LAMPIRAN OBAT ED

NO NAMA OBAT BATCH ED JUMLAH

1 Diazepam inj F8K569 10/31/2021 3
2 Haloperidol inj 5mg MY4T 12/31/2021 3
3 Lidokain komp injeksi 16815062 10/31/2021 90
4 Magnesium Sulfate inj 20% 77J49D 10/8/2021 2
5 Serum Anti Bisa Ular 4700319 9/30/2021 9
6 Cotrimoksazole tab 960 mg A82546 12/31/2021 366
7 Ciprofloxasine 500 mg 190521108 5/31/2021 200
8 Dexamethasone tab 1905-07-150 5/31/2021 400
9 Domperidone tab 10 mg 1905-09-149 5/31/2021 2770
10 Glibenclamide tab 5 mg 95426002 3/31/2021 1500
11 Griseovulfine 125 mg 1905-03-176 5/31/2021 500
12 Natrium Diklofenak 50 mg 26365060 7/31/2021 4806
13 Nifedipine 10 mg 49A4135 11/30/2021 500
14 Phytomenadione 10 mg 16381023 10/31/2021 100
15 OBAT ANTI TBC FDC KAT I L83952J 11/30/2021 1
16 ZINC 20 mg D90791J 4/30/2021 400
17 ZINC 20 mg J93789J 10/31/2021 1283
18 Chloramfenikol 1% 182614w 9/30/2021 52
19 Fenol gliserol TT 10% 19LF004 6/30/2021 17
20 Amoxicillin syr 250 mg 190722193 7/30/2021 29
21 Cotrimoxazole susp FG0181 7/30/2021 24
22 Chloramfenikol susp 190701082 7/30/2021 44
23 Domperidone susp 190712186 7/30/2021 17
24 Zinc sirup 43529 4/30/2021 17
25 Albendazole tab 1806126 7/30/2021 6
26 DHP 191027 10/30/2021 1
27 DHP 190431 4/30/2021 5
28 Fafipiravir tab K00039N 11/30/2021 400
29 Ketokonazole tab 170807103 8/30/2021 210
30 Primaquin tab 16386002 5/30/2021 20
31 Simvastatin tab A8718DW 4/30/2021 180
32 Simvastatin tab A8792KW 11/30/2021 350
33 Aminofillin inj 191G006 7/30/2021 9
34 Calsium glukonat inj 97LE0043 5/30/2021 5
35 Metilergometrin inj 9619L0454A 10/30/2021 6
36 Metilergometrin inj 9619H0271A 8/30/2021 9
37 Fitomenadiun inj 263820072 4/30/2021 3
38 Perak sulfadiazin 0395DB 3/30/2021 10
NO NAMA OBAT BATCH ED JUMLAH
1Ampisilin serb inj 1000 mg/vial 16436003 2/28/2022 24
2Asam asetilsalisilat tab 80 mg A00392 2/28/2022 170
3Betahistin Mesilat tablet 6 mg 51C0375 2/28/2022 178
4Difenhidramin inj 10 mg/ml 36342002-1 2/28/2022 15
5Digoksin tab 0.25 mg A8606AX 1/31/2022 110
6Furosemid injeksi 10mg/ml 4100143 1/31/2022 6
7Ketokonazole cream A80196T 1/31/2022 30
8Kloramfenikol Kaps 250 mg 1001089 1/31/2022 1600
9Kloramfenikol Kaps 250 mg 1002067 2/28/2022 569
10Oksitetrasiklin Hcl Salep Mata 1 % B90154W 2/28/2022 4
11Salbutamol 2,5 mg Nebules FV0638 2/28/2022 104
12Serum Anti Bisa Ular 4700120 2/28/2022 1

NO NAMA OBAT BATCH ED JUMLAH

1Diazepam rectal W23681701 1/31/2022 9
 LAMPIRAN VAKSIN MENDEKATI ED

NO NAMA VAKSIN BATCH ED JUMLAH DOSIS

Vaksin Covid 19 ( 10 dosis)
1 Astrazeneca A1078 1/31/2022 19 190
NO NAMA OBAT BATCH
1Amoxicillin syr 250 mg 190722193
2Cotrimoxazole susp FG0181
3Chloramfenikol susp 190701082
4Domperidone susp 190712186
5Zinc sirup 43529
6Albendazole tab 1806126
7DHP 191027
8DHP 190431
9Fafipiravir tab K00039N
10Ketokonazole tab 170807103
11Primaquin tab 16386002
12Simvastatin tab A8718DW
13Simvastatin tab A8792KW
14Aminofillin inj 191G006
15Calsium glukonat inj 97LE0043
16Metilergometrin inj 9619L0454A
17Metilergometrin inj 9619H0271A
18Fitomenadiun inj 263820072
19Perak sulfadiazin 0395DB
ED JUMLAH
7/30/2021 29
7/30/2021 24
7/30/2021 44
7/30/2021 17
4/30/2021 17
7/30/2021 6
10/30/2021 1
4/30/2021 5
11/30/2021 400
8/30/2021 210
5/30/2021 20
4/30/2021 180
11/30/2021 350
7/30/2021 9
5/30/2021 5
10/30/2021 6
8/30/2021 9
4/30/2021 3
3/30/2021 10
 LAMPIRAN VAKSIN MENDEKATI ED

NO NAMA VAKSIN BATCH ED JUMLAH DOSIS

Vaksin Covid 19 ( 10 dosis)
1 Astrazeneca A1078 1/31/2022 5 50
 LAMPIRAN OBAT ED

NO NAMA OBAT BATCH ED JUMLAH

1 Ampisilin serb inj 1000 mg/vial 16436003 2/28/2022 24
2 Asam asetilsalisilat tab 80 mg A00392 2/28/2022 170
3 Betahistin Mesilat tablet 6 mg 51C0375 2/28/2022 178
4 Diazepam rectal W23681701 1/31/2022 9
5 Difenhidramin inj 10 mg/ml 36342002-1 2/28/2022 15
6 Digoksin tab 0.25 mg A8606AX 1/31/2022 110
7 Furosemid injeksi 10mg/ml 4100143 1/31/2022 6
8 Ketokonazole cream A80196T 1/31/2022 30
9 Kloramfenikol Kaps 250 mg 1001089 1/31/2022 1600
10 Kloramfenikol Kaps 250 mg 1002067 2/28/2022 569
11 Oksitetrasiklin Hcl Salep Mata 1 % B90154W 2/28/2022 4
12 Salbutamol 2,5 mg Nebules FV0638 2/28/2022 104
13 Serum Anti Bisa Ular 4700120 2/28/2022 1