DAFTAR OBAT YANG DIMUSNAHKAN DAFTA

No. Nama Obat Jumlah Satuan Keterangan Expired No.

1 Cotrimoxazole 480 400 Tablet Nov-18 1
2 Chloramphenicol S.M 109 Tube Feb-19 2
3 Vitamin A 100.000 IU 100 Capsul Feb-19 3
4 Doxicycline 100 Capsul Apr-19 4
5 Vitamin A 200.000 IU 700 Capsul Apr-19 5
6 Zink 100 Tablet Mar-19 6
7 Cavitan 1 Pot Jan-19 7
8 Eugenol 1 Botol Apr-19
9 Ondansetron 4mg 60 Tablet Apr-19 Saksi-saksi
10 Povidone Iodine 34 Botol Nov-17 1
11 Dexamethasone Injeksi 5mg/ml 156 Ampul Apr-19 …………………………
12 Aquadest 6 Botol Mar-19 NIP :
13 Gentamicyn Injeksi 20 Ampul Feb-19
14 Fomalin 2 Botol Mar-18 2
15 Metformin 500mg 1000 Tablet Jun-19 …………………………
16 Methyl Ergometrin 300 Tablet Oct-18 NIP :
17 Primaquin 50 Tablet Apr-18
18 Lisinopril 5mg 700 Tablet Dec-18
19 Propanolol 40mg 100 Tablet May-19
20 Phenobarbital 300 Tablet Sep-19
21 Acyclovir 400mg 250 Tablet Oct-18
22 Furosemide 40mg 500 Tablet Mar-19
23 Vitamin A 100.000 IU 600 Capsul Jun-19
24 Aminophylin injeksi 16 Ampul Apr-19
25 Risperidone 2mg 80 Tablet Feb-19
26 Phenytoinn Sodium 300 Capsul Mar-19
27 Salbutamol 2mg 300 Tablet Jul-19
28 Primaquin 800 Tablet Jul-19
29 Cotrimoxazole 480 3700 Tablet Aug-19
30 Vitamin A 200.000 IU 450 Capsul Aug-19
31 Gentamicyn S.M 32 Tube Jun-19
32 Meylon 9 Vial Jul-19
33 Ketoprofen 8 Supp Jun-18
34 Gentamycin Injeksi 5 Ampul Jul-19
35 Zink 140 Tablet Aug-19
36 Nifedipin 10mg 868 Tablet Jun-19
37 Gentamycin Injeksi 20 Ampul Aug-19
38 Cetirizine Syrup 11 Botol Aug-19
39 MgSO4 64 Vial Aug-19
40 Amlodipine 5mg 750 Tablet Sep-19
41 Ondansetron 8mg 396 Tablet Sep-19
42 Ampicilin Injeksi 8 Vial Sep-19
43 Asam Mefenamat 500mg 1000 Tablet Sep-19
44 Tablet Tambah Darah 13260 Tablet Sep-19
45 Metronidazole 250mg 300 Tablet Feb-19
 DAFTAR PSIKOTROPIKA YANG DIMUSNAHKAN
Nama Obat Jumlah Satuan Keterangan Expired
Hexymer 2mg 1178 Tablet May-19
Carbamazepine 200mg 100 Tablet Aug-19
Trihexyphenidryl 2mg 200 Tablet Jun-19
Stesolid Injeksi 2 Ampul Jul-19
Chlorpromazine Injeksi 5 Ampul Aug-19
Haloperidol 1,5mg 415 Tablet Sep-19
Alprazolam 0,25mg 336 Tablet Sep-19

Saksi-saksi Lenanggguar, 16 September 2019

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