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    Dinas Kesehatan Upt - Puskesmas Muara Pahu Kecamatan Muara Pahu

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    heri
    This document is a receipt from the Muara Pahu Community Health Center in Kutai Barat Regency listing 36 medical supplies that were distributed to the Pustu Dasaq clinic in September 2018. The items distributed included medicines like paracetamol, antibiotics, and vitamins, as well as medical equipment like catgut sutures, infusion sets, and Foley catheters. The total value of supplies distributed was 1,204,590 Indonesian Rupiah. The document provides details of the item name, unit, unit price, quantity requested, quantity provided as medicine or cash, and total value. It was signed by the officer distributing the goods and acknowledged by the head of the Muara Pahu

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    Dinas Kesehatan Upt - Puskesmas Muara Pahu Kecamatan Muara Pahu

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    heri
    64 views3 pages
    This document is a receipt from the Muara Pahu Community Health Center in Kutai Barat Regency listing 36 medical supplies that were distributed to the Pustu Dasaq clinic in September 2018. The items distributed included medicines like paracetamol, antibiotics, and vitamins, as well as medical equipment like catgut sutures, infusion sets, and Foley catheters. The total value of supplies distributed was 1,204,590 Indonesian Rupiah. The document provides details of the item name, unit, unit price, quantity requested, quantity provided as medicine or cash, and total value. It was signed by the officer distributing the goods and acknowledged by the head of the Muara Pahu

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    Sbbk Dasaq September 2018

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    This document is a receipt from the Muara Pahu Community Health Center in Kutai Barat Regency listing 36 medical supplies that were distributed to the Pustu Dasaq clinic in September 2018. The items distributed included medicines like paracetamol, antibiotics, and vitamins, as well as medical equipment like catgut sutures, infusion sets, and Foley catheters. The total value of supplies distributed was 1,204,590 Indonesian Rupiah. The document provides details of the item name, unit, unit price, quantity requested, quantity provided as medicine or cash, and total value. It was signed by the officer distributing the goods and acknowledged by the head of the Muara Pahu

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    64 views3 pages

    Dinas Kesehatan Upt - Puskesmas Muara Pahu Kecamatan Muara Pahu

    Uploaded by

    heri
    This document is a receipt from the Muara Pahu Community Health Center in Kutai Barat Regency listing 36 medical supplies that were distributed to the Pustu Dasaq clinic in September 2018. The items distributed included medicines like paracetamol, antibiotics, and vitamins, as well as medical equipment like catgut sutures, infusion sets, and Foley catheters. The total value of supplies distributed was 1,204,590 Indonesian Rupiah. The document provides details of the item name, unit, unit price, quantity requested, quantity provided as medicine or cash, and total value. It was signed by the officer distributing the goods and acknowledged by the head of the Muara Pahu

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    PEMERINTAH KABUPATEN KUTAI BARAT

    DINAS KESEHATAN
    UPT.PUSKESMAS MUARA PAHU KECAMATAN MUARA PAHU
    Jl. Raden Baroh RT.06 NO. 59 Kampung Tanjung Laong Kecamatan Muara Pahu Kode Pos. 75574.
    Email : upt.Puskesmasmp2016@gmail.com

    SURAT BUKTI BARANG KELUAR


    Nomor : 445.1.442/ /GF/2018

    Telah dikeluarkan Obat, BMHP dan Alkes dari Puskesmas Muara Pahu Untuk : PUSTU DASAQ
    : SEPTEMBER
    Pemberian/Penggantian
    Harga
    No. Nama Obat Satuan Permintaan Dalam Bentuk Obat Dalam Bentuk Dana
    Satuan Rp. Jumlah Nilai Rp Jumlah Nilai Rp.
    1 2 3 4 7=4x6 8 9=4x8

    1 ALLUPURINOL 100 MG TABLET 117.00 200 200 23400.00


    2 AMLODIPINE 10 MG TABLET 107.00 200 150 16050.00
    3 AMLODIPINE 5 MG TABLET 197.00 200 200 39400.00
    4 ANTASIDA DOEN TABLET 59.00 300 200 11800.00
    5 ASAM MEFENAMAT 250 MG TABLET 175.00 100 17500.00
    6 ASAM MEFENAMAT 500 MG TABLET 113.00 300 200 22600.00
    7 BESI SULFAT (TAMBAH DARAH FE, AS.FOLAT) TABLET 406.00 300 200 81200.00
    8 CHLORPHENIRAMIN MALEAT (CTM) 4 MG TABLET 26.00 200 400 10400.00
    9 GLIBENKLAMIDE 5 MG TABLET 61.00 100 100 6100.00
    10 IBUPROFEN 200 MG TABLET 108.00 200 100 10800.00
    11 KALSIUM LAKTAT 500 MG TABLET 69.00 300 300 20700.00
    12 KOTRIMOXAZOL 480 MG TABLET 158.00 100 100 15800.00
    13 LORPRAMID 2 MG TABLET 90.00 100 100 9000.00
    14 METFORMIN 500 MG TABLET 104.00 200 200 20800.00
    15 NATRIUM DIKL 25 MG TABLET 150.00 300 100 15000.00
    16 NATRIUM DIKL 50 MG TABLET 193.00 100 19300.00
    17 PARASETAMOL 500 MG TABLET 88.00 300 300 26400.00
    18 RANITIDINE 150 MG TABLET 110.00 300 200 22000.00
    19 SIMVASTATIN 20 MG TABLET 250.00 300 300 75000.00
    20 VIT.B 6 (PIRIDOKSIN HCL) TABLET 136.00 100 100 13600.00
    21 AMOKSILIN 500 MG KAPSUL 191.00 200 200 38200.00
    22 ERYTROMICIN 250 MG KAPSUL 509.00 100 100 50900.00
    23 KLORAMFENIKOL 500 MG KAPSUL 1,155.00 200 200 231000.00
    24 DIFENHIDRAMIN INJ 10 MG/ML AMPUL 1,156.00 5 5 5780.00
    25 ALKOHOL 70 % (60 ML) BOTOL 2,625.00 5 5 13125.00
    26 KLORAMPHENICOL SIR 125MG/5ML BOTOL 4,000.00 10 10 40000.00
    27 KOTRIMOXAZOL SUSP 240MG/5ML BOTOL 2,462.00 5 5 12310.00
    28 PARASETAMOL SYR 120MG/5 ML BOTOL 1,119.00 10 10 11190.00
    29 SALEP 2-4 POT 2,907.00 10 5 14535.00
    30 CATGUT PLAIN NO 2/0 PCS 25,455.00 5 5 127275.00
    31 CATGUT PLAIN NO 3/0 PCS 23,485.00 5 5 117425.00
    32 FOLEY CATHETER 2 WAY NO 22 PCS 8,000.00 5 1 8000.00
    33 FOLEY CATHETER 2 WAY NO 18 PCS 8,000.00 5 1 8000.00
    34 FOLEY CATHETER 2 WAY NO 16 PCS 8,000.00 5 1 8000.00
    35 SUPRA TULLE (CUTICELL CLASIC) PCS 4,725.00 5 5 23625.00
    36 INFUS SET PEDIATRIK SET 3,675.00 5 5 18375.00
    TOTAL 1,204,590

    Muara Pahu, 02 Oktober 2018 Yang Menyerahkan


    Yang Menerima Petugas Distribusi GF

    ................................... AZMI RIAN FAIJAR, S.Farm., Apt


    NRTKK. 440 03 006
    Mengetahui / Menyetujui,
    Kepala UPT Puskesmas Muara Pahu

    HJ. T U M I N A H, SKM
    NIP. 19620212 198402 2 002.
    ABUPATEN KUTAI BARAT
    KESEHATAN
    PAHU KECAMATAN MUARA PAHU
    Tanjung Laong Kecamatan Muara Pahu Kode Pos. 75574.
    skesmasmp2016@gmail.com

    UKTI BARANG KELUAR


    45.1.442/ /GF/2018

    Keterangan

    10

    AZMI RIAN FAIJAR, S.Farm., Apt

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