Formulir Pelaporan Obat TW Ii 20

PELAPORAN OBAT PERIODE TRIW
Kode Obat (NIE Nama Obat Kemasan Stok Awal
1 2 3 4
DKL9709207204A1 ACIFAR KAPLET 200 MG, Dus, 10 Dus, 10 strip @ 10 Kaplet
strip @ 10 Kaplet 0
DBL1801708237A1 AFIBRAMOL APEL DUS, 1 BOTOL PLASTIK @ 60 ML 1368
DBL1801707837A1 AFIBRAMOL RASA JERUK DUS, 1 BOTOL PLASTIK @ 60 ML 1152
ALLETEROL COMPOSITUM TM 0
GKL0201801410A1 Allopurinol Dus, 10 strip @ 10 tablet DUS, 10 strip @ 10 tablet 49
DKL0509207004B1 ALOFAR KAPLET 300MG, Dus, 10 Dus, 10 strip @ 10 Captabs
strip @ 10 Captabs 0
GKL1317111437A1 AMBROXOL HCL, SIRUP 15 MG/ 5 ML,
DUS, DUS, 1 BOTOL @ 60 ML DUS, 1 BOTOL @ 60 ML 0
GKL1305042510B1 AMLODIPINE TABLET 10 MG, TABLET DUS, 5 BLISTER @ 10 TABLET | 5
NONBETALAKTAM, DUS, 5 BLISTER BLISTER @ 10 TABLET
@ 10 TABLET | 5 BLISTER @ 10 0
GKL0705042510A1 AMLODIPINE BESILATE, TABLET 5 DUS, 5 BLISTER @ 10 TABLET
MG, DUS, 5 BLISTER @ 10 TABLET 0
GKL0133303804A1 AMOXICILLIN, KAPLET 500 MG, DUS, DUS, 10 STRIP @ 10 TABLET
10 STRIP @ 10 TABLET 450
GKL0634006201A1 AMOXICILLIN, KAPSUL, DUS, 10 DUS, 10 STRIP @ 10 KAPSUL
STRIP @ 10 KAPSUL 0
GKL0817109404A1 AMOXICILLIN, KAPTAB 500 MG, DUS, DUS, 10 STRIP @ 10 KAPTAB
10 STRIP @ 10 KAPTAB 0
DTL8910901304A1 ANATON, KAPLET, DUS, 10 STRIP @ DUS, 10 STRIP @ 10 KAPLET
10 KAPLET
0
DTL8710900637A1 ANATON, SIRUP, DUS, BOTOL @ 60 DUS, BOTOL @ 60 ML
ML 0
GBL0325903263A1 ANTASIDA DOEN TABLET KUNYAH BOTOL PLASTIK @ 100 TABLET
BOTOL PLASTIK @ 100 TABLET KUNYAH
KUNYAH 0
GBL9413604433A1 ANTASIDA DOEN, SUSPENSI BOTOL @ 60 ML
261.5/200/200 MG, BOTOL @ 60 ML 4641
GBL9917107163A1 ANTASIDA DOEN, TABLET KUNYAH DUS, 10 STRIP @ 10 TABLET
200/200 MG, DUS, 10 STRIP @ 10 KUNYAH
TABLET KUNYAH 0
DKL9917107401A1 ARTIMATIC 10, KAPSUL 10 MG, DUS, DUS, 10 STRIP @ 10 KAPSUL
10 STRIP @ 10 KAPSUL 0
DKL9917107401B1 ARTIMATIC 20, KAPSUL 20 MG, DUS, DUS, 10 STRIP @ 10 KAPSUL
10 STRIP @ 10 KAPSUL 0
ATRANAC, TABLET SALUT ENTERIK 25
MG, DUS, 5 STRIP @ 10 TABLET SALUT DUS, 5 STRIP @ 10 TABLET SALUT
DKL9604308315A1 ENTERIK ENTERIK 0
BETAMOL DUS, 10 CATCH COVER @ 1 DUS, 10 CATCH COVER @ 1 STRIP @
DBL8901800504A1 STRIP @ 10 KAPTAB 10 KAPTAB 20
GBL9518900710A1 SODIUM BICARBONATE, TABLET 500 BOTOL PLASTIK @ 100 TABLET
MG, BOTOL PLASTIK @ 100 TABLET 0
DBL8506405063A2 BIOMAG MPS, TABLET KUNYAH, DUS, DUS, 10 AMPLOP @ 1 STRIP @ 10
10 AMPLOP @ 1 STRIP @ 10 TABLET TABLET KUNYAH
KUNYAH 0
GKL0305032417A1 BISOPROLOL FILM COATED TABLET 5 DUS, 3 BLISTER X 10 FILM COATED
MG , TABLET SALUT TABLET
NONBETALAKTAM, DUS, 3 BLISTER X
10 FILM COATED TABLET. 0
DKL0823411538A1 BROADAPEN, SIRUP KERING 125 MG/ DUS, BOTOL 60 ML
5 ML, DUS, BOTOL 60 ML 0
DTL0209213604A1 BROCON KAPLET 500/15/7, 5/2 MG, Dus, 10 amplop @ 1 strip @ 10
Dus, 10 amplop @ 1 strip @ 10 kaplet
kaplet 0
DBL9933400304A1 CAFMOSOL, KAPLET 600/50 MG, DUS, 10 CATCH COVER @ 1 STRIP @
DUS, 10 CATCH COVER @ 1 STRIP @ 10 KAPLET
10 KAPLET 0
GKL1105046010B1 CANDESARTAN CILEXETIL TABLET 16 DUS, 3 BLISTER X 10 TABLET
MG , TABLET NONBETALAKTAM, DUS,
3 BLISTER X 10 TABLET 0
GKL1105046010A1 CANDESARTAN CILEXETIL TABLET 8 DUS, 3 BLISTER X 10 TABLET
3 BLISTER X 10 TABLET 0
GKL9705023010A1 CAPTOPRIL TABLET 12.5 MG , DUS, 10 STRIP X 10 TABLET
TABLET NONBETALAKTAM, DUS, 10
STRIP X 10 TABLET 0
GKL9705023010B1 CAPTOPRIL TABLET 25 MG , TABLET DUS, 10 STRIP X 10 TABLET
NONBETALAKTAM, DUS, 10 STRIP X
10 TABLET 0
DKL0409214736A1 CAZETIN DROPS 100000 IU/ML, Dus, Dus, botol @ 15 mL
botol @ 15 mL 0
GKL1017110801A1 CEFADROXIL MONOHYDRATE, DUS, 10 STRIP @ 10 KAPSUL
KAPSUL 500 MG, DUS, 10 STRIP @
10 KAPSUL 0
GKL1240802801A1 CEFADROXIL MONOHYDRATE, Kapsul Dus, 10 Strip @ 10 Kapsul
500 mg, Dus, 10 Strip @ 10 Kapsul 0
GKL0505039001B1 CEFIXIME CAPSULE 100 MG BX 100, DUS 10 STRIP X 10 KAPSUL
KAPSUL KERAS ANTIBIOTIK
TURUNAN SEFALOSPORIN, DUS 10
STRIP X 10 KAPSUL 0
DKL0633403709A1 CETROL, KAPTAB SALUT SELAPUT 10 DUS, 5 STRIP @ 10 KAPTAB SALUT
MG, DUS, 5 STRIP @ 10 KAPTAB SELAPUT
SALUT SELAPUT 0
GKL1717111933A1 CHLORAMPHENICOL PALMITATE, DUS, 1 BOTOL @ 60 ML
SUSPENSI 125 MG/ 5 ML, DUS, 1
BOTOL @ 60 ML 0
GKL9517102201A1 CHLORAMPHENICOL, KAPSUL 250 DUS, 12 STRIP @ 10 KAPSUL
MG, DUS, 12 STRIP @ 10 KAPSUL 0
DKL7218907010A1 CTM, TABLET 4 MG, BOTOL PLASTIK BOTOL PLASTIK @ 100 TABLET
@ 100 TABLET 0
CIPROFLOXACIN, TABLET SALUT
SELAPUT 500 MG, DUS, 10 STRIP @ 10 DUS, 10 STRIP @ 10 TABLET SALUT
GKL0634005917A1 TABLET SALUT SELAPUT SELAPUT 37
DTL7804005733A1 CITOCETIN Dus, Botol @ 60 ml Dus, Botol @ 60 ml Suspensi
Suspensi 0
DBL8104001804A1 CITOMOL, KAPLET 500 MG, DUS, 10 DUS, 10 STRIP @ 10 KAPLET
STRIP @ 10 KAPLET 0
DKL9704005209A1 CITOSTAN FORTE Dus, 10 Strip @ 10 Dus, 10 Strip @ 10 Kaptab salut
Kaptab salut selaput selaput 0
GKL0905044017A1 CLOPIDOGREL FILM COATED TABLET DUS, 5 STRIP X 6 FILM COATED
75 MG , TABLET SALUT TABLET
NONBETALAKTAM, DUS, 5 STRIP X 6
FILM COATED TABLET 0
DKL0233402704A1 COLIDIUM, KAPTAB 2 MG, DUS, 10 DUS, 10 STRIP @ 10 KAPTAB
STRIP @ 10 KAPTAB 0
DTL7804215937A1 DEMACOLIN, SIRUP 7,5/120/1 MG, DUS ISI BOTOL @ 60 ML
DUS ISI BOTOL @ 60 ML 0
DTL7204217010A1 DEMACOLIN, TABLET 500/7,5/2 MG, DUS, 10 STRIP @ 10 TABLET
DUS, 10 STRIP @ 10 TABLET 0
DKL9306409601B1 DENICAM 20, KAPSUL, DUS, 10 DUS, 10 STRIP @ 10 KAPSUL
STRIP @ 10 KAPSUL 0
GKL9817105310A1 DEXAMETHASONE, TABLET 0,5 MG, DUS, 10 STRIP @ 10 TABLET
DUS, 10 STRIP @ 10 TABLET 0
DBL7605006363A1 DEXANTA CHEWABLE TABLET STRIP , DUS, 10 STRIP X 10 CHEWABLE
TABLET NONBETALAKTAM, DUS, 10 TABLET
STRIP X 10 CHEWABLE TABLET 0
DKL9709207429A1 DEXIGEN KRIM 0,25%, Dus, 1 tube Dus, 1 tube @ 5 g
@5g 0
DEXTEEM, TABLET, DUS, 10 STRIP @
DTL8306404210A1 10 TABLET DUS, 10 STRIP @ 10 TABLET 295
DKL9505015001B1 DEXYCOL CAPSULE 500 MG , KAPSUL DUS, 10 STRIP X 10 KAPSUL
KERAS NONBETALAKTAM, DUS, 10
STRIP X 10 KAPSUL 0
DKL0609216038A1 DIONICOL SIRUP KERING 125 MG/5 Dus, botol 60 mL
ML, Dus, botol 60 mL 0
DKL9709207601A1 DOHIXAT KAPSUL 100 MG, Dus, 10 Dus, 10 strip @ 10 kapsul
strip @ 10 kapsul 0
DKL7206308448A1 ERLAMYCETIN, TETES TELING 10 DUS, BOTOL PLASTIK @ 10 ML
MG/ML, DUS, BOTOL PLASTIK @ 10
ML 0
DKL0406311646A1 ERLAMYCETIN PLUS, TETES MATA BOTOL @ 5 ML
5/1 MG/ML, CASE, BOTOL @ 5 ML 0
ERLAPECT, SIRUP 15 MG/5 ML, DUS,
DKL1106313137A1 BOTOL @ 60 ML DUS, BOTOL @ 60 ML 4458
DKL1006312710A1 ERLAPECT, TABLET 30 MG, DUS, 10 DUS, 10 STRIP @ 10 TABLET
STRIP @ 10 KAPTAB
TABLET SALUT GULA, 424
ERPHACYP,
DUS, 10 STRIP @ 10 KAPTAB SALUT DUS, 10 STRIP @ 10 KAPTAB SALUT
DKL9206404708A1 GULA GULA 500
ERLAPECT, TABLET 30 MG, DUS, 10
DKL1006312710A1 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 63
DKL9509204604A1 FARGETIX KAPLET 500 MG, Dus, 10 Dus, 10 strip @ 10 captabs
strip @ 10 captabs 0
DKL0609216133A1 FARIZOL SUSPENSI 125 MG/5 ML, Dus, botol 60 mL
Dus, botol 60 mL 0
DKL9131501810A1 FARMOTEN, TABLET 25 MG, DUS, 10 DUS, 10 STRIP @ 10 TABLET
STRIP @ 10 TABLET 0
DKL9409204409A1 FARSIFEN 400 KAPLET SALUT Dus, 10 strip @ 10 kaplet salut
SELAPUT 400 MG, Dus, 10 strip @ 10 selaput
kaplet salut selaput 0
DTL0909219333A1 FARSIFEN SUSPENSI 100 MG/5 ML, Dus, botol @ 60 mL
Dus, botol @ 60 mL 0
DBL0609201137B1 FASIDOL FORTE SIRUP 160MG/5 ML, Dus, botol 60 mL
Dus, botol 60 mL 0
DBL8509201137A1 FASIDOL SIRUP 120 MG/5 ML, Dus, Dus, botol 60 mL
botol 60 mL 0
DBL0609204704B1 FASIDOL FORTE KAPLET 650 MG, Dus, 10 Catch Cover @ 1 strip @ 10
Dus, 10 Catch Cover @ 1 strip @ 10 kaplet
kaplet 0
DKL9609205504B1 FAXIDEN 20 KAPLET 20 MG, Dus, 10 Dus, 10 strip @ 10 kaplet
strip @ 10 kaplet 0
DTL0226007504A1 FLUTROP KAPLET 30 MG/2.5 MG, DUS 10 AMPLOP @ 1 STRIP @ 10
DUS 10 AMPLOP @ 1 STRIP @ 10 KAPLET
KAPLET 0
GASELA, TABLET SALUT SELAPUT 150
MG, DUS, 10 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET SALUT
DKL1006312617A1 SALUT SELAPUT SELAPUT 1
DTL8604003263A1 GASTROMAG Dus, 10 Strip @ 10 Dus, 10 Strip @ 10 Kaplet kunyah
Kaplet kunyah 0
DKL9817105404A1 GITRI 480, KAPTAB 400/80 MG, DUS, DUS, 10 STRIP @ 10 KAPTAB
10 STRIP @ 10 KAPTAB 0
GITRI, SUPENSI 500/40, DUS, BOTOL @
DKL9817105533A1 60 ML DUS, BOTOL @ 60 ML 3,472
GLYCERYL GUAIACOLATE TABLET
GTL0225902810A1 DUS, 10 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 225
GKL0205031510A1 GLIMEPIRIDE TABLET 1 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
GKL0205031510B1 GLIMEPIRIDE TABLET 2 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
GKL0205031510C1 GLIMEPIRIDE TABLET 3 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
GKL0205031510D1 GLIMEPIRIDE TABLET 4 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
DKL9631512617A1 GLUDEPATIC 500, TABLET SALUT DUS, 10 BLISTER @ 10 TABLET
SELAPUT 500 MG, DUS, 10 BLISTER SALUT SELAPUT
@ 10 TABLET SALUT SELAPUT 0
GRICIN 125, TABLET, DUS, 10 STRIP @
DKL0634006510A1 10 TABLET DUS, 10 STRIP @ 10 TABLET 106
GBL9504000510A2 GUAIFENESIN Dus, 10 Catch cover @ Dus, 10 Catch cover @ 1 Strip @ 10
1 Strip @ 10 Tablet Tablet 0
GBL1025803510A1 GUAIFENESIN, TABLET 100 MG, DUS, DUS, 10 STRIP @ 10 TABLET
10 STRIP @ 10 TABLET 0
GUANISTREP , Suspensi , Dus , 1 botol @
DBL7210906233A1 60 ml Dus, 1 botol @ 60 ml 1819
DKL1009220138A1 HELIXIM SIRUP KERING 100 MG/5 Dus, botol @ 30 mL
ML, Dus, botol @ 30 mL 0
DKL1217111037A1 HOLICOS, SIRUP 15 MG, DUS, DUS, BOTOL @ 60 ML
BOTOL @ 60 ML 0
DKL1217111210A1 HOLICOS, TABLET 30 MG, DUS, 10 DUS, 10 STRIP @ 10 TABLET
STRIP @ 10 TABLET 0
DBL9917106904A1 HOLIDON, KAPTAB 500 MG, DUS, 10 DUS, 10 STRIP @ 10 KAPTAB
STRIP @ 10 KAPTAB 0
DTL8717103137A1 HOLIDRYL, SIRUP 14/135 MG, DUS, DUS, BOTOL @ 100
BOTOL @ 60, DUS, BOTOL @ 100 0
HOLIMICETINE, 125 MG, DUS, 1 BOTOL
DKL8517102033A1 @ 60 DUS, 1 BOTOL @ 60 0
HOLIMOL, 650/50 MG, DUS, 10 CATCH DUS, 10 CATCH COVER @ 1 STRIP @
DBL9917108904A1 COVER @ 1 STRIP @ 10 KAPTAB 10 KAPTAB 0
HOLIMOX, SIRUP KERING 125 MG, DUS,
DKL1017110038A1 BOTOL @ 60 ML DUS, BOTOL @ 60 ML 0
HOLIMOX FORTE, SIRUP KERING 250
MG, DUS, BOTOL @ 60 DUS, BOTOL @
DKL1017100338B1 60 ML DUS, BOTOL @ 60 ML 0
HOLIZINC, SIRUP 20 MG, DUS, 1 BOTOL
DTL1717111737A1 @ 60 DUS, 1 BOTOL @ 60 0
HUFAGRIPP BP, SIRUP 7,5/15/0,5/mg,
DTL0607809137A1 DUS, 1 BOTOL @ 60 mL DUS, 1 BOTOL @ 60 mL 0
HUFAGRIPP PILEK, SIRUP 15/1/mg,
DTL0907810237A1 DUS, BOTOL @ 60 mL DUS, BOTOL @ 60 mL 0
HUFAGRIPP FLU & BATUK, SUSPENSI
DTL1007810533A1 120/7,5/0,5/50/mg, DUS, BOTOL @ 60 mL DUS, BOTOL @ 60 mL 0
HUFAGRIPP TMP, SUSPENSI 100/mg,
DTL0607808833A1 DUS, BOTOL @ 60 mL DUS, BOTOL @ 60 mL 0
IAFED, TABLET 100/2/30 MG, DUS, 10
DTL1206314110A1 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 0
IBUPROFEN, KAPTAB SALUT SELAPUT
400 MG, DUS, 10 STRIP @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB SALUT
GKL9917107009A1 SALUT SELAPUT SELAPUT 0
INSIC, SUSPENSI 100 MG, DUS, BOTOL
DTL9917108633A1 @ 60 DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 0
ISONIAZID, TABLET 100 MG, DUS, 10
GKL9717103810A1 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 0
ISONIAZID, TABLET 300 MG, DUS, 10
GKL9817103810B1 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 0
DTL9910904137A1 ITRABAT , sirup , Dus , botol @ 60 ml Dus, botol @ 60 ml 0
ITRAMAG PLUS, SUSPENSI, DUS,
DBL0110905233A1 BOTOL @ 60 ML DUS, BOTOL @ 60 ML 0
ITRAMOL , Kaptab , Dus ,10 strip @ 10
DBL9910904004A1 kaptab Dus ,10 strip @ 10 kaptab 100
KAMOLAS, KAPLET 500 MG, DUS, 10
CATCH COVER @ 1 STRIP @ 10 DUS, 10 CATCH COVER @ 1 STRIP @
DBL9933400104A2 KAPLET 10 KAPLET 0
KAMOLAS, SIRUP 120 MG/5 ML, DUS,
DBL9933400237A1 BOTOL @ 60 ML DUS, BOTOL @ 60 ML 0
KANINA SUSPENSI 986/40 MG PER 5
DBL0909219233A1 ML, Dus, botol 60 mL Dus, botol 60 mL 0
KAOTIN, SUSPENSI 985/22 MG/5 ML,
DBL8506302133A1 DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 0
LANADEXON, KAPLET 0,5 MG, DUS, 10
DKL7619602304A1 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET 0
LERZIN SIRUP 5 MG/5 ML, Dus, botol 60
DKL0509215237A1 mL Dus, botol 60 mL 0
LERZIN KAPSUL 10 MG, Dus, 5 strip @
DKL0509215301A1 10 kapsul Dus, 5 strip @ 10 kapsul 0
LICIDAL, SIRUP 5 MG/5 ML, DUS, 1
DKL1817112937A1 BOTOL @ 60 ML DUS, 1 BOTOL @ 60 ML 0
LICIDAL, TABLET SALUT SELAPUT 10
MG, DUS, 10 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET SALUT
LIFADROX, TABLET SALUT SELAPUT
DKL1817112301A1 500 MG, DUS, 10 STRIP @ 10 KAPSUL DUS, 10 STRIP @ 10 KAPSUL 0
LIFADROX, SIRUP KERING 125 MG,
DUS, BOTOL @ 60 DUS, BOTOL @ 60
DKL1017110238A1 ML DUS, BOTOL @ 60 ML 0
LIFLAMAL 200, KAPTAB SALUT
SELAPUT 200 MG, DUS, 10 STRIP @ 10 DUS, 10 STRIP @ 10 KAPTAB SALUT
DTL9917108109A1 KAPTAB SALUT SELAPUT SELAPUT 0
LIFLAMAL 400, KAPTAB SALUT
SELAPUT 400, DUS, 10 STRIP @ 10 DUS, 10 STRIP @ 10 KAPTAB SALUT
DKL9917107309A1 KAPTAB SALUT SELAPUT SELAPUT 0
LILUNG 500, KAPLET 500 MG, DUS, 10
DKL9917106504A1 STRIP @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB 0
LIPEPSA, SUSPENSI, DUS, 1 BOTOL @
DKL1817113133A1 100 ML DUS, 1 BOTOL @ 100 ML 0
LIPIVAST KAPLET SALUT SELAPUT; 10
MG; DUS, 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET SALUT
DKL0326007909B1 SALUT SELAPUT SELAPUT 0
LISFEN 500 MG 0
LODECON, KAPLET, DUS, 10 CATCH DUS, 10 CATCH COVER @ 1 STRIP @
DTL0033401404A1 COVER @ 1 STRIP @ 10 KAPLET 10 KAPLET 0
DTL0033401404A1 LODECON, KAPLET, DUS, 10 CATCH DUS, 10 CATCH COVER @ 1 STRIP @
COVER @ 1 STRIP @ 10 KAPLET 10 KAPLET 0
DKL0309214201A1 LOKEV KAPSUL 20 MG, Dus, 5 strip Dus, 5 strip @ 10 kapsul
@ 10 kapsul 0
DKL0909218738A1 LOSTACEF SIRUP KERING 125 MG/ 5 Dus, botol @ 60 mL
ML, Dus, botol @ 60 mL 0
DBL9716005863A1 MAAGMETA PLUS, TABLET KUNYAH DUS, 10 CATCH COVER @ 1 STRIP @
200/200/50 MG, DUS, 10 CATCH 10 TABLET
COVER @ 1 STRIP @ 10 TABLET 0
GKL1633313009A2 MEFENAMIC ACID, KAPLET SALUT DUS, 10 BLISTER @ 10 TABLET
SELAPUT 500 MG, DUS, 10 BLISTER SALUT SELAPUT
@ 10 TABLET SALUT SELAPUT 0
GKL0105030510B1 MELOXICAM TABLET 15 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
GKL0105030510A1 MELOXICAM TABLET 7.5 MG BX 100, DUS, 10 STRIP X 10 TABLET
STRIP X 10 TABLET 0
DTL8716003004A1 METAFLU, KAPLET 500/12.5/2 MG, DUS, 10 CATCH COVER @ 1 STRIP @
DUS, 10 CATCH COVER @ 1 STRIP @ 10 KAPLET
10 KAPLET 0
GKL9617103704A1 METAMIZOLE SODIUM, KAPLET 500 DUS, 10 STRIP @ 10 KAPLET
MG, DUS, 10 STRIP @ 10 KAPLET 0
GKL9805024917A1 METFORMIN FILM COATED TABLET DUS, 10 STRIP X 10 FILM COATED
500 MG , TABLET SALUT TABLES
NONBETALAKTAM, DUS, 10 STRIP X
10 FILM COATED TABLES 0
METHYLPREDNISOLONE TABLET 4
GKL0305035210A1 10 BLISTER X 10 TABLET DUS, 10 BLISTER X 10 TABLET 0
METHYLPREDNISOLONE TABLET DUS,
GKL1525903810A1 10 BLISTER @ 10 TABLET DUS, 10 BLISTER @ 10 TABLET 0
METRONIDAZOLE, KAPLET 500 MG,
GKL9817105004A1 DUS, 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET 0
DUS, 5 STRIP @10 TABLET SALUT
DKL1915629817A1 MEZAC-50 SELAPUT 0
MILORIN KAPSUL 300 MG, Dus, 5 strip @
DKL0609215401A1 10 kapsul Dus, 5 strip @ 10 kapsul 0
MOXALAS, KAPTAB 400/80 MG, DUS, 10
MOXALAS, SUSPENSI 200/40 MG PER 5
DKL0033400633A1 ML, DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 600
MYCAZOL, TABLET, DUS, 5 STRIP @ 10
DKL0806413410A1 TABLET DUS, 5 STRIP @ 10 TABLET 5
NARMIG, TABLET 25 MG, DUS, 5 STRIP
DKL1306314310A1 @ 10 TABLET DUS, 5 STRIP @ 10 TABLET 0
NEO DIAFORM, TABLET 550/20 MG,
DBL9204302910A1 BOTOL PLASTIK @ 100 TABLET BOTOL PLASTIK @ 100 TABLET 0
NEO ERPHAVITALGIN, KAPLET SALUT
SELAPUT, DUS, 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET SALUT
NEOCENTA GEL 10/0,5 % W/V, Dus, tube
DKL0409214828A1 @ 15 g Dus, tube @ 15 g 0
NORVOM KAPLET 10 MG, Dus, 10 strip
DKL9609205904A1 @ 10 kaplet Dus, 10 strip @ 10 kaplet 0
NOVADEX, KAPLET, DUS, 20 STRIP @
DKL0334001904A1 10 KAPLET DUS, 20 STRIP @ 10 KAPLET 236
NOVATUSIN, SIRUP, DUS, 1 BOTOL
DTL0434003537A1 PLASTIK @ 60 ML DUS, 1 BOTOL PLASTIK @ 60 ML 60
OBAT BATUK PEPERMINT , Sirup , Botol
DBL9910903937A1 100 ml Botol 100 ml 0
OBH SURYA, SIRUP 160/100 MG PER 5
DBL7610906137A1 ML, BOTOL @ 100 ML BOTOL @ 100 ML 0
OMEPRAZOLE, KAPSUL 20 MG, DUS, 3
GKL1106506401A1 STRIP @ 10 KAPSUL DUS, 3 STRIP @ 10 KAPSUL 0
OPISTAN, KAPLET SALUT SELAPUT 500
MG, DUS, 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET SALUT
ORPHEN, KAPTAB 4 MG, DUS, 10
CATCH COVER @ 2 STRIP @ 10 DUS, 10 CATCH COVER @ 2 STRIP @
DTL0233403004A1 KAPTAB 10 KAPTAB 0
ORSADERM KRIM 1 MG/G, Dus, tube @
DKL0309214029A1 5g Dus, tube @ 5 g 0
PARACETAMOL, TABLET 500 MG, DUS,
GBL1533312610A1 10 BLISTER @ 10 TABLET DUS, 10 BLISTER @ 10 TABLET 17947
PARACETAMOL 500MG (BP TRIMAN) 0
DTL8910901637A1 PARAFLU , SIRUP , DUS , BOTOL 60 ML DUS, BOTOL 60 ML 1035
PARANERVION TABLET 0
PHYLOCIN, SIRUP KERING 200 MG,
DKL9917107738A1 DUS, 1 BOTOL @ 60 DUS, 1 BOTOL @ 60 2390
PIMACOLIN PLUS (RASA APEL), SIRUP
125/125/50/2/1 MG PER 5 ML, DUS,
DTL9918905937A1 BOTOL @ 60 ML DUS, BOTOL @ 60 ML 758
PIMACOLIN (RASA MILK), SIRUP
DTL7818906237A1 125/2/1/50 MG, DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 96
PIM-TRA-KOL RASA CHERRY, SIRUP
125 MG; 50 MG; 2 MG; 1 MG/5 ML, DUS,
DTL1118906837A1 BOTOL PLASTIK @ 60 ML DUS, BOTOL PLASTIK @ 60 ML 530
PIM-TRA-KOL RASA LEMON, SIRUP 125
MG; 50 MG; 2 MG; 1 MG/5 ML, DUS,
DTL1118906937A1 BOTOL PLASTIK @ 60 ML DUS, BOTOL PLASTIK @ 60 ML 1106
PIROCAM CAPSULE 20 MG , KAPSUL
KERAS NONBETALAKTAM, DUS 5 BLIS
DKL8705003101B1 X 10 KAPSUL DUS 5 BLIS X 10 KAPSUL 0
PIROXICAM TABLET DUS, 10 STRIP @
GKL0225902710A1 10 TABLET DUS, 10 STRIP @ 10 TABLET 40
PIROXICAM TABLET DUS, 10 STRIP @
GKL0225902710A1 10 TABLET DUS, 10 STRIP @ 10 TABLET 0
DBL0704000624A1 PK Pot @ 5 g Serbuk Obat Luar Pot @ 5 g Serbuk Obat Luar 0
PREDNISONE TABLET DUS, 10 BLISTER
GKL0225903010A1 @ 10 TABLET py 322
PROURIC, TABLET 100 MG, DUS, 10
PROURIC 300, TABLET 300 MG, DUS, 10
DKL9917106810B1 STRIP @ 10 TABLET DUS, 10 STRIP @ 10 TABLET 0
PYCAMETH KAPLET; 0.5 MG; DUS, 10
PYRANTEL PAMOATE, TABLET 125 MG,
DUS, 25 CATCH COVER @ 1 BLISTER DUS, 25 CATCH COVER @ 1 BLISTER
GTL9917106310A1 @ 4 TABLET @ 4 TABLET 0
PYRAZINAMIDE, KAPTAB 500 MG, DUS,
GKL9817105104A1 10 STRIP @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB 0
DKL9628906704A1 Ramoxyl DUS, 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET 2147
RANITIDINE HCL, TABLET SALUT
SELAPUT 150 MG, DUS 10 STRIP @ 10 DUS 10 STRIP @ 10 TABLET SALUT
RENADINAC 50MG 0
ROSIDON, TABLET, DUS, 10 STRIP @
DKL1234009310A1 10 TABLET DUS, 10 STRIP @ 10 TABLET 27
SOLASIC, KAPTAB 500 MG, DUS, 10
SOLDEXTAM, KAPTAB 0,5/2 MG, DUS,
DKL0033400704A1 20 STRIP @ 10 KAPTAB DUS, 20 STRIP @ 10 KAPTAB 90
SOLINFEC KRIM 2 %, Dus, tube @ 5
DTL0009211629A1 gram Dus, tube 5 g 0
SOLPENOX 500, KAPLET 500 MG, DUS,
DKL0033401904A1 10 STRIP @ 10 KAPLET DUS, 10 STRIP @ 10 KAPLET 0
SYNALTEN KRIM 0,1/0,025 % W/W, Dus,
DKL9909212829A1 tube @ 5 g Dus, tube 5 g 0
TEOSAL SYRUP 100 ML , CAIRAN ORAL
NONBETALAKTAM, DUS, 1 BOTTLE X
DKL8805004737A1 100 ML. DUS, 1 BOTTLE X 100 ML 0
TERA F, KAPLET 650/50/15/2 MG, DUS, DUS, 10 AMPLOP @ 1 STRIP @ 10
DTL9628908504A1 10 AMPLOP @ 1 STRIP @ 10 KAPLET KAPLET 0
TICOMAG, KAPTAB KUNYAH 200/200/50
MG, DUS, 10 CATCH COVER @ 1 STRIP DUS, 10 CATCH COVER @ 1 STRIP @
DBL9933400463A1 @ 10 KAPTAB KUNYAH 10 KAPTAB KUNYAH 0
TRIADENE, KAPSUL 20 MG, DUS, 10
DKL9627506401B1 STRIP @ 10 KAPSUL DUS, 10 STRIP @ 10 KAPSUL 0
TRIANTA TABLET KUNYAH, Dus, 10 Dus, 10 amplop @ 1 strip @ 10 tablet
DBL8509201863A1 amplop @ 1 strip @ 10 tablet kunyah kunyah 0
TRIDEXON KAPLET BOTOL PLASTIK @
DKL8725902104A1 100 KAPLET BOTOL PLASTIK @ 100 KAPLET 0
TRIFACORT, TABLET 5 MG, BOTOL
DKL7225801010A1 PLASTIK @ 100 TABLET BOTOL PLASTIK @ 100 TABLET 0
TRIFADIUM, TABLET 2 MG, DUS, 10
TRIFAMAG, TABLET KUNYAH 200/200
MG, DUS, 10 STRIP @ 10 TABLET
DBL1425804363A1 KUNYAH DUS, 10 STRIP @ 10 TABLET KUNYAH 0
TRIFAMOL, SIRUP 120 MG/5 ML, DUS, 1
DBL7825803737A1 BOTOL @ 60 ML DUS, 1 BOTOL @ 60 ML 0
TRIFASON, KAPTAB 0,75 MG, DUS, 10
DKL1125802204B1 STRIP @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB 0
TRIMOL KAPLET DUS, 10 AMPLOP @ 1 DUS, 10 AMPLOP @ 1 STRIP @ 10
DBL8525901204A1 STRIP @ 10 KAPLET KAPLET 0
TRISELA, TABLET 10 MG, DUS, 10
TROBUGES KAPLET; 400 MG ; DUS, 10
TROPIDRYL PLUS SIRUP; 12.5 MG/5 ML;
125 MG/5 ML; 10 MG/5 ML, DUS, BOTOL
DTL9326001437A1 120 ML DUS, BOTOL 120 ML 328
TROPIGESIC KAPLET; 500 MG; BOTOL
DBL0026006304A1 PLASTIK @ 100 KAPLET BOTOL PLASTIK @ 100 KAPLET 125
VESPERUM TABLET 10 MG, Dus, 10 strip
DKL9909210510A1 @ 10 tablet Dus, 10 strip @ 10 tablet 0
VIPCOL, SIRUP, DUS, 1 BOTOL PLASTIK
DTL7801706637A1 @ 60 ml DUS, 1 BOTOL PLASTIK @ 60 ml 4328
VOLTADEX ENTERIC COATED TABLET
25 MG , TABLET SALUT
NONBETALAKTAM, DUS, 5 BLISTER X DUS, 5 BLISTER X 10 ENTERIC COATED
DKL8705002715A1 10 ENTERIC COATED TABLET TABLET 0
DTL8910901537A1 WINAPEN , Sirup , Dus , botol @ 60 ml Dus, botol @ 60 ml 1380
WINASAL , SIRUP , DUS , BOTOL @ 60
DTL9910903437A1 ML DUS, BOTOL @ 60 ML 1670
WIROS , Kapsul , Dus , 10 strip @ 10
DKL9110901801B1 kapsul Dus, 10 strip @ 10 kapsul 600
XICALOM, KAPLET 20 MG, DUS, 10
XILTROP KAPLET; 500 MG;DUS, 10
DKL9027505710A1 YEKAZONE DUS, 10 STRIP @ 10 KAPLET 0
YUSIMOX KAPLET 500 MG, Dus, 10 strip
DKL9909212304A1 @ 10 kaplet Dus, 10 strip @ 10 kaplet 0
YUSIMOX FORTE SIRUP KERING 250
DKL0609212438B1 MG/5 ML, Dus, botol 60 mL Dus, botol 60 mL 0
ZEVASK 5 KAPLET 5 MG, Dus, 3 strip @
DKL1009220504A1 10 kaplet Dus, 3 strip @ 10 kaplet 0
ALLERGEN, TABLET, DUS, 20 STRIP @
DTL0334003004A1 10 TABLET DUS, 20 STRIP @ 10 TABLET 66
NOVAXICAM, KAPSUL, DUS, 10 STRIP
DKL0334002201A1 @ 10 KAPSUL DUS, 10 STRIP @ 10 KAPSUL 145
NOVAGYL, SUSPENSI, DUS, 1 BOTOL @
DKL0734007733A1 60 ML DUS, 1 BOTOL @ 60 ML 88
NOVAMOX 500, KAPTAB, DUS, 10 STRIP
DKL0634006304A1 @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB 141
NOVAXIFEN RASA STRAWBERRY,
DTL1034010133A1 SUSPENSI, DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 390
NOVAPYRON, KAPTAB SALUT
SELAPUT, DUS, 10 STRIP @ 10 KAPTAB DUS, 10 STRIP @ 10 KAPTAB SALUT
VADROL, TABLET, DUS, 10 STRIP @ 10
DKL1034009810A1 TABLET DUS, 10 STRIP @ 10 TABLET 13
AMOSTERRA, TABLET 500 MG, DUS 10
DKL1336703804A1 STRIP @ 1 STRIP @ 10 TABLET DUS 10 STRIP @ 1 STRIP @ 10 TABLET 1080
SIMVASTATIN, TABLET SALUT
SELAPUT 10 MG, DUS, 10 STRIP @ 10 DUS, 10 STRIP @ 10 TABLET SALUT
SOLPENOX, SIRUP KERING 125 MG/5
DKL0033402038A1 ML, DUS, BOTOL @ 60 ML DUS, BOTOL @ 60 ML 2740
BAT PERIODE TRIWULAN II 2020 - PBF PT. BAYU MEDIKA KHATULISTIWA(PUSAT)
Jumlah Pemasukan Jumlah Pengeluaran
Masuk IF Kode IF Masuk PBF Kode PBF Retur PBF Kode PBF RS Apotek
5 6 7 8 9 10 11 12 13
P-2191
0 0 30 0 0 0 0 30
0 0 1355 P-5396 0 0 0 0 1028
0 0 563 P-5396 0 0 0 0 563
0 0 190 P-5396 0 0 0 0 49
0 0 5000 P-1200 0 0 0 0 5049
P-2191
0 0 80 0 0 0 0 80
P-2191
0 0 30000 0 0 0 0 0
0 0 252 P-1200 0 0 0 0 25
0 0 350 P-1200 0 0 0 0 15
IF3277-
15000 0003 0 0 0 0 0 0
IF3277-
1500 0003 0 0 0 0 0 155
IF3277-
494 0003 0 0 0 0 0 350
0 0 100 P-1200 0 0 0 0 100
0 0 1775 P-1200 0 0 0 0 0
0 0 800 P-1562 0 0 0 0 775
0 0 2935 P-1562 0 0 0 0 1985
0 0 1297 P-1562 0 0 0 0 506

IF3277-
341 0003 0 0 0 0 232
IF3277-
2420 0003 0 0 0 0 1004
0 0 92450 P-1200 0 0 0 0 16900
0 0 800 P-1562 0 0 0 0 800
0 0 172 P-0703 0 0 0 0 107

P-1790
0 0 144 0 0 0 0 3
P-4779
0 0 672 0 0 0 0 0
P-2191
0 0 100 0 0 0 0 100
P-2191
0 0 10000 0 0 0 0 10000
P-4779
0 0 4 0 0 0 0 0
P-1790
0 0 672 0 0 0 0 5
P-1790
0 0 672 0 0 0 0 15
P-1790
0 0 103 0 0 0 0 55
P-1790
0 0 14 0 0 0 0 10
P-1790
0 0 200 0 0 0 0 200
0 0 335 P-1200 0 0 0 0 5
0 0 2800 P-1200 0 0 0 0 2800

IF3277-
0003
120 0 0 0 0 7
IF3277-
0003
30000 0 0 0 0 16400
IF3277-
0003
200 0 0 0 0 50
IF3277-
327 0003 0 0 0 0 0
0 0 514 P-1200 0 0 0 0 8
0 0 2200 P-0703 0 0 0 0 2237
0 0 144 P-1562 0 0 0 0 234

P-2191
0 0 54000 0 0 0 0 20600
P-2191
0 0 56500 0 0 0 0 10300
P-2191
0 0 100 0 0 0 0 10
0 0 12000 P-1200 0 0 0 0 3000
0 0 214 P-1200 0 0 0 0 121
0 0 9000 P-1200 0 0 0 0 8500

P-1790
0 0 3000 0 0 0 0 2500
0 0 184 P-0703 0 0 0 0 125

P-1790
0 0 300 0 0 0 0 202
P-1790
0 0 200 0 0 0 0 200
0 0 312 P-1036 0 0 0 0 312

P-1790
0 0 75 0 0 0 0 75
P-1790
0 0 300 0 0 0 0 300
P-2191
0 0 10 0 0 0 0 10
0 0 914 P-1035 0 0 0 0 28
0 0 1177 P-1036 0 0 0 0 70
0 0 136 P-1036 0 0 0 0 4458
0 0 13 P-1035 0 0 0 0 424
0 0 49 P-1200 0 0 0 0 503
0 0 180 P-1036 0 0 0 0 127

P-2191
0 0 100 0 0 0 0 100
P-2191
0 0 240 0 0 0 0 240
P-2191
0 0 11600 0 0 0 0 8100
P-2191
0 0 50 0 0 0 0 50
P-2191
0 0 144 0 0 0 0 58
P-2191
0 0 10000 0 0 0 0 10000
P-2191
0 0 480 0 0 0 0 480
P-2191
0 0 50 0 0 0 0 50
P-2191
0 0 12000 0 0 0 0 12000
0 0 4900 P-0703 0 0 0 0 5400
0 0 77 P-1036 0 0 0 0 77
0 0 1000 P-0703 0 0 0 0 1000

IF3277-
242 0003 0 0 0 0 50
IF3277-
5000 0003 0 0 0 0 6128
0 0 21800 P-1200 0 0 0 0 20000

P-4779
0 0 135 0 0 0 0 0
P-4779
0 0 135 0 0 0 0 0
P-4779
0 0 135 0 0 0 0 0
P-4779
0 0 135 0 0 0 0 0
P-4779
0 0 22500 0 0 0 0 3500
0 0 7800 P-1200 0 0 0 0 1306

P-1790
0 0 1000 0 0 0 0 475
P-1790
0 0 35 0 0 0 0 3
0 0 796 P-1200 0 0 0 0 1866

P-1790
0 0 240 0 0 0 0 240
IF3277-
4119 0003 0 0 0 0 0 1901
IF3277-
572 0003 0 0 0 0 0 305
IF3277-
4638 0003 0 0 0 0 0 2520
IF3277-
2773 0003 0 0 0 0 0 767
IF3277-
5000 0003 0 0 0 0 0 2950
IF3277-
905 0003 0 0 0 0 0 10
IF3277-
1800 0003 0 0 0 0 0 1600
IF3277-
0003
2690 0 0 0 0 0 2226
IF3277-
3225 0003 0 0 0 0 2025
0 0 320 P-0867 0 0 0 0 248
0 0 1158 P-0867 0 0 0 0 316
0 0 99 P-0867 0 0 0 0 90
0 0 132 P-0867 0 0 0 0 66
0 0 110 P-0703 0 0 0 0 10
IF3277-
0004
760 0 0 0 0 0 366
IF3277-
4172 0003 0 0 0 0 0 1508
IF3277-
200 0003 0 0 0 0 0 0
IF3277-
200 0003 0 0 0 0 0 63
0 0 962 P-1200 0 0 0 0 462
0 0 200 P-1200 0 0 0 0 100
0 0 290 P-1200 0 0 0 0 22
0 0 27500 P-0867 0 0 0 0 12000

P-2191
0 0 180 0 0 0 0 180
P-2191
0 0 240 0 0 0 0 240
P-2191
0 0 152 0 0 0 0 51
0 0 23000 P-0867 0 0 0 0 18100
0 0 100 P-0867 0 0 0 0 100

P-2191
0 0 24000 0 0 0 0 24000
IF3277-
1590 0003 0 0 0 0 0 1558
IF3277-
0003
860 0 0 0 0 0 643
IF3277-
600 0003 0 0 0 0 0 215
IF3277-
6053 0003 0 0 0 0 0 4031
IF3277-
0003
179 0 0 0 0 0 145
IF3277-
0003
1518 0 0 0 0 0 370
IF3277-
359 0003 0 0 0 0 0 15
IF3277-
8250 0003 0 0 0 0 0 6792
0 0 8000 P-1562 0 0 0 0 2325

0 0 686 P-2191 0 0 0 0 424
0 0 181900 P-0867 0 0 0 0 58900

0 0 30000 P-0867 0 0 0 0 6000
P-2191
0 0 160 0 0 0 0 160
P-2191
0 0 300 0 0 0 0 300
P-2191
0 0 900 0 0 0 0 50
0 0 1652 P-1562 0 0 0 0 0
0 0 288 P-1562 0 0 0 0 130
0 0 288 P-1562 0 0 0 0 10
0 0 375 P-1562 0 0 0 0 20
0 0 445 P-1562 0 0 0 0 24
0 0 32 P-1562 0 0 0 0 20
0 0 216 P-1562 0 0 0 0 50
0 0 33500 P-1562 0 0 0 0 6500
0 0 20000 P-1562 0 0 0 0 12300
0 2216 P-1200 0 0 0 0 1349

P-2191
0 0 25 0 0 0 0 25
0 0 4000 P-1200 0 0 0 0 2100
0 0 294 P-1562 0 0 0 0 840
0 0 243 P-1562 0 0 0 0 15
0 0 87 P-1562 0 0 0 0 46
0 0 8200 P-1562 0 0 0 0 1700
0 0 39 P-1562 0 0 0 0 10
0 0 150 P-1562 0 0 0 0 150
0 0 240 P-1562 0 0 0 0 240
0 0 18400 P-1562 0 0 0 0 18636

0 0 500 P-1036 0 0 0 0 560
P-2191
0 0 92 0 0 0 0 69
P-2191
0 0 1304 0 0 0 0 1052
P-2191
0 0 6000 0 0 0 0 6000
P-2191
0 0 1000 0 0 0 0 345
P-2191
0 0 156000 0 0 0 0 52400
P-2191
0 0 100 0 0 0 0 100
0 0 11310 P-1562 0 0 0 0 29257

0 0 1400 0 0 0 0 1160
0 0 1215 P-1562 0 0 0 0 1072
0 0 242 0 0 0 0 25
0 0 2185 P-1562 0 0 0 0 3120
0 0 812 P-1247 0 0 0 0 950
0 0 768 P-1247 0 0 0 0 384
0 0 6528 P-1247 0 0 0 0 3440
0 0 5364 P-1247 0 0 0 0 5486
0 0 15750 P-1200 0 0 0 0 15750
0 0 311 P-1200 0 0 0 0 43
0 0 15500 P-1200 0 0 0 0 15500

0 0 216 P-1200 0 0 0 0 264
0 0 1058 P-1200 0 0 0 0 808

IF3277-
0 0003 1949 0 0 0 0 377
IF3277-
0 0003 332 0 0 0 0 267
0 0 500 P-1562 0 0 0 0 522

0
0 12 P-1200 0 0 0 0 0
0
0 509 P-1200 0 0 0 0 208
0 0 150400 P-1562 0 0 0 0 5047
P-2191
0 0 108 0 0 0 0 108
0 0 58900 P-2191 0 0 0 0 12100
0 0 1700 P-1562 0 0 0 0 1727
0 0 60000 P-0867 0 0 0 0 1800
0 0 160500 P-0867 0 0 0 0 23100
0 0 2500 P-1200 0 0 0 0 2500
0 0 2087 P-0867 0 0 0 0 1942

P-2191
0 0 100 0 0 0 0 100
P-2191
0 0 23500 0 0 0 0 23500
P-2191
0 0 544 0 0 0 0 26
P-2191
0 0 9000 0 0 0 0 8500
P-2191
0 0 400 0 0 0 0 400
P-2191
0 0 32000 0 0 0 0 0
P-2191
0 0 33700 0 0 0 0 16300
P-2191
0 0 115300 0 0 0 0 14500
P-2191
0 0 21700 0 0 0 0 6000
P-2191
0 0 95900 0 0 0 0 0
P-2191
0 0 15000 0 0 0 0 0
P-2191
0 0 2700 0 0 0 0 2500
P-2191
0 0 16700 0 0 0 0 5600
P-2191
0 0 200 0 0 0 0 89
0 0 10000 P-1036 0 0 0 0 1790
0 0 148 P-1036 0 0 0 0 23
0 0 300 P-1036 0 0 0 0 351

P-2191
0 0 240 0 0 0 0 240
0 0 2789 P-1247 0 0 0 0 5719
P-2191
0 0 208600 0 0 0 0 148700
0 0 709 P-1561 0 0 0 0 1380
0 0 1060 P-1562 0 0 0 0 1677
0 0 500 P-1562 0 0 0 0 890
0 0 12500 P-1562 0 0 0 0 12500
0 0 13500 P-1036 0 0 0 0 13713

0 0 200 P-2191 0 0 0 0 200
P-2191
0 0 10000 0 0 0 0 10000
P-2191
0 0 900 0 0 0 0 900
P-2191
0 0 900 0 0 0 0 900
P-2191
0 0 0 0 0 0 0 66
0 0 0 P-1036 0 0 0 0 145
0 0 0 P-1037 0 0 0 0 88
0 0 0 P-1038 0 0 0 0 141
P-2191
0 0 0 0 0 0
0 0 0 P-1036 0 0 0 0 94
0 0 0 P-1562 0 0 0 0 13
P-2191
0 0 0 0 0 0 1080
P-2191
0 0 0 0 0 0 200
P-2191
0 0 0 0 0 0 2740
WA(PUSAT)
Jumlah Pengeluaran
HJD
Sarana PemerintahPuskesmas Klinik Toko Obat Retur Lainnya
14 15 16 17 18 19 20
0 0 0 0 0 0 45,455 P-1247
0 0 0 0 0 0 5,075 P-0703
0 0 0 0 0 0 5,075 P-0867
0 0 0 0 0 0 5,075 PO-317
0 0 0 0 0 0 21,541 P-1562
0 0 0 0 0 0 245 P-1200
0 0 0 0 0 0 312 P-1036
0 0 0 0 0 0 26,000 P-5396
0 0 0 0 0 0 41,452 P-4874
0 0 0 0 0 0 170 PO-268
0 0 0 0 0 0 199,849 P-5505
0 0 0 0 0 0 113,454 P-2571
P-2191
0 0 0 0 0 0 4,182
P-1790
0 0 0 0 0 0 50,600
P-4779
0 0 0 0 0 0 50,001
0 0 0 0 0 0 5,272
0 0 0 0 0 0 491
0 0 0 0 0 0 52,364
0 0 0 0 0 0 10,500
0 0 0 0 0 0 10,455
0 0 0 0 0 0 4,363
0 0 0 0 0 0 13,900
0 0 0 0 0 0 72,001
0 0 0 0 0 0 10,000
0 0 0 0 0 0 20,001
0 0 0 0 0 0 25,000
0 0 0 0 0 0 156,000
0 0 0 0 0 0 355
0 0 0 0 0 0 300
0 0 0 0 0 0 10,325
0 0 0 0 0 0 21,275
0 0 0 0 0 0 21,275
0 0 0 0 0 0 21,275
0 0 0 0 0 0 43,560
0 0 0 0 0 0 2,545
0 0 0 0 0 0 1,273
0 0 0 0 0 0 82,313
0 0 0 0 0 0 9,546
0 0 0 0 0 0 571
0 0 0 0 0 0 35,454
0 0 0 0 0 0 240
0 0 0 0 0 0 600
0 0 0 0 0 0 81,818
0 0 0 0 0 0 253,500
0 0 0 0 0 0 175,500
0 0 0 0 0 0 15,909
0 0 0 0 0 0 21,246
0 0 0 0 0 0 21,749
0 0 0 0 0 0 17,100
0 0 0 0 0 0 94,050
0 0 0 0 0 0 12,714
0 0 0 0 0 0 114,544
0 0 0 0 0 0 29,979
0 0 0 0 0 0 95,454
0 0 0 0 0 0 900
0 0 0 0 0 0 282,997
0 0 0 0 0 0 6,000
0 0 0 0 0 0 355
0 0 0 0 0 0 74,182
0 0 0 0 0 0 9,400
0 0 0 0 0 0 6,430
0 0 0 0 0 0 623
0 0 0 0 0 0 8,863
0 0 0 0 0 0 262
0 0 0 0 0 0 400
0 0 0 0 0 0 536
0 0 0 0 0 0 351,000
0 0 0 0 0 0 340
0 0 0 0 0 0 4,726
0 0 0 0 0 0 22,728
0 0 0 0 0 0 682
0 0 0 0 0 0 348
0 0 0 0 0 0 9,090
0 0 0 0 0 0 35,455
0 0 0 0 0 0 12,903
0 0 0 0 0 0 39,802
0 0 0 0 0 0 153,637
0 0 0 0 0 0 10,544
0 0 0 0 0 0 60,913
0 0 0 0 0 0 12,180
0 0 0 0 0 0 11,700
0 0 0 0 0 0 19,800
0 0 0 0 0 0 9,623
0 0 0 0 0 0 36,000
0 0 0 0 0 0 12,908
0 0 0 0 0 0 27,801
0 0 0 0 0 0 21,486
0 0 0 0 0 0 352
0 0 0 0 0 0 145,200
0 0 0 0 0 0 45,455
0 0 0 0 0 0 391
0 0 0 0 0 0 60,720
0 0 0 0 0 0 7,483
0 0 0 0 0 0 392
0 0 0 0 0 0 6,678
0 0 0 0 0 0 31,408
0 0 0 0 0 0 314
0 0 0 0 0 0 307,800
0 0 0 0 0 0 156,835
0 0 0 0 0 0 731
0 0 0 0 0 0 45,409
0 0 0 0 0 0 34,546
0 0 0 0 0 0 5,400
0 0 0 0 0 0 125
0 0 0 0 0 0 89,827
0 0 0 0 0 0 169,387
0 0 0 0 0 0 307,980
0 0 0 0 0 0 6,365
0 0 0 0 0 0 11,267
0 0 0 0 0 0 8,135
0 0 0 0 0 0 28,595
0 0 0 0 0 0 5,500
0 0 0 0 0 0 18,546
0 0 0 0 0 0 4,401
0 0 0 0 0 0 15,600
0 0 0 0 0 0 9,601
0 0 0 0 0 0 35,400
0 0 0 0 0 0 6,000
0 0 0 0 0 0 8,000
0 0 0 0 0 0 7,818
0 0 0 0 0 0 30,086
0 0 0 0 0 0 59,400
0 0 0 0 0 0 42,000
0 0 0 0 0 0 11,818
0 0 0 0 0 0 10,364
0 0 0 0 0 0 6,182
0 0 0 0 0 0 22,000
0 0 0 0 0 0 47,200
0 0 0 0 0 0 15,363
0 0 0 0 0 0 35,454
0 0 0 0 0 0 8,636
0 0 0 0 0 0 32,728
0 0 0 0 0 0 6,546
0 0 0 0 0 0 331
0 0 0 0 0 0 7,653
0 0 0 0 0 0 6,458
0 0 0 0 0 0 9,736
0 0 0 0 0 0 8,025
0 0 0 0 0 0 227
0 0 0 0 0 0 17,458
0 0 0 0 0 0 7,696
0 0 0 0 0 0 6,700
0 0 0 0 0 0 102,001
0 0 0 0 0 0 10,000
0 0 0 0 0 0 27,999
0 0 0 0 0 0 43,000
0 0 0 0 0 0 10,000
0 0 0 0 0 0 40,999
0 0 0 0 0 0 17,728
0 0 0 0 0 0 487
0 0 0 0 0 0 582
0 0 0 0 0 0 33,085
0 0 0 0 0 0 11,596
0 0 0 0 0 0 27,635
0 0 0 0 0 0 32,728
0 0 0 0 0 0 141,700
0 0 0 0 0 0 81,770
0 0 0 0 0 0 44,546
0 0 0 0 0 0 43,480
0 0 0 0 0 0 29,000
0 0 0 0 0 0 29,999
0 0 0 0 0 0 52,065
0 0 0 0 0 0 255
0 0 0 0 0 0 50,908
0 0 0 0 0 0 300
0 0 0 0 0 0 25,000
0 0 0 0 0 0 110,916
0 0 0 0 0 0 34,728
0 0 0 0 0 0 388
0 0 0 0 0 0 7,183
0 0 0 0 0 0 1,500
0 0 0 0 0 0 88,000
0 0 0 0 0 0 18,183
0 0 0 0 0 0 8,320
0 0 0 0 0 0 29,500
0 0 0 0 0 0 10,907
0 0 0 0 0 0 2,920
0 0 0 0 0 0 8,234
0 0 0 0 0 0 4,870
0 0 0 0 0 0 16,000
0 0 0 0 0 0 15,454
0 0 0 0 0 0 9,900
0 0 0 0 0 0 107,199
0 0 0 0 0 0 17,272
0 0 0 0 0 0 17,272
0 0 0 0 0 0 314
0 0 0 0 0 0 191
0 0 0 0 0 0 13,200
0 0 0 0 0 0 10,400
0 0 0 0 0 0 6,000
0 0 0 0 0 0 17,364
0 0 0 0 0 0 1,270
0 0 0 0 0 0 18,636
0 0 0 0 0 0 52,000
0 0 0 0 0 0 5,640
0 0 0 0 0 0 4,360
0 0 0 0 0 0 3,310
0 0 0 0 0 0 5,000
0 0 0 0 0 0 8,372
0 0 0 0 0 0 8,546
0 0 0 0 0 0 21,429
0 0 0 0 0 0 4,730
0 0 0 0 0 0 7,662
0 0 0 0 0 0 2,400
0 0 0 0 0 0 9,000
0 0 0 0 0 0 9,374
0 0 0 0 0 0 350
0 0 0 0 0 0 973
0 0 0 0 0 0 31,818
0 0 0 0 0 0 114
0 0 0 0 0 0 316
0 0 0 0 0 0 77,350
0 0 0 0 0 0 241
0 0 0 0 0 0 314
0 0 0 0 0 0 424
0 0 0 0 0 0 146
0 0 0 0 0 0 215
0 0 0 0 0 0 234
0 0 0 0 0 0 8,025
0 0 0 0 0 0 29,530
0 0 0 0 0 0 506
0 0 0 0 0 0 7,792
distrindo
forta
sapta sari
pt holi
marryka
lawsim
selaras
arinda
glory
PT TRIFA
kuda mas
inprika
ALVINDO
JUHAN
LESTARI
RAPHA
PT.SEHAT
INTI
PERKASA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Kode NIE dapat diperoleh di Menu Master data => Obat e-Licensing. Harus sesuai dengan master data di sistem e-Report PBF.
Nama Produk dapat diperoleh di Menu Master data => Obat e-Licensing. Harus sesuai dengan master data di sistem e-Report PBF.
Kemasan dapat diperoleh di Menu Master data => obat e-Licensing. Harus sesuai dengan master data di sistem e-Report PBF.
Stok Awal merupakan stok akhir produk pada periode pelaporan sebelumnya.
Masuk IF merupakan total masuk obat dari Industri Farmasi.
Kode IF merupakan kode Industri Farmasi yang jumlah pemasukannya di inputkan di Kolom 5. Dapat diperoleh di menu Master Data => In
Masuk PBF merupakan total masuk obat dari PBF.
Kode PBF merupakan kode PBF yang jumlah pemasukannya di inputkan di Kolom 7. Dapat diperoleh di menu Master Data => Pedagang Be
Masuk Retur merupakan total retur yang masuk dari seluruh PBF pusat, PBF Cabang, dan/atau seluruh Sarana Pelayanan.
Keluar PBF merupakan total penyaluran obat ke suatu PBF baik pusat atau cabang.
Kode PBF merupakan kode PBF yang jumlah penyalurannya di inputkan di Kolom 10. Dapat diperoleh di menu Master Data => Pedagang B
Keluar RS merupakan total penyaluran ke semua Rumah Sakit.
Keluar Apotek merupakan total penyaluran ke semua Apotek.
Keluar Sarana Pemerintah merupakan total penyaluran ke semua Instalasi Farmasi Kabupaten Kota dan Provinsi.
Keluar Puskesmas merupakan total penyaluran ke semua Puskesmas.
Keluar Klinik merupakan total penyaluran ke semua Klinik.
Keluar Toko Obat merupakan total penyaluran ke semua Toko Obat.
Keluar Retur merupakan total retur ke PBF Pusat atau Industri Farmasi.
Lainnya merupakan total penyaluran di luar dari keluar PBF, RS, Apotek, Sarana Pemerintah, Puskesmas, Klinik, Toko Obat, dan/atau Retur
HJD merupakan Harga Jual Distributor + PPN.

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PELAPORAN OBAT PERIODE TRIW

Kode Obat (NIE Nama Obat Kemasan Stok Awal

0 0 100 P-1200 0 0 0 0 100

0 0 800 P-1562 0 0 0 0 775

0 0 2935 P-1562 0 0 0 0 1985

0 0 1297 P-1562 0 0 0 0 506

0 0 92450 P-1200 0 0 0 0 16900

0 0 800 P-1562 0 0 0 0 800

0 0 172 P-0703 0 0 0 0 107

0 0 2800 P-1200 0 0 0 0 2800

0 0 2200 P-0703 0 0 0 0 2237

0 0 144 P-1562 0 0 0 0 234

0 0 12000 P-1200 0 0 0 0 3000

0 0 214 P-1200 0 0 0 0 121

0 0 9000 P-1200 0 0 0 0 8500

0 0 184 P-0703 0 0 0 0 125

0 0 312 P-1036 0 0 0 0 312

0 0 136 P-1036 0 0 0 0 4458

0 0 180 P-1036 0 0 0 0 127

0 0 4900 P-0703 0 0 0 0 5400

0 0 1000 P-0703 0 0 0 0 1000

0 0 21800 P-1200 0 0 0 0 20000

0 0 7800 P-1200 0 0 0 0 1306

0 0 796 P-1200 0 0 0 0 1866

0 0 320 P-0867 0 0 0 0 248

0 0 1158 P-0867 0 0 0 0 316

0 0 200 P-1200 0 0 0 0 100

0 0 27500 P-0867 0 0 0 0 12000

0 0 23000 P-0867 0 0 0 0 18100

0 0 100 P-0867 0 0 0 0 100

0 0 8000 P-1562 0 0 0 0 2325

0 0 181900 P-0867 0 0 0 0 58900

0 0 288 P-1562 0 0 0 0 130

0 0 33500 P-1562 0 0 0 0 6500

0 0 20000 P-1562 0 0 0 0 12300

0 2216 P-1200 0 0 0 0 1349

0 0 4000 P-1200 0 0 0 0 2100

0 0 294 P-1562 0 0 0 0 840

0 0 8200 P-1562 0 0 0 0 1700

0 0 150 P-1562 0 0 0 0 150

0 0 240 P-1562 0 0 0 0 240

0 0 18400 P-1562 0 0 0 0 18636

0 0 11310 P-1562 0 0 0 0 29257

0 0 2185 P-1562 0 0 0 0 3120

0 0 812 P-1247 0 0 0 0 950

0 0 768 P-1247 0 0 0 0 384

0 0 6528 P-1247 0 0 0 0 3440

0 0 5364 P-1247 0 0 0 0 5486

0 0 15750 P-1200 0 0 0 0 15750

0 0 15500 P-1200 0 0 0 0 15500

0 0 1058 P-1200 0 0 0 0 808

0 0 500 P-1562 0 0 0 0 522

0 0 1700 P-1562 0 0 0 0 1727

0 0 60000 P-0867 0 0 0 0 1800

0 0 160500 P-0867 0 0 0 0 23100

0 0 2500 P-1200 0 0 0 0 2500

0 0 2087 P-0867 0 0 0 0 1942

0 0 10000 P-1036 0 0 0 0 1790

0 0 300 P-1036 0 0 0 0 351

0 0 1060 P-1562 0 0 0 0 1677

0 0 500 P-1562 0 0 0 0 890

0 0 12500 P-1562 0 0 0 0 12500

0 0 13500 P-1036 0 0 0 0 13713