n% Am" 0 0 0 0 0 10 10
31 Artesdiauine !ab 0 0 0 0 0 100 100
32 Artesunate Anak Blister 0 0 0 0 0 100 100
33 Artesunate De-asa Blister 0 0 0 0 0 100 100
34 Artesunate 'n% (ial 0 0 0 0 0 10 10
35 Artesunate ema%a Blister 0 0 0 0 0 100 10036 Asam askorbat / (it c tab 50 m# !ab 0 $000 $000 $000 0 $525 $525
3 Asam e$enamat tablet !ab 0 2$000 2$000 2$000 0 1$""3 1$""3
3! Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
3" Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
40 Askloir 200 m# !ab 0 0 0 0 0 200 200
41 Atro"in sul$at in%eksi 0,25 m#)ml Am" 45 0 45 45 0 0 0
42 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
43 Betametason krim 0,1 3 !ube 0 45 45 30 15 50 35
44 a"to"ril 12,5 m#tablet !ab 0 0 0 0 0 0 0
45 a"to"ril 25 m# !ab 0 2$000 2$000 2$000 0 1$300 1$300
46 at#ut)benan# bedah no.2)0 * )0 Sak 10 13 23 1! 5 20 15
4 imetidin tablet !ab 0 0 0 0 0 500 500
4! i"ro$loksasin 500 m# &a"s 0 00 00 450 250 61 364" ordismo !ab !ab 0 0 0 0 0 0 0
50 Dasabion &a"s 0 0 0 0 0 0 0
51 Deksametason in%eksi 5 m#)ml Am" 3" 0 3" 0 3" 3" 0
52 Deksametason tablet 0,5 m# !ab !00 5$000 5$!00 4$300 1$500 5$23 4$223
53 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
54 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
55 Deitalisasi "asta / non Arsen Btl 1 0 1 1 0 1 1
56 Diae"am in% 5 m#)ml * 2 ml Am" 10 0 10 0 10 10 0
5 Diae"am tablet 2 m# !ab 1$000 2$000 3$000 1$000 2$000 3$466 1$466
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
3/660
5! Diae"am tablet 5 m# !ab 0 0 0 0 0 43 43
5" Di$enhidramin in% 10 m#)ml*1ml Am" 4 20 24 10 14 24 10
NO NAMA OBATP
60 Di#oksin tablet 0,25 m# !ab 100 0 100 0 100 43 #5
61 Doksisiklin !ab 200 100 300 0 300 0 #300
62 6$edrin tablet 25 m# !ab 1$250 1$000 2$250 500 1$50 2$4"1 41
63 6kstrak belladon tablet 10 m# !ab 0 0 0 0 0 "5 "5
64 6"ine$rin /adrenalin in%.0,13*1ml Am" 0 20 20 1 1" 30 11
65 6ritromisin &a"s 250 m# &a"s 0 0 0 0 0 1$000 1$000
66 6takridin / rianol lar. 0,13 Btl 3 2 5 2 3 5 2
6 6tanol 703 Btl 0 4 4 4 0 5 56! 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
6" 6u#enol cairan Btl 1 0 1 0 1 1 0
0 armabes !ab 0 0 0 0 0 0 0
1 enobarbital 'n% 'n% 0 10 10 0 10 10 0
2 enobarbital tablet 0 m# !ab 0 1$000 1$000 1$000 0 1$000 1$000
3 enol #liserol tetes telin#a 103 b!9 0 5 5 5 0 5 5
4 erro Sul$at 00 m# !ab 1$000 0 1$000 0 1$000 1$000 0
5 itomenadion / it k 1 in%eksi Am" 0 2! 2! 0 2! 30 2
6 itomenadion / it k 1 tab 10 m# !ab 0 300 300 100 200 2! !
urosemida tablet 40 m# !ab 300 100 400 100 300 240 #60
! :aram oralit untuk 200 ml Sak 0 300 300 300 0 300 300
" :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!0 :lass 'onomer cement /#c i; Set 2 0 2 1 1 2 1!1 :libenklamid tablet 5 m# !ab 100 600 00 500 200 2
!2 :liseril #ua
-
8/18/2019 LPLPO 2013-2014
4/660
"0 'bu"ro$en 200 m# !ab 1$000 300 1$300 500 !00 1$310 510
"1 'bu"ro$en 400 m# !ab 1$000 0 1$000 200 !00 1$000 200
"2 'n$usion set anak Set 0 5 5 5 0 15 15
NO NAMA OBATP
"3 'n$usion set de-asa Set 0 20 20 20 0 20 20
"4 'odiol &a"sul 9unak &a"s 0 0 0 0 0 100 100
"5 'sosorbit dinitrat tab 5 m# !ab 100 0 100 100 0 100 100
"6 &alsium hidroksida "asta !ube 2 0 2 2 0 2 2
" &alsium laktat / kalk tab 500 m# !ab 300 2000 2300 1300 1000 2000 1000
"! &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2
"" &arbamae"in tab 200 m# !ab 100 0 100 0 100 100 0100 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
101 &asa 4 m ; cm ol 0 0 0 0 0 10 10
102 &asa :ulun# 40 < ; 80 cm ol 0 2 2 2 0 10 10
103 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
104 &asa "embalut 18 ; 22 ol 6 40 46 46 0 10 10
105 &etokenaole !ab !ab 150 100 250 150 100 200 100
106 &ina !ab / >uinine !ab 100 0 100 100 0 200 200
10 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 243 #5
10! &loram$enikol Sale" mata 1 3 !ube 0 5 5 5 0 10 10
10" &loram$enikol !etes ata Btl 0 10 10 10 0 10 10
110 &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
111 &lor$eniramin / ctm tab 4 m# !ab 0 000 000 000 0 6532 6532
112 &lor$enol / =& Btl 1 0 1 0 1 0 #1113 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
114 &lor"romain hcl tab salut 100 m# !ab 400 500 "00 200 00 1000 300
115 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
116 &odein tablet 10 m# !ab 0 0 0 0 0 124 124
11 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
11! &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
11" &otrimoksaol "ediatrik tablet !ab 200 100 300 300 0 300 300
120 &otrimoksaol sus"ensi Btl 0 50 50 50 0 50 50
121 &otrmoksaol de-asa tablet !ab 0 1100 1100 1100 0 102 102
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
5/660
122 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
123 9arutan Anisol Btl 0 0 0 0 0 1 1
124 9arutan benedict Btl 1 0 1 1 0 1 1
125 9arutan S"iritus Btl 0 0 0 0 0 2 2
NO NAMA OBATP
126 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
12 9euko"last ol 0 0 0 0 0 5 5
12! 9idokain kom"ositum in%eksi Am" 0 60 60 60 0 61 61
12" 9isol Btl 3 1 4 1 3 4 1
130 B Anak Blister 0 0 0 0 0 120 120
131 B De-asa Blister 0 0 0 0 0 120 120132 #S@4 'n% 203 (ial 5 3 ! 3 5 10 5
133 #S@4 'n% 403 (ial 0 3 3 3 0 10 10
134 ineral i; Sach 0 0 0 0 0 0 0
135 etiler#ometrin in% 0,200 m#*1ml Am" 10 0 10 0 10 10 0
136 etiler#ometrin tab salut 0,125 m# !ab 300 0 300 300 0 500 500
13 etoklo"ramida !ab !ab 0 0 0 0 0 500 500
13! etronidaol tablet 250 m# !ab 0 0 0 0 0 0 0
13" etronidaol tablet 500 m# !ab 0 0 0 0 0 566 566
140 ultiitamin Siru" Btl 0 0 0 0 0 26 26
141 ummi$
-
8/18/2019 LPLPO 2013-2014
6/660
154 @bat batuk hitam / @B= cairan Btl 0 20 20 20 0 20 20
155 @b%ek :lass set 4 1 5 5 0 5 5
156 @ksitetrasiklin hcl in%eksi Am" 0 0 0 0 0 10 10
15 @ksitetrasiklin sale" 3 !ube 35 25 60 15 45 50 5
15! @ksitetrasiklin Sale" mata !ube 0 20 20 5 15 20 5
NO NAMA OBATP
15" @ksitosin 'n%eksi 10 iu)ml * 1 ml Am" 0 30 30 30 0 30 30
160 +a"aerin !ab !ab 0 1000 1000 1000 0 1" 1"
161 +arasetamol Siru" 120 m# ) 5 ml B*( 0 50 50 50 0 50 50
162 +arasetamol 100 m# T') 0 0 0 0 0 100 100
163 +arasetamol tablet 500 m# !ab 0 !00 !00 6300 1500 !5!0 0!0164 +B Anak Blister 0 0 0 0 0 0 0
165 +B De-asa Blister 0 0 0 0 0 0 0
166 +irantel "amoat tab 125 m# !ab !6 0 !6 62 24 100 6
16 +iridoksin hcl tab 10 m# !ab 0 4000 4000 4000 0 3000 3000
16! +lester 5
-
8/18/2019 LPLPO 2013-2014
7/660
1!6 Semen $os$at serbuk dan cairan Set 1 0 1 0 1 1 0
1! Sianokobalamin / (it.b 12 in%eksi Am" 0 100 100 20 !0 100 20
1!! Sianokobalamin tablet !ab 0 2000 2000 2000 0 1516 1516
1!" Silk no.)0 Sak 16 3 1" 1" 0 20 20
1"0 Siler amal#am serbuk 5 * 75 3 Btl 0 0 0 0 0 1 1
1"1 Simastatin !ab 0 200 200 200 0 500 500
NO NAMA OBATPK
1"2 !ablet tambah darah kombinasi Sach 0 0 0 0 0 36 36
1"3 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
1"4 !etrasiklin hcl ka"sul 250 m# &a" 3000 0 3000 0 3000 24"1 #50"
1"5 !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 1001"6 !hiamin hcl / (it. B1 'n%eksi A+, 0 20 20 20 0 20 20
1" !hiamin hcl / (it. B1 !ablet T') 0 4000 4000 4000 0 3260 3260
1"! !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
1"" !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
200 Urine ba# Set 0 0 0 0 0 1 1
201 (itamin b kom"leks tablet !ab 0 0 0 0 0 555 555
202 in# Needle 2: Set 0 0 0 0 0 1 1
203 in# Needle 27: Set 0 0 0 0 0 1 1
204 Codina !est Btl 0 1 6 1 #5
205 Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
206 Codium "oidon lar.103 00 ml Btl 2 3 5 3 2 5 3
20 ?inc !ablet 20 m# !ab 300 200 500 100 400 500 100
20! Betahistin m# !ab 0 0 0 0 0 300 30020" Diet
-
8/18/2019 LPLPO 2013-2014
8/660
21 Amaro"o !ab 0 3000 3000 2100 "00 1000 100
JUMLAH PASIEN JAMKESDA JKN JUMLAHRAWAT INAP 17 4 21
RAWAT JALAN 2548 431 2979
GIGI 127 44 171
UGD 146 44 19
KIA 55 18 73
LABORATORIUM 88 92 18
3614
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
9/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
10/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
11/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
12/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
13/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
14/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
15/660
NKET
TOTAL BON
-
8/18/2019 LPLPO 2013-2014
16/660
24!!220
62
62
""
2"3!
11
364
213
112
(% 13
!.%. 119
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
17/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS :
PUSKESMAS : SULILI PROPINSI
KECAMATAN : PALETEANG BULAN
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 0 10 10 3 10 3
2 Abbocath No.20 Set 0 30 30 15 15 30 15
3 Abbocath No.22 Set 0 30 30 5 25 30 5
4 Abbocath No.24 Set 0 15 15 13 2 15 13
6 Alat Suntik 1 ml Set 30 0 100 !0 20 100 !0
Alat Suntik 2,5 ml Set 0 100 100 !0 20 100 !0
! Alat Suntik 5 ml Set 0 50 50 35 15 50 35
11 Albendaole !ab 460 0 460 0 460 100 #360
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 300 300
13 Amaro"o !ab "00 0 "00 100 !00 500 #300
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 300 0 300 0 300 255 #45
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
1 Amlodi"in 10 m# !ab 120 200 320 1"0 130 300 10
1! Amoksisilin &a"sul 250 m# &a" 120 360 4!0 240 240 1$30 1$06
1" Amoksisilin &a"sul 500 m# &a" 2$000 5$500 $500 5$!00 1$00 $500 5$!00
20 Amoksisilin siru" kerin# Btl 0 5! 5! 46 12 5! 4621 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 2$000 3$600 5$600 2$300 3$300 5$560 2$260
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 5 0 5 2 3 5 2
2! Antimi#rain doen kombinasi !ab 100 100 200 0 200 452 252
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
18/660
2" Aua +roin%eksi steril %&'( 0 10 10 0 10 10 0
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 0 $000 $000 $000 0 $525 $525
3" Asam e$enamat tablet !ab 0 2$000 2$000 2$000 0 2$500 2$500
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 0 200 200 200 0 300 30043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 15 30 45 35 10 50 40
4! a"to"ril 25 m# !ab 0 1$300 1$300 1$300 0 1$500 1$500
4" at#ut)benan# bedah no.2)0 * )0 Sak 5 15 20 12 ! 20 12
51 i"ro$loksasin 500 m# &a"s 250 400 650 6$500 #5$!50 61 6$46
54 Deksametason in%eksi 5 m#)ml Am" 3" 0 3" 10 2" 3" 10
55 Deksametason tablet 0,5 m# !ab 1$500 4$000 5$500 3$00 1$!00 5$23 3$"23
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 1 1
5" Diae"am in% 5 m#)ml * 2 ml Am" 10 0 10 1 " 10 161 Diae"am tablet 2 m# !ab 2$000 1$000 3$000 0 3$000 43 #2$"5
62 Diet
-
8/18/2019 LPLPO 2013-2014
19/660
1 6tanol 703 Btl 0 4 4 3 1 5 4
2 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATPK
3 6u#enol cairan Btl 1 0 1 0 1 1 0
5 enobarbital 'n% 'n% 10 0 10 0 10 10 0
6 enobarbital tablet 0 m# !ab 0 1$000 1$000 1$000 0 1$000 1$000
enol #liserol tetes telin#a 103 b!9 0 5 5 1 4 5 1
! erro Sul$at 00 m# !ab 1$000 0 1$000 0 1$000 1$000 0
" itomenadion / it k 1 in%eksi Am" 2! 2 30 ! 22 30 !
!0 itomenadion / it k 1 tab 10 m# !ab 200 100 300 100 200 2! !
!1 urosemida tablet 40 m# !ab 300 0 300 100 200 240 40!2 :aram oralit untuk 200 ml Sak 0 300 300 300 0 300 300
!3 :entamicin in% Am" 40 0 40 0 40 40 0
!4 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!5 :lass 'onomer cement /#c i; Set 1 1 2 0 2 2 0
!6 :libenklamid tablet 5 m# !ab 200 100 300 150 150 2 12
! :liseril #ua
-
8/18/2019 LPLPO 2013-2014
20/660
105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2
106 &arbamae"in tab 200 m# !ab 100 0 100 100 0 100 100
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 0 2 2 2 0 10 10
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa "embalut 18 ; 22 ol 0 10 10 10 0 10 10
112 &etokenaole !ab !ab 100 100 200 50 150 200 50
113 &etokenaole krim !ube 0 10 10 10 0 20 20
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 1000 0 1000 1000
116 &loram$enikol Sale" mata 1 3 !ube 0 10 10 10 0 10 10
11 &loram$enikol !etes ata Btl 0 10 10 10 0 10 10
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 0 !00 !00 !00 0 000 000
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 00 300 1000 500 500 1000 500
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 0 100 100 0 100 124 24
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 0 300 300 100 200 300 10012! &otrimoksaol sus"ensi Btl 0 50 50 50 0 100 100
12" &otrmoksaol de-asa tablet !ab 0 1000 1000 1000 0 1500 1500
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
21/660
13 9isol Btl 3 1 4 0 4 4 0
13! asker set 10 30 40 0 40 50 10
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 5 5 10 0 10 10 0
142 #S@4 'n% 403 (ial 0 5 5 0 5 10 5
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 300 300 300 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 10 0 10 10 0 10 10
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 0 300 300 200 100 500 400
14" etronidaol tablet 500 m# !ab 0 300 300 100 200 566 366
151 ummi$
-
8/18/2019 LPLPO 2013-2014
22/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 0 50 50 50 0 100 100
13 +arasetamol 100 m# T') 0 100 100 0 100 100 0
14 +arasetamol tablet 500 m# !ab 1500 000 !500 !000 500 !5!0 !0!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 0 60 60 60 0 120 120
1! +irantel "amoat tab 125 m# !ab 24 100 124 20 104 100 #4
1" +iridoksin hcl tab 10 m# !ab 0 3000 3000 3000 0 5000 5000
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
23/660
204 Simastatin !ab 0 300 300 300 0 1000 1000
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 36 36
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 3000 0 3000 1000 2000 24"1 4"1
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 100
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 20 20 20 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') 0 4000 4000 4000 0 5000 5000
211 !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 0 1 1 0 1 1 0214 (itamin b kom"leks tablet !ab 0 5000 5000 5000 0 555 555
21 Codina !est Btl 6 0 6 5 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 2 3 5 1 4 5 1
220 ?inc !ablet 20 m# !ab 400 100 500 0 430 500 0
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 21 4 25
RAWAT JALAN 3796 622 4418
GIGI 193 44 237
UGD 188 52 24
KIA 55 18 73
LABORATORIUM 88 92 18
5173
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
24/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
25/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
26/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
27/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
28/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
29/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
30/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
31/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
32/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
33/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS :
PUSKESMAS : SULILI PROPINSI
KECAMATAN : PALETEANG BULAN
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 3 10 3 10
2 Abbocath No.20 Set 15 15 30 30 0 30 30
3 Abbocath No.22 Set 25 5 30 16 14 30 16
4 Abbocath No.24 Set 2 13 15 15 0 15 15
6 Alat Suntik 1 ml Set 20 !0 100 !0 20 100 !0
Alat Suntik 2,5 ml Set 20 !0 100 100 0 100 100
! Alat Suntik 5 ml Set 15 35 50 3! 12 50 3!
11 Albendaole !ab 460 0 460 50 410 100 #310
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 300 300
13 Amaro"o !ab !00 0 !00 !00 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 300 0 300 0 300 255 #45
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
1 Amlodi"in 10 m# !ab 130 200 330 330 0 300 300
1! Amoksisilin &a"sul 250 m# &a" 240 240 4!0 4!0 0 1$30 1$30
1" Amoksisilin &a"sul 500 m# &a" 1$00 5$!00 $500 5$200 2$300 $500 5$200
20 Amoksisilin siru" kerin# Btl 12 0 12 12 0 5! 5!21 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 3$300 2$200 5$500 3$!00 1$00 5$560 3$!60
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 3 2 5 5 0 10 10
2! Antimi#rain doen kombinasi !ab 200 200 400 0 400 452 52
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
34/660
2" Aua +roin%eksi steril %&'( 10 0 10 ! 2 10 !
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 0 "$000 "$000 !$000 1$000 $525 6$525
3" Asam e$enamat tablet !ab 0 2$500 2$500 1$630 !0 2$500 1$630
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 0 400 400 30 30 300 2043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 10 40 50 25 25 50 25
4! a"to"ril 25 m# !ab 0 1$"00 1$"00 1$400 500 1$500 1$000
4" at#ut)benan# bedah no.2)0 * )0 Sak ! 12 20 2 1! 20 2
51 i"ro$loksasin 500 m# &a"s 0 600 600 500 100 61 51
54 Deksametason in%eksi 5 m#)ml Am" 2" 10 3" 5 34 3" 5
55 Deksametason tablet 0,5 m# !ab 1$!00 3$"00 5$00 4$100 1$600 5$23 4$123
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 1 1
5" Diae"am in% 5 m#)ml * 2 ml Am" " 1 10 5 5 10 561 Diae"am tablet 2 m# !ab 3$000 0 3$000 1$200 1$!00 43 #1$5
62 Diet
-
8/18/2019 LPLPO 2013-2014
35/660
1 6tanol 703 Btl 1 3 4 3 1 5 4
2 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATPK
3 6u#enol cairan Btl 1 0 1 0 1 1 0
5 enobarbital 'n% 'n% 10 0 10 0 10 10 0
6 enobarbital tablet 0 m# !ab 0 1$000 1$000 1$000 0 1$000 1$000
enol #liserol tetes telin#a 103 b!9 4 1 5 0 5 5 0
! erro Sul$at 00 m# !ab 1$000 0 1$000 1$000 0 1$000 1$000
" itomenadion / it k 1 in%eksi Am" 22 ! 30 0 30 30 0
!0 itomenadion / it k 1 tab 10 m# !ab 200 100 300 0 300 2! #13
!1 urosemida tablet 40 m# !ab 200 100 300 200 100 240 140!2 :aram oralit untuk 200 ml Sak 0 300 300 2"0 10 300 2"0
!3 :entamicin in% Am" 40 0 40 5 35 40 5
!4 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!5 :lass 'onomer cement /#c i; Set 2 0 2 1 1 1 0
!6 :libenklamid tablet 5 m# !ab 150 100 250 220 30 2 24
! :liseril #ua
-
8/18/2019 LPLPO 2013-2014
36/660
105 &a"as "embalut 250 #r Bks 0 2 2 1 1 2 1
106 &arbamae"in tab 200 m# !ab 0 100 100 0 100 100 0
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 0 2 2 1 1 10 "
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa "embalut 18 ; 22 ol 0 40 40 0 40 10 #30
112 &etokenaole !ab !ab 150 100 250 30 220 200 #20
113 &etokenaole krim !ube 0 20 20 5 15 20 5
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 0 1000 1000 0 1000 1000 0
116 &loram$enikol Sale" mata 1 3 !ube 0 10 10 " 1 10 "
11 &loram$enikol !etes ata Btl 0 10 10 3 10 3
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 0 000 000 5000 2000 000 5000
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 500 500 1000 500 500 1000 500
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 100 0 100 100 0 124 124
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 200 100 300 100 200 300 10012! &otrimoksaol sus"ensi Btl 0 !0 !0 5 5 100 "5
12" &otrmoksaol de-asa tablet !ab 0 2000 2000 1450 550 1500 "50
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
37/660
13 9isol Btl 4 0 4 0 4 4 0
13! asker set 40 10 50 15 35 50 15
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 10 0 10 0 10 10 0
142 #S@4 'n% 403 (ial 5 0 5 0 5 10 5
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 0 0 0 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 0 10 10 3 10 3
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 100 400 500 0 500 500 0
14" etronidaol tablet 500 m# !ab 200 400 600 600 0 566 566
151 ummi$
-
8/18/2019 LPLPO 2013-2014
38/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 0 !0 !0 5 23 100
13 +arasetamol 100 m# T') 100 0 100 0 100 100 0
14 +arasetamol tablet 500 m# !ab 500 "500 10000 !000 2000 !5!0 65!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 0 100 100 100 0 120 120
1! +irantel "amoat tab 125 m# !ab 104 0 104 20 !4 100 16
1" +iridoksin hcl tab 10 m# !ab 0 6000 6000 4500 1500 5000 3500
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
39/660
204 Simastatin !ab 0 600 600 4!0 120 1000 !!0
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 100 100
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 2000 1000 3000 1000 2000 24"1 4"1
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 100
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 0 0 0 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') 0 5000 5000 4!00 200 5000 4!00
211 !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 1 0 1 1 0 1 1214 (itamin b kom"leks tablet !ab 0 5500 5500 3400 2100 555 345
21 Codina !est Btl 1 0 1 0 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 4 1 5 0 5 5 0
220 ?inc !ablet 20 m# !ab 430 0 430 100 330 500 10
221 e$ota;im in% (ial 25 0 25 15 10 10 0
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 15 6 21
RAWAT JALAN 2619 615 3234
GIGI 71 22 93
UGD 117 37 154
KIA 71 22 93
LABORATORIUM 91 88 179
3774
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
40/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
41/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
42/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
43/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
44/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
45/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
46/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
47/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
48/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
49/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS :
PUSKESMAS : SULILI PROPINSI
KECAMATAN : PALETEANG BULAN
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 3 10 4 6 10 4
2 Abbocath No.20 Set 0 30 30 30 0 30 30
3 Abbocath No.22 Set 14 16 30 15 15 30 15
4 Abbocath No.24 Set 0 35 35 14 21 15 #6
6 Alat Suntik 1 ml Set 20 100 120 60 60 100 40
Alat Suntik 2,5 ml Set 0 100 100 100 0 100 100
! Alat Suntik 5 ml Set 12 3! 50 50 0 50 50
11 Albendaole !ab 410 0 410 120 2"0 100 #1"0
12 Alo"urinol tablet 100 m# !ab 0 300 300 300 0 300 300
13 Amaro"o !ab 0 0 0 0 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 300 0 300 0 300 255 #45
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
1 Amlodi"in 10 m# !ab 0 450 450 450 0 300 300
1! Amoksisilin &a"sul 250 m# &a" 0 600 600 360 240 1$30 1$06
1" Amoksisilin &a"sul 500 m# &a" 2$300 5$000 $300 5$620 1$6!0 $500 5$!20
20 Amoksisilin siru" kerin# Btl 0 5! 5! 5! 0 5! 5!21 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 1$00 3$!00 5$500 4$200 1$300 5$560 4$260
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 0 10 10 4 6 10 4
2! Antimi#rain doen kombinasi !ab 400 0 400 200 200 452 252
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
50/660
2" Aua +roin%eksi steril %&'( 2 ! 10 5 5 10 5
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 1$000 $000 !$000 5$000 3$000 $525 4$525
3" Asam e$enamat tablet !ab !0 1$00 2$50 1$500 1$00 2$500 1$430
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 30 300 330 130 200 300 10043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 25 25 50 2! 22 50 2!
4! a"to"ril 25 m# !ab 500 1$000 1$500 1$160 340 1$500 1$160
4" at#ut)benan# bedah no.2)0 * )0 Sak 1! 2 20 6 14 20 6
51 i"ro$loksasin 500 m# &a"s 100 600 00 00 0 61 61
54 Deksametason in%eksi 5 m#)ml Am" 34 5 3" 10 2" 3" 10
55 Deksametason tablet 0,5 m# !ab 1$600 4$100 5$00 5$00 0 5$23 5$23
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 1 1
5" Diae"am in% 5 m#)ml * 2 ml Am" 5 5 10 0 10 10 061 Diae"am tablet 2 m# !ab 1$!00 0 1$!00 1$!00 0 43 43
62 Diet
-
8/18/2019 LPLPO 2013-2014
51/660
1 6tanol 703 Btl 1 3 4 3 1 5 4
2 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATPK
3 6u#enol cairan Btl 1 0 1 0 1 1 0
5 enobarbital 'n% 'n% 10 0 10 0 10 10 0
6 enobarbital tablet 0 m# !ab 0 1$000 1$000 0 1$000 1$000 0
enol #liserol tetes telin#a 103 b!9 5 0 5 0 5 5 0
! erro Sul$at 00 m# !ab 0 1$000 1$000 1$000 0 1$000 1$000
" itomenadion / it k 1 in%eksi Am" 30 0 30 1" 11 30 1"
!0 itomenadion / it k 1 tab 10 m# !ab 300 0 300 200 100 2! 1!
!1 urosemida tablet 40 m# !ab 100 200 300 0 300 240 #60!2 :aram oralit untuk 200 ml Sak 10 300 310 210 100 300 200
!3 :entamicin in% Am" 35 5 40 0 40 40 0
!4 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!5 :lass 'onomer cement /#c i; Set 1 0 1 0 1 1 0
!6 :libenklamid tablet 5 m# !ab 30 500 530 530 0 2 2
! :liseril #ua
-
8/18/2019 LPLPO 2013-2014
52/660
105 &a"as "embalut 250 #r Bks 1 1 2 2 0 2 2
106 &arbamae"in tab 200 m# !ab 100 0 100 100 0 100 100
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 1 3 4 3 1 10 "
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa "embalut 18 ; 22 ol 40 0 40 40 0 10 10
112 &etokenaole !ab !ab 220 0 220 60 160 200 40
113 &etokenaole krim !ube 15 5 20 10 10 20 10
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 1000 0
116 &loram$enikol Sale" mata 1 3 !ube 1 " 10 ! 2 10 !
11 &loram$enikol !etes ata Btl 10 1 1 16 10 #6
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 2000 5000 000 5!00 1200 000 5!00
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 500 500 1000 0 1000 1000 0
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 0 100 100 100 0 124 124
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 200 100 300 100 200 300 10012! &otrimoksaol sus"ensi Btl 5 "0 "5 ! ! 100 "2
12" &otrmoksaol de-asa tablet !ab 550 1000 1550 "!0 50 1500 "30
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
53/660
13 9isol Btl 4 0 4 1 3 4 1
13! asker set 35 15 50 30 20 50 30
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 10 0 10 0 10 10 0
142 #S@4 'n% 403 (ial 5 0 5 0 5 10 5
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 0 0 0 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 3 10 ! 2 10 !
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 500 0 500 200 300 500 200
14" etronidaol tablet 500 m# !ab 0 600 600 360 240 566 326
151 ummi$
-
8/18/2019 LPLPO 2013-2014
54/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 23 0 "3 2 21 100 "
13 +arasetamol 100 m# T') 100 0 100 100 0 100 100
14 +arasetamol tablet 500 m# !ab 2000 6600 !600 !300 300 !5!0 !2!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 0 120 120 114 6 120 114
1! +irantel "amoat tab 125 m# !ab !4 0 !4 !0 4 100 "6
1" +iridoksin hcl tab 10 m# !ab 1500 4000 5500 4500 1000 5000 4000
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
55/660
204 Simastatin !ab 120 500 620 620 0 1000 1000
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 100 100
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 2000 1000 3000 3000 0 24"1 24"1
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 100
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 0 0 0 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') 200 5000 5200 2"00 2300 5000 200
211 !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 0 1 1 0 1 1 0214 (itamin b kom"leks tablet !ab 2100 3500 5600 5600 0 555 555
21 Codina !est Btl 1 0 1 0 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 5 0 5 5 0 5 5
220 ?inc !ablet 20 m# !ab 330 0 330 220 110 500 3"0
221 e$ota;im in% (ial 10 0 10 10 0 10 10
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 22 5 27
RAWAT JALAN 243 721 3151
GIGI 163 77 24
UGD 11 31 132
KIA 71 33 14
LABORATORIUM 111 115 226
388
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
56/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
57/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
58/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
59/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
60/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
61/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
62/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
63/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
64/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
65/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS :
PUSKESMAS : SULILI PROPINSI
KECAMATAN : PALETEANG BULAN
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 6 4 10 " 1 10 "
2 Abbocath No.20 Set 0 50 50 44 6 30 24
3 Abbocath No.22 Set 15 15 30 20 10 30 20
4 Abbocath No.24 Set 21 0 21 5 16 15 #1
6 Alat Suntik 1 ml Set 60 40 100 100 0 100 100
Alat Suntik 2,5 ml Set 0 100 100 100 0 100 100
! Alat Suntik 5 ml Set 0 50 50 40 10 50 40
11 Albendaole !ab 2"0 0 2"0 260 30 100 0
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 300 300
13 Amaro"o !ab 0 0 0 0 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 300 0 300 0 300 255 #45
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 100 0 100 100
1 Amlodi"in 10 m# !ab 0 300 300 300 0 300 300
1! Amoksisilin &a"sul 250 m# &a" 240 600 !40 540 300 1$30 1$00
1" Amoksisilin &a"sul 500 m# &a" 1$6!0 5$!00 $4!0 5$2!0 2$200 $500 5$300
20 Amoksisilin siru" kerin# Btl 0 5! 5! 5! 0 5! 5!21 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 1$300 4$300 5$600 4$!50 50 5$560 4$!10
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 6 4 10 10 0 10 10
2! Antimi#rain doen kombinasi !ab 200 200 400 100 300 452 152
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
66/660
2" Aua +roin%eksi steril %&'( 5 5 10 5 5 10 5
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 3$000 4$000 $000 6$500 500 $525 $025
3" Asam e$enamat tablet !ab 1$00 1$500 2$50 2$120 450 2$500 2$050
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 200 100 300 40 260 300 4043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 22 2! 50 33 1 50 33
4! a"to"ril 25 m# !ab 340 1$200 1$540 1$330 210 1$500 1$2"0
4" at#ut)benan# bedah no.2)0 * )0 Sak 14 6 20 5 15 20 5
51 i"ro$loksasin 500 m# &a"s 0 00 00 650 50 61 56
54 Deksametason in%eksi 5 m#)ml Am" 2" 10 3" 0 3" 3" 0
55 Deksametason tablet 0,5 m# !ab 0 5$!00 5$!00 5$!00 0 5$23 5$23
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 1 1
5" Diae"am in% 5 m#)ml * 2 ml Am" 10 0 10 2 ! 10 261 Diae"am tablet 2 m# !ab 0 2$000 2$000 2$000 0 43 43
62 Diet
-
8/18/2019 LPLPO 2013-2014
67/660
-
8/18/2019 LPLPO 2013-2014
68/660
105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2
106 &arbamae"in tab 200 m# !ab 0 100 100 0 100 100 0
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 1 3 4 4 0 10 10
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa steril 1 ;1 ol 0 100 100 51 4" 10 #3"
112 &etokenaole !ab !ab 160 100 260 60 200 200 0
113 &etokenaole krim !ube 10 10 20 5 15 20 5
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 1000 0
116 &loram$enikol Sale" mata 1 3 !ube 2 ! 10 5 5 10 5
11 &loram$enikol !etes ata Btl 16 0 16 5 11 10 #1
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 1200 6000 200 600 500 000 6500
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 1000 0 1000 500 500 1000 500
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 0 100 100 0 100 124 24
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 200 100 300 110 1"0 300 11012! &otrimoksaol sus"ensi Btl ! "0 "! "1 100 "
12" &otrmoksaol de-asa tablet !ab 50 1000 150 !00 0 1500 30
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
69/660
13 9isol Btl 3 1 4 1 3 4 1
13! asker set 20 30 50 50 0 50 50
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 10 0 10 0 10 10 0
142 #S@4 'n% 403 (ial 5 0 5 0 5 10 5
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 0 0 0 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 2 ! 10 3 10 3
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 300 200 500 0 500 500 0
14" etronidaol tablet 500 m# !ab 240 400 640 400 240 566 326
151 ummi$
-
8/18/2019 LPLPO 2013-2014
70/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 21 0 "1 64 2 100 3
13 +arasetamol 100 m# T') 0 100 100 100 0 100 100
14 +arasetamol tablet 500 m# !ab 300 !300 !600 !500 100 !5!0 !4!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 6 110 116 4 42 120 !
1! +irantel "amoat tab 125 m# !ab 4 100 104 !0 24 100 6
1" +iridoksin hcl tab 10 m# !ab 1000 4000 5000 3600 1400 5000 3600
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
71/660
204 Simastatin !ab 0 400 400 400 0 1000 1000
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 100 100
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 0 3000 3000 1100 1"00 24"1 5"1
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 100
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 0 0 0 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') 2300 3000 5300 4500 !00 5000 4200
211 !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 1 0 1 0 1 1 0214 (itamin b kom"leks tablet !ab 0 5600 5600 5200 400 555 515
21 Codina !est Btl 1 0 1 0 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 0 4 4 3 1 5 4
220 ?inc !ablet 20 m# !ab 110 0 110 30 !0 500 420
221 e$ota;im in% (ial 0 20 20 0 20 10 #10
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 13 3 16
RAWAT JALAN 248 78 3188
GIGI 272 82 354
UGD 99 32 131
KIA 76 32 18
LABORATORIUM 124 13 254
451
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
72/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
73/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
74/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
75/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
76/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
77/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
78/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
79/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
80/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
81/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS : PROPINSI
PUSKESMAS : SULILI LP
KECAMATAN : PALETEANG LPO
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 1 2 3 3 0 10 10
2 Abbocath No.20 Set 6 24 30 2 3 30 2
3 Abbocath No.22 Set 10 20 30 3 2 30 3
4 Abbocath No.24 Set 16 0 16 2 14 15 1
6 Alat Suntik 1 ml Set 0 100 100 "0 10 100 "0
Alat Suntik 2,5 ml Set 0 150 150 140 10 200 1"0
! Alat Suntik 5 ml Set 10 40 50 50 0 50 50
11 Albendaole !ab 30 0 30 30 0 100
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 500 500
13 Amaro"o !ab 0 0 0 0 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 300 0 300 100 200 255 55
16 Amitri"tilin hcl tab salut 25 m# !ab 0 100 100 0 100 100 0
1 Amlodi"in 10 m# !ab 0 300 300 300 0 600 600
1! Amoksisilin &a"sul 250 m# &a" 300 600 "00 20 1!0 1$30 1$12
1" Amoksisilin &a"sul 500 m# &a" 2$200 5$300 $500 6$!00 00 $500 6$!00
20 Amoksisilin siru" kerin# Btl 0 5! 5! 51 5! 5121 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 50 4$!00 5$550 4$200 1$350 5$560 4$210
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 0 10 10 10 0 10 10
2! Antimi#rain doen kombinasi !ab 300 100 400 100 300 452 152
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
82/660
2" Aua +roin%eksi steril %&'( 5 5 10 10 0 10 10
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 500 $000 $500 6$500 1$000 $525 6$525
3" Asam e$enamat tablet !ab 450 2$100 2$550 2$150 400 2$500 2$100
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 260 100 360 260 100 300 20043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 10 10
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 1 33 50 50 0 50 50
4! a"to"ril 25 m# !ab 210 1$300 1$510 1$510 0 1$500 1$500
4" at#ut)benan# bedah no.2)0 * )0 Sak 15 5 20 4 16 20 4
51 i"ro$loksasin 500 m# &a"s 50 600 650 550 100 61 51
54 Deksametason in%eksi 5 m#)ml Am" 3" 0 3" 0 3" 3" 0
55 Deksametason tablet 0,5 m# !ab 0 5$!00 5$!00 5$!00 0 5$23 5$23
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 1 1
5" Diae"am in% 5 m#)ml * 2 ml Am" ! 2 10 0 10 10 061 Diae"am tablet 2 m# !ab 0 2$000 2$000 2$000 0 43 43
62 Diet
-
8/18/2019 LPLPO 2013-2014
83/660
1 6tanol 703 Btl 1 4 5 5 0 5 5
2 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATPK
3 6u#enol cairan Btl 1 0 1 0 1 1 0
5 enobarbital 'n% 'n% 10 0 10 0 10 10 0
6 enobarbital tablet 0 m# !ab 1$000 0 1$000 0 1$000 1$000 0
enol #liserol tetes telin#a 103 b!9 1 4 5 2 3 5 2
! erro Sul$at 00 m# !ab 0 2$000 2$000 2$000 0 3$000 3$000
" itomenadion / it k 1 in%eksi Am" 6 24 30 12 1! 30 12
!0 itomenadion / it k 1 tab 10 m# !ab 300 0 300 100 200 2! !
!1 urosemida tablet 40 m# !ab 250 0 250 40 210 240 30!2 :aram oralit untuk 200 ml Sak 150 150 300 300 0 300 300
!3 :entamicin in% Am" 40 0 40 30 10 10 0
!4 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!5 :lass 'onomer cement /#c i; Set 1 0 1 0 1 1 0
!6 :libenklamid tablet 5 m# !ab 20 300 320 320 0 2 2
! :liseril #ua
-
8/18/2019 LPLPO 2013-2014
84/660
105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2
106 &arbamae"in tab 200 m# !ab 100 0 100 100 0 100 100
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 0 4 4 2 2 10 !
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa steril 1 ;1 ol 4" 0 4" 10 3" 10 #2"
112 &etokenaole !ab !ab 200 0 200 !0 120 200 !0
113 &etokenaole krim !ube 15 5 20 20 0 20 20
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 1000 0
116 &loram$enikol Sale" mata 1 3 !ube 5 5 10 10 0 10 10
11 &loram$enikol !etes ata Btl 11 0 11 6 5 10 5
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 500 000 500 5500 2000 000 5000
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 500 500 1000 !00 200 1000 !00
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 100 0 100 100 0 124 124
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 1"0 100 2"0 160 130 300 1012! &otrimoksaol sus"ensi Btl "1 " 100 33 6 100 33
12" &otrmoksaol de-asa tablet !ab 0 00 140 1200 20 1500 1230
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
85/660
13 9isol Btl 3 1 4 2 2 4 2
13! asker set 0 50 50 20 30 50 20
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 10 0 10 10 0 10 10
142 #S@4 'n% 403 (ial 5 0 5 5 0 10 10
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 0 0 0 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 3 10 10 0 10 10
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 500 0 500 0 500 500 0
14" etronidaol tablet 500 m# !ab 240 400 640 640 0 566 566
151 ummi$
-
8/18/2019 LPLPO 2013-2014
86/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 2 3 100 !5 15 100 !5
13 +arasetamol 100 m# T') 0 100 100 100 0 100 100
14 +arasetamol tablet 500 m# !ab 100 !400 !500 !500 0 !5!0 !5!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 42 ! 120 ! 33 120 !
1! +irantel "amoat tab 125 m# !ab 24 100 124 104 20 100 !0
1" +iridoksin hcl tab 10 m# !ab 1400 4000 5400 3400 2000 5000 3000
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
87/660
204 Simastatin !ab 0 0 0 0 0 1000 1000
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 100 100
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 1"00 600 2500 1200 1300 24"1 11"1
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 100 100
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 0 0 0 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') !00 4000 4!00 2500 2300 5000 200
211 !riheksi$enidil tablet 2 m# !ab 0 0 0 0 0 00 00
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 1 0 1 1 0 1 1214 (itamin b kom"leks tablet !ab 400 5200 5600 5600 0 555 555
21 Codina !est Btl 1 0 1 0 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 1 4 5 3 2 5 3
220 ?inc !ablet 20 m# !ab !0 0 !0 0 10 500 4"0
221 e$ota;im in% (ial 20 0 20 10 10 10 0
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 14 5 19
RAWAT JALAN 2469 577 346
GIGI 136 47 183
UGD 94 14 18
KIA 73 27 1
LABORATORIUM 126 88 214
367
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
88/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
89/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
90/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
91/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
92/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
93/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
94/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
95/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
96/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
97/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS : PROPINSI
PUSKESMAS : SULILI LP
KECAMATAN : PALETEANG LPO
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 0 10 10 5 5 10 5
2 Abbocath No.20 Set 3 24 2 25 2 30 2!
3 Abbocath No.22 Set 2 3 30 12 1! 30 12
4 Abbocath No.24 Set 14 1 15 10 5 15 10
6 Alat Suntik 1 ml Set 10 "0 100 5 25 100 5
Alat Suntik 2,5 ml Set 10 150 160 160 0 200 200
! Alat Suntik 5 ml Set 0 40 40 32 ! 50 42
11 Albendaole !ab 0 0 0 0 0 100
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 500 500
13 Amaro"o !ab 0 0 0 0 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 200 0 200 0 200 255 55
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
1 Amlodi"in 10 m# !ab 0 500 500 500 0 600 600
1! Amoksisilin &a"sul 250 m# &a" 1!0 600 !0 1!0 600 500 #100
1" Amoksisilin &a"sul 500 m# &a" 00 5$000 5$00 3$"00 1$!00 $500 5$00
20 Amoksisilin siru" kerin# Btl 50 5 42 15 5! 4321 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 1$350 4$200 5$550 2$00 2$!50 5$560 2$10
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 0 10 10 10 0 10 10
2! Antimi#rain doen kombinasi !ab 300 100 400 100 300 300 0
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
98/660
2" Aua +roin%eksi steril %&'( 0 5 5 5 0 10 10
NO NAMA OBATP
34 Artesunate Anak Blister 0 0 0 0 0 100 100
35 Artesunate De-asa Blister 0 0 0 0 0 100 100
36 Artesunate 'n% (ial 0 0 0 0 0 10 10
3 Artesunate ema%a Blister 0 0 0 0 0 100 100
3! Asam askorbat / (it c tab 50 m# !ab 1$000 6$000 $000 6$300 00 $525 6$!25
3" Asam e$enamat tablet !ab 400 2$100 2$500 1$00 !00 2$500 1$00
40 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
41 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
42 Askloir 400 m# !ab 100 100 200 0 200 300 10043 Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 0 0 0 0 0 0
44 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 0 0
45 Betahistin m# !ab 0 0 0 0 0 300 300
46 Betametason krim 0,1 3 !ube 0 35 35 35 0 50 50
4! a"to"ril 25 m# !ab 0 1$500 1$500 "!0 520 1$500 "!0
4" at#ut)benan# bedah no.2)0 * )0 Sak 16 4 20 13 20 13
51 i"ro$loksasin 500 m# &a"s 100 500 600 410 1"0 61 42
54 Deksametason in%eksi 5 m#)ml Am" 3" 0 3" 0 3" 3" 0
55 Deksametason tablet 0,5 m# !ab 0 5$00 5$00 4$600 1$100 5$23 4$623
56 Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
5 Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
5! Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 0 0
5" Diae"am in% 5 m#)ml * 2 ml Am" 10 0 10 0 10 10 061 Diae"am tablet 2 m# !ab 0 2$000 2$000 2$000 0 2$000 2$000
62 Diet
-
8/18/2019 LPLPO 2013-2014
99/660
1 6tanol 703 Btl 0 4 4 3 1 5 4
2 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATP
3 6u#enol cairan Btl 1 0 1 0 1 1 0
5 enobarbital 'n% 'n% 10 0 10 0 10 10 0
6 enobarbital tablet 0 m# !ab 1$000 0 1$000 1$000 0 1$000 1$000
enol #liserol tetes telin#a 103 b!9 3 2 5 1 4 5 1
! erro Sul$at 00 m# !ab 0 0 0 0 0 3$000 3$000
" itomenadion / it k 1 in%eksi Am" 1! 5 23 5 1! 20 2
!0 itomenadion / it k 1 tab 10 m# !ab 200 0 200 100 100 200 100
!1 urosemida tablet 40 m# !ab 210 0 210 0 210 200 #10!2 :aram oralit untuk 200 ml Sak 0 150 150 150 0 300 300
!3 :entamicin in% Am" 10 0 10 0 10 10 0
!4 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
!5 :lass 'onomer cement /#c i; Set 1 0 1 0 1 1 0
!6 :libenklamid tablet 5 m# !ab 0 300 300 300 0 2 2
! :liseril #ua
-
8/18/2019 LPLPO 2013-2014
100/660
105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2
106 &arbamae"in tab 200 m# !ab 0 100 100 100 0 100 100
10 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
10! &asa 4 m ; cm ol 0 0 0 0 0 10 10
10" &asa :ulun# 40 < ; 80 cm ol 2 3 5 4 1 10 "
110 &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
111 &asa steril 1 ;1 ol 3" 0 3" 3" 0 10 10
112 &etokenaole !ab !ab 120 100 220 150 0 200 130
113 &etokenaole krim !ube 0 10 10 10 0 20 20
114 &ina !ab / >uinine !ab 0 0 0 0 0 200 200115 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 1000 0
116 &loram$enikol Sale" mata 1 3 !ube 0 10 10 5 5 10 5
11 &loram$enikol !etes ata Btl 5 5 10 6 4 10 6
11! &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
11" &lor$eniramin / ctm tab 4 m# !ab 2000 5000 000 650 250 000 650
120 &lor$enol / =& Btl 1 0 1 0 1 0 #1
121 &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
122 &lor"romain hcl tab salut 100 m# !ab 200 500 00 00 0 1000 1000
123 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
124 &odein tablet 10 m# !ab 0 100 100 100 0 124 124
125 &ontrase"si &B Bulan Am" 0 0 0 0 0 0 0
126 &ontrase"si 'm"lant Susuk &B Set 0 0 0 0 0 0 0
12 &otrimoksaol "ediatrik tablet !ab 130 100 230 200 30 300 2012! &otrimoksaol sus"ensi Btl 6 0 6 6 0 100 100
12" &otrmoksaol de-asa tablet !ab 20 1200 140 650 !20 1500 6!0
130 &uinin dihidroklorida in%. 253*2ml Am" 0 0 0 0 0 10 10
131 9arutan Anisol Btl 0 0 0 0 0 1 1
132 9arutan benedict Btl 0 0 0 0 0 1 1
133 9arutan S"iritus Btl 0 0 0 0 0 2 2
134 9arutan ?iehl Nielsen / !B Btl 0 0 0 0 0 0 0
135 9euko"last ol 0 0 0 0 0 5 5
136 9idokain kom"ositum in%eksi Am" 0 0 0 0 0 61 61
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
101/660
13 9isol Btl 2 0 2 0 2 4 2
13! asker set 30 20 50 25 25 50 25
13" B Anak Blister 0 0 0 0 0 120 120
140 B De-asa Blister 0 0 0 0 0 120 120
NO NAMA OBATP
141 #S@4 'n% 203 (ial 0 0 0 0 0 0 0
142 #S@4 'n% 403 (ial 0 0 0 0 0 0 0
143 ineral i; Sach 0 0 0 0 0 0 0
144 et$ormin !ab 0 0 0 0 0 300 300
145 etiler#ometrin in% 0,200 m#*1ml Am" 3 10 ! 2 10 !
146 etiler#ometrin tab salut 0,125 m# !ab 0 0 0 0 0 500 50014 etoklo"ramida !ab !ab 500 0 500 0 500 500 0
14" etronidaol tablet 500 m# !ab 0 500 500 500 0 566 566
151 ummi$
-
8/18/2019 LPLPO 2013-2014
102/660
12 +arasetamol Siru" 120 m# ) 5 ml B*( 15 5 "0 55 35 100 65
13 +arasetamol 100 m# T') 0 100 100 100 0 100 100
14 +arasetamol tablet 500 m# !ab 0 !500 !500 500 1000 !5!0 5!0
15 +B Anak Blister 0 0 0 0 0 0 0
16 +B De-asa Blister 0 0 0 0 0 0 0
NO NAMA OBATP
1 +ehacain in% Am" 33 0 103 "6 120 113
1! +irantel "amoat tab 125 m# !ab 20 !0 100 6! 32 100 6!
1" +iridoksin hcl tab 10 m# !ab 2000 2000 4000 3000 1000 5000 4000
1!0 +lester 5
-
8/18/2019 LPLPO 2013-2014
103/660
204 Simastatin !ab 0 0 0 0 0 1000 1000
205 !ablet tambah darah kombinasi Sach 0 0 0 0 0 100 100
206 !em"orar< sto""in# $letcher Set 1 0 1 0 1 1 0
20 !etrasiklin hcl ka"sul 250 m# &a" 1300 1000 2300 300 2000 2000 0
20! !etrasiklin hcl ka"sul 500 m# &a" 0 0 0 0 0 0 0
20" !hiamin hcl / (it. B1 'n%eksi A+, 0 0 0 0 0 20 20
NO NAMA OBATPKD
210 !hiamin hcl / (it. B1 !ablet T') 2300 2500 4!00 200 2100 5000 2"00
211 !riheksi$enidil tablet 2 m# !ab 0 600 600 0 600 00 100
212 !rireksol $ormalin / tk$ cairan Btl 0 0 0 0 0 0 0
213 Urine ba# Set 0 0 0 0 0 1 1214 (itamin b kom"leks tablet !ab 0 5500 5500 4"00 600 555 4"5
21 Codina !est Btl 1 0 1 0 1 1 0
21! Codium "oidon lar.103 0 ml Btl 0 0 0 0 0 5 5
21" Codium "oidon lar.103 00 ml Btl 2 3 5 2 3 5 2
220 ?inc !ablet 20 m# !ab 10 0 10 10 0 500 500
221 e$ota;im in% (ial 10 0 10 0 10 10 0
JUMLAH PASIEN JAMKESDA JKN JUMLAH
RAWAT INAP 14 3 17
RAWAT JALAN 2485 49 2975
GIGI 237 69 36
UGD 43 22 65
KIA 82 28 11
LABORATORIUM 126 68 194
3667
M!"#!$%&'( ) M!"*!$'+'(
A" K!,%% D("%. K!.!&%$%" /%"# M!"*!0%&%" /%"# M!"!0(% ) M!%,0
K%( F%0%.( P!0!%%" P!(%*%%" K!,%% GFK P("0%"# K!,%% PKM S'((
SAT-UAN
STOKAWAL
PENERI-MAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
104/660
0# H+ F%'.(%& F%(.% MK!. S*%,0( SS( A,$ 0 A$.*(0 M'&%( MA K!.
NIP 1969321 2212 2 4 NIP 197419 2212 1 3 NIP 1975323 271 1 21
-
8/18/2019 LPLPO 2013-2014
105/660
AN
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
106/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
107/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
108/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
109/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
110/660
KETTOTAL BON
-
8/18/2019 LPLPO 2013-2014
111/660
NKET
TOTAL BON
24!!
220
62
62""
2"3!
11
364
213
112
(% 13
!.%. 119
-
8/18/2019 LPLPO 2013-2014
112/660
3622
%" SK!,
7 252 2 7
-
8/18/2019 LPLPO 2013-2014
113/660
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
KODE PUSKESMAS : PROPINSI
PUSKESMAS : SULILI LP
KECAMATAN : PALETEANG LPO
KAB/KODYA : PINRANG TAHUN
NO NAMA OBATPKD
1 Abbocath No. 18 Set 5 5 10 10 0 10 10
2 Abbocath No.20 Set 2 2! 30 30 0 30 30
3 Abbocath No.22 Set 1! 12 30 12 1! 30 12
4 Abbocath No.24 Set 5 10 15 10 5 15 10
6 Alat Suntik 1 ml Set 25 5 100 100 0 100 100
Alat Suntik 2,5 ml Set 0 400 400 340 60 200 140
! Alat Suntik 5 ml Set ! 42 50 42 ! 50 42
11 Albendaole !ab 0 0 0 0 0 0 0
12 Alo"urinol tablet 100 m# !ab 0 500 500 500 0 500 500
13 Amaro"o !ab 0 0 0 0 0 500 500
14 Amino$ilin in%eksi Am" 3 0 3 0 3 10 0
15 Amino$ilin tablet 200 m# !ab 200 0 200 0 200 255 55
16 Amitri"tilin hcl tab salut 25 m# !ab 100 0 100 0 100 100 0
1 Amlodi"in 10 m# !ab 0 600 600 50 30 600 50
1! Amoksisilin &a"sul 250 m# &a" 600 0 600 120 4!0 500 20
1" Amoksisilin &a"sul 500 m# &a" 1$!00 5$00 $500 4$5"0 2$"10 $500 4$5"0
20 Amoksisilin siru" kerin# Btl 15 43 5! 35 23 5! 3521 Am"isilin 'n% (ial 30 0 30 0 30 15 #15
22 Am"isilin &a"let 500 m# &a"l 0 0 0 0 0 525 525
23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251
24 Antal#in in%eksi 250 m#)ml*2 ml Am" 0 0 0 0 0 10 10
25 Antasida doen tablet kombinasi !ab 2$!50 2$00 5$550 4$500 1$050 5$560 4$510
26 Anti$un#i doen kombinasi +ot 0 0 0 0 0 10 10
2 Antihemoroid doen kombinasi Su" 0 10 10 0 10 10 0
2! Antimi#rain doen kombinasi !ab 300 0 300 100 200 300 100
SAT-UAN
STOKAWAL
PENERIMAAN
PERSE-DIAAN
PEMA-KAIAN
SISASTOK
STOKOPT
PERMIN-TAAN
-
8/18/2019 LPLPO 2013-2014
114/660
2" Aua +roin%eksi steril %&'( 0 10 10 2 ! 10 2
NO NAMA OBATP
30 Artesunate Anak Blister 0 0 0 0 0 100 100
31 Artesunate De-asa Blister 0 0 0 0 0 100 100
32 Artesunate 'n% (ial 0 0 0 0 0 10 10
33 Artesunate ema%a Blister 0 0 0 0 0 100 100
34 Asam askorbat / (it c tab 50 m# !ab 00 $000 $00 6$500 1$200 $525 6$325
35 Asam e$enamat tablet !ab !00 1$00 2$500 1$450 1$050 2$500 1$450
36 Asam !raneksamat 'n% Am" 0 0 0 0 0 10 10
3 Asetosal tablet 100 m# !ab 100 0 100 0 100 100 0
3! Askloir 400 m# !ab 200 100 300 200 100 300 2003" Atro"in sul$at in%eksi 0,25 m#)ml Am" 0 10 10 2 ! 0 #!
40 Benatin benil "enisilin in%eksi Am" 0 0 0 0 0 0 0
41 Betahistin m# !ab 0 0 0 0 0 300 300
42 Betametason krim 0,1 3 !ube 0 50 50 2! 22 50 2!
43 a"to"ril 25 m# !ab 520 1$000 1$520 1$230 2"0 1$500 1$210
44 at#ut)benan# bedah no.2)0 * )0 Sak 13 20 1 3 20 1
45 i"ro$loksasin 500 m# &a"s 1"0 500 6"0 550 140 61 4
46 Deksametason in%eksi 5 m#)ml Am" 3" 0 3" 0 3" 3" 0
4 Deksametason tablet 0,5 m# !ab 1$100 4$600 5$00 2$00 3$000 5$23 2$23
4! Dekstrometor$an siru" 10 m#)5ml Btl 0 0 0 0 0 10 10
4" Dekstremetor$an hbr tab 15 m# !ab 0 0 0 0 0 2$"25 2$"25
50 Deitalisasi "asta / non Arsen Btl 0 0 0 0 0 0 0
51 Diae"am in% 5 m#)ml * 2 ml Am" 10 0 10 0 10 10 052 Diae"am tablet 2 m# !ab 0 2$000 2$000 2$000 0 2$000 2$000
53 Diet
-
8/18/2019 LPLPO 2013-2014
115/660
61 6tanol 703 Btl 1 3 4 3 1 5 4
62 6tilklorida sem"rot Btl 0 2 2 2 0 5 5
NO NAMA OBATPK
63 6u#enol cairan Btl 1 0 1 0 1 1 0
64 enobarbital 'n% 'n% 10 0 10 0 10 10 0
65 enobarbital tablet 0 m# !ab 0 1$000 1$000 0 1$000 1$000 0
66 enol #liserol tetes telin#a 103 b!9 4 1 5 1 4 5 1
6 erro Sul$at 00 m# !ab 0 0 0 0 0 3$000 3$000
6! itomenadion / it k 1 in%eksi Am" 1! 2 20 1 3 20 1
6" itomenadion / it k 1 tab 10 m# !ab 100 100 200 100 100 200 100
0 urosemida tablet 40 m# !ab 210 0 210 0 210 200 #101 :aram oralit untuk 200 ml Sak 0 300 300 150 150 300 150
2 :entamicin in% Am" 10 0 10 0 10 10 0
3 :entian iolet larutan 1 3 Btl 0 0 0 0 0 10 10
4 :lass 'onomer cement /#c i; Set 1 0 1 0 1 1 0
5 :libenklamid tablet 5 m# !ab 0 500 500 500 0 2 2
6 :liseril #ua
-
8/18/2019 LPLPO 2013-2014
116/660
"3 &a"as "embalut 250 #r Bks 0 2 2 0 2 2 0
"4 &arbamae"in tab 200 m# !ab 0 100 100 0 100 100 0
"5 &asa 4 m ; 15 cm ol 0 0 0 0 0 10 10
NO NAMA OBATP
"6 &asa 4 m ; cm ol 0 0 0 0 0 10 10
" &asa :ulun# 40 < ; 80 cm ol 1 2 3 3 0 10 10
"! &asa kom"res 40)40 steril ol 0 0 0 0 0 10 10
"" &asa steril 1 ;1 ol 0 0 0 0 0 10 10
100 &etokenaole !ab !ab 0 200 20 100 10 200 30
101 &etokenaole krim !ube 0 20 20 20 0 20 20
102 &ina !ab / >uinine !ab 0 0 0 0 0 200 200103 &loram$enikol ka"sul 250 m# &a" 1000 0 1000 0 1000 1000 0
104 &loram$enikol Sale" mata 1 3 !ube 5 5 10 6 4 10 6
105 &loram$enikol !etes ata Btl 4 6 10 0 10 10 0
106 &loram$enikol !etes telin#a 3 Btl 0 0 0 0 0 10 10
10 &lor$eniramin / ctm tab 4 m# !ab 250 000 250 6"00 350 000 6650
10! &lor$enol / =& Btl 1 0 1 0 1 0 #1
10" &lorouin $os$at tablet 250 m# !ab 0 0 0 0 0 500 500
110 &lor"romain hcl tab salut 100 m# !ab 0 1000 1000 500 500 1000 500
111 &lor"romain hcl tab salut 25 m# !ab 0 0 0 0 0 100 100
112 &odein tablet 10 m# !ab 0