BA Stock Opname
BA Stock Opname
BA Stock Opname
DINAS KESEHATAN
Yang bertandatangan di bawah ini, menyatakan bahwa dalam rangka pemeriksaan fisik atas persediaan tanggal 31 September 2019 di Gudang Obat/ Apotik
pada Puskesmas Lalang dijumpai kenyataan sebagai berikut:
1
Air untuk injeksi amp 25 ml Botol 30 30 0
31
Asam retinoat krim 0,1 % Tube 30 30 0
32
Asam asetilsalisilat (asetosal) tab 100 mg Tab 30 30 0
Copper T set/buah 30 30
53 0
58
Dekstrometorfan Hbr tab 15 mg Tab 30 30 0
62
Diazepam lar rektal 5 mg/2,5 ml Botol 30 30 0
63
Diazepam tab 2 mg Tab 30 30 0
Etching 30 30
82 0
Eugenol Botol 30 30
84 0
89
Ferro sulfat tab salut 300 mg Tab sal 30 30 0
93
Fluoksetin 10 mg tablet tablet 30 30 0
94
Formokresol Botol 30 30 0
120
Hidrogen peroksida cairan 3% Botol 30 30 0
124
Hiosina butilbromida tab 10 mg Tab 30 30 0
125
Human tetanus imunoglobulin inj 250 UI (i.m.) Ampul 30 30 0
Kalamin Tube 30 30
137 0
151
Kloramfenikol kaps 250 mg Kaps 30 30 0
155
Kloramfenikol tetes telinga 3% Botol 30 30 0
156
Kloramfenikol tts mata 0,5% Botol 30 30 0
Kombinasi : ferro sulfat 200 mg+ as. Folat 0,25 mg Tab sal 30 30
169 0
Kombinasi : levonorgestrel 150 mcg + etinilestradiol
Tab 30 30
170 30 mcg 0
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5
Botol 30 30
171 mg nebules 0
182
Lidokain spray oral 10% Botol 30 30 0
186
Magnesium sulfat inj 40% Vial 30 30 0
187
Meloksikam tablet 7,5mg Tab 30 30 0
213
Obat Anti Tuberculosis kategori 2 paket 30 30 0
OCO Botol 30 30
215 0
217
Oksimetazolin tts hidung 0,025% Botol 30 30 0
218
Oksimetazolin tts hidung 0,050% Botol 30 30 0
244
Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 30 30 0
248
Salbutamol cairan ih 0,1% Botol 30 30 0
249
Salbutamol lar ih 0,5 % Botol 30 30 0
TKF Botol 30 30
272 0
275
Valproat sir 250 mg/5 ml Botol 30 30 0
279
Zinc drop 10 mg/mL Botol 30 30 0
280
Zinc serb 10 mg Sachet 30 30 0
Antisera A Kotak 30 30
293 0
Antisera AB Vial 30 30
294 0
Antisera B Vial 30 30
295 0
306
Endotracheal tube (ETT) No. 7,5 Pcs 30 30 0
310
Foley Catheter 2 way No. 16 Pcs 30 30 0
311
Foley Catheter 2 way No. 18 Pcs 30 30 0
Giemsa Pcs 30 30
319 0
IV catheter no 18 G Pcs 30 30
326 0
IV catheter no 20 G Pcs 30 30
327 0
IV catheter no 22 G Pcs 30 30
328 0
IV catheter no 24 G Pcs 30 30
329 0
337
Kasa pembalut hidrohil 4 m x 5 cm Rol 30 30 0
341
Kateter penghisap 18F Pcs 30 30 0
342
Kateter penghisap 6F Pcs 30 30 0
Plester Rol 30 30
360 0
368
Sarung tangan bedah steril No. 7.5 Pasang 30 30 0
372
Sarung tangan periksa Kotak/100 30 30 0
373
Silk No. 2/0 + jarum Pcs 30 30 0
Klorpromazin 25 mg Tablet 30 30
396 0
399
Alat Suntik + Jarum 3 cc Pcs 30 30 0
403
Catgut Chromic 3/0 + Jarum 1/2 GT 35 mm Pcs 30 30 0
404
Cuticell Classic 10 x 10 cm Pcs 30 30 0
Dermafix(5x500cm) Roll 30 30
405 0
GC Fuji IX Box 30 30
407 0
Riboquin Box 30 30
417 0
Kombinasi:Ferro fumarat 60 mg + as.folat 0.4 mg
Tab 30 30
418 tablet salut gula ( tablet tambah darah ) 0
OAM Tablet 30 30
421 0
Safety Box Bh 30 30
424 0
430
Plester 7,5 cm x 4.5 m ( Hansaplast 7,5 cm x 4,5 m ) Roll 30 30 0
433
Trihexyphenidyl HCL Tablet salut 30 30
0
30 30 0
30 30 0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30 0
30 30
0
30 30
0
30 30
0
30 30 0
30 30 0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30
0
30 30 0
30 30
0
Yang bertandatangan di bawah ini, menyatakan bahwa dalam rangka pemeriksaan fisik atas persediaan tanggal 31 September 2019 di Gudang Obat/ Apotik
pada Puskesmas Lalang dijumpai kenyataan sebagai berikut:
Cefadroxil Kapsul 30 30
3 0
Inamid Tablet 30 30
4 0
GG Pot 30 30
6 0
Meloxicam 15 mg Tablet 30 30
9 0
Piroxicam Tablet 30 30
13 0
Sotatic Tablet 30 30
14 0
24
chloraphenicol tetes Telinga Botol 30 30 0
Furasemide 40 mg Tablet 30 30
25 0
28
Ecolin 1 Liter Botol 30 30 0
29
Cendoxitrol Tetes Mata papan 30 30 0
Novaclor Tablet 30 30
31 0
Blender Obat Bh 30 30
33 0
Ibuprofen Tablet 30 30
37 0
39 Propylthiouracil Tablet 30 30
0
Simvastatin Tablet 30 30
45 0
Masker Box 30 30
47 0
Antasida Tablet 30 30
48 0
Amlodipine 10 mg Tablet 30 30
49 0
Metronidazole Tablet 30 30
50 0
Ranitidin Tablet 30 30
51 0
Methylprednisolon Tablet 30 30
53 0
Jamilah Azmi
dr. Rahmawani Akmal
19870909201101 2 032
NIP.19830922201001 2 030
Pemeriksa
1. Tanda Tangan
Nama :
NIP :
2. Tanda Tangan
Nama :
NIP :
30 2,750
30 2,750
30 2,750
30 2,750
30 2,750
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30 2,750
0 2,750
0 2,750
0 2,750
0 2,750
SISA STOK MENURUT STOK
OPNAME FISIK 2,750
0 2,750
30 2,750
82,500
82,500
82,500
82,500
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82,500
82,500
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82,500
82,500
82,500
82,500
82,500
82,500
-
-
-
-
#VALUE!
-
82,500
esember 2019
g Obat