The document lists the inventory of medicines on board the barge Sadewa in January and February 2021. It includes 25 different medicines, their expiration dates, initial stock quantities, and whether any stock was added or removed. For each month, it shows that no medicines were added or removed, so the ending stock quantities remained the same as the initial stock quantities. The inventory was inspected and acknowledged by signatures each month.
The document lists the inventory of medicines on board the barge Sadewa in January and February 2021. It includes 25 different medicines, their expiration dates, initial stock quantities, and whether any stock was added or removed. For each month, it shows that no medicines were added or removed, so the ending stock quantities remained the same as the initial stock quantities. The inventory was inspected and acknowledged by signatures each month.
The document lists the inventory of medicines on board the barge Sadewa in January and February 2021. It includes 25 different medicines, their expiration dates, initial stock quantities, and whether any stock was added or removed. For each month, it shows that no medicines were added or removed, so the ending stock quantities remained the same as the initial stock quantities. The inventory was inspected and acknowledged by signatures each month.
DATE INSPECTION : JANUARI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 15 BOTOL 0 0 15 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 20 TABLET 0 0 20 v 4 AQUADEST 4-Feb-23 10 BTL 0 0 10 v 5 BALSEM 1-Oct-23 20 BTL 0 0 20 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 0 20 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 20 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 0 20 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 20 BOTOL 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : FEBRUARI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 15 BOTOL 0 0 15 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 20 TABLET 0 0 20 v 4 AQUADEST 4-Feb-23 10 BTL 0 0 10 v 5 BALSEM 1-Oct-23 20 BTL 0 0 20 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 0 20 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 20 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 0 20 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 3 BOTOL 0 0 3 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : MARET 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 15 BOTOL 0 5 10 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 20 TABLET 700 0 720 v 4 AQUADEST 4-Feb-23 10 BTL 3 0 13 v 5 BALSEM 1-Oct-23 20 BTL 0 0 20 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 SALEP 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 0 20 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 20 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 0 20 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 3 BOTOL 0 0 3 v
Inspected By: Acknowledged By:
Name : Name : Position Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : APRIL 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 15 BOTOL 0 5 10 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 20 TABLET 700 10 710 v 4 AQUADEST 4-Feb-23 10 BTL 3 0 13 v 5 BALSEM 1-Oct-23 20 BTL 0 0 20 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 SALEP 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 2 18 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 20 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 8 12 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 3 BOTOL 0 1 2 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : MEI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 10 BOTOL 0 5 5 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 710 TABLET 0 0 710 v 4 AQUADEST 4-Feb-23 13 BTL 3 0 16 v 5 BALSEM 1-Oct-23 20 BTL 0 0 20 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 SALEP 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 18 SALEP 0 0 18 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 20 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 12 BOTOL 0 0 12 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 2 BOTOL 0 0 2 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : JUNI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 15 BOTOL 0 5 10 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 20 TABLET 700 0 720 v 4 AQUADEST 4-Feb-23 10 BTL 3 0 13 v 5 BALSEM 1-Oct-23 20 BTL 0 0 10 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 SALEP 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 0 20 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 20 BOTOL 0 0 10 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 0 20 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 3 BOTOL 0 0 3 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : JULI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ACITRAL 1-Mar-23 10 BOTOL 0 5 5 v 2 ACYCLOVIR 1-Jan-23 5 SALEP 0 0 5 v 3 ANTIMO 1-Oct-25 720 TABLET 0 0 720 v 4 AQUADEST 4-Feb-23 13 BTL 0 0 13 v 5 BALSEM 1-Oct-23 10 BTL 0 0 10 v 6 BURNAZIN 1-Mar-23 20 SALEP 0 0 20 v 7 CYTYOL 1-Jul-24 2 SALEP 0 0 2 v 8 DEXTROX 5 % 1-Apr-23 20 BOTOL 0 0 20 v 9 ELLAMCYCETIN 1-Oct-23 20 SALEP 0 0 20 v 10 FLAMAR 1-Feb-23 12 SALEP 0 0 12 v 11 FORUMEN 30-Sep-22 10 SALEP 0 0 10 v 12 GENTAMICIN 1-Dec-23 50 SALEP 0 0 50 v 13 KENALOG 1-Jan-22 20 SALEP 0 0 20 v 14 LIDOCAIN 1-Jan-23 15 AMPUL 0 0 15 v 15 NACL INFUS 1-Apr-25 10 BOTOL 0 0 10 v 16 NEBACETIN 1-Nov-23 20 0 0 20 v 17 NORIT 1-Sep-24 20 BOTOL 0 0 20 v 18 SAGESTAN 20-Sep-22 20 SALEP 0 0 20 v 19 SERENITY 1-Jul-22 20 0 0 20 v 20 SUPRATUL 1-Apr-24 20 BOX 0 0 20 v 21 SUTURE 1-Sep-24 20 TABLET 0 0 20 v 22 TUDERM 1-Nov-23 15 SALEP 0 0 15 v 23 VENARON 1-Oct-24 20 TABLET 0 0 20 v 24 VENTOLIN INHALER 1-Mar-22 20 0 0 20 v 25 VIT B COM 1-Jun-22 3 BOTOL 0 0 3 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : JAN 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 100 TABLET 0 0 100 v 2 AMLODIPINE 10MG 1-Nov-24 15 TABLET 0 0 15 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 20 TABLET 0 0 20 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 15 TABLET 0 0 15 v 8 DEXTRAL 1-Mar-23 0 TABLET 0 0 0 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 20 TABLET 0 0 20 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 20 TABLET 0 0 20 v 20 LORATADINE 1-Sep-24 20 TABLET 0 5 15 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 20 TABLET 0 0 20 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 20 TABLET 0 0 20 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 20 TABLET 0 0 20 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 20 TABLET 0 5 15 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 56 TABLET 0 30 26 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : FEB 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 100 TABLET 0 20 80 v 2 AMLODIPINE 10MG 1-Nov-24 15 TABLET 0 5 10 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 20 TABLET 0 3 17 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 15 TABLET 0 10 5 v 8 DEXTRAL 1-Mar-23 0 TABLET 0 5 -5 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 20 TABLET 0 6 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 20 TABLET 0 2 18 v 20 LORATADINE 1-Sep-24 15 TABLET 0 5 10 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 20 TABLET 0 4 16 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 20 TABLET 0 5 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 20 TABLET 0 3 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 15 TABLET 0 5 10 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 26 TABLET 0 15 11 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : MAR 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 80 TABLET 0 18 62 v 2 AMLODIPINE 10MG 1-Nov-24 10 TABLET 0 3 7 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 17 TABLET 0 0 17 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 5 TABLET 0 0 5 v 8 DEXTRAL 1-Mar-23 -5 TABLET 0 0 -5 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 14 TABLET 0 0 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 18 TABLET 0 2 16 v 20 LORATADINE 1-Sep-24 10 TABLET 0 5 5 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 16 TABLET 0 4 12 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 15 TABLET 0 0 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 17 TABLET 0 0 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 10 TABLET 0 5 5 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 11 TABLET 0 5 6 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : APR 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 62 TABLET 0 15 47 v 2 AMLODIPINE 10MG 1-Nov-24 7 TABLET 0 1 6 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 17 TABLET 0 0 17 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 5 TABLET 0 0 5 v 8 DEXTRAL 1-Jun-25 -5 TABLET 30 0 25 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 14 TABLET 0 0 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 16 TABLET 0 2 14 v 20 LORATADINE 1-Sep-24 5 TABLET 0 5 0 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 12 TABLET 0 4 8 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 15 TABLET 0 0 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 17 TABLET 0 0 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 5 TABLET 0 5 0 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 6 TABLET 0 0 6 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : MEI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 47 TABLET 0 15 32 v 2 AMLODIPINE 10MG 1-Nov-24 6 TABLET 0 0 6 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 17 TABLET 0 5 12 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 5 TABLET 0 0 5 v 8 DEXTRAL 1-Jun-25 25 TABLET 0 5 20 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 14 TABLET 0 0 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 14 TABLET 0 2 12 v 20 LORATADINE 1-Sep-24 0 TABLET 0 0 0 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 8 TABLET 0 4 4 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 15 TABLET 0 0 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 17 TABLET 0 0 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 0 TABLET 0 0 0 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 6 TABLET 0 4 2 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : JUNI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 32 TABLET 0 10 22 v 2 AMLODIPINE 10MG 1-Nov-24 6 TABLET 0 0 6 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 12 TABLET 0 0 12 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 5 TABLET 0 0 5 v 8 DEXTRAL 1-Mar-23 20 TABLET 0 0 20 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 14 TABLET 0 0 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 12 TABLET 0 2 10 v 20 LORATADINE 1-Sep-24 0 TABLET 0 0 0 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 4 TABLET 0 4 0 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 15 TABLET 0 0 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 17 TABLET 0 0 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 0 TABLET 0 0 0 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 2 TABLET 0 0 2 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : PT. PUTRA TUNGGAL MANDIRITAMA INSPECTION CHECK LIST LIST OF MEDICINE
PROJECT SITE : WELCONE
DATE INSPECTION : JULI 2021 LOCATION : BARGE SADEWA UNIT : CURRENT ACTIVITY : CLIENT : PT PTM CONDITION NO NAMA TANGGAL EXP STOCK AWAL SATUAN STOCK MASUK STOCK KELUAR STOCK AKHIR (V/X) 1 ALPARA 1-Jun-24 22 TABLET 0 10 12 v 2 AMLODIPINE 10MG 1-Nov-24 6 TABLET 0 0 6 v 3 BISOPROLOL 1-May-22 20 TABLET 0 0 20 v 4 BODREX 1-Mar-23 12 TABLET 0 0 12 v 5 BUSCOPAN 1-Dec-22 20 TABLET 0 0 20 v 6 CIMETIDINE 1-Jan-24 9 TABLET 0 0 9 v 7 DEMACOLIN 13-Dec-24 5 TABLET 0 0 5 v 8 DEXTRAL 1-Jun-25 20 TABLET 0 0 20 v 9 DOMPERIDONE 1-May-25 20 TABLET 0 0 20 v 10 FARMALAT/NIFEDIPINE 10MG 1-Apr-23 20 TABLET 0 0 20 v 11 FLAMUR 1-Feb-22 20 TABLET 0 0 20 v 12 FUROSEMID 1-Jun-23 20 TABLET 0 0 20 v 13 GLIMEPIRIDE 1-Jan-23 20 TABLET 0 0 20 v 14 GRAFIX 1-Dec-24 15 TABLET 0 0 15 v 15 HISTIGO 1-May-22 14 TABLET 0 0 14 v 16 HYDROCHLOROTHIAZIDE 1-Jul-23 20 TABLET 0 0 20 v 17 HYPOFIL/GEMFIBROZIL 1-May-22 20 TABLET 0 0 20 v 18 INTERHISTIN 1-Sep-23 20 TABLET 0 0 20 v 19 KETONAZOLE 20MG 1-Nov-21 10 TABLET 0 2 8 v 20 LORATADINE 1-Sep-24 0 TABLET 0 0 0 v 21 MALTIRON PLUS 1-Oct-22 20 TABLET 0 0 20 v 22 MEFIX 1-Nov-21 20 TABLET 0 0 20 v 23 MELOXICAM 1-Feb-22 0 TABLET 0 0 0 v 24 METFORMIN 1-May-25 20 TABLET 0 0 20 v 25 METHILPREDINISOLONE 1-Apr-22 20 TABLET 0 0 20 v 26 NEURALGIN 1-Jun-22 15 TABLET 0 0 15 v 27 NIFEDIPINE 10MG 1-Nov-23 9 TABLET 0 0 9 v 28 PARACETAMOL 1-Nov-23 17 TABLET 0 0 17 v 29 PIROXICAM 1-Jan-24 20 TABLET 0 0 20 v 30 PRIMPERAN 1-Feb-22 20 TABLET 0 0 20 v 31 PRO LIVER 1-Sep-22 0 TABLET 0 5 -5 v 32 PROCELES 1-May-22 10 TABLET 0 0 10 v 33 PROHISTIN/ LORATADINE 1-Dec-23 30 TABLET 0 0 30 v 34 SANMOL 1-Feb-23 2 TABLET 0 2 0 v 35 TROLIP 1-Oct-21 20 TABLET 0 0 20 v 36 VOLTADEX 1-Dec-21 20 TABLET 0 0 20 v
Inspected By: Acknowledged By:
Name : Name : Position : Position : Sign : Sign : QTY CONDTION NO Description Unit QTY Remark AKTUAL (V/X) 1 Abbocath 18 Pcs 2 2 V 2 Abbocath 20 Pcs 2 2 V 3 Abbocath 22 Pcs 2 2 V 4 Alcohol Swab Box 1 1 V 1 box 5 catgut 2-0 Pcs 5 5 V 6 Catgut 3-0 Pcs 5 5 V 7 Silk Braided 3/0 Pcs 2 2 V 8 Silk Braided 2/0 Pcs 2 2 V 9 Needle Terrumo 23 G Pcs 2 2 V 10 Otsu WL ( Sterile Water ) Bottle 2 2 V 11 Scalpel ( Surgical Blade ) Box 2 2 V 12 Snake Bite Pcs 2 2 V 13 Spoit 3 cc Pcs 5 5 V 14 Spoit 5 cc Pcs 5 5 V 15 Stick Asam Urat Btl 1 1 V 16 Stick Cholesterol Btl 1 1 V 17 Stick Glucosa Btl 1 1 V 18 Infus Set Ea 2 2 V 19 Termometer Air Raksa Ea 2 0 V 20 Duk Clothes ( Kain Duk ) Ea 2 0 V 21 Sofratul Ea 5 0 V 22 Pocket Mask Ea 2 2 V 23 spuit 1 cc Ea 5 1 V 24 Surgical Instrument Kit Pcs 2 1 V 25 Neck Collar Pcs 2 4 V 26 Laryngoscospe Pcs 2 0 V 27 Nebulizer Omron Pcs 2 0 V 28 Pulse Oximeter Pcs 2 1 V 29 Pen Light Pcs 2 0 V 30 THT Set Pcs 1 0 V 31 Tensimeter Aneroid Pcs 2 2 V manual 32 Splint Angin SET 1 0 V 33 Sthetoscope Pcs 1 1 V 34 Surgical Instrument Kit Pcs 1 1 V 35 Neck Collar Ea 1 4 V 36 Bioplacenton Tube 1 0 V 37 Ethyl Chloroide Sprai Btl 1 0 V 38 Nostren Tube 1 0 V 39 Oxicam Btl 1 0 V 40 Trombophob gel Tube 1 0 V 41 Ephineprine inj Amp 1 0 V 42 Infus Liquid D5 Btl 1 1 V 43 Infus Liquid NaCl Btl 1 1 V 44 Infus Liquid Ringer Laktat Btl 1 1 V 45 Lidocain Amp 1 4 V 46 Ethyl Chloroide Sprai Btl 1 0 V 47 Alkohol 100 ml Btl 1 0 V 48 Alkohol swab box 1 1 V 49 Bethadine 15 ml Btl 1 0 V 50 Sofra Tulle Strip 1 0 V 51 Elastis Bandage 7.5cm Roll 1 1 V 52 Elastis Bandage 15 cm Roll 1 1 V 53 Hansaplast Ea 1 1 V 54 Hypavix Roll 1 1 V 55 Fire Blanket Ea 1 1 V 56 Kain Segitiga Lmbr 1 1 V 57 Kapas 25 ml Roll 1 1 V 58 Kassa Gulung 5 cm Roll 1 1 V 59 Kassa Gulung 10 cm Roll 1 1 V 60 Kasa Sterile Box 1 1 V 61 Masker Ea 1 1 V 62 Plester Roll 1 1 V 63 Rivanol 100 ml Btl 1 1 V 64 Steril Gloves 7.5 Ea 1 1 V 65 Abbocateh No. 20 Ea 1 1 V 66 Abbocateh No. 22 Ea 1 1 V 67 Abbocateh No. 18 Ea 1 1 V 68 Ambubag/Balon Peniup Unit 1 1 V 69 Catguat Plain Ea 1 1 V 70 Silk Braided No3/0 Ea 1 1 V 71 Gunting Scisor Ea 1 1 V 72 Infus Set Ea 2 1 V 73 Neck Collar Ea 3 3 V 74 Needle heating no 9 Ea 1 1 V 75 Needle heating no 13 Ea 1 1 V 76 Mayo Ea 1 1 V 77 Pocket Mask Ea 1 1 V 78 Steril Surgical Blade Ea 1 1 V 79 Syring 3 cc Ea 1 1 V 80 Syring 5 cc Ea 1 1 V 81 Safety Pin Lusin 1 1 V 82 Wound Dressing Large Ea 1 1 V 83 Wound Dressing Medium Ea 1 1 V 84 Y-rins Btl 2 1 V 85 Spinal Board Ea 1 1 V 86 Basket Stretcher Ea 1 1 V 87 Meja +kursi Ea 1 1 V 88 Lemari obat Ea 1 1 V tiadak layak 89First Aid Kit Bag / Tas Medis Emergency Ea 1 1 V 90 Eye Wash Ea 1 1 V 91 Oxygen Ea 2 2 V Regulator 2 92 Termogan Ea 2 1 V 93 AED Ea 1 1 V Baterray 2