4. usulan obat januari 2016
TRANSCRIPT
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RENCANA KEBUTUHAN OBAT
BPJS 2016
PUSKESMAS : BELAWAN
BULAN : Januari
N Na!a O"a# Sa#uan1 2 3 4
1 A$"%n&a'$ (u()%n(i 200 !*/ + !$ "#$ 10 !$ ,-0,1.00
2 A$"%n&a'$ ,00 !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ 3+0.00
3 A$)urin$ 100 !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ 88.00
, A$)urin$ 300 !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ 21.+0
+ A$ra'$a! 0-2+ !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ ,10.00
6 A$ra'$a! 0-+ !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ 180.00
A$ra'$a! 1 !* #a"$%#/a)$%#/a)(u$ #a"$%#/a)$%#/a)(u$ 233.00
8 A!in$in 200 !* #a" #a"$%# 82.00
A!in$in 1+0 !* #a" #a"$%# 82.0010 A!i#ri)#i$in 2+ !* #a"$%# (a$u# #a"$%# 11.00
11 A!$&i)in 10 !* #a"$%# 3,1.00
12 A!$&i)in + !* #a"$%# 12.00
13 A!(i(i$in 2+0 a)(u$/a)$%# a)(u$/ a)$%# 210.00
1, A!(i(i$in +00 a)(u$/a)$%#/#a"$%# #a"$%#/a)$%# 20.00
1+ A!(i(i$in (iru) %rin* r#% 2+0 !*/ + !$ "#$ 60 !$ ,-212.00
16 A!(i(i$in (iru) %rin* 12+ !*/ + !$ "#$ 60 !$ 2-+00.00
1 An#a(i&a 4OEN 5 #a"$%# una7- !"ina(i #a"$%# ,.00
18 An#a(i&a 4OEN 55 (u()%n(i "#$ 60 !$ 2-200.00
1 3-200.00
20 An#i "a#%ri 4OEN (a$%) !"ina(i #u"% + * 2-6,1.00
21#a"$%# +,6.00
22 An#i Mi*r%n #a"$%# 1,2.00
23 An#i Parin(n 4OEN #a"$%# 1-++.00
2, A(a! A(%#i$ Sa$i(i$a# a(%#(a$9 100 !* #a"$%# #a"$%# 122.00
2+ #a"$%# 1++.00
26 #a"$%# 1-++.00
2 A(a! A(r"a# i#a!in C9 #a"$%# 2+0 !* #a"$%# 1+.00
28 A(a! A(r"a# i#a!in C9 #a"$%# +0 !* #a"$%# 100.00
2 A(a! ;$a# #a"$%#/a)(u$/a)$%# 0-, !* #a"$%#/a)(u$/ a)$%# 3.00
30 A(a! ;$a# #a"$%#/a)(u$/a)$%# 1 !* #a"$%#/a)(u$/ a)$%# +0.00
31 A(a! M%%na!a# 2+0 !* a)(u$/ a)$%# a)(u$/ a)$%# 166.00
32 A(a! M%%na!a# +00 !* a)(u$/ a)$%# a)(u$/ a)$%# 116.00
33 A(i$ &u( +0 * 1-2+0.00
3 B%#a!%#a(n ri! 0-1> (%"a*ai a$%ra#9 #u"% + * 1-+20.00
38 Bi(a&i$ (u))(i#ria 10 !*/ S#$a= (u)) (u)) 6-0,+.00
3 Bi()r$$ #a"$%# 2-+ !*/ Cn?r 2-+ !* #a"$%# #a"$%# ,6.00
,0 Bi()r$$ #a"$%# + !* #a"$%# 66.00
,1 4%(a!%#a(n in@%(i i.
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N Na!a O"a# Sa#uan
1 2 3 4
Har*aSa#uan
,8 4(i(i$in #a"$%#/a)(u$/a)$%# 100 !* #a"$%# 28+.00
, 4!)%ri&n (u()%n(i/(iru) + !*/+ ! "#$ 60 !$ 3-,10.00
+0 4!)%ri&n #a"$%# 10 !* #a"$%# 10.00
+1 E)in%rin A&r%na$in9 in@%(i i. ?airan "#$ 100 !$ 2-++.00
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N Na!a O"a# Sa#uan
1 2 3 4
Har*aSa#uan
+6 Eu*%n$ ?airan "#$ 10 !$ 1-+00.00
+ ;%n"ar"i#a$ in@%(i i.!./i. "#$ 3-3+3.00
6 $i$a'i& #a" 30 !*/ 4ia!i?rn MR 30 #a"$%# 638.00
68 $i!%)iri&% #a"$%# 2 !* #a"$%# ,36.006 $i"%n$a!i& + !* #a" +8.00
0 $u(a $r# inu( +> "#$ +-,60.00
1 ri(%u$ #u"% + * 1-600.00
88 K$ra!%ni$ (a$%) u$i# 2>/ Bua?%#in (a$%) #u"% 1+ * 3-86.00
8#a"/a)$%#/ a)(u$ +3.00
0 K$r)r!a'in 100 !* #a" 1+8.00
1 K#ri!(a'$ 4OEN 5 &%a(a9 #a" 1,+.00
2 K#ri!(a'$ (u()%n(i "#$ 2-268.00
3 Lan()ra'$ 30 !* #a" ,3.00
, Li&ain !" %)in%rin in@%(i a!) 1-,31.00
+ Lra#a&in 10 !* #a" 16,.00
6 M%#r!in +00 #a" 11,.+0
M%#$)ra!i& 10 !* #a" 6.00
8 M%#$)ra!i& (iru) "#$ 2-800.00
M%#rni&a'$ 2+0 !* #a" 113.00
100 M%#rni&a'$ +00 !* #a" 16,.00
101 Mina'$ ri!/(a$%) 2 > Ni#ra#9 #u"% 10 * 3-000.00
102 Na#riu! 4i$%na 2+ !* #a" 1,0.00
103 Na#riu! 4i$%na +0 !* #a" 18+.00
10, Na#riu! K$ri&a $ar# inu( 0-> "#$ ,-3+.00
10+ Ni%&i)in 30 !*- r( #a" 3-+00.00
106 Ni(#a#in +00.000 5U/* #a" 62.00
10 O(i#(in in@%(i 10 5U/!$ in@%(i a!) 1-00.00108 O(i!%#a'$in #%#%( 7i&un* 0-02+>/ 5$$ia&in &r)( "#$ 10 !$ 28-28.00
10 O(i!%#a'$in #%#%( 7i&un* 0-0+>/ 5$$ia&in ()ra "#$ 1+ !$ 30-+00.00
ara! Ora$i# 5 (%r"u- !"ina(i : Na#riu! $ri&a0-+2 * a$iu! $ri&a 0-30 * Trina#riu! (i#ra#&i7i&ra# 0-+8 * $u(a An7i&ra# 2-0 *
K$r%nira!ina Ma$%a# CTM9 #a"$%#/a)(u$/a)$%# ,!*
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N Na!a O"a# Sa#uan
1 2 3 4
Har*aSa#uan
110 Para(%#a!$ +00 !* #a" 8,.00
111 Para(%#a!$ (iru) 120 !*/ + !$ "#$ 1-,6.00
112 P D 30 !$ "#$ 2-2+0.00
113 P D 300 !$ "#$ 1,-1.00
11, Pr%&ni(n + !* #a" 11.0011+ Pr)i$#iura(i$ 100 !* #a" 33+.00
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+/38
N Na!a O"a# Sa#uan
1 2 3 4
Har*aSa#uan
116 Rani#i&in 1+0 !* #a" 126.00
11 Rin*%r $a#a# $ar# inu( "#$ +-,60.00
118 Sa$"u#a!$ 2 !* #a" 62.00
11 Sa$"u#a!$ , !* #a" 8.00
120 Sa$%) 2, )# 30 * 2-100.00121 Siana"a$a!in i# B129 in@%(i +00 !?* a!) 1-132.00
122 Sian"a$a!in +0 !* #a" 60.00
123 Si! 1000 !$ B#$ 1 Li#%r 2-30+.00
13 On%!%& Ri
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Pa"rian5 6 7
5n&ar!a 0 0.00
i!ia ar!a 0 0.00
)%r#ii a*un* 3-000 26,-000.00
)%r#ii a*un* 0 0.00
&%=a !%&ia 0 0.00
##) )7ar!a?%u#i?a$ 0 0.00
i!ia ar!a 0 0.00
%r%$a 2-000 16,-000.00
%r%$a 0 0.005n&ar!a 1-000 11-000.00
)%r#ii a*un* 8-000 2-28-000.00
)%r#ii a*un* 10-000 1-20-000.00
5n&ar!a 3-000 630-000.00
!%r(i TM 10-000 2-00-000.00
7$i ar!a 0 0.00
n
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Pa"rian
5 6 7
Ju!$a7K%"u#u7an
T#a$ Ju!$a7 Har*aSa#uan
arin& ar!a#a!a 0 0.00
n
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Pa"rian
5 6 7
Ju!$a7K%"u#u7an
T#a$ Ju!$a7 Har*aSa#uan
i!ia ar!a 0 0.00
)7a)r( 30 +6-00.00
5n&ar!a 1-000 231-000.00
)7a)r( 0 0.00
)7a)r( 3-000 1-80-000.00)7a)r( 100 3+8-200.00
5n&ar!a 3-000 282-000.00
)7a)r( 2-000 606-000.00
5n&ar!a 0 0.00
%r%$a 0 0.00
in&ar!a 100 33+-300.00
)ra&@a )7arin 0 0.00
i!ia ar!a 0 0.00in&ar!a 10-000 +80-000.00
i&a#ra "7a#i 0 0.00
in&ar!a 1-000 230-000.00
!%r(i TM 1-000 130-000.00
Ki!ia ;ar!a 100 2-800.00
in&ar!a 0 0.00
arin& 2-000 232-000.00
n
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/38
Pa"rian
5 6 7
Ju!$a7K%"u#u7an
T#a$ Ju!$a7 Har*aSa#uan
)r!%&ra7ar&@ 0 0.00
aar!a 1-200 1-+-200.00
aar!a 100 22+-000.00
aar!a 0 0.00
7$i )7ar!a 3-000 3+-000.00in&ar!a 2-000 60-000.00
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Pa"rian
5 6 7
Ju!$a7K%"u#u7an
T#a$ Ju!$a7 Har*aSa#uan
&%=a !%&i?a 10-000 1-260-000.00
i&a#ra "7a#i 101 ++1-,60.00
arin& ;ar!a#a!a +-000 310-000.00
Ki!ia ;ar!a 0 0.00
!arin $i'a ar!a(i 200 ,20-000.00Lu?a( 4@a@a 200 226-,00.00
aar!a 3-000 180-000.00
)%r#ii a*un* 10-000 1-,0-000.00
"%rnar! 10-+00 2-30-000.00
H$i ;ar!a 0 0.00
Aar!a 0 0.00
n
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RENCANA KEBUTU
BPJS 201
PUSKESMAS : BELAWAN
BULAN : Januari
No Nama Umum Nama Dagang
1 2 4
1 Acyclovir cream Molavir
2 Alkohol 70% Alkohol 70%
3 Allupurinol 100 mg tab Selespurin 100 mg
4 Ambroxol 30 mg Intibrox 30 mg
Amok!i!ilin 12 mg" ml !irup kering Novamox syrup
# Amoxicilin 20 mg Arkamox
7 Antalgin 00 mg Novaron$ A!am A!korbat &it' () 0 mg Seles C 0 mg
* +e,ak -alicyl 2 % !e"ak Sali#yl $ %
10 +etahi!tin # mg !etahistin mg
11 +etameta!on 1 mg. Neomicyn mg !evalex
12 +loo,/ancet &'A
13 +romhexine . li!erilguaiacolat &raxine
14 (al!ium /aktat 00 mg Novakalk
1 (hloramenicol ete! ata 'rlami#etin ((M
1# ( 4 mg Selmetor ) mg
17 Diaepam mg *al"imex mg
1$ 5amoti,in 40 mg +a,i#o )0 mg
1* aram 6ralit ra!a eruk +amolit
20 entamicin !alep kulit gentalex -.
21 ri!eoulvin 12 mg tab &ri#in 1$ mg
22 8202 3 % /$0$ 3 %
23 8y,rokorti!on !alep exa#orton -.
24 9buproen 200 mg Novaxipen $00 mg
2 9buproen 400 mg Novaxipen )00 mg
2# 9buproen -yrup Novaxipen Syrup
27 :etokonaol 200 mg exa2ole $00 mg
2$ :loiramenicol 20 mg &ra,a#etin $0 mg
2* /i,okain inek!i ;ehacain 9nek!i
30 etormin 00 mg &lu"epati# 00 mg
31 etoklorpami, 10 mg *osea
32 etroni,aole 00 mg Novagyl
33 iconaole :rim Mola"erm -.
34 Natrium Dicloenac 2 +ena"ina# $ mg
3 Natrium Dicloenac 0 +ena"ina# 0 mg3# Nipe,ipin 10 mg armalat 10 mg
37 !/ !/
3$ ;iroxicam 20 mg &ra2eo $0 mg
3* ;yri,oxin 10 mg Sele"oxin 10 mg
,0
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47
4$
4*
0
1
2
3
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AN OBAT
:ema!an ;abrik 8arga :ema!an
5 6 7 8
ube olex *=$00 4 2*=200'00
+tl"1 liter olex";9 32=000 1# 12=000'00
+ox"100 ab -/5 71=$00 0 3=*0=000'00
+ox"100 eta 7=000 0 2=$0=000'00
+tl"#0 ml Nova 10=30 0 0'00
+ox"100 Armoxin,o 141=000 0 0'00
+ox"100 Nova 3*=00 20 7*0=000'00+tl"1000 -/5 12#=00 10 1=2#=000'00
;ot"100 gr ;9 #=000 0 0'00
+ox"30 Novel 2$=*00 30 $#7=000'00
ube gr olex Ayu! 11=300 #0 #7$=000'00
+ox"100 pc! >A 3=000 10 30=000'00
+ox"100 raha 3*=400 0 1=*70=000'00
+ox"100 Nova 2=$#0 0 0'00
+tl >rela 13=300 0 ##=000'00
+ox"100 -/5 31=000 20 #20=000'00
+ox"100 er!i 13*=10 $ 1=113=200'00
+ox"100
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0 0'00
0 0'00
0 0'00
0 0'00
0 0'00
0 0'00
0 0'00
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-
7/25/2019 4. Usulan Obat Januari 2016
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,3-623-2+0.00
1,-30+-200.00
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RENCANA KEBUTUHAN OBAT 55
BPJS 2016
PUSKESMAS : BELAWAN
BULAN : Januari
No Nama Umum Nama Dagang :ema!an
1 2 4
1 (aviton hite 30 g Caviton 4hite +ox
2 >til (hlori,e !pray 'til Chlori"e (an" +tl
3 8emo!pon /emospon +ox"10
4 Nee,le 5or (arul (ranso"ent +ox"100 pc!
>lite (ement -ement Beng ;ho!pat ) 'lite Cement +ox"3"30 gr
# 5ui 9C inipack u5i I6 Minipa#k +ox
7 ixing ;a,! No' 22 Mixing a"s +ox"10
$ (elluloi, -trip Celluloi" Strip +ox
* -eptocain Septo"ont +ox"0 amp
10 Alvogyl Septo"ont box
11 umpatan
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;abrik 8arga :ema!an ?umlah :ebutuhan
5 6 7 8
( (orp 30#=000 1 30#=000'00
;ro,uk luar 110=20 1 1=#3=70'00
ech Ne@ 12#=000 3 37$=000'00
ran!o,ent 234=000 1 3=10=000'00
( (orp 400=000 2=000=000'00
5ui #40=000 3=200=000'00
( (orp 11=000 3 34=000'00
Dentaire! 240=000 2 4$0=000'00
-epto,ont 700=000 3=00=000'00
-epto,ont 21=720 1=2$=#00'00
9ntro,uctory :it 2=#$#=700 1 2=#$#=700'00
0'00
0'00
0'00
0'00
0'000'00
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268600
2-2-000.+0
,0300.+
3+.8
2++-,6
NAME
3-+6-300.00
R)6-36-+0.00
R),3-623-2+0.00
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20/38
RENCANA KEBUTUHAN O
BPJS 2016
PUSKESMAS : BELAWAN
BULAN : @anuari
N Na!a O"a#1 2
1 A$"%n&a'$ (u()%n(i 200 !*/ + !$
2 A$"%n&a'$ ,00 !* #a"$%#/a)$%#/a)(u$
3 A$)urin$ 100 !* #a"$%#/a)$%#/a)(u$
, A$)urin$ 300 !* #a"$%#/a)$%#/a)(u$
+ A$ra'$a! 0-2+ !* #a"$%#/a)$%#/a)(u$
6 A$ra'$a! 0-+ !* #a"$%#/a)$%#/a)(u$
A$ra'$a! 1 !* #a"$%#/a)$%#/a)(u$
8 A!in$in 200 !* #a"
A!in$in 1+0 !* #a"10 A!i#ri)#i$in 2+ !* #a"$%# (a$u#
11 A!$&i)in 10 !*
12 A!$&i)in + !*
13 A!(i(i$in 2+0 a)(u$/a)$%#
1, A!(i(i$in +00 a)(u$/a)$%#/#a"$%#
1+ A!(i(i$in (iru) %rin* r#% 2+0 !*/ + !$
16 A!(i(i$in (iru) %rin* 12+ !*/ + !$
1 An#a(i&a 4OEN 5 #a"$%# una7- !"ina(i
18 An#a(i&a 4OEN 55 (u()%n(i
1
20 An#i "a#%ri 4OEN (a$%) !"ina(i
21
22 An#i Mi*r%n
23 An#i Parin(n 4OEN
2, A(a! A(%#i$ Sa$i(i$a# a(%#(a$9 100 !* #a"$%#
2+ A(a! A(%#i$ Sa$i(i$a# a(%#(a$9 80 !* #a"$%#/ Minia()i 80
26
2 A(a! A(r"a# i#a!in C9 #a"$%# 2+0 !*
28 A(a! A(r"a# i#a!in C9 #a"$%# +0 !*
2 A(a! ;$a# #a"$%#/a)(u$/a)$%# 0-, !*
30 A(a! ;$a# #a"$%#/a)(u$/a)$%# 1 !*
31 A(a! M%%na!a# 2+0 !* a)(u$/ a)$%#
32 A(a! M%%na!a# +00 !* a)(u$/ a)$%#
33 A(i$
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21/38
N Na!a O"a#
1 2
,8 4(i(i$in #a"$%#/a)(u$/a)$%# 100 !*
, 4!)%ri&n (u()%n(i/(iru) + !*/+ !
+0 4!)%ri&n #a"$%# 10 !*
+1 E)in%rin A&r%na$in9 in@%(i i.
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22/38
N Na!a O"a#
1 2
+6 Eu*%n$ ?airan
+ ;%n"ar"i#a$ in@%(i i.!./i.
1 ri(%u$ Ni#ra#9
102 Na#riu! 4i$%na 2+ !*
103 Na#riu! 4i$%na +0 !*
10, Na#riu! K$ri&a $ar# inu( 0->
10+ Ni%&i)in 30 !*- r(
106 Ni(#a#in +00.000 5U/*
10 O(i#(in in@%(i 10 5U/!$ in@%(i
108 O(i!%#a'$in #%#%( 7i&un* 0-02+>/ 5$$ia&in &r)(10 O(i!%#a'$in #%#%( 7i&un* 0-0+>/ 5$$ia&in ()ra
110 Para(%#a!$ +00 !*
ara! Ora$i# 5 (%r"u- !"ina(i : Na#riu! $ri&a 0-+2 *a$iu! $ri&a 0-30 * Trina#riu! (i#ra# &i7i&ra# 0-+8 * $u(aAn7i&ra# 2-0 *
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23/38
N Na!a O"a#
1 2
111 Para(%#a!$ (iru) 120 !*/ + !$
112 P D 30 !$
113 P D 300 !$
11, Pr%&ni(n + !*
11+ Pr)i$#iura(i$ 100 !*
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2,/38
N Na!a O"a#
1 2
116 Rani#i&in 1+0 !*
11 Rin*%r $a#a# $ar# inu(
118 Sa$"u#a!$ 2 !*
11 Sa$"u#a!$ , !*
120 Sa$%) 2,121 Siana"a$a!in i# B129 in@%(i +00 !?*
122 Sian"a$a!in +0 !*
123 Si!
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2+/38
AT
Sa#uan3 6
"#$ 10 !$ 0
#a"$%#/a)$%#/a)(u$ 0
#a"$%#/a)$%#/a)(u$ 3-000
#a"$%#/a)$%#/a)(u$ 0
#a"$%#/a)$%#/a)(u$ 0
#a"$%#/a)$%#/a)(u$ 0
#a"$%#/a)$%#/a)(u$ 0
#a"$%# 2-000
#a"$%# 0#a"$%# 1-000
#a"$%# 8-000
#a"$%# 10-000
a)(u$/ a)$%# 3-000
#a"$%#/a)$%# 10-000
"#$ 60 !$ 0
"#$ 60 !$ +00
#a"$%# 8-000
"#$ 60 !$ 300
80
#u"% + * 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
#a"$%#/a)(u$/ a)$%# 0
#a"$%#/a)(u$/ a)$%# 8-000
a)(u$/ a)$%# 0
a)(u$/ a)$%# 10-000
#a"$%#/a)(u$/ a)$%# 0
#a"$%#/a)(u$/ a)$%# +-000
#a"$%# +-000
&u( +0 * 300
#u"% + * 200
(u)) +0
#a"$%# 0
#a"$%# 2-000
a!)u$ 80
a!)u$ 0
#a"$%#/a)(u$/ a)$%# 2-000
a!)u$ 0
#a"$%# 0
#a"$%# 0
#a"$%# 0
Ju!$a7
K%"u#u7an
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26/38
Sa#uan
3 6
Ju!$a7K%"u#u7an
#a"$%# 0
"#$ 60 !$ 0
#a"$%# 1-200
a!)u$ 0
a)(u$/ a)$%# 0"#$ 60 !$ 0
a)(u$/ a)$%# 0
"#$ 100 !$ 0
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2/38
Sa#uan
3 6
Ju!$a7K%"u#u7an
"#$ 10 !$ 0
a!)u$ 30
#a"$%#/a)(u$/ a)$%# 1-000
#a"$%# 0
#a"$%# 3-000a!)u$ 100
#a"$%# 3-000
(a 2-000
a)(u$/ a)$%# 0
#u"% 0
"#$ 100
#a"$%# 0
#a"$%# 0#a" 10-000
"#$ 0
#a" 1-000
#a"$%# 1-000
#u"% + * 100
"#$ 0
#a" 2-000
#a" ,-000
#a"$%#/a)(u$/ a)$%# 0
#a" +-000
#a" 0
#a" 8-000
#a" 2-000
"#$ 0
#a" 3-000
#u"% 10 * 200
#a" 2-000
#a" 2-000
#u"% + * 100
#u"% 1+ * 0
#a"/a)$%#/ a)(u$ 3-000
#a" 1-000
#a" 8-000
"#$ 1-000
#a" 3-000
a!) 80
#a" 2-000
#a" +-000
#a" 2-000
"#$ 0
#a" 0
#a" 3-000
#u"% 10 * 200
#a" 3-000
#a" 3-000
"#$ 80
#a" 0
#a" 0
a!) 0
"#$ 10 !$ 0"#$ 1+ !$ 0
#a" 0
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28/38
Sa#uan
3 6
Ju!$a7K%"u#u7an
"#$ 1-200
"#$ 100
"#$ 0
#a" 3-000
#a" 2-000
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2/38
Sa#uan
3 6
Ju!$a7K%"u#u7an
#a" 10-000
"#$ 101
#a" +-000
#a" 0
)# 30 * 200a!) 200
#a" 3-000
#a" 10-000
#a" 10-+00
a) 0
a) 0
#a" 0
#a" 0
#a" 3-000
#a" 1-000"#$ 30
"=/ 100 (%# +0
)?( 20
)?( 20
"=/ 100 )?( 30
)(* 30
&u( 0
r$$ 0
r$$ 0
"=/ 2, )?( 0
"=/ 36 )?( 0
"=/ +0 )?( 20
B#$ 1 Li#%r 0
B#$ 0
0
0
0
M%&an- ..........................
K%)a$a Pu(%(!a( B%$aan
&r. A&i Ra@a Bran& Lu"i(
Ni). 111126200312100,
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RE
PUSKESMAS
BULAN
No Nama Umum1 2
1 Acyclovir cream
2 Alkohol 70%
3 Allupurinol 100 mg tab
4 Ambroxol 30 mg
Amok!i!ilin 12 mg" ml !irup kering
# Amoxicilin 20 mg
7 Antalgin 00 mg
$ A!am A!korbat &it' () 0 mg* +e,ak -alicyl 2 %
10 +etahi!tin # mg
11 +etameta!on 1 mg. Neomicyn mg
12 +loo,/ancet
13 +romhexine . li!erilguaiacolat
14 (al!ium /aktat 00 mg
1 (hloramenicol ete! ata
1# ( 4 mg
17 Diaepam mg
1$ 5amoti,in 40 mg
1* aram 6ralit ra!a eruk
20 entamicin !alep kulit
21 ri!eoulvin 12 mg tab
22 8202 3 %
23 8y,rokorti!on !alep
24 9buproen 200 mg
2 9buproen 400 mg
2# 9buproen -yrup
27 :etokonaol 200 mg
2$ :loiramenicol 20 mg
2* /i,okain inek!i
30 etormin 00 mg
31 etoklorpami, 10 mg
32 etroni,aole 00 mg
33 iconaole :rim
34 Natrium Dicloenac 2
3 Natrium Dicloenac 0
3# Nipe,ipin 10 mg37 !/
3$ ;iroxicam 20 mg
3* ;yri,oxin 10 mg
,0
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4$
4*
0
1
2
3
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CANA KEBUTUHAN OBAT
BPJS 2016
: BELAWAN
: Januari
Nama Dagang :ema!an ?umlah :ebutuhan4 7
Molavir ube 4
Alkohol 70% +tl"1 liter 1#
Selespurin 100 mg +ox"100 ab 0
Intibrox 30 mg +ox"100 0
Novamox syrup +tl"#0 ml 0
Arkamox +ox"100 0
Novaron +ox"100 20
Seles C 0 mg +tl"1000 10!e"ak Sali#yl $ % ;ot"100 gr 0
!etahistin mg +ox"30 30
!evalex ube gr #0
&'A +ox"100 pc! 10
&raxine +ox"100 0
Novakalk +ox"100 0
'rlami#etin ((M +tl 0
Selmetor ) mg +ox"100 20
*al"imex mg +ox"100 $
+a,i#o )0 mg +ox"100 20
+amolit +ox"100 !ak 0
gentalex -. ube gr #0
&ri#in 1$ mg +ox"100 0
/$0$ 3 % +tl"1 liter 1
exa#orton -. ube gr #0
Novaxipen $00 mg +ox"100 0
Novaxipen )00 mg +ox"100 0
Novaxipen Syrup +tl"#0 ml 0
exa2ole $00 mg +ox"30 tab 20
&ra,a#etin $0 mg +ox"100 10
;ehacain 9nek!i +ox"20 amp 0
&lu"epati# 00 mg +ox"100 #0
*osea +ox"100 20
Novagyl +ox"100 0
Mola"erm -. ube 10 mg 0
+ena"ina# $ mg +ox"100 30
+ena"ina# 0 mg +ox"100 30
armalat 10 mg +ox"100 30!/ +tl"100 ml 300
&ra2eo $0 mg +ox"100 #0
Sele"oxin 10 mg +tl"1000 10
+ivanol +tl"300 ml 10
&ara,alin $ mg +ox"100 20
&ra,alin ) mg +ox"100 20
Norpi" 10 mg +ox"30 tab 0
Seles !1 0 mg +tl"1000 10
'rlamy#etin tetes telinga +tl 00
0
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0
0
0
0
0
0
e,an= ''''''''''''''''''''''''''
:epala ;u!ke!ma! +ela@an
,r' A,i
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RE;
1,-30+-200.00
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RENCANA KEBUTUHAN OBAT 55
BPJS 2016
PUSKESMAS : BELAWAN
BULAN : Januari
No Nama Umum Nama Dagang
1 2 4
1 (aviton hite 30 g Caviton 4hite
2 >til (hlori,e !pray 'til Chlori"e
3 8emo!pon /emospon
4 Nee,le 5or (arul (ranso"ent
>lite (ement -ement Beng ;ho!pat ) 'lite Cement
# 5ui 9C inipack u5i I6 Minipa#k
7 ixing ;a,! No' 22 Mixing a"s
$ (elluloi, -trip Celluloi" Strip
* -eptocain Septo"ont
10 Alvogyl Septo"ont
11 umpatan
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:ema!an ?umlah :ebutuhan
7
+ox 1
(an" +tl 1
+ox"10 3
+ox"100 pc! 1
+ox"3"30 gr
+ox
+ox"10 3
+ox 2
+ox"0 amp
box
box"4!yringe 1
e,an= '''''''''''''''''''''''''' NAME
:epala ;u!ke!ma! +ela@an 3-+6-300.00
Err:+0
Err:+0
,r' A,i
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268600
RE;
RE;
RE;
RE;