SANBE ‘Cimshi, 19 Oktober 2022 No. Suat: OOWPMIK/22 Kepade Yh, Selah Customer PT, Sanbe Ferma JURA PERNYATAAN PERU PT. SANBE FARMA Bersama ini kami PT. Sanbe Farma menyatakan sebenar-beaarya bahwa Produk Sirup, Drops, Emus dan Supensi yang kami produks dak menggunakan baban bakes Eplene Give (EG) dan Diethyfene Gycol (DEG) Adspun ist Produ kami tetlampie yang merupkan stu kesatan ds saat ini DDemikan pemytaan ini kami boat dengan sebenar-benarny, Hoffa tami, Hommat ka, ot, Sandi Hasan, Fas Plant Managse Head of Quality ‘Vice Technical Operation Director Halaman daiSANBE Eto ~ DAFTAR OBAT, OBAT TRADISIONAL DAN SUPLEMEN KESEHATAN SEDIAAN CAIRAN ORAL PT.SANBE FARMA, | 1 | tors sir iu 101 @ 6 Tiap$ mt mengandung 1 | Alors Sirup DKLO222235137A1 Sip | Du, 1 boot @ 60m Taps ml men - 2 | Astharol Sieup DKIL8822209037A1 Sirup | Dus, otal @ 60 mL Tap 5 mi mengandung Salbutamol Suet 2mg Tiap 5 ml. mengandung 3 | Bantifchild Sip | DTL9922226137A1 Sirup Dus, 1 botol @ 60 mL Pseudoephedrine Hydrochloride 15 me — - Dexiromethorpan hydro “Tap 5 mL mengandung 4 | Bicorsan Sirup DKL2122261937A1 Sirup ‘Dus, | botol @ 60 mL. Procaterol hemifydrate 5,1 meg ~ Pocasrlehe Sm Tap engnang 5 |Bioameforsaby | rowspisisssr1 | simp | Dus aoticagy ist. | Foie Ae ae | Hon Paya Compo 8 ee Tap mang | Solin Fowteas ing | | ‘Raum Hoehne sip | Dustoothaa@ 120m. | ipnn Satan Pepa ng imc ibdmondet ng” | Rectraate Sg Bin) me Tap mL mena amr 6 | Biosanbe Kids POM SD191655631 7 | Butect Fore DKL2122261937A1 Suspensi | Dus, 1 botal @60 mL. Hal, 2 dari9|Tiap 5 mL menganding 5 |Buicsuypens | DTLsez22013981 | Susensi | Dus, 1 bontplaik @ 90m. | THPS msn . oo = Tap $i menganng 9 | cain yp Drisonasiiiat | _sinp [Dam bamipnic soma [ap S mL meneaings | oct Dacia | Dee [Sm LlOn@ aL [Taps empding [1 [cotmeaie symp | xxeczz0632a1 | supe | Dus bol @ 0 mL Klranfnitl Plata 125mg a 12 [Covet Sinp rowspisiena | sinp | Dmsbrmlice emi | Tap meneanting 13 [Deter Dep | DxLom221886A1 | Drops | Dam bl @ 10m. Mtolopranide Hytrin i 14 |Damaber Symp | DKLEEZISOI7AI | __Sinp (Din bani @eOmL Mtocloranid Hyori Sag Si oe a ~~ [Tap OF mal mengandung 15 [Bawiandom | Oruiazasiseal | rom | Dus bla Sm Tete aE asm Taper ‘Acre Acid 6 mg Cam Ccont Mono, Casa | oporionpite dan Calcium Pitts 16 | Etkana Suspensi POM Sp03160711 Swspensi | Dus bot kaca @ 60 mt, |S ate 12 me (Chmobaanin nee Toto 2 me [ijn Hyohorid 200mg Nicotinamide 16 mg Hal. 3dari9SANBE Pyridotne Hyuochore 12mg Riboflavin Sod hospi 12 mg Sexi Hyphosphie 52 ‘Thiamine Hydechicride 4 mg ‘VinminAPaliate OF 17 Ug 2400 w Viamin AtD3 Water Mie Type 020 40 Tia $l mengandang Vismin§ 2800 10 Vian b 40010 Cod Liver Oil mg DHA Tome ‘coi eid Cerca Bt 12. isin BI ng iin B21 17 | kana CL Emulsion | POM SDI11681711 sip [BU lS oom, | Vinmin Bg 2 mg Vitamin B12 4 meg ‘eothamide 16m Choline 12mg Ino 12 riyine Ct 100g Clu 3. mg Sodiam 3, {608 $00 Tia nl mengand 18 | Epet rops DKLIGEZ2ANGI6AI | Dope | Dus, tol @20mi. | nem CNN Hal. 4dari9DKL9222211837B1 inp Dus, 1 otal @ 60 Tap 5 el meng: Ambroxel Hydrochloride 30mg DKL9222211857A1 Sirp us, 1 oto! @ 120. Tiap $m mengandna: Anbroxol Hydrochloride 1Smg DKL1122249733A1 Swspensi Din botol@ 100 mi us, bot @ 200 mil. Tiap 5 ml mengandng: Sueralfate 500 mg DKL2022259437A1 inp Dus, 1 botol @120 mL “Tap S mi menganding Sodium Valproate 288mg ~ Valorie Acid 250m 2 Hesosan Sirup POM TRIS2613201 Sirp us, hot kaca @ 120 mi dan | @60 mL. “Tap 15 ral mengandang Plantago Lapceolta Foam extact $00 |g. Glyeyriza ghibra radix extract 250mg, Zinger officinale var. rubrum rhizoma ‘extract 166mg, Heder bliss foam exact 35m, Peppermin oil 031, Honey 3 2 4 Heoosan Sachet POM Tx192625571 sir Dus, 5 sik pace @ 15 mL p 15 mL mengandung plantage aceloa fon extract 00 mg [yethiza glabra radix extract 250 me Zngiber officinale var rubrum rizoma ‘extract 166 me hoderac heii folium extract 35 mg Peppermint ol 005 mi radu 2 Hecosan Kids| POM TRI92625361 Sirp us, Bool @ 60 mL. tip 5 mi mengandang heders lis lium extract 25 ng Hal Sdari9SANBE antago lanceolata fou extract 50 mg yeluhiza labra radix extract 25 mg, mada I me POM TR211624831, sip Dus, $ Sachet @5 mL 1 Tap 15 an mengending | nedeae eles flu extract 28 me. planago lanceolata folium extrac 0 mg ‘lyehuiza glabra radix extact25 mg mado I mg ‘pBL2122261237A1 sirup us, 1 bot! @m. ‘Tap Sml mengandang Lactose 3.335 Mucobexin IL8322202057A1 Syrup is, bool 120 mL “Tap 5 mL mengandang Brombexine Hjurechoride Sng » [Neo Kaolana Suspenst 1aL922221203341 Saspensi | Ps, 1 bool 120 mi. ‘Tap 15m mengandung: ‘Kaolin 700 me Pectin 66 me 30 NotipoSirup DKL1022248137A1 sirup | is botol @ 60 mL. “Tiap 5 ml mengandang: Lincomyein Hyerechloride~ Lincomyein 250) 3 DKL972222003341, Sospens | | os, otal @ 12 mL. “Tap ml mengandungs yan 100,000 1 3 Nymiko Suspensi San Plex Drops POM sp08163538), rs otal kaca @ 15m. Tap 06 mL. Ascorbic Acid 50 mg Dexpanthewol § me ‘Nicotinamide 10 mg Pyridine Hydrochloride I ma Riboflavin Sodium Phosphate 12.mg “Thiamine Hyérochlerde L mg. Hal, 6 dari9100/20 400 10 Vitamin A+D3 Water Miscible Type ‘Sanaa Phas Bato Sirup DTL7822251337A1 Sip Dus, botal @ 60 al. Tiap Smal mengandng Partcetmol 120 mg Phenypropanclamine Hyerochloride 3.5 mg Dextromethroran Eydrobromide 7.5 mg Fo DKL202225855741 sip os, bot @ 60 mi. ‘Tap Sm menganding: ‘Oxomemazine 65mg Guaifenesin 333 mg ‘Oxomemazine Hyérochleride 1.882 mg ~ 35 36 POM TR212697661 sirup is, Botol @ 60 mL dan | @n20 mt “Tap 5 ml mengandng Heser lx olum extract (Daun Ivy) 35 DKLI12224953341, Saspensi us, oto! @ 60 ml. ‘Tiap 5 ml mengandung: [Niftroxazid 250 37 aL7s2225405341 Suspensi us, botol @ 120 mt. ‘Tgp $m mengandung: Simethicone 25 mg Died Aluminium Hidroxie gel 325 mg~ ‘Aluminium Hyéroxide 248 mg ‘Magnesium tsiiate 238 me 38 DBL9722221636A1 Drops us 1 boi] @ 15 mL. “Tap 0.6m mengandang> Paracetamol 60 mg Hal 7 dai” Senmol Syrup DBL7622235057A1 sinp us, 1 oto! @emnl Tiap Sm mengandung! Parscetamol 120 mg ‘Sanmol Forte ‘DBLI322235057B1 us, 1 oto! @ 60 mL. Tiap 5 mL mengandang Paractamol 280 mg’ Sm 4 Sanadyl DMP DTL.7822251237A1 sip us, 1 oto! @e0ml dan 120m Tiap ml mengandung Dextromethorphan HBr 10mg | Dipheaydramine HCL12,5 me | Ammoniam Chore 100 mg | Sodium Citrate SOmg ‘Mental 2 Saadeyl Expectorant DTL7822209237A1 simp Dus, 1 bot @ml dan 120m ‘Tap $m mengandong Potassium Guaineosufonate 30 mg Dipenhiyramin Hydrochloride 12.5 mg Sodiuns Citrate SOmg Ammonium Chlords 100mg 4% Sanprima Swspensi DKL780222813341 Suspensi us 1 bool @ 60 ml, | ‘Tiap Sm mengandung: ‘Trimethoprin 40 mg Sulfumethoxazoe 20 mg Santagesik Syrup DKLI22224983741 Sirup | Dus, bot @ 60 mL. "Tap Sa mengandung _Metamizole Sodium 250 mg SanviteB Simp POM SD171649881 simp | Dus, bot kaca @ 120 mil. “Tiap 5 mi mengandung (Cyanocotalamin 3 mcs, Dexpanthenol 3 mg Nicotinamide 20mg Pyridine Hydroch oide 2.5 mg, Riboflavin Sodium Phosphate 2 me “Thiamine Hydrochloride $ mg Hal 8 si= Sm mengand 7 ns Se ee ee ee : a Fe ert | ere | S| ecg aac | ecsatiaereatceee . ee «2 |vactssupat [oxmmansa | somes [ooriewi@ome —[farsnigmendee Hal, 9 dari9