DAFTAR OBAT
PUSKESMAS KELILING (PUSLING)
PUSKESMAS …….
Hari/ Tanggal :
Desa :
No. Nama Obat Jmlh Satua Pemakaian Sisa Ket
n
I. Peroral
1 Antalgin 500 mg tab Tablet
2 Ibuprofen 400 mg tab Tablet
3 Ibuprofen Suspensi Tablet
4 Natrium diclofenac 50 mg tab Tablet
5 Paracetamol Kaplet Tablet
6 Paracetamol Syrup Botol
7 Kalium Diclofenac 50 mg tab Tablet
8 Allopurinol 100 mg tab Tablet
9 Cetirizine 10 mg tab Tablet
10 Cetirizine 5 mg/ 5mL Syrup Botol
11 CTM 4 mg tab Tablet
12 Dexamethasone 0,5 mg tab Tablet
13 Loratadin 10 mg tab Tablet
14 Prednison 5 mg tab Tablet
15 Methylprednisolone 4 mg tab Tablet
16 Albendazole 400 mg tab (dari rak pelayanan) Tablet
17 Pirantel pamoat 125 mg tab (dari rak pelayanan) Tablet
18 Amoxicillyn 500 mg Kaplet Tablet
19 Amoxicillyn 250 mg Kapsul Tablet
20 Amoxicillyn Drop 100 mg/ mL Botol
21 Amoxicillyn Dry Syrup 125 mg/ 5 mL Botol
22 Cefadroxil 500 mg Kapsul (dari rak pelayanan) Tablet
23 Clindamicyn 150 mg Kapsul (dari rak pelayanan) Tablet
24 Ciprofloxacin 500 mg tab (dari rak pelayanan) Tablet
25 Kloramfenikol 250 mg kaps (dari rak pelayanan) Tablet
26 Cotrimoxazole 480 mg tab (dari rak pelayanan) Tablet
27 Cotrimoxazole Suspensi Botol
28 Metronidazole 500 mg tab (dari rak pelayanan) Tablet
29 Tetracycline 500 mg Kaps (dari rak pelayanan) Tablet
30 Griseovulfin 125 mg tab Tablet
31 Nystatin Tab Salut (dari rak pelayanan) Tablet
32 Vitamin C 50 mg tab Tablet
33 Vitamin K 10 mg tab Tablet
34 Vitamin B6 tab Tablet
35 Vitamin B12 tab Tablet
36 Vitamin B1 tab Tablet
37 Vitamin B Complex tab Tablet
38 Asam Folat 0,4 mg tab Tablet
39 Tablet Tambah Darah + Asam Folat Tablet
40 Kalsium Laktat tab Tablet
41 Furosemide 40 mg tab Tablet
42 Glibenclamide 5 mg tab Tablet
43 Metformin 500 mg tab Tablet
44 Acyclovir 400 mg tab Tablet
45 Amlodipin 5 mg tab Tablet
46 Amlodipin 10 mg tab Tablet
47 Captopril 12,5 mg tab Tablet
48 Digoxin 0,25 mg tab Tablet
49 HCT 25 mg tab Tablet
50 Sucralfat Suspensi Botol
53 Oralit Sachet Sachet
54 Zinc Syrup Botol
55 Zinc 20 mg Tablet Tablet
56 Antasida Doen Tab Tablet
57 Antasida Doen Suspensi Botol
58 Ranitidin 150 mg tab Tablet
59 Akita/ Attapulgit 650 mg tab Tablet
60 Aminophillyn 200 mg tab Tablet
61 Salbutamol 2 mg tab Tablet
62 Ambroxol 30 mg tab Tablet
63 Ambroxol 15 mg/ 5 mL Syrup Botol
64 Guaifenesin/ GG 100 mg tab Tablet
65 Acetylsistein 200 mg kaps Tablet
66 OBH Syrup Botol
67 Dimenhidrinat 50 mg tab Tablet
68 Domperidon 10 mg tab Tablet
69 Metoklopramide tab Tablet
70 Simvastatin 20 mg tab Tablet
II Obat Luar (Salep, Tetes, Ovula)
72 Gentamicyn Tetes Mata Tube
73 Gentamicyn Salep Mata Tube
74 Bufacetin- Chloramphenicol Salep Kulit Tube
75 Erlamycetin- Chloramphenicol Salep Mata Tube
76 Reco- Chloramphenicol Tetes Telinga Botol
77 Oxytetracycline Salep Kulit Tube
78 Enbatic Plus Salep Kulit Tube
79 Bacitracyn Salep Kulit Tube
80 Ichtiol Salep Kulit Pot
81 Kalium Permanganat Serbuk Pot
82 Salep 2-4 Pot
83 Salep 3-6 Pot
84 Acyclovir Cream Tube
85 Betamethasone Cream Tube
86 Hydrocortison Cream Tube
87 Permetrin Cream 5% Tube
88 Bedak Salicyl 2% Pcs
89 Sulfadiazin Silver Salep Kulit Tube
90 Iliadin tetes hidung Btl
91 Nystatin tab Vaginal Tab
Vag
III BMHP
91 Tissue Roll Roll
92 Klip Plastik 7x10 Pcs
93 Klip Plastik 11x17 Pcs
94 Klip Plastik 15x10 Pcs
95 Masker Pcs
Jumlah pasien :
