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    SBBK SATELIT September 2020

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    anon_939732770
    This document is a receipt from Puskesmas Saribudolok listing 27 types of medicines that were distributed to three health centers in January 2021. It details the name, unit, quantity and expiration date of each medicine. The receipt was signed by the manager of medicines, the person in charge of the health centers, and the head of Puskesmas Saribudolok.

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    SBBK SATELIT September 2020

    Uploaded by

    anon_939732770
    5 views12 pages
    This document is a receipt from Puskesmas Saribudolok listing 27 types of medicines that were distributed to three health centers in January 2021. It details the name, unit, quantity and expiration date of each medicine. The receipt was signed by the manager of medicines, the person in charge of the health centers, and the head of Puskesmas Saribudolok.

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    SBBK SATELIT

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    This document is a receipt from Puskesmas Saribudolok listing 27 types of medicines that were distributed to three health centers in January 2021. It details the name, unit, quantity and expiration date of each medicine. The receipt was signed by the manager of medicines, the person in charge of the health centers, and the head of Puskesmas Saribudolok.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    5 views12 pages

    SBBK SATELIT September 2020

    Uploaded by

    anon_939732770
    This document is a receipt from Puskesmas Saribudolok listing 27 types of medicines that were distributed to three health centers in January 2021. It details the name, unit, quantity and expiration date of each medicine. The receipt was signed by the manager of medicines, the person in charge of the health centers, and the head of Puskesmas Saribudolok.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 12

    PEMERINTAH KABUPATEN SIMALUNGUN

    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR : Kepala Puskesmas Saribudolok
    PERIHAL : Di
    Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok, Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm Rosdina Saragih


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012
    PEMERINTAH KABUPATEN SIMALUNGUN
    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR : Kepala Puskesmas Saribudolok
    PERIHAL : Di
    Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok, Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm Ida Ernawati Ginting


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012
    PEMERINTAH KABUPATEN SIMALUNGUN
    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR : Kepala Puskesmas Saribudolok
    PERIHAL : Di
    Puskesdes Purba tua Baru Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok,Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm Menni Sinaga


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012
    PEMERINTAH KABUPATEN SIMALUNGUN
    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR Kepala Puskesmas Saribudolok
    PERIHAL .Pendistribusian obat bulan Januari 2021 Di
    Puskesdes Purba Sinombah Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok, Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm Damelia Samosir


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012
    PEMERINTAH KABUPATEN SIMALUNGUN
    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR Kepala Puskesmas Saribudolok
    PERIHAL Pendistribusian obat bulan Januari 2021 Di
    Puskesdes Sinar baru Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok, Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm Santa marsaulina Silaban


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012
    PEMERINTAH KABUPATEN SIMALUNGUN
    DINAS KESEHATAN
    UPT PUSKESMAS SARIBUDOLOK
    JL. Sudirman No.1 - Saribudolok, Kecamatan Silimakuta, Kode Pos : 21167
    Telp. : 081269071430, Email : puskemassaribudolok2017@gmail.com
    SURAT BUKTI BARANG KELUAR ( SBBK ) PUSKESMAS SARIBUDOLOK
    Kepada Yth
    NOMOR Kepala Puskesmas Saribudolok
    PERIHAL Pendistribusian obat bulan Januari 2021 Di
    Puskesdes Sinar baru Saribudolok

    NO JENIS BARANG SATUAN JMLH EXP DATE

    1 AMLODIPIN 10 MG TAB 60
    2 AMOKSICILIN 500 MG TAB 200
    3 AMOKSICILIN SRP 250 MG BTL 10
    4 ANTASIDA TAB TAB 200
    5 COTRIMOXAZOLESIR BTL 5
    6 ASAM ASCORBAT TAB TAB 0
    7 DOMPERIDON TAB 100
    8 CIPROFLOXACIN 500 mg TAB 50
    9 HCT TAB 100
    10 DIPENHIDRAMIN INJ AMP 0
    11 CTM TAB 200
    12 GG TAB 100
    13 KALSIUM LACTAS TAB 100
    14 COTRIMOXAZOLE tab TAB 100
    15 METIL PREDNISOLON TAB 100
    16 GARAM ORALIT BKS 0
    17 NISTATIN TAB TAB 0
    18 NEOMICIN SALEP TUBE 0
    19 PARACETAMOL DROP TAB 5
    20 OXYTETRACIKLIN SALEP MATA TUBE 0
    21 PAROPIDON 30 Ml BTL 1
    22 PARACETAMOL 500 MG TAB 200
    23 PARACETAMOL SIR BTL 10
    24 PIRIDOXIN TAB TAB 0
    25 B COMPLEK TAB 0
    26 SIANACOBALAMIN INJ TAB 0
    27 TIAMIN TAB 0

    Barang tersebut telah diterima dengan baik dan cukup


    Saribudolok, Januari 2021
    Pengelola Obat Penanggung jawab Pustu/Puskesdes

    apt.Rosinta Sipayung S.Farm RAMOSNA PURBA


    NIP.198505102011012015 NIP.
    Diketahui,
    Kepala Puskesmas Saribudolok

    dr. Ikbal Jambak


    NIP. 198504292011012012

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