Format Laptah 2008
Transcript of Format Laptah 2008
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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS KAWEDANAN 2010
PEMAKAIAN BULAN : LEMBAR RESEP
PERMINTAAN BULAN : UMUM ASKES JUMLAHBAYAR GRATIS JPS
UNIT PELAYANAN :
NO NAMA OBATKEMASAN SISA STOK
1 2 3 4 5 6 7 8
1 Abocath pcs
2 Acylovir salep tube
3 Acylovir tablet 200m tablet
! Air ra"sa #e$tal use Botol
% Alat su$ti" 10 ml pcs
& Alat su$ti" 2'% ml pcs
( Alat su$ti" % ml pcs
) Albe$#asol tab Tablet
* Alopuri$ol tab 100 m tablet
10 Ambive$ tab Tab
11 Ambro+ol tablet botol
12 Ami$o,ili$a i$- 2!m. ml/10ml amp
13 Ami$o,ili$a tab 200 m tablet
1! Amitriptili$ tabsal 2% m tablet
1% Amo+sili$ Kap 2%0 m tablet1& Amo+sili$ Kap %00 m "aplet
1( Amo"sisili$ SK 12% m. %ml Botol
1) Ampisili$ 1 r I$- amp
1* Ampisili$ SK 12%m. %ml botol
20 A$tali$ I$- 2%0m. ml/2ml amp
21 A$tali$ tab %00m tablet
STOKA:A;
7ENE
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3) 9arbama6epi$ tab 200m tablet
3* 9atut No 2.0/3.0 pac"
!0 9imeti#i$e tab 200 m tablet!1 e"samataso$ i$- %m .ml/1ml amp
!2 e"sametaso$ tab 0'% m tablet
!3 e"strometor,a$ Sir 10 m .%ml Botol
!! e"strometor,a$ tab 1% m tablet
!% e$torit Botol
!& evitalisasi 7asta pot
!( ia6epam i$- %m.ml/2ml amp
!) ia6epam tab 2 m tablet
!* i,e$hi#rami$ 9I i$- 10m .ml/1ml amp
%0 io"si$ tab 0'2% m tablet
%1 ime$ hi#i$at tab %0 m tablet
%2 ulcola" tablet
%3 E,e#ri$ 9I tab 2%m tablet
%! E"stra" Bela#o$ tab 10m tablet
%% Epi$e,ri$a 9I A#re$ali$i$-4 amp
%& Eta"ri#i$aitome$a#io$ tabsal ula 10m tablet
&( >olly 9atheter 1&.1) pcs
&) >urosemi# tab !0m tablet
&* 8ame"sa$ elmusi 1= botol
(0 8aram oralit ut" 200ml air sase
(1 8e$tamisi$ salep "ulit tube
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)) Isosorbi# i$itra# tab %m tablet
)* Kalsium i#ro si#a 7asta pot
*0 Kalsium ;a"tat tab%00m tablet
*1 Ka$#istati$ suspe$si Botol
*2 Kapas pemb. absorbe$ 2%0r bu$"us
*3 Kasa pemb hi#ro,il !m+1%cm rol
*! Kloram,e$icol "aps 2%0m "apsul
*% Kloram,e$icol SM 1= tube
*& Kloram,e$icol TM 9e$#o4 botol
*( Kloram,e$icol TT 3= botol
*) "lor,e$irami$ Maleat tab !m tablet
** Klorproma6i$e tabsal 100m tablet100 Klorproma6i$e tabsal 2%m tablet
101 Komb7ere#a :asir tablet
102 Kotrimo"sa6ol susp botol
103 Kotrima"sa6ol 7e# tab tablet
10! Kotrima"sa6ol tab #easa tablet
10% ;avertra$ salep pot
10& ;i#o"ai$ Komp I$-e"si amp
10( ;isol m# Kresol %0= botol10) ;operami#e tab 2 m tablet
10* Mebe$#a6ol tab 100m tablet
110 Mertio tab tablet
111 Metil Er Maltabsal0'12%m tablet
112 Meto"lorpropami# I$- amp
113 Meto"lorpropami# tab 10 m tablet
11! Metro$i#a6ol tab2%0m tablet
11% Mi"o$a6ol salep "ulit tube
11& Mo#ecate amp11( Mo$o"lor"am,er Me$tol 9aira$ botol
11) Multi itami$ Sirup botol
11* Mummityi$ 7asta pot
120 Natrium Klori#a I$, 0'*=steril Botol
121 Neotropi" itami$ tablet
122 N b I - i
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13* 7iri#o"si$ 9I it B&4tab 10m tablet
1!0 7lester % yar# + 2 i$ch rol
1!1 7rovi#o$ lo#i#a 10= 300ml Botol
1!2 7re#$iso$ tab %m tablet
1!3 7ropa$alol 9I tab !0m tablet
1!! 7yro+icamtab tablet
1!%
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1)( Novali$ i$- ampul
1)) Tiam,e$i"ol "aps
1)* Spashi i$- ampul
1*0 ;aruta$ "arbol >u"si$ botol
1*1 ;aruta$ Metila$ Biru botol
1*2 ;aruta$ Tur" botol
1*3 Myomeri$ amp
1*! Neo it K 2 m.ml amp
1*% Opti+itrol TM botol
1*& 7itoi$ i$- amp
1*( Syr ut" $a,su ma"a$ a$a" botol
1*) 9ipro,lo+aci$ %00m tab1** Imula$ syr botol
200 Myio+a$ syr botol
201 Neutropi" i$- vial
202 7ritavi# tab
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I DATA UMUM
1 NAMA PUSKESMAS F 7CSKESMAS KA:EANAN
2 ALAMAT PUSKESMAS F D;AGANI NO3(2
DESA!KELURAHAN F KA
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5 WILAYAH KERJA F
NAMA DUSUN JML KK
JML MASKIN
KA:EANAN 1 Boem 1 1 Karya Mulya 1%(2 !)! 130 3 1%&(
2 Ba$u$ Mulya
2 Tulu$ 2'&3 1 u$a$ !%13 111) %%1 3 1(1!
2 Tulu$
3 Temple"
! Ba$-e$
3 8e$e$a$ 2 1
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NAMA DUSUN JML KK
JML MASKIN
) Mo-ore-o 2 1 Mo-o Mulyo 2232 %*! !%% ! 133*
2 Mo-o Mulus
3 Mo-o ;uhur
* Kae#a$a$ 1 1 Kae#a$a$ 2*%2 (*& 3*1 ! 23(!
2 8a$#e"
3 Deta"
10
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II DATA KHUSUS
A DATA SDM( SARANA DAN PRASARANA
1 KETENAGAAN DI PUSKESMAS
a IENTITAS 7E8A:AI 7CSKESMAS
N) N*+* L!P A,*+*- NIP!NRPTT L*./ P**- G), P//* J**-*
T+*- T**, T*./
1 rAb#ul a"am M ; a"Ke#o" Ka7us"esmas
2 eri :i#oati 7 Maeta$ 1!0 0(1 *)* Ke#iri 1)/!/1*%% 7e$ata T"I III AK7E< 7eraat
3 Sri artuti 7 8e$e$a$ 1!011((*% Maeta$ 1.1.1*%! 7e$ata T"I III AKBI Bi#a$
! Achma# Muha#i ; 8e$e$a$ 1!01%1%%3 Surabaya 22/2/1*&2 7e$ata Mu#aTK1 III 9 S7
10
1& arto-o ; Baro$ %10111!1( Maeta$ 2*/%/1*%% 7e$atur Mu#a T" I II B S;T7 STA>
1( Muharto ; Kr
21 Suhar$i 7 7i$"u" %10132&1% Maeta$ ).1*.1*(( 7e$atur Mu#a II B 72B Bi#a$
22 Tut :ariya$i 7 Boem 13!01!03( 7oro$ 22/)/1*(! 7e$atur Mu#a II A 72B Bi#a$ esa
23 Su"atmi 7 Ma$u$re-o 13!00&%*2 Maeta$ ).!.1*&! 7e$atur Mu#a II A 72B Bi#a$ esa
2! A$i" Kur$ia : 7 Suih
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N) N*+* L!P A,*+*- NIP!NRPTT L*./ P**- G), P//* J**-*
T+*- T**, T*./ 2& Karti$i 7 Selore-o 13!03&!%* Maeta$ 30/0!/1*(* 7e$atur Mu#a II A 72B Bi#a$ esa
2( Ti$i Asmi$i 7 8e$e$a$ 13!02()*! Maeta$ 3.3.1*() 7e$atur Mu#a II A 72B Bi#a$ esa2) Nilaati 7 Damba$a$ 13!0!(2%&3 Surabaya ).21.1*(& 7TT / 72B Bi#a$ esa
2* Sulistyo$i$sih 7 Nai 13!0!)(3&0 Nai 1.3.1*)! 7TT / AKBI Bi#a$ esa
30 Mastuti a$#aya$i 7 Maeta$ 13!0!)(3(& Maeta$ %.12.1*)! 7TT / AKBI Bi#a$ esa
31 Sutiyem 7 Kala$ "eti / Maeta$ 2!/03/1*&& SCK:AN / S;TA
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JENIS TENAGA
NO JENIS TENAGA JUMLAH
1 KESEHATAN 1 o"ter Cmum F 7NS F 1
7TT F 02 o"ter 8ii F 7NS F 1
7TT F 0
3 7eraat F S1/KE7Earmasi F 0
) Asiste$ Apote"er F 1
* A$alis >armasi.AKA>A
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TMT K)
SK"P SK T*./
01/12/2003 01/10/200( 1
01/12/1*(% 01/0!/200! 2
01/0)/1*)1 01/10/200) 3
01/12/1*)3 01/10/200( !
01/03/1*)& 01/10/200% (11/01/1*)% 01 / 10/100% &
01/12/2002 01/10/200& %
01/03/1*)( 01/0!/200( )
01/03/1*)( 01/0!/200( *
01/03/1*)) 01.0!200( 10
01/02/1**1 01/0!/200( 11
01/12/2002 01/10/200( 13
01/12/2002 01/10/200( 12
01/01/1*)( 01/10/200% 1(
01/03/1*)) 01/0!/200! 1%01/03/1*)* 01/0!/200% 1&
01/10/1*)* 01/0!/200% 1)
01/03/2000 01/10/200( 1!
01/12/2000 01/10/200) 1*
01/0%/1*)2 01/10/1**) !2
01/12/2002 01/0!/200( 20
1.!.200& / 22
1.!.200& / 21
1.!.200& / 23
1.!.200& / 2!
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TMT K)
SK"P SK T*./ 1.1.200( / 2%
1.1.200( 2&
1.(.200% 2(
1.*.200) 2)
1.10.200) 2*
1.2.1**1 / 30
20/10/1**2 / 31
1.).1**( / 33
2.1.1**( / 3%
2.1.1**( / 3!
1.10.1*** / 3&
1.10.2000 / 3(
2.).2001 / !130/0(/2001 / 32
2!/01/2002 / 3*
12.3.2003 / 3)
!.1.200! !0
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JENIS PELATIHAN TENAGA YANG PERNAH DIIKUTI
N) N*+* * *. //;-/ P,** P,*-/.* S-/
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N) N*+* * *. //;-/ P,** P,*-/.* S-/
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DATA NAMA KADER POSYANDU
NO NAMA UMUR AGAMA L!P PEKERJAAN ALAMAT NAMA POSYANDU
1 2 3 4 5 6 7 8 ' 10 11 121 ;asmi$i !% Islam 7 I
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1 2 3 4 5 6 7 8 ' 10 11 122* Muryati 3& Islam 7 I
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1 2 3 4 5 6 7 8 ' 10 11 12&1 Suarti !1 Islam 7 8uru TK Boem Sa"ura Ctara 1*** Ketua
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*3 Ni$i" !0 Islam 7 I
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1 2 3 4 5 6 7 8 ' 10 11 1212( Kalimah !3 Islam 7 I
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1 2 3 4 5 6 7 8 ' 10 11 121%* Tria$a 2) Islam 7 I
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2 PUSKESMAS( JARINGAN DAN KONDISINYA
* KONDISI PUSKESMAS
NON PERAWATAN A BAIK
B
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PUSKESMAS KELILING!AMBULAN"E DAN SEPEDA MOTOR
PUSLING!AMBULAN"E
JENIS KENDARAAN NOPOL
KONDISI
BAIK RUSAK RINGAN
1 Mobil 7usli$ 1**2 AE/**%1 SE $
2 Mobil 7usli$ 1**2 AE/)020 N7 $
SEPEDA MOTOR
JENIS KENDARAAN HUN PENGADA NOPOL KONDISI
BAIK RUSAK RINGAN
1 GAMAA A;>A 100 1**% AE *(!& MB A7B $
2 GAMAA GT 1**1 ;*))) BE A7B $
3 GAMAA 12% 200( AE 2!&& N7 A7B $
% SCCKI SO8CN > 12% 200( AE 2!1* N7 A7B $
& SCCKI SO8CN > 12% 200( AE 2!20 N7 A7B $
# POLINDES
NAMA POLINDES ALAMAT PENANGGUNGJAWAB KONDISIBAIK RUSAK BERAT
1 BO8EM BO8EM TCT :A
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POSKESDES
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< POSYANDU
NAMA POSYANDU KATEGORI ALAMAT TEMPAT
JMLKADER
1 Sa"ura Selata$ 7ur$ama Boem 7a$ti 7KK % Tut :ariya$i
2 Sa"ura Ctara 7ur$ama
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NAMA POSYANDU KATEGORI ALAMAT TEMPATJMLKADER
2* Maar 7ur$ama
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LUAS %M2& PENANGGUNG
TANAH BANGUNAN JAWAB
212 )0 A7B rABC; AKAM M
SUMBERDANA REHAB
AKHIR
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PEMEGANG
:A
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RUSAK TOTAL
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3 SARANA BANGUNAN LAINNYA
* RUMAH DINAS DOKTER
NAMA RUMDIS DR ALAMAT TAHUN KONDISI LUAS %
DIBANGUN DIREHAB BAIK RUSAK TOTAL TANAH
1 rCMCM Kara$re-o 1**0 0 + 3&0
RUMAH DINAS DOKTER GIGI
NAMA RUMDIS DRG ALAMAT TAHUN KONDISI LUAS %DIBANGUN DIREHAB BAIK RUSAK TOTAL
TANAH
1 o"ter 8ii Kara$re-o 1*(% 0 + 1*%
c RUMAH DINAS PARAMEDISNAMA RUMDIS PRMDS ALAMAT TAHUN KONDISI LUAS %
DIBANGUN DIREHAB BAIK RUSAK TOTALTANAH
1 7eraat Kara$re-o 1*(% 0 + 2))
2 Sta, Kara$re-o 1*(% 0 + 221
3 7eraat 8I8I 8e$e$a$ 1**0 1**3 + 2(0
! 7ela"sa$a 8i6i 8e$e$a$ 1**0 1**3 + 1)2
RUSAKRINGAN
RUSAKBERAT
RUSAKRINGAN
RUSAKBERAT
RUSAKRINGAN
RUSAKBERAT
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4 SARANA KOMUNIKASI
JENIS SARANA NO TELP! KONDISI
SPESI#IKASIBAIK
1 7esaat Tele,o$ !3* 120 1**( + S:AAGA Ka7us"esmas2
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M2&
BANGUNAN
&% A7B rAb#ul a"am M
M2&
BANGUNAN
&% A7B rE;;I I
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B DATA PELAYANAN KESEHATAN DASAR
1 KCNDCN8AN 7ASIEN KE 7CSKESMAS
NO BULAN JUMLAH KUNJUNGAN ORANG DI LOKET PASIEN DIRUJUK
BAYAR ASKES BB ASKESKIN JML UMUM ASKES ASKESKIN!SKTM JML
1 DANCA!0? =DI>!0? =DI>!0? =DI>!0? =DI>!0?
Dumlah 7e$#u#u" Tahu$ 200( F
Total Ku$-u$a$ Tahu$ 200( F 0
9a"upa$ Ku$-u$a$ 7us" =4 F I.0L
ari Ker-a F 300
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae 3)
B DATA PELAYANAN KESEHATAN DASAR
1 K;@;* P*9/ P;99+*9
NO BULAN JUMLAH KUNJUNGAN ORANG DI LOKET PASIEN DI RUJUKBAYAR ASKES BB ASKESKIN JUMLAH UMUM ASKES ASKIN!SKTM JUMLAH
1 DANCA (&( 3(( 13( 2%( 1'%3) 3 &% 21 )*
2 7EB< &!% 3%! 1)* 2&! 1'!%2 2 &) * (*
3 MA
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae 3*
2 PENDERITA RAWAT INAP
NO BULAN JML TT L PENDERI ARI PERAW BOR %& TOI ALOS
1 DANCA
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae !0
A;OS F 7.Dumlah 7asie$ hari &/* hari
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae !1
3 10 BESAR PENYAKIT DI PUSKESMAS
NO KODE JENIS PENYAKIT JUMLAH KASUS %L(B(KKL&
1 1803 I$,e"si a"ut lai$ pa#a salura$ per$apasa$ baatas !')!* 30&3=
2 16 7e$ya"it te"a$a$ #arah ti$i 3'1&( 2001=
3 33 7e$ya"it sistim otot #a$ -ari$a$ pe$i"at 2'(0* 1(11=
! 2101 7e$ya"it tu"a" lambu$ 1'!02 ))&=
% 3102 7e$ya"it "ulit aleri 1'0&% &(3=
& 2'01 Kecela"aa$ #a$ ru#a pa"sa 1'00% &3%=
( 2004 8a$ua$ ii #a$ pe$ya$a lai$$ya !%* 2*0=
) 2003 Ku$-u$ti,itis #a$ pe$ya"it perio#e$tal !3% 2(%=
* 2002 7e$ya"it pulpa #a$ -ari$a$ peri,i"al 3(1 23!=
10 802 Ke$ci$ ma$is 3&( 232=
JUMLAH KASUS %L(B(KKL& 1%')2* 10000=
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LAPORAN TAHUNAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
TAHUN 2008
4 PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
PUSKESMAS : KAWEDANAN LEMBAR RESEP
UMUMASKES JUMLAH
BAYAR GRATIS JPS
))*0 21%% 3(!) !!*20 1*2)%
NO NAMA OBAT
KEMASAN SISA STOK
1 2 3 4 5 6 7 8
1 Abocath pcs 20 1% 2% 10
2 Acylovir salep tube 0 &0 31 2*
3 Acylovir tablet 200m tablet 0 300 200 100
! Air ra"sa #e$tal use Botol 0 0 0 0
% Alat su$ti" 10 ml pcs 0 0 0 0
& Alat su$ti" 2'% ml pcs 2100 !300 !%)* 1)11
( Alat su$ti" % ml pcs 0 0 0 0
) Albe$#asol tab Tablet 0 0 0 0
* Alopuri$ol tab 100 m tablet &(3 0 1*0 !)3
10 Ambive$ tab Tab 0 %0 10 !0
11 Ambro+ol tablet botol 2(0 )00 !(0 &00
12 Ami$o,ili$a i$- 2!m. ml/10ml amp 10 30 2* 11
13 Ami$o,ili$a tab 200 m tablet &&% 3000 2*&* &*&
1! Amitriptili$ tabsal 2% m tablet 0 100 10 *0
1% Amo+sili$ Kap 2%0 m tablet 2)( )!00 )&)( 0
1& Amo+sili$ Kap %00 m "aplet 0 2%%00 23)%3 1&!(1( Amo"sisili$ SK 12% m. %ml Botol 0 &&0 %*( &3
1) Ampisili$ 1 r I$- amp 30 1%0 120 &0
1* Ampisili$ SK 12%m. %ml botol 0 0 0 0
20 A$tali$ I$- 2%0m. ml/2ml amp 0 1%0 )0 (0
21 A$tali$ tab %00m tablet 3!!& 23000 21&2& !)20
STOK
A:A;
7ENE
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3) 9arbama6epi$ tab 200m tablet 220 0 0 220
3* 9atut No 2.0/3.0 pac" 0 !) 2! 2!
!0 9imeti#i$e tab 200 m tablet 0 200 1!0 &0
!1 e"samataso$ i$- %m .ml/1ml amp &! 100 (! *0!2 e"sametaso$ tab 0'% m tablet 31(1 20000 1(2(! %)*(
!3 e"strometor,a$ Sir 10 m .%ml Botol 12& *& 20% 1(
!! e"strometor,a$ tab 1% m tablet %%) 0 %%) 0
!% e$torit Botol 0 0 0
!& evitalisasi 7asta pot 0 0 0 0
!( ia6epam i$- %m.ml/2ml amp 32 0 3 2*
!) ia6epam tab 2 m tablet 1122 0 &1) %0!
!* i,e$hi#rami$ 9I i$- 10m .ml/1ml amp 3!* 1200 120( 3!2
%0 io"si$ tab 0'2% m tablet 2&2 &00 )2% 3(
%1 ime$ hi#i$at tab %0 m tablet 1)0 1100 100% 2(%
%2 ulcola" tablet 1!0 & (! &&
%3 E,e#ri$ 9I tab 2%m tablet &)2 1000 !!( 123%
%! E"stra" Bela#o$ tab 10m tablet 1(21 0 1&02 11*
%% Epi$e,ri$a 9I A#re$ali$i$-4 amp 1!( 2% 1 1(1
%& Eta"ri#i$aitome$a#io$ tabsal ula 10m tablet 2)! &00 !!% !3*&( >olly 9atheter 1&.1) pcs 0 % 2 3
&) >urosemi# tab !0m tablet %&* 0 2&* 300
&* 8ame"sa$ elmusi 1= botol 22 0 1( %
(0 8aram oralit ut" 200ml air sase 2% 1200 *0% 320
(1 8e$tamisi$ salep "ulit tube %! 0 1% 3*
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)) Isosorbi# i$itra# tab %m tablet 0 0 0 0
)* Kalsium i#ro si#a 7asta pot 0 0 0 0
*0 Kalsium ;a"tat tab%00m tablet 132! *000 (21) 310&
*1 Ka$#istati$ suspe$si Botol 0 30 1( 13*2 Kapas pemb. absorbe$ 2%0r bu$"us 2 2% 20 (
*3 Kasa pemb hi#ro,il !m+1%cm rol )* 100 1&! 2%
*! Kloram,e$icol "aps 2%0m "apsul 0 2%0 2%0 0
*% Kloram,e$icol SM 1= tube !2 1&) 133 ((
*& Kloram,e$icol TM 9e$#o4 botol 0 (2 2 (0
*( Kloram,e$icol TT 3= botol 2) *& )% 3*
*) "lor,e$irami$ Maleat tab !m tablet 3%!( 33000 32!(% !0(2
** Klorproma6i$e tabsal 100m tablet 1210 %00 121* !*(
100 Klorproma6i$e tabsal 2%m tablet 0 0 0 0101 Komb7ere#a :asir tablet 0 0 0 0
102 Kotrimo"sa6ol susp botol 2 !*0 3)3 10*
103 Kotrima"sa6ol 7e# tab tablet 0 0 0 0
10! Kotrima"sa6ol tab #easa tablet 200 11%00 101)& 1%1!
10% ;avertra$ salep pot * 0 3 &
10& ;i#o"ai$ Komp I$-e"si amp *0 !20 !3* (1
10( ;isol m# Kresol %0= botol 0 13 11 2
10) ;operami#e tab 2 m tablet 0 0 0 010* Mebe$#a6ol tab 100m tablet 0 0 0 0
110 Mertio tab tablet 0 0 0 0
111 Metil Er Maltabsal0'12%m tablet 1*0 200 1%0 2!0
112 Meto"lorpropami# I$- amp 10 & 10 &
113 Meto"lorpropami# tab 10 m tablet 0 100 20 )0
11! Metro$i#a6ol tab2%0m tablet &!) 1000 10*3 %%%
11% Mi"o$a6ol salep "ulit tube % 120 &! &1
11& Mo#ecate amp 1 1( 1! !
11( Mo$o"lor"am,er Me$tol 9aira$ botol 0 0 0 0
11) Multi itami$ Sirup botol !& 120 1&& 0
11* Mummityi$ 7asta pot 0 0 0 0
120 Natrium Klori#a I$, 0'*=steril Botol 0 1%0 %0 100
121 Neotropi" itami$ tablet )*& !000 !)*& 0
122 N b I - i 30 0 30 0
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13* 7iri#o"si$ 9I it B&4tab 10m tablet 1!)0 &000 !1!! 331&
1!0 7lester % yar# + 2 i$ch rol 3 30 2( &
1!1 7rovi#o$ lo#i#a 10= 300ml Botol * 1% 1% *
1!2 7re#$iso$ tab %m tablet *!* 11000 )301 3&!)1!3 7ropa$alol 9I tab !0m tablet 0 0 0 0
1!! 7yro+icamtab tablet 3)! !)!0 !(02 %22
1!%
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1)( Novali$ i$- ampul 0 % % 0
1)) Tiam,e$i"ol "aps 0 1000 0 1000
1)* Spashi i$- ampul 0 10 0 10
1*0 ;aruta$ "arbol >u"si$ botol 0 0 0 01*1 ;aruta$ Metila$ Biru botol 0 0 0 0
1*2 ;aruta$ Tur" botol 0 0 0 0
1*3 Myomeri$ amp 10) 0 13 *%
1*! Neo it K 2 m.ml amp 1* 0 1% !
1*% Opti+itrol TM botol 2% *& 110 11
1*& 7itoi$ i$- amp 10) 0 23 )%
1*( Syr ut" $a,su ma"a$ a$a" botol 0 %0 %0 0
1*) 9ipro,lo+aci$ %00m tab 0 2000 &30 13(0
1** Imula$ syr botol 0 %0 3! 1&200 Myio+a$ syr botol 0 2! ! 20
201 Neutropi" i$- vial 0 20 10 10
202 7ritavi# tab 0 2000 1200 )00
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5 P,*** K9.*-* D*9*( K.;9;9 * R;@;*
N) J/9 D*-* J;+,*.
1 Ku$-u$a$
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae !)
" DATA PENYEHATAN LINGKUNGAN DAN PROMOSI KESEHATAN
1 SANITASI DASAR
NO KE9AMATAN 7CSKESMAS DCM;A KK
7E
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae !*
15 16
0 I.0L
DCM;A2
KK
MEMI;IKI
=K
K
MEMI;IKI
4 TEMPAT UMUM SEHAT
TTC
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae %0
NO KE9AMATAN 7CSKESMAS
TTC
1 2 3 4 5 6 7 8
1 KA:EANAN KA:EANAN 3% 30 )%(1 30 10000
5 TEMPAT UMUM DAN PENGELOLAAN MAKANAN %TUPM& SEHAT
NO KE9AMATAN 7CSKESMAS
OTE;
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae %1
8 POSYANDU MENURUT STRATA
DCM;A 7OSGANC 7E
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7CSKESMAS KA:EANAN 9o$,i#e$tial 11.2&.201% 7ae %2
DCM;A TC7M
=S
E2AT
=S
E2AT
20 21 22 23 24
)))* 22 1) 1& )))*
;AINNGA
DCM;
A2
1' 20
0 %21&1
DCM;A
DM; IBINA =1' 20 21
1!! 102 (0)3
DC
M;A2G8
A1A
DCM;A2
1
I7E