Daftar Obat BMHP Expire Date Jan-Juni 2021

PEMERINTAH KABUPATEN KOLAKA
RUMAH SAKIT BENYAMIN GULUH KOLAKA
DAFTAR OBAT-OBAT TERTENTU EXPIRE DATE

APOTIK RAWAT INAP INSTALASI FARMASI RS BENYAMIN GULUH KAB.KOLAKA TAHUN 2021
SATUAN /
NO NAMA OBAT JUMLAH EXPIRE DATE NO BATCH HARGA SATUAN JUMLAH HARGA KET
KEMASAN
1 2 3 4 5 6 7 8 9
1 Misoprostol 200 mg TABLET 95 Jan-21 N1812010 4,990.00 474,050.00
Total Rp 474,050
Kolaka, 30 Juni 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka
FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Nip. 19810418 200701 12 009 Nip. 19750112 199803 2 002
Kolaka, Maret 2015
Kepala Instalasi Farmasi

RS. Benyamin Guluh kab. Kolaka
Rahmat Nur, S. Si, Apt

Nip. 19830206 201001 1 020
DAFTAR BMHP EXPIRE DATE

SATUAN /
KEMASAN
1 2 3 4 5 6 7 8 9
1 Gypsona 6 inci (BSN) ROLL 30 Feb-21 87061535 47,845.00 1,435,350.00
2 Maag Slang No 5 (Feeding tube) (Terumo) PIECES 7 Apr-21 180525B 18,936.00 132,552.00
3 Infus zet (Mikro ) Anak (AXIMED/KF) PIECES 84 May-21 20160503 5,956.83 500,373.72
Total Rp 2,068,275.72


Nip. 19810418 200701 12 009 Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
DAFTAR OBAT-OBATAN BPJS EXPIRE DATE

SATUAN /
KEMASAN
1 2 3 4 5 6 7 8 9
1 Prednison Tab 5 mg @ (HOLI/KF) TABLET 120 Jan-21 1901134 74.000 8,880.00
2 Simvastatin 20 mg Tab @ 50 (KF/KF) TABLET 144 Jan-21 C80404B 235.00 33,840.00
3 Natrium Diklofenak 50 mg Tab @ 50 (PHP/KF) TABLET 1250 Jan-21 26365005 156.002000 195,002.50
4 Piracetam 1200 mg Kapl @ 100 (DEXA/AAM) TABLET 180 Jan-21 CPCMB90048 996.0720 179,292.96
5 Bralifex Plus 5 ml Eye Drop (Sanbe/BSP) BOTOL 24 Jan-21 W63516 39,854.10 956,498.40
6 RAMIPRIL 2.5 mg Capl @ 100 (DEXA/AAM) TABLET 124 Feb-21 50C0524 289.999733 35,959.97
7 Telmisartan 80 mg Tablet @ 30 (DEXA/AAM) TABLET 107 Feb-21 5000047 5,138.62666 549,833.05
8 Metformin 500 mg Tab @ 100 (HJ/TSJ) TABLET 1815 Feb-21 HTMFNA91812 115.0187105 208,758.96
9 Fargoxin 0.25 mg Inj Vial @2 (KP) AMPUL 13 Feb-21 MB0123 38,500.00 500,500.00
10 Retivit Kapl @ 100 (Sanbe/BSP) KAPSUL 100 Feb-21 WB2148 4,202.00 420,200.00
11 Euthyrox 50 mg Tab @ 100 (AAM) TABLET 8 Feb-21 WB4517 771.0010 6,168.01
12 Heparmin Cap Blister @ 30 (MRP) TABLET 338 Feb-21 HB19001 6,966.666666 2,354,733.33
13 Pyrantel Suspensi 125 mg (HOLI/KF) BOTOL 17 Mar-21 2903010 11,599.50 197,191.50
14 Pradaxa 110 mg (Dagatran) Caps @ 30 (TEMPO) TABLET 50 Mar-21 803510 14,800.00 740,000.00
15 Simvastatin 10 mg Tab @ 30 (Yarindo/PPG) TABLET 734 Mar-21 D8072213 110.00 80,740.00
16 TRIAMCINOLONE 4 mg Tab @ 100 (DEX/AAM)) TABLET 188 Mar-21 6OE0092 876.644 164,809.07
17 CENDO Vasacon 0.6 ml EDMD @ 5 (PV) PIECES 25 Mar-21 BVN6032 2,961.00 74,025.00
18 GABAPENTIN 300 mg Cap @ 30 (NOVELL/IGM) TABLET 200 Mar-21 ECCD08 1,100.00 220,000.00
19 Bralifex Plus 5 ml Eye Drop (Sanbe/BSP) BOTOL 9 Mar-21 WJ3502 39,854.10 358,686.90
20 Mecobalamin 500 mcg Kapsul @100 (NPI/MPI) TABLET 116 Apr-21 NI904003 693.00 80,388.00
21 RAMIPRIL 2.5 mg Capl @ 100 (DEXA/AAM) TABLET 463 Apr-21 S0C0524 289.999733 134,269.88
22 Asering 500 ml BTL Infus OTSUKA (IGM) BOTOL 81 Apr-21 48D98A 9,646.00 781,326.00
23 Otsu-D10(Glucose 10%) Inf 500ml (MRP) BOTOL 20 Apr-21 49D76A 8,002.50 160,050.00
24 CENDO Polypred EDMD @ 5 (KF) PIECES 8 Apr-21 8FD61005 3,707.824280 29,662.59
25 Yusimox 125 mg Dry Sirup @60 ml (IFARS/BIS) BOTOL 26 Apr-21 9D104 4,694.80 122,064.80
26 Spironolacton 25 mg Tab @ 100 (DEXA/AAM) TABLET 200 May-21 BN S0F4261 226.00001660 45,200.00
27 Diphenhydramine 10mg/ml Inj @ 30 AMPUL 30 May-21 26342004-2 2,034.116666 61,023.50
28 Lidokaine Compositum 2% Inj Amp @30 (LUCAS/CCS) AMPUL 31 May-21 16815023 1,380.00 42,780.00
29 Piracetam 3 G / 15 ml Inj Amp @10 (QNTM/PPG) AMPUL 265 May-21 EI0386901 6,270.00 1,661,550.00
30 KCL 7.46% @ 20 Vial VIAL 7 May-21 76E49B 3,223.00 22,561.00
31 Amlodipin 10 mg Tablet @ 300 (SCAN/TEMPO) TABLET 79 May-21 52549 106.00 8,374.00
32 FUKRICIN 5% EYE DROP @ 5 ml (SANBE) BOTOL 2 May-21 WL3516 76,120.00 152,240.00
33 RAMIPRIL 5 mg Capl @ 100 (DEXA) KAPSUL 135 Jun-21 50G0144 262.99990 35,504.99
Total Rp 10,622,114.41


Nip. 19810418 200701 12 009 Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
DAFTAR OBAT-OBATAN UMUM EXPIRE DATE

SATUAN /
KEMASAN
1 2 3 4 5 6 7 8 9
1 Puricemia 300 mg Tab @ 100 TABLET 125 Jan-21 TA2091 2,876.00 359,500.00
3 Norpid 20 mg (Simvastatin)(Graha) TABLET 120 May-21 YE022A 660.95 79,314.00
4 Melogra 15 mg (Graha) TABLET 21 May-21 YF015 6 633.60 13,305.60
5 Grameta 5 mg (Domperidon) Syrup BOTOL 3 May-21 YE2196 4,140.00 12,420.00
Total Rp 464,539.60


Nip. 19810418 200701 12 009 Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
DAFTAR OBAT-OBATAN DAN BMHP EXPIRE DATE

SATUAN /
KEMASAN
1 2 3 4 5 6 7 8 9
1 Misoprostol 200 mg TABLET 95 Jan-21 N1812010 4,990.00 474,050.00
2 Prednison Tab 5 mg @ (HOLI/KF) TABLET 120 Jan-21 1901134 74.000 8,880.00
3 Simvastatin 20 mg Tab @ 50 (KF/KF) TABLET 144 Jan-21 C80404B 235.00 33,840.00
4 Natrium Diklofenak 50 mg Tab @ 50 (PHP/KF) TABLET 1250 Jan-21 26365005 156.002000 195,002.50
5 Piracetam 1200 mg Kapl @ 100 (DEXA/AAM) TABLET 180 Jan-21 CPCMB90048 996.0720 179,292.96
6 Bralifex Plus 5 ml Eye Drop (Sanbe/BSP) BOTOL 24 Jan-21 W63516 39,854.10 956,498.40
7 Puricemia 300 mg Tab @ 100 TABLET 125 Jan-21 TA2091 2,876.00 359,500.00
8 RAMIPRIL 2.5 mg Capl @ 100 (DEXA/AAM) TABLET 124 Feb-21 50C0524 289.999733 35,959.97
9 Telmisartan 80 mg Tablet @ 30 (DEXA/AAM) TABLET 107 Feb-21 5000047 5,138.62666 549,833.05
10 Metformin 500 mg Tab @ 100 (HJ/TSJ) TABLET 1815 Feb-21 HTMFNA91812 115.0187105 208,758.96
11 Gypsona 6 inci (BSN) ROLL 30 Feb-21 87061535 47,845.00 1,435,350.00
12 Fargoxin 0.25 mg Inj Vial @2 (KP) AMPUL 13 Feb-21 MB0123 38,500.00 500,500.00
13 Retivit Kapl @ 100 (Sanbe/BSP) KAPSUL 100 Feb-21 WB2148 4,202.00 420,200.00
14 Euthyrox 50 mg Tab @ 100 (AAM) TABLET 8 Feb-21 WB4517 771.0010 6,168.01
15 Heparmin Cap Blister @ 30 (MRP) TABLET 338 Feb-21 HB19001 6,966.666666 2,354,733.33
16 Pyrantel Suspensi 125 mg (HOLI/KF) BOTOL 17 Mar-21 2903010 11,599.50 197,191.50
17 Pradaxa 110 mg (Dagatran) Caps @ 30 (TEMPO) TABLET 50 Mar-21 803510 14,800.00 740,000.00
18 Simvastatin 10 mg Tab @ 30 (Yarindo/PPG) TABLET 734 Mar-21 D8072213 110.00 80,740.00
19 TRIAMCINOLONE 4 mg Tab @ 100 (DEX/AAM)) TABLET 188 Mar-21 6OE0092 876.644 164,809.07
20 CENDO Vasacon 0.6 ml EDMD @ 5 (PV) PIECES 25 Mar-21 BVN6032 2,961.00 74,025.00
21 GABAPENTIN 300 mg Cap @ 30 (NOVELL/IGM) TABLET 200 Mar-21 ECCD08 1,100.00 220,000.00
22 Bralifex Plus 5 ml Eye Drop (Sanbe/BSP) BOTOL 9 Mar-21 WJ3502 39,854.10 358,686.90
23 Mecobalamin 500 mcg Kapsul @100 (NPI/MPI) TABLET 116 Apr-21 NI904003 693.00 80,388.00
24 RAMIPRIL 2.5 mg Capl @ 100 (DEXA/AAM) TABLET 463 Apr-21 S0C0524 289.999733 134,269.88
25 Asering 500 ml BTL Infus OTSUKA (IGM) BOTOL 81 Apr-21 48D98A 9,646.00 781,326.00
26 Otsu-D10(Glucose 10%) Inf 500ml (MRP) BOTOL 20 Apr-21 49D76A 8,002.50 160,050.00
27 CENDO Polypred EDMD @ 5 (KF) PIECES 8 Apr-21 8FD61005 3,707.824280 29,662.59
28 Maag Slang No 5 (Feeding tube) (Terumo) PIECES 7 Apr-21 180525B 18,936.00 132,552.00
29 Infus zet (Mikro ) Anak (AXIMED/KF) PIECES 84 May-21 20160503 5,956.83 500,373.72
30 Yusimox 125 mg Dry Sirup @60 ml (IFARS/BIS) BOTOL 26 Apr-21 9D104 4,694.80 122,064.80
31 Spironolacton 25 mg Tab @ 100 (DEXA/AAM) TABLET 200 May-21 BN S0F4261 226.00001660 45,200.00
32 Diphenhydramine 10mg/ml Inj @ 30 AMPUL 30 May-21 26342004-2 2,034.116666 61,023.50
33 Lidokaine Compositum 2% Inj Amp @30 (LUCAS/CCS) AMPUL 31 May-21 16815023 1,380.00 42,780.00
34 Piracetam 3 G / 15 ml Inj Amp @10 (QNTM/PPG) AMPUL 265 May-21 EI0386901 6,270.00 1,661,550.00
35 KCL 7.46% @ 20 Vial VIAL 7 May-21 76E49B 3,223.00 22,561.00
36 Amlodipin 10 mg Tablet @ 300 (SCAN/TEMPO) TABLET 79 May-21 52549 106.00 8,374.00
37 Norpid 20 mg (Simvastatin)(Graha) TABLET 120 May-21 YE022A 660.95 79,314.00
38 Melogra 15 mg (Graha) TABLET 21 May-21 YF015 6 633.60 13,305.60
39 Grameta 5 mg (Domperidon) Syrup BOTOL 3 May-21 YE2196 4,140.00 12,420.00
40 FUKRICIN 5% EYE DROP @ 5 ml (SANBE) BOTOL 2 May-21 WL3516 76,120.00 152,240.00
41 RAMIPRIL 5 mg Capl @ 100 (DEXA) KAPSUL 135 Jun-21 50G0144 262.99990 35,504.99
Total Rp 13,628,980


Nip. 19810418 200701 12 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka
dr. H. MUHAMMAD RAFI
Nip. 19670201 200112 1 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
DAFTAR OBAT DAN BMHP EXPIRE DATE 2020
INSTALASI FARMASI BLUD RUMAH SAKIT BENYAMIN GULUH KOLAKA TAHUN 2020
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1
2
3
4
Total
Kolaka, Desember 2020
Mengetahui;
MEGARISMANITA, S. Farm. M. Farm. Apt

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
NO BATCH HARGA SATUAN JUMLAH HARGA KET
6 7 8 9
Desember 2020
talasi Farmasi
Guluh kab. Kolaka
A, S. Farm. M. Farm. Apt

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Librocef 500 mg @ 30 TABLET 53 Feb-20
2 Rhinofed Tablet @ 50 TABLET 21 Feb-20
Isosorbide Dinitrat 1 mg/ml Inj Amp @10
3 (ETRC/IGM) Inj 15 Feb-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
211008 1,650.00 87,450.00
1,694.00 35,574.00
20c195 359,700.00
23,980.00
Rp 482,724
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Santa-E 400 (BSP) TABLET 72 Mar-20
2 Ketorolak Inj 26 Mar-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
TC2573 3,894.00 280,368.00
BNIKTRB801098 1,100.01 28,600.28
308,968.28
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Alloris (loratadine) Tab @ 100 (BSP) TABLET 78 Apr-20
2 Baquinor (Ciprofloxacin) 3 mg Eye Drop (Sanbe/BSP) BOTOL 2 Apr-20
3 Digoxin TABLET 77 Apr-20
4 Dobutamin Inj 3 Apr-20
5 Ocusan Tab @ 100 TABLET 80 Apr-20
6 Q-Cef (Cefadroxil) 500 mg @ 30 Caps KAPSUL 68 Apr-20
7 Metoclopramid tab TABLET 346 Apr-20
8 Acyclovir 200 tab Tablet 617 Apr-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
4,323.00 337,194.00
28,248.00 56,496.00
A8608 104.00 8,008.00
BN2580976 14,643.00 43,928.99
1,353.00 108,240.00
1502008 10,340.00 703,120.00
D150572B 132.00 45,672.00
EE0749J 276.00 170,292.00
1,472,950.99
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Forbetes 850 (Metformin HCl) Tab @ 100 TABLET 48 May-20
2 LEVOCIN TAB TABLET 16 May-20
3 Cotrymoxazol syrup BOTOL 16 May-20
4 Meylon BOTOL 15 May-20
5 Phenobarbital Inj AMPUL 2 May-20
6 Midric 0,5% BOTOL 6 May-20
7 Erytromicin tablet KAPLET 293 May-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
1,072.00 51,456.00
37,675.00 602,800.00
A81211 2,115.00 33,840.00
81E48A 6,448.20 96,723.00
3,114.43 6,228.86
UE3539 24,112.00 144,672.00
17CE008 677.00 198,361.00
1,134,080.86
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 PREGNOLIN 5 mg Tab @ 50 TABLET 10 Jun-20
2 Sangotonik Kapsul Emesis @ 30 KAPSUL 118 Jun-20
3 Gracetam 400 mg KAPLET 95 Jun-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
3,564.00 35,640.00
579.20 68,345.60
990.00 94,050.00
198,035.60
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Disolf 490 mg @ 30 TABLET 114 Jul-20
2 PROFOLAT (Asam Folat Tab @ 100 (PFI/KF) TABLET 938 Jul-20
3 Herbesser CD 200 mg Kaps KAPSUL 280 Jul-20
4 Niflec Powder Sachet SACHET 10 Jul-20
5 Ferbulin(Salbutamol sulfate) Amp AMPUL 44 Jul-20
6 Prednison Tab 5 mg @ (HOLI/KF) TABLET 464 Jul-20
7 Oxytetracycline HCL 3 % Salep Kulit 5 G (KF) TUBE 40 Jul-20
8 Metronidazole Benzoat 125 mg Sirup (Mepro/SST) BOTOL 16 Jul-20
9 Irbesartan 300 mg Tab @ 50 (HJ) TABLET 304 Jul-20
10 Irbesartan 150 mg Tab @ 50 (HJ/TSJ) TABLET 351 Jul-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
7,700.00 877,800.00
64.00 60,032.00
LOT CK076 4,835.00 1,353,800.00
18,010.00 123,499.00 1,234,990.00
27SI363 3,850.00 169,400.00
74.00 34,336.00
2,009.70 80,388.00
3,950.00 63,200.00
BN TIRNAS0070 1,200.17 364,852.69
BNTIRNB80027 774.84 271,968.84
4,510,767.53
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Rifantibi 450 mg @ 100 (BSP) PIECES 140 Aug-20
2 CENDO Tobro 0.6 ml EDMD (KF) PIECES 88 Aug-20
3 Nystatin Drop 15 ml 100000 IU (IFARS/KF) BOTOL 14 Aug-20
4 Ibuprofen 200 mg Tab (NOVA/KF) TABLET 1292 Aug-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
4,400.00 616,000.00
71060830 6,189.00 544,632.00
80208 14,786.20 207,006.80
180836177 116.00 149,872.00
1,517,510.80
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Voluven 6% HES 500 ml (APL) BOTOL 9 Sep-20
2 Simvastatin 10 mg Tab @ 30 (Yarindo/PPG) TABLET 170 Sep-20
3 Citicoline 125 mg/ml inj amp 2ml (BRN/TSJ) AMPUL 173 Sep-20
4 Lipro-Q @ 30 TABLET 24 Sep-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
14LI3318 21,780.00 196,020.00
GKL0332709017AL 110.00 18,700.00
ECTC2501B100 7,080.98 1,225,008.68
UK7494 7,040.00 168,960.00
1,608,688.68
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Acetosal 100 mg Tab @ 100 (Phapros/RJ) TABLET 200 Oct-20
2 Ibuprofen Suspensi 100 mg/5 ml BTL 60 mL (RAMA/ BOTOL 42 Oct-20
3 Niflec Powder Sachet SACHET 12 Oct-20
4 Lipro-Q @ 30 TABLET 15 Oct-20
5 Melogra 7.5 mg (Graha) TABLET 141 Oct-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
6301003 154.00 30,800.00
2,715.90 114,067.80
18015 123,499.20 1,481,990.40
UK7494 7,040.00 105,600.00
539.99 76,138.59
1,808,596.79
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Vaclo Tab @ 30 TABLET 30 Nov-20
2 Clarithromycin FCT 500 mg @ 30 (Etercon/IGM) TABLET 86 Nov-20
3 Glimepiride 1 mg Tab @100 (DEXA/AAM) TABLET 478 Nov-20
4 Isosorbide Dinitrat 1 mg/ml Inj Amp @10 (ETRC/IGM AMPUL 10 Nov-20
5 MgSO4 40 % (Magnesium Sulfat) BTL 25 ml (MRP) BOTOL 27 Nov-20
6 Tetracyclin 250 mg Kaps / 100 (NOVA/FMS) KAPSUL 65 Nov-20
7 Gypsona 4 inci ROLL 17 Nov-20
8 I.V Catheter No. 16 G (Terumo) PCS 31 Nov-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
12,375.00 371,250.00
BBK182 2,959.00 254,474.00
48L0751 174.00 83,172.00
20L206 23,980.00 239,800.00
75K48A 3,796.10 102,494.70
K73404J 320.650 20,842.25
36,486.64 620,272.88
151208A 8,355.00 259,005.00
Rp 1,951,311
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH
KEMASAN DATE
1 2 3 4 5
1 Melogra 7.5 mg (Graha) TABLET 91 Dec-20
2 Melogra 7.5 mg (Graha) TABLET 59 Dec-20
3 Azitromycin 200mg/5ml Syr (AAM) BOTOL 5 Dec-20
4 Gliquidone 30 mg Tab @ 100 (DEXA/AAM) TABLET 150 Dec-20
5 URSODEOXYCHOLIC ACID 250 mg Cap@30(DEXA/A KAPSUL 312 Dec-20
6 Aminoleban 8% Amino Acid 500 ml Infus (MRP) BOTOL 6 Dec-20
7 Tunnel blade PIECES 2 Dec-20
Total
Mengetahui;

Nip. 19750112 199803 2 002
Kolaka, Maret 2015


Nip. 19830206 201001 1 020
6 7 8 9
540.00 49,140.00
539.99 31,859.41
5060199 26,352.94 131,764.68
BN50A0049 1,135.00 170,249.99
50A0088 2,225.00 694,200.02
74,655.00 447,930.00
EOLO 0669 126,500.00 253,000.00
1,778,144.11
Desember 2020
talasi Farmasi
Guluh kab. Kolaka

0112 199803 2 002
LAMPIRAN
DAFTAR OBAT - OBATAN EXPIRE DATE
SATUAN / EXPIRE
NO NAMA OBAT JUMLAH NO. BATCH
KEMASAN DATE
1 2 3 4 5 6
1 Ramipril 5 mg TAB 1000 01-2016
2 Spironolacton 100 mg TAB 2000 01-2016
3 Ketoconazole TUBE 12 01-2016
4 Pulmicort BTL 20 01-2016
5 Adona Inj AMP 50 01-2016
6 Atofar 40 mg TAB 90 01-2016
7 Hepacell TAB 60 01-2016
8 Leparson TAB 200 02-2016
9 Inotrop Inj VIAL 20 02-2016
10 Lupred TAB 180 02-2016
11 Retivid Plus TAB 200 02-2016
12 Zircum Kid Sirup BTL 150 02-2016
13
14
15
16
17
18
19
20
Kolaka, Februari 2016
Mengetahui;

Nip. 19830206 201001 1 020
LAMPIRAN
DAFTAR OBAT PSIKOTROPIKA EXPIRE DATE
SATUAN / EXPIRE
KEMASAN DATE
1 2 3 4 5 6
1 Stesolid Rectal 5 mg TUBE 75 02-2016
2 Stesolid Rectal 10 mg TUBE 15 02-2016 P23691704
3
4
Mengetahui;

Nip. 19830206 201001 1 020
LAMPIRAN
DAFTAR BHP EXPIRE DATE
SATUAN / EXPIRE
KEMASAN DATE
1 2 3 4 5 6
1 Anios DDSH 750 ml BTL 26 02-2016
2
3
4
Mengetahui;

Daftar Obat BMHP Expire Date Jan-Juni 2021

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Daftar Obat BMHP Expire Date Jan-Juni 2021

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PEMERINTAH KABUPATEN KOLAKA

RUMAH SAKIT BENYAMIN GULUH KOLAKA

DAFTAR OBAT-OBAT TERTENTU EXPIRE DATE

Kolaka, 30 Juni 2021

FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

DAFTAR BMHP EXPIRE DATE

Kolaka, 30 Juni 2021

FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

DAFTAR OBAT-OBATAN BPJS EXPIRE DATE

Kolaka, 30 Juni 2021

FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

DAFTAR OBAT-OBATAN UMUM EXPIRE DATE

Kolaka, 30 Juni 2021

FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

DAFTAR OBAT-OBATAN DAN BMHP EXPIRE DATE

Kolaka, 30 Juni 2021

FAJAR AHMAD, SE MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

Kolaka, Desember 2020

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt

Kolaka, Desember 2020

MEGARISMANITA, S. Farm. M. Farm. Apt

Kepala Instalasi Farmasi

Rahmat Nur, S. Si, Apt

A, S. Farm. M. Farm. Apt