Stock Opname Ifrs 2018

INSTALASI FARMASI RSIA dr. Hj.
KARMINI, EH
Apoteker : Via Shovia., S.Farm., Apt

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN DESEMBER 2017
Obat Bebas / Obat Bebas Terbatas

NO NAMA BARANG SATUAN S.AWAL S.MASUK S.KELUAR S.AKHIR
1 Albothyl 5 ml Btl 3 0 0 3
3 Alco plus syr Btl 1 0 0 1
4 Daryazinc drop Btl 3 0 0 3
5 Lactacyd baby Btl 5 0 0 5
6 Naprex drop Btl 1 0 0 1
7 Onemed Tespack Pcs 27 0 0 27
8 Pharolyte Pcs 38 0 0 38
9 Polycrol sirup Btl 2 0 0 2
10 Renalyte Btl 5 0 0 5
11 Trombogel 10 gr Pcs 1 0 0 1
12 Transpulmin BB 10g Pcs 5 0 0 5
13 B'GEN Ginger Latte Sachet 18 0 0 18
14 B'GEN Green Tea Sachet 10 0 0 10
15 Inlacta Cap 90 60 120 30
Obat Paten ( Tablet / Capsul )

NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR
1 Biotichol 500 mg Tab 93 0 0 93
2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
4 Epexol Tab 8 0 0 8
5 Theobron Tab 96 0 0 96
6 Retaphyl Tab 4 0 0 4
7 Acran Tab 37 0 0 37
8 Becom C Tab 124 0 0 124
9 Clabat Tab 12 0 0 12
10 Clanexi Cap 42 0 0 42
11 Cripsa Tab 30 0 0 30
12 Nutribreast Cap 40 0 0 40
13 Folavit Cap 2 0 0 2
14 Inbion Tab 77 0 30 47
15 Silex syr Btl 5 8 5 8
16 Dopamet Tab 0 100 46 54
17 Elkana Tab 67 0 31 36
18 Episan sirup 100 ml Btl 4 0 1 3
19 Femisic Tab 7 0 0 7
20 Tonotan Tab 73 0 10 63
21 Cravit 500mg Tab 10 0 0 10
22 Noprostol Tab 85 0 11 74
23 Mefinter Tab 21 0 0 21
24 Sanmol Forte Tab 298 1000 575 723
25 Tranec tab Cap 5 0 0 5
26 Nevox XR Tab 30 0 0 30
27 Rantin 300mg Tab 30 0 0 30
28 Truvaz 20mg Tab 30 0 0 30
29 Prostovit Tab 50 0 0 50
30 Prostam Tab 30 0 0 30
31 Bledstop Tab 51 100 15 136
32 Xevolac Tab 5 0 0 5
33 Metvell Tablet Tab 4 0 0 4
34 Hemafort Tab 0 300 30 270
35 Tiriz Kaplet Cap 25 30 10 45
36 Cerini Caplet Capl 16 0 0 16
37 Co - Amoxyclav 500 / 125 mg Capl 30 0 0 30
38 Folamil Genio Cap 0 60 60 0
39 Norelut Tab 0 100 10 90
40 Nutrimama 1 Cap 0 10 0 10
42 KALNEX 500 mg Tab 0 100 0 100
43 Regumen Tab 30 10 20
Obat Paten ( Syirup )

1 Biothicol syr Btl 2 0 0 2
2 Biothicol Forte syr Btl 1 0 0 1
3 Cefat dry sirup Btl 4 0 0 4
4 Cefat Forte Dry sirup Btl 2 0 0 2
5 Edotin syr Btl 2 0 0 2
6 Promuba Btl 2 0 0 2
7 Amobiotk Drop Btl 3 0 1 2
8 Tiriz Oral Drops Btl 0 4 0 4
Semisolid ( Salep / Cream )

1 Desolex Cr Pcs 2 0 0 2
2 Desolex N Pcs 2 0 0 2
3 Erlamycetin SM Pcs 2 0 0 2
4 Gentamicyn Salep pcs 0 17 9 8
5 Hydrocortison Salep Pcs 0 2 0 2
Obat Generik ( Tablet / Capsul )

1 Allopurinol 100 Tab 80 0 0 80
2 Amlodipine 10 Tab 43 60 10 93
3 Amlodipine 5 Landson Tab 68 0 10 58
4 Captopril 25 Tab 8 0 0 8
5 Cefadroxil Indofarma Cap 200 0 0 200
6 Cefixime 100 Cap 59 350 240 169
7 Clindamicyn 300 Cap 208 250 170 288
8 Ethambutol Tab 108 0 20 88
9 Lansoprazole Tab 22 20 20 22
10 Ondansetrone Tab 10 10 0 20
11 CTM btl Tab 670 0 0 670
12 Paracetamol Tab 9 100 30 79
13 Amoxicillin Kapsul Cap 0 100 10 90
14 Cetirizine Tab 0 50 0 50
15 Asam Mefenamat Kaplet 0 100 10 90
16 Ranitidine Tab Tab 0 300 0 300
17 Ca. Lactat Tab 0 300 10 290
Injek Generik
1 Aminophiline Ampul 23 0 1 22
2 Atropine sulfat Ampul 55 0 0 55
3 Calcii Gluconas Ampul 11 0 2 9
4 Dexamethasone Ampul 123 0 9 114
5 Epinephrine Ampul 65 0 0 65
6 MGSO4 20% Btl 10 0 0 10
7 MGSO4 40% Btl 16 0 2 14
8 Vitamin C Ampul 0 62 62 0
9 Ephedrin Hcl Ampul 8 10 9 9
10 Ketorolac 3% Inj Ampul 14 70 50 34
11 Ranitidine Inj 50 mg/2 ml Ampul 34 100 52 82
12 Asam Traneksamat Inj 10 % Ampul 56 80 47 89
13 Ondansetron 4 mg Inj Ampul 37 50 42 45
15 Tramadol 100 mg/ 2 ml Injek Ampul 39 50 37 52
16 Cefotaxime injek Vial 25 80 49 56
17 Ceftriaxon Vial 119 0 0 119
Injek Paten
1 Epidosin Ampul 6 0 0 6
2 Lasix Ampul 3 0 2 1
3 Nairet Ampul 2 0 0 2
4 Neo K Ampul 42 30 36 36
5 Novalgin Ampul 1 0 0 1
6 Ondavel inj Ampul 9 0 0 9
7 Primperan Ampul 4 0 0 4
8 Sagestam Ampul 14 50 47 17
9 Xevolac Inj Ampul 9 0 0 9
10 Furamin Injek Ampul 21 0 6 15
11 Picyn Injek Ampul 4 2 5 1
12 Cinam Injek Ampul 0 2 0 2
13 Amoxan injek Vial 47 70 64 53
14 Amoxan Drop Vial 2 3 3 2
15 Cefxon Vial 10 0 0 10
16 Lignovell Ampul 19 20 9 30
17 KTM injek Vial 1 0 0 1
18 Lapixime injek Vial 17 34 43 8
Benang Operasi
1 Optime 2 Pcs 6 0 1 5
2 T-chromic 1 ( C 55 ) Pcs 12 23 24 11
3 T-chromic 2/0 ( C27 ) Pcs 6 20 26 0
4 T-Mono 4-0 ( M 50 ) Pcs 17 17 21 13
5 T-Vio 1 ( V 41 ) Pcs 15 17 24 8
6 T-vio 2 ( V 122 ) Pcs 8 23 22 9
7 T-Vio episiotomy Pcs 7 0 4 3
8 Chromic 2 atramat Pcs 0 4 1 3
LEMARI OKT
1 Fentanyl 2ml Ampul 16 0 0 16
2 Miloz Ampul 9 40 23 26
3 Valisanbe injek Ampul 10 0 0 10
4 Morfina 10mg/ml Ampul 8 0 1 7
5 Sedacum Ampul 0 20 0 20
CAIRAN INFUS
1 Asering Otsu Plabot 15 96 37 74
2 D10 Sanbe Plabot 3 0 3 0
3 D10 Wida Plabot 10 0 2 8
5 Metronidazol Inf Btl 70 48 62 56
6 Otsu W.I 25ml Btl 120 240 140 220
7 Paracetamol Infus Btl 3 3 2 4
8 Widahest Plabot 2 0 2 0
9 Futrolit Infus Plabot 14 25 18 21
10 Nulagyl Btl 43 24 20 47
11 Ronazol infus Btl 1 0 1 0
12 Wida KDN 1 Plabot 60 0 3 57
13 Aquadest 1 liter wida Plabot 3 10 2 11
14 NS Otsu Plabot 119 60 58 121
15 Wida RL Plabot 3 0 2 1
16 Otsu RL Plabot 114 200 159 155
17 Tridex 27 B inf Plabot 0 3 2 1
ALKES & BMHP

1 Abocath 18 G Pcs 8 50 15 43
2 Abocath 20 G Pcs 26 60 29 57
3 Abocath inflo 24 Pcs 1 0 0 1
4 Abbocath Inflo 26 Pcs 67 0 26 41
5 Aerran USP Pcs 1 0 0 1
6 Bisturi No 22 Pcs 48 20 31 37
7 Bloodset OTSUKA Pcs 43 25 40 28
8 Cerflast Pcs 15 20 22 13
9 Feeding tube No 8 ( NGT ) Pcs 3 10 8 5
10 Folleycatheter No 16 Pcs 24 30 31 23
12 Gamex 7,5 Pcs 81 120 127 74
13 Gelang bayi Pcs 205 22 183
14 Gelang ibu Pcs 60 0 36 24
15 Gelita spons Pcs 3 0 3 0
16 Hansaplast Pcs 57 0 18 39
17 I.V Leukomed Pcs 34 50 38 46
18 Alkohol Swab One Swab Pcs 192 100 96 196
19 Laminaria 4 mm ( M ) Pcs 10 0 2 8
20 Laminaria 5 mm ( L ) Pcs 4 10 3 11
21 Lomatuell Pcs 23 10 26 7
22 Masker tali Pcs 0 250 50 200
23 Maxter 7,5 Pcs 260 400 336 324
24 Muccus extractor Lotus Pcs 3 0 0 3
25 Nelaton No 10 Pcs 3 0 0 3
26 Nelaton No. 12 Pcs 4 0 0 4
28 Nova T 380 Pcs 3 4 4 3
29 Okeplast Pcs 276 0 0 276
30 Possey Pcs 6 5 4 7
31 Selang operasi Pcs 11 27 26 12
32 Selang oxygen bayi Pcs 12 5 4 13
33 Selang oxygen dewasa Pcs 16 0 3 13
34 Spinocan ( jarum spinal) Pcs 39 0 26 13
35 Spuit 10 cc Terumo Pcs 23 300 303 20
36 Spuit 10 cc JMI Pcs 100 0 0 100
37 Spuit 1cc BD Pcs 146 100 123 123
38 Spuite 3 CC Onemed Pcs 351 400 234 517
40 Umbilical Pcs 107 0 21 86
41 Underpad Pcs 15 30 36 9
42 Urinebag Pcs 28 60 29 59
43 Amsafe Gold (kerokan) Pcs 8 42 28 22
44 ST Non Steril Pcs 198 300 98 400
45 Infusion Set Anak Pcs 7 0 3 4
46 Spalk Pcs 5 10 4 11
47 Suction Catheter NO 10 Pcs 2 0 0 2
49 Suction Catheter No 12 Pcs 1 0 0 1
50 BURET Pcs 5 0 5 0
51 Selang Oxygen Sungkup Pcs 1 0 0 1
52 Sevodex 250 ml Btl 1 0 0 1
53 Needle 23 G BD Pcs 122 0 30 92
54 Pigeon Dot S Btl 15 30 20 25
55 Tas pulang Pcs 15 54 21 48
56 Washlap Pcs 0 43 27 16
57 Selang CPAP Pcs 0 2 0 2
Produk CCP
1 Neurobion injek Ampul 4 0 0 4
2 Pamol supp Sup 9 0 1 8
3 Taxecap Ampul 3 0 0 3
4 Nupovel Injek Vial 6 0 2 4
5 Noveron Vial 1 0 0 1
6 Cygest 400 mg Supp 12 0 4 8
7 Kaltrofen Supp Supp 44 110 134 20
8 Pospargin 2 mg/ml Ampul 32 30 18 44
9 Induxin Ampul 78 50 69 59
10 Regivel Ampul 12 35 26 21
Kebutuhan Ruang Perawatan

1 CB oil 500ml Btl 2 0 0 2
2 Sidola Minyak Telon 60 cc Btl 3 8 6 5
3 Sidola Minyak kayu putih 60 cc Btl 0 3 0 3
4 Kassa Kotak 16 x 16 Box 4 43 31 16
5 Kapas 500 gr Pcs 2 2 1 3
6 Peristaltic sum neck nipple Pcs 5 0 0 5
7 Chlorine (Natrii Hypo Clorit) Pcs 5 0 0 5
8 Alkohol 70 % 1 L Pcs 1 3 1 3
9 Ultrasonic Gel Pcs 2 3 1 4
10 E Care Handscrub 500 ml Btl 0 1 0 1
11 Sterobac Hand Steril 400 ml Btl 1 0 1 0
12 Hand Soap Bratacare Pouch 6 0 1 5
13 Aseptic Gel 500 ml Btl 2 0 1 1
14 One Scrub 4 % 500 ml Btl 2 0 0 2
15 Micropore 1 inc Pcs 7 10 14 3
16 Micropore 1/2 inc Pcs 20 2 18 4
17 Hypapix 10cmx5M Rol 2 0 2 0
18 Ethycloride Pcs 3 0 0 3
19 Kassa Gulung Pcs 1 5 5 1
20 Betadin sol 1Liter Pcs 3 2 4 1
21 Easy T. Glucose Pcs 4 0 1 3
Susu Formula
1 Frisianbaby 400gr Box 16 6 9 13
2 Nutrilon baby Premature Kaleng 1 4 3 2
3 Nutrilon baby 1 Activduo bio Box 7 5 10 2
4 SGM Bunda Box 2 24 18 8
Total Stock Desember
ASI RSIA dr. Hj. KARMINI, EH
ia Shovia., S.Farm., Apt

9/SIPA_32.78/2017/2.263
BAT BULAN DESEMBER 2017
HNA + PPN Total TGL ED NO. BATCH KETERANGAN

Rp 23,716 Rp 71,148 Nov-21 C6L2371 Layak
Rp 36,652 Rp 183,260 Sep-21 C61460H Layak
Rp 40,700 Rp 40,700 Aug-18 S055E016 Layak
Rp 43,500 Rp 130,500 Dec-17 2154CS Layak
Rp 21,890 Rp 109,450 Mar-18 1606017 Layak
Rp 30,332 Rp 30,332 Jan-18 0103PY Layak
Rp 1,320 Rp 35,640 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 33,800 Rp 67,600 Jan-18 3A1013 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 26,136 Rp 26,136 Feb-18 145B14 Layak
Rp 45,000 Rp 225,000 Mar-18 EC1603 Layak
Rp 9,350 Rp 168,300 Nov-18 27E7002 Layak
Rp 9,350 Rp 93,500 Sep-18 24C7003 Layak
Rp 6,050 Rp 181,500 Mar-19 KO675010 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak
Rp 9,839 Rp 167,263 Mar-18 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 606 Rp 4,848 May-18 DE2863 Layak
Rp 1,100 Rp 105,600 Oct-19 K041E026 Layak
Rp 1,850 Rp 7,400 Feb-18 B130128B Layak
Rp 4,895 Rp 181,115 Dec-19 SM2820 Layak
Rp 1,353 Rp 167,772 Jan-20 TA8468 Layak
Rp 14,850 Rp 178,200 Oct-18 T091F010 Layak
Rp 12,300 Rp 516,600 May-19 TE4201A Layak
Rp 15,875 Rp 476,250 Dec-19 TF2058 Layak
Rp 8,579 Rp 343,160 Jan-21 4401007 Layak
Rp 825 Rp 1,650 Apr-19 S02478 Layak
Rp 1,760 Rp 82,720 Nov-18 K034F040 Layak
Rp 45,197 Rp 361,576 Sep-19 1127LM Layak
Rp 2,057 Rp 111,078 Aug-19 2344117 Layak
Rp 792 Rp 28,512 Aug-19 TH2476 Tidak Layak
Rp 49,830 Rp 149,490 Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Apr-20 RD7121 Layak
Rp 3,218 Rp 202,734 May-18 A6E029 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 9,772 Rp 723,128 Apr-19 19D189 Layak
Rp 1,386 Rp 29,106 Mar-18 T038F010 Layak
Rp 341 Rp 246,543 Jun-19 TF8608 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 KTNURK61166 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 14,120 Rp 423,600 Mar-18 KTTRVE62031 Layak
Rp 3,256 Rp 162,800 Sep-18 18194 Layak
Rp 9,680 Rp 290,400 Oct-18 18B012 Layak
Rp 561 Rp 76,296 Apr-20 TD2728 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 229,500 Apr-21 6026013 Layak
Rp 3,762 Rp 169,290 Sep-21 D4077 Layak
Rp 3,498 Rp 55,968 Apr-20 TD2764A Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp - Jul-19 48H0131 Layak
Rp 4,400 Rp 396,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 90,090 Jan-21 4401030 Layak
Rp 9,009 Rp 90,090 Nov-20 4311066 Layak
Rp 3,300 Rp 330,000 Sep-20 KTKNKK layak
Rp 3,850 Rp 77,000 Sep-20 TJ2588 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 130,000 May-18 RF4853 Layak
Rp 33,000 Rp 66,000 Jun-19 4.60E+180 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Layak
Rp 22,523 Rp 45,046 May-19 SKF12545 Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak

Rp 17,050 Rp 34,100 Feb-18 AV501A1 Layak
Rp 20,000 Rp 40,000 Mar-18 RVW01A2 Layak
Rp 7,000 Rp 14,000 Jan-20 451000 Layak
Rp 2,600 Rp 20,800 Jul-21 Layak
Rp 4,000 Rp 8,000 Jan-21 Layak
HNA+PPN Total TGL ED NO. BATCH KETERANGAN

Rp 151 Rp 12,080 May-18 TRF28942 Layak
Rp 850 Rp 79,050 May-18 19F148 Layak
Rp 400 Rp 23,200 Jun-18 19F138 Layak
Rp 227 Rp 1,816 Jul-21 G1607678 Layak
Rp 839 Rp 167,800 Mar-18 192106 Layak
Rp 2,395 Rp 404,755 Jul-20 48H0230 Layak
Rp 1,376 Rp 396,288 Oct-21 EAJ192 Layak
Rp 521 Rp 45,848 Sep-18 1307009 Layak
Rp 1,500 Rp 33,000 Aug-19 KLSPA70006 Layak
Rp 1,386 Rp 27,720 Sep-19 1709155 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 12,482 Oct-22 81770020 Layak
Rp 270 Rp 24,300 Oct-20 70113 Layak
Rp 132 Rp 6,600 Oct-19 75048 Layak
Rp 125 Rp 11,250 Oct-19 75159 Layak
Rp 108 Rp 32,400 Sep-20 75236 Layak
Rp 150 Rp 43,500 Oct-20 95322025CC Layak

Rp 3,300 Rp 72,600 Nov-19 15L0009 Layak
Rp 2,120 Rp 116,600 Jan-18 14A0259 Layak
#VALUE! Feb-20 97KA0032 Layak
Rp 2,403 Rp 273,942 Jan-20 PI850646 Layak
Rp 5,000 Rp 325,000 Sep-18 1560439 Layak
Rp 3,200 Rp 32,000 Aug-19 71H47B Layak
Rp 3,650 Rp 51,100 Aug-19 72H47A Layak
Rp 6,413 Rp - Layak
Rp 27,500 Rp 247,500 Aug-19 P172221 Layak
Rp 10,692 Rp 363,528 Jan-19 2270312 Layak
Rp 2,442 Rp 200,244 Jun-19 2771161 Layak
Rp 5,487 Rp 488,343 Nov-19 2170106 Layak
Rp 4,400 Rp 198,000 Mar-19 2370468 Layak
Rp 18,480 Rp 369,600 Jul-20 19G019A Layak
Rp 6,402 Rp 332,904 Sep-20 191195 Layak
Rp 6,930 Rp 388,080 Sep-20 4810151 Layak
Rp 11,000 Rp 1,309,000 Nov-19 223732 Layak

Rp 10,000 Rp 60,000 May-18 EC0962J Layak
Rp 10,500 Rp 10,500 Jun-18 70443 Layak
Rp 16,500 Rp 33,000 Aug-18 4G0821 Layak
Rp 13,640 Rp 491,040 Apr-19 7BD005 Layak
Rp 12,000 Rp 12,000 Jan-18 3F089A Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp 43,264 Sep-19 15H0042 Layak
Rp 9,922 Rp 168,674 Oct-19 15H0042 Layak
Rp 32,670 Rp 294,030 Dec-19 18M095A Layak
Rp 10,500 Rp 157,500 Sep-19 F7J005 Layak
Rp 137,500 Rp 137,500 Aug-20 PSJ27146 Layak
Rp 145,750 Rp 291,500 Dec-18 TF4239 Layak
Rp 22,781 Rp 1,207,393 Dec-19 SM6561 Layak
Rp 22,781 Rp 45,562 Apr-20 TD6755 Layak
Rp 198,550 Rp 1,985,500 Dec-19 C0576 Layak
Rp 19,800 Rp 594,000 Apr-19 19D143 Layak
Rp 110,009 Rp 110,009 Jan-19 15120031 Layak
Rp 84,700 Rp 677,600 Oct-19 A8386 Layak

Rp 118,580 Rp 592,900 Sep-20 18530G Layak
Rp 72,105 Rp 793,155 Jun-22 170728 Layak
Rp 62,700 Rp - Dec-20 160101 Layak
Rp 99,275 Rp 1,290,575 Jun-19 160759 Layak
Rp 86,735 Rp 693,880 Apr-20 170516 Layak
Rp 102,410 Rp 921,690 Jun-20 170728 Layak
Rp 69,300 Rp 207,900 Jan-19 160235 Layak
Rp 70,000 Rp 210,000 Nov-21 1166402 Layak
HNA +PPN Total TGL ED NO. BATCH KETERANGAN

Rp 48,400 Rp 774,400 Aug-19 6015 Layak
Rp 19,800 Rp 514,800 Sep-20 19I025 Layak
Rp 17,072 Rp 170,720 Apr-19 TD3439 Layak
Rp 10,500 Rp 73,500 Aug-19 1G1715J Layak
Rp 19,602 Rp 392,040 Apr-19 2470501 Layak

Rp 22,000 Rp 1,628,000 20/2019 TD0310B Layak
Rp 19,910 Rp - Aug-18 SM3088B Layak
Rp 15,932 Rp 127,456 Dec-19 270120 Layak
Rp 11,972 Rp 634,516 Jan-20 270120 Layak
Rp 22,125 Rp 1,239,000 Feb-19 2370369 Layak
Rp 2,750 Rp 605,000 Sep-20 78147A Layak
Rp 46,750 Rp 187,000 Oct-19 19K209 Layak
Rp 173,250 Rp - Dec-19 260111 Layak
Rp 58,245 Rp 1,223,145 May-20 TJ3032B Layak
Rp 49,693 Rp 2,335,571 Oct-18 1609038 Layak
Rp 90,750 Rp - Jun-18 1A304 Layak
Rp 16,335 Rp 931,095 Jan-20 270207 Layak
Rp 19,800 Rp 217,800 Feb-20 170302 Layak
Rp 6,410 Rp 775,610 Nov-22 47671B Layak
Rp 14,612 Rp 14,612 Mar-17 370411 Layak
Rp 7,150 Rp 1,108,250 Nov-22 47K75A Layak
Rp 26,000 Rp 26,000 May-20 TK3021A Layak
Rp 16,000 Rp 688,000 Feb-21 63203KY Layak
Rp 17,200 Rp 980,400 Jun-21 67201KY Layak
Rp 20,000 Rp 20,000 Nov-20 60047 Layak
Rp 6,500 Rp 266,500 Apr-22 70117 Layak
Rp 1,400,000 Rp 1,400,000 May-18 NO29E331 Layak
Rp 4,200 Rp 155,400 Jan-21 E7463609 Layak
Rp 24,000 Rp 672,000 Oct-21 B97J46A Layak
Rp 96,663 Rp 1,256,619 Feb-20 C323P523 Layak
Rp 26,693 Rp 133,465 Jun-20 170622541 Layak
Rp 16,900 Rp 388,700 Jun-22 3.07E+06 Layak
Rp 16,900 Rp 50,700 Mar-20 15D03 Layak
Rp 9,500 Rp 703,000 May-22 300535 Layak
Rp 1,200 Rp 219,600 Layak
Rp 1,200 Rp 28,800 Layak
Rp 95,000 Rp - Jul-20 GSE15H121 Layak
Rp 294 Rp 11,466 Jul-18 52726848 Layak
Rp 3,400 Rp 156,400 Jul-21 63440812 Layak
Rp 126 Rp 24,696 Sep-20 2101788 Layak
Rp 89,800 Rp 718,400 May-21 6021601 Layak
Rp 97,500 Rp 1,072,500 May-22 3101701 Layak
Rp 16,500 Rp 115,500 Aug-21 638212209 Layak
Rp 350 Rp 70,000 Layak
Rp 3,658 Rp 1,185,192 Sep-22 57505073 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Jun-18 1101200 Layak
Rp 8,200 Rp 24,600 Layak
Rp 259,703 Rp 779,109 Jul-20 TUOILSA Layak
Rp 250 Rp 69,000 103511205 Layak
Rp 52,100 Rp 364,700 Jan-22 CO6O3M Layak
Rp 35,000 Rp 420,000 May-22 20170520 Layak
Rp 25,000 Rp 325,000 Nov-19 3011488 Layak
Rp 12,500 Rp 162,500 May-22 20170530 Layak
Rp 50,200 Rp 652,600 Sep-19 14K04G8219 Layak
Rp 3,854 Rp 77,080 Jun-22 1707236 Layak
Rp 1,200 Rp 120,000 Jul-22 1081788 Layak
Rp 1,700 Rp 209,100 Jan-22 7012415 Layak
Rp 700 Rp 361,900 Aug-22 4091788 Layak
Rp 1,188 Rp 289,872 Jul-22 30081788 Layak
Rp 1,500 Rp 129,000 May-22 2061788 Layak
Rp 4,500 Rp 40,500 Nov-22 111715 Layak
Rp 4,100 Rp 241,900 Jul-22 15081788 Layak
Rp 3,825 Rp 84,150 Layak
Rp 440 Rp 176,000 Apr-22 212043014LPZA Layak
Rp 15,000 Rp 60,000 Aug-21 193H46E Layak
Rp 2,500 Rp 27,500 Layak
Rp 9,000 Rp 18,000 Jul-20 20150708 Layak
Rp 7,000 Rp 14,000 Dec-19 212114 Layak
Rp 7,000 Rp 7,000 Feb-21 20160202 Layak
Rp 77,500 Rp - May-19 20140510 Layak
Rp 50,000 Rp 50,000 200902001 Layak
Rp 2,717,000 Rp 2,717,000 Oct-19 207161101 Layak
Rp 300 Rp 27,600 Nov-21 6327490 Layak
Rp 20,295 Rp 507,375 Layak
Rp 14,500 Rp 696,000 Layak
Rp 2,500 Rp 40,000 Layak
Rp 500,000 Rp 1,000,000 Layak

Rp 6,607 Rp 26,428 Apr-18 ZI05139 Layak
Rp 9,350 Rp 74,800 Feb-19 R001G013 Layak
Rp 108,500 Rp 325,500 Nov-17 RL6469 Tidak Layak
Rp 84,150 Rp 336,600 Mar-19 19C055A Layak
Rp 115,000 Rp 115,000 Nov-18 18K166 Layak
Rp 26,620 Rp 212,960 Apr-20 MOB2455 Layak
Rp 11,000 Rp 220,000 Aug-19 KCKTFA74789 Layak
Rp 4,840 Rp 212,960 Jul-19 KAPPGA74260 Layak
Rp 7,040 Rp 415,360 Aug-19 KATDXB74008 Layak
Rp 59,400 Rp 1,247,400 Sep-19 191272 Layak
HARGA POKOK Total TGL ED NO. BATCH KETERANGAN

Rp 8,030 Rp 16,060 Mar-19 MFG110316 Layak
Rp 13,970 Rp 69,850 Aug-21 020817T Layak
Rp 17,490 Rp 52,470 Aug-21 010817K Layak
Rp 2,500 Rp 40,000 Layak
Rp 25,100 Rp 75,300 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 82,500 9-209 160924 Layak
Rp 48,000 Rp 144,000 Dec-20 870171205 Layak
Rp 12,584 Rp 50,336 Sep-19 23101788 Layak
Rp 104,000 Rp 104,000 Aug-19 NP160817 Layak
Rp 80,000 Rp - Feb-19 30216 Layak
Rp 11,000 Rp 55,000 906167080 Layak
Rp 22,000 Rp 22,000 Aug-20 25091788 Layak
Rp 62,500 Rp 125,000 Sep-18 19011588 Layak
Rp 28,600 Rp 85,800 Sep-21 G3G Layak
Rp 12,600 Rp 50,400 Oct-21 G3G Layak
Rp 108,639 Rp - Sep-21 64230230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 105,540 Rp 105,540 Dec-19 1612 Layak
Rp 149,314 Rp 149,314 Aug-21 11317113 Layak
Rp 124,000 Rp 372,000 Jul-19 GOS17808CAC Layak
Rp 40,000 Rp 520,000 Oct-19 101XD61 Layak
Rp 96,154 Rp 192,308 May-19 20190430 Layak
Rp 80,000 Rp 160,000 Mar-19 50917 Layak
Rp 15,500 Rp 124,000 Sep-19 040917SB5A Layak
Stock Desember #VALUE!
INSTALASI FARMASI RSIA dr. Hj. KARMINI, EH
Jl. Rumah sakit No. 56 Tasikmalaya 46113
SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN FEBRUARI 2018

NO NAMA BARANG SATUAN S.AKHIR HNA + PPN TGL ED
1 Albothyl 5 ml Btl Rp 23,716
2 Albothyl 10 ml Btl Rp 36,652
3 Alco plus syr Btl Rp 40,700
4 Daryazinc drop Btl Rp 43,500
5 Dactarin diapers Pcs Rp 51,500
6 Lactacyd baby Btl Rp 21,890
7 Naprex drop Btl Rp 30,332
9 Onemed Tespack Pcs Rp 1,320
10 Pedhyalite Btl Rp 20,411
11 Pharolyte Pcs Rp 1,100
12 Polycrol sirup Btl Rp 33,800
13 Renalyte Btl Rp 15,400
14 Trombogel 10 gr Pcs Rp 26,136
15 Transpulmin BB 10g Pcs Rp 45,000
16 B'GEN Ginger Latte Sachet Rp 9,350
17 B'GEN Green Tea Sachet Rp 9,350
18 Inlacta Cap Rp 6,050

1 Biotichol 500 mg Tab Rp 3,120
2 Cefat 500mg Tab Rp 9,839
3 Ceptik 100 mg Tab Rp 22,000
5 Epexol Tab Rp 606
6 Heptasan Tab Rp 227
7 Theobron Tab Rp 1,100
8 Retaphyl Tab Rp 1,850
10 Acran Tab Rp 4,895
11 Becom C Tab Rp 1,353
12 Clabat Tab Rp 14,850
13 Clanexi Cap Rp 12,300
14 Cripsa Tab Rp 15,875
15 Nutribreast Cap Rp 8,579
16 Probiokid Tab Rp 13,024
17 Folavit Cap Rp 825
18 Inbion Tab Rp 1,760
19 Silex syr Btl Rp 45,197
20 Dopamet Tab Rp 2,057
21 Elkana Tab Rp 792
22 Episan sirup 100 ml Btl Rp 49,830
23 Femisic Tab Rp 1,111
24 Tonotan Tab Rp 3,218
25 Cravit 500mg Tab Rp 40,700
26 Noprostol Tab Rp 9,772
27 Mefinter Tab Rp 1,386
29 Tab Rp 341
30 Tranec tab Cap Rp 2,926
31 Nevox XR Tab Rp 2,017
32 Rantin 300mg Tab Rp 6,527
33 Truvaz 20mg Tab Rp 14,120
34 Prostovit Tab Rp 3,256
35 Prostam Tab Rp 9,680
36 Bledstop Tab Rp 561
37 Xevolac Tab Rp 7,260
38 Metvell Tablet Tab Rp 2,475
39 Tiriz Kaplet Cap Rp 3,762
40 Cerini Caplet Capl Rp 3,498
41 Co - Amoxyclav 500 / 125 mg Capl Rp 4,400
42 Primadol Tab Rp 2,000
43 Ondavel Tab Rp 23,500
44 Folamil Genio Cap Rp 3,850
45 Norelut Tab Rp 4,400
46 Nutrimama 1 Cap Rp 9,009
47 Nutrimama 2 Cap Rp 9,009
48 KALNEX 500 mg Tab Rp 3,300
49 Regumen Tab Rp 3,850

1 Biothicol syr Btl Rp 17,990
2 Biothicol Forte syr Btl Rp 55,990
3 Cefat dry sirup Btl Rp 43,670
4 Cefat Forte Dry sirup Btl Rp 65,000
5 Edotin syr Btl Rp 33,000
6 Promuba Btl Rp 35,000
7 Amobiotk Drop Btl Rp 22,523
8 Tiriz Oral Drops Btl Rp 62,700

1 Desolex Cr Pcs Rp 17,050
2 Desolex N Pcs Rp 20,000
3 Erlamycetin SM Pcs Rp 7,000
4 Gentamicyn Salep pcs Rp 2,600

NO NAMA BARANG SATUAN S.AKHIR HNA+PPN TGL ED
1 Allopurinol 100 Tab Rp 151
2 Amlodipine 10 Tab Rp 850
3 Amlodipine 5 Landson Tab Rp 350
4 Captopril 25 Tab Rp 227
5 Cefadroxil Indofarma Cap Rp 839
6 Cefixime 100 Cap Rp 2,395
7 Clindamicyn 300 Cap Rp 1,376
8 Ethambutol Tab Rp 521
9 Lansoprazole Tab Rp 480
10 Ondansetrone Tab Rp 1,386
11 CTM btl Tab Rp 76
12 Paracetamol Tab Rp 158
13 Amoxicillin Kapsul Cap Rp 270
14 Cetirizine Tab Rp 132
15 Asam Traneksamat Kaplet Rp 125
16 Ranitidine Tab Tab Rp 108
Injek Generik
1 Gentamicyn injek Ampul Rp 3,600
2 Aminophiline Ampul Rp 3,300
3 Atropine sulfat Ampul Rp 2,120
4 Calcii Gluconas Ampul Rp 17,966
5 Dexamethasone Ampul Rp 2,403
6 Epinephrine Ampul Rp 5,000
7 MGSO4 20% Btl Rp 3,200
8 MGSO4 40% Btl Rp 3,650
9 Vitamin C Ampul Rp 6,413
10 Ephedrin Hcl Ampul Rp 27,500
11 Ketorolac 3% Inj Ampul Rp 10,692
12 Ranitidine Inj 50 mg/2 ml Ampul Rp 2,442
13 Asam Traneksamat Inj 10 % Ampul Rp 5,487
14 Ondansetron 4 mg Inj Ampul Rp 4,400
15 Ondansetron 8 mg Inj Ampul Rp 18,480
16 Tramadol 100 mg/ 2 ml Injek Ampul Rp 6,402
17 Cefotaxime injek Vial Rp 6,930
18 Ceftriaxon Vial Rp 11,000
Injek Paten
1 Epidosin Ampul Rp 10,000
2 Lasix Ampul Rp 10,500
3 Nairet Ampul Rp 16,500
4 Neo K Ampul Rp 13,640
5 Novalgin Ampul Rp 12,000
6 Ondavel inj Ampul Rp 28,710
7 Primperan Ampul Rp 10,816
8 Sagestam Ampul Rp 9,922
9 Tranec Inj Ampul Rp 17,606
10 Xevolac Inj Ampul Rp 32,670
11 Furamin Injek Ampul Rp 10,500
12 Picyn Injek Ampul Rp 137,500
14 Cinam Injek Ampul Rp 145,750
15 Amoxan injek Vial Rp 22,781
16 Amoxan Drop Vial Rp 22,781
17 Cefxon Vial Rp 198,550
18 Lignovell Ampul Rp 19,800
19 KTM injek Vial Rp 110,009
20 Lapixime injek Vial Rp 84,700
Benang Operasi
1 Optime 2 Pcs Rp 118,580
2 T-chromic 1 ( C 55 ) Pcs Rp 72,105
3 T-chromic 2/0 ( C27 ) Pcs Rp 62,700
4 T-Mono 4-0 ( M 50 ) Pcs Rp 99,275
5 T-Vio 1 ( V 41 ) Pcs Rp 86,735
6 T-vio 2 ( V 122 ) Pcs Rp 102,410
7 T-Vio episiotomy Pcs Rp 69,300
chromic 2 atramat Pcs Rp 70,000
LEMARI OKT
NO NAMA BARANG SATUAN S.AKHIR HNA +PPN TGL ED
1 Fentanyl 2ml Ampul Rp 48,400
3 Miloz Ampul Rp 19,800
4 Valisanbe injek Ampul Rp 17,072
5 Morfina 10mg/ml Ampul Rp 10,500
6 Sedacum Ampul Rp 19,602
CAIRAN INFUS
1 Asering Sanbe Plabot Rp 22,000
2 D10 Sanbe Plabot Rp 19,910
3 D10 Wida Plabot Rp 15,932
4 D5 Sanbe Plabot Rp 19,965
5 D5 Wida Plabot Rp 11,972
21 Metronidazol Inf Btl Rp 22,125
7 Otsu W.I 25ml Btl Rp 2,750
8 Paracetamol Infus Btl Rp 46,750
9 Sanbehast 130 TM Plabot Rp 209,055
10 Widahest Plabot Rp 173,250
11 Futrolit Infus Plabot Rp 58,245
12 Nulagyl Btl Rp 49,693
13 Ronazol infus Btl Rp 90,750
14 Wida KDN 1 Plabot Rp 16,335
15 Aquadest 1 liter wida Plabot Rp 19,800
16 Hydromal Inf Plabot Rp 70,785
18 NS Otsu Plabot Rp 6,410
20 Wida RL Plabot Rp 14,612
6 Otsu RL Plabot Rp 7,150
ALKES & BMHP

1 Abocath 18 G Pcs Rp 16,000
2 Abocath 20 G Pcs Rp 17,200
3 Abocath inflo 24 Pcs Rp 20,000
4 Abbocath Inflo 26 Pcs Rp 6,500
5 Aerran USP Pcs Rp 1,400,000
6 Bisturi No 22 Pcs Rp 4,200
7 Bloodset OTSUKA Pcs Rp 24,000
8 Cerflast Pcs Rp 96,663
9 Feeding tube No 6 ( NGT) Pcs Rp 18,000
10 Feeding tube No 8 ( NGT ) Pcs Rp 26,693
11 Folleycatheter No 16 Pcs Rp 16,900
Folleycatheter No 18 Pcs Rp 16,900
12 Gamex 7,5 Pcs Rp 9,500
13 Gelang bayi Pcs Rp 1,200
14 Gelang ibu Pcs Rp 1,200
15 Gelita spons Pcs Rp 95,000
16 Hansaplast Pcs Rp 294
17 I.V Leukomed Pcs Rp 3,400
18 Alkohol Swab One Swab Pcs Rp 126
19 Laminaria 4 mm ( M ) Pcs Rp 89,800
20 Laminaria 5 mm ( L ) Pcs Rp 97,500
21 Lomatuell Pcs Rp 16,500
22 Masker tali Pcs Rp 350
23 Maxter 7,5 Pcs Rp 3,658
24 Muccus extractor Lotus Pcs Rp 30,000
25 Nelaton No 10 Pcs Rp 8,200
26 Nelaton No. 12 Pcs Rp 8,200
27 Nelaton No 8 Pcs Rp 8,200
28 Nova T 380 Pcs Rp 259,703
29 Okeplast Pcs Rp 250
30 Possey Pcs Rp 52,100
31 Selang operasi Pcs Rp 35,000
32 Selang oxygen bayi Pcs Rp 25,000
33 Selang oxygen dewasa Pcs Rp 12,500
34 Spinocan ( jarum spinal) Pcs Rp 50,200
35 Spuit 10 cc Terumo Pcs Rp 3,854
36 Spuit 10 cc JMI Pcs Rp 1,200
37 Spuit 1cc BD Pcs Rp 1,700
38 Spuit 3 cc BD Pcs Rp 960
39 Spuite 3 CC Onemed Pcs Rp 700
40 Spuit 5cc BD Pcs Rp 2,000
41 Spuite 5 CC Onemed Pcs Rp 1,188
42 Umbilical Pcs Rp 1,500
43 Underpad Pcs Rp 4,500
44 Urinebag Pcs Rp 4,100
45 Amsafe Gold (kerokan) Pcs Rp 3,825
46 ST Non Steril Pcs Rp 440
47 Infusion Set Anak Pcs Rp 15,000
48 Spalk Pcs Rp 2,500
49 Suction Catheter NO 10 Pcs Rp 9,000
51 BURET Pcs Rp 77,500
52 Selang Oxygen Sungkup Pcs Rp 50,000
53 Sevodex 250 ml Btl Rp 2,717,000
54 Needle 23 G BD Pcs Rp 300
55 Pigeon Dot S Btl Rp 20,295
56 Tas pulang Pcs Rp 14,500
57 Washlap Pcs Rp 2,500
Produk CCP
NO NAMA BARANG SATUAN S.AKHIR HNA +PPN TGL ED
1 Metvell injek Ampul Rp 8,625
2 Neurobion injek Ampul Rp 6,607
3 Oxyla Injek Ampul Rp 11,385
4 Pamol supp Sup Rp 9,350
5 Pronalgess supp Sup Rp 9,018
6 Taxecap Ampul Rp 108,500
7 Trammal supp Sup Rp 10,068
8 Methylergometrine Ampul Rp 3,500
9 Nupovel Injek Vial Rp 84,150
10 Noveron Vial Rp 115,000
11 Cygest 400 mg Supp Rp 26,620
12 Kaltrofen Supp Supp Rp 11,000
13 Pospargin 2 mg/ml Ampul Rp 4,840
14 Induxin Ampul Rp 7,040
15 Regivel Ampul Rp 59,400
16 Faktu Supp Sup

NO NAMA BARANG SATUAN S.AKHIR HARGA POKOK TGL ED
1 CB oil 500ml Btl Rp 8,030
2 Sidola Minyak Telon 60 cc Btl Rp 13,970
3 Sidola Minyak kayu putih 60 cc Btl Rp 17,490
4 Kassa Kotak 16 x 16 Box Rp 2,500
5 Kapas 500 gr Pcs Rp 25,100
6 Peristaltic sum neck nipple Pcs Rp 22,220
7 Chlorine (Natrii Hypo Clorit) Pcs Rp 16,500
8 Alkohol 70 % 1 L Pcs Rp 48,000
9 Ultrasonic Gel Pcs Rp 12,584
10 E Care Handscrub 500 ml Btl Rp 104,000
11 Sterobac Hand Steril 400 ml Btl Rp 80,000
12 Hand Soap Bratacare Pouch Rp 11,000
13 Aseptic Gel 500 ml Btl Rp 22,000
14 One Scrub 4 % 500 ml Btl Rp 62,500
15 Micropore 1 inc Pcs Rp 28,600
16 Micropore 1/2 inc Pcs Rp 12,600
17 Hypapix 10cmx5M Rol Rp 108,639
18 Ethycloride Pcs Rp 100,000
19 Apron Pcs Rp 4,290
20 Kassa Gulung Pcs Rp 105,540
21 Betadin sol 1Liter Pcs Rp 149,314
22 Easy T. Glucose Pcs Rp 124,000
Susu Formula
NO NAMA BARANG SATUAN S.AKHIR HARGA POKOK TGL ED
1 Frisianbaby 400gr Box Rp 40,000
2 Nutrilon baby Premature Kaleng Rp 96,154
3 Nutrilon baby 1 Activduo bio Box Rp 80,000
5 SGM Bunda Box Rp 15,500
6 Bebelov 1 BB Nutri Box Rp 64,708
EH
3
3
018
NO. BATCH KETERANGAN






SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN JANUARI 2018

4 Lactacyd baby Btl 5 0 5 0
8 Trombogel 10 gr Pcs 1 0 0 1
11 Inlacta Cap 40 90 120 10
12 OBH Syirup Btl 0 5 0 5

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
7 Acran Tab 37 0 2 35
8 Becom C Tab 124 0 15 109
11 Cripsa Tab 30 60 29 61
13 Folavit Cap 2 100 40 62
14 Inbion Tab 47 100 74 73
16 Dopamet Tab 54 100 77 77
17 Elkana Tab 36 100 50 86
21 Cravit 500mg Tab 10 0 0 10
24 Sanmol Forte Tab 723 500 602 621
27 Rantin 300mg Tab 30 0 0 30
28 Truvaz 20mg Tab 30 0 0 30
31 Bledstop Tab 136 0 0 136
34 Hemafort Tab 270 0 40 230
39 Norelut Tab 90 0 0 90
42 KALNEX 500 mg Tab 100 0 0 100
43 Regumen Tab 20 0 0 20

9 Gastrum New Formula Btl 0 1 1 0

3 Erlamycetin SM Pcs 2 0 2 0

5 Cefixime 100 Cap 169 500 100 569
6 Clindamicyn 300 Cap 288 250 403 135
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 290 0 10 280
Injek Generik
6 MGSO4 20% Btl 10 0 0 10
7 MGSO4 40% Btl 14 0 7 7
18 Gentamicin 40 mg/ml Ampul 0 75 0 75
Injek Paten
4 Neo K Ampul 36 30 28 38
10 Picyn Injek Ampul 1 0 1 0
Benang Operasi
2 T-chromic 1 ( C 55 ) Pcs 11 29 29 11
3 T-chromic 2/0 ( C27 ) Pcs 0 36 28 8
4 T-Mono 4-0 ( M 50 ) Pcs 13 29 27 15
5 T-Vio 1 ( V 41 ) Pcs 8 29 27 10
6 T-vio 2 ( V 122 ) Pcs 9 29 30 8
7 T-Vio episiotomy ( V 66 ) Pcs 3 18 4 17
LEMARI OKT
CAIRAN INFUS
5 Otsu W.I 25ml Btl 220 280 154 346
9 Nulagyl Btl 47 12 17 42
12 NS Otsu Plabot 121 40 44 117
13 Otsu RL Plabot 156 260 206 210
15 Wida BES Plabot 0 20 0 20
ALKES & BMHP

1 Abocath 18 G Pcs 43 0 24 19
2 Abocath 20 G Pcs 57 0 35 22
5 Bisturi No 22 Pcs 37 65 35 67
11 Gamex 7,5 Pcs 74 120 147 47
12 Gelang bayi Pcs 183 0 28 155
20 Masker tali Pcs 200 500 560 140
21 Maxter 7,5 Pcs 324 0 300 24
26 Nova T 380 Pcs 3 5 8 0
34 Spuit 10 cc JMI Pcs 100 0 0 100
35 Spuit 1cc BD Pcs 123 0 112 11
42 ST Non Steril Pcs 400 300 273 427
44 Spalk Pcs 11 0 2 9
48 BURET Pcs 0 10 2 8
51 Needle 23 G BD Pcs 92 100 44 148
52 Pigeon Dot 120 ml Btl 25 10 14 21
54 Washlap Pcs 16 24 19 21
55 Selang CPAP Pcs 2 0 2 0
Produk CCP
4 Noveron Vial 1 0 1 0

1 CB oil 500ml Btl 2 0 2 0
4 Kassa Kotak 16 x 16 Box 16 60 33 43
5 Kapas 500 gr Pcs 3 1 1 3
8 Alkohol 70 % 1 L Pcs 3 3 4 2
9 Alkohol 70% 100 ml Pcs 0 2 2 0
14 One Scrub 4 % 500 ml Btl 2 0 2 0
19 Kassa Gulung 40 x 80 Roll 1 9 4 6
Susu Formula
Total Stock Layak Tanggal 31 Januari 2018
Total Stock Tidak Layak Tanggal 31 Januari 2018
SI RSIA dr. Hj. KARMINI, EH
a Shovia., S.Farm., Apt

9/SIPA_32.78/2017/2.263
BAT BULAN JANUARI 2018

Rp 23,716 Rp 71,148 Nov-21 C6L2371 Layak
Rp 36,652 Rp 183,260 Sep-21 C61460H Layak
Rp 40,700 Rp 40,700 Aug-18 S055E016 Layak
Rp 21,890 Rp - Mar-18 1606017 Layak
Rp 1,320 Rp 33,000 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 26,136 Rp 26,136 Feb-18 145B14 Layak
Rp 9,350 Rp 168,300 Nov-18 27E7002 Layak
Rp 9,350 Rp 93,500 Sep-18 24C7003 Layak
Rp 6,380 Rp 63,800 Mar-19 KO675010 Layak
Rp 4,500 Rp 22,500 Jan-21 710114 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak
Rp 9,839 Rp 167,263 Mar-19 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 606 Rp 3,636 May-18 DE2863 Layak
Rp 1,100 Rp 105,600 Oct-19 K041E026 Layak
Rp 1,850 Rp 7,400 Feb-18 B130128B Layak
Rp 4,895 Rp 171,325 Dec-19 SM2820 Layak
Rp 1,353 Rp 147,477 Jan-20 TA8468 Layak
Rp 14,850 Rp 178,200 Oct-18 T091F010 Layak
Rp 15,875 Rp 968,375 Dec-19 TF2058 Layak
Rp 8,579 Rp 214,475 Jan-21 4401007 Layak
Rp 847 Rp 52,514 Apr-19 S02478 Layak
Rp 1,848 Rp 134,904 Nov-18 K034F040 Layak
Rp 45,197 Rp 180,788 Sep-19 1127LM Layak
Rp 2,057 Rp 158,389 Aug-19 2344117 Layak
Rp 792 Rp 68,112 Aug-19 TH2476 Layak
Rp 49,830 Rp 149,490 Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Apr-20 RD7121 Layak
Rp 3,218 Rp 151,246 May-18 A6E029 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 10,640 Rp 585,200 Apr-19 19D189 Layak
Rp 1,386 Rp 29,106 Mar-19 T038F010 Layak
Rp 341 Rp 211,761 Jun-19 TF8608 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 KTNURK61166 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 3,256 Rp 162,800 Sep-18 18194 Layak
Rp 9,680 Rp 290,400 Oct-18 18B012 Layak
Rp 561 Rp 76,296 Apr-20 TD2728 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 195,500 Apr-21 6026013 Layak
Rp 3,762 Rp 75,240 Sep-21 D4077 Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp 231,000 Jul-19 48H0131 Layak
Rp 4,400 Rp 396,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 90,090 Jan-21 4401030 Layak
Rp 9,009 Rp 90,090 Nov-20 4311066 Layak
Rp 3,300 Rp 330,000 Sep-20 KTKNKK layak
Rp 3,850 Rp 77,000 Sep-20 TJ2588 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 65,000 May-18 RF4853 Layak
Rp 33,000 Rp 66,000 Jun-19 4.60E+180 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak
Rp 37,000 Rp - Feb-19 C7H241A Layak

Rp 17,050 Rp 34,100 Feb-18 AV501A1 Layak
Rp 20,000 Rp 40,000 Mar-18 RVW01A2 Layak
Rp 7,000 Rp - Jan-20 451000 Layak
Rp 2,600 Rp 104,000 Jul-21 Layak
Rp 4,000 Rp 4,000 Jan-21 Layak

Rp 151 Rp 12,080 May-18 TRF28942 Layak
Rp 850 Rp 79,050 May-19 19F148 Layak
Rp 477 Rp 19,557 Jun-18 19F138 Layak
Rp 227 Rp 1,135 Jul-21 G1607678 Layak
Rp 2,395 Rp 1,362,755 Jul-20 48H0230 Layak
Rp 1,376 Rp 185,760 Oct-21 EAJ192 Layak
Rp 521 Rp 45,848 Sep-18 1307009 Layak
Rp 1,767 Rp 61,845 Sep-19 1709155 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 8,532 Oct-22 81770020 Layak
Rp 270 Rp 24,300 Oct-20 70113 Layak
Rp 313 Rp 25,040 Oct-19 75048 Layak
Rp 125 Rp 10,000 Oct-19 75159 Layak
Rp 108 Rp 31,320 Sep-20 75236 Layak
Rp 150 Rp 42,000 Oct-20 95322025CC Layak

Rp 3,300 Rp 72,600 Nov-19 15L0009 Layak
Rp 2,120 Rp 116,600 Jan-18 14A0259 Tidak Layak
Rp 22,000 Rp 132,000 Feb-20 97KA0032 Layak
Rp 2,403 Rp 216,270 Jan-20 PI850646 Layak
Rp 5,000 Rp 310,000 Sep-18 1560439 Layak
Rp 3,200 Rp 32,000 Aug-19 71H47B Layak
Rp 3,650 Rp 25,550 Aug-19 72H47A Layak
Rp 6,413 Rp - Aug-22 Layak
Rp 27,500 Rp 82,500 Aug-19 P172221 Layak
Rp 10,692 Rp 171,072 Jan-19 2270312 Layak
Rp 2,442 Rp 246,642 Jun-19 2771161 Layak
Rp 5,487 Rp 329,220 Nov-19 2170106 Layak
Rp 4,400 Rp 158,400 Mar-19 2370468 Layak
Rp 18,480 Rp 369,600 Jul-20 19G019A Layak
Rp 6,402 Rp 160,050 Sep-20 191195 Layak
Rp 6,930 Rp 401,940 Sep-20 4810151 Layak
Rp 11,000 Rp 1,199,000 Nov-19 223732 Layak
Rp 3,693 Rp 276,975 Aug-19 BF17F021 Layak

Rp 10,000 Rp 60,000 May-18 EC0962J Layak
Rp 10,500 Rp 10,500 Jun-18 70443 Layak
Rp 16,500 Rp 16,500 Aug-18 4G0821 Layak
Rp 13,640 Rp 518,320 Apr-19 7BD005 Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp 10,816 Sep-19 15H0042 Layak
Rp 9,922 Rp 9,922 Oct-19 15H0042 Layak
Rp 32,670 Rp 294,030 Dec-19 18M095A Layak
Rp 10,500 Rp 147,000 Sep-19 F7J005 Layak
Rp 137,500 Rp - Aug-20 PSJ27146 Layak
Rp 145,750 Rp 583,000 Dec-18 TF4239 Layak
Rp 22,781 Rp 1,663,013 Dec-19 SM6561 Layak
Rp 22,781 Rp 113,905 Apr-20 TD6755 Layak
Rp 198,550 Rp 1,985,500 Dec-19 C0576 Layak
Rp 19,800 Rp 455,400 Apr-19 19D143 Layak
Rp 110,110 Rp 110,110 Jan-19 15120031 Layak
Rp 84,700 Rp 1,101,100 Oct-19 A8386 Layak

Rp 118,580 Rp 355,740 Sep-20 18530G Layak
Rp 72,105 Rp 793,155 Jun-22 170728 Layak
Rp 65,000 Rp 520,000 Dec-20 160101 Layak
Rp 95,000 Rp 1,425,000 Jun-19 160759 Layak
Rp 90,000 Rp 900,000 Apr-20 170516 Layak
Rp 102,410 Rp 819,280 Jun-20 170728 Layak
Rp 62,370 Rp 1,060,290 Jan-19 160235 Layak
Rp 70,000 Rp 210,000 Nov-21 1166402 Layak

Rp 48,400 Rp 629,200 Aug-19 6015 Layak
Rp 19,800 Rp 118,800 Sep-20 19I025 Layak
Rp 17,072 Rp 170,720 Apr-19 TD3439 Layak
Rp 10,500 Rp 63,000 Aug-19 1G1715J Layak
Rp 19,602 Rp 392,040 Apr-19 2470501 Layak

Rp 22,000 Rp 1,650,000 20/2019 TD0310B Layak
Rp 15,932 Rp 111,524 Dec-19 270120 Layak
Rp 11,972 Rp 622,544 Jan-20 270120 Layak
Rp 22,125 Rp 464,625 Feb-19 2370369 Layak
Rp 2,860 Rp 989,560 Sep-20 78147A Layak
Rp 46,750 Rp 140,250 Oct-19 19K209 Layak
Rp 173,250 Rp 346,500 Dec-19 260111 Layak
Rp 58,245 Rp 815,430 May-20 TJ3032B Layak
Rp 49,693 Rp 2,087,106 Oct-18 1609038 Layak
Rp 16,335 Rp 735,075 Jan-20 270207 Layak
Rp 19,800 Rp 217,800 Feb-20 170302 Layak
Rp 6,410 Rp 749,970 Nov-22 47671B Layak
Rp 7,150 Rp 1,501,500 Nov-22 47K75A Layak
Rp 26,000 Rp 26,000 May-20 TK3021A Layak
Rp 9,646 Rp 192,920 Feb-20 TKZOO11 Layak

Rp 16,000 Rp 304,000 Feb-21 63203KY Layak
Rp 17,200 Rp 378,400 Jun-21 67201KY Layak
Rp 20,000 Rp 20,000 Nov-20 60047 Layak
Rp 6,500 Rp 247,000 Apr-22 70117 Layak
Rp 4,200 Rp 281,400 Jan-21 E7463609 Layak
Rp 96,663 Rp 483,315 Feb-20 C323P523 Layak
Rp 26,693 Rp 293,623 Jun-20 170622541 Layak
Rp 17,000 Rp 442,000 Jun-22 3.07E+06 Layak
Rp 16,900 Rp 50,700 Mar-20 15D03 Layak
Rp 9,500 Rp 446,500 May-22 300535 Layak
Rp 1,200 Rp 186,000 Layak
Rp 1,200 Rp 100,800 Layak
Rp 294 Rp 33,516 Jul-18 52726848 Layak
Rp 3,600 Rp 190,800 Jul-21 63440812 Layak
Rp 126 Rp 77,238 Sep-20 2101788 Layak
Rp 89,800 Rp 449,000 May-21 6021601 Layak
Rp 97,500 Rp 877,500 May-22 3101701 Layak
Rp 16,500 Rp 660,000 Aug-21 638212209 Layak
Rp 3,658 Rp 87,792 Sep-22 57505073 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Jun-18 1101200 Layak
Rp 8,200 Rp 24,600 Layak
Rp 259,703 Rp - Jul-20 TUOILSA Layak
Rp 250 Rp 69,000 103511205 Layak
Rp 72,600 Rp 290,400 Jan-22 CO6O3M Layak
Rp 35,000 Rp 490,000 May-22 20170520 Layak
Rp 25,000 Rp 275,000 Nov-19 3011488 Layak
Rp 12,500 Rp 287,500 May-22 20170530 Layak
Rp 52,500 Rp 3,360,000 Sep-19 14K04G8219 Layak
Rp 3,750 Rp 60,000 Jun-22 1707236 Layak
Rp 1,200 Rp 120,000 Jul-22 1081788 Layak
Rp 1,700 Rp 18,700 Jan-22 7012415 Layak
Rp 700 Rp 372,400 Aug-22 4091788 Layak
Rp 1,188 Rp 479,952 Jul-22 30081788 Layak
Rp 1,500 Rp 87,000 May-22 2061788 Layak
Rp 4,500 Rp 130,500 Nov-22 111715 Layak
Rp 4,100 Rp 188,600 Jul-22 15081788 Layak
Rp 3,825 Rp 61,200 Layak
Rp 440 Rp 187,880 Apr-22 212043014LPZA Layak
Rp 15,000 Rp 60,000 Aug-21 193H46E Layak
Rp 2,500 Rp 22,500 Layak
Rp 9,000 Rp 18,000 Jul-20 20150708 Layak
Rp 7,000 Rp 28,000 Dec-19 212114 Layak
Rp 7,000 Rp 7,000 Feb-21 20160202 Layak
Rp 77,500 Rp 620,000 May-19 20140510 Layak
Rp 50,000 Rp 50,000 200902001 Layak
Rp 2,717,000 Rp 2,717,000 Oct-19 207161101 Layak
Rp 325 Rp 48,100 Nov-21 6327490 Layak
Rp 20,295 Rp 426,195 Layak
Rp 14,500 Rp 348,000 Layak
Rp 2,500 Rp 52,500 Layak
Rp 500,000 Rp - Layak

Rp 6,607 Rp 13,214 Apr-19 ZI05139 Layak
Rp 9,350 Rp 46,750 Feb-19 R001G013 Layak
Rp 84,150 Rp 841,500 Mar-19 19C055A Layak
Rp 115,000 Rp - Nov-18 18K166 Layak
Rp 26,620 Rp 319,440 Apr-20 MOB2455 Layak
Rp 11,000 Rp 99,000 Aug-19 KCKTFA74789 Layak
Rp 4,840 Rp 174,240 Jul-19 KAPPGA74260 Layak
Rp 7,040 Rp 549,120 Aug-19 KATDXB74008 Layak
Rp 69,300 Rp 900,900 Sep-19 191272 Layak

Rp 8,030 Rp - Mar-19 MFG110316 Layak
Rp 13,970 Rp 69,850 Aug-21 020817T Layak
Rp 17,490 Rp 52,470 Aug-21 010817K Layak
Rp 3,500 Rp 150,500 Layak
Rp 25,100 Rp 75,300 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 82,500 9-209 160924 Layak
Rp 48,000 Rp 96,000 Aug-23 870170804 Layak
Rp 5,000 Rp - Oct-22 870171001 Layak
Rp 12,584 Rp 37,752 Sep-19 23101788 Layak
Rp 104,000 Rp 104,000 Aug-19 NP160817 Layak
Rp 11,000 Rp 44,000 906167080 Layak
Rp 22,000 Rp 110,000 Aug-20 25091788 Layak
Rp 62,500 Rp - Sep-18 19011588 Layak
Rp 28,600 Rp 114,400 Sep-21 G3G Layak
Rp 12,600 Rp 365,400 Oct-21 G3G Layak
Rp 135,500 Rp 406,500 Sep-21 64230230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 99,000 Rp 594,000 Dec-19 1612 Layak
Rp 149,314 Rp 298,628 Aug-21 11317113 Layak
Rp 124,000 Rp 248,000 Jul-19 GOS17808CAC Layak

Rp 40,000 Rp - Oct-19 101XD61 Layak
Rp 96,154 Rp 192,308 May-19 20190430 Layak
Rp 80,000 Rp 480,000 Mar-19 50917 Layak
Rp 15,500 Rp 124,000 Sep-19 040917SB5A Layak
Januari 2018 Rp 65,628,325
gal 31 Januari 2018 Rp 116,600

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN FEBRUARI 2018

4 Onemed Tespack Pcs 25 2 23
9 Inlacta Cap 10 240 160 90
10 OBH Btl 5 0 1 4

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
7 Acran Tab 35 0 1 34
8 Becom C Tab 109 0 30 79
11 Cripsa Tab 61 0 0 61
13 Folavit Cap 62 100 20 142
14 Inbion Tab 73 0 50 23
16 Dopamet Tab 77 200 87 190
17 Elkana Tab 86 0 25 61
21 Cravit 500mg Tab 10 0 0 10
27 Rantin 300mg Tab 30 0 0 30
28 Truvaz 20mg Tab 30 0 0 30
31 Bledstop Tab 136 0 30 106
34 Hemafort Tab 230 0 50 180
42 KALNEX 500 mg Tab 100 0 15 85
44 Utrogestan 200 mg Cap 0 15 0 15



5 Cefixime 100 Cap 569 0 295 274
6 Clindamicyn 300 Cap 135 250 210 175
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 280 0 0 280
17 Omeprazole Cap 0 50 20 30
Injek Generik
5 MGSO4 20% Btl 10 0 0 10
6 MGSO4 40% Btl 7 30 13 24
Injek Paten
4 neo k Ampul 38 0 26 12
17 Vitadion Ampul 0 25 0 25
Benang Operasi
2 T-chromic 1 ( C 55 ) Pcs 11 24 21 14
3 T-chromic 2/0 ( C27 ) Pcs 8 24 21 11
4 T-Mono 4-0 ( M 50 ) Pcs 15 24 21 18
5 T-Vio 1 ( V 41 ) Pcs 10 20 19 11
6 T-vio 2 ( V 122 ) Pcs 8 20 20 8
LEMARI OKT
CAIRAN INFUS
5 Otsu W.I 25ml Btl 346 0 95 251
12 NS Otsu Plabot 117 40 55 102
13 Otsu RL Plabot 210 100 192 118
ALKES & BMHP

1 Abocath 18 G Pcs 19 25 32 12
2 Abocath 20 G Pcs 22 10 26 6
5 Bisturi No 22 Pcs 67 20 43 44
7 Bloodset nipro Pcs 0 50 22 28
12 Gamex 7,5 Pcs 47 120 97 70
15 Gelita spons Pcs 0 0 0 0
22 Masker tali Pcs 140 250 190 200
23 Maxter 7,5 Pcs 24 300 299 25
28 Nova T 380 Pcs 0 8 5 3
36 Spuit 10 cc JMI Pcs 100 0 0 100
37 Spuit 1cc BD Pcs 11 200 93 118
44 ST Non Steril Pcs 427 500 527 400
46 Spalk Pcs 9 0 4 5
53 Needle 23 G BD Pcs 148 0 26 122
54 Pigeon Dot 120 ml Btl 21 20 25 16
56 Washlap Pcs 21 24 32 13
57 Apron Box 0 1 0 1
Produk CCP

2 Sidola Minyak kayu putih 60 Btl 3 0 0 3
3 Kassa Kotak 16 x 16 Box 43 50 59 34
4 Kapas 500 gr Pcs 3 0 3 0
7 Alkohol 70 % 1 L Pcs 2 2 2 2
13 One Scrub 4 % 500 ml Btl 0 1 0 1
Susu Formula
Total Stock Layak Tanggal 28 Februari 2018

ARMASI RSIA dr. Hj. KARMINI, EH
ker : Via Shovia., S.Farm., Apt

880819/SIPA_32.78/2017/2.263
TOK OBAT BULAN FEBRUARI 2018
HNA + PPN TOTAL TGL ED NO. BATCH KETERANGAN

Rp 23,716 Rp - Nov-21 C6L2371 Recall
Rp 36,652 Rp - Sep-21 C61460H Recall
Rp 40,700 Rp 40,700 Aug-18 3055EO16 Layak
Rp 1,320 Rp 30,360 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 9,350 Rp 168,300 Nov-18 27E7002 Layak
Rp 9,350 Rp 93,500 Sep-18 24C7003 Layak
Rp 6,500 Rp 585,000 Sep-19 KO676024 Layak
Rp 4,500 Rp 18,000 Oct-21 710114 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak
Rp 9,839 Rp 167,263 Mar-19 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 606 Rp - May-18 DE2863 Layak
Rp 1,100 Rp 105,600 Oct-19 KO41ED26 Layak
Rp 1,850 Rp 7,400 Feb-18 B130128B Tidak Layak
Rp 4,895 Rp 166,430 Dec-19 SM2826 Layak
Rp 1,353 Rp 106,887 Aug-20 TH8482 Layak
Rp 14,850 Rp 178,200 Oct-18 TO91FO10 Layak
Rp 15,875 Rp 968,375 Dec-19 TF2059 Layak
Rp 8,579 Rp 214,475 Jan-21 4401007 Layak
Rp 847 Rp 120,274 Nov-20 TL2085 Layak
Rp 1,848 Rp 42,504 Oct-19 KO34G030 Layak
Rp 45,197 Rp 180,788 Sep-19 1127LM Layak
Rp 2,057 Rp 390,830 Oct-19 U234413 Layak
Rp 792 Rp 48,312 Oct-19 TK2770 Layak
Rp 49,830 Rp - Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Nov-19 1476OM Layak
Rp 3,218 Rp 286,402 Jun-19 A7F667 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 10,857 Rp 575,421 Sep-19 19KO13 Layak
Rp 1,386 Rp 27,720 Mar-19 T038F010 Layak
Rp 341 Rp 272,459 Nov-19 TL8585 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 611666 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 3,256 Rp 162,800 Sep-18 181194 Layak
Rp 9,680 Rp 290,400 Oct-19 18L012 Layak
Rp 561 Rp 59,466 Sep-19 TJ258109 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 153,000 Apr-21 6026013 Layak
Rp 3,762 Rp 188,100 Oct-21 D4087 Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp 231,000 Aug-19 4813075 Layak
Rp 4,400 Rp 264,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 171,171 Jul-21 4407037 Layak
Rp 9,009 Rp 90,090 Nov-20 4311066 Layak
Rp 3,300 Rp 280,500 Sep-20 5879 layak
Rp 3,850 Rp 192,500 Sep-20 TJ2588 Layak
Rp 20,380 Rp 305,700 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 65,000 Oct-18 RK4988 Layak
Rp 33,000 Rp 66,000 Jun-19 46EO179 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak

Rp 17,050 Rp 34,100 May-18 EVSO1AI Layak
Rp 20,000 Rp 40,000 Jun-18 TVWO1A2 Layak
Rp 2,600 Rp 72,800 Dec-21 L71886T Layak
Rp 4,000 Rp 20,000 Jan-21 A700141 Layak
HNA+PPN TOTAL TGL ED NO. BATCH KETERANGAN

Rp 151 Rp 12,080 May-18 TPF29942 Layak
Rp 850 Rp 79,050 Aug-19 HS17004 Layak
Rp 477 Rp 48,177 Dec-19 HTALNC76 Layak
Rp 227 Rp 1,135 Jul-21 G160767B Layak
Rp 2,395 Rp 656,230 Oct-20 48I0461 Layak
Rp 1,376 Rp 240,800 Nov-21 EAK328 Layak
Rp 521 Rp 40,638 Sep-18 1307009 Layak
Rp 1,767 Rp 47,709 Sep-19 KLSPA70017 Layak
Rp 1,767 Rp 26,505 Oct-19 JS17034 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 8,058 Oct-22 00817J0020 Layak
Rp 270 Rp 24,300 Oct-20 CAMXA70113 Layak
Rp 313 Rp 61,348 Jan-20 HTCTRB81064 Layak
Rp 125 Rp 7,500 Oct-19 HTMECA75159 Layak
Rp 108 Rp 31,320 Sep-19 4864122 Layak
Rp 150 Rp 42,000 Oct-20 95322025CC Layak
Rp 368 Rp 11,040 Jul-20 KOP2A80053 Layak

Rp 3,300 Rp 59,400 Nov-19 15L0009 Layak
Rp 22,000 Rp 44,000 Feb-20 97KA0032 Layak
Rp 2,403 Rp 108,135 Jan-20 PIB05646 Layak
Rp 5,000 Rp 310,000 Sep-18 16G0439 Layak
Rp 3,200 Rp 32,000 Aug-19 71H47B Layak
Rp 3,797 Rp 91,128 Dec-19 91LA7A Layak
Rp 6,413 Rp 359,128 Aug-19 97LH0092 Layak
Rp 27,500 Rp 330,000 Sep-19 PI72222 Layak
Rp 10,692 Rp 769,824 Jun-19 2771160 Layak
Rp 2,442 Rp 336,996 Jul-19 2871274 Layak
Rp 5,487 Rp 318,246 Dec-19 2170100 Layak
Rp 4,400 Rp 145,200 Mar-19 2370468 Layak
Rp 18,480 Rp 314,160 Jul-20 16G019A Layak
Rp 6,402 Rp 224,070 Sep-20 191195 Layak
Rp 6,930 Rp 540,540 Sep-19 4810153 Layak
Rp 11,000 Rp 1,155,000 Nov-19 223752 Layak

Rp 10,000 Rp 60,000 May-18 EC0952 Layak
Rp 10,500 Rp 21,000 Dec-18 70644 Layak
Rp 16,500 Rp 16,500 Aug-18 SH0501 Layak
Rp 13,640 Rp 163,680 Apr-19 7BD005 Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp 10,816 Sep-19 15H0042 Layak
Rp 9,922 Rp - Oct-19 15H0042 Layak
Rp 32,670 Rp - Dec-19 18M095A Layak
Rp 10,500 Rp 178,500 Sep-19 F7J005 Layak
Rp 145,750 Rp 583,000 Dec-18 FT4239 Layak
Rp 22,781 Rp 1,116,269 Dec-18 SM6562 Layak
Rp 22,781 Rp 68,343 Jul-20 TG6073 Layak
Rp 198,550 Rp 992,750 Dec-19 C0576 Layak
Rp 19,800 Rp 435,600 Jul-19 196243 Layak
Rp 110,110 Rp 220,220 Apr-19 1703026 Layak
Rp 84,700 Rp 762,300 Dec-19 A8436 Layak
Rp 12,760 Rp 319,000 Oct-19 IVDNA70002 Layak
Rp 118,580 Rp 237,160 Sep-20 18530G Layak
Rp 72,105 Rp 1,009,470 Jun-22 170728 Layak
Rp 65,000 Rp 715,000 Aug-19 1145595 Layak
Rp 95,000 Rp 1,710,000 Sep-20 160759 Layak
Rp 90,000 Rp 990,000 Apr-20 170516 Layak
Rp 107,800 Rp 862,400 Jul-20 170728 Layak
Rp 62,370 Rp 748,440 Dec-20 160235 Layak
Rp 70,000 Rp 420,000 Jun-22 1166402 Layak
HNA +PPN TOTAL TGL ED NO. BATCH KETERANGAN

Rp 48,400 Rp 629,200 Oct-19 6D9LA Layak
Rp 19,800 Rp - Sep-20 19I025 Layak
Rp 17,072 Rp 170,720 Apr-19 TD3439 Layak
Rp 10,500 Rp 63,000 Aug-19 IG1715J Layak
Rp 20,500 Rp 1,742,500 Apr-19 2470501 Layak

Rp 22,000 Rp 1,496,000 Nov-20 SB86K47A Layak
Rp 15,932 Rp 63,728 Dec-19 270120 Layak
Rp 11,972 Rp 622,544 Jan-20 270207 Layak
Rp 22,125 Rp 995,625 Apr-19 2570750 Layak
Rp 2,860 Rp 717,860 Oct-20 85J47A Layak
Rp 46,750 Rp 140,250 Oct-19 19K209 Layak
Rp 173,250 Rp 173,250 Aug-21 270921 Layak
Rp 58,245 Rp 815,430 Oct-20 TK3003A Layak
Rp 49,693 Rp 2,584,036 Nov-18 16090381 Layak
Rp 16,335 Rp 473,715 Apr-21 270505 Layak
Rp 19,800 Rp 198,000 Feb-20 170302 Layak
Rp 6,410 Rp 653,820 Nov-22 47K90A Layak
Rp 7,150 Rp 843,700 Nov-22 47K75A Layak
Rp 9,646 Rp 192,920 Dec-21

Rp 20,000 Rp 240,000 Jul-21 63203KY Layak
Rp 17,200 Rp 103,200 Aug-21 67201KY Layak
Rp 20,000 Rp 20,000 Mar-21 60047 Layak
Rp 6,500 Rp 104,000 Apr-22 70117 Layak
Rp 4,200 Rp 184,800 Jan-21 E7463609 Layak
Rp 24,000 Rp - Oct-21 B97J46A Layak
Rp 12,200 Rp 341,600 Nov-21 B97J46A Layak
Rp 96,663 Rp 869,967 May-20 C323P523 Layak
Rp 26,693 Rp 186,851 Apr-20 Layak
Rp 17,000 Rp 459,000 Layak
Rp 16,900 Rp 33,800 Sep-20 Layak
Rp 9,500 Rp 665,000 May-22 Layak
Rp 1,200 Rp 156,000 Layak
Rp 1,200 Rp 51,600 Layak
Rp 294 Rp 27,636 Jul-21 52726848 Layak
Rp 3,600 Rp 190,800 Jul-21 63440812 Layak
Rp 126 Rp 46,494 Sep-20 2101788 Layak
Rp 99,450 Rp 795,600 May-22 6021601 Layak
Rp 97,500 Rp 195,000 Feb-22 3101701 Layak
Rp 16,500 Rp 478,500 Dec-21 638212209 Layak
Rp 3,658 Rp 91,450 Sep-22 57505073 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Layak
Rp 8,200 Rp 24,600 Layak
Rp 259,703 Rp 779,109 Aug-20 Layak
Rp 72,600 Rp 290,400 Layak
Rp 35,000 Rp 455,000 Sep-22 Layak
Rp 25,000 Rp 275,000 Layak
Rp 12,500 Rp 237,500 Aug-22 Layak
Rp 52,500 Rp 2,205,000 Sep-22 Layak
Rp 3,900 Rp 542,100 Aug-22 Layak
Rp 1,200 Rp 120,000 Layak
Rp 1,700 Rp 200,600 Jan-22 Layak
Rp 700 Rp 203,700 Aug-22 Layak
Rp 1,188 Rp 363,528 Aug-22 Layak
Rp 1,600 Rp 128,000 Sep-22 Layak
Rp 4,500 Rp 76,500 Layak
Rp 4,100 Rp 86,100 Sep-22 Layak
Rp 3,825 Rp 34,425 Layak
Rp 462 Rp 184,800 Layak
Rp 15,000 Rp 60,000 Layak
Rp 2,500 Rp 12,500 Layak
Rp 9,000 Rp 9,000 Layak
Rp 7,000 Rp 560,000 Dec-19 Layak
Rp 7,000 Rp 7,000 Layak
Rp 77,500 Rp 310,000 May-19 Layak
Rp 50,000 Rp 50,000 Layak
Rp 2,717,000 Rp 2,717,000 Layak
Rp 325 Rp 39,650 Apr-22 Layak
Rp 20,295 Rp 324,720 Layak
Rp 14,500 Rp 681,500 Layak
Rp 2,500 Rp 32,500 Layak
Rp 400,000 Rp 400,000 Layak

Rp 6,607 Rp 13,214 Apr-19 2105139 Layak
Rp 12,100 Rp 133,100 Feb-19 ROO15013 Layak
Rp 84,150 Rp 420,750 Oct-19 19LO90A Layak
Rp 26,620 Rp 319,440 Apr-20 NCB2455 Layak
Rp 11,000 Rp 748,000 Nov-19 MD112017 Layak
Rp 4,840 Rp 232,320 Jul-19 MD072017 Layak
Rp 7,040 Rp 633,600 Sep-19 MD092017 Layak
Rp 69,300 Rp 2,009,700 Oct-19 19K323 Layak
HARGA POKOK TOTAL TGL ED NO. BATCH KETERANGAN

Rp 13,970 Rp 69,850 Aug-21 020817T Layak
Rp 17,490 Rp 52,470 Aug-21 010817K Layak
Rp 2,500 Rp 85,000 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 66,000 C1609B058 Layak
Rp 48,000 Rp 96,000 Feb-21 870180208 Layak
Rp 16,500 Rp 16,500 Layak
Rp 75,000 Rp 75,000 Dec-19 101216 Layak
Rp 11,000 Rp 22,000 906170808 Layak
Rp 22,000 Rp 110,000 Aug-20 25091788 Layak
Rp 82,500 Rp 82,500 Nov-18 19101588 Layak
Rp 25,410 Rp 254,100 Feb-19 Layak
Rp 12,600 Rp 201,600 Feb-22 2202GB10G Layak
Rp 135,500 Rp 271,000 Nov-21 65031230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 99,000 Rp 198,000 Layak
Rp 149,314 Rp 298,628 Oct-21 KB17058 Layak
Rp 125,000 Rp 375,000 Jul-19 G0517808CAO Layak

Rp 40,000 Rp 120,000 Dec-19 1023XJJ Layak
Rp 96,154 Rp 576,924 Oct-19 20190928 Layak
Rp 80,000 Rp 560,000 Mar-19 50917 Layak
Rp 15,500 Rp 294,500 Dec-19 111217SBCA Layak
28 Februari 2018 Rp 67,414,003


SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN MARET 2018

7 Inlacta Cap 90 90 120 60
8 OBH Btl 4 0 0 4

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
5 Acran Tab 34 0 0 34
6 Becom C Tab 79 0 10 69
9 Cripsa Tab 61 0 50 11
11 Folavit Cap 142 200 105 237
12 Inbion Tab 23 100 0 123
14 Dopamet Tab 190 0 58 132
15 Elkana Tab 61 200 25 156
19 Cravit 500mg Tab 10 0 0 10
25 Rantin 300mg Tab 30 0 0 30
26 Truvaz 20mg Tab 30 0 0 30
32 Hemafort Tab 180 100 90 190
40 KALNEX 500 mg Tab 85 0 0 85
43 Prenamia Cap 0 100 0 100



5 Cefixime 100 Cap 274 300 390 160
6 Clindamicyn 300 Cap 175 100 120 155
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 280 0 40 240
Injek Generik
6 MGSO4 20% Btl 10 0 4 6
7 MGSO4 40% Btl 24 0 0 24
Injek Paten
4 neo k Ampul 12 10 22 0
Benang Operasi
2 T-chromic 1 ( C 55 ) Pcs 14 24 29 9
3 T-chromic 2/0 ( C27 ) Pcs 11 24 28 7
4 T-Mono 4-0 ( M 50 ) Pcs 18 24 29 13
5 T-Vio 1 ( V 41 ) Pcs 11 24 29 6
6 T-vio 2 ( V 122 ) Pcs 8 25 31 2
LEMARI OKT
CAIRAN INFUS
5 Otsu W.I 25ml Btl 251 144 107
12 NS Otsu Plabot 102 0 38 64
13 Otsu RL Plabot 118 160 176 102
ALKES & BMHP

1 Abocath 18 G Pcs 12 35 29 18
2 Abocath 20 G Pcs 6 50 35 21
5 Bisturi No 22 Pcs 44 100 31 113
12 Gamex 7,5 Pcs 70 120 129 61
15 Curras Spont Pcs 0 10 0 10
22 Masker tali Pcs 200 500 645 55
23 Maxter 7,5 Pcs 25 450 432 43
28 Nova T 380 Pcs 3 6 6 3
36 Spuit 1cc BD Pcs 118 200 153 165
43 ST Non Steril Pcs 400 700 606 494
45 Spalk Pcs 5 20 7 18
52 Needle 23 G BD Pcs 122 0 34 88
53 Pigeon Dot 120 ml Btl 16 20 24 12
Produk CCP

2 Sidola Minyak kayu putih 60 Btl 3 1 2
3 Kassa Kotak 16 x 16 Box 34 60 29 65
4 Kapas 500 gr Pcs 0 3 1 2
7 Alkohol 70 % 1 L Pcs 2 3 2 3
13 One Scrub 4 % 500 ml Btl 1 0 0 1
Susu Formula
Total Stock Layak Tanggal 31 Maret 2018

SI FARMASI RSIA dr. Hj. KARMINI, EH
teker : Via Shovia., S.Farm., Apt

19880819/SIPA_32.78/2017/2.263
AN STOK OBAT BULAN MARET 2018

Rp 40,700 Rp 40,700 Aug-18 3055EO16 Layak
Rp 1,320 Rp 30,360 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 9,350 Rp 168,300 Nov-18 27E7002 Layak
Rp 9,350 Rp 56,100 Sep-18 24C7003 Layak
Rp 6,500 Rp 390,000 Sep-19 KO676024 Layak
Rp 4,500 Rp 18,000 Oct-21 710114 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak
Rp 9,839 Rp 167,263 Mar-19 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 4,895 Rp 166,430 Dec-19 SM2826 Layak
Rp 1,353 Rp 93,357 Aug-20 TH8482 Layak
Rp 14,850 Rp 178,200 Oct-18 TO91FO10 Layak
Rp 15,875 Rp 174,625 Dec-19 TF2059 Layak
Rp 8,579 Rp 85,790 Jan-21 4401007 Layak
Rp 847 Rp 200,739 Nov-20 TL2085 Layak
Rp 45,197 Rp 180,788 Sep-19 1127LM Layak
Rp 2,057 Rp 271,524 Oct-19 U234413 Layak
Rp 792 Rp 123,552 Oct-19 TK2770 Layak
Rp 49,830 Rp 149,490 Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Nov-19 1476OM Layak
Rp 3,218 Rp 254,222 Jun-19 A7F667 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 10,640 Rp 989,520 Sep-19 19KO13 Layak
Rp 1,386 Rp 27,720 Mar-19 T038F010 Layak
Rp 341 Rp 103,664 Nov-19 TL8585 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 611666 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 14,120 Rp 423,600 Mar-18 KTTRVE62031 Pengajuan Retur
Rp 3,256 Rp 162,800 Sep-18 181194 Layak
Rp 9,680 Rp 290,400 Oct-19 18L012 Layak
Rp 561 Rp 51,051 Sep-19 TJ258109 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 161,500 Apr-21 6026013 Layak
Rp 3,762 Rp 188,100 Oct-21 D4087 Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp 231,000 Aug-19 48J3051 Layak
Rp 4,400 Rp 88,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 171,171 Jul-21 4407037 Layak
Rp 9,449 Rp 188,980 Nov-20 4311066 Layak
Rp 3,300 Rp 280,500 Sep-20 5879 layak
Rp 3,850 Rp 192,500 Sep-20 TJ2588 Layak
Rp 20,380 Rp 326,080 Oct-20 Layak
Rp 1,128 Rp 112,800 Nov-20 TL2933 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 65,000 Oct-18 RK4988 Layak
Rp 33,000 Rp 66,000 Jun-19 46EO179 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak

Rp 2,600 Rp 117,000 Dec-21 L71886T Layak
Rp 4,000 Rp 20,000 Jan-21 A70046I Layak

Rp 151 Rp 12,080 May-18 TPF29942
Rp 850 Rp 62,050 May-19 1.90E+149
Rp 477 Rp 60,102 Jun-20 48G4228 Layak
Rp 227 Rp 1,135 Jul-21 G160767B Layak
Rp 2,395 Rp 383,200 Oct-20 48I0461 Layak
Rp 1,376 Rp 213,280 Dec-21 EAL027 Layak
Rp 521 Rp 40,638 Sep-18 1307009 Layak
Rp 1,767 Rp 97,185 Oct-19 JS17034 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 4,108 Oct-22 00817J0020 Layak
Rp 218 Rp 28,340 May-21 48L0029 Layak
Rp 108 Rp 6,804 Sep-20 HNTRNA75236 Layak
Rp 150 Rp 36,000 Oct-20 95322025CC Layak

Rp 3,300 Rp 59,400 Nov-19 15L0009 Layak
Rp 2,120 Rp 10,600 Mar-19 16C0316 Layak
Rp 22,000 Rp 44,000 Sep-20 97K10084 Layak
Rp 5,000 Rp 285,000 Sep-18 16G0439 Layak
Rp 3,200 Rp 19,200 Aug-19 71H47B Layak
Rp 6,413 Rp 83,369 Aug-19 97LH0092 Layak
Rp 27,500 Rp 247,500 Sep-19 PI72222 Layak
Rp 10,692 Rp 994,356 Oct-19 3171863 Layak
Rp 2,442 Rp 385,836 Jul-19 2971446 Layak
Rp 5,487 Rp 175,584 Jan-20 2270302 Layak
Rp 4,400 Rp 198,000 Dec-19 KIODSA76035 Layak
Rp 18,480 Rp 92,400 Jul-20 16G019A Layak
Rp 6,402 Rp 160,050 Sep-20 19I195 Layak
Rp 6,930 Rp 381,150 Sep-19 4810154 Layak
Rp 11,000 Rp 1,034,000 Nov-19 223732 Layak

Rp 10,000 Rp 60,000 May-18 EC0952 Layak
Rp 10,500 Rp 10,500 Dec-18 70644 Layak
Rp 16,500 Rp - Aug-18 SH0501 Layak
Rp 13,640 Rp - May-19 7BE007 Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp - Sep-19 15H0042 Layak
Rp 9,922 Rp - Oct-19 15H0042 Layak
Rp 32,670 Rp 588,060 Dec-19 18M095A Layak
Rp 10,189 Rp 173,213 Sep-19 F7J005 Layak
Rp 145,750 Rp 583,000 Dec-18 FT4239 Layak
Rp 22,781 Rp 1,754,137 Dec-18 SM6562 Layak
Rp 22,781 Rp 113,905 Jul-20 TG6080 Layak
Rp 198,550 Rp 992,750 Dec-19 C0576 Layak
Rp 19,800 Rp 811,800 Jul-19 196243 Layak
Rp 110,110 Rp 110,110 Apr-19 1703026 Layak
Rp 84,700 Rp 931,700 Dec-19 A8436 Layak
Rp 91,899 Rp - Sep-20 18530G Layak
Rp 72,105 Rp 648,945 Jun-22 170728 Layak
Rp 65,000 Rp 455,000 Aug-19 1145595 Layak
Rp 95,000 Rp 1,235,000 Sep-20 160759 Layak
Rp 90,000 Rp 540,000 Apr-20 170516 Layak
Rp 107,800 Rp 215,600 Jul-20 170728 Layak
Rp 62,370 Rp 997,920 Dec-20 160235 Layak
Rp 70,000 Rp 420,000 Jun-22 1166402 Layak

Rp 19,800 Rp - Sep-20 19I025 Layak
Rp 17,072 Rp 170,720 Apr-19 TD3439 Layak
Rp 20,500 Rp 1,004,500 Apr-19 2470501 Layak
HNA+PPN TGL ED NO. BATCH KETERANGAN

Rp 15,932 Rp 15,932 Aug-19 270930 Layak
Rp 11,972 Rp 622,544 Jan-20 270207 Layak
Rp 22,000 Rp 462,000 Apr-19 2570750 Layak
Rp 2,860 Rp 306,020 Oct-20 85J47A Layak
Rp 46,750 Rp 140,250 Oct-19 19K209 Layak
Rp 173,250 Rp 693,000 Aug-21 270921 Layak
Rp 58,245 Rp 815,430 Dec-20 TM3025A Layak
Rp 49,693 Rp 2,584,036 Nov-18 16090381 Layak
Rp 16,335 Rp 784,080 May-21 270619 Layak
Rp 27,280 Rp 381,920 Feb-20 170302 Layak
Rp 6,410 Rp 410,240 Nov-22 47K90A Layak
Rp 7,150 Rp 729,300 Jan-23 48A83A Layak
Rp 9,646 Rp 154,336

Rp 17,600 Rp 316,800 Jul-18 63203KY Layak
Rp 17,200 Rp 361,200 Aug-21 67201KY Layak
Rp 20,000 Rp 20,000 Mar-21 60047 Layak
Rp 6,400 Rp 108,800 Apr-22 70117 Layak
Rp 4,200 Rp 474,600 Jan-21 E7463609 Layak
Rp 96,663 Rp 966,630 May-20 C326P534 Layak
Rp 26,693 Rp 453,781 Apr-18 Layak
Rp 18,000 Rp 234,000 Layak
Rp 16,900 Rp 33,800 Sep-20 Layak
Rp 9,500 Rp 579,500 May-22 Layak
Rp 1,200 Rp 112,800 Layak
Rp 1,200 Rp 112,800 Layak
Rp 50,000 Rp 500,000 Layak
Rp 294 Rp 24,108 Jul-18 52726848 Layak
Rp 3,600 Rp 18,000 Jul-21 63440812 Layak
Rp 110 Rp 27,500 Sep-20 2101788 Layak
Rp 92,400 Rp 646,800 May-22 6021601 Layak
Rp 92,400 Rp 277,200 Feb-22 3101701 Layak
Rp 16,500 Rp 165,000 Dec-21 638212209 Layak
Rp 3,273 Rp 140,739 Sep-22 57505073 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Layak
Rp 8,200 Rp 24,600 Layak
Rp 247,757 Rp 743,271 Aug-20 Layak
Rp 72,500 Rp 507,500 Layak
Rp 35,000 Rp 105,000 Sep-22 Layak
Rp 25,000 Rp 125,000 Layak
Rp 12,500 Rp 225,000 Aug-22 Layak
Rp 52,500 Rp 1,995,000 Sep-22 Layak
Rp 3,900 Rp 300,300 Aug-22 Layak
Rp 2,000 Rp 330,000 Jan-22 Layak
Rp 1,188 Rp 243,540 Aug-22 Layak
Rp 1,430 Rp 137,280 Sep-22 Layak
Rp 4,500 Rp 225,000 Layak
Rp 3,300 Rp 125,400 Sep-22 Layak
Rp 3,825 Rp - Layak
Rp 462 Rp 228,228 Layak
Rp 15,000 Rp 60,000 Layak
Rp 3,500 Rp 63,000 Layak
Rp 9,000 Rp 9,000 Layak
Rp 7,000 Rp 315,000 Dec-19 Layak
Rp 7,000 Rp 7,000 Layak
Rp 77,200 Rp 386,000 May-19 Layak
Rp 50,000 Rp 50,000 Layak
Rp 2,717,000 Rp 2,717,000 Layak
Rp 20,295 Rp 243,540 Layak
Rp 14,500 Rp 246,500 Layak
Rp 2,500 Rp 7,500 Layak
Rp 400,000 Rp 400,000 Layak
Rp 6,607 Rp 19,821 Apr-18 2105139 Layak
Rp 11,000 Rp 539,000 Nov-19 MD112017 Layak
Rp 4,840 Rp 285,560 Jul-19 MD072017 Layak
Rp 7,040 Rp 506,880 Sep-19 MD092017 Layak
Rp 69,300 Rp 1,386,000 Oct-19 19K323 Layak

Rp 13,970 Rp 69,850 Aug-21 020817T Layak
Rp 17,490 Rp 34,980 Aug-21 010817K Layak
Rp 2,700 Rp 175,500 Layak
Rp 25,100 Rp 50,200 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 66,000 C1609B058 Layak
Rp 48,000 Rp 144,000 Feb-21 870180208 Layak
Rp 16,500 Rp 16,500 Layak
Rp 75,000 Rp 75,000 Dec-19 201216 Layak
Rp 10,000 Rp 60,000 906170808 Layak
Rp 22,000 Rp 66,000 Aug-20 25091788 Layak
Rp 82,500 Rp 82,500 Nov-18 19101588 Layak
Rp 25,410 Rp 152,460 Feb-19 Layak
Rp 135,500 Rp 271,000 Nov-21 65031230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 149,303 Rp 447,909 Oct-21 KB17058 Layak

Rp 40,000 Rp 320,000 Feb-20 102BFJ3 Layak
Rp 96,154 Rp 192,308 Nov-18 20181022 Layak
Rp 80,000 Rp 640,000 Jun-19 71217 Layak
31 Maret 2018 Rp 62,151,723


SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN APRIL 2018

7 Inlacta Cap 60 240 160 140
8 OBH Btl 4 0 0 4
9 Novarol Capsul 0 40 0 40

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
5 Acran Tab 34 0 0 34
6 Becom C Tab 69 0 20 49
9 Cripsa Tab 11 60 0 71
11 Folavit Cap 237 0 35 202
12 Inbion Tab 123 0 30 93
14 Dopamet Tab 132 200 40 292
15 Elkana Tab 156 0 30 126
19 Cravit 500mg Tab 10 0 0 10
22 Sanmol Forte Tab 304 1000 1089 215
25 Rantin 300mg Tab 30 0 0 30
32 Hemafort Tab 190 0 115 75
37 Norelut Tab 20 100 80 40
40 KALNEX 500 mg Tab 85 0 15 70
44 Analtram Kaplet 0 60 0 60



5 Cefixime 100 Cap 160 1000 710 450
6 Clindamicyn 300 Cap 155 150 15 290
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 240 0 60 180
Injek Generik
6 MGSO4 20% Btl 6 0 0 6
7 MGSO4 40% Btl 24 20 1 43
19 Ampicilin Ampul 0 10 0 10
20 Meropenem Vial 0 10 3 7
Injek Paten
4 neo k Ampul 0 30 30 0
18 Sanpisilin Injek Ampul 0 10 0 10
Benang Operasi
1 Optime 1 Pcs 0 52 42 10
2 Optime 2 Pcs 0 52 38 14
3 T-chromic 1 ( C 55 ) Pcs 9 52 57 4
4 T-chromic 2/0 ( C27 ) Pcs 7 40 47 0
5 T-Mono 4-0 ( M 50 ) Pcs 13 28 29 12
6 T-Vio 1 ( V 41 ) Pcs 6 0 6 0
7 T-vio 2 ( V 122 ) Pcs 2 0 2 0
9 Chromic 2 atramat Pcs 6 12 13
10 PGA 1 Atramat Pcs 0 8 8 0
12 T-Chromic 1 Atramat Pcs 0 19 6 13
13 T-Chromic 2/0 Atramat Pcs 0 20 7 13
14 PGC 25 4/0 Pcs 0 13 13 0
15 Advantime 4/0 Pcs 0 41 19 22
LEMARI OKT
CAIRAN INFUS
2 D10 Otsu Plabot 1 20 2 19
5 Otsu W.I 25ml Btl 107 240 216 131
13 Otsu RL Plabot 102 200 269 33
16 SanbeHest Plabot 0 4 0 4
17 Kaen 4 B Plabot 0 13 4 9
18 Otsu KCL Ampul 0 20 4 16
19 Otsu D40 Ampul 0 20 8 12
20 Aminofusin paed Btl 0 6 4 2
ALKES & BMHP

1 Abocath 18 G Pcs 18 50 66 2
2 Abocath 20 G Pcs 21 40 42 19
5 Bisturi No 22 Pcs 113 0 60 53
12 Gamex 7,5 Pcs 61 160 155 66
13 Gamex 8 Pcs 0 10 1 9
15 Gelang ibu Pcs 94 100 69 125
23 Masker tali Pcs 55 200 155 100
24 Maxter 7,5 Pcs 43 770 621 192
25 Maxter 7 Pcs 0 100 0 100
26 Maxter 6 Pcs 0 100 0 100
27 Maxter 6,5 Pcs 0 150 0 150
32 Nova T 380 Pcs 3 23 21 5
40 Spuit 1cc BD Pcs 165 200 197 168
47 ST Non Steril Pcs 494 300 334 460
49 Spalk Pcs 18 0 8 10
53 BURET Pcs 5 25 5 25
56 Needle 23 G BD Pcs 88 200 118 170
57 Pigeon Dot 120 ml Btl 12 62 55 19
61 Kassa Kompres Steril 40 x 40 Pcs 0 100 0 100
62 Sarung Tangan Panjang Pcs 0 6 1 5
63 Gown APD set Set 0 2 2 0
64 Gown Hogy SMS Pcs 0 4 0 4
65 Opsite Post 25 x 10 cm Pcs 0 22 22 0
66 Postofix - PO Pcs 0 10 10 0
Produk CCP

3 Kassa Kotak 16 x 16 Box 65 100 119 46
4 Kapas 500 gr Pcs 2 0 1 1
7 Alkohol 70 % 1 L Pcs 3 4 1 6
13 One Scrub 4 % 500 ml Btl 1 0 0 1
21 Tutup Kepala Oprasi Box 0 3 1 2
Susu Formula
Total Stock Layak Tanggal 30 April 2018

FARMASI RSIA dr. Hj. KARMINI, EH
eker : Via Shovia., S.Farm., Apt

9880819/SIPA_32.78/2017/2.263
N STOK OBAT BULAN APRIL 2018

Rp 40,700 Rp 40,700 Aug-18 3055EO16 Layak
Rp 1,320 Rp 10,560 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 9,350 Rp 149,600 Nov-18 27E7002 Layak
Rp 9,350 Rp 56,100 Sep-18 24C7003 Layak
Rp 6,380 Rp 893,200 Sep-19 KO676024 Layak
Rp 4,500 Rp 18,000 Oct-21 710114 Layak
Rp 19,187 Rp 767,480 Oct-20 4310016 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak
Rp 9,839 Rp 167,263 Mar-19 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 4,895 Rp 166,430 Dec-19 SM2826 Layak
Rp 1,353 Rp 66,297 Aug-20 TH8482 Layak
Rp 14,850 Rp - Oct-18 TO91FO10 Layak
Rp 16,280 Rp 1,155,880 Dec-19 TF2059 Layak
Rp 8,579 Rp 428,950 Jan-21 4401007 Layak
Rp 847 Rp 171,094 Nov-20 TL2085 Layak
Rp 45,672 Rp 274,032 Sep-19 1127LM Layak
Rp 2,057 Rp 600,644 Oct-19 U234413 Layak
Rp 792 Rp 99,792 Oct-19 TK2770 Layak
Rp 51,150 Rp 204,600 Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Nov-19 1476OM Layak
Rp 3,218 Rp 247,786 Jun-19 A7F667 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 10,640 Rp 404,320 Sep-19 19KO13 Layak
Rp 1,386 Rp 27,720 Mar-19 T038F010 Layak
Rp 352 Rp 75,680 Nov-19 TL8585 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 611666 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 3,256 Rp 162,800 Sep-18 181194 Layak
Rp 9,680 Rp 290,400 Oct-19 18L012 Layak
Rp 561 Rp 25,806 Sep-19 TJ258109 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 63,750 Apr-21 6026013 Layak
Rp 3,762 Rp 150,480 Oct-21 D4087 Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp 115,500 Aug-19 48J3051 Layak
Rp 4,400 Rp 176,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 351,351 Jul-21 4407037 Layak
Rp 9,449 Rp 188,980 Nov-20 4311066 Layak
Rp 3,300 Rp 231,000 Sep-20 5879 layak
Rp 3,850 Rp 192,500 Sep-20 TJ2588 Layak
Rp 20,380 Rp 326,080 Oct-20 Layak
Rp 1,128 Rp 112,800 Nov-20 TL2933 Layak
Rp 8,622 Rp 517,320 Jan-22 T5028 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 65,000 Oct-18 RK4988 Layak
Rp 33,000 Rp 66,000 Jun-19 46EO179 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak

Rp 2,600 Rp 325,000 Dec-21 L71886T Layak
Rp 2,475 Rp 66,825 Jan-21 A70046I Layak

Rp 151 Rp 12,080 May-18 TPF29942 Layak
Rp 850 Rp 46,750 May-19 1.90E+149 Layak
Rp 477 Rp 45,792 Jun-20 48G4228 Layak
Rp 227 Rp 1,135 Jul-21 G160767B Layak
Rp 2,395 Rp 1,077,750 Oct-20 48I0461 Layak
Rp 521 Rp 40,638 Sep-18 1307009 Layak
Rp 1,767 Rp 15,903 Oct-19 JS17034 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 1,738 Oct-22 00817J0020 Layak
Rp 218 Rp 21,146 May-21 48L0029 Layak
Rp 150 Rp 27,000 Oct-20 95322025CC Layak

Rp 3,300 Rp 56,100 Nov-19 15L0009 Layak
Rp 2,120 Rp 10,600 Mar-19 16C0316 Layak
Rp 22,000 Rp 154,000 Sep-20 97K10084 Layak
Rp 5,000 Rp 275,000 Sep-18 16G0439 Layak
Rp 3,200 Rp 19,200 Aug-19 71H47B Layak
Rp 6,413 Rp 25,652 Aug-19 97LH0092 Layak
Rp 27,500 Rp 550,000 Sep-19 PI72222 Layak
Rp 10,692 Rp 780,516 Oct-19 3171863 Layak
Rp 2,442 Rp 463,980 Jul-19 2971446 Layak
Rp 5,487 Rp 362,142 Jan-20 2270302 Layak
Rp 18,480 Rp - Jul-20 16G019A Layak
Rp 6,402 Rp 70,422 Sep-20 19I195 Layak
Rp 6,930 Rp 353,430 Sep-19 4810154 Layak
Rp 11,000 Rp 781,000 Nov-19 223732 Layak
Rp 10,560 Rp 105,600 Dec-20 PSN52346 Layak
Rp 92,400 Rp 646,800 Jan-20 P5B07546 Layak

Rp 10,000 Rp 60,000 May-18 EC0952 Layak
Rp 10,500 Rp 10,500 Dec-18 70644 Layak
Rp 13,640 Rp - May-19 7BE007 Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp 10,816 Sep-19 15H0042 Layak
Rp 9,922 Rp - Oct-19 15H0042 Layak
Rp 32,670 Rp 588,060 Dec-19 18M095A Layak
Rp 10,189 Rp 315,859 Sep-19 F7J005 Layak
Rp 145,750 Rp 437,250 Dec-18 FT4239 Layak
Rp 23,430 Rp 820,050 Dec-18 SM6562 Layak
Rp 23,430 Rp 117,150 Jul-20 TG6080 Layak
Rp 198,550 Rp 992,750 Dec-19 C0576 Layak
Rp 19,800 Rp 1,069,200 Jul-19 196243 Layak
Rp 110,110 Rp 220,220 Apr-19 1703026 Layak
Rp 90,750 Rp 453,750 Dec-19 A8436 Layak
Rp 16,764 Rp 167,640 Jun-20 TM4197 Layak

Rp 74,338 Rp 743,380 Dec-20 26098 Layak
Rp 91,899 Rp 1,286,586 Sep-20 18530G Layak
Rp 72,105 Rp 288,420 Jun-22 170728 Layak
Rp 65,000 Rp - Aug-19 1145595 Layak
Rp 91,437 Rp 1,097,244 Sep-20 160759 Layak
Rp 90,000 Rp - Apr-20 170516 Layak
Rp 107,800 Rp - Jul-20 170728 Layak
Rp 62,370 Rp 748,440 Dec-20 160235 Layak
Rp 70,000 Rp 910,000 Jun-22 1166402 Layak
Rp 90,000 Rp - Jul-22 Layak
Rp 95,000 Rp - Aug-22 Layak
Rp 70,000 Rp 910,000 Sep-22 Layak
Rp 65,000 Rp 845,000 Oct-22 Layak
Rp 95,000 Rp - Nov-22 Layak
Rp 84,397 Rp 1,856,734 Mar-22 37940 Layak

Rp 19,800 Rp - Sep-20 19I025 Layak
Rp 17,072 Rp 136,576 Apr-19 TD3439 Layak
Rp 20,500 Rp 799,500 Apr-19 2470501 Layak

Rp 15,932 Rp 302,708 Aug-19 270930 Layak
Rp 11,972 Rp 622,544 Jan-20 270207 Layak
Rp 22,000 Rp 1,540,000 Apr-19 2570750 Layak
Rp 2,860 Rp 374,660 Oct-20 85J47A Layak
Rp 46,750 Rp 514,250 Oct-19 19K209 Layak
Rp 66,537 Rp 598,833 Aug-21 270921 Layak
Rp 59,730 Rp 477,840 Dec-20 TM3025A Layak
Rp 49,693 Rp - Nov-18 16090381 Layak
Rp 16,335 Rp 702,405 May-21 270619 Layak
Rp 27,280 Rp 354,640 Feb-20 170302 Layak
Rp 6,410 Rp 583,310 Nov-22 47K90A Layak
Rp 7,150 Rp 235,950 Jan-23 48A83A Layak
Rp 9,646 Rp 636,636 Nov-20 Layak
Rp 214,280 Rp 857,120 Jun-20 TF3146A Layak
Rp 24,200 Rp 217,800 Nov-22 47K78B Layak
Rp 3,223 Rp 51,568 Dec-18 72L46A Layak
Rp 3,223 Rp 38,676 Jan-20 95A48A Layak
Rp 101,200 Rp 202,400 Feb-20 20284 Layak

Rp 17,200 Rp 34,400 Jul-22 63203KY Layak
Rp 17,200 Rp 326,800 Aug-21 67201KY Layak
Rp 20,000 Rp 20,000 Mar-21 60047 Layak
Rp 6,400 Rp 57,600 Apr-22 70117 Layak
Rp 4,200 Rp 222,600 Jan-21 E7463609 Layak
Rp 96,663 Rp 386,652 May-20 C326P534 Layak
Rp 26,693 Rp 320,316 Apr-22 Layak
Rp 18,000 Rp 468,000 May-22 Layak
Rp 16,900 Rp 33,800 Sep-20 Layak
Rp 9,500 Rp 627,000 May-22 Layak
Rp 15,000 Rp 135,000 Layak
Rp 924 Rp 215,292 Layak
Rp 924 Rp 115,500 Layak
Rp 50,000 Rp 400,000 Layak
Rp 294 Rp 8,232 Jul-18 52726848 Layak
Rp 3,600 Rp 75,600 Jul-21 63440812 Layak
Rp 126 Rp 107,226 Sep-20 2101788 Layak
Rp 92,400 Rp 739,200 May-22 6021601 Layak
Rp 92,400 Rp 462,000 Feb-22 3101701 Layak
Rp 16,500 Rp 198,000 Dec-21 638212209 Layak
Rp 3,273 Rp 628,416 Sep-22 57505073 Layak
Rp 3,273 Rp 327,300 Sep-20 280318 Layak
Rp 3,273 Rp 327,300 Layak
Rp 3,273 Rp 490,950 Jul-21 71230 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Layak
Rp 8,200 Rp 24,600 Layak
Rp 247,757 Rp 1,238,785 Aug-20 Layak
Rp 72,500 Rp 290,000 Layak
Rp 35,000 Rp 280,000 Sep-22 Layak
Rp 25,000 Rp 75,000 Layak
Rp 12,500 Rp 187,500 Aug-22 Layak
Rp 40,000 Rp 2,200,000 Sep-22 Layak
Rp 3,750 Rp 510,000 Aug-22 Layak
Rp 2,000 Rp 336,000 Jan-22 Layak
Rp 1,188 Rp 509,652 Aug-22 Layak
Rp 1,430 Rp 120,120 Sep-22 Layak
Rp 3,500 Rp 49,000 Layak
Rp 4,100 Rp 205,000 Sep-22 Layak
Rp 3,825 Rp 49,725 Layak
Rp 462 Rp 212,520 Layak
Rp 15,000 Rp 60,000 Layak
Rp 3,500 Rp 35,000 Layak
Rp 9,000 Rp - Layak
Rp 7,000 Rp 301,000 Dec-19 Layak
Rp 7,000 Rp 7,000 Layak
Rp 75,000 Rp 1,875,000 May-19 Layak
Rp 50,000 Rp 50,000 Layak
Rp 2,717,000 Rp 2,717,000 Layak
Rp 22,330 Rp 424,270 Layak
Rp 14,500 Rp 116,000 Layak
Rp 2,500 Rp 70,000 Layak
Rp 2,723 Rp 272,300 Layak
Rp 32,791 Rp 163,955 Layak
Rp 90,000 Rp 360,000 Layak
Rp 41,800 Rp - Jan-22 1705 Layak
Rp 28,132 Rp - Feb-22 110/17 Layak

Rp 6,607 Rp 13,214 Apr-19 2105139 Layak
Rp 11,000 Rp 649,000 Nov-19 MD112017 Layak
Rp 4,840 Rp 396,880 Jul-19 MD072017 Layak
Rp 7,040 Rp 816,640 Sep-19 MD092017 Layak
Rp 69,300 Rp 1,940,400 Oct-19 19K323 Layak

Rp 13,970 Rp 27,940 Aug-21 020817T Layak
Rp 17,490 Rp 17,490 Aug-21 010817K Layak
Rp 3,500 Rp 161,000 Layak
Rp 25,100 Rp 25,100 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 49,500 C1609B058 Layak
Rp 48,000 Rp 288,000 Feb-21 870180208 Layak
Rp 16,500 Rp 16,500 Layak
Rp 75,000 Rp 75,000 Dec-19 201216 Layak
Rp 10,000 Rp 60,000 906170808 Layak
Rp 22,000 Rp 66,000 Aug-20 25091788 Layak
Rp 82,500 Rp 82,500 Nov-18 19101588 Layak
Rp 22,597 Rp 203,373 Feb-19 Layak
Rp 135,500 Rp 135,500 Nov-21 65031230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 99,000 Rp 198,000 Layak
Rp 149,303 Rp 597,212 Oct-21 KB17058 Layak
Rp 77,440 Rp 154,880 Layak

Rp 96,154 Rp 480,770 Nov-18 20181022 Layak
Rp 80,000 Rp 480,000 Jun-19 71217 Layak
30 April 2018 Rp 75,788,878


SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN MEI 2018

7 Inlacta Cap 140 150 150 140
8 OBH Btl 4 0 1 3

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
5 Acran Tab 34 0 0 34
6 Becom C Tab 49 0 10 39
9 Cripsa Tab 71 0 16 55
11 Folavit Cap 202 200 10 392
12 Inbion Tab 93 0 10 83
14 Dopamet Tab 292 0 90 202
15 Elkana Tab 126 100 90 136
19 Cravit 500mg Tab 10 0 0 10
25 Rantin 300mg Tab 30 0 0 30
29 Bledstop Tab 46 100 0 146
32 Hemafort Tab 75 200 20 255
37 Norelut Tab 40 100 55 85
40 KALNEX 500 mg Tab 70 0 0 70
45 Sporetik 200 Capsul 0 10 7 3
46 Sanmol 500 mg Tab 0 500 0 500



5 Cefixime 100 Cap 450 250 490 210
6 Clindamicyn 300 Cap 290 0 15 275
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 180 0 65 115
Injek Generik
6 MGSO4 20% Btl 6 20 0 26
7 MGSO4 40% Btl 23 0 9 14
Injek Paten
12 Amoxan Drop FLS 5 15 10 10
19 Catapres Ampul 4 10 0 14
20 Neurobion Ampul 0 20 0 20
21 Aminofusin Paed Botol 2 0 0 2
Benang Operasi
1 Optime 1 Pcs 10 44 33 21
2 Optime 2 Pcs 14 44 33 25
3 T-chromic 1 ( C 55 ) Pcs 4 44 23 25
4 T-chromic 2/0 ( C27 ) Pcs 0 44 22 22
5 T-Mono 4-0 ( M 50 ) Pcs 12 0 12 0
6 T-Vio 1 ( V 41 ) Pcs 0 3 3 0
7 T-vio 2 ( V 122 ) Pcs 0 9 9 0
14 PGC 25 4/0 Pcs 0 12 12 0
15 Advantime 4/0 Pcs 22 0 12 10
LEMARI OKT
6 Pethidin HCL Ampul 0 10 0 10
CAIRAN INFUS
5 Otsu W.I 25ml Btl 131 240 125 246
9 Nulagyl Btl 0 180 23 157
13 Otsu RL Plabot 33 235 181 87
17 Kaen 4 B Plabot 9 0 0 9
19 Otsu D40 Ampul 12 0 0 12
20 Aminofusin paed Btl 2 0 0 2
ALKES & BMHP

1 Abocath 18 G Pcs 2 35 30 7
2 Abocath 20 G Pcs 19 30 31 18
5 Bisturi No 24 Pcs 53 50 36 67
12 Gamex 7,5 Pcs 66 160 149 77
13 Gamex 8 Pcs 9 0 0 9
23 Masker tali Pcs 100 750 459 391
24 Maxter 7,5 Pcs 192 350 420 122
25 Maxter 7 Pcs 100 0 0 100
26 Maxter 6 Pcs 100 0 0 100
27 Maxter 6,5 Pcs 150 0 27 123
32 Nova T 380 Pcs 5 13 11 7
40 Spuit 1cc BD Pcs 168 100 130 138
47 ST Non Steril Pcs 460 500 201 759
49 Spalk Pcs 10 0 3 7
53 BURET Pcs 25 0 3 22
56 Needle 23 G BD Pcs 170 100 105 165
57 Pigeon Dot 120 ml Btl 19 26 31 14
59 Washlap Pcs 28 36 48 16
Produk CCP
4 Cygest 400 mg Supp 12 15 0 27

3 Kassa Kotak 16 x 16 Box 46 50 57 39
4 Kapas 500 gr Pcs 1 2 2 1
7 Alkohol 70 % 1 L Pcs 6 0 3 3
13 One Scrub 4 % 500 ml Btl 1 0 0 1
Susu Formula
Total Stock Layak Tanggal 31 Mei 2018

Total Stock Tidak Layak Tanggal 31 Mei 2018
FARMASI RSIA dr. Hj. KARMINI, EH
eker : Via Shovia., S.Farm., Apt

9880819/SIPA_32.78/2017/2.263
AN STOK OBAT BULAN MEI 2018

Rp 40,700 Rp - Aug-18 3055EO16 Layak
Rp 1,320 Rp 10,560 Mar-19 1041688 Layak
Rp 1,100 Rp 41,800 Oct-18 E8J027 Layak
Rp 15,400 Rp 77,000 Dec-18 NL1141 Layak
Rp 9,350 Rp 130,900 Nov-18 27E7002 Layak
Rp 9,350 Rp 56,100 Sep-18 24C7003 Layak
Rp 6,380 Rp 893,200 Sep-19 KO676024 Layak
Rp 4,500 Rp 13,500 Oct-21 710114 Layak
Rp 19,187 Rp 767,480 Oct-20 4310016 Layak

Rp 3,120 Rp 290,160 Jun-18 PF9362 Layak/proses Recall Ke distributor
Rp 9,839 Rp 167,263 Mar-19 RC4590 Layak
Rp 22,000 Rp 440,000 Nov-18 K050F012 Layak
Rp 4,895 Rp 166,430 Dec-19 SM2826 Layak
Rp 1,353 Rp 52,767 Aug-20 TH8482 Layak
Rp 14,850 Rp - Oct-18 TO91FO10 Layak
Rp 16,280 Rp 895,400 Dec-19 TF2059 Layak
Rp 8,579 Rp 343,160 Jan-21 4401007 Layak
Rp 847 Rp 332,024 Nov-20 TL2085 Layak
Rp 47,575 Rp 285,450 Sep-19 1127LM Layak
Rp 2,057 Rp 415,514 Oct-19 U234413 Layak
Rp 812 Rp 110,432 Oct-19 TK2770 Layak
Rp 51,150 Rp 102,300 Aug-19 TF9747 Layak
Rp 1,111 Rp 7,777 Nov-19 1476OM Layak
Rp 3,218 Rp 215,606 Jun-19 A7F667 Layak
Rp 40,700 Rp 407,000 Dec-18 732198 Layak
Rp 10,640 Rp 244,720 Sep-19 19KO13 Layak
Rp 1,386 Rp 27,720 Mar-19 T038F010 Layak
Rp 352 Rp 40,480 Nov-19 TL8585 Layak
Rp 2,926 Rp 14,630 Oct-19 IK002 Layak
Rp 2,017 Rp 60,510 Feb-19 611666 Layak
Rp 6,527 Rp 195,810 Nov-18 731104 Layak
Rp 3,256 Rp 162,800 Sep-18 181194 Layak
Rp 9,680 Rp 290,400 Oct-19 18L012 Layak
Rp 578 Rp 84,388 Sep-19 TJ258109 Layak
Rp 7,260 Rp 36,300 Aug-18 18H181 Layak
Rp 2,475 Rp 9,900 Feb-19 19B261 Layak
Rp 850 Rp 216,750 Apr-21 6026013 Layak
Rp 3,762 Rp 150,480 Oct-21 D4087 Layak
Rp 4,400 Rp 132,000 Mar-19 48D3037 Layak
Rp 3,850 Rp - Aug-19 48J3051 Layak
Rp 4,400 Rp 374,000 Aug-21 48I3058 Layak
Rp 9,009 Rp 351,351 Jul-21 4407037 Layak
Rp 9,449 Rp - Nov-20 4311066 Layak
Rp 3,300 Rp 231,000 Sep-20 5879 layak
Rp 3,850 Rp 192,500 Sep-20 TJ2588 Layak
Rp 20,380 Rp 326,080 Oct-20 Layak
Rp 1,128 Rp 78,960 Nov-20 TL2933 Layak
Rp 8,622 Rp 517,320 Jan-22 T5028 Layak
Rp 29,887 Rp 89,661 Feb-22 Layak
Rp 297 Rp 148,500 Mar-22 Layak

Rp 17,990 Rp 35,980 Jul-18 PG9105 Layak/proses Recall Ke distributor
Rp 55,990 Rp 55,990 Mar-19 RC9061 Layak
Rp 43,670 Rp 174,680 Feb-19 SB4636 Layak
Rp 65,000 Rp 65,000 Oct-18 RK4988 Layak
Rp 33,000 Rp 66,000 Jun-19 46EO179 Layak
Rp 35,000 Rp 70,000 May-18 E5E156 Tidak Layak
Rp 62,700 Rp 250,800 Aug-21 D5087 Layak

Rp 2,600 Rp 257,400 Dec-21 L71886T Layak
Rp 2,475 Rp 61,875 Jan-21 A70046I Layak

Rp 151 Rp 12,080 May-18 TPF29942 Tidak Layak
Rp 850 Rp 45,050 May-19 1.90E+149 Layak
Rp 477 Rp 74,412 Jun-20 48G4228 Layak
Rp 227 Rp 1,135 Jul-21 G160767B Layak
Rp 2,395 Rp 502,950 Oct-20 48I0461 Layak
Rp 521 Rp 40,638 Sep-18 1307009 Layak
Rp 1,767 Rp 86,583 Oct-19 JS17034 Layak
Rp 76 Rp 50,920 Jun-18 20301406 Layak
Rp 158 Rp 1,738 Oct-22 00817J0020 Layak
Rp 218 Rp 13,516 May-21 48L0029 Layak
Rp 150 Rp 17,250 Oct-20 95322025CC Layak

Rp 3,300 Rp 56,100 Nov-19 15L0009 Layak
Rp 2,120 Rp 10,600 Mar-19 16C0316 Layak
Rp 22,000 Rp 132,000 Sep-20 97K10084 Layak
Rp 5,000 Rp 275,000 Sep-18 16G0439 Layak
Rp 3,200 Rp 83,200 Aug-19 71H47B Layak
Rp 6,413 Rp 51,304 Aug-19 97LH0092 Layak
Rp 27,500 Rp 495,000 Sep-19 PI72222 Layak
Rp 10,692 Rp 363,528 Oct-19 3171863 Layak
Rp 2,442 Rp 383,394 Jul-19 2971446 Layak
Rp 5,487 Rp 663,927 Jan-20 2270302 Layak
Rp 6,402 Rp 268,884 Sep-20 19I195 Layak
Rp 6,930 Rp 381,150 Sep-19 4810154 Layak
Rp 11,000 Rp 737,000 Nov-19 223732 Layak
Rp 10,560 Rp 105,600 Dec-20 PSN52346 Layak
Rp 92,400 Rp 554,400 Jan-20 P5B07546 Layak

Rp 10,000 Rp 60,000 May-18 EC0952 Layak
Rp 10,500 Rp 10,500 Dec-18 70644 Layak
Rp 28,710 Rp 258,390 Aug-19 18G227A Layak
Rp 10,816 Rp 10,816 Sep-19 15H0042 Layak
Rp 32,670 Rp 588,060 Dec-19 18M095A Layak
Rp 10,189 Rp 244,536 Sep-19 F7J005 Layak
Rp 145,750 Rp 437,250 Dec-18 FT4239 Layak
Rp 23,430 Rp 960,630 Dec-18 SM6562 Layak
Rp 23,430 Rp 234,300 Jul-20 TG6080 Layak
Rp 198,550 Rp 992,750 Dec-19 C0576 Layak
Rp 19,800 Rp 910,800 Jul-19 196243 Layak
Rp 110,110 Rp 220,220 Apr-19 1703026 Layak
Rp 90,750 Rp 1,179,750 Dec-19 A8436 Layak
Rp 16,764 Rp 167,640 Jun-20 TM4197 Layak
Rp 60,878 Rp 852,292 Oct-21 628170B Layak
Rp 8,573 Rp 171,460 Dec-19 KI03235 Layak
Rp 101,200 Rp 202,400 Feb-20 628170B Layak

Rp 74,338 Rp 1,561,098 Dec-20 26098 Layak
Rp 91,899 Rp 2,297,475 Sep-20 18530G Layak
Rp 72,105 Rp 1,802,625 Jun-22 170728 Layak
Rp 65,000 Rp 1,430,000 Aug-19 1145595 Layak
Rp 91,437 Rp - Sep-20 160759 Layak
Rp 90,000 Rp - Apr-20 170516 Layak
Rp 107,800 Rp - Jul-20 170728 Layak
Rp 62,370 Rp 311,850 Dec-20 160235 Layak
Rp 70,000 Rp 770,000 Jun-22 1166402 Layak
Rp 84,397 Rp 843,970 Mar-22 37940 Layak

Rp 19,800 Rp - Sep-20 19I025 Layak
Rp 17,072 Rp 136,576 Apr-19 TD3439 Layak
Rp 20,500 Rp 1,250,500 Apr-19 2470501 Layak
Rp 119,922 Rp 1,199,220 May-21 EG0871J Layak

Rp 22,000 Rp 726,000 Nov-20 SB86K47A Layak
Rp 15,932 Rp 238,980 Aug-19 270930 Layak
Rp 11,972 Rp 610,572 Jan-20 270207 Layak
Rp 22,000 Rp 418,000 Apr-19 2570750 Layak
Rp 2,860 Rp 703,560 Oct-20 85J47A Layak
Rp 46,750 Rp 514,250 Oct-19 19K209 Layak
Rp 66,537 Rp 532,296 Aug-21 270921 Layak
Rp 59,730 Rp - Dec-20 TM3025A Layak
Rp 49,000 Rp 7,693,000 Nov-18 16090381 Layak
Rp 16,335 Rp 669,735 May-21 270619 Layak
Rp 27,280 Rp 354,640 Feb-20 170302 Layak
Rp 6,410 Rp 660,230 Nov-22 47K90A Layak
Rp 7,150 Rp 622,050 Jan-23 48A83A Layak
Rp 9,646 Rp 424,424 Layak
Rp 214,280 Rp 857,120 Jun-20 TF3146A Layak
Rp 24,200 Rp 217,800 Nov-22 47K78B Layak
Rp 3,223 Rp 51,568 Dec-18 72L46A Layak
Rp 3,223 Rp 38,676 Jan-20 95A48A Layak
Rp 101,200 Rp 202,400 Feb-20 20284 Layak

Rp 17,200 Rp 120,400 Jul-18 63203KY Layak
Rp 17,200 Rp 309,600 Aug-21 67201KY Layak
Rp 20,000 Rp 20,000 Mar-21 60047 Layak
Rp 6,400 Rp 76,800 Apr-22 70117 Layak
Rp 4,200 Rp 281,400 Jan-21 E7463609 Layak
Rp 13,419 Rp 1,194,291 Nov-21 B97J46A Layak
Rp 96,663 Rp 386,652 May-20 C326P534 Layak
Rp 26,693 Rp 587,246 Apr-18 Layak
Rp 18,000 Rp 216,000 Layak
Rp 16,900 Rp 33,800 Sep-20 Layak
Rp 9,500 Rp 731,500 May-22 Layak
Rp 15,000 Rp 135,000 Layak
Rp 924 Rp 180,180 Layak
Rp 50,000 Rp 400,000 Layak
Rp 294 Rp 24,696 Jul-18 52726848 Layak
Rp 3,600 Rp 237,600 Jul-21 63440812 Layak
Rp 126 Rp 70,938 Sep-20 2101788 Layak
Rp 92,400 Rp 646,800 May-22 6021601 Layak
Rp 92,400 Rp 184,800 Feb-22 3101701 Layak
Rp 16,500 Rp 264,000 Dec-21 638212209 Layak
Rp 350 Rp 136,850 Layak
Rp 3,273 Rp 399,306 Sep-22 57505073 Layak
Rp 3,273 Rp 327,300 Sep-20 280318 Layak
Rp 3,273 Rp 327,300 Layak
Rp 3,273 Rp 402,579 Jul-21 71230 Layak
Rp 30,000 Rp 90,000 Jul-18 20130720 Layak
Rp 8,200 Rp 24,600 Layak
Rp 8,200 Rp 32,800 Layak
Rp 8,200 Rp 24,600 Layak
Rp 247,757 Rp 1,734,299 Aug-20 Layak
Rp 72,500 Rp 217,500 Layak
Rp 35,000 Rp 1,470,000 Sep-22 Layak
Rp 25,000 Rp 75,000 Layak
Rp 12,500 Rp 150,000 Aug-22 Layak
Rp 40,000 Rp 1,640,000 Sep-22 Layak
Rp 3,750 Rp 1,005,000 Aug-22 Layak
Rp 2,000 Rp 276,000 Jan-22 Layak
Rp 1,188 Rp 362,340 Aug-22 Layak
Rp 1,430 Rp 134,420 Sep-22 Layak
Rp 3,500 Rp 38,500 Layak
Rp 4,100 Rp 254,200 Sep-22 Layak
Rp 3,825 Rp 3,825 Layak
Rp 462 Rp 350,658 Layak
Rp 15,000 Rp 60,000 Layak
Rp 3,500 Rp 24,500 Layak
Rp 9,000 Rp - Layak
Rp 7,000 Rp 126,000 Dec-19 Layak
Rp 7,000 Rp 7,000 Layak
Rp 75,000 Rp 1,650,000 May-19 Layak
Rp 50,000 Rp 50,000 Layak
Rp 2,717,000 Rp 2,717,000 Layak
Rp 22,330 Rp 312,620 Layak
Rp 14,500 Rp 406,000 Layak
Rp 2,500 Rp 40,000 Layak
Rp 2,723 Rp 272,300 Layak
Rp 32,791 Rp 163,955 Layak
Rp 90,000 Rp 360,000 Layak
Rp 41,800 Rp 209,000 Jan-22 1705 Layak
Rp 28,132 Rp 281,320 Feb-22 110/17 Layak

Rp 6,607 Rp 13,214 Apr-18 2105139 Tidak Layak
Rp 199,650 Rp 2,994,750 Oct-20 NCA409 Layak
Rp 11,000 Rp 1,034,000 Nov-19 MD112017 Layak
Rp 4,840 Rp 285,560 Jul-19 MD072017 Layak
Rp 7,040 Rp 415,360 Sep-19 MD092017 Layak
Rp 69,300 Rp 1,871,100 Oct-19 19K323 Layak

Rp 13,970 Rp 125,730 Aug-21 020817T Layak
Rp 17,490 Rp 104,940 Aug-21 010817K Layak
Rp 3,500 Rp 136,500 Layak
Rp 25,100 Rp 25,100 Layak
Rp 22,220 Rp 111,100 Layak
Rp 16,500 Rp 49,500 C1609B058 Layak
Rp 48,000 Rp 144,000 Feb-21 870180208 Layak
Rp 16,500 Rp 16,500 Layak
Rp 75,000 Rp 75,000 Dec-19 201216 Layak
Rp 10,000 Rp 160,000 906170808 Layak
Rp 22,000 Rp 66,000 Aug-20 25091788 Layak
Rp 82,500 Rp 82,500 Nov-18 19101588 Layak
Rp 22,597 Rp 248,567 Feb-19 Layak
Rp 135,500 Rp 135,500 Nov-21 65031230 Layak
Rp 100,000 Rp 300,000 Sep-19 160924 Layak
Rp 99,000 Rp 396,000 Layak
Rp 149,303 Rp 895,818 Oct-21 KB17058 Layak
Rp 77,440 Rp 77,440 Layak

Rp 96,154 Rp 288,462 Nov-18 20181022 Layak
Rp 80,000 Rp 240,000 Jun-19 71217 Layak
31 Mei 2018 Rp 86,595,242

gal 31 Mei 2018 Rp 95,294
call Ke distributor
call Ke distributor

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN JUNI 2018

7 Inlacta Cap 140 150 100 190
8 OBH Btl 3 0 0 3

2 Cefat 500mg Tab 17 0 0 17
3 Ceptik 100 mg Tab 20 0 0 20
5 Acran Tab 34 0 0 34
6 Becom C Tab 39 0 0 39
9 Cripsa Tab 55 30 20 65
11 Folavit Cap 392 0 30 362
12 Inbion Tab 83 0 20 63
14 Dopamet Tab 202 100 100 202
15 Elkana Tab 136 0 10 126
18 Tonotan Tab 67 50 50 67
19 Cravit 500mg Tab 10 0 0 10
22 Sanmol Forte Tab 115 1500 794 821
25 Rantin 300mg Tab 30 0 0 30
32 Hemafort Tab 255 0 50 205
40 KALNEX 500 mg Tab 70 0 15 55
45 Sporetik 200 Capsul 3 40 27 16
46 Sanmol 500 mg Tab 500 0 108 392
47 Sanmol Drop FLS 0 2 0 2



2 Amlodipine 10 Tab 53 200 10 243
5 Cefixime 100 Cap 210 700 480 430
6 Clindamicyn 300 Cap 275 150 10 415
10 CTM btl Tab 670 0 0 670
16 Ca. Lactat Tab 115 0 40 75
Injek Generik
6 MGSO4 20% Btl 26 0 0 26
7 MGSO4 40% Btl 14 20 5 29
Injek Paten
12 Amoxan Drop FLS 10 10 12 8
19 Catapres Ampul 14 0 0 14
20 Neurobion Ampul 20 0 0 20
21 Aminofusin Paed Botol 2 2 2 2
Benang Operasi
1 Optime 1 Pcs 21 36 35 22
2 Optime 2 Pcs 25 36 35 26
3 T-chromic 1 ( C 55 ) Pcs 25 36 34 27
4 T-chromic 2/0 ( C27 ) Pcs 22 36 34 24
5 T-Mono 4-0 ( M 50 ) Pcs 0 0 0 0
6 T-Vio 1 ( V 41 ) Pcs 0 0 0 0
7 T-vio 2 ( V 122 ) Pcs 0 12 0 12
14 PGC 25 4/0 Pcs 0 24 24 0
15 Advantime 4/0 Pcs 10 12 10 12
LEMARI OKT
6 Pethidin HCL Ampul 10 0 0 10
CAIRAN INFUS
5 Otsu W.I 25ml Btl 246 120 147 219
9 Nulagyl Btl 157 0 122 35
13 Otsu RL Plabot 87 220 181 126
17 Kaen 4 B Plabot 9 10 9 10
19 Otsu D40 Ampul 12 0 0 12
21 kaen 3 B Plabot 0 10 1 9
ALKES & BMHP

1 Abocath 18 G Pcs 7 60 39 28
2 Abocath 20 G Pcs 18 60 43 35
5 Bisturi No 24 Pcs 67 70 40 97
12 Gamex 7,5 Pcs 77 240 146 171
13 Gamex 8 Pcs 9 0 0 9
23 Masker tali Pcs 391 200 525 66
24 Maxter 7,5 Pcs 122 350 379 93
25 Maxter 7 Pcs 100 0 100 0
26 Maxter 6 Pcs 100 0 68 32
27 Maxter 6,5 Pcs 123 0 0 123
32 Nova T 380 Pcs 7 16 16 7
40 Spuit 1cc BD Pcs 138 200 161 177
47 ST Non Steril Pcs 759 0 261 498
49 Spalk Pcs 7 0 4 3
53 BURET Pcs 22 0 5 17
56 Needle 23 G BD Pcs 165 100 99 166
57 Pigeon Dot 120 ml Btl 14 40 32 22
59 Washlap Pcs 16 48 42 22
Produk CCP
7 Induxin Ampul 59 100+50 138 71

3 Kassa Kotak 16 x 16 Box 39 50 39 50
4 Kapas 500 gr Pcs 1 2 1 2
7 Alkohol 70 % 1 L Pcs 3 0 2 1
13 One Scrub 4 % 500 ml Btl 1 10 0 11
Susu Formula
A dr. Hj. KARMINI, EH
ovia., S.Farm., Apt

A_32.78/2017/2.263
T BULAN JUNI 2018
HNA + PPN TGL ED NO. BATCH KETERANGAN

Rp 1,320 Mar-19 1041688 layak
Rp 1,100 Oct-18 E8J027 3bulan
Rp 15,400 Dec-18 NL1141 5 bulan
Rp 9,350 Sep-18 24C7003 2 Bulan
Rp 9,350
Rp 6,380 Jan-20 k067h007 LAYAK
Rp 4,500 Oct-21 710114 LAYAK
Rp 19,187 Nov-20 4310016 LAYAK

Rp 3,120 Jun-18 PF9362 Recall
Rp 9,839 Mar-19 RC4590 Recall
Rp 22,000 Nov-18 K050F012 MENUJU ED
Rp 1,100 Oct-19 K041E526 LAYAK
Rp 4,895 Dec-19 SM2820 LAYAK
Rp 1,353 Aug-20 TH8482 LAYAK
Rp 14,850 Apr-19 T091G005 LAYAK
Rp 12,606 Jan-20 UA4264A LAYAK
Rp 16,280 Sep-20 UC29D1 LAYAK
Rp 8,579 Nov-21 4411001 LAYAK
Rp 847 Dec-20 TM2093 LAYAK
Rp 1,966 Nov-19 K034G041 LAYAK
Rp 47,575 Nov-19 14220M LAYAK
Rp 2,057 Oct-19 U234413 LAYAK
Rp 812 Mar-20 UC2756 LAYAK
Rp 51,150 Aug-19 TF9747 Layak
Rp 1,111 Apr-20 RD7121 LAYAK
Rp 3,218 Jun-19 A7F667 LAYAK
Rp 40,700 Dec-18 732198 Layak
Rp 10,640 Sep-19 19KO13 LAYAK
Rp 1,386 Mar-19 T038F010 LAYAK
Rp 352 Feb-20 4B5497 LAYAK
Rp 2,926 Oct-18 4B5498 LAYAK
Rp 2,017 Feb-19 611666 Layak
Rp 6,527 Jan-20 731104 LAYAK
Rp 3,256 Sep-18 181194 Layak
Rp 9,680 Apr-21 182012 LAYAK
Rp 578 Sep-21 4A2391 LAYAK
Rp 7,260 Apr-20 18H18 LAYAK
Rp 2,475 Feb-19 19B261 Layak
Rp 850 Dec-22 6026013 LAYAK
Rp 3,762 Jan-22 4087 LAYAK
Rp 3,498 Jul-21 TD2764A LAYAK
Rp 4,400 Mar-19 48D3037 Layak
Rp 3,850 Oct-20 49A3042 LAYAK
Rp 4,400 Jan-20 49B3041 LAYAK
Rp 9,009 Apr-20 4407037 LAYAK
Rp 9,449
Rp 3,300 Sep-20 KTKNAK75879 LAYAK
Rp 3,850 Oct-20 7J2588 LAYAK
Rp 20,380 May-20 1951 LAYAK
Rp 1,128 NOV-2020 TL2933 LAYAK
Rp 8,622 Jan-22 T5028 Layak
Rp 29,887 Mar-20 UD4505C LAYAK
Rp 16,390 Mar-21 UC1668 LAYAK

Rp 17,990 Jul-18 Recall
Rp 55,990 Mar-19 Mar-19 Layak
Rp 43,670 Feb-19 Feb-19 Layak
Rp 65,000 Oct-18 Sep-18 MENUJU ED
Rp 33,000 Jun-19 Jun-19 Layak
Rp 35,000 May-18 Tidak Layak
Rp 22,523 May-19 May-19 Layak
Rp 62,700 Aug-21 Aug-21 Layak

Rp 17,050 May-18 EVSO1AI Tidak Layak
Rp 20,000 Jun-18 TVWO1A2 Tidak Layak
Rp 2,600 Dec-21 L71886T Layak
Rp 2,475 Jan-21 A70046I Layak

Rp 151 May-18 TPF29942 Tidak Layak
Rp 850 May-19 HTALN082037 Layak
Rp 477 Feb-20 HTALNC81031 Layak
Rp 227 Jul-21
Rp 2,395 Oct-20 KCFMB80391 Layak
Rp 1,376 Dec-21 EBA003 Layak
Rp 521 Sep-18 1307009 Layak
Rp 1,400 Aug-19 KLSPA70043 Layak
Rp 1,767 Oct-19 J5170342 Layak
Rp 76 Jun-18 20301406 ED
Rp 158 Oct-22 00817J0020 Layak
Rp 270 Oct-20 48L3023 Layak
Rp 313 Jan-20 HTCTRB82078 Layak
Rp 218 May-21 48L0029 Layak
Rp 108 Sep-20 4854122 Layak
Rp 150 Oct-20 95322025CC Layak
Rp 409 Jul-20 KOPZA80102 Layak

Rp 3,300 NOV-2019 15L0009 Layak
Rp 2,120 Mar-19 15C0316 Layak
Rp 22,000 Aug-20 97KL0084 Layak
Rp 2,162 Jan-21 PIBHHB07947 Layak
Rp 5,000 Aug-18 15607947 MENUJU ED
Rp 3,200 Aug-19 71H47B Layak
Rp 3,797 Apr-20 95D48A Layak
Rp 6,413 Layak
Rp 27,500 Sep-19 PI72222 Layak
Rp 10,692 Oct-19 Layak
Rp 2,442 Nov-19 2180092 Layak
Rp 5,487 Aug-19 2280295 Layak
Rp 5,500 Mar-20 KIODSA82052 Layak
Rp 6,402 Jan-21 20A109 LAYAK
Rp 6,930 Sep-19 48J0133 Layak
Rp 11,000 Nov-19 223732 Layak
Rp 3,693 Feb-20 BF171093 Layak
Rp 10,560 Dec-19 BSNS2246 Layak
Rp 99,000 Jul-20 PSH25646 Layak

Rp 10,000 May-18 EC0952 Tidak layak
Rp 10,500 Dec-19 70544 Layak
Rp 28,710 Aug-19 786227A Layak
Rp 10,816 Sep-19 15H0042 Layak
Rp 32,670 Dec-19 18MO954 Layak
Rp 10,189 Jan-20 F8C304 Layak
Rp 145,750 Dec-18 FT4239 Layak
Rp 23,430 Dec-18 SM6568 Layak
Rp 23,430 Mar-21 UC6323 Layak
Rp 198,550 Dec-19 C0576 Layak
Rp 19,800 Feb-19 19B224 Layak
Rp 110,110 Apr-19 1703026 Layak
Rp 90,750 Dec-19 A8476 Layak
Rp 12,760 Dec-19 IFDNA70005 Layak
Rp 16,764 Jun-20 TM4197 Layak
Rp 60,878 Oct-21 628170B Layak
Rp 8,573 Dec-19 K103235 Layak
Rp 101,200 Feb-20 OD20284B Layak

Rp 74,338 Dec-20 OD20284B Layak
Rp 91,899 Jul-22 K103235 Layak
Rp 72,105 Jun-22 OD20284B Layak
Rp 65,000 May-22 TD3439 Layak
Rp 91,437
Rp 90,000
Rp 107,800 Aug-22 270207 Layak
Rp 69,300 Sep-22 OD20284B Layak
Rp 70,000 Oct-22 OD20284B Layak
Rp 90,000 Nov-22 SB86K47A Layak
Rp 95,000
Rp 70,000 Jan-23 270207 Layak
Rp 65,000 Feb-23 SB86K47A Layak
Rp 95,000
Rp 84,397 Apr-23 270207 Layak
HNA +PPN TGL ED NO. BATCH KETERANGAN

Rp 48,400 Oct-19 F44X LAYAK
Rp 19,800
Rp 17,072 Apr-19 TD3439
Rp 10,500 Aug-19 IG1716J
Rp 20,500 Dec-19 218001
Rp 119,922 May-21 EG0871

Rp 22,000 Nov-20 SB86K47A Layak
Rp 15,932 Nov-19 47K78A Layak
Rp 11,972 Jan-20 270207 Layak
Rp 22,000 Mar-20 2580897 Layak
Rp 2,860 Mar-21 78C48A Layak
Rp 46,750 Oct-19 KYZE082 Layak
Rp 66,537 Dec-21 280104 Layak
Rp 36,799 May-21 UE3081B Layak
Rp 30,500 Nov-18 1609041 Layak
Rp 16,335 Apr-21 270505 Layak
Rp 27,280 Feb-20 170302 Layak
Rp 7,150 Mar-23 48E71A1 Layak
Rp 26,000 Oct-20 TK3021A Layak
Rp 9,646 Aug-19 270914 Layak
Rp 214,280 Mar-19 TE3051A Layak
Rp 24,200 Mar-23 48C7OB Layak
Rp 3,223 Dec-18 71L46A Layak
Rp 3,223 Jan-20 96A48A Layak
Rp 10,697 Feb-21 48D71A Layak

Rp 16,500 Jun-21 Layak
Rp 16,500 Aug-21 Layak
Rp 20,000 Nov-20 Layak
Rp 5,400 May-22 Layak
Rp 13,970 Sep-22 Layak
Rp 13,419 Oct-22
Rp 96,663 May-20 C326P534 Layak
Rp 26,693 Sep-20 Layak
Rp 16,900 Jan-19 Layak
Rp 9,500 Dec-22 1612603104 Layak
Rp 924 Layak
Rp 924 Layak
Rp 294 Layak
Rp 3,600 Dec-20 50320812 Layak
Rp 126 Sep-19 Layak
Rp 92,400 Nov-22 12071601 Layak
Rp 92,400 Oct-22 12271701 Layak
Rp 16,500 Oct-22 1748412209 Layak
Rp 350 Layak
Rp 3,273 Oct-22 Layak
Rp 3,273
Rp 3,273 Layak
Rp 3,273 Jul-22 56505640D
Rp 30,000 Jul-18 Tidak Layak
Rp 8,200 Tidak Layak
Rp 247,757 T401N55 Layak
Rp 300
Rp 72,500
Rp 19,800
Rp 10,000
Rp 12,500
Rp 40,000
Rp 3,750
Rp 2,000
Rp 700
Rp 1,188
Rp 1,800
Rp 3,500
Rp 4,100
Rp 3,825
Rp 462
Rp 15,000
Rp 3,500
Rp 8,500
Rp 7,000
Rp 75,000
Rp 50,000
Rp 2,717,000
Rp 400
Rp 22,330
Rp 14,500
Rp 2,500
Rp 400,000
Rp 2,723
Rp 32,791
Rp 650,000
Rp 90,000
Rp 41,800 1705
Rp 28,132 110/17

Rp 11,737
Rp 84,150
Rp 26,620 Jun-20 NCB2489 Layak
Rp 199,650 Oct-20 NCA409 Layak
Rp 11,000 Mar-20 KCKTFA82852 Layak
Rp 4,840 Dec-19 KAPPGA76004 Layak
Rp 7,040 Jan-20 KAIDXB81015 Layak
Rp 69,300 Apr-21 20DI93 Layak
HARGA POKOK TGL ED NO. BATCH KETERANGAN

Rp 13,970 Dec-21 Z11117T Layak
Rp 17,490 Jan-22 050118K Layak
Rp 3,500 Layak
Rp 30,000
Rp 22,220
Rp 16,500 CI6098058 Layak
Rp 48,000 Mar-21 Layak
Rp 16,500 870180302 Layak
Rp 75,000
Rp 10,000 Aug-20 906170902 Layak
Rp 22,000 NOV-2022 25091788 Layak
Rp 82,500 Mar-22 18121788 Layak
Rp 22,597 A56 Layak
Rp 11,622 MM Layak
Rp 135,500 71420230 Layak
Rp 100,000
Rp 99,000 Layak
Rp 149,303
Rp 125,000
Rp 77,440

Rp 40,000 Feb-20 102BFJ3 Layak
Rp 96,154 Nov-18 20181022 Layak
Rp 82,000 Jun-19 71217 Layak
Rp 15,500 Dec-19 131217SBCA Layak
Rp 19,760 Dec-19 131217SBCA Layak

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN JULI 2018

NO NAMA BARANG SATUAN S.AWAL S.MASUK S.KELUAR S.AKHIR HNA + PPN TGL ED NO. BATCH
2 Onemed Tespack Pcs 8 0 0 8 Rp 1,320 Mar-19 1041688
3 Pharolyte Pcs 37 0 0 37 Rp 1,100 Oct-18 E8J027
4 Renalyte Btl 5 0 0 5 Rp 15,400 Dec-18 NL1141
5 B'GEN Ginger Latte Sachet 5 0 5 0 Rp 9,350 Sep-18 24C7003
7 Inlacta Cap 190 0 190 0 Rp 6,380 Jan-20 k067h007
8 OBH Btl 3 0 0 3 Rp 4,500 Oct-21 710114
9 Novarol Capsul 40 0 0 40 Rp 19,187 Nov-20 4310016

NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HNA + PPN TGL ED NO. BATCH
1 Biotichol 500 mg Tab 93 0 0 93 Rp 3,120 Jun-18 PF9362
2 Cefat 500mg Tab 17 0 0 17 Rp 9,839 Mar-19 RC4590
3 Ceptik 100 mg Tab 20 0 0 20 Rp 22,000 Nov-18 K050F012
4 Theobron Tab 96 0 0 96 Rp 1,100 Oct-19 K041E526
5 Acran Tab 34 0 0 34 Rp 4,895 Dec-19 SM2820
6 Becom C Tab 39 0 30 9 Rp 1,353 Aug-20 TH8482
7 Clabat Tab 0 0 0 0 Rp 14,850 Apr-19 T091G005
8 Clanexi Cap 43 0 0 43 Rp 12,606 Jan-20 UA4264A
9 Cripsa Tab 65 0 15 50 Rp 16,280 Sep-20 UC29D1
10 Nutribreast Cap 30 0 20 10 Rp 8,579 Nov-21 4411001
11 Folavit Cap 362 0 90 272 Rp 847 Dec-20 TM2093
12 Inbion Tab 63 0 20 43 Rp 1,966 Nov-19 K034G041
13 Silex syr Btl 2 5 1 6 Rp 47,575 Nov-19 14220M
14 Dopamet Tab 202 0 73 73 Rp 2,057 Dec-20 4234412
15 Elkana Tab 126 0 10 116 Rp 812 Mar-20 UC2756
16 Episan sirup 100 ml Btl 5 2 3 4 Rp 51,150 Apr-20 0527AB
17 Femisic Tab 7 0 0 7 Rp 1,111 Apr-20 RD7121
18 Tonotan Tab 67 0 10 57 Rp 3,218 Jun-19 A7F667
19 Cravit 500mg Tab 10 0 0 10 Rp 40,700 Dec-18 732198
20 Noprostol Tab 25 50 51 24 Rp 10,640 Sep-19 19KO13
21 Mefinter Tab 20 0 0 20 Rp 1,386 Mar-19 T038F010
22 Sanmol Forte Tab 821 400 923 298 Rp 352 Feb-20 4B5497
23 Tranec tab Cap 5 0 0 5 Rp 2,926 Oct-18 4B5498
24 Nevox XR Tab 30 0 0 30 Rp 2,017 Feb-19 KTNVRK61166
25 Rantin 300mg Tab 30 0 0 30 Rp 6,527 Jan-20 731104
27 Prostovit Tab 50 0 0 50 Rp 3,256 Sep-18 81094
28 Prostam Tab 30 0 0 30 Rp 9,680 Apr-21 182012
29 Bledstop Tab 146 0 30 116 Rp 578 Sep-21 4A2391
30 Xevolac Tab 5 0 0 5 Rp 7,260 Apr-20 18H18
31 Metvell Tablet Tab 4 0 0 4 Rp 2,475
32 Hemafort Tab 205 100 110 195 Rp 850 Dec-22 6026013
33 Tiriz Kaplet Cap 30 0 0 30 Rp 3,762 Jan-22 4087
34 Cerini Caplet Capl 15 0 0 17 Rp 3,498 Jul-21 TD2764A
35 Co - Amoxyclav 500 / 125 mg Capl 30 0 0 30 Rp 4,400 Sep-20 48D3037
36 Folamil Genio Cap 60 30 61 29 Rp 3,850 Oct-20 49A3042
37 Norelut Tab 85 0 0 85 Rp 4,400 Jan-20 49B3041
38 Nutrimama 1 Cap 39 0 0 39 Rp 9,009 Apr-20 4407037
39 Nutrimama 2 Cap 0 0 0 0 Rp 9,449
40 KALNEX 500 mg Tab 55 0 30 25 Rp 3,300 Sep-20 KTKNAK75879
41 Regumen Tab 50 0 0 50 Rp 3,850 Oct-20 7J2588
42 Utrogestan 200 mg Cap 13 0 0 13 Rp 20,380 May-20 1951
43 Prenamia Cap 70 0 0 70 Rp 1,128 NOV-2020 TL2933
44 Analtram Kaplet 40 0 0 40 Rp 8,622
45 Sporetik 200 Capsul 16 30 41 5 Rp 29,887 Mar-20 UD4505C
46 Sanmol 500 mg Tab 392 0 90 302 Rp 297 Mar-20 UC8174
47 Sanmol Drop FLS 2 0 0 2 Rp 16,390 Mar-21 UC1668
1 Biothicol syr Btl 2 0 2 0 Rp 17,990 Jul-18
2 Biothicol Forte syr Btl 1 0 0 1 Rp 55,990 Mar-19 Mar-19
3 Cefat dry sirup Btl 4 0 0 4 Rp 43,670 Feb-19 Feb-19
4 Cefat Forte Dry sirup Btl 1 0 0 1 Rp 65,000 Oct-18 Sep-18
5 Edotin syr Btl 2 0 0 2 Rp 33,000 Jun-19 Jun-19
6 Promuba Btl 0 0 0 0 Rp 35,000 May-18
7 Amobiotk Drop Btl 2 0 0 2 Rp 22,523 May-19 May-19
8 Tiriz Oral Drops Btl 4 0 0 4 Rp 62,700 Aug-21 Aug-21

1 Desolex Cr Pcs 1 0 1 0 Rp 17,050 May-18 EVSO1AI
2 Desolex N Pcs 2 0 2 0 Rp 20,000 Jun-18 TVWO1A2
3 Gentamicyn Salep pcs 79 0 11 68 Rp 2,127 May-22 Eb0994T
4 Hydrocortison Salep Pcs 24 0 0 24 Rp 2,475 Jan-21 Dec-21

NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HNA+PPN TGL ED NO. BATCH
2 Amlodipine 10 Tab 243 0 60 183 Rp 850 May-19 HTALN082037
3 Amlodipine 5 Landson Tab 106 0 30 76 Rp 477 Feb-20 HTALNC81031
5 Cefixime 100 Cap 430 400 540 290 Rp 2,395 Oct-20 KCFMB80391
6 Clindamicyn 300 Cap 415 0 0 415 Rp 1,376 Dec-21 EBA003
7 Ethambutol Tab 78 0 0 78 Rp 521 Sep-18 1307009
8 Lansoprazole Tab 25 0 1 24 Rp 1,400 Aug-19 KLSPA70043
9 Ondansetrone Tab 65 90 40 115 Rp 1,767 Oct-19 J5170342
11 Paracetamol Tab 1 0 0 1 Rp 158 Oct-22
12 Amoxicillin Kapsul Cap 110 0 20 90 Rp 270 Oct-20 48L3023
13 Cetirizine Tab 190 0 40 150 Rp 313 Jan-20 HTCTRB82078
14 Asam Mefenamat Kaplet 62 0 0 62 Rp 218 May-21 48L0029
15 Ranitidine Tab Tab 43 0 30 13 Rp 108 Sep-20 4854122
16 Ca. Lactat Tab 75 0 0 75 Rp 150 Oct-20 95322025CC
17 Omeprazole Cap 120 0 50 70 Rp 409 Jul-20 KOPZA80102
Injek Generik
1 Aminophiline Ampul 17 0 0 17 Rp 3,300 NOV-2019 15L0009
2 Atropine sulfat Ampul 5 0 0 5 Rp 2,120 Mar-19 15C0316
3 Calcii Gluconas Ampul 3 24 5 22 Rp 22,000 Aug-20 97KL0084
4 Dexamethasone Ampul 99 0 23 76 Rp 2,162 Jan-21 PIBHHB07947
5 Epinephrine Ampul 50 100 0 150 Rp 9,499 Aug-18 15607947
6 MGSO4 20% Btl 26 0 1 25 Rp 3,200 Aug-19 71H47B
7 MGSO4 40% Btl 29 0 6 23 Rp 3,797 Apr-20 95D48A
8 Vitamin C Ampul 0 100 62 38 Rp 6,413
9 Ephedrin Hcl Ampul 10 0 1 9 Rp 27,500 Sep-19 PI72222
10 Ketorolac 3% Inj Ampul 75 50 62 63 Rp 10,692 Oct-19
11 Ranitidine Inj 50 mg/2 ml Ampul 128 75 123 80 Rp 2,442 Nov-19 2180092
12 Asam Traneksamat Inj 10 % Ampul 87 60 91 56 Rp 5,487 Aug-19 2280295
13 Ondansetron 4 mg Inj Ampul 78 60 79 59 Rp 5,500 Mar-20 KIODSA82052
15 Tramadol 100 mg/ 2 ml Injek Ampul 24 50 27 47 Rp 6,402 Jan-21 20A109
16 Cefotaxime injek Vial 56 50 81 25 Rp 6,930 Sep-19 48J0133
17 Ceftriaxon Vial 55 0 9 46 Rp 11,000 Nov-19 223732
18 Gentamicin 40 mg/ml Ampul 8 100 50 58 Rp 3,693 Feb-20 BF171093
19 Ampicilin Ampul 9 0 3 6 Rp 10,560 Dec-19 BSNS2246
20 Meropenem Vial 8 0 1 7 Rp 99,000 Jul-20 PSH25646
Injek Paten
2 Lasix Ampul 1 0 1 0 Rp 10,500 Dec-19 70544
5 Ondavel inj Ampul 8 0 2 6 Rp 28,710 Aug-19 786227A
6 Primperan Ampul 0 0 0 0 Rp 10,816
8 Xevolac Inj Ampul 12 0 1 11 Rp 32,670 Dec-19 18MO954
9 Furamin Injek Ampul 20 0 8 12 Rp 10,189 Jan-20 F8C304
10 Cinam Injek Ampul 3 0 0 3 Rp 145,750
11 Amoxan injek Vial 27 100 118 9 Rp 23,430 Dec-18 SM6568
12 Amoxan Drop FLS 8 10 13 5 Rp 23,430 Mar-21 UC6323
13 Cefxon Vial 7 3 6 4 Rp 198,550 Dec-19 C0576
14 Lignovell Ampul 38 0 16 22 Rp 19,800 Feb-19 19B224
15 KTM injek Vial 1 1 0 2 Rp 110,110 Apr-19 1703026
16 Lapixime injek Vial 17 29 40 6 Rp 90,750 Dec-19 A8476
17 Vitadion Ampul 25 50 40 35 Rp 12,760 Dec-19 IFDNA70005
18 Sanpisilin Injek Ampul 10 0 0 10 Rp 16,764
19 Catapres Ampul 14 0 0 14 Rp 60,878
20 Neurobion Ampul 20 0 3 17 Rp 8,573 Dec-19 K103235
21 Aminofusin Paed Botol 2 0 0 2 Rp 101,200 Feb-20 OD20284B
22 San B Plex Drop 30 Botol 0 2 1 1 Rp 18,040 Sep-19
23 Vasodrin @ 1 ml Ampul 0 10 0 10 Rp 44,000 May-18 P182132
Benang Operasi
1 Optime 1 Pcs 22 32 0 54 Rp 74,338 Dec-20
2 Optime 2 Pcs 26 32 56 2 Rp 91,899 Jul-22
3 T-chromic 1 ( C 55 ) Pcs 27 42 44 25 Rp 72,105 Jun-22
4 T-chromic 2/0 ( C27 ) Pcs 24 12 44 5 Rp 65,000 May-22
5 T-Mono 4-0 ( M 50 ) Pcs 0 0 43 0 Rp 91,437
6 T-Vio 1 ( V 41 ) Pcs 0 0 42 0 Rp 90,000
7 T-vio 2 ( V 122 ) Pcs 12 42 5 Rp 107,800 Jan-19
8 T-Vio episiotomy ( V 66 ) Pcs 18 7 15 Rp 69,300 Dec-20
9 Chromic 2 atramat Pcs 11 4 2 9 Rp 70,000 Aug-22 1174048
10 PGA 1 Atramat Pcs 24 Rp 90,000
11 PGA 2 Atramat Pcs 0 Rp 95,000
12 T-Chromic 1 Atramat Pcs 6 Rp 70,000
13 T-Chromic 2/0 Atramat Pcs 6 6 4 Rp 65,000
14 PGC 25 4/0 Pcs 0 24 Rp 78,236
15 Advantime 4/0 Pcs 12 12+12+16+12 34 Rp 84,397 May-20
LEMARI OKT
NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HNA +PPN TGL ED NO. BATCH
1 Fentanyl 2ml Ampul 27 12 Rp 48,400 Oct-19 F44X
2 Miloz Ampul 0 1 Rp 19,800
3 Valisanbe injek Ampul 6 1 6 Rp 17,072 Apr-19 TD3439
4 Morfina 10mg/ml Ampul 3 20 11 Rp 10,500 Aug-19 IG1716J
5 Sedacum Ampul 50 48 54 Rp 20,500 Dec-19 218001
6 Pethidin HCL Ampul 10 1 9 Rp 119,922 May-21 EG0871
CAIRAN INFUS
1 Asering Otsu Plabot 18 15 12 Rp 22,000 Nov-20 SB86K47A
2 D10 Otsu Plabot 12 2 11 Rp 15,932 Nov-19 47K78A
3 D5 Wida Plabot 50 1 7 Rp 11,972 Jan-20 270207
4 Metronidazol Inf Btl 16 65 34 Rp 22,000 Mar-20 2580897
5 Otsu W.I 25ml Btl 219 171 20 Rp 2,860 Mar-21 78C48A
6 Paracetamol Infus Btl 9 6 Rp 46,750 Oct-19 KYZE082
7 Widahest Plabot 8 8 Rp 66,537 Dec-21 280104
8 Futrolit Infus Plabot 40 24 48 20 Rp 36,799 May-21 UE3081B
9 Nulagyl Btl 24+27 74 5 Rp 49,000 Nov-18 1609041
10 Wida KDN 1 Plabot 40 5 55 Rp 16,335 Apr-21 270505
11 Aquadest 1 liter wida Plabot Rp 27,280 Feb-20 170302
12 NS Otsu Plabot 40+40+40 55 52 Rp 6,500 Apr-23 48D78A
13 Otsu RL Plabot 126 80+40+60 221 89 Rp 7,150 Mar-23 48E71A1
14 Tridex 27 B inf Plabot 1 Rp 26,000 Oct-20 TK3021A
15 Wida BES Plabot 20 44 26 Rp 9,646 Aug-19 270914
16 SanbeHest Plabot 4 5 Rp 214,280 Mar-19 TE3051A
17 Kaen 4 B Plabot 1 9 Rp 24,200 Mar-23 48C7OB
18 Otsu KCL Ampul 14 Rp 3,223 Dec-18 71L46A
19 Otsu D40 Ampul 12 2 7 Rp 3,223 Jan-20 96A48A
20 Aminofusin paed Btl 2 2 Rp 101,200 Feb-20 0020284B
21 kaen 3 B Plabot 9 3 7 Rp 10,697 Feb-21 48D71A
21 Wida NS Plabot 0 1 0 Rp - Dec-99 0
ALKES & BMHP

1 Abocath 18 G Pcs 28 10 42 11 Rp 16,500 Jun-21
2 Abocath 20 G Pcs 35 10 36 6 Rp 16,500 Aug-21
3 Abocath inflo 24 Pcs 1 1 1 Rp 20,000 Nov-20
4 Abbocath Inflo 26 Pcs 43 9 19 Rp 5,400 May-22
5 Bisturi No 24 Pcs 97 45 42 Rp 4,200 Aug-21
6 Bloodset OTSUKA Pcs 1 65 Rp 13,970 Sep-22
7 Bloodset nipro Pcs 32 50 53 Rp 13,419 Sep-22 102517
8 Cerflast Pcs 9 4 5 Rp 96,663 May-20 C326P534
9 Feeding tube No 8 ( NGT ) Pcs 17 6 5 Rp 26,693 Sep-20
10 Folleycatheter No 16 Pcs 15 20+10+3+10 47 7 Rp 18,500 Aug-21
11 Folleycatheter No 18 Pcs 1 1 Rp 16,900 Jan-19
12 Gamex 7,5 Pcs 171 40 173 21 Rp 9,500 Dec-22 1612603104
13 Gamex 8 Pcs 9 Rp 15,000 Nov-21
14 Gelang bayi Pcs 155 100 47 73 Rp 924
15 Gelang ibu Pcs 17 100 55 77 Rp 924
16 Curras Spont Pcs 7 1 7 Rp 50,000 May-21 2287A
17 Hansaplast Pcs 39 52 Rp 294
18 I.V Leukomed Pcs 58 50 62 48 Rp 3,600 Dec-20 50320812
19 Alkohol Swab One Swab Pcs 259 200+1000 265 860 Rp 126 Sep-19 15121788
20 Laminaria 4 mm ( M ) Pcs 6 1 8 Rp 92,400 Nov-22 12071601
21 Laminaria 5 mm ( L ) Pcs 5 3 5 3 Rp 92,400 Oct-22 12271701
22 Lomatuell Pcs 11 20+10+30 45 23 Rp 16,500 Oct-22 1748412209
23 Masker tali Pcs 66 200+50 550 Rp 350
24 Maxter 7,5 Pcs 93 300+50+50 449 114 Rp 3,273 Oct-22
25 Maxter 7 Pcs 0 Rp 3,273
26 Maxter 6 Pcs 32 Rp 3,273
27 Maxter 6,5 Pcs 123 50 Rp 3,273 Jul-22 56505640D
28 Muccus extractor Lotus Pcs 3 4 Rp 30,000 Jul-18
29 Nelaton No 10 Pcs 3 Rp 8,200
30 Nelaton No. 12 Pcs 4 Rp 8,200
31 Nelaton No 8 Pcs 3 Rp 8,200
32 Nova T 380 Pcs 7 2 9 10 Rp 247,757 T401N55
33 Okeplast Pcs 276 300 Rp 300
34 Possey Pcs 6 5+3 5 4 Rp 72,500
35 Selang operasi Pcs 16 6+3+6+10+10+50 45 48 Rp 19,800
36 Selang oxygen bayi Pcs 11 1 9 Rp 10,000
37 Selang oxygen dewasa Pcs 10 7 Rp 12,500
38 Spinocan ( jarum spinal) Pcs 25+10 47 25 Rp 40,000
39 Spuit 10 cc Terumo Pcs 200+200 417 279 Rp 3,750 Apr-23
40 Spuit 1cc BD Pcs 177 100 210 11 Rp 2,000 Dec-22
Spuite 1 cc Terumo Pcs 100 100 Rp 3,000 Jan-20 182028D
41 Spuite 3 CC Onemed Pcs 226 400 415 251 Rp 700 Mar-21 9041888
42 Spuite 5 CC Onemed Pcs 208 200 175 455 Rp 1,188 Apr-23 14051888
43 Umbilical Pcs 56 100 47 119 Rp 1,800 May-23 4061888
44 Underpad Pcs 23 30+20+20 56 24 Rp 3,500 Apr-21
45 Urinebag Pcs 26 30 47 24 Rp 4,100 Oct-22 3111788
46 Amsafe Gold (kerokan) Pcs 29 45 4 Rp 3,825
47 ST Non Steril Pcs 498 500 180 100 Rp 462
48 Infusion Set Anak Pcs 6 5 3 10 Rp 16,000 Aug-22 178H47E
49 Spalk Pcs 3 10 5 14 Rp 3,500
51 Suction Catheter NO 8 Pcs 28 10+15+10 49 9 Rp 8,500
52 Suction Catheter No 12 Pcs 1 Rp 7,000
53 BURET Pcs 17 5 5 Rp 75,000
54 Selang Oxygen Sungkup Pcs 1 2+2 5 Rp 50,000
55 Sevodex 250 ml Btl 1 1 Rp 2,717,000 Oct-19 2071611101
56 Needle 23 G BD Pcs 166 100 50 Rp 400
57 Pigeon Dot 120 ml Btl 22 20 45 5 Rp 22,330
58 Tas pulang Pcs 46 Rp 14,500
59 Washlap Pcs 22 45 84 Rp 2,500
60 Apron Box 1 1 47 100 Rp 400,000 Nov-22 4121788
61 Kassa Kompres Steril 40 x 40 Pcs 100 6 Rp 2,723 Dec-22 10011888
62 Sarung Tangan Panjang Pcs 5 Rp 32,791
63 Gown APD set Set 1 Rp 650,000
64 Gown Hogy SMS Pcs 4 Rp 90,000
65 Opsite Post 25 x 10 cm Pcs 11 21 36 19 Rp 41,800 May-22 1705
66 Postofix - PO Pcs 10 Rp 28,132 110/17
67 Bracket ABS BH pcs 7+10 Rp 18,700
68 Spuite JMI 10 CC Pcs 500 Rp 1,320
69 Safety Box 5 Lt Pcs 10
70 3 Way Stopcock Pcs 2 Rp 15,000
Produk CCP
NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HNA +PPN TGL ED NO. BATCH
1 Neurobion injek Ampul 20 4 17 Rp 6,607 Dec-19 K103235
2 Pamol supp Sup 3 h
3 Nupovel Injek Vial 4 5 15 6 Rp 84,150 Feb-19 20B006A
4 Cygest 400 mg Supp 26 30 Rp 26,620 Jun-20 NCB2489
5 Cygest 200 mg Supp 15 15 Rp 199,650 Oct-20 NCA409
6 Kaltrofen Supp Supp 77 50+50 264 97 Rp 11,000 Mar-20 KCKTFA82852
7 Pospargin 2 mg/ml Ampul 61 44 61 Rp 4,840 Dec-19 KAPPGA76004
8 Induxin Ampul 71 30+30 141 75 Rp 7,040 Jan-20 KAIDXB81015
9 Regivel Ampul 22 10+10+10 43 15 Rp 69,300 Apr-21 20DI93

NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HARGA POKOK TGL ED NO. BATCH
1 Sidola Minyak Telon 60 cc Btl 4 6 5 Rp 13,970 Dec-21 Z11117T
2 Sidola Minyak kayu putih 60 cc Btl 6 1 4 Rp 17,490 Jan-22 050118K
3 Kassa Kotak 16 x 16 Box 50 20 10+34 29 Rp 3,500
4 Kapas 500 gr Pcs 2 2 Rp 30,000
5 Peristaltic sum neck nipple Pcs 5 Rp 22,220
6 Chlorine (Natrii Hypo Clorit) Pcs 3 3 Rp 16,500 CI6098058
7 Alkohol 70 % 1 L Pcs 1 4 2 2 Rp 48,000 Mar-21
8 Ultrasonic Gel Pcs 1 1 Rp 16,500 870180302
9 E Care Handscrub 500 ml Btl Rp 104,000
10 Sterobac Hand Steril 400 ml Btl 1 1 Rp 75,000 Dec-19
11 Hand Soap Bratacare Pouch 9 6 Rp 10,000 Aug-20 906170902
12 Aseptic Gel 500 ml Btl 8 3 Rp 22,000 NOV-2022 25091788
13 One Scrub 4 % 500 ml Btl 11 11 Rp 82,500 Mar-22 18121788
14 Micropore 1 inc Pcs 9 12 6 3 Rp 22,597 A56
15 Micropore 1/2 inc Pcs 13 5+24 9 23 Rp 11,622 MM
16 Hypapix 10cmx5M Rol 2 1+2 45 1 Rp 135,500 71420230
17 Ethycloride Pcs 3 1 Rp 100,000
18 Kassa Gulung 40 x 80 Roll 5 2+2 4 4 Rp 99,000
19 Betadin sol 1Liter Pcs 0 2+3 2 1 Rp 149,303 Apr-22 EB18010
20 Easy T. Glucose Pcs 2 2 box Rp 125,000 Okt_19 18CC1
21 Tutup Kepala Oprasi Box 0 1+2 1 box Rp 77,440
Susu Formula
NO NAMA BARANG SATUAN S. AWAL S.MASUK S.KELUAR S.AKHIR HARGA POKOK TGL ED NO. BATCH
1 Frisianbaby 400gr Box 12 12 11 Rp 40,000 Feb-20 102BFJ3
2 Nutrilon baby Premature Kaleng 4 3 3 Rp 96,154 Nov-18 20181022
3 Nutrilon baby 1 Activduo bio Box 11 5+10 33 4 Rp 82,000 Jun-19 71217
4 SGM Bunda Box 24+24 36 16 Rp 15,500 Dec-19 131217SBCA
5 Frisianbaby 200gr Box 9 Rp 19,760
KETERANGAN
layak
3bulan
5 bulan
2 Bulan
LAYAK
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LAYAK
KETERANGAN
Recall
Recall
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KETERANGAN
Sudah di ganti BSP
Layak
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KETERANGAN
Tidak Layak
Tidak Layak
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KETERANGAN
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KETERANGAN
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MENUJU ED
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KETERANGAN
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MENUJU ED
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KETERANGAN
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KETERANGAN
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KETERANGAN
5 BULAN
MENUJU ED
KETERANGAN
Layak
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ED
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Menuju ED
Layak
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KETERANGAN
Layak
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KETERANGAN
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KETERANGAN
Layak
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Layak

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN AGUSTUS 2018

2 Onemed Tespack Pcs
3 Pharolyte Pcs
4 Renalyte Btl 5
5 B'GEN Ginger Latte Sachet
6 B'GEN Green Tea Sachet
7 Inlacta Cap 120 130 42
8 OBH Btl 3
9 Novarol Capsul 40

1 Biotichol 500 mg Tab
2 Cefat 500mg Tab
3 Ceptik 100 mg Tab
4 Theobron Tab
5 Acran Tab 44
6 Becom C Tab 100 20 29
7 Clabat Tab 51
8 Clanexi Cap 15 54
9 Cripsa Tab 20 30
10 Nutribreast Cap 3 41 10
11 Folavit Cap 55 254
12 Inbion Tab 100 70 81
13 Silex syr Btl 1 5
14 Dopamet Tab 91
15 Elkana Tab 90 57
16 Episan sirup 100 ml Btl 2 1 5
17 Femisic Tab 7
18 Tonotan Tab 20 40
19 Cravit 500mg Tab 10
20 Noprostol Tab 50 66 3
21 Mefinter Tab
22 Sanmol Forte Tab 100 1064 110
23 Tranec tab Cap
24 Nevox XR Tab 30
Novakal Tab 10
New Diatab Tab 12
25 Rantin 300mg Tab 20
27 Prostovit Tab 50
28 Prostam Tab
29 Bledstop Tab 30 85
30 Xevolac Tab
31 Metvell Tablet Tab
32 Hemafort Tab 105 95
33 Tiriz Kaplet Cap 10 20
34 Cerini Caplet Capl
35 Co - Amoxyclav 500 / 125 mg Capl 50
36 Folamil Genio Cap 5 210 90
37 Norelut Tab 60
38 Nutrimama 1 Cap 30 39
39 Nutrimama 2 Cap
40 KALNEX 500 mg Tab 45
41 Regumen Tab
42 Utrogestan 200 mg Cap 13
43 Prenamia Cap 50
44 Analtram Kaplet 10 20
45 Sporetik 200 Capsul 50 32 10
46 Sanmol 500 mg Tab 336
47 Sanmol Drop FLS 2

1 Biothicol syr Btl
2 Biothicol Forte syr Btl 1
3 Cefat dry sirup Btl 5
4 Cefat Forte Dry sirup Btl 1
5 Edotin syr Btl 2
6 Promuba Btl
Lasal Syrup Btl 1
7 Amobiotk Drop Btl 18 2
8 Tiriz Oral Drops Btl 4

1 Desolex Cr Pcs
2 Desolex N Pcs
Erlamycetin SM Pcs 1
Bephanten Pcs 1
3 Gentamicyn Salep pcs 42 8
4 Hydrocortison Salep Pcs 20

1 Allopurinol 100 Tab
2 Amlodipine 10 Tab 27 223
3 Amlodipine 5 Landson Tab 41 8
4 Captopril 25 Tab
5 Cefixime 100 Cap 550 600 189
6 Clindamicyn 300 Cap 15 350
7 Ethambutol Tab 88
8 Lansoprazole Tab 20 10 35
9 Ondansetrone Tab 80 50
10 CTM btl Tab
11 Paracetamol Tab 8
12 Amoxicillin Kapsul Cap 20
13 Cetirizine Tab 29 80
14 Asam Mefenamat Kaplet 10
15 Ranitidine Tab Tab 28
16 Ca.Lactat Tab 100 50 95
Scopamin 10
Biomega 10
Novakal 10
17 Omeprazole Cap 30 10
Injek Generik
1 Aminophiline Ampul 1 19
2 Atropine sulfat Ampul 5
3 Calcii Gluconas Ampul 1 23
4 Dexamethasone Ampul 28 62
5 Epinephrine Ampul
6 MGSO4 20% Btl 24
7 MGSO4 40% Btl 4 24
8 Vitamin C Ampul 41 9
9 Ephedrin Hcl Ampul 39 4
10 Ketorolac 3% Inj Ampul 40 52 58
11 Ranitidine Inj 50 mg/2 ml Ampul 125 92 96
12 Asam Traneksamat Inj 10 % Ampul 75 92 65
13 Ondansetron 4 mg Inj Ampul 100 79 49
15 Tramadol 100 mg/ 2 ml Injek Ampul 18 71
16 Cefotaxime injek Vial 100 83 60
17 Ceftriaxon Vial 7 42
18 Gentamicin 40 mg/ml Ampul 48 35
19 Ampicilin Ampul 11
20 Meropenem Vial 6
Injek Paten
1 Epidosin Ampul
2 Lasix Ampul
5 Ondavel inj Ampul 6
6 Primperan Ampul
8 Xevolac Inj Ampul 11
9 Furamin Injek Ampul 10 10 18
10 Cinam Injek Ampul 3
11 Amoxan injek Vial 170 129 61
12 Amoxan Drop FLS 6 2
13 Cefxon Vial 3 5
14 Lignovell Ampul 5 20 43
15 KTM injek Vial 1 10 2
16 Lapixime injek Vial 30 12 12
17 Vitadion Ampul 50 46 36
18 Sanpisilin Injek Ampul
19 Catapres Ampul 15
Nuvovel Injek Ampul 45
20 Neurobion Ampul 15
21 Aminofusin Paed Botol 2
22 San B Plex Drop 30 Botol
23 Vasodrin @ 1 ml Ampul
Benang Operasi
1 Optime 1 Pcs 26
2 Optime 2 Pcs 30 6
3 T-chromic 1 ( C 55 ) Pcs 34 45 2
4 T-chromic 2/0 ( C27 ) Pcs 47 45 12
5 T-Mono 4-0 ( M 50 ) Pcs 41
6 T-Vio 1 ( V 41 ) Pcs 44
7 T-vio 2 ( V 122 ) Pcs 6 43 6
8 T-Vio episiotomy ( V 66 ) Pcs 7 9
9 Chromic 2 atramat Pcs 24 1 8
10 PGA 1 Atramat Pcs
12 T-Chromic 1 Atramat Pcs
13 T-Chromic 2/0 Atramat Pcs 10 1
14 PGC 25 4/0 Pcs
15 Advantime 4/0 Pcs 12 14
LEMARI OKT
1 Fentanyl 2ml Ampul 12
2 Miloz Ampul
3 Valisanbe injek Ampul 6
4 Morfina 10mg/ml Ampul 36 11
5 Sedacum Ampul 49 58
6 Pethidin HCL Ampul 9
CAIRAN INFUS
1 Asering Otsu Plabot 7+3
2 D10 Otsu Plabot 6 2
3 D5 Wida Plabot 1 51
4 Metronidazol Inf Btl 179 79 119
5 Otsu W.I 25ml Btl 240 201 92
6 Paracetamol Infus Btl 1 5
7 Widahest Plabot 1 7
8 Futrolit Infus Plabot 96 46 44
9 Nulagyl Btl 87 83
10 Wida KDN 1 Plabot 55
11 Aquadest 1 liter wida Plabot 2 6
12 NS Otsu Plabot 20 54 4
13 Otsu RL Plabot 260 193 52
14 Tridex 27 B inf Plabot 1
15 Wida BES Plabot 40 55 6
16 SanbeHest Plabot 2
17 Kaen 4 B Plabot 9
18 Otsu KCL Ampul 14
19 Otsu D40 Ampul 7
20 Aminofusin paed Btl 2
21 kaen 3 B Plabot 5 2 10
Ns Sanbe Plabot 5
21 Wida NS Plabot 40 3
22 Otsu Salin Plabot 2
ALKES & BMHP
1 Abocath 18 G Pcs 50 41 13
3 Abocath inflo 24 Pcs 1
4 Abbocath Inflo 26 Pcs 11+3 9
5 Bisturi No 24 Pcs 20 45 24
6 Bloodset OTSUKA Pcs
7 Bloodset nipro Pcs 50 63 5
8 Cerflast Pcs 1
Feeding Tube No 6 ( NGT ) Pcs 1
9 Feeding tube No 8 ( NGT ) Pcs 2 2
10 Folleycatheter No 16 Pcs 30 12
11 Folleycatheter No 18 Pcs 20 32 8
12 Gamex 7,5 Pcs 160 173 135
13 Gamex 8 Pcs 7
14 Gelang bayi Pcs 47 45
15 Gelang ibu Pcs 63 65
16 Curras Spont Pcs 5
17 Hansaplast Pcs 1 112 65
18 I.V Leukomed Pcs 38 66 14
19 Alkohol Swab One Swab Pcs 469
20 Laminaria 4 mm ( M ) Pcs 3 3 4
21 Laminaria 5 mm ( L ) Pcs 2 6 6
22 Lomatuell Pcs 10 45 20
23 Masker tali Pcs 600 605 100
24 Maxter 7,5 Pcs 150 507 146
25 Maxter 7 Pcs 106
26 Maxter 6 Pcs
27 Maxter 6,5 Pcs 150 200
28 Muccus extractor Lotus Pcs 1 4
29 Nelaton No 10 Pcs
30 Nelaton No. 12 Pcs
31 Nelaton No 8 Pcs
32 Nova T 380 Pcs 11 13 8
33 Okeplast Pcs 296 300
34 Possey Pcs 6 2 4
35 Selang operasi Pcs 50 45 4
36 Selang oxygen bayi Pcs 4 6
37 Selang oxygen dewasa Pcs 4 2
38 Spinocan ( jarum spinal) Pcs 50 46 3
39 Spuit 10 cc Terumo Pcs 410 200
40 Spuit 1cc BD Pcs 200
Spuite 1 cc Terumo Pcs 182 162
41 Spuite 3 CC Onemed Pcs 400 451 250
42 Spuite 5 CC Onemed Pcs 139
43 Umbilical Pcs 48 69
44 Underpad Pcs 50 59 9
45 Urinebag Pcs 10 44 11
46 Amsafe Gold (kerokan) Pcs 44 4
47 ST Non Steril Pcs 500 516 200
48 Infusion Set Anak Pcs 10
49 Spalk Pcs 6 8
50 Suction Catheter NO 10 Pcs
51 Suction Catheter NO 8 Pcs 70 48 19
52 Suction Catheter No 12 Pcs
53 BURET Pcs 6 5 3
54 Selang Oxygen Sungkup Pcs 5
55 Sevodex 250 ml Btl
56 Needle 23 G BD Pcs 200 131 185
57 Pigeon Dot 120 ml Btl 30 42 2
Pendil 47
58 Tas pulang Pcs 45 9
59 Washlap Pcs 45
60 Apron Box 178 60
61 Kassa Kompres Steril 40 x 40 Pcs 10
62 Sarung Tangan Panjang Pcs 6
63 Gown APD set Set
64 Gown Hogy SMS Pcs 5
65 Opsite Post 25 x 10 cm Pcs 99 45 14
66 Postofix - PO Pcs
67 Bracket ABS BH pcs
68 Spuite JMI 10 CC Pcs 400 395
69 Safety Box 5 Lt Pcs
Masker L Pcs 1
Elektroda Pcs 2
70 3 Way Stopcock Pcs
Produk CCP
1 Neurobion injek Ampul 4 15
2 Pamol supp Sup 15
3 Nupovel Injek Vial 5 4
4 Cygest 400 mg Supp 5 21
5 Cygest 200 mg Supp 15
6 Kaltrofen Supp Supp 350 245 94
7 Pospargin 2 mg/ml Ampul 50 54 56
8 Induxin Ampul 210 170 60
9 Regivel Ampul 45 44 14

1 Sidola Minyak Telon 60 cc Btl 3 1
2 Sidola Minyak kayu putih 60 cc Btl 3
3 Kassa Kotak 16 x 16 Box 60 64 19
4 Kapas 500 gr Pcs 1
5 Peristaltic sum neck nipple Pcs
6 Chlorine (Natrii Hypo Clorit) Pcs 1
7 Alkohol 70 % 1 L Pcs 1 5
8 Ultrasonic Gel Pcs 1
9 E Care Handscrub 500 ml Btl 3
10 Sterobac Hand Steril 400 ml Btl
11 Hand Soap Bratacare Pouch 4
12 Aseptic Gel 500 ml Btl 5 2
13 One Scrub 4 % 500 ml Btl 9
14 Micropore 1 inc Pcs 17 8 9
15 Micropore 1/2 inc Pcs 24 10 3
16 Hypapix 10cmx5M Rol 3 44 2
17 Ethycloride Pcs
18 Kassa Gulung 40 x 80 Roll 6 8 2
19 Betadin sol 1Liter Pcs 9 7 5
Bisturi No 22 pcs 7
Lactacyd baby Pcs 1
20 Easy T. Glucose Pcs
21 Tutup Kepala Oprasi Box 400 191 3
Susu Formula
1 Frisianbaby 400gr Box 24 18 6
2 Nutrilon baby Premature Kaleng 3 4 1
3 Nutrilon baby 1 Activduo bio Box 25 27 4
4 SGM Bunda Box 48 46 15
Paket Cusson 44
5 Frisianbaby 200gr Box
SI RSIA dr. Hj. KARMINI, EH
a Shovia., S.Farm., Apt

/SIPA_32.78/2017/2.263
BAT BULAN AGUSTUS 2018

Rp 1,320 Mar-19 1041688 layak
Rp 1,100 Oct-18 E8J027
Rp 15,400 Dec-18 NL1141 MENUJU ED
Rp 6,380 Jul-20 KO67H012 LAYAK

Rp 4,500 Oct-21 710114 LAYAK
Rp 19,187 Nov-20 4310016 LAYAK

Rp 3,120
Rp 9,839
Rp 22,000 Nov-18 K050F012 MENUJU ED
Rp 1,100 Oct-19 K041E526 LAYAK
Rp 4,895 Dec-19 SM2820 LAYAK
Rp 1,353 Aug-20 TH8482 LAYAK
Rp 14,850 Apr-19 T091G005 LAYAK
Rp 12,606 Jan-20 UA4264A LAYAK
Rp 16,280 Sep-20 UC29D1 LAYAK
Rp 8,579 Nov-21 4411001 LAYAK
Rp 847 Dec-20 TM2093 LAYAK
Rp 1,966 Nov-19 K034G041 LAYAK
Rp 47,575 Nov-19 14220M LAYAK
Rp 2,057 Dec-20 4234412 LAYAK
Apr-20 0527AB LAYAK
Rp 1,111 Apr-20 RD7121 LAYAK
Rp 3,218 Jun-19 A7F667 LAYAK
Rp 40,700 Dec-18 732198 LAYAK
Rp 10,640 Sep-19 19KO13 MENUJU ED
Rp 1,386
Rp 352 Feb-20 4B5497 LAYAK
Rp 2,926 Oct-18 ED
Rp 2,017 Feb-19 KTNVRK61166 LAYAK
Rp 6,527 Jan-20 731104 LAYAK

Rp 3,256 Sep-18 81094 LAYAK
Rp 9,680 Apr-21 182012 LAYAK
Rp 578 Sep-21 4A2391 LAYAK
Rp 7,260 Apr-20 18H18 LAYAK
Rp 2,475
Rp 850 Dec-22 6026013 LAYAK
Rp 3,762 Jan-22 4087 LAYAK
Rp 3,498 Jul-21 TD2764A LAYAK
Rp 4,400 Mar-19 48D3037 LAYAK
Rp 3,850 Oct-20 49A3042 LAYAK
Rp 4,400 Jan-20 49B3041 LAYAK
Rp 9,009 Apr-20 4407037 LAYAK
Rp 9,449
Rp 3,300 Sep-20 KTKNAK75879 LAYAK
Rp 3,850 Oct-20 7J2588 LAYAK
Rp 20,380 May-20 1951 LAYAK
Rp 1,128 NOV-2020 TL2933 LAYAK
Rp 8,622
Rp 29,887 Mar-20 UD4505C LAYAK
Rp 16,390 Mar-21 UC1668 LAYAK

Rp 17,990 Jul-18
Rp 55,990 Mar-19 Mar-19 Layak
Rp 43,670 Feb-19 Feb-19 Layak
Rp 65,000 Oct-18 Sep-18 MENUJU ED
Rp 33,000 Jun-19 Jun-19 Layak
Rp 35,000 May-18
Rp 22,523 May-19 May-19 Layak

Rp 62,700 Aug-21 Aug-21 Layak

Rp 20,000
Rp 2,127 May-22 Eb0994T Layak

Rp 2,475 Dec-21 Layak

Rp 151 May-18
Rp 850 May-19 HTALN082037 Layak
Rp 477 Feb-20 HTALNC81031 Layak
Rp 2,395 Oct-20 KCFMB80391 Layak

Rp 1,376 Dec-21 EBA003 Layak
Rp 521 Sep-18 1307009 ED
Rp 1,400 Jun-20 KLSPA70043 Layak
Rp 1,767 Aug-20 J5170342 Layak
Rp 76 Jun-18 20301406 ED
Rp 158 Oct-22 Layak
Rp 270 Oct-20 48L3023 Layak
Rp 313 Jan-20 HTCTRB82078 Layak
Rp 218 May-21 48L0029 Layak
Rp 108 Sep-20 4854122 Layak
Rp 150 Oct-20 95322025CC Layak
Rp 409 Oct-20 KOPZA80102 Layak

Rp 3,300 Nov-19 15L0009 Layak
Rp 2,120 Mar-19 15C0316 Layak
Rp 22,000 Nov-21 97KL0084 Layak
Rp 2,162 Jan-21 PIBHHB07947 Layak
Rp 9,499 15607947 MENUJU ED
Rp 3,200 Aug-19 71H47B Layak
Rp 6,413 Sep-19 97L10100 LAYAK
Rp 27,500 Nov-18 P162352 MENUJU ED
Rp 10,692 Feb-20 2380476 Layak
Rp 2,442 Mar-21 2380477 Layak
Rp 5,487 Apr-20 2480780 Layak
Rp 5,500 Jan-21 2580991 Layak
Rp 6,402 Jan-21 20A109 LAYAK
Rp 6,930 Nov-19 48J0133 LAYAK
Rp 11,000 Mar-20 223732 Layak
Rp 3,693 Apr-20 BF188007 Layak
Rp 10,560 Apr-20 tk40007 Layak
Rp 99,000 Jul-20 PSH25646 Layak

Rp 10,000
Rp 10,500
Rp 28,710 Aug-19 1862274 Layak
Rp 10,816
Rp 32,670 Dec-19 18MO954 LAYAK
Rp 10,189 May-20 F8E418 Layak
Rp 145,750 Dec-18 TF4239
Rp 23,430 Feb-20 4B6441 MENUJU ED
Rp 23,430 Jun-20 4G6641 Layak
Rp 198,550 Jun-20 C0098 Layak
Rp 19,800 May-21 20C331 Layak
Rp 110,110 Mar-20 18C1008 Layak
Rp 90,750 Feb-20 AB027 Layak
Rp 12,760 Mar-20 IVDNA80008 Layak
Rp 16,764
Rp 60,878 Oct-21 628170B
Rp 8,573 Dec-19 K103235 Layak

Rp 101,200 Feb-20 0030284C Layak
Rp 18,040
Rp 44,000

Rp 74,338
Rp 91,899 Jul-22 Layak
Rp 91,437
Rp 90,000
Rp 107,800 Jan-19 Layak
Rp 70,000 Aug-22 1174048 Layak
Rp 90,000
Rp 95,000
Rp 70,000
Rp 65,000
Rp 78,236
Rp 84,397 May-22

Rp 48,400 Sep-20 5D5J LAYAK
Rp 19,800
Rp 17,072 Apr-19 TD3439 Layak
Rp 10,500 Oct-20 D80967J Layak
Rp 20,500 Dec-19 2180001 Layak
Rp 119,922 May-21 EG0871J Layak

Rp 22,000 Nov-20 SB86K47A
Rp 15,932 Nov-19 47K78A
Rp 11,972 Jan-20 270207
Rp 22,000 Mar-21 2580897
Rp 2,860 Jun-21 78C48A
Rp 46,750 Oct-19 KYZE082
Rp 66,537 Dec-21 280104
Rp 36,799 May-21 UE3081B
Rp 49,000
Rp 16,335 Apr-21 270505
Rp 27,280 Feb-20 170302
Rp 6,500 Mar-23 48D78A
Rp 7,150 May-23 48E71A1
Rp 26,000 May-20 TK3021A
Rp 9,646 Aug-19 270914
Rp 214,280 Jun-20 TE3051A
Rp 24,200 Mar-23 48C7OB
Rp 3,223 Dec-18 71L46A MENUJU ED
Rp 3,223 Jan-20 96A48A
Rp 101,200 Feb-20 0020284B
Rp 10,697 Apr-21 48D71A
Rp -

Rp 16,500 Oct-21 19106 Layak
Rp 16,500 Jan-22 25017 Layak
Rp 20,000 Mar-21 60047 Layak
Rp 5,400 May-22 70308 Layak
Rp 4,200 Layak
Rp 13,970 Layak
Rp 13,419
Rp 96,663 Layak
Rp 26,693 Layak
Rp 18,500 Layak
Rp 16,900 Jun-21 1.81E+05 Layak
Rp 9,500 Layak
Rp 15,000 Layak
Rp 924 Layak
Rp 924 Layak
Rp 50,000 May-21 22874 Layak
Rp 294 Layak
Rp 3,600 Jan-22 70620812 Layak
Rp 126 Apr-21 7051888 Layak
Rp 92,400 May-22 6011701 Layak
Rp 16,500 Oct-22 1748412209 Layak
Rp 350 Layak
Rp 3,273 Layak
Rp 3,273
Rp 3,273 Layak
Rp 3,273 Layak
Rp 30,000 ED
Rp 8,200
Rp 8,200
Rp 8,200
Rp 247,757 Layak
Rp 300
Rp 72,500
Rp 19,800
Rp 10,000
Rp 12,500
Rp 40,000
Rp 3,750 Layak
Rp 2,000 Layak
Rp 3,000 Layak
Rp 700 Layak
Rp 1,188 Layak
Rp 1,800 Apr-23 12051888 Layak
Rp 3,500 Layak
Rp 4,100 Layak
Rp 3,825 Layak
Rp 462 Layak
Rp 16,000 Layak
Rp 3,500 Layak
Rp 9,000
Rp 8,500 Layak
Rp 7,000
Rp 75,000 Layak
Rp 50,000 Layak
Rp 2,717,000 Menuju ED
Rp 400 Mar-23 8080307 Layak
Rp 22,330 Layak
Rp 14,500 Layak
Rp 2,500 Layak
Rp 32,791
Rp 650,000
Rp 90,000 Sep-20
Rp 28,132
Rp 18,700
Rp 1,320 Jun-23
Rp 15,000

Rp 6,607 Dec-19 K103235 Layak
h Feb-20 R001H005
Rp 84,150 Jan-20 20B006A Layak
Rp 26,620 Jun-20 NCB2489 Layak
Rp 199,650 Oct-20 NCA409 Layak
Rp 11,000 Apr-20 KCKTFA82852 Layak
Rp 4,840 Feb-20 KAPPGA76004 Layak
Rp 7,040 May-20 KAIDXB81015 Layak
Rp 69,300 Jun-21 20DI93 Layak

Rp 13,970 Nov-21 Z11117T Layak
Rp 17,490 Jan-22 050118K Layak
Rp 3,500 Mar-23 Layak
Rp 30,000
Rp 22,220
Rp 16,500 CI6098058 Layak
Rp 48,000 Jul-21 Layak
Rp 16,500 870180302 Layak
Rp 104,000
Rp 75,000 Dec-19
Rp 10,000 Aug-20 906170902 Layak
Rp 22,000 NOV-2022 1821786 Layak
Rp 82,500 Nov-20 18121788 Layak
Rp 22,597 Aug-22 A56 Layak
Rp 11,622 Oct-22 MM Layak
Rp 135,500 71420230 Layak
Rp 100,000
Rp 99,000 Layak
Rp 149,303 Jun-22 GB18024 Layak
Rp 125,000 18CC1 Layak

Rp 77,440

Rp 40,000 Feb-20 102BING Layak
Rp 96,154 Mar-20 20181022 Layak
Rp 82,000 Nov-19 71217 Layak
Rp 15,500 Jun-20 2406185BCA Layak
Rp 19,760

SIPA : 19880819/SIPA_32.78/2017/2.263
LAPORAN STOK OBAT BULAN SEPTEMBER 2018

NO NAMA BARANG SATUAN S.AKHIR S. MASUK S. KELUAR
2 Onemed Tespack Pcs 1
3 Pharolyte Pcs 38
4 Renalyte Btl 5
5 B'GEN Ginger Latte Sachet
6 B'GEN Green Tea Sachet
7 Inlacta Cap 70 60+30
8 OBH Btl 3
9 Novarol Capsul 40

NO NAMA BARANG SATUAN S.AKHIR
1 Biotichol 500 mg Tab
2 Cefat 500mg Tab
3 Ceptik 100 mg Tab 10
4 Theobron Tab 95
5 Acran Tab 38
Alinamin F 12
6 Becom C Tab 145 100+100 140
7 Clabat Tab 1
8 Clanexi Cap 34
9 Cripsa Tab 90 60
10 Nutribreast Cap 40 40 26
11 Folavit Cap 234
12 Inbion Tab 51
13 Silex syr Btl 4 5 4
14 Dopamet Tab 20
15 Elkana Tab 55
16 Episan sirup 100 ml Btl 4
17 Femisic Tab 6
18 Tonotan Tab 2 33
19 Cravit 500mg Tab
20 Noprostol Tab 71 100 48
21 Mefinter Tab
22 Sanmol Forte Tab 345 500+500 944
23 Tranec tab Cap 10
24 Nevox XR Tab
Novakal Tab 130
New Diatab Tab
25 Rantin 300mg Tab 2
27 Prostovit Tab 50
28 Prostam Tab 30
29 Bledstop Tab 85
30 Xevolac Tab 5
31 Metvell Tablet Tab 4
32 Hemafort Tab 220 200
33 Tiriz Kaplet Cap 10 30
34 Cerini Caplet Capl 17
35 Co - Amoxyclav 500 / 125 mg Capl 30
36 Folamil Genio Cap 90 60+30
37 Norelut Tab 50 30
38 Nutrimama 1 Cap 30 30 19
39 Nutrimama 2 Cap
40 KALNEX 500 mg Tab 110
41 Regumen Tab 31
42 Utrogestan 200 mg Cap 13
43 Prenamia Cap 40 1
44 Analtram Kaplet 38 2
45 Sporetik 200 Capsul 74
20+10+20+30+20+20+30+20+50
131
46 Sanmol 500 mg Tab 286 38
47 Sanmol Drop FLS 2
48 Forgesic Tab 10
Probiostim Cap 60+30+60+30 90
Promavit Cap 60
Cal-95 TAb 30
49 Anemolat Tab 300

1 Biothicol syr Btl
2 Biothicol Forte syr Btl 1
3 Cefat dry sirup Btl 4
4 Cefat Forte Dry sirup Btl 1
5 Edotin syr Btl 2
6 Promuba Btl
Lasal Syrup Btl 4
7 Amobiotk Drop Btl 2
8 Tiriz Oral Drops Btl 4
9 Silex syr btl 4
10 Novagesic syr btl 28

1 Desolex Cr Pcs 1
2 Desolex N Pcs
Transpulmin BB 1
Erlamycetin SM Pcs 2
Bephanten Pcs
3 Gentamicyn Salep pcs 76 140
4 Hydrocortison Salep Pcs 20

1 Allopurinol 100 Tab
2 Amlodipine 10 Tab 217 21
3 Amlodipine 5 Landson Tab 35 10
4 Captopril 25 Tab
5 Cefixime 100 Cap 320 150+200+250
6 Clindamicyn 300 Cap 400
7 Ethambutol Tab 88
8 Lansoprazole Tab 25 20 10
9 Ondansetrone Tab 14 30
10 CTM btl Tab
11 Paracetamol Tab 2 5
12 Amoxicillin Kapsul Cap 127 100 24
13 Cetirizine Tab 140 100
14 Asam Mefenamat Kaplet 50 10
15 Ranitidine Tab Tab 20
16 Ca. Lactat Tab 35
Scopamin
Biomega
Novakal 130
Misoprostol Tab 30
17 Omeprazole 94 36
Injek Generik
1 Aminophiline 17
2 Atropine sulfat 3
3 Calcii Gluconas 19
4 Dexamethasone 37
5 Epinephrine
6 MGSO4 20% 25
7 MGSO4 40% 19 2
8 Vitamin C 47
9 Ephedrin hcl/Vasodrin 20
10 Ketorolac 3% Inj 48 40+50 46
11 Ranitidin Inj 50 mg/2 ml 90 75 75
12 Asam Traneksamat Inj 10 % 71 10+40+40 95
13 Ondansetron 4 mg Inj 57 50+20 57
15 Tramadol 100 mg/ 2 ml Injek 47 25
16 Cefotaxime injek 64 50
17 Ceftriaxon 38
18 Gentamicin 40 mg/ml 39 50
19 Ampicilin 3
20 Meropenem 3
Methyl Prednisolon 1
21 Omeprazole inj 10
22 Phenytoin Sodium 5
23 Piracetam 4
Ventolin Nebu 1
24 Xevolac 11
25 Ondansetron 8mg inj 18 20 4
Injek Paten
1 Epidosin Ampul
2 Lasix Ampul
5 Ondavel inj Ampul 6 10
6 Primperan Ampul
8 Xevolac Inj Ampul 11
9 Furamin Injek Ampul 11
10 Cinam Injek Ampul 3
11 Amoxan injek Vial 77 30+50+50 98
12 Amoxan Drop FLS 4 5+2 5
13 Cefxon Vial 3 2+5
14 Lignovell Ampul 35 16
15 KTM injek Vial 19
Kliran Injek 2
16 Lapixime injek Vial 4 3+12+2+10 31
Lasix 1
17 Vitadion Ampul 62 30+25 37
18 Sanpisilin Injek Ampul 11
19 Catapres Ampul 6
Nuvovel Injek Ampul 9
20 Neurobion Ampul 14
21 Aminofusin Paed Botol 2
22 San B Plex Drop 30 Botol 1
23 Vasodrin @ 1 ml Ampul
Benang Operasi
1 Optime 1 Pcs 9 12+12
2 Optime 2 Pcs 18 12+12
3 T-chromic 1 ( C 55 ) Pcs 21 12+6+12+12+9 39
4 T-chromic 2/0 ( C27 ) Pcs 24 6+12+12+12 39
5 T-Mono 4-0 ( M 50 ) Pcs 39
6 T-Vio 1 ( V 41 ) Pcs 37
7 T-vio 2 ( V 122 ) Pcs 4 37
8 T-Vio episiotomy ( V 66 ) Pcs 11 3
9 Chromic 2 atramat Pcs 7
12 T-Chromic 1 Atramat Pcs
13 T-Chromic 2/0 Atramat Pcs
14 PGC 25 4/0 Pcs
15 Advantime 4/0 Pcs 7 16
LEMARI OKT
1 Fentanyl 2ml Ampul 15 10
2 Miloz Ampul
3 Valisanbe injek Ampul 6
4 Morfina 10mg/ml Ampul 10 20
5 Sedacum Ampul 70 50 35
6 Pethidin HCL Ampul 9
7 Durogesic 3
8 Diazepam tab tab 90
CAIRAN INFUS
1 Asering Otsu Plabot 32 24 4
Asering Sanbe 26
2 D10 Otsu Plabot 16 1
3 D5 Wida Plabot 38
4 Metronidazol Inf Btl 61 67
5 Otsu W.I 25ml Btl 287 120+240 163
6 Paracetamol Infus Btl 6 5
7 Widahest Plabot 6
8 Futrolit Infus Plabot 135 48+72
9 Nulagyl Btl 5 16+15+5+12 32
10 Wida KDN 1 Plabot 62 3
11 Aquadest 1 liter wida Plabot 8
12 NS Otsu Plabot 29 40+20 57
13 Otsu RL Plabot 58 60+60+40 197
14 Tridex 27 B inf Plabot 1
15 Wida BES Plabot 38 40+20 37
16 SanbeHest Plabot 1
17 Kaen 4 B Plabot 9
18 Otsu KCL Ampul 14
19 Otsu D40 Ampul 5
20 Aminofusin paed Btl 2
21 kaen 3 B Plabot 10
Ns Sanbe Plabot 3
21 Wida NS Plabot
22 Otsu Salin Plabot
23 SanbeHest 1
ALKES & BMHP
3 Abocath inflo 24 Pcs 2
4 Abbocath Inflo 26 Pcs 16 20+20 6
5 Bisturi No 24 Pcs 12
6 Bloodset OTSUKA Pcs 6
7 Bloodset nipro Pcs 31 50
8 Cerflast Pcs 5
Feeding Tube No 6 ( NGT ) Pcs
9 Feeding tube No 8 ( NGT ) Pcs 7 10
10 Folleycatheter No 16 Pcs
11 Folleycatheter No 18 Pcs 49 2+18+10+10+10+10
12 Gamex 7,5 Pcs 158 80+80
13 Gamex 8 Pcs 7
14 Gelang bayi Pcs 156
15 Gelang ibu Pcs 72
16 Curras Spont Pcs 4
17 Hansaplast Pcs
18 I.V Leukomed Pcs 15
19 Alkohol Swab One Swab Pcs 896 100 247
20 Laminaria 4 mm ( M ) Pcs 6 1+1+3+3 7
21 Laminaria 5 mm ( L ) Pcs 4 1+1+3+3 6
22 Lomatuell Pcs 28 10+30 39
23 Masker tali Pcs 100 150+150 635
24 Maxter 7,5 Pcs 239 200+50+150 406
25 Maxter 7 Pcs
26 Maxter 6 Pcs
27 Maxter 6,5 Pcs 50 118
28 Muccus extractor Lotus Pcs 4
29 Nelaton No 10 Pcs
30 Nelaton No. 12 Pcs
31 Nelaton No 8 Pcs
32 Nova T 380 Pcs 7 5+3 6
33 Okeplast Pcs 300
34 Possey Pcs 5 3 1
35 Selang operasi Pcs 21 37
36 Selang oxygen bayi Pcs 2 5
37 Selang oxygen dewasa Pcs 11 3
38 Spinocan ( jarum spinal) Pcs 15
Spinocan No 25 10
Spinocan No 26 15
39 Spuit 10 cc JMI Pcs 681 300+300 363
40 Spuit 1cc BD Pcs
Spuite 1 cc Terumo Pcs 237 100 148
43 Umbilical Pcs 96 50 38
44 Underpad Pcs 17 10+20+20+20 54
45 Urinebag Pcs 20 20 38
46 Amsafe Gold (kerokan) Pcs 35 39
47 ST Non Steril Pcs 400 300+400 573
48 Infusion Set Anak Pcs 12
49 Spalk Pcs 5 3
50 Suction Catheter NO 10 Pcs
51 Suction Catheter NO 8 Pcs 8 10+10+19 38
52 Suction Catheter No 12 Pcs
53 BURET Pcs 8 4
54 Selang Oxygen Sungkup Pcs 4
55 Sevodex 250 ml Btl 1
56 Needle 23 G BD Pcs 138 100 113
57 Pigeon Dot 120 ml Btl 7 30 26
Pendil 39
58 Tas pulang Pcs 25
Treeway Stopcock Pcs 4 2
59 Washlap Pcs 52 39
60 Apron Box 1 100 247
61 Kassa Kompres Steril 40 x 40 Pcs
62 Sarung Tangan Panjang Pcs 6
63 Gown APD set Set
64 Gown Hogy SMS Pcs 5
65 Opsite Post 25 x 10 cm Pcs 13
66 Postofix - PO Pcs 25 20 36
prolic 23
67 Bracket ABS BH pcs
68 Spuite JMI 10 CC Pcs 681
69 Safety Box 5 Lt Pcs
Masker L Pcs 1
Elektroda Pcs 2
70 Spinocan 26 6 40
71 Spuit 10 cc Terumo pcs 200
72 Abbcath inflo 20 2
73 Feeding Tube 18 2
74 3 Way Stopcock Pcs 4
Produk CCP
1 Neurobion injek Ampul 14 2
2 Pamol supp Sup 15
3 Nupovel Injek Vial 19 5+10 39
6 Kaltrofen Supp Supp 108 80+100+70
Trammal Supp 1
7 Pospargin 2 mg/ml Ampul 53 50 57
8 Induxin Ampul 90 60+50+50
9 Regivel Ampul 23 15+10+10+15 36

1 Sidola Minyak Telon 60 cc Btl 4 10 5
2 Sidola Minyak kayu putih 60 cc Btl
3 Kassa Kotak 16 x 16 Box 34 20+20+10 9
4 Kapas 500 gr Pcs 1
5 Peristaltic sum neck nipple Pcs
6 Chlorine (Natrii Hypo Clorit) Pcs 1
7 Alkohol 70 % 1 L Pcs 3
8 Ultrasonic Gel Pcs
9 E Care Handscrub 500 ml Btl
10 Sterobac Hand Steril 400 ml Btl 1
11 Hand Soap Bratacare Pouch 1 3
12 Aseptic Gel 500 ml Btl 4 3+2
13 One Scrub 4 % 500 ml Btl 9
14 Micropore 1 inc Pcs 23 12 3
15 Micropore 1/2 inc Pcs 10 9
16 Hypapix 10cmx5M Rol 1 1
17 Ethycloride Pcs 3
18 Kassa Gulung 40 x 80 Roll 6.
19 Betadin sol 1Liter Pcs 4 4 5
Bisturi No 22 pcs 7
Lactacyd baby Pcs
20 Easy T. Glucose Pcs
21 Tutup Kepala Oprasi Box 50 100
22 Kassa Bunda 50gr 9
Susu Formula
1 Frisianbaby 400gr Box 10
2 Nutrilon baby Premature Kaleng 2 3+2 2
3 Nutrilon baby 1 Activduo bio Box 11 10+15 18
4 SGM Bunda Box 9 24
Paket Cusson
5 Frisianbaby 200gr Box 2
RSIA dr. Hj. KARMINI, EH
Shovia., S.Farm., Apt

IPA_32.78/2017/2.263
BULAN SEPTEMBER 2018
HNA+PPN Tanggal ED No. Batch Keterangan

Mar-19 10441688 LAYAK
Oct-18 EDJ027 MENUJU ED
Dec-18 NL1141 MENUJU ED
Jul-20 K067H013 LAYAK

Oct-21 710114 LAYAK
Nov-20 4310016 LAYAK
Tanggal ED No. Batch Keterangan
Nov-18 K050F12 MENUJU ED

Oct-02 K04E026 LAYAK
Dec-19 SM2820 LAYAK
Apr-21 UD8594 LAYAK
Jan-20 UA4264A LAYAK

Rp 16,280 Nov-20 UE2320 LAYAK
Rp 8,459 May-22 LAYAK
Feb-21 UB2711 LAYAK
May-20 KO34H016 LAYAK
Rp 49,954 Apr-20 0527AB LAYAK
Dec-20 LAYAK
Mar-20 LAYAK
Apr-20 UD9838 LAYAK
Jan-20 A8A136 LAYAK
Rp 10,640 Jun-21 LAYAK
Rp 352 Oct-19 LAYAK
Apr-22 180405105 LAYAK

Sep-18 ED
Oct-18 ED
Sep-19 TJ2581 LAYAK
Rp 835 Apr-24 LAYAK

Oct-21 D4087 LAYAK
Apr-20 LAYAK
Mar-19 4D83037 LAYAK
Mar-20 49D30D4 LAYAK
Apr-22 49E3054 LAYAK
Apr-21 KTKNXK82 LAYAK
May-20 LAYAK
Nov-20 TL2933 LAYAK
Jul-22 T5148 LAYAK
Rp 29,887 Jul-20 UG4747A LAYAK
Mar-20 UC8174 LAYAK
Mar-21 UC1668 LAYAK
Oct-18 KPL6543
Rp 10,241 Mar-19 IJ1760 LAYAK
Apr-20 W3118 LAYAK
May-23 Aug-31 LAYAK
May-20 16137006 LAYAK
Mar-19 RC9061 LAYAK

Feb-19 SB4636 LAYAK
Oct-18 RK4688 LAYAK
Jun-19 4.60E+180 LAYAK
May-19 SKF12545 LAYAK

Apr-21 D5087 LAYAK
Apr-20 0527AB LAYAK
Sep-20 LAYAK

May-18 EVS01A1 ED
Sep-17 ED
May-22 E810031 LAYAK
Mar-20 HTALND82037 LAYAK

Jun-20 LAYAK
Rp 1,358 Aug-20 KCFMB80498 LAYAK

Dec-21 EA1027 LAYAK
Sep-18 ED
Jul-20 KLSPA80094 LAYAK
Aug-20 48H036 LAYAK
Jul-20 CAMXA80508 LAYAK

Aug-20 HTCTRB74031 LAYAK
May-21 48L0029 LAYAK
Jul-18 ED
Apr-22 LAYAK
Jun-20 49F0571 LAYAK

Nov-19 15L0009 LAYAK
Mar-19 16C0316 LAYAK
Nov-21 97LL0034 LAYAK
Jan-21 PIB07947 LAYAK
Aug-19 71H47B LAYAK

Apr-20 95D484 LAYAK
May-20 P1821322 LAYAK

Jan-19 2270229 LAYAK
Mar-20 2380479 LAYAK
Apr-21 2480776 LAYAK
Apr-20 2580993 LAYAK
Jan-21 20A328 LAYAK
Oct-19 4830267 LAYAK
May-19 223732 LAYAK
Rp 3,665 Mar-20 BF18B024 LAYAK
Dec-19 PSN52246 LAYAK
Dec-19 PSN52246 LAYAK
Aug-19 2180105 LAYAK

Nov-19 19L1617 LAYAK
Feb-21 20A395 LAYAK
Dec-19 18M095A LAYAK

Dec-19 2280285 LAYAK
Aug-19 186227a LAYAK
Dec-19 18M095A LAYAK

Mar-20 F8C LAYAK
Dec-18 LAYAK
Rp 23,430 Feb-20 LAYAK
Rp 23,430 Mar-21 LAYAK
Mar-20 LAYAK
Mar-20 LAYAK
Mar-20 LAYAK
Jun-20 LAYAK
Oct-21 LAYAK
Jul-20 LAYAK
Dec-19 LAYAK
Feb-20 LAYAK
Sep-19 LAYAK

Rp 74,338 Aug-21 LAYAK
Rp 91,899 Jul-22 LAYAK
Jul-23 LAYAK
Dec-22 LAYAK
Jan-19 LAYAK
Dec-20 LAYAK
May-22 LAYAK
Nov-22 LAYAK

Rp 48,400 Dec-20 LAYAK
Apr-19 LAYAK
Oct-20 LAYAK
May-21 LAYAK
Jan-20 LAYAK
Feb-21 LAYAK

Jun-21 LAYAK
Jun-20 LAYAK
Jan-20 LAYAK
Mar-21 LAYAK
Jul-21 LAYAK
Jun-20 LAYAK
Dec-21 LAYAK
Jul-21 LAYAK
Apr-21 LAYAK
Feb-20 LAYAK
Apr-23 LAYAK
May-20 LAYAK
Apr-20 LAYAK
May-19 LAYAK
Mar-23 LAYAK
Dec-18 MENUJU ED
Jan-20 LAYAK
May-21 LAYAK
Jun-19 LAYAK
Jun-20 LAYAK
Mar-21 LAYAK
Apr-22 LAYAK
Sep-22 LAYAK
Sep-22 LAYAK
Apr-23 LAYAK
May-20 LAYAK
Dec-20 LAYAK
Jul-21 LAYAK
Rp 9,800 Jan-23 LAYAK
Nov-21 LAYAK
May-21 LAYAK
Oct-23 LAYAK
Aug-22 LAYAK
Jan-23 LAYAK
Rp 23,100 Jan-23 LAYAK
Mar-23
Feb-18 ED
Jul-18 ED
Rp 247,757 Nov-20 LAYAK
Jun-23 LAYAK
Sep-19 LAYAK
Nov-19 LAYAK
Jun-23 LAYAK
Mar-23 LAYAK
May-23 LAYAK
Aug-22 LAYAK
Oct-19 LAYAK
Apr-23 LAYAK
Dec-22 LAYAK
Jun-23 LAYAK
Jun-19 LAYAK
Feb-23 LAYAK
Jul-22 LAYAK
Dec-21 LAYAK

Dec-19 LAYAK
Feb-20 LAYAK
Rp 84,150 Jul-20 LAYAK
Apr-20 LAYAK
Oct-20 LAYAK
May-20 LAYAK
May-20 LAYAK
May-20 LAYAK

Rp 17,050 Feb-22 LAYAK
Jul-23 LAYAK
Jul-21 LAYAK
Sep-19 LAYAK
Jun-21 LAYAK
Nov-20 LAYAK
Oct-22 202210KZG LAYAK
Mar-19 LAYAK
LAYAK
LAYAK

Apr-20 LAYAK
Mar-20 LAYAK
Dec-19 LAYAK
Jul-20 LAYAK
Jun-20 LAYAK

Stock Opname Ifrs 2018

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INSTALASI FARMASI RSIA dr. Hj.

Apoteker : Via Shovia., S.Farm., Apt

Obat Bebas / Obat Bebas Terbatas

Obat Paten ( Tablet / Capsul )

Obat Paten ( Syirup )

Semisolid ( Salep / Cream )

Obat Generik ( Tablet / Capsul )

ALKES & BMHP

Kebutuhan Ruang Perawatan

ia Shovia., S.Farm., Apt

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA +PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA +PPN Total TGL ED NO. BATCH KETERANGAN

HARGA POKOK Total TGL ED NO. BATCH KETERANGAN

Obat Bebas / Obat Bebas Terbatas

Obat Paten ( Tablet / Capsul )

Obat Paten ( Syirup )

Semisolid ( Salep / Cream )

Obat Generik ( Tablet / Capsul )

ALKES & BMHP

Kebutuhan Ruang Perawatan

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

NO. BATCH KETERANGAN

Apoteker : Via Shovia., S.Farm., Apt

Obat Bebas / Obat Bebas Terbatas

Obat Paten ( Tablet / Capsul )

Obat Paten ( Syirup )

Semisolid ( Salep / Cream )

Obat Generik ( Tablet / Capsul )

ALKES & BMHP

Kebutuhan Ruang Perawatan

a Shovia., S.Farm., Apt

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA + PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA +PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA+PPN Total TGL ED NO. BATCH KETERANGAN

HNA +PPN Total TGL ED NO. BATCH KETERANGAN

HARGA POKOK Total TGL ED NO. BATCH KETERANGAN

HARGA POKOK Total TGL ED NO. BATCH KETERANGAN

Apoteker : Via Shovia., S.Farm., Apt

Obat Bebas / Obat Bebas Terbatas

Obat Paten ( Tablet / Capsul )