Register Harian Obat 2015

8/16/2019 Register Harian Obat 2015

1/344

LAPORAN REGISTER HARIAN OBAT

PER JANUARI 2014

No. Nama Obat S a t u a n PERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIAN

Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2' 2

1 A(T )A*t+,unat Tab "' m-Amo/0au0n+ anh/*0/a tab 2'' m- 4

2 Alb+n/a5ol tab !'' m- 4

Alo6u*0nol 1'' m- 2" 1'' 12" " 1' " " " "

! Alo6u*0nol '' 4

" Amb*o7ol tabl+t ' m- 2# '' 2# % % % % 1'

# Am0no6h0l0n 0n8 2! m-9ml41' ml 4

$ Am0no6h0l0n tab 2'' m- $$ "'' "$$ % % 1' 1'" 2! 2! % 2! 1# % 1% % % %

% Am0t*06t0l0n H:l tab 2" m- 4

& Amlo/060n tab 1' m- ' '

1' Amlo/060n tab " m- ' ' 1'11 Amo;,0,0l0n "'' m- !! !''

1! Am60,0l0n S+*bu; In8+;,0 1''' m-9ml ) =0:0ll0n In8+;,0 3 4

1" Antal-0n )m+tam60*on3 tab "'' m- # #

1# Antal-0n 0n8 2"' m-9ml42 ml 4

1$ Anta,0/a DOEN S*u6 4

1% Anta,0/a DOEN tab Komb 1$' #'' $$' 2& 2! % 1'% ! 1# 2& 1 % $ "! " 1# 2! !%

1& Ant0ba;t+*0 DOEN ,al+6 Komb 42' Ant0>un-0 DOEN ,al+6 Komb 21 21 1 1

21 Ant0h+mo*o0/ DOEN Komb 1 2' 21 # 2

22 Ant0m0-*+n DOEN tab Komb &% &%

2 Ant06a*;0n,on DOEN tab Komb 4

2! Aua 6*o0n8+;,0 ,t+*0l b+ba, 60*o-+n 4

2" A,am A,;o*bat )=0t (3 tab "' m- # 1''' 1at tab '


2/344

" B+n5at0n b+n50l 6+n0,0l0n 0n8 2.! 8t 0u9?0al 4

# B+tah0,t0n M+,0lat tabl+t # m- 2& ' "& % %

$ B+tam+ta,on ;*0m '+nh0/*am0n H:l In8 1' m-9ml41ml 4

"' D0-o;,0n tab '.2" m- 4

"1 D0-o;,0n tab '." m- 4

"2 D0m+nh0/*0nat tabl+t "' m- 4

" E;,t*a; B+la/on 1' m- 4

"! E6h+/*0n H:l tab 2" m- 2'2 2'2

"" E6h0n+>*0n H:l )A/*+nal0n3 0n8 '


3/344

$1 0tom+na/0on )=0tK3 tab 1' m- #2 1'' 1#2 1# 1' % % % 1# 1%

$2 u*o,+m0/ tab !' m- 4

$ u*o,+m0/ In8 1' m-9ml 4

$! Gam+;,an Lot0on 1 @ 4

$" Ga*am O*al0t untu; 2'' ml a0* ! 2'' 2! # & 21 $ 2' % 11 &

$# G+m>0b*o50l '' m- 1'1 1'1

$$ G+ntam,0n Sal+6 Kul0t ' 1' @ ,t+*0l 4

%! Glu;o,a La*t In> !' @ ,t+*0l 4

%" Glu;o,a La*t In> " @ ,t+*0l 4

%# G*0,0o>ul?0n tab 12" m- # # % 1'

%$ Halo6+*0/ol tab '." m- 4

%% Halo6+*0/ol tab 1." m- &' 1'' 1&' 1! $ $ $ 1' $ 1! $ $ $ $ $ 1!

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- 11' 2'' 1' 2" " " % " " 2 " "

&' H0/*o;o*t0,on ;*0m 2." @ $ 1 % $ 1 1 2 1 1 1

&1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OBUTRI 1'' 1' %

&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml 4

& Ibu6*o>+n 2'' m- 1''' 1+n !'' m- 1'2 #'' $'2 #! !# 1% !'& 1' "1 2! %'

&" I:htol ,al6 4

Io/0ol ,o>t:a6, 4

&$ I,on0a50/ tab '' m- 4

&% I,o,o*b0/ /0n0t*at tab " m- 4

&& Kal0um P+*man-anat 4

1'' Kal0um D0;lo>+na; tab "' m- $% $% 2" % %

1'1 Kal,0um La;ta, )Kal;3 tab "'' m- #"2 1''' 1#"2 1! "1 $1 21 2& % 1& % & !' "& %" % 2! #" $1

1'2 Kal,0um Glu:ona, In8+;,0 4

1' Ka6to6*0l 12


4/344

1'% Kl0n/am:0n 1"' m- 1'' 1''

1'& Klo*am6h+n0;ol 2"' m- 4

11' Klo*am6h+n0;ol ,al+6 mata 1 @ 4

111 Klo*am6h+n0;ol t+t+, t+l0n-a @ $ 1& 2# 1 1 1

112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml " "

11 Klo*am>+n0;ol T+t+, mata 'at tab 222 m- 4

122 L+?o>lo;,a,0n tab "'' m- &' &'12 L0/o;a0n 2@ 0n8+;,0 4

12! L0/o;a0n Kom6 In8 4

12" Lo6+*am0/ H(l tabl+t 2 m- # # 1# 1' %


Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2' 2

12# Ma-n+,0um ,ul> 0n8 2'@42" ml 4

12$ Ma-n+,0um ,ul> 0n8 !'@42" ml 4

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml 4

12& M+b+n/a5ol+ tab 1'' m- 4

1' M+t>o*m0n H(l Tab "'' m- &! 2'' 2&! ' " 1' 1' '

11 M+t0l Do6a tab 2"' m- 4

12 M+t0l E*-om+t*0n In8 '+na: 2" m- 4

P+*,. Aal

D*o660n-


5/344

1!! Na. D0;lo>+na: "' m- $$ 2"' 2$ % % 2# 1' % % % 1# 1#

1!" Na. luo*+,0n t+t+, mata 2 @ 4

1!# Na. T0o,ul>at 0n8 2" @41' ml 4

1!$ Nat*0um Klo*0/a la*t 0n> '.&@ 4

1!% N0>+/060n tab 1' m- 1& 1& " "

1!& N0,tat0n 1''.''' 0u tab ?a- % % " 2

1"' N0,tat0n "''.''' 0u tab 4

1"1 OAT4D( Kat+-o*0 1

1"2 OAT4D( Kat+-o*0 2 4

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml 2& 2 1 1 & 1 2 1 2

1"! Obat Kat+-o*0 Ana; );omb06a;3 4

1"" Obat Kat+-o*0 S0,06an 4

1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml 4

1"$ O;,0t+t*a,0;l0n SK @ 4

1"% O;,0t+t*a,0;l0n SM !" !" 2 21"& O;,0to,0n 0n8 1' 0u91ml 4

1#' O,+ltam0?0* $" m- 4

1#1 Pa6a?+*0n In8+;,0 !' m-9ml 4

1#2 Pa6a?+*0n tab !' m- 4

1# Pa*a>o*mal/+h0/ tab 1 -* 4

1#! Pa*a,+tamol ,0*u6 12' m-9" ml % 11 2

1#" Pa*a,+tamol tab 1'' m- 9 DROP 4

1## Pa*a,+tamol tab "'' m- !'$ !1'' !


6/344

1%' Ran0t0/0n In8 2" m-9 2 ml 4

1%1 Ran0t0/0n tab 1"' m- &2 &2 #

1%2 R+,+*60n 'am60,0n #'' m- ;a6l+t 4

1%& R0n-+* La;tat+ la*t 0n>u, 4

1&' S. Ant0 B0,a Ula* 6ol0 0n8 " ml)ABU I3 4

1&1 S. Ant0 D0>t+*0 0n8 2'.''' 0u ) ADS 3 4

1&2 S. Ant0 T+tanu, 0n8 1."'' 0u9Am6 ) ATS 3 4

1& S. Ant0 T+tanu, 0n8 2'.''' 0u9Am6 ) ATS 3 4

1&! Salbutamol 2 m- tab ! 2'' 2! 1# 1# 11 % 2!1&" Salbutamol ! m- tab 1'' 1'' ! % 1& 1 1# & % !

1 Sal+6 24! ;omb 1 !% !& 1 1 1 2 2 1 1 1

1&$ Sal0,0l B+/a; 2 @ # # 12 1 1 1 1 1

1&% Sal0,0l S60*0tu, 1' @ 2 2

1&& S+>a/*o70l "'' m- ;a6,ul 4

2'' S+>ota70m In8+;,0 1 -*am 4

2'1 S+>t*0a7on In8 1 -*am 4

2'2 S0ano;obalam0n )=0t B123 0n8 4

2' S0m+t0/0n tab 2'' m- 42'! S0m?a,tat0n 1' m- tab & 1'' 1'& " " "

2'" S06*o>lo;,a,0n "'' m- tab %1 1'' 1%1 12 # 1# # # #

2'# St*+6tom0,0n 0n8 1"'' m- 9?0al 4

2'$ Sul>a,+tam0/ tt, mata 1"@ 4

2'% Tabl+t tambah /a*ah ;omb "'" "'" 2# 1' 2' 1' 1' 1'

2'& T+t*a;a0n t+t+, mata '


7/344

21$ T*ama/ol "' m- 4

21% T*0h+;,06+n0/0l H:l 2 m- tab 1$ '' 1$ 21 $ $ 1& 1! 2! 1! $ 2! $ $ 1! 1!

21& =0tam0n B Kom6l+;, tab 1!' $''


8/344

2% M+t0o,on 2! #' %! 2' 2! 2

2& AR(APE( 1'' 1''

OBAT GIGI

1 A0* Ra;,a u,+ D+ntal 4

2 Bon/0n- 4

D+nto*0t 6a,ta ) (a?0t G 3 4! D+?0tal0,a,0 6a,ta )non a*,+n3 4

" D+?0tal0,a,0 6a,ta )a*,+n3 4

# Et:h0n- 4

$ Et0l Klo*0/a ,+m6*ot 4

% Eu-+nol :a0*an 4

& Gla,, Ionom+* :+m+nt ART 9 u80 IF ART B+,a* 4

1' Kal,0um H0/*o;,0/a 6a,ta 4

11 Kom6o,0t A2 Ant+*0o* 4

12 Kom6o,0t A2 Po,t+*0o* 41 Mono;am6+* m+ntol :a0* )(HKM3 4

1! Mumm0>0n- 6a,ta 4

1" Pol0;*+,ul+n )Albothl3 2 2 2

1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4

AN KESEHATAN

1 Alat Sunt0; S+;al0 Pa;a0 '


9/344

1" Ka,a Kom6*+, !'9!' ,t+*0l 4

1# Ka,a P+mbalut ! F 1" :m 4


Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'

1$ Ka,a P+mbalut ! F :m 41% L0,ol )K*+,ol t+*,a6on0>0;a,0 "'@3 1 l0t+* 4

1& Ma,;+* 4

2' M+,, 4

21 P+mbalut -0b, 0n:h0 4

22 Pl+,t+* " a*/ F 2 0n:h 4

2 Pot S6utum /0am+t+* $ :m 4

2! Sa*un- Tan-an St+*0l ) Han/,:oun3 4

2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 42$ I=. (ath+t+* no. 2' 4

2% I=. (ath+t+* no. 22 4

2& I=. (ath+t+* no. 2! 4

' 0n- n+/l+ 4

REAGEN DASAR

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

" A,am Klo*0/a '


10/344

2' Io/0um a;ohol ) 1'' ml 3 4

21 Ka*bon u;,0n 4

22 K0noun ) 1'' ml 3 4

2 Lu-ol 1 @ ) 1'' ml 3 4

2! M+tanol 4

2" M+t0l+n B0*u ) 1'' ml 3 42# NA(L '


11/344

21 U*0n+ St*06 1' 6a*am+t+* 4

M+n-+tahu0

K+6ala Pu,;+,ma, K*a;,aan P+n-+lola O

dr. AGUS CIPTOSANTOSO N S

NIP. 1#$00%02 200212 1 00& NIP. 1#'40%1(


12/344

K+t.2# 2$ 2% 2& ' 1

4 4

4 4 t-l "

" #! #1 ma,al

4 4 Ran-

1 2& % 2# # ;an-

4 4 t-l #

% 1# 1% 1# !%" &2

4 4

1' " 2' 1'

" " 2' 1'1$ 11% 1#! 1%$

4 $

!' !% 1 &! 1


13/344

4 4

% !% 11

1 1' !

2% "2 %' ' t-l "

4 4 ma,al

4 4 Ran-

K+t.2# 2$ 2% 2& ' 1

#1 !! 1'% 12$ 1"&% %& ;an-

4 4 t-l #

4 4

4 4

4 4

1% 1%24 4

4 4

4 4

4 4

4 4

4 4

4 4

4 2'2

4 44 4

4 4

4 4

2

4 4

4 4

% % 2

4 4

4 4

4 4

4 &2

4 4

4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan


14/344

22 1# 1 2&

4 4

4 4

4 4

& 1! 1! 1''

1' &1 t-l "1 1' 4 ma,al

4 4 Ran-

1 2 % ;an-

$% % "' 1" #!1 1% t-l #

2 1$ 1 1"%


15/344

& % 1' "1 !&

4 4

4 4

1 2 % 1%

2

1 1 ! #$' #1 !% $# 1


16/344

1% 1# "% % 2 &!

4 4

4 4

4 4

1' &

1 % 44 4

4 4

4 4 t-l "

1 1 1 ' 2 ma,al

4 4 Ran-

4 4 ;an-

4 4 t-l #

4 4

1 1 2! 214 4

4 4

4 4

4 4

4 4

1 1' 1

4 4

2$ 1%& 1"2 2$ !

4 4

K+t.2# 2$ 2% 2& ' 1

4 4

4 4

4 4

1# 1' !" !22 #"2

4 4

4 4

4 4

11 1& "% 1' !$' "

4 4

4 4

4 %#

1' &'

JumlahP+ma;a0an

S0,a A;h0*Bulan


17/344


18/344

4 4

12 1" 2! 2%2 "

2$% 2'' 1!1 1#'


19/344

%! 4

% % 2& $1

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

2 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4


20/344

4 4

4 4

K+t.2# 2$ 2% 2& ' 1

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan


21/344

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

K+t.2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan


22/344

4 4


23/344


PER )EBRUARI 2014

No. Nama ObatPERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIAN

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1

1 A(T )A*t+,unat Tab "' m-Amo/0au0n+ anh/*0/a tab 2'' 42 Alb+n/a5ol tab !'' m- 4

Alo6u*0nol 1'' m- #1 1'' 1#1 1 1' " 1' %

! Alo6u*0nol '' 4

" Amb*o7ol tabl+t ' m- # !'' !# $1 % 1% 2 !' " !% !' 2 "# %

# Am0no6h0l0n 0n8 2! m-9ml41' ml 4

$ Am0no6h0l0n tab 2'' m- &2 '' &2 !% 1% 2! 2! 2! 1 2!


& Amlo/060n tab 1' m- 1' ' !' "

1' Amlo/060n tab " m- 1' #' $' "11 Amo;,0,0l0n "'' m- & 2$'' un-0 DOEN ,al+6 Komb 12 12 1 1 2 1 1

21 Ant0h+mo*o0/ DOEN Komb & & 2 1

22 Ant0m0-*+n DOEN tab Komb &% &% &%


2! Aua 6*o0n8+;,0 ,t+*0l b+ba, 60*o-+n 4

2" A,am A,;o*bat )=0t (3 tab "' m- 21' 2''' 2at 0n8 '


24/344

" B+n5at0n b+n50l 6+n0,0l0n 0n8 2.! 8t 0u9?0al 4

# B+tah0,t0n M+,0lat tabl+t # m- 11 &' 1'1 % % 1# % %

$ B+tam+ta,on ;*0m '+nh0/*am0n H:l In8 1' m-9ml41ml 4

"' D0-o;,0n tab '.2" m- 4

"1 D0-o;,0n tab '." m- 4


" E;,t*a; B+la/on 1' m- 4

"! E6h+/*0n H:l tab 2" m- 2'2 2'2 " %

"" E6h0n+>*0n H:l )A/*+nal0n3 0n8 '


25/344

$1 0tom+na/0on )=0tK3 tab 1' m- 2& 1'' 12& 1% % % % #

$2 u*o,+m0/ tab !' m- 4

$ u*o,+m0/ In8 1' m-9ml 4


$" Ga*am O*al0t untu; 2'' ml a0* 1'' 1'' " " ! 12 " $

$# G+m>0b*o50l '' m- &1 &1 $$ G+ntam,0n Sal+6 Kul0t ' " @ ,t+*0l 4

%# G*0,0o>ul?0n tab 12" m- 2$ 1'' 12$ % # #

%$ Halo6+*0/ol tab '." m- 4

%% Halo6+*0/ol tab 1." m- !' 1'' 1!' 1! $ $ $ $ $ $


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- 1"% "' 2'% 2' 1" 1# 1' 1' " "

&' H0/*o;o*t0,on ;*0m 2." @ 21 21 1 2 1 2

&1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OB #2 1'' 1#2 % % % 1'

&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml 4& Ibu6*o>+n 2'' m- 1" 1'' 1+n !'' m- 1'' 1''

&" I:htol ,al6 4

Io/0ol ,o>t:a6, 4

&$ I,on0a50/ tab '' m- 4

&% I,o,o*b0/ /0n0t*at tab " m- 4

&& Kal0um P+*man-anat 4

1'' Kal0um D0;lo>+na; tab "' m-

1'1 Kal,0um La;ta, )Kal;3 tab "'' m- " 2''' 2a50m0l ;a6, 1'' m- 4


26/344

1'% Kl0n/am:0n 1"' m- !& !&

1'& Klo*am6h+n0;ol 2"' m- 4


111 Klo*am6h+n0;ol t+t+, t+l0n-a @ 1% 1% 1 1 1 1 1 1

112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml " % 1 1 1 1

11 Klo*am>+n0;ol T+t+, mata '+n0*am0n mal+at )(TM3 tab ! m- 222 ''' +na: "' m- &! '' &! 2 % % 1' & !' 1# !' 1#


27/344


28/344

1%1 Ran0t0/0n tab 1"' m- 2% 2'' 22% ' # 12 2 # # 2!

1%2 R+,+*60n 'am60,0n #'' m- ;a6l+t 4

1%& R0n-+* La;tat+ la*t 0n>u, 4


1&1 S. Ant0 D0>t+*0 0n8 2'.''' 0u ) ADS 3 4



1&! Salbutamol 2 m- tab #$ !'' !#$ $! 2# 2# % 2! 2! 2 % 1% 1# 2& 1#

1&" Salbutamol ! m- tab 11 11

1 Sal+6 24! ;omb 21 2! !" ! 1 2 1 2 1 ! 2

1&$ Sal0,0l B+/a; 2 @ ! 1' 1! 1 1 1 1

1&% Sal0,0l S60*0tu, 1' @ 1 1

1&& S+>a/*o70l "'' m- ;a6,ul 1 1'' 1'1

2'' S+>ota70m In8+;,0 1 -*am 4

2'1 S+>t*0a7on In8 1 -*am 4


2' S0m+t0/0n tab 2'' m- 4

2'! S0m?a,tat0n 1' m- tab $& $& 1' 1' 1'

2'" S06*o>lo;,a,0n "'' m- tab $ 11' 1% # 1' 1' % 12 # 12 122'# St*+6tom0,0n 0n8 1"'' m- 9?0al 4


2'% Tabl+t tambah /a*ah ;omb !'# !'# ' 1' 1' 11



29/344

22' o/0um 6o?0/on 1' @ ' ml 4

221 o/0um Po?0/on 1' @ '' ml 4

222 o/0um Po?0/on 1'@ 1 L0t+* 4

22 0n; 2' m- Tabl+t /0,6+*,0bl+ 1%$ 1%$

No. Nama Obat

PERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIAN

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1%

22! 0n; S*u6 4

LUAR LPLPO / OBAT PELENGKAP

1 A/ona 0n8+;,0 4

2 Al0nam0n 0n8+;,0 4

Ant*a0n 0n8 4

! A,+*0n- La*utan In>u, 4

" B0,m+:on G+l 4

# Bu>a:om )T*0am,0nolon 0n o*al ba,+3 1" 1"

$ Dul:ola7 ,u66 " m- 4

% Dul:ola7 tab 4

& lu/an+ S*u6 2 ! # 1 2 1

1' lu/an+ Tabl+t !" 1'' 1!" $ %

11 G0ta, Plu, In8 4

12 G0ta, Plu, tabl+t 9 S(OPAMIN tabl+t 1 1

1 Ka4En A 4

1! Ka4En B 4

1" Komb0?+nt Inhala,0 4

1# La;to B 4

1$ Lno*al tab 4

1% L,m0n ) L,0n 3 S0*u6 1

1& N+u*ob0on tabl+t 4

2' N+u*o?0t E tabl+t % #' #% " 1" #

21 O6t070t*ol TM9 BRAITO 4

22 Pamol 12" m- Su66 4

2 S:ab0:0/ ;*0m 4

2! T+n,0-a*/ "$ "$ % " #

2" Ult*a?0ta tab 9 Ku*;um+7 tab 9 Lano?0t tab 42# D+ma:ol0n '' '' 1' ! 1 2# $2 !"

2$ FEPA=IT !% !% " %

2% M+t0o,on 4

2& (O Amo70:la? ' ' %

OBAT GIGI 4


30/344


2 Bon/0n- 4

D+nto*0t 6a,ta ) (a?0t G 3 4

! D+?0tal0,a,0 6a,ta )non a*,+n3 4

" D+?0tal0,a,0 6a,ta )a*,+n3 4

# Et:h0n- 4


% Eu-+nol :a0*an 4


1' Kal,0um H0/*o;,0/a 6a,ta 4


12 Kom6o,0t A2 Po,t+*0o* 4

1 Mono;am6+* m+ntol :a0* )(HKM3 4


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1%


1" Pol0;*+,ul+n )Albothl3 2 2

1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4

PERBEKALAN KESEHATAN



31/344


32/344

21 Ka*bon u;,0n 4

22 K0noun ) 1'' ml 3 4

2 Lu-ol 1 @ ) 1'' ml 3 4

2! M+tanol 4

2" M+t0l+n B0*u ) 1'' ml 3 4

2# NA(L '


33/344

dr. AGUS CIPTOSANTOSO N

NIP. 1#$00%02 200212 1 00& NIP.


34/344

K+t.2 2! 2" 2# 2$ 2% 2& ' 1

4 4 t-l 2'4 4 ma,al

# " #$ &! P+m/a

4 4 m,;;an

1# !"2 11 t-l 2

4 4

% 2! 1# % % 2$$ 11"

4 4

11 1& 21

!$ "2 1%

1"' 1$ 1%! 1" 11! $' 2


35/344

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36/344


37/344

% !1

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! !

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2'' 12" 12" 2 # 2! 1


38/344

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1! 1!$ %1


39/344

1! 1!$ %1

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40/344

4 4

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2 2! 2" 2# 2$ 2% 2& ' 1

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Jumlah

P+ma;a0an

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Bulan

4 4


41/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2 2! 2" 2# 2$ 2% 2& ' 1

4 4

4 2

4 4

4 4

4 4

4 4

4 4

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42/344

4 4

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4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2 2! 2" 2# 2$ 2% 2& ' 1

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

JumlahP+ma;a0an

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4 4


43/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4


44/344



45/344

PER MARET 2014


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1" 1# 1$ 1% 1& 2'

1 A(T )A*t+,unat Tab "' m-Amo/0au0n+ anh/*0/a tab 2'' m-3 4

2 Alb+n/a5ol tab !'' m- 30 ' 2 Alo6u*0nol 1'' m- &! &! 10 5 5 10! Alo6u*0nol '' 4

" Amb*o7ol tabl+t ' m- 11 100 111 8 8 8 8 8 8 16 8# Am0no6h0l0n 0n8 2! m-9ml41' ml 4

$ Am0no6h0l0n tab 2'' m- 11" 300 !1" 16 8 32 29 8 14 24 16 16 16 32 16 8% Am0t*06t0l0n H:l tab 2" m- 4

& Amlo/060n tab 1' m- 21 21

1' Amlo/060n tab " m- 1% 60 $% 5 5 5 20

11 Amo;,0,0l0n "'' m- 1!$ 3000 un-0 DOEN ,al+6 Komb 4

21 Ant0h+mo*o0/ DOEN Komb ! ! 2 1 122 Ant0m0-*+n DOEN tab Komb 4


2! Aua 6*o0n8+;,0 ,t+*0l b+ba, 60*o-+n 4

2" A,am A,;o*bat )=0t (3 tab "' m- %!! 1000 1olat 1 m- $ $

2$ A,am m+>+namat "'' m- 1"' 1500 1o*m9N+o D0a &2 &2 8 8 8 6 52 At*o60n Sul>at 0n8 '


46/344

# B+tah0,t0n M+,0lat tabl+t # m- !" !" 10 10 8 8

$ B+tam+ta,on ;*0m '*0n H:l )A/*+nal0n3 0n8 '


47/344

$2 u*o,+m0/ tab !' m- 4

$ u*o,+m0/ In8 1' m-9ml 4


$" Ga*am O*al0t untu; 2'' ml a0* $ 100 1'$ 6 8 5 6 8 3 4 16 4 5 4$# G+m>0b*o50l '' m- %1 %1 12 10

$$ G+ntam,0n Sal+6 Kul0t 'ul?0n tab 12" m- 1'$ 1'$ 8 8 %$ Halo6+*0/ol tab '." m- 4

%% Halo6+*0/ol tab 1." m- !2 200 2!2 14 7 7 10 14 7 7 14 7 7 7


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- !' 100 1!' 3 5 5 3 3 6 6 4 25 &' H0/*o;o*t0,on ;*0m 2." @ ! 24 2% 1 3 1 4 1&1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OB 1'! 1'! 8 8 8 8&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml 4

& Ibu6*o>+n 2'' m- &' 1100 1


48/344

1'% Kl0n/am:0n 1"' m- !1 !1 111'& Klo*am6h+n0;ol 2"' m- 4


111 Klo*am6h+n0;ol t+t+, t+l0n-a @ # 24 ' 1 1 3 2112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml ! ! 1

11 Klo*am>+n0;ol T+t+, mata 'at tab 222 m- 4

122 L+?o>lo;,a,0n tab "'' m- "1 "1 3 312 L0/o;a0n 2@ 0n8+;,0 412! L0/o;a0n Kom6 In8 4

12" Lo6+*am0/ H(l tabl+t 2 m- 4

12# Ma-n+,0um ,ul> 0n8 2'@42" ml 4

12$ Ma-n+,0um ,ul> 0n8 !'@42" ml 4

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml 4

12& M+b+n/a5ol+ tab 1'' m- 4

1' M+t>o*m0n H(l Tab "'' m- 4

11 M+t0l Do6a tab 2"' m- 4

12 M+t0l E*-om+t*0n In8 '+na: "' m- ## 100 1## 8 8 16 8 8 8 8 8


49/344

-

1!" Na. luo*+,0n t+t+, mata 2 @ 4

1!# Na. T0o,ul>at 0n8 2" @41' ml 4

1!$ Nat*0um Klo*0/a la*t 0n> '.&@ 4

1!% N0>+/060n tab 1' m- & & 9

1!& N0,tat0n 1''.''' 0u tab ?a- % % 3 11"' N0,tat0n "''.''' 0u tab 4

1"1 OAT4D( Kat+-o*0 1 4

1"2 OAT4D( Kat+-o*0 2 4

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml 5 % 1 11"! Obat Kat+-o*0 Ana; );omb06a;3 4


1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml 4

1"$ O;,0t+t*a,0;l0n SK @ 4

1"% O;,0t+t*a,0;l0n SM ! 25 2& 4 2 21"& O;,0to,0n 0n8 1' 0u91ml 4

1#' O,+ltam0?0* $" m- 4

1#1 Pa6a?+*0n In8+;,0 !' m-9ml 4

1#2 Pa6a?+*0n tab !' m- 4

1# Pa*a>o*mal/+h0/ tab 1 -* 4

1#! Pa*a,+tamol ,0*u6 12' m-9" ml 1 15 1# 1 1 1 2 1 1 1 11#" Pa*a,+tamol tab 1'' m- 9 DROP 1 11## Pa*a,+tamol tab "'' m- #$ 3550


50/344

21% T*0h+;,06+n0/0l H:l 2 m- tab 2% 200 22% 8 21 12 7 7 14 29 7 7 14 7 12 121& =0tam0n B Kom6l+;, tab $! 3000


51/344

22' o/0um 6o?0/on 1' @ ' ml 4

221 o/0um Po?0/on 1' @ '' ml 4

222 o/0um Po?0/on 1'@ 1 L0t+* 4

22 0n; 2' m- Tabl+t /0,6+*,0bl+ 1& 1& 3 5 3 16 5 4 10 20 3 10


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'

22! 0n; S*u6 4

LUAR LPLPO / OBAT PELENGKAP 4

1 A/ona 0n8+;,0 4

2 Al0nam0n 0n8+;,0 4

Ant*a0n 0n8 4


" B0,m+:on G+l 4

# Bu>a:om )T*0am,0nolon 0n o*al ba,+3 4

$ Dul:ola7 ,u66 " m- 4

% Dul:ola7 tab 4

& lu/an+ S*u6 4

1' lu/an+ Tabl+t %& %& 811 G0ta, Plu, In8 4

12 G0ta, Plu, tabl+t 9 S(OPAMIN tabl+t 4

1 Ka4En A 4

1! Ka4En B 4


1# La;to B 4

1$ Lno*al tab 4

1% L,m0n ) L,0n 3 S0*u6 4


2' N+u*o?0t E tabl+t 1 1 1021 O6t070t*ol TM9 BRAITO 4

22 Pamol 12" m- Su66 4

2 S:ab0:0/ ;*0m 4

2! T+n,0-a*/ 42" Ult*a?0ta tab 9 Ku*;um+7 tab 9 Lano?0t tab 4

2# D+ma:ol0n "' "' 8 1

2$ FEPA=IT 4

2% M+t0o,on 4

2& (O Amo70:la? 4

' H+mo*o-a*/ 60 #' 6 10


52/344

OBAT GIGI 4


2 Bon/0n- 4

D+nto*0t 6a,ta ) (a?0t G 3 4

! D+?0tal0,a,0 6a,ta )non a*,+n3 4" D+?0tal0,a,0 6a,ta )a*,+n3 4

# Et:h0n- 4


% Eu-+nol :a0*an 4


1' Kal,0um H0/*o;,0/a 6a,ta 4


12 Kom6o,0t A2 Po,t+*0o* 4


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&



1" Pol0;*+,ul+n )Albothl3 4

1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4

PERBEKALAN KESEHATAN 4



53/344

1! Ka,a P+mbalut 2 F %' :m 4

1" Ka,a Kom6*+, !'9!' ,t+*0l 4

1# Ka,a P+mbalut ! F 1" :m 4

1$ Ka,a P+mbalut ! F :m 4

1% L0,ol )K*+,ol t+*,a6on0>0;a,0 "'@3 1 l0t+* 41& Ma,;+* 4

2' M+,, 4


22 Pl+,t+* " a*/ F 2 0n:h 4



2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 4

2$ I=. (ath+t+* no. 2' 42% I=. (ath+t+* no. 22 4

2& I=. (ath+t+* no. 2! 4

' 0n- n+/l+ 4

REAGEN DASAR 4

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

No. Nama Obat

PERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIAN

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

" A,am Klo*0/a '


54/344

1& Ha+m ) 1'' ml 3 4

2' Io/0um a;ohol ) 1'' ml 3 4

21 Ka*bon u;,0n 4

22 K0noun ) 1'' ml 3 4

2 Lu-ol 1 @ ) 1'' ml 3 42! M+tanol 4

2" M+t0l+n B0*u ) 1'' ml 3 4

2# NA(L '


55/344

1& R+a-+n =DRL :a*bon ant0-+n 4

2' R+a-+n TPHA 4

21 U*0n+ St*06 1' 6a*am+t+* 4

M+n-+tahu0

K+6ala Pu,;+,ma, K*a;,aan P+n-


NIP. 1#$00%02 200212 1 00& NIP. 1#'4


56/344

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

3 3 % 2210 !' "!

4 4

16 8 1"4 4

8 24 17 8 32 8 "# "&4 4

1' 11

5 18 "% 2'

160 120 82 142 52 50 2

80 82 67 69 48 68 1

10 20 8 ## $"

1 # 48 ! !&4 4

4 4

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57/344

9 8 $4 4

4 4


58/344

4 4

5 8 4 1'# 1' "1

1 2 1'4 4

4 4

53 30 31 20 15 15 "#$ 1"165 84 89 96 80 50 2


59/344

4 4

1 1 1 1' 2'1

$ 481 61 14 50 58 68 1


60/344

4 4

4 4

& 4

2 # 24 4

4 4

4 4

1 1 ! !4 4

4 4

4 4

4 4

2 3 1 1 2 1& 1'4 4

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2 2 1 1" 11 4

213 137 59 54 137 93


61/344

4 4

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4 44 4

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3 1 2 2 1 %2 1 2 & 4

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" &34 12 10 1#% #

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10 10 10 20 1$& #%4 4

4 4

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116 106 24 32 56 34 1


62/344

4 4

4 4

20 10 11& 2'

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

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4 12 $$4 4

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1'

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10 % 124 4

4 4

JumlahP+ma;a0an

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6 8 2 2%4 4


63/344

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

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4 4

4 4

4 4

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4 44 4

4 4

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JumlahP+ma;a0an

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4 4

4 4

4 4


64/344

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan


65/344

4 4

4 4

4 4

4 4


66/344

4 4


PER APRIL 2014



67/344

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1" 1# 1$ 1% 1& 2


2 Alb+n/a5ol tab !'' m- 22 222

Alo6u*0nol 1'' m- "! "! 5 8 10 5 5 ! Alo6u*0nol ''

" Amb*o7ol tabl+t ' m- 1" 200 21" 18 16 32 10 8 8 8 # Am0no6h0l0n 0n8 2! m-9ml41' ml

$ Am0no6h0l0n tab 2'' m- "& 200 2"& 16 18 8 32 11 8 8 8 8 16 10 % Am0t*06t0l0n H:l tab 2" m-

& Amlo/060n tab 1' m- 11 30 !1 201' Amlo/060n tab " m- 2' 2' 10 811 Amo;,0,0l0n "'' m- "2# 2000 2

' A,0;lo?0* " @ ;*0m 25 2"

1 Atta6ul-0t+ tabl+t ;omb )D0a>o*m9N+o D0a !& 100 1!& 5 8 8 5 18 82 At*o60n Sul>at 0n8 '


68/344

& Da6,on tab 1'' m-

!' D+;,am+ta,on 0n8 " m-9ml4ml

!1 D+;,am+ta,on tab '." m- 1$# 1300 1

!" D0a5+6am la*utan *+;tal ! m-92 ml ) T*a5+66 39 STESOLID 4

!# D0a5+6am tab 2 m- 1!1 1!1 2!$ D0a5+6am tab " m-

!% D0+t0l;a*bama50n ,0t*at tab 1'' m-

!& D0>+nh0/*am0n H:l In8 1' m-9ml41ml

"' D0-o;,0n tab '.2" m-

"1 D0-o;,0n tab '." m-

"2 D0m+nh0/*0nat tabl+t "' m-

" E;,t*a; B+la/on 1' m-

"! E6h+/*0n H:l tab 2" m- 1% 1%

"" E6h0n+>*0n H:l )A/*+nal0n3 0n8 '


69/344

$" Ga*am O*al0t untu; 2'' ml a0* 1 205 2'# 3 10 4 10 4 13 8 3 6 15 5 $# G+m>0b*o50l '' m- "1 "1

$$ G+ntam,0n Sal+6 Kul0t ' " @ ,t+*0l

%# G*0,0o>ul?0n tab 12" m- $" $" 8

%$ Halo6+*0/ol tab '." m-%% Halo6+*0/ol tab 1." m- &2 200 2&2 35 17 14 7 21 7 7


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- 1 100 11 15 10 10 25 9 5 13 5 5 10 3 &' H0/*o;o*t0,on ;*0m 2." @ 1" 1"

&1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OB #! #! 8&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml

& Ibu6*o>+n 2'' m- 11$ 1400 1t:a6,

&$ I,on0a50/ tab '' m-

&% I,o,o*b0/ /0n0t*at tab " m-

&& Kal0um P+*man-anat

1'' Kal0um D0;lo>+na; tab "' m-

1'1 Kal,0um La;ta, )Kal;3 tab "'' m- !& 1250 1


70/344

111 Klo*am6h+n0;ol t+t+, t+l0n-a @ 2' 13 1 3 1 1112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml

11 Klo*am>+n0;ol T+t+, mata ' 0n8 !'@42" ml

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml

12& M+b+n/a5ol+ tab 1'' m-

1' M+t>o*m0n H(l Tab "'' m- % %

11 M+t0l Do6a tab 2"' m-

12 M+t0l E*-om+t*0n In8 '+na: "' m- !2 100 1!2 10 8 8 8 8 25 1!" Na. luo*+,0n t+t+, mata 2 @

1!# Na. T0o,ul>at 0n8 2" @41' ml

1!$ Nat*0um Klo*0/a la*t 0n> ' &@


71/344

1!$ Nat*0um Klo*0/a la*t 0n> '.&@

1!% N0>+/060n tab 1' m-

1!& N0,tat0n 1''.''' 0u tab ?a- 2 20 22 5 2 6 2 31"' N0,tat0n "''.''' 0u tab

1"1 OAT4D( Kat+-o*0 1

1"2 OAT4D( Kat+-o*0 2

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml ! 5 & 1 1 1 1"! Obat Kat+-o*0 Ana; );omb06a;3

1"" Obat Kat+-o*0 S0,06an

1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml

1"$ O;,0t+t*a,0;l0n SK @

1"% O;,0t+t*a,0;l0n SM 1' 22 2 2 2 2 2 1 1

1"& O;,0to,0n 0n8 1' 0u91ml1#' O,+ltam0?0* $" m-

1#1 Pa6a?+*0n In8+;,0 !' m-9ml

1#2 Pa6a?+*0n tab !' m-

1# Pa*a>o*mal/+h0/ tab 1 -*

1#! Pa*a,+tamol ,0*u6 12' m-9" ml 1 25 2# 1 2 1 2 3 2 1 1 3 1#" Pa*a,+tamol tab 1'' m- 9 DROP 1 11## Pa*a,+tamol tab "'' m- 2' 3500


72/344

1% R+,+*60n 'am60,0n #'' m- ;a6l+t

1%& R0n-+* La;tat+ la*t 0n>u,

1&' S. Ant0 B0,a Ula* 6ol0 0n8 " ml)ABU I3

1&1 S. Ant0 D0>t+*0 0n8 2'.''' 0u ) ADS 3

1&2 S. Ant0 T+tanu, 0n8 1."'' 0u9Am6 ) ATS 3

1& S. Ant0 T+tanu, 0n8 2'.''' 0u9Am6 ) ATS 3

1&! Salbutamol 2 m- tab !% 200 2!% 21 8 8 24 16 8

1&" Salbutamol ! m- tab 11 11 41 Sal+6 24! ;omb $ 24 1 2 1 2 1 1 6 1&$ Sal0,0l B+/a; 2 @ 11 11 1 2 21&% Sal0,0l S60*0tu, 1' @

1&& S+>a/*o70l "'' m- ;a6,ul %" %"

2'' S+>ota70m In8+;,0 1 -*am

2'1 S+>t*0a7on In8 1 -*am

2'2 S0ano;obalam0n )=0t B123 0n8

2' S0m+t0/0n tab 2'' m-

2'! S0m?a,tat0n 1' m- tab & &

2'" S06*o>lo;,a,0n "'' m- tab # 100 1# 20 6 6 12 8 20 6 2'# St*+6tom0,0n 0n8 1"'' m- 9?0al

2'$ Sul>a,+tam0/ tt, mata 1"@

2'% Tabl+t tambah /a*ah ;omb #% 300 #% 5 120 10 30 30 10 2'& T+t*a;a0n t+t+, mata '


73/344

222 o/0um Po?0/on 1'@ 1 L0t+*

22 0n; 2' m- Tabl+t /0,6+*,0bl+ 2' 140 1#' 10 10 10 10 20 10

No. Nama Obat PERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIANP+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

22! 0n; S*u6 4


1 A/ona 0n8+;,0 4

2 Al0nam0n 0n8+;,0 4

Ant*a0n 0n8 4


" B0,m+:on G+l 4

# Bu>a:om )T*0am,0nolon 0n o*al ba,+3 1" 1"$ Dul:ola7 ,u66 " m- 4

% Dul:ola7 tab 4

& lu/an+ S*u6 2 2 1 11' lu/an+ Tabl+t $$ $$

11 G0ta, Plu, In8

12 G0ta, Plu, tabl+t 9 S(OPAMIN tabl+t 1 1 11 Ka4En A

1! Ka4En B

1" Komb0?+nt Inhala,01# La;to B

1$ Lno*al tab

1% L,m0n ) L,0n 3 S0*u6 2 2 1 11& N+u*ob0on tabl+t

2' N+u*o?0t E tabl+t 60 #21 O6t070t*ol TM9O*+-an 10 1' 1 1 22 Pamol 12" m- Su66

2 S:ab0:0/ ;*0m

2! T+n,0-a*/ " "

2" Ult*a?0ta tab 9 Ku*;um+7 tab 9 Lano?0t tab

2# D+ma:ol0n 12 12 102$ FEPA=IT " "

2% M+t0o,on

2& (O Amo70:la?

' H+mo*o-a*/ 2% 2% 4

OBAT GIGI

1 A0* Ra;,a u,+ D+ntal

2 Bon/0n-


74/344

2 Bon/0n-

D+nto*0t 6a,ta ) (a?0t G 3

! D+?0tal0,a,0 6a,ta )non a*,+n3

" D+?0tal0,a,0 6a,ta )a*,+n3

# Et:h0n-

$ Et0l Klo*0/a ,+m6*ot

% Eu-+nol :a0*an

& Gla,, Ionom+* :+m+nt ART 9 u80 IF ART B+,a*

1' Kal,0um H0/*o;,0/a 6a,ta


12 Kom6o,0t A2 Po,t+*0o* 4

No. Nama ObatPERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIA

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&




1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 421 T*0;*+,ol>o*mal0n )TK3 :a0* 4




75/344

1$ Ka,a P+mbalut ! F :m 4

1% L0,ol )K*+,ol t+*,a6on0>0;a,0 "'@3 1 l0t+* 4

1& Ma,;+* 4

2' M+,, 4


22 Pl+,t+* " a*/ F 2 0n:h 4



2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 4

2$ I=. (ath+t+* no. 2' 4

2% I=. (ath+t+* no. 22 4

2& I=. (ath+t+* no. 2! 4

' 0n- n+/l+ 4

REAGEN DASAR 4

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

No. Nama Obat

PERSEDIAAN JUMLAH JENIS OBAT PADA TANGGAL PEMAKAIA

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

" A,am Klo*0/a '


76/344

22 K0noun ) 1'' ml 3 4

2 Lu-ol 1 @ ) 1'' ml 3 4

2! M+tanol 4

2" M+t0l+n B0*u ) 1'' ml 3 4

2# NA(L '


77/344

M+n-+tahu0

K+6ala Pu,;+,ma, K*a;,aan P+


NIP. 1#$00%02 200212 1 00& NIP. 1#

K+t.2! 2" 2# 2$ 2% 2& ' 1

JumlahP+ma;a0an

S0,a A;h0*Bulan


78/344

4 4

3 % 1!% 1#

4 4

16 1# $&4 4

8 8 8 16 17 21% !14 4

2' 21

1% 2

83 93 62 146 192 111 2


79/344

4 4

77 47 40 60 100 52 1


80/344

4 "1

2 2 1 & 14 4

2 %

45 20 20 65 22 15 #'# &58 75 36 141 106 85 1


81/344

4 4

42 76 59 101 61 36 1


82/344

4 22 44 4

4 4

4 4

1 " !4 4

4 4

4 4

4 4

1 2 1 1! 1%

4 44 4

4 4

4 4

4 4

1 4 1 1 2# 41 1 4

92 154 69 192 196 75

4 44 4

4 4

5 12 16 18 37 !'% !%'4 4

4 4

4 4

13 34 21 10 10 2&$ "#4 4

4 4

4 $#

K+t.2! 2" 2# 2$ 2% 2& ' 1

JumlahP+ma;a0an

S0,a A;h0*Bulan

1' $"

4 4

2" $

4 4

4 4

4 4


83/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

8 32 1$ $"

! $1 1 1 2 2! $1 1 1 1 & 2

4 4

4 %"

4 4

4 4

4 4

4 4

4 9 5 # 6 6 6 6 12' !

4 4

4 4

2" 1

4 4

4 4

4 4

32 32 68 142 16 50 1


84/344

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 1"4 4

4 4

2 4

4 $$

4 4

1 4

4 4

4 4

4 44 4

4 4

2 4

4 4

20 2' !1 # !

4 4

4 4

4 "

4 4

1' 2

4 "

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

% 2'

4 4

4 4

4 4

4 4


85/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

4 4

4 4

4 4

4 4

4 4


86/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

Jumlah

P+ma;a0an

S0,a A;h0*

Bulan

4 4

4 4

4 4

4 4

4 4

4 4


87/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.

2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

Jumlah

P+ma;a0an

S0,a A;h0*

Bulan

4 4

4 4

4 4

4 4

4 4


88/344


PER JUNI 2014


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'


2 Alb+n/a5ol tab !'' m- 11 11 3


89/344

2 Alb+n/a5ol tab !'' m- 11 11 3

Alo6u*0nol 1'' m- %# %# 8 5 3 2! Alo6u*0nol ''

" Amb*o7ol tabl+t ' m- 1 200 21 18 10 8 8 29 8 8 24 8 # Am0no6h0l0n 0n8 2! m-9ml41' ml

$ Am0no6h0l0n tab 2'' m- ' 300 ' 8 18 8 18 16 10 8 16 24 10 16 1% Am0t*06t0l0n H:l tab 2" m-

& Amlo/060n tab 1' m- "1 "1 10 161' Amlo/060n tab " m- 11 120 11 10 5 15 5 25 1011 Amo;,0,0l0n "'' m- 2$2 2800 +namat "'' m- 2$1 1800 2at tab '


90/344

!1 D+;,am+ta,on tab '." m- 22& 1300 1*0n H:l )A/*+nal0n3 0n8 '


91/344

$% G+ntam:0n %' m-92 ml 0n8+;,0$& G+nt0an =0ol+t la*t 1@ " " 1 1%' Gl0b+n;lam0/ " m- 11 400 "1 51 15 30 15 20 20 50 10 20 15 10 5 6 22 10 1%1 Gl0,+*0l Gua0a;olat tab 1'' m- 1#" 2000 2 " @ ,t+*0l

%# G*0,0o>ul?0n tab 12" m- 1'" 1'" 8 8 %$ Halo6+*0/ol tab '." m-

%% Halo6+*0/ol tab 1." m- $ 300 '$ 7 14 14 28 14 7 7 28 21 14


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2'

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- 4 4

&' H0/*o;o*t0,on ;*0m 2." @ 21 21 1 1 1 1 &1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OB 22 100 122 8 8 1&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml

& Ibu6*o>+n 2'' m- 1# 1000 1+n0;ol Su,6+n,0 12" m-9" ml 2 2 1 11 Klo*am>+n0;ol T+t+, mata '


92/344

11! Klo*>+n0*am0n mal+at )(TM3 tab ! m- 1400 1

11% Kot*0mo;,a5ol+ D+a,a tab !%' m- 4 200 2'' 2 12 7 30 4 6 5 4 20 11& Kot*0mo;,a5ol+ 6+/ tab 12' m-

12' Kot*0mo;,a5ol+ Su,6 # 10 1# 4 1 1 1 121 Ku0n0n Sul>at tab 222 m-

122 L+?o>lo;,a,0n tab "'' m- # 50 %# 15 17 5 3 5 10 10 10 5 612 L0/o;a0n 2@ 0n8+;,0

12! L0/o;a0n Kom6 In8

12" Lo6+*am0/ H(l tabl+t 2 m- 2 100 1'2 10 12# Ma-n+,0um ,ul> 0n8 2'@42" ml

12$ Ma-n+,0um ,ul> 0n8 !'@42" ml

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml

12& M+b+n/a5ol+ tab 1'' m-

1' M+t>o*m0n H(l Tab "'' m- !% 100 1!% 1211 M+t0l Do6a tab 2"' m-

12 M+t0l E*-om+t*0n In8 '+na: 2" m-

1!! Na. D0;lo>+na: "' m- &% &% 18 8 8 16 6 10 8 16 81!" Na. luo*+,0n t+t+, mata 2 @

1!# Na. T0o,ul>at 0n8 2" @41' ml

1!$ Nat*0um Klo*0/a la*t 0n> '.&@

1!% N0>+/060n tab 1' m-

1!& N0,tat0n 1''.''' 0u tab ?a- ! 10 1! 5


93/344

1"' N0,tat0n "''.''' 0u tab1"1 OAT4D( Kat+-o*0 1

1"2 OAT4D( Kat+-o*0 2

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml 2 5 $ 1 1 1"! Obat Kat+-o*0 Ana; );omb06a;3


1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml

1"$ O;,0t+t*a,0;l0n SK @

1"% O;,0t+t*a,0;l0n SM 2' 2' 2 1 1 2 1 3 1 1"& O;,0to,0n 0n8 1' 0u91ml

1#' O,+ltam0?0* $" m-

1#1 Pa6a?+*0n In8+;,0 !' m-9ml

1#2 Pa6a?+*0n tab !' m-

1# Pa*a>o*mal/+h0/ tab 1 -*

1#! Pa*a,+tamol ,0*u6 12' m-9" ml 20 2' 1 2 1#" Pa*a,+tamol tab 1'' m- 9 DROP 2 21## Pa*a,+tamol tab "'' m- % 3000


94/344

1%# R0>am60,0n '' m- ;a6,1%$ R0>am60,0n !"' m- tab

1%% R0>am60,0n #'' m- ;a6l+t

1%& R0n-+* La;tat+ la*t 0n>u,

1&' S. Ant0 B0,a Ula* 6ol0 0n8 " ml)ABU I3

1&1 S. Ant0 D0>t+*0 0n8 2'.''' 0u ) ADS 3

1&2 S. Ant0 T+tanu, 0n8 1."'' 0u9Am6 ) ATS 3

1& S. Ant0 T+tanu, 0n8 2'.''' 0u9Am6 ) ATS 3

1&! Salbutamol 2 m- tab &$ 200 2&$ 24 16 8 8 8 8 10 8 14 16 16 1&" Salbutamol ! m- tab $ $

1 Sal+6 24! ;omb 1! 14 2% 2 2 1 1 1 2 1 2 1 2 2 1&$ Sal0,0l B+/a; 2 @ " 9 1! 1 1 1 1 11&% Sal0,0l S60*0tu, 1' @

1&& S+>a/*o70l "'' m- ;a6,ul %" %" 8 2'' S+>ota70m In8+;,0 1 -*am

2'1 S+>t*0a7on In8 1 -*am

2'2 S0ano;obalam0n )=0t B123 0n8

2' S0m+t0/0n tab 2'' m-

2'! S0m?a,tat0n 1' m- tab &1 &1 5 10 5 10 5

2'" S06*o>lo;,a,0n "'' m- tab %" 100 1%" 12 6 14 6 8 8 30 2'# St*+6tom0,0n 0n8 1"'' m- 9?0al

2'$ Sul>a,+tam0/ tt, mata 1"@

2'% Tabl+t tambah /a*ah ;omb 122 600 $22 10 20 10 102'& T+t*a;a0n t+t+, mata '


95/344

2& (O Amo70:la?

' H+mo*o-a*/ 2# 120 1!# 4 6 4 OBAT GIGI

1 A0* Ra;,a u,+ D+ntal

2 Bon/0n-

D+nto*0t 6a,ta ) (a?0t G 3

! D+?0tal0,a,0 6a,ta )non a*,+n3


96/344

" D+?0tal0,a,0 6a,ta )a*,+n3# Et:h0n-


% Eu-+nol :a0*an




12 Kom6o,0t A2 Po,t+*0o* 4

No. Nama Obat


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&




1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4




97/344

1& Ma,;+* 42' M+,, 4


22 Pl+,t+* " a*/ F 2 0n:h 4



2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 4

2$ I=. (ath+t+* no. 2' 4

2% I=. (ath+t+* no. 22 42& I=. (ath+t+* no. 2! 4

' 0n- n+/l+ 4

REAGEN DASAR 4

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

No. Nama Obat


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

" A,am Klo*0/a '


98/344

2! M+tanol 42" M+t0l+n B0*u ) 1'' ml 3 4

2# NA(L '


99/344

K+6ala Pu,;+,ma, K*a;,aan P


NIP. 1#$00%02 200212 1 00& NIP. 1

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

%

5 20 14 $" 11 sunat

JumlahP+ma;a0an

S0,a A;h0*Bulan


100/344

5 20 14 $" 11 sunat 4 4 islamic

46 18 20 21 4 tgl 22 4 4

8 6 18 24 29 2$1 "&4 4

2# 2"

20 6 1'1 '159 80 76 67 118 115 2


101/344

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

12

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 1%

4 4

4 4

4 4

4 4

1 3 3 11 14 4

4 4

15 1" 1%$4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

10 10 8 $% !'4 4

4 4

4

3 3 15 13 1$# #'!! 1!$

2 11 "

4 41 2


102/344

1 2

10 30 20 30 6 !# $$66 41 44 51 102 149 1


103/344

71 66 48 43 91 95 <4 4

10 18 &1 1'4 4

8 7 2 7 1!' #'4 4

& $

4 4

%# 4

4 4

4 4

10 ! #%4 4

4 4

4 4

4 4

15 15 !2 1'#4 4

4 4

10 10 2' "'

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

10 ! %24 4

4 4

8 10 1%$ 2#

1 1'4 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

&% 4

4 4

4 4

4 4

4 4

3 % #

4 4


104/344

4 4

4 4

" 2

4 4

4 4

4 4

4 4

1 $

4 4

4 4

4 4

4 4

4 4

4 1 2 3 1! #4 4

121 100 88 93 104 145 2


105/344

4 4

4 4

4 4

4 4

4 4

4 4

16 5 13 30 16 2&! 4 !

1 2 1 1 3 2$ 11 1 & "

4 4

30 10 8 #" 2'4 4

4 4

4 4

4 4

5 10 "' !1

12 10 12! #14 4

4 4

20 100 60 30 10 80 "& #4 4

4 4

4 4

74 31 34 10 58 53 1


106/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 1"

4 4

4 4

1 1 1 # 4# #"

4 4

4 4

4 4

4 4

4 4

4 4

4 4

2 4

4 4

1' 4

4 4

4 4

4 4

4 "

4 44 4

1" 1''

4 4

4 4

20 #! %24

4 4

4 4

4 4

4 4

4 44 4


107/344

4 4

4 4

4 4

4 4

4 4

4 4

K+t.

2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

Jumlah

P+ma;a0an

S0,a A;h0*

Bulan

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4


108/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.

2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4


109/344

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

4 4

4 4

4 4

4 4


110/344


PER JULI 2014


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2


2 Alb+n/a5ol tab !'' m- % %

Alo6u*0nol 1'' m- 11 150 1#1 11 30 15! Alo6u*0nol '' 4

" A b l t bl t '


111/344

" Amb*o7ol tabl+t ' m- 4

# Am0no6h0l0n 0n8 2! m-9ml41' ml 4

$ Am0no6h0l0n tab 2'' m- "& 100 1"& 8 27 22 2 18 8 % Am0t*06t0l0n H:l tab 2" m- 4

& Amlo/060n tab 1' m- 2" 2"

1' Amlo/060n tab " m- ' 90 12' 7 6 5 12 15 11 Amo;,0,0l0n "'' m- &% 2000 2

! D+;,t*om+to*6han tab 1" m- 4


112/344


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

!! D0a5+6am 0n8 " m-9ml42ml

!" D0a5+6am la*utan *+;tal ! m-92 ml ) T*a5+66 39 STESOLID

!# D0a5+6am tab 2 m- 12 12 6 14

!$ D0a5+6am tab " m- 4

!% D0+t0l;a*bama50n ,0t*at tab 1'' m- 4

!& D0>+nh0/*am0n H:l In8 1' m-9ml41ml 4

"' D0-o;,0n tab '.2" m- 4

"1 D0-o;,0n tab '." m- 4


" E;,t*a; B+la/on 1' m- 4

"! E6h+/*0n H:l tab 2" m- 1% 1%

"" E6h0n+>*0n H:l )A/*+nal0n3 0n8 '


113/344

1'$ Klo>a50m0l ;a6, 1'' m- 4

1'% Kl0n/am:0n 1"' m- # #

1'& Klo*am6h+n0;ol 2"' m- 4


111 Klo*am6h+n0;ol t+t+, t+l0n-a @ 1% 1% 2 1 1 1 1 1 1112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml 4

11 Klo*am>+n0;ol T+t+, mata '


114/344

6 - 1'

11$ Ko/+0n 1' m- tab 4

11% Kot*0mo;,a5ol+ D+a,a tab !%' m- #' 400 !#' 4 10 10 9 3 22 27 51 6 33 17 14 10 32 3 11& Kot*0mo;,a5ol+ 6+/ tab 12' m- 4

12' Kot*0mo;,a5ol+ Su,6 $ $ 1 1121 Ku0n0n Sul>at tab 222 m- 4

122 L+?o>lo;,a,0n tab "'' m- 4

12 L0/o;a0n 2@ 0n8+;,0 4

12! L0/o;a0n Kom6 In8 412" Lo6+*am0/ H(l tabl+t 2 m- #% 100 1#% 12 6 6 32 12# Ma-n+,0um ,ul> 0n8 2'@42" ml 4

12$ Ma-n+,0um ,ul> 0n8 !'@42" ml 4

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml 4

12& M+b+n/a5ol+ tab 1'' m- 4

1' M+t>o*m0n H(l Tab "'' m- 1'# 1'# 15 7 17 18 1511 M+t0l Do6a tab 2"' m- 4

12 M+t0l E*-om+t*0n In8 'u, "'' m-91'' ml 4

1$ M+t*on0/a5ol 2"' m- 4

1% M+t*on0/a5ol "'' m- 2# 200 22# 15 10 18 26 25 18 10 8 10 2 81& M0;ona5ol+ K*0m 9 ,al+6 2@ 1' 1' 1

1!' M0n+*al M07 ,a:h+t %-* 41!1 M- Sul>at S+*bu; ' -*am 4

1!2 Na. B0;a*bonat tab "'' m- 4

1! Na. D0;lo>+na: 2" m- 4

1!! Na. D0;lo>+na: "' m- 4

1!" Na. luo*+,0n t+t+, mata 2 @ 4

1!# Na. T0o,ul>at 0n8 2" @41' ml 4

1!$ Nat*0um Klo*0/a la*t 0n> '.&@ 4

1!% N0>+/060n tab 1' m- 4

1!& N0,tat0n 1''.''' 0u tab ?a- # # 31"' N0,tat0n "''.''' 0u tab 4

1"1 OAT4D( Kat+-o*0 1 4

1"2 OAT4D( Kat+-o*0 2 4


115/344

-

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml 2 5 $ 1 11"! Obat Kat+-o*0 Ana; );omb06a;3 4


1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml 4

1"$ O;,0t+t*a,0;l0n SK @ 4

1"% O;,0t+t*a,0;l0n SM $ $ 2 1 1 1 1 1

1"& O;,0to,0n 0n8 1' 0u91ml 4

1#' O,+ltam0?0* $" m- 41#1 Pa6a?+*0n In8+;,0 !' m-9ml 4

1#2 Pa6a?+*0n tab !' m- 4

1# Pa*a>o*mal/+h0/ tab 1 -* 4

1#! Pa*a,+tamol ,0*u6 12' m-9" ml # 20 2# 2 2 2 1 1 2 2 1#" Pa*a,+tamol tab 1'' m- 9 DROP 1 6 $ 1 1 1

1## Pa*a,+tamol tab "'' m- 12! 2300 2

1$! P*a50;uant+l #'' m- tab 4

1$" P*+/n0,on " m- tab ' ' 14 62 3 16 42 81$# P*0ma;u0n 1" m- tab 4

1$$ P*o;a0n B+n50l P+n0,0l0n Jt 0n8 4

1$% P*o6anolol !' m- tab $# $#


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

1$& P*o60lt0ou*a,0l 1'' m- tab #" #"

1%' Ran0t0/0n In8 2" m-9 2 ml 4

1%1 Ran0t0/0n tab 1"' m- 100 1''1%2 R+,+*60n 'am60,0n #'' m- ;a6l+t 4


116/344

1%& R0n-+* La;tat+ la*t 0n>u, 4


1&1 S. Ant0 D0>t+*0 0n8 2'.''' 0u ) ADS 3 4



1&! Salbutamol 2 m- tab 200 2' 3

1&" Salbutamol ! m- tab 200 2' 16 22 30 5 5 10 18 10 10 10 10

1 Sal+6 24! ;omb 1 24 2" 1 2 2 11&$ Sal0,0l B+/a; 2 @ 10 1 1 2 1 11&% Sal0,0l S60*0tu, 1' @ 4

1&& S+>a/*o70l "'' m- ;a6,ul 2' 100 12' 6 82'' S+>ota70m In8+;,0 1 -*am 4

2'1 S+>t*0a7on In8 1 -*am 4


2' S0m+t0/0n tab 2'' m- 4

2'! S0m?a,tat0n 1' m- tab !1 100 1!1 9 10 10 15 10 2'" S06*o>lo;,a,0n "'' m- tab #1 150 211 6 6 22 16 12 10 10 15

2'# St*+6tom0,0n 0n8 1"'' m- 9?0al 4


2'% Tabl+t tambah /a*ah ;omb # # 10 10 40 30 30



117/344


1 A/ona 0n8+;,0 4

2 Al0nam0n 0n8+;,0 4

Ant*a0n 0n8 4


" B0,m+:on G+l 4


$ Dul:ola7 ,u66 " m- 4% Dul:ola7 tab 4

& lu/an+ S*u6 4

1' lu/an+ Tabl+t #" #" 30 20 8 711 G0ta, Plu, In8 4


1 Ka4En A 4

1! Ka4En B 4


1# La;to B 41$ Lno*al tab 4

1% L,m0n ) L,0n 3 S0*u6 2 21& N+u*ob0on tabl+t 4

2' N+u*o?0t E tabl+t 60 #' 5 21 O6t070t*ol TM9O*+-an 4

22 Pamol 12" m- Su66 4

2 S:ab0:0/ ;*0m 4

2! T+n,0-a*/ " "

2" Ult*a?0ta tab 9 Ku*;um+7 tab 9 Lano?0t tab 4

2# No5a 200 2'' 32 10 2$ FEPA=IT 1'' 1'' 102% Don+7an ,0*u6 5 " 1

2& Amo; >o*t+ ,0*u6 5 "' H+mo*o-a*/ %2 %2 4 4 10 10

OBAT GIGI 4


2 Bon/0n- 4

D+nto*0t 6a,ta ) (a?0t G 3 4

! D+?0tal0,a,0 6a,ta )non a*,+n3 4

" D+?0tal0,a,0 6a,ta )a*,+n3 4

# Et:h0n- 4



118/344

% Eu-+nol :a0*an




12 Kom6o,0t A2 Po,t+*0o* 4


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&




1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4PERBEKALAN KESEHATAN 4



119/344

22 Pl+,t+* " a*/ F 2 0n:h 4



2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 4

2$ I=. (ath+t+* no. 2' 4

2% I=. (ath+t+* no. 22 4

2& I=. (ath+t+* no. 2! 4

' 0n- n+/l+ 4

REAGEN DASAR 4

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

No. Nama Obat


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

" A,am Klo*0/a '


120/344

2$ O0l Im+*,on ) 1'' ml 3 4

2% R++,+:h+* ) 1'' ml 3 4

2& S:hl+,0n-+* ) 1'' ml 3 4

' S60*0tu, Ba;a* ) 1 l0t+* 3 4

1 Tu*; ) 1'' ml 3 4

2 0/al 4

Flol ) 1'' ml 3 4

! +0l n+l,on ,+t ) N ,+t 3 4

REAGEN KIMIA KLINIK 4

1 Mala*0a T+,t 9 BLOOD TEST 4

2 D+n-u+ T+,t 4

Hb,A- T+,t 4

! HI= 1929' /0?0:+ t+,t hol+ bloo/ t+,t ,t+6 1


121/344

NIP. 1#$00%02 200212 1 00& NIP. 1

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4 4

4 %

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122/344

4 4

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75 93 73 1


123/344

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4 4

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10 11& $14 4

4 4

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9 7 12! #4 1!$

1 2& %4 4

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124/344

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125/344

27 2 '" 1""4 4

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30 10 1"! 2%4 4

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126/344

4 4

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38 126 85 2


127/344

4 4

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28 50 1!# "$1%# 1$

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18 10 111 $$

4 44 4

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128/344

4 4

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129/344

4 4

4 4

4 4

4 4

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

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4 44 4

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S0,a A;h0*Bulan

4 4

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130/344

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

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K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

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JumlahP+ma;a0an

S0,a A;h0*Bulan

4 4

4 4

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131/344

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

4 4

4 4

4 4

4 4

4 4

4 44 4

4 4

4 4

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4 4

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K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

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JumlahP+ma;a0an

S0,a A;h0*Bulan


132/344


PER AGUSTUS 2014


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2



Alo6u*0nol 1'' m- 1'" 1'" 20 10 20

! Alo6u*0nol '' 4" Amb*o7ol tabl+t ' m- 4

# Am0no6h0l0n 0n8 2! m-9ml41' ml 4

$ Am0no6h0l0n tab 2'' m- ! 200 2! 16 8 8 8 8 9 8 25


133/344


& Amlo/060n tab 1' m- 2" 30 "" 5 5 5 1' Amlo/060n tab " m- " 60 &" 5 11 Amo;,0,0l0n "'' m- 2&! 2300 2at tab '


134/344

!! D0a5+6am 0n8 " m-9ml42ml

!" D0a5+6am la*utan *+;tal ! m-92 ml ) T*a5+66 39 STESOLID

!# D0a5+6am tab 2 m- %& %& 14 14 !$ D0a5+6am tab " m- 4


!& D0>+nh0/*am0n H:l In8 1' m-9ml41ml 4"' D0-o;,0n tab '.2" m- 4

"1 D0-o;,0n tab '." m- 4


" E;,t*a; B+la/on 1' m- 4

"! E6h+/*0n H:l tab 2" m- 1% 1% 10

"" E6h0n+>*0n H:l )A/*+nal0n3 0n8 '

% Glu;o,a La*t In> 1' @ ,t+*0l


135/344

% Glu;o,a La*t In> 1' @ ,t+*0l 4

%! Glu;o,a La*t In> !' @ ,t+*0l 4

%" Glu;o,a La*t In> " @ ,t+*0l 4

%# G*0,0o>ul?0n tab 12" m- 2& 100 12& 10 56

%$ Halo6+*0/ol tab '." m- 4

%% Halo6+*0/ol tab 1." m- $ 200 2'$ 23 14 21 23 7 10


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1& 2

%& H0/*o;lo*t0a50/ )H(T3 tab 2" m- 4

&' H0/*o;o*t0,on ;*0m 2." @ 2 24 2# 4 2 1 2 1 3&1 H0o,0n N4 But0lb*om0/a Tab 1' m- 9S(OB 1 9 8&2 H0o,0n N4 But0lb*om0/a In8 2' m-9ml 4

& Ibu6*o>+n 2'' m- 1 1100 1

1' Ka6to6*0l 12a50m0l ;a6, 1'' m- 4

1'% Kl0n/am:0n 1"' m- # 100 1'# 201'& Klo*am6h+n0;ol 2"' m- 4


111 Klo*am6h+n0;ol t+t+, t+l0n-a @ % % 1 112 Klo*am>+n0;ol Su,6+n,0 12" m-9" ml 5 " 111 Klo*am>+n0;ol T+t+, mata '


136/344

11& Kot*0mo;,a5ol+ 6+/ tab 12' m- 4

12' Kot*0mo;,a5ol+ Su,6 ! !

121 Ku0n0n Sul>at tab 222 m- 4

122 L+?o>lo;,a,0n tab "'' m- 30 ' 1012 L0/o;a0n 2@ 0n8+;,0 4

12! L0/o;a0n Kom6 In8 4

12" Lo6+*am0/ H(l tabl+t 2 m- &2 &2 16 1012# Ma-n+,0um ,ul> 0n8 2'@42" ml 4

12$ Ma-n+,0um ,ul> 0n8 !'@42" ml 4

12% M+b+n/a5ol+ ,0*u6 1'' m-9" ml 4

12& M+b+n/a5ol+ tab 1'' m- 4

1' M+t>o*m0n H(l Tab "'' m- ! 100 1'! 10 10 11 M+t0l Do6a tab 2"' m- 4

12 M+t0l E*-om+t*0n In8 '+na: "' m- 4

1!" Na. luo*+,0n t+t+, mata 2 @ 4

1!# Na. T0o,ul>at 0n8 2" @41' ml 4

1!$ Nat*0um Klo*0/a la*t 0n> '.&@ 4

1!% N0>+/060n tab 1' m- 4

1!& N0,tat0n 1''.''' 0u tab ?a-

1"' N0,tat0n "''.''' 0u tab 4

1"1 OAT4D( Kat+-o*0 1 41"2 OAT4D( Kat+-o*0 2 4

1" Obat Batu; h0tam )OBH3 ,0*u6 1'' ml 7 1' 2 1 1"! Obat Kat+-o*0 Ana; );omb06a;3 4



137/344


1"# O;,0t+t*a,0;l0n H:l In8 "' m-91' ml 4

1"$ O;,0t+t*a,0;l0n SK @ 4

1"% O;,0t+t*a,0;l0n SM 4 25 2" 4 1 1 1 1

1"& O;,0to,0n 0n8 1' 0u91ml 4

1#' O,+ltam0?0* $" m- 4

1#1 Pa6a?+*0n In8+;,0 !' m-9ml 4

1#2 Pa6a?+*0n tab !' m- 4

1# Pa*a>o*mal/+h0/ tab 1 -* 4

1#! Pa*a,+tamol ,0*u6 12' m-9" ml % % 1 1#" Pa*a,+tamol tab 1'' m- 9 DROP ! ! 2 1 1

1## Pa*a,+tamol tab "'' m- 1&& 2700 2


138/344

8 ) 3



1&! Salbutamol 2 m- tab "$ 400 !"$ 24 9 16 28 10 10 32 9 18 16 43 55

1&" Salbutamol ! m- tab 1$ 1$

1 Sal+6 24! ;omb 1% 1% 1 4 1 1 2 2

1&$ Sal0,0l B+/a; 2 @ % 5 1 1 1 11&% Sal0,0l S60*0tu, 1' @ 4

1&& S+>a/*o70l "'' m- ;a6,ul 1'# 1'#

2'' S+>ota70m In8+;,0 1 -*am 4

2'1 S+>t*0a7on In8 1 -*am 4


2' S0m+t0/0n tab 2'' m- 4

2'! S0m?a,tat0n 1' m- tab "$ "$ 15 5 2'" S06*o>lo;,a,0n "'' m- tab !' 200 2!' 18 6 18 6 6 14 16 10 20 10

2'# St*+6tom0,0n 0n8 1"'' m- 9?0al 42'$ Sul>a,+tam0/ tt, mata 1"@ 4

2'% Tabl+t tambah /a*ah ;omb $ 150 22 10 10 10 10 2'& T+t*a;a0n t+t+, mata '


139/344

2 Al0nam0n 0n8+;,0

Ant*a0n 0n8 4


" B0,m+:on G+l 4


$ Dul:ola7 ,u66 " m- 4% Dul:ola7 tab 4

& lu/an+ S*u6 4

1' lu/an+ Tabl+t 4 4

11 G0ta, Plu, In8 4


1 Ka4En A 4

1! Ka4En B 4


1# La;to B 4

1$ Lno*al tab 4

1% L,m0n ) L,0n 3 S0*u6 1 1


2' N+u*o?0t E tabl+t !" !" 28 8 21 O6t070t*ol TM9O*+-an 4

22 Pamol 12" m- Su66 4

2 S:ab0:0/ ;*0m 4

2! T+n,0-a*/ " "

2" Ult*a?0ta tab 9 Ku*;um+7 tab 9 Lano?0t tab 4

2# No5a 100 1 8 2$ FEPA=IT &' &'

2% Don+7an ,0*u6 ! 5 &

2& Amo; >o*t+ ,0*u6 2 2

' H+mo*o-a*/ !% !% 10 14 6OBAT GIGI 4


2 Bon/0n- 4

D+nto*0t 6a,ta ) (a?0t G 3 4

! D+?0tal0,a,0 6a,ta )non a*,+n3 4

" D+?0tal0,a,0 6a,ta )a*,+n3 4

# Et:h0n- 4$ Et0l Klo*0/a ,+m6*ot 4

% Eu-+nol :a0*an 4


1' Kal,0um H0/*o;,0/a 6a,ta 4


140/344



12 Kom6o,0t A2 Po,t+*0o* 4


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&




1# S+m+n ,+n- >o,>at ,+*bu; :a0* 4

1$ S0l?+* Amal-am S+*bu; #"4$" @ 4

1% Sola*+ 4

1& S6on G+lat0n 17171 :m 4

2' T+m6o*a* ,to60n- >l+t:h+* ,+*bu;:a0* 4

21 T*0;*+,ol>o*mal0n )TK3 :a0* 4




141/344

- - ) 3

2" S0l; ) B+nan- B+/ah Sut+*a3 N' 9' 4

2# I=. (ath+t+* no. 1% 4

2$ I=. (ath+t+* no. 2' 4

2% I=. (ath+t+* no. 22 4

2& I=. (ath+t+* no. 2! 4' 0n- n+/l+ 4

REAGEN DASAR 4

1 Amon0a; ) 1'' ml 3 4

2 An0,ol ) 1'' ml 3 4

Aua/+,t ,t+*0l 1 l0t+* 4

! A,am a,+tat # @ ) 1'' ml 3 4

No. Nama Obat


P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1# 1$ 1% 1&

" A,am Klo*0/a '


142/344

- ) 3

' S60*0tu, Ba;a* ) 1 l0t+* 3 4

1 Tu*; ) 1'' ml 3 4

2 0/al 4

Flol ) 1'' ml 3 4

! +0l n+l,on ,+t ) N ,+t 3 4REAGEN KIMIA KLINIK 4

1 Mala*0a T+,t 9 BLOOD TEST 4

2 D+n-u+ T+,t 4

Hb,A- T+,t 4

! HI= 1929' /0?0:+ t+,t hol+ bloo/ t+,t ,t+6 1


143/344

K+t.2! 2" 2# 2$ 2% 2& ' 1

4 4

4 %

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10 8 1 1'14 4

8

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144/344

8 2$ 2%30 15 5 15 %# &

121 7 106 53 92 88 2


145/344

4 4

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PER SEPTEMBER 2014

No. Nama ObatPERSEDIAAN JUMLAH JENIS OBAT PADA TA

P+*,. Aal D*o660n- Jumlah 1 2 ! " # $ % & 1' 11 12 1 1! 1" 1#



Alo6u*0nol 1'' m- "' "' 5

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%# G*0,0o>ul?0n tab 12

Register Harian Obat 2015

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