POLIKLINIK MAHKAMAH AGUNG REPUBLIK INDONESIA

LAPORAN PENGELUARAN OBAT

BULAN MEI

PERIODE 1 BULAN TOTAL

No SAT Nama Obat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Dos Acyclovir 400 mg
2 Tub Acyclovir 5% Zalf
3 Botol Albotyl
4 Dos Allupurinol 100 mg 100's
5 Dos Allupurinol 300 mg 100's
6 Dos Alprazolam 0,5 mg
7 Dos Ambeven 100's
8 Dos Ambroxol 100's
9 Dos Amlodipine 10 mg
10 Dos Amlodipine 5 mg
11 Dos Amoxicilin 500 mg tab
12 Dos Antalgin 500 mg
13 Dos Antasida 100's
14 Botol Antasida Syirup
15 Supp Anti Hemoroid 2 gr Supp
16 Dos Asam Mefenamat
17 Dos Ascardia 80 mg 100's
18 Dos Atorvastatin
19 Dos ATP Dankos
20 Dos Azitromycin 500 mg
21 Botol Baby Cough Syrup
22 Botol Betadine gargle 100 ml
23 Dos Bisoprolol Fumarat
24 Dos Buscopan
25 Flas Calcium Lactate 1000's
 PERIODE 1 BULAN TOTAL
No SAT Nama Obat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
26 Dos Candesartan 8 mg
27 Dos Captopril 12,5 mg
28 Dos Captopril 25 mg
29 Dos Cataflam
30 Dos Caviplex
31 Dos Ce Te Me
32 Dos Cefadroxil 500 mg
33 Dos Cefixime 100 mg
34 Dos Ceterizine 10 mg
35 Tub Chloramfecort Zalf
36 Dos Ciprofloxaxin
37 Dos Clindamycin 300 mg
38 Dos clopidogrel 75 mg
39 Dos Co Amoxiclav
40 Flas Codein 10 mg
41 Dos Concor 2,5 mg
42 Dos Counterpain Cream 15 gr
43 Flas CTM 100's
44 Botol Curcuma Syr 60 ml
45 Dos Decolgen
46 Dos Diapet
47 Dos Diatab New
48 Dos Diclofenc Pottasium 50 mg
49 Dos Diovan 80 mg
50 Dos Doloneurobion 100's
51 Dos Dumin 500 mg
52 Dos Elkana 100's
53 Dos Enervon C 100'S
54 Dos Enzymplex 100's
55 Flas Ergotamine Caffeine
56 Tub Erlamycetine Slp Mata
 PERIODE 1 BULAN TOTAL
No SAT Nama Obat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
57 Botol Erlamycetine Tts Mata
58 Dos FG Troches 120's
59 Dos Furosemide
60 Dos Gemfibrozil 300 mg 120's
61 Dos Glibinclamide 5 mg
62 Dos Glimipiride 1 mg
63 Flas Glucosamin 500 mg MPL
64 Dos Glyceryl Guaiacolate Tab 1000's
65 Dos Griseofulvin 125 mg
66 Strip Hansaplast Coklat
67 Flas Hidroclortiazid
68 Dos Homoclomine 10 mg 100's
69 Tub Hydrocortisone 2,5% Zalf
70 Dos Imboost Forte
71 Botol Imboost Kids Syirup 60 ml
72 Botol Iodine Povidone 10% Sol 30 ml
73 Dos Kalmethasone 0,5 mg
74 Tub ketokonazol cr 10 gr
75 Dos KSR 600 mg
76 Dos Lacbon
77 Dos Lansoprazol 20's
78 Dos Levofloxacin 500 mg
79 Dos Librozym 100's
80 Dos Lincomycin 500 mg 60's
81 Dos Lodia 2 mg
82 Dos Loratadine 50's
83 Dos Maloco B12 60's
84 Dos Masker Karet 50's
85 Dos Masker Tali 50's
86 Dos Merislon 100's
87 Dos Metformin 500 mg
 PERIODE 1 BULAN TOTAL
No SAT Nama Obat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
88 Dos Metformin 850 mg
89 Dos Methycobalt 500 mg
90 Dos Methylprednisolone 4 mg
91 Dos Metronidazole 500 mg
92 Botol Minosep Gargle 0,2% 150 ml
93 Botol Minyak Kayu Putih 30 ml
94 Dos Molexflu KPL
95 Dos Myonal 50 mg
96 Dos Natrium Diclofenac 50 mg
97 Dos Neozep 100's
98 Dos Neuralgin Rx 100's
99 Dos Neurobion Forte 250's
100 Dos Neurobion Salut Putih
101 Dos Neurovit E 60's
102 Dos Nifedipine 100's
103 Dos Nodrof 100's
104 Botol OBH 100 ml IKA
105 Botol OBH Nelco
106 Dos Omeprazole 30's
107 Flas Papaverine 40 mg 1000's
108 Dos paracetamol syr
109 Botol Paracetamol tab 100's
110 Dos paratusin tab
111 Gul perban Gulung Kecil
112 Dos Pharmaton Formula
113 Dos Piroxicam 10 mg 100's
114 Flas Prednisone 100's
115 Dos Primedex Forte 100's
116 Dos Ranitidine 30's
117 Dos Rhinos SR 50's
118 Botol Rivanol
 PERIODE 1 BULAN TOTAL
No SAT Nama Obat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
119 Tub Sagestam CR 10gr
120 Dos Salbutamol 2 mg
121 pack Salonpas Hijau
122 pack Salonpas Merah
123 botol Salysil Talk
124 Dos Sangobion
125 Botol Siladex Biru 60 ml
126 Botol Siladex Hijau 60 ml
127 Dos Simvastatin 10 mg
128 Dos Simvastatin 20 mg
129 Dos Smecta
130 Dos Strocain 100's
131 Dos Theragran -M
132 Dos Thiamphenicol 500 mg
133 Tub Topcort 0,25% CR 10g
134 Dos Urispas 200 mg
135 Dos Urotractin
136 Dos Valsartan -NI 80mg 30's
137 Dos Vermox 500 mg
138 pcs Vick Vaporub
139 Botol Visine
140 Dos Vitacimin
141 Dos Vitalong C 100's
142 Dos Vitazym 100's
143 Dos Vometa FT