No.

28/F-PP/SMM-SIG
Revisi : 3
RESULT OF ANALYSIS
Laporan Hasil Pengujian
SIG.LHP.IX.2019.079644

I. Number / Nomor
1.1. Order No. / No. Order : SIG.Mark.OTK.IX.2019.002780
II. Prinsipal / Pelanggan
2.1. Name / Nama : PT. Natura Nuswantara Nirmala
Jl. Jombang Raya No.18 B RT004/RW001 Pondok Pucung Pondok Aren Kota
2.2. Address / Alamat :
Tangerang Selatan Banten
2.3. Phone / Telepon : 081157913149
2.4. Contact Person / Personil
: Edward Kurniawan, S.Farm., Apt,
Penghubung
III. Sample / Contoh Uji
3.1. Sample Code / Kode Sampel : -
3.2. Batch Number / No Batch : 190801
3.3. Lot Number / No Lot : -
3.4. Packaging / Kemasan : -
3.5. Production Date / Tanggal
: -
Produksi
3.6. Expire Date / Tanggal
: -
Kadaluarsa
3.7. Factory Name / Nama Pabrik : -
3.8. Factory Address / Alamat
: -
Pabrik
3.9. Trade Mark / Nama Dagang : -
3.10. Sample Name / Nama
: Wound Hill
Sample

Result of analysis on page I

 No. 28/F-PP/SMM-SIG
Revisi : 3
RESULT OF ANALYSIS
Laporan Hasil Pengujian
No : SIG.LHP.IX.2019.079644

3. 11 Other Information / Keterangan lain : -

3. 11.1 No Notifikasi : -
3. 11.2 No Pengajuan : -
3. 11.3 No Registrasi : -
3. 11.4 No Prncipal Code : -
3. 12 Date of Received / Diterima : September 16, 2019
3. 13 Date of Analysis / Tanggal Uji : September 17, 2019 - September 26, 2019
3. 14 Type of Analysis / Jenis Uji : Terlampir
IV. Result / Hasil Uji

Result of analysis on page 3 / Hasil uji di halaman 3

Result of analysis on page II

 No. 28/F-PP/SMM-SIG
Revisi : 3
Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Method

1 Asam lemak Omega 9 mg / 100 g 607.9 - 18-6-1/MU/SMM-SIG (GC)
2 Asam lemak Omega 3 mg / 100 g 12.1 - 18-6-1/MU/SMM-SIG (GC)
3 Asam lemak Omega 6 mg / 100 g 154.5 - 18-6-1/MU/SMM-SIG (GC)
4 L-Triptofan mg / kg Not detected 16.86 18-5-63/MU/SMM-SIG (HPLC)
5 L-Histidin mg / kg 509.25 - 18-5-17/MU/SMM-SIG (UPLC)
6 L-Threonin mg / kg 1274.23 - 18-5-17/MU/SMM-SIG (UPLC)
7 L-Prolin mg / kg 1791.75 - 18-5-17/MU/SMM-SIG (UPLC)
8 L-Tirosin mg / kg 484.79 - 18-5-17/MU/SMM-SIG (UPLC)
9 L-Leusin mg / kg 1590.34 - 18-5-17/MU/SMM-SIG (UPLC)
10 L-Asam Aspartat mg / kg 2699.88 - 18-5-17/MU/SMM-SIG (UPLC)

Result of analysis on page III

 No. 28/F-PP/SMM-SIG
Revisi : 3

Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Methode

11 L-Lisin mg / kg 1158.41 - 18-5-17/MU/SMM-SIG (UPLC)
12 Glisin mg / kg 3184.06 - 18-5-17/MU/SMM-SIG (UPLC)
13 L-Arginin mg / kg 1182.18 - 18-5-17/MU/SMM-SIG (UPLC)
14 L-Alanin mg / kg 3296.92 - 18-5-17/MU/SMM-SIG (UPLC)
15 L-Valin mg / kg 1453.75 - 18-5-17/MU/SMM-SIG (UPLC)
16 L-Isoleusin mg / kg 976.49 - 18-5-17/MU/SMM-SIG (UPLC)
17 L-Fenilalanin mg / kg 839.28 - 18-5-17/MU/SMM-SIG (UPLC)
18 L-Asam glutamat mg / kg 4635.37 - 18-5-17/MU/SMM-SIG (UPLC)
19 L-Serin mg / kg 1722.00 - 18-5-17/MU/SMM-SIG (UPLC)
20 L-Metionin mg / kg Not detected 12.81 18-5-17/MU/SMM-SIG (UPLC)

Result of analysis on page IV

 No. 28/F-PP/SMM-SIG
Revisi : 3

Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Methode

21 L-Sistin mg / kg Not detected 48.42 18-5-17/MU/SMM-SIG (UPLC)
22 Vitamin A mcg / 100 g Not detected 4.76 18-5-1/MU/SMM-SIG (HPLC)
23 Vitamin B1 mg / 100 g Not detected 0.15 18-5-2/MU/SMM-SIG (UPLC)
24 Vitamin B3 (Niacinamide) mg / 100 g 19.05 - 18-5-2/MU/SMM-SIG (UPLC)
25 Vitamin C mg / 100 g Not detected 0.13 18-5-19 /MU/SMM - SIG (HPLC)
26 Vitamin E mg / 100 g Not detected 0.04 18-5-1/MU/SMM-SIG (HPLC)
27 Vitamin D mcg / 100 g Not detected 0.67 18-5-1/MU/SMM-SIG (HPLC)
28 Fosfor mg / kg 331.25 - 18-13-8/MU/SMM-SIG (ICP OES)
29 Magnesium mg / 100 g 126.06 - 18-13-8/MU/SMM-SIG (ICP OES)
30 Kalsium mg / 100 g 208.63 - 18-13-8/MU/SMM-SIG (ICP OES)

Result of analysis on page V

 No. 28/F-PP/SMM-SIG
Revisi : 3

Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Methode

31 Selenium mcg / 100 g 8.76 - 18-13-14/MU/SMM-SIG (ICP MS)
32 Kalium mg / 100 g 79.67 - 18-13-8/MU/SMM-SIG (ICP OES)
33 Besi mg / 100 g 4.38 - 18-13-8/MU/SMM-SIG (ICP OES)
34 Barium mg / kg 2.26 - 18-13-8/MU/SMM-SIG (ICP OES)
35 Seng mg / 100 g 0.85 - 18-13-8/MU/SMM-SIG (ICP OES)
36 Pb mg / kg 0.27 - 18-13-14/MU/SMM-SIG (ICP MS)
37 Cd mg / kg Not detected 0.00011 18-13-8/MU/SMM-SIG (ICP OES)
38 Hg mg / kg Not detected 0.004 18-13-8/MU/SMM-SIG (ICP OES)
39 As mg / kg Not detected 0.008 18-13-8/MU/SMM-SIG (ICP OES)
40 Shigella sp. /g Negative - ISO 21567 : 2004

Result of analysis on page VI

 No. 28/F-PP/SMM-SIG
Revisi : 3

Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Methode

41 Salmonella sp. /g Negative - 18-7-6/MU/SMM-SIG
42 Pseudomonas aeruginosa /g Negative - 18-7-6/MU/SMM-SIG
43 Staphylococcus aureus /g Negative - 18-7-6/MU/SMM-SIG
44 Escherichia coli /g Negative - 18-7-6/MU/SMM-SIG
45 Karbohidrat % 84.45 - 18-8-9 /MU/SMM-SIG
46 Kadar Air % 4.48 - Farmakope Indonesia V
47 Lemak Total % 2.66 - 18-8-5/MU/SMM - SIG (Weilbull)
48 Kadar Abu % 4.42 - SNI 01-2891-1992, 6.1
49 Protein % 3.99 - 18-8-31/MU/SMM - SIG (Kjeltec)
50 Bau - Normal - SNI 01-2891- 1992 point 1.2

Result of analysis on page VII

 No. 28/F-PP/SMM-SIG
Revisi : 3

Result of Analysis
No : SIG.LHP.IX.2019.079644

No. Parameter Unit Result Limit Of Detection Methode

Kapsul: tidak berwarna, isi: putih SNI 01-2891- 1992 point
51 Warna - -
kecoklatan 1.2
SNI 01-2891- 1992 point
52 Penampakan - Normal -
1.2
SNI 01-2891- 1992 point
53 Rasa - Gurih asin -
1.2
SNI 01-2891- 1992 point
54 Tekstur - Kasar -
1.2
SNI 01-2891- 1992 point
55 Bentuk - Kapsul isi serbuk -
1.2
56 Keseragaman bobot gram 0.5387 - Farmakope Indonesia V
57 Waktu hancur - 1 minute, 56 seconds - Farmakope Indonesia V

Bogor, 01 Oktober 2019

PT. Saraswanti Indo Genetech

Dwi Yulianto Laksono, S.Si

Manager Laboratorium

Result of analysis on page VIII