LAPORAN PEMAKAIAN OBAT HARIAN PUSKESMAS MUARA TIGA

Bulan : Agustus Tahun: 2014

Tanggal:
No. Nama Obat Jumlah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 ACT(Artesunate 50+Amodiaquin 200)
2 Air Raksa dental use
3 Acyclovir 200 mg
4 Acyclovir 400 mg 10 10 5 5 10 40
5 Asiklovir krim 5% 1 2 2 2 4 2 1 1 1 18
6 Alat suntik sekali pakai 1 ml
7 Alat suntik sekali pakai 2.5 ml 75
8 Alat suntik sekali pakai 5 ml
9 Alopurinol tablet 100 mg 40 20 30 30 30 35 20 70 10 20 85 10 10 20 430
10 Ambroxol sirup 15 mg/ml
11 Ambroxol Tablet 30 mg 60 60

12 Aminofilin injeksi 24 mg / ml - 10 ml
13 Aminofilin tablet 200 mg 10 10
14 Amitriptilin HCL tablet salut 25 mg
15 Amoksisilin kaplet 500 mg 370 315 330 300 360 410 190 230 190 275 550 250 320 300 180 470 230 310 170 200 5950

16 Amoksisilin sirup kering 125 mg/5 ml 22 14 18 17 19 19 18 18 14 16 28 9 8 10 17 18 18 11 16 15 323

17 Amlodipin 5 mg.
18 Antalgin tablet 500 mg 220 90 120 60 40 270 40 110 130 80 110 50 100 20 125 140 210 80 80 2075
19 Antasida DOEN tablet 160 70 60 90 110 220 40 150 120 90 170 110 130 110 70 250 80 140 100 2270
20 Antasida DOEN sirup 5 4 3 2 5 2 3 5 5 30 2 1 4 12 9 6 2 73
21 Anti bakteri DOEN salap Basitrasin 2 2 2 3 3 3 2 3 3 25
22 Anti hemoroid DOEN kombinasi 3 2 2
23 Antifungi DOEN kombinasi : 3 - 6 1 1 1 1 1 5
24 Antimigren DOEN (Ergotamin)
25 Asam askorbat (vit.C) tablet 50 mg 435 125 130 140 300 195 115 90 150 230 80 50 135 40 75 145 180 255 50 70 2990
26 Asam Mefenamat tablet 500 mg 150 180 180 205 175 140 80 50 60 135 120 145 80 50 1400
27 Betametson krim 0,1% 3 5 1 4 5 1 6 1 1 4 3 2 1 3 1 1 3 2 3 50
28 Captopril 12.5 mg.
29 Captopril 25 mg 45 35 50 35 30 60 20 65 12 60 60 45 50 30 40 95 40 30 25 35 862
30 Cat gut/benang bedah No. 2/0 - 3/0
31 Deksametason injeksi 5 mg/ml - 1 ml
32 Deksametason tablet 0,5 mg 500 425 345 290 330 480 175 255 200 185 130 270 265 320 250 340 270 385 310 145 6170

33 Dekstrometorfan sirup 10 mg/5 ml 4 2 1 1 2 2 2 2 2 2 20

34 Dekstrometorfan tablet 15 mg 20 30 50 20 30 30 20 20 20 20 20 10 10 10 310

35 Diaform 35 5 30 35 85 15 25 50 25 30 20 15 30 20 40 15 10 10 495
36 Diazepam injeksi 5 mg/ml - 2 ml 2 2 4

37 Diazepam tablet 2 mg 6 12 20 25 15 17 20 10 25 40 10 34 234

38 Diazepam tablet 5 mg
39 Difenhidramin HCL inj. 10 mg/ml - 1 ml 3 2 5 3 3 2 2 2 2 3 28
40 Digoksin tablet 0,25 mg. 3 4 5 6 4 21
41 Domperidon tablet 10 mg. 60 30 30 20 20 20 30 50 60 20 20 40 20 60 30 10 10 490
42 Efedrin HCL tablet 25 mg
43 Eritromisin kapsul 500mg 10 70 110 10 50 70 30 20 60 40 10 10 50 440

44 Eritromisin sirup 200mg/5ml

45 Etakridin (Rivanol) larutan 0,1%
46 Etanol 70%
47 Etil klorida semprot
48 Eugenol cairan
49 Fenitoin natrium kapsul 100 mg 10 10
50 Fenobarbital tablet 30 mg 20 4 5 5 10 5 10 10 10 20 99
51 Fitomenadion (vit.K1) tab. salut 10 mg 10 10 20
52 Furosemid tablet 40 mg 3 6 3 5 5 22
53 Furosemide Inj. 10 mg/ml.
54 Gameksan emulsi 1%
55 Garam oralit untuk 200 ml air 2 2 4
56 Gentamisin Sulfat tetes mata 0,3% 3 1 2 2 2 5 3 3 3 1 1 2 5 2 34
57 Gentian Violet larutan 1% 5 1 1 1 2 2 1 1 14

58 Glass lonomer cement (GC IX)

59 Glibenklamid tablet 5 mg 10 10 20 20 20 20 10 10 20 20 160

60 Gliseril Guayakolat 100 mg 295 215 250 165 190 175 200 205 125 195 230 180 155 145 175 185 120 150 110 120 3585
61 Glukosa larutan infus 5% steril
62 Glukosa 10%
63 Glukosa larutan infus 40% steril
64 Griseofulvin tablet 125 mg 10 10 10 15 20 10 10 15 10 110
65 Haloperidol tablet 0,5 mg 20 20 20 20 40 20 20 40 20 40 40 40 40 20 400
66 Haloperidol tablet 1,5 mg 40 40 40 20 20 20 40 40 20 20 20 40 40 20 40 20 20 40 40 20 40 20 20 40 40 400
67 Haloperidol tablet 5 mg 20 20 20 20 20 20 20 20 40 40 20 20 20 20 40 40 20 20 20 20 20 300
68 Hidrokortoson krim 2,5 % 3 1 5 5 3 2 3 3 3 2 2 3 2 2 2 3 5 1 50
69 Hodroklorotiazid (HCT) tab. 25 mg 6 10 3 19
70 Ibuprofen tablet 200 mg 10 60 80 40 30 30 40 100 50 20 30 70 70 10 640
71 Ibuprofen tablet 400 mg 42 20 62
72 Ibuprofen susp. 60 ml. 1 1 1 5 1 1 2 4 1 1 4 2 24
73 Infusion set anak
74 Infusion set dewasa
75 Isosorbit Dinitrat Sublingual 15 20 10 30 10 95
76 Kalsium Hidroksida pasta
77 Kalsium laktat (Kalk) tablet 500 mg 110 20 10 40 20 20 30 20 50 10 330

78 Kapas pembalut/Absorben 250 gr

79 Karbamazepin tablet 200 mg 20 10
80 Kasa kompres 16/16 steril
81 Kasa pembalut Hidrofil 4 m x 15 cm
82 Ketokonazol krim 2% 2 1 1 1 1 3 1 3 2 1 1 1 2 20
83 Ketokonazol tablet 200 mg. 10 10 10 10 40
84 Ketorolac Inj. 10 mg/ml.
85 Kloramfinekol kapsul 250 mg 30 20 20 40 30 51 191
86 Kloramfinekol salap mata 1% 2 1 3 6
87 Kloramfinekol tetes telinga 3% 3 1 1 1 1 1 8
88 Kloramfenikol susp. 125 mg/ml
89 Klorfeniramin Maleat (CTM) 4 mg 875 635 570 265 460 860 460 370 440 355 420 395 500 285 425 695 200 210 7870
90 Klorfenol Kanfer Mentol (CHKM)
91 Klorokuin tablet 150 mg
92 Klorpromazin HCL tab. salut 100 mg 40 40 20 60 60 40 100 60 80 80 40 40 680
93 Klorpromazin HCL tabl. salut 25 mg
94 Kotrimaksazol suspensi 1 1 2 4
95 Kotrimaksazol tablet 480 mg 47 5 55 5 95 5 30 45 12 30 24 24 20 15 10 433
96 Kotrimaksazol tab. pediatrik 120 mg
97 Kuinin (Kina) tablet 200 mg
98 Lansoprazol 30 mg. kaps. 6 7 8 8 3 6 9 6 9 22 78
99 Larutan Benedit
100 Larutan Eosin
101 Larutan etanol asam
102 Larutan Giemsa
103 Larutan Karbol fuchin
104 Larutan Methilen Blue
105 Larutan turk
106 Lidokain HCL inj. 2%
107 Loratadin tablet 10 mg.
108 Mebendazol tablet 100 mg
109 Metanol
110 Metilergometrin maleat 0,125 mg
111 Metilergometrin maleat inj.
112 Metoklopramid tablet 10 mg.
113 Metronidazol tablet 250 mg 20 30 20 10 10 10 20 20 20 160
114 Mikonazol krim / salap 2% nitrat
115 Mummifying pasta
116 Natrium bikarbonat tablet 500 mg 90 50 45 20 40 40 10 10 50 50 20 10 30 40 20 10 20 555
117 Natrium Diklofenac 50 mg 20 40 110 140 20 60 400
118 Natrium klorida larutan infus 0,9%
119 Nifedipin
120 Nistatin tablet salut 500.000 IU
121 OAT Katagori 1
122 OAT Katagori 2
123 Obat Batuk Hitam (O.B.H) cairan 2 2 2 2 1 2 11
124 OBP ( Obat Batuk Putih ) 1 2 2 1 3 2 11
125 Oksitetrasiklin HCL inj. I.m 50 mg/ml
126 Oksitetrasiklin HCL salap mata 1% 1 1 2
127 Oksitetrasiklin HCL salap 3%
128 Omeprazol 20 mg. kaps.
129 Parasetamol sirup 120 mg/5 ml 7 5 6 8 13 8 12 10 8 10 4 4 7 18 7 137
130 Parasetamol tablet 100 mg.
131 Parasetamol tablet 500 mg 790 305 300 365 455 510 365 460 100 338 365 325 465 225 475 715 510 420 335 175 8040
132 Pirantel tablet 125 mg 11
133 Piridoksin HCL(Vit.B6) tablet 10 mg 30 40 5 60 20 40 20 70 10 30 15 20 30 10 30 35 35 20 20 495
134 Pirocicam 20 mg 85 20 70 24 110 76 10 80 50 80 90 70 44 80 30 140 170 33 20 110 1392
135 Plester 5 yards x 2 inch
136 Povidon lodida 10% 5
137 Prednison tablet 5 mg 225 125 145 170 205 200 145 205 70 125 200 90 140 140 220 260 90 100 80 150 3085
138 Primakuin tablet 15 mg
139 Propiltiorasil (PTU) tab 20 12 8 21 20 21 18 120
140 Propranolol HCL tablet 40 mg 3 7 6 5 6 20 4 10 61
141 Ranitidin 60 80 30 20 60 40 50 40 70 20 80 75 40 20 90 30 40 30 60 935
142 Ranitidin Inj. 25 mg/ml.
143 Retinol (Vitamin A) kapsul 100,000 IU
144 Retinol (Vitamin A) kapsul 200,000 IU
145 Ringer laktat larutan infus steril
146 Salap 2 - 4, kombinasi : 2 1 1 1 1 6
147 Salbutamol tablet 2 mg 33 30 40 10 33 5 30 45 30 5 10 20 10 30 20 10 361
148 Salisil bedak 2% 2 2 2 6
149 Sefadroksil kapsul 500 mg. 4 5 5 5 15 5 15 5 30 10 5 10 15 25 155
150 Serum Anti Bisa Ular (ABU I) Inj.
151 Serum Anti tetanus Inj.1.500 IU (ATS)
152 Serum Anti tetanus Inj. 20.000 IU
153 Sianokobalamin (Vit.B12) inj
154 Silk (Benang bedang Sutera) No. 3/0
155 Silver Amalgam serbuk 65 - 75%
156 Simetidin tablet 200 mg. 30 30 10 10 10 90
157 Simvastatin tablet 10 mg. 5 3 10 3 10 31
158 Siprofloksasin tablet 500 mg 25 40 5 25 10 25 10 10 5 40 5 5 25 20 255
159 Sulfasetamida Na. tetes mata 15%
160 Tablet Tambah Darah besi II sulfat 30 60 40 70 70 20 20 90 30 30 50 160 40 30 140 60 60 10 60 1070
161 Temporary Stopping Fletcher
162 Tetrasiklin HCL kapsul 250 mg
163 Tetrasiklin HCL kapsul 500 mg 30 30 20 20 20 30 30 50 30 10 10 60 20 360
164 Tiamfenikol kapsul 500 mg. 10 30 50 40 90 40 40 40 60 20 50 140 60 30 10 140 10 860
165 Tiamin HCL (vit.B1) injeksi
166 Tiamin HCL (vit.B1) tablet 50 mg 340 110 170 120 300 20 390 30 290 210 130 290 50 290 180 320 140 330 320 4030
167 Tramadol kapsul 50 mg. 60 130 90 30 20 30 20 100 20 70 30 20 80 10 30 30 80 800
168 Triheksifenidil Hidroklorida tab.2 mg
169 Vitamin B Komplek tablet 40 60 80 110 95 85 135 90 160 55 155 90 175 105 300 65 75 1875
170 Vitamin Sirup 1 1 4 1 1 1 1 3 1 4 2 1 1 3 25
171 Zink tablet 20 mg. 14 10 15 10 10 60
172 Genta Sp Kulit 10 10 20 20 20 10 90
173 Metformin Tab 1 1 1 3 2 6 2 1 17
174 Kloram Tetes Mata

Mengetahui Pengelola data

Kepala Puskesmas Muara Tiga

( dr.H.T.Yusrizal ) ( Kartini )
Nip.19701030 200112 1 001 Nip.19671228 199703 2 001
 Jumlah
Pustu KET
Total

40
18

10 85

120 550

60

10

728 6678
48 371

445 2520
610 2880
73 JKN
25

977 3967
100 1500 JKN
 50

81 943

908 7078
20 40
80 390
100 595
4
234

28
21
64 554

440

10
40 139
20 40
22

6 10
6 40
 6 20

55 215
749 4334

80 190
400
400
300
14 64
45 64
180 820
62
24

95

153 330

5
20
40

191
6
 8 16

2331 10201

680

4 8 JKN
153 586

78

10 170

221 776
400
 10 21
11

3 5

19 156 JKN

1422 9462

300 795
38 1430 JKN

1 6
753 3838

120
61
935

5 11
361
6
155

90
31
 255

268 1338

226 586
860

600 4630
800

760 2635 JKN

14 39 JKN
60
90 JKN
4 21 JKN

03 2 001
 LAPORAN PEMAKAIAN O
Bulan : Juni
No. Nama Obat
1 2 3 4 5 6 7 8 9 10 11
1 ACT(Artesunate 50+Amodiaquin 200)
2 Air Raksa dental use
3 Acyclovir 200 mg
4 Acyclovir 400 mg 10 10 20
5 Asiklovir krim 5% 1
6 Alat suntik sekali pakai 1 ml
7 Alat suntik sekali pakai 2.5 ml
8 Alat suntik sekali pakai 5 ml
9 Alopurinol tablet 100 mg 20 20 10 10
10 Ambroxol sirup 15 mg/ml 1 1 2
11 Ambroxol Tablet 30 mg 20

12 Aminofilin injeksi 24 mg / ml - 10 ml
13 Aminofilin tablet 200 mg
14 Amitriptilin HCL tablet salut 25 mg
15 Amoksisilin kaplet 500 mg 410 175 390 530 255 180

16 Amoksisilin sirup kering 125 mg/5 ml 15 19 30 14 12

17 Amlodipin 5 mg.
18 Antalgin tablet 500 mg 260 10 80 110 190 60 80
19 Antasida DOEN tablet 150 120 150 40 50
20 Antasida DOEN sirup 4 6
21 Anti bakteri DOEN salap Basitrasin 6
22 Anti hemoroid DOEN kombinasi
23 Antifungi DOEN kombinasi : 3 - 6
24 Antimigren DOEN (Ergotamin)
25 Asam askorbat (vit.C) tablet 50 mg 135 160 120 75 125 130 75 80
26 Asam Mefenamat tablet 500 mg 240 110 130 70 130 120 110 70
27 Betametson krim 0,1% 3 1 2 6 1 4
28 Captopril 12.5 mg. 60 30 30 50 40 40 70 50
29 Captopril 25 mg 10 20 30 5
30 Cat gut/benang bedah No. 2/0 - 3/0 2 1 2 1
31 Deksametason injeksi 5 mg/ml - 1 ml
32 Deksametason tablet 0,5 mg 305 495 630 200 190

33 Dekstrometorfan sirup 10 mg/5 ml

34 Dekstrometorfan tablet 15 mg 10 20 30 10 10
35 Diaform 30 15 10 30 15
36 Diazepam injeksi 5 mg/ml - 2 ml
37 Diazepam tablet 2 mg 20
38 Diazepam tablet 5 mg
39 Difenhidramin HCL inj. 10 mg/ml - 1 ml
40 Digoksin tablet 0,25 mg. 5 6

No. Nama Obat

1 2 3 4 5 6 7 8 9 10 11
41 Domperidon tablet 10 mg. 30 70 10 20 60
42 Efedrin HCL tablet 25 mg
43 Eritromisin kapsul 500mg 70 10 10 10 20 20

44 Eritromisin sirup 200mg/5ml

45 Etakridin (Rivanol) larutan 0,1%
46 Etanol 70%
47 Etil klorida semprot
48 Eugenol cairan
49 Fenitoin natrium kapsul 100 mg
50 Fenobarbital tablet 30 mg 10 20 15 10 5
51 Fitomenadion (vit.K1) tab. salut 10 mg 10 20 20
52 Furosemid tablet 40 mg
53 Furosemide Inj. 10 mg/ml.
54 Gameksan emulsi 1%
55 Garam oralit untuk 200 ml air
56 Gentamisin Sulfat tetes mata 0,3% 1

57 Gentian Violet larutan 1% 2 2

58 Glass lonomer cement (GC IX)

59 Glibenklamid tablet 5 mg 10 10

60 Gliseril Guayakolat 100 mg 205 105 120 95 180 275 70 100

61 Glukosa larutan infus 5% steril 2 3
62 Glukosa 10%
63 Glukosa larutan infus 40% steril
64 Griseofulvin tablet 125 mg 10 20 10 20
65 Haloperidol tablet 0,5 mg 80 20 20 20 80 20 40
66 Haloperidol tablet 1,5 mg 60 20 20 20 20 40
67 Haloperidol tablet 5 mg 20 20 60 40 20
68 Hidrokortoson krim 2,5 % 3 2 1 3 1 4
69 Hodroklorotiazid (HCT) tab. 25 mg 3
70 Ibuprofen tablet 200 mg 30 60 20
71 Ibuprofen tablet 400 mg 30 10 20 40 20
72 Ibuprofen susp. 60 ml. 7 1 7 2 3 3 1
73 Infusion set anak 1
74 Infusion set dewasa 5 2 2 1 1 1 2
75 Isosorbit Dinitrat Sublingual
76 Kalsium Hidroksida pasta
77 Kalsium laktat (Kalk) tablet 500 mg 20 50 10 20 10 20

78 Kapas pembalut/Absorben 250 gr

79 Karbamazepin tablet 200 mg 30 20 20 20
80 Kasa kompres 16/16 steril
81 Kasa pembalut Hidrofil 4 m x 15 cm
82 Ketokonazol krim 2% 1 1 2 1 1

No. Nama Obat

1 2 3 4 5 6 7 8 9 10 11
83 Ketokonazol tablet 200 mg. 10 15 10
84 Ketorolac Inj. 10 mg/ml.
85 Kloramfinekol kapsul 250 mg 20 40 20 40 20 20 10 20
86 Kloramfinekol salap mata 1% 1 1 1
87 Kloramfinekol tetes telinga 3% 1 1
88 Kloramfenikol susp. 125 mg/ml
89 Klorfeniramin Maleat (CTM) 4 mg 730 485 455
90 Klorfenol Kanfer Mentol (CHKM) 160 40 40
91 Klorokuin tablet 150 mg
92 Klorpromazin HCL tab. salut 100 mg 80 40 20 100 100 80 100
93 Klorpromazin HCL tabl. salut 25 mg
94 Kotrimaksazol suspensi 2 2 5 3 2 2 3 4
95 Kotrimaksazol tablet 480 mg 40
96 Kotrimaksazol tab. pediatrik 120 mg
97 Kuinin (Kina) tablet 200 mg
98 Lansoprazol 30 mg. kaps. 7
99 Larutan Benedit
100 Larutan Eosin
101 Larutan etanol asam
102 Larutan Giemsa
103 Larutan Karbol fuchin
104 Larutan Methilen Blue
105 Larutan turk
106 Lidokain HCL inj. 2% 5 5 5
107 Loratadin tablet 10 mg.
108 Mebendazol tablet 100 mg
109 Metanol
110 Metilergometrin maleat 0,125 mg
111 Metilergometrin maleat inj.
112 Metoklopramid tablet 10 mg.
113 Metronidazol tablet 250 mg 10 20 10
114 Mikonazol krim / salap 2% nitrat
115 Mummifying pasta
116 Natrium bikarbonat tablet 500 mg 70 90 20 30 60 20
117 Natrium Diklofenac 50 mg 20 20 40 20 10
118 Natrium klorida larutan infus 0,9%
119 Nifedipin
120 Nistatin tablet salut 500.000 IU
121 OAT Katagori 1
122 OAT Katagori 2
123 Obat Batuk Hitam (O.B.H) cairan 1
124 OBP ( Obat Batuk Putih ) 4 1
125 Oksitetrasiklin HCL inj. I.m 50 mg/ml
126 Oksitetrasiklin HCL salap mata 1% 2 2 2 1
127 Oksitetrasiklin HCL salap 3% 2 5
128 Omeprazol 20 mg. kaps.
129 Parasetamol sirup 120 mg/5 ml 20 8 5 6 7
130 Parasetamol tablet 100 mg.

No. Nama Obat

1 2 3 4 5 6 7 8 9 10 11
131 Parasetamol tablet 500 mg 300 255 355 285 350 590 395 345
132 Pirantel tablet 125 mg
133 Piridoksin HCL(Vit.B6) tablet 10 mg 20 10 35 75 80 20 10
134 Pirocicam 20 mg
135 Plester 5 yards x 2 inch 1 1
136 Povidon lodida 10%
137 Prednison tablet 5 mg 60 115 80 155 85
138 Primakuin tablet 15 mg
139 Propiltiorasil (PTU) tab 20 20
140 Propranolol HCL tablet 40 mg 5 5
141 Ranitidin 70 40 100 40 60 60 70
142 Ranitidin Inj. 25 mg/ml.
143 Retinol (Vitamin A) kapsul 100,000 IU
144 Retinol (Vitamin A) kapsul 200,000 IU
145 Ringer laktat larutan infus steril 10 10 10 5 10 10 10 10 8 7
146 Salap 2 - 4, kombinasi :
147 Salbutamol tablet 2 mg 50 10 10 20
148 Salisil bedak 2% 1
149 Sefadroksil kapsul 500 mg.
150 Serum Anti Bisa Ular (ABU I) Inj.
151 Serum Anti tetanus Inj.1.500 IU (ATS)
152 Serum Anti tetanus Inj. 20.000 IU
153 Sianokobalamin (Vit.B12) inj
154 Silk (Benang bedang Sutera) No. 3/0
155 Silver Amalgam serbuk 65 - 75%
156 Simetidin tablet 200 mg. 20
157 Simvastatin tablet 10 mg. 10
158 Siprofloksasin tablet 500 mg 5 5 5 5 30 10 15
159 Sulfasetamida Na. tetes mata 15%
160 Tablet Tambah Darah besi II sulfat 80 40 40 30 60 70 80 60
161 Temporary Stopping Fletcher
162 Tetrasiklin HCL kapsul 250 mg
163 Tetrasiklin HCL kapsul 500 mg 30 20 40 10 10 20
164 Tiamfenikol kapsul 500 mg. 60 100 70 170 60 120 40 140
165 Tiamin HCL (vit.B1) injeksi
166 Tiamin HCL (vit.B1) tablet 50 mg 160 80 80 90 70 70 165 170 60
167 Tramadol kapsul 50 mg. 10 10
168 Triheksifenidil Hidroklorida tab.2 mg
169 Vitamin B Komplek tablet 345 250 175 120 200 190 150 145
170 Vitamin Sirup
171 Zink tablet 20 mg. 10

Mengetahui
Kepala Puskesmas Muara Tiga

( dr.H.T.Yusrizal )
Nip.19701030 200112 1 001
PORAN PEMAKAIAN OBAT HARIAN PUSKESMAS MUARA TIGA
Tahun: 2014
Tanggal:
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

10 20 5 20 10 10 10 45 20
5 20 1 2 1 1 1 5 2

10 10 10 10 20 60 10 30 20
2 5 4 3 2 1 1 2
10 10 10

245 300 590 340 305 260 460 235 270 300 205 320
7 15 25 17 23 16 16 54 23 16 5 15

150 140 210 40 220 130 160 100 100 120 70 120
50 150 270 60 150 120 150 400 130 140 40
3 6 8 3 4 3 6 4 1 4 2 3
1 1

110 115 245 110 75 170 95 330 225 145 75 85

80 100 160 150 40 100 80 245 200 85 205 110
2 4 1 1 1 2 5 1 3 1
50 30 30 50 30

2 2 2

290 210 510 345 265 175 260 480 285 275 155 170

20 50 10 10 10 10 20 10 30
15 45 10 45 45 10 10 10

10 10 5 7 30 14 20 25 10

5 5
Tanggal:
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
30 80 90 40 60 40 30 65 40 40 10 25

30 10 10 10 10 50

15 10 5 15 40 15 5 10

1 4 1 2 1 9 1

20 20 10 10 10 10 10 10
95 140 215 125 95 150 50 360 240 145 40 55
2 2 3 3

20 20 20 10
20 20 20 20 20 20 40 20
20 20 20 20 40 20 20
40 20 20 20 20
2 4 3 5 4 6 1 4
5 10 15 10
75 60 60 20 50 60 70 10 30 20 60
 30
3 1 6 1 2 1 1 1 2

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

30 20 20 20 10 10

20 20 10 20 50 10

1 1 1 1 2 2 1
Tanggal:
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
10 30 5 5 20

10 40 70 30 40 20 60 30 30 30
1 1 1
1 5 1 1

550 760 505 505 390 640 705 520 335 250 585

80 20 20 40 20 40 60 80 80 40

1 1 7 3 1 2 3 6 2 3
10 30 10 10 10 30 12 10 12 10

7 10 9 5 17 3

5 5
10 20 1 10 10 10 30 40 20 10

20 65 30 50 10 10 60 20 80
10 20 30 30 10

1 3 1 1
2 1 1

1 1 1

Tanggal:
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
275 215 70 360 330 360 520 575 350 450 155 280

10 75 105 15 50 80 10 10 25 20 50

1 1 1 1

150 135 280 150 150 85 190 195 245 160 105 260

10 10 10 20
10 5 10 5
20 60 60 30 50 20 20 80 95 50 40 70

10 17 5 10 5 5 5 5 5 5 10 10 5 10 5 10 20 10
1 1 1
10 20 10 15 40 10 35 30 25
2 3 1 1 1
35 12
 10
10 10 5
10 5 5 5 5 15 10 15

30 115 120 30 150 70 30 90 130 20 60 40

10 20 50 10 50 10 30 10 20
60 120 70 90 30 130 30 120 70 20 20

80 140 160 70 180 140 90 200 110 110 80 130

10 10 130 70 50 100 70 30 10 100

110 90 390 120 150 130 175 275 115 150 40 205

Pengelola data

( Kartini )
Nip.19671228 1997
Tahun: 2014
Jumlah
Jumlah Pustu KET
30 31 Total

190 190
1 22 22

250 140 390

24 11 35
10 60 60

290 5755 1000 6755

25 347 44 44

60 2410 500 2910

2170 646 2816
7 64 3 67
8 8

60 2740 1123 3863

10 2515 113 2628
7 45 45
560 100 660
65 65
12 12

5150 850 6000

50 300 59 359
 300 165 465

151 151

21 21
Jumlah
Jumlah Pustu KET
30 31 Total
790 790

20 260 260

10 185 11 196
3 53 10 63

4 11 15

1 24 24

30 150 84 234
35 2895 577 3472
15 15

140 100 240

60 520 520
80 400 400
280 280
43 17 60
44 44
625 375 1000
70 220 220
2 44 44

28 28
100 100

240 135 375

160 160

1 16 16
Jumlah
Jumlah Pustu KET
30 31 Total
20 130 130

70 620 209 829

6 6
10 9 19

550 7665 2145 9810

140 1150 1150

4 51 31 82
12 192 458 650

58 58

25 25
20 220 220

10 645 645
210 210

4 12 9 21
4 4

10 1 11
7 7

39 39

Jumlah
Jumlah Pustu KET
30 31 Total
350 7661 2110 9771

60 780 293 1073

6 6

370 2970 695 3665

100 100
40 40
5 1040 1040

10 9 166 166
3 8 11
245 245
2 11 12 23
47 47
 30 30
35 35
5 130 130

20 1990 312 2010

340 254 594

1520 1520

70 2505 739 3244

30 630 630

150 3715 880 4595

10 10

Pengelola data

( Kartini )
Nip.19671228 199703 2 001