Lampiran : Surat Pemesanan Bahan Farmasi

No Surat :
Tanggal :

DAFTAR PEMESANAN BAHAN DAN ALAT PRAKTIKUM LABORATORIUM FARMASI

No Nama Bahan Sediaan Stok Kebutuhan

1 Ambroxol 30 mg - 5 botol 500 tablet

2 Aminophyllinum 200 mg - 5 box 500 tablet
3 Amoxycyllin 500 mg 4 box 400 tablet
4 Antalgin/ methampiron/metamizole 500 mg - 5 box 500 tablet
5 amlodipine 10 mg - 4 box 200 tablet
7 loratadin 10 mg - 4 box 200 tablet
8 cetirizin 10 mg 4 box 200 tablet
9 Cefadroxil 500 mg - 5 box 250 tablet
10 Cimetidin 200 mg - 4 box 400 tablet
11 Gliseril guaiakolat 100 mg - 1 botol 1000 tablet
12 Isoniazid (INH) 100 mg - 5 box 500 tablet
13 Licocalk 500 mg - 5 box 500 tablet
14 Lopamid/ loperamid 2 mg - 5 box 500 tablet
15 Rifampicin 300 mg - 4 box 480 kapsul
16 Salbutamol 4 mg - 3 box 300 tablet
17 captopril 25 mg 5 box 500 tablet
18 antasida Doen komb 3 box 300 tablet
19 ranitidin 150 mg 3 box 300 tablet
20 metoklopramid 10 mg 5 box 500 tablet
21 glibenklamid 5 mg 5 box 500 tablet
22 ibuprofen 400 mg 3 box 300 tablet
23 ISDN 5 mg 5 box 500 tablet
24 bromheksin 8 mg 5 box 500 tablet