SURAT PERMINTAAN

No. :2 Kepada Yth.

Tanggal : 16/4/2024 Kepala Insatasi Farmasi
Klinik Kecantikan Puspita
di-
Bandar Lampung
Dengan hormat,
Berikut ini daftar permintaan Obat dan Bahan Medis Habis Pakai (BMHP) Klinik Puspita Cabang Sidoarjo :
NO. KODE NAMA BARANG NO. REG JUMLAH KETERANGAN
1 600 Mulei Face Wash 04 18231203961 Botol
2 601 Mulei Face Wash 01 18171205985 Botol
3 602 Mulei Face Wash 02 18171205983 10 Botol
4 603 Mulei Face Wash 03 18171205984 Botol
5 606 Mulei Face Toner 01 18171205981 Botol
6 607 Mulei Face Toner 02 18171205980 5 Botol
7 608 Mulei Face Toner 03 18171205979 Botol
8 609 Mulei Face Toner 04 18231204067 Botol
9 611 Mulei Sb W 18231700620 Botol
10 611 Mulei Sn Ac 18221701800 Pot
11 613 Mulei Sb M 18211701538 Pot
12 614 Mulei Sb N 18221701773 10 Pot
13 615 Mulei Sb P 18221701772 Pot
14 617 Mulei Sc O 18161700326 Pot
15 710 Perfect Bright Cream 18201901644 Pot
16 715 Mulei Night Cream For Men 18210107703 Pot
17 716 Mulei Gravida Cream 18191900025 Pot
18 717 Albavance F
19 718 Dermotin Gel
20 726 Mulei Acne Cream + LHA 18230104996 Pot
21 731 Mulei Eye Gel 18232000468 Pot
22 732 Mulei LC 1 18220110102 Pot
23 733 Loose Powder Beige 18210400940 Pot
24 734 Loose Powder Natural 18220400049 Pot
25 735 Mulei Peeling Cream 18220110103 Pot
26 736 Mulei Pink Lip 18221301524 Botol
27 737 Pressed Powder Beige 18211205984 Pot
28 738 Pressed Powder Natural 18211206340 Pot
29 741 Mulei Serum Gold 18231901561 Botol
30 742 Mulei C Serum 18181901122 Botol
31 743 Mulei Spotless Serum 18201901377 Botol
32 744 Mulei Serum Whitening 18221900604 Botol
33 745 Mulei Acne Lotion 18170103919 Botol
34 746 Mulei Extreme UV Protection 18231700917 4 Botol
35 759 Body Slimming Oral 1 212363941 Kapsul
36 760 Body Slimming Oral 2 212344741 Kapsul
37 762 Glutanol - 50 mg "20 Capsul" 201361061 Botol
38 765 Mulei Neck Cream 18230111395 Pot
39 768 Mulei Night Lotion Body Whitening 18210108932 3 Botol
40 769 Mulei Day Lotion Body Whitening 18210109405 3 Botol
41 771 Mulei Serum Lightening 18231900846 Box
42 772 Mulei Moist Serum 18230103558 Box
43 773 Mulei Acne Serum 18230103460 Box
44 775 Mulei Lifting Serum 18232000152 Box
45 781 Mulei Cleansing 01 18231205726 3 Botol
46 782 Mulei Cleansing 02 18231205783 10 Botol
47 783 Mulei Cleansing 03 18231205884 Botol
48 800 Mulei Lulur Coklat 18190705362 Pot
49 801 Mulei Lulur Melati 18190705363 Pot
50 802 Mulei Body Scrub Pisang 18190705241 Pot
51 803 Mulei Body Scrub Kopi 18190705240 Pot
52 805 Mulei Lulur Rempah 18190705364 Pot
53 806 Cream Iritasi + 26210100742 Bks
54 Mesoestetic-Slimming Care C.Prof.221 (D-Chin) NC47170102955 Vial
55 Mesologica-CC Glow Natural NA26170301018 Vial
56 Mesoestetic-Wh Solution C.Prof.210 (Dermawhite) NC47161900387 1 Vial
57 Infus Diamond (Cernevit) DKI0510700244A1 Vial
58 Facial Scrub 18161206318 Tube
59 Rose Water 18141202520 Botol
60 Aloe Peel Off Mask / Anti Acne 18160200582 Bks
61 Rose Peel Off Mask / Whitening 18160200581 Bks
62 Chamomile Peel Off Mask / Sensitif 18160200583 Bks
63 Dead Sea Peel Off Mask / Detox 18160200584 Bks
64 Immortal Masker Brightening / Totok Wajah 18170200411 1 Bks
65 Cream Detox 18180101226 Tube
66 Massage Oil 18140100844 2 Botol
67 Pre Peel 18201202902 Botol
68 Neutralizer 18200103948 Botol
69 Masker Peeling NA11170200198 Bks
70 Cream RF NA26180105946 Tube
71 Needle 27G x 1/2" AKL20902511192 Bks
72 Needle 30 G x 1/2" AKL20902615909 Bks
73 Spuit 1 cc AKL20902806418 Bks
74 Spuit 3 cc AKL20902806418 Bks
75 Spuit 5 cc AKL20902806418 Bks
76 Spuit 10 cc AKL20902806422 Bks
77 Surflo Wings Infus Set 27G x 1/2" AKL20903803763 Bks
78 Terufussion Infus Set (Infus Set) AKL20902817789 Bks
79 Vasofix 24G x 3/4" (aboket) AKL20902603727 Bks
80 Na Cl (cairan infus) GKL1942900349A1 Botol
81 Aquabides DKL9918705343A1 Botol
82 Prove-C 1000 Acorbic Acid DKL2011646343A1 Ampul
83 C.Prof 213 Mesotox Solution NC47202000001 Vial
84 Lanzox DKL0406200244A1 Vial
85 Zishel-RMDA-S 2PMA-602 Vial
86 Needle Nex 190530 Bks
87 Dermaqual – DQ HA35 Hyaluroic Acid 3,5% NC14232000020 Vial
88 Epineprine 46344003-1 Ampul
89 Tabung PRP AKL20101811403 Pcs
90 Jarum PRP AKL20902714454 Pcs
 SURAT PERMINTAAN

No. :
Tanggal :

NO. KODE NAMA BARANG JUMLAH

1 711 Wh 1 20
2 712 Wh 2
3 713 Wh 3
4 714 Wh 4
5 761 Wh P
6 717 Ac 1
7 718 Ac 2
8 764 BP
9 Whitening Solution (Vit.C + Tationil)
10 Infus Glowing Premium (Complexion-6)
11 Kenacort
12 TCA1
13 Needle Nano
14 Needle MRS Automatic Micro Needle (Needle 12)
15 Acne Citro
16 Spon Kentang
17 Paper Bag
18 Plastik Besar (20x30)
19 Plastik Sedang (15x22)
20 Plastik Kecil
21 Madu
22 Gel IPL Acne
23 Gel IPL Glowing
24 Serum Super Facial
25 Cairan AHA
26 Cairan BHA
27
28
29
30
31

Penanggung Jawab
Instalasi Farmasi KKP Cabang SIDOARJO

Apt. NIKEN MONALISA, S.Farm

SIP: 551.4.1/84/SIPA.FK/II/438.5.2/2024
…………………………………………….