LAPORAN STOCK OPNAME INSTALASI FARMASI

PERIODE 31 DESEMBER 2018

Sisa Stock
Satuan
Tanggal Uraian Stock Real Selisih

12/31/2018 AMBROXOL SYR fls 20 20 -

ANTRAIN TAB box 10 10 -
APIALYS DROP fls 12 12 -
APIALYS SYR fls 18 18
ASPILET TROMBO TAB box 4 4 -
AR-GOUT box 4 4 -
BRAINACT INJ 250 MG amp 43 42 1
BRAINACT ORAL TAB box 2 2 -
BRAINACT 500 MG INJ amp 22 22 -
CEFILA DROP fls 14 14 -
CITYCOLIN INJ amp 57 56 1
CURCUMA TAB box 8 8 -
D 5 % 100 MG fls 4 4 -
DOMPERIDONE SYR fls 11 11 -
FARBIVENT INJ amp 45 45 -
FOLAMIL CAP botol 12 12 -
FORRES TAB box 3 3 -
IMUNOS KAPLET box 4 4 -
KETOKONAZOL KRIM tube 58 57 1
KETRICIN SALEP tube 12 12 -
LAPIBAL INJ amp 44 44 -
LAPIBAL TAB box 2 2 -
LAPICEF SYR btl 18 18 -
L-BIO box 5 5 -
L-ZINC SYR fls 21 21 -
LEPTICA TAB box 2 2 -
LAKTAVIT TAB box 5 5 -
LACTAMOR KAP box 7 7 -
NACL 100 ML kolf 12 11 1
NEUROSANBE INJ amp 77 75 2
NEPATIC KAP box 3 3 -
OTOPAIN DROPS fls 22 22 -
OSTEOR PLUS KAPLET box 2 2 -
PAMOL SUPP box 2 2 -
PIRACETAM INJ vial 22 22 -
PROSTER TAB box 3 3 -
POSAFIT TAB box 4 4 -
SANMOL TAB box 20 20 -
SIMFIX TAB box 2 2 -
SIBERID TAB box 3 3 -
UTROGESTAN 200 box 2 2 -
UNALIUM 5 MG TAB box 2 2 -
VOMETA DROPS fls 12 11 1
VOMETA SYR fls 22 22 -

JUMLAH 7

Manna, 31 Desember 2018

Instalasi Farmasi Rumah Sakit As Syifa

Nuriza, S.Si., Apt

SIPA : 19840107/SIPA-17-01/2017/20114
 LAPORAN STOCK OPNAME INSTALASI FARMASI
PERIODE 31 DESEMBER 2018

Satuan Sisa Stock Stock Real

Tanggal Uraian

12/31/2018 ACYCLOVIR TAB box 20 20

ACYCLOVIR KRIM tube 80 79
ALLUPURINOL TAB 100 MG box 25 25
ALPRAZOLAM TAB box 40 40
AMLODIPINE 5MG TAB box 23 23
AMLODIPINE 10MG TAB box 25 25
AMOXICILLIN SYR fls 44 44
AMOXICILLIN TAB 500MG box 85 84
AMINOPHYLLIN INJ amp 60 57
AMINOPHYLLIN TAB box 11 11
ANTASIDA DOEN SYR fls 45 45
ASAM MEFENAMAT TAB box 15 15
ASAM TRANEXAMAT TAB box 6 6
AS.TRANEXAMAT INJ amp 100 98
ASPAR - K box 14 14
AQUA PRO INJ kolf 33 33
ANTASID TAB pot 10 10
AMBROXOL TAB box 23 23
AMBROXOL SYR fls 44 44
AMPICILIN INJ vial 87 87
ANTRAIN INJ amp 99 99
ARIXTRA INJ amp 34 34
ACETOSAL TAB box 2 2
ATORVASTATIN box 4 4
ARKINE box 7 7
BISOPROLOL TAB 5 mg box 12 12
CAPTOPRIL 12,5 MG/KAP box 12 12
CAPTOPRIL 25 MG/KAP box 10 10
CANDESTRAN TAB box 44 44
CEFADROXIL SYR fls 32 30
CEFADROXIL KAPS 500 MG box 9 9
CEFTRIAXONE INJ vial 19 19
CEFOTAXIME INJ vial 120 120
CEFOPERAZON INJ vial 95 94
CEFTIRIZIN TAB box 5 5
CIPROFLOXACIN TAB box 48 48
CIPROFLOXACIN INF fls 12 12
CLINDAMYCIN 300MG box 15 15
CLOPIDOGREL TAB box 17 17
CLOBAZAM 10 MG box 12 12
COTRIMOXAZOLE TAB box 5 5
CTM box 13 13
CEFIXIME TAB box 35 35
CEFIXIME TAB 200 MG box 32 32
CLORAMPHENICOL SALEP MATA tube 12 12
CEFIXIME SYR fls 45 45
CODEIN 10 MG TAB box 5 5
CENDO MYCOS tube 12 12
CENDO TOBROSON btl 8 8
CATARLENT 0,6 ML str 11 11
CENDO LYTERS 15 CC fls 23 23
CALSIUM LACTAT btl 44 44
CLONIDINE TAB box 12 12
DEXAMETHASON INJ amp 120 120
DEXAMETHASON TAB box 41 41
DEXOCORT CREAM tube 32 32
DIFENHIDRAMIN INJ amp 65 65
DIGOXIN 0,25 MG/TAB box 19 19
DOMPERIDON SYR fls 17 17
D 40% fls 21 21
DIAZEPAM 2 MG pot 9 9
DEXKETOPROFEN TAB box 6 6
ERYTROMYCIN SYR fls 12 12
ERYTROMYCIN TAB box 4 4
EFEDHRIN HCL INJ amp 21 21
ESOMEX INJ vial 12 12
FARBIVENT INJ amp 44 44
FENTANYL INJ vial 35 35
FUROSEMID TAB amp 17 17
FUROSEMIDE INJ amp 12 11
GABAPENTIN KAP 300 MG box 13 13
GLUCOSE ( D 10% ) kolf 65 65
GG pot 5 5
GENTAMICIN INJ amp 146 146
GENTAMICIN SALEP tube 77 77
GLIMEPIRID box 3 3
GLIBENKLAMID box 8 8
HYTROZ box 7 7
HIDROCORTISON KRIM tube 99 98
ISDN 5 MG/TAB box 4 4
KALIUM DIKLOFENAT box 3 3
KETOPROFEN TAB box 8 8
KETEROLAC 30 MG INJ amp 132 132
KETOKONAZOLE CREAM tube 87 87
KETOKONAZOLE TAB box 2 2
KA - EN 3A kolf 13 13
KALSIUM LAKTAT box 6 6
LEVEMIR FLEX PEN box 12 12
LORATADINE TAB box 5 5
LIDOCAIN 2 % amp 32 32
LEPARSON TAB box 6 6
METFORMIN TAB box 57 57
METHYLPREDNISOLONE TAB 4MG box 23 23
METHYLPREDNISOLONE TAB 8MG box 12 12
METRONIDAZOLE INF fls 44 43
METRONIDAZOLE TAB box 6 6
MELOXICAM 7,5 MG TAB box 14 14
MELOXICAM 15 MG TAB box 11 11
MGSO4 fls 1 1
MICONAZOLE KRIM tube 58 58
METYL PREDNISOLON TAB 16 MG box 3 3
NACL kolf 34 34
NA.DIKLOFENAK 25 MG box 6 6
NEURODEX TAB box 5 5
NOVALDO INJ amp 90 90
NOVORAPID FLEX PEN pcs 13 13
NOVOMIX FLEX PEN box 14 14
NUCRAL SYR fls 54 54
NEO-K amp 35 35
NYNDIA DROP botol 12 12
OMEPRAZOLE INJ vial 87 87
OMEPRAZOLE KAPS box 17 17
ONDANSETRON INJ 8 MG amp 59 59
OTSU KCL fls 3 3
PARACETAMOL TAB box 100 100
PARACETAMOL INFUS fls 33 33
PANTOZ INJ vial 21 21
PEHACAIN INJ amp 22 20
PHENYTOIN KAPS botol 10 10
POSPARGIN INJ vial 88 88
PRONALGES SUPP box 34 34
PRIMAQUIN TAB pot 1 1
PROPANOLOL 10 MG box 20 20
PIRACETAM 800 ML box 1 1
PHENITOIN INJ amp 21 21
P.PRED 10 MG str 73 70
POSOP str 56 55
RANITIDIN INJ amp 135 135
RANITIDIN TAB box 13 13
RL kolf 200 200
RETAPHYL TAB box 2 2
SALBUTAMOL TAB 2 MG box 31 31
SALBUTAMOL TAB 4 MG box 54 54
STESOLID 5MG RECTAL box 5 5
SPIRONOLACTONE 25MG TAB box 14 14
SIMAR-C box 4 4
SIMVASTATIN 10MG TAB box 12 12
SCABIMIT KRIM tube 11 11
SEDACUM INJ amp 32 32
URINTER KAPS box 21 21
VALSARTAN 80 MG box 2 2
VIT. B6 TAB box 22 22
VIT B COMPLEX TAB pot 56 56
VIT C TAB pot 12 12
SUKRALFAT SUSP fls 89 89
SANTAGESIK INJ amp 190 189
VIT B1 btl 2 2
AMBACIM INJ vial 40 40
CANDESTRAN TAB 16 MG box 12 12
AZYTROMYCIN 500 MG box 22 22
CURCUMA TAB box 10 10
SIMVASTATIN 20 MG box 55 55

JUMLAH

Manna, 31 Desember 2018

Instalasi Farmasi Rumah Sakit As Syifa

Nuriza, S.Si., Apt

SIPA : 19840107/SIPA-17-01/2017/20114
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20

mber 2018
ah Sakit As Syifa

., Apt
7-01/2017/20114
 LAPORAN STOCK OPNAME INSTALASI FARMASI
PERIODE 31 DESEMBER 2018

Stock
Sisa Stock Selisih
Tanggal Uraian Satuan Real

12/31/2018 ALKOHOL 70% Liter 19 18 1

ALKOHOL AXIMED box 20 20 -
AQUA DESTILATA Liter 35 32 3
ASSUCRYL/GLICOFIL LAC 0 pcs 12 12 -
ASSUCRYL/GLICOFIL LAC 1 pcs 13 13 -
ASSUCRYL/GLICOFIL LAC 2-0 pcs 18 17 1
ASSUCRYL/GLICOFIL LAC 3-0 pcs 19 19 -
ASSUCRYL/ GLICOFIL LAC 5-0 pcs 21 20 1
AUROLENS AC P : 17.0 pcs 4 4 -
AUROLENS P : 19.0 pcs 5 5 -
AUROLENS P : 19.5 pcs 5 5 -
AUROLENS P : 20.0 pcs 5 5 -
AUROLENS P : 20.5 pcs 8 8 -
AUROLENS P : 21.0 pcs 7 7 -
AUROLENS P : 21.5 pcs 2 2 -
AUROLENS P : 24.0 pcs 3 3 -
AUROLENS P : 11.0 pcs 2 2 -
AUROLUN NYLON BLACK box 7 7
AUROVISC pcs 35 35
APRON PLASTIK Pcs 20 20
BETHADINE 1L Liter 4 4
BETHADINE 60 ML botol 33 33
BETHADINE 30 ML botol 12 12
BETHADINE 300 ML botol 3 3
BISOLVON fls 27 27
BISTURI No. 10 pcs 44 44
BISTURI No. 11 pcs 44 44
BISTURII No. 23 pcs 67 67
BISTURI No. 21 pcs 67 66 1
BISTURI No.20 pcs 23 23
BISTURI No.15 pcs 19 19
BLOOD BAG pcs 56 56
BLOOD LANCET box 100 100
BLOOD NEEDLE box 121 121
BONDING SDI pcs 12 12
BUR DIAMOND SET 6 FG pcs 12 12
BUR DIAMOND SET 6 RA pcs 11 11
CAT GUT CHROM 2/0 pcs 50 50
CAT GUT CHROM 3/0 pcs 51 51
CAT GUT CHROMIC 0 box 45 45
CAT GUT CHROMIC 1/0 box 12 12
CAT GUT CHROMIC 2/0 box 77 77
CAT GUT CHROMIC 3/0 box 45 45
CHLORO ETYL tube 55 55
CRESCENT BEVEL UP pcs 89 87 2
COVER GLASS/DECK GLASS pcs 67 67
CUTICELL CLASSIC pcs 90 90
CUVETTE CLEANING Kit 44 44
CBC 3D NORMAL vial 43 43
CBC 3K TRIPACK set 17 17
CONTROL NORMAL vial 55 55
DBD TEST box 97 97
DOP MATA STD pcs 12 12
DG COOMBS box 24 24
DG GEL SOLUTION box 2 2
DISPOSIBLE DENTAL A2 No.0,3X16 MM box 6 6
DISPOSIBLE DENTAL A2 No.0,3X21 MM box 12 12
EDTA 10% botol 12 12
ELEKTRODA EKG bungkus 5 5
ETT NO.4 pcs 2 2
ETT NO. 4,5 pcs 9 7 2
ETT NO. 5 pcs 2 2
ETT No.5,5 pcs 5 5
ETT NO. 6 pcs 5 5
ETT NO. 6,5 pcs 4 4
ETT NO.7 pcs 1 1
ETT NO 7,5 pcs 9 9
ETT NO 8 pcs 7 7
ETT NKK N0.4 pcs 1 1
ETT NKK N0.4,5 pcs 4 4
ETT NKK N0. 5,5 pcs 1 1
ETT NKK N0.6 pcs 2 2
ETT NKK NO.6,5 pcs 10 1
ETT NKK NO.7 pcs 9 9
ETT NKK NO.7,5 pcs 4 4
FILM 15x30 CM box 7 7
FILM 24 CMX30 CM box 5 5
FILM 35 CM X 35 CM box 11 11
FILM 30 CMX 40 CM box 10 10
FOLEY CATHETER NO 8 pcs 12 12
FOLEY CATHETER NO. 12 pcs 21 21
FOLEY CATHETER NO. 14 pcs 21 21
FOLEY CATHETER NO. 16 pcs 13 13
FOLEY CATHETER NO. 18 pcs 16 14 2
FOLEY CATHETER THREE WAY NO.18 pcs 11 11
FOLEY CATHETER THREE WAY NO.22 pcs 11 11
FORMALIN CAIR Liter 2 2
GUDEL DEWASA pcs 11 11
GUDEL ANAK pcs 21 21
GYPSONA 3' ( 3,5 M X 7,5 CM ) rol 14 14
GYPSONA 4' ( 3,5 M X 10 CM ) rol 15 15
GYPSONA 6' ( 3,5 M X 15 CM ) rol 15 15
GIP STONE bungkus 16 16
HAND SCOON 6,5 pcs 90 90
HAND SCOON 7 pcs 91 90 1
HAND SCOON 7,5 pcs 88 87
HAND SCOON 8 pcs 86 86
HAND SCOON NON STERIL pcs 1000 992 8
HAND SCOON PANJANG pcs 1200 1200
HERNIA MESH 15 X 15 CM PCS 21 21
HIBISCRABE Liter 11 11
HYPAFIX 15 X 5 M box 44 44
INFUS SET MAKRO TERUMO pcs 12000 12000
INFUS SET MAKRO STERA pcs 12800 12800
INFUS SET MIKRO TERUMO pcs 12100 1250 50
INFUS SET MIKRO STERA pcs 900 900
IV. CHATHETER 18 pcs 23 23
IV. CHATHETER 20 pcs 25 25
IV. CHATHETER 22 pcs 31 31
IV. CHATHETER 24 pcs 23 23
JELLY USG tube 5 5
KAPAS 250MG rol 10 10
KAPAS 500 GR pcs 10 10
KAPAS 1000 GR pcs 9 9
KASA 40X80 rol 8 8
KASA GULUNG KECIL rol 11 11
KASA KOTAK kotak 23 23
KAPSUL 00 pack 1000 1000
KAPSUL OBAT 3 pack 20000 20000
KERTAS EKG WILCHALM rim 12000 12000
KERTAS EKG 63X30MM rol 120 120
KERTAS EKG 80x30 MM rol 210 210
KERTAS EKG 110x25 MM rol 100 100
KERTAS USG rol 200 200
KERTAS PERKAMEN pcs 15000 15000
KLIP PLASTIK 10X7 pcs 21000 21000
KLIP PLASTIK 13X8 pcs 12000 12000
KERTAS SARING box 700 695 5
LANCE TIP 15 DCG pcs 150 150
LARUTAN TURK botol 2 2
LYSOL Liter 2 2
MANSET ANAK pcs 12 12
MASKER pcs 20000 20000
MASKER O2 pcs 13000 13000
NALD HEATING NO. 8 lusin 3 3
NALD HEATING 10 lusin 2 2
NALD HEATING 11 lusin 2 2
NALD HEATING 12 lusin 2 2
NALD HEATING 9 lusin 2 2
NALD HEATING NO. 13 lusin 3 3
NATRIUM CITRAT botol 4 4
NARKOBA TEST 6 PARAMETER pcs 11 11
NARKOBA TEST 5 PARAMETER pcs 11 11
NARKOBA TEST 3 PARAMETER pcs 11 11
NGT NO. 3,5 pcs 10 9 1
NGT NO. 5 pcs 4 4
NGT NO. 8 pcs 21 21
NGT NO. 12 pcs 22 22
NGT NO. 14 pcs 22 22
NGT NO. 16 pcs 21 21
NGT NO. 18 pcs 21 21
N2 UNIVERSAL pack 22 22
PENJEPIT TALI PUSAT pcs 50 48 2
PIDILEN 2/0 pcs 22 22
PIDILEN 3/0 pcs 22 22
PIDILEN 4/0 pcs 22 22
PIDILEN 5/0 pcs 22 22
PLASTER (LEUKOPLAST) rol 4 4
PLASTER PUTIH rol 4 4
RASTORO 0 pcs 3 3
RASTORO 1 pcs 3 3
RASTORO 2/0 pcs 3 3
RASTORO 3/0 pcs 3 3
RASTORO 4/0 pcs 3 3
RASTORO 5/0 pcs 6 6
RASTORO 6/0 pcs 6 6
RADIK 1 pcs 12 12
RADIK 2/0 pcs 12 12
RADIK 3/0 pcs 21 21
SALYCIL TALK bungkus 2 2
SELANG O2 DEWASA pcs 23 23
SELANG O2 ANAK pcs 12 12
SELANG O2 BAYI pcs 12 12
SOFFBAN 3' ( 7,5 CM X 2,7 CM ) rol 6 6
SOFFBAN 4' ( 10 CM X 2,7 CM ) rol 5 5
SOFFBAN 6' ( 15 CM X 2,7CM ) rol 7 7
SGOT vial 4 4
SILK 0 box 2 2
SILK 1/0 box 2 2
SILK 2/0 box 3 3
SILK 3/0 box 2 2
SILK 4/0 box 2 2
SILK 2/0 pcs 54 54
SILK 3/0 pcs 40 40
SILDA 2/0 pcs 21 21
SILDA 3/0 pcs 22 22
SIMFRA 1 pcs 22 22
SPINOCAIN 25 G pcs 22 22
SPINOCAIN G 26X3 pcs 22 22
SPINOCAIN 27 G X 3 pcs 31 30 1
SPONGOSTAN box 2 2
SPUIT 1 CC TERUMO pcs 100 100
SPUIT 1 CC BD pcs 120 120
SPUIT 1 CC TP pcs 10 10
SPUIT 3 CC TERUMO pcs 300 300
SPUIT 3 CC BD pcs 32 32
SPUIT 3 CC STERA pcs 350 350
SPUIT 3 CC BUKWANG pcs 40 40
SPUIT 3 CC TP pcs 40 40
SPUIT 3 CC AXIMED pcs 40 40
SPUIT 5 CC TERUMO pcs 51 51
SPUIT 5CC BD pcs 51 49 2
SUIT 5CC STERA pcs 12 12
SPUIT 5CC TP pcs 12 12
SPUIT 5 CC AXIMED pcs 12 12
SPUIT 10 CC pcs 67 67
SPUIT 10 CC BD pcs 66 66
SPUIT 10 CC AXIMED pcs 66 66
SPUIT 20 CC pcs 66 66
SPUIT 50 CC pcs 22 22
SPUIT 50 CC AXIMED pcs 22 22
SUCTION CHATTETER NO 8 pcs 21 21
SUCTION CHATETTER NO 10 pcs 21 21
SODA LINE galon 1 1
SURGICAL HAT/TOPI OPERASI pcs 21 21
STIK URINE box 2 2
STROMATOLYSER 500ML SYSMEX botol 30 30
SIPILIS box 12 12
SUB TENON CANNULA pcs 20 20
SEPTOCAINE pcs 11 11
SEPTODONT box 2 2
TABUNG REAKSI pcs 12 12
TENSOCREPE 3' ( 7,5 CM X 4,5 CM ) rol 10 10
TENSOCREPE 4' ( 10 CM X 4,55 CM ) rol 10 10
TENSOCREPE 6 ' ( 15 CM X 4,55 CM ) rol 10 10
TRANFUSI SET terumo pcs 23 23
TRANFUSI SET stera pcs 25 25
URINE BAG pcs 18 18
VICRYL 0 pcs 21 21
VICRYL 1 pcs 21 21
VICRYL 2/0 pcs 20 20
VICRYL 3/0 pcs 20 20
WING NEDLE 23 pcs 20 20
WING NEDLE 25 pcs 21 21
KAPSUL LIDI pak 2 2
PIDILEN 1-0 pcs 55 55
PIDILEN 6-0 pcs 25 25
SIMPRA 0 pcs 10 10
SAFIL 0 pcs 8 8
SAFIL 1 pcs 12 12
SPUIT 1 CC BAIMED pcs 100 100
SPUIT 3 CC BAIMED pcs 150 150
SPUIT 5 CC BAIMED pcs 150 150
SPUIT 10 CC BAIMED pcs 10 10
SPUIT 1 CC STERA pcs 20 20
PREMILENE MESIL 5 X 10 CM pcs 11 11
SILKAM 2-0 pcs 10 10
NOVOSYN 1 pcs 10 10
IV.CHATETER 20 GEA pcs 144 144
IV.CHATETER 22 GEA pcs 142 142
IV.CHATETER 24 GEA pcs 110 110
TRANSFUSI SET GEA psc 25 25
SAFIL 3-0 pcs 66 66
SAFIL 4-0 pcs 60 60
SAFIL 5-0 pcs 56 56
PREMILENE MESIL 3-0 pcs 11 11
PREMILENE MESIL 4-0 pcs 12 12
SILKAM 3-0 pcs 21 21
INFUSET MAKRO FESCO pcs 21 21
SPUIT 3 CC CIRINGE pcs 50 50
SPUIT 5 CC CIRINGE pcs 50 50
PREMILENE MESIL 7,5 X 15 CM pcs 11 11
PREMILENE 2-0 pcs 12 12
PREMILENE 5-0 pcs 12 12
SUCTION CHATETTER NO 12 pcs 11 11
SUCTION CHATETTER NO 16 pcs 11 11
CATGUT PLAIN 1 rol 3 3
CATGUT PLAIN 2-0 rol 2 2
SAFIL 2-0 pcs 21 21
SILKAM 4-0 pcs 21 21
ASEPTIK GEL liter 2 2

JUMLAH 83

Manna, 31 Desember 2018

Instalasi Farmasi Rumah Sakit As Syifa

Nuriza, S.Si., Apt

SIPA : 19840107/SIPA-17-01/2017/20114