LAPORAN BAHAN MEDIS HABIS PAKAI

LOKASI PHE KAMPAR

PERIODE 18 OKTOBER 2021

NO NAMA OBAT JENIS EXPIRED STOCK KETERANGAN

1 ALKOHOL 70% 100 ml bmhp 31/01/24 5
2 ALKOHOL SWAB (BOX) bmhp - 0
3 AQUADEST bmhp 16/01/23 5
4 BETADINE bmhp 31/01/23 11
5 CATHETER 16 bmhp 31/03/24 3
6 ELASTIC BAND (leucocrepe) bmhp 30/11/23 5
7 ENDOTRACHEAL TUBE 6.5 bmhp 31/01/22 3
8 ENDOTRACHEAL TUBE 7.0 bmhp 31/03/23 3
9 ENDOTRACHEAL TUBE 7.5 bmhp 30/04/23 3
10 GAUZE PADS 10X10 "hospilab" bmhp - 1
11 GUDEL 70 bmhp 30/09/22 2
12 GUDEL 80 bmhp 31/10/22 2
13 GUDEL 90 bmhp 29/02/24 2
14 HANDSCRUBE bmhp 28/02/23 1
15 HANSCOON L (BOX) bmhp - 0
16 INFUS SET bmhp 11/09/24 4
17 IV CATHETER 18 "onemed" bmhp 29/02/24 5
18 IV CATHETER 20 "stera" bmhp 31/01/23 4
19 JARUM 19G "terumo" bmhp 31/03/22 20
20 KASA STERIL (BOX) bmhp 30/09/24 6
21 MASKER SENSI BOX bmhp - 0
22 MELOLYN FILM bmhp 31/03/24 10
23 MICROPORE (BOX) bmhp 31/07/24 5
24 MRM MASK (adult non breating mask) bmhp - 3
25 NACL 0.9% INFUS bmhp 13/01/23 5
26 NASAL KANUL DEWASA bmhp 31/01/25 5
27 NEBULIZER MASK "hudson rci" bmhp 08/12/23 6
28 NGT 14 "terumo" bmhp 31/08/24 5
29 O2 MASK DEWASA bmhp 31/03/24 4
30 PLASTER GULUNG ROLL bmhp 31/07/23 1
31 RL INFUS bmhp 28/12/22 4
32 SELANG NEBULIZER DEWASA "stera" bmhp 08/12/23 6
33 SELANG SUCTION 10 bmhp 31/03/23 5
34 SELANG SUCTION 12 bmhp 30/04/24 5
35 SELANG SUCTION 14 bmhp 30/06/23 5
36 SILKAM 3.0 bmhp 20/07/22 5
37 SPUIT 10 CC "terumo" bmhp 30/09/24 100
38 SPUIT 20 CC "stera" bmhp 30/11/22 50
39 SPUIT 3 CC "terumo" bmhp 31/07/24 98
40 SPUIT 5 CC "terumo" bmhp 31/07/24 100
41 STERIL GLOVE "gammex" bmhp 31/03/22 10
42 SUPRATULE BOX (FRAMYCETINE S) bmhp 30/09/23 20
43 TONGUE SPATEL bmhp 25/04/23 100
44 URINALYSIS bmhp 03/01/22 100
45 WING INFUS SET 21G bmhp 31/03/22 10
46 GLUCOSE TEST STRIPS "accu" bmhp 23/04/21 25 DISIMPAN DI LEMARI EXPIRED

Dokter Onsite Paramedic Onsite,

dr. Zikramdani Wahyudi Diagama

 LAPORAN OBAT-OBATAN YANG DI RETURN KE RSPC
LOKASI : PHE KAMPAR
PERIODE : 18 OKTOBER 2021

NO NAMA OBAT JENIS EXPIRED STOCK KETERANGAN

1 AMIODARONE 50 mg//ml amp 30/09/21 6 DI RETURN KE FARMASI RSPC
13 DILTIAZEM 50 mg (HERBESSER) vial 3/31/2021 9 DI RETURN KE FARMASI RSPC
2 EPINEPRIN 1 mg/ml amp 31/12/20 10 DI RETURN KE FARMASI RSPC
3 FUROSEMIDE 10 mg/ml (FARSIX) amp 31/10/21 5 DI RETURN KE FARMASI RSPC
17 FURUMEN EAR DROP tetes 8/13/2021 2 DI RETURN KE FARMASI RSPC
4 GLYCERIL TRINITRATE 1 mg/ml (NTG) amp 31/01/21 5 DI RETURN KE FARMASI RSPC
5 METOCLOPRAMIDE 5 mg/ml (PRIMPERAN) amp 30/09/21 12 DI RETURN KE FARMASI RSPC
10 SALBUTAMOL (VENTOLIN) Inhaler 9/30/2021 4 DI RETURN KE FARMASI RSPC
14 SALBUTAMOL (VENTOLIN) respules 10/31/2021 10 DI RETURN KE FARMASI RSPC
12 SODIUM BICARBONAT 25 mg (MEYLON) flacon 8/16/2021 2 DI RETURN KE FARMASI RSPC
15 SUCRALFAT (NUCRAL) sirup 10/31/2021 5 DI RETURN KE FARMASI RSPC
6 SULFAT ATROPINE 0.25 mg/ml amp 31/10/21 10 DI RETURN KE FARMASI RSPC
11 XYLOCAIN 2% pf syringe 12/31/2020 3 DI RETURN KE FARMASI RSPC
16 Y-RINS EYE DROP tetes 9/30/2020 10 DI RETURN KE FARMASI RSPC

LAPORAN BAHAN MEDIC HABIS PAKAI YANG DI RETURN KE RSPC

LOKASI : PHE KAMPAR
PERIODE : 18 OKTOBER 2021

NO NAMA OBAT JENIS EXPIRED STOCK KETERANGAN

7 JARUM 18G "terumo" bmhp 2/28/2021 20 DI RETURN KE FARMASI RSPC
9 OXYGAN kaleng 9/23/2021 1 DI RETURN KE FARMASI RSPC
8 THREE WAY bmhp 2/28/2021 5 DI RETURN KE FARMASI RSPC

Dokter Onsite Paramedic Onsite,

dr. Zikramdani Wahyudi Diagama