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DEFECTA OBAT APOTEK DENANTI

NO NAMA OBAT JUMLAH SISA STOK HARGA


1 amoxsan drop 5 btol
2 supramox drop 10 botol
3 antasida syr 30 btl
4 erladerm cr 20 tube
5 tremenza tab 2 box
6 ifreepad 2 box
7 haemocaint salep 2 tube
8 plasminex tab 1 box
9 popok celana dewasa xl 1 pak
10 acetylcystein kaps 2 box
11 azitromicin tablet 2 box
12 sanmaag tablet 1 box
13 obh nellco special 100 ml 5 botol
14 prospan syr 2 botol
15 domperidon syr 20 botol
16 sgm 0-6 bulan uk. Kecil 2 dus
17 sgm 6-12 bulan uk. Kecil 2 dus
18 lactulax syr 60 ml 2 botol
19 obh combi batuk flu 100 ml 5 botol
20 avail hijau 2 pak
21 arm sling uk. M 1 pcs
22 arm sling uk. L 1 pcs
23 arm sling uk. XL 1 pcs
24 celana sunat uk. S 1 pcs
25 celana sunat uk. M 1 pcs
26 celana sunat uk. L 1 pcs
27 celana sunat uk. Xl 1 pcs
28 hansaplast transparant 5 pak
29 hotin cr strong botol 60 ml 5 botol
30 hotin cr aromaterapi botol 60 ml 5 botol
31 hotin cr aromaterapi tube 60 gr 5 botol
32 hotin cr aromaterapi tube 120 gr 5 botol
33 betadine gargle 100 ml 5 botol
34 proris syr 5 botol
35 vermint kapsul 3 botol
KET.
Klinik Denanti
Sehat, Berkualitas dan Terjangkau
Jl. Kebon Kopi No. 74, Kota Cimahi
(022) 20585829

Tangal Pengajuan : 01 November 2021


Divisi / Departement : Apotek

FORMULIR PENGADAAN BARANG

NO SUPLIER NAMA OBAT QTY SATUAN


1 PT.JINGGA YUSIMOX TAB 10 BOX
2 PT.JINGGA YUSIMOX SYR 100 FLS
3 PT.JINGGA YUSIMOX FORTE SYR 20 FLS
4 PT.JINGGA FASIDOL TAB 20 BOX
5 PT.JINGGA GASELA TAB 20 BOX
6 PT.JINGGA ZANTIFAR TAB 20 BOX
7 PT.JINGGA OMEPRAZOLE CAP 20 BOX
8 PT.JINGGA LOKEV CAP 20 BOX
9 PT.JINGGA DOBRIZOL CAP 20 BOX
10 PT.JINGGA LANSOPRAZOLE CAP 20 BOX
11 PT.JINGGA ONDANCENTRON TAB 20 BOX
12 PT.JINGGA DOMEPERIDON TAB 10 BOX
13 PT.JINGGA VESPERUM TAB 10 BOX
14 PT.JINGGA DOMPERIDON SYR 25 FLS
15 PT.JINGGA HUFADON SYR 25 FLS
16 PT.JINGGA ANTASIDA TAB 20 BOX
17 PT.JINGGA ANTASIDA SYR 25 FLS
18 PT.JINGGA CAVIPLEX TAB 20 BOX
19 PT.JINGGA BENEURON TAB 20 BOX
20 PT.JINGGA CAVICUR TAB 10 BOX
21 PT.JINGGA HUFABION CAP 5 BOX
22 PT.JINGGA GENCEF CAP 20 BOX
23 PT.JINGGA CEFADROXIL CAP 20 BOX
24 PT.JINGGA CEFIXIM 100 MG CAP 20 BOX
25 PT.JINGGA LERZIN CAP 20 BOX
26 PT.JINGGA CETIRIZIN TAB 10 BOX
27 PT.JINGGA AMLODIPIN 10 MG 10 BOX
28 PT.JINGGA AMLODIPIN 5 MG 10 BOX
29 PT.JINGGA RENADINAC TAB 10 BOX
30 PT.JINGGA FARGETIC TAB 10 BOX
31 PT.JINGGA FARIDEXON TAB 10 BOX
32 PT.JINGGA CORTIDEX TAB 10 BOX
33 PT.JINGGA FLACOID TAB LOSAN 10 POT
34 PT.JINGGA HISTIGO TAB 20 BOX
35 PT.JINGGA BETAHISTIN TAB 10 BOX
36 PT.JINGGA KADITIC TAB 10 BOX
37 PT.JINGGA FASIDOL SYR 100 FLS
38 PT.JINGGA LYSCAVIT SYR 100 FLS
39 PT.JINGGA LECOZINC SYR 50 FLS
40 PT.JINGGA FLUTOP C SYR 50 FLS
41 PT.JINGGA ROVERTON SYR 20 FLS
42 PT.JINGGA FASIDOL DROP 20 FLS
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

Disetujui oleh, Diajukan oleh,

( ) ( apt. Deismayanti, S.Farm


ARANG

KONTAK SUPLIER
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594
Pak Amrin/085222994594

Diajukan oleh,

( apt. Deismayanti, S.Farm)


Klinik Denanti
Sehat, Berkualitas dan Terjangkau
Jl. Kebon Kopi No. 74, Kota Cimahi
(022) 20585829

Tangal Pengajuan : 01 November 2021


Divisi / Departement : Apotek

FORMULIR PENGADAAN BARANG

NO SUPLIER NAMA OBAT QTY SATUAN


1 PT. KUDAMAS
2 PT. KUDAMAS
3 PT. KUDAMAS
4 PT. KUDAMAS
5 PT. KUDAMAS
6 PT. KUDAMAS
7 PT. KUDAMAS
8 PT. KUDAMAS
9 PT. KUDAMAS
10 PT. KUDAMAS
11 PT. KUDAMAS
12 PT. KUDAMAS
13 PT. KUDAMAS
14 PT. KUDAMAS
15 PT. KUDAMAS
16 PT. KUDAMAS
17 PT. KUDAMAS
18 PT. KUDAMAS
19 PT. KUDAMAS
20 PT. KUDAMAS
21 PT. KUDAMAS
22 PT. KUDAMAS
23 PT. KUDAMAS
24 PT. KUDAMAS
25 PT. KUDAMAS
26 PT. KUDAMAS
27 PT. KUDAMAS
28 PT. KUDAMAS
29 PT. KUDAMAS
30 PT. KUDAMAS
31 PT. KUDAMAS
32 PT. KUDAMAS
33 PT. KUDAMAS
34 PT. KUDAMAS
35 PT. KUDAMAS
36 PT. KUDAMAS
37 PT. KUDAMAS
38 PT. KUDAMAS
39 PT. KUDAMAS
40 PT. KUDAMAS
41 PT. KUDAMAS
42 PT. KUDAMAS
43 PT. KUDAMAS
44 PT. KUDAMAS
45 PT. KUDAMAS
46 PT. KUDAMAS
47 PT. KUDAMAS
48 PT. KUDAMAS
49 PT. KUDAMAS
50 PT. KUDAMAS
51 PT. KUDAMAS
52 PT. KUDAMAS
53 PT. KUDAMAS
54 PT. KUDAMAS
55 PT. KUDAMAS
56 PT. KUDAMAS
57 PT. KUDAMAS
58 PT. KUDAMAS
59 PT. KUDAMAS
60 PT. KUDAMAS
61 PT. KUDAMAS
62 PT. KUDAMAS
63 PT. KUDAMAS

Disetujui oleh, Diajukan oleh,

( ) ( apt. Deismayanti, S.Farm


ARANG

KONTAK SUPLIER
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023
Pak Hernandar / 08891946023

Diajukan oleh,

( apt. Deismayanti, S.Farm)


Klinik Denanti
Sehat, Berkualitas dan Terjangkau
Jl. Kebon Kopi No. 74, Kota Cimahi
(022) 20585829

Tangal Pengajuan : 01 November 2021


Divisi / Departement : Apotek

FORMULIR PENGADAAN BARANG

NO SUPLIER NAMA OBAT QTY SATUAN


1 GROSIR aqua 20 dus
2 GROSIR susu uht coklat 2 dus
3 GROSIR susu uht strawberry 2 dus
4 GROSIR susu uht full cream 2 dus
5 GROSIR teh kotak 4 dus
6 GROSIR
24 GROSIR

Disetujui oleh, Diajukan oleh,

( ) ( apt. Deismayanti, S.Farm


ARANG

KONTAK SUPLIER
CASH ON DELIVERY ( COD )

Diajukan oleh,

( apt. Deismayanti, S.Farm)

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