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Apotek

Carmelyta Farma P. B. F. …………………………………………………….


Jl. P.Aji.Iskandar Rt. 07 Juata Kerikil
Tarakan, Kalimantan Utara

SURAT PESANAN
Mohon di kirim obat - obatan untuk keperluan Apotek sbb :

No Nama obat Jumlah Keterangan

Tarakan, 2017

Apoteker

Sinta lumele,S.Si.,Apt
APOTEK KEPADA :
DEWI FARMA P. B. F. : LAKSA NUSANTARA FARMA
BTN. INTRACA BLOK C1 JL. CENDRAWASIH IV JUATA PERMAI
TARAKAN, KALIMANTAN UTARA

SURAT PESANAN
Mohon di kirim obat - obatan untuk keperluan Apotek Dewi Farma sbb :

No Nama obat Jumlah

1 Betadine sol 5 ml 6 btl


2 Albothyl Conc 5 ml 2 btl
3 Cendo xytrol eye drop/5 ml 2 btl
4 Borax gliserin 1 box
5 OBH BTK BERDAHAK JAHE 100 ML 2 btl
6 OBH BTK BDHK MNTHL 100ML 2 btl
7 OBH BTK FLU ANK MADU 60ML/ 2 btl
8 OBH BTK FLU ANK ORANGE 2 btl
9 OBH BTK FLU ANK STRAW 60M 2 btl
10 OBH BTK FLU JAHE 100ML 2 btl
11 OBH BTK FLU JAHE 60ML/ 2 btl
12 OBH BTK FLU MADU 100ML 2 btl
13 OBH BTK FLU MADU 60ML 2 btl
14 OBH BTK FLU MNTHL 100M 2 btl
15 OBH BTK FLU MNTHL 60ML 2 btl
16 PEDITOX 50ML 5 btl
17 SARI KURMA AL-JAZIRA/BT 3 btl
18 Degirol Loz/100' 100 pcs
19 NATUR E SC/BOX/16'S SMAL 1 box
20 PHARMATON F CAP/BOX/50'S 1 box
21 SUPERTETRA/BOX/120' 1 box
22 VICKS FF 44 ANAK 27ML 1 btl
23 VICKS FF 44 ANAK 54 ML/FL 1 btl
24 VICKS FORMULA 44 DWS 100ML 1 btl
25 VICKS FORMULA 44 DWS 27M 1 btl
26 VICKS FORMULA 44 DWS 54ML/F 1 btl
27 VICKS INHALER 0,5ML/PC 5 pcs
28 VICKS VAPORUB 25GR/PC 2 pc
29 ANTANGIN CAIR MINT/BOX/12SA 1 box
30 ANTANGIN JRG CAIR/BOX/12SAC 1 box
31 OB HERBAL 60ML 1 btl
32 OB HERBAL JUNIOR/BT 1 btl
33 CAPTOPRIL 25MG/BOX/100' 1 box
34 dexamethazone 0.5 mg 1 box
35 dexanta tablet 1 box
36 VOLTADEX 50MG/BOX/50' 1 box
37 NEUROBION CT/BOX/50' 1 box
38 SANGOBION CAP/BOX/40' 1 box
39 ERLAMYCETIN EYE DROP/BT 2 btl
40 ERLAMYCETIN EYE OINT 3,5GR/ 2 tube
No Nama obat Jumlah

41 AMBROXOL TAB/BOX/100' 1 box


42 ANTASIDA TAB/BOX/100' 1 box
43 ANTASIDA DOEN SYRUP 60ML/B 4 btl
44 BETAMETHASON 0,1%5GR/TU 3 tube
45 GG TAB/KLG/100' 1 klg
46 METHOCLOPRAMIDE 10MG/BOX/ 1 box
47 Y-RINS 12ML/BOX/2'BT 1 box
48 ACYCLOVIR 400MG/BOX/50' 1 box
49 ALLOPURINOL 300MG/BOX/100' 1 box
50 AMLODIPINE 5MG/BOX/30' 1 box
51 AMOXICILLIN 500MG/BOX/100' 1 box
52 DOMPERIDONE SYR60ML/BT 1 btl
53 METHYLPREDNISOLONE 4MG/100 1 box
54 HUFAGRIP BP SYR 60ML/BT 2 btl
55 HUFAGRIPP FLU SYRUP/60ML/BT 2 btl
56 HUFAGRIPP PILEK SYR 60ML/BT 2 btl
57 HUFAGRIPP TMP SYR 60ML/BT 2 btl
58 PARACETAMOL TAB/BOX/100' 1 box
59 INERSON SALEP 15GR/T 2 tube
60 PAMOL TAB/BOX/100' 1 box
61 DAKTARIN CREAM 5GR NEW/TUB 2 tube
62 BIOPLACENTON JELLY/TUB 2 tube
63 KOMIX OBH/BOX/30' 1 box
64 KOMIX PAPERMINT/BOX/30' 1 box
65 MIXAGRIP FLU&BATUK/BOX/25' 1 box
66 MIXAGRIP KAP/BOX/25' 1 box
67 NEURALGIN RX TAB/BOX/100' 1 box
68 WOODS EXP SYR 100ML 2 btl
69 XONCE/BO 1 box
70 ACYCLOVIR CREAM 5GR/TUB 2 tube
71 ANTIHEMOROID/BOX/10'SU 1 box
72 BATUGIN ELIXIR 120ML/BT 1 btl
73 GENTAMYCIN SK 5GR/TUB 10 tube
74 GRISEOFULVIN 125MG/BO 1 box
75 MARCK'S PUTIH/PO 3 POT
76 MICONAZOLE CR 2%/TUB 2 tube
77 SALBUTAMOL 2MG/BO 1 box
78 SIMVASTATIN 20MG TAB/BX/50' 1 box
79 FUNGIDERM CR 5GR/TUB 2 tube
80 KONICARE MINYAK TELON 125M 2 btl
81 KONICARE MINYAK TELON 60ML 2 btl
82 KONICARE MK PUTIH 125ML/BT 2 btl
83 KONICARE MK PUTIH 60ML/BT 2 btl
84 KONIDIN TAB/BOX/50'STRI 1 box
85 PARAMEX FLU&BATUK/BOX/25X4' 1 box
86 PARAMEX TAB/BOX/50'STRI 1 box
87 TERMOREX PLUS SYR 60ML/BT 2 btl
88 TERMOREX SYR 60ML/BT 2 btl
No Nama obat Jumlah

89 MICROLAX OINT/TUB 6 tube


90 POLYSILAN SUSP 100ML/BT 2 btl
91 APIALYS SYRUP 100ML/BT 2 btl
92 FG TROCHES/BOX/120' 1 box
93 KANDISTATIN DROP/BT 2 btl
94 PARACETAMOL SYR 60ML/ 4 btl
95 IBUPROFEN 400MG NOVA/BOX/1 1 box
96 MYLANTA LIQ 50ML/BT 2 btl
97 COMBANTRIN SUSP 10ML/ORAN 4 btl
98 COMBANTRIN TAB 250MG/50' 1 box
99 VISINE EYE DROP(ORIGINAL) 6M 3 btl
100 COOLING 5 SPRAY 15ML/BT 3 btl
101 PRORIS FORTE SYRUP 50ML/BT 2 btl
102 PRORIS SYRUP/BT 2 btl
103 AMOXYCILLIN SYR 2 btl
104 PARATUSIN SYRUP/BTL/60M 2 btl
105 PIROXICAM 10MG/BOX/100' 1 box
106 FIESTA ALLNIGHT/BOX/3' 1 box
107 FIESTA BANANA/BOX/3' 1 box
108 FIESTA BUBLE GUM/BOX/3 1 box
109 FIESTA DOTTED/BOX/3' 1 box
110 FIESTA DURIAN/BOX/3' 1 box
111 FIESTA EXTREM/BOX/3' 1 box
112 FIESTA GRAPE/BOX/3' 1 box
113 FIESTA STRAW/BOX/3' 1 box
114 FIESTA ULTRA THIN/BOX/3' 1 box
115 SUTRA MERAH/BOX/3' 1 box
116 SUTRA OK HITAM/KTK/12' 1 box
117 PIKANG SUANG 5GR/ 6 tube
118 ALKOHOL 70% 100ML/BT 2 btl
119 BALSEM OTOT GELIGA 10GR/FL 3 tube
120 KOOLFEVER BAYI (PINK)/BO 1 box
121 MINYAK ANGIN KAPAK 14ML/FL 2 btl
122 MINYAK ANGIN KAPAK 3ML/B 2 btl
123 MINYAK TELON NO.1 60ML/FL 2 btl
124 MINYAK URUT GPU 60ML/FL 2 btl
125 MKP AROMATHERAPY 120ML OR 2 btl
126 MKP AROMATHERAPY 60ML GRE 2 btl
127 MKP AROMATHERAPY 60ML ORIG 2 btl
128 MKP PLUS LANG 60ML/BT 2 btl
129 ASAM MEFENAMAT 500MG/BOX/ 1 box
130 BYE BYE-FEVER FOR CHILD/BOX/ 1 box
131 GUANISTREP SYR 60ML/BT 2 btl
132 MINYAK TAWON DD 30ML/BT 2 btl
133 MINYAK TAWON EE 60ML/BT 2 btl
134 MINYAK TAWON FF 90ML/BT 2 btl
135 NEO RHEMACYL ORALINU/BOX/5 1 box
136 EO RHEUMACYL NEURO/BOX/12 1 box
No Nama obat Jumlah

137 SALICYL PINK GAJAH/BT 3 tube


138 CDR SWEET ORANGE EFF/TUBE/ 3 tube
139 REDOXON ZINC EFF/TUBE/10' 3 tube
140 ROHTO 7ML/BT 3 tube
141 ROHTO COOL 7ML/BT 3 tube
142 VITAMIN C/BTL/100' 1 btl
143 ANDALAN TAB/BOX/15`PA 1 box
144 OBAT BATUK IBU DAN ANAK 15 2 btl
145 CURCUMA PLUS GOLD JERUK 10 2 btl
146 CURCUMA PLUS GOLD STRAW 10 2 btl
147 CURCUMA PLUS SHARPY ORANG 2 btl
148 CURCUMA PLUS SHARPY STRAW 2 btl
149 IMBOOST FORCE SYR 120ML/BT 2 btl
150 IMBOOST FORCE SYR 60ML/BT 2 btl
151 IMBOOST KIDS SYR ANGGUR 60 2 btl
152 IMBOOST TAB/BOX/20' 1 box
153 COUNTERPAIN COOL 15 GR/TUB 2 tube
154 COUNTERPAIN CR 5 GR/TUB 2 tube
155 INSTO EYE DROP 7,5ML/BT 2 btl
156 FRESHCARE GREEN TEA 10ML/BT 2 btl
157 FRESHCARE LAVENDER 10ML/BT 2 btl
158 FRESHCARE MAA STRONG 10M 2 btl
159 FRESHCARE MIX CITRUS/BT 2 btl
160 FRESHCARE ORIGINAL 10ML/BT 2 btl
161 FRESHCARE SANDALWOOD 10ML 2 btl
162 FRESHCARE SPLASH FRUITY 10M 2 btl
163 FRESHCARE SPORT 10ML/BT 2 btl
164 HOT IN CR 60ML/BOTO 2 btl
165 MADU TJ KURMA 150GR/BT 2 btl
166 MADU TJ SACHET JERUK/BOX/12 1 box
167 MADU TJ PANAS DALAM 150GR/ 2 btl
168 DECOLGEN TABLET/BOX/100' 1 box
169 PANADOL COLD & FLU(HIJAU)/B 1 box
170 PANADOL EXTRA (MERAH)/BOX/1 1 box
171 PANADOL TABLET (BIRU)/BOX/1 1 box
172 SCOTT'S ORIGINAL 200ML/BT 2 btl
173 CALADIN POWDER 60G 2 btl
174 LAXADIN SYRUP/BTL/60M 2 btl
175 VOLTAREN EMULGEL 5GR/T 2 tube
176 LION HEAD 31GR/BT 2 tube

Tarakan, 14 Juli 2018


Apoteker,

Sinta lumele,S.Si.,Apt
NUSANTARA FARMA

Farma sbb :

Keterangan

3,310.00
22,000.00
27,250.00
72,000.00
8,750.00
8,750.00
10,450.00
10,450.00
10,450.00
12,500.00
9,450.00
12,500.00
9,450.00
12,500.00
9,450.00
5,900.00
30,100.00
79,000.00
15,134.00
191,126.00
114,500.00
5,396.00
9,981.00
14,033.00
5,396.00
9,981.00
11,844.00
12,821.00
22,500.00
22,500.00
8,900.00
8,900.00
13,775.00
10,000.00
18,500.00
22,500.00
68,723.00
41,591.00
9,350.00
8,000.00
Keterangan

16,000.00
14,727.00
4,000.00
2,700.00
9,818.00
15,000.00
14,000.00
28,659.00
31,819.00
13,000.00
33,637.00
11,500.00
40,050.00
13,878.00
14,396.00
11,721.00
12,241.00
12,500.00
65,000.00
41,730.00
19,260.00
14,500.00
26,388.00
26,388.00
43,000.00
41,500.00
65,000.00
23,000.00
58,500.00
3,500.00
36,500.00
19,500.00
3,000.00
47,000.00
11,560.00
3,800.00
11,764.00
46,636.00
11,910.00
32,430.00
16,220.00
32,430.00
16,220.00
80,000.00
41,000.00
82,500.00
10,940.00
9,950.00
Keterangan

18,750.00
18,500.00
30,000.00
127,066.00
35,000.00
3,500.00
21,000.00
10,250.00
14,000.00
275,000.00
11,720.00
25,500.00
24,800.00
21,600.00
4,500.00
22,500.00
12,000.00
6,910.00
8,200.00
7,450.00
7,600.00
8,200.00
7,600.00
8,200.00
8,200.00
7,600.00
85,700.00
18,500.00
270,000.00
3,333.00
4,000.00
47,500.00
16,516.00
4,470.00
13,705.00
12,500.00
35,000.00
18,167.00
18,167.00
18,167.00
21,500.00
41,295.00
5,000.00
20,334.00
33,023.00
46,584.00
8,657.00
94,550.00
Keterangan

5,000.00
31,900.00
29,900.00
9,990.00
13,320.00
20,000.00
136,100.00
34,000.00
14,600.00
14,600.00
17,500.00
11,250.00
81,000.00
57,000.00
30,200.00
67,200.00
21,600.00
7,700.00
10,600.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
11,000.00
8,560.00
15,800.00
8,400.00
17,000.00
37,689.00
91,025.00
77,585.00
70,407.00
26,804.00
9,000.00
36,000.00
22,604.00
12,000.00
4,957,131.00
APOTEK KEPADA :
DEWI FARMA P. B. F. : LAKSA NUSANTARA FARMA
BTN. INTRACA BLOK C1 JL. CENDRAWASIH IV JUATA PERMAI
TARAKAN, KALIMANTAN UTARA

SURAT PESANAN
Mohon di kirim obat - obatan untuk keperluan Apotek Dewi Farma sbb :

No Nama obat Jumlah

1 Betadine sol 5 ml 3 btl


2 Albothyl Conc 5 ml 2 btl
3 Cendo xytrol eye drop/5 ml 2 btl
4 Borax gliserin 10 BTL
5 OBH BTK BERDAHAK JAHE 100 ML 2 btl
6 OBH BTK BDHK MNTHL 100ML 2 btl
7 OBH BTK FLU ANK MADU 60ML/ 2 btl
8 OBH BTK FLU ANK ORANGE 2 btl
9 OBH BTK FLU ANK STRAW 60M 2 btl
10 OBH BTK FLU JAHE 100ML 2 btl
13 OBH BTK FLU MADU 60ML 2 btl
15 OBH BTK FLU MNTHL 60ML 2 btl
16 PEDITOX 50ML 5 btl
17 SARI KURMA AL-JAZIRA/BT 3 btl
18 Degirol Loz/100' 10 pcs
19 NATUR E SC/BOX/16'S SMAL 1 box
20 PHARMATON F CAP/BOX/50'S 1 box
21 SUPERTETRA/BOX/120' 1 box
22 VICKS FF 44 ANAK 27ML 1 btl
23 VICKS FF 44 ANAK 54 ML/FL 1 btl
25 VICKS FORMULA 44 DWS 27M 1 btl
26 VICKS FORMULA 44 DWS 54ML/F 1 btl
27 VICKS INHALER 0,5ML/PC 2 pcs
28 VICKS VAPORUB 25GR/PC 2 pc
30 ANTANGIN JRG CAIR/BOX/12SAC 1 box
31 OB HERBAL 60ML 1 btl
32 OB HERBAL JUNIOR/BT 1 btl
33 CAPTOPRIL 25MG/BOX/100' 1 box
34 dexamethazone 0.5 mg 1 box
35 dexanta tablet 1 box
36 VOLTADEX 50MG/BOX/50' 1 box
37 NEUROBION CT/BOX/50' 1 box
38 SANGOBION CAP/BOX/40' 1 box
39 ERLAMYCETIN EYE DROP/BT 2 btl
40 ERLAMYCETIN EYE OINT 3,5GR/ 2 tube
41 AMBROXOL TAB/BOX/100' 1 box
42 ANTASIDA TAB/BOX/100' 1 box
43 ANTASIDA DOEN SYRUP 60ML/B 4 btl
44 BETAMETHASON 0,1%5GR/TU 3 tube
45 GG TAB/KLG/100' 1 klg
No Nama obat Jumlah

46 METHOCLOPRAMIDE 10MG/BOX/ 1 box


47 Y-RINS 12ML/BOX/2'BT 1 box
48 ACYCLOVIR 400MG/BOX/50' 1 box
49 ALLOPURINOL 300MG/BOX/100' 1 box
50 AMLODIPINE 5MG/BOX/30' 1 box
51 AMOXICILLIN 500MG/BOX/100' 1 box
52 DOMPERIDONE SYR60ML/BT 1 btl
53 METHYLPREDNISOLONE 4MG/100 1 box
54 HUFAGRIP BP SYR 60ML/BT 2 btl
55 HUFAGRIPP FLU SYRUP/60ML/BT 2 btl
56 HUFAGRIPP PILEK SYR 60ML/BT 2 btl
57 HUFAGRIPP TMP SYR 60ML/BT 2 btl
58 PARACETAMOL TAB/BOX/100' 1 box
59 INERSON SALEP 15GR/T 2 tube
60 PAMOL TAB/BOX/100' 1 box
61 DAKTARIN CREAM 5GR NEW/TUB 2 tube
62 BIOPLACENTON JELLY/TUB 2 tube
63 KOMIX OBH/BOX/30' 1 box
64 KOMIX PAPERMINT/BOX/30' 1 box
65 MIXAGRIP FLU&BATUK/BOX/25' 1 box
66 MIXAGRIP KAP/BOX/25' 1 box
67 NEURALGIN RX TAB/BOX/100' 1 box
68 WOODS EXP SYR 100ML 2 btl
69 XONCE/BO 1 box
70 ACYCLOVIR CREAM 5GR/TUB 2 tube
71 ANTIHEMOROID/BOX/10'SU 1 box
72 BATUGIN ELIXIR 120ML/BT 1 btl
73 GENTAMYCIN SK 5GR/TUB 10 tube
74 GRISEOFULVIN 125MG/BO 1 box
75 MARCK'S PUTIH/PO 3 POT
76 MICONAZOLE CR 2%/TUB 2 tube
77 SALBUTAMOL 2MG/BO 1 box
78 SIMVASTATIN 20MG TAB/BX/50' 1 box
79 FUNGIDERM CR 5GR/TUB 2 tube
80 KONICARE MINYAK TELON 125M 2 btl
81 KONICARE MINYAK TELON 60ML 2 btl
82 KONICARE MK PUTIH 125ML/BT 2 btl
83 KONICARE MK PUTIH 60ML/BT 2 btl
84 KONIDIN TAB/BOX/50'STRI 1 box
85 PARAMEX FLU&BATUK/BOX/25X4' 1 box
86 PARAMEX TAB/BOX/50'STRI 1 box
87 TERMOREX PLUS SYR 60ML/BT 2 btl
88 TERMOREX SYR 60ML/BT 2 btl
89 MICROLAX OINT/TUB 3 tube
90 POLYSILAN SUSP 100ML/BT 2 btl
91 APIALYS SYRUP 100ML/BT 2 btl
92 FG TROCHES/BOX/120' 1 box
93 KANDISTATIN DROP/BT 2 btl
No Nama obat Jumlah

94 PARACETAMOL SYR 60ML/ 4 btl


95 IBUPROFEN 400MG NOVA/BOX/1 1 box
96 MYLANTA LIQ 50ML/BT 2 btl
97 COMBANTRIN SUSP 10ML/ORAN 4 btl
98 COMBANTRIN TAB 250MG/50' 1 box
99 VISINE EYE DROP(ORIGINAL) 6M 3 btl
100 COOLING 5 SPRAY 15ML/BT 1 btl
101 PRORIS FORTE SYRUP 50ML/BT 2 btl
102 PRORIS SYRUP/BT 2 btl
103 AMOXYCILLIN SYR 2 btl
104 PARATUSIN SYRUP/BTL/60M 2 btl
105 PIROXICAM 10MG/BOX/100' 1 box
106 FIESTA ALLNIGHT/BOX/3' 1 box
107 FIESTA BANANA/BOX/3' 1 box
108 FIESTA BUBLE GUM/BOX/3 1 box
111 FIESTA EXTREM/BOX/3' 1 box
114 FIESTA ULTRA THIN/BOX/3' 1 box
115 SUTRA MERAH/BOX/3' 1 box
116 SUTRA OK HITAM/KTK/12' 1 box
117 PIKANG SUANG 5GR/ 2 tube
118 ALKOHOL 70% 100ML/BT 2 btl
119 BALSEM OTOT GELIGA 10GR/FL 2 tube
120 KOOLFEVER BAYI (PINK)/BO 1 box
121 MINYAK ANGIN KAPAK 14ML/FL 2 btl
122 MINYAK ANGIN KAPAK 3ML/B 2 btl
123 MINYAK TELON NO.1 60ML/FL 2 btl
124 MINYAK URUT GPU 60ML/FL 2 btl
125 MKP AROMATHERAPY 120ML OR 2 btl
126 MKP AROMATHERAPY 60ML GRE 2 btl
127 MKP AROMATHERAPY 60ML ORIG 2 btl
128 MKP PLUS LANG 60ML/BT 2 btl
129 ASAM MEFENAMAT 500MG/BOX/ 1 box
130 BYE BYE-FEVER FOR CHILD/BOX/ 1 box
131 GUANISTREP SYR 60ML/BT 2 btl
132 MINYAK TAWON DD 30ML/BT 2 btl
133 MINYAK TAWON EE 60ML/BT 2 btl
134 MINYAK TAWON FF 90ML/BT 2 btl
135 NEO RHEMACYL ORALINU/BOX/5 1 box
136 EO RHEUMACYL NEURO/BOX/12 1 box
137 SALICYL PINK GAJAH/BT 2 tube
138 CDR SWEET ORANGE EFF/TUBE/ 2 tube
139 REDOXON ZINC EFF/TUBE/10' 2 tube
140 ROHTO 7ML/BT 2 tube
141 ROHTO COOL 7ML/BT 2 tube
142 VITAMIN C/BTL/100' 1 btl
143 ANDALAN TAB/BOX/15`PA 1 box
144 OBAT BATUK IBU DAN ANAK 15 2 btl
145 CURCUMA PLUS GOLD JERUK 10 2 btl
No Nama obat Jumlah

146 CURCUMA PLUS GOLD STRAW 10 2 btl


147 CURCUMA PLUS SHARPY ORANG 2 btl
148 CURCUMA PLUS SHARPY STRAW 2 btl
149 IMBOOST FORCE SYR 120ML/BT 2 btl
150 IMBOOST FORCE SYR 60ML/BT 2 btl
151 IMBOOST KIDS SYR ANGGUR 60 2 btl
152 IMBOOST TAB/BOX/20' 1 box
153 COUNTERPAIN COOL 15 GR/TUB 2 tube
154 COUNTERPAIN CR 5 GR/TUB 2 tube
155 INSTO EYE DROP 7,5ML/BT 2 btl
156 FRESHCARE GREEN TEA 10ML/BT 2 btl
157 FRESHCARE LAVENDER 10ML/BT 2 btl
158 FRESHCARE MAA STRONG 10M 2 btl
159 FRESHCARE MIX CITRUS/BT 2 btl
160 FRESHCARE ORIGINAL 10ML/BT 2 btl
161 FRESHCARE SANDALWOOD 10ML 2 btl
162 FRESHCARE SPLASH FRUITY 10M 2 btl
163 FRESHCARE SPORT 10ML/BT 2 btl
164 HOT IN CR 60ML/BOTO 2 btl
165 MADU TJ KURMA 150GR/BT 2 btl
166 MADU TJ SACHET JERUK/BOX/12 1 box
167 MADU TJ PANAS DALAM 150GR/ 2 btl
168 DECOLGEN TABLET/BOX/100' 1 box
169 PANADOL COLD & FLU(HIJAU)/B 1 box
170 PANADOL EXTRA (MERAH)/BOX/1 1 box
171 PANADOL TABLET (BIRU)/BOX/1 1 box
172 SCOTT'S ORIGINAL 200ML/BT 2 btl
173 CALADIN POWDER 60G 2 btl
174 LAXADIN SYRUP/BTL/60M 2 btl
175 VOLTAREN EMULGEL 5GR/T 2 tube
176 LION HEAD 31GR/BT 2 tube

Tarakan, 16 Juli 2018


Apoteker,

Sinta lumele,S.Si.,Apt
NUSANTARA FARMA

ewi Farma sbb :

Keterangan
Keterangan
Keterangan
Keterangan
APOTEK KEPADA :
DEWI FARMA P. B. F. : LAKSA NUSANTARA FARMA
BTN. INTRACA BLOK C1 JL. CENDRAWASIH IV JUATA PERMAI
TARAKAN, KALIMANTAN UTARA

No Nama obat Jumlah

1 Betadine sol 5 ml 3 btl


2 Albothyl Conc 5 ml 2 btl
3 Cendo xytrol eye drop/5 ml 2 btl
4 Borax gliserin 10 BTL
5 OBH BTK BERDAHAK JAHE 100 ML 2 btl
7 OBH BTK FLU ANK MADU 60ML/ 2 btl
8 OBH BTK FLU ANK ORANGE 2 btl
9 OBH BTK FLU ANK STRAW 60M 2 btl
15 OBH BTK FLU MNTHL 60ML 2 btl
16 PEDITOX 50ML 5 btl
17 SARI KURMA AL-JAZIRA/BT 3 btl
18 Degirol Loz/100' 10 pcs
19 NATUR E SC/BOX/16'S SMAL 1 box
20 PHARMATON F CAP/BOX/50'S 1 box
21 SUPERTETRA/BOX/120' 1 box
23 VICKS FF 44 ANAK 54 ML/FL 1 btl
25 VICKS FORMULA 44 DWS 27M 1 btl
26 VICKS FORMULA 44 DWS 54ML/F 1 btl
27 VICKS INHALER 0,5ML/PC 2 pcs
28 VICKS VAPORUB 25GR/PC 2 pc
30 ANTANGIN JRG CAIR/BOX/12SAC 1 box
31 OB HERBAL 60ML 1 btl
32 OB HERBAL JUNIOR/BT 1 btl
33 CAPTOPRIL 25MG/BOX/100' 1 box
34 dexamethazone 0.5 mg 1 box
35 dexanta tablet 1 box
36 VOLTADEX 50MG/BOX/50' 1 box
37 NEUROBION CT/BOX/50' 1 box
38 SANGOBION CAP/BOX/40' 1 box
39 ERLAMYCETIN EYE DROP/BT 2 btl
40 ERLAMYCETIN EYE OINT 3,5GR/ 2 tube
41 AMBROXOL TAB/BOX/100' 1 box
42 ANTASIDA TAB/BOX/100' 1 box
43 ANTASIDA DOEN SYRUP 60ML/B 4 btl
44 BETAMETHASON 0,1%5GR/TU 3 tube
45 GG TAB/KLG/100' 1 klg
46 METHOCLOPRAMIDE 10MG/BOX/ 1 box
47 Y-RINS 12ML/BOX/2'BT 1 box
48 ACYCLOVIR 400MG/BOX/50' 1 box
49 ALLOPURINOL 300MG/BOX/100' 1 box
50 AMLODIPINE 5MG/BOX/30' 1 box
51 AMOXICILLIN 500MG/BOX/100' 1 box
52 DOMPERIDONE SYR60ML/BT 1 btl
53 METHYLPREDNISOLONE 4MG/100 1 box
54 HUFAGRIP BP SYR 60ML/BT 2 btl
55 HUFAGRIPP FLU SYRUP/60ML/BT 2 btl
56 HUFAGRIPP PILEK SYR 60ML/BT 2 btl
57 HUFAGRIPP TMP SYR 60ML/BT 2 btl
58 PARACETAMOL TAB/BOX/100' 1 box
59 INERSON SALEP 15GR/T 2 tube
60 PAMOL TAB/BOX/100' 1 box
61 DAKTARIN CREAM 5GR NEW/TUB 2 tube
62 BIOPLACENTON JELLY/TUB 2 tube
63 KOMIX OBH/BOX/30' 1 box
64 KOMIX PAPERMINT/BOX/30' 1 box
65 MIXAGRIP FLU&BATUK/BOX/25' 1 box
66 MIXAGRIP KAP/BOX/25' 1 box
67 NEURALGIN RX TAB/BOX/100' 1 box
68 WOODS EXP SYR 100ML 2 btl
69 XONCE/BO 1 box
70 ACYCLOVIR CREAM 5GR/TUB 2 tube
71 ANTIHEMOROID/BOX/10'SU 1 box
72 BATUGIN ELIXIR 120ML/BT 1 btl
73 GENTAMYCIN SK 5GR/TUB 10 tube
74 GRISEOFULVIN 125MG/BO 1 box
75 MARCK'S PUTIH/PO 3 POT
76 MICONAZOLE CR 2%/TUB 2 tube
77 SALBUTAMOL 2MG/BO 1 box
78 SIMVASTATIN 20MG TAB/BX/50' 1 box
79 FUNGIDERM CR 5GR/TUB 2 tube
80 KONICARE MINYAK TELON 125M 2 btl
81 KONICARE MINYAK TELON 60ML 2 btl
82 KONICARE MK PUTIH 125ML/BT 2 btl
83 KONICARE MK PUTIH 60ML/BT 2 btl
84 KONIDIN TAB/BOX/50'STRI 1 box
85 PARAMEX FLU&BATUK/BOX/25X4' 1 box
86 PARAMEX TAB/BOX/50'STRI 1 box
87 TERMOREX PLUS SYR 60ML/BT 2 btl
88 TERMOREX SYR 60ML/BT 2 btl
89 MICROLAX OINT/TUB 3 tube
90 POLYSILAN SUSP 100ML/BT 2 btl
91 APIALYS SYRUP 100ML/BT 2 btl
92 FG TROCHES/BOX/120' 1 box
93 KANDISTATIN DROP/BT 2 btl
94 PARACETAMOL SYR 60ML/ 4 btl
95 IBUPROFEN 400MG NOVA/BOX/1 1 box
96 MYLANTA LIQ 50ML/BT 2 btl
97 COMBANTRIN SUSP 10ML/ORAN 4 btl
98 COMBANTRIN TAB 250MG/50' 1 box
99 VISINE EYE DROP(ORIGINAL) 6M 3 btl
100 COOLING 5 SPRAY 15ML/BT 1 btl
101 PRORIS FORTE SYRUP 50ML/BT 2 btl
102 PRORIS SYRUP/BT 2 btl
103 AMOXYCILLIN SYR 2 btl
104 PARATUSIN SYRUP/BTL/60M 1 btl
105 PIROXICAM 10MG/BOX/100' 1 box
106 FIESTA ALLNIGHT/BOX/3' 1 box
108 FIESTA BUBLE GUM/BOX/3 1 box
115 SUTRA MERAH/BOX/3' 1 box
116 SUTRA OK HITAM/KTK/12' 1 box
117 PIKANG SUANG 5GR/ 2 tube
118 ALKOHOL 70% 100ML/BT 2 btl
119 BALSEM OTOT GELIGA 10GR/FL 2 tube
120 KOOLFEVER BAYI (PINK)/BO 1 box
121 MINYAK ANGIN KAPAK 14ML/FL 2 btl
122 MINYAK ANGIN KAPAK 3ML/B 2 btl
123 MINYAK TELON NO.1 60ML/FL 2 btl
124 MINYAK URUT GPU 60ML/FL 2 btl
125 MKP AROMATHERAPY 120ML OR 2 btl
126 MKP AROMATHERAPY 60ML GRE 2 btl
127 MKP AROMATHERAPY 60ML ORIG 2 btl
128 MKP PLUS LANG 60ML/BT 2 btl
129 ASAM MEFENAMAT 500MG/BOX/ 1 box
130 BYE BYE-FEVER FOR CHILD/BOX/ 1 box
131 GUANISTREP SYR 60ML/BT 2 btl
132 MINYAK TAWON DD 30ML/BT 2 btl
133 MINYAK TAWON EE 60ML/BT 2 btl
134 MINYAK TAWON FF 90ML/BT 2 btl
135 NEO RHEMACYL ORALINU/BOX/5 1 box
136 EO RHEUMACYL NEURO/BOX/12 1 box
137 SALICYL PINK GAJAH/BT 2 tube
138 CDR SWEET ORANGE EFF/TUBE/ 2 tube
139 REDOXON ZINC EFF/TUBE/10' 2 tube
140 ROHTO 7ML/BT 2 tube
141 ROHTO COOL 7ML/BT 2 tube
142 VITAMIN C/BTL/100' 1 btl
143 ANDALAN TAB/BOX/15`PA 1 box
144 OBAT BATUK IBU DAN ANAK 15 2 btl
145 CURCUMA PLUS GOLD JERUK 10 1 btl
146 CURCUMA PLUS GOLD STRAW 10 1 btl
147 CURCUMA PLUS SHARPY ORANG 1 btl
148 CURCUMA PLUS SHARPY STRAW 1 btl
149 IMBOOST FORCE SYR 120ML/BT 2 btl
150 IMBOOST FORCE SYR 60ML/BT 2 btl
151 IMBOOST KIDS SYR ANGGUR 60 2 btl
152 IMBOOST TAB/BOX/20' 1 box
154 COUNTERPAIN CR 5 GR/TUB 2 tube
155 INSTO EYE DROP 7,5ML/BT 2 btl
156 FRESHCARE GREEN TEA 10ML/BT 2 btl
157 FRESHCARE LAVENDER 10ML/BT 2 btl
158 FRESHCARE MAA STRONG 10M 2 btl
159 FRESHCARE MIX CITRUS/BT 2 btl
160 FRESHCARE ORIGINAL 10ML/BT 2 btl
161 FRESHCARE SANDALWOOD 10ML 2 btl
162 FRESHCARE SPLASH FRUITY 10M 2 btl
163 FRESHCARE SPORT 10ML/BT 2 btl
164 HOT IN CR 60ML/BOTO 1 btl
165 MADU TJ KURMA 150GR/BT 1 btl
166 MADU TJ SACHET JERUK/BOX/12 1 box
167 MADU TJ PANAS DALAM 150GR/ 1 btl
168 DECOLGEN TABLET/BOX/100' 1 box
169 PANADOL COLD & FLU(HIJAU)/B 1 box
170 PANADOL EXTRA (MERAH)/BOX/1 1 box
171 PANADOL TABLET (BIRU)/BOX/1 1 box
172 SCOTT'S ORIGINAL 200ML/BT 2 btl
173 CALADIN POWDER 60G 2 btl
174 LAXADIN SYRUP/BTL/60M 1 btl
175 VOLTAREN EMULGEL 5GR/T 1 tube
176 LION HEAD 31GR/BT 1 tube

Tarakan, 16 Juli 2018


Apoteker,

Sinta lumele,S.Si.,Apt
NUSANTARA FARMA

Keterangan

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