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  • Lampiran Bap Unit 2020

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    This document contains 4 attachments listing medical supplies distributed by a pharmacy manager to various departments of Kelapa Kampit Community Health Center. The lists include the item name, packaging, quantity, expiration date, batch number and source of funding for each supply distributed. Signatures from the recipient and provider of each supply list are included, along with acknowledgment by the head of the health center.

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    This document contains 4 attachments listing medical supplies distributed by a pharmacy manager to various departments of Kelapa Kampit Community Health Center. The lists include the item name, packaging, quantity, expiration date, batch number and source of funding for each supply distributed. Signatures from the recipient and provider of each supply list are included, along with acknowledgment by the head of the health center.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    9 views5 pages

    Lampiran Bap Unit 2020

    Uploaded by

    fiftha agustina
    This document contains 4 attachments listing medical supplies distributed by a pharmacy manager to various departments of Kelapa Kampit Community Health Center. The lists include the item name, packaging, quantity, expiration date, batch number and source of funding for each supply distributed. Signatures from the recipient and provider of each supply list are included, along with acknowledgment by the head of the health center.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    Lampiran BAP No.

    : 03 /BAPB-FARMASI/PUSKESMAS KELAPA KAMPIT/I/2020

    NO NAMA OBAT KEMASAN JUMLAH ED BATCH SUMBER DANA


    1 Spuit 3 cc pcs 400
    2 Alkohol 70% btl 1
    3 Sarung Tangan Ns Uk.S Psng
    4 Sarung Tangan Ns Uk.L Psng 50
    5 Kapas 500 gr gulung 1
    6 Masker Karet pcs 50
    7 Masker Tali pcs 50

    Kelapa Kampit, 06 Februari 2020


    Yang Menerima Yang memberikan
    Penanggung Jawab Laboratorium pengelola Obat Puskesmas

    Sri Nurpeni Argo Sejati FIFTHA AGUSTINA, A.Md.Farm


    NIP. 198740421 200804 2002 NIP. 19840815 200904 2001
    Mengetahui,
    Ka. UPT Puskesmas Kelapa Kampit

    drg. Meysty Putiri Ranna


    NIP. 19800506 201101 2004
    Lampiran BAP No. : 02 /BAPB-FARMASI/PUSKESMAS KELAPA KAMPIT/I/2020

    NO NAMA OBAT KEMASAN JUMLAH ED BATCH SUMBER DANA


    1 Cut Gut Chrom. 3-0 DS pcs
    2 Kasa steril 16x16 cm kotak 30
    3 Sarung Tangan Ns Uk.M Psng
    4 I.V. Cathether No. 18 pcs
    5 Transfusi Set pcs 25
    6 Underpad pcs 50
    7 Hypafix Roll 1
    8 Sungkup Bayi pcs 5
    9 Amoksillin 500mg tab 200
    10 Antasida Doen tab tab 100
    11 Asam Mefenamat 500 tab 100
    12 Asam Ascorbat/Vit. C 50 mg tab 100
    13 Ferro Sulfat 200 mg+ Asam folat 0,25 tab 300
    14 Paracetamol 500 mg tab 200
    15 Pyridoxine Hcl/Vit. B6 10 mg tab tab 100
    16 Povidone Iodida 10% 30 ml btl 10
    17 Povidone Iodida 10% 300 ml btl 1
    18 Retinol/ Vit.A 200.000 IU kaps 200
    19 Ringer Laktat Inf Kolf 20
    20 Sianocobalamin/ Vit.B12 50 mcg tab tab 100
    21 Pitogin inj Amp
    22 E care antiseptik handrub btl
    23 MgSo4 40% Kolf 5
    24 Vit.K Inj. Amp 60
    25 Urine Bag pcs 5
    26 Calcii Gluconas Vial 1
    27 Folcath No.16 Pcs 10

    Kelapa Kampit, 06 Februari 2020


    Yang Menerima Yang memberikan
    Penanggung Jawab Ruang Persalinan pengelola Obat Puskesmas

    Ana Hayati, A.Md.Keb. FIFTHA AGUSTINA, A.Md.Farm


    NIP. 19870916 200904 2004 NIP. 19840815 200904 2001
    Mengetahui,
    Ka. UPT Puskesmas Kelapa Kampit

    drg. Meysty Putiri Ranna


    NIP. 19800506 201101 2004
    Lampiran BAP No. : 04 /BAPB-FARMASI/PUSKESMAS KELAPA KAMPIT/I/2020

    NO NAMA OBAT KEMASAN JUMLAH ED BATCH SUMBER DANA


    1 Alkohol 70% btl 1
    2 Infus Set dewasa pcs 2
    3 Kapas 500 gr gulung 1
    4 Kasa Steril 16x16 cm kotak 10
    5 Lysol btl 1
    6 Underpad pcs 1
    7 Plester Roll 1
    8 Sarung Tangan Ns Uk M psng
    9 Transfusi set pcs 1
    10 Sungkup Bayi pcs 1
    11 Asam Mefenamat 500 tab 100

    Kelapa Kampit, 06 Februari 2020


    Yang Menerima Yang memberikan
    Penanggung Jawab Poskesdes Buding pengelola Obat Puskesmas

    Yusniar Sofiana FIFTHA AGUSTINA, A.Md.Farm


    NIPTT. 201105007 NIP. 19840815 200904 2001
    Mengetahui,
    Ka. UPT Puskesmas Kelapa Kampit

    drg. Meysty Putiri Ranna


    NIP. 19800506 201101 2004
    Lampiran BAP No. : /BAPB-FARMASI/PUSKESMAS KELAPA KAMPIT/ XI/2020

    NO NAMA OBAT KEMASAN JUMLAH ED SUMBER DANA SUMBER DANA


    1 Masker Kain Ear Loop pcs 314 Desember-2025 APBD 2020 Bantuan Kemenkes 2020
    2 Masker Kain Head Loop pcs 314 Januari - 2025 APBD 2020 Bantuan Kemenkes 2020

    Kelapa Kampit, 11 November 2020


    Yang Menerima Yang Menyerahkan
    PIHAK KEDUA PIHAK PERTAMA

    ……………………………………… drg. Meysty Putiri Ranna


    NIP. 19800506 201101 2004
    Lampiran BAP No. : 01 /BAPB-FARMASI/PUSKESMAS KELAPA KAMPIT/I/2020

    NO NAMA OBAT KEMASAN JUMLAH ED BATCH SUMBER DANA


    1 Cut Gut Chrom. 3-0 DS pcs
    2 Kasa steril 16x16 cm kotak 30
    3 Sarung Tangan Ns Uk.M Psng
    4 I.V. Cathether No. 18 pcs
    5 Transfusi Set pcs 25
    6 Underpad pcs 50
    7 Hypafix Roll 1
    8 Sungkup Bayi pcs 5
    9 Amoksillin 500mg tab 200
    10 Antasida Doen tab tab 100
    11 Asam Mefenamat 500 tab 100
    12 Asam Ascorbat/Vit. C 50 mg tab 100
    13 Ferro Sulfat 200 mg+ Asam folat 0,25 tab 300
    14 Paracetamol 500 mg tab 200
    15 Pyridoxine Hcl/Vit. B6 10 mg tab tab 100
    16 Povidone Iodida 10% 30 ml btl 10
    17 Povidone Iodida 10% 300 ml btl 1
    18 Retinol/ Vit.A 200.000 IU kaps 200
    19 Ringer Laktat Inf Kolf 20
    20 Sianocobalamin/ Vit.B12 50 mcg tab tab 100
    21 Pitogin inj Amp
    22 E care antiseptik handrub btl
    23 MgSo4 40% Kolf 5
    24 Vit.K Inj. Amp 60
    25 Urine Bag pcs 5
    26 Calcii Gluconas Vial 1
    27 Folcath No.16 Pcs 10

    Kelapa Kampit, 06 Februari 2020


    Yang Menerima Yang memberikan
    Penanggung Jawab Ruang Persalinan pengelola Obat Puskesmas

    Ana Hayati, A.Md.Keb. FIFTHA AGUSTINA, A.Md.Farm


    NIP. 19870916 200904 2004 NIP. 19840815 200904 2001
    Mengetahui,
    Ka. UPT Puskesmas Kelapa Kampit

    drg. Meysty Putiri Ranna


    NIP. 19800506 201101 2004

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