PERMINTAAN OBAT JKN BUALAN AGUSTUS 2018

NO NAMA OBAT BENTUK SEDIAAN JUMLAH

1 PARACETAMOL TABLET 20 BOX
2 CIMETIDIN TABLET 15 BOX
3 CEFIXIM KAPSUL 10 BOX
4 ALLOPURINOL 100 MG TABLET 10 BOX
5 RANITIDIN INJEKSI 30 AMPUL
6 CEFTRIAXON INJEKSI 20 VIAL
7 CEFOTAXIM INJEKSI 20 VIAL
8 TIAMPHENICOL 500 MG KAPSUL 10 BOX
9 KETOKONAZOL TABLET 7 BOX
10 CETRIZIN TABLET 7 BOX
11 GLIBENKLAMIDE TABLET 10 BOX
12 NATRIUM DIKLOVENAK 50 MG TABLET 10 BOX
13 NEUROBION INJEK. AMPUL 10 PASANG
14 SALBUTAMOL 4 MG TABLET 10 B0X
15 TABLET TAMBAH DARAH TABLET 5 BOX
16 CLORAMPENICOL SIRUP 12 BOTOL
17 ANTASIDA SIRUP 24 BOTOL
18 ANTASIDA TABLET 20 BOX
19 PRIMTRAKOL SIRUP 12 BOTOL
21 GUAFENESIN TABLET 10 BOX
22 NUROBION TABLET 2 BOX
23 CIPROFLOXASIN TABLET 10 B0X
23 VITAMIN C TABLET 5 BOX

Muara wahau 25 Juni 2018

MENGETAHUI PETUGAS GUDANG

KA.UPT PKM MUARA WAHAU I

dr. Adianto Lebang MARGARETA KOSTA S, Farm

NIP : 197809052006041008
 PERMINTAAN OBAT JKN BUALAN SEPTEMBER 2018

NO NAMA OBAT BENTUK SEDIAAN JUMLAH

1 AMLODIPIN 5 MG TABLET 30 BOX
2 CIMETIDIN TABLET 30 BOX
3 CEFIXIM KAPSUL 20 BOX
4 ALLOPURINOL 100 MG TABLET 30 BOX
5 RANITIDIN INJEK INJEKSI 100 AMPUL
6 CEFTRIAXON INJEKSI 100 VIAL
7 CEFOTAXIM INJEKSI 100 VIAL
8 TIAMPHENICOL 500 MG KAPSUL 30 BOX
9 ANTASIDA SUSPENSI TABLET 60 BOTOL
10 ANTASIDA TAB TABLET 60 BOX
11 GLIBENKLAMIDE TABLET 30 BOX
12 NATRIUM DIKLOVENAK 50 MG TABLET 40 BOX
13 NEUROBION INJEK. AMPUL 70 PASANG
14 LORATADINE TABLET 30 B0X
15 TABLET TAMBAH DARAH TABLET 10 BOX
16 CLORAMPENICOL SIRUP 60 BOTOL
17 AQUADEST TILATA BOTOL 50 BOTOL
18 ALLETROL EYE DROPS BOTOL 36 BOTOL
19 PRIMTRAKOL SIRUP 36 BOTOL
21 GUAFENESIN TABLET 40 BOX
22 NUROBION TAB TABLET 20 BOX
23 CAPTOPRIL TABLET 40 B0X
24 PULNAMISIN 5 MG TABLET 10 BOX
25 DOMPERIDONE TABLET 37 BOX
26 DOMPERIDONE SIRUP 60 BOTOL
27 BABY COUHGTH SIRUP SIRUP 12 BOTOL
28 BIOPLACENTON GEL TUBE 10 TUBE
29 NYSTATIN OVULA TABLET VAGINAL 20 BOX
30 ALKOHOL 70 % 100 ML BOTOL 12 BOTOL
31 COMBANTRIN TABLET 20 BOX
32 SALBUTAMOL TABLET 10 BOX
33 SIMVASTATIN 10 MG TABLET 300 TAblet
34 DEXAMETHASONE TABLET 20 BOX
35 PARACETAMOL TAB TABLET 50 BOX
36 METFORMIN 500 MG TABLET 20 BOX
37 SLP. HIDROCORTISON TUBE 5 BOX
38 SLP.BETAMETASONE TUBE 5 BOX
39 SLP. KETOKONAZOLE TUBE 5 BOX
40 GENTAMICIN SLP KULIT TUBE 5 BOX
41 CEFADROXIL TAB TAB 10 BOX
42 BROMIFAR TAB TABLET 10 BOX
43 BROMIFAR PLUS TABLET 10 BOX
44 METILPRENISON 4 MG TABLET 20 BOX
45 PIROXIKAM TABLET 20 BOX
46 DIMENHIDRINAT TABLET 3 BOTOL
47 AMPICILLIN 500 MG TABLET 10 BOX
48 VITAMIN C TABLET 40 BOX

Muara wahau 25 Juni 2018

MENGETAHUI PETUGAS GUDANG

KA.UPT PKM MUARA WAHAU I

dr. Adianto Lebang MARGARETA KOSTA S, Farm

NIP : 197809052006041008
 PERMINTAAN BMHP BULAN AGUSTUS 2018

NO NAMA SATUAN JUMLAH

1 REES ECKER BOTOL 1
2 TASPACK ONEMADE BOX 2
3 KASA GULUNG ROLL 2
4 ALKOHOL 70 % 60 ML BOTOL 12
5 H2O BOTOL 10
6 YELLOW PCS 100
7 ABOCAT 22 BOX 6
8 ABOCAT 24 BOX 6
9 ABOCAT 26 BOX 6
10 ABOCAT 18 BOX 6
11 SPUIT 5 CC BOX 7
12 SPUIT 3 CC BOX 8
13 SPUIT 10 CC BOX 7

14 AUTOCEK CHOLESTEROL BOX 70

15 AUTOCEK ASAM URAT BOX 30

16 MASKER KUPING BOX 30
17 HAND SKUN UK.M BOX 10
18 HAND SKUN UK.S BOX 20
19 HAND SKUN UK.L BOX 10
20 TBUNG VAKUM ( EDTA) BOX 2
21 STRIP URINALIS BOX 2
22 SELANG CATETER UK 18 PCS 10
23 LANSET BOX 15
24 ISAP LENDIR BAYI KOTAK 2
25 GELAS UKUR 100 ML PCS 2
26 HAND SKUN STERIL BKS 30
27 KASA STERIL BOX 30
28 URIN BAG PCS 7
29 KAPAS GULUNG PCS 2
30 CAT GUT BOX 5
31 INFUSET ANAK BOX 5
32 AUTOCEK GLUKOSA BOX 70
33 RIVANOL BOTOL 4

MENGETAHUI PETUGAS GUDANG

KA.UPT PKM MUARA WAHAU I
dr. Adianto Lebang MARGARETA KOSTA
NIP : 197809052006041008