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  • Ed Jan-Jun 2022

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    apotek masteng
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    This document is a report listing 17 expired medications found at Talaga Raya Community Health Center in Buton Tengah Regency. It includes the medication name, packaging/unit, batch number, quantities in numeric and written form, and expiration dates ranging from February 2021 to August 2022. The report was witnessed and signed by 4 staff members and acknowledged by the head of the Talaga Raya Community Health Center.

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    This document is a report listing 17 expired medications found at Talaga Raya Community Health Center in Buton Tengah Regency. It includes the medication name, packaging/unit, batch number, quantities in numeric and written form, and expiration dates ranging from February 2021 to August 2022. The report was witnessed and signed by 4 staff members and acknowledged by the head of the Talaga Raya Community Health Center.

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    6 views2 pages

    Ed Jan-Jun 2022

    Uploaded by

    apotek masteng
    This document is a report listing 17 expired medications found at Talaga Raya Community Health Center in Buton Tengah Regency. It includes the medication name, packaging/unit, batch number, quantities in numeric and written form, and expiration dates ranging from February 2021 to August 2022. The report was witnessed and signed by 4 staff members and acknowledged by the head of the Talaga Raya Community Health Center.

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    of 2

    PEMERINTAH KABUPATEN BUTON TENGAH

    DINAS KESEHATAN
    UPTD PUSKESMAS TALAGA RAYA
    JalanKesehatan, Tlpn. +62852 4242 6663, e-mail:puskesmas.talagaraya@gmail.com

    Lampiran : Berita acara Obat Expired Date


    Nomor :
    Tanggal :

    No Nama/Jenis Obat Satuan/ No. Batch/Reg Banyaknya Banyaknya 2 Keadaan Pendapat


    Kemasan ( Dengan angka ) ( Dengan Huruf) Obat-Obatan Panitia
    1 Griseofulvin 125 mg Tablet C70144B 800 Delapan ratus Feb-22
    2 Furosemid 40 mg Tablet C90462B 800 Delapan ratus Feb-22
    3 OAT ANAK Kotak 26493011 5 Lima May-22
    4 Antifungi DOEN kombinasi 30 gr Pot GBL 9514101530 A1 17 tujuh belas Sep-21
    5 Metoclopramide 10 mg Tablet D70317B 200 dua ratus Apr-22
    6 Stesolid 5 mg/2,5 ml Tube @2,5 ml W23681710 15 lima belas Apr-22
    7 Phenol Glycerol 10% Botol@5 ml GBL 9413604148 A1 18 delapan belas May-22
    8 Prednisone 5 mg Tablet GKL 9817104510 A1 1000 Seribu Apr-22
    9 Glimepirid 4 mg Tablet GKL 1212425810 D1 350 Tiha ratus lima puluh Mar-22
    10 Nystatin 100.000 IU Tablet 16372008 400 Empat ratus May-22
    11 Metoclopramide 5 mg Tablet G71185b 900 Sembilan ratus Jun-21
    12 Chlorphenamine Meleate 4mg Tablet GTL 0334003110 A1 1500 Seribu lima ratus Jun-22
    13 Oxytetracycline HCL 1 % salep mata Tube @3,5 g GKL 9932301431 A1 180 Seratus Delapan puluh Feb-22
    14 Aboket 18 Jelco Pcs AKL 20902805065 100 Seratus Feb-21
    15 Asam Mefenamat 500 mg Tablet KGL 1308517404 A1 1700 Seribu tujuh ratus Apr-22
    16 Chloramphenicol Salep mata 1% Tube @5 gram GKL 9732300531 A1 325 Tiga ratus dua puluh lima Mar-22
    17 Cotrimoxazole Tab Tablet GKL 1733314110A1 4100 Empat ribu seratus Aug-22

    saksi- saksi : TTD:


    1. Nama : sudarto, AMK 1
    Jabatan : Kepala Puskesmas
    2. Nama : Israwaty, A.Md.Kep. 2
    Jabatan : Kepala Tata Usaha
    3. Nama : Nurjeddah Fariane, S. Farm., Apt. 3
    Jabatan : Penanggung Jawab Obat
    4. Nama : Dwi Trisdayanti Safitri, A.Md.Farm 4
    Jabatan : Staf Magang

    Talaga, 04 Agustus 2022

    MENGETAHUI
    KEPALA UPTD PUSKESMAS TALAGA RAYA

    SUDARTO,AMK
    NIP.19711231 199103 1 012

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