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This document is a report summarizing expired and damaged medicines handed over from the UPTD Subdistrict Health Center of Bukit Raya Health Center in Tumbang Kajamei. It lists 17 different medicines totaling 2,423,946 rupiah in value, including the quantities, batch numbers, expiration dates or reasons for being damaged, unit prices and total prices. The report was signed on February 13, 2019 acknowledging receipt of the expired and damaged medicines.
This document is a report summarizing expired and damaged medicines handed over from the UPTD Subdistrict Health Center of Bukit Raya Health Center in Tumbang Kajamei. It lists 17 different medicines totaling 2,423,946 rupiah in value, including the quantities, batch numbers, expiration dates or reasons for being damaged, unit prices and total prices. The report was signed on February 13, 2019 acknowledging receipt of the expired and damaged medicines.
This document is a report summarizing expired and damaged medicines handed over from the UPTD Subdistrict Health Center of Bukit Raya Health Center in Tumbang Kajamei. It lists 17 different medicines totaling 2,423,946 rupiah in value, including the quantities, batch numbers, expiration dates or reasons for being damaged, unit prices and total prices. The report was signed on February 13, 2019 acknowledging receipt of the expired and damaged medicines.
Lampiran Berita Acara Serah Terima Obat Rusak dan Obat Kadaluarsa (Exp Date )
UPTD KECAMATAN BUKIT RAYA PUSKESMAS TUMBANG KAJAMEI
No Nama Obat Jumlah Satuan No Batch Rusak/Tgl Exp Harga Total
1 Nistatin Tab Vaginal 100.000 UI 9 Tablet 85372004 Feb-19 Rp 528 Rp 4,752
2 Iodium Test 12 Botol 075141W Mar-18 Rp 9,375 Rp 112,500 3 Deksametason inj 5 mg/ml - 1 ml 73 Ampul 85337008 Apr-18 Rp 1,544 Rp 112,712 4 Captopril 50 Mg Tablet 1310 Tablet 1512056 Jan-19 Rp 141 Rp 184,710 5 Clorpromazin HCL tablet 100 mg 1000 Tablet 6130975B Jul-18 Rp 162 Rp 162,000 6 Paracetamol Drop 19 Botol 1610077 Oct-18 Rp 6,240 Rp 118,560 7 Retinol (Vit.A) kapsul 100.000 IU 592 Kapsul 026087W Feb-19 Rp 341 Rp 201,872 8 Ramaton Kapsul 10 Kapsul C3017AE Dec-18 Rp 1,310 Rp 13,100 9 Norvom 10 mg tab 280 Tablet 51202 Feb-19 Rp 250 Rp 70,000 10 Loperamide HCl 2 mg tablet 150 Tablet 60402 Feb-19 Rp 97 Rp 14,550 11 Chloramfenicol Salep Mata 1% 259 Tube 026119W Feb-19 Rp 1,640 Rp 424,760 12 Furosemid injeksi 69 Ampul 1501004 Jan-19 Rp 2,012 Rp 138,828 13 Stesolid Rectal 5 mg / 2.5 ml 24 Tube R23681717 Nov-17 Rp 12,749 Rp 305,976 14 Stesolid Rectal 10 mg / 2.5 ml 20 Tube T23691704 Apr-18 Rp 18,458 Rp 369,160 15 Fenobarbital injeksi 50 mg/ml 90 Ampul 75803002 Oct-18 Rp 1,980 Rp 178,200 16 Diazepam 2 mg tablet 71 Tablet NE 3174 Dec-18 Rp 46 Rp 3,266 17 Chlorpromazine tablet salut 25 mg 120 Tablet 85328002 May-18 Rp 75 Rp 9,000 Total Harga Rp 2,423,946
Mengetahui, Tumbang Kajamei, 13 Februari 2019
Kasubbag TU UPTD Kecamatan Bukit Raya Petugas Obat UPTD Kecamatan Bukit Raya Puskesmas Tumbang Kajamei Puskesmas Tumbang Kajamei ENJET ZAKI FIKRIANSYAH, AMd. Far Penata Muda Tk. I NIP. 199010192014021005 NIP. 197505071999031005