NO.

NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT

1 DUVADILAN INJ 1680 JUNI 2016 KIMIA FARMA 1 AMP
2 SUCTION CATHETER 16 116003 MEI 2016 BIO MEDITUBE 2 PCS
3 VITACID CREAM 0,25% 15GR 514 MEI 2016 SDM 1 TUBE
4 FARSORBID INJ EF 3163 JUNI 2016 FARENHEIT 3 VIAL
5 COVERAM 5MG/5MG 192349 JUNI 2016 PRAFA 30 TAB
6 NEUROLIN INJ 500MG/4ML EE1633 MEI 2016 FARENHEIT 5 AMP
HARGA
OBAT/ALKES EXPIRED BULAN JUNI 2016

NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT

1 NEBULIZER MSK PED JUNI 2016 1 PCS
2 VASCUPRAX TAB JUNI 2016 5 TAB
3 FARSORBID INJ EF3163 JUNI 2016 FARENHEIT 4 TAB
4 NEBULIZER MSK ADULT JUNI 2016 1 PCS
5 BIOQIUNONE TAB JUNI 2016 110 TAB
6 OPIXIME TAB JUNI 2016 120 TAB
7 FEEDING SET JUNI 2016 2 PCS
8 STABLON JUNI 2016 49 TAB
9 ABBOTIC XL JUNI 2016 13 TAB
10 DUVADILAN INJ 1680 JUNI 2016 KIMIA FARMA 1 AMP
11 COVERAM 5MG/5MG 192349 JUNI 2016 PRAFA 30 TAB

TOTAL
HARGA TOTAL TOTAL RETUR KETERANGAN
41800 41,800
2873 14,365
66000 264,000
33220 33,220
0 -
0 -
15300 30,600
0 -
39860 518,180
28417 28,417
9345 280,350

1,210,932
1,210,932
OBAT/ALKES EXPIRED BULAN JULI 2016

NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT

1 SULFITIS TAB RG0601 1 JULI 2016 FARENHEIT 30 TAB
2 HUMALOG 100ML C359801C 1 JULI 2016 LILLY 7 VIAL
3 ROTATEQ K021023 1 JULI 2016 MERCK 47 VIAL
4 CENDO PANTOCAIN 2 % 3P30615 1 JULI 2016 CENDO 1 TUBE
5 OXYTOCIN INJ 13G0533 1 JULI 2016 ETHICA 2 AMP
6 PRATROPIL 800 EX21 1 JULI 2016 FARENHEIT 32 TAB
7 ABBOCATH 26 7202 1 JULI 2016 HOSPIRA 34 PCS
8 NUTRISURE S26 7482C1 1 JULI 2016 WYETH 1 PACK
9 VENODENOL INJ 1 JULI 2016 7 AMP
10 SANGOBION KIDS SYR 1 JULI 2016 1 BTL
11 ATP DANKOS INJ 1 JULI 2016 DANKOS 2 AMP
12 DUROLANE INJ ADRLA 1 JULI 2016 1 VIAL
13
14
15
16
17
18
19
20
TOTAL

Mengetahui, 31 JULI 2016

Tri Mujiati S.Si., Apt

Kepala Instalasi farmasi
 HARGA TOTAL TOTAL RETUR KETERANGAN
5,500 165,000
152,460 1,067,220
211,981 9,963,107 8,479,240 SUDAH RETUR 4BOX
14,575 14,575
1,753 3,506
4,125 132,000
15,000 510,000
139,651 139,651
49,500 346,500
24,224 24,224
38,500 77,000
2,145,000 2,145,000 2,145,000 SUDAH DIRETUR

14,587,783 10,624,240
3,963,543
OBAT/ALKES BULAN AGUSTUS 2016
NO. NAMA BATCH EXPIRED NAMA PABRIK
1 CENDO PANTOCAIN 0,5% 3P10713 AGUSTUS 2016 CENDO
2 BENANG T-VIO V16 130906 AGUSTUS 2016 TRITON
3 ELIDEL CREAM W1276 AGUSTUS 2016 MEDA
4 BENANG T-VIO V7 130906 AGUSTUS 2016 TRITON
5 PIONIX-M 194004 AGUSTUS 2016 DANKOS
6 NOKOBA INJ EH0493 AGUSTUS 2016 FARENHEIT
7 MAINTATE 5MG HN509 AGUSTUS 2016 TANABE
8 PANADOL COLD TAB X049LJ AGUSTUS 2016 GSK
9 TIARYT INJ EH 1043 AGUSTUS 2016 FARENHEIT
10 SUCTION CATHETER 12 20160825 AGUSTUS 2016 MEGAH MEDIKA PHARMA
11 CENDO TROPIN AGUSTUS 2016 CENDO
12 BENANG T-VIO V15 AGUSTUS 2016 TRITON
13
14
15
16
17
18
19
20
TOTAL
JUMLAH SAT HARGA TOTAL TOTAL RETUR KETERANGAN
1 TUBE 13,338 13,338
18 PCS 97,900 1,762,200
1 TUBE 193,600 193,600
7 PCS 76,450 535,150
28 TAB 6,938 194,264
10 AMP 85,800 858,000
5 TAB 7,418 37,090
19 TAB 695 13,205
2 AMP 27,500 55,000
1 PCS 11,000 11,000
2 TUBE 23,200 46,400
6 PCS 70,675 424,050

4,143,297 -
4,143,297
OBAT/ALKES BULAN SEPTEMBER 2016
NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT
1 DOPAMET 250 P2344102 Sep-16 ACTAVIS 18 TAB
2 ETT4,5 0 Sep-16 MURPHY 2 PCS
3 DIOVAN 40 MG TAB B8026 Sep-16 NOVARTIS 40 TAB
4 HCT TAB 0 Sep-16 INDOFARMA 436 TAB
5 TENSICAP 25 MG OB2226 Sep-16 SANBE 43 TAB
6 FORBETES TAB 850 MG NJ2318 Sep-16 SANBE 25 TAB
7 NEUROVIT E KC2883 Sep-16 KIMIA FARMA 50 TAB
8 EPINEPHRIN INJ 1310384 Sep-16 ETHICA 4 AMP
9 VASCON INJ EI 1463 Sep-16 FARENHEIT 1 AMP
10 BISTURI NO.10 BB510 Sep-16 B-BRAUN 2 PCS
11 DEPAXOTERE ER 500 MG 48223XP Sep-16 ABBOTT 222 TAB
12 FALERGI DROP E1254 Sep-16 FARENHEIT 2 DROP
13 TARIVID OPTHAL Sep-16 KALBE 1 TUBE
14 ETT 2,5 MM Sep-16 MURPHY 1 PCS
15 LIPOFUNDIN MCT/LCT 20% 143638082 Sep-16 B-BRAUN 5 BTL
16 TRIDEX 100 ML PJ3047B Sep-16 SANBE 15 KOLF
17 INNOVAIR Sep-16 1 BOX

TOTAL
HARGA TOTAL TOTAL RETUR KETERANGAN
2,057 37,026
231,000 462,000
9,323 372,920
41 17,876
3,260 140,180
974 24,350
934 46,700
9,500 38,000
93,500 93,500
3,685 7,370
15,682 3,481,404 3,136,400 SUDAH RETUR, BOX UTUH BISA RETUR
55,000 110,000
58,300 58,300
45,450 45,450
160,000 800,000
18,280 274,200
396,550 396,550 396,550 SUDAH RETUR

6,405,826 3,532,950
2,872,876
OBAT/ALKES BULAN OKTOBER 2016

NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT

1 INDOP 200 EJ0583 OKTOBER 2016 FARENHEIT 2 VIAL
2 BENANG T-VIO V12 0 OKTOBER 2016 TRITON 5 PCS
3 SURFLO 18G 111108SA OKTOBER 2016 TERUMO 5 PCS
4 TENSILO EJ1943 OKTOBER 2016 FARENHEIT 1 VIAL
5 INF MEYLON 75J42 OKTOBER 2016 OTSU 13 PCS
6 PRENAMIA TAB ok2881 OKTOBER 2016 SANBE 364 TAB
7 ADONA AC INJ FJ184 OKTOBER 2016 10 AMP
8 TEMODAL CAPS 20 MG 5' 4CAPA24005 OKTOBER 2018 1 BOX

TOTAL
HARGA BELI TOTAL TOTAL RETUR KETERANGAN
34,320 68,640
88,000 440,000
29,700 148,500
176,000 176,000
10,890 141,570
880 320,320 320,320 SUDAH DIRETUR
18,720 187,200 187,200 SUDAH DIRETUR
1,226,061 1,226,061 1,226,061 SUDAH DIRETUR
-
-
-
-
-
-
-
-
-

2,708,291 1,733,581
974,710
OBAT/ALKES EXPIRED BULAN NOVEMBERBER 2016

NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT

1 CURRETE 9 MM 0P18906 Nov-16 PLASLINE MEDICAL 9 PCS
2 ABBOCATH 22 12204 Nov-16 VENISYSTEMS 36 PCS
3 STOMACH TUBE FR 12 Nov-16 TERUMO 24 PCS
4 ERITROMYCIN SYR BF3F012 Nov-16 INDOFARMA 5 BTL
5 INF OTSU D10 1/5NS 43K90 Nov-16 OTSU 4 KOLF
6 CENDO LENTICULAR MD 4LE61007 Nov-16 CENDO 7 PACK
7 NORELUT TAB 4311620 Nov-16 DEXA MEDICA 34 TAB
8 HISTOACRYL 0.5ML 1050052 Nov-16 B-BRAUN 1 PCS
9 ATROPIN INJ 12K0369 Nov-16 ETHICA 2 AMP
10 ACTAXON INJ D4F013 Nov-16 6 BOX
11 TOTILAC INF 91142 Nov-16 3 KOLF

TOTAL
MBERBER 2016

HARGA TOTAL TOTAL RETUR KETERANGAN

110,000 990,000
15,000 540,000
49,500 1,188,000
20,295 101,475
10,455 41,820
36,575 256,025
6,875 233,750
275,000 275,000
2,000 4,000
189,125 1,134,750 1,134,750 SUDAH DIRETUR
115,000 345,000 345,000 SUDAH DIRETUR

5,109,820 1,479,750
3,630,070
OBAT/ALKES EXPIRED BULAN DESEMBER 2016

NO. NAMA BATCH EXPIRED NAMA PABRIK JUMLAH SAT HARGA

1 PATANOL EYE DROP 251884F DES 2016 ALCON 2 113,300
2 FORMYCO TAB NM2324 DES 2016 SANBE 76 4,444
3 ATP DANKOS TAB DES 2016 DANKOS 64 1,450
4 CO-DIOVAN 160/122,5 DES 2016 32 16,365
5 DIOVAN 40 MG DES 2016 84 9,323
6 PEPTISOL COKLAT DES 2016 1 56,100
7 CENDO FLOXA DES 2016 CENDO 2 33,578
8 TRAVATAN ED DES 2016 1 447,000
9 OTOZAMBON DROP DES 2016 ZAMBON 2 49,500
10 VAKSIN VERORAB DES 2016 2 174,500
11 VALISANBE INJ DES 2016 9 28,820
12 FEEDING TUBE
13
14

TOTAL
R 2016

TOTAL TOTAL RETUR KETERANGAN

226,600 226,600 PROSES RETUR
337,744 311,080 PROSES RETUR
92,800
523,680
783,132
56,100
67,156
447,000
99,000
349,000
259,380 259,380 PROSES RETUR

3,241,592 797,060
2,444,532
TOTAL EXPIRED TAHUN 2016

NO. BULAN TOTAL GRAFIK OBAT/ALKES EXPIRED

1 JANUARI 4,500,000
2 FEBRUARI 4,000,000 4,143,
3,963,543
3 MARET 3,500,000
4 APRIL 3,000,000
5 MEI 2,500,000
6 JUNI 1,210,932 2,000,000
7 JULI 3,963,543 1,500,000
8 AGUSTUS 4,143,297 1,000,000 1,210,932
9 SEPTEMBER 2,872,876 500,000
10 OKTOBER 974,710 -
RI I T
RI
L EI NI LI US
11 NOVEMBER 3,630,070 A AR E JU
NU U AR AP
M JU
US
T
12 DESEMBER 2,982,212 JA BR M
FE AG
SE
ALKES EXPIRED TAHUN 2016

4,143,297
3,963,543
3,630,070

2,872,876 2,982,212

1,210,932
974,710

RI
L EI NI LI US R R R R
M JU JU T BE BE BE BE
US EM T O M M
AG PT OK VE SE
SE NO DE