LAPORAN PEMAKAIAN DAN LEMBA

(LPLPO)

Unit Penerima : kosong

Kecamatan : kosong
Kabupaten : kosong
Provinsi : kosong

Kode Nama Obat Sediaan Stok Awal

10315 2 - 4 SALEP SALEP
AK1603026 Absorbable hemostatic agent and dressing
108 ACYCLOVIR SALEP 5 % SALEP
119 ACYCLOVIR TABLET 200 MG TABLET
12448 ALAT SUNTIK 1 ML PIECES
12667 ALAT SUNTIK 10 ML PIECES
12664 ALAT SUNTIK 2,5 ML PIECES
12678 ALAT SUNTIK SEKALI PAKAI 0,05 ML PIECES
12677 ALAT SUNTIK SEKALI PAKAI 0,5 ML PIECES
12666 ALAT SUNTIK SEKALI PAKAI 5 ML PIECES
175 ALBENDAZOLE TABLET 400 MG TABLET
238 ALKOHOL LIQUID 70 % LIQUID
12754 ALKOHOL SWAB 100 PCS PIECES
247 ALLOPURINOL TABLET 100 MG TABLET

313 ALUMINIUM HYDROXIDE|MAGNESIUM TRISILICATE TABLET TABLET

379 AMBROXOL TABLET 30 MG TABLET
415 AMINOPHYLLINE INJEKSI 25 MG/ML INJEKSI
417 AMINOPHYLLINE TABLET 200 MG TABLET
445 AMLODIPINE TABLET 10 MG TABLET
446 AMLODIPINE TABLET 5 MG TABLET
540 AMOXYCILLIN SIRUP 125 MG/5 ML SIRUP
507 AMOXYCILLIN TABLET 250 MG TABLET
511 AMOXYCILLIN TABLET 500 MG TABLET
699 AMPICILLIN SIRUP 125 MG/5 ML SIRUP
713 AMPICILLIN TABLET 500 MG TABLET

ANTACIDA DOEN II SUSPENSI (ALLUMUNIUM HIDROKSIDA

12417 SUSPENSION
200mg+MAGNESIUM HIDROKSIDA 200mg)

13422 AQUA PRO INJEKSI 25 ML BOTOL

12280 AQUADEST STERIL
886 ARTESUNATE INJEKSI 60 MG INJEKSI
966 ASAM MEFENAMAT TABLET 500 MG TABLET
926 ASCORBIC ACID (VITAMIN C) TABLET 50 MG TABLET
1019 ASCORBIC ACID|FOLIC ACID|CYANOCOBALAMIN|FERROUS TABLET
FUMARATE|COPPER SULPHATE PENTAHYDRATE|
MANGANESE SULPHATE TABLET
1277 ATROPINE SULPHATE TABLET 0.5 MG TABLET
12812 AUTOCHECK 3 IN 1 ALAT PEMERIKSAAN PIECES
1347 AZITHROMYCIN TABLET 500 MG TABLET
BACITRACIN|NEOMYCIN SULPHATE|POLYMYXIN B
1362 SULPHATE SALEP SALEP
12620 BAHAN TAMBAL GIGI SEMENTARA,CAVITON TABLET PIECES
1484 BENZOIC ACID|SALICYLIC ACID SALEP 60 MG|30 MG SALEP
1599 BETAMETHASONE SALEP 0.1% SALEP

1702 BISMUTH SUBGALLATE|ZINC OXIDE|LIDOCAINE| SUPPOSITORIA

HEXACHLOROPHENE SUPPOSITORIA 2 G
AK9001917 BLOOD LANCET
AK9002009 BOX SLIDE
1759 BROMHEXINE TABLET 8 MG TABLET
AK9002167 CACO3 / KRYT
1879 CAFFEINE|ERGOTAMINE TARTRATE TABLET 1 MG|50 MG TABLET

2005 CALCIUM LACTATE TABLET 500 MG TABLET

12333 CALYCID POWDER 2% 50gr PCS
AK9002640 CANULA NASAL OKSIGEN ADULT PCS
AK9002641 CANULA NASAL OKSIGEN INFANT PCS
AK9002643 CANULA NASAL OKSIGEN PEDIATRIC PCS
2073 CAPTOPRIL TABLET 12.5 MG TABLET
2075 CAPTOPRIL TABLET 25 MG TABLET
AK9002709 CAT GUT CHROMIC 2 - 0 PCS
AK9002710 CAT GUT CHROMIC 3 - 0 PCS
10418 CEFADROXIL SIRUP 125 MG/ML SIRUP
2176 CEFADROXIL TABLET 500 MG TABLET
2546 CETIRIZINE TABLET 10 MG TABLET
2574 CHLORAMPHENICOL DROPS 0.5% ,RECO TTS TELINGA DROPS
2581 CHLORAMPHENICOL DROPS 1 % DECACETIN TTS MATA DROPS
2620 CHLORAMPHENICOL KAPSUL 250 MG KAPSUL
2600 CHLORAMPHENICOL SALEP MATA 1% SALEP
2601 CHLORAMPHENICOL SALEP KULIT 2% SALEP
2593 CHLORAMPHENICOL SIRUP 125 MG/5ML SIRUP
2745 CHLORPHENIRAMINE TABLET 4 MG TABLET
2763 CHLORPROMAZINE TABLET 25 MG TABLET
2813 CIMETIDINE TABLET 200 MG TABLET
2828 CIPROFLOXACIN TABLET 500 MG (SEBAGAI HCL) TABLET
11951 CYANOCOBALAMIN INJEKSI 500 MCG/ML INJEKSI
12383 TABLET
DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320 MG (DHP)
12354 DEVITALISASI PASTA NON ARSEN 6 GR BOX
3416 DEXAMETHASONE INJEKSI 5 MG/ML INJEKSI
3443 DEXAMETHASONE TABLET 0.5 MG TABLET
3629 DIAZEPAM INJEKSI 10 MG\/2 ML INJEKSI
3641 DIAZEPAM TABLET 2 MG TABLET
3688 DICLOFENAC SODIUM TABLET 25 MG TABLET
3690 DICLOFENAC SODIUM TABLET 50 MG TABLET
3728 DIETHYLCARBAMAZINE TABLET 100 MG TABLET
3756 DIGOXIN TABLET 0.25 MG TABLET
3759 DHP,DIHYDROARTEMISININ|PIPERAQUINE PHOSPHATE TABLET
TABLET 40 MG|320 MG
3734 DIPHENHYDRAMINE INJEKSI INJEKSI
3964 DOMPERIDONE SIRUP 5 MG/5 ML SIRUP
4040 DOXYCYCLINE TABLET TABLET
12624 ELASTIC VERBAND,FM CREPE PIECES
4240 EPHEDRINE TABLET 25 MG TABLET
4303 EPINEPHRINE INJEKSI 0.1 % INJEKSI
4401 ERYTHROMYCIN SIRUP SIRUP
4458 ERYTHROMYCIN TABLET 250 MG TABLET
4461 ERYTHROMYCIN TABLET 500 MG TABLET
4627 ETHYL CHLORIDE SPRAY SPRAY
4663 EUGENOL LIQUID 10 ML BOTOL
12379 EXAMINATION GLOVES SIZE L PCS
12380 EXAMINATION GLOVES SIZE M PCS
FDC Kat. Sisipan : Rifampisin 150mg+Isoniazid
12419 75ms+Pirazinamid 400ms+Ethambutol 275ms TABLET
12687 FOLLEY CATHETER 2 WAY NO. 18 PIECES
12694 FOLLEY CATHETER NO. 20 PIECES
12695 FOLLEY CATHETER NO. 22 PIECES
12696 FOLLEY CATHETER NO. 24 PIECES
5074 FUROSEMIDE TABLET 40 MG TABLET

GARAM ORALIT SERBUK KOMBINASI ( NATRIUM

12407 0,529+KALIUM KLORIDA 0,39+TRINATRIUM SITRAT SERBUK
DIHIDRAT 0,589+GLUKOSA ANHIDART 2,79)
5154 GEMFIBROZIL TABLET 300 MG TABLET
5166 GENTAMYCIN SALEP 0.1 % SALEP
5228 GENTIAN VIOLET LIQUID LIQUID
12350 GIPS 3inch ROLL
AK9012180 Glass Ionomer Cement ART Fuji IX PIECES
5252 GLIBENCLAMIDE TABLET 5 MG TABLET
5280 GLISERIL GUAIAKOLAT TABLET 100 MG TABLET
5300 GLUCOSE INFUS 5 % INFUS
AK0101069 Glucose test system
5522 GRISEOFULVIN TABLET 125 MG TABLET

DEXTRAL TABLET,GUAIFENESIN|DEXTROMETHORPHAN
5565 HYDROBROMIDE|CHLORPHENAMINE| TABLET
PHENYLPROPANOLAMINE TABLET

DEXTRAL SYR,GUAIFENESIN|DEXTROMETHORPHAN
5569 HYDROBROMIDE|PHENYLPROPANOLAMINE| SIRUP
CHLORPHENAMINE SIRUP
12871 HAND RUB 500 ML
12462 HAND SCRUB 500 CC (ONESCRUB) CHLORHEXIDINE BOTOL
GLUCONATE 4%
5788 HYDROCHLOROTHIAZIDE TABLET 25 MG TABLET
5843 HYDROCORTISONE SALEP 2.5 % SALEP
5862 HYDROGEN PEROXIDE LIQUID 3 % LIQUID
5949 IBUPROFEN SIRUP 100 MG/5 ML SIRUP
5964 IBUPROFEN TABLET 200 MG TABLET
5966 IBUPROFEN TABLET 400 MG TABLET
12358 INFUSET ANAK SET
12452 Infusion Set Dewasa PIECES
AK9012183 Iodoform (Mummifying Pasta) SET
6386 ISOSORBIDE DINITRATE TABLET 5 MG TABLET
AK9005686 IV CATHETER NO 16 PIECES
AK9005687 IV CATHETER NO 18 PIECES
AK9005689 IV CATHETER NO 22 PIECES
AK9005690 IV CATHETER NO 24 PIECES
12434 IV CATHETER NO.20 PCS
12362 JARUM HECTING KULIT NO. GT 16 SET
AK9012184 Kalsium Hidroksida Pasta SET
AK9005927 KANTONG ZAK OBAT KERTAS PUTIH PIECES
12375 KAPAS PEMBALUT HIDROFIL DRC 250gr PIECES
12377 KASA HIDROFIL 2m x 80cm PIECES
AK90121071 KASA HYDROFIL 4 M X 15 CM PIECES
AK90121072 KASA HYDROFIL 4 M X 3 CM PIECES
12376 KASA KOMPRES DRC 40cm x 40cm PIECES
12627 KASA STERIL 16 X 16 CM PIECES
12516 KASA STERIL 40 X 80 CM PIECES
6535 KETOCONAZOLE SALEP 2% SALEP
6546 KETOCONAZOLE TABLET 200 MG TABLET
AK9012185 Klorfenol Kamfer Menthol (CHKM) PIECES
12440 KOKODIN 300 ML CAIRAN
Kombinasi tablet salut : Besi (II) sulfat 7H2O 200 mg Asam
12488 folat 0,25 mg,TABLET TAMBAH DARAH TABLET
12921 KUININ TABLET 200 MG TABLET
6872 LEVOTHYROXINE TABLET 0.1 MG TABLET
6906 LIDOCAINE INJEKSI 2%( KOTAL 100 AMP
6892 LIDOCAINE SPRAY 10 MG/DOSIS SPRAY
LIDOKAIN INJEKSI 2% HCL + EPINEPHRINE INJEKSI 1:80.000 - KOTAK 30 AMPUL
6897 2 ML
6998 LOPERAMIDE TABLET 2 MG TABLET
7013 LORATADINE TABLET 10 MG TABLET
7153 MAGNESIUM SULFAT INJEKSI 20 % INJEKSI
AK9006970 MASKER HIJAU PIECES
AK9006973 MASKER KERTAS PAKAI KARET (TIES ON ) PIECES
13021 MASKER TELINGA PLUS (E-CARE),(EAR LOOP) PIECES
799 METAMPIRON (ANTALGIN) INJEKSI 250 MG/ML INJEKSI
803 METAMPIRON (ANTALGIN) TABLET 500 MG TABLET
7491 METFORMIN HCL TABLET 500 MG TABLET
7536 METHYLERGOMETRINE INJEKSI 0.2 MG/ML INJEKSI
7605 METHYLERGOMETRINE TABLET 0.125 MG TABLET
12923 METILPREDNISOLON TABLET 4 MG TABLET
7619 METISOPRINOL SIRUP MG/ML SIRUP
7638 PRIMPERAN SYR,METOCLOPRAMIDE SIRUP 5 MG/ML SIRUP
7651 METOCLOPRAMIDE TABLET 10 MG TABLET
7695 METRONIDAZOLE TABLET 250 MG TABLET
7697 METRONIDAZOLE TABLET 500 MG TABLET
7713 MICONAZOLE SALEP SALEP
12301 MICROSCOPE SLIDE (SAIL BRAND) PIECES
7747 MINERAL MIX SERBUK 8 G SACHET
7898 MULTIVITAMIN SIRUP 60 ML(BECEFORT SYRUP) SIRUP
LEXAVIT TABLET,MULTIVITAMIN, MULTIMINERAL TABLET
7945 MG TABLET
12573 Mummifying Pasta POT
8160 NIFEDIPINE TABLET 10 MG TABLET
8256 NYSTATIN OVULA 10000 IU OVULA
8269 NYSTATIN TABLET 50000 IU TABLET
12529 OAT KATEGORI II- (FDC) PAKET
8285 OBH SIRUP 100 ML SIRUP
8373 OMEPRAZOLE KAPSUL 20 MG KAPSUL
8475 OXYTETRACYCLINE 3 % SALEP KULIT SALEP KULIT
8464 OXYTETRACYCLINE SALEP MATA 1 % (HCL) TUBE
8479 OXYTOCIN INJEKSI INJEKSI
12527 PAKET STOP TB KATEGORI 1 PAKET
12528 PAKET STOP TB OAT ANAK PAKET
8573 PARACETAMOL DROPS 100 MG/ML DROPS
8601 PARACETAMOL SIRUP 120 MG\/5 ML SIRUP
8572 PARACETAMOL TABLET 100 MG TABLET
8593 PARACETAMOL TABLET 500 MG TABLET
9120 PHENOBARBITAL INJEKSI 50 MG\/ML INJEKSI
9125 PHENOBARBITAL TABLET 30 MG TABLET
9137 PHENOL GLISEROL LIQUID LIQUID
4832 PHYTOMENADIONE (VITAMIN K) INJEKSI 1 ML INJEKSI
9261 PHYTOMENADIONE (VITAMIN K) TABLET 10 MG TABLET
9389 PIROXICAM TABLET 10 MG TABLET
9392 PIROXICAM TABLET 20 MG TABLET
12616 PISAU BEDAH NO. 10 PIECES
12505 PLASTIK OBAT (CLIP) UKURAN 5 X 8 PIECES
12674 PLASTIK OBAT (CLIP) UKURAN 7 X 10 PIECES
PLESTER ADHESIVE NON WOVEN FABRIC 5CM X 5M
13002 (FIXOMULL) ROLL
12560 PLESTER LEUKOPLAST 7,5 CM X 4,5 M PIECES
12559 POT SPUTUM PIECES
12325 POVIDONE IODINE 10% 30ML CAIRAN
9583 PREDNISONE TABLET 5 MG TABLET
9597 PRIMAQUINE TABLET 15 MG TABLET
12477 PROPANOLOL 40 MG TABLET
9794 PYRANTEL TABLET 125 MG (BASE) TABLET
1684 PYRIDOXINE TABLET 10 MG TABLET
9973 RABIES VACCINE INJEKSI 2.5 IU INJEKSI
9999 RANITIDINE INJEKSI 50 MG/2 ML INJEKSI
10014 RANITIDINE TABLET 150 MG TABLET
13433 RAPID HIV 1\/SD ( HIV-1\/2 3.0 (Multi)) TEST PIECES
12619 RAPID TEST MALARIA PIECES
12813 REAGEN TB BOTOL
12502 REAGEN ZIEHL NEELSEN 100 ML BOTOL
10087 RETINOL (VITAMIN A) 100.000 UI TABLET
12932 RETINOL (VITAMIN A) 200.000 UI TABLET

RETINOL ACETATE|COLECALCIFEROL|THIAMINE|
RIBOFLAVIN|PYRIDOXINE|CYANOCOBALAMIN|ASCORBIC
ACID|TOCOPHERYL ACETATE|MENADIONE|CALCIUM
PANTOTHENATE|NICOTINAMIDE|FOLIC ACID|CALCIUM
PHOSPHATE DIBASIC|DICALCIUM PHOSPHATE ANHYDRATE| TABLET
10061 FERROUS SULPHATE EXSICCATED|MANGANESE SULPHATE|
MAGNESIUM SULPHATE|CALCIUM FLUORIDE|POTASSIUM
PHOSPHATE MONOBASIC|ZINC SULPHATE|POTASSIUM
IODIDE|AMMONIUM MOLYBDATE|COPPER SULPHATE|
LIVER EXTRACT TABLET

10101 VITAMIN B KOMPLEX,RIBOFLAVIN|NICOTINAMIDE| TABLET

CALCIUM PANTOTHENATE|PYRIDOXINE|THIAMINE TABLET
12877 MDT DEWASA,RIFAMPICIN 300 MG | CLOFAMIZINE 100 TABLET
MG | DAPSONE 100 MG
12234 MDT ANAK,RIFAMPICINE|DAPSON|LAMPREN BLISTER
10182 RIVANOL LIQUID LIQUID
10295 SALBUTAMOL TABLET 2 MG (SEBAGAI SULFAT) TABLET
10268 SALBUTAMOL SPRAY 100MCG/DOSE X 200 DOSE SPRAY
SALEP 2-4 KOMBINASI: ASAM SALISILAT 2% + BELERANG
12954 ENDAP 4% TUBE
12626 SARUNG TANGAN GYNECOLOG PIECES
AK9008969 SARUNG TANGAN STERIL NO 7 PIECES
AK9008970 SARUNG TANGAN STERIL NO 7.5 PIECES
AK9008971 SARUNG TANGAN STERIL NO 8 PIECES
AK9012192 Semen Seng Fosfat Serbuk dan Cairan PIECES
11926 SIANOKOBALAMIN TABLET TABLET
12589 SILK SUTURE WITH NEEDLE PIECES
10482 SIMVASTATIN TABLET 10 MG TABLET
10484 SIMVASTATIN TABLET 20 MG TABLET
10532 SODIUM CHLORIDE INFUS 0.9 % INFUS
10585 SODIUM CHLORIDE|POTASSIUM CHLORIDE|CALCIUM INFUS
CHLORIDE DIHYDRATE|SODIUM LACTATE INFUS
12821 SOUND TIMER PIECES
12294 SPIRITUS 1000 ML BTL
12355 STOPPING FLETCHER (FLETCHER) SERBUK DAN CAIRAN BUBUK dan
LARUTAN
12590 STRIP ASAM URAT PIECES
12511 STRIP TES KEHAMILAN (ONEMED ULTRAONE) PIECES
12592 STRIP TOTAL KOLESTEROL PIECES
10865 SULFADOXINE|PYRIMETHAMINE TABLET 500 MG|25 MG TABLET

SULFAMETHOXAZOLE|TRIMETHOPRIM SIRUP 200MG|

10887 SIRUP
40MG/5 ML
10898 SULFAMETHOXAZOLE|TRIMETHOPRIM TABLET TABLET
12490 TETANUS ANTITOXIN INJEKSI 1500 IU\/ML INJEKSI
11115 TETRACYCLINE TABLET 250 MG TABLET
11116 TETRACYCLINE TABLET 500 MG TABLET
11328 THIAMINE (VITAMIN B1) TABLET 50 MG (HCL\/NITRAT) TABLET

BIORON TABLET,THIAMINE DISULFIDE|PYRIDOXINE|

11207 TABLET
CYANOCOBALAMIN TABLET
11217 THIAMINE|CYANOCOBALAMIN|PYRIDOXINE TABLET TABLET
TRIMETHOPRIM|SULFAMETHOXAZOLE TABLET 400 MG|80 TABLET
10901 MG
AK9011753 UMBILICAL CORD CLAMP PCS
AK9011754 UNDERPAD PCS
AK9011806 URINE BAG PCS
PEHAVRAL TABLET,VITAMIN A|VITAMIN D3|VITAMIN E|
11909 VITAMIN C|VITAMIN B1|VITAMIN B2 SIRUP 1500 IU|400 TABLET
IU|5 MG|40 MG|0.5 MG|0.6 MG
 MOLANEURON TAB,VITAMIN B1|VITAMIN B6|VITAMIN B12 TABLET
11943 TABLET 200 MG|50 MG|1 MG
12192 ZINC SULPHATE TABLET 20 MG TABLET
PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

Bulan : kosong
Tahun : kosong

Penerimaan Persediaan Pemakaian Rusak/Ed Sisa Stok Stok Optimum Permintaan Pemberian
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