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    The document is a report from the Pharmacy Installation of the RSUD Kesehatan Kerja Provinsi Jawa Barat hospital requesting supplies. It contains a table listing 32 items, including their beginning stock in September, receipts in September, total stock, usage in September, remaining stock, optimal stock levels, and requested quantity. The table shows supplies including alcohol swabs, masks, gloves, syringes, and more. It is signed by the heads of the Medical Support Section, Pharmacy Installation, and the staff member who prepared the report.

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    LPPO OKT

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    The document is a report from the Pharmacy Installation of the RSUD Kesehatan Kerja Provinsi Jawa Barat hospital requesting supplies. It contains a table listing 32 items, including their beginning stock in September, receipts in September, total stock, usage in September, remaining stock, optimal stock levels, and requested quantity. The table shows supplies including alcohol swabs, masks, gloves, syringes, and more. It is signed by the heads of the Medical Support Section, Pharmacy Installation, and the staff member who prepared the report.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    10 views2 pages

    Lppo Okt

    Uploaded by

    IGD RSKK
    The document is a report from the Pharmacy Installation of the RSUD Kesehatan Kerja Provinsi Jawa Barat hospital requesting supplies. It contains a table listing 32 items, including their beginning stock in September, receipts in September, total stock, usage in September, remaining stock, optimal stock levels, and requested quantity. The table shows supplies including alcohol swabs, masks, gloves, syringes, and more. It is signed by the heads of the Medical Support Section, Pharmacy Installation, and the staff member who prepared the report.

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    © All Rights Reserved
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    of 2

    DINAS KESEHATAN PROVINSI JAWA BARAT

    UPTD KHUSUS RSUD KESEHATAN KERJA PROVINSI JAWA BARAT


    Jl. Raya Rancaekek KM. 27 No. 612 Desa Nanjungmekar Kecamatan Rancaekek
    email : rsudkk@jabarprov.go.id, TLP. 022- 7798778, Bandung 40394

    LAPORAN PEMAKAIAN DAN PERMINTAAN OBAT

    No. : 1041001012210100001 Tgl Permintaan : 10 Oktober 2022

    Unit Tujuan : Gudang Farmasi Unit Asal : IGD

    Keterangan : null

    Stok Awal Penerimaan Total Stok Pemakaian Sisa Stok Stok Jumlah
    No. Item Barang Merk Satuan
    September September September September September Optimum Permintaan
    1 Alcohol Swab ONEMED (5) OneMed Pieces 100 1.400 1.500 900 600 1.125 1.600
    2 Kasa Lipat 10cm x 10cm (JAYADI) - Pieces 0 0 0 0 0 0 1.300
    3 Masker Bedah Headloop/Hijab Vio - Pieces 0 950 950 950 0 1.188 975
    4 Multivitamin (StarMuno) Kaplet (2) (Hb-05) Dankos Kaplet 0 0 0 0 0 0 780
    5 Tabung - Blood Tube K2 EDTA 4 mL (Tabung Ungu - Pieces 0 0 0 0 0 0 400
    Dewasa)
    6 Tabung - Blood Collection Tubes (Yellow Tube) (BD BD Pieces 0 400 400 400 0 500 400
    Vacutainer)
    7 Multivitamin (Protecal Solid Tablet) (2) (Hb-05) Konimex Tablet 0 0 0 0 0 0 390
    8 Tabung - Micro Tube with EDTA (PEDIATRIC) (BD BD Pieces 100 100 200 200 0 250 200
    Vacutainer)
    9 Disposable Syringe 3 mL (BD) 5 BD Pieces 100 200 300 300 0 375 200
    10 Sarung Tangan Latex (M) Stardec STARDEC Box 1 35 36 36 0 45 34
    11 Sarung Tangan Latex (S) Stardec STARDEC Box 1 0 1 1 0 1 10
    12 Pharmafix 10 cm x 5 m (Hb-05) Pharmaplast Box 0 9 9 9 0 11 8
    13 Plester Bulat OK Plast (2) Indo Abadi Sarimakmur Box 0 0 0 0 0 0 5
    14 Povidon Iodine 1L (2) - Botol 0 0 0 0 0 0 5
    15 ECG Roll Paper 210 mm x 20 m Elitech Technovision Roll 0 4 4 4 0 5 3
    16 Tabung - Tube EDTA 13x75mm; 3ml (Tabung Ungu BD Pieces 400 0 400 400 0 500
    Dewasa)

    Halaman 1 dari 2
    Stok Awal Penerimaan Total Stok Pemakaian Sisa Stok Stok Jumlah
    No. Item Barang Merk Satuan
    September September September September September Optimum Permintaan
    17 Nurse Cap Onemed (3) OneMed Box 180 0 180 30 150 38
    18 Kasa Lipat 5cm x 5cm (JAYADI) - Pieces 1.100 0 1.100 100 1.000 125
    19 Kasa Lipat 6cm x 6cm (JAYADI) - Pieces 0 1.000 1.000 0 1.000 0
    20 Disposable Syringe 1 ml (BD) 3 BD Pieces 100 0 100 0 100 0
    21 ECG Paper-Z-Fold 210x295x150 sheet (INNOQ)(2) Global SCP Medical System pack 0 0 0 0 0 0

    22 Povidone Iodine 10% 1 L (OneMed) OneMed Botol 0 0 0 0 0 0


    23 Masker N95 Nousmed PT Safelock Medical Pieces 180 0 180 0 180 0
    24 Baju Jas Operasi Water Rappell Lestari Buah 0 0 0 0 0 0
    25 Pharmafix 15 cm x 5 m (Nonwoven Fixation Dressing) Pharmaplast Roll 8 0 8 -1 9 -1

    26 Sarung Tangan Latex (L) Sensi Sensi Gloves Box 0 0 0 0 0 0


    27 Hand Rub 500 ml (Softanol) (1) STERIN LABS. Botol 70 0 70 0 70 0
    28 Skin Cleanser 500 ml (E-Care) STERIN LABS. Botol 0 0 0 0 0 0
    29 Sterizyme 5 liter STERIN LABS. Botol 0 0 0 0 0 0
    30 Plester Bulat OK Plast (1) Indo Abadi Sarimakmur Box 15 6 21 15 6 19
    31 Disposable Syringe 20 ml (Nipro) Nipro Buah 0 0 0 0 0 0
    32 Disposable Syringe 10 ml (Nipro) Nipro Pieces 0 0 0 0 0 0

    Bandung, 10 Oktober 2022


    Mengetahui,
    KEPALA SEKSI PENUNJANG MEDIK DAN KEPALA INSTALASI FARMASI Kepala/Koordinator Yang Membuat Laporan
    NON MEDIK RSUD KESEHATAN KERJA Instalasi/Unit/Depo Petugas Instalasi/Unit/Depo

    YATNA HIDAYATNA, S.Kep.,M.MRS R. MERSA NURAIN KAUSAR, S.Farm,Apt (----------------------------------------------------) ANDRIANSYAH LUKMAN N, SKM, S.Kep
    NIP.198001032009021002 NIP.198602232011012003 NIP.198002162006041008

    Halaman 2 dari 2

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