SURAT BUKTI BARANG KELUAR (SBBK)

INSTALASI FARMASI KABUPATEN

DINAS KESEHATAN KABUPATEN OGAN KOMERING ILIR

Nomor Dokumen :
Unit Penerima : PANGKALAN LAMPAM

No Kode Obat Nama Obat/Barang Jumlah Distribusi

1 DRG000000591 ACYCLOVIR CREAM 5 %(DUS, 25 TUBE @ 5 G) 50
2 DRG000000598 ACYCLOVIR TABLET 200 MG(DUS, 10 STRIP @ 10 TABLET) 400
3 DRG000046727 ALKOHOL LIQUID 70%(Botol@1000ml) 6
4 MDVx041973 ALKOHOL SWAB LAIN-LAIN\n -(BOX, 50 PIECES) 500
5 DRG000001895 AMOKSISILIN CAPTABS 500 MG(Dus, 10 strip a 10 kaplet) 15000
6 DRG000002881 ANTASID DOEN TABLET KUNYAH (10 STRIP a 10 TABLET) 10000
7 DRG000002901 ANTASIDA DOEN SUSPENSI 400 MG/5 ML(BOTOL @ 60 ML) 100
8 DRG000002992 ANTIFUNGI DOEN SALEP (DUS, 24 POT PLASTIK @ 30 G) 48
9 DRG000003002 ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2 GRAM(STRIP a 10 S 80
10 DRG000003569 ASAM FOLAT TABLET 1 MG(DUS, BOTOL COKLAT @ 100 TABLET) 2000
11 DRG000005108 BETAMETASON CREAM 0,1 %(DUS, 25 TUBE @ 5 GRAM) 150
12 DRG000006907 CAPTOPRIL TABLET 12,5 MG(DUS, 10 STRIP @ 10 TABLET) 2000
13 DRG000006949 CARBAMAZEPINE CAPTABS SALUT SELAPUT 200 MG(BOX, 10 STRIP @ 600
14 DRG000008533 CHLORPHENIRAMINE TABLET 4 MG(DUS, 10 STRIP @ 10 TABLET) 7500
15 DRG000046756 CHLORPROMAZIN HCL SALUT SELAPUT TABLET 100 MG(Kotak@10Stri 2000
16 DRG000010131 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG(BOTOL @ 60 ML) 100
17 DRG000047558 COTRIMOXAZOLE TABLET Sulfametoxazole 400 mg + Trimetoprim 80 2000
18 DRG000012199 DIAZEPAM TABLET 2 MG(BOTOL PLASTIK @ 250 TABLET) 500
19 DRG000012728 DOMPERIDONE TABLET 10 MG(DUS, 10 BLISTER @ 10 TABLET) 2100
20 DRG000016705 FUROSEMIDE TABLET 40 MG(DUS, 20 STRIP @ 10 TABLET) 400
21 DRG000017167 GENTAMICIN TETES MATA 0.3 %(DUS, BOTOL PLASTIK @ 5 ML) 48
22 DRG000017432 GLIMEPIRIDE TABLET 1 MG(DUS, 5 STRIP @ 10 TABLET) 500
23 DRG000017682 GLUKOSA INFUS 5 %(BOTOL PLASTIK PE @ 500 ML) 40
24 DRG000047563 GUAIFENESIN TABLET 100 MG(BOX, 10 STRIPS @10 TABLETS) 5000
25 DRG000047634 HALOPERIDOL TABLET 5 MG(BOX, 100 TABLET) 1000
26 DRG000046832 HIDROKORTISON CREAM 2,5%(Ktk) 72
27 MDVx001123 IV CATHY NO 20() 50
28 MDVx011826 IV CATHY NO 22() 50
29 DRG000047300 KALSIUM LAKTAT TABLET 500 MG(KOTAK 100 TABLET) 5500
30 DRG000021382 KAPAS ONEMED 250 Gram(KAPAS ONEMED 250 GRAM) 5
31 MDVx041864 KASA KOMPRES LAIN-LAIN\n 40 CM X 40 CM(Bks@10) 100
32 MDVx042578 KASA PEMBALUT HIDROFIL LAIN-LAIN UKURAN 2 M X 80 CM(1 ROLL) 20
33 MDVx042374 KASA PEMBALUT HIDROFIL ONEMED LAIN-LAIN 4 M X 15 CM() 50
34 DRG000021673 KETOCONAZOLE CREAM 2 %(DUS, TUBE @ 10 G) 50
35 DRG000047112 LEUKOPLAST PLASTER 4,5 CM X 5 CM() 30
36 DRG000023416 LIDOCAIN COMPOSITUM INJEKSI 2 Ml(LIDOCAIN COMPOSITUM INJEK 150
37 DRG000047101 LYSOL LIQUID 1 L() 3
38 MDVx000818 MASKER HIJAU EAR LOP() 500
39 DRG000046806 METFORMIN TABLET 500 MG() 500
40 DRG000025565 METHYLERGOMETRINE TABLET SALUT SELAPUT 0,125 MG(DUS, BOTO 400
41 DRG000025979 MICONAZOLE CREAM 2 %(DUS, 24 TUBE @ 10 G) 72
42 DRG000027443 NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS, 5 STRIP 3600
43 DRG000047548 OKSITOSIN CAIRAN INJEKSI 10 IU\/ML() 100
44 DRG000030251 OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP @ 10 KAPSUL) 900
45 DRG000046745 ONEMED ASEPTAN LARUTAN \/ CAIRAN 500 ML(BOTOL 500 ML) 10
46 MDVx042192 ONEMED MY JELLY 80 GRAM() 2
47 DRG000031217 OXYTETRACYCLINE SALEP MATA 1%(DUS, 25 TUBE @ 3.5 GRAM) 24
48 DRG000031603 PARACETAMOL SIRUP 120 MG/5 ML(BOTOL PLASTIK @ 60 ML) 300
49 DRG000047199 PARACETAMOL TABLET 500 MG(BOX, 10 STRIP @10 TABLET) 14000
50 DRG000032666 PHYTOMENADIONE TABLET SALUT GULA 10 MG(BOTOL 100 TABLET) 500
51 DRG000046859 POVIDONE IODINE LARUTAN \/ CAIRAN 10 % 30 ML() 20
52 DRG000033677 PREDNISON TABLET 5 MG(DUS,10 STRIP @ 10 TABLET) 5000
53 MDVx026976 PROSONIC USG Gel() 3
54 DRG000034963 PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 4 TABLET) 100
55 DRG000047604 RISPERIDONE TABLET 2 MG(BOX, 10 BLISTERS @10 TABLETS) 1000
56 DRG000037221 SALBUTAMOL TABLET 2 MG(DUS, 10 STRIP @ 10 TABLET) 500
57 DRG000037262 SALEP 2-4 SALEP 30 GRAM(POT 30 GRAM) 24
58 DRG000037725 SCABIMITE CREAM 5 %(DUS,TUBE @ 10 G) 10
59 MDVx042611 SILK BENANG NO. 3 DENGAN JARUM BEDAH LAIN-LAIN -(KOTAK, 36 S 36
60 DRG000038684 SIMVASTATIN TABLET SALUT SELAPUT 10 MG(DUS, 3 STRIP @ 10 TAB 300
61 DRG000038922 SODIUM CHLORIDE 0,9 % BP INFUS 0,9 %(20 BOTOL PLASTIK @ 500 M 20
62 MDVx001726 SPUIT 1 CC TUBERCULIN NIPRO() 400
63 MDVx001791 SPUIT 3 CC TERUMO() 400
64 MDVx001793 SPUIT 5 CC TERUMO() 200
65 DRG000040326 TABLET TAMBAH DARAH TABLET SALUT SELAPUT (100 SACHET a 30 T 3000
66 DRG000041068 TETRACYCLINE CAPSUL 500 MG(DUS, 10 STRIP @ 10 KAPSUL) 200
67 DRG000047182 THIAMIN TABLET 50 MG(BOX, 10 STRIPS @10 TABLET) 3000
68 DRG000046785 TRIHEKSIFENIDIL TABLET 2 MG(Ktk@100) 1000
69 DRG000044395 VITAMIN A CAPSUL LUNAK 200.000 IU(BOTOL PLASTIK @ 50 KAPSUL 3000
70 DRG000047376 VITAMIN B 12 TABLET 50 MCG(BOX, 10 STRIP @10 TABLET) 10000
71 DRG000044466 VITAMIN B COMPLEX TABLET (POT 50 TABLET) 1000
72 DRG000044727 VITAMIN B6 TABLET 10 MG(DUS, 10 STRIP @ 10 TABLET) 2000
73 DRG000044754 VITAMIN C TABLET 50 MG(DUS, 10 STRIP @ 10 TABLET) 2000
74 DRG000045274 WIDA RL INFUS (BOTOL PLASTIK PE @ 500 ML) 120
75 DRG000046225 ZINK TABLET DISPERSIBLE 20 MG(DUS, 10 STRIP @ 10 TABLET DISPER 500
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