APOTEK GHANIA Samadua,………...................

Jl. Nasional Blangpidie – Tapaktuan, Kec. Samadua Kpd Yth……………………

Kab. Aceh Selatan ……………………………..
Apoteker : Rizky Amanda Chamayasinta, S.Farm.,Apt di-
Tempat

SURAT PESANAN
No. /APT/ /2021
No Nama Obat Satuan Jumlah Ket

1 Acifar 200 mg 100 tab (50) Box 2

Acyclovir 400 mg Tube
Acyclovir cream/25 (KF) Botol
Alkohol 70 % 100 ml
Alkohol swab onemed
Amivask 10 mg
Amlodipine 10 mg (seles)
Antalgin (cito)
As.Tranexamat 500 mg ( berno)
As. Tranexamat 50 mg Inj.
Asepso + Reguler 80 gr
Atorvastatin 20 mg (dexa)
AutoChek Blood Glucosa Strip/25
Balsem Kuning 36 gr Kaki3
Balsem Lang 20 gr
Bedak Melati
Beneuron Tab
Berlimox 500 mg kaplet 100s
Betadine solution 15 ml
Boraks Gliserin 10 % 8ml
Caladine baby Powder 100 gr
Caladine Powder ori 100 gr
Caladine Powder adult 100 gr
Candesartan 16 mg (dexa)
Cardipine 10 mg
Cefadroxil 500 mg (HJ)
Cefixime 100 (HJ)
ciprofloxacin 500 mg (LLYOD)
citicolin 500 mg (MHKM)
Dr. P Adult Diapers M
Dr. P Adult Diapers L
Dulcolax 5 mg 10 Tab
Fasorbid 5 mg
Fasorbid 10 mg
Furosemid 40 mg (KF)
Glenalen 10 mg
Handskone Handseal non steril (L)
Holimox 500 mg
Holizinc Syr
Infuset Adult
Infuset Child
Jamu bersalin Serbuk Kaleng Air
Macur
Ketokonazole 200 mg (HJ)
 Keterolac Inj 30 mg(papros)/12
Konikare M. Kayu putih Plus 60
konikare M. Telon Plus 60
Lansoprazole 30 mg Nufa
livron B plex
Lecozinc drop
lecozinc syr
Lecozic Tab
Levofloxacin 500 mg (KF)
MB. Minyak Telon Plus 150
Minyak Angin Hijau 3 ml
No Nama Obat Satuan Jumlah Ket

MKP Lang 30 ml
Norages Inj 2ml
Novachlor 250
Novaflox 500 mg
novamox 500 mg kaplet
Ondancentron inj /10 amp
(MHKM)
Oralit 100s (Rama)
Paseo Wipes Antibacterial 50s
Pharmamox
Povidon Iodin 1 L
Provanolol 10 mg (dexa)
Ranitidin Ing MERSI/10 amp
Rodeca powder Natural
Salicilc 2 % 60 gr (KF)
Scabimite 10 gr
Scacid 10 gr
Selesbion Dus 10x10
Sinoric 300 mg
Simvastatin 20 mg
Spironolacton 25 mg
Starbion Cap
Synbio/30 Sachet
Tablet Tambah darah (TRIMAN)
Tempra drop 15 ml
Tissue Paseo Smart Refil 250s
Vit B complex + B 12 Strip
Vitamin B6 10 mg (KF)
Zink 20 mg tab (KF)
Zink sulfat Syr (HOLI)

Samadua,………………………………….
Rizky Amanda Chamayasinta,S.Farm.,Apt
Nomor SIPA :10/SIPA/VI/2021