STOCK LIS

1. AREA
NO PERALATAN & MATERIAL QTY UNIT GOOD RECEIVED

1 Ranjang 147 UNIT 147

2 Bed 147 UNIT 147

3 Bantal 150 UNIT 150

4 Sarung Bantal 150 UNIT 150

5 Sprei 150 UNIT 150

6 Perlak 150 UNIT 150

7 Selimut 150 UNIT 150

 8 Tirai Partisi 50 PCS 50
9 Meja 3 PCS 3
10 Bed Triage 3 UNIT 3
11 Toilet Portable 10 UNIT 10
12 INFUS STAND KAKI UNIT/1 2 UNIT 2

###
Drugs, Disposable, & Consummable
NO DRUGS, DISPOSABLE, & CONSUMMABLE QTY UNIT GOOD RECEIVED

1 AMOXSAN CAP 500 MG BOX/100 1000 CAP 1000

2 CIPROFLOXACIN TAB 500 MG OGB BOX/100 500 TAB 500
3 AZITHROMYCIN TAB 500 MG BOX/30 500 TAB 500
200 TAB 200
4 CEFIXIME CAPS 100 MG BOX/100 500 TAB 500
5 PARACETAMOL TAB 500 MG BOX/100 2000 TAB 2000
6 OBH NELLCO SPECIAL 100 ML BOX/1 500 BTL 500
144 BTL 144
7 NEW DIATABS TAB BOX/100 300 TAB 300
8 RHINOFED TAB BOX/50 500 TAB 500
9 PHAROLIT 200 BOX/60 200 SACHET 200
100 SACHET 100
10 RHEA 200 BTL 200
216 BTL 216
11 STARMUNO KAPL BOX/30 4000 TAB 4000

12 CELESTAMINE TAB BOX/30 500 TAB 500

13 EPINEPRIN INJ AMP BOX/100 50 AMP 50

14 INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 5 KOLF 5

15 INFUSAN OTSUKA 0.9% 500 ML KOLF/1 200 KOLF 200
40 KOLF 40
16 INDEXON INJ 5MG/ML AMP BOX/5 50 AMP 50
17 CHLOROQUINE TAB 150 MG BOX/100 2000 TAB 2000
18 SIDIADRYL INJ VIAL BOX/10 ( KRANTINA ) 30 AMP 30
SIDIADRYL 150 MG INJ 15 ML VIAL BOX/10 (ISO) 2 AMP 2
19 MARIMER NASAL SPRAY ISOTONIK 50 BOTOL 50
50 BOTOL 50
20 BETADINE KUMUR 190 ML 100 BOTOL 100
21 BECOM- C @ 100 Kaplet/ Box 500 TAB 500
100 TAB 100
22 HID 500 @30 Tablet/ Box 510 TAB 510
23 ZINC TAB 20 MG @ 100 Tablet/ Box 500 TAB 500
100 TAB 100
 400 TAB 400
1600 TAB 1600
24 NATRIUM DIKLOFENAC 50MG TAB BOX/50 200 TAB 200
25 CETIRIZINE TAB BOX/50 200 TAB 200
26 OMZ CAP 20 MG BOX/30 ( KARANTINA ) 300 TAB 300
(ISO) 500 TAB 500
27 EPINEPRIN INJ AMP BOX/100 ( KARANTINA) 50 AMP 50
Epinephrine 1mg/ml amp ( ISO) 20 AMP 20
28 DAONIL GLIBENCLAMIDE TAB 5 MG BOX/100 20 TAB 20
29 Aspilet 80mg tab 30 TAB 30
30 Cedocard 5mg tab 30 TAB 30
31 Atropine Sulfate 0.25mg/ml amp 60 AMP 60
32 Neostigmin Hamelen 0.5mg/ml amp 10 AMP 10
33 CORDARONE AMP 150 MG INJ 3ML BOX/6 12 AMP 12
34 VENTOLIN NEBULES 2.5 MG INJ AMP BOX/20 5 AMP 5
35 RECOFOL N 10 MG INJ ML AMP BOX/5 10 AMP 10
36 MEDIXON 125 INJ VIAL BOX/1 10 BOX 10
37 OTSU MgSO4 20% 25 ML KOLF/1 4 KOLF 4
38 OTSU MEYLON Sodium Bicarbonate 8.4% fl 4 AMP 4
39 Glyceryl Trinitrat 10 ML AMP 4 VIAL 4
40 NOREPINEPHRINE BITARTRATE MONOHYDRATE AMP 4 4 AMP 4
41 DOBUTAMIN HAMELIN INJ 12.5 MG AMP BOX/5 4 AMP 4
42 OTSU Dextrose 40% INJ AMP 25 ML AMP/1 4 AMP 4
43 Lasix - Furosemide Inj amp. 2ml (10mg/ml) 10 AMP 10
44 CEFTRIAXONE INJ VIAL 1 GR BOX/2 6 Vial 6
45 Paracetamol Infusion 1000 Mg 10 botol 10
46 ACITRAL TAB BOX/100 200 TAB 200
47 BETAMETASON CREAM 0.1 % 5 MG BOX/25 10 ZALF 10
48 CALADINE LOTION 10 BTL 10
49 CORTIDEX TAB 0,5 MG BOX/100 50 TAB 50
50 DULCOLAX TAB 5 MG BOX/80 20 TAB 20
51 GEL EKG 260 Gr 2 PCS 2
52 VENTOLIN TAB 2 MG BOX/30 50 TAB 50
53 ENERVON C @100 TAB/BOX 1000 TAB 1000
1000 TAB 1000
54 CALCIUM GLUCONATE 10 MG/ML IJK 10 ML 2 AMP 2
55 RANITIDIN 150 MG BOX/100 200 TAB 200
56 METHYL PREDNISOLON TAB 4 MG/100 200 TAB 200
57 NP VITAMIN D3 1000 TAB BTL/180 500 KAPSUL 500
500 KAPSUL 500
58 PRORIS TAB 200 MG BOX/50 100 TAB 100
59 GLUCOPHAGE TAB 500 MG BOX/100 250 TAB 250
METFORMIN 500 TAB 500
60 MYONAL TAB BOX/100 10 TAB 10
61 BUSCOPAN TAB 10 MG BOX/100 20 TAB 20
62 DEXTRO 5% OTSU D5 100 ML 20 KOLF 20
63 OTSU D10 % 500ML KOLF /1 2 KOLF 2
65 DEXTRO 10% 100 ML kolf/1 20 KOLF 20
67 AVIGAN TAB BOX/100 500 TAB 500
500 TAB 500
69 SANMOL SYIRUP 60 MLBOX/1 20 BTL 20
71 AMLODIPINE TAB 10MG BOX/100 250 TAB 250
73 AMLODIPINE TAB 5 MG BOX/100 250 TAB 250
75 CERINI CAP BOX/20( CETTIRIZINE) 100 TAB 100
77 ONDANSETRON 8 MG/4ML AMP BOX/10 20 TAB 20
79 POLYSILANE SUSPENSI 100 ML BOX/1 40 BTL 40
81 MERISLON TAB 6 MGBOX/100 30 TAB 30
82 CEDATOP 200 MG INJ AMP BOX/5 10 AMP 10
83 ISOPRINOSINE TAB BOX/8 2000 TAB 2000
84 ATORVASTATIN TAB 20 MG BOX/30 50 TAB 50
85 FLUIMUCIL CAP 200 MG BOX/60 500 CAP 500
86 LANCID CAP 30 MG BOX/20 50 CAP 50
87 RANTIN INJ AMP 50 MG BOX/5 20 AMP 20
88 STARMUNO 60 ML SYR BOX/1 20 BTL 20
89 SANMAG SUSPENSION 120 ML BOX/1 200 BTL 200
90 PROBIOSTIN TAB BOX/30 510
Clopidogrel 75mg tab 10 TAB 10
ANTRAIN/ANTALGIN AMPUL/ANTRAIN INJ AMP 1GR/2 2 TAB 2
METHYLPREDNISOLONE 4MG/TORAS 4 MG TABLET BO 50 TAB 50
ONDANSENTRON 8 MG/NARFOZ TAB 8 MG BOX/12 60 TAB 60
DOMPERIDONE SYR/DOMPERIDON SYR 5 MG / 5 ML B 20 BTL 20
AMBROXOL SYRAMBROXOL SYR 60 ML BOX/1 30 BTL 30
GLISERIL GUAIAKOLAT TAB/INTUNAL FORTE TAB BOX/ 50 TAB 50
RANITIDIN/RANITIDIN TAB 150 MG BOX/100 500 TAB 500
HIDROKORTISON ZALEF/HYDROCORTISON CREAM 2.5 10 TUBE 10
MICROLAX SUPP/MICROLAX ENEMA 5 ML BOX/1 3 TUBE 3
Midazolam 0,1% amp/SEDACUM INJ 5MG/5ML AMP B 6 AMP 6
Stesolid Inj./STESOLID INJ AMP BOX/5 6 AMP 6
CEFOTAXIME VIAL/CEFOTAXIME INJ VIAL 1 GR BOX/2 10 AMP 10
CHLORPHENIRAMINE MALEAT TAB/CETEME TAB (CTM) 50 TAB 50
ASAM MEFENAMAT/ASAM MEFENAMAT CAPS 500 MG 50 TAB 50

83 CHEST DRAINAGE BAG REDAX SET/1 1 SET 1

85 RESUSCITATOR ADULT MANUAL SET/1 2 SET 2
87 TABUNG VACUTAINER EDTA 3 ML BOX/100 3 BOX 3
89 THREE WAY STOPCOCK PCS/1 4 PCS 4
91 NASAL OXYGEN CANULA CHILD 1826 PCS/1 10 PCS 10
93 GUEDEL NO1 SIZE 70 MM 4 PCS 4
95 GUEDEL NO 5 SIZE 110 MM 4 PCS 4
 97 GUEDEL NO 0 SIZE 60 MM 4 PCS 4
99 GUEDEL NO 2 SIZE 80 MM 4 PCS 4
101 GUEDEL SIZE 3 MM ISO 9,0 ORANGE 4 PCS 4
GOEDEL 90 MM #1159 NO.4 4 PCS 4
E.T.T. DISP.W/CUFF SIZE 7 4 PCS 4
E.T.T. DISP.W/CUFF SIZE 7,5 4 PCS 4
E.T.T. DISP.W/CUFF SIZE 8 4 PCS 4
FOLLEY BALON CATHETER 14 FR 12 PCS 12
FOLLEY BALON CATHETER 16 FR 12 PCS 12
NASAL OXYGEN CANULA ADULT 30 PCS 30
NON REBREATHING MASK ADULT 26 PCS 26
SUCTION CATHETER CH 12 PORTEX 4 PCS 4
SUCTION CATHETER CH 16 4 PCS 4
SUCTION CATHETER CH 8 PCS/1 4 PCS 4
IV Cath No. 14 15 PCS 15
123 IV Cath No. 16 15 PCS 15
IV Cath No. 18 15 PCS 15
IV Cath No. 20/SURFLO FLASH 20 SR*FS2032 BOX / 50 15 PCS 15
127 URINE BAG STERIL ONEMED 2000 ML 6 PCS 6
129 INFUS SET ADAULT 20 PCS 20
10 PCS 10
2 PCS 2
130 WINGED INFUSION SET 25G x 3/4" 50 PCS 50
YANCAUER SUCTION PLASTIC PCS 4 PCS 4
131 Hazardous Waste Bag (Plastik limbah medis) UK L (60 250 PCS 200
CM X 90 CM)

50 PCS 50
150 PCS 150
150 PCS 150
132 INFECTION BAG YELLOW UK S 30 cm x 50 cm)PCS/1 500 PCS 500
133 Syringe 1ml 100 PCS 100
50 PCS 50
134 Syringe 3ml 300 PCS 300
150 PCS 150
135 Syringe 5ml 200 PCS 200
100 PCS 100
136 Syringe 10ml 100 PCS 100
Syringe 10ml 200 PCS 200
50 PCS 50
137 Syringe 50ml 20 PCS 20
10 PCS 10
138 COVID 19 Test Pack 300 TEST PACK 300

139 AG Test Pack 1000 TEST PACK 1000

 500 500
500 500
500 500
750 750
250 250
25 25
140 VTM Test Pack 40 TEST PACK 40
500 500

300 PCS 300

200 PCS 200
300 PCS 300
100 PCS 100
141 TABUNG SERUM 350 PCS 150
142
148 HOLDER 5 PCS 5
149 TORNIQUETTE 5 PCS 5
150 MICROPHORE , 13 BOX 13
5 BOX 5
151 WING NEEDLE 30 PCS 30
152 COTTON BALL 13 PCS 13
153 ALKOHOL 70% 13 PCS 13
154 TEMPAT KAPAS ALCOHOL 3 PCS 3
155 ALCOHOL SWAB 2 BOX 2
156 SHARP CONTAINER 15 PCS 15
157 ADJUSTABLE PIPET 10-100 UL 3 PCS 3
158 KULKAS + PENCATAT SUHU KULKAS 3 PCS 3

159 COOL BOX 5.5 L 3 PCS 3

160 TISSUE BESAR ( LIVI ) 25 PCS 25
30 PCS 30
20 PCS 20
LIVI HBT TISSUE PAPER 200 SHEET BOX/60 10
161 TISSUE KECIL 108 PCS 108
30 PCS 30
162 SABUN ANTISEPTIK 410 ML 25 PCS 25

164 PINSET STAINLESS STEEL 5 PCS 5

165 OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULA 4 UNIT 4
166 OXYGEN TUBE 2 METER #1115# PCS/1 20 PCS 20
OXYGEN TUBING PIECECONNECTOR/EXTENTION TUBE 75 26 PCS 26
167 KLIP PLASTIK OBAT M (15X10 CM) PACK/100 4 PACK 4
2 P 4
3 PACK 3
168 PLASTIK KLIP LOGO MP L (20 X 12) PACK/100 4 PACK 4
 2 PACK 2
169 SANIFECT DISINFECTANS 5 L JERIGEN/5 2 JERIGEN 2
15 JERIGEN 15
5 JERIGEN 5
25 JERIGEN 25
2 JERIGEN 2
170 BIOHAZARD SPILLKIT SET/1 2 SET 2
171 TIPS YELLOW PACK/100 300 PCS 300
172 KABEL TIS TIES LABEL 20 CM NYLON PACK/100 1 PACK 1
2 PACK
173 NEEDLE FLASHBACK 22X1 #301747 BOX/50 1025 PCS 1025
121 300 PCS 300
174 TIPS BLUE PACK/100 300 PCS 300
175 SAMPLE CUP 300 PCS 300
176 BLUE ICE PACK 500 GR PCS/1 4 PCS 4
PCS
177 LABEL S-COAT UK.40MMX30MM@1000 PCS 2 ROLL 2
179 STEROFOAM Pcs
180 HANDWASH 5 L
181 TRANSSOFIX B/ BRAUN BOX/50 200 PCS 200
182 LANCET BOX
2
KERTAS PUYER 1 PACK 1
HEPAFIX 15X5CM 3 BOX 3
183 KOM PCR

### PPE
NO PPE ITEM QTY UNIT GOOD RECEIVED

1 GOWN 4536 PCS 4536

490 490
20 20
2 HAZMAT/GOWN PROTECTIVE ALL SIZE + SHOE COV 120 PCS 120
3 FACE SHIELD 81 PCS 81
4 FACE SHILED HEAD GEAR WITH CLEAR VISOR KW10000 30 PCS 30
5 SAFETY GOOGLES PCS/1 81 PCS 81

22 PCS 22
6 MASKER 3M N95 BOX/20 2268 PCS 2268
300 PCS 300
800 PCS 800
7 MASKER KN95 BOX/10 BOX
12 BOX 12
78 BOX 78
8 GLOVES UK S,M,L 9072 PCS 9072

9 GLOVES UK S 4000 PCS 4000

10 GLOVES UK M 2000 PCS 2000
3300 PCS 3300
11 GLOVES UK L 2000 PCS 2000
12 HANDSCOON STERIL SIZE 7 20 PCS 20
HANDSCOON STERIL SIZE ANSELL GAMMEX #6,5 B 20 PCS 20
13 ADULT DIAPERS 4536 PCS 4536

492 PCS 492

14 FACE MASK EARLOOP 3 PLY SAFELOCK BOX/50 4536 PCS 4536
1300 PCS 26
3600 PCS 3600
15 HAND SANITIZERS 500 ml 48 PCS 48

2 PCS 2
16 HAND SANITIZERS 1000 ml PCS
17 HAND GEL 1000 ml 12 PCS 12
18 HAND SANITIZERS 5 L 6 JERIGEN 6

19 SHOES COVER BOX/100 2250 PCS 2250

4500 PCS 4500
72 PCS 72
1000 PCS 1000
300 PCS 300
3500 PCS 3500
20 NURSE CAP DIAPRO BOX/100 BOX
 8 BOX 8

30 BOX 30

### Medicine Equipment

NO EQUIPMENT ITEM QTY UNIT GOOD RECEIVED

1 PULSE OXIMETRYS 5 UNIT 5

4 UNIT 4
2 TENSIMETER MANUAL 3 UNIT 3
3 TENSIMETER OMRON 3 UNIT 3
4 UNIT 4
4 NESCO MULTI CHECK 4 PCS 4
2 PCS 2
5 GLUCOSE TEST STRIP / 25 68 BOX 68
8 BOX 8
6 CHOLESTEROL TEST STRIP /10 84 BOX 84
20 BOX 20
7 URIC ACID TEST STRIP /25 42 BOX 42
8 BOX 8
8 STETOSCOPE 7 PCS 7
2 PCS 2
9 THERMOMETER INFRARED GUN 5 PCS 5
2 UNIT 2
10 CENTRIFUGE 1 UNIT 1
1 UNIT 1
11 DIGITAL THERMOMETER 13 UNIT 13
12 PENLIGHT 4 UNIT 4
13 ALAT NEBULESER 1 UNIT 1
14 MINOR SURGERY SET/1 1 SET 1
GUNTING/GUNTING EYE SURGICAL 11CM TAJAM/TAJA 2 PCS 2
MORTAR ALAT PENUMBUK OBAT SET 1 SET 1

###
Equipment
NO ITEM QTY UNIT GOOD RECEIVED

1 LAPTOP 4 PCS 4
2 Printer 2 PCS 2
Printer 1 PCS 2
3 Printer Barcode 2 UNIT 2
 4 Server 1 UNIT 1
5 Clinic System 1 UNIT
6 Komputer 2 UNIT 2

###
OTHER ( STATIONARY)
NO ITEM QTY UNIT GOOD RECEIVED

1 MAP PLASTIK A4 PACK/12 1 PACK 1

2 PULPEN WARNA HITAM PACK/12 2 PACK 2
62 PCS 62
3 TIPE X 2 PCS 2
4 LAKBAN BENING 2� 48 MM ROLL/1 50 ROLL 50
22 ROLL 22
5 BUKU FOLIO BESAR (21CM X 33CM) PCS/1 2 PCS 2
6 BUKU FOLIO KECIL 5 PCS 5
7 BOTOL SPRAYER PLASTIK 1000 ML PCS/1 5 PCS 5
8 BOTOL SPRAYER PLASTIK 500 ML PCS/1 2 PCS 2
9 PENGGARIS PLASTIK 30 CM 2 PCS 2
10 BANTEX DEVIDER A4 PACK/10 2 PCS 2
11 KERTAS A4 70GR 5 RIM 5
10 RIM 10
10 RIM 10
2 RIM 2
12 STAPLER MAX HD-10 PCS/1 2 PCS 2
13 AMPOLOP POLOS PUTIH 2 BOX 2
14 CLIP BOARD/PAPAN JALAN PLASTIK 5 PCS 5
15 GUNTING 5 PCS 5
5 PCS 5
16 ECG PAPER BIONET CARDIOCARE ROLL/1 2 ROLL 2
17 STEMPEL WARNA MEDIKA PLAZA PCS 1 1 PCS 1
SNOWMAN BLACK(SPIDOL) BOARD MARKER BOX/ 20 PCS 20

Note:
1. Printer di KM 40 adalah pinjaman dari PT. Xapiens melalui Kideco, karena printer di KM 40 tidak bisa digunakan deng
hasil print kotor, sudah berulang kali di cek dan di benerin IT.

2. PULSE OXIMETRYS : 1 hilang

3. THERMOMETER INFRARED GUN : 1 Rusak

STOCK LIST MATERIAL MEDIKA PLAZA KM. 40 & TMCT
PER 7 MEI 2021

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
30-Jun 50 CSR 49
22-Jul 6 GA/km.40 0
5-Aug 7 GA/tmct
19-Jan 25 CSR
26-Jan 10 CSR
30-Jun 50 CSR 49
6 GA/km.40 3
7 GA/tmct
19-Jan 25 CSR
26-Jan 10 CSR
30- Mei 20 MP 32 20
30-Jun 50 CSR
22-Jul 6 GA
5-Aug 7 GA
19-Jan 25 CSR
26-Jan 10 CSR
30- Mei 23 MP 29 21
30-Jun 50 CSR
22-Jul 6 GA
5-Aug 7 GA
19-Jan 25 CSR
26-Jan 10 CSR
30-Mei 40 MP 2 40
18-Jun 10 MP
30-Jun 50 CSR
22-Jul 6 GA
5-Aug 7 GA
19-Jan 25 CSR
26-Jan 10 CSR
18-Jun 10 MP 90 7
30-Jun 50 CSR
18-Jun 10 MP 42 10
30-Jun 50 CSR
22-Jul 6 GA
5-Aug 7 GA
19-Jan 25 CSR
26-Jan 10 CSR
 30- Mei 6 MP 44 6
3 0
30- Mei 3 MP 0 3
26-Aug 2 GA/km.40 8 2
19-Mar-2021 1 MP 2

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
27- Mei 1000 MP 0 893
27-Mei 500 MP 0 400
27-Mei 500 MP 0
19-May-2021 200 MP
27-Mei 500 MP 0 270
27-Mei 2000 MP 0 1170
21-Aug 40 MP 316
4-Feb 144 MP 21
27-Mei 300 MP 0 140
27-Mei 500 MP 0 155
27-Mei 200 MP 0
15-Mar-2021 100 MP 190
200 MP
20-Jan 216 MP 36
27-Mei 760 MP 0
18-Jun 3240 MP 0
29-Mei 500 MP 0 157
27-Mei 50 MP 0

27-Mei 5 MP 0 3
06-03-2021 200 MP
20-Mar-2021 40 MP 220
27-Mei 50 MP 0 40
27-Mei 2000 MP 0 1800
29-Mei 30 MP 0
09-mar-2021 2 MP 24
4-Feb 50 MP 0
05-Mar 2021 50 MP 0 62
4-Feb 100 MP 0 50
4-Feb 500 MP 0
15-Mar-2021 100 MP 0
4-Feb 510 MP 0 0
4-Feb 500 MP 0
04-Mar-2021 100 MP
 19-Mar 400 MP
30-Apr 1600 MP 1000
04-Mar-2021 200 MP 140
04-Mar-2021 200 MP 0
04-Mar-2021 300 MP
15-Mar-2021 500 MP 650
27-Mei 50 MP 0
09-mar-2021 20 MP 60
09-mar-2021 20 MP 20
09-mar-2021 30 MP 25
09-mar-2021 30 MP 30
09-mar-2021 60 MP 60
09-mar-2021 10 MP 10
09-mar-2021 12 MP 12
09-mar-2021 5 MP 5
09-mar-2021 10 MP 10
09-mar-2021 10 MP 4
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
09-mar-2021 10 MP 10
09-mar-2021 6 MP 6
09-mar-2021 10 MP 10
09-mar-2021 200 MP 190
09-mar-2021 10 MP 8
09-mar-2021 10 MP 7
09-mar-2021 50 MP 45
09-mar-2021 20 MP 12
09-mar-2021 2 MP 2
09-mar-2021 50 MP 50
09-mar-2021 1000 MP
15-Mar-2021 1000 MP 900
09-mar-2021 2 MP 2
15-Mar-2021 200 MP 100
15-Mar-2021 200 MP 0
15-Mar-2021 500 MP
30-April-2021 500 MP 340
15-Mar-2021 100 MP 60
15-Mar-2021 250 MP 100
30-April-2021 500 MP 500
15-Mar-2021 10 MP 10
15-Mar-2021 20 MP 11
19-Mar-2021 20 MP 20
19-Mar-2021 2 MP 2
20-Mar-2021 20 MP 20
19-Mar-2021 500 MP
30-April 500 MP 500
19-Mar-2021 20 MP 10
19-Mar-2021 250 MP 200
19-Mar-2021 250 MP 200
19-Mar-2021 100 MP 100
19-Mar-2021 20 MP 20
19-Mar-2021 40 MP 32
19-Mar-2021 30 MP 20
07-03-2021 10 MP 10
07-03-2021 2000 MP 1360
07-03-2021 50 MP 50
07-03-2021 500 MP 190
07-03-2021 50 MP 50
07-03-2021 20 MP 19
07-04-2021 20 MP 2
07-04-2021 200 MP 0
510 MP 0
29-Apr-21 10 MP 10
29-Apr-21 2 MP 2
29-Apr-21 50 MP 50
29-Apr-21 60 MP 60
29-Apr-21 20 MP 20
29-Apr-21 30 MP 30
29-Apr-21 50 MP 50
29-Apr-21 500 MP 500
29-Apr-21 10 MP 10
29-Apr-21 3 MP 3
29-Apr-21 6 MP 6
29-Apr-21 6 MP 6
30-Apr-21 10 MP 10
30-Apr-21 50 MP 50
30-Apr-21 50 MP 50

19-Mar-2021 1 MP 10
19-Mar-2021 2 MP 2
15-Mar-2021 3 MP 3
15-Mar-2021 4 MP 4
15-Mar-2021 10 MP 8
15-Mar-2021 4 MP 4
15-Mar-2021 4 MP 4
15-Mar-2021 4 MP 4
19-Mar-2021 4 MP 4
19-Mar-2021 4 MP 4
29-Apr-2021 4 4
09-mar-2021 4 MP 4
29-Apr-21 4 4
09-mar-2021 4 MP 4
09-mar-2021 12 MP 12
09-mar-2021 12 MP 12
09-mar-2021 30 MP 30
09-mar-2021 26 MP 26
09-mar-2021 4 MP 4
09-mar-2021 4 MP 4
15-Mar-2021 4 MP 4
09-mar-2021 15 MP 15
09-mar-2021 15 MP 15
09-mar-2021 15 MP 15
29-Apr-21 15
09-mar-2021 6 MP 15
09-mar-2021 20 MP 15
15-Mar-2021 10 MP
19-Mar-2021 2 MP 16
09-mar-2021 50 MP 50
29-Apr-21 50 MP 4
27-Mei 200 MP 0

50 MP
09-mar-2021 50 MP
15-Mar-2021 150 MP
29-Apr 150 MP 150
15-Mar-2021 500 MP 100
27-Mei 100 MP 0
15-Mar-2021 50 MP 50
27-Mei 300 MP 0
15-Mar-2021 150 MP 120
27-Mei 200 MP 0
15-Mar-2021 100 MP 100
27-Mei 100 MP 0
04-Mar-2021 200 MP
15-Mar-2021 50 MP 152
27-Mei 20 MP 0
15-Mar-2021 10 MP 25
27-Mei 190 MP 0
30-Mei 110 MP 0 212
16-Nov 1000 MP 0
 23-Nov 500 MP 0
21-Jan 500 MP 0
11-Feb 500 MP 0
7-Apr 750 MP
8-Apr 250 MP
7-May 25 49
13-Nov 500 MP 0
16-Nov 500 MP 0

11-Feb 500 MP 0
4-Mar 200 MP
05-Mar-2021 300 MP 0
30-Apr-2021 100 MP 0 95
27-Mei 150 MP 0 131
100 MP 0
27-Mei 5 MP 0 2
27-Mei 5 MP 0 2
27-Mei 13 MP 0 2
31-Aug 5 MP 0
27-Mei 30 MP 0 10
27-Mei 13 MP 0 5
27-Mei 13 MP 0 2
29-Mei 3 MP 0
29-Mei 2 MP 0 1
29-Mei 15 MP 0 5
29-Mei 3 MP 0 2
29-Mei 2 MP 0 2
21-Aug 1 MP 0
27-Mei 3 MP 0 3
9-Jun 25 MP 0
8-Jan 30 MP 0
7-Apr 20 MP 2
29-Apr 10 MP 9
9-Jun 108 MP 0
14-Oct 30 MP 0 6
29-Mei 25 MP 0 2

29-Mei 5 MP 0 3
18-Jun 4 MP 0 3
18-Jun 20 MP 0 28
29-Apr 26 MP 26
29-Mei 4 MP 0
19-03-2021 2 MP
29-Apr 3 2
11-02-2021 4 MP 0
 7-Apr 2 MP 0
9-Jun 2 MP 0
14-Jan 15 MP 0
18-Mar 5
24-Mar-2021 5 MP
7-Apr-2021 2 4
27-Mei 2 MP 0 1
27-Mei 300 MP 0 300
29-Mei 1 MP 0 1
29-04-2021
27-Mei 1025 MP 0 435
31-Aug 300 MP 0
4-Aug 300 MP 0 300
4-Aug 300 MP 0 300
4-Aug 4 MP 0
MP 0 28
18-Jun 2 MP 0 3
MP 0 27
MP 0 4
4-Mar 200 MP 0 150
MP 0
31-03-2021 2 1
29-04-2021 1 MP 1
29-04-2021 3 MP 3
MP 0 2

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
27-Mei 160 MP 1236
9-Jun 464 MP
18-Jun 60 MP
4-Aug 435 MP
21-Aug 340 MP
14-Oct 375 MP
30-Nov 200 MP
1-Jan 240 MP
4-Feb 1020 MP
11-Feb 6 SAFETY
7 May 2021 490 MP
7 May 2021 20 545
09-mar-2021 120 MP 0
27-Mei 30 MP 0
 2 GA
49 MP 3
15-Mar-2021 30 MP 20
27-Mei 61 MP 0
30-Mei 20 SAFETY
09-mar-2021 22 MP 34
27-Mei 2268 MP 0
27-Jan 300 MP
09-mar-2021 800 MP 440
MP
09-mar-2021 12 MP
15-Mar-2021 78 MP 8
27-Mei 4400 MP 0
18-Jun 1000 MP
4-Aug 3672 MP
14-Oct 1800 MP
14-Jan 300 MP
27-Jan 3000 MP
15-Mar-2021 4000 MP 0
09-mar-2021 2000 MP
15-Mar-2021 3300 MP 800
09-mar-2021 2000 MP 900
09-mar-2021 20 MP
4/30/2021 20 MP 20
27-Mei 312 SAFETY 4032
4-Aug 24 MP
21-Aug 168 MP
MP 466
27-Mei 4536 MP 0
09-mar-2021 26 MP
15-Mar-2021 3600 MP 800
27-Mei 30 MP 0
9-Jun 18 MP
7-May 2 MP 3
MP 0
27-Jan 12 SAFETY 0
4 MP 0
9-Jun 2 MP 0
29-Apr 2250 MP 0
27-May 4500 MP 0
4-Aug 72 MP 0
27-Jan 1000 MP 0
09-mar-2021 300 MP
15-Mar-2021 3500 MP 1300
MP
 09-mar-2021 8 MP

15-Mar-2021 30 MP 3

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
29-Mei 5 MP 0
19-Mar-2021 4 MP 4
29-Mei 3 MP 0 2
3 MP 0
19-Mar-2021 4 MP 3
29-Mei 4 MP 0 2
07-04-2021 2 MP 4
29-Mei 68 MP 0
19-Mar-2021 8 MP 42
29-Mei 84 MP 0
19-Mar-2021 20 MP 73
29-Mei 42 MP 0
19-Mar-2021 8 MP 24
29-Mei 7 MP 0
19-Mar-2021 2 MP 6
29-Mei 5 MP 0
19-Mar-2021 2 MP 1
29-Mei 1 MP 0 1
31-Aug 1 MP 0
13 MP 0 11
19-Mar-2021 4 MP 4
1 MP 1
4/7/2021 1 MP 1
4/29/2021 2 MP 2
4/29/2021 1 MP 1

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
29-Mei 4 MP 0 1
29-Mei 2 MP 0
19-March-2021 1 MP 2
10-Jun 18-Jun MP 0 2
 29-Mei 1 MP 0 1

19-March-2021 2 MP 2

STOCK STOCK MP TGL

GOOD ISSUE DEPT
LOGISTIK 7 Mei 2021
19-Mar-2021 1 MP 0 0
4-Aug 2 MP 0
19-Mar-2021 62 MP 0 8
19-Mar-2021 2 MP 0
4-Aug 50 MP 0
19-Mar-2021 22 MP 8
4-Aug 2 MP 0
19-Mar-2021 5 MP 3
29-Mei 5 MP 0 2
19-Mar-2021 2 MP 0
19-Mar-2021 2 MP 2
7-Apr-2021 2 MP 2
4-Aug 5 MP 0
4-Aug 10 MP 5
7-Apr 10 MP
7-May 2 MP 2
7-Apr 2 MP 2
7-Apr 2 MP 0
7-Apr 5 MP 5
29-Mei 5 MP 0 1
7-Apr 5 MP 6
7-Apr 2 MP 2
7-Apr 1 MP 1
29-Apr 20 MP 0

0 tidak bisa digunakan dengan baik

KETERANGAN

KM 40

KM 40

KM 40

KM 40

KM 40

KM 40

KM 40
 KM 40
Logistik
KM 40
KM 40

STOCK MP TGL.
16 mar 2023
KM 40
KM 40

KM 40
KM 40
KM 40

KM 40
KM 40
KM 40

KM 40

KM 40

KM 40
KM 40

KM 40
KM 40

KM 40
KM 40
KM 40

KM 40

KM 40
KM 40

KM 40
KM 40
KM 40

KM 40
KM 40

KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40

KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40

KM 40

KM 40
KM 40
KM 40

KM 40

KM 40

KM 40
KM 41

KM 40

KM 40

KM 40

KM 40

KM 40

KM 40

KM 40
KM 40
KM 40
KM 40

KM 40

KM 40
TMCT
KM 40
KM 40
KM 40
TMCT
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
TMCT
KM 40

KM 40

KM 40
KM 40
KM 40

KM 40
KM 40
KM 40

KM 40
KM 40

KM 40
 KM 40

KM 40
KM 40
KM 40

KM 40
KM 40
KM 40

KM 40
TMCT
KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40

KM 40

KETERANGAN

KM 40

KM 40
KM 40
KM 40
KM 40

KM 40

KM 40

KM 40

KM 40
KM 40

KM 40
KM 40
KM 40

KM 40

KM 40

KM 40

KM 40
KM 40

KM 40

KM 40
 KM 40

KM 40

KETERANGAN

KM 40
KM 40

KM 40
KM 40
KM 40

KM 40

KM 40

KM 40

KM 40

KM 40
KM 40
TMCT
KM 40
KM 40
KM 40
KM 40

KETERANGAN

KM 40
KM 40
KM 40
KM 40
 KM 40
KM 40
KM 40

KETERANGAN

KM 40

KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40

KM 40

KM 40
KM 40

KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
KM 40
 STOCK LIST MATERIAL MEDIKA PLAZA
PER 07 MEI 2021
1. AREA
NO PERALATAN & MATERIAL QTY UNIT

1 Ranjang UNIT
2 Bed UNIT
3 Bantal UNIT
4 Sarung Bantal UNIT
5 Sprei UNIT
6 Perlak 1 UNIT
7 Selimut UNIT
8 Tirai Partisi PCS
9 Meja PCS
10 Bed Triage UNIT
11 Toilet Portable UNIT

2 Drugs, Disposable, & Consummable

DRUGS, DISPOSABLE, &
NO QTY UNIT
CONSUMMABLE

1 AMOXSAN CAP 500 MG BOX/100 TAB

CIPROFLOXACIN TAB 500 MG OGB
2 TAB
BOX/100

3 AZITHROMYCIN TAB 500 MG BOX/30 TAB

4 CEFIXIME CAPS 100 MG BOX/100 TAB

PARACETAMOL TAB 500 MG
5 TAB
BOX/100

6 OBH NELLCO SPECIAL 100 ML BOX/1 BTL

7 NEW DIATABS TAB BOX/100 TAB

8 RHINOFED TAB BOX/50 TAB
9 PHAROLIT 200 BOX/60 SACHET
10 RHEA BTL
11 STARMUNO KAPL BOX/30 TAB
12 CELESTAMINE TAB BOX/30 TAB
13 EPINEPRIN INJ AMP BOX/100 AMP
14 INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 KOLF
15 INFUSAN OTSUKA 500 ML KOLF/1 KOLF
16 INDEXON INJ 5MG/ML AMP BOX/5 AMP
17 CHLOROQUINE TAB 150 MG BOX/100 TAB
18 SIDIADRYL INJ VIAL BOX/10 AMP
19 MARIMER NASAL SPRAY ISOTONIK BOTOL
20 BETADINE KUMUR 190 ML BOTOL
21 BECOM- C @ 100 Kaplet/ Box TAB
22 HID 500 @30 Tablet/ Box TAB
23 ZINC @ 100 Tablet/ Box TAB
24 NATRIUM DIKLOFENAC 50MG TAB BOX/50 TAB
25 CETIRIZINE TAB BOX/50 TAB
26 OMEPRAZOL CAP 20 MG BOX/30 BOX
Hazardous Waste Bag (Plastik limbah
27 medis) 1 PCS

28 Syringe 1ml PCS

29 Syringe 3ml 100 PCS
30 Syringe 5ml PCS
31 Syringe 10ml PCS
32 Syringe 50ml PCS
TEST PACK
33 COVID 19 Test Pack TEST PACK
34 AG Test Pack TEST PACK
TEST PACK
TEST PACK
35 VTM Test Pack / 50 PCS 1 BOX
1 BOX
36 TABUNG SERUM 100 PCS
37 HOLDER 1 PCS
38 TORNIQUETTE 1 PCS
39 MICROPHORE , 60 PCS
40 WING NEEDLE - PCS
41 COTTON BALL 1 PACK
42 ALKOHOL 70% - PCS
43 TEMPAT KAPAS ALCOHOL - PCS
44 ALCOHOL SWAB 5 BOX
45 SHARP CONTAINER 4 PCS
46 ADJUSTABLE PIPET 10-100 UL 1 PCS
47 KULKAS + PENCATAT SUHU KULKAS 1 PCS
48 COOL BOX 5.5 L - PCS
49 TISSUE BESAR ( LIVI ) 10 PACK
TISSUE BESAR ( LIVI )
50 TISSUE KECIL PACK
51 SABUN ANTISEPTIK 410 ML 5 PCS
52 GUNTING - PCS
53 PINSET STAINLESS STEEL 1 PCS
54 OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULA UNIT
 55 OXYGEN TUBE 2 METER #1115# PCS/1 PCS
56 KLIP PLASTIK OBAT M (15X10 CM) PACK/100 PACK
57 KLIP PLASTIK OBAT LOGO MP PACK
58 BOTOL SPRAYER PLASTIK 1000 ML PCS 1 PCS
59 SANIFECT DISINFECTANS 5 L JERIGEN/ 1 JERIGEN
60 BIOHAZARD SPILLKIT SET/1 - SET
61 TIPS YELLOW PACK/100 100 PCS
62 KABEL TIS TIES LABEL 20 CM NYLON P - PACK
63 NEEDLE FLASHBACK 22X1 #301747 BO 8 BOX
64 LAKBAN BENING 2� 48 MM ROLL/1 6 ROLL
65 TIPS BLUE PACK/100 - PCS
66 SAMPLE CUP - PCS
67 BLUE ICE PACK 500 GR PCS/1 8 PCS
68 LABEL S-COAT UK.40MMX30MM@1000 PCS ROLL
69 KERTAS A4 70GR 5 RIM
KERTAS A4 70GR 2 RIM
KERTAS A4 70GR 2 RIM
70 BUKU FOLIO BESAR (21CM X 33CM) P 2 PCS
71 PULPEN WARNA HITAM PACK/12 2 PACK
72 STEROFOAM 3 PCS
STEROFOAM 2 PCS
73 HANDWASH 5 L 5 JERIGEN
74 TRANSSOFIX B/ BRAUN BOX/50 - PCS
75 LANCET /100 PCS 1 BOX
76 KOM - PCS

3 PPE
NO PPE ITEM QTY UNIT

1 GOWN 500 PCS

2 FACE SHIELD 20 PCS
3 GOGGLES 9 PCS
4 N95 MASKS 40 PCS
5 GLOVES 2 PCS
GLOVES SIZE M 4 PCS
6 ADULT DIAPERS /10 Size M 12 PCS
ADULT DIAPERS /8 SIze XL 6 PCS
7 FACE MASK 600 PCS
8 HAND SANITIZERS 500 ml 10 BTL
9 HAND SANITIZERS 1000 ml - BTL
10 HAND GEL 1000 ml - BTL
11 HAND SANITIZERS 5 L 2 JIRIGEN
12 SHOES COVER 5 BOX
4 Medicine Equipment
NO EQUIPMENT ITEM QTY UNIT

1 PULSE OXIMETRYS 1 UNIT

2 TENSIMETER MANUAL 0 UNIT
3 TENSIMETER OMRON 1 UNIT
4 NESCO MULTI CHECK 1 UNIT
5 GLUCOSE TEST STRIP / 25 4 BOX
6 CHOLESTEROL TEST STRIP /10 4 BOX
7 URIC ACID TEST STRIP /25 4 BOX
8 STETOSCOPE 1 PCS
9 THERMOMETER INFRARED GUN 1 PCS
10 CENTRIFUGE 1 UNIT
11 DIGITAL THERMOMETER 3 UNIT

5 Equipment
NO ITEM QTY UNIT

1 LAPTOP 1 PCS
2 Printer 1 PCS
3 Printer Barcode - UNIT
4 Server - UNIT
5 Clinic System - UNIT

Note:
RIAL MEDIKA PLAZA BASECAMP
ER 07 MEI 2021
STOCK MP
TGL. 07 MEI
STOCK 2021
GOOD RECEIVED GOOD ISSUE DEPT KETERANGAN
LOGISTIK

MP -
MP -
MP -
MP -
MP -
1 8/27/2020 1 km 40 1
MP -
MP -
0 -
0 MP -
0 MP -

STOCK MP
STOCK TGL. 07 MEI
GOOD RECEIVED GOOD ISSUE DEPT KETERANGAN
LOGISTIK 2021

0 0 MP 0 -

0 0 MP 0 -

0 0 MP 0 -

0 0 MP 0 -

0 0 MP 0 -

0 0 MP 0 -

0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 -
0 0 MP 0 -
 0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -

1 27//08/2020 1 km 40 0 19

0 0 MP 0 -
100 27//08/2020 100 km 40 0 90
0 0 MP 0 -
0 0 MP 0 -
0 0 MP 0 -
05-May-2021 40 MP 0
0 0 MP 0 Antibody 104
0 0 MP 0 Antigen 86
09-Apr-2021 100 MP 0
05-May-2021 75 MP 0
1 1 MP 0 VTM 73
1 25-Mar-2021 1 MP 0
100 27//08/2020 100 km 40 0 89
1 27//08/2020 1 km 40 0 1
1 27//08/2020 1 km 40 0 1
60 27//08/2020 60 MP 0 59
- - MP 0 -
1 30-Jan-2021 1 km 40 0 1
- - MP 0 -
- - 0 -
5 31-Aug-2021 5 MP 0 7
4 27//08/2020 4 km 0 4
1 27//08/2020 1 km40 0 1
1 27//08/2020 1 MP 0 1
- - 0 -
10 27//08/2020 10 km 40 0 -
22//04/2021 2 km 41
-
5 27//08/2020 5 KM 40 0 1
- - 0 1
1 27//08/2020 1 MP 0 1
0 0 0 -
 0 0 0 -
0 0 MP 0 -
MP 0 -
1 1 KM 40 0 1
1 27//08/2020 1 KM 40 0 2
- - MP 0 -
100 27//08/2020 100 KM 40 0 110
- - 0 -
8 31-Aug-2020 8 MP 0 399
6 27//08/2020 6 MP 0 1
- - 0 -
- - 0 -
8 08-Mar-2021 8 MP 0 5
0 0 MP 0 -
5 31-Aug-2020 5 MP 0
2 21-Mar-2021 2 MP 0 2
2 05-May-2021 2 MP 0
2 31-Aug-2020 2 MP 0 -
2 31-Aug-2020 2 MP 0 1
3 31-Jan-2021 3 MP 0 0
2 24-Apr-2021 2 MP 0 2
5 27//08/2020 5 KM 40 0 1
- - MP 0 -
1 27//08/2020 1 MP 0 260
- - - MP 0 -

STOCK MP
STOCK TGL. 07 MEI
GOOD RECEIVED GOOD ISSUE DEPT KETERANGAN
LOGISTIK 2021

500 27//08/2020 500 MP 0 72

20 31-Aug-2020 20 MP 0 18
9 27//08/2020 9 MP 0 6
40 28-Jan-2021 40 MP 0 0
2 31-Aug-2020 2 MP 0 0
4 21-Mar-2021 4 MP 0 100
12 27//08/2020 12 KM 40 0 120
6 27//08/2021 6 KM 40 0 48
600 27//08/2020 600 MP 0 70
10 31-Aug-2020 10 MP 0 12
- - - MP 0 -
- - - SAFETY 0 -
2 27//08/2020 2 KM 40 0 1
5 27//08/2020 5 KM 40 0 100
 STOCK MP
STOCK TGL. 07 MEI
GOOD RECEIVED GOOD ISSUE DEPT KETERANGAN
LOGISTIK 2021

1 27//08/2020 1 KM 40 0 1
0 27//08/2020 0 KM 40 0 0
1 27//08/2020 1 KM 40 0 1
1 27//08/2020 1 KM 40 0 1
4 27//08/2020 4 KM 40 0 100
4 27//08/2020 4 KM 40 0 20
4 27//08/2020 4 KM 40 0 100
1 27//08/2020 1 KM 40 0 1
1 27//08/2020 1 KM 40 0 1
1 31-Aug-2020 1 MP 0 1
3 31-Jan-2021 3 KM 40 0 2

STOCK MP
STOCK TGL. 07 MEI
GOOD RECEIVED GOOD ISSUE DEPT LOGISTIK KETERANGAN
2021

1 27//08/2020 1 KM 40 0 1
1 27//08/2020 1 KM 40 0 1
- - - MP 0 -
- - - MP 0 -
- - - 0 -
 STOCK LIST MATERIAL MEDIKA P

PER 07 MEI 2021

1. AREA
NO PERALATAN & MATERIAL QTY UNIT

1 Ranjang UNIT
2 Bed UNIT
3 Bantal UNIT
4 Sarung Bantal UNIT
5 Sprei UNIT
6 Perlak 3 UNIT
7 Selimut UNIT
8 Tirai Partisi PCS
9 Meja PCS
10 Bed Triage UNIT
11 Toilet Portable UNIT

2 Drugs, Disposable, & Consummable

NO DRUGS, DISPOSABLE, & CONSUMMABLE QTY UNIT

1 AMOXSAN CAP 500 MG BOX/100 100 TAB

CIPROFLOXACIN TAB 500 MG OGB
2 BOX/100 100 TAB

3 AZITHROMYCIN TAB 500 MG BOX/30 90 TAB

4 CEFIXIME CAPS 100 MG BOX/100 100 TAB
5 PARACETAMOL TAB 500 MG BOX/100 200 TAB
6 OBH NELLCO SPECIAL 100 ML BOX/1 100 BTL
72 BTL
7 NEW DIATABS TAB BOX/100 100 TAB
8 RHINOFED TAB BOX/50 100 TAB
9 PHAROLIT 200 BOX/60 60 SACHET
10 RHEA 24 BTL
72 BTL
11 STARMUNO KAPL BOX/30 180 TAB
210 TAB
90 TAB
12 CELESTAMINE TAB BOX/30 90 TAB
13 EPINEPRIN INJ AMP BOX/100 9 AMP
14 INFUSAN NS SOFTBAG 500ML SINGLE PORT KOLF/1 KOLF
15 INFUSAN OTSUKA 500 ML KOLF/1 20 KOLF
16 INDEXON INJ 5MG/ML AMP BOX/5 10 AMP
17 CHLOROQUINE TAB 150 MG BOX/100 200 TAB
18 SIDIADRYL INJ VIAL BOX/10 5 AMP
19 MARIMER NASAL SPRAY ISOTONIK 25 BOTOL
20 BETADINE KUMUR 190 ML 24 BOTOL
21 BECOM- C @ 100 Kaplet/ Box 0 TAB
40 TAB
50 TAB
22 HID 500 @30 Tablet/ Box 0 TAB
23 ZINC @ 100 Tablet/ Box 100 TAB
50 TAB
400 TAB
24 NATRIUM DIKLOFENAC 50MG TAB BOX/5 50 TAB
25 CETIRIZINE TAB BOX/50 190 TAB
26 OMEPRAZOL CAP 20 MG BOX/30 60 BOX
27 VIT D3 100 KAP
50 TAB
100 TAB
METHYLPREDNISOLONE 4 MG@100
28 200 TAB
TAB/BOX
29 PRORIS TAB 200 MG BOX/50 25 TAB
30 DULCOLAX TAB 5 MG BOX/80 8 TAB
31 BUSCOPAN TAB 10 MG BOX/100 5 TAB
32 Aspilet 80mg tab 5 TAB
33 MERISLON TAB 6 MGBOX/100 10 TAB
34 BETAMETASON CREAM 0.1 % 5 MG 2 ZALF
35 RANITIDIN 150 MG BOX/100 100 TAB
36 POLYSILANE SUSPENSI 100 ML BOX/ 5 BTL
37 CALADINE LOTION 3 BTL
38 GLUCOPHAGE TAB 500 MG BOX/100 20 TAB
39 ENERVON C @100 TAB/BOX 100 TAB
200 TAB
40 AMLODIPINE TAB 10MG BOX/100 10 TAB
41 AMLODIPINE TAB 5 MG BOX/100 10 TAB
42 SANMAG SUSPENSION 120 ML BOX/1 200 BTL
43 PROBIOSTIN TAB BOX/30 510 TAB
44 NASAL OXYGEN CANULA CHILD 1826 PCS 2 PCS
45 NASAL OXYGEN CANULA ADULT 2 PCS
46 NON REBREATHING MASK ADULT 2 PCS
47 REGULATOR 1 PCS
Hazardous Waste Bag (Plastik limbah
48 medis) BESAR 50 PCS

158 PCS
150 PCS
 Hazardous Waste Bag (Plastik limbah
49 300 PCS
medis) kecil
50 Syringe 1ml 20 PCS
75 PCS
51 Syringe 3ml 88 PCS
100 PCS
52 Syringe 5ml 20 PCS
173 PCS
53 Syringe 10ml 10 PCS
169 PCS
54 Syringe 50ml 5 PCS
7 PCS
55 COVID 19 Test Pack 1520 TEST PACK
56 AG Test Pack 325 TEST PACK
725 TEST PACK
250 TEST PACK
57 VTM Test Pack 50 PCS
100 PCS
200 PCS
200 PCS
58 TABUNG SERUM 100 PCS
59 HOLDER 2 PCS
60 TORNIQUETTE 2 PCS
61 MICROPHORE , 2 PCS
62 WING INFUSED 20 PCS
63 COTTON BALL 2 PACK
64 ALKOHOL 70% 1 PCS
65 TEMPAT KAPAS ALCOHOL PCS
66 ALCOHOL SWAB 11 BOX
67 SHARP CONTAINER 4 PCS
68 ADJUSTABLE PIPET 10-100 UL PCS
69 KULKAS + PENCATAT SUHU KULKAS PCS
70 COOL BOX 5.5 L PCS
71 TISSUE BESAR ( LIVI ) 6 PACK
3 PACK
15 PACK
72 TISSUE KECIL 0 PACK
73 SABUN ANTISEPTIK 410 ML 2 PCA
74 GUNTING PCS
75 PINSET STAINLESS STEEL 1 PCS
76 OXYGEN CYLINDER 1.5 M3 STEEL + TROLLEY + REGULATOR UNIT
77 OXYGEN TUBE 2 METER #1115# PCS/1 PCS
19 PCS
78 KLIP PLASTIK OBAT M (15X10 CM) PACK/100 PACK
2 PACK
 79 KLIP PLASTIK OBAT LOGO MP 1 PACK
2 PACK
80 BOTOL SPRAYER PLASTIK 1000 ML PCS/1 1 PCS
81 BOTOL SPRAYER PLASTIK 500 ML PCS/1 2 PCS
82 SANIFECT DISINFECTANS 5 L JERIGEN/5 3 JERIGEN
4 JERIGEN
25 JERIGEN
83 BIOHAZARD SPILLKIT SET/1 1 SET
84 TIPS YELLOW PACK/100 PCS
85 KABEL TIS TIES LABEL 20 CM NYLON PACK/100 PACK
86 NEEDLE FLASHBACK 22X1 #301747 BOX/5 250 PCS
87 TIPS BLUE PACK/100 PCS
88 SAMPLE CUP PCS
89 BLUE ICE PACK 500 GR PCS/1 PCS
90 LABEL S-COAT UK.40MMX30MM@1000 P 1 ROLL
91 STEROFOAM 2 Pcs
92 HANDWASH 5 L 4 JIRIGEN
4 JIRIGEN
93 TRANSSOFIX B/ BRAUN BOX/50 50 PCS
94 LANCET 21 BOX
95 KOM 1 PCS
96 PARAFILM 1 PCS
97
INFUSET ADAULT 15 PCS

3 PPE
NO PPE ITEM QTY UNIT

1 GOWN 200 PCS

500 PCS
140 PCS
2 FACE SHIELD LOGO MP 3 PCS
3 PCS
3 FACE SHIELD HEAD GEAR WITH CLEAR VI 10 PCS
4 GOGGLES 9 PCS
17 PCS
5 N95 MASKS 40 PCS
6 MASKER KN95 BOX/10 15 BOX
62 BOX
7 GLOVES (UK S, M) 900 PCS
200 PCS
 7300 PCS
8 ADULT DIAPERS 26 PCS
9 FACE MASK EARLOOP 3 PLY SAFELOCK BO 150 PCS
3600 PCS
10 HAND SANITIZERS 500 ml 6 BTL
7 BTL
11 HAND SANITIZERS 1000 ml 2 BTL
1 BTL
12 HAND GEL 1000 ml 5 BTL
6 BTL
13 HAND SANITIZERS 5 L JIRIGEN
14 SHOES COVER 4 BOX
4 BOX

23 BOX

3 BOX

15 NURSE CUP 1 BOX

29 BOX

4 Medicine Equipment
NO EQUIPMENT ITEM QTY UNIT

1 PULSE OXIMETRYS 1 UNIT

1 UNIT
2 TENSIMETER MANUAL 2 UNIT
3 TENSIMETER OMRON KECIL 1 UNIT
1 UNIT
4 TENSIMETER OMRON BESAR 1 UNIT
5 NESCO MULTI CHECK 1 UNIT
6 GLUCOSE TEST STRIP / 25 2 BOX
7 CHOLESTEROL TEST STRIP /10 2 BOX
8 URIC ACID TEST STRIP /25 4 BOX
9 STETOSCOPE LITMNA 2 UNIT
10 THERMOMETER INFRARED GUN 2 UNIT
2 UNIT
11 CENTRIFUGE UNIT
12 DIGITAL THERMOMETER 2 UNIT
13 REGULATOR 1 UNIT
14 TIMBANGAN 1 UNIT
5 Equipment
NO ITEM QTY UNIT

1 LAPTOP 1 PCS
1 PCS
2 Printer 1 PCS
3 Printer Barcode UNIT
4 Server UNIT
5 Clinic System UNIT
6 PC 1 UNIT

6 OTHER ( STATIONARY)
NO ITEM QTY UNIT

1 LAKBAN BENING 2� 48 MM ROLL/1 6 ROLL

12 ROLL
2 KERTAS A4 70GR 6 RIM
4 RIM
10 RIM
3 BUKU FOLIO KECIL (21CM X 33CM) PCS/1 2 PCS
4 PULPEN WARNA HITAM PACK/12 50 PACK
5 TIPE X 2 PCS
6 SNOWMAN MARKER BLUE 12 PCS
7 SNOWMAN MARKER BLACK 4 UNIT
8 AMPOLOP POLOS PUTIH 2 BOX
9 STAPLER MAX HD-10 PCS/1 2 PCS
10 BANTEX DEVIDER A4 PACK/10 2 PCS
Note:
1. THERMOMETER INFRARED GUN : 2 Rusak
MATERIAL MEDIKA PLAZA BASECAMP

PER 07 MEI 2021

STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
MP
MP
MP
MP
MP
3 7-Mar MP 3
0 MP
0 MP
0 MP
0 MP
0 MP

STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
100 07-Mar-2021 100 MP 100
100 07-Mar-2021 100 MP 100
90 07-Mar-2021 90 MP 84
100 07-Mar-2021 100 MP 80
200 07-Mar-2021 200 MP 170
100 07-Mar-2021 100 MP
72 18-Mar-2021 72 MP 168
100 07-Mar-2021 100 MP 80
100 07-Mar-2021 100 MP 73
60 07-Mar-2021 60 MP 54
24 07-Mar-2021 24 MP
72 18-Mar-2021 72 MP 93
180 07-Mar-2021 180 MP
210 22-Mar-2021 210 MP
90 15-Apr-2021 90 MP 0
90 07-Mar-2021 90 MP 50
9 07-Mar-2021 9 MP 9
0 0
20 07-Mar-2021 20 MP 15
 10 07-Mar-2021 10 MP 10
200 07-Mar-2021 200 MP 200
5 07-Mar-2021 5 MP 5
25 07-Mar-2021 25 MP 24
24 07-Mar-2021 24 MP 24
0 07-Mar-2021 0 MP
40 16-Mar-2021 40 MP
50 26-Mar-2021 50 MP 0
0 07-Mar-2021 0 MP 0
100 22-Mar-2021 100 MP
50 01-Apr-2021 50 MP
400 30-Apr-2021 400 MP 370
50 07-Mar-2021 50 MP 40
190 26-Mar-2021 190 MP 167
60 07-Mar-2021 60 MP 26
100 16-Mar-2021 100 MP
50 01-Apr-2021 50 MP
100 30-Apr-2021 100 MP 50
200 21-Mar-2021 200 MP 200
25 26-Mar-2021 25 MP 25
8 26-Mar-2021 8 MP 8
5 26-Mar-2021 5 MP 5
5 26-Mar-2021 5 MP 5
10 26-Mar-2021 10 MP 10
2 26-Mar-2021 2 MP 2
100 26-Mar-2021 100 MP 98
5 26-Mar-2021 5 MP 5
3 26-Mar-2021 3 MP 3
20 01-Apr-2021 20 MP 20
100 01-Apr-2021 100 MP
200 06-Apr-2021 200 MP 192
10 01-Apr-2021 10 MP 10
10 01-Apr-2021 10 MP 10
200 08-04-2021 200 MP 199
510 09-April-2021 510 MP 420
2 12-Apr-2021 2 MP 2
2 12-Apr-2021 2 MP 2
2 12-Apr-2021 2 MP 2
1 12-Apr-2021 1 MP 1
50 07-Mar-2021 50 MP

158 18-Mar-2021 158 MP

150 21-Mar-2021 150 MP 300
300 18-Mar-2021 300 MP 250
20 07-Mar-2021 20 MP
75 20-Mar-2021 75 MP 94
88 07-Mar-2021 88 MP
100 20-Mar-2021 100 MP 188
20 07-Mar-2021 20 MP
173 20-Mar-2021 173 MP 193
10 07-Mar-2021 10 MP
169 20-Mar-2021 169 MP 177
5 07-Mar-2021 5 MP
7 20-Mar-2021 7 MP 12
1520 07-Mar-2021 1520 MP 561
325 07-Mar-2021 325 MP
725 08-Apr-2021 725 MP
250 09-Apr-2021 250 MP 437
50 07-Mar-2021 50 MP
100 09-Apr-2021 100 MP
200 29-Apr-21 200 MP
200 29-April-2021 200 MP 161
100 07-Mar-2021 100 MP 100
2 07-Mar-2021 2 MP 2
2 07-Mar-2021 2 MP 2
2 07-Mar-2021 2 MP 2
20 07-Mar-2021 20 MP 20
2 07-Mar-2021 2 MP 2
1 07-Mar-2021 1 MP 1
0 0
11 07-Mar-2021 11 MP 8
4 07-Mar-2021 4 MP 4
0 0
0 0
0 0
6 07-Mar-2021 6 MP
3 18-Mar-2021 3 MP
15 08-Apr-2021 15 MP 14

2 18-Mar-2021 2 MP 1
0 0
1 07-Mar-2021 1 MP 1
0 0
0 0
19 18-Mar-2021 19 MP 19
0 07-Mar-2021 0 MP
2 29-Apr-21 2 MP
 1 07-Mar-2021 1 MP
2 29-Apr-2021 2 MP 1
1 07-Mar-2021 1 MP 1
2 20-Mar-2021 2 MP 2
3 07-Mar-2021 3 MP
4 20-Mar-2021 4 MP
25 25-Mar-2021 25 MP 19
1 07-Mar-2021 1 MP 1
0 0
0 0
250 07-Mar-2021 250 MP 250
0 0
0 0
0 0
1 07-Mar-2021 1 MP 0
2 07-Mar-2021 2 MP 2
4 07-Mar-2021 4 MP
4 18-Mar-2021 4 MP 7
50 07-Mar-2021 50 MP 49
21 07-Mar-2021 21 MP 16
1 07-Mar-2021 1 MP 1
1 18-Mar-2021 1 MP 1
15 20-Mar-2021 15 MP 15

STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
200 07-Mar-2021 200 MP
500 18-Mar-2021 500 MP
140 07-Apr-2021 140 MP 335
3 07-Mar-2021 3 MP
3 18-Mar-2021 3 MP 5
10 21-Mar-2021 10 MP 10
9 07-Mar-2021 9 MP
17 20-Mar-2021 17 MP 26
40 07-Mar-2021 40 MP 0
15 16-Mar-2021 15 MP
62 20-Mar-2021 62 MP 18
900 07-Mar-2021 900 MP
200 18-Mar-2021 200 MP
 7300 21-Mar-2021 7300 MP 4500
26 07-Mar-2021 26 MP 26
150 07-Mar-2021 150 MP
3600 20-Mar-2021 3600 MP 2350
6 07-Mar-2021 6 MP
7 18-Mar-2021 7 MP 8
2 07-Mar-2021 2 MP
1 18-Mar-2021 1 MP 3
5 07-Mar-2021 5 MP
6 18-Mar-2021 6 MP 9
0 0
4 07-Mar-2021 4 MP
4 18-Mar-2021 4 MP
23 20-Mar-2021 23 MP 24

3 3 MP
29-Apr-21
1 14-Mar-2021 1 MP

29 20-Mar-2021 29 MP 25

STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
1 07-Mar-2021 1 MP
1 26-Mar-2021 1 MP 2
2 07-Mar-2021 2 MP 2
1 07-Mar-2021 1 MP
1 20-Mar-2021 1 2
1 22-Mar-2021 1 MP 1
1 07-Mar-2021 1 MP 1
2 07-Mar-2021 2 MP 1
2 07-Mar-2021 2 MP 1
4 07-Mar-2021 4 MP 3
2 07-Mar-2021 2 MP 3
2 07-Mar-2021 2 MP
2 20-Mar-2021 2 MP 4
0 0
2 07-Mar-2021 2 MP 2
1 13-Apr-2021 1 MP 1
1 29-Apr-21 1 MP 1
 STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
1 MP
1 18-Mar-2021 MP 2
1 18-Mar-2021 MP 1
MP
MP

1 20-Mar-2021 MP 1

STOCK MP
GOOD RECEIVED GOOD ISSUE DEPT STOCK LOGISTIK TGL
07 Mei 2021
6 07-Mar-2021 6 MP
12 20-Mar-2021 12 MP
6 07-Mar-2021 6 MP
4 30-Mar-2021 4 MP
10 08-Apr-2021 10 MP
2 20-Mar-2021 2 MP
50 20-Mar-2021 50 MP
2 20-Mar-2021 2 MP
12 18-Mar-2021 12 MP
4 18-Mar-2021 4 MP
2 8-Apr 2 MP
2 8-Apr 2 MP
2 8-Apr 2 MP
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