LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( L P L P O )

PUSKESMAS BANTIMURUNG

PUSKESMAS BANTIMURUNG Bulan : MARET

KECAM: BANTIMURUNG Tahun : 2021
KAB : MAROS
PROV: SUL SEL
MUTASI
SALDO
NO. JENIS BARANG KEMASAN SISA HARGA SATUAN NILAI SISA (Rp)
AWAL penerimaa total
n pengeluaran

Dus, 10 blister @ 10
1 Amoksisilin kapsul/kaplet 250 mg 85 85 0 Rp 20,900.0 Rp -
kapsul

Amoksisilin kapsul/kaplet/tablet Dus, 10 strip @ 10

2 123 30 93 Rp 26,600.0 Rp 2,473,800.0
scored 500 mg kaptab

Amoksisilin sirup kering 250 mg/

3 Btl @ 60 ml 195 47 148 Rp 3,846.0 Rp 569,208.0
5 ml

4 Aminofilin tablet scored 200 mg Botol @100 Tablet 0 0 0 Rp 9,500.0 Rp -

5 Aminophilin inj Kotak @ 30 0 0 0 Rp 86,340.0

Antasida DOEN I tablet kunyah,

kombinasi : Alumunium
6 Dus 10 Strip @ 10 tablet 90 5 85 Rp 6,000.0 Rp 510,000.0
Hidroksida 200 mg Magnesium
Hidroksida 200 mg

7 Antasida Syrup Botol 0 0 0 Rp 2,098.0 Rp -

8 Alopurinol tablet/kapsul/kaplet Kotak/100 3 3 0 Rp 10,500.0 Rp -

100 mg

9 Alopurinol tablet/kapsul/kaplet Kotak/100 0 0 0 Rp 24,400.0 Rp -

300 mg
10 Amlodipin tablet 5 mg Box, 300 Tablet 0 0 0 Rp 22,200.0 Rp -
11 Asiklovir Tab. 200 mg Kotak/100 7 2 5 Rp 23,600.0 Rp 118,000.0

Asering (Larutan mengandung

12 Elektrolit (Na 130 mEq, Cl 109 Botol/500 ml 120 20 100 Rp 9,646.0 Rp 964,600.0
mEq, Ca 3 mEq, Asetat 28 mEq))

Asam Askorbat (Vitamin C) tablet

13 Dus 10 strip x 10 tab 0 0 0 Rp 12,000.0 Rp -
50 mg

Antihemoroid, kombinasi : bismut

subgalat 150 mg heksaklorofen
14 Dus, 10 Supp @ 2 Gram 5 2 3 Rp 36,420.0 Rp 109,260.0
2,5 mg lidokain 10 mg seng
oksida 120 mg

15 Atropin Sulfas Injeksi 0,25 mg Kotak/100 0 0 0 Rp 181,500.0 Rp -

Asam Folat (Avolat)
16 Kotak 100 tablet 17 8 9 Rp 8,600.0 Rp 77,400.0
tablet/kapsul/kaplet 1 mg
Antimigrain : Ergotamin Tartrat 1
17 Btl 100 tablet 0 0 0 Rp 17,900.0 Rp -
mg + Kofein 50 mg
Antimigrain : Ergotamin Tartrat 1
18 Btl 100 tablet 6 0 6 Rp 19,900.0 Rp 119,400.0
mg + Kofein 50 mg

19 Attapulgit Tablet 600 mg Dus, 10 Strip @ 10 Tablet 13 1 12 Rp 15,900.0 Rp 190,800.0

Antifungi DOEN Kombinasi : Asam

20 Kotak/24 pot 1.8 0 1.8 Rp 124,080.0 Rp 223,344.0
benzoat 6% + asam salisilat 3%

21 Betametason Krim TUBE 125 35 90 Rp 1,515.0 Rp 136,350.0

22 Betametason Krim box @ 25 tube 0 0 0 Rp 35,500.0 Rp -
23 Bisacodil Tab 5 mg Kotak/30 0 0 0 Rp 9,480.0 Rp -
24 Betahistin tab 6 mg Kotak/100 17 5 12 Rp 11,900.0 Rp 142,800.0

25 Cyanocobalamin (vitamin B12) Dus, 10 Strip @ 10 tablet 112 0 112 Rp 4,800.0 Rp 537,600.0
tablet/kapsul/kaplet 50 mcg

26 Cyanocobalamin (vitamin B12) Kotak/100 12 0 12 Rp 116,000.0 Rp 1,392,000.0

injeksi
Cyprofloxacin tablet 500 (sebagai Dus, 10 blister @10 tab
27 17 3 14 Rp 70,400.0 Rp 985,600.0
HCl) ss
28 Cetirizine Tab. 10 mg Kotak/100 30 7 23 Rp 10,400.0 Rp 239,200.0
29 Cetirizin Syr Botol 95 5 90 Rp 3,061.0 Rp 275,490.0
30 Dexamethasone 0,5 mg Tab Box/100 55 10 14 51 Rp 7,700.0 Rp 392,700.0
Deksametason injeksi i.v./i.m. 5
31 Dus, 10 ampul @ 1 ml 2 1 1 Rp 12,100.0 Rp 12,100.0
mg/ml
32 Diazepam tablet/kapsul/kaplet 2 Botol 100 0 0 0 Rp 8,600.0 Rp -
mg

33 Diazepam Enema 5 mg/2,5 mL 1 tube @ 2,5 ml 0 0 0 Rp 14,459.0 Rp -

(Stesolid)
Domperidon suspensi/sirup 5
34 Btl @ 60 ml 120 10 110 Rp 2,862.0 Rp 314,820.0
mg/5 ml
35 Domperidon Tab. 10 mg kotak/100 15 0 15 Rp 9,600.0
36 Domperidon Tab. 10 mg Kotak /100 2 0 2 Rp 9,000.0 Rp 18,000.0
37 Dulcolax Supp Adult 10 mg Supp 20 0 20 Rp 5,900.0 Rp 118,000.0
38 Difenhidramin Injeksi 10 mg Kotak/30 2 0 2 Rp 37,830.0 Rp 75,660.0
Epinefrin (Adrenalin) injeksi
39 Dus @ 100 Ampul 0 0 0 Rp 151,800.0 Rp -
i.v/s.k./i.m 1 mg/ml

40 Furosemid Tab. 40 mg Dus, 20 strip @ 10 tablet 3 0 3 Rp 16,400.0 Rp 49,200.0

Fitomenadion (Vitamin K1) tablet

41 Dus @ 10 x 10 's 27 0 27 Rp 81,800.0 Rp 2,208,600.0
salut gula 10 mg
Fitomenadion (Vitamin K1) injeksi
42 Dus @ 30 ampul 7.8 2 5.8 Rp 127,080.0 Rp 737,064.0
i.m. 2 mg/ml
Dus, 10 blister @ 10
43 Fenobarbital tab 30 mg 3 0 3 Rp 19,700.0 Rp 59,100.0
tablet
44 Gentamicin 0,1% Salep Mata Tube@5 g 106 0 106 Rp 3,075.0 Rp 325,950.0
45 Glibenklamid Tab. 5 mg Kotak/100 25 0 25 Rp 13,700.0 Rp 342,500.0

46 Griseofulvin tablet 125 mg Dus, 10 blister @ 10 0 0 0 Rp 23,800.0 Rp -

tablet

47 Hidroklorotiazid tab 25 mg Dus, 10 strip @ 10 tablet 23 0 23 Rp 17,800.0 Rp 409,400.0

48 Hidrokortison krim 2,5 % Tube 5 gr 29 29 0 Rp 2,648.0 Rp -

49 Ibuprofen Suspensi 100 mg Botol/60 95 29 66 Rp 2,858.0 Rp 188,628.0
50 Ibuprofen tablet 200 mg Kotak/100 0 0 0 Rp 20,790.0 Rp -

51 Kalsium Laktat (Kalk) Dus,10 Strip @ 10 tablet 28 9 19 Rp 6,300.0 Rp 119,700.0

tablet/kapsul/kaplet 500 mg
52 Kaptopril 12,5 mg Kotak/100 9 6 3 Rp 6,800.0 Rp 20,400.0

53 Kaptopril tablet scored 25 mg Dus, 10 Strip @ 10 tablet 0 0 0 Rp 8,000.0 Rp -

Kotrimoksazol DOEN I (dewasa)

54 kombinasi : Sulfametoksazol 400 Dus, 10 Strip@10 Tablet 30 2 28 Rp 13,300.0 Rp 372,400.0
mg Trimetoprim 80 mg

Kotrimoksazol Suspensi komb:

55 Sulfametoksazol 200 mg + Dus, botol @ 60 ml 0 0 0 Rp 2,225.0 Rp -
Trimetoprim 40 mg /5 ml
Kloramfenikol suspensi 125 mg/5
58 Botol @ 60 ml 95 0 95 Rp 5,319.0 Rp 505,305.0
ml

59 Kloramfenikol kaps 500 mg Kotak, 10 strip@10 kaps 0 0 0 Rp 125,400.0 Rp -

60 Kloramfenicol Salep Mata 1% Tube 5 g 84 24 60 Rp 2,013.0 Rp 120,780.0

61 Ketorolac injeksi 30 mg/ml Kotak/ 100 ampul @ 1 ml 0 0 0 Rp 104,500.0 Rp -

62 Ketokonazole Tab. 200 mg Kotak/50 8 0 8 Rp 15,250.0 Rp 122,000.0

63 Ketokonazole Tab. 200 mg Kotak/50 10 0 10 Rp 14,300.0 Rp 143,000.0
64 Ketokonazole Salep Kulit Tube 140 10 130 Rp 2,694.0 Rp 350,220.0
65 Klorfeniramini Maleat (CTM) Kotak, 10 strip@10 0 0 0 Rp 7,040.0 Rp -

66 Klorfeniramini Maleat (CTM) Kotak, 10 strip@10 tablet 68 25 43 Rp 2,600.0 Rp 111,800.0

tablet/kapsul/kaplet 4 mg
67 lidocain + efinefrine box/30 0 0 0 Rp 39,510.0 Rp -

68 Lidokain injeksi 2% (HCL)-2ml Dus, 100 Ampul @ 2 ml 2 1 1 2 Rp 140,500.0 Rp 281,000.0

69 Lidokain HCl injeksi 2% Kotak/100 Amp 0 0 0 Rp 131,700.0 Rp -

70 Levertran SK 10% Kotak/12 Pot 6 0 6 Rp 45,000.0 Rp 270,000.0
71 Loratadine Tab. 10 mg Kotak/50 15 5 10 Rp 6,800.0 Rp 68,000.0

72 Lanzoprazol kapsul/kaplet 30 mg Dus, 2 strip @ 10 kapsul 20 0 20 Rp 18,370.0 Rp 367,400.0

Metilergometrin Maleat Tablet

73 dus,10 blister@ 10 tablet 0 0 0 Rp 24,500.0 Rp -
salut selaput 0,125 mg
Metilergometrin Maleat injeksi
74 Kotak/100 Ampul @ 1 ml 0 0 0 Rp 339,900.0 Rp -
0,200 mg-1 ml
75 Metoklopramide tablet 5 mg Ktk 10 x 10 tablet 0 0 0 Rp 12,900.0 Rp -

76 Metoklopramide Syrup 5 mg/5 ml Botol 125 5 120 Rp 2,700.0 Rp 324,000.0

77 Methylprednisolon 4 mg Kotak/100 0 0 0 Rp 14,800.0 Rp -

Dus, 10 Blister @ 10
78 Methylprednisolon 8 mg 0 0 0 Rp 80,000.0 Rp -
Tablet
79 Metformin HCl tablet 850 mg dus,10 blister@ 10 tablet 0 0 0 Rp 16,700.0 Rp -

80 Metformin HCl tablet 500 mg dus,10 blister@ 10 tablet 4 2 2 Rp 10,900.0 Rp 21,800.0

81 Metronidazole tablet 500 mg 10 strip @10 tablet 10 0 10 Rp 26,400.0 Rp 264,000.0

Metoklopramid Injeksi 5 mg/ml
82 Kotak/10 Ampul 9 1 8 Rp 45,540.0 Rp 364,320.0
(Metolon)

83 Mikonazol krim/salep 2 % (Nitrat) Tube 10 gram 24 24 0 Rp 3,926.0 Rp -

84 Mikonazol Serbuk 2% Botol 4 0 4 Rp 26,950.0 Rp 107,800.0

85 Natrium Klorida (NaCl) 0,9% Botol / 500 ml 0 0 0 Rp 6,410.0 Rp -

86 Natrium Diklofenak tablet 50 mg Dus @ 5 x 10 's 0 0 0 Rp 7,250.0 Rp -

Nistatin Vaginal Tablet Salut

87 Dus @ 10 x 10 's 0 0 0 Rp 85,700.0 Rp -
100.000 IU
88 Nistatin Vaginal Kotak/100 0 0 0 Rp 40,700.0 Rp -

89 Nistatin Tablet Salut 500.000 IU Kotak/100 5 0 5 Rp 91,000.0 Rp 455,000.0

90 N-Asetil sistein kapsul 200 mg Kotak/100 20 5 15 Rp 36,900.0 Rp 553,500.0

91 Nifedipin/Adalat oros 20 mg Kotak/30 0 0 0 Rp 100,500.0 Rp -

92 Oksitosin injeksi 10 IU/ml Kotak/100 Ampul @ 1 ml 0 0 0 Rp 123,200.0 Rp -

93 Oksitetra salep mata Dus 25 tube @ 3,5 gram 0 0 0 Rp 65,000.0 Rp -

94 Oksitetrasiklin Salep Mata 1% Tube@5 g 25 0 25 Rp 2,600.0 Rp 65,000.0

95 omperazole kapsul/kaplet 20 mg dus 10 X 30'S 5 5 5 5 Rp 13,200.0 Rp 66,000.0

96 Parasetamol tablet 500 mg Dus, 10 Strip@10 Kaplet 0 0 0 Rp 6,000.0 Rp -

Salut Selaput
97 Parasetamol Syrup Botol/60 0 0 0 Rp 3,159.0 Rp -

98 Parasetamol drops 100 mg/ml btl Dus, 15 botol 0 0 0 Rp 7,646.0 Rp -

@15 ml (60 mg/0,6 ml)

99 Pirantel Pamoat 125 mg Dus, 25 Blister @ 4 tablet 0 0 0 Rp 33,100.0 Rp -

101 Pirantel Suspensi Botol/60 ml 65 0 65 Rp 11,050.0 Rp 718,250.0

102 Propanolol tablet 10 mg (HCl) Dus, 10 Strip @ 10 tablet 0 0 0 Rp 5,900.0 Rp -

103 PIROXICAM 20 MG 5 5 0 Rp 17,600.0 Rp -

Piridoksin (Vitamin B6)

104 dus, 10 strip @ 10 tablet 22 1 21 Rp 15,000.0 Rp 315,000.0
tablet/kapsul/kaplet 10 mg (HCl)

105 Phenol Gliserol Tetes Telinga 10 % Botol/5 ml 5 0 5 Rp 7,040.0 Rp 35,200.0

106 Phenol Gliserol Tetes Telinga 10 % Botol/5 ml 0 0 0 Rp 2,590.0 Rp -

Prednison tablet/kapsul/kaplet 5
107 Dus, 10 strip @ 10 tablet 15 2 13 Rp 19,360.0 Rp 251,680.0
mg

108 Ranitidin injeksi 25 mg/ml Dus, 100 Ampul @ 2 ml 0 0 0 Rp 115,500.0 Rp -

Dus, 10 Strip @ 10 tablet

109 Ranitidin tablet 150 mg 5 5 0 Rp 12,200.0 Rp -
salut selaput
110 Ringer Laktat Larutan Infus Botol 500 ml 800 400 320 880 Rp 7,630.0 Rp 6,714,400.0
111 Salbutamol Aerosol (Salbulin) Kotak 0 0 0 Rp 31,200.0 Rp -

112 Salbutamol tablet 2 mg (sebagai Kotak/100 0 0 0 Rp 6,400.0 Rp -

Sulfat)

113 Salep 2-4 , Kombinasi : Asam Pot @ 30 gram 96 34 62 Rp 3,017.0 Rp 187,054.0

Salisilat 2% + Belerang endap 4%

114 Simvastatin scored tablet 10 mg Dus, 3 Strip @ 10 Kaplet 5 20 15 10 Rp 3,510.0 Rp 35,100.0

salut selaput

115 Scabimite Permetrin Salep Kulit Tube 13 0 13 Rp 11,825.0 Rp 153,725.0

116 Thiamin HCl Tab. 50 mg Kotak/100 20 8 12 Rp 23,760.0 Rp 285,120.0

117 Thiamin HCl 100 mg/ml Injeksi Kotak/30 Ampul 0 0 0 Rp 34,800.0 Rp -

118 Vitamin B Complex Dus 10 strip x 10 tab 0 0 0 Rp 13,500.0 Rp -

Xylocaine Spray Lidocain
119 Dus botol/50 ml 0 0 0 Rp 177,216.0 Rp -
Hydroklorida Spray Oral 10 %
120 Zinc Sulfat syrup 20 mg/5 ml Dus, botol 60 ml 0 0 0 Rp 3,285.0 Rp -
121 Mineral Mix kotak/40 Sachet 5 0 5 Rp 116,800.0 Rp 584,000.0
TOTAL 3410.6 2989.6 Rp 28,085,528.0

Mengetahui,
Kepala UPTD Puskesmas Bantimurung Pengelola Obat

dr. H. Muhammad Yunus, [Link]., [Link] Awalia Sri Wahyunita M, [Link]., Apt
NIP. 19760709 200701 1 011 NIP. 19940510 201903 2 004