Anda di halaman 1dari 219

STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN JA

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 3
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 14
4 BETADINE 1L 1
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 15
7 BISTURI 11 0
8 BISTURI 15 13
9 BISTURI 20 6
10 BLOODSET 7
11 CHROMIC 2 CAT50L-2B (APEX) 0
12 CORRUGETED ANAK (BREATHING CIRCUIT) 1
13 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
14 DAPPER KECIL 2CM X 3M 50
15 ELECTRODA EKG 7
16 ETT no. 5,5 WORK std 1
17 ETT no. 5 BICAKCILAR NKK 0
18 ETT no.5,5 BICAKCILAR NKK 1
19 ETT no. 4,5 BICAKCILAR NKK 3
20 ETT no. 4,5 cuffed std 2
21 ETT no.2,5 cuffed 0
22 ETT no. 6 cuffed std 2
23 ETT no.6 BICAKCILAR NKK 2
24 ETT no.6,5 with STYLET NKK 0
25 ETT no. 6,5 cuffed standar 2
26 ETT no. 7,0 NKK 2
27 ETT no. 7,0 cuffed std 2
28 FOLLEY CATH 10 3
29 FOLLEY CATH 14 0
30 FOLLEY CATH 16 7
31 FOLLEY CATH 18 4
32 FOLLEY CATH 8 2
33 GYPSONA 3
34 H2O2 1000ml (BLUD) 2
35 HANDSCOON NON STERIL M 1
36 HANDSCOON NON STERIL L 0
37 HANDSCOON STERIL NO.6,5 32
38 HANDSCOON STERIL NO.7 24
39 HANDSCOON STERIL NO.7,5 9
40 HANDSCOON STERIL NO.8 7
41 HERNIA MESH 6X11 CM 0
42 HERNIA MESH 7,5X15 CM 6
43 HERNIA MESH 15X15 CM 0
44 HERNIA MESH 30X30 CM 1
45 HIPAFIK DORAFIX 5MX5CM 2
46 HIPAFIX SEMILAS 5MX10CM 0
47 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
48 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
49 IUD 15
50 IV 18 3
51 IV 20 4
52 IV 22 3
53 IV 24 3
54 IV 26 3
55 JACKSON REES 0
56 KASSA 40X80 (ROLL) 0
57 KASSA BOX 16X16 0
58 KASSA NON STERIL 10X10 0
59 KASSA STERIL 10x10 SNA MEDIKA 3
60 KASSA ROL 4X10 10
61 KASSA TAMPON 5CM X 10CM 0
62 KY JELLY 3
63 LMA NO.2 0
64 LMA NO.2,5 0
65 LMA 3-0 0
66 LMA SUPREME NO.3 0
67 LMA SUPREME NO.4 1
68 MAKROSET 4
69 MAYO UK.40 MM 0
70 MAYO UK.50 MM 1
71 MAYO UK.60 MM 0
72 MAYO UK.70 MM 0
73 MAYO UK.80 MM 3
74 MAYO UK.90 MM 0
75 MAYO UK.100 MM 0
76 MAYO UK.110 MM 0
77 MEDICREPE 7,5CM X 4M 2
78 MEDICREPE 15CM X 4M 0
79 MIKROSET 2
80 NASAL CANULE ANAK 4
81 NASAL CANULE DEWASA 21
82 NASAL CANULE NEONATUS (XS) 0
83 NETRAL PLAT PEN CAUTER DEWASA 11
84 NETRAL PLAT PEN CAUTER ANAK 4
85 NETRAL PLAT PEN CAUTER BAYI 5
86 NGT 16 3
87 NGT 18 0
88 NRM DEWASA 2
89 NURSE CAP 0
90 PAPER TAPE 3
91 PENSIL CAUTER 7
92 PLESTER COKLAT 7,5 cm x 4 m 3
93 SCRUB BRUSH BIRU 0
94 SOFRA-TULLE (LOMATULLE) 24
95 SPALK KAYU 3
96 SPINOCAN no. 25 17
97 SPINOCAN no. 26 0
98 SPINOCAN no. 27 24
99 SPONGE (X-MESH SPONGE 80X50X10MM) 9
100 SPUIT 10CC 135
101 SPUIT 1CC 110
102 SPUIT 20CC 2
103 SPUIT 3CC 114
104 SPUIT 50CC 0
105 SPUIT 5CC 28
106 SUCTION NO. 14 3
107 SUCTION NO. 12 3
108 SUCTION NO.10 3
109 SUCTION NO.6 0
110 SUCTION NO.8 2
111 SURGISPON (10X10X10MM) 17
112 T-BOND B110 18
113 T-CHROMIC 1 C45 3
114 T-CHROMIC 2 C99X 150cm 0
115 T-CHROMIC 2 C99 90cm 11
116 T-CHROMIC 2-0 C96 0
117 T-CHROMIC 2-0 C57 6
118 T-CHROMIC 3-0 C43 BODIED 0
119 THREE WAY 3
120 T-NYLON 2-0 N90 12
121 T-NYLON 3-0 N32 16
122 T-NYLON 4-0 N37 7
123 T-NYLON 5-0 N46 2
124 T-NYLON 10 (N170) 12
125 T-PLAIN 0 P88X 4
126 T-PLAIN 1 P89 5
127 T-PLAIN 1 RF19 0
128 T-PLAIN 2-0 P31X 0
129 T-PLAIN 2-0 P86X 7
130 T-PLAIN 3-0 P121 9
131 T-PLAIN 4-0 P119X 0
132 TRANSOFIX/DOUBLE SPIKE 7
133 TRUWAX 6
134 T-SILK 0 (S83) 0
135 T-SILK 1 S84 6
136 T-SILK 2-0 S24 CUTTING 17
137 T-SILK 2-0 S25 BODIED 8
138 T-SILK 3-0 S22 18
139 T-SKIN MARKER SPIDOL 7
140 T-VIO 4-0 V2 11
141 T-VIO 3-0 V5 0
142 T-VIO 2-0 V10 3
143 T-VIO 1 V14 12
144 T-VIO 1 V16 28
145 T-VIO 0 V12 6
146 TRACHEOSTOMY NO.7 1
147 URINE BAG 6
148 WING NEEDLE NO.23G 2
149 SURGION 3-0 PGA APEX 25
150 SURGION 4-0 PGA APEX 12
151 MONOLON 5-0 APEX 19
BMHP DEPO FARMASI IBS/OK BULAN JANUARI 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

12/1(3); 19/1(2) 8 6 2
0 0 0 0
0 14 7 7
3/1(3); 12/1(3); 19/1(2); 27/1(4) 13 8 5
12/1(20); 16/1(20) 40 40 0
0 15 5 10
0 0 0 0
16/1(10) 23 18 5
3/1(10); 12/1(20); 27/1(20) 56 35 21
0 7 1 6
27/1(12) 12 0 12
0 1 0 1
0 0 0 0
0 50 0 50
16/1(10) 17 3 14
0 1 0 1
0 0 0 0
0 1 0 1
0 3 0 3
0 2 0 2
0 0 0 0
0 2 0 2
0 2 0 2
0 0 0 0
0 2 0 2
0 2 0 2
0 2 0 2
0 3 0 3
0 0 0 0
9/1(10); 12/1(10); 19/1(10) 37 29 8
0 4 2 2
0 2 0 2
0 3 0 3
0 2 0 2
2/1(3); 12/1(2); 19/1(2)27/1(2) 10 8 2
0 0 0 0
16/1(50) 82 52 30
3/1(50); 16/1(50); 27/1(50) 174 127 47
3/1(50); 16/1(50) 109 79 30
0 7 3 4
0 0 0 0
0 6 0 6
0 0 0 0
0 1 0 1
12/1(3); 27/1(2) 7 5 2
0 0 0 0
0 1 0 1
0 1 0 1
0 15 10 5
3/1(3) 6 1 5
0 4 1 3
3/1(3) 6 0 6
0 3 0 3
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 3
0 10 0 10
0 0 0 0
0 3 1 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 1 0
0 4 0 4
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 0 0 0
0 2 0 2
0 4 3 1
0 21 11 10
0 0 0 0
16/1(5) 16 10 6
0 4 0 4
0 5 0 5
0 3 0 3
0 0 0 0
0 2 0 2
0 0 0 0
0 3 0 3
12/1(10) 17 12 5
0 3 1 2
0 0 0 0
12/1(20); 27/1(20) 64 37 27
0 3 0 3
3/1(25); 27/1(25) 67 40 27
0 0 0 0
0 24 0 24
0 9 0 9
0 135 91 44
0 110 6 104
0 2 0 2
27/1(100) 214 87 127
0 0 0 0
9/1(100) 128 58 70
0 3 0 3
0 3 0 3
0 3 0 3
0 0 0 0
0 2 0 2
0 17 0 17
0 18 0 18
0 3 0 3
12/1(12) 12 4 8
0 11 11 0
0 0 0 0
0 6 0 6
0 0 0 0
0 3 0 3
0 12 0 12
0 16 6 10
27/1(12) 19 5 14
0 2 2 0
0 12 0 12
0 4 4 0
0 5 0 5
0 0 0 0
0 0 0 0
0 7 0 7
0 9 0 9
0 0 0 0
0 7 2 5
0 6 0 6
0 0 0 0
0 6 0 6
0 17 0 17
0 8 0 8
0 18 0 18
0 7 0 7
14/1(12) 23 13 10
0 0 0 0
0 3 1 2
10/1(24); 19/1(24) 60 35 25
16/1(24) 52 31 21
0 6 0 6
0 1 0 1
3/1(10); 12/1(10); 19/1(10); 27/1(10) 46 30 16
0 2 0 2
27/1(36) 61 11 50
0 12 1 11
19 3 16
ED

RO

SUMI

SUMI
ED
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN JANU

NO NAMA OBAT STOK AWAL

1 AMIODARON INJ 3
2 ASAM TRANEKSAMAT IV 500mg/5ml 20
3 ATRACURIUM IV 10MG/ML (2,5ML) 15
4 ATRACURIUM IV 10MG/ML (5 ML) 0
5 ATROPIN SULFAT IV 13
6 BUPIVACAIN SPINAL (BUCAIN) 11
7 C. LFX MD 28
8 C. MYCOS E.O 0
9 C. MYDRIATHYL 1% E.D 3
10 C. MYCETIN E.O 2
11 C. PANTOCAIN 2% E.D 4
12 C. P-PRED MD 10
13 CA. GLUCONATE 10% 3
14 CEFOTAXIME 7
15 CEFTRIAXONE 1gr INJ 8
16 CETADOP (DOPAMIN) INJ 10
17 D40% 0
18 D5% 500ML 3
19 DEXAMETHASONE 5mg/mL INJ 18
20 DEXKETOPROFEN IV 0
21 DIAZEPAM IV 3
22 DIGOXIN INJ (FARGOXIN) 2
23 DOBUTAMIN 250MG/5ML INJ 10
24 EPHEDRIN IV 16
25 EPINEFRIN IV 11
FENTANIL IV 18
26
27 FENTANIL PATCH (DUROGESIC) 9
28 FUROSEMIDE IV 8
29 GELOFUSIN 2
30 GENTAMYCIN 40MG/2ML IV 16
31 ISOFLURANCE 250ml 1
32 KETAMIN 50mg/mL IV 5
33 KETOPROFEN IV 0
34 KETOPROFEN SUPP (SUPRAFENID) 11
35 KETOROLAC 30mg/mL IV 34
36 LIDOCAIN 2% IV 81
37 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 15
38 METERGIN 0.2mg/mL IV 69
39 METILPREDNISOLON 125MG INJ 2
40 METOCLOPRAMID IV 5
41 METRONIDAZOLE INFUS 2
42 MGSO4 20% 0
43 MGSO4 40% 0
44 MIDAZOLAM 1mg/ML INJEKSI 8
45 MIRIWASH 4
46 MISOPROSTOL TAB 57
47 NaCl 0,9% 100 ML 4
48 NaCl 0,9% 500 ML 8
49 NALOXON IV 4
50 NEOSTIGMIN IV 7
51 NICARDIPIN IV 0
52 OMEPRAZOLE 40mg VIAL 3
53 ONDANSETRON IV 29
54 OXYTOCIN 10IU/mL IV 141
55 PARACETAMOL INFUS 4
56 PETIDIN 100mg/2ML IV 2
57 PHENYTOIN SODIUM INJ 5
58 PROPOFOL 10 mg/ml IV 9
59 RANITIDIN 25mg/mL IV 8
60 RL (RINGER LAKTAT) 500ML 10
61 ROQURONIUM IV 0
62 SEVOFLURANCE 250ml 2
63 TAKIPRIL 20MG/ML 7
64 TRAMADOL 100mg/2mL 7
65 VIT. K 2mg/ml 8
OPNAME OBAT DEPO FARMASI IBS/OK BULAN JANUARI 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 3 0
16/1(20) 40 17
0 15 1
0 0 0
12/1(10) 23 11
3/1(10); 12/1(10); 19/1(10); 26/1(10) 51 41
0 28 4
0 0 0
27/1(2) 5 2
0 2 1
0 4 0
0 10 0
0 3 0
0 7 0
0 8 0
0 10 0
0 0 0
0 3 1
16/1(10); 27/1(10) 38 15
0 0 0
0 3 0
0 2 2
0 10 0
9/1(10); 19/1(10) 36 18
0 11 3
12/1(10); 19/1(10) 38 24
9/1(5) 14 7
0 8 1
0 2 0
0 16 2
0 1 0
0 5 2
0 0 0
3/1(20); 16/1(20) 51 35
16/1(12); 19/1(24) 70 45
0 81 11
0 15 5
0 69 37
0 2 0
0 5 0
3/1(3) 5 1
0 0 0
2 2 0
12/1(10) 18 5
3/1(3) 7 5
3/1(60); 19/1(60) 177 94
0 4 1
3/1(20); 12/1(20) 48 33
0 4 0
0 7 1
0 0 0
0 3 0
9/1(25); 19/1(25) 79 59
0 141 91
0 4 1
2/1(2); 16/1(10) 14 1
0 5 0
19/1(5) 14 9
0 8 0
3/1(20); 12/1(20); 20/1(20); 27/1(20) 90 70
0 0 0
0 2 0
0 7 0
9/1(20); 16/1(20); 19/1(20) 67 53
0 8 0
STOK AKHIR ED

3 Jun-23
23
14
0
12
10
24
0
3
1 Sep-23
4
10 Oct-23
3 Nov-24
7
8
10 Oct-23
0
2
23
0
3
0 ED 01/23
10 Oct-23
18
8
14

7
7 Jul-24
2
14 Jul-23
1 Apr-23
3
0
16
25
70
10
32
2
5 Dec-25
4
0
2 RO
13
2
83
3
15
4 Apr-23
6 Mar-25
0
3 Oct-23
20
50
3
13
5 Jan-25
5
8
20
0
2
7 Sep-23
14
8 Mar-23
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN FE

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 2
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 7
4 BETADINE 1L 5
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 10
7 BISTURI 11 0
8 BISTURI 15 5
9 BISTURI 20 21
10 BLOODSET 6
11 C-SECTION SET DISPO CAESAR 0
12 CHROMIC 2 CAT50L-2B (APEX) 12
13 CORRUGETED ANAK (BREATHING CIRCUIT) 1
14 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
15 DAPPER KECIL 2CM X 3M 50
16 ELECTRODA EKG 14
17 ETT no. 5,5 WORK std 1
18 ETT no. 5 BICAKCILAR NKK 0
19 ETT no.5,5 BICAKCILAR NKK 1
20 ETT no. 4,5 BICAKCILAR NKK 3
21 ETT no. 4,5 cuffed std 2
22 ETT no.2,5 cuffed 0
23 ETT no. 6 cuffed std 2
24 ETT no.6 BICAKCILAR NKK 2
25 ETT no.6,5 with STYLET NKK 0
26 ETT no. 6,5 cuffed standar 2
27 ETT no. 7,0 NKK 2
28 ETT no. 7,0 cuffed std 2
29 FOLLEY CATH 10 3
30 FOLLEY CATH 14 0
31 FOLLEY CATH 16 8
32 FOLLEY CATH 18 2
33 FOLLEY CATH 8 2
34 GYPSONA 3
35 H2O2 1000ml (BLUD) 2
36 HANDSCOON NON STERIL M 2
37 HANDSCOON NON STERIL L 0
38 HANDSCOON STERIL NO.6,5 30
39 HANDSCOON STERIL NO.7 47
40 HANDSCOON STERIL NO.7,5 30
41 HANDSCOON STERIL NO.8 4
42 HERNIA MESH 6X11 CM 0
43 HERNIA MESH 7,5X15 CM 6
44 HERNIA MESH 15X15 CM 0
45 HERNIA MESH 30X30 CM 1
46 HIPAFIK 5MX5CM 2
47 HIPAFIX SEMILAS 5MX10CM 0
48 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
49 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
50 IUD 5
51 IV 18 5
52 IV 20 3
53 IV 22 6
54 IV 24 3
55 IV 26 3
56 JACKSON REES 0
57 KASSA 40X80 (ROLL) 0
58 KASSA BOX 16X16 0
59 KASSA NON STERIL 10X10 0
60 KASSA STERIL 10x10 SNA MEDIKA 3
61 KASSA ROL 4X10 10
62 KASSA TAMPON 5CM X 10CM 0
63 KY JELLY 2
64 LMA NO.2 0
65 LMA NO.2,5 0
66 LMA 3-0 0
67 LMA SUPREME NO.3 0
68 LMA SUPREME NO.4 0
69 MAKROSET 4
70 MAYO UK.40 MM 0
71 MAYO UK.50 MM 1
72 MAYO UK.60 MM 0
73 MAYO UK.70 MM 0
74 MAYO UK.80 MM 3
75 MAYO UK.90 MM 0
76 MAYO UK.100 MM 0
77 MAYO UK.110 MM 0
78 MEDICREPE 7,5CM X 4M 2
79 MEDICREPE 15CM X 4M 0
80 MIKROSET 2
81 NASAL CANULE ANAK 1
82 NASAL CANULE DEWASA 10
83 NASAL CANULE NEONATUS (XS) 0
84 NETRAL PLAT PEN CAUTER DEWASA 6
85 NETRAL PLAT PEN CAUTER ANAK 4
86 NETRAL PLAT PEN CAUTER BAYI 5
87 NGT 16 3
88 NGT 18 0
89 NRM DEWASA 2
90 NURSE CAP 0
91 PAPER TAPE 3
92 PENSIL CAUTER 5
93 PLESTER COKLAT 7,5 cm x 4 m 2
94 SCRUB BRUSH BIRU 0
95 SOFRA-TULLE (LOMATULLE) 27
96 SPALK KAYU 3
97 SPINOCAN no. 25 27
98 SPINOCAN no. 26 0
99 SPINOCAN no. 27 24
100 SPONGE (X-MESH SPONGE 80X50X10MM) 9
101 SPUIT 10CC 44
102 SPUIT 1CC 104
103 SPUIT 20CC 2
104 SPUIT 3CC 127
105 SPUIT 50CC 0
106 SPUIT 5CC 70
107 SUCTION NO. 14 3
108 SUCTION NO. 12 3
109 SUCTION NO.10 3
110 SUCTION NO.6 0
111 SUCTION NO.8 2
112 SURGISPON (10X10X10MM) 17
113 T-BOND B110 18
114 T-CHROMIC 1 C45 3
115 T-CHROMIC 2 C99X 150cm 8
116 T-CHROMIC 2 C99 90cm 0
117 T-CHROMIC 2-0 C96 0
118 T-CHROMIC 2-0 C57 6
119 T-CHROMIC 3-0 C43 BODIED 0
120 THREE WAY 3
121 T-NYLON 2-0 N90 12
122 T-NYLON 3-0 N32 10
123 T-NYLON 4-0 N37 14
124 T-NYLON 5-0 N46 0
125 T-NYLON 10 (N170) 12
126 T-PLAIN 0 P88X 0
127 T-PLAIN 1 P89 5
128 T-PLAIN 1 RF19 0
129 T-PLAIN 2-0 P31X 0
130 T-PLAIN 2-0 P86X 7
131 T-PLAIN 3-0 P121 9
132 T-PLAIN 4-0 P119X 0
133 TRANSOFIX/DOUBLE SPIKE 5
134 TRUWAX 6
135 T-SILK 0 (S83) 0
136 T-SILK 1 S84 6
137 T-SILK 2-0 S24 CUTTING 17
138 T-SILK 2-0 S25 BODIED 8
139 T-SILK 3-0 S22 18
140 T-SKIN MARKER SPIDOL 7
141 T-VIO 4-0 V2 10
142 T-VIO 3-0 V5 0
143 T-VIO 2-0 V10 2
144 T-VIO 1 V14 25
145 T-VIO 1 V16 21
146 T-VIO 0 V12 6
147 TRACHEOSTOMY NO.7 1
148 URINE BAG 16
149 WING NEEDLE NO.23G 2
150 SURGION 3-0 PGA APEX 50
151 SURGION 4-0 PGA APEX 11
152 MONOLON 5-0 APEX 16
BMHP DEPO FARMASI IBS/OK BULAN FEBRUARI 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

0 2 1 1
0 0 0 0
17/2(10) 17 10 7
10/2(3); 17/2(4) 12 9 3
0 0 0 0
8/2(10) 20 12 8
0 0 0 0
7/2(10); 14/2(6); 24/2(20) 41 19 22
14/2(10); 17/2(20) 51 38 13
0 6 2 4
17/2(2); 28/2(1) 3 2 1
17/2(24) 36 23 13
0 1 0 1
1 1 0 1
0 50 1 49
10/2(20) 34 24 10
0 1 0 1
0 0 0 0
0 1 1 0
0 3 0 3
0 2 0 2
0 0 0 0
0 2 0 2
0 2 0 2
0 0 0 0
0 2 0 2
0 2 1 1
0 2 0 2
0 3 0 3
0 0 0 0
3/2(10); 14/2(20) 38 26 12
10/2(10) 12 2 10
0 2 0 2
0 3 0 3
0 2 1 1
7/2(3); 14/2(3); 22/2(3) 11 9 2
0 0 0 0
10/2(50) 80 60 20
7/2(100); 24/2(50) 197 152 45
7/2(50); 17/2(50) 130 114 16
3/2(50) 54 4 50
0 0 0 0
0 6 2 4
0 0 0 0
0 1 0 1
14/2(2); 24/2(2) 6 4 2
0 0 0 0
0 1 0 1
16/2(1) 2 1 1
10/2(10); 27/2(15) 30 17 13
0 5 2 3
0 3 0 3
0 6 0 6
0 3 1 2
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 3
0 10 5 5
0 0 0 0
14/2(2) 4 1 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 4 0 4
0 0 0 0
0 1 1 0
0 0 0 0
0 0 0 0
0 3 3 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 0 0 0
0 2 0 2
3/2(3); 24/2(3) 7 1 6
10/2(10); 24/2(10) 30 13 17
0 0 0 0
3/2(5); 10/2(5); 24/2(10) 26 15 11
0 4 0 4
0 5 0 5
0 3 0 3
3/2(3) 3 1 2
0 2 0 2
0 0 0 0
0 3 1 2
3/2(10); 10/2(10); 16/2(20) 45 27 18
0 2 1 1
0 0 0 0
14/2(20); 27/2(20) 67 39 28
0 3 1 2
10/2(25); 27/1(25) 77 45 32
0 0 0 0
0 24 0 24
0 9 3 6
8/2(100) 144 115 29
0 104 18 86
0 2 0 2
24/2(100) 227 114 113
0 0 0 0
14/2(100) 170 94 76
0 3 0 3
0 3 0 3
0 3 0 3
0 0 0 0
0 2 2 0
14/2(12) 29 10 19
0 18 2 16
0 3 1 2
0 8 8 0
0 0 0 0
0 0 0 0
27/2(12) 18 5 13
0 0 0 0
0 3 0 3
0 12 3 9
10/2(12) 22 7 15
0 14 0 14
0 0 0 0
0 12 1 11
0 0 0 0
0 5 0 5
0 0 0 0
0 0 0 0
0 7 0 7
0 9 0 9
0 0 0 0
0 5 2 3
0 6 0 6
0 0 0 0
24/2(12) 18 4 14
0 17 0 17
0 8 1 7
0 18 0 18
0 7 0 7
0 10 0 10
0 0 0 0
7/2(12) 19 10 9
15/2(12) 37 35 2
7/2(12) 33 9 24
0 6 1 5
0 1 0 1
10/2(10); 20/2(20) 46 30 16
0 2 0 2
0 50 33 17
0 11 1 10
0 16 7 9
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27

Mar-27
May-26

-
-
Jul-24

5/27/2025
Jul-24

Mar-23
Apr-27

Mar-23
Jun-27
Jun-23
Oct-26

Feb-27
May-26
Jul-26
Dec-24
May-25
Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26

Aug-23
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Oct-26

ED

ED

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23

Mar-25
Sep-26

5/31/2022
Mar-25
Dec-26

Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26

May-24

Nov-25
Dec-26
Nov-25

Feb-25

Jan-26

Aug-24
Jun-23

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24

Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN FEBR

NO NAMA OBAT STOK AWAL

1 AMIODARON INJ 3
2 ASAM TRANEKSAMAT IV 500mg/5ml 23
3 ATRACURIUM IV 10MG/ML (2,5ML) 14
4 ATRACURIUM IV 10MG/ML (5 ML) 0
5 ATROPIN SULFAT IV 12
6 BUPIVACAIN SPINAL (BUCAIN) 10
7 C. LFX MD 24
8 C. MYCOS E.O 0
9 C. MYDRIATHYL 1% E.D 3
10 C. MYCETIN E.O 1
11 C. PANTOCAIN 2% E.D 4
12 C. P-PRED MD 10
13 CA. GLUCONATE 10% 3
14 CEFOTAXIME 7
15 CEFTRIAXONE 1gr INJ 8
16 CETADOP (DOPAMIN) INJ 10
17 D40% 0
18 D5% 500ML 2
19 DEXAMETHASONE 5mg/mL INJ 23
20 DEXKETOPROFEN IV 0
21 DIAZEPAM IV 3
22 DIGOXIN INJ (FARGOXIN) 0
23 DOBUTAMIN 250MG/5ML INJ 10
24 EPHEDRIN IV 18
25 EPINEFRIN IV 8
FENTANIL IV 14
26
27 FENTANIL PATCH (DUROGESIC) 7
28 FUROSEMIDE IV 7
29 GELOFUSIN 2
30 GENTAMYCIN 40MG/2ML IV 14
31 ISOFLURANCE 250ml 1
32 KETAMIN 50mg/mL IV 3
33 KETOPROFEN IV 0
34 KETOPROFEN SUPP (SUPRAFENID) 16
35 KETOROLAC 30mg/mL IV 25
36 LIDOCAIN 2% IV 70
37 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 10
38 METERGIN 0.2mg/mL IV 32
39 METILPREDNISOLON 125MG INJ 2
40 METOCLOPRAMID IV 5
41 METRONIDAZOLE INFUS 4
42 MGSO4 20% 0
43 MGSO4 40% 2
44 MIDAZOLAM 1mg/ML INJEKSI 13
45 MIRIWASH 2
46 MISOPROSTOL TAB 83
47 NaCl 0,9% 100 ML 3
48 NaCl 0,9% 500 ML 15
49 NALOXON IV 4
50 NEOSTIGMIN IV 6
51 NICARDIPIN IV 0
52 OMEPRAZOLE 40mg VIAL 3
53 ONDANSETRON IV 20
54 OXYTOCIN 10IU/mL IV 50
55 PARACETAMOL INFUS 3
56 PETIDIN 100mg/2ML IV 13
57 PHENYTOIN SODIUM INJ 5
58 PROPOFOL 10 mg/ml IV 5
59 RANITIDIN 25mg/mL IV 8
60 RL (RINGER LAKTAT) 500ML 20
61 ROQURONIUM IV 0
62 SEVOFLURANCE 250ml 2
63 TAKIPRIL 20MG/ML 7
64 TRAMADOL 100mg/2mL 14
65 VIT. K 2mg/ml 8
OPNAME OBAT DEPO FARMASI IBS/OK BULAN FEBRUARI 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 3 0
17/2(10) 33 19
0 14 6
0 0 0
10/2(10); 24/2(10) 32 14
7/2(15); 13/2(10); 17/2(15); 27/2(10) 60 45
0 24 7
0 0 0
0 3 2
0 1 0
0 4 1
0 10 0
0 3 0
0 7 1
0 8 3
0 10 0
0 0 0
0 2 0
14/2(10); 17/2(10) 43 24
0 0 0
0 3 1
3/2(2) 2 0
0 10 0
10/2(10); 24/2(10) 38 20
0 8 3
3/2(7); 10/2(10); 14/2(10); 24/2(10) 51 39
0 7 3
0 7 1
0 2 0
0 14 1
0 1 0
10/2(5) 8 4
0 0 0
3/2(20) 36 36
7/2(24); 17/2(24) 73 60
0 70 12
10/2(20) 30 12
3/2(50) 82 46
0 2 0
0 5 1
0 4 0
0 0 0
0 2 0
0 13 3
24/2(5) 7 5
10/2(60); 24/2(60) 203 94
0 3 1
7/2(20); 17/2(20) 55 46
0 4 0
27/2(10) 16 3
0 0 0
14/2(3); 24/2(3) 9 5
3/2(25); 13/2(25); 17/2(25) 95 78
3/2(100); 17/2(100) 250 108
10/2(3) 6 5
0 13 2
0 5 0
10/2(5); 17/2(5); 24/2(5) 20 13
0 8 3
8/2(20); 13/2(40); 24/2(20) 100 85
0 0 0
0 2 1
0 7 0
3/2(20); 14/2(20); 17/2(30) 84 71
0 8 0
STOK AKHIR ED

3 Jun-23
14 Aug-24
8 Mar-24
0
18 Dec-24
15 Nov-26
17 Jun-24
0 0
1 Aug-24
1 Sep-23
3 Nov-24
10 Oct-23
3 Nov-24
6 Jul-23
5 Mar-24
10 Oct-23
0
2 Jul-23
19 Jan-24
0
2 Jul-24
2 Mar-24
10 Oct-23
18 Mar-24
5 Aug-23
12 Aug-24
4 Feb-24
6 Jul-24
2 Nov-24
13 Jul-23
1 Apr-23
4 Sep-24
0
0 ED
13 Nov-25
58 Nov-25
18 Nov-26
36 May-24
2 Oct-23
4 Dec-25
4 Mar-24
0
2 Jun-23
10 Jan-25
2 Nov-24
109 Aug-24
2 Jul-24
9 Oct-24
4 Apr-23
13 Mar-25
0
4 Nov-24
17 Aug-25
142 Sep-25
1 Jun-25
11 5/22/2024
5 Jan-25
7 Feb-25
5 Feb-25
15 Dec-25
0
1 Aug-24
7 Sep-23
13 Jul-24
8 Mar-23
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN M

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 1
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 7
4 BETADINE 1L 3
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 8
7 BISTURI 11 0
8 BISTURI 15 22
9 BISTURI 20 13
10 BLOODSET 4
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 13
13 CORRUGETED ANAK (BREATHING CIRCUIT) 1
14 CORRUGETED DEWASA (BREATHING CIRCUIT) 1
15 DAPPER KECIL 2CM X 3M 49
16 ELECTRODA EKG 10
17 ETT no. 5,5 WORK std 1
18 ETT no. 5 BICAKCILAR NKK 0
19 ETT no.5,5 BICAKCILAR NKK 0
20 ETT no. 4,5 BICAKCILAR NKK 3
21 ETT no. 4,5 cuffed std 2
22 ETT no.2,5 cuffed 0
23 ETT no. 6 cuffed std 2
24 ETT no.6 BICAKCILAR NKK 2
25 ETT no.6,5 with STYLET NKK 0
26 ETT no. 6,5 cuffed standar 2
27 ETT no. 7,0 NKK 1
28 ETT no. 7,0 cuffed std 2
29 FOLLEY CATH 10 3
30 FOLLEY CATH 14 0
31 FOLLEY CATH 16 12
32 FOLLEY CATH 18 10
33 FOLLEY CATH 8 2
34 GYPSONA 3
35 H2O2 1000ml (BLUD) 1
36 HANDSCOON NON STERIL M 2
37 HANDSCOON NON STERIL L 0
38 HANDSCOON STERIL NO.6,5 20
HANDSCOON STERIL NO.7
39
45
40 HANDSCOON STERIL NO.7,5 16
41 HANDSCOON STERIL NO.8 50
42 HERNIA MESH 6X11 CM 0
43 HERNIA MESH 7,5X15 CM 4
44 HERNIA MESH 15X15 CM 0
45 HERNIA MESH 30X30 CM 1
46 HIPAFIK 5MX5CM 2
47 HIPAFIX ULTRAFIX 5MX10CM 0
48 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
49 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
50 IUD 13
51 IV 18 3
52 IV 20 3
53 IV 22 6
54 IV 24 2
55 IV 26 3
56 JACKSON REES 0
57 KASSA 40X80 (ROLL) 0
58 KASSA BOX 16X16 0
59 KASSA NON STERIL 10X10 0
60 KASSA STERIL 10x10 SNA MEDIKA 3
61 KASSA ROL 4X10 5
62 KASSA TAMPON 5CM X 10CM 0
63 KY JELLY 3
64 LMA NO.2 0
65 LMA NO.2,5 0
66 LMA 3-0 0
67 LMA SUPREME NO.3 0
68 LMA SUPREME NO.4 0
69 MAKROSET 4
70 MAYO UK.40 MM 0
71 MAYO UK.50 MM 0
72 MAYO UK.60 MM 0
73 MAYO UK.70 MM 0
74 MAYO UK.80 MM 0
75 MAYO UK.90 MM 0
76 MAYO UK.100 MM 0
77 MAYO UK.110 MM 0
78 MEDICREPE 7,5CM X 4M 2
79 MEDICREPE 15CM X 4M 0
80 MIKROSET 2
81 NASAL CANULE ANAK 6
82 NASAL CANULE DEWASA 17
83 NASAL CANULE NEONATUS (XS) 0
84 NETRAL PLAT PEN CAUTER DEWASA 11
85 NETRAL PLAT PEN CAUTER ANAK 4
86 NETRAL PLAT PEN CAUTER BAYI 5
87 NGT 16 3
88 NGT 18 2
89 NRM DEWASA 2
90 NURSE CAP 0
91 PAPER TAPE 2
92 PENSIL CAUTER 18
93 PLESTER COKLAT 7,5 cm x 4 m 1
94 SCRUB BRUSH BIRU 0
95 SOFRA-TULLE (LOMATULLE) 28
96 SPALK KAYU 2
97 SPINOCAN no. 25 32
98 SPINOCAN no. 26 0
99 SPINOCAN no. 27 24
100 SPONGE (X-MESH SPONGE 80X50X10MM) 6
101 SPUIT 10CC 29
102 SPUIT 1CC 86
103 SPUIT 20CC 2
104 SPUIT 3CC 113
105 SPUIT 50CC 0
106 SPUIT 5CC 76
107 SUCTION NO. 14 3
108 SUCTION NO. 12 3
109 SUCTION NO.10 3
110 SUCTION NO.6 0
111 SUCTION NO.8 0
112 SURGISPON (10X10X10MM) 19
113 T-BOND B110 16
114 T-CHROMIC 1 C45 2
115 T-CHROMIC 2 C99X 150cm 0
116 T-CHROMIC 2 C99 90cm 0
117 T-CHROMIC 2-0 C96 0
118 T-CHROMIC 2-0 C57 13
119 T-CHROMIC 3-0 C43 BODIED 0
120 THREE WAY 3
121 T-NYLON 2-0 N90 9
122 T-NYLON 3-0 N32 15
123 T-NYLON 4-0 N37 14
124 T-NYLON 5-0 N46 0
125 T-NYLON 10 (N170) 11
126 T-PLAIN 0 P88X 0
127 T-PLAIN 1 P89 5
128 T-PLAIN 1 RF19 0
129 T-PLAIN 2-0 P31X 0
130 T-PLAIN 2-0 P86X 7
131 T-PLAIN 3-0 P121 9
132 T-PLAIN 4-0 P119X 0
133 TRANSOFIX/DOUBLE SPIKE 3
134 TRUWAX 6
135 T-SILK 0 (S83) 0
136 T-SILK 1 S84 14
137 T-SILK 2-0 S24 CUTTING 17
138 T-SILK 2-0 S25 BODIED 7
139 T-SILK 3-0 S22 18
140 T-SKIN MARKER SPIDOL 7
141 T-VIO 4-0 V2 10
142 T-VIO 3-0 V5 0
143 T-VIO 2-0 V10 9
144 T-VIO 1 V14 2
145 T-VIO 1 V16 24
146 T-VIO 0 V12 5
147 TRACHEOSTOMY NO.7 1
148 URINE BAG 16
149 WING NEEDLE NO.23G 2
150 SURGION 3-0 PGA APEX 17
151 SURGION 4-0 PGA APEX 10
152 MONOLON 5-0 APEX 9
E BMHP DEPO FARMASI IBS/OK BULAN MARET 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

3/3(3); 27/3(3) 7 3 4
0 0 0 0
27/3(10) 17 8 9
7/3(4); 15/3(3); 27/3(3); 31/3(4) 17 12 5
0 0 0 0
20/3(10) 18 12 6
0 0 0 0
29/3(10) 32 17 15
3/3(20); 15/3(20); 29/3(20) 73 49 24
0 4 1 3
0 1 0 1
0 13 13 0
0 1 0 1
0 1 0 0
0 49 0 49
0 10 10 0
0 1 1 0
0 0 0 0
0 0 0 0
0 3 0 3
0 2 0 2
0 0 0 0
0 2 0 2
0 2 0 2
0 0 0 0
0 2 2 0
0 1 0 1
0 2 1 1
0 3 0 3
0 0 0 0
3/3(10); 15/3(10); 27/3(20) 52 40 12
0 10 2 8
0 2 0 2
0 3 0 3
0 1 0 1
6/3(3); 13/3(3); 20/3(3); 24/3(2) 13 13 0
0 0 0 0
3/3(50); 29/3(50) 120 63 57

3/3(50); 13/3(50); 20/3(50); 29/3(50) 245 202 43


3/3(50); 13/3(50); 116 91 25
0 50 10 40
0 0 0 0
0 4 1 3
0 0 0 0
0 1 0 1
0 2 2 0
20/3(2) 2 2 0
0 1 0 1
0 1 0 1
15/3(25) 38 25 13
7/3(3) 6 4 2
0 3 1 2
0 6 0 6
0 1 0 1
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 3
0 5 3 2
0 0 0 0
0 3 2 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 4 2 2
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 0 0 0
29/3(3) 5 2 3
0 6 1 5
29/3(10) 27 15 12
0 0 0 0
20/3(10) 21 8 13
0 4 0 4
0 5 0 5
0 3 1 2
0 2 1 1
0 2 0 2
0 0 0 0
0 2 2 0
15/3(10); 28/3(20) 48 32 16
20/3(3) 4 2 2
0 0 0 0
13/3(20) 48 48 0
0 2 0 2
15/3(25); 29/3(50) 107 53 54
0 0 0 0
0 24 0 24
0 6 1 5
3/3(100) 129 40 89
0 86 11 75
0 2 0 2
27/3(100) 213 118 95
0 0 0 0
27/3(100) 176 94 82
0 3 0 3
0 3 0 3
0 3 0 3
0 0 0 0
0 0 0 0
0 19 6 13
0 16 1 15
0 2 0 2
5/3(24); 15/3(24) 48 37 11
0 0 0 0
0 0 0 0
0 13 6 7
1/3(12) 12 3 9
0 3 1 2
0 9 1 8
0 15 9 6
0 14 0 14
0 0 0 0
0 11 0 11
0 0 0 0
0 5 0 5
0 0 0 0
0 0 0 0
0 7 0 7
0 9 0 9
0 0 0 0
15/3(5) 8 5 3
0 6 0 6
0 0 0 0
0 14 5 9
0 17 0 17
0 7 1 6
0 18 0 18
0 7 0 7
0 10 0 10
0 0 0 0
29/3(12) 21 6 15
1/3(12); 5/3(24); 12/3(12); 29/4(24) 74 51 23
0 24 3 21
0 5 1 4
0 1 0 1
15/3(10); 17/3(20); 29/3(10) 56 41 15
0 2 0 2
9/3(36) 53 30 23
0 10 0 10
20/3(24) 33 15 18
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27

Mar-27
May-26

-
-
Jul-24

5/27/2025
Jul-24

Mar-23
Apr-27

Mar-23
Jun-27
Jun-23
Oct-26

Feb-27
May-26
Jul-26
Dec-24
May-25
Jan-26

Oct-26

Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
Aug-23
Aug-23
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Oct-26

ED

ED

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23

Mar-25
Sep-26

5/31/2022
Mar-25
Dec-26

Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27

May-24
Aug-27

Nov-25
Dec-26
Nov-25

Feb-25

Jan-26

Aug-24
Jun-23

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24

Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN MA

NO NAMA OBAT STOK AWAL

1 AMIODARON INJ 3
2 ASAM TRANEKSAMAT IV 500mg/5ml 14
3 ATRACURIUM IV 10MG/ML (2,5ML) 8
4 ATRACURIUM IV 10MG/ML (5 ML) 0
5 ATROPIN SULFAT IV 18
6 BUPIVACAIN SPINAL (BUCAIN) 15
7 C. LFX MD 17
8 C. MYCOS E.O 0
9 C. MYDRIATHYL 1% E.D 1
10 C. MYCETIN E.O 1
11 C. PANTOCAIN 2% E.D 3
12 C. P-PRED MD 10
13 CA. GLUCONATE 10% 3
14 CEFOTAXIME 6
15 CEFTRIAXONE 1gr INJ 5
16 CETADOP (DOPAMIN) INJ 10
17 D40% 0
18 D5% 500ML 2
19 DEXAMETHASONE 5mg/mL INJ 19
20 DEXKETOPROFEN IV 0
21 DIAZEPAM IV 2
22 DIGOXIN INJ (FARGOXIN) 2
23 DOBUTAMIN 250MG/5ML INJ 10
24 EPHEDRIN IV 18
25 EPINEFRIN IV 5
FENTANIL IV 12
26
27 FENTANIL PATCH (DUROGESIC) 4
28 FUROSEMIDE IV 6
29 GELOFUSIN 2
30 GENTAMYCIN 40MG/2ML IV 13
31 ISOFLURANCE 250ml 1
32 KETAMIN 50mg/mL IV 4
33 KETOPROFEN IV 0
34 KETOPROFEN SUPP (SUPRAFENID) 0
35 KETOROLAC 30mg/mL IV 13
36 LIDOCAIN 2% IV 58
37 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 18
38 METERGIN 0.2mg/mL IV 36
39 METILPREDNISOLON 125MG INJ 2
40 METOCLOPRAMID IV 4
41 METRONIDAZOLE INFUS 4
42 MGSO4 20% 0
43 MGSO4 40% 2
44 MIDAZOLAM 1mg/ML INJEKSI 10
45 MIRIWASH 2
46 MISOPROSTOL TAB 109
47 NaCl 0,9% 100 ML 2
48 NaCl 0,9% 500 ML 9
49 NALOXON IV 4
50 NEOSTIGMIN IV 13
51 NICARDIPIN IV 0
52 OMEPRAZOLE 40mg VIAL 4
53 ONDANSETRON IV 17
54 OXYTOCIN 10IU/mL IV 142
55 PARACETAMOL INFUS 1
56 PETIDIN 100mg/2ML IV 11
57 PHENYTOIN SODIUM INJ 5
58 PROPOFOL 10 mg/ml IV 7
59 RANITIDIN 25mg/mL IV 5
60 RL (RINGER LAKTAT) 500ML 15
61 ROQURONIUM IV 0
62 SEVOFLURANCE 250ml 1
63 TAKIPRIL 20MG/ML 7
64 TRAMADOL 100mg/2mL 13
65 VIT. K 2mg/ml 8
OPNAME OBAT DEPO FARMASI IBS/OK BULAN MARET 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 3 0
3/3(10); 27/3(10) 34 28
7/3(10) 18 10
0 0 0
0 18 15
3/3(5); 7/3(15); 15/3(15)29/3(10) 60 49
0 17 6
0 0 0
20/3(2) 3 2
0 1 1
20/3(1) 4 1
0 10 0
0 3 0
0 6 2
0 5 2
0 10 0
0 0 0
0 2 1
11/3(10); 20/3(10); 31/3(20) 59 31
0 0 0
0 2 0
0 2 0
0 10 0
7/3(10) 28 19
3/3(6) 11 2
6/3(15); 13/3(10); 17/3(15); 29/3(10) 62 55
0 4 1
0 6 2
0 2 0
0 13 1
0 1 1
28/3(5) 9 4
0 0 0
3/3(20); 7/3(20); 27/3(20) 60 39
3/3(24); 11/3(12); 15/3(24); 29/3(24) 97 75
0 58 6
0 18 10
7/3(50) 86 56
6/3(2); 13/3(3) 7 2
0 4 2
0 4 3
0 0 0
0 2 1
13/3(10) 20 11
20/3(5) 7 5
29/3(60) 169 76
3/3(2) 4 1
3/3(20); 15/3(40) 69 57
0 4 1
0 13 4
0 0 0
29/3(5) 9 3
3/3(25); 11/3(25); 15/3(25); 29/3(25) 117 91
20/3(100) 242 148
3/3(3) 4 4
0 11 5
0 5 0
7/3(5); 13/3(5); 15/3(10); 29/3(10) 37 26
7/3(10) 15 4
3/3(20); 9/3(40); 20/3(20); 28/3(20) 115 107
0 0 0
7/3(1); 20/3(1); 29/3(2) 5 3
0 7 2
3/3(20); 7/3(30); 15/3(20); 27/3(20) 103 86
0 8 8
STOK AKHIR ED

3 Jun-23
6 Aug-24
8 Mar-24
0
3 Dec-24
11 Nov-26
11 Jun-24
0 0
1 Aug-24
0 Sep-23
3 Nov-24
10 Oct-23
3 Nov-24
4 Jul-23
3 Mar-24
10 Oct-23
0
1 Jul-23
28 Jan-24
0
2 Jul-24
2 Mar-24
10 Oct-23
9 Mar-24
9 Aug-23
7 Aug-24
3 Feb-24
4 Jul-24
2 Nov-24
12 Jul-23
0 ED
5 Sep-24
0
21 ED
22 Nov-25
52 Nov-25
8 Nov-26
30 May-24
5 Oct-23
2 Dec-25
1 Mar-24
0
1 Jun-23
9 Jan-25
2 Nov-24
93 Aug-24
3 Jul-24
12 Oct-24
3 Apr-23
9 Mar-25
0
6 Nov-24
26 Aug-25
94 Sep-25
0 Jun-25
6 5/22/2024
5 Jan-25
11 Feb-25
11 Feb-25
8 Dec-25
0
2 Aug-24
5 Sep-23
17 Jul-24
0 ED 01/03/2023
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN A

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 4
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 9
4 BETADINE 1L 5
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 6
7 BISTURI 11 0
8 BISTURI 15 15
9 BISTURI 20 24
10 BLOODSET 3
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 0
13 CORRUGETED ANAK (BREATHING CIRCUIT) 1
14 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
15 DAPPER KECIL 2CM X 3M 49
16 ELECTRODA EKG 0
17 ETT no. 5,5 WORK std 0
18 ETT no. 5,0 BICAKCILAR NKK 0
19 ETT no.5,5 BICAKCILAR NKK 0
20 ETT no. 4,5 BICAKCILAR NKK 3
21 ETT no. 4,5 cuffed std 2
22 ETT no.2,5 cuffed 0
23 ETT no. 6 cuffed std 2
24 ETT no.6,0 BICAKCILAR NKK 2
25 ETT no.6,5 with STYLET NKK 0
26 ETT no. 6,5 cuffed standar 0
27 ETT no. 7,0 NKK 1
28 ETT no. 7,0 cuffed std 1
29 FOLLEY CATH 10 3
30 FOLLEY CATH 14 0
31 FOLLEY CATH 16 12
32 FOLLEY CATH 18 8
33 FOLLEY CATH 8 2
34 GYPSONA 3
35 H2O2 1000ml (BLUD) 1
36 HANDSCOON NON STERIL S 0
37 HANDSCOON NON STERIL M 0
38 HANDSCOON NON STERIL L 0
39 HANDSCOON STERIL NO.6,5 57
40 HANDSCOON STERIL NO.7 43
41 HANDSCOON STERIL NO.7,5 25
42 HANDSCOON STERIL NO.8 40
43 HERNIA MESH 6X11 CM 0
44 HERNIA MESH 7,5X15 CM 3
45 HERNIA MESH 15X15 CM 0
46 HERNIA MESH 30X30 CM 1
47 HIPAFIK 5MX5CM 0
48 HIPAFIX ULTRAFIX 5MX10CM 0
49 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
50 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
51 IUD 13
52 IV 18 2
53 IV 20 2
54 IV 22 6
55 IV 24 1
56 IV 26 3
57 JACKSON REES 0
58 KASSA 40X80 (ROLL) 0
59 KASSA BOX 16X16 0
60 KASSA NON STERIL 10X10 0
61 KASSA STERIL 10x10 SNA MEDIKA 3
62 KASSA ROL 4X10 2
63 KASSA TAMPON 5CM X 10CM 0
64 KY JELLY 1
65 LMA NO.2 0
66 LMA NO.2,5 0
67 LMA 3-0 0
68 LMA SUPREME NO.3 0
69 LMA SUPREME NO.4 0
70 MAKROSET 2
71 MAYO UK.40 MM 0
72 MAYO UK.50 MM 0
73 MAYO UK.60 MM 0
74 MAYO UK.70 MM 0
75 MAYO UK.80 MM 0
76 MAYO UK.90 MM 0
77 MAYO UK.100 MM 0
78 MAYO UK.110 MM 0
79 MEDICREPE 7,5CM X 4M 2
80 MEDICREPE 15CM X 4M 0
81 MIKROSET 3
82 NASAL CANULE ANAK 5
83 NASAL CANULE DEWASA 12
84 NASAL CANULE NEONATUS (XS) 0
85 NETRAL PLAT PEN CAUTER DEWASA 13
86 NETRAL PLAT PEN CAUTER ANAK 4
87 NETRAL PLAT PEN CAUTER BAYI 5
88 NGT 16 2
89 NGT 18 1
90 NRM DEWASA 2
91 NURSE CAP 0
92 PAPER TAPE 0
93 PENSIL CAUTER 16
94 PLESTER COKLAT 7,5 cm x 4 m 2
95 SOFRA-TULLE (LOMATULLE) 0
96 SPALK KAYU 2
97 SPINOCAN no. 25 54
98 SPINOCAN no. 26 0
99 SPINOCAN no. 27 24
100 SPONGE (X-MESH SPONGE 80X50X10MM) 5
101 SPUIT 10CC 89
102 SPUIT 1CC 75
103 SPUIT 20CC 2
104 SPUIT 3CC 95
105 SPUIT 50CC 0
106 SPUIT 5CC 82
107 SUCTION NO. 14 3
108 SUCTION NO. 12 3
109 SUCTION NO.10 3
110 SUCTION NO.6 0
111 SUCTION NO.8 0
112 SURGISPON (10X10X10MM) 13
113 T-BOND B110 15
114 T-CHROMIC 1 C45 2
115 T-CHROMIC 2 C99X 150cm 11
116 T-CHROMIC 2-0 C96 0
117 T-CHROMIC 2-0 C57 7
118 T-CHROMIC 3-0 C43 BODIED 9
119 THREE WAY 2
120 T-NYLON 2-0 N90 8
121 T-NYLON 3-0 N32 6
122 T-NYLON 4-0 N37 14
123 T-NYLON 10 (N170) 11
124 T-PLAIN 0 P88X 0
125 T-PLAIN 1 P89 5
126 T-PLAIN 1 RF19 0
127 T-PLAIN 2-0 P31X 0
128 T-PLAIN 2-0 P86X 7
129 T-PLAIN 3-0 P121 9
130 T-PLAIN 4-0 P119X 0
131 TRANSOFIX/DOUBLE SPIKE 3
132 TRUWAX 6
133 T-SILK 0 (S83) 0
134 T-SILK 1 S84 9
135 T-SILK 2-0 S24 CUTTING 17
136 T-SILK 2-0 S25 BODIED 6
137 T-SILK 3-0 S22 18
138 T-SKIN MARKER SPIDOL 7
139 T-VIO 4-0 V2 10
140 T-VIO 3-0 V5 0
141 T-VIO 2-0 V10 15
142 T-VIO 1 V14 23
143 T-VIO 1 V16 21
144 T-VIO 0 V12 4
145 TRACHEOSTOMY NO.7 1
146 URINE BAG 15
147 WING NEEDLE NO.23G 2
148 SURGION 3-0 PGA APEX 23
149 SURGION 4-0 PGA APEX 10
150 MONOLON 5-0 APEX 18
ME BMHP DEPO FARMASI IBS/OK BULAN APRIL 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

17/4(2); 19/4(2) 8 5 3
0 0 0 0
11/4(5) 14 7 7
11/4(3); 17/4(5) 13 10 3
0 0 0 0
4/4(10) 16 7 9
0 0 0 0
0 15 7 8
14/4(20); 18/4(20) 64 48 16
0 3 1 2
0 1 1 0
0 0 0 0
0 1 0 1
0 0 0 0
0 49 0 49
5/4(15); 18/4(10) 25 17 8
4/4(2) 2 0 2
0 0 0 0
0 0 0 0
0 3 0 3
0 2 0 2
0 0 0 0
0 2 0 2
5/4(1) 3 0 3
0 0 0 0
0 0 0 0
0 1 0 1
0 1 0 1
0 3 0 3
0 0 0 0
11/4(20); 18/4(20) 52 37 15
0 8 1 7
0 2 0 2
0 3 0 3
0 1 1 0
17/4(3) 3 3 0
3/4(3); 11/4(2); 15/4(1); 19/4(1) 7 4 3
0 0 0 0
13/4(50); 20/4(50) 157 101 56
11/4(50); 18/4(50) 143 117 26
4/4(50); 18/4(50) 125 83 42
0 40 7 33
0 0 0 0
28/4(2) 5 2 3
0 0 0 0
0 1 0 1
0 0 0 0
4/4(3); 18/4(2) 5 2 3
0 1 0 1
0 1 0 1
18/4(23) 36 22 14
4/4(3) 5 0 5
4/4(3) 5 1 4
0 6 0 6
4/4(3) 4 1 3
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 3
11/4(10) 12 2 10
0 0 0 0
4/4(3); 18/4(2) 6 3 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
14/4(2) 4 1 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 0 0 0
14/4(2) 5 1 4
0 5 0 5
11/4(10) 22 14 8
0 0 0 0
28/4(10) 23 5 18
0 4 0 4
0 5 0 5
18/4(2) 4 0 4
4/4(1) 2 1 1
0 2 0 2
0 0 0 0
0 0 0 0
18/4(20) 36 25 11
0 2 1 1
12/4(20); 18/4(30) 50 29 21
0 2 0 2
18/4(50) 104 50 54
0 0 0 0
0 24 0 24
15/4(10) 15 5 10
18/4(100) 189 96 93
0 75 2 73
0 2 1 1
18/4(100) 195 111 84
0 0 0 0
20/4(100) 182 74 108
0 3 0 3
0 3 0 3
0 3 0 3
0 0 0 0
0 0 0 0
0 13 0 13
0 15 2 13
0 2 0 2
7/4(12); 13/4(12); 18/4(36) 71 53 18
11/4(12) 12 1 11
0 7 7 0
0 9 2 7
10/4(4) 6 1 5
0 8 1 7
14/4(24) 30 10 20
0 14 0 14
0 11 0 11
0 0 0 0
0 5 0 5
0 0 0 0
0 0 0 0
0 7 0 7
0 9 1 8
0 0 0 0
20/4(5) 8 1 7
0 6 2 4
0 0 0 0
0 9 0 9
0 17 0 17
14/4(12) 18 3 15
0 18 0 18
0 7 0 7
0 10 0 10
0 0 0 0
0 15 4 11
14/4(12); 18/4(36) 81 51 30
0 21 7 14
0 4 2 2
0 1 0 1
11/4(22); 18/4(10); 18/4(10) 57 41 16
0 2 0 2
28/4(36) 59 18 41
0 10 0 10
0 18 1 17

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/202
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27
???
Mar-27
May-26

-
-
Jul-24

5/27/2025
Jul-24

Mar-23
Apr-27

Jun-27
Jun-23
Oct-26

Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
Aug-23
Aug-23
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Oct-26

ED

ED

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23

Mar-25
Sep-26

5/31/2022
Mar-25
Dec-26
Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27
Sep-27
May-24
Aug-27

Nov-25
Dec-26
Nov-25
Feb-25

Jan-26

Aug-24
Jun-23

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24
Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

ASI IBS RSUD LEMBANG

ZULKHAIDAH, S.Farm
.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN AP

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 0


2 AMIODARON INJ 3
3 ASAM TRANEKSAMAT IV 500mg/5ml 6
4 ATRACURIUM IV 10MG/ML (2,5ML) 8
5 ATRACURIUM IV 10MG/ML (5 ML) 0
6 ATROPIN SULFAT IV 3
7 BUPIVACAIN SPINAL 20MG (BUCAIN) 11
8 C. LFX MD 11
9 C. MYCOS E.O 0
10 C. MYDRIATHYL 1% E.D 1
11 C. MYCETIN E.O 0
12 C. PANTOCAIN 2% E.D 3
13 C. P-PRED MD 10
14 CA. GLUCONATE 10% 3
15 CEFOTAXIME 4
16 CEFTRIAXONE 1gr INJ 3
17 CETADOP (DOPAMIN) INJ 10
18 D40% 0
19 D5% 500ML 1
20 DEXAMETHASONE 5mg/mL INJ 28
21 DEXKETOPROFEN IV 0
22 DIAZEPAM IV 2
23 DIPENHIDRAMINE IV 0
24 DIGOXIN INJ (FARGOXIN) 2
25 DOBUTAMIN 250MG/5ML INJ 10
26 EPHEDRIN IV 9
27 EPINEFRIN IV 9
28 FENTANIL IV 100MCG/2ML 7
29 FENTANIL PATCH (DUROGESIC) 3
30 FUROSEMIDE IV 4
31 GELOFUSIN 2
32 GENTAMYCIN 40MG/2ML IV 12
33 ISOFLURANCE 250ml 0
34 KETAMIN 50mg/mL IV 5
35 KETOPROFEN IV 0
36 KETOPROFEN SUPP (SUPRAFENID) 21
37 KETOROLAC 30mg/mL IV 22
38 LIDOCAIN 2% IV 52
39 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 8
40 METERGIN 0.2mg/mL IV 30
41 METILPREDNISOLON 125MG INJ 5
42 METOCLOPRAMID IV 2
43 METRONIDAZOLE INFUS 1
44 MGSO4 20% 0
45 MGSO4 40% 1
46 MIDAZOLAM 1mg/ML INJEKSI 9
47 MIRIWASH 2
48 MISOPROSTOL TAB 93
49 NaCl 0,9% 100 ML 3
50 NaCl 0,9% 500 ML 12
51 NALOXON IV 3
52 NEOSTIGMIN IV 9
53 NICARDIPIN IV 0
54 OMEPRAZOLE 40mg VIAL 6
55 ONDANSETRON IV 26
56 OXYTOCIN 10IU/mL IV 94
57 PARACETAMOL INFUS 0
58 PETIDIN 100mg/2ML IV 6
59 PHENYTOIN SODIUM INJ 5
60 PROPOFOL 10 mg/ml IV 11
61 RANITIDIN 25mg/mL IV 11
62 RL (RINGER LAKTAT) 500ML 8
63 ROQURONIUM IV 0
64 SEVOFLURANCE 250ml 2
65 TAKIPRIL 20MG/ML 5
66 TRAMADOL 100mg/2mL 17
67 VIT. K 2mg/ml 0
K OPNAME OBAT DEPO FARMASI IBS/OK BULAN APRIL 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

28/4(5) 5 0
18/4(5) 8 1
1/4(10); 11/4(10); 28/4(10) 36 18
0 8 2
0 0 0
1/4(20) 23 11
7/4(15); 11/4(10); 18/4(15); 19/4(15) 66 49
0 11 0
0 0 0
4/4(2) 3 0
0 0 0
0 3 0
0 10 0
0 3 1
28/4(10) 14 1
14/4(6); 28/4(4) 13 3
0 10 0
0 0 0
11/4(2) 3 1
0 28 11
0 0 0
0 2 0
3 3 0
0 2 0
0 10 0
10/4(10); 18/4(13) 32 17
0 9 0
3/4(20); 14/4(10); 18/4(15) 52 27
11/4(10); 18/4(10) 23 18
0 4 0
0 2 0
0 12 0
0 0 0
0 5 3
0 0 0
11/4(20); 18/4(20) 61 42
7/4(24); 14/4(36) 82 57
0 52 3
14/4(20) 28 4
4/4(50); 18/4(25) 105 67
28/4(2) 7 2
0 2 1
4/4(2) 3 0
0 0 0
0 1 0
28/4(10) 19 8
4/4(5) 7 0
14/4(60); 28/4(60) 213 102
28/4(3) 6 1
10/4(20); 17/4(40) 72 41
0 3 3
0 9 0
0 0 0
0 6 1
7/4(25); 14/4(50) 101 78
11/4(100) 194 135
4/4(3); 28/4(2) 5 1
10/4(10) 16 5
0 5 0
10/4(10) 21 14
10 21 2
1/4(20); 10/4(20); 14/4(20); 17/4(40) 108 85
0 0 0
0 2 0
0 5 0
7/4(30); 14/4(20); 28/4(20) 87 48
11/4(5) 5 0

PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
7 Jun-23
18 Aug-24
6 Mar-24
0
12 Dec-24
17 Nov-26
11 Jun-24
0 0
3 Aug-24
0 Sep-23
3 Nov-24
10 Oct-23
2 Nov-24
13 Jul-23
10 Mar-24
10 Oct-23
0
2 Jul-23
17 Jan-24
0
2 Jul-24
3
2 Mar-24
10 Oct-23
15 Mar-24
9 Aug-23
25 Aug-24
5 Feb-24
4 Jul-24
2 Nov-24
12 Jul-23
0
2 Sep-24
0
19 Nov-24
25 Nov-25
49 Nov-25
24 Nov-26
38 May-24
5 Oct-23
1 Dec-25
3 Mar-24
0
1 Jun-23
11 Jan-25
7 Nov-24
111 Aug-24
5 Jul-24
31 Oct-24
0 ED 01/04/2023
9 Mar-25
0
5 Nov-24
23 Aug-25
59 Sep-25
4 Jun-25
11 5/22/2024
5 Jan-25
7 Feb-25
19 Feb-25
23 Dec-25
0
2 Aug-24
5 Sep-23
39 Jul-24
5 Oct-24

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN MEI 2023

TOTAL
NO NAMA STOK AWAL PEMASUKAN PENGELUARAN STOK AKHIR ED
PENAMBAHAN

1 ALKOHOL 70% 1L 3 5/5(3); 23/5(3) 9 5 4 Aug-26


2 ALKOHOL SWAB 0 0 0 0 0
3 AQUABIDES 20ml 7 12/5(5) 12 4 8 9/15/2023
4 BETADINE 1L 3 5/5(5); 16/5(3); 23/5(3); 31/5(3) 17 13 4 2/5/2025
5 BIG GAUZE 35X35CM 0 0 0 0 0
6 BISTURI 10 9 5/5(10); 23/5(10) 29 21 8 Aug-24
7 BISTURI 11 0 0 0 0 0
8 BISTURI 15 8 5/5(10); 9/5(10) 28 23 5 Jan-27
9 BISTURI 20 16 5/5(10); 16/5(20); 30/5(20) 66 48 18 Dec-26
10 BLOODSET 2 16/5(2) 4 2 2 Mar-27
11 C-SECTION SET DISPO CAESAR 0 9/5(1); 23/5(1) 2 1 1 ???
12 CHROMIC 2 CAT50L-2B (APEX) 0 0 0 0 0 Mar-27
13 CHROMIC 1 CAT40-1B (APEX) 0 19/5(12) 12 10 2 Mar-28
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1 0 1 0 1 May-26
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 0 9/5(1) 1 0 1
16 DAPPER KECIL 2CM X 3M 49 0 49 0 49 -
17 ELECTRODA EKG 8 5/5(20); 23/5(10); 30/5(20) 58 36 22 -
18 ETT no. 5,5 WORK std 2 0 2 0 2 Jul-24
19 ETT no. 5,0 BICAKCILAR NKK 0 12/5(2) 2 0 2
20 ETT no.5,5 BICAKCILAR NKK 0 12/5(2) 2 0 2
21 ETT no. 4,5 BICAKCILAR NKK 3 0 3 1 2 5/27/2025
22 ETT no. 4,5 cuffed std 2 0 2 0 2 Jul-24
23 ETT no.2,5 cuffed 0 0 0 0 0
24 ETT no. 6 cuffed std 2 0 2 2 0 Mar-23
25 ETT no.6,0 BICAKCILAR NKK 3 12/5(2) 5 1 4 Apr-27
26 ETT no.6,5 with STYLET NKK 0 12/5(2) 2 1 1
27 ETT no. 6,5 cuffed standar 0 0 0 0 0
28 ETT no. 7,0 NKK 1 0 1 0 1 Jun-27
29 ETT no. 7,0 cuffed std 1 0 1 1 0 Jun-23
30 FOLLEY CATH 10 3 0 3 0 3 Oct-26
31 FOLLEY CATH 14 0 0 0 0 0
32 FOLLEY CATH 16 15 12/5(10) 25 25 0 Feb-27
33 FOLLEY CATH 18 7 29/5(20) 27 10 17 May-26
34 FOLLEY CATH 8 2 0 2 0 2 Jul-26
35 GYPSONA 3 0 3 0 3 Dec-24
36 H2O2 1000ml (BLUD) 0 5/5(1) 1 1 0 May-25
37 HANDSCOON NON STERIL S 0 0 0 0 0
38 HANDSCOON NON STERIL M 3 9/5(2); 12/5(3); 19/5(3); 26/5(3) 14 12 2 Jan-26
39 HANDSCOON NON STERIL L 0 0 0 0 0
40 HANDSCOON STERIL NO.6,5 56 16/5(50) 106 99 7 Oct-26
HANDSCOON STERIL NO.7
41
26 5/5(50); 12/5(50); 23/5(50); 30/5(50) 226 163 63 Jul-26
42 HANDSCOON STERIL NO.7,5 42 5/5(50); 19/5(50) 142 128 14 Apr-26
43 HANDSCOON STERIL NO.8 33 0 33 7 26 Apr-26
44 HERNIA MESH 6X11 CM 0 0 0 0 0
45 HERNIA MESH 7,5X15 CM 3 0 3 2 1 Jun-27
46 HERNIA MESH 15X15 CM 0 0 0 0 0
47 HERNIA MESH 30X30 CM 1 0 1 0 1 Nov-26
48 HIPAFIK 5MX5CM 0 0 0 0 0 Jun-26
49 HIPAFIX ULTRAFIX 5MX10CM 3 16/5(2) 5 3 2 Jan-28
50 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1 0 1 0 1 Aug-23
51 InnoQ Dispo Bacteria/Viral Filter (Putih) 1 0 1 0 1 Aug-23
52 IUD 14 12/5(10) 24 18 6 Jun-28
53 IV 18 5 0 5 2 3 Mar-27
54 IV 20 4 0 4 1 3 Mar-27
55 IV 22 6 0 6 1 5 Nov-26
56 IV 24 3 0 3 0 3 Nov-26
57 IV 26 3 0 3 0 3 Jan-26
58 JACKSON REES 0 0 0 0 0
59 KASSA 40X80 (ROLL) 0 0 0 0 0
60 KASSA BOX 16X16 0 0 0 0 0
61 KASSA NON STERIL 10X10 0 0 0 0 0
62 KASSA STERIL 10x10 SNA MEDIKA 3 0 3 0 3 Feb-26
63 KASSA ROL 4X10 10 0 10 2 8 Sep-25
64 KASSA TAMPON 5CM X 10CM 0 0 0 0 0
65 KY JELLY 3 5/5(3) 6 3 3 Jun-25
66 LMA NO.2 0 0 0 0 0
67 LMA NO.2,5 0 0 0 0 0
68 LMA 3-0 0 0 0 0 0
69 LMA SUPREME NO.3 0 0 0 0 0
70 LMA SUPREME NO.4 0 0 0 0 0
71 MAKROSET 3 0 3 2 1 Oct-26
72 MAYO UK.40 MM 0 0 0 0 0
73 MAYO UK.50 MM 0 0 0 0 0
74 MAYO UK.60 MM 0 0 0 0 0
75 MAYO UK.70 MM 0 0 0 0 0
76 MAYO UK.80 MM 0 0 0 0 0
77 MAYO UK.90 MM 0 0 0 0 0
78 MAYO UK.100 MM 0 0 0 0 0
79 MAYO UK.110 MM 0 0 0 0 0
80 MEDICREPE 7,5CM X 4M 2 0 2 0 2 Aug-23
81 MEDICREPE 15CM X 4M 0 0 0 0 0
82 MIKROSET 4 0 4 0 4 Jun-24
83 NASAL CANULE ANAK 5 0 5 0 5 Apr-27
84 NASAL CANULE DEWASA 8 12/5(20) 28 20 8 Aug-27
85 NASAL CANULE NEONATUS (XS) 0 0 0 0 0
86 NETRAL PLAT PEN CAUTER DEWASA 18 0 18 10 8 Aug-23
87 NETRAL PLAT PEN CAUTER ANAK 4 0 4 0 4
88 NETRAL PLAT PEN CAUTER BAYI 5 0 5 0 5
89 NGT 16 2 0 2 0 2 Mar-25
90 NGT 18 1 0 1 1 0 Sep-26
91 NRM DEWASA 2 0 2 0 2
92 NURSE CAP 0 0 0 0 0
93 PAPER TAPE 0 16/5(5) 5 1 4 5/31/2022
94 PENSIL CAUTER 11 28/4(10); 29/5(10) 31 24 7 Mar-25
95 PLESTER COKLAT 7,5 cm x 4 m 1 5/5(3) 4 1 3 Dec-26
96 SOFRA-TULLE (LOMATULLE) 21 12/5(20); 26/5(20) 61 52 9 Aug-25
97 SPALK KAYU 2 0 2 0 2
98 SPINOCAN no. 25 54 30/5(25) 79 51 28 Jan-27
99 SPINOCAN no. 26 0 0 0 0 0
100 SPINOCAN no. 27 24 0 24 0 24 9/1/2026
101 SPONGE (X-MESH SPONGE 80X50X10MM) 10 0 10 4 6 Dec-25
102 SPUIT 10CC 93 23/5(100) 193 138 55 May-27
103 SPUIT 1CC 73 0 73 9 64 Jul-26
104 SPUIT 20CC 1 5/5(3) 4 2 2 May-24
105 SPUIT 3CC 84 19/5(100) 184 132 52 Sep-27
106 SPUIT 50CC 0 0 0 0 0
107 SPUIT 5CC 108 0 108 85 23 Dec-26
108 SUCTION NO. 14 3 0 3 0 3 Apr-25
109 SUCTION NO. 12 3 0 3 1 2 Apr-27
110 SUCTION NO.10 3 0 3 0 3 Jan-25
111 SUCTION NO.6 0 0 0 0 0
112 SUCTION NO.8 0 0 0 0 0
113 SURGISPON (10X10X10MM) 13 0 13 0 13 Nov-24
114 T-BOND B110 13 0 13 2 11 Aug-24
115 T-CHROMIC 1 C45 2 5/5(12) 14 1 13 Mar-26
116 T-CHROMIC 2 C99X 150cm 18 5/5(24) 42 39 3 Oct-27
117 T-CHROMIC 2-0 C96 11 0 11 5 6 Sep-27
118 T-CHROMIC 2-0 C57 0 0 0 0 0 May-24
119 T-CHROMIC 3-0 C43 BODIED 7 0 7 1 6 Aug-27
120 THREE WAY 5 0 5 1 4
121 T-NYLON 2-0 N90 7 0 7 0 7 Nov-25
122 T-NYLON 3-0 N32 20 29/5(24) 44 22 22 Dec-26
123 T-NYLON 4-0 N37 14 0 14 3 11 Nov-25
124 T-NYLON 10 (N170) 11 0 11 0 11 Feb-25
125 T-PLAIN 0 P88X 0 0 0 0 0
126 T-PLAIN 1 P89 5 0 5 1 4 Jan-26
127 T-PLAIN 1 RF19 0 0 0 0 0
128 T-PLAIN 2-0 P31X 0 0 0 0 0
129 T-PLAIN 2-0 P86X 7 0 7 0 7 Aug-24
130 T-PLAIN 3-0 P121 8 0 8 2 6 Jun-23
131 T-PLAIN 4-0 P119X 0 0 0 0 0
132 TRANSOFIX/DOUBLE SPIKE 7 0 7 1 6 Jan-27
133 TRUWAX 4 0 4 0 4 Apr-24
134 T-SILK 0 (S83) 0 0 0 0 0
135 T-SILK 1 S84 9 0 9 2 7 Sep-24
136 T-SILK 2-0 S24 CUTTING 17 0 17 0 17 Nov-25
137 T-SILK 2-0 S25 BODIED 15 0 15 0 15 May-26
138 T-SILK 3-0 S22 18 0 18 0 18 Nov-25
139 T-SKIN MARKER SPIDOL 7 0 7 0 7 Aug-24
140 T-VIO 4-0 V2 10 0 10 0 10 Nov-24
141 T-VIO 3-0 V5 0 0 0 0 0
142 T-VIO 2-0 V10 11 0 11 6 5 Jun-24
143 T-VIO 1 V14 30 5/5(12); 26/5(24) 66 45 21 Sep-24
144 T-VIO 1 V16 14 11/5(12); 12/5(12); 23/5(12) 50 26 24 Sep-24
145 T-VIO 0 V12 2 5/5(12) 14 1 13 Dec-23
146 TRACHEOSTOMY NO.7 1 0 1 0 1
147 URINE BAG 16 12/5(20); 30/5(15) 51 36 15 7/3/2026
148 WING NEEDLE NO.23G 2 0 2 1 1 Jan-26
149 SURGION 3-0 PGA APEX 41 30/5(36) 77 31 46 Aug-27
150 SURGION 4-0 PGA APEX 10 0 10 1 9 Nov-26
151 MONOLON 5-0 APEX 17 0 17 8 9 Apr-27

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN MEI 2023

NO NAMA OBAT STOK AWAL PEMASUKAN TOTAL


PENAMBAHAN PENGELUARAN STOK AKHIR ED

1 AMINOFILIN 24MG/ML (10ML) 50 5 05 Sep-25


2 AMIODARON INJ 7 0 7 0 7 Jun-23
3 ASAM TRANEKSAMAT IV 500mg/5ml 18 16/5(10); 26/5(10) 38 25 13 Aug-24
4 ATRACURIUM IV 10MG/ML (2,5ML) 6 5/5(5); 30/5(5) 16 9 7 Mar-24
5 ATRACURIUM IV 10MG/ML (5 ML) 0 0 0 0 0
6 ATROPIN SULFAT IV 12 19/5(20) 32 19 13 Dec-24
7 5/5(10); 12/5(10); 19/5(10); 26/5(10);
BUPIVACAIN SPINAL 20MG (BUCAIN) 17 31/5(15) 72 51 21 Nov-26
8 C. LFX MD 11 0 11 8 3 Jun-24
9 C. MYCOS E.O 0 0 0 0 0 0
10 C. MYDRIATHYL 1% E.D 3 0 3 2 1 Aug-24
11 C. MYCETIN E.O 0 5/5(2) 2 0 2 Sep-23
12 C. PANTOCAIN 2% E.D 3 0 3 1 2 Nov-24
13 C. P-PRED MD 10 0 10 0 10 Oct-23
14 CA. GLUCONATE 10% 2 0 2 0 2 Nov-24
15 CEFOTAXIME 13 0 13 0 13 Jul-23
16 CEFTRIAXONE 1gr INJ 10 23/5(4) 14 8 6 Mar-24
17 CETADOP (DOPAMIN) INJ 10 0 10 0 10 Oct-23
18 D40% 0 23/5(3) 3 0 3 Apr-24
19 D5% 500ML 2 0 2 0 2 Jul-23
20 DEXAMETHASONE 5mg/mL INJ 17 16/5(10); 23/5(10) 37 31 6 Jan-24
21 DEXKETOPROFEN IV 0 0 0 0 0
22 DIAZEPAM IV 2 0 2 0 2 Jul-24
23 DIPENHIDRAMINE IV 3 0 3 0 3
24 DIGOXIN INJ (FARGOXIN) 2 0 2 0 2 Mar-24
25 DOBUTAMIN 250MG/5ML INJ 10 0 10 1 9 Oct-23
26 EPHEDRIN IV 15 19/5(10); 30/5(10) 35 24 11 Mar-24
27 EPINEFRIN IV 9 5/5(10) 19 3 16 Aug-23
28 FENTANIL IV 100MCG/2ML 25 12/5(10); 17/5(10); 26/5(10); 30/5(10) 65 9 Aug-24
56
29 FENTANIL PATCH (DUROGESIC) 5 5/5(5); 26/5(10) 20 16 4 Feb-24
30 FUROSEMIDE IV 4 23/5(5) 9 4 5 Jul-24
31 GELOFUSIN 2 0 2 1 1 Nov-24
32 GENTAMYCIN 40MG/2ML IV 12 0 12 1 11 Jul-23
33 ISOFLURANCE 250ml 0 30/5(1) 1 0 1 Oct-24
34 KETAMIN 50mg/mL IV 2 9/5(3) 5 3 2 Sep-24
35 KETOPROFEN IV 0 0 0 0 0
36 KETOPROFEN SUPP (KALTROPEN) 19 12/5(20); 16/5(10); 30/5(20) 69 46 23 Nov-24
37 KETOROLAC 30mg/mL IV 25 5/5(24); 17/5(24); 26/5(12); 31/5(24) 109 79 30 Nov-25
38 LIDOCAIN 2% IV 49 0 49 17 32 Nov-25
39 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 24 0 24 14 10 Nov-26
40 METERGIN 0.2mg/mL IV 38 5/5(25)26/5(25) 88 57 31 May-24
41 METILPREDNISOLON 125MG INJ 5 0 5 0 5 Oct-23
42 METOCLOPRAMID IV 1 0 1 1 0 Dec-25
43 METRONIDAZOLE INFUS 3 0 3 0 3 Mar-24
44 MGSO4 20% 0 0 0 0 0
45 MGSO4 40% 1 0 1 0 1 Jun-24
46 MIDAZOLAM 1mg/ML INJEKSI 11 17/5(10) 21 17 4 Jan-25
47 MIRIWASH 7 16/5(3) 10 4 6 Nov-24
48 MISOPROSTOL TAB 111 12/5(60); 171 101 70 Aug-24
49 NaCl 0,9% 100 ML 5 0 5 1 4 Jul-24
50 NaCl 0,9% 500 ML 31 19/5(20); 30/5(20) 71 47 24 Oct-24
51 NALOXON IV 0 0 0 0 0
52 NEOSTIGMIN IV 9 0 9 3 6 Mar-25
53 NICARDIPIN IV 0 0 0 0 0
54 OMEPRAZOLE 40mg VIAL 5 0 5 4 1 Nov-24
55 ONDANSETRON IV 23 5/5(25); 16/5(25); 23/5(25); 30/5(25) 123 94 29 Aug-25
56 OXYTOCIN 10IU/mL IV 59 5/5(100); 26/5(100) 259 140 119 Sep-25
57 PARACETAMOL INFUS 4 0 4 2 2 Jun-25
58 PETIDIN 100mg/2ML IV 11 0 11 4 7 5/22/2024
59 PHENYTOIN SODIUM INJ 5 0 5 0 5 Jan-25
60 PROPOFOL 10 mg/ml IV 7 5/5(10); 17/5(10)30/5(10) 37 26 11 Feb-25
61 RANITIDIN 25mg/mL IV 19 0 19 2 17 Feb-25
62 RL (RINGER LAKTAT) 500ML 23 8/5(40); 19/5(20); 29/5(20) 103 95 8 Dec-25
63 ROQURONIUM IV 0 0 0 0 0
64 SEVOFLURANCE 250ml 2 30/5(1) 3 3 0 Aug-24
65 TAKIPRIL 20MG/ML 5 0 5 0 5 Sep-23
66 TRAMADOL 100mg/2mL 39 12/5(20); 26/5(10) 69 56 13 Jul-24
67 VIT. K 2mg/ml 5 0 5 0 5 Oct-24
PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 4
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 8
4 BETADINE 1L 4
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 8
7 BISTURI 11 0
8 BISTURI 15 5
9 BISTURI 20 18
10 BLOODSET 2
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 0
13 CHROMIC 1 CAT40-1B (APEX) 2
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 1
16 DAPPER KECIL 2CM X 3M 49
17 ELECTRODA EKG 22
18 ETT no. 5,5 WORK std 2
19 ETT no. 5,0 BICAKCILAR NKK 2
20 ETT no.5,5 BICAKCILAR NKK 2
21 ETT no. 4,5 BICAKCILAR NKK 2
22 ETT no. 4,5 cuffed std 2
23 ETT no.2,5 cuffed 0
24 ETT no. 6 cuffed std 0
25 ETT no.6,0 BICAKCILAR NKK 4
26 ETT no.6,5 with STYLET NKK 1
27 ETT no. 6,5 cuffed standar 0
28 ETT no. 7,0 NKK 1
29 ETT no. 7,0 cuffed std 0
30 FOLLEY CATH 10 3
31 FOLLEY CATH 14 0
32 FOLLEY CATH 16 0
33 FOLLEY CATH 18 17
34 FOLLEY CATH 8 2
35 GYPSONA 3
36 H2O2 1000ml (BLUD) 0
37 HANDSCOON NON STERIL S 0
38 HANDSCOON NON STERIL M 2
39 HANDSCOON NON STERIL L 0
40 HANDSCOON STERIL NO.6,5 7
41 HANDSCOON STERIL NO.7 63
42 HANDSCOON STERIL NO.7,5 14
43 HANDSCOON STERIL NO.8 26
44 HERNIA MESH 6X11 CM 0
45 HERNIA MESH 7,5X15 CM 1
46 HERNIA MESH 15X15 CM 0
47 HERNIA MESH 30X30 CM 1
48 HIPAFIK 5MX5CM 0
49 HIPAFIX ULTRAFIX 5MX10CM 2
50 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
51 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
52 IUD 6
53 IV 18 3
54 IV 20 3
55 IV 22 5
56 IV 24 3
57 IV 26 3
58 JACKSON REES 0
59 KASSA 40X80 (ROLL) 0
60 KASSA BOX 16X16 0
61 KASSA NON STERIL 10X10 0
62 KASSA STERIL 10x10 SNA MEDIKA 3
63 KASSA ROL 4X10 8
64 KASSA TAMPON 5CM X 10CM 0
65 KY JELLY 3
66 LMA NO.2 0
67 LMA NO.2,5 0
68 LMA 3-0 0
69 LMA 4-0 0
70 LMA SUPREME NO.3 0
71 LMA SUPREME NO.4 0
72 MAKROSET 1
73 MAYO UK.40 MM 0
74 MAYO UK.50 MM 0
75 MAYO UK.60 MM 0
76 MAYO UK.70 MM 0
77 MAYO UK.80 MM 0
78 MAYO UK.90 MM 0
79 MAYO UK.100 MM 0
80 MAYO UK.110 MM 0
81 MEDICREPE 7,5CM X 4M 2
82 MEDICREPE 15CM X 4M 0
83 MIKROSET 4
84 NASAL CANULE ANAK 5
85 NASAL CANULE DEWASA 8
86 NASAL CANULE NEONATUS (XS) 0
87 NETRAL PLAT PEN CAUTER DEWASA 8
88 NETRAL PLAT PEN CAUTER ANAK 4
89 NETRAL PLAT PEN CAUTER BAYI 5
90 NGT 16 2
91 NGT 18 0
92 NRM DEWASA 2
93 NURSE CAP 0
94 PAPER TAPE 4
95 PENSIL CAUTER 7
96 PLESTER COKLAT 7,5 cm x 4 m 3
97 SOFRA-TULLE (LOMATULLE) 9
98 SPALK KAYU 2
99 SPINOCAN no. 25 28
100 SPINOCAN no. 26 0
101 SPINOCAN no. 27 24
102 SPONGE (X-MESH SPONGE 80X50X10MM) 6
103 SPUIT 10CC 55
104 SPUIT 1CC 64
105 SPUIT 20CC 2
106 SPUIT 3CC 52
107 SPUIT 50CC 0
108 SPUIT 5CC 23
109 SUCTION NO. 14 3
110 SUCTION NO. 12 2
111 SUCTION NO.10 3
112 SUCTION NO.6 0
113 SUCTION NO.8 0
114 SURGISPON (10X10X10MM) 13
115 T-BOND B110 11
116 T-CHROMIC 1 C45 13
117 T-CHROMIC 2 C99X 150cm 3
118 T-CHROMIC 2-0 C96 6
119 T-CHROMIC 2-0 C57 0
120 T-CHROMIC 3-0 C43 BODIED 6
121 THREE WAY 4
122 T-NYLON 2-0 N90 7
123 T-NYLON 3-0 N32 22
124 T-NYLON 4-0 N37 11
125 T-NYLON 10 (N170) 11
126 T-PLAIN 0 P88X 0
127 T-PLAIN 1 P89 4
128 T-PLAIN 1 RF19 0
129 T-PLAIN 2-0 P31X 0
130 T-PLAIN 2-0 P86X 7
131 T-PLAIN 3-0 P121 6
132 T-PLAIN 4-0 P119X 0
133 TRANSOFIX/DOUBLE SPIKE 6
134 TRUWAX 4
135 T-SILK 0 (S83) 0
136 T-SILK 1 S84 7
137 T-SILK 2-0 S24 CUTTING 17
138 T-SILK 2-0 S25 BODIED 15
139 T-SILK 3-0 S22 18
140 T-SKIN MARKER SPIDOL 7
141 T-VIO 4-0 V2 10
142 T-VIO 3-0 V5 0
143 T-VIO 2-0 V10 5
144 T-VIO 1 V14 21
145 T-VIO 1 V16 24
146 T-VIO 0 V12 13
147 TRACHEOSTOMY NO.7 1
148 URINE BAG 15
149 WING NEEDLE NO.23G 1
150 SURGION 3-0 PGA APEX 46
151 SURGION 4-0 PGA APEX 9
152 MONOLON 5-0 APEX 9
ME BMHP DEPO FARMASI IBS/OK BULAN JUNI 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

12/6(3) 7 4 3
0 0 0 0
0 8 2 6
12/6(4); 26/6(2) 10 7 3
0 0 0 0
26/6(10) 18 8 10
0 0 0 0
7/6(10);12/6(20) 35 19 16
12/6(10); 26/6(10) 38 27 11
21/6(3) 5 2 3
12/6(1); 21/6(1) 3 2 1
13/6(10); 26/6(12) 22 6 16
0 2 2 0
0 1 0 1
0 1 1 0
0 49 0 49
26/6(10) 32 12 20
0 2 0 2
0 2 0 2
0 2 2 0
0 2 0 2
0 2 0 2
0 0 0 0
6/6(3) 3 0 3
0 4 1 3
6/6(1) 2 0 2
6/6(3) 3 0 3
6/6(1) 2 0 2
6/6(3) 3 1 2
0 3 0 3
0 0 0 0
14/6(10); 26/6(10) 20 7 13
0 17 17 0
0 2 0 2
0 3 0 3
16/6(2) 2 0 2
0 0 0 0
6/6(3); 12/6(2); 21/6(3); 26/6(2) 12 10 2
0 0 0 0
6/6(50); 13/6(50) 107 65 42
13/6(50) 113 101 12
7/6(50); 21/6(50) 114 93 21
0 26 0 26
0 0 0 0
0 1 0 1
0 0 0 0
0 1 0 1
0 0 0 0
21/6(2) 4 2 2
0 1 0 1
0 1 0 1
6/6(10); 21/6(10) 26 18 8
13/6(4); 26/6(3) 10 4 6
26/6(3) 6 1 5
0 5 1 4
0 3 1 2
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 3 0 3
0 8 3 5
0 0 0 0
16/6(3) 6 2 4
0 0 0 0
0 0 0 0
16/6(2) 2 0 2
12/6(2) 2 0 2
0 0 0 0
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 0 0 0
0 4 0 4
0 5 2 3
12/6(10); 21/6(10) 28 15 13
0 0 0 0
16/6(10) 18 9 9
0 4 0 4
0 5 0 5
6/6(3) 5 1 4
0 0 0 0
0 2 0 2
0 0 0 0
0 4 2 2
13/6(10); 23/6(20) 37 25 12
0 3 1 2
6/6(20); 21/6(20) 49 30 19
0 2 0 2
21/6(25) 53 32 21
0 0 0 0
0 24 0 24
0 6 1 5
16/6(100) 155 106 49
0 64 7 57
0 2 1 1
16/6(100) 152 93 59
0 0 0
6/6(100) 123 68 55
0 3 0 3
0 2 0 2
0 3 0 3
0 0 0 0
0 0 0 0
0 13 2 11
0 11 0 11
0 13 5 8
20/6(12) 15 12 3
27/6(12) 18 6 12
0 0 0 0
23/6(12) 18 8 10
0 4 0 4
0 7 0 7
0 22 14 8
0 11 2 9
0 11 0 11
0 0 0 0
0 4 0 4
0 0 0 0
0 0 0 0
0 7 0 7
0 6 6 0
0 0 0 0
0 6 2 4
0 4 0 4
0 0 0 0
0 7 2 5
0 17 0 17
0 15 0 15
0 18 0 18
0 7 0 7
0 10 1 9
0 0 0 0
26/6(12) 17 5 12
12/6(12) 33 26 7
12/6(12) 36 12 24
0 13 0 13
0 1 0 1
13/6(10); 26/6(10) 35 24 11
0 1 0 1
0 46 20 26
0 9 0 9
16/6(12) 21 7 14

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/202
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27
???
Mar-27
Mar-28
May-26

-
-
Jul-24

5/27/2025
Jul-24

Feb-28
Apr-27

Feb-28
Jun-27
Feb-28
Oct-26
Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
Aug-23
Aug-23
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Oct-26

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23

Mar-25
Sep-26

5/31/2022
Mar-25
Dec-26
Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27
Sep-27
May-24
Aug-27

Nov-25
Dec-26
Nov-25
Feb-25

Jan-26

Aug-24
ED 01/06/2023

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24

Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

ASI IBS RSUD LEMBANG

ZULKHAIDAH, S.Farm
.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN JU

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 5


2 AMIODARON INJ 7
3 ASAM TRANEKSAMAT IV 500mg/5ml 13
4 ATRACURIUM IV 10MG/ML (2,5ML) 7
5 ATRACURIUM IV 10MG/ML (5 ML) 0
6 ATROPIN SULFAT IV 13
7 BUPIVACAIN SPINAL 20MG (BUCAIN) 21
8 C. LFX MD 3
9 C. MYCOS E.O 0
10 C. MYDRIATHYL 1% E.D 1
11 C. MYCETIN E.O 2
12 C. PANTOCAIN 2% E.D 2
13 C. P-PRED MD 10
14 CA. GLUCONATE 10% 2
15 CEFOTAXIME 13
16 CEFTRIAXONE 1gr INJ 6
17 CETADOP (DOPAMIN) INJ 10
18 D40% 3
19 D5% 500ML 2
20 DEXAMETHASONE 5mg/mL INJ 6
21 DEXKETOPROFEN IV 0
22 DIAZEPAM IV 2
23 DIPENHIDRAMINE IV 3
24 DIGOXIN INJ (FARGOXIN) 2
25 DOBUTAMIN 250MG/5ML INJ 9
26 EPHEDRIN IV 11
27 EPINEFRIN IV 16
28 FENTANIL IV 100MCG/2ML 9
29 FENTANIL PATCH (DUROGESIC) 4
30 FUROSEMIDE IV 5
31 GELOFUSIN 1
32 GENTAMYCIN 40MG/2ML IV 11
33 ISOFLURANCE 250ml 1
34 KETAMIN 50mg/mL IV 2
35 KETOPROFEN IV 0
36 KETOPROFEN SUPP (KALTROPEN) 23
37 KETOROLAC 30mg/mL IV 30
38 LIDOCAIN 2% IV 32
39 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 10
40 METERGIN 0.2mg/mL IV 31
41 METILPREDNISOLON 125MG INJ 5
42 METOCLOPRAMID IV 0
43 METRONIDAZOLE INFUS 3
44 MGSO4 20% 0
45 MGSO4 40% 1
46 MIDAZOLAM 1mg/ML INJEKSI 4
47 MIRIWASH 6
48 MISOPROSTOL TAB 70
49 NaCl 0,9% 100 ML 4
50 NaCl 0,9% 500 ML 24
51 NALOXON IV 0
52 NEOSTIGMIN IV 6
53 NICARDIPIN IV 0
54 OMEPRAZOLE 40mg VIAL 1
55 ONDANSETRON IV 29
56 OXYTOCIN 10IU/mL IV 119
57 PARACETAMOL INFUS 2
58 PETIDIN 100mg/2ML IV 7
59 PHENYTOIN SODIUM INJ 5
60 PROPOFOL 10 mg/ml IV 11
61 RANITIDIN 25mg/mL IV 17
62 RL (RINGER LAKTAT) 500ML 8
63 ROQURONIUM IV 0
64 SEVOFLURANCE 250ml 0
65 TAKIPRIL 20MG/ML 5
66 TRAMADOL 100mg/2mL 13
67 VIT. K 2mg/ml 5
K OPNAME OBAT DEPO FARMASI IBS/OK BULAN JUNI 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 5 0
0 7 2
12/6(10) 23 19
21/6(5); 26/6(5) 17 8
0 0 0
16/6(10) 23 9
13/6(15); 26/6(10) 46 32
13/6(10); 19/6(10) 23 10
0 0 0
6/6(2); 19/6(2) 5 2
0 2 0
19/6(2) 4 2
0 10 0
0 2 0
0 13 0
0 6 2
0 10 0
0 3 0
0 2 0
6/6(20); 16/6(10) 36 24
0 0 0
0 2 0
0 3 0
0 2 0
0 9 0
12/6(10); 26/6(10) 31 14
0 16 4
7/6(10); 13/6(10); 21/6(10); 23/6(15) 54
38
13/6(5) 9 3
0 5 1
6/6(3) 4 0
0 11 2
0 1 1
21/6(5) 7 3
0 0 0
12/6(10); 26/6(20) 53 24
13/6(12); 21/6(24) 66 50
0 32 22
16/6(20) 30 14
12/6(25); 26/6(25) 81 31
0 5 0
0 0 0
0 3 0
0 0 0
0 1 0
7/6(10) 14 9
19/6(5); 21/6(5) 16 8
0 70 50
0 4 1
13/6(20) 44 29
0 0 0
13/6(5) 11 3
0 0 0
16/6(5) 6 1
13/6(25); 23/6(25) 79 61
0 119 66
16/6(3) 5 2
0 7 0
0 5 0
19/6(10); 26/6(10) 31 19
0 17 1
6/6(20); 13/6(20); 22/6(40) 88 72
0 0 0
7/6(1); 21/6(1) 2 1
0 5 1
6/6(20); 13/6(20) 53 48
0 5 0

PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
5 ED 2 amp 06-23
4 Aug-24
9 Mar-24
0
14 Dec-24
14 Nov-26
13 Jun-24
0 0
3 Aug-24
2 Sep-23
2 Nov-24
10 Oct-23
2 Nov-24
13 Jul-23
4 Mar-24
10 Oct-23
3 Apr-24
2 Jul-23
12 Jan-24
0
2 Jul-24
3 Feb-25
2 Mar-24
9 Oct-23
17 Mar-24
12 Aug-23
16 Aug-24
6 Feb-24
4 Jul-24
4 Nov-24
9 Jul-23
0 Oct-24
4 Sep-24
0
29 Nov-24
16 Nov-25
10 Nov-25
16 Nov-26
50 May-24
5 Oct-23
0 Nov-24
3 Mar-24
0
1 Jun-24
5 Jan-25
8 Nov-24
20 Aug-24
3 Jul-24
15 Oct-24
0
8 Mar-25
0
5 Nov-24
18 Aug-25
53 Sep-25
3 Jun-25
7 5/22/2024
5 Jan-25
12 Feb-25
16 Feb-25
16 Dec-25
0
1 Aug-24
4 Sep-23
5 Jul-24
5 Oct-24

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 3
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 6
4 BETADINE 1L 3
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 10
7 BISTURI 11 0
8 BISTURI 15 16
9 BISTURI 20 11
10 BLOODSET 3
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 16
13 CHROMIC 1 CAT40-1B (APEX) 0
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
16 DAPPER KECIL 2CM X 3M 49
17 ELECTRODA EKG 20
18 ETT no. 5,5 WORK std 2
19 ETT no. 5,0 BICAKCILAR NKK 2
20 ETT no.5,5 BICAKCILAR NKK 0
21 ETT no. 4,5 BICAKCILAR NKK 2
22 ETT no. 4,5 cuffed std 2
23 ETT no.2,5 cuffed 0
24 ETT no. 6 cuffed std 3
25 ETT no.6,0 BICAKCILAR NKK 3
26 ETT no.6,5 with STYLET NKK 2
27 ETT no. 6,5 cuffed standar 3
28 ETT no. 7,0 NKK 2
29 ETT no. 7,0 cuffed std 2
30 FOLLEY CATH 10 3
31 FOLLEY CATH 14 0
32 FOLLEY CATH 16 13
33 FOLLEY CATH 18 0
34 FOLLEY CATH 8 2
35 GYPSONA 3
36 H2O2 1000ml (BLUD) 2
37 HANDSCOON NON STERIL S 0
38 HANDSCOON NON STERIL M 2
39 HANDSCOON NON STERIL L 0
40 HANDSCOON STERIL NO.6,5 42
41 HANDSCOON STERIL NO.7 12
42 HANDSCOON STERIL NO.7,5 21
43 HANDSCOON STERIL NO.8 26
44 HERNIA MESH 6X11 CM 0
45 HERNIA MESH 7,5X15 CM 1
46 HERNIA MESH 15X15 CM 0
47 HERNIA MESH 30X30 CM 1
48 HIPAFIK 5MX5CM 0
49 HIPAFIX ULTRAFIX 5MX10CM 2
50 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
51 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
52 IUD 8
53 IV 18 6
54 IV 20 5
55 IV 22 4
56 IV 24 2
57 IV 26 3
58 JACKSON REES 0
59 KASSA 40X80 (ROLL) 0
60 KASSA BOX 16X16 0
61 KASSA NON STERIL 10X10 0
62 KASSA STERIL 10x10 SNA MEDIKA 3
63 KASSA ROL 4X10 5
64 KASSA TAMPON 5CM X 10CM 0
65 KY JELLY 4
66 LMA NO.2 0
67 LMA NO.2,5 0
68 LMA 3-0 2
69 LMA 4-0 2
70 LMA SUPREME NO.3 0
71 LMA SUPREME NO.4 0
72 MAKROSET 1
73 MAYO UK.40 MM 0
74 MAYO UK.50 MM 0
75 MAYO UK.60 MM 0
76 MAYO UK.70 MM 0
77 MAYO UK.80 MM 0
78 MAYO UK.90 MM 0
79 MAYO UK.100 MM 0
80 MAYO UK.110 MM 0
81 MEDICREPE 7,5CM X 4M 2
82 MEDICREPE 15CM X 4M 0
83 MIKROSET 4
84 NASAL CANULE ANAK 3
85 NASAL CANULE DEWASA 13
86 NASAL CANULE NEONATUS (XS) 0
87 NETRAL PLAT PEN CAUTER DEWASA 9
88 NETRAL PLAT PEN CAUTER ANAK 4
89 NETRAL PLAT PEN CAUTER BAYI 5
90 NGT 16 4
91 NGT 18 0
92 NRM DEWASA 2
93 NURSE CAP 0
94 PAPER TAPE 2
95 PENSIL CAUTER 12
96 PLESTER COKLAT 7,5 cm x 4 m 2
97 SOFRA-TULLE (LOMATULLE) 19
98 SPALK KAYU 2
99 SPINOCAN no. 25 21
100 SPINOCAN no. 26 0
101 SPINOCAN no. 27 24
102 SPONGE (X-MESH SPONGE 80X50X10MM) 5
103 SPUIT 10CC 49
104 SPUIT 1CC 57
105 SPUIT 20CC 1
106 SPUIT 3CC 59
107 SPUIT 50CC 0
108 SPUIT 5CC 55
109 SUCTION NO. 14 3
110 SUCTION NO. 12 2
111 SUCTION NO.10 3
112 SUCTION NO.6 0
113 SUCTION NO.8 0
114 SURGISPON (10X10X10MM) 11
115 T-BOND B110 11
116 T-CHROMIC 1 C45 8
117 T-CHROMIC 2 C99X 150cm 3
118 T-CHROMIC 2-0 C96 12
119 T-CHROMIC 2-0 C57 0
120 T-CHROMIC 3-0 C43 BODIED 10
121 THREE WAY 4
122 T-NYLON 2-0 N90 7
123 T-NYLON 3-0 N32 8
124 T-NYLON 4-0 N37 9
125 T-NYLON 10 (N170) 11
126 T-PLAIN 0 P88X 0
127 T-PLAIN 1 P89 4
128 T-PLAIN 1 RF19 0
129 T-PLAIN 2-0 P31X 0
130 T-PLAIN 2-0 P86X 7
131 T-PLAIN 3-0 P121 0
132 T-PLAIN 4-0 P119X 0
133 TRANSOFIX/DOUBLE SPIKE 4
134 TRUWAX 4
135 T-SILK 0 (S83) 0
136 T-SILK 1 S84 5
137 T-SILK 2-0 S24 CUTTING 17
138 T-SILK 2-0 S25 BODIED 15
139 T-SILK 3-0 S22 18
140 T-SKIN MARKER SPIDOL 7
141 T-VIO 4-0 V2 9
142 T-VIO 2-0 V10 12
143 T-VIO 1 V14 7
144 T-VIO 1 V16 24
145 T-VIO 0 V12 13
146 TRACHEOSTOMY NO.7 1
147 URINE BAG 11
148 WING NEEDLE NO.23G 1
149 SURGION 3-0 PGA APEX 26
150 SURGION 4-0 PGA APEX 9
151 MONOLON 5-0 APEX 26
ME BMHP DEPO FARMASI IBS/OK BULAN JULI 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

11/7(2); 26/7(3) 8 2 6
0 0 0 0
14/7(5) 11 5 6
5/7(4); 11/7(3); 26/7(3) 13 11 2
0 0 0 0
0 10 6 4
21/7(10) 10 2 8
14/7(100) 116 21 95
7/7(20); 18/7(20) 51 36 15
21/7(2) 5 2 3
0 1 0 1
7/7(12) 28 16 12
0 0 0 0
0 1 0 1
0 0 0 0
0 49 0 49
0 20 20 0
0 2 1 1
0 1 0 1
14/7(1) 1 1 0
0 2 0 2
0 2 0 2
0 0 0 0
0 3 0 3
0 3 0 3
0 2 0 2
0 3 1 2
0 2 0 2
0 2 1 1
0 3 0 3
0 0 0 0
7/7(20); 14/7(10) 43 33 10
21/7(10) 10 2 8
0 2 0 2
0 3 0 3
0 2 0 2
0 0 0 0
4/7(2); 14/7(2); 18/7(2); 21/7(3) 11 11 0
0 0 0 0
7/7(50); 21/7(50) 142 99 43
4/7(50); 14/7(50); 25/7(50) 162 125 37
4/7(50); 18/7(50); 21/7(50) 171 91 80
0 26 0 26
0 0 0 0
14/7(2) 3 3 0
0 0 0 0
0 1 0 1
0 0 0 0
14/7(2) 4 3 1
0 1 0 1
0 1 0 1
4/7(10); 31/7(10) 28 16 12
0 6 2 4
0 5 1 4
4/7(3) 7 4 3
7/7(3) 5 1 4
0 3 0 3
26/7(2) 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 3 2 1
0 5 2 3
0 0 0 0
0 4 2 2
0 0 0 0
0 0 0 0
0 2 0 2
0 2 0 2
0 0 0 0
0 0 0 0
0 1 0 1
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 1 1
0 0 0 0
0 4 1 3
0 3 1 2
14/7(5); 25/7(20) 38 20 18
0 0 0 0
14/7(10) 19 7 12
0 4 3 1
0 5 0 5
31/7(2) 6 2 4
0 0 0 0
0 2 2 0
0 0 0 0
11/7(5) 7 3 4
14/7(20); 21/7(10) 42 32 10
11/7(3) 5 2 3
7/7(20); 21/7(10) 49 38 11
0 2 0 2
7/7(25); 27/7(25) 71 50 21
0 0 0 0
0 24 0 24
0 5 3 2
7/7(100) 149 125 24
0 57 14 43
4/7(3) 4 0 4
14/7(100) 159 120 39
0 0 0 0
7/7(100); 14/7(100) 255 88 167
0 3 1 2
0 2 2 0
0 3 0 3
0 0 0 0
0 0 0 0
0 11 0 11
0 11 3 8
0 8 0 8
4/7(12); 14/7(12) 27 10 17
30/7(12) 24 7 17
0 0 0 0
0 10 6 4
0 4 0 4
0 7 1 6
18/7(24) 32 12 20
18/7(12) 21 4 17
0 11 0 11
0 0 0 0
0 4 0 4
0 0 0 0
0 0 0 0
0 7 0 7
0 0 0 0
0 0 0 0
18/7(5) 9 1 8
0 4 0 4
0 0 0 0
0 5 1 4
0 17 0 17
0 15 0 15
0 18 0 18
0 7 0 7
0 9 0 9
0 12 0 12
4/7(12); 7/7(12); 14/7(12) 43 32 11
14/7(12) 36 9 27
0 13 4 9
0 1 0 1
7/7(20); 18/7(20) 51 39 12
0 1 0 1
18/7(36) 62 31 31
0 9 0 9
0 26 0 26

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/202
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27
???
Mar-27
Mar-28
May-26

-
-
Jul-24

5/27/2025
Jul-24

Feb-28
Apr-27
Sep-27
Feb-28
Jun-27
Feb-28
Oct-26
Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
Aug-23
Aug-23
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Jul-24

Oct-26

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23

Mar-25
Sep-26

5/31/2022
Mar-25
Dec-26
Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27
Sep-27
May-24
Aug-27
Oct-27
Nov-25
Dec-26
Nov-25
Feb-25

Jan-26

Aug-24

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24
Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

ASI IBS RSUD LEMBANG

ZULKHAIDAH, S.Farm
.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN JU

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 5


2 AMIODARON INJ 5
3 ASAM TRANEKSAMAT IV 500mg/5ml 4
4 ATRACURIUM IV 10MG/ML (2,5ML) 9
5 ATRACURIUM IV 10MG/ML (5 ML) 0
6 ATROPIN SULFAT IV 14
7 BUPIVACAIN SPINAL 20MG (BUCAIN) 14
8 C. LFX MD 13
9 C. MYCOS E.O 0
10 C. MYDRIATHYL 1% E.D 3
11 C. MYCETIN E.O 2
12 C. PANTOCAIN 2% E.D 2
13 C. P-PRED MD 10
14 CA. GLUCONATE 10% 2
15 CEFOTAXIME 13
16 CEFTRIAXONE 1gr INJ 4
17 CETADOP (DOPAMIN) INJ 10
18 D40% 3
19 D5% 500ML 2
20 DEXAMETHASONE 5mg/mL INJ 12
21 DEXKETOPROFEN IV 0
22 DIAZEPAM IV 2
23 DIPENHIDRAMINE IV 3
24 DIGOXIN INJ (FARGOXIN) 2
25 DOBUTAMIN 250MG/5ML INJ 9
26 EPHEDRIN IV 17
27 EPINEFRIN IV 12
28 FENTANIL IV 100MCG/2ML 16
29 FENTANIL PATCH (DUROGESIC) 6
30 FUROSEMIDE IV 4
31 GELOFUSIN 4
32 GENTAMYCIN 40MG/2ML IV 9
33 ISOFLURANCE 250ml 0
34 KETAMIN 50mg/mL IV 4
35 KETOPROFEN IV 0
36 KETOPROFEN SUPP (KALTROPEN) 29
37 KETOROLAC 30mg/mL IV 16
38 LIDOCAIN 2% IV 10
39 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 16
40 METERGIN 0.2mg/mL IV 50
41 METILPREDNISOLON 125MG INJ 5
42 METOCLOPRAMID IV 0
43 METRONIDAZOLE INFUS 3
44 MGSO4 20% 0
45 MGSO4 40% 1
46 MIDAZOLAM 1mg/ML INJEKSI 5
47 MIRIWASH 8
48 MISOPROSTOL TAB 20
49 NaCl 0,9% 100 ML 3
50 NaCl 0,9% 500 ML 15
51 NALOXON IV 0
52 NEOSTIGMIN IV 8
53 NICARDIPIN IV 0
54 OMEPRAZOLE 40mg VIAL 5
55 ONDANSETRON IV 18
56 OXYTOCIN 10IU/mL IV 53
57 PARACETAMOL INFUS 3
58 PETIDIN 100mg/2ML IV 7
59 PHENYTOIN SODIUM INJ 5
60 PROPOFOL 10 mg/ml IV 12
61 RANITIDIN 25mg/mL IV 16
62 RL (RINGER LAKTAT) 500ML 16
63 ROQURONIUM IV 0
64 SEVOFLURANCE 250ml 1
65 TAKIPRIL 20MG/ML 4
66 TRAMADOL 100mg/2mL 5
67 VIT. K 2mg/ml 5
K OPNAME OBAT DEPO FARMASI IBS/OK BULAN JULI 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 5 0
0 5 0
4/7(20); 21/7(20) 44 21
20/7(5) 14 8
0 0 0
14/7(10) 24 12
5/7(10); 7/7(15); 18/7(10); 31/7(15) 64 47
18/7(10) 23 3
0 0 0
18/7(2) 5 2
0 2 1
18/7(2) 4 1
0 10 0
0 2 0
0 13 0
18/7(5) 9 3
0 10 0
21/7(4) 7 5
0 2 2
4/7(10); 18/7(10); 21/7(20) 52 31
0 0 0
0 2 0
0 3 0
0 2 0
0 9 0
5/7(10); 21/7(10) 37 18
0 12 1
5/7(10); 11/7(10); 17/7(10); 21/7(15) 61
52
21/7(5); 11 8
18/7(5) 9 5
0 4 0
0 9 9
7/7(1) 1 0
0 4 2
0 0 0
18/7(20); 31/7(10) 59 30
4/7(12); 14/7(24); 18/7(24) 76 56
14/7(100) 110 11
20/7(20) 36 17
18/7(50) 100 45
0 5 2
5/7(10) 10 2
0 3 0
0 0 0
0 1 0
5/7(10); 20/7(10) 25 17
18/7(5) 13 10
7/7(60) 80 38
0 3 0
5/7(20); 14/7(20); 25/7(20) 75 48
5/7(5) 5 0
0 8 3
18/7(5) 5 0
21/7(5) 10 3
5/7(25); 14/7(50) 93 74
7/7(100) 153 99
7/7(4); 31/7(3) 10 5
0 7 0
0 5 1
17/7(10); 21/7(10) 32 25
18/7(10) 26 5
5/7(20); 10/7(40); 14/7(20); 25/7(20) 116 96
12/7(2) 2 0
7/7(2) 3 2
0 4 3
4/7(20); 7/7(30); 18/7(20); 31/7(10) 85 59
0 5 0

PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
5
23 Aug-24
6 Mar-24
0
12 Dec-24
17 Nov-26
20 Jun-24
0 0
3 Aug-24
1 Sep-23
3 Nov-24
10 Oct-23
2 Nov-24
13
6 Mar-24
10 Oct-23
2 Apr-24
0 ED 07/2023
21 Jan-24
0
2 Jul-24
3 Feb-25
2 Mar-24
9 Oct-23
19 Mar-24
11 Aug-23
9 Aug-24
3 Feb-24
4 Jul-24
4 Nov-24
0 ED 07/2023
1 Oct-24
2 Sep-24
0
29 Nov-24
20 Nov-25
99 Nov-25
19 Nov-26
55 May-24
3 Oct-23
8 Nov-24
3 Mar-24
0
1 Jun-24
8 Jan-25
3 Nov-24
42 Aug-24
3 Jul-24
27 Oct-24
5
5 Mar-25
5
7 Nov-24
19 Aug-25
54 Sep-25
5 Jun-25
7 5/22/2024
4 Jan-25
7 Feb-25
21 Feb-25
20 Dec-25
2
1 Aug-24
1 Sep-23
26 Jul-24
5 Oct-24

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN AG

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 6
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 6
4 BETADINE 1L 2
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 4
7 BISTURI 11 8
8 BISTURI 15 95
9 BISTURI 20 15
10 BLOODSET 3
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 12
13 CHROMIC 1 CAT40-1B (APEX) 0
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
16 DAPPER KECIL 2CM X 3M 49
17 ELECTRODA EKG 0
18 ETT no. 5,5 WORK std 1
19 ETT no. 5,0 BICAKCILAR NKK 1
20 ETT no.5,5 BICAKCILAR NKK 0
21 ETT no. 4,5 BICAKCILAR NKK 2
22 ETT no. 4,5 cuffed std 2
23 ETT no.2,5 cuffed 0
24 ETT no. 6 cuffed std 3
25 ETT no.6,0 BICAKCILAR NKK 3
26 ETT no.6,5 with STYLET NKK 2
27 ETT no. 6,5 cuffed standar 2
28 ETT no. 7,0 NKK 2
29 ETT no. 7,0 cuffed std 1
30 ETT no. 8,0 cuffed std 0
31 FOLLEY CATH 10 3
32 FOLLEY CATH 14 0
33 FOLLEY CATH 16 10
34 FOLLEY CATH 18 8
35 FOLLEY CATH 8 2
36 GYPSONA 3
37 H2O2 1000ml (BLUD) 2
38 HANDSCOON NON STERIL S 0
39 HANDSCOON NON STERIL M 0
40 HANDSCOON NON STERIL L 0
41 HANDSCOON STERIL NO.6,5 43
42 HANDSCOON STERIL NO.7 37
43 HANDSCOON STERIL NO.7,5 80
44 HANDSCOON STERIL NO.8 26
45 HERNIA MESH 6X11 CM 0
46 HERNIA MESH 7,5X15 CM 0
47 HERNIA MESH 15X15 CM 0
48 HERNIA MESH 30X30 CM 1
49 HIPAFIK 5MX5CM 0
50 HIPAFIX ULTRAFIX 5MX10CM 1
51 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
52 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
53 IUD 12
54 IV 18 4
55 IV 20 4
56 IV 22 3
57 IV 24 4
58 IV 26 3
59 JACKSON REES 2
60 KASSA 40X80 (ROLL) 0
61 KASSA BOX 16X16 0
62 KASSA NON STERIL 10X10 0
63 KASSA STERIL 10x10 SNA MEDIKA 1
64 KASSA ROL 4X10 3
65 KASSA TAMPON 5CM X 10CM 0
66 KY JELLY 2
67 LMA NO.2 0
68 LMA NO.2,5 0
69 LMA 3-0 2
70 LMA 4-0 2
71 LMA SUPREME NO.3 0
72 LMA SUPREME NO.4 0
73 MAKROSET 1
74 MAYO UK.40 MM 0
75 MAYO UK.50 MM 0
76 MAYO UK.60 MM 0
77 MAYO UK.70 MM 0
78 MAYO UK.80 MM 0
79 MAYO UK.90 MM 0
80 MAYO UK.100 MM 0
81 MAYO UK.110 MM 0
82 MEDICREPE 7,5CM X 4M 1
83 MEDICREPE 15CM X 4M 0
84 MIKROSET 3
85 NASAL CANULE ANAK 2
86 NASAL CANULE DEWASA 18
87 NASAL CANULE NEONATUS (XS) 0
88 NETRAL PLAT PEN CAUTER DEWASA 12
89 NETRAL PLAT PEN CAUTER ANAK 1
90 NETRAL PLAT PEN CAUTER BAYI 5
91 NGT 16 4
92 NGT 18 0
93 NRM DEWASA 0
94 PAPER TAPE 4
95 PENSIL CAUTER 10
96 PLESTER COKLAT 7,5 cm x 4 m 3
97 SOFTOUCH (SCRUB BRUSH) 0
98 SOFRA-TULLE (LOMATULLE) 11
99 SPALK KAYU 2
100 SPINOCAN no. 25 21
101 SPINOCAN no. 26 0
102 SPINOCAN no. 27 24
103 SPONGE (X-MESH SPONGE 80X50X10MM) 2
104 SPUIT 10CC 24
105 SPUIT 1CC 43
106 SPUIT 20CC 4
107 SPUIT 3CC 39
108 SPUIT 50CC 0
109 SPUIT 5CC 167
110 SUCTION NO. 14 2
111 SUCTION NO. 12 0
112 SUCTION NO.10 3
113 SUCTION NO.6 0
114 SUCTION NO.8 0
115 SURGISPON (10X10X10MM) 11
116 T-BOND B110 8
117 T-CHROMIC 1 C45 8
118 T-CHROMIC 2 C99X 150cm 17
119 T-CHROMIC 2-0 C96 (CHROMIC 2-0 APEX) 17
120 T-CHROMIC 3-0 C43 BODIED 4
121 THREE WAY 4
122 T-NYLON 2-0 N90 6
123 T-NYLON 3-0 N32 (MONOLON 3-0) 20
124 T-NYLON 4-0 N37 17
125 T-NYLON 10 (N170) 11
126 T-PLAIN 1 P89 4
127 T-PLAIN 2-0 P31X 0
128 T-PLAIN 2-0 P86X 7
129 T-PLAIN 3-0 P121 0
130 T-PLAIN 4-0 P119X 0
131 TRANSOFIX/DOUBLE SPIKE 8
132 TRUWAX 4
133 T-SILK 0 (S83) 0
134 T-SILK 1 S84 4
135 T-SILK 2-0 S24 CUTTING 17
136 T-SILK 2-0 S25 BODIED 15
137 T-SILK 3-0 S22 18
138 T-SKIN MARKER SPIDOL 7
139 T-VIO 4-0 V2 9
140 T-VIO 2-0 V10 12
141 T-VIO 1 V14 11
142 T-VIO 1 V16 27
143 T-VIO 0 V12 9
144 TRACHEOSTOMY NO.7 1
145 URINE BAG 12
146 WING NEEDLE NO.23G 1
147 SURGION 3-0 PGA APEX 31
148 SURGION 4-0 PGA APEX 9
149 MONOLON 5-0 APEX 26
BMHP DEPO FARMASI IBS/OK BULAN AGUSTUS 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

28/8(2) 8 5 3
0 0 0 0
11/8(10); 25/8(10) 26 12 14
1/8(3); 14/8(4); 23/8(2); 28/8(3) 14 11 3
0 0 0 0
1/8(10); 25/8(10) 24 14 10
/8(10) 18 6 12
0 95 20 75
11/8(20); 25/8(20) 55 37 18
11/8(2) 5 4 1
24/8(2) 3 2 1
11/8(12) 24 20 4
0 0 0 0
0 1 0 1
29/8(1) 1 1 0
0 49 0 49
1/8(40); 22/8(20); 25/8(20) 80 56 24
0 1 0 1
0 1 1 0
4/8(1) 1 1 0
0 2 0 2
0 2 0 2
0 0 0 0
0 3 0 3
0 3 0 3
0 2 0 2
0 2 0 2
0 2 0 2
0 1 1 0
29/8(1) 1 0 1
0 3 1 2
0 0 0 0
8/8(20); 21/8(20) 50 36 14
0 8 4 4
0 2 0 2
0 3 0 3
0 2 1 1
11/8(3) 3 3 0
1/8(3); 7/8(1); 8/8(3); 22/8(3); 30/8(3) 13 11 2
0 0 0 0
11/8(50); 21/8(50) 143 96 47
7/8(50); 15/8(100); 31/8(50) 237 159 78
21/8(50); 31/8(50) 180 124 56
0 26 6 20
0 0 0 0
8/8(2); 15/8(3); 25/8(2) 7 4 3
0 0 0 0
0 1 0 1
0 0 0 0
11/8(2) 3 2 1
0 1 0 1
0 1 0 1
0 12 9 3
22/8(3) 7 4 3
25/8(3) 7 1 6
0 3 0 3
0 4 0 4
0 3 0 3
0 2 0 2
0 0 0 0
0 0 0 0
0 0 0 0
0 1 0 1
0 3 0 3
0 0 0 0
11/8(2); 23/8(3) 7 4 3
0 0 0 0
0 0 0 0
0 2 0 2
0 2 1 1
0 0 0 0
0 0 0 0
9/8(2) 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 1 1 0
0 0 0 0
9/8(2) 5 3 2
11/8(3) 5 3 2
8/8(10); 21/8(20) 48 32 16
0 0 0 0
1/8(10) 22 14 8
11/8(3) 4 0 4
0 5 0 5
0 4 0 4
0 0 0 0
1/8(3) 3 0 3
0 4 3 1
8/8(10); 21/8(10); 25/8(10) 40 31 9
0 3 1 2
0 24 0 24
11/8(20); 21/8(20) 51 42 9
0 2 0 2
8/8(25); 21/8(25) 71 59 12
0 0 0 0
0 24 0 24
7/8(10) 12 5 7
3/8(100); 29/8(100) 224 126 98
0 43 3 40
0 4 1 3
3/8(100); 25/8(100) 239 129 110
0 0 0 0
0 167 75 92
11/8(2) 4 0 4
11/8(3) 3 0 3
11/8(2) 5 1 4
0 0 0 0
0 0 0 0
0 11 0 11
0 8 5 3
0 8 4 4
11/8(12) 29 13 16
0 17 11 6
8/8(12); 15/8(12) 28 13 15
0 4 1 3
11/8(12) 18 6 12
25/8(12) 32 18 14
0 17 4 13
0 11 0 11
0 4 1 3
0 0 0 0
0 7 0 7
0 0 0 0
0 0 0 0
0 8 2 6
0 4 0 4
0 0 0 0
21/8(12) 16 3 13
0 17 0 17
0 15 1 14
0 18 0 18
0 7 0 7
0 9 0 9
15/8(12) 24 11 13
8/8(12); 15/8(12) 35 28 7
0 27 7 20
0 9 5 4
0 1 0 1
8/8(20); 21/8(10); 29/8(10) 52 41 11
22/8(3) 4 1 3
21/8(36) 67 17 50
0 9 0 9
11/8(24) 50 2 48

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2
ED

Aug-26

9/15/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27
???
Mar-27
Mar-28
May-26

-
-
Jul-24

5/27/2025
Jul-24

Feb-28
Apr-27
Sep-27
Feb-28
Jun-27
Feb-28

Oct-26
Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
ED 01/08/2023
ED 01/08/2023
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Jul-24

Oct-26

Aug-23

Jun-24
Apr-27
Aug-27

Aug-23 ED

Mar-25

Apr-26
5/31/2022
Mar-25
Dec-26

Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27
Sep-27
Aug-27
Oct-27
Nov-25
Dec-26
Nov-25
Feb-25
Jan-26

Aug-24

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24
Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

MASI IBS RSUD LEMBANG

A ZULKHAIDAH, S.Farm
2.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN AGU

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 5


2 AMIODARON INJ 5
3 ASAM TRANEKSAMAT IV 500mg/5ml 23
4 ATRACURIUM IV 10MG/ML (2,5ML) 6
5 ATRACURIUM IV 10MG/ML (5 ML) 0
6 ATROPIN SULFAT IV 12
7 BUPIVACAIN SPINAL 20MG (BUCAIN) 17
8 C. LFX MD 20
9 C. MYCOS E.O 0
10 C. MYDRIATHYL 1% E.D 3
11 C. MYCETIN E.O 1
12 C. PANTOCAIN 2% E.D 3
13 C. P-PRED MD 10
14 CA. GLUCONATE 10% 2
15 CEFOTAXIME 13
16 CEFTRIAXONE 1gr INJ 6
17 CETADOP (DOPAMIN) INJ 10
18 D40% 2
19 D5% 500ML 0
20 DEXAMETHASONE 5mg/mL INJ 21
21 DEXKETOPROFEN IV 0
22 DIAZEPAM IV 2
23 DIPENHIDRAMINE IV 3
24 DIGOXIN INJ (FARGOXIN) 2
25 DOBUTAMIN 250MG/5ML INJ 9
26 EPHEDRIN IV 19
27 EPINEFRIN IV 11
28 FENTANIL IV 100MCG/2ML 9
29 FENTANIL PATCH (DUROGESIC) 3
FLAMICORT 40mg inj 0
30 FUROSEMIDE IV 4
31 GELOFUSIN 4
32 GENTAMYCIN 40MG/2ML IV 0
33 ISOFLURANCE 250ml 1
34 KETAMIN 50mg/mL IV 2
35 KETOPROFEN IV 0
36 KETOPROFEN SUPP (KALTROPEN) 29
37 KETOROLAC 30mg/mL IV 20
38 LIDOCAIN 2% IV 99
39 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 19
40 METERGIN 0.2mg/mL IV 55
41 METILPREDNISOLON 125MG INJ 3
42 METOCLOPRAMID IV 8
43 METRONIDAZOLE INFUS 3
44 MGSO4 20% 0
45 MGSO4 40% 1
46 MIDAZOLAM 1mg/ML INJEKSI 8
47 MIRIWASH 3
48 MISOPROSTOL TAB 42
49 NaCl 0,9% 100 ML 3
50 NaCl 0,9% 500 ML 27
51 NALOXON IV 5
52 NEOSTIGMIN IV 5
53 NICARDIPIN IV 5
54 OMEPRAZOLE 40mg VIAL 7
55 ONDANSETRON IV 19
56 OXYTOCIN 10IU/mL IV 54
57 PARACETAMOL INFUS 5
58 PETIDIN 100mg/2ML IV 7
59 PHENYTOIN SODIUM INJ 4
60 PROPOFOL 10 mg/ml IV 7
61 RANITIDIN 25mg/mL IV 21
62 RL (RINGER LAKTAT) 500ML 20
63 ROQURONIUM IV 2
64 SEVOFLURANCE 250ml 1
65 TAKIPRIL 20MG/ML 1
66 TRAMADOL 100mg/2mL 26
67 VIT. K 2mg/ml 5
OPNAME OBAT DEPO FARMASI IBS/OK BULAN AGUSTUS 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 5 0
0 5 0
15/8(10) 33 18
8/8(5); 25/8(5) 16 7
0 0 0
0 12 3
11/8(10); 15/8(15); 25/8(10); 29/8(10) 62 52
29/8(5) 25 14
0 0 0
8/8(2); 29/8(2) 7 3
29/8(1) 2 0
0 3 1
0 10 0
0 2 0
0 13 0
15/8(5) 11 5
0 10 0
0 2 0
11/8(3) 3 0
8/8(20) 41 24
0 0 0
0 2 0
0 3 0
0 2 0
0 9 0
15/8(10) 29 22
0 11 11
1/8(10); 8/8(10);11/8(5); 15/8(15); 25/8(15) 55
50
8/8(5); 14/8(10); 25/8(10) 28 17
21/8(2) 2 0
8/8(5) 9 2
0 4 1
11/8(10) 10 1
0 1 0
0 2 2
0 0 0
22/8(20) 49 28
8/8(24); 15/8(10); 25/8(20) 74 64
0 99 19
15/8(20) 39 12
15/8(25) 80 39
0 3 1
0 8 0
0 3 1
0 0 0
0 1 0
8/8(10) 18 14
11/8(7); 21/8(5) 15 6
15/8(30); 22/8(30) 102 62
1/8(3) 6 1
11/8(20); 23/8(20) 67 40
0 5 0
11/8(5) 10 5
0 5 0
22/8(5) 12 7
7/8(25); 15/8(25); 22/8(25) 94 84
8/8(100) 154 101
25/8(3) 8 3
15/8(10) 17 3
0 4 0
7/8(10); 15/8(10) 27 24
0 21 0
3/8(40); 11/8(20); 23/8(20); 28/8(40) 140 113
0 2 0
11/8(2) 3 1
0 1 1
15/8(20); 25/8(20) 66 46
0 5 0

PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
5 Feb-24
15 Aug-24
9 Mar-24
0
9 Dec-24
10 Nov-26
11 Jun-24
0 0
4 Aug-24
2 Aug-24
2 Nov-24
10 Oct-23
2 Nov-24
13
6 Mar-24
10 Oct-23
2 Apr-24
3 Sep-25
17 Jan-24
0
2 Jul-24
3 Feb-25
2 Mar-24
9 Oct-23
7 Mar-24
0 ED 01/08/2023
5 Aug-24
11 Feb-24
2 May-26
7 Jul-24
3 Nov-24
9 ED 07/2023
1 Oct-24
0 Sep-24
0
21 Nov-24
10 Nov-25
80 Nov-25
27 Nov-26
41 May-24
2 Oct-23
8 Nov-24
2 Mar-24
0
1 Jun-24
4 Jan-25
9 Nov-24
40 Aug-24
5 Jul-24
27 Oct-24
5
5 Mar-25
5
5 Nov-24
10 Aug-25
53 Sep-25
5 Jun-25
14 5/22/2024
4 Jan-25
3 Feb-25
21 Feb-25
27 Dec-25
2
2 Aug-24
0 Sep-23
20 Jul-24
5 Oct-24

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN SEP

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 3
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 14
4 BETADINE 1L 3
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 10
7 BISTURI 11 12
8 BISTURI 15 75
9 BISTURI 20 18
10 BLOODSET 1
11 C-SECTION SET DISPO CAESAR 1
12 CHROMIC 2 CAT50L-2B (APEX) 4
13 CHROMIC 1 CAT40-1B (APEX) 0
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 0
16 DAPPER KECIL 2CM X 3M 49
17 ELECTRODA EKG 24
18 ETT no. 5,5 WORK std 1
19 ETT no. 5,0 BICAKCILAR NKK 0
20 ETT no.5,5 BICAKCILAR NKK 0
21 ETT no. 4,5 BICAKCILAR NKK 2
22 ETT no. 4,5 cuffed std 2
23 ETT no.2,5 cuffed 0
24 ETT no. 6 cuffed std 3
25 ETT no.6,0 BICAKCILAR NKK 3
26 ETT no.6,5 with STYLET NKK 2
27 ETT no. 6,5 cuffed standar 2
28 ETT no. 7,0 NKK 2
29 ETT no. 7,0 cuffed std 0
30 ETT no. 8,0 cuffed std 1
31 EXTENSION TUBE 0
32 FOLLEY CATH 10 2
33 FOLLEY CATH 14 0
34 FOLLEY CATH 16 14
35 FOLLEY CATH 18 4
36 FOLLEY CATH 8 2
37 GYPSONA 3
38 H2O2 1000ml (BLUD) 1
39 HANDSCOON NON STERIL S 0
40 HANDSCOON NON STERIL M 2
41 HANDSCOON NON STERIL L 0
42 HANDSCOON STERIL NO.6,5 47
43 HANDSCOON STERIL NO.7 78
44 HANDSCOON STERIL NO.7,5 56
45 HANDSCOON STERIL NO.8 20
46 HERNIA MESH 6X11 CM 0
47 HERNIA MESH 7,5X15 CM 3
48 HERNIA MESH 15X15 CM 0
49 HERNIA MESH 30X30 CM 1
50 HIPAFIK 5MX5CM 0
51 HIPAFIX ULTRAFIX 5MX10CM 1
52 InnoQ Dispo Bacteria/Viral Filter HMEF (Hijau) 1
53 InnoQ Dispo Bacteria/Viral Filter (Putih) 1
54 IUD 3
55 IV 18 3
56 IV 20 6
57 IV 22 3
58 IV 24 4
59 IV 26 3
60 JACKSON REES 2
61 KASSA BOX 16X16 0
62 KASSA STERIL 10x10 SNA MEDIKA 1
63 KASSA ROL 4X10 3
64 KASSA TAMPON 5CM X 10CM 0
65 KY JELLY 3
66 LMA NO.2 0
67 LMA NO.2,5 0
68 LMA 3-0 2
69 LMA 4-0 1
70 MAKROSET 3
71 MAYO UK.40 MM 0
72 MAYO UK.50 MM 0
73 MAYO UK.60 MM 0
74 MAYO UK.70 MM 0
75 MAYO UK.80 MM 0
76 MAYO UK.90 MM 0
77 MAYO UK.100 MM 0
78 MAYO UK.110 MM 0
79 MEDICREPE 7,5CM X 4M 0
80 MEDICREPE 15CM X 4M 0
81 MIKROSET 2
82 NASAL CANULE ANAK 2
83 NASAL CANULE DEWASA 16
84 NASAL CANULE NEONATUS (XS) 0
85 NETRAL PLAT PEN CAUTER DEWASA 8
86 NETRAL PLAT PEN CAUTER ANAK 4
87 NETRAL PLAT PEN CAUTER BAYI 5
88 NGT 16 4
89 NGT 18 0
90 NRM DEWASA 3
91 PAPER TAPE 1
92 PENSIL CAUTER 9
93 PLESTER COKLAT 7,5 cm x 4 m 2
94 SOFTOUCH (SCRUB BRUSH) 24
95 SOFRA-TULLE (LOMATULLE) 9
96 SPALK KAYU 2
97 SPINOCAN no. 25 12
98 SPINOCAN no. 26 0
99 SPINOCAN no. 27 24
100 SPONGE (X-MESH SPONGE 80X50X10MM) 7
101 SPUIT 10CC 98
102 SPUIT 1CC 40
103 SPUIT 20CC 3
104 SPUIT 3CC 110
105 SPUIT 50CC 0
106 SPUIT 5CC 92
107 SUCTION NO. 14 4
108 SUCTION NO. 12 3
109 SUCTION NO.10 4
110 SUCTION NO.6 0
111 SUCTION NO.8 0
112 SURGISPON (10X10X10MM) 11
113 T-BOND B110 3
114 T-CHROMIC 1 C45 4
115 T-CHROMIC 2 C99X 150cm 16
116 T-CHROMIC 2-0 C96 0
117 CHROMIC 2-0 APEX 6
118 T-CHROMIC 3-0 C43 BODIED 15
119 THREE WAY 3
120 T-NYLON 2-0 N90 12
121 T-NYLON 3-0 N32 (MONOLON 3-0) 14
122 T-NYLON 4-0 N37 13
123 T-NYLON 10-0 (N170) 11
124 T-PLAIN 1 P89 3
125 T-PLAIN 2-0 P31X 0
126 T-PLAIN 2-0 P86X 7
127 T-PLAIN 3-0 P121 0
128 T-PLAIN 4-0 P119X 0
129 TRANSOFIX/DOUBLE SPIKE 6
130 TRUWAX 4
131 T-SILK 0 (S83) 0
132 T-SILK 1 S84 13
133 T-SILK 2-0 S24 CUTTING 17
134 T-SILK 2-0 S25 BODIED 14
135 T-SILK 3-0 S22 18
136 T-SKIN MARKER SPIDOL 7
137 T-VIO 4-0 V2 9
138 T-VIO 2-0 V10 13
139 T-VIO 1 V14 7
140 T-VIO 1 V16 20
141 T-VIO 0 V12 4
142 TRACHEOSTOMY NO.7 1
143 URINE BAG 11
144 WING NEEDLE NO.23G 3
145 SURGION 3-0 PGA APEX 50
146 SURGION 4-0 PGA APEX 9
147 MONOLON 5-0 APEX 48
BMHP DEPO FARMASI IBS/OK BULAN SEPTEMBER 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

26/9(2) 5 2 3
0 0 0 0
0 14 14 0
5/9(3); 21/9(3) 9 8 1
0 0 0 0
8/9(20) 30 23 7
8/9(20) 32 1 31
0 75 22 53
12/9(100) 118 37 81
4/9(3) 4 0 4
0 1 1 0
10/9(10) 14 13 1
0 0 0 0
0 1 0 1
8/9(2) 2 1 1
0 49 0 49
15/9(20) 44 34 10
0 1 0 1
15/9(2); 26/9(2) 4 3 1
0 0 0 0
0 2 0 2
0 2 1 1
0 0 0 0
0 3 2 1
0 3 3 0
0 2 1 1
0 2 2 0
0 2 1 1
0 0 0 0
0 1 0 1
15/9(3) 3 0 3
0 2 1 1
0 0 0 0
12/9(20) 34 27 7
4/9(10) 14 9 5
0 2 0 2
0 3 0 3
15/9(2) 3 0 3
27/9(3) 3 1 2
5/9(3); 12/9(3); 21/9(3) 11 11 0
0 0 0 0
12/9(50) 97 81 16
15/9(100) 178 175 3
8/9(50); 26/9(50) 156 119 37
0 20 9 11
0 0 0 0
13/9(4); 21/9(3) 10 5 5
0 0 0 0
0 1 0 1
0 0 0 0
8/9(2); 12/9(3) 6 2 4
0 1 1 0
0 1 1 0
4/9(10) 13 8 5
0 3 2 1
0 6 3 3
0 3 2 1
0 4 1 3
0 3 0 3
0 2 0 2
0 0 0 0
0 1 0 1
0 3 0 3
0 0 0 0
26/9(2) 5 3 2
0 0 0 0
0 0 0 0
0 2 1 1
0 1 0 1
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
26/9(2) 2 0 2
0 2 1 1
15/9(5) 7 3 4
0 16 10 6
0 0 0 0
18/9(10) 18 16 2
0 4 1 3
0 5 0 5
0 4 0 4
0 0 0 0
0 3 0 3
4/8(3) 4 1 3
5/9(20); 19/9(10); 26/9(10) 49 33 16
0 2 1 1
0 24 0 24
5/9(20); 12/9(20) 49 36 13
0 2 0 2
4/9(25); 21/9(25) 62 40 22
0 0 0 0
0 24 0 24
26/9(10) 17 7 10
14/9(100) 198 149 49
0 40 1 39
0 3 2 1
0 110 50 60
0 0 0 0
14/9(100) 192 159 33
0 4 0 4
0 3 0 3
0 4 1 3
0 0 0 0
0 0 0 0
0 11 0 11
4/9(12) 15 5 10
4/9(12) 16 2 14
27/9(24) 40 16 24
0 0 0 0
0 6 4 2
26/9(12) 27 13 14
0 3 0 3
0 12 3 9
0 14 14 0
0 13 11 2
0 11 0 11
8/9(12) 15 8 7
0 0 0 0
0 7 0 7
0 0 0 0
0 0 0 0
0 6 3 3
0 4 0 4
0 0 0 0
0 13 4 9
0 17 0 17
0 14 2 12
0 18 0 18
0 7 0 7
0 9 0 9
0 13 10 3
4/9(24); 12/9(18) 49 28 21
0 20 5 15
0 4 4 0
0 1 0 1
5/9(20); 21/9(10) 41 35 6
0 3 0 3
0 50 26 24
0 9 0 9
0 48 1 47

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2
ED

Aug-26

ED 01/08/2023
2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27

Mar-27
Mar-28
May-26

-
-
Jul-24

5/27/2025
Jul-24

Feb-28
Apr-27
Sep-27
Feb-28
Jun-27
Feb-28
Oct-26

Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26
Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28
ED 01/08/2023
ED 01/08/2023
Jun-28
Mar-27
Mar-27
Nov-26
Nov-26
Jan-26

Feb-26
Sep-25

Jun-25
Jul-24
Oct-26

Aug-23
May-27
Jun-24
Apr-27
Aug-27

Mar-25

Apr-26

Mar-25
Dec-26

Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24
Sep-27

Dec-26
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27

Sep-27
Aug-27
Oct-27
Nov-25
Dec-26
Nov-25
Feb-25
Jan-26

Aug-24

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24
Jun-24
Sep-24
Sep-24
Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

MASI IBS RSUD LEMBANG

A ZULKHAIDAH, S.Farm
2.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN SEPTE

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 5


2 AMIODARON INJ 5
3 ASAM TRANEKSAMAT IV 500mg/5ml 15
4 ATRACURIUM IV 10MG/ML (2,5ML) 9
5 ATROPIN SULFAT IV 9
6 BUPIVACAIN SPINAL 20MG (BUCAIN) 10
7 C. LFX MD 11
8 C. MYDRIATHYL 1% E.D 4
9 C. MYCETIN E.O 2
10 C. PANTOCAIN 2% E.D 2
11 C. P-PRED MD 10
12 CA. GLUCONATE 10% 2
13 CEFOTAXIME 13
14 CEFTRIAXONE 1gr INJ 6
15 CETADOP (DOPAMIN) INJ 10
16 D40% 2
17 D5% 500ML 3
18 DEXAMETHASONE 5mg/mL INJ 17
19 DEXKETOPROFEN IV 0
20 DIAZEPAM IV 2
21 DIPENHIDRAMINE IV 3
22 DIGOXIN INJ (FARGOXIN) 2
23 DOBUTAMIN 250MG/5ML INJ 9
24 EPHEDRIN IV 7
25 EPINEFRIN IV 0
26 FENTANIL IV 100MCG/2ML 5
27 FENTANIL PATCH (DUROGESIC) 11
28 FLAMICORT 40mg inj 2
29 FUROSEMIDE IV 7
30 GELOFUSIN 3
31 GENTAMYCIN 40MG/2ML IV 9
32 ISOFLURANCE 250ml 1
33 KETAMIN 50mg/mL IV 0
34 KETOPROFEN IV 0
35 KETOPROFEN SUPP (KALTROPEN) 21
36 KETOROLAC 30mg/mL IV 10
37 LIDOCAIN 2% IV 80
38 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 27
39 METERGIN 0.2mg/mL IV 41
40 METILPREDNISOLON 125MG INJ 2
41 METOCLOPRAMID IV 8
42 METRONIDAZOLE INFUS 2
43 MGSO4 20% 0
44 MGSO4 40% 1
45 MIDAZOLAM 1mg/ML INJEKSI 4
46 MIRIWASH 9
47 MISOPROSTOL TAB 40
48 NaCl 0,9% 100 ML 5
49 NaCl 0,9% 500 ML 27
50 NALOXON IV 5
51 NEOSTIGMIN IV 5
52 NICARDIPIN IV 5
53 OMEPRAZOLE 40mg VIAL 5
54 ONDANSETRON IV 10
55 OXYTOCIN 10IU/mL IV 53
56 PARACETAMOL INFUS 5
57 PETIDIN 100mg/2ML IV 14
58 PHENYTOIN SODIUM INJ 4
59 PROPOFOL 10 mg/ml IV 3
60 RANITIDIN 25mg/mL IV 21
61 RL (RINGER LAKTAT) 500ML 27
62 ROQURONIUM IV 2
63 SEVOFLURANCE 250ml 2
64 TRAMADOL 100mg/2mL 20
65 VIT. K 2mg/ml 5
PNAME OBAT DEPO FARMASI IBS/OK BULAN SEPTEMBER 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 5 0
0 5 2
5/9(10); 26/9(20) 45 32
8/9(10) 19 18
8/9(20) 29 13
4/9(10); 12/9(15); 27/9(10) 45 37
15/9(10) 21 10
8/9(2) 6 4
0 2 0
8/9(2) 4 2
0 10 0
26/9(5) 7 0
0 13 2
0 6 3
0 10 0
0 2 0
21/9(3) 6 5
8/9(10); 21/9(20) 47 28
0 0 0
0 2 0
0 3 0
0 2 0
0 9 0
4/9(10); 21/9(10) 27 14
4/9(10); 8/9(10) 20 3
4/9(15); 7/9(15); 12/9(15); 19/9(15);
27/9(15) 80
69
12/9(5) 16 9
0 2 0
0 7 0
0 3 0
0 9 2
8/9(1); 15/9(1) 3 2
0 0 0
0 0 0
12/9(20) 41 24
4/9(20); 8/9(24); 15/9(12); 21/9(24) 90 66
0 80 5
26/9(20) 47 30
4/9(25) 66 35
26/9(2) 4 1
0 8 3
0 2 0
0 0 0
0 1 1
4/9(10); 15/9(10) 24 15
21/9(4) 13 7
8/9(60) 100 50
0 5 1
8/9(20); 26/9(20) 67 46
0 5 0
8/9(10); 26/9(5) 20 11
0 5 0
15/9(5) 10 8
4/9(25); 8/9(25); 15/9(25); 26/9(25) 110 91
4/9(100) 153 89
26/9(3) 8 4
0 14 3
0 4 0
4/9(10); 7/9(10); 12/9(10); 21/9(10) 43 37
0 21 1
8/9(40); 15/9(40); 26/9(20) 127 107
0 2 0
15/9(2) 4 4
4/9(20); 15/9(20); 21/9(20) 80 57
0 5 0
PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
3 Feb-24
13 Aug-24
1 Mar-24
16 Dec-24
8 Nov-26
11 Jun-24
2 Aug-24
2 Aug-24
2 Mar-25
10 Oct-23
7 Nov-24
11 Jun-24
3 Mar-24
10 Oct-23
2 Apr-24
1 Sep-25
19 Jan-24
0
2 Jul-24
3 Feb-25
2 Mar-24
9 Oct-23
13 Mar-24
17 Jul-26
11 Aug-24
7 Feb-24
2 May-26
7 Jul-24
3 Nov-24
7 Jun-25
1 Oct-24
0 Sep-24
0
17 Nov-24
24 Nov-25
75 Nov-25
17 Nov-26
31 May-24
3 Sep-24
5 Nov-24
2 Mar-24
0
0 Jun-24
9 Jan-25
6 Nov-24
50 Aug-24
4 Jul-24
21 Oct-24
5 Jun-25
9 Mar-25
5 Mar-24
2 Nov-24
19 Aug-25
64 Sep-25
4 Jun-25
11 5/22/2024
4 Jan-25
6 Feb-25
20 Feb-25
20 Dec-25
2 Feb-25
0 Aug-24
23 Jul-24
5 Oct-24
PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN OK

NO NAMA STOK AWAL

1 ALKOHOL 70% 1L 3
2 ALKOHOL SWAB 0
3 AQUABIDES 20ml 0
4 BETADINE 1L
1
5 BIG GAUZE 35X35CM 0
6 BISTURI 10 7
7 BISTURI 11 31
8 BISTURI 15 53
9 BISTURI 20 81
10 BLOODSET 4
11 C-SECTION SET DISPO CAESAR 0
12 CHROMIC 2 CAT50L-2B (APEX) 1
13 CHROMIC 1 CAT40-1B (APEX) 0
14 CORRUGETED ANAK (BREATHING CIRCUIT) 1
15 CORRUGETED DEWASA (BREATHING CIRCUIT) 1
16 DAPPER KECIL 2CM X 3M 49
17 ELECTRODA EKG 10
18 ETT no. 5,5 WORK std 1
19 ETT no. 5,0 BICAKCILAR NKK 1
20 ETT no.5,5 BICAKCILAR NKK 0
21 ETT no. 4,5 BICAKCILAR NKK 2
22 ETT no. 4,5 cuffed std 1
23 ETT NO. 5.0 cuffed std 0
24 ETT no.2,5 cuffed 0
25 ETT no. 6 cuffed std 1
26 ETT no.6,0 NKK 0
27 ETT no.6,5 with STYLET NKK 1
28 ETT no. 6,5 cuffed standar 0
29 ETT no. 7,0 NKK 1
30 ETT no. 7,0 cuffed std 0
31 ETT no. 8,0 cuffed std 1
32 EXTENSION TUBE 3
33 FOLLEY CATH 10 1
34 FOLLEY CATH 14 0
35 FOLLEY CATH 16 7
36 FOLLEY CATH 18 5
37 FOLLEY CATH 8 2
38 GYPSONA 3
39 H2O2 1000ml (BLUD) 3
40 HANDSCOON NON STERIL S 2
41 HANDSCOON NON STERIL M
0
42 HANDSCOON NON STERIL L 0
43 HANDSCOON STERIL NO.6,5 16
44 HANDSCOON STERIL NO.7
3
45 HANDSCOON STERIL NO.7,5 37
46 HANDSCOON STERIL NO.8 11
47 HERNIA MESH 6X11 CM 0
48 HERNIA MESH 7,5X15 CM 5
49 HERNIA MESH 15X15 CM 0
50 HERNIA MESH 30X30 CM 1
51 HIPAFIK 5MX5CM 0
52 HIPAFIX SEMILAS 5MX10CM 4
53 IPAS MVA (ALAT AVM) 0
54 IPAS CANNULA (AVM CANULA) NO.5 0
55 IPAS CANNULA (AVM CANULA) NO.7 0
56 IPAS CANNULA (AVM CANULA) NO.9 0
57 IUD 5
58 IV 18 1
59 IV 20 3
60 IV 22 1
61 IV 24 3
62 IV 26 3
63 JACKSON REES 2
64 KASSA BOX 16X16 0
65 KASSA STERIL 10x10 SNA MEDIKA 1
66 KASSA ROL 4X10 3
67 KASSA TAMPON 5CM X 10CM 0
68 KY JELLY 2
69 LMA NO.2 0
70 LMA NO.2,5 0
71 LMA 3-0 1
72 LMA 4-0 1
73 MAKROSET 3
74 MAYO UK.40 MM 0
75 MAYO UK.50 MM 0
76 MAYO UK.60 MM 0
77 MAYO UK.70 MM 0
78 MAYO UK.80 MM 0
79 MAYO UK.90 MM 0
80 MAYO UK.100 MM 0
81 MAYO UK.110 MM 0
82 MEDICREPE 7,5CM X 4M 0
83 MEDICREPE 15CM X 4M 2
84 MIKROSET 1
85 NASAL CANULE ANAK 4
86 NASAL CANULE DEWASA 6
87 NASAL CANULE NEONATUS (XS) 0
88 NETRAL PLAT PEN CAUTER DEWASA 2
89 NETRAL PLAT PEN CAUTER ANAK 3
90 NETRAL PLAT PEN CAUTER BAYI 5
91 NGT NO.8 (FEEDING TUBE) 1
92 NGT 16 4
93 NGT 18 0
94 NRM DEWASA 3
95 PAPER TAPE 3
96 PENROSE DRAIN 12MM 0
97 PENSIL CAUTER
16
98 PLESTER COKLAT 7,5 cm x 4 m 1
99 SOFTOUCH (SCRUB BRUSH) 24
100 SOFRA-TULLE (LOMATULLE) 13
101 SPALK KAYU 2
102 SPINOCAN no. 25 22
103 SPINOCAN no. 26 0
104 SPINOCAN no. 27 24
105 SPONGE (X-MESH SPONGE 80X50X10MM) 10
106 SPUIT 10CC 49
107 SPUIT 1CC 39
108 SPUIT 20CC 1
109 SPUIT 3CC 60
110 SPUIT 50CC 0
111 SPUIT 5CC 33
112 STERIFLO 0
113 SUCTION NO. 14 4
114 SUCTION NO. 12 3
115 SUCTION NO.10 3
116 SUCTION NO.6 0
117 SUCTION NO.8 0
118 SURGISPON (10X10X10MM) 11
119 T-BOND B110 10
120 T-CHROMIC 1 C45 14
121 T-CHROMIC 2 C99X 150cm 24
122 T-CHROMIC 2-0 C96 0
123 CHROMIC 2-0 APEX 2
124 T-CHROMIC 3-0 C43 BODIED 14
125 THREE WAY 3
126 T-NYLON 2-0 N90 9
127 T-NYLON 3-0 N32 0
128 T-NYLON 4-0 N37 2
129 T-NYLON 10-0 (N170) 11
130 T-PLAIN 1 P89 7
131 T-PLAIN 2-0 P31X 0
132 T-PLAIN 2-0 P86X 7
133 T-PLAIN 3-0 P121 0
134 T-PLAIN 4-0 P119X 0
135 TRANSOFIX/DOUBLE SPIKE 3
136 TRUWAX 4
137 T-SILK 0 (S83) 0
138 T-SILK 1 S84 9
139 T-SILK 2-0 S24 CUTTING 17
140 T-SILK 2-0 S25 BODIED 12
141 T-SILK 3-0 S22 18
142 T-SKIN MARKER SPIDOL 7
143 T-VIO 4-0 V2 9
144 T-VIO 2-0 V10 3
145 T-VIO 1 V14 21
146 T-VIO 1 V16 15
147 SURGION 1 PGA PGT50L-1B 0
148 T-VIO 0 V12 0
149 TRACHEOSTOMY NO.7 1
150 URINE BAG 6
151 WING NEEDLE NO.23G 3
152 SURGION 3-0 PGA APEX 24
153 SURGION 4-0 PGA APEX 9
154 MONOLON 5-0 APEX 47
BMHP DEPO FARMASI IBS/OK BULAN OKTOBER 2023

PEMASUKAN TOTAL PENGELUARAN STOK AKHIR


PENAMBAHAN

11/10(3) 6 3 3
0
2/10(10); 20/10(10) 20 6 14
1/10(4); 9/10(2); 16/10(3); 14/10(3);
31/10(5) 18 13 5
0
9/10(10); 20/10(20) 37 25 12
0 31 2 29
0 53 14 39
0 81 44 37
30/10(3) 7 5 2
9/10(2) 2 1 1
0 1 1 0
0 0 0 0
0 1 0 1
20/10(1) 2 1 1
0 49 0 49
3/10(20); 24/10(20) 50 24 26
0 1 1 0
3/10(2) 3 3 0
0 0 0 0
0 2 0 2
0 1 0 1
3/10(1) 1 0 1
0 0 0 0
0 1 1 0
3/10(2) sumi 2 1 1
3/10(2) sumi 3 1 2
0 0 0 0
0 1 1 0
0 0 0 0
0 1 0 1
0 3 0 3
0 1 0 1
0 0 0 0
3/10(20); 16/10(20) 47 36 11
0 5 1 4
0 2 0 2
0 3 0 3
0 3 1 2
0 2 2 0
6/10(3); 10/10(3); 16/10(3); 20/10(3);
30/10(2) 14 13 1
0 0 0 0
10/10(50) 66 57 9
2/10(50); 6/10(50); 16/10(50);
24/10(50) 203 194 9
6/10(50); 16/10(50); 30/10(50) 187 145 42
0 11 8 3
0 0 0 0
0 5 0 5
0 0 0 0
0 1 0 1
0 0 0 0
0 4 4 0
25/10(1) 1 1 0
25/10(5) 5 0 5
25/10(5) 5 0 5
25/10(5) 5 0 5
6/10(10); 20/10(10) 25 18 7
16/10(2) 3 1 2
16/10(2) 5 1 4
6/10(2); 24/10(3) 6 2 4
0 3 0 3
0 3 1 2
0 2 0 2
0 0 0 0
0 1 0 1
0 3 3 0
0 0 0 0
11/10(2) 4 1 3
0 0 0 0
16/10(1) 1 1 0
16/10(1); 24/10(2) 4 2 2
16/10(1) 2 0 2
0 3 0 3
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 2 0 2
0 -1 1
0 4 2 2
3/10(10); 11/10(10); 24/10(10) 36 25 11
0 0 0 0
2/10(20); 20/10(10) 32 26 6
16/10(3) 6 1 5
0 5 0 5
0 1 1
0 4 3 1
0 0 0 0
0 3 0 3
0 3 3 0
24/10(1) 1 0 1
6/10(10); 10/10(20); 20/10(10);
30/10(10) 66 61 5
0 1 0 1
0 24 6 18
3/10(20); 16/10(20) 53 44 9
0 2 0 2
11/10(25); 20/10(25) 72 45 27
0 0 0 0
0 24 0 24
0 10 3 7
3/10(100); 31/10(100) 249 154 95
0 39 17 22
2/10(3) 4 0 4
0 60 56 4
0 0 0 0
3/10(100); 24/10(100) 233 156 77
25/10(5) 5 0 5
0 4 0 4
0 3 2 1
0 3 0 3
0 0 0 0
0 0 0 0
0 11 0 11
0 10 1 9
0 14 5 9
16/10(24); 30/10(12) 60 42 18
6/10(12) 12 11 1
0 2 2 0
24/10(12) 26 12 14
0 3 1 2
0 9 3 6
6/10(12); 30/10(24) 36 20 16
6/10(12) 14 7 7
0 11 0 11
6/10(12) 19 3 16
0 0 0 0
0 7 0 7
0 0 0 0
0 0 0 0
3/10(5) 8 2 6
0 4 0 4
0 0 0 0
0 9 5 4
0 17 0 17
0 12 2 10
0 18 0 18
0 7 0 7
0 9 1 8
6/10(12) 15 5 10
0 21 21 0
0 15 15 0
20/10(36) 36 8 28
6/10(14) 14 2 12
0 1 0 1
3/10(20); 20/10(20) 46 37 9
0 3 0 3
0 24 18 6
0 9 1 8
0 47 4 43

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2
ED

Aug-26

2/5/2025

Aug-24

Jan-27
Dec-26
Mar-27 RO

Mar-27
Mar-28
May-26

-
-
Jul-24

5/27/2025
Jul-24
Jul-24

Feb-28
Apr-27
Sep-27
Feb-28
Jun-27
Feb-28
Oct-26

Feb-27
May-26
Jul-26
Dec-24
May-25

Jan-26

Oct-26

Jul-26
Apr-26
Apr-26

Jun-27

Nov-26
Jun-26
Jan-28

Jun-28
Mar-27 RO
Mar-27 RO
Nov-26 RO
Nov-26 RO
Jan-26 RO
Feb-26
Sep-25

Jun-25

Jul-24
Oct-26

May-27
Jun-24
Apr-27
Aug-27

RO
Mar-25

Apr-26

Mar-25
Dec-26
Aug-25

Jan-27

9/1/2026
Dec-25
May-27
Jul-26
May-24 RO
Sep-27

Dec-26
Jul-25
Apr-25
Apr-27
Jan-25

Nov-24
Aug-24
Mar-26
Oct-27

Sep-27
Aug-27
Oct-27
Nov-25
Dec-26
Nov-25
Feb-25
Jan-26

Aug-24

Jan-27
Apr-24

Sep-24
Nov-25
May-26
Nov-25
Aug-24
Nov-24
Jun-24
Sep-24
Sep-24

Dec-23

7/3/2026
Jan-26
Aug-27
Nov-26
Apr-27

MASI IBS RSUD LEMBANG

A ZULKHAIDAH, S.Farm
2.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN OKT

NO NAMA OBAT STOK AWAL

1 AMINOFILIN 24MG/ML (10ML) 5


2 AMIODARON INJ 3
3 ASAM TRANEKSAMAT IV 500mg/5ml 13
4 ATRACURIUM IV 10MG/ML (2,5ML) 1
5 ATROPIN SULFAT IV 16
6 BUPIVACAIN SPINAL 20MG (BUCAIN)
8
7 C. LFX MD 11
8 C. MYDRIATHYL 1% E.D 2
9 C. MYCETIN E.O 2
10 C. PANTOCAIN 2% E.D 2
11 C. P-PRED MD 10
12 CA. GLUCONATE 10% 7
13 CEFOTAXIME 11
14 CEFTRIAXONE 1gr INJ 3
15 CETADOP (DOPAMIN) INJ 10
16 D40% 2
17 D5% 500ML 1
18 DEXAMETHASONE 5mg/mL INJ 19
19 DEXKETOPROFEN IV 0
20 DIAZEPAM IV 2
21 DIPENHIDRAMINE IV 3
22 DIGOXIN INJ (FARGOXIN) 2
23 DOBUTAMIN 250MG/5ML INJ 9
24 EPHEDRIN IV 13
25 EPINEFRIN IV 17
26 FENTANIL IV 100MCG/2ML 11
27 FENTANIL PATCH (DUROGESIC) 7
28 FLAMICORT 40mg inj 2
29 FUROSEMIDE IV 7
30 GELOFUSIN 3
31 GENTAMYCIN 40MG/2ML IV 7
32 ISOFLURANCE 250ml 1
33 KETAMIN 50mg/mL IV 0
34 KETOPROFEN IV 0
35 KETOPROFEN SUPP (KALTROPEN) 17
36 KETOROLAC 30mg/mL IV 24
37 LIDOCAIN 2% IV 75
38 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 17
39 METERGIN 0.2mg/mL IV 31
40 METILPREDNISOLON 125MG INJ 3
41 METOCLOPRAMID IV 5
42 METRONIDAZOLE INFUS 2
43 MGSO4 20% 0
44 MGSO4 40% 0
45 MIDAZOLAM 1mg/ML INJEKSI 9
46 MIRIWASH 6
47 MISOPROSTOL TAB 50
48 NaCl 0,9% 100 ML 4
49 NaCl 0,9% 500 ML 21
50 NALOXON IV 5
51 NEOSTIGMIN IV 9
52 NICARDIPIN IV 5
53 OMEPRAZOLE 40mg VIAL 2
54 ONDANSETRON IV 19
55 OXYTOCIN 10IU/mL IV 64
56 PARACETAMOL INFUS 4
57 PETHIDIN 100mg/2ML IV 11
58 PHENYTOIN SODIUM INJ 4
59 PROPOFOL 10 mg/ml IV 6
60 RANITIDIN 25mg/mL IV 20
61 RL (RINGER LAKTAT) 500ML 20
62 ROQURONIUM IV 2
63 SEVOFLURANCE 250ml 0
64 TRAMADOL 100mg/2mL 23
65 TRIAMCINOLON 10MG/ML 0
66 VIT. K 2mg/ml 5
OPNAME OBAT DEPO FARMASI IBS/OK BULAN OKTOBER 2023

PEMASUKAN TOTAL PENGELUARAN


PENAMBAHAN

0 5 0
0 3 0
1/10(20); 20/10(20) 53 36
2/10(10); 16/10(5) 16 8
16/10(10) 26 16
2/10(10); 6/10(10); 11/10(10); 16/10(10);
30/10(10) 58 45
30/10(10) 21 11
24/10(2) 4 3
0 2 1
0 2 1
0 10 10
0 7 2
0 11 4
0 3 0
4/10(10) 20 10
0 2 0
6/10(2) 3 1
10/10(20) 39 19
0 0 0
0 2 0
0 3 0
0 2 0
4/10(10) 19 9
3/10(10); 6/10(10) 33 28
0 17 6
2/10(10); 9/10(15); 13/10(15); 23/10(15);
30/10(20) 86
68
6/10(5) 12 11
0 2 2
0 7 1
0 3 1
30/10(10) 17 6
2/10(1) 2 1
2/10(5) 5 0
0 0 0
6/10(10); 16/10(10); 20/10(10) 47 37
9/10(30); 16/10(20) 74 69
0 75 4
0 17 10
20/10(50) 81 42
0 3 0
0 5 2
0 2 0
0 0 0
0 0 0
6/10(10); 28/10(10) 29 18
24/10(10) 16 8
6/10(60); 20/10(30) 140 84
11/10(3) 7 3
5/10(20); 10/10(20); 24/10(20) 81 59
0 5 0
0 9 3
0 5 3
3/10(5) 7 3
6/10(50); 20/10(25); 30/10(25) 119 96
3/10(100); 20/10(100) 264 144
16/10(3); 24/10(3) 10 6
0 11 1
0 4 0
2/10(8); 16/10(10); 30/10(10) 34 25
0 20 2
5/10(40); 10/10(40); 16/10(40); 24/10(20) 160 147
30/10(3) 5 2
2/10(2) 2 2
9/10(20); 12/10(30); 30/10(20) 93 73
24/10(2) 2 0
0 5 0

PJ DEPO FARMASI IBS RSUD LEM

apt. ANDITA ZULKHAIDAH, S.


SIPA:19900628/SIPA-32.17/238244/DPMPT
STOK AKHIR ED

5 Sep-25
3 Feb-24
17 Aug-24
8 Mar-24
10 Dec-24

13 Nov-26
10 Jun-24
1 Aug-24
1 Aug-24
1 Mar-25
0 ED 10 MD
5 Nov-24
7 Jun-24
3 Mar-24
10 ED 10 AMP
2 Apr-24 RO
2 Sep-25 RO
20 Jan-24
0
2 Jul-24
3 Feb-25
2 Mar-24
10 ED 9 AMP
5 Mar-24
11 Jul-26
18 Aug-24
1 Feb-24
0 May-26
6 Jul-24
2 Nov-24
11 Jun-25
1 Oct-24
5 Sep-24
0
10 Nov-24
5 Nov-25
71 Nov-25
7 Nov-26
39 May-24
3 Sep-24
3 Nov-24
2 Mar-24
0
0 Jun-24
11 Jan-25
8 Nov-24
56 Aug-24
4 Jul-24 RO
22 Oct-24
5 Jun-25
6 Mar-25
2 Mar-24
4 Nov-24
23 Aug-25
120 Sep-25
4 Jun-25 RO
10 5/22/2024
4 Jan-25
9 Feb-25
18 Feb-25
13 Dec-25
3 Feb-25 RO
0 Aug-24
20 Jul-24
2
5 Oct-24

PJ DEPO FARMASI IBS RSUD LEMBANG

apt. ANDITA ZULKHAIDAH, S.Farm


SIPA:19900628/SIPA-32.17/238244/DPMPTSP/IX-24/2020
STOK OPNAME OBAT DEPO FARMASI IBS/OK BULAN NOVEMBER 2023

NO NAMA OBAT STOK AWAL PEMASUKAN TOTAL


PENAMBAHAN PENGELUARAN STOK AKHIR ED

1 AMINOFILIN 24MG/ML (10ML) 50 5 0 5 Sep-25


2 AMIODARON INJ 3 0 3 0 3 Feb-24
3 ASAM TRANEKSAMAT IV 500mg/5ml 17 6/11(20); 28/11(10) 47 27 20 Aug-24
4 ATRACURIUM IV 10MG/ML (2,5ML) 8 6/11(5); 24/11(5) 18 8 10 Mar-24
5 ATROPIN SULFAT IV 10 13/11(10); 24/11(20) 40 16 24 Dec-24
6 BUPIVACAIN SPINAL 20MG (BUCAIN) 13 8/11(10); 14/11(15); 17/11(15) 53 37 16 Nov-26
7 C. LFX MD 10 6/11(5) 15 5 10 Jun-24
8 C. MYDRIATHYL 1% E.D 1 24/11(1) 2 0 2 Aug-24
9 C. MYCETIN E.O 1 0 1 0 1 Aug-24
10 C. PANTOCAIN 2% E.D 1 6/11(1) 2 1 1 Mar-25
11 C. P-PRED MD 0 0 0 0 0 ED 10 MD
12 CA. GLUCONATE 10% 5 0 5 0 5 Nov-24
13 CEFOTAXIME 7 0 7 0 7 Jun-24
14 CEFTRIAXONE 1gr INJ 3 10/11(10) 13 8 5 Mar-24
15 CETADOP (DOPAMIN) INJ 10 0 10 0 10
16 D40% 2 0 2 0 2 Apr-24 RO
17 D5% 500ML 2 0 2 0 2 Sep-25 RO
18 DEXAMETHASONE 5mg/mL INJ 20 6/11(10); 24/11(10) 40 17 23 Jan-24
19 DIAZEPAM IV 2 0 2 0 2 Jul-24
20 DIPENHIDRAMINE IV 3 0 3 0 3 Feb-25
21 DIGOXIN INJ (FARGOXIN) 2 0 2 0 2 Mar-24
22 DOBUTAMIN 250MG/5ML INJ 10 0 10 0 10
23 EPHEDRIN IV 5 6/11(10); 8/11(10) 25 12 13 Mar-24
24 EPINEFRIN IV 11 0 11 1 10 Jul-26
25 FENTANIL IV 100MCG/2ML 18 6/11(10); 10/11(15); 24/11(10) 53 9 Aug-24
44
26 FENTANIL PATCH (DUROGESIC) 1 0 1 1 0 Feb-24
27 FLAMICORT 40mg inj 0 0 0 0 0 May-26
28 FUROSEMIDE IV 6 0 6 2 4 Jul-24
29 GELOFUSIN 2 0 2 1 1 Nov-24
30 GENTAMYCIN 40MG/2ML IV 11 0 11 2 9 Jun-25
31 ISOFLURANCE 250ml 1 0 1 0 1 Oct-24
32 KETAMIN 50mg/mL IV 5 0 5 1 4 Sep-24 RO
33 KETOPROFEN IV 0 0 0 0 0
34 KETOPROFEN SUPP (KALTROPEN) 10 6/11(20); 24/11(20) 50 26 24 Nov-24
35 KETOROLAC 30mg/mL IV 5 1/11(20); 8/11(20); 14/11(20) 65 53 12 Nov-25
36 LIDOCAIN 2% IV 71 0 71 3 68 Nov-25
37 LIDOCAIN+EPINEFRIN IV (PEHACAIN) 7 6/11(20) 27 1 26 Nov-26
38 METERGIN 0.2mg/mL IV 39 10/11(25); 17/11(25) 89 40 49 May-24
39 METILPREDNISOLON 125MG INJ 3 8/11(4) 7 2 5 Sep-24
40 METOCLOPRAMID IV 3 24/11(10) 13 1 12 Nov-24
41 METRONIDAZOLE INFUS 2 8/11(3) 5 1 4 Mar-24 RO
42 MGSO4 20% 0 0 0 0 0
43 MGSO4 40% 0 0 0 0 0 Jun-24
44 MIDAZOLAM 1mg/ML INJEKSI 11 8/11(10) 18 11 7 Jan-25
45 MIRIWASH 8 0 8 3 5 Nov-24
46 MISOPROSTOL TAB 56 10/11(60) 116 72 44 Aug-24
47 NaCl 0,9% 100 ML 4 0 4 0 4 Jul-24 RO
48 NaCl 0,9% 500 ML 22 2/11(20); 13/11(20); 22/11(20) 82 46 36 Oct-24
49 NALOXON IV 5 0 5 0 5 Jun-25
50 NEOSTIGMIN IV 6 0 6 3 3 Mar-25
51 NICARDIPIN IV 2 0 2 0 2 Mar-24
52 OMEPRAZOLE 40mg VIAL 4 10/11(3); 24/11(5) 12 6 6 Nov-24 RO
53 ONDANSETRON IV 23 8/11(25); 14/11(25); 24/11(25) 98 77 21 Aug-25
54 OXYTOCIN 10IU/mL IV 120 17/11(100) 220 88 132 Sep-25
55 PARACETAMOL INFUS 4 14/11(5) 9 4 5 Jun-25 RO
56 PETHIDIN 100mg/2ML IV 10 0 10 2 8 5/22/2024
57 PHENYTOIN SODIUM INJ 4 0 4 0 4 Jan-25
58 PROPOFOL 10 mg/ml IV 9 8/11(10); 17/11(10) 29 23 6 Feb-25
59 RANITIDIN 25mg/mL IV 18 0 18 2 16 Feb-25
60 RL (RINGER LAKTAT) 500ML 13 2/11(40); 13/11(40); 22/11(40) 133 103 30 Dec-25
61 ROQURONIUM IV 3 0 3 1 2 Feb-25 RO
62 SEVOFLURANCE 250ml 0 1/11(1); 6/11(2); 28/11(2) 5 3 2 Aug-24
63 TRAMADOL 100mg/2mL 20 6/11(20); 14/11(20); 17/11(20) 80 59 21 Jul-24
64 TRIAMCINOLON 10MG/ML 2 0 1 0 1
65 VIT. K 2mg/ml 5 0 5 0 5 Oct-24

Mengetahui,
KEPALA INSTALASI FARMASI RSUD LEMBANG
PJ DEPO FARMASI IBS RSUD LEMBANG

apt. NOPIYANI KARTIKA A, S.Farm


NIP. 198411152010012011
apt. ANDITA ZULKHAIDAH, S.Farm
NIP. 199006282019032001
STOK OPNAME BMHP DEPO FARMASI IBS/OK BULAN NOVEMBER 2023

TOTAL
NO NAMA STOK AWAL PEMASUKAN PENAMBAHAN PENGELUARAN STOK AKHIR ED

1 ALKOHOL 70% 1L 3 8/11(4)17/11(2) 9 6 3 Aug-26


2 ALKOHOL SWAB 0 0 0
3 AQUABIDES 20ml 14 0 14 3 11
4 BETADINE 1L 5 10/11(4); 17/11(3) 12 9 3 2/5/2025
5 BIG GAUZE 35X35CM 0 0 0 0 0
6 BISTURI 10 12 6/11(20) 32 11 21 Aug-24
7 BISTURI 11 29 0 29 2 27
8 BISTURI 15 39 0 39 13 26 Jan-27
9 BISTURI 20 37 17/11(20) 57 35 22 Dec-26
10 BLOODSET 2 24/11(5) 7 2 5 Mar-27 RO
11 C-SECTION SET DISPO CAESAR 1 17/11(1) 2 1 1
12 CORRUGETED ANAK (BREATHING CIRCUIT) 1 0 1 0 1 May-26
13 CORRUGETED DEWASA (BREATHING CIRCUIT) 1 8/11(2) 3 1 2
14 DAPPER KECIL 2CM X 3M 49 0 49 0 49 -
15 ELECTRODA EKG 26 24/11(20) 46 21 25 - RO
16 ETT no. 5,5 WORK std 0 0 0 0 0 Jul-24
17 ETT no. 5,0 BICAKCILAR NKK 0 0 0 0 0
18 ETT no.5,5 BICAKCILAR NKK 0 0 0 0 0
19 ETT no. 4,5 BICAKCILAR NKK 2 0 2 0 2 5/27/2025
20 ETT no. 4,5 cuffed std 1 0 1 0 1 Jul-24
21 ETT NO. 5.0 cuffed std 1 17/11(1) 2 0 2 Jul-24
22 ETT no.2,5 cuffed 0 0 0 0 0
23 ETT no. 6 cuffed std 0 6/11(1) 1 0 1 Feb-28
24 ETT no.6,0 NKK 1 17/11(1) 2 1 1 Apr-27
25 ETT no.6,5 with STYLET NKK 2 24/11(1) 3 1 2 Sep-27
26 ETT no. 6,5 cuffed standar 0 24/11(2) 2 0 2 Feb-28
27 ETT no. 7,0 NKK 0 6/11(1); 24/11(1) 2 0 2 Jun-27
28 ETT no. 7,0 cuffed std 0 24/11(2) 2 0 2 Feb-28
29 ETT no. 8,0 cuffed std 1 0 1 0 1
30 EXTENSION TUBE 3 0 3 0 3
31 FOLLEY CATH 10 1 0 1 0 1 Oct-26
32 FOLLEY CATH 14 0 0 0 0 0
33 FOLLEY CATH 16 11 6/11(10); 17/11(10); 28/11(10) 41 25 16 Feb-27
34 FOLLEY CATH 18 4 13/11(10) 14 6 8 May-26
35 FOLLEY CATH 8 2 0 2 0 2 Jul-26
36 GYPSONA 3 0 3 0 3 Dec-24
37 H2O2 1000ml (BLUD) 2 0 2 0 2 May-25
38 HANDSCOON NON STERIL S 0 0 0 0 0
39 HANDSCOON NON STERIL M 1 6/11(5); 10/11(3) 9 9 0 Jan-26
40 HANDSCOON NON STERIL L 0 20/11(5) 5 3 2
41 HANDSCOON STERIL NO.6,5 9 7/11(50); 24/11(50) 109 51 58 Oct-26
42 HANDSCOON STERIL NO.7 2/11(50); 6/11(50); 17/11(50);
9 28/11(50) 209 153 56 Jul-26
43 HANDSCOON STERIL NO.7,5 42 13/11(50); 24/11(50) 142 81 61 Apr-26
44 HANDSCOON STERIL NO.8 3 0 3 3 0 Apr-26
45 HERNIA MESH 6X11 CM 0 0 0 0 0
46 HERNIA MESH 7,5X15 CM 5 17/11(3) 8 6 2 Jun-27
47 HERNIA MESH 15X15 CM 0 0 0 0 0
48 HERNIA MESH 30X30 CM 1 0 1 0 1 Nov-26
49 HIPAFIK 5MX5CM 0 0 0 0 0 Jun-26
50 HIPAFIX SEMILAS 5MX10CM 0 6/11(2); 10/11(2); 28/11(2) 6 4 2 Jan-28
51 IPAS MVA (ALAT AVM) 0 0 0 0 0
52 IPAS CANNULA (AVM CANULA) NO.5 5 0 5 0 5
53 IPAS CANNULA (AVM CANULA) NO.7 5 0 5 0 5
54 IPAS CANNULA (AVM CANULA) NO.9 5 0 5 0 5
55 IUD 7 8/11(10) 17 9 8 Jun-28
56 IV 18 2 17/11(5) 7 3 4 Mar-27 RO
57 IV 20 4 0 4 0 4 Mar-27 RO
58 IV 22 4 24/11(5) 9 4 5 Nov-26 RO
59 IV 24 3 0 3 0 3 Nov-26 RO
60 IV 26 2 0 2 0 2 Jan-26 RO
61 JACKSON REES DEWASA 2 0 2 0 2
62 KASSA STERIL 10x10 SNA MEDIKA 1 0 1 0 1 Feb-26
63 KASSA ROL 4X10 0 0 0 0 0 Sep-25
64 KY JELLY 3 6/11(2) 5 0 5 Jun-25
65 LMA NO.2 0 0 0 0 0
66 LMA NO.2,5 0 0 0 0 0
67 LMA 3-0 2 0 2 0 2
68 LMA 4-0 2 0 2 0 2 Jul-24
69 MAKROSET 3 0 3 1 2 Oct-26
70 MAYO UK.40 MM 0 0 0 0 0
71 MAYO UK.50 MM 0 0 0 0 0
72 MAYO UK.60 MM 0 0 0 0 0
73 MAYO UK.70 MM 0 0 0 0 0
74 MAYO UK.80 MM 0 0 0 0 0
75 MAYO UK.90 MM 0 0 0 0 0
76 MAYO UK.100 MM 0 0 0 0 0
77 MAYO UK.110 MM 0 0 0 0 0
78 MEDICREPE 7,5CM X 4M 0 0 0 0 0
79 MEDICREPE 15CM X 4M 2 0 2 0 2 May-27
80 MIKROSET 1 0 1 0 1 Jun-24
81 NASAL CANULE ANAK 2 10/11(3) 5 2 3 Apr-27 RO
82 NASAL CANULE DEWASA 11 10/11(10); 17/11(10) 31 27 4 Aug-27
83 NASAL CANULE NEONATUS (XS) 0 0 0 0 0
84 NETRAL PLAT PEN CAUTER DEWASA 6 1/11(20); 28/11(10) 36 20 16
85 NETRAL PLAT PEN CAUTER ANAK 5 0 5 2 3
86 NETRAL PLAT PEN CAUTER BAYI 5 0 5 0 5
87 NGT NO.8 (FEEDING TUBE) 1 0 1 0 1 RO
88 NGT 16 1 6/11(2); 24/11(3) 6 2 4 Mar-25
89 NGT 18 0 0 0 0 0
90 NRM DEWASA 3 0 3 0 3 Apr-26
91 PAPER TAPE 0 0 0 0 0
92 PENROSE DRAIN 12MM 1 6/11(1); 10/11(1) 3 2 1
93 PENSIL CAUTER 5 6/11(10); 21/11(20) 35 19 16 Mar-25
94 PLESTER COKLAT 7,5 cm x 4 m 1 29/11(3) 4 1 3 Dec-26
95 SOFTOUCH (SCRUB BRUSH) 18 0 18 0 18
96 SOFRA-TULLE (LOMATULLE) 9 6/11(20); 14/11(20) 49 32 17 Aug-25
97 SPALK KAYU 2 0 2 0 2
98 SPINOCAN no. 25 27 10/11(25); 28/11(25) 77 37 40 Jan-27
99 SPINOCAN no. 26 0 0 0 0 0
100 SPINOCAN no. 27 24 0 24 0 24 9/1/2026
101 SPONGE (X-MESH SPONGE 80X50X10MM) 7 0 7 2 5 Dec-25
102 SPUIT 10CC 95 17/11(100) 195 101 94 May-27
103 SPUIT 1CC 22 0 22 9 13 Jul-26
104 SPUIT 20CC 4 0 4 1 3 May-24 RO
105 SPUIT 3CC 4 1/11(100); 17/11(100) 204 89 115 Sep-27
106 SPUIT 50CC 0 0 0 0 0
107 SPUIT 5CC 77 23/11(100) 177 69 108 Dec-26
108 STERIFLO 5 0 5 0 5 Jul-25
109 SUCTION NO. 14 4 0 4 1 3 Apr-25
110 SUCTION NO. 12 1 6/11(2); 24/11(2) 5 2 3 Apr-27 RO
111 SUCTION NO.10 3 0 3 0 3 Jan-25
112 SUCTION NO.6 0 0 0 0 0
113 SUCTION NO.8 0 0 0 0 0
114 SURGISPON (10X10X10MM) 11 0 11 0 11 Nov-24
115 T-BOND B110 9 0 9 3 6 Aug-24
116 T-CHROMIC 1 C45 9 0 9 5 4 Mar-26
117 T-CHROMIC 1 150CM C55X 0 8/11(12) 12 7 5
118 T-CHROMIC 2 C99X 150cm 18 10/11(24) 42 25 17 Oct-27
119 T-CHROMIC 2-0 C96 1 6/11(16) 17 7 10
120 CHROMIC 2-0 APEX 0 0 0 0 0 Sep-27
121 T-CHROMIC 3-0 C43 BODIED 14 10/11(12); 14/11(12) 38 11 27 Aug-27
122 THREE WAY 2 13/11(3) 5 1 4 Oct-27 RO
123 T-MONO 3-0 M51 0 6/11(12) 12 1 11
124 T-NYLON 2-0 N90 6 0 6 2 4 Nov-25
125 T-NYLON 3-0 N32 16 6/11(12); 28/11(12) 40 22 18 Dec-26
126 T-NYLON 4-0 N37 7 0 7 2 5 Nov-25
127 T-NYLON 10-0 (N170) 11 0 11 0 11 Feb-25
128 T-PLAIN 1 P89 16 14/11(12) 28 4 24 Jan-26
129 T-PLAIN 2-0 P31X 0 0 0 0 0
130 T-PLAIN 2-0 P86X 7 0 7 0 7 Aug-24
131 TRANSOFIX/DOUBLE SPIKE 6 0 6 3 3 Jan-27
132 TRUWAX 4 0 4 0 4 Apr-24
133 T-SILK 0 (S83) 0 0 0 0 0
134 T-SILK 1 S84 4 6/11(12) 16 7 9 Sep-24
135 T-SILK 2-0 S24 CUTTING 17 0 17 0 17 Nov-25
136 T-SILK 2-0 S25 BODIED 10 0 10 0 10 May-26
137 T-SILK 3-0 S22 18 0 18 2 16 Nov-25
138 T-SKIN MARKER SPIDOL 7 0 7 0 7 Aug-24
139 T-VIO 4-0 V2 8 0 8 0 8 Nov-24
140 T-VIO 2-0 V10 10 0 10 6 4 Jun-24
141 T-VIO 1 V14 0 6/11(12); 14/11(12); 28/11(12) 36 19 17 Sep-24
142 T-VIO 1 V16 0 0 0 0 0 Sep-24
143 SURGION 1 PGA PGT50L-1B 28 0 28 12 16
144 T-VIO 0 V12 12 0 12 2 10 Dec-23
145 TRACHEOSTOMY NO.7 1 0 0 0 0
146 URINE BAG 9 1/11(10); 10/11(10); 17/11(10) 39 32 7 7/3/2026
147 WING NEEDLE NO.23G 3 0 3 0 3 Jan-26
148 SURGION 3-0 PGA APEX 6 6/11(36) 42 6 36 Aug-27
149 SURGION 4-0 PGA APEX 8 0 8 0 8 Nov-26
150 MONOLON 5-0 APEX 43 0 43 1 42 Apr-27

Mengetahui,
KEPALA INSTALASI FARMASI RSUD LEMBANG PJ DEPO FARMASI IBS RSUD LEMBANG

apt. NOPIYANI KARTIKA A, S.Farm apt. ANDITA ZULKHAIDAH, S.Farm


NIP. 198411152010012011 NIP. 199006282019032001

Anda mungkin juga menyukai