Daftar Usulan Kebutuhan Obat
15
DAFTAR USULAN KEBUTUHAN OBAT PUSKESMAS ANGGERAJA TAHUN 2011 NO Nama Obat dan Alat Kesehatan Kemasan Pemakaian Rata-rata/Bulan Rata-rata/tahun 1 Air raksa dental use Btl 0 0 2 Abbocath no. 20 Set 0 0 3 Abbocath no. 22 Set 0 0 4 Abbocath no. 24 Set 0 0 5 Alat suntik sekali pakai 1 ml Set 41 6 Alat suntik sekali pakai 2,5 ml Set 14 7 Alat suntik sekali pakai 3 ml Set 157 8 Alat suntik sekali pakai 5 ml Set 39 9 Albendazol tablet 400 mg Tab 0 10 Alopurinol tablet 100 mg Tab 123 11 Aminofilin tablet 200 mg Tab 13 12 Aminofilin injeksi 24 mg/ml - 10 ml Ampul 1 10 13 Amitriptilin hcl tablet salut 25 mg Tab 83 1000 14 Amoksisilin sirup kering 125 mg/5 ml Btl 122 15 Amoksisilin kapsul 250 mg Kap 0 16 Amoksisilin kaplet 500 mg Kap 2952 17 Ampisilin kaplet 500 mg Kap 2004 18 Ampisilin sirup kering 125 mg/5 ml Btl 69 19 Antalgin tablet 500 mg Tab 433 20 Antalgin injeksi 250 mg/ml - 2 ml Ampul 0 21 Antasida doen tablet, kombinasi: Tab 2386 22 Antasida sirup Btl 86 23 Tube 19 24 Antihemoroid doen kombinasi Supp 14 168 25 Antifungi doen kombinasi Pot 13 156 26 Ambroxol sirup Btl 29 347 27 Tab 67 800 28 Aqua proinjeksi steril Vial 5 57 29 Asam askorbat (vit c) tablet 250 mg Tab 0 0 30 Asam askorbat (vit c) tablet 100 mg Tab 0 0 31 Asam askorbat (vit c) tablet 50 mg Tab 4950 59400 32 Asam klorida 0,1 N (0,1 %) Btl 0 0 33 Asam sulfasalisilat 20 % Btl 0 0 34 Asetosal tablet 100 mg Tab 0 0 35 Asetosal tablet 500 mg Tab 0 0 36 Asam mefenamat Tab 1364 16370 37 Atropin Tablet / ASMA SOHO Tab 4 44 38 Atropin sulfat injeksi 0,25 mg/ml - 1 ml Ampul 3 30 39 Atropin sulfat tetes mata 0,5 % Btl 0 0 40 Asiklovir 400 mg Tab 74 890 41 Asiklovir krim 0,1 % Tube 11 126 42 Albutil 10 ml Btl 1 14 43 Aquadest steril Btl 0 5 44 Betametason krim 0,1 % Tube 82 982 489 168 1888 465 0 1470 150 1468 0 35420 24050 826 5200 0 28630 1037 Antibakteri doen salep kombinasi (Bacitrasin) 224 Antimigrain doen kombinasi (Ergotamine Caff)
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Transcript of Daftar Usulan Kebutuhan Obat
Sheet1DAFTAR USULAN KEBUTUHAN OBATPUSKESMAS ANGGERAJA TAHUN 2011NONama Obat dan Alat KesehatanKemasanPemakaianVolume Kebutuhan / bulanKet.Rata-rata/BulanRata-rata/tahun1Air raksa dental useBtl0002Abbocath no. 20Set0003Abbocath no. 22Set0004Abbocath no. 24Set0005Alat suntik sekali pakai 1 mlSetERROR:#VALUE!4891006Alat suntik sekali pakai 2,5 mlSetERROR:#VALUE!16807Alat suntik sekali pakai 3 mlSetERROR:#VALUE!18882008Alat suntik sekali pakai 5 mlSetERROR:#VALUE!465509Albendazol tablet 400 mgTabERROR:#VALUE!0010Alopurinol tablet 100 mgTabERROR:#VALUE!147020011Aminofilin tablet 200 mgTabERROR:#VALUE!1503012Aminofilin injeksi 24 mg/ml - 10 mlAmpul110213Amitriptilin hcl tablet salut 25 mgTab83100010014Amoksisilin sirup kering 125 mg/5 mlBtlERROR:#VALUE!146815015Amoksisilin kapsul 250 mgKap00016Amoksisilin kaplet 500 mgKapERROR:#VALUE!35420350017Ampisilin kaplet 500 mgKapERROR:#VALUE!24050250018Ampisilin sirup kering 125 mg/5 mlBtlERROR:#VALUE!82610019Antalgin tablet 500 mgTabERROR:#VALUE!5200100020Antalgin injeksi 250 mg/ml - 2 mlAmpul00521Antasida doen tablet, kombinasi:TabERROR:#VALUE!28630300022Antasida sirupBtlERROR:#VALUE!103715023Antibakteri doen salep kombinasi (Bacitrasin)TubeERROR:#VALUE!2245024Antihemoroid doen kombinasiSupp141682025Antifungi doen kombinasiPot131561026Ambroxol sirupBtl2934710027Antimigrain doen kombinasi (Ergotamine Caff)Tab6780010028Aqua proinjeksi sterilVial5571029Asam askorbat (vit c) tablet 250 mgTab00100030Asam askorbat (vit c) tablet 100 mgTab00031Asam askorbat (vit c) tablet 50 mgTab495059400700032Asam klorida 0,1 N (0,1 %)Btl00033Asam sulfasalisilat 20 %Btl00034Asetosal tablet 100 mgTab0010035Asetosal tablet 500 mgTab0010036Asam mefenamatTab136416370200037Atropin Tablet / ASMA SOHOTab444038Atropin sulfat injeksi 0,25 mg/ml - 1 mlAmpul330339Atropin sulfat tetes mata 0,5 %Btl00040Asiklovir 400 mgTab7489020041Asiklovir krim 0,1 %Tube111261542Albutil 10 mlBtl114243Aquadest sterilBtl05144Betametason krim 0,1 %Tube8298215045Captopril 12,5 mgTab1113010046Captopril 25 mgTab7238670150047Captopril 50 mgTab1942330500
NONama Obat dan Alat KesehatanKemasanPemakaianVolume Kebutuhan / bulanKet.Rata-rata/BulanRata-rata/tahun48CendocarpinBtl00049Cimetidin tab 200 mg / RanitidinTab7398870100050Catgut / benang bedah 2/0Pcs00051Catgut / benang bedah 3/0Pcs192324852Ciprofloxacin tab 500 mgTab3103720100053Deksametason inj 5 mg/ml - 1 mlAmpul340354Deksametason tablet 0,5 mgTab382945950500055Dekstran 70 - larutan infus 6 % sterilBtl00056Dektrometorfan hbr sirup 10 mg/5 mlBtl4857610057Dektrometorfan hbr tablet 15 mgTab152118250300058Diazepam inj 5 mg/ml - 2 mlAmpul330559Diazepam tablet 2 mgTab6267513100060Diazepam tablet 5 mgTab115138120061Difenhidramin hcl inj 10 mg/ml - 1 mlAmpul8901062Digoksin tablet 0,25 mgTab2834010063Devitalisasi pasta (non arsen)Set00064Efedrin hcl tablet 25 mgTab157118850300065Ekstrak belladon tablet 10 mgTab00066Eritromicin tab 500 mgTab00067Eritromicin sirup keringBtl182195068Epinefrin injeksiAmpul00069Etakridin (rivanol) larutan 0,1 %Btl6661070Etanol 70 %Btl445771Etil klorida semprotBtl115272Eugenol cairan / FORUMEN T. T.Btl219373Fenitoin natriun kapsul 30 mgKap00074Fenobarbital injeksi 50 mg/ml - 2 mlAmpul00075Fenobarbital tablet 30 mgTab182163076Fluor tablet 0,5 mgTab00077Fenol gliserol tetes telinga 10%Btl151792578Fitomenadion (vit k 1) injeksi 10 mg/ml - 1 mlAmpul450579Fitomenadion (vit k 1) tablet salut 10 mgTab90108510080Furosemid tablet 40 mgTab7387020081Fenilbutason tab 200 mgTab00082Gameksan emulsi 1%Btl00083Garam oralit untuk 200 ml airSch365438070084Gentian violet larutan 1%Btl141721585Glass Ionomer cement (fuji ix)Btl01186GlukostikPcs00087Glibenklamid tablet 5 mgTab425510060088Gliseril guayakolat tablet 100 mgTab412549500700089Glukosa larutan infus 5% sterilBtl224390Griseofulvin tablet 125 mgTab3441010091Hidroklorotiazid (hct) tablet 25 mgTab6467750100092Hidrokortison krim 2,5%Tube4858010093Haloperidol tablet 0,5 mgTab3340010094Hyoscine-N-Butilbromide 10 mgTab213256050095Haloperidol tablet 1,5 mgTab111133020096Handschoen 7,5Psg4501597Ibuprofen tablet 200 mgTab3904680500
NONama Obat dan Alat KesehatanKemasanPemakaianVolume Kebutuhan / bulanKet.Rata-rata/BulanRata-rata/tahun98Ibuprofen tablet 400 mgTab3083700100099Infusion set dewasaSet2834140100Infusion set anakSet78210101Isoniazid tablet 100 mgTab000102Isosorbid dinitrat Tab14170100103Kalium permanganat serbukPot910715104Kalsium hidroksida pastaTube021105Kalsium laktat (kalk) tabet 500 mgTab2000240003000106Karbamazepin tabletTab831000200107Kinina sulfat tab 222 mgTab000108Kapas pembalut/absorben 250 gramBks1170109Kapas pembalut 500 mgBks3306110Kasa kompres 40/40 sterilRol34402100111Kasa pembalut 2 m x 80 cmRol25300100112Kasa pembalut hidrofil 4 m x 15 cmRol40485100113Kasa pembalut hidrofil 4 m x 3 cmRol2125050114Ketokonazole krimTube66610115Kloramfenikol kapsul 250 mgKap5466550250116Kloramfenikol sirupBtl2125050117Kloramfenikol salep mata 1%Tube2023450118Kloramfenikol tetes telinga 3%Tube1517750119Klorfeniramin maleat (ctm) tablet 4 mgTab6725807009000120Klorokuin tablet 150 mgTab000121Klorpromazin HCl tabletTab49593100122Klorpromazin HCl injeksi 5 mg/ml-2mlAmpul000123KlonidineTab3947050124Kodein fosfat tab 10 mgTab1100125Kombinasi pirimetamin 25 mg + sulfadoksiin 500 mgTab2125750126Klorfenol kamfer mentholBtl000127Kotrimoksazol pediatrik tabletTab2252700400128Kotrimoksazol suspensiBtl64765100129Kotrimoksazol dewasa tablet 480 mgTab1073128702000130Larutan alkohol 96 % TehnisBtl000131Larutan anisolBtl000132Larutan barium klorida 10 %Btl000133Larutan benedictBtl000134Larutan etanol asamBtl000135Larutan karbol fuksinBtl000136Larutan metilen biruBtl000137Larutan eosin 2%Btl000138Larutan kinyounBtl000139Larutan giemsa stainBtl000140Larutan karbol gentian violetBtl000141Larutan LugolBtl000142Larutan metanol tehnisBtl000143Larutan NaOH 0,1 NBtl00144Larutan Na Sitrat 3,8 %Btl000145Larutan gabbetBtl000146Larutan turkBtl000147Lidokain injeksiAmpul73880100
NONama Obat dan Alat KesehatanKemasanPemakaianVolume Kebutuhan / bulanKet.Rata-rata/BulanRata-rata/tahun148Lisol / densolBtl2244149LoperamideTab1371648300150MaskerSet2200151Mebendazol sirup 100 mg/5 mlBtl000152Mebendazol tablet 100 mgTab000153Metilergometrin maleat tablet salut 0,25 mgTab871039100154Metilergometrin maleat inj.0,200 mg - 1 mlAmpul1012512155Metronidazol tablet 250 mgTab000156Metronidazol tablet 500 mgTab4385260700157Mummifying pastaBtl000158Metoclopramid TabletTab871040300159Metoclopramid sirupBtl22010160Nosib SalepPot1160161Natrium klorida larutan infus 0,9% sterilBtl910715162Natrium fluoresein tetes mata 2%Btl000163Natrium bikarbonat tablet 100 mgTab00500164Natrium diklofenak 25 mgTab1381650200165Nistatin 100.000 iu/g tablet vaginalTab67020166Obat batuk hitam (o.b.h) cairanBtl49593150167Oksitetrasiklin hcl salep 3%Tube4351260168Oksitetrasiklin hcl salep mataTube3440440169Oksitetrasiklin hcl inj.i.m.50 mg/ml - 10 mlAmpul000170Oksitosin injeksi 10 iu/ml - 1 ml (pytogin)Ampul3542050171PeditoxBtl000172Parasetamol sirup 120 mg/5 mlBtl991193150173Parasetamol tablet 100 mgTab000174Parasetamol tablet 500 mgTab6192743008000175Pembalut gipsRol000176Piracetam 400 mgTab42500100177Pirantel tablet 125 mgTab57680100178Piridoksin hcl tablet 10 mgTab3300396005000179Piroksikam 20 mg kapKap2252700400180Plester 5 yard x 2 inchRol66710181Prednison tablet 5 mgTab2392287004000182Primakuin tablet 15 mgTab1672000100183Propiltiourasil tablet 100 mgTab1672000300184Propranolol hcl tablet 40 mgTab1882250500185Retinol (vitamin a) kapsul 200.000 iuKap000186Retinol (vitamin a) kapsul 100.000 iuKap000187Reserpin tabletTab000188Ringer laktat larutan infus sterilBtl74882100189Salep 2 - 4 kombinasiPot1715190Salisil bedak 2%Kotak1720225191Salisil spiritus 10%Btl000192Salbutamol tablet 4 mgTab3524220700193Sefadroksil kapletKap2673200700194Semen seng fosfat sebuk dan cairanBtl001195Sianokobalamin ( vit.b12 ) inj.500 mcg/mlAmpul012196Sianokobalamin ( vit.b12 ) tabletTab1458175004000197Silk (benang bedah sutera) no. 3/0Pcs1214325
NONama Obat dan Alat KesehatanKemasanPemakaianVolume Kebutuhan / bulanKet.Rata-rata/BulanRata-rata/tahun198Silver amalgam serbuk 65 - 75 %Btl001199Spons gelatin cubicle cubicles 1x1x1 cmKotak56010200Sulfadimidin tablet 500 mgTab000201Sulfasetamid natrium tetes mata 15%Btl0020202Tablet tambah darah kombinasiTab000203Trikresol formalin (tkf) cairanBtl000204Temporary stopping fletcher serbuk & cairanBtl000205Tetrakain hcl tetes mata 0,5 %Btl1122206Tetrasiklin HCl kapsul 250 mgKap1541850500207Tetrasiklin HCl kapsul 500 mgKap831000300208Thiamin HCl (Vit. B1) injeksi 100 mg/mlAmpul005209Thiamin HCl (Vit. B1) tablet 50 mgTab2367284005000210Vitamin B kompleks tabletTab4413529508000211Yodium Povidon 10 % 1000 mlBtl000212Yodium Povidon 10 % 300 mlBtl3407213Yodium Povidon 10 % 30 mlBtl89410MengetahuiKepala PuskesmasPengelola Obat
Dr. JohanUmmu Kalsum Gafsir, S.Farm, AptNIP. 19680412 200212 1 005NIP. 19821030 200904 2 001
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Sheet3
