DINAS

Nomor Dokumen
Unit Penerima

No Kode Obat
1 DRG000000082
2 DRG000046774
3 DRG000046775
4 DRG000000591
5 DRG000000605
6 MDVx042061
7 DRG000046727
8 DRG000047576
9 DRG000047416
10 DRG000001932
11 DRG000002881
12 DRG000002883
13 DRG000002992
14 DRG000003002
15 DRG000003949
16 DRG000006907
17 MDVx042104
18 MDVx042106
19 DRG000008516
20 MDVx042455
21 DRG000047648
22 DRG000047558
23 DRG000012413
24 DRG000012728
25 DRG000015694
26 DRG000015698
27 DRG000016705
28 DRG000017167
29 DRG000017432
30 DRG000047563
31 DRG000047271
32 DRG000046832
33 MDVx042719
34 MDVx042720
35 MDVx001136
36 DRG000047300
37 DRG000046780
38 DRG000047002
 39 MDVx042578
40 DRG000021673
41 DRG000047112
42 DRG000023445
43 MDVx042589
44 DRG000047723
45 DRG000027442
46 DRG000027475
47 DRG000030251
48 DRG000046745
49 MDVx042662
50 MDVx042192
51 DRG000031234
52 DRG000031603
53 DRG000047199
54 DRG000046875
55 DRG000046839
56 DRG000046859
57 DRG000033677
58 DRG000034963
59 DRG000036603
60 DRG000037725
61 DRG000038684
62 DRG000047540
63 MDVx001793
64 MDVx041900
65 MDVx041972
66 DRG000041012
67 DRG000047182
68 DRG000044395
69 DRG000044395
70 DRG000047376
71 DRG000044426
72 DRG000044754

Yang menerima

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 SURAT BUKTI BARANG KEL
INSTALASI FARMASI KAB
DINAS KESEHATAN KABUPATEN OG

:
: PEMATANG PANGGANG I

Nama Obat/Barang
2-4 KOMBINASI SALEP (POT 30 GRAM)
ABBOCATH (IV CATHETER) NO. 20 LAIN-LAIN -(Pieces)
ABBOCATH (IV CATHETER) NO. 22 LAIN-LAIN -(Pieces)
ACYCLOVIR CREAM 5 %(DUS, 25 TUBE @ 5 G)
ACYCLOVIR TABLET 400 MG(DUS, 10 STRIP @ 10 TABLET)
ALAT TES KEHAMILAN ONEMED ULTRAONE STRIP -(BOX, 50 PIECES)
ALKOHOL LIQUID 70%(Botol@1000ml)
ALLOPURINOL TABLET 100 MG(BOX, 100 TABLET)
AMLODIPIN TABLET 5 MG(BOX, 3 BLISTER @10 TABLET)
AMOXCYCILLIN Capsul 500 Mg(AMOXYCILLIN 500MG (HXP))
ANTASID DOEN TABLET KUNYAH (10 STRIP a 10 TABLET)
ANTASIDA DOEN SUSPENSI (BOTOL @ 60 ML)
ANTIFUNGI DOEN SALEP (DUS, 24 POT PLASTIK @ 30 G)
ANTIHEMOROID SUPPOSITORIA SUPPOSITORIA 2 GRAM(STRIP a 10 SUPPOSITORIA)
ATROPINE CAIRAN INJEKSI 0,25 MG/ML(DUS, 30 AMPUL @ 1 ML)
CAPTOPRIL TABLET 12,5 MG(DUS, 10 STRIP @ 10 TABLET)
CAT GUT CHROMIC WITH NEEDLE 2\/0 LAIN-LAIN\n 24 X 70 CM()
CAT GUT PLAIN 2\/0 LAIN-LAIN\n 3.5 METRIC(BOX @24 PIECES)
CHLORPENIRAMINE Tablet 4 Mg(CHLORPHENIRAMINE MALEAS 4 MG 1000 TABLET)
COSMOMED FOLLEY CATHETER NO. 18()
COTRIMOXAZOLE SUSPENSI KOMBINASI: SULFAMETOXAZOLE 200 MG + TRIMETROPIN 40 MG\/5 ML(BOX, 1 BOTOL 60 ML)
COTRIMOXAZOLE TABLET Sulfametoxazole 400 mg + Trimetoprim 80 mg(BOX, 10 BLISTERS @10 TABLETS)
DIMENHYDRINATE TABLET 50 MG(BOTOL PLASTIK @ 100 TABLET)
DOMPERIDONE TABLET 10 MG(DUS, 10 BLISTER @ 10 TABLET)
FITOMENADION INJEKSI 1 Ml(FITOMENADION (VITAMIN K) INJ 10MG/ML - 1ML)
FITOMENADION Tablet 10 Mg(FITOMENADION TABLET SALUT GULA 10 MG)
FUROSEMIDE TABLET 40 MG(DUS, 20 STRIP @ 10 TABLET)
GENTAMICIN TETES MATA 0.3 %(DUS, BOTOL PLASTIK @ 5 ML)
GLIMEPIRIDE TABLET 1 MG(DUS, 5 STRIP @ 10 TABLET)
GUAIFENESIN TABLET 100 MG(BOX, 10 STRIPS @10 TABLETS)
HIDROKLOROTIAZIDA (HCT) TABLET 25 MG(KOTAK, 100 TABLET)
HIDROKORTISON CREAM 2,5%(Ktk)
INFUSET ANAK PEDIATRIC LAIN-LAIN -(BOX, 50 PIECES)
INFUSET DEWASA LAIN-LAIN -(BOX, 50 PIECES)
IV CATHETER NO 24 TERUMO()
KALSIUM LAKTAT TABLET 500 MG(KOTAK 100 TABLET)
KAPAS PEMBALUT HIDROFIL DRC 250gr LAIN-LAIN -(Roll 250gr)
KASA HIDROFIL LAIN-LAIN\n 4 M X 3 CM()
KASA PEMBALUT HIDROFIL LAIN-LAIN UKURAN 2 M X 80 CM(1 ROLL)
KETOCONAZOLE CREAM 2 %(DUS, TUBE @ 10 G)
LEUKOPLAST PLASTER 4,5 CM X 5 CM()
LIDOKAIN CAIRAN INJEKSI 1 %(100 AMP a 2)
LYSOL LARUTAN \/ CAIRAN 1000 ML(BOTOL 1000 ML)
METAMIZOLE SODIUM MONOHYDRATE CAIRAN INJEKSI 1000 MG\/2 ML(BOX, 100 AMPULES @2 ML)
NATRIUM DIKLOFENAK TABLET SALUT ENTERIK 25 MG(DUS, 5 STRIP @ 10 TABLET SALUT ENTERIK)
NATRIUM KLORIDA INFUS 0,9 %(DUS, BOTOL PLASTIK PE @ 500 ML)
OMEPRAZOLE CAPSUL 20 MG(DUS, 3 STRIP @ 10 KAPSUL)
ONEMED ASEPTAN LARUTAN \/ CAIRAN 500 ML(BOTOL 500 ML)
ONEMED DERMAFIX T PLASTER 5 X 7 CM(25 PIECES)
ONEMED MY JELLY 80 GRAM()
OXYTOCIN CAIRAN INJEKSI 10 MCG/ML(10 AMP a 1)
PARACETAMOL SIRUP 120 MG/5 ML(BOTOL PLASTIK @ 60 ML)
PARACETAMOL TABLET 500 MG(BOX, 10 STRIP @10 TABLET)
POLIWASH 500 ML LAIN-LAIN\n Chlorhexidine Gluconate 4% W\/V(BOTOL, 500 ML)
Povidon Iodida 10% CAIRAN OBAT LUAR\n 300 ml()
POVIDONE IODINE LARUTAN \/ CAIRAN 10 % 30 ML()
PREDNISON TABLET 5 MG(DUS,10 STRIP @ 10 TABLET)
PYRANTEL TABLET 125 MG(DUS, 25 STRIP @ 4 TABLET)
RINGER LAKTAT INFUS 500 ML(BOTOL PLASTIK PE @ 500 ML)
SCABIMITE CREAM 5 %(DUS,TUBE @ 10 G)
SIMVASTATIN TABLET SALUT SELAPUT 10 MG(DUS, 3 STRIP @ 10 TABLET SALUT SELAPUT)
SNA MEDIKA POLICLEAN HANDRUB CAIRAN STERIL 500 ML(BOTTLE)
SPUIT 5 CC TERUMO()
STERA ALAT SUNTIK SEKALI PAKAI LAIN-LAIN 1 ML()
STERA ALAT SUNTIK SEKALI PAKAI LAIN-LAIN 3 ML(BOX, 100 PIECES)
TETAGAM CAIRAN INJEKSI 250 IU/ML(DUS, 1 AMPUL @ 1 ML)
THIAMIN TABLET 50 MG(BOX, 10 STRIPS @10 TABLET)
VITAMIN A CAPSUL LUNAK 200.000 IU(BOTOL PLASTIK @ 50 KAPSUL LUNAK)
VITAMIN A CAPSUL LUNAK 200.000 IU(BOTOL PLASTIK @ 50 KAPSUL LUNAK)
VITAMIN B 12 TABLET 50 MCG(BOX, 10 STRIP @10 TABLET)
VITAMIN B COMPLEX TABLET (DUS, 10 STRIP @ 10 TABLET)
VITAMIN C TABLET 50 MG(DUS, 10 STRIP @ 10 TABLET)

Yang menerima
NG ILIR

No. Batch Jumlah Distribusi Expired Harga (Rp) Jumlah (Rp)

205B005 48 2024-04-01 2938 141024
191139 100 2025-04-01 5869 586900
191140 200 2025-02-01 5869 1173800
20BC3030 25 2024-08-01 3220 80500
36304043 200 2022-07-01 426 85200
25071989 100 2023-07-31 2090 209000
22091788 10 2021-04-01 19800 198000
A015901 2700 2023-07-31 105 283500
102009 600 2025-11-01 78 46800
CAMXA01668 6000 2024-12-01 216 1296000
A01590 3000 2023-08-01 60 180000
20SE085 100 2024-04-30 2189 218900
175d03c 48 2025-11-01 4540 217920
K92033W 10 2024-04-30 3325 33250
9620B0061A 50 2023-03-01 1694 84700
K00599BJ 2000 2025-10-01 68 136000
2006073 96 2027-04-30 5500 528000
20060730 24 2026-04-30 5500 132000
200902152 2000 2025-12-01 46 92000
20190506 10 2024-05-05 15318 153180
a933671 100 2025-04-30 2190 219000
a00356 1000 2022-02-01 319 319000
a80010b 100 2025-11-01 110 11000
51F0381 2300 2025-12-01 86 197800
36478010 30 2025-11-01 3867 116010
26381002 400 2025-11-01 797 318800
f91674b 400 2025-04-01 82 32800
d0254012 48 2025-11-01 2000 96000
50l4227 200 2021-11-01 174 34800
200908 2000 2023-09-01 119 238000
k72731b 200 2022-10-01 163 32600
a80065t 48 2022-01-01 2476 118848
20171130 100 2025-11-01 5610 561000
20171110 100 2025-11-01 5280 528000
191141 200 2025-02-02 5896 1179200
a00575 3000 2023-02-01 63 189000
14081988 10 2024-06-01 13750 137500
29072088 100 2025-06-01 649 64900
052488mx 20 2025-11-01 8000 160000
k9168t 50 2023-11-01 2518 125900
94626110 20 2024-11-01 12675 253500
768150127 120 2023-02-01 1286 154320
16062088 2 2023-05-01 44770 89540
2500 100 2025-05-01 3675 367500
36364005 2000 2024-12-01 136 272000
300220 40 2025-12-31 6218 248720
HLI091 150 2025-05-01 330 49500
10072088 5 2026-04-01 40293 201465
30072088 50 2025-07-01 2053 102650
17092088 20 2023-08-01 29550 591000
96201025A 100 2023-09-01 1199 119900
A00941 100 2023-03-01 1181 118100
A00985 5000 2023-04-01 89.1 445500
206118 4 2022-06-01 58300 233200
7072088 10 2023-06-01 23100 231000
8072088 50 2023-06-01 3520 176000
100461 1000 2022-04-01 77 77000
c90491b 100 2024-02-01 322 32200
500201 40 2025-05-01 6936 277440
620002 5 2025-04-01 11825 59125
A8776IW 1200 2024-07-01 117 140400
2002018 10 2022-04-01 78200 782000
40520881 100 2025-04-01 1064.8 106480
16052088 200 2025-04-01 715 143000
9062088 800 2024-11-01 856.9 685520
PK00160554C 2 2025-12-01 188663 377326
b80255b 2000 2025-11-01 85 170000
F90937 1600 2025-04-01 579 926400
F90937 200 2025-04-01 579 115800
20EA003 2000 2025-05-01 50 100000
19TM010 3000 2022-12-01 131 393000
D00101BJ 2000 2023-03-01 112 224000
18820418

OGAN KOMERING ILIR, 23 February 2021

Yang menyerahkan/memeriksa

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Tahun Anggaran
DAK 2020
APBDII 2020
APBDII 2020
APBDII 2020
APBDII 2020
DAK 2020
DAK 2018
DAK 2020
DAK 2020
DAK 2020
DAK 2020
DAK 2020
DAK 2018
DAK 2020
DAK 2020
APBDII 2020
DAK 2020
DAK 2020
APBDII 2020
DAK 2019
DAK 2020
DAK 2020
DAK 2018
DAK 2020
DAK 2020
DAK 2020
DAK 2020
DAK 2019
DAK 2020
APBDII 2020
DAK 2018
DAK 2018
DAK 2018
DAK 2018
APBDII 2020
DAK 2020
DAK 2020
DAK 2020
 DAK 2019
DAK 2020
APBDII 2020
APBDII 2020
DAK 2020
APBDII 2020
APBDII 2020
APBN 2020
APBDII 2020
DAK 2020
APBDII 2020
APBDII 2020
DAK 2020
DAK 2020
DAK 2020
APBDII 2020
DAK 2020
DAK 2020
DAK 2020
DAK 2019
APBN 2020
APBDII 2020
DAK 2020
APBDII 2020
APBDII 2020
DAK 2020
DAK 2020
APBDII 2020
DAK 2018
DAK 2020
DAK 2020
DAK 2020
DAK 2020
DAK 2020

23 February 2021
n/memeriksa

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