BERITA ACARA

PENERIMAAN OBAT DARI FARMASI KABUPATEN LEBAK

KE PUSKESMAS RAWAT INAP BANJARSARI KECAMATAN BANJARSARI

Pada hari ini, tanggal 16 Januari 2018, kami Puskesmas Banjarsari Kecamtan Banjarsari
Kabupaten Lebak telah menerima obat dari Gudang Farmasi Kabupaten Lebak Sebanyak 112
(Seratus Dua Belas) item, dengan Perincian sebagay berikut :
NO NAMA OBAT SAT JUMLAH
1 Abbocat (18,22) 100
2 Acyclovir Tablet 400 Mg 200
3 Albenazol Tablet 100 Mg 150
4 Allopurinol Tablet 100 Mg 400
5 Alpara Sirup 60
6 Aludonna Tablet 480
7 Ambroxol Sirup 15 Mg 50
8 Aminophyline Caiiran Injeksi 24 Mg 10
9 Amlodipine Tablet 10 Mg 900
10 Amoxicilin Captab 500 Mg 5000
11 Amoxicillin Sirup Kering 125 Mg 100
12 Antalgin Tablet 500 Mg 2000
13 Antasida Doen Suspensi 100
14 Antasida Tablet 400 Mg 5000
15 Antifungi Doen Salep 30 Gram 48
16 Antoksid Capsul 100
17 Arthrifen Plus Tablet 500
18 Asam Mefenamat Capstab 500 Mg 1500
19 Aximed Iv-Cath Wp Port No. 18 5
20 Aximed Iv-Cath Wp Port No. 22 5
21 Bacitracin - Polimymixin B Salep 50
22 Benecheck Plus Uric Acid Test Strip 2
23 Benecheck Plus Glocose Test Strip 2
24 Betametason Cream 0,1 % 60
25 Bevalex Cream 60
26 Captopril Tablet 25 Mg 1000
27 Cat Gut Cromic 3/0 With Nidle 2
28 Cat Gut Plain 3/0 With Nidle 2
29 Cefadroxl Capsul 500 Mg 800
30 Cetirizin Tblet10 Mg 600
31 Clorpheniramne Tablet 4 Mg 2000
32 Ciprofloxasin Tablet 500 Mg 1000
33 Clonidine Tablet 0,15 Mg 500
34 Cosmomed Folley Catheter No. 18 100
35 Cosmomed Infusion Set Anak 50
36 Cosmomed Infusion Set Dewasa 100
37 Cotrimoxazole Suspensi 100
38 Cotrimoxazole Tablet 1000
39 Cyanocobalamine Cairan Injeksi 50
40 Decacetine Tetes Mata 0,5 % 40
41 Dexsmethason Cairan Injeksi 5 Mg/Ml 50
42 Dextral Sirup 60
43 Dogoxin Tablet 0,25 Mg 200
44 Dios Captabs 30
45 Diyphenhidramine Cairan Injeksi 10 Mg/Ml 30
46 Domperidon Tablet 10 Mg 500
47 Eritromosin Capsul 500 Mg 500
48 Fitomenadion (Vit. K) Inj 10 Mg/Ml 60
49 Furosemid Tablet 40 Mg 400
50 Gemfibrozil Capsul 300 Mg 500
51 Gentalex Crem 1 Mg/G 48
52 Gentian Violet Cairan Obat Luar 20% 48
53 Glukos Infus 5 % 40
54 Gafenisin Tablet 2000
55 Holicos Tablet 30 Mg 1000
56 Holidryl Expectoran Sirup 100
57 Hustab Tablet 600
58 Hydrocortison Aceta Cream 2.5 % 48
59 Ibuprofen Suspensi 200 Mg/5 Ml 50
60 Ibuprofen Tablet 400 Mg 300
61 IV Chateter No. 24 (COSMOMED) 10
62 IV Cathy No. 20 (POLIFLEK) 30
63 Kalsium Lactat Tablet 400 Mg 1500
64 Kassa Pembalut Hydrofil 4m X 5 50
65 Kassa Pembalut Hydrofil 4m X 10 50
66 Kassa Pembalut Hydrofil 4m X 15 30
67 Kassa Steril 40 x 40 20
68 Ketoconazole tablet 200 Mg 400
69 Clorfeson Cream 48
70 Lansoprazole capsul 30 Mg 500
71 Leukoplast 2.5 x 4.5 10
72 Livron B-Vlek Tablet Salut Gula 1000
 73 Lytacur Sirop Kering 48
74 Metformin Tablet 500 Mg 1000
75 Methylergonmetrine Tablet 0.125 Mg 500
76 Metronidazol 600
77 Mezac Tablet 50 Mg 600
78 Miniaspi Tablet 80 Mg 300
79 Molexflu Captabs 600
80 Natrium Diklofenak Tablet 25 Mg 600
81 Natrum Kloria Infus 0,9 % 40
82 Neo Kaominal Suspensi 60
83 Nifedifine Tablet !0 Mg 600
84 Novadryl Sirup 50
85 Obat Batuk Hitam Sirup 100
86 Oralit Serbuk 400
87 Paracetamol Drops 100 Mg/Ml 112
88 Paracetamol Sirup 120 Mg/Ml 150
89 Paracetamol Tablet 500 Mg 5000
90 Phytomenadion Salut Gula 10 Mg 500
91 Piroxicam Tablet 10 Mg 600
92 Prednison Tablet 5 Mg 1000
93 Pritagesic Captabs Salut Selaput 1200
94 Procurma Sirop Kering 120 Ml 50
95 Protexinal Sirup 60 Ml 100
96 Ranitidin Cairan Injeksi 25 Ml 50
97 Ringer Laktat Infus 500 Ml 460
98 Rivanol Onemed 300 Ml 5
99 Salbutamol Tablet 4 Mg 800
100 Salep 2-4 Salep 30 Gram 48
101 Salidil Bedak Powder 2 % 100
102 Serum Anti Bisa Ular Polivalen Inj 8
103 Simvastatin Tablet 10 Mg 600
104 Sonamin Captabs 1000
105 Stimuno Sirop Kering 60 Ml 48
106 Vagizol Ovula 500 Mg 5
107 Vitamin B Complex Tablet 500
108 Vitamin B1 Tablet 50 Mg 2000
109 Vitamin B6 Tablet 10 Mg 1500
110 Vitamin C Tablet 50 Mg 1000
111 Voltadex Gel 1 % 10
112 Zirkum KID sirop Kering 60 Ml 50