LPLPO 2013-2014

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


KODE PUSKESMAS :


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


11 Albendaole !ab 460 0 460 0 460 100 #360


13 Amaro"o !ab "00 0 "00 100 !00 500 #300




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 2$000 3$600 5$600 2$300 3$300 5$560 2$260



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



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


45 Betahistin m# !ab 0 0 0 0 0 300 300


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


55 Deksametason tablet 0,5 m# !ab 1$500 4$000 5$500 3$00 1$!00 5$23 3$"23



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


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


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



124 &odein tablet 10 m# !ab 0 100 100 0 100 124 24


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






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


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


GIGI 193 44 237

UGD 188 52 24

KIA 55 18 73


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


KODE PUSKESMAS :




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


13 Amaro"o !ab !00 0 !00 !00 0 500 500




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 3$300 2$200 5$500 3$!00 1$00 5$560 3$!60




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



36 Artesunate 'n% (ial 0 0 0 0 0 10 10


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





45 Betahistin m# !ab 0 0 0 0 0 300 300


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




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


NO NAMA OBATPK


5 enobarbital 'n% 'n% 10 0 10 0 10 10 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




! :liseril #ua

8/18/2019 LPLPO 2013-2014

36/660

105 &a"as "embalut 250 #r Bks 0 2 2 1 1 2 1


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 "


111 &asa "embalut 18 ; 22 ol 0 40 40 0 40 10 #30

112 &etokenaole !ab !ab 150 100 250 30 220 200 #20



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" &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




124 &odein tablet 10 m# !ab 100 0 100 100 0 124 124



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






135 9euko"last ol 0 0 0 0 0 5 5


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



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!0 +lester 5

8/18/2019 LPLPO 2013-2014

39/660

204 Simastatin !ab 0 600 600 4!0 120 1000 !!0






NO NAMA OBATPKD

210 !hiamin hcl / (it. B1 !ablet T') 0 5000 5000 4!00 200 5000 4!00




21 Codina !est Btl 1 0 1 0 1 1 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


RAWAT INAP 15 6 21


GIGI 71 22 93

UGD 117 37 154

KIA 71 22 93


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


KODE PUSKESMAS :




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



! Alat Suntik 5 ml Set 12 3! 50 50 0 50 50

11 Albendaole !ab 410 0 410 120 2"0 100 #1"0


13 Amaro"o !ab 0 0 0 0 0 500 500




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 1$00 3$!00 5$500 4$200 1$300 5$560 4$260




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



36 Artesunate 'n% (ial 0 0 0 0 0 10 10


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





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




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


NO NAMA OBATPK


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


! 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




! :liseril #ua

8/18/2019 LPLPO 2013-2014

52/660

105 &a"as "embalut 250 #r Bks 1 1 2 2 0 2 2


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 "


111 &asa "embalut 18 ; 22 ol 40 0 40 40 0 10 10

112 &etokenaole !ab !ab 220 0 220 60 160 200 40



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" &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




124 &odein tablet 10 m# !ab 0 100 100 100 0 124 124



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






135 9euko"last ol 0 0 0 0 0 5 5


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 !



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!0 +lester 5

8/18/2019 LPLPO 2013-2014

55/660

204 Simastatin !ab 120 500 620 620 0 1000 1000






NO NAMA OBATPKD

210 !hiamin hcl / (it. B1 !ablet T') 200 5000 5200 2"00 2300 5000 200




21 Codina !est Btl 1 0 1 0 1 1 0



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


RAWAT INAP 22 5 27


GIGI 163 77 24

UGD 11 31 132

KIA 71 33 14


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


KODE PUSKESMAS :




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




11 Albendaole !ab 2"0 0 2"0 260 30 100 0


13 Amaro"o !ab 0 0 0 0 0 500 500




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 1$300 4$300 5$600 4$!50 50 5$560 4$!10




SAT-UAN

STOKAWAL

PENERIMAAN

PERSE-DIAAN

PEMA-KAIAN

SISASTOK

STOKOPT

PERMIN-TAAN

8/18/2019 LPLPO 2013-2014

66/660


NO NAMA OBATP



36 Artesunate 'n% (ial 0 0 0 0 0 10 10


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





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


55 Deksametason tablet 0,5 m# !ab 0 5$!00 5$!00 5$!00 0 5$23 5$23




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


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


111 &asa steril 1 ;1 ol 0 100 100 51 4" 10 #3"

112 &etokenaole !ab !ab 160 100 260 60 200 200 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



120 &lor$enol / =& Btl 1 0 1 0 1 0 #1




124 &odein tablet 10 m# !ab 0 100 100 0 100 124 24



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






135 9euko"last ol 0 0 0 0 0 5 5


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



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!0 +lester 5

8/18/2019 LPLPO 2013-2014

71/660

204 Simastatin !ab 0 400 400 400 0 1000 1000



20 !etrasiklin hcl ka"sul 250 m# &a" 0 3000 3000 1100 1"00 24"1 5"1



NO NAMA OBATPKD

210 !hiamin hcl / (it. B1 !ablet T') 2300 3000 5300 4500 !00 5000 4200




21 Codina !est Btl 1 0 1 0 1 1 0



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


RAWAT INAP 13 3 16


GIGI 272 82 354

UGD 99 32 131

KIA 76 32 18


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


KODE PUSKESMAS : PROPINSI

PUSKESMAS : SULILI LP

KECAMATAN : PALETEANG LPO


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


11 Albendaole !ab 30 0 30 30 0 100


13 Amaro"o !ab 0 0 0 0 0 500 500


15 Amino$ilin tablet 200 m# !ab 300 0 300 100 200 255 55


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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 50 4$!00 5$550 4$200 1$350 5$560 4$210




SAT-UAN

STOKAWAL

PENERIMAAN

PERSE-DIAAN

PEMA-KAIAN

SISASTOK

STOKOPT

PERMIN-TAAN

8/18/2019 LPLPO 2013-2014

82/660


NO NAMA OBATP



36 Artesunate 'n% (ial 0 0 0 0 0 10 10


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





45 Betahistin m# !ab 0 0 0 0 0 300 300


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


55 Deksametason tablet 0,5 m# !ab 0 5$!00 5$!00 5$!00 0 5$23 5$23




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


NO NAMA OBATPK


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


! 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




! :liseril #ua

8/18/2019 LPLPO 2013-2014

84/660

105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2


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 !


111 &asa steril 1 ;1 ol 4" 0 4" 10 3" 10 #2"

112 &etokenaole !ab !ab 200 0 200 !0 120 200 !0







120 &lor$enol / =& Btl 1 0 1 0 1 0 #1


122 &lor"romain hcl tab salut 100 m# !ab 500 500 1000 !00 200 1000 !00


124 &odein tablet 10 m# !ab 100 0 100 100 0 124 124



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






135 9euko"last ol 0 0 0 0 0 5 5


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



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!0 +lester 5

8/18/2019 LPLPO 2013-2014

87/660

204 Simastatin !ab 0 0 0 0 0 1000 1000



20 !etrasiklin hcl ka"sul 250 m# &a" 1"00 600 2500 1200 1300 24"1 11"1



NO NAMA OBATPKD

210 !hiamin hcl / (it. B1 !ablet T') !00 4000 4!00 2500 2300 5000 200




21 Codina !est Btl 1 0 1 0 1 1 0



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


RAWAT INAP 14 5 19


GIGI 136 47 183

UGD 94 14 18

KIA 73 27 1


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






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 5 ml Set 0 40 40 32 ! 50 42

11 Albendaole !ab 0 0 0 0 0 100


13 Amaro"o !ab 0 0 0 0 0 500 500




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 1$350 4$200 5$550 2$00 2$!50 5$560 2$10




SAT-UAN

STOKAWAL

PENERIMAAN

PERSE-DIAAN

PEMA-KAIAN

SISASTOK

STOKOPT

PERMIN-TAAN

8/18/2019 LPLPO 2013-2014

98/660


NO NAMA OBATP



36 Artesunate 'n% (ial 0 0 0 0 0 10 10


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





45 Betahistin m# !ab 0 0 0 0 0 300 300


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


55 Deksametason tablet 0,5 m# !ab 0 5$00 5$00 4$600 1$100 5$23 4$623




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


NO NAMA OBATP


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


! 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




! :liseril #ua

8/18/2019 LPLPO 2013-2014

100/660

105 &a"as "embalut 250 #r Bks 0 2 2 2 0 2 2


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 "


111 &asa steril 1 ;1 ol 3" 0 3" 3" 0 10 10

112 &etokenaole !ab !ab 120 100 220 150 0 200 130







120 &lor$enol / =& Btl 1 0 1 0 1 0 #1




124 &odein tablet 10 m# !ab 0 100 100 100 0 124 124



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






135 9euko"last ol 0 0 0 0 0 5 5


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 !



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!0 +lester 5

8/18/2019 LPLPO 2013-2014

103/660

204 Simastatin !ab 0 0 0 0 0 1000 1000



20 !etrasiklin hcl ka"sul 250 m# &a" 1300 1000 2300 300 2000 2000 0



NO NAMA OBATPKD

210 !hiamin hcl / (it. B1 !ablet T') 2300 2500 4!00 200 2100 5000 2"00



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



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


RAWAT INAP 14 3 17


GIGI 237 69 36

UGD 43 22 65

KIA 82 28 11


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






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



! Alat Suntik 5 ml Set ! 42 50 42 ! 50 42

11 Albendaole !ab 0 0 0 0 0 0 0


13 Amaro"o !ab 0 0 0 0 0 500 500




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


23 Antal#in !ab 500 m# !ab 0 0 0 0 0 1$251 1$251


25 Antasida doen tablet kombinasi !ab 2$!50 2$00 5$550 4$500 1$050 5$560 4$510




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



32 Artesunate 'n% (ial 0 0 0 0 0 10 10


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



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 #!


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


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


NO NAMA OBATPK


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





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



112 &odein tablet 10 m# !ab 0

Documents

LPLPO 2013-2014