LPLPO YNR Terbaru

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLP

Puskesmas : YANIRUMA
Distrik : YANIRUMA
Kabupaten : BOVEN DIGOEL
Provinsi : PAPUA
Periode Laporan : 2019

SATUA EXP STOK PENERI PEMAKAI


NO NAMA BARANG BATCH NO
N DATE AWAL MAAN AN

1 2 3 4 5 6 7 8

A OBAT
1 Acetosal tab
2 Acetosal 100 mg tab
3 Acyclovir 200 mg tab
4 Acyclovir 400 mg tab
5 Acyclovir cream tube
6 Adimidon inj/ benodon inj vial
7 Adrenalin inj ampl
8 Albendasole 400 mg tab
9 Albendazole 400 mg tablet
10 Albotyl/ Polikresulen btl
11 Aletrol/kemicort TM btl
12 Allopurinol tablet
13 Ambroxol tab tablet
14 Aminophyllin inj ampul
15 Aminophyllin tab tablet
16 Amitriptilin tab tablet
17 Amlodipin 5 mg tab
18 Amoxylin 250 mg kapsul
19 Amoxyllin dry syr btl
20 Amoxycillin 500 mg/Inamox tablet
21 Ampisilin 500 mg tab
22 Anacetin syr btl
23 Antalgin 500 mg tab
24 antalgin inj ampl
25 Antasida DOEN tablet
26 Antasida DOEN syr btl
27 Antifungi DOEN salep pot
28 Antihaemoroid supp
29 Antihaemoroid Tablet tab
30 Aqua jelly ECG tube
31 Aqua pro inj 20 ml vial
32 Aqua pro inj 500 ml btl
33 Aquabidestillata vial
34 Asam mefenamat 500mg tab
35 Asam traneksamat 500 mg tab
36 Asering infus btl
37 Atropin inj ampul
38 Atropin tab tablet
39 Bargetol / carbamazepin tab
40 Becarbon tab
41 Bedak Salicyl Dos
42 Benzatin Benzil Penicillin 1,2 jt IU vial
43 Berotec cairan inhalasi btl
44 Betametason crem 0,1 % tube
45 Bio ATP tab
46 Bioplacenton jely tube
47 Birotec neb btl
48 Bisolvon 10 mg/ 5 ml sol btl
49 Bisolvon Nebulizer btl
50 Bronsolvan tab
51 Bufacetin / Chloramphenicol cream tube
52 Buscopan inj 20 mg/ml amp
53 Burnasin crem 35 gr tube
54 Buscopan tab 10mg kaps
55 Bromhexine HCl tab
56 Bromhexine HCl Solution btl
57 Calsidol syr btl
58 Calsium glukonas amp
59 Captopril 25 mg tablet
60 Carbamazepin 200 mg tab
61 Catapres inj ampul
62 Caviplek drop btl
63 Caviplek Syr btl
64 Caviplek tab tab
65 Cefadroxyl 500 mg kapsul
66 Cefadroxyl syr btl
67 Cefixim 100 mg tab
68 Cefotaxim vial
69 Cefriaxzon inj vial
70 Chloramphecort SK tube
71 Chlorampenikol TT 3 % btl
72 Chloramphenicol 250mg tablet
73 Chloramphenicol SK 3% / farcikol tube
74 Chloramphenicol SM 1% tube
75 Chloroquin 250mg/ Erlaquin tablet
76 Chlorpeniramin maleat (CTM) 4mg tablet
77 Chlorpromazin inj amp
78 Cimetidin tab
79 Ciprofloxacin 500mg tablet
80 Codein tab
81 Coldrexin syr
82 Combantrin 125 mg/ konvermex 125 mg tab
83 Combantrin syr/ convermex syr btl
84 Cotrimoksasole suspensi botol
85 Cotrimoxazole 120mg tablet
86 Cotrimoxazole 480mg tablet
87 Curcuma tab
88 Curcuma plus DHA syr
89 Cyanocobalamin inj ampul
90 Daryantule pcs
91 Dasabion kaps
92 Demacolin tab
93 Daneuron tab
94 Dexametason inj ampul
95 Dexamethason 0,5mg tablet
96 Dextromethorpan 15mg tablet
97 Dextrometorpan tab
98 Dextrosa 10 % btl
99 Dextrosa 40 % btl
100 Dextrosa 5 % infus btl
101 Dhipenhidramin inj amp
102 Diasepam 2 mg tablet
103 Diasepam 2 mg tab tab
104 Diasepam inj ampul
105 Dietylcarbamazine 100 mg tab
106 Digoxin tablet
107 Diltiazem 30 mg tab
108 Dimenhidrinat tab
109 Dobutel inj vial
110 Domperidon tab
111 Domperidon syr btl
112 Dopamet tab
113 Dopamin Giulini ampul
114 Dopamin inj amp
115 Doxyciclin 100mg kapsul
116 Dulcolax tab tab
117 Dulkolak supp supp
118 Efedrin tablet
119 Elkana tab tab
120 Ephinefrin ampul
121 Ergotamin cafein tab
122 Ergotika tab
123 Erlamicetin SM1% tube
124 Erlamicetin TT 3 % btl
125 Erytromicin 500 mg / eryra kapsul
126 Etadryl / Delladryl vial
127 Etamidon inj vial
128 Etanol 70 % 1000 mL btl
129 Ethylchlorida semprot botol
130 Euchinin tab
131 Extrabeladon tab tab
132 Extrax belladone tab
133 Furocemid tab
134 Furosemid inj amp
135 Gameksan 1% btl
136 Garam Oralit sachet
137 Gentamicin inj ampul
138 Gentian violet botol
139 Glibenklamid tablet
140 Gliceril Guaiacolat tablet
141 Graxine tab
142 Griseovulfin 125mg tablet
143 Larutan HCl 0.1 N botol
144 Halloperidol 1,5 mg tab
145 Hepasil tab
146 Hidrochlorthiazid tablet
147 Hidrocortison 2,5% Cream tube
148 Hydrogen Peroxide 3 % 100 mL btl
149 Ibuprofen 200mg tablet
150 Ibuprofen 400 mg tablet
151 Inflamid btl
152 INH 300 mg tab
153 Iodiol kapsul
154 Isi Oksigen Besar tabung
155 Isi Oksigen kecil (1,5m3) tabng
156 Isosorbit dinitrat tablet
157 KAEN 3A btl
158 KAEN 3B btl
159 KAEN I B btl
160 Kalium permanganat pot
161 Kalsium laktat 500mg tablet
162 Kanamisin inj vial
163 Kandistatin btl
164 Ketamin inj vial
165 Ketokonasol 200 mg tab
166 Ketokonasol crem tube
167 Keterolac inj ampul
168 Keterolac tab
169 Kina tab
170 Konvermex 125 mg / Pyrantel Pamoate tab
171 Lanzoprazole kapsul
172 Librofed tab tab
173 Lidocain 2% amp
174 Lidocain Comp 2% amp
175 Lomatul pcs
176 Lopamid tab
177 Loperamid 2 mg tab
178 Lysinku syr btl
179 Lysol btl
180 Maintate 2,5 mg tab
181 Maltosa 10 % cairan infusa btl
182 Maylon inj btl
183 Mebendasol tab
184 Mebhidrolin tab/Interhistin tab
185 Metherinal / metyl ergo tab
186 Methylergometrin inj/myomergin ampul
187 Methylergometrin maleat 0,125 mg tablet
188 Metoklopramid inj amp
189 Metoklopramid tab tab
190 Metronidasol 250 mg tablet
191 Metronidasol infus btl
192 Metronidasole 500 mg tab
193 Metyergometrin inj amp
194 Methylergometrin maleat inj 0,2 mg/mL amp
195 Metylprednisolon 4 mg tab
196 MgSO4 20 % btl
197 MgSO4 inj 40 % btl
198 Microlak supp supp
199 Miconazole tube
200 Na bicarbonat / SODIUM BICARBONAT tab
201 Na Diklofenak 25 mg tab
202 NaCl 0,9 % infus btl
203 Natrium diklofenak 50 mg tab
204 Natrium Penitoin 30 mg kap
205 Natrium phenitoin tablet
206 Ne Diatab tab
207 New Antides tab
208 Nebulazer set
209 Neurobion 1000 mg tab
210 Neurobion 5000 mg tab
211 Neurobion inj 5000 mg ampul
212 New baby cough syr btl
213 New guanistrep syr btl
214 Nicholin inj amp
215 Nifedipin 10 mg tab
216 Nistatin Oral 500000UI tablet
217 Nistatin Vagina 100000UI supp
218 OBH syr btl
219 Obimin kaplet
220 Omeprasole kapsul
221 Oseltamivir tab
222 Oxytetracyclin SK 3% tube
223 Oxytetracyclin SM 1% tube
224 Oxytosin inj amp
225 Papaverin inj ampl
226 Papaverin tab tab
227 Paracetamol 100mg tablet
228 Paracetamol 500mg tablet
229 Paracetamol syr btl
230 Paraformaldehid tab
231 Parasetamol 500 mg tab
232 Pehacain inj ampul
233 Pehavral tab tab
234 Penbiotic inj
235 Phenobarbital tab
236 Phenobarbital inj ampul
237 Phenobarbital tab tablet
238 Phenylbotason tab
239 Phitogin inj ampul
240 Piracetam inj amp
241 Piracetam tab tab
242 Piroxicam 10 mg tab
243 Piroxicam 20 mg tab
244 Prednison 5 mg tablet
245 Primaquin tablet
246 Primaquin 15 mg tab
247 Primperan inj amp
248 Procain Penicillin 3 JT IU vial
249 Profut 4 mg tab
250 Propanolol tablet
251 Propil thyouracil tablet
252 Pyrantel 125 mg tab
253 Pyrantel Suspensi botol
254 Pyridoxin tab tablet
255 Pytomenadion tab 10 mg tab
256 Pytominadion inj ampul
257 Qinin Antypirin inj ampl
258 Qinin Dihidroclorida inj ampl
259 Quinin tab tab
260 Quinine 222 mg tab
261 Quinine HCl ampul
262 Ranitidin 150 mg tab
263 Ranitidin inj 50mg/ml ampul
264 Reotal 400 mg tab
265 Reserpin 0,1mg tablet
266 RL infus btl
267 Salbutamol 2 mg tablet
268 Salbutamol 4 mg tablet
269 Salep 2-4 15gr pot
270 Salep 2-4 30gr pot
271 Salep ichtiol 15 gr pot
272 Salep ichtiol 30 gr pot
273 Salep levertrans 15 gr pot
274 Salep levertrans 30 gr pot
275 Salep whitw field pot
276 Scopma Plus tablet
277 Serum Anti Bisa Ular (II) vial
278 Serum Anti Tetanus 1500 IU amp
279 Simvastatin 10 mg tab
280 Sodium clorida inj btl
281 Sotatic inj ampul
282 Spasmacin tab
283 Spasmal tab
284 Spasminal tab
285 Stesolid supp 10 gr tube
286 Stesolid supp 5 gr tube
287 Streptomicin vial
288 Sulfadoxine-Pyrimetamin tablet
289 Tablet tambah darah tablet
290 Teosal tab
291 Terramycin inj vial
292 Tetracyclin 250mg kapsul
293 Thiamfenikol500 mg tab
294 Thiamin HCl tab tablet
295 Thiamin inj ( vit B1 ) ampul
296 Thiamin inj ( vit B1 ) vial
297 Tramadol kapsul
298 Tramadol inj amp
299 Transamin inj amp
300 Urinter tab
301 urotractin tab
302 Ventolin nebulezer box
303 Vesperum tab
304 Vicillin inj 1000 mg/ml vial
305 Vit A 100.000 IU kaps
306 Vit A 200.000 IU kaps
307 Vitalex tab
308 Vitamin B.Comp tablet
309 Vitamin C 50 mg tablet
310 Xylocain gel untuk cateter tube
311 Xylomidon inj vial
312 Zega se tab tablet
313 Zick dispersibel tab

B BHP
1 Abocat 14 G
2 Abocat 16 G
3 Abocat 18 G pcs
4 Abocat 20 G pcs
5 Abocat 22 G pcs
6 Abocat 24 G pcs
7 Abocath no 26 set
8 Alkohol swab box
9 BD Discardit BCG 0,5 cc pcs
10 Bistuir 15 box 100 pcs
11 Bisturi 10 box 100 pcs
12 Bisturi 20 box 100 pcs
13 Bisturi no 11 box 100 pcs
14 Bisturi no 12 box 100 pcs
15 Bisturi no 13 box 100 pcs
16 Bisturi no 14 box 100 pcs
17 Bisturi no 22 box 100 pcs
18 Bisturi no 24 box 100 pcs
19 Bisturi no 36 box 100 pcs
20 Blood lancet pcs
21 Bloood lancet 200 pcs
22 Canula oksigen anak set
23 Canula oksigen dewasa set
24 Cateter anak no 8 set
25 Cateter no 10 pcs
26 Cateter no 14 pcs
27 Cateter no 16 set
28 Cateter no 18 set
29 Cateter no 20 set
30 Cateter no 22 set
31 Catgut Chrom 0 rol
32 Catgut chrom 3/0 rol
33 Catgut chromic 2/0 + jrm hatting 1/2 GT pcs
35 MM
34 Catgut chromic 2/0 rol
35 Catgut chromic 2/0 + jrm hatting pcs
36 Catgut chromic 3/0+jrm hatting pcs
37 Catgut plain 1/5 rol
38 Catgut plain 2/0 + jrm hatting 75 cm rol
39 Catgut plain 2/0 + jrm hatting 75 cm pcs
40 Catgut plain 2/0 dr sella pcs
41 Catgut plain 3/0 75 cm rol
42 Catgut plain 3/0 + jrm hatting unit
43 Catgut plain 3/0 dr sella box
44 Disposibel 0,05 cc pcs
45 Disposibel 1 cc pcs
46 Disposibel 10 cc pcs
47 Disposibel 2,5 cc pcs
48 Disposibel 20 cc pcs
49 Disposibel 3 cc pcs
50 Disposibel 5 cc set
51 Disposibel 50 cc pcs
52 Disposibel 60 cc pcs
53 Disposible 0,5 cc set
54 Elastis Verban 3,5" pcs
55 Elastis Verban 4,5" pcs
56 Elastis Verban 6" pcs
57 Formalin 10 % btl
58 Gips 15 cm rol
59 Gips 5 cm rol
60 Gips 7,5 cm rol
61 Gipson 10cm roll
62 Hipavix rol
63 Infuset anak unit
64 Infuset dewasa unit
65 Jarum hating no 10 / otot bks 12 pcs
66 Jarum hating no 11 bks 12 pcs
67 Jarum hating no 12/ kulit bks 12 pcs
68 Jarum hating no 12/ otot bks 12 pcs
69 Jarum hating no 13/kulit bks 12 pcs
70 Jarum hating no 13/otot bks 12 pcs
71 Jarum hating no 14 bks 12 pcs
72 Jarum hating no 15 bks 12 pcs
73 Jarum hating no 2 bks 12 pcs
74 Jarum hating no 4 bks 12 pcs
75 Jarum hating no 6 bks 12 pcs
76 Jarum hating no 8 bks 12 pcs
77 Jarum no 10 / otot bks 12 pcs
78 Jrm hating otot & klt no 14 bks 12 pcs
79 Jrm hating otot & klt no 15 bks 12 pcs
80 Kapas Pembalut Hidrofil 250 gr rol
81 Kapas berlemak 500 gr rol
82 Kasa 16 cm x 16 cm steril bks
83 Kasa 2y x 80cm bks
84 Kasa 4 x 15 elastis rol
85 Kasa 4 x 15 non elastis rol
86 Kasa 40 x 40 lembar
87 Kasa 40x40 bks
88 Kasa 40y x 80 cm rol
89 Kertas puyer pak
90 Leukoplast 5 x 2y rol
91 Masker pcs
92 Nedle 27 G pcs
93 Nedle 23 G pcs
94 Nedle 25 G pcs
95 Ngt 3,5 pcs
96 NGT No 10 set
97 NGT No 12 set
98 NGT No 14 set
99 NGT No 16 set
100 NGT No 18 set
101 NGT No 20 set
102 NGT No 22 set
103 NGT No 4 set
104 NGT no 5 pcs
105 NGT No 6 set
106 NGT No 8 set
107 Nurse Cap pcs
108 Plastik obat 15 x 10 cm bks
109 Plastik obat 8 x 5 cm bks
110 Plastik obat 7 x 10 cm bks
111 Povidon iodin btl 60 ml btl
112 Povidon iodin btl 300 ml btl
113 Rivanol 300 ml btl
114 Sarung tangan Medium (M) non steril psng
115 Sarung tangan no 7 (medigloves non steril ) psng
116 Sarung
Sarung tangan
tangan no
no 7 steril
7,5 (medigloves non psng
117 steril ) psng
118 Sarung tangan no 7,5 steril psng
119 sarung tangan no 8 steril psng
120 Sarung tangan No.6,5 psng
121 Sarung tangan on no M psng
122 Sarung tangan on noL psng
123 Sarung tangan on XL psng
124 Sarung tangan panjang karet psng
125 Silk black + jarum hatting 75 cm set
Silk black Braided USP 2/0 (3 Metric)
126 Steril 100 M pcs
127 Silk 3/0 DS 24 MM pcs
128 Silk Braided 2/0 One Med pcs
129 Silk Braided 3/0 One Med pcs
130 Urin bag unit
131 Wing Nedle 21 G pcs
132 Wing Nedlle 23 G pcs
133 Wing Nedlle 25 G pcs
134 Wing Nedlle 27 G pcs

C REAGENT LABORATORIUM
1 Abate bks
Alat Tes Gula Darah, Asam Urat,
2 Cholesterol, Haemoglobin Merk. Nesco
set
Multichek 2
3 Baterai Panasonic DR 2032 3 V
4 Alkohol 100 ml 70 % btl
5 Alkohol 1 L 70 % btl
6 Alkohol 95% btl
7 Anisol btl
8 Antisera A btl
9 Antisera AB btl
10 Antisera B btl
11 Antisera D btl
12 Aqua Destilata steril btl
13 Asam sulfosalisilat 20 % btl
14 Blue tip pcs
15 Blue
Booldtip
grouping antisera ABO + Rhesius pcs
16 10 ml btl
17 Cat Kinyoun btl
18 Cinof btl
19 Devitalisai pasta ( non arsen ) btl/ktk
20 EDTA btl
21 Eosin btl
22 Fletcer liq btl
23 Fletcer powder pot
24 Formalin 10% blt
25 Giemsa btl
26 Gliserin btl
27 Griseril 1 lt bt
28 H2O2 3% 100 ml btl
29 H2O2 3% 1 L btl
30 HCl 0,1 N btl
31 HCl alkohol 3% btl
32 imersi oil btl
33 Jarum vacumtainer box100
34 Larutan barium clorida btl
35 Larutan benidict btl
36 Larutan Foutcet btl
37 Larutan Gabbet btl
38 Larutan KOH 10% btl
39 Larutan lugol 1% btl
40 Larutan TURK btl
41 Metanol btl
42 Metanol btl
43 Metilen blue btl
44 MgSO4 serbuk pot
45 Micropipet 10 UL set
46 Micropipet 100 UL set
47 Micropipet 1000 UL set
48 Micropipet 20 UL set
49 Micropipet 5 UL set
50 Micropipet 50 UL set
51 Micropipet 500 UL set
52 Mikro pipet 10 - 100 set
53 NaCl 0,9 % btl
54 Natrium sitrat 250 cc btl
55 ose bulat set
56 ose lurus pcs
57 Parafin btl
58 Pemeriksaan gol darah set
59 Formalin 35 % liter
60 Povidon tinctur btl
61 Spiritus
stik asam urat merk. Nesco Multicheck liter
62 1
Stik gula darah merk. Nesco Multicheck btl
63 1
Stik tes kolesterol merk. Nesco btl
64 Multicheck 1 btl
Stik tes haemoglobin merk. Nesco
65 Multicheck 1 btl
66 Tabung vacumtainer non edta ( serum ) pcs
67 Tes Kehamilan box100
68 Urine Tes box100
69 Xylol btl
70 Yellow tip pcs

OBAT MALARIA
1 Arco tab
2 Arsuamon tab tab
3 Artemeter inj ampl
4 Arterakin /DARPLEK/DHP tab
5 Artesunat inj ampl
6 Box slide set
7 DBD test box
8 Decc glas box
9 Insektisida bks
10 Kelambu pcs
11 RDT carestar set
12 RDT parascreen box
13 Sipermetrin btl
14 Slide ktk
15 Tes filariasis set

TB
1 Buku 03 buah
2 Buku TB 06 buah
3 Buku TB 09
4 Fdc kat anak paket
5 Kartu TB 01 lembar
6 Kartu TB 02 lembar
7 KAT ANAK paket
8 KAT I paket
9 KAT II paket
10 KAT SISIPAN paket
11 Kertas saring lmbr
12 Mantoux Tes btl
13 OAT kompifak KAT I paket
14 Pot sputum pcs
15 Reagent Ziel Nelsen paket
16 TB 05 lembar
17 TB 12 buku
18 Blanko TB 01 paket
19 Blanko TB 03 paket
20 Blanko TB 04 paket
21 Blanko TB 05 paket
22 Blanko TB 06 paket
23 Blanko TB 09 paket

IMUNISASI
1 Vaksin BCG ampul
2 Vaksin TT vial
3 Vaksin DT vial
4 Vaksin Campak vial
5 Vaksin Polio vial
6 Vaksin Hepatitis syringe
7 Vaksin DPT-HB vial
8 Vaksin TD vial
9 Pelarut Campak Kering ampul
10 Pelarut BCG ampul
11 Penetes Vaksin Polio Oral pcs
12 Vaksin Meales And Rubela / MR vial
13 Pelarut Vaksin MR ampul

IMS
1 Rapid test HIV 1/oncoprobe ktk 100
2 Rapid test HIV 2/Triline ktk 100
3 Rapid tes HIV 3/biomerk ktk 50
4 RPR SHIELD ktk 500
5 Tabung Vacuntainer 3 ml + EDTA
6 SD sipilis
7 Azitromisin 500 mg kap
8 Benzatin Benzil Penisillin 2,4 jt IU vial
9 Cefixim 100 mg kap
10 Cefriaxson inj vial
11 Thiamfenikol500 mg kap
12 kombipak azitromicin cefixim
13 Flukonasol
14 Podifilin tinctur 10 - 25 %
15 Rapid test HIV 3 / Biomerk
16 Alkohol Swab onemed psc
17 Blood Lancet psc
18 Human Xexagon Syphilis psc
19 Sarung Tangan (Maxter size M) psc
20 Safety box psc

KESMAS & KB
1 Vica natal tab
2 Mineral mix box
3 Iodium test btl
4 Taburia box

BAHAN GIGI
1 3 mix
2 Alk Phospat
3 Anastesi topical
4 Arsen Forto
5 Bonding
6 Calxyl / calcidor B/C
7 Caviton / tambal sementara
8 Cotton Rool
9 Creatinin
10 Cresopen septodont france
11 Dilven 3 dif
12 Disclosing
13 Endometason
14 Etching
15 Eugenol
16 Ez Cleanser 3 Dif
17 Fermin/tambalan sementara
18 Fuji IX GP MP
19 G bond
20 Gutta perca inline
21 HDL colesterol
22 Lyse 500 ml (set 2 btl) 3Dif
23 NaOCL 2.5 %
24 OCO
25 Paper poin/absorben peper poin
26 Probe Cleanser 3 Dif
27 Pulperyl
28 Rince 3 Dif
29 Scanconest / anastesi citoject
30 SGOT
31 SGPT
32 Solare composit
33 Trigiserid
34 Urea
35 White tip
36 Yellow tip
37 Zinc fosfat
38 ZOE

PROGAM KUSTA
1 MB dewasa
2 PB dewasa
3 MB anak
4 PB anak

LAIN LAIN
1 Univit Botol
2 Fermia Tablet
3 L-zinc Botol
4 curviplex syrup Botol
5 Metformin Tablet
6 Grantusif Tablet
7 Tiang Infus
8 Pengukur Suhu Ruangan Gudang Obat set
9 Safety Box pcs
10 Mortir & Stamfer set
11 Nesco Multicheck & Strips set
Tabung Resevoir (Perangkat untuk
12 tabung oksigen) set
13 Ramaflu Tablet
14 Paracetamol Infus btl
15 Sendok Obat pcs
16 Tensi Digital pcs
17 Dopler pcs

NB: : -Jumlah permintaan obat : rata rata pemakaian perbulan x lama permintaan obat + 1 bulan pemakain ob
.- Jumlah kunjungan resep harap diisi

PASIEN UMUM
PASIEN ASKES
BAYAR TIDAK BAYAR
JUMLAH KUNJUNGAN RESEP
0 0

Yaniruma, 2019
Mengetahui
Kepala / Menyetujui
Dinas Kesehatan Kab. Boven Kepala Puskesmas Pengelola LPLPO
Digoel

Syahib,SKM ………………………………………. Hendro Julianto A.S, AMK


Nip.19640120 198503 1 009
TAAN OBAT ( LPLPO )

SO
SISA PERMIN
(Pemakaian 1 KET
STOK TAAN
periode)
9=(6+7)-8 10 11

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an obat + 1 bulan pemakain obat

, 2019
engelola LPLPO

o Julianto A.S, AMK

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