NO.

NAMA OBAT

1 2
Generik PKD
6 A006
17 A017
29 A029
47 A047
49 A049
56 A056
57 A057
72 A072
73 A073
81 A081
95 A095
102 A103
110 A111
114 A115
115 A117
118 A119
129 A130
144 A145
145 A146
190 E002
165 D012
 KEMASAN SATUAN

UGD BP KIA
3 4

AMLODIPIN TABLET 5 MG TABLET 4000

ASAM ASKORBAT TABLET 500 MG TABLET 300 100
BETAMETASON KRIM 0,1% - 5 G TUBE 250 10
FENOBARBITAL TABLET 30 MG TABLET 1000
FITOMENADION (VIT.K1) TABLET 10 MG TABLET 100
GLIBENKLAMID TABLET 5 MG TABLET 2000
GLIMEPIRID TABLET 2 MG TABLET 2000
KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 300 3000
KAPTOPRIL TABLET 25 MG TABLET 2000
KLORAMFENIKOL SALEP MATA 1 % - 5 G TUBE 300 5
METFORMIN HCL TABLET 500 MG TABLET 100
NATRIUM KLORIDA LARUTAN INFUS 0,9 % - 500 ML BOTOL 1
OKSITETRASIKLIN HCL SALEP MATA 1 % - 5 G TUBE
PAMOL SUPP BIJI 5
PIRACETAM TABLET 800 MG TABLET 500
PIRIDOKSIN HCL (VITAMIN B6) TABLET 10 MG TABLET 500
RINGER LAKTAT - 500 ML BOTOL 10 2
TIAMIN (VITAMIN B1) TABLET 50 MG TABLET 1000 50
VITAMIN B KOMPLEKS TABLET TABLET 100 1000 50
ZINC TABLET TABLET 500 200
HALOPERIDOL INJEKSI 5 MG/ML (LODOMER) AMPUL
 RATA-RATA PEMAKAIAN PER BULAN th 2022

KB KABER/ BERSALIN GIGI LAB KESLING BENDO BANGILAN KALIANYAR

5

100 100 300

200 250
10 15

10
75 100
30 20
300 400
200 50
1 3 1 10

1 10

400 200 200

400 200 200
10
300 300 400
300 200 300
10 10
10
 PERENCANAAN / USULAN KEBUTUHAN OBAT
PUSKESMAS TANJUNGHARJO
TAHUN 2023

ER BULAN th 2022

KUMPULREJO NGAMPEL PADANGMENTOYO SAMBIROTO SEMBUNG TIKUSAN TAPELAN WEDI

200 60 300 100 300 200 300

200 90 300 200 200 300 250
10 2 10 5 10 10 15
0
10 10
300 300 350 80 250 100 400 40
100 250 300 60 150 100 400 50
400 50 300 300 200 300 400
100 100 150 20 200 100 200 200
5 5 5 3 10 10
0
1
10 5 5 1 10

250 60 200 200 50 300 200

250 60 200 200 50 300 200
1
400 90 300 350 200 300 400
400 400 300 200 300 300
15 10 10 10 10 10
BUTUHAN OBAT
HARJO

KEBUT

UGD BP KIA KB KABER/ BERSALIN GIGI LAB KESLING

-
0 60000 0 0 0 0 0 0
0 4500 1500 0 0 0 0 0
0 3750 150 0 0 0 0 0
0 15000 0 0 0 0 0
0 1500 0 0 0 0 0
300 0 30000 0 0 0 0 0
100 0 30000 0 0 0 0 0
0 4500 45000 0 0 0 0 0
100 0 30000 0 0 0 0 0
0 4500 75 0 15 0 0 0
0 1500 0 0 0 0 0
0 0 15 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 7500 0 0 0 0 0 0
0 7500 0 0 0 0 0 0
150 0 30 0 150 0 0 0
0 15000 750 0 0 0 0 0
1500 15000 750 0 0 0 0 0
0 7500 3000 0 0 0 0 0
0 0 0 0 150 0 0 0
 KEBUTUHAN PER TAHUN

BENDO BANGILAN KALIANYAR KUMPULREJO NGAMPEL PADANGMENTOYO SAMBIROTO SEMBUNG

6

1500 1500 4500 3000 0 900 4500 1500

0 3000 3750 3000 0 1350 4500 3000
0 150 225 150 0 30 150 75
0 0 0 0 0 0 0 0
0 150 0 0 0 0 0 150
0 4000 1500 4500 4500 5250 1200 3750
0 1500 300 1500 3750 4500 900 2250
0 4500 6000 6000 0 750 4500 4500
0 3000 750 1500 1500 2250 300 3000
45 15 150 75 0 0 75 75
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 15 150 150 0 0 75 75

6000 3000 3000 3750 0 900 3000 3000

6000 3000 3000 3750 0 900 3000 3000
0 0 0 0 0 0 0 0
4500 4500 6000 6000 0 1350 4500 5250
4500 3000 4500 6000 0 0 6000 4500
0 150 150 225 0 0 150 150
0 0 0 0 0 0 0 0
 TOTAL SISA STOK TAHUN PEMBERIAN USUL UNTUK TAHUN 2023
KEBUTUHAN 2022 INFALKES TH 2023
KUANTUM

TIKUSAN TAPELAN WEDI

7 8 9 10

4500 3000 4500 1,800 3,000 -4,800

3000 4500 3750 5000 0 0 5,000
150 150 225 500 0 0 500
0 0 0 5000 0 0 5,000
0 150 0 1950 0 0 1,950
1500 6000 600 76995 0 0 76,995
1500 6000 750 67010 0 0 67,010
3000 4500 6000 89250 0 0 89,250
1500 3000 3000 69120 0 0 69,120
45 150 150 500 0 0 500
0 0 0 49180 0 0 49,180
15 0 0 30 0 0 30
15 0 150 630 0 0 630
30 0 0 30
750 4500 3000 8,000 0 0 8,000
750 4500 3000 15,000 750 1,000 13,250
15 0 0 345 3 0 342
3000 4500 6000 15,000 300 0 14,700
3000 4500 4500 15,000 500 5,000 9,500
150 150 150 11,775 500 0 11,275
0 0 0 30 0 0 30
USUL UNTUK TAHUN 2023 total usulan
HARGA/ SATUAN JUMLAH HARGA

11 12= 10*11

0 -4,800 89400
0 5,000 35850
0 500 5205
0 5,000 15000
0 1,950 1950
0 76,995 63100
0 67,010 53050
0 89,250 89250
0 69,120 49900
0 500 5370
0 49,180 1500
0 30 30
0 630 630
0 30 0
0 8,000 38400
0 13,250 38400
0 342 345
0 14,700 61350
0 9,500 57750
0 11,275 11775
0 30