LIST Prepared by, Approved by,

Document No.:
Rev. No.:01 QAC-NS/LIS/MB/004

Subject : DAFTAR STANDAR PEMERIKSAAN Effective Date:

Page 1 of 8
PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN AMPUL, BOTOL & VIAL

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 5 mL ampoule clear flame cut, white C/B, untuk Aqua pro injection 4 mL treatment SP-BK-A-119-00-CF
2 BOTOL PET SANORINE 80 ML SP-BK-B-045-00-CF
3 BOTOL PET SANORINE 200 ML SP-BK-B-044-00-CF
4 BOTOL DS 60 ML SP-BK-B-117-00-CF
5 BOTOL 60 mL K-117 SP-BK-M-220-00-CF
6 BOTOL 120 mL K-43 SP-BK-M-221-00-CF
7 VIAL 12 mL, F20 printed Capri Ethical SP-BK-V-118-00-CF
8 VIAL CLEAR 30 ml injection F20 printed Capri SP-BK-V-124-00-CF
9 VIAL amber 25 mL print Amoxsan SP-BK-V-229-00-CF
10 VIAL 30 mL SP-BK-V-311-00-CF
11 VIAL Clear 20 mL print Amoxsan SP-BK-V-357-00-CF
12 VIAL 10 mL printed SP-BK-V-358-00-CF

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Subject : DAFTAR STANDAR PEMERIKSAAN Effective Date:

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN PRIMER CAP & LAIN-LAIN

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 ALU CAP 20 MM SP-BK-A-120-00-CF
2 CAP ALU TUBE UNTUK EFFERVESCENT BK-C-6710204
3 CAP BOTOL SANORIN SP-BK-C-046-00-CF
4 EYE DROPPER 6,25 X 56,0 BK-E-0320199
5 MEASURING CUP 28 MM SP-BK-M-1323-00
6 MEASURING CUP 31,5 MM SP-BK-M-1323-00
7 MEASURING CUP 31,5 MM SP-BK-M-359-00-CF
8 PP CAP EX. ANCOL TERBANG BK-P-0610100
9 PP CAP PUTIH Ø 22 LOGO AMOXSAN SP-BK-P-300-00-CF
10 PP CAP 28 mm POLOS EX. ALTINEX SP-BK-P-155-00-CF
11 PP CAP AMOXSAN 31,5 MM SP-BK-P-206-00-CF
12 PP CAP Ø 31,5 MM EX. ANCOL TERBANG SP-BK-P-1514
13 PP CAP CAPRI DIAMETER 31,5 MM SP-BK-P-009-00-CF
14 PP CAP PUTIH LOGO CAPRI Ø 28 SP-BK-398-00-CF
15 PREMIER CAP LINERS BK-P-1790102
16 PENANGANAN SILICA GEL CB/VI-031
17 PIPET GELAS (UNTUK AMOXSAN DROPS) BK-B-0580100
18 PIPET GELAS 0,5 – 1 mL SP-BK-S-301-00-CF
19 RED RUBBER STOPPER Ø 20 mm, art s-130 4806/45 SP-BK-R-384-00-CF
20 GREY RUBBER STOPPER Ø 20 mm, art s-130 4806/45 SP-BK-R-385-00-CF
21 Dropper set untuk Cefacef ex. BHARAT (PACKINDO) SP-BK-D-402-00-CF

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN CANGKANG KAPSUL

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 SAMPLING PLAN, AQL DAN DEFFECT, CANGKANG KAPSUL EX. CGI SPU-S-2780103
2 CANGKANG CAPSUL EX. DARSUT BK-C-1770102
3 CANGKANG CAPSUL EX. UNIVERSAL INDIA BK-C-0740102
4 CANGKANG CAPSUL EX. CAPSUGEL JEPANG BK-K-0240198
5 UJI KEBOCORAN KEMASAN SUPPOSITORIA SPU-U-2770103
6 CARA PENANGANAN CANGKANG SUPPOSITORIA BK-C-4850103
7 CANGKANG SUPPOSITIORIA BK-C-3410203
8 CANGKANG CAPSUL AMOXSAN 250 SP-BK-C-212-00-CF
9 CANGKANG CAPSUL AMOXSAN 250 SP-BK-C-254-00-CF
10 CANGKANG CAPSUL AMOXSAN 500 SP-BK-C-213-00-CF
11 CANGKANG CAPSUL AMOXSAN 500 SP-BK-C-253-00-CF
12 CANGKANG CAPSUL CANICOL 500 SP-BK-C-002-00-CF
13 CANGKANG CAPSUL CEFACEF SP-BK-C-400-00-CF
14 CANGKANG CAPSUL CAPRAZOL SP-BK-C-157-00-CF
15 CANGKANG CAPSUL DOXYCYCLINE 100 MG SP-BK-C-207-00-CF
16 CANGKANG CAPSUL REKSICSP 500 SP-BK-C-001-00-CF
17 CANGKANG CAPSUL ZOLACAP SP-BK-C-326-00-CF

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Subject : DAFTAR STANDAR PEMERIKSAAN Effective Date:

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN POLYCELLONIUM CAPSULE

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 POLYCELLONIUM AMOXSAN 500 (132 mm) BK-P-6880103
2 POLYCELLONIUM AMOXSAN 250 BK-P-6770103
3 POLYCELLONIUM AMOXSAN 250 130/12 µm SP-BK-P-256-00-CF
4 POLYCELLONIUM AMOXICILLIN 500 BK-P-6900103
5 POLYCELLONIUM AMOXICILLIN 500 SP-BK-P-211-00-CF
6 POLYCELLONIUM BIOTHICOL 500 KAPSUL SP-BK-P-973-01
7 POLYCELLONIUM BIOTHICOL 250 SP-BK-P-987-00
8 POLYCELLONIUM COLSANCETINE 250 KAPSUL SP-BK-P-988-00
9 POLYCELLONIUM CLINDAMYCIN KAPSUL SP-BK-P-252-00-CF
10 POLYCELLONIUM CEFADROXIL KAPSUL SP-BK-P-260-00-CF
11 POLYCELLONIUM CAPRAZOL KAPSUL SP-BK-P-273-00-CF
12 POLYCELLONIUM CHLORAMPHENICOL 250 MG SP-BK-P-284-00-CF
13 POLYCELLONIUM CANICOL KAPSUL SP-BK-P-008-00-CF
14 POLYCELLONIUM DOXYCYCLINE 100 KAPSUL SP-BK-P-1035-00
15 POLYCELLONIUM DOXYCYCLINE 100 130/12 µm SP-BK-P-208-00-CF
16 POLYCELLONIUM DOXYCYCLINE SP-BK-P-281-00-CF
17 POLYCELLONIUM EFICAP SP-BK-P-351-00-CF
18 POLYCELLONIUM MEFINAL 250 SP-BK-P-989-00
19 POLYCELLONIUM MEGABAL BK-P-1990102
20 POLYCELLONIUM MEZATRIN 250 KAPSUL SP-BK-P-1036-00
21 POLYCELLONIUM OMEPRAZOLE SP-BK-P-249-00-CF
22 POLYCELLONIUM PROLIC 300 KAPSUL SP-BK-P-999-00
23 POLYCELLONIUM PROLIC 150 KAPSUL SP-BK-P-967-00
24 POLYCELLONIUM PYRAZINAMINE 500 MG SP-BK-P-348-00-CF
25 POLYCELLONIUM ROKSICAP 500 KAPSUL SP-BK-P-014-00-CF
26 POLYCELLONIUM SICLIDON 100 KAPSUL SP-BK-P-978-00
27 POLYCELLONIUM SIRIMOX 500 KAPSUL SP-BK-P-011-00-CF
28 POLYCELLONIUM TRAMADOL 50 Mg CAPRI SP-BK-P-289-00-CF
29 POLYCELLONIUM ZOLACAP SP-BK-P-325-00-CF

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN POLYCELLONIUM CAPLET

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 PL ANALSIK FCC 132/15 µm SP-BK-P-958-00
2 PL ANALSIK FCC 264/15 µm SP-BK-P-968-00
3 PL BAQUINOR FORTE FCC 130/12 µm SP-BK-P-1003-00
4 PL BECOM C FCC 264/20 µm SP-BK-P-1038-00
5 PL BECOM ZET FCC 160/20 µm SP-BK-P-1032-00
6 PL CAPSINAT SP-BK-P-121-00-CF
7 PL FEMISIC 500 FCC SP-BK-P-007-00-CF
8 PL MEFINAL 500 FCC 132/12 µm EX. AVESTA SP-BK-P-1001-00
9 PL MEFINAL 500 FCC 264/12 µm EX. PURA SP-BK-P-1001-01
10 PL POLDAN MIG 134/20 µm BK-P-5140103
11 PL SANAFLU 136/12 µm SP-BK-P-1104-00
12 PL SANAFLU 272/12 µm SP-BK-P-938-00
13 PL SANTA E 400 CHEWABLE TABLET 160/20 µm SP-BK-P-1007-00
14 PL SANTA E SCC 134/15 µm SP-BK-P-1028-00
15 PL ULTRAVITA FCC 132/15 µm SP-BK-P-1039-00
16 PL ULTRAVITA FCC 264/15 µm SP-BK-P-1103-00
17 PL ULTRAVITA 160mm/20µ msat (Folic acid+Lycopen) SP-BK-P-370-00-CF

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN POLYCELLONIUM TABLET

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 POLYCELLONIUM AMOXSAN 250 DISPERSIBLE TABLET BK-P-2000102
2 ALU PAPER EMBOSS UNTUK EFFERVESCENT BK-A-6650103
3 POLYCELLONIUM BRAXIDIN FCT SP-BK-P-948-00
4 POLYCELLONIUM BAQUINOR FCT SP-BK-P-1004-00
5 POLYCELLONIUM BRAXIDIN TABLET SP-BK-P-948-00
6 POLYCELLONIUM CIPROFLOXACIN 500 FCT SP-BK-P-1012-00
7 POLYCELLONIUM CIPROFLOXACIN 500 FCT SP-BK-P-1013-00
8 POLYCELLONIUM CIPROFLOXACIN 500 SP-BK-P-310-00-CF
9 POLYCELLONIUM COTROMOXZALE TABLET SP-BK-P-262-00-CF
10 POLYCELLONIUM CARDICAP 5 TABLET SP-BK-P-269-00-CF
11 POLYCELLONIUM CARDICAP 10 SP-BK-P-270-00-CF
12 POLYCELLONIUM CIMETIDINE 200 CAPRI SP-BK-P-286-00-CF
13 POLYCELLONIUM CRIPSA TABLET SP-BK-P-1305-00-CF
14 POLYCELLONIUM CIPREC FCT SP-BK-P-051-00-CF
15 POLYCELLONIUM DAMABEN TABLET SP-BK-P-1024-00
16 POLYCELLONIUM DENUFAM 20 FCT SP-BK-P-015-00-CF
17 POLYCELLONIUM ELKANA FCT SP-BK-P-960-00
18 POLYCELLONIUM FOLAVIT 400 µg TABLET SP-BK-P-1008-00
19 POLYCELLONIUM HEPTASAN 4 mg FCT SP-BK-P-956-000
20 POLYCELLONIUM LEVOCIN 500 BK-P-5860103
21 POLYCELLONIUM LEVOCAP 500 FCT SP-BK-P-308-00-CF
22 POLYCELLONIUM LOGISTA TABLET SP-BK-P-012-00-CF
23 POLYCELLONIUM PARACETAMOL OGB SP-BK-P-174-00-CF
24 POLYCELLONIUM RANITIDINE FCT SP-BK-P-319-00-CF
25 POLYCELLONIUM SANMOL 500 mg TABLET SP-BK-P-937-00
26 PVC RIGIT TRANSPARANT BK-P-1260102

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Subject : DAFTAR STANDAR PEMERIKSAAN Effective Date:

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN POLYCELLONIUM (BACK FOIL)

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 PL SILVER DULL 130/15 µm SP-BK-P-1113-00
2 PL SILVER DULL 130/1 µm SP-BK-P-192-00-CF
3 PL SILVER DULL 132/12 µm SP-BK-P-1118-00
4 PL SILVER DULL 132/20 µm SP-BK-P-6570103
5 PL SILVER DULL 134/15 µm SP-BK-P-191-00-CF
6 PL SILVER DULL 136/15 µm SP-BK-P-1117-00
7 PL SILVER DULL 140/20 µm SP-BK-P-1116-00
8 PL SILVER DULL 150/12 µm SP-BK-P-1114-00
9 PL SILVER DULL 160/20 (MSAT) SP-BK-P-375-00-CF
10 PL SILVER DULL 260/12 µm SP-BK-P-1119-00
11 PL SILVER DULL 264/15 µm SP-BK-P-1120-00
12 PL SILVER DULL 130/12 µm SP-BK-P-166-00-CF
13 PL SILVER DULL 264/12 µm SP-BK-P-170-00-CF
14 PL HOLOGRAM 3 DIMENSI 130/12 µm SP-BK-P-214-00-CF
15 PL HOLOGRAM 3 DIMENSI 132/12 µm SP-BK-P-168-00-CF
16 PL HOLOGRAM 3 DIMENSI 264/12 µm SP-BK-P-169-00-CF
17 PL HOLOGRAM 3 DIMENSI 160/30 (SURLYN) SP-BK-P-171-00-CF

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PENGEMASAN PRIMER

DAFTAR ISI STANDAR PEMERIKSAAN TUBE

HAL NAMA STANDARD PEMERIKSAAN NO.SP

1 ACCEPTABLE QUALITY LEVEL (AQL) PENGUJIAN TUBE
2 COLLAPSIBLE TUBE 10 Gr EX.EXTRUPACK BK-C-0590103
3 TUBE BIFERCE EFFERVESCENT BK-T-6680103
4 TUBE CALDECE EFFERVESCENT SP-BK-T-667
5 TUBE CINOLON TOPICAL CREAM 10 Gr SP-BK-C-1279-00
6 TUBE CINOLON – N TOPICAL CREAM 10 Gr SP-BK-C-1280-00
7 TUBE CENTABIO GEL SP-BK-T-363-00-CF
8 TUBE CENTABIO GEL 20 Gr SP-BK-C-1286-00
9 TUBE FORMYCO TOPICAL CREAM 10 Gr SP-BK-C-1285-00
10 TUBE FLAMAR EMULGEL 20 Gr SP-BK-C-1228-00
11 TUBE HYDROCORTISONE 2,5% SP-BK-C-1196-00
12 TUBE LAFALOS CREAM 20 Gr SP-BK-C-1242-00
13 TUBE LAFALOS PLUS CREAM 20 Gr SP-BK-C-1289-00
14 TUBE MEROSAN CREAM 10 Gr SP-BK-C-1173-00
15 TUBE PIBAKSIN OINTMENT 10 Gr SP-BK-C-223-00
16 TUBE SANCORTMYCIN OINTMENT 10 Gr SP-BK-C-1281-00
17 TUBE PASQUAM CREAM TOPICAL 20 Gr SP-BK-C-558-01
18 TUBE POROFEL 0,5% GEL 20 Gr SP-BK-C-025-01
19 TUBE RHETOFLAM 2,5% GEL 20 Gr SP-BK-C-1287-00
20 TUBE SANCORTMYCIN OINTMENT SP-BK-C-215-00-CF
21 TUBE SAGESTAM TOPICAL CREAM 10 Gr SP-BK-C-1248-00
22 TUBE TOPCORT TOPICAL CREAM 10 Gr SP-BK-C-1283-00
23 TUBE VISANCORT CREAM 10 Gr SP-BK-C-1282-00
24 TUBE VISANCORT KRIM SP-BK-T-278-00-CF
25 TUBE ZERILIS TOPICAL CREAM 10 Gr SP-BK-C-1278-00
26 TUBE ZERILIS SP-BK-T-303-00-CF

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