PENGELUARAN OBAT DAN BMHP

NAMA
SATUAN JAN FEB MAR APRIL MEI JUNI JULI
NO OBAT
KEMASAN
1 2 3 4 5 6 7 8 9 10
ACYCLOVIR
1 SALEP MATA TUBE
3% 0 0
ALBENDAZO
2 L TAB. 400 TAB
MG 1140 0 0 4500
ALOPURINOL
3 TAB. 100 MG
TAB
400 50 450 300 200 400 250
ALPRAZOLA
4 M TAB 0,25 TAB
MG 0 0
ALPRAZOLA
5 M TAB 0,5 MG
TAB
200 100 0 100
AMINOFILIN
INJ. 24
6 MG/ML - 10
AMP

ML 5 0 0
AMINOFILIN
7 TAB. 150 MG
TAB
0 300 200
AMINOFILIN
8 TAB. 200 MG
TAB
200 400 200 200 200 0
AMITRIPTILIN
9 HCL TAB. TAB
SALUT 25 MG
200 100 200 0 200
AMLODIPINE
10 TAB 10 MG
TAB
0 0
AMLODIPINE
11 TAB 5 MG
TAB
900 1200 1500 1500 1500 300 1500
AMOKSISILIN
12 KAPLET 500 TAB
MG 2700 4000 4400 4000 2700 2200 4600
AMOKSISILIN
13 KAPSUL 250 TAB
MG 700 150 250 200 200 400
AMOKSISILIN
SIRUP
14 KERING 125
BTL
MG/ML 25 0
AMOKSISILIN
SIRUP
15 KERING 250
BTL
MG/ML 50 96 84 65 75 0
ANTASIDA
16 DOEN BTL
SUSPENSI 200 100 150 118 118 55 111
ANTASIDA
17 DOEN TAB. TAB
KOMB. 1000 2000 500 1000 1200 1350 1150
 ANTI
BAKTERI
18 DOEN SALEP
POT

KOMB.
1 7 31 25 25
ANTI FUNGI
19 DOEN KOMB.
POT
4 14 5 0
ANTI
HAEMORHOI
20 D DOEN
SUPPO

KOMB. 10 20
ANTI
21 MIGRAIN TAB
DOEN KOMB.
0 0
AQUA PRO
22 INJEKSI BTL
STERIL 0 0
ASAM
ASCORBAT
23 (VIT. C) TAB
TAB
250 MG 0 0
ASAM
ASCORBAT
24 (VIT. C) TAB
TAB
50 MG 900 700 1450 950 400 1100 1000

ASAM FOLAT
25 TABLET 1 MG
TAB

200 100 200 100

ASAM
MEFENAMAT
26 KAPLET 500
TAB
MG 500 900 600 1150 850 600 1000
ASAM
27 TRANEKSAM AMP
AT INJEKSI
5 5 0
ASAM
VALPROAT
28 SIRUP 250
BTL
MG /5 ML 5 0 0
ASAM
29 VALPROAT TAB
TAB 250 MG 0 0
ASETOSAL
30 TAB. 100 MG
TAB
0 0
ASETOSAL
31 TAB. 80 MG
TAB
100 200 100 200
ASIKLOVIR
32 KRIM 5 %
AMP
0 0
ASIKLOVIR
33 TAB. 400 MG
TAB
200 150 50 0 300
ATAPULGIT
34 TABLET 630 TAB
MG 300 200 350 250 100 400 400
ATROPIN
SULFAT INJ.
35 0,25 MG/ML-1
TAB
ML 10 0 0
BETAHISTIN
36 TAB 6 MG
TAB
300 300 300 310 450 50 400
BETAMETAS
ON
37 DOPROPION
TUBE
ATE KRIM 25 25 25 25 50
BETAMETAS
38 ON KRIM TUBE
0,1% 25 25 0 0
BISAKODIL
39 10 MG SUP
TAB
0 0
BISAKODIL
40 TABLET
TAB
0 60
 BISOPROLOL
41 FUMARAT TAB
TABLET 5 MG
60 60 90 0
CANDESART
42 AN TABLET TAB
16 MG
60 0
CEFIXIME
43 KAPSUL 200 TAB
MG 0 0
CENDO
44 LYTEER STRIP
TETES MATA
0 0
CETIRIZIN
45 HCL SIRUP 5 BTL
MG / 5 ML 10 10 9 35 30 36
CETIRIZIN
46 TABLET 10 TAB
MG 500 700 0 300 500
CIPROFLOKS
47 ASIN KAPLET TAB
500 MG
750 250 500 1000 0 500 600
CURCUMA
48 TABLET 200 TAB
MG 0 0
DEKSAMETA
49 SON INJ. 5 AMP
MG/ML - 1 ML
100 0
DEKSAMETA
50 SON TAB. 0,5 TAB
MG 700 1050 900 1300 1400 500 1100
DIAZEPAM
51 INJ. 5 MG/ML AMP
- 2 ML
5 0 0 3
DIAZEPAM
52 TAB. 2 MG
TAB
0 0
DIETILKARBA
53 MAZIN
TAB
0 0
DIFENHIDRA
MIN HCL INJ.
54 10 MG/ML - 1
AMP
ML
0 0
DIGOKSIN
55 TAB. 0,25 MG
TAB
0 0
DOMPERIDO
56 N TABLET 10 TAB
MG 500 500 200 300 500 500
DONPERIDO
57 N SUSPENSI BTL
5 MG/ ML 10 10 20 0 3 30
EFEDRIN
58 HCL TAB 25 TAB
MG 0 0

EPINEFRIN
HCL
59 BITARTRAT AMP
(ADRENALIN)
INJ. 0,1% ML
0 0
ERITHROMISI
60 N KAPSUL TAB
500 MG 0 100
ERITHROMISI
61 N SIRUP
BTL
0 0
EUGENOL
62 CAIRAN
BTL
0 0
FENITOIN
63 NATRIUM KAP
KAP.100 MG 300 300 100 100 300
 FENOBARBIT
64 AL INJ.50 AMP
MG/ML-1ML 0 0
FENOBARBIT
65 AL TAB. 30 TAB
MG 400 600 300 700 0
FENOL
GLISEROL
66 TETES BTL
TELINGA 10
% 6 3 6 23 3
FITOMENADI
ON ( VIT.K1)
67 INJ 10 MG-1
AMP
ML 0 0
FITOMENADI
ON (VIT. K1)
68 INJ. 2 MG/ML
AMP
- 1 ML
10 12 3 20 0
FITOMENADI
ON (VIT. K1)
69 TAB. SALUT
TAB
10 MG 200 200 200 200 100
FLUCONAZO
70 L KAPSUL
KAP
0 0
FUROSEMID
71 TAB. 40 MG
TAB
200 200 0 0 50
GABAPENTIN
72 KAPSUL 300 KAP
MG 0 0
GARAM
ORALIT
73 UNTUK 200
SACCH
ML AIR 135 145 140 60 23 120 212
GENTAMISIN
74 TETES MATA BTL
5 ML 0,3 %
0 0
GLIBENCLAM
75 IDE TAB. 5 TAB
MG 50 350 300 300 500 100 100
GLIMEPIRID
76 TABLET 1 MG
TAB
600 200 300 300 400 200
GLUKOSA
LARUTAN
77 INFUS 10 %
BTL

STERIL 10 0 0
GLUKOSA
LARUTAN
78 INFUS 5 %
BTL

STERIL 5 0 0 10
GRISEOFULV
79 IN TAB. 125 TAB
MG 100 50 0 0
GRISEOVULF
80 IN TABLET TAB
500 MG 100 100 100 100

HALOPERIDO
81 L DECANOAT AMP
INJ 50 MG/ML
0 0
HALOPERIDO
82 L TAB. 1,5 MG
TAB
500 900 100 500 200 0
HIDROKLORT
83 IAZID (HCT) TAB
TAB. 25 MG
300 0 0
HIDROKORTI
84 SON KRIM TUBE
2,5 % 41 33 15 24 7 35 3
 HIOSIN
N,BUTIL
85 BROMIDA
AMP

INJEKSI 10 5 0
HIOSIN
N.BUTIL
86 BROMIDA TAB
TABLET 10
MG 400 200 300 300 200 300 300
IBUPROFEN
87 SUSPENSI
BTL
10 2 5 5 7 10
IBUPROFEN
88 TAB. 200 MG
TAB
1000 500
IBUPROFEN
89 TAB. 400 MG
TAB
100 0 400
ISONIAZIDA
90 TAB. 100 MG
TAB
0 0
ISOSORBID
DINITRAT
91 TAB. SUB TAB
LINGUAL 5
MG 0 0
KALSIUM
92 GLUCONAS AMP
INJ 0 0
KALSIUM
93 HIDROKSIDA POT
PASTA 0 0
KALSIUM
LAKTAT
94 (KALK) TAB.
TAB
500 MG 1700 2000 1500 3050 1450 1000 1000
KAPTOPRIL
95 KAP 12,5 MG
TAB
50 400 200 350
KAPTOPRIL
96 KAP 25 MG
TAB
250 50 300 200 0 0
KAPTOPRIL
97 KAP 50 MG
TAB
0 0
KARBAMAZE
98 PIN TAB. 200 TAB
MG 200 200 100 300 200
KETOKONAZ
99 OL KRIM
TUBE
25 25 25 0
KETOKONAZ
100 OL TAB 200 TAB
MG 150 100 100 0 50 150
KETOPROVE
N
101 SUPPOSITOR
SUPPO
IA 20 20 0
KLINDAMYCI
102 N KAP 300 KAP
MG 0 150 100
KLORAMFENI
103 KOL KAP. 250 KAP
MG 200 100 100 100 0 100
KLORAMFENI
104 KOL SALEP TUBE
KULIT 2 %
24 24 24 24 6 0 24
KLORAMFENI
105 KOL SALEP TUBE
MATA 1 %
24 24 24 0 9 15
KLORAMFENI
106 KOL TETES BTL
MATA 0,5 %
0 0 25
KLORAMFENI
107 KOL TETES BTL
TELINGA 3 %
10 6 6 6 12
 KLORFENIRA
MIN MALEAT
108 (CTM) TAB. 4
TAB

MG
3350 4400 2650 4850 2400 1700 4150
KLORPROMA
ZIN HCL INJ.
109 25 MG/ML - 1
AMP

ML
5 0
KLORPROMA
ZIN HCL TAB.
110 SALUT 100
TAB

MG 300 500 100 0 300

KODEIN HCL
111 TAB. 10 MG
TAB
200 200 200 300 200
KODEIN HCL
112 TAB. 20 MG
TAB
100 200 200 0
KOLKISIN
113 TAB 500 MCG
TAB
90 150 180 180 60 150 90
KOTRIMOKS
AZOL
114 DEWASA
TAB
TAB. 100 400 100 400 300 100 400
KOTRIMOKS
115 AZOL BTL
SUSPENSI 25 20 23 12 15 39 46
KOTRIMOKS
AZOLE
116 FORTE KAP
TAB
960 MG 0 0
LAKTULOSA
117 SIRUP
BTL
10 11 10 9
LEVODOPA
118 TABLET
TAB
0 0
LIDOKAIN 10
119 % SPRAY
BTL
0 0
LIDOKAIN
120 COMP.INJ
AMP
85 30 90 5 62 83 30
LIDOKAIN
121 JELLY 2 %
BTL
0 0
LOPERAMID
122 TABLET 2 MG
TAB
0 0
LORATADIN
123 TABLET 10 TAB
MG 500 1000 1000 1300 1000 700
MAGNESIUM
124 SULFAT AMP
INJEKSI 20 % 0 0
MDT MD
125 DEWASA
TAB
0 0
METFORMIN
126 HCL TAB 500 TAB
MG 600 1200 500 1200 400 700 300
METIL
ERGOMETRI
127 N MALEAT AMP
INJ 0,200 MG
- 1 ML 9 2 3 0
METIL
ERGOMETRI
128 N MALEAT TAB
TAB. SALUT
0,125 MG 50 50 50 0 50
METIL
129 PREDNISOLO TAB
N TAB 4 MG
200 300 0 0
METILDOPA
130 TABLET
TAB
0 0
METOKLOPR
131 AMID DROP 2 BTL
MG / ML
0 0
 METOKLOPR
132 AMID INJ AMP
10/2ML 40 20 50 50 100 0
METOKLOPR
133 AMID TAB.10 TAB
MG 100 50 100 50 50
METRONIDA
ZOL
134 BENZOAT
BTL

SUSPENSI 10 0 0
METRONIDA
135 ZOL TAB 250 TAB
MG 100 100 50 0 0 150
METRONIDA
136 ZOL TAB 500 TAB
MG 100 0 0
MIKONAZOL
137 SALEP 2 %
TUBE
24 3 5 27 0 5
MOMETASON
138 FUROATE 0,1 TUBE
% KRIM 0 0
MULTIVITAMI
139 N SIRUP
BTL
2 1 0
MULTIVITAMI
140 N TABLET
TAB
800 500 0 0
N.ASETIL
141 SISTEIN TAB KAP
200 MG 1300 2400 1300 1000 1000 450 1350
NATRIUM
142 BIKARBONAT TAB
TAB 500 MG
100 100 0 0
NATRIUM
143 DIKLOFENAK TAB
TAB 25 MG
800 200 0
NATRIUM
144 DIKLOFENAK TAB
TAB 50 MG
1000 700 800 200 600 400
NATRIUM
KLORIDA
145 LAR INFUS
BTL
0,9 % STERIL 20 10 20 2 2
NIFEDIPIN
146 TAB 10 MG
TAB
0 0
NISTATIN
147 100.000 IU / G TAB
TAB VAGINAL
0 70
NISTATIN
148 SUSPENSI BTL
100.000 IU 0 0
NITROGLISE
149 RIN RETARD
TAB
0 0
OBAT ANTI
150 MALARIA
TAB
0 0
OKSITETRAS
151 IKLIN HCL TUBE
SALEP 3 % 0 0
OKSITETRAS
152 IKLIN HCL TAB
SALEP MATA
25 25 25 25
OKSITOSIN
153 INJ 10 IU / ML AMP
- 1 ML 30 7 5 5 3 31
OMEPRAZOL
154 TAB
KAP
300 300 600 600 600 900 1200
ONDANSETR
155 ON KAPSUL 8 KAP
MG
0 0
 PAPAVERIN
156 HCL TAB 40 TAB
MG 500 1000 300 200 350 400
PARASETAM
157 OL DROPS BTL
100 MG / ML 5 10 3 7 10 6
PARASETAM
OL RECTAL
158 125 MG/2,5
TUBE

ML 0 0
PARASETAM
159 OL SIRUP BTL
120 MG / 5 ML
84 83 83 77 83 71 89
PARASETAM
160 OL TAB 100 TAB
MG 0 0
PARASETAM
161 OL TAB 500 TAB
MG 8500 8380 8420 10600 6400 4300 6400
PEKA
162 KRISTAL
POT
0 0
PERMETRIN
163 1% BTL
/PEDITOX 1 0 0
PIRANTEL
164 PAMOAT TAB TAB
125 MG 6000 0 0 20
PIRIDOKSIN
165 HCL TAB 10 TAB
MG 200 200 200 400 300 100 500
PREDNISON
166 TAB 5 MG
TAB
300 100 600
PROPANOLO
167 L HCL TAB 10 TAB
MG 200 100 100 100
PROPIL
168 TIOURASIL TAB
TAB 100 ML 200 100 200 100 100
RANITIDIN
169 50 MG / 2 ML AMP
INJ 200 100 100 200 200 0 200
RANITIDIN
170 TAB 150 MG
TAB
500 300 500 1200 1500 500 500
RETINOL
171 (VIT.A) KAP KAP
100.000 IU 250 0 0 200
RETINOL
172 (VIT.A) KAP KAP
200.000 IU 1500 0 0 1800
RINGER
LAKTAT LAR
173 INFUS
BTL
STERIL 202 2 180 100 257 103 240
RISPERIDON
174 TABLET 1 MG
TAB
200 300 0 800
RISPERIDON
175 TABLET 2 MG
TAB
200 300 300 300
SALBUTAMO
176 L CAIRAN IH AMP
0,1% 40 0 20
SALBUTAMO
177 L TAB 2 MG
TAB
500 900 1150 950 1000 1000 500
SALEP 2-4
178 KOMB
TAB
24 24 27 24 21
SALISIL
179 BEDAK 2 %
SACCH
20 2 0 0
SCABIMITE
180 KRIM 5 %
TUBE
10 0 0
SEFADROKSI
181 L KAPSUL KAP
500 MG 700 800 700 900 900 500 1000
 SEFADROKSI
182 L SIRUP KRG BTL
125 MG/ 5 ML
6 20 10 73 0 48
SEFADROKSI
183 L SIRUP KRG BTL
250 MG/ 5 ML
20 48 0
SERUM ABU
POLIVALEN
184 INJ 5 ML
VIAL

(ABU I) 0 0
SERUM ANTI
TETANUS INJ
185 1.500 IU /
AMP

VIAL (ATS)
10 20 20 20 20 15
SIANOKOBAL
186 AMIN ( VIT.B TAB
12 ) 50 MG
600 200 400 0 0
SIMVASTATI
187 N TABLET 10 TAB
MG 0 300 180
SIMVASTATI
188 N TABLET 20 TAB
MG 400 0 0
SPIRONOLAK
189 TON TABLET TAB
25 MG
100 0 0
STESOLID
190 RECTAL 10 TUBE
MG 5 0 0
STESOLID
191 RECTAL 5 TUBE
MG 0 0
SULFADIAZIN
192 SILVER KRIM
TUBE
2 5 0 0
TABLET
TAMBAH
193 DARAH
TAB
KOMB 330 8970 7140 2610 2610 780 2370
TABLET
TAMBAH
194 DARAH
TAB
KOMB 300 200 200
195 TEOFILIN SR TAB 0 0
TETAGAM
196 INJ
AMP
0 0
TETRACAIN
197 0,5 % TETES BOTOL
MATA 0 0
TETRASIKLIN
198 HCL KAP 500 KAP
MG 50 50 100 0
THIAMIN HCL
MONONITRA
199 T (VIT BI) TAB
TAB
50 MG
300 600 1900 1000 1100 700 1500
TRIHEKSIPE
200 NIDIL HCL TAB
TAB 2 MG 500 700 500 500 700 100 700
VAKSIN
201 RABIES AMP
VERO 12 0 0
VITAMIN B
202 KOMPLEKS TAB
TAB 1150 1500 3000 2000 2000 2000 1000
203 ZINC TABLET TAB
50 100 100 200 50 150
ZIRKUM KIDS
204 SIRUP
BTL
12 18 6 6 12 6 0
205 VAKSIN BCG VIAL 0 0
VAKSIN
206 CAMPAK
VIAL
0 0
VAKSIN DPT
207 HB
VIAL
0 0
208 VAKSIN DT VIAL 0 0
VAKSIN HB
209 PID
VIAL
0 0
210 VAKSIN MR VIAL 0 0
VAKSIN
211 POLIO
VIAL
0 0
VAKSIN
212 POLIO VIAL
INJEKSI 0 0
213 VAKSIN TD VIAL 0 0
214 VAKSIN TT VIAL 0 0
ALAT SUNTIK
215 SEKALI PCS
PAKAI 1 ML
110 0 5 100
ALAT SUNTIK
216 SEKALI PCS
PAKAI 10 ML
0 0
ALAT SUNTIK
217 SEKALI PCS
PAKAI 3 ML
0 0
ALAT SUNTIK
218 SEKALI PCS
PAKAI 5 ML
200 3 0 600
ALKOHOL
219 SWAB
PCS
400 200 200 400 200 300
220 ANTI SERA A PCS
5 0 0
ANTI SERA
221 AB
PCS
5 0 0
222 ANTI SERA B PCS
5 0 0
223 AQUA DEST PCS 2 0 0
224 ASEPTIC GEL PCS
1 7 1 0 0
AUTO
DISPOSIBLE
225 SYRINGE
PCS
0,05 ML 100 0 0 100
AUTO
DISPOSIBLE
226 SYRINGE 0,5
PCS
ML 0 0
BD
227 VACUTAINER
PCS
0 0
BLOOD
228 LANSET
PCS
400 200 200 100 100 300
BOX OBJECT
229 GLAS
PCS
0 0
BRACKET
230 ABS
PCS
3 0 0
CATGUT
231 CROMIC NO. PCS
3/0 17 10 5 12 38 0
CATGUT
232 PLAIN NO. PCS
3/0 0 0 24
CATGUT/BEN
233 ANG BEDAH PCS
NO. 2/0
0 0
 CATGUT/BEN
234 ANG BEDAH PCS
NO. 3/0
0 0
DARYANTUL
235 LE
PCS
5 10 0
ETAKRIDIN
(RIVANOL)
236 LARUTAN 0,1
PCS

% 0 0
237 ETANOL 70 % PCS
0 0
238 ETANOL 70 % PCS
5 1 0
ETER
239 ALKOHOL
PCS
0 0
ETIL
240 KLORIDA PCS
SEMPROT 0 0
241 FOCUS HIV 2 PCS 0 0
FOLEY
242 CATHETER PCS
16 0 0
FOLEY
243 CATHETER PCS
18 10 0 0
244 GIEMSA PCS 0 0
GLASS
IONOMER
245 CEMENT (GC
PCS

IX) 0 0 1
HANDRUB
246 LIQUID
PCS
5 0 6
247 HANDSCOON PCS
66 15 106 7 31 6 7
HANDSCOON
248 NON STERIL
PCS
500 400 800 500 600 600 1000
HB TEST
249 STRIP
PCS
100 50 100 100
250 HBig PCS 0 0
HUMAN
251 HEXAGON PCS
SIPILIS 0 0
IMERSION
252 OIL
PCS
0 0
IMERSION
253 OIL
PCS
0 0
INFUSION
254 SET ANAK
PCS
0 5
INFUSION
255 SET DEWASA
PCS
100 50 100 50 0 50
256 IV NO.18 G PCS 50 40 0
257 IV NO.20 G PCS 65 50 0
258 IV NO.22 G PCS 100 50 50 100 100 0 50
259 IV NO.24 G PCS 50 0
260 KACA SLIDE PCS 0 0
KAPAS BOLA
261 MINI
PCS
0 0 200
262 KAPAS GIGI PCS 0 0
KAPAS
PEMBALUT /
263 ABSORBEN
PCS

250 GR
2 3 0
KASA
KOMPRES
264 STERIL
PCS
40X40 30 0 20
 KASA
PEMBALUT
265 HIDROFIL 18
PCS

CM X 22 CM 0 0
KASA
PEMBALUT
266 HIDROFIL 4
PCS

M X 10 CM 0 0 50
KASA
PEMBALUT
267 HIDROFIL 40
PCS

M X 80 CM 4 3 5 0
KERTAS
268 GOLONGAN PCS
DARAH 5 0 0
KERTAS
269 SARING
PCS
1 2 0
LARUTAN
270 BENEDICT
PCS
0 0
LARUTAN
271 HCL 0,1N
PCS
0 0
LARUTAN
272 TURK
PCS
0 0
LARUTAN
273 ZIELH PCS
NELSEN 1 1 0 0
274 LISOL PCS 3 8 1 5 2
275 MASKER PCS 5 155 55 2 103 56 206
MASKER N
276 95
PCS
0 0
277 METANOL PA PCS
0 0
278 NEEDLE 27 G PCS
100 0 0
OAT I
279 (KOMBIPAK)
PCS
0 0
OAT
280 KATEGORI PCS
ANAK 0 0
OAT
281 KATEGORI I
PCS
2 3 3
OAT
282 KATEGORI II
PCS
0 0 1
PARAFORMA
283 LDEHID TAB PCS
1G 0 0
PIPET TETES
284 PENDEK
PCS
0 0
PLESTER 1
285 INCI
PCS
0 0
PLESTER 7,5
286 CM x 4,5 M
PCS
0 0
PLESTER
287 KERTAS
PCS
0 0
PLESTER
288 PUTIH 10 CM PCS
X5M 3 3 3 1 12 0 8
POT FESES
289 TRANSPARA PCS
N 0 0
290 POT SPUTUM PCS
200 0 200
291 PROVEIN 6/0 PCS 3 3 0 0
RAPID TES
292 NARKOBA 3
PCS
0 0
RDT
MALARIA / ID
293 BIOSENS
PCS

DANGUE NSI 0 0
294 RDT SIPILIS PCS 25 25 100 0
REAGEN
295 SIPILIS
PCS
0 0
 SAFETY BOX
296 2,5 L
PCS
0 0
SAFETY BOX
297 5L
PCS
0 0
298 SD HBsAG PCS 50 50 100 0
299 SD HIV PCS 100 100 0
SEMEN
SENG
300 FOSFAT PCS
SERBUK &
CAIRAN 0 0
SILK
(BENANG
301 BEDAH PCS
SUTRA)
NO.3/0 72 33 50 5 36
SILK
(BENANG
302 BEDAH PCS
SUTRA)
NO.3/0 0 0
SILVER
AMALGAM
303 SERBUK 65 -
PCS

75 % 0 0
SLANG
304 OKSIGEN PCS
ANAK 2 2 0 0
SLANG
305 OKSIGEN PCS
DEWASA 2 4 5 15 0
SPECULUM
306 VAGINA PCS
DISPOSIBLE 2 0 0
SPIRITUS
307 BAKAR
PCS
0 0
STIK ASAM
308 URAT
PCS
100 150 0
STIK
309 GLUKOSA
PCS
250 150 0 0 100
STIK
310 KOLESTERO PCS
L 40 50 100 10 50 50
SURGICAL
BLADE
311 STERIL
PCS

NO.12 0 0 100
SURGICAL
BLADE
312 STERIL
PCS

NO.15 0 0 100
TABUNG
313 VACUTAINER PCS
NON EDTA
0 0
TEMPORARY
STOPPING
314 FLETCHER PCS
SERBUK &
CAIRAN 0 0
315 TEST HAMIL PCS 60 1 60 60
TISSUE
316 LENSA
PCS
0 0
UMBILICAL
317 CORD KLEM PCS
STERIL 0 0
318 UNDERPAD PCS 10 10 10 0 20
URINE BAG
319 STERIL
PCS
0 0
USG GEL
320 BLUE
PCS
3 2 5 0 0
321 VIKIA ( HIV 3 ) PCS 0 0
 YODIUM
POVIDON
322 LARUTAN 10
PCS

% 30 ML 8 2 0 0
YODIUM
POVIDON
323 LARUTAN 10
PCS

% 300 ML 2 1 9 0 1
DIAZEPAM
324 TAB
TAB 5 MG 100 100
HALOPERIDO
325 TAB
LE 0,5 MG 500 100 800
MATA BUR PCS 1
KACA MULUT PCS
1
ORAFIL PLUS KTK
1
PULP X BTL 1
ZINK F BTL 1
CHAPENOL BTL 1
H2O2 BTL 3
SARUNG
TANGAN PSG
OBGYEN
URINE
BTL
CONTAINER

ANTI SERA D BTL

KANTONG
LIMBAH PACK
MAHAZARD
UNDAGEL
TUBE
GEL

JUMLAH
KUNJUNGA UMUM BPJS JUMLAH JUMLAH KUNJUNGAN PUSK
N R/
PUSKESMA
PUSKESMAS
S
SUB UNIT SUB UNIT
TOTAL TOTAL

MENGETAHUI YANG MENYERAHKAN YANG MEMINTA/ MELAPOR

KABID. SUMBER DAYA
KA. UPT PUSK
KESEHATAN
DAN BMHP

AGUS SEPT OKT NOV DES JUMLAH

11 12 13 14 15 16

0 0 0 0 0 0 0 0

0 0 0 0 5640 0 0 0

400 550 400 100 400 3900 500 250 750

0 0 0 0 0 0 0 0

100 0 100 100 700 200 100 300

0 0 0 0 5 0 0 0
200 300 100 500 0 1600 500 250 750
0 0 0 0 1200 0 0 0

200 100 200 200 200 1600 400 200 600

0 0 0 0 0 0 0 0
900 1500 1500 1200 1200 14700 2400 1200 3600

2950 5350 3300 3900 4800 44900 8700 4350 13050

200 800 200 600 100 3800 700 350 1050

0 0 40 20 85 60 30 90

0 0 0 0 370 0 0 0

107 213 105 140 125 1542 265 133 397.5

1450 1450 900 1300 500 13800 1800 900 2700

 50 0 25 25 25 214 50 25 75

3 0 16 0 0 42 0 0 0

20 0 30 30 20 130 50 25 75

0 0 0 0 0 0 0 0

4 0 0 0 0 4 0 0 0

0 0 0 0 0 0 0 0

950 1550 1400 700 1200 12300 1900 950 2850

200 200 0 100 300 1400 400 200 600

950 250 0 1100 500 8400 1600 800 2400

0 0 0 0 10 0 0 0

0 0 0 0 5 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
300 100 0 0 200 1200 200 100 300
0 0 0 0 0 0 0 0
100 50 200 100 1150 300 150 450

550 350 350 300 100 3650 400 200 600

0 0 0 0 10 0 0 0
500 0 400 200 300 3510 500 250 750

5 20 25 25 31 256 56 28 84

25 0 0 0 75 0 0 0
0 0 0 0 0 0 0 0
60 0 0 0 0 120 0 0 0
 90 0 0 120 420 120 60 180

0 90 0 0 150 0 0 0

0 0 100 0 100 100 50 150

0 0 0 0 0 0 0 0

50 50 100 70 100 500 170 85 255

700 1000 400 1100 500 5700 1600 800 2400

400 800 600 200 600 6200 800 400 1200

0 0 0 0 0 0 0 0

0 0 0 0 100 0 0 0

1500 1700 1900 700 1350 14100 2050 1025 3075

5 0 5 18 5 3 7.5
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 2500 0 0 0

17 25 25 5 145 5 3 7.5

0 0 0 0 0 0

0 0 0 0 0 0

200 600 300 800 200 2200 1000 500 1500

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

300 0 0 200 1600 200 100 300

 0 0 0 0 0 0 0 0

600 500 400 500 500 4500 1000 500 1500

21 24 1 13 100 14 7 21

0 0 0 0 0 0 0

13 10 1 19 88 19 10 28.5

250 0 0 350 1500 350 175 525

10 0 0 10 0 0 0
0 0 0 450 0 0 0

0 0 30 30 30 15 45

100 240 60 115 165 1515 280 140 420

24 0 0 0 0 24 0 0 0

300 100 200 100 100 2500 200 100 300

600 600 300 200 900 4600 1100 550 1650

0 0 0 0 10 0 0 0

0 0 0 0 15 0 0 0

0 0 0 0 150 0 0 0

100 0 100 100 700 200 100 300

0 0 0 0 0 0 0 0

0 0 0 800 3000 800 400 1200

0 0 0 0 300 0 0 0

3 32 9 32 30 264 62 31 93
 10 15 0 0 5 45 5 3 7.5

300 0 200 0 2500 200 100 300

13 0 0 14 0 66 14 7 21
0 0 800 0 2300 800 400 1200
300 800 400 100 200 2300 300 150 450
0 0 0 0 0 0 0 0

100 0 0 0 0 100 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

1400 1600 2000 800 2350 19850 3150 1575 4725

200 100 150 350 0 1800 350 175 525
0 0 0 0 800 0 0 0
0 0 0 0 0 0 0 0

300 200 300 0 300 2100 300 150 450

0 25 0 0 100 0 0 0

100 100 0 150 50 950 200 100 300

20 0 50 110 0 0 0

150 100 200 700 0 0 0

100 100 0 800 0 0 0

18 24 168 0 0 0

24 0 0 120 0 0 0

25 0 25 25 25 125 50 25 75

10 10 2 18 0 80 18 9 27
3100 5500 5400 2200 4200 43900 6400 3200 9600

0 0 0 0 5 0 0 0

500 600 600 600 300 3800 900 450 1350

500 500 0 0 2100 0 0 0
200 0 0 0 700 0 0 0

120 180 150 210 90 1650 300 150 450

0 0 0 0 1800 0 0 0

19 20 76 5 9 309 14 7 21

400 0 0 300 200 900 500 250 750

10 0 0 15 2 67 17 9 25.5
0 0 50 0 50 50 25 75
0 0 0 0 0 0 0 0
60 120 31 30 120 746 150 75 225
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

1200 200 500 800 800 9000 1600 800 2400

2 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0

600 800 500 800 900 8500 1700 850 2550

5 0 0 0 19 0 0 0

0 0 0 0 200 0 0 0

200 0 0 0 200 900 200 100 300

0 0 100 0 100 100 50 150

5 4 0 0 9 0 0 0
 50 50 50 0 0 410 0 0 0

150 300 0 100 400 1300 500 250 750

10 0 0 0 0 20 0 0 0

100 100 0 0 0 600 0 0 0

100 100 0 0 0 300 0 0 0

8 21 5 16 24 138 40 20 60

0 0 0 0 0 0 0 0
10 5 0 0 18 0 0 0
0 0 0 0 1300 0 0 0

1800 3300 1500 1100 2100 18600 3200 1600 4800

0 0 0 100 300 100 50 150

0 0 0 0 1000 0 0 0

800 1200 600 1000 1000 8300 2000 1000 3000

20 2 20 2 98 22 11 33
0 0 0 0 0 0 0

100 0 0 170 0 0 0

0 0 0 0 0 0 0

0 0 100 100 100 50 150

0 0 0 0 0 0 0

0 0 0 0 0 0 0

25 6 3 19 153 19 10 28.5

13 13 7 10 10 134 20 10 30
1050 1500 2100 1500 1890 12540 3390 1695 5085

0 0 24 24 24 12 36
350 350 350 0 3800 0 0 0

15 14 0 70 0 0 0

0 0 0 0 0 0 0

116 61 135 120 81 1083 201 101 301.5

0 0 0 0 0 0 0

8700 10100 6900 8800 6200 93700 15000 7500 22500

0 0 0 0 0 0 0

10 0 0 0 11 0 0 0

0 0 20 6040 20 10 30

100 550 200 800 350 3900 1150 575 1725

400 100 900 700 200 3300 900 450 1350

100 100 100 300 1100 300 150 450

100 0 0 300 1100 300 150 450

100 200 100 0 100 1500 100 50 150

0 0 0 5000 0 0 0

0 0 0 450 0 0 0

0 0 0 3300 0 0 0

103 200 107 200 200 1894 400 200 600

200 0 200 0 1700 0 0 0

300 0 0 0 400 1800 400 200 600

40 40 40 40 20 240 60 30 90

1300 1250 1450 650 1400 12050 2050 1025 3075

48 0 24 24 24 240 48 24 72
10 0 20 0 5 57 5 3 7.5
5 0 0 5 20 5 3 7.5

1000 500 0 200 500 7700 700 350 1050

 27 0 0 0 184 0 0 0

85 0 0 153 0 0 0

0 0 0 0 0 0 0

15 13 12 0 20 165 20 10 30

1100 200 400 800 3700 800 400 1200

270 300 0 150 300 1500 450 225 675

100 0 0 0 500 0 0 0

0 0 100 200 100 50 150

0 0 0 0 5 0 0 0

5 0 0 5 5 15 10 5 15

3 0 0 0 10 20 10 5 15

7020 7950 5370 9570 4920 59640 14490 7245 21735

200 200 200 0 200 1500 200 100 300

100 0 0 100 0 0 0
0 0 0 0 0 0 0

0 0 0 0 0 0 0

100 0 100 0 100 500 100 50 150

1400 700 1500 600 500 11800 1100 550 1650

500 900 500 800 1000 7400 1800 900 2700

0 4 0 0 16 0 0 0

2700 2700 2900 1650 3500 26100 5150 2575 7725

200 350 150 0 1350 0 0 0
18 18 12 18 126 30 15 45
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

8 0 100 66 389 166 83 249

100 0 100 0 0 0

0 100 200 300 300 150 450

103 0 0 906 0 0 0
200 200 200 200 200 2700 400 200 600
2 0 7 0 0 0
0 0 5 0 0 0
2 0 7 0 0 0
3 3 0 0 8 0 0 0
1 0 0 10 0 0 0

100 0 100 400 100 50 150

400 100 100 1400 2000 1400 700 2100

0 0 0 0 0 0
300 200 200 200 200 2400 400 200 600

0 0 0 0 0 0
0 0 3 0 0 0

0 0 82 0 0 0

0 0 24 0 0 0

24 2 22 48 22 11 33
 2 24 0 3 29 3 2 4.5
0 0 15 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
3 1 5 15 5 3 7.5
0 0 0 0 0

0 0 0 0 0
0 0 0 0 0

5 0 5 0 0 0

0 10 0 0 0
0 0 0 0 0

0 1 0 0 0
6 0 12 29 12 6 18
109 58 60 7 10 482 17 9 25.5

900 900 800 1100 1000 9100 2100 1050 3150

0 50 50 450 100 50 150
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
5 0 10 20 10 5 15

100 50 50 100 100 750 200 100 300

0 0 35 125 35 18 52.5
50 0 50 50 265 100 50 150
50 50 50 50 50 700 100 50 150
50 100 0 0 0
0 0 0 0 0
100 0 500 800 500 250 750
0 0 0 0 0

4 9 0 0 0

25 0 25 100 25 13 37.5
 0 0 0 0 0

0 50 0 0 0

5 0 17 0 0 0

0 5 0 0 0
0 3 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

0 2 0 0 0
8 4 0 13 44 13 7 19.5
68 2650 176 205 7 3688 212 106 318
20 0 20 0 0 0
0 0 0 0 0
0 100 0 0 0
0 0 0 0 0

2 0 2 0 0 0
4 0 3 3 18 6 3 9
0 1 0 0 0

0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

3 6 5 6 50 11 6 16.5

0 0 0 0 0
0 400 0 0 0
12 0 18 0 0 0
0 0 0 0 0

0 0 0 0 0
25 0 25 200 25 13 37.5
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
100 50 350 50 25 75
100 0 100 50 450 150 75 225

0 0 0 0 0

36 39 38 309 38 19 57

0 0 0 0 0

0 0 0 0 0

0 4 0 0 0

10 0 20 56 20 10 30

0 2 0 0 0
0 0 0 0 0
100 50 100 500 100 50 150
100 100 100 100 100 1000 200 100 300

50 100 0 20 470 20 10 30

0 100 0 0 0

0 100 0 0 0

0 0 0 0 0

0 0 0 0 0
0 136 317 136 68 204
0 0 0 0 0

50 0 10 60 10 5 15
10 10 10 80 0 0 0
10 10 0 0 0
0 1 5 16 6 3 9
0 0 0 0 0
 6 1 4 2 23 2 1 3

2 0 15 0 0 0
200 0 100 100 200 100 300
600 800 400 800 800 400 1200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

10 0 0 0 0
0 0 0 0
0 0 0 0

1 0 1 1 1 1.5
0 0 0 0