resep obat generik (maret)

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    REKAPITULASI LAPORAN : PEGGUNAAN RESEP OBAT GENERI

    Ruangan : Gudang obatPuskesmas : Kampar Kiri

    Kabupaten : KamparBulan : MARET 2016

    TA GGA!

    R"#BAT$M$M A%KE%

    &$M!A'!EMBAR T#TA! R" T#TA! R" #BAT ( R" #BAT GE ER)K T#TA! R" T#TA! R" #BAT ( R" #BAT GE ER)KRE%EP GE ER)K TER'A*AP T#TA! R" GE ER)K TER'A*AP T#

    1 2 3 4 5 6 7

    26 2+ +2 +2 100( 10 10 100(2, -, ,. ,. 100( 10 10 100( &anuari 2. 1, -1 -1 100( / / 100(

    2/ 1, 2- 2- 100( . . 100(-0 21 -- -- 100( 20 20 100(-11 -. 62 62 100( -0 -0 100(2 2- - - 100( 10 10 100(- +- ,/ ,/ 100( 20 20 100(

    ebruari + 1/ -2 -2 100( 16 16 100(

    20 -1 -1 100( 10 10 100(6 1, 20 20 100( 1 1 100(, - . . 100( 100(. 1 100( 100/ -0 -- -- 100( 20 20 100(

    10 -- - - 100( 22 22 100(11 2/ -1 -1 100( 20 20 100(12 1, 2. 2. 100( , , 100(

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    1- 22 +0 +0 100( 12 12 100(1+ - , , 100( 1001 -/ - - 100( 20 20 100(16 20 +0 +0 100( , , 100(

    1, -0 ,1 ,1 100( / /1. +0 6 6 100( +0 +0 100(1/ -0 -. -. 100( 1, 1, 100(20 26 + + 100( 11 11 100(21 ++ 60 60 100( 2 2 100(22 1+ 2, 2, 100( + + 100(2- 2- 21 21 100( 20 20 100(2+ 2- ++ ++ 100( 10 10 100(2 16 1. 1. 100( 10 10 100(

    T#TA!ME GETA'$)

    Pl KEPA!A $PT* P$%KE%MA% KAMPAR K)R) Penanggung3a4ab Gudang #bat

    %u arpa5 % arn Aptip 1/, 0.0 200/0+ 2 001 )R)K: ++05P1+060101015201 5015160

    dr5 Pasni4ati

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    K DI PUSKESMAS

    &$M!A' &AMKE%MA%

    T#TA! R" T#TA! R" #BAT ( R" #BAT GE ER)K

    GE ER)K TER'A*AP T#TA! R" T#TA! R" T#TA! R" #BAT ( R" #BAT GE ER)K 7$M$M A%KE% 7$M$M A%KE% 7$M$M A%KE%

    GE ER)K TER'A*AP T#TA! R" &AMKE%MA% &AMKE%MA% &AMKE%MA%7+8,8109 7 8.8119 71+ : 1- 100(9

    9 10 11 12 13 14

    1 1 100( 6. -00( 22560(20 20 100( 10. -00( -6(/ / 100( +/ -00( 16(

    10 10 100( +1 -00( 1+(1- 1- 100( 66 -00( 22(

    -2 -2 100( 12+ -00( +1(12 12 100( , -00( 11560(-0 -0 100( 12/ -00( ++(10 10 100( . -00( 1/(

    10 10 100( 1 -00( 1,500(1/ 1/ 100( + -00( 1.(

    100( . -00( .(100( -00( 500(

    -0 -0 100( .- -00( 2,560(2. 2. 100( 10- -00( -+5-0(22 22 100( ,- -00( 2+(11 11 100( +6 -00( 1 5-0(

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    20 20 100( ,2 -00( 2+560(100( , -00( ,(

    -0 -0 100( 10. -00( -+5-0(11 11 100( . -00( 1/5-0(

    10 10 100( ./ -00( 2/560(1/ 1/ 100( 11 -00( -/(-0 -0 100( 6 -00( 21560(10 10 100( , -00( 2 5-0(+0 +0 100( 12 -00( +1560(10 10 100( +1 -00( 1-560(21 21 100( 62 -00( 20560(1- 1- 100( 6, -00( 225-0(1. 1. 100( +6 -00( 16(

    !)PATKA) 2/ EBR$AR) 2016PEMB$AT !AP#RA

    )P 1/6+1011 1/.,0- 1 006*AMA '$R)

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    LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT(LPLPO)

    K#*E P$%KE%MA% 1+0600,,101

    P$%KE%MA% Kampar KiriKE;AMATA Kampar KiriKAB"K#TA KamparPR#at o520 p>s 1+0 100 2+0 220 202 Abbo>at o522 p>s 1 100 2 2+ 10

    - Abbo>at o52+ p>s ,0 100 1,0 1 0 20+ A>i>lo?ir >ream tube 0 -00 -00 200 100

    A>i>lo?i 200 mg tab 21 0 2 00 +6 0 +000 6 06 A>i>lo?i +00 mg tab 1200 2000 -200 -000 200, Alat suntik 1 ml p>s 0 -00 -00 -00 0. Alat suntik 2 ml p>s 0 00 00 + 0 0/ Alat suntik - ml p>s 0 200 200 120 .0

    10 Alat suntik ml p>s 20 0 0 0 011 Allupurinol 100 mg tab 0 0 0 0 012 Aminop ilin 200 mg tab --00 00 -.00 .00 -000

    1- [email protected] '>l 2 mg tab 6,0 -000 -6,0 2,0 -+001+ Amo i>illin 00 mg tab 11200 10000 21200 1/000 22001 Amo i>illin 2 0 mg tab ,00 -00 1000 .00 20016 Amo i>illin [email protected] btl 1/ 0 0 0 01, Ampi>illin 00 mg tab 0 6000 6000 6000 01. Ambro ol -0 mg tab /000 -00 /-00 .-00 10001/ Ambro ol [email protected] tab ,0 0 ,0 ,0 020 Amlodipin mg tab //-0 0 //-0 //-0 0

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    21 Amlodipin 10 mg tab 0 1000 1000 1000 022 Antalgin 7Metampiron9 00 mg tab ,- .000 .,- ,- -0002- Antasida doen tab 1-. 0 0 1-/00 12/00 10002+ Antasida [email protected] tab -00 0 -00 -00 0

    2 Anti emoroid *oen tab 0 0 0 0 026 Asam as>orbat 7itra>in [email protected] in tube +0 0 +0 +0 0-1 Betametason tube 0 +. /. .0 1.-2 ;atgut"Benang Beda 7plainD> romi>9 p>s 0 00 00 + 0 0-- ;iproplo aa>in 00 mg tab 20 0 20 20 0-+ ;@ana>obolamin 7 in -00 mg kps 0 1000 1000 .00 200+2 ; lorampeni>ol %@rup btl ,00 /6 ,/6 600 1/6+- ; lorampeni>ol %alap Mata 1 ( tube 1+ 0 1+ 1+ 0++ ; loram eniramine Maleat 7;TM9+ mg tab 0 2000 2000 2000 0+ ;otrimo aFole +.0 mg tab 0 000 000 +000 1000+6 ;otrimo aFole [email protected] btl 0 0 0 +0 10+, ;aptropil 12 mg tab 0 +000 +000 - 00 00

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    +. ;aptropil 2 mg tab 0 +000 +000 +000 0+/ *e amat ason in3eksi ampl 1 100 2 2 0

    0 *e amet ason 0 mg tab 0 -000 -000 2 00 001 *e tromet orpan 1 mg tab 0 0 0 0 0

    2 *e tromet orpan [email protected] btl 0 0 1000 +00 600- *e?italisasi pasta 7 non arsen9 tab 0 0 0 0 0+ *iaFepam in3eksi ampl 20 0 20 0 20

    *i en idramin '>l )n3k tab 0 0 0 0 06 *igoksin 0 2 mg tab 0 0 0 0 0, *omperidon %@rup btl ,0 100 1,0 1-0 +0. *omperidon tablet tab ,00 100 .00 .00 0/ Ep edrin '>l 2 mg tab 2,00 0 2,00 ,00 2000

    60 Etanol ,0 ( btl 0 2 2 2 061 Etil ; loride %[email protected] btl 0 12 12 12 0

    #5AMA #BAT

    %AT$A %T#K A=A! PE ER)MAA PER%E*)AAPEMAKA)A

    %7- B! 9

    1 2 3 4 5 6 7

    62 Ekstra beladon 10 mg tab - 00 -000 6 00 - 00 -000

    6- Eugenol tab ,. 2 .0 10 ,06+ urosemid +0 mg tab 1000 1000 2000 2000 06 [email protected] kateter no520 G p>s 0 0 0 0 066 enol Gliserol tts telinga 10 ( btl 0 0 0 0 06, Garam oralit sa>et 100 -00 +00 200 2006. Glibenklamid tab -000 2000 000 +000 10006/ Gliaeril Guaia>olat 100 mg tab 201 -000 01 +01 1000,0 Glukosa btl 0 0 0 0 0,1 Gentami>in salap kulit tube 0 0 0 0 0

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    ,2 Grisio ul?in 12 mg tab 0 2000 2000 1 00 00,- Glass lonomer >ement p>s 0 0 0 0 0,+ 'alloperidol 1 mg tab 0 0 0 0 0, 'idro> lortiaFid 7 ';T 9 2 mg tab 0 2000 2000 1000 1000

    ,6 'idro>ortison ;ream 2 ( tube 0 200 200 1 0 0,, )bupro en 200 mg tab 0 0 0 0 0,. )bupro en +00 mg tab 0 2000 2000 1 00 00,/ )n usion set anak p>s .. 0 .. 10 ,..0 )n usion set de4asa7 makro 9 p>s 100 1 1 0.1 Kalium *iklo enak 0 mg tab 0 0 0 0 0.2 Klium !aktat 7;a !a>t 9 00 mg tab 6/00 -000 //00 ,000 2/00.- Kapas berlemak 00 mg p>s 6 10 16 6 10.+ Kapas pembalut 2 0 mg p>s - 20 2- . 1. Kassa Pembalut 'idro l + - p>s 0 20 20 20 0

    .6 Kassa steril 16 16 p>s 1 0 6 10

    ., Kassa -6 .0 p>s 0 2 2 2 0

    .. Ketopro en 100 mg tab 0 0 0 0 0

    ./ KetokonaFole -0 mg tab 0 0 0 0 0/0 !ansopraFole -0 mg tab 0 0 0 0 0/1 !e?oHo a>in 00 mg tab 0 0 0 0 0/2 !ido>ain 2 ( ampl 0 0 0 0 0/- !ido>ain Epineprin in3k ampl -0 60 /0 /0 0/+ !oratadin 10 mg tab 100 1000 1100 1100 0

    #5 AMA #BAT %AT$A %T#K A=A! PE ER)MAA PER%E*)AAPEMAKA)A

    %)7- B! 9

    1 2 3 4 5 6 7 8

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    / Met il Prednisolon + mg tab 0 0 0 0/6 Met il Egometrin Maleat 0 2 mg in3k ampl 0 0 0 0 0/, MetronidaFol 2 0 mg tab 00 -000 - 00 -000 00/. Meto> lorpramid tab -00 2000 2-00 2-00 0// Met ormin 00 mg tab 0 -000 -000 2000 1000

    100 Melo i>am , mg tab 0 100 100 100 0101 Masker *isposible p>s 0 .0 .0 .0 0102 Mi>onaFole >r tube 0 -00 -00 2 0 010- atrium Bi>arbonat 7 a Bi>9 00 mg tab 0 0 0 0 010+ atrium ; lorida 7 a ;l9 in us 0 / ( tab 0 0 0 0 010 atrium *iklo enak 0 mg tab 0 2 00 2 00 2 00 0106 istatin 1005000 )$"G kap 0 0 0 0 010, i edipin 10 g tab 0 2 00 2 00 2-00 20010. #mepraFole 20 mg kap 0 1 0 1 0 1 0 0

    10/ # itetra>iklin '>l - ( %alap Kulit tube 0 200 200 1 0 0110 # itetra>iklin '>l 1 ( %alap Mata tube 0 0 0 0 0111 #bat Batuk 'itam 7#B'9 btl 100 100 200 200 0112 Piridoksin '>l 7?it B69 10 mg tab 1000 2000 -000 2 00 0011- Para>etamol 00 mg tab -,00 10000 1-,00 12,00 100011+ Para>etamol [email protected] btl 1., 16. - -0011 Papa?erin +0 mg tab 2000 1000 -000 2000 1000116 Pembalut Gips p>s 0 0 0 0 011, Plaster Iard 2 in>i74arna puti 9 p>s 0 10 10 . 211. Prednison mg tab 2000 2000 +000 -000 200011/ Propiltiora>il 100 mg tab 0 0 0 0 0120 Pira>etam .00 mg tab 2000 1000 -000 200 2.00121 Piro i>am 10 mg kap 0 0 0 0 0122 Piro i>am 20 mg kap 600 0 600 0 012- Ranitdin 1 0 mg tab 0 -000 -000 -000 012+ Ranitdin )n3eksi ampl 60 0 60 60 012 Ringer !aktat 7R!9 Hs 120 0 120 60 60126 %i?astatin 10 mg tab 0 120 120 120 0

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    12, %albutamol 2 mg tab -000 2000 000 000 0

    #5 AMA #BAT %AT$A %T#K A=A! PE ER)MAA PER%E*)AAPEMAKA)A

    %)7- B! 9

    1 2 3 4 5 6 7

    12. %abutamol + mg tab 0 0 0 0 012/ %ali>il Bedak 2 ( sa>et 0 60 60 20 +01-0 %erum Anti Bisa $lar in3 7AB$9 ampl 0 1 1 0 11-1 %erum Anti Tetanus inks5205000 )$"

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    1 1 utri?ita %@rup btl 0 0 0 0 01 2 o?akal tab 0 000 000 +000 10001 - #megtamin tab 0 -000 -000 -000 01 + Pap ro in tab 0 0 0 0 01 Pan?iton kps 0 0 0 0 01 6 Probion kps 0 0 0 0 01 , Piridol *rops 2 ml btl 0 0 0 0 01 . Rema>ort tab 0 0 0 0 01 / Re>o tts Telinga btl 0 0 0 0 0160 %upra !i?ron tab 0 0 0 0 0161 [email protected] tab 0 0 0 0 0

    #5 AMA #BAT %AT$A %T#K A=A! PE ER)MAA PER%E*)AAPEMAKA)A

    %)7- B! 9

    1 2 3 4 5 6 7 8

    162 Tuseli %@rup btl 0 0 0 0 016- ?itka )n ant p>s 0 0 0 0 016+

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    Mengetahui /Menyetujui Yang Menyerahkan MengetahPlt Kepala Dinas Kesehatan Kepala Instasi Farmasi Plh UPTD puskesmas k

    dr.MUHAMMAD HA I! HA U".!KM dr.PA!"I#A "IP.$%&'(')$ $%%*(+ $ ((+ "IP.$%',(*(, )((%(-"IP.$%'-$((, )((+$) $ ($'

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    Yang Melap rkan mpar kiri Petugas Puskesmas

    !U!I A#ATI.Amk ) (($ "IP.$%*$($$+ )($-(& ) ((+