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RSIA BUNDA SEJAHTERA

Jl. Raya Puri Agung No. 3 Pondok Makmur


Telp : (021) 592 5889
Fax : (021) 592
5876
Tangerang

LAPORAN PERMINTAAN BARANG


Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
Bagian : Farmasi

1 SR18000421 03-Dec-2018 GUDANG FARMASI Lokasi Transaksi


CORTIDEX TABLET SANBE 1 Approved retno 03-Dec-2018
CEFIXIM 100MG CAPS NOVELL 2 Approved retno 03-Dec-2018
NOPROSTOL TABLET 68 Approved retno 03-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved retno 03-Dec-2018
MONOSLOW
FOLEY CATHETER 16 GEA 30 Approved retno 03-Dec-2018
GRAFAZOL TAB 500MG 483 Approved retno 03-Dec-2018
CEFIXIM SYRUP 30 ML NOVEL 7 Approved retno 03-Dec-2018
CEFILA 100 MG TAB LAPI 74 Approved retno 03-Dec-2018
BLEDSTOP 125 MCG TABLET 434 Approved retno 03-Dec-2018
VASOFIX 22 B-BRAUN 30 Approved retno 03-Dec-2018
NEUROSANBE TABLET 200 Approved retno 03-Dec-2018
SAGESTAM DROP SANBE 5 Approved retno 03-Dec-2018
ONDANSETRON 4 MG TAB INDOFARMA 51 Approved retno 03-Dec-2018
RANITIDIN INJ 25MG/ML DEXA 100 Approved retno 03-Dec-2018
INTUNAL TAB FORTE 97 Approved retno 03-Dec-2018
NORIT TAB 33 Approved retno 03-Dec-2018
NACL 100ML (OTSU) 50 Approved retno 03-Dec-2018
DOPAMET 250MG TAB. 1 Approved retno 03-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved retno 03-Dec-2018
SARUNG TANGAN GAMEX 7 40 Approved retno 03-Dec-2018
RIFAMPICIN 600 100 Approved retno 03-Dec-2018
RL 500ML B-BRAUN 160 Approved retno 03-Dec-2018
SPINOCAN 26G B-BRAUN 37 Approved retno 03-Dec-2018
ESOLA INJEKSI 2 Approved retno 03-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 17 Approved retno 03-Dec-2018
EPEXOL SYR SANBE 10 Approved retno 03-Dec-2018
URIN BAG "T" TYPE 40 Approved retno 03-Dec-2018
BREAST PUMP YOUNG 9 Approved retno 03-Dec-2018
FITOCARE MINYAK KAYU PUTIH 30 ML 3 Approved retno 03-Dec-2018
FRISIAN FLAG 200 GR 7 Approved retno 03-Dec-2018
LODIA 2MG TAB 70 Approved retno 03-Dec-2018
CETIRIZINE 10 MG TAB NOVELL 1 Approved retno 03-Dec-2018
PENENG BIRU DEWASA 100 Approved retno 03-Dec-2018
RIFAMPICIN 450 MG 100 Approved retno 03-Dec-2018
MASKER TALI IMASKE 200 Approved retno 03-Dec-2018
FOLEY CATETER 10 ONEMED 2 Approved retno 03-Dec-2018
GRAFADON TABLET 500 MG 200 Approved retno 03-Dec-2018
FLAMAR GEL SANBE 1 Approved retno 03-Dec-2018
ANTASIDA DOEN TAB 1 Approved retno 03-Dec-2018
SANMOL INFUS SANBE 5 Approved retno 03-Dec-2018
CENDO XITROL DROP 3 Approved retno 03-Dec-2018
OXYTOCIN INJEKSI NOVELL 81 Approved retno 03-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved retno 03-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 5.5 3 Approved retno 03-Dec-2018
VELLEPSY SYR NOVEL 2 Approved retno 03-Dec-2018
CIPROFLOXACIN 500 1 Approved retno 03-Dec-2018
BENANG ASSURYL 3/0 TS-24 41 Approved retno 03-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 30 Approved retno 03-Dec-2018
AMLODIPINE 5MG TAB INFOFARMA 1 Approved retno 03-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
TRAMADOL INJ 100MG/2ML NOVELL 50 Approved retno 03-Dec-2018

HYPAVIX 10CM X 5M (500 CM) 5,000 Approved retno 03-Dec-2018


BUFECT SYR SANBE 5 Approved retno 03-Dec-2018
CEFIXIME SYR BERNO 10 Approved retno 03-Dec-2018
ALKOHOL 70% ONEMED 3,000 Approved retno 03-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 29 Approved retno 03-Dec-2018
PROMAVIT CAPSUL 100 Approved retno 03-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 30 Approved retno 03-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 50 Approved retno 03-Dec-2018
ATMACID SYR 120 6 Approved retno 03-Dec-2018
ISPRINOL SYR 8 Approved retno 03-Dec-2018
FOLEY CATETER 8 ONEMED 2 Approved retno 03-Dec-2018
AMBROXOL 30 MG TAB INDOFARMA 200 Approved retno 03-Dec-2018
MOMETASON CREAM 10 GR 2 Approved retno 03-Dec-2018
CEFIXIM 200MG CAPS NOVELL 1 Approved retno 03-Dec-2018
MAS CANULA FIXATION PU FILM DEWASA (6X7 CM) 60 Approved retno 03-Dec-2018
CEFAT FORTE SYR 250MG 5 Approved retno 03-Dec-2018
ALLUPURINOL TABLET 300MG 52 Approved retno 03-Dec-2018
LACTO B 80 Approved retno 03-Dec-2018
EDORISAN DROP SANBE 6 Approved retno 03-Dec-2018
ELKANA TAB SANBE 1 Approved retno 03-Dec-2018
CEFTRIAXONE INJ 1 GRAM DEXA 80 Approved retno 03-Dec-2018
MGSO4 20% 25ML 50 Approved retno 03-Dec-2018
FOLEY CATETER 18 3 Approved retno 03-Dec-2018
CEFADROXIL 500 MG BERNO 700 Approved retno 03-Dec-2018
AMOXCILLIN 125 MG SYRUP 3 Approved retno 03-Dec-2018
DERMAFIX 10X25 CM 37 Approved retno 03-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 70 Approved retno 03-Dec-2018
POVIDON IODINE BOTOL 30ML ONEMED 20 Approved retno 03-Dec-2018
APYALIS SYRUP LAPI 2 Approved retno 03-Dec-2018
DERMAFIX T 10 X 12 CM 1 Approved retno 03-Dec-2018
MINYAK TELON FITOCARE 50ML 5 Approved retno 03-Dec-2018
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved retno 03-Dec-2018
SPUIT 3CC ONEMED 300 Approved retno 03-Dec-2018
DEXAMETHASON 0.5MG TAB KF 1 Approved retno 03-Dec-2018
SARUNG TANGAN GAMEX 7.5 40 Approved retno 03-Dec-2018
SPUIT 5CC ONEMED 100 Approved retno 03-Dec-2018
BENANG ASSUT ASSUCRYL 2 HRG-50 22 Approved retno 03-Dec-2018
CYCLO PROGYNOVA TABLET 3 Approved retno 03-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 5 Approved retno 03-Dec-2018
ONDANSETRON INJEKSI 8MG/4ML NOVELL 54 Approved retno 03-Dec-2018
SENSIGLOVES MAS (SIZE M) 430 Approved retno 03-Dec-2018
LOMATUELL 31 Approved retno 03-Dec-2018
DEXTROSE 5 % 100 ML PIGGYBACK 20 Approved retno 03-Dec-2018

2 SR18000430 05-Dec-2018 GUDANG FARMASI Lokasi Transaksi


SPUIT 3CC ONEMED 1 Approved retno 05-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 60 Approved retno 05-Dec-2018
NYSTATIN 100.000 IU DROP NOVELL 8 Approved retno 05-Dec-2018
UTROGESTAN CAP 100MG LAPI 100 Approved retno 05-Dec-2018
ULTRAFIX/HIPAVIX 10 CMX 5M ONEMED 1 Approved retno 05-Dec-2018
INFUSET DEWASA ONEMED 1 Approved retno 05-Dec-2018
PRONALGES SUPP 30 Approved retno 05-Dec-2018
DEXTROSE 5% OTSU 20 Approved retno 05-Dec-2018
OXYTOCIN INJEKSI NOVELL 50 Approved retno 05-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 1 Approved retno 05-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
UTROGESTAN CAP 200MG LAPI 50 Approved retno 05-Dec-2018

PLASMINEX 500MGTAB 1 Approved retno 05-Dec-2018


ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 3 Approved retno 05-Dec-2018

3 SR18000432 06-Dec-2018 GUDANG FARMASI Lokasi Transaksi


LOMATUELL 30 Approved nursriati 06-Dec-2018
KTM INJ 2 Approved nursriati 06-Dec-2018
TOPI OPERASI WANITA 300 Approved nursriati 06-Dec-2018
IV POLYFLEX WINGS NO. 26 1 Approved nursriati 06-Dec-2018
MEFINAL 500MG TABLET 100 Approved nursriati 06-Dec-2018
PETHIDIN 20 Approved nursriati 06-Dec-2018
ANALTRAM TABLET LAPI 1 Approved nursriati 06-Dec-2018
CEFOTAXIM INJ 1 GR/VIAL DEXA 1 Approved nursriati 06-Dec-2018
ISPRINOL SYR 1 Approved nursriati 06-Dec-2018
SENSIGLOVES MAS (SIZE M) 500 Approved nursriati 06-Dec-2018
CENDO XITROL DROP 3 Approved nursriati 06-Dec-2018
L-BIO SACHET 40 Approved nursriati 06-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 200 Approved nursriati 06-Dec-2018
PROMAVIT CAPSUL 525 Approved nursriati 06-Dec-2018
CETIRIZINE 10 MG TAB NOVELL 1 Approved nursriati 06-Dec-2018
PRORIS SUP 2 Approved nursriati 06-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved nursriati 06-Dec-2018
PROBIOSTIM CAPSULE SANBE 10 Approved nursriati 06-Dec-2018
NGT NO 8/ 100 CM 5 Approved nursriati 06-Dec-2018
SANMAG SYR SANBE 2 Approved nursriati 06-Dec-2018
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nursriati 06-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved nursriati 06-Dec-2018
CEFADROXIL 500MG CAPS DEXA 1,200 Approved nursriati 06-Dec-2018
GENTAMYCIN 0.1 % SALEP 24 Approved nursriati 06-Dec-2018
PENCIL CAUTTER 2 Approved nursriati 06-Dec-2018
UMBILICAL CORD KLASIK 50 Approved nursriati 06-Dec-2018
AMOXSAN CAPS 500MG SANBE 1 Approved nursriati 06-Dec-2018
UTROGESTAN CAP 200MG LAPI 40 Approved nursriati 06-Dec-2018
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nursriati 06-Dec-2018
VALPROIC ACID 2 Approved nursriati 06-Dec-2018
GRAFAMIC 500MG KAPLET 700 Approved nursriati 06-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 50 Approved nursriati 06-Dec-2018
FLIXOTIDE NEBULES 0.5MG/2ML UDV 1 Approved nursriati 06-Dec-2018
INTUNAL TAB FORTE 97 Approved nursriati 06-Dec-2018
ECODINE 30 ML BPJS ONEMED 15 Approved nursriati 06-Dec-2018
SPUIT 3CC ONEMED 300 Approved nursriati 06-Dec-2018
CETEME 4 MG TABLET 100 Approved nursriati 06-Dec-2018
PRONALGES SUPP 30 Approved nursriati 06-Dec-2018
STESOLID 5 MG RECTAL 5 Approved nursriati 06-Dec-2018
BENANG ASSUT CHROMIC 2 HRG-50 12 Approved nursriati 06-Dec-2018
SANMOL FORTE SYR SANBE 6 Approved nursriati 06-Dec-2018
ACRAN TAB 150 MG SANBE 2 Approved nursriati 06-Dec-2018
KACAMATA BAYI/BL (POSEY) 6 Approved nursriati 06-Dec-2018
SPUIT 5CC ONEMED 100 Approved nursriati 06-Dec-2018
NACL 100ML (OTSU) 50 Approved nursriati 06-Dec-2018
LEVOFLOXACIN INFUS BERNO 2 Approved nursriati 06-Dec-2018
POVIDONE IODINE 1000ML ONEMED 5,000 Approved nursriati 06-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 06-Dec-2018
ZAMEL SYR NOVEL 5 Approved nursriati 06-Dec-2018
FOLEY CATETER 10 ONEMED 2 Approved nursriati 06-Dec-2018
BLEDSTOP 125 MCG TABLET 300 Approved nursriati 06-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
CTM 4MG TABLET 200 Approved nursriati 06-Dec-2018

LACTO B 1 Approved nursriati 06-Dec-2018


SARUNG TANGAN GAMEX 7.5 80 Approved nursriati 06-Dec-2018
CEFAT FORTE SYR 250MG 2 Approved nursriati 06-Dec-2018
OTTOPAN DROP 15 ML 3 Approved nursriati 06-Dec-2018
AQUABIDEST 25 ML 10 Approved nursriati 06-Dec-2018
CEFILA SYR 100 MG LAPI 6 Approved nursriati 06-Dec-2018
BREATHY DROP 2 Approved nursriati 06-Dec-2018
RIFAMPICIN 450 MG 100 Approved nursriati 06-Dec-2018
RANITIDIN INJ 50 MG/2ML BERNO 65 Approved nursriati 06-Dec-2018
FENTANYL 2 ML 50 Approved nursriati 06-Dec-2018
AMINOSTERIL INFANT 6% 2 Approved nursriati 06-Dec-2018
SUCTION CATHETER NO 8 REMIDI 48 Approved nursriati 06-Dec-2018
ALKOHOL 70% ONEMED 5,000 Approved nursriati 06-Dec-2018
SARUNG TANGAN GAMEX 7 80 Approved nursriati 06-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 3 Approved nursriati 06-Dec-2018
MICROLAX ENEMA 2 Approved nursriati 06-Dec-2018
MISOPROSTOL 200MCG TAB 120 Approved nursriati 06-Dec-2018
OREZINC SYR 3 Approved nursriati 06-Dec-2018
ONDANSETRON INJ 8MG DEXA 50 Approved nursriati 06-Dec-2018
AMINOFLUID-L 500 ML 3 Approved nursriati 06-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 40 Approved nursriati 06-Dec-2018
PUMPITOR INJEKSI SANBE 1 Approved nursriati 06-Dec-2018
EDORISAN DROP SANBE 5 Approved nursriati 06-Dec-2018
SPORETIK SYR SANBE 10 Approved nursriati 06-Dec-2018
DOMPERIDON SYR 5 MG 6 Approved nursriati 06-Dec-2018
NORIT TAB 33 Approved nursriati 06-Dec-2018
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 06-Dec-2018
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nursriati 06-Dec-2018
TRILAC 4MG TAB 100 Approved nursriati 06-Dec-2018
OTTOPAN SYRUP 60 ML 6 Approved nursriati 06-Dec-2018
TRIAMCINOLONE 4 MG TABLET 100 Approved nursriati 06-Dec-2018
LANSOPRAZOLE 30MG TAB NOVELL 1 Approved nursriati 06-Dec-2018
OCUSON TAB SANBE 1 Approved nursriati 06-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 48 Approved nursriati 06-Dec-2018
ZINC KID SYR 2 Approved nursriati 06-Dec-2018
RIFAMPICIN CAPS 300 MG 1 Approved nursriati 06-Dec-2018
ALKOHOL SWAB (ONE SWAB) 300 Approved nursriati 06-Dec-2018
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 80 Approved nursriati 06-Dec-2018
DERMAFIX 10X25 CM 36 Approved nursriati 06-Dec-2018
PENENG BIRU ANAK 1 Approved nursriati 06-Dec-2018
MGSO4 40% 25 ML 50 Approved nursriati 06-Dec-2018
DEXTROSE 5% OTSU 40 Approved nursriati 06-Dec-2018
FLAMAR TAB 50MG SANBE 1 Approved nursriati 06-Dec-2018
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 36 Approved nursriati 06-Dec-2018
VITAMIN B6 1 Approved nursriati 06-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 48 Approved nursriati 06-Dec-2018
MGSO4 20% 25ML 6 Approved nursriati 06-Dec-2018
FOLEY CATHETER 16 GEA 50 Approved nursriati 06-Dec-2018
KASA STERIL 16X16 30 Approved nursriati 06-Dec-2018
CATAPRES 0.15MG/ML AMP 10'S 10 Approved nursriati 06-Dec-2018
CETIRIZINE DROP 5 Approved nursriati 06-Dec-2018
FOLIC ACID 2 Approved nursriati 06-Dec-2018
KETOROLAC INJ 30MG/ML NOVELL 90 Approved nursriati 06-Dec-2018
SPUIT 10CC ONEMED 1 Approved nursriati 06-Dec-2018
PENENG PINK DEWASA 1 Approved nursriati 06-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
DEXAMETASON 0.5MG TAB PHAPROS 100 Approved nursriati 06-Dec-2018

ATMACID SYR 120 2 Approved nursriati 06-Dec-2018


URIN BAG "T" TYPE 30 Approved nursriati 06-Dec-2018
FERRIS DROP 4 Approved nursriati 06-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nursriati 06-Dec-2018
METOCLOPRAMIDE 10MG/2ML INJEKSI 47 Approved nursriati 06-Dec-2018
NGT 8/40 CM TERUMO 5 Approved nursriati 06-Dec-2018
PHYTOMENADIONE INJ 2MG/ML PHAPROS 2 Approved nursriati 06-Dec-2018
METHYLERGOMETRINE INJEKSI 100 Approved nursriati 06-Dec-2018
D10% 1/5 NS OTSU 2 Approved nursriati 06-Dec-2018
AMOXICILLIN TAB 500 QUANTUM 100 Approved nursriati 06-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 24 Approved nursriati 06-Dec-2018
TEOSAL 1 Approved nursriati 06-Dec-2018
BENANG ASSURYL 3/0 TS-24 12 Approved nursriati 06-Dec-2018
FOLEY CATETER 16 RUSCH 38 Approved nursriati 06-Dec-2018
VAKSIN HEPATITIS B 100 Approved nursriati 06-Dec-2018
CEFAT 500MG CAPS SANBE 100 Approved nursriati 06-Dec-2018
PENDIL 82 Approved nursriati 06-Dec-2018
MICRODRIP TERUMO 8 Approved nursriati 06-Dec-2018
AMLODIPIN 10 MG TAB NOVELL 1 Approved nursriati 06-Dec-2018
VITAMIN C 50MG KF 1 Approved nursriati 06-Dec-2018
SANADRYL EXP SYR 120 MG SANBE 5 Approved nursriati 06-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 10 Approved nursriati 06-Dec-2018
KETOKONAZOL SALEP 5 Approved nursriati 06-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 30 Approved nursriati 06-Dec-2018
RL 500ML B-BRAUN 200 Approved nursriati 06-Dec-2018
NAIRET INJEKSI 0.5MG/ML 30 Approved nursriati 06-Dec-2018
INTUNAL CAPLET 1 Approved nursriati 06-Dec-2018
CEFAT DRY SYR 125MG 5 Approved nursriati 06-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved nursriati 06-Dec-2018
RANITIDINE 150MG TAB DEXA 1 Approved nursriati 06-Dec-2018
ELKANA SYR SANBE 2 Approved nursriati 06-Dec-2018
SAGESTAM DROP SANBE 2 Approved nursriati 06-Dec-2018
PENENG PINK ANAK 1 Approved nursriati 06-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 10 Approved nursriati 06-Dec-2018
PENENG BIRU DEWASA 1 Approved nursriati 06-Dec-2018
EPEXOL TAB 30MG SANBE 1 Approved nursriati 06-Dec-2018
ULTRAFIX/HIPAVIX 10 CMX 5M ONEMED 2 Approved nursriati 06-Dec-2018
HYPAVIX 10CM X 5M (500 CM) 5,000 Approved nursriati 06-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 28 Approved nursriati 06-Dec-2018
PYREXIN 80MG SUP MEPRO 10 Approved nursriati 06-Dec-2018
ACRAN INJEKSI 25MG/ML SANBE 5 Approved nursriati 06-Dec-2018
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved nursriati 06-Dec-2018
SANMOL TAB 500MG SANBE 1 Approved nursriati 06-Dec-2018
PAMPERS CONFIDENCE ADULT CLASSIC L 7'S 36 Approved nursriati 06-Dec-2018
SELANG OKSIGEN DEWASA (OXYFLOW) 3 Approved nursriati 06-Dec-2018
FOLAMIL GENIO 5 Approved nursriati 06-Dec-2018
SPINOCAN 26G B-BRAUN 25 Approved nursriati 06-Dec-2018
NIFEDIPIN 10MG TAB DEXA 2 Approved nursriati 06-Dec-2018
ODR SYR LAPI 3 Approved nursriati 06-Dec-2018
REGUMEN 74 Approved nursriati 06-Dec-2018

4 SR18000435 10-Dec-2018 GUDANG FARMASI Lokasi Transaksi


BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 25 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 5.0 2 Approved retno 10-Dec-2018
ALKOHOL 70% 1 LT SUMBER CATUR 7,000 Approved retno 10-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
OMEPRAZOLE 20MG CAPS INDOFARMA 30 Approved retno 10-Dec-2018

GUEDEL AIRWAY 60MM 2 Approved retno 10-Dec-2018


ETT (ENDOTRACHEAL TUBE) PLAIN NO 5.5 2 Approved retno 10-Dec-2018
INTUNAL TAB FORTE 97 Approved retno 10-Dec-2018
METHYLERGOMETRINE INJEKSI 1 Approved retno 10-Dec-2018
ETT NO 7.5 2 Approved retno 10-Dec-2018
GRAFAMIC 500MG KAPLET 602 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 4.5 2 Approved retno 10-Dec-2018
METHISOPRINOL TABLET 50 Approved retno 10-Dec-2018
TRICLOFEM KB 3 BULAN INJEKSI 14 Approved retno 10-Dec-2018
LANSOPRAZOLE 30MG TAB NOVELL 1 Approved retno 10-Dec-2018
SELANG OKSIGEN ANAK (OXYFLOW) 5 Approved retno 10-Dec-2018
BLEDSTOP 125 MCG TABLET 254 Approved retno 10-Dec-2018
BUFECT SYR SANBE 5 Approved retno 10-Dec-2018
BREAST PUMP MAMI 6 Approved retno 10-Dec-2018
NEUROSANBE INJEKSI 3ML 12 Approved retno 10-Dec-2018
SPUIT 5CC ONEMED 100 Approved retno 10-Dec-2018
DERMAFIX T 10 X 12 CM 1 Approved retno 10-Dec-2018
SUCTION CHATETER NO 12 2 Approved retno 10-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved retno 10-Dec-2018
MAS CANULA FIXATION PU FILM DEWASA (6X7 CM) 67 Approved retno 10-Dec-2018
BUFECT SYR FORTE SANBE 5 Approved retno 10-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved retno 10-Dec-2018
HYPAVIX 10CM X 5M (500 CM) 5,000 Approved retno 10-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 22 Approved retno 10-Dec-2018
TUZALOS TABLET SANBE 195 Approved retno 10-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved retno 10-Dec-2018
PROBIOSTIM CAPSULE SANBE 1 Approved retno 10-Dec-2018
PRONALGES SUPP 20 Approved retno 10-Dec-2018
ISONIAZID 300 (INH) 1 Approved retno 10-Dec-2018
MASKER TALI IMASKE 300 Approved retno 10-Dec-2018
KASA STERIL 16X16 10 Approved retno 10-Dec-2018
DEXTROSE 5% OTSU 20 Approved retno 10-Dec-2018
LORATADINE INDOFARMA 1 Approved retno 10-Dec-2018
HIDROKORTISON SALEP 10 Approved retno 10-Dec-2018
LAPIFED TABLET 1 Approved retno 10-Dec-2018
OXYTOCIN INJEKSI NOVELL 113 Approved retno 10-Dec-2018
SANMOL INFUS SANBE 5 Approved retno 10-Dec-2018
EPEXOL SYR SANBE 10 Approved retno 10-Dec-2018
SARUNG TANGAN GAMEX 7.5 80 Approved retno 10-Dec-2018
GUEDEL AIRWAY 50MM 2 Approved retno 10-Dec-2018
GUDEL NO 6 2 Approved retno 10-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 50 Approved retno 10-Dec-2018
GUEDEL AIRWAY 110 MM 2 Approved retno 10-Dec-2018
NGT 16 ONEMED 2 Approved retno 10-Dec-2018
ETT KK NO 7 2 Approved retno 10-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved retno 10-Dec-2018
NACL 100ML (OTSU) 50 Approved retno 10-Dec-2018
MINYAK TELON FITOCARE 50ML 2 Approved retno 10-Dec-2018
SARUNG TANGAN GAMEX 7 80 Approved retno 10-Dec-2018
TRILAC 4MG TAB 90 Approved retno 10-Dec-2018
TRIAMCINOLONE 4 MG TABLET 1 Approved retno 10-Dec-2018
ONDANSETRON INJ 8MG DEXA 31 Approved retno 10-Dec-2018
SPUIT 10CC ONEMED 100 Approved retno 10-Dec-2018
HI OXYGEN MASKER DEWASA (NON-REBREATHING 5 Approved retno 10-Dec-2018
MASK)
ETT (ENDOTRACHEAL TUBE) PLAIN NO 4.0 5 Approved retno 10-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
RIFAMPICIN CAPS 300 MG 1 Approved retno 10-Dec-2018

ISPRINOL SYR 10 Approved retno 10-Dec-2018


CEFIXIM 100MG CAPS NOVELL 60 Approved retno 10-Dec-2018
FRISIAN FLAG 200 GR 5 Approved retno 10-Dec-2018
RIFAMPICIN 600 100 Approved retno 10-Dec-2018
ETT (ENDOTACHEAL TUBE PLAIN) NO 2 2 Approved retno 10-Dec-2018
METFORMIN TAB 200 Approved retno 10-Dec-2018
IMUNOS TABLET LAPI 50 Approved retno 10-Dec-2018
EFISOL LOZENGES 1 Approved retno 10-Dec-2018
GUEDEL AIRWAY 70 MM 2 Approved retno 10-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 5 Approved retno 10-Dec-2018
LACTO B 1 Approved retno 10-Dec-2018
CERINI DROP SANBE 5 Approved retno 10-Dec-2018
NOREPINEPRINE BITARTRATE INJ BERNO 10 Approved retno 10-Dec-2018
NORIT TAB 33 Approved retno 10-Dec-2018
SANADRYL DMP SYR 120 MG SANBE 6 Approved retno 10-Dec-2018
FOLEY CATETER 8 ONEMED 2 Approved retno 10-Dec-2018
FOLEY CATETER 18 2 Approved retno 10-Dec-2018
CETEME 4 MG TABLET 100 Approved retno 10-Dec-2018
GUEDEL AIRWAY 40 MM 2 Approved retno 10-Dec-2018
INTUNAL SYR 6 Approved retno 10-Dec-2018
SUCTION CHATETER NO 14 2 Approved retno 10-Dec-2018
ETT KK PORTEX IDS N0 6.5 2 Approved retno 10-Dec-2018
ATAROC SYR NOVEL 3 Approved retno 10-Dec-2018
DERMAFIX 10X25 CM 32 Approved retno 10-Dec-2018
FOLEY CATETER 10 ONEMED 2 Approved retno 10-Dec-2018
ALKOHOL 70% ONEMED 2,200 Approved retno 10-Dec-2018
ACRAN INJEKSI 25MG/ML SANBE 1 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.0 2 Approved retno 10-Dec-2018
DEXTROSA 10% 10 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 2.5 2 Approved retno 10-Dec-2018
RIFAMPICIN 450 MG 100 Approved retno 10-Dec-2018
PIBAKSIN CREAM 3 Approved retno 10-Dec-2018
GUDEL NO 5 2 Approved retno 10-Dec-2018
FOLAC 400MCG TABLET 166 Approved retno 10-Dec-2018
BISTURI 20 157 Approved retno 10-Dec-2018
CENDO XITROL DROP 2 Approved retno 10-Dec-2018
AMBROXOL 30 MG TAB INDOFARMA 200 Approved retno 10-Dec-2018
SOFTEX MATERNITY 5 Approved retno 10-Dec-2018
SIMVASTATIN 10MG NOVELL 56 Approved retno 10-Dec-2018
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved retno 10-Dec-2018
KACAMATA BAYI/BL (POSEY) 9 Approved retno 10-Dec-2018
GUEDEL AIRWAY 90MM 2 Approved retno 10-Dec-2018
LMA NO.4 1 Approved retno 10-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved retno 10-Dec-2018
MGSO4 20% 25ML 6 Approved retno 10-Dec-2018
NGT 12 ONEMED 2 Approved retno 10-Dec-2018
FOLAMIL GENIO 6 Approved retno 10-Dec-2018
UTROGESTAN CAP 200MG LAPI 22 Approved retno 10-Dec-2018
UNDERPADS SENSI 39 Approved retno 10-Dec-2018
HAEMOGAL CAPLET 3 STRIP @4 2 Approved retno 10-Dec-2018
ODR SYR LAPI 3 Approved retno 10-Dec-2018
VALPROIC ACID 3 Approved retno 10-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved retno 10-Dec-2018
THREE WAY STOPCOCK ONEMED 4 Approved retno 10-Dec-2018
SMECTA SACHET 19 Approved retno 10-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
DEXAMETHASON INJ 5MG/ML BERNO 100 Approved retno 10-Dec-2018

URIN BAG "T" TYPE 22 Approved retno 10-Dec-2018


BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 1 Approved retno 10-Dec-2018
STESOLID 5 MG RECTAL 5 Approved retno 10-Dec-2018
OPICEF 125 MG/5 ML DRY SYRUP 3 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 2 Approved retno 10-Dec-2018
GUEDEL AIRWAY 80 MM 2 Approved retno 10-Dec-2018
VELLEPSY SYR NOVEL 2 Approved retno 10-Dec-2018
SUCTION CHATETER NO 10 2 Approved retno 10-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved retno 10-Dec-2018
VASOFIX 22 B-BRAUN 40 Approved retno 10-Dec-2018
ONESCRUB 4% ONEMADE 500ML 5,000 Approved retno 10-Dec-2018
SUCTION CONNECTING TUBE WITH YANKEUR 2 Approved retno 10-Dec-2018
NACL 25ML OTSU 30 Approved retno 10-Dec-2018
CEFOTAXIM INJ 1 GR/VIAL DEXA 10 Approved retno 10-Dec-2018
MUCOS SYRUP 4 Approved retno 10-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 23 Approved retno 10-Dec-2018
XYLOCAIN 2% GEL 3 Approved retno 10-Dec-2018
SPINOCAN 26G B-BRAUN 35 Approved retno 10-Dec-2018

5 SR18000442 13-Dec-2018 GUDANG FARMASI Lokasi Transaksi


ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.0 2 Approved nursriati 13-Dec-2018
FOLEY CATETER 16 RUSCH 30 Approved nursriati 13-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 3 Approved nursriati 13-Dec-2018
POVIDON IODINE BOTOL 30ML ONEMED 10 Approved nursriati 13-Dec-2018
ASERING 500 ML SOFTBAG 10 Approved nursriati 13-Dec-2018
FITOCARE MINYAK KAYU PUTIH 30 ML 2 Approved nursriati 13-Dec-2018
IMUNOS SYR LAPI 2 Approved nursriati 13-Dec-2018
L-BIO SACHET 30 Approved nursriati 13-Dec-2018
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 13-Dec-2018
PLASMINEX 500MGTAB 1 Approved nursriati 13-Dec-2018
PRORIS SUP 30 Approved nursriati 13-Dec-2018
DOPAMET 250MG TAB. 100 Approved nursriati 13-Dec-2018
VELUTIN NEBULIZER 22 Approved nursriati 13-Dec-2018
AMBROXOL 30MG SYR BERNO 6 Approved nursriati 13-Dec-2018
PENCIL CAUTTER 5 Approved nursriati 13-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 13-Dec-2018
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 13-Dec-2018
ISPRINOL SYR 10 Approved nursriati 13-Dec-2018
ALKOHOL SWAB (ONE SWAB) 300 Approved nursriati 13-Dec-2018
GENTAMYCIN 0.1 % SALEP 20 Approved nursriati 13-Dec-2018
RANIVEL SYR NOVEL 7 Approved nursriati 13-Dec-2018
VALPROIC ACID 2 Approved nursriati 13-Dec-2018
GRAFAMIC 500MG KAPLET 600 Approved nursriati 13-Dec-2018
UNDERPADS SENSI 40 Approved nursriati 13-Dec-2018
SOFTEX MATERNITY 5 Approved nursriati 13-Dec-2018
NORIT TAB 40 Approved nursriati 13-Dec-2018
URINE COLLECTOR PEDIATRICT 4 Approved nursriati 13-Dec-2018
STYLET TRACHEAL INTUBATION DEWASA 5.0 2 Approved nursriati 13-Dec-2018
OXYTOCIN INJEKSI NOVELL 100 Approved nursriati 13-Dec-2018
CEFOTAXIM INJ 1 GR/VIAL DEXA 20 Approved nursriati 13-Dec-2018
CEFAT FORTE SYR 250MG 3 Approved nursriati 13-Dec-2018
SUCTION CATHETER NO 8 REMIDI 50 Approved nursriati 13-Dec-2018
RANITIDIN INJ 50 MG/2ML BERNO 50 Approved nursriati 13-Dec-2018
METOCLOPRAMIDE 10MG/2ML INJEKSI 50 Approved nursriati 13-Dec-2018
OREZINC SYR 5 Approved nursriati 13-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
EQUISPON (80X50X10MM) 2 Approved nursriati 13-Dec-2018

RIFAMPICIN 450 MG 100 Approved nursriati 13-Dec-2018


AMOXSAN SYR 125MG SANBE 5 Approved nursriati 13-Dec-2018
INTUNAL TAB FORTE 100 Approved nursriati 13-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 13-Dec-2018
LACTO B 1 Approved nursriati 13-Dec-2018
UTROGESTAN CAP 100MG LAPI 100 Approved nursriati 13-Dec-2018
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nursriati 13-Dec-2018
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 13-Dec-2018
UTROGESTAN CAP 200MG LAPI 100 Approved nursriati 13-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 30 Approved nursriati 13-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 13-Dec-2018
RIFAMPICIN CAPS 300 MG 1 Approved nursriati 13-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 13-Dec-2018
ODR SYR LAPI 4 Approved nursriati 13-Dec-2018
SANMOL TAB 500MG SANBE 100 Approved nursriati 13-Dec-2018
METHYL PREDNISOLON 4 MG 100 Approved nursriati 13-Dec-2018
INFLO IV 24G/VASOFIX 24 ONEMED 20 Approved nursriati 13-Dec-2018
CURVIT SYR 2 Approved nursriati 13-Dec-2018
BLOOD TRANSFUSION SET 10 Approved nursriati 13-Dec-2018
MAS CANULA FIXATION PU FILM ANAK (4.5X6 CM) 1 Approved nursriati 13-Dec-2018
CEFXON INJ 1GR/VIAL LAPI 4 Approved nursriati 13-Dec-2018
OTTOPAN SYRUP 60 ML 11 Approved nursriati 13-Dec-2018
GERDILIUM SUSPENSI 60 ML 3 Approved nursriati 13-Dec-2018
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nursriati 13-Dec-2018
STOLAX SUP SANBE 10 Approved nursriati 13-Dec-2018
DEHIDRALYTE NOVEL 11 Approved nursriati 13-Dec-2018
SANMOL SYR SANBE 10 Approved nursriati 13-Dec-2018
IMUNOS TABLET LAPI 1 Approved nursriati 13-Dec-2018
SUPRAFENID SUP 40 Approved nursriati 13-Dec-2018
CEFADROXIL 500MG CAPS DEXA 700 Approved nursriati 13-Dec-2018
ACRAN TAB 150 MG SANBE 90 Approved nursriati 13-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved nursriati 13-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 25 Approved nursriati 13-Dec-2018
SELANG OKSIGEN DEWASA (OXYFLOW) 5 Approved nursriati 13-Dec-2018
LAFALOS GEL 2 Approved nursriati 13-Dec-2018
CEFILA SYR 100 MG LAPI 5 Approved nursriati 13-Dec-2018
ACYCLOVIR TAB 400MG 1 Approved nursriati 13-Dec-2018
PENENG PINK DEWASA 1 Approved nursriati 13-Dec-2018
LASAL SYR 2 MG LAPI 2 Approved nursriati 13-Dec-2018
FLADYSTIN OVULA 1 Approved nursriati 13-Dec-2018
OCUSON TAB SANBE 1 Approved nursriati 13-Dec-2018
SARUNG TANGAN GAMEX 7 80 Approved nursriati 13-Dec-2018
UMBILICAL CORD KLASIK 50 Approved nursriati 13-Dec-2018
RL 500ML B-BRAUN 180 Approved nursriati 13-Dec-2018
BENANG ASSUT SILK 2/0 TS-27 12 Approved nursriati 13-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 24 Approved nursriati 13-Dec-2018
CAL 95 TAB LAPI 150 Approved nursriati 13-Dec-2018
FENTANYL 2 ML 50 Approved nursriati 13-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 36 Approved nursriati 13-Dec-2018
SPUIT 10CC ONEMED 200 Approved nursriati 13-Dec-2018
CEFIXIM SYRUP 30 ML NOVEL 3 Approved nursriati 13-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 5 Approved nursriati 13-Dec-2018
KETOROLAC INJ 30MG/ML NOVELL 90 Approved nursriati 13-Dec-2018
DERMAFIX 10X25 CM 30 Approved nursriati 13-Dec-2018
LAPIMOX DRY SYRUP 125 MG/5 ML 60 ML 4 Approved nursriati 13-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
PHYTOMENADIONE INJ 2MG/ML PHAPROS 2 Approved nursriati 13-Dec-2018

SPINOCAN 26G B-BRAUN 25 Approved nursriati 13-Dec-2018


CATAPRES 0.15MG/ML AMP 10'S 10 Approved nursriati 13-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 30 Approved nursriati 13-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved nursriati 13-Dec-2018
PARACETAMOL INFUS NOVEL 3 Approved nursriati 13-Dec-2018
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nursriati 13-Dec-2018
AMINOSTERIL INFANT 6% 3 Approved nursriati 13-Dec-2018
KASA STERIL 16X16 30 Approved nursriati 13-Dec-2018
REGUMEN 90 Approved nursriati 13-Dec-2018
OMEPRAZOLE 20MG CAPS INDOFARMA 100 Approved nursriati 13-Dec-2018
IV POLYFLEX WINGS NO. 26 1 Approved nursriati 13-Dec-2018
INFUSET DEWASA ONEMED 50 Approved nursriati 13-Dec-2018
LOMATUELL 50 Approved nursriati 13-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 150 Approved nursriati 13-Dec-2018
SPUIT 3CC ONEMED 300 Approved nursriati 13-Dec-2018
GRAFAZOL TAB 500MG 1 Approved nursriati 13-Dec-2018
PLASMINEX INJ 100MG/ML 30 Approved nursriati 13-Dec-2018
ELKANA TAB SANBE 1 Approved nursriati 13-Dec-2018
HANSAPLAST 100'S 1 Approved nursriati 13-Dec-2018
FLIXOTIDE NEBULES 0.5MG/2ML UDV 1 Approved nursriati 13-Dec-2018
BECOM C TAB SANBE 1 Approved nursriati 13-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nursriati 13-Dec-2018
PROMAVIT CAPSUL 420 Approved nursriati 13-Dec-2018
HYPAVIX 10CM X 5M (500 CM) 1,000 Approved nursriati 13-Dec-2018
ONDANSETRON INJ 8MG DEXA 40 Approved nursriati 13-Dec-2018
TUZALOS TABLET SANBE 1 Approved nursriati 13-Dec-2018
MASKER TALI IMASKE 200 Approved nursriati 13-Dec-2018
SENSIGLOVES MAS (SIZE M) 600 Approved nursriati 13-Dec-2018
BENANG ASSURYL 3/0 TS-24 1 Approved nursriati 13-Dec-2018
ONESCRUB 4% ONEMED 5L 5,000 Approved nursriati 13-Dec-2018
LMA NO.4 1 Approved nursriati 13-Dec-2018
HAEMOGAL CAPLET 3 STRIP @4 2 Approved nursriati 13-Dec-2018
NACL 500 ML ECOSOL (B-BRAUN) 3 Approved nursriati 13-Dec-2018
DEXTROSE 5% OTSU 10 Approved nursriati 13-Dec-2018
ALKOHOL 70% 1 LT SUMBER CATUR 3,000 Approved nursriati 13-Dec-2018
SARUNG TANGAN GAMEX 8 80 Approved nursriati 13-Dec-2018
MASKER NEBU ANAK GEA 7 Approved nursriati 13-Dec-2018
SPALK UKURAN 5X12 CM 20 Approved nursriati 13-Dec-2018
URIN BAG "T" TYPE 20 Approved nursriati 13-Dec-2018
FOLAMIL GENIO 180 Approved nursriati 13-Dec-2018
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 100 Approved nursriati 13-Dec-2018
NACL 100ML (OTSU) 50 Approved nursriati 13-Dec-2018
CEFIXIM 200MG CAPS NOVELL 90 Approved nursriati 13-Dec-2018
LEVOFLOXACIN INFUS BERNO 2 Approved nursriati 13-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved nursriati 13-Dec-2018
MONOSLOW
THREE WAY STOPCOCK ONEMED 3 Approved nursriati 13-Dec-2018
ELEKTRODA DEWASA ONEMED 1 Approved nursriati 13-Dec-2018
HIDROKORTISON SALEP 5 Approved nursriati 13-Dec-2018
MEFINAL 500MG TABLET 100 Approved nursriati 13-Dec-2018
SPUIT 1CC ONEMED 100 Approved nursriati 13-Dec-2018
BLEDSTOP 125 MCG TABLET 300 Approved nursriati 13-Dec-2018
BENANG ASSUT CHROMIC 2 HRG-50 36 Approved nursriati 13-Dec-2018
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 13-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 60 Approved nursriati 13-Dec-2018
MGSO4 40% 25 ML 50 Approved nursriati 13-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh

6 SR18000446 16-Dec-2018 GUDANG FARMASI Lokasi Transaksi


DERMAFIX 10X25 CM 30 Approved nerfi 17-Dec-2018
OXYTOCIN INJEKSI NOVELL 100 Approved nerfi 17-Dec-2018
ANTASIDA DOEN TAB 1 Approved nerfi 17-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 49 Approved nerfi 17-Dec-2018
DEXTROSE 5 % 100 ML PIGGYBACK 10 Approved nerfi 17-Dec-2018
CEFILA SYR 100 MG LAPI 6 Approved nerfi 17-Dec-2018
ETT KK PORTEX IDS N0 8.0 2 Approved nerfi 17-Dec-2018
GRAFAMIC 500MG KAPLET 700 Approved nerfi 17-Dec-2018
TREMENZA SYR SANBE 6 Approved nerfi 17-Dec-2018
FOLAMIL GENIO 5 Approved nerfi 17-Dec-2018
OTTOPAN SYRUP 60 ML 8 Approved nerfi 17-Dec-2018
PARACETAMOL 1GR/100ML INFUS BERNO 3 Approved nerfi 17-Dec-2018
LAPIFED TABLET 1 Approved nerfi 17-Dec-2018
CEFAT DRY SYR 125MG 5 Approved nerfi 17-Dec-2018
SANMOL SYR SANBE 10 Approved nerfi 17-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 4 Approved nerfi 17-Dec-2018
DOPAMET 250MG TAB. 1 Approved nerfi 17-Dec-2018
TRIAMCINOLONE 4 MG TABLET 1 Approved nerfi 17-Dec-2018
REGUMEN 90 Approved nerfi 17-Dec-2018
NEUROSANBE TABLET 1 Approved nerfi 17-Dec-2018
PROBIOSTIM CAPSULE SANBE 20 Approved nerfi 17-Dec-2018
CENDO XITROL DROP 2 Approved nerfi 17-Dec-2018
NOVA T 1 Approved nerfi 17-Dec-2018
OTTOPAN DROP 15 ML 5 Approved nerfi 17-Dec-2018
EFLAGEN 50MG TAB 1 Approved nerfi 17-Dec-2018
SPUIT 3CC ONEMED 400 Approved nerfi 17-Dec-2018
UMBILICAL CORD KLASIK 1 Approved nerfi 17-Dec-2018
AMLODIPINE 5MG TAB INFOFARMA 2 Approved nerfi 17-Dec-2018
MISOPROSTOL 200MCG TAB 100 Approved nerfi 17-Dec-2018
STESOLID 5 MG RECTAL 15 Approved nerfi 17-Dec-2018
ASTHAROL 4MG 1 Approved nerfi 17-Dec-2018
NEUROSANBE INJEKSI 3ML 10 Approved nerfi 17-Dec-2018
ACRAN TAB 150 MG SANBE 2 Approved nerfi 17-Dec-2018
CEFAT FORTE SYR 250MG 2 Approved nerfi 17-Dec-2018
PENENG BIRU DEWASA 1 Approved nerfi 17-Dec-2018
TRICHODAZOLE TAB 500MG SANBE 100 Approved nerfi 17-Dec-2018
LAPIMOX DRY SYRUP 125 MG/5 ML 60 ML 5 Approved nerfi 17-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 32 Approved nerfi 17-Dec-2018
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nerfi 17-Dec-2018
FOLEY CATETER 16 RUSCH 30 Approved nerfi 17-Dec-2018
SANMOL DROP 60MG SANBE 10 Approved nerfi 17-Dec-2018
NYSTIN DROP 100.000 IU 5 Approved nerfi 17-Dec-2018
SPUIT 5CC ONEMED 100 Approved nerfi 17-Dec-2018
CEFADROXIL 500MG CAPS DEXA 1,000 Approved nerfi 17-Dec-2018
SANADRYL EXP SYR 120 MG SANBE 5 Approved nerfi 17-Dec-2018
SELANG OKSIGEN BAYI (OXYFLOW) 5 Approved nerfi 17-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved nerfi 17-Dec-2018
SANPRIMA SYR SANBE 3 Approved nerfi 17-Dec-2018
MICRODRIP TERUMO 3 Approved nerfi 17-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nerfi 17-Dec-2018
MAS CANULA FIXATION PU FILM ANAK (4.5X6 CM) 1 Approved nerfi 17-Dec-2018
MEFINAL 500MG TABLET 200 Approved nerfi 17-Dec-2018
OMEPRAZOLE 20MG CAPS INDOFARMA 110 Approved nerfi 17-Dec-2018
MEFUROSAN CREAM 10GR 2 Approved nerfi 17-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
RL 500ML B-BRAUN 100 Approved nerfi 17-Dec-2018

GUEDEL AIRWAY 80 MM 2 Approved nerfi 17-Dec-2018


TRILAC 4MG TAB 100 Approved nerfi 17-Dec-2018
CEFIXIM 100MG CAPS NOVELL 2 Approved nerfi 17-Dec-2018
UNDERPADS SENSI 30 Approved nerfi 17-Dec-2018
PAMPERS CONFIDENCE ADULT CLASSIC L 7'S 36 Approved nerfi 17-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 6 Approved nerfi 17-Dec-2018
TOPI OPERASI WANITA 400 Approved nerfi 17-Dec-2018
ALKOHOL SWAB (ONE SWAB) 3 Approved nerfi 17-Dec-2018
INFUSET DEWASA ONEMED 20 Approved nerfi 17-Dec-2018
APYALIS SYRUP LAPI 2 Approved nerfi 17-Dec-2018
MINOSCRUB 500ML 5,000 Approved nerfi 17-Dec-2018
AMOXSAN SYR 125MG SANBE 10 Approved nerfi 17-Dec-2018
DEXAMETASON 0.5MG TAB PHAPROS 100 Approved nerfi 17-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 200 Approved nerfi 17-Dec-2018
SANMOL FORTE SYR SANBE 7 Approved nerfi 17-Dec-2018
SUCTION 20 Approved nerfi 17-Dec-2018
CATHETE
SPALK UKURAN 5X12 CM 20 Approved nerfi 17-Dec-2018
R NO 8
CEFTRIAXONE
REMIDI INJ 1GRAM/VIAL BERNO 30 Approved nerfi 17-Dec-2018
VERTIGOSAN 1 Approved nerfi 17-Dec-2018
TUZALOS TABLET SANBE 1 Approved nerfi 17-Dec-2018
APYALIS DROP LAPI 2 Approved nerfi 17-Dec-2018
METOCLOPRAMIDE 10MG/2ML INJEKSI 2 Approved nerfi 17-Dec-2018
BISTURI 20 100 Approved nerfi 17-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nerfi 17-Dec-2018
FRISIAN FLAG 200 GR 12 Approved nerfi 17-Dec-2018
NGT 8/40 CM TERUMO 3 Approved nerfi 17-Dec-2018
DERMAFIX T 10 X 12 CM 1 Approved nerfi 17-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved nerfi 17-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nerfi 17-Dec-2018
SARUNG TANGAN GAMEX 7 40 Approved nerfi 17-Dec-2018
NEUROSANBE PLUS 1 Approved nerfi 17-Dec-2018
KASA STERIL 16X16 20 Approved nerfi 17-Dec-2018
SARUNG TANGAN GAMEX 7.5 58 Approved nerfi 17-Dec-2018
TERMOMETER DIGITAL ALPHA 3 1 Approved nerfi 17-Dec-2018
ASAM MEFENAMAT 500MG TAB ERRITA 1,000 Approved nerfi 17-Dec-2018
RANITIDIN INJ 50 MG/2ML BERNO 78 Approved nerfi 17-Dec-2018
CINAM INJEKSI 10 Approved nerfi 17-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 23 Approved nerfi 17-Dec-2018
NAIRET INJEKSI 0.5MG/ML 10 Approved nerfi 17-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 48 Approved nerfi 17-Dec-2018
SPUIT 10CC ONEMED 100 Approved nerfi 17-Dec-2018
OCUSON TAB SANBE 1 Approved nerfi 17-Dec-2018
ELEKTRODA DEWASA ONEMED 1 Approved nerfi 17-Dec-2018
SIMVASTATIN 10MG NOVELL 1 Approved nerfi 17-Dec-2018
CATAPRES 0.15MG/ML AMP 10'S 2 Approved nerfi 17-Dec-2018
SPINOCAN 26G B-BRAUN 25 Approved nerfi 17-Dec-2018
NIFEDIPIN 10MG TAB DEXA 1 Approved nerfi 17-Dec-2018
AMINOFLUID-L 500 ML 5 Approved nerfi 17-Dec-2018
NYSTATIN 100.000 IU DROP NOVELL 7 Approved nerfi 17-Dec-2018
FENTANYL 2 ML 50 Approved nerfi 17-Dec-2018
ZAMEL SYR NOVEL 5 Approved nerfi 17-Dec-2018
SANMAG SYR SANBE 4 Approved nerfi 17-Dec-2018
SENSIGLOVES MAS (SIZE M) 500 Approved nerfi 17-Dec-2018
LOMATUELL 2 Approved nerfi 17-Dec-2018
URIN BAG "T" TYPE 20 Approved nerfi 17-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
ACYCLOVIR CREAM 7 Approved nerfi 17-Dec-2018

GENTAMYCIN 0.1 % SALEP 2 Approved nerfi 17-Dec-2018


RIFAMPICIN CAPS 300 MG 1 Approved nerfi 17-Dec-2018
INFLO IV 18G/VASOFIX 18 ONEMED 1 Approved nerfi 17-Dec-2018
PRENAMIA TAB SANBE 100 Approved nerfi 17-Dec-2018
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nerfi 17-Dec-2018
ALKOHOL 70% 1 LT SUMBER CATUR 7,000 Approved nerfi 17-Dec-2018
NUPOVEL INJEKSI NOVEL 5 Approved nerfi 17-Dec-2018
KETOROLAC INJ 30MG/ML NOVELL 90 Approved nerfi 17-Dec-2018
SPUIT 1CC ONEMED 100 Approved nerfi 17-Dec-2018
EPISAN SYR 100ML 10 Approved nerfi 17-Dec-2018
NORIT 2 Approved nerfi 17-Dec-2018
SALBUTAMOL 2 MG/ 5 ML SYR 3 Approved nerfi 17-Dec-2018
SANMOL TAB 500MG SANBE 100 Approved nerfi 17-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nerfi 17-Dec-2018
EPEXOL TAB 30MG SANBE 1 Approved nerfi 17-Dec-2018
ONDANSETRON INJ 8MG DEXA 20 Approved nerfi 17-Dec-2018
ATMACID SYR 120 3 Approved nerfi 17-Dec-2018
CEFIXIM 200MG CAPS NOVELL 2 Approved nerfi 17-Dec-2018
EPEXOL SYR SANBE 10 Approved nerfi 17-Dec-2018
INTUNAL TAB FORTE 97 Approved nerfi 17-Dec-2018
RIFAMPICIN 450 MG 1 Approved nerfi 17-Dec-2018
NACL 500 ML ECOSOL (B-BRAUN) 5 Approved nerfi 17-Dec-2018
POVIDON IODINE BOTOL 30ML ONEMED 10 Approved nerfi 17-Dec-2018
PISAU CUKUR RAZOR BLUE 50 Approved nerfi 17-Dec-2018
NACL 100ML (OTSU) 50 Approved nerfi 17-Dec-2018
FERRIS DROP 4 Approved nerfi 17-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved nerfi 17-Dec-2018
MASKER NEBU DEWASA 3 Approved nerfi 17-Dec-2018
THREE WAY STOPCOCK ONEMED 3 Approved nerfi 17-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 100 Approved nerfi 17-Dec-2018
MASKER TALI IMASKE 4 Approved nerfi 17-Dec-2018

7 SR18000457 20-Dec-2018 GUDANG FARMASI Lokasi Transaksi


NGT 16 ONEMED 3 Approved nursriati 20-Dec-2018
GRAFAMIC 500MG KAPLET 503 Approved nursriati 20-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 20 Approved nursriati 20-Dec-2018
CEFIXIM 100MG CAPS NOVELL 100 Approved nursriati 20-Dec-2018
INFUSET DEWASA ONEMED 36 Approved nursriati 20-Dec-2018
MICROLAX ENEMA 3 Approved nursriati 20-Dec-2018
PROBIOSTIM CAPSULE SANBE 20 Approved nursriati 20-Dec-2018
RIFAMPICIN 450 MG 100 Approved nursriati 20-Dec-2018
SIMVASTATIN 10MG NOVELL 61 Approved nursriati 20-Dec-2018
MICROPORE 1/2 INCH 5 Approved nursriati 20-Dec-2018
VASOFIX 20 B-BRAUN 50 Approved nursriati 20-Dec-2018
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 7 Approved nursriati 20-Dec-2018
MICONAZOL CREM 5 Approved nursriati 20-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 6 Approved nursriati 20-Dec-2018
CEFIXIM 200MG CAPS NOVELL 100 Approved nursriati 20-Dec-2018
ACRAN TAB 150 MG SANBE 60 Approved nursriati 20-Dec-2018
PYRAZINAMID 500MG 1 Approved nursriati 20-Dec-2018
BLEDSTOP 125 MCG TABLET 315 Approved nursriati 20-Dec-2018
SENSIGLOVES MAS (SIZE M) 331 Approved nursriati 20-Dec-2018
AMINOFLUID-L 500 ML 2 Approved nursriati 20-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 40 Approved nursriati 20-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 3 Approved nursriati 20-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
SANMOL TAB 500MG SANBE 1 Approved nursriati 20-Dec-2018

BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 18 Approved nursriati 20-Dec-2018


SIRPLUS TABLET MEPRO 400 Approved nursriati 20-Dec-2018
ODR SYR LAPI 3 Approved nursriati 20-Dec-2018
URIN BAG "T" TYPE 30 Approved nursriati 20-Dec-2018
CEFIXIME SYR BERNO 8 Approved nursriati 20-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 20-Dec-2018
OPILAX SYR 2 Approved nursriati 20-Dec-2018
ISPRINOL SYR 10 Approved nursriati 20-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved nursriati 20-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nursriati 20-Dec-2018
ZAMEL DROP NOVEL 2 Approved nursriati 20-Dec-2018
RIFAMTIBI 450MG 1 Approved nursriati 20-Dec-2018
ANALTRAM TABLET LAPI 100 Approved nursriati 20-Dec-2018
THREE WAY STOPCOCK ONEMED 4 Approved nursriati 20-Dec-2018
ZINC KID SYR 2 Approved nursriati 20-Dec-2018
ELEKTRODA DEWASA ONEMED 1 Approved nursriati 20-Dec-2018
FUROSEMIDE INJ 10MG/ML 10 Approved nursriati 20-Dec-2018
NIFEDIPIN 10MG TAB DEXA 100 Approved nursriati 20-Dec-2018
TRIAMCINOLONE 4 MG TABLET 100 Approved nursriati 20-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 20-Dec-2018
CEFAT 500MG CAPS SANBE 1 Approved nursriati 20-Dec-2018
UNDERPADS SENSI 20 Approved nursriati 20-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.0 3 Approved nursriati 20-Dec-2018
CETEME 4 MG TABLET 100 Approved nursriati 20-Dec-2018
ASTHAROL 4MG 1 Approved nursriati 20-Dec-2018
CYCLO PROGYNOVA TABLET 2 Approved nursriati 20-Dec-2018
CEFXON INJ 1GR/VIAL LAPI 4 Approved nursriati 20-Dec-2018
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 79 Approved nursriati 20-Dec-2018
UTROGESTAN CAP 100MG LAPI 30 Approved nursriati 20-Dec-2018
ODR 4 MG INJEKSI LAPI 5 Approved nursriati 20-Dec-2018
RIFAMPICIN 600 100 Approved nursriati 20-Dec-2018
CEFOTAXIM INJ 1 GR/VIAL DEXA 10 Approved nursriati 20-Dec-2018
BREATHY DROP 3 Approved nursriati 20-Dec-2018
VELUTIN NEBULIZER 20 Approved nursriati 20-Dec-2018
TRICHODAZOLE TAB 500MG SANBE 100 Approved nursriati 20-Dec-2018
NORIT TAB 33 Approved nursriati 20-Dec-2018
SANADRYL DMP SYR 120 MG SANBE 5 Approved nursriati 20-Dec-2018
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 20-Dec-2018
SALBUTAMOL 2 MG/ 5 ML SYR 2 Approved nursriati 20-Dec-2018
EPEXOL SYR SANBE 10 Approved nursriati 20-Dec-2018
BREAST PUMP YOUNG 4 Approved nursriati 20-Dec-2018
MASKER TALI IMASKE 200 Approved nursriati 20-Dec-2018
EPISAN SYR 100ML 10 Approved nursriati 20-Dec-2018
CEFILA 100 MG TAB LAPI 1 Approved nursriati 20-Dec-2018
RL 500ML B-BRAUN 149 Approved nursriati 20-Dec-2018
SANMOL FORTE SYR SANBE 5 Approved nursriati 20-Dec-2018
KASA STERIL 16X16 8 Approved nursriati 20-Dec-2018
RANITIDIN INJ 50 MG/2ML BERNO 25 Approved nursriati 20-Dec-2018
CEFAT FORTE SYR 250MG 5 Approved nursriati 20-Dec-2018
PROMAVIT CAPSUL 272 Approved nursriati 20-Dec-2018
INTUNAL TAB FORTE 97 Approved nursriati 20-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nursriati 20-Dec-2018
PARACETAMOL 1GR/100ML INFUS BERNO 4 Approved nursriati 20-Dec-2018
METRONIDAZOLE 500 MG TABLET BERNO 200 Approved nursriati 20-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 5 Approved nursriati 20-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
METFORMIN TAB 100 Approved nursriati 20-Dec-2018

METHISOPRINOL TABLET 50 Approved nursriati 20-Dec-2018


KENALOG IN ORA BASE 2 Approved nursriati 20-Dec-2018
NOVA T 1 Approved nursriati 20-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 30 Approved nursriati 20-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 36 Approved nursriati 20-Dec-2018
SPALK UKURAN 5X12 CM 20 Approved nursriati 20-Dec-2018
SARUNG TANGAN GAMEX 7 40 Approved nursriati 20-Dec-2018
ATAROC SYR NOVEL 2 Approved nursriati 20-Dec-2018

8 SR18000460 24-Dec-2018 GUDANG FARMASI Lokasi Transaksi


BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 35 Approved nerfi 24-Dec-2018
BREAST PUMP YOUNG 10 Approved nerfi 24-Dec-2018
ASPILETS CHEWABLE 1 Approved nerfi 24-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 6 Approved nerfi 24-Dec-2018
RL 500ML B-BRAUN 150 Approved nerfi 24-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nerfi 24-Dec-2018
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved nerfi 24-Dec-2018
MEFINAL 500MG TABLET 1 Approved nerfi 24-Dec-2018
RIFAMPICIN 600 100 Approved nerfi 24-Dec-2018
SPALK UKURAN 5X12 CM 20 Approved nerfi 24-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nerfi 24-Dec-2018
SALBUTAMOL 2 MG/ 5 ML SYR 2 Approved nerfi 24-Dec-2018
CEFADROXIL 500 MG BERNO 1,038 Approved nerfi 24-Dec-2018
MICRODRIP TERUMO 5 Approved nerfi 24-Dec-2018
TRIAMCINOLONE 4 MG TABLET 1 Approved nerfi 24-Dec-2018
LANSOPRAZOLE 30MG TAB NOVELL 30 Approved nerfi 24-Dec-2018
SENSIGLOVES MAS (SIZE M) 300 Approved nerfi 24-Dec-2018
BLEDSTOP 125 MCG TABLET 180 Approved nerfi 24-Dec-2018
RANITIDIN INJ 50 MG/2ML BERNO 50 Approved nerfi 24-Dec-2018
BENANG ASSURYL 3/0 TS-24 36 Approved nerfi 24-Dec-2018
ISPRINOL SYR 10 Approved nerfi 24-Dec-2018
CETIRIZINE 10 MG TAB NOVELL 1 Approved nerfi 24-Dec-2018
FERRIS DROP 4 Approved nerfi 24-Dec-2018
CORTIDEX TABLET SANBE 1 Approved nerfi 24-Dec-2018
OTTOPAN SYRUP 60 ML 8 Approved nerfi 24-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 2 Approved nerfi 24-Dec-2018
CENDO XITROL DROP 2 Approved nerfi 24-Dec-2018
CAL 95 TAB LAPI 65 Approved nerfi 24-Dec-2018
ACRAN TAB 150 MG SANBE 60 Approved nerfi 24-Dec-2018
MYCO-Z OINTMENT 10GR 3 Approved nerfi 24-Dec-2018
BENANG ASSUT ASSUCRYL 2 HRG-50 29 Approved nerfi 24-Dec-2018
URINE COLLECTOR PEDIATRICT 10 Approved nerfi 24-Dec-2018
ONDANSENTRON TAB 8 MG NOVELL 50 Approved nerfi 24-Dec-2018
HYPAVIX 10CM X 5M (500 CM) 6 Approved nerfi 24-Dec-2018
PRONALGES SUPP 1 Approved nerfi 24-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 200 Approved nerfi 24-Dec-2018
PLASMINEX 500MGTAB 1 Approved nerfi 24-Dec-2018
SPUIT 10CC ONEMED 100 Approved nerfi 24-Dec-2018
THREE WAY STOPCOCK ONEMED 2 Approved nerfi 24-Dec-2018
KASA STERIL 16X16 25 Approved nerfi 24-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 40 Approved nerfi 24-Dec-2018
SPUIT 5CC ONEMED 100 Approved nerfi 24-Dec-2018
TRICLOFEM KB 3 BULAN INJEKSI 10 Approved nerfi 24-Dec-2018
ALKOHOL 70% ONEMED 3,500 Approved nerfi 24-Dec-2018
HI OXYGEN MASKER DEWASA (NON-REBREATHING 5 Approved nerfi 24-Dec-2018
MASK)
Print Date : 26-Feb-2019, Print Time : 8:41:32AM P
LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
ONDANSETRON INJ 8MG DEXA 51 Approved nerfi 24-Dec-2018

MASKER TALI IMASKE 200 Approved nerfi 24-Dec-2018


NOVA T 1 Approved nerfi 24-Dec-2018
HANSAPLAST 100'S 1 Approved nerfi 24-Dec-2018
SPINOCAN 26G B-BRAUN 50 Approved nerfi 24-Dec-2018
INTUNAL TAB FORTE 97 Approved nerfi 24-Dec-2018
DEXTROSE 5% OTSU 20 Approved nerfi 24-Dec-2018
EFLAGEN 50MG TAB 53 Approved nerfi 24-Dec-2018
SIMVASTATIN 10MG NOVELL 61 Approved nerfi 24-Dec-2018
MASKER NEBU ANAK GEA 5 Approved nerfi 24-Dec-2018
TUZALOS TABLET SANBE 121 Approved nerfi 24-Dec-2018
EPISAN SYR 100ML 10 Approved nerfi 24-Dec-2018
INFUSET ANAK 1 Approved nerfi 24-Dec-2018
METHISOPRINOL TABLET 50 Approved nerfi 24-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 30 Approved nerfi 24-Dec-2018
MUCOS SYRUP 4 Approved nerfi 24-Dec-2018
ETT (ENDOTACHEAL TUBE PLAIN) NO 2 5 Approved nerfi 24-Dec-2018
CEFXON INJ 1GR/VIAL LAPI 3 Approved nerfi 24-Dec-2018
FOLEY CATETER 16 RUSCH 46 Approved nerfi 24-Dec-2018
ZAMEL SYR NOVEL 2 Approved nerfi 24-Dec-2018
BREATHY DROP 4 Approved nerfi 24-Dec-2018
BISTURI 20 148 Approved nerfi 24-Dec-2018
SUCTION CHATETER NO 12 8 Approved nerfi 24-Dec-2018
AMOXSAN SYR 250 MG SANBE 4 Approved nerfi 24-Dec-2018
BENANG ASSUT CHROMIC 2 HRG-50 28 Approved nerfi 24-Dec-2018
LOMATUELL 47 Approved nerfi 24-Dec-2018
KACAMATA BAYI/BL (POSEY) 10 Approved nerfi 24-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 3 Approved nerfi 24-Dec-2018
GLYCERYL GUAIACOLATE 100 MG (GG) 1 Approved nerfi 24-Dec-2018
ODR 4 MG INJEKSI LAPI 5 Approved nerfi 24-Dec-2018
NUPOVEL INJEKSI NOVEL 5 Approved nerfi 24-Dec-2018
INFLO IV 18G/VASOFIX 18 ONEMED 84 Approved nerfi 24-Dec-2018
SAGESTAM CREM SANBE 10 Approved nerfi 24-Dec-2018
GRAFAMIC 500MG KAPLET 612 Approved nerfi 24-Dec-2018
GENTAMYCIN 0.1 % SALEP 20 Approved nerfi 24-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nerfi 24-Dec-2018
LAPIFED TABLET 1 Approved nerfi 24-Dec-2018
METOCLOPRAMIDE 10MG/2ML INJEKSI 50 Approved nerfi 24-Dec-2018
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nerfi 24-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 24 Approved nerfi 24-Dec-2018
ERYSANBE SYR SANBE 2 Approved nerfi 24-Dec-2018
PENENG BIRU ANAK 1 Approved nerfi 24-Dec-2018
PENENG BIRU DEWASA 1 Approved nerfi 24-Dec-2018
METHYLERGOMETRINE INJEKSI 100 Approved nerfi 24-Dec-2018
PENENG PINK ANAK 1 Approved nerfi 24-Dec-2018
CEFIXIME SYR BERNO 6 Approved nerfi 24-Dec-2018
NIFEDIPINE 10MG INDOFARMA 200 Approved nerfi 24-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 3 Approved nerfi 24-Dec-2018
RIFAMPICIN 450 MG 100 Approved nerfi 24-Dec-2018
PENENG PINK DEWASA 100 Approved nerfi 24-Dec-2018
ISONIAZID 300 (INH) 1 Approved nerfi 24-Dec-2018
ELEKTRODA DEWASA ONEMED 1 Approved nerfi 24-Dec-2018
TRANSPULMIN BB BALSAM 10 GR 2 Approved nerfi 24-Dec-2018
SYRINGE 50 CC ONEMED 5 Approved nerfi 24-Dec-2018
BUFECT SYR SANBE 5 Approved nerfi 24-Dec-2018
INFUSET DEWASA ONEMED 20 Approved nerfi 24-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
OTTOPAN DROP 15 ML 3 Approved nerfi 24-Dec-2018

PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nerfi 24-Dec-2018


OXYTOCIN INJEKSI NOVELL 200 Approved nerfi 24-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved nerfi 24-Dec-2018
SPUIT 3CC ONEMED 300 Approved nerfi 24-Dec-2018
EPEXOL SYR SANBE 4 Approved nerfi 24-Dec-2018
SPUIT 1CC ONEMED 100 Approved nerfi 24-Dec-2018
SUPRAFENID SUP 34 Approved nerfi 24-Dec-2018
DEXAMETHASON INJ 5MG/ML BERNO 100 Approved nerfi 24-Dec-2018
NORIT TAB 33 Approved nerfi 24-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved nerfi 24-Dec-2018
SARUNG TANGAN GAMEX 7.5 40 Approved nerfi 24-Dec-2018
GERDILIUM SUSPENSI 60 ML 6 Approved nerfi 24-Dec-2018
UNDERPADS SENSI 30 Approved nerfi 24-Dec-2018
TRILAC 4MG TAB 90 Approved nerfi 24-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 13 Approved nerfi 24-Dec-2018
MONOSLOW
ONESCRUB 4% ONEMADE 500ML 5,000 Approved nerfi 24-Dec-2018
SARUNG TANGAN GAMEX 7 80 Approved nerfi 24-Dec-2018
PYRAZINAMID 500MG 1 Approved nerfi 24-Dec-2018
SIRPLUS TABLET MEPRO 600 Approved nerfi 24-Dec-2018
CEFADROXIL 125 MG SYR 2 Approved nerfi 24-Dec-2018
MGSO4 40% 25 ML 30 Approved nerfi 24-Dec-2018
RIFAMTIBI 450MG 1 Approved nerfi 24-Dec-2018
METFORMIN 500 MG TAB DEXA 127 Approved nerfi 24-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 32 Approved nerfi 24-Dec-2018
SUCTION CHATETER NO 14 8 Approved nerfi 24-Dec-2018
LACTO B 80 Approved nerfi 24-Dec-2018
AQUABIDEST 25 ML 10 Approved nerfi 24-Dec-2018
SCOPAMIN INJ OTTO 10 Approved nerfi 24-Dec-2018
INTUNAL SYR 6 Approved nerfi 24-Dec-2018
LAMESON TABLET 4 MG LAPI 1 Approved nerfi 24-Dec-2018
PARACETAMOL 1GR/100ML INFUS BERNO 5 Approved nerfi 24-Dec-2018
METRONIDAZOLE 500 MG TABLET BERNO 213 Approved nerfi 24-Dec-2018
DERMAFIX 10X25 CM 41 Approved nerfi 24-Dec-2018
FORMYCO CREAM 10GR 2 Approved nerfi 24-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 26 Approved nerfi 24-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.0 3 Approved nerfi 24-Dec-2018
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 3 Approved nerfi 24-Dec-2018
HAEMOGAL CAPLET 3 STRIP @4 2 Approved nerfi 24-Dec-2018
OREZINC SYR 5 Approved nerfi 24-Dec-2018

9 SR18000473 27-Dec-2018 GUDANG FARMASI Lokasi Transaksi


POVIDON IODINE BOTOL 30ML ONEMED 25 Approved nursriati 27-Dec-2018
PARACETAMOL SYR INDOFARMA 5 Approved nursriati 27-Dec-2018
SARUNG TANGAN GAMEX 7 80 Approved nursriati 27-Dec-2018
PYRAZINAMID 500MG 1 Approved nursriati 27-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 2 Approved nursriati 27-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 27-Dec-2018
CLANEKSI FORTE SYR SANBE 3 Approved nursriati 27-Dec-2018
CETEME 4 MG TABLET 100 Approved nursriati 27-Dec-2018
XYLOCAIN 2% GEL 5 Approved nursriati 27-Dec-2018
ACRAN TAB 150 MG SANBE 90 Approved nursriati 27-Dec-2018
GENTAMYCIN 0.1 % SALEP 30 Approved nursriati 27-Dec-2018
UMBILICAL CORD KLASIK 1 Approved nursriati 27-Dec-2018
SPALK UKURAN 5X12 CM 30 Approved nursriati 27-Dec-2018
KASA 10 Approved nursriati 27-Dec-2018
GULUNG
Print Date :10 CM
26-Feb-2019, Print Time : 8:41:32AM P
ONEMED
LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
ZAMEL SYR NOVEL 2 Approved nursriati 27-Dec-2018

RL 500ML B-BRAUN 100 Approved nursriati 27-Dec-2018


FUROSEMIDE INJ 10MG/ML 10 Approved nursriati 27-Dec-2018
OTTOPRIM SYRUP 60 ML 5 Approved nursriati 27-Dec-2018
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 27-Dec-2018
ONESCRUB 4% ONEMADE 500ML 5,000 Approved nursriati 27-Dec-2018
INTUNAL CAPLET 1 Approved nursriati 27-Dec-2018
NACL 500 ML ECOSOL (B-BRAUN) 10 Approved nursriati 27-Dec-2018
IMUNOS TABLET LAPI 1 Approved nursriati 27-Dec-2018
STIK LIDAH ( WOODEN) 50 Approved nursriati 27-Dec-2018
SUPRAFENID SUP 30 Approved nursriati 27-Dec-2018
EPEXOL SYR SANBE 5 Approved nursriati 27-Dec-2018
CETIRIZINE 5 MG SYRUP 2 Approved nursriati 27-Dec-2018
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 27-Dec-2018
BREAST PUMP YOUNG 5 Approved nursriati 27-Dec-2018
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 102 Approved nursriati 27-Dec-2018
HANSAPLAST 100'S 1 Approved nursriati 27-Dec-2018
THREE WAY STOPCOCK ONEMED 5 Approved nursriati 27-Dec-2018
VITAMIN B6 1 Approved nursriati 27-Dec-2018
PENENG PINK DEWASA 1 Approved nursriati 27-Dec-2018
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nursriati 27-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 27-Dec-2018
SANMOL FORTE TAB SANBE 1 Approved nursriati 27-Dec-2018
ELEKTRODA DEWASA ONEMED 1 Approved nursriati 27-Dec-2018
NEEDLE 24 ONEMED 1 Approved nursriati 27-Dec-2018
NYSTATIN 100.000 IU DROP NOVELL 10 Approved nursriati 27-Dec-2018
VOSEDON SYR SANBE 10 Approved nursriati 27-Dec-2018
VALPROIC ACID 5 Approved nursriati 27-Dec-2018
SAGESTAM CREM SANBE 10 Approved nursriati 27-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nursriati 27-Dec-2018
VELUTIN NEBULIZER 20 Approved nursriati 27-Dec-2018
TRIAMCINOLONE 4 MG TABLET 100 Approved nursriati 27-Dec-2018
METHISOPRINOL TABLET 50 Approved nursriati 27-Dec-2018
NAIRET INJEKSI 0.5MG/ML 20 Approved nursriati 27-Dec-2018
EQUISPON (80X50X10MM) 1 Approved nursriati 27-Dec-2018
RIFAMPICIN CAPS 300 MG 1 Approved nursriati 27-Dec-2018
NYSTIN DROP 100.000 IU 10 Approved nursriati 27-Dec-2018
SALICYL TALK 5 Approved nursriati 27-Dec-2018
BLOOD TRANSFUSION SET 10 Approved nursriati 27-Dec-2018
AZITHROMYCIN 500MG KAPLET 20 Approved nursriati 27-Dec-2018
FOLIC ACID 1 Approved nursriati 27-Dec-2018
BENANG ASSUT SILK 3/0 HR 22 27CM 12 Approved nursriati 27-Dec-2018
VITAMIN C 50MG KF 100 Approved nursriati 27-Dec-2018
POT SALEP 20 CC 5 Approved nursriati 27-Dec-2018
WATER FOR INJECTION WIDA 1 L 2 Approved nursriati 27-Dec-2018
NACL 25ML OTSU 16 Approved nursriati 27-Dec-2018
IMUNOS SYR LAPI 3 Approved nursriati 27-Dec-2018
ASERING 500 ML SOFTBAG 20 Approved nursriati 27-Dec-2018
SUCTION CATHETER NO 8 REMIDI 42 Approved nursriati 27-Dec-2018
CEFAT 500MG CAPS SANBE 100 Approved nursriati 27-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 36 Approved nursriati 27-Dec-2018
SUCTION CHATETER NO 12 2 Approved nursriati 27-Dec-2018
ONDANSENTRON TAB 8 MG NOVELL 50 Approved nursriati 27-Dec-2018
DERMAFIX 10X25 CM 30 Approved nursriati 27-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 27-Dec-2018
CEFOTAXIM INJ 1 GR/VIAL DEXA 20 Approved nursriati 27-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
OREZINC SYR 5 Approved nursriati 27-Dec-2018

TRILAC 4MG TAB 90 Approved nursriati 27-Dec-2018


HI OXYGEN MASKER DEWASA (NON-REBREATHING 2 Approved nursriati 27-Dec-2018
MASK)
SANMOL TAB 500MG SANBE 1 Approved nursriati 27-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 20 Approved nursriati 27-Dec-2018
MASKER TALI IMASKE 200 Approved nursriati 27-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 50 Approved nursriati 27-Dec-2018
SYRINGE 50 CC ONEMED 6 Approved nursriati 27-Dec-2018
MGSO4 40% 25 ML 30 Approved nursriati 27-Dec-2018
NOVA T 1 Approved nursriati 27-Dec-2018
SCOPAMIN INJ OTTO 10 Approved nursriati 27-Dec-2018
PRONALGES SUPP 10 Approved nursriati 27-Dec-2018
HAEMOGAL CAPLET 3 STRIP @4 1 Approved nursriati 27-Dec-2018
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 1 Approved nursriati 27-Dec-2018
SANADRYL DMP SYR 120 MG SANBE 4 Approved nursriati 27-Dec-2018
SUCTION CHATETER NO 14 3 Approved nursriati 27-Dec-2018
SPUIT 3CC ONEMED 200 Approved nursriati 27-Dec-2018
SANADRYL EXP SYR 120 MG SANBE 3 Approved nursriati 27-Dec-2018
NGT 16 ONEMED 2 Approved nursriati 27-Dec-2018
UTROGESTAN CAP 100MG LAPI 200 Approved nursriati 27-Dec-2018
SPINOCAN 25G B-BRAUN 15 Approved nursriati 27-Dec-2018
ALKOHOL SWAB (ONE SWAB) 300 Approved nursriati 27-Dec-2018
CENTABIO 2 Approved nursriati 27-Dec-2018
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 28 Approved nursriati 27-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 22 Approved nursriati 27-Dec-2018
LOMATUELL 20 Approved nursriati 27-Dec-2018
ACYCLOVIR TAB 400MG 1 Approved nursriati 27-Dec-2018
SALBUTAMOL TABLET 4 MG 1 Approved nursriati 27-Dec-2018
INTUNAL TAB FORTE 100 Approved nursriati 27-Dec-2018
SANMAG SYR SANBE 2 Approved nursriati 27-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 36 Approved nursriati 27-Dec-2018
HYPAVIX 10CM X 5M (500 CM) 2 Approved nursriati 27-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 100 Approved nursriati 27-Dec-2018
SIRPLUS TABLET MEPRO 600 Approved nursriati 27-Dec-2018
SMECTA SACHET 12 Approved nursriati 27-Dec-2018
POT SALEP 30 CC 5 Approved nursriati 27-Dec-2018
CEFILA SYR 100 MG LAPI 6 Approved nursriati 27-Dec-2018
LACTO B 40 Approved nursriati 27-Dec-2018
SPORETIK SYR SANBE 10 Approved nursriati 27-Dec-2018
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 27-Dec-2018
EFLAGEN 50MG TAB 100 Approved nursriati 27-Dec-2018
BORRAGINOL -N SUPP 10 Approved nursriati 27-Dec-2018
SPUIT 10CC ONEMED 100 Approved nursriati 27-Dec-2018
DEHIDRALYTE NOVEL 10 Approved nursriati 27-Dec-2018
GRAFADON TABLET 500 MG 110 Approved nursriati 27-Dec-2018
LEVOFLOXACIN 500 MG TAB INDOFARMA 1 Approved nursriati 27-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nursriati 27-Dec-2018
ODR 4 MG INJEKSI LAPI 5 Approved nursriati 27-Dec-2018
GUEDEL AIRWAY 110 MM 5 Approved nursriati 27-Dec-2018
TRICHODAZOL PLUS OVULA SANBE 28 Approved nursriati 27-Dec-2018
SPUIT 5CC ONEMED 100 Approved nursriati 27-Dec-2018
MASKER NEBU ANAK GEA 7 Approved nursriati 27-Dec-2018
KETOKONAZOL SALEP 5 Approved nursriati 27-Dec-2018
NGT 8/40 CM TERUMO 3 Approved nursriati 27-Dec-2018
SPINOCAN 26G B-BRAUN 25 Approved nursriati 27-Dec-2018
MELOXICAM 15MG 53 Approved nursriati 27-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
UNDERPADS SENSI 30 Approved nursriati 27-Dec-2018

OCUSON TAB SANBE 1 Approved nursriati 27-Dec-2018


BLEDSTOP 125 MCG TABLET 200 Approved nursriati 27-Dec-2018
PARACETAMOL INFUS NOVEL 10 Approved nursriati 27-Dec-2018
BREATHY DROP 4 Approved nursriati 27-Dec-2018
SENSIGLOVES MAS (SIZE M) 700 Approved nursriati 27-Dec-2018
VALISANBE INJEKSI 8 Approved nursriati 27-Dec-2018
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 27-Dec-2018
TRADOSIK 500 MG CAPS SANBE 57 Approved nursriati 27-Dec-2018
FLADYSTIN OVULA 10 Approved nursriati 27-Dec-2018
KASA STERIL 16X16 20 Approved nursriati 27-Dec-2018
PROMAVIT CAPSUL 240 Approved nursriati 27-Dec-2018
ETERFIX INFUS PARACETAMOL 50ML NOVEL 2 Approved nursriati 27-Dec-2018
ELKANA SYR SANBE 2 Approved nursriati 27-Dec-2018
ODR SYR LAPI 5 Approved nursriati 27-Dec-2018
SELANG OKSIGEN ANAK (OXYFLOW) 6 Approved nursriati 27-Dec-2018
SIMVASTATIN 10MG NOVELL 61 Approved nursriati 27-Dec-2018
POT SALEP 10 CC 5 Approved nursriati 27-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved nursriati 27-Dec-2018
SANMAG TAB SANBE 200 Approved nursriati 27-Dec-2018
POVIDONE IODINE 1000ML ONEMED 7 Approved nursriati 27-Dec-2018
METFORMIN 500 MG TAB DEXA 100 Approved nursriati 27-Dec-2018
INFUSET DEWASA ONEMED 40 Approved nursriati 27-Dec-2018
METHYLERGOMETRINE INJEKSI 1 Approved nursriati 27-Dec-2018
SAGESTAM DROP SANBE 2 Approved nursriati 27-Dec-2018
MEFINAL 500MG TABLET 1 Approved nursriati 27-Dec-2018
OXYTOCIN INJEKSI NOVELL 150 Approved nursriati 27-Dec-2018
ISPRINOL SYR 10 Approved nursriati 27-Dec-2018
PETHIDIN 20 Approved nursriati 27-Dec-2018
METOCLOPRAMIDE 10MG/2ML INJEKSI 20 Approved nursriati 27-Dec-2018
SELANG OKSIGEN DEWASA (OXYFLOW) 5 Approved nursriati 27-Dec-2018
NORIT TAB 33 Approved nursriati 27-Dec-2018
URIN BAG "T" TYPE 40 Approved nursriati 27-Dec-2018
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 3 Approved nursriati 27-Dec-2018

10 SR18000475 30-Dec-2018 GUDANG FARMASI Lokasi Transaksi


BENANG ASSUT CHROMIC 2 HRG-50 24 Approved nursriati 31-Dec-2018
CEFAT FORTE SYR 250MG 2 Approved nursriati 31-Dec-2018
CATHETER TIP 50 ML TERUMO 5 Approved nursriati 31-Dec-2018
BENANG ASSUT SILK 3/0 HR 22 27CM 24 Approved nursriati 31-Dec-2018
TREMENZA SYR SANBE 2 Approved nursriati 31-Dec-2018
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved nursriati 31-Dec-2018
STYLET TRACHEAL INTUBATION DEWASA 5.0 2 Approved nursriati 31-Dec-2018
ZAMEL DROP NOVEL 2 Approved nursriati 31-Dec-2018
NEUROSANBE TABLET 1 Approved nursriati 31-Dec-2018
PARACETAMOL 1GR/100ML INFUS BERNO 5 Approved nursriati 31-Dec-2018
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 31-Dec-2018
PYRAZINAMID 500MG 1 Approved nursriati 31-Dec-2018
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 31-Dec-2018
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 12 Approved nursriati 31-Dec-2018
PLASMINEX INJ 100MG/ML 30 Approved nursriati 31-Dec-2018
ONDANSETRON INJ 8MG DEXA 45 Approved nursriati 31-Dec-2018
TRAMADOL INJ 100MG/2ML BERNO 30 Approved nursriati 31-Dec-2018
AMBROXOL 15 MG SYR KF 2 Approved nursriati 31-Dec-2018
AMOXICILLIN TAB 500 QUANTUM 1 Approved nursriati 31-Dec-2018
NORIT TAB 40 Approved nursriati 31-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 24 Approved nursriati 31-Dec-2018

ONDANSETRON INJ 4MG/2ML NOVELL 40 Approved nursriati 31-Dec-2018


CEFXON INJ 1GR/VIAL LAPI 5 Approved nursriati 31-Dec-2018
SALBUTAMOL 2 MG/ 5 ML SYR 3 Approved nursriati 31-Dec-2018
ALKOHOL SWAB (ONE SWAB) 300 Approved nursriati 31-Dec-2018
PRONALGES SUPP 20 Approved nursriati 31-Dec-2018
PENCIL CAUTTER 3 Approved nursriati 31-Dec-2018
LIDOCAIN HCL INJ 20MG/ML PHAPROS 10 Approved nursriati 31-Dec-2018
INFUSET ANAK 5 Approved nursriati 31-Dec-2018
TRIAMCINOLONE 4 MG TABLET 200 Approved nursriati 31-Dec-2018
NGT 8/40 CM TERUMO 3 Approved nursriati 31-Dec-2018
KASA GULUNG 10 CM ONEMED 10 Approved nursriati 31-Dec-2018
SIRPLUS TABLET MEPRO 400 Approved nursriati 31-Dec-2018
INTUNAL SYR 3 Approved nursriati 31-Dec-2018
UNDERPADS SENSI 20 Approved nursriati 31-Dec-2018
SPALK UKURAN 5X12 CM 30 Approved nursriati 31-Dec-2018
NACL 100ML ECOSOL (B-BRAUN) 40 Approved nursriati 31-Dec-2018
SARUNG TANGAN GAMEX 7 40 Approved nursriati 31-Dec-2018
PRORIS SUP 20 Approved nursriati 31-Dec-2018
MAMY POKO ISI 14 PCS 24 Approved nursriati 31-Dec-2018
ATAROC SYR NOVEL 4 Approved nursriati 31-Dec-2018
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 50 Approved nursriati 31-Dec-2018
BISTURI 20 20 Approved nursriati 31-Dec-2018
PROBIOSTIM CAPSULE SANBE 30 Approved nursriati 31-Dec-2018
POVIDONE IODINE 1000ML ONEMED 2,000 Approved nursriati 31-Dec-2018
ASERING 500 ML SOFTBAG 10 Approved nursriati 31-Dec-2018
CENTABIO 4 Approved nursriati 31-Dec-2018
SPUIT 3CC ONEMED 200 Approved nursriati 31-Dec-2018
DEXTROSE 5% OTSU 20 Approved nursriati 31-Dec-2018
AMINOFLUID-L 500 ML 3 Approved nursriati 31-Dec-2018
OMEPRAZOLE 20MG CAPS INDOFARMA 60 Approved nursriati 31-Dec-2018
OTTOPAN SYRUP 60 ML 3 Approved nursriati 31-Dec-2018
PENENG PINK DEWASA 1 Approved nursriati 31-Dec-2018
KETOROLAC INJ 30MG/ML HEXPHARM 50 Approved nursriati 31-Dec-2018
EMLA 5% CREAM 5GR 2 Approved nursriati 31-Dec-2018
LOMATUELL 20 Approved nursriati 31-Dec-2018
SIMVASTATIN 10MG NOVELL 60 Approved nursriati 31-Dec-2018
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 30 Approved nursriati 31-Dec-2018
VITAMIN C 50MG KF 1 Approved nursriati 31-Dec-2018
OXYTOCIN INJEKSI NOVELL 70 Approved nursriati 31-Dec-2018
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 31-Dec-2018
ATMACID SYR 120 3 Approved nursriati 31-Dec-2018
FLADYSTIN OVULA 20 Approved nursriati 31-Dec-2018
SPUIT 10CC ONEMED 200 Approved nursriati 31-Dec-2018
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 31-Dec-2018
INFLO IV 22G/VASOFIX 22 ONEMED 20 Approved nursriati 31-Dec-2018
INFUSET DEWASA ONEMED 1 Approved nursriati 31-Dec-2018
KASA STERIL 16X16 20 Approved nursriati 31-Dec-2018
MGSO4 40% 25 ML 30 Approved nursriati 31-Dec-2018
LANSOPRAZOLE 30MG TAB NOVELL 30 Approved nursriati 31-Dec-2018
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nursriati 31-Dec-2018
NUPOVEL INJEKSI NOVEL 25 Approved nursriati 31-Dec-2018
RL 500ML B-BRAUN 150 Approved nursriati 31-Dec-2018
ONESCRUB 4% ONEMADE 500ML 5,000 Approved nursriati 31-Dec-2018
CEFADROXIL 250MG SYR 5 Approved nursriati 31-Dec-2018
LACTO B 1 Approved nursriati 31-Dec-2018

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
AMBROXOL 30MG SYR BERNO 2 Approved nursriati 31-Dec-2018

INTUNAL TAB FORTE 1 Approved nursriati 31-Dec-2018


RANITIDIN INJ 50 MG/2ML BERNO 25 Approved nursriati 31-Dec-2018
CORTIDEX TABLET SANBE 100 Approved nursriati 31-Dec-2018
CEFIXIM SYRUP 30 ML NOVEL 10 Approved nursriati 31-Dec-2018
REGIVEL INJEKSI 4ML NOVEL 5 Approved nursriati 31-Dec-2018
SUCTION CONNECTING TUBE WITH YANKEUR 3 Approved nursriati 31-Dec-2018
AMLODIPIN 10 MG TAB NOVELL 2 Approved nursriati 31-Dec-2018
BENANG ASSURYL 3/0 TS-24 1 Approved nursriati 31-Dec-2018
OPICEF 125 MG/5 ML DRY SYRUP 2 Approved nursriati 31-Dec-2018
FITOCARE MINYAK KAYU PUTIH 30 ML 2 Approved nursriati 31-Dec-2018
SENSIGLOVES MAS (SIZE M) 400 Approved nursriati 31-Dec-2018
ALKOHOL 70% ONEMED 3,000 Approved nursriati 31-Dec-2018
GRAFAMIC 500MG KAPLET 300 Approved nursriati 31-Dec-2018
MUSIN SUSP 500MG/5ML 120ML 5 Approved nursriati 31-Dec-2018

11 SR19000006 03-Jan-2019 GUDANG FARMASI Lokasi Transaksi


KETOROLAC INJ 30MG/ML HEXPHARM 50 Approved nursriati 03-Jan-2019
SIRPLUS TABLET MEPRO 400 Approved nursriati 03-Jan-2019
TRICLOFEM KB 3 BULAN INJEKSI 10 Approved nursriati 03-Jan-2019
DEXAMETHASON 0.5MG TAB KF 54 Approved nursriati 03-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 03-Jan-2019
SPINOCAN 26G B-BRAUN 26 Approved nursriati 03-Jan-2019
METHYL PREDNISOLON 4 MG 1 Approved nursriati 03-Jan-2019
BENANG ASSUT SILK 3/0 HR 22 27CM 12 Approved nursriati 03-Jan-2019
SUCTION CHATETER NO 12 2 Approved nursriati 03-Jan-2019
VOSEDON SYR SANBE 10 Approved nursriati 03-Jan-2019
SPUIT 5CC ONEMED 123 Approved nursriati 03-Jan-2019
FOLEY CATETER 18 3 Approved nursriati 03-Jan-2019
CURCUMA PLUS SYR 2 Approved nursriati 03-Jan-2019
SANPRIMA SYR SANBE 2 Approved nursriati 03-Jan-2019
ONDANSENTRON TAB 4 MG NOVELL 24 Approved nursriati 03-Jan-2019
VALISANBE INJEKSI 8 Approved nursriati 03-Jan-2019
CEFADROXIL 250MG SYR 2 Approved nursriati 03-Jan-2019
BUFECT SYR SANBE 5 Approved nursriati 03-Jan-2019
SANMAG TAB SANBE 2 Approved nursriati 03-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 1 Approved nursriati 03-Jan-2019
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 50 Approved nursriati 03-Jan-2019
OTTOPAIN EAR DROPS 8ML 2 Approved nursriati 03-Jan-2019
PIBAKSIN CREAM 2 Approved nursriati 03-Jan-2019
FERRIS DROP 5 Approved nursriati 03-Jan-2019
MAMY POKO ISI 14 PCS 12 Approved nursriati 03-Jan-2019
GRAFAMIC 500MG KAPLET 300 Approved nursriati 03-Jan-2019
REGUMEN 65 Approved nursriati 03-Jan-2019
RIFAMPICIN 600 100 Approved nursriati 03-Jan-2019
SAGESTAM CREM SANBE 10 Approved nursriati 03-Jan-2019
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 03-Jan-2019
TUZALOS TABLET SANBE 126 Approved nursriati 03-Jan-2019
RANITIDINE 150MG TAB DEXA 1 Approved nursriati 03-Jan-2019
CINOLON N SALEP 2 Approved nursriati 03-Jan-2019
ELEKTRODA DEWASA ONEMED 1 Approved nursriati 03-Jan-2019
AMINOFLUID-L 500 ML 4 Approved nursriati 03-Jan-2019
SANMOL FORTE SYR SANBE 5 Approved nursriati 03-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 03-Jan-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 3 Approved nursriati 03-Jan-2019
NOVA T 1 Approved nursriati 03-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
KASA STERIL 16X16 20 Approved nursriati 03-Jan-2019

METHISOPRINOL TABLET 50 Approved nursriati 03-Jan-2019


PROBIOSTIM CAPSULE SANBE 1 Approved nursriati 03-Jan-2019
LOMATUELL 31 Approved nursriati 03-Jan-2019
ODR 4 MG INJEKSI LAPI 5 Approved nursriati 03-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 03-Jan-2019
OTTOPRIM SYRUP 60 ML 5 Approved nursriati 03-Jan-2019
GENTAMYCIN 0.1 % SALEP 20 Approved nursriati 03-Jan-2019
GUEDEL AIRWAY 50MM 4 Approved nursriati 03-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 03-Jan-2019
EFLAGEN 50MG TAB 1 Approved nursriati 03-Jan-2019
PRENAMIA TAB SANBE 100 Approved nursriati 03-Jan-2019
AZITHROMYCIN 500MG KAPLET 1 Approved nursriati 03-Jan-2019
GUEDEL AIRWAY 40 MM 4 Approved nursriati 03-Jan-2019
SUCTION CHATETER NO 14 2 Approved nursriati 03-Jan-2019
FLAMAR GEL SANBE 1 Approved nursriati 03-Jan-2019
ISPRINOL SYR 10 Approved nursriati 03-Jan-2019
CEFADROXIL 500 MG BERNO 500 Approved nursriati 03-Jan-2019
VELLEPSY SYR NOVEL 3 Approved nursriati 03-Jan-2019
SIMVASTATIN 10MG NOVELL 76 Approved nursriati 03-Jan-2019
CEFILA SYR 100 MG LAPI 10 Approved nursriati 03-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 20 Approved nursriati 03-Jan-2019
DOPAMET 250MG TAB. 1 Approved nursriati 03-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 4 Approved nursriati 03-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 10 Approved nursriati 03-Jan-2019
FUROSEMID 40 MG TABLET 100 Approved nursriati 03-Jan-2019
PENDIL 50 Approved nursriati 03-Jan-2019
METFORMIN 500 MG TAB DEXA 130 Approved nursriati 03-Jan-2019
SPUIT 3CC ONEMED 200 Approved nursriati 03-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 2 Approved nursriati 03-Jan-2019
TRILAC 4MG TAB 90 Approved nursriati 03-Jan-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 107 Approved nursriati 03-Jan-2019
LANSOPRAZOLE 30MG TAB NOVELL 79 Approved nursriati ###
PARACETAMOL INFUS NOVEL 2 Approved nursriati 03-Jan-2019
UNDERPADS SENSI 1 Approved nursriati 03-Jan-2019
HANSAPLAST 100'S 1 Approved nursriati 03-Jan-2019
APYALIS SYRUP LAPI 2 Approved nursriati 03-Jan-2019
CAPTOPRIL 12,5MG 100 Approved nursriati 03-Jan-2019
METRONIDAZOL INFUS 100ML NOVELL 5 Approved nursriati 03-Jan-2019
TRADOSIK 500 MG CAPS SANBE 57 Approved nursriati 03-Jan-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nursriati 03-Jan-2019

12 SR19000008 07-Jan-2019 GUDANG FARMASI Lokasi Transaksi


SIRPLUS TABLET MEPRO 400 Approved nerfi 07-Jan-2019
FOLAC 400MCG TABLET 1 Approved nerfi 07-Jan-2019
CERINI DROP SANBE 2 Approved nerfi 07-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 36 Approved nerfi 07-Jan-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 2 Approved nerfi 07-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nerfi 07-Jan-2019
METHYLERGOMETRINE INJEKSI 1 Approved nerfi 07-Jan-2019
DERMAFIX T 10 X 12 CM 10 Approved nerfi 07-Jan-2019
PLASMINEX INJ 100MG/ML 20 Approved nerfi 07-Jan-2019
PROMAVIT CAPSUL 480 Approved nerfi 07-Jan-2019
LOMATUELL 50 Approved nerfi 07-Jan-2019
GRAGENTA KRIM 10 Approved nerfi 07-Jan-2019
SANMAG SYR SANBE 3 Approved nerfi 07-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 1 Approved nerfi 07-Jan-2019

KASA GULUNG 10 CM ONEMED 20 Approved nerfi 07-Jan-2019


EPHEDRIN INJ 50MG/ML ETHICA 50 Approved nerfi 07-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nerfi 07-Jan-2019
LANSOPRAZOLE 30 MG CAPS INDOFARMA 2 Approved nerfi 07-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 45 Approved nerfi 07-Jan-2019
WINGED INFUSION SET 27 5 Approved nerfi 07-Jan-2019
INTUNAL TAB FORTE 1 Approved nerfi 07-Jan-2019
MAMY POKO ISI 14 PCS 24 Approved nerfi 07-Jan-2019
LACTO B 80 Approved nerfi 07-Jan-2019
COMBIVENT NEBULIZER 2.5ML/UDV 1 Approved nerfi 07-Jan-2019
PENENG BIRU ANAK 1 Approved nerfi 07-Jan-2019
ONDANSETRON INJ 4MG/2ML NOVELL 40 Approved nerfi 07-Jan-2019
EMLA 5% CREAM 5GR 2 Approved nerfi 07-Jan-2019
EPEXOL TAB 30MG SANBE 1 Approved nerfi 07-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 5 Approved nerfi 07-Jan-2019
BENANG ASSUT SILK 3/0 HR 22 27CM 24 Approved nerfi 07-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved nerfi 07-Jan-2019
INTUNAL SYR 6 Approved nerfi 07-Jan-2019
GERDILIUM SUSPENSI 60 ML 4 Approved nerfi 07-Jan-2019
KASA STERIL 16X16 30 Approved nerfi 07-Jan-2019
OTTOPAN DROP 15 ML 10 Approved nerfi 07-Jan-2019
SANMOL TAB 500MG SANBE 1 Approved nerfi 07-Jan-2019
ISPRINOL SYR 5 Approved nerfi 07-Jan-2019
OXYTOCIN INJEKSI NOVELL 100 Approved nerfi 07-Jan-2019
PIBAKSIN CREAM 2 Approved nerfi 07-Jan-2019
METHYL PREDNISOLON 4 MG 1 Approved nerfi 07-Jan-2019
ALKOHOL SWAB (ONE SWAB) 200 Approved nerfi 07-Jan-2019
POVIDONE IODINE 1000ML ONEMED 5 Approved nerfi 07-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 40 Approved nerfi 07-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 2 Approved nerfi 07-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 24 Approved nerfi 07-Jan-2019
BLEDSTOP 125 MCG TABLET 400 Approved nerfi 07-Jan-2019
CAL 95 TAB LAPI 90 Approved nerfi 07-Jan-2019
DEXTROSE 5% OTSU 20 Approved nerfi 07-Jan-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nerfi 07-Jan-2019
KACAMATA BAYI/BL (POSEY) 10 Approved nerfi 07-Jan-2019
PENENG PINK ANAK 1 Approved nerfi 07-Jan-2019
NGT 16 ONEMED 2 Approved nerfi 07-Jan-2019
SUCTION CHATETER NO 14 2 Approved nerfi 07-Jan-2019
KETOROLAC INJ 30MG/ML HEXPHARM 100 Approved nerfi 07-Jan-2019
SPINOCAN 26G B-BRAUN 50 Approved nerfi 07-Jan-2019
WINGED INFUSION SET 25 5 Approved nerfi 07-Jan-2019
HIDROKORTISON SALEP 10 Approved nerfi 07-Jan-2019
MISOPROSTOL 200MCG TAB 100 Approved nerfi 07-Jan-2019
AMOXSAN DROP SANBE 2 Approved nerfi 07-Jan-2019
NORIT TAB 40 Approved nerfi 07-Jan-2019
UMBILICAL CORD KLASIK 50 Approved nerfi 07-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 48 Approved nerfi 07-Jan-2019
ASERING 500 ML SOFTBAG 20 Approved nerfi 07-Jan-2019
OMEPRAZOLE 20MG CAPS NOVELL 150 Approved nerfi 07-Jan-2019
MASKER NEBU ANAK GEA 7 Approved nerfi 07-Jan-2019
PENCIL CAUTTER 2 Approved nerfi 07-Jan-2019
GENTAMYCIN 0.1 % SALEP 30 Approved nerfi 07-Jan-2019
CEFADROXIL 500 MG BERNO 800 Approved nerfi 07-Jan-2019
HYPAVIX 10CM X 5M (500 CM) 2,000 Approved nerfi 07-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
FOLEY CATETER 16 RUSCH 30 Approved nerfi 07-Jan-2019

ATAROC TAB 25MG NOVEL 1 Approved nerfi 07-Jan-2019


OREZINC SYR 6 Approved nerfi 07-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 500 Approved nerfi 07-Jan-2019
MICRODRIP TERUMO 5 Approved nerfi 07-Jan-2019
TERMOMETER DIGITAL ALPHA 3 5 Approved nerfi 07-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nerfi 07-Jan-2019
SPUIT 3CC ONEMED 400 Approved nerfi 07-Jan-2019
PROGESTON 1 Approved nerfi 07-Jan-2019
UNDERPADS SENSI 50 Approved nerfi 07-Jan-2019
URINE COLLECTOR PEDIATRICT 10 Approved nerfi 07-Jan-2019
WINGED INFUSION SET 23 5 Approved nerfi 07-Jan-2019
PRENAMIA TAB SANBE 1 Approved nerfi 07-Jan-2019
HANSAPLAST 100'S 1 Approved nerfi 07-Jan-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 24 Approved nerfi 07-Jan-2019
PUMPITOR CAPSUL SANBE 1 Approved nerfi 07-Jan-2019
CEFIXIME SYR BERNO 10 Approved nerfi 07-Jan-2019
URIN BAG "T" TYPE 40 Approved nerfi 07-Jan-2019
PROBIOSTIM CAPSULE SANBE 1 Approved nerfi 07-Jan-2019
ELEKTRODA DEWASA ONEMED 1 Approved nerfi 07-Jan-2019
VELUTIN NEBULIZER 30 Approved nerfi 07-Jan-2019
ETERFIX INFUS PARACETAMOL 50ML NOVEL 6 Approved nerfi 07-Jan-2019
CERINI SYR SANBE 5 Approved nerfi 07-Jan-2019
STESOLID SYRUP 4 Approved nerfi 07-Jan-2019
BREAST PUMP MAMI 10 Approved nerfi 07-Jan-2019
LAMESON TABLET 4 MG LAPI 100 Approved nerfi 07-Jan-2019
GRAFAMIC 500MG KAPLET 900 Approved nerfi 07-Jan-2019
TRIAMCINOLONE 4 MG TABLET 1 Approved nerfi 07-Jan-2019
AMBROXOL 30MG SYR BERNO 6 Approved nerfi 07-Jan-2019
PENENG PINK DEWASA 1 Approved nerfi 07-Jan-2019
ATMACID SYR 120 5 Approved nerfi 07-Jan-2019
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nerfi 07-Jan-2019
THREE WAY STOPCOCK ONEMED 5 Approved nerfi 07-Jan-2019
CEFOTAXIM INJ 1 GR/VIAL DEXA 20 Approved nerfi 07-Jan-2019
PARACETAMOL INFUS NOVEL 7 Approved nerfi 07-Jan-2019
RL 500ML B-BRAUN 150 Approved nerfi 07-Jan-2019
GRAFADON TABLET 500 MG 100 Approved nerfi 07-Jan-2019
SARUNG TANGAN GAMEX 8 40 Approved nerfi 07-Jan-2019
ALDISA SR TAB SANBE 3 Approved nerfi 07-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 2 Approved nerfi 07-Jan-2019
SANPRIMA SYR SANBE 2 Approved nerfi 07-Jan-2019
SANMAG TAB SANBE 300 Approved nerfi 07-Jan-2019
DERMAFIX 10X25 CM 40 Approved nerfi 07-Jan-2019
SALBUTAMOL 2 MG/ 5 ML SYR 2 Approved nerfi 07-Jan-2019
EPEXOL SYR SANBE 4 Approved nerfi 07-Jan-2019
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 100 Approved nerfi 07-Jan-2019
SARUNG TANGAN GAMEX 7.5 80 Approved nerfi 07-Jan-2019
NAIRET INJEKSI 0.5MG/ML 1 Approved nerfi 07-Jan-2019
NEUROSANBE INJEKSI 3ML 20 Approved nerfi 07-Jan-2019
ALKOHOL 70% ONEMED 3,000 Approved nerfi 07-Jan-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 50 Approved nerfi 07-Jan-2019
NEUROSANBE TABLET 1 Approved nerfi 07-Jan-2019
FERRIS DROP 3 Approved nerfi 07-Jan-2019
AMLODIPINE 5MG TAB INFOFARMA 1 Approved nerfi 07-Jan-2019
INTUNAL CAPLET 1 Approved nerfi 07-Jan-2019
ASPILETS CHEWABLE 3 Approved nerfi 07-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
FRISIAN FLAG 200 GR 10 Approved nerfi 07-Jan-2019

NATRIUM DIKLOFENAC 50 MG 1 Approved nerfi 07-Jan-2019


INFUSET DEWASA ONEMED 50 Approved nerfi 07-Jan-2019
PARACETAMOL 1GR/100ML INFUS BERNO 10 Approved nerfi 07-Jan-2019
CORTIDEX TABLET SANBE 1 Approved nerfi 07-Jan-2019
ONDANSETRON INJ 8MG DEXA 50 Approved nerfi 07-Jan-2019
AMLODIPIN 10 MG TAB NOVELL 1 Approved nerfi 07-Jan-2019
MUSIN SUSP 500MG/5ML 120ML 5 Approved nerfi 07-Jan-2019
SUCTION CHATETER NO 12 2 Approved nerfi 07-Jan-2019
SPUIT 10CC ONEMED 200 Approved nerfi 07-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 1 Approved nerfi 07-Jan-2019
NYSTATIN 100.000 IU DROP NOVELL 3 Approved nerfi 07-Jan-2019
LANSOPRAZOLE 30MG TAB NOVELL 60 Approved nerfi 07-Jan-2019
CEFIXIM 100MG CAPS NOVELL 60 Approved nerfi 07-Jan-2019
SELANG OKSIGEN DEWASA (OXYFLOW) 10 Approved nerfi 07-Jan-2019
TREMENZA SYR SANBE 2 Approved nerfi 07-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 30 Approved nerfi 07-Jan-2019
SARUNG TANGAN GAMEX 7 40 Approved nerfi 07-Jan-2019
MEFINAL 500MG TABLET 1 Approved nerfi 07-Jan-2019

13 SR19000023 10-Jan-2019 GUDANG FARMASI Lokasi Transaksi


MAMY POKO ISI 14 PCS 24 Approved nursriati 10-Jan-2019
FOLEY CATETER 18 3 Approved nursriati 10-Jan-2019
KACAMATA BAYI/BL (POSEY) 7 Approved nursriati 10-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 3 Approved nursriati 10-Jan-2019
CAL 95 TAB LAPI 147 Approved nursriati 10-Jan-2019
CEFIXIM 100MG CAPS NOVELL 150 Approved nursriati 10-Jan-2019
VOSEDON SYR SANBE 10 Approved nursriati 10-Jan-2019
BLEDSTOP 125 MCG TABLET 190 Approved nursriati 10-Jan-2019
SUPRAFENID SUP 38 Approved nursriati 10-Jan-2019
NORIT TAB 40 Approved nursriati 10-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 10-Jan-2019
SUCTION CONNECTING TUBE WITH YANKEUR 2 Approved nursriati 10-Jan-2019
ATAROC SYR NOVEL 3 Approved nursriati 10-Jan-2019
LANSOPRAZOLE 30MG TAB NOVELL 90 Approved nursriati 10-Jan-2019
SAGESTAM DROP SANBE 3 Approved nursriati 10-Jan-2019
CEFOTAXIM INJ 1 GR/VIAL DEXA 20 Approved nursriati 10-Jan-2019
TUZALOS TABLET SANBE 102 Approved nursriati 10-Jan-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 4 Approved nursriati 10-Jan-2019
ONESCRUB 4% ONEMED 5L 3,301 Approved nursriati 10-Jan-2019
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 10-Jan-2019
ALKOHOL 70% ONEMED 4,200 Approved nursriati 10-Jan-2019
KASA STERIL 16X16 30 Approved nursriati 10-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 10-Jan-2019
MINYAK TELON FITOCARE 50ML 3 Approved nursriati 10-Jan-2019
SPORETIK SYR SANBE 10 Approved nursriati 10-Jan-2019
SOFTEX MATERNITY 4 Approved nursriati 10-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 10-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved nursriati 10-Jan-2019
METHISOPRINOL TABLET 50 Approved nursriati 10-Jan-2019
BENANG ASSUT SILK 3/0 HR 22 27CM 24 Approved nursriati 10-Jan-2019
TRILAC 4MG TAB 90 Approved nursriati 10-Jan-2019
GUEDEL AIRWAY 110 MM 3 Approved nursriati 10-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved nursriati 10-Jan-2019
GRAFAMIC 500MG KAPLET 700 Approved nursriati 10-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 10-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
STESOLID SYRUP 10 Approved nursriati 10-Jan-2019

SPUIT 10CC ONEMED 100 Approved nursriati 10-Jan-2019


CEFILA 100 MG TAB LAPI 60 Approved nursriati 10-Jan-2019
DERMAFIX 10X25 CM 30 Approved nursriati 10-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nursriati 10-Jan-2019
MICROLAX ENEMA 4 Approved nursriati 10-Jan-2019
CEFADROXIL 500 MG BERNO 631 Approved nursriati 10-Jan-2019
OTTOPAN SYRUP 60 ML 8 Approved nursriati 10-Jan-2019
SIMVASTATIN 10MG NOVELL 86 Approved nursriati 10-Jan-2019
MEFUROSAN CREAM 10GR 2 Approved nursriati 10-Jan-2019
ISPRINOL SYR 10 Approved nursriati 10-Jan-2019
VASOFIX 20 B-BRAUN 21 Approved nursriati 10-Jan-2019
GUEDEL AIRWAY 50MM 4 Approved nursriati 10-Jan-2019
SENSIGLOVES MAS (SIZE M) 200 Approved nursriati 10-Jan-2019
SPUIT 3CC ONEMED 200 Approved nursriati 10-Jan-2019
ONDANSETRON INJ 8MG DEXA 44 Approved nursriati 10-Jan-2019
PROMAVIT CAPSUL 401 Approved nursriati 10-Jan-2019
ELKANA TAB SANBE 200 Approved nursriati 10-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 50 Approved nursriati 10-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 4 Approved nursriati 10-Jan-2019
GUEDEL AIRWAY 40 MM 4 Approved nursriati 10-Jan-2019
ASTHAROL 4MG 52 Approved nursriati 10-Jan-2019
TRICHODAZOL PLUS OVULA SANBE 30 Approved nursriati 10-Jan-2019
CEFAT 500MG CAPS SANBE 124 Approved nursriati 10-Jan-2019
NACL 500 ML ECOSOL (B-BRAUN) 20 Approved nursriati 10-Jan-2019
SPINOCAN 25G B-BRAUN 15 Approved nursriati 10-Jan-2019
FITOCARE MINYAK TELON 30 ML 3 Approved nursriati 10-Jan-2019
SUCTION CATHETER NO 8 REMIDI 50 Approved nursriati 10-Jan-2019
ODR SYR LAPI 2 Approved nursriati 10-Jan-2019
URIN BAG "T" TYPE 21 Approved nursriati 10-Jan-2019
SPINOCAN 26G B-BRAUN 29 Approved nursriati 10-Jan-2019
RL 500ML B-BRAUN 150 Approved nursriati 10-Jan-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 4 Approved nursriati 10-Jan-2019
SUCTION CHATETER NO 14 3 Approved nursriati 10-Jan-2019
SARUNG TANGAN GAMEX 7 40 Approved nursriati 10-Jan-2019
SIRPLUS SIRUP JERUK MEPRO 4 Approved nursriati 10-Jan-2019
MICRODRIP TERUMO 5 Approved nursriati 10-Jan-2019
UMBILICAL CORD KLASIK 3 Approved nursriati 10-Jan-2019
CEFTRIAXONE INJ 1GRAM/VIAL BERNO 106 Approved nursriati 10-Jan-2019
SUCTION CHATETER NO 12 3 Approved nursriati 10-Jan-2019
BREAST PUMP YOUNG 10 Approved nursriati 10-Jan-2019
IMUNOS SYR LAPI 3 Approved nursriati 10-Jan-2019
GLYCERYL GUAIACOLATE 100 MG (GG) 200 Approved nursriati 10-Jan-2019

14 SR19000024 10-Jan-2019 GUDANG FARMASI Lokasi Transaksi


KETOROLAC INJ 30MG/ML HEXPHARM 30 Approved nursriati 10-Jan-2019
FOLEY CATETER 16 RUSCH 20 Approved nursriati 10-Jan-2019
CEFIXIME SYR 10 Approved nursriati 10-Jan-2019
PROBIOSTIM CAPSULE SANBE 30 Approved nursriati 10-Jan-2019
NEUROSANBE INJEKSI 3ML 10 Approved nursriati 10-Jan-2019
NAIRET INJEKSI 0.5MG/ML 3 Approved nursriati 10-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 10-Jan-2019
UNDERPADS SENSI 20 Approved nursriati 10-Jan-2019
DEXAMETHASON INJ 5MG/ML BERNO 1 Approved nursriati 10-Jan-2019
PENCIL CAUTTER 3 Approved nursriati 10-Jan-2019
DEHIDRALYTE NOVEL 20 Approved nursriati 10-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
CEFIXIM 200MG CAPS NOVELL 50 Approved nursriati 10-Jan-2019

CINAM INJEKSI 5 Approved nursriati 10-Jan-2019


PARACETAMOL DROP 5 Approved nursriati 10-Jan-2019

15 SR19000025 14-Jan-2019 GUDANG FARMASI Lokasi Transaksi


MEFINAL 500MG TABLET 100 Approved retno 14-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 8 Approved retno 14-Jan-2019
LACTO B 80 Approved retno 14-Jan-2019
PUMPITOR INJEKSI SANBE 2 Approved retno 14-Jan-2019
ONDANSENTRON TAB 8 MG NOVELL 50 Approved retno 14-Jan-2019
LANSOPRAZOLE 30MG TAB NOVELL 60 Approved retno 14-Jan-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 70 Approved retno 14-Jan-2019
SENSIGLOVES MAS (SIZE M) 700 Approved retno 14-Jan-2019
PLASMINEX 500MGTAB 100 Approved retno 14-Jan-2019
SYRINGE 50 CC ONEMED 2 Approved retno 14-Jan-2019
CAL 95 TAB LAPI 300 Approved retno 14-Jan-2019
MICROLAX ENEMA 4 Approved retno 14-Jan-2019
RANITIDIN INJ 50 MG/2ML BERNO 100 Approved retno 14-Jan-2019
SPINOCAN 26G B-BRAUN 50 Approved retno 14-Jan-2019
RL 500ML B-BRAUN 100 Approved retno 14-Jan-2019
ONDANSETRON INJ 8MG DEXA 60 Approved retno 14-Jan-2019
PARACETAMOL INFUS NOVEL 10 Approved retno 14-Jan-2019
MAMY POKO ISI 14 PCS 48 Approved retno 14-Jan-2019
ALKOHOL 70% ONEMED 5,000 Approved retno 14-Jan-2019
L-BIO SACHET 30 Approved retno 14-Jan-2019
SARUNG TANGAN GAMEX 7 80 Approved retno 14-Jan-2019
FARGOXIN INJ 5 Approved retno 14-Jan-2019
ALKOHOL SWAB (ONE SWAB) 200 Approved retno 14-Jan-2019
FRISIAN FLAG 200 GR 8 Approved retno 14-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 60 Approved retno 14-Jan-2019
ANALTRAM TABLET LAPI 60 Approved retno 14-Jan-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved retno 14-Jan-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 48 Approved retno 14-Jan-2019
KETOROLAC INJ 30MG/ML HEXPHARM 120 Approved retno 14-Jan-2019
URIN BAG "T" TYPE 30 Approved retno 14-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 48 Approved retno 14-Jan-2019
MICROPORE 1 INCH 10 Approved retno 14-Jan-2019
INTUNAL TAB FORTE 100 Approved retno 14-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved retno 14-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 48 Approved retno 14-Jan-2019
LOMATUELL 50 Approved retno 14-Jan-2019
CINAM INJEKSI 4 Approved retno 14-Jan-2019
UNDERPADS SENSI 50 Approved retno 14-Jan-2019
KASA STERIL 16X16 20 Approved retno 14-Jan-2019
BREATHY DROP 2 Approved retno 14-Jan-2019
ONESCRUB 4% ONEMADE 500ML 5,000 Approved retno 14-Jan-2019
NGT 8/40 CM TERUMO 7 Approved retno 14-Jan-2019
BENANG ASSUT SILK 3/0 HR 22 27CM 12 Approved retno 14-Jan-2019
SARUNG TANGAN GAMEX 7.5 80 Approved retno 14-Jan-2019
NUPOVEL INJEKSI NOVEL 10 Approved retno 14-Jan-2019
ISPRINOL SYR 2 Approved retno 14-Jan-2019
ASTHAROL 4MG 100 Approved retno 14-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 48 Approved retno 14-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 100 Approved retno 14-Jan-2019
ODR SYR LAPI 5 Approved retno 14-Jan-2019
TOPI OPERASI WANITA 700 Approved retno 14-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
TRICHODAZOL PLUS OVULA SANBE 30 Approved retno 14-Jan-2019

D10% 1/5 NS OTSU 2 Approved retno 14-Jan-2019


SELANG OKSIGEN DEWASA (OXYFLOW) 8 Approved retno 14-Jan-2019
SPUIT 10CC ONEMED 200 Approved retno 14-Jan-2019
SPUIT 3CC ONEMED 500 Approved retno 14-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 100 Approved retno 14-Jan-2019
BENANG ASSURYL 3/0 TS-24 24 Approved retno 14-Jan-2019
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved retno 14-Jan-2019
MICROPORE 1/2 INCH 5 Approved retno 14-Jan-2019
GRAFAMIC 500MG KAPLET 700 Approved retno 14-Jan-2019
SPORETIK SYR SANBE 10 Approved retno 14-Jan-2019
ACRAN TAB 150 MG SANBE 100 Approved retno ###
INFUSET DEWASA ONEMED 50 Approved retno 14-Jan-2019
CETEME 4 MG TABLET 100 Approved retno 14-Jan-2019
DEXTROSA 10% 20 Approved retno 14-Jan-2019
FOLEY CATETER 16 RUSCH 30 Approved retno 14-Jan-2019
OXYTOCIN INJEKSI NOVELL 100 Approved retno 14-Jan-2019
BUFECT SYR FORTE SANBE 5 Approved retno 14-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved retno 14-Jan-2019
NORIT TAB 40 Approved retno 14-Jan-2019
MASKER NEBU ANAK GEA 6 Approved retno 14-Jan-2019
MEGABAL 500MG 70 Approved retno 14-Jan-2019
PRORIS SUP 30 Approved retno 14-Jan-2019
NACL 500 ML ECOSOL (B-BRAUN) 60 Approved retno 14-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved retno 14-Jan-2019
DEXTROSE 5% OTSU 20 Approved retno 14-Jan-2019
SIRPLUS TABLET MEPRO 200 Approved retno 14-Jan-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 3 Approved retno 14-Jan-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 90 Approved retno 14-Jan-2019
BREAST PUMP YOUNG 10 Approved retno 14-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 10 Approved retno 14-Jan-2019
ONDANSENTRON TAB 4 MG NOVELL 30 Approved retno 14-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 10 Approved retno 14-Jan-2019
SPUIT 5CC ONEMED 200 Approved retno 14-Jan-2019
DERMAFIX 10X25 CM 30 Approved retno 14-Jan-2019
CEFADROXIL 500 MG BERNO 700 Approved retno 14-Jan-2019
SAGESTAM CREM SANBE 9 Approved retno 14-Jan-2019
BUFECT SYR SANBE 5 Approved retno 14-Jan-2019
BENANG ASSUT CHROMIC 2 HRG-50 48 Approved retno 14-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 120 Approved retno 14-Jan-2019
AMINOFLUID-L 500 ML 3 Approved retno 14-Jan-2019
CEFILA 100 MG TAB LAPI 60 Approved retno 14-Jan-2019

16 SR19000034 17-Jan-2019 GUDANG FARMASI Lokasi Transaksi


LAPIFED TABLET 1 Approved nursriati 17-Jan-2019
CEFIXIM 100MG CAPS NOVELL 2 Approved nursriati 17-Jan-2019
MISOPROSTOL 200MCG TAB 120 Approved nursriati 17-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 17-Jan-2019
ANALSIK 200 Approved nursriati 17-Jan-2019
PENENG PINK DEWASA 1 Approved nursriati 17-Jan-2019
CAL 95 TAB LAPI 120 Approved nursriati 17-Jan-2019
SCOPAMIN INJ OTTO 5 Approved nursriati 17-Jan-2019
MICROLAX ENEMA 4 Approved nursriati 17-Jan-2019
INFLO IV 24G/VASOFIX 24 ONEMED 1 Approved nursriati 17-Jan-2019
DOPAMET 250MG TAB. 1 Approved nursriati 17-Jan-2019
ACYCLOVIR CREAM 10 Approved nursriati 17-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
NIFEDIPIN 10MG TAB DEXA 100 Approved nursriati 17-Jan-2019

IV POLYFLEX WINGS NO. 26 50 Approved nursriati 17-Jan-2019


KASA GULUNG 5 CM ONEMED 10 Approved nursriati 17-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 17-Jan-2019
AMLODIPINE 5MG TAB INFOFARMA 1 Approved nursriati 17-Jan-2019
METHYLERGOMETRINE INJEKSI 100 Approved nursriati 17-Jan-2019
ARCAPECT TAB 1 Approved nursriati 17-Jan-2019
SUCTION CATHETER NO 8 REMIDI 50 Approved nursriati 17-Jan-2019
SANADRYL EXP SYR 120 MG SANBE 3 Approved nursriati 17-Jan-2019
SELANG OKSIGEN ANAK (OXYFLOW) 3 Approved nursriati 17-Jan-2019
SALBUTAMOL TABLET 4 MG 1 Approved nursriati 17-Jan-2019
CEFADROXIL 500 MG BERNO 500 Approved nursriati 17-Jan-2019
POVIDONE IODINE 1000ML ONEMED 3,000 Approved nursriati 17-Jan-2019
PARACETAMOL SYR INDOFARMA 2 Approved nursriati 17-Jan-2019
ONDANSETRON INJ 8MG DEXA 20 Approved nursriati 17-Jan-2019
PENENG BIRU ANAK 1 Approved nursriati 17-Jan-2019
MICRODRIP TERUMO 3 Approved nursriati 17-Jan-2019
PROMAVIT CAPSUL 300 Approved nursriati 17-Jan-2019
OCUSON TAB SANBE 1 Approved nursriati 17-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 17-Jan-2019
THREE WAY STOPCOCK ONEMED 10 Approved nursriati 17-Jan-2019
EDORISAN DROP SANBE 3 Approved nursriati 17-Jan-2019
PENENG BIRU DEWASA 1 Approved nursriati 17-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 50 Approved nursriati 17-Jan-2019
PENENG PINK ANAK 1 Approved nursriati 17-Jan-2019
KETOROLAC INJ 30MG/ML HEXPHARM 5 Approved nursriati 17-Jan-2019
OTTOPAN DROP 15 ML 3 Approved nursriati 17-Jan-2019
TRICHODAZOL PLUS OVULA SANBE 30 Approved nursriati 17-Jan-2019
GRAFAMIC 500MG KAPLET 600 Approved nursriati 17-Jan-2019
MAMY POKO ISI 14 PCS 12 Approved nursriati 17-Jan-2019
PRONALGES SUPP 20 Approved nursriati 17-Jan-2019
ZINC KID SYR 5 Approved nursriati 17-Jan-2019
ZAMEL SYR NOVEL 2 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 40 MM 2 Approved nursriati 17-Jan-2019
INFUSET DEWASA ONEMED 50 Approved nursriati 17-Jan-2019
ALKOHOL SWAB (ONE SWAB) 6 Approved nursriati 17-Jan-2019
MASKER NEBU ANAK GEA 3 Approved nursriati 17-Jan-2019
CEFIXIM 200MG CAPS NOVELL 2 Approved nursriati 17-Jan-2019
SANMOL TAB 500MG SANBE 200 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 70 MM 1 Approved nursriati 17-Jan-2019
PRENAMIA TAB SANBE 100 Approved nursriati 17-Jan-2019
THROMBOPHOP GEL 2 Approved nursriati 17-Jan-2019
ASERING 500 ML SOFTBAG 20 Approved nursriati 17-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 20 Approved nursriati 17-Jan-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nursriati 17-Jan-2019
POVIDON IODINE BOTOL 30ML ONEMED 20 Approved nursriati 17-Jan-2019
NYSTIN DROP 100.000 IU 8 Approved nursriati 17-Jan-2019
EFLAGEN 50MG TAB 100 Approved nursriati 17-Jan-2019
KASA GULUNG 10 CM ONEMED 10 Approved nursriati 17-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 24 Approved nursriati 17-Jan-2019
METHYL PREDNISOLON 4 MG 1 Approved nursriati 17-Jan-2019
PARACETAMOL 1GR/100ML INFUS BERNO 6 Approved nursriati 17-Jan-2019
BLEDSTOP 125 MCG TABLET 300 Approved nursriati 17-Jan-2019
UTROGESTAN CAP 100MG LAPI 200 Approved nursriati 17-Jan-2019
GERDILIUM SUSPENSI 60 ML 4 Approved nursriati 17-Jan-2019
STESOLID 5 MG RECTAL 10 Approved nursriati 17-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
PROBIOSTIM CAPSULE SANBE 60 Approved nursriati 17-Jan-2019

NEUROSANBE INJEKSI 3ML 10 Approved nursriati 17-Jan-2019


MYCO-Z OINTMENT 10GR 3 Approved nursriati 17-Jan-2019
SANMOL FORTE SYR SANBE 8 Approved nursriati 17-Jan-2019
SARUNG TANGAN GAMEX 7 80 Approved nursriati 17-Jan-2019
NYSTATIN 100.000 IU DROP NOVELL 8 Approved nursriati 17-Jan-2019
KENALOG IN ORA BASE 2 Approved nursriati 17-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 17-Jan-2019
APYALIS SYRUP LAPI 2 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 50MM 3 Approved nursriati 17-Jan-2019
PISAU CUKUR RAZOR BLUE 100 Approved nursriati 17-Jan-2019
GENTAMYCIN 0.1 % SALEP 30 Approved nursriati 17-Jan-2019
CINAM INJEKSI 6 Approved nursriati 17-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 17-Jan-2019
ZINC 20MG 1 Approved nursriati 17-Jan-2019
DEXTROSE 5% OTSU 10 Approved nursriati 17-Jan-2019
SPUIT 3CC ONEMED 100 Approved nursriati 17-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nursriati 17-Jan-2019
VASOFIX 20 B-BRAUN 50 Approved nursriati 17-Jan-2019
SELANG OKSIGEN DEWASA (OXYFLOW) 3 Approved nursriati 17-Jan-2019
FOLEY CATETER 16 RUSCH 20 Approved nursriati 17-Jan-2019
NACL 25ML OTSU 24 Approved nursriati 17-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 30 Approved nursriati 17-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 5 Approved nursriati 17-Jan-2019
CERINI DROP SANBE 2 Approved nursriati 17-Jan-2019
NAIRET INJEKSI 0.5MG/ML 20 Approved nursriati 17-Jan-2019
SPUIT 10CC ONEMED 100 Approved nursriati 17-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 17-Jan-2019
NEEDLE 24 ONEMED 1 Approved nursriati 17-Jan-2019
VITAMIN B6 100 Approved nursriati 17-Jan-2019
IMUNOS TABLET LAPI 40 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 60MM 3 Approved nursriati 17-Jan-2019
ELEKTRODA DEWASA ONEMED 50 Approved nursriati 17-Jan-2019
EPISAN SYR 100ML 5 Approved nursriati 17-Jan-2019
LACTO B 80 Approved nursriati 17-Jan-2019
FOLEY CATETER 6 ONEMED 3 Approved nursriati 17-Jan-2019
SUCTION CHATETER NO 12 2 Approved nursriati 17-Jan-2019
OXYTOCIN INJEKSI NOVELL 70 Approved nursriati 17-Jan-2019
AMBROXOL 30MG SYR BERNO 5 Approved nursriati 17-Jan-2019
URINE COLLECTOR PEDIATRICT 10 Approved nursriati 17-Jan-2019
EPEXOL SYR SANBE 5 Approved nursriati 17-Jan-2019
KASA STERIL 16X16 20 Approved nursriati 17-Jan-2019
URIN BAG "T" TYPE 20 Approved nursriati 17-Jan-2019
CETEME 4 MG TABLET 100 Approved nursriati 17-Jan-2019
BECOM C TAB SANBE 100 Approved nursriati 17-Jan-2019
ONDANSETRON 8MG TAB INDOFARMA 2 Approved nursriati 17-Jan-2019
OREZINC SYR 5 Approved nursriati 17-Jan-2019
SENSIGLOVES MAS (SIZE M) 300 Approved nursriati 17-Jan-2019
SALBUTAMOL 2 MG/ 5 ML SYR 2 Approved nursriati 17-Jan-2019
TRILAC 4MG TAB 100 Approved nursriati 17-Jan-2019
UMBILICAL CORD KLASIK 50 Approved nursriati 17-Jan-2019
INTUNAL SYR 3 Approved nursriati 17-Jan-2019
NUPOVEL INJEKSI NOVEL 15 Approved nursriati 17-Jan-2019
SANMAG SYR SANBE 4 Approved nursriati 17-Jan-2019
BIOSANBE 100 Approved nursriati 17-Jan-2019
KTM INJ 1 Approved nursriati 17-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
FLAMAR TAB 50MG SANBE 100 Approved nursriati 17-Jan-2019

LIDOCAIN HCL INJ 20MG/ML PHAPROS 30 Approved nursriati 17-Jan-2019


RANIVEL SYR NOVEL 2 Approved nursriati 17-Jan-2019
MEFINAL 500MG TABLET 1 Approved nursriati 17-Jan-2019
FLADYSTIN OVULA 20 Approved nursriati 17-Jan-2019
MGSO4 40% 25 ML 30 Approved nursriati 17-Jan-2019
SANADRYL DMP SYR 120 MG SANBE 4 Approved nursriati 17-Jan-2019
MASKER NEBU DEWASA 3 Approved nursriati 17-Jan-2019
PARACETAMOL INFUS NOVEL 5 Approved nursriati 17-Jan-2019
CETIRIZINE 10 MG TAB NOVELL 1 Approved nursriati 17-Jan-2019
SPUIT 1CC ONEMED 200 Approved nursriati 17-Jan-2019
NGT 8/40 CM TERUMO 3 Approved nursriati 17-Jan-2019
MUSIN SUSP 500MG/5ML 120ML 3 Approved nursriati 17-Jan-2019
UNDERPADS SENSI 40 Approved nursriati 17-Jan-2019
BLOOD TRANSFUSION SET 20 Approved nursriati 17-Jan-2019
CEFILA SYR 100 MG LAPI 4 Approved nursriati 17-Jan-2019
CEFILA 100 MG TAB LAPI 60 Approved nursriati 17-Jan-2019
GENTAMICIN 40 MG/ML INJEKSI 20 Approved nursriati 17-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 80 MM 2 Approved nursriati 17-Jan-2019
STYLET TRACHEAL INTUBATION DEWASA 5.0 1 Approved nursriati 17-Jan-2019
ELKANA TAB SANBE 1 Approved nursriati 17-Jan-2019
BISTURI 20 100 Approved nursriati 17-Jan-2019
DEXAMETHASON 0.5MG TAB KF 1 Approved nursriati 17-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 17-Jan-2019
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 17-Jan-2019
SPORETIK SYR SANBE 5 Approved nursriati 17-Jan-2019
INTUNAL TAB FORTE 100 Approved nursriati 17-Jan-2019
RL 500ML B-BRAUN 150 Approved nursriati 17-Jan-2019
RANITIDIN INJ 50 MG/2ML BERNO 25 Approved nursriati 17-Jan-2019
ODR SYR LAPI 4 Approved nursriati 17-Jan-2019
STESOLID SYRUP 6 Approved nursriati 17-Jan-2019
GUEDEL AIRWAY 90MM 2 Approved nursriati 17-Jan-2019
SELANG OKSIGEN NEONATE MIRACEN 4 Approved nursriati 17-Jan-2019
VALPROIC ACID 5 Approved nursriati 17-Jan-2019
ACRAN TAB 150 MG SANBE 90 Approved nursriati 17-Jan-2019
RANITIDINE 150MG TAB DEXA 200 Approved nursriati 17-Jan-2019
KACAMATA BAYI/BL (POSEY) 6 Approved nursriati 17-Jan-2019
HI OXYGEN MASKER DEWASA (NON-REBREATHING 5 Approved nursriati 17-Jan-2019
MASK)
CINOLON N SALEP 2 Approved nursriati 17-Jan-2019
ONDANSETRON INJ 4MG/2ML NOVELL 30 Approved nursriati 17-Jan-2019

17 SR19000035 21-Jan-2019 GUDANG FARMASI Lokasi Transaksi


GUEDEL AIRWAY 60MM 4 Approved retno 21-Jan-2019
CEFILA 100 MG TAB LAPI 75 Approved retno 21-Jan-2019
FLAMAR GEL SANBE 1 Approved retno 21-Jan-2019
SPORETIK SYR SANBE 10 Approved retno 21-Jan-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved retno 21-Jan-2019
GUEDEL AIRWAY 70 MM 3 Approved retno 21-Jan-2019
GRAFADON TABLET 500 MG 116 Approved retno 21-Jan-2019
PIBAKSIN CREAM 5 Approved retno 21-Jan-2019
TREMENZA SYR SANBE 7 Approved retno 21-Jan-2019
LOMATUELL 44 Approved retno 21-Jan-2019
SANMAG SYR SANBE 5 Approved retno 21-Jan-2019
URIN BAG "T" TYPE 21 Approved retno 21-Jan-2019
ASERING 500 ML SOFTBAG 20 Approved retno 21-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
FOLEY CATETER 18 3 Approved retno 21-Jan-2019

MASKER TALI IMASKE 300 Approved retno 21-Jan-2019


MAMY POKO ISI 14 PCS 12 Approved retno 21-Jan-2019
UNDERPADS SENSI 22 Approved retno 21-Jan-2019
NOVA T 2 Approved retno 21-Jan-2019
BIOSANBE 126 Approved retno 21-Jan-2019
NEUROSANBE INJEKSI 3ML 20 Approved retno 21-Jan-2019
VERTIGOSAN 76 Approved retno 21-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 7 Approved retno 21-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved retno 21-Jan-2019
CINAM INJEKSI 10 Approved retno 21-Jan-2019
GUEDEL AIRWAY 90MM 4 Approved retno 21-Jan-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 4 Approved retno 21-Jan-2019
STYLET TRACHEAL INTUBATION DEWASA 5.0 1 Approved retno 21-Jan-2019
ELEKTRODA DEWASA ONEMED 50 Approved retno 21-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved retno 21-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 30 Approved retno 21-Jan-2019
COLSANCETIN INJ 1GR/VIAL 9 Approved retno 21-Jan-2019
SIRPLUS SIRUP JERUK MEPRO 5 Approved retno 21-Jan-2019
NGT 16 ONEMED 2 Approved retno 21-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 24 Approved retno 21-Jan-2019
CENDO XITROL DROP 1 Approved retno 21-Jan-2019
CEFADROXIL 500 MG BERNO 400 Approved retno 21-Jan-2019
URINE COLLECTOR PEDIATRICT 10 Approved retno 21-Jan-2019
LORATADINE INDOFARMA 62 Approved retno 21-Jan-2019
GRAFAMIC 500MG KAPLET 583 Approved retno 21-Jan-2019
ONDANSENTRON TAB 4 MG NOVELL 50 Approved retno 21-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 5 Approved retno 21-Jan-2019
METHISOPRINOL TABLET 50 Approved retno 21-Jan-2019
VITAMIN B6 200 Approved retno 21-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 10 Approved retno 21-Jan-2019
PISAU CUKUR RAZOR BLUE 50 Approved retno 21-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved retno 21-Jan-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 3 Approved retno 21-Jan-2019
AMINOFLUID-L 500 ML 3 Approved retno 21-Jan-2019
ASTHAROL 4MG 61 Approved retno 21-Jan-2019
NORIT TAB 40 Approved retno 21-Jan-2019
SUCTION CHATETER NO 14 8 Approved retno 21-Jan-2019
SPUIT 3CC ONEMED 300 Approved retno 21-Jan-2019
BREATHY DROP 3 Approved retno 21-Jan-2019
CETIRIZINE 5 MG SYRUP 3 Approved retno 21-Jan-2019
APYALIS SYRUP LAPI 3 Approved retno 21-Jan-2019
MINYAK TELON FITOCARE 50ML 2 Approved retno 21-Jan-2019
SARUNG TANGAN GAMEX 7 80 Approved retno 21-Jan-2019
INFLO IV 18G/VASOFIX 18 ONEMED 56 Approved retno 21-Jan-2019
SARUNG TANGAN GAMEX 7.5 80 Approved retno 21-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 30 Approved retno 21-Jan-2019
EFLAGEN 50MG TAB 98 Approved retno 21-Jan-2019
GUEDEL AIRWAY 50MM 4 Approved retno 21-Jan-2019
CAPTOPRIL 25MG 55 Approved retno 21-Jan-2019
GLYCERYL GUAIACOLATE 100 MG (GG) 200 Approved retno 21-Jan-2019
GUEDEL AIRWAY 80 MM 4 Approved retno 21-Jan-2019
SPUIT 5CC ONEMED 100 Approved retno 21-Jan-2019
NGT 12 ONEMED 2 Approved retno 21-Jan-2019
GUEDEL AIRWAY 110 MM 3 Approved retno 21-Jan-2019
ONESCRUB 4% ONEMED 5L 5,000 Approved retno 21-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
PHENOBARBITAL 30MG 200 Approved retno 21-Jan-2019

SARUNG TANGAN GAMEX 8 40 Approved retno 21-Jan-2019


BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 36 Approved retno 21-Jan-2019
SUCTION CHATETER NO 12 9 Approved retno 21-Jan-2019
INFUSET DEWASA ONEMED 49 Approved retno 21-Jan-2019
STESOLID SYRUP 10 Approved retno 21-Jan-2019
ELKANA TAB SANBE 200 Approved retno 21-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved retno 21-Jan-2019
RL 500ML B-BRAUN 150 Approved retno 21-Jan-2019
MEFUROSAN CREAM 10GR 2 Approved retno 21-Jan-2019
GUEDEL AIRWAY 40 MM 4 Approved retno 21-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 80 Approved retno 21-Jan-2019
ZAMEL DROP NOVEL 3 Approved retno 21-Jan-2019
GLIMEPIRIDE 3 MG TAB 25 Approved retno 21-Jan-2019
CEFAT 500MG CAPS SANBE 137 Approved retno 21-Jan-2019
INTUNAL TAB FORTE 97 Approved retno 21-Jan-2019
ONDANSETRON INJ 8MG DEXA 55 Approved retno 21-Jan-2019
CETEME 4 MG TABLET 100 Approved retno 21-Jan-2019
INFLO IV 24G/VASOFIX 24 ONEMED 46 Approved retno 21-Jan-2019
SIMVASTATIN 10MG NOVELL 86 Approved retno 21-Jan-2019
KENALOG IN ORA BASE 2 Approved retno 21-Jan-2019
NGT 8/40 CM TERUMO 5 Approved retno 21-Jan-2019
PETHIDIN 20 Approved retno 21-Jan-2019
FOLAC 400MCG TABLET 200 Approved retno 21-Jan-2019
TRICHODAZOL PLUS OVULA SANBE 30 Approved retno 21-Jan-2019
BUSCOPAN PLUS TABLET 28 Approved retno 21-Jan-2019
SPINOCAN 26G B-BRAUN 44 Approved retno 21-Jan-2019
ACRAN INJEKSI 25MG/ML SANBE 7 Approved retno 21-Jan-2019
GUDEL NO 5 3 Approved retno 21-Jan-2019
SPUIT 10CC ONEMED 100 Approved retno 21-Jan-2019
NACL 500 ML ECOSOL (B-BRAUN) 10 Approved retno 21-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 36 Approved retno 21-Jan-2019
CURVIT SYR 2 Approved retno 21-Jan-2019
RANITIDIN INJ 50 MG/2ML BERNO 82 Approved retno 21-Jan-2019
FOLEY CATETER 6 ONEMED 3 Approved retno 21-Jan-2019
VELUTIN NEBULIZER 40 Approved retno 21-Jan-2019
MICROPORE 1 INCH 10 Approved retno 21-Jan-2019
AMOXSAN CAPS 500MG SANBE 111 Approved retno 21-Jan-2019
METFORMIN 500 MG TAB DEXA 131 Approved retno 21-Jan-2019
CORTIDEX TABLET SANBE 117 Approved retno 21-Jan-2019
TRILAC 4MG TAB 88 Approved retno 21-Jan-2019
BLEDSTOP 125 MCG TABLET 500 Approved retno 21-Jan-2019
MASKER NEBU ANAK GEA 6 Approved retno 21-Jan-2019
EXTENTION TUBE 2 Approved retno 21-Jan-2019
DEOLIT TAB 33 Approved retno 21-Jan-2019
ALLUPURINOL 100MG TAB DEXA 100 Approved retno 21-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved retno 21-Jan-2019
MONOSLOW
MYCO-Z OINTMENT 10GR 2 Approved retno 21-Jan-2019
GAVISTAL TAB 53 Approved retno 21-Jan-2019
ISPRINOL SYR 10 Approved retno 21-Jan-2019
ASAM 42 Approved retno 21-Jan-2019
TRANEKS
SENSIGLOVES MAS (SIZE M) 255 Approved retno 21-Jan-2019
AMAT
ONDANSETRON
500MG/5 INJ 4MG/2ML NOVELL 30 Approved retno 21-Jan-2019
ML INJ
PARACETAMOL INFUS NOVEL 7 Approved retno 21-Jan-2019
BERNO
DERMAFIX 10X25 CM 40 Approved retno 21-Jan-2019
OXYTOCIN INJEKSI NOVELL 100 Approved retno 21-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
METRONIDAZOLE 500 MG TABLET BERNO 399 Approved retno 21-Jan-2019

CURCUMA PLUS SYR 2 Approved retno 21-Jan-2019


RANIVEL SYR NOVEL 2 Approved retno 21-Jan-2019

18 SR19000045 23-Jan-2019 GUDANG FARMASI Lokasi Transaksi


ETT KK NO 7 2 Approved nursriati 24-Jan-2019
STESOLID 5 MG RECTAL 10 Approved nursriati 24-Jan-2019
DERMAFIX 10X25 CM 1 Approved nursriati 24-Jan-2019
KASA STERIL 16X16 20 Approved nursriati 24-Jan-2019
FOLEY CATETER 6 ONEMED 3 Approved nursriati 24-Jan-2019
OXYTOCIN INJEKSI NOVELL 50 Approved nursriati 24-Jan-2019
GENTAMYCIN 0.1 % SALEP 30 Approved nursriati 24-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 30 Approved nursriati 24-Jan-2019
UNDERPADS SENSI 30 Approved nursriati 24-Jan-2019
INTUNAL TAB FORTE 100 Approved nursriati 24-Jan-2019
ONDANSETRON INJ 8MG DEXA 30 Approved nursriati 24-Jan-2019
OPILAX SYR 2 Approved nursriati 24-Jan-2019
POVIDONE IODINE 1000ML ONEMED 5,000 Approved nursriati 24-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 24-Jan-2019
ONDANSETRON INJ 4MG/2ML NOVELL 30 Approved nursriati 24-Jan-2019
LAKTAFIT TAB 2 Approved nursriati 24-Jan-2019
KETOROLAC INJ 30MG/ML HEXPHARM 30 Approved nursriati 24-Jan-2019
SPUIT 10CC ONEMED 100 Approved nursriati 24-Jan-2019
DUVADILAN TABLET 1 Approved nursriati 24-Jan-2019
NYSTIN DROP 100.000 IU 5 Approved nursriati 24-Jan-2019
METRONIDAZOL INFUS 100ML NOVELL 7 Approved nursriati 24-Jan-2019
PENENG PINK DEWASA 1 Approved nursriati 24-Jan-2019
PLASMINEX 500MGTAB 1 Approved nursriati 24-Jan-2019
MYCO-Z OINTMENT 10GR 2 Approved nursriati 24-Jan-2019
WINGED INFUSION SET 23 5 Approved nursriati 24-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved nursriati 24-Jan-2019
MAMY POKO ISI 14 PCS 24 Approved nursriati 24-Jan-2019
NEEDLE 24 ONEMED 1 Approved nursriati 24-Jan-2019
LACTO B 1 Approved nursriati 24-Jan-2019
NEUROSANBE TABLET 1 Approved nursriati 24-Jan-2019
SPUIT 1CC ONEMED 100 Approved nursriati 24-Jan-2019
FOLEY CATETER 16 RUSCH 20 Approved nursriati 24-Jan-2019
AQUABIDEST 25 ML 12 Approved nursriati 24-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 5 Approved nursriati 24-Jan-2019
UTROGESTAN CAP 100MG LAPI 100 Approved nursriati 24-Jan-2019
NUPOVEL INJEKSI NOVEL 10 Approved nursriati 24-Jan-2019
CEFIXIME SYR BERNO 4 Approved nursriati 24-Jan-2019
ONDANSETRON INJEKSI 8MG/4ML NOVELL 10 Approved nursriati 24-Jan-2019
WATER FOR IRRIGATION 1 L SANBE 2,000 Approved nursriati 24-Jan-2019
RL 500ML B-BRAUN 150 Approved nursriati 24-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 20 Approved nursriati 24-Jan-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 120 Approved nursriati 24-Jan-2019
INFLO IV 24G/VASOFIX 24 ONEMED 50 Approved nursriati 24-Jan-2019
GUEDEL AIRWAY 40 MM 2 Approved nursriati 24-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 24-Jan-2019
POVIDON IODINE BOTOL 30ML ONEMED 15 Approved nursriati 24-Jan-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 12 Approved nursriati 24-Jan-2019
DEHIDRALYTE NOVEL 10 Approved nursriati 24-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 24-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 24-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 20 Approved nursriati 24-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MUSIN SUSP 500MG/5ML 120ML 7 Approved nursriati 24-Jan-2019

LMA NO.4 2 Approved nursriati 24-Jan-2019


TRICLOFEM KB 3 BULAN INJEKSI 10 Approved nursriati 24-Jan-2019
PRENAMIA TAB SANBE 100 Approved nursriati 24-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 24-Jan-2019
MONOSLOW
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nursriati 24-Jan-2019
CEFADROXIL 500 MG BERNO 600 Approved nursriati 24-Jan-2019
BECOM C TAB SANBE 100 Approved nursriati 24-Jan-2019
ISONIAZID 300 (INH) 1 Approved nursriati 24-Jan-2019
ASTHAROL 4MG 1 Approved nursriati 24-Jan-2019
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 24-Jan-2019
BLEDSTOP 125 MCG TABLET 200 Approved nursriati 24-Jan-2019
IV POLYFLEX WINGS NO. 26 1 Approved nursriati 24-Jan-2019
UROTRACTIN 400MG 80 Approved nursriati 24-Jan-2019
CYCLO PROGYNOVA TABLET 2 Approved nursriati 24-Jan-2019
OTTOPAN SYRUP 60 ML 4 Approved nursriati 24-Jan-2019
NACL 25ML OTSU 36 Approved nursriati 24-Jan-2019
SUCTION CATHETER NO 8 REMIDI 20 Approved nursriati 24-Jan-2019
SANMAG SYR SANBE 2 Approved nursriati 24-Jan-2019
OCUSON TAB SANBE 1 Approved nursriati 24-Jan-2019
TUZALOS TABLET SANBE 100 Approved nursriati 24-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 6 Approved nursriati 24-Jan-2019
SAGESTAM DROP SANBE 2 Approved nursriati 24-Jan-2019
NIFEDIPIN 10MG TAB DEXA 100 Approved nursriati 24-Jan-2019
MASKER NEBU DEWASA 5 Approved nursriati 24-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 100 Approved nursriati 24-Jan-2019
KA-EN 3B OTSU 10 Approved nursriati 24-Jan-2019
PENCIL CAUTTER 2 Approved nursriati 24-Jan-2019
SUCTION CHATETER NO 12 2 Approved nursriati 24-Jan-2019
ANALSIK 100 Approved nursriati 24-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 24-Jan-2019
PROMAVIT CAPSUL 300 Approved nursriati 24-Jan-2019
SANMOL TAB 500MG SANBE 1 Approved nursriati 24-Jan-2019
ONDANSETRON 4 MG TAB INDOFARMA 100 Approved nursriati 24-Jan-2019
ALKOHOL 70% ONEMED 3,000 Approved nursriati 24-Jan-2019
DOPAMET 250MG TAB. 100 Approved nursriati 24-Jan-2019
PRORIS SUP 20 Approved nursriati 24-Jan-2019
MEFINAL 500MG TABLET 1 Approved nursriati 24-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nursriati 24-Jan-2019
SANMOL FORTE SYR SANBE 5 Approved nursriati 24-Jan-2019
PRONALGES SUPP 30 Approved nursriati 24-Jan-2019
LASAL EXP SYRUP LAPI 2 Approved nursriati 24-Jan-2019
FLAMAR TAB 50MG SANBE 1 Approved nursriati 24-Jan-2019
ZAMEL SYR NOVEL 3 Approved nursriati 24-Jan-2019
OTTOPAN DROP 15 ML 5 Approved nursriati 24-Jan-2019
MEFUROSAN CREAM 10GR 2 Approved nursriati 24-Jan-2019
SANPRIMA SYR SANBE 2 Approved nursriati 24-Jan-2019
ACYCLOVIR TAB 400MG 1 Approved nursriati 24-Jan-2019
ACRAN TAB 150 MG SANBE 1 Approved nursriati 24-Jan-2019
FRISIAN FLAG 200 GR 10 Approved nursriati 24-Jan-2019
BISTURI 20 100 Approved nursriati 24-Jan-2019
LOMATUELL 20 Approved nursriati 24-Jan-2019
SOFTEX MATERNITY 4 Approved nursriati 24-Jan-2019
NEUROSANBE INJEKSI 3ML 20 Approved nursriati 24-Jan-2019
BENANG ASSUT ASSUCRYL 2/0 TUPER 1 Approved nursriati 24-Jan-2019
EPEXOL SYR SANBE 5 Approved nursriati 24-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
NGT 8/40 CM TERUMO 6 Approved nursriati 24-Jan-2019

CEFILA 100 MG TAB LAPI 90 Approved nursriati 24-Jan-2019


CEFIXIM 100MG CAPS NOVELL 50 Approved nursriati 24-Jan-2019
GRAFAMIC 500MG KAPLET 500 Approved nursriati 24-Jan-2019
TRILAC 4MG TAB 100 Approved nursriati 24-Jan-2019
XYLOCAIN 2% GEL 4 Approved nursriati 24-Jan-2019
WINGED INFUSION SET 27 5 Approved nursriati 24-Jan-2019
LODIA 2MG TAB 100 Approved nursriati 24-Jan-2019
SELANG OKSIGEN DEWASA (OXYFLOW) 10 Approved nursriati 24-Jan-2019
CEFIXIM 200MG CAPS NOVELL 100 Approved nursriati 24-Jan-2019
WINGED INFUSION SET 25 5 Approved nursriati 24-Jan-2019
ETERFIX INFUS PARACETAMOL 50ML NOVEL 5 Approved nursriati 24-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 2 Approved nursriati 24-Jan-2019
PROBIOSTIM CAPSULE SANBE 1 Approved nursriati 24-Jan-2019
ODR SYR LAPI 2 Approved nursriati 24-Jan-2019
EFLAGEN 50MG TAB 100 Approved nursriati 24-Jan-2019
METHYLERGOMETRINE INJEKSI 100 Approved nursriati 24-Jan-2019
NACL 500 ML ECOSOL (B-BRAUN) 20 Approved nursriati 24-Jan-2019
FERRIS DROP 4 Approved nursriati 24-Jan-2019
DEXTROSE 5% OTSU 20 Approved nursriati 24-Jan-2019
OREZINC SYR 5 Approved nursriati 24-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved nursriati 24-Jan-2019
NEUROSANBE PLUS 1 Approved nursriati 24-Jan-2019
URIN BAG "T" TYPE 10 Approved nursriati 24-Jan-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 50 Approved nursriati 24-Jan-2019
BREATHY DROP 2 Approved nursriati 24-Jan-2019
HYPAVIX 10CM X 5M (500 CM) 5 Approved nursriati 24-Jan-2019
SPUIT 5CC ONEMED 100 Approved nursriati 24-Jan-2019
CAL 95 TAB LAPI 120 Approved nursriati 24-Jan-2019
GUEDEL AIRWAY 80 MM 2 Approved nursriati 24-Jan-2019
GUEDEL AIRWAY 90MM 2 Approved nursriati 24-Jan-2019
FOLEY CATETER 18 3 Approved nursriati 24-Jan-2019
SUCTION CHATETER NO 14 2 Approved nursriati 24-Jan-2019
SAGESTAM CREM SANBE 4 Approved nursriati 24-Jan-2019
IV POLYFLEX WINGS NO.24 20 Approved nursriati 24-Jan-2019
AMOXSAN DROP SANBE 3 Approved nursriati 24-Jan-2019
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 24-Jan-2019
INFUSET DEWASA ONEMED 50 Approved nursriati 24-Jan-2019
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nursriati 24-Jan-2019
FLADYSTIN OVULA 2 Approved nursriati 24-Jan-2019
SPUIT 3CC ONEMED 300 Approved nursriati 24-Jan-2019
VASOFIX 20 B-BRAUN 50 Approved nursriati 24-Jan-2019
SENSIGLOVES MAS (SIZE M) 500 Approved nursriati 24-Jan-2019
MASKER TALI IMASKE 200 Approved nursriati 24-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 30 Approved nursriati 24-Jan-2019
CEFAT FORTE SYR 250MG 2 Approved nursriati 24-Jan-2019
NAIRET INJEKSI 0.5MG/ML 20 Approved nursriati 24-Jan-2019
TRIAMCINOLONE 4 MG TABLET 100 Approved nursriati 24-Jan-2019
CINAM INJEKSI 10 Approved nursriati 24-Jan-2019
MICRODRIP TERUMO 5 Approved nursriati 24-Jan-2019
ZINC KID SYR 2 Approved nursriati 24-Jan-2019
GUEDEL AIRWAY 50MM 2 Approved nursriati 24-Jan-2019

19 SR19000047 28-Jan-2019 GUDANG FARMASI Lokasi Transaksi


ETT (ENDOTACHEAL TUBE PLAIN) NO 2 2 Approved nerfi 28-Jan-2019
ZINC KID SYR 4 Approved nerfi 28-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
LAMINARIA 4 Approved nerfi 28-Jan-2019

SAGESTAM DROP SANBE 3 Approved nerfi 28-Jan-2019


AMLODIPINE 5MG TAB DEXA 92 Approved nerfi 28-Jan-2019
MAMY POKO ISI 14 PCS 24 Approved nerfi 28-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 24 Approved nerfi 28-Jan-2019
PARACETAMOL SYR INDOFARMA 6 Approved nerfi 28-Jan-2019
FOLAC 400MCG TABLET 106 Approved nerfi 28-Jan-2019
SUCTION CHATETER NO 12 7 Approved nerfi 28-Jan-2019
ASTHAROL 4MG 74 Approved nerfi 28-Jan-2019
LEVOFLOXACIN INFUS BERNO 5 Approved nerfi 28-Jan-2019
MUSIN SUSP 500MG/5ML 120ML 4 Approved nerfi 28-Jan-2019
LAXADINE SYR 2 Approved nerfi 28-Jan-2019
GLYCERYL GUAIACOLATE 100 MG (GG) 200 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 80 MM 5 Approved nerfi 28-Jan-2019
ALLUPURINOL TABLET 100MG 100 Approved nerfi 28-Jan-2019
NOVA T 1 Approved nerfi 28-Jan-2019
SIMVASTATIN 10MG NOVELL 100 Approved nerfi 28-Jan-2019
GRAFAMIC 500MG KAPLET 666 Approved nerfi 28-Jan-2019
EDORISAN DROP SANBE 3 Approved nerfi 28-Jan-2019
NACL 500 ML ECOSOL (B-BRAUN) 20 Approved nerfi 28-Jan-2019
SPINOCAN 26G B-BRAUN 25 Approved nerfi 28-Jan-2019
WINGED INFUSION SET 23 5 Approved nerfi 28-Jan-2019
DERMAFIX 10X25 CM 40 Approved nerfi 28-Jan-2019
ONDANSENTRON TAB 8 MG NOVELL 100 Approved nerfi 28-Jan-2019
WINGED INFUSION SET 25 5 Approved nerfi 28-Jan-2019
KETOROLAC INJ 30MG/ML HEXPHARM 100 Approved nerfi 28-Jan-2019
MGSO4 40% 25 ML 50 Approved nerfi 28-Jan-2019
PUMPISEL INJEKSI SANBE 2 Approved nerfi 28-Jan-2019
BUFECT SYR SANBE 5 Approved nerfi 28-Jan-2019
ONESCRUB 4% ONEMADE 500ML 2,000 Approved nerfi 28-Jan-2019
INFUSAN D5+1/4 NS 5 Approved nerfi 28-Jan-2019
PISAU CUKUR RAZOR BLUE 50 Approved nerfi 28-Jan-2019
ONDANSETRON INJ 4MG/2ML NOVELL 40 Approved nerfi 28-Jan-2019
CEFAT 500MG CAPS SANBE 133 Approved nerfi 28-Jan-2019
BREAST PUMP YOUNG 10 Approved nerfi 28-Jan-2019
OPILAX SYR 2 Approved nerfi 28-Jan-2019
SALBUTAMOL TABLET 4 MG 1 Approved nerfi 28-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nerfi 28-Jan-2019
AMBROXOL 30 MG TAB INDOFARMA 100 Approved nerfi 28-Jan-2019
SIRPLUS SYRUP STROBERY MEPRO 3 Approved nerfi 28-Jan-2019
OTSU-D5+1/4 NS 5 Approved nerfi 28-Jan-2019
NORIT TAB 40 Approved nerfi 28-Jan-2019
RL 500ML B-BRAUN 150 Approved nerfi 28-Jan-2019
CENDO XITROL SALEP 2 Approved nerfi 28-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 50 Approved nerfi 28-Jan-2019
SIRPLUS TABLET MEPRO 400 Approved nerfi 28-Jan-2019
LODIA 2MG TAB 70 Approved nerfi 28-Jan-2019
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nerfi 28-Jan-2019
FOLAVIT TAB 1 MG SANBE 113 Approved nerfi 28-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 25 Approved nerfi 28-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved nerfi 28-Jan-2019
FOLEY CATETER 6 ONEMED 2 Approved nerfi 28-Jan-2019
CETIRIZINE 5 MG SYRUP 2 Approved nerfi 28-Jan-2019
BENANG ASSURYL 3/0 TS-24 24 Approved nerfi 28-Jan-2019
INFLO IV 24G/VASOFIX 24 ONEMED 43 Approved nerfi 28-Jan-2019
DOMPERIDON SYR 5 MG 4 Approved nerfi 28-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MASKER TALI IMASKE 50 Approved nerfi 28-Jan-2019

BRAXIDIN 170 Approved nerfi 28-Jan-2019


GUEDEL AIRWAY 90MM 5 Approved nerfi 28-Jan-2019
SELANG OKSIGEN NEONATE MIRACEN 3 Approved nerfi 28-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 2 Approved nerfi 28-Jan-2019
ANALSIK 145 Approved nerfi 28-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nerfi 28-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 2 Approved nerfi 28-Jan-2019
SANMOL FORTE TAB SANBE 100 Approved nerfi 28-Jan-2019
FOLEY CATETER 18 4 Approved nerfi 28-Jan-2019
CEFIXIM 200MG CAPS NOVELL 30 Approved nerfi 28-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 25 Approved nerfi 28-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 8 Approved nerfi 28-Jan-2019
BREATHY DROP 6 Approved nerfi 28-Jan-2019
STESOLID 5 MG RECTAL 10 Approved nerfi 28-Jan-2019
CEFADROXIL 250MG SYR 5 Approved nerfi 28-Jan-2019
SANMAG SYR SANBE 3 Approved nerfi 28-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nerfi 28-Jan-2019
INFUSET ANAK 10 Approved nerfi 28-Jan-2019
TRILAC 4MG TAB 83 Approved nerfi 28-Jan-2019
INTUNAL TAB FORTE 100 Approved nerfi 28-Jan-2019
METRONIDAZOL INFUS 100ML NOVELL 6 Approved nerfi 28-Jan-2019
SPALK UKURAN 5X12 CM 25 Approved nerfi 28-Jan-2019
BREAST PUMP MAMI 10 Approved nerfi 28-Jan-2019
HIDROKORTISON SALEP 10 Approved nerfi 28-Jan-2019
KASA STERIL 16X16 20 Approved nerfi 28-Jan-2019
OTTOPAN SYRUP 60 ML 10 Approved nerfi 28-Jan-2019
CLINDAMYCIN 150MG 100 Approved nerfi 28-Jan-2019
FOLEY CATETER 8 ONEMED 2 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 70 MM 4 Approved nerfi 28-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 20 Approved nerfi 28-Jan-2019
CEFIXIME SYR BERNO 7 Approved nerfi 28-Jan-2019
PRONALGES SUPP 20 Approved nerfi 28-Jan-2019
ETT KK NO 7 2 Approved nerfi 28-Jan-2019
SPUIT 5CC ONEMED 100 Approved nerfi 28-Jan-2019
NAIRET INJEKSI 0.5MG/ML 20 Approved nerfi 28-Jan-2019
VICCILLIN SX 1500MG SERBUK INJ 10 Approved nerfi 28-Jan-2019
DEXTROSE 5% OTSU 20 Approved nerfi 28-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nerfi 28-Jan-2019
SUCTION CHATETER NO 14 9 Approved nerfi 28-Jan-2019
BENANG ASSUT CHROMIC 2 HRG-50 24 Approved nerfi 28-Jan-2019
CATHETER TIP 50 ML TERUMO 5 Approved nerfi 28-Jan-2019
DERMAFIX T 10 X 12 CM 50 Approved nerfi 28-Jan-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved nerfi 28-Jan-2019
BUSCOPAN PLUS TABLET 26 Approved nerfi 28-Jan-2019
ATAROC SYR NOVEL 3 Approved nerfi 28-Jan-2019
WINGED INFUSION SET 27 5 Approved nerfi 28-Jan-2019
URINE COLLECTOR PEDIATRICT 15 Approved nerfi 28-Jan-2019
PLASMINEX INJ 100MG/ML 10 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 60MM 5 Approved nerfi 28-Jan-2019
CEFADROXIL 500 MG BERNO 400 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 40 MM 4 Approved nerfi 28-Jan-2019
BOTOL SUSU PP EKO 2 OZ DODO 10 Approved nerfi 28-Jan-2019
SARUNG TANGAN GAMEX 8 40 Approved nerfi 28-Jan-2019
HI OXYGEN MASKER ANAK (NON-REBREATHING 4 Approved nerfi 28-Jan-2019
MASK)
MEFINAL 500MG TABLET 1 Approved nerfi 28-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
REGIVEL INJEKSI 4ML NOVEL 25 Approved nerfi 28-Jan-2019

CLANEKSI SYR SANBE 3 Approved nerfi 28-Jan-2019


OXYTOCIN INJEKSI NOVELL 100 Approved nerfi 28-Jan-2019
NGT 8/100 TERUMO 5 Approved nerfi 28-Jan-2019
THREE WAY STOPCOCK ONEMED 10 Approved nerfi 28-Jan-2019
DEHIDRALYTE NOVEL 11 Approved nerfi 28-Jan-2019
UMBILICAL CORD KLASIK 25 Approved nerfi 28-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 30 Approved nerfi 28-Jan-2019
LASAL EXP SYRUP LAPI 3 Approved nerfi 28-Jan-2019
VENTOLIN INHALER 2 Approved nerfi 28-Jan-2019
RANIVEL SYR NOVEL 2 Approved nerfi 28-Jan-2019
FOLEY CATETER 16 RUSCH 40 Approved nerfi 28-Jan-2019
TOPI OPERASI WANITA 298 Approved nerfi 28-Jan-2019
NGT 16 ONEMED 2 Approved nerfi 28-Jan-2019
ISPRINOL SYR 10 Approved nerfi 28-Jan-2019
NEEDLE 24 ONEMED 100 Approved nerfi 28-Jan-2019
EFLAGEN 50MG TAB 98 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 50MM 4 Approved nerfi 28-Jan-2019
UNDERPADS SENSI 20 Approved nerfi 28-Jan-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 24 Approved nerfi 28-Jan-2019
SOFTEX MATERNITY 2 Approved nerfi 28-Jan-2019
GUEDEL AIRWAY 100 MM 3 Approved nerfi 28-Jan-2019

20 SR19000058 31-Jan-2019 GUDANG FARMASI Lokasi Transaksi


TRICLOFEM KB 3 BULAN INJEKSI 16 Approved nursriati 31-Jan-2019
PRONALGES SUPP 1 Approved nursriati 31-Jan-2019
ZINC KID SYR 2 Approved nursriati 31-Jan-2019
PROGESTON 2 Approved nursriati 31-Jan-2019
SPUIT 10CC ONEMED 100 Approved nursriati 31-Jan-2019
GUEDEL AIRWAY 40 MM 2 Approved nursriati 31-Jan-2019
THREE WAY STOPCOCK ONEMED 3 Approved nursriati 31-Jan-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved nursriati 31-Jan-2019
ECODINE 30 ML BPJS ONEMED 15 Approved nursriati 31-Jan-2019
BLEDSTOP 125 MCG TABLET 300 Approved nursriati 31-Jan-2019
LODIA 2MG TAB 60 Approved nursriati 31-Jan-2019
LACTO B 80 Approved nursriati 31-Jan-2019
CIPROFLOXACIN 500 1 Approved nursriati 31-Jan-2019
POVIDON IODINE BOTOL 30ML ONEMED 20 Approved nursriati 31-Jan-2019
UNDERPADS SENSI 30 Approved nursriati 31-Jan-2019
BLOOD TRANSFUSION SET 5 Approved nursriati 31-Jan-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 31-Jan-2019
RANITIDINE 150MG TAB DEXA 200 Approved nursriati 31-Jan-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 24 Approved nursriati 31-Jan-2019
GRAFAMIC 500MG KAPLET 600 Approved nursriati 31-Jan-2019
METFORMIN 500 MG TAB DEXA 100 Approved nursriati 31-Jan-2019
VICCILLIN SX 1500MG SERBUK INJ 5 Approved nursriati 31-Jan-2019
MAMY POKO ISI 14 PCS 24 Approved nursriati 31-Jan-2019
RANITIDIN INJ 50 MG/2ML BERNO 50 Approved nursriati 31-Jan-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 4 Approved nursriati 31-Jan-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 31-Jan-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 31-Jan-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 60 Approved nursriati 31-Jan-2019
OTTOPAN DROP 15 ML 8 Approved nursriati 31-Jan-2019
MUSIN SUSP 500MG/5ML 120ML 4 Approved nursriati 31-Jan-2019
GUEDEL AIRWAY 80 MM 3 Approved nursriati 31-Jan-2019
WINGED INFUSION SET 23 5 Approved nursriati 31-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
CETIRIZINE 5 MG SYRUP 6 Approved nursriati 31-Jan-2019

PROTERIN INJ 5MG/ML 10 Approved nursriati 31-Jan-2019


KETOROLAC INJ 30MG/ML HEXPHARM 60 Approved nursriati 31-Jan-2019
ACRAN TAB 150 MG SANBE 100 Approved nursriati 31-Jan-2019
SAGESTAM DROP SANBE 4 Approved nursriati 31-Jan-2019
VITAMIN B6 2 Approved nursriati 31-Jan-2019
PENENG PINK ANAK 1 Approved nursriati 31-Jan-2019
NORIT TAB 40 Approved nursriati 31-Jan-2019
INTUNAL SYR 5 Approved nursriati 31-Jan-2019
APYALIS SYRUP LAPI 2 Approved nursriati 31-Jan-2019
CEFIXIM 100MG CAPS NOVELL 60 Approved nursriati 31-Jan-2019
CORTIDEX TABLET SANBE 100 Approved nursriati 31-Jan-2019
OXYTOCIN INJEKSI NOVELL 84 Approved nursriati 31-Jan-2019
CEFXON INJ 1GR/VIAL LAPI 8 Approved nursriati 31-Jan-2019
FRISIAN FLAG 200 GR 8 Approved nursriati 31-Jan-2019
EMLA 5% CREAM 5GR 2 Approved nursriati 31-Jan-2019
KACAMATA BAYI/BL (POSEY) 5 Approved nursriati 31-Jan-2019
NYSTIN DROP 100.000 IU 4 Approved nursriati 31-Jan-2019
LOMATUELL 40 Approved nursriati 31-Jan-2019
SUCTION CONNECTING TUBE WITH YANKEUR 2 Approved nursriati 31-Jan-2019
DEXAMETHASON INJ 5MG/ML BERNO 100 Approved nursriati 31-Jan-2019
SPUIT 3CC ONEMED 200 Approved nursriati 31-Jan-2019
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 1 Approved nursriati 31-Jan-2019
SELANG OKSIGEN ANAK (OXYFLOW) 4 Approved nursriati 31-Jan-2019
AQUABIDEST 25 ML 10 Approved nursriati 31-Jan-2019
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nursriati 31-Jan-2019
CEFOTAXIME 1 GR INJ BERNO 20 Approved nursriati 31-Jan-2019
VITAMIN C 50MG KF 1 Approved nursriati 31-Jan-2019
SANMOL TAB 500MG SANBE 100 Approved nursriati 31-Jan-2019
SPINOCAN 26G B-BRAUN 25 Approved nursriati 31-Jan-2019
IV POLYFLEX WINGS NO.24 1 Approved nursriati 31-Jan-2019
CATAPRES 0.15MG/ML AMP 10'S 10 Approved nursriati 31-Jan-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 12 Approved nursriati 31-Jan-2019
FOLEY CATETER 16 RUSCH 20 Approved nursriati 31-Jan-2019
ETT NO 1 1 Approved nursriati 31-Jan-2019
OREZINC SYR 9 Approved nursriati 31-Jan-2019
MICRODRIP TERUMO 7 Approved nursriati 31-Jan-2019
LAPIFED TABLET 100 Approved nursriati 31-Jan-2019
SIMVASTATIN 10MG NOVELL 50 Approved nursriati 31-Jan-2019
ONDANSETRON 4 MG TAB INDOFARMA 100 Approved nursriati 31-Jan-2019
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 31-Jan-2019
PENENG BIRU ANAK 1 Approved nursriati 31-Jan-2019
EPEXOL SYR SANBE 4 Approved nursriati 31-Jan-2019
FERRIS DROP 2 Approved nursriati 31-Jan-2019
GUEDEL AIRWAY 50MM 2 Approved nursriati 31-Jan-2019
KASA STERIL 16X16 30 Approved nursriati 31-Jan-2019
AMINOSTERIL INFANT 6% 3 Approved nursriati 31-Jan-2019
SELANG OKSIGEN BAYI (OXYFLOW) 5 Approved nursriati 31-Jan-2019
METRONIDAZOLE 500 MG TABLET BERNO 400 Approved nursriati 31-Jan-2019
CEFIXIM 200MG CAPS NOVELL 100 Approved nursriati 31-Jan-2019
DEHIDRALYTE NOVEL 5 Approved nursriati 31-Jan-2019
GELAFUSAL 500ML 3 Approved nursriati 31-Jan-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 12 Approved nursriati 31-Jan-2019
CEFADROXIL 500 MG BERNO 700 Approved nursriati 31-Jan-2019
HI OXYGEN MASKER ANAK (NON-REBREATHING 3 Approved nursriati 31-Jan-2019
MASK)
INFLO IV 24G/VASOFIX 24 ONEMED 20 Approved nursriati 31-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MINYAK KAYU PUTIH FITOCARE 2 Approved nursriati 31-Jan-2019

MGSO4 40% 25 ML 30 Approved nursriati 31-Jan-2019


FOLEY CATETER 18 1 Approved nursriati 31-Jan-2019
ATMACID SYR 120 5 Approved nursriati 31-Jan-2019
INFLO IV 18G/VASOFIX 18 ONEMED 73 Approved nursriati 31-Jan-2019
TREMENZA SYR SANBE 5 Approved nursriati 31-Jan-2019
D10% 1/5 NS OTSU 3 Approved nursriati 31-Jan-2019
AMOXICILLIN TAB 500 QUANTUM 100 Approved nursriati 31-Jan-2019
CATHETER TIP 50 ML TERUMO 5 Approved nursriati 31-Jan-2019
CEFADROXIL 250MG SYR 5 Approved nursriati 31-Jan-2019
SALBUTAMOL TABLET 4 MG 100 Approved nursriati 31-Jan-2019
NACL 100ML ECOSOL (B-BRAUN) 30 Approved nursriati 31-Jan-2019
URIN BAG "T" TYPE 20 Approved nursriati 31-Jan-2019
PENENG PINK DEWASA 1 Approved nursriati 31-Jan-2019
GRAFADON TABLET 500 MG 100 Approved nursriati 31-Jan-2019
GUEDEL AIRWAY 70 MM 3 Approved nursriati 31-Jan-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 2 Approved nursriati 31-Jan-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 31-Jan-2019
MEFINAL 500MG TABLET 2 Approved nursriati 31-Jan-2019
SYRINGE 50 CC ONEMED 4 Approved nursriati 31-Jan-2019
ONESCRUB 4% ONEMED 5L 5,000 Approved nursriati 31-Jan-2019
NIFEDIPIN 10MG TAB DEXA 1 Approved nursriati 31-Jan-2019
VENTOLIN NEBULIZER 2.5MG/2.5ML UDV 10 Approved nursriati 31-Jan-2019
SUCTION CHATETER NO 14 1 Approved nursriati 31-Jan-2019
DERMAFIX 10X25 CM 20 Approved nursriati 31-Jan-2019
NEUROSANBE TABLET 1 Approved nursriati 31-Jan-2019
BREAST PUMP YOUNG 10 Approved nursriati 31-Jan-2019
CERINI DROP SANBE 3 Approved nursriati 31-Jan-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 50 Approved nursriati 31-Jan-2019
FITOCARE MINYAK TELON 30 ML 2 Approved nursriati 31-Jan-2019
ONDANSETRON INJ 8MG DEXA 36 Approved nursriati 31-Jan-2019
LIDOCAIN HCL 2% INJEKSI BERNO 30 Approved nursriati 31-Jan-2019
WINGED INFUSION SET 25 5 Approved nursriati 31-Jan-2019
SUCTION CATHETER NO 8 REMIDI 40 Approved nursriati 31-Jan-2019
ETT NO 1.5 1 Approved nursriati 31-Jan-2019
MISOPROSTOL 200MCG TAB 100 Approved nursriati 31-Jan-2019
GENTAMYCIN 0.1 % SALEP 30 Approved nursriati 31-Jan-2019
AMIKACIN INJEKSI 125MG/ML 2 Approved nursriati 31-Jan-2019
PROMAVIT CAPSUL 426 Approved nursriati 31-Jan-2019
REGIVEL INJEKSI 4ML NOVEL 20 Approved nursriati 31-Jan-2019
EFLAGEN 50MG TAB 98 Approved nursriati 31-Jan-2019
FOLIC ACID 1 Approved nursriati 31-Jan-2019
GUEDEL AIRWAY 60MM 1 Approved nursriati 31-Jan-2019
KA-EN 3B OTSU 10 Approved nursriati 31-Jan-2019
WINGED INFUSION SET 27 5 Approved nursriati 31-Jan-2019
CEFILA SYR 100 MG LAPI 4 Approved nursriati 31-Jan-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 100 Approved nursriati 31-Jan-2019
ELKANA TAB SANBE 2 Approved nursriati 31-Jan-2019
RIFAMPICIN 450 MG 1 Approved nursriati 31-Jan-2019
RANIVEL SYR NOVEL 3 Approved nursriati 31-Jan-2019
RL 500ML B-BRAUN 200 Approved nursriati 31-Jan-2019
UMBILICAL CORD KLASIK 1 Approved nursriati 31-Jan-2019
VAKSIN HEPATITIS B 200 Approved nursriati 31-Jan-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 50 Approved nursriati 31-Jan-2019
CLANEKSI SYR SANBE 1 Approved nursriati 31-Jan-2019
ETT KK NO 7 1 Approved nursriati 31-Jan-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
TRILAC 4MG TAB 90 Approved nursriati 31-Jan-2019

AZITHROMYCIN 200MG/5ML DS QUANTUM 2 Approved nursriati 31-Jan-2019


KTM INJ 1 Approved nursriati 31-Jan-2019
REGUMEN 90 Approved nursriati 31-Jan-2019
SANMOL FORTE SYR SANBE 3 Approved nursriati 31-Jan-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 31-Jan-2019
MASKER TALI IMASKE 300 Approved nursriati 31-Jan-2019
CETEME 4 MG TABLET 100 Approved nursriati 31-Jan-2019
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 31-Jan-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved nursriati 31-Jan-2019
INTUNAL TAB FORTE 100 Approved nursriati 31-Jan-2019
APYALIS DROP LAPI 2 Approved nursriati 31-Jan-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 31-Jan-2019
LASAL EXP SYRUP LAPI 3 Approved nursriati 31-Jan-2019
PRENAMIA TAB SANBE 100 Approved nursriati 31-Jan-2019
PROBIOSTIM CAPSULE SANBE 30 Approved nursriati 31-Jan-2019
TRAMADOL INJ 100MG/2ML BERNO 10 Approved nursriati 31-Jan-2019
HI OXYGEN MASKER DEWASA (NON-REBREATHING 3 Approved nursriati 31-Jan-2019
MASK)
DEOLIT TAB 30 Approved nursriati 31-Jan-2019
FOLEY CATETER 10 ONEMED 3 Approved nursriati 31-Jan-2019
POVIDONE IODINE 1000ML ONEMED 6,000 Approved nursriati 31-Jan-2019
LAPIMOX DRY SYRUP 125 MG/5 ML 60 ML 5 Approved nursriati 31-Jan-2019

21 SR19000066 04-Feb-2019 GUDANG FARMASI Lokasi Transaksi


INFUSET DEWASA ONEMED 10 Approved retno 04-Feb-2019
VELUTIN NEBULIZER 20 Approved retno 04-Feb-2019
KASA STERIL 16X16 20 Approved retno 04-Feb-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved retno 04-Feb-2019
FLAMAR GEL SANBE 1 Approved retno 04-Feb-2019
UNDERPADS SENSI 1 Approved retno 04-Feb-2019
CURCUMA PLUS SYR 3 Approved retno 04-Feb-2019
VALPROIC ACID 1 Approved retno 04-Feb-2019
MGSO4 40% 25 ML 10 Approved retno 04-Feb-2019
GUDEL NO 5 1 Approved retno 04-Feb-2019
PLASMINEX 500MGTAB 1 Approved retno 04-Feb-2019
AMIKACIN INJEKSI 125MG/ML 4 Approved retno 04-Feb-2019
DEXAMETHASON 0.5MG TAB KF 1 Approved retno 04-Feb-2019
GUEDEL AIRWAY 60MM 2 Approved retno 04-Feb-2019
HYPAVIX 10CM X 5M (500 CM) 4,055 Approved retno 04-Feb-2019
TOPI OPERASI WANITA 200 Approved retno 04-Feb-2019
TUZALOS TABLET SANBE 100 Approved retno 04-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 35 Approved retno 04-Feb-2019
SENSIGLOVES MAS (SIZE M) 400 Approved retno 04-Feb-2019
LACTO B 80 Approved retno 04-Feb-2019
METHYL PREDNISOLON 4 MG 1 Approved retno 04-Feb-2019
OXYTOCIN INJEKSI NOVELL 50 Approved retno 04-Feb-2019
MAMY POKO ISI 14 PCS 24 Approved retno 04-Feb-2019
L-BIO SACHET 20 Approved retno 04-Feb-2019
BREATHY DROP 3 Approved retno 04-Feb-2019
MISOPROSTOL 200MCG TAB 30 Approved retno 04-Feb-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved retno 04-Feb-2019
KASA HIDROFIL ONEMED (JAHIT) 6 Approved retno 04-Feb-2019
PARACETAMOL INFUS NOVEL 8 Approved retno 04-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 1 Approved retno 04-Feb-2019
FRISIAN FLAG 200 GR 2 Approved retno 04-Feb-2019
SUCTION CATHETER NO 8 REMIDI 20 Approved retno 04-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
OPICEF 125 MG/5 ML DRY SYRUP 3 Approved retno 04-Feb-2019

METFORMIN TAB 100 Approved retno 04-Feb-2019


INFUSAN D5+1/4 NS 3 Approved retno 04-Feb-2019
ODR SYR LAPI 3 Approved retno 04-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved retno 04-Feb-2019
KERTAS PUYER 300 Approved retno 04-Feb-2019
RIFAMPICIN 600 100 Approved retno 04-Feb-2019
APYALIS DROP LAPI 3 Approved retno 04-Feb-2019
ETT NO 1 1 Approved retno 04-Feb-2019
LASAL EXP SYRUP LAPI 1 Approved retno 04-Feb-2019
OCUSON TAB SANBE 1 Approved retno 04-Feb-2019
SAGESTAM CREM SANBE 5 Approved retno 04-Feb-2019
NORIT TAB 40 Approved retno 04-Feb-2019
ZINC KID SYR 2 Approved retno 04-Feb-2019
AMOXSAN DROP SANBE 5 Approved retno 04-Feb-2019
ETT NO 1.5 1 Approved retno 04-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved retno 04-Feb-2019
RL 500ML B-BRAUN 200 Approved retno 04-Feb-2019
NGT 16 ONEMED 2 Approved retno 04-Feb-2019
TRILAC 4MG TAB 60 Approved retno 04-Feb-2019
ONDANSETRON INJ 8MG DEXA 40 Approved retno 04-Feb-2019
CETIRIZINE 5 MG SYRUP 4 Approved retno 04-Feb-2019
OREZINC SYR 5 Approved retno 04-Feb-2019
SPUIT 3CC ONEMED 300 Approved retno 04-Feb-2019
SANMOL TAB 500MG SANBE 100 Approved retno 04-Feb-2019
URIN BAG "T" TYPE 10 Approved retno 04-Feb-2019
THREE WAY STOPCOCK ONEMED 4 Approved retno 04-Feb-2019
LOMATUELL 1 Approved retno 04-Feb-2019
UTROGESTAN CAP 100MG LAPI 60 Approved retno 04-Feb-2019
SAGESTAM DROP SANBE 3 Approved retno 04-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved retno 04-Feb-2019
REGIVEL INJEKSI 4ML NOVEL 20 Approved retno 04-Feb-2019
INFLO IV 24G/VASOFIX 24 ONEMED 25 Approved retno 04-Feb-2019
SYRINGE 50 CC ONEMED 2 Approved retno 04-Feb-2019
CEFIXIM 100MG CAPS NOVELL 100 Approved retno 04-Feb-2019
MASKER NEBU DEWASA 5 Approved retno 04-Feb-2019
SIMVASTATIN 10MG NOVELL 100 Approved retno 04-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 20 Approved retno 04-Feb-2019
BETADIN GARGE 1 Approved retno 04-Feb-2019
URINE COLLECTOR PEDIATRICT 11 Approved retno 04-Feb-2019
MASKER NEBU ANAK GEA 5 Approved retno 04-Feb-2019
TREMENZA TABLET SANBE 200 Approved retno 04-Feb-2019
CEFAT 500MG CAPS SANBE 100 Approved retno 04-Feb-2019
NACL 500 ML ECOSOL (B-BRAUN) 30 Approved retno 04-Feb-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved retno 04-Feb-2019
ONESCRUB 4% ONEMED 5L 5,000 Approved retno 04-Feb-2019
ECODINE 30 ML BPJS ONEMED 15 Approved retno 04-Feb-2019
TRAMADOL INJ 100MG/2ML BERNO 10 Approved retno 04-Feb-2019
ACRAN TAB 150 MG SANBE 100 Approved retno 04-Feb-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 18 Approved retno 04-Feb-2019
SARUNG TANGAN GAMEX 7.5 40 Approved retno 04-Feb-2019
FERRIS DROP 3 Approved retno 04-Feb-2019
SARUNG TANGAN GAMEX 7 40 Approved retno 04-Feb-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 48 Approved retno 04-Feb-2019
INTUNAL TAB FORTE 100 Approved retno 04-Feb-2019
SANMOL FORTE TAB SANBE 100 Approved retno 04-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
PRENAMIA TAB SANBE 1 Approved retno 04-Feb-2019

GUEDEL AIRWAY 50MM 1 Approved retno 04-Feb-2019


ONDANSENTRON TAB 4 MG NOVELL 30 Approved retno 04-Feb-2019
OTTOPAN DROP 15 ML 6 Approved retno 04-Feb-2019
AMOXSAN CAPS 500MG SANBE 100 Approved retno 04-Feb-2019
CEFAT FORTE SYR 250MG 4 Approved retno 04-Feb-2019
PENDIL 100 Approved retno 04-Feb-2019
EFLAGEN 50MG TAB 98 Approved retno 04-Feb-2019
MICRODRIP TERUMO 5 Approved retno 04-Feb-2019
PISAU CUKUR RAZOR BLUE 50 Approved retno 04-Feb-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 100 Approved retno 04-Feb-2019
SUCTION CHATETER NO 14 1 Approved retno 04-Feb-2019
DOPAMIN 200 MG/5ML 3 Approved retno 04-Feb-2019
NGT 5/100 CM 2 Approved retno 04-Feb-2019
PUMPITOR CAPSUL SANBE 20 Approved retno 04-Feb-2019
OMEPRAZOLE 20MG CAPS NOVELL 200 Approved retno 04-Feb-2019
MEFINAL 500MG TABLET 200 Approved retno 04-Feb-2019
GUEDEL AIRWAY 40 MM 1 Approved retno 04-Feb-2019
DOPAMET 250MG TAB. 100 Approved retno 04-Feb-2019
FLAMAR TAB 50MG SANBE 1 Approved retno 04-Feb-2019
TRICHODAZOL PLUS OVULA SANBE 30 Approved retno 04-Feb-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved retno 04-Feb-2019
CEFADROXIL 250MG SYR 5 Approved retno 04-Feb-2019
TERMOMETER DIGITAL ALPHA 3 3 Approved retno 04-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 40 Approved retno 04-Feb-2019
BLEDSTOP 125 MCG TABLET 100 Approved retno 04-Feb-2019
ASERING 30 Approved retno 04-Feb-2019
SPUIT 10CC ONEMED 100 Approved retno 04-Feb-2019
CURCUMA FCT TAB 1 Approved retno 04-Feb-2019
GRAFAMIC 500MG KAPLET 3 Approved retno 04-Feb-2019

22 SR19000078 07-Feb-2019 GUDANG FARMASI Lokasi Transaksi


SPUIT 3CC ONEMED 300 Approved nursriati 07-Feb-2019
AMLODIPIN 10 MG TAB NOVELL 2 Approved nursriati 07-Feb-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 3 Approved nursriati 07-Feb-2019
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 24 Approved nursriati 07-Feb-2019
BISTURI 20 100 Approved nursriati 07-Feb-2019
CRIPSA 2.5 MG TABLET 30 Approved nursriati 07-Feb-2019
SALBUTAMOL TABLET 4 MG 1 Approved nursriati 07-Feb-2019
OPICEF 125 MG/5 ML DRY SYRUP 4 Approved nursriati 07-Feb-2019
BENANG ASSURYL 3/0 TS-24 24 Approved nursriati 07-Feb-2019
BLEDSTOP 125 MCG TABLET 100 Approved nursriati 07-Feb-2019
HIDROKORTISON SALEP 10 Approved nursriati 07-Feb-2019
ONDANSENTRON TAB 8 MG NOVELL 50 Approved nursriati 07-Feb-2019
APYALIS DROP LAPI 3 Approved nursriati 07-Feb-2019
LACTO B 80 Approved nursriati 07-Feb-2019
ONESCRUB 4% ONEMED 5L 3,000 Approved nursriati 07-Feb-2019
BENANG ASSUT CHROMIC 2/0 HRG-40 90 CM 36 Approved nursriati 07-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved nursriati 07-Feb-2019
SANADRYL EXP SYR 120 MG SANBE 5 Approved nursriati 07-Feb-2019
MASKER NEBU ANAK GEA 3 Approved nursriati 07-Feb-2019
CEFTRIAXONE INJ 1 GRAM DEXA 80 Approved nursriati 07-Feb-2019
FOLEY CATETER 16 RUSCH 10 Approved nursriati 07-Feb-2019
SPUIT 10CC ONEMED 100 Approved nursriati 07-Feb-2019
CLANEKSI SYR SANBE 5 Approved nursriati 07-Feb-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 50 Approved nursriati 07-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MICROPORE 1/2 INCH 4 Approved nursriati 07-Feb-2019

RL 500ML B-BRAUN 150 Approved nursriati 07-Feb-2019


CYCLO PROGYNOVA TABLET 2 Approved nursriati 07-Feb-2019
ELKANA SYR SANBE 3 Approved nursriati 07-Feb-2019
DERMAFIX 10X25 CM 30 Approved nursriati 07-Feb-2019
MUSIN SUSP 500MG/5ML 120ML 2 Approved nursriati 07-Feb-2019
PLASMIN 1 Approved nursriati 07-Feb-2019
EX
NORIT TAB 40 Approved nursriati 07-Feb-2019
500MGTA
BENANG ASSUT CHROMIC 2 HRG-50
B 24 Approved nursriati 07-Feb-2019
CETIRIZINE 5 MG SYRUP 5 Approved nursriati 07-Feb-2019
FOLEY CATETER 18 2 Approved nursriati 07-Feb-2019
PENENG PINK DEWASA 1 Approved nursriati 07-Feb-2019
SMECTA SACHET 20 Approved nursriati 07-Feb-2019
ANALTRAM TABLET LAPI 30 Approved nursriati 07-Feb-2019
BECOM C TAB SANBE 100 Approved nursriati 07-Feb-2019
GUDEL NO 5 2 Approved nursriati 07-Feb-2019
NEUROSANBE PLUS 1 Approved nursriati 07-Feb-2019
PLASMINEX INJ 100MG/ML 10 Approved nursriati 07-Feb-2019
BETADIN GARGE 3 Approved nursriati 07-Feb-2019
MICROLAX ENEMA 5 Approved nursriati 07-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 50 Approved nursriati 07-Feb-2019
CEFADROXIL SYR 125 MG BERNO 2 Approved nursriati 07-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 200 Approved nursriati 07-Feb-2019
MASKER NEBU DEWASA 2 Approved nursriati 07-Feb-2019
ISPRINOL SYR 3 Approved nursriati 07-Feb-2019
BENANG ASSUT SILK 3/0 HR 22 27CM 12 Approved nursriati 07-Feb-2019
ATAROC SYR NOVEL 3 Approved nursriati 07-Feb-2019
CEFADROXIL 500 MG BERNO 400 Approved nursriati 07-Feb-2019
CEFXON INJ 1GR/VIAL LAPI 9 Approved nursriati 07-Feb-2019
CEFADROXIL 125 MG SYR 2 Approved nursriati 07-Feb-2019
SARUNG TANGAN GAMEX 7 80 Approved nursriati 07-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 100 Approved nursriati 07-Feb-2019
ASERING 500 ML SOFTBAG 20 Approved nursriati 07-Feb-2019
OTTOPAN DROP 15 ML 5 Approved nursriati 07-Feb-2019
LOMATUELL 30 Approved nursriati 07-Feb-2019
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 07-Feb-2019
SUCTION CHATETER NO 14 2 Approved nursriati 07-Feb-2019
IV POLYFLEX WINGS NO. 26 1 Approved nursriati 07-Feb-2019
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 2 Approved nursriati 07-Feb-2019
PENENG BIRU DEWASA 1 Approved nursriati 07-Feb-2019
SANMOL TAB 500MG SANBE 100 Approved nursriati 07-Feb-2019
ASTHAROL 4MG 100 Approved nursriati 07-Feb-2019
OXYTOCIN INJEKSI NOVELL 100 Approved nursriati 07-Feb-2019
AZITHROMYCIN 500MG KAPLET 1 Approved nursriati 07-Feb-2019
GRAFAMIC 500MG KAPLET 600 Approved nursriati 07-Feb-2019
GERDILIUM SUSPENSI 60 ML 5 Approved nursriati 07-Feb-2019
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nursriati 07-Feb-2019
EPEXOL TAB 30MG SANBE 200 Approved nursriati 07-Feb-2019
MAMY POKO ISI 14 PCS 24 Approved nursriati 07-Feb-2019
PROMAVIT CAPSUL 300 Approved nursriati 07-Feb-2019
ODR SYR LAPI 2 Approved nursriati 07-Feb-2019
IV POLYFLEX WINGS NO.24 1 Approved nursriati 07-Feb-2019
NGT 16 ONEMED 2 Approved nursriati 07-Feb-2019
GUEDEL AIRWAY 40 MM 2 Approved nursriati 07-Feb-2019
PRORIS SUP 34 Approved nursriati 07-Feb-2019
OMEPRAZOLE 20MG CAPS NOVELL 100 Approved nursriati 07-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
SPUIT 5CC ONEMED 100 Approved nursriati 07-Feb-2019

NEUROSANBE TABLET 1 Approved nursriati 07-Feb-2019


SANADRYL DMP SYR 120 MG SANBE 3 Approved nursriati 07-Feb-2019
COMBIVENT NEBULIZER 2.5ML/UDV 10 Approved nursriati 07-Feb-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 07-Feb-2019
CAL 95 TAB LAPI 60 Approved nursriati 07-Feb-2019
CEFIXIM 200MG CAPS NOVELL 1 Approved nursriati 07-Feb-2019
ISOSORBIDE DINITRATE (ISDN) 5MG INDOFARMA 100 Approved nursriati 07-Feb-2019
URIN BAG "T" TYPE 30 Approved nursriati 07-Feb-2019
FLIXOTIDE NEBULES 0.5MG/2ML UDV 20 Approved nursriati 07-Feb-2019
CEFADROXIL 250MG SYR 5 Approved nursriati 07-Feb-2019
NEEDLE 24 ONEMED 100 Approved nursriati 07-Feb-2019
DEHIDRALYTE NOVEL 15 Approved nursriati 07-Feb-2019
AMINOFLUID-L 500 ML 5 Approved nursriati 07-Feb-2019
SANMAG SYR SANBE 6 Approved nursriati 07-Feb-2019
MGSO4 40% 25 ML 30 Approved nursriati 07-Feb-2019
CEFOTAXIME 1 GR INJ BERNO 20 Approved nursriati 07-Feb-2019
LANSOPRAZOLE 30MG TAB NOVELL 3 Approved nursriati 07-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 12 Approved nursriati 07-Feb-2019
SALBUTAMOL TAB 2MG 1 Approved nursriati 07-Feb-2019
KETOROLAC INJ 30MG/ML HEXPHARM 120 Approved nursriati 07-Feb-2019
MEFINAL 500MG TABLET 200 Approved nursriati 07-Feb-2019
AMOXSAN SYR 250 MG SANBE 6 Approved nursriati 07-Feb-2019
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nursriati 07-Feb-2019
DERMAFIX T 10 X 12 CM 50 Approved nursriati 07-Feb-2019
SIRPLUS SYRUP STROBERY MEPRO 4 Approved nursriati 07-Feb-2019
SELANG OKSIGEN DEWASA (OXYFLOW) 5 Approved nursriati 07-Feb-2019
ONDANSETRON INJ 8MG DEXA 100 Approved nursriati 07-Feb-2019
CETIRIZINE DROP 3 Approved nursriati 07-Feb-2019
ETERFIX INFUS PARACETAMOL 50ML NOVEL 3 Approved nursriati 07-Feb-2019
NEUROSANBE INJEKSI 3ML 10 Approved nursriati 07-Feb-2019
CATHETER TIP 50 ML TERUMO 10 Approved nursriati 07-Feb-2019
DEXTROSE 5% OTSU 20 Approved nursriati 07-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 07-Feb-2019
SANMOL FORTE SYR SANBE 10 Approved nursriati 07-Feb-2019
FLEET ENEMA 133 ML 2 Approved nursriati 07-Feb-2019
MAS CANULA FIXATION PU FILM ANAK (4.5X6 CM) 100 Approved nursriati 07-Feb-2019
GUEDEL AIRWAY 60MM 2 Approved nursriati 07-Feb-2019
INTUNAL TAB FORTE 100 Approved nursriati 07-Feb-2019
IMUNOS SYR LAPI 2 Approved nursriati 07-Feb-2019
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 07-Feb-2019
CEFAT FORTE SYR 250MG 5 Approved nursriati 07-Feb-2019
TRILAC 4MG TAB 60 Approved nursriati 07-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 07-Feb-2019
EFLAGEN 50MG TAB 100 Approved nursriati 07-Feb-2019
ETT (ENDOTACHEAL TUBE PLAIN) NO 2 2 Approved nursriati 07-Feb-2019
SIMVASTATIN 10MG NOVELL 100 Approved nursriati 07-Feb-2019
SENSIGLOVES MAS (SIZE M) 300 Approved nursriati 07-Feb-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 07-Feb-2019
ETT NO 1 1 Approved nursriati 07-Feb-2019
SAGESTAM CREM SANBE 3 Approved nursriati 07-Feb-2019
PENDIL 71 Approved nursriati 07-Feb-2019
EDORISAN DROP SANBE 5 Approved nursriati 07-Feb-2019
THREE WAY STOPCOCK ONEMED 10 Approved nursriati 07-Feb-2019
INFUSAN D5+1/4 NS 3 Approved nursriati 07-Feb-2019
RANITIDIN INJ 50 MG/2ML BERNO 100 Approved nursriati 07-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
UNDERPADS SENSI 30 Approved nursriati 07-Feb-2019

PRONALGES SUPP 30 Approved nursriati 07-Feb-2019


ESOLA INJEKSI 5 Approved nursriati 07-Feb-2019
INFUSET DEWASA ONEMED 50 Approved nursriati 07-Feb-2019
CETEME 4 MG TABLET 100 Approved nursriati 07-Feb-2019
PROBIOSTIM CAPSULE SANBE 60 Approved nursriati 07-Feb-2019
GUEDEL AIRWAY 50MM 2 Approved nursriati 07-Feb-2019
OREZINC SYR 2 Approved nursriati 07-Feb-2019
KASA STERIL 16X16 20 Approved nursriati 07-Feb-2019
EPEXOL SYR SANBE 6 Approved nursriati 07-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC L 7'S 12 Approved nursriati 07-Feb-2019
SOFTEX MATERNITY 2 Approved nursriati 07-Feb-2019
MASKER TALI IMASKE 300 Approved nursriati 07-Feb-2019
METHISOPRINOL SYRUP 3 Approved nursriati 07-Feb-2019
METFORMIN 500 MG TAB DEXA 100 Approved nursriati 07-Feb-2019
STESOLID SYRUP 10 Approved nursriati 07-Feb-2019
ONDANSETRON INJ 4MG DEXA 30 Approved nursriati 07-Feb-2019
OTTOPAN SYRUP 60 ML 10 Approved nursriati 07-Feb-2019
POVIDONE IODINE 1000ML ONEMED 6,000 Approved nursriati 07-Feb-2019
ALGANAX 0,5 1 Approved nursriati 07-Feb-2019
TRANSPULMIN BB BALSAM 10 GR 3 Approved nursriati 07-Feb-2019
OTTOPAIN EAR DROPS 8ML 2 Approved nursriati 07-Feb-2019
ACRAN TAB 150 MG SANBE 90 Approved nursriati 07-Feb-2019
MICROPORE 1 INCH 10 Approved nursriati 07-Feb-2019
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nursriati 07-Feb-2019
ETT KK NO 7 2 Approved nursriati 07-Feb-2019
SPINOCAN 26G B-BRAUN 50 Approved nursriati 07-Feb-2019
METHYLERGOMETRINE INJEKSI 100 Approved nursriati 07-Feb-2019
CEFIXIME SYR BERNO 4 Approved nursriati 07-Feb-2019
MINYAK KAYU PUTIH FITOCARE 5 Approved nursriati 07-Feb-2019
CEFILA SYR 100 MG LAPI 3 Approved nursriati 07-Feb-2019

23 SR19000079 11-Feb-2019 GUDANG FARMASI Lokasi Transaksi


ZAMEL SYR NOVEL 2 Approved nursriati 11-Feb-2019
GUEDEL AIRWAY 60MM 4 Approved nursriati 11-Feb-2019
AMBROXOL 15 MG SYR KF 7 Approved nursriati 11-Feb-2019
CORTIDEX TABLET SANBE 100 Approved nursriati 11-Feb-2019
EFLAGEN 50MG TAB 100 Approved nursriati 11-Feb-2019
CLINDAMYCIN 150MG 55 Approved nursriati 11-Feb-2019
FOLAVIT TAB 1 MG SANBE 100 Approved nursriati 11-Feb-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 60 Approved nursriati 11-Feb-2019
CETIRIZINE 10 MG TAB NOVELL 1 Approved nursriati 11-Feb-2019
SPUIT 10CC ONEMED 100 Approved nursriati 11-Feb-2019
VALPROIC ACID 3 Approved nursriati 11-Feb-2019
UMBILICAL CORD KLASIK 50 Approved nursriati 11-Feb-2019
FERRIS DROP 10 Approved nursriati 11-Feb-2019
LASAL SYR 2 MG LAPI 3 Approved nursriati 11-Feb-2019
GUEDEL AIRWAY 50MM 4 Approved nursriati 11-Feb-2019
CEFADROXIL 250MG SYR 4 Approved nursriati 11-Feb-2019
AMINOFLUID-L 500 ML 5 Approved nursriati 11-Feb-2019
SUCTION CHATETER NO 12 7 Approved nursriati 11-Feb-2019
SALBUTAMOL TABLET 4 MG 100 Approved nursriati 11-Feb-2019
CINOLON N SALEP 2 Approved nursriati 11-Feb-2019
NEEDLE 24 ONEMED 100 Approved nursriati 11-Feb-2019
FOLEY CATETER 6 ONEMED 2 Approved nursriati 11-Feb-2019
GRAFAMIC 500MG KAPLET 400 Approved nursriati 11-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
HYPAVIX 10CM X 5M (500 CM) 5,000 Approved nursriati 11-Feb-2019

IV POLYFLEX WINGS NO.24 1 Approved nursriati 11-Feb-2019


KA-EN 3B OTSU 20 Approved nursriati 11-Feb-2019
REGUMEN 77 Approved nursriati 11-Feb-2019
SARUNG TANGAN GAMEX 8 40 Approved nursriati 11-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 24 Approved nursriati 11-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved nursriati 11-Feb-2019
INFLO IV 24G/VASOFIX 24 ONEMED 50 Approved nursriati 11-Feb-2019
THREE WAY STOPCOCK ONEMED 6 Approved nursriati 11-Feb-2019
METRONIDAZOL INFUS 100ML NOVELL 10 Approved nursriati 11-Feb-2019
IMUNOS SYR LAPI 4 Approved nursriati 11-Feb-2019
NGT 5/100 CM 3 Approved nursriati 11-Feb-2019
CEFILA 100 MG TAB LAPI 60 Approved nursriati 11-Feb-2019
VELUTIN NEBULIZER 30 Approved nursriati 11-Feb-2019
GLYCERYL GUAIACOLATE 100 MG (GG) 100 Approved nursriati 11-Feb-2019
TUZALOS TABLET SANBE 100 Approved nursriati 11-Feb-2019
ESOLA INJEKSI 5 Approved nursriati 11-Feb-2019
NGT 12 ONEMED 2 Approved nursriati 11-Feb-2019
UNDERPADS SENSI 20 Approved nursriati 11-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 207 Approved nursriati 11-Feb-2019
PENDIL 87 Approved nursriati 11-Feb-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 2 Approved nursriati 11-Feb-2019
GUEDEL AIRWAY 40 MM 4 Approved nursriati 11-Feb-2019
CEFADROXIL 500 MG BERNO 300 Approved nursriati 11-Feb-2019
TRILAC 4MG TAB 88 Approved nursriati 11-Feb-2019
PLASMINEX 500MGTAB 1 Approved nursriati 11-Feb-2019
SANMOL TAB 500MG SANBE 200 Approved nursriati 11-Feb-2019
SYRINGE 50 CC ONEMED 4 Approved nursriati 11-Feb-2019
ZINC KID SYR 5 Approved nursriati 11-Feb-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 11-Feb-2019
INTUNAL SYR 5 Approved nursriati 11-Feb-2019
AMBROXOL 30MG SYR BERNO 3 Approved nursriati 11-Feb-2019
UTROGESTAN CAP 100MG LAPI 100 Approved nursriati 11-Feb-2019
RANITIDINE 150MG TAB DEXA 1 Approved nursriati 11-Feb-2019
KASA STERIL 16X16 10 Approved nursriati 11-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 10 Approved nursriati 11-Feb-2019
SENSIGLOVES MAS (SIZE M) 526 Approved nursriati 11-Feb-2019
ONESCRUB 4% ONEMADE 500ML 5,000 Approved nursriati 11-Feb-2019
SEQUEST SACHET NOVEL 29 Approved nursriati 11-Feb-2019
RANIVEL SYR NOVEL 4 Approved nursriati 11-Feb-2019
ETT KK NO 7 4 Approved nursriati 11-Feb-2019
SPUIT 3CC ONEMED 200 Approved nursriati 11-Feb-2019
ATAROC TAB 25MG NOVEL 1 Approved nursriati 11-Feb-2019
SPUIT 5CC ONEMED 200 Approved nursriati 11-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nursriati 11-Feb-2019
MONOSLOW
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nursriati 11-Feb-2019
ACRAN TAB 150 MG SANBE 90 Approved nursriati 11-Feb-2019
CAL 95 TAB LAPI 60 Approved nursriati 11-Feb-2019
PROMAVIT CAPSUL 400 Approved nursriati 11-Feb-2019
GRAFADON TABLET 500 MG 100 Approved nursriati 11-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 30 Approved nursriati 11-Feb-2019
FOLAC 400MCG TABLET 200 Approved nursriati 11-Feb-2019
VITAMIN C 50MG KF 1 Approved nursriati 11-Feb-2019
FOLEY CATETER 18 2 Approved nursriati 11-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 41 Approved nursriati 11-Feb-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 11-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
DEXAMETHASON 0.5MG TAB KF 1 Approved nursriati 11-Feb-2019

LAPIFED TABLET 1 Approved nursriati 11-Feb-2019


OXYTOCIN INJEKSI NOVELL 80 Approved nursriati 11-Feb-2019
OREZINC SYR 5 Approved nursriati 11-Feb-2019
NGT 16 ONEMED 3 Approved nursriati 11-Feb-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved nursriati 11-Feb-2019
EPEXOL SYR SANBE 3 Approved nursriati 11-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC L 7'S 12 Approved nursriati 11-Feb-2019
BETAMETHASON SALEP 5 Approved nursriati 11-Feb-2019
CEFADROXIL SYR 125 MG BERNO 2 Approved nursriati 11-Feb-2019
LIDOCAIN HCL 2% INJEKSI BERNO 10 Approved nursriati 11-Feb-2019
AMOXCILLIN 125 MG SYRUP 2 Approved nursriati 11-Feb-2019
ASTHAROL 4MG 100 Approved nursriati 11-Feb-2019
SAGESTAM DROP SANBE 3 Approved nursriati 11-Feb-2019
INFUSET DEWASA ONEMED 30 Approved nursriati 11-Feb-2019
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 24 Approved nursriati 11-Feb-2019
CLANEKSI SYR SANBE 5 Approved nursriati 11-Feb-2019
METHYL PREDNISOLON 4 MG 1 Approved nursriati 11-Feb-2019
TRIAMCINOLONE 4 MG TABLET 100 Approved nursriati 11-Feb-2019
CEFOTAXIME 1 GR INJ BERNO 20 Approved nursriati 11-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 44 Approved nursriati 11-Feb-2019
PARACETAMOL INFUS NOVEL 5 Approved nursriati 11-Feb-2019
METFORMIN 500 MG TAB DEXA 100 Approved nursriati 11-Feb-2019
SOFTEX MATERNITY 2 Approved nursriati 11-Feb-2019
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nursriati 11-Feb-2019
PISAU CUKUR RAZOR BLUE 50 Approved nursriati 11-Feb-2019
FITOCARE MINYAK KAYU PUTIH 30 ML 3 Approved nursriati 11-Feb-2019
DEHIDRALYTE NOVEL 12 Approved nursriati 11-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 12 Approved nursriati 11-Feb-2019
ISPRINOL SYR 5 Approved nursriati 11-Feb-2019
POVIDON IODINE BOTOL 30ML ONEMED 20 Approved nursriati 11-Feb-2019
SPINOCAN 26G B-BRAUN 25 Approved nursriati 11-Feb-2019
DOMPERIDON SYR 5 MG 6 Approved nursriati 11-Feb-2019
VASOFIX 20 B-BRAUN 50 Approved nursriati 11-Feb-2019
PIBAKSIN CREAM 2 Approved nursriati 11-Feb-2019
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nursriati 11-Feb-2019
AMBROXOL 30 MG TAB INDOFARMA 121 Approved nursriati 11-Feb-2019
LACTO B 80 Approved nursriati 11-Feb-2019
OTTOPAN SYRUP 60 ML 4 Approved nursriati 11-Feb-2019
BETAHISTIN 6 MG TAB 100 Approved nursriati 11-Feb-2019
CEFILA SYR 100 MG LAPI 6 Approved nursriati 11-Feb-2019
CEFTRIAXONE INJ 1 GRAM DEXA 50 Approved nursriati 11-Feb-2019
RL 500ML B-BRAUN 60 Approved nursriati 11-Feb-2019
MASKER NEBU ANAK GEA 4 Approved nursriati 11-Feb-2019
GUDEL NO 5 4 Approved nursriati 11-Feb-2019
SPORETIK SYR SANBE 10 Approved nursriati 11-Feb-2019
GENTAMYCIN 0.1 % SALEP 30 Approved nursriati 11-Feb-2019
POVIDONE IODINE 1000ML ONEMED 5,000 Approved nursriati 11-Feb-2019
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 4 Approved nursriati 11-Feb-2019
ONDANSETRON INJEKSI 8MG/4ML NOVELL 40 Approved nursriati 11-Feb-2019
ATMACID SYR 120 7 Approved nursriati 11-Feb-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 11-Feb-2019
ONDANSETRON INJ 8MG DEXA 70 Approved nursriati 11-Feb-2019
SIRPLUS TABLET MEPRO 200 Approved nursriati 11-Feb-2019
METHISOPRINOL TABLET 50 Approved nursriati 11-Feb-2019
CEFAT FORTE SYR 250MG 2 Approved nursriati 11-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
VAKSIN HEPATITIS B 200 Approved nursriati 11-Feb-2019

LANSOPRAZOLE 30MG TAB NOVELL 100 Approved nursriati 11-Feb-2019


OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 4 Approved nursriati 11-Feb-2019
ODR SYR LAPI 2 Approved nursriati 11-Feb-2019
CEFIXIM 100MG CAPS NOVELL 60 Approved nursriati 11-Feb-2019
CETIRIZINE 5 MG SYRUP 5 Approved nursriati 11-Feb-2019
PARACETAMOL SYR INDOFARMA 9 Approved nursriati 11-Feb-2019
TRAMADOL INJ 100MG/2ML BERNO 40 Approved nursriati 11-Feb-2019
INFUSET ANAK 10 Approved nursriati 11-Feb-2019
TRICHODAZOLE TAB 500MG SANBE 110 Approved nursriati 11-Feb-2019
SUCTION CHATETER NO 14 9 Approved nursriati 11-Feb-2019
ECODINE 30 ML BPJS ONEMED 15 Approved nursriati 11-Feb-2019

24 SR19000087 14-Feb-2019 GUDANG FARMASI Lokasi Transaksi


AMINOFLUID-L 500 ML 2 Approved nursriati 14-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 20 Approved nursriati 14-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 8 Approved nursriati 14-Feb-2019
ISONIAZID 300 (INH) 1 Approved nursriati 14-Feb-2019
ZINC KID SYR 3 Approved nursriati 14-Feb-2019
OMEPRAZOLE 40MG/INJ + PELARUT 10 ML BERNO 4 Approved nursriati 14-Feb-2019
REGIVEL INJEKSI 4ML NOVEL 20 Approved nursriati 14-Feb-2019
LASAL EXP SYRUP LAPI 2 Approved nursriati 14-Feb-2019
DEXAMETHASON INJ 5MG/ML BERNO 1 Approved nursriati 14-Feb-2019
MAMY POKO ISI 14 PCS 24 Approved nursriati 14-Feb-2019
LAPIFED TABLET 1 Approved nursriati 14-Feb-2019
FOLEY CATETER 8 ONEMED 3 Approved nursriati 14-Feb-2019
DERMAFIX 10X25 CM 40 Approved nursriati 14-Feb-2019
DEXTROSE 5% OTSU 20 Approved nursriati 14-Feb-2019
CEFIXIM 200MG CAPS NOVELL 100 Approved nursriati 14-Feb-2019
SPUIT 10CC ONEMED 200 Approved nursriati 14-Feb-2019
RIFAMPICIN 450 MG 1 Approved nursriati 14-Feb-2019
MASKER NEBU ANAK GEA 5 Approved nursriati 14-Feb-2019
EMLA 5% CREAM 5GR 2 Approved nursriati 14-Feb-2019
SIMVASTATIN 10 MG TAB BERNO 1 Approved nursriati 14-Feb-2019
ALKOHOL SWAB (ONE SWAB) 100 Approved nursriati 14-Feb-2019
SENSIGLOVES MAS (SIZE M) 4 Approved nursriati 14-Feb-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 12 Approved nursriati 14-Feb-2019
CEFIXIM 100MG CAPS NOVELL 50 Approved nursriati 14-Feb-2019
LANSOPRAZOLE 30MG TAB NOVELL 40 Approved nursriati 14-Feb-2019
GRAFAMIC 500MG KAPLET 400 Approved nursriati 14-Feb-2019
TRILAC 4MG TAB 90 Approved nursriati 14-Feb-2019
SARUNG TANGAN GAMEX 7 40 Approved nursriati 14-Feb-2019
KASA STERIL 16X16 30 Approved nursriati 14-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 40 Approved nursriati 14-Feb-2019
PARACETAMOL INFUS NOVEL 10 Approved nursriati 14-Feb-2019
SUCTION CHATETER NO 14 2 Approved nursriati 14-Feb-2019
TUZALOS TABLET SANBE 100 Approved nursriati 14-Feb-2019
AMOXICILLIN TAB 500 QUANTUM 100 Approved nursriati 14-Feb-2019
L-BIO SACHET 30 Approved nursriati 14-Feb-2019
NUPOVEL INJEKSI NOVEL 25 Approved nursriati 14-Feb-2019
CETIRIZINE 5 MG SYRUP 5 Approved nursriati 14-Feb-2019
CORTIDEX TABLET SANBE 100 Approved nursriati 14-Feb-2019
INTUNAL TAB FORTE 100 Approved nursriati 14-Feb-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 80 Approved nursriati 14-Feb-2019
OXYTOCIN INJEKSI NOVELL 80 Approved nursriati 14-Feb-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 2 Approved nursriati 14-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
OTTOPAN SYRUP 60 ML 8 Approved nursriati 14-Feb-2019

BENANG ATRAMAT PGA 1 SG4898-100CM 24 Approved nursriati 14-Feb-2019


CEFXON INJ 1GR/VIAL LAPI 8 Approved nursriati 14-Feb-2019
ODR SYR LAPI 2 Approved nursriati 14-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 12 Approved nursriati 14-Feb-2019
UNDERPADS SENSI 30 Approved nursriati 14-Feb-2019
BLOOD TRANSFUSION SET 6 Approved nursriati 14-Feb-2019
SPUIT 3CC ONEMED 200 Approved nursriati 14-Feb-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 12 Approved nursriati 14-Feb-2019
NEEDLE 24 ONEMED 100 Approved nursriati 14-Feb-2019
ATAROC SYR NOVEL 3 Approved nursriati 14-Feb-2019
STYLET TRACHEAL INTUBATION ANAK 4.0 1 Approved nursriati 14-Feb-2019
FOLEY CATETER 16 RUSCH 20 Approved nursriati 14-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 10 Approved nursriati 14-Feb-2019
THREE WAY STOPCOCK ONEMED 7 Approved nursriati 14-Feb-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 90 Approved nursriati 14-Feb-2019
PLASMINEX INJ 100MG/ML 20 Approved nursriati 14-Feb-2019
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 36 Approved nursriati 14-Feb-2019
BREATHY DROP 1 Approved nursriati 14-Feb-2019
IV POLYFLEX WINGS NO. 26 50 Approved nursriati 14-Feb-2019
ELKANA TAB SANBE 1 Approved nursriati 14-Feb-2019
VASOFIX 20 B-BRAUN 50 Approved nursriati 14-Feb-2019
CAL 95 TAB LAPI 30 Approved nursriati 14-Feb-2019
LOMATUELL 40 Approved nursriati 14-Feb-2019
XYLOCAIN 2% GEL 3 Approved nursriati 14-Feb-2019
NIFEDIPIN 10MG TAB DEXA 1 Approved nursriati 14-Feb-2019
URIN BAG "T" TYPE 30 Approved nursriati 14-Feb-2019
STESOLID SYRUP 5 Approved nursriati 14-Feb-2019
CEFADROXIL 250MG SYR 2 Approved nursriati 14-Feb-2019
CEFAT 500MG CAPS SANBE 100 Approved nursriati 14-Feb-2019
CEFAT FORTE SYR 250MG 2 Approved nursriati 14-Feb-2019
STYLET TRACHEAL INTUBATION NEONATUS 2.0 1 Approved nursriati 14-Feb-2019
FRISIAN FLAG 200 GR 6 Approved nursriati 14-Feb-2019
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 14-Feb-2019
BLEDSTOP 125 MCG TABLET 200 Approved nursriati 14-Feb-2019
NEUROSANBE INJEKSI 3ML 20 Approved nursriati 14-Feb-2019
FOLEY CATETER 6 ONEMED 3 Approved nursriati 14-Feb-2019
ONDANSETRON INJ 8MG DEXA 40 Approved nursriati 14-Feb-2019
VELUTIN NEBULIZER 30 Approved nursriati 14-Feb-2019
URINE COLLECTOR PEDIATRICT 7 Approved nursriati 14-Feb-2019
BOTOL SUSU PP EKO 2 OZ DODO 12 Approved nursriati 14-Feb-2019
INFLO IV 18G/VASOFIX 18 ONEMED 50 Approved nursriati 14-Feb-2019
BISTURI 20 100 Approved nursriati 14-Feb-2019
PROMAVIT CAPSUL 360 Approved nursriati 14-Feb-2019
SPINOCAN 26G B-BRAUN 25 Approved nursriati 14-Feb-2019
CEFADROXIL 500 MG BERNO 100 Approved nursriati 14-Feb-2019
FURAMIN INJEKSI IV 10ML 1 Approved nursriati 14-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 200 Approved nursriati 14-Feb-2019
NGT 8/40 CM TERUMO 5 Approved nursriati 14-Feb-2019
LEVOFLOXACIN 500 MG TAB INDOFARMA 60 Approved nursriati 14-Feb-2019
NAIRET INJEKSI 0.5MG/ML 3 Approved nursriati 14-Feb-2019
RL 500ML B-BRAUN 220 Approved nursriati 14-Feb-2019

25 SR19000097 18-Feb-2019 GUDANG FARMASI Lokasi Transaksi


CEFADROXIL 250MG SYR 5 Approved retno 18-Feb-2019
SENSIGLOVES MAS (SIZE M) 700 Approved retno 18-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
ALKOHOL SWAB (ONE SWAB) 300 Approved retno 18-Feb-2019

CORTIDEX TABLET SANBE 500 Approved retno 18-Feb-2019


MASKER TALI IMASKE 500 Approved retno 18-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved retno 18-Feb-2019
EFISOL LOZENGES 50 Approved retno 18-Feb-2019
VICCILLIN SX 1500MG SERBUK INJ 20 Approved retno 18-Feb-2019
ONDANSENTRON TAB 8 MG NOVELL 50 Approved retno 18-Feb-2019
GENTAMYCIN 0.1 % SALEP 30 Approved retno 18-Feb-2019
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 36 Approved retno 18-Feb-2019
NYSTIN DROP 100.000 IU 6 Approved retno 18-Feb-2019
PHENOBARBITAL 30MG 200 Approved retno 18-Feb-2019
EDORISAN DROP SANBE 6 Approved retno 18-Feb-2019
THREE WAY STOPCOCK ONEMED 7 Approved retno 18-Feb-2019
MEFINAL 500MG TABLET 200 Approved retno 18-Feb-2019
METHYLERGOMETRINE INJEKSI 100 Approved retno 18-Feb-2019
TRICLOFEM KB 3 BULAN INJEKSI 15 Approved retno 18-Feb-2019
TRILAC 4MG TAB 90 Approved retno 18-Feb-2019
ONESCRUB 4% ONEMADE 500ML 5,000 Approved retno 18-Feb-2019
GELOFUSINE 500ML 2 Approved retno 18-Feb-2019
SANADRYL EXP SYR 120 MG SANBE 8 Approved retno 18-Feb-2019
PROMAVIT CAPSUL 600 Approved retno 18-Feb-2019
SARUNG TANGAN GAMEX 7.5 80 Approved retno 18-Feb-2019
UNDERPADS SENSI 50 Approved retno 18-Feb-2019
TRADOSIK 500 MG CAPS SANBE 100 Approved retno 18-Feb-2019
DEHIDRALYTE NOVEL 10 Approved retno 18-Feb-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 120 Approved retno 18-Feb-2019
NACL 25ML OTSU 30 Approved retno 18-Feb-2019
ETT NO 1 2 Approved retno 18-Feb-2019
SAGESTAM CREM SANBE 6 Approved retno 18-Feb-2019
NEEDLE 24 ONEMED 100 Approved retno 18-Feb-2019
SIMVASTATIN 10MG NOVELL 100 Approved retno 18-Feb-2019
BUFECT SYR FORTE SANBE 5 Approved retno 18-Feb-2019
ALKOHOL 70% ONEMED 3,000 Approved retno 18-Feb-2019
VELUTIN NEBULIZER 100 Approved retno 18-Feb-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 24 Approved retno 18-Feb-2019
WINGED INFUSION SET 27 5 Approved retno 18-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 7 Approved retno 18-Feb-2019
SPUIT 1CC ONEMED 200 Approved retno 18-Feb-2019
RIFAMPICIN 600 100 Approved retno 18-Feb-2019
INFUSET DEWASA ONEMED 50 Approved retno 18-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved retno 18-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 500 Approved retno 18-Feb-2019
OMEPRAZOLE 20MG CAPS NOVELL 200 Approved retno 18-Feb-2019
ONDANSETRON INJ 8MG DEXA 70 Approved retno 18-Feb-2019
SELANG OKSIGEN DEWASA (OXYFLOW) 15 Approved retno 18-Feb-2019
SPUIT 3CC ONEMED 400 Approved retno 18-Feb-2019
PARACETAMOL INFUS NOVEL 10 Approved retno 18-Feb-2019
LORATADINE INDOFARMA 60 Approved retno 18-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 120 Approved retno 18-Feb-2019
CETIRIZINE DROP 5 Approved retno 18-Feb-2019
DERMAFIX 10X25 CM 30 Approved retno 18-Feb-2019
BLEDSTOP 125 MCG TABLET 400 Approved retno 18-Feb-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved retno 18-Feb-2019
FOLEY CATETER 16 RUSCH 40 Approved retno 18-Feb-2019
RIFAMPICIN 450 MG 100 Approved retno 18-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 36 Approved retno 18-Feb-2019
MONOSLOW
Print Date : 26-Feb-2019, Print Time : 8:41:32AM P
LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MINYAK KAYU PUTIH FITOCARE 5 Approved retno 18-Feb-2019

SPALK UKURAN 4X8 CM 10 Approved retno 18-Feb-2019


MICROPORE 1/2 INCH 10 Approved retno 18-Feb-2019
SUCTION CATHETER NO 8 REMIDI 20 Approved retno 18-Feb-2019
KASA HIDROFIL ONEMED (JAHIT) 10 Approved retno 18-Feb-2019
AMBROXOL 30MG SYR BERNO 5 Approved retno 18-Feb-2019
SANMOL TAB 500MG SANBE 100 Approved retno 18-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 24 Approved retno 18-Feb-2019
CAL 95 TAB LAPI 60 Approved retno 18-Feb-2019
CYCLO PROGYNOVA TABLET 3 Approved retno 18-Feb-2019
GRAFAMIC 500MG KAPLET 600 Approved retno 18-Feb-2019
NGT 8/40 CM TERUMO 10 Approved retno 18-Feb-2019
OTTOPAN DROP 15 ML 10 Approved retno 18-Feb-2019
ASERING 500 ML SOFTBAG 20 Approved retno 18-Feb-2019
INTUNAL SYR 10 Approved retno 18-Feb-2019
KETOROLAC INJ 30MG/ML HEXPHARM 120 Approved retno 18-Feb-2019
OREZINC SYR 15 Approved retno 18-Feb-2019
CETIRIZINE 5 MG SYRUP 5 Approved retno 18-Feb-2019
MAMY POKO ISI 14 PCS 24 Approved retno 18-Feb-2019
ZINC KID SYR 3 Approved retno 18-Feb-2019
OXYTOCIN INJEKSI NOVELL 100 Approved retno 18-Feb-2019
INFLO IV 24G/VASOFIX 24 ONEMED 50 Approved retno 18-Feb-2019
URIN BAG "T" TYPE 30 Approved retno 18-Feb-2019
SARUNG TANGAN GAMEX 8 80 Approved retno 18-Feb-2019
NACL 500 ML ECOSOL (B-BRAUN) 70 Approved retno 18-Feb-2019
BENANG ATRAMAT PGA 1 SG4898-100CM 24 Approved retno 18-Feb-2019
CEFADROXIL 500 MG BERNO 800 Approved retno 18-Feb-2019
RL 500ML B-BRAUN 200 Approved retno 18-Feb-2019
METFORMIN TAB 200 Approved retno 18-Feb-2019
SARUNG TANGAN GAMEX 7 120 Approved retno 18-Feb-2019
SIRPLUS TABLET MEPRO 500 Approved retno 18-Feb-2019
SPINOCAN 26G B-BRAUN 50 Approved retno 18-Feb-2019
ACRAN TAB 150 MG SANBE 50 Approved retno 18-Feb-2019
VASOFIX 20 B-BRAUN 50 Approved retno 18-Feb-2019
BREAST PUMP YOUNG 20 Approved retno 18-Feb-2019
KACAMATA BAYI/BL (POSEY) 10 Approved retno 18-Feb-2019
PUMPITOR CAPSUL SANBE 10 Approved retno 18-Feb-2019
REGUMEN 50 Approved retno 18-Feb-2019
ETT (ENDOTACHEAL TUBE PLAIN) NO 2 1 Approved retno 18-Feb-2019
LANSOPRAZOLE 30MG TAB NOVELL 60 Approved retno 18-Feb-2019
NEUROSANBE TABLET 200 Approved retno 18-Feb-2019
CINOLON N SALEP 5 Approved retno 18-Feb-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 36 Approved retno 18-Feb-2019
MICRODRIP TERUMO 20 Approved retno 18-Feb-2019
REGIVEL INJEKSI 4ML NOVEL 70 Approved retno 18-Feb-2019
TRAMADOL INJ 100MG/2ML BERNO 100 Approved retno 18-Feb-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 60 Approved retno 18-Feb-2019
MICROPORE 1 INCH 10 Approved retno 18-Feb-2019
SPUIT 10CC ONEMED 300 Approved retno 18-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 60 Approved retno 18-Feb-2019

26 SR19000101 18-Feb-2019 GUDANG FARMASI Lokasi Transaksi


PROMAVIT CAPSUL 3 Approved nursriati 18-Feb-2019
CLANEKSI SYR SANBE 5 Approved nursriati 18-Feb-2019
CEFILA SYR 100 MG LAPI 4 Approved nursriati 18-Feb-2019
CEFAT FORTE SYR 250MG 5 Approved nursriati 18-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MASKER NEBU DEWASA 3 Approved nursriati 18-Feb-2019

CEFXON INJ 1GR/VIAL LAPI 4 Approved nursriati 18-Feb-2019


PLASMINEX 500MGTAB 1 Approved nursriati 18-Feb-2019
PRONALGES SUPP 30 Approved nursriati 18-Feb-2019
LANSOPRAZOLE 30 MG CAPS INDOFARMA 1 Approved nursriati 18-Feb-2019
BIOSANBE 1 Approved nursriati 18-Feb-2019
EPEXOL SYR SANBE 9 Approved nursriati 18-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nursriati 18-Feb-2019
UTROGESTAN CAP 100MG LAPI 50 Approved nursriati 18-Feb-2019
LACTO B 1 Approved nursriati 18-Feb-2019
OCUSON TAB SANBE 1 Approved nursriati 18-Feb-2019
ISPRINOL SYR 2 Approved nursriati 18-Feb-2019
LAMESON TABLET 4 MG LAPI 1 Approved nursriati 18-Feb-2019
AMINOFLUID-L 500 ML 2 Approved nursriati 18-Feb-2019
KASA STERIL 16X16 20 Approved nursriati 18-Feb-2019
LAPIMOX DRY SYRUP 125 MG/5 ML 60 ML 4 Approved nursriati 18-Feb-2019
OPICEF 125 MG/5 ML DRY SYRUP 2 Approved nursriati 18-Feb-2019
EPISAN SYR 100ML 6 Approved nursriati 18-Feb-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nursriati 18-Feb-2019
PARACETAMOL 1GR/100ML INFUS BERNO 10 Approved nursriati 18-Feb-2019
MGSO4 40% 25 ML 30 Approved nursriati 18-Feb-2019
SANMOL FORTE SYR SANBE 9 Approved nursriati 18-Feb-2019

27 SR19000104 21-Feb-2019 GUDANG FARMASI Lokasi Transaksi


OTTOPAN SYRUP 60 ML 4 Approved nursriati 21-Feb-2019
URIN BAG "T" TYPE 21 Approved nursriati 21-Feb-2019
VENTOLIN NEBULIZER 2.5MG/2.5ML UDV 18 Approved nursriati 21-Feb-2019
CEFTRIAXONE INJ 1 GRAM QUANTUM 90 Approved nursriati 21-Feb-2019
POVIDON IODINE BOTOL 30ML ONEMED 10 Approved nursriati 21-Feb-2019
BISTURI 20 146 Approved nursriati 21-Feb-2019
LASAL SYR 2 MG LAPI 4 Approved nursriati 21-Feb-2019
PRONALGES SUPP 20 Approved nursriati 21-Feb-2019
NGT 8/40 CM TERUMO 10 Approved nursriati 21-Feb-2019
UMBILICAL CORD KLASIK 28 Approved nursriati 21-Feb-2019
TRADOSIK 500 MG CAPS SANBE 87 Approved nursriati 21-Feb-2019
VERTIGOSAN 56 Approved nursriati 21-Feb-2019
BLOOD TRANSFUSION SET 6 Approved nursriati 21-Feb-2019
SELANG OKSIGEN ANAK (OXYFLOW) 5 Approved nursriati 21-Feb-2019
VICCILLIN SX 1500MG SERBUK INJ 10 Approved nursriati 21-Feb-2019
SPUIT 5CC ONEMED 100 Approved nursriati 21-Feb-2019
SYRINGE 50 CC ONEMED 6 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 60MM 4 Approved nursriati 21-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 50 Approved nursriati 21-Feb-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 90 Approved nursriati 21-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nursriati 21-Feb-2019
PARACETAMOL SYR INDOFARMA 5 Approved nursriati 21-Feb-2019
FOLEY CATETER 16 RUSCH 43 Approved nursriati 21-Feb-2019
ISPRINOL SYR 5 Approved nursriati 21-Feb-2019
SANPRIMA FORTE TAB SANBE 56 Approved nursriati 21-Feb-2019
RANITIDIN INJ 50 MG/2ML BERNO 25 Approved nursriati 21-Feb-2019
METFORMIN 500 MG TAB DEXA 194 Approved nursriati 21-Feb-2019
SANADRYL DMP SYR 120 MG SANBE 2 Approved nursriati 21-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 60 Approved nursriati 21-Feb-2019
BECOM C TAB SANBE 1 Approved nursriati 21-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 10 Approved nursriati 21-Feb-2019
VASOFIX 20 B-BRAUN 24 Approved nursriati 21-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
KETOROLAC INJ 30MG/ML HEXPHARM 30 Approved nursriati 21-Feb-2019

BENANG ASSURYL 3/0 TS-24 28 Approved nursriati 21-Feb-2019


ETT (ENDOTRACHEAL TUBE) PLAIN NO 3.5 3 Approved nursriati 21-Feb-2019
SPORETIK SYR SANBE 10 Approved nursriati 21-Feb-2019
INFUSET DEWASA ONEMED 32 Approved nursriati 21-Feb-2019
EPEXOL DROP SANBE 5 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 70 MM 3 Approved nursriati 21-Feb-2019
CEFIXIM 100MG CAPS NOVELL 30 Approved nursriati 21-Feb-2019
KA-EN 3B OTSU 20 Approved nursriati 21-Feb-2019
CEFAT FORTE SYR 250MG 8 Approved nursriati 21-Feb-2019
ERYSANBE SYR SANBE 2 Approved nursriati 21-Feb-2019
SUCTION CHATETER NO 14 5 Approved nursriati 21-Feb-2019
MGSO4 40% 25 ML 30 Approved nursriati 21-Feb-2019
STESOLID SYRUP 7 Approved nursriati 21-Feb-2019
RIFAMPICIN 450 MG 200 Approved nursriati 21-Feb-2019
CEFIXIM 200MG CAPS NOVELL 30 Approved nursriati 21-Feb-2019
DOPAMET 250MG TAB. 200 Approved nursriati 21-Feb-2019
FOLEY CATETER 6 ONEMED 3 Approved nursriati 21-Feb-2019
ATAROC TAB 25MG NOVEL 100 Approved nursriati 21-Feb-2019
CURVIT SYR 3 Approved nursriati 21-Feb-2019
SENSIGLOVES MAS (SIZE M) 624 Approved nursriati 21-Feb-2019
PRORIS SUP 40 Approved nursriati 21-Feb-2019
CETIRIZINE 5 MG SYRUP 5 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 80 MM 3 Approved nursriati 21-Feb-2019
PROMAVIT CAPSUL 600 Approved nursriati 21-Feb-2019
SUCTION CHATETER NO 12 7 Approved nursriati 21-Feb-2019
POVIDONE IODINE 1000ML ONEMED 3,000 Approved nursriati 21-Feb-2019
AMOXSAN CAPS 500MG SANBE 128 Approved nursriati 21-Feb-2019
GELOFUSINE 500ML 3 Approved nursriati 21-Feb-2019
CEFADROXIL 250MG SYR 5 Approved nursriati 21-Feb-2019
DEXAMETHASON 0.5MG TAB KF 61 Approved nursriati 21-Feb-2019
MASKER NEBU ANAK GEA 10 Approved nursriati 21-Feb-2019
SPUIT 3CC ONEMED 300 Approved nursriati 21-Feb-2019
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 24 Approved nursriati 21-Feb-2019
NGT 12 ONEMED 3 Approved nursriati 21-Feb-2019
METHISOPRINOL TABLET 50 Approved nursriati 21-Feb-2019
ETT KK PORTEX IDS N0 6.5 3 Approved nursriati 21-Feb-2019
SANMAG TAB SANBE 300 Approved nursriati 21-Feb-2019
ETT KK PORTEX IDS N0 8.0 3 Approved nursriati 21-Feb-2019
FOLEY CATETER 8 ONEMED 3 Approved nursriati 21-Feb-2019
MOMETASON CREAM 10 GR 2 Approved nursriati 21-Feb-2019
UROTRACTIN 400MG 51 Approved nursriati 21-Feb-2019
RL 500ML B-BRAUN 200 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 90MM 3 Approved nursriati 21-Feb-2019
ZAMEL DROP NOVEL 5 Approved nursriati 21-Feb-2019
TRANSPULMIN BB BALSAM 10 GR 5 Approved nursriati 21-Feb-2019
MICROPORE 1 INCH 3 Approved nursriati 21-Feb-2019
SAGESTAM DROP SANBE 4 Approved nursriati 21-Feb-2019
SIRPLUS TABLET MEPRO 186 Approved nursriati 21-Feb-2019
AZITHROMYCIN 200MG/5ML DS QUANTUM 4 Approved nursriati 21-Feb-2019
TRIAMCINOLONE 4 MG TABLET 200 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 100 MM 3 Approved nursriati 21-Feb-2019
SPINOCAN 26G B-BRAUN 30 Approved nursriati 21-Feb-2019
SIBITAL INJEKSI 10 Approved nursriati 21-Feb-2019
EPEXOL SYR SANBE 5 Approved nursriati 21-Feb-2019
LAMINARIA 4 Approved nursriati 21-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 34 Approved nursriati 21-Feb-2019

SANMOL FORTE SYR SANBE 9 Approved nursriati 21-Feb-2019


FERRIS DROP 3 Approved nursriati 21-Feb-2019
SPINOCAN 27 B-BRAUN 33 Approved nursriati 21-Feb-2019
CEFADROXIL 500 MG BERNO 530 Approved nursriati 21-Feb-2019
GENTAMYCIN 0.1 % SALEP 20 Approved nursriati 21-Feb-2019
LAMESON TABLET 4 MG LAPI 200 Approved nursriati 21-Feb-2019
SELANG OKSIGEN NEONATE MIRACEN 6 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 50MM 4 Approved nursriati 21-Feb-2019
GUEDEL AIRWAY 40 MM 4 Approved nursriati 21-Feb-2019
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nursriati 21-Feb-2019
NACL 25ML OTSU 16 Approved nursriati 21-Feb-2019
THREE WAY STOPCOCK ONEMED 7 Approved nursriati 21-Feb-2019
PHENOBARBITAL INJEKSI 1 Approved nursriati 21-Feb-2019
GRAFAMIC 500MG KAPLET 645 Approved nursriati 21-Feb-2019
PENENG BIRU ANAK 34 Approved nursriati 21-Feb-2019
SARUNG TANGAN GAMEX 7 40 Approved nursriati 21-Feb-2019
ETT (ENDOTRACHEAL TUBE) PLAIN NO 4.5 3 Approved nursriati 21-Feb-2019
SALBUTAMOL TAB 2MG 1 Approved nursriati 21-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved nursriati 21-Feb-2019
ETT (ENDOTRACHEAL TUBE) PLAIN 2.0 4 Approved nursriati 21-Feb-2019
PLASMINEX INJ 100MG/ML 10 Approved nursriati 21-Feb-2019
MASKER NEBU DEWASA 7 Approved nursriati ###
ALLERON TAB 4MG 1 Approved nursriati 21-Feb-2019
TREMENZA TABLET SANBE 200 Approved nursriati 21-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 270 Approved nursriati 21-Feb-2019
FOLEY CATETER 10 ONEMED 2 Approved nursriati 21-Feb-2019
RANITIDINE 150MG TAB DEXA 100 Approved nursriati 21-Feb-2019
ONDANSETRON INJ 8MG DEXA 70 Approved nursriati 21-Feb-2019
EPEXOL TAB 30MG SANBE 200 Approved nursriati 21-Feb-2019
BENANG ASSUT POLYPROPYLENE BLUE TS-24 3/0 60 Approved nursriati 21-Feb-2019
KASA STERIL 16X16 32 Approved nursriati 21-Feb-2019
RANIVEL SYR NOVEL 2 Approved nursriati 21-Feb-2019
CLANEKSI SYR SANBE 5 Approved nursriati 21-Feb-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nursriati 21-Feb-2019
NGT 16 ONEMED 3 Approved nursriati 21-Feb-2019
SARUNG TANGAN GAMEX 7.5 40 Approved nursriati 21-Feb-2019
EPHEDRIN INJ 50MG/ML ETHICA 20 Approved nursriati 21-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 80 Approved nursriati 21-Feb-2019
GUDEL NO 5 4 Approved nursriati 21-Feb-2019
CLINDAMYCIN 150MG 56 Approved nursriati 21-Feb-2019
BOTOL SUSU PP EKO 2 OZ DODO 10 Approved nursriati 21-Feb-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved nursriati 21-Feb-2019
TEOSAL 53 Approved nursriati 21-Feb-2019
DERMAFIX 10X25 CM 30 Approved nursriati 21-Feb-2019
ONDANSENTRON TAB 8 MG NOVELL 100 Approved nursriati 21-Feb-2019
NGT 5/100 CM 3 Approved nursriati 21-Feb-2019
INFUSET ANAK 10 Approved nursriati 21-Feb-2019
MGSO4 20% 25ML 6 Approved nursriati 21-Feb-2019
LOMATUELL 54 Approved nursriati 21-Feb-2019
SPUIT 10CC ONEMED 100 Approved nursriati 21-Feb-2019
ALKOHOL SWAB (ONE SWAB) 285 Approved nursriati 21-Feb-2019
VALPROIC ACID 4 Approved nursriati 21-Feb-2019
IV POLYFLEX WINGS NO. 26 50 Approved nursriati 21-Feb-2019
DUVADILAN TABLET 100 Approved nursriati 21-Feb-2019
ETT KK NO 7 4 Approved nursriati 21-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
NACL 500 ML ECOSOL (B-BRAUN) 30 Approved nursriati 21-Feb-2019

VAKSIN HEPATITIS B 100 Approved nursriati 21-Feb-2019


VITAMIN B6 114 Approved nursriati 21-Feb-2019
DEXTROSE 5% OTSU 20 Approved nursriati 21-Feb-2019
FLIXOTIDE NEBULES 0.5MG/2ML UDV 1 Approved nursriati 21-Feb-2019
TUZALOS TABLET SANBE 122 Approved nursriati 21-Feb-2019
INTUNAL TAB FORTE 100 Approved nursriati 21-Feb-2019
LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved nursriati 21-Feb-2019
OXYTOCIN INJEKSI NOVELL 60 Approved nursriati 21-Feb-2019
ODR SYR LAPI 2 Approved nursriati 21-Feb-2019
VOSEDON TAB 10MG SANBE 103 Approved nursriati 21-Feb-2019
INFLO IV 18G/VASOFIX 18 ONEMED 71 Approved nursriati 21-Feb-2019
FUROSEMIDE INJ 10MG/ML 21 Approved nursriati 21-Feb-2019
MAMY POKO ISI 14 PCS 12 Approved nursriati 21-Feb-2019
FOLEY CATETER 18 2 Approved nursriati 21-Feb-2019
TRAMADOL INJ 100MG/2ML BERNO 20 Approved nursriati 21-Feb-2019
INFLO IV 24G/VASOFIX 24 ONEMED 50 Approved nursriati 21-Feb-2019

28 SR19000106 25-Feb-2019 GUDANG FARMASI Lokasi Transaksi


AMLODIPIN 10 MG TAB NOVELL 2 Approved nerfi 25-Feb-2019
REGIVEL INJEKSI 4ML NOVEL 30 Approved nerfi 25-Feb-2019
LASAL SYR 2 MG LAPI 2 Approved nerfi 25-Feb-2019
LACTO B 80 Approved nerfi 25-Feb-2019
CEFADROXIL 500 MG BERNO 300 Approved nerfi 25-Feb-2019
PLASMINEX 500MGTAB 1 Approved nerfi 25-Feb-2019
BISTURI 15 100 Approved nerfi 25-Feb-2019
NEUROSANBE INJEKSI 3ML 30 Approved nerfi 25-Feb-2019
VAKSIN PENTABIO BIOFARMA 10 Approved nerfi 25-Feb-2019
CEFIXIM 200MG CAPS NOVELL 1 Approved nerfi 25-Feb-2019
SARUNG TANGAN GAMEX 6.5 40'S 120 Approved nerfi 25-Feb-2019
FLAMAR TAB 50MG SANBE 1 Approved nerfi 25-Feb-2019
FUROSEMIDE INJ 10MG/ML 25 Approved nerfi 25-Feb-2019
PROBIOSTIM CAPSULE SANBE 2 Approved nerfi 25-Feb-2019
GUEDEL AIRWAY 40 MM 2 Approved nerfi 25-Feb-2019
CATHETER TIP 50 ML TERUMO 3 Approved nerfi 25-Feb-2019
NAIRET INJEKSI 0.5MG/ML 40 Approved nerfi 25-Feb-2019
CEFTRIAXONE INJ 1 GRAM DEXA 50 Approved nerfi 25-Feb-2019
OXYTOCIN INJEKSI NOVELL 100 Approved nerfi 25-Feb-2019
INTUNAL TAB FORTE 100 Approved nerfi 25-Feb-2019
TRADOSIK 500 MG CAPS SANBE 100 Approved nerfi 25-Feb-2019
OMEPRAZOLE 20MG CAPS INDOFARMA 1 Approved nerfi 25-Feb-2019
PYRAZINAMID 500MG 2 Approved nerfi 25-Feb-2019
LIFREE POPOK DEWASA PEREKAT SIZE XL (7PCS) 12 Approved nerfi 25-Feb-2019
BENANG ASSUT ASSUCRYL 1 HRG-50 100 CM 12 Approved nerfi 25-Feb-2019
MONOSLOW
OREZINC SYR 5 Approved nerfi 25-Feb-2019
PROTERIN INJ 5MG/ML 20 Approved nerfi 25-Feb-2019
GENTAMYCIN 0.1 % SALEP 20 Approved nerfi 25-Feb-2019
METHYLERGOMETRINE INJEKSI 1 Approved nerfi 25-Feb-2019
SANMAG TAB SANBE 100 Approved nerfi 25-Feb-2019
NGT 12 ONEMED 1 Approved nerfi 25-Feb-2019
ASIFAS TAB NOVEL 100 Approved nerfi 25-Feb-2019
THREE WAY STOPCOCK 5 Approved nerfi 25-Feb-2019
HYPAVIX 10CM X 5M (500 CM) 2 Approved nerfi 25-Feb-2019
ACRAN TAB 150 MG SANBE 2 Approved nerfi 25-Feb-2019
CIPROFLOXACIN 500 100 Approved nerfi 25-Feb-2019
DUMIN SUP 10 Approved nerfi 25-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
THREE WAY STOPCOCK ONEMED 4 Approved nerfi 25-Feb-2019

ONDANSENTRON TAB 8 MG NOVELL 50 Approved nerfi 25-Feb-2019


CLANEKSI SYR SANBE 5 Approved nerfi 25-Feb-2019
PENCIL CAUTTER 3 Approved nerfi 25-Feb-2019
ACYCLOVIR TAB 400MG 1 Approved nerfi 25-Feb-2019
UMBILICAL CORD KLASIK 1 Approved nerfi 25-Feb-2019
LIDOCAIN HCL INJ 20MG/ML PHAPROS 20 Approved nerfi 25-Feb-2019
SPUIT 3CC ONEMED 400 Approved nerfi 25-Feb-2019
SPINOCAN 26G B-BRAUN 50 Approved nerfi 25-Feb-2019
ISPRINOL SYR 8 Approved nerfi 25-Feb-2019
FARGOXIN INJ 5 Approved nerfi 25-Feb-2019
CERINI DROP SANBE 3 Approved nerfi 25-Feb-2019
OTTOPAIN EAR DROPS 8ML 1 Approved nerfi 25-Feb-2019
SARUNG TANGAN GAMEX 8 80 Approved nerfi 25-Feb-2019
PRORIS SUP 50 Approved nerfi 25-Feb-2019
BREAST PUMP YOUNG 10 Approved nerfi 25-Feb-2019
LEVOFLOXACIN 500 MG TAB INDOFARMA 1 Approved nerfi 25-Feb-2019
METRONIDAZOLE 500 MG TABLET BERNO 300 Approved nerfi 25-Feb-2019
COMBIVENT NEBULIZER 2.5ML/UDV 1 Approved nerfi 25-Feb-2019
VENTOLIN NEBULIZER 2.5MG/2.5ML UDV 20 Approved nerfi 25-Feb-2019
IMUNOS TABLET LAPI 60 Approved nerfi 25-Feb-2019
KETOROLAC INJ 30MG/ML HEXPHARM 90 Approved nerfi 25-Feb-2019
EFLAGEN 50MG TAB 60 Approved nerfi 25-Feb-2019
CLINDAMYCIN 300MG 1 Approved nerfi 25-Feb-2019
BENANG ATRAMAT CHROMIC 2 TUPPER G4819-90 48 Approved nerfi 25-Feb-2019
ALGANAX 0,5 1 Approved nerfi 25-Feb-2019
SALBUTAMOL TAB 2MG 1 Approved nerfi 25-Feb-2019
NGT 8/40 CM TERUMO 8 Approved nerfi 25-Feb-2019
BENANG ATRAMAT POLYPROPILENE 3/0 CUTTING 1 Approved nerfi 25-Feb-2019
CE2463
SANMOL FORTE SYR SANBE 7 Approved nerfi 25-Feb-2019
ATAROC TAB 25MG NOVEL 1 Approved nerfi 25-Feb-2019
PHYTOMENADIONE INJ 2MG/ML PHAPROS 1 Approved nerfi 25-Feb-2019
BENANG ATRAMAT CHROMIC 2/0 TUPPER G4012-90 48 Approved nerfi 25-Feb-2019
EMLA 5% CREAM 5GR 2 Approved nerfi 25-Feb-2019
EDORISAN DROP SANBE 2 Approved nerfi 25-Feb-2019
CEFILA 100 MG TAB LAPI 60 Approved nerfi 25-Feb-2019
SENSIGLOVES MAS (SIZE M) 500 Approved nerfi 25-Feb-2019
FOLEY CATETER 16 RUSCH 30 Approved nerfi 25-Feb-2019
SARUNG TANGAN GAMEX 7 1 Approved nerfi 25-Feb-2019
DOPAMET 250MG TAB. 1 Approved nerfi 25-Feb-2019
SANMAG SYR SANBE 8 Approved nerfi 25-Feb-2019
KASA GULUNG 10 CM ONEMED 10 Approved nerfi 25-Feb-2019
GASTRINAL-HD TAB 1 Approved nerfi 25-Feb-2019
BENANG ATRAMAT PGA 1 SG4898-100CM 36 Approved nerfi 25-Feb-2019
METOCLOPRAMIDE 10MG/2ML INJEKSI 20 Approved nerfi 25-Feb-2019
PARACETAMOL DROP 2 Approved nerfi 25-Feb-2019
VICCILLIN SX 1500MG SERBUK INJ 20 Approved nerfi 25-Feb-2019
EXTENTION TUBE 5 Approved nerfi 25-Feb-2019
AMBROXOL 15 MG SYR KF 2 Approved nerfi 25-Feb-2019
ALKOHOL 70% ONEMED 6,000 Approved nerfi 25-Feb-2019
PISAU CUKUR RAZOR BLUE 40 Approved nerfi 25-Feb-2019
SANMOL FORTE TAB SANBE 1 Approved nerfi 25-Feb-2019
BOTOL SUSU PP EKO 2 OZ DODO 10 Approved nerfi 25-Feb-2019
CORTIDEX TABLET SANBE 1 Approved nerfi 25-Feb-2019
SARUNG TANGAN GAMEX 7.5 1 Approved nerfi 25-Feb-2019
MGSO4 40% 25 ML 30 Approved nerfi 25-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
MYCO-Z OINTMENT 10GR 3 Approved nerfi 25-Feb-2019

LIFREE POPOK DEWASA PEREKAT SIZE L (8PCS) 24 Approved nerfi 25-Feb-2019


PYREXIN 80MG SUP MEPRO 10 Approved nerfi 25-Feb-2019
BREATHY DROP 3 Approved nerfi 25-Feb-2019
OCUSON TAB SANBE 1 Approved nerfi 25-Feb-2019
TRILAC 4MG TAB 90 Approved nerfi 25-Feb-2019
MAMY POKO ISI 14 PCS 48 Approved nerfi 25-Feb-2019
KASA HIDROFIL ONEMED (JAHIT) 5 Approved nerfi 25-Feb-2019
BETADIN GARGE 1 Approved nerfi 25-Feb-2019
PENENG PINK ANAK 1 Approved nerfi 25-Feb-2019
KA-EN 1B OTSU 6 Approved nerfi 25-Feb-2019
BENANG ASSUT ASSUCRYL 2/0 TUPER 1 Approved nerfi 25-Feb-2019
GUEDEL AIRWAY 60MM 2 Approved nerfi 25-Feb-2019
ONDANSETRON 8MG TAB INDOFARMA 100 Approved nerfi 25-Feb-2019
ASTHAROL 4MG 1 Approved nerfi 25-Feb-2019
EPISAN SYR 100ML 9 Approved nerfi 25-Feb-2019
DEXAMETHASON INJ 5MG/ML BERNO 100 Approved nerfi 25-Feb-2019
MEFINAL 500MG TABLET 1 Approved nerfi 25-Feb-2019
FRISIAN FLAG 200 GR 10 Approved nerfi 25-Feb-2019
NGT 16 ONEMED 1 Approved nerfi 25-Feb-2019
DERMAFIX T 10 X 12 CM 1 Approved nerfi 25-Feb-2019
OPICEF 125 MG/5 ML DRY SYRUP 4 Approved nerfi 25-Feb-2019
OTSU-D5+1/4 NS 5 Approved nerfi 25-Feb-2019
STESOLID SYRUP 7 Approved nerfi 25-Feb-2019
BENANG ASSUT ASSUCRYL 2 HRG-50 24 Approved nerfi 25-Feb-2019
ZINC KID SYR 2 Approved nerfi 25-Feb-2019
NIFEDIPIN 10MG TAB DEXA 1 Approved nerfi 25-Feb-2019
SANPRIMA SYR SANBE 2 Approved nerfi 25-Feb-2019
CATAPRES 0.15MG/ML AMP 10'S 10 Approved nerfi 25-Feb-2019
LANSOPRAZOLE 30 MG CAPS INDOFARMA 100 Approved nerfi 25-Feb-2019
SPALK UKURAN 5X12 CM 20 Approved nerfi 25-Feb-2019
CETIRIZINE 10 MG TAB NOVELL 2 Approved nerfi 25-Feb-2019
FOLEY CATETER 8 ONEMED 4 Approved nerfi 25-Feb-2019
GUEDEL AIRWAY 50MM 2 Approved nerfi 25-Feb-2019
D10% 1/5 NS OTSU 6 Approved nerfi 25-Feb-2019
HAEMOGAL CAPLET 3 STRIP @4 2 Approved nerfi 25-Feb-2019
ATAROC SYR NOVEL 3 Approved nerfi 25-Feb-2019
ESOLA INJEKSI 2 Approved nerfi 25-Feb-2019
KA-EN 3B OTSU 20 Approved nerfi 25-Feb-2019
DEXAMETHASON 0.5MG TAB KF 100 Approved nerfi 25-Feb-2019
VAKSIN HEPATITIS B 200 Approved nerfi 25-Feb-2019
VASOFIX 20 B-BRAUN 50 Approved nerfi 25-Feb-2019
BENANG SILK BLACK BRAIDED 2/0 HR-25 1 Approved nerfi 25-Feb-2019
IV POLYFLEX WINGS NO.24 1 Approved nerfi 25-Feb-2019
AQUABIDEST 25 ML 30 Approved nerfi 25-Feb-2019
RANIVEL SYR NOVEL 6 Approved nerfi 25-Feb-2019
OTTOPAN DROP 15 ML 6 Approved nerfi 25-Feb-2019
SPUIT 10CC ONEMED 100 Approved nerfi 25-Feb-2019
ELEKTRODA ANAK ONEMED 100 Approved nerfi 25-Feb-2019
AMOXSAN DROP SANBE 2 Approved nerfi 25-Feb-2019
LAMESON TABLET 4 MG LAPI 1 Approved nerfi 25-Feb-2019
NEEDLE 24 ONEMED 1 Approved nerfi 25-Feb-2019
TRANSPULMIN BB BALSAM 10 GR 3 Approved nerfi 25-Feb-2019
RL 500ML B-BRAUN 180 Approved nerfi 25-Feb-2019
DERMAFIX 10X25 CM NEW 3 Approved nerfi 25-Feb-2019
SANADRYL DMP SYR 120 MG SANBE 3 Approved nerfi 25-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
XYLOCAIN 2% GEL 2 Approved nerfi 25-Feb-2019

ANALTRAM TABLET LAPI 30 Approved nerfi 25-Feb-2019


CEFTRIAXONE INJ 1 GRAM QUANTUM 120 Approved nerfi 25-Feb-2019
SALBUTAMOL TABLET 4 MG 1 Approved nerfi 25-Feb-2019
EFISOL LOZENGES 1 Approved nerfi 25-Feb-2019
NEUROSANBE PLUS 1 Approved nerfi 25-Feb-2019
CEFIXIM 100MG CAPS NOVELL 2 Approved nerfi 25-Feb-2019
IMUNOS SYR LAPI 5 Approved nerfi 25-Feb-2019
ONDANSETRON INJ 8MG DEXA 70 Approved nerfi 25-Feb-2019
SPALK UKURAN 4X8 CM 20 Approved nerfi 25-Feb-2019
ELEKTRODA DEWASA ONEMED 100 Approved nerfi 25-Feb-2019
NACL 100ML ECOSOL (B-BRAUN) 50 Approved nerfi 25-Feb-2019
ONDANSETRON INJ 4MG/2ML NOVELL 30 Approved nerfi 25-Feb-2019
BISTURI 20 200 Approved nerfi 25-Feb-2019
METHISOPRINOL TABLET 1 Approved nerfi 25-Feb-2019
DEXTROSE 5% OTSU 20 Approved nerfi 25-Feb-2019
MICRODRIP TERUMO 10 Approved nerfi 25-Feb-2019
PARACETAMOL INFUS NOVEL 5 Approved nerfi 25-Feb-2019
ODR SYR LAPI 2 Approved nerfi 25-Feb-2019
CAL 95 TAB LAPI 120 Approved nerfi 25-Feb-2019
ASAM TRANEKSAMAT 500MG TAB BERNO 100 Approved nerfi 25-Feb-2019
NYSTATIN 100.000 IU/ML DROP BERNO 10 Approved nerfi 25-Feb-2019
GENTAMICIN 40 MG/ML INJEKSI 1 Approved nerfi 25-Feb-2019
ELKANA TAB SANBE 1 Approved nerfi 25-Feb-2019
STOLAX SUP SANBE 6 Approved nerfi 25-Feb-2019
PLASMINEX INJ 100MG/ML 30 Approved nerfi 25-Feb-2019
AMBROXOL 30MG SYR BERNO 2 Approved nerfi 25-Feb-2019
PYREXIN 160 MG SUP MEPRO 10 Approved nerfi 25-Feb-2019
VELUTIN NEBULIZER 40 Approved nerfi 25-Feb-2019
TRAMADOL INJ 100MG/2ML BERNO 2 Approved nerfi 25-Feb-2019
RIFAMPICIN 450 MG 100 Approved nerfi 25-Feb-2019
ZAMEL SYR NOVEL 3 Approved nerfi 25-Feb-2019
METOCLOPRAMIDE 10 MG TABLET 1 Approved nerfi 25-Feb-2019
SOFTEX MATERNITY 4 Approved nerfi 25-Feb-2019
FOLEY CATETER 10 ONEMED 2 Approved nerfi 25-Feb-2019
PENENG PINK DEWASA 1 Approved nerfi 25-Feb-2019
PAMPERS CONFIDENCE ADULT CLASSIC XL 6'S 24 Approved nerfi 25-Feb-2019
METHYL PREDNISOLON 4 MG 200 Approved nerfi 25-Feb-2019
SUCTION CHATETER NO 14 1 Approved nerfi 25-Feb-2019
ZAMEL DROP NOVEL 5 Approved nerfi 25-Feb-2019
CEFADROXIL 125 MG SYR 4 Approved nerfi 25-Feb-2019
TRIAMCINOLONE 4 MG TABLET 1 Approved nerfi 25-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ NOVEL 70 Approved nerfi 25-Feb-2019
DOMPERIDON SYR 5 MG 2 Approved nerfi 25-Feb-2019
METHISOPRINOL SYRUP 5 Approved nerfi 25-Feb-2019
EPEXOL TAB 30MG SANBE 100 Approved nerfi 25-Feb-2019
GRAFADON TABLET 500 MG 100 Approved nerfi 25-Feb-2019
CEFILA SYR 100 MG LAPI 4 Approved nerfi 25-Feb-2019
PRENAMIA TAB SANBE 1 Approved nerfi 25-Feb-2019
DEXTROSA 10% 10 Approved nerfi 25-Feb-2019
ASAM TRANEKSAMAT 500MG/5ML INJ BERNO 70 Approved nerfi 25-Feb-2019
PRONALGES SUPP 30 Approved nerfi 25-Feb-2019
GRAFAMIC 500MG KAPLET 700 Approved nerfi 25-Feb-2019
ONDANSETRON INJEKSI 8MG/4ML NOVELL 30 Approved nerfi 25-Feb-2019
FERRIS DROP 3 Approved nerfi 25-Feb-2019
URIN BAG "T" TYPE 30 Approved nerfi 25-Feb-2019

Print Date : 26-Feb-2019, Print Time : 8:41:32AM P


LAPORAN PERMINTAAN BARANG
Periode : 01-Dec-2018 s/d 26-Feb-2019
Bagian : Farmasi

No No Permintaan Tgl Minta Gudang Lokasi

Nama Barang Qty Status Approval Tgl Approval


Minta Oleh
KACAMATA BAYI/BL (POSEY) 5 Approved nerfi 25-Feb-2019

EPHEDRIN INJ 50MG/ML ETHICA 1 Approved nerfi 25-Feb-2019


SYRINGE 50 CC ONEMED 3 Approved nerfi 25-Feb-2019
CEFIXIM SYRUP 30 ML NOVEL 10 Approved nerfi 25-Feb-2019
AMLODIPINE 5MG TAB DEXA 2 Approved nerfi 25-Feb-2019
KASA STERIL 16X16 30 Approved nerfi 25-Feb-2019
CEFOTAXIME 1 GR INJ BERNO 20 Approved nerfi 25-Feb-2019
CEFADROXIL 250MG SYR 5 Approved nerfi 25-Feb-2019
CEFXON INJ 1GR/VIAL LAPI 3 Approved nerfi 25-Feb-2019
TREMENZA SYR SANBE 2 Approved nerfi 25-Feb-2019
LIDOCAIN HCL 2% INJEKSI BERNO 20 Approved nerfi 25-Feb-2019
CEFAT 500MG CAPS SANBE 150 Approved nerfi 25-Feb-2019
UNDERPADS SENSI 40 Approved nerfi 25-Feb-2019
FLIXOTIDE NEBULES 0.5MG/2ML UDV 1 Approved nerfi 25-Feb-2019
PROMAVIT CAPSUL 600 Approved nerfi 25-Feb-2019
EPEXOL SYR SANBE 4 Approved nerfi 25-Feb-2019
ONDANSENTRON TAB 4 MG NOVELL 100 Approved nerfi 25-Feb-2019
PROMUBA SYR 2 Approved nerfi 25-Feb-2019
OTTOPAN SYRUP 60 ML 15 Approved nerfi 25-Feb-2019
SANMOL TAB 500MG SANBE 100 Approved nerfi 25-Feb-2019
MICROLAX ENEMA 2 Approved nerfi 25-Feb-2019
BLEDSTOP 125 MCG TABLET 600 Approved nerfi 25-Feb-2019
SPUIT 5CC ONEMED 100 Approved nerfi 25-Feb-2019
REGUMEN 90 Approved nerfi 25-Feb-2019
BENANG ASSUT CHROMIC 2 HRG-50 2 Approved nerfi 25-Feb-2019
GERDILIUM SUSPENSI 60 ML 5 Approved nerfi 25-Feb-2019
LANSOPRAZOLE 30MG TAB NOVELL 100 Approved nerfi 25-Feb-2019
Print Date : 26-Feb-2019, Print Time : 8:41:32AM P
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