UPT. UPT. PUSKESMAS P USKESMAS CONTOH
UPT PUSKESMAS
:
CONTOH
KODE PUSKESMAS
:
P6303111123334
KECAMATAN
:
ANTAH
BULAN
:
FEBRUARI
TAHUN
:
2016
KECAMATAN
:
ANTAH
BULAN
:
FEBRUARI
TAHUN
:
2016
LEMBAR PENGISIA PENGISIAN N DATA DATA SP2TP Untuk !n"u#$% &$t$ #u'$n &$n t$%un '$()*$n+ k!($'$ (u,k!,$,+ (!n"!')'$ (*)"*$ &$n -$n" '$nn-$+ /uku( $,ukk$n &$t$ &$t $ & ,n. MASUKKAN DATA BARU Nama Puskesmas ;!< (Dg Huruf Besar)
UPT. UPT. PUSKESMAS CONTOH
Nama Puskesmas ;2< (Dg Huruf Besar)
UPT. UPT. PUSKESMAS CONTOH KECAMATAN KECAMATAN ANTAH BERANTAH
Nama Puskesmas ;3< (Dg Huruf Besar)
CONTOH
Nama Puskesmas ;"< (Dg Huruf Besar)
CONTOH
Kode Puskesmas
P633!!!!2333"
Nama Ke4ama%a$ ;!< (Dg Huruf Besar)
ANTAH ANTAH
Puskesmas Pem#a$%u &' ada
2
Ka#u*a%e$ (Dg Ka#u*a%e$ (Dg Huruf Besar)
BAN,AR
P+o*. KALIMANTAN SELATAN
La*o+a$ Bu-a$
EBRUARI
Ta(u$ 2!6
Tem*a% da$ %a$''a- *e$'/s/a$ SP2TP
Bua(
)a$' La*o+ !
Bua(
27
Tem*a%0Lokas/ Pe$'/s/a$ U$%uk Ta$''a-
ANTAH ANT AH BERANT BERANTAH
ANTAH ANT AH BERAN
Nama Puskesmas (Tulis dg huruf kecil)
UPT. Puskesmas Co$%o(
BULAN E
Ke4ama%a$ (Tulis dg huruf kecil)
Ke4ama%a$ A$%a( Be+a$%a(
2 e#+ua+/ 2!
,a#a%a$ Ke*a-a Puskesmas
Ke*a-a UPT Puskesmas Co$%o(
Nama Ke*a-a Puskesmas
Ud/$ Sedu$/a
NIP
!5" !23"!2 ! 23"
Ke*a-a D/$as Kese(a%a$ Ka#. Ba$7a+
IKH8ANS)AH1 IKH8ANS) AH1 M.Kes M.Ke s
Ke*a-a Guda$' a+mas/ Ka#. Ba$7a+ A+/e9 Ra4(ma$1S.S/.1A*%1M.M Ra4(ma$1S.S/.1A*%1M.M.Kes .Kes K! K!At$, At$,
I, I,$n" $n"L$n L$n
C!k',t C!k',t
NIP. !56! NIP. !5!:! BULAN FEB 20 TAHUN
,ANUARI I ;Sa%u< EBRUARI I ;Sa%u< MARET I ;Sa%u< APRIL II ;Dua< MEI II ;Dua< ,UNI II ;Dua< ,ULI III ;T/'a< AGUSTUS III ;T/'a< SEPTEMBE III ;T/'a< OKTOBER I= ;Em*a%< NOPEMBERI= ;Em*a%< DESEMBER I= ;Em*a%<
A-ama% 7-. A>a$ Ke4ama%a$ A$%a( Be+a$%a(
TAH1 2 e#+ua+/ 2!6.
RUARI 2!6 6.
!5!2 ! 2 2:! ! !2
UARI 16
Data ini jangan diubah, akan terisi otomatis
PENELOLA PRORAM Pe$'e-oa P+o'+am SP2TP P+omos/ Kese(a%a$ Pe+a$ Se+%a Mas&a+aka% Kese(a%a$ L/$'ku$'a$ Kese(a%a$ I#u Kese(a%a$ A$ak Ke-ua+'a Be+e$4a$a Kese(a%a$ G/?/ Pe$a$''u$'7a>a# KIA Pe$a$''u$'7a>a# P2M Su+@e/-a$s Pe$'e-o-a Imu$/sas/ Kus%a TB Pa+u Ma-a+/a ISPA D/a+e /-a+/a Ra##/es DBD Kese(a%a$ Ha7/ Ba-a/ Pe$'o#a%a$ A*o%ek La#o+a%o+/um Pe$'e-o-a UKS O-a( Ra'a Koo+d/$a%o+ Pe+kesmas UKK Pe$'e-o-a P+o'+am UKGM Kese(a%a$ ,/>a Kese(a%a$ Ma%a Pe$'e-o-a Us/-a Pe$'e-o-a Kese(a%a$ Rema7a Pe$'o#a%a$ T+ad/s/o$aBe$da(a+a Pe$&e%o+ Ke'/a%a$ Pe-a&a$a$ Kese(a%a$ Pe$'e-o-a BOK Pe$'e-o-a PTM Pe$'e-o-a Kese(a%a$ Ke+7a Pe$'e-o-a Kese(a%a$ O-a( Ra'a Pe$'e-o-a CR=S Pe$'e-o-a P2 IMS Pe$'e-o-a SIK
K! K!At$, At$,
Nama
S&a+/9
B$'k B$'k
I, I,$n" $n"L$ L
SEMUA ORMAT DIBA8AH INI ,ANGA
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Koo+d/$a%o+ SP2TP Pe$'e-o-a P+omos/ Kese(a%a$ UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a KIA Pe$'e-o-a P+o'+am A$ak UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$a$''u$'7a>a# KIAG/?/ Pe$a$''u$'7a>a# P2M UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P+o'+am P2 Kus%a Pe$'e-o-a P2 TB Pa+u UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 D/a+e Pe$'e-o-a P2 /-a+/a UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Kese(a%a$ Ha7/ Pe$a$''u$'7a>a# BP UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a UKS Pe$'e-o-a Kese(a%a$ O-a( Ra'a
UPT. Puskesmas Co$%o(
UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Koo+d/$a%o+ Kese(a%a$ G/'/ Pe$'e-o-a Kese(a%a$ ,/>a UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Kese(a%a$ Rema7a Pe$'e-o-a Ba%+a UPT. Puskesmas Co$%o( UPT. Puskesmas Co$%o(
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a PTM UPT. Puskesmas Co$%o(
0
0
I, I,D!,$ D!,$
NIP
!56:":"
n n
DIUBAH1 SEMUA AKAN TERISI OTOMATIS
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe%u'as Pe+a$ Se+%a Mas&a+aka% UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe%u'as Kese(a%a$ L/$'ku$'a$ UPT. Puskesmas Co$%o(
0
S-$* !56:":"
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a KB UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a G/?/ UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe%u'as Su+@e/-a$s UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Imu$/sas/ UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 Ma-a+/a UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 ISPA UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 Ra##/es UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 DBD UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe%u'as A*o%ek UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe%u'as La#o+a%o+/um UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Koo+d/$a%o+ Pe+kesmas
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P+o'+am UKK
AN
AN
UPT. Puskesmas Co$%o(
UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Kese(a%a$ Ma%a UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Us/-a UPT. Puskesmas Co$%o(
0
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Be$da(a+a Pe$&e%o+ UPT. Puskesmas Co$%o(
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Koo+d/$a%o+ Pus-/$' UPT. Puskesmas Co$%o(
0
0
Me$'e%a(u/ Ke*a-a UPT Puskesmas Co$%o( Ke4ama%a$ A$%a( Be+a$%a(
U&n S!&un$ !5" !23"!2 ! 23"
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a SIK UPT. Puskesmas Co$%o(
0
TAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a Kese(a%a$ O-a(+a'a UPT. Puskesmas Co$%o(
0
TAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a CR=S UPT. Puskesmas Co$%o(
0
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Pe$'e-o-a P2 IMS UPT. Puskesmas Co$%o(
0
NAMA DESA CUKUP ISI DI SINI DISINKAT No. !. M%* 2. B/$4au 3. S. S/*a/ ". :. 6. . . 5. !. !!. !2. !3. !". !:. !6. !. !. !5. 2. 2!. 22. 23.
S!'!,$ S!'!,$
,ANU I ;Sa%u< EBR I ;Sa%u<
PAN5AN Nama Desa
No. Nama Desa !. Ma+%a*u+a 2. B/$4au 3. Su$'a/ S/*a/ ". :. 6. . . 5. !. !!. !2. !3. !". !:. !6. !. !. !5. 2. 2!. 22. 23.
N$$n$$ &!,$ / N$$n$$ &!,$ .'!#$* k!*7$ .'!#$* k!*7$ 5$n"$n !n"%$( 5$n"$n !n"%$ ,u&$% &link t! ,u&$% &link t ku*$n" &$* 22+ , ku*$n" &$* 22+ , -$n" $&$. B$* -$n" $&$. B$ .& .
MAR I ;Sa%u< APRI II ;Dua< MEI II ;Dua< ,UNI II ;Dua< ,ULI III ;T/'a< AGUSIII ;T/'a< SEPT III ;T/'a< OKTOI= ;Em*a%< NOPEI= ;Em*a%< DESEI= ;Em*a%<
I, P!n"!')'$ D!,$ I,I, I, P!n"!')'$ D!,$
uku( &,k$n & ,n. Worksheet /uku( &,k$n & ,n. Worksheet $n" '$n $k$n )t)$t, t!*, -$n" '$n $k$n )t)$t, t!*, , #$*, & worksheet '$n -$n" u, #$*, & worksheet '$n -$n" *%u#un" $($#'$ 7u'$% &!,$ *%u#un" $($#'$ 7u'$% &!,$ #$# $k$n !*u,$k ,!'u*u% link !#$# $k$n !*u,$k ,!'u*u% link $n B$*,8 row -$n" t&$k $&$ k$n B$*,8 row -$n" t&$k $&$ !,$n-$ k),)n" !,$n-$ k),)n"
CEKLIST LAPORAN BULANAN 8 SP2TP UPT. PUSKESMAS CONTOH BULAN
FEBRUARI 2016 Ke%e+a$'a$
No.
,e$/s La*o+a$
!. Da9%a+ C(e4k-/s% 2. Da9%a+ Is/ SP2TP 3. !. LB! ;La*o+a$ Kasus Pe$&ak/%< ". 2. LB2 ;La*o+a$ LPLPO 0 O#a%< :. 3. LB3 ;G/?/1 KIA1 La$s/a da$ P2< 6. ". LB" ;)a$kesdas1 Kes-/$' La#o+a%o+/um< MUATAN LOKAL I. LAPORAN P2PL KESLIN . !. La*o+a$ Bu-a$a$ Ke'/a%a$ K-/$/k Sa$/%as/ ;Pe+ Desa< . 2. LPP Kese(a%a$ L/$'ku$'a$ . 3. La*o+a$ STBM 5. ". La*o+a$ Tem*a% Pe$'e-o-aa$ Maka$a$ Me$u+u% S%a%us H/'/$e P2 !. !. Su+@e/-e$s Te+*adu Be+#as/s Puskesmas !!. 2. o+ma% C ! La*o+a$ Kasus Cam*ak !2. 3. La*o+a$ Imu$/sas/ Ru%/$ Ba&/ Puskesmas !3. ". La*o+a$ Imu$/sas/ TT I#u Ham/- 8US Puskesmas !". :. La*o+a$ IMS !:. 6. La*o+a$ TB Pa+u !6. . La*o+a$ Ma-a+/a !. . La*o+a$ S%o4k ACT !. 5. La*o+a$ O#a%O#a%a$ Ma-a+/a !5. !. La*o+a$ S%o4k da$ Pemaka/a$ Lo'/s%/k Ma-a+/a 2. !!. La*o+a$ Bu-a$a$ Pe$de+/%a Ra#/es 2!. !2. La*o+a$ Pe$de+/%a DBD 22. !3. La*o+a$ Pe$&ak/% T/dak Me$u-a+ 23. !". La*o+a$ Pos#/$du II. LAPORAN KESA 1. LAPORAN I9I 2". !<. La*o+a$ G/?/ Bu+uk 2:. 2<. Ca%a%a$ Ha+/a$ Po7ok G/?/ ;Po?/< 26. 3<. Ide$%/%as Ba-/%a BGM 2. "<. La*o+a$ Ba&/ BBLR 2. LAPORAN KESEHATAN USILA 2. !<. La*o+a$ Kese(a%a$ Rema7a 25. 2<. La*o+a$ PKPR 3. 3<. La*o+a$ Kema%/a$ Rema7a 3. LAPORAN KESEHATAN IBU KB 3!. !<. La*o+a$ ANC 32. 2<. La*o+a$ ANC TERPADU 33. 3<. La*o+a$ Pe+sa-/$a$ da$ N/9as 3". "<. La*o+a$ Kema%/a$ I#u da$ Ba&/
Pe$'e-o-a
Ada
T/dak Ada
CEKLIST LAPORAN BULANAN 8 SP2TP UPT. PUSKESMAS CONTOH BULAN
FEBRUARI 2016 Ke%e+a$'a$
No. 3:. 36. 3.
,e$/s La*o+a$ :<. La*o+a$ KB 6<. La*o+a$ Us/a I#u Be+sa-/$ <. La*o+a$ Kema%/a$ Ba&/1A$ak Rema7a
Pe$'e-o-a
Ada
T/dak Ada
CEKLIST LAPORAN BULANAN 8 SP2TP UPT. PUSKESMAS CONTOH BULAN
FEBRUARI 2016 Ke%e+a$'a$
No.
,e$/s La*o+a$
Pe$'e-o-a
Ada
4. LAPORAN KESEHATAN ANAK 3. !<. La*o+a$ Kese(a%a$ A$ak ;!< 35. 2<. La*a*o+a$ Kese(a%a$ A$ak ;2< ". 3<. La*o+a$ Kese(a%a$ Ba&/ "!. "<. La*o+a$ Kema%/a$ Ba&/ III LAPORAN ANKES 1. LAPORAN ANKESDAS "2. ! La*o+a$ Ke'/a%a$ Pe-a&a$a$ Kese(a%a$ "3. 2 Se*u-u( Pe$&ak/% Te+#a$&ak "". 3 Da%a Pe$'o#a%a$ T+ad/s/o$a2. LAPORAN SEKSI PMK ":. ! La*o+a$ Pe+kesmas ;PHN< ;R! R2< "6. 2 La*o+a$ Kese(a%a$ Ke+7a O-a(+a'a ". 3 La*o+a$ Kese(a%a$ ,/>a I;. PROMKES ". ! La*o+a$ PHBS Ruma( Ta$''a Seko-a( "5. 2 La*o+a$ Kema%/a$ ;9o+m : CR=S< ;. SEKRETARIS 8 TATA USAHA :. !. La*o+a$ Pe$'(as/-a$ Puskesmas :!. 2 A#se$s/ Pe'a>a/ ;I. LAPORAN TRI
u-a$ o+ma% Ba$%u SP2TP ;II. LAPORAN SEMESTER &'$()*k$n P!*)&! 5un 8 D!,!#!* :. !. La*o+a$ UKS 0 Pe$7a+/$'a$ :. 2. La*o+a$ SDM KIA :5. 3. La*o+a$ Semes%e+ Komda% P+omkes 6. ". Da9%a+ U+u% Ke*a$'ka%a$ 6!. :. La*o+a$ Semes%e+ o+ma% Ba$%u SP2TP ;III. LAPORAN TAHUNAN D'$()*k$n Bu'$n D!,!#!* 62. !. La*o+a$ Pe+se$%ase Ruma( Se(a% 63. 2. La*o+a$ Akses Sa$/%as/ &a$' La&ak 6". 3. La*o+a$ TTU &a$' Meme$u(/ S&a+a% Kese(a%a$ 6:. ". La*o+a$ Pe$'e-o-aa$ Maka$a$ D/#/$a da$ D/u7/ Pe%/k ANTAH BERANTAH1 2 e#+ua+/ 2!6. Me$'e%a(u/ Ke*a-a UPT Puskesmas Co$%o( Ke4ama%a$ A$%a( Be+a$%a(
T/dak Ada
CEKLIST LAPORAN BULANAN 8 SP2TP UPT. PUSKESMAS CONTOH BULAN
FEBRUARI 2016 Ke%e+a$'a$
No.
,e$/s La*o+a$
Pe$'e-o-a
U&n S!&un$ !5" !23"!2 ! 23"
Ada
T/dak Ada
DAFTAR ISI LAPORAN BULANAN 8 SP2TP UPT. PUSKESMAS CONTOH Ha-ama$
Da9%a+ C(e4k-/s% Da9%a+ Is/ A.
B
C
SP2TP !. LB! 2. LB2 3. LB3 ". LB" LAPORAN P2PL 1. K!,!%$t$n Ln"kun"$n !. La*o+a$ Bu-a$a$ Ke'/a%a$ K-/$/k Sa$/%as/ ;Pe+ Desa< 2. LPP Kese(a%a$ L/$'ku$'a$ 3. La*o+a$ STBM ". La*o+a$ Tem*a% Pe$'e-o-aa$ Maka$a$ S%a%us H/'/ 2. P2 !. Su+@e/-e$s Te+*adu Be+#as/s Puskesmas 2. o+ma% C ! La*o+a$ Kasus Cam*ak 3. La*o+a$ Imu$/sas/ Ru%/$ Ba&/ Puskesmas ". La*o+a$ Imu$/sas/ TT I#u Ham/- 8US Puskesmas :. La*o+a$ IMS 6. La*o+a$ TB Pa+u . La*o+a$ Ma-a+/a . La*o+a$ S%o4k ACT 5. La*o+a$ O#a%O#a%a$ Ma-a+/a !. La*o+a$ S%o4k da$ Pemaka/a$ Lo'/s%/k Ma-a+/a !!. La*o+a$ Bu-a$a$ Pe$de+/%a Ra#/es !2. La*o+a$ Pe$de+/%a DBD !3. La*o+a$Pe$&ak/% T/dak Me$u-a+ !". La*o+a$ Pos#/$du LAPORAN KESA 1. L$()*$n = !<. La*o+a$ G/?/ Bu+uk 2<. Ca%a%a$ Ha+/a$ Po7ok G/?/ ;Po?/< 3<. Ide$%/%as Ba-/%a BGM "<. La*o+a$ BBLR 2. L$()*$n K!,!%$t$n U,'$ !<. La*o+a$ Kese(a%a$ Rema7a 2<. La*o+a$ PKPR 3<. La*o+a$ Kema%/a$ Rema7a
3.
E.
F.
.
H.
I.
L$()*$n K!,!%$t$n I#u &$n K!'u$*"$ B!*!n/$n$ !<. La*o+a$ ANC 2<. La*o+a$ ANC Te+*adu 3<. La*o+a$ Pe+sa-/$a$ da$ N/9as "<. La*o+a$ Kema%/a$ I#u da$ Ba&/ :<. La*o+a$ KB 6<. La*o+a$ Us/a I#u Bu+sa-/$ <. La*o+a$ Kema%/a$ Ba&/1 A$ak Rema7a 4. L$()*$n K!,!%$t$n An$k !<. La*o+a$ Kese(a%a$ A$ak ;!< 2<. La*o+a$ Kese(a%a$ A$ak ;2< 3<. La*o+a$ Kese(a%a$ Ba&/ "<. La*o+a$ Kema%/a$ Ba&/ LAPORAN ANKESDAS !. La*o+a$ Ke'/a%a$ Pe-a&a$a$ Kese(a%a$ 2. Se*u-u( Pe$&ak/% Te+#a$&ak 3. Da%a Pe$'o#a%a$ T+ad/s/o$aLAPORAN SEKSI PMK ! La*o+a$ Pe+kesmas ;R! R2< 2 La*o+a$ Kese(a%a$ Ke+7a O-a(+a'a 3 La*o+a$ Kese(a%a$ ,/>a LAPORAN PROMOSI KESEHATAN !. La*o+a$ PHBS Ruma( Ta$''a Seko-a( 2 La*o+a$ Kema%/a$ ;o+m : CR=S< SEKRETARIS 8 TATA USAHA !. La*o+a$ Pe$'(as/-a$ Puskesmas 2. A#se$s/ Pe'a>a/ LAPORAN TRI
5
K
3. La*o+a$ Kua-/%as A/+ ". La*o+a$ Nom/$a%/9 :. La*o+a$ T+/>u-a$ o+ma% Ba$%u SP2TP LAPORAN SEMESTER !. La*o+a$ UKS 0 Pe$7a+/$'a$ 2. La*o+a$ SDM KIA 3. La*o+a$ Semes%e+ Komda% P+omkes ". Da9%a+ U+u% Ke*a$'ka%a$ :. La*o+a$ Semes%e+ o+ma% Ba$%u SP2TP LAPORAN TAHUNAN !. La*o+a$ Pe+se$%ase Ruma( Se(a% 2. La*o+a$ Akses Sa$/%as/ &a$' -a&ak 3. La*o+a$ TTU &a$' meme$u(/ S&a+a% kese(a%a$ ". La*o+a$ Pe$'e-o-aa$ Maka$a$ d/#/$a da$ D/u7/ Pe%/k
Kode Puskesmas Puskesmas Puskesmas Pem#a$%u &' ada Ka#u*a%e$
Armuni Skep: cell D,E,F,G jangan diubah silahkan isi mulai cell 11 dst.
P+o*/$s/
KODE D
NAMA PEN)AKIT
!
2
Ko-e+a Demam T&*(o/d da$ Pa+a%&*(o/d A!.T Sus*ek T&*(o/d A2 I$9eks/ Sa-mo$e--a )a$' La/$ A3 D/se$%+/ 0 S(/'e--os/s A" I$9ekas/ Usus Da+/ Bak%e+/ )a$' La/$ A: Ke+a4u$a$ Maka$a$ A6 Amu#/as/s A Pe$&ak/% Sa-u+a$ Ce+$a K+$ P+o%o?oa La/$ A I$9eks/ Pe$&ak/% Usus )' La/$ D/a+e Da$ Gas%+oe$%e+/%/s )' Ku+a$' ,e-as A5 Ba%asa$$&a A!: TB Pa+u1 B%a ;< A!6 TB Pa+u1B%a ;< A!6.T Sus*ek TBC A!. Tu#e+ku-os/s Se-a*u% O%ak Da$ Susu$a$ Sa+a9 Pusa% A! TBC EF%+a*u-mo$e+ A!. Tu#e+ku-os/s Tu-a$' Da$ Se$d/ Tu#e+ku-os/s Sa-u+a$ Ke$4/$' Da$ A-a% A!.! Ke-am/$ A!.2 Tu#e+ku-os/s Ke-e$7a+ L&m*(e Tu#e+ku-os/s Usus1 Se-a*u% Pe+u% da$ A!.3 Ke-e$7a+ Mese$%+/um A!5 Tu#e+ku-os/s M/-/a+ A22 A$%+aks A23 B+use-os/s A2: P E S A3 Kus%a I0T ;PB< A3A Kus%a B0L ;MB< A33 Te%a$us Neo$a%o+um A3: Te%a$us A36 D/9%e+/a A3 Ba%uk Re7a$ Rada$' Te$''o+ok ; Ka+e$a < S%+e*%okok A35 Ska+-a%/$a da$ E+/s/*e-os I$9eks/ Me$/$'okok A"! Se*%/kem/a La/$$&a A: S/*(/-/s Ba>aa$ A:! Pe$&ak/% S*/+o4(ae%a Ka+e$a S/*(/-/s A:3 S/*(/-/s A:" I$9eks/ Go$okokkus A:: I$9eks/ No$ Go$okokkus A:6 Pe$&ak/% Ke-am/$ La/$$&a A: I$'u/$a- G+a$u-oma A6 I$9eks/ Ge$/%a- O-e( =/+us He+*es S/m*-eF A6" Pe$&ak/% Me$u-a+ SeF Tdk S*es/9/k A65 I$9eks/ S*/+o4(ae%a La/$$&a A! T+a4(oma A" /-a+/as/s A5 Pe$&ak/% R/ke%s/a La/$ A Po-/om&e-/%/s A4u% A2 Ra#/es 0 L&ssa A:.2 Rada$' O%ak ; Ka+e$a =/+us Se+a$''a < A6 E$4(e*a-/%/s O-e( =/+us A Me$/$'/%/s O-e( =/+us A5 Demam De$'ue 0 Sus*e4% A5! D.H. ;D.B.D< A52. Demam C(/ku$'u$&a A5: Demam Ku$/$' B He+*es S/m*-eF B! Ca4a+ A/+ B2 He+*es os%e+ B: Cam*ak B6 Ru#e-a B!: He*a%/%/s Aku% A B!6 He*a%/%/s Aku% B B! He*a%/%/s Aku% o-e( =/+us )a$' La/$$&a B! He*a%/%/s K+o$/k B2" HI= 0 AIDS B26 Go$do$' B3 Ko$7u$'%/@/%/s Ka+e$a =/+us B33 Pe$&ak/% Ka+e$a =/+us La/$ B36 Pe$&ak/% Ku-/% Ka+e$a ,amu+ B3 Ka$d/d/as/s B: Ma-a+/a T+o*/ka ;P.a-s/9a+um< B:! Ma-a+/a O-e( P. =/@aF B:2 Ma-a+a/ O-e( P.Ma-a+/ae B:3 Ma-a+/a De$'a$ Peme+/ksaa$ La# B:3. ma-a+/a O@a-e . Ma-a+/a M/F A A!
P633!!!!2333" CONTOH 2 &a$' -a*o+ 1 BAN,AR
KALIMANTAN SELATAN
LB ! BULAN TAHUN
FEBRUARI 2016
Armuni Skep: Isikan sesuai kunjungan kasus pasien, untuk sel/ jenis penyakit yang tidak ada kasusnya bisa di hidden sebelum diprint untuk menghemat kertas dan memprint yang ada kasusnya saja.
LAPORAN BULANAN DATA KESAKITAN TO TAL 3
HR 2 HR 25 ! TH !" TH : 6 TH 6 5 TH !!5TH 2 "" TH ": :5 TH 6 TH Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ Lk P+ P+ B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L 6 5 ! !! !2 !3 !" !: !6 ! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3 3! 36 3 3 35 " "5 : :! 6 6! 62 63 6 65 !
,UMLAH Lk B "
L :
B:" Ma-a+/a K-/$/s ;Ta$*a Pem+k LAB< B:: Le/s(ma$/as/s B:6 T+/*a$osom/as/s B6 Pe$&ak/% Tu-a+ Se+a$''a -a/$ B6: S(/s%os(om/as/s B6 Ek/$okokos/a B6 Tae$/as/s B" /-a+/as/s B6 A$k/-os%om/as/s Da$ Neka%o+/as/s B! Pe$&. Ke4a4/$'a$ B6 S4a#/es B5 Ak/#a% Kemud/a$ Tu#e+ku-os/s B5! Ak/#a% Kemud/a$ Po-/om&e-/%/s B52 Ak/#a% Kemud/a$ Kus%a B5". Ak/#a% Kemud/a$ T+a4(oma B5".! Ak/#a% Kemud/a$ Rada$' O%ak Ka+e$a =/+us B5".5 Ak/#a% Kemud/a$ Pe$&ak/% C6 Neo*-asma Ga$as Ro$''a Mu-u% C!3 Neo*-asma Ga$as Ke+o$'ko$'a$ C!6 $eo*-asma Ga$as Lam#u$' C! C! C!5 C22 C2:
Neo*-asma Ga$as Usus Ha-us Te+masuk Usus Dua Be-as ,a+/ Neo*-asma Ga$as Usus Besa+ Neo*-asma Ga$as Usus Lu+us da$ Hu#u$'a$ Usus De$'a$ S/'mo/d Neo*-asma Ga$as Ha%/ P+/me+ Neo*-asma Ga$as Ke-e$7a+ Luda( Pe+u%
C26
Neo*-asma Ga$as La/$ Pada A-a% Pe$4e+$aa$ Da$ Se-a*u% Pe+u% ;Pe+/%o$/um<
C33
Neo*-asma Ga$as Ba%a$' Te$''o+ok Ca#a$' Te$''o+ok da$ Pa+u*a+u
Neo*-asma Ga$as Pa$'ka- Te$''o+ok
C3" C3". C35 C"! C"3 C"" C"5 C: C:3 C:6 C: C6! C62 C6 C6 C! C2 C! C5: C56 D! D2 D" D: D5 D23 D2" D26 D2 D3 D33 D3: D36 D3 D:3 D6" E! E E! E!! E!3 E3" E"
Neo*-asma Ga$as La/$ Pada Susu$a$ Pe+$a9asa$ Da$ O+'a$ Ro$''a Dada Neo*-asma Ga$as Tu-a$' da$ Tu-a$' Ra>a$ Neo*-asma Ga$as Ku-/% Neo*-asma Ga$as La/$ Pada Ku-/%
Neo*-asma Ga$as La/$ )a$' Be+(u#u$'a$ D' Ku-/% Da$ ,a+/$'a$ Lu$ak Neo*-asma Ga$as Pa&uda+a
Neo*-asma Ga$as Le(e+ Ra(/m0 Ka$ke+ Se+@/k
Neo*-ama Ga$as La/$ Pada Ke-e$7a+ Ge%a( Be$/$' ,a+/$'a$ Pem#ua% Da+a( Ka+s/$oma I$s/%u A-a% Pe$4e+$aa$
Ka+s/$oma I$s/%u Susu$a$ Pe+$a9asa$ ka+s/$oma I$s/%u Ku-/% Ka+s/$oma I$s/%u Pa&uda+a
Ka+s/$oma I$s/%u La/$ Ta$*a Pe$7e-asa$ Neo*-asma ,/$ak Ku-/% Neo*-asma ,/$ak Pa&uda+a Neo*-asma ,/$ak Ra(/m Neo*-asma ,/$ak I$du$' Te-u+ Neo*-asma ,/$ak G/$7a- Da$ A-a% Ke$4/$' La/$ Neo*-asma ,/$ak O%ak Da$ SSP Neo*-asma ,/$ak Ke-e$7a+ E$dok+/$ Neo*-asma ,/$ak La/$
Neo*-asma Ga$as I$du$' Te-u+0 Ka$ke+ O@a+/um Neo*-asma Ga$as La/$ Pada A-a% Ke>a$/%aa$ Neo*-asma Ga$as P+os%a% Neo*-asma Ga$as Bua( Pe-/+ Neo*-asma Ga$as Ka$du$' Ke$4/$' Neo*-asma Ga$as La/$ G/$7a- Da$ A-a% Ke$4/$' La/$ Neo*-asma Ga$as O%ak Neo*-asma Ga$as Pd S&a+a9 S*/$a-1S&a+a9 K+a$/a-1da$ SSP Pe$&ak/% Hod'k/$ Leukem/a
Neo*-asma D' Ge7a-a Tak Pas%/ Pada Susu$a$ Pe+$a9asa$ Da$ A-a% D-m Ro$''a Dada A$em/ Keku+a$'a$ Nu%+/s/ A$em/ )a$' La/$ Pe$&ak/% Go$dok Keku+a$'a$ )od/um Pe$&ak/% Ke-e$7a+ Go$dok La/$ DM ;IDDM< DM ;NIDDM< Pe$&ak/% Ke$4/$' Ma$/s Pe$&ak/% E$d+ok+/$ Da$ Pe$&ak/% Me%a#o-/k Keke#a-a$ La/$ K>as(/o+ko+
E"! E"2
Ma+asmus G/?/ Ma+asmus K>as(/o+ko+
E""
Keku+a$'a$ E$e+'/ P+o%e/$ Be+a%R/$'a$ Keku+a$'a$ E$e+'/ P+o%e/$ -a/$ Keku+a$'a$ =/%am/$ A Keku+a$'a$ =/%am/$ La/$ Ke'emuka$ Ga$''ua$ Me%a#o-/sme L//% Deme$%/a Tdk S*es/9/k
Ga$''ua$ Ke*+/#ad/a$ Da$ T/$'ka( Laku Ak/#a% Pe$&ak/%1Ke+usaka$ Da$ Tdk Be+9u$'s/$&a O%ak . Ga$''ua$ Ke*+/#ad/a$ O+'a$/k
E"6 E: E:6 E66 E 3
Ga$''ua$ Me$%a- Da$ T/$'ka( Laku Ak/#a% A-ko(oGa$''ua$ Me$%a- Da$ T/$'ka( Laku Ak/#a% !5 O#a% ; Ta$*a Ke%e+'a$%u$'a$< !
Ga$''ua$ Me$%a- Da$ T/$'ka( Laku Ak/#a% !5.2 Ke%e+'a$%u$'a$ O#a% 0 S&$d+om Ke%e+'a$%u$'a$ 2 S4(/so9+e$/k 23 Ps/kosa La/$ 2: S4(/soa9ek%/9 2 Ga$''ua$ Ps/ko%/k No$ O+'a$/k 3! Ga$'''ua$ A9ek%/9 B/*o-a+ 32 E*/sode De*+es/9 " Ga$''ua$ Neu+o%/k
:
Ga$''ua$ G/?/ D/se#a#ka$ ak%o+ Me$%a-
Ga$''ua$ Ps/k/s )a$' Be+(u#u$'a$ De$'a$ Pe$&ak/% La/$ De@/as/ SeFuaRe%a+das/ Me$%a-
:" 6: 5
Ga$''ua$ Pe+kem#a$'a$ B/4a+a Da$ Ba(asa
2
Ga$''ua$ Pe+kem#a$'a$ u$'s/ Mo%o+/k
" 53 5 55 G
Ke-a/$a$ S/$d+oma K(usus ; Pada A$ak < Ps/kosa Pada A$ak Ga$'ua$ Kes(.,/>a Be+mu-a Pd Ba&/ Pe$&ak/% ,/>a La/$$&a Me$/$'/%/s D/se#a#ka$ O-e( Bak%e+/
E$4(e*a-/%/s1M&e-/%/s Da$ E$4(e*a-om&e-/%/s Pe$&ak/% Pa+k/$so$ Pa+a-/s/s A'/%a$s Sk-e+os/s Mu-%/*eE*/-e*s/ S%a%us E*/-e*s/ M/'+e$ S/$d+om N&e+/ Ke*a-a )a$' La/$ Ga$''ua$ T/du+ Ga$''ua$ S&a+a9 8a7a( Ga$''ua$ Susu$a$ S&a+a9 Pe+/9e+ La/$$&a Se+e#+a- Pa-s& Hem/*-e'/ Pa+a*-e'/ da$ Te%+a*-e'/ S/$d+om Pa+a-/%/k -a/$$&a
G" G2 G32 G3: G" G"! G"3 G"" G" G:! G6" G G! G2 G3
Pe$&ak/% Susu$a$ S&a+a9 Tu+u$a$ Da$ Te+da*a% Pada Ke-ua+'a G55 Pe$&ak/% Ke-.Susu$a$ S&a+a9 La/$ H Ho+deo-um Da$ Ka-as/o$ H! Rada$' Ma%a )a$' La/$ H" Ga$''ua$ Ke-e$7a+ A/+ Ma%a H! Ko$7u$'%/@/%/s H!! Ke-a/$a$ Ko$7u$'%/@a )a$' La/$ H!!.P PT)RIGIUM H!!. EROPHTALMIA H!6 Ke+a%/%/s H! Ke-a/$a$ Ko+$ea H2!. H/*(ema H2: Ka%a+ak Se$/-/s H26 Ka%a+ak )a$' La/$ H2 Ke-a/$a$ Le$sa )a$' La/$ H3: Ke-a/$a$ Re%/$a )a$' La/$ H" G-aukoma H"5 S%+a#/s#us Pa+a-/%/k H: ,u-/$' Da$ ke-a/$a$ ma%a H:2 Ke-a/$a$ Re9+aks/ da$ Akomodas/ H:" Ke#ua%aa$ Da$ Pe$'-/(a%a$ Ku+a$' N&s%a'mus da$ Ge+aka$ Ma%a )a$' T/dak H:: No+maH: Pe$&ak/% Ma%a La/$$&a H:.C CORPUS ALIENUM H:.T TRAUMA MATA H6 I$9eks/ Te-/$'a Lua+ H66 I$9eks/ Te-/$'a Te$'a( H I$9eks/ Mas%o/d ;Mas%o/d/%/s< H2 Pe+9o+as/ Ge$da$' Te-/$'a H! Ga$''ua$ u$'s/ =es%/#u-um H5 Tu-/ Ko$duk%/9 Da$ Se$so+/k G5
H53 I I5 I! I!! I!: I2 I2! I2: I26 I2 I"5 I: I:2 I6 I6! I63 I6" I66 I6 I6 I I" I I5 I I! I3 I"
Pe$&ak/% Te-/$'a La/$$&a Demam Rema%/k Aku% Pe$&ak/% ,a$%u$' Rema%/k Me$a(u$ Pe$&ak/% Da+a( T/$''/ P+/me+ Pe$&ak/% ,a$%u$' H/*e+%e$s/
Pe$&ak/% Teka$a$ Da+a( T/$''/ Seku$de+ A$'/$a Pek%o+/s I$9a+k M/oka+d/um Aku% Pe$&ak/% ,a$%u$' Iskem/k K+o$/k Em#o-/sme Pa+u Pa+u
Pe$&ak/% Pada Pe+eda+a$ Da+a( Pa+u Ke-a/$a$ I+ama ,a$%u$' Ga'a- ,a$%u$' Pe$&ak/% ,a$%u$' La/$ Pe+da+aa$ Su#a+a4($o/d Pe+da+aa$ I$%+a4e+e#+aI$9a+k O%ak S%+oke A+%e+/osk-e+os/s O%ak Pe$&ak/% Ce+e#+o@asku-e+ La/$$&a Ga$''ua$ Ce+e#+o@asku-e+ )a$' Be+(u#u$'a$ D' Pe$&ak/% La/$ A%(e+osk-e+os/s Em#o-/ Da$ T(+om#os/s A+%e+/ Pe$&ak/% La/$ Pada A+%e+/ da$ A+%e+/oGa$''ua$ A+%e+/1A+%e+/o- da$ Ka*/-e+ Be+(u#u$'a$ D' Pe$&ak/% La/$ -e#/%/sJ T+om#o*(-e#/%/s T+om#os/s =e$a Po+%a=a+/ses Tu$'ka/ 8as/+
Pe$&ak/% La/$ Da+/ Susu$a$ Pe+eda+a$ Da+a( Commo$ Co-d , S/$us/%/s ,! P(a+/$'/%/s ,2 To$s/-/%/s ,3 La+/$'/%/s da$ T+ake/%/s aku% ," I$9eks/ Aku% Sa- Pe+$a9asa$ A%as ,6 I$9-ue$sa ,! ,!S Sus*e4% -u Bu+u$' I$9-ue$sa ,!! P$eumo$/a Ak/#a% I$9eks/ O+'a$/sme ,!6 B+o$k(/%/s Aku% ,2 B+o$k/o-/%/s Aku% ,2! I$9eks/ Aku% Sa- Pe+$a9asa$ Ba>a( ,22 R(/$/%/s =asomo%o+ Da$ A-e+'/ ,3 R(/$/%/s1 Naso9a+/$'/%/s Da$ a+/$'/%/s ,3! Me$a(u$ ,33 Seka% H/du$' Be$'kak Da$ Po-/* H/du$' Pe$&ak/% To$s/- Da$ Ade$o/d Me$a(u$ ,3: La+/$'/%/s Da$ La+/$'o%+ake/%/s K+o$/k ,3 Pe$&.La/$ Pd Sa-.Pe+$a9asa$ A%as ,35 B+o$4(/%/s Ta$*a Ke%e+a$'a$ Aku% A%au ," K+o$/k Em*(/sema ,"3 Pe$&ak/% Pa+u O#s%+uk%/9 Me$a(u$ La/$ ,"" ,": Asma S%a%us Asma%/kus ,"6 B+o$k/ek%as/s ," SARS , Odem Pa+u ,! E9us/ P-eu+a ,5 P$eumo%(o+ak ,53 Pe$&.La/$ D+ Sa-.Pe+$a9asa$ ,5 K.! Ke-e#/(a$ G/'/ K." E$ame- H/*o*-as/a K!.! G/'/ Im*aks/ K2 Ka+/es G/'/ K3.3 De$%a- G+a$u-oma K3.6 Ca-4u-us1 P-ak K3. De$%/$ Se$s/%/9 K". Pu-*/%/s K".! Nek+os/s Pu-*a K".2 De'e$e+as/ Pu-*a K".3 Ke-a/$a$ Pd Pu-*a K"." Pe+/odo$%/%/s A*/ka-/s Aku% K".: Pe+/odo$%/%/s A*/ka-/s K+o$/s K".6 A#ses Pe+/a*/ka- Me-/#a%ka$ S/$us K". A#ses Pe+/a*/ka- Tdk M-#%ka$ S/$us K". K/s%a Rad/ku-e+ K".5 Pe$&.Pu-*a ,a+.Pe+/a*/kaK: G/$'/@/%/s Pe$&.Pe+/ode$%aK:. G/$'/@/%/s Aku% K:.! G/$'/@/%/s K+o$/s K:.2 Pe+/odo$%/%/s Aku% K:.3 Pe+/odo$%/%/s K+o$/s I
Ke-a/a$a$ -a/$ da+/ G/$''/@a Ede$%u-ous a-@eo-a+ +/d'e K6.! E$-a+'me$% G/$'/@a K6
Les/ Pd G/$'/@a Ede$%u-ous R/d'e K0 T+auma Pe$& Tdk S*es/9/k Pd G/$'/@a Ede$%u-ous K6. R/d'e K6.2
Pe$&.Ro$''a Mu-u%1Ke-.Luda(1Ra(a$' Ma-ok-us/ Ke-a/$a$ Mu-u% Ak/#a% G/'/%a$ Ke-a/a$a$ Pada Ke-e$7a+ Luda( S%oma%/%/s Da$ Luka Pada L/da( Pe$& B/#/+ Da$ Mukosa Mu-u% Pe$& Pd B/#/+ Be$%uka$ G/'/%a$ G/'/ Pd P/*/L/da( Leuko*-ak/a Ke-a/$a$ Pada L/da( Ke+ada$'a$ Dae+a( a+/$' Oeso*(a'/s/s U-kus Pe*%/k Gas%+/%/s Da$ Duode$/%/s
Ga$''ua$ aa- La/$ Pada A-a% Pe$4e+$aa$
K3: A**e$d/4/%/s Aku%
K36 A**e$d/s/%/s ;K+o$/k1Kam#u(a$< La/$$&a K" He+$/a I$'u/$a-/s K"2 He+$/a Um#/-/ka-/s K": He+$/a Pe+u% La/$$&a K"6 He+$/a Pe+u% )a$' T/dak S*es/9/k
K K." K! K!! K!2 K!3 K!3. K!3.! K!3.2 K!" K!". K2 K2: K25 K3
K:2 K:6 K: K6 K62 K63 K6: K" K6 K K3 K5 K52. K52.! L! L2 L3 L"
Gas%+oe$%e+/%/s Da$ Co-/%/s La/$$&a )a$' Buka$ Ka+e$a I$9eks/ I-eus Pa+a-&%/4 Da$ O#s%+uks/ Usus Buka$ He+$/a D/@e+%/4u-um Usus /ssu+e Da$ /s%u-a Pada A+ea A$a- Da$ Re4%um Ke-a/$a$ A$us Da$ Re4%um La/$$&a Ke-a/$a$ Da+/ Usus La/$$&a Pe+/%o$/%/s C(/++(os/s He*a%/4 Ke-a/$a$ L/@e+ La/$$&a C(o-e-/%(/as/s
Ga$''ua$ Sa-u+a$ Em*edu )a$' La/$$&a Ma-a#so+s/ Usus Haema%emes/s Mae-e$a Im*e%/'o u+u$ke-1Ka+#u$keSe--u-/%/s L/m*(ade$/%/s Aku%
L I$9eks/ Ku-/% ,a+/$'a$ D/ Ba>a( Ku-/% L2 De+ma%/%/s A%o*/k1Eks/m1Neu+ode+ma%/%/s L2! De+ma%/%/s Se#o+o/k L22 D/a*e+s Ras( L23 Pe$&ak/% Ku-/% A-e+'/ L2" Pe$&ak/% Ku-/% I$9eks/ L2: De+ma%/%/s Ko$%ak Tdk S*es/9/k L25 P+u+/%us L3 De+ma%/%/s La/$$&a L3. +am#us/a L" Pso+/as/s L: U+%/4a+/a L:: Su$#u+$ L63 A-o*es/a L ,e+a>a% L" Ke+/$'a% Bu$%e%1M/-/a+/a L =/%/-/'o L5 De4u#/%us L5!. Ke-o/d S4a+ L53 SLE L5" Ga$''ua$ ,a+/$'a$ Lu$ak La/$$&a
Ga$''ua$ Ku-/% Da$ ,a+/$'a$ Lu$ak Ak/#a% Pe$&ak/% La/$ M6 Rema%/k A+%(+/%/s La/$ M! GOUT M!3 Pe$&.Pd S/s%em O%o% ,a+.Pe$'/ka% M2:. Pe+da+a(a$ Da-am Se$d/ M32 S/s%em/k Lu*us E+&%(ema%osus Ga$''ua$ S/s%em/k ,a+/$'a$ Pe$'/ka% )' M36 Be+(u#u$'a$ D' Pe$&ak/% La/$ M". K&*(os/s M"! Sko-/os/s M"3 Rema%/k Te+masuk Tu-a$' Be-aka$' M:! A$k/-os Tu-a$' Be-aka$' M:3 Pe$&ak/% Tu-a$' Be-aka$' La/$ Ga$''ua$ Pada ,a+/$'a$ O%o% )a$' M62 La/$$&a Ga$''ua$ Te$do$ Da$ S&$o@/a- )a$' M6 La/$$&a M Os%eo*o+os/s M6 Os%eom&e-/%/s N" S&$d+oma Ne*(+o%/4 N! Ga'a- G/$7a- Aku% L55
N! N2 N23 N2 N25 N3 N3" N35 N" N"3 N"6 N" N: N6! N6" N! N3 N" N6 N! N5! N52 N53 N5" N5:
Ga'a- G/$7a- K+o$/k Ba%u G/$7a- Mau*u$ Pada U+e%e+ Ko-/k G/$7a- Tdk S*es/9/k Ne*+(/%/s1 S/$d+oma Ne9+o%/k Da$ Ne9+os/s Ba%u Sa-u+a$ ke$4/$' Rada$' Ka$du$' Ke$4/$' Rada$' Da$ S/$d+om U+e%(+/%/s Pe$&ak/% Pd S/s%em Sa-u+a$ Ke$4/$' P+os%a% H/*e+*-as/ H/d+oke- Da$ S*e+ma%okeKema$du-a$ Lak/Lak/ P/mos/s Da$ Pa+a*/mos/s Pe$&ak/% A-a% Ke-am/$ Lak/Lak/ La/$ Mas%/%/s Pe$&ak/% Pa&uda+a La/$$&a Pe$&ak/% Pe+ada$'a$ Pada Ra(/m1Ke4 Le(e+ Ra(/m Pe+ada$'a$ Pa$''u- Pada 8a$/%a
Rada$' Pa$''u- Pd 8a$/%a )' Be+(u#u$'a$ Pe$&ak/% La/$ Pe$&ak/% Pe+ada$'a$ =a'/$a Da$ =u-@a P+o-a* U%e+/ Ga$''ua$ Ha/d ;Ku+a$'< Ga$''ua$ Ha/d ;Ba$&ak< Pe+da+a(a$ A#$o+ma- Ra(/m Da$ =a'/$a N&e+/ Ha/d ;D/sme$o++(oe<
Ga$''ua$ Me$o*ause da$ Pe+/me$o*ause
N5 Kema$du-a$ Pada 8a$/%a O2 Be$%uk Ke(am/-a$ La/$ O3 Ke'u'u+a$ S*o$%a$. O3.I A#o+%us I$kom*-e%us O" Pe$''u'u+a$ A%as I$d/kas/ Sa( O:
Pe$''u'u+a$ A%as I$d/kas/ T/dak Sa(
O6 A#o+%us Imm/$e$s O!! P+e Ek-am*s/a O!: Ke+a4u$a$ Ke(am/-a$ ;Ek-am*s/a< O!6 H/*e+%e$s/ Tdk S*es/9/k Pada Ke(am/-a$
APB 0 HPP 0 Pe$da+a(a$ Pd Ke(am/-a$ Muda O2! H&*e+emes/s O23 I$9eks/ A-a% Ke$4/$' Pada Ke(am/-a$ O2" DM Pada Ke(am/-a$ O2: KEP Pada Ke(am/-a$ O26 Pe$&u-/% Ke(am/-a$ O3 Ke(am/-a$ Ga$da O"2 KPD O"" P-ase$%a Le%ak Re$da( O" H/s Pa-su O6 Pa+%us P+ema%u+ O6! Ke'a'a-a$ I$duks/ O63 Pa+%us Lama O6: CPD O6 e%a- D/s%+ess O Ro#eka$ Pe+/$eum O2 Pe+da+a(a$ Se%e-a( Me-a(/+ka$ O3 Re% P-a4e$%a O Pe+sa-/$a$ No+maO" Pa+%us Geme-/ O: Se*s/s Pada N/9as O5 Pe$&u-/% Da-am N/9as O5! I$9eks/ Pa&uda+a Pada I#u Me$&usu/ O5: Kema%/a$ I#u Kema%/a$ I#u ; "2 Ha+/ Da$ !%( Se%e-a( O56 Me-a(/+ka$ < I$9eks/ Da$ Pe$&ak/% Pa+as/% Pd O5 Ke(am/-a$1Pe+sa-/$a$ Da$ N/9as Pe$&ak/% La/$$&a )' Be+(u#u$'a$ D' O55 Ke(am/-a$1Pe+sa-/$a$ Da$ N/9as Kom*-/kas/ Ba&/ Ba+u La(/+ O-e( Ka+e$a P! Masa Ke(am/-a$ P!.B Neoa%us BBLR Pe+%um#u(a$ ,a$/$ )a$' Lam#a% Da$ P: Ku+a$' G/?/ Ga$''ua$ Pe+%um#u(a$ )a$' Be+(u#u$'a$ P De$'a$ Pem#e+/a$ As/ P!2 T+auma Ke*a-a Saa% La(/+ P!3 T+auma Tu-a$' Saa% La(/+ P!: T+auma La(/+ P2! As9/ks/a ;Se%e-a( La(/+< P2!.B Neo$a%us as*(&F/a Be+a% P2!.S Neo$a%us as*(&F/a Seda$' P22 Ke'a'a-a$ Na9as Ba&/ Ba+u La(/+ P2" Ge7a-a As*/+as/ Pada Neo$a%us O2
P:: P: P :
Ke-a/$a$ Da+a( Pada ,a$/$ Da$ Ba&/ Ba+u La(/+ Ke+$/4%e+us H&*o%(e+m/a S*/$a B/9/da
2 3 ": :3 6: 6 R" R R5 R! R!! R!2 R!3 R! R! R!5 R2!
Ke4a4a%a$ S&s%/m S&a+a9 Co$'e$/%a- )a$' La/$$&a Ke4a4a%a$ Ba>aa$ Da+/ Rua$' ,a$%u$' Mau*u$ Sa-u+a$$&a B/#/+ Sum#/$' Da$ Pa-a%um Sum#/$' Ca4a% Ba>aa$ La/$ Pada Susu$a$ Pe$4e+$aa$. Bua( Pe-/+ T/dak Tu+u$. Pe+'ese+a$ Se$d/ Ba>aa$ Da+/ Pa$'kaPa(a. Ke-a/$a$ Ba>aa$ La/$ Da+/ Susu$a$ O%o% Ra$'ka. Ba%uk Da+a( N&e+/ Te$''o+oka$ Da$ Dada Ge7a-aGe7a-a )a$' Be+(u#u$'a$ De$'a$ ,a$%u$' Da$ Pe+$a9asa$ N&e+/ P/$''a$' Da$ Pe+u% Mua- Da$ Mu$%a( Dada Pa$as T/dak Ada Na9su Maka$ Pe$&ak/% ,au$d/4e Tdk S*es/9/k As4/%es Ge7a-a Ge7a-a )a$' Be+(u#u$'a$ De$'a$ Sa-u+a$ Pe$4e+$aa$ Ruam Da$ I$9eks/ Ku-/% Tdk S*es/9/k
Ge7a-a Ge7a-a )a$' Be+(u#u$'a$ De$'a$ Susu$a$ S&a+a9 Da$ O%o% Ra$'ka R3 Pe+asaa$ N&e+/ Saa% Ke$4/$' R3! Hema%u+/ R33 Re%e$s/ U+/$ R36 Na$a( Da+/ U+e%(+a Ge7a-aGe7a-a )a$' Be+(u#u$'a$ De$'a$ R35 Sa-u+a$ Ke$4/$' R" Keadaa$ Som$o-e$1 S%u*o+ Mau*u$ Coma R"! Ga$''ua$ Kesada+a$ La/$$&a R: Demam )a$' T/dak D/ke%a(u/ Se#a#$&a R:! N&e+/ Ke*a-a R:3 Bada$ Ca*ek Da$ Pe'a-*e'aR:: P/$'sa$ R:6 Ke7a$' R: S&ok R63. A$o+eks/a R63." Pe$u+u$a$ Be+a% Bada$ A#$o+maR6" Kakeks/a R65 Pe$&ak/% La/$$&a R: HI= De$'a$ La# Pos/%/9 S2 +ak%u+ Tu-a$' Te$''o+oka$ Da$ Muka S" Cede+a Pada Sumsum Sa+a9 La/$$&a S: Luka Te+#uka Pada Ma%a1 Te-/$'a S6 Ge'a+ O%ak. S5 Cede+a La/$ Pada Is/ Te$'ko+ak. S!2 +ak%u+ Tu-a$' Le(e+ da$ To'ok. S2 Cede+a Da-am Dada1 Pe+u% Da$ Pa$''uS" Luka Te+#uka Pada A$''o%a Ge+ak A%as +ak%u+ Tu-a$' Le$'a$ A%as1Pe$'u*/- Da$ S"2 Has%a S: Luka Te+#uka Pada A$''o%a Ge+ak Ba>a( S:: Cede+a Pada Pem#u-u( Da+a(. S2 +ak%u+ Tu-a$' Pa(a. S5 +ak%u+ Ba'/a$ La/$ Tu-a$' Pa(a S2 +ak%u+ Tu-a$' Ke+/$'1 Be%/s Ma%a Kak/ S5 +ak%u+ La/$ Pada A$''o%a Ge+ak. T3 Sek/%a+$&a. Luka Te+#uka La/$ Da$ )a$' Ta$*a T6 Ke%e+a$'a$ T +ak%u+ Ga$da. Ak/#a% Be$da As/$' )a$' Masuk Me-a-u/ T! Lu#a$' ,a-a$ Pe+$a9asa$ T2 Luka Baka+ Pada Muka1 Ke*a-a Da$ Le(e+ T2! Luka Baka+ Pada To'ok. T23 Ta$'a$ T2: Luka Baka+ Pada A$''o%a Ge+ak Ba>a( R25
T26 T2 T3! T36 T: T:2 T: T:5 T62 T5 =! =2
Luka Baka+ Te+#a%as Pada Ma%a Da$ A-a% Pe$'e+/$'$&a Luka Baka+ Pada O+'a$ Da-am. Luka Baka+ Ga$da Da$ )a$' Ta$*a Ke%e+a$'a$ Ke+a4u$a$ O-e( O#a% Da$ P+e*a+a%$&a Ke+a4u$a$ ; Ka+e$a < Ke4e-akaa$ O-e( O#a% Da$ P+e+a+a%$&a Ke+a4u$a$ ; Ka+e$a < Ke4e-akaa$ O-e( Ba(a$ Pada% Da$ Ca/+ La/$$&a Ke+a4u$a$ Ba(a$ K/m/a Da$ Ua* Ke+a4u$a$ ; Ka+e$a < Ke4e-akaa$ O-e( Ba(a$ Maka$a$ Da$ Tum#u(a$ Be+a4u$ Ak/#a% Kemud/a$ Da+/ Cede+a Pada Susu$a$ O%o% Ra$'ka Da$ ,a+/$'a$ Ika%. Ke4e-akaa$ Ke$da+aa$ ,a-a$ Kak/. Ke4e-akaa$ Ke$da+aa$ Be+mo%o+ Da-am La-u L/$%as
= =5
Ke4e-akaa$ Ke$da+aa$ Be+mo%o+ D/-ua+ La-u L/$%as Ke4e-akaa$ A$'ku%a$ A/+.
Ke4e-akaa$ A$'ku%a$ Uda+a Da$ Rua$' A$'kasa =55 Ke4e-akaa$ A$'ku%a$ La/$. 83 ,a%u( Ka+e$a Ke4e-akaa$ 82 Ke4e-akaa$ Ka+e$a Pe-u+u Se$7a%a A*/ =5:
823 8"5 . 8:3 8:" 8:: 8" 5
Ke4e-akaa$ Ka+e$a Mes/$ A-a% Pemo%o$' Da$ A-a% Pemasuk Ke4e-akaa$ La/$ Da$ Ta$*a Ke%e+a$'a$ KECELAKAAN RUDA PAKSA G/'/%a$ T/kus G/'/%a$ A$7/$' G/'/%a$ B/$a%a$' La/$ Te$''e-am Ka+e$a Ke4e-akaa$ Ke4e-akaa$ Ka+e$a Ke#aka+a$ Da$ A*/
Ke4e-akaa$ Ka+e$a ak%o+ A-am Da$ L/$'ku$'a$ )" O-e( Ka+e$a A$%/#/o%/ka O-e( Ka+e$a A$a-'e%/ka1 A$%/*/+e%/ka Mau*u$ )": A$%/ I$9-am%o+& 35
Me$'e%a(u/1 KEPALA PUSKESMAS
Pe-a*o+1
Ud/$ Sedu$/a 19780478 123412 1 234
;..............................................< Halaman sebelumnya
Menu Ceklis
Next LPLPO
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT LPLPO TAHUN 2016 : P633!!!!2333" : CONTOH : ANTAH : BAN,AR : KALIMANTAN SELATAN
KODE PUSKESMAS PUSKESMAS KECAMATAN KABUPATEN KOTA PROPINSI
PELAPORAN BULAN8PERIODE PERMINTAAN BULAN8PERIODE
NO
NAMA O BAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
100
box, 10 strip @ 10 tablet
30
Dus 3 am*u- ! m-
OBAT GENERIK ! 2 3 " : 6 5 ! !! !2 !3 !" !: !6 ! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3
ALOPURINOL TABLET 100 MG AMINOFILINA INJEKSI 24 MG/ML - 10 ML AMINOFILINA TABLET 200 MG AMITRIPTILIN HCL TABLET SALUT 25 MG AMLODIPIN 5 MG AMOKSISILIN KAPLET 500 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN SERBUK INJEKSI 1000 MG AMOKSISILIN SIRUP KERING 125 MG/5 ML- 6O ML ANTASIDA DOEN SUSPENSI ANTASIDA DOEN TABLET KUNYAH ANTI BAKTERI DOEN SALEP KOMBINASI ANTI HEMAROID SUPOSITORIA ASAM ASKORBAT (IT C! TABLET 50 MG ASAM MEFENAMAT TABLET 500 MG ASIKLOIR 200 MG TABLET ASIKLOIR 400 MG TABLET ATAPULGIT TABLET 600 MG (PULARE"! BETAMETASON KRIM 0#1 $- 5 MG BISOPROLOL 5 MG TABLET CETRI%INE SIRUP 5 MG/5 ML CETRI%INE TABLET 10 MG DEKSAMETASON INJ 5 MG/ML-1ML DEKSAMETASON TABLET 0&5 MG DIA%EPAM LARUTAN REKTAL 5 MG/2&5 ML (STESOLID REKTAL! DIA%EPAM TABLET 2 MG DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1 ML DIGOKSIN TABLET 0&25 MG DILTIA%EM HCL TABLET '0 MG DIMENHIDRINAT TABLET 50 MG
Dinkes Banjar 2016
100
btl 100 tablet
100
Dus1 ! s%+/* ! %ss
30
ktk 3 x 10 tablet
100
Ko%ak ! F ! %a#-e%
120
Dus1 ! #-/s%e+ !2 ka*su-
10
10 vial / kotak
1
B%- 6 m-
1
botol 60 ml
100
ktk 10 x 10 tablet
25
Dus1 2: %u#e : '
10
Dus, 10 supp @ 2 gram
100
Dus1 ! s%+/* F ! %a#-e%
100
Dus1 ! #-/s%e+ ! Ka*-e%
100
ktk 10 x 10 tablet
100
ktk 10 x 10 tablet
50
Dus, 5 strip @ 10 tablet
1
Tu#e : '+
30
BoF 3 F ! %a#
1
#o%o- 6 m-
100
ktk 10 x 10 tablet
100
ktk 100 ampul @ 1 ml
100
10 X 10 tablet/kotak us, a u ag u e 2 5 ml 100 tablet/botol
5 100 1
Am*u- ! m-
100
#oF 3 F ! %a#-e%
100
ktk 10 x 10 tablet
100
botol/100 tablet
: FEBRUARI
TAHUN :
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
2016
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
NO
NAMA OBAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
1
botol @ 60 ml
100
Strip, ktk 10 x 10 tablet
3! 32 33 3" 3: 36 3 3 35 " "! "2 "3 "" ": "6 " " "5 : :! :2 :3 :" :: :6 : : :5 6 6! 62 63 6" 6: 66 6 6 65 !
DOMPERIDONE SUSPENSI 5 MG/5 ML DOMPERIDONE TABLET 10 MG EPINEPRIN HCL/BITARTRAT(ADRENALINA!INJ 0&1$-1ML ERYTHROMICIN KAPLET 500 MG ERYTHROMICIN SIRUP 200 MG / 5 ML EUGENOL CAIRAN 10 ML FENITOIN NATRIUM INJEKSI 50 MG/ML/DILANTIN FENITOIN NATRIUM KAPSUL 100 MG FENOBARBITAL INJEKSI 50 MG/ML-2ML FENOBARBITAL TABLET 100 MG FENOBARBITAL TABLET '0 MG FITOMENADION (IT#K1! INJEKSI 10 MG/-1ML FITOMENADION (IT#K1! TABLET SALUT 10 MG FUROSEMIDA TABLET 40 MG GARAM ORALIT UTK 200 ML AIR GLIBENKLAMIDA TABLET 5 MG GLUKOSA LARUTAN INFUS 5 $ STERIL 500 ML GRISEOFULIN TABLET 125 MG&MICRONI%ED HALOPERIDOL TABLET 0&5 MG HALOPERIDOL TABLET 1&5 MG HALOPERIDOL TABLET 5 MG HIOSIN BUTIL BROMID INJEKSI 20 MG/ML HUMAN TETANUS IMUNOGLOBULIN INJEKSI I#M 250 IU (LATEGRAM! IBUPROFEN TABLET 200 MG IBUPROFEN TABLET 400 MG ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG KALSIUM LAKTAT (KALK! TABLET 500 MG KAPTOPRIL 12&5 MG TABLET KAPTOPRIL 25 MG TABLET KARBAMA%EPIN TABLET 200 MG KARBOGLISERIN TETES TELINGA 10$ (PHENOL GLISEROL! KETOKENA%OLE CREAM 2$ KLINDAMISIN '00 MG KAPSUL KLORAMFENIKOL KAPSUL 250 MG KLORAMFENIKOL SALEP MATA 1 $ KLORAMFENIKOL SUSPENSI 125 )/* KLORPROMA%IN HCL TABLET SALUT 100 MG KODEIN 10 MG TABLET KOTRIMOKSA%OL SUSPENSI 60 ML KOTRIMOKSA%OL TABLET KOMBINASI 4+0 MG LAN%OPRA%OLE '0 MG
Dinkes Banjar 2016
30
Dus 3 am*u-
100
Dus1! #-/s%e+ ! kss
1
botol 60 ml
1
Bo%o- ! m-
10
10 ampul @ 2 ml/kotak
100
Bo%o- !
30
ktk 30 ampul @ 1 ml
100
ktk 10 x 10 tablet
100
100 tablet/botol
30
ktk 30 ampul @ 1 ml
100
100 tablet/botol
100
ktk 10 x 10 tablet
100
Dus ! sa4(e%
100
Dus1 ! #-/s%e+ ! ka*%a#
1
Bo%o- : m-
100
ktk 10 x 10 tablet
100
Dus1 ! #-/s%e+ ! %a#-e%
100
Dus1 ! #-/s%e+ ! %a#-e%
100
Dus1 ! #-/s%e+ ! %a#-e%
5
BoF1 : am*u- ! m-
1
P+e9/--ed s&+/$'e
100
botol @ 100 tablet
100
Strip, ktk 10 x 10 tablet
100
Dus1 ! s%+/* ! %a#-e%
1,000
1000 tablet/botol
100
Dus1 ! s%+/* ! %a#-e%
100
Dus ! ! %a#-e%
100
Dus1 ! s%+/* ! %a#-e%
1
e$o- ! m'0! m-
1
tube 10 gr
100
ktk 10 x 10 kapsul
100
Dus ! ! %a#-e%
1
tube 5 gr
1
botol 60 ml
100
ktk 10 x 10 tablet
100
botol 100 tablet
1
Dus1 #o%o- 6 m-
100
Strip, ktk 10 x 10 tablet
20
Dus1 2 s%+/* ! ka*su-
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
o# '/'/
NO
NAMA OBAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
100
Dus1 ! am*u- 2 m-
100
Dus1 ! s%+/* ! %a#-e%
2 3 " : 6 5 ! 2 3 " : 6 5 5 5! 52 53 5" 5: 56 5 5 55 ! !! !2 !3 !" !: !6 ! ! !5 !! !!! !!2
LIDOKAIN INJEKSI 2$ LOPERAMIDE TABLET 2 MG LORATADINE TABLET 10 MG METFORMINE HCL TABLET 500 MG METHYL PREDNISOLON 4 MG METILERGOMETRIN MALEAT INJEKSI METILERGOMETRIN MALEAT TABLET SALUT 0&125 MG METOKLOPRAMIDE TABLET 10 MG METRONIDA%OL TABLET 500 MG MICONA%OLE KRIM /SALEP 2 $ ( NITRAT ! NATRIUM DIKLOFENAK TABLET 50 MG NATRIUM KLORIDA LARUTAN INFUS 0&, STERIL 500 ML (NACL! NIFEDIPIN TABLET 10 MG NISTATIN TABLET SALUT 500#000 IU NISTATIN TABLET AGINAL 100#000 IU/G OBAT ANTITUBERKOLOSIS FDC KATAGORI I OKSITOSIN INJEKSI 10 IU/ML PAPAERIN TABLET 40 MG PARASETAMOL DROPS PARASETAMOL SIRUP 120 MG/5 ML PARASETAMOL TABLET 500 MG PERAK SULFADIA%IN KRIM 1$ (BURNA%IN CREAM! PERMETRIN KRIM 5$ (SCABIMITE CREAM 10! PIRANTEL TABLET SCORE (BASE! 125 MG POLIKRESULEN (METAKRESOL! '60 MG/G- 10 ML (APTIL! POIDON IODIDA LARUTAN 10 $ '0 ML POIDON IODIDA LARUTAN 10 $ '00 ML PREDNISON TABLET 5 MG PROPANOLOL TABLET 10 MG (HCL! PROPILTIOURASIL TABLET 100 MG RANITIDIN INJEKSI 25 MG/ 2 ML RANITIDIN TABLET *50 MG RESERPIN TABLET 0&25 MG RETINOL (ITAMIN A! 100#000 IU RETINOL (ITAMIN A! 200#000 IU RINGER LAKTAT LARUTAN INFUS STERIL- 500 ML SALBUTAMOL CAIRAN IH 0&1$ (ENTOLIN! SALBUTAMOL TABLET 2 MG SALISIL BEDAK 2 $- 50 G SALEP 2 - 4 KOMBINASI SEFADROKSIL KAPSUL 500 MG
Dinkes Banjar 2016
50
Dus1 : s%+/* ! %a#-e%
100
Dus1 ! #-/s%e+ ! %a#-e%
100
Dus1 ! #-/s%e+ ! %a#-e%
100
Dus1 ! am*u-
100
K%k ! F ! %a#-e% sa-u%
100
Dus ! ! %a#-e%
100
10 strip @ 10 tablet
1
1 tube 10 gram
50
Dus : F ! %a#-e%
1 100
us1
Bo%o- : ms +* a e sa u se- a u %
100
ktk 10 x 10 tablet salut
100
ktk 10 x 10 tablet vaginal
1
paket
10
Dus, 10 ampul @ 1 ml
100
ktk 10 x 10 tablet
1
btl 15 ml
1
B%- 6 m-
100
100 tablet/ktk
1
tube @ 35 gram
1
Tu#e ! '
100
Dus1 ! s%+/* ! %a#-e%
1
Dus1 #o%o- ! m-
1
#o%o- 3 m-
1
#o%o- 3 m-
100
ktk 10 x 10 tablet
100
Dus, 10 strip @ 10 tablet
100
100 tablet/botol
10 100
Dus1 ! am*u- 2 m1 se-a*u%
1,000
1000 tablet/botol
50
Bo%o- : ka*su-
50
Bo%o- : ka*su-
1 20
Bo%o- : mDus1 " F : #o%o- *-as%/k 21: m-
100
ktk 10 x 10 tablet
1
Dus : '+
1
*o% 3 '+
100
Dus1 ! s%+/* ! ka*su-
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
NO
NAMA OBAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
1
Dus1 #o%o- 6 m-
100
Dus, 10 strip @ 10 tablet
!!3 !!" !!: !!6 !! !! !!5 !2 !2!
SEFADROKSIL SYRUP 125 MG / 5 ML SIANOKOBALAMIN (IT B12! TABLET 50 MCG SIMASTATIN 10 MG SIPROFLAKSASIN TABLET 500 MG TABLET TAMBAH DARAH / FERRO SULFAT AKSIN RABIES ITAMIN B KOMPLEKS TABLET %INC DISPERSIBLE 20 MG PAPAERIN INJEKSI 40 MG/ML
30
1
se-a*u%
100
Dus1 ! #-/s%e+ ! %a#-e%
3,000
Ktk 100 sa! @ 30 tablet
1
Dus, 1 vial
100
Dus1 ! s%+/* F ! %a#-e%
100
Dus1 ! s%+/* ! %a#-e%
1
ktk 100 ampul @ 1 ml
1
kotak/12 strip
1
botol
!22 !23 !2" !2: !26 !2 !2 !25
OBAT GIGI ! 2 3 " : 6 5 ! !! !2 !3 !" !: !6 ! ! !5
ARTICULATING PAPER BODING LIUID CELULOID PASTA COMPOSIT A ' / SOLARE " A' COMPOSIT A 2 / SOLARE " A2 CRESOPHENE DEITALISASI PASTA (NON ARSEN! / PULP" ETCHING (ETCHING GEL! ETIL KLORIDA SPRAY 100 ML EUGENOL CAIRAN 10 ML GLASS IONOMER CEMENT (FUJI GC I"! HEMOSPON / SPONGOSTAN IODOFORM PASTA KALSIUM HIDROKSIDA PASTA / HYDCAL MONOKLORKAMFER MENTOL CAIRAN 10 ML / CHKM (CHAMFENOL! SEMEN SENG FOSFAT SERBUK DAN CAIRAN- '0 G / ELIT CEMENT MP TAMBALAN SEMENTARA / CAITON TKF %INC PHOSPHAT
1
strip
1
tube
1
tube
1
botol
1
up
1
tube
1
vial/"an/ 100 ml
1
botol
1
5 gr/kotak
1
boster
1
kotak
1
kotak
1
botol
1
botol
1
up
1
kotak
1
pot
100
ktk 10 x 10 tablet
100
ktk 10 x 10 tablet
2
OBAT PENUNJANG ! 2
ASAM TRANEKSAMAT 500 MG AMBRO"OL TABLET '0 MG (NOOPEC TABLET!
Dinkes Banjar 2016
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
NO
NAMA OBAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
1
botol 60 ml
3 " : 6 5 ! !! !2 !3 !" !: !6 ! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3 3! 32 33 3" 3: 36 3
AMBRO"OL SIRUP 15 MG/ML ANTI DIARE ANAK SIRUP (KANINA SIRUP! ANTI FUNGI DOEN KOMBINASI BISAKODIL TABLET 5 MG (MELA"AN! GENTAMISIN SALEP KULIT 0&1$ GENTIAN IOLET 1$ 10 ML GLICERYL GUAIKOLAT TABLET 100 MG HIROKLORTIA%ID TABLET (HCT! HYOSCINE-N- BUTILBROMIDE TABLET (SCOPMA! KLORAMFENIKOL TETES TELINGA KLORAMFENIKOL TETES MATA 0&5$ KLORFENIRAMIN MALEAT (CTM! TABLET 4 MG MAGNESIUM SULFAT INJEKSI MELO"ICAM 15 MG METAMI%OL INJ (ANTRAIN INJ! METOKLOPRAMIDE INJEKSI (SOTATIC INJ#! MULTIITAMIN SIRUP ANAK (ICALCYN! OBH SIRUP OKSITETRASIKLIN SALEP MATA 1$ '&5 ML OKSITETRASIKLIN SALEP KULIT PARASETAMOL TABLET 100 MG PIROKSIKAM TABLET 20 MG SERUM ANTI BISA ULAR POLIALEN INJ# 5 ML (ABU I! SERUM ANTI DIFTERI INJ 20#000 IU/IAL (A D S! SERUM ANTI TETANUS INJEKSI 1500 IU SIRUP FLU ANAK KOMBINASI (BERLIFED SIRUP! SIRUP TAMBAH DARAH ANAK (SUPRABION! TABLET FLU KOMBINASI (PHE%ACOL FLU! THIAMFENIKOL KAPSUL 500 MG THIAMIN HCL MONONITRAT (IT#B1! TABLET 50 MG TRIHEKSIFENIDIL HIDROKLORIDA TABLET 2 MG (HE"YMER! ITAMIN B6 ITAMIN NEUROTROPIK TABLET (ASTAREL TAB! ITAMIN NEUROTROPIK INJEKSI (SOHOBION INJ! SIRUP TAMBAH DARAH ANAK (SUPRABION!
1
botol 60 ml
2#
kotak @ 2# pot
#0
#0 tablet/kotak
25
kotak @ 25 tube
1
botol
1,000
botol 1000 tablet
1,000
botol 1000 tablet
100
kotak 10 x 10 tablet
2#
kotak @ 2# botol
2#
kotak @ 2# botol
1,000
kaleng/1000 tablet
1
botol
100
kotak 10 x 10 tablet
5
5 ampul/kotak
1
ampul
1
botol 60 ml
1
botol 100 ml
25
kotak @ 25 tube
25
kotak @ 25 tube
100
kotak 10 x 10 tablet
100
kotak 10 x 10 tablet
1
ampul
1
ampul
1
ampul
1
botol 60 ml
1
botol 60 ml
100
kotak 10 x 10 tablet
100
kotak 10 x 10 tablet
1000
botol @ 1000 tablet
1000
botol @ 1000 tablet
1,000
botol 1000 tablet
100
kotak 10 x 10 tablet
1
kotak 10 ampul
1
botol 60 ml
100
100 $ua!/kotak
100
100 $ua!/kotak
100
100 $ua!/kotak
1
botol 1000 ml
1
500
BAKHP ! 2 3 " : 6 5 ! !! !2 !3 !" !: !6 ! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3
ALAT SUNTIKSEKALI PAKAI 1 ML ALAT SUNTIKSEKALI PAKAI 2&5 ML . ' ML ALAT SUNTIKSEKALI PAKAI 5 ML ALKOHOL 0$ ASEPTAN . DISPENSER ASEPTAN GEL . DISPENSER BISTURI CATGUT BEDAH NO# '/0 CATGUT BEDAH NO# '/0 CATGUT BEDAH NO# '/0 DG JARUM BEDAH HANDSCOON (SEFAGLOE! HANDSCOON (TRO-SENSOSURG GLOE! STERIL INFUSET ANAK INFUSET DEASA I CATHETER NO# 20 G I CATHETER NO# 22 G I CATHETER NO# 24 G KAPAS PEMBALUT / ABSORBEN 250 GRAM KASA HIDROFIL '6 M " +0 CM KASA HIDROFIL STERIL # 16 " 16 (33 16 *78! KASA PEMBALUT HIDROFIL 4 M " 10 CM KASA PEMBALUT HIDROFIL 4 M " 5 CM MASKER NEEDLE NO# 2' G PHARMAFI" 5 " 500 CM PLESTER 5 YARD " 2 INCI POLLY CATETER 2 AY N0# 1+ RIANOL SILK (B979) B:7; S<87 N=# 2/0 . J78! URINE BAG
1
500
1
100 set/kotak
1
%ol/100 meter
1
Set 12 ps/box
1
2# X &5 m/kotak
100
box/100 ps
50
50 ps/kotak
1
Set/kantong
1
Set/kantong
1
50 $ua!/kotak
1
50 $ua!/kotak
1
50 $ua!/kotak
1
$ungkus
1
%ol
1
Kotak
1
%ol/50
50
$ox/50
50
50 ps/kotak
1
100 set/kotak
1
roll
6
$ox/6 roll
1
ps
1
botol 300
1
%ol/100 meter
1
's
1
kotak isi 100
REAGEN LABORATORIUM ! 2 3 " : 6 5 ! !! !2 !3 !" !:
ALKOHOL SAP BLOOD LANCETS LARUTAM EOSIN 2$ 100 ML LARUTAN ASAM ASETAT 6$ LARUTAN ASAM KLORIDA 0&1 N 100 ML/HCL LARUTAN BENEDICT 100 ML LARUTAN EDTA LARUTAN GIEMSA STAIN 100 ML LARUTAN HAYEM LARUTAN METANOL LARUTAN OLIE EMERSI LARUTAN RAESSECHER 100 ML LARUTAN TURK 100 ML LARUTAN POCK-PACK D (II! LARUTAN POCK-PACK L (II!
Dinkes Banjar 2016
1
kotak
1
botol 100 ml
1
botol 100 ml
1
botol 100 ml
1
botol 100 ml
1
botol 100 ml
1
botol 100 ml
1
botol 100 ml
1
botol 50
1
botol 50
1
botol 100 ml
1
botol 100 ml
1
botol 5 liter
1
botol 500 ml
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
NO
NAMA O BAT
!
2
3:
LISOL& MENGANDUNG KRESOL PP TEST REAGEN GOLONGAN DARAH ANTI A REAGEN GOLONGAN DARAH ANTI B REAGEN IDAL TEST SPRITUS STIK GLUKO DR %IEHL NELSEN STIK AMPHETAMINE STIK BEN%ODIA%EPINE STIK HB / FAMILY DR STIK PEMERIKSAAN ASAM URAT STIK PEMERIKSAAN KOLESTEROL STIK THC STIK URINE STIK PEMERIKSAAN TRIGLISERIDA (MULTI CARE! IGGM / IGG-IGM HI TEST TISUE LENSA MIKROSKOP "YLOL
1
ASIKLOIR KRIM 5$
1
HALOPERIDOL TABLET 5 MG
!6 ! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3 3! 32 33 3"
KEMASAN
HARA SATUAN
STOK A
3
"
:
6
1
botol 100 ml
1
50 strip/kotak
1
1 set/10 ml
1
1 set/10 ml
1
kit 20 ml
SATUAN
1
botol
1
kotak isi 25
1
set
1
ps
1
ps
1
kotak isi 25
1
kotak isi 25
1
kotak isi 10
1
ps
1
kotak 100
1
kotak isi 25
1
set isi 25
1
set isi 50 ps
1
25 !elai/kotak
1
botol/100 ml
25
ktk 25 tube @ 5 g
100
kotak 10 x 10 tablet
OBAT ASKES OBAT ANTI PSIKOSIS / OBAT BUFFER PUSAT OBAT BUFFER PROPINSI ! 2 3 " : 6 5 ! !! !2 !3 !" !: !6
ALBENDA%OLE SUSPENSI 200 MG/5 ML ALKOHOL 0$ AMINOPHILIN TABLET 200 MG AMOKSISILIN KAPLET 500 MG BISTURI (P37 B:7;! FENOBARBITAL TABLET '0 MG I CATHETER NO# 20 G I CATHETER NO# 22 G I CATHETER NO# 24 G KALSIUM LAKTAT (KALK! TABLET 500 MG KAPAS PEMBALUT 250 GR KASA PEMBALUT HIDROFIL 4 > 10 ? KLORPROMA%IN HCL TABLET SALUT 25 MG NEDDLE NO# 2' NEDDLE NO# 25 NE DIATAB (A?<3@: A<<7*)3< '50 )!
Dinkes Banjar 2016
1
botol 60 ml
1
botol 1000 ml
100
botol 100 tablet
100
ktk 10 x 10 kaplet
1
ktk 100
1
botol 100 tablet
1
kotak 50 bua!
1
kotak 50 bua!
1
kotak 50 bua!
100
kotak 10 x 10 tablet
1
bungkus
50
roll/50
100
kotak 10 x 10 tablet
1
ktk 100
1
ktk 100
100
100 tablet/ktk
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
!!
PEMBERIAN
STOK OPT
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
NO
NAMA OBAT
SATUAN
KEMASAN
HARA SATUAN
STOK A
!
2
3
"
:
6
100
ktk 10 x 10 tablet
! ! !5 2 2! 22 23 2" 2: 26 2 2 25 3 3! 32 33 3" 3: 36
NISTATIN TABLET SALUT 500#000 UI/G NISTATIN AGINAL TABLET SALUT 100#000 UI/G NO%A TABLET PARASETAMOL 500 MG TABLET PERMETRIN KRIM 5$ (SCABIMITE CREAM! RANITIDIN INJEKSI RINGER LAKTAT LARUTAN INFUS SALBUTAMOL CAIRAN IH 0&1$ (ENTOLIN NEBULI%ER! SALEP 2 - 4 KOMBINASI SEFADROKSIL SIRUP KERING 125 MG/5 ML SERUM ANTI BISA ULAR POLIALEN INJ# 5 ML (ABU I! SERUM ANTI DIFTERI INJ 20#000 IU/IAL (A D S! SERUM ANTI TETANUS INJ# 1500 IU URINE BAG AKSIN RABIES ITAMIN B KOMPLEK PENUNJANG BUFFER BIONEURON TABLET HEMAFORT TABLET LIRON B-PLEK TABLET
100
ktk 10 x 10 tablet
100
kotak 25 x # tablet
100
kotak 10 x 10 tablet
1
tube
10
kotak @ 10 ampul
1
botol 500 ml
1
botol
1
SISA STOK PENERIMA PERSEDIA PEMAKAIA TOTAL AN AN N 5UMLAH HARA
5
!
PERMINTAAN
!2
!3
5UMLAH
TOTAL HARA
KET
!"
!:
!6
pot
1
botol
1
ampul
1
ampul
1
vial
1
set
1
vial
1000
botol 1000 tablet
100
kotak 10 x 10 tablet
100
ko%ak ! F ! %a#-e%
100
kotak 10 x 10 tablet
5UMLAH HARA
UMUM JUMLAH KUNJUNGAN RESEP
!!
PEMBERIAN
STOK OPT
BAYAR
PKD-G
5UMLAH HARA
ASKES
5UMLAH
ANTAH BERANTAH1 2 e#+ua+/ 2!6. Me$'e%a(u/ 0 Me$&e%u7u/ Ka#/d.)a$kes
H.Mu%$$& F$*&+SKM NIP. 1>6?0@21 1>>102 1 002
)a$' Me$&e+a(ka$ Ka. Guda$' a+mas/ Kese(a%a$
)a$' Me$e+/ma 0 Me-a*o+ P/m*/$a$ Puskesmas
)a$' Mem/$%a Pe%u'as Puskesmas
A*! R$/%$n+S.S.+A(t+M.M.K!, NIP. 1>@1001 20001 1 012
U&n S!&un$ !5" !23"!2 ! 23"
0
Menu Ceklis
Dinkes Banjar 2016
