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PERMINTAAN PEMBELIAN
r<oDE PR : 00015/PRIPMCI 021 Z02r

RuanE Peminta Gudang Pusat Farmaii

Tanggal 17 February 2A2L

NO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa Jumlah Satuan Konveri Satuan Diskon Sub Total
Min Maks Stok PR Besar (Y"l
Ins. I ns, Gudang
Farmasi Farmasi Pusat
Raial Ranap Farmasi

1 Acarbose :1.00 mg 1551 0 TAB 1400 296 591 500 1000 TAB 10 BOX 1.008.04c tPxS Franis
Tablet TAB TAB (TAB) iIABi {TAB}
? Akilen Tetes Telinga 62 BTL 0 BTL 48 BTt 49 {BrL} 98 {Brt} 48 {BrL} 48 BTL 48 BTt 20 2.330.880 s?t{l f
3 Altrendazole O BTI 0 BTL BTt 1 {BrL) 2 lBrll 0 {BrL) 3 BiL 10.908
280ngl5ml
O o.3 BOX 0 ? Ana\c
Suspensi {Ei

4 Alkclrol Swab 1376 3900 4800 7?00

r00! pcs a\\"4t
3100 48 80x
PC5
PCS
(PCs)
,fra 30 620.928
{Ps}
5 Allopurino, 100 mB 297 * TAE 100 319 638 (IAB} 2C0 TAB 7 BOX 50 25.000 t
Tablet TA8 (TABi lr o!
2009
fi
6 Alpentin 100 mg
lrapsul {E} CAP
CAP 600 3000 s000 {CAP} 3Na CAP 8B 8(]x 0 1.808.000 Y O^t^\g"
CAP {CAP} {c4P}

4 Aiprazolam 1 mfl 0 TAB

I
17 TAB O TAB 156 31.1 0 {TAB} 1OOO TAB 10 BOX 10 795_276
"fabiet
{TAB} {TAB}

Amtrroxol 30 mg 306 ^ TAB O TAA 583 1167 500 1000 TAB 10 BOX 40 180.000 goneritc
Tablet TAB ITAB) {TAB) {TAB}

rc Amlkiptyline 25 mg
Tablet
TAB o TAB O TAB fq7

(rAB) (TAB}
513 1000
20{
/.
TAB 1S B0x 0 200.000 QQnen \t

1S

11
Amiodipine 5 MG
Tablel

Amphetamine Drop
987
T,4B

0 MT
0 TAB

0 KIT
800
TAB

O KtT
817
(TAB}

0 {Krr}
1533
(rAs)

0 {Krr} 0 {Krri
v' 1 Kli
TAB 10 BOX 74-27 242.5:'4 $artrit,l.<rnis

\arz,rc..tu nrrt"
11 Des'a-o 1 KIT 0 427.50Q
Test Card
)Dl
Antasida Sirup 19 Bt! O 8TL BTL 0 {BrL} 0 (BrL) 0 {BrL}
,4rr" 50 BTL 0 445.550 g€.o?c(to
13 AatihBmoroid SupF O 5UPP 0 SUPP 0 EUPP t7 0
,rtSt"o, 0.5 BOX 0 150.000 gencrtt
{SUPP) {suPPi {suPP}
a4 Apialys Drop ? 0 BTL 5 BTL 10 iBrL) 21 (BTr) 7 {BrL} 3y'fo,, BTL 2A 160.000 ?a\..
15 Aqua for lnieksi 4000 0 2000G 30000 50000 0 to & err 0 BTL 0 286.350 A;cafale)
1000 Mr {E} CC/ML CCIML CCIMt (cc/ML) {cclML) {cc1ML}

f Asam Msfenamat
500 mg Tablet
2385 0 TAB 2500
TAE
3000
irAE)
5000
iTAB}
3000
(1AB) 'aa,
BOX 40 324.000 qpneflq

17 Asam Traneksamat 0 AMP 2{0 )10 437 230 * BOX 32 aL\.aao @rl,eilllc
(AMP}
500 mg lnjeksi A A/D
{AMP) iAMP}
ir. I
18 tueptan 500 ml o BN 0 BIL 29 BTL 23 (BrLl 4r {BTr} 13 {BrL} irlgrrt STL 30 1.914.s28 haa.A gmrh z€r
* fi (/vl(\(l .groit:6
L9 tueptic 5 Liter
CCy'ML CC/ML
0 10000
CCIML
10000
{c./ML}
20080
{cclML) {cclML)
0
^1 6LN GtN 30 e48.640

Asprlet Tablet \^^ jI99 O TAB 720tJ 1000 3000 800 22OO TAB 7 /r.rru.rro gCen (r"anis )
[3* tJ v(wl1t\ ActA'\'u) ,o, TA8 (TAB} {rAB) {TAB}
BOX

2l Atorvastatifl 20 mg 711, OIAB 450 259 518 180 p,[ TA8 BOX 1.092.000
EZr.L;u
Tablet TAS TAS {TAB) {TAB} {TAB}
A
4 Atramat Silk 2-0
R2632 26mm 75cm
3 PCS O PCs O PCS 0 (PCs) 0 [PCs] 0 {PCs} 1t PC5 PCS 50 285.000 atl.e s

23 Balugin Sirup 120

ml
O ETL O BIt O BTL 2 {8Tti 3 {BrLi o iBrL)
iL BTt BTt 0 67.642 Palcn

24 BD Ultra Fine O PCs O PCS O PCS 0 {Pcs} 0 {PCS} 0 {PCs} 100 PCS BOX 0 3s0.000 4\\-{ >
0"23mm x4mm

TOTAL SEBELUM DISCOUHT !4.952.XM

TOTAL DISCOUNT 61.97A.M2

TOTAT 284.987.742
Keterangan

perm;ntoan mingBua*

*Waktu Cetak :27 Februarr' ZO2, 16:44:43

I of 9 212712021,4:45 PM
Sistem hformasi Rumah Sakit http:l / 192.1 68. 1 .3/print.php?mod=print_po_rev&cmd:printjr&..

iIO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa Jumlah Satuan l(onversl Satuan Dhkon Sub Total
Min Maks Stok PR Besar (%l
lns. lns, Gudang
Farmasi Farmasi Pusat
Raiat Ranap Fatffil
i00
25 Becom C Tablet 95 TAB O TAB 300
TAB
109
(rAs)
218
(TAB)
0 (rAB)
,N t ,AB 2 BOX 20 2s2.000 ia\en
26 Becom Zet Tablet 240 O TAB 200 200 500 100 100 TAB 1 BOX 20 168.000 Pr\en

rt
TAB TAB {TAB) {TAB} {TAB)

B€tadine Obat O BTL O BTL O BTt 0 {BIL) r (br LJ 0 {BrL) 10 BTL 10 BTL 2 140.630
Fakn
Kumur 100 ml
ao gisoprolol 2.5m9 1907 TAB 1800 1000 3000 s00 3000 TAB 3OOO TAB o 1.425.000
5
O
ryne.tL rL(EnL
Tablet TAB TAB (TAB) (TAB) (TAB) A
29 Borraginol-N supp O SUPP O SUPP O SUPP ? 5 0 10 SUPP 1- BOX 0 102.050 f/ len
(suPP) {suPP) {suPP)

rL
r31
Breatfly Nasal Spray

Captopril 25 mg
26 BTL

1518
O BTL

O TAB
35 BTL

900
33 (Bft)

1000
6s {BrL)

2500
3s (BrL)

700
50
2OOO
BIL

TAB
50

20
BTt 30

0
2.800.000

410.800
?aton
BOX
@nenu

rl
Tablet (TAB) (rAB)
TAB TAB {TAB)
^
Carmed Cream 1O"/o 2 BTL O BTL 15 BTI 0 (BrL) 0 (BrL) 0 (BTL) 10 BTL 10 BTL 15 246.500 galten
40 gr

Cefadroxil 500 mg 1866 O CAP 1500 1500 3000 1700 1COO BOX 34.09 0pne.,u
,v6 CAP 1A 527.280

/lr\
'-,1
Kapsul

Cefila 100 - Kapsul

Cefila Sirup 30 ml
CAP

10 CAP

2 BTL
O CAP

O BTL
CAP

O CAP

O BTL
(CAP)

0 (cAP)

4 (BrL)
{cAP)

0 {cAP)

8 {BrL)
(CAP)

0 {cAP)

4 (BrL)
90

5t
CAP

BTL
,3

5
BOX

BTL
20

20
1.404.000

332.000
g*cn
qaleo-
36 Cefixime Sirup 30
ml
17 BTL O BTL 20 BTL 46 {BrL) 92 {Bl L) 20 (BrL) ";"\ BTL 50 BTL 7t 478.500 q!\\LflL
.L
93an'li Box 0 8ox Box 0 (Box) 0 {Box}
Cellpack DCL 1X20 0 0 0 (Box} 3BOX3 BOX 0 7.504.104 tctorr.atznuvra
tb Ieb'lt ML

YL Cendo Catarlent O STRIP O STRIP O STRIP ? 4 0 5 STRIP 5 STRIP 10 go.ooo SP Meka ,?attn
MD {srRrP) {srRlP} (sTRrP)

39 Cendo 6laucon
Tablet
31 TAB O TAB 40 TAB 23
(TAB)
47
(TAB)
0 {rAB) 20 TAB 20 TAB 0 ^ s1.1oo c{ Mzrta,?qltx

e40 Cendo HeNis Eye OTUBE OTUBE OIUBT 1 I 0 5 TUBE 5 TUBE 10 15s.37s E Mata(aler
Oint {TUBE) {ruBEi {TUBE}
lo t,
41 Cendo Llteers 1"5 nll tl 6tL O BTL fU bIL 8 {BrL} rb {6r Ll 0 (BrL)
F blL 15 btL 10 3o3.7so c.P t&^'ta 4d€i\

.lz h Cendo Mydriatyl

0.5% MD
O PCs O PCs 10 PCS 2 {PCsi 4 {PCS) s {PCS) 12 PCS STRIP 0 60.82 k rr,,tatr ;flale,r

pcs
,*l\ Cendo Mydriatyl 1.% 0 0 PCs 0 Pcs 2 {PCS) 3 (PCS) 15 12 PC5 2.4 STRIP 0 oo.grz k Ptah 'Pater
MD {PCs)
I
44 Cendo Noncort 5 ml ln 1,, :so.zso G? M'^R '?'don

rL
9 BTL O BTL 10 BTL 8 iBrL) 16 {BrL) s (BrL) 10 BTL 0

Cendo Noncort MD t3 O STRIP 10 10 2A 10 20 STRIP 2A 10 zoo.soo palen

STRIP STRIP (srRrP) (sTRrP) (srRrP)
STRIP
Qnrrt<.
-46 Cendo ProtagentA 5 STRIP O STRIP 10 2 3 0 5 STRIP 5 STRIP 0 tto.+os Q$/at<,P11€^
MD STRIP (srRlP) (srRrP) {s rRrP) sl
BIL
Cendo Timol 0.5% 5
ml
5 O BTt lU6IL 4 iBrL) 9 {BTLI 0 {BrL)
4, bIL lU BTL 10 +zs.zsoQNat4/?ate^

,48 Cendo Tobroson 14 O STRiP 10 1 2 0 10 STR|P 10 STRIP 0 zzs.sooQmak"palen

MD STRIP STRIP (srRrP) (srRrP) (srRrP)

49 Cendo Xitrol Eye 3 TUBE O TUBE 3 TUBE 2 4 0 5 TUBE 5 TUBE 0 rzo.aos QgcrurF, W{krn
Oint (TUBE) (ruBE) (TUBE)

50 Ceradan Hydra 80 O BTL O BTL 5 BTL 0 {BrL) 0 (BrL) 0 {Brr) 3BTL3 BTL 0 szs.ooo
Q fa\rt
Gr
/\
51 Chateter 2 way no 0 PCS 0 PCS 0 pCS 2 {pCS) s (pCS) 0 (pcs) 10 PCS 10 PCS 0 so.ooo A\\-es
14 Onemed
,,1
,)l Clindamycin 300 mg 51 TAB O TAB O TAB 156 5ir 100 204 TAB 4 BOX ,ru.ruu genn.it
Tablet (TAB) {IAB) (TAB)

53 Clonidin 0.15 mg 87 TAB O TAB 100 70 140 0 (rAB) 200 TAB 2 BOX 0 48.400 g€nertL l(f'aorl
Tablet TAB (rAB) {TAB)

TOTALSEBELUMDISCOUNT 346.952,184

TOTATOTSCOUNT 61.970.442

TOTAL 284.9AL742
Keterantan

perminiaan minBguan

il,l/olts {iet6lr: .:7 Febeary 2021 16:44:43

2of9 2127/2021,4:45 PM
Sistem lnformasi Rumah Sakit http: I I 192. I 68. 1 .3iprint.php?mod:printjo_rev&cmd:print_pr&...

NO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa Jumlah Satuan Konversi Satuan Diskon sub Total
Min Mak Stok PR Besar (%l
lns. lns. Gudang
Farmasi Farmasi Pusat
Raiat Ranap Farffii

/\ Co Amoxiclav 625 5 TAB O TAB 60 TA5 30 61 60 TAB 2 BOX 0 316.300

r@rtL
mg Tablet (TAB) {TAB) (TAB)

55 Codein 10 mt 433 O TAB O TA8 350 704 0 (rAB)

ffi1,^, 10 BOX 0 azz.zoo gnrsit
Tablet TAB {TAB) (TAB)

56 CTM Tablet 227

TAB
OTAB OTAB 272
(TAB)
544
(TAB)
0 {rAB)
%l',, 5 BOX U 70.s00
SQner(u

Dermafix S lV 3 LBR O L8R O LBR 642 0 (LBR) 300 LBR 12 BOX 30 665.280 a\t..s
6x7CM {LBR) {LBR)

.58 Desrem ln,eksi 12 rNl O INJ 15 rNl 0 (rNr) 0 (rNJ) 3 (rNJ)

rol
14 tM rs INJ 0 s.77s.000 grvrd -te
59 Dexamethason
lnjeksi
261,
AMP
O AMP 320
AMP
269 538
(AMP)
185
'N*l^*' 5 BOX 35 zos.aoo ggner(t

rt
{AMP) {AMP)
Dexketoprofen 8 AMP O AMP 30 41, 82 4A 50 AMP 10 BOX 30 ,or.ooo genu.iL
25mg / ml lnjeki AMP (AMP) {AMP) (AMP)

61 EiBhtcheck 3WP O VIAL O VIAL O VIAL 0 {vrAL) 1(vrAL) 0 (vrAL) 1 VIAL 1 VIAL 0 301.667
High
Lbti,'L' 62 Eightcheck 3WP O VIAL O VIAI O VIAL 0 (vrAr) 1(VrAL) 0 (vlAL) 1 VIAL 7 VIAL 0 301.667
\
Low rtoe,+,xrw
63 Eightcheck 3WP O VIAL O VIAL O VIAL 0 {vrAr) 1{vrAL} 0 (vrAL) 1 ViAL 1 VIAL 0 301.667
)t
Normal

64 Endo Tracheal Tube 0 Pcs O PCS O PCS 0 (PCS) 1 {PCS) 0 (PCs) 2PCS? PC5 0 160.000
No3
-1 Sti" 65 Endo Tracheal Tube O PCS O PCS O PCS 0 {PCs) 1 (PCS) 0 (PCs) 2PCS2 PCS 0 160.000
No 3,5
toSftr'"| 66 Endo Tracheal Tube O PCS O PCS O PCS 1 {PCS) 2 iPCs) 2 (PCS) 2PCS2 PCS 0 160.000 4\\"Q.t
No5

67 Endo Tracheal Tutle O PCs O PCS O PCS 3 {PCs) 6 {PCs) 3 {PCS) 3PCS3 PC5 0 240.000
No7

Endo Tracheal Tube 2 PCS O PCS O PCS 4 (PCS) 9 (PCS) 4 (Pcs) 5PCS5 PCS 0 400.000
No 7.5

@ L Esiigan 1 mB Tablet O TAB O TAB O TAB 8 {rAB} 1,6 0 {rAB) 3BOX0 BOX o f r.tts.tzs
(TAB)

rL
t BOX o 4trq.es
Esil8an 2 mg Tablet O TAB O TAB O TAB 1,6 31 0 (rAB) 3 O BOX
{TAB) {TAB)

71_ Fargoxin ln.ieksi l AMP O AMP O AMP 3 (AMP) 5 {AMP) 0 {Ar\,1P) AMP 2 BOX 0 +oo.ooo petkn
72 Favipiravir 200m9 O TAB O TAB O TAB 0 (rAB) 0 (rAB) 0 {rAB) 400 TAB 400 TAB 0 ?7.2oo.ooo cai6.1,
Tablet
s) I
73 Fentanil 2 ml lnjeksi O AMP O AMP 41 o (AMp)
,6 [.mvre 20 BOX 0 , o.ooo.* m.sl"{
AMP (AMP) (AMP)
I /.' Mc(c.,ht.-'
74 Fladystin Ovula 36 0V 00v 30 0v s1 iovl 103 30(UV-)
2D

,@ L-ou 10 BOX 1U
' i:so.ooo gekm
(ov)
75 Fleet Enema 1 TUBE O TUBE 2 TUBE 0 1 0 ? TUBE 2 TUBE 0 rss.ooo qn'kn
(luBE) (ruBE) (TUBE)

.rU Fleet Enema (E) O BTL O BTL O BTL 0 (BrL) 0 (BrL) 0 {BrL} 2 BTL 2 BTL 0 ss.ooo Lta)fz.\ul
I 5Do
7f b. Folac Tablet 1?O O TAB 200 7L67 500 IOOB-
,.. TAB 10 BOX 30 zoo.ooo pale.-
TAB TAB (rAB) IIAB) {TAB) \/ l

BTL BTL I
Forumen Ear Drop 9 O 5 BTL (BTL} 19 {BrLi s {BrL)
AlsrL 10 sTt 20 2o4.4oo ?ate.1
10 ml

1,462
ual
79 Furosemide 40 mg 0TAB 7200 2000 4000 0 {rAB) ;sdo 9r-ae 30 BOX 0 aeo.ooo gpnznL
Tablet TAB TAB (TAB) (TAB)
Lcrr)l
80 6abapentin 300 mg 2477 1800 2000 4000 0 (cAP) l-cap ll.soo.ooo
0 CAP
No 133.33 BOX 25 $encnt
-t
Kapsul CAP CAP (CAP) {CAP)
l. a\htr
rG Gelita Spon O PCS O PCS 10 PCS 1 {PCS) 2 (PCS) 0 (PCs) 10 PCS 10 PCS 0 550.000

TOTAI-SEBELUMOISCOUNT 346.952.L84

TOTATDTSCOUNT 67.970.442

TOTAL *4.9AL_742
Keterangan

permintaan mingguan

*WaLte t*l< : 27 Febftary 2027 76:44:43

i of 9 2127DA21,4:45 PM
Sistem Informasi Rumah Sakit bttp : I I 1 92. I 68. 1 .3/print.php?mod:printjo_rev&cmd:printjr&..

NO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa Jumlah Satuan Komersi Satuan Diskon Total
Min Mak Stok PR Besar l%l 'ub
lns. lm. Gudang
Farmasi Farmasi Pusat
Raial nanap Farmffii

82 Gentamicin lnjeksi 75
AMP
OAMP OAMP
{AMP)
16
iAMP)
31 0 (AMP)
r16
L AMP 4 BOX 0 e2.ooo E3(\er1li

Gitasept Instru AF 2 0 0 2004 2A0A 4000 2000 2BTtO BTI 20 2.668.000 4\tcer
F\,, (cc/ML)
,6+
Liter CClML CClML CClML (CC/ML) icc/ML)
A
Glauseta Tablet 41 TAB O TAB O TAB 31 0 (rAB) 100 TAB 1, BOX :oz.soo @\en

rl
(TAB) {TAB)

Gudel No. 6 Rush O PCS O PCS O PCS 1 (PCs) 1 (PCS) 0 (PCS) 5PCS5 PC5 0 659.100
(1)

vl Gudel No. 7 Rush

{2)
O PCS O PCS O PCS {Pcs) (PCS) 0 {PCS) 5PCS5 PCS 0 659.100

t
,F\ Gudel No. 8 Rush O PCs O PCS 0 Pcs {PCs) (PCS} 0 (PCs) 5PCS5 PC5 0 659.100
(3)

.88 Haioperidol 5 mg 43 TAB OTAB 31 0 (rAB) 1OO TAB 26.soo

O TAB 1 BOX 0 @(enb
Tablet (TAB) {TAB)

Hi-Bone film coated 158 O TAB 90 TAB fla 34r 150 180 TAB 6 BOX 30 so4.ooo ?,{en
caplet TAB (TAB) {TAB) (IAB}

* Hyperhep 0.5 ml l INJ O INJ 0 rNi 0 {rN.J} 0 (lNJ) 0 {rNJ} 1INJ1 rN.] 0 2.277.000 /
lnjeksi
h
9t lnflo Plus iV No 18 65 PCs O PCS 50 PCS 0 {Pcs) 0 {PCs) 50 100 PCS 2 BOX 30 288.750
(PCs)

92 lnflo Plus lV No 20 99 PCS 0 PCs 200 31 62 150 100 PCS 2 BOX 30 288.750
PC5 (PCS) (PCS) (PCs)
a\@r
93 lnflo Plus lV No 22 94 PCS 0 PCS 150 101 203 105 100 PCS 2 BOX 30 288.750
PC5 (PCS) (PCs) (PCs)

94 lnflo Plus lV No 24 47 PCS 0 PCS O PCS 43 86 0 {PCS) 100 PCS BOX 30 288.750
(PCs) {PCs)
too /
95 lnterhistin Tablet 140 O TAB 200 0 {rAB) 0 (rAB) 100
,N' TAB 2OO TAB 5 157.700 qat€n
TAB TAB (TAB)

/ lqrnui.rot s000 u, / 5 465 U 300 28 56 11E 250 CC/ML 50 VIAL o /r.uoo.ooo PA\en
ml lnjeksi CCIML CCIML CC/ML icc/ML) (cclML) (cc/ML)

97 ,odine Povidone 1 0 0 10000 10000 20000 0 10 BTL 0 BTL 0 750.000 a\Fo)

Liter CC/ML CC/ML CCIML (cclML) (cclML) icc/ML)
oa 2
lodine Povidone 5 0 0 0 5000 10000 5000
/GLN
0 GLN 30 554.400 ali'r-r
Liter CClML CC/ML CClML {CC/ML) (cclMu (cclML)
1@l
99 lsonialid 300 mg
Tablet
O TAB O TAB O TAB 179
(TAB)
358
(rAB)
0 {rAB)
N,l,o, 3 BCX 7.50 48.008 gone.it-
(Nl
100 Kalium Diklofenak 184 O TAB 300 1,44 288 100 3a0\- rna 6 BOX 40.03 107.946 5r nanr-
50 mg Tablet TAB TAB (TAB) (rAB) (TAB)
TDI
101 Kapsul Kosong 00 2354 0 PCS 2000 3000 5000 2000 zfo\-, ncs 3000 PC5 0 210.000 a(oot
PCs PCS {PCs) (PCs) {PCs}

102 Laktafit Tablet 10 TAB TAB 19 37 0 (TAB)

t TeB
O O TAB 60 J- BOX 10 145.800 ?aleq
(TAB) (TAB)
1,I
103 Laktulosa Sirup 60
ml
10 BTL O BTL 5 BTL 10 {BrL) 19 {BrL) 7 {BrL) )tq al zo BTL 5 s22.s00 $.nenL
104 Lameson 4 mg 20 TAB O TAB 100 39 78 0 (rABi 1OO. TAB 2 BOX 2A 272.400
?ttleq
Tablet TAB lTAB) {rAB)
105 Lameson 8 mg 50 TAB O TAB 100 0 {rAB) 0 (TAB) 0 (rAB) 100 . TAB BOX 20 440.000 qatlerr
Tablet TAB

106
xoq /
Lailsoprazole 30 mg 2818 0 CAP 3000 3000 5000 2200 3No I cAP 150 BOX 51.38 1.31,2.740 geourtt

107
Kapsul
Laryn8eal Mask No 0
CAP
DOSE 0 DOSE
CAP

0 DOSE
{CAP}

8
(cAP)

1b
{CAP)
r/zd{* oose 4 pc5 10 1.116.000
3 (DOSE) (DOSE) {DOsE)
$l q\h{r
108 Laryngeal Mask No O DOSE O DOSE O DOSE 8 16 20 X I oosr 4 PCS 10 1,116.000 )
4 (DosE)
{DOSE) iDosE) \
TOTATSEBELUMDTSCOUNT 346.952.184

TOTALDISCOUNT 6T.97O.M2
TOTAL aA4.9AL.-142

Keteraftga*

permietaan mingguan

*Waktu Cetck:27 {eb,uary 2021 }6:44:43

4of9 212712A21,4:45 PM
Sistem lnformasi Rumah Sakit http: I I 192.1 68. I .3/print.php?mod:printjo_rev&cmd:print-pr&..

NO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa .lumlah Satuan Konversi Satuan Diskon Sub Total
Min Maks Stok PR Besar l%l
lns. lns, Gudarg
Farmasi Farmasi Pusat

109 L-Bio Sachet

Raiat

19 5CH
Banap

O sCH
Farmasi

0 scH 168 90
hl
:2\ scH 10 BOX 20 1.6so.ooo F^ltn
(SCH) (scH) {scH )

110 L-Cisin Tablet O TAB O TA8 O TA8 65 0 {rAB)

%L,^r 80x 2A zee.ooo q,e\e6r
(TAB) {TAB)

2{ "u""ni"*'
O AMP O Afu1P O AIV1P 55 o/ 50
(AMP}
v{, AMP 50 AMP 20 z.zoo.ooo Pa(leo,
{AMP) {AMP)

112 Levofloxacin 500 247 O TAB 300 218 436 200 '%(,, TAB 10 BOX 35 3e2.363
mg Tablet TAB TAB
@nertL
{TAB) {TAB} {TAB)

.113 Levofloxacinlnjeksi 196 BTL O STL 192 BTL 12 (BrU 23 (BrL) 309 200 BTL 2OO BTL 50 ,,/a.ooo.ooo $eoeri[
(BTL)
h
1-14 Lodia 2 mgTablet 3 TAB O TAB 0TAB 14 28 0 (rAB) 60 TAB 1 BOX 20 37.440 Pr ltn
{IAB) {TAB)

115 Mamy Poko 5 O PCS O PCS 0 PCS 183 366 0 (PCS) 168 PCS 12 PACK 15 322.983
(PCS) iPCs) .ol
116 Mamy Poko Tisu O PACK O PACK 0 PACK 11 22 0 N\, PACK 20 PACK 63.223
Basah 20 {PACK) (PAC(} (PACK}

1,77 Marcain PDF 0.5% 0 0 01631 0 100 cc/Mr L BOX 0 361.oos ?ak{'\
20 ml CCIML CCIML CC/ML (CCIML) {CC/ML) (cclML)
. 118 Mas lV Dressing 6x7 203 O PCs 500 54 109 0 (PCs) 300 PCs 300 PCS azz.soo ot\t"o9
CM PCS PCS (PCS) {PCS)
sgI PCS
119 Masker Karet Hijau 99 PCS 0 PCS 1500
PCs
1500
(PCs)
3000 950
(PCs)
yr\. 20 B0x 0 ooo.ooo a\\"a,
{PCS)
a-I
120 Mebo 0intment 20 2 TUBE O TUBE OTUBE 2 4 7{uw s TUBE 0 :sz.soo Palcvl
8r {TUBE) (IUBE} (TUBE)

..121 Mecobalamin 500 5168 O CAP 5000 4000 6000 2500 4000 cAP 40 BOX zot/ z.sao.ooo qe^e;L
mg Kapsul CAP CAP {CAP) (CAP) (cAP)

Mefinal 500 mB 320 O TAB 300 156 311 100 3OO TAB 3 BOX 2a :zo.+oo pr.len
Tablet TAB TAB {TAB) (TAB) (TAB)

. 123 Metformin 500 mg 6229 0TAB s400 3000 6000 4200 4000 TAB 40 BOX 37.t4 440.020 0?n?Ctt&
(TAB) J
Tablet TAB TAB (TAB) (rAB)
Llbr \
(tDq'u 724 Methamphetamine O PCS O PCs 0 PCS 8 (PCS) 16 0 (PCS) 20 PCs 20 PCS 43 427.500 tat o,ato.ru*
Drop Test (PCs)
lSu,ll
L25 Methylprednisolone
4 mg Tablet
3624
TAB
0TAB 3500
TAB
1500
{TAB)
3000
ITAB)
0 (rAB)
NL^'
I
ntn
30 BOX 49.55 654.604 SAner&

126 Methylprednisolone
8 mg Tablet
30 TAB O TAB 0 TAB 1244
(TAB)
2489
(TAB)
0 (rAB)
N\,O' 30 BOX 45 1.052.997 qZflznl"

727 Metoklopramid 10 O TAB O TAB 0 TAB 93 0 (rAB)

rDo /
rAB 2 0
\ 26.000 gona(L
1-87
/2{6L BOX
(TAB} {TAB)
mB Tablet
I
A k *oroorrrrru) 2 Brr O BTL 0 BTL 8 (BrL) 16 (BTr) 8 (BrL) 2l srL 20 BTL 0 69.020 a-_ adt^\oq
129 Microgest 100 mg

13O Microtynon
Tablet
KB 3
143
SOFT

STRIP
O SOFT

O STRIP 0
90 107
soFr (soFr) (soFr)
sTRtP
(srRrP)
3
215

(srRlP)
6
60
(soFr)

(srRrP)
0
41'o"
10 STRIP
5

7
BOX

BOX
2A

0
I 1.440.000

146.503
Fa\€n

Pa\.,.
131 Micropore 1in 4550
CM
0 CM 2730 i0920 32760
CM {CM) (CM)
1820
{CM)
wl cM 32760 Ctvl 25 633.906

)^*'
L32 Micropore 2 in OCM OCM 0 cM 32760 54600 0 (cM) 32760 CM 32760 CM 25 1,.267.812
(cM) (cM)
133 NaCL 0.9% 1000 ML 39 BTL O BTt 40 BTL 0 {BrL) 0 (BTL) 10 (BTL) 20 BTL 2 BOX 15 426.785
lnfus
\
A NaCL
INFUS
0.9% 100 ML 566 BTt O BTL 560 BTL 315
{BTL)
630
(BTL}
820
(BTL)
uri/1
N,. BTL 8 BOX 0 2.800.000

I
i.q--,

rc NaCL
lnfus
0.9% 500 ML 499 BTL O BTL 620 BIL 504
{BTL)
1007
(BrL)
720
(BTL)
wt BTL B0x 0 3.730.800

TOTALSESETUMDISCOUITIT Y6.952-LA
TOTALDTSCOUNT 6L.970.442

T0TAL 284.98L.747

Keter?ngan

permintaaB mingguan

*Wdkta Cetak: 27 February 2021 76:44:43

5 of9 212712021,4:45 PM
Sistem lnformasi Rumah Sakit http:l I 1 92.168.1.3 lprint"php?mod:print po_rev&cmd:printjr&...

NO I{AMA ITEM PenBeluaran 7 Hari Stok Stok Sisa Jumlah Satuan Konversi Satuan Diskon Sub Total
Min Maks Stok PR Besar (%l
lns, I ns, Gudarg
Farmasi Farmasi Pusat
Raiat Ranap FarDasi
t
,46 k ruarnum Diklofenak 1196 O TAB 1300 3000 5000 2800 2000 TAB 40 BOX 30 332.458 yYwlt'
s0 MG rablet TAB TAB (TAB) {TAB} (TAB}
f
y{ \rneostiemne
O V]AL O VIAL O VIAL 2 (vrAL) 3 {ViAr} 10 10 vtAt 2 BOX 0 roo.ooo QCI\el
Hanleln 0.5m9 (vrAL)
lnjeksi

138 New Diatabs Tablet 89 TAB OTAB 300

TAB
288
lTAB)
576
{-rAB)
0 {rAB)
WL.,* s BOX 2 248.L85 Pcr{el

139 NGT No 5 40 CM 8 PCS O PCS 10 PCS 1 (PCsi 2 (PCS) 0 (Pcs) 10 PC5 10 PCS 0 76.560 arttqi
Cnemed

140 Norelut Tablet 30 TAB O TAB O TAB 82 163 0 (rAB)

,frr(,TAB 4 BOX 10 810.000 qcrLn
{TAB) {TAB}

147 No!,ofine 32G 4mm 114 O PCS 300 86 17r 100 200 PCS 2 BOX 0 4-Q7.000 a\l'er

rt
PCS PCS {PCS) (PCS) (PCs)

Novorapid Flexpen 4lN.l O iNJ O INJ 8 (rNr) 16 {rNr) 0 {rNJ) 2A tNJ 4 BOX 0 3.208.940 pc{en
r 143 Novorapid Flexpen.. 177 tNJ O INJ 150 lNJ 78 (rNi) 156 0 (rNr) 150 tNl 30 BOX o J rr.rur.uru e-@V\o6

rt p\$\\u
{E} {rNl)
Nupovel Injeksi O INJ 0 tNl 20 INJ 31 {lNJ) 62 (lNJ) 40 (rNJ) INJ 4 BOX 30 1.leo.ooo Fa\en an4hh

.
145

146
OBH 1OO ML TDR

Omeprazole 20 mg
],3 BTL

26L4
O BTL

O CAP
15 BTL

2800
12 (BrL)

2000
24 {BTL)

5000
5 (BrL)

2600
"1
2000
BTL

CAP
20

66.67
BTL

BOX
5

10
96.140

72L.548
Ea(qt
geciznL
Kapsul CAP CAP (CAP} (CAP) (CAP)

.. 1-47 Ondansentron 4 mg 250 O TAB 192 0 (rAB) 0 (rAB) 0 (rAB) 192 TAB 1b BOX 35 180.960 qeoccll.
Tablet TAB TAB
\?D I
gQflertt
761, tae
L48 Ondansentron 8 mg 203 O TAB 1,20 303 607 180 BOX 40 900.000
Tablet TAB TAB (TAB) {TAB) (TAB)

. 149 Optalvit Tablet 155 O TAB 150 40 79 30 180 TAB 6 BOX 20 792.000 ?.4kn
TAB TAB (TAB) {IAB) (rAB)
I
v6V Paracetamol 500 3480 O TAB 3100 s000 15000 7000 SOOO TAB 50 BOX 30 s25.000 ,JAAe.flL
mg Tablet TAB {TAB) {TAB} iTAB) q{/
genertf,
r51 Paracetamol Syrup
60 ml
40 BTL O gTL 39 BTL 7e {BrLi 157
{BTL)
1 (BrL)
,Nl BTL 15U BTL O CJU.6UU

. PCs
752 Pencil Couter O DOSE O DOSE
DOSE
90 0
(D0sE) (DOsE)
0
(DOSE)
0 30 PCS 3.33 48

!
I 1.092.000

- 153 PGA 1 SG4898,100 0 PCS O PCS 48 PCS L7 34 0 (Pcs) 48 PCs 48 PCS 50

{PCS) (PCS)
ul A2.400.000

- ]'54 PGA 3-0 CE2493-75 0 PCS O PCS 24 PCs 6 {PCs) 1L 0 (PCS) .+VQecs 48 PCS 50 i..920.000
(Pcs)

- 155 Piracetam 1200 MG 1108 O TAB 1130 261, 523 450 600 TAB ZA BOX 45.75 32s.soo 3onefiL
Tablet TAB TAB {TAB) (TAB) (TAB)

156 Pisau Bisturi No. 15 O PCs 0 Pcs O PCS 109 0 (PCs) 100 / PCS 1 BOX 0 279.ooo at\\.os
iPCS) (PCs)

Polyflex 20G O PCS O PCS O PCS 74 148 0 (PCs) 1OO PCS 2 BOX 45 1.100.000
iPCs) (Pcs)

Polymed Polyvac O PCS O PCS O PCS 0 (PCS) 0 (PCs) 0 {PCS) 3PCS3 PCS O 382.s00
600 ml 12 FG

t5s,f colypropytene 370 O PCS O PCS O PCS 2 {PCS) 4 {PCS) 0 (PCS) 24 PCS 24 PCS O

/ \z^us.zo L2.31.e.1.68
t50[ eotypropylene +70 O PCs O PCS O PCS 2 {PCS) 4 {PCS) 0 {Pcs) 24 PCS PCs 0 2.319.164
/
\
z*Hnrz
,*l A
q
161 Promavit - Kapsul 202 O CAP 1,20 280 560 180 CAP 5 BOX 20 zoz.ooo Qcrlm
CAP CAP (CAP) {CAP) (CAP}

i62 Pronalges Supp 30 266 s32 ga SUPP 20 BOX 2.24o.ooo

O SUPP O SUPP 2A
?uEn
SUPP lqUpp) (suPP) (suPP)
A
TOTAL SEBELUM DISCOUNT 346.952.184

TOTAT DISCOUNT 61.974"442

TOTAL 284.981,?42

Keteraagan

permintaar minBguan

rwektu Cetok . 27 Febtuary 2021 76:44:43

6 of 9 212712021,4:45 PM
Sistem Irformasi Rumah Sakit http: I I 192.1 68. 1.3/print.php?mod:printjo_rev&cmd:print_pr&...

NO NAMA ITEM Pengeluaran 7 llari Stok Stok Sisa Jumlah 9atuan Konverei Satuan Diskon Sub Total
Min Mak Stok PR Besar (%l
lns, lm. Gudarg
Farmasi Farmasi Pusat
Raiat Ranap Parm6i
4N
1"63 Propanolol 10 MG 1219 O TAB 1000 1500 2500 1200 tt6 ta TAB 10 sox s to.4ts rynoriu

rt
Tablet TAB TAB {TAB) {TAB) (TAB)

Propylthiouracil 100 1117 O TA8 1000 1500 3000 1500 2400 TAB 20 BOX s 1-.o12.7o0 Apne(t
MG Tablet TAB TAB (TAB) (TAB) (TAB)

165 Prorenai Tablet 101 O TAB 100 39 78 0 (rAts) 10a/ TAB r.00 TAB 30 +zo.ooo Q(!&n
TAB (rAB)

166 Proterine 20 mg 265 O TAB

TAB

300
{TAB)

429 8s9 300

rsl
iA^ TAB L6.67 BOX 2s 1.687.s00 Pr^\€n
tablet (IAB}

yl
TAB TAB {TAB} {TAB)
I
Ramipril 5 MG 1298 O TAB 1300 1500 3000 29AA 1000 TAB 10 BOX 25 432.es3 W(1e(L
Tablet TAB (TAB) (TAB} iTAB) ,w
168 Regivell lnjeksi 0 tNl 0 tNl 40 INJ 14 (rNJ) 29 {rNJ} 10 (rNJ) tN.l 10 BOX 30 z.qso.ooo @ten
" 169 Resfar 200m9/ml 82 BTL O BIL J.21 BTL 0 {BrL) 0 (BrL) 24 {BrL) 2C0 BTL 200 BTL rs *,/r: elo.ooo 9r
' co\t\d-\L)
nfus \-/
A
I

Rhinos Neo Drop 2 BTT O BTL O BTL 6 tBrL) 12 {Brr) 0 (BTt) 1Or BTL 1.0 BTt o Aso.ooo ?,"\t:
771 Rifampicin 300 MG O CAP O CAP O CAP 93 ta7 0 {cAP} Hl. CAP 3 BOX 0 21e.300
$enortl

rt
{CAP} (CAP)

Ringer Laktat 590 BTL O BTL 620 BTL 980

IBTLi
196L
{BTL)
980
(BTL}
"d 8TL
Nl 40 BOX o s.s48.8oo (opu! geq€;t

173 Rupafin L0 mg 60 TAB O TA8 100 0 {riAB} 0 irAB) 0 (rAB) 50 / TAB 50 TAB o loa.ooo g)&en
Tablet TAB

174 salbutamol 4 MG 62 TAB O TAB 200 0 (rAB) 2oot rAB 2 BOX 0 21.s88
ryAartte
Tablet TAB (TAB) {TAB)

v Sanmol 500 MG
Tablet
229
TAB
O TAB 300
TAB
163
{TAB)
327
{TAB}
200
{TAB}
\@l
zfi
/
S1,
-tea 3 BOX 20 69.600 ?crt€o

' 176 Sarung Tangan O PSG O PsG O PSG 108 50 ufl-rse 2s BOX 40 1.320.000
Gammex 7,5 (PSc) (PSG) (Psc)
12,.* [
177 Sarung Tangan Non
Steril Uk. M
1478
P5G
0 PSG 3400 4000
(PsG)
5000
(Psc)
1800 gsd lpse 80 BOX 20 2.992.000 atc.g
PSG {PsG)
arsl
178 SarungTanBan Non 550 O PSG 2500 4000 6000 150 w6o b pse 1oo BOX 20 3.740.000
Steril Uk. 5 (PsG)
PSG PSG (PSG) IPsG]
(ol
''2bJaoq fo rzs SDHBSAGS/P30r O KIT O KIT O KIT 0 (Krr) 0 (Krr) 0 (Krr)
.al\ r<.tr 20 KIT 25 rr.eso.ooo lAbo(atDfl u $n
180 Serum Anti Bisa O INJ 0 iNi o tN, 1(rNJ) 2 {rNJ) 0 (iNJ) 2INJ2 IN] 1.50 A 1.379.000
i Ular Injeksi

f\ Sevodex 250 ML
lnjeksi
0 Mt 0 ML 1000
ML
1594
{ML)
3189
(ML)
0 (ML) 4BTLO 8TL 20 8.640.000

Pnfion[ lrvodrx 1s2 Sevoflurane lnjeksi 0 0 0 19 39 0 5BTLO BTL 5 7.410.000 ganaitu

CCIML CC/MI CCIML (cclML) (cc/Mr) {cclML)
183 Sifrol 0.125_mg (E) 29 TAB O TAB O TAB 47 93 0 (rAB) 120 TAB 1,20 IAB 0 528.124 g- Cfz,log
?f0Nt( (rAB) {TAB)

184 Sildenafil Citrate 50 18 TAB O TAB O TAB 2 (rAB) 4 {rAB) 0 (rAB) 16 TAB 4 BOX 35 291.200 ryce.lL
mg Tablet

F\ Softex Maternity 4 PACK O PACK 5 PACK

{PACK)
4
(PACK)
9
(PACK)
0

5,1
10 PACK 10 PACK 0 220.000 c{\'4 }

186 Spinocan 26 48 PCS 0 PCS 75 PCS 60 12L 25 PCS 4 BOX 0 3.130.000 Atirer
(PCS) (PCs) (PCs)
/,r',lL
BTL BTL 0
rl,:::;:fj 1OO ML O O O BTL 74 (BTt) 148
(BTL}
20 (BrL) 100 BTL 100 BTL 1.333.500

188 Sudion Catheter No 5 PCS O PCS 10 PCS 7 (PCs) 14 10 10 PCS r BOX 30 46.97A
14 Onemed (PCs) (PCS)
q) a\ke-r
189 Suction Catheter O PCS O PCS O PCS 51 103 0 (Pcs)
/ PCS ],0 BOX 0 800.000 )
No.8 Remedi (PCs) {Pcs)

[a*a Fonnn 190 Susu Nutribaby O KLG O KLG O KtG 0 (KLG) C (KLG} 0 (KLG) 5KLGS KLG 0 48Q;70 9t-lsu
Premature 400 GR

T TAI SEBETUM I}ISCOUNT 345.952.184

TOIALDISCOUIUT 61.974.442

TCTTAL 784-981.742
KeleranBan

perminlaafi mingguan

+Wa|ts aetak:27 Februarl 2017 1$:44:43

7 of 9 212712021,4:45 PM
Sistem Infbrmasi Rumah Sakit http: I I 192. I 68. 1.3/print.php?mod:printjo_rev&cmd:printjr&..

NO NAMA ITEM Peng€luaran 7 Hari Stok Stok Sisa .lumlah Satuan l(onversi Satuan Diskon Sub Total
Min Maks Stok PR Besar l%l
lns, lns. gudam
Farmasi Farmasi Pusat
Ralat Ranap Farmasi

191 Syringe 20 cc O PCS O PCS 0 PCs 1 {PCSi 2 {PCs} 0 {PCS} s0 pcs 0.s BOX 0 475.000
Terumo
sD"I
. 192 Syrinte 5 cc iMl 1117
PCS
O PCS 1300
PC5
996
(PCs)
L991 1305
Yo). PC5 10 BOX 30 1.043.350 )"*
{PCs) {PCs)

193 r-abung Clot O PCS O PCS O PCS 467 933 0 {PCS) 12OO PCS BOX 0 1.344.000
Activator Merah {PCs) {PCs) t 1%orl bbo.rer,il
|'\ rr-6u tg+
')j-)c.rr Tabung EDTA Ungu 0 PCS O PCs O PCS 653 1307 1200 1200 PCs 1- BOX 0 1.344.000 )
3 Q.t, '{ \lp
(Pcs) (PCs) (PCs) tlGo*)
. 195 Tamsulosin 0.4m9 289 O TA8 274 82 163 150 TAB 150 TAB 10 594.000 ganu.iu
Tablet TAB TAB (rAB) (rAB)

rt
{TAB)

Tantum Verde 120 1 8TL O BTL O BTL 4 (BTL) 7 lBrL) 0 (srL) 10 BTL 10 BTL 10 288.900 gal\"eo
ML

\ L97 TB Vit 86 Tablet 212 O TAB 100 101 202 100 2OO TAB 2 BOX 5 142.500 porten
TAB TAB (IAB) iTAB) (rAB)
?I
Tetagam lnjeksi 13 tNl O INJ 10 INJ 13 (rNl) 26 {rNr) 10 (iNl) 7o-[ ru 20 tNi lo tl 3.600.000 Pak"
100 A
Three Way 24 PCS O PCS 20 PCS 18 35 50 PCS 50 PCS 637.500 a\Fcr
Stopcock Polymed (PCs) (PCS) (PCs)
LI
240 Thrombophop Gel 2 TUBE O TUBE O TUEE 2 4 7 .{) ,r,r, 3 TUBE 144.788 ?a\eo
20 GR (ruBE) I
{TUBE} {ruBE)
@l
rL Tizanidine 2 mg
Tablet
343
TAB
O TAB 600 922
lIAB}
1843
(TAB}
810
(TAB)
lyfu \:-TAB 33 33 BOX 2A 1.760.044 ge$€rttr

.207 Toiedex lnjeksi 6 rNi O INJ O INJ 3 [rNr) 5 (rNJ) 0 {rNJ} 10 lNl 2 BOX 2A 360.000 geteo
. 203 Tofedex Tablet 219 TAB 0 (rAB) 0 {rAB) 0 (rAB) 150 TAB
TAB
O TAB O 5 BOX 2A 792-000
P,"t^
,*l Tongkat Kruk Uk L O PSG 0 Ps6 0 psc 0 (Psc) 0 (Psc) 0 [psc) 2 PSG 2 PSG 0 430.000 q\'.r-
FI Tramadol lnjeksi 26 INJ 0 tNi 60 iNJ 46 (rNJ) 92 (rNl) 40 {rNj) 100 tNJ 20 BOX 40 349.200
$nzrtt"
rl Under Pad 254
LBR
O LBR 300
LBR (LBR)
647_
(LBR)
400
(L8R)
2OO
\o L.
LBR 2A PACK 0 572.000 ot\\"q;

y'l Urispas 200 Tablet 0 TAB O TAB O TAB 16

(TAB} {TAB)
0 (rAB) 5a TAB 2 BOX 30s.000
?^ic\
, 208 15
Ursodeoxycholic 387 O CAP 210 717 233 0 {cAP) 300 CAP 10 BOX 1"071.000 tenoflL
Acid 250m9 Kapsul CAP CAP {CAP) {CAP)

209 Vaksin Hexaxim 2lN] O INJ O INJ 0 {rNJ) 0 (rNl) 1 (rNJ) 1 rN] 1, tNl 0 628.500

210 Vaksin Rotarix 0 rNl O INJ O INJ 0 {rNJ) 0 (rNi) 1 {rNJ) 2 lN.l 2 INJ 0 526.654 "rt\cdn
2L1 Vaksin Synflorix O INJ O IN.J O INJ 0 (rN.J) 0 (rNr) 0 (rNJ) .- )l INJ 1 lNl 0 950.268
A(d\-
AAUJ
212 Valisanbe 2 MG 424 O TAB O TAB 350 700 0 {rAB) 1o6d TAB 10 BOX 188.Q00 Dq+otrDrlL
i Tablet TAB (TAB) (TAB) t?^t"r'
no glyd
I

O PCS 0 Pcs O PCS L21 247 PC5 2 BOX 0 875.000

t'\vasohkNo20 (PCS) (PCS)
{PCs)
I
/\,
)14 vasotikNo)) O PCS O PCS O PCS 62
{PCs)
724
(PCS)
45 gg$ rcs z BOX 0 s75_000
{PCs)
I
0 {rNJ) 0 (rNJ) crdd tq
f
\Vasola2.5mglnleksr O INJ O INJ O INJ 0 {rNJ) INJ 25 INJ 20 s.ooo.ooo -
f ,9;L
216 Vip Albumin Kapsul 283 O CAP 330 303 601 1?0 CAP 10 80x 2 r.soo"oor Qaftrl
CAP CAP (CAP) (CAP) lCAP)
2Nl
2f7 Vitamin B Complex
Tablet
1401
TAB
O TAB s00
TAB
2000
{TAB)
s000
(rAB)
0 {rAB} yL. TAB 40 80x 0 4ooooo qa^Lr,,r"

IOTAL SEBETUM DISCOUNT 346.952.184

TOTAT DISCOUNT 6]-.9]O.42

TOTAI ?34,98L.742

Kelerangan

permintaan mingguan

Waltu Cst* : 2? kbrwy 2@1 15;44:41

Menyetuiui, Tangerang, 27 Febtuary 2021

8 of9 2127DA21,4:45 PM
Sistem Informasi Rumah Sakit http: I I I 92.1 68. 1 .3/print.php?mod:print3o_rev&cmd:print jr&...

DIREKTUR &: 4uffi

APOTEKER
0,e
PEMOHON
{MsOv ir.) {Jhanuar Rio Perdana) Gi!i1!!!r!at, J.l!, Apl) {Asad Umam)

9 of9 212712021,4:215 PM
:: i:

PERMINTAAN PEMBELIAN
KODE PR : 00001/PRTPMC/03/2021

Ruang Peminta Gudang Pusal Farmasi

Tanggal 01 March 2021

NO NAMA ITEM Pengeluaran 7 Hari Stok Stok Sisa Jumlah Satuan Konversi Satuan Diskon S[b Total
Min Maks Stok PR Besar (%)
lns. Ins. Gudang
Faymasi Famlaai Pusat
Rajal Ranap Farmasi

Anvorner Bo 56 TAB O TAts 60 TAB 98 1s6 0 {TAB) 120 TAE 2 BOX 10 259.200 Fa+en
Tablet (TAE) iTAB)
Agua For 0 o 3000 20000 30000 38000 2A BTL 0 BTL 0 100 glsnu
lnjeksi .lOCC \uurrvrLJ tsv/rYrL,,
ML
3 Arkine Tablet 21S O TAB 80G 163 1OOO TAB 10 BOX z_av ezs ozs Qa'\zn
T,qB IAB (r-AB) (TAB} (TAB)

4 Cendo 5 BTL O BTL O BTL 2 iBrL) 4 (BTL) 0 (ErL) 5 BTL BTL 0 169_8
Polydex 5 ml
Cenda O STRIP 0 sTRtp 0 1O STRIF 1B STRIF 10 238.500 P^t \
Porydex MD (srRrP) (srRrPl
Q Ntda
tsTRfPl
6 Cendo Timol O STRIP 5 STRIP 0 1 10 STRIP 10 STRIP 10 ?31.750
{$rftrP} {sTRrP} isTRrPi
v Cendo Xitroi 16 BTL O BTL 10 BTL 7 (BrL) 13 5 (BTL) 20 BTI_ 2A BTL 517.764
5ml (BTL}
I Colssiomy 2 PCS O PCS O PCS 2 (PCS) 3 (FCS) 0 {PCS) 10 PCS o 23.too a\i- '
Beg
9 Gudel 3 O PCS O PCS O PCS 3 {PCS) 6 (PCS) 3 (FCS) 5 PCS 68.530
Onerned
90MM
10 G.rdel4 N D'Q
O PCS (PCS} 4 (PCS) 5 (PCS) 5 DNQ 5 30 69.300 )o*,,
O*emed
100trM
11 intuilal Fo,-te
Tab,et
?< TAP A TAB N TAN 47
{rAB) (TAB)
1nn
{TAB)
# TAB c BOX ?1t 7(n ?rt\€n

12 KetoconazBle TAB O TAB 108 245 490 o {"rAB} 500 TAB 10 BOX 4.S5 158.499 ,JencflL
200 mg TAB (TAB)
Tablet
13 Lidocain 2% 2 AMP $AMP SOAMP 28 5b AMP 0.5 BOX 34 +s soo {P$hL
lnieksi (AMP) IAMP} {AMPi
14 HUab 47 PCS ft Daq n o-c ,oD
1W a{\'c}
Masker 0 (PCS) 0 iPCS} 500 PCS 1000 PCS oso.ooo
Hijau (PCS)
15 Masket 3 PCS O PCS 3 6*"1 PCS 50 1E azo ooa a\\Lzt
Nebulizer (PCS) l1
Dewasa
16 MY Gel OML OML 1SO ML 244 TUBE TUBE 30 ls.soo oit\*1
(ML} ^'
Orfleprazole 255 INJ O INJ 210 tN.i 47fr 310 214 INJ 210 iNJ 45 / 5 77s oo0 .lenerit
Injeksi
rhJ ras ooo ga\en
(tNJ) {lNJ)
oxolerin Soi s 0 14 30 6oN cc*, 3 BTL 10
CC'I'L CC'hNL CC/I\dL {cc/ML} {ccyML} (o0
to Salbirtamol 2 40 TAE STAB o rrAB) J 80x o 24.000 90J\u FtL
MG Tablet (rAB)
Santa-E 100 15 TAB OTAB O TAB 11 bl o (rAB)
5nN r*a 1 BOX zv oe ooo (ailar
Tablet (TAB}
21 Wooden 0 Pcs O FCS O PCS 51 100
2d vcs 2 FACK 3B zo.aqo a\\Y
T0nEue {PCS) iPCS)
Spatet totr

TOTAL SEBELUM DISCOUNT 16.346.735

TOTAL DISCOUNT 5.245.316
TOTAL 11.101.419
Keterangan
permintaan !ambahafi

*waktu cetai,i : Gl March 2021 11:32:33

Menyetujui. Tangerang, 01 March 2021

lr:'

---1u1<
.$.'''
9/
b/q
DTREKTuR
(Meirrv-dr') ^rro,\oo*
(Jhanuar Rio Perdana) ^N
Guil$ewa!, S. Si.,_Ao!)
PEIVlOHON
(A!e4ll|!ern)