RENCANA KEBUTUHAN OBAT PUSKESMAS MUARA TIGA

TAHUN 2015

Penerimaan Persediaan Pemakaian Sisa Stok Kebutuhan

No. Nama Obat Satuan Stok Awal
Jan s/d Des '14 2014 Jan s/d Des '14 Des '14 thn 2015
1 2 3 4 5 6=(4+5) 7 8=(6-7) 9

1 Air Raksa dental use 100 gram

2 Abocath No. 20 pcs 20 20 15 5 20

3 Abocath No. 22 pcs 100 100 82 18 100

4 Abocath No. 24 pcs 20 20 5 15 10

5 Acyclovir 200 mg tab 60 600 660 335 325 350

6 Acyclovir 400 mg tab 173 1300 1473 973 500 1000

7 Asiklovir krim 5% Tube 5 205 210 210 0 250

8 Alat suntik sekali pakai 1 ml pcs

9 Alat suntik sekali pakai 2.5 ml pcs 44 1000 1044 1007 37 1500

10 Alat suntik sekali pakai 5 ml pcs 29 20 49 45 5 100

11 Alopurinol tablet 100 mg tab 195 4900 5095 4548 547 5000

12 Ambroxol sirup 15 mg/ml fls 41 108 149 149 0 200

13 Ambroxol Tablet 30 mg tab 620 800 1420 1420 0 2000

14 Aminofilin injeksi 24 mg / ml - 10 ml Amp

15 Aminofilin tablet 200 mg tab 280 280 170 110 500

Amitriptilin HCL tablet salut 25 mg tab 200 200 200

16
17 Amoksisilin kaplet 500 mg tab 1300 71000 72300 71425 875 72000
18 Amoksisilin sirup kering 125 mg/5 ml fls 58 4030 4088 3849 239 4000
19 Amlodipin 5 mg. tab
20 Antalgin (Metampiron) tablet 500 mg tab 670 2600 3270 1290 1980 1500
21 Antasida DOEN tablet tab 345 3600 3945 3945 0 4500
22 Antasida DOEN sirup fls 17 530 547 483 64 1000
23 Anti bakteri DOEN salap Basitrasin tube 11 150 161 161 0 500
24 Anti hemoroid DOEN kombinasi supp 0 24 24 24 0 50
25 Antifungi DOEN kombinasi : 3 - 6 pot 7 48 55 41 14 100
26 Antimigren DOEN kombinasi (Ergotamin) tab 45 45 45 0 100
27 Asam askorbat (vit.C) tablet 50 mg tab 1205 34000 35205 32350 2855 3300
28 Asam Mefenamat tablet 500 mg tab 190 10500 10690 10690 0 11000
29 Betametson krim 0,1% tube 20 557 577 577 0 1000
30 Captopril 12.5 mg. tab 0 3500 3500 3225 275 3500
31 Captopril 25 mg tab 35 4500 4535 4045 490 1000
32 Cat gut/benang bedah No. 2/0 - 3/0 pcs 7 65 74 74
33 Cetrizin tab tab 0
34 Deksametason injeksi 5 mg/ml - 1 ml amp 0 30 30 30 0 1
35 Deksametason tablet 0,5 mg tab 0 63100 63100 60950 2150 61500
36 Dekstrometorfan sirup 10 mg/5 ml fls 51 30 81 81 0
38 Diaform tab 540 2000 2540 2540 0 3000
39 Diazepam injeksi 5 mg/ml - 2 ml amp 5 25 30 25 5 30
40 Diazepam tablet 2 mg tab 0 1800 1800 1800 0 3000
41 Diazepam tablet 5 mg tab 0
42 Difenhidramin HCL injeksi 10 mg/ml - 1 ml amp 0 570 570 500 10 800
43 Digoksin tablet 0,25 mg. tab 0 200 200 175 25 200
44 Domperidon tablet 10 mg. tab 0 5500 5500 4800 700 10000
45 Ekstrak Belladona tab 10 mg tab 69 3000 3690 3459 231 15000
46 Eritromisin kapsul 500mg tab 470 9100 9570 8785 785 15000
47 Eritromisin sirup 200mg/5ml fls 25 200 225 84 141 500
48 Etakridin (Rivanol) larutan 0,1% botol 2 13 15 14 1 20
49 Etanol 70% botol 0 16 16 14 2 20
50 Etil klorida semprot 100 ml 0 10 10 9 1 15
51 Eugenol cairan btl 1 Set 12 13 9 4 15
52 Fenol gliserol tts telinga 10% btl _ 10 10 2 8 15
53 Fenitoin natrium kapsul 100 mg Caps 100 250 350 105 245 500
54 Fenobarbital tablet 30 mg tab 1000 1000 985 15 2000
55 Fitomenadion (vit.K1) tab. salut gula 10 mg tab 130 400 530 507 23 1000
56 Fitomenadion (vit.K1) Injeksi Ampul 0 30 30 30 10 50
57 Furosemid tablet 40 mg tab 17 400 417 242 175 500
58 Furosemide Inj. 10 mg/ml. amp _
59 Gameksan emulsi 1% btl _
60 Garam oralit untuk 200 ml air Sachet 0 300 300 222 78 300
61 Gentamisin Sulfat salep kulit 0,1 % tube 0
62 Gentamisin Sulfat tetes mata 0,3% btl 0 165 165 165 0 500
63 Gentian Violet larutan 1% btl 0 108 108 108 108 300
64 Glass lonomer cement (GC IX) Set _
65 Glimepirid tab _
66 Glibenklamid tablet 5 mg tab 0 2600 2600 2335 265 5000
67 Gliseril Guayakolat 100 mg tab 934 50000 50934 49057 1877 10000
68 Glukosa larutan infus 5% steril btl 11 80 91 77 14 50
69 Glukosa 10% btl _
70 Glukosa larutan infus 40% steril btl _
71 Griseofulvin tablet 125 mg, Micronized tab 0 3500 3500 3500 0 5000
72 Haloperidol tablet 0,5 mg tab 160 3800 3960 3660 300 5000
73 Haloperidol tablet 1,5 mg tab 260 4200 4460 3720 740 5000
74 Handscoon pcs _ 50 50 22 28 100
75 Haloperidol tablet 5 mg tab 60 3000 3060 2860 200 3000
76 Hidrokortoson krim 2,5 % tube 0 815 815 790 24 1500
77 Hodroklorotiazid (HCT) tablet 25 mg tab 0 1000 1000 696 304 1000
78 Ibuprofen tablet 200 mg tab 0 7600 7600 7600 0 10000
79 Ibuprofen tablet 400 mg tab 0 4900 4900 4900 0 6000
80 Ibuprofen susp. 60 ml. fls 3 730 733 694 39 1000
81 Infusion set anak Set 13 23 36 26 10 50
82 Infusion set dewasa Set 10 255 265 235 30 500
83 Isosorbit Dinitrat tablet Sublingual 5 ml tab 0 1200 1200 1040 160 3000
84 Kalsium Hidroksida pasta tube _
85 Kalsium laktat (Kalk) tablet 500 mg tab 130 9000 9130 9073 57 10000
86 Karbamazepin tablet 200 mg tab 80 1100 1180 860 320 3000
87 Kapas pembalut/Absorben 250 gram rol 0 20 20 20 0 50
88 Kasa kompres 16/16 steril rol 20 530 550 510 40 1000
89 Kasa pembalut Hidrofil 4 m x 10 cm rol 15 560 575 558 17 1000
90 Ketokonazol krim 2% tube 0 153 153 153 0 300
91 Ketokonazol tablet 200 mg. tab. 15 1000 1015 961 54 1500
92 Ketorolac Inj 10mg/ml amp _
93 Kloramfinekol kapsul 250 mg Kaplet 0 6300 6300 5980 320 7000
94 Kloramfinekol salap mata 1% tube 10 203 213 200 13 300
95 Kloramfinekol tetes telinga 3% btl 14 79 84 84 0 200
96 Kloramfenikol susp. 125 mg/ml fls _
97 Klorfeniramin Maleat (CTM) tablet 4 mg tab 0 3156000 3156000 3154150 1850 5000000
98 Klorfenol Kanfer Mentol (CHKM) btl _
99 Klorokuin tablet 150 mg tab 50 50 _ 50
100 Klorpromazin HCL tablet salut 100 mg tab 1000 1000 2000 1670 330 20000
101 Klorpromazin HCL tablet salut 25 mg tab 0
102 Kotrimaksazol suspensi fls 15 850 865 646 219 1000
103 Kotrimaksazol tablet 480 mg tab 437 7300 7737 6237 1500 8000
104 Kotrimaksazol tablet pediatrik 120 mg tab 200 200 100 100 200
105 Kuinin (Kina) tablet 200 mg tab _
106 Lansoprazol 30 mg. kaps. caps 82 960 1402 1402 0 3000
107 Lidokain HCL inj. 2% amp 10 300 310 295 15 500
108 Loperamide tab _
109 Loratadin tablet 10 mg. tab _
110 Masker pcs _ 60 60 48 12 100
111 Mebendazol tablet 100 mg tab _
112 Meloksikam 7,5 mg tab _ 7300 7300 5897 1403 10000
113 Metformin 500 mg tab _ 400 400 360 40 1000
114 Metilergometrin maleat tab. salut 0,125 mg tab _
115 Metilergometrin maleat inj. 0,200 mg - 1 ml amp _
116 Metoklopramid tablet 10 mg. tab _
117 Metronidazol tablet 250 mg tab _ 3100 3100 3005 95 5000
118 Mikonazol krim / salap 2% nitrat tab _
119 Mummifying pasta botol _
120 Natrium bikarbonat tablet 500 mg tab 1668 9000 10668 10668 0 15000
121 Natrium Diklofenac 50 mg tab 0 4300 4300 3370 930 5000
122 Natrium klorida larutan infus 0,9% steril btl _
123 Nifedipin tab 100 100 64 36 300
124 Nistatin tablet salut 500.000 IU tab _
125 Obat Batuk Hitam (O.B.H) cairan fls 26 295 321 302 19 500
126 OBP ( Obat Batuk Putih ) fls 3 70 73 73 0 500
127 Oksitetrasiklin HCL inj. I.m 50 mg/ml - 10 ml vial 6 6 6 0 100
128 Oksitetrasiklin HCL salap mata 1% tube 20 100 120 107 13 300
129 Oksitetrasiklin HCL salap 3% tube 18 175 193 193 0 1000
130 Omeprazol 20 mg. kaps. caps _
131 Parasetamol sirup 120 mg/5 ml fls 89 810 899 899 0 15000
132 Parasetamol tablet 100 mg. tab _ 200 0 10000
133 Parasetamol tablet 500 mg tab 1182 891000 892182 889472 2710 1000000
134 Pirantel tablet 125 mg tab _
135 Piridoksin HCL(Vit.B6) tablet 10 mg tab 1048 13100 14148 13573 575 15000
136 Pirocicam 20 mg tab 137 1200 1337 1337 0 10000
137 Plester 5 yards x 2 inch rol 1 400 401 401 0 600
138 Povidon lodida 10% fls 19 96 115 110 5 200
139 Prednison tablet 5 mg tab 0 38500 38500 35800 2700 10000
140 Primakuin tablet 15 mg tab 379 379 _ 379
141 Propiltiorasil (PTU) tab tab _ 1300 1300 1005 295 3000
142 Propranolol HCL tablet 40 mg tab _ 800 800 531 269 2000
143 Ranitidin tab 150 mg tab 35 10000 10035 9735 300 10000
144 Ranitidin Inj. 25 mg/ml. amp _
145 Ringer laktat larutan infus steril btl 60 873 933 886 47 1000
146 Salap 2 - 4, kombinasi : pot 25 87 12 106 6 200
147 Salbutamol tablet 2 mg tab 48 4800 4848 4373 475 7000
148 Salisil bedak 2% ktk 16 190 206 181 25 300

149 Sefadroksil kapsul 500 mg. caps 310 1700 2010 1610 400 2000

150 Serum Anti Bisa Ular (ABU I) Inj. vial

151 Serum Anti tetanus Inj.1.500 IU (ATS) amp 2 2 2

152 Serum Anti tetanus Inj. 20.000 IU (ATS) vial

153 Sianokobalamin (Vit.B12) inj. 500 mcg/ml-1ml amp 0 100 100 60 40 300

154 Silk (Benang bedang Sutera) No. 3/0 amp 12 60 72 68 4 100

155 Simetidin tablet 200 mg. tab 390 700 1090 1090 0 2000

156 Simvastatin tablet 10 mg. tab 15 390 405 405 0 1000

157 Siprofloksasin tablet 500 mg tab 190 1800 1990 1700 290 3000

158 Sulfasetamida Natrium tetes mata 15% btl 0 0 200

159 Tablet Tambah Darah besi II sulfat tab 60 14100 14160 13378 782 20000

160 Temporary Stopping Fletcher (Fletcher) set/ 100 g 1 Set 1 Set 1 5

161 Tetrasiklin HCL kapsul 250 mg tab 0 0 13000

162 Tetrasiklin HCL kapsul 500 mg tab 90 7300 7390 7132 258 15000
163 Tiamfenikol kapsul 500 mg. caps 0 15500 15500 13690 1810 15000

164 Tiamin HCL (vit.B1) injeksi 100 mg/ml - 1 ml amp 0 210 210 210 0 500

165 Tiamin HCL/Mononitrat (vit.B1) tablet 50 mg tab 478 45500 45978 43808 2170 50000

166 Tramadol kapsul 50 mg. kaps 10 9000 9010 8595 415 10000

167 Triheksifenidil Hidroklorida tablet 2 mg tab 640 2400 3040 3040 0 10000

168 Urine bag pcs _

169 Vitamin B Komplek tablet tab 690 2300 2990 100 2890 10000

Vitamin Sirup fls 9 30 39 39 0 250

170
Zink tablet 20 mg. fls 130 300 430 246 184 300
171
172 300 300 50 250 500
Pularex

Mengetahui, Muara Tiga, 12 Januari 2015

KEPALA PUSKESMAS MUARA TIGA Pengelola Data Obat

dr H T YUSRIZAL KARTINI
Nip.19701030 200112 1 001 Nip.19671228 199703 2 001
Ket
10