Rumkital Marinir Cilandak

Bagian Farmasi

USULAN PERMINTAAN BARANG JUNI 2017

FARMASI YANMASUM

HARGA
NO NAMA OBAT SISA PERMINTAAN SATUAN
SATUAN
STOK JUMLAH

1 ACRAN 150MG INJ 4 1 BOX 5 96,600

2 ACRAN TAB 1 2 BOX 30 150,480
3 ACTIFED SYR (KUNING) 0 4 PCS 35,700
4 ADONA AC 0 2 Box 100 201,600
5 ALKOHOL 70 % 100 CC 0 10 PCS 4,570
6 AMOXAN 250 MG 0 1 Box 100 162,200
7 ARIXTRA 2.5 MG INJ 1 2 BOX 2 759,000
8 BAQUINOR FORTE 1 2 Box 20 252,000
9 BETADIN GARGLE (B) 1 10 PCS 17,710
10 BETADIN SOL 30 ML 4 10 PCS 15,700
11 BIOCREAM 0 2 TUBE 18,040
12 BRICASMA INJ 4 2 BOX/5 92,362
13 CALDECE EFF 0 10 PCS 25,000
14 CARBAZOCROM INJ 0 3 PCS 131,120
15 CENDO ASTHENOF MD 0 10 PCS 22,550
16 CENDO FENICOL EYE OIN 0 6 PCS 24,062
17 CENDO HERVIS EYE OIN 0 2 PCS 44,467
18 CENDO OPHTALGON ED 0 5 Pcs 21,000
19 CENDO OPTHAGON MD 0 5 Pcs 12,100
20 CENDO POLYNEL ED 0 5 Pcs 39,462
21 CENDO VASACON A ED 0 5 Pcs 16,225
22 CITICOLINE 250MG INJ 3 6 BOX 10 143,000
23 CITICOLINE 500MG INJ 0 5 BOX 5 135,000
24 CLANEKSI 500 0 1 BOX 30 359,700
25 CLANEKSI SYR 0 2 PCS 52,360
26 CORSET LUMBAL M/L 0 6 PCS 400,000
27 DARYAZIC DROP 0 3 PCS 36,300
28 DARYAZIC SYR 0 3 Pcs 33,000
29 DOLO NEUROBION 0 1 BOX 100 137,200
30 ENZYMPLEX TAB 0 2 BOX 100 86,000
31 EPSONAL 0 2 BOX 100 341,000
32 ERICAF TAB 0 2 BOX 30 160,740
33 ERLAMYCETIN EAR DROP 0 10 PCS 5,082
34 ERLAMYCETIN EYE OIN 0 10 PCS 4,620
35 FEPIRAM 3 GR INJ 0 2 BOX 5 51,700
36 FG THROCES 1 1 BOX 100 104,500
37 GARAMYCIN OINT 5 GR 0 3 Pcs 30,459
38 GLUMIN 500 MG 0 2 BOX 50 57,750
39 GLUMIN XR 0 1 BOX 50 93,750
 HARGA
NO NAMA OBAT SISA PERMINTAAN SATUAN
SATUAN
40 HYDROCLORTHYAZIDE ( HCT) 25 MG 0 3 BOX/100 33,000
41 ILIADIN MOIST TETES 0 2 PCS 44,303
42 IMBOOST FORCE 1 3 Box 30 165,000
43 ISPRINOL SYR 0 5 PCS 82,500
44 ISPRINOL TAB 0 2 BOX 8 82,496
45 ITRACONAZOLE TAB 0 3 Box 30 120,000
46 KASA STERIL 0 10 PCS 9,650
47 KETOROLAC TAB 0 5 Box 30 75,000
48 LACTO B 1 1 BOX 40 209,000
49 LANAKELOID CREAM (LANDSON) 0 2 TUBE 100,405
50 MECOBALAMIN 500 MG 2 3 BOX 100 77,000
51 MICROLAX RECT SUPP 0 6 PCS 19,250
52 NALGESTAM 0 2 BOX 100 110,000
53 NEBACETIN POWDER 2 4 PCS 20,350
54 NEO K INJ 0 5 BOX 5 67,760
55 NEULIN 500 INJ 5 5 Box 5 305,000
56 NEURALGIN TAB 2 2 BOX/100 60,000
57 NEUROBION 5000 INJ 3 2 Box 20 154,066
58 NORSEC INJ 2 10 VIAL 149,600
59 NOVALGIN SYR 0 3 PCS 42,817
60 NOVO TWIST 2 2 BOX 100 231,000
61 NUCEF SYR 0 6 PCS 80,850
62 NUCRAL SYR 7 3 Pcs 52,250
63 OBH COMBI 5 6 Pcs 7,350
64 OSTEOCAL TAB 0 3 BOX 30 57,180
65 OTILON EAR DROP 1 5 PCS 34,800
66 OTOPAIN EAR DROP 1 5 Pcs 36,000
67 OXOFERIN SOL 30 ML 3 3 PCS 71,500
68 PHENITOIN INJ 0 2 BOX 10 509,130
69 PHITOMENADION INJ 0 2 BOX 25 43,500
70 PIRACETAM 1200 MG TAB 0 3 BOX 100 129,300
71 PIRACETAM 200 MG INFUS / 5 ML 0 2 PCS 77,000
72 PIROFEL 0.5% GEL 20 GR 4 2 PCS 15,800
73 POLYSILEN SYR 0 6 PCS 18,500
74 PROBI SACC 0 1 BOX 40 219,600
75 RHINOFED TAB 0 2 Box 50 77,000
76 RHINOS SR TAB 0 1 Box 100 450,000
77 RIVANOL 100 CC 0 10 PCS 5,000
78 SALICYL TALK 0 15 PCS 11,880
79 SANEXON 4 MG TAB 1 1 BOX 100 225,500
80 SANMAG TAB 0 2 BOX 100 83,600
81 SANMOL INF 0 10 Pcs 55,200
82 SPUIT 1 CC INSULIN (OREN) 0 2 BOX100 407,000
83 STROCAIN 0 6 Box 100 192,548
84 TEGADERM 0 6 PCS 57,750
85 TGF CENDO 5 5 BOX 18 104,940
86 THROMBOPHOB GEL 0 6 PCS 51,979
 HARGA
NO NAMA OBAT SISA PERMINTAAN SATUAN
SATUAN
87 TRAMAL SUPP 0 10 BOX 10 165,000
88 TRILAC INJ 0 6 PCS 94,500
89 UROGETIX 0 1 BOX 30 131,940
90 URSODEOXYCHOLIC ACID 250 MG 1 5 BOX 30 126,000
91 VAGISTIN OVULA 0 2 BOX 10 151,250
92 VENOVER INJ 0 1 BOX 5 986,150
93 VIP ALBUMIN 1 4 BOX 30 181,500
94 VITACID 0.1% CREAM 1 2 PCS 43,285
95 VITANORM 5 10 BOX 30 109,890
96 VITAZYM (KALBE) 0 2 BOX 100 57,200
97 VOLTAREN GEL 1 2 PCS 33,921
98 VOMETA SYR 0 2 PCS 43,450
99 ZAMEL SYR 1 2 Pcs 30,000
100 ZIBRAMAX SYR 2 2 PCS 102,300
101 ANJELIQUE TAB 0 1 BOX
102 RICLONA 2 MG 0 1 BOX

Jumlah
PPN 10%
Jumlah Total
JUMLAH

96,600
300,960
142,800
403,200
45,700
162,200
1,518,000
504,000
177,100
157,000
36,080
184,724
250,000
393,360
225,500
144,372
88,934
105,000
60,500
197,310
81,125
858,000
675,000
359,700
104,720
2,400,000
108,900
99,000
137,200
172,000
682,000
321,480
50,820
46,200
103,400
104,500
91,377
115,500
93,750
JUMLAH

99,000
88,605
495,000
412,500
164,992
360,000
96,500
375,000
209,000
200,810
231,000
115,500
220,000
81,400
338,800
1,525,000
120,000
308,132
1,496,000
128,451
462,000
485,100
156,750
44,100
171,540
174,000
180,000
214,500
1,018,260
87,000
387,900
154,000
31,600
111,000
219,600
154,000
450,000
50,000
178,200
225,500
167,200
552,000
814,000
1,155,288
346,500
524,700
311,874
JUMLAH

1,650,000
567,000
131,940
630,000
302,500
986,150
726,000
86,570
1,098,900
114,400
67,842
86,900
60,000
204,600
-
-

34,403,116
3,440,312
37,843,428
Rumkital Marinir Cilandak
Bagian Farmasi

USULAN PERMINTAAN BARANG JUNI 2017

FARMASI YANMASUM

HARGA
NO NAMA OBAT STOC PERMINTAAN SATUAN
SATUAN
JUMLAH
1 ACRAN 150MG INJ 5 BOX 5 96,600
2 ACTIFED SYR (KUNING) 5 PCS 35,700
3 ADONA AC 2 Box 100 201,600
4 ADONA FORTE 2 Box 100 3,234,300
5 AKILEN ERA DROP 2 PCS 56,200
6 ALBOTYL 5 ML 4 PCS 23,000
7 ALKOHOL 70 % 100 CC 15 PCS 4,570
8 AMOXAN 500 MG 2 Box 100 332,000
9 AMOXAN 250 MG 2 Box 100 162,200
10 AMOXAN SYR 2 PCS 22,781
11 APIALYS DROP 3 PCS 33,000
12 APIALYS SYR 3 PCS 22,500
13 APOLAR N CREAM 2 PCS 33,550
14 ARDIUM 2 BOX 60 422,100
15 ARIXTRA 2.5 MG INJ 2 BOX 2 759,000
16 ATROVASTATIN 20 MG (PRATAPA) 3 BOX 30 132,000
17 BAQUINOR FORTE 1 Box 20 252,000
18 BEPHANTEN OIN 3 TUBE 51,046
19 BETADIN GARGLE (B) 3 PCS 17,710
20 BETADIN SOL 30 ML 6 PCS 15,700
21 BETASON CREAM 1 BOX 24 191,280
22 BETASON N CREAM 1 BOX 24 242,880
23 BIOCREAM 2 TUBE 18,040
24 BISOLVON ELIX 3 Pcs 28,050
25 BISOVON SOL 5 Pcs 71,500
26 BRICASMA INJ 5 BOX/5 92,362
27 BUSCOPAN INJ 4 BOX 10 582,340
28 CALDECE EFF 10 PCS 25,000
29 CATAFLAM 25 MG 2 BOX 50 130,936
30 CATAFLAM 50 MG 2 BOX 50 249,889
31 CAVIT D3 3 BOX 100 162,300
32 CDR EFF 10 PCS 34,028

34 CENDO ASTHENOF MD 5 PCS 22,550

35 CENDO CATARLENT ED (B) 10 PCS 33,687
36 CENDO FENICO 0.25% ED 2 PCS 26,469
37 CENDO FENICOL EYE OIN 10 PCS 24,062
38 CENDO HERVIS EYE OIN 3 PCS 44,467
39 CENDO LYTERS B ED 10 Pcs 24,750
40 CENDO OPHTALGON ED 5 Pcs 21,000
41 CENDO OPTHAGON MD 5 Pcs 12,100
42 CENDO PROTOGENT A MD 5 Pcs 39,462
43 CENDO VASACON A ED 5 Pcs 16,225
44 CHLORAMPHECORT CRAM 1 BOX 24 14,014
45 CIFLOS CAP 1 Box 20 240,000
46 CITICOLIN 500 MG TABLET 10 BOX 30 198,000
47 CITICOLINE 250MG INJ 5 BOX 10 143,000
48 CITICOLINE 500MG INJ 10 BOX 5 135,000
49 CLANEKSI 500 1 BOX 30 359,700
50 CORSET LUMBAL M/L 3/3 PCS 385,000
51 COUNTERPAIN CR 15GR 6 Pcs 19,800
52 DARYAZIC DROP 3 PCS 36,300
53 DARYAZIC SYR 5 Pcs 33,000
54 DEXANTA 5 Box 100 18,500
55 DEXANTA SYR 10 PCS 11,274
56 DIOVAN 80 MG 3 Box 28 316,456
57 DUVADILAN INJ 5 Box 6 155,000
58 ENERVON C SYR 120 ML 6 PCS 15,562
59 ENZYMPLEX TAB 2 BOX 100 86,000
60 EPERISONE HCL TAB 50 MG 2 BOX 100 140,000
61 EPEXOL SYR 6 PCS 15,450
62 EPISAN SYR 6 PCS 44,200
63 EPRINOC 1 BOX 100 341,000
64 EPSONAL 3 BOX 100 341,000
65 ERICAF TAB 2 BOX 30 160,740
66 ERLAMYCETIN EAR DROP 10 PCS 5,082
67 ERLAMYCETIN EYE OIN 6 PCS 4,620
68 FENOFIBRAT 100 (HEXPARM) 3 BOX 30 150,000
69 FENOFIBRAT 200 (MEDICON) 3 BOX 30 196,710
70 FEPIRAM 3 GR INJ 2 BOX 5 51,700
71 FG THROCES 2 BOX 100 104,500
72 FLAMAR 50MG 2 Box 50 165,000
73 FLUNARIZINE 5 MG 3 BOX/40 55,000
74 FOLAVIT TAB 3 BOX/100 84,700
75 FULADIC CREAM 3 PCS 49,500
76 GARAMYCIN OINT 5 GR 3 Pcs 30,459
77 GENFIBROZIL 300 MG (INDOFARMA) 5 BOX 120 36,500
78 GLUCOSAMINE 250 MG 5 BOX/100 116,600
79 GLUCOSAMINE 500 MG 5 BOX/100 184,300
80 GLURENORM 2 BOX 100 171,000
81 HEMOBION 2 BOX 100 131,868
82 HISTRINE SYR 3 PCS 43,000
83 HISTRINE TAB 3 BOX 30 127,000
84 HP PRO 4 BOX 120 516960
85 HYDROCLORTHYAZIDE ( HCT) 25 MG 5 BOX/100 33,000
86 ILIADIN 0.05% SPRAY 2 PCS 44,303
87 ILIADIN MOIST TETES 2 PCS 44,303
88 IMBOOST FORCE 2 Box 30 165,000
89 IMUNOS SYR 3 PCS 60,500
90 IMURAN 4 Box 28 190,629
91 INERSON CREAM 5 TUBE 55,000
92 ISPRINOL SYR 3 PCS 82,500
93 ITRACONAZOLE TAB 3 Box 30 120,000
94 KASA STERIL 15 PCS 9,650
95 KENALOG IN ORABASE 2 Pcs 46,900
96 KETOROLAC TAB 3 Box 30 75,000
97 LACTO B 3 BOX 40 209,000
98 LANAKELOID CREAM (LANDSON) 2 TUBE 100,405
99 LASIX INJ 5 BOX 5 65,578
100 LASIX TAB 2 BOX 100 403,737
101 LAXADIN 60 ML SYR 5 PCS 33,000
102 LIFREE POPOK PEREKAT L3 5 Pcs 28,096
103 LIFREE POPOK PEREKAT M4 5 Pcs 28,096
104 LIFREE POPOK PEREKAT XL1 5 Pcs 56,290
105 LINCOMYCIN 500 MG 2 BOX 100 135,000
106 LODIA 2 BOX 100 99,000
107 LYCURMIN SYR 60 ML 10 PCS 25,000
108 MATOVIT FIFTY 1 BOX 30 115,500
109 MECOBALAMIN 250 MG 2 BOX 100 57,700
110 MECOBALAMIN 500 MG 2 BOX 100 77,000
111 MEDIXON 125 MG INJ 6 PCS 75,000
112 MEDIXON 4 MG 1 BOX 100 253,000
113 MEFINAL 250MG 1 BOX 100 60,500
114 MEFINAL 500MG 3 Box 100 120,000
115 MERTIGO 3 BOX 100 324,500
116 METHYCOBAL 500 MG 2 Box 100 353,800
117 MICROLAX RECT SUPP 10 PCS 19,250
118 MICROPORE 1 INC 1 BOX 12 417,996
119 MUCOPEC SYR ANAK 6 PCS 44,528
120 MUCOPEC SYR DEWASA 6 PCS 55,676
121 MYFORTIC 380 MG (NOVARTIS) 1 BOX 50 2,168,000
122 NALGESTAM 2 BOX 100 110,000
123 NEBACETIN POWDER 5 PCS 20,350
124 NEO K INJ 3 BOX 5 67,760
125 NEULIN 500 INJ 10 Box 5 305,000
126 NEURALGIN TAB 2 BOX/100 60,000
127 NEUROBION 5000 INJ 3 Box 20 154,066
128 NEURODEX 5 BOX 200 121,000
129 NEUROSANBE INJ 5 BOX 10 51,860
130 NEUROSANBE TAB 5 BOX/100 110,000
131 NEW DIATAB 5 BOX 100 50,650
132 NOLIPO 1 BOX 100 437,800
133 NOVALGIN INJ 5 Box 5 49,786
134 NOVALGIN SYR 3 PCS 42,817
135 NOVO TWIST 5 BOX 100 231,000
136 NUCEF 100 2 PCS 610,500
137 NUCEF SYR 3 PCS 80,850
138 NUCRAL SYR 10 Pcs 52,250
139 NUVISION 3 BOX 30 161,700
140 OBH COMBI 10 Pcs 7,350
141 OMZ 5 Box 30 350,000
142 ONDANCETRON 4 MG TAB 5 BOX 10 30,800
143 ONDANCETRON 8 MG TAB 5 BOX 10 53,240
144 OSTEOCAL TAB 5 BOX 30 57,180
145 OTILON EAR DROP 3 PCS 34,800
146 OTOPAIN EAR DROP 10 Pcs 36,000
147 OXOFERIN SOL 30 ML 3 PCS 71,500
148 PEHACAIN INJ 1 BOX 20 62,260
149 PEHADOXIN TAB 5 BOX 100 60,000
150 PHARMATON FORMULA 1 Box 5 167,600
151 PHARMATON VIT 1 BOX 50 233,760
152 PHAROLIT 1 BOX 100 100,000
153 PHENITOIN INJ 3 BOX 10 509,130
154 PHITOMENADION INJ 2 BOX 25 43,500
155 PIRACETAM 200 MG INFUS 5 PCS 77,000
156 PIROFEL 0.5% GEL 20 GR 4 PCS 15,800
157 POLYSILEN SYR 10 PCS 18,500
158 PONSAMIC 500MG 3 Box 100 137,500
159 PREGABALIN 75 MG 5 BOX 30 214,500
160 PROFECOM SUPP 5 BOX 10 130,900
161 PROFERTIL TAB 1 BOX/10 140,000
162 PROPIRETIC 160 MG 2 Box 12 79,996
163 PROPIRETIC 240 MG 2 Box 12 94,996
164 PROPIRETIC 80 MG 2 Box 12 75,000
165 PRORENAL 5 Box 100 600,000
166 PROSTER 200 MG 2 BOX 30 330,000
167 PUMPITOR 5 Box 20 245,000
168 RHINOFED TAB 2 Box 50 77,000
169 RHINOS SR TAB 1 Box 100 450,000
170 RIVANOL 100 CC 15 PCS 5,000
171 SALICYL TALK 15 PCS 11,880
172 SANDIMUN 100 MG/ NEORAL 3 BOX 50 3,001,150
173 SANEXON 4 MG TAB 2 BOX 100 225,500
174 SANFULIQ 2 Box 30 132,000
175 SANGOBION 1 BOX 207,500
176 SANMAG SYR 3 PCS 24,860
177 SANMAG TAB 2 BOX 100 83,600
178 SANMOL 500MG 3 Box 100 25,000
179 SANMOL DROP 6 Pcs 15,895
180 SANMOL INF 15 Pcs 55,200
181 SANMOL SYR 10 Pcs 11,826
182 SANPICILIN INJ 1 GR 2 BOX 10 163,510
183 SCABICID CREAM 4 PCS 24,999
184 SCABIMIDE CREAM 4 PCS 36,500
185 SELOXY AA 3 Box 28 190,000
186 SERFAC 500MG INJ 7 Box 5 300,000
187 SMNC INJ 10 AMP 104,500
188 SPASMINAL TAB 2 BOX/100 54,000
189 SPORETIK 100MG 3 Box 30 537,000
190 SPORETIK SYR 3 Pcs 77,400
191 SPUIT 1 CC INSULIN (OREN) 2 BOX100 407,000
192 STROCAIN 5 Box 100 192,548
193 TEGADERM 10 PCS 57,750
194 TENSIVAS 10 MG 1 BOX 50 522,500
195 TENSIVAS 5 MG 2 BOX 50 286,000
196 TGF CENDO 3 BOX 30 104,940
197 THROMBOPHOB GEL 6 PCS 51,979
198 TOPCORT CRAM 5 TUBE 22,220
199 TOPSY CREAM 2 Pcs 44,000
200 TRADOSIK 5 BOX 100 297,500
201 TRADOSIK INJ 5 BOX 10 172,860
202 TRAMAL SUPP 5 BOX 10 165,000
203 TREMENZA SYR 5 PCS 17,600
204 TREMENZA TAB 5 BOX 100 124,800
205 TRICHODAZOL 500 MG 2 BOX 100 165,000
206 TRICHODAZOL INFUS 20 Pcs 80,700
207 TRILAC INJ 5 PCS 94,500
208 UNALIUM 5 MG 2 BOX 40 215,600
209 URADAFALK 3 BOX 30 284,340
210 URISPAS 200 MG 2 Box 30 138,600
211 UROGETIX 1 BOX 30 131,940
212 URSODEOXYCHOLIC ACID 250 MG 10 BOX 30 126,000
213 VAGISTIN OVULA 2 BOX 10 151,250
214 VECTRINE 2 BOX 30 132,000
215 VENOVER INJ 1 BOX 5 986,150
216 VENTOLIN 2 MG TAB 5 BOX 30 72,750
217 VIP ALBUMIN 2 BOX 30 181,500
218 VITACID 0.1% CREAM 2 PCS 43,285
219 VITANORM 10 BOX 30 109,890
220 VITAZYM (KALBE) 2 BOX 100 57,200
221 VOLTAREN GEL 3 PCS 33,921
222 ZAMEL SYR 3 Pcs 30,000
Jumlah
PPN 10%
Jumlah Total
JUMLAH

483,000
178,500
403,200
6,468,600
112,400
92,000
68,550
664,000
324,400
45,562
99,000
67,500
67,100
844,200
1,518,000
396,000
252,000
153,138
53,130
94,200
191,280
242,880
36,080
84,150
357,500
461,810
2,329,360
250,000
261,872
499,778
486,900
340,280

112,750
336,870
52,938
240,620
133,401
247,500
105,000
 60,500
197,310
81,125
14,014
240,000
1,980,000
715,000
1,350,000
359,700

118,800
108,900
165,000
92,500
112,740
949,368
775,000
93,372
172,000
280,000
92,700
265,200
341,000
1,023,000
321,480
50,820
27,720
450,000
590,130
103,400
209,000
330,000
165,000
254,100
148,500
91,377
182,500
583,000
921,500
342,000
263,736
129,000
381,000
2,067,840
165,000
88,605
88,605
330,000
 181,500
762,516
275,000
247,500
360,000
144,750
93,800
225,000
627,000
200,810
327,890
807,474
165,000
140,480
140,480
281,450
270,000
198,000
250,000
115,500
115,400
154,000
450,000
253,000
60,500
360,000
973,500
707,600
192,500
417,996
267,168
334,056
2,168,000
220,000
101,750
203,280
3,050,000
120,000
462,198
605,000
259,300
550,000
253,250
437,800
248,930
128,451
1,155,000
1,221,000
 242,550
522,500
485,100
73,500
1,750,000
154,000
266,200
285,900
104,400
360,000
214,500
62,260
300,000
167,600
233,760
100,000
1,527,390
87,000
385,000
63,200
185,000
412,500
1,072,500
654,500
140,000
159,992
189,992
150,000
3,000,000
660,000
1,225,000
154,000
450,000
75,000
178,200
9,003,450
451,000
264,000
207,500
74,580
167,200
75,000
95,370
828,000
118,260
327,020
99,996
146,000
 570,000
2,100,000
1,045,000
108,000
1,611,000
232,200
814,000
962,740
577,500
522,500
572,000
314,820
311,874
111,100
88,000
1,487,500
864,300
825,000
88,000
624,000
330,000
1,614,000
472,500
431,200
853,020
277,200
131,940
1,260,000
302,500
264,000
986,150
363,750
363,000
86,570
1,098,900
114,400
101,763
90,000
16,589,366,017
1,658,936,602
18,248,302,619
Rumkital Marinir Cilandak
Bagian Farmasi

USULAN PERMINTAAN BARANG JUNI 2017

FARMASI YANMASUM

HARGA
NO NAMA OBAT SISA PERMINTAAN SATUAN JUMLAH
SATUAN
STOK JUMLAH

APL
1 ARIXTRA 2.5 MG IN 1
2 BRICASMA INJ 5
3 BRICASMA TAB 0
4 CATAFLAM 25 MG 2
5 CATAFLAM 50 MG 2
6 COMBANTRI 250 MG 0
7 COMBANTRIN ORANGE SYR 0
8 DARYAZINC DROP
9 DARYAZINC SYR
10 ENERVON C SYR 6
11 ENERVON C TAB 2
12 FERLIN DROP 6
13 FERLIN SYR 6
14 FLAGYL 0.5 MG SUPP 0
15 FLAGYSTATIN VAG SUPP 1
16 HEMOBION 2
17 ILIADIN SPRAY 2
18 LASIX INJ 6
19 LASIX TAB 2
20 METHYCOBAL 250 MG 3
21 METHYCOBAL 500 MG 3
22 MYFORTIC 360 MG 1
23 NEUROBION 5000 INJ 5
24 NEW DIATAB 5
25 NOVALGIN INJ 10
26 OBH COMBI SYR 10
27 PHARMATON FORMULA 1
28 PROPYRETIC 160 MG SUPP 10
29 PROPYRETIC 240 MG SUPP 10
30 PROPYRETIC 80 MG SUPP 10
31 SANGOBION 1
32 SIRDALUT TAB 1
33 URDAFALK 5
34 VENTOLIN TAB 5
35 XYLOCAIN GEL 1
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
 80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222

Jumlah ###
PPN 10% 1,658,936,602
Jumlah Total ###
 FARMASI YANMASUM
DAFTAR ANGGOTA & BAGIAN KERJA

NO NAMA KARTU STOK LAPORAN

1 DESFITA SYRUP & KULKAS UPB

2 MEGAH INDAH TAB (S.T.U.V.W.X.Y.Z ) KEUANGAN TUNAI & RESITUSI BELI OBAT
3 IDUP ALKES.INFUS AMPRAHAN GUDANG & SETORAN BANK
JAMINAN.HOSPITAL FARMASI & PENANGGUNG
4 SRI AGUSTINA TAB (M.N.O.P.Q.R. ) JAWAB PAV B

5 BIMBI NARKOTIK & OBAT INJEKSI( N s/d Z) LAPORAN NARKOTIK

6 WORO OBAT TETES & SALAP ENTRY FAKTUR
7 ALMER TAB (F.G.H.I.J.K.L) RESITUSI
8 SUHERMAN TAB ( A.B.C .D.E.)
9 YUS OBAT INJEKSI (A s/d M )
Mengetahui Jakarta, Mei 2017
Kasubdalfar RSMC Pjs Kepala Ruangan:..........

Dra.Yosniarti A.Apt Desfita

............................................................ PNS III/b Nip. 197302071998032002